This page is optimized for a taller screen. Please rotate your device or increase the size of your browser window.

Determinants of home delivery in Nepal – A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey

Bikash Devkota, Jasmine Maskey, Achyut Raj Pandey, Deepak Karki, Peter Godwin, Pragya Gartoulla, Suresh Mehata, Krishna Kumar Aryal


January 30, 2020

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.