How Homogenous are the Madhesis? Implications for Inclusive and Affirmative Agendas

Subedi, Madhusudan; Gautam, Tika Ram

doi:10.3126/jodas.v24i1-2.19665

Cited by 5 publications

(5 citation statements)

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“…They have suffered from acute landlessness and caste-based discrimination, including untouchability [ 16 , 19 ]. Madhesi caste group grips a relatively better advantage as compared to the other three groups [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Anemia among Pregnant Women of Underprivileged Ethnic Groups Attending Antenatal Care at Provincial Level Hospital of Province 2, Nepal

Yadav

Ghimire

Amatya

et al. 2021

Anemia

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Background. This study aims at determining the factors associated with anemia among pregnant women of underprivileged ethnic groups attending antenatal care at the provincial level hospital of Province 2. Methods. A hospital-based cross-sectional study was carried out in Janakpur Provincial Hospital of Province 2, Southern Nepal. 287 pregnant women from underprivileged ethnic groups attending antenatal care were selected and interviewed. Face-to-face interviews using a structured questionnaire were undertaken. Anemia status was assessed based on hemoglobin levels determined at the hospital’s laboratory. Bivariate and multiple logistic regression analyses were used to identify the factors associated with anemia. Analyses were performed using IBM SPSS version 23 software. Results. The overall anemia prevalence in the study population was 66.9% (95% CI, 61.1–72.3). The women from most underprivileged ethnic groups (Terai Dalit, Terai Janajati, and Muslims) were twice more likely to be anemic than Madhesi women. Similarly, women having education lower than secondary level were about 3 times more likely to be anemic compared to those with secondary level or higher education. Women who had not completed four antenatal visits were twice more likely to be anemic than those completing all four visits. The odds of anemia were three times higher among pregnant women who had not taken deworming medication compared to their counterparts. Furthermore, women with inadequate dietary diversity were four times more likely to be anemic compared to women having adequate dietary diversity. Conclusions. The prevalence of anemia is a severe public health problem among pregnant women of underprivileged ethnic groups in Province 2. Being Dalit, Janajati, and Muslim, having lower education, less frequent antenatal visits, not receiving deworming medication, and having inadequate dietary diversity are found to be the significant factors. The present study highlights the need of improving the frequency of antenatal visits and coverage of deworming program in ethnic populations. Furthermore, promoting a dietary diversity at the household level would help lower the prevalence of anemia. The study findings also imply that the nutrition interventions to control anemia must target and reach pregnant women from the most-marginalized ethnic groups and those with lower education.

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Section: Methodsmentioning

confidence: 99%

Factors Associated with Anemia among Pregnant Women of Underprivileged Ethnic Groups Attending Antenatal Care at Provincial Level Hospital of Province 2, Nepal

Yadav

Ghimire

Amatya

et al. 2021

Anemia

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show abstract

“…In developing countries, providing adequate nutrition is an issue that has deep roots in the domains of gender, race, ethnicity, class, and education (Neff et al, 2009). Ethnicity and socioeconomic status are interlinked, and the advantaged groups are usually from the higher status and more superior to the lower caste (Subedi, 2016). Adolescents from poor socioeconomic backgrounds have poor nutrition knowledge (Sharma et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…In our research, the school adolescents are from government public schools; they come from rural parts and usually have lower socioeconomic status. In rural parts of Nepal, gender discrimination still prevails as a major problem that offers males a higher number of children in society compared to females (Subedi, 2016). So, their parents give males more priority for better nutrition than females (Madjdian & Bras, 2016).…”

Section: Discussionmentioning

confidence: 99%

Knowledge on Nutrition and Dietary Diversity Among Community School Adolescents in Kathmandu Valley

Manandhar,

Kakchapati

2023

J. Health Promotion

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Nutritional knowledge and practices among adolescents are critical to combat health problems that can continue into adulthood. The study determines the nutritional knowledge and dietary diversity and its associated factors among school adolescents of Kathmandu Valley. The study adopted a cross-sectional design of 487 school adolescents using multistage cluster sampling. Information on socio-demographic characteristics, Health Belief Model constructs, nutrition knowledge and dietary diversity were collected. Bivariate and multivariate logistic regression models were used to identify the factors associated with nutrition knowledge and dietary diversity. Nutrition knowledge and dietary diversity were found inadequate; 47.4% had adequate dietary diversity and 42.5% had adequate nutrition knowledge Variables that were significantly associated with adequate nutrition knowledge (versus inadequate) in the presence of other variables were compared to reference group included age (adjusted odds ratio [aOR]= 0.83; 95% CI = 0.71-0.96), being from ethnic groups of Janajatis (aOR=2.79; 95% CI: 1.47-5.28) and Brahmin/Chhetri (aOR=1.9; 95% CI: 1.06-3.4), belonging to nuclear family (aOR=1.75; 95% CI: 1.18-2.6), literate father (aOR=2.16; 95% CI: 0.99-4.73), perceived severity (aOR= 1.19; 95% CI: 1.06-1.33) and perceived barrier (aOR= 1.02 ; 95% CI: 1-1.05). Variables that were significantly associated with consuming adequate dietary diversity (versus inadequate) in the presence of other variables include being male (aOR=1.52;95% CI: 1.01-2.29), having literate mother (aOR=1.7;95% CI: 1.02-2.83), consuming unhealthy diet daily (aOR=4.23;95% CI: 1.85-9.67), having adequate knowledge (aOR=2.4;95% CI: 1.59-3.63) and self-efficacy (aOR= 1.15;95% CI: 1.06-1.24). This study highlights the need for specific theories and model-based targeted interventions to encourage adolescents' healthy behavior and healthy eating.

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“…Despite almost half of Nepal’s population living in the Terai region [ 19 ], referred to as the ‘Madhesh’, a common assumption is that Madhesis are Indian. This arises from the sociological identity lens that implicitly separate the Madheshi (from the other Nepali) and understand them as ‘people of Indian origin’ [ 20 , 21 ] because of the cultural similarities and cross-border connections they share with neighbouring India. The Madheshi are frequently assumed to be migrants and not “true” Nepalis.…”

Section: Discussionmentioning

confidence: 99%

Risks and risk mitigation in waste-work: A qualitative study of informal waste workers in Nepal

Sapkota

Lee

Karki

et al. 2020

Public Health in Practice

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How Homogenous are the Madhesis? Implications for Inclusive and Affirmative Agendas

Abstract: Ethnicity, social inclusion/exclusion and inequality have been much more important and also equally debatable issues in contemporary Nepal. Some scholars (Bhattachan, 2009(Bhattachan, , 1995Gurung, 1997;Gurung, 2012;Lawoti, 2005Lawoti, , 2012Mabuhang, 2012)

Cited by 5 publications

References 1 publication

Factors Associated with Anemia among Pregnant Women of Underprivileged Ethnic Groups Attending Antenatal Care at Provincial Level Hospital of Province 2, Nepal

Factors Associated with Anemia among Pregnant Women of Underprivileged Ethnic Groups Attending Antenatal Care at Provincial Level Hospital of Province 2, Nepal

Knowledge on Nutrition and Dietary Diversity Among Community School Adolescents in Kathmandu Valley

Risks and risk mitigation in waste-work: A qualitative study of informal waste workers in Nepal

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