The rapidly increasing elderly population in Nepal is the most significant emerging demographic p... more The rapidly increasing elderly population in Nepal is the most significant emerging demographic phenomenon. Multimorbidity is common among the elderly and its prevalence increases with age. This study aims to assess the chronic conditions and the demographic and socioeconomic factors that influence morbidity among the elderly. A cross-sectional study was carried out in the Sunkoshi rural municipality of Sindhuli district from December 2021 to January 2022 with 413 elderly people aged 60 and older using a structured questionnaire. Multinomial logistic regression was used for data analysis. About 27% of the elderly suffer from gastritis, followed by high blood pressure (27%), arthritis (24%), asthma (18%), and diabetes (10%). Seventy-seven percent of the elderly reported at least one morbidity and 41% have two or more morbidities. More than one-fifth of elderly people have no morbidity. In the multinominal logistic regression, moderate (RRR=3.31, 95% CI: 1.15-4.63) and poor (RRR=11.91...
We would like to thank USAID and ICF for providing financial and technical support as well as off... more We would like to thank USAID and ICF for providing financial and technical support as well as offering ample opportunity for capacity building among researchers at various universities in many countries. We express our sincere gratitude to Dr. Shireen Assaf and Dr. Wenjuan Wang for their encouragement, guidance, suggestions, and support in the course of completing this research paper. We are also grateful to our respected co-facilitators, Ehab Sakr and Henock G. Yebyo, for their support and guidance. Our special thanks go to our reviewer, Dr. Sarah Staveteig, for valuable comments and intensive review of the paper. We would like to thank Bryant Robey for editing this paper. We would like to acknowledge Tribhuvan University and Ratna Rajya Laxmi Campus for giving us permission to attend the training workshop.
<p>Percentage of eligible women age 15–49 using modern contraception, who had at least four... more <p>Percentage of eligible women age 15–49 using modern contraception, who had at least four ANC visits, and delivered their most recent birth in the five years preceding the survey in a health facility, according to migration status and selected background characteristics, Nepal DHS 2016.</p
<p>Percentage distribution of women aged 15–49 by migration status and background variables... more <p>Percentage distribution of women aged 15–49 by migration status and background variables, Nepal DHS 2016.</p
Nepal has made remarkable progress in reduction of maternal mortality but utilization of maternal... more Nepal has made remarkable progress in reduction of maternal mortality but utilization of maternal health services is below the acceptance level. This study seeks to examine the effect of women's autonomy on the utilization ANC services in Nepal. Data is taken from the 2016 Nepal Demographic and Health Survey. A total of 3,998 women age 15-49 who had given birth in the 5 year preceding the survey. Logistic regression analysis is performed to examine the effects of women's autonomy on the use of ANC. The results of Model I revealed that women's decision making autonomy and attitudes towards wife beating are significantly associated with at least four ANC visits. When women's autonomy variables and other socio-demographic variables are taken into consideration, women decision making autonomy and attitudes towards wife beating are not significant association with at least four ANC visits. To improve maternal health care, the interventions are needed to target women of low autonomy, less educated and from low wealth quintile.
Background Utilization of reproductive health services is a key component for preventing young wo... more Background Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. Thus, the objective of this study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods Data have been extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets wherein the weighted sample population size was restricted for modern contraceptive use to 1593 whereas for the antenatal care and skilled birth attendants to1606. This study has selected three reproductive health indicators as outcome variables of reproductive health service utilization for the analysis viz, modern contraceptive use, at least four antenatal care visits, and use of skilled birth attendants. Likewise, all calculations are based on standard sample weight of NDHS. Results The study has found that 21% of young women used modern contraception, 71% attended at least four ANC visits...
Background Internal migration has been an integral part of socioeconomic transformation in a coun... more Background Internal migration has been an integral part of socioeconomic transformation in a country. Migrants are a vulnerable group for access to the reproductive and maternal health services. Very little is known regarding the role of internal migration on the use of reproductive and maternal health services in Nepal. This study examines the effect of internal migration on the use of reproductive and maternal health services in Nepal. Methods The data for this study were extracted from the 2016 Nepal Demographic and Health Survey (2016 NDHS). The study population is women age 15-49. The sample population is different for modern contraceptive use than for Antenatal care (ANC) visits and place of delivery. The sample population for modern contraceptive use is restricted to the 8,811 (weighted) women who are currently married. The total analytic sampled population for ANC visits and place of delivery is 3,220 (weighted) women. The study used descriptive and logistic regression analysis, with three outcome measures: current use of modern contraception; at least four ANC visits; and place of delivery. Results Sixty-eight percent women were internal migrants. Forty-four percent of eligible women reported current use of modern contraception, 71% of women made at least four ANC visits, about 9% of women made 8 or more ANC visits and 58% of women delivered in a health facility. Our findings show that modern contraceptive use is significantly higher among urban non-migrant women and urban-to-urban migrants. Urban-to-urban migrant women and rural-to-urban migrant women have significantly higher odds of attending at least four ANC visits for the most recent birth compared with rural-to-rural migrant women. Women who moved between urban areas, women who moved from an urban to a rural area, women who moved from a rural area to an urban area and urban non-migrants are significantly
The rapidly increasing elderly population in Nepal is the most significant emerging demographic p... more The rapidly increasing elderly population in Nepal is the most significant emerging demographic phenomenon. Multimorbidity is common among the elderly and its prevalence increases with age. This study aims to assess the chronic conditions and the demographic and socioeconomic factors that influence morbidity among the elderly. A cross-sectional study was carried out in the Sunkoshi rural municipality of Sindhuli district from December 2021 to January 2022 with 413 elderly people aged 60 and older using a structured questionnaire. Multinomial logistic regression was used for data analysis. About 27% of the elderly suffer from gastritis, followed by high blood pressure (27%), arthritis (24%), asthma (18%), and diabetes (10%). Seventy-seven percent of the elderly reported at least one morbidity and 41% have two or more morbidities. More than one-fifth of elderly people have no morbidity. In the multinominal logistic regression, moderate (RRR=3.31, 95% CI: 1.15-4.63) and poor (RRR=11.91...
We would like to thank USAID and ICF for providing financial and technical support as well as off... more We would like to thank USAID and ICF for providing financial and technical support as well as offering ample opportunity for capacity building among researchers at various universities in many countries. We express our sincere gratitude to Dr. Shireen Assaf and Dr. Wenjuan Wang for their encouragement, guidance, suggestions, and support in the course of completing this research paper. We are also grateful to our respected co-facilitators, Ehab Sakr and Henock G. Yebyo, for their support and guidance. Our special thanks go to our reviewer, Dr. Sarah Staveteig, for valuable comments and intensive review of the paper. We would like to thank Bryant Robey for editing this paper. We would like to acknowledge Tribhuvan University and Ratna Rajya Laxmi Campus for giving us permission to attend the training workshop.
<p>Percentage of eligible women age 15–49 using modern contraception, who had at least four... more <p>Percentage of eligible women age 15–49 using modern contraception, who had at least four ANC visits, and delivered their most recent birth in the five years preceding the survey in a health facility, according to migration status and selected background characteristics, Nepal DHS 2016.</p
<p>Percentage distribution of women aged 15–49 by migration status and background variables... more <p>Percentage distribution of women aged 15–49 by migration status and background variables, Nepal DHS 2016.</p
Nepal has made remarkable progress in reduction of maternal mortality but utilization of maternal... more Nepal has made remarkable progress in reduction of maternal mortality but utilization of maternal health services is below the acceptance level. This study seeks to examine the effect of women's autonomy on the utilization ANC services in Nepal. Data is taken from the 2016 Nepal Demographic and Health Survey. A total of 3,998 women age 15-49 who had given birth in the 5 year preceding the survey. Logistic regression analysis is performed to examine the effects of women's autonomy on the use of ANC. The results of Model I revealed that women's decision making autonomy and attitudes towards wife beating are significantly associated with at least four ANC visits. When women's autonomy variables and other socio-demographic variables are taken into consideration, women decision making autonomy and attitudes towards wife beating are not significant association with at least four ANC visits. To improve maternal health care, the interventions are needed to target women of low autonomy, less educated and from low wealth quintile.
Background Utilization of reproductive health services is a key component for preventing young wo... more Background Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. Thus, the objective of this study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods Data have been extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets wherein the weighted sample population size was restricted for modern contraceptive use to 1593 whereas for the antenatal care and skilled birth attendants to1606. This study has selected three reproductive health indicators as outcome variables of reproductive health service utilization for the analysis viz, modern contraceptive use, at least four antenatal care visits, and use of skilled birth attendants. Likewise, all calculations are based on standard sample weight of NDHS. Results The study has found that 21% of young women used modern contraception, 71% attended at least four ANC visits...
Background Internal migration has been an integral part of socioeconomic transformation in a coun... more Background Internal migration has been an integral part of socioeconomic transformation in a country. Migrants are a vulnerable group for access to the reproductive and maternal health services. Very little is known regarding the role of internal migration on the use of reproductive and maternal health services in Nepal. This study examines the effect of internal migration on the use of reproductive and maternal health services in Nepal. Methods The data for this study were extracted from the 2016 Nepal Demographic and Health Survey (2016 NDHS). The study population is women age 15-49. The sample population is different for modern contraceptive use than for Antenatal care (ANC) visits and place of delivery. The sample population for modern contraceptive use is restricted to the 8,811 (weighted) women who are currently married. The total analytic sampled population for ANC visits and place of delivery is 3,220 (weighted) women. The study used descriptive and logistic regression analysis, with three outcome measures: current use of modern contraception; at least four ANC visits; and place of delivery. Results Sixty-eight percent women were internal migrants. Forty-four percent of eligible women reported current use of modern contraception, 71% of women made at least four ANC visits, about 9% of women made 8 or more ANC visits and 58% of women delivered in a health facility. Our findings show that modern contraceptive use is significantly higher among urban non-migrant women and urban-to-urban migrants. Urban-to-urban migrant women and rural-to-urban migrant women have significantly higher odds of attending at least four ANC visits for the most recent birth compared with rural-to-rural migrant women. Women who moved between urban areas, women who moved from an urban to a rural area, women who moved from a rural area to an urban area and urban non-migrants are significantly
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