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dc.contributor.authorChoulagai, Bishnu P
dc.contributor.authorAryal, Umesh R
dc.contributor.authorShrestha, Binjwala
dc.contributor.authorVaidya, Abhinav
dc.contributor.authorOnta, Sharad
dc.contributor.authorPetzold, Max
dc.contributor.authorKrettek, Alexandra
dc.date.accessioned2016-03-09T09:07:05Z
dc.date.available2016-03-09T09:07:05Z
dc.date.issued2015-12-21
dc.description.abstractBackground: Estimates of disease burden in Nepal are based on cross-sectional studies that provide inadequate epidemiological information to support public health decisions. This study compares the health and demographic indicators at the end of 2012 in the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) with the baseline conducted at the end of 2010. We also report on the use of skilled birth attendants (SBAs) and associated factors in the JD-HDSS at the follow-up point. Design: We used a structured questionnaire to survey 3,505 households in the JD-HDSS, Bhaktapur, Nepal. To investigate the use of SBAs, we interviewed 434 women who had delivered a baby within the prior 2 years. We compared demographic and health indicators at baseline and follow-up and assessed the association of SBA services with background variables. Results: Due to rising in-migration, the total population and number of households in the JD-HDSS increased (13,669 and 2,712 in 2010 vs. 16,918 and 3,505 in 2012). Self-reported morbidity decreased (11.1% vs. 7.1%, respectively), whereas accidents and injuries increased (2.9% vs. 6.5% of overall morbidity, respectively). At follow-up, the proportion of institutional delivery (93.1%) exceeded the national average (36%). Women who accessed antenatal care and used transport (e.g. bus, taxi, motorcycle) to reach a health facility were more likely to access institutional delivery. Conclusions: High in-migration increased the total population and number of households in the JD-HDSS, a peri-urban area where most health indicators exceed the national average. Major morbidity conditions (respiratory diseases, fever, gastrointestinal problems, and bone and joint problems) remain unchanged. Further investigation of reasons for increased proportion of accidents and injuries are recommended for their timely prevention. More than 90% of our respondents received adequate antenatal care and used institutional delivery, but only 13.2% accessed adequate postnatal care. Availability of transport and use of antenatal care was associated positively with institutional delivery.en_US
dc.descriptionPublished version. Source at <a href=http://doi.org/10.3402/gha.v8.29396>http://doi.org/10.3402/gha.v8.29396</a>.en_US
dc.identifier.citationGlobal health action 2015, 8(29396)en_US
dc.identifier.issn1654-9880
dc.identifier.otherFRIDAID 1308144
dc.identifier.other10.3402/gha.v8.29396
dc.identifier.urihttps://hdl.handle.net/10037/8790
dc.identifier.urnURN:NBN:no-uit_munin_8380
dc.language.isoengen_US
dc.publisherCoaction Publishingen_US
dc.rights.accessRightsopenAccess
dc.subjecthealth demographic surveillance siteen_US
dc.subjectJD-HDSSen_US
dc.subjecthealth systems researchen_US
dc.subjectskilled birth attendantsen_US
dc.subjectpublic healthen_US
dc.subjectNepalen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.titleJhaukhel-Duwakot Health Demographic Surveillance Site, Nepal: 2012 follow-up survey and use of skilled birth attendantsen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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