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The new quantitative part entailed a vacation studies of your Nepal Demographic and you may Fitness Survey (NDHS) 2016, a nationally user survey, since qualitative role entailed gathering investigation via interview and you may category talks kept in 2 purposively selected web sites-you to rural municipality (Kaligandaki) plus one metropolitan town (Chapakot) when you look at the Syangja district. The new HMG meetings on these setup got a predetermined time and you may place (seventh and you can 14th of any Nepali week in Kaligandaki and you may Chapakot respectively). Both in municipalities, the brand new HMG meetings always live for a couple of to three hours and you can was indeed held in conjunction together with other meetings/issues eg antenatal proper care (ANC) check-ups, ladies’ development conferences, cost savings programmes, and you will blood pressure dimensions. When you are Kaligandaki’s HMG meetings occurred inside the a fixed structure place, women in Chapakot found in the great outdoors-heavens.
Members and you will Study Collection
Towards the quantitative studies parts, we utilized data regarding NDHS 2016, which had a reply price away from 98.3% . Factual statements about the brand new test size formula and you can testing tips are discussed on NDHS 2016 statement . To respond to our very own research matter, i removed NDHS women’s questionnaire study accumulated among women aged fifteen–49 years who were alert to HMG conferences inside their groups. These types of analysis had been obtained by coached interviewers having fun with structured questionnaires one to provided status, ladies age, ladies’ knowledge, wide range quintile, level of children not as much as five years, domestic headship, remoteness, friends proportions, healthcare choice creator, ladies’ a career position, and you can involvement inside the HMG meetings .
To your qualitative component, we gathered primary studies from the performing 35 into the-depth interviews (IDIs) having 1000-go out feminine, FCHVs and you may health specialists and you may eight notice classification discussions (FGDs) which have FCHVs, health workers, and you may female and male choice-providers on their own (techniques for these IDIs and you will FGDs are discussed someplace else ). The fresh new IDIs and FGDs guide questions was basically devised in order to line-up having the analysis concern and you can set up according to the books to your mom’s category [six, 8] as well as the regional context of HMGs in the Nepal. These types of courses have been along with pre-checked and you can modified, just like the required. The major information explored toward various other categories of research professionals was basically attitudes of your HMG, kissbrides.com finden as well as appointment standing, awareness of the meetings, barriers and you can enablers to have involvement, ladies demand for and you can thought worth of HMGs, together with tips for strengthening HMG participation.
Data administration and you may research
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>