title: Major problems and key issues in Maternal Health in Nepal.
abstract: This paper highlights some of the challenges facing maternal health in Nepal and to suggest possible solutions for improvements. Key literature from across the globe is reviewed and discussed in a Nepalese context. Maternal mortality remains one of the biggest public health problems in Nepal. Lack of access to basic maternal healthcare, difficult geographical terrain, poorly developed transportation and communication systems, poverty, illiteracy, women's low status in the society, political conflict, shortage of health care professional and under utilization of currently available services are major challenges to improving maternal health in Nepal. In order to effect real improvements in maternal health, attention needs to be focused both on biomedical and social interventions. Improving health facilities, mother's nutrition, women's position in the society such as freedom of movement, providing education to female children, integrating Traditional Birth Attendants into local health services can play a vital role in the improvement of mothers' health.
authors.affiliation: Public Health Department & Dugald Baird Centre, University of Aberdeen, Aberdeen Maternity Hospital, Cornhill Road Aberdeen, AB25 2ZL, Scotland, UK. b.simkhada@abdn.ac.uk
authors.forename: B
authors.initials: B
authors.lastname: Simkhada
authors.forename: E R
authors.initials: ER
authors.lastname: van Teijlingen
authors.forename: M
authors.initials: M
authors.lastname: Porter
authors.forename: P
authors.initials: P
authors.lastname: Simkhada
mesh_terms: D005260:Female; D006292:Health Priorities; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008428:Maternal Mortality; D008429:Maternal Welfare / Q000191:economics / Q000706:statistics & numerical data*; D008880:Midwifery / Q000193:education; D009390:Nepal; D011203:Poverty; D011634:Public Health / Q000639:trends*