Setup

The brand new quantitative component entailed a secondary investigation of Nepal Demographic and Fitness Questionnaire (NDHS) 2016, a nationally representative survey, since qualitative part entailed get together analysis via interview and category talks stored in 2 purposively chose web sites-you to definitely outlying municipality (Kaligandaki) and something metropolitan municipality (Chapakot) during the Syangja section. This new HMG conferences during these options got a fixed big date and you may place (7th and you will 14th of any Nepali day for the Kaligandaki and you can Chapakot respectively). Both in municipalities, the new HMG group meetings always lasted for 2 to three times and you may was indeed presented in tandem with other conferences/points like antenatal care and attention (ANC) check-ups, ladies’ advancement group meetings, cost benefits programs, and you will blood pressure levels measurements. When you are Kaligandaki’s HMG conferences happened in the a predetermined framework venue, feamales in Chapakot came across in the great outdoors-heavens.

Users and you can Studies Collection

For the quantitative analysis component, we used studies from the NDHS 2016, which had a reply price away partnersuche filipino anmeldung from 98.3% . Facts about this new test proportions formula and you can sampling strategies is actually explained on the NDHS 2016 statement . To answer our very own research concern, we removed NDHS ladies survey research compiled among female aged fifteen–forty-two years who were conscious of HMG meetings in their communities. Such studies were gathered of the educated interviewers having fun with organized questionnaires that included caste, women’s years, ladies’ training, riches quintile, number of students under 5 years, family headship, remoteness, members of the family proportions, health care choice originator, ladies a position condition, and you can contribution from inside the HMG conferences .

To the qualitative part, we built-up top investigation of the performing thirty five from inside the-depth interview (IDIs) with 1000-time women, FCHVs and fitness pros and you can eight notice category conversations (FGDs) that have FCHVs, health workers, and male and female decision-brands alone (strategies for these types of IDIs and FGDs is demonstrated somewhere else ). The fresh new IDIs and FGDs guide concerns have been created to help you align which have the study question and you may set up in accordance with the books into mother’s class [6, 8] therefore the regional perspective regarding HMGs inside Nepal. These types of guides was as well as pre-examined and you can changed, given that required. The big subjects explored on the some other types of data players was indeed thinking of your own HMG, including appointment position, awareness of the fresh conferences, traps and you may enablers getting involvement, ladies need for and you can identified property value HMGs, plus the approaches for building HMG contribution.

Research management and you will analysis

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>