Background: There is very few data available in menopausal study done in Nepal. The data is even less on the various gynecological and medical problems postmenopausal women are suffering from. This study was done in Duhabi area, a community in Eastern Nepal, around the Comprehensive Health Service area of a community hospital under B.P Koirala Institute of Health Sciences. Objective: This study was done to document the various gynecological problems among the postmenopausal women and their relation with the socio-demographic characteristics. Methods: By using specific questionnaire, 234 post-menopausal women were interviewed regarding menopausal symptoms, other gynaecological problems and medical problems and their health seeking behaviour. Results: Our study showed that the most common symptoms among the post-menopausal women were loss of libido (53%) and hot flushes (41.5%). Other noted symptoms found were vaginal dryness (29.1%) and excessive vaginal bleeding (14.5%). The most common urinary symptoms were urgency (34.2%), dysuria (17.1%) and incontinence (17.1%). Uterine prolapse was reported by 6.4% of respondents. The most common medical condition seen in our study was low back ache (70.1%). Despite majority (62%) seeking medical treatment for their symptoms only 1.7% of the respondents were using hormone replacement therapy. Conclusion: The prevalence of gynaecological problems among the post-menopausal women was high in our study with the main symptoms of loss of libido and hot flushes. Majority of women with postmenopausal symptoms sought medical care for their problems.
Abstract:Background: In the past 20 years HIV/AIDS has become an increasing global phenomenon. The rising trend of morbidity and mortality has not only changed the demography but also poses a huge socio-economic burden on well-being of households, communities and country. In Nepal as the epidemic is maturing. However, the epidemic has never been maintained in the general population through heterosexual transmission in Nepal, rather it is driven by the infections among higher risk populations and their sexual partners. Objectives: To assess the knowledge about HIV/AIDS among household level. Material and Methods: A household based survey was conducted in all the nine wards of Chandbela VDC. Interview was conducted using pre-tested semi structured questionnaire which included socio demographic profile and characteristics to assess awareness on HIV/AIDS. The data was analyzed to calculate percentages and proportions. Results: Out of total population (7034), 50.39% were male and 49.60% were female. Majority of the males and females were literate i.e. 73.58% and 51.37% respectively. Out of 1274 households, 946(74.25%) households were below poverty line, where 19.34% of people did agriculture for living and 3.3% were migrant worker. Most of the people 73.2% were aware and had heard about HIV/AIDS from various medium like 24.53% from radio, 15.19% from friends however, 16.8% of the people never heard of HIV/AIDS. According to 33% of people unsafe sexual practice could transmit HIV/AIDS and 28.83% of people thought avoiding unsafe sexual practice can prevent from acquiring HIV/AIDS. Of the total respondents, 61.6% of the people believed that even a healthy looking person can have HIV/AIDS. Attitude towards HIV/AIDS patients of majority of population (55.93%) was to avoid any kind of relation or contact with patient. Conclusion: Although majority of the population were literate, were aware of and had heard about HIV/AIDS, the attitude towards the patient was not positive.
Introduction: A healthcare associated infection (HCAI) during patient care is an emerging challenge to healthcare service delivery. Transmission of most of these HCAIs can be prevented through application of standard precautions which are a set of infection control practices followed during patient care, whether or not they appear infectious or symptomatic.Objective: This study aims to assess the existing knowledge and attitude on infection control and standard precautions among healthcare personnel working in peripheral healthcare settings of Nepal.Methodology: It was a cross-sectional study and included nine different health facilities in Makwanpur district. Knowledge and attitude regarding infection control and standard precautions were assessed with the help of a self-administered questionnaire on a pre-determined scale. The results are presented as frequency distribution table and valid proportions.Results: In the study, 91.9% of the HCWs agreed that HCAI is caused by micro-organisms that can be transmitted between patients while 51.5% of them disagreed that HCAI can be caused by micro-organisms carried on the hands of healthcare workers. Majority (98.6%) of the HCWs believed that the use of gloves, mask and apron reduces the risk of HCAI whereas 13.5% of HCWs disagreed that gloves should be changed between the examination of different patients. Although 97% of the HCWs agreed that hand should be washed before and after examining the patient, 17.6% of them informed that they do not always wash their hands before and after examining a patient.Conclusion: Irrespective of limited availability of infection control guidelines, it was found that the knowledge on HCAI control was good and majority of the respondents showed favorable attitude towards infection control and standard precautions. BJHS 2018;3(2)6: 453-457.
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