Browsing by Author "Bhandari, Bhagawati"
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Publication Childhood Asthma and its Associated Factors Among Children Attending a Tertiary Level Hospital Kathmandu(Nepal Paediatric Society (JNPS), 2022) Lamichhane, Narayani; Upreti, Kamala; Shrestha, Saraswati; Pradhan, Mary; Bhandari, BhagawatiAbstract: Introduction: Childhood asthma is one of the most common non-communicable chronic pulmonary diseases of children and causes considerable morbidity. Prevalence of childhood asthma has grown dramatically in developed as well as developing countries. The objective of the study was to find out the factors associated with childhood asthma among children attending Kanti Children’s Hospital, Kathmandu, Nepal. Methods: Descriptive, cross-sectional study design was adopted and 152 parents were selected by using non probability purposive sampling technique. Data was collected using pre tested structured with an interview schedule after permission from concerned authorities. The data was analyzed by using descriptive and inferential statistic with SPSS IBM 16. Results: The finding of the study revealed that various factors were associated with childhood asthma. Among child related factors, age of children 6 years and above (p-value = < 0.001, OR = 4.190, 95% CI: 1.814 - 9.678), absence of exclusive breast feeding (p-value = 0.021, OR = 2.14, 95% CI: 1.062 - 4.351), history of recurrent allergy and rhinitis (p-value 0.049, OR = 1.9117, 95% CI: .953 - 3.856) and influenza vaccine (p-value = 0.001, OR = 3.714 95% CI:1.691-8.157) and in maternal factors, history of asthma in mother (p-value = 0.002, OR = 13.662, 95% CI:1.729 - 107.994), and on environmental factors, presence of dampness at home (p-value = 0.001, OR = 3.7142, 95% CI: 1.5584 - 9.3408) were found to have significant association with childhood asthma. Conclusions: It could be concluded that 50.7% of children were diagnosed as asthma. Several factors were associated with childhood asthma. Children age 6 years and above, lack of exclusive breast feeding, history of recurrent allergy and rhinitis and presence of dampness at home, maternal history of asthma and seeking of influenza vaccine were found significant association with childhood asthma.Publication The Determinants of Early Initiation of Breastfeeding Practice among Mothers Attending a Tertiary Hospital, Kathmandu(Nepal Paediatric Society (JNPS), 2019) Acharya, Sharada; Khanal, Chitra; Dahal, Akriti Shree; Maharjan, Mankeshari; Bhandari, BhagawatiAbstract: Introduction: Breastfeeding is the best way of providing ideal food for the optimal growth and development of an infant. Early initiation of breastfeeding (EIBF) within one hour of birth is one of the cost effective strategies to reduce neonatal mortality. The aim of the study was to find out the determinants of breastfeeding practice. Methods: This was a descriptive cross-sectional study conducted among 207 mothers who have child from birth to 12 months in Maternal and Child Health (MCH) Clinic of tertiary care referral hospital. The mothers for the study were selected using probability sampling technique. Variables were analysed using a multivariate logistic regression model to identify the determinants of EIBF. Results: The prevalence of EIBF in the study population was 47.3%. Caesarean delivery (AOR: 3.449, CI: 1.224-9.719, p = 0.019), mothers who have done more than one postnatal visit (AOR: 2.824, CI: 1.126-7.079, p = 0.027) and low birth weight babies (AOR: 7.973, CI: 1.571-40.465, p = 0.027) were more likely to delay initiation of breastfeeding. Conclusions: Less than half newborn receive breast milk within the first hour of birth. Mothers delivered by caesarean section, who have done more than two postnatal visit and low birth weight babies were more likely to delay initiation of breastfeeding. These are the major determinants of initiation of breastfeeding. Existing breastfeeding promotion program should be strengthened within the existing health care system.