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Food Habits and its Impacts on Health of Dom Community in Dharan Municipality Sunsari
(Faculty of Health Education, 2014) Shakya, Bharat
This thesis entitles "Food Habits of Dom Community and its impacts on their Health" has been carried out to find out socio- demographic characters, identify the food habits of Dom Community of the study area and health condition of Dom Community. The researcher has used the Dom community as the sample population and has chosen the 50 Dom families of Dharan Municipality using purposive sampling. Similarly the researcher has collected data from interview and analyzed descriptively. At last, Findings and conclusion has been drawn and the researcher has recommended and suggested the points. This thesis is structured into five parts. First part deals with the introduction of the title and its theoretical ground. Second part reviews the related literature of the relevant work. Third part deals with the methodology of the study. Fourth part deals with analysis and interpretation of data. Fifth part deals with summary, findings conclusions and recommendations. In this research, it was found that most of Dom people take food two to three times a day. It is found that 70 percent Dom people were suffering from different type of weakness of body. Average quantity of rice taken in launch is 280 gm. They prefer tea- biscuits, noodles or bitten rice as their breakfast. 60% of Dom never consumes milk and snacks. They have to eat meat daily in dinner. Most of Dom people (66%) used junk food, they aren't conscious about their food habits. 24 percent Dom people home is dirty. Only 28 percent Dom people drink filter water. There is clear indication of the study that the time to get food and the items used while getting food both are not sure and fixed. There seems direct impact of food habits in health condition of the Dom people. Other risks like accidents, psychological harassments and over work are adverse reality to their health.
Knowledge and Practice of Delivery Care
(Faculty of Health Education, 2016) Acharya, Anshu
This study entitled “Knowledge and Practice of Delivery Care (A Case Study of Brahman and Limbu Communities of Solma VDC of Terhathum)” is conducted quantitatively with formulating main objective as to find out the knowledge and practice of delivery care of Brahman and Limbu community comparatively. The study has been conducted as descriptive research design (survey design) under quantitative research method. In this study the population of the study is married couple of reproductive aged who had at least one child in Solma VDC of Terhathum. In this study 60/60 married women of reproductive age and having at least one child from Brahman and Limbu community. Purposive sampling method under non probability sampling method was used in this study. Questionnaire was made the major tool for data collection and it was implemented as interview schedule method to the respondents. In this study, middle aged (30-34) women were in higher number than others. Out of total respondents 8.30 percent were of age 15-19 years which is not legal for reproduction. The overall data shows that the majority (51.70%) of the respondents have joint family. Majority (96.70%) of Brahman respondents were literate but only 42.90 percent of Limbu respondents had only lower secondary education. Out of 60 Brahman respondents 51.70 percent and out of 60 Limbu respondents more than half (55%) had taken agriculture as the main occupation. Out of 60 Brahman respondents half (50%) of them were of aged 20-24 years during first delivery whereas out of 60 Limbu respondents half (50%) of them were of age 15-19 years during first delivery. Most of the respondents (60.80%) told that the meaning of delivery is "Giving birth to the child". Among them 65 percent were Brahman and 56.70 percent were Limbu respondents. Out of 58 literate Brahman respondents majority (93.10%) had knowledge about delivery care. Out of 42 literate Limbu respondents 95.2 percent had knowledge about delivery care. Out of 60 Brahman respondents 76.7 percent had knowledge about T.T. vaccine. Out of 60 Limbu respondents 45 percent had such knowledge out of 60 Brahman respondents majority (60%) viewed that they had knowledge about eating meat/fish during and after delivery In case of Limbu respondents 55.55 percent had knowledge on eating meat/fish during delivery period. This data says that majority (57.50%) of the total respondents has knowledge on consuming meat/fish during and after delivery. Out of 60 Brahman respondents more (33.33%) viewed about the first helper of delivery mother as health worker. Similarly in Limbu respondents 45 percent out of total viewed the helper was oldest mothers as delivery helper. Out of 60 Brahman respondents more than 33 percent of them expressed about the knowledge of delivery complication by bleeding and vaginal pain whereas out of 60 Limbu respondents more than 40 percent of them expressed such knowledge. Out of total respondents' majority (70%) of them had knowledge about sanitation during delivery. Out of 60 Brahman respondents 30 percent of them used to go to health centre for delivery whereas only 25 percent Limbu respondents used to go to hospital for delivery. The statistics shows that 31.14 percent of the total respondents used to go to the health institutions at the last stage of delivery complications. Out of 60 Brahman respondents approximately half of them used to eat meat/fish after delivery as additional food and 55 percent in Limbu. Out of 60 Brahman respondents 35 percent of them were in normal personal hygiene condition and only 26.66 percent Limbu respondents were practicing normal personal hygiene. Out of 60 Brahman respondents 35 percent of them checked their health once after the delivery and 30 percent Limbu respondents checked their health to the health personnel once. Based on the above findings and conclusions, it is recommended that different programs related to health should be conducted. Social taboos, myths, superstitions and gender discrimination in the perspective of delivery care and especially on the use of balanced diet and sanitation are highly rooted in the study area so as in the Nepalese society which should be eradicated and further research should be conducted on the same topic.
Knowledge, Attitude and Behavior about the Misuse of Drugs at Triyuga Higher Secondary School Students Gaighat, Udayapur
(Faculty of Health Education, 2014) Rajdhami, Purushotam
This study was carried out entitled "Knowledge, Attitude and Behavior about the misuse of Drugs between HPE and Non-HPE Students of Triyuga Higher Secondary School Gaighat". The investigator tried to find out knowledge, attitude and behavior towards drug misuse, abuse and addiction of HPE and Non-HPE students of higher secondary level. This descriptive study was carried out with an expectation to fulfill the three objectives, viz., to identify the knowledge about drug use, abuse and addiction of HPE and Non-HPE students of higher secondary level, to find out the attitudes between HPE and Non-HPE students of higher secondary level towards drug use, abuse and addiction, to identify the behavior of HPE and Non-HPE students of higher secondary level towards substances misuse. Researcher purposively selected HPE and Non –HPE students of Triyuga Higher Secondary School Gaighat with the help of school record. There were 200 students in higher secondary level. From 50 HPE students were randomly selected through lottery method on the same way from 50 Non-HPE students were selected. Questionnaire was a major tool of the study. Some were reviewed from the report of different organizations related to research topic and also retrieved from internet surfing. Descriptive analysis and interpretation of the data was some being based on quantitative and qualitative discussion. Question had divided into four parts according to the objectives. According to study, the mean age of HPE students was 17.7 year and Non-HPE was 17.6 year. Out of 50 HPE respondents 56 percent were male whereas, Non-HPE was 40 percent. About, 38 percent of HPE and 22 percent of Non-PHE respondents were farmer background. Similarly, 22 percent of HPE and 24 percent of Non-HPE respondents were from service holder. Likewise, 72 percent of HPE and 24 percent of Non-HPE student know about drug abuse, 82 percent of HPE and 76 percent of Non-HPE students had knowledge about drug addiction, 80 percent of HPE and of 64 percent of Non- HPE students knew about the effects of drug abuse, 76 percent of HPE and of 60 percent Non-HPE students intended to suggest drug abuser. Moreover, about 70 percent of HPE and 40 percent of Non-HPE students were disagreed with the option drug enhance personality, 60 percent HPE and 50 percent Non-HPE were agreed with the prescribed medicine cure diseases, about 24 percent HPE and 34 percent Non- HPE students were undecided with the option drug should be allowed for personal interest, more than half (60% of HPE and 50% of Non-HPE) students were agreed with over dose drugs is dangerous for health. Moreover, about 56 percent of HPE and 62 percent of Non-HPE percent used substances, 14.28 percent of HPE and 19.35 percent of Non-HPE students used prescribed drugs to cure disease, 25 percent of HPE and 32 percent of Non-HPE respondents used substances for religious purpose more than half (67.8% of HPE and 58 percent of Non-HPE) student started substances use during the age of 15-20 year, 53.5 percent HPE and 48.3 percent Non-HPE respondents managed money for substances by borrowing from friends. Likewise, nearly half, (64.2% HPE and 41.9% Non-HPE) respondents were planning to give up substances. To address these critical problems, it is necessary to give health education through school and college. An awareness program should be conduct from local level. Parents should be care and watch their children's activities. Anti drug rules and regulation should be making and strictly implemented by government level.
Knowledge, Attitude and Practices of Temporary Family Planning Devices of Rishidev Community at Dewangunj VDC,Sunsari District
(Faculty of Health Education, 2014) Mehta, Rajkumar
This is a field based study which is conducted to find out the knowledge attitude and practices of temporary family planning devices at Musahar community in Dewangung VDC, Sunsari District 60 respondents (15-49 years) Married Musahar women were selected to collect data for the study. The main objective of the study is to analyze the level of knowledge attitude and practices of the Musahar women on temporary family planning devices. However, the following are the specific objectives of the study: to identify the knowledge of temporary family planning services available to local level, to find out the culture attitude and practices of Health service, to examine the health beliefs and cultural practices to find out demographic, economic and educational status, and to find out the reasons for the not using the contraceptives in the study area of temporary family planning to Musahar community of Dewangunj VDC. In Dewangunj VDC total population of Musahar is 450 and used simple random method i.e. lottery formulated to collect the information from the respondent. Data were carefully checked and analyzed according to the objectives of the study. Nepal is a kaleidoscope of a number of communities. There are people from different castes, races and ethnic groups. They have special beliefs, identities and behaviours. Therefore, health related practices differ across communities. So far, there is no specific study on Musahar regarding family planning. Likewise GOs and NGOs are working in this field but there is no concrete evidence of effectiveness or achievement in practice of family planning in the context of Musahar women. Therefore, the problem is stated as "A Study on Knowledge, Attitude and Practices of Temporary Family Planning Devices in Musahar Community in Dewangunj VDC of Sunsari District." Males are more educated in comparison to their female counterparts. While comparing 16.67 percent of male population has received primary, 8.24 percent secondary level of education, only 16.67 percent and 8.24 percent women have received primary and secondary education respectively. Similarly, compared to male illiteracy of 70 percentages, 9.66 percent women have not received any formal education and 1.67 percent of male have received higher level of education but only 1.17 percent of women have received higher level of education. This indicates gender biasness in educational status. More respondents (68.33) percent of total have got married between 13-18 years. Among them 13.33 percent, 11.67 percent and 3.33 percent have got married between the age of 19-21 years, 10-12 years and 22-24 years respectively. 46.67 percent of husbands of the respondents were married between the age of 16-18 years, followed by 19-21 years 21.67 percent, 13-15 years 16.67 percent and 10-12 years and 22.24 years 8.33 percent and 6.67 percent respectively which is low from the average age at marriage 23.6 years and 20.3 years for female. In this study, most of the respondents were informed about the devices through health workers because reaching health facility in the Terai is easy due to favorable geographic condition. It may be attributed to the low literacy rate; very few percent of the respondents were well- versed through their spouses. Among the respondents 66.67 percent are found practicing injection Depo-Provera to delay pregnancy and 33.33 percent never practiced this contraceptives of all the respondents who were using injection Depo-Provera have the willingness to continue it, and 20 percent of respondents who were not using, reported that they intend to use this device in upcoming days on the other hand, 80 percent of the non-user respondents said that they would not use any of the contraceptive methods in future. The public sector is the predominant source of the Depo-Provera. Majority of the respondents (75) named health post as the main source of Depo-Provera supply where as 25 percent named private clinic as the source. It also indicates that nobody named NGOs/INGOs as their source of the devices. Among users nobody had the side effect of Depo-Provera, they said. Respondents don't know how the injection works to delay pregnancy. Respondents don't know about the hormone name that is in the Depo-Provera. All 66.67 percent respondents, who were used to Depo-Provera knew if they used Depo-Provera, they would be free from the unwanted pregnancy.
A Study of Sexual and Reproductive Health Problems among Married Women Visiting Community Hospital
(Faculty of Health Education, 2016) Phayal, Purna Prasad
ABSTRACT Sexual and Reproductive Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity in all matters relating to its functions and processes. This study is centered to the sexual and reproductive health situation of married women. The main objective of the study was to find the sexual and reproductive health problems of married women. This study was based on descriptive research design, using quantitative data. For the purpose of the study both the primary and secondary data were used. The respondents for the thesis were in total 150 women visiting Okhaldhunga Community Hospital Okhaldhunga. Purposive sampling was used to select the sample women. Interview schedule was the main tool for the collection of data. Out of the various problems related to the sexual and reproductive health among the married women, reproductive tract infection is higher. In general, husbands have no positive attitude to wives who are suffering from sexual and reproductive problem. About 26.66 percent respondents have reproductive tract infection which is followed by urinary tract infection, that is, 20 percent and menstruation problem 19.33 percent. Similarly, 17.33 percent of the respondents have problems related to breasts and 13.33 of them uterine problems. In the same way majority of the respondents were found to have visited native doctors first, seeking for treatment when the problem appeared. In conclusion, it clearly shows that the sexual and reproductive health problem among the married women is a challenge. But the response to the problem is not satisfactory. The research work also includes some recommendations to improve the situation of women's problems. Education is a key component that creates awareness to the married women. Moreover, seminars, workshops, trainings and awareness programmes should be conducted in addition to print media, radio, television and other modes of mass communication to improve reproductive status.

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