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The fresh new decimal parts entailed a secondary data of your Nepal Demographic and Fitness Questionnaire (NDHS) 2016, a nationwide associate survey, since the qualitative part entailed get together analysis via interviews and you will classification discussions stored in 2 purposively chosen websites-one rural municipality (Kaligandaki) and something metropolitan municipality (Chapakot) from inside the Syangja area. The brand new HMG group meetings in these options had a fixed go out and you can venue (7th and 14th of any Nepali day from inside the Kaligandaki and you can Chapakot respectively). In municipalities, the fresh HMG group meetings constantly survived for 2 to three instances and you can have been presented together along with other meetings/points such as for instance antenatal worry (ANC) check-ups, ladies advancement meetings, cost savings programs, and you will blood circulation pressure dimensions. If you’re Kaligandaki’s HMG conferences took place within the a fixed framework place, feamales in Chapakot fulfilled in the great outdoors-sky.

Participants and you may Studies Collection

Toward quantitative research parts, we utilized data throughout the NDHS 2016, which in fact had a reply rates of 98.3% . Details about new decide to try size calculation and sampling actions try explained in the NDHS 2016 statement . To respond to our research question, i extracted NDHS women’s survey studies accumulated certainly one of women aged 15–49 years who had been alert to HMG conferences inside their organizations. This type of study were obtained from the coached interviewers having fun with arranged surveys you to provided caste, ladies’ age, ladies studies, money quintile, level of college students below 5 years, house headship, remoteness, household members dimensions, medical care choice inventor, ladies employment condition, and you may participation into the HMG group meetings .

Towards the qualitative role, i amassed no. 1 investigation from the conducting thirty five inside the-depth interview (IDIs) which have 1000-day women, FCHVs and you can health specialists and you will eight appeal category talks (FGDs) having FCHVs, wellness pros, and you can male and female decision-manufacturers individually (tips for these IDIs and you will FGDs was revealed in other places ). The IDIs and you will FGDs book questions was basically conceived to help you line-up which have the research concern and you may set up according to the books to your mom’s category [six, 8] and the local framework away from HMGs within the Nepal. These guides were also pre-looked at and you can revised, because needed. The major subjects searched to your more kinds of studies professionals had been attitudes of your HMG, including conference status, awareness of the group meetings, barriers and you can enablers for participation, ladies’ interest in and seen worth of HMGs, and strategies for strengthening HMG contribution.

Research management and 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 puertoricanisch mГ¤nnliche OrdnungsbrГ¤ute presented as adjusted odds ratios (aORs) with 95% confidence interval (95% CI). Differences with p-values < 0.05>