Study, Design, and Rationale of Noncommunicable Diseases in Nepal (NCD Nepal) Study: A Community-Based Prospective
Gagan Neupane1,2, Sameer Acharya1,2, Manoj Bhattarai1,3
1Health Foundation Nepal, Lalitpur, Nepal.
Global Advances in Health and Medicine
|April 15, 2020
Summary
This study outlines a community-based approach to screen and manage noncommunicable diseases (NCDs) in rural Nepal. It aims to gather crucial epidemiological data on NCDs in low-income settings.
Area of Science:
- Epidemiology
- Public Health
- Global Health
Background:
- Noncommunicable diseases (NCDs) are a leading global cause of mortality.
- Limited data exists on NCD epidemiology and community-based interventions in low- and middle-income countries (LMICs).
- This study addresses the need for data in rural Nepal, a representative LMIC.
Purpose of the Study:
- To describe the protocol for a community-based, longitudinal epidemiological study.
- To screen and manage NCDs in a rural Nepalese population.
- To inform national policy for NCD control in LMICs.
Main Methods:
- Monthly mobile health clinics will screen 7052 residents aged 40-75 in Ghorahi, Dang, Nepal.
- Data collection includes sociodemographics, lifestyle, medical history, anthropometrics, and capillary glucose.
- Screening covers hypertension, diabetes, obesity, dyslipidemia, substance use, and major chronic diseases; high-risk individuals receive further lab tests.
Main Results:
- The study protocol is detailed for community-based NCD screening and management.
- It includes comprehensive screening for various NCDs and risk factors.
- Follow-up strategies are outlined to ensure continuity of care and monitor outcomes.
Conclusions:
- Understanding the NCD burden in resource-limited settings is crucial.
- Community-based screening and management models can be effective.
- Findings will inform national policies to address the NCD burden in Nepal and similar LMICs.
Keywords:
Nepalcardiovascular diseasecommunity-based interventiondiabetesdisparityhypertensionlow- and middle-income countriesnoncommunicable diseasesrural healthtobacco useMore Related Videos
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