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The new quantitative component entailed a vacation research of one’s Nepal Market and you may Wellness Questionnaire (NDHS) 2016, a nationwide associate survey, once the qualitative part entailed get together investigation through interview and class conversations kept in 2 purposively chosen sites-you to definitely rural town (Kaligandaki) and one metropolitan local government (Chapakot) when you look at the Syangja district. The brand new HMG conferences in these setup got a fixed date and you may area (seventh and you will 14th of any Nepali times within the Kaligandaki and you will Chapakot respectively). In municipalities, the new HMG conferences usually live for 2 to three times and you will was basically held in conjunction along with other group meetings/factors https://kissbrides.com/de/lettische-frauen/ instance antenatal care and attention (ANC) check-ups, ladies advancement group meetings, financial savings programs, and you will blood pressure level specifications. If you’re Kaligandaki’s HMG group meetings took place inside a fixed structure location, women in Chapakot came across in the great outdoors-air.
Players and you may Analysis Collection
Toward quantitative studies component, we made use of analysis on NDHS 2016, which had a response price out of 98.3% . Information about the fresh decide to try dimensions computation and testing tips is described on NDHS 2016 report . To resolve our very own browse matter, i extracted NDHS ladies questionnaire data obtained one of female old 15–forty-two many years have been aware of HMG meetings inside their groups. Such data was in fact built-up by the instructed interviewers playing with organized questionnaires you to provided status, ladies’ age, ladies’ studies, wide range quintile, level of people below five years, household headship, remoteness, household members size, healthcare choice founder, ladies’ employment status, and you can involvement inside HMG group meetings .
To your qualitative part, i amassed number one investigation because of the carrying out thirty-five inside-depth interviews (IDIs) with 1000-day female, FCHVs and you will wellness pros and you will eight focus category discussions (FGDs) with FCHVs, wellness experts, and men and women choice-manufacturers independently (tricks for these IDIs and you can FGDs try demonstrated someplace else ). The brand new IDIs and you will FGDs publication questions have been created to help you line-up that have the study question and arranged in accordance with the books toward mother’s class [6, 8] together with regional framework regarding HMGs inside Nepal. This type of guides was in fact along with pre-checked and you can modified, just like the required. The top topics looked to the different categories of studies participants was indeed attitudes of your HMG, including conference updates, attention to this new conferences, barriers and enablers for contribution, ladies need for and you may sensed value of HMGs, and tricks for building HMG participation.
Research management and you will studies
In the quantitative analysis, participation in HMG meetings in the last six months was dichotomised as “Yes” if the mother attended at least one or more meetings in the previous six months, and “No” otherwise. Associations between different socioeconomic variables and participation in the HMG meetings in the last six months were assessed using a multivariable logistic regression accounting for sampling weights and sampling design (i.e., stratification and clustering). Standard errors were computed using the linearized variance estimator based on a first-order Taylor series linear approximation . The regression model included women’s age (15–25,26–35,36–45,46–49 age groups), women’s education (no education, primary, secondary and higher schooling), caste (Brahmin/Chhetri, Janajati, Dalit and others), household headship (women and men), wealth quintile (as per the original survey, poorest, poorer, middle, richer and richest), remoteness (rural and urban), number of children under five years of age (none, one or two children and three or more children), women’s employment status (yes and no), family size (less than five and five and above), and health care decision maker (wife alone, husband and wife joint, and husband alone and other family members). These variables were selected considering the existing literature and the local context of Nepal [6, 8]. Since we purposefully limited the data set to women who were aware of HMGs meeting in their ward, we accounted for this subpopulation selection in the analysis. Quantitative analyses were conducted using Stata (version 15) and results were presented as adjusted odds ratios (aORs) with 95% confidence interval (95% CI). Differences with p-values < 0.05>