A5044024099- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- Healthcare Systems and Reforms
- Health Policy Implementation Science
- Adolescent Sexual and Reproductive Health
- Global Health Care Issues
- Healthcare Policy and Management
- Disaster Response and Management
- Climate Change and Health Impacts
- Child Nutrition and Water Access
- Maternal and Neonatal Healthcare
- COVID-19 Impact on Reproduction
- Reproductive Health and Contraception
- Health and Conflict Studies
- Smart Cities and Technologies
- Smoking Behavior and Cessation
- Health disparities and outcomes
- Emergency and Acute Care Studies
- Mechanical Circulatory Support Devices
- Health Systems, Economic Evaluations, Quality of Life
- Human Mobility and Location-Based Analysis
- Consumer Retail Behavior Studies
- Trauma and Emergency Care Studies
- School Health and Nursing Education
- Remote Sensing and Land Use
Nepal Development Research Institute
2023-2025
Pokhara University
2024
Abstract Background A cohesive and strategic governance approach is needed to improve the health workforce (HW). To achieve this, WHO Global Strategy on Human Resources for Health (HRH) promotes mechanisms coordinate HRH stakeholders, structures capacity within sector support development implementation of a comprehensive HW agenda regular reporting through WHO’s National Workforce Accounts (NHWA). Methods Using an adapted framework guidance analysis, we explored existence operation...
Introduction With high burden of maternal mortality and stagnant neonatal mortality, newborn health services have remained a priority program for Nepal. This study aims to assess the determinants four or more antenatal care (≥4 ANC) visits, institutional delivery (ID), postnatal (PNC) visit mother within first two days continuum care. Methods We performed weighted analysis Nepal Demographic Health Survey (NDHS) 2022 data accounting complex survey design. The NDHS is nationally representative...
Identifying unsafe abortion among the major causes of maternal deaths and respecting rights to health women, in 2002, Nepali parliament liberalized up 12 weeks pregnancy on request. However, enhancing women’s awareness access safe legal services, particularly rural areas, remains a challenge Nepal despite decade initiation services. Between January 2011 December 2012, an operations research study was carried out using quasi-experimental design determine effectiveness engaging female...
Family planning (FP) is crucial for improving maternal and newborn health outcomes, promoting gender equality, reducing poverty. Unmet FP needs persist globally, especially in South Asia Sub-Saharan Africa leading to unintended pregnancies, unsafe abortions, fatalities. This study aims identify the determinants of unmet from a nationally representative survey.
City governments are well-positioned to effectively address urban health challenges in the context of rapid urbanization Asia. They require good quality and timely evidence inform their planning decisions. In this article, we report our analyses degree data-informed from three Asian cities: Dhaka, Hanoi Pokhara. Our theoretical framework stems conceptualizations evidence-informed policymaking, policy analysis, includes: (1) key actors, (2) approaches developing implementing plans, (3)...
Abstract Smoking worsens tuberculosis (TB) outcomes. Persons with TB who smoke can benefit from smoking cessation. We report findings of a multi-country qualitative process evaluation assessing barriers and facilitators to implementation cessation behaviour support in clinics Bangladesh Pakistan. conducted semi-structured interviews at five case study 35 patients 8 health workers over period 11 months (2017–2018) different time points during the intervention phase. Interviews were by trained...
Abstract Background Evaluations of health interventions are increasingly concerned with measuring or accounting for ‘context’. How to do this is still subject debate and testing, particularly important in the case family planning where outcomes will inevitably be influenced by contextual factors as well any intervention effects. We conducted an evaluation female community volunteers (FCHVs) Nepal were trained provide better interpersonal communication on planning. included a...
Fragile and shock-prone settings (FASP) present a critical development challenge, eroding efforts to build healthy, sustainable equitable societies. Power relations inequities experienced by people because of social markers, e.g., gender, age, education, ethnicity, race, intersect leading poverty associated health challenges. Concurrent the growing body literature exploring impact these intersecting axes inequity in FASP settings, there is need identify actions promoting equity, justice...
Abstract Introduction The COVID-19 pandemic has tested the resilience capacities of health systems worldwide and highlighted need to understand concept, pathways, elements in different country contexts. In this study, we assessed system response Nepal examined processes policy formulation, communication, implementation at three tiers government, including dynamic interactions between tiers. was experiencing early stages federalization reform when hit country, clarity roles capacity implement...
Learning sites have supported intervention development and testing in health care, but studies reflecting on lessons relating to their deployment for policy system research (HPSR) low- middle-income settings are limited. This experience report draws from learning over three continents five community engagement programs-the oldest starting 2010-to reflect the challenges benefits of doing embedded HPSR sites, how those been managed. Its objective is generate better understanding potential...
Abstract Background Brief behavioural support can effectively help tuberculosis (TB) patients quit smoking and improve their outcomes. In collaboration with TB programmes in Bangladesh, Nepal Pakistan, we evaluated the implementation scale-up of cessation using four strategies: (1) brief tobacco intervention, (2) integration within routine training, (3) inclusion indicators records (4) embedding research programmes. Methods We used mixed methods observation, interviews, questionnaires data....
To assess the readiness of public and private health facilities (HFs) in delivering services related to non-communicable diseases (NCDs) Nepal.We analysed data from nationally representative Nepal Health Facility Survey 2021 determine HFs for cardiovascular (CVDs), diabetes mellitus (DM), chronic respiratory (CRDs) mental (MH)-related using Service Availability Readiness Assessment Manual WHO. score was measured as average availability tracer items per cent, were considered 'ready' NCDs...
Abstract Background Although there has been significant improvement in maternal and newborn health, Nepal needs further acceleration improving access to coverage of services achieve Sustainable Development Goals by 2030. In this context, we aimed analyze availability readiness for Basic Emergency Obstetric Neonatal Care (BEmONC) using data from Health Facility Survey (NHFS), 2021. Methods We analyzed nationally representative NHFS, 2021 determine HFs BEmONC based on the “Service Availability...
Background Although there has been a significant focus on improving maternal and newborn health expanding services in Nepal, the expected positive impact of mothers newborns not achieved to desired extent. Nepal only needs access coverage but also quality achieve Sustainable Development Goals (SDG) by 2030. In this context, we aimed analyze Basic Emergency Obstetric Neonatal Care (BEmONC) service availability readiness Health Facilities (HFs) Nepal. Methods We analyzed data from nationally...
Abstract Background Continuum of care for maternal health services is essential in minimizing preventable fatalities linked to pregnancy and childbirth. The study focuses on assessing determinants service utilization i.e., four or more antenatal (ANC) visits, institutional delivery, postnatal (PNC) visit within the first 2 days delivery continuum care. Methods We performed weighted analysis Nepal Demographic Health Survey 2022 accounting complex survey design. Categorical variables are...
This study investigates the tourism landscape of Pokhara Metropolitan City, a key destination in Nepal, to explore its transition into smart city through sustainable practices. Specifically, it aims analyze tourist perceptions, assess quality infrastructure, and identify development opportunities less frequented areas. The objectives this are tourism-related explored areas like Damside, Begnastal, Pumdikot. By integrating technology sustainability, seeks present strategic framework enhance...
Public open spaces (POS) play a crucial role in urban environments, providing recreational benefi ts and serving as critical infrastructure for disaster risk reduction (DRR). This study focuses on the importance adaptive capacity of POS Pokhara Metropolitan City (PMC), region prone to natural hazards like earthquakes, landslides, flooding. Utilizing GIS technology, identifies analyzes that can be optimally located sufficiently equipped effective response. The research combines exploratory,...
Abstract Objective To assess the readiness of public and private health facilities(HFs) in delivering Cardiovascular Diseases(CVDs), Diabetes Mellitus(DM), Chronic Respiratory Diseases(CRDs), Mental Health(MH) services Nepal. Methods We analyzed data on service for CVDs, DM, CRDs, MH from Nepal Health Facility Survey 2021 using Service Availability Readiness Assessment manual World Organization. score was measured as average availability tracer items percent, facilities were considered...
Abstract Introduction The COVID-19 pandemic has tested the resilience capacities of health systems worldwide and highlighted need to understand concept, pathways, elements in different country contexts. In this study, we assessed system response examined processes policy formulation, communication implementation at three tiers government Nepal, including dynamic interactions between tiers. Nepal was experiencing early stages federalization reform when hit clarity roles capacity implement...
Abstract Introduction Family planning (FP) is crucial for improving maternal and newborn health outcomes, promoting gender equality, reducing poverty. Unmet FP needs persist globally, especially in South Asia Sub-Saharan Africa leading to unintended pregnancies, unsafe abortions, fatalities. Nepal, despite efforts, faces significant unmet needs, particularly among specific groups. This study aims identify the determinants of from a nationally representative survey. Methods We analyzed data...
Abstract Background: A cohesive and strategic governance approach is needed to improve the health workforce (HW). To achieve this, WHO Global Strategy on Human Resources for Health(HRH)promotesmechanisms coordinate HRHstakeholders,HRH structures capacity within sector support development implementation of a comprehensive HW agenda regular reportingthrough WHO’s National Health Workforce Accounts (NHWA) Methods: Using an adapted HRH framework guidance analysis we explored existence operation...
Abstract Background: Brief behavioural support can effectively help TB patients to quit smoking and improve their outcomes. In collaboration with programmes in Bangladesh, Nepal Pakistan, we evaluated implementation scale-up of cessation using four strategies: i) brief tobacco intervention ii) integration within routine training iii) inclusion indicators records iv) embedding research programmes.Methods: We used mixed methods observation, interviews data WHO’s ExpandNet framework for...