Abstract:
Background Nepal has the highest maternal mortality rate in the world even though Nepal started and implemented various initiative safe motherhood programs national wise .The main purpose of this study was to identify the related maternal health factors associated with the utilization of antenatal care (ANC) visits, delivery and postnatal visit. Methods Community based crossectional study was conducted among 200 mothers of reproductive age group who delivered baby within 2 years of the survey in Dhital and Dhampus village of Kaski district, Western Nepal. The close structured questionnaire was used for collecting the information from the participants. Data analysis was done by chi-square test and multivariable logistic regression. Results The findings from the study showed that the coverage of ANC visit was 98% only half of the women visited 4 ANC visits as recommended by the government of Nepal. Out of total respondents 80% of the respondents delivered in the hospital by skilled birth attenadant and only 24% visited hospital after the delivery. Age of the respondent, husband education, respondent education, income status, level of maternal knowledge and level of enabling factors were statistically significant and positively associated in bivariate analysis. Multivariate analysis showed level of Age, occupation of respondent, level of maternal health knowledge and enabling factors were significant after controlling the variables. Conclusions The coverage of the maternal health service is still low in mountainous village of Nepal even the free maternal health services are provided with the incentives. This study just slightly highlights the factors associated with utilization of maternal health services in mountainous villages of Nepal. Further and deep investigation is necessary to go in the details by the concerned authority to find actual scenario of the mountainous part of Nepal in relation with the maternal health services
