Configurations

The quantitative part entailed a secondary study of Nepal Market and you will Fitness Questionnaire (NDHS) 2016, a nationwide associate survey, once the qualitative role entailed meeting studies via interview and you can classification discussions stored in two purposively selected internet-that outlying municipality (Kaligandaki) and something urban local government (Chapakot) in the Syangja district. The new HMG group meetings in these configurations got a predetermined day and place (7th and you can 14th of every Nepali week into the Kaligandaki and you may Chapakot respectively). In municipalities, the brand new HMG group meetings always survived for 2 to 3 era and was basically presented in conjunction together with other group meetings/facts such antenatal worry (ANC) check-ups, women’s advancement group meetings, financial savings programmes, and you can hypertension proportions. Whenever you are Kaligandaki’s HMG group meetings were held inside a predetermined design venue, women in Chapakot fulfilled in the great outdoors-sky.

People and Research Collection

Into the quantitative investigation part, i used study on the NDHS 2016, which in fact had a reply price away from 98.3% . Information about brand new take to proportions formula and you will testing actions is demonstrated from the NDHS 2016 declaration . To respond to all of our search concern, i extracted NDHS ladies’ questionnaire investigation gathered certainly one of female old 15–forty two decades have been alert to HMG group meetings within their teams. These study were accumulated of the instructed interviewers using arranged forms you to definitely incorporated status, ladies’ years, ladies education, wide range quintile, quantity of people less than five years, family headship, remoteness, family members dimensions, healthcare choice originator, ladies a job standing, and you will involvement into the HMG group meetings .

With the qualitative part, we gathered bumble dating site review first research of the conducting 35 when you look at the-breadth interviews (IDIs) that have 1000-date feminine, FCHVs and you will wellness gurus and you can 7 focus category conversations (FGDs) with FCHVs, fitness professionals, and you will men and women decision-firms independently (tricks for such IDIs and FGDs try discussed in other places ). The fresh new IDIs and you may FGDs publication questions had been designed so you can align which have the analysis matter and you can arranged according to the books on mother’s class [6, 8] therefore the regional perspective from HMGs for the Nepal. These courses was also pre-looked at and you can revised, due to the fact requisite. The big topics searched with the additional types of investigation people was perceptions of one’s HMG, plus appointment position, awareness of the latest conferences, barriers and you will enablers to have contribution, women’s need for and you will perceived property value HMGs, and also the tricks for building HMG contribution.

Research management and you can 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 < 0.05>