Title:
Factors Influencing Utilization of Primary Health Care for Cardiovascular Disease Prevention and Control in Nepal
Authors:
Neupane, Bandana
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
xiii, 51
Language:
En
Subject:
Health and Poverty
Keywords:
Utilization, primary health care, cardiovascular disease, prevention/control, Nepal.
Abstract:
Background: The uptake of cardiovascular services through PHC is essential to achieve national target of 25% reduction of CVD by the year 2020 & SDGs target of reducing NCDs related premature deaths by one-third by 2030. However, most LMICs including Nepal, are facing growing burden of CVD but factors influencing utilization of PHC for CVD are unexplored in Nepal. Thus, this study was to explore and analyze those factors that increase uptake in order to give recommendation to MOHP and other important stakeholders. Methodology: Literatures from Nepal and LMICs through various sources like PubMed, Google Scholar were reviewed and analyzed with the help of Anderson, 1995-conceptual framework. Findings: Study found lack of CVD guideline, absence of NCD department, gaps in multi-sectoral action plan, scarcity of essential medicines, inadequate skilled human resources, freezing of budget, lack of data registries, low health literacy, perceived low quality of services & insufficient research as major factors that may influence uptake of PHC for cardiovascular services in Nepal. Conclusions/Recommendations: Despite having good policies & programs, there are gaps in its implementation. This study recommends the following: Establishment of a separate operational NCD department, make evidence based CVD guideline, review multi-sectoral action plan, timely implement programs & prevent freezing of budget, increase research on prevention of CVD, maintain data registries, increase health promotion, community engagement & out-reach care, shift the task & train human resources & lastly, increase multi-sectoral collaboration.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development Policy & Practice
Country:
Nepal
Region:
South Asia
Training:
Master’s in Public Health
Category:
Research
Right:
© 2017 Neupane
Document type:
Thesis/dissertation
File:
Dn6bK4xLT5_20180404101535264.pdf