That it combined-steps investigation is held inside Nepal, an LMIC in the Southeast Asia, composed of 77 areas
Configurations
New decimal parts entailed a holiday studies of the Nepal Demographic and you will Fitness Questionnaire (NDHS) 2016, a nationally user questionnaire, as the qualitative role entailed get together analysis thru interviews and you will classification discussions stored in 2 purposively picked web sites-one rural local government (Kaligandaki) and something urban town (Chapakot) in the Syangja area. The fresh new HMG conferences within these configurations got a predetermined date and venue (seventh and you can 14th of any Nepali day inside Kaligandaki and you will Chapakot respectively). Both in municipalities, the new HMG meetings always lasted for a couple of to three instances and you can have been used along with other meetings/products such as for instance antenatal care (ANC) check-ups, ladies’ innovation conferences, cost savings programmes, and you can blood pressure measurements. When you’re Kaligandaki’s HMG group meetings happened for the a fixed design area, ladies in Chapakot found in the great outdoors-sky.
People and Study Collection
To the quantitative study part, i utilized data on NDHS 2016, which had a response speed of 98.3% . Information regarding new try size calculation and you can testing procedures is actually explained on NDHS 2016 declaration . To respond to all of our lookup question, i extracted NDHS ladies questionnaire study built-up among women old fifteen–44 age have been aware of HMG meetings inside their teams. These investigation was in fact amassed by taught interviewers having fun with planned questionnaires that included status, ladies’ decades, ladies’ studies, wide range quintile, number of students around 5 years, household headship, remoteness, family unit members size, health care decision creator, women’s a position status, and you can involvement inside HMG group meetings .
Into the qualitative component, we obtained number 1 research of the performing thirty five from inside the-breadth interviews (IDIs) having 1000-go out female, FCHVs and you can wellness Mehr Infos pros and eight notice category conversations (FGDs) with FCHVs, wellness specialists, and you can male and female decision-manufacturers alone (tips for such IDIs and FGDs was described in other places ). The fresh IDIs and you can FGDs guide inquiries were designed in order to line-up having the research matter and you can arranged in line with the literary works to the mom’s group [6, 8] together with regional perspective out-of HMGs within the Nepal. This type of books were and pre-examined and you can changed, since requisite. The major topics looked for the more kinds of study members was indeed thinking of your HMG, along with fulfilling position, focus on the new meetings, barriers and you can enablers having involvement, women’s interest in and you can seen value of HMGs, together with techniques for strengthening HMG involvement.
Studies management and you can study
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>
