Study site
We conducted the study at Dhulikhel Hospital- Kathmandu University Hospital -(DH-KUH) located in Dhulikhel Municipality, headquarter of the Kavre district. Dhulikhel hospital is an independent, not-for-profit, non-governmental, community-based tertiary-level hospital. Annually, more than 3000 babies are born in Dhulikhel Hospital. The catchment area of the hospital includes a population of approximately 1.9 million people from Kavrepalanchowk, Sindhupalchowk, Dolakha, Sindhuli, Ramechhap, Bhaktapur, and other surrounding districts [