2024
Exploring 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
2022
Analyzing the Implementation of Policies and Guidelines for the Prevention and Management of Type 2 Diabetes at Primary Health Care Level in Nepal
Shrestha R, Yadav UN, Shrestha A, Paudel G, Makaju D, Poudel P, Iwashita H, Harada Y, Shrestha A, Karmacharya B, Koju R, Sugishita T, Rawal L. Analyzing the Implementation of Policies and Guidelines for the Prevention and Management of Type 2 Diabetes at Primary Health Care Level in Nepal. Frontiers In Public Health 2022, 10: 763784. PMID: 35223722, PMCID: PMC8864089, DOI: 10.3389/fpubh.2022.763784.Peer-Reviewed Original ResearchConceptsPrimary health care levelHealth care levelNon-communicable diseasesHealth care providersCare levelDiabetes preventionCare providersPhase IManagement of NCDsDiabetes care servicesType 2 diabetesPeripheral health servicesProblem of diabetesKey search termsKey informant interviewsDiabetes carePeripheral levelsRelevant grey literatureType 2Care servicesDiabetesHealth servicesPremature deathPreventionQualitative exploratory study
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
2019
Designing and implementing an integrated non-communicable disease primary care intervention in rural Nepal
Kumar A, Schwarz D, Acharya B, Agrawal P, Aryal A, Choudhury N, Citrin D, Dangal B, Deukmedjian G, Dhimal M, Dhungana S, Gauchan B, Gupta T, Halliday S, Jha D, Kalaunee S, Karmacharya B, Kishore S, Koirala B, Kunwar L, Mahar R, Maru S, Mehanni S, Nirola I, Pandey S, Pant B, Pathak M, Poudel S, Rajbhandari I, Raut A, Rimal P, Schwarz R, Shrestha A, Thapa A, Thapa P, Thapa R, Wong L, Maru D. Designing and implementing an integrated non-communicable disease primary care intervention in rural Nepal. BMJ Global Health 2019, 4: e001343. PMID: 31139453, PMCID: PMC6509610, DOI: 10.1136/bmjgh-2018-001343.Peer-Reviewed Original ResearchChronic obstructive pulmonary diseaseObstructive pulmonary diseaseNon-communicable disease interventionsPulmonary diseaseMiddle-income countriesDisease interventionFacility visitsNon-communicable disease careFurther implementation researchCommunity visitsPrimary care interventionsNon-communicable diseasesRural NepalType II diabetesMedian timeDisease careCare coordinationCare interventionsII diabetesHypertensionDiabetesDiseaseVisitsRetrospective assessmentImplementation research
2018
Quit Intentions and Attempts among Smokers in Sub-urban Nepal: Findings from the Dhulikhel Heart Study.
Karmacharya BM, Fitzpatrick AL, Koju R, Sotodehnia N, Xu DR, Pradhan PMS, Shrestha A. Quit Intentions and Attempts among Smokers in Sub-urban Nepal: Findings from the Dhulikhel Heart Study. Kathmandu University Medical Journal 2018, 16: 83-88. PMID: 30631024.Peer-Reviewed Original ResearchConceptsDhulikhel Heart StudyQuit attemptsCurrent smokersSmoking cessationCessation programsHeart StudyEffective smoking cessation interventionsCVD risk factorsSmoking cessation interventionSmoking cessation programTobacco cessation programCross-sectional studyNon-communicable diseasesHigh alcohol consumptionPast quit attemptsEvidence-based strategiesSocio-demographic factorsNational Health SystemFormer smokersTobacco cessationSuccessful quittingRisk factorsQuit effortsTobacco useTobacco consumption
2017
Determining the Prevalence of and Risk Factors for Depressive Symptoms among Adults in Nepal.
Lam MS, Fitzpatrick AL, Shrestha A, Karmacharya BM, Koju R, Rao D. Determining the Prevalence of and Risk Factors for Depressive Symptoms among Adults in Nepal. International Journal Of Noncommunicable Diseases 2017, 2: 18-26. PMID: 30574570, PMCID: PMC6298440, DOI: 10.4103/jncd.jncd_34_16.Peer-Reviewed Original ResearchNon-communicable diseasesDhulikhel Heart StudyBody mass indexRisk factorsDepressive symptomsChi-squared testAdults age 18 yearsCardiovascular risk factorsEpidemiologic Studies Depression ScalePrevalence of depressionSignificant risk factorsLongitudinal cohort studyBaseline questionnaire dataMultiple logistic regressionAge 18 yearsPearson's chi-squared testMajor depressive symptomatologyCross-sectional analysisCESD scoresCohort studyMass indexHypertensive statusPhysical inactivityDepression ScalePhysical activity