Browsing by Author "Bajracharya, Srishti"
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Publication Effects of Early Marriage Among Married Women Residing in Buddhabhumi Municipality of Kapilvastu(Rapti Academy of Health Sciences (RAHS), 2024) Gurung, Saraj; Bajracharya, Srishti; Khatri, Binita; Chhetri, Arzoo; Kachapati, Anuja; Chhantyal, Pushpa; Lamsal, ShyamAbstract: Introduction: Child marriage is a public health problem. It has physical, psychological and socio-economic effects for the bride. They face worse socio-economic and health effects than their unmarried peers which leads to maternal and child morbidity and mortality. The aim of the study was to find out the effects of early marriage among married women. Methods: Cross-sectional study was conducted to find out the effects of early marriage among 119 married women. Purposive and snowball sampling was used to select samples and semi-structured interview schedule was used for data collection. Data was analyzed by descriptive and inferential statistics with Statistical Package for Social Science 16. Results: The findings revealed that 84.87% and 74.38%, 38.65% and 36.13% of the respondents faced socio-economic problems, physical health problem, psychological problems and reproductive and sexual problems as effects of early marriage respectively. Physical violence (65.34%) and school dropout (47.52 %.) were found as socio-economic effects of early marriage. Backache (56.17%) and lower abdomen pain (51.16) were main physical health problem. Anxiety (86.95%) and even suicidal thoughts (26.08%) were found. Age at first pregnancy and age at first delivery had influence on problems of the respondents. Conclusion:The study findings concluded that the socio-economic problems are main effects of early marriage Anxiety was main problem and an even suicidal thought was also found. Local and national level programs on minimizing early marriage and early childbearing might reduce health problems and violence in women’ lives.Publication Experience of Respectful Maternity Care during Labor and Childbirth among Women Admitted in Postnatal Ward of a Hospital of Siddharthanagar Municipality(Rapti Academy of Health Sciences (RAHS), 2025) Khatri, Binita; Gurung, Saraj; Bajracharya, SrishtiAbstract: Introduction: Respectful Maternity Care (RMC) involves upholding a woman’s dignity, privacy, informed decision-making, and emotional support throughout childbirth. However, many women worldwide, including in Nepal, continue to experience mistreatment such as neglect, verbal abuse, and inadequate privacy, which undermines their trust in healthcare. This study explores postnatal mothers’ experiences with RMC during labor and childbirth. Methods: The qualitative study was conducted in the postnatal ward among 13 mothers who had normal vaginal deliveries. Using a non-probability purposive sampling technique, researchers conducted in-depth interviews after obtaining ethical and administrative approvals. Participants gave written consent, and interviews were held privately to ensure confidentiality. Interviews were transcribed, translated, and thematically analyzed. Field notes were coded, and transcripts reviewed to identify key concerns. Results: The findings of the study are summarized in seven key themes: informed consent, right to information, privacy & confidentiality, freedom from abuse, freedom from discrimination, neglect & abandonment and dignity & respect. Interpretation of the data showed that women reported positive experiences when informed about procedures. However, issues regarding pain relief options and privacy were noted, where some women felt their privacy was not maintained during examinations, which is a crucial aspect of respectful maternity care. Conclusion: This study reveals strengths and gaps in RMC. While verbal consent and non-discriminatory care were noted, key aspects like informed decision-making, communication, privacy, and emotional support were often missing. Neglect and mistreatment highlight systemic issues, calling for better training, staffing, and a respectful, accountable care environment.