Browsing by Author "Sharma, Yam Prasad"
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Publication 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 PrasadBackground: 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.Publication Service Readiness of Primary Health Care Facilities for Non-Communicable Diseases Management(Nepal Health Research Council, 2024) Sharma, Yam Prasad; Kaphle, Hari Prasad; Shrestha, Niranjan; Upadhyay, Jagat Prasad; Poudel, SujanBackground: NCDs prevalence and associated risk factors impacts on the burden of disease and premature mortality. Effective NCD service delivery requires well equipped facilities with trained providers and resources. Evaluating readiness and its determinant is crucial for enhancing NCD management. The study examines readiness in primary health care facilities for managing non-communicable disease in Syangja district. Methods: A cross-sectional research was conducted among 117 Primary health care facility health workers in Nepal's Syangja District. The data was collected through face-to-face interviews using modified WHO-SARA tool. The chi-square test was used to evaluate the relationship between NCD readiness and its associated factors and multivariable logistic regression was utilized to determine the strength of the correlation. Results: Only 6 percent of the healthcare facilities in Syangja district had developed the system for readiness against non-communicable diseases. The mean percentage scores for service-specific domains ranged from 40% to 58%, indicating variations in readiness across different domains mainly contributed by basic amenities and training. Approximately 80.3% of health facilities received support from the local government, while equipment or commodities support was provided to the third- quarter of the health facilities. Conclusion: Total service readiness was very low in the diagnostic and medicine facilities of Syangja. It demonstrates that there is a discrepancy between the present situation of the incremental trend of NCDs and the related level of service preparedness in primary health care settings. The development of the service readiness mechanism is imperative considering the increasing prevalence of non-communicable diseases in Syangja. Keywords: Non-communicable disease, Primary health facilities, Service Readiness