Background: Child rearing practices and family environment determine the health of newborn. Harmful newborn care practices are the risk factors for late onset neonatal sepsis. The objective was to identify newborn practices related to breast feeding, cord care, hygiene of newborn and thermal care practice at home of admitted neonates with diagnosis Late Onset Neonatal Sepsis in pediatric unit of B.P. Koirala Institute of Health Sciences tertiary center in eastern Nepal.Methods: Descriptive cross sectional study was carried out from December 2014 to January 2015 using consecutive sampling. Semi structured, pretested questionnaire was used to interview 40 mothers. Data were analyzed using SPSS 20, descriptive and inferential statistics were used.Results: Initiation of breastfeeding within one hour of delivery was practiced by only 40% of mother. Among neonates, 65% were given colostrum, 25% were given pre lacteal feed, and 45% were given formula milk and animal milk. Mustard oil was used to care umbilical cord by 72.5 %. Hand washing was practiced by 62.5 % before touching the baby. Application of kajal (52.5%) in eyes and use of mustard oil (95%) for massaging newborn was common. For thermal care, burning charcoal (75%) was mostly used. The study revealed association between newborn care and mother education, per capita income of family and family type (p =0.012, p= 0.012, p=0.039) respectively. Conclusions: Majority of practices in breast feeding and thermal care were good however in cord care and newborn hygiene practices was poor which stresses the need for the promotion of health education program to mothers by health care facilities. Keywords: LONS; newborn care; practice

Introduction: Work-Life Balance (WLB) is defined as a degree to which a person is engaged in and satisfied with their work, family and social life. The objective of this study was to assess the level of WLB among nurses working in tertiary level hospital and to measure the association between independent variables and level of WLB. Methods: A descriptive cross-sectional study was conducted among 95 nurses working in different wards of tertiary level hospital by using non-probability purposive sample method during the month of March 2020 for two weeks. Self-developed, semi structured pretested questionnaire was used for data collection. Results: The respondents who had achieved a moderate level of WLB balance was 86.3%, whereas 3.2 % have managed to maintain balance and the remaining 10.5% have reported an imbalanced state of WLB. There was a significant relationship between the type of family (p=0.03), work experience (p=0.04) and the number of earning members in the family (p=0.047) with the level of WLB respectively.   Conclusions: The study concludes that nurses are able to maintain a moderately balanced state of work-life.

Background: Fever is an extremely common occurrence in paediatric patients and the most common cause for hospital visit. Lack of knowledge regarding childhood fever can cause distress and anxiety among parents. It is one of the main reasons parents seek reassurance and advice from health care professionals. The objective of the study was to assess the perception and practice regarding management of childhood fever among parents of under five children.Methods: The analytical cross sectional study design was conducted among 135 parents of under five children admitted in medical ward of Kanti childrens’ hospital. Kathmandu Nepal, from December 2019 to January 2020. Face to face interview was done for data collection. Self-developed five points Likert scale was used for assessing perception and checklist was used for practice. Obtained data were analyzed by using SPSS version 20, descriptive and inferential statistics was used.Results: Study shows that majority of respondents were of age less than 30 years and 81% were female. Greater part of respondents 71.8% had fair perception on childhood fever. At the same time, half of the respondents 50.4% had poor practices on childhood fever management. The level of perception is strongly associated with educational status (p=0.002) while level of practices is strongly associated with number of children (p=0.040 and residence (p=0.001) of respondents.Conclusions: Overall findings showed that more than two third of the respondents had fair perception towards childhood fever and about half of the respondents had poor practices of childhood fever management which concluded the need of educational intervention and additional research regarding childhood fever.