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AGRAWAAL K, Chhetri Kumar P, Manandhar D, Poudel P, Baidya Kesari S. SAT-217 COMPLICATIONS OF ARTERIO-VENOUS FISTULA AS A VASCULAR ACCESS IN HEMODIALYSIS PATIENTS- A HOSPITAL BASED STUDY. Kidney Int Rep 2020. [DOI: 10.1016/j.ekir.2020.02.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Morrison J, Colbourn T, Budhathoki B, Sen A, Adhikari D, Bamjan J, Pathak S, Basnet A, Trani JF, Costello A, Manandhar D, Groce N. Disabled women's attendance at community women's groups in rural Nepal. Health Promot Int 2017; 32:464-474. [PMID: 26519006 PMCID: PMC5455254 DOI: 10.1093/heapro/dav099] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
There is strong evidence that participatory approaches to health and participatory women's groups hold great potential to improve the health of women and children in resource poor settings. It is important to consider if interventions are reaching the most marginalized, and therefore we examined disabled women's participation in women's groups and other community groups in rural Nepal. People with disabilities constitute 15% of the world's population and face high levels of poverty, stigma, social marginalization and unequal access to health resources, and therefore their access to women's groups is particularly important. We used a mixed methods approach to describe attendance in groups among disabled and non-disabled women, considering different types and severities of disability. We found no significant differences in the percentage of women that had ever attended at least one of our women's groups, between non-disabled and disabled women. This was true for women with all severities and types of disability, except physically disabled women who were slightly less likely to have attended. Barriers such as poverty, lack of family support, lack of self-confidence and attendance in many groups prevented women from attending groups. Our findings are particularly significant because disabled people's participation in broader community groups, not focused on disability, has been little studied. We conclude that women's groups are an important way to reach disabled women in resource poor communities. We recommend that disabled persons organizations help to increase awareness of disability issues among organizations running community groups to further increase their effectiveness in reaching disabled women.
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Affiliation(s)
- J. Morrison
- Institute ofGlobal Health, University College London, 30 Guilford Street, London WC1N 1EH, UK
| | - T. Colbourn
- Institute ofGlobal Health, University College London, 30 Guilford Street, London WC1N 1EH, UK
| | - B. Budhathoki
- Mother Infant Research Activities (MIRA) Nepal, PO Box 921, Thapathali, Kathmandu, Nepal
| | - A. Sen
- Mother Infant Research Activities (MIRA) Nepal, PO Box 921, Thapathali, Kathmandu, Nepal
| | - D. Adhikari
- Mother Infant Research Activities (MIRA) Nepal, PO Box 921, Thapathali, Kathmandu, Nepal
| | - J. Bamjan
- Mother Infant Research Activities (MIRA) Nepal, PO Box 921, Thapathali, Kathmandu, Nepal
| | - S. Pathak
- Mother Infant Research Activities (MIRA) Nepal, PO Box 921, Thapathali, Kathmandu, Nepal
| | - A. Basnet
- Mother Infant Research Activities (MIRA) Nepal, PO Box 921, Thapathali, Kathmandu, Nepal
| | - J. F. Trani
- Leonard Cheshire Centre for Disability and Inclusive Development, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK
| | - A. Costello
- Institute ofGlobal Health, University College London, 30 Guilford Street, London WC1N 1EH, UK
| | - D. Manandhar
- Mother Infant Research Activities (MIRA) Nepal, PO Box 921, Thapathali, Kathmandu, Nepal
| | - N. Groce
- Leonard Cheshire Centre for Disability and Inclusive Development, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK
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Sharma S, Khanal B, Manandhar D, Rijal S. Clinical presentation and outcome of severe falciparum malaria in Eastern Nepal. Int J Infect Dis 2010. [DOI: 10.1016/j.ijid.2010.02.1727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Powell-Jackson T, Neupane BD, Tiwari S, Tumbahangphe K, Manandhar D, Costello AM. The impact of Nepal's national incentive programme to promote safe delivery in the district of Makwanpur. Adv Health Econ Health Serv Res 2009; 21:221-249. [PMID: 19791705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
OBJECTIVE Nepal's Safe Delivery Incentive Programme (SDIP) was introduced nationwide in 2005 with the aim of encouraging greater use of professional care at childbirth. It provided cash to women giving birth in a public health facility and an incentive to the health provider for each delivery attended, either at home or in the facility. We aimed to assess the impact of the programme on neonatal mortality and health care seeking behaviour at childbirth in one district of Nepal. METHODS Impacts were identified using an interrupted time series approach, applied to houSehold data. We estimated a model linking the level of each outcome at a point in time to the start of the programme, demographic controls, a vector of time variables and community-level fixed effects. FINDINGS The recipients of the cash transfer in the programme's first two years were disproportionately wealthier households, reflecting existing inequality in the use of government maternity services. In places with women's groups--where information about the policy was widely disseminated--the SDIP substantially increased skilled birth attendance, but failed to impact on either neonatal mortality or the caesarean section rate. In places with no women's groups, the SDIP had no impact on utilisation outcomes or neonatal mortality. IMPLICATIONS FOR POLICY The lack of any impact on neonatal mortality suggests that greater increases in utilisation or better quality of care are needed to improve health outcomes. The SDIP changed health care seeking behaviour only in those areas with women's groups highlighting the importance of effective communication of the policy to the wider public.
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Affiliation(s)
- T Powell-Jackson
- Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
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Abstract
The use of touch by health workers to detect hypothermia was examined in 250 newborns in Nepal. Palpation of the feet shows fair interobserver agreement (kappa = 0.4-0.7) and high sensitivity (>80%) but low specificity (36%-74%) compared with axillary thermometry. Traditional birth attendants should feel an infant's feet to detect hypothermia.
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Affiliation(s)
- M Ellis
- Centre for Child and Adolescent Health, Bristol University, UK.
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