BackgroundMenstrual hygiene management (MHM) is an essential aspect of hygiene for women and adolescent girls between menarche and menopause. Despite being an important issue concerning women and girls in the menstruating age group MHM is often overlooked in post-disaster responses. Further, there is limited evidence of menstrual hygiene management in humanitarian settings. This study aims to describe the experiences and perceptions of women and adolescent girls on menstrual hygiene management in post-earthquake Nepal.MethodsA mixed methods study was carried out among the earthquake affected women and adolescent girls in three villages of Sindhupalchowk district of Nepal. Data was collected using a semi-structured questionnaire that captured experiences and perceptions of respondents on menstrual hygiene management in the aftermath of the Nepal earthquake. Quantitative data were triangulated with in-depth interview regarding respondent’s personal experiences of menstrual hygiene management.ResultsMenstrual hygiene was rated as the sixth highest overall need and perceived as an immediate need by 18.8% of the respondents. There were 42.8% women & girls who menstruated within first week of the earthquake. Reusable sanitary cloth were used by about 66.7% of the respondents before the earthquake and remained a popular method (76.1%) post-earthquake. None of the respondents reported receiving menstrual adsorbents as relief materials in the first month following the earthquake. Disposable pads (77.8%) were preferred by respondents as they were perceived to be clean and convenient to use. Most respondents (73.5%) felt that reusable sanitary pads were a sustainable choice. Women who were in the age group of 15-34 years (OR = 3.14; CI = (1.07-9.20), did not go to school (OR = 9.68; CI = 2.16-43.33), married (OR = 2.99; CI = 1.22-7.31) and previously used reusable sanitary cloth (OR = 5.82; CI = 2.33-14.55) were more likely to use the reusable sanitary cloth.ConclusionsIn the immediate aftermath of the earthquake, women and girls completely depended on the use of locally available resources as adsorbents during menstruation. Immediate relief activities by humanitarian agencies, lacked MHM activities. Understanding the previous practice and using local resources, the reusable sanitary cloth is a way to address the menstrual hygiene needs in the post-disaster situations in Nepal.
noBackground & Objectives: Preventive, promotive, curative, and rehabilitative health care services depend not only in availability & accessibility of it but also on awareness and attitude of the people and various inter-woven social structure that determines in making choice. The objective of this study was to explore health seeking behavior and utilization of health care services in the rural places in VDCs of Ilam district of Eastern Nepal.Materials & Methods: A cross sectional study was conducted in between period of March 25th 2013 to April 10th 2013 Fikkal and Pashupatinagar VDCs in Ilam district with sample of 300 people. Data was collected using a semi-structured questionnaire.Results: One fifth of the populations were found to be seeking traditional healers’ service and 80 percent among modern treatment system were relying on private treatment facility for treating sickness. People who had lived more than 20 years in that place and who felt modern health services were costly were likely to use service of traditional healers. Similarly people suffering from chronic illness, having health facility more than 30 minutes and using stretcher or walking as means of transportation were using government health centers more compared to private services.Conclusion: Significant people still use traditional healers’ service and the government health facility utilization was low as compared to private. The people living for longer period in that place and having the concept that modern health centers are costly were primary user of traditional healing system. Health facility nearby or people who could afford for automobile travel facilities were using costly private health centers.JCMS Nepal. 2015; 11(2):8-16
Background: Snake bite among children is an important public health problem in many tropical and subtropical countries. Limited studies are found on snake-bite in Nepal using the WHO snake-bite management guidelines. This study assessed the clinico-epidemiological profile and their outcome in snake-bite among children using the WHO Guidelines for treatment of snake bite.
Lack of proper practices of sanitary habit leads to ill health of household members, community and the nation as a whole. Provision of sanitary latrines and safe drinking water are necessary to prevent fecal oral transmission of infections. To conduct a study on sanitary hygiene and practices among the residents of Chungwang VDC. 97.4% of the respondents wash their hands with soap or other detergents though 99.3% of them had soaps at their home on observation. Similarly, 81.2% of them had toilet at home but only 79.2% used on regular basis. Basic hand washing was practiced by everyone during/after defecation and before meal but the importance of it after cleaning the bottom and nose of children and before preparing the meal was known to few of the participants. A need of behavioral change regarding optimum hygiene practices is required among the participants.
Nepal, having a predominance of patriarchal society, contraceptive is used by of the females in most cases. Utilization of the family planning services is vital for reduce maternal and neonatal morbidity and mortality in an underdeveloped country like ours. The objective of the study was to assess the awareness and practices of various modes of family planning methods present among the mothers in Belhara VDC of Dhankuta district. A descriptive cross sectional study was carried out among 291 mothers with door to door visit using random sampling. 92% of the participants were aware about the use of family planning methods but only 87% of them were current family planning users and Depo (92.6%) was found to be the most popular mode of contraception among users. Despite vigorous social marketing about family planning methods, about 8% of the women weren't aware about it and Depo (92.6%) was found to be the most popular mode of contraception with husband's desire (84.7%) being the main reason behind the uptake of the service.
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