Awareness regarding Menstrual Hygiene among Girl Students of a School in Chitwan.

INTRODUCTION: Adolescent girls often lack knowledge regarding reproductive health including menstruation which can be due to socio-cultural barriers in which they grow up. It is important to educate adolescents about issues related to menstruation so that they can safeguard themselves and hold implications for professionals involved in improvement of reproductive health. The main objective of the study was to find out awareness regarding menstrual hygiene among girl students of a school in Chitwan. METHODS: A descriptive cross-sectional study was conducted in a school in Chitwan among girl students of school from grade 8, 9 and 10 from 2019 July to August 2019 after ethical approval. All the girl students from grade 8, 9 and 10 were included into the study. Data were entered and calculations were using Statistical Package for the Social Sciences version 20. RESULTS: Among 184 adolescent girls, 156 (84.8%) were aware about the menstrual hygiene and most of them 176 (95.7%) knew about the criteria of ideal absorbent to be used during menstruation. Likewise, 120 (65.2%) were aware regarding washing the genital organs, 137 (74.5%) were changing sanitary pad and 136 (73.9%) were disposing used sanitary pad. The mean age of girl students was 14.48±1.259 years respectively. CONCLUSIONS: Awareness regarding menstrual hygiene was present among the girl students, but practice for proper menustral hygiene was low compared to studies done in similar settings.

Lifetime Experience of Violence in Early Adulthood Female.

INTRODUCTION: Despite political commitment and a supportive legal and policy framework, violence against women remains a significant problem in Nepal. Nepal Demographic and Health Survey reported more than one in five women experience violence in lifetime. Three fourth of women who had experienced physical or sexual violence had not sought any help. The aim of the study is to find out the status of early adult hood experience of violence in female. METHODS: Descriptive cross-sectional study was carried out in an Institute in Lalitpur. Accessibility sampling was used to find out the experience of violence from their childhood to this date. The data were collected by self-administered questionnaire was distributed to the female students. Data were analyzed using SPSS. Frequency, mean, percentage and standard deviation were calculated. RESULTS: More than three fourth 71 (79.8%) of the female students were victim of violence and among them most 67 (75.3%) were at age of 11 to 19 years. Majority 63 (70.8%) were victimized from strangers followed by friends 11 (12.4%). Teasing 55 (61.8%) and unwanted touching 35 (39.3%) were the most common type of violence. Most 51 (57.3%) were the victim while traveling by public vehicle and walking on road 47 (52.8%). More than half (57.7%) were suffered <5 times. One third 34 (38.2%) told strict punishment to the offenders followed by awareness program 32 (36%) for the prevention of violence. CONCLUSIONS: Majority of the female students were victim of violence and offenders were young adult. Awareness program, strict rules and punishment to offenders should be implemented to prevent the violence among girls.

Dietary Practice among the Patients with End Stage Renal Disease undergoing Maintenance Haemodialysis.

INTRODUCTION: Several studies on the nutritional status of chronic kidney disease patients living on haemodialysis revealed high prevalence of malnutrition (18-94%). A hospital-based study in Nepal revealed 66.7% mild to moderately malnourished and National Kidney Center reported common protein-energy malnutrition problem among haemodialysis patients. As almost all patients undergoing maintenance haemodialysis looked malnourished, this study was carried out to explore prevailing dietary knowledge and practice of the patients. METHODS: A descriptive cross-sectional survey of 471 patients undergoing haemodialysis from June 2015 to July in 2015 was carried out. After stratification through a systematic random sampling method, 40 (67%) patients from National Kidney Center and 20 (33%) from Bir Hospital were selected, interviewed face to face by using structured questionnaire. Ethical and institutional approval and patients' consent were obtained. RESULTS: The level of knowledge score found to be medium and practice score was even low. Seventy percent knew about renal diet but only 36 (60%) believed in it. After having kidney disease 42 (70%) had changed their dietary practice. Surprisingly, 38 (63.3%) said they ate the food what the other member in their family ate. CONCLUSIONS: Considerable limited knowledge (medium) and practices (low) scores were found. Had they have taken adequate dietician's support, they might have taken right kind and right amounts of foods and benefitted in controlling potassium, phosphate and protein at the recommended level. Plant-based diet could assist in end stage renal disease in a number of ways: an edge of protection against diet cost, reduce inter-related co-morbidities or complications (hypertension and diabetes).

Awareness on Girl Child Abuse Among Mothers of A Selected Community.

INTRODUCTION: Girl Child Abuse is physically, emotionally, sexually abusing and neglecting the girl child by depriving her of universally accepted child rights. We aim to determine the awareness on girl child abuse among mothers so that necessary awareness programs could be recommended if found unsatisfactory. METHODS: A descriptive cross-sectional study was done in Sundarbazar municipality of Lamjung district among randomly selecting 288 mothers who participated voluntarily in face to face interview that used structured questionnaire from 27th March to 23rd April, 2016. Data was analyzed by using descriptive and inferrential statistics like frequency, percentage, mean, standard deviation, chi-square and linear by linear association. RESULTS: The findings of the study revealed that majority of mothers 224 (77.8%) had average level of awareness regarding girl child abuse and only 21 (7.3%) had good level of awareness with mean score±SD of 45.94±9.94 (total score-76). Awareness of mother on girl child abuse was found significantly associated with age, ethnicity, educational status, type of family, age at marriage and number of children at P<0.05. CONCLUSIONS: The mothers had average level of awareness regarding girl child abuse; however, significant proportion of mothers still lacks good level of awareness. A nationwide study of such kind using qualitative tools as well as conducting awareness raising activities focusing on girl child abuse and sexual abuse in girl child is recommended.

Prevalence and Indications of Cesarean Section in a Community Hospital of Western Region of Nepal.

INTRODUCTION: Cesarean section is one of the common obstetric procedures done when the childbirth is not anticipated to occur by the normal vaginal delivery. There has been increased rate of cesarean section globally as well as in our country in recent decades. METHODS: This descriptive cross-sectional study has been carried out by reviewing a year of data from maternity ward of Paschimanchal Community Hospital, Prithvi Chowk, Pokhara. The total number of delivery, their modes either vaginal or cesarean, indications for the cesarean section and their outcomes were analyzed. The obtained data was entered and analyzed in Microsoft Excel. RESULTS: Total of 257 cases underwent delivery during the study period and 174 (63.27%) were by cesarean section. Oligohydramnios is the most common indication for cesarean section. Around 25 (14.36%) of the women underwent repeat cesarean section. CONCLUSIONS: The rate of cesarean section was quite high in our study and further studies are recommended for understanding of causes and other associated factors with it.