2024
Effects of a dietary intervention on cardiometabolic risk and food consumption in a workplace
Shrestha A, Tamrakar D, Ghinanju B, Shrestha D, Khadka P, Adhikari B, Shrestha J, Waiwa S, Pyakurel P, Bhandari N, Karmacharya B, Shrestha A, Shrestha R, Bhatta R, Malik V, Mattei J, Spiegelman D. Effects of a dietary intervention on cardiometabolic risk and food consumption in a workplace. PLOS ONE 2024, 19: e0301826. PMID: 38656951, PMCID: PMC11042715, DOI: 10.1371/journal.pone.0301826.Peer-Reviewed Original ResearchConceptsConsumption of whole grainsHealthy foodPre-post intervention studyWhole grainsMedian consumptionCardiovascular risk factor profileRisk factor profileBlood pressureWorksite settingWorksite interventionsUnhealthy foodsHealth programsMeasured blood pressurePre-hypertensionCardiometabolic riskDiastolic blood pressureIntervention studiesFactors dietPaired-t testFactor profileFasting glucose levelsDhulikhel HospitalHospital premisesEmployee healthHospital employees
2021
Health system gaps in cardiovascular disease prevention and management in Nepal
Shrestha A, Maharjan R, Karmacharya BM, Bajracharya S, Jha N, Shrestha S, Aryal A, Baral PP, Bhatt RD, Bhattarai S, Bista D, Citrin D, Dhimal M, Fitzpatrick AL, Jha AK, Karmacharya RM, Mali S, Neupane T, Oli N, Pandit R, Parajuli SB, Pradhan PMS, Prajapati D, Pyakurel M, Pyakurel P, Rai BK, Sapkota BP, Sapkota S, Shrestha A, Shrestha AP, Shrestha R, Sharma GN, Sharma S, Spiegelman D, Suwal PS, Thapa B, Vaidya A, Xu D, Yan LL, Koju R. Health system gaps in cardiovascular disease prevention and management in Nepal. BMC Health Services Research 2021, 21: 655. PMID: 34225714, PMCID: PMC8258928, DOI: 10.1186/s12913-021-06681-0.Peer-Reviewed Original ResearchMeSH KeywordsCardiovascular DiseasesDelivery of Health CareGovernment ProgramsHumansMedical AssistanceNepalConceptsHealth systemCardiovascular disease preventionCause of deathHealth system gapsQuality of careResource-limited settingsNational health policyHealth system performanceBackgroundCardiovascular diseaseCVD preventionCVD careCVD servicesHealth outcomesDisease preventionHealth policyHealth insuranceHealth spendingCarePreventionKey informant interviewsTask ForceSystem gapsInformant interviewsService deliverySafetyNational Needs Assessment of Health Information System to Address Cardiovascular Diseases in Nepal: A Mixed Method Study.
Shrestha A, Parajuli S, Aryal A, Shrestha A, Maharjan R, Jha N, Bajracharya S, Shrestha S, Neupane T, Poudel U, Karmacharya B, Koju R, Dhimal M. National Needs Assessment of Health Information System to Address Cardiovascular Diseases in Nepal: A Mixed Method Study. Kathmandu University Medical Journal 2021, 19: 58-67. PMID: 35526137.Peer-Reviewed Original ResearchMeSH KeywordsCardiovascular DiseasesHealth Information SystemsHumansNeeds AssessmentNepalResearch DesignConceptsHealth financingOut-of-pocketCardiovascular diseaseRising burden of cardiovascular diseasesHealth system building blocksIntegrated health care servicesAssessment of Health Information SystemsNepal Health Research CouncilBurden of cardiovascular diseaseTotal health care expendituresHealth care servicesFiscal year 2015/16Health system financingHealth information systemsMixed methods studyNational needs assessmentHealth Research CouncilSystem building blocksProvider payment mechanismsKey informant interviewsBurden of diseaseHealth care expendituresHigher out-of-pocketsHealth Insurance BoardHealth Insurance ProgramMedical Products for Cardiovascular Disease Management in Nepal: a needs assessment study.
Sapkota S, Shrestha S, Bista D, Shrestha A, Maharjan R, Bajracharya S, Jha N, Koju R, Shrestha R. Medical Products for Cardiovascular Disease Management in Nepal: a needs assessment study. Kathmandu University Medical Journal 2021, 19: 18-29. PMID: 35526133.Peer-Reviewed Original ResearchConceptsCardiovascular disease managementDisease managementHealth systemHealth System Assessment ApproachMedicines regulationMedical productsDesk review of documentsNepal’s health systemNational level guidelinesLack of effective implementationCardiovascular diseaseNeeds assessment studyHealth facilitiesHow-to manualReview of documentsInformant interviewsDesk reviewMarket surveillanceQuality medicinesProvisionEffective implementationNational FormularyPharmaceutical expenditureTopic areasHealth
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 ResearchMeSH KeywordsCardiovascular DiseasesClinical ProtocolsDelivery of Health CareHealth Care CostsNepalPrimary Health CarePrimary PreventionConceptsPrimary 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
2019
The Kathmandu Declaration on Global CVD/Hypertension Research and Implementation Science A Framework to Advance Implementation Research for Cardiovascular and Other Noncommunicable Diseases in Low- and Middle-Income Countries
Aifah A, Iwelunmor J, Akwanalo C, Allison J, Amberbir A, Asante KP, Baumann A, Brown A, Butler M, Dalton M, Davila-Roman V, Fitzpatrick AL, Fort M, Goldberg R, Gondwe A, Ha D, He J, Hosseinipour M, Irazola V, Kamano J, Karengera S, Karmacharya BM, Koju R, Maharjan R, Mohan S, Mutabazi V, Mutimura E, Muula A, Narayan KMV, Nguyen H, Njuguna B, Nyirenda M, Ogedegbe G, van Oosterhout J, Onakomaiya D, Patel S, Paniagua-Ávila A, Ramirez-zea M, Plange-Rhule J, Roche D, Shrestha A, Sharma H, Tandon N, Thu-Cuc N, Vaidya A, Vedanthan R, Weber MB. The Kathmandu Declaration on Global CVD/Hypertension Research and Implementation Science A Framework to Advance Implementation Research for Cardiovascular and Other Noncommunicable Diseases in Low- and Middle-Income Countries. Global Heart 2019, 14: 103-107. PMID: 31324363, PMCID: PMC7341552, DOI: 10.1016/j.gheart.2019.05.006.Peer-Reviewed Original ResearchStakeholder Engagement in Planning the Design of a National Needs Assessment for Cardiovascular Disease Prevention and Management in Nepal
Archana S, Karmacharya BM, Rashmi M, Abhinav V, Meghnath D, Natalia O, Rajeev S, Prajjwal P, Annette F, David C, Swornim B, Roman XD, Donna S, Rajendra K. Stakeholder Engagement in Planning the Design of a National Needs Assessment for Cardiovascular Disease Prevention and Management in Nepal. Global Heart 2019, 14: 181-189. PMID: 31324373, PMCID: PMC7003959, DOI: 10.1016/j.gheart.2019.05.002.Peer-Reviewed Original ResearchCardio-metabolic disease risk factors among South Asian labour migrants to the Middle East: a scoping review and policy analysis
Mishra SR, Ghimire S, Joshi C, Gyawali B, Shrestha A, Neupane D, Sharma SR, Pokharel Y, Virani SS. Cardio-metabolic disease risk factors among South Asian labour migrants to the Middle East: a scoping review and policy analysis. Globalization And Health 2019, 15: 33. PMID: 31046779, PMCID: PMC6498694, DOI: 10.1186/s12992-019-0468-8.Peer-Reviewed Original ResearchMeSH KeywordsAsiaCardiovascular DiseasesEmigration and ImmigrationHumansMetabolic DiseasesMiddle EastPolicy MakingRisk FactorsTransients and MigrantsConceptsDisease risk factorsBetter cardiometabolic healthRisk factorsDiabetes mellitusHigh burdenCardio-metabolic disease risk factorsMetabolic disease risk factorsCardio-metabolic risk factorsRisk factor burdenMore risk factorsPubMed/MEDLINEGrey literature searchCardiometabolic healthChronic diseasesSouth Asian migrantsMigrant healthSimilar burdenOverweightLiterature searchObesityQualitative synthesisHypertensionScreening targetsBurdenDiabetesNepal Pioneer Worksite Intervention Study to lower cardio-metabolic risk factors: design and protocol
Shrestha A, Tamrakar D, Karmacharya BM, Shrestha A, Shrestha R, Bhatta RD, Pyakurel P, Khudyakov P, Malik V, Mattei J, Spiegelman D. Nepal Pioneer Worksite Intervention Study to lower cardio-metabolic risk factors: design and protocol. BMC Cardiovascular Disorders 2019, 19: 48. PMID: 30819098, PMCID: PMC6393979, DOI: 10.1186/s12872-019-1025-3.Peer-Reviewed Original ResearchMeSH KeywordsCardiovascular DiseasesDiet, HealthyExerciseFemaleFood ServicesHealth Knowledge, Attitudes, PracticeHumansMaleMetabolic SyndromeNepalOccupational Health ServicesPatient Education as TopicProtective FactorsRandomized Controlled Trials as TopicRisk FactorsRisk Reduction BehaviorTime FactorsTreatment OutcomeConceptsCardio-metabolic riskWorksite intervention studiesIntervention studiesBlood sugarCardiovascular disease prevention effortsPrevention programsCardio-metabolic risk factorsBehavioral interventionsCardio-metabolic outcomesTrial registrationThe trialElevated blood pressureDiabetes Prevention ProgramCardiovascular disease burdenProportion of participantsDisease prevention effortsHealthy food choicesChi-square testEnvironmental-level changesIndividual behavioral interventionsDhulikhel HospitalBlood pressureDietary interventionPre-post designLifestyle factorsDisease burden