Determinants of home delivery in Nepal – A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey
In Nepal, a substantial proportion of women deliver their children at home. Disparities have been observed in the utilization of institutional delivery and skilled birth attendant services among marginalized and non-marginalized women. Abt researchers helped conduct a disaggregated analysis to identify if different factors are associated with home delivery among these groups. The analysis found poor education, poor economic status, non-completion of four antenatal care visits and belonging to Province 2 were associated with home delivery among both factors–marginalized and non-marginalized women. Marginalized women residing in rural areas, living far from health facilities, and belonging to Province 7 were more likely to deliver at home. Promoting births in facilities would require focusing on specific geographical areas in addition to wider socio-economic determinants.