Student Perception about Working in Rural Nepal after Graduation: A Study among First and Second Year Medical Students

The present study was conducted at KIST Medical College, a private school in the Lalitpur district, to obtain information on student perceptions about working in rural Nepal after graduation. [adapted from abstract]

Medical Students' Characteristics as Predictors of Career Practice Location: Retrospective Cohort Study Tracking Graduates of Nepal's First Medical College

The objective of this study was to determine, in one low income country (Nepal), which characteristics of medical students are associated with graduate doctors staying to practise in the country or in its rural areas. [from abstract]

Change in Medical Students' Readiness for Self-directed Learning after a Partially Problem-based Learning First Year Curriculum at the KIST Medical College In Lalitpur, Nepal

This study was carried out to measure and compare readiness for self-directed learning (SDL) among medical students, and note differences in readiness for SDL at the beginning and end of the first year for medical students at a medical college in Nepal. [adapted from abstract]

Human Resource Strategy Options for Safe Delivery

This report examines the current and future availability of skilled health workers for safe delivery services and the factors influencing their retention in government health facilities, particularly in rural areas of Nepal. [from author]

Attracting and Retaining Doctors in Rural Nepal

This article analysed the rural doctor shortage in Nepal and reviewed the international literature for strategies that may be suitable for use in Nepal. [from abstract]

Medical Education and Training in Nepal: SWOT Analysis

The goal of this article was to analyse the impact of the medical colleges that have been set up within the last two decades by production of doctors and the effect on the health of the people. [from abstract]

Traditional Birth Attendants in Rural Nepal: Knowledge, Attitudes and Practices about Maternal and Newborn Health

Efforts to formalize the role of traditional birth attendants (TBAs) in maternal and neonatal health programmes have had limited success. Continued attendance by TBAs at home deliveries suggests the potential to influence maternal and neonatal outcomes. The objective of this qualitative study was to identify and understand the knowledge, attitudes and practices of TBAs in rural Nepal. [adapted from abstract]

Experiences of Districts in Implementing a National Incentive Programme to Promote Safe Delivery in Nepal

Nepal’s Safe Delivery Incentive Programme (SDIP) was introduced nationwide in 2005 with the intention of increasing utilisation of professional care at childbirth. It provided cash to women giving birth in a health facility and an incentive to the health provider for each delivery attended, either at home or in the facility. We explored early implementation of the programme at the district-level to understand the factors that have contributed to its low uptake. [from abstract]

Potential Role of Traditional Birth Attendants in Neonatal Healthcare in Rural Southern Nepal

The potential for traditional birth attendants (TBAs) to improve neonatal health outcomes has largely been overlooked during the current debate regarding the role of TBAs in improving maternal health. Randomly selected TBAs were interviewed to gain a more thorough understanding of their knowledge, attitudes, and practices regarding maternal and newborn care. [from abstract]

Development of Medical Education in Nepal

The last two decades has seen an explosion of institutions involved in the training of health personnel. This is possibly because of the huge demand of human resources of health (HRH) not only in Nepal, but worldwide. Various grades of HRH are going out of the country and seeking their livelihood elsewhere. [from abstract]

Delivering Mobile Reproductive Health

This video resource chronicles how after a truce in Nepal's civil war, a mobile reproductive health team is reaching isolated communities that have had no health services for years. [adapted from synopsis]

Analytical Report on Female Community Health Volunteers of Selected Districts of Nepal

Female Community Health Volunteers (FCHVs) act as a bridge between the government and the community and serve as a frontline for local health resources. The objectives of this study of FCHV in Twenty Districts of Nepal was to see the existing condition of the FCHVs working in the communities of Nepal. The survey collected information on basic health services provided by FCHVs to the community in terms of the provision of specific commodities and the provision of information, communication, counseling, and other support to the rural community. [adapted from summary]

From Research to National Expansion: 20 Years’ Experience of Community-Based Management of Childhood Pneumonia in Nepal

This paper describes Nepal’s efforts, starting from the mid-1980s, to develop and implement community-based management of pneumonia. [from abstract]

Monitoring the Performance of a Reproductive Health Franchise in Nepal

This study examines the experience of the Sewa nurse and paramedic franchise in Nepal and assesses whether there were changes in the perceived quality of services approximately one year after the formation of the network. This study also examines the extent to which there was an increase in the use of reproductive health services during this period. [from introduction]

Structured On-the-Job Training (OJT) and Postabortion Care Expansion in Low Resource Settings: Nepal Experience

This presentation describes the benefits and challenges of structured on-the-job training with evidence from a case study of Nepal.

Communication Action Groups: Promoting Broader Discussion of Reproductive Health

In 1996, the REWARD Project identified a need for effective interventions to increase women’s communication about reproductive health among themselves and with their husbands. Project staff formed women’s groups, called Communication Action Groups (CAGs), in three rural districts. The project provides group leaders with training on communication, leadership, group dynamics, condom use, condom negotiating skills, and HIV/AIDS and sexually transmitted infections (STIs).

Quality of Care Management Center in Nepal: Improving Services with Limited Resources

This working paper evaluates th success of the Quality of Care Management Center in Nepal and highlights the fact that even in resource-poor settings, quality of care in health service delivery can be achieved. This model for a quality of care center that provides timely, appropriate, and ongoing support to clinical facilities may be especially useful in countries where centralized systems are in place for allocation of resources or where maintenance and supply capacity is limited to central locations.

Assessment of the Health System in Nepal with a Special Focus on Immunization

In an effort to improve the health gain that might be achieved from allocated resources, a sector wide framework has been developed for planning, choosing priorities, and committing funds in accordance with agreed priorities. [from summary]

Control of Tuberculosis in an Urban Setting in Nepal: Public-Private Partnership

The objective of this document is to implement and evaluate a public–private partnership to deliver the internationally recommended strategy DOTS for the control of tuberculosis (TB) in Lalitpur municipality, Nepal, where it is estimated that 50% of patients with TB are managed in the private sector. [author’s description]

Establishing a Nursing Student Learning Center for Women's Reproductive Health in Nepal

The goal of this paper is to describe the establishment of a self-sustaining Student Learning Center (SLC) employing humanistic anatomical models to aid in the teaching of family planning and reproductive health clinical skills to nursing students in Nepal.

Reaching Every Child for Primary Immunization: An Experience from Parsa District, Nepal

A Village Development Committee Orientation organized to allow representatives of different organizations to discuss and identify causes of low coverage and high drop-out in their community. Special emphasis was placed on monitoring the immunization drop-out rate of each health facility. Indicators for VDCs have improved in 2003, and Parsa District is now regarded as one of the highest performing districts in the region.