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( Pragya Bhatt ),( Madhusudan Subedi ),( Rajendra Dev Bhatt ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Ethnomedicine is a system of therapy using natural agents and their derivatives to treat ailments by the ethnic communities. This study was aimed to analyze and record the knowledge of ethnomedicinal plants for treating liver disorders among tharu tribe of far western Nepal. Methods: A descriptive cross sectional observational study was conducted in ten Tharu Tribe inhabited villages of Kanchanpur district of Far West Nepal. Rapid Rural Appraisal (RRA), ‘Semi-structured interviews and focus group discussions were employed to collect data from four Guruwas, the main traditional healer, as key informants, some knowledgeable persons, (but not Guruwas) as informants and some youths in Tharu tribes, categorizing them into three groups. The information shared was further discussed among all three groups. Results: This study enumerated an encouraging data of 39 plant species being used for the treatment of liver and related diseases by tharu community. Out of these, 9 plant species (8 families) were solely used for jaundice and biliary ailments.33 other plant species were also recorded for being used to cure digestive system related disorders which might be related to liver diseases.Fresh plants and their parts including leaves (maximum used), barks, fruits, flowers, roots, rhizome and latex in the form of juice, powder, decoction, and paste and pulverized were used and administered by oral route. Some dietary restrictions (no alcohol, less oil etc.) were also made during medication. Consult the Guruwas for traditional healing was found to be the first choice for jaundice in the selected community. Around 43% jaundiced get well with traditional treatment while rest of the patients visited hospitals. Conclusions: A proper documentation and further elaborated research for ethnomedicinal plant being used by this tribal people is essential to understand the mechanism of action of these plants for jaundice and other liver diseases.
Bhatta Kusumsheela,Pathak Pratiksha,Subedi Madhusudan 대한예방의학회 2024 예방의학회지 Vol.57 No.3
Objectives: The Chepang people, an indigenous ethnic group in Nepal, experience substantial marginalization and socioeconomic disadvantages, making their communities among the most vulnerable in the region. This study aimed to determine the prevalence and factors associated with adolescent pregnancy in the Chepang communities of Raksirang Rural Municipality, Makwanpur District, Bagmati Province, Nepal.Methods: A cross-sectional study was conducted from October 2022 to April 2023 among 231 Chepang women selected using simple random sampling from Raksirang Rural Municipality. A semi-structured questionnaire was used for interviewing the mothers. Bivariate and multivariate logistic regression analyses were performed, using odds ratios with 95% confidence intervals (CIs). Variables with a variation inflation factor of more than 2 and a p-value of more than 0.25 were excluded from the final model.Results: The study revealed that the prevalence rate of adolescent pregnancy among Chepang women was 71.4% (95% CI, 65.14 to 77.16). A large percentage of participants (72.7%) were married before the age of 18 years. Poor knowledge of adolescent pregnancy (adjusted odds ratio [aOR], 10.3; 95% CI, 8.42 to 14.87), unplanned pregnancy (aOR, 13.3; 95% CI, 10.76 to 19.2), and lack of sex education (aOR, 6.57; 95% CI, 3.85 to 11.27) were significantly associated with adolescent pregnancy.Conclusions: The prevalence of adolescent pregnancy among the Chepang community was high. These findings highlighted the importance of raising awareness about the potential consequences of adolescent pregnancy and implementing comprehensive sexuality education programs for preventing adolescent pregnancies within this community.