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Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022 卡塔尔的移民工人:这不仅仅是2022年世界杯期间的一个重要话题
Pub Date : 2022-12-12 DOI: 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。
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引用次数: 2
Struggling to reply to reviewers: Some advice for novice researchers 挣扎着回复审稿人:给研究新手的一些建议
Pub Date : 2022-07-21 DOI: 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.
同行评议是学术出版的关键,拒绝(或至少被要求重新提交你的论文)并不罕见。然而,收到这样的拒绝,并不得不回复它可能是困难的早期职业研究人员。在本文中,我们首先强调了同行审稿人的作用,然后是一些不太友好的审稿人对我们自己提交的论文的评论。最后,我们提出了一些处理不太积极评论的方法建议。
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引用次数: 0
Perspectives on Smoking among Female Smokers: A Qualitative Study from Kathmandu, Nepal 对女性吸烟者吸烟的看法:来自尼泊尔加德满都的定性研究
Pub Date : 2022-07-21 DOI: 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.
烟草是世界有史以来面临的最大的公共卫生威胁之一,每年造成近800万人死亡。在尼泊尔,女性吸烟的问题没有得到很好的解决。该研究的目的是从尼泊尔女性吸烟者的角度确定吸烟开始和维持背后的原因。方法:采用焦点小组讨论和个人访谈的方法,对尼泊尔加德满都谷地不同吸烟热点地区18-24岁的女性吸烟者进行定性研究。采用目的抽样技术。研究对象是在过去7天内至少吸过一次烟的女性,并且在过去6个月里连续吸过一次烟。在进行专题分析之前,对访谈和讨论进行了记录和转录。结果:从分析中得出四个主要主题:开始吸烟、吸烟行为、吸烟原因和吸烟信念。所有的女性吸烟者都是在青少年时期开始吸烟的,通常是出于好奇和家庭成员的影响。他们更喜欢集体吸烟,有些人是被朋友强迫吸烟的,直到吸烟成为一种习惯。导致他们吸烟的其他因素还有压力、冲突、同辈压力、时尚和教育因素。参与者认为从吸烟中获得的放松和独立感很重要,认为健康风险很小。结论:本研究发现的吸烟问题的不同观点表明,公共卫生干预应以减少吸烟水平为目标,以群体为目标,而不是以个人为目标,重点改变家庭吸烟行为,加强公共场所禁烟政策。
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引用次数: 0
Comprehensive reproductive health care services during COVID19 in Nepal: An ethical analysis through Reproductive Justice Framework 尼泊尔2019冠状病毒病期间的综合生殖保健服务:通过生殖司法框架进行伦理分析
Pub Date : 2022-07-21 DOI: 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.
生殖保健服务是每个人的基本人权,各种国际文书也规定了这一点。尼泊尔也是这些国际承诺的一部分,并将其承诺反映在国家的计划、战略和项目中。尽管尼泊尔为实现和改善性保健和生殖保健服务作出了重大努力,但妇女和边缘化社区仍然无法获得这些服务。在2019冠状病毒病大流行期间,生殖健康服务的使用率下降,这使情况恶化,并有可能扭转迄今取得的进展。文章回顾了尼泊尔在2019冠状病毒病期间通过生殖司法框架获得全面生殖健康服务的情况。生殖正义不仅是边缘化社区自由的框架,也是政策制定者和服务提供者的道德指导。
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引用次数: 0
Knowledge and Experience of STIs Among Female Sexual Workers in an African Rural Community: The Impact of Community-based Interventions 非洲农村社区女性性工作者的性传播感染知识和经验:社区干预的影响
Pub Date : 2022-02-25 DOI: 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.
背景:充分了解性传播感染对预防和控制艾滋病毒至关重要。本研究比较了有干预和没有干预的农村社区女性性工作者(FSW)对性传播感染的知识和经验。方法:本研究是一项涉及邦尼王国FSW的定量研究。采用结构化问卷调查获得性传播感染的人口统计、知识和症状。数据分析采用SPSS 25。结果:干预前调查被调查者261人,干预后调查被调查者186人。干预前性传播感染知晓率为86.6%,干预后为97.3%。干预前妇女对性传播感染症状的知晓率为23.7%至32.5%,干预后为65.3至93.9%。干预前男性对性传播感染症状的了解程度为25.6%-37.9%,干预后为62.5%-93.8%。在干预前,44.7%的人在12个月内出现性传播感染症状,9.3%的人在最后两个月内出现性传播感染症状,而在干预后调查中,这一比例分别为6.3.2%和1.1%。结论:本研究表明,由于干预措施,FSW中STI的发生率显著降低。在卫生设施有限和薄弱的农村社区,干预是预防和控制性传播感染和艾滋病毒的重要工具。
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引用次数: 0
Antimicrobial Resistance in Nepal: The Next Invisible Pandemic 尼泊尔的抗菌素耐药性:下一个看不见的流行病
Pub Date : 2021-12-31 DOI: 10.3126/hprospect.v20i1.41210
S. Kakchapati, A. Rijal, S. Kc
Not Applicable
不适用
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引用次数: 1
Kidney health risk of migrant workers: An issue we can no longer overlook 农民工肾脏健康风险:一个我们不能再忽视的问题
Pub Date : 2021-08-27 DOI: 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。
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引用次数: 1
Nutrient intake and dietary pattern among pregnant women visiting the tertiary level hospital of Nepal 在尼泊尔三级医院就诊的孕妇的营养摄入和饮食模式
Pub Date : 2020-11-26 DOI: 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.  
背景:孕期需要充足的营养需求,以保证胎儿的生长发育,孕妇的身体健康,避免孕期不良反应。来自资源有限的发展中国家的妇女营养饮食消费不足。本文评估了尼泊尔孕妇的营养摄入量和饮食模式与推荐营养摄入量的比较。本文还观察了三个月明智的营养摄入孕妇在尼泊尔。方法:对前往特里布万大学教学医院(TUTH)妇产科门诊(OPD)进行定期产前保健(ANC)检查的323名孕妇进行了描述性横断面研究。采用系统随机抽样方法,于2016年9月至2016年10月采集数据。采用24小时膳食回忆法评估营养摄入量,并与2017年尼泊尔食品成分表进行比较,以获取可用营养素。进行了面对面的结构化访谈,以评估受访者的营养摄入量。数据在Microsoft Excel 2007中录入,在SPSS v26中进行统计分析。描述性分析是为了确定孕妇的社会人口变量的分布。采用单因素方差分析(ANOVA)比较营养摄入分布的平均值,采用Tukey事后检验比较妊娠期营养摄入。结果:除脂肪外,其余营养物质摄取量均低于尼泊尔营养推荐摄取量。妊娠中晚期碳水化合物和能量摄入量与妊娠早期差异显著(碳水化合物p = 0.006和0.004,能量摄入量p = 0.009和0.002)。然而,与妊娠早期相比,核黄素摄入量仅在妊娠晚期显著降低(p = 0.025),而妊娠早期和中期以及中期和晚期之间的摄入量没有显著差异。其他营养素的摄入分布在妊娠期无显著差异。研究发现,在孕妇的饮食中,谷物的摄入量是丰富的,其次是豆类、豆类和其他蔬菜。结论:与国家推荐的营养摄入量相比,研究得出孕妇营养摄入量不足的结论。
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引用次数: 0
Knowledge and Utilization of Family Planning Methods Among People Living With Hiv In Kathmandu Valley 加德满都谷地艾滋病毒感染者计划生育方法的知识和使用
Pub Date : 2020-05-19 DOI: 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.
艾滋病毒是一个主要的全球健康问题,以免疫系统为目标,使身体容易患病。艾滋病毒感染者大多面临社会耻辱感和对披露信息的恐惧,导致在获得卫生设施方面受到歧视,导致多个性伴侣、性活动增加和避孕套使用减少。艾滋病毒阳性妇女有将艾滋病毒传染给婴儿及其伴侣的危险。因此,如果向艾滋病毒感染者提供计划生育服务,可以帮助改善他们及其家庭的健康。此外,它还降低了母婴传播(PMTCT)的风险。与艾滋病毒感染有关的怀孕和生育的事实是不可获得的。本研究的目的是关注计划生育方法的使用状况,并探讨影响尼泊尔加德满都谷地艾滋病毒感染者和艾滋病患者使用计划生育方法的因素。预计这项研究将有助于提高目前对艾滋病毒携带者和计划生育的认识。方法采用横断面描述性方法进行研究。本研究采用人口比例与规模的方法对加德满都谷地四个ART站点的受访者进行计算。采用了以前在类似研究中使用的结构化问卷,并提出了与双重避孕有关的必要问题。结果调查对象的平均年龄为(39.16±6.969)岁。超过三分之二的受访者(69.5%)是印度教徒,34.8%的受访者在20岁以下结婚。几乎四分之三(74.4%)的艾滋病毒感染者识字,超过四分之三(79.3%)的配偶识字和受过教育。约一半(43.9%)受访者从事专业/技术/管理工作。超过一半的被访者配偶(63.4%)是艾滋病毒阳性。所有被调查者(100%)都向伴侣透露过自己的状态。被调查者和他们的伴侣都没有生育欲望。28%的应答者及其伴侣在艾滋病诊断前均未使用计划生育方法。超过一半(60.4%)的受访者在过去6个月内有过性行为。15.9%的受访者对使用双重保护持积极态度。只有11%的受访者或其伴侣使用过紧急避孕药。17.7%的受访者没有采取任何计划生育措施。调查显示,近一半(48.8%)的受访者对避孕措施的使用有良好的了解。结论使用双重保护的受访者远少于半数。因此,鼓励对艾滋病毒感染者进行双重计划生育方法的咨询和健康教育,以避免艾滋病毒、性传播感染和意外怀孕的风险。
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引用次数: 1
Parents’ and teachers’ perspectives on children’s sexual health education: a qualitative study in Makwanpur Nepal 父母和教师对儿童性健康教育的看法:尼泊尔Makwanpur的一项质性研究
Pub Date : 2019-09-08 DOI: 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.
尼泊尔的中学生接受性教育。然而,令人关切的是,以学校为基础的性健康教育不够有效和不足以满足青年人的需要。我们开展了一项定性研究,包括对尼泊尔Makwanpur地区的教师(n=8)和家长(n=6)进行的关键信息提供者访谈。采访被录音、转录并翻译成英文。进行主题分析以确定定性数据中的模式或主题。大多数参与者(包括老师和家长)都认为最好从七年级开始进行性教育,以避免全球化大众媒体和互联网的影响。学校性教育方案的实际方面和亲子交流的重要性是主要关注的问题。经常报告的问题是,对保健教师进行全面培训,以非正式方式教授性教育,以及寻求外部保健专业人员,如保健促进者。有必要在提供性教育的同时提供性健康服务,以保护年轻人免受包括艾滋病毒感染在内的性传播感染的潜在危险。特别是,卫生教师应该得到适当的培训,以减轻社会和文化影响,并允许在课堂上进行顺利的性教育讨论。性教育课程应切合实际、引人入胜、适合发展,并提供清晰的学习经验途径。
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引用次数: 3
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Health Prospect
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