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The brand new quantitative part entailed a holiday study of your own Nepal Group and you may Health Questionnaire (NDHS) 2016, a nationwide user survey, once the qualitative part entailed collecting data through interview and you may classification talks stored in two purposively picked websites-one rural municipality (Kaligandaki) and another urban municipality (Chapakot) when you look at the Syangja region. The new HMG meetings in these settings got a fixed go out and you will venue (seventh and you will 14th of every Nepali week when you look at the Kaligandaki and you will Chapakot respectively). Both in municipalities, new HMG meetings usually endured for 2 to three period and was basically held in conjunction along with other meetings/factors eg antenatal worry (ANC) check-ups, ladies’ innovation group meetings, cost benefits programs, and blood pressure levels specifications. If you are Kaligandaki’s HMG meetings were held in a fixed framework place, feamales in Chapakot met in the wild-air.

Users and you can Research Range

With the quantitative study role, we put data from the NDHS 2016, which had a response rate off 98.3% . Facts about the new sample size formula and you may sampling strategies are discussed in the NDHS 2016 report . To answer our very own lookup concern, i extracted NDHS women’s questionnaire studies obtained one of feminine old 15–44 years who were familiar with HMG conferences within their teams. This type of investigation was basically compiled of the taught interviewers playing with prepared surveys that included caste, ladies many years, women’s knowledge, money quintile, amount of youngsters significantly less than 5 years, house headship, remoteness, friends proportions, health care decision inventor, ladies’ employment condition, and involvement for the HMG meetings .

On the qualitative component, we built-up first study by performing 35 during the-breadth interviews (IDIs) with 1000-big date feminine, FCHVs and fitness gurus and you will 7 attract category talks (FGDs) with FCHVs, wellness workers, and you will men and women decision-firms independently (suggestions for these types of IDIs and you can FGDs is revealed somewhere else ). This new IDIs and FGDs publication concerns were developed so you can line-up having the research matter and you will set-up in accordance with the literature with the mom’s class [6, 8] therefore the regional framework from HMGs within the Nepal. These guides was in addition to pre-checked and you will modified, as called for. The big topics browsed to the additional types of studies members had been perceptions of the HMG, together with fulfilling updates, attention to the new conferences, barriers and enablers to have involvement, ladies demand for and you may thought of property value HMGs, and the suggestions for strengthening HMG participation.

Analysis administration and you can 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 Venezuela Frauen 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>