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Table 1 (Dis)continuity of routine MCVs during maternal and newborn health continuum of care in Nepal, 2016 (N=1,978)

From: Universal coverage of the first antenatal care visit but poor continuity of care across the maternal and newborn health continuum among Nepalese women: analysis of levels and correlates

social determinants

Frequency

Had less than 4ANC visits (%)

Had 4ANC visits but no ID (%)

Had 4ANC visits and ID but no PNC visit (%)

Had 4ANC visits ID and PNC visit (%)

p

Structural

      

Wealth status

      

Lower (40%)

832

35.1

26.2

8.6

30.0

<0.001

Upper (60%)

1,146

24.8

12.7

14.3

48.2

 

Ethnicity

      

Disadvantaged

1,374

34.3

19.6

11.3

34.8

<0.001

Advantaged

604

17.6

15.5

13.4

53.6

 

Religion

      

Others

306

39.1

16.2

10.1

34.5

0.056

Hindu

1672

27.3

18.8

12.2

41.7

 

Maternal education

      

Illiterate

570

46.5

20.2

8.8

24.6

<0.001

Primary

391

36.5

24.9

10.0

28.6

 

Secondary or more

1,016

16.6

14.8

14.4

54.1

 

Maternal occupation

      

Not working

928

32.9

13.7

12.9

40.5

<0.001

Agriculture

823

27.6

25.0

10.0

37.3

 

Working paid

227

19.2

13.6

14.5

52.7

 

Perceived violence

      

No

1,397

27.8

18.1

11.2

42.9

0.044

Yes

581

32.4

19.0

13.7

34.9

 

Decision-making

      

No

1,324

30.9

18.9

11.6

38.6

0.111

Yes

654

25.6

17.3

12.6

44.5

 

Household head

      

Male

1,438

30.4

18.9

12.2

38.6

0.073

Female

540

25.9

17.0

11.2

45.9

 

Intermediary

Language

      

Nepali

839

19.8

17.8

13.2

49.2

<0.001

Maithili

360

32.4

24.5

11.2

32.0

 

Bhojpuri

267

54.4

12.1

12.2

21.3

 

Others

512

29.1

18.2

10.1

42.6

 

Residence

      

Urban

1,062

24.5

14.0

13.5

48.0

<0.001

Rural

916

34.6

23.4

10.0

32.0

 

Provinces

      

One

338

21.2

23.0

8.3

47.5

<0.001

Two

513

42.0

19.2

12.0

26.9

 

Bagmati

312

24.2

14.2

10.7

50.9

 

Gandaki

164

24.7

11.9

9.0

54.4

 

Lumbini

364

25.3

19.5

13.5

41.7

 

Karnali

121

45.4

22.0

9.0

23.6

 

Sudurpaschim

166

16.0

15.5

23.0

45.5

 

Region

      

Mountain

131

28.3

30.5

3.4

37.8

0.001

Hills

760

23.8

18.2

11.7

46.3

 

Terai

1,087

33.0

17.0

13.1

36.9

 

Maternal age (years)

      

<19

291

25.8

15.7

16.9

41.6

0.146

20-34

1,582

29.2

18.8

11.1

40.9

 

≥35

106

37.7

19.7

10.2

32.4

 

Birth order

      

<4

1,678

24.9

17.7

13.3

44.1

<0.001

≥4

300

52.8

22.3

4.4

20.6

 

Sex of index child

      

Male

1,063

28.9

17.4

12.1

41.6

0.699

Female

915

29.5

19.5

11.7

39.4

 

Access to bank account

      

No

1,367

33.9

20.2

11.6

34.4

<0.001

Yes

611

18.6

14.3

12.7

54.4

 

Media exposure

      

No

911

40.0

22.6

9.5

27.8

<0.001

Yes

1,067

19.9

14.7

13.9

51.4

 

Last child (index child)

      

Unwanted

418

39.7

16.4

11.1

32.9

<0.001

Wanted

1,560

26.3

18.9

12.1

42.6

 

Distance to HFs as a perceived problem

      

No problem

763

23.0

13.6

12.2

51.3

<0.001

Big problem

1,215

33.0

21.4

11.8

33.8

 

Health system

Perceived problem not having female providers

      

No problem

562

22.1

14.1

10.7

53.1

<0.001

Big Problem

1,416

31.9

20.1

12.4

35.6

 

Awareness of health mothers’ group

      

No

1,340

32.5

17.7

11.5

38.3

<0.001

Yes

638

22.1

19.8

12.8

45.4

 

Mode of delivery

      

Normal

1,780

30.6

20.4

11.8

37.2

<0.001

 C-section

198

16.1

0

13.0

70.9

 
  1. ID: institutional delivery, HF: health facility, HMG: health mothers’ group, p-values obtained from Fisher exact test. Other languages include (e.g., Tharu, Magar). Other religions include Buddha, Jain, Kirat, Christian.