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Of the ten municipalities in Kathmandu, two municipalitieswere randomly selected, one each from the eastern(Kageshwari-Manohara) and western (Nagarjun) clusters.These municipalities consist of around 130,000 people livingin 27 Wards. From the total Wards, four Wards, two fromeach municipality, were randomly selected. The sample wasproportionately allocated to eachWard based on the numberof households in the Ward. A systematic random samplingmethod was then applied to choose 600 households fromaround 5600 households. The study area was mapped andeach household was assigned a number, beginning fromclockwise direction from first lane of eastern corner ofthe sites. One household was randomly selected from thefirst 10 houses using random number table, and then every10th household from that initial household was approachedsystematically until the sample size was completed. Amongadult members of each household, one individual from thathousehold was enrolled in the study by KISH method [16].
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