Introduction: Maternal and child mortality have declined significantly in Nepal to the extent that Nepal is on track to meet the Millennium Development Goals for maternal and child mortality. Similar improvements have not been seen in general nutrition status of them. Objective of this study was to evaluate a nutrition-education intervention designed to improve nutritional status (reduce stunting, wasting and underweight) of children. Materials and Methods: It was an intervention with separate sample pretest posttest design. Two groups of Village Development Committee (VDC) from Mahottari district were recruited as interventional and control areas. The intervention was a 12-months nutrition education program and comprised of twelve times with 2-3 hour nutrition lectures and discussion classless conducted by the Female Community Health Volunteers (FCHVs). Results: The Present study found that number of underweight children increased by 7.6% in control group while it decreased by 17.7% in intervention group from baseline to endline in both groups. So, intervention programme was able to decrease the number of underweight children significantly. Study shows that wasting status of children increased by 11.4% in control group from baseline to endline period. While in intervention group wasting status of children decreased by more than 5% from baseline to endline period. Conclusion: Nutrition education intervention was effective to reduce wasting and underweight but did not reduce the stunting status of children. Stunting reflects failure to receive adequate nutrition over a long period of time and is affected by recurrent and chronic illness. Findings suggested that nutrition programme of longer duration should be implemented to control the stunting status of children.
Background: Women with uterine prolapse often suffer in silence as it negatively influences their physical, psychological as well as social well-being. This study aimed to explore the social and reproductive health problems associated with uterine prolapse.
Methods: Using a purposive sampling, we conducted 16 in-depth interviews with uterine prolapse affected women in October 2016. Semi-structuredinterviews took place in women’s familiar environment i.e. the participant’s house in Baitadi district.Interviews were audio taped, transcribed and analyzed according to semantic and latent thematic analysis.
Results:The theme describing the women’s experiencesregarding uterine prolapse was labeled as ‘experience of living with uterine prolapse’. The theme constitutes three categories: physical, psychological and social health. The category physical health constitutes five subcategories that represent how physical health of women was affected by uterine prolapse and their consequences: pain, discharge and itching, bleeding and dizziness, difficulty in walking, lifting and sitting, reduction in food intake. The category psychological health comprises three subcategories that define women’s feeling, thought and behaviour towards their prolapsed uterus: anxiety, stress and depressive feeling, fear of death, cancer and surgery.
Conclusion: All physical, psychological and social aspects of women’s health are affected by uterine prolapse. Due to prolapse walking, sitting, working and lifting activities are become challenging for women. Women can become victims of violence due to their disability and less productivity. Uterine prolapse seriously compromises the sexual life of women affected.
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