Factors influencing decision-making for facility-based childbirth in rural Nepal: a qualitative study

Decision-making around facility-based childbirth in rural Nepal is strongly influenced by family and community dynamics, particularly during labour. Interventions should prioritise family-centred antenatal counselling, engagement of husbands and key family members, and strengthening trust in health services. Improving service quality and addressing structural barriers are essential to promote timely utilisation of facility-based childbirth services.