Publications by authors named "Kiran Regmi"
Article Synopsis
- Nepal has improved child survival rates largely due to the efforts of female community health volunteers (FCHVs), but there's a lack of research on their role in delivering child health services.
- A 2014 national survey of 4,302 FCHVs found that 62.6% provided at least one child health service, with factors such as FCHV fund usage, involvement in community health activities, and access to essential health supplies influencing service delivery.
- The study concludes that enhancing child health services by FCHVs requires ensuring availability of necessary resources, active participation in community meetings, and leveraging technology like mobile phones.
Introduction: Worldwide there is variation in prevalence of Hepatitis D viral infection. Superinfection and co infection with hepatitis B viral infection is known to occur in 15-20 million people.
Methods: This was a descriptive cross-sectional hospital based study carried out in NAMS, Bir hospital, Kathmandu, Nepal from period of January 2017 to June 2017.
Introduction: Upper gastro-intestinal endoscopy remains the gold standard for screening for esophageal varices but it has its own limitations. It is an invasive, expensive and uncomfortable procedure and needs clinical expertise. Accordingly, this study was conducted to establish the role of non-invasive markers for prediction of esophageal varices in liver cirrhosis.
View Article and Find Full Text PDFBackground: Expanding access to medication abortion through pharmacies is a promising avenue to reach women with safe and convenient care, yet no pharmacy provision interventions have been evaluated. This observational non-inferiority study investigated the effectiveness and safety of mifepristone-misoprostol medication abortion provided at pharmacies, compared to government-certified public health facilities, by trained auxiliary nurse-midwives in Nepal.
Methods: Auxiliary nurse-midwives were trained to provide medication abortion through twelve pharmacies and public facilities as part of a demonstration project in two districts.
Background: In 2009, the Nepal Ministry of Health and Population launched a national program for prevention of postpartum hemorrhage (PPH) during home births that features advance distribution of misoprostol to pregnant women. In the years since, the government has scaled-up the program throughout much of the country. This paper presents findings from the first large-scale assessment of the effectiveness of the advance distribution program.
View Article and Find Full Text PDFBackground: Accurate and prompt diagnosis of HIV and syphilis simultaneously has reinforcing effect on their control program because of their prevalent co-infection. Availability of a simple user-friendly two-pronged and affordable detection tools brings down the cost of health care. They are important in the antenatal clinics, with added opportunity for intervention and prevention of mother to child transmission.
View Article and Find Full Text PDFBackground: Calcium supplementation during pregnancy has been shown to reduce the incidence of pre-eclampsia/eclampsia among women with low calcium intake. Universal free calcium supplementation through government antenatal care (ANC) services was piloted in the Dailekh district of Nepal. Coverage, compliance, acceptability and feasibility of the intervention were evaluated.
View Article and Find Full Text PDFBackground: In April 2014 we investigated the association of migration of a woman's husband with her high-risk human papillomavirus (HR-HPV) infection status and her abnormal cervical cytology status in the Achham district of rural Far-Western Nepal.
Methods: Women were surveyed and screened for HR-HPV during a health camp conducted by the Nepal Fertility Care Center. Univariate and multivariable statistical tests were performed to determine the association of a husband's migration status with HR-HPV infection and cervical cytology status.
Background: Abortion was legalized in Nepal in 2002, following advocacy efforts highlighting high maternal mortality from unsafe abortion. We sought to assess whether legalization led to reductions in the most serious maternal health consequences of unsafe abortion.
Methods: We conducted retrospective medical chart review of all gynecological cases presenting at four large public referral hospitals in Nepal.
Ensuring patient satisfaction with second-trimester abortion in resource-poor settings.
Int J Gynaecol Obstet
January 2010
Objective: To evaluate patient satisfaction with the new second-trimester abortion services in Nepal.
Method: Depending on the patient's literacy level, a questionnaire was read and filled out by the patient herself or by an interviewer. Indicators were developed and assessed to determine the patient's experience of the services, focusing on her physical, emotional, and social comfort.