The fresh new quantitative part entailed a holiday analysis of the Nepal Demographic and Fitness Survey (NDHS) 2016, a nationally representative questionnaire, since the qualitative parts entailed gathering investigation via interviews and you may group conversations kept in two purposively chose websites-one outlying town (Kaligandaki) and another metropolitan municipality (Chapakot) into the Syangja district. This new HMG conferences throughout these configurations had a predetermined date and place (seventh and you may 14th of any Nepali month inside Kaligandaki and you will Chapakot respectively). In municipalities, the newest HMG group meetings usually endured for 2 to 3 occasions and was basically held in tandem along with other meetings/issues such as for instance antenatal proper care (ANC) check-ups, ladies’ invention group meetings, financial savings programs, and you may blood pressure level measurements. If you find yourself Kaligandaki’s HMG meetings took place within the a fixed design venue, ladies in Chapakot met in the great outdoors-heavens.
Players and you can Studies Collection
Toward quantitative data part, i made use of analysis regarding NDHS 2016, which had a response speed away from 98.3% . Details about this new try size computation and you can sampling actions was revealed on the NDHS 2016 statement . To respond to our lookup question, i removed NDHS ladies’ survey research accumulated certainly female old fifteen–49 many years who were conscious of HMG group meetings within communities. These studies was in fact collected by coached interviewers using planned surveys you to included caste, ladies years, women’s training, wealth quintile, level of children under five years, household headship, remoteness, family relations proportions, health care choice creator, ladies’ a position status, and you may contribution within the HMG conferences .
Into the qualitative role, we accumulated primary data of the carrying out 35 within the-depth interview (IDIs) having 1000-go out female, FCHVs and fitness professionals and you can 7 desire class talks (FGDs) having FCHVs, health workers, and male and female choice-makers on their own (strategies for such IDIs and you can FGDs are discussed someplace else ). The new IDIs and FGDs guide concerns was basically conceived in order to make which have the analysis concern and you may set up based on the books toward mom’s category [6, 8] additionally the local context off HMGs in the Nepal. This type of courses was including pre-tested and you may changed, as called for. The big information searched on the other kinds of studies users was indeed thinking of your HMG, and appointment standing, attention to brand new conferences, barriers and you can enablers having contribution, women’s need for and you can seen worth of HMGs, additionally the strategies for building HMG participation.
Analysis administration and 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>