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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.

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.

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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.