Background: Cervical cancer is preventable so awareness can be as effective as any other method to prevent it.The study aims to assess awareness and attitude regarding cervical cancer screening among reproductive age women in a tertiary level hospital, Kathmandu, Nepal. Methods: A descriptive cross sectional study was carried out among 170 reproductive age women attending Nepal Medical College Teaching Hospital using purposive sampling technique. A semi structured interview schedule was used to collect data via face to face interview. Data was summarized using frequency, percentage, mean and standard deviation. Multiple logistic regression was used to determine the factors associated with awareness and attitude. Results: Among 170 reproductive age women, mean age was 31.49 ± 8.70 years. Majority 151 (88.8%) of the women had heard of cervical cancer while 119 (70%) of them had heard about cervical cancer screening. Among them, only 17 (11.3%) had adequate awareness regarding cervical cancer screening. Seventy five (46.6%) of the women had positive attitude towards cervical cancer screening. Employment status [95% CI (0.01-0.38), AOR=0.06, p=0.003] was associated with awareness whereas, ethnicity, employment status and marital status were associated with attitude. Conclusions: Most of the women were unaware about the cervical cancer screening but nearly half of the respondents had positive attitude. Therefore it is very crucial to provide health education and awareness through supervised client education. Focused group discussion as an effective approach of awareness program can be conducted in order to include specific group such as unemployed and unmarried women. Keywords: Attitude; awareness; cervical cancer; reproductive age women; screening

BackgroundJob satisfaction among nursing faculty is critical to improving quality of nursing education, producing future nurses who will contribute directly to the health of patients at a local and national level. This study explores factors associated with job satisfaction among graduate nursing faculties in different universities of Nepal.MethodsA cross-sectional study was conducted among nursing faculty with at least one year of teaching in their respective institutions. A 36-items job satisfaction questionnaire with 6-point Likert type responses was administered online. The questionnaire was pre-tested with 30 faculties pooled from multiple institutions. Link to the final survey was sent via e-mail to 327 nursing faculties working in 39 nursing colleges. Respondents were contacted by phone as a follow up to the email to politely remind them about the survey. Data analysis was carried out with SAS University Edition software. Chi-Square test and t-test were used for simple descriptive analysis. A multivariate binary logistic regression model was used to identify the significant factors associated with nursing faculties’ job satisfaction. Adjusted odds ratio was calculated and significance was considered at p ≤ 0.05 with 95% confidence interval.ResultsThe response rate was 54.4%. After retrospective cleaning of data, usable response rate was 52.3% (n = 171). The average age of the nursing faculties was 36.8 ± 7.0 years. Based on the overall job satisfaction score, 36.8% nursing faculties were satisfied with their current job. The coefficient for Cronbach’s alpha was 0.895 suggesting very good reliability of the overall measure. The significant factors associated with job satisfaction were the involvement of the faculties in decision making process related to the department (OR = 4.83) and adequate access to reference materials (OR = 2.90).ConclusionsThis study suggests that nursing faculties have positive attitude towards their job but are dissatisfied with the benefits offered to them and the operating condition of their institutions. Expanding the teaching learning resources, such as reference books, subscription to journals, and continuing education opportunities for nursing faculties through participation in professional meetings would be helpful in improving the quality of nursing education in Nepal.

Myocardial infarction the most common form of coronary heart disease is a growing health issue in developing countries. The number and magnitude of the disease is expected to grow without awareness and preventive interventions. Therefore, this study was carried out to find out knowledge and practice regarding myocardial infarction prevention among the visitors of cardiac center. A descriptive cross sectional study was conducted among 278 patient’s visitors attending Manmohan Cardio-Thoracic Vascular and Transplant Centre from June 2021-August 2021. The selection of the study area and data collection was done using Convenient sampling technique. SPSS version 16 was used for data entry and analysis. Descriptive statistics such as median, frequency and inferential statistics such as chi-square tests were used. The study revealed over 2/5th (42.8%) of respondents were between age group of 41-50 years. Majority (92.1%) were literate among which over a third (37.5%) had secondary level of education. The practice of blood pressure measurement, blood sugar and blood cholesterol measurement was reported by 76.1%, 59.1% and 31.4% respectively. Level of knowledge was adequate in 24.2% of respondents. Significant association was found between level of knowledge and sex (P=0.015), religion (P=0.009), occupation (P=0.017), and literacy status (P=0.001). Level of knowledge was found to be adequate in low percentage of the respondents. As myocardial infarction is a trending non-communicable disease, nationally there is the necessity of conducting extensive health awareness program, campaigns regarding its prevention.

Nepal government provided COVISHIELD vaccine first to the hospital employees and other front liners in January 2021. The objective of our study was to observe the adverse effects of the COVISHIELD among hospital employees of Nepal Medical College and Teaching Hospital (NMCTH). This was a descriptive cross-sectional study conducted from March to August 2021. The study was commenced after obtaining ethical clearance from the Institutional Review Committee of NMCTH. Self-reported socio-demographic details and symptomatic adverse effects reported after the first and second dose of COVISHIELD were noted. The data were entered in SPSS 16 and analysed. Out of 436 participants, 360 (82.6%) and 243 (55.7%) had reported adverse effects after the first and second dose of the COVISHIELD respectively. The adverse effects reported following COVISHIELD were common and predictable.