Browsing by Author "Singh, Shreejana"
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Publication Knowledge and Attitude about Labor Epidural Analgesia among Pregnant Women Attending Antenatal Clinic(Nepal Health Research Council, 2023) Parajuli, Bashu Dev; Koirala, Megha; Joshi, Pankaj; Katuwal, Neeta; Shrestha, Amit; Singh, Shreejana; Rawal, Suniti; Shrestha, AnilAbstract Background: Labour pain is one of the most painful experiences that a woman faces in her lifetime. There are various options for labour pain management. Epidural analgesia is the gold standard method for pain management during labour. In developing and under-developed countries there are many challenges to provide this service, a very important one being knowledge about epidural analgesia among the parturients and the physicians. Methods: A prospective cross-sectional study was carried out among 384 pregnant women attending Antenatal clinic of a tertiary level teaching hospital using pretested structured questionnaire prepared by a team of anaesthesiologists and obstetricians. Non-probability purposive sampling technique was used. The data was analysed by using SPSS version 20.0. Descriptive and inferential statistical methods were used for analysis. Results: Of the 384 pregnant women, only 29.4% had knowledge about some form of labour analgesia techniques and only 16% of the participants were aware of labour epidural analgesia. Also, only 6.2% were aware that epidural service is available at our hospital. Regarding acceptance, only 42.4% were willing to use epidural analgesia in their present pregnancy. Conclusions: The present study findings revealed that a significant number of participants had very limited knowledge about labour epidural analgesia and were also unaware of the availability of the service in our hospital. Educational programs need to be provided to all the pregnant women for enhancement of knowledge and awareness about epidural labour analgesia to increase its acceptability among them. Keywords: Acceptance; awareness; knowledge; labour analgesia.Publication Knowledge and Perception Regarding Adolescent Sexual and Reproductive Health Services among Adolescents attending a Tertiary Level Hospital(Nepal Paediatric Society (JNPS), 2022) Singh, Shreejana; Sharma, Saraswati; Tandukar, Bimala; Silwal, Pratibha; Sharma, Mohan RajAbstract: Introduction: Adolescence is the transitional phase of growth and development between childhood and adulthood with ages ranging from 10 to 19 years. Adolescent sexual and reproductive health (ASRH) services are the centers where adolescents can get access to their queries regarding health of both physical as well as psychological aspect. The objective of the study was to find out the knowledge and perception regarding ASRH services among adolescents attending a tertiary level hospital. Methods: A descriptive study was carried out among 112 adolescents attending adolescent clinic using a pretested structured interview schedule. Non probability purposive sampling technique was used. The data were analyzed using SPSS version 16 through descriptive statistical method and Inferential statistical methods. Results: The study revealed majority (58.0%) of respondents had moderate level of knowledge regarding ASRH (Mean value 68.89 ± 14.59 S. D). Respondent’s had high perception towards programmatic domain. Almost all (97.3%) of the respondents had positive perception towards ASRH services. There was no statistical significance between the level of knowledge and perception, level of knowledge and sociodemographic variables at 95% confidence level. Conclusions: The study concludes that adolescents have moderate level of knowledge regarding ASRH. Adolescents have an overall positive perception towards the ASRH services but they have negative perception towards the facility of ASRH services in comparison to programmatic domain.Publication Knowledge and Preventive Practices of Dengue Fever among Adolescents in a Terai District of Nepal: A Cross- Sectional Study(Perinatal Society of Nepal (PESON), 2024) Singh, Shreejana; Joshi, Deepak Raj; Yadav, Alisha; Lawot, Isabel; Sharma, Mohan RajAbstract: Introduction Dengue fever spreads by mosquito bites. Preventive measures are the most effective way to decrease the incidence of dengue. This study aims to find out the knowledge and preventive practices of Dengue fever among adolescents in Nepal. Methods This descriptive cross-sectional study was conducted among 450 students studying in grades 9 and 10 of selected community and private schools in the Dhanusha district of Nepal. The total enumeration method was used with self-administered semi-structured questionnaires for data collections. Results Among 450 respondents, the mean age of the students was 16±1.72 years. Regarding awareness of dengue symptoms, (420)92.7% responded to restlessness, as the symptoms of dengue while only 84 (18.5%) attributed bleeding from the gums or nose to the disease. Regarding preventive practices, 424 (93.6%)) participants acknowledged the importance of covering the water tank, while 175 (38.6%) considered spraying insecticide as a useful preventive measure. Education alone is significantly associated with the levels of knowledge (p-value = 0.046) and preventive practice (p-value = 0.000). The correlation analysis between knowledge and practice scores revealed a weak positive correlation (r=0.20, p-value<0.001). Conclusion: The study revealed inadequate knowledge and insufficient preventive practices concerning the prevention of dengue fever among adolescents in Nepal.Publication Knowledge and Preventive Practices of Dengue Fever among Adolescents in a Terai District of Nepal: A Cross- Sectional Study(Perinatal Society of Nepal (PESON), 2024) Singh, Shreejana; Joshi, Deepak Raj; Yadav, Alisha; Lawot, Isabel; Sharma, Mohan RajAbstract Introduction Dengue fever spreads by mosquito bites. Preventive measures are the most effective way to decrease the incidence of dengue. This study aims to find out the knowledge and preventive practices of Dengue fever among adolescents in Nepal. Methods This descriptive cross-sectional study was conducted among 450 students studying in grades 9 and 10 of selected community and private schools in the Dhanusha district of Nepal. The total enumeration method was used with self-administered semi-structured questionnaires for data collections. Results Among 450 respondents, the mean age of the students was 16±1.72 years. Regarding awareness of dengue symptoms, (420)92.7% responded to restlessness, as the symptoms of dengue while only 84 (18.5%) attributed bleeding from the gums or nose to the disease. Regarding preventive practices, 424 (93.6%)) participants acknowledged the importance of covering the water tank, while 175 (38.6%) considered spraying insecticide as a useful preventive measure. Education alone is significantly associated with the levels of knowledge (p-value = 0.046) and preventive practice (p-value = 0.000). The correlation analysis between knowledge and practice scores revealed a weak positive correlation (r=0.20, p-value<0.001). Conclusion: The study revealed inadequate knowledge and insufficient preventive practices concerning the prevention of dengue fever among adolescents in Nepal.Publication Knowledge, Attitude and Practice Regarding Menstrual Hygiene Among Girls of Government School(Nepal Paediatric Society (JNPS), 2022) Shahi, Bibhooti; Singh, Shreejana; Joshi, Deepak Raj; Maharjan, AjantaAbstract: Introduction: Menstruation is a natural phenomenon unique to women and menstrual hygiene is fundamental to the wellbeing of women and girls. Menstruation is the process of periodic discharge from the female genital tract due to hormonal influence and takes place within the interval of 28 days. The objective of the study was to find out knowledge, attitude and practice regarding menstrual hygiene among adolescent girls of the Government school. Methods: A descriptive study was carried out among 100 adolescent girls attending selected schools of Birgunj, Nepal using pretested self-administered questionnaires. Proportional Stratified Sampling was used. During data collection privacy and confidentiality was ensured. The data were analyzed using SPSS version 16 through descriptive statistical methods and inferential statistical methods. Results: This study revealed that majority of the girls (32%) have good knowledge, 93% have good attitude and 23% girls have good practice. There was significant association (p < 0.05) between the level of practice and age of menarche but there was no any significant association (p < 0.05) between level of knowledge and attitude with selected variables regarding menstrual hygiene. Conclusions: This study concludes that though the majority of the girls have, good attitude, many have poor knowledge and practice about menstrual hygiene.Publication Perception and Willingness Regarding Organ Transplantation/donation among Medical Students of Maharajgunj Medical Campus: A Cross-sectional Study(Nepal Health Research Council, 2024) Bhattarai, Amit Sharma; Adhikari, Bidur; Joshi, Deepak Raj; Yadav, Alisha; Joshi, Pankaj; Parajuli, Bashu Dev; Koirala, Megha; Karki, Kushal Jung; Subedi, Krishna Prasad; Shrestha, Gentle Sunder; Shrestha, Anil; Singh, ShreejanaBackground: Organ transplant is the procedure of replacing a failing or damaged organ with a functioning one. Positive attitude and awareness about donation are a must for donor organs to be available. This study explored the level of knowledge, perception and willingness regarding organ donation among medical students in Nepal. Methods: A descriptive cross-sectional study was conducted with 180 medical students using a self-administered questionnaire. Descriptive statistics were used, and Pearson correlation was applied to examine the relationship between knowledge and perception of organ transplantation. Independent samples t-test and ANOVA was used to compare scores among year of study and gender. Results: Results indicated that 86.1% of participants were aware of the need for organ donation, and 83.3% knew that both living and deceased individuals could be donors. While 93.9% believed in the need for effective laws, 72.8% perceived risks for donors. However, only 74.4% were willing to donate their organs, though 91.7% expressed willingness to promote organ donation among friends and family. Participants showed a positive perception towards organ donation. Conclusions: Despite a high level of awareness and knowledge regarding organ donation, participants exhibited a lower level of willingness to donate organs. Perceived risks for donors and a lack of robust laws and regulations presented significant barriers. Nevertheless, an inclination to promote organ donation was observed. This underlines the need for enhanced education and policy reform to increase organ donation rates. Keywords: Awareness; knowledge; organ donation; organ transplantation; perception.Publication Status of Research Funding in Nepal: A Scoping Review(Nepal Medical Association, 2024) Sharma, Mohan Raj; Tuladhar, Sugat Rana; Adhikari, Abhishek; Khadga, Akriti; Singh, Shreejana; Ghimire, NamitaAbstract With the rapid advancement of health delivery, there has been a renewed interest in conducting research among healthcare professionals in Nepal. However, concern is there regarding availability of funds and mechanisms of awarding. The purpose of this scoping review is to map the available evidence regarding the evolution and current status of health research funding in Nepal and to highlight gaps and areas for future research. We searched three databases for empirical papers and several gray literature. Our search, conducted between March and April 2024 yielded 76 documents of which 30 that met the selection criteria were included in the scoping review. Almost all studies identified lack of funding as a deterrent to research. We found a paucity of research focusing on the role of researchers in funding decision-making. Our findings revealed that there are 12 national and four international organizations providing funds for research. University Grant Commission is the largest funder from Nepal whereas the Research Council of Norway is the biggest international funder. There were certain barriers and facilitators for obtaining funds identified by this scoping review. Further efforts are needed to increase the amount and availability of funds in Nepal to enable high-quality research.