title: Utilization pattern of health care services at village level.
abstract: BACKGROUND
  Primary health care service is basic essential health care. Due to lack of access to quality health care services, many rural people suffer from various health related problems. The objective of this study was to assess how health care services are utilized by beneficiaries in two different villages in Dhanusha district of Nepal.
  
  
  METHODS
  A descriptive cross sectional study was conducted in two Village Development Committees with sixty four households selected randomly from January 1, to February 27, 2008.
  
  
  RESULTS
  The study shows that 48 and 21 percent of population were utilizing local available health services respectively within and beyond 2 km from the health facility .It revealed that distance was significant indicator for utilization of health services. Study also shows that those in VDC 1 had availed maximum (67%) service of trained man power for delivery as compared to those in VDC 2, (20%) where most (80%) of deliveries were conducted by relatives and neighbours, the difference was significant.
  
  
  CONCLUSIONS
  Distance from the heath services is an important factor for utilisation of health resources. The utilisation of health facility was satisfactory but the quality of services were not satisfactory.
authors: School of Health and Allied Sciences, Pokhara University, Nepal. dipendrayadavph@gmail.com
authors: D K
authors: DK
authors: Yadav
mesh_terms: D000328:Adult; D002675:Child, Preschool; D003153:Community Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009390:Nepal; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D000078329:Workforce