Risky sexual behaviour among young men in Nepal

We use the Nepal Adolescents and Young Adults (NAYA) Survey of 2000 to analyse the prevalence of sexual activity and risky sexual behaviour among Nepalese males aged 14-22 years. Risky sexual behaviour is considered to be characterised by having multiple partners, or having one non-regular partner with whom a condom was not used, in the 12 months before the survey. About 9 per cent of the sexually active married men aged 14-22 years, and about 20 per cent of sexually active single men in the same age group, are engaged in risky sexual behaviour. Logistic regression analysis shows that, among married men, those who are better educated and who have better educated fathers are more likely to engage in risky sexual behaviour. Among single men, risky sexual behaviour is especially likely in certain rural districts where it is tolerated by the local culture. The quantitative analysis is supported by qualitative data drawn from focus group interviews

Men's sexual and reproductive behaviour in Nepal

This thesis aims to analyse (i) the nature, extent and context of sexual behaviour among single and married men aged 14-22; (ii) contraceptive use patterns among married men aged 15-59 and their support to their wives to use female methods; and (iii) the perceptions of men, service provider and policy makers on reproductive health service delivery issues for men in Nepal. Risky sexual behaviour was found to be higher among sexually active single males (than married ones) residing in the rural hill region.  Exposure to reproductive health programmes on the radio however decreases risky behaviour of these men but associated with increased sexual activity. Tendency of contraceptive use among married men varies mainly with the variation in ethnic groups, occupation, residence, number of living children, geography and husband-wife communication. Men who are more likely to use reversible male methods are those who belong to &quot;high caste hill Hindu&quot;, who have white collar jobs, who reside in an urban area, live in the eastern geographical region and in the Terai, and those who communicate with their wives about family planning. Undergoing vasectomy is more common among those men who belong to &quot;high caste Hindu&quot;, who have white collar jobs and who have three or more children.  The reasons are discussed.  Although a large proportion of men permit their wives to use female contraceptive methods, men with lower socio-economic backgrounds are still reluctant to do so. The findings also indicate that current reproductive health services in Nepal are not user friendly for males.  Most Nepali men preferred services to be delivered by male service providers from the existing health service delivery structure.  However, a discrepancy is revealed between the views of policy makers and males on what is believed to be important for men’s reproductive health services.</p

Men's sexual and reproductive behaviour in Nepal

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Hamro Nepali Kitab

Class 6 (Nepali Date: 2052); Language: Nepal

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Class 6 (Nepali Date: 2052); Language: Nepal

Fertility limiting behavior and contraceptive choice among men in Nepal

Context: Contraceptive choices among men who want no more children have been little explored in South Asia, particularly in Nepal, where fertility rates have remained high over the last few decades. Methods: Using the 2001 Nepal Demographic and Health Survey couple data set, multinomial logistic regression analyses were conducted for 1,041 married men aged 20 or older who had at least one living child and wanted no more children. Regression models examined relationships between selected characteristics and men's reported contraceptive use, and predicted probabilities were estimated to assess interactions between ecological zone, family composition and method choice. The primary goal was to determine whether the number and sex of living children influenced contraceptive use. Results: Twenty-four percent of men who wanted no more children were not using any contraceptive method at the time of the survey, 30% reported that their wives were sterilized, 12% had had a vasectomy, 7% were using condoms and 27% used other temporary methods. The probability of relying on permanent methods was highest among men who had at least two living sons and lowest among those who had only daughters, while the probability of using no method was highest among those who had only daughters. Conclusion: In Nepal, men who report a desire to have no more children are likely to choose permanent methods only after they have two living sons. <br/

Do mobile family planning clinics facilitate vasectomy use in Nepal?

Background Nepal has a distinct topography that makes reproductive health and family planning services difficult to access, particularly in remote mountain and hill regions where over a quarter of modern contraceptive users rely exclusively on vasectomy. Study design A three-level random intercept logistic regression analysis was applied on data from the 2011 Nepal Demographic and Health Survey to investigate the extent of influence of mobile family planning clinics on the odds of a male or a female sterilization, adjusting for relevant characteristics including ecological differences and random effects. The analyses included a sample of 2014 sterilization users, considering responses from currently married women of reproductive ages. Results The odds of a male sterilization were significantly higher in a mobile clinic than those in a government hospital (odds ratio, 1.65; 95% confidence interval, 1.21–2.25). The effects remained unaltered and statistically significant after adjusting for sociodemographic and clustering effects. Random effects were highly significant, which suggest the extent of heterogeneity in vasectomy use at the community and district levels. The odds of vasectomy use in mobile clinics were significantly higher among couples residing in hill and mountain regions and among those with three or more sons or those with only daughters. Conclusion Mobile clinics significantly increase the uptake of vasectomy in hard-to-reach areas of Nepal. Reproductive health interventions should consider mobile clinics as an effective strategy to improve access to male-based modern methods and enhance gender equity in family planning. Implications Family planning interventions in hard-to-reach communities could consider mobile clinic as an effective strategy to promote male-based modern methods. Improving access to vasectomy could substantially reduce unmet need for family planning in countries experiencing rapid fertility transitio

Maternal smoking and acute respiratory infection symptoms among young children in Nepal: multilevel analysis

The association between maternal smoking and adverse child health outcomes has not been systematically explored in less developed countries, especially in Nepal where over a quarter of women of reproductive age smoke tobacco products. This study aims to quantify the effect of maternal smoking on acute respiratory infection (ARI) symptoms among children aged below five years, using the 2001 Nepal Demographic and Health Survey. It is hypothesized that children born to mothers who smoke frequently are at higher risk of developing ARI symptoms. Four-level random intercept logistic regression models were used to disentangle the independent effect of maternal smoking on children's ARI symptoms, controlling for potential biological, socioeconomic, seasonal and spatial variables. Maternal smoking status had a significant effect on children's ARI symptoms; the effects were significantly higher (adjusted OR 1.41; 95% CI 1.02-1.96) among those born to mothers who smoked more frequently than their counterparts. Furthermore, a strong spatial pattern was evident in the prevalence of ARI symptoms, after adjusting for maternal smoking and relevant control variables. The findings underscore the importance of designing exclusive public health intervention measures to prevent tobacco smoking within households, for example through awareness campaigns highlighting the adverse effect of maternal smoking on child healt

Assessing and Comparing Global Health Competencies in Rehabilitation Students

Purpose. Globalization is contributing to changes in health outcomes and healthcare use in many ways, including health professionals’ practices. The objective of this study was to assess and compare global health competencies in rehabilitation students. Method. Online cross-sectional survey of physiotherapy and occupational therapy students from five universities within Ontario. We used descriptive statistics to analyze students’ perceived knowledge, skills, and learning needs in global health. We used Chisquare tests, with significance set at < 0.05, to compare results across professions. Results. One hundred and sixty-six students completed the survey. In general, both physiotherapy and occupational therapy students scored higher on the “relationship between work and health,” “relationship between income and health,” and “socioeconomic position (SEP) and impact on health” and lower on “Access to healthcare for low income nations,” “mechanisms for why racial and ethnic disparities exist,” and “racial stereotyping and medical decision making.” Occupational therapy students placed greater importance on learning concerning social determinants of health ( = 0.03). Conclusion. This paper highlights several opportunities for improvement in global health education for rehabilitation students. Educators and professionals should consider developing strategies to address these needs and provide more global health opportunities in rehabilitation training programs