Sampling To ensure an adequate representation from the country as a whole, we used a multistage random sampling technique described below. We divided the sample in the proportions 8:44:48 (numerically 170, 930, 1,000) between Mountain, Hill and Terai physiographic divisions according to their relative populations [14], and within each division equally between the five regions. Furthermore, we aimed to recruit 25% of participants from above 2,000 m.