ORCID Profile
0000-0002-5689-0837
Current Organisation
Nepal Public Health Research and Development Center
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Publisher: Wiley
Date: 18-02-2020
DOI: 10.1111/JAN.14311
Publisher: Wiley
Date: 07-05-2020
DOI: 10.1111/JAN.14399
Publisher: Wiley
Date: 04-05-2020
DOI: 10.1111/JAN.14377
Publisher: Elsevier BV
Date: 09-2013
DOI: 10.1016/J.SOCSCIMED.2013.06.003
Abstract: Both increasing women's autonomy and increasing husbands' involvement in maternal health care are promising strategies to enhance maternal health care utilization. However, these two may be at odds with each other insofar as autonomous women may not seek their husband's involvement, and involved husbands may limit women's autonomy. This study assessed the relationship between women's autonomy and husbands' involvement in maternal health care. Field work for this study was carried out during September-November 2011 in the Kailali district of Nepal. In-depth interviews and focus group discussions were used to investigate the extent of husbands' involvement in maternal health care. A survey was carried out among 341 randomly selected women who delivered a live baby within one year prior to the survey. The results show that husbands were involved in giving advice, supporting to reduce the household work burden, and making financial and transportation arrangements for the delivery. After adjustment for other covariates, economic autonomy was associated with lower likelihood of discussion with husband during pregnancy, while domestic decision-making autonomy was associated with both lower likelihood of discussion with husband during pregnancy and the husband's presence at antenatal care (ANC) visits. Movement autonomy was associated with lower likelihood of the husband's presence at ANC visits. Intra-spousal communication was associated with higher likelihood of discussing health with the husband during pregnancy, birth preparedness, and the husbands' presence at the health facility delivery. The magnitude and direction of association varied per autonomy dimension. These findings suggest that programs to improve the women's autonomy and at the same time increase the husband's involvement should be carefully planned. Despite the traditional cultural beliefs that go against the involvement of husbands, Nepalese husbands are increasingly entering into the area of maternal health which was traditionally considered 'women's business'.
Publisher: SAGE Publications
Date: 17-03-2023
DOI: 10.1177/01979183231154559
Abstract: Despite evidence of the impact of adult children's migration on left-behind older parents, the comparison of left-behind older parents’ mental health and psychological well-being between internal and international migration is limited. This article examines how the relationship between adult children's migration and parent's mental health differs according to the migrant's destination — only internal migration, only international migration, or hybrid migration (at least one child who migrated internally and at least one child who migrated internationally). Drawing on a 2019 cross-sectional population-based survey of 697 left-behind older adults (≥ 60 years) in Nepal, we assessed the mental health of older parents, using the 21-item Depression Anxiety Stress Scales and a range of socio-demographic, health, lifestyle, and child-related characteristics. Multilevel mixed-method linear regression was performed to examine the effect of adult children's migration on left-behind older parents’ depression, anxiety, and stress symptoms. Results showed that parents whose children had all migrated internationally were at higher risk of mental health problems, particularly anxiety and stress, compared to parents whose children had all migrated internally. Older parents from the hybrid group (having both internal and international migrant adult children) had higher levels of anxiety, compared to parents whose children had all migrated internally, with no significant difference in depression and stress symptoms. Further, mothers of internationally migrated children were at higher risk of mental health symptoms than fathers. Interventions aiming to improve left-behind older parents’ mental health and psychological well-being should specifically target parents whose children have migrated internationally.
Publisher: Informa UK Limited
Date: 30-09-2022
DOI: 10.1080/01612840.2021.1978599
Abstract: Many health-related measurement instruments have been developed to measure psychological constructs and whilst several instruments are usually available for a particular study, finding the right tool for the job is important. Systematic reviews of measurement properties of instruments have long been identified as a valuable strategy to ensure that we select the right tool to assess mental health. There are many important steps and procedures to guide these types of systematic reviews to find the "best fit" and this paper summarizes some of these key processes and steps. The selection of instrument(s) to use should be made considering the most recent comprehensive review of the quality of the outcome measurement instrument based on unbiased assessment of its psychometric properties, responsiveness, and generalizability of results. Researchers planning to conduct a systematic review of health-related measurement instruments should design the review beforehand using standardized frameworks. Conducting systematic reviews of the quality and psychometric properties of health-related measurement instruments is important to ensure we choose the best tool for the research question and target population.
Publisher: Wiley
Date: 06-2023
DOI: 10.1111/NHS.13030
Publisher: Wiley
Date: 19-07-2023
DOI: 10.1111/INR.12861
Abstract: To map and explore primary research about factors related to retention, turnover and turnover intention among migrant nurses. Understanding retention and turnover among migrant nurses is essential, especially in the context of nursing shortage. There is a range of factors motivating nurses to emigrate however, factors related to retention and turnover among migrant nurses in the host country are unclear. This review utilised Arksey and O'Malley's methodological framework for scoping reviews, and is reported with the PRISMA‐ScR checklist. Four electronic databases were searched—CINAHL, PsycINFO, ProQuest and PubMed—to identify primary research published between January 2000 and May 2022. Titles and abstracts were reviewed against the inclusion and exclusion criteria, and then full‐text versions were reviewed. Data extracted were summarised, and results synthesised. Fifteen studies were included, with studies mainly from the Middle East, the United Kingdom and the United States. Personal, organisational, financial, political and environmental factors were found to influence retention and turnover among migrant nurses. Retention and turnover rates among migrant nurses vary among host countries. The factors identified are related to each other hence, retention and turnover among migrant nurses are best understood in the context of their source country, host country and in idual circumstances. Host countries must promote strategies that foster retention, such as reviewing immigration policies to support long‐term immigration and family unity. Organisations employing migrant nurses need to consider the presence of a social network to facilitate adaptation and integration. It is also recommended that source countries address the reasons for emigration and initiate policies encouraging return migration, including providing merit to overseas experience. International nursing organisations should call for an examination of the conditions of migrant nurses to ensure equality across all source countries.
Publisher: Elsevier BV
Date: 12-2022
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-08-2020
DOI: 10.1097/JNR.0000000000000397
Abstract: Healthcare requires effective leadership to improve patient outcomes, manage change, and achieve organizational goals. The purpose of this study was to evaluate interventions aimed at improving leadership behavior in health professionals. A systematic literature review of key databases (PubMed, CINAHL, Embase, and Scopus) was performed in September 2018. Data were extracted and synthesized. Thirty-three articles from 31 studies met the inclusion criteria. Self-reported leadership behavior showed a significant postprogram improvement. Objective observations were more likely to show improved leadership behavior than subjective observations. Face-to-face delivery of leadership development was more effective than online delivery. Interventions incorporating the elements of personal development planning, self-directed learning, workplace-based learning, and reflection were more likely to develop leadership behavior. Leadership interventions had a beneficial effect on the leadership behaviors of participants based on both subjective and objective changes in behavior. In addition to focusing on in idual skill development, interventions that aim to develop leadership should consider the organizational, social, cultural, and political contexts in which behavioral change is expected. Workplace-based learning should be included in program development.
Publisher: Wiley
Date: 26-10-2020
DOI: 10.1111/NHS.12783
Publisher: Istanbul Medipol Universitesi
Date: 14-08-2017
Publisher: Informa UK Limited
Date: 21-04-2022
DOI: 10.1080/07481187.2021.1901799
Abstract: Animal owners who experience the death of a beloved family pet or companion animal may experience feelings of grief and loss that are synonymous with the death of a human. This systematic review synthesized 19 qualitative papers from 17 studies that explored the psychosocial impact of bereavement and grieving the loss of a pet. The analysis revealed five themes: Their Relationship Their Grief Their Guilt Their Supports and Their Future. By looking beyond grief, health professionals can respond to bereaved pet owners the same way they would for other forms of human bereavement and provide the necessary support to transition bereavement.
Publisher: Informa UK Limited
Date: 31-08-2022
Publisher: Elsevier BV
Date: 12-2018
DOI: 10.1016/J.BODYIM.2018.08.004
Abstract: This study systematically reviewed the impact of cosmetic camouflage use on different psychosocial outcomes in patients with disfiguring skin disorders. Electronic databases and reference lists were searched in February 2018 for studies reporting the impact of cosmetic camouflage on different quality of life (QoL) outcomes. Eighteen studies met the inclusion criteria: six randomized controlled trials, two quasi-experimental studies, nine single group 'before and after' interventions, and one comparative study with single post-intervention measurement. Quality appraisal of included studies was undertaken using the Joanna Briggs critical appraisal tools. While the studies varied in design, those included in this review indicated significant improvement in QoL after the use of cosmetic camouflage. The mean reduction in Dermatological Life Quality Index scores ranged from 1.4 to 6.4 signifying improvement in QoL of participants after treatment with cosmetic camouflage. Cosmetic camouflage can be an effective therapy in improving QoL among patients with skin disfigurement.
Publisher: Public Library of Science (PLoS)
Date: 18-04-2019
Publisher: Wiley
Date: 13-10-2020
DOI: 10.1111/JAN.14528
Publisher: Frontiers Media SA
Date: 03-02-2022
DOI: 10.3389/FPUBH.2022.817717
Abstract: Undernutrition is one of the leading causes of morbidity and mortality among under-five children, particularly in low-and-middle-income countries. Since women, including mothers, are the primary caregivers of their children, their empowerment status can inherently influence children's nutritional status. Empowerment is, mainly, an intrinsic agency developed as an affective domain trajectory or attitude that guides the skill or behavior. This study aimed to assess the association between women's empowerment and nutritional status of their children. A cross-sectional study was carried out among 300 mothers having children aged 6–59 month in rural municipalities of Kaski district in Nepal. Face to face interview and various anthropometric measurements were used to collect data. Chi-square test was performed to assess the association between women's empowerment and children's nutritional status, and multivariable logistic regression was used to assess the strength of association. Of 300 mothers having 6–59 months' children, nearly half (49%) were highly empowered while around 38% children were in poor nutritional status. More than one-fourth (26.7%) children were stunted, 7% were wasted, 17.7% were underweight, and in overall, nearly 38% were in poor nutrition. There was a five-fold increase in odds of wasting, thirty-fold increase in odds of stunting, and twenty-nine-fold increase in odds of underweight among children whose mothers had low empowerment status compared to their counterparts. Overall, this study exhibited that maternal empowerment strongly affected children's nutritional status, especially stunting and underweight. Thus, intrinsic factor, mainly education and community membership are suggested to empower them for making their own decisions. Interventions aiming to improve nutritional status of children should include women empowerment incorporating dimensions of material resources. Further empirical evidence is required from trials and cohort studies.
Publisher: Springer Science and Business Media LLC
Date: 16-09-2017
DOI: 10.1007/S10900-016-0251-1
Abstract: Nepalese labor migrants and their wives are considered as at-risk populations for HIV infection. There may be a risk of HIV transmission from the labor migrant and their wives to the general population due to HIV-related risk behaviors, but so far empirical evidence to support this hypothesis is scarce. Therefore, this study was conducted to compare HIV-related risk behaviors between labor migrants, their wives, and males and females from the general population in the far-western region of Nepal. This was a cross-sectional study, in which structured face-to-face interviews were conducted with 261 male labor migrants, 262 wives of labor migrants, 123 males and 122 females from the general population. We found that the proportion of the labor migrants and their wives reporting having had extramarital sex in the previous year did not differ significantly with the males (11.9 vs. 13.4 %, p value 0.752) and females (2.0 vs. 1.7 %, p value 0.127) from the general population. However, the labor migrants compared with the males from the general population were 1.51 times and the wives of labor migrants compared with the females from the general population were 2.37 times more likely to have been tested for HIV. Both the males from the general population and the labor migrants are equally engaged in unprotected extramarital sex. Therefore, it is recommended that the prevention programs, including access to condoms and HIV testing, should be scaled up targeting a broader range of in iduals in the far-western region of Nepal.
Publisher: Elsevier BV
Date: 03-2023
Publisher: Wiley
Date: 14-12-2020
DOI: 10.1111/JAN.14721
Publisher: Elsevier BV
Date: 12-2018
DOI: 10.1016/J.NEDT.2018.10.002
Abstract: To assess the effectiveness of resilience interventions in improving resilience outcome among health professionals. The nature of health professionals' work is physically and emotionally demanding, with trauma a common consequence with the act of providing health care. A systematic review. A comprehensive search of the literature was conducted in February 2018 using PubMed, PsychInfo, Cumulative Index of Nursing and Allied Health Literature (CIHAHL) and Scopus. Methodological quality was assessed and a standardized data coding form was used to extract data. Of the 33 included studies, 15 were single-arm pre-post-design, 10 were RCTs, five used a non-randomized controlled design, and three were qualitative. Eleven studies (out of 16) showed a significant improvement in resilience scores while five (out of eight) studies reported a significant difference in resilience scores between treatment and control groups. Findings suggest that resilience training may be of benefit to health professionals. However, not all interventions enhanced resilience with training volume being more effective. Not all studies reporting resilience used standard resilience instruments. The results of the current review may inform resilience programs as well as future interventional studies on resilience building.
Publisher: Wiley
Date: 23-06-2022
DOI: 10.1002/NOP2.959
Abstract: To assess the psychometric properties of the Nepali language version of the Depression Anxiety Stress Scales (DASS‐21). Descriptive, cross‐sectional survey. The DASS‐21 was administered (May–July 2019) among 794 randomly selected older adults aged ≥60 years. Factor structure was evaluated using exploratory and confirmatory factor analyses. Cronbach's alpha was calculated, and correlation analyses with quality of life evaluated convergent validity. Exploratory factor analysis indicated that the 21 items loaded on three factors, with factor loadings ranging from 0.50–0.88. Confirmatory factor analysis suggested a four‐factor model including the three subscales and an additional common 'general distress’ factor, which demonstrated a better overall fit. Good reliability was found for each subscale, with Cronbach's alphas 0.79 for Anxiety, 0.91 for Stress, and 0.93 for Depression. The Nepali language version of the DASS‐21 satisfied convergent validity with all subscales depicting significant negative correlations with quality of life demonstrating adequate psychometric properties.
Publisher: Elsevier BV
Date: 02-2020
DOI: 10.1016/J.BURNS.2018.12.005
Abstract: Child and adolescent burn survivors benefit from skills to cope with the physical and mental challenges associated with their injuries. Burn c s can offer an opportunity to build these skills. In this study, we systematically review the best available evidence on burn c s in order to better assess their impact on burn survivors. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 815 articles on recreational therapeutic c s for burn survivors were retrieved from PubMed, PsycINFO, CINAHL and Scopus restricted to the English language and published before or by May 2018. Critical Appraisal Skills Programme (CASP) for Qualitative Studies Checklist and the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for non-randomized experimental studies were used to assess the methodological rigour of the quantitative studies. Quantitative data did not support any long-lasting impacts on psychosocial wellbeing. Qualitative data showed children, parents and staff all perceived benefits from c attendance, including companionship and belonging. Further research is required to understand the lack on congruence between qualitative and quantitative data. Qualitative data suggests burn c s are beneficial for children with burn injuries.
Publisher: Elsevier BV
Date: 06-2020
Publisher: Public Library of Science (PLoS)
Date: 18-02-2021
DOI: 10.1371/JOURNAL.PONE.0246940
Abstract: Excessive use of the internet among adolescents often led to later bedtimes and poor sleep quality. This study assessed the relationship between internet addiction and sleep quality among adolescents in a peri-urban setting in Nepal. This cross-sectional study employed a questionnaire survey among 390 adolescent students recruited from two schools in Kirtipur Municipality in Nepal. The Internet Addiction Test and the Pittsburgh Sleep Quality Index were used to assess internet addiction and poor sleep quality respectively. The association between internet addiction and sleep quality was analysed by logistic regression. One-fifth (21.5%) of the participants were identified with borderline internet addiction and 13.3% with possible internet addiction. Poor sleep quality was found among 31% of the participants. Internet addiction was significantly associated with poor sleep quality (OR = 1.85, p = 0.022 for borderline, and OR = 3.98, p = .001 for possible internet addiction compared to no internet addiction). Adolescents with internet addiction were more vulnerable to suffer from poor sleep quality. It is recommended that municipalities and schools should aware the adolescent students on the adverse effects of excessive internet use including poor sleep quality. The findings have implications for adolescents, parents, school authorities and researchers.
Publisher: Springer Science and Business Media LLC
Date: 27-08-2020
DOI: 10.1007/S10488-019-00967-6
Abstract: Research indicates a strong bond between those who are homeless and their companion animals. This relationship provides a number of benefits to the homeless person as well as to the animal, including safety, responsibility and improved emotional and mental health. However, the relationship can also add challenges, including decreased access to accommodation, decreased effort to find shelter as a consequence, and emotional vulnerability relating to fear of losing their companion pet. This integrative review examined the benefits and challenges of companion animals for the homeless to determine the consistency of findings to aid better service delivery to the homeless population.
Publisher: Elsevier BV
Date: 04-2021
Publisher: Wiley
Date: 13-05-2021
DOI: 10.1111/NHS.12843
Publisher: Public Library of Science (PLoS)
Date: 22-10-2018
Publisher: Public Library of Science (PLoS)
Date: 13-03-2023
DOI: 10.1371/JOURNAL.PONE.0281357
Abstract: Antenatal care (ANC) visits provide an important opportunity for diagnostic, preventive, and curative services for non-communicable diseases (NCDs) during pregnancy. There is an identified need for an integrated, system-wide approach to provide both ANC and NCD services to improve maternal and child health outcomes in the short and long term. This study assessed the readiness of health facilities to provide ANC and NCD services in Nepal and Bangladesh, identified as low–and middle–income countries. The study used data from national health facility surveys in Nepal (n = 1565) and Bangladesh (n = 512) assessing recent service provision under the Demographic and Health Survey programs. Using the WHO’s service availability and readiness assessment framework, the service readiness index was calculated across four domains: staff and guidelines, equipment, diagnostic, and medicines and commodities. Availability and readiness are presented as frequency and percentages, while factors associated with readiness were examined using binary logistic regression. Of the facilities, 71% in Nepal, and 34% in Bangladesh reported offering both ANC and NCD services. The proportion of facilities which showed readiness for providing ANC and NCD services was 24% in Nepal and 16% in Bangladesh. Gaps in readiness were observed in the availability of trained staff, guidelines, basic equipment, diagnostics, and medicines. Facilities managed by the private sector or a Non-Governmental Organization, located in an urban area, with management systems to support the delivery of quality services were positively associated with readiness to provide both ANC and NCD services. There is a need to strengthen the health workforce by ensuring skilled personnel, having policy, guidelines and standards, and that diagnostics, medicines, and commodities are available rovided in health facilities. Management and administrative systems are also required, including supervision and staff training, to enable health services to provide integrated care at an acceptable level of quality.
Publisher: Informa UK Limited
Date: 19-04-2023
Publisher: Elsevier BV
Date: 11-2021
Publisher: Wiley
Date: 30-09-2020
DOI: 10.1111/GGI.14047
Abstract: Studies regarding the impact of adult children's migration on older parents left‐behind have focused on physical and mental health. This study assessed the relationship between migration of adult children and quality of life (QOL) of older parents left‐behind in Nepal. A cross‐sectional community‐based survey was carried out (May–July 2019) among 791 randomly selected older adults aged ≥60 years. QOL was measured using the World Health Organization Quality of Life‐abbreviated scale, and migration status was assessed into three categories: no migration, internal migration only and any international migration. A range of sociodemographic characteristics were measured for adjustment. Associations between migration of children and each domain of the QOL were examined by multilevel mixed regression. Scores for QOL were 58.8 ± 19.8 for physical, 63.7 ± 18.0 for psychological, 60.7 ± 16.2 for social, and 61.8 ± 15.0 for environmental domains. This study identified positive and null associations between the migration of children and QOL for parents, with higher scores for physical ( b = 5.16, P = 0.017) and environmental ( b = 3.19, P = 0.046) domains among left‐behind parents whose children migrated internally compared with parents whose children did not migrate. The findings differ from previous research showing poorer QOL among left‐behind older parents. Migration plays a significant role in shaping physical and environmental QOL among left‐behind parents living in rural areas with important implications for migrants, their families, researchers and social scientists. Geriatr Gerontol Int 2020 20: 1061–1066. .
Publisher: Wiley
Date: 02-06-2020
DOI: 10.1111/JAN.14419
Location: Nepal
No related grants have been discovered for Deependra Kaji Thapa.