Browsing by Author "Tandukar, Bimala"
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Publication Contributing Factors on Utilization of Postnatal Care Services among the Mothers of a Rural Municipality(Institute of Medicine, 2022) Parajuli, Bimala; Singh, Shreejana; Bharati, Mamata; Tandukar, Bimala; Maharjan, Reena; Bhandari, SushilaABSTRACT Introduction: The postnatal period is a period of adjustment for both the mother and her new family member. This is a critical stage because a large proportion of maternal and neonatal deaths occur during the postnatal period. This study aimed to identify the factors that influence mothers' use of postnatal care services. Methods: Descriptive cross-sectional study was conducted among 163 mothers with children aged eight days to less than one year. The data was collected through face-to-face interviews using a semi-structured interview schedule using a non-probability purposive sampling technique. SPSS version 20 was used to analyze the data, which was then described using descriptive and inferential statistics. Results: Only 10.4% had received full postnatal care services within seven days following last childbirth. There was a significant association with respondents' education level (p-value = 0.03), history of abortion (p-value = 0.005), importance of PNC at the ANC checkup (p-value = 0.001), place of delivery (p-value = 0.004), duration of hospital stay (p-value <0.001), and health complications during recent childbirth (p value= <0.001). In binary logistic regression analysis, it showed that respondents' education more than secondary 4.6 times than up to secondary and duration of hospital stay more than 24 hours 85.5 times more than less than 24 hours were more likely to fully utilize the postnatal care services. Conclusion: Despite the accessibility and availability of postnatal care services, the level of utilization is low. Respondents fully utilize the first postnatal service but do not use the full package as recommended by protocol. Keywords: Postnatal care, postnatal period, postnatal service usePublication 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.