Introduction: Postpartum depression, a significant global concern yet a neglected domain that could have dire outcomes for both mother and children. This study aimed to find out the prevalence of postpartum depression among mothers in the Paropakar Maternity and Women's Hospital & explore the experiences of undergoing pregnancy and post-partum melancholy. Methods: A cross-sectional descriptive study with a mixed method approach and consecutive enumeration of sampling units were done among 271 participants at a maternity hospital, within the study period from July,2023 to Dec, 2023 after obtaining ethical approval (Reg no: 63/1992). Data collection was done through in-depth interviews for the qualitative part among the six respondents and self-administrative questionnaires were opted for the quantitative part among all the respondents. Results: Among the respondents, 203 (74.87%) fall within the 20-30 age range. Among them, 33 (12.24%) mothers experienced post-partum depression. Pregnancy and postpartum experiences were complex, with physical and mental challenges. Women often endured painful pregnancies, including excessive vomiting and pain. Mothers lacked support from family and spouses, impeding daily life and newborn care. Traditional superstitions often trumped medical advice, leading to confusion and risks. Despite challenges, some developed coping mechanisms, like self-counselling and community support.Conclusions: The study highlights the importance of pre-pregnancy assessment and depression screening for postpartum care. Social support is crucial, necessitating holistic support with education, mental health services, and destigmatization efforts for postpartum struggles.

Introduction: Chronic kidney disease (CKD) affects about 10% of people worldwide, with rising cases in Nepal. Late diagnosis and limited healthcare access worsen patients’ quality of life (QoL), causing physical symptoms and emotional distress. Financial strain and travel difficulties further burden Nepalese patients on dialysis. While medical treatments address physical issues, mental and social well-being remain overlooked. This mixed-method study explores factors affecting QoL and patients lived experiences, aiming to improve patient-centered care in Nepal. Methods: This convergent parallel mixed-method study was conducted at the National Kidney Center in Kathmandu, Nepal, involving adult hemodialysis patients. A quantitative survey of 260 participants was conducted, and 15 purposively selected patients took part in an in-depth qualitative interview until data saturation. Data were collected simultaneously during dialysis sessions using validated Nepali versions of the KDQOL-36 and socio-demographic questionnaires. Quantitative data were analyzed with descriptive and non-parametric tests in SPSS, while qualitative data were transcribed, translated, and thematically coded based on KDQOL domains using a phenomenological approach. Ethical approval was obtained, and informed consent was secured from all participants, ensuring confidentiality and voluntary participation. Results: This study examined CKD patients on hemodialysis. Most were male (64.2%), married (76.5%), and in advanced stage of CKD. Treatment burden was reported by 74.2%. Median symptom score was 66.67; physical and mental health median scores were 32.62 and 39.40. Males and those with lower education reported higher burden. Socio-economic status and financial strain significantly affected outcomes. No significant differences were found by marital status, diet, or CKD duration. Patients on hemodialysis experienced significant symptom burden, including fatigue, weight loss, pain, and mobility issues, leading to dependency and emotional distress. Mental health challenges, such as anxiety, depression, and fear of the future, were common, especially among those with financial strain. Family and social support, acceptance, and coping strategies helped some maintain resilience. Socio-economic status was strongly linked to symptom severity and quality of life, emphasizing the need for holistic support in care. Conclusion: For hemodialysis patients in Nepal, managing physical symptoms is only part of the struggle; emotional distress, financial pressure, and loss of independence weigh more heavily. These burdens are intensified by limited mental health support, financial security, and access to decentralized care. Addressing these challenges requires a compassionate, patient-centered approach that goes beyond survival; supporting dignity, emotional well-being, and a better quality of daily life.

Background: Adverse pregnancy outcomes, including preterm birth and low birth weight, are major global health challenges, leading to millions of newborn deaths each year. Since 1996, periodontitis and related gum diseases have been proposed as potential contributing factors, but research findings remain mixed. Further research is needed to clarify this link.

Introduction: Workplace violence in hospitals is a global concern and is considered as a major occupational hazard for all health care providers including the nurses. The aim of this study was to assess the status of workplace violence against nurses at hospitals in Kathmandu and determine the actions taken to investigate its cause.Methods: A descriptive cross-sectional study was conducted among a convenient sample of 100 registered nurses employed in Nepal Medical College and Teaching Hospital, and Kathmandu Medical College and Teaching Hospital. All eligible nurses who were willing to participate irrespective of their academic fulfilment, from all different shifts and of age below 45 years were included. Data were collected using a structured questionnaire and analysed using SPSS software. Ethical approval was taken from the Institutional Review Committee (IRC) of Nepal Medical College and Kathmandu Medical College.Results: Among 100 participants, the prevalence of workplace violence was 72 (72%) (62.13-80.52, 95% Confidence Interval). Verbal abuse accounted to 50 (69.44%), followed by physical violence accounting 17 (23.61%). Action was taken to investigate the causes of both physical violence 5 (29.41%) and verbal abuse 2 (4%) by the hospital administration 3 (60%) in physical violence and 2 (100%) in verbal abuse and police 2 (40%) in physical violence.Conclusions: The study reveals a troubling reality, as the vast majority of nurses reported experiencing various forms of violence in their workplace. So, addressing this issue immediately could protect nurses' well-being and ensure quality care which benefits both healthcare professionals and patients.

Background: A job of police officer is such that they often have to undergo the mental anguish and pain internally. This study aimed to assess the psychological impact among frontline police personnel of Kathmandu Metropolitan City in Nepal. Methods: A cross-sectional study was conducted among randomly sampled frontline police personnel of Kathmandu Metropolitan City. A self-administered DASS questionnaire was used to assess the psychological impact. Total 373 sample was derived using the formula for proportion. A self-administered DASS questionnaire was used. Data were analyzed on SPSS 20. Results: The prevalence of depression is 67.8%, of these, majority (29%) of the frontline police personnel were moderately depressed, followed by mildly depressed (20.1%), severely depressed (11.3%), and extremely severely depressed (7.5%). Similarly, the prevalence of anxiety is (73.5%) given which mildly anxious (9.4%), and moderately anxious (32.4%), severely anxious (15%), and extremely severely anxious (16.6%). Likewise, that prevalence of stress is (23%) where, the low proportion of them had mild stress (8.6%), moderate stress (6.7%), severe stress (4.8%), extremely severe stress (2.7). Conclusion: Due to their sensitive exposures and nature of work, front-line workers, such as police officers, have grown more prone to depression, anxiety, and stress. Given that policing is a physically, emotionally, and intellectually demanding profession, it is vital to equip officers with adequate psychological assistance.

In Nepal, marginalized communities like the Chepang, who face socio-economic challenges, have limited access to healthcare services, resulting in low utilization of antenatal care (ANC) despite the availability of free maternal healthcare services. This study used a cross-sectional design using semi-structured questionnaires and in-person interviews to find out the factors influencing the use of ANC services among 130 women from Chepang (an extremely marginalized ethnic tribe) community in Rapti Municipality, Chitwan, Nepal. The collected data were entered in Epi-data and analyzed in SPSS ver. 16. Descriptive statistics were used to present the results that included the computation of frequency and percentages. Bi-variate logistic regression analysis followed by multi variable logistic regression analysis were used for predictor's analysis at 95% confidence interval with odds ratios. The utilization of ANC services was 76.9%, indicating that at least one visit was made. However, the utilization decreased to 43% for those who attended complete set of four or more visits. A majority of deliveries, comprising 62.3%, were assisted by individuals other than skilled health personnel. More than a half didn’t know about the government schemes of ANC services and around 13% were never respected on their decision by their husband to seek health care. Adjusted analyses indicated that heard of government schemes of ANC services use (AOR: 6.1, 95% CI: 2.30-16.23) and husband’s respect towards their spouse decisions to seek health care (AOR: 8.22, 95% CI: 1.65-40.82) remained significant factors positively influencing ANC services use, while other factors became insignificant after adjustment. These findings suggest that customized interventions focusing on increasing awareness of government schemes on ANC services and promoting respect towards women’s decisions could be effective in improving ANC services use among the extremely marginalized Chepang women of Nepal.