Maternal Health Care in Nepal: Trends and Determinants DHS Further Analysis Reports No. 118 DHS Further Analysis Reports No. 118 Maternal Health Care in Nepal: Trends and Determinants Krishna Kumar Aryal1 Sharad K Sharma2 Mukti Nath Khanal3 Bihungum Bista4 Shiv Lal Sharma2 Shambhu Kafle5 Mona Mehta Steffen6 ICF Rockville, Maryland, USA January 2019 1 DFID/NHSP3/MEOR, Abt Associates 2 Department of Health Services, Ministry of Health and Population, Nepal 3 Population Division, Ministry of Health and Population, Nepal 4 Nepal Health Research Council 5 Health Coordination Division, Ministry of Health and Population, Nepal 6 The DHS Program, ICF Corresponding author: Krishna Kumar Aryal, DFID Nepal Health Sector Programme 3 (NHSP3), Monitoring, Evaluation and Operational Research (MEOR) Project, Abt Associates, Lalitpur-10, Lalitpur, Nepal; phone: +977 9851123730; email:
[email protected]. Ministry of Health and Population Acknowledgments: The authors would like to thank DFID Nepal for its support and technical assistance in producing this report. We would like to sincerely acknowledge the support from Joseph James (Abt Britain), Scott Roantree (Abt Britain), and Peter Godwin (DFID/NHSP3/MEOR Project) to produce this report. Special thanks are extended to Dr. Sharad K Sharma and Mr. Mukti Nath Khanal from MoHP for steering the overall report write up. We also extend our gratitude to Tom Fish (ICF) for creating a comparable Province indicator for the 2011 Nepal DHS survey, and to Kerry MacQuarrie (Avenir Health) and Jennifer Yourkavitch (ICF) for their assistance with the tables and graphics in the report. We further express gratitude to the reviewers of this study, Lindsay Mallick (Avenir Health), Sabita Tuladhar and Shilu Adhikari (USAID), and Punya Paudel (Family Welfare Division/MoHP).