Browsing by Author "Khatri, Binita"
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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.Publication Knowledge and Attitude Regarding Gender Based Violence among Adolescents at Selected School of Ghorahi, Dang(Rapti Academy of Health Sciences (RAHS), 2024) Poudel, Ambika Dhakal; Khatri, Binita; Belbase, Geeta; Dhital, Puja SharmaAbstract: Introduction: Gender-based violence is an alarming social problem that affects people around the world, including adolescents. It comprises physical, sexual or mental impairment and threats of such acts which could happen either in public or private areas. The study finds out knowledge and attitudes regarding gender-based violence. Methods: A cross-sectional research design was used for the study. A total of 286 adolescents of 9th and 10th-grade students were selected by using a non-probability purposive sampling technique. A Self- admistered questionnaire was developed by the researchers based on a literature review. Descriptive and inferential statistics were used for data analysis. Results: Out of 286 respondents, more than half (55.6 %) had an inadequate level of knowledge regarding gender-based violence. Nearly half (49.3 %) had a favourable attitude towards gender-based violence. A minority of the respondents (20.6 %) felt at least one type of gender-based violence in their lifetime. About one-fifth (20.6 %) had unfavourable attitude There is a significant association between level of knowledge and type of family. However, there is no significant association between the level of knowledge and other socio-demographic variables. Conclusion: The study concluded that more than half respondents had a poor level of knowledge while half of the respondents had a favourable attitude towards gender-based violence. A minority of respondents had felt at least one type of gender-based violence in their lifetime.Publication Nurses’ Knowledge and Practice regarding Immediate Newborn Care in Maternity Ward of a Teaching Hospital(Rapti Academy of Health Sciences (RAHS), 2024) Khatri, Binita; Maharjan, Ratna KumariAbstract: Introduction: A newborn is thought to be small, helpless, and entirely reliant on others for survival. During the first hour of life, newborns are primarily susceptible to morbidity and mortality, which can be avoided with prompt care immediately after birth. The newborn care that is provided immediately after delivery is straightforward but crucial. This aim of the study is finding out the nurses’ knowledge and practice regarding immediate newborn care. Methods: A cross-sectional research design was carried out among 32 nurses. Consecutive sampling technique was used. The self–administered questionnaire was utilized to assess knowledge and observation checklist for assessing practice on immediate newborn care. The data was edited, coded and entered into excel then exported to SPSS 16 program. Results: Findings revealed that 65.63 % nurses have average knowledge and 87.50 % nurses have average practice. Education, work experience and training were not significantly associated with the nurse’s knowledge and practice regarding immediate newborn care at 95 % confidence interval. However, there was positive correlation between knowledge and practice on immediate newborn care. Conclusion: The findings conclude that majority of the nurses have average knowledge and practice on immediate newborn care. Therefore, it is necessary to conduct continuing nursing education about immediate care to neonate for nurses in maternity ward periodically.Publication Prevalence of Precancerous Cervical Lesion in Women Attending Cervical Cancer Screening Programme at a Tertiary Level Hospital(Rapti Academy of Health Sciences (RAHS), 2024) Sharma, Sharmila; Khatri, Binita; Kunwar, ShishirAbstract: Introduction: Cervical cancer is the second leading cause of cancer deaths in women in developing countries, and their incidence can be reduced by early detection and treatment of related precancerous lesions. Visual inspection with acetic acid (VIA) screening test is common method of finding precancerous cervical lesion. The aim of this study was to determine the prevalence of precancerous cervical lesions in women attending the cervical cancer screening program at a tertiary-level hospital. Methods: This retrospective, cross-sectional study (record review) was conducted among women who attended cervical screening at the Maternal and Child Health (MCH) clinic of Rapti Academy of Health Sciences (RAHS) from Baisakh to Chaitra, 2080. After obtaining ethical clearance from the Institutional Review Committee of RAHS (IRC RAHS), data on the participants’ age, residence, ethnicity, and other reproductive morbidities were retrieved from hospital records. Results: The hospital records of 1,055 women were analyzed in this study. The mean age of the participants was 37.91±10.41 years, with more than one-third (36.5%) in the age group of 31-40 years. Among those who underwent cervical screening, the prevalence of precancerous lesions was 4.4%. No significant associations were found between age (p=0.55), residence (p=0.91), ethnicity (p=0.055), or other reproductive morbidities and the prevalence of precancerous lesions at the 95% confidence level. Conclusion: The prevalence of precancerous cervical lesions was low; however, the findings highlight the need for establishing regular screening programs at the community level.