The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study

Type Journal Article - BMC Health Services Research
Title The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study
Author(s)
Volume 17
Issue 1
Publication (Day/Month/Year) 2017
URL https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2567-7
Abstract
Background
In resource-poor settings, the provision of basic maternity care within health centres is often a challenge. Despite the difficulties, Nepal reduced its maternal mortality ratio by 80% from 850 to an estimated 170 per 100,000 live births between 1991 and 2011 to achieve Millennium Development Goal Five. One group that has been credited for this is community health workers, known as Female Community Health Volunteers (FCHVs), who form an integral part of the government healthcare system. This qualitative study explores the role of FCHVs in maternal healthcare provision in two regions: the Hill and Terai.

Methods
Between May 2014 and September 2014, 20 FCHVs, 11 health workers and 26 service users were purposefully selected and interviewed using semi-structured topic guides. In addition, four focus group discussions were held with 19 FCHVs. Data were analysed using thematic analysis.

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