Tagged / non-communicable diseases

New academic paper on Nepal

international, open access, Publishing, writing

Yesterday the international journal Health Policy & Planning published our latest article with the title ‘Understanding the formulation of non-communicable disease policies in Nepal: A qualitative study‘ [1].  The paper is part of the PhD work (at the University of Hudderfield) by the first author, Dr. Anju Vaidya, who is originally from Nepal. Anju’s thesis was supervised by Prof. Padam Simkhada (University of Chester), Prof. Andre Lee (The University of Sheffield) and by Bournemouth University’s Prof. Edwin van Teijlingen.

 

The paper recognises that there is limited evidence about the process through which health policies were formulated in Nepal. This study used Kingdon’s multiple streams framework to explore how NCDs (non-communicable diseases) were recognised and prioritised, how policy alternatives were decided, how policy windows were opened, and which contextual factors influenced the policy formulation process.  Anju’s PhD included a qualitative study to gain a comprehensive understanding of the formulation of major NCD-related policies in Nepal. Semi-structured interviews were conducted with 12 key stakeholders, and policy documents were analysed using framework analysis.

The NCDs were gradually prioritised through the convergence of global and local evidence, sustained advocacy, and international commitments. Policymakers encountered several challenges, such as competing health priorities, the chronic nature of NCDs, donor preferences for communicable diseases, financial constraints, and multisectoral complexities of NCDs. The Package of Essential Non-communicable diseases (PEN) interventions were adopted as a policy alternative, informed by global evidence, World Health Organization (WHO) recommendations, and lessons from other countries.  While coordinated efforts by stakeholders brought the problem, policy and politics streams together, the role of policy entrepreneurs was found to be less relevant in Nepal’s context.

Health Policy & Planning is an Open Access journal, hence the paper is available worldwide to anybody with internet access.

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

References:

  1. Vaidya, A., Simkhada, P., van Teijlingen, E., Lee, A.C.K. (2026) Understanding the formulation of non-communicable disease policies in Nepal: A qualitative study, Health Policy and Planning, [online first] czag048, https://doi.org/10.1093/heapol/czag048

Building Strong Primary Health Care in Nepal

international, Publishing, writing

New  BU co-authored article ‘Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal’ will be published soon [1].  This paper has been accepted by the international journal Global Health Action (published by Taylor & Francis).  The international authorship comprises Nepal, Denmark and the UK.

Nepal is currently facing a double burden of non-communicable diseases (NCDs) and communicable diseases, with rising trends in the former. This situation will add great pressure to already fragile health systems and pose a major challenge to the country’s development unless urgent action is taken. The paper argues that while the primary health care approach offers a common platform to effectively address NCDs through preventive and curative interventions, its potential is not fully tapped in Nepal. In line with the Alma-Ata and Astana declarations, the authors propose an integrated approach for Nepal, and other low-and middle-income countries, including six key reforms to enhance the primary care response to the increasing burden of NCDs.  These six key areas are: (1) Life-course approach to addressing NCDs; (2) Task shifting for NCD risk factor management; (3) Strengthening informal care givers; (4) Strengthening quality of PHC and health systems;  (5) Establish strategic information management system; and (6) Healthcare financing.

Publication Cover

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Gyawali, B., Khanal, P., Mishra, S.R., van Teijlingen, E., Meyrowitsch, D.W. (2020) Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal, Global Health Action (accepted) https://doi.org/10.1080/16549716.2020.1788262

 

Hat-trick of new diabetes papers

international, Publishing, writing

Diabetes editorial BarnardCongratulations to Katharine Barnard and Janet James in FHSS and their colleagues in the USA and Sweden on their latest publication on the ‘Impact of Chronic Sleep Disturbance for People Living with T1 Diabetes’ [1].  Recently Dr. Barnard also co-authored an editorial in the international journal Diabetes under the title ‘Psychosocial Aspects and Diabetes Technology – Head to Head or Hand in Hand?’ [2].  Finally, the third recent paper by Dr. Barnard and colleagues from across the UK was published in Diabetes Care, the journal of the American Diabetes Association [3].Barnard Diabetes 2016

Congratulations!

Prof. Edwin van Teijlingen

 

 

References

  1. Barnard, K., James, J., et al. Impact of Chronic Sleep Disturbance for People Living With T1 Diabetes J Diabetes Sci Technol 2016; 10: 762-767.
  2. Barnard K.D., Weissberg-Benchell, J., Psychosocial Aspects and Diabetes Technology – Head to Head or Hand in Hand? Diabetes 2016; 12(1): 35-36. DOI: http://doi.org/10.17925/EE.2016.12.01.35
  3. Barnard K.D, Holt, R.I. et al. ,Could the Discrepancy in Perceived Emotional Care Received and Provided Be a Barrier to Active Diabetes Self-management? Insights From the Second Diabetes Attitudes, Wishes and Needs (DAWN2) Study. Diabetes Care 2016; 39(2): e20-e21.  DOI: http://dx.doi.org/10.2337/dc15-0674