2025
Barriers and facilitators to patient utilization of noncommunicable disease services in primary healthcare facilities in Nepal: a qualitative study
Mali S, Rhodes E, Nakarmi C, Shrestha S, Dhakal A, Bharati A, Bishwokarma A, Adhikari A, Poudel B, Rai B, Manandhar S, KC S, Timalsena D, Silwal S, Dhimal M, Baral P, Teufel F, Bhattarai S, Spiegelman D, Shrestha A. Barriers and facilitators to patient utilization of noncommunicable disease services in primary healthcare facilities in Nepal: a qualitative study. BMC Health Services Research 2025, 25: 863. PMID: 40598095, PMCID: PMC12217986, DOI: 10.1186/s12913-025-13050-8.Peer-Reviewed Original ResearchNon-communicable diseasesPrimary healthcare facilitiesPatient utilizationNon-communicable disease interventionsHealthcare facilitiesWorld Health OrganizationPurposive sample of patientsQualitative studyPurposive samplingNoncommunicable disease servicesCardiovascular diseaseNCD servicesChronic respiratory diseasesSample of patientsDisease servicesHealth OrganizationDisease interventionRespiratory diseaseFacilitationServicesFacilitiesBarriersNepalInterventionDisease
2024
Barriers and facilitators for implementing the WHO Safe Childbirth Checklist (SCC) in Mozambique: A qualitative study using the Consolidated Framework for Implementation Research (CFIR)
He A, Kanduma E, Pérez-Escamilla R, Buckshee D, Chaquisse E, Cuco R, Desai M, Munguambe D, Reames S, Manuel I, Spiegelman D, Xu D. Barriers and facilitators for implementing the WHO Safe Childbirth Checklist (SCC) in Mozambique: A qualitative study using the Consolidated Framework for Implementation Research (CFIR). PLOS Global Public Health 2024, 4: e0003174. PMID: 39236014, PMCID: PMC11376584, DOI: 10.1371/journal.pgph.0003174.Peer-Reviewed Original ResearchConsolidated Framework for Implementation ResearchSafe Childbirth ChecklistBirth attendantsImplementation researchFocus group discussionsChildbirth practicesWHO Safe Childbirth ChecklistQualitative studyReduce adverse birth outcomesChildbirth-related complicationsGroup discussionsQuality of careNeonatal deathWeak health systemsAdverse birth outcomesPre-implementation assessmentEvidence-based practiceDeductive thematic analysisLow-resource settingsNeonatal mortality rateHealth systemMaternity carePre-implementationBirth outcomesProvider motivation
2022
Consumer acceptance and preference for brown rice—A mixed‐method qualitative study from Nepal
Gyawali P, Tamrakar D, Shrestha A, Shrestha H, Karmacharya S, Bhattarai S, Bhandari N, Malik V, Mattei J, Spiegelman D, Shrestha A. Consumer acceptance and preference for brown rice—A mixed‐method qualitative study from Nepal. Food Science & Nutrition 2022, 10: 1864-1874. PMID: 35702294, PMCID: PMC9179153, DOI: 10.1002/fsn3.2803.Peer-Reviewed Original ResearchHealth benefitsPrevalence of diabetesRisk of diabetesPercent of participantsBrown rice consumptionMixed-method qualitative studyWhite riceWorksite cafeteriasFamily awarenessLack of awarenessPoor perceptionDiabetesFocus group discussionsParticipantsQualitative studyMajor barrierSide dishesImproved knowledge
2021
Facilitators and barriers to healthy eating in a worksite cafeteria: a qualitative study
Stern D, Blanco I, Olmos LA, Valdivia JJ, Shrestha A, Mattei J, Spiegelman D. Facilitators and barriers to healthy eating in a worksite cafeteria: a qualitative study. BMC Public Health 2021, 21: 973. PMID: 34022846, PMCID: PMC8141192, DOI: 10.1186/s12889-021-11004-3.Peer-Reviewed Original ResearchConceptsHigher health awarenessHealthy eatingWorksite cafeteriasCardiometabolic disease preventionFocus group discussionsHealthy food choicesHealthy food optionsNutrition interventionsQualitative studyDietary behaviorsDisease preventionLack of timeHealth awarenessFatty foodsHealth of employeesExploratory qualitative studyEatingHealthy foodsFood optionsFood choicesLarger worksitesJob categoriesUnpleasant taste
2020
Drivers of healthy eating in a workplace in Nepal: a qualitative study
Tamrakar D, Shrestha A, Rai A, Karmacharya BM, Malik V, Mattei J, Spiegelman D. Drivers of healthy eating in a workplace in Nepal: a qualitative study. BMJ Open 2020, 10: e031404. PMID: 32102804, PMCID: PMC7045197, DOI: 10.1136/bmjopen-2019-031404.Peer-Reviewed Original ResearchConceptsHealthy eatingHealth personnelDhulikhel Hospital-Kathmandu University HospitalHealthy foodsHospital administratorsHealthy food optionsAffordable healthy foodsFocus group discussionsUniversity HospitalHospital settingQualitative studyCapital KathmanduIndividual food preferencesHospital sitesHealth awarenessHealthy optionsHospital administrationHour shiftsEatingFood optionsGroup discussionsCafeteria operatorsLevel of educationOffice hoursThematic analysis method
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