2024
Multilevel determinants of antiretroviral therapy initiation and retention in the test-and-treat era of Nepal: a qualitative study
Shrestha A, Poudel L, Shrestha S, Jha N, Kuikel B, Shakya P, Kunwar R, Pandey L, KC M, Wilson E, Deuba K. Multilevel determinants of antiretroviral therapy initiation and retention in the test-and-treat era of Nepal: a qualitative study. BMC Health Services Research 2024, 24: 927. PMID: 39138448, PMCID: PMC11323673, DOI: 10.1186/s12913-024-11311-6.Peer-Reviewed Original ResearchConceptsAntiretroviral therapy initiationHealthcare providersDenial of HIV statusPerspectives of healthcare providersAntiretroviral therapyCommunity health workersStrengthening healthcare systemsART initiationHealth system levelLong-term health outcomesHealthcare system levelAntiretroviral therapy clientsChanging public health policyFear of disclosureIndividual-level facilitatorsSocio-ecological modelImplementing antiretroviral therapyAvailability of medicationsPublic health policiesAntiretroviral therapy adherencePerceived health benefitsFear of deathClient tracking systemProvision of free treatmentHealth workersImpact of a community health worker led intervention for improved blood pressure control in urban Nepal: an open-label cluster randomised controlled trial
Bhattarai S, Skovlund E, Shrestha A, Mjølstad B, Åsvold B, Sen A. Impact of a community health worker led intervention for improved blood pressure control in urban Nepal: an open-label cluster randomised controlled trial. The Lancet Regional Health - Southeast Asia 2024, 29: 100461. PMID: 39220804, PMCID: PMC11364134, DOI: 10.1016/j.lansea.2024.100461.Peer-Reviewed Original ResearchCommunity health workersIntervention arm compared to controlsWaist-to-hip ratioHealth workersRandomised controlled trialsBody mass indexPhysical activityDaily salt intakeHealthcare providersSystolic blood pressureDiastolic blood pressureCluster randomised controlled trialOpen-label cluster randomised controlled trialRoutine follow-up careMass indexHealth system barriersAdequate physical activityControlled trialsTrained healthcare providersDiet quality scoresBlood pressure controlPublic health facilitiesInterventions targeting individualsUrban NepalControl blood pressureChallenges in Effective Referral of Cardiovascular Diseases in Nepal: A Qualitative Study from Health Workers’ and Patients’ Perspective
Shrestha S, Maharjan R, Bajracharya S, Jha N, Mali S, Thapa B, Suwal P, Prajapati D, Karmacharya B, Shrestha A. Challenges in Effective Referral of Cardiovascular Diseases in Nepal: A Qualitative Study from Health Workers’ and Patients’ Perspective. Cardiology Research And Practice 2024, 2024: 5583709. PMID: 38476339, PMCID: PMC10932621, DOI: 10.1155/2024/5583709.Peer-Reviewed Original ResearchReferral systemCardiovascular disease patientsCVD casesNoncommunicable diseasesCardiovascular diseaseQualitative studyBurden of noncommunicable diseasesCardiovascular disease careFactors affecting referralTertiary-level careCardiovascular disease casesOpen-ended questionsTranscribed verbatimHealth workersLack of human resourcesHealthcare professionalsPatient perspectiveFace-to-faceEffective referralInterview guideMadhesh ProvinceThematic approachTelephone interviewsPatient transferReferral strategies
2020
Frontline Healthcare Workers’ Knowledge and Perception of COVID-19, and Willingness to Work during the Pandemic in Nepal
Upadhyaya DP, Paudel R, Acharya D, Khoshnood K, Lee K, Park JH, Yoo SJ, Shrestha A, Bc B, Bhandari S, Yadav R, Timalsina A, Wagle CN, Das BK, Kunwar R, Chalise B, Bhatta DR, Adhikari M. Frontline Healthcare Workers’ Knowledge and Perception of COVID-19, and Willingness to Work during the Pandemic in Nepal. Healthcare 2020, 8: 554. PMID: 33322486, PMCID: PMC7764814, DOI: 10.3390/healthcare8040554.Peer-Reviewed Original ResearchFrontline healthcare workersPublic health workersHealth workersHealthcare workersCOVID-19Multivariable logistic regression analysisLocal public health facilitiesPublic health facilitiesTotal study subjectsLogistic regression analysisNurses/midwivesAdequate knowledgeCOVID-19 pandemicIndependent associationChronic diseasesHealth facilitiesStudy subjectsSatisfactory perceptionOutcome variablesPredictors of willingnessKarnali ProvinceHealthcare servicesInadequate knowledgeRegression analysisMidwivesAn integrated intervention for chronic care management in rural Nepal: protocol of a type 2 hybrid effectiveness-implementation study
Schwarz D, Dhungana S, Kumar A, Acharya B, Agrawal P, Aryal A, Baum A, Choudhury N, Citrin D, Dangal B, Dhimal M, Gauchan B, Gupta T, Halliday S, Karmacharya B, Kishore S, Koirala B, Kshatriya U, Levine E, Maru S, Rimal P, Sapkota S, Schwarz R, Shrestha A, Thapa A, Maru D. An integrated intervention for chronic care management in rural Nepal: protocol of a type 2 hybrid effectiveness-implementation study. Trials 2020, 21: 119. PMID: 31996250, PMCID: PMC6990567, DOI: 10.1186/s13063-020-4063-3.Peer-Reviewed Original ResearchMeSH KeywordsAlcohol DrinkingAllied Health PersonnelChronic DiseaseCommunity Health WorkersDecision Support Systems, ClinicalDisease ManagementHumansImplementation ScienceMedication AdherenceMotivational InterviewingNepalNoncommunicable DiseasesRisk Reduction BehaviorRural PopulationTobacco Use CessationConceptsHybrid effectiveness-implementation studyEffectiveness-implementation studyChronic care managementMid-level practitionersCare management interventionCommunity health workersCare managementMiddle-income countriesHealth workersChronic care management programWorld Health Organization PackageRisk factor optimizationClinical decision support toolEvidence-based careCare management programPrimary care systemRural NepalTobacco consumption levelsEvidence-based componentsMultiple comorbiditiesSecondary outcomesUniversal health coveragePrimary outcomeMedication adherencePre-post design