A5039464207- Global Maternal and Child Health
- Child Nutrition and Water Access
- Child and Adolescent Health
- Global Health and Surgery
- Global Health Workforce Issues
- Health Policy Implementation Science
- Biomedical and Engineering Education
- Primary Care and Health Outcomes
- Quality and Safety in Healthcare
- Global Health Care Issues
- Pleural and Pulmonary Diseases
- Cultural Competency in Health Care
- Competency Development and Evaluation
- Service-Learning and Community Engagement
- Oral health in cancer treatment
- Interprofessional Education and Collaboration
- Human Resource Development and Performance Evaluation
- Healthcare Policy and Management
- HIV/AIDS Research and Interventions
- Cancer survivorship and care
- Neutropenia and Cancer Infections
- Delphi Technique in Research
- Cardiac, Anesthesia and Surgical Outcomes
- Viral-associated cancers and disorders
- Community Health and Development
Nick Simons Institute
2021-2024
University of Hawaiʻi at Mānoa
2014-2017
Mother and Infant Research Activities
2003-2008
Abstract Background Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries the home. Evidence suggests that death can be reduced by interventions at community level. We describe an intervention which aimed to harness power planning and decision making improve maternal newborn care Nepal. Methods The development 111 women's groups a population 86 704 Makwanpur district, is described. groups, facilitated local women, were component randomized controlled trial reduce...
BACKGROUND: Maternal, perinatal and neonatal mortality rates remain high in rural areas of developing countries. Most deliveries take place at home care-seeking behaviour is often delayed. We report on a combined quantitative qualitative study care seeking obstacles practices relating to illness Makwanpur district, Nepal, with particular emphasis consultation strategies. METHODS: The analysis included survey 8798 women who reported birth the previous two years [of whom 3557 their pregnancy],...
Chemotherapy plays a crucial role in cancer treatment, targeting rapidly dividing abnormal and normal cells, which often leads to significant side effects. This study aimed assess the awareness of chemotherapy among patients at Suresh Wagle Memorial Cancer Centre, Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal. A descriptive cross‐sectional design was employed, involving 103 selected through nonprobability, purposive sampling. Data were collected via in‐person interviews...
The persistence of high perinatal and neonatal mortality rates in many developing countries make efforts to improve care the home at local health facilities important public concerns. We describe a study which aims evaluate community-level participatory intervention rural Nepal. effectiveness community-based action research interventions with mothers other key members community improving outcomes is being examined using cluster randomized, controlled trial covering population 28 000 married...
Abstract Background Medical equipment plays a crucial role in the provision of quality healthcare services, despite this more than 50% developing countries are non-functioning due to lack appropriate human resources maintain. To address problem some government hospitals Nepal have deployed mid-level technical cadre called 'Biomedical Equipment Technician' (BMET). This study aims evaluate effectiveness deploying BMET on functionality medical rural Nepal. Methods We used mixed-methods approach...
Background The incidence of non-AIDS-defining cancers has increased significantly among persons living with HIV (PLHIV). Screening education is recommended. Purpose Social learning, minority stress, and cultural safety theories informed this pilot to assess the feasibility a colorectal cancer screening intervention targeted PLHIV, additional tailoring for relevance Native Hawaiians, group low participation in screening. Method included behavioral modeling barriers counseling culturally safe...
The Lancet Commission on Global Surgery (LCoGS) recommends using specialist surgical workforce density as one of 6 core indicators for monitoring universal access to safe, affordable and anaesthesia care. Using Nepal a case study, we explored the capacity generalist (led by family physician or MD general practitioner non-physician anaesthetist) enable effective delivery through task-shifting. multiple-methods approach, retrospectively mapped essential care enabling environment surgery in 39...
Nepal has made significant strides in maternal and neonatal mortality over the last three decades. However, poor quality of care can threaten gains, as newborn services are particularly sensitive to care. Our study aimed understand current gaps process outcome dimensions antenatal (ANC), at sub-national level. We assessed these ANC 17 primary, public hospitals across Nepal. also variation patients' socio-economic gradient.We used a convergent mixed methods approach, whereby we triangulated...
Background Direct obstetric causes of maternal mortality account for approximately 86% all global deaths. In Nepal, 12% deaths women reproductive age are due to preventable complications in significant part the limited distribution and skill level human resources.
Background: Mid-level health workers are deployed in a large proportion with the expectation of similar patient outcomes as physicians. practitioners Health Assistants and Auxiliary Workers who provide clinical care at remote locations. National Training Center has been providing 60 days in-service Practicum training since 2009 AD for mid-level aim to enhance quality Nepal. Methods: An observational study conducted using retrospective data from onsite follow-up assessment 180 Practitioner 18...
Disability, CBR and Inclusive Development aims to enhance knowledge in the field of disability inclusive development, addressing needs practitioners, policy makers, DPOs scientific community.
Abstract Background: Medical equipment plays a crucial role in the provision of quality healthcare services, despite this more than 50% developing countries are non-functioning due to lack appropriate human resources maintain. To address problem some government hospitals Nepal have deployed mid-level technical cadre called 'Biomedical Equipment Technician' (BMET). This study aims evaluate effectiveness deploying BMET on functionality medical rural Nepal. Methods: We used mixed-methods...