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Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-SUMAN Trial

Author

Listed:
  • Dilaram Acharya

    (Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea)

  • Jitendra Kumar Singh

    (Department of Community Medicine and Public Health, Janaki Medical College, Tribhuvan University, Janakpur 44618, Nepal)

  • Rajendra Kadel

    (Personal Social Services Research Unit, London School of Economics and Political Science, London, WC2A2AE, UK)

  • Seok-Ju Yoo

    (Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea)

  • Ji-Hyuk Park

    (Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea)

  • Kwan Lee

    (Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea)

Abstract

Low birth weight (LBW) remains a major public health problem in developing countries, including Nepal. This study was undertaken to examine the association between LBW and maternal factors and antenatal care service utilization, in rural Nepal, using data obtained for a capacity-building and text-messaging intervention, designed to enhance maternal and child health service utilization among pregnant women, in rural Nepal (“MATRI-SUMAN”). The study used a clustered randomized controlled design and was conducted during 2015–2016. We investigated maternal and antenatal care service utilization determinants of LBW, using a logistic regression model. Of the four hundred and two singleton babies, included in the present study, seventy-eight (19.4%) had an LBW (mean (SD), 2210.64 (212.47)) grams. It was found that Dalit caste/ethnicity, illiteracy, manual labor, a female baby, and having more than four family members were significantly positively associated with LBW. In addition, mothers who did not visit an antenatal care (ANC) unit, visited an ANC < 4 times, did not take iron and folic acid (IFA), de-worming tablets, and mothers that did not consume additional food, during pregnancy, were more likely to have an LBW baby, than their counterparts. The MATRI-SUMAN intervention and availability of a kitchen garden at home, were found to reduce the risk of LBW. Nepalese child survival policies and programs should pay attention to these maternal and antenatal care service utilization factors, while designating preventive strategies to improve child health outcomes.

Suggested Citation

  • Dilaram Acharya & Jitendra Kumar Singh & Rajendra Kadel & Seok-Ju Yoo & Ji-Hyuk Park & Kwan Lee, 2018. "Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-S," IJERPH, MDPI, vol. 15(11), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2450-:d:180374
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    References listed on IDEAS

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    2. Vishnu Khanal & Jane A. Scott & Andy H. Lee & Rajendra Karkee & Colin W. Binns, 2015. "Factors associated with Early Initiation of Breastfeeding in Western Nepal," IJERPH, MDPI, vol. 12(8), pages 1-13, August.
    3. Celik, Yusuf & Hotchkiss, David R., 2000. "The socio-economic determinants of maternal health care utilization in Turkey," Social Science & Medicine, Elsevier, vol. 50(12), pages 1797-1806, June.
    4. Tannaz Birdi & Shimoni Shah, 2016. "Implementing Perennial Kitchen Garden Model to Improve Diet Diversity in Melghat, India," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(4), pages 1-10, April.
    5. Harold Alderman & Jere R. Behrman, 2006. "Reducing the Incidence of Low Birth Weight in Low-Income Countries Has Substantial Economic Benefits," The World Bank Research Observer, World Bank, vol. 21(1), pages 25-48.
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    Cited by:

    1. Fatima, Sana, 2023. "Rural Development and Education: Critical Strategies for Ending Child Marriages," MPRA Paper 116035, University Library of Munich, Germany, revised 07 Jan 2023.
    2. Leticia Molina-García & Manuel Hidalgo-Ruiz & Ana María Cámara-Jurado & Maria Jose Fernández-Valero & Miguel Delgado-Rodríguez & Juan Miguel Martínez-Galiano, 2019. "Newborn Health Indicators Associated with Maternal Age during First Pregnancy," IJERPH, MDPI, vol. 16(18), pages 1-13, September.

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