Introduction: Mental health is as important as physical health to respond to COVID-19 pandemic. This pandemic has increased social isolation and fear regarding health and well-being as well as a dilemma which can lead to mental health problems among general people and health workers.Thus the main objective of this study was to assess the prevalence and factors associated with depression, anxiety and stress among nurses working in a hospital of Nepal during the period of Corona lockdown. Methods: A cross-sectional study was carried out among 152 nurses working at Gandaki Medical College Teaching Hospital and Research Centre of Kaski district of Nepal. Data were collected using a structured self-administered questionnaire consisting of socio-demographic items and Depression, Anxiety and Stress Scale (DASS-42) scale from 11 April to 18 April, 2020. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 22 applying descriptive statistics and inferential statistical method. Results: Respondent's mean age and SD was 24.09 + 3.19 years. The sample mean score of DASS-42 was 29.46 (SD 25.37). Depression, anxiety and stress were prevalent among 39.5%, 50% and 25.7% of the respondents respectively. There was significant association of depression with education level (χ2 =6.597; p=0.01) and working unit (χ2 =8.187; p=0.004). Anxiety was significantly associated with working unit (χ2 =6.973; p=0.008) and children status (χ2 =4.199; p=0.040). Stress was significantly associated with age (χ2 =4.906; p=0.027), working unit (χ2 =4.984; p=0.026) and children status (χ2 =5.653; p=0.017). Conclusion: Based on findings, it can be concluded that some degree of depression, anxiety and stress were prevalent among nurses during COVID-19 pandemic. Further assessment should be made to confirm the respective diagnoses. Stress and anxiety relieving sessions and psychological support programs may help for the nurses with higher than cut-offs.
Newborn care is an essential component of the health care delivery system to maintain the optimal health of the newborn and reduce mortality and morbidity in newborn. Neonatal care refers to the services which are provided by the mother to their neonates such as maintaining thermoregulation, breastfeeding, hygiene, immunization, and care of umbilical cord. The objective of the study was to assess the knowledge and practice of neonatal care among postnatal mothers. A descriptive cross-sectional study design was adopted and 150 postnatal mothers were selected using a non-probability, convenient sampling technique. Data were collected by using semi-structured interviews with a Likert scale and analyzed by using descriptive and inferential statistics. The study result revealed that 60.7 percent of the postnatal mother was aged between more than 25 years. The majority of the postnatal mother (60.7%) of had good knowledge and majority of the respondent (80.7%) of had adequate practice regarding neonatal care. Among multigravida mothers, the majority (61.9%) had good knowledge of neonatal care. Where among primigravida mothers, majority (54.2%) had good knowledge. Among multigravida mothers, the majority (78.6%) had adequate practices on neonatal care.Wheres among primigravida mothers; majority (91.7%) had adequate practices. There is a significant association between the level of knowledge and age (P=0.020), occupational status (P= 0.027), and type of family (p= 0.004). It is concluded that multigravida mothers had good knowledge and adequate practices compared to primigravida mothers. Hence, there is a need for awareness programs by government and non-government organizations, especially among first-time pregnant mothers. Int. J. Soc. Sc. Manage. Vol. 8, Issue-1: 279-284
Aims: This study assesses the state of newborn home-care practices and care-seeking behaviors among the recently delivered mothers to better inform the behavior change communication efforts for effective implementation of the program. Methods:A descriptive study was conducted in two village development committees of Makwanpur district from June to July 2011. A total of 214 women, residing for six months or more in study areas and delivered within past one year, were interviewed using questionnaires designed to collect quantitative and qualitative data.Results: Eighty eight percent of the respondents practiced exclusive breastfeeding, 44% dried and wrapped their newborn within the first five minutes following delivery and 84% used a clean instrument to cut the umbilicus. Ninety-five percent of mother accessed antenatal care from a skilled health provider, 77% of mothers completed four antenatal care visits and only 13% of mothers accessed postnatal care. The first place the mothers would go for seeking care for the neonates was the Primary Health Care Center (54%) followed by the traditional practitioners (20%) and private clinics (6%). The low quality of services at Primary Health Care Center was the most commonly cited barrier to care-seeking (22%) followed by staff unavailability, behaviour and poor counselling. Conclusions:Effective implementation of community-based integrated newborn care program will require engaging stakeholders in both short-term behaviour change communication strategies and long-term commitments to improving quality of care.Keywords: behavior change and communication, community-based integrated newborn care program, newborn care-seeking behaviors, newborn home-care practices CORRESPONDENCE
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