Background: Menstrual hygiene is very important aspect for adolescent girls and proper menstrual hygiene has not been sufficiently addressed in developing countries including Nepal. This study aimed to assess the knowledge on menstruation and menstrual hygiene practices among adolescent girls. Methods:Descriptive cross-sectional study was conducted among adolescent girls studying in selected schools of Chitwan district. A total 193 girls who had menstrual flow experience for at least three consecutive menstrual cycles were selected as sample using the consecutive sampling technique. Data were analyzed in Statistical Package for Social Sciences (SPSS) version 16.0 using descriptive and inferential statistics.Results: Most of the girls knew about menstruation as physiological process, normal age of menstruation, and causes of menstruation as hormonal change. Overall, 66.8% of girls had adequate level of knowledge on menstruation. Regarding practice, 94.8% cleaned their genitalia properly, 93.8% used the sanitary pads, and 97.4% wrapped and disposed the pads in dustbin after use. Overall, 72.5% of girls had good level of menstrual hygiene practices. Adolescent girl's age and grade, and occupation status of their father were significantly associated (p < 0.05) with menstrual hygiene practice. Further, significant positive relationship found between knowledge on menstruation and menstrual hygiene practice. Conclusions:One third of adolescent girls have inadequate knowledge on menstruation and one fourth have poor menstrual hygiene practice. Therefore, an awareness and advocacy programs on menstruation and menstrual hygiene practices are needed for the adolescent girls to safeguard themselves against reproductive tract infections.

Background: Pregnancy is the period from conception to birth during which there is the requirements of diet that provide the required essential nutrients to keep the mother healthy and allow the fetus to grow and develop in favorable conditions. The objective of the study was to identify the knowledge on dietary pattern among pregnant women attending ANC checkup in Narayani sub-regional hospital. Methods: The study was of descriptive, cross sectional type. The random sampling technique was applied. The study design was conducted in Narayani sub-regional hospital in Parsa district, Nepal. Participants included 96 pregnant women using semi structured questionnaire through face to face interview. Data analysis was done both manually and with the help of SPSS. Results: The study showed that there were more women 56(58.3%) from rural areas than that of urban. About seven out of 10 pregnant women were between the ages of 20 to 35 years of age and the study showed that one-fifth of the pregnant women were married before legal age. The mean age of pregnant women was 24. 1 year. There were 6.2% of pregnant women who were illiterate and six out of 10(59.4%) pregnant women had agriculture as their main occupation. The total sampled 96 pregnant women interviewed all knew about nutrition and mostly the source of information was family, neighbors and friends (34.4%). Almost two-fourth (45.8%) of pregnant women still have the wrong perception regarding consumption of green vegetables and coldness (61.4%) is the main reason behind not consumption of green vegetables. The reason for consumption of processed food was because of easy availability and nine in ten pregnant women replied media influenced them to eat processed food. Two-third pregnant women replied right answer for reason of taking iron tabs. In the study found that there is no association between women literacy and knowledge on nutrition. About 6 in 10 (59.3%) sampled women had moderate knowledge on nutrition whereas only one forth-pregnant woman had high knowledge on nutrition. One-sixth pregnant women had low knowledge. Conclusions: The study revealed that, although every pregnant woman had some sorts of knowledge on nutrition, still there is lack of sufficient knowledge on dietary patterns during pregnancy and some wrong perceptions following diet consumption during pregnancy was found. Health education and awareness programs that influences to develop positive attitude can only ultimately brings changes in the behavior.

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Background: Attention deficit hyperactivity disorder (ADHD) is one of the most common mental disorders affecting children. ADHD knowledge among teachers helps managing such children. This study aimed to assess the knowledge regarding ADHD of children among school teachers at Lalitpur, Nepal. Methods: A descriptive cross-sectional study was conducted among 124 primary school teachers in 19 government schools of Lalitpur Metropolitan City. A standard tool “Knowl­edge of Attention Deficit Disorders Scale (KADDS)” was used, which is valid and reliable tool designed by Sciutto and colleagues. Data were collected from 2017/06/20 to 2017/07/20. Data were analyzed using descriptive (frequency, percentage, mean and standard deviation) and inferential statistics (chi square test) for frequency distribution and association between levels of knowledge regarding ADHD with selected variables. Results: Eighty-five (68.5%) female and 39 (31.5%) male teachers with the mean age 41.85 ± 8.80 years (range 18 to 58 years) were enrolled. Majority teachers were married (94.4%) and from urban area (75%) with bachelor’s degree (37.9%) as their educational qualification and 11 to 20 years of teaching experiences (42.74%). The significant influencing variables were educational qualification (p = 0.009), type of service (p = 0.018), teaching experiences (p = 0.002), in-service education on ADHD (p = 0.004) and experience with ADHD students (p = 0.001). The study showed that 94 (75.8%) teachers had poor knowledge. Conclusions: It was concluded that three fourth of the teachers had poor knowledge about ADHD. Teachers knowledge will help to identify, refer and help in management of children with ADHD.

Background: Menstrual hygiene is very important aspect for adolescent girls and proper men­strual hygiene has not been sufficiently addressed in developing countries including Nepal. This study aimed to assess the knowledge on menstruation and menstrual hygiene practices among adolescent girls. Methods: Descriptive cross-sectional study was conducted among adolescent girls studying in selected schools of Chitwan district. A total 193 girls who had menstrual flow experience for at least three consecutive menstrual cycles were selected as sample using the consecutive sampling technique. Data were analyzed in Statistical Package for Social Sciences (SPSS) version 16.0 using descriptive and inferential statistics. Results: Most of the girls knew about menstruation as physiological process, normal age of men­struation, and causes of menstruation as hormonal change. Overall, 66.8% of girls had adequate level of knowledge on menstruation. Regarding practice, 94.8% cleaned their genitalia properly, 93.8% used the sanitary pads, and 97.4% wrapped and disposed the pads in dustbin after use. Over­all, 72.5% of girls had good level of menstrual hygiene practices. Adolescent girl’s age and grade, and occupation status of their father were significantly associated (p < 0.05) with menstrual hygiene practice. Further, significant positive relationship found between knowledge on menstruation and menstrual hygiene practice. Conclusions: One third of adolescent girls have inadequate knowledge on menstruation and one fourth have poor menstrual hygiene practice. Therefore, an awareness and advocacy programs on menstruation and menstrual hygiene practices are needed for the adolescent girls to safeguard themselves against reproductive tract infections.