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Chapter Three


                              Research Methodology


3.1 Introductions


Research is a scientific inquiry aimed at learning new facts, testing ideas, etc. It is the

systematic collection, analysis and interpretation of data to generate new knowledge

and answer a certain question or solve a problem(Yigzaw, 2006).


Research methodologyis a way to systematically solve the research problem. It may

be understood as a science of studying how research is done scientifically. In it we

study the various steps that are generally adopted by a researcher in studying his

research problem along with the logic behind them. It is necessary for the researcher

to know not only the research methods or techniquesbut also the methodology.

Researchers not only need to know how to develop certain indices or tests,how to

calculate the mean, the mode, the median or the standard deviation or chi-square, how

toapply particular research techniques, but they also need to know which of these

methods or techniques,are relevant and which are not, and what would they mean and

indicate and why. Researchers alsoneed to understand the assumptions underlying

various techniques and they need to know the criteriaby which they can decide that

certain techniques and procedures will be applicable to certain problemsand others

will not. All this means that it is necessary for the researcher to design his

methodologyfor his problem as the same may differ from problem to

problem(Kothari, 2004).




                                             1
This chapter describes the procedural or methodological aspects used in collecting,

interpreting, analyzing, compiling and evaluating the data.Under this chapter it has

Introduction, Philosophy, Research philosophy, philosophical worldviews, research

approach, research design, sampling design, universe and sample size, sampling

filters, types of data sources, data collection strategy, formations of questionnaires and

checklist, reliability and validity test of research instruments, language translation-

back-translation, discussion with expert, pilot study, data analysis and ethical

consideration. The main objective of this chapter is to explain various techniques and

tools used for data collection, analysis and interpretation.They are discussed in detail

in this chapter.


The research and research methodology or process can be shown in the figure below:




Figure-1: Methodological Structure.

                                            2
3.2 Philosophy


Philosophy is the study of general and fundamental problems, such as those connected

with reality, existence, knowledge, values, reason, mind, and language. Philosophy is

distinguished from other ways of addressing such problems by its critical, generally

systematic approach and its reliance on rational argument.In more casual speech, by

extension, "philosophy" can refer to "the most basic beliefs, concepts, and attitudes of

an individual or group"(WIKIPEDIA, 2013).


The word "Philosophy" was usedaround in 580 BC by Pythagoras of Somos for the

first time. In the very beginning philosophy was used for thepublicity of knowledge of

a person or a group and used to say discover of curiosity and meaning. But at present

the philosophy is also known as science of the science. Philosophy investigates and

explores the answer of the questions like – what is human?, What is life?, What is the

purpose of successful and real life?, What is the nature of universe?, What is death?,

Is there another world except earth?, Is there god or not?, What is truth-untruth?(Jha,

2002)


The word „Philosophy‟ involves two Greekwords – Philo meaning love and Sophia

meaning knowledge. Thusliterally speaking, philosophy means love of wisdom. Man

is a rationalanimal. Desire for knowledge arises from this rational nature of

man.Philosophy is an attempt to satisfy this very reasonable desire.Philosophy

signifies a natural and necessary urge in human-beings to know themselves and world

in which they live, move and have their being.It is impossible for man to live without

a philosophy. The choice is not„between metaphysic and no metaphysic; it is between

a goodmetaphysic and a bad metaphysic‟(Dube, 2009).




                                           3
Aristotle used to say Philosophy is the grouping of the knowledge of Universe". And

according to Socrates "Philosophyis the knowledge of truth". Likewise Zeigler stated

"The philosophy is the branch of learning, which investigates, evaluates, and

integrates knowledge of reality as best as possible into one or more systems

embodying all available wisdom about the universe"(Jha, 2002).


Philosophy provides the guidelines to conduct research study. This research was also

conducted through the guidelines acquired from philosophy.


3.2.1 Research Philosophy


Research philosophy denotes to the systematic search for existence, knowledge,

values, reasons, mind, and language. This research requires an open mind in order to

establish facts to both new and existing obscurities. Plato and Aristotle are regarded as

the father of philosophy.


Easterby-Smith et al (2008:56) explain that failure to think through philosophical

issues can seriously affect the quality of management research. They also outline that

knowledge of philosophy can help the researcher recognize which designs will work

best and that it enables the achievement of a satisfactory outcome for the research

activity. Saunders et al (2009:107) develop this further and explain that research

philosophy supports the creation of knowledge in a particular field and is influenced

by the way a researcher thinks(Orange, 2010).


Philosophical perspectives are worldviews that definethe nature of the world, the

individual‟s place in it, andthe possible relationships to that world and its

parts.Learning and instructional theories are developed withrespect to a particular set

of assumptions regardingwhat it means to know and learn. It is our contentionthat


                                            4
when situational variables require some decisionon the part of the educator (and we

believe this isalways the case), an underlying set of assumptions(whether they be tacit

or explicit) will, and should,drive the decision. In this chapter we provide

overviewdescriptions of five psychological perspectives, contrastedin terms of

epistemology, ontology, unit of analysis,and whether they suggest dualist

relationships.These theories (behaviorism, cognitivism, cognitiveconstructivism,

sociocultural or historicism, and situativitytheory) provide frameworks for describing

learningand designing instruction. It is the goal of this chapterto clarify these

distinctions and the underlying assumptionsso instructional designers, teachers, and

researchersmay make pedagogical decisions more explicitly(Yildiz, 2010).


Research philosophy shows the systematic way to conduct research activities.

Philosophy helps to establish relation to both existing and new knowledge and help to

select the proper research design and to create new knowledge and theory too.


3.2.2 Philosophical Worldviews


Although philosophical ideas remain largely hidden in research (Slife& Williams,

1995), they still influence the practice of research and need to be identified. I suggest

that individuals preparing a research proposal or plan make explicit the larger

philosophical ideas they espouse. This information will help explain why they chose

qualitative, quantitative, or mixed methods approaches for their research (Creswell,

2011).


There are four types of philosophical worldviews which guide the researcher towards

the philosophy of research through which he/she can be able to determine research

design to accomplish the research work. The philosophical worldviews have been

described below.
                                            5
3.2.2.1 Post Positivist Worldview


Insights from Dewey, Popper, and Rescher suggest a broad-based post positivist

philosophy mediating critical space between positivism and constructivism based

upon the quest for truth as a regulative ideal within a fallibilistic scientific

epistemology. A critical issue in adult literacy education illustrates the viability of

postpositivist research design as applicable especially to the social sciences. The

object here is less to draw out the subtle distinctions and potential points of conflict

between Dewey, Popper, and Rescher, than to highlight some of the ways in which

the collective impact of their work contributes toward the shaping of a postpositivist

temper(Demetrion, 2004).


A Post-positivist research approach advocates methodological pluralism. It is based

on the assumption that the method to be applied in a particular study should be

selected based on the research question being addressed. The research described here

takes a post-positivist approach, applying interpretive research in two ways: in an

exploratory study of end-user computing conducted prior to a positivism study and in

a study of end-user searching behaviours conducted concurrently with a positivist

study(Wildemuth, 1993).


Post positivists hold a deterministic philosophy in which causes probably determine

effects or outcomes. Thus, the problems studied by post-positivists reflect the need to

identify and asses the causes that influence outcomes, such as found in experiments. It

is also reductionistic in that the intent is to reduce the ideas into a small, discrete set of

ideas to test, such as the variables that comprise hypotheses and research questions.

The knowledge that develops through a positivist lens is based on careful observation

and measurement of the objective reality that exists "out there" in the world. Thus,

                                              6
developing numeric measures of observations and studying the behavior of

individuals becomes paramount for a post-positivist(Creswell, 2011).


The Post positivist worldviews can be used for the quantitative research. A part of this

research is also quantitative. So, this worldviews also was used in this research study.


3.2.2.2 The Social Constructivist Worldview


Social constructivists hold assumptions that individuals seek understanding of the

world in which they live and work. Individuals develop subjective meanings of their

experiences–meanings directed toward certain objects or things. These meanings are

varied and multiple, leading researcher to look for the complexity of views rather than

narrowing meanings into a few categories or ideas. The goal of the research is to rely

as much as possible on the participants' views of the situation being studied. The

questions become broad and general so that the participants can construct the meaning

of a situation, typically forged in discussions or interactions with other

persons(Creswell, 2011).


Constructivism in education emerged after the behaviorist movement as a welcome

and refreshing view oflearning that centers on the active learner within the teaching-

learning process. This emphasis on theindividual (within the greater social context)

during instruction has drawn attention to the prior beliefs,knowledge, and skills that

individuals bring with them. Prior knowledge has been shown to

significantlyinfluence the ways individuals make meaning out of instruction. The

constructivist focus on the socialcontext and larger community of learners has

resulted in a major shift away from individually-basedinstruction to instruction that

incorporates and embeds teaching within the larger community of peers,younger

students, as well as those who are older. Finally, constructivism's greatest contribution
                                            7
to educationmay be through the shift in emphasis from knowledge as a product to

knowing as a process. This legacy ofconstructivism will likely prove to be a lasting

and meaningful shift in the structure of schooling(Brader-Araje, 2002).


The Social Constructivist Worldview is concerned with the qualitative research. A

part of this research study is also qualitative in nature. So, this philosophical

worldviews was also used in this research.


3.2.2.3 The Advocacy and Participatory Worldview


An advocacy and participatory worldviewhold that research inquiry needs to be

intertwined with politics and a political agenda. Thus, the research contains an action

agenda for reform that may change the lives of the participants, the institutions in

which individuals work or live, and the researcher‟s life. Moreover, specific issues

need to be addressed that speak to important social issues of the day, issues such as

empowerment, inequality, oppression, domination, suppression, and lineation. The

researcher often begins with one of these issues as the focal point of the study. This

research also assumes that the inquirer will proceed collaboratively so as to not

further marginalize the participants as a result of the inquiry. In this sense, the

participants may help design questions, collect data, analyze information, or reap the

rewards of the research. Advocacy research provides a voice for these participants,

raising their consciousness or advancing an agenda for change to improve their lives.

It becomes a united voice for reform and change(Creswell, 2011).


This worldviews was in opposition to the post-positivist assumptions because post-

positivist worldviews is applied in quantitative research and in experimental study and

the research ia based on the researcher's own idea but Advocacy and participatory

worldviews concerned with qualitative research and the researcher take help from the
                                             8
participant to prepare questions, data collection, analyzing the information. It helps to

raise the consciousness for change to improve prtipants lives too. This research was

concerned to participate respondents to change their perception and attitude towards

the behavioural change. So, this worldviews was used in reserch activities.


3.2.2.4 The Pragmatic Worldview


Pragmatism is a method of philosophy begun by Charles Sanders Peirce (1839-1914),

popularized by William James (1842-1910), and associated with two other major

early representatives, John Dewey (1859-1952) and George Herbert Mead (1863-

1931). Pragmatism was defined in 1878 by Peirce as follows: “Consider what effects

that might conceivably have practical bearings, we conceive the object of our

conception to have. Then, our conception of these effects is the whole of our

conception of the object” (Peirce, 1992: 132)(Halton, 2004).


According to John Dewey "Pragmatism is a philosophy of human nature". Likewise

Ross stated that "Pragmatism is essentially a humanistic philosophy maintaining that

man creates his own value in the course of activity, that reality is still in making and

awaits part of its complexion from the future, that to an unascertainable extent our

truths are man-made products"(Jha, 2002).


A pragmatic research philosophy is introduced that embraces mixed-method

approaches to applied research questions. With its origins in the work of Peirce

(1984), James (1907), Dewey (1931), and contemporary support from Rorty (1982,

1990, 1991), pragmatism emphasizes the practical problems experienced by people,

the research questions posited, and the consequences of inquiry. As a way to highlight

applications of pragmatism in sport psychology, pragmatism is compared to

constructivism and positivism in terms of philosophical underpinnings and
                                            9
methodological applications. The pragmatic researcher is sensitive to the social,

historical, and political context from which inquiry begins and considers morality,

ethics, and issues of social justice to be important throughout the research process.

Pragmatists often use pluralistic methods during multiphase research projects.

Exemplar design types are discussed that logically cohere to a pragmatic research

philosophy(Giacobbi, Pazwardowski, & Hager, 2005).


Pragmatism is the philosophy of common sense. It uses purposeful human inquiry as a

focal point. Inquiry is viewed as a continuing process which acknowledges the

qualitative nature of human experience as problematic situations emerge and are

recognized. Recognition involves the doubt associated with questioning existing

belief systems. Doubt is resolves through critical reasoning and ultimately tested in

action. It is the philosophy of common sense, because actions are assessed in light of

practical consequences. Finally, inquiry is not necessarily limited to individual effort;

rather it often incorporates a "community of inquirers". The applicability of

pragmatism to Public Administration inquiry flows from the above definition(Shields,

1998).


This article discusses the use of a pragmatic approach as the philosophical foundation

of pedagogy in Finnish universities of applied sciences. It is presented that the

mission of the universities of applied sciences falls into the interpretive paradigm of

social sciences. This view is used as a starting point for a discussion about

pragmatism in higher education. The Learning by Developing (LbD) action model is

introduced, analyzed and compared to pragmatism. The paper concludes that, at least

in practice-oriented academic subjects, a pragmatic approach to pedagogy, as well as




                                           10
the LbD action model, is effective and could be considered in several universities as

the basis of philosophy of pedagogy(Raij, 2011).


This research is based on the philosophy, Pragmatism. It is concerned with learning

by doing, learning by trial and error and learning by experiences. Pragmatism deals

with both approaches i.e. Inductive and Deductive and both qualitative and

quantitative methods of research. This study is also based on both the qualitative and

quantitative or mixed method. So, this research study is guided by Pragmatism.


3.3 Research Approaches


Research approach refers to the way of conducting research. There are two types of

research approaches which are used in the research methodologies; they are Inductive

and deductive approaches. The research approach is decided on the basis of research

question. Inductive approach is planned at the time flow needed from specific to

general. Similarly, deductive approach is in case when the topic demand flow from

general to specific.This research is based on both inductive and deductive approaches.


3.3.1 Inductive Approach


Inductive reasoning is a theory building process, starting with observations of specific

instances, and seeking to establish generalisations about the phenomenon under

investigation(Hyde, 2000).


Ageneral inductive approach for analysis of qualitative evaluation data is described.

Thepurposes for using an inductive approach are to (a) condense rawtextual data into

a brief, summaryformat; (b) establish clear links between the evaluation or research

objectives and the summaryfindings derived from the rawdata; and (c) develop a

framework of the underlying structure of experiencesor processes that are evident in

                                           11
the raw data. The general inductive approach provides aneasily used and systematic

set of procedures for analyzing qualitative data that can produce reliableand valid

findings. Although the general inductive approach is not as strong as some other

analyticstrategies for theory or model development, it does provide a simple,

straightforward approach forderiving findings in the context of focused evaluation

questions. Many evaluators are likely to findusing a general inductive approach less

complicated than using other approaches to qualitative dataanalysis(Thomas D. R.,

2006).


Inductive approach helps to generate new theory.It is less complicated than other

approaches. It provides easily used and systematic procedures for analyzing

qualitative data and reliable and valid findings. It is not much strong as analytical

approaches but it provides simple approach to derive findings.


3.3.2 Deductive Approach


Deductive reasoning is a theory testing process which commences with an established

theory or generalisation, and seeks to see if the theory applies to specific

instances(Hyde, 2000).


Deductive reasoning, also deductive logic or logical deduction or, informally, "top-

down" logic, is the process of reasoning from one or more general statements

(premises) to reach a logically certain conclusion(Wikipedia, 2013).


Deductive approach is "a methodof reasoning by which (1) concrete applications or

consequences are deducted from general principles or (2) theorems are deduced from

definitions and postulates-compare" (Webster, 2013).




                                            12
Deductive approach tests the theory. It helps to reach in certain logical conclusion.

Actual consequences are deducted from general principal and theorems are deducted

from definitions in this approach. So this approach was used in testing the theory,

which was used in research as a guide.


This research is based on mixed method in which both inductive and deductive

approaches were used. The qualitative research is guided by the Inductive Approach

and the quantitative research is guided by Deductive Approach whereas Inductive

approach is used to generate the theory and Deductive Approach is used to test the

theory. So both approaches were used in this research study to test the existing theory

of behaviour and to generate the suitable theory of reproductive health behavior.


3.4Research design


A research design is a procedural plan that is adopted by the researcher to answer

questions validly, objectively, accurately and economically. According to Jahoda et

al. 'A research design is the arrangement of conditions for collection and analysis of

data in a manner that aims to combine relevance to the research purpose with

economy in procedure'(1962:50) (Kumar, 1999).


The formidable problem that follows the task of defining the research problem is the

preparation ofthe design of the research project, popularly known as the “research

design”. Decisions regardingwhat, where, when, how much, by what means

concerning an inquiry or a research study constitutea research design. “A research

design is the arrangement of conditions for collection and analysis ofdata in a manner

that aims to combine relevance to the research purpose with economy in

procedure.”In fact, the research design is the conceptual structure within which

research is conducted; it constitutesthe blueprint for the collection, measurement and
                                           13
analysis of data. As such the design includes anoutline of what the researcher will do

from writing the hypothesis and its operational implications tothe final analysis of

data(Kothari, 2004).


Research designs are plans and procedures for research that span the decisions from

broad assumptions to detailed methods of data collection and analysis. This plan

involves several decisions, and they need not to be taken in the order in which they

make sense to me and the order of their presentation here. The overall decision

involves which design should be used to study a topic. Informing this decision should

be the worldview assumptions the researcher brings to the study; procedures of

inquiry (called strategies); and specific methods of data collection, analysis, and

interpretation. The selection of a research design is also based on the nature of the

research problem or issue being addressed, the researchers' personal experiences, and

the audiences for the study(Creswell, 2011).


There are three types of research designs which are mentioned below:


Exploratory Design


Exploratory research studies are also termed as formulative research studies. The

main purpose of such studies is that of formulating a problem for more precise

investigation or of developing the working hypotheses from an operational point of

view. The major emphasis in such studies is on the discovery of ideas and insights. As

such the research design appropriate for such studies must be flexible enough to

provide opportunity for considering different aspects of a problem under study. Inbuilt

flexibility in research design is needed because the research problem, broadly defined

initially, is transformed into one with more precise meaning in exploratory studies,



                                           14
which fact may necessitate changes in the research procedure for gathering relevant

data (Kothari C. R., 2004).


Descriptive Design


Descriptive researchstudies are those studies, which are concerned with describing the

characteristics of a particularindividual, or of a group, whereas diagnostic research

studies determine the frequency with whichsomething occurs or its association with

something else. The studies concerning whether certainvariables are associated are

examples of diagnostic research studies(Kothari C. R., 2004).


Experimental Design


Experimental design refers to the framework or structure of an experiment and as

such there areseveral experimental designs. We can classify experimental designs into

two broad categories, viz.,informal experimental designs and formal experimental

designs. Informal experimental designs arethose designs that normally use a less

sophisticated form of analysis based on differences in magnitudes,whereas formal

experimental designs offer relatively more control and use precise statistical

procedures for analysis(Kothari C. R., 2004).



There are three types of research design i.e. explorative, descriptive and experimental

design. The researcher uses the suitable design/designs according to his/her

objectives. All three designs have equal importance according to the nature, and the

subject of research. This research study is based on explorative research design for

qualitative and descriptive research design for quantitative research. Hence, this

research was conducted with both qualitative and quantitative types or mixed types of

research method. The research methods are described below:

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3.4.1 Quantitative Research Strategy


Quantitative research is generally associated with the positivist/post-positivist

paradigm. It usually involves collecting and converting data into numerical form so

that statistical calculations can be made and conclusions drawn(Freitag, 2009).


Quantitative research is a means for testing objective theories by examining the

relationship among variables. These variables, in turn, can be measured, typically on

instruments, so that numbered data can be analysed using statistical procedures. The

final written report has a set structure consisting of introduction, literature and theory,

methods, results, and discussion (Creswell, 2008). Like qualitative researchers, those

who engage in this form of inquiry have assumptions about testing theories

deductively, building in protections against bias, controlling for alternative

explanations, and being able to generalize and replicate the findings(Creswell, 2011).


For the quantitative research following research techniques can beapplied:


Survey Research


In survey research, independent and dependent variables are used to define the scope

of study, but cannot be explicitly controlled by the researcher. Before conducting the

survey, the researcher must predicate a model that identifies the expected

relationships among these variables. The survey is then constructed to test this model

against observations of the phenomena (Glasow, 2005).


Experimental Research


Experimental research seeks to determine if a specific treatment influences an

outcome. This impact is assessed by providing a specific treatment to one group and


                                            16
withholding it from another and then determining how both groups scored on an

outcome. Experiments include true experiments, with the random assignment of

subjects to treatment conditions, and quasi-experiments that use nonrandomized

designs (Keppel, 1991). Included within quasi-experiments are single-subject

designs(Creswell, 2011).


Quantitative research method uses the closed ended questions, predetermined

approaches and numeric data. It tests or verifies the theories or explanations. It

identifies variables to study and uses standards of validity and reliability. It helps

researcher to observe and measure the information numerically. So, the facts or

information has reliability and validity. This research study is also a quantitative

research a kind. So quantitative research strategy was used in this research study to

get more reliable and valid data, fact or information related to the subject matters. The

survey method was used for the collection of data.


3.4.2 QualitativeResearch Strategy


Qualitative research is the approach usually associated with the social constructivist

paradigm which emphasises the socially constructed nature of reality. It is about

recording, analysing and attempting to uncover the deeper meaning and significance

of human behaviour and experience, including contradictory beliefs, behaviours and

emotions. Researchers are interested in gaining a rich and complex understanding of

people‟s experience and not in obtaining information which can be generalized to

other larger groups(Freitag, 2009).


Qualitative is a means for exploring and understanding the meaning individuals or

groups ascribe to a social or human problem. The process of research involves

emerging questions and procedures, data typically collected in the participant's
                                            17
setting, data analysis inductively building from particulars to general themes, and the

researcher making interpretations of the meaning of the data. The final written report

has a flexible structure. Those who engage in this form of inquiry support a way of

looking at research that honors an inductive style, a focus on individual meaning, and

the importance of rendering the complexity of a situation (adapted from Creswell,

2007) (Creswell, 2011)


For the qualitative research strategythere are five research strategieswhich are

described below:


Ethnography


Ethnography is the study of a certain cultural or ethnic group of people in prolonged

period of time in a natural setting.


Grounded Theory


Grounded theory is the process of deriving theory or theories on the basis of

participants' view. The two primary characteristics of this design are the constant

comparison of data with emerging categories and theoretical sampling of different

groups to maximize the similarities and the differences of information(Creswell,

2011).


Case Studies


The researcher studies in-depth of a case or a person or group within the certain

period of time. The researcher collects data using various data collection procedures.




                                           18
Phenomenological Research


The researcher identifies the fundamental nature of human experience about the

phenomenon as described by the participants. The researcher sets his/her own

experiences in order to understand participantsexperiences.


Narrative Research


The researcher studies the lives of people in which one or more individuals provide

the stories about their lives.The researcher asks the life stories of the people

individually and then combines the views of all to his/her life in collaborative

narratives.


Following methods are also suitable for the collection of data during research

study:


Focus Group Discussion


A focus group is a form of qualitative research in which a group of people are asked

about their perceptions, opinions, beliefs, and attitudes towards a product, service,

concept, advertisement, idea, or packaging. Questions are asked in an interactive

group setting where participants are free to talk with other group members. The first

focus groups were created at the Bureau of Applied Social Research in the USA, by

associate director, sociologist Robert K. Merton. The term itself was coined by

psychologist and marketing expert Ernest Dichter (WIKIPEDIA, 2013).


In-Depth Interview


In-depth interviewing, also known as unstructured interviewing, is a type of interview

which researchers use to elicit information in order to achieve a holistic understanding

                                            19
of the interviewee‟s point of view or situation; it can also be used to explore

interesting areas for further investigation. This type of interview involves asking

informants open-ended questions, and probing wherever necessary to obtain data

deemed useful by the researcher. As in-depth interviewing often involves qualitative

data, it is also called qualitative interviewing (Berry, 1999).


Qualitative method research strategies use the open ended questions, emerging

approaches, texts or image data. It focuses on a single concept or phenomenon and

brings personal values into the study. It creates an agenda for change or reform. This

research study also applied the qualitative research strategy in some cases for the

creation of agenda related to the adolescents to change or reform the attitude and

behavior towards the adolescents and towards the reproductive health of the

adolescents, parents and the societies.


3.4.3 MixedMethod Research Strategies



Mixed methods research is an approach to inquiry that combines or associates both

qualitative and quantitative forms. It involves philosophical assumption, the use of

qualitative and quantitative approaches, and the mixing of both approaches in a study.

Thus it is more than simply collecting and analyzing both kinds of data; it also

involves the use of both approaches in tandem so that the overall strength of a study is

greater than either qualitative or quantitative research (Creswell and Plano

Clark,2007) (Creswell, 2011).



There are three strategies in mixed method research strategies, which are described

below:



                                            20
Sequential Mixed Methods


The researcher elaborates on the findings of one method to another method. In this

method the researcher collects the data by using qualitative technique and later on

quantitative technique, then compares and generalizes the result to the population.



Concurrent Mixed Methods



The researcher merges the qualitative and quantitative data in order to provide the

comprehensive analysis of the research problems. In this method, the researcher

collects the both forms of data in a same time and integrates the information or facts

during the interpretation of the overall results.



Transformative Mixed Methods



The researcher uses a theory as an overarching perspective within a design in which

both qualitative and quantitative data are contained. It provides a framework for the

selection of topic of interest, data collection strategy and the results by the study.



Mixed method claims the practical knowledge. Both open and closed ended questions,

both emerging and pre-determined approaches and both the qualitative and

quantitative data can be used in this method. It helps to integrate the data at different

stages of inquiry and employs the practice of both qualitative and quantitative

research.Only quantitative or qualitative research may cause bias in research.Mixed

method helps to control the bias in research. So, this research was based on mixed

method for the purpose of minimizing or controlling the different types of biasness.



                                            21
This research study is about the adolescents, who are studying in school especially in

grade 9 to 12. The research topic is "Assessment of Reproductive Health Behaviour of

School Adolescents". So the study focuses on the evaluation of reproductive health

behavior of the school adolescents.


The adolescents who are going to school might have more opportunity to know about

reproductive health than others who have not access the school education. There is the

curriculum of reproductive system, its functions and process too, and the teachers

might give the knowledge about sexual and reproductive health during classroom

teaching. The main objectives of the study are to identify the factors influencing the

behaviour towards reproductive health, to find out the access on youth friendly

reproductive health service and to identify the knowledge and behavior on RH and

their vulnerability on STI.


The research study was carried out in Makwanpur District among the school

adolescents of classes 9 to 12. The required data was especially related to the

reproductive health and its variables. So, the data were obtained from many journals,

books, reports published by institutions and organisations, websites, Newspaper and

articles etc. Likewise the study was planned according to the time frame or schedule.

According to the planning, the study was completed.


For the selection of sample and to determine the sample size the study area,

Makawanpur district was divided into five strata. Four strata were separated on the

basis of electoral constituency in village areas and one stratum is made to

municipality because there is only one municipality in Makawanpur district and it has

different characteristics than the VDCs as it is more developed area in the district.

Only those VDCs are included in the strata where higher secondary schools (up to 12

                                           22
classes) are running. After that the respondents were selected as proportionate

stratified sampling method from the sampled schools. Both boys and girls were

included as respondent.


The data was collected from both sources i.e. primary and secondary. For the

collection of primary data questionnaire, survey, checklist and rating scales were used

and journals, books, reports, newspaper and articles were studied for the collection of

secondary data. And the collected data from both primary and secondary sources were

analysed with the help of SPSS, a computer software especially for the quantitative

data and for the analysis of qualitative data or facts ………. was used.


After the analysis of required collected data the report was prepared on the basis of

American Psychological Association (APA) style.



Across-sectional study was conducted with 400 school adolescents to investigate their

reproductive health behaviour and its insinuations for human health and society in

Makawanpur district in Nepal.



Both qualitative and quantitative research method (mixed method) were applied for

this research. Across-sectional study was conducted with 400school adolescents to

look into their reproductive health behaviour and its implications for human health

and society in Makawanpur district in Nepal.



3.3 Sampling design



Sample design refers to the means by which one selects the primary units for data

collection and analysis appropriate for a specific research question. These units may

                                           23
consist of states, cities, census enumeration districts, court records, cohorts or

individuals. Irrespective of the kind of unit, data are always collected at specific times

and places about a specific set of cases (a sample) that comprises a selected subset of

a larger sets of cases, times and places ( a population). Answer to research questions

thus takes the form of inferences from samples. A useful sample design warrants the

conclusion that one's inferences are both accurate and appropriately

precise(Handwerker, 2005).



Makawanpur is a multi-ethnic, multi-religious, multi-cultural and multi-geographic

district. The survey/studywas done in both urban and rural areas of the district. The

multistage sampling technique at different and varied stages was used to choose the

area and respondent for study.



There are four electoral constituencies in Makawanpur district,where only one

municipality and 43 DVCs are there. Among 43 VDCs, only 15 VDCs have higher

secondary school (the school running up to 12 classes). The target respondents were

selected from the classes 9-12. So the higher secondary schools were taken as

universe in VDCs and municipality too.There are 19 higher secondary schools in

VDCs and 12 in municipality. But 2 schools are running up to 10 classes only. So,

they are eliminated from the universe or population and only 10 schools were taken as

universe in municipality. All together there are 29 higher secondary schools in

Makawanpur district,which was shown in table 1 below.




                                            24
Table 1: Total Number of Higher Secondary Schools in Makawanpur District as
     Universe.
Electoral Constituency    Name of VDCs &           Name of Higher Sec. Schools
                          Municipality
                          Harnamadi VDC            JyotiH.Sec. School
                                                   JanapriyaH.Sec. School
                          Hatiya VDC               BalbodhH.Sec. School
Electoral Constituency -1 Chhatiwan VDC            MahendraH.Sec. School
                                                   BuddhaH.Sec. School
                          Phaparbari VDC           JanataH.Sec. School
                          Makawanpur Gadhi VDC ChandikaH.Sec. School
                                                   BhanuH.Sec. School
                          Tistung VDC              BajrabarahiH.Sec. School
                          Chitlang VDC             SwachchhandaBhairabH.Sec. School
Electoral Constituency -2 Palung VDC               JanaklyanH.Sec. School
                          Ambhanjyang VDC          SharadaH.Sec. School
                          Bhimphedi VDC            MahendraH.Sec. School
                                                   Bhutan DeviH.Sec. School
                                                   TribhuvanH.Sec. School
                                                   PragatiH.Sec. School
                                                   BanshagopalH.Sec. School
                                                   SiddharthaH.Sec. School
                                                   ChandrodayH.Sec. School
Electoral Constituency -3 Hetauda Municipality     AdhunikH.Sec. School
                                                   TulsiMehar Memorial H.Sec. School
                                                   Solidarity International H.Sec. School
                                                   Zenith International H.Sec. School
                          Basamadi VDC             NirmalH.Sec. School
                                                   MahendraKiranH.Sec. School
                          Padampokhari VDC         MahendraH.Sec. School
                          Handikhola VDC           MahendraJyotiH.Sec. School
Electoral Constituency -4 Manahari VDC             MahendraKiranH.Sec. School
                          Namtar VDC               KalikaH.Sec. School

    The sample size was taken as proportionately. The proportion of sample was

    determined with the help of following formulas.


    There District was divided into five strata. So to find out the required sample size

    within the stratum, following formula was used, where total number of school (N)

    =29, total schools in first stratum (N1)=8, total schools in second stratum(N2) = 5,

    total schools in third stratum (N3) = 10, total schools in stratum four (N4) = 3, and

    total schools in stratum five (N5) = 3, where required sample size (n) = 10


                                               25
i) Required sample size for stratum 1 (n1)= n.P1,where(P1= ).         According to the

   formula, the required sample size for stratum 1 (n1)= n.P1= 10x0.28=2.8

   (approximately 3)


ii) Required sample size for stratum 2 (n2) = n.P2, where P2= .According to the

   formula,the required sample size for stratum 2 (n2) = n. P2 = 10x0.17=

   1.7(approximately 2)


iii) Required sample size for stratum 3 (n3) = n.P3, where P3=    . According to

   formula,the required sample size for stratum 3(n3) = n.P3 = 10x 0.34=3.4

   (approximately 3)


iv) Required sample size for stratum 4 (n4) = n.P4, where P4=     . According to

   formula,the required sample size for stratum 4(n4) = n.P4 = 10x 0.10=1

   (approximately 1)


v) Required sample size for stratum 5 (n5) = n.P5, where P5=      . According to

   formula,the required sample size for stratum 5(n5) = n.P5 = 10x 0.10=1

   (approximately 1)


Among the higher secondary school in Makawanpur district 10 (34.48%) schools

were taken as sample. First of all the district was divided into four strata in VDCs

level and one stratum in municipality level on the basis of electoral constituency. But

there are two strata in electoral constituency No.3, because it has both VDCs and

municipality. The municipality has its own different characteristics i.e. it is more

developed and more facilitated area, so the municipality was separated as single

stratum from the VDCs to have the equal representation from all areas of the district.

                                           26
All together the district was divided into 5 strata. After that 10 schools (which are

     running up to 12 classes)were selectedaccording to the proportionate stratified

     sampling from every stratum.Probability random sampling technique was applied to

     select the school in every stratum. The municipality has both community and

     institutional schools. So, one institutional school among three was selected as sample,

     which is shown in table 2.


     Table 2: Total Number of Strata and Sampled Higher Secondary Schools in

              Makawanpur District.

Electoral Constituency         Name of VDCs &               Name of Higher Sec. Schools
                               Municipality
                               Harnamadi VDC                Janapriya Higher Secondary School
Electoral Constituency -1
                               Chhatiwan VDC                Buddha Higher Secondary School
       (Stratum – 1)
                               MakawanpuGadhi VDC           ChandikaH.Sec.School
Electoral Constituency -2      Tistung VDC                  BajrabarahiHigher Secondary School
       (Stratum – 2)           Ambhanjyang VDC              SharadaHigher Secondary School
                                                            Siddhartha Higher Secondary School
                  Stratum-3    Hetauda Municipality         TulsiMehar Memorial H.Sec. School
Electoral                                                   Bhutan Devi H.Sec.School
Constituency -3 Stratum-4      Padampokhari VDC             Mahendra Higher Secondary School
Electoral Constituency -4      Manahari VDC                 MahendraKiran Higher Sec. School
       (Stratum – 5)




     Likewise for the selection of respondent/students proportionate stratified sampling

     method was used in each class of sampled schools. Fivegirls and five boys were

     selected from each class (9 to 12 classes) of the sampled schools. The numbers of

     respondents from every school were 40.All together Total numbers of respondents




                                                27
were 400 in 10 sampled schools.A cross-sectional survey was carried out withinthe

sample of universe in Makawanpur district.


3.4 Universe and Sample size


Out of the total34,361 schools 33,881 are primary, 13,791 are lower secondary,34,066

are basic, 7,938 are secondary, 3,382 are higher secondary and 8,233 aresecondary

(Grades 9-12) levels.Out of the total 34,361 schools, 835 are religious schools

(Madarasa, Gumba/Viharand Ashram/Gurukul)(MOE, Flash I REPORT 2068 (2011-

012), 2012). Likewise the total number of students at secondary, higher secondary and

secondary (grades: 9-12) levels are 848,569; 353,338 and 1,201,907 respectively; of

the total enrolment at secondary, higher secondary and secondary (grades: 9-12),

83.5%, 88.0% and 84.8% are in community schools, whereas 16.5%; 12.0% and

15.2% are in institutional schools. Similarly of the total enrolment at the school level,

girls‟ enrolment constitutes almost 50.4%,of this, 50.4% at primary level, 50.5% at

lower secondary level, 50.4% at basic level, 49.7% at secondary level, 51.2%at higher

secondary level and 50.2% at secondary (grades: 9-12) level.(MOE, 2012).



For the determination of sample size following formula was used.



Sample size (n) =                                             , where confidence level


= 1.96, prevalence = 0.5,and marginal error = 0.05 percent. Or [n=

       .]




                                           28
For the accuracy of data, the researchers have to take minimum 384 sample size.

While filling the questionnaire there might be some missing data or errors. So, for the

minimization of errors researchers have to select minimum 400 sample size.



Respondents were selected through proportionate random sampling technique. The

key objective of this survey was to find out the adolescents reproductive health

behaviour influencing factors.


3.5 Sampling Filters


The main aim of a sample is to perform as a trustworthy replacement for the entire

statistical population from which it is taken. The students of different schools

provided the statistical respondents. Sampling theory specifies that after the

identification of the statistical respondents, a sampling frame is recognized which

preferably list the entire individualof the statistical respondents from which a sample

is to be taken.


3.5.1 Selection of study areas and its justification


Nepal, officially the Federal Democratic Republic of Nepal, is a landlockedsovereign

state located in South Asia. With an area of 147,181 square kilometres (56,827 sq mi)

and a population of approximately 27 million (and nearly 2 million absentee workers

living abroad), Nepal is the world's 93rd largest country by land mass and the 41st

most populous country. It is located in the Himalayas and bordered to the north by

the People's Republic of China, and to the south, east, and west by the Republic of

India. Specifically, the Indian states of Uttarakhand, Uttar Pradesh, Bihar, West

Bengal, and Sikkim border Nepal, while across the Himalayas lies the Tibetan

Autonomous Region. Kathmandu is the nation's capital and largest metropolis.

                                          29
Nepal has a rich geography. The mountainous north has eight of the world's ten

tallest mountains, including the highest point on Earth, Mount Everest, called

Sagarmatha in Nepali. It contains more than 240 peaks over 20,000 ft. (6,096 m)

above sea level. The fertile and humid south is heavily urbanised.


Hinduism is practised by about 81% of Nepalis, making it the country with the highest

percentage of Hindu followers; Buddhism is linked historically with Nepal and is

practiced by 9%, Islam by 4.4%, Kirat 3%, Christianity 1.4%, and animism 0.4%

(WIKIPEDIA, 2013).



Map of Nepal




        Makawanpur District



Makwanpur District, a part of Narayani Zone, is one of the seventy-five districts of

Nepal, a landlocked country of South Asia. The district, with Hetauda as its district

headquarters, covers an area of 2,426 km², density of 170/km2, altitude of 305-2743




                                          30
metersand had a population of 392,604 in 2001 and 420,477 in 2011(WIKIPEDIA,

2012).



Makawanpur is a multi-ethnic, multi-religious, multi-cultural district. It has varied

geographical features. The people of high classes to low classes on the basis of

economic status are living here. One of the big industrial area is in this district and it

is famous in the country because of its agricultural activities. People of Terai and

from other places are migrating in this district for the permanent settlement in this

district because of its suitable climate and environment. The district represents the

whole scenario of the country, Nepal.



Makawanpur is one of the famous district of Nepal, in case of girl trafficking.

Hundreds of girls aresold from this district out of the country for the purpose of

prostitution. When they return to the district after some years, some of them start

prostitution here too. So, this district is vulnerable to STIs, HIV and AIDS. Likewise

premarital sex and sexual activities in some ethnic group is normal. Due to this there

are immature sexual activities among adolescents which lead them to the risk of HIV

and other STIs and unsafe abortion.



Similarly the average age of marriage in some ethnic group like Tamang, Chepang

etc. is low. They do not have proper knowledge of bad effects of early marriage and

early pregnancy.



Many NGOs and INGOs are working in the field of reproductive health here in

Makawanpur district because of its vulnerability to HIV and other STIs, girl

trafficking etc. So Makawanpur district is the suitable area for the research on

                                            31
reproductive health to find out the real situation of the district to assist the nation for

making the strategies to protect the adolescents from RH problem and support them

for healthier and happy life.



                      Study Area (Makawanpur District)




3.5.2 Selection of respondents and its justification


A respondent is a person who is called upon to issue a response to a communication

made by another (Wikipedia, 2012). The respondents of this study were the school

adolescents. School adolescents especially studying in class 9 to 12 are the

respondents of the research. Although, the adolescents who have opportunity to goto

school, are supposed to have more knowledge of reproductive health than the


                                             32
adolescents who are far from the school education, but the school adolescents are also

equally vulnerable to STIs and other RH related problems.


Having knowledge of RH is not enough to get ride from RH issues and problems. The

sexual and reproductive health behavior is more significant for the RH issues.

Behaviour is the indicator of both knowledge and attitude of a person. So behavior

must be positive of a person who has got knowledge about sexual and reproductive

health.


Behaviouris the range of actions and mannerisms made by organisms, systems, or

artificial entities in conjunction with their environment, which includes the other

systems or organisms around as well as the physical environment. It is the response of

the system or organism to various stimuli or inputs, whether internal or external,

conscious or subconscious, overt or covert, and voluntary or involuntary(Wikipedia,

2013).


Adolescence is a period of curiosity. Especially the adolescents attracted towards the

opposite sex. School is the place where many adolescents meet from different society

and cultural practices. During the school time the adolescents, both boys and girls sit

together, share difficulties and problems as well as their feelings of friendship and

love in study period and the way to school from home and way to home from school

is the suitable place where adolescents propose friendship, love, and the sexual

intercourse too. Likewise due to the peer imitation and pressure adolescents fall in

love and plan to meet alone in jungle or any secrete places. This situation is helpful

for the unsafe sexual intercourse, which leads them towards the damage of life as well

as the STIs and HIV. ………..




                                           33
3.6 Ethical Consideration




3.7Types of data sources


3.8 Data collection strategy


Social scientists deal with human beings, which are most sensitive in nature. In such

studies it isquiteessential that during development of measurement instrument, all

aspects of data quality and human nature should be taken into account.


3.8.1 Tools of collecting primary data


The enumerators wereselected,whoformed a team of adolescents (both male and

female) interviewers for the collection and the compilation of data from the

interviewed adolescents participants. The special course of training to the team for

data collection and gathering information has been arranged. For the data collection, a

well-structured interviewing schedule consisting of open-ended and closed ended

questions were prepared in the light of research objectives. The necessary steps to

change the data were taken after the approval of the worthy supervisor, the pre-test

was also held in the Districts by the researcher.



The information was collected directly fromtherespondents (school adolescents) by

following methods:



a. Questionnaire and Surveys: - This includedthe range of response questions,

   close ended questions, providing limited answers to specific responses or on a

   numeric scale.

                                           34
Both the Closed ended and open ended questionnaires were developed to collect the

data, facts and information from the respondents,which is mentioned in appendix 1.



b. Interview schedule: This included people to interview, develop the interview

   questions including open-ended questions and close ended questions and carefully

   eliminating leading questions. The interview schedule was prepared for the

   collection of required data and information of respondents, which is mentioned in

   appendix 2.

c. Checklist:A checklist is a type of informational job aid used to reduce failure by

   compensating for potential limits of human memory and attention. It helps to

   ensure consistency and completeness in carrying out a task. A basic example is the

   "to do list." A more advanced checklist would be a schedule, which lays out tasks

   to be done according to time of day or other factors (WIKIPEDIA, 2013).


The checklist was developed to collect the facts and information of the respondents

which they could not express during interview and filling the questionnaire. It is

mentioned in appendix 3.


d. Rating Scale:A rating scale is a set of categories designed to elicit information

   about a quantitative or a qualitative attribute. In the social sciences, common

   examples are the Likert scale and 1-10 rating scales in which a person selects the

   number    which    is   considered   to        reflect   the   perceived   quality of   a

   product(WIKIPEDIA, 2012).


The rating scale was developed for the collection of real information or fact or the

attitude of the respondents, which is mentioned in appendix 4.




                                             35
3.8.2 Tools of collecting of secondary data


Various statistical tools were also used tocollect and analyze the secondary data.


a. Document       Review:     -   Obtaining     the   actual   forms    and       operating

   documentscurrently being used. Reviews office copies of forms and samples of

   actualcompleted forms.


b. Observation: - analyzing annual reports and press releases, verifying

   thestatements made during the interviews.


c. Web Search: - The information related to outside region (other part of

   Nepaland(Globe) was studied from internet to other published papers.


d. Various policies from National organization weredealt in details by

   referringvarious government publications and reference books, journals, published

   datafrom time to time.


e. Research of journals, periodicals, technical materials, electronics/internet

   searches, professionals meetings, seminars and discussions, site visits etc.


Sampling like records, reports, operational logs, data entry documents,complaints, and

various types of forms.


3.9 Formations of questionnaires and checklist


3.10 Reliability and validity test of research instruments


3.10.1 Language translation-back-translation


3.10.2 Discussion with expert



                                           36
3.10.3 Pilot study


3.11 Data analysis


The Statistical Package for Social Sciences (SPSS) was used for analyzing the data.

Frequency distributions of the variables were first obtained and appropriate statistical

tools was applied to check the significance. For the clear representation of statistics

graph, charts and bar diagrams were used accordingly.For the analysis of qualitative

information explanatory method was used.




                                           37

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Chapter 3(methodology) Rough

  • 1. Chapter Three Research Methodology 3.1 Introductions Research is a scientific inquiry aimed at learning new facts, testing ideas, etc. It is the systematic collection, analysis and interpretation of data to generate new knowledge and answer a certain question or solve a problem(Yigzaw, 2006). Research methodologyis a way to systematically solve the research problem. It may be understood as a science of studying how research is done scientifically. In it we study the various steps that are generally adopted by a researcher in studying his research problem along with the logic behind them. It is necessary for the researcher to know not only the research methods or techniquesbut also the methodology. Researchers not only need to know how to develop certain indices or tests,how to calculate the mean, the mode, the median or the standard deviation or chi-square, how toapply particular research techniques, but they also need to know which of these methods or techniques,are relevant and which are not, and what would they mean and indicate and why. Researchers alsoneed to understand the assumptions underlying various techniques and they need to know the criteriaby which they can decide that certain techniques and procedures will be applicable to certain problemsand others will not. All this means that it is necessary for the researcher to design his methodologyfor his problem as the same may differ from problem to problem(Kothari, 2004). 1
  • 2. This chapter describes the procedural or methodological aspects used in collecting, interpreting, analyzing, compiling and evaluating the data.Under this chapter it has Introduction, Philosophy, Research philosophy, philosophical worldviews, research approach, research design, sampling design, universe and sample size, sampling filters, types of data sources, data collection strategy, formations of questionnaires and checklist, reliability and validity test of research instruments, language translation- back-translation, discussion with expert, pilot study, data analysis and ethical consideration. The main objective of this chapter is to explain various techniques and tools used for data collection, analysis and interpretation.They are discussed in detail in this chapter. The research and research methodology or process can be shown in the figure below: Figure-1: Methodological Structure. 2
  • 3. 3.2 Philosophy Philosophy is the study of general and fundamental problems, such as those connected with reality, existence, knowledge, values, reason, mind, and language. Philosophy is distinguished from other ways of addressing such problems by its critical, generally systematic approach and its reliance on rational argument.In more casual speech, by extension, "philosophy" can refer to "the most basic beliefs, concepts, and attitudes of an individual or group"(WIKIPEDIA, 2013). The word "Philosophy" was usedaround in 580 BC by Pythagoras of Somos for the first time. In the very beginning philosophy was used for thepublicity of knowledge of a person or a group and used to say discover of curiosity and meaning. But at present the philosophy is also known as science of the science. Philosophy investigates and explores the answer of the questions like – what is human?, What is life?, What is the purpose of successful and real life?, What is the nature of universe?, What is death?, Is there another world except earth?, Is there god or not?, What is truth-untruth?(Jha, 2002) The word „Philosophy‟ involves two Greekwords – Philo meaning love and Sophia meaning knowledge. Thusliterally speaking, philosophy means love of wisdom. Man is a rationalanimal. Desire for knowledge arises from this rational nature of man.Philosophy is an attempt to satisfy this very reasonable desire.Philosophy signifies a natural and necessary urge in human-beings to know themselves and world in which they live, move and have their being.It is impossible for man to live without a philosophy. The choice is not„between metaphysic and no metaphysic; it is between a goodmetaphysic and a bad metaphysic‟(Dube, 2009). 3
  • 4. Aristotle used to say Philosophy is the grouping of the knowledge of Universe". And according to Socrates "Philosophyis the knowledge of truth". Likewise Zeigler stated "The philosophy is the branch of learning, which investigates, evaluates, and integrates knowledge of reality as best as possible into one or more systems embodying all available wisdom about the universe"(Jha, 2002). Philosophy provides the guidelines to conduct research study. This research was also conducted through the guidelines acquired from philosophy. 3.2.1 Research Philosophy Research philosophy denotes to the systematic search for existence, knowledge, values, reasons, mind, and language. This research requires an open mind in order to establish facts to both new and existing obscurities. Plato and Aristotle are regarded as the father of philosophy. Easterby-Smith et al (2008:56) explain that failure to think through philosophical issues can seriously affect the quality of management research. They also outline that knowledge of philosophy can help the researcher recognize which designs will work best and that it enables the achievement of a satisfactory outcome for the research activity. Saunders et al (2009:107) develop this further and explain that research philosophy supports the creation of knowledge in a particular field and is influenced by the way a researcher thinks(Orange, 2010). Philosophical perspectives are worldviews that definethe nature of the world, the individual‟s place in it, andthe possible relationships to that world and its parts.Learning and instructional theories are developed withrespect to a particular set of assumptions regardingwhat it means to know and learn. It is our contentionthat 4
  • 5. when situational variables require some decisionon the part of the educator (and we believe this isalways the case), an underlying set of assumptions(whether they be tacit or explicit) will, and should,drive the decision. In this chapter we provide overviewdescriptions of five psychological perspectives, contrastedin terms of epistemology, ontology, unit of analysis,and whether they suggest dualist relationships.These theories (behaviorism, cognitivism, cognitiveconstructivism, sociocultural or historicism, and situativitytheory) provide frameworks for describing learningand designing instruction. It is the goal of this chapterto clarify these distinctions and the underlying assumptionsso instructional designers, teachers, and researchersmay make pedagogical decisions more explicitly(Yildiz, 2010). Research philosophy shows the systematic way to conduct research activities. Philosophy helps to establish relation to both existing and new knowledge and help to select the proper research design and to create new knowledge and theory too. 3.2.2 Philosophical Worldviews Although philosophical ideas remain largely hidden in research (Slife& Williams, 1995), they still influence the practice of research and need to be identified. I suggest that individuals preparing a research proposal or plan make explicit the larger philosophical ideas they espouse. This information will help explain why they chose qualitative, quantitative, or mixed methods approaches for their research (Creswell, 2011). There are four types of philosophical worldviews which guide the researcher towards the philosophy of research through which he/she can be able to determine research design to accomplish the research work. The philosophical worldviews have been described below. 5
  • 6. 3.2.2.1 Post Positivist Worldview Insights from Dewey, Popper, and Rescher suggest a broad-based post positivist philosophy mediating critical space between positivism and constructivism based upon the quest for truth as a regulative ideal within a fallibilistic scientific epistemology. A critical issue in adult literacy education illustrates the viability of postpositivist research design as applicable especially to the social sciences. The object here is less to draw out the subtle distinctions and potential points of conflict between Dewey, Popper, and Rescher, than to highlight some of the ways in which the collective impact of their work contributes toward the shaping of a postpositivist temper(Demetrion, 2004). A Post-positivist research approach advocates methodological pluralism. It is based on the assumption that the method to be applied in a particular study should be selected based on the research question being addressed. The research described here takes a post-positivist approach, applying interpretive research in two ways: in an exploratory study of end-user computing conducted prior to a positivism study and in a study of end-user searching behaviours conducted concurrently with a positivist study(Wildemuth, 1993). Post positivists hold a deterministic philosophy in which causes probably determine effects or outcomes. Thus, the problems studied by post-positivists reflect the need to identify and asses the causes that influence outcomes, such as found in experiments. It is also reductionistic in that the intent is to reduce the ideas into a small, discrete set of ideas to test, such as the variables that comprise hypotheses and research questions. The knowledge that develops through a positivist lens is based on careful observation and measurement of the objective reality that exists "out there" in the world. Thus, 6
  • 7. developing numeric measures of observations and studying the behavior of individuals becomes paramount for a post-positivist(Creswell, 2011). The Post positivist worldviews can be used for the quantitative research. A part of this research is also quantitative. So, this worldviews also was used in this research study. 3.2.2.2 The Social Constructivist Worldview Social constructivists hold assumptions that individuals seek understanding of the world in which they live and work. Individuals develop subjective meanings of their experiences–meanings directed toward certain objects or things. These meanings are varied and multiple, leading researcher to look for the complexity of views rather than narrowing meanings into a few categories or ideas. The goal of the research is to rely as much as possible on the participants' views of the situation being studied. The questions become broad and general so that the participants can construct the meaning of a situation, typically forged in discussions or interactions with other persons(Creswell, 2011). Constructivism in education emerged after the behaviorist movement as a welcome and refreshing view oflearning that centers on the active learner within the teaching- learning process. This emphasis on theindividual (within the greater social context) during instruction has drawn attention to the prior beliefs,knowledge, and skills that individuals bring with them. Prior knowledge has been shown to significantlyinfluence the ways individuals make meaning out of instruction. The constructivist focus on the socialcontext and larger community of learners has resulted in a major shift away from individually-basedinstruction to instruction that incorporates and embeds teaching within the larger community of peers,younger students, as well as those who are older. Finally, constructivism's greatest contribution 7
  • 8. to educationmay be through the shift in emphasis from knowledge as a product to knowing as a process. This legacy ofconstructivism will likely prove to be a lasting and meaningful shift in the structure of schooling(Brader-Araje, 2002). The Social Constructivist Worldview is concerned with the qualitative research. A part of this research study is also qualitative in nature. So, this philosophical worldviews was also used in this research. 3.2.2.3 The Advocacy and Participatory Worldview An advocacy and participatory worldviewhold that research inquiry needs to be intertwined with politics and a political agenda. Thus, the research contains an action agenda for reform that may change the lives of the participants, the institutions in which individuals work or live, and the researcher‟s life. Moreover, specific issues need to be addressed that speak to important social issues of the day, issues such as empowerment, inequality, oppression, domination, suppression, and lineation. The researcher often begins with one of these issues as the focal point of the study. This research also assumes that the inquirer will proceed collaboratively so as to not further marginalize the participants as a result of the inquiry. In this sense, the participants may help design questions, collect data, analyze information, or reap the rewards of the research. Advocacy research provides a voice for these participants, raising their consciousness or advancing an agenda for change to improve their lives. It becomes a united voice for reform and change(Creswell, 2011). This worldviews was in opposition to the post-positivist assumptions because post- positivist worldviews is applied in quantitative research and in experimental study and the research ia based on the researcher's own idea but Advocacy and participatory worldviews concerned with qualitative research and the researcher take help from the 8
  • 9. participant to prepare questions, data collection, analyzing the information. It helps to raise the consciousness for change to improve prtipants lives too. This research was concerned to participate respondents to change their perception and attitude towards the behavioural change. So, this worldviews was used in reserch activities. 3.2.2.4 The Pragmatic Worldview Pragmatism is a method of philosophy begun by Charles Sanders Peirce (1839-1914), popularized by William James (1842-1910), and associated with two other major early representatives, John Dewey (1859-1952) and George Herbert Mead (1863- 1931). Pragmatism was defined in 1878 by Peirce as follows: “Consider what effects that might conceivably have practical bearings, we conceive the object of our conception to have. Then, our conception of these effects is the whole of our conception of the object” (Peirce, 1992: 132)(Halton, 2004). According to John Dewey "Pragmatism is a philosophy of human nature". Likewise Ross stated that "Pragmatism is essentially a humanistic philosophy maintaining that man creates his own value in the course of activity, that reality is still in making and awaits part of its complexion from the future, that to an unascertainable extent our truths are man-made products"(Jha, 2002). A pragmatic research philosophy is introduced that embraces mixed-method approaches to applied research questions. With its origins in the work of Peirce (1984), James (1907), Dewey (1931), and contemporary support from Rorty (1982, 1990, 1991), pragmatism emphasizes the practical problems experienced by people, the research questions posited, and the consequences of inquiry. As a way to highlight applications of pragmatism in sport psychology, pragmatism is compared to constructivism and positivism in terms of philosophical underpinnings and 9
  • 10. methodological applications. The pragmatic researcher is sensitive to the social, historical, and political context from which inquiry begins and considers morality, ethics, and issues of social justice to be important throughout the research process. Pragmatists often use pluralistic methods during multiphase research projects. Exemplar design types are discussed that logically cohere to a pragmatic research philosophy(Giacobbi, Pazwardowski, & Hager, 2005). Pragmatism is the philosophy of common sense. It uses purposeful human inquiry as a focal point. Inquiry is viewed as a continuing process which acknowledges the qualitative nature of human experience as problematic situations emerge and are recognized. Recognition involves the doubt associated with questioning existing belief systems. Doubt is resolves through critical reasoning and ultimately tested in action. It is the philosophy of common sense, because actions are assessed in light of practical consequences. Finally, inquiry is not necessarily limited to individual effort; rather it often incorporates a "community of inquirers". The applicability of pragmatism to Public Administration inquiry flows from the above definition(Shields, 1998). This article discusses the use of a pragmatic approach as the philosophical foundation of pedagogy in Finnish universities of applied sciences. It is presented that the mission of the universities of applied sciences falls into the interpretive paradigm of social sciences. This view is used as a starting point for a discussion about pragmatism in higher education. The Learning by Developing (LbD) action model is introduced, analyzed and compared to pragmatism. The paper concludes that, at least in practice-oriented academic subjects, a pragmatic approach to pedagogy, as well as 10
  • 11. the LbD action model, is effective and could be considered in several universities as the basis of philosophy of pedagogy(Raij, 2011). This research is based on the philosophy, Pragmatism. It is concerned with learning by doing, learning by trial and error and learning by experiences. Pragmatism deals with both approaches i.e. Inductive and Deductive and both qualitative and quantitative methods of research. This study is also based on both the qualitative and quantitative or mixed method. So, this research study is guided by Pragmatism. 3.3 Research Approaches Research approach refers to the way of conducting research. There are two types of research approaches which are used in the research methodologies; they are Inductive and deductive approaches. The research approach is decided on the basis of research question. Inductive approach is planned at the time flow needed from specific to general. Similarly, deductive approach is in case when the topic demand flow from general to specific.This research is based on both inductive and deductive approaches. 3.3.1 Inductive Approach Inductive reasoning is a theory building process, starting with observations of specific instances, and seeking to establish generalisations about the phenomenon under investigation(Hyde, 2000). Ageneral inductive approach for analysis of qualitative evaluation data is described. Thepurposes for using an inductive approach are to (a) condense rawtextual data into a brief, summaryformat; (b) establish clear links between the evaluation or research objectives and the summaryfindings derived from the rawdata; and (c) develop a framework of the underlying structure of experiencesor processes that are evident in 11
  • 12. the raw data. The general inductive approach provides aneasily used and systematic set of procedures for analyzing qualitative data that can produce reliableand valid findings. Although the general inductive approach is not as strong as some other analyticstrategies for theory or model development, it does provide a simple, straightforward approach forderiving findings in the context of focused evaluation questions. Many evaluators are likely to findusing a general inductive approach less complicated than using other approaches to qualitative dataanalysis(Thomas D. R., 2006). Inductive approach helps to generate new theory.It is less complicated than other approaches. It provides easily used and systematic procedures for analyzing qualitative data and reliable and valid findings. It is not much strong as analytical approaches but it provides simple approach to derive findings. 3.3.2 Deductive Approach Deductive reasoning is a theory testing process which commences with an established theory or generalisation, and seeks to see if the theory applies to specific instances(Hyde, 2000). Deductive reasoning, also deductive logic or logical deduction or, informally, "top- down" logic, is the process of reasoning from one or more general statements (premises) to reach a logically certain conclusion(Wikipedia, 2013). Deductive approach is "a methodof reasoning by which (1) concrete applications or consequences are deducted from general principles or (2) theorems are deduced from definitions and postulates-compare" (Webster, 2013). 12
  • 13. Deductive approach tests the theory. It helps to reach in certain logical conclusion. Actual consequences are deducted from general principal and theorems are deducted from definitions in this approach. So this approach was used in testing the theory, which was used in research as a guide. This research is based on mixed method in which both inductive and deductive approaches were used. The qualitative research is guided by the Inductive Approach and the quantitative research is guided by Deductive Approach whereas Inductive approach is used to generate the theory and Deductive Approach is used to test the theory. So both approaches were used in this research study to test the existing theory of behaviour and to generate the suitable theory of reproductive health behavior. 3.4Research design A research design is a procedural plan that is adopted by the researcher to answer questions validly, objectively, accurately and economically. According to Jahoda et al. 'A research design is the arrangement of conditions for collection and analysis of data in a manner that aims to combine relevance to the research purpose with economy in procedure'(1962:50) (Kumar, 1999). The formidable problem that follows the task of defining the research problem is the preparation ofthe design of the research project, popularly known as the “research design”. Decisions regardingwhat, where, when, how much, by what means concerning an inquiry or a research study constitutea research design. “A research design is the arrangement of conditions for collection and analysis ofdata in a manner that aims to combine relevance to the research purpose with economy in procedure.”In fact, the research design is the conceptual structure within which research is conducted; it constitutesthe blueprint for the collection, measurement and 13
  • 14. analysis of data. As such the design includes anoutline of what the researcher will do from writing the hypothesis and its operational implications tothe final analysis of data(Kothari, 2004). Research designs are plans and procedures for research that span the decisions from broad assumptions to detailed methods of data collection and analysis. This plan involves several decisions, and they need not to be taken in the order in which they make sense to me and the order of their presentation here. The overall decision involves which design should be used to study a topic. Informing this decision should be the worldview assumptions the researcher brings to the study; procedures of inquiry (called strategies); and specific methods of data collection, analysis, and interpretation. The selection of a research design is also based on the nature of the research problem or issue being addressed, the researchers' personal experiences, and the audiences for the study(Creswell, 2011). There are three types of research designs which are mentioned below: Exploratory Design Exploratory research studies are also termed as formulative research studies. The main purpose of such studies is that of formulating a problem for more precise investigation or of developing the working hypotheses from an operational point of view. The major emphasis in such studies is on the discovery of ideas and insights. As such the research design appropriate for such studies must be flexible enough to provide opportunity for considering different aspects of a problem under study. Inbuilt flexibility in research design is needed because the research problem, broadly defined initially, is transformed into one with more precise meaning in exploratory studies, 14
  • 15. which fact may necessitate changes in the research procedure for gathering relevant data (Kothari C. R., 2004). Descriptive Design Descriptive researchstudies are those studies, which are concerned with describing the characteristics of a particularindividual, or of a group, whereas diagnostic research studies determine the frequency with whichsomething occurs or its association with something else. The studies concerning whether certainvariables are associated are examples of diagnostic research studies(Kothari C. R., 2004). Experimental Design Experimental design refers to the framework or structure of an experiment and as such there areseveral experimental designs. We can classify experimental designs into two broad categories, viz.,informal experimental designs and formal experimental designs. Informal experimental designs arethose designs that normally use a less sophisticated form of analysis based on differences in magnitudes,whereas formal experimental designs offer relatively more control and use precise statistical procedures for analysis(Kothari C. R., 2004). There are three types of research design i.e. explorative, descriptive and experimental design. The researcher uses the suitable design/designs according to his/her objectives. All three designs have equal importance according to the nature, and the subject of research. This research study is based on explorative research design for qualitative and descriptive research design for quantitative research. Hence, this research was conducted with both qualitative and quantitative types or mixed types of research method. The research methods are described below: 15
  • 16. 3.4.1 Quantitative Research Strategy Quantitative research is generally associated with the positivist/post-positivist paradigm. It usually involves collecting and converting data into numerical form so that statistical calculations can be made and conclusions drawn(Freitag, 2009). Quantitative research is a means for testing objective theories by examining the relationship among variables. These variables, in turn, can be measured, typically on instruments, so that numbered data can be analysed using statistical procedures. The final written report has a set structure consisting of introduction, literature and theory, methods, results, and discussion (Creswell, 2008). Like qualitative researchers, those who engage in this form of inquiry have assumptions about testing theories deductively, building in protections against bias, controlling for alternative explanations, and being able to generalize and replicate the findings(Creswell, 2011). For the quantitative research following research techniques can beapplied: Survey Research In survey research, independent and dependent variables are used to define the scope of study, but cannot be explicitly controlled by the researcher. Before conducting the survey, the researcher must predicate a model that identifies the expected relationships among these variables. The survey is then constructed to test this model against observations of the phenomena (Glasow, 2005). Experimental Research Experimental research seeks to determine if a specific treatment influences an outcome. This impact is assessed by providing a specific treatment to one group and 16
  • 17. withholding it from another and then determining how both groups scored on an outcome. Experiments include true experiments, with the random assignment of subjects to treatment conditions, and quasi-experiments that use nonrandomized designs (Keppel, 1991). Included within quasi-experiments are single-subject designs(Creswell, 2011). Quantitative research method uses the closed ended questions, predetermined approaches and numeric data. It tests or verifies the theories or explanations. It identifies variables to study and uses standards of validity and reliability. It helps researcher to observe and measure the information numerically. So, the facts or information has reliability and validity. This research study is also a quantitative research a kind. So quantitative research strategy was used in this research study to get more reliable and valid data, fact or information related to the subject matters. The survey method was used for the collection of data. 3.4.2 QualitativeResearch Strategy Qualitative research is the approach usually associated with the social constructivist paradigm which emphasises the socially constructed nature of reality. It is about recording, analysing and attempting to uncover the deeper meaning and significance of human behaviour and experience, including contradictory beliefs, behaviours and emotions. Researchers are interested in gaining a rich and complex understanding of people‟s experience and not in obtaining information which can be generalized to other larger groups(Freitag, 2009). Qualitative is a means for exploring and understanding the meaning individuals or groups ascribe to a social or human problem. The process of research involves emerging questions and procedures, data typically collected in the participant's 17
  • 18. setting, data analysis inductively building from particulars to general themes, and the researcher making interpretations of the meaning of the data. The final written report has a flexible structure. Those who engage in this form of inquiry support a way of looking at research that honors an inductive style, a focus on individual meaning, and the importance of rendering the complexity of a situation (adapted from Creswell, 2007) (Creswell, 2011) For the qualitative research strategythere are five research strategieswhich are described below: Ethnography Ethnography is the study of a certain cultural or ethnic group of people in prolonged period of time in a natural setting. Grounded Theory Grounded theory is the process of deriving theory or theories on the basis of participants' view. The two primary characteristics of this design are the constant comparison of data with emerging categories and theoretical sampling of different groups to maximize the similarities and the differences of information(Creswell, 2011). Case Studies The researcher studies in-depth of a case or a person or group within the certain period of time. The researcher collects data using various data collection procedures. 18
  • 19. Phenomenological Research The researcher identifies the fundamental nature of human experience about the phenomenon as described by the participants. The researcher sets his/her own experiences in order to understand participantsexperiences. Narrative Research The researcher studies the lives of people in which one or more individuals provide the stories about their lives.The researcher asks the life stories of the people individually and then combines the views of all to his/her life in collaborative narratives. Following methods are also suitable for the collection of data during research study: Focus Group Discussion A focus group is a form of qualitative research in which a group of people are asked about their perceptions, opinions, beliefs, and attitudes towards a product, service, concept, advertisement, idea, or packaging. Questions are asked in an interactive group setting where participants are free to talk with other group members. The first focus groups were created at the Bureau of Applied Social Research in the USA, by associate director, sociologist Robert K. Merton. The term itself was coined by psychologist and marketing expert Ernest Dichter (WIKIPEDIA, 2013). In-Depth Interview In-depth interviewing, also known as unstructured interviewing, is a type of interview which researchers use to elicit information in order to achieve a holistic understanding 19
  • 20. of the interviewee‟s point of view or situation; it can also be used to explore interesting areas for further investigation. This type of interview involves asking informants open-ended questions, and probing wherever necessary to obtain data deemed useful by the researcher. As in-depth interviewing often involves qualitative data, it is also called qualitative interviewing (Berry, 1999). Qualitative method research strategies use the open ended questions, emerging approaches, texts or image data. It focuses on a single concept or phenomenon and brings personal values into the study. It creates an agenda for change or reform. This research study also applied the qualitative research strategy in some cases for the creation of agenda related to the adolescents to change or reform the attitude and behavior towards the adolescents and towards the reproductive health of the adolescents, parents and the societies. 3.4.3 MixedMethod Research Strategies Mixed methods research is an approach to inquiry that combines or associates both qualitative and quantitative forms. It involves philosophical assumption, the use of qualitative and quantitative approaches, and the mixing of both approaches in a study. Thus it is more than simply collecting and analyzing both kinds of data; it also involves the use of both approaches in tandem so that the overall strength of a study is greater than either qualitative or quantitative research (Creswell and Plano Clark,2007) (Creswell, 2011). There are three strategies in mixed method research strategies, which are described below: 20
  • 21. Sequential Mixed Methods The researcher elaborates on the findings of one method to another method. In this method the researcher collects the data by using qualitative technique and later on quantitative technique, then compares and generalizes the result to the population. Concurrent Mixed Methods The researcher merges the qualitative and quantitative data in order to provide the comprehensive analysis of the research problems. In this method, the researcher collects the both forms of data in a same time and integrates the information or facts during the interpretation of the overall results. Transformative Mixed Methods The researcher uses a theory as an overarching perspective within a design in which both qualitative and quantitative data are contained. It provides a framework for the selection of topic of interest, data collection strategy and the results by the study. Mixed method claims the practical knowledge. Both open and closed ended questions, both emerging and pre-determined approaches and both the qualitative and quantitative data can be used in this method. It helps to integrate the data at different stages of inquiry and employs the practice of both qualitative and quantitative research.Only quantitative or qualitative research may cause bias in research.Mixed method helps to control the bias in research. So, this research was based on mixed method for the purpose of minimizing or controlling the different types of biasness. 21
  • 22. This research study is about the adolescents, who are studying in school especially in grade 9 to 12. The research topic is "Assessment of Reproductive Health Behaviour of School Adolescents". So the study focuses on the evaluation of reproductive health behavior of the school adolescents. The adolescents who are going to school might have more opportunity to know about reproductive health than others who have not access the school education. There is the curriculum of reproductive system, its functions and process too, and the teachers might give the knowledge about sexual and reproductive health during classroom teaching. The main objectives of the study are to identify the factors influencing the behaviour towards reproductive health, to find out the access on youth friendly reproductive health service and to identify the knowledge and behavior on RH and their vulnerability on STI. The research study was carried out in Makwanpur District among the school adolescents of classes 9 to 12. The required data was especially related to the reproductive health and its variables. So, the data were obtained from many journals, books, reports published by institutions and organisations, websites, Newspaper and articles etc. Likewise the study was planned according to the time frame or schedule. According to the planning, the study was completed. For the selection of sample and to determine the sample size the study area, Makawanpur district was divided into five strata. Four strata were separated on the basis of electoral constituency in village areas and one stratum is made to municipality because there is only one municipality in Makawanpur district and it has different characteristics than the VDCs as it is more developed area in the district. Only those VDCs are included in the strata where higher secondary schools (up to 12 22
  • 23. classes) are running. After that the respondents were selected as proportionate stratified sampling method from the sampled schools. Both boys and girls were included as respondent. The data was collected from both sources i.e. primary and secondary. For the collection of primary data questionnaire, survey, checklist and rating scales were used and journals, books, reports, newspaper and articles were studied for the collection of secondary data. And the collected data from both primary and secondary sources were analysed with the help of SPSS, a computer software especially for the quantitative data and for the analysis of qualitative data or facts ………. was used. After the analysis of required collected data the report was prepared on the basis of American Psychological Association (APA) style. Across-sectional study was conducted with 400 school adolescents to investigate their reproductive health behaviour and its insinuations for human health and society in Makawanpur district in Nepal. Both qualitative and quantitative research method (mixed method) were applied for this research. Across-sectional study was conducted with 400school adolescents to look into their reproductive health behaviour and its implications for human health and society in Makawanpur district in Nepal. 3.3 Sampling design Sample design refers to the means by which one selects the primary units for data collection and analysis appropriate for a specific research question. These units may 23
  • 24. consist of states, cities, census enumeration districts, court records, cohorts or individuals. Irrespective of the kind of unit, data are always collected at specific times and places about a specific set of cases (a sample) that comprises a selected subset of a larger sets of cases, times and places ( a population). Answer to research questions thus takes the form of inferences from samples. A useful sample design warrants the conclusion that one's inferences are both accurate and appropriately precise(Handwerker, 2005). Makawanpur is a multi-ethnic, multi-religious, multi-cultural and multi-geographic district. The survey/studywas done in both urban and rural areas of the district. The multistage sampling technique at different and varied stages was used to choose the area and respondent for study. There are four electoral constituencies in Makawanpur district,where only one municipality and 43 DVCs are there. Among 43 VDCs, only 15 VDCs have higher secondary school (the school running up to 12 classes). The target respondents were selected from the classes 9-12. So the higher secondary schools were taken as universe in VDCs and municipality too.There are 19 higher secondary schools in VDCs and 12 in municipality. But 2 schools are running up to 10 classes only. So, they are eliminated from the universe or population and only 10 schools were taken as universe in municipality. All together there are 29 higher secondary schools in Makawanpur district,which was shown in table 1 below. 24
  • 25. Table 1: Total Number of Higher Secondary Schools in Makawanpur District as Universe. Electoral Constituency Name of VDCs & Name of Higher Sec. Schools Municipality Harnamadi VDC JyotiH.Sec. School JanapriyaH.Sec. School Hatiya VDC BalbodhH.Sec. School Electoral Constituency -1 Chhatiwan VDC MahendraH.Sec. School BuddhaH.Sec. School Phaparbari VDC JanataH.Sec. School Makawanpur Gadhi VDC ChandikaH.Sec. School BhanuH.Sec. School Tistung VDC BajrabarahiH.Sec. School Chitlang VDC SwachchhandaBhairabH.Sec. School Electoral Constituency -2 Palung VDC JanaklyanH.Sec. School Ambhanjyang VDC SharadaH.Sec. School Bhimphedi VDC MahendraH.Sec. School Bhutan DeviH.Sec. School TribhuvanH.Sec. School PragatiH.Sec. School BanshagopalH.Sec. School SiddharthaH.Sec. School ChandrodayH.Sec. School Electoral Constituency -3 Hetauda Municipality AdhunikH.Sec. School TulsiMehar Memorial H.Sec. School Solidarity International H.Sec. School Zenith International H.Sec. School Basamadi VDC NirmalH.Sec. School MahendraKiranH.Sec. School Padampokhari VDC MahendraH.Sec. School Handikhola VDC MahendraJyotiH.Sec. School Electoral Constituency -4 Manahari VDC MahendraKiranH.Sec. School Namtar VDC KalikaH.Sec. School The sample size was taken as proportionately. The proportion of sample was determined with the help of following formulas. There District was divided into five strata. So to find out the required sample size within the stratum, following formula was used, where total number of school (N) =29, total schools in first stratum (N1)=8, total schools in second stratum(N2) = 5, total schools in third stratum (N3) = 10, total schools in stratum four (N4) = 3, and total schools in stratum five (N5) = 3, where required sample size (n) = 10 25
  • 26. i) Required sample size for stratum 1 (n1)= n.P1,where(P1= ). According to the formula, the required sample size for stratum 1 (n1)= n.P1= 10x0.28=2.8 (approximately 3) ii) Required sample size for stratum 2 (n2) = n.P2, where P2= .According to the formula,the required sample size for stratum 2 (n2) = n. P2 = 10x0.17= 1.7(approximately 2) iii) Required sample size for stratum 3 (n3) = n.P3, where P3= . According to formula,the required sample size for stratum 3(n3) = n.P3 = 10x 0.34=3.4 (approximately 3) iv) Required sample size for stratum 4 (n4) = n.P4, where P4= . According to formula,the required sample size for stratum 4(n4) = n.P4 = 10x 0.10=1 (approximately 1) v) Required sample size for stratum 5 (n5) = n.P5, where P5= . According to formula,the required sample size for stratum 5(n5) = n.P5 = 10x 0.10=1 (approximately 1) Among the higher secondary school in Makawanpur district 10 (34.48%) schools were taken as sample. First of all the district was divided into four strata in VDCs level and one stratum in municipality level on the basis of electoral constituency. But there are two strata in electoral constituency No.3, because it has both VDCs and municipality. The municipality has its own different characteristics i.e. it is more developed and more facilitated area, so the municipality was separated as single stratum from the VDCs to have the equal representation from all areas of the district. 26
  • 27. All together the district was divided into 5 strata. After that 10 schools (which are running up to 12 classes)were selectedaccording to the proportionate stratified sampling from every stratum.Probability random sampling technique was applied to select the school in every stratum. The municipality has both community and institutional schools. So, one institutional school among three was selected as sample, which is shown in table 2. Table 2: Total Number of Strata and Sampled Higher Secondary Schools in Makawanpur District. Electoral Constituency Name of VDCs & Name of Higher Sec. Schools Municipality Harnamadi VDC Janapriya Higher Secondary School Electoral Constituency -1 Chhatiwan VDC Buddha Higher Secondary School (Stratum – 1) MakawanpuGadhi VDC ChandikaH.Sec.School Electoral Constituency -2 Tistung VDC BajrabarahiHigher Secondary School (Stratum – 2) Ambhanjyang VDC SharadaHigher Secondary School Siddhartha Higher Secondary School Stratum-3 Hetauda Municipality TulsiMehar Memorial H.Sec. School Electoral Bhutan Devi H.Sec.School Constituency -3 Stratum-4 Padampokhari VDC Mahendra Higher Secondary School Electoral Constituency -4 Manahari VDC MahendraKiran Higher Sec. School (Stratum – 5) Likewise for the selection of respondent/students proportionate stratified sampling method was used in each class of sampled schools. Fivegirls and five boys were selected from each class (9 to 12 classes) of the sampled schools. The numbers of respondents from every school were 40.All together Total numbers of respondents 27
  • 28. were 400 in 10 sampled schools.A cross-sectional survey was carried out withinthe sample of universe in Makawanpur district. 3.4 Universe and Sample size Out of the total34,361 schools 33,881 are primary, 13,791 are lower secondary,34,066 are basic, 7,938 are secondary, 3,382 are higher secondary and 8,233 aresecondary (Grades 9-12) levels.Out of the total 34,361 schools, 835 are religious schools (Madarasa, Gumba/Viharand Ashram/Gurukul)(MOE, Flash I REPORT 2068 (2011- 012), 2012). Likewise the total number of students at secondary, higher secondary and secondary (grades: 9-12) levels are 848,569; 353,338 and 1,201,907 respectively; of the total enrolment at secondary, higher secondary and secondary (grades: 9-12), 83.5%, 88.0% and 84.8% are in community schools, whereas 16.5%; 12.0% and 15.2% are in institutional schools. Similarly of the total enrolment at the school level, girls‟ enrolment constitutes almost 50.4%,of this, 50.4% at primary level, 50.5% at lower secondary level, 50.4% at basic level, 49.7% at secondary level, 51.2%at higher secondary level and 50.2% at secondary (grades: 9-12) level.(MOE, 2012). For the determination of sample size following formula was used. Sample size (n) = , where confidence level = 1.96, prevalence = 0.5,and marginal error = 0.05 percent. Or [n= .] 28
  • 29. For the accuracy of data, the researchers have to take minimum 384 sample size. While filling the questionnaire there might be some missing data or errors. So, for the minimization of errors researchers have to select minimum 400 sample size. Respondents were selected through proportionate random sampling technique. The key objective of this survey was to find out the adolescents reproductive health behaviour influencing factors. 3.5 Sampling Filters The main aim of a sample is to perform as a trustworthy replacement for the entire statistical population from which it is taken. The students of different schools provided the statistical respondents. Sampling theory specifies that after the identification of the statistical respondents, a sampling frame is recognized which preferably list the entire individualof the statistical respondents from which a sample is to be taken. 3.5.1 Selection of study areas and its justification Nepal, officially the Federal Democratic Republic of Nepal, is a landlockedsovereign state located in South Asia. With an area of 147,181 square kilometres (56,827 sq mi) and a population of approximately 27 million (and nearly 2 million absentee workers living abroad), Nepal is the world's 93rd largest country by land mass and the 41st most populous country. It is located in the Himalayas and bordered to the north by the People's Republic of China, and to the south, east, and west by the Republic of India. Specifically, the Indian states of Uttarakhand, Uttar Pradesh, Bihar, West Bengal, and Sikkim border Nepal, while across the Himalayas lies the Tibetan Autonomous Region. Kathmandu is the nation's capital and largest metropolis. 29
  • 30. Nepal has a rich geography. The mountainous north has eight of the world's ten tallest mountains, including the highest point on Earth, Mount Everest, called Sagarmatha in Nepali. It contains more than 240 peaks over 20,000 ft. (6,096 m) above sea level. The fertile and humid south is heavily urbanised. Hinduism is practised by about 81% of Nepalis, making it the country with the highest percentage of Hindu followers; Buddhism is linked historically with Nepal and is practiced by 9%, Islam by 4.4%, Kirat 3%, Christianity 1.4%, and animism 0.4% (WIKIPEDIA, 2013). Map of Nepal Makawanpur District Makwanpur District, a part of Narayani Zone, is one of the seventy-five districts of Nepal, a landlocked country of South Asia. The district, with Hetauda as its district headquarters, covers an area of 2,426 km², density of 170/km2, altitude of 305-2743 30
  • 31. metersand had a population of 392,604 in 2001 and 420,477 in 2011(WIKIPEDIA, 2012). Makawanpur is a multi-ethnic, multi-religious, multi-cultural district. It has varied geographical features. The people of high classes to low classes on the basis of economic status are living here. One of the big industrial area is in this district and it is famous in the country because of its agricultural activities. People of Terai and from other places are migrating in this district for the permanent settlement in this district because of its suitable climate and environment. The district represents the whole scenario of the country, Nepal. Makawanpur is one of the famous district of Nepal, in case of girl trafficking. Hundreds of girls aresold from this district out of the country for the purpose of prostitution. When they return to the district after some years, some of them start prostitution here too. So, this district is vulnerable to STIs, HIV and AIDS. Likewise premarital sex and sexual activities in some ethnic group is normal. Due to this there are immature sexual activities among adolescents which lead them to the risk of HIV and other STIs and unsafe abortion. Similarly the average age of marriage in some ethnic group like Tamang, Chepang etc. is low. They do not have proper knowledge of bad effects of early marriage and early pregnancy. Many NGOs and INGOs are working in the field of reproductive health here in Makawanpur district because of its vulnerability to HIV and other STIs, girl trafficking etc. So Makawanpur district is the suitable area for the research on 31
  • 32. reproductive health to find out the real situation of the district to assist the nation for making the strategies to protect the adolescents from RH problem and support them for healthier and happy life. Study Area (Makawanpur District) 3.5.2 Selection of respondents and its justification A respondent is a person who is called upon to issue a response to a communication made by another (Wikipedia, 2012). The respondents of this study were the school adolescents. School adolescents especially studying in class 9 to 12 are the respondents of the research. Although, the adolescents who have opportunity to goto school, are supposed to have more knowledge of reproductive health than the 32
  • 33. adolescents who are far from the school education, but the school adolescents are also equally vulnerable to STIs and other RH related problems. Having knowledge of RH is not enough to get ride from RH issues and problems. The sexual and reproductive health behavior is more significant for the RH issues. Behaviour is the indicator of both knowledge and attitude of a person. So behavior must be positive of a person who has got knowledge about sexual and reproductive health. Behaviouris the range of actions and mannerisms made by organisms, systems, or artificial entities in conjunction with their environment, which includes the other systems or organisms around as well as the physical environment. It is the response of the system or organism to various stimuli or inputs, whether internal or external, conscious or subconscious, overt or covert, and voluntary or involuntary(Wikipedia, 2013). Adolescence is a period of curiosity. Especially the adolescents attracted towards the opposite sex. School is the place where many adolescents meet from different society and cultural practices. During the school time the adolescents, both boys and girls sit together, share difficulties and problems as well as their feelings of friendship and love in study period and the way to school from home and way to home from school is the suitable place where adolescents propose friendship, love, and the sexual intercourse too. Likewise due to the peer imitation and pressure adolescents fall in love and plan to meet alone in jungle or any secrete places. This situation is helpful for the unsafe sexual intercourse, which leads them towards the damage of life as well as the STIs and HIV. ……….. 33
  • 34. 3.6 Ethical Consideration 3.7Types of data sources 3.8 Data collection strategy Social scientists deal with human beings, which are most sensitive in nature. In such studies it isquiteessential that during development of measurement instrument, all aspects of data quality and human nature should be taken into account. 3.8.1 Tools of collecting primary data The enumerators wereselected,whoformed a team of adolescents (both male and female) interviewers for the collection and the compilation of data from the interviewed adolescents participants. The special course of training to the team for data collection and gathering information has been arranged. For the data collection, a well-structured interviewing schedule consisting of open-ended and closed ended questions were prepared in the light of research objectives. The necessary steps to change the data were taken after the approval of the worthy supervisor, the pre-test was also held in the Districts by the researcher. The information was collected directly fromtherespondents (school adolescents) by following methods: a. Questionnaire and Surveys: - This includedthe range of response questions, close ended questions, providing limited answers to specific responses or on a numeric scale. 34
  • 35. Both the Closed ended and open ended questionnaires were developed to collect the data, facts and information from the respondents,which is mentioned in appendix 1. b. Interview schedule: This included people to interview, develop the interview questions including open-ended questions and close ended questions and carefully eliminating leading questions. The interview schedule was prepared for the collection of required data and information of respondents, which is mentioned in appendix 2. c. Checklist:A checklist is a type of informational job aid used to reduce failure by compensating for potential limits of human memory and attention. It helps to ensure consistency and completeness in carrying out a task. A basic example is the "to do list." A more advanced checklist would be a schedule, which lays out tasks to be done according to time of day or other factors (WIKIPEDIA, 2013). The checklist was developed to collect the facts and information of the respondents which they could not express during interview and filling the questionnaire. It is mentioned in appendix 3. d. Rating Scale:A rating scale is a set of categories designed to elicit information about a quantitative or a qualitative attribute. In the social sciences, common examples are the Likert scale and 1-10 rating scales in which a person selects the number which is considered to reflect the perceived quality of a product(WIKIPEDIA, 2012). The rating scale was developed for the collection of real information or fact or the attitude of the respondents, which is mentioned in appendix 4. 35
  • 36. 3.8.2 Tools of collecting of secondary data Various statistical tools were also used tocollect and analyze the secondary data. a. Document Review: - Obtaining the actual forms and operating documentscurrently being used. Reviews office copies of forms and samples of actualcompleted forms. b. Observation: - analyzing annual reports and press releases, verifying thestatements made during the interviews. c. Web Search: - The information related to outside region (other part of Nepaland(Globe) was studied from internet to other published papers. d. Various policies from National organization weredealt in details by referringvarious government publications and reference books, journals, published datafrom time to time. e. Research of journals, periodicals, technical materials, electronics/internet searches, professionals meetings, seminars and discussions, site visits etc. Sampling like records, reports, operational logs, data entry documents,complaints, and various types of forms. 3.9 Formations of questionnaires and checklist 3.10 Reliability and validity test of research instruments 3.10.1 Language translation-back-translation 3.10.2 Discussion with expert 36
  • 37. 3.10.3 Pilot study 3.11 Data analysis The Statistical Package for Social Sciences (SPSS) was used for analyzing the data. Frequency distributions of the variables were first obtained and appropriate statistical tools was applied to check the significance. For the clear representation of statistics graph, charts and bar diagrams were used accordingly.For the analysis of qualitative information explanatory method was used. 37