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The brand new decimal component entailed a holiday analysis of one’s Nepal Group and you may Health Questionnaire (NDHS) 2016, a nationwide representative questionnaire, just like the qualitative role entailed event investigation via interviews and you will class conversations held in two purposively chosen sites-that outlying town (Kaligandaki) and something metropolitan local government (Chapakot) for the Syangja district. The HMG meetings within these configurations had a fixed big date and you will area (seventh and 14th of any Nepali month inside the Kaligandaki and you will Chapakot respectively). In municipalities, the fresh HMG group meetings constantly endured for 2 to 3 times and you can had been used together with other group meetings/situations particularly antenatal care and attention (ANC) check-ups, ladies’ innovation meetings, financial savings programs, and you may blood circulation pressure dimensions. While you are Kaligandaki’s HMG meetings occurred inside the a predetermined framework area, feamales in Chapakot met in the great outdoors-sky.
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Towards the quantitative study role, we utilized analysis regarding NDHS 2016, which in fact had a response rate from 98.3% . Information regarding the brand new try dimensions formula and sampling tips are explained throughout the NDHS 2016 report . To resolve all of our research question, we removed NDHS ladies questionnaire investigation compiled one of feminine aged fifteen–forty-two age who have been conscious of HMG group meetings in their groups. These investigation have been accumulated because of the instructed interviewers playing with organized questionnaires one integrated caste, ladies’ age, women’s degree, money quintile, number of pupils not as much as 5 years, domestic headship, remoteness, nearest and dearest size, medical care decision originator, ladies’ employment standing, and you will involvement into the HMG conferences .
Into the qualitative role, i built-up primary investigation from the conducting thirty-five in the-breadth interview (IDIs) which have 1000-date women, FCHVs and you can health gurus and you will seven focus class conversations (FGDs) which have FCHVs, wellness professionals, and you will male and female choice-companies on their own (techniques for these types of IDIs and you can FGDs try revealed somewhere else ). This new IDIs and you can FGDs book questions was invented so you’re able to make with the analysis matter and you can install in line with the books on mother’s category [6, 8] and also the local framework off HMGs when you look at the Nepal. These instructions was plus pre-tested and you will modified, due to the fact required. The top subject areas browsed into the other categories of investigation participants was thinking of your HMG, together with fulfilling reputation, attention to brand new group meetings, traps and enablers to possess participation, ladies’ demand for and you will sensed property value HMGs, additionally the approaches for building HMG participation.
Investigation management and you will investigation
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