Category Archives: Articles Research

Scientific Articles

Traditional Practices on Mother and Child Health Care in Rajbanshi Community of Nepal

Citation: Nawa Raj Subba. Traditional Practices on Mother and Child Health Care in Rajbanshi Community of Nepal. American Journal of Health Research. Vol. 3, No. 5, 2015, pp. 310-317. doi: 10.11648/j.ajhr.20150305.18,

Correspondence: Nawa Raj Subba. Email address: dr.subba2015@gmail.com

Abstract
This is a qualitative study on traditional health care of mother and child in Rajbanshi community in Nepal. The aim of the study was to explore traditional maternal and child health care and to uncover harmful practices. Methods in this descriptive study employed in-depth interviews and FGDs with traditional birth attendants, traditional healers, female community health volunteers, health workers, and mothers. Tools were semi-structured questionnaire and checklists. The study sample included 60 from Morang, Jhapa, and Sunsari districts. Of them, 30 were from traditional healers, traditional birth attendants (TBA), and female community health volunteers (FCHV) and health workers another 30 were mothers included for three FGDs conducted in 2013. Findings show Rajbanshi culture has native care of mother and child health. Guru Gosai, Gosai, Ojha, and Dhami are traditional healers in the community. Guru Gosaiis also essential to conduct birth, marriage and death rituals. The traditional causes of diseases are deities, witchcraft, evil spirits, a touch of pithiya/chhatka, and poor sanitation. Traditional healers find the cause through a jokhana. They treat patients by chanting a mantra, jharphuk, jadibuti, buti, and ferani. TBAs and health workers conduct home delivery however trend of hospital delivery increased. The study figured out a mark of a stigma where women pithiya or chhatka are suspected as the cause of disease and illness in others. Community people perceive them unholy and unfriendly. Thus, pithiya and chhatka women face unfair treatment. They are vulnerable to maternal and child health. On the other, the traditional practice of cutting the umbilical cord by a barber during a delivery and shaving off newborn’s head after a delivery by the barber are harmful practices.
 
Keywords: Traditional Practice, Maternal Child Care, Stigma, Harmful Practices, Rajbanshi Nepal.
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Postpartum Depression Relating to Smoking and Drinking Habits of Husbands Among Rajbanshi Mothers in Nepal

Nawa Raj Subba*, Shishir Subba.
 
To cite this article:
Nawa Raj Subba, Shishir Subba. Postpartum Depression Relating to Smoking and Drinking Habits of Husbands Among Rajbanshi Mothers in Nepal. American Journal of Health Research. Vol.3, No. 5, 2015, pp. 293-297.doi: 10.11648/j.ajhr.20150305.15. 
 
Corresponding Author: Nawa Raj Subba. Email Id: dr.subba2015@gmail.com
 
Abstract
This is a cross-sectional study on postpartum depression (PPD) among Rajbanshi mothers in Nepal. The objective of the study was to find out the prevalence rate of PPD and association between PPD in mothers with smoking/drinking habits of the husbands and perceived stress among Rajbanshi community. Quantitative methods employed using semi-structured questionnaires. The sample size was 375 households from Morang, Jhapa, and Sunsari districts. Data collected by in-depth interviews with mothers. Researcher filled the semi-structured questionnaires asked on workload, sleep, perceived stress and treatment history using the Edinburgh Postnatal Depression Scale during interviews. In the findings, PPD and maternal stress associated with husband’s smoking/drinking habits. Prevalence of PPD was 12.27% in sampled Rajbanshi mothers (EPDS cutoff≥13). PPD in mothers finds associated with maternal stress (P= <.0001) and smoking habit of the husband (P=<.0001) which are statistically highly significant. Similarly, sleeplessness in mothers associated with smoking (P=<.005) and drinking (P= <.0001) habits of husbands are also statistically highly significant. In conclusion, PPD among Rajbanshi mothers associates with a smoking habit of the husband. Both smoking and drinking habits of husbands were responsible for causing maternal stress and sleeplessness in mothers and these factors associated with PPD. Smoking and drinking habits of husbands find out risk factors for PPD and perceived stress in her wife. To deal successfully with the poor situation of PPD among Rajbanshi mothers need to change smoking/drinking habits of husbands, raise awareness on health as well as the socio-economic development of the community. Preview/Download
 
 

Traditional and Modern Maternal and Child Health Care Practices and its Effects on Rajbanshi Community in Nepal

To cite the article: Nawa Raj Subba. (2015). Traditional and Modern Maternal and Child Health Care Practices and its Effects on Rajbanshi Community in Nepal. Journal of Public Health in Developing Countries, 2015 Ph.D. Thesis Abstract.

Abstract

Background: Rajbanshi is one of the indigenous and underprivileged communities in Nepal. The present research is a descriptive and cross-sectional study on Rajbanshi community. The study was an attempt to explore and examine modern and traditional health care seeking practices and estimate their effects on mother and child health.

Methods: Both qualitative and quantitative methodology was employed. Qualitative data were collected using in-depth interview checklist, FGD guideline, naturalistic observation, case study approach. Quantitative data were collected using questionnaire on the household survey from 1514 participants.

Results: Guru Gosai and Gosai were main traditional healers in the sampled Rajbanshi community. Deities, witchcraft, evil spirits, touching of pithiya/chhatka, dirt, or poor sanitation, were the major causes of diseases or illnesses. Healers identified such causes through the process of jokhana. Based on the findings healers treat or heal the patients by chanting the mantra, jharphuk, use of jadibuti, buti, ferani or making promises to the spirits, deities, or gods and goddess. On the other hand, Rajbanshi people are shifting in their health-seeking behavior by accepting modern health care services from different levels such as private clinics/nursing home, and public health post, hospitals, etc. This confirms the existence of duel health care practices among a large proportion (93.87%) of sampled Rajbanshi community. The trend of hospital delivery increased from 30.67% to 69.33%, whereas the trend of home delivery decreased from 69.33% to 29.23% between the first and last births. The microanalysis indicated that the trend to learn more about modern health care has increased significantly. Postpartum depression among mothers associated with their stress and sleeplessness was statistically significant. The PPD in mothers tested with husbands’ smoking habit and found statistically highly significant (p=<.0001).
Conclusion: The Mortality rate of mother and child and proportion of underweight children was high in very poor, laborer, illiterate, rural and traditional care practicing families. Women suffering from reproductive health problems called pithiya, chhatka and so-called tantra/mantra using women are stigmatized and vulnerable. Shaving of newborn’s head and cutting of umbilical cord by barber are risky cultural practices. Preview/Download

Modification of Delivery Practice in Rajbanshi Mothers of Nepal

 

Nawa Raj Subba, Shishir Subba.

To cite the article: Nawa Raj Subba, Shishir Subba. (2014) Modification of Delivery Practice in Rajbanshi Mothers of Nepal. Journal of Nobel Medical College. Vol. 3, No.1 Issue 5, pp10-15.

Corresponding Author: Nawa Raj Subba, Email Id: dr.subba2015@gmail.com

Abstract

Introduction: This is a cross-sectional study with the objective of identifying modification in delivery practice in Rajbanshi mothers of Nepal.

Methodology: Both qualitative and quantitative tools were used. Semi-structured questionnaires covering 375 samples of its resident districts Morang, Jhapa and Sunsari districts and checklists for in-depth interview were used in the study.

Results: People were adopting both traditional and modern care practices concurrently. Among 375 households; 40% adopted local clinic/ hospital/ traditional healer concurrently. Similarly 31.20% adopted local clinic/ traditional healer/ hospital, 10.67% adopted hospital/traditional healer. There were 11.47% (urban 0.54% and rural 10.93%) respondents were having a traditional care system as a first choice. During first delivery among 375 mothers, 265 (70.67%) had traditional home delivery and 110 (29.33%) had hospital delivery. During last delivery, this was 115 (30.67%) in traditional home delivery and 260 (69.33%) in hospital delivery. Therefore the trend of hospital delivery was increasing whereas the trend of traditional home delivery was decreasing. It was statistically highly significant (p=<0.0001). There was also remarkably increased in using trained Health Worker/Nurse/Doctor at hospitals is 66.4% during last delivery which was only 6.13%
during the first delivery. It is statistically highly significant (p= <.0001).

Conclusion: Trend of hospital delivery was increasing (from 30.67% to 69.33%) and the trend of
home delivery was decreasing (from 69.33% to 29.23%) in between first and last child delivery. There was remarkably increased in using trained HW/Nurse/Doctor at hospitals is 66.4% during last delivery which was only 6.13% during first delivery. Traditional care was more practiced in rural than in the urban population.

Keywords: Traditional home delivery, Modern hospital delivery, Rajbansi, Nepal
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