scholarly journals Presumed Cause(s) of Tuberculosis in Rural Nepal

2017 ◽  
Vol 7 ◽  
pp. 175-197
Author(s):  
Ulla-Britt Engelbrektsson ◽  
Madhusudan Subedi
Keyword(s):  
Health Workers ◽  
Great Uncertainty ◽  
Western Development ◽  
Development Region ◽  
Hill District ◽  
Ethnographic Data ◽  
Emic Perspective ◽  
Rural Nepal ◽  
The Hill

In focus is the emic perspective on cause/s of tuberculosis. The ethnographic data is from two major studies in one and the same community in the Hill district of Pyuthan, in the Mid-Western Development Region. The findings show a pooling of old and new influences with a dazzling plurality of thoughts and ideas within a framework of great uncertainty. Moreover, changes in perceptions over the last decade and an half are quite marginal. For health workers to function efficiently the perceived causes of patients and their communities need to be understood and taken into account.Himalayan Journal of Sociology & Anthropology - Vol. VII (2016), Page: 175-197

scholarly journals The Local Explanatory Model: A Study of Assumed Causes of Tuberculosis in Rural Nepal

2016 ◽  
Vol 10 ◽  
pp. 37-62
Author(s):  
Ulla-Britt Engelbrektsson ◽  
Madhusudan Subedi
Keyword(s):  
Public Health ◽  
Mortality Rates ◽  
Theoretical Framework ◽  
Health Problems ◽  
Explanatory Model ◽  
Great Uncertainty ◽  
Ethnographic Data ◽  
Rural Nepal ◽  
Timely Treatment

Tuberculosis (TB) constitutes one of the major public health problems in Nepal. Our theoretical framework, in this paper, is to explore people's understanding of the culturally constructed reality, the local explanatory model, for causes of Tuberculosis. The ethnographic data were collected from 'Solubang' village of Pyuthan district in 2005 and 2012/13. The finding shows that assumed and suggested cause(s) of TB are multiple but most often within a framework of great uncertainty. Compared to 2005, people were better aware of the need for timely treatment in 2012/13. The arrival of the biomedical anti-TB medicines has changed the situation for the better and is widely recognized but perception on causes of TB and its prevalence have not changed drastically, and mortality rates have not decreased at the speed hoped for.

scholarly journals Risk of infection among primary health workers in the Western Development Region, Nepal: knowledge and compliance

2010 ◽  
Vol 5 (01) ◽  
pp. 018-022 ◽  
Author(s):  
Narhari Timilshina ◽  
Mohammad Aslam Ansari ◽  
Vinita Dayal
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Infection Control ◽  
Health Workers ◽  
Universal Precaution ◽  
Basic Health ◽  
Primary Health ◽  
Western Development ◽  
Development Region ◽  
High Level

Introduction: Without protective practices such as antiseptic hand washing, the use of sterile/surgical gloves, safe needles, sterile equipment, and safe instrument and waste disposal procedures outlined in universal precaution guidelines, basic health workers (BHWs) are at substantial risk of blood-borne infections. Methodology: This paper draws on research conducted in 28 primary health care centers in two districts of the Western Development Region, Nepal, between 2003 and 2004. Interviews were conducted to identify the infection control knowledge and practice compliance of basic health workers. Results: Of 100 BHWs studied, only 22% had correct knowledge of universal precautions and 73% said they follow universal precaution guidelines. A total of 62% reported that they regularly used protective gloves while handling patients and 72% reported that they never used high-level disinfection to eliminate all microorganisms (bacteria, viruses, fungi, and parasites, including bacterial endospores) from instruments and other items that would come into contact with broken skin or intact mucous membranes.  Reasons for noncompliance included irregular supply of materials (31%); lack of an autoclave and other high-level disinfection equipment (50%); lack of knowledge and insufficient technical skills regarding universal precaution procedures (20%). Conclusion: Results showed that poor knowledge and an irregular supply of materials, equipment, and instruments prevented BHWs from using infection control measures. Formal training in universal precautions is urgently needed, and protective equipment must be provided and use must be monitored. Compliance to infection control procedures must be improved at primary health care units, especially among the basic health workers.

scholarly journals Study of psychiatric morbidity of patients attending free mental health check up camps in far western rural Nepal

2017 ◽  
Vol 6 (4) ◽  
pp. 14-17
Author(s):  
C P Sedain
Keyword(s):  
Mental Health ◽  
Demographic Data ◽  
Psychiatric Morbidity ◽  
Cross Sectional Study ◽  
Health Clinic ◽  
Psychiatric Clinic ◽  
Cross Sectional ◽  
Western Development ◽  
Development Region ◽  
Rural Nepal

The hilly area of far western development region is the most remote area of Nepal. This is the region of less health facility. The aim of the study was to find out psychiatric morbidity of patients attending free check up clinic of far western development region Nepal. A prospective cross-sectional study comprised of all consecutive patients attending free check up psychiatric clinic of far western development region Nepal. All the patients attending the free clinics for four days were taken as case. The study was performed in the month of June, 2013. Demographic data and disease profile of 287 patients attending the clinic were analyzed. The ratios and proportions were used for statistical analysis. Most of Patients attended of far western development region free mental health clinic were farmer of age group 20-29 years. The commonest incidence of psychiatric illness was depressive disorder and (tension/migraine) headache. 

scholarly journals Hardships in Mountain Livelihood: Findings from Yari Village, Humla District

2011 ◽  
pp. 83-91
Author(s):  
Shiba Prasad Rijal
Keyword(s):  
Survival Strategies ◽  
Primary Data ◽  
Group Discussions ◽  
Mountain Areas ◽  
The North ◽  
Livelihood Options ◽  
Poor Access ◽  
Western Development ◽  
Development Region ◽  
North Western

This paper aims at analyzing livelihoods of people of rural mountain areas highlighting the case of Yari village located in the north-western part of Humla district in Mid-western development region, Nepal. The study has been based on primary data collected through group discussions and key informant’s interview during May 2007. As in other mountainous areas of Nepal, people of Yari village perform a number of different activities for their livelihoods. Agriculture, forest product collection, homemade production activities, hotel/catering and wage laboring are the main livelihood options and survival strategies adapted by local people. However, people’s livelihood in this area is hard and insecure due to various adversities. The shortage of facilities and services, adverse climate, food deficiency, remoteness, lack of awareness, poor access to market and water stress are the main adversities faced by local people.The Geographical Journal of Nepal, Vol. 8-9, 2010-2011: 83-91

scholarly journals Clinicopathological Profile of Head and Neck Cancers in the Western Development Region, Nepal: A 4-Year Snapshot

2012 ◽  
Vol 13 (12) ◽  
pp. 6059-6062 ◽  
Author(s):  
Savita Lasrado ◽  
Prashanth Prabhu ◽  
Anjali Kakria ◽  
Tanuj Kanchan ◽  
Sadip Pant ◽  
...  
Keyword(s):  
Head And Neck ◽  
Head And Neck Cancers ◽  
Western Development ◽  
Development Region ◽  
Clinicopathological Profile

Competition, adaptation and mutation

2010 ◽  
Vol 46 (4) ◽  
pp. 413-436 ◽  
Author(s):  
Bronwyn Isaacs ◽  
Jane Dixon ◽  
Cathy Banwell ◽  
Sam-ang Seubsman ◽  
Matthew Kelly ◽  
...  
Keyword(s):  
Theoretical Approach ◽  
Theory Approach ◽  
Chiang Mai ◽  
Food Markets ◽  
Food Practices ◽  
Western Development ◽  
Food Cultures ◽  
Ethnographic Data ◽  
Conventions Theory ◽  
Development Trajectories

The speed at which international supermarkets chains have integrated themselves into Thai diets and food practices is without prior historical precedent. This article uses ethnographic data from Chiang Mai, Thailand, to examine how values surrounding food and food cultures are being sustained, are adapting and are being transformed. It examines both supermarkets and fresh markets as places where the values unfold in different ways. In discussing the sometimes competing, intermingling and mutating values, a Conventions Theory approach is adopted. The theory facilitates a discussion of the monetary, social and cultural evaluations of Chiang Mai’s food markets. In doing so it is argued that the conventions theoretical approach could usefully be extended from western settings to take account of non-western development trajectories and culture-economy interdependencies.

scholarly journals Feasibility of training community health workers to conduct periodontal examinations: a validation study in rural Nepal

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Daniel J. Erchick ◽  
Nitin K. Agrawal ◽  
Subarna K. Khatry ◽  
Joanne Katz ◽  
Steven C. LeClerq ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Validation Study ◽  
Health Workers ◽  
Training Community ◽  
Rural Nepal

scholarly journals A Front Row Seat: Sala Udin Remembers August Wilson

2019 ◽  
Vol 1 ◽  
Author(s):  
Christopher Bell
Keyword(s):  
August Wilson ◽  
Hill District ◽  
The Hill

Lifelong friend of August Wilson, Sala Udin, shares his memories of knowing the playwright from their childhood in the Hill District until the dramatist's death in 2005. Written as a narrative, Udin's account of his friendship with August Wilson offers a unique glimpse into Wilson's development as a writer and a poignant look into the playwright's affection for his hometown of Pittsburgh, Pennsylvania.

scholarly journals «Восславим землю Акпарса»: легендарный князь в современном фольклоре и этнорегиональной идентичности горных марийцев

2021 ◽  
pp. 275-287
Author(s):  
Герман Юрьевич Устьянцев
Keyword(s):  
Ethnic Identity ◽  
Ethnic Group ◽  
Ethnic Groups ◽  
Regional Identity ◽  
Administrative Region ◽  
Ethnographic Data ◽  
Scientific Discourses ◽  
The Hill

На основе полевых материалов автор исследует репрезентацию этнорегиональной идентичности горных марийцев в моделях освоения, трансляции и интерпретации фольклорной традиции, связанной с образом легендарного правителя Акпарса. Соотношение имени и функций сотенного князя рассмотрены в текстах несказочной прозы (легендах, преданиях), интервью, медийном и научном дискурсах, коммеморативных практиках современных горных марийцев. Автор выделяет две интерпретативные модели описания Акпарса в различных дискурсах: историко-реалистическую и мифологическую. Образ Акпарса выступает в качестве инструмента формирования этнорегиональной идентичности и одновременно ее символа. Бытование фольклорного персонажа демонстрирует связь между принадлежностью респондентов к отдельной этнической группе марийцев, административному региону их проживания и акцентуализацией «своего» специфического фольклора. Автор также рассматривает этносимволическую роль указанного персонажа в утверждении дихотомии «свой–чужой» в контексте аутентичности народной традиции: Акпарс выступает в качестве маркера горномарийской культуры как для самих горных марийцев, так и для соседних групп иноэтничного населения. On the basis of ethnographic data, the author examines the representation of the ethno-regional identity of the Hill Mari people in the development, translation and interpretation of the folklore tradition concerning the legendary ruler Akpars. The correlation of the ruler’s name and functions is analyzed in the texts of non-fairy prose (legends), interviews, media and scientific discourses, and commemoral practices of the modern Hill Mari people. The author identifies two interpretative models of describing Akpars in different discourses: the historical-realistic and the mythological ones. The image of Akpars acts as a tool for the formation of ethnic identity and at the same time as its symbol. The existence of the folk character demonstrates an association between respondents’ belonging to a particular ethnic group of Mari people, their administrative region, and the accentuation of their “specific” folklore. The author also considers the ethnosymbolic role of this image in the strengthening the “we–they” dichotomy in the context of the folk authenticity: the character Akpars acts as a marker of the Hill Mari culture both for the Hill Maris themselves and for neighboring ethnic groups.

scholarly journals Unintentional Injuries among Under-Five Children in Mid- Western Nepal

2018 ◽  
Vol 38 (1) ◽  
pp. 46-52
Author(s):  
Bharat Kafle ◽  
Uday Narayan Yadav ◽  
Sujan Babu Marahatta ◽  
Durga Mishra ◽  
Narayan Dutt Pant
Keyword(s):  
Family Income ◽  
Time Frame ◽  
Urban Setting ◽  
Unintentional Injuries ◽  
Cross Sectional ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children ◽  
Western Development ◽  
Development Region

Introduction: Unintentional injury is the biggest threat to the survival of the under-five children, which impact is immeasurable to families and often entire communities. The objectives of this study were to assess the prevalence of unintentional injuries among under-five children and the factors associated with it.Material and Methods: A facility-based quantitative cross-sectional study was conducted from August 2016 to January 2017. Multistage time frame convenient sampling method was applied to collect the data from 259 mothers of under-five children in the selected district of Mid-Western Development region of Nepal. The data was collected from 10 rural health facilities and two from urban setting using a semi-structured questionnaire. An analysis was performed using SPSS ver.15.Results: The prevalence of unintentional injuries was found to be 33.20 % among the under-five children. The present study showed that ecological belt, the age of mothers, education of mothers, education of fathers, the occupation of mothers, the occupation of fathers, family income quintiles, household type, numbers of a sibling, age and gender of children were significant factors associated with unintentional injuries among under-five children. More than 70% of the respondents were not aware of how to provide first aid care to the children with respect to unintentional injury.Conclusion: This study highlights the burden of unintentional injuries among under-five children in mid-western development region of Nepal. Intervention targeting multifactorial issues in line with all type of fall injuries, burns and injuries with the use of sharp objects might be helpful to tackle the problems.

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