Browsing by Author "Devkota, Nishchal"
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Publication Postpartum Depression among Mothers in a Maternity Hospital Kathmandu, Nepal: A Mixed Method Approach(Nepal Medical Association, 2024) Neupane, Maryada; Bartaula, Manita; Pradhan, Simran; Adhikari, Hom Prasad; Shrestha, Lalita; Sharma, Puja; Devkota, NishchalAbstract Introduction: Postpartum depression, a significant global concern yet a neglected domain that could have dire outcomes for both mother and children. This study aimed to find out the prevalence of postpartum depression among mothers in the Paropakar Maternity and Women's Hospital & explore the experiences of undergoing pregnancy and post-partum melancholy. Methods: A cross-sectional descriptive study with a mixed method approach and consecutive enumeration of sampling units were done among 271 participants at a maternity hospital, within the study period from July,2023 to Dec, 2023 after obtaining ethical approval (Reg no: 63/1992). Data collection was done through in-depth interviews for the qualitative part among the six respondents and self-administrative questionnaires were opted for the quantitative part among all the respondents. Results: Among the respondents, 203 (74.87%) fall within the 20-30 age range. Among them, 33 (12.24%) mothers experienced post-partum depression. Pregnancy and postpartum experiences were complex, with physical and mental challenges. Women often endured painful pregnancies, including excessive vomiting and pain. Mothers lacked support from family and spouses, impeding daily life and newborn care. Traditional superstitions often trumped medical advice, leading to confusion and risks. Despite challenges, some developed coping mechanisms, like self-counselling and community support. Conclusions: The study highlights the importance of pre-pregnancy assessment and depression screening for postpartum care. Social support is crucial, necessitating holistic support with education, mental health services, and destigmatization efforts for postpartum struggles.Publication Prevalence of Depression and its Associated Factors among Inmates(Nepal Health Research Council, 2023) Mahato, Simran; Devkota, Nishchal; Kafle, Birat Raj; Singh, Matrika; Dahal, Harsha RajAbstract Background: Depression can cause suicidal attempts among prisoners and it is intimidating to speculate the deteriorating mental status of them. Since, there is very limited research on the depression of prisoners in Nepal and as prisoners have rights to health care without any discrimination, this cross-sectional study aimed to assess the prevalence of depression and its associated factors among inmates. Methods: An institute-based cross-sectional study was employed on 352 inmates selected by a systematic random sampling method from July 15 to August 15 2022. Face-to-face interview was conducted using the Centre for Epidemiological Studies Depression Scale (CESD). Data were entered into Epi - data version 3.1 and analysed using SPSS version 17. Results: The prevalence of depression among the inmates was 54.3%. About 4.3% reported suicidal ideation during imprisonment. Depression was significantly associated with previous occupation, drug use, duration of incarceration, number of prisoners per cell, family support, social support and suicidal thought during imprisonment. Conclusions: More than half of the prisoners have depressive symptoms & thus recommended for the confirmatory diagnosis and treatment of mental issues drawing the attention of concerned authorities toward prisoner’s mental health. Keywords: CESD; depression; inmates; NepalPublication Utilization of Institutional Delivery Services and its Associated Factors among Chepang Mothers(Nepal Health Research Council, 2025) Bhatta, Bishesh; Chaulagain, Alisha; Devkota, Sagar; Bartaula, Manita; Adhikari, Hom Prasad; Devkota, NishchalBackground: Institutional delivery services play a critical role in reducing maternal and neonatal mortality. Despite this, a significant proportion of deliveries still take place at home, especially within marginalized communities like the Chepang. This study seeks to examine the barriers that Chepang women in Chitwan, Nepal, encounter in accessing institutional delivery services. Methods: A community-based cross-sectional study was conducted from June 20th to July 20th, 2024, involving 174 mothers who had given birth in the last two years. Data were collected via face-to-face interviews using a semi-structured questionnaire, followed by statistical analysis using SPSS. Results: The study found that 73.6% of mothers delivered at home. Major barriers included long distances to health facilities (66.7% reported more than one hour of travel), low education levels (34.5% were illiterate), and economic factors. Analysis revealed significant associations between institutional delivery and factors such as income source, with agricultural workers having lower odds of utilizing institutional services. Additionally, literacy (OR: 2.308, p = 0.034) and complications during pregnancy (OR: 0.147, p < 0.001) were significant predictors of institutional delivery. Conclusions: The findings indicate critical barriers to institutional delivery among Chepang mothers, highlighting the urgent need for targeted interventions to improve healthcare access. Enhancing education and addressing transportation challenges are essential for promoting safer childbirth practices and improving maternal health outcomes in this vulnerable population. Keywords: Barriers, Chepang community, Healthcare access, Institutional delivery, NepalPublication Workplace Violence against Nurses Working at Private Teaching Hospitals of Kathmandu: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Dahal, Sabina; Devkota, Nishchal; Pradhan, Simran; Jha, Rohan; Adhikari, Hom Prasad; Maharjan, Purna LaxmiAbstract Introduction: Workplace violence in hospitals is a global concern and is considered as a major occupational hazard for all health care providers including the nurses. The aim of this study was to assess the status of workplace violence against nurses at hospitals in Kathmandu and determine the actions taken to investigate its cause. Methods: A descriptive cross-sectional study was conducted among a convenient sample of 100 registered nurses employed in Nepal Medical College and Teaching Hospital, and Kathmandu Medical College and Teaching Hospital. All eligible nurses who were willing to participate irrespective of their academic fulfilment, from all different shifts and of age below 45 years were included. Data were collected using a structured questionnaire and analysed using SPSS software. Ethical approval was taken from the Institutional Review Committee (IRC) of Nepal Medical College and Kathmandu Medical College. Results: Among 100 participants, the prevalence of workplace violence was 72 (72%) (62.13-80.52, 95% Confidence Interval). Verbal abuse accounted to 50 (69.44%), followed by physical violence accounting 17 (23.61%). Action was taken to investigate the causes of both physical violence 5 (29.41%) and verbal abuse 2 (4%) by the hospital administration 3 (60%) in physical violence and 2 (100%) in verbal abuse and police 2 (40%) in physical violence. Conclusions: The study reveals a troubling reality, as the vast majority of nurses reported experiencing various forms of violence in their workplace. So, addressing this issue immediately could protect nurses' well-being and ensure quality care which benefits both healthcare professionals and patients.