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Papers by prajita mali

Research paper thumbnail of Patient Satisfaction in Out-patient Services at a Tertiary Care Center: A Descriptive Cross-sectional Study

JNMA: Journal of the Nepal Medical Association, 2020

Introduction: Patient satisfaction is an important and commonly used valid indicator for the meas... more Introduction: Patient satisfaction is an important and commonly used valid indicator for the measurement of service quality. Patient responses to healthcare services are one of the best ways to obtain information about patient views regarding the quality of healthcare. The main aim of the study was to find out the patient's satisfaction level in the tertiary care center. Methods: A descriptive cross-sectional study was conducted among 94 outpatients at a tertiary care center. Data were collected after obtaining ethical clearance from the institutional review committee. Patients were selected conveniently who visited any four of the major department. We collected demographic data and the patient satisfaction towards outpatient clinic experience was studied. We used the Patient Satisfaction Questionnaire-18 to assess patient satisfaction. Data were entered and analyzed in Statistical Package for the Social Sciences version 23. The mean score and the standard deviation were calcula...

Research paper thumbnail of Prevalence of Postpartum Depression in A Tertiary Health Care

Journal of Nepal Medical Association, 2020

Introduction: Postpartum Depression is an important public health problem in developing country l... more Introduction: Postpartum Depression is an important public health problem in developing country like Nepal. Although prevalence of postpartum depression is high in our setting, it is most neglected area of mental health. These have negative consequences not only to mother but also to infant. Data related to postpartum depression in Nepal are limited, research in this particular field will contribute in knowing the gravity of the situation and helps to formulate the factor association to upcoming researchers. This research is done in order to find out the prevalence of postpartum depression. Methods: A descriptive cross-sectional study was carried out in Paropakar Maternity and Women’s Hospital, among total 348 postnatal mothers who were selected through convenient sampling technique. Validated Nepalese version of Edinburg Postnatal Depression Scale was used to screen depressive symptoms. Data was collected after receiving ethical approval letter. Data entry was done using SPSS versi...

Research paper thumbnail of Factors affecting the Utilization of Social Health Insurance by the General Population in Bhaktapur Municipality

Nepal Medical Journal, 2020

Introduction: For the reduction of financial burden and to achieve universal health care, Govern... more Introduction: For the reduction of financial burden and to achieve universal health care, Government of Nepal launched a security program called as Social Health Insurance Program. This study aimed to find the factors associated with the utilization of the social health insurance scheme. Methods: Descriptive cross-sectional study was conducted in the Bhaktapur Municipality ward no 2. 422 households were chosen using systematic random sampling. Questionnaires were used to measure the factors affecting the utilization. The collected data was entered in Epidata and analyzed in SPSS version 16. The data were presented in the frequency and percentage. Bivariate analysis was done to identify factors utilizing social health insurance. Factors having p value less than 0.05 was taken as significantly associated. Multivariate analysis was done to examine the association between the outcome variables. Results: Almost half of the general population (42.4 %) were utilizing social health insuran...

Research paper thumbnail of Utilization and associated factors of sexual and reproductive health services among adolescents of Kathmandu district, Nepal

International Journal Of Community Medicine And Public Health, 2020

Background: There seems to be huge differences in availability and utilization of Sexual and Repr... more Background: There seems to be huge differences in availability and utilization of Sexual and Reproductive Health information and services despite of taking decisive step by Government of Nepal. The main aim of the study is to access the utilization and factors associated with SRH services among adolescents. Methods: This cross-sectional descriptive study was carried out among 406 adolescent students of grade 11 and 12 which were taken as census in selected higher secondary schools of Kathmandu District through simple random sampling technique. The utilization of SRH services was assessed by semi-structured validated and pretested questionnaire which includes socio-demographic, utilization of sexual health and reproductive health (SRH) services and sexual behaviours. Data were entered and analyzed in SPSS version 20 where Chi-square tests is done to identify the associated factors with utilization SRH services utilization.Results: Overall utilization in last 12 months was 17.2% and ...

Research paper thumbnail of Self-Care Practices among Hypertensive Patients of all Aged Group in Tsum- Nubri Rural Municipality of Gorkha District

Nepal Medical Journal, 2019

Introduction: Hypertension is now becoming an increasingly important cause of morbidity and morta... more Introduction: Hypertension is now becoming an increasingly important cause of morbidity and mortality in developing countries which leads to a major public health problem. It is necessary for an assessment of an individual’s hypertension self-care behavior and its associated factors in order to provide clinicians about important information regarding how to better control hypertension. Thus, the objective of this study was to assess the self-care practices among hypertensive patients of all age group and to understand the factors associate with it. Methods: A community-based cross-sectional study was conducted in Tsum-Nubri Rural Municipality of Gorkha district among 68 hypertensive patients. Self-care activities were measured using a semi-structured questionnaire with the H-hypertension self-care activity level effects (H-SCALE) and the data was entered and analyzed in SPSS version 16. Uni-variate analysis was done and was presented through frequency and percentage whereas, bivaria...

Research paper thumbnail of Patient Satisfaction in Out-patient Services at a Tertiary Care Center: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association, 2020

Introduction: Patient satisfaction is an important and commonly used valid indicator for the meas... more Introduction: Patient satisfaction is an important and commonly used valid indicator for the measurement of service quality. Patient responses to healthcare services are one of the best ways to obtain information about patient views regarding the quality of healthcare. The main aim of the study was to find out the patient's satisfaction level in the tertiary care center.

Research paper thumbnail of Safe Abortion among Underprivileged Group Married Women of Low Resource Country: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association

Introduction: Unsafe Abortion is one of the leading causes of maternal death. The unhygienic and ... more Introduction: Unsafe Abortion is one of the leading causes of maternal death. The unhygienic and dangerous practice has been encountered in various geographical areas of Nepal. Despite its legalization, many women are still being not concerned and well informed regarding safe abortion and become victims of it. The main aim of this study was to assess the knowledge and practice regarding safe abortion among married women of reproductive (14 to 49) years of an underprivileged group of low resource country, Nepal. Methods: A descriptive cross-sectional study design was done in Rajbanshi community of Jhapa District. Data collection was done after taking ethical approval. Study population was selected conveniently. Data was collected by using a semi-structured questionnaire via face to face interviews among 420 married women of reproductive (14-49) years. All the extracted data were entered and analyzed using Statistical Package for the Social Services version 20. Descriptive analysis ...

Research paper thumbnail of Utilization and associated factors of sexual and reproductive health services among adolescents of Kathmandu district, Nepal

International Journal Of Community Medicine And Public Health

Background: There seems to be huge differences in availability and utilization of Sexual and Repr... more Background: There seems to be huge differences in availability and utilization of Sexual and Reproductive Health information and services despite of taking decisive step by Government of Nepal. The main aim of the study is to access the utilization and factors associated with SRH services among adolescents. Methods: This cross-sectional descriptive study was carried out among 406 adolescent students of grade 11 and 12 which were taken as census in selected higher secondary schools of Kathmandu District through simple random sampling technique. The utilization of SRH services was assessed by semi-structured validated and pretested questionnaire which includes socio-demographic, utilization of sexual health and reproductive health (SRH) services and sexual behaviours. Data were entered and analyzed in SPSS version 20 where Chi-square tests is done to identify the associated factors with utilization SRH services utilization.Results: Overall utilization in last 12 months was 17.2% and ...

Research paper thumbnail of Insomnia and Its Associated Factor among Young Adults in Selected College of Kathmandu Valley Province-3

Nepal Medical Journal

Introduction: Insomnia has found to have many effects and risks on young adult and also has reduc... more Introduction: Insomnia has found to have many effects and risks on young adult and also has reduced economic productivity of the individuals as well as country. The prevalence of insomnia in Nepalese college students might be high as there is ineffectiveness of education system in addition to the further practical courses. Thus, the main aim of this study was to find out the prevalence of insomnia and its associated factors among young adult in selected college of Kathmandu. Methods: A cross -sectional descriptive study was conducted among 421 young adult in selected college of Kathmandu Valley. Students were selected conveniently. Data were collected after obtaining ethical approval. Semi-structured questionnaire and Insomnia Severity Index was used to assess the level of insomnia. Data were entered and analyzed using SPSS V 20. Univariate analysis was done and presented using frequency and percentage. Bivariate study was done by using the chi-sq. test in which p≤ 0.05 was consider...

Research paper thumbnail of Prevalence and Factors Associated with Health Services Utilization of Sindhupalchowk District, Nepal

Nepal Medical Journal

Introduction: In Nepal, preference of health service for treatment is different for different peo... more Introduction: In Nepal, preference of health service for treatment is different for different people, which is affected by their level of knowledge , socio-demographic factors and so on. The objective of this study was to find the first preference of health services of the people for the treatment of their illness andfactors affecting their preference. Methods: A descriptive cross-sectional study was conducted among 260 respondents of Maneswora Ward, Sindhupalchowk district which was selected through systematic random sampling. Data collection was done after taking ethical approval. Face-to-face interview was done to collect the data through semi- structured questionnaire. Data was entered and analyzed in SPSS v16. Results: One-third (36.9%) of the respondents were found to be visiting the traditional health services and more than half (63.1%) of the respondents visited modern health services. Education (0.016), duration of stay (0.014), type of disease (<0.001), distance to the ...

Research paper thumbnail of Hygiene and Sanitation Practice among Chepang Community in Rapti Municipality, Chitwan, Province 3

Nepal Medical Journal

Introduction: Safe drinking water, sanitation and hygiene (WASH) are the fundamentals for improve... more Introduction: Safe drinking water, sanitation and hygiene (WASH) are the fundamentals for improved standard of living, health and environment, education, gender equality, greater convenience and dignity. The main aim of this study was to assess the status of Hygiene and Sanitation practice among Chepang community of Rapti municipality. Methods: Descriptive Cross-sectional household-based study was done in the Chepang community. The study was done with 422 households which were selected through convenient sampling and written consent was taken. The Knowledge and Practice of respondent towards Hygiene and Sanitation practice were assessed through semi-structured questionnaire and the data was entered and analyzed in SPSS version 20. Univariate and bivariate analysis was done. Univariate analysis was done and presented through frequency and percentage. Whereas bivariate analysis was done by using chi-square test (p<0.05) was considered for association between dependent and independe...

Research paper thumbnail of Depression and its associated factors among elderly people of old age homes and community of Kathmandu district, Nepal: a comparative study

International Journal of Community Medicine and Public Health, 2021

Background: Depression is a common public health problem among elders worldwide and is associated... more Background: Depression is a common public health problem among elders worldwide and is associated with high morbidity and disability. This study aims to assess depression and its associated factors among elderly in old-age homes and a community of Kathmandu district. Method: A comparative cross-sectional study recruited 122 elderly from old-age homes and a community of Kathmandu district. Depression was measured using the Geriatric Depression Scale-short scale (GDS-15). Socio- demographic and medical history was collected using semi-structured questionnaire. We utilized bivariate logistic regression to assess the association of depression with each variable. Results: The prevalence of depression among elderly in old-age homes was 74.6% and in community was 41.8%. The study found that elderly residing at old age homes were four (OR=4.087; 95% CI=2.373-7.038) times more likely to have depression than those residing in the community. Age was found to be associated with depression among...

Research paper thumbnail of Factors affecting the Utilization of Social Health Insurance by the General Population in Bhaktapur Municipality

Nepal Medical Journal, 2020

Introduction: Lack of proper financing system puts the vulnerable population at health risk with ... more Introduction: Lack of proper financing system puts the vulnerable population at health risk with high level in rural setting. For the reduction of financial burden and to achieve universal health care, Government of Nepal launched a security program called as Social Health Insurance Program. This study aimed to find the factors associated with the utilization of the social health insurance scheme.Methods: Descriptive cross-sectional study was conducted in the Bhaktapur Municipality ward no 2. 422 households were chosen using systematic random sampling. Questionnaires were used to measure the factors affecting the utilization. The collected data was entered in Epidata and analyzed in SPSS version 16. The data were presented in the frequency and percentage. Bivariate analysis was done to identify factors utilizing social health insurance. Factors having p value less than 0.05 was taken as significantly associated. Multivariate analysis was done to examine the association between the o...

Research paper thumbnail of Prevalence of Postpartum Depression in a Tertiary Health Care

Introduction: Postpartum Depression is an important public health problem in developing country l... more Introduction: Postpartum Depression is an important public health problem in developing country like Nepal.Although prevalence of postpartum depression is high in our setting, it is most neglected area of mental health. These have negative consequences not only to mother but also to infant. Data related to postpartum depression in Nepal are limited, research in this particular field will contribute in knowing the gravity of the situation and helps to formulate the factor association to upcoming researchers. This research is done in order to find out the prevalence of postpartum depression. Methods: A descriptive cross-sectional study was carried out in Paropakar Maternity and Women's Hospital, among total 348 postnatal mothers who were selected through convenient sampling technique. Validated Nepalese version of Edinburg Postnatal Depression Scale was used to screen depressive symptoms. Data was collected after receiving ethical approval letter. Data entry was done using SPSS version 20. Results: Out of total mothers, the prevalence of Postpartum Depression (PPD) was seen among 51 (14.7%) mothers. Conclusions: Postpartum Depression being a common yet neglected area of maternal health in Nepal, should be detected in early stage. As the study showed that about one sixth of mothers had postpartum depression, more focus should be given to maternal mental health.

Research paper thumbnail of Patient Satisfaction in Out-patient Services at a Tertiary Care Center: A Descriptive Cross-sectional Study

JNMA: Journal of the Nepal Medical Association, 2020

Introduction: Patient satisfaction is an important and commonly used valid indicator for the meas... more Introduction: Patient satisfaction is an important and commonly used valid indicator for the measurement of service quality. Patient responses to healthcare services are one of the best ways to obtain information about patient views regarding the quality of healthcare. The main aim of the study was to find out the patient's satisfaction level in the tertiary care center. Methods: A descriptive cross-sectional study was conducted among 94 outpatients at a tertiary care center. Data were collected after obtaining ethical clearance from the institutional review committee. Patients were selected conveniently who visited any four of the major department. We collected demographic data and the patient satisfaction towards outpatient clinic experience was studied. We used the Patient Satisfaction Questionnaire-18 to assess patient satisfaction. Data were entered and analyzed in Statistical Package for the Social Sciences version 23. The mean score and the standard deviation were calcula...

Research paper thumbnail of Prevalence of Postpartum Depression in A Tertiary Health Care

Journal of Nepal Medical Association, 2020

Introduction: Postpartum Depression is an important public health problem in developing country l... more Introduction: Postpartum Depression is an important public health problem in developing country like Nepal. Although prevalence of postpartum depression is high in our setting, it is most neglected area of mental health. These have negative consequences not only to mother but also to infant. Data related to postpartum depression in Nepal are limited, research in this particular field will contribute in knowing the gravity of the situation and helps to formulate the factor association to upcoming researchers. This research is done in order to find out the prevalence of postpartum depression. Methods: A descriptive cross-sectional study was carried out in Paropakar Maternity and Women’s Hospital, among total 348 postnatal mothers who were selected through convenient sampling technique. Validated Nepalese version of Edinburg Postnatal Depression Scale was used to screen depressive symptoms. Data was collected after receiving ethical approval letter. Data entry was done using SPSS versi...

Research paper thumbnail of Factors affecting the Utilization of Social Health Insurance by the General Population in Bhaktapur Municipality

Nepal Medical Journal, 2020

Introduction: For the reduction of financial burden and to achieve universal health care, Govern... more Introduction: For the reduction of financial burden and to achieve universal health care, Government of Nepal launched a security program called as Social Health Insurance Program. This study aimed to find the factors associated with the utilization of the social health insurance scheme. Methods: Descriptive cross-sectional study was conducted in the Bhaktapur Municipality ward no 2. 422 households were chosen using systematic random sampling. Questionnaires were used to measure the factors affecting the utilization. The collected data was entered in Epidata and analyzed in SPSS version 16. The data were presented in the frequency and percentage. Bivariate analysis was done to identify factors utilizing social health insurance. Factors having p value less than 0.05 was taken as significantly associated. Multivariate analysis was done to examine the association between the outcome variables. Results: Almost half of the general population (42.4 %) were utilizing social health insuran...

Research paper thumbnail of Utilization and associated factors of sexual and reproductive health services among adolescents of Kathmandu district, Nepal

International Journal Of Community Medicine And Public Health, 2020

Background: There seems to be huge differences in availability and utilization of Sexual and Repr... more Background: There seems to be huge differences in availability and utilization of Sexual and Reproductive Health information and services despite of taking decisive step by Government of Nepal. The main aim of the study is to access the utilization and factors associated with SRH services among adolescents. Methods: This cross-sectional descriptive study was carried out among 406 adolescent students of grade 11 and 12 which were taken as census in selected higher secondary schools of Kathmandu District through simple random sampling technique. The utilization of SRH services was assessed by semi-structured validated and pretested questionnaire which includes socio-demographic, utilization of sexual health and reproductive health (SRH) services and sexual behaviours. Data were entered and analyzed in SPSS version 20 where Chi-square tests is done to identify the associated factors with utilization SRH services utilization.Results: Overall utilization in last 12 months was 17.2% and ...

Research paper thumbnail of Self-Care Practices among Hypertensive Patients of all Aged Group in Tsum- Nubri Rural Municipality of Gorkha District

Nepal Medical Journal, 2019

Introduction: Hypertension is now becoming an increasingly important cause of morbidity and morta... more Introduction: Hypertension is now becoming an increasingly important cause of morbidity and mortality in developing countries which leads to a major public health problem. It is necessary for an assessment of an individual’s hypertension self-care behavior and its associated factors in order to provide clinicians about important information regarding how to better control hypertension. Thus, the objective of this study was to assess the self-care practices among hypertensive patients of all age group and to understand the factors associate with it. Methods: A community-based cross-sectional study was conducted in Tsum-Nubri Rural Municipality of Gorkha district among 68 hypertensive patients. Self-care activities were measured using a semi-structured questionnaire with the H-hypertension self-care activity level effects (H-SCALE) and the data was entered and analyzed in SPSS version 16. Uni-variate analysis was done and was presented through frequency and percentage whereas, bivaria...

Research paper thumbnail of Patient Satisfaction in Out-patient Services at a Tertiary Care Center: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association, 2020

Introduction: Patient satisfaction is an important and commonly used valid indicator for the meas... more Introduction: Patient satisfaction is an important and commonly used valid indicator for the measurement of service quality. Patient responses to healthcare services are one of the best ways to obtain information about patient views regarding the quality of healthcare. The main aim of the study was to find out the patient's satisfaction level in the tertiary care center.

Research paper thumbnail of Safe Abortion among Underprivileged Group Married Women of Low Resource Country: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association

Introduction: Unsafe Abortion is one of the leading causes of maternal death. The unhygienic and ... more Introduction: Unsafe Abortion is one of the leading causes of maternal death. The unhygienic and dangerous practice has been encountered in various geographical areas of Nepal. Despite its legalization, many women are still being not concerned and well informed regarding safe abortion and become victims of it. The main aim of this study was to assess the knowledge and practice regarding safe abortion among married women of reproductive (14 to 49) years of an underprivileged group of low resource country, Nepal. Methods: A descriptive cross-sectional study design was done in Rajbanshi community of Jhapa District. Data collection was done after taking ethical approval. Study population was selected conveniently. Data was collected by using a semi-structured questionnaire via face to face interviews among 420 married women of reproductive (14-49) years. All the extracted data were entered and analyzed using Statistical Package for the Social Services version 20. Descriptive analysis ...

Research paper thumbnail of Utilization and associated factors of sexual and reproductive health services among adolescents of Kathmandu district, Nepal

International Journal Of Community Medicine And Public Health

Background: There seems to be huge differences in availability and utilization of Sexual and Repr... more Background: There seems to be huge differences in availability and utilization of Sexual and Reproductive Health information and services despite of taking decisive step by Government of Nepal. The main aim of the study is to access the utilization and factors associated with SRH services among adolescents. Methods: This cross-sectional descriptive study was carried out among 406 adolescent students of grade 11 and 12 which were taken as census in selected higher secondary schools of Kathmandu District through simple random sampling technique. The utilization of SRH services was assessed by semi-structured validated and pretested questionnaire which includes socio-demographic, utilization of sexual health and reproductive health (SRH) services and sexual behaviours. Data were entered and analyzed in SPSS version 20 where Chi-square tests is done to identify the associated factors with utilization SRH services utilization.Results: Overall utilization in last 12 months was 17.2% and ...

Research paper thumbnail of Insomnia and Its Associated Factor among Young Adults in Selected College of Kathmandu Valley Province-3

Nepal Medical Journal

Introduction: Insomnia has found to have many effects and risks on young adult and also has reduc... more Introduction: Insomnia has found to have many effects and risks on young adult and also has reduced economic productivity of the individuals as well as country. The prevalence of insomnia in Nepalese college students might be high as there is ineffectiveness of education system in addition to the further practical courses. Thus, the main aim of this study was to find out the prevalence of insomnia and its associated factors among young adult in selected college of Kathmandu. Methods: A cross -sectional descriptive study was conducted among 421 young adult in selected college of Kathmandu Valley. Students were selected conveniently. Data were collected after obtaining ethical approval. Semi-structured questionnaire and Insomnia Severity Index was used to assess the level of insomnia. Data were entered and analyzed using SPSS V 20. Univariate analysis was done and presented using frequency and percentage. Bivariate study was done by using the chi-sq. test in which p≤ 0.05 was consider...

Research paper thumbnail of Prevalence and Factors Associated with Health Services Utilization of Sindhupalchowk District, Nepal

Nepal Medical Journal

Introduction: In Nepal, preference of health service for treatment is different for different peo... more Introduction: In Nepal, preference of health service for treatment is different for different people, which is affected by their level of knowledge , socio-demographic factors and so on. The objective of this study was to find the first preference of health services of the people for the treatment of their illness andfactors affecting their preference. Methods: A descriptive cross-sectional study was conducted among 260 respondents of Maneswora Ward, Sindhupalchowk district which was selected through systematic random sampling. Data collection was done after taking ethical approval. Face-to-face interview was done to collect the data through semi- structured questionnaire. Data was entered and analyzed in SPSS v16. Results: One-third (36.9%) of the respondents were found to be visiting the traditional health services and more than half (63.1%) of the respondents visited modern health services. Education (0.016), duration of stay (0.014), type of disease (<0.001), distance to the ...

Research paper thumbnail of Hygiene and Sanitation Practice among Chepang Community in Rapti Municipality, Chitwan, Province 3

Nepal Medical Journal

Introduction: Safe drinking water, sanitation and hygiene (WASH) are the fundamentals for improve... more Introduction: Safe drinking water, sanitation and hygiene (WASH) are the fundamentals for improved standard of living, health and environment, education, gender equality, greater convenience and dignity. The main aim of this study was to assess the status of Hygiene and Sanitation practice among Chepang community of Rapti municipality. Methods: Descriptive Cross-sectional household-based study was done in the Chepang community. The study was done with 422 households which were selected through convenient sampling and written consent was taken. The Knowledge and Practice of respondent towards Hygiene and Sanitation practice were assessed through semi-structured questionnaire and the data was entered and analyzed in SPSS version 20. Univariate and bivariate analysis was done. Univariate analysis was done and presented through frequency and percentage. Whereas bivariate analysis was done by using chi-square test (p<0.05) was considered for association between dependent and independe...

Research paper thumbnail of Depression and its associated factors among elderly people of old age homes and community of Kathmandu district, Nepal: a comparative study

International Journal of Community Medicine and Public Health, 2021

Background: Depression is a common public health problem among elders worldwide and is associated... more Background: Depression is a common public health problem among elders worldwide and is associated with high morbidity and disability. This study aims to assess depression and its associated factors among elderly in old-age homes and a community of Kathmandu district. Method: A comparative cross-sectional study recruited 122 elderly from old-age homes and a community of Kathmandu district. Depression was measured using the Geriatric Depression Scale-short scale (GDS-15). Socio- demographic and medical history was collected using semi-structured questionnaire. We utilized bivariate logistic regression to assess the association of depression with each variable. Results: The prevalence of depression among elderly in old-age homes was 74.6% and in community was 41.8%. The study found that elderly residing at old age homes were four (OR=4.087; 95% CI=2.373-7.038) times more likely to have depression than those residing in the community. Age was found to be associated with depression among...

Research paper thumbnail of Factors affecting the Utilization of Social Health Insurance by the General Population in Bhaktapur Municipality

Nepal Medical Journal, 2020

Introduction: Lack of proper financing system puts the vulnerable population at health risk with ... more Introduction: Lack of proper financing system puts the vulnerable population at health risk with high level in rural setting. For the reduction of financial burden and to achieve universal health care, Government of Nepal launched a security program called as Social Health Insurance Program. This study aimed to find the factors associated with the utilization of the social health insurance scheme.Methods: Descriptive cross-sectional study was conducted in the Bhaktapur Municipality ward no 2. 422 households were chosen using systematic random sampling. Questionnaires were used to measure the factors affecting the utilization. The collected data was entered in Epidata and analyzed in SPSS version 16. The data were presented in the frequency and percentage. Bivariate analysis was done to identify factors utilizing social health insurance. Factors having p value less than 0.05 was taken as significantly associated. Multivariate analysis was done to examine the association between the o...

Research paper thumbnail of Prevalence of Postpartum Depression in a Tertiary Health Care

Introduction: Postpartum Depression is an important public health problem in developing country l... more Introduction: Postpartum Depression is an important public health problem in developing country like Nepal.Although prevalence of postpartum depression is high in our setting, it is most neglected area of mental health. These have negative consequences not only to mother but also to infant. Data related to postpartum depression in Nepal are limited, research in this particular field will contribute in knowing the gravity of the situation and helps to formulate the factor association to upcoming researchers. This research is done in order to find out the prevalence of postpartum depression. Methods: A descriptive cross-sectional study was carried out in Paropakar Maternity and Women's Hospital, among total 348 postnatal mothers who were selected through convenient sampling technique. Validated Nepalese version of Edinburg Postnatal Depression Scale was used to screen depressive symptoms. Data was collected after receiving ethical approval letter. Data entry was done using SPSS version 20. Results: Out of total mothers, the prevalence of Postpartum Depression (PPD) was seen among 51 (14.7%) mothers. Conclusions: Postpartum Depression being a common yet neglected area of maternal health in Nepal, should be detected in early stage. As the study showed that about one sixth of mothers had postpartum depression, more focus should be given to maternal mental health.