Setup
The fresh decimal role entailed a secondary investigation of your Nepal Group and you will Fitness Survey (NDHS) 2016, a nationwide associate survey, since qualitative part entailed event study via interviews and you may group conversations kept in two purposively picked websites-one to rural local government (Kaligandaki) and another metropolitan municipality (Chapakot) during the Syangja region. This new HMG meetings on these options got a fixed go out and you can location (7th and 14th of every Nepali month within the Kaligandaki and Chapakot respectively). In municipalities, the brand new HMG meetings always live for a couple of to 3 era thaiflirting Kosten and you can was in fact held in tandem together with other meetings/things like antenatal worry (ANC) check-ups, ladies’ creativity group meetings, cost benefits courses, and you can blood pressure level measurements. If you’re Kaligandaki’s HMG group meetings happened for the a predetermined construction venue, women in Chapakot satisfied in the open-heavens.
Professionals and you may Investigation Range
Toward quantitative data component, we utilized studies about NDHS 2016, which had a response price out-of 98.3% . Factual statements about the fresh decide to try proportions formula and you may testing procedures is actually discussed in the NDHS 2016 declaration . To resolve our lookup concern, we removed NDHS women’s survey analysis collected one of feminine aged fifteen–forty two ages who were familiar with HMG conferences within their communities. These investigation was indeed compiled by trained interviewers having fun with prepared forms one to incorporated caste, women’s years, ladies education, riches quintile, level of pupils significantly less than 5 years, home headship, remoteness, friends size, health care choice maker, ladies a job position, and you will involvement in HMG group meetings .
To the qualitative parts, i amassed no. 1 research from the conducting thirty-five for the-depth interviews (IDIs) having 1000-time women, FCHVs and you may fitness pros and 7 notice group talks (FGDs) with FCHVs, health professionals, and you will male and female choice-brands individually (strategies for these types of IDIs and you will FGDs was discussed somewhere else ). This new IDIs and you will FGDs publication concerns was in fact designed so you’re able to fall into line that have the analysis concern and setup in line with the literary works for the mother’s group [6, 8] as well as the local framework out-of HMGs into the Nepal. These instructions had been in addition to pre-tested and you may modified, as needed. The major topics searched towards additional categories of investigation members had been attitudes of your HMG, including conference position, attention to the fresh new meetings, barriers and you may enablers getting involvement, women’s demand for and you will understood property value HMGs, as well as the techniques for strengthening HMG involvement.
Study management and study
In the quantitative analysis, participation in HMG meetings in the last six months was dichotomised as “Yes” if the mother attended at least one or more meetings in the previous six months, and “No” otherwise. Associations between different socioeconomic variables and participation in the HMG meetings in the last six months were assessed using a multivariable logistic regression accounting for sampling weights and sampling design (i.e., stratification and clustering). Standard errors were computed using the linearized variance estimator based on a first-order Taylor series linear approximation . The regression model included women’s age (15–25,26–35,36–45,46–49 age groups), women’s education (no education, primary, secondary and higher schooling), caste (Brahmin/Chhetri, Janajati, Dalit and others), household headship (women and men), wealth quintile (as per the original survey, poorest, poorer, middle, richer and richest), remoteness (rural and urban), number of children under five years of age (none, one or two children and three or more children), women’s employment status (yes and no), family size (less than five and five and above), and health care decision maker (wife alone, husband and wife joint, and husband alone and other family members). These variables were selected considering the existing literature and the local context of Nepal [6, 8]. Since we purposefully limited the data set to women who were aware of HMGs meeting in their ward, we accounted for this subpopulation selection in the analysis. Quantitative analyses were conducted using Stata (version 15) and results were presented as adjusted odds ratios (aORs) with 95% confidence interval (95% CI). Differences with p-values < 0.05>