Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14356/1760
Title: Maternal and Neonatal Health Knowledge, Service Quality and Utilization: Findings from a Community Based Quasi-experimental Trial in Arghakhanchi District of Nepal
Authors: Shrestha, J R
Manandhar, D S
Manandhar, S R
Adhikari, D
Rai, C
Rana, H
Poudel, M
Pradhan, A
Citation: ShresthaJ. R., ManandharD. S., ManandharS. R., AdhikariD., RaiC., RanaH., PoudelM., & PradhanA. (2015). Maternal and Neonatal Health Knowledge, Service Quality and Utilization: Findings from a Community Based Quasi-experimental Trial in Arghakhanchi District of Nepal. Journal of Nepal Health Research Council. https://doi.org/10.33314/jnhrc.v0i0.599
Issue Date: 2015
Publisher: Nepal Health Research Council
Keywords: CB-NCP
Facility strengthening
HFOMC
MNC QI
PMNH
Nepal
Series/Report no.: Jan-April, 2015;599
Abstract: Abstract Background: As part of the Partnership for Maternal and Newborn Health Project (PMNH), HealthRight International collaborated with Mother and Infant Research Activities (MIRA) to conduct operations research in Arghakhanchi district of Nepal to explore the intervention impact of strengthening health facility, improving community facility linkages along with Community Based Newborn Care Program (CB-NCP) on Maternal Neonatal Care (MNC) service quality, utilization, knowledge and care seeking behavior. Methods: This was a quasi-experimental study. Siddahara, Pokharathok, Subarnakhal,Narpani Health Posts (HPs) and Thada Primary Health Care Center(PHCC)in Electoral Constituency-2 were selected as intervention sites and Arghatosh, ,Argha, Khana, Hansapur HPs and Balkot PHCC in Electoral Constituency-1 were chosen as controls. The intervention started in February 2011 and was evaluated in August 2013. To compare MNC knowledge and practice in the community, mothers of children aged 0-23 months were selected from the corresponding Village Development Committees(VDCs) by a two stage cluster sampling design during both baseline (July 2010) and endline (August, 2013) assessments. The difference in difference analysis was used to understand the intervention impact. Results: Local resource mobilization for MNC, knowledge about MNC and service utilization increased in intervention sites. Though there were improvements, many effects were not significant. Conclusions: Extensive trainings followed by reviews and quality monitoring visits increased the knowledge, improved skills and fostered motivation of health facility workers for better MNC service delivery. MNC indicators showed an upsurge in numbers due to the synergistic effects of many interventions.  Keywords: CB-NCP, facility strengthening, HFOMC, MNC QI, PMNH, Nepal
Description: Original Article
URI: http://103.69.126.140:8080/handle/20.500.14356/1760
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 13 No. 1 Issue 29 January - April 2015

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