Background
Intimate partner violence IPV is public health problem globally and most common in developing countries that affects more than one fourth of women of reproductive age WRA. It is more critical during pregnancy. IPV not only affects physical and mental well-being but also leads in birth outcomes with negative consequences.
Methods
We use secondary data from Nepal Demographic and Health Survey 2016 to assess the association between IPV, and maternal service utilization: ANC visits and institutional delivery. Altogether 1374 WRA were randomly selected. Background characteristics of WRA and IPV were the independent variables, and ANC visits and institutional delivery were the dependent variables.
Results
Data show that 26 percent of WRA had faced at least one form of IPV, 68 percent had visited health facilities at least four times for ANC check-up during pregnancy, and the rate of institutional delivery was 61 percent. There were association among IPV with ANC visits and institutional delivery (p<0.001). Age group, educational level, ethnicity, number of child, residence setting, and wealth status of WRA were significantly associated with ANC visits and institutional delivery (p<0.001).
Conclusion
IPV, educational level, and wealth status of WRA were significant predictors for maternal health service utilization. Policy maker should incorporate these significant predictors during planning and intervention as well.
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Posted 21 Jun, 2019
Posted 21 Jun, 2019
Background
Intimate partner violence IPV is public health problem globally and most common in developing countries that affects more than one fourth of women of reproductive age WRA. It is more critical during pregnancy. IPV not only affects physical and mental well-being but also leads in birth outcomes with negative consequences.
Methods
We use secondary data from Nepal Demographic and Health Survey 2016 to assess the association between IPV, and maternal service utilization: ANC visits and institutional delivery. Altogether 1374 WRA were randomly selected. Background characteristics of WRA and IPV were the independent variables, and ANC visits and institutional delivery were the dependent variables.
Results
Data show that 26 percent of WRA had faced at least one form of IPV, 68 percent had visited health facilities at least four times for ANC check-up during pregnancy, and the rate of institutional delivery was 61 percent. There were association among IPV with ANC visits and institutional delivery (p<0.001). Age group, educational level, ethnicity, number of child, residence setting, and wealth status of WRA were significantly associated with ANC visits and institutional delivery (p<0.001).
Conclusion
IPV, educational level, and wealth status of WRA were significant predictors for maternal health service utilization. Policy maker should incorporate these significant predictors during planning and intervention as well.
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