Pub Date : 2022-12-12DOI: 10.3126/hprospect.v21i3.49835
P. Simkhada, Edwin Roland van Teijlingen, P. Regmi
This is an editorial only.
这只是一篇社论。
{"title":"Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022","authors":"P. Simkhada, Edwin Roland van Teijlingen, P. Regmi","doi":"10.3126/hprospect.v21i3.49835","DOIUrl":"https://doi.org/10.3126/hprospect.v21i3.49835","url":null,"abstract":"This is an editorial only.","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129527683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-21DOI: 10.3126/hprospect.v21i2.42907
Orlanda Harvey, Alison Taylor, P. Regmi, Edwin Roland van Teijlingen
Peer review is key in academic publishing, and rejection (or at least being asked to resubmit your paper to the journal), is a not uncommon occurrence. However, receiving such rejection and having to reply to it can be hard for the early-career researcher. In this paper, we first highlight the role of the peer reviewer, followed by some of the less friendly reviewers’ comments to our own submitted papers in four case studies. We conclude with several suggestions of ways to deal with less than positive reviews.
{"title":"Struggling to reply to reviewers: Some advice for novice researchers","authors":"Orlanda Harvey, Alison Taylor, P. Regmi, Edwin Roland van Teijlingen","doi":"10.3126/hprospect.v21i2.42907","DOIUrl":"https://doi.org/10.3126/hprospect.v21i2.42907","url":null,"abstract":"Peer review is key in academic publishing, and rejection (or at least being asked to resubmit your paper to the journal), is a not uncommon occurrence. However, receiving such rejection and having to reply to it can be hard for the early-career researcher. \u0000In this paper, we first highlight the role of the peer reviewer, followed by some of the less friendly reviewers’ comments to our own submitted papers in four case studies. We conclude with several suggestions of ways to deal with less than positive reviews.","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114565914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-21DOI: 10.3126/hprospect.v21i2.41312
Sumina Oli, D. Bhandari, Usha Aryal, Anish Sharma Upreti, Sampurna Kackchapati
Introduction: Tobacco is one of the biggest public health threats the world has ever faced, killing nearly eight million people a year. The problem of smoking among females has not been well addressed in Nepal. The study aims is to identify reasons behind smoking initiation and maintenance from the perspective of female smokers in Nepal.Methods: A qualitative study was conducted among female smokers aged between 18-24 years using focus group discussion and individual interviews in different hotspots for smoking in Kathmandu valley, Nepal. The purposive sampling technique was used. The female smokers who had smoked at least once in the previous seven days and continuously for the previous six months were included in the study. The interviews and discussions were recorded and transcribed before thematic analysis was conducted.Results: Four major themes emerged from analysis -initiation of smoking, smoking behavior, reasons for smoking and beliefs about smoking. All the female smokers started smoking as teenagers, generally out of curiosity and influence from family members. They preferred to smoke in groups and some were forced to smoke by their friends and had smoked against their will until smoking became a habit. Other factors for them to smoke were stress, conflict, peer pressure, fashion and education factors. The participants regarded the sense of release and independence gained from smoking as important and perceived the health risks as slight.Conclusion: The different perspectives on smoking identified in this study suggest that public health interventions should aim to decrease smoking levels by targeting groups rather than individuals, focusing on changing the smoking behavior of families and strengthening the non-smoking policy in public places.
{"title":"Perspectives on Smoking among Female Smokers: A Qualitative Study from Kathmandu, Nepal","authors":"Sumina Oli, D. Bhandari, Usha Aryal, Anish Sharma Upreti, Sampurna Kackchapati","doi":"10.3126/hprospect.v21i2.41312","DOIUrl":"https://doi.org/10.3126/hprospect.v21i2.41312","url":null,"abstract":"Introduction: Tobacco is one of the biggest public health threats the world has ever faced, killing nearly eight million people a year. The problem of smoking among females has not been well addressed in Nepal. The study aims is to identify reasons behind smoking initiation and maintenance from the perspective of female smokers in Nepal.Methods: A qualitative study was conducted among female smokers aged between 18-24 years using focus group discussion and individual interviews in different hotspots for smoking in Kathmandu valley, Nepal. The purposive sampling technique was used. The female smokers who had smoked at least once in the previous seven days and continuously for the previous six months were included in the study. The interviews and discussions were recorded and transcribed before thematic analysis was conducted.Results: Four major themes emerged from analysis -initiation of smoking, smoking behavior, reasons for smoking and beliefs about smoking. All the female smokers started smoking as teenagers, generally out of curiosity and influence from family members. They preferred to smoke in groups and some were forced to smoke by their friends and had smoked against their will until smoking became a habit. Other factors for them to smoke were stress, conflict, peer pressure, fashion and education factors. The participants regarded the sense of release and independence gained from smoking as important and perceived the health risks as slight.Conclusion: The different perspectives on smoking identified in this study suggest that public health interventions should aim to decrease smoking levels by targeting groups rather than individuals, focusing on changing the smoking behavior of families and strengthening the non-smoking policy in public places.","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131109777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-21DOI: 10.3126/hprospect.v21i2.42738
A. Timilsina, Garima Rijal, Pabitra Neupane, Sajja Singh
Reproductive health care services are fundamental human rights of every individual, which are also stated by various international instruments. Nepal is also part of these international commitments and has reflected its commitment in the nation’s plan, strategy, and programs. Though significant efforts have been made to fulfill and improve the sexual and reproductive health care services in Nepal, women and marginalized communities are still deprived of the services. During the COVID-19 pandemic, the utilization of reproductive health services declined which is aggravating the situation and threatening to reverse the progress made so far. The article reviews the accessibility of comprehensive reproductive health services through the framework of reproductive justice during the COVID-19 in Nepal. Reproductive Justice is not only a framework for liberty for marginalized communities but also ethical guidance for policymakers and service providers.
{"title":"Comprehensive reproductive health care services during COVID19 in Nepal: An ethical analysis through Reproductive Justice Framework","authors":"A. Timilsina, Garima Rijal, Pabitra Neupane, Sajja Singh","doi":"10.3126/hprospect.v21i2.42738","DOIUrl":"https://doi.org/10.3126/hprospect.v21i2.42738","url":null,"abstract":"Reproductive health care services are fundamental human rights of every individual, which are also stated by various international instruments. Nepal is also part of these international commitments and has reflected its commitment in the nation’s plan, strategy, and programs. Though significant efforts have been made to fulfill and improve the sexual and reproductive health care services in Nepal, women and marginalized communities are still deprived of the services. During the COVID-19 pandemic, the utilization of reproductive health services declined which is aggravating the situation and threatening to reverse the progress made so far. The article reviews the accessibility of comprehensive reproductive health services through the framework of reproductive justice during the COVID-19 in Nepal. Reproductive Justice is not only a framework for liberty for marginalized communities but also ethical guidance for policymakers and service providers.","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125526564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-25DOI: 10.3126/hprospect.v21i1.29500
A. Onoja, J. Shaibu, F. Sanni, D. Oguche, Imam Adamu, P. Abiodun, S. Onoja
Backgrounds: Sufficient knowledge of STIs is important in the prevention and control of HIV. This study compares the knowledge and experience of STIs among female sex workers (FSW) in a rural community with and without intervention. Methodology: The study is a quantitative study involving FSW in Bonny Kingdom. A structured questionnaire was used to obtain the demographics, knowledge and symptoms of STI. Data were analysed using SPSS version 25. Results: There were 261 respondents in the pre-intervention and 186 in post-intervention surveys. Knowledge of STIs was 86.6% in the pre-intervention and 97.3% in the post-intervention surveys. Knowledge of STI symptoms in women ranged from 23.7% to 32.5% in pre-intervention and 65.3 to 93.9% in post-intervention. Knowledge of STI symptoms in men ranged from 25.6%-37.9% in pre-intervention and 62.5%-93.8% in the post-intervention. In pre-intervention, 44.7% experienced STI symptoms within 12 months and 9.3% in the last two-months as compared to 6 3.2% and 1.1% in post-intervention survey. Conclusion: This study showed a significant reduction of STI among FSW due to interventions. Intervention is an important tool in the prevention and control of STIs and HIV in rural communities where there are limited and poor health facilities.
{"title":"Knowledge and Experience of STIs Among Female Sexual Workers in an African Rural Community: The Impact of Community-based Interventions","authors":"A. Onoja, J. Shaibu, F. Sanni, D. Oguche, Imam Adamu, P. Abiodun, S. Onoja","doi":"10.3126/hprospect.v21i1.29500","DOIUrl":"https://doi.org/10.3126/hprospect.v21i1.29500","url":null,"abstract":"Backgrounds: Sufficient knowledge of STIs is important in the prevention and control of HIV. This study compares the knowledge and experience of STIs among female sex workers (FSW) in a rural community with and without intervention. Methodology: The study is a quantitative study involving FSW in Bonny Kingdom. A structured questionnaire was used to obtain the demographics, knowledge and symptoms of STI. Data were analysed using SPSS version 25. Results: There were 261 respondents in the pre-intervention and 186 in post-intervention surveys. Knowledge of STIs was 86.6% in the pre-intervention and 97.3% in the post-intervention surveys. Knowledge of STI symptoms in women ranged from 23.7% to 32.5% in pre-intervention and 65.3 to 93.9% in post-intervention. Knowledge of STI symptoms in men ranged from 25.6%-37.9% in pre-intervention and 62.5%-93.8% in the post-intervention. In pre-intervention, 44.7% experienced STI symptoms within 12 months and 9.3% in the last two-months as compared to 6 3.2% and 1.1% in post-intervention survey. Conclusion: This study showed a significant reduction of STI among FSW due to interventions. Intervention is an important tool in the prevention and control of STIs and HIV in rural communities where there are limited and poor health facilities.","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124070180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3126/hprospect.v20i1.41210
S. Kakchapati, A. Rijal, S. Kc
Not Applicable
不适用
{"title":"Antimicrobial Resistance in Nepal: The Next Invisible Pandemic","authors":"S. Kakchapati, A. Rijal, S. Kc","doi":"10.3126/hprospect.v20i1.41210","DOIUrl":"https://doi.org/10.3126/hprospect.v20i1.41210","url":null,"abstract":"Not Applicable","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"139 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125824963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-27DOI: 10.3126/hprospect.v20i1.38675
N. Aryal, P. Regmi, A. Sedhain, R. Kc, E. Faller, A. Rijal, Edwin Roland van Teijlingen
Not applicable as this is an editorial.
不适用,因为这是一篇社论。
{"title":"Kidney health risk of migrant workers: An issue we can no longer overlook","authors":"N. Aryal, P. Regmi, A. Sedhain, R. Kc, E. Faller, A. Rijal, Edwin Roland van Teijlingen","doi":"10.3126/hprospect.v20i1.38675","DOIUrl":"https://doi.org/10.3126/hprospect.v20i1.38675","url":null,"abstract":"Not applicable as this is an editorial. ","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126414475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-26DOI: 10.3126/hprospect.v19i1.27805
A. Timilsina, R. Paudel, A. Shrestha
Background: Pregnancy demands adequate nutritional requirements for foetal growth, good health of pregnant women and to avoid adverse effects during pregnancy. Women from developing countries with limited resources have inadequate consumption of nutritional diets. This paper assesses the nutrient intake and dietary pattern of Nepalese pregnant women compared with recommended nutrient intake. This paper also observes trimester wise nutrient intake among pregnant women in Nepal.Methodology: A descriptive cross-sectional study was conducted among 323 pregnant women who visited Gynaecology and Obstetrics Out-Patient Department (OPD) at Tribhuvan University Teaching Hospital (TUTH) for regular Antenatal Care (ANC) check-ups. Systematic random sampling methods were followed and data were collected from September 2016 to October 2016. Nutrient intake was evaluated with a 24-hour dietary recall method and compared with the Nepalese Food Composition Table 2017 for available nutrients. Face-to-face structured interviews were conducted to assess the nutrient intake of the respondents. The data were entered in Microsoft Excel 2007 and statistical analysis was carried out in SPSS v26. The descriptive analysis was done to identify the distribution of socio-demographic variables of pregnant women. The one-way Analysis of Variance (ANOVA) was used to compare the mean of nutrient intake distribution while Tukey’s post-hoc test was done to compare trimester-wise nutrient intakes.Results: Except for fat, the intake of nutrients were below the Nepalese Recommended Nutrient Intake. Carbohydrate and energy intake in the second and third trimester was significantly different from that in the first trimester (p = 0.006 and 0.004 respectively for carbohydrates and p = 0.009 and 0.002 respectively for energy intake). However, riboflavin intake was significantly lower only in the third trimester as compared to the first (p = 0.025) while there were no significant intake differences between the first and second trimester and second and third trimester. No significant trimester wise differences were observed for intake distribution of other nutrients. Cereal intake was found to be abundant in the diet of pregnant women followed by pulses, legumes, and other vegetables.Conclusion: The research concludes inadequate nutrient intake among pregnant women as compared to the national Recommended Nutrient Intake.
{"title":"Nutrient intake and dietary pattern among pregnant women visiting the tertiary level hospital of Nepal","authors":"A. Timilsina, R. Paudel, A. Shrestha","doi":"10.3126/hprospect.v19i1.27805","DOIUrl":"https://doi.org/10.3126/hprospect.v19i1.27805","url":null,"abstract":"Background: Pregnancy demands adequate nutritional requirements for foetal growth, good health of pregnant women and to avoid adverse effects during pregnancy. Women from developing countries with limited resources have inadequate consumption of nutritional diets. This paper assesses the nutrient intake and dietary pattern of Nepalese pregnant women compared with recommended nutrient intake. This paper also observes trimester wise nutrient intake among pregnant women in Nepal.Methodology: A descriptive cross-sectional study was conducted among 323 pregnant women who visited Gynaecology and Obstetrics Out-Patient Department (OPD) at Tribhuvan University Teaching Hospital (TUTH) for regular Antenatal Care (ANC) check-ups. Systematic random sampling methods were followed and data were collected from September 2016 to October 2016. Nutrient intake was evaluated with a 24-hour dietary recall method and compared with the Nepalese Food Composition Table 2017 for available nutrients. Face-to-face structured interviews were conducted to assess the nutrient intake of the respondents. The data were entered in Microsoft Excel 2007 and statistical analysis was carried out in SPSS v26. The descriptive analysis was done to identify the distribution of socio-demographic variables of pregnant women. The one-way Analysis of Variance (ANOVA) was used to compare the mean of nutrient intake distribution while Tukey’s post-hoc test was done to compare trimester-wise nutrient intakes.Results: Except for fat, the intake of nutrients were below the Nepalese Recommended Nutrient Intake. Carbohydrate and energy intake in the second and third trimester was significantly different from that in the first trimester (p = 0.006 and 0.004 respectively for carbohydrates and p = 0.009 and 0.002 respectively for energy intake). However, riboflavin intake was significantly lower only in the third trimester as compared to the first (p = 0.025) while there were no significant intake differences between the first and second trimester and second and third trimester. No significant trimester wise differences were observed for intake distribution of other nutrients. Cereal intake was found to be abundant in the diet of pregnant women followed by pulses, legumes, and other vegetables.Conclusion: The research concludes inadequate nutrient intake among pregnant women as compared to the national Recommended Nutrient Intake. \u0000 ","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"192 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120952759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-19DOI: 10.21203/rs.3.rs-29479/v1
Anshu Bhoosal, N. Karki, Riya Parajuli
Background HIV is a major global health issue, targeting the immune system and making the body prone to diseases. People living with HIV mostly face societal stigma and fear of disclosure resulting in discrimination of accessing health facilities leading to multiple sex partners, increased sexual activity and less use of condoms. HIV positive women are at risk of transmitting HIV to their infants and their partners. Thus, the family planning services if provided to PLHIV can help to improve their and families health. In addition to, it reduces the risk of mother-to-child transmission (PMTCT). The facts related to PLHIV with respect to pregnancy and childbearing are not available. The purpose of this study is to focus on the status of the use of family planning methods and explore factors affecting the utilization among people living with HIV and AIDS in Kathmandu valley of Nepal. The study is expected to contribute in enhancing the present understanding of PLHIV towards family planning.Methods The cross sectional descriptive method was used for the research. The study followed Population proportion to size method for the calculation of the respondents from four ART sites of Kathmandu Valley. Structured questionnaire used previously in similar research has been adopted with necessary question related to dual contraceptive use.Results The mean age group of the respondents was (39.16 ± 6.969) years. More than two third respondents (69.5%) were Hindu. 34.8% respondents were married at the less than 20 years of age. Almost three- fourth of the PLHIV (74.4%) were literate where more than three fourth (79.3%) their spouses were literate and educated. About half of the respondents (43.9%) were found to be involved in professional/ technical/ managerial. More than half of the respondent’s spouses (63.4%) were HIV positive. All the respondents (100%) respondents had disclosed their status to their partners. Neither the respondents nor their partner had fertility desire. 28% of neither respondents nor their partners had used the family planning methods before HIV diagnosis. More than half (60.4%) of the respondents had sexual intercourse prior to last 6 months. 15.9% of the respondents positively responded to use of dual protection. Only 11% either respondents or their partners had used the emergency contraceptive pill. 17.7% respondents did not use any family planning. This study revealed that almost half of the respondents (48.8%) had the good knowledge on the use of contraception.Conclusion The use of dual protection is much less than the half of the respondents. Therefore, counseling and health education towards motivating PLHIV on using dual FP methods to avoid the risk of HIV, STIs and unplanned pregnancy is encouraged.
{"title":"Knowledge and Utilization of Family Planning Methods Among People Living With Hiv In Kathmandu Valley","authors":"Anshu Bhoosal, N. Karki, Riya Parajuli","doi":"10.21203/rs.3.rs-29479/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-29479/v1","url":null,"abstract":"\u0000 Background HIV is a major global health issue, targeting the immune system and making the body prone to diseases. People living with HIV mostly face societal stigma and fear of disclosure resulting in discrimination of accessing health facilities leading to multiple sex partners, increased sexual activity and less use of condoms. HIV positive women are at risk of transmitting HIV to their infants and their partners. Thus, the family planning services if provided to PLHIV can help to improve their and families health. In addition to, it reduces the risk of mother-to-child transmission (PMTCT). The facts related to PLHIV with respect to pregnancy and childbearing are not available. The purpose of this study is to focus on the status of the use of family planning methods and explore factors affecting the utilization among people living with HIV and AIDS in Kathmandu valley of Nepal. The study is expected to contribute in enhancing the present understanding of PLHIV towards family planning.Methods The cross sectional descriptive method was used for the research. The study followed Population proportion to size method for the calculation of the respondents from four ART sites of Kathmandu Valley. Structured questionnaire used previously in similar research has been adopted with necessary question related to dual contraceptive use.Results The mean age group of the respondents was (39.16 ± 6.969) years. More than two third respondents (69.5%) were Hindu. 34.8% respondents were married at the less than 20 years of age. Almost three- fourth of the PLHIV (74.4%) were literate where more than three fourth (79.3%) their spouses were literate and educated. About half of the respondents (43.9%) were found to be involved in professional/ technical/ managerial. More than half of the respondent’s spouses (63.4%) were HIV positive. All the respondents (100%) respondents had disclosed their status to their partners. Neither the respondents nor their partner had fertility desire. 28% of neither respondents nor their partners had used the family planning methods before HIV diagnosis. More than half (60.4%) of the respondents had sexual intercourse prior to last 6 months. 15.9% of the respondents positively responded to use of dual protection. Only 11% either respondents or their partners had used the emergency contraceptive pill. 17.7% respondents did not use any family planning. This study revealed that almost half of the respondents (48.8%) had the good knowledge on the use of contraception.Conclusion The use of dual protection is much less than the half of the respondents. Therefore, counseling and health education towards motivating PLHIV on using dual FP methods to avoid the risk of HIV, STIs and unplanned pregnancy is encouraged.","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134444976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-08DOI: 10.3126/HPROSPECT.V18I2.25525
D. Acharya, Malcolm Thomas, Rosemary Cann, P. Regmi
Sex education is taught to secondary school students in Nepal. Nevertheless, there are concerns that the school-based sexual health education is not effective and adequate to address young people’s necessities. We carried out a qualitative study comprising key informant interviews with teachers (n=8) and parents (n=6) in Makwanpur district in Nepal. Interviews were recorded, transcribed and translated into English. Thematic analysis was performed to identify patterns or themes within the qualitative data. Most participants (both teachers and parents) had thought of delivering sex education preferably from grade seven to avoid the effects of globalised mass media and the internet. The practical aspects of school sex education programme and the importance of parent-child communication were of major concerns. Comprehensive training to health teachers, an informal approach to teaching sex education and seeking outside health professionals, such as health facilitators were the frequently reported issues. There is a need to offer sexual health services along with sex education to protect young people from potential dangers of STIs including HIV infection. Particularly, health teachers should be trained properly to mitigate the social and cultural impacts, and to allow a smooth sex education discussion in the classroom. The curriculum for sex education should be relevant, engaging and developmentally suitable with clear progressive avenues for learning experience.
{"title":"Parents’ and teachers’ perspectives on children’s sexual health education: a qualitative study in Makwanpur Nepal","authors":"D. Acharya, Malcolm Thomas, Rosemary Cann, P. Regmi","doi":"10.3126/HPROSPECT.V18I2.25525","DOIUrl":"https://doi.org/10.3126/HPROSPECT.V18I2.25525","url":null,"abstract":"Sex education is taught to secondary school students in Nepal. Nevertheless, there are concerns that the school-based sexual health education is not effective and adequate to address young people’s necessities. We carried out a qualitative study comprising key informant interviews with teachers (n=8) and parents (n=6) in Makwanpur district in Nepal. Interviews were recorded, transcribed and translated into English. Thematic analysis was performed to identify patterns or themes within the qualitative data. Most participants (both teachers and parents) had thought of delivering sex education preferably from grade seven to avoid the effects of globalised mass media and the internet. The practical aspects of school sex education programme and the importance of parent-child communication were of major concerns. Comprehensive training to health teachers, an informal approach to teaching sex education and seeking outside health professionals, such as health facilitators were the frequently reported issues. There is a need to offer sexual health services along with sex education to protect young people from potential dangers of STIs including HIV infection. Particularly, health teachers should be trained properly to mitigate the social and cultural impacts, and to allow a smooth sex education discussion in the classroom. The curriculum for sex education should be relevant, engaging and developmentally suitable with clear progressive avenues for learning experience.","PeriodicalId":230485,"journal":{"name":"Health Prospect","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114206650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}