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Browsing by Author "Pahari, Sandip"

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    Assessment of Antenatal Care Services Utilization and Its Associated Factors
    (Nepal Health Research Council, 2024) Paudel, Nabaraj; Paneru, Damaru Prasad; Pahari, Sandip; Poudel, Arati; Sharma, Yam Prasad
    Background: Every pregnant woman supposed to have Antenatal care visits at least four times during 4th, 6th, 8th and 9th month of gestation. This contributes to the reduction in maternal mortality. The main objective of the study was to assess the utilization of antenatal care services and its associated factors in Pokhara Metropolitan. Methods: A community based cross-sectional analytical study was conducted in Pokhara Metropolitan between 16th May 2019 to 30th June 2019 among 325 mothers using probability proportional to size sampling and face to face interview. Ethical approval was obtained from Nepal Health Research Council. Data analysis was done using SPSS version 22 and Chi-square test and binary logistic regression analysis was performed. Results: A total of 97.2 percent mothers had at least one time visit for ANC checkup while 88.6 percent mothers received four ANC visits as per protocol. A total of 94.6 percent mothers got counseling on early detection and management of complications, 95.9 percent consumed iron and folic acid and 94.3 percent consumed de-worming tablets. Mothers health literacy mobile phone ownership (AOR=11.26, 95% CI: 9.70-13.03), husband’s attitude towards ANC (AOR=6.71, 95%CI: 1.60-28.10), awareness on pregnancy complications (AOR=4.62, 95% CI: 2.53-21.73), and which is decision making on household expenditure by self (AOR 8.57%, 95% CI: 3.64-9.48) history of abortion (AOR=5.22, 95%CI: 1.71-15.30) were the factors associated with ANC service utilization. Conclusions: Majority of the pregnant women were found to be utilizing ANC services. Mobile phone ownership, health literacy, husband's attitude towards ANC, decision making on household expenses, awareness on pregnancy complications and history of abortion were the significant factors associated with ANC service utilization. Keywords: Antenatal care; factors associated; Pokhara; utilization.
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    Traditional Medicine Utilization and Determinants in the Rural Area of Manang, Nepal
    (Nepal Health Research Council, 2025) Pahari, Sandip; Pokhrel, Sansila; Pokhrel, Amritraj; Lamichhane, Sundar; Upadhyay, Deepak Raj; Kushwaha, Rival; Yadav, Denish; Adhikari, Puskar; Yadav, Sahil Chandra
    Abstract: Background: Traditional medicine (TM) has been an integral part of the rural health care system of Nepal. Despite its widespread use, there exists a notable gap in research on TM utilization and the predictive factors influencing it in rural settings. This study aimed to investigate the use of TM and associated factors in the rural area of Manang, Nepal. Methods: A population-based quantitative cross-sectional study was conducted among 103 individuals from October 2021 to February 2022. A semi-structured questionnaire was used as a research tool. Proportionate and simple random sampling were employed to select the study participants. A logistic regression model was used to assess the determinants of TM utilization among the participants. Results: Overall, 88 out of 103 (85.4%) participants were found to be utilizing traditional medicine. The use of TM was predicted by low monthly income (OR: 4.00, 95% CI: 1.049–15.260, p=0.042) and perceived health status (OR: 8.40, 95% CI: 0.015–0.947, p=0.044). Herbal medicine (68.1%), traditional healers (59.1%), and homeopathic medicine (48.9%) were the primary TM practices among the study populations. Conclusions: People with low income often make TM a more affordable option due to its use of local, inexpensive materials, whereas people who see themselves as healthy or have had a positive experience with TM may prefer it for its cultural and personal value.

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