Nepal is a landlocked country bordering India and China, with a population of approximately 30 million. With close to 80% of births occurring at home, maternal health in Nepal has become a focal point as mortality rates raised alarmingly.
4 Facts About Maternal Health in Nepal
- The maternal mortality rate saw a reduction of about 71% between the years 1990 and 2015. The decline is attributed to free delivery services and transport, access to safe delivery services, and medicines that prevent hemorrhaging.
- Midwives are one of the popular professional services for maternal health in Nepal. Fast intervention and postnatal suggestions from a skilled midwife allows for better care for both mother and child after birth. In Nepal, only about 27% of women receive care within 24 hours of giving birth. This makes way for hemorrhaging, heavy-lifting related injuries shortly after giving birth and complications for the baby during and directly after birth.
- To ensure that midwives are updated on the most current practices and procedures for successful pregnancy and birthing, midwifery education is imperative. Institutions have partnered with the United Nations Population Fund (UNFPA) to offer combined education for nursing and midwifery. Midwives do not have specific legislation for their work. They are not completely recognized under the law or regulated, creating issues with proper training and resources. Therefore, greater recognition and accessibility will allow midwives the resources, training and encouragement that they need for success.
- The National Medical College Teaching Hospital in Nepal published an extensive report of the challenges surrounding maternal health in Nepal. A specific challenge mentioned in this report includes the socio-economic influencers of maternal health. Due to poor nutritional health in women with lower economic status, issues like anemia that cause mortalities. Additionally, rural areas record about 280 birth complications per day.
As maternal health in Nepal becomes more of a focus in the healthcare system, certain policies and programs must be expanded. Midwifery education and access to services are the most important programs for successful maternal health in Nepal. Many experts and those in the field continue to push for individual programs that focus primarily on methods for successful midwives.
– Ashleigh Litcofsky