Introduction: Patient satisfaction is an important and commonly used valid indicator for themeasurement of service quality. Patient responses to healthcare services are one of the bestways to obtain information about patient views regarding the quality of healthcare. The mainaim of the study was to find out the patient’s satisfaction level in the tertiary care center. Methods: A descriptive cross-sectional study was conducted among 94 outpatients at a tertiary carecenter. Data were collected after obtaining ethical clearance from the institutional review committee.Patients were selected conveniently who visited any four of the major department. We collecteddemographic data and the patient satisfaction towards outpatient clinic experience was studied. Weused the Patient Satisfaction Questionnaire–18 to assess patient satisfaction. Data were entered andanalyzed in Statistical Package for the Social Sciences version 23. The mean score and the standarddeviation were calculated. Results: Overall satisfaction was 74.78% with a mean value of 3.7394±0.40128. The highest satisfactionscore was found in regards to the interpersonal manner of health personnel (4.2872±0.61561) followedby communication (3.9628±0.40982) and the lowest was seen in accessibility and convenience(3.2394±0.81478). Conclusions: The mean score and percentage of patient satisfaction were high in the hospital.However, the accessibility and availability of medical personnel were only a matter of concern.

Introduction: Many college students suffer from sleep disorders, including insomnia, and sleep deprivation, resulting in a poor sleep quality. Students are at risk for sleep disorders, and those at risk may also be at risk for academic failure. The main aim of the study is to assess the level of sleep quality among college students in Kathmandu, Nepal. Methods: A cross-sectional study was conducted with 504 students of class 11 and 12 of any faculties among selected colleges of Kathmandu. Simple random sampling was used for selection of colleges. Ethical approval was taken before data collection. Participants with chronic medical illness and mental disorders were excluded from the study. A semi-structured questionnaire was used to collect the information related to socio-demography, and Pittsburgh sleep quality index was used to assess the sleep quality in college students. All data extracted from questionnaires were entered and analyzed using SPSS version 20. Results: Out of 504 students, 40.9% were found to have good sleep quality, whereas, 59.1% were found to have poor sleep quality. 55.21% of male students and 65.78% of female students had poor sleep quality. 58.30% of science students and 59.85 % of management students had poor sleep quality. Conclusions: The quality of sleep among Nepalese college students was found to be poor. Many colleges are unaware of the risks or issues to the students.

Background: Depression is a common public health problem among elders worldwide and is associated with high morbidity and disability. This study aims to assess depression and its associated factors among elderly in old-age homes and a community of Kathmandu district.Method: A comparative cross-sectional study recruited 122 elderly from old-age homes and a community of Kathmandu district. Depression was measured using the Geriatric Depression Scale-short scale (GDS-15). Socio-demographic and medical history was collected using semi-structured questionnaire. We utilized bivariate logistic regression to assess the association of depression with each variable. Results: The prevalence of depression among elderly in old-age homes was 74.6% and in community was 41.8%. The study found that elderly residing at old age homes were four (OR=4.087; 95% CI=2.373-7.038) times more likely to have depression than those residing in the community. Age was found to be associated with depression among the respondent of both settings. In old-age homes, not receiving old-age allowance, bad perception of life, bad social relation, having a chronic disease, lack of care from family, stress and weeping as stress coping strategy were associated with depression. In the community, stress, non-involvement in family decision making, feeling of neglect, dysfunctional capability, bad social relation, lesser monthly income had positive relation with depression.Conclusion: Depression is highly prevalent among Nepalese elderly, with higher burden in those living in old-age homes. This emphasizes the need for screening of depression among elderly, to initiate early intervention measures.

Background: Early and late introduction of complementary feeding is associated with increased morbidity and nutritional deficiencies in children. In 2016, the under 5 mortality rate of Nepal was 39 deaths per 1000 live births and around 1 million under 5 children had suffered from chronic malnutrition. The main aim of this study was to identify the level of knowledge and practice regarding complementary feeding among the mothers of children aged group 6 to 24 months in Bhanu Municipality, Tanahu District, Nepal.Methods: A descriptive cross-sectional study was conducted with 158 mothers of children age group 6 to 24 months from ward number 1 and 2 in Bhanu Municipality, Tanahu District, Nepal. Data collection was done after taking ethical approvalby using a semi-structured questionnaire via face-to-face interviews. Collected data were entered and descriptive analysis was carriedout in Statistical Package for the Social Services version 20. Categorical variables were presented using frequency and percentage. Clopper-pearson method was used to determine 95% confidence interval.Results: Out of 158 respondents, 26.6% (95%CI:19.9,34.2) had inadequate knowledge, whereas 73.4% (95%CI:65.8, 80.1) had adequate knowledge on complementary feeding. Likewise, the study revealed that 51.9%(95%CI: 43.8, 59.9) did the right practice, while 48.1%(95%CI: 40.1,56.2) were involved in the wrong practice on complementary feeding. Only 39 % mothers gained the knowledge about complementary feeding from the health workers. 2.5% of mother had exclusively breastfed their child up to just 3 months. Conclusions: Despite the good level of knowledge about complementary feeding, the wrong practice was prevalent in about half of the mothers. As a result, enhancing existing strategies and developing new intervention measures including capacity building of healthworkers to improve child feeding practices must be mandatory actions for the government and policymakers.Keywords: Complementary feeding; knowledge; Nepal; practice

Introduction: Postpartum Depression is an important public health problem in developing country like Nepal. Although prevalence of postpartum depression is high in our setting, it is most neglected area of mental health. These have negative consequences not only to mother but also to infant. Data related to postpartum depression in Nepal are limited, research in this particular field will contribute in knowing the gravity of the situation and helps to formulate the factor association to upcoming researchers. This research is done in order to find out the prevalence of postpartum depression. Methods: A descriptive cross-sectional study was carried out in Paropakar Maternity and Women’s Hospital, among total 348 postnatal mothers who were selected through convenient sampling technique. Validated Nepalese version of Edinburg Postnatal Depression Scale was used to screen depressive symptoms. Data was collected after receiving ethical approval letter. Data entry was done using SPSS version 20. Results: Out of total mothers, the prevalence of Postpartum Depression (PPD) was seen among 51 mothers (14.7%). Conclusions: Postpartum Depression being a common yet neglected area of maternal health in Nepal, should be detected in early stage. As, the study showed that about one sixth of mothers had postpartum depression, more focus should be given to maternal mental health.

from cancer are increasing in low-and middle-income countries (LMICs) due to social barriers, including unhelpful attitudes, stereotypes, discrimination and stigma (Shah et al., 2019). Cancer stigma -a social process of exclusion, rejection, blame, or devaluation due to cancer diagnosis (Link and Phelan, 2001) -is a barrier to

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Introduction:  For the reduction of financial burden and to achieve universal health care, Government of Nepal launched a security program called as Social Health Insurance Program. This study aimed to find the factors associated with the utilization of the social health insurance scheme. Methods: Descriptive cross-sectional study was conducted in the Bhaktapur Municipality ward no 2. 422 households were chosen using systematic random sampling. Questionnaires were used to measure the factors affecting the utilization. The collected data was entered in Epidata and analyzed in SPSS version 16. The data were presented in the frequency and percentage. Bivariate analysis was done to identify factors utilizing social health insurance. Factors having p value less than 0.05 was taken as significantly associated. Multivariate analysis was done to examine the association between the outcome variables. Results: Almost half of the general population (42.4 %) were utilizing social health insurance scheme and reason for not utilizing includes lack of confidence in the scheme and the services of the scheme, followed by high premium cost. Age (p=0.044), occupation (p= 0.049), wealth quintiles (p=<0.001) were found to be significantly associated with utilization of social health insurance. Logistic regression analysis showed that the odds of enrollment among very rich population group were lower than the medium (AOR 0.550, 95% CI 0.305-0.993) and rich population (AOR 0.557, 95% CI 0.316-0.981). Conclusions: Multiple factors were found to be associated with the utilization of the health insurance scheme which includes age of the household head, occupation of the household head, economic status, availability of the drugs and charge paid during their visit in the health care services, behavior showed by the health care provider, confidence in the scheme, satisfaction in the services that have been providing and source of the information.