Browsing by Author "Shrestha, Naveen"
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Publication Maternal and Neonatal Factors Associated with Neonatal Mortality: a Prospective Follow-up Study in Selected Hospitals of Nepal(Nepal Health Research Council, 2024) Yadav, Dilip Kumar; Shukla, Girija Shankar; Gupta, Neena; Shrestha, Naveen; Singh, Jitendra Kumar; Kaphle, Hari; Yadav, Pratima; Yadav, Dipendra KumarBackground: Neonatal mortality, a sensitive indicator which indicates the availability, utilization, and effectiveness of maternal and child health services in the community, are major global public health challenges. The objective of the study was to find out the maternal and neonatal factors associated with neonatal mortality in selected hospitals of Nepal. Methods: This was a hospital based prospective follow up study conducted among babies nested for case control study design. Among 1104 babies, 368 babies with LBW and 736 babies with normal birth weight were followed up after 28 days of birth and mortality was assessed. Results: Neonatal mortality was about 10/1000 live birth. In multivariable logistic regression analysis, father with no formal education [AOR:12.54, 95% CI:(2.61-60.13), p=0.002], multi parity [AOR:11.26, 95% CI:(1.25-100.89), p=0.030] and depressed (<7) APGAR score at 5 minutes of birth[AOR:7.44, 95% CI:(1.18-46.80), p=0.032] were significantly associated with neonatal mortality. Conclusions: The study identified ‘father with no formal education, multi parity and low APGAR score at 5 minutes of birth’ as the major contributors to neonatal mortality. Improving parental education, and access to child health care will help to improve neonatal outcome. Keywords: Maternal factors; neonatal factors; neonatal mortality; Nepal.Publication Socioeconomic, Behavioural, and Health-related Characteristics of Older Adults(Nepal Health Research Council, 2024) Suvedi, Bal Krishna; Karmacharya, Isha; Karkee, Shiba Bahadur; Myia, Salau Din; Ghimire, Saruna; Karki, Kshitij; Singh, Devendra Raj; Paudel, Shishir; Marasine, Nirmal Raj; Pandey, Saloni; Adhikari, Raksha; Kafle, Bhawana; Shrestha, NaveenBackground: The global aging population is growing rapidly, and Nepal is no exception. This increase is driven by changes in socioeconomic conditions, health behaviours, and advancements in the health system. In Nepal, almost a quarter of the national population are older adults (≥45 years), whose health status is rarely elaborated. This study was carried out to assess the socioeconomic, behavioural, and health-related characteristics of older adults in Nepal. Methods: A community-based cross-sectional study was conducted among 4,179 randomly selected older adults residing in Bagmati Province from July 2022 to June 2023, via a multi-stage sampling technique. A semi-structured questionnaire including Geriatric Depression Scale, Activity of Daily Living, and Instrumental Activity of Daily Living along with sociodemographic and health profiles were used for the data collection through face-to-face interviews. The data were described in frequency and percentage across the local levels (urban/rural) and gender. Chi-square tests were done for bivariate analyses. Results: The mean age of the population was 61.66±11.1 years. The prevalence of multimorbidity, disability, and depression was found to be 27.6%, 23.3%, and 35.1% respectively. There was no significant difference between multimorbidity and depression across local levels, while there was a significant difference across disability status. There was a significant difference between multimorbidity and depression across genders. Conclusions: This study provides comprehensive insights into the socioeconomic status, behavioural factors, and health status of older adults in Nepal. Study findings can inform interventions and policies at local levels to consider the unique needs of the older population in Nepal. Keywords: Chronic diseases; depression; disability; Nepal; older adults.