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    <subfield code="a">AIT Thesis no.RD-16-03</subfield>
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    <subfield code="a">Myo Yar Zar</subfield>
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    <subfield code="a">Access and utilization of maternal health services in rural Myanmar</subfield>
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    <subfield code="a">Pathum Thani :</subfield>
    <subfield code="b">Asian Institute of Technology,</subfield>
    <subfield code="c">2016</subfield>
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    <subfield code="a">Thesis ;</subfield>
    <subfield code="v">no. RD-16-03</subfield>
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    <subfield code="a">Submitted in partial fulfillment of the requirements for the degree of Master of Science in Regional and Rural Development Planning</subfield>
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    <subfield code="a">The research provided the understanding the ground realities of rural mothers on utilization of  maternal  health  services (MHS) provided  by  Ministry  of  Health in  Myanmar.  This research was  to  analyze  the  access  and  utilization  of rural  women  on MHS  provided  by Myanmar Government  specifically  on examining  the  awareness,  accessibility,  availability and  affordability on  MHS  by rural  women  on MHS; assessing  the  utilization of  MHS by rural women; analyzing the factors associated with utilization; assessing the satisfaction of and  benefits  gained  from  utilization  of  MHS; identifying  their  problems  and  needs; and providing  the  recommendations  to  improve access  and  utilization  and to enhance  greater benefits gained for rural mothers. This research focused on Myanmar government{u2019}s maternal health program including the provision  of  three  components  of  MHS  such  as  antenatal,  delivery  and  postnatal  cares according to the national standard components of maternal health services. ThaPhyay  Khan  rural  health  center  located  in  Thanlyin  township  of  Yangon  region  was selected as a study area due to the presence of all government health facilities on provision of  all  components  of  antenatal,  delivery  and  postnatal  care  services  to  rural mothers. It  is an  evaluation  research  with  survey  design using survey  questionnaire  with120  sampled mothers  from  six  villages  near  to  and  far  from  rural  health  center.  Field  observation,  key informants  interview and  focus  group  discussions  were  also  applied  to  support  the quantitative analysis of the research. The  main  findings  of  the  research  showed  that  all  mothers  were highly aware  of major components of national standard MHS. Lesser awareness of mothers on some components were found out especially in postnatal period and among the mothers staying far from rural health  center.  Free  services  and  availability  of  health  services  at  sub-rural  health  center enhanced  the  mothers  to  access  the  health  centers  regularly  and  utilized  the  major components  of  MHS.  However,  lack  of  public  transportation  and  ambulatory  services deterred  the  mothers  to  access  the  hospital  in  emergencies.  More  mothers  from  villages near to rural health center utilized the components of MHS during antenatal, delivery and postnatal periods compared to mothers staying far from rural health center. Inadequacy and unavailability  of  midwives  made  the  mothers  to  utilize the  some  components  of  MHS particularly  in  delivery  and  postnatal  periods.  Not  only  awareness,  some  factors  such  as household  income,  sources  of  information,  health  problems,  satisfaction  on  services  were also  associated  with  utilization.  Mothers  who  utilized  more  on  MHS  were  more  satisfied with  those  services  and  gained  high  degree  of benefits  and  those  mothers  were  mothers staying  near  to  rural  health  center,  middle-aged  mothers  and  mothers  from  medium  and high-income families regardless of education and occupation. In addition to the awareness and   utilization   factors, mothers{u2019} satisfaction on provided services,   maternal   health knowledge  level,  multiple  sources  of  information and  health  problem  of  mothers  were associated with maternal health benefits gained by mothers from MHS.A  set  of  recommendations  were  given  to  increase  the  accessibility  and to enhance  the utilization of MHS by rural mothers.  They were focused on improvement  of the maternal knowledge  and  awareness  on  the  importance  of  three  components  of  MHS  as  well  as improvement of MHS provision by MHS providers during antenatal, delivery and postnatal periods.</subfield>
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    <subfield code="a">Thesis (M. Sc.) - Asian Institute of Technology, 2016</subfield>
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    <subfield code="a">Maternal health services</subfield>
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