Postpartum contraceptive counseling and access are challenging in Nepal’s remote, hilly areas, leading to a high unmet need for contraception. Community health workers (CHWs) are crucial in these regions, but the best model for their use is unclear. A pilot program in two rural Nepalese districts employed full-time, salaried, and supervised CHWs to deliver a reproductive, … [Read more...] about “Even things they won’t share with their sisters-in-law” – Assessing an integrated Community Health Worker intervention on person-centered postpartum contraception in rural Nepal
Nepal
A qualitative study on the adaptation of community programmes for the promotion of early detection and health-seeking of perinatal depression in Nepal
Perinatal depression is common in Nepal, but it often goes undetected. This study aimed to adapt community strategies to improve awareness and detection. The study modified a community sensitization program and the Community Informant Detection Tool (CIDT) through a four-step process. First, the authors conducted interviews and focus groups with women with perinatal depression, … [Read more...] about A qualitative study on the adaptation of community programmes for the promotion of early detection and health-seeking of perinatal depression in Nepal
An anthropological history of Nepal’s Female Community Health Volunteer program: gender, policy, and social change
This study traces the 35-year history of Nepal's Female Community Health Volunteers (FCHVs). Through document analysis, it reveals ongoing issues like gender roles, workload, and pay. Initially, FCHVs were male, but the program shifted to all-female volunteers due to maternal and child health goals. Despite their crucial role, FCHVs face challenges like low pay and increasing … [Read more...] about An anthropological history of Nepal’s Female Community Health Volunteer program: gender, policy, and social change
Success in vaccination programming through community health workers: a qualitative analysis of interviews and focus group discussions from Nepal, Senegal and Zambia
This multiple case study investigated the role of community health workers (CHWs) in successful early childhood immunization programs in Nepal, Senegal, and Zambia. Through interviews and focus group discussions, factors contributing to CHW effectiveness were identified, including CHW organization, motivation, and trust. Improvements in immunization coverage were attributed to … [Read more...] about Success in vaccination programming through community health workers: a qualitative analysis of interviews and focus group discussions from Nepal, Senegal and Zambia
Sustainability of a 12-month lifestyle intervention delivered by community health workers in reducing blood pressure in Nepal: 5-year follow-up of the COBIN open-label, cluster randomised trial
This study aimed to investigate sustainable blood pressure reduction through a 12-month lifestyle intervention led by CHWs in Nepal. Results show that from baseline to 60 months, the mean systolic blood pressure increased by 10·4 mm Hg in the intervention group and 6·0 mm Hg (4·6–7·5) in the control group. The authors conclude that CHW-led lifestyle counseling and blood … [Read more...] about Sustainability of a 12-month lifestyle intervention delivered by community health workers in reducing blood pressure in Nepal: 5-year follow-up of the COBIN open-label, cluster randomised trial