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 pressureExploring ways to support patients with noncommunicable diseases: A pilot study in Nepal during the COVID-19 pandemic
Iwashita H, Shrestha R, Yadav U, Shrestha A, Makaju D, Harada Y, Masuda G, Rawal L, Shrestha A, Karmacharya B, Koju R, Sakamoto H, Sugishita T. Exploring ways to support patients with noncommunicable diseases: A pilot study in Nepal during the COVID-19 pandemic. PLOS Global Public Health 2024, 4: e0003509. PMID: 39028727, PMCID: PMC11259295, DOI: 10.1371/journal.pgph.0003509.Peer-Reviewed Original ResearchNon-communicable diseasesQualitative interviewsDevelopment of non-communicable diseasesImprove health literacyCommunity-based awareness programContinuity of careNuwakot district of NepalLack of transportationCommunity-based programsImplementing telemedicine servicesFear of infectionCOVID-19 pandemicHealth literacyLow-income countriesHealthcare useHealthy behaviorsHealthcare providersHealthcare servicesNoncommunicable diseasesPotential facilitatorsHealthcare systemTelemedicine servicesMedical careTelephone surveyDistrict of Nepal
2023
Facilitators and barriers to hypertension management in urban Nepal: findings from a qualitative study
Bhattarai S, Bajracharya S, Shrestha A, Skovlund E, Åsvold B, Mjolstad B, Sen A. Facilitators and barriers to hypertension management in urban Nepal: findings from a qualitative study. Open Heart 2023, 10: e002394. PMID: 37899127, PMCID: PMC10618998, DOI: 10.1136/openhrt-2023-002394.Peer-Reviewed Original ResearchConceptsPrimary healthcare providersHypertension servicesHypertension managementHealthcare providersHypertension patientsHome visitsSocioecological modelCommunity-level barriersUrban NepalFocus group discussionsTreatment measuresControl of hypertensionGender normsHigh blood pressureCommunity health workersMunicipal officialsAspects of careFamily membersDepth interviewsQualitative methodologyPrimary healthcare systemCommunity trustLow-resource countriesQualitative studyAntihypertensive medications
2020
Estimated cost for cardiovascular disease risk-based management at a primary healthcare center in Nepal
Aryal A, Citrin D, Halliday S, Kumar A, Nepal P, Shrestha A, Nugent R, Schwarz D. Estimated cost for cardiovascular disease risk-based management at a primary healthcare center in Nepal. Global Health Research And Policy 2020, 5: 2. PMID: 32016159, PMCID: PMC6988194, DOI: 10.1186/s41256-020-0130-2.Peer-Reviewed Original ResearchConceptsPrimary healthcare centersNon-communicable diseasesHealthcare centersCardiovascular diseasePrimary preventionCatchment populationPrimary CVD preventionBurden of disabilityDirect medical costsAnnual incremental costCost of screeningMiddle-income country settingsGlobal Hearts InitiativeIncremental work loadEligible patientsCVD preventionMiddle-income countriesTreatment protocolHearts InitiativeMedical costsOne-year time horizonAmount of medicineHealthcare providersLaboratory testsPhysician workload