Publications by authors named "Rajshree Thapa"

Background: In Nepal, despite the escalating burden of non-communicable diseases (NCDs), there is a gap in the continuum of care for prevention, diagnosis, treatment, and care services for NCDs. The study aimed at assessing the changes in availability and readiness scores of health facilities between two consecutive health facility surveys.

Methods: We compared NCD readiness scores between 2015 and 2021, using data from two nationally representative cross-sectional Nepal Health Facility Surveys (NHFS).

View Article and Find Full Text PDF
Article Synopsis
  • A study in Nepal, known as the COBIN trial, evaluated the long-term impact of a 12-month lifestyle intervention led by community health workers on reducing blood pressure among adults aged 25-65 years.
  • After four years, the follow-up revealed that systolic blood pressure rose in both groups, with the intervention group experiencing an increase of 10.4 mm Hg and the usual care group an increase of 6.0 mm Hg.
  • The trial initially included 1638 participants, with 1352 (92.1%) followed up at 60 months, demonstrating the challenges of maintaining health benefits from limited-duration interventions in community settings.
View Article and Find Full Text PDF

Objectives: This study is set up to explore the factors associated with Human Immunodeficiency Virus (HIV) testing among women and men in Nepal.

Study Design: Nepal Demographic and Health Survey, 2016 adopts a cross-sectional design.

Setting: Nepal.

View Article and Find Full Text PDF

Objective: We assessed the availability and readiness of health facilities to provide sexually transmitted infections (STI) and HIV testing and counselling (HTC) services in Nepal.

Design: This was a cross-sectional study.

Setting: We used data from the most recent nationally representative Nepal Health Facility Survey (NHFS) 2015.

View Article and Find Full Text PDF

Nepal moved from unitary system with a three-level federal system of government. As federalism accelerates, the national health system can also speed up its own decentralization process, reduce disparities in access, and improve health outcomes. The turn towards federalism creates several potential opportunities for the national healthcare system.

View Article and Find Full Text PDF

Objectives: This cross-sectional study was conducted to describe the socio-demographic characteristics, assess the utilization of HIV testing and counselling services, and to explore the reasons for the non-utilization of HIV testing and counselling services among the key populations at the Bhutanese refugee camps in eastern Nepal.

Results: The HIV testing and counselling services are utilized by less than a third (29%) of the key population among the Bhutanese Refugees. The prime source of information about the HIV testing and counselling sites has been health workers followed by peer/outreach educators and neighbors.

View Article and Find Full Text PDF

Background: Little evidence exists on the connections between nutrition, diet intake, and quality of life (QoL) among people living with HIV (PLHIV). The study aimed to estimate the prevalence of under-nutrition among PLHIV in Nepal, and identify risk factors and assess correlations with PLHIVs' QoL and nutritional status.

Methods: This quantitative cross-sectional study used Body Mass Index (BMI) as an indicator for nutritional status, and additional information on opportunistic infections (OIs), CD4 count, and World Health Organization (WHO) clinical staging was collected from medical records.

View Article and Find Full Text PDF

Background: Combating tuberculosis (TB) in urban slums is more complex than in rural areas due to reasons such as over-crowding, unhygienic living conditions and poverty. This study aimed to assess illness perception of TB and identify barriers and facilitators for health seeking practice among the residents of Badda slum, Dhaka, Bangladesh.

Methods: The Badda slum was purposively selected.

View Article and Find Full Text PDF

Background: Around 41% of Human Immunodeficiency Virus (HIV) cases in Nepal occur in seasonal migrant laborers. Dalit migrant laborers represent the largest proportion of reported HIV cases in the Far Western Region (Sudur Pashchimanchal, or Far West), Nepal. The study's objectives were to assess sexual behavior, condom use status and HIV risk perception among Dalit migrant laborers to India from Far West Region, Nepal.

View Article and Find Full Text PDF