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Ramesh Prasad Adhikari - One of the best experts on this subject based on the ideXlab platform.

  • Trends in and determinants of visiting private Health facilities for maternal and Child Health Care in Nepal: comparison of three Nepal demographic Health surveys, 2006, 2011, and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Background Maternal and Child Health Care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal Care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and Child Health Care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Conclusions Women are increasingly visiting private Health facilities for maternal and Child Health Care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health Care sector.

  • trends in and determinants of visiting private Health facilities for maternal and Child Health Care in nepal comparison of three nepal demographic Health surveys 2006 2011 and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Maternal and Child Health Care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal Care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. The results indicate an increase in the use of private facilities for maternal and Child Health Care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Women are increasingly visiting private Health facilities for maternal and Child Health Care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health Care sector.

Nawaraj Upadhaya - One of the best experts on this subject based on the ideXlab platform.

  • Trends in and determinants of visiting private Health facilities for maternal and Child Health Care in Nepal: comparison of three Nepal demographic Health surveys, 2006, 2011, and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Background Maternal and Child Health Care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal Care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and Child Health Care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Conclusions Women are increasingly visiting private Health facilities for maternal and Child Health Care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health Care sector.

  • trends in and determinants of visiting private Health facilities for maternal and Child Health Care in nepal comparison of three nepal demographic Health surveys 2006 2011 and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Maternal and Child Health Care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal Care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. The results indicate an increase in the use of private facilities for maternal and Child Health Care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Women are increasingly visiting private Health facilities for maternal and Child Health Care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health Care sector.

Jonathan P. Winickoff - One of the best experts on this subject based on the ideXlab platform.

  • adult attitudes and practices regarding smoking restrictions and Child tobacco smoke exposure 2000 to 2015
    Pediatrics, 2018
    Co-Authors: Jonathan P. Winickoff, Susanne E Tanski, Jonathan D Klein, Robert Mcmillen, Karen M Wilson
    Abstract:

    BACKGROUND AND OBJECTIVES: Since 2000, tobacco control efforts have greatly increased state and local protections from Childhood tobacco smoke exposure. The objective of this study is to examine changes in attitudes and practices regarding smoking bans in multiple public and private settings from 2000 to 2015, as well as to examine the changes in pediatrician and family practitioner screening and counseling for tobacco smoke exposure. METHODS: Cross-sectional data from the annual Social Climate Survey of Tobacco Control were analyzed. RESULTS: The majority of adults, 69.3%, reported household smoking restrictions in 2000, and these restrictions increased to 79.5% through 2015 ( P P CONCLUSIONS: Despite dramatic progress since 2000, these trend data reveal potential areas where Child Health Care clinicians might focus effort at the family and community level to accelerate the protection of Children from tobacco smoke exposure.

  • Guidance for the Clinical Management of Thirdhand Smoke Exposure in the Child Health Care Setting.
    Journal of clinical outcomes management : JCOM, 2017
    Co-Authors: Jeremy E. Drehmer, Bethany Hipple Walters, Emara Nabi-burza, Jonathan P. Winickoff
    Abstract:

    Objective To explain the concept of thirdhand smoke and how it can be used to protect the Health of Children and improve delivery of tobacco control interventions for parents in the Child Health Care setting. Methods Review of the literature and descriptive report. Results The thirdhand smoke concept has been used in the CEASE intervention to improve the delivery of tobacco control counseling and services to parents. Materials and techniques have been developed for the Child Health Care setting that use the concept of thirdhand smoke. Scientific findings demonstrate that thirdhand smoke exposure is harmful and establishes the need for clinicians to communicate the cessation imperative: the only way to protect non-smoking household members from thirdhand smoke is for all household smokers to quit smoking completely. As the scientific knowledge of thirdhand smoke increases, advocates will likely rely on it to encourage completely smoke-free places. Conclusion Recent scientific studies on thirdhand smoke are impelling further research on the topic, spurring the creation of tobacco control policies to protect people from thirdhand smoke and stimulating improvements to the delivery of tobacco control counseling and services to parents in Child Health Care settings.

  • youth tobacco use a global perspective for Child Health Care clinicians
    Pediatrics, 2006
    Co-Authors: Alexander V Prokhorov, Jonathan P. Winickoff, Jasjit S Ahluwalia, Deborah J Ossipklein, Susanne E Tanski, Harry A Lando, Eric T Moolchan, Myra L Muramoto, Jonathan D Klein, Michael Weitzman
    Abstract:

    Tobacco dependence, responsible for approximately 4 million annual deaths worldwide, is considered to be a "pediatric disease." The smoking epidemic is spreading rapidly in developing countries. Factors contributing to youth smoking in developing countries include cultural traditions, tobacco's easy accessibility and moderate pricing, peer and family influences, and tobacco companies' advertisements and promotional activities. Secondhand tobacco smoke exposure is a substantial problem that causes increased rates of pneumonia, otitis media, asthma, and other short- and long-term pediatric conditions. Parental tobacco use results in Children's deprivation of essential needs such as nutrition and education. In this article we review contemporary evidence with respect to the etiology of nicotine dependence among youth, the forms of youth tobacco products worldwide, global youth tobacco-control efforts to date, medical education efforts, and Child Health Care clinicians' special role in youth tobacco-control strategies. In addition, we provide a review of currently available funding opportunities for development and implementation of youth tobacco-control programs.

  • state of the art interventions for office based parental tobacco control
    Pediatrics, 2005
    Co-Authors: Jonathan P. Winickoff, Susanne E Tanski, Harry A Lando, Myra L Muramoto, Alan C Geller, Anna Berkowitz, Katie R Brooks, Carey C Thomson, Susan J Curry, Alexander V Prokhorov
    Abstract:

    Parental tobacco use is a serious Health issue for all family members. Child Health Care clinicians are in a unique and important position to address paren- tal smoking because of the regular, multiple contacts with parents and the harmful Health consequences to their patients. This article synthesizes the current evi- dence-based interventions for treatment of adults and applies them to the problem of addressing parental smoking in the context of the Child Health Care setting. Brief interventions are effective, and complementary strategies such as quitlines will improve the chances of parental smoking cessation. Adopting the 5 A's frame- work strategy (ask, advise, assess, assist, and arrange) gives each parent the maximum chance of quitting. Within this framework, specific recommendations are made for Child Health Care settings and clinicians. Ongo- ing research will help determine how best to implement parental smoking-cessation strategies more widely in a variety of Child Health Care settings. Pediatrics 2005;115: 750-760; tobacco, smoking, adolescent, Child, parent, pedi- atrician, nicotine-replacement therapy, NRT, nicotine, to- bacco dependence, guideline, clinical practice guideline, environmental tobacco smoke, secondhand smoke, SHS. ABBREVIATIONS. SHS, secondhand smoke; ETS, environmental tobacco smoke; NRT, nicotine-replacement therapy; PHS, US Pub- lic Health Service; AAP, American Academy of Pediatrics; OR, odds ratio; CI, confidence interval.

Emily N. Satinsky - One of the best experts on this subject based on the ideXlab platform.

  • Trends in and determinants of visiting private Health facilities for maternal and Child Health Care in Nepal: comparison of three Nepal demographic Health surveys, 2006, 2011, and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Background Maternal and Child Health Care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal Care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and Child Health Care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Conclusions Women are increasingly visiting private Health facilities for maternal and Child Health Care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health Care sector.

  • trends in and determinants of visiting private Health facilities for maternal and Child Health Care in nepal comparison of three nepal demographic Health surveys 2006 2011 and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Maternal and Child Health Care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal Care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. The results indicate an increase in the use of private facilities for maternal and Child Health Care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Women are increasingly visiting private Health facilities for maternal and Child Health Care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health Care sector.

Manisha Laxmi Shrestha - One of the best experts on this subject based on the ideXlab platform.

  • Trends in and determinants of visiting private Health facilities for maternal and Child Health Care in Nepal: comparison of three Nepal demographic Health surveys, 2006, 2011, and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Background Maternal and Child Health Care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal Care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and Child Health Care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Conclusions Women are increasingly visiting private Health facilities for maternal and Child Health Care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health Care sector.

  • trends in and determinants of visiting private Health facilities for maternal and Child Health Care in nepal comparison of three nepal demographic Health surveys 2006 2011 and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Maternal and Child Health Care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal Care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. The results indicate an increase in the use of private facilities for maternal and Child Health Care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Women are increasingly visiting private Health facilities for maternal and Child Health Care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health Care sector.