Introduction: Patient satisfaction is one of the key elements for the overall improvement of health service management. Patient satisfaction in the health care organization is popularly used for benchmark and accreditation purposes. Methods: A quantitative cross-sectional study was conducted among the 164 patients who got their at least one type of eye surgery done following at least three OPD visits at Himalaya Eye Hospital from January 2019 to July 2019. A systematic random sampling technique was used to enroll the study subjects. Face to face interview was done with a semi-structured interview schedule to gather the data from the subject. Data were entered into Epi-Data and transfered to SPSS 20 for analysis. A Chi-square test was applied to find out the association between dependent and independent variables. Results: The average satisfaction score was (4.061±0.26). Overall 48.2% of respondents were satisfied with the physical environment, 59.1% were satisfied with eye care service, 67.1% were satisfied with a health care provider, and 59.1% satisfied with a financial cost, and 88.4% respondents were satisfied with the outcome of care. Conclusion: The majority of respondents were satisfied with the cleanliness and health care providers of the hospital. The main dissatisfaction was on the lack of provision of safe drinking water, insufficient space for caretakers, lengthy time for ticketing system, long waiting time, and waiting area. Concerned authorities are recommended for considering the need of people in the community which may further increase their satisfaction towards services and institutions.

Background The number of breastfeeding mothers participating in a labor force to generate income has been increasing in Nepal. In this regard, the study aims to assess the survival of Under 3 children in Nepal from the mother based on their labor force participation and breastfeeding status. Methods Data for the study were obtained from the Nepal Demographic and Health Survey 2016. The sample size of the study was 2,994 live births children, born in the last three years prior to the day of the interview. The robust hazard ratio and cox proportional hazard regression were conducted between dependent and independent variables with 95% confidence intervals (CIs) to conclude. Results From a total of 2,994 live births, 85 children died within 36 months of birth. More than 80% of the non-working mothers were breastfeeding their children. The findings shows that the survival of children under-3 is positively associated with the interaction with the mother’s work and breastfeeding status (Hazard Ratio 0.428, 95% CI 0.24, 0.75), family structure (Hazard Ratio 1.511; 95% CI 1.37, 1.655), relationship with the household head (Hazard Ratio 0.452; 95% CI 0.311, 0.65), wealth quintiles (Hazard Ratio 0.390; 95% CI 0.33, 0.46), caste (Hazard Ratio 0.652; 95% CI 0.60, 0.69), and religion (Hazard Ratio 2.015; 95% CI 1.09, 3.70) with model CI 95%, Log pseudo likelihood = -521.39236, prob. χ2 = 0.005 and time at risk = 52,748. Conclusions The highest rate of child survival was from the working mothers as well as continuing breastfeeding their children followed by mothers breastfeeding the child but not working, compared to mothers working but not breastfeeding the child, and mothers who were neither working nor breastfeeding their children respectively. This study provides clear evidence that breastfeeding is very important for the probability of survival of the child aged below 36 months and work of mother also have some positive impact on child survival. Employers should be encouraged to have a breastfeeding policy in the workplace through the establishment of a breastfeeding facility, and a flexible work schedule. At the same time government should also regulate the paid maternity leave and encourage societal support for the breastfeeding mothers.

Introduction: The Fertility of Thailand declined to 1.6 in 2014 compared to 6.5 in the early sixties. This fertility revolution was accompanied by a concurrent revolution of contraceptive behavior among Thai people. This study examined the role of individual and geospatial factors to explain the variation in contraceptive method choice among married in two selected districts of Kanchanaburi Province, Thailand. Methods: The sample size in this study was 1468. The study population was currently married women of reproductive age (15-49 years) who were residing in two selected districts of Kanchanaburi province, Sai Yok and Muang districts, collected under the Kanchanaburi Demographic Surveillance Site (KDSS) project from 2004 to 2006. The study performed multinomial logistic regression for statistical analysis and Arc view GIS for spatial analysis to identify the factors associated with contraceptive method choice. Results: The women in the middle age group and urban women were more likely to use permanent methods over non use and temporary methods compared to young and rural women respectively. Women having higher than secondary education used both temporary and permanent contraceptive methods 2.5 times more than uneducated women (AOR 2.43; 95% CI 1.33– 4.46 for temporary versus none and AOR 2.54; 95% CI 1.29 – 5.01 for permanent versus none respectively). If women has no children, they were significantly less likely to use permanent method over non-use as well as over temporary methods. Geo-spatial analysis results showed transportation facilities determine the contraceptive choice. Conclusion: The better transportation network facilitated women to use a permanent contraceptive method rather than the temporary method. It is necessary to establish a better transportation system and education system in the areas, especially in the mountainous regions to improve accessibility and to realize reproductive health services. Further, investments in increasing women's access to various contraceptive options are urgently needed.

Introduction: The number of breastfeeding mothers participating as a labor force to generate income has been increasing in Nepal. In this regards study aims to assess the survival of Under 3 children in Nepal from the mother based on their labor force participation and breastfeeding status. Methods: Data for the study were obtained from the Nepal Demographic Health survey 2016-2017. The sample size of the study was 2,994 live birth children born in the last three years from the day of interview. The robust hazard ratio and cox proportional hazard regression were conducted between dependent and independent variables to come to the conclusion.Results: Among 2994 live birth, 85 children died before reaching 36 months of their life. Among them more than 80 % of the non-working mothers were breastfeeding their children. The analysis revealed that the survival of the children under-3 is positively associated with the interaction with mother work and breastfeeding status, family structure, relationship with household head, wealth quintiles, caste and religion of mother. Conclusion: The highest rate of child survival was from the working mothers as well as continuing breastfeeding to their child followed by mothers breastfeeding the child but not working, mother working but not breastfeeding the child and mothers those were neither working nor breastfeeding their child respectively. Employers should be encouraged to have a breastfeeding policy in work place through establishment of breastfeeding facility, paid maternity leave and flexible work schedule.

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