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Published on: May 22, 2019
Burden of stroke in Nepal
Munvar Miya Shaik1, Keat Wei Loo, Siew Hua Gan
1Department of Pharmacology, College of Medical Sciences, Bharatpur, Nepal.
Summary
Stroke is a leading cause of death in Nepal, particularly affecting males aged 59-62. Limited data exists outside urban areas, highlighting a need for improved stroke care and prevention strategies nationwide.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Stroke ranks among the top five causes of death in Nepal, measured by disability-adjusted life years.
- Existing epidemiological data on stroke in Nepal is largely confined to urban settings, lacking comprehensive national reports.
- The mean age of stroke patients in Nepal ranges from 59 to 62 years, with a higher incidence observed in males.
Purpose of the Study:
- To summarize the current understanding of stroke epidemiology in Nepal.
- To identify key risk factors and patterns of stroke in the Nepalese population.
- To highlight challenges in stroke care and suggest areas for intervention.
Main Methods:
- Review of existing literature and available data on stroke in Nepal.
- Analysis of demographic information, predisposing factors, and stroke subtypes.
- Assessment of healthcare-seeking behaviors and challenges in rural Nepal.
Main Results:
- Hypertension, smoking, alcohol consumption, and diabetes are identified as primary stroke risk factors.
- Ischemic stroke constitutes the majority (63%) of cases, compared to hemorrhagic stroke (37%).
- Rural populations often resort to traditional healers due to limited access to medical facilities and specialists.
Conclusions:
- There is a critical need for expanded epidemiological research on stroke across Nepal.
- Enhanced governmental and non-governmental initiatives are essential for improving stroke facilities and prevention programs.
- Addressing barriers to healthcare access, particularly in rural areas, is crucial for effective stroke management.
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