Configurations

The latest quantitative parts entailed a holiday data of your own Nepal Group and you may Fitness Survey (NDHS) 2016, a nationally representative survey, just like the qualitative parts entailed meeting study through interviews and classification talks stored in 2 purposively selected web sites-one outlying local government (Kaligandaki) and something urban sehr heiГџe Taiwanesisch MГ¤dchen local government (Chapakot) inside Syangja district. This new HMG meetings in these options had a predetermined go out and you can area (seventh and you can 14th of every Nepali week in the Kaligandaki and you can Chapakot respectively). In municipalities, the new HMG conferences always live for 2 to 3 hours and you can had been used in conjunction with other conferences/factors like antenatal care and attention (ANC) check-ups, women’s invention meetings, cost benefits programmes, and you can blood pressure levels specifications. While you are Kaligandaki’s HMG conferences took place in a predetermined design area, ladies in Chapakot came across in the wild-heavens.

Members and Data Collection

Toward quantitative data part, we used study regarding NDHS 2016, which had a response rate of 98.3% . Factual statements about new attempt dimensions formula and you can sampling steps try revealed from the NDHS 2016 report . To resolve our very own look concern, i removed NDHS ladies’ questionnaire investigation collected certainly one of women aged 15–44 age who were familiar with HMG meetings inside their organizations. These studies was in fact obtained by trained interviewers using arranged forms one included status, women’s ages, women’s knowledge, wide range quintile, level of students below five years, family headship, remoteness, friends dimensions, healthcare decision originator, ladies work status, and you may participation when you look at the HMG conferences .

To the qualitative parts, we built-up top study of the carrying out thirty five inside-breadth interview (IDIs) having 1000-day feminine, FCHVs and you will health pros and eight attention group discussions (FGDs) which have FCHVs, health experts, and you may male and female choice-firms independently (methods for this type of IDIs and FGDs are explained someplace else ). The new IDIs and you may FGDs guide issues were invented to line up which have the research concern and establish according to research by the literature into mother’s category [6, 8] additionally the regional perspective of HMGs in Nepal. These types of courses was and pre-looked at and you can revised, due to the fact expected. The top topics browsed on the additional categories of data users have been thinking of your own HMG, and conference standing, attention to the new group meetings, barriers and you may enablers to own participation, ladies’ demand for and you can perceived property value HMGs, as well as the techniques for building HMG involvement.

Investigation management and 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>