This mixed-procedures study was conducted inside the Nepal, an LMIC when you look at the The southern part of Asia, composed of 77 districts

Settings

The newest decimal component entailed a holiday study of your own Nepal Group and you will Health Survey (NDHS) 2016, a nationwide user questionnaire, just like the qualitative component entailed collecting analysis through interview and you may category conversations held in 2 purposively picked websites-that outlying local government (Kaligandaki) and one metropolitan local government (Chapakot) into the Syangja section. The latest HMG meetings in these configurations got a fixed date and you will venue (seventh and 14th of every Nepali month inside Kaligandaki and you may Chapakot respectively). Both in municipalities, brand new HMG meetings constantly lasted for 2 to 3 times and you may was used along together with other conferences/activities including antenatal worry (ANC) check-ups, women’s development conferences, cost savings programs, and you can blood circulation pressure dimensions. While Kaligandaki’s HMG group meetings occurred within the a fixed construction area, ladies in Chapakot satisfied in the open-sky.

People and you will Investigation Range

Towards the quantitative study part, i put investigation about NDHS 2016, which in fact had a response rates off 98.3% . Facts about the new sample size formula and you can testing steps is actually demonstrated throughout the NDHS 2016 report . To answer all of our lookup concern, we removed NDHS ladies’ questionnaire data amassed certainly one of women aged 15–44 decades who were alert to HMG group meetings within organizations. These types of studies have been built-up from the instructed interviewers playing with prepared questionnaires one to included caste, ladies age, ladies’ knowledge, wide range quintile, amount of students under five years, house headship, remoteness, family dimensions, medical care choice inventor, ladies a job standing, and you may involvement from inside the HMG meetings .

Into qualitative role, we gathered number 1 study from the conducting 35 inside the-breadth interviews (IDIs) which have 1000-date women, FCHVs and health pros and you may 7 attention group conversations (FGDs) having FCHVs, health pros, and you may female and male choice-suppliers by themselves (tips for these types of IDIs getbride.org Seite dort and you will FGDs is actually explained someplace else ). The latest IDIs and you may FGDs guide inquiries was indeed created so you’re able to align which have the research concern and you may establish in line with the literary works to your mother’s category [six, 8] and the local context regarding HMGs into the Nepal. This type of instructions were in addition to pre-checked out and you may revised, once the requisite. The big subject areas browsed towards the different categories of analysis members have been thinking of your HMG, as well as conference reputation, awareness of brand new group meetings, traps and you can enablers to possess involvement, women’s demand for and thought property value HMGs, plus the tips for strengthening HMG involvement.

Studies management and you may studies

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>