Papers by Rubina Shrestha

Annapurna Journal of Health Sciences
Background: Despite the several efforts made in the development plans to reduce the population gr... more Background: Despite the several efforts made in the development plans to reduce the population growth rate, the population of Nepal has rapidly been increasing from last few decades. This study aims to find the associated factors to have more than two children in Suddhodhan rural municipality of Rupandehi, Nepal.Methods: A cross sectional descriptive study was conducted in a Suddhodhan rural municipality of Rupandehi district, Nepal among 440 ever married women selected by using disproportionate stratified random sampling. Chi Square test was used to find the associated factors to have more than two children.Results:The study found that mean number of children ever born on Suddhodhan Rural Municipality of Rupandehi district, Nepal was 4.1. Among 440 women included in the study, 57.27% women had more than two children. There was statistically significant association between children ever born with religion, age of women and husband, age at marriage, literacy rate of respondents and h...

Journal of Universal College of Medical Sciences, 2021
INTRODUCTION Exclusive breastfeeding (EBF) practices during first six months of life are the most... more INTRODUCTION Exclusive breastfeeding (EBF) practices during first six months of life are the most cost-effective intervention for reducing infant and child morbidity and mortality. However, adherence to EBF practices in developing countries remains unsatisfactory, where maternal employment has been identified as one of the influencing factor. The study aims to identify and compare EBF practices and its factors influencing among employed and unemployed mothers. MATERIALAND METHODS An institutional based comparative cross-sectional study was conducted among 362 mothers of infants visiting the immunization clinic of Universal College of Medical Sciences, Bhairahawa, Nepal, from December 2020 to March 2021 following ethical clearance (UCMS/IRC/114/20) and verbal consent from participants. Descriptive statistics was used to compare EBF practices and multivariate logistic regression to identify independent predictors of EBF. RESULTS Total 362 (181 employed and 181 unemployed) mothers were...

Journal of Universal College of Medical Sciences, 2020
INTRODUCTION Infant and child health status depends upon knowledge of mothers regarding health pr... more INTRODUCTION Infant and child health status depends upon knowledge of mothers regarding health promotional measures. This study aimed to determine knowledge and its associated factors regarding health promotional measures of infants amongst the mothers attending pediatrics outpatient department of Universal College of Medical Sciences Teaching Hospital, Bhairahawa, Rupandehi, Nepal. MATERIAL AND METHODS Hospital based cross-sectional study was conducted in Universal College of Medical Sciences Teaching Hospital, Bhairahawa, Rupandehi, Nepal among 414 mothers attending pediatrics outpatient department from June 2019 to March 2020. Bivariate and multivariate logistic regressions were used to explore associations between different factors with health promotional measures. RESULTS The mean age and family size was 25.89 ±4.81 and 5.94 ±2.48 respectively. A total of 73.2% mothers have good knowledge of health promotional measures. Mothers greater than 20 years (AOR =8.13, CI: 2.16-30.67),...

Advances in Preventive Medicine, 2020
Background. Adolescent girls in developing countries do not have proper information, and proper i... more Background. Adolescent girls in developing countries do not have proper information, and proper information is covered up by sociocultural boundaries resulting in various morbidities. This study aimed to determine level of knowledge and its associated factors regarding menstrual hygiene amongst adolescent school girls in Dang district, Nepal. Methods. Institution-based cross-sectional study was conducted between April and October 2019 among 406 adolescent girls studying in grades 8–10 between ages of 10–19 years in Dang district, Nepal. From a total of 10 local units, 5 were selected randomly. Out of the selected 5 units, 10 schools consisting of 5 government and 5 private schools were selected through disproportionate stratified random sampling. A further 406 students were then selected randomly from the 10 selected schools. Bivariate analysis was used primarily to assess the association between dependent and independent variables. Variables which were associated with bivariate ana...

Journal of Universal College of Medical Sciences, 2019
INTRODUCTION: Prevention of disease is the necessity of today's life. Immunization is the mos... more INTRODUCTION: Prevention of disease is the necessity of today's life. Immunization is the most important component of preventive medicine. Knowledge and attitude of health professionals have significant role in increasing the acceptance of immunization. This study is aimed to determine the association between knowledge and attitude towards immunization and its practice among medical students and emphasis on the need of immunization education intervention among medical students. MATERIAL AND METHODS: Institutional based cross-sectional study among 397 medical students studying Bachelor in Medicine and Bachelor in Surgery (MBBS) was conducted in Universal College of Medical Sciences, Bhairahawa, Nepal. Purposively 1st to 4th year medical students were selected. RESULTS: Among 397 students, 59% had good knowledge regarding immunization, 63% had positive attitude and 47% had applied the knowledge and attitude in practice. Level of knowledge, attitude as well as practice regarding im...

Journal of Universal College of Medical Sciences, 2019
INTRODUCTION: Good communication skills can increase the health-care providers' diagnostic ef... more INTRODUCTION: Good communication skills can increase the health-care providers' diagnostic efficiency and decision making ability, as well as lead to improved patient satisfaction. The aim of this study is to determine the attitude associated with learning communication skills among dental and medical students. MATERIAL AND METHODS: A descriptive study was conducted among 231 students, studying in Universal College Of Medical Sciences (UCMS), College of Dental Surgery, Bhairahawa, Nepal using a standardized pro forma which consisted of questions on general information and of communication skills using validated Communication Skills Attitude Scale. For statistical analysis, Mann-Whitney U test and Kruskal-Wallis test were applied. RESULTS: Students indicate high levels of positive attitudes and low levels of negative attitudes. Attitudinal scores differ insignificantly in relation to gender. CONCLUSION: Medical and dental students in our study show basically a positive approach....

Journal of Universal College of Medical Sciences, 2018
INTRODUCTION: Unplanned and unwanted pregnancy is one of the leading causes of maternal mortality... more INTRODUCTION: Unplanned and unwanted pregnancy is one of the leading causes of maternal mortality and morbidity and still continues despite availability of a range of modern and effective contraceptives. Comprehensive Abortion Care (CAC) is to provide safe, high quality services to women in an affordable and acceptable way. The study is intended to identify the proportion of the women who have intention to use contraceptive methods following CAC, in the future and to know the reason for current nonuse. MATERIAL AND METHODS: A descriptive cross-sectional study of women undergoing CAC in maternity hospital Kathmandu was conducted from 1st February to 21st February 2011. Different factors affecting Intention to use contraceptives following CAC and their association were identified and analyzed. SPSS statistical software was used to perform analysis. RESULTS: Following CAC 61.5% had an intention to use contraceptives, injectables being the most common method followed by IUCD and pills....
INTRODUCTION The current world population is estimated to be 6.6 billion. According to United Nat... more INTRODUCTION The current world population is estimated to be 6.6 billion. According to United Nations official population estimates, this will increase to somewhere between 7.3 and 10.7 billion by the year 2050. About 96% of the total annual population increase occurs in less developed regions. As such, controlling population growth is important and family planning, a pillar of reproductive health, has affirmed its equivocal contribution to mother’s health and the reduction of morbidity and mortality 1 . About 200,000 maternal deaths per year can be due to the lack or failure of contraceptive services and the consequences which results. At least 75 million of the 175 million ARTICLE INFO ABSTRACT

Annapurna Journal of Health Sciences
Background: High maternal morbidity and mortality has been a major public health problem in Nepal... more Background: High maternal morbidity and mortality has been a major public health problem in Nepal which may be due to the low utilization of maternal health services in Nepal. Utilization of maternal services is found very low in slum areas as compared to upscale areas. This study aims to find out the prevalence of utilization of maternal health services and its associated factors in slum areas of Butwal sub-Metropolitan city. Methods: A community based cross sectionalstudy was conducted among 202 women who had given birth to baby within 1 year. Semi-structured questionnaire and face to face interview was done to collect the data. Descriptive as well as inferential statistics were used to analyze the data. Results:The results showed thatabout 81.18% women had taken complete ANC and 34.65% had taken complete PNC services as per protocol of WHO. Multivariate logistic regression showed that respondent education, monthly income, nearest to health care facilities, knowledge level, and wo...
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Papers by Rubina Shrestha