Health improvement for disadvantaged people in Nepal - an evaluation

An evaluation of progress with participatory approaches for improvement of health knowledge and health experiences of disadvantaged people in eight Districts of Eastern Nepal has been undertaken. A random selection of Village Development Committees and households, within the eight Districts where pa...

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Bibliographic Details
Published in:BMC international health and human rights 2012-09, Vol.12 (1), p.20-20, Article 20
Main Authors: Rana, Ram B, Ghimire, Rabindra, Shah, Mahendra B, Kumal, Tirtha, Whitley, Elise, Baker, Ian A
Format: Article
Language:English
Subjects:
Adjustment
Analysis
Confidence intervals
Data processing
Disease
Food
Health aspects
Health services
HIV
Households
Human immunodeficiency virus
Infections
Intervention
Interviews
Marital status
Non-governmental organizations
Public health
Ratios
Reproductive health
Sexually transmitted diseases
STD
Studies
Towns
Tuberculosis
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Summary:An evaluation of progress with participatory approaches for improvement of health knowledge and health experiences of disadvantaged people in eight Districts of Eastern Nepal has been undertaken. A random selection of Village Development Committees and households, within the eight Districts where participation and a Rights-based Approach had been promoted specifically by local NGOs were compared with similar villages and households in eight Districts where this approach had not been promoted. Information was sought by structured interview and observation by experienced enumerators from both groups of householders. Health knowledge and experiences were compared between the two sets of households. Adjustments were made for demographic confounders. Complete data sets were available for 628 of the 640 households. Health knowledge and experiences were low for both sets of households. However, health knowledge and experiences were greater in the participatory households compared with the non-participatory households. These differences remained after adjustment for confounders. The study was designed to evaluate progress with participatory processes delivered by non-governmental organisations over a five year period. Improvements in health knowledge and experiences of disadvantaged people were demonstrated in a consistent and robust manner where interventions had taken place.
ISSN:1472-698X
1472-698X
DOI:10.1186/1472-698X-12-20