The purpose of this study is to analyze the determinants of subjective health perceptions by self-rated questionnaires on the subjective health of residents of Nepal Tikapur region and to suggest the implications for ODA for the health promotion of rural residents. The survey was conducted randomly on 207 households in urban areas and 206 households in rural areas. The questionnaire on subjective health status consisted of demographic variables, economic variables, healthcare-related variables, and medical-related variables. Crosstab analysis and hierarchical logistic regression analysis were performed for data analysis.
In crosstab analysis, among the demographic variables, age, education, status, area, detainability, marriage, among the economic variables, size of cultivated land, cultivation period, income level, sideline income activity, among the healthcare variables, health education, physical exercise, smoking, food status, safe drinking water, among the medical variables, chronic diseases, diarrheal experience were significant variables. In the logistic regression analysis, age, area, status, healthcare education, food status, chronic disease experience, medical service experience, diarrhea experience and drinking safe water were significant variables. There are no significant variables among economic variables.
From the result of analysis, there are some suggested implications for ODA support in the health and medical area of Nepal Tikapul. First, in addition to providing maternal and child health care, we should provide various medical services and programs for the treatment of chronic diseases. Second, we should promote various ODA support policies to secure safe drinking water to prevent diarrhea as well as promote medical support to treat diseases. Third, we have to monitor the food status of the residents and provide appropriate dietary programs. Fourth, health education should be provided to prevent chronic diseases, drinking water pollution and diarrhea, and medical support andand public health promotion should be organized systematically. Fifth, in the demographic phase it is necessary to provide the targeted healthcare programs and projects for people in their 50s or older, for the Janajati class, and in the rural. Sixth, potential factors such as age, education, literacy, marital status, smoking and drinking and physical exercise which are significant in subjective health status in crosstab analysis should be managed by Nepal government’s health policy and ODA health program. It should also support the implementation of healthcare programs for physical exercise maintenance, drinking and smoking cessation to improve the physical health of the individual.