PMID- 26700175
OWN - NLM
STAT- MEDLINE
DCOM- 20160622
LR  - 20181113
IS  - 1654-9880 (Electronic)
IS  - 1654-9716 (Print)
IS  - 1654-9880 (Linking)
VI  - 8
DP  - 2015
TI  - Jhaukhel-Duwakot Health Demographic Surveillance Site, Nepal: 2012 follow-up 
      survey and use of skilled birth attendants.
PG  - 29396
LID - 10.3402/gha.v8.29396 [doi]
AB  - BACKGROUND: 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.
FAU - Choulagai, Bishnu P
AU  - Choulagai BP
AD  - Department of Community Medicine and Public Health, Institute of Medicine, 
      Tribhuvan University, Kathmandu, Nepal.
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
FAU - Aryal, Umesh Raj
AU  - Aryal UR
AD  - Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
FAU - Shrestha, Binjwala
AU  - Shrestha B
AD  - Department of Community Medicine and Public Health, Institute of Medicine, 
      Tribhuvan University, Kathmandu, Nepal.
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
FAU - Vaidya, Abhinav
AU  - Vaidya A
AD  - Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
FAU - Onta, Sharad
AU  - Onta S
AD  - Department of Community Medicine and Public Health, Institute of Medicine, 
      Tribhuvan University, Kathmandu, Nepal.
FAU - Petzold, Max
AU  - Petzold M
AD  - Health Metrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, 
      Sweden.
AD  - School of Public Health, Faculty of Health Sciences, University of the 
      Witwatersrand, Johannesburg, South Africa.
FAU - Krettek, Alexandra
AU  - Krettek A
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
AD  - Department of Biomedicine and Public Health, School of Health and Education, 
      University of Skovde, Skovde, Sweden.
AD  - Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic 
      University of Norway, Tromso, Norway; alexandra.krettek@his.se.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20151221
PL  - United States
TA  - Glob Health Action
JT  - Global health action
JID - 101496665
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Allied Health Personnel/supply & distribution
MH  - Cross-Sectional Studies
MH  - Delivery, Obstetric/methods/*statistics & numerical data
MH  - Demography
MH  - Emigration and Immigration
MH  - Female
MH  - Follow-Up Studies
MH  - Health Care Surveys
MH  - *Health Services Accessibility
MH  - Humans
MH  - Male
MH  - Nepal
MH  - Pregnancy
MH  - Prenatal Care/organization & administration
MH  - Socioeconomic Factors
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC4689124
OTO - NOTNLM
OT  - JD-HDSS
OT  - Nepal
OT  - health demographic surveillance site
OT  - health systems research
OT  - public health
OT  - skilled birth attendants
EDAT- 2015/12/25 06:00
MHDA- 2016/06/23 06:00
PMCR- 2015/12/21
CRDT- 2015/12/25 06:00
PHST- 2015/08/10 00:00 [received]
PHST- 2015/10/21 00:00 [revised]
PHST- 2015/10/28 00:00 [accepted]
PHST- 2015/12/25 06:00 [entrez]
PHST- 2015/12/25 06:00 [pubmed]
PHST- 2016/06/23 06:00 [medline]
PHST- 2015/12/21 00:00 [pmc-release]
AID - 29396 [pii]
AID - 10.3402/gha.v8.29396 [doi]
PST - epublish
SO  - Glob Health Action. 2015 Dec 21;8:29396. doi: 10.3402/gha.v8.29396. eCollection 
      2015.