Thasineku, Om Chandra https://orcid.org/0009-0002-3621-3051
Pandit, Sudesh https://orcid.org/0009-0006-1457-9107
Gurung, Yogendra Bahadur https://orcid.org/0000-0002-7233-5104
Adhikari, Ramesh https://orcid.org/0000-0002-6085-6068
Acharya, Devaraj https://orcid.org/0000-0003-0847-4836
Dulal, Bishnu Prasad https://orcid.org/0000-0003-3588-5112
Article History
Received: 31 July 2025
Accepted: 5 October 2025
First Online: 8 October 2025
Declarations
:
: The NDHS 2022 survey proposal was reviewed and approved by the Nepal Health Research Council (Ref. #678: 494/2021 P on September 30, 2021) and the ICF Institutional Review Board (ICF Project # 180657.0.001.NP.DHS.01 on August 25, 2021). The author grants permission to download and use the publicly available dataset from the Demographic and Health Survey (DHS) after requesting permission from DHS/ICF. The study relied on fully anonymized, existing secondary data, ensuring no direct involvement of respondents []. As this study utilized publicly accessible, DHS data for secondary analysis, no additional consent to participate was required.
: This study used existing DHS survey data that was already anonymous and didn’t include any personal information, so no need of extra consent.
: We declare that there is no conflict of interest with this article. However, Dr. Devaraj Acharya declares he is an Editorial Member of Discover Public Health and confirms that he was not involved in the handling or decision-making of their own submission.