Nepal

Malaria elimination challenges in countries approaching the last mile: a discussion among regional stakeholders

Cambodia, Nepal, and Bhutan aim to eliminate malaria by 2025–2030 but face challenges like isolated outbreaks and imported cases. A 2022 outbreak in Cambodia, likely linked to forest workers, was quickly contained with support from village malaria workers and health centers. Nepal and Bhutan also reported outbreaks, often traced to migrant workers from India. Strengthening … [Read more...] about Malaria elimination challenges in countries approaching the last mile: a discussion among regional stakeholders

Managing type 2 diabetes through community-based health behavior interventions in Nepal is cost-effective. This study compared a program led by community health workers with usual care for 6 months. The intervention, including training, phone support, and peer guidance, showed better health outcomes at a low cost. It provided good value for money and had an 89.6% chance of … [Read more...] about Health economic evaluation alongside randomised clinical trial of a health behaviour intervention to manage type 2 diabetes in Nepal

This study evaluated a two-day pre-hospital trauma training program for community health responders (CHRs) in rural Nepal, aimed at improving care for injuries. Three months after the training, researchers interviewed 14 out of 35 participants from various backgrounds, including teachers and ambulance drivers. Participants reported that the training improved their skills, … [Read more...] about 265 Qualitative Assessment of a Pilot Trauma Training Program for Community Health Responders in Rural Nepal

Managing high blood pressure in low-income countries can be difficult. This study in Nepal tested a comprehensive approach using community health workers (CHWs) who made home visits and followed up with healthcare providers. The trial involved 1,252 people with hypertension in Kathmandu, comparing those who received the intervention with those who got usual care. Results showed … [Read more...] about Impact of a community health worker led intervention for improved blood pressure control in urban Nepal: an open-label cluster randomised controlled trial

This study explored what affects starting and sticking with antiretroviral therapy (ART) for HIV in Nepal. Interviews with 24 people living with HIV and 26 healthcare providers revealed several key factors. On the positive side, personal fears of death, knowledge about ART, and financial support helped people start and continue treatment. Challenges included concerns about … [Read more...] about Multilevel determinants of antiretroviral therapy initiation and retention in the test-and-treat era of Nepal: a qualitative study