Browsing by Author "Bhattarai, Sigma"
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Publication Determinants of Expressed Breast Milk Awareness Among Mothers in Siddharthnagar Municipality of Rupandehi District, Nepal(Nepal Paediatric Society (JNPS), 2021) Bhattarai, Sigma; Bhusal, Chet KantAbstract: Introduction: Expressed breast milk is the practice of squeezing breast milk for the purpose of further use. Infant and young child feeding is very important in promoting healthy growth and development, particularly during the first two years of child’s life. The awareness of mothers regarding expressed breast milk has a direct impact on the life of infants and feeding practices. The study aimed to find out possible determinants of awareness regarding expressed breast milk among mothers. Methods: Descriptive cross-sectional study was conducted among 255 mothers from January 2020 to May 2020 by using probability simple random sampling technique. A validated and pre-tested semi-structured interview schedule was used. The data was collected data and analysed. Results: Mean age of mothers was 26 years. 54.1% of the respondents had low awareness regarding expressed breast milk. After adjustment some of the variables such as age of respondents (AOR = 0.03, CI = 0.01 - 0.08, p < 0.001), religion (AOR = 0.36, CI = 0.14 - 0.99, p < 0.001) and educational status of respondents (AOR = 4.40, CI = 1.72 - 11.26, p < 0.001), were significantly associated with level of awareness regarding expressed breast milk. Conclusions: More than half of the mothers had low awareness regarding expressed breast milk. Age of the respondents, religion and educational status were found to be associated factors that influence mother’s awareness regarding expressed breast milk. It is recommended to concerned authority to conduct awareness program regarding expressed breast milk among mothers.Publication Factors Associated with Mothers Health Seeking Behavior among Newborn Illness(Nepal Health Research Council, 2023) Bhusal, Chet Kant; Bhattarai, Sigma; Kunwar, Ankita; Shrestha, Saneep; Chhetri, Pradip; Priyanka, JyotiAbstract Background: Inappropriate, delayed and poor health seeking behavior increases the high risk of morbidity and mortality among newborns, infants and children. Newborns health status depends upon mothers’ health seeking behavior. This study aimed to determine the factors associated with mother’s health seeking behavior among newborn illness in Rupandehi District, Nepal. Methods: Community based cross-sectional study among 372 mothers aged 15-49 years was conducted in Rupandehi district Nepal from May to November 2019. Multistage probability random sampling was used as the sampling technique. Siddharthanagar municipality and Mayadevi rural municipality were selected randomly among 16 local units of Rupandehi district. Two wards from each unit were selected by stratified random sampling using non replacement lottery method. As the sample size was 372, ninety three respondents were selected randomly from each ward. Results: The mean age and standard deviation of mothers was 25.32±4.36 years respectively. Among 372 mothers, 21.24% had poor health seeking behavior. Mothers having more than one child (AOR=0.15; CI: 0.02-0.98), primary and above education (AOR=8.89; CI: 3.15-25.08), visited hospital after 24 hours of newborn illness (AOR=13.59; CI: 1.73-106.7), knew danger signs of newborn (AOR=18.74; CI: 5.65-62.23), practiced exclusive breastfeeding (AOR=8.20; CI: 3.36-20.03) were significantly associated with health seeking behavior. Conclusions: Almost 22 % of mothers had poor health seeking behavior regarding their newborn illness. Number of living child, education of mother, appropriate time for treatment, receive health services when there is dangers signs of newborn and exclusive breast feeding practice were independent factors associated with mother’s health seeking behavior. Hence, decision-makers and local administrator should provide specific intervention to newborns’ mother regarding family planning, identifying and preventing danger signs of newborn, importance of appropriate time of treatment and exclusive breastfeeding. Keywords: Health seeking behavior; illness; mother; newborn.