Conflict management in natural resources : a study of land, water and forest conflicts in Nepal

NARCIS (Netherlands)

Upreti, B.R.

2001-01-01

This book is based on the research into natural resource (NR)-conflict carried out between 1997 and 2000 in the Dolakha district of central Nepal, and in several reference sites around the country. The study focussed especially on land, water and forest/pasture conflicts and their

Revisiting the 1993 historical extreme precipitation and damaging flood event in Central Nepal

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Marahatta, S.; Adhikari, L.; Pokharel, B.

2017-12-01

Nepal is ranked the fourth most climate-vulnerable country in the world and it is prone to different weather-related hazards including droughts, floods, and landslides [Wang et al., 2013; Gillies et al., 2013]. Although extremely vulnerable to extreme weather events, there are no extreme weather warning system established to inform public in Nepal. Nepal has witnessed frequent drought and flood events, however, the extreme precipitation that occurred on 19-20 July 1993 created a devastating flood and landslide making it the worst weather disaster in the history of Nepal. During the second week of July, Nepal and northern India experienced abnormal dry condition due to the shifting of the monsoon trough to central India. The dry weather changed to wet when monsoon trough moved northward towards foothills of the Himalayas. Around the same period, a low pressure center was located over the south-central Nepal. The surface low was supported by the mid-, upper-level shortwave and cyclonic vorticity. A meso-scale convective system created record breaking one day rainfall (540 mm) in the region. The torrential rain impacted the major hydropower reservoir, Bagmati barrage in Karmaiya and triggered many landslides and flash floods. The region had the largest hydropower (Kulekhani hydropower, 92 MW) of the country at that time and the storm event deposited extremely large amount of sediments that reduced one-fourth (4.8 million m3) of reservoir dead storage (12 million m3). The 1-in-1000 years flood damaged the newly constructed barrage and took more than 700 lives. Major highways were damaged cutting off supply of daily needed goods, including food and gas, in the capital city, Kathmandu, for more than a month. In this presentation, the meteorological conditions of the extreme event will be diagnosed and the impact of the sedimentation due to the flood on Kulekhani reservoir and hydropower generation will be discussed.

Technical efficiency of certified maize seed in Palpa district, Nepal: A stochastic frontier production approach

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Mahima Bajracharya

2017-12-01

Full Text Available The cereal crop, maize is regarded as staple food mainly in hill areas of Nepal. Seed is one of the vital input which determines the production and yield of any crop. Farmers are found using the required inputs in haphazard way which had increased the cost of production and inefficiency of resources used. The study on seed sector is limited. For such a backdrop, this study was aimed to assess the level of technical efficiency (TE of certified maize seed production. The total of 164 certified seed producer were interviewed in June, 2016 using simple random sampling technique in Palpa district of Nepal. The result revealed that increase in amount of seed and labor by one percent would increase the yield of certified maize seed by 0.29 and 0.34 percent respectively. The TE was estimated using stochastic production frontier model in Stata software. The average TE was found 70 percent which revealed the scope of increasing TE by 30 percent using the existing available resources. There were about 29 percent farmers who had TE of ≥0.7-0.8 followed by 27.44 percent at ≥0.8-0.9. Government and other stakeholders should prioritize to provide technical knowledge via training and increase the visit of extension worker to increase TE of certified maize seed producer in the district.

Prevalence and socio-demographic factors associated with overweight and obesity among adolescents in Kaski district, Nepal

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Bishwas Acharya

2014-12-01

Full Text Available Background: The occurrence of overweight and obesity is at increasing level in low income and developing countries and is not limited to high income countries only. Adolescent is at high risk for its development. Rationale: To find out the prevalence and associated socio-demographic factors responsible for overweight and obesity which are unrecognized health problems and are risk factors for non-communicable disease. To date no study has been done focusing overweight and obesity in Kaski district, Nepal and very few in context of Nepal. Objectives: To determine the prevalence of overweight and obesity and their association with socio demographic factors among higher secondary school level adolescents in Kaski district, Nepal. Methods: A cross sectional study was conducted in Kaski district among 838 adolescents randomly selected from 12 schools using multistage cluster sampling from 24th October to 4th December, 2013 using self-administered questionnaire and anthropometric assessment. BMI for age was calculated using WHO Anthroplus software v.1.0.4 using cut off value of 85th percentile and 95th percentile for overweight and obesity respectively. Statistical analysis was done using SPSSv. 16.  Results: The study revealed 8.1% prevalence of overweight and obesity of among higher secondary level school adolescents with 5.8% overweight and 2.3% obese. Urban respondents were found significantly more overweight/obese than village respondents (p=0.001, OR=2.360. Adolescents of ethnic/indigenous group (p<0.001, OR=2.56, fathers’ with government job (p=0.011, OR=2.08, mothers’ with teaching job (p=0.038, OR=2.57 and average monthly family income more than or equal to NRs.25, 000 (p=0.007, OR=1.97 were found significantly more overweight and obese. But, other socio demographic factors like gender (p=0.26, birth order (p=0.404 and parents’ education (p=0.121 for fathers’ and p=0.282 for mothers’ education weren’t significantly

Man-animal relationships in Central Nepal

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Lohani Usha

2010-11-01

Full Text Available Abstract Background Nepal is small in size but rich in bio-cultural diversity. The rugged terrain of the country is home to a number of unique assemblages of fauna, some of which are endemic. Not only faunal resources the country also harbors some very ancient populations whose interrelationship with these diverse faunal resources is very intimate and thus demands scientific study. Animals play important role in both material and spiritual spheres of their life. There are more than hundred groups of such populations in the country and the group Tamang is one of these. The present paper studies Tamang-animal relationships in central Nepal. There is a growing trend of scientific ethnozoological studies all across the globe, but this field is yet in its infancy in Nepal. The country is losing important fauna as well as ancient human cultures at the advent of development processes. As a result, ethnozoological knowledge is also teetering on the brink of extinction. Methods Ethnozoological data were collected by applying different participatory approaches techniques such as semi-structured interviews, participatory rural appraisal, key informant interviews and focus group discussions. Quantitative data were obtained by employing a household level questionnaire survey. Data were collected from the period of September 2004 to August 2005. Most of the animals were identified up to the species level with the help of standard taxonomic keys. Results The Tamang community treasures knowledge on various uses of 41 genera belonging to 28 families. Out of total number of animals, 14.6% belong to the Invertebrate group and the rest to the Vertebrate group. Of the total uses 58% fall in the food and medicinal use category, 16% in the magico-religious use category, 18% in the category of omen indication, and 2% each in the categories such as weather forecasting, trophy, ethnomusical and taboos. Conclusions The Tamang maintain strong ties with animals both at a

The spatial heterogeneity between Japanese encephalitis incidence distribution and environmental variables in Nepal.

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Daniel E Impoinvil

Full Text Available To identify potential environmental drivers of Japanese Encephalitis virus (JE transmission in Nepal, we conducted an ecological study to determine the spatial association between 2005 Nepal JE incidence, and climate, agricultural, and land-cover variables at district level.District-level data on JE cases were examined using Local Indicators of Spatial Association (LISA analysis to identify spatial clusters from 2004 to 2008 and 2005 data was used to fit a spatial lag regression model with climate, agriculture and land-cover variables.Prior to 2006, there was a single large cluster of JE cases located in the Far-West and Mid-West terai regions of Nepal. After 2005, the distribution of JE cases in Nepal shifted with clusters found in the central hill areas. JE incidence during the 2005 epidemic had a stronger association with May mean monthly temperature and April mean monthly total precipitation compared to mean annual temperature and precipitation. A parsimonious spatial lag regression model revealed, 1 a significant negative relationship between JE incidence and April precipitation, 2 a significant positive relationship between JE incidence and percentage of irrigated land 3 a non-significant negative relationship between JE incidence and percentage of grassland cover, and 4 a unimodal non-significant relationship between JE Incidence and pig-to-human ratio.JE cases clustered in the terai prior to 2006 where it seemed to shift to the Kathmandu region in subsequent years. The spatial pattern of JE cases during the 2005 epidemic in Nepal was significantly associated with low precipitation and the percentage of irrigated land. Despite the availability of an effective vaccine, it is still important to understand environmental drivers of JEV transmission since the enzootic cycle of JEV transmission is not likely to be totally interrupted. Understanding the spatial dynamics of JE risk factors may be useful in providing important information to the

Genetic diversity of plasmodium vivax merozoite surface protein-3alpha (Pvmsp-3alpha) gene in Jhapa District of Nepal.

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Adhikari, Madhav; Ranjitkar, Samir; Schousboe, Mette Leth; Alifrangis, Michael; Imwong, Mallika; Bhatta, Dwij Raj; Banjara, Megha Raj

2012-03-01

In Nepal, Plasmodium vivax accounts for approximately 80-90% of the malaria cases, but limited studies have been conducted on the genetic diversity of this parasite population. This study was carried out to determine the genetic diversity of P. vivax population sampled from subjects living in an endemic area of Jhapa District by analyzing the polymorphic merozoite surface protein-3alpha (Pvmsp-3alpha) gene by using PCR-restriction fragment length polymorphism. Three distinct genotypes were obtained from 96 samples; type A: 40 (71%), type B: 7 (13%), and type C: 9 (16%) which could be categorized into 13 allelic patterns: A1-A9, B1, B2, C1 and C2. These results indicated a high genetic diversity within the studied P. vivax population. As the transmission rate of malaria is low in Nepal, the diversity is most likely due to migration of people between the malaria endemic regions, either within the country or between Nepal and India. Similar prevalence of the three genotypes of Pvmsp-3alpha between the two countries likely supports the latter explanation.

Prevalence of Low Calorie Intake by Rural Families in Palpa District of Nepal

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Madhusudhan Ghimire

2013-12-01

Full Text Available Background: Healthy population is indispensable for national development. Adequate food intake by people is the key determinant to keep up their health. Malnutrition nevertheless remains pervasive in developing countries, undermining people’s health, productivity, and often their survival. Food insecurity and hunger remain persistent in Nepal. Prevalence of low calories intake by rural family is widespread throughout the country population. Mainly marginalized communities, ethnic group with poor economic status, traditional societies and lower cast people are exposed to food defi cit. Objective: to investigate the prevalence of low calories intake by rural families and its associated determinants in Palpa district. Materials and methods: The cross-sectional study was designed to achieve objective of the research. A random sample of 339 families was selected from rural areas (DUMRE, DAMKADA, GORKHEKOT and TELGHA villages of this district. Data were analyzed by using the SPSS software for Windows (version 16.0. Results: The existence of inadequate food calorie intake among rural families was most common. Most of them were malnourished. Conclusion: low calorie intake by ethnic group was considerably higher than other groups in community.

Water soluble ions in aerosols (TSP) : Characteristics, sources and seasonal variation over the central Himalayas, Nepal

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Tripathee, Lekhendra; Kang, Shichang; Zhang, Qianggong; Rupakheti, Dipesh

2016-04-01

Atmspheric pollutants transported from South Asia could have adverse impact on the Himalayan ecosystems. Investigation of aerosol chemistry in the Himalayan region in Nepal has been limited on a temporal and spatial scale to date. Therefore, the water-soluble ionic composition of aerosol using TSP sampler was investigated for a year period from April 2013 to March 2014 at four sites Bode, Dhunche, Lumbini and Jomsom characterized as an urban, rural, semi-urban and remote sites in Nepal. During the study period, the highest concentration of major cation was Ca2+ with an average concentration of 8.91, 2.17, 7.85 and 6.42 μg m-3 and the highest concentration of major anion was SO42- with an average of 10.96, 4.06, 6.85 and 3.30 μg m-3 at Bode, Dhunche, Lumbini and Jomsom respectively. The soluble ions showed the decrease in concentrations from urban to the rural site. Correlations and PCA analysis suggested that that SO42-, NO3- and NH4+ were derived from the anthropogenic sources where as the Ca2+ and Mg2+ were from crustal sources. Our results also suggest that the largest acid neutralizing agent at our sampling sites in the central Himalayas are Ca2+ followed by NH4+. Seasonal variations of soluble ions in aerosols showed higher concentrations during pre-monsoon and winter (dry-periods) due to limited precipitation amount and lower concentrations during the monsoon which can be explained by the dilution effect, higher the precipitation lower the concentration. K+ which is regarded as the tracer of biomss burning had a significant peaks during pre-monsoon season when the forest fires are active around the regions. In general, the results of this study suggests that the atmospheric chemistry is influenced by natural and anthropogenic sources. Thus, soluble ionic concentrations in aerosols from central Himalayas, Nepal can provide a useful database to assess atmospheric environment and its impacts on human health and ecosystem in the southern side of central

Ethnomedicinal practices in the highlands of central Nepal: a case study of Syaphru and Langtang village in Rasuwa district.

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Shrestha, Nawal; Prasai, Deepshikha; Shrestha, Krishna Kumar; Shrestha, Saugat; Zhang, Xian-Chun

2014-09-11

The present paper documents the utilization of medicinal plants for the treatment of various human ailments in two village development committees in the Rasuwa district of central Nepal. It also evaluates the ethnopharmacological significance of the documented reports and identifies species of high indigenous priority in local therapeutics. The ethnobotanical information was collected by interviews and group discussions using standard ethnobotanical procedures. The homogeneity of informant׳s knowledge was validated by Informant consensus factor (F(IC)) and the relative importance of a plant species used as medicine in the study area was calculated with the help of use value (UV). The present study identified a total of 46 medicinal plants belonging to 26 families used for the treatment of 38 human ailments. Besides medicinal uses, the study has also documented the culinary and cultural use of 13 species of medicinal plants. The most commonly used part was root constituting about 42% of the total utilized plants. The most commonly used form of preparation was paste (31.91%). We found new usage reports for 9 medicinal plants. The F(IC) value in the present study ranged from 0.66 to 1 with 84.6% values greater than 0.8 indicating high consensus among the informants. The most preferred species was Neopicrorhiza scrophulariflora (UV=0.96) and the lowest used value was found for Lyonia ovalifolia (UV=0.32). People of Rasuwa possess rich traditional knowledge in medicinal plants utilization with strong consensus among local people on the utilization of species evident by higher F(IC) values in different ailment categories. Strong pharmacological evidence for a majority of species being currently used as medicines shows that the plants used in local therapeutics are likely to be more effective in treating different medical ailments. The bioactive compounds extracted from these medicinal plants could subsequently be used in the creation of novel drugs to treat life

Conflict management in natural resources : a study of land, water and forest conflicts in Nepal

OpenAIRE

Upreti, B.R.

2001-01-01

This book is based on the research into natural resource (NR)-conflict carried out between 1997 and 2000 in the Dolakha district of central Nepal, and in several reference sites around the country. The study focussed especially on land, water and forest/pasture conflicts and their resolution/management practices. Five inter-connected conflict cases related to irrigation, Guthi -land, spring water source and forest-pasture land were examined and compared with elev...

Genetic diversity of plasmodium vivax merozoite surface protein-3alpha (Pvmsp-3alpha) gene in Jhapa District of Nepal

DEFF Research Database (Denmark)

Adhikari, Madhav; Ranjitkar, Samir; Schousboe, Mette Leth

2012-01-01

In Nepal, Plasmodium vivax accounts for approximately 80-90% of the malaria cases, but limited studies have been conducted on the genetic diversity of this parasite population. This study was carried out to determine the genetic diversity of P. vivax population sampled from subjects living...... in an endemic area of Jhapa District by analyzing the polymorphic merozoite surface protein-3alpha (Pvmsp-3alpha) gene by using PCR-restriction fragment length polymorphism. Three distinct genotypes were obtained from 96 samples; type A: 40 (71%), type B: 7 (13%), and type C: 9 (16%) which could be categorized...... into 13 allelic patterns: A1-A9, B1, B2, C1 and C2. These results indicated a high genetic diversity within the studied P. vivax population. As the transmission rate of malaria is low in Nepal, the diversity is most likely due to migration of people between the malaria endemic regions, either within...

Socio-economic and Demographic Determinants of Antenatal Care Services Utilization in Central Nepal

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Srijana Pandey, PhD

2014-09-01

Full Text Available Background/Objective: The importance of maternal health services in lessening maternal mortality and morbidity as well as neonatal deaths has received substantial recognition in the past decade. The lack of antenatal care has been identified as a risk factor for maternal mortality and other adverse pregnancy outcomes. The purpose of this study was to determine the factors affecting attendance of antenatal care services in Nepal. Methods: This is a cross-sectional descriptive study carried out in Central Nepal. Using semi-structured questionnaire, interviews were conducted with married women aged between 15-49 years, who had delivered their babies within one year. Systematic random sampling method was used to select the sample. Results were obtained by frequency distribution and cross-tabulation of the variables. Results: More than half of the women were not aware of the consequences of lack of antenatal care. Age, education, income, type of family were strongly associated with the attendance at antenatal care service. Conclusions and Public Health Implications: In Nepal and in other developing countries, maternal mortality and morbidity continue to pose challenges to the health care delivery system. Variety of factors including socio-demographic, socio-economic, cultural and service availability as well as accessibility influences the use of maternal health services.

Dengue virus infection in a French traveller to the hilly region of Nepal in 2015: a case report.

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Gupta, Birendra Prasad; Adhikari, Anurag; Rauniyar, Ramanuj; Kurmi, Roshan; Upadhya, Bishnu Prasad; Jha, Bimlesh Kumar; Pandey, Basudev; Das Manandhar, Krishna

2016-03-21

Dengue viral infections are known to pose a significant risk during travel to tropical regions, but it is surprising to find dengue transmission in the hilly region of Nepal, which is over 1800mtr above sea level. A 43-year-old Caucasian female traveler from France presented with fever and abdominal pain following a diarrheal illness while visiting the central hilly region of Nepal. Over the course of 9 days, she developed fever, body aches, and joint pain, with hemorrhagic manifestation. She was hospitalized in India and treated with supportive care, with daily monitoring of her platelets. An assessment by enzyme-linked immunosorbent assay showed that she was positive for dengue non-structural protein 1. Upon her return to France, dengue virus was confirmed by reverse transcriptase-polymerase chain reaction. The district where this dengue case was reported is in the hilly region of Nepal, neighboring the capital city Kathmandu. To the best of our knowledge, there has previously been no dengue cases reported from the district. This study is important because it aims to establish a potential region of dengue virus circulation not only in the tropics, but also in the subtropics as well, which in Nepal may exceed elevations of 1800mtr. This recent case report has raised alarm among concerned health personnel, researchers, and organizations that this infectious disease is now on the way to becoming established in a temperate climate.

Effective radium concentration across the Main Central Thrust in the Nepal Himalayas

International Nuclear Information System (INIS)

Girault, Frederic; Perrier, Frederic; Gajurel, Ananta Prasad; Bhattarai, Mukunda; Koirala, Bharat Prasad; Bollinger, Laurent; Fort, Monique; France-Lanord, Christian

2012-01-01

Effective radium concentration (EC(Ra)) of 622 rock samples from 6 different sites in the Nepal Himalayas was measured in the laboratory using radon accumulation experiments. These sites, located from Lower Dolpo in Western Nepal to Eastern Nepal, are divided into 9 transects which cut across the Main Central Thrust zone (MCT zone) separating low-grade metamorphic Lesser Himalayan Sequence (LHS) units to the south and higher-grade metamorphic Greater Himalayan Sequence (GHS) units to the north. This boundary remains difficult to define and is the subject of numerous debates. EC(Ra) values range from 0.03 ± 0.03 to 251.6 ± 4.0 Bq kg -1 , and appear to be representative of the formation and clearly related to the local lithology. For example, for the Upper Trisuli and Langtang Valleys site in Central Nepal, the most studied place with 350 available EC(Ra) values, LHS rocks are characterized by a mean value of 5.3 ± 1.3 Bq kg -1 while GHS rocks of Formations I and II show significantly lower values with a mean value of 0.69 ± 0.11 Bq kg -1 , thus leading to a LHS/GHS EC(Ra) ratio of 7.8 ± 2.2. This behavior was systematically confirmed by other transects (ratio of 7.9 ± 2.2 in all other sites), with a threshold ECRa value, separating LHS from GHS, of 0.8 Bq kg -1 , thus bringing forward a novel method to characterize, within the MCT shear zone, which rocks belong to the GHS and LHS units. In addition, Ulleri augen gneiss, belonging to LHS rocks, occurred in several transects and were characterized by high EC(Ra) values (17.9 ± 4.3 Bq kg -1 ), easy to distinguish from the GHS gneisses, characterized by low EC(Ra) values at the bottom of the GHS, thus providing a further argument to locate the MCT. The measurement of EC(Ra) data, thus, provides a cost-effective method which can be compared with neodymium isotopic anomalies or estimates of the peak metamorphic temperature. This study, therefore, shows that the measurements of EC(Ra) provides additional information

Prevalence of diabetic retinopathy among self-reported adult diabetics in districts of Eastern Nepal in a community based study.

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Agarwal, Lalit T; Agarwal, Nisha

2017-07-01

Diabetic retinopathy (DR) is the leading cause of blindness among working age adults around the world. Each year more and more people live with this condition, which can result in life-changing complications. To determine the prevalence and risk factors of diabetic retinopathy (DR) in a large community based screening programme, in order to estimate the future burden of the disease. A cross sectional community based study was conducted between 1st January and 31st December 2014 in a purposive sample of adults with selfreported diabetes mellitus (DM) from Morang and Sunsari district of Nepal. A structured questionnaire was used to collect patient data. Ophthalmological evaluation was done and fundus was examined for grading DR using direct and indirect ophthalmoscope. Among the 698 diabetic patients, mean age was 55.02±11.8 years (ranging from 24 to 91 years). 12.3% of diabetic were not under any treatment. Only 69.3% of patients had visited eye specialist for diabetic retinopathy screening. Prevalence of DR was found to be 15.3%; 13.9% had non-proliferative DR and 1.4% had proliferative DR. Prevalence of diabetic macular edema was 2.1%. In Morang district prevalence of DR was 14.2% and in Sunsari district it was 16.2%. In the binary-logistic regression analysis, duration of diabetes was associated with significantly increased risk of DR (OR: 1.13; 95% confidence interval (CI), 1.09 to 1.17; p<0.001). History of absence of arterial hypertension decreased the risk of DR (OR: 0.56; 95% CI, 0.36 to 0.87; p=0.01). One sixth of the patients with diabetes in the Eastern region of Nepal have retinopathy. Diabetic retinopathy risk increased with duration of diabetes and decreased with history of no co-existing arterial hypertension. © NEPjOPH.

Establishing a health demographic surveillance site in Bhaktapur district, Nepal: initial experiences and findings

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Aryal Umesh

2012-09-01

Full Text Available Abstract Background A health demographic surveillance system (HDSS provides longitudinal data regarding health and demography in countries with coverage error and poor quality data on vital registration systems due to lack of public awareness, inadequate legal basis and limited use of data in health planning. The health system in Nepal, a low-income country, does not focus primarily on health registration, and does not conduct regular health data collection. This study aimed to initiate and establish the first HDSS in Nepal. Results We conducted a baseline survey in Jhaukhel and Duwakot, two villages in Bhaktapur district. The study surveyed 2,712 households comprising a total population of 13,669. The sex ratio in the study area was 101 males per 100 females and the average household size was 5. The crude birth and death rates were 9.7 and 3.9/1,000 population/year, respectively. About 11% of births occurred at home, and we found no mortality in infants and children less than 5 years of age. Various health problems were found commonly and some of them include respiratory problems (41.9%; headache, vertigo and dizziness (16.7%; bone and joint pain (14.4%; gastrointestinal problems (13.9%; heart disease, including hypertension (8.8%; accidents and injuries (2.9%; and diabetes mellitus (2.6%. The prevalence of non-communicable disease (NCD was 4.3% (95% CI: 3.83; 4.86 among individuals older than 30 years. Age-adjusted odds ratios showed that risk factors, such as sex, ethnic group, occupation and education, associated with NCD. Conclusion Our baseline survey demonstrated that it is possible to collect accurate and reliable data in a village setting in Nepal, and this study successfully established an HDSS site. We determined that both maternal and child health are better in the surveillance site compared to the entire country. Risk factors associated with NCDs dominated morbidity and mortality patterns.

Rumblings and Rainfall, Rebels, Remittances and Roads- The complex landscape of slope failure in Nepal

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McAdoo, Brian G.; Sudmeier, Karen; Devkota, Sanjaya

2017-04-01

During the first monsoon season following the deadly 2015 Gorkha earthquake, 27 people were killed during two events in Nepal's Western Region due to debris flows triggered by a 24-hour, 315 mm cloudburst (Devkota et al. 2015). Both events were linked with roads: the first was caused by an accumulation of water on a newly constructed road above a steep, deforested slope, the second wiped out a major road and destroyed 10 houses. These deadly landslides were not triggered solely by extreme rainfall, but rather a complex combination of earthquakes, intensified rainfall associated with climate change and an explosion of unplanned rural road construction fueled by an increase in foreign investment, remittances and decentralisation of budgets and power from the central government to local villages. This complexity is explored through a trend data analysis on the number of landslides, landslide fatalities, rainfall intensity, and the road network in Nepal between 1980-2014 (McAdoo et al, submitted). Of most concern are the poorly constructed roads in Nepal's Middle Hill districts ( 1000-3000 m above sea level, humid, subtropical) as they are proliferating at an unprecedented pace without proper alignment, drainage, grading or maintenance. They are occurring in areas which frequently receive up to 4,000-5,000 mm of precipitation per year, causing considerable loss in lives, livelihoods and investment. Landslide fatalities increased from 88 on average for the period 1982-1995 to 130 deaths per year for the period 2007-2014 (Desinventar, 2016). Contrary to numerous studies which show a strong link between rainfall and landslides, our trend analysis demonstrates a decoupling of climate and the geomorphic drivers, pointing to other factors, namely the exponential road construction trend to explain the increase in landslide fatalities. Nepal has some of the oldest manuals and well-trained cadres in low-cost green engineering practices, yet these are rarely applied. To reverse

A Comparative Analysis of Micro Finances: An Economic Impact of Micro Finance upon Income Level of People in Kavrepalanchok District, Nepal

OpenAIRE

Regmi, Sachin; Gautam, Usha Kiran

2016-01-01

Master thesis Business Administration - University of Agder 2016 Micro Finance, one of the essential banking services providing institution has a major contribution upon the economic development of people and nation. It targets mostly to low income generating people and assist them to enhance their life style in a better way. It provides financial services to such people and tries to eradicate the poverty from the nation. Kavrepalanchok district in Nepal, with an area of 1,396 ...

A Comparative Analysis of Micro Finances: An Economic Impact of Micro Finance upon Income Level of People in Kavrepalanchok District, Nepal

OpenAIRE

Regmi, Sachin; Gautam, Usha Kiran

2016-01-01

Micro Finance, one of the essential banking services providing institution has a major contribution upon the economic development of people and nation. It targets mostly to low income generating people and assist them to enhance their life style in a better way. It provides financial services to such people and tries to eradicate the poverty from the nation. Kavrepalanchok district in Nepal, with an area of 1,396 square kilometer with the population of more than 450,000 is a ga...

Oral cleanliness of 12-13-year-old and 15-year-old school children of Sunsari District, Nepal

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Yee R

2006-09-01

Full Text Available The aim of the study was to evaluate the oral cleanliness of school children in the District of Sunsari, Nepal. A multi-stage random sampling oral epidemiological survey was conducted in private and government, urban, rural town and rural village schools in 15 illakas of Sunsari District, Eastern Nepal. A total of 600, 12-13-year-old and 600 15-year-old school children were examined by trained examiners using the simplified oral hygiene index (OHI-S. The average age-group, debris and calculus index scores were combined to obtain the simplified oral hygiene index (OHI-S. The mean OHI-S scores were compared and evaluated using the parametric t-test for two independent samples. The mean OHI-S for urban 12-13-year-old school children was 0.98 compared to 1.34 for school children of rural towns and 1.44 for school children of rural villages and these differences in mean OHI-S were statistically significant ( P < 0.005. In the 15-year-old age group, urban school children had a mean OHI-S score of 1.00 compared to 1.37 for rural towns and 1.43 for rural villages. The variance in the mean OHI-S scores were statistically significant ( P < 0.005. The overall level of cleanliness in the school children surveyed was good. Children of urban schools had the lowest scores followed by school children from rural towns and then rural villages. When the mean OHI-S scores were compared with the DMFT scores, there was an inverse relationship between oral cleanliness and dental caries. Frequency of sugar consumption and the availability and affordability of fluoridated toothpaste may be important factors in the development of dental caries than oral cleanliness.

Isolation and characterization of aerobic culturable arsenic-resistant bacteria from surfacewater and groundwater of Rautahat District, Nepal.

Science.gov (United States)

Shakya, S; Pradhan, B; Smith, L; Shrestha, J; Tuladhar, S

2012-03-01

Arsenic (As) contamination of groundwater is a serious Environmental Health Management issue of drinking water sources especially in Terai region of Nepal. Many studies have reported that due to natural abundance of arsenic in the environment, various bacteria have developed different resistance mechanisms for arsenic compound. In this study, the culturable arsenic-resistant bacteria indigenous to surfacewater as well as groundwater from Rautahat District of Nepal were randomly isolated by standard plate count method on the basis of viable growth on plate count agar amended with arsenate ranging from 0, 0.5, 10, 40, 80 to 160 milligram per liter (mg/l). With respect to the morphological and biochemical tests, nine morphologically distinct potent arsenate tolerant bacteria showed relatedness with Micrococcus varians, Micrococcus roseus, Micrococcus luteus, Pseudomonas maltophilia, Pseudomonas sp., Vibrio parahaemolyticus, Bacillus cereus, Bacillus smithii 1 and Bacillus smithii 2. The isolates were capable of tolerating more than 1000 mg/l of arsenate and 749 mg/l of arsenite. Likewise, bioaccumulation capability was highest with M. roseus (85.61%) and the least with B. smithii (47.88%) indicating the potential of the organisms in arsenic resistance and most probably in bioremediation. Copyright © 2011 Elsevier Ltd. All rights reserved.

Pattern of Maxillofacial fracture in Western and Central Nepal: An experience in 3 tertiary level health institutions

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S Subedi

2015-06-01

Full Text Available BACKGROUND: There are only few studies regarding the pattern and causes of maxillofacial fractures till date in Nepal and no such study in western and central Nepalese population has been conducted. The purpose of this study, therefore, was to describe the causes and the pattern of maxillofacial fractures in western and central part of Nepal over the period of 5 years. MATERIAL AND METHODS A retrospective analysis of maxillofacial fractures was conducted on 328 patients who were treated in the department of maxillofacial surgery. Data was extracted and analyzed based on age, sex, cause of injury and anatomic location. RESULT Young males of 3rd decade of life most commonly sustained the maxillofacial trauma. The commonest site involved was the zygomatic complex (42% when only mid face fractures was considered and parasymphysis (32% when only mandible was considered.The most common cause of injuries was road traffic accidents (289 patients; 88.1% followed by interpersonal violence (25 patients; 7.6 % and falls accounting for 4.2% of the all injuries. CONCLUSION The findings of this study suggest the need for expansion of the motorway network, ensuring compliance of strict traffic rules and regulations, replacing old vehicles without safety measures and implement school education in alcohol abuse.DOI: http://dx.doi.org/10.3126/jcmsn.v10i3.12771 Journal of College of Medical Sciences-Nepal, 2014, Vol-10, No-3, 8-13

Adoption of Improved Potato Varieties in Nepal

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Samaya Gairhe

2017-05-01

Full Text Available Nepal is one of the top twenty countries where potato contributes substantially for the human diet. Enhancing adoption of improved potato varieties could impact on farmer’s income, household food and nutritional security. As such, using a multistage sampling procedure, a study was conducted to assess the determinants of improved potato varieties adoption in Nepal covering 180 samples in four districts, two in hills and two in Tarai region. The study revealed that; Kavre and Bardiya districts in the hills and Tarai, respectively, were dominated by improved potato varieties adoption. On the other hand, Dhankuta and Jhapa in the hills and Tarai, respectively, were dominated by local potato varieties adoption. The informal seed sources followed by agro-vet and market were the major sources for improved varietal adoption. Farmers’ accesses to training and formal seed sources were important factor determining improved potato varietal adoption. However, households with larger farm size were less likely to allocate more area for improved potato varieties as many of farmers were reluctant to take potato cultivation as agri-business and still follow subsistence farming. Potato R&D programs, therefore, need to strengthen formal seed system to enhance access to quality potato seeds and build producer’s capacity through regular training and exposer visits in order to improve adoption of improved potato varieties in Nepal.

First Isolation of Dengue Virus from the 2010 Epidemic in Nepal

OpenAIRE

Pandey, Basu D.; Nabeshima, Takeshi; Pandey, Kishor; Rajendra, Saroj P.; Shah, Yogendra; Adhikari, Bal R.; Gupta, Govinda; Gautam, Ishan; Tun, Mya M. N.; Uchida, Reo; Shrestha, Mahendra; Kurane, Ichiro; Morita, Kouichi

2013-01-01

Denguei is an emerging disease in Nepal and was first observed as an outbreak in nine lowland districts in 2006. In 2010, however, a large epidemic of dengue occurred with 4,529 suspected and 917 serologicallyconfirmed cases and five deaths reported in government hospitals in Nepal. The collection of demographic information was performed along with an entomological survey and clinical evaluation of the patients. A total of 280 serum samples were collected from suspected dengue patients. These...

Application of Vertical Electrical Sounding (VES) for the assessment of Ground Water Potential at Madi Phant, Palpa District, Western Nepal

Science.gov (United States)

Khatiwada, B.; Ghimire, H.; Bhusal, U. C.; Shrestha, S. R.; Upadhyay, K.; Khanal, A.; Pandey, D.

2017-12-01

Ground Water Resources Development Board (GWRDB), Government of Nepal, is the sole authority for systematize investigation, and management of ground water in the country. This study was conducted by GWRDB to create a data base of the groundwater potential in the hilly area. The main purpose of the study was to assess the groundwater potential at the Madi Phant Valley, Lesser Himalaya Region, Plapa District, Nepal. Data were acquired from WDJD-4 and analyzed using computer aided software called IPI2win, which yield an automatic interpretation of the apparent resistivity and data were correlated with lithologs of the vertical section. The simulated results of the ten VES points conducted using Schlumberger Configuration with AB/2 varying from 2 to 400 m and MN/2 varying from 0.5 to 50m reveal the presence of 4 to 8 geo-electric layers. Results obtained from software were rechecked by plotting the apparent resistivity value on Log-Log transparent graph sheet and manually interpreted using master curves and auxiliary curves. The resistivity values of the different layers' ranges from 3 Ωm to 3700 Ωm and were statistically analyzed from Golden Software Grapher. Representative resistivity sounding curves with modeled layer obtained after inversion was used to delineate the aquifer and 1D geoelectric sections. The geoelectrical sections for the study area consists of: the topsoil, sandy silt, sand and gravel, fractured rock and the fresh basement rock. The groundwater bearing layer of fractured rock varies between depth of 8-65 meters across foothill site (Eastern Corner) of the study area and groundwater bearing layer of sand and gravel/fractured rock varies between depth of 20-100 m in the central part of the Madi Phant valley. Contour map and 3D map of bedrock and water bearing layers for the conceptual model were prepared with the help of surfer shows that the gradient of the contour is high in the surrounding parts and flat in the center of Valley.

An Overview: Distribution, Production, and Diversity of Local Landraces of Buckwheat in Nepal

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Dol Raj Luitel

2017-01-01

Full Text Available Buckwheat is a sixth staple food crop after rice, wheat, maize, finger millet, and barley in Nepal. It is considered as an alternate cereal and poor man’s crop, representing an important food supply in remote places of Himalayas. It is the best crop in higher altitude in terms of adaptation to different climatic variables and easily fitted to different cropping patterns due to short duration. It is cultivated on marginal land in 61 out of 75 districts of Nepal from some 60 m to 4500 m asl, especially hilly and mountain districts like Rukum, Rolpa, Jajarkot, Dolpa, Humla, Jumla, Kalikot, Kavre, Dolakha, and Okhaldhunga. Sweet buckwheat varieties are generally grown in midhill and Terai but Tartary buckwheat varieties are grown in higher altitude. There are altogether 19 local landraces of sweat buckwheat and 37 for Tartary buckwheat listed from Nepal. The largest producers are China, USA, and Russia and Japan is principal user of global buckwheat grown in the world. In Nepal, it is cultivated in 10510 ha area with production of 10355 t/yr and yield of 0.983 t/ha. It has also medicinal value used in different forms including all its parts so the demand of buckwheat is increasing.

Injection practice in Kaski district, Western Nepal: a community perspective.

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Gyawali, Sudesh; Rathore, Devendra Singh; Shankar, Pathiyil Ravi; Kumar, Vikash K C; Maskey, Manisha; Jha, Nisha

2015-04-29

Previous studies have shown that unsafe injection practice is a major public health problem in Nepal but did not quantify the problem. The present community-based study was planned to: 1) quantify injection usage, 2) identify injection providers, 3) explore differences, if any, in injection usage and injection providers, and 4) study and compare people's knowledge and perception about injections between the urban and rural areas of Kaski district. A descriptive, cross-sectional mixed-methods study was conducted from July to November 2012, using a questionnaire based survey and focus group discussions (FGDs). A semi-structured questionnaire advocated by the World Health Organization was modified and administered to household heads and injection receivers in selected households and the FGDs were conducted using a topic guide. The district was divided into urban and rural areas and 300 households from each area were selected. Twenty FGDs were held. In 218 households (36.33%) [99 in urban and 119 in rural] one or more members received at least one injection. During the three month recall period, 258 subjects (10.44%) reported receiving injection(s) with a median of two injections. The average number of injections per person per year was calculated to be 2.37. Health care workers (34.8%), staff of medical dispensaries (37.7%), physicians (25.2%), and traditional healers (2.3%) were consulted by the respondents for their basic health care needs and for injections. Compared to urban respondents, more rural respondents preferred injections for fever (p injections due to injections being perceived by them as being powerful, fast-acting, and longer lasting than oral pills. More than 82% of respondents were aware of, and named, at least one disease transmitted by using unsterile syringes during injection administration or when syringes are shared between people. Less preference for injections and high awareness about the association between injections and injection

Characteristics of Consumers of Family Planning Services in Eastern Nepal

OpenAIRE

Sushma Dahal; Raj Kumar Subedi

2013-01-01

Family planning services in Nepal are provided by government and non-government health facilities. A descriptive cross sectional study was done by secondary data review of eight months from Institutional clinic, District Health Office (DHO) Ilam district. Use of different family planning methods through government health facility was studied in relation to different variables like age, sex, ethnicity, and, number of children. Around 53% of the female users of spacing method and around 47% of ...

Mobile Learning Practice in Higher Education in Nepal

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Parajuli, Krishna Prasad

2016-01-01

During the 15 years of this current century, mobile technology has become a leading technology in the support of educational outcomes. This study investigated the mobile learning practices among undergraduates in higher education in the semi-urban and rural areas of the Gorkha district of Nepal. The objectives were to explore the availability of…

Ethnobotany in the Nepal Himalaya.

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Kunwar, Ripu M; Bussmann, Rainer W

2008-12-02

Indigenous knowledge has become recognized worldwide not only because of its intrinsic value but also because it has a potential instrumental value to science and conservation. In Nepal, the indigenous knowledge of useful and medicinal plants has roots in the remote past. The present study reviews the indigenous knowledge and use of plant resources of the Nepal Himalayas along the altitudinal and longitudinal gradient. A total of 264 studies focusing on ethnobotany, ethnomedicine and diversity of medicinal and aromatic plants, carried out between 1979 and 2006 were consulted for the present analysis. In order to cross check and verify the data, seven districts of west Nepal were visited in four field campaigns. In contrast to an average of 21-28% ethnobotanically/ethnomedicinally important plants reported for Nepal, the present study found that up to about 55% of the flora of the study region had medicinal value. This indicates a vast amount of undocumented knowledge about important plant species that needs to be explored and documented. The richness of medicinal plants decreased with increasing altitude but the percentage of plants used as medicine steadily increased with increasing altitude. This was due to preferences given to herbal remedies in high altitude areas and a combination of having no alternative choices, poverty and trust in the effectiveness of folklore herbal remedies. Indigenous knowledge systems are culturally valued and scientifically important. Strengthening the wise use and conservation of indigenous knowledge of useful plants may benefit and improve the living standard of poor people.

Treeline dynamics with climate change at Central Nepal Himalaya

Science.gov (United States)

Gaire, N. P.; Koirala, M.; Bhuju, D. R.; Borgaonkar, H. P.

2013-10-01

Global climate change has multidimensional impacts with several biological fingerprints, and treeline shifting in tandem with climate change is a widely observed phenomenon in various parts of the world. In Nepal several impacts of climate change on physical environments have been observed. However, studies on the biological impacts are lacking. This dendrochronological study was carried out at the treeline ecotone (3750-4003 m a.s.l.) in the Kalchuman Lake (Kal Tal) area of the Manaslu Conservation Area in central Nepal Himalaya with the aim to study the dynamic impact of climate change at the treeline. The study provides an insight into regeneration and treeline dynamics over the past 200 yr. Two belt transect plots (size: 20 m wide, >250 m long) were laid covering forest line, treeline as well as tree species Abies spectabilis and Betula utilis was done and their tree-cores were collected. Stand character and age distribution revealed an occurrence of more matured B. utilis (max. age 198 yr old) compared to A. spectabilis (max. age 160 yr). A. spectabilis contained an overwhelmingly high population (89%) of younger plants (plant density as well as upward shifting in the studied treeline ecotones was observed. Thus, two species presented species-specific responses to climate change and much wider differences anticipated in their population status as climate continues to cha spectabilis correlated negatively with the mean monthly temperature of May-August of the current year and with September of the previous year. The regeneration of A. spectabilis, on the other hand, was positively related with May-August precipitation and January-April temperature of the current year. The reconstructed average summer temperature (May-August) using tree ring data revealed alternate period of cool and warm period with warming in the 2nd half of the 20th century. Further palynological and geochronological studies of sediments of the Kalchuman Lake would advance our understanding

Use of health services in Hill villages in central Nepal.

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Niraula, B B

1994-10-01

This paper reports the use and non-use of health care facilities in the Hill villages in central Nepal. The health behaviour model (HBM) is applied to test the significance of socioeconomic variables on the use of the modern health care system. The study finds that all three characteristics of the HBM model, predisposing, enabling and need, are significantly related to use and non-use of the modern health care system. The analysis shows that number of living children, respondent's education, nearness to the road and service centre, value of land, knowledge about health workers and experience of child loss are some of the variables that are positively and significantly related to the use of modern health care. Age of the respondents and household size were found to be negatively associated with health-care use. Contrary to expectation, caste is unimportant. Making use of the qualitative data, this paper argues that the health care system is unnecessarily bureaucratic and patriarchal, which favours the socio-economically well-off.

Analysis of Health Facility Based Perinatal Verbal Autopsy of Electoral Constituency 2 of Arghakhanchi District, Nepal.

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Manandhar, S R; Manandhar, D S; Adhikari, D; Shrestha, J; Rai, C; Rana, H; Paudel, M

2015-01-01

Verbal autopsy is a method to diagnose possible cause of death by analyzing factors associated with death through detailed questioning. This study is a part of the operational research program in electoral constituency no. 2 (EC 2) of Arghakhanchi district by MIRA and HealthRight International. Two day essential newborn care training followed by one day perinatal verbal autopsy training and later one day refresher verbal autopsy training was given for health staff of EC 2 of Arghakhanchi district in two groups. Stillbirths of >22wks or > 500 gms and Early neonatal deaths (newborns died within7 days of life) were included in this study. The Nepal Government approved verbal autopsy forms were used for performing autopsies. Perinatal deaths were classified according to Wigglesworth's Classification. Causes of Perinatal deaths were analyzed. Data were analyzed in the form of frequencies and tabulation in SPSS 16 . There were 41 cases of perinatal deaths (PND) were identified. Among them, 37 PNDs were from Arghakhanchi district hospital, 2 PNDs from Thada PHC, and one PND each from Subarnakhal and Pokharathok HPs. Among the 41 PNDs, 26 were stillbirths (SB) and 15 were early neonatal deaths (ENND). The perinatal mortality rate (PMR) of Arghakhanchi district hospital was 32.2 per 1,000 births and neonatal mortality rate (NMR) was 9.8 per 1,000 live births. Out of 26 stillbirths, 54% (14) were fresh SBs and 46% (12) were macerated stillbirths. The most common cause of stillbirth was obstetric complications (47%) where as birth asphyxia (53%) was the commonest cause of ENND. According to Wigglesworth's classification of perinatal deaths, Group IV (40%) was the commonest cause in the health facilities. Obstetric complication was the commonest cause of stillbirth and birth asphyxia was the commonest cause of early neonatal death. This study highlighted the need for regular antenatal check-ups and proper intrapartum fetal monitoring with timely and appropriate intervention to

Selection and Characterization of Potential Baker’s Yeast from Indigenous Resources of Nepal

OpenAIRE

Tika B. Karki; Parash Mani Timilsina; Archana Yadav; Gyanu Raj Pandey; Yogesh Joshi; Sahansila Bhujel; Rojina Adhikari; Katyayanee Neupane

2017-01-01

The study aims to isolate the yeast strains that could be used effectively as baker’s yeast and compare them with the commercial baker’s yeast available in the market of Nepal. A total of 10 samples including locally available sources like fruits, Murcha, and a local tree “Dar” were collected from different localities of Bhaktapur, Kavre, and Syangja districts of Nepal, respectively. Following enrichment and fermentation of the samples, 26 yeast strains were isolated using selective medium Wa...

Support to the Safe Motherhood Programme in Nepal: an integrated approach.

Science.gov (United States)

Barker, Carol E; Bird, Cherry E; Pradhan, Ajit; Shakya, Ganga

2007-11-01

Evidence gathered from 1997 to 2006 indicates progress in reducing maternal mortality in Nepal, but public health services are still constrained by resource and staff shortages, especially in rural areas. The five-year Support to the Safe Motherhood Programme builds on the experience of the Nepal Safer Motherhood Project (1997-2004). It is working with the Government of Nepal to build capacity to institute a minimum package of essential maternity services, linking evidence-based policy development with health system strengthening. It has supported long-term planning, working towards skilled attendance at every birth, safe blood supplies, staff training, building management capacity, improving monitoring systems and use of process indicators, promoting dialogue between women and providers on quality of care, and increasing equity and access at district level. An incentives scheme finances transport costs to a health facility for all pregnant women and incentives to health workers attending deliveries, with free services and subsidies to facilities in the poorest 25 districts. Despite bureaucracy, frequent transfer of key government staff and political instability, there has been progress in policy development, and public health sector expenditure has increased. For the future, a human resources strategy with career paths that encourage skilled staff to stay in the government service is key.

Scrub Typhus: An Emerging Neglected Tropical Disease in Nepal.

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Upadhyaya, B P; Shakya, G; Adhikari, S; Rijal, N; Acharya, J; Maharjan, L; Marasini, B R

2016-05-01

Scrub typhus is a neglected tropical disease and is under reported from Nepal. The objective of this study was to investigate the sero-epidemiology of scrub typhus in patients suffering from acute febrile illness. A total of 434 specimens collected from July to November 2015 at National Public Health Laboratory (NPHL) were investigated for detection of immunoglobulin M (IgM) antibody to Orientiatsutsugamushi.The Scrub Typhus Detect TM kit (InBios, USA) was used to detect the antibodies to O.tsutsugamushi in human serum. Randomly selected 10% positive specimens were used for confirmation by dot- enzyme-linked immunosorbent assay and indirect immunofluorescence assay. Of the total, 175 (40.3%) were positive for IgM antibodies to O. tsutsugamushi. Positive results of scrub typhus were highest among female in 11-20 year followed by males in 41-50 years age group. The IgM antibodies to O. tsutusugamushi were positive in specimens of various geographical regions including 30 districts of Nepal. Positive cases were found in various ecological regions of Nepal. Scrub typhus is one of the neglected tropical diseases in Nepal. Patients with acute febrile illness should be investigated for scrub typhus with high priority. There is an urgent need of reliable and affordable diagnostic tests at all level of health facilities of Nepal. Surveillance and public health awareness about the disease transmission and preventive measures needs to be initiated.

Medicinal plants used by the Tamang community in the Makawanpur district of central Nepal

Czech Academy of Sciences Publication Activity Database

Luitel, D. R.; Rokaya, Maan Bahadur; Timsina, Binu; Münzbergová, Zuzana

2014-01-01

Roč. 10, č. 5 (2014), s. 1-11 ISSN 1746-4269 R&D Projects: GA MŠk(CZ) ED1.1.00/02.0073; GA ČR GP13-10850P Institutional support: RVO:67179843 ; RVO:67985939 Keywords : Makawanpur district * Medicinal plants * Pharmacology * Phytochemistry * Tamang community Subject RIV: EH - Ecology, Behaviour; EF - Botanics (BU-J) Impact factor: 2.000, year: 2014

Characterization of rabies virus from a human case in Nepal.

Science.gov (United States)

Pant, G R; Horton, D L; Dahal, M; Rai, J N; Ide, S; Leech, S; Marston, D A; McElhinney, L M; Fooks, A R

2011-04-01

Rabies is endemic throughout most of Asia, with the majority of human cases transmitted by domestic dogs (Canis familiaris). Here, we report a case of rabies in a 12-year-old girl in the Lalitpur district of Nepal that might have been prevented by better public awareness and timely post-exposure prophylaxis. Molecular characterization of the virus showed 100% identity over a partial nucleoprotein gene sequence to previous isolates from Nepal belonging to the 'arctic-like' lineage of rabies virus. Sequence analysis of both partial nucleoprotein and glycoprotein genes showed differences in consensus sequence after passage in vitro but not after passage in vivo.

Sustainable implementation of solar tunnel dryers, water heaters and cookers in Nepal

Energy Technology Data Exchange (ETDEWEB)

Kovacs, Peter [Danish Energy Management, DEM for Renewable Energy Project, REP, Dhobighat, Lalitpur (Nepal); Shrestha, Niraj; Shakya, Prajwal Raj [Renewable Energy Project, REP, Dhobighat, Lalitpur (Nepal); Pokharel, Govind [Alternative Energy Promotion Centre (AEPC), Lalitpur (Nepal)

2008-07-01

The Renewable Energy Project (REP) is a joint effort of the European Union and the Government of Nepal. Main objectives of the project are to create renewable energy infrastructure and services for the benefit of rural people in remote districts of Nepal. The REP will provide solar energy systems for public services in remote districts, as well as for income generating activities e.g. agro business and tourism. The REP focuses on the installation of institutional PV systems with a total capacity of 0.850 MWp. Concurrently, a number of solar thermal systems are being provided to community organizations (COs) in rural areas of Nepal. The priority applications for the solar thermal part are solar tunnel dryers for small industries drying vegetables. fruits and herbs, solar water heaters for community centers in trekking areas and large scale solar cookers in schools. The paper describes the Renewable Energy Project's implementation program for solar thermal technology and in particular the implications on design and usefulness of the solar tunnel dryer from on-site feasibility studies carried out by the project team. REP provides a framework for a sustainable implementation of these systems by carrying out the whole process from dissemination of information to demand collection, feasibility studies, design, procurement, commissioning and user training. Hand over of ownership will take place once the equipment is installed and successfully commissioned. Monitoring during the first year of operation should conclude the project. REP is co-funded by the European Union and the Government of Nepal. (orig.)

Determination of naturally occurring radionuclides in selected rocks from Hetaunda area, Central Nepal

International Nuclear Information System (INIS)

Wallova, G.

2010-01-01

The specific activities of the naturally occurring radionuclides 238 U, 232 Th, and 40 K were measured in rock samples from the Hetaunda area, central Nepal, by using gamma spectrometry. The specific activities were found to be in the range of 17 - 95 Bq.kg -1 for 238 U, 24 - 260 Bq.kg -1 for 232 Th and 32 - 541 Bq.kg -1 for 40 K. From these data absorbed dose rates in air and annual effective doses were calculated and compared with respective data from the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) compilation. The results from our study open the door to the safe applicability of most of the investigated materials as a cheep building material. (author)

Birth spacing of pregnant women in Nepal: A community-based study

Directory of Open Access Journals (Sweden)

Rajendra Karkee

2016-09-01

Full Text Available BackgroundOptimal birth spacing has health advantages for both mother and child. In developing countries, shorter birth intervals are common and associated with social, cultural and economic factors, as well as a lack of family planning. This study investigated the first birth interval after marriage and preceding interbirth interval in Nepal.MethodsA community-based prospective cohort study was conducted in the Kaski district of Nepal. Information on birth spacing, demographic and obstetric characteristics was obtained from 701 pregnant women using a structured questionnaire. Logistic regression analyses were performed to ascertain factors associated with short birth spacing.ResultsAbout 39% of primiparous women gave their first child birth within one year of marriage and 23% of multiparous women had short preceding interbirth intervals (<24 months. The average birth spacing among the multiparous group was 44.9 (SD 21.8 months. Overall, short birth spacing appeared to be inversely associated with advancing maternal age.For the multiparous group, Janajati and lower caste women, and those whose newborn was female, were more likely to have short birth spacing.ConclusionsThe preceding interbirth interval was relatively long in the Kaski district of Nepal and tended to be associated with maternal age, caste, and sex of newborn infant. Optimal birth spacing programs should target Janajati and lower caste women, along with promotion of gender equality in society.

Impact of Spiritual Behavior on Self-Reported Illness: A Cross-Sectional Study among Women in the Kailali District of Nepal.

Science.gov (United States)

Ranabhat, Chhabi Lal; Kim, Chun-Bae; Park, Myung-Bae; Bajgai, Johny

2018-01-01

Different health behaviors influence health and illness. Spiritual well-being is one of the most important aspects of health promotion. The aim of this study was to identify the association between spiritual behavior in relation to meditation, worship, and physical exercise during yoga with self-reported disease/illness among women of the Kailali district of Nepal. This was a cross-sectional study with 453 randomly selected women in the Kailali district of Nepal within 1 municipality and 4 village development committees (VDC) using cluster sampling. We used a semi-structured interview to collect the data for selected respondents. Socioeconomics, lifestyle, self-care, and spiritual behavior variables were independent variables, and self-reported illness in the past year was a dependent variable. Descriptive statistics, chi square, hierarchical logistic regression for odds ratio, and 95% CI were used when appropriate. Study results showed that 89% of participants were from the rural area, 29.3% were housewives, 51.4% had no formal education, 43.2% used tobacco, 42.1% did yoga, and 16.9% engaged in regular worship. Self-reported illness was associated with safe toilet-using behavior, tobacco use, junk food consumption, yoga and regular exercise, worship, and regular sleeping habits. Comparing odds ratios and 95% CIs, the women who had safe toilet behavior and did not use tobacco were 2.48 (1.98-7.98) and 2.86 (1.74-7.34) times less likely to be ill, respectively. Likewise, women who consumed junk food; did not regularly exercise, meditate, or worship; and had irregular sleeping habits were 1.65 (1.32-4.61), 2.81(1.91-5.62), 2.56 (2.01-4.88), 4.56 (3.91-8.26), and 2.45 (2.12-5.03) times more likely to become ill, respectively. Our study concludes that spiritual behavior is effective for better health and low risk for disease occurrence. A spiritual health policy and separate curriculum for basic education and medical education should be promoted globally, and further

A Systems Theory Approach to the District Central Office's Role in School-Level Improvement

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Mania-Singer, Jackie

2017-01-01

This qualitative case study used General Systems Theory and social network analysis to explore the relationships between the members of a district central office and principals of elementary schools within an urban school district in the Midwest. Findings revealed sparse relationships between members of the district central office and principals,…

Maize production in mid hills of Nepal: from food to feed security

OpenAIRE

Krishna Prasad Timsina; Yuga Nath Ghimire; Jeevan Lamichhane

2016-01-01

This study was undertaken in 2016 to analyze the production and utilization of maize in Nepal. Sixty maize growers from Kavre and Lamjung districts were selected using purposive, cluster and simple random sampling techniques. Similarly, six feed industries and five maize experts from Chitwan district were also interviewed. Study shows 56% of the total areas were used for maize production and 50% of the maize areas were covered by hybrid maize. There was no practice of contract maize productio...

Women's agency in relation to population and environment in rural Nepal

NARCIS (Netherlands)

Tiwari Pandey, N.

2007-01-01

This research investigated the complex relationship between population and environ­ment with a focus on women’s role in fertility and the food resource environment. The research was carried out in a Gurung community in Lamjung district, in mid-hill Nepal. The household was taken as the unit of

How Liberal is Nepal's Liberal Grade Promotion Policy?

OpenAIRE

Sharma, Dhiraj

2016-01-01

This paper estimates the magnitude of liberal grade promotion in public schools in Nepal by comparing the pass rate in internally administered exams with the pass rate in the district-exam whose scores determine grade transition. The pass rate in the year-end exam is three and a half times as high as the pass rate in the internal exams. The difference is not explained by an increase in stu...

Application of Canal Automation at the Central Arizona Irrigation and Drainage District

Science.gov (United States)

The Central Arizona Irrigation and Drainage District (CAIDD) began delivering water to users in 1987. Although designed for automatic control, the system was run manually until a homemade SCADA (Supervisory Control and Data Acquisition) system was developed by a district employee. In 2002, problem...

Molecular phylogenetic identification of Fasciola flukes in Nepal.

Science.gov (United States)

Shoriki, Takuya; Ichikawa-Seki, Madoka; Devkota, Bhuminand; Rana, Hari B; Devkota, Shiva P; Humagain, Sudeep K; Itagaki, Tadashi

2014-12-01

Eighty-one Fasciola flukes collected from 8 districts in Nepal were analyzed for their species identification on the basis of their spermatogenic status and nuclear ribosomal internal transcribed spacer 1 (ITS1) and for their phylogenetic relation with Fasciola flukes from other Asian countries on the basis of the mitochondrial NADH dehydrogenase subunit 1 (nad1) gene. Sixty-one flukes (75.3%) were aspermic Fasciola sp., and 20 flukes (24.7%) were identified as Fasciola gigantica. All of the aspermic flukes displayed the Fh/Fg type in ITS1, which was predominant in aspermic Fasciola sp. from China, and most (60 flukes) displayed the Fsp-ND1-N1 haplotype in the nad1, which had an identical nucleotide sequence to the major haplotype (Fg-C2) of the aspermic flukes from China. These results suggest that aspermic Fasciola sp. was introduced into Nepal from China. Furthermore, the results of the diversity indices, neutrality indices, and median-joining network analysis with reference haplotypes from Asian countries suggest that aspermic Fasciola sp. rapidly expanded its distribution. In contrasts, F. gigantica displayed 10 nad1 haplotypes, which showed higher population diversity indices than the haplotypes of aspermic flukes, indicating that the F. gigantica population was clearly distributed in Nepal earlier than the aspermic Fasciola population. Although the F. gigantica haplotypes from Nepal formed a star-like phylogeny consisting of a main founder haplotype (Fg-ND1-N1), together with some F. gigantica haplotypes from Myanmar and Thailand, the Nepal population differed genetically from F. gigantica populations of neighboring countries as each country had distinct founder haplotype(s). Copyright © 2014 Elsevier Inc. All rights reserved.

Adolescents' knowledge and opinions about smoking: a qualitative study from the Jhaukhel-Duwakot Health Demographic Surveillance Site, Bhaktapur District, Nepal.

Science.gov (United States)

Povlsen, Lene; Aryal, Umesh Raj; Petzold, Max; Krettek, Alexandra

2016-04-09

The use of tobacco products among adolescents in Southeast Asia represents a major public health burden. Two out of ten adolescents attending school are tobacco users and several factors influence them to initiate tobacco use. Most studies related to tobacco use are quantitative, whereas qualitative studies exploring adolescents' smoking behavior and their views, knowledge and experiences are scarce. To gain a deep understanding of Nepalese adolescents' knowledge and opinions about smoking and reasons for smoking initiation. Adolescents from four secondary schools in the Bhaktapur district, Nepal. Eight focus-group discussions were conducted with 71 adolescents aged 13-16 years and from grades 8-10. Data were analyzed using manifest qualitative content analysis. The participants knew that smoking represents health risks as well as socio-economic risks, but few described the addictive nature of tobacco and health risks related to passive smoking. Most participants related smoking initiation to the smoking behavior of peers and family members, but easy accessibility to cigarettes, ineffective rules and regulations, and exposure to passive smoking also created environments for smoking. Some expressed confidence to resist peer pressure and refuse to start smoking, but also expressed the need for prevention strategies in schools and for governmental initiatives, such as more strict implementation of tobacco control and regulations to prevent and reduce smoking. Curbing the tobacco epidemic in Nepal requires healthy public policies and multifaceted interventions to address the knowledge gap on health consequences associated with smoking among adolescents, teachers and parents/adults.

Malnutrition Status Among Under-5 Children in a Hill Community of Nepal.

Science.gov (United States)

Gaurav, K; Poudel, I S; Bhattarai, S; Pradhan, P M S; Pokharel, P K

2014-01-01

Malnutrition, especially under nutrition puts children at increased risk of morbidity and mortality and remains a serious barrier in child growth, development and survival. This is a major public health problem among under- 5 children in Nepal particularly in rural areas. To assess the burden and contributing factors for malnutrition in hill community of Ilam district in eastern Nepal. A cross sectional study was conducted in rural hill communities of Ilam district, Nepal with a sample of 240 under- 5 children. Anthropometric measurements were used as per WHO guidelines to asses three nutritional status: Underweight, Stunting, and Wasting using descriptive statistics and chi square test was applied using SPSS 12.0 to assess social and predisposing factors. Seventeen percent of under- 5 children were moderately and 10.4 % were severely underweight. Similarly, 22.9%, and 17.5% were found to be moderately and severely stunted respectively. Less than 10% were found to be moderately and severely wasted. Older age group of children, education level of mother, not exclusive breast feeding practice had significant (p children were affected with stunting, underweight and wasting at the same time. Significant proportion of under - 5 children were malnourished in the communities of the hilly areas. The study unveiled the importance of literacy and exclusive breast feeding for the prevention of malnutrition in under- 5 children.

Ethnobotanical study of medicinal plants from the Humla district of western Nepal

Czech Academy of Sciences Publication Activity Database

Rokaya, Maan Bahadur; Münzbergová, Z.; Timsina, B.

2010-01-01

Roč. 130, č. 3 (2010), s. 485-504 ISSN 0378-8741 R&D Projects: GA ČR GA526/09/0549 Institutional research plan: CEZ:AV0Z60050516 Keywords : Nepal * medicinal plants * ethnobotany Subject RIV: EF - Botanics Impact factor: 2.466, year: 2010

Uterine prolapse prevention in Eastern Nepal

DEFF Research Database (Denmark)

Radl, Christina Mathilde; Rajwar, Ranjita; Aro, Arja R.

2012-01-01

are working well or the attitudes toward them. This paper presents the findings of a qualitative study on primary and secondary prevention of uterine prolapse in Eastern Nepal. Method: The study involved eight focus group discussions with 71 women in six villages of the eastern districts of Siraha and Saptari......: It was found that patriarchy, gender discrimination, and cultural traditions such as early marriage and pregnancy make it difficult for people to discontinue uterine prolapse risk behaviors. Women are aware of risk factors, prevention, and treatment, but are powerless to change their situations. Health...

Situation of Environmental Health of Rural Communities in Palpa District of Nepal

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Moushami Ghimire

2013-12-01

Full Text Available Background: Sanitation  refers to create and  maintain  hygienic conditions, through services such as garbage collection and its proper disposal, wastewater disposal, consumption of safe drinking water, housing condition and its surrounding, an act or process of making sanitary,  the promotion of hygiene and prevention of disease. Human being is a social animal and being a part of society, factors affecting the society also affect human and his surroundings. The study is concerned to demographic variables and environmental practices in rural communities. Objectives: To find out environmental situation and observe an impact of demographic variables on environmental factors. Materials and methods: A cross-sectional study was followed to conduct the study in palpa district of Nepal at 2012. Three hundred thirty nine households were selected through simple random procedure. Semi-structure interview schedule was used to collect information. Data were analyzed using software SPSS for windows version 16.0.  Results: Most of the families were faithful to ethnic group. Practices of refuse and excreta disposable had unsatisfactory where percentages of throwing refuse and open field defecation was 39.2 and 9.1 respectively. 77.6% households were consumed tap water. Most of the households (53.4% did not have proper drainage system around their houses. Conclusion: Family type and caste of households were strongly associated with practice related to excreta disposal, drainage system and refuse disposable. Improper sanitation could be main threat to public health promotion and disease prevention in study areas.

The Katmandu and Gosainkund nappes, central Nepal Himalaya (cartography, structure, metamorphism, geochemistry and radio-chronology)

International Nuclear Information System (INIS)

Rai, S.M.

1998-10-01

In central Nepal, a multidisciplinary study has been carried out to characterize and distinguish the crystalline nappes of Katmandu and Gosainkund from the Midland formations. Two principal deformations are recorded: one ductile, syn-metamorphic, marked by microstructures (stretching lineation, S-C structures, etc. ), another, post-metamorphic, recorded by an anticline, roughly EW -directed, and by NNE-SSW -directed folds. The syn-metamorphic P-T conditions show differences between Katmandu Crystalline Nappe (900-720 MPa; 700-480 deg C) and Gosainkund Crystalline Nappe (890-580 MPa; 750-590 deg C). They exhibit well preserved inverted metamorphism between the Upper Midland Formations (750 Mpa; 560 deg C) and the Gosainkund Nappe. In central Nepal, the augen gneisses and the 'Lesser Himalayan' Cambro-Ordovician granites bear similar petrographic and geochemical characteristics which suggest a common origin. However, the geological setting and age of the Proterozoic Ulleri augen gneiss rule out correlation with these formations. 40 Ar/ 39 Ar analyses of muscovite, indicate cooling ages younger from south to north: 22 to 13 Ma in the Katmandu Nappe, 16 to 5 Ma in the Gosainkund Nappe, and 12 to 6 Ma in the Midland Formation. The principal points summarized by this study are the following: clear distinction between two nappes marked by their litho-stratigraphy and metamorphism; the ductile movement of MCT in the north of Katmandu is blocked since approximately 25 Ma; the late emplacement and late or common post metamorphic history of the two nappes; but earlier cooling history of the Katmandu nappe; the present uplift of the Katmandu region, underlined by the intense micro-seismicity, concerns indifferently the two nappes that form a single tectonic block at present; the combined uplift of the two nappes is due to the displacement on a ramp of major decollement surface. (author)

Phenotypic characterization of wheat landraces from mid and far western districts of Nepal

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Sangharash Raj Dangi

2015-12-01

Full Text Available The study was conducted to evaluate phenotypic variation in one hundred and sixty six wheat landraces from mid and far western districts of Nepal. They were sown in randomized complete block design with two replications at National Wheat Research Program in 2014/15. The observed traits were analyzed using descriptive statistics and multivariate analysis using MINITAB v. 14. The results showed a wide range of phenotypic variability in observed parameters. The results also showed that the highest value of the standard deviation from mean (Sd was for grain yield (±290.10 followed by plant height (±7.21. Among the traits the lowest deviation from mean (Sd was for thousand grain weight TGW (±2.68. Wheat landraces grouped in four clusters depending on similarity of the studied traits. The results in this cluster, showed that days to maturity ranged from 97 to111 days, TGW ranged from 16 to17 gm, plant height ranged from 76 to 85 cm, and grain yield ranged from 2800 to 3000 Kg ha-1. Wheat landraces under study are grouped depending on specific traits useful for wheat improvement program. Results of this study can be supportive to detect wheat landraces within species with similar traits. In addition it can be useful for sampling in successive studies and parental selection in wheat breeding program.International Journal of Environment Vol.4(4 2015: 32-44

Distribution and habitat use of red panda in the Chitwan-Annapurna Landscape of Nepal.

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Bista, Damber; Shrestha, Saroj; Sherpa, Peema; Thapa, Gokarna Jung; Kokh, Manish; Lama, Sonam Tashi; Khanal, Kapil; Thapa, Arjun; Jnawali, Shant Raj

2017-01-01

In Nepal, the red panda (Ailurus fulgens) has been sparsely studied, although its range covers a wide area. The present study was carried out in the previously untapped Chitwan-Annapurna Landscape (CHAL) situated in central Nepal with an aim to explore current distributional status and identify key habitat use. Extensive field surveys conducted in 10 red panda range districts were used to estimate species distribution by presence-absence occupancy modeling and to predict distribution by presence-only modeling. The presence of red pandas was recorded in five districts: Rasuwa, Nuwakot, Myagdi, Baglung and Dhading. The predictive distribution model indicated that 1,904.44 km2 of potential red panda habitat is available in CHAL with the protected area covering nearly 41% of the total habitat. The habitat suitability analysis based on the probability of occurrence showed only 16.58% (A = 315.81 km2) of the total potential habitat is highly suitable. Red Panda occupancy was estimated to be around 0.0667, indicating nearly 7% (218 km2) of the total habitat is occupied with an average detection probability of 0.4482±0.377. Based on the habitat use analysis, altogether eight variables including elevation, slope, aspect, proximity to water sources, bamboo abundance, height, cover, and seasonal precipitation were observed to have significant roles in the distribution of red pandas. In addition, 25 tree species were documented from red panda sign plots out of 165 species recorded in the survey area. Most common was Betula utilis followed by Rhododendron spp. and Abies spectabilis. The extirpation of red pandas in previously reported areas indicates a need for immediate action for the long-term conservation of this species in CHAL.

Environmental resources reduce income inequality and the prevalence, depth and severity of poverty in rural Nepal

DEFF Research Database (Denmark)

Chhetri, Bir Bahadur Khanal; Larsen, Helle Overgaard; Smith-Hall, Carsten

2015-01-01

This paper investigates the economic importance of environmental income to rural households in Nepal and how environmental income influences poverty and inequality measures. Qualitative contextual information was collected from two village development committees in middle Gorkha District followed...

Epidemiology of Unintentional Child Injuries in the Makwanpur District of Nepal: A Household Survey

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Puspa Raj Pant

2015-11-01

Full Text Available Secondary sources of information indicate that the proportion of child deaths due to injuries is increasing in Nepal. This study aimed to describe the epidemiology of unintentional injuries in children, explore risk factors and estimate the burden faced by families and the community in the Makwanpur district. We conducted a household survey in Makwanpur, covering 3441 households. Injuries that occurred during the 12 months before the survey and required treatment or caused the child to be unable to take part in usual activities for three or more days were included. We identified 193 cases of non-fatal unintentional child injuries from 181 households and estimated an annual rate of non-fatal injuries of 24.6/1000 children; rates for boys were double (32.7/1000 that for girls (16.8/1000. The rates were higher among the children of age groups 1–4 years and 5–9 years. Falls were the most common cause of non-fatal child injuries followed by burns in preschool children and road traffic injuries were the most likely cause in adolescence. Mean period of disability following injury was 25 days. The rates and the mechanisms of injury vary by age and gender. Falls and burns are currently the most common mechanisms of injury amongst young children around rural homes.

Maize production in mid hills of Nepal: from food to feed security

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Krishna Prasad Timsina

2016-12-01

Full Text Available This study was undertaken in 2016 to analyze the production and utilization of maize in Nepal. Sixty maize growers from Kavre and Lamjung districts were selected using purposive, cluster and simple random sampling techniques. Similarly, six feed industries and five maize experts from Chitwan district were also interviewed. Study shows 56% of the total areas were used for maize production and 50% of the maize areas were covered by hybrid maize. There was no practice of contract maize production. The results revealed that 60%, 25% and 3% of the grain were used for animal feed, food and seed respectively in hill districts. Whereas the remaining amount of the maize (12% was sold to the different buyers. The proportion of maize feed supply to different animals in the study area was varying. Result shows that at least 1.5 million tons of maize is required only to the feed industries affiliated with national feed industry association in Nepal. Similarly, out of total maize used in feed production, 87% of the maize was imported from India each year by feed industries. Analysis shows negative correlation between scale of feed production and use of domestic maize due to unavailability of required quantity of maize in time. The major pre-condition of feed industries for maize buying was moisture content which must be equal or less than 14%. Very little or no inert materials and physical injury, free from fungal attack and bigger size were also the criteria for maize buying. However, some of the feed industries were also thinking about protein and amino acid contents. Result shows 13% and 8.5% increasing demand of poultry feed and animal feed, respectively over the last five year in Nepal. Most likely, maize is known as a means of food security in Nepal, however, in the context of changing utilization patterns at the farm level and also tremendous increasing demand of maize at the industry level suggest to give more focus on development and dissemination of

First isolation of dengue virus from the 2010 epidemic in Nepal.

Science.gov (United States)

Pandey, Basu D; Nabeshima, Takeshi; Pandey, Kishor; Rajendra, Saroj P; Shah, Yogendra; Adhikari, Bal R; Gupta, Govinda; Gautam, Ishan; Tun, Mya M N; Uchida, Reo; Shrestha, Mahendra; Kurane, Ichiro; Morita, Kouichi

2013-09-01

Dengue is an emerging disease in Nepal and was first observed as an outbreak in nine lowland districts in 2006. In 2010, however, a large epidemic of dengue occurred with 4,529 suspected and 917 serologically-confirmed cases and five deaths reported in government hospitals in Nepal. The collection of demographic information was performed along with an entomological survey and clinical evaluation of the patients. A total of 280 serum samples were collected from suspected dengue patients. These samples were subjected to routine laboratory investigations and IgM-capture ELISA for dengue serological identification, and 160 acute serum samples were used for virus isolation, RT-PCR, sequencing and phylogenetic analysis. The results showed that affected patients were predominately adults, and that 10% of the cases were classified as dengue haemorrhagic fever/ dengue shock syndrome. The genetic characterization of dengue viruses isolated from patients in four major outbreak areas of Nepal suggests that the DENV-1 strain was responsible for the 2010 epidemic. Entomological studies identified Aedes aegypti in all epidemic areas. All viruses belonged to a monophyletic single clade which is phylogenetically close to Indian viruses. The dengue epidemic started in the lowlands and expanded to the highland areas. To our knowledge, this is the first dengue isolation and genetic characterization reported from Nepal.

Pesticide poisoning in Chitwan, Nepal: a descriptive epidemiological study

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Deepak Gyenwali

2017-07-01

Full Text Available Abstract Background Globally, there is a growing concern over pesticides use, which has been linked to self-harm and suicide. However, there is paucity of research on the epidemiology of pesticides poisoning in Nepal. This study is aimed at assessing epidemiological features of pesticides poisoning among hospital-admitted cases in selected hospitals of Chitwan District of Nepal. Methods A hospital-based quantitative study was carried out in four major hospitals of Chitwan District. Information on all pesticides poisoning cases between April 1 and December 31, 2015, was recorded by using a Pesticides Exposure Record (PER form. Results A total of 439 acute pesticides poisoning cases from 12 districts including Chitwan and adjoining districts attended the hospitals during the 9-month-long study period. A majority of the poisoned subjects deliberately used pesticides (89.5% for attempted suicide. The total incidence rate was 62.67/100000 population per year. Higher annual incidence rates were found among young adults (111.66/100000 population, women (77.53/100000 population and individuals from Dalit ethnic groups (98.22/100000 population. Pesticides responsible for poisoning were mostly insecticides (58.0% and rodenticides (20.8%. The most used chemicals were organophosphates (37.3% and pyrethroids (36.7%. Of the total cases, 98.6% were hospitalized, with intensive care required for 41.3%. The case fatality rate among admitted cases was 3.8%. Conclusions This study has indicated that young adults, females and socially disadvantaged ethnic groups are at a higher risk of pesticides poisoning. Pesticides are mostly misused intentionally as an easy means for committing suicide. It is recommended that the supply of pesticides be properly regulated to prevent easy accessibility and misuse. A population-based study is warranted to reveal the actual problem of pesticides exposure and intoxication in the community.

Population status, distribution and potential threats of the Blue Bull Boselaphus tragocamelus (Mammalia: Cetartiodactyla: Bovidae along the Tinau River of Rupandehi District, Nepal

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Mohan Aryal

2016-12-01

Full Text Available The status and conservation of the Blue Bull Boselaphus tragocamelus is becoming one of the prominent discourses of wildlife research.  The study was carried out along the Tinau River at Rupandehi District in western Nepal to ascertain the population status, distribution and potential threats to the Blue Bull.  The study was conducted along six transect lines in the forest.  A total of 40 Blue Bulls were recorded in different transects.  The average group size was five.  The average population density was 0.228 Blue Bulls per ha and the sex ratio was 1 male: 3 females.  The potential threats of the Blue Bull along the Tinau River were habitat destruction, overgrazing, conflict, flooding and accident.  

Pangolins in eastern Nepal: trade and ethno-medicinal importance

OpenAIRE

Hem Bahadur Katuwal; Kaustuv Raj Neupane; Dipendra Adhikari; Mohan Sharma; Sanjan Thapa

2015-01-01

Pangolin populations are declining globally due to illicit trade for meat and ethno-medicinal practices. We performed semi-structured interviews to analyze scenario of trade activities and documented the ethno-medicinal importance of pangolins in four districts of eastern Nepal. Out of 106 respondents, 78.3% had seen live pangolins, 90.6% had seen their burrows and 66% respondents speculated their decreasing population. Although 64% of the respondents were aware that pangolin is protected spe...

Birth Spacing of Pregnant Women in Nepal: A Community-Based Study.

Science.gov (United States)

Karkee, Rajendra; Lee, Andy H

2016-01-01

Optimal birth spacing has health advantages for both mother and child. In developing countries, shorter birth intervals are common and associated with social, cultural, and economic factors, as well as a lack of family planning. This study investigated the first birth interval after marriage and preceding interbirth interval in Nepal. A community-based prospective cohort study was conducted in the Kaski district of Nepal. Information on birth spacing, demographic, and obstetric characteristics was obtained from 701 pregnant women using a structured questionnaire. Logistic regression analyses were performed to ascertain factors associated with short birth spacing. About 39% of primiparous women gave their first child birth within 1 year of marriage and 23% of multiparous women had short preceding interbirth intervals (gender equality in society.

Monsoon Rainfall and Landslides in Nepal

Science.gov (United States)

Dahal, R. K.; Hasegawa, S.; Bhandary, N. P.; Yatabe, R.

2009-12-01

A large number of human settlements on the Nepal Himalayas are situated either on old landslide mass or on landslide-prone areas. As a result, a great number of people are affected by large- and small-scale landslides all over the Himalayas especially during monsoon periods. In Nepal, only in the half monsoon period (June 10 to August 15), 70, 50 and 68 people were killed from landslides in 2007, 2008 and 2009, respectively. In this context, this paper highlights monsoon rainfall and their implications in the Nepal Himalaya. In Nepal, monsoon is major source of rainfall in summer and approximately 80% of the annual total rainfall occurs from June to September. The measured values of mean annual precipitation in Nepal range from a low of approximately 250 mm at area north of the Himalaya to many areas exceeding 6,000 mm. The mean annual rainfall varying between 1500 mm and 2500 mm predominate over most of the country. In Nepal, the daily distribution of precipitation during rainy season is also uneven. Sometime 10% of the total annual precipitation can occur in a single day. Similarly, 50% total annual rainfall also can occur within 10 days of monsoon. This type of uneven distribution plays an important role in triggering many landslides in Nepal. When spatial distribution of landslides was evaluated from record of more than 650 landslides, it is found that more landslides events were concentrated at central Nepal in the area of high mean annual rainfall. When monsoon rainfall and landslide relationship was taken into consideration, it was noticed that a considerable number of landslides were triggered in the Himalaya by continuous rainfall of 3 to 90 days. It has been noticed that continuous rainfall of few days (5 days or 7 days or 10 days) are usually responsible for landsliding in the Nepal Himalaya. Monsoon rains usually fall with interruptions of 2-3 days and are generally characterized by low intensity and long duration. Thus, there is a strong role of

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International Development Research Centre (IDRC) Digital Library (Canada)

Researchers are examining the tax policies (exemptions, value-added, property) ... Region: Nepal, Central Asia, Far East Asia, South Asia ... or "think tanks," in developing countries, thereby enabling them to produce sound research that both ...

Regional variation in pig farmer awareness and actions regarding Japanese encephalitis in Nepal: implications for public health education.

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Santosh Dhakal

Full Text Available Japanese encephalitis (JE is a mosquito-borne zoonotic disease that has pigs as the major amplifying hosts. It is the most important cause of viral encephalitis in people in Nepal and is spreading in its geographic distribution in that country. Pig farming is increasing in Nepal due to reducing cultural biases against pigs and government programs to support pig farming for poverty alleviation. Major strategies for JE prevention and control include education, vector control, and immunization of people and pigs. This study used a survey of 400 pig farmers in 4 areas of Nepal with different JE and pig farming histories to explore regional variations in farmer awareness and actions towards JE, the association of awareness and actions with farm and farmer variables, and the implications of these associations for public health education. Exposure to JE risk factors was common across pig farms and pig farming districts but there were significant district level differences in knowledge and practices related to on-farm JE risk reduction. Social factors such as literacy, gender, and cultural practices were associated with farmer attitudes, knowledge and practices for JE control. JE vaccine uptake was almost non-existent and mosquito control steps were inconsistently applied across all 4 districts. Income was not a determining factor of the differences, but all farmers were very poor. The low uptake of vaccine and lack of infrastructure or financial capacity to house pigs indoors or away from people suggest that farmer personal protection should be a priority target for education in Nepal. This study re-enforces the need to attack root causes of people's personal disease prevention behaviours and take into account local variation in needs and capacities when designing health or agriculture education programs.

Newborn survival in Nepal: a decade of change and future implications.

Science.gov (United States)

Pradhan, Y V; Upreti, Shyam Raj; Pratap K C, Naresh; K C, Ashish; Khadka, Neena; Syed, Uzma; Kinney, Mary V; Adhikari, Ramesh Kant; Shrestha, Parashu Ram; Thapa, Kusum; Bhandari, Amit; Grear, Kristina; Guenther, Tanya; Wall, Stephen N

2012-07-01

Nepal is on target to meet the Millennium Development Goals for maternal and child health despite high levels of poverty, poor infrastructure, difficult terrain and recent conflict. Each year, nearly 35,000 Nepali children die before their fifth birthday, with almost two-thirds of these deaths occurring in the first month of life, the neonatal period. As part of a multi-country analysis, we examined changes for newborn survival between 2000 and 2010 in terms of mortality, coverage and health system indicators as well as national and donor funding. Over the decade, Nepal's neonatal mortality rate reduced by 3.6% per year, which is faster than the regional average (2.0%) but slower than national annual progress for mortality of children aged 1-59 months (7.7%) and maternal mortality (7.5%). A dramatic reduction in the total fertility rate, improvements in female education and increasing change in skilled birth attendance, as well as increased coverage of community-based child health interventions, are likely to have contributed to these mortality declines. Political commitment and support for newborn survival has been generated through strategic use of global and national data and effective partnerships using primarily a selective newborn-focused approach for advocacy and planning. Nepal was the first low-income country to have a national newborn strategy, influencing similar strategies in other countries. The Community-Based Newborn Care Package is delivered through the nationally available Female Community Health Volunteers and was piloted in 10 of 75 districts, with plans to increase to 35 districts in mid-2013. Innovation and scale up, especially of community-based packages, and public health interventions and commodities appear to move relatively rapidly in Nepal compared with some other countries. Much remains to be done to achieve high rates of effective coverage of community care, and especially to improve the quality of facility-based care given the rapid

Design and implementation of an affordable, public sector electronic medical record in rural Nepal.

Science.gov (United States)

Raut, Anant; Yarbrough, Chase; Singh, Vivek; Gauchan, Bikash; Citrin, David; Verma, Varun; Hawley, Jessica; Schwarz, Dan; Harsha Bangura, Alex; Shrestha, Biplav; Schwarz, Ryan; Adhikari, Mukesh; Maru, Duncan

2017-06-23

Globally, electronic medical records are central to the infrastructure of modern healthcare systems. Yet the vast majority of electronic medical records have been designed for resource-rich environments and are not feasible in settings of poverty. Here we describe the design and implementation of an electronic medical record at a public sector district hospital in rural Nepal, and its subsequent expansion to an additional public sector facility.DevelopmentThe electronic medical record was designed to solve for the following elements of public sector healthcare delivery: 1) integration of the systems across inpatient, surgical, outpatient, emergency, laboratory, radiology, and pharmacy sites of care; 2) effective data extraction for impact evaluation and government regulation; 3) optimization for longitudinal care provision and patient tracking; and 4) effectiveness for quality improvement initiatives. For these purposes, we adapted Bahmni, a product built with open-source components for patient tracking, clinical protocols, pharmacy, laboratory, imaging, financial management, and supply logistics. In close partnership with government officials, we deployed the system in February of 2015, added on additional functionality, and iteratively improved the system over the following year. This experience enabled us then to deploy the system at an additional district-level hospital in a different part of the country in under four weeks. We discuss the implementation challenges and the strategies we pursued to build an electronic medical record for the public sector in rural Nepal.DiscussionOver the course of 18 months, we were able to develop, deploy and iterate upon the electronic medical record, and then deploy the refined product at an additional facility within only four weeks. Our experience suggests the feasibility of an integrated electronic medical record for public sector care delivery even in settings of rural poverty.

Economic sustainability, water security and multi-level governance of local water schemes in Nepal

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Emma Hakala

2017-07-01

Full Text Available This article explores the role of multi-level governance and power structures in local water security through a case study of the Nawalparasi district in Nepal. It focuses on economic sustainability as a measure to address water security, placing this thematic in the context of a complicated power structure consisting of local, district and national administration as well as external development cooperation actors. The study aims to find out whether efforts to improve the economic sustainability of water schemes have contributed to water security at the local level. In addition, it will consider the interactions between water security, power structures and local equality and justice. The research builds upon survey data from the Nepalese districts of Nawalparasi and Palpa, and a case study based on interviews and observation in Nawalparasi. The survey was performed in water schemes built within a Finnish development cooperation programme spanning from 1990 to 2004, allowing a consideration of the long-term sustainability of water management projects. This adds a crucial external influence into the intra-state power structures shaping water management in Nepal. The article thus provides an alternative perspective to cross-regional water security through a discussion combining transnational involvement with national and local points of view.

SPECTRAL COLOR INDICES BASED GEOSPATIAL MODELING OF SOIL ORGANIC MATTER IN CHITWAN DISTRICT, NEPAL

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U. K. Mandal

2016-06-01

Full Text Available Space Technology provides a resourceful-cost effective means to assess soil nutrients essential for soil management plan. Soil organic matter (SOM is one of valuable controlling productivity of crops by providing nutrient in farming systems. Geospatial modeling of soil organic matter is essential if there is unavailability of soil test laboratories and its strong spatial correlation. In the present analysis, soil organic matter is modeled from satellite image derived spectral color indices. Brightness Index (BI, Coloration Index (CI, Hue Index (HI, Redness Index (RI and Saturation Index (SI were calculated by converting DN value to radiance and radiance to reflectance from Thematic Mapper image. Geospatial model was developed by regressing SOM with color indices and producing multiple regression model using stepwise regression technique. The multiple regression equation between SOM and spectral indices was significant with R = 0. 56 at 95% confidence level. The resulting MLR equation was then used for the spatial prediction for the entire study area. Redness Index was found higher significance in estimating the SOM. It was used to predict SOM as auxiliary variables using cokringing spatial interpolation technique. It was tested in seven VDCs of Chitwan district of Nepal using Thematic Mapper remotely sensed data. SOM was found to be measured ranging from 0.15% to 4.75 %, with a mean of 2.24 %. Remotely sensed data derived spectral color indices have the potential as useful auxiliary variables for estimating SOM content to generate soil fertility management plans.

Tree ring variability and climate response of Abies spectabilis along an elevation gradient in Mustang, Nepal

DEFF Research Database (Denmark)

Kharal, D.K.; Meilby, Henrik; Rayamajhi, S.

2014-01-01

In mountainous areas including the Himalayas, tree lines are expected to advance to higher altitudes due to global climate change affecting the distribution and growth of plant species. This study aimed at identifying the tree ring variability of Abies spectabilis (D. Don) and its response...... to the climate along an elevation gradient in the high Himalayas of central Nepal. Tree core samples were collected from four sites in Mustang district. All sites were located in the same valley and exposed to similar weather conditions. Out of 232 samples collected from the sites, Titi lower (2700 m), Titi......-elevation sites the correlation between pre-monsoon precipitation and tree growth was positive, and for the month of May this was statistically significant (ptree growth at all sites, and at the upper elevation...

Livelihood Vulnerability Approach to Assess Climate Change Impacts to Mixed Agro-Livestock Smallholders Around the Gandaki River Basin of Nepal

Science.gov (United States)

Panthi, J., Sr.

2014-12-01

Climate change vulnerability depends upon various factors and differs between places, sectors and communities. People in developing countries whose subsistence livelihood depends upon agriculture and livestock are identified as particularly vulnerable. Nepal, where the majority of people are in a mixed agro-livestock system, is identified as the world's fourth most vulnerable country to climate change. However, there are few studies on how vulnerable mixed agro-livestock smallholders are and how their vulnerability differs across different ecological regions. This study aims to test two vulnerability assessment indices, livelihood vulnerability index (LVI) and IPCC vulnerability index (VI-IPCC), around the Gandaki river basin of Nepal. A total of 543 households practicing mixed agro-livestock were surveyed from three districts (Dhading, Syangja and Kapilvastu) representing the mountain, mid-hill and lowland altitudinal belts respectively. Data on socio-demographics, livelihoods, social networks, health, food and water security, natural disasters and climate variability were collected. Both indices differed across the three districts, with mixed agro-livestock smallholders of Dhading district found to be the most vulnerable and that of Syangja least vulnerable. This vulnerability index approach may be used to monitor rural vulnerability and/or evaluate potential program/policy effectiveness in poor countries like Nepal. The present findings are intended to help in designing intervention strategies to reduce vulnerability of mixed agro-livestock smallholders and other rural people in developing countries to climate change.

Knowledge, attitude and practice towards medicines among school teachers in Lalitpur district, Nepal before and after an educational intervention

Science.gov (United States)

2013-01-01

Background Few studies regarding Knowledge, Attitude and Practice (KAP) towards medicines among school teachers have been carried out in Nepal. Obtaining baseline KAP is important to note deficiencies and plan appropriate interventions. School teachers have to know about medicines as they can be an important source of information about rational and safe use of medicines. The department of Clinical Pharmacology, KIST Medical College, Lalitpur, conducted a study regarding KAP of school teachers about medicines before and after an educational intervention from April 2011 to December 2011. Methods The study was done in selected schools of Lalitpur district. Teachers were selected on a voluntary basis after obtaining written informed consent. Gender, ethnic or caste group, native place, age, educational qualifications, subject taught were noted. An educational intervention using a combination of methods like presentations, brainstorming sessions, interactive discussions using posters and distribution of information leaflets about the use of medicines was conducted. The KAP and overall scores among subgroups according to gender, age, level of education, subject, ethnicity, type of school (primary vs. secondary and government vs. private school) were studied. KAP and overall scores before and after the intervention was compared using Wilcoxon signed ranks test as the scores were not normally distributed. Results A total of 393 teachers participated before and after the intervention. The median (interquartile range) knowledge, attitude and practice scores before the intervention were 63 (10), 23 (5) and 270 (48) respectively while the overall score was 356. The median knowledge, attitude and practice scores after the intervention were 71 (10), 28 (5) and 270 (48) respectively while the overall score increased to 369. Maximum possible score of knowledge, attitude and practice were 100, 40 and 320 respectively. Scores improved significantly for knowledge (pattitude

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... the Internet has been dominated by the English language and North American culture. ... Topic: Internet, LANGUAGE BARRIER, ASIAN LANGUAGES, COMPUTER ... IMMIGRATION LAW, WOMEN'S RIGHTS, GENDER EQUALITY, Gender. Region: Bangladesh, India, Nepal, Central Asia, Far East Asia, South Asia.

First report of Lyme disease in Nepal.

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Pun, Sher Bahadur; Agrawal, Sumit; Jha, Santoshananda; Bhandari, Lila Nath; Chalise, Bimal Sharma; Mishra, Abadhesh; Shah, Rajesh

2018-03-01

Lyme disease is a tick-borne illness caused by the spirochete Borrelia burgdorferi and is widely reported in the USA, Central Europe, South East Asia and Latin America. Until recently, no scientific report regarding Lyme disease in Nepal had been published. A 32-year-old, previously healthy female visited the hospital with a history of joint pains, fatigue, neck stiffness, tingling sensation and headache. She was initially treated for typhoid fever, brucellosis and malaria, but did not show significant improvement. Doxycycline was prescribed empirically for 3 weeks for the treatment of suspected tick-borne illness. A two-tiered immunoglobulin laboratory testing confirmed Borrelia burgdorferi . She developed post-treatment Lyme disease syndrome after completion of antibiotic therapy. To the best of our knowledge, this is the first report of Lyme disease in Nepal and probably the first documented case of post-treatment Lyme disease syndrome in Asia. Lyme disease might have been overlooked in Nepal and, therefore, patients having clinical signs and symptoms similar to Lyme disease should not be disregarded in differential diagnosis.

Internal Migration and Land Use and Land Cover Changes in the Middle Mountains of Nepal

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Bhawana KC

2017-11-01

Full Text Available The movement of rural households from remote uplands to valley floors and to semiurban and urban areas (internal migration is a common phenomenon in the middle mountain districts of Nepal. Understanding the causes and effects of internal migration is critical to the development and implementation of policies that promote land use planning and sustainable resource management. Using geospatial information technologies and social research methods, we investigated the causes and effects of internal migration on land use and land cover patterns in a western mountain district of Nepal between 1998 and 2013. The results show a decreasing number of households at high elevations (above 1400 m, where an increase in forest cover has been observed with a consequent decrease in agricultural land and shrub- or grassland. At lower elevations (below 1400 m, forest cover has remained constant over the last 25 years, and the agricultural land area has increased but has become geometrically complex to meet the diverse needs and living requirements of the growing population. Our findings indicate that internal migration plays an important role in shaping land use and land cover change in the middle mountains of Nepal and largely determines the resource management, utilization, and distribution patterns within a small geographic unit. Therefore, land use planning must take an integrated and interdisciplinary approach rather than considering social, environmental, and demographic information in isolation.

Soil Bioengineering Application and Practices in Nepal

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Dhital, Yam Prasad; Kayastha, Rijan Bhakta; Shi, Jiancheng

2013-02-01

The small mountainous country Nepal is situated in the central part of the Himalayas. Its climate varies from tropical in the south to arctic in the north; and natural vegetation follows the pattern of climate and altitude. Water-induced disaster problems including soil erosion, debris flow, landslides and flooding are common due to the unstable landscape. Soil erosion is the most important driving force for the degradation of upland and mountain ecosystems. Soil bioengineering has been used in Nepal for nearly 30 years to deal with erosion problems on slopes, in high way construction and riverbank stabilization. The main soil bioengineering techniques used in Nepal are brush layering, palisades, live check dams, fascines and vegetative stone pitching. This study is based on the geology, climate and vegetation of Nepal and briefly summarizes the application of soil bioengineering on slopes and stream banks, with especial attention to the role of vegetation on slope and stream bank stabilization. Furthermore, this paper addresses the role of community participation and responsibility for successful application of vegetation-based techniques in management, maintenance and utility aspects for the future. In recent years, soil bioengineering techniques are extensively used due to their cost-effectiveness, using locally available materials and low-cost labour in comparison to more elaborate civil engineering works. However, scientific implementation and record-keeping and evaluation of the work are indeed essential.

Soil bioengineering application and practices in Nepal.

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Dhital, Yam Prasad; Kayastha, Rijan Bhakta; Shi, Jiancheng

2013-02-01

The small mountainous country Nepal is situated in the central part of the Himalayas. Its climate varies from tropical in the south to arctic in the north; and natural vegetation follows the pattern of climate and altitude. Water-induced disaster problems including soil erosion, debris flow, landslides and flooding are common due to the unstable landscape. Soil erosion is the most important driving force for the degradation of upland and mountain ecosystems. Soil bioengineering has been used in Nepal for nearly 30 years to deal with erosion problems on slopes, in high way construction and riverbank stabilization. The main soil bioengineering techniques used in Nepal are brush layering, palisades, live check dams, fascines and vegetative stone pitching. This study is based on the geology, climate and vegetation of Nepal and briefly summarizes the application of soil bioengineering on slopes and stream banks, with especial attention to the role of vegetation on slope and stream bank stabilization. Furthermore, this paper addresses the role of community participation and responsibility for successful application of vegetation-based techniques in management, maintenance and utility aspects for the future. In recent years, soil bioengineering techniques are extensively used due to their cost-effectiveness, using locally available materials and low-cost labour in comparison to more elaborate civil engineering works. However, scientific implementation and record-keeping and evaluation of the work are indeed essential.

Minor soil erosion contribution to denudation in Central Nepal Himalaya.

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Morin, Guillaume; France-Lanord, Christian; Gallo, Florian; Lupker, Maarten; Lavé, Jérôme; Gajurel, Ananta

2013-04-01

In order to decipher river sediments provenance in terms of erosion processes, we characterized geochemical compositions of hillslope material coming from soils, glaciers and landslide, and compared them to rivers sediments. We focused our study on two South flank Himalayan catchments: (1) Khudi khola, as an example of small High Himalayan catchment (150 km2), undergoing severe precipitation, and rapid erosion ≈ 3.5 mm/yr [A] and (2) the Narayani-Gandak Transhimalayan basin (52000 km2) that drains the whole central Nepal. To assess the question, systematic samplings were conducted on hillslope material from different erosion processes in the basins. River sediment include daily sampling during the 2010 monsoon at two stations, and banks samples in different parts of the basins. Source rocks, soil and landslide samples, are compared to river sediment mobile to immobile element ratios, completed by hydration degree H2O+ analysis[2]. Data show that soils are clearly depleted in mobile elements Na, K, Ca, and highly hydrated compared to source rocks and other erosion products. In the Khudi basin, the contrast between soil and river sediment signatures allow to estimate that soil erosion represents less than 5% of the total sediment exported by the river. Most of the river sediment therefore derives from landslides inputs and to a lesser extent by barren high elevation sub-basins. This is further consistent with direct observation that, during monsoon, significant tributaries of the Khudi river do not export sediments. Considering that active landslide zones represent less than 0.5% of the total watershed area, it implies that erosion distribution is highly heterogeneous. Landslide erosion rate could reach more than 50 cm/yr in the landslide area. Sediments of the Narayani river are not significantly different from those of the Khudi in spite of more diverse geomorphology and larger area of the basin. Only H2O+ and Total Organic Carbon concentrations normalised to Al

Renal Manifestation in Scrub Typhus during a Major Outbreak in Central Nepal.

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Sedhain, A; Bhattarai, G R

2017-01-01

Renal involvement and acute kidney injury (AKI) are common clinical manifestations seen in scrub typhus, a vector-borne tropical disease. There are no data on renal manifestation in scrub typhus in Nepal. We conducted a prospective study to analyze the incidence, urinary abnormalities, course, severity, outcome, and the predictors of AKI in patients with scrub typhus during a major outbreak in Central Nepal. Total 1398 patients admitted with acute febrile illness were subjected for Scrub Typhus Detect™ Immunoglobulin M (IgM) enzyme-linked immunosorbent assay (ELISA) test, of which 502 (35.90%) patients tested positive and were included in the study. Mean age of the patients was 30.37 ± 18.81 years (range, 1-79 years) with 26.29% in the pediatric age group. Female-to-male ratio was 1.26:1. Mean duration of fever was 6.8 ± 3.1 days. Mean IgM ELISA value for scrub typhus was 2.17 ± 1.70 without difference in AKI and non-AKI groups (2.17 ± 1.76 vs. 2.16 ± 1.62; P = 0.94). Urinary abnormalities were seen in 42.3% of patients. Mean serum creatinine was 1.37 ± 0.69 mg/dl with significant difference in two groups (1.85 ± 0.87 vs. 1.03 ± 0.17; P = 0.003). AKI was seen in 35.8% of patients with majority having Stage 1 AKI (68.3%) followed by Stage 2 (34.1%) and Stage 3 (1.2%). Hemodialysis was required for 3.94% of patients. In 54% of patients, AKI occurred in fifth and sixth day of fever. ICU admission was required for 18.73% of patients and 8.57% required ventilator support. Mortality rate was 1.79%, which was higher among patients with AKI (2.96% vs. 1.0%; P = 0.106). Multivariate analysis revealed that the presence of pneumonia, shock, and acute respiratory distress syndrome predicted the development of AKI.

Renal manifestation in scrub typhus during a major outbreak in central Nepal

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A Sedhain

2017-01-01

Full Text Available Renal involvement and acute kidney injury (AKI are common clinical manifestations seen in scrub typhus, a vector-borne tropical disease. There are no data on renal manifestation in scrub typhus in Nepal. We conducted a prospective study to analyze the incidence, urinary abnormalities, course, severity, outcome, and the predictors of AKI in patients with scrub typhus during a major outbreak in Central Nepal. Total 1398 patients admitted with acute febrile illness were subjected for Scrub Typhus Detect™ Immunoglobulin M (IgM enzyme-linked immunosorbent assay (ELISA test, of which 502 (35.90% patients tested positive and were included in the study. Mean age of the patients was 30.37 ± 18.81 years (range, 1–79 years with 26.29% in the pediatric age group. Female-to-male ratio was 1.26:1. Mean duration of fever was 6.8 ± 3.1 days. Mean IgM ELISA value for scrub typhus was 2.17 ± 1.70 without difference in AKI and non-AKI groups (2.17 ± 1.76 vs. 2.16 ± 1.62; P = 0.94. Urinary abnormalities were seen in 42.3% of patients. Mean serum creatinine was 1.37 ± 0.69 mg/dl with significant difference in two groups (1.85 ± 0.87 vs. 1.03 ± 0.17; P = 0.003. AKI was seen in 35.8% of patients with majority having Stage 1 AKI (68.3% followed by Stage 2 (34.1% and Stage 3 (1.2%. Hemodialysis was required for 3.94% of patients. In 54% of patients, AKI occurred in fifth and sixth day of fever. ICU admission was required for 18.73% of patients and 8.57% required ventilator support. Mortality rate was 1.79%, which was higher among patients with AKI (2.96% vs. 1.0%; P = 0.106. Multivariate analysis revealed that the presence of pneumonia, shock, and acute respiratory distress syndrome predicted the development of AKI.

Socio-Cultural Dimensions of Cluster vs. Single Home Photovoltaic Solar Energy Systems in Rural Nepal

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Kimber Haddix McKay

2010-02-01

Full Text Available This paper analyzes the socio-cultural dimensions of obstacles facing solar photovoltaic projects in two villages in rural Nepal. The study was conducted in Humla District, Nepal, one of the most remote and impoverished regions of the country. There are no roads in the district, homes lack running water and villagers’ health suffers from high levels of indoor air pollution from open cooking/heating fires and the smoky torches traditionally burned for light. The introduction of solar energy is important to these villagers, as it removes one major source of indoor air pollution from homes and provides brighter light than the traditional torches. Solar energy is preferable in many villages in the region due to the lack of suitable streams or rivers for micro-hydroelectric projects. In the villages under study in this paper, in-home solar electricity is a novel and recent innovation, and was installed within the last three years in two different geo-spatial styles, depending upon the configuration of homes in the village. In some villages, houses are grouped together, while in others households are widely dispersed. In the former, solar photovoltaic systems were installed in a “cluster” fashion with multiple homes utilizing power from a central battery store under the control of the householder storing the battery bank. In villages with widely spaced households, a single home system was used so that each home had a separate solar photovoltaic array, wiring system and battery bank. It became clear that the cluster system was the sensible choice due to the geographic layout of certain villages, but this put people into management groups that did not always work well due to caste or other differences. This paper describes the two systems and their management and usage costs and benefits from the perspective of the villagers themselves.

Determinants of farmers' choice for veterinary service providers in Nepal Mountains.

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Lamichhane, Dirga Kumar; Shrestha, Sabina

2012-08-01

This study was aimed to analyze factors that affect farmers' choice for major actors of veterinary service providers in village areas of Kaski district of Nepal, with the objective of identifying choice-specific attributes which could be addressed for improving the penetration of professional veterinary services in village areas. The information was obtained from 125 farmers using a structured questionnaire. A proportional hazard model was used for data analysis because of its ability to accommodate the attributes of both the chooser and the choice simultaneously. The results showed that village animal health workers (VAHWs) were the most preferred service providers followed by veterinarians and mid-level technicians. The farmers' age and education level had a significant but inverse relationship with the probability of choosing any of the three service providers. From our study, we found that the main choice-specific attributes with a significant impact on the choice probability was the distance to the preferred service provider. Since there was a high preference for VAHW, this suggests the possibility of poorly trained service providers dominating veterinary service market in village areas of Kaski district. Hence, the efforts put forward in the legalization of VAHW system in Nepal should first address the constraints that obstruct the accessibility of professional veterinary service providers in village areas.

Criteria for Centralized Warehousing Procedures in Public School Districts. Summary Report.

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Forsythe, Ralph A.; Thomson, Leland A.

This survey of opinions of architects, certified public accountants, and educators (who have written concerning, shown leadership in, or have specialized knowledge about warehousing) covers the planning, organizing, material handling, and paper processing of presently operated school district central warehouses. All recommendations concerning…

Determinants of facility delivery after implementation of safer mother programme in Nepal: a prospective cohort study.

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Karkee, Rajendra; Binns, Colin W; Lee, Andy H

2013-10-20

There are several barriers for pregnant women to deliver in a health care facility. This prospective cohort study investigated factors affecting facility delivery and reasons for unplanned place of delivery after implementation of the safer mother programme in Nepal. Baseline interviews using a validated questionnaire were conducted on a sample of 700 pregnant women representative of the Kaski district in central Nepal. Follow-up interviews of the cohort were then conducted within 45 days postpartum. Stepwise logistic regression analysis was performed to determine factors associated with the facility delivery outcome. Of the 644 pregnant women whose delivery location had been identified, 547 (85%) gave birth in a health care facility. Women were more likely to deliver in a health facility if they were educated especially with higher secondary or above qualification (adjusted odds ratio (OR) 12.39, 95% confidence interval (CI) 5.09 to 30.17), attended 4 or more antenatal care visits (OR 2.15, 95% CI 1.25 to 3.69), and lived within 30 minutes to the facility (OR 11.61, 95% CI 5.77 to 24.04). For the 97 women who delivered at home, 72 (74.2%) were unplanned, mainly due to quick precipitation of labour making it impossible to reach a health facility. It appeared that facility delivery occurs more frequent among educated women and those who live nearby, even though maternity services are now freely available in Nepal. Because of the difficult terrain and transportation problem in rural areas, interventions that make maternity service physically accessible during antenatal period are needed to increase the utilisation of health facility for child birth.

Geographical Dynamics of Poverty in Nepal between 2005 and 2011: Where and How?

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Jifei Zhang

2018-06-01

Full Text Available Poverty eradication is currently a central issue within the national economic development strategy in developing countries. Understanding the spatial changes and possible drivers of poverty from different geographical perspectives has the potential to provide a policy-relevant understanding of the trends in poverty. By district-level data, poverty incidence (PI, and a statistical analysis of the period from 2005 to 2011 in Nepal, we used the location quotient (LQ, as well as the Lorenz curve, to inspect the poverty concentration and the spatial-temporal variation of poverty in Nepal. As such, this study analyzed the change in identified typologies of poverty using an approach, which accounts for inter-regional and three identified terrain components. The PI methodological approach was applied in order to (i compare the spatial change in poverty for Nepal during the study period from a geographical-administrative perspective and (ii to develop Lorenze curves which show the change of poverty concentration over the study period. Within the Foster-Greer-Thorbecke (FGT approach, PI was further used, in combination with the indices of poverty gap (PG and squared poverty gap (SPG, in order to highlight the unidimensional poverty (UP, that is the incidence, depth, and severity of poverty between 2005 and 2011. Simultaneously, the spatial relationship between UP and economic development was assessed, leading to five specific economic modes or typologies of poverty. Our findings identified that proportional poverty appears to have grown in mountainous areas as well as more urbanized and developed regions, while the mid hill regions have steadily reduced proportions of poverty. We propose a hypothesis, for further examination, which suggests that the increase in proportional poverty in the mountain regions is as a result of the migration to the urban areas of Nepal of the relatively less poor, leaving behind a trapped poorer population. This migration to

An Assessment of Monsoon Triggered Landslides in Western Nepal

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Sudan Acharya, Madhu

2010-05-01

Due to heavy monsoon rain, rugged topography and very young mountains, frequent slope failures and soil erosion are very common in Nepal but in most of cases the natural slopes are disturbed by men to construct a road through it and the situation further aggravated by the Monsoon rain. Summer usually tests the disaster response capacity of Nepal, when the monsoons trigger water induced disasters. This year Nepal's Western regions were most severely affected by floods and landslides. Every year, sadly, it is the same story of mostly poor people living in remote villages succumbing to landslides and flooding and those who survive facing hardships brought on by the disaster. The tail end of the monsoon in October has triggered flood and landslides in Nepal which affected a total of 14 districts in the mid and far-west regions, of which Kailali, Bardiya, Banke, Dadeldhura, Accham and Kanchapur district are most affected. The affected areas are geographically scattered and remote, and are therefore difficult to access. In this year (2009), flood and landslides have claimed 62 lives, affecting more than 152,000 individuals from 27,000 families. More than 4,000 families are displaced and are taking shelter in schools, open space and forest areas with no protection from the external elements. In the above context the prevention and mitigation measures for landslides is a great challenge for Nepal. Nepal has been investing its huge amount of resources to stabilize landslides and roadside slope failures, still then it has become unmanageable during Monsoon time. Considering the above facts, an assessment of landslides which were occurred during the Monsoon (July-October 2009), along Khodpe - Jhota - Chainpur road in far western region of Nepal has been carried out based on the field observation of various landslides. The paper presents the causes and mechanisms of failures of different landslides which are mostly triggered by Monsoon rain. It also suggests some low cost

Factors associated with childhood ocular morbidity and blindness in three ecological regions of Nepal: Nepal pediatric ocular disease study.

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Adhikari, Srijana; Shrestha, Mohan Krishna; Adhikari, Kamala; Maharjan, Nhukesh; Shrestha, Ujjowala Devi

2014-10-23

Nepal Pediatric Ocular Diseases Study is a three year longitudinal population based study. Here we present the baseline survey report which aims to investigate various risk factors associated with childhood ocular morbidity and blindness in three ecological regions of Nepal. This baseline survey is a population based cross sectional study. The investigation was conducted in a district from each of the following regions: Terai, Hill and Mountain. The Village Development Committees (VDCs) from each district were selected by random sampling. Three Community health workers were given training on vision screening and identification of abnormal ocular signs in children. They conducted a house to house survey in their respected districts examining the children and gathering a standardized set of data variables. Children with abnormal vision or ocular signs were then further examined by pediatric ophthalmologists. A total of 10950 children aged 0-10 years (5403 from Terai, 3204 from the hills, 2343 from the mountains) were enrolled in the study. However 681 (6.2%) were non responders. The male to female ratio was 1.03. The overall prevalence of ocular morbidity was 3.7% (95% CI of 3.4%-4%) and blindness was 0.07% (95% CI of 0.02%-0.12%). Ocular morbidity was more prevalent in the mountain region whereas blindness was more prevalent in the Terai region.Children from the Terai region were more likely to suffer from congenital ocular anomalies compared to the other regions. Children whose mother smoked, drank alcohol, or was illiterate were significantly afflicted with ocular diseases (p Blindness was more prevalent in children who suffered from a systemic illness. Females and under-nourished children were more likely to have ocular morbidity and blindness. It was found that childhood blindness was more prevalent in the Terai region, the undernourished, females and in those with co-morbid systemic illnesses. This study strongly suggests that prevention of childhood

Gaddi Buffalo: An Indigenous Breed of Far-Western Nepal

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T.M. Raj

2010-02-01

Full Text Available A study on indigenous Gaddi buffalo of far-western region of Nepal was conducted to understand the production parameters and husbandry practices intending to make future strategy for improvement. The breed is well known in the far-western districts of Nepal and adapted in hills and mountains of the region with diverse climatic conditions. Among 3 identified buffalo breeds (Gaddi, Lime and Parkote and one under study (Terai, Gaddi was found morphologically larger (p<0.01 and docile in temperament. Major population of Gaddi was found to be black in color and some brown and light brown. Morphologically, it looks like Indian Murrah, however white round patch on the middle of forehead and tuft of the tail, and semi-curved horn shape are the distinguished characters. The average ages at puberty, first calving and calving interval was 3.8, 5.7 and 2.0 years respectively. Lactation length varied from 14 to 22 months and milk yield from 2.5 to 5.5 liters/day. Major problems recorded were lack of pure breeding bulls, negative selection, feed scarcity, poor technical know-how and health management. The paper discusses on the overall buffalo management system in the far-western region of Nepal and suggests improvement plan with maximum utilization of locally available farm resources.

Global projects and Astronomy awareness activities in Nepal

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Gautam, Suman

2015-08-01

Modern astronomy is a crowning achievement of human civilization which inspires teenagers to choose career in science and technology and is a stable of adult education. It is a unique and cost effective tool for furthering sustainable global development because of its technological, scientific and cultural dimensions which allow us to reach with the large portion of the community interact with children and inspire with our wonderful cosmos.Using astronomy to stimulate quality and inspiring education for disadvantaged children is an important goal of Nepal Astronomical Society (NASO) since its inception. NASO is carrying out various awareness activities on its own and in collaboration with national and international organizations like Central Department of Physics Tribhuvan University (TU), International astronomical Union (IAU), Department of Physics Prithvi Narayan Campus Pokhara, Nepal academy of science and technology (NAST), Global Hands on Universe (GHOU), EU- UNAWE and Pokhara Astronomical Society (PAS) to disseminate those activities for the school children and teachers in Nepal. Our experiences working with kids, students, teachers and public in the field of universe Awareness Activities for the school children to minimize the abstruse concept of astronomy through some practical approach and the project like Astronomy for the visually impaired students, Galileo Teacher Training program and International School for young astronomers (ISYA) outskirts will be explained which is believed to play vital role in promoting astronomy and space science activities in Nepal.

Yield Evaluation of Nutrient-rich Potato Clones in High Hill of Nepal

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Binod Prasad Luitel

2017-05-01

Full Text Available A study was conducted to evaluate the yield of nutrient-rich potato clones in high-hill districts: Dolakha and Jumla of Nepal during the years 2013 and 2014, respectively. Fourteen potato clones were tested as on-station and on-farm experiments at both districts, and those fourteen clones were compared to ‘Lady Rosita’ and ‘Jumli Local’ respectively as the check varieties in the first year experiment, 2013. Eight promising clones were selected from the first year experiment, and were evaluated and compared with same local varieties in the consecutive year, 2014. Two clones namely; CIP 395112.32 (19.3 tha-1 and CIP 393073.179 (17.8 tha-1 exhibited superior marketable tuber yield than that of ‘Lady Rosita’(14.2 tha-1 in Dolakha and five CIP clones namely; 395112.32 (25.5 tha-1, 393073.179 (22.5 tha-1, 394611.112 (20.9 tha-1, 390478.9 (19.9 tha-1 and 395017.229 (17.0 tha-1 showed higher marketable tuber yield than ‘Jumli Local’(14.5 tha-1. Based on two years’ phenotypic and tuber yield result, clones CIP 395112.32 and CIP 393073.179 are recommended to potato growers at high hills of Nepal for commercial cultivation.

Barriers and facilitators to institutional delivery in rural areas of Chitwan district, Nepal: a qualitative study.

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Shah, Rajani; Rehfuess, Eva A; Paudel, Deepak; Maskey, Mahesh K; Delius, Maria

2018-06-20

Giving birth assisted by skilled care in a health facility plays a vital role in preventing maternal deaths. In Nepal, delivery services are free and a cash incentive is provided to women giving birth at a health facility. Nevertheless, about half of women still deliver at home. This study explores socio-cultural and health service-related barriers to and facilitators of institutional delivery. Six village development committees in hill and plain areas were selected in Chitwan district. We conducted a total of 10 focus group discussions and 12 in-depth-interviews with relevant stakeholder groups, including mothers, husbands, mothers-in-law, traditional birth attendants, female community health volunteers, health service providers and district health managers. Data were analyzed inductively using thematic analysis. Three main themes played a role in deciding the place of delivery, i.e. socio-cultural norms and values; access to birthing facilities; and perceptions regarding the quality of health services. Factors encouraging an institutional delivery included complications during labour, supportive husbands and mothers-in-law, the availability of an ambulance, having birthing centres nearby, locally sufficient financial incentives and/or material incentives, the 24-h availability of midwives and friendly health service providers. Socio-cultural barriers to institutional deliveries were deeply held beliefs about childbirth being a normal life event, the wish to be cared for by family members, greater freedom of movement at home, a warm environment, the possibility to obtain appropriate "hot" foods, and shyness of young women and their position in the family hierarchy. Accessibility and quality of health services also presented barriers, including lack of road and transportation, insufficient financial incentives, poor infrastructure and equipment at birthing centres and the young age and perceived incompetence of midwives. Despite much progress in recent years, this

Absorptive Capacity: A Conceptual Framework for Understanding District Central Office Learning

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Farrell, Caitlin C.; Coburn, Cynthia E.

2017-01-01

Globally, school systems are pressed to engage in large-scale school improvement. In the United States and other countries, school district central offices and other local governing agencies often engage with external organizations and individuals to support such educational change efforts. However, initiatives with external partners are not…

An Assessment of Physicochemical Parameters of Selected Industrial Effluents in Nepal

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Abhinay Man Shrestha

2017-01-01

Full Text Available It is a well-known fact that the effluents released from the industries and environmental degradation go hand in hand. With the ongoing global industrialization this problem has been further aggravated. As such, Nepal is no exception. Hundreds of industries are being registered in the country annually which inevitably brings the issues regarding environmental pollution. This study has been conducted with samples of wastewater from 5 different industrial sites in 4 districts of Nepal, namely, Makwanpur, Sunsari, Morang, and Kathmandu, among which two were Waste Water Treatment Plants which treated the combined effluents collected from various sources. The other three sites were from wires and cables industry, paint manufacturing industry, and plastic cutting industry. The physicochemical parameters analysed were pH, temperature, conductivity, turbidity, and Cu, Cr, SO42-, and PO43- levels. Possible onsite measurements were recorded using portable, handheld devices whereas other parameters were assessed in the laboratory. The observed parameter levels in the collected samples were compared against the available Nepal national standards for industrial effluents and in the absence of standards for industrial effluents, with other relevant standard levels. Most of the parameters analysed were within the permissible limits with the exception of pH and Cr levels in some sites.

Halfway up the highway: Can Nepal meet its Health Millennium Development Goals?

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Abhinav Vaidya

2009-01-01

Full Text Available The Millennium Development Goals (MDGs are international objectives on poverty reduction adopted by the world community and provide the broad context for this revolution in thinking and practice. The MDGs place a central focus on public health, in recognition of the fact that improvements in public health are vital not only in their own right but also to break the poverty trap of the world's poorest economies. Nepal has been committed to achieving the MDGs since it endorsed the Millennium Declaration. As we have at present just passed the midway through the 15 years to MDGs deadline of 2015, this article reviews the status of Nepal in achieving the MDGs, the challenges it faces and whether it can achieve the MDGs by 2015. Key words: development, goals, health, millennium, Nepal

Impact of mass media on the utilization of antenatal care services among women of rural community in Nepal.

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Acharya, Dilaram; Khanal, Vishnu; Singh, Jitendra Kumar; Adhikari, Mandira; Gautam, Salila

2015-08-12

Antenatal care has several benefits for expecting mothers and birth outcomes; yet many mothers do not utilise this service in Nepal. Mass media may play an important role in increasing the use of antenatal care and other maternal health services. However, the effect of mass media on increasing health service utilisation has remained an under studied area in Nepal. The aim of this study was to investigate the impact of mass media on the utilisation of antenatal care services in rural Nepal. A community-based cross-sectional study was conducted in Sinurjoda Village Development Committee of Dhanusha District, Nepal. A total of 205 mothers of children aged under 1 year were selected using systematic random sampling. Logistic regression was employed to examine the association between selected antenatal care services and mass media exposure after adjusting for other independent variables. A majority of mothers were exposed to mass media. Radio was accessible to most (60.0%) of the participants followed by television (43.41%). Mothers exposed to mass media were more likely to attending antenatal visits [Odds ratio (OR) 6.28; 95% CI (1.01-38.99)], taking rest and sleep during pregnancy [OR 2.65; 95% CI (1.13-6.26)], and receiving TT immunization [OR 5.12; 95% CI (1.23-21.24)] than their non-exposed counterparts. The study reported a positive influence of mass media on the utilisation of antenatal care services in Nepal. Therefore, further emphasis should be given to increase awareness of women of rural Nepal through mass media to improve utilisation of antenatal care services in Nepal.

Linking Attitudes, Policy, and Forest Cover Change in Buffer Zone Communities of Chitwan National Park, Nepal

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Stapp, Jared R.; Lilieholm, Robert J.; Leahy, Jessica; Upadhaya, Suraj

2016-06-01

Deforestation in Nepal threatens the functioning of complex social-ecological systems, including rural populations that depend on forests for subsistence, as well as Nepal's biodiversity and other ecosystem services. Nepal's forests are particularly important to the nation's poorest inhabitants, as many depend upon them for daily survival. Two-thirds of Nepal's population relies on forests for sustenance, and these pressures are likely to increase in the future. This, coupled with high population densities and growth rates, highlights the importance of studying the relationship between human communities, forest cover trends through time, and forest management institutions. Here, we used surveys to explore how household attitudes associated with conservation-related behaviors in two rural communities—one that has experienced significant forest loss, and the other forest gain—compare with forest cover trends as indicated by satellite-derived forest-loss and -regeneration estimates between 2005 and 2013. Results found a significant difference in attitudes in the two areas, perhaps contributing to and reacting from current forest conditions. In both study sites, participation in community forestry strengthened support for conservation, forest conservation-related attitudes aligned with forest cover trends, and a negative relationship was found between economic status and having supportive forest conservation-related attitudes. In addition, on average, respondents were not satisfied with their district forest officers and did not feel that the current political climate in Nepal supported sustainable forestry. These findings are important as Nepal's Master Plan for the Forestry Sector has expired and the country is in the process of structuring a new Forestry Sector Strategy.

Linking Attitudes, Policy, and Forest Cover Change in Buffer Zone Communities of Chitwan National Park, Nepal.

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Stapp, Jared R; Lilieholm, Robert J; Leahy, Jessica; Upadhaya, Suraj

2016-06-01

Deforestation in Nepal threatens the functioning of complex social-ecological systems, including rural populations that depend on forests for subsistence, as well as Nepal's biodiversity and other ecosystem services. Nepal's forests are particularly important to the nation's poorest inhabitants, as many depend upon them for daily survival. Two-thirds of Nepal's population relies on forests for sustenance, and these pressures are likely to increase in the future. This, coupled with high population densities and growth rates, highlights the importance of studying the relationship between human communities, forest cover trends through time, and forest management institutions. Here, we used surveys to explore how household attitudes associated with conservation-related behaviors in two rural communities-one that has experienced significant forest loss, and the other forest gain-compare with forest cover trends as indicated by satellite-derived forest-loss and -regeneration estimates between 2005 and 2013. Results found a significant difference in attitudes in the two areas, perhaps contributing to and reacting from current forest conditions. In both study sites, participation in community forestry strengthened support for conservation, forest conservation-related attitudes aligned with forest cover trends, and a negative relationship was found between economic status and having supportive forest conservation-related attitudes. In addition, on average, respondents were not satisfied with their district forest officers and did not feel that the current political climate in Nepal supported sustainable forestry. These findings are important as Nepal's Master Plan for the Forestry Sector has expired and the country is in the process of structuring a new Forestry Sector Strategy.

Nepal : tous les projets | Page 4 | CRDI - Centre de recherches pour ...

International Development Research Centre (IDRC) Digital Library (Canada)

Région: Bangladesh, India, Nepal, Central Asia, Far East Asia, South Asia, Bhutan ... NUTRITION, WATER QUALITY, WATER BORNE DISEASES, PESTICIDES ... de préservation de la biodiversité, d'amélioration des cultures et de gestion des ...

Health federalism: the role of health care professionals in Nepal.

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Dulal, R K

2009-01-01

Nepal has entered from its unitary system into a new "Federal Democratic Republic State". The current constitution presents basic health care services as a fundamental right. The Ministry for Health and Population has been providing resources to meet health demands, but managers are wrestling to meet these demands. Persistent disparities between rural and urban and across regions resulted inferior health outcomes, e.g., life expectancy in an urban district like Bhaktapur is 71 years, whereas in the rural district of Mugu it is 44 years. The poor health and poor access to health care in the past systems prompted people to seek a different model. Ultimately, all political parties except one have agreed on federalism. The exact number of federal states that are going to be created is unknown. In federalism, all federated states have to assume certain relationships between the locality, the region, and the nation that apply not only in politics but in health care too. Managing changes in health care organization during the transitional period and after restructuring the unitary Nepal into federal states should be carefully planned. In case, if new system also fails to deliver necessary health care services, the possibility of igniting of dissatisfaction, public unrest and even disintegration cannot be ignored. In order to outline a structure and give life to a health care system under federalism, health care professionals need to engage themselves seriously.

Determinants of severe acute malnutrition among children under 5 years of age in Nepal: a community-based case-control study.

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Pravana, Nilesh Kumar; Piryani, Suneel; Chaurasiya, Surendra Prasad; Kawan, Rasmila; Thapa, Ram Krishna; Shrestha, Sumina

2017-08-28

Malnutrition is one of the leading causes of morbidity and mortality among children under the age of 5 years in low and middle income countries like Nepal. Children with severe acute malnutrition (SAM) are nine times more likely to die than children without malnutrition. The prevalence of SAM has increased in Nepal over the past 15 years; however, the determinants of SAM have not been clearly assessed in the country. To assess the determinants of SAM among children aged 6-59 months in the Bara district of Nepal. A community-based case-control study was conducted in 12 randomly selected Village Development Committees (VDCs) of the Bara district of Nepal. A random sample of 292 children aged 6-59 months (146 as cases and 146 as controls) from 12 VDCs were included in this study. The prevalence of SAM among children under the age of 5 years was 4.14%. The following factors were significantly associated with SAM: low socioeconomic status (adjusted odds ratio (AOR) 17.13, 95% CI 5.85 to 50.13); mother's age at birth 35 years (AOR 3.21, 95% CI 1.30 to 7.94); birth interval children. A multi-sector approach is essential to address SAM. There is a need for further studies not only focusing on SAM but also moderate acute malnutrition. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Geographical heterogeneity and inequality of access to improved drinking water supply and sanitation in Nepal.

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He, Wen-Jun; Lai, Ying-Si; Karmacharya, Biraj M; Dai, Bo-Feng; Hao, Yuan-Tao; Xu, Dong Roman

2018-04-02

Per United Nations' Sustainable Development Goals, Nepal is aspiring to achieve universal and equitable access to safe and affordable drinking water and provide access to adequate and equitable sanitation for all by 2030. For these goals to be accomplished, it is important to understand the country's geographical heterogeneity and inequality of access to its drinking-water supply and sanitation (WSS) so that resource allocation and disease control can be optimized. We aimed 1) to estimate spatial heterogeneity of access to improved WSS among the overall Nepalese population at a high resolution; 2) to explore inequality within and between relevant Nepalese administrative levels; and 3) to identify the specific administrative areas in greatest need of policy attention. We extracted cluster-sample data on the use of the water supply and sanitation that included 10,826 surveyed households from the 2011 Nepal Demographic and Health Survey, then used a Gaussian kernel density estimation with adaptive bandwidths to estimate the distribution of access to improved WSS conditions over a grid at 1 × 1 km. The Gini coefficient was calculated for the measurement of inequality in the distribution of improved WSS; the Theil L measure and Theil T index were applied to account for the decomposition of inequality. 57% of Nepalese had access to improved sanitation (range: 18.1% in Mahottari to 100% in Kathmandu) and 92% to drinking-water (range: 41.7% in Doti to 100% in Bara). The most unequal districts in Gini coefficient among improved sanitation were Saptari, Sindhuli, Banke, Bajura and Achham (range: 0.276 to 0.316); and Sankhuwasabha, Arghakhanchi, Gulmi, Bhojpur, Kathmandu (range: 0.110 to 0.137) among improved drinking-water. Both the Theil L and Theil T showed that within-province inequality was substantially greater than between-province inequality; while within-district inequality was less than between-district inequality. The inequality of several districts was

Study on Nutritional Problems in Preschool Aged Children of Kaski District of Nepal

OpenAIRE

Acharya, J.; Van Teijlingen, Edwin; Murphy, Jane; Hind, Martin

2015-01-01

bstract Undernutrition remains a key public health burden in Nepal. This study aimed to measure knowledge, attitudes, and beliefs about nutritious food amongst mothers of 3 – 5 year olds from rural and urban areas. A cross-sectional mixed-methods approach comprised a quantitative survey and qualitative focus groups. The community-based survey included 524 mothers of children who are no longer breastfed. Open-ended and structured questions investigated knowledge, beliefs and attitudes about nu...

Providing palliative care in rural Nepal: Perceptions of mid-level health workers

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Rajesh N Gongal

2018-01-01

Full Text Available Introduction: Nepal is beginning to develop palliative care services across the country. Most people live in rural areas, where the Mid-Level Health Workers (MHWs are the major service providers. Their views on providing palliative care are most important in determining how the service is organized and developed.Aim: This study aims to ascertain the perceptions of MHWs about palliative care in their local community, to inform service development.Methods: A> qualitative descriptive design, using focus group discussions, was used to collect data from a rural district of Makwanpur, 1 of the 75 districts of Nepal. Twenty-eight MHWs participated in four focus group discussions. The data were analyzed using content analysis.Result: Four themes emerged from the discussion: (i suffering of patients and families inflicted by life-threatening illness, (ii helplessness and frustration felt when caring for such patients, (iii sociocultural issues at the end of life, and (iv improving care for patients with palliative care needs.Conclusion: MHWs practicing in rural areas reported the suffering of patients inflicted with life-limiting illness and their family due to poverty, poor access, lack of resources, social discrimination, and lack of knowledge and skills of the health workers. While there are clear frustrations with the limited resources, there is a willingness to learn among the health workers and provide care in the community.

An Exploration of Supply Chain Management Practices in the Central District Municipality

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Ambe, I. M.

2009-01-01

The main objective of the paper is to explore supply chain management practices in the Central District Municipality, North West province of South Africa, using the grounded theory methodology. Supply chain management was introduced in the South African public sector to alleviate deficiencies related to governance, interpretation and…

CATS Household Travel Survey, Volume One: Documentation for the Chicago Central Business District

Science.gov (United States)

1989-09-01

This report contains descriptions of the surveying concepts, the editing and : coding logic, the data base structure, several summary tables and the data base : for the Chicago Central Business District. Also, because the data at this time : are unfa...

Medicinal plant diversity and traditional healing practices in eastern Nepal.

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Shrestha, Nawal; Shrestha, Saugat; Koju, Laxmi; Shrestha, Krishna Kumar; Wang, Zhiheng

2016-11-04

The rich floral and ethnic composition of eastern Nepal and the widespread utilization of locally available medicinal plants offer remarkable opportunity for ethnomedicinal research. The present paper aims to explore medicinal plant diversity and use in the remote villages of eastern Nepal. It also aims to evaluate ethnopharmacological significance of the documented use reports and identify species of high indigenous priority. The study was undertaken in four villages located in the Sankhuwasabha district in eastern Nepal. Ethnomedicinal information was collected through structured interviews. The homogeneity of informant's knowledge and the relative importance of documented medicinal plants were validated by informant consensus factor and use value, respectively. Species preference for treatment of particular diseases was evaluated through fidelity level. We reported medicinal properties of 48 species belonging to 33 families and 40 genera, for the treatment of 37 human ailments. The uses of 10 medicinal plants were previously undocumented. The informant consensus factor (F IC ) ranged between 0.38 and 1 with about 50% of values greater than 0.80 and over 75% of values greater than 0.70, indicating moderate to high consensus among the informants on the use of medicinal plants in the region. Swertia chirayita was the most preferred species with significantly high use values, followed by Paris polyphylla and Neopicrorhiza scrophulariiflora. The remote villages in eastern Nepal possess rich floral and cultural diversity with strong consensus among informants on utilization of plants for local healthcare. The direct pharmacological evidence for medicinal properties of most species indicates high reliability of documented information. Careful and systematic screening of compounds isolated from these plants could possibly provide good opportunity for the discovery of novel medicines to treat life-threatening human diseases. We recommend prioritization of medicinal

Spatial analysis and statistical modelling of snow cover dynamics in the Central Himalayas, Nepal

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Weidinger, Johannes; Gerlitz, Lars; Böhner, Jürgen

2017-04-01

General circulation models are able to predict large scale climate variations in global dimensions, however small scale dynamic characteristics, such as snow cover and its temporal variations in high mountain regions, are not represented sufficiently. Detailed knowledge about shifts in seasonal ablation times and spatial distribution of snow cover are crucial for various research interests. Since high mountain areas, for instance the Central Himalayas in Nepal, are generally remote, it is difficult to obtain data in high spatio-temporal resolutions. Regional climate models and downscaling techniques are implemented to compensate coarse resolution. Furthermore earth observation systems, such as MODIS, also permit bridging this gap to a certain extent. They offer snow (cover) data in daily temporal and medium spatial resolution of around 500 m, which can be applied as evaluation and training data for dynamical hydrological and statistical analyses. Within this approach two snow distribution models (binary snow cover and fractional snow cover) as well as one snow recession model were implemented for a research domain in the Rolwaling Himal in Nepal, employing the random forest technique, which represents a state of the art machine learning algorithm. Both bottom-up strategies provide inductive reasoning to derive rules for snow related processes out of climate (temperature, precipitation and irradiance) and climate-related topographic data sets (elevation, aspect and convergence index) obtained by meteorological network stations, remote sensing products (snow cover - MOD10-A1 and land surface temperatures - MOD11-A1) along with GIS. Snow distribution is predicted reliably on a daily basis in the research area, whereas further effort is necessary for predicting daily snow cover recession processes adequately. Swift changes induced by clear sky conditions with high insolation rates are well represented, whereas steady snow loss still needs continuing effort. All

Uterine prolapse prevention in Eastern Nepal: the perspectives of women and health care professionals

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Radl CM

2012-07-01

Full Text Available Christina M Rad,l Ranjita Rajwar, Arja R AroUniversity of Southern Denmark, Esbjerg, DenmarkAbstract: Uterine prolapse is a major reproductive health issue in Nepal. There is a wide range of literature available on the causes and risk factors of uterine prolapse and on the ways to prevent and treat it. There is still a lack of published evidence on what prevention and treatment services are working well or the attitudes toward them. This paper presents the findings of a qualitative study on primary and secondary prevention of uterine prolapse in Eastern Nepal.Method: The study involved eight focus group discussions with 71 women in six villages of the eastern districts of Siraha and Saptari and 14 qualitative interviews with health professionals from the local to central level. The group discussions and interviews covered the awareness levels of uterine prolapse and its prevention and treatment, as well as participants' opinions on and experiences with the services offered.Results: It was found that patriarchy, gender discrimination, and cultural traditions such as early marriage and pregnancy make it difficult for people to discontinue uterine prolapse risk behaviors. Women are aware of risk factors, prevention, and treatment, but are powerless to change their situations. Health professionals and women are fond of surgery as treatment, but opinions on the use of ring pessaries and pelvic floor muscle training are split.Conclusion: The main recommendation that can be drawn from this study is that research on the effectiveness of early treatments, such as ring pessaries and exercise, should be conducted. Furthermore, the involvement of other target groups (husbands, adolescents, and mothers-in-law needs to be increased in order to make it easier for women to adapt low-risk behaviors. Finally, uterine prolapse prevention should be better integrated in national reproductive health services. Enforcing transparency, monitoring systems, and

Genotype × environment interaction of quality protein maize grain yield in Nepal

OpenAIRE

Jiban Shrestha; Chitra Bahadur Kunwar; Jharana Upadhyaya; Maiya Giri; Ram Bahadur Katuwal; Ramesh Acharya; Suk Bahadur Gurung; Bhim Nath Adhikari; Amrit Prasad Paudel; Ram Babu Paneru

2016-01-01

In order to determine G × E interaction of quality protein maize grain yield, six maize genotypes were evaluated under different environments of three Terai (Chitwan, Surkhet and Doti) and four mid hill (Dhankuta, Lalitpur, Dolakha and Kaski) districts of Nepal during summer seasons of 2014 and 2015. The experiments were conducted using randomized complete block design along with three replications. The genotypes namely S99TLYQ-B, S99TLYQ-HG-AB and S03TLYQ-AB-01 were identified high yielding ...

25 years after Vi typhoid vaccine efficacy study, typhoid affects significant number of population in Nepal.

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Deepak Bajracharya

Full Text Available Salmonella Typhi, first isolated in 1884, results in infection of the intestines and can end in death and disability. Due to serious adverse events post vaccination, whole cell killed vaccines have been replaced with new generation vaccines. The efficacy of Vi polysaccharide (ViPS vaccine, a new generation, single-dose intramuscular typhoid vaccine was assessed in Nepal in 1987. However, despite the availability of ViPS vaccine for more than 25 years, Nepal has one of the highest incidence of typhoid fever. Therefore we collected information from hospitals in the Kathmandu Valley from over the past five years. There were 9901 enteric fever cases between January 2008 and July 2012. 1,881 of these were confirmed typhoid cases from five hospitals in the Kathmandu district. Approximately 70% of the cases involved children under 15 years old. 1281 cases were confirmed as S. Paratyphi. Vaccines should be prioritized for control of typhoid in conjunction with improved water and sanitation conditions in Nepal and in endemic countries of Asia and Africa.

Involving diaspora and expatriates as human resources in the health sector in Nepal.

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Devkota, A; Devkota, B; Ghimire, J; Mahato, R K; Gupta, R P; Hada, A

2013-05-01

Health professional mobility has increased in the recent years and is one of the public health concerns in the developing countries including Nepal. On the other hand, we can't ignore a positive shift of Nepali diaspora coming back to Nepal for some work related projects. The objective of this study was thus to estimate the number of Nepalese Diaspora and foreign expatriate those are coming to Nepal and explore the ways and process of their engagement in the health sector of Nepal. Mixed method was used. In total, 13 Key Informant Interviews were conducted at the central level along with record review from professional councils. Nepalese Diasporas mainly come through Diaspora Volunteering Organizations, Non Resident Nepali Association and personal connections to the place of their origin. Nepalese Diasporas have supported as health specialists, health camps and project organizers, trainer and hospital promoters, supplier of equipment including ambulances etc. The Nepalese Diasporas are unrecorded with professional organizations such as NMC and NHPC. As such the real status and results of support from Nepalese Diaspora are not known. Overall, 5,120 foreign medical professionals have served to Nepal through NMC followed by 739 nursing professionals through NNC and 189 paramedical staff through NHPC as of 2012. Systematic information on number and characteristics of the Nepalese Diaspora and their role in the health sector of Nepal is limited. The health professional bodies have some record systems but they lack uniformity and systematic process.

Impacts of the 2016 outburst flood on the Bhote Koshi River valley, central Nepal

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Cook, Kristen; Andermann, Christoff; Gimbert, Florent; Hovius, Niels; Adhikari, Basanta

2017-04-01

The central Nepal Himalaya is a region of rapid erosion where fluvial processes are largely driven by the annual Indian Summer Monsoon, which delivers up to several meters of precipitation each year. However, the rivers in this region are also subject to rare catastrophic floods caused by the sudden failure of landslide or moraine dams. Because these floods happen rarely, it has been difficult to isolate their impact on the rivers and adjacent hillslopes, and their importance for the long-term evolution of Himalayan rivers is poorly constrained. On the 5th of July, 2016, the Bhote Koshi River in central Nepal was hit by a glacial lake outburst flood (GLOF). The flood passed through a seismic and hydrological observatory installed along the river in June 2015, and we have used the resulting data to constrain the timing, duration, and bedload transport properties of the outburst flood. The impact of the flood on the river can be further observed with hourly time-lapse photographs, daily measurements of suspended sediment load, repeat lidar surveys, and satellite imagery. Overall, our observatory data span two monsoon seasons, allowing us to evaluate the impacts of the outburst flood relative to the annual monsoon flood. The outburst flood affected the river on several timescales. In the short term, it transported large amounts of coarse sediment and restructured the river bed during the hours of the flood pulse itself. Over intermediate timescales it resulted in elevated bedload and suspended load transport for several weeks following the flood. Over longer timescales the flood undercut and destabilized the river banks and hillslopes in a number of locations, leading to bank collapses, slumps, and landslides. We map changes in the channel and associated mass wasting using rapidEye imagery from Oct. 2015 and Oct. 2016. We also use repeat terrestrial lidar scans to quantify the magnitude of change in multiple locations along the river channel and to measure bank

Urban air quality of kathmandu valley "Kingdom of Nepal"

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Sharma, C. K.

The oval shaped tectonic basin of Kathmandu valley, occupying about 656 sq.km is situated in the middle sector of Himalayan range. There are three districts in the valley, i.e. Kathmandu, Lalitpur and Bhaktapur. Out of the three, the most populated is Kathmandu city (the capital of Kingdom of Nepal) which has a population of 668,00 in an area of approximately 50 km 2. The energy consumption of the city population is about 1/3 of the total import to Nepal of gasoline, diesel, kerosene, furnace oil and cooking gas. This has resulted heavy pollution of air in the city leading to bronchitis, and throat and chest diseases. Vehicles have increased several fold in recent months and there are 100,000 in number on the road and they have 900 km of road, out of which only 25% is metalled. Most of the two and three wheelers are polluting the air by emission of gases as well as dust particulate. SO 2 has been found to go as high as 202 μg cm -3 and NO 2 to 126 μg cm -3 particularly in winter months when a thick layer of fog covers the valley up to 10 am in the morning. All the gases are mixed within the limited air below the fog and the ground. This creates the problem. Furthermore, municipal waste of 500 m 3 a day and also liquid waste dumped directly into the Bagmati river at the rate of 500,000 ℓ d -1 makes the city ugly and filthy. Unless pollution of air, water and lard are controlled in time, Nepal will lose much of its foreign exchange earnings from the tourist industry. It is found that tourist arrivals have considerably reduced in recent years and most of hotels occupancy is 50-60% in peak time. Nepal is trying to introduce a legal framework for pollution control but it will take time to become effective.

Geomorphic impacts, age and significance of two giant landslide dams in the Nepal Himalayas: Ringmo-Phoksundo (Dolpo District) and Dhampu-Chhoya (Mustang District).

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Fort, Monique; Braucher, Regis; Bourlès, Didier; Guillou, Valery; Nath Rimal, Lila; Gribenski, Natacha; Cossart, Etienne

2014-05-01

Large catastrophic slope failures have recently retained much attention in the northern dry Himalayas (1). They play a prominent role in the denudation history of active orogens at a wide range of spatial and time scales (2), and they impact durably landforms and process evolution in upstream catchments. Their occurrence mostly results from three different potential triggers: earthquakes, post-glacial debuttressing, and permafrost melting. We focus on two examples of giant rock slope failures that occurred across and north of the Higher Himalaya of Nepal and assess their respective influence on the regional, geomorphic evolution. The Ringmo rockslide (4.5 km3) results from the collapse of a mountain wall (5148 m) cut into palaeozoic dolomites of the Tethysian Himalayas. It caused the damming of the Suli Gad River at the origin of the Phoksumdo Lake (3600 m asl). The presence of glacial till at the very base of the sequence suggests the rockslide event is post-glacial, a field assumption confirmed by cosmogenic dating. Two consistent 36Cl ages of 20,885 ±1675 argue for a single, massive event of paraglacial origin that fits well with the last chronologies available on the Last Glacial Maximum in the Nepal Himalaya. The persistence of the Phoksumdo Lake is due to its dam stability (i.e. high lime content of landslide components) and to low sediment flux from the arid, upper Suli Gad catchment. The Dhampu-Chhoya rock avalanche (about 1 km3, area extent 10 km2) was derived from the northward failure of the Kaiku ridge, uphold by north-dipping, upper crystallines of the Higher Himalaya. It dammed the Kali Gandaki River, with complex interactions with the Late Pleistocene ice tongues derived from the Dhaulagiri (8167 m) and Nilgiris (7061 m) peaks. Both the rock avalanche and glaciers controlled the existence and level of the "Marpha Lake" (lacustrine deposits up to Kagbeni). Again, consistent 10Be ages of 29,680 ± 1015 ka obtained from two large blocks (>1000 m3

Development of leadership self-efficacy and collective efficacy: adolescent girls across castes as peer educators in Nepal.

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Posner, J; Kayastha, P; Davis, D; Limoges, J; O'Donnell, C; Yue, K

2009-01-01

Adolescent girls in Nepal face enormous social barriers to accessing education and health services due to exclusionary socio-religious traditions and years of conflict. The programme and study reported here address two issues that a national assembly of in-school and out-of-school adolescent girls, who had completed a basic life skills class, and, in the case of unschooled girls, an intensive literacy course, identified as important to their well-being - menstrual restrictions and HIV awareness and prevention. Local non-governmental organizations developed a peer education programme in three districts of Nepal that paired girls from different castes and different educational levels. The programme sought to increase peer educators' (PE) leadership and collective efficacy for informing peers and adults in their communities about the effects that these issues have on women and girls. In total, 504 girls were selected and trained as PEs. They conducted targeted discussion sessions with other girls and organised mass awareness events, reaching 20,000 people. Examination of the effects of participating in the programme on key outcome measures showed that leadership self-efficacy, which was a central theoretical construct for the programme, provided a strong predictor of both increased HIV knowledge and of practicing fewer menstrual restrictions at endline. The project demonstrated that girls from different caste and educational backgrounds are able to work together to change individual behaviour and to address socio-cultural norms that affect their lives and well-being within their communities.

An overview of bacterial diseases of the most important agricultural crops in Nepal

OpenAIRE

Lamichhane, Jay Ram; Balestra, Giorgio M.; Mazzaglia, Angelo; Kshetri, MB; Varvaro, Leonardo

2011-01-01

Several surveys were carried out during three consecutive years (2007-2009) on the major crops cultivated in different districts of Nepal, in order to verify the possible presence of diseases caused by bacteria. The monitoring was carried out twice a year, in spring and autumn. During the survey we observed a wide range of bacterial diseases of plants. Most of the diseases were observed for the first time while others had been reported previously. Among the bacterial diseases observed for the...

Pattern of occurrence of leukemia at a teaching hospital in eastern region of Nepal - a six year study.

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Kulshrestha, R; Sah, S P

2009-01-01

Pattern of leukemia is known to vary widely throughout the world. The characterization of distribution patterns of different subtypes of leukemia in Nepal needs further study. We wanted to study the leukemia pattern in our institute. A retrospective study of 196 cases of leukemia, diagnosed at BPKIHS, between January 1997 to December 2002 was done. We analyzed the pattern of leukemia at BPKIHS by morphological subtype, gender, age at diagnosis, time period of diagnosis (seasonality), and geographic distribution. Morphological sub typing showed that 121 cases were of acute leukemia and 75 of chronic leukemia. Chronic myeloid leukemia constituted the single largest group comprising 35.2 % of all cases, followed by acute myeloid leukemia (28.57 %) and acute lymphoid leukemia (19.9 %). Maximum numbers of cases were from the lowlands while least number of cases were from the mountain districts. Results were compared with literature from Nepal and other countries. This is the second series of leukemia from Nepal. The data published in this study reflects the leukemia pattern in the eastern region of Nepal. The pattern and distribution of AML, CML, ALL was similar to that in the developed western countries while the lesser frequency of CLL was similar to that in Southeast Asian region.

Population structure, behavior, and current threats to the sarus crane (Grus antigone antigone in Nepal

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Kamal Raj Gosai

2016-09-01

Full Text Available The sarus crane (Grus antigone antigone is listed as “vulnerable” in the International Union for Conservation of Nature (IUCN Red List of Threatened Species. Sarus cranes are distributed in the lowlands, but most live outside protected areas, especially in agricultural areas and wetlands of Nepal. The continuous expansion of agricultural land and the reduction of wetland habitats pose the greatest threats to the conservation of the species. We studied the sarus crane in the Rupandehi District of Nepal to understand their population structure, behavior, and current threats. We used the line (i.e., road transect method from August 2013 to February 2014. The study area contained 147 sarus cranes. Agricultural land and wetland areas contained the highest number of sarus cranes. Our analysis showed that the population of sarus crane in the area has declined since 2007. Most sarus cranes lived in pairs. A single flock contained 13 cranes at maximum. Sarus crane behavior was not significantly different before and after the breeding seasons. Human–sarus crane conflict began when cranes started utilizing agricultural areas. The main threats to the hatching success and survival of sarus cranes in the Rupendehi District are egg theft and the hunting of cranes for meat. The findings of this study establish baseline information on the overall conservation status, habitat availability, and ecological behavior of sarus cranes in the district. We propose regular surveys to monitor sarus crane population levels in the face of multiple anthropogenic threats to their survival.

Relationship between Income-poverty and Food insecurity in Rural Far-western Mid-hills of Nepal

OpenAIRE

Maharjan, Keshav Lall; Joshi, Niraj Prakash

2009-01-01

For the purpose of this study, sample was selected through stratified random sampling from Baitadi district, which falls in rural Far-western Hills of Nepal. Both income and consumption measure of poverty revealed that problem of poverty is more severe in Melauli, which is relatively remote village devoid of transportation, communication, market, and other developmental services. Education, occupation, gender of household head, and family size are found to be the most important factors that a...

Women's empowerment in agriculture and child nutritional status in rural Nepal.

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Cunningham, Kenda; Ploubidis, George B; Menon, Purnima; Ruel, Marie; Kadiyala, Suneetha; Uauy, Ricardo; Ferguson, Elaine

2015-12-01

To examine the association between women's empowerment in agriculture and nutritional status among children under 2 years of age in rural Nepal. Cross-sectional survey of 4080 households conducted in 2012. Data collected included: child and maternal anthropometric measurements; child age and sex; maternal age, education, occupation and empowerment in agriculture; and household size, number of children, religion, caste and agro-ecological zone. Associations between the Women's Empowerment in Agriculture Index (WEAI)'s Five Domains of Empowerment (5DE) sub-index and its ten component indicators and child length-for-age Z-scores (LAZ) and weight-for-length Z-scores (WLZ) were estimated, using ordinary least-squares regression models, with and without adjustments for key child, maternal and household level covariates. Two hundred and forty rural communities across sixteen districts of Nepal. Children under 24 months of age and their mothers (n 1787). The overall WEAI 5DE was positively associated with LAZ (β=0·20, P=0·04). Three component indicators were also positively associated with LAZ: satisfaction with leisure time (β=0·27, Pempowerment in agriculture was associated with WLZ. Women's empowerment in agriculture, as measured by the WEAI 5DE and three of its ten component indicators, was significantly associated with LAZ, highlighting the potential role of women's empowerment in improving child nutrition in Nepal. Additional studies are needed to determine whether interventions to improve women's empowerment will improve child nutrition.

75 FR 15453 - Central Valley Project Improvement Act, Westlands Water District Drainage Repayment Contract

Science.gov (United States)

2010-03-29

... DEPARTMENT OF THE INTERIOR Bureau of Reclamation Central Valley Project Improvement Act, Westlands Water District Drainage Repayment Contract AGENCY: Bureau of Reclamation, Interior. ACTION: Notice of Proposed Repayment Contract. SUMMARY: The Bureau of Reclamation will be initiating negotiations with the...

Future Scope of Community Based Tourism in Nepal

OpenAIRE

Gurung, Sunita

2015-01-01

This Bachelor’s thesis is based on the tourism and community based tourism in Nepal. The purpose of selecting tourism as a main topic is to find out the future scope of CBT in Nepal. Despite having small size, Nepal holds many attractive and adventurous tourist destinations. Nepal is famous from its cultural and traditional diversity, natural beauty, trekking trails, moun-taineering and warm and welcoming hospitality. Tourism in Nepal is undoubtedly the most important source for the econo...

Abortion Incidence and Unintended Pregnancy in Nepal.

Science.gov (United States)

Puri, Mahesh; Singh, Susheela; Sundaram, Aparna; Hussain, Rubina; Tamang, Anand; Crowell, Marjorie

2016-12-01

Although abortion has been legal under broad criteria in Nepal since 2002, a significant proportion of women continue to obtain illegal, unsafe abortions, and no national estimates exist of the incidence of safe and unsafe abortions. Data were collected in 2014 from a nationally representative sample of 386 facilities that provide legal abortions or postabortion care and a survey of 134 health professionals knowledgeable about abortion service provision. Facility caseloads and indirect estimation techniques were used to calculate the national and regional incidence of legal and illegal abortion. National and regional levels of abortion complications and unintended pregnancy were also estimated. In 2014, women in Nepal had 323,100 abortions, of which 137,000 were legal, and 63,200 women were treated for abortion complications. The abortion rate was 42 per 1,000 women aged 15-49, and the abortion ratio was 56 per 100 live births. The abortion rate in the Central region (59 per 1,000) was substantially higher than the national average. Overall, 50% of pregnancies were unintended, and the unintended pregnancy rate was 68 per 1,000 women of reproductive age. Despite legalization of abortion and expansion of services in Nepal, unsafe abortion is still common and exacts a heavy toll on women. Programs and policies to reduce rates of unintended pregnancy and unsafe abortion, increase access to high-quality contraceptive care and expand safe abortion services are warranted.

Factors Affecting Adoption of Recommended Cauliflower Production Technology in Nepal

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Pankaj Raj Dhital

2016-05-01

Full Text Available Binary logit regression model of econometrics was used to identify the factors affecting adoption of recommended agricultural technology by the commercial farmers of Nepal. A survey was carried out in 2012 in 120 households from Kavre district, Nepal. The objective was to appraise factors affecting adoption of recommended technology of cauliflower, finding out the level of adoption, identifying the constraints of cauliflower cultivation, assessing the perceived level of satisfaction and studying the relationship of certain selected variables on the adoption. Education, Occupation, contact with Personal Localite sources of information, Group membership and Experience were the most influencing factors for adoption of recommended technology. Though, other factors were not strong enough to contribute significantly but indirectly influence the adoption decision of farmers as combined effects. Occupation was found as negatively associated. Landholding size was strongly and positively influencing among the non significant factors. The level of satisfaction and the constraints of cauliflower production were also identified. Transfer of technology will be effective if and only if the client adopts the technology. For an effective transfer of technology, it is better to go for activities for the welfare of the socioeconomic factors of the farmers.

Environmental management plan (EMP) for Melamchi water supply project, Nepal.

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Khadka, Ram B; Khanal, Anil B

2008-11-01

More than 1.5 million people live in the Kathmandu valley. The valley is facing an extreme shortage of water supply. At the same time the demand is escalating rapidly. To address this issue of scarcity of water, the government of Nepal has proposed a project of inter-basin transfer of water from Melamchi River located 40 km north-east of the Kathmandu valley. The project will cover two districts and three municipalities and will potentially have significant impacts on the environment. In accordance with the Environmental Protection Regulation of Nepal (1997), the Melamchi Water Supply Project (MWSP) has undergone an EIA during the feasibility study stage of the proposed project. The recommendations contained in the EIA were integrated into the project design for implementation in 2006. This paper summarizes the background of MWSP, the environmental concerns described in the EIA and the status of Environmental Management Plan (EMP) developed to address environmental compliance and other issues involving participation and support of the local people. This paper also provides some lessons to learn on the modalities of addressing the demands and grievances of the local people concerning environmental management.

Mapping Geohazards in the Churia Region of Nepal: An Application of Remote Sensing and Geographic Information Systems

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Bannister, Terri

The Churia region of Nepal is experiencing serious environmental degradation due to landslides, monsoon flooding, land use changes, and gravel excavation. The objectives of this study were to quantify the temporal change of landslides as related to changes in land use/deforestation/urbanization, to quantify the temporal change and extent of river inundation in the Terai, to quantify the extent to which stone quarrying exacerbates the degradation process, and to generate a landslide hazard risk map. Gravel extraction and precipitation data, along with field work and geospatial methods, were used to map degradation by focusing on the centrally located districts of Bara, Rautahat, and Makwanpur. Landsat land use classifications were conducted on imagery from 1976, 1988, 1999, and 2015. A modified Normalized Difference Mid-Infrared (NDMIDIR) algorithm was created by incorporating slope, elevation, and land use types to identify landslide scars. A GIS model using weighted landslide variables derived from remote sensing and GIS methods to predict landslide susceptibility was created. These variables include hydrology, settlement, lithology, geology, precipitation, infrastructure, elevation, slope, aspect, land use, and previous landslides. Gravel excavation in 2007/2008 was nearly 700% higher than in 2001/2002. The Normalized Difference Vegetation Index (NDVI) results showed that the study area is losing 1.03% forest cover annually; in 1977, there was 70% forest cover, but only 32% forest cover remained in 2016. The accuracy assessment of the 2015 Landsat 8 land use classification was 79%. NDMIDIR results showed that from 1988 to 2016, the total area representing landslide scars increased from 7.26km2 to 8.73 km2. The weighted variable GIS model output map indicated that 70% of the Siwalik zone and southern Lesser Himalayan zone in the three study districts have significant risk of landslides. Landslides and flooding from heavy monsoon rain, deforestation to develop

Genotypic Characterization of Human Immunodeficiency Virus Type 1 Derived from Antiretroviral Drug-Treated Individuals Residing in Earthquake-Affected Areas in Nepal.

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Negi, Bharat Singh; Kotaki, Tomohiro; Joshi, Sunil Kumar; Bastola, Anup; Nakazawa, Minato; Kameoka, Masanori

2017-09-01

Molecular epidemiological data on human immunodeficiency virus type 1 (HIV-1) are limited in Nepal and have not been available in areas affected by the April 2015 earthquake. Therefore, we conducted a genotypic study on HIV-1 genes derived from individuals on antiretroviral therapy residing in 14 districts in Nepal highly affected by the earthquake. HIV-1 genomic fragments were amplified from 40 blood samples of HIV treatment-failure individuals, and a sequencing analysis was performed on these genes. In the 40 samples, 29 protease, 32 reverse transcriptase, 25 gag, and 21 env genes were sequenced. HIV-1 subtyping revealed that subtype C (84.2%, 32/38) was the major subtype prevalent in the region, while CRF01_AE (7.9%, 3/38) and other recombinant forms (7.9%, 3/38) were also detected. In addition, major drug resistance mutations were identified in 21.9% (7/32) of samples, indicating the possible emergence of HIV-1 drug resistance in earthquake-affected areas in Nepal.

Scientific publications in Nepal.

Science.gov (United States)

Magar, A

2012-09-01

Scientific publications have become a mainstay of communication among readers, academicians, researchers and scientists worldwide. Although, its existence dates back to 17 th century in the West, Nepal is still struggling to take few steps towards improving its local science for last 50 years. Since the start of the first medical journal in 1963, the challenges remains as it were decades back regarding role of authors, peer reviewers, editors and even publishers in Nepal. Although, there has been some development in terms of the number of articles being published and appearances of the journals, yet there is a long way to go. This article analyzes the past and present scenario, and future perspective for scientific publications in Nepal.

Conservation Strategy for Brown Bear and Its Habitat in Nepal

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Achyut Aryal

2012-08-01

Full Text Available The Himalaya region of Nepal encompasses significant habitats for several endangered species, among them the brown bear (Ursus arctos pruinosus. However, owing to the remoteness of the region and a dearth of research, knowledge on the conservation status, habitat and population size of this species is lacking. Our aim in this paper is to report a habitat survey designed to assess the distribution and habitat characteristics of the brown bear in the Nepalese Himalaya, and to summarize a conservation action plan for the species devised at a pair of recent workshops held in Nepal. Results of our survey showed that brown bear were potentially distributed between 3800 m and 5500 m in the high mountainous region of Nepal, across an area of 4037 km² between the eastern border of Shey Phoksundo National Park (SPNP and the Manasalu Conservation Area (MCA. Of that area, 2066 km² lie inside the protected area (350 km² in the MCA; 1716 km² in the Annapurna Conservation Area and 48% (1917 km² lies outside the protected area in the Dolpa district. Furthermore, 37% of brown bear habitat also forms a potential habitat for blue sheep (or bharal, Pseudois nayaur, and 17% of these habitats is used by livestock, suggesting a significant potential for resource competition. Several plant species continue to be uprooted by local people for fuel wood. Based on the results of our field survey combined with consultations with local communities and scientists, we propose that government and non-government organizations should implement a three-stage program of conservation activities for the brown bear. This program should: (a Detail research activities in and outside the protected area of Nepal; (b support livelihood and conservation awareness at local and national levels; and (c strengthen local capacity and reduce human-wildlife conflict in the region.

Selection and Characterization of Potential Baker's Yeast from Indigenous Resources of Nepal.

Science.gov (United States)

Karki, Tika B; Timilsina, Parash Mani; Yadav, Archana; Pandey, Gyanu Raj; Joshi, Yogesh; Bhujel, Sahansila; Adhikari, Rojina; Neupane, Katyayanee

2017-01-01

The study aims to isolate the yeast strains that could be used effectively as baker's yeast and compare them with the commercial baker's yeast available in the market of Nepal. A total of 10 samples including locally available sources like fruits, Murcha, and a local tree "Dar" were collected from different localities of Bhaktapur, Kavre, and Syangja districts of Nepal, respectively. Following enrichment and fermentation of the samples, 26 yeast strains were isolated using selective medium Wallerstein Laboratory Nutrient Agar. From the differential tests which included morphological and microscopic observation and physiological and biochemical characterization such as nitrate reduction and lactose utilization tests, 8 strains were selected as possible Saccharomyces strain. The selected strains were further assessed for their efficient leavening ability by tests such as ethanol tolerance, osmotolerance, invertase test, and stress exclusion test. The three most potent strains ENG, MUR3B, and SUG1 isolated from grape, Murcha, and sugarcane, respectively, were used in the fermentation and baking of dough. These strains also carried a possibility of being used as industrial baker's yeast.

Socio-economic assessment on maize production and adoption of open pollinated improved varieties in Dang, Nepal

OpenAIRE

Sanjiv Subedi; Yuga Nath Ghimire; Deepa Devkota

2017-01-01

Research was conducted from February to May, 2017 for socioeconomic assessment on maize production and adoption of open pollinated improved maize varieties in Dang district of Nepal. Altogether, 100 samples were taken by simple random sampling from the major maize growing areas and relevant publications were reviewed. Focal Group Discussion and Key Informant Survey were also done. Descriptive statistics, unpaired t-test, probit regression and indexing were used for data analysis using statist...

Tracking health-related Sustainable Development Goals (SDGs in Nepal

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Meghnath Dhimal

2017-07-01

Full Text Available Sustainable Development Goals (SDGs comprise of 17 goals and 169 targets. All SDGs are interlinked to produce synergetic eff ects and emphasize health in all policies. Among the 17 Goals, Goal 3 has a central focus on health, which is underpinned by 13 targets. The other 16 goals are also directly or indirectly related to health and will contribute to achieving the associated targets for Goal 3. The ambitious SDG agenda and their progress can be tracked by measuring numerous goals, targets, and indicators. The main objective of this paper is to provide an overview about how health- related SDGs and their targets and indicators are being tracked in the national context of Nepal. Adequate investment in research for knowledge generation, capacity building and innovation, and continous research communication among policy makers, researchers and external development partners will contribute to tracking the progress of SDGs in Nepal.

Mothers’ beliefs and barriers about childhood diarrhea and its management in Morang district, Nepal

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Ansari Mukhtar

2012-10-01

Full Text Available Abstract Background In developing countries, mothers usually manage diarrhea at home with the pattern of management depending on perceived disease severity and beliefs. The study was carried out with the objective of determining mothers’ beliefs and barriers about diarrhea and its management. Methods Qualitative methods involving two focus group discussions and eight in-depth interviews were used to collect the data. The study was conducted at the following places: Tankisinuwari, Kanchanbari and Pokhariya of Morang district, Nepal during the months of February and March 2010. Purposive sampling method was adopted to recruit twenty mothers based on the inclusion criteria. A semi-structured interview guide was used to conduct the interviews. Written informed consent was obtained from all of the participants before conducting the interviews. The interviews were moderated by the main researcher with the support of an expert observer from Nobel Medical College. The interviews were recorded with the permission of the participants and notes were written by a pre trained note-taker. The recordings were transcribed verbatim. All the transcribed data was categorized and analyzed using thematic content analysis. Results Twenty mothers participated in the interviews and most (80% of them were not educated. About 75% of the mothers had a monthly income of up to 5000 Nepalese rupees (US$ 60.92. Although a majority of mothers believed diarrhea to be due to natural causes, there were also beliefs about supernatural origin of diarrhea. Thin watery diarrhea was considered as the most serious. There was diversity in mothers’ beliefs about foods/fluids and diarrhea management approaches. Similarly, several barriers were noted regarding diarrhea prevention and/or management such as financial weakness, lack of awareness, absence of education, distance from healthcare facilities and senior family members at home. The elderly compelled the mothers to visit

Seroepidemiologic survey of cysticercosis-taeniasis in four central highland districts of Papua, Indonesia.

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Salim, Lidwina; Ang, Agnes; Handali, Sukwan; Tsang, Victor C W

2009-03-01

Cysticercosis and taeniasis are known to be present in Papua, Indonesia. Several small studies have found a high prevalence of cysticercosis (23.5-56.9%) in the central highlands of Papua. A seroepidemiologic survey was carried out in four districts (Jayawijaya, Paniai, Pegunungan Bintang, and Puncak Jaya) of Papua. Anti-cysticercosis and anti-taeniasis antibodies were measured in 2,931 people using recombinant T24 and recombinant ES33 as a measure of cysticercosis and taeniasis exposures, respectively. Prevalence of cysticercosis-taeniasis is high in the Jayawijaya and Paniai districts (20.8% and 29.2% for cysticercosis and 7% and 9.6% for taeniasis, respectively) and lowest in the other two districts (Pegunungan Bintang and Puncak Jaya) (2% and 2% for cysticercosis and 1.7% and 10.7% for taeniasis, respectively). Our data show that the prevalence of cysticercosis and taeniasis are unchanged from that reported nearly 35 years ago at the beginning of cysticercosis-taeniasis epidemics in Papua, Indonesia.

Depression and anxiety among war-widows of Nepal: a post-civil war cross-sectional study.

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Basnet, Syaron; Kandel, Pragya; Lamichhane, Prabhat

2018-02-01

Thousands of Nepalese women were widowed as a consequence of a decade (1996-2006) long civil war in Nepal. These women are at grave risk of mental health problems due to both traumatic experiences and violation of natural order of widowhood. The present study explores the depression and anxiety among war-widows. In 2012, a cross-sectional study was designed to interview 358 war-widows using validitated Beck Depression Inventory and Beck Anxiety Inventory in four districts of Nepal - Bardiya, Surkhet, Sindhupalchowk and Kavrepalanchowk with history of high conflict intensity. The prevalence of depression and anxiety was 53% and 63% respectively. Financial stress was significantly associated with depression (2.67, 95% CI: 1.40-5.07) and anxiety (2.37, 95% CI: 1.19-4.72). High autonomy of women as compared to low autonomy, high social support as compared to low social support and literacy as opposed to illiteracy was associated with less likelihood of depression and anxiety. Our results suggest high magnitude of depression and anxiety among war-widows in Nepal. Future policy efforts should be directed at providing mental health services to identify mental health issues among conflict affected individuals with focus on education, employment and activities to promote social support and autonomy at community.

Environmental Feedbacks of the Subalpine Ecotone Species in the Langtang National Park, Central Nepal Himalaya

Czech Academy of Sciences Publication Activity Database

Bhatta, K. P.; Rokaya, Maan Bahadur; Münzbergová, Z.

2015-01-01

Roč. 47, č. 6 (2015), s. 2115-2125 ISSN 0556-3321 Institutional support: RVO:67179843 Keywords : Ecological amplitude/niche * Ecotone vegetation * Indicator species * Species response curve * Multivariate analysis * Nepal Himalaya Subject RIV: EH - Ecology, Behaviour Impact factor: 0.658, year: 2015

Impact of life expectancy, literacy rate, opened unemployment rate and gross domestic regional income per capita on poverty in the districts/city in Central Sulawesi Province

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Tombolotutu, A. D.; Djirimu, M. A.; Lutfi, M.; Anggadini, F.

2018-05-01

Research was conducted in several districts/city in Central Sulawesi Province in order to determine the effect of life expectancy, literacy rate, opened unemployment rate, and gross domestic regional income per capita on poverty at the districts/city in the province. The analysis used is Panel Data Regression. The results show that first, life expectancy and gross domestic regional income have a negative and significant impact on the poverty level in the districts/city in the Province. Second, the opened unemployment rate has a positive and significant effect on the poverty level in the districts/city in the province. Third, literacy rates show a positive effect and insignificant effect on the poverty level in the districts/city in the Province of Central Sulawesi. Fourth, these four variables simultaneously affect the poverty in the districts/city in Central Sulawesi

Association between socioeconomic status of mothers, food security, food safety practices and the double burden of malnutrition in the Lalitpur district, Nepal.

Science.gov (United States)

Sarki, Mahesh; Robertson, Aileen; Parlesak, Alexandr

2016-01-01

The prevalence of childhood overweight and obesity is increasing in low-and middle income countries such as Nepal. At the same time, high prevalence of chronic undernutrition persists leading to a double burden of malnutrition. To identify associations between the socioeconomic status of mothers, food security, the food safety environment within the household, and prevalence of stunting and overweight of the children. Statistical analysis of socioeconomic, food safety-related and anthropometric data from 289 mother-child dyads in an urban area of the Kathmandu Valley, Nepal. According to WHO standards, 26 % of the children, aged 0-59 months, were stunted, 10 % were underweight, and 6.6 % were either overweight or obese. Significantly more boys than girls were underweight (p = 0.004) and stunted (p malnutrition at least in some regions of Nepal. This should be taken into consideration when designing programmes to prevent both chronic undernutrition and non-communicable diseases.

Analysis of Health Sector Budget of Nepal.

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Dulal, R K; Magar, A; Karki, S D; Khatiwada, D; Hamal, P K

2014-01-01

Primarily, health sector connects two segments - medicine and public health, where medicine deals with individual patients and public health with the population health. Budget enables both the disciplines to function effectively. The Interim Constitution of Nepal, 2007 has adapted the inspiration of federalism and declared the provision of basic health care services free of cost as a fundamental right, which needs strengthening under foreseen federalism. An observational retrospective cohort study, aiming at examining the health sector budget allocation and outcome, was done. Authors gathered health budget figures (2001 to 2013) and facts published from authentic sources. Googling was done for further information. The keywords for search used were: fiscal federalism, health care, public health, health budget, health financing, external development partner, bilateral and multilateral partners and healthcare accessibility. The search was limited to English and Nepali-language report, articles and news published. Budget required to meet the population's need is still limited in Nepal. The health sector budget could not achieve even gainful results due to mismatch in policy and policy implementation despite of political commitment. Since Nepal is transforming towards federalism, an increased complexity under federated system is foreseeable, particularly in the face of changed political scenario and its players. It should have clear goals, financing policy and strict implementation plans for budget execution, task performance and achieving results as per planning. Additionally, collection of revenue, risk pooling and purchasing of services should be better integrated between central government and federated states to horn effectiveness and efficiency.

Koponenius gen. nov., a new genus of the millipede family Haplodesmidae from the Himalayas of India and Nepal (Diplopoda: Polydesmida).

Science.gov (United States)

Golovatch, Sergei I; Vandenspiegel, Didier

2014-12-11

The first, apparently westernmost indigenous representatives of Haplodesmidae are reported, from the Himalayas of Nepal and India. Both new species belong to a new genus, Koponenius gen. nov., with K. unicornis sp. nov., the type species from Darjeeling District, NE India, and K. biramus sp. nov., from Nepal. The new genus is superficially very similar to Prosopodesmus Silvestri, 1910, most species of which seem to be native to tropical Australia, partly also to southern Japan. However, Koponenius gen. nov. is easily distinguished in showing only 19 body segments, a special ozopore formula (5, 7-18), 4 transverse rows of setigerous isostictic tubercles per postcollum metatergum, and a clearly helicoid, twisted prefemoral portion of the gonopod so that the seminal groove runs mostly laterally, not mesally. 

Sexual behavior and condom use among seasonal Dalit migrant laborers to India from Far West, Nepal: a qualitative study.

Science.gov (United States)

Bam, Kiran; Thapa, Rajshree; Newman, Marielle Sophia; Bhatt, Lokesh Prasad; Bhatta, Shree Krishna

2013-01-01

Around 41% of Human Immunodeficiency Virus (HIV) cases in Nepal occur in seasonal migrant laborers. Dalit migrant laborers represent the largest proportion of reported HIV cases in the Far Western Region (Sudur Pashchimanchal, or Far West), Nepal. The study's objectives were to assess sexual behavior, condom use status and HIV risk perception among Dalit migrant laborers to India from Far West Region, Nepal. The study was conducted among Dalit male migrant laborers aged 15 years and above who had migrated for at least six months of the last two years to India. For the sampling the village development committees (VDCs) from Achham, Doti and Kanchanpur districts of Nepal were purposively selected. The data were collected in March and April 2011 via ten in-depth interviews and four focus group discussions and analyzed using content analysis. Poor socio-economic status, caste-related discrimination, and lack of employment opportunities push large groups of young Dalits to migrate to India for employment, where they engage in sex with female sex workers (FSWs). The participants described unmarried status, peer influence, alcohol use, low-priced sex with FSWs and unwillingness to use condoms as common factors of their migration experience. Lack of awareness on HIV/AIDS was common among study participants. Awareness of HIV/AIDS and faithful, monogamous partnerships are reported as factors influencing safer sexual behavior. Dalits are an especially vulnerable population among migrant laborers and may be over-represented in new HIV infections in Nepal. Comprehensive surveying and health promotion programs targeted to this population are urgently needed and potent methods of stopping HIV spread.

Demand and access to mental health services: a qualitative formative study in Nepal.

Science.gov (United States)

Brenman, Natassia F; Luitel, Nagendra P; Mall, Sumaya; Jordans, Mark J D

2014-08-02

Nepal is experiencing a significant 'treatment gap' in mental health care. People with mental disorders do not always receive appropriate treatment due to a range of structural and individual issues, including stigma and poverty. The PRIME (Programme for Improving Mental Health Care) programme has developed a mental health care plan to address this issue in Nepal and four other low and middle income countries. This study aims to inform the development of this comprehensive care plan by investigating the perceptions of stakeholders at different levels of the care system in the district of Chitwan in southern Nepal: health professionals, lay workers and community members. It focuses specifically on issues of demand and access to care, and aims to identify barriers and potential solutions for reaching people with priority mental disorders. This qualitative study consisted of key informant interviews (33) and focus group discussions (83 participants in 9 groups) at community and health facility levels. Data were analysed using a framework analysis approach. As well as pragmatic barriers at the health facility level, mental health stigma and certain cultural norms were found to reduce access and demand for services. Respondents perceived the lack of awareness about mental health problems to be a major problem underlying this, even among those with high levels of education or status. They proposed strategies to improve awareness, such as channelling education through trusted and respected community figures, and responding to the need for openness or privacy in educational programmes, depending on the issue at hand. Adapting to local perceptions of stigmatised treatments emerged as another key strategy to improve demand. This study identifies barriers to accessing care in Nepal that reach beyond the health facility and into the social fabric of the community. Stakeholders in PRIME's integrated care plan advocate strategic awareness raising initiatives to improve the reach

Climate Change, Millet and Ritual Relationship with the Magars of Argal, Baglung, Nepal

Directory of Open Access Journals (Sweden)

Man Bahadur Khattri

2013-08-01

Full Text Available This paper focuses on cultural analysis and how people are coping with new situation created by climate change in production of millet. Changes relating to climate change are observed; perceived and understood on a local level. This is an important area of study for anthropologists and it is interest of climate scientists as well. This paper is based on anthropological analysis on climate change effects on finger millet production in Argal VDC of Baglung district, West of Nepal. Millet is a staple food of people of Argal and most of Hill people of Nepal. Millet is not only staple food and associated with nutrition of people. It's also associated with rituals during production and as well as during consumption. Increasing temperature, changing rainfall patterns, extreme weather events are linked with climate change which has direct effect on life of all people but also millet production and ritual activities. DOI: http://dx.doi.org/10.3126/dsaj.v6i0.8481 Dhaulagiri Journal of Sociology and Anthropology Vol. 6, 2012 107-124

Hidden voices: prevalence and risk factors for violence against women with disabilities in Nepal.

Science.gov (United States)

Puri, Mahesh; Misra, Geetanjali; Hawkes, Sarah

2015-03-18

There is an increasing body of evidence on the extent and predictors of violence against women in Nepal. However, much of the published research does not yet take into account additional features of marginalization and vulnerability suffered by some women - for example, women socially excluded on account of their disability. Critical gaps exist in empirical data on the extent, risk factors, access to care, socio-economic and health consequences of violence among women with disabilities in Nepal. This paper addresses some these gaps and aims to promote evidence-informed policy and programme responses in Nepal. We conducted a cross-sectional survey of 475 women with disability aged 16 years and above in three districts in Nepal. In-depth interviews with 12 women who reported violence in the survey were also carried out. Using multivariate statistical methods we estimated the prevalence and risk factors for violence experienced both over the past 12 months and lifetime. Over the lifetime, 57.7% of women reported they had ever experienced violence, including emotional violence (55.2%); physical violence (34%); and sexual violence (21.5%). Over the preceding 12 months, 42% of women reported that they had experienced violence. Multivariate analysis showed that women with disabilities who were young, working in paid employment, and those who required permission from husbands/family to go to health centres or participate in community organizations were at increased risk of violence. Women experienced a range of negative outcomes from violence - including physical and emotional trauma. However, a majority of women did not seek care or redress from the health, justice or other sectors. Women in Nepal are at high risk of violence, often from members of their immediate family or local community. Rates of violence are higher in women with disability than among women in the general population. Tackling violence requires a comprehensive approach that addresses the root causes of

Knowledge and Practice on Injection Safety among Primary Health Care Workers in Kaski District, Western Nepal

Science.gov (United States)

Gyawali, Sudesh; Rathore, Devendra Singh; Shankar, P Ravi; Kc, Vikash Kumar; Jha, Nisha; Sharma, Damodar

2016-01-01

Background Unsafe injection practice can transmit various blood borne infections. The aim of this study was to assess the knowledge and practice of injection safety among injection providers, to obtain information about disposal of injectable devices, and to compare the knowledge and practices of urban and rural injection providers. Methods The study was conducted with injection providers working at primary health care facilities within Kaski district, Nepal. Ninety-six health care workers from 69 primary health care facilities were studied and 132 injection events observed. A semi-structured checklist was used for observing injection practice and a questionnaire for the survey. Respondents were interviewed to complete the questionnaire and obtain possible explanations for certain observed behaviors. Results All injection providers knew of at least one pathogen transmitted through use/re-use of unsterile syringes. Proportion of injection providers naming hepatitis/jaundice as one of the diseases transmitted by unsafe injection practice was significantly higher in urban (75.6%) than in rural (39.2%) area. However, compared to urban respondents (13.3%), a significantly higher proportion of rural respondents (37.3%) named Hepatitis B specifically as one of the diseases transmitted. Median (inter-quartile range) number of therapeutic injection and injectable vaccine administered per day by the injection providers were 2 (1) and 1 (1), respectively. Two handed recapping by injection providers was significantly higher in urban area (33.3%) than in rural areas (21.6%). Most providers were not aware of the post exposure prophylaxis guideline. Conclusion The knowledge of the injection providers about safe injection practice was acceptable. The use of safe injection practice by providers in urban and rural health care facilities was almost similar. The deficiencies noted in the practice must be addressed. PMID:27540325

Association between socioeconomic status of mothers, food security, food safety practices and the double burden of malnutrition in the Lalitpur district, Nepal

DEFF Research Database (Denmark)

Sarki, Mahesh; Robertson, Aileen; Parlesak, Alexandr

2016-01-01

BACKGROUND: The prevalence of childhood overweight and obesity is increasing in low-and middle income countries such as Nepal. At the same time, high prevalence of chronic undernutrition persists leading to a double burden of malnutrition. AIM: To identify associations between the socioeconomic...... with either HAZ or the BAZ. CONCLUSION: The education level of mothers seems to be relevant to help reduce the double burden of malnutrition at least in some regions of Nepal. This should be taken into consideration when designing programmes to prevent both chronic undernutrition and non-communicable diseases....

Uterine prolapse prevention in Eastern Nepal: the perspectives of women and health care professionals.

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Radl, Christina M; Rajwar, Ranjita; Aro, Arja R

2012-01-01

Uterine prolapse is a major reproductive health issue in Nepal. There is a wide range of literature available on the causes and risk factors of uterine prolapse and on the ways to prevent and treat it. There is still a lack of published evidence on what prevention and treatment services are working well or the attitudes toward them. This paper presents the findings of a qualitative study on primary and secondary prevention of uterine prolapse in Eastern Nepal. The study involved eight focus group discussions with 71 women in six villages of the eastern districts of Siraha and Saptari and 14 qualitative interviews with health professionals from the local to central level. The group discussions and interviews covered the awareness levels of uterine prolapse and its prevention and treatment, as well as participants' opinions on and experiences with the services offered. It was found that patriarchy, gender discrimination, and cultural traditions such as early marriage and pregnancy make it difficult for people to discontinue uterine prolapse risk behaviors. Women are aware of risk factors, prevention, and treatment, but are powerless to change their situations. Health professionals and women are fond of surgery as treatment, but opinions on the use of ring pessaries and pelvic floor muscle training are split. The main recommendation that can be drawn from this study is that research on the effectiveness of early treatments, such as ring pessaries and exercise, should be conducted. Furthermore, the involvement of other target groups (husbands, adolescents, and mothers-in-law) needs to be increased in order to make it easier for women to adapt low-risk behaviors. Finally, uterine prolapse prevention should be better integrated in national reproductive health services. Enforcing transparency, monitoring systems, and collaborations are important factors that should be considered as well.

Study on nutritional status of children under 5 years in palpa district, nepal: speacial reference to baal vita

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Deelip Kumar Karki

2013-12-01

Full Text Available Background: Malnutrition is a pathological state resulting from a relative or absolute deficiency or excess of one or more essential nutrients. Malnutrition is a major underlying cause of the child morbidity and mortality in Nepal. Adequate nutrition is a fundamental right for every human being. Malnourished child is depriving from physical and mental development. Objectives: To assess the nutritional status of children under 5 years and to find out the knowledge and practice regarding micronutrient powder “Baal vita” Materials and Methods: Descriptive cross sectional community based study was conducted in Palpa district, total of 390 respondents at the age of 6-59 months were selected with the help of multistage sampling. Through anthropometry, prevalence of underweight, stunting and wasting was determined. Results: Prevalence of underweight, stunting and wasting was 25.9%, 27.2% and 7.3% respectively. The association between age of the mother at the birth of the children and nutritional status of children is not statistically significant. Majority of the children (80.5% used to take junk foods sometimes, followed by 16.7% very often, 2.8% children never used to take. Majority of the children (52.6% were taken the micronutrient powder (first course but the coverage of second course of micronutrient powder was 29.5% and followed by third course coverage was only 18.9%. Conclusion: The nutritional status of children in this study were found to be satisfactory because compared to the Millennium Development Goals (MDGs target but the coverage of micronutrient powder is low.

Polycyclic aromatic hydrocarbons in soils from the Central-Himalaya region: Distribution, sources, and risks to humans and wildlife

NARCIS (Netherlands)

Bi, X.; Luo, J.; Gao, J.; Xu, L.; Guo, Q.; Zhang, K.Y.; Romesh, J.P.; Giesy, S.; Kang, J.; de Boer, J.

2016-01-01

The Central Himalayas are not only a natural boundary between China and Nepal but also a natural barrier for transport of air masses from South Asia. In this study, 99 samples of surface soil were collected from five regions of Nepal on the southern side of the Central Himalayas, and 65 samples of

Institutionalized elderly people oral health status and treatment needs assessment in kathmandu district

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Sunita Khanal

2018-01-01

Full Text Available Context: In Nepal, Senior citizens are the people who are 60 years and above as defined by the senior citizen act 2063. According to the 2011 census of Nepal, there were 2.1 million elderly inhabitants which constituted 8.1% of total population of Nepal. Aim: To assess the oral health status and treatment needs of institutionalized elderly people. Objectives: To assess the periodontal status, prosthetic status, and prosthetic needs and to compare community periodontal index and the loss of attachment (LOA with age and gender. Setting and Design: A cross-sectional study was conducted in six different old age homes of Kathmandu district. Materials and Methods: The study was conducted among 200 elderly living in six old age homes of Kathmandu district after obtaining consent from the concerned authorities. The clinical findings were recorded using the World Health Organization Oral Health Assessment Form 1997. SPSS version 20 software was used for data analysis and P ≤ 0.05 was considered statistically significant. Results: Among 200 elderly examined, 69 (34.5% were male and 131 (65.5% were female. During probing, calculus was detected among 37.5% of people. The highest prevalence of LOA 4–5 mm was found among 40.5% of people. The prosthetic need was 83%, of which 20% required complete denture, 63% required partial denture. On applying Chi-square test, LOA score was found to be statistically significant between male and female (P = 0.015. Conclusion: The oral health status of the institutionalized elderly was found to be poor.

Mobile Learning Practice In Higher Education in Nepal

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Krishna Prasad Parajuli

2016-03-01

Full Text Available During the 15 years of this current century, mobile technology has become a leading technology in the support of educational outcomes. This study investigated the mobile learning practices among undergraduates in higher education in the semi-urban and rural areas of the Gorkha district of Nepal. The objectives were to explore the availability of mobile technology for learning; its costs; learning trends, institutional policies, and attitudes towards mobile learning. These factors were explored to identify implications for pedagogical practice. The study adopted a mixed methods design, in which the quantitative data were collected by using a questionnaire with a sample of 161 undergraduates from six campuses. The qualitative data were collected from 19 purposively selected respondents by the way of semi-structured interviews. The result indicated that virtually all undergraduates possessed their mobile phones and used them informally for learning both inside and outside of their classes. The majority of the students had positive attitudes towards mobile learning. However, many were not satisfied with the effectiveness of their practices or with the level of institutional support for using mobile devices to support their learning. Although comprehensive mobile learning is not widespread in Nepal, enriching conventional learning by the incremental use of mobile devices is possible in Nepalese institutes of higher education. I conclude that teachers and institutions should provide guidance to students about the effective uses of mobile technology because successful use of technology in learning largely depends on appropriate pedagogy and teacher support.

Phlebotomus argentipes seasonal patterns in India and Nepal.

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Picado, Albert; Das, Murari Lal; Kumar, Vijay; Dinesh, Diwakar S; Rijal, Suman; Singh, Shri P; Das, Pradeep; Coosemans, Marc; Boelaert, Marleen; Davies, Clive

2010-03-01

The current control of Phebotomus argentipes (Annandale and Brunetti), the vector of Leishmania donovani (Laveran and Mesnil), on the Indian subcontinent is base on indoor residual spraying. The efficacy of this method depends, among other factors, on the timing and number of spraying rounds, which depend on the P. argentipes seasonality. To describe P. argentipes' seasonal patterns, six visceral leishmaniasis (VL) endemic villages, three in Muzaffarpur and three in Sunsari districts in India and Nepal, respectively, were selected based on accessibility and VL incidence. Ten houses per cluster with the highest P. argentipes density were monitored monthly for 15-16 mo using Center for Disease Control and Prevention light traps. Minimum and maximum temperature and rainfall data for the months January 2006 through December 2007 were collected from the nearest available weather stations. Backwards stepwise regression was used to generate the minimal adequate model for explaining the monthly variation in P. argentipes populations. The seasonality of P. argentipes is similar in India and Nepal, with two annual density peaks around May and October. Monthly P. argentipes density is positively associated with temperature and negatively associated with rainfall in both study sites. The multivariate climate model explained 57% of the monthly vectorial abundance. Vector control programs against P. argentipes (i.e., indoor residual spraying) should take into account the seasonal described here when implementing and monitoring interventions. Monitoring simple meteorological variables (i.e., temperature, rainfall) may allow prediction of VL epidemics on the Indian subcontinent.

Youth Labor Migration in Nepal

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Bossavie, Laurent; Denisova, Anastasiya

2018-01-01

This descriptive study investigates internal and external labor migration by Nepalese youth. External labor migration is separated into the flow to India, which is unregulated, and the flow to other countries, which typically takes the form of temporary contract migration to countries with bilateral labor agreements with Nepal (referred to in Nepal as foreign employment). The study finds t...

The household costs of visceral leishmaniasis care in south-eastern Nepal.

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Surendra Uranw

Full Text Available BACKGROUND AND OBJECTIVES: Visceral leishmaniasis (VL is an important public health problem in south-eastern Nepal affecting very poor rural communities. Since 2005, Nepal is involved in a regional initiative to eliminate VL. This study assessed the economic impact of VL on households and examined whether the intensified VL control efforts induced by the government resulted in a decrease in household costs. METHODS: Between August and September 2010, a household survey was conducted among 168 patients that had been treated for VL within 12 months prior to the survey in five districts in south-eastern Nepal. We collected data on health-seeking behaviour, direct and indirect costs and coping strategies. RESULTS: The median total cost of one episode of VL was US$ 165 or 11% of annual household income. The median delay between the onset of symptoms and presentation to a qualified provider was 25 days. Once the patient presented to a qualified provider, the delay to correct diagnosis was minimal (median 3 days. Direct and indirect costs (income losses represented 47% and 53% of total costs respectively. Households used multiple strategies to cope with the cost of illness, mainly mobilizing cash/savings (71% or taking a loan (56%. CONCLUSIONS: The provision of free VL diagnosis and drugs by the Nepalese control programme has been an important policy measure to reduce the cost of VL to households. But despite the free VL drugs, the economic burden is still important for households. More effort should be put into reducing indirect costs, in particular the length of treatment, and preventing the transmission of VL through vector control.

Do mobile family planning clinics facilitate vasectomy use in Nepal?

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Padmadas, Sabu S; Amoako Johnson, Fiifi; Leone, Tiziana; Dahal, Govinda P

2014-06-01

Nepal has a distinct topography that makes reproductive health and family planning services difficult to access, particularly in remote mountain and hill regions where over a quarter of modern contraceptive users rely exclusively on vasectomy. A three-level random intercept logistic regression analysis was applied on data from the 2011 Nepal Demographic and Health Survey to investigate the extent of influence of mobile family planning clinics on the odds of a male or a female sterilization, adjusting for relevant characteristics including ecological differences and random effects. The analyses included a sample of 2014 sterilization users, considering responses from currently married women of reproductive ages. The odds of a male sterilization were significantly higher in a mobile clinic than those in a government hospital (odds ratio, 1.65; 95% confidence interval, 1.21-2.25). The effects remained unaltered and statistically significant after adjusting for sociodemographic and clustering effects. Random effects were highly significant, which suggest the extent of heterogeneity in vasectomy use at the community and district levels. The odds of vasectomy use in mobile clinics were significantly higher among couples residing in hill and mountain regions and among those with three or more sons or those with only daughters. Mobile clinics significantly increase the uptake of vasectomy in hard-to-reach areas of Nepal. Reproductive health interventions should consider mobile clinics as an effective strategy to improve access to male-based modern methods and enhance gender equity in family planning. Family planning interventions in hard-to-reach communities could consider mobile clinic as an effective strategy to promote male-based modern methods. Improving access to vasectomy could substantially reduce unmet need for family planning in countries experiencing rapid fertility transition. Copyright © 2014 Elsevier Inc. All rights reserved.

Re-emergence of dengue virus serotype 2 strains in the 2013 outbreak in Nepal

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Gupta, Birendra Prasad; Singh, Sneha; Kurmi, Roshan; Malla, Rajani; Sreekumar, Easwaran; Manandhar, Krishna Das

2015-01-01

Background & objectives: Epidemiological interventions and mosquito control are the available measures for dengue control. The former approach uses serotype and genetic information on the circulating virus strains. Dengue has been frequently reported from Nepal, but this information is mostly lacking. The present study was done to generate a comprehensive clinical and virological picture of a dengue outbreak in Nepal during 2013. Methods: A hospital-based study involving patients from five districts of Nepal was carried out. Demographic information, clinical details and dengue serological status were obtained. Viral RNA was characterized at the molecular level by reverse-transcription polymerase chain reaction (RT-PCR), nucleotide sequencing and phylogenetic analysis. Results: From among the 2340 laboratory-confirmed dengue cases during the study period, 198 patients consented for the study. Clinically they had fever (100%), headache (59.1%), rashes (18.2%), retro-orbital pain (30.3%), vomiting (15.1%), joint pain (28.8%) and thrombocytopenia (74.3%). Fifteen (7.5%) of them had mucosal bleeding manifestations, and the rest were uncomplicated dengue fever. The patients were mostly adults with a mean age of 45.75 ± 38.61 yr. Of the 52 acute serum samples tested, 15 were positive in RT-PCR. The causative virus was identified as DENV serotype 2 belonging to the Cosmopolitan genotype. Interpretations & conclusions: We report here the involvement of DENV serotype 2 in an outbreak in Nepal in 2013. Earlier outbreaks in the region in 2010 were attributed to serotype 1 virus. As serotype shifts are frequently associated with secondary infections and severe disease, there is a need for enhancing surveillance especially in the monsoon and post-monsoon periods to prevent large-scale, severe dengue outbreaks in the region. PMID:26905233

Sexual Behavior and Condom Use among Seasonal Dalit Migrant Laborers to India from Far West, Nepal: A Qualitative Study

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Bam, Kiran; Thapa, Rajshree; Newman, Marielle Sophia; Bhatt, Lokesh Prasad; Bhatta, Shree Krishna

2013-01-01

Background Around 41% of Human Immunodeficiency Virus (HIV) cases in Nepal occur in seasonal migrant laborers. Dalit migrant laborers represent the largest proportion of reported HIV cases in the Far Western Region (Sudur Pashchimanchal, or Far West), Nepal. The study’s objectives were to assess sexual behavior, condom use status and HIV risk perception among Dalit migrant laborers to India from Far West Region, Nepal. Methods The study was conducted among Dalit male migrant laborers aged 15 years and above who had migrated for at least six months of the last two years to India. For the sampling the village development committees (VDCs) from Achham, Doti and Kanchanpur districts of Nepal were purposively selected. The data were collected in March and April 2011 via ten in-depth interviews and four focus group discussions and analyzed using content analysis. Results Poor socio-economic status, caste-related discrimination, and lack of employment opportunities push large groups of young Dalits to migrate to India for employment, where they engage in sex with female sex workers (FSWs). The participants described unmarried status, peer influence, alcohol use, low-priced sex with FSWs and unwillingness to use condoms as common factors of their migration experience. Lack of awareness on HIV/AIDS was common among study participants. Awareness of HIV/AIDS and faithful, monogamous partnerships are reported as factors influencing safer sexual behavior. Conclusions Dalits are an especially vulnerable population among migrant laborers and may be over-represented in new HIV infections in Nepal. Comprehensive surveying and health promotion programs targeted to this population are urgently needed and potent methods of stopping HIV spread. PMID:24040359

Sexual behavior and condom use among seasonal Dalit migrant laborers to India from Far West, Nepal: a qualitative study.

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Kiran Bam

Full Text Available BACKGROUND: Around 41% of Human Immunodeficiency Virus (HIV cases in Nepal occur in seasonal migrant laborers. Dalit migrant laborers represent the largest proportion of reported HIV cases in the Far Western Region (Sudur Pashchimanchal, or Far West, Nepal. The study's objectives were to assess sexual behavior, condom use status and HIV risk perception among Dalit migrant laborers to India from Far West Region, Nepal. METHODS: The study was conducted among Dalit male migrant laborers aged 15 years and above who had migrated for at least six months of the last two years to India. For the sampling the village development committees (VDCs from Achham, Doti and Kanchanpur districts of Nepal were purposively selected. The data were collected in March and April 2011 via ten in-depth interviews and four focus group discussions and analyzed using content analysis. RESULTS: Poor socio-economic status, caste-related discrimination, and lack of employment opportunities push large groups of young Dalits to migrate to India for employment, where they engage in sex with female sex workers (FSWs. The participants described unmarried status, peer influence, alcohol use, low-priced sex with FSWs and unwillingness to use condoms as common factors of their migration experience. Lack of awareness on HIV/AIDS was common among study participants. Awareness of HIV/AIDS and faithful, monogamous partnerships are reported as factors influencing safer sexual behavior. CONCLUSIONS: Dalits are an especially vulnerable population among migrant laborers and may be over-represented in new HIV infections in Nepal. Comprehensive surveying and health promotion programs targeted to this population are urgently needed and potent methods of stopping HIV spread.

Kyoto protocol and Nepal's energy sector

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Pokharel, Shaligram

2007-01-01

Nepal has recently ratified Kyoto Protocol, which considers justifiable use of resources to limit or reduce the emission of gases that contribute to green house gas inventory in the atmosphere. Nepal's per capita green gas (GHG) emission from energy use is insignificant. However, it is important for Nepal to adopt environmentally friendly energy options based on local resources like hydropower and biomass. Nepal can benefit from the provisions of clean development mechanism (CDM) under the Kyoto Protocol of the United Nations Framework Convention on Climate Change (UNFCC) or carbon funds being promoted by various organizations in order to obtain funding for new projects that reduce GHG emissions (ER). Funding can be generated through Carbon trading in international market as well. In this paper, the country's current contribution to GHG due to energy consumption is evaluated. Options for promoting more sustainable and environmentally friendly projects have also been discussed

Resource Use Efficiency Analysis for Potato Production in Nepal

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Mahesh Sapkota

2018-05-01

Full Text Available Potato is one of the most important staple foods supporting food security and livelihood to millions of marginalized and poor farmers in Nepal. Generally the smallholders’ farmers, especially those located in remote villages are inadequately informed about technical knowledge, inputs and efficient use of resources causing poor production and low productivity. Thus, the present survey aimed to examine the efficiency of resources used in potato production in Baglung District, one of the remote hilly place located in Central Himalaya. The total of 120 potato growing households was selected using simple random sampling technique from the two potato pocket in 2016. The regression coefficients of each inputs using Cobb-Douglas production function were estimated using Stata software. Our results showed that major inputs such as labor, bullock, Farm Yard Manure (FYM and intercultural operations were overused and need to decrease in terms of cost by 109, 177, 51 and 185%, respectively for its optimum allocation. Similarly, seed was found underused and need to increase its cost by 70% for optimum allocation. We concluded that inadequate training, exposure, knowledge gap and extension service to farmers in study sites were the reasons that farmers were using their resources inefficiently. It is recommended that the farmers involved in potato farming in the surveyed sites should be provided with additional proper technical knowledge for optimizing the use of resources which would help to increase the production and return from potato production.

Post-Conflict Realities and the Future of Stability in Nepal

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2017-03-01

British Army states that they have selected 310 recruits from Nepal, among which 230 will go to the British Army and the remaining 80 will join the...Workers’ Union 12. All Nepal Hotel and Restaurant Workers’ Union 13. All Nepal Carpet Workers’ Union 14. All Nepal Meter Tempo Workers’ Union 15

The relative importance of community forests, government forests, and private forests for household-level incomes in the Middle Hills of Nepal

DEFF Research Database (Denmark)

Oli, Bishwa Nath; Treue, Thorsten; Smith-Hall, Carsten

2016-01-01

To investigate the household-level economic importance of income from forests under different tenure arrangements, data were collected from 304 stratified randomly sampled households within 10 villages with community forest user groups in Tanahun District, Western Nepal. We observed that forest...... realisation of community forestry's poverty reduction and income equalizing potential requires modifications of rules that govern forest extraction and pricing at community forest user group level....

Using exhumation histories to constrain Main Himalayan Thrust geometry and seismic hazard in the western Nepal Himalaya

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Harvey, J. E.; Burbank, D.

2016-12-01

The Himalaya of western Nepal present a challenge to conventional understanding of the geometry and behavior of the Main Himalayan Thrust (MHT), a major seismogenic structure which accommodates 2 cm/yr of Indo-Asian convergence. Slip along a steeper ramp in the MHT drives long-term uplift of the Greater Himalaya along >1000 km of the central range front, resulting in a conspicuous physiographic transition known as PT2. This physiographic break is seemingly absent in western Nepal, which suggests a structural geometry and/or kinematic history distinct from areas along strike. This anomaly must be investigated to clarify how seismic hazard may differ from better-understood areas along strike. The importance of this work is heightened by the recent and catastrophic Gorkha earthquake in 2015. We present a suite of 7 relief transects comprising a mix of apatite and zircon U-Th/He and muscovite Ar-Ar cooling ages. These transects were collected across the more gradual mountain front in western Nepal in an effort to clarify where uplift and exhumation have been focused over the past 10 Ma. We invert these cooling ages using the thermo-kinematic model Pecube in order to constrain exhumation histories that best fit the measured cooling ages. Results confirm that MHT geometry and kinematic history in western Nepal are far more complex than in better-studied areas along strike. Exhumation rates in the along-strike projection of PT2 are slow ( 0.1-0.2 km/Myr) compared with rates 50 km toward the hinterland ( 1.0-1.5 km/Myr), suggesting that exhumation has been more rapid in this more northerly position for the past several Ma. Although a range of kinematic scenarios could explain the anomalous cooling histories, it is likely that a recently active midcrustal ramp in the MHT sits beneath this more northerly position. If the 2015 Gorkha earthquake initiated near the up-dip end of the MHT ramp in central Nepal, it is conceivable that similarly hazardous earthquakes could trigger

Fitting Community Based Newborn Care Package into the health systems of Nepal.

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Pradhan, Y V; Upreti, S R; Kc, N P; Thapa, K; Shrestha, P R; Shedain, P R; Dhakwa, J R; Aryal, D R; Aryal, S; Paudel, D C; Paudel, D; Khanal, S; Bhandari, A; Kc, A

2011-10-01

Community-based strategies for delivering effective newborn interventions are an essential step to avert newborn death, in settings where the health facilities are unable to effectively deliver the interventions and reach their population. Effective implementation of community-based interventions as a large scale program and within the existing health system depends on the appropriate design and planning, monitoring and support systems. This article provides an overview of implementation design of Community-Based Newborn Care Package (CB-NCP) program, its setup within the health system, and early results of the implementation from one of the pilot districts. The evaluation of CB-NCP in one of the pilot districts shows significant improvement in antenatal, intrapartum and post natal care. The implementation design of the CB-NCP has six different health system management functions: i) district planning and orientation, ii) training/human resource development, iii) monitoring and evaluation, iv) logistics and supply chain management, v) communication strategy, and vi) pay for performance. The CB-NCP program embraced the existing system of monitoring with some additional components for the pilot phase to test implementation feasibility, and aligns with existing safe motherhood and child health programs. Though CB-NCP interventions are proven independently in different local and global contexts, they are piloted in 10 districts as a "package" within the national health system settings of Nepal.

Socio-economic analysis of maize seed production in Arghakhanchi district of Nepal

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Mahima Bajracharya

2016-12-01

Full Text Available The purpose of this study was to assess the socioeconomic condition of maize seed and non-seed producers. A field survey was carried out in sixty households of Khanchikot VDC of Arghakhanchi district during May, 2014. The district was major seed producing district and Khanchikot was found better in seed production than other VDC in district. Simple random sampling technique was used to collect data using pre-tested interview schedule. About 57% were seed producer among the sample. The average family size of household was 5. Dependency ratio was less in seed producing households (0.41 than non-seed producers (0.72. Farmers were involved in the production of certified seed and the major (50% source of foundation seed was National Maize Research Program, Rampur, Chitwan. The external input like chemical fertilizer was used in fewer amounts in the study area. The seed test was done at regional laboratory, Bhairahawa and sold to DADO, Arghakhanchi. Decision on loan taking, business operation and bank account were taken by males whereas cropping pattern, deficit labor use, religious and social works related decision were taken by females in the household. Major problem in maize production were lack of technical assistance followed by inadequate irrigation facilities. Proper training, extension service and government support on inputs would help in better socio-economic condition and production of maize.

The Genesis of August 2017 Nepal Floods

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Uprety, M.; Dugar, S.; Gautam, D.; Budimir, M.; Parajuli, B.; Kharbuja, R. G.

2017-12-01

The 2017 monsoon in Nepal was normal until mid-August 2017 when a low pressure system that formed parallel to the foothills of the Churia range brought significant amount of rain in the southern Terai belt. Rivers from East to West swelled as many of them crossed the pre-defined warning thresholds, and rainfall depths in excess of 200 mm to 600 mm were recorded in over a dozen meteorological stations across the country between 11th and 13th of August. The West Rapti River recorded water level of approximately 9 meters while the adjacent Babai River crossed 10 meters and smaller rivers such as Riu Khola and Kankai rose up to 4.8 meters and 5.5 meters respectively, well above danger levels for consecutive days. Early warning systems established in the aforementioned rivers were critical to saving lives and livelihoods. However the severity of flash floods from intermittent streams that originate from the Churia range caught people unaware and led to massive water logging and devastation across Eastern and Central Nepal that claimed 96 lives and displaced more than 14.060 families. The Department of Hydrology and Meteorology with help from telecom operators sent more than 6 million SMS messages to communities residing along the floodplains. These messages provided them with critical information on when to evacuate their homes and move to safer grounds, yet the shear spatial scale and extend of floods meant that communities struggled to find refuge on higher ground. Whilst the Global Flood Awareness System (GLoFAS) indicated with medium probability that major rivers across Nepal might swell in mid-August and the 3 day rainfall forecasts from the Numerical Weather Prediction (NWP) consistently indicated heavy precipitation in the southern Terai belt, yet no significant early actions were taken in response to this information. Despite the availability of forecast information on streamflow prediction and rainfall, there was limited pre-emptive actions and now it is

Hearing loss is associated with decreased nonverbal intelligence in rural Nepal.

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Emmett, Susan D; Schmitz, Jane; Pillion, Joseph; Wu, Lee; Khatry, Subarna K; Karna, Sureshwar L; LeClerq, Steven C; West, Keith P

2015-01-01

To evaluate the association between adolescent and young-adult hearing loss and nonverbal intelligence in rural Nepal. Cross-sectional assessment of hearing loss among a population cohort of adolescents and young adults. Sarlahi District, southern Nepal. Seven hundred sixty-four individuals aged 14 to 23 years. Evaluation of hearing loss, defined by World Health Organization criteria of pure-tone average greater than 25 decibels (0.5, 1, 2, 4 kHz), unilaterally and bilaterally. Nonverbal intelligence, as measured by the Test of Nonverbal Intelligence, 3rd Edition standardized score (mean, 100; standard deviation, 15). Nonverbal intelligence scores differed between participants with normal hearing and those with bilateral (p = 0.04) but not unilateral (p = 0.74) hearing loss. Demographic and socioeconomic factors including male sex; higher caste; literacy; education level; occupation reported as student; and ownership of a bicycle, watch, and latrine were strongly associated with higher nonverbal intelligence scores (all p intelligence score based on unilateral hearing loss (0.97; 95% confidence interval, -1.67 to 3.61; p = 0.47). Nonverbal intelligence is adversely affected by bilateral hearing loss even at mild hearing loss levels. Socio economic well-being appears compromised in individuals with lower nonverbal intelligence test scores.

Assessment of environmental policy implementation in solid waste management in Kathmandu, Nepal.

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Dangi, Mohan B; Schoenberger, Erica; Boland, John J

2017-06-01

In Nepal, full-fledged environmental legislation was rare before the democratic constitution of 1990. The first law covering the environment and sustainability was the Environment Protection Act 1997. While the Solid Waste Act was introduced in 1987, the problem of solid waste management still surfaces in Kathmandu. In order to understand the bedrock of this unrelenting failure in solid waste management, the manuscript digs deeper into policy implementation by dissecting solid waste rules, environmental legislations, relevant local laws, and solid waste management practices in Kathmandu, Nepal. A very rich field study that included surveys, interviews, site visits, and literature review provided the basis for the article. The study shows that volumes of new Nepalese rules are crafted without effective enforcement of their predecessors and there is a frequent power struggle between local government bodies and central authority in implementing the codes and allocating resources in solid waste management. The study concludes that Kathmandu does not require any new instrument to address solid waste problems; instead, it needs creation of local resources, execution of local codes, and commitment from central government to allow free exercise of these policies.

Attracting and retaining doctors in rural Nepal.

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Shankar, P R

2010-01-01

In Nepal, a number of private sector medical schools have opened recently; although sufficient numbers of doctors are graduating there continues to be a doctor shortage in rural areas. This article analysed the rural doctor shortage in Nepal and reviewed the international literature for strategies that may be suitable for use in Nepal. Original research articles, reviews, magazine articles and project reports dealing with Nepal and other developing countries during the period 1995 to 2010 were sourced via Google, Google Scholar and Pubmed. Full text access was obtained via WHO's HINARI database. The health workforce in Nepal is unevenly distributed resulting in doctor shortages in rural areas. The recent introduction of mandatory rural service for scholarship students was aimed to reduce the loss of medical graduates to developed nations. High tuition fees in private medical schools and low Government wages prevent recent graduates from taking up rural positions, and those who do face many challenges. Potential corrective strategies include community-based medical education, selecting rural-background medical students, and providing a partial or complete tuition fee waiver for medical students who commit to rural service. Traditional healers and paramedical staff can also be trained for and authorized to provide rural health care. A range of strategies developed elsewhere could be used in Nepal, especially community-oriented medical education that involves rural doctors in training medical students. The reimbursement of tuition fees, assistance with relocation, and provision of opportunities for academic and professional advancement for rural doctors should also be considered. Government investment in improving working conditions in rural Nepal would assist rural communities to attract and retain doctors.

The dependency on central government funding of decentralised health systems: experiences of the challenges and coping strategies in the Kongwa District, Tanzania.

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Frumence, Gasto; Nyamhanga, Tumaini; Mwangu, Mughwira; Hurtig, Anna-Karin

2014-01-25

Decentralised health systems in Tanzania depend largely on funding from the central government to run health services. Experience has shown that central funding in a decentralised system is not an appropriate approach to ensure the effective and efficient performance of local authorities due to several limitations. One of the limitations is that funds from the central government are not disbursed on a timely basis, which in turn, leads to the serious problem of shortage of financial resources for Council Health Management Teams (CHMT). This paper examines how dependency on central government funding in Tanzania affects health activities in Kongwa district council and the strategies used by the CHMT cope with the situation. The study adopted a qualitative approach and data were collected using semi-structured interviews and focus group discussions. One district in the central region of Tanzania was strategically selected. Ten key informants involved in the management of health service delivery at the district level were interviewed and one focus group discussion was held, which consisted of members of the council health management team. The data generated were analysed for themes and patterns. The results showed that late disbursement of funds interrupts the implementation of health activities in the district health system. This situation delays the implementation of some activities, while a few activities may not be implemented at all. However, based on their prior knowledge of the anticipated delays in financial disbursements, the council health management team has adopted three main strategies to cope with this situation. These include obtaining supplies and other services on credit, borrowing money from other projects in the council, and using money generated from cost sharing. Local government authorities (LGAs) face delays in the disbursement of funds from the central government. This has necessitated introduction of informal coping strategies to deal with the

Fault- and Area-Based PSHA in Nepal using OpenQuake: New Insights from the 2015 M7.8 Gorkha-Nepal Earthquake

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Stevens, Victoria

2017-04-01

The 2015 Gorkha-Nepal M7.8 earthquake (hereafter known simply as the Gorkha earthquake) highlights the seismic risk in Nepal, allows better characterization of the geometry of the Main Himalayan Thrust (MHT), and enables comparison of recorded ground-motions with predicted ground-motions. These new data, together with recent paleoseismic studies and geodetic-based coupling models, allow for good parameterization of the fault characteristics. Other faults in Nepal remain less well studied. Unlike previous PSHA studies in Nepal that are exclusively area-based, we use a mix of faults and areas to describe six seismic sources in Nepal. For each source, the Gutenberg-Richter a and b values are found, and the maximum magnitude earthquake estimated, using a combination of earthquake catalogs, moment conservation principals and similarities to other tectonic regions. The MHT and Karakoram fault are described as fault sources, whereas four other sources - normal faulting in N-S trending grabens of northern Nepal, strike-slip faulting in both eastern and western Nepal, and background seismicity - are described as area sources. We use OpenQuake (http://openquake.org/) to carry out the analysis, and peak ground acceleration (PGA) at 2 and 10% chance in 50 years is found for Nepal, along with hazard curves at various locations. We compare this PSHA model with previous area-based models of Nepal. The Main Himalayan Thrust is the principal seismic hazard in Nepal so we study the effects of changing several parameters associated with this fault. We compare ground shaking predicted from various fault geometries suggested from the Gorkha earthquake with each other, and with a simple model of a flat fault. We also show the results from incorporating a coupling model based on geodetic data and microseismicity, which limits the down-dip extent of rupture. There have been no ground-motion prediction equations (GMPEs) developed specifically for Nepal, so we compare the results of

Smartphone tool to collect repeated 24 h dietary recall data in Nepal.

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Harris-Fry, Helen; Beard, B James; Harrisson, Tom; Paudel, Puskar; Shrestha, Niva; Jha, Sonali; Shrestha, Bhim P; Manandhar, Dharma S; Costello, Anthony; Saville, Naomi M

2018-02-01

To outline the development of a smartphone-based tool to collect thrice-repeated 24 h dietary recall data in rural Nepal, and to describe energy intakes, common errors and researchers' experiences using the tool. We designed a novel tool to collect multi-pass 24 h dietary recalls in rural Nepal by combining the use of a CommCare questionnaire on smartphones, a paper form, a QR (quick response)-coded list of foods and a photographic atlas of portion sizes. Twenty interviewers collected dietary data on three non-consecutive days per respondent, with three respondents per household. Intakes were converted into nutrients using databases on nutritional composition of foods, recipes and portion sizes. Dhanusha and Mahottari districts, Nepal. Pregnant women, their mothers-in-law and male household heads. Energy intakes assessed in 150 households; data corrections and our experiences reported from 805 households and 6765 individual recalls. Dietary intake estimates gave plausible values, with male household heads appearing to have higher energy intakes (median (25th-75th centile): 12 079 (9293-14 108) kJ/d) than female members (8979 (7234-11 042) kJ/d for pregnant women). Manual editing of data was required when interviewers mistook portions for food codes and for coding items not on the food list. Smartphones enabled quick monitoring of data and interviewer performance, but we initially faced technical challenges with CommCare forms crashing. With sufficient time dedicated to development and pre-testing, this novel smartphone-based tool provides a useful method to collect data. Future work is needed to further validate this tool and adapt it for other contexts.

Integration of Remote Sensing Products with Ground-Based Measurements to Understand the Dynamics of Nepal's Forests and Plantation Sites

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Gilani, H.; Jain, A. K.

2016-12-01

This study assembles information from three sources - remote sensing, terrestrial photography and ground-based inventory data, to understand the dynamics of Nepal's tropical and sub-tropical forests and plantation sites for the period 1990-2015. Our study focuses on following three specific district areas, which have conserved forests through social and agroforestry management practices: 1. Dolakha district: This site has been selected to study the impact of community-based forest management on land cover change using repeat photography and satellite imagery, in combination with interviews with community members. The study time period is during the period 1990-2010. We determined that satellite data with ground photographs can provide transparency for long term monitoring. The initial results also suggests that community-based forest management program in the mid-hills of Nepal was successful. 2. Chitwan district: Here we use high resolution remote sensing data and optimized community field inventories to evaluate potential application and operational feasibility of community level REDD+ measuring, reporting and verification (MRV) systems. The study uses temporal dynamics of land cover transitions, tree canopy size classes and biomass over a Kayar khola watershed REDD+ study area with community forest to evaluate satellite Image segmentation for land cover, linear regression model for above ground biomass (AGB), and estimation and monitoring field data for tree crowns and AGB. We study three specific years 2002, 2009, 2012. Using integration of WorldView-2 and airborne LiDAR data for tree species level. 3. Nuwakot district: This district was selected to study the impact of establishment of tree plantation on total barren/fallow. Over the last 40 year, this area has went through a drastic changes, from barren land to forest area with tree species consisting of Dalbergia sissoo, Leucaena leucocephala, Michelia champaca, etc. In 1994, this district area was registered

Complementary school garden, nutrition, water, sanitation and hygiene interventions to improve children’s nutrition and health status in Burkina Faso and Nepal: a study protocol

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Séverine Erismann

2016-03-01

Full Text Available Abstract Background Malnutrition and intestinal parasitic infections are common among children in Burkina Faso and Nepal. However, specific health-related data in school-aged children in these two countries are scarce. In the frame of a larger multi-stakeholder project entitled “Vegetables go to School: Improving Nutrition through Agricultural Diversification” (VgtS, a study has been designed with the objectives to: (i describe schoolchildren’s health status in Burkina Faso and Nepal; and to (ii provide an evidence-base for programme decisions on the relevance of complementary school garden, nutrition, water, sanitation and hygiene (WASH interventions. Methods/Design The studies will be conducted in the Centre Ouest and the Plateau Central regions of Burkina Faso and the Dolakha and Ramechhap districts of Nepal. Data will be collected and combined at the level of schools, children and their households. A range of indicators will be used to examine nutritional status, intestinal parasitic infections and WASH conditions in 24 schools among 1144 children aged 8–14 years at baseline and a 1-year follow-up. The studies are designed as cluster randomised trials and the schools will be assigned to two core study arms: (i the ‘complementary school garden, nutrition and WASH intervention’ arm; and the (ii ‘control’ arm with no interventions. Children will be subjected to parasitological examinations using stool and urine samples and to quality-controlled anthropometric and haemoglobin measurements. Drinking water will be assessed for contamination with coliform bacteria and faecal streptococci. A questionnaire survey on nutritional and health knowledge, attitudes and practices (KAP will be administered to children and their caregivers, also assessing socioeconomic, food-security and WASH conditions at household level. Focus group and key-informant interviews on children’s nutrition and hygiene perceptions and behaviours will be

Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal

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Dinesh Neupane

2015-12-01

Full Text Available Background: The prevalence of hypertension is increasing in Nepal. Thus, there is a need for a programme to improve primary healthcare. One possibility is to assign prevention, diagnosis, and treatment of hypertension to female community health volunteers (FCHVs. Objective: To assess literacy and motivation to be involved in a hypertension prevention and control programme in Nepal among FCHVs. Design: Five focus group discussions (FGDs were conducted with a total of 69 FCHVs in Lekhnath municipality, Kaski district, Nepal. Seven themes were developed on the basis of data collection: 1 knowledge about hypertension; 2 risk factors of hypertension; 3 prevention and control of hypertension; 4 access to treatment for hypertension in the community; 5 learning about blood pressure measurement; 6 ability to raise blood pressure awareness in the community; 7 possible challenges for their future involvement. Data were analysed using the thematic analysis approach. Results: FCHVs have some knowledge about diagnosis, risk factors, and complications of hypertension. General unanimity was observed in the understanding that hypertension and risk factors needed to be addressed. The willingness of FCHVs to contribute to prevention, control, and management was strong, and they were confident that with some basic training they could obtain skills in hypertension management. Conclusions: Despite limited knowledge about hypertension, FCHVs expressed willingness and readiness to be trained in hypertension management. This study supports the possibility of involving FCHVs in prevention and control of hypertension in Nepal.

Factors Related to Intention to Undergo Female Sterilization Among Married Women in Rural Kathmandu, Nepal

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Dhungana, Adhish; Nanthamongkolchai, Sutham; Pitikultang, Supachai

2016-01-01

Background: Sterilization is most widely used fertility regulation method in Nepal. However, prevalence of uptake of female sterilization in central hilly region is less than the national average. The objective of the study was to explore the number and factors related to intention of married women to undergo female sterilization in rural Kathmandu which lies within central hilly region. Materials and Methods: This is a community based cross-sectional survey research conducted in rural area o...

Water Quality, Sanitation, and Hygiene Conditions in Schools and Households in Dolakha and Ramechhap Districts, Nepal: Results from A Cross-Sectional Survey.

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Shrestha, Akina; Sharma, Subodh; Gerold, Jana; Erismann, Séverine; Sagar, Sanjay; Koju, Rajendra; Schindler, Christian; Odermatt, Peter; Utzinger, Jürg; Cissé, Guéladio

2017-01-18

This study assessed drinking water quality, sanitation, and hygiene (WASH) conditions among 708 schoolchildren and 562 households in Dolakha and Ramechhap districts of Nepal. Cross-sectional surveys were carried out in March and June 2015. A Delagua water quality testing kit was employed on 634 water samples obtained from 16 purposively selected schools, 40 community water sources, and 562 households to examine water quality. A flame atomic absorption spectrophotometer was used to test lead and arsenic content of the same samples. Additionally, a questionnaire survey was conducted to obtain WASH predictors. A total of 75% of school drinking water source samples and 76.9% point-of-use samples (water bottles) at schools, 39.5% water source samples in the community, and 27.4% point-of-use samples at household levels were contaminated with thermo-tolerant coliforms. The values of water samples for pH (6.8-7.6), free and total residual chlorine (0.1-0.5 mg/L), mean lead concentration (0.01 mg/L), and mean arsenic concentration (0.05 mg/L) were within national drinking water quality standards. The presence of domestic animals roaming inside schoolchildren's homes was significantly associated with drinking water contamination (adjusted odds ratio: 1.64; 95% confidence interval: 1.08-2.50; p = 0.02). Our findings call for an improvement of WASH conditions at the unit of school, households, and communities.

Pediatric Central Nervous System Tumors in Nepal: Retrospective Analysis and Literature Review of Low- and Middle-Income Countries.

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Azad, Tej D; Shrestha, Ram Kumar; Vaca, Silvia; Niyaf, Ali; Pradhananga, Amit; Sedain, Gopal; Sharma, Mohan R; Shilpakar, Sushil K; Grant, Gerald A

2015-12-01

Central nervous system (CNS) tumors are the most common cause of cancer-related death in children. Little is known about the demographics and treatment of pediatric brain tumors in low- and middle-income countries (LMICs). We performed a retrospective chart review of all pediatric patients who presented to the neurosurgical service at Tribhuvan University Teaching Hospital in Kathmandu, Nepal from 2009-2014 and collected information on patients tumor. We analyzed age, gender, clinical presentation, extent of surgical resection, histopathology, and length of hospital stay. We also conducted a literature review using specific terminology to capture studies of pediatric neuro-oncologic epidemiology conducted in LMICs. Study location, length of study, sample size, study type, and occurrence of 4 common pediatric brain tumors were extracted. We identified 39 cases of pediatric CNS tumors, with 62.5% observed in male children. We found that male children (median = 13 years) presented later than female children (median = 8 years). The most frequently observed pediatric brain tumor type was ependymoma (17.5%), followed by astrocytoma (15%) and medulloblastoma (15%). Surgical resection was performed for 80% of cases, and gross total resection reported in 62.9% of all surgeries. More than half (54.1%) of patients had symptoms for more than 28 days before seeking treatment. Symptomatic hydrocephalus was noted in 57.1% of children who presented with CNS tumors. The literature review yielded studies from 18 countries. Study length ranged from 2-20 years, and sample sizes varied from 35-1948. Overall, we found more pronounced variation in the relative frequencies of the most common pediatric brain tumors, compared with high-income countries. We present the first operative series of childhood CNS tumors in Nepal. Children often had delayed diagnosis and treatment of a tumor, despite symptoms. More comprehensive data are required to develop improved treatment and management

Effects of Deforestation and Forest Degradation on Forest Carbon Stocks in Collaborative Forests, Nepal

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Ram Asheshwar MANDAL

2012-12-01

Full Text Available There are some key drivers that favor deforestation and forest degradation. Consequently, levels of carbon stock are affected in different parts of same forest types. But the problem lies in exploring the extent of the effects on level of carbon stocking. This paper highlights the variations in levels of carbon stocks in three different collaborative forests of same forest type i.e. tropical sal (Shorea robusta forest in Mahottari district of the central Terai in Nepal. Three collaborative forests namely Gadhanta-Bardibas Collaborative Forest (CFM, Tuteshwarnath CFM and Banke- Maraha CFM were selected for research site. Interview and workshops were organized with the key informants that include staffs, members and representatives of CFMs to collect the socio-economic data and stratified random sampling was applied to collect the bio-physical data to calculate the carbon stocks. Analysis was carried out using statistical tools. It was found five major drivers namely grazing, fire, logging, growth of invasive species and encroachment. It was found highest carbon 269.36 ton per ha in Gadhanta- Bardibash CFM. The findings showed that the levels of carbon stocks in the three studied CFMs are different depending on how the drivers of deforestation and forest degradation influence over them.

Contextualizing Social Science in Nepal

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Dev Raj Dahal

2008-10-01

Full Text Available Social science informs about the ideals and trains experts to deal with the complex social realities. It has a public purpose rooted in what we call dharma (professional and institutional responsibility as opposed to the arrogance of reason, self-will and self-rationalization intrinsic to contemporary rational choice and modernity. Learning has a synergy - establishing connection between the world of social science theories and the drama of social life. A lack of mutual learning between Nepal's traditional faith intellectuals and modern reason-based social scientists has created a big hiatus and contradiction. The academic life of social scientists in Nepal is completely outside of spiritual, moral and ethical influence experienced by ordinary public. The spiritual blindness of modern social scientists has thus opened multiple gaps between their worldview and those of the citizens on various frontiers--theoretical knowledge and practical experience, technical understanding and composite knowledge and secularity of social science and the vitality of the Hindu-Buddhist scriptures in the popular mind, culture, behavior and practices. This has reinforced a division between the system of knowledge of social scientists and the life-world of people. The proponents of new social movements in Nepal, such as women, Dalits, Janajatis, Madhesis, youths and marginalized population are seeking a structural shift in reason-based knowledge to both reason and feeling in social science knowledge discovery. This movement can open the "captive mind" to social learning of contextual knowledge, conduct research with the citizens, provide inputs to the policy makers and reverse their linear, structure-bound, rationalist and disciplinary thinking into the one that represents what the Nepal mandala, the Nepali space, is really like and how to improve it for the better. The renewal and indigenization of qualitative social science research is important to overcome the

Spatial and Temporal Variability of Rainfall in the Gandaki River Basin of Nepal Himalaya

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Jeeban Panthi

2015-03-01

Full Text Available Landslides, floods, and droughts are recurring natural disasters in Nepal related to too much or too little water. The summer monsoon contributes more than 80% of annual rainfall, and rainfall spatial and inter-annual variation is very high. The Gandaki River, one of the three major rivers of Nepal and one of the major tributaries of the Ganges River, covers all agro-ecological zones in the central part of Nepal. Time series tests were applied for different agro-ecological zones of the Gandaki River Basin (GRB for rainfall trends of four seasons (pre-monsoon, monsoon, post-monsoon and winter from 1981 to 2012. The non-parametric Mann-Kendall and Sen’s methods were used to determine the trends. Decadal anomalies relative to the long-term average were analyzed using the APHRODITE precipitation product. Trends in number of rainy days and timing of the monsoon were also analyzed. We found that the post-monsoon, pre-monsoon and winter rainfalls are decreasing significantly in most of the zones but monsoon rainfall is increasing throughout the basin. In the hill region, the annual rainfall is increasing but the rainy days do not show any trend. There is a tendency toward later departure of monsoon from Nepal, indicating an increase in its duration. These seasonally and topographically variable trends may have significant impacts for the agriculture and livestock smallholders that form the majority of the population in the GRB.

Social health insurance in Nepal: A health system departure toward the universal health coverage.

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Pokharel, Rajani; Silwal, Pushkar Raj

2018-04-10

The World Health Organization has identified universal health coverage (UHC) as a key approach in reducing equity gaps in a country, and the social health insurance (SHI) has been recommended as an important strategy toward it. This article aims to analyze the design, expected benefits and challenges of realizing the goals of UHC through the recently launched SHI in Nepal. On top of the earlier free health-care policy and several other vertical schemes, the SHI scheme was implemented in 2016 and has reached population coverage of 5% in the implemented districts in just within a year of implementation. However, to achieve UHC in Nepal, in addition to operationalizing the scheme, several other requirements must be dealt simultaneously such as efficient health-care delivery system, adequate human resources for health, a strong information system, improved transparency and accountability, and a balanced mix of the preventive, health promotion, curative, and rehabilitative services including actions to address the social determinants of health. The article notes that strong political commitment and persistent efforts are the key lessons learnt from countries achieving progressive UHC through SHI. Copyright © 2018 John Wiley & Sons, Ltd.

Childhood Mishaps and Its Cognizance among Nepalese Mothers of Parsa District for Its Prevention, Small Cross-sectional Study.

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Bhattarai, S; Saha, A

2015-01-01

Several studies have shown that there several unintentional causes for the unwanted childhood accidents. In addition, Nepal demographic health survey via West University of England revealed at 2006 A.D, 11% death casualties of under- five aged children are due to unintentional injuries 1. This particular study is extremely useful to health care planner, provider and researcher to have grand design to be produced by government of Nepal, such that; there shall be minimal rate of casualties of deceased children due to accidents. This study is descriptive cross sectional study carried out in Parsa district of Nepal where the respondents were mother to assess their awareness of cause of childhood accidents and its prevention. Computer software SPSS is use to scrupulous analysis of study where the chi-square test is used with 95% level of confidence (p=0.05). Poisoning 96% cases is the cause of childhood accident unintentionally, followed by 94% foreign body aspiration, 85% flame burn. Unsupervised children are more prone to injury than supervised children. Finally and foremost the crucial correlation of parents level of awareness with childhood are as follows; inadequate level of knowledge have higher percentage of accident (58%), followed by moderately adequate (32%) and adequate (10%). This study though done on small scale on small part of Parsa district can play key role to the policy to have vigilantive and supervision power to see the loopholes that need to be detected and dealing in curative manner.

Student perception about working in rural Nepal after graduation: a study among first- and second-year medical students

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Shankar P

2012-08-01

Full Text Available Abstract Background The Federal Democratic Republic of Nepal is a developing country in South Asia with a population of 29.8 million. In September 2011, there were 18 medical schools with 14 being in the private sector. KIST Medical College is a private school in Lalitpur district. The present study was conducted to obtain information on student perceptions about working in rural Nepal after graduation. Methods The study was conducted among first- and second-year undergraduate medical students using a semi-structured questionnaire developed by the authors using inputs from the literature and their experiences of teaching medical students. Year of study, gender, method of financing of medical education, place of family residence and occupation of parents were noted. Participant responses were analysed, grouped together and the number of respondents stating a particular response was noted. Results Of the 200 students, 185 (92.5% participated with 95 being from the first year and 90 from the second. Most students were self-financing and from urban areas. Regarding the question of working in rural Nepal after graduation, 134 (72.4% said they will work after their undergraduate course. Students preferred to work in the government or nongovernmental sector. Student felt doctors are reluctant to serve in rural Nepal due to inadequate facilities, low salary, less security, problems with their professional development, less equipment in health centres, decreased contact with family and difficulties in communicating with an illiterate, rural population. About 43% of respondents felt medical education does not adequately prepare them for rural service. Repeated rural exposure, postings in rural hospitals and health centres, and training students to diagnose and treat illness with less technology were suggested. The median monthly salary expected was 60 000 Nepalese rupees (US$ 820 and was significantly higher among first-year students. Conclusions The

Himalayan Vultures in Khodpe, far-west Nepal: is there any threat?

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Manoj Kumar Joshi

2015-11-01

Full Text Available There is evidence that Himalayan Vulture Gyps himalayensis is susceptible to the veterinary drug diclofenac, which is responsible for the decline of other Gyps species across South Asia.  Unlike other Gyps species, there is little quantitative data to assess Himalayan Vultures population.  Based on observation, we analyzed the flock size and breeding success of the Himalayan Vultures on two cliffs of Khodpe in Baitadi District, far-west Nepal.  The mean flock size of Himalayan Vulture was 25.83±6.33.  Overall breeding success was 90.9% based on active nests.  We also conducted a questionnaire survey to assess the perceived threats in the view of local people to vultures and these threats include loss of food, veterinary drug, lack of proper nest sites, and lack of public awareness.  Additionally, 76% of the respondents felt that vultures were decreasing in the area, 94.7% were not aware of the toxicity of diclofenac to vultures, and very few (2% knew about the availability of meloxicam as a safe alternative drug.  The colony we studied is one of the few remaining known breeding populations, which provide baseline information from far-west Nepal, thus we recommend for conservation and continuous monitoring of this species to understand their population change and breeding biology. 

Villages in Nepal prepare for weather extremes | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

2012-03-22

Mar 22, 2012 ... Research focus To assess the vulnerability of rural communities in Nepal's diverse ... In 2010, the Institute for Social and Environmental Transition-Nepal ... Through continuous interaction with each community, the team ...

Analysis of Road Network Pattern Considering Population Distribution and Central Business District.

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Fangxia Zhao

Full Text Available This paper proposes a road network growing model with the consideration of population distribution and central business district (CBD attraction. In the model, the relative neighborhood graph (RNG is introduced as the connection mechanism to capture the characteristics of road network topology. The simulation experiment is set up to illustrate the effects of population distribution and CBD attraction on the characteristics of road network. Moreover, several topological attributes of road network is evaluated by using coverage, circuitness, treeness and total length in the experiment. Finally, the suggested model is verified in the simulation of China and Beijing Highway networks.

Market mechanisms for newborn health in Nepal.

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Lunze, Karsten; Dawkins, Rosie; Tapia, Abeezer; Anand, Sidharth; Chu, Michael; Bloom, David E

2017-12-19

In Nepal, hypothermia is a major risk factor for newborn survival, but the country's public health care sector has insufficient capacity to improve newborn survival given the burden imposed by distance to health facilities and cost. Low-cost technology to provide newborn thermal care in resource-limited environments exists, but lacks effective distribution channels. This study aims to develop a private sector distribution model for dedicated newborn thermal care technology to ensure equitable access to thermal protection and ultimately improve newborn health in Nepal. We conducted a document analysis of newborn health policy in Nepal and a scoping literature review of approaches to newborn hypothermia in the region, followed by qualitative interviews with key stakeholders of newborn health in Nepal. Current solutions addressing newborn hypothermia range from high-technology, high-cost incubators to low-cost behavioral interventions such as skin-to-skin care. However, none of these interventions  are currently implemented at scale. A distribution model that provides incentives for community health volunteers and existing public health services in Nepal can deliver existing low-cost infant warmers to disadvantaged mothers where and when needed. Newborn technology can serve as an adjunct to skin-to-skin care and potentially create demand for newborn care practices. Harnessing market forces could promote public health by raising awareness of newborn challenges, such as newborn hypothermia, and triggering demand for appropriate health technology and related health promotion behaviors. Market approaches to promoting public health have been somewhat neglected, especially in economically disadvantaged and vulnerable populations, and deserve greater attention in Nepal and other settings with limited public health service delivery capacity.

Responses of Montane Forest to Climate Variability in the Central Himalayas of Nepal

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Janardan Mainali

2015-02-01

Full Text Available Climate changes are having dramatic ecological impacts in mid- to high-latitude mountain ranges where growth conditions are limited by climatic variables such as duration of growing season, moisture, and ambient temperature. We document patterns of forest vegetative response for 5 major alpine forest communities to current climate variability in the central Himalayas of Nepal to provide a baseline for assessment of future changes, as well as offer some insight into the trajectory of these changes over time. We used mean monthly surface air temperature and rainfall and the monthly averaged normalized difference vegetation index (NDVI to compare relative vegetation productivity among forest types and in relation to both climatic variables. Because changes in temperature and precipitation are directly manifested as changes in phenology, we examined current vegetative responses to climate variability in an effort to determine which climate variable is most critical for different alpine forest types. Our results show that correlations differ according to vegetation type and confirm that both precipitation and temperature affect monthly NDVI values, though more significant correlations were found with temperature data. The temperature response was more consistent because at the maximum increased temperatures, there was still an ongoing increase in vegetative vigor. This indicates that temperature is still the major limiting factor for plant growth at higher-elevation sites. This part of the Himalayas has abundant moisture, and some forest types are already saturated in terms of growth in relation to precipitation. Clear increases in productivity are documented on the upper treeline ecotones, and these systems are likely to continue to have increasing growth rates.

Promoting small towns for rural development: a view from Nepal.

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Bajracharya, B N

1995-06-01

Two small villages in Nepal are the subjects of case studies that illustrate the role of small towns in provision of services, employment, and market operations. Some general findings are that small towns act as service centers for distribution of basic essential goods such as food grains, salt, kerosene, and fabric for hill and mountain areas. The role of small towns as market centers and in the provision of employment is limited. In resource-poor areas small towns are less diversified. Towns with agricultural surpluses are more developed. Small hill towns satisfy consumption rather than production needs. The growth of rural areas and towns in rural areas in Nepal is dependent on arable land and levels of production in hill areas. Limited land and low levels of production have an adverse impact. Movement of people, goods, and services is limited by difficult terrain and lack of access to good roads. Variability in access to off-farm jobs and services available in small towns varies with ethnicity and place of residence. The best development strategy for small towns in Nepal is market-oriented territorial development, which retains surpluses in the local area and integrates markets in the larger economy. The strategy would decentralize planning into small territorial units that include both small towns and groups of villages, provide institutional support for the rural poor, expand off-farm employment, and include investment in region-serving functions. Subsistence agriculture needs to include diversification of high value cash crops based on local comparative advantage suitable for hill climate and terrain. Small farmers must produce both cash and subsistence crops. Government should provide market space and paved areas, weighing facilities, and overnight storage facilities. Products would be processed at the village level. Subdistricts must be established according to spatial and social linkages between villages and the service center and coordinated at the

Tablet e-Logbooks: Four Thousand Clinical Cases and Complications e-Logged by 14 Nondoctor Anesthesia Providers in Nepal.

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Shah, Shristi; Ross, Oliver; Pickering, Stephen; Knoble, Stephen; Rai, Indra

2017-10-01

To meet the need for essential surgery across rural Nepal, anesthesia at district level is delivered by nondoctor anesthetists. They require support to maintain confidence and competence, and upgraded professional registration to secure their status. To meet these needs, a distance-blended learning course was pioneered and delivered. A core course requirement was to log all clinical cases; these were logged on a new e-logbook. Fourteen nondoctor anesthesia providers working in 12 different districts across Nepal were enrolled in the 1-year course. The course is based on self-completion on a tablet loaded with new learning modules, a resource library, and a case logbook. Continuous educational mentoring was provided by anesthesiologists by phone and email. The logbook included preanesthesia assessment and interventions, American Society of Anesthesiologists (ASA) grading, types of cases and anesthesia given, monitors used, complications, outcomes and free text remarks. Cases were uploaded monthly to a database, and mentors reviewed all logbook entries. The 14 nondoctor anesthesia providers were widely distributed across the country in district, zonal, community, and mission hospitals, and had different levels of clinical experience and caseloads. Logbooks and uploads were regularly completed without difficulty; 1% cases were entered incompletely with no case details provided. A total of 4143 cases were recorded. Annual caseload per nondoctor anesthesia provider ranged from 50 to 788, the majority of which were under spinal anesthesia; 34% of the total cases were cesarean deliveries, of which 99% received spinal anesthesia. Fifty gastrointestinal laparotomies (1% total) were recorded. Ninety-one percent of cases were ASA I, 0.8% ASA III/IV. Pulse oximetry was used in 98% of cases. Complications were recorded in 6% of cases; the most common were circulation problems (69%) including hypotension and occasional bradycardia after spinal anesthesia. Airway complications

Getting stuck, falling behind or moving forward

DEFF Research Database (Denmark)

Walelign, Solomon Zena

2017-01-01

Research on household livelihood dynamics is central to rural poverty reduction. In this paper, we adopt a three-wave panel dataset to explore the persistence of and transitions in household livelihoods in three districts of Nepal using duration and dynamic probit models. The results demonstrate ...

Health-seeking behaviors and self-care practices of people with filarial lymphoedema in Nepal: a qualitative study.

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Adhikari, Ram Kumar; Sherchand, Jeevan Bahadur; Mishra, Shiva Raj; Ranabhat, Kamal; Pokharel, Amrit; Devkota, Pramila; Mishra, Durga; Ghimire, Yadu Chandra; Gelal, Khageshwor; Paudel, Rajan; Wagle, Rajendra Raj

2015-01-01

Background. Lymphatic filariasis is endemic in Nepal. This study aimed to investigate health-seeking behaviors and self-care practices of people with filarial Lymphoedema in Nepal. Methods. A cross-sectional study was conducted using qualitative methods in three endemic districts. Twenty-three patients with current Lymphoedema were recruited in the study. Results. Hydrocele was found to be a well-known condition and a major health problem in the studied communities. People with Lymphoedema primarily sought health care from traditional healers, whereas sometimes home-based care was their first treatment. Later Ayurvedic and allopathic hospital-based care were sought. Respondents reported various psychological problems such as difficulty in engaging in sexual intercourse, anxiety, worry and stress, depression, low self-esteem, feeling weak, fear of being abandoned, and fear of transmitting disease to the children. Standard foot care practices except washing were largely absent. Conclusions. Lymphoedema in the limbs and hydrocele were found to be major health problems. The traditional health care providers were the first contact of care for the majority of respondents. Only a few patients had been practicing standard foot care practices.

Boundary element analysis of active mountain building and stress heterogeneity proximal to the 2015 Nepal earthquake

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Thompson, T. B.; Meade, B. J.

2015-12-01

The Himalayas are the tallest mountains on Earth with ten peaks exceeding 8000 meters, including Mt. Everest. The geometrically complex fault system at the Himalayan Range Front produces both great relief and great earthquakes, like the recent Mw=7.8 Nepal rupture. Here, we develop geometrically accurate elastic boundary element models of the fault system at the Himalayan Range Front including the Main Central Thrust, South Tibetan Detachment, Main Frontal Thrust, Main Boundary Thrust, the basal detachment, and surface topography. Using these models, we constrain the tectonic driving forces and frictional fault strength required to explain Quaternary fault slip rate estimates. These models provide a characterization of the heterogeneity of internal stress in the region surrounding the 2015 Nepal earthquake.

Technology adoption analysis of improved maize technology in western hills of Nepal

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Jeevan Lamichhane

2015-12-01

Full Text Available The survey was carried out in two districts namely Palpa and Baglung to determine the current level of adoption of improved maize production practices. This study identifies the technology adoption extent and pattern of improved maize technologies in Western Hills of Nepal. In each of these districts, two village development committees (V.D.Cs were surveyed. Deurali and Khasyouli V.D.C from Palpa and Kudule and Malika V.D.C from Baglung Districts were selected. Structured Questionnaire were administered to 30 randomly selected households in each VDC. Altogether 120 Households were surveyed. The degree of adoption was measured on the seed rate, adoption of improved varieties, application of Nitrogenous, Phosphatic and Potassium fertilizer, Weeding and method of planting. The adoption index was used to determine the adoption level of the respondents. There seems to be a gap between the recommended practice and current level of practice at the farmers level in some of the factors like Nitrogenous, Phosphorus and Potassium fertilizers, method of planting .The study revealed that majority farmers belonged to high adoption category (57% followed by medium adoption category (54% and low adoption category (9%. The Technology Adoption Index (TAI was found 63%. In nutshell there is still large scope for yield improvement of the maize in the study area by adopting improved maize varieties.

Early and Forced Child Marriages in Rural Western Nepal

OpenAIRE

Pitambar Acharya; Benjamin Welsh

2017-01-01

After reviewing the state of early and forced child marriage (ECM) globally and nationally within Nepal, this research assessed the determinants, consequences and preventive measures of ECM in rural municipalities in Nepal today. This mixed method surveyed 167 households taking 15 % sample from the clusters of three wards of Badhaiyatal Rural Municipality in Bardiya and Dullu Municipality in Dailekh of Western Nepal. Besides household survey, six Focus Group Discussions (FGDs), 16 Key Informa...

Maternal and Neonatal Health Knowledge, Service Quality and Utilization: Findings from a Community Based Quasi-experimental Trial in Arghakhanchi District of Nepal.

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Shrestha, J R; Manandhar, D S; Manandhar, S R; Adhikari, D; Rai, C; Rana, H; Poudel, M; Pradhan, A

2015-01-01

As part of the Partnership for Maternal and Newborn Health Project (PMNH), HealthRight International collaborated with Mother and Infant Research Activities (MIRA) to conduct operations research in Arghakhanchi district of Nepal to explore the intervention impact of strengthening health facility, improving community facility linkages along with Community Based Newborn Care Program (CB-NCP) on Maternal Neonatal Care (MNC) service quality, utilization, knowledge and care seeking behavior. This was a quasi-experimental study. Siddahara, Pokharathok, Subarnakhal,Narpani Health Posts (HPs) and Thada Primary Health Care Center(PHCC)in Electoral Constituency-2 were selected as intervention sites and Arghatosh, ,Argha, Khana, Hansapur HPs and Balkot PHCC in Electoral Constituency-1 were chosen as controls. The intervention started in February 2011 and was evaluated in August 2013. To compare MNC knowledge and practice in the community, mothers of children aged 0-23 months were selected from the corresponding Village Development Committees(VDCs) by a two stage cluster sampling design during both baseline (July 2010) and endline (August, 2013) assessments. The difference in difference analysis was used to understand the intervention impact. Local resource mobilization for MNC, knowledge about MNC and service utilization increased in intervention sites. Though there were improvements, many effects were not significant. Extensive trainings followed by reviews and quality monitoring visits increased the knowledge, improved skills and fostered motivation of health facility workers for better MNC service delivery. MNC indicators showed an upsurge in numbers due to the synergistic effects of many interventions.

Process evaluation of a community-based intervention promoting multiple maternal and neonatal care practices in rural Nepal

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Silwal Ram C

2010-06-01

Full Text Available Abstract Background The challenge of delivering multiple, complex messages to promote maternal and newborn health in the terai region of Nepal was addressed through training Female Community Health Volunteers (FCHVs to counsel pregnant women and their families using a flipchart and a pictorial booklet that was distributed to clients. The booklet consists of illustrated messages presented on postcard-sized laminated cards that are joined by a ring. Pregnant women were encouraged to discuss booklet content with their families. Methods We examined use of the booklet and factors affecting adoption of practices through semi-structured interviews with district and community-level government health personnel, staff from the Nepal Family Health Program, FCHVs, recently delivered women and their husbands and mothers-in-law. Results The booklet is shared among household members, promotes discussion, and is referred to when questions arise or during emergencies. Booklet cards on danger signs and nutritious foods are particularly well-received. Cards on family planning and certain aspects of birth preparedness generate less interest. Husbands and mothers-in-law control decision-making for maternal and newborn care-seeking and related household-level behaviors. Conclusions Interpersonal peer communication through trusted community-level volunteers is an acceptable primary strategy in Nepal for promotion of household-level behaviors. The content and number of messages should be simplified or streamlined before being scaled-up to minimize intervention complexity and redundant communication.

Climate change and livestock system in mountain: Understanding from Gandaki River basin of Nepal Himalaya.

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Dahal, P.; Shrestha, N. S.; Krakauer, N.; Lakhankar, T.; Panthi, J., Sr.; Pradhanang, S.; Jha, A. K.; Shrestha, M.; Sharma, M.

2015-12-01

In recent years climate change has emerged as a source of vulnerability for agro-livestock smallholders in Nepal where people are mostly dependent on rain-fed agriculture and livestock farming for their livelihoods. There is a need to understand and predict the potential impacts of climate change on agro-livestock farmer to develop effective mitigation and adaptation strategies. To understand dynamics of this vulnerability, we assess the farmers' perceptions of climate change, analysis of historical and future projections of climatic parameters and try to understand impact of climate change on livestock system in Gandaki River Basin of Central Nepal. During the period of 1981-2012, as reported by the mountain communities, the most serious hazards for livestock system and agriculture are the increasing trend of temperature, erratic rainfall patterns and increase in drought. Poor households without irrigated land are facing greater risks and stresses than well-off people. Analysis of historical climate data also supports the farmer perception. Result shows that there is increasing trend of temperature but no consistent trend in precipitation but a notable finding is that wet areas are getting wetter and dry areas getting drier. Besides that, there is increase in percentage of warm days and nights with decrease in the cool nights and days. The magnitude of the trend is found to be higher in high altitude. Trend of wet days has found to be increasing with decreasing in rainy days. Most areas are characterized by increases in both severity and frequency of drought and are more evident in recent years. The summers of 2004/05/06/09 and winters of 2006/08/09 were the worst widespread droughts and have a serious impact on livestock since 1981. Future projected change in temperature and precipitation obtained from downscaling the data global model by regional climate model shows that precipitation in central Nepal will change by -8% to 12% and temperature will change by 1

Characteristics of Consumers of Family Planning Services in Eastern Nepal

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Sushma Dahal

2013-08-01

Full Text Available Family planning services in Nepal are provided by government and non-government health facilities. A descriptive cross sectional study was done by secondary data review of eight months from Institutional clinic, District Health Office (DHO Ilam district. Use of different family planning methods through government health facility was studied in relation to different variables like age, sex, ethnicity, and, number of children. Around 53% of the female users of spacing method and around 47% of female users of permanent method were in age group 20-29 years and 25-29 years respectively. The major reasons for removal of IUCD were husband’s migration and experienced physical problems. Most of the females doing sterilization were from Disadvantaged Janajati group whereas most of the males doing sterilization were from Upper caste ethnic group. Among females doing sterilization, 70% already had their second live birth baby. Out of the total sterilization performed in 8 months, only 15.15% was done among males. So, there is need of increasing male involvement in Family planning. There is also need of programs to encourage spacing methods among the target population. DOI: http://dx.doi.org/10.3126/dsaj.v6i0.8482 Dhaulagiri Journal of Sociology and Anthropology Vol. 6, 2012 125-138

Communicating awareness of light pollution with the schools in Nepal

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Acharya, Jayanta

2015-08-01

Nepal is also highly polluted by the lights and other dusts partials, but lacks the formal education of light pollutions and effect of light for astronomy observations. When we get Sky Quality Meter (SQM) last year (2014) we have installed it in Kathmandu.This paper will highlight about installation SQM in Nepal, measurement of brightness of the night sky in magnitudes per square arc second. Research work of light pollution of Kathmandu will be more in focus. Highlight of the Astronomy programs by different Schools in Nepal along with the background of coverage of Astronomy education in the syllables of different education level. The various procedure , technique and idea used in providing the space education through different activities and program to school studentsThe paper will also deal with the Importance of light and use of artificial light. Beside it will also highlight the possibility of development of various observatories in Nepal because of its tremendous topography increasing the Astro tourism in Nepal.Hence the paper would focus on the light pollution of the city like Kathmandu and light system in Nepal and Astronomy education to its implementation along with its outreach to Nepalese society.

Molecular and phylogenetic analyses of the liver amphistome Explanatum explanatum (Creplin, 1847) Fukui, 1929 in ruminants from Bangladesh and Nepal based on nuclear ribosomal ITS2 and mitochondrial nad1 sequences.

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Mohanta, U K; Rana, H B; Devkota, B; Itagaki, T

2017-07-01

Explanatum explanatum flukes, liver amphistomes of ruminants, cause significant economic loss in the livestock industry by inducing severe liver damage. A total of 66 flukes from 26 buffaloes and 7 cattle in four different geographic areas of Bangladesh and 20 flukes from 10 buffaloes in the Chitwan district of Nepal were subjected for analysis. The sequences (442 bp) of the second internal transcribed spacer (ITS2) of ribosomal DNA and the variable fragments (657 bp) of mitochondrial nicotinamide dehydrogenase subunit 1 (nad1) of E. explanatum flukes from Bangladesh and Nepal were analysed. The aim of this study was molecular characterization of the flukes and to elucidate their origin and biogeography. In the ITS2 region, two genotypes were detected among the flukes from Bangladesh, while flukes from Nepal were of only one genotype. Phylogenetic analyses inferred from the nad1 gene revealed that at least four divergent populations (groups I-IV) are distributed in Bangladesh, whereas two divergent populations were found to be distributed in Nepal. Fst values (pairwise fixation index) suggest that Bangladeshi and Nepalese populations of group I to IV are significantly different from each other; but within groups III and IV, the populations from Bangladesh and Nepal were genetically close. This divergence in the nad1 gene indicates that each lineage of E. explanatum from diverse geography was co-adapted during the multiple domestication events of ruminants. This study, for the first time, provides molecular characterization of E. explanatum in Bangladesh and Nepal, and may provide useful information for elucidating its origin and dispersal route in Asia.

Performance evaluation of commercial maize hybrids across diverse Terai environments during the winter season in Nepal

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Mahendra Prasad Tripathi

2016-12-01

Full Text Available The hybrid maize cultivars of multinational seed companies are gradually being popular among the farmers in Nepal. This paper reports on research finding of 117 maize hybrids of 20 seed companies assessed for grain yield and other traits at three sites in winter season of 2011 and 2012. The objective of the study was to identify superior maize hybrids suitable for winter time planting in eastern, central and inner Terai of Nepal. Across site analysis of variance revealed that highly significant effect of genotype and genotype × environment interaction (GEI on grain yield of commercial hybrids. Overall, 47 genotypes of 16 seed companies identified as high yielding and stable based on superiority measures. The statistical analysis ranked topmost three genotypes among tested hybrids as P3856 (10515 kg ha-1, Bisco prince (8763 kg ha-1 as well as Shaktiman (8654 kg ha-1 in the first year; and 3022 (8378 kg ha-1, Kirtiman manik (8323 kg ha-1 as well as Top class (7996 kg ha-1 in the second year. It can be concluded that stable and good performing hybrids identified as potential commercial hybrids for general cultivation on similar environments in Nepal.

Dating and Sex among Emerging Adults in Nepal

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Regmi, Pramod R.; van Teijlingen, Edwin R.; Simkhada, Padam; Acharya, Dev R.

2011-01-01

Social and cultural changes in Nepal, including better communication facilities and transport, more urbanization and a rising age at which people marry, have created more opportunities for young people for "dating." Our qualitative study explores whether the existence of dating cultures influences young people's sexual behavior in Nepal.…

Barriers to using skilled birth attendants' services in mid- and far-western Nepal: a cross-sectional study.

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Choulagai, Bishnu; Onta, Sharad; Subedi, Narayan; Mehata, Suresh; Bhandari, Gajananda P; Poudyal, Amod; Shrestha, Binjwala; Mathai, Matthews; Petzold, Max; Krettek, Alexandra

2013-12-23

Skilled birth attendants (SBAs) provide important interventions that improve maternal and neonatal health and reduce maternal and neonatal mortality. However, utilization and coverage of services by SBAs remain poor, especially in rural and remote areas of Nepal. This study examined the characteristics associated with utilization of SBA services in mid- and far-western Nepal. This cross-sectional study examined three rural and remote districts of mid- and far-western Nepal (i.e., Kanchanpur, Dailekh and Bajhang), representing three ecological zones (southern plains [Tarai], hill and mountain, respectively) with low utilization of services by SBAs. Enumerators assisted a total of 2,481 women. All respondents had delivered a baby within the past 12 months. We used bivariate and multivariate analyses to assess the association between antenatal and delivery care visits and the women's background characteristics. Fifty-seven percent of study participants had completed at least four antenatal care visits and 48% delivered their babies with the assistance of SBAs. Knowing the danger signs of pregnancy and delivery (e.g., premature labor, prolonged labor, breech delivery, postpartum hemorrhage, severe headache) associated positively with four or more antenatal care visits (OR = 1.71; 95% CI: 1.41-2.07). Living less than 30 min from a health facility associated positively with increased use of both antenatal care (OR = 1.44; 95% CI: 1.18-1.77) and delivery services (OR = 1.25; CI: 1.03-1.52). Four or more antenatal care visits was a determining factor for the utilization of SBAs. Less than half of the women in our study delivered babies with the aid of SBAs, indicating a need to increase utilization of such services in rural and remote areas of Nepal. Distance from health facilities and inadequate transportation pose major barriers to the utilization of SBAs. Providing women with transportation funds before they go to a facility for delivery and managing transportation

Implementing Nepal's national building code—A case study in patience and persistence

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Arendt, Lucy; Hortacsu, Ayse; Jaiswal, Kishor; Bevington, John; Shrestha, Surya; Lanning, Forrest; Mentor-William, Garmalia; Naeem, Ghazala; Thibert, Kate

2017-01-01

The April 2015 Gorkha Nepal earthquake revealed the relative effectiveness of the Nepal Standard, or national building code (NBC), and irregular compliance with it in different parts of Nepal. Much of the damage to more than half a million Nepal's residential structures may be attributed to the prevalence of owner-built or owner-supervised construction and the lack of owner and builder responsiveness to seismic risk and training in the appropriate means of complying with the NBC. To explain these circumstances, we review the protracted implementation of the NBC and the role played by one organization, the National Society for Earthquake Technology-Nepal (NSET), in the NBC's implementation. We also share observations on building code compliance made by individuals in Nepal participating in workshops led by the Earthquake Engineering Research Institute's 2014 class of Housner Fellows.

Tortricoidea from Nepal, 2

NARCIS (Netherlands)

Diakonoff, A.

1976-01-01

Introduction ... 3 Cochylidae ... 5 Tortricidae, Olethreutinae, Laspeyresiini ... 10 Tortricinae, Tortricini ... 48 Polyorthini ... 67 Sparganothidini ... 69 Ceracini ... 70 Archipini ... 71 Cnephasiini ... 128 Chlidanotinae ... 132 Appendix 1. Matsumuraeses species from Nepal, treated elsewhere ...

Factors Affecting Adoption of Improved Rice Varieties among Rural Farm Households in Central Nepal

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Raju Ghimire

2015-01-01

Full Text Available The use of improved high yielding crop varieties is an important avenue for reducing hunger and food insecurity in developing countries. Using cross-sectional data obtained from a survey conducted during 2013 crop season, we performed a probit model (plot-level analysis to determine the probability of adopting new improved rice varieties (NIRVs by smallholder farmers particularly from two main agro-ecological regions (hills and tropical plain terai regions of Central Nepal. The results revealed that education, extension services and seed access play significant roles in adoption decisions. Additionally, farm and field characteristic variables such as farm size, endowment of favorable land type (e.g. lowlands, and animal power (e.g. oxen are the key factors influencing the probability of adopting NIRVs. The results showed that technology specific variables (e.g. yield potential and acceptability are significant for explaining adoption behavior, implying that it is important to take farmers’ preferences to varietal characteristics into consideration in the design of a research and development program. Given the significant role played by extension and access related variables, increased emphasis on information dissemination, field demonstration, and farmers’ participatory research and training programs to popularize new rice varieties and enhance their adoption rate are required. This also suggests that policy intervention should be made on improving the educational status of farming households, and developing programs on varietal package of rice seed which offer farmers a variety of choices among the appropriate pools of germplasm. Such programs ultimately help farmers develop more profit-oriented behavior which are necessary to enhance adoption rate, production and food security in the long run.

Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

Science.gov (United States)

2015-01-01

Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed. Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis. Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015. Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation. Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients. PMID:26346242

Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal.

Science.gov (United States)

Parajuli, Ramesh

2015-01-01

Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed. Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis. Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015. Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation. Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients.

Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

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Ramesh Parajuli

2015-01-01

Full Text Available Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed. Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis. Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015. Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09% followed by hypertension (27.38%, trauma (15.47%, and coagulopathy (8.33%. Regarding treatment methods, most (52.38% of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38% patients required endoscopic sphenopalatine arterial ligation. Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients.

Production, Marketing and Value Chain Mapping of 'Srijana' Tomato Hybrid Seed in Nepal

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Dinesh Babu Thapa Magar

2016-12-01

Full Text Available A tomato variety known as ‘Srijana’ developed by Nepal Agricultural Research Council (NARC has been substantially popular among Nepalese farmers and entrepreneurs. To understand the seed value chain of the Srijana hybrid tomato, a survey was conducted in 2014/15 with public research and extension institutions, private seed companies/firms, non-governmental organization and community group including individual farmers, involved in Srijana tomato seed production. The survey covered random selection of 30 agro-vets and 30 farmers in Kathmandu valley, Kavre, Nuwakot, Dolakha and Kaski districts, Nepal where production of Srijana tomato seed is mostly concentrated. A focus group discussion was also conducted with commercial tomato farmers in each of the study districts. The study showed a total production of 293 kg Srijana seed having a value of around 47 million Nepalese Rupees (US $ 470 thousands in year 2013/14. Private sector was the dominant actor sharing about 85% of the total Srijana seed production followed by non-governmental organization (10%, farmers group (3% and governmental station/farm/centers (2%, respectively. Out of the total Srijana seed produced, about 95% was consumed in domestic market while 5% was exported to India. The study revealed increasing trend of production, supply and price of Srijana tomato seed. About 0.3 million NRs (US $ 3,000 profit was estimated through the production of Srijana tomato seed in 0.05 hectares (500 m2 of land. Agro-vets (private sector seed dealers were the major actors for supplying the seed from the producers to farms and received a higher profit margins. The farmers producing and selling the seed in technical assistance of public agencies received higher producer`s share (66.6% than farmers producing and selling seed through own group (60%, technical assistance of non-governmental organization (53.3%, and in contract with private seed companies (26.7%. Majority of commercial tomato farmers

The Byanshi: an ethnographic note on a trading group in far western Nepal.

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Manzardo, A E; Dahal, D R; Rai, N K

1976-09-01

The Byanshi who live in the district of Darchula are among the lesser known trading groups of Nepal. The Byanshi, close to the borders of Nepal, India, and Tibet, make their living trading wool, yak tails, salt, grain, and other commodities across the Himalayas and over the border into Pithoragarh district and even down into the Terai. The Byanshi live their lives in 2 separate areas. In the summer they live in their traditional homeland in Byana panchayat in the northern section of Darchula, close to Nepal's border with China. The major settlements in the area are Tinkar and Chhangru. The entire panchayat has a population of about 2000. In the winter, when snow makes life difficult in the high mountains, the Byanshi migrate down to Khalanga panchayat. Of greater importance than agriculture is animal husbandry, which is the backbone of trade in the Himalayas. Most important is that husbandry supports trade. The Byanshi social organization is somewhat confusing. An attempt is made to explain the clan structure as simply as possible. Upon the birth of a child the women from the village bring local beer, meat, and other food to the mother. Up to the 11th day after childbirth, the new mother and child are considered to be polluted. On the 8th day after delivery a ceremony known as "malengkho kormo" is performed, where the mother and child are ritually bathed. From this point, both the mother and child may enter the hearth area of their house, but the house itself is considered polluted. On the 11th day, all villagers are invited to attend the ceremony known as "chhyosimo" which purifies the house and the people. The Byanshi practice 3 forms of marriage: marriage by capture; love marriage, a form of elopmement; and the arranged marriage. The latter is becoming most common. Death rituals have always been the most exaggerated and costly ceremonies for the Bayanshi. The religion of the Byanshi combines features of Tibetan Buddhism, hill animism, and Hinduism in a very

Health-Seeking Behaviors and Self-Care Practices of People with Filarial Lymphoedema in Nepal: A Qualitative Study

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Ram Kumar Adhikari

2015-01-01

Full Text Available Background. Lymphatic filariasis is endemic in Nepal. This study aimed to investigate health-seeking behaviors and self-care practices of people with filarial Lymphoedema in Nepal. Methods. A cross-sectional study was conducted using qualitative methods in three endemic districts. Twenty-three patients with current Lymphoedema were recruited in the study. Results. Hydrocele was found to be a well-known condition and a major health problem in the studied communities. People with Lymphoedema primarily sought health care from traditional healers, whereas sometimes home-based care was their first treatment. Later Ayurvedic and allopathic hospital-based care were sought. Respondents reported various psychological problems such as difficulty in engaging in sexual intercourse, anxiety, worry and stress, depression, low self-esteem, feeling weak, fear of being abandoned, and fear of transmitting disease to the children. Standard foot care practices except washing were largely absent. Conclusions. Lymphoedema in the limbs and hydrocele were found to be major health problems. The traditional health care providers were the first contact of care for the majority of respondents. Only a few patients had been practicing standard foot care practices.

Feasibility study of a family- and school-based intervention for child behavior problems in Nepal.

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Adhikari, Ramesh P; Upadhaya, Nawaraj; Satinsky, Emily N; Burkey, Matthew D; Kohrt, Brandon A; Jordans, Mark J D

2018-01-01

This study evaluates the feasibility, acceptability, and outcomes of a combined school- and family-based intervention, delivered by psychosocial counselors, for children with behavior problems in rural Nepal. Forty-one children participated at baseline. Two students moved to another district, meaning 39 children, ages 6-15, participated at both baseline and follow-up. Pre-post evaluation was used to assess behavioral changes over a 4-month follow-up period (n = 39). The primary outcome measure was the Disruptive Behavior International Scale-Nepal version (DBIS-N). The secondary outcome scales included the Child Functional Impairment Scale and the Eyberg Child Behavior Inventory (ECBI). Twelve key informant interviews were conducted with community stakeholders, including teachers, parents, and community members, to assess stakeholders' perceptions of the intervention. The study found that children's behavior problems as assessed on the DBIS-N were significantly lower at follow-up (M = 13.0, SD = 6.4) than at baseline (M = 20.5, SD = 3.8), p behaviors among children and the implementation of new behavior management techniques both at home and in the classroom. Significant change in child outcome measures in this uncontrolled evaluation, alongside qualitative findings suggesting feasibility and acceptability, support moving toward a controlled trial to determine effectiveness.

Use of solar parabolic cookers (SK-14) in Nepal

Energy Technology Data Exchange (ETDEWEB)

Shrestha, S. [Asia Network for Small Scale Bioresources, Kathmandu (Nepal)

2000-07-01

Solar Cooker is a device that uses only sunlight to cook food and pasteurise water. Solar cooker can be used along with other cooking devices to save cost, fuel and the time spent in gathering fuelwood. Solar cooking enables individual families to do without commercially sold fuel and help save money. In Nepal, supply of energy is one of the major problems for both urban and rural households. Increase in population, high migration, expensive fuel bills, environmental degradation, and unsafe drinking water have resulted in the keen interest from people of Nepal in the use of solar energy. The increasing number of tourists and trekkers are now one of the major sources of income and many people are engaged in running hotels, lodges, and restaurants. This has also increased the fuel demand. This paper highlights the current energy situation of Nepal, the technical details of solar parabolic cooker (SK-14), its uses throughout Nepal, strategies adopted by various organisations for its promotion. A lot of effort have been made by various organisations, educational, governmental and health related institutions in order to introduce solar cooking programs in villages of Nepal. The parameters, which have influenced the adoption of this technology in Nepal are also mentioned. Various awareness programs and the government subsidy program are playing considerable role in dissemination of such technologies. The promotion activities with the objective of mass awareness have long term effect and sustainable rather than instant business. Continued efforts to create awareness, development of models as well as proper promotion and dissemination are required. (au)

AN ANALYSIS OF IMPORTANT POLICIES FOR ACCELERATING DEVELOPMENT IN NEPAL

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Sudarshan Neupane

2015-02-01

Full Text Available Nepal belongs to one of the least developed countries around the world with HDI 157 out of 187 countries (UNDP 2013. Even though poverty in Nepal has reduced to 24.8% in the latest census, the livelihoods of the poorest people living in the remote communities are still vulnerable. Two third of the population still depends on the subsistence agriculture. Similarly, due to lack of job opportunities, youth migration is escalating and Nepal is facing one of the most critical phases of development in its history (Snellinger 2009. Inadequate infrastructure and poor road connectivity are other constraints for the development (World Bank 2011. It follows that, poor access to electricity is another challenge despite the country’s enormous potential for hydroelectricity. Similarly, Nepal  has huge prospective for tourism due to its unique natural resources (Bhandari 2004. Nonetheless, Nepal has not benefited optimally from the tourism sector for its self-sustained development. Recently Government of Nepal (2011 has announced diverse policies for accelerating development through proper utilization of local resources. This paper critically evaluates the crucial policies such as Agriculture Development Strategy, National Cooperatives Policy, National Youth Policy, and Micro-hydro for Rural Development, and Tourism for Development. The paper discusses each of these policies’ background; critically analyse the likelihood as well as challenges for fast-tracking development; and finally offers some recommendations based discussion and analysis.

[Prolonged diarrhea and weight loss after a biking trip from Tibet to Nepal: infection with Cyclospora].

Science.gov (United States)

Dekker, E; Kager, P A

2002-08-10

A 39-year-old man, who had made a cycling tour from Tibet to Nepal, visited the outpatients' clinic one month later because of prolonged diarrhoea, abdominal complaints and serious weight loss. Parasitological examination of the stool revealed oocysts of Cyclospora cayetanensis and the patient was treated with trimethoprim-sulfamethoxazole (co-trimoxazole) with good result. C. cayetanensis has only recently been discovered as a protozoal cause of diarrhoea. Infections are primarily reported from areas with a low hygienic standard e.g. Central and South America, the Indian subcontinent (Nepal), Indonesia and South-East Asia. Clinical symptoms of infection are diarrhoea (usually watery), abdominal cramps and discomfort. The infection can have a prolonged course. Diagnosis is made by parasitological examination of the stool (one should be cautious not to confuse with cryptosporidia) and treatment with trimethoprim-sulfamethoxazole is effective.

Is Inflation in India an Attractor of Inflation in Nepal?

OpenAIRE

Edimon Ginting

2007-01-01

The paper attempts to answer some important questions around the inflationary process in Nepal, particularly the transmission of inflation from India. Because the Nepali currency is pegged to the Indian rupee and the two countries share an open border, price developments in Nepal would be expected to mirror to those in India. The results show that inflation in India and inflation in Nepal tend to converge in the long run. Our estimates indicate that the passthrough of inflation from India to ...

Strategic rehabilitation of the earthquake affected microhydropower plants in Nepal

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Baidar, B.; Koirala, R.; Neopane, H. P.; Shrestha, M. V.; Thapa, B.

2016-11-01

Most people in the rural areas of Nepal rely on Micro-hydro Power Plants (MHPs) for their energy sources. With around four decade experiences in design and development of MHPs, Nepalese techno-entrepreneurs have gained wider reputation in the South Asian region and the beyond. However with the lack of competences in developing Francis turbines, majority of the MHPs are equipped with either Pelton of Cross Flow turbine, even though Francis units are suitable. With the devastating earthquake of a 7.6 magnitude that struck in the Gorkha district on Saturday, 25 April 2015, about 76 km northwest of the capital city Kathmandu, and the aftershocks followed claimed more than 8000 lives. It did not leave hydropower plants either. Many big plants have been affected and hundreds of MHPs were damaged, needing short to long term rehabilitation. The preliminary assessment of the 61 affected MHPs in the 6 earthquake affected districts shows more than 50% sites are suitable for Francis turbine. Hence the strategic rehabilitation plan has been developed in the present paper for the affected plants considering issues like geographical shift, dislocation of people and also with the focus on replacing the old turbine with Francis turbine in the suitable sites. The similar strategy can also be implemented in other developing countries with such situations.

Attempts to bring the trained teachers in the schools of Nepal

Science.gov (United States)

Lamsal, Jeevan

2016-07-01

To develop space activities and to industrialize astronomy, base of space education in the high schools must be very effective. This paper highlights the present scenario of space education and discusses the syllabus of astronomy in the different education level of Nepal. Astronomy is included in the curriculum of science book of middle school and high school which contains very few contents of solar system, constellations, galaxy, black holes and formation of stars. There is no any degree for higher studies in astronomy as a separate department in any university of Nepal. This paper also highlights the space activities and national level programs conducting in Nepal to support astronomy education. With the rise of many astronomical clubs and societies in the different regions of Nepal, astronomy education has been more effective in the recent time. Series of Galileo Teacher's Training Program in the different parts of Nepal being organized by Global Hands on Universe in cooperation with local astronomy clubs will be discuss in brief. The attempts to bring more trained and skilled teachers in the classroom by the government and non-government agencies are now gradually increasing. The competition of private schools and their capacity building workshops to their teachers to attract more students is also playing active role to shape the school education effective. The challenges, prospects and the practice of effective astronomy education prevailing in Nepal will be discuss. Key Words: Nepal, Astronomy Education, GTTP, Trained Teachers

Effect of Traditional Gold Mining to Surface Water Quality in Murung Raya District, Central Kalimantan Province

OpenAIRE

Wilopo, W; Resili, R; Putra, D P E

2013-01-01

There are many locations for traditional gold mining in Indonesia. One of these is in Murung Raya District, Central Kalimantan Province. Mining activities involving the application of traditional gold processing technology have a high potential to pollute the environment, especially surface water. Therefore, this study aims to determine the impact of gold mining and processing on surface water quality around the mine site. Based on the results of field surveys and laboratory analysis, our dat...

Little Reason for Being: A Case of School District Dissolution.

Science.gov (United States)

Ellis, Pam

In 1980, Tonnelly Central School District became the first school district in New York State to be dissolved pursuant to Section 1505 of Education Law, marking the first use of dissolution and annexation as a means by which to address the programmatic and management problems encountered in the operation of a central school district. Problems faced…

Health-sector responses to address the impacts of climate change in Nepal.

Science.gov (United States)

Dhimal, Meghnath; Dhimal, Mandira Lamichhane; Pote-Shrestha, Raja Ram; Groneberg, David A; Kuch, Ulrich

2017-09-01

Nepal is highly vulnerable to global climate change, despite its negligible emission of global greenhouse gases. The vulnerable climate-sensitive sectors identified in Nepal's National Adaptation Programme of Action (NAPA) to Climate Change 2010 include agriculture, forestry, water, energy, public health, urbanization and infrastructure, and climate-induced disasters. In addition, analyses carried out as part of the NAPA process have indicated that the impacts of climate change in Nepal are not gender neutral. Vector-borne diseases, diarrhoeal diseases including cholera, malnutrition, cardiorespiratory diseases, psychological stress, and health effects and injuries related to extreme weather are major climate-sensitive health risks in the country. In recent years, research has been done in Nepal in order to understand the changing epidemiology of diseases and generate evidence for decision-making. Based on this evidence, the experience of programme managers, and regular surveillance data, the Government of Nepal has mainstreamed issues related to climate change in development plans, policies and programmes. In particular, the Government of Nepal has addressed climate-sensitive health risks. In addition to the NAPA report, several policy documents have been launched, including the Climate Change Policy 2011; the Nepal Health Sector Programme - Implementation Plan II (NHSP-IP 2) 2010-2015; the National Health Policy 2014; the National Health Sector Strategy 2015-2020 and its implementation plan (2016-2021); and the Health National Adaptation Plan (H-NAP): climate change and health strategy and action plan (2016-2020). However, the translation of these policies and plans of action into tangible action on the ground is still in its infancy in Nepal. Despite this, the health sector's response to addressing the impact of climate change in Nepal may be taken as a good example for other low- and middle-income countries.

Geomorphic changes induced by the April-May 2015 earthquake sequence in the Pharak-Khumbu area (Nepal): preliminary assessments.

Science.gov (United States)

Fort, Monique

2016-04-01

Landsliding is a common process shaping mountain slopes. There are various potential landslide triggers (rainfall, bank erosion, earthquakes) and their effectiveness depends on their distribution, frequency and magnitude. In a Himalayan context, the effects of monsoon rainfall can be assessed every year whereas the unpredictability and low frequency of large earthquakes make their role in triggering slope instability more obscure. A 7.8 magnitude earthquake struck central Nepal (Gorkha District) on 25 April 2015 and was followed by many aftershocks exceeding magnitude 5, including another strong 7.3 magnitude earthquake on May 12, 2015 (Dolakha District). This seismic crisis provides an exceptional opportunity to assess the disruptions that earthquakes may cause in "regular" geomorphic systems controlled by rainfall. Here we present field observations carried out in the Pharak-Khumbu area (East Nepal, Dudh Kosi catchment) before and after the April-May 2015 earthquakes. The Pharak, a "middle mountains" (2000-4500 m) area, is affected by monsoon rains (3000 m/yr at 2500 m) and characterised by steep hillslopes, shaped by different geomorphic processes according to slope height and aspect, rock type and strength, inherited landforms, stream connectivity and current land use changes. This study focuses on the south of Lukla (Phakding District), and more specifically on the Khari Khola catchment and its surroundings. The area lies at the transition between the Higher Himalayan crystallines and the Lesser Himalayan meta-sediments. On the basis of our diachronic observations (March and November 2015), we surveyed and mapped new earthquake-induced slope instabilities such as rock falls, rockslides, landslides and debris flows and a combination of several of them. Interviews with local people also helped to assess the exact timing of some events. While the first M 7.8 earthquake produced significant impacts in the northern Khumbu area, the M 7.3 aftershock seems to have

Assessment of Fluoride Level in Groundwater and Prevalence of Dental Fluorosis in Didwana Block of Nagaur District, Central Rajasthan, India

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M Arif

2013-10-01

Full Text Available Background: In India, for the high concentration of fluoride in groundwater, people are at risk of dental fluorosis. The problem is common in various states of India. The condition in Rajasthan is worse where all districts have such a problem. Objective: To study the fluoride concentration in groundwater and prevalence of dental fluorosis in Didwana block of Nagaur district, Central Rajasthan, India. Methods: The fluoride concentration in water of 54 villages was measured electrochemically, using fluoride ion selective electrode. Dental fluorosis was assessed in 1136 people residing in study area by Dean's classification for dental fluorosis. Results: The fluoride concentration in groundwater in studied sites ranged from 0.5 to 8.5 mg/L. The concentration of fluoride was more than the maximum permissible limit set by WHO and Bureau of Indian Standards (1 mg/L in 48 groundwater sources. Of 1136 people studied, 788 (69.4%; 95% CI: 66.7%–72.1% had dental fluorosis—252 had mild and 74 had severe dental fluorosis. Conclusion: High level of fluoride in drinking water of Didwana block of Nagaur district, Central Rajasthan, India, causes dental fluorosis in most people in the region and is an important health problem that needs prompt attention.

Determining bioclimatic space of Himalayan alder for agroforestry systems in Nepal

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Santosh Kumar Rana

2018-02-01

Full Text Available Himalayan alder species are proven to be very useful in traditional as well as contemporary agroforestry practice. These nitrogen-fixing trees are also useful in the land restoration. Therefore, understanding the distribution of Himalayan alder and the potential zone for plantation is meaningful in the agroforestry sector. Suitable climatic zones of Alnus spp. were modelled in MaxEnt software using a subset of least correlated bioclimatic variables for current conditions (1950–2000, topographic variables (DEM derived and Landuse Landcover (LULC data. We generated several models and selected the best model against random models using ANOVA and t-test. The environmental variables that best explained the current distribution of the species were identified and used to project into the future. For future projections, ensemble scenarios of climate change projection derived from the results of 19 Earth System Models (ESM were used. Our model revealed that the most favorable conditions for Alnus nepalensis are in central Nepal in the moist north-west facing slope, whereas for Alnus nitida they are in western Nepal. The major climatic factor that contributes to Alnus species distribution in Nepal appears to be precipitation during the warmest quarter for A. nepalensis and precipitation during the driest quarter for A. nitida. Future projections revealed changes in the probability distribution of these species, as well as where they need conservation and where they can be planted. Also, our model predicts that the distribution of Alnus spp. in hilly regions will remain unchanged, and therefore may represent sites that can be used to revitalize traditional agroforestry systems and extract source material for land restoration.

Scalability and Sustainability in Uncertain Environments: Recovery from the Nepal Earthquakes, April 25 and May 12, 2015.

Science.gov (United States)

Comfort, L. K.; Joshi, J. B. D.; Yuldashev, F.

2015-12-01

Decision making in disaster recovery involves both rapid scaling up of resources and personnel from external sources, to rebuild a damaged community, and consequent scaling down of this influx of new actors, organizations, and resources as the community returns to daily operations. How to integrate new concepts, technologies, and resources into communities to rebuild the social, economic, and political infrastructure in stronger, more sustainable ways, as well to reconstruct the damaged technical infrastructure represents a challenging set of problems for any community. This problem is critical in environments exposed to recurring risk of interacting hazards that characterize metropolitan regions today. This analysis will examine the process of decision making that is being initiated at national, regional, district, and municipal levels in Nepal following the April 25 and May 12, 2015 Earthquakes as a field study of this process in action. We will build on an initial brief reconnaissance trip to Nepal, June 30 - July 10, 2015, just as response operations were ending and the transition to recovery was beginning. It will capture this transition process to identify the organizational structure through which it operates and the communication and coordination processes that enhance or impede the development of sustainable, disaster-resilient communities as they recover from disaster. We will collect three types of data from different sources, and use appropriate methods of analysis for each type of data. For documentary analysis, we will trace the logic of governmental action for managing risk and recovering from disaster that is stated in public laws, policies, and documents. For electronic media, we will use content analysis to identify key actors, organizations, transactions, and interactions among actors, and conduct a network analysis, using standard measures of centrality, distance, closeness, and clustering. We will use expert interviews and satellite maps to

Condition of Health Problems in The District Health Offi ce Parigi Moutong Central Sulawesi Province, Efforts in Response of Health Problem

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Ahmad Erlan

2016-01-01

Full Text Available Background: District Parigi Moutong, Central Sulawesi Province is one of the Regional District Health Problems. Ranking Public Health Development Index Parigi Moutong to the level of Central Sulawesi was ranked 6 out of 9 districts/cities, while at the national level comes out to 320 of 440 districts/cities in Indonesia. The purpose of this study is to provide a picture of the health problems in Parigi Moutong. In more detail the objectives are observed after the implementation of such interventions and Booster Kalakarya prevention efforts in the area of health problems. Methods: The study is qualitative observational study of participatory design. Samples were taken by using purposive sampling to conduct in-depth interviews and document searches. Results: The results of in-depth interviews obtained information of some constraints inthe implementation of health programs, ie no actions/movements that were signifi cant in the response to the problem. Infant mortality in 2012, registered 7 cases. Substitution head of the health center too fast. This happens because the head of the health center has held PTT doctor working period of one year, which resulted in problems in sustainability programs in health centers. Internal monthly meeting at the Department of Health and the District Health Offi ce with the entire health center no. Effort or movement to address the problems associated Regional Health Problems has not be percieved. Conclusions: Implementation of Regional Booster Kalakarya and Health Troubled make changes to the head of health policy by forming groups Conscious Movement IHC and revitalization partnership TBA and midwives who are increasing numbers toddlersweighing scope and aid delivery by health personnel.

Teaching English as a Foreign/Second Language in Nepal: Past and Present

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Bista, Krishna

2011-01-01

In this paper, the author reviews the history of English language teaching English as a second or foreign language in schools and colleges in Nepal. Teaching English language and literature in Nepal is of about a half a decade, starting from the mid of twentieth century. English learners in Nepal do not have enough exposure to various techniques…

Balancing Energy, Food, Natural Resources and Environment in Nepal

Energy Technology Data Exchange (ETDEWEB)

Singh, Dilli Bahadur

2010-09-15

Nepal could harness less than 1% of its 83000 MW hydropower potential. Pancheshwar Multipurpose Project (6720 MW) is a bi-national project on Mahakali River bordering between Nepal and India. The earnings from: electricity (NRs. 34.55 billion/year); irrigation (NRs. 5.55 billion/year), fish farming (NRs. 8.65 billion/year), carbon trading (NRs. 4.42 billion/year) and many billions from other sources e.g. eco-tourism, industry, horticulture, herbiculture, floriculture, sericulture, rafting and water sports, educational and vocational training and other industrial/commercial activities can catapult the socioeconomic horizon of Nepal. Hence, PMP should be jointly developed in the earliest and build confidence for the further hydropower development.

A survey of mothers' knowledge about childhood diarrhoea and its management among a marginalised community of Morang, Nepal

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Pathiyil Ravi Shankar

2011-09-01

Full Text Available BackgroundDiarrhoea, a common disease, is one of the majordeterminants of childhood morbidity and mortality in Nepal.MethodThis cross-sectional survey used a self-designed and pretestedstructured questionnaire to gather data on mothers’knowledge about childhood diarrhoea. The study wasconducted in the Morang district of Nepal from June toAugust 2010. Data was analysed using descriptive andinferential statistics. Testing for significant difference andcorrelation of mothers' knowledge about diarrhoea withdemographic factors were performed by using Kruskal-Wallis test and Spearman’s rank correlation at an alpha levelof 0.05.ResultsMothers had some basic knowledge about the prevention ofdiarrhoea, and fluids/foods which can or cannot be givenduring bouts of diarrhoea. Knowledge about signs ofdehydration was poor. None of the mothers were able tomention all the steps for correct and complete preparationof oral rehydration salt (ORS and salt-sugar-water (SSWsolutions. Only 8.5% of the mothers stated that the purposeof giving ORS solution during diarrhoea is to prevent thechild from getting dehydrated.ConclusionKnowledge about signs of dehydration and themanagement approaches of diarrhoea at home was poor.Thus, there is a need for public health educationalinterventions.

Assessment of high-risk human papillomavirus infections using clinician- and self-collected cervical sampling methods in rural women from far western Nepal.

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Derek C Johnson

Full Text Available Nepal has one of the highest cervical cancer rates in South Asia. Only a few studies in populations from urban areas have investigated type specific distribution of human papillomavirus (HPV in Nepali women. Data on high-risk HPV (HR-HPV types are not currently available for rural populations in Nepal. We aimed to assess the distribution of HR- HPV among rural Nepali women while assessing self-collected and clinician-collected cervico-vaginal specimens as sample collection methods for HPV screening.Study participants were recruited during a health camp conducted by Nepal Fertility Care Center in Achham District of rural far western Nepal. Women of reproductive age completed a socio-demographic and clinical questionnaire, and provided two specimens; one cervical-vaginal specimen using a self-collection method and another cervical specimen collected by health camp auxiliary nurse midwives during a pelvic examination. All samples were tested for 14 different HR-HPV mRNA and also specific for HPV16/18/45 mRNA.Of 261 women with both clinician- and self-collected cervical samples, 25 tested positive for HR-HPV, resulting in an overall HR-HPV prevalence of 9.6% (95% confidence Interval [CI]: 6.3-13.8. The overall Kappa value assessing agreement between clinician- and self-collected tests was 0.62 (95% CI: 0.43-0.81, indicating a "good" level of agreement. Abnormal cytology was reported for 8 women. One woman identified with squamous cell carcinoma (SCC, and 7 women with high grade squamous intraepithelial lesions (HSIL. Seven of the 8 women tested positive for HR-HPV (87.5% in clinician-collected samples and 6 in self-collected samples (75.0%.This is the first study to assess HR-HPV among rural Nepali women. Self-collected sampling methods should be the subject of additional research in Nepal for screening HR-HPV, associated with pre-cancer lesions and cancer, in women in rural areas with limited access to health services.

Safe delivery care practices in western Nepal: Does women's autonomy influence the utilization of skilled care at birth?

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Bhandari, Tulsi Ram; Kutty, V Raman; Sarma, P Sankara; Dangal, Ganesh

2017-01-01

Despite various efforts to increase the utilization of skilled birth attendants (SBA), nearly two-thirds of deliveries take place at home without the assistance of SBAs in Nepal. We hypothesized that the ability of women to take decisions about their own lives-women's autonomy-plays an important part in birth choices. To know this, we conducted a community-based cross-sectional study for assessing women's autonomy and utilization of safe delivery care service in Kapilvastu district of Nepal from June to October 2014. We used multivariate modeling to associate socioeconomic factors and women's autonomy with the utilization of safe delivery care services. Just over one-third of women sought institutional delivery care during the birth of their last child. Out of the total deliveries at health facilities, nearly 58% women visited health facility for self-reported emergency obstructive care. Only 6.2% home deliveries were handled by health workers and 14.7% women used the safe delivery kit for home delivery care. Higher levels of women's education had a strong positive association (odds ratio = 24.11, CI = 9.43-61.64) with institutional delivery care. Stratified analysis showed that when the husband is educated, women's education seems to work partly through their autonomy in decision making. Educational status of women emerged as one of the key predictors of the utilization of delivery care services in Kapilvastu district. Economic status of household and husband's education are other dominant predictors of the utilization of safe delivery care services. Improving the economic and educational status may be the way out for improving the proportion of institutional deliveries. Women's autonomy may be an important mediating factor in this pathway.

IDRC in Nepal

International Development Research Centre (IDRC) Digital Library (Canada)

the spread of disease in Kathmandu. In 1988, when the building of a dam flooded homes and farmland in ... diseases that spread from animals to humans. The research led to the coun- try's first Animal Slaughtering and ... online teaching for mental-health nursing. □ Privacy and new technologies in Asia. Funding for Nepal: ...

Psychosocial rehabilitation and democratic development in Nepal

DEFF Research Database (Denmark)

Triantafillou, Peter; Sassene, Michel

2011-01-01

Today, centres and programmes for the rehabilitation of torture victims are found all over the world. In Nepal, one of the world's poorest countries, the Centre for Victims of Torture (CVICT) has since 1990 provided advanced psychosocial rehabilitation programmes. These and similar psychosocial i....... On both a discursive and a technical-practical level, the psychosocial therapy offered by the CVICT is trying to make torture victims align their personal desires and freedom with the political objectives of turning Nepal into a liberal democracy....

Geoid of Nepal from airborne gravity survey

DEFF Research Database (Denmark)

Forsberg, René; Olesen, Arne Vestergaard; Einarsson, Indriði

2011-01-01

An airborne gravity survey of Nepal was carried out December 2010 in a cooperation between DTU-Space, Nepal Survey Department, and NGA, USA. The entire country was flown with survey lines spaced 6 nm with a King Air aircraft, with a varying flight altitude from 4 to 10 km. The survey operations...... as well as recent GPS-heights of Mt. Everest. The new airborne data also provide an independent validation of GOCE gravity field results at the local ~100 km resolution scale....

Alcohol Consumption Practices among Married Women of Reproductive Age in Nepal: A Population Based Household Survey.

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Narbada Thapa

Full Text Available Alcohol chemically known as ethanol, causes several health, economic and social consequences across the world. Literatures suggest potential harm of alcohol drinking by pregnant women especially to the fetus and the mother. Despite a number of significant public health problems related to alcohol consumption, this area has been ignored in Nepal and information at the national level is limited. Thus this study aimed at finding the prevalence of alcohol consumption among married women of reproductive age.A nationally representative household survey was carried out from April to August 2013 by taking 16 districts across all 15 eco administrative regions. From the selected districts, 86 village development committees and 14 municipalities were selected as primary sampling units using probability proportionate to size, followed by random selection of 3 wards from each primary sampling unit. Finally, 30 households within each ward were selected using systematic random sampling, and one married women of reproductive age from each household. A total of 9000 married women of reproductive age were interviewed using a semi-structured questionnaire, on alcohol consumption practices including environmental factors and socio demographic characteristics and were included in the analysis.National prevalence of alcohol consumption ever among married women of reproductive age was 24.7% (95% CI:21.7-28.0, last 12 months 17.9% (95% CI:15.3-20.7 and last 30 days (current drinking 11.8% (95% CI:9.8-14.1. There was substantial variation among the districts ranging from 2% to 60%. Multivariable analysis suggests women with no education or within formal education, dalit and janajatis ethnicity, whose husbands drink alcohol, who brew alcohol at home and women from mountains were significantly at higher risk of consuming alcohol. Among the women who drank alcohol in last 12 months, a substantial proportion of them drank home brewed alcoholic beverages (95.9%, 95% CI:94

Impact of parking supply and demand management on central business district traffic congestion, transit performance measures and sustainable land use [summary].

Science.gov (United States)

2012-01-01

Parking is one of the thorniest problems facing local officials who wish to maintain the vitality of central business districts (CBD). Viewed in isolation, the solution often is seen as more parking, at least, and more free parking, if possible. But ...

Food insecurity in metropolis of the developing world--observations from central district of Karachi, Pakistan.

Science.gov (United States)

Hakeem, R; Asar, F; Shaikh, A H

2003-11-01

To assess the prevalence of household food insecurity at various income levels in urban areas of Karachi. A cross sectional survey of different localities in the central district of Karachi was carried out. The data was collected through household interviews of housewives conducted by trained nutritionist. Housewives were interviewed about food security status of the household. A total of 797 families were visited from the central district of Karachi. Mean Food Security Score increased with income level. The difference was statistically significant (ANOVA) between 1st and second (P=0.000) and 2nd and 3rd group (P=0.000) but not between 3rd and fourth group. At the very low and low income levels 83% & 51% families respectively were food insecure in any degree, while this percentage was very low at the middle (6.3%) and high income level (1.8%). The difference in prevalence of food insecurity between the VLI and LI, and, LI and MI income groups was statistically significant (chi.sq. test, pinsecurity than males. Meat, milk and fruits were the food groups which were preferred and considered healthy but were avoided because of lack of money by a majority (51%-86%) of families. In spite of having an impression of being an affluent city of Pakistan, the prevalence of food insecurity with and without hunger is rampant not only among very low income (slum dwellers) but also among low income families of Karachi.

A direct evidence for high carbon dioxide and radon-222 discharge in Central Nepal

International Nuclear Information System (INIS)

Perrier, F.; Byrdina, S.; Richon, P.; Bollinger, L.; Bureau, S.; Richon, P.; France-Lanord, Ch.; Rajaure, S.; Koirala, Bharat Prasad; Shrestha, Prithvi Lal; Gautam, Umesh Prasad; Tiwari, Dilli Ram; Sapkota, Soma Nath; Revil, A.; Revil, A.; Contraires, S.

2009-01-01

Gas discharges have been identified at the Syabru-Bensi hot springs, located at the front of the High Himalaya in Central Nepal, in the Main Central Thrust zone. The hot spring waters are characterized by a temperature reaching 61 C, high salinity, high alkalinity and δ 13 C varying from +0. 7 parts per thousand to +4. 8 parts per thousand. The gas is mainly dry carbon dioxide, with a δ 13 C of -0. 8 parts per thousand. The diffuse carbon dioxide flux, mapped by the accumulation chamber method, reached a value of 19000 g m -2 day -1 , which is comparable with values measured on active volcanoes. Similar values have been observed over a two-year time interval and the integral around the main gas discharge amounts to 0. 25 ± 0. 07 mol s -1 , or 350 ± 100 ton a -1 . The mean radon-222 concentration in spring water did not exceed 2. 5 Bq L -1 , exponentially decreasing with water temperature. In contrast, in gas bubbles collected in the water or in the dry gas discharges, the radon concentration varied from 16 000 to 41000 Bq m -3 . In the soil, radon concentration varied from 25000 to more than 50000 Bq m -3 . Radon flux, measured at more than fifty points, reached extreme values, larger than 2 Bq m -2 s -1 , correlated to the larger values of the carbon dioxide flux. Our direct observation confirms previous studies which indicated large degassing in the Himalaya. The proposed understanding is that carbon dioxide is released at mid-crustal depth by metamorphic reactions within the Indian basement, transported along pre-existing faults by meteoric hot water circulation, and degassed before reaching surface. This work, first, confirms that further studies should be undertaken to better constrain the carbon budget of the Himalaya, and, more generally, the contribution of mountain building to the global carbon balance. Furthermore, the evidenced gas discharges provide a unique natural laboratory for methodological studies, and appear particularly important to study as

Dynamics of Major Cereals Productivity in Nepal

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Samaya Gairhe

2018-05-01

Full Text Available Cereal crops have played major roles in addressing food security issues in Nepal. In recent years there have been fluctuations in crop production and demands situations due to various reasons. Thus, the present study aims to analyze the dynamics of major cereals productivity in Nepal from 1995 to 2014. Focus group discussions were done in mid-hills and tarai of Nepal in 2015. Percentage change, compound growth rate, annual rate of change, coefficient of variation, instability index were calculated to analyze results. The result shows that the area, production and productivity of major cereals had an increasing trend over the study period. The major factors contributing on productivity increase in cereal crops were irrigation facilities, use of improved and hybrid seeds, chemical fertilizer and better technical knowhow among the farmers. For effective adoption of research outputs to improve the productivity emphasis should also be given on promotion of public private partnership (PPP in research and development.

Self-reported health problems, health care utilisation and unmet health care needs of elderly men and women in an urban municipality and a rural area of Bhaktapur District of Nepal.

Science.gov (United States)

Kshetri, Dan B B; Smith, William C S

2011-06-01

The study aimed to identify the felt common health problems, utilisation of health services and unmet needs of urban and rural elderly people of Bhaktapur district, Nepal. It was a cross sectional population study of people aged 60 years or more where 204 respondents were interviewed in 2009. The common felt problems were pain and swelling of joints (65.7%), indigestion (63.7%), excessive tiredness (38.2%) and hypertension (35.8%). Pain and swelling of joints (72.5%) and back pain (40.4%) were higher in rural elderly population whereas indigestion (67.6%) and hypertension (37.85%) were higher in urban population. Pain and swelling of joints (66.7%) and indigestion (69.6%) were higher in males, and hypertension (50.0%), back pain (38.2%) and chronic bronchitis/asthma (39.2%) were higher in females. The unmet needs varied between different health problems. In general women had more unmet needs than men, where 80 unmet needs were identified for the 102 men compared with 105 for the 102 women, and these unmet needs increased dramatically with age. This approach yields new insights into the health care needs of the elderly and will be helpful to health care planners.

Problem of franchising in Nepal and possible solutions

OpenAIRE

K. C., C., Biswas

2017-01-01

The study focuses on exploring problems of franchising in Nepal. Its main objective is to discover obstacles franchisees encounter when bringing a franchise to Nepal and recommendations that are beneficial to their success. The thesis considers the topic both from the franchiser’s and the franchisee’s perspectives. In the literature review, the main concepts presented are franchising, franchiser, franchisee, international franchise, types of franchise systems and franchise agreements, pr...

Managing traffic induced emissions in the future Beirut Central Business District

International Nuclear Information System (INIS)

El-Fadel, Mutasem; Sbayti, Hayssam; Kayssi, Isam; Baaj, Hadi

2003-01-01

The increased urbanization of the Greater Beirut Area (GBA) over the past years has led severe traffic congestion due to a deficient transportation system and significant reliance on private vehicles as the primary passenger transport mode. As a result, air quality is continuously deteriorating particularly in densely populated areas. Beirut Central District (BCD), the center of economic growth in the GBA, is expected to witness adverse air quality impacts in the medium and long-term future. Hence, there is a growing need to couple the efficiency of transport activities with acceptable air quality since both factors affect the welfare of residents. The objective of the study was to evaluate the impact of selected traffic management alternatives and emission reduction strategies on air quality in the BCD area. Four traffic alternatives and three emission reduction strategies were analyzed for their effect on emission factors, total emissions and exposure levels

Seasonal Changes in Bird Species and Feeding Guilds along Elevational Gradients of the Central Himalayas, Nepal

Science.gov (United States)

Katuwal, Hem Bahadur; Basnet, Khadga; Khanal, Bhaiya; Devkota, Shiva; Rai, Sanjeev Kumar; Gajurel, Jyoti Prasad; Scheidegger, Christoph; Nobis, Michael P.

2016-01-01

The Himalayas are a global hotspot for bird diversity with a large number of threatened species, but little is known about seasonal changes in bird communities along elevational gradients in this region. We studied the seasonality of bird diversity in six valleys of the Central Himalayas, Nepal. Using 318 plots with a 50 m radius, located from 2200 to 3800 m a.s.l., and repeated sampling during different seasons (mainly pre-monsoon, monsoon, and post-monsoon), we analyzed 3642 occurrences of 178 species. Birds classified in the literature as resident were more species-rich than migratory birds (140 vs. 38 species). In all six valleys and within the studied elevation range, species richness of all birds showed a peak at mid-elevation levels of 2600 or 3000 m a.s.l. Similar patterns were found for the most species-rich feeding guilds of insectivores (96 species) and omnivores (24 species), whereas the species richness of herbivores (37 species including frugivores) increased towards higher elevations. Among these feeding guilds, only species richness of insectivores showed pronounced seasonal changes with higher species numbers during post-monsoon season. Similarly, individual bird species showed distinct spatio-temporal distribution patterns, with transitions from species dominated by elevational differences to those characterized by strong seasonal changes. In an era of climate change, the results demonstrate that individual bird species as well as feeding guilds might greatly differ in their responses to climate warming and changes in the seasonality of the precipitation regime, two aspects of climate change which should not be analyzed independently. PMID:27367903

Status of maize stalk rot complex in western belts of Nepal and its integrated management

Directory of Open Access Journals (Sweden)

Subash Subedi

2016-12-01

Full Text Available Maize stalk rot complex is becoming a serious threat for maize growing areas of Nepal. A field monitoring for maize stalk rot complex was done during crop season (August, 2016 covering 10 farmers field each of Surkhet, Banke, Dang, Chitwan and Nawalparasi districts. Maize crop showed highly susceptible reaction to the disease at western belts of Dang and susceptible reaction was marked in Chitwan and Nawalparasi districts while the disease effect was mild at Banke and Surkhet district. Most of the plant diseases managed successfully through the application of bio-control agents, host resistance, chemicals and other different cultural control methods. The result of field experiment conducted at Dang showed that all the treatments had significant (P≤0.05 effect on percent disease index (PDI and crop yield over farmers practice to control maize stalk rot. The higher percent disease control (52.36% and yield increase (40.29% were recorded from the plot sprayed with streptocyclin @ 2 g L-1 and insecticide (cypermethrin + chloropyrifos @ 2.5 ml L-1 of water during knee height and subsequent spray after 15 days interval as compared to farmers practice. Out of 30 genotypes, Rampur composit, Arun 2, Rampur 34, RamS03F08, TLBRS07F16 and Rampur 24 were found resistant against stalk rot complex with higher yield at Rampur Chitwan.

RESTful M2M Gateway for Remote Wireless Monitoring for District Central Heating Networks

Directory of Open Access Journals (Sweden)

Bo Cheng

2014-11-01

Full Text Available In recent years, the increased interest in energy conservation and environmental protection, combined with the development of modern communication and computer technology, has resulted in the replacement of distributed heating by central heating in urban areas. This paper proposes a Representational State Transfer (REST Machine-to-Machine (M2M gateway for wireless remote monitoring for a district central heating network. In particular, we focus on the resource-oriented RESTful M2M gateway architecture, and present an uniform devices abstraction approach based on Open Service Gateway Initiative (OSGi technology, and implement the resource mapping mechanism between resource address mapping mechanism between RESTful resources and the physical sensor devices, and present the buffer queue combined with polling method to implement the data scheduling and Quality of Service (QoS guarantee, and also give the RESTful M2M gateway open service Application Programming Interface (API set. The performance has been measured and analyzed. Finally, the conclusions and future work are presented.

Use of Fault Displacement Vector to Identify Future Zones of Seismicity: An Example from the Earthquakes of Nepal Himalayas.

Science.gov (United States)

Naim, F.; Mukherjee, M. K.

2017-12-01

Earthquakes occur due to fault slip in the subsurface. They can occur either as interplate or intraplate earthquakes. The region of study is the Nepal Himalayas that defines the boundary of Indian-Eurasian plate and houses the focus of the most devastating earthquakes. The aim of the study was to analyze all the earthquakes that occurred in the Nepal Himalayas upto May 12, 2015 earthquake in order to mark the regions still under stress and vulnerable for future earthquakes. Three different fault systems in the Nepal Himalayas define the tectonic set up of the area. They are: (1) Main Frontal Thrust(MFT), (2) Main Central Thrust(MCT) and (3) Main Boundary Thrust(MBT) that extend from NW to SE. Most of the earthquakes were observed to occur between the MBT and MCT. Since the thrust faults are dipping towards NE, the focus of most of the earthquakes lies on the MBT. The methodology includes estimating the dip of the fault by considering the depths of different earthquake events and their corresponding distance from the MBT. In order to carry out stress analysis on the fault, the beach ball diagrams associated with the different earthquakes were plotted on a map. Earthquakes in the NW and central region of the fault zone were associated with reverse fault slip while that on the South-Eastern part were associated with a strike slip component. The direction of net slip on the fault associated with the different earthquakes was known and from this a 3D slip diagram of the fault was constructed. The regions vulnerable for future earthquakes in the Nepal Himalaya were demarcated on the 3D slip diagram of the fault. Such zones were marked owing to the fact that the slips due to earthquakes cause the adjoining areas to come under immense stress and this stress is directly proportional to the amount of slip occuring on the fault. These vulnerable zones were in turn projected on the map to show their position and are predicted to contain the epicenter of the future earthquakes.

Japanese encephalitis in a French traveler to Nepal.

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Lagarde, S; Lagier, J-C; Charrel, R; Quérat, G; Vanhomwegen, J; Desprès, P; Pelletier, J; Kaphan, E

2014-02-01

Japanese encephalitis is frequent in Asia, with a severe prognosis, but rare in travelers. Culex mosquitoes transmit Japanese encephalitis virus. Risk factors are destination, duration of stay, summer and fall seasons, outdoor activities, and type of accommodation. We report the case of a French traveler to Nepal with neutralization-based serological confirmed Japanese encephalitis. He presented classical clinical (viral syndrome before an encephalitis status with behavioral disorder, global hypotonia, mutism, movement disorders, seizure, and coma), radiological (lesions of thalami, cortico-spinal tracts, and brainstem) and biological features (lymphocytic meningitis). Nowadays, the presence of Japanese encephalitis virus in Nepal, including mountain areas, is established but Japanese encephalitis remains rare in travelers returning from this area and neurologist physicians need to become familiar with this. We recommend vaccination for travelers spending a long period of time in Nepal and having at-risk outdoor activities.

Level of awareness about legalization of abortion in Nepal: a study at Nepal Medical College Teaching Hospital.

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Tuladhar, H; Risal, A

2010-06-01

World Health Organization (WHO) estimates that about 25.0% of all pregnancies worldwide end in induced abortion, approximately 50 million each year. More than half of these abortions are performed under unsafe conditions resulting in high maternal mortality ratio specially in developing countries like Nepal. Abortion was legalized under specified conditions in March 2002 in Nepal. But still a large proportion of population are unaware of the legalization and the conditions under which it is permitted. Legal reform alone cannot reduce abortion related deaths in our country. This study was undertaken with the main objective to study the level of awareness about legalization of abortion in women attending gyne out patients department of Nepal Medical College Teaching Hospital (NMCTH), which will give a baseline knowledge for further dissemination and advocacy about abortion law. Total 200 women participated in the study. Overall 133 (66.5%) women said they were aware of legalization of abortion in Nepal. Women of age group 20-34 years, urban residents, service holders, Brahmin/Chhetri caste and with higher education were more aware about it. Majority (92.0%) of the women received information from the media. Detail knowledge about legal conditions under which abortion can be performed specially in second trimester was found to be poor. Large proportion (71.0%) of the women were still unaware of the availability of comprehensive abortion care services at our hospital, which is being provided since last seven years. Public education and advocacy campaigns are crucial to create awareness about the new legislation and availability of services. Unless the advocacy and awareness campaign reaches women, they are not likely to benefit from the legal reform and services.

Analysis of changes in crop farming in the Dudh Koshi (Nepal) driven by climate changes

Science.gov (United States)

Gianinetto, Marco; Polinelli, Francesco; Frassy, Federico; Aiello, Martina; Rota Nodari, Francesco; Soncini, Andrea; Bocchiola, Daniele

2017-10-01

Nepal is one of the poorest nations of the world and the Koshi Basin includes some of the poorest regions of this country. It's farming system is subsistence agriculture, mainly rainfed, with crop productivity among the lowest in South Asia. Nepal is also severely impacted by climate changes, such as retreat of glaciers, rise in temperature, erratic rainfalls and increase in frequency of extreme weather. This paper describes the spatio-temporal evolution of cultivated land in Dudh Koshi during the last four decades (1970s-2010s), by mapping the farming of its four main cereals in the districts of Solukhumbu, Okhaldunga and Kothang from space. The analysis of satellite time series showed a 10% of increment in farmland from 1970s to 1990s, and about 60% in the following twenty years. With a shift of cropping to higher altitudes. Data belonging to of the second twenty years are strongly correlated with the population growth observed in the same period (0.97demographic and socioeconomic pressures are driving the expansion, while climatic and topographic parameters are just channeling the expansion. Apart from any policies that could change the tack, Dudh Koshi should be able to meet the increasing demand of cereals in the near future and climate seems not being a limiting factor for further development as it will be the availability of an irrigation system.

Incidence and Risk Factors for Neonatal Jaundice among Newborns in Southern Nepal

Science.gov (United States)

Scrafford, Carolyn G.; Mullany, Luke C.; Katz, Joanne; Khatry, Subarna K.; LeClerq, Steven C.; Darmstadt, Gary L.; Tielsch, James M.

2016-01-01

Objective To quantify the incidence of and risk factors for neonatal jaundice among infants referred for care from a rural, low-resource, population-based cohort in southern Nepal. Methods Study participants were 18,985 newborn infants born in Sarlahi District in Southern Nepal from May 2003 through January 2006 who participated in a cluster-randomized, placebo-controlled, community-based trial to evaluate the effect of newborn chlorhexidine cleansing on neonatal mortality and morbidity. Jaundice was assessed based on visual assessment of the infant by a study worker and referral for care. Adjusted relative risks (RR) were estimated to identify risk factors for referral for neonatal jaundice using Poisson regression. Results The incidence of referral for neonatal jaundice was 29.3 per 1,000 live births (95% Confidence Interval: 26.9, 31.7). Male sex, high birth weight, breastfeeding patterns, warm air temperature, primiparity, skilled birth attendance, place of delivery, prolonged labor, oil massage, paternal education, and ethnicity were significant risk factors (p-valuesjaundice, whereas exclusive breastfeeding was protective among infants with no report of difficulty feeding. Conclusions Several known risk factors for neonatal jaundice in a low-resource setting were confirmed in this study. Unique observed associations of jaundice with ambient air temperature and oil massage may be explained by the opportunity for phototherapy based on the cultural practices of this study population. Future research should investigate the role of an infant’s difficulty in feeding as a potential modifier in the association between exclusive breastfeeding and jaundice. PMID:24112359

ADULT EDUCATION IN NEPAL.

Science.gov (United States)

HELY, ARNOLD S.M.

IN THIS REPORT ON ADULT EDUCATION IN NEPAL, THE GEOGRAPHIC, ETHNIC, ECONOMIC, EDUCATIONAL, AND POLITICAL FACTORS AFFECTING SOCIAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT ARE DISCUSSED. THE EXTENT OF PROGRESS IN NATIONAL EDUCATION (INCLUDING LITERACY CAMPAIGNS) SINCE 1951 PROVIDES BACKGROUND FOR A DESCRIPTION OF THE ADMINISTRATIVE ORGANIZATION AND…

A review on important maize diseases and their management in Nepal

OpenAIRE

Subash Subedi

2015-01-01

In Nepal, maize ranks second after rice both in area and production. In recent years, maize area and production has shown a steady increase, but productivity has been low (2.46 t/ha). The major maize producing regions in Nepal are mid hill (72.85%), terai (17.36%) and high hill (9.79%) respectively. A literature review was carried out to explore major maize diseases and their management in Nepal. The omnipresent incidence of diseases at the pre harvest stage has been an important bottleneck ...

Ruokakulttuuriprojektin suunnittelu ja toteutus – Esimerkkinä Nepal-ruokakulttuuriprojekti

OpenAIRE

Laitinen, Kai

2012-01-01

Opinnäytetyön tavoitteena oli selvittää, kuinka suunnitellaan ja toteutetaan Nepal-ruokakulttuuriprojekti. Projektin toimeksiantajana oli Vantaan ammattiopisto Varia. Projektin johtamisen kirjallisuus oli teoriaosassa pohjana Nepal-ruokakulttuuriprojektin suun-nitelmassa sekä projektin vaiheissa. Projektin johtamisen kirjallisuuden avulla kuvattiin pro-jektinsuunnitelma ja projektin eri vaiheet. Empiirisenä aineiston hankintamenetelmänä käytettiin teemahaastattelua ja kyselyä. Suomi-v...

Negotiating geophysical hazards in Nepal: An interdisciplinary approach

Science.gov (United States)

Oven, Katie; Petley, Dave; Rosser, Nick; Dunn, Chris; Rigg, Jonathan

2010-05-01

It is widely accepted that the impact of natural hazards reflects not only the nature of geophysical processes but also the social conditions that prevail. The need for collaborative research to address these complex interactions between the natural and human systems is well recognised, however moving from theory to practice presents a number of significant challenges. How researchers frame problems; develop their research questions; select the methodologies to explore these questions; and privilege certain knowledges over others, can be seen to vary between physical and social science. Drawing on a case study examining the vulnerability of rural communities to landslides in the Upper Bhote Koshi Valley, Central Nepal, this paper explores how these barriers can be overcome and the benefits of undertaking interdisciplinary research within the natural hazards field. This research investigates the different framings of landslide risk and vulnerability from different stakeholder and disciplinary perspectives. Specifically, we ask: 1. Who is vulnerable to landslide hazard? 2. Why do people occupy landslide prone areas? 3. How do ‘at risk' rural communities perceive and respond to landslide hazard and risk? The findings, based on a series of participatory methodologies, challenge a number of assumptions made regarding landslide vulnerability in mountain communities. Within the Upper Bhote Koshi Valley clear transitions in settlement patterns, rural livelihoods and thus the occupation of landslide prone areas have been seen over time. For the majority of households, their decision to occupy these areas is driven by the economic and social benefits associated with the Arniko Highway which runs through the valley, linking Nepal with Tibet. Landslide vulnerability therefore emerges not just from societal marginalisation but also from situations of relative prosperity. The findings suggest that occupants of landslide prone areas have a good understanding of landslide hazard

Nepal Development Update, September 2017 : Fiscal Architecture for Federal Nepal

OpenAIRE

World Bank

2017-01-01

Global growth is picking up and the growth in the South Asia region continues to remain strong. A recovery in industrial activity has coincided with a pickup in global trade, after two years of marked weakness. Growth in South Asia remains strong, with regional output projected to grow by 6.8 percent in 2017 and an average of 7.2 percent in 2018–19. Economic activity in Nepal, which reboun...

Legal-sounding bureaucratic re-centralisation of community forestry in Nepal

DEFF Research Database (Denmark)

Basnyat, Bijendra; Treue, Thorsten; Pokharel, Ridish Kumar

2018-01-01

, forest officials, and donor project employees in Nepal, we document the mechanisms of legal-sounding re-centralisation. The central tenet is that bureaucratically established procedures, which are not required by law but treated as if they were, are used to impose regular revisions of community forest...... management plans. Meagre government or more generous donor budgets financed the revisions. Forest bureaucrats and/or consultants did the work and benefitted financially. None of the approaches, however, lived up to technical, scientific standards or followed stipulated participatory processes. The revised...... of plan revisions appears to be strengthening or re-establishing the forest bureaucracy's control over community forest resources which allows forest bureaucrats to tap into donor project and forest product value chains....

Medical education and training in Nepal: SWOT analysis.

Science.gov (United States)

Dixit, H; Marahatta, S B

2008-01-01

To analyse the impact of the medical colleges that have been set up within the last two decades by production of the doctors and the effect on the health of the people. SWOT (strength, weakness, opportunities and threats) analysis of medical education in Nepal has been done by reviewing medical manpower produced by the different institutions in the undergraduate and postgraduate (PG) categories, their registration with the Nepal Medical Council in terms of the existing health scenario of the country. Shows severe shortage of basic sciences teachers. In the clinical areas ophthalmic manpower and services provided are exemplary. There are shortages and shortcomings in all areas if standard health care is to be provided to the Nepalese. There is a long way to go to provide the expected educational and medical services to foreigners prepared to pay more to avail of this in Nepal.

Spine surgery in Nepal: the 2015 earthquake.

Science.gov (United States)

Sutterlin, Chester E

2015-12-01

At noon on Saturday, 25 April 2015, a 7.8 magnitude earthquake struck Nepal. It was centered in the Himalaya northwest of Kathmandu, the capital of over 1 million people. The violent tremors were felt as far away as New Delhi, India 1,000 km from the epicenter, but the worst of its destructive force was experienced in the heavily populated Kathmandu valley and in the remote mountainous villages of the Himalaya. Ancient temples crumbled; poorly constructed buildings collapsed; men, women, and children were trapped and injured, sometimes fatally. Avalanches killed mountain climbers, Sherpa guides, and porters at Everest base camp (EBC). The death toll to date exceeds 8,600 with as many as 20,000 injured. Spinal Health International (SHI), a nonprofit volunteer organization, has been active in Nepal in past years and responded to requests by Nepali spine surgeons for assistance with traumatic spine injury victims following the earthquake. SHI volunteers were present during the 2(nd) major earthquake of magnitude 7.3 on 12 May 2015. Past and current experiences in Nepal will be presented.

Security of highly radioactive sources in Nepal

International Nuclear Information System (INIS)

Shrestha, Kamal K.

2010-01-01

Subsequent to 9/11, concerned countries and UN agencies have taken especial interest in the security of highly radioactive sources throughout the world. The IAEA Nuclear Security Plan (2006-2009) consequently made as a result of UN Security Council Resolution 1540 is binding to all States. The Global Threat Reduction Initiative (GTRI) of the US and the Global Threat Reduction Programme (GTRP) of UK have assisted the four hospitals in Nepal having more than 1,000 Curies of radioactivity in their Cobalt-60 sources used for teletherapy. The physical upgrade of the security of the nuclear materials has also been launched in Nepal for prevention of theft with malicious intention or threats. In this presentation, the radioisotopes in Nepal that comes under different categories according to TECDOC-1355 of IAEA will be described. Problems and issues regarding the security and protection of radioactive sources at hospitals, academic and research institutions that could be prevalent in many developing counties too will be discussed by taking a case study of one of the cancer hospitals in Kathmandu valley. (author)

Perception of security by health workforce at workplace in Nepal.

Science.gov (United States)

Prajapati, R; Baral, B; Karki, K B; Neupane, M

2013-05-01

In Nepal, the relationship of health worker and patient or community people is now deteriorating and the security and safety of health worker is becoming emerging issues. The poor relationship between community people and health worker is hampering the health service especially in rural setting. This study was aimed at finding the security perception and situation of health workforce in Nepal. A cross-sectional descriptive study was conducted using both quantitative and qualitative methods. Out of 404 sample health institutions, 747 health workforce from 375 health institutions were interviewed (workplace. Mostly, doctors felt insecure at their workplace 24 (30%) and argued with service users , 26 (32.50%). Feeling of security was highest in central region 160 (83.30%). Nationwide, 121 (16%) of health workers faced some level of arguments with service users, which was highest in Tarai 64 (18.08%). Of the total harassment, both gender based and sexual harassment was higher among female health workers [20 (62.5%) and 13 (56.5%) respectively]. Only, 230 (30.7%) of health workers who suffered from workplace accidents got compensation and treatment. Higher proportions of health workers feel insecurity at workplace whereas provision of compensation was minimal. There is a need of strict implementation of Security of the Health Workers and Health Organizations Act, 2066 (2009) for effective health service delivery.

Creation of Nepal's First Skin Bank: Challenges and Outcomes.

Science.gov (United States)

Cai, Lawrence; Long, Chao; Karki, Bishal; Nakarmi, Kiran; Iqbal, Adnan; Casertano, Michele; Anderson, Sara; Patell, James; Chang, James; Rai, Shankar Man

2017-11-01

In Nepal, burn trauma causes more than 55,000 injuries each year. Burn-related mortality is high in Nepal, in part due to lack of allograft, leading to high infection rates. To address this challenge, our collaboration between Kirtipur Hospital, America Nepal Medical Foundation, Stanford University, and ReSurge International established Nepal's first skin bank. We identified 3 major tasks to create a sustainable skin banking program: 1) identify and acquire the equipment and personnel needed to collect, process, store, and graft cadaveric skin for burn injuries; 2) develop safe donation protocols and documentation tools that remain feasible for low-resource settings; and 3) develop a long-term awareness program to educate the Nepali people on skin donation, a previously foreign concept. Kirtipur Hospital acquired the necessary equipment and materials for the skin bank through a combination of local and international fundraising efforts. Existing U.S. skin banking protocols were adapted for the Nepali setting and piloted on potential patients, donors, and physicians. For the first time in the hospital's history, patients with > 40% total body surface area burns were successfully treated with extensive allografts. It is feasible to create a skin bank in a country with no tradition of allograft skin use. Long-term sustainability now depends on spreading awareness and education in the Kathmandu Valley to overcome religious and cultural barriers that have hindered donor recruitment. Our low-cost and high-impact skin bank provides a model to expand this system to other hospitals both within Nepal and beyond.

Prevalence and factors associated with childhood overweight/obesity of private school children in Nepal.

Science.gov (United States)

Koirala, M; Khatri, R B; Khanal, V; Amatya, A

2015-01-01

Childhood overweight/obesity is a global health problem because of adverse health and nutrition consequences worldwide. Currently, there is a paucity of information on childhood overweight/obesity in Nepal. Therefore, the objective of this study was to assess the prevalence of, and the factors associated with, childhood overweight/obesity among primary school children. A cross-sectional study was conducted in June-December, 2013. We collected data using the structured self-administered questionnaire with parents of children aged 6-13 years in grades 1-6 studying at private schools of the Lalitpur district of Nepal. Height and weight measurements of 986 children were taken, and the corresponding body mass index (BMI)-for-age was calculated. The prevalence of childhood overweight/obesity was reported in proportion. Factors associated with childhood overweight/obesity were examined using the Chi-square tests followed by multiple logistic regression analyses. Of 986 children, 144 (14.6%) were overweight and 111 (11.3%) were obese. Overall, 255 (25.9%) children were found to be overweight/obese. Children from families, having ≤2 siblings (adjusted odds ratio (aOR)=1.958, 95% confidence interval (CI): 1.163-3.296), upper class family (aOR=3.672; 95% CI: 1.154-11.690), and advantaged ethnic group (aOR=1.561; 95% CI: 1.00-2.437) and children who were of larger birth weight (>4.0kg) had a greater likelihood of being (aOR=2.557, 95% CI: 1.222-5.349) overweight/obese. A quarter of children were found to be overweight/obese in private primary schools. Preventive interventions should focus on the advantaged ethnic groups, families with fewer siblings, and upper class families. A greater emphasis ought to be placed on formulation and implementation of policies aimed at addressing the newly emerging problems of childhood overweight/obesity in Nepal. New school health programs are to be launched and strengthened including avoidance of high energy junk food, and promoting outdoor

Disaster risk profile and existing legal framework of Nepal: floods and landslides

Directory of Open Access Journals (Sweden)

Gaire S

2015-09-01

Full Text Available Surya Gaire, Rafael Castro Delgado, Pedro Arcos González Unit for Research in Emergency and Disaster, Department of Medicine, University of Oviedo, Campus del Cristo, Oviedo, Asturias, SpainAbstract: Nepal has a complicated geophysical structure that is prone to various kinds of disasters. Nepal ranks the most disaster-prone country in the world and has experienced several natural calamities, causing high property and life losses. Disasters are caused by natural processes, but may be increased by human activities. The overall objective of this paper is to analyze the disaster risk profile and existing legal framework of Nepal. The paper is based on secondary data sources. Major causative factors for floods and landslides are heavy and continuous rainfall, outburst floods, infrastructure failure, and deforestation. Historical data of natural disasters in Nepal show that water-induced disasters have killed hundreds of people and affected thousands every year. Likewise, properties worth millions of US dollars have been damaged. There is an increasing trend toward landslides and floods, which will likely continue to rise if proper intervention is not taken. A positive correlation between water-induced disasters and deaths has been observed. Nepal has a poor Index for Risk Management (INFORM. There are fluctuations in the recording of death data caused by flood and landslides. The Government of Nepal focuses more on the response phase than on the preparedness phase of disasters. The existing disaster management act seems to be weak and outdated. There is a gap in current legal procedure, so the country is in dire need of a comprehensive legal framework. The new proposed act seems to take a much broader approach to disaster management. With a long-term vision of managing disaster risk in the country, the Government of Nepal has begun the Nepal Risk Reduction Consortium (NRRC in collaboration with development and humanitarian partners. In order to

Impact and determinants of sex preference in Nepal.

Science.gov (United States)

Leone, Tiziana; Matthews, Zoë; Dalla Zuanna, Gianpiero

2003-06-01

Gender discrimination and son preference are key demographic features of South Asia and are well documented for India. However, gender bias and sex preference in Nepal have received little attention. 1996 Nepal Demographic and Health Survey data on ever-married women aged 15-49 who did not desire any more children were used to investigate levels of gender bias and sex preference. The level of contraceptive use and the total fertility rate in the absence of sex preference were estimated, and logistic regression was performed to analyze the association between socioeconomic and demographic variables and stopping childbearing after the birth of a son. Commonly used indicators of gender bias, such as sex ratio at birth and sex-specific immunization rates, do not suggest a high level of gender discrimination in Nepal. However, sex preference decreases contraceptive use by 24% and increases the total fertility rate by more than 6%. Women's contraceptive use, exposure to the media, parity, last birth interval, educational level and religion are linked to stopping childbearing after the birth of a boy, as is the ethnic makeup of the local area. The level of sex preference in Nepal is substantial. Sex preference is an important barrier to the increase of contraceptive use and decline of fertility in the country; its impact will be greater as desired family size declines.

Status and prospects of maize research in Nepal

OpenAIRE

Govind KC; Tika B. Karki; Jiban Shrestha; Buddhi B. Achhami

2015-01-01

Food and nutritional securities are the major threats coupled with declining factor productivity and climate change effects in Nepal. Maize being the principal food crops of the majority of the hill people and source of animal feed for ever growing livestock industries in Terai of Nepal. Despite the many efforts made to increase the maize productivity in the country, the results are not much encouraging. Many of the maize based technologies developed and recommended for the farmers to date ar...

Effects of Dividends on Stock Prices in Nepal

OpenAIRE

Rabindra Joshi

2012-01-01

This paper examines the impact of dividends on stock price in the context of Nepal. A majority of earlier studies conducted in developed countries show that dividend has a strong effect than retained earnings. The study examines whether this is consistent in the context of Nepal (or not) and the implication particularly to the banking and non-banking sector. To achieve the objective of the study, a descriptive and analytical research design has been administered. The secondary data are used t...

The measles epidemic trend over the past 30 years in a central district in Shanghai, China

Science.gov (United States)

Shen, Bing; Xiong, JianJing; Lu, Yihan; Jiang, Qingwu

2017-01-01

Background Measles vaccination over the past 50 years has greatly reduced the incidence of measles. However, measles among migrants and the resulting changes in epidemiological characteristics have brought new challenges to the elimination of measles. We aim to describe the measles epidemic trend over the past 30 years in a central district in Shanghai, China. Methods The present study was conducted in the Jing’an District, which is located in the center of Shanghai. Based on historical surveillance data of measles, we calculated the incidence of measles among local residents and migrants separately. Next, we classified all of the cases of the measles among local residents between 1984 and 2015 into 8 age groups and 5 birth cohorts. Finally, we calculated the measles incidence in each time period by the different age groups and birth cohorts, to understand the measles epidemic trend over past 30 years in the Jing'an District. Results A total of 103 cases of measles were reported from the Jing’an District, Shanghai, from 1984 to 2015. For infants less than 1 year of age and adults over 30 years of age, the incidence of measles continued to rise over the past 30 years. For a specific birth cohort, the incidence of measles after measles vaccination declined initially, and was then followed by a rebound. Conclusions The incidence of measles in older adults and infants increased in some developed regions, which slows the process of measles elimination. This suggested that the population immunity against measles after measles vaccination would gradually reduce with time. We recommend supplemental immunization against measles in adults in order to reduce the immunity decline, especially for migrants. PMID:28640919

The measles epidemic trend over the past 30 years in a central district in Shanghai, China.

Directory of Open Access Journals (Sweden)

Jie Gao

Full Text Available Measles vaccination over the past 50 years has greatly reduced the incidence of measles. However, measles among migrants and the resulting changes in epidemiological characteristics have brought new challenges to the elimination of measles. We aim to describe the measles epidemic trend over the past 30 years in a central district in Shanghai, China.The present study was conducted in the Jing'an District, which is located in the center of Shanghai. Based on historical surveillance data of measles, we calculated the incidence of measles among local residents and migrants separately. Next, we classified all of the cases of the measles among local residents between 1984 and 2015 into 8 age groups and 5 birth cohorts. Finally, we calculated the measles incidence in each time period by the different age groups and birth cohorts, to understand the measles epidemic trend over past 30 years in the Jing'an District.A total of 103 cases of measles were reported from the Jing'an District, Shanghai, from 1984 to 2015. For infants less than 1 year of age and adults over 30 years of age, the incidence of measles continued to rise over the past 30 years. For a specific birth cohort, the incidence of measles after measles vaccination declined initially, and was then followed by a rebound.The incidence of measles in older adults and infants increased in some developed regions, which slows the process of measles elimination. This suggested that the population immunity against measles after measles vaccination would gradually reduce with time. We recommend supplemental immunization against measles in adults in order to reduce the immunity decline, especially for migrants.

Factors affecting collective action for forest fire management: a comparative study of community forest user groups in central Siwalik, Nepal.

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Sapkota, Lok Mani; Shrestha, Rajendra Prasad; Jourdain, Damien; Shivakoti, Ganesh P

2015-01-01

The attributes of social ecological systems affect the management of commons. Strengthening and enhancing social capital and the enforcement of rules and sanctions aid in the collective action of communities in forest fire management. Using a set of variables drawn from previous studies on the management of commons, we conducted a study across 20 community forest user groups in Central Siwalik, Nepal, by dividing the groups into two categories based on the type and level of their forest fire management response. Our study shows that the collective action in forest fire management is consistent with the collective actions in other community development activities. However, the effectiveness of collective action is primarily dependent on the complex interaction of various variables. We found that strong social capital, strong enforcement of rules and sanctions, and users' participation in crafting the rules were the major variables that strengthen collective action in forest fire management. Conversely, users' dependency on a daily wage and a lack of transparency were the variables that weaken collective action. In fire-prone forests such as the Siwalik, our results indicate that strengthening social capital and forming and enforcing forest fire management rules are important variables that encourage people to engage in collective action in fire management.

Prevalence, distribution and correlates of tobacco smoking and chewing in Nepal: a secondary data analysis of Nepal Demographic and Health Survey-2006

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Sreeramareddy Chandrashekhar T; Ramakrishnareddy N; Harsha Kumar HN; Sathian Brijesh; Arokiasamy John T

2011-01-01

Abstract Background Nearly four-fifths of estimated 1.1 million smokers live in low or middle-income countries. We aimed to provide national estimates for Nepal on tobacco use prevalence, its distribution across demographic, socio-economic and spatial variables and correlates of tobacco use. Methods A secondary data analysis of 2006 Nepal Demographic and Health Survey (DHS) was done. A representative sample of 9,036 households was selected by two-stage stratified, probability proportional to ...

Burden of road traffic accidents in Nepal by calculating disability-adjusted life years

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Ling Huang

2017-10-01

Full Text Available Objective: To calculate the burden of road traffic accidents in Kathmandu Valley and then extrapolate this to the national level. Methods: A prospective study was performed to compute the burden of road traffic accidents by quantification of disability-adjusted life years (DALYs using the Global Burden of Disease Study method on the basis of 1-year data from nine hospitals in Nepal and the Department of Forensic Medicine and cross-checked with the Nepal Traffic Directorate. Multiple methods were applied to the extrapolated population metrics of the burden of road traffic accidents in Nepal. Results: The total number of years of life lived in disability, years of life lost, and DALYs in Nepal were 38,848±194, 119,935±1464, and 158,783±1658 (95% confidence interval respectively. The number of years lost because of morbidity and death was similar in Kathmandu Valley. Most (75% of the DALYs resulted from years of life lost in Nepal. Males accounted for 73% of DALYs. Almost half (44% of the DALYs were contributed by the group aged 15–29 years. Conclusion: This study is the first to calculate the burden of road traffic accidents in Nepal using Nepal’s own data. Nepal needs to develop and enhance its own system to identify significant public health issues so as to set national priorities for prevention of road traffic accidents.

Evaluating Public Plantation and Community Planted Forests under the CDM and REDD+ Mechanism for Carbon Stock in Nepal

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Ram Asheshwar MANDAL

2013-09-01

Full Text Available Public plantations (PPs and Community planted forests (CPFs are inimitable types of participatory forest management practices in Nepal, but their eligibility issues under the framework of clean development mechanism (CDM and reducing emission from the deforestation and forest degradation mechanism (REDD+ are not evaluated. So, to explore the management system of PP and CPF, we compared forest carbon stocks in plantations and evaluated these plantations under these mechanisms as objectives of this research. The relevant documents were revised and altogether 55 samples were collected from Shreepur, Banauta and Bisbity PPs and Sita, Ramnagar and Jogikuti CPFs, in Mahottary district, Nepal. The equation of Chave et al was used to calculate the biomass, which was further converted into carbon. Meanwhile, management practices were evaluated under the framework of CDM and REDD+. The PPs are public land managed, especially by disadvantaged communities, while CPFs are the patches of national forest managed by users. The variation in carbon stock was found to be highest (148.89 ton ha-1 in Sita CPF and lowest (30.34 ton ha-1 in Bisbitty PP. In fact, it is difficult to certify plantations under CDM, due to its complexity, but they can easily be candidate to the REDD+ mechanism, if they are bundled with large forest blocks.

Barriers to utilization of childbirth services of a rural birthing center in Nepal: A qualitative study.

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Resham Bahadur Khatri

Full Text Available Maternal mortality and morbidity are public health problems in Nepal. In rural communities, many women give birth at home without the support of a skilled birth attendant, despite the existence of rural birthing centers. The aim of this study was to explore the barriers and provide pragmatic recommendations for better service delivery and use of rural birthing centers.We conducted 26 in-depth interviews with service users and providers, and three focus group discussions with community key informants in a rural community of Rukum district. We used the Adithya Cattamanchi logic model as a guiding framework for data analysis.Irregular and poor quality services, inadequate human and capital resources, and poor governance were health system challenges which prevented service delivery. Contextual barriers including difficult geography, poor birth preparedness practices, harmful culture practices and traditions and low level of trust were also found to contribute to underutilization of the birthing center.The rural birthing center was not providing quality services when women were in need, which meant women did not use the available services properly because of systematic and contextual barriers. Approaches such as awareness-raising activities, local resource mobilization, ensuring access to skilled providers and equipment and other long-term infrastructure development works could improve the quality and utilization of childbirth services in the rural birthing center. This has resonance for other centers in Nepal and similar countries.

Barriers to utilization of childbirth services of a rural birthing center in Nepal: A qualitative study.

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Khatri, Resham Bahadur; Dangi, Tara Prasad; Gautam, Rupesh; Shrestha, Khadka Narayan; Homer, Caroline S E

2017-01-01

Maternal mortality and morbidity are public health problems in Nepal. In rural communities, many women give birth at home without the support of a skilled birth attendant, despite the existence of rural birthing centers. The aim of this study was to explore the barriers and provide pragmatic recommendations for better service delivery and use of rural birthing centers. We conducted 26 in-depth interviews with service users and providers, and three focus group discussions with community key informants in a rural community of Rukum district. We used the Adithya Cattamanchi logic model as a guiding framework for data analysis. Irregular and poor quality services, inadequate human and capital resources, and poor governance were health system challenges which prevented service delivery. Contextual barriers including difficult geography, poor birth preparedness practices, harmful culture practices and traditions and low level of trust were also found to contribute to underutilization of the birthing center. The rural birthing center was not providing quality services when women were in need, which meant women did not use the available services properly because of systematic and contextual barriers. Approaches such as awareness-raising activities, local resource mobilization, ensuring access to skilled providers and equipment and other long-term infrastructure development works could improve the quality and utilization of childbirth services in the rural birthing center. This has resonance for other centers in Nepal and similar countries.

Competing Perspectives on the Gurkhas and Identity Politics in Nepal

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Seeberg, Jens

2015-01-01

Associated with the unification of Nepal under the ‘Gorkha’ kingdom, and popularly projected in both national myth and globalized tourist imagery, the ‘Gurkhas’ in the British army have been an important national symbol. The history of the ‘Gurkhas’ is multifaceted and also includes chapters abou...... of the ‘Gurkhas’ are discussed in relation to post-conflict identity politics in Nepal......., the ‘symbolic value’ of the ‘Gurkha’ tradition being loaded with notions of bravery and pride has been challenged by competing notions of (post)colonialism and mercenary practice. Hence, the discussion about the ‘Gurkha’ tradition is also a debate about national identities in the changing Nepal. This debate...

Issues and Challenges of HIV/AIDS Prevention and Treatment Programme in Nepal

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Wasti, Sharada Prasad; Simkhada, Padam; Randall, Julian; Van Teijlingen, Edwin

2009-01-01

This paper explores some of the key issues and challenges of government HIV/AIDS prevention and treatment programme in Nepal. Providing HIV/AIDS prevention and treatment services in Nepal is associated with a number of issues and challenges which are shaped mostly on cultural and managerial issues from grass root to policy level.\\ud Numerous efforts have been done and going on by Nepal government and non-government organization but still HIV\\ud prevention and treatment service is not able to ...

Preferred Source and Perceived Need of More Information about Dental Implants by the Undergraduate Dental Students of Nepal: All Nepal Survey

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Sharma, Arati; Shrestha, Bidhan; Chaudhari, Bijay Kumar; Suwal, Pramita; Singh, Raj Kumar; Niraula, Surya Raj; Parajuli, Prakash Kumar

2018-01-01

Objectives. This study was conducted to know the preferred source and perceived need of more information about dental implants by the undergraduate students of Nepal and their association with academic levels and gender. Materials and Methods. It was conducted in all the dental colleges of Nepal from June 2016 to June 2017 after taking ethical clearance and approval from the research committee of BPKIHS. It included all those who were present at the time of survey. Data collection was done th...

Ear Nose Throat (ENT disorders in Government Schools of Far-Western Nepal

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Anup Acharya

2013-12-01

Full Text Available Background: ENT disorders specially hearing impairment negatively impacts students’ development of academic, language and social skills. If left undiagnosed, these conditions may result in significant irreversible damage such as varying degree of hearing loss that can affect the social or professional performance of the individuals in later stages of life. Students going to government school in our country generally come from under privileged society. We investigated the occurrence of ENT diseases among various government school students in Kailali district. Methods: Nine government school of Kailai district were chosen at random. All students of those school present on the day of examination went routine ENT examinations. Brief history, if any, was recorded and findings were noted. The study was done throughout the month of September, 2013. Results: There were a total of 2256 students enrolled in the study. There were 1126 male and 1130 female students. Mean age of the students was 9.88 years. Forty One percent of students had ENT problems. Ear wax was the most common (17% findings followed by suppurative ear diseases, otittis media with effusion as so on in decreasing frequency. Conclusions: ENT diseases and specially ear diseases are important health problems among school children of Nepal. Regular school health services, screening program, public awareness, improvement of socioeconomic status, timely referral to a specialist doctor can help to reduce the disease-related burden.

The Household Costs of Visceral Leishmaniasis Care in South-eastern Nepal

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Uranw, S.; Meheus, F.; Baltussen, R.M.; Rijal, S.; Boelaert, M.

2013-01-01

BACKGROUND AND OBJECTIVES: Visceral leishmaniasis (VL) is an important public health problem in south-eastern Nepal affecting very poor rural communities. Since 2005, Nepal is involved in a regional initiative to eliminate VL. This study assessed the economic impact of VL on households and examined

A Case Study of Key Stakeholders' Perceptions of the Learning Center's Effectiveness for English Learners at a District in Central California

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Nava, Norma Leticia

2016-01-01

This qualitative study explored stakeholders' (administrators, teachers, and parents) perspectives of English learners in the learning center, a response to intervention model, at a school district in Central California. Research existed concerning the yearly academic growth of students in a learning center, but there was a lack of knowledge about…

Past, present and future of breast cancer in Nepal: A review

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Biwesh Ojha

2018-01-01

Full Text Available The objective of this review is to provide a comprehensive outlook on existing evidence related to breast cancer in Nepal and provide a way forward. Different key words were used to search the articles in MEDLINE, Google Scholar and Google. In addition, grey literatures were searched and experts on related fields were contacted. We also looked into the references of each searched articles. BC cases are on the rise since 1990. It is more common among urban women aged 41‐50. Majority of women presented self‐detected mass at an advanced stage. Most common type of cancer was Invasive ductal carcinoma. Quality of life among BC patients was above average. History of BC treatment goes back to 1992 where first radiation therapy was started. Treatment services are being provided in seven major hospitals along and some private hospitals. BP Koirala memorial hospital is the first specialized cancer hospital in Nepal catering all kind of cancer treatment in Nepal. Different NGOs, government and cancer hospitals are working on prevention of BC in Nepal. Nepal has invested much in detection, diagnosis and treatment of breast cancer. It is high time when the resources should be diverted to primary prevention and early detection along with awareness creation.

Soil pollution in Central district of Saint-Petersburg (Russia)

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Terekhina, Natalia; Ufimtseva, Margarita

2015-04-01

Analysis of soil samples of upper horizon for the content of chemical elements (Fe, Mn, Cu, Zn, Pb, Ni, Cr, Co, Cd, Ba, Sr) was carried out by atomic emission with inductively coupled plasma. A relative indicator of soil contamination degree is a concentration coefficient, representing the ratio of metal content in tested soil samples to the local background value of the corresponding element. Total pollution index is calculated by the concentration coefficients, which are greater than 1, taking into account the hazard class of metals (1 class - Zn, Pb ,Cd; 2 - class Cr, Ni, Cu ,Со; 3 class - Fe, Mn, Sr, Ba). Analysis of trace element of urban soils demonstrated mosaic patterns of pollution for Central district. The method of correlation sets constructing and factor analysis revealed three groups of chemical elements having a strong and significant association with each other: Pb-Cu-Cd-Zn-Ba, Ni-Cr-Co, Fe-Mn. Elements of the first group are characterized by high values of concentration coefficient and are the main pollutants - their average content is 3-11 times higher than background values. Strontium does not have strong correlation with the other elements, and its lowest concentration coefficient indicates that the element can not be regarded as a pollutant. The spatial distribution of the total pollution index identified several sources of pollution, the origin of which may be different. The main reason is probably the impact of vehicle emissions, although local pollution of soil is possible (the soils, contaminated during reconstruction of lawns, dumping of construction materials, etc.). Differentiated assessment of database shows that 48% of samples refer to dangerous pollution category, 37% - to moderately dangerous category, 15% - to allowable category. Thus, almost half of the district is characterized as dangerous in terms of soil contamination. Solution of the problem of soil contamination is recommended in three ways: reducing the intensity of

Marketing and Socioeconomics Aspects of Large Cardamom Production in Tehrathum, Nepal

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Nirajan Bhandari

2018-05-01

Full Text Available A survey was conducted in November 2015 in one of the pocket area of large cardamom production in Teharthum District, eastern Nepal with aim to investigate the status of cardamom enterprises. The parameters used were cardamom production area, type of manure used, drying facilities, technical skills of farmers, market channels and variable cost etc. We purposively selected 30 cardamom producers and stakeholders for interview pre-designed questionnaires. The result showed that average area, production and productivity of large cardamom per household were 0.86 ha, 200 kg and 232 kg.ha-1, respectively, with the average farming experience of 22 years. It was revealed that 13% farmers used farmyard organic manure, the use of 1.5 kg/plant farmyard manure might produce 28.5% higher yield cardamom compared to without using any manure or fertilizers. It was also revealed among the responded only 7% had received improved drying machine from District Agriculture Development Office (DADO at 50% subsidy, while only 23% of farmers received training and technical services from DADO. The study showed that per hectare average total cost of large cardamom production, selling price and gross revenue were NRs. 2,36,705 ($2255, NRs. 5,50,305 ($5240 and NRs. 3,13,600 ($2985, respectively, with benefit/cost (B/C ratio of 2 after the completion of gestation period of 4 years. Our survey showed that predominant marketing approach was by direct sell to the traders located at district headquarter. The productivity of large cardamom was influenced by various factors, such as nearly 75.2% of the variation in productivity was explained by the number of active family members, farming period, area, intercultural operations, variable cost and depreciated fixed cost.

Education reform in Nepal

DEFF Research Database (Denmark)

Carney, Stephen; Rappleye, Jeremy

2011-01-01

The article discusses various reports published within the issue, including papers on various aspects of Nepal's education policy dynamic, a study on young people's experiences of education, especially the faith in schooling as a means to social and economic betterment, and a more radical critique...... of modernity and its relation to education in the South....

Challenges in diabetes mellitus type 2 management in Nepal

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Gyawali, Bishal; Ferrario, Alessandra; van Teijlingen, Edwin

2016-01-01

on the prevalence, cost and treatment of diabetes mellitus type 2 and its complications in Nepal and to critically assess the challenges to be addressed to contain the epidemic and its negative economic impact. DESIGN: A comprehensive review of available evidence and data sources on prevalence, risk factors, cost......, complications, treatment, and management of diabetes mellitus type 2 in Nepal was conducted through an online database search for articles published in English between January 2000 and November 2015. Additionally, we performed a manual search of articles and reference lists of published articles for additional...... references. RESULTS: Diabetes mellitus type 2 is emerging as a major health care problem in Nepal, with rising prevalence and its complications especially in urban populations. Several challenges in diabetes management were identified, including high cost of treatment, limited health care facilities...

Genotype × environment interaction of quality protein maize grain yield in Nepal

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Jiban Shrestha

2016-12-01

Full Text Available In order to determine G × E interaction of quality protein maize grain yield, six maize genotypes were evaluated under different environments of three Terai (Chitwan, Surkhet and Doti and four mid hill (Dhankuta, Lalitpur, Dolakha and Kaski districts of Nepal during summer seasons of 2014 and 2015. The experiments were conducted using randomized complete block design along with three replications. The genotypes namely S99TLYQ-B, S99TLYQ-HG-AB and S03TLYQ-AB-01 were identified high yielding and better adapted genotypes for Terai environments with grain yield of 4199 kg ha-1, 3715 kg ha-1, and 3336 kg ha-1 respectively and S99TLYQ-B and S03TLYQ-AB-01 for mid hill environments with grain yield of 4547 kg ha-1 and 4365 kg ha-1 respectively. Therefore, these genotypes can be suggested for cultivation in their respective environments in the country.

HIV-AIDS in Nepal: the coming crisis.

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Seddon, D

1998-01-01

The number of officially reported cases of HIV infection and of AIDS in Nepal remains low in comparison with numbers in many other Asian countries. But Nepal's open border with India (where HIV infection rates are rapidly rising) and the high level of physical mobility within Nepal and abroad, associated with widespread labor migration and encouraged by the recent development of road transport, means that there is a real danger of a rapid spread of HIV within Nepal. The major means of infection is through heterosexual encounters involving male clients and female sex workers, but other sections of the population are also at risk from infection. Media attention has focused on female sex workers, particularly those who have worked in India, but the issue is far broader than this. Social and economic factors forcing or encouraging young men and women to seek employment away from home underlie the widespread growth of ¿the sex industry¿ and the ¿trafficking¿ of girls and young women. The state's capacity to respond effectively is limited, in part through lack of resources; international agencies are supporting local nongovernmental organizations in a variety of activities designed to ¿educate¿ and to ¿support¿ those at risk; but in the last analysis, it is the local communities from which young men and women migrate and to which they return that are obliged to find ways of coping. Sometimes these communities are supportive of the victims, sometimes not. The spread of HIV-AIDS is not just a ¿health¿ issue, but an issue of economic and social development, of gender relations and of human rights.

Safe delivery care practices in western Nepal: Does women’s autonomy influence the utilization of skilled care at birth?

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Kutty, V. Raman; Sarma, P. Sankara; Dangal, Ganesh

2017-01-01

Despite various efforts to increase the utilization of skilled birth attendants (SBA), nearly two-thirds of deliveries take place at home without the assistance of SBAs in Nepal. We hypothesized that the ability of women to take decisions about their own lives—women’s autonomy—plays an important part in birth choices. To know this, we conducted a community-based cross-sectional study for assessing women’s autonomy and utilization of safe delivery care service in Kapilvastu district of Nepal from June to October 2014. We used multivariate modeling to associate socioeconomic factors and women’s autonomy with the utilization of safe delivery care services. Just over one-third of women sought institutional delivery care during the birth of their last child. Out of the total deliveries at health facilities, nearly 58% women visited health facility for self-reported emergency obstructive care. Only 6.2% home deliveries were handled by health workers and 14.7% women used the safe delivery kit for home delivery care. Higher levels of women’s education had a strong positive association (odds ratio = 24.11, CI = 9.43–61.64) with institutional delivery care. Stratified analysis showed that when the husband is educated, women’s education seems to work partly through their autonomy in decision making. Educational status of women emerged as one of the key predictors of the utilization of delivery care services in Kapilvastu district. Economic status of household and husband’s education are other dominant predictors of the utilization of safe delivery care services. Improving the economic and educational status may be the way out for improving the proportion of institutional deliveries. Women’s autonomy may be an important mediating factor in this pathway. PMID:28771579

Role and Function Sub District in the Implementation of Local Government in Semarang City and District of Semarang Central Java Province

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Gunawan

2014-12-01

Full Text Available Sub district in performing common functions government implementation and administration functions of the tasks that have been submitted by District City in accordance with the Law No. 32 Year 2004 on Regional Government and Government Regulation No. 19 Year 2008 on the District experienced a bottleneck in its application in the form of authority, institutional, resource human resources and management districts, the study used a qualitative approach, purposive sampling areas that have been submitted and have not been handed over authority to the districts, the results showed that the authority has submitted both the mayor and the regent was not fully submitted, institution or organization not adjust districts Government Regulation No. 19 in 2008, the quality and quantity of human resources become a bottleneck in the implementation of tasks and discretionary attributive.

Micronutrients Deficiency, a Hidden Hunger in Nepal: Prevalence, Causes, Consequences, and Solutions.

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Bhandari, Shiva; Banjara, Megha Raj

2015-01-01

Micronutrient deficiency is a global challenge to health as in Nepal. In Nepal, the targeted beneficiaries are less aware about importance of micronutrients (MNs), which has resulted in low intake of foods rich in MNs. Micronutrient deficiencies (MNDs) have huge impact on health of vulnerable population like women and children and have jeopardized the national economy and prosperity of developing countries including Nepal. However, less attention has been paid towards MNDs, which can be prevented. Therefore, this study aims to draw attention of the concerned authorities and researchers to combat against MNDs in Nepal. This study showed that different types of MNDs with higher prevalence exist in Nepal. The major causes of MNDs were poor diet, diseases and infestations, and poor health caring practices. The results of MNDs were unwanted child and maternal mortality, impairments of lives, and reduction in productivity and intellectual capacity. School health and nutrition education and supplementation and fortification of essential MNs proved to be effective while dietary diversification and economic growth and poverty eradication seemed promising. Control and prevention of MNDs can help to achieve Millennium Development Goals as well, so studies in this sector should be emphasized.

Poor thermal care practices among home births in Nepal: further analysis of Nepal Demographic and Health Survey 2011.

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Khanal, Vishnu; Gavidia, Tania; Adhikari, Mandira; Mishra, Shiva Raj; Karkee, Rajendra

2014-01-01

Hypothermia is a major factor associated with neonatal mortality in low and middle income countries. Thermal care protection of newborn through a series of measures taken at birth and during the initial days of life is recommended to reduce the hypothermia and associated neonatal mortality. This study aimed to identify the prevalence of and the factors associated with receiving 'optimum thermal care' among home born newborns of Nepal. Data from the Nepal Demographic and Health Surveys (NDHS) 2011 were used for this study. Women who reported a home birth for their most recent childbirth was included in the study. Factors associated with optimum thermal care were examined using Chi-square test followed by logistic regression. A total of 2464 newborns were included in the study. A total of 57.6 % were dried before the placenta was delivered; 60.3% were wrapped; 24.5% had not bathing during the first 24 hours, and 63.9% were breastfed within one hour of birth. Overall, only 248 (10.7%; 95% CI (8.8 %, 12.9%)) newborns received optimum thermal care. Newborns whose mothers had achieved higher education (OR 2.810; 95% CI (1.132, 6.976)), attended four or more antenatal care visits (OR 2.563; 95% CI (1.309, 5.017)), and those whose birth were attended by skilled attendants (OR 2.178; 95% CI (1.428, 3.323)) were likely to receive optimum thermal care. The current study showed that only one in ten newborns in Nepal received optimum thermal care. Future newborn survival programs should focus on those mothers who are uneducated; who do not attend the recommended four or more attend antenatal care visits; and those who deliver without the assistance of skilled birth attendants to reduce the risk of neonatal hypothermia in Nepal.

Poor thermal care practices among home births in Nepal: further analysis of Nepal Demographic and Health Survey 2011.

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Vishnu Khanal

Full Text Available INTRODUCTION: Hypothermia is a major factor associated with neonatal mortality in low and middle income countries. Thermal care protection of newborn through a series of measures taken at birth and during the initial days of life is recommended to reduce the hypothermia and associated neonatal mortality. This study aimed to identify the prevalence of and the factors associated with receiving 'optimum thermal care' among home born newborns of Nepal. METHODS: Data from the Nepal Demographic and Health Surveys (NDHS 2011 were used for this study. Women who reported a home birth for their most recent childbirth was included in the study. Factors associated with optimum thermal care were examined using Chi-square test followed by logistic regression. RESULTS: A total of 2464 newborns were included in the study. A total of 57.6 % were dried before the placenta was delivered; 60.3% were wrapped; 24.5% had not bathing during the first 24 hours, and 63.9% were breastfed within one hour of birth. Overall, only 248 (10.7%; 95% CI (8.8 %, 12.9% newborns received optimum thermal care. Newborns whose mothers had achieved higher education (OR 2.810; 95% CI (1.132, 6.976, attended four or more antenatal care visits (OR 2.563; 95% CI (1.309, 5.017, and those whose birth were attended by skilled attendants (OR 2.178; 95% CI (1.428, 3.323 were likely to receive optimum thermal care. CONCLUSION: The current study showed that only one in ten newborns in Nepal received optimum thermal care. Future newborn survival programs should focus on those mothers who are uneducated; who do not attend the recommended four or more attend antenatal care visits; and those who deliver without the assistance of skilled birth attendants to reduce the risk of neonatal hypothermia in Nepal.

Family planning knowledge and practice among people living with HIV in Nepal.

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Shiva Raj Mishra

Full Text Available Unsafe sexual behavior is common among the HIV infected. This exposes them to the risks of unintended pregnancy, HIV transmission to uninfected partners and super-infection. Studies on the use of family planning measures among People Living with HIV (PLHIV are scarce in Nepal. The aim of this study was to explore the knowledge and practice of family planning (FP in PLHIV. A cross sectional survey was conducted during July-December 2012 in Kaski district of Nepal. A total of 120 PLHIVs were recruited using snowball sampling from three HIV clinics within the Pokhara sub-metropolitan city area. This study found that nine in ten PLHIV had heard about family planning. Two thirds of respondents were using at least one FP method. The majority (65.8% used condoms and had received FP counseling (67.5%. Less than one percent used condoms in addition to another contraceptive. Being single, being female and having received the counselling sessions were associated with the use of FP. The individuals who received FP counseling were more likely [OR 4.522; 95% CI (1.410-14.504] to use FP. Females were more likely [OR 4.808; 95% CI (1.396-16.556] to use FP than males. The individuals who were single/de-facto widowed were more likely [OR 7.330; 95% CI (2.064-26.028] to use FP than the married individuals. Our findings suggest that there is a need to focus on FP counseling if the HIV prevention program is to increase FP use among the PLHIV population. Use of dual contraceptives need to be promoted through counseling sessions and other health promotion programs focusing in HIV prevention.

Mental health and psychosocial problems in the aftermath of the Nepal earthquakes: findings from a representative cluster sample survey.

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Kane, J C; Luitel, N P; Jordans, M J D; Kohrt, B A; Weissbecker, I; Tol, W A

2018-06-01

Two large earthquakes in 2015 caused widespread destruction in Nepal. This study aimed to examine frequency of common mental health and psychosocial problems and their correlates following the earthquakes. A stratified multi-stage cluster sampling design was employed to randomly select 513 participants (aged 16 and above) from three earthquake-affected districts in Nepal: Kathmandu, Gorkha and Sindhupalchowk, 4 months after the second earthquake. Outcomes were selected based on qualitative preparatory research and included symptoms of depression and anxiety (Hopkins Symptom Checklist-25); post-traumatic stress disorder (PTSD Checklist-Civilian); hazardous alcohol use (AUDIT-C); symptoms indicating severe psychological distress (WHO-UNHCR Assessment Schedule of Serious Symptoms in Humanitarian Settings (WASSS)); suicidal ideation (Composite International Diagnostic Interview); perceived needs (Humanitarian Emergency Settings Perceived Needs Scale (HESPER)); and functional impairment (locally developed scale). A substantial percentage of participants scored above validated cut-off scores for depression (34.3%, 95% CI 28.4-40.4) and anxiety (33.8%, 95% CI 27.6-40.6). Hazardous alcohol use was reported by 20.4% (95% CI 17.1-24.3) and 10.9% (95% CI 8.8-13.5) reported suicidal ideation. Forty-two percent reported that 'distress' was a serious problem in their community. Anger that was out of control (symptom from the WASSS) was reported by 33.7% (95% CI 29.5-38.2). Fewer people had elevated rates of PTSD symptoms above a validated cut-off score (5.2%, 95% CI 3.9-6.8), and levels of functional impairment were also relatively low. Correlates of elevated symptom scores were female gender, lower caste and greater number of perceived needs. Residing in Gorkha and Sindhupalchowk districts and lower caste were also associated with greater perceived needs. Higher levels of impaired functioning were associated with greater odds of depression and anxiety symptoms; impaired

Spinal Cord Injury Rehabilitation in Nepal

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Nabina Shah

2013-06-01

Full Text Available Spinal cord injury is a major trauma, with its short and long term effects and consequences to the patient, his friends and family. Spinal cord injury is addressed in the developed countries with standard trauma care system commencing immediately after injury and continuing to the specialized rehabilitation units. Rehabilitation is important to those with spinal injury for both functional and psychosocial reintegration. It has been an emerging concept in Nepal, which has been evident with the establishment of the various hospitals with rehabilitation units, rehabilitation centres and physical therapy units in different institutions. However, the spinal cord injury rehabilitation setting and scenario is different in Nepal from those in the developed countries since spinal cord injury rehabilitation care has not been adequately incorporated into the health care delivery system nor its importance has been realized within the medical community of Nepal. To name few, lack of human resource for the rehabilitation care, awareness among the medical personnel and general population, adequate scientific research evidence regarding situation of spinal injury and exorbitant health care policy are the important hurdles that has led to the current situation. Hence, it is our responsibility to address these apparent barriers to successful implementation and functioning of rehabilitation so that those with spinal injury would benefit from enhanced quality of life. Keywords: rehabilitation; spinal injury.

Seasonal and Altitudinal Prevalence of Fascioliasis in Buffalo in Eastern Nepal

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Ramesh Prasad Sah

2018-05-01

Full Text Available Buffalo is the most important livestock commodities for milk, meat production and several other multipurpose uses distributed densely from southern tarai to northern mid-hills in Nepal. Among several internal parasitic diseases fascioliasis is highly economic one caused by Fasciola in buffaloes. However, there are only few studies carried on prevalence of fascioliasis emphasizing buffaloes in relation to seasonal (summer and rainy, and winter and altitudinal variations. Therefore, we examined prevalence of fascioliasis seasonally and vertically. For the purpose, we selected two districts of eastern Nepal and sampled from low altitude area known as Madhesha ranging from 175-200, Dhankuta from 800-1200 m, and Murtidhunga from 1800-2200 m elevation from the sea level, representing tarai, mid hills and high hills, respectively. Altogether from February 2013 to January 2014 at every two months interval we collected 798 fecal samples from buffaloes; 282 from Murtidhunga, 239 from Dhankuta and 277 from Madhesha. The samples were examined microscopically for the presence of Fasciola eggs using sedimentation technique. Results showed that overall prevalence of fascioliasis in buffaloes was 39.9% (319/798, ranging highest 42.6%in Madhesha followed by 39.7% in Murtidhunga and 37.2% in Dhankuta, respectively. The prevalence of fascioliasis was found to be significantly (p <0.05 high in winter (44.9% comparing to rainy season (34.4%. The prevalence of fascioliasis in buffaloes was relatively higher in low altitude than high altitude, although it was not statistically significant (p <0.05. In our findings the female buffaloes showed higher prevalence for fascioliasis than in male. Since the fascioliasis in buffaloes is highly endemic, thus strategic deworming in high risk period is recommended along with measure to prevent pasture contamination with buffalo feces.

Determinants of child maltreatment in Nepal: Results from the 2014 Nepal multiple indicator cluster survey (the 2014 NMICS).

Science.gov (United States)

Atteraya, Madhu Sudhan; Ebrahim, Nasser B; Gnawali, Shreejana

2018-02-01

We examined the prevalence of child maltreatment as measured by the level of physical (moderate to severe) and emotional abuse and child labor, and the associated household level determinants of child maltreatment in Nepal. We used a nationally representative data set from the fifth round of the Nepal Multiple Indicator Cluster Survey (the 2014 NMICS). The main independent variables were household level characteristics. Dependent variables included child experience of moderate to severe physical abuse, emotional abuse, and child labor (domestic work and economic activities). Bivariate analyses and logistic regressions were used to examine the associations between independent and dependent variables. The results showed that nearly half of the children (49.8%) had experienced moderate physical abuse, 21.5% experienced severe physical abuse, and 77.3% experienced emotional abuse. About 27% of the children had engaged in domestic work and 46.7% in various economic activities. At bivariate level, educational level of household's head and household wealth status had shown significant statistical association with child maltreatment (pchild labor. In general, child maltreatment is a neglected social issue in Nepal and the high rates of child maltreatment calls for mass awareness programs focusing on parents, and involving all stakeholders including governments, local, and international organizations. Copyright © 2017 Elsevier Ltd. All rights reserved.

Differentiated Typology of Sex Work and Implication for HIV Prevention Programs among Female Sex Workers in Nepal.

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Mishra, Shiva Raj; Neupane, Sanjeev Raj

2015-01-01

Sex work in exchange for kind and cash has long been practiced in Nepal. The HIV prevention program in Nepal is focused mainly on these two typologies of sex work. There might be more typologies of sex work beyond streets and establishments seeking research and programmatic attention. The objective of the study is to explore the differentiated typologies of sex work. This is a cross-sectional study conducted using a qualitative technique. Researchers carried out eight Focus Group Discussions with female sex workers (FSWs) (n = 50) in different places of Tanahu district. Data were analyzed using a deductive thematic analysis approach. We identified a more differentiated typology of sex work. Private contact-based sex work and the covert sex work on the cruising areas along the major highways were common. Sex work has become easier to operate with the advent of new technologies such as cell phone. With limited role of facilitation by brokers and pimps, now FSWs are better off and have longer duration of relationship with clients. Soft prostitution was common, as FSWs complemented their income through sex work. The conventional mode of peer and outreach educational approach needs to be further strengthened and modified according to the changing typology of sex work. HIV testing sites need to be further expanded to cruising areas along the highways.

Differentiated Typology of Sex Work and Implication for HIV Prevention Programs among Female Sex Workers in Nepal

Science.gov (United States)

Mishra, Shiva Raj; Neupane, Sanjeev Raj

2015-01-01

Background: Sex work in exchange for kind and cash has long been practiced in Nepal. The HIV prevention program in Nepal is focused mainly on these two typologies of sex work. There might be more typologies of sex work beyond streets and establishments seeking research and programmatic attention. The objective of the study is to explore the differentiated typologies of sex work. Methods: This is a cross-sectional study conducted using a qualitative technique. Researchers carried out eight Focus Group Discussions with female sex workers (FSWs) (n = 50) in different places of Tanahu district. Data were analyzed using a deductive thematic analysis approach. Results: We identified a more differentiated typology of sex work. Private contact-based sex work and the covert sex work on the cruising areas along the major highways were common. Sex work has become easier to operate with the advent of new technologies such as cell phone. With limited role of facilitation by brokers and pimps, now FSWs are better off and have longer duration of relationship with clients. Soft prostitution was common, as FSWs complemented their income through sex work. Conclusion: The conventional mode of peer and outreach educational approach needs to be further strengthened and modified according to the changing typology of sex work. HIV testing sites need to be further expanded to cruising areas along the highways. PMID:25785259

Differentiated typology of sex work and implication for HIV prevention programs among female sex workers in Nepal

Directory of Open Access Journals (Sweden)

Shiva Raj Mishra

2015-03-01

Full Text Available BackgroundSex work in exchange for kind and cash has long been practiced in Nepal. The HIV prevention program in Nepal is focused mainly on these two typologies of sex work. There might be more typologies of sex work beyond streets and establishments seeking research and programmatic attention. The objective of the study is to explore the differentiated typologies of sex work.MethodsThis is a cross sectional study conducted using a qualitative technique. Researchers carried out eight Focus Group Discussions with Female Sex Workers (FSWs (n=50 in different places of Tanahu district. Data was analyzed using a deductive thematic analysis approach.ResultsWe identified a more differentiated typology of sex work. Private contact-based sex work and the covert sex work on the cruising areas along the major highways were common. Sex work has become easier to operate with the advent of new technologies such as cellphone. With limited role of facilitation by brokers and pimps, now FSWs are better off and have longer duration of relationship with clients. Soft prostitution was common, as FSWs complemented their income through sex work.ConclusionsThe conventional mode of peer and outreach educational approach needs to be further strengthened and modified according to the changing typology of sex work. HIV testing sites need to be further expanded to cruising areas along the highways.

Determinants of skilled birth attendants for delivery in Nepal.

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Baral, Y R; Lyons, K; Skinner, J; van Teijlingen, E R

2010-01-01

This review is to explore the factors affecting the uptake of skilled birth attendants for delivery and the issues associated with women's role and choices of maternal health care service for delivery in Nepal. Literature was reviewed across the globe and discussed in a Nepalese context. Delivery by Skilled Birth Attendance serves as an indicator of progress towards reducing maternal mortality worldwide, the fifth Millennium Development Goal. Nepal has committed to reducing its maternal mortality by 75% by 2015 through ensuring accessibility to the availability and utilisation of skilled care at every birth. The literature suggests that several socio-economic, cultural and religious factors play a significant role in the use of Skilled Birth Attendance for delivery in Nepal. Availability of transportation and distance to the health facility; poor infrastructure and lack of services; availability and accessibility of the services; cost and convenience; staff shortages and attitudes; gender inequality; status of women in society; women's involvement in decision making; and women's autonomy and place of residence are significant contributing factors for uptake of Skilled Birth Attendance for delivery in Nepal. The review found more quantitative research studies exploring the determinants of utilisation of the maternal health services during pregnancy in Nepal than qualitative studies. Findings of quantitative research show that different social demographic, economic, socio-cultural and religious factors are responsible for the utilisation of maternal health services but very few studies discussed how and why these factors are responsible for utilisation of skilled birth attendants in pregnancy. It is suggested that there is need for more qualitative research to explore the women's role and choice regarding use of skilled birth attendants services and to find out how and why these factors are responsible for utilisation of skilled birth attendants for delivery

Debris flows associated with the 2015 Gorkha Earthquake in Nepal

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Dahlquist, M. P.; West, A. J.; Martinez, J.

2017-12-01

Debris flows are a primary driver of erosion and a major geologic hazard in many steep landscapes, particularly near the headwaters of rivers, and are generated in large numbers by extreme events. The 2015 Mw 7.8 Gorkha Earthquake triggered 25,000 coseismic landslides in central Nepal. During the ensuing monsoon, sediment delivered to channels by landslides was mobilized in the heavy rains, and new postseismic landslides were triggered in rock weakened by the shaking. These coseismic and postseismic landslide-generated debris flows form a useful dataset for studying the impact and behavior of debris flows on one of the most active landscapes on Earth. Debris flow-dominated channel reaches are generally understood to have a topographic signature recognizable in slope-area plots and distinct from fluvial channels, but in examining debris flows associated with the Gorkha earthquake we find they frequently extend into reaches with geometry typically associated with fluvial systems. We examine a dataset of these debris flows, considering whether they are generated by coseismic or postseismic landslides, whether they are likely to be driving active incision into bedrock, and whether their channels correspond with those typically associated with debris flows. Preliminary analysis of debris flow channels in Nepal suggests there may be systematic differences in the geometry of channels containing debris flows triggered by coseismic versus postseismic landslides, which potentially holds implications for hazard analyses and the mechanics behind the different debris flow types.

Is there new public health management (NPM) in Nepal? Arguments for and against NPM in Nepal.

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Paudel, Mohan

2013-01-01

This article is a reflection about whether new public management (NPM) styles of reforms seen in other developing countries are also seen in Nepal, and to substantiate these facts with the available evidence and findings. The author saw the emergence of NPM ideas in Western industrialized countries like the United Kingdom and New Zealand. Now it exists in several developing countries of Africa and Asia; but it is very hard to generalize the degree and scope of NPM elements' existence. In Southeast Asia, there is still a mix of the old bureaucratic system with new NPM-oriented reform initiatives. Series of administrative reforms, donor conditionality, and the reestablishment of democracy in the country after 1991 have influenced an orientation toward an efficient, people-oriented, mixed-economy model with increasing partnership of private agencies and nongovernmental organizations in Nepal. The political movement of the last 15 years in the country has strongly called for a new, efficient, and performance-oriented administration and management culture in the country. There are several initiatives already introduced (public-private partnership, decentralization, good governance, accountability/public auditing, performance-based outcome/results-oriented financing and reporting systems). However, to take this momentum up, it still requires strong willingness of political leaders and senior administrators. At the moment, peace and stability of turmoil, political stability, state-of-the-art management skills, and supportive organizational culture are the fundamental requirements for increasing the realization of, and sustaining the NPM-oriented reforms in Nepal.

Farmer Field Schools: Unexpected outcomes of gendered empowerment in wartime Nepal

NARCIS (Netherlands)

Westendorp, A.M.B.; Visser, L.E.

2015-01-01

This article is the outcome of an empirical study of technical training of women and men through Farmer Field Schools in rural Nepal during the last decade. When the Farmer Field Schools started in Nepal as part of the FAO Integrated Pest Management project in 1997, this was also the year that the

Widespread ground motion distribution caused by rupture directivity during the 2015 Gorkha, Nepal earthquake

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Koketsu, Kazuki; Miyake, Hiroe; Guo, Yujia; Kobayashi, Hiroaki; Masuda, Tetsu; Davuluri, Srinagesh; Bhattarai, Mukunda; Adhikari, Lok Bijaya; Sapkota, Soma Nath

2016-06-01

The ground motion and damage caused by the 2015 Gorkha, Nepal earthquake can be characterized by their widespread distributions to the east. Evidence from strong ground motions, regional acceleration duration, and teleseismic waveforms indicate that rupture directivity contributed significantly to these distributions. This phenomenon has been thought to occur only if a strike-slip or dip-slip rupture propagates to a site in the along-strike or updip direction, respectively. However, even though the earthquake was a dip-slip faulting event and its source fault strike was nearly eastward, evidence for rupture directivity is found in the eastward direction. Here, we explore the reasons for this apparent inconsistency by performing a joint source inversion of seismic and geodetic datasets, and conducting ground motion simulations. The results indicate that the earthquake occurred on the underthrusting Indian lithosphere, with a low dip angle, and that the fault rupture propagated in the along-strike direction at a velocity just slightly below the S-wave velocity. This low dip angle and fast rupture velocity produced rupture directivity in the along-strike direction, which caused widespread ground motion distribution and significant damage extending far eastwards, from central Nepal to Mount Everest.

El derecho a voto de los desplazados internos en Nepal

OpenAIRE

Ghimire, Anita

2007-01-01

Nepal está saliendo de un conflicto y debatiendo el calendario electoral. Los rebeldes maoístas han depuesto las armas y se han unido a la coalición gubernamental. Pero, ¿tendrán las elecciones algún tipo de credibilidad si un gran número de desplazados no puede votar? ¿Qué puede aprender Nepal de las experiencias en otros lugares?.

Structural controls and evolution of gold-, silver-, and REE-bearing copper-cobalt ore deposits, Blackbird district, east-central Idaho: Epigenetic origins

Science.gov (United States)

Lund, K.; Tysdal, Russell G.; Evans, Karl V.; Kunk, Michael J.; Pillers, Renee M.

2011-01-01

The Cu-Co ± Au (± Ag ± Ni ± REE) ore deposits of the Blackbird district, east-central Idaho, have previously been classified as Besshi-type VMS, sedex, and IOCG deposits within an intact stratigraphic section. New studies indicate that, across the district, mineralization was introduced into the country rocks as a series of structurally controlled vein and alteration systems. Quartz-rich and biotite-rich veins (and alteration zones) and minor albite and siderite veinlets maintain consistent order and sulfide mineral associations across the district. Both early and late quartz veins contain chalcopyrite and pyrite, whereas intermediate-stage tourmaline-biotite veins host the cobaltite. Barren early and late albite and late carbonate (generally siderite) form veins or are included in the quartz veins. REE minerals, principally monazite, allanite, and xenotime, are associated with both tourmaline-biotite and late quartz veins. The veins are in mineralized intervals along axial planar cleavage, intrafolial foliation, and shears.

Impact of Irrigation Method on Water Use Efficiency and Productivity of Fodder Crops in Nepal

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Ajay K Jha

2016-01-01

Full Text Available Improved irrigation use efficiency is an important tool for intensifying and diversifying agriculture in Nepal, resulting in higher economic yield from irrigated farmlands with a minimum input of water. Research was conducted to evaluate the effect of irrigation method (furrow vs. drip on the productivity of nutritious fodder species during off-monsoon dry periods in different elevation zones of central Nepal. A split-block factorial design was used. The factors considered were treatment location, fodder crop, and irrigation method. Commonly used local agronomical practices were followed in all respects except irrigation method. Results revealed that location effect was significant (p < 0.01 with highest fodder productivity seen for the middle elevation site, Syangja. Species effects were also significant, with teosinte (Euchlaena mexicana having higher yield than cowpea (Vigna unguiculata. Irrigation method impacted green biomass yield (higher with furrow irrigation but both methods yielded similar dry biomass, while water use was 73% less under drip irrigation. Our findings indicated that the controlled application of water through drip irrigation is able to produce acceptable yields of nutritionally dense fodder species during dry seasons, leading to more effective utilization and resource conservation of available land, fertilizer and water. Higher productivity of these nutritional fodders resulted in higher milk productivity for livestock smallholders. The ability to grow fodder crops year-round in lowland and hill regions of Nepal with limited water storages using low-cost, water-efficient drip irrigation may greatly increase livestock productivity and, hence, the economic security of smallholder farmers.

HIV decline associated with changes in risk behaviours among young key populations in Nepal: analysis of population-based HIV prevalence surveys between 2001 and 2012.

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Deuba, Keshab; Ekström, Anna Mia; Tomson, Göran; Shrestha, Rachana; Marrone, Gaetano

2017-08-01

We assessed changes in HIV prevalence and risk behaviours among young key populations in Nepal. A total of 7505 participants (aged 16-24 years) from key populations who were at increased risk of HIV infection (2767 people who inject drugs (PWID); 852 men who have sex with men/transgender (MSM/TG); 2851 female sex workers (FSW) and 1035 male labour migrants) were recruited randomly over a 12-year period, 2001-2012. Local epidemic zones of Nepal (Kathmandu valley, Pokhara valley, Terai Highway and West to Far West hills) were analysed separately. We found a very strong and consistent decline in HIV prevalence over the past decade in different epidemic zones among PWID and MSM/TG in Kathmandu, the capital city, most likely due to a parallel increase in safe needle and syringe use and increased condom use. A decrease in HIV prevalence in 22 Terai highway districts, sharing an open border with India, was also consistent with increased condom use among FSW. Among male labour migrants, HIV prevalence was low throughout the period in the West to Far West hilly regions. Condom use by migrant workers involved with FSW abroad increased while their condom use with Nepalese FSW declined. Other risk determinants such as mean age at starting first injection, injection frequency, place of commercial sex solicitation, their mean age when leaving to work abroad did not change consistently across epidemic zones among the young key populations under study. In Nepal, the decline in HIV prevalence over the past decade was remarkably significant and consistent with an increase in condom use and safer use of clean needles and syringes. However, diverging trends in risk behaviours across local epidemic zones of Nepal suggest a varying degree of implementation of national HIV prevention policies. This calls for continued preventive efforts as well as surveillance to sustain the observed downward trend.

Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal.

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Budhathoki, Shyam Sundar; Bhattachan, Meika; Castro-Sánchez, Enrique; Sagtani, Reshu Agrawal; Rayamajhi, Rajan Bikram; Rai, Pramila; Sharma, Gaurav

2018-02-02

Menstrual hygiene management (MHM) is an essential aspect of hygiene for women and adolescent girls between menarche and menopause. Despite being an important issue concerning women and girls in the menstruating age group MHM is often overlooked in post-disaster responses. Further, there is limited evidence of menstrual hygiene management in humanitarian settings. This study aims to describe the experiences and perceptions of women and adolescent girls on menstrual hygiene management in post-earthquake Nepal. A mixed methods study was carried out among the earthquake affected women and adolescent girls in three villages of Sindhupalchowk district of Nepal. Data was collected using a semi-structured questionnaire that captured experiences and perceptions of respondents on menstrual hygiene management in the aftermath of the Nepal earthquake. Quantitative data were triangulated with in-depth interview regarding respondent's personal experiences of menstrual hygiene management. Menstrual hygiene was rated as the sixth highest overall need and perceived as an immediate need by 18.8% of the respondents. There were 42.8% women & girls who menstruated within first week of the earthquake. Reusable sanitary cloth were used by about 66.7% of the respondents before the earthquake and remained a popular method (76.1%) post-earthquake. None of the respondents reported receiving menstrual adsorbents as relief materials in the first month following the earthquake. Disposable pads (77.8%) were preferred by respondents as they were perceived to be clean and convenient to use. Most respondents (73.5%) felt that reusable sanitary pads were a sustainable choice. Women who were in the age group of 15-34 years (OR = 3.14; CI = (1.07-9.20), did not go to school (OR = 9.68; CI = 2.16-43.33), married (OR = 2.99; CI = 1.22-7.31) and previously used reusable sanitary cloth (OR = 5.82; CI = 2.33-14.55) were more likely to use the reusable sanitary cloth. In

THERMOS, district central heating nuclear reactors

International Nuclear Information System (INIS)

Patarin, L.

1981-02-01

In order to expand the penetration of uranium in the national energy balance sheet, the C.E.A. has been studying nuclear reactors for several years now, that are capable of providing heat at favourable economic conditions. In this paper the THERMOS model is introduced. After showing the attraction of direct town heating by nuclear energy, the author describes the THERMOS project, defines the potential market, notably in France, and applies the lay-out study to the Grenoble Nuclear Study Centre site with district communal heating in mind. The economic aspects of the scheme are briefly mentioned [fr

Scientific Drilling in a Central Italian Volcanic District

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Paola Montone

2007-09-01

Full Text Available The Colli Albani Volcanic District, located 15 km SE of Rome (Fig. 1, is part of the Roman Magmatic Province, a belt of potassic to ultra-potassic volcanic districts that developed along the Tyrrhenian Sea margin since Middle Pleistocene time (Conticelli and Peccerillo, 1992; Marra et al., 2004; Giordano et al., 2006 and references therein. Eruption centers are aligned along NW-SE oriented majorextensional structures guiding the dislocation of Meso-Cenozoic siliceous-carbonate sedimentary successions at the rear of the Apennine belt. Volcanic districts developed in structural sectors with most favorable conditions for magma uprise. In particular, the Colli Albani volcanism is located in a N-S shear zone where it intersects the extensional NW- and NE-trending fault systems. In the last decade, geochronological measurements allowed for reconstructions of the eruptive history and led to the classification as "dormant" volcano. The volcanic history may be roughly subdivided into three main phases marked by different eruptive mechanisms andmagma volumes. The early Tuscolano-Artemisio Phase (ca. 561–351 ky, the most explosive and voluminous one, is characterized by five large pyroclastic flow-forming eruptions. After a ~40-ky-long dormancy, a lesser energetic phase of activity took place (Faete Phase; ca. 308–250 ky, which started with peripheral effusive eruptions coupled with subordinate hydromagmatic activity. A new ~50-ky-long dormancypreceded the start of the late hydromagmatic phase (ca. 200–36 ky, which was dominated by pyroclastic-surge eruptions, with formation of several monogenetic or multiple maars and/or tuff rings.

The promotion of geosites along a major trail of the Nepal Himalayas: the middle Kali Gandaki Valley.

Science.gov (United States)

Adhikari, Narayan; Fort, Monique; Sapkota, Somanath

2017-04-01

The Himalayas mountains, the highest in the world, offer exceptional landscapes, characterized by a large bio- and geo-diversity that should be preserved. Besides World Heritage Sites, recognized by UNESCO and inscribed for their outstanding universal value, a series of National Parks (Khumbu, Langtang, etc.) and Conservation areas (e.g. ACAP…) have been created by the Nepal Government, with the aim of integrating protection, education and sustainable development, in order to protect environmental heritages (flora, fauna, geosites), together with local culture and history, hence encouraging better knowledge and perception of the landscape elements by the visitors in connection with local people. The Himalayas, the result of the India-Asia plates collision, may also be considered both as real outdoor laboratory and museum, where geodynamic activity can be directly tackled and interpreted at different spatial and time scales by scientists. Their findings should be « translated » in simple words and sketches, in such a way that travelers, both local visitors and foreign trekkers, may learn along their itinerary. The conception of posters to be set in specific sites (outcrops and rock types, geological and geomorphological processes, such as major faults, landslides, relicts of glaciation etc.) is certainly the best way to promote geosciences and bring an additional value to travels across the Nepal Himalayas. The Department of Mines and Geology has taken the initiative of such a project. We present here a few examples of such geosites that would worth being illustrated along the famous trail, recently transformed as a motorable road, across the Kali Gandaki valley (Myadi and Mustang districts). On the basis of their geomorphic activity and their significance for local population, we have selected a few scenic places of significant scientific and educational interest (not exhaustive list). (1) Tatopani, famous for its hot-springs, was recently flooded by a

What Caused the Winter Drought in Western Nepal during Recent Years?

Energy Technology Data Exchange (ETDEWEB)

Wang, S-Y (Simon); Yoon, Jin-Ho; Gillies, R.; Cho, Changrae

2013-11-01

Western Nepal has experienced consecutive and worsened winter drought conditions since 2000 culminating in a severe drought episode during 2008-2009. In this study, the meteorological conditons and a historical pespective of the winter droughts in western Nepal were analyzed using respectively instumental records and a paleoclimatic drought index. Althought decadal-scale drought conditions were found to be recurrent in the paleoclimate record, the severity of the recent decadal drought (since 2000) clearly stands out in the 700 years of record and, this is suggestive of potential anthropogenic influences in the recent decades. Meteorological diagnosis using atmospheric reanalysis in the recent decades revealed that (1) winter drought in western Nepal is linked to the Arctic Oscillation and its decadal variability, which initiates a tropospheric short-wave train across the Europe, Eurasia and South Asia, and that (2) the persistent warming of the Indian Ocean likely contributes to the suppression of rainfall through enhanced local Hadley circultion. It is therefore conceivable that the recent spells of decadal drought in Nepal drought are symptomatic of both natural variability and anthropogenic influences.

Agricultural intensification in Nepal, with particular reference to systems of rice intensification

NARCIS (Netherlands)

Uprety, Rajendra

2016-01-01

This thesis deals with agricultural intensification in Nepal. The initial focus of the study was the System of Rice Intensification (SRI), as introduced in Nepal from 2001. The multiple factors affecting SRI adoption, modification and dissemination together with the option to apply SRI in

Feasibility of energy justice: Exploring national and local efforts for energy development in Nepal

International Nuclear Information System (INIS)

Islar, Mine; Brogaard, Sara; Lemberg-Pedersen, Martin

2017-01-01

The energy justice framework serves as an important decision-making tool in order to understand how different principles of justice can inform energy systems and policies. The realization of the urgency of providing modern energy technology and services particularly to rural areas has prompted both the Nepalese government and development institutions to focus on community-run renewable energy facilities. It is argued that off-grid and micro-scale energy development offers an alternative path to fossil-fuel use and top-down resource management as they democratize the grid and increase marginalized communities' access to renewable energy, education and health care. However, Nepal's energy development is also heavily influenced by demands from the fast-growing economies of neighboring countries such as China and India. As a result, this article evaluates the Nepalese national energy policies by applying the key aspects of the energy justice framework and showing the feasibility constraints due to geopolitical and biophysical factors to the implementation of energy just policies in this developing country context. The empirical evidence is derived from interviews during a one-month fieldwork in the Lalitpur and Katmandu districts of Nepal, site-visits, discourse analysis of expert statements, government policies and newspaper articles as well literature review on peer-review articles. - Highlights: • Energy justice framework can be used as a decision-making tool. • Energy transitions need to be understood from multiple perspectives. • Justice principles may face geopolitical, biophysical and ethical feasibility constraints. • The implementation of energy justice principles requires attention to the problem of agency.

Sacramento District History (1929-2004)

National Research Council Canada - National Science Library

Collins, Willie; Asay, Laura; Davy, Barbara J; Doyle, Brian; Fast, James P; Gonzalez, Jennifer L; Layton, Debra A; Nevins, Michael J; Taylor, James H; Van Dam, Carl

2004-01-01

Although the Sacramento District was established in 1929, this document recaptures the legendary history from the mid-1800's and the repercussions the Central Valley endured regarding the navigation...

Disaster response under One Health in the aftermath of Nepal earthquake, 2015.

Science.gov (United States)

Asokan, G V; Vanitha, A

2017-03-01

Until now, an estimate quotes that 1100 healthcare facilities were damaged and over 100,000 livestock lost in the two earthquakes that occurred in April and May of 2015 in Nepal. Threats of infectious diseases, mostly zoonoses, could affect Nepal's economy, trade, and tourism, and reaching the targets of the United Nations Millennium Development Goals. Historically, outbreaks of infectious diseases, including zoonoses, were largely associated with the aftereffects of the earthquakes. It has been documented that zoonoses constitute 61% of all known infectious diseases. Therefore, the purpose of this communication was to examine the infectious disease outbreaks after earthquakes around the world and explore the risk assessment of the zoonoses threats reported in Nepal and highlight adopting One Health. Our summaries on reported zoonoses in Nepal have shown that parasitic zoonoses were predominant, but other infectious disease outbreaks can occur. The fragile public health infrastructure and inadequately trained public health personnel can accelerate the transmission of infections, mostly zoonoses, in the post impact phase of the earthquake in Nepal. Therefore, we believe that with the support of aid agencies, veterinarians and health professionals can team up to resolve the crisis under One Health. Copyright © 2016 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

Epidemiology, Impact and Control of Rabies in Nepal: A Systematic Review

Science.gov (United States)

Devleesschauwer, Brecht; Aryal, Arjun; Sharma, Barun Kumar; Ale, Anita; Declercq, Anne; Depraz, Stephanie; Gaire, Tara Nath; Gongal, Gyanendra; Karki, Surendra; Pandey, Basu Dev; Pun, Sher Bahadur; Duchateau, Luc; Dorny, Pierre; Speybroeck, Niko

2016-01-01

Background Rabies is a vaccine-preventable viral zoonosis belonging to the group of neglected tropical diseases. Exposure to a rabid animal may result in a fatal acute encephalitis if effective post-exposure prophylaxis is not provided. Rabies occurs worldwide, but its burden is disproportionately high in developing countries, including Nepal. We aimed to summarize current knowledge on the epidemiology, impact and control of rabies in Nepal. Methods We performed a systematic review of international and national scientific literature and searched grey literature through the World Health Organization Digital Library and the library of the National Zoonoses and Food Hygiene Research Centre, Nepal, and through searching Google and Google Scholar. Further data on animal and human rabies were obtained from the relevant Nepalese government agencies. Finally, we surveyed the archives of a Nepalese daily to obtain qualitative information on rabies in Nepal. Findings So far, only little original research has been conducted on the epidemiology and impact of rabies in Nepal. Per year, rabies is reported to kill about 100 livestock and 10–100 humans, while about 1,000 livestock and 35,000 humans are reported to receive rabies post-exposure prophylaxis. However, these estimates are very likely to be serious underestimations of the true rabies burden. Significant progress has been made in the production of cell culture-based anti-rabies vaccine and rabies immunoglobulin, but availability and supply remain a matter of concern, especially in remote areas. Different state and non-state actors have initiated rabies control activities over the years, but efforts typically remained focalized, of short duration and not harmonized. Communication and coordination between veterinary and human health authorities is limited at present, further complicating rabies control in Nepal. Important research gaps include the reporting biases for both human and animal rabies, the ecology of stray

Epidemiology, Impact and Control of Rabies in Nepal: A Systematic Review.

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Brecht Devleesschauwer

2016-02-01

Full Text Available Rabies is a vaccine-preventable viral zoonosis belonging to the group of neglected tropical diseases. Exposure to a rabid animal may result in a fatal acute encephalitis if effective post-exposure prophylaxis is not provided. Rabies occurs worldwide, but its burden is disproportionately high in developing countries, including Nepal. We aimed to summarize current knowledge on the epidemiology, impact and control of rabies in Nepal.We performed a systematic review of international and national scientific literature and searched grey literature through the World Health Organization Digital Library and the library of the National Zoonoses and Food Hygiene Research Centre, Nepal, and through searching Google and Google Scholar. Further data on animal and human rabies were obtained from the relevant Nepalese government agencies. Finally, we surveyed the archives of a Nepalese daily to obtain qualitative information on rabies in Nepal.So far, only little original research has been conducted on the epidemiology and impact of rabies in Nepal. Per year, rabies is reported to kill about 100 livestock and 10-100 humans, while about 1,000 livestock and 35,000 humans are reported to receive rabies post-exposure prophylaxis. However, these estimates are very likely to be serious underestimations of the true rabies burden. Significant progress has been made in the production of cell culture-based anti-rabies vaccine and rabies immunoglobulin, but availability and supply remain a matter of concern, especially in remote areas. Different state and non-state actors have initiated rabies control activities over the years, but efforts typically remained focalized, of short duration and not harmonized. Communication and coordination between veterinary and human health authorities is limited at present, further complicating rabies control in Nepal. Important research gaps include the reporting biases for both human and animal rabies, the ecology of stray dog

Morphological characterization of local landraces of rapeseed (Brassica campestris L. var toria of Nepal

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Salik Ram Gupta

2015-12-01

Full Text Available Rapeseed (Brassica campestris L. var toria is the main source of edible oil for Nepalese people. 54 rapeseed lines were collected from different hilly district of Nepal ranging from 987 m to 2550 m altitude. These lines were planted in augmented design for its traits characterization in Khumaltar 2013. Different traits of local rapeseed were characterized, and evaluated. NGRC 02778 performed better followed by SR-02 than local checks Morang-2, Chitwan Local and Unnati in terms of yield, days to maturity and pest infestation. Similarly, genotype SR-18 was late and SR-16 was earlier in terms of days to maturity. In conclusion, SR-02 was found better genotype based on different characteristics measured among all local rapeseeds planted in Khumaltar 2013. Thus SR-2 can be used as parents in crossing material for further breeding purposes and it can also be tested in further trial.

Review of Brucellosis in Nepal

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Acharya, Krishna Prasad; Niroula, Nirajan; Kaphle, Krishna

2016-01-01

OBJECTIVES The aim of this paper is to evaluate the current status of the disease, the mechanism of infection, and pathogenesis, its zoonotic potential, diagnostic advances, treatment regimens, and the preventive measures that can be adopted in managing human brucellosis in under-developed countries such as Nepal. METHODS We performed a systematic review of all the available literture through Google Scholar, PubMed, Gideon Informatics, World Health Organization and other legitimate sources. Other secondary informations were collected from the government agencies such as department of livestock services and Ministry of Health. The obtained information was then re-analysed and summarized. RESULTS Few publications have addressed brucellosis in Nepal and most of those publications have focused on bovine brucellosis with sparse information available on brucellosis in humans and small ruminants. Brucella abortus is the most predominant causative agent followed by B. suis. B. abortus is predominant in cattle accounting for a substantial portion of bovine abortion in the country. Lack of awareness, unhealthy food habit, traditional husbandry practices, and a lack of surveillance and immunization have been the major factors in maintaining a vicious cycle of propagation of the disease in human and animals. Unfortunately, nothing has been done to identify the species of Brucella at the biovar level. CONCLUSIONS Although brucellosis has been reported to be endemic in Nepal, neither the distribution nor the economic and public health impact of this disease is well characterized. Robust and well-designed nationwide survey is warranted to assess the prevalence and distribution of disease in livestock and humans. Such data would facilitate the design of appropriate control programmes. PMID:27703129

Economic Burden of HIV/AIDS Upon Households in Nepal: A Critical Review

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Newlands, David; Simkhada, Padam

2015-01-01

Thousands of people are infected with HIV/AIDS in Nepal and most of them are adults of working age. Therefore, HIV/AIDS is a big burden in Nepal. This review was conducted to find the existing knowledge gap about the economic burden of HIV/AIDS at the household level in Nepal, the extent of economic burden exerted by the disease, and to provide policy recommendations. It is concluded that there was a considerable knowledge gap about the issue, and the economic burden exerted by HIV/AIDS was big enough to push the affected households into poverty. It is suggested that more studies need to be conducted to fill the knowledge gap. Similarly, Government of Nepal and other organisations working in the field of HIV/AIDS need to provide economic supports (e.g.- support for travel costs) to the HIV positive people and need to increase the awareness level among general population for reducing stigma and discrimination, and reducing economic burden on them. PMID:26913211

A review on important maize diseases and their management in Nepal

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Subash Subedi

2015-12-01

Full Text Available In Nepal, maize ranks second after rice both in area and production. In recent years, maize area and production has shown a steady increase, but productivity has been low (2.46 t/ha. The major maize producing regions in Nepal are mid hill (72.85%, terai (17.36% and high hill (9.79% respectively. A literature review was carried out to explore major maize diseases and their management in Nepal. The omnipresent incidence of diseases at the pre harvest stage has been an important bottleneck in increasing production. Till now, a total of 78 (75 fungal and 3 bacterial species are pathogenic to maize crop in Nepal. The major and economically important maize diseases reported are Gray leaf spot, Northern leaf blight, Southern leaf Blight, Banded leaf and sheath blight, Ear rot, Stalk rot, Head smut, Common rust, Downy mildew and Brown spot. Information on bacterial and virus diseases, nematodes and yield loss assessment is also given. Description of the major maize diseases, their causal organisms, distribution, time and intensity of disease incidence, symptoms, survival, spreads, environmental factors for disease development, yield losses and various disease management strategies corresponded to important maize diseases of Nepal are gathered and compiled thoroughly from the available publications. Concerted efforts of NARC commodity programs, divisions, ARS and RARS involving research on maize pathology and their important outcomes are mentioned. The use of disease management methods focused on host resistance has also been highlighted.

Abortion: Still Unfinished Agenda in Nepal.

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Shrestha, Dirgha Raj; Regmi, Shibesh Chandra; Dangal, Ganesh

2018-03-13

Unsafe abortion is affecting a lot, in health, socio-economic and health care cost of many countries. Despite invention of simple technology and scientifically approved safe abortion methods, women and girls are still using unsafe abortion practices. Since 2002, Nepal has achieved remarkable progress in developing policies, guidelines, task shifting, training human resources and increasing access to services. However, more than half of abortion in Nepal are performed clandestinely by untrained or unapproved providers or induced by pregnant woman herself. Knowledge on legalization and availability of safe abortion service among women is still very poor. Stigma on abortion still persists among community people, service providers, managers, and policy makers. Access to safe abortion, especially in remote and rural areas, is still far behind as compared to their peers from urban areas. The existing law is not revised in the spirit of current Constitution of Nepal and rights-based approach. The existence of abortion stigma and the shifting of the government structure from unitary system to federalism in absence of a complete clarity on how the safe abortion service gets integrated into the local government structure might create challenge to sustain existing developments. There is, therefore, a need for all stakeholders to make a lot of efforts and allocate adequate resources to sustain current achievements and ensure improvements in creating a supportive social environment for women and girls so that they will be able to make informed decisions and access to safe abortion service in any circumstances.

Barriers to utilization of childbirth services of a rural birthing center in Nepal: A qualitative study

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Shrestha, Khadka Narayan; Homer, Caroline S. E.

2017-01-01

Background Maternal mortality and morbidity are public health problems in Nepal. In rural communities, many women give birth at home without the support of a skilled birth attendant, despite the existence of rural birthing centers. The aim of this study was to explore the barriers and provide pragmatic recommendations for better service delivery and use of rural birthing centers. Methods We conducted 26 in-depth interviews with service users and providers, and three focus group discussions with community key informants in a rural community of Rukum district. We used the Adithya Cattamanchi logic model as a guiding framework for data analysis. Results Irregular and poor quality services, inadequate human and capital resources, and poor governance were health system challenges which prevented service delivery. Contextual barriers including difficult geography, poor birth preparedness practices, harmful culture practices and traditions and low level of trust were also found to contribute to underutilization of the birthing center. Conclusion The rural birthing center was not providing quality services when women were in need, which meant women did not use the available services properly because of systematic and contextual barriers. Approaches such as awareness-raising activities, local resource mobilization, ensuring access to skilled providers and equipment and other long-term infrastructure development works could improve the quality and utilization of childbirth services in the rural birthing center. This has resonance for other centers in Nepal and similar countries. PMID:28493987

AN APPLICATION OF DOCTRINE OF NECESSITY: PREVIOUS CONSTITUENT ASSEMBLY OF NEPAL AND ITS TIME EXTENSION TO AVOID CONSTITUTIONAL UNCERTAINTY

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Vijay Pd. Jayshwal

2015-02-01

Full Text Available This paper aims to investigate issues in relation of constitutional doctrine which had potential debate among the jurists of Nepal for the issues of time extension. The paper will also argue some weaknesses in the constituent assembly and their role expected by the people of Nepal. This paper will discuss about the evolution of constitution in Nepal, its features, the principle of Constitutionalism embodied in Nepalese constitution. This paper will further argue about the legitimacy of Doctrine of Necessity and its application in Nepal. In last, this paper will show the possibility of constitutional uncertainty by newly elected constituent assembly.   Penulisan ini dalam rangka mengkaji doktrin konstitusional yang tengah ramai diperdebatkan oleh para ahli hukum di Nepal, khususnya berkaitan dengan isu mengenai perpanjangan waktu. Melalui tulisan ini, terdapat temuan yang menunjukkan beberapa kelemahan yang ada dalam majelis konstituate Nepal di samping peran-perannya sebagaimana yang diharapkan oleh rakyat Nepal. Tulisan ini membahas pula mengenai evolusi konstitusi Nepal sebagaimana diwujudkan dalam prinsip-prinsip konstitusionalism yang dianut oleh Konstitusi Nepal. Lebih lanjut, berkaitan dengan legitimasi dari Doctrin of Necessity dan penerapannya di Nepal. Pada akhirnya, tulisan ini akan memberikan gambaran mengenai kemungkinan ketidakpastian secara konstitusional berkaitan dengan kondisi majelis konstituante yang baru saja terpilih.

Controls on Mississippi Valley-Type Zn-Pb mineralization in Behabad district, Central Iran: Constraints from spatial and numerical analyses

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Parsa, Mohammad; Maghsoudi, Abbas

2018-04-01

The Behabad district, located in the central Iranian microcontinent, contains numerous epigenetic stratabound carbonate-hosted Zn-Pb ore bodies. The mineralizations formed as fault, fracture and karst fillings in the Permian-Triassic formations, especially in Middle Triassic dolostones, and comprise mainly non-sulfides zinc ores. These are all interpreted as Mississippi Valley-type (MVT) base metal deposits. From an economic geological point of view, it is imperative to recognize the processes that have plausibly controlled the emplacement of MVT Zn-Pb mineralization in the Behabad district. To address the foregoing issue, analyses of the spatial distribution of mineral deposits comprising fry and fractal techniques and analysis of the spatial association of mineral deposits with geological features using distance distribution analysis were applied to assess the regional-scale processes that could have operated in the distribution of MVT Zn-Pb deposits in the district. The obtained results based on these analytical techniques show the main trends of the occurrences are NW-SE and NE-SW, which are parallel or subparallel to the major northwest and northeast trending faults, supporting the idea that these particular faults could have acted as the main conduits for transport of mineral-bearing fluids. The results of these analyses also suggest that Permian-Triassic brittle carbonate sedimentary rocks have served as the lithological controls on MVT mineralization in the Behabad district as they are spatially and temporally associated with mineralization.

Snow Leopard and Himalayan Wolf: Food Habits and Prey Selection in the Central Himalayas, Nepal.

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Madhu Chetri

Full Text Available Top carnivores play an important role in maintaining energy flow and functioning of the ecosystem, and a clear understanding of their diets and foraging strategies is essential for developing effective conservation strategies. In this paper, we compared diets and prey selection of snow leopards and wolves based on analyses of genotyped scats (snow leopards n = 182, wolves n = 57, collected within 26 sampling grid cells (5×5 km that were distributed across a vast landscape of ca 5000 km2 in the Central Himalayas, Nepal. Within the grid cells, we sampled prey abundances using the double observer method. We found that interspecific differences in diet composition and prey selection reflected their respective habitat preferences, i.e. snow leopards significantly preferred cliff-dwelling wild ungulates (mainly bharal, 57% of identified material in scat samples, whereas wolves preferred typically plain-dwellers (Tibetan gazelle, kiang and argali, 31%. Livestock was consumed less frequently than their proportional availability by both predators (snow leopard = 27%; wolf = 24%, but significant avoidance was only detected among snow leopards. Among livestock species, snow leopards significantly preferred horses and goats, avoided yaks, and used sheep as available. We identified factors influencing diet composition using Generalized Linear Mixed Models. Wolves showed seasonal differences in the occurrence of small mammals/birds, probably due to the winter hibernation of an important prey, marmots. For snow leopard, occurrence of both wild ungulates and livestock in scats depended on sex and latitude. Wild ungulates occurrence increased while livestock decreased from south to north, probably due to a latitudinal gradient in prey availability. Livestock occurred more frequently in scats from male snow leopards (males: 47%, females: 21%, and wild ungulates more frequently in scats from females (males: 48%, females: 70%. The sexual difference agrees with

Snow Leopard and Himalayan Wolf: Food Habits and Prey Selection in the Central Himalayas, Nepal

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Odden, Morten; Wegge, Per

2017-01-01

Top carnivores play an important role in maintaining energy flow and functioning of the ecosystem, and a clear understanding of their diets and foraging strategies is essential for developing effective conservation strategies. In this paper, we compared diets and prey selection of snow leopards and wolves based on analyses of genotyped scats (snow leopards n = 182, wolves n = 57), collected within 26 sampling grid cells (5×5 km) that were distributed across a vast landscape of ca 5000 km2 in the Central Himalayas, Nepal. Within the grid cells, we sampled prey abundances using the double observer method. We found that interspecific differences in diet composition and prey selection reflected their respective habitat preferences, i.e. snow leopards significantly preferred cliff-dwelling wild ungulates (mainly bharal, 57% of identified material in scat samples), whereas wolves preferred typically plain-dwellers (Tibetan gazelle, kiang and argali, 31%). Livestock was consumed less frequently than their proportional availability by both predators (snow leopard = 27%; wolf = 24%), but significant avoidance was only detected among snow leopards. Among livestock species, snow leopards significantly preferred horses and goats, avoided yaks, and used sheep as available. We identified factors influencing diet composition using Generalized Linear Mixed Models. Wolves showed seasonal differences in the occurrence of small mammals/birds, probably due to the winter hibernation of an important prey, marmots. For snow leopard, occurrence of both wild ungulates and livestock in scats depended on sex and latitude. Wild ungulates occurrence increased while livestock decreased from south to north, probably due to a latitudinal gradient in prey availability. Livestock occurred more frequently in scats from male snow leopards (males: 47%, females: 21%), and wild ungulates more frequently in scats from females (males: 48%, females: 70%). The sexual difference agrees with previous

Snow Leopard and Himalayan Wolf: Food Habits and Prey Selection in the Central Himalayas, Nepal.

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Chetri, Madhu; Odden, Morten; Wegge, Per

2017-01-01

Top carnivores play an important role in maintaining energy flow and functioning of the ecosystem, and a clear understanding of their diets and foraging strategies is essential for developing effective conservation strategies. In this paper, we compared diets and prey selection of snow leopards and wolves based on analyses of genotyped scats (snow leopards n = 182, wolves n = 57), collected within 26 sampling grid cells (5×5 km) that were distributed across a vast landscape of ca 5000 km2 in the Central Himalayas, Nepal. Within the grid cells, we sampled prey abundances using the double observer method. We found that interspecific differences in diet composition and prey selection reflected their respective habitat preferences, i.e. snow leopards significantly preferred cliff-dwelling wild ungulates (mainly bharal, 57% of identified material in scat samples), whereas wolves preferred typically plain-dwellers (Tibetan gazelle, kiang and argali, 31%). Livestock was consumed less frequently than their proportional availability by both predators (snow leopard = 27%; wolf = 24%), but significant avoidance was only detected among snow leopards. Among livestock species, snow leopards significantly preferred horses and goats, avoided yaks, and used sheep as available. We identified factors influencing diet composition using Generalized Linear Mixed Models. Wolves showed seasonal differences in the occurrence of small mammals/birds, probably due to the winter hibernation of an important prey, marmots. For snow leopard, occurrence of both wild ungulates and livestock in scats depended on sex and latitude. Wild ungulates occurrence increased while livestock decreased from south to north, probably due to a latitudinal gradient in prey availability. Livestock occurred more frequently in scats from male snow leopards (males: 47%, females: 21%), and wild ungulates more frequently in scats from females (males: 48%, females: 70%). The sexual difference agrees with previous

Ge/Si Ratios as a Tracer of Hydrothermal Activity in the Nepal Himalaya

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Evans, M. J.; Derry, L. A.

2001-12-01

Advection of deep-seated crustal rocks, high internal heat production, and rapid erosion of the thrust wedge result in steep thermal gradients in the crystalline rocks of the Himalayan front. Meteoric water circulation within these rocks produces geothermal activity in the deeply-incised river valleys near the Main Central Thrust shear zone. The springs have measured temperatures up to 70° C and TDS up to 8000 mg/L and drive significant anomalies in river chemistry. We have carried out a detailed study of the role of hot springs in the Narayani River basin of central Nepal (area 35,000 km2), the major drainage of the central Nepal Himalaya and a major tributary to the Ganges. In order to quantify the fluxes of heat and solutes from geothermal systems in the Narayani basin, the hydrothermal fluid flux must be estimated. As part of an ongoing effort to investigate the use of germanium-silicon systematics, we measured Ge/Si ratios in main stem, tributary and hot spring waters of the Narayani basin. While Ge/Si ratios in tributaries are similar to non-polluted world rivers (Iceland (9 to 150 μ mol/mol). The high Ge/Si ratios in the hot springs may reflect Rayleigh fractionation as low Ge/Si quartz is precipitated. The wide disparity in stream vs. hydrothermal values makes Ge/Si a valuable tool for quantifying hydrothermal fluid flux by mass balance. We can use a hydrothermal fluid flux estimate derived from the chemical mass balance to estimate convective heat loss in the Narayani basin. Preliminary estimates in the Marsyandi River yield a thermal power output rate of 200 MW, comparable with geothermal fields in the Taupo Volcanic Zone and when distributed over the spring affected area, yield a hydrothermal heat flow (160 mW/m2) comparable to continental heat flow and hydrothermal heat loss in the geothermal belt across Tibet. Fluxes of solutes and heat carried by Himalayan hot springs appear to be significant for Himalayan river chemistry and for thermal models of

District Energy Windsor

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-07-01

This paper presents a summary of how District Energy Windsor operates. It includes a system site map and reasons why it is advantageous to get connected to a district heating system. District Energy Windsor is a division of the Windsor Utilities Commission. It was developed in 1996 and was the first in North America to supply both heating and cooling requirements. It supplies nearly 2 million square feet of heating and cooling for Windsor's city centre. The district energy system produces hot water or chilled water at a central plant. Energy is then piped out to buildings in the area, including the Art Gallery of Windsor, the Royal Bank Business Centre, the Windsor Justice Facility, the Windsor Casino, and Northwind Windsor. The energy, which is transferred through heat exchangers, is used for space heating, domestic hot water heating, and air conditioning. The 8 reasons for getting connected are: (1) less management costs, (2) lower energy costs, (3) lower level of risk management, (4) stable energy rates, (5) better use of building space, (6) reliable service, (7) reduced expansion costs, and (8) a cleaner environment. District heating improves air quality through reduced carbon dioxide and nitrogen oxide emissions. In addition, fuel delivery and storage are eliminated. figs.

Alternative energy in Nepal

Energy Technology Data Exchange (ETDEWEB)

Tiwari, H.B.; Bhandari, K.P.

2011-05-15

Renewable energy Technology (RET) becomes the mainstream option for rural Nepal to access modern source of energy. It focuses on the trend of RET applications consisting of biogas technology, solar thermal, micro and Pico hydropower, biomass technology bio fuel technology, wind power technology etc. The RET's which provide both electricity based as well as non electricity based services, have been shown to most immediately meet the needs of a cleaner indoor environment, better quality lightning for education and income generating, activities, alternative cooking fuels and agro processing as well as rural industries. Improved cooking stoves and much more beneficial than other technologies. Wind energy utilization is still not popular. Solar thermal to generate thermal energy to cook, warm and dry, biogas for lighting and cooking services. Micro hydropower for electric as well as mechanical use and solar PV mainly for domestic lighting may become choice. The most important Renewable Energy Technology (RET's) in Nepal are related to Pico hydropower and micro-hydropower, biomass energy (biogas, briquettes, gasifies, improved cooking stoves, bio-fuels etc.) solar photovoltaic energy, solar PV water pumping, solar thermal energy (solar heater, solar dryers, solar cookers etc.) and wind energy (such as wind generators, wind mills etc.). One renowned Non-governmental organization has been established in the Jhapa and Mornag Bhutanese refugee camp. Two families from all the seven camps in Nepal received one solar cooker, one hay box and two cooking posts to each family. Under this programme, a total of 6,850 solar cookers, 12600 hay boxes and 25,200 cooking pots have been distributed 2009. The number of beneficiaries from this program has reached 85,000. Before the distribution of the cookers and the utensils, the instruction and orientation training for the maintenance and repair and operation method was improved. The refugees were divided in 315 groups of 40

Modelled and observed mass balance of Rikha Samba Glacier, Nepal, Central Himalaya

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Gurung, T. R.; Kayastha, R. B.; Fujita, K.; Sinisalo, A. K.; Stumm, D.; Joshi, S.; Litt, M.

2016-12-01

Glacier mass balance variability has an implication for the regional water resources and it helps to understand the response of glacier to climate change in the Himalayan region. Several mass balance studies have been started in the Himalayan region since 1970s, but they are characterized by frequent temporal gaps and a poor spatial representatively. This study aims at bridging the temporal gaps in a long term mass balance series of the Rikha Samba glacier (5383 - 6475 m a.s.l.), a benchmark glacier located in the Hidden Valley, Mustang, Nepal. The ERA Interim reanalysis data for the period 2011-2015 is calibrated with the observed meteorological variables from an AWS installed near the glacier terminus. We apply an energy mass balance model, validated with the available in-situ measurements for the years 1998 and 2011-2015. The results show that the glacier is shrinking at a moderate negative mass balance rate for the period 1995 to 2015 and the high altitude location of Rikha Samba also prevents a bigger mass loss compared to other small Himalayan glaciers. Precipitation from July to January and the mean air temperature from June to October are the most influential climatic parameters of the annual mass balance variability of Rikha Samba glacier.

Estimating Indoor PM2.5 and CO Concentrations in Households in Southern Nepal: The Nepal Cookstove Intervention Trials.

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Chen Chen

Full Text Available High concentrations of household air pollution (HAP due to biomass fuel usage with unvented, insufficient combustion devices are thought to be an important health risk factor in South Asia population. To better characterize the indoor concentrations of particulate matter (PM2.5 and carbon monoxide (CO, and to understand their impact on health in rural southern Nepal, this study analyzed daily monitoring data collected with DataRAM pDR-1000 and LASCAR CO data logger in 2980 households using traditional biomass cookstove indoor through the Nepal Cookstove Intervention Trial-Phase I between March 2010 and October 2011. Daily average PM2.5 and CO concentrations collected in area near stove were 1,376 (95% CI, 1,331-1,423 μg/m3 and 10.9 (10.5-11.3 parts per million (ppm among households with traditional cookstoves. The 95th percentile, hours above 100μg/m3 for PM2.5 or 6ppm for CO, and hours above 1000μg/m3 for PM2.5 or 9ppm for CO were also reported. An algorithm was developed to differentiate stove-influenced (SI periods from non-stove-influenced (non-SI periods in monitoring data. Average stove-influenced concentrations were 3,469 (3,350-3,588 μg/m3 for PM2.5 and 21.8 (21.1-22.6 ppm for CO. Dry season significantly increased PM2.5 concentration in all metrics; wood was the cleanest fuel for PM2.5 and CO, while adding dung into the fuel increased concentrations of both pollutants. For studies in rural southern Nepal, CO concentration is not a viable surrogate for PM2.5 concentrations based on the low correlation between these measures. In sum, this study filled a gap in knowledge on HAP in rural Nepal using traditional cookstoves and revealed very high concentrations in these households.

Sex Trafficking Related Knowledge, Awareness, and Attitudes among Adolescent Female Students in Nepal: A Cross-Sectional Study.

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Roman Shrestha

Full Text Available Sex trafficking has been a long-standing concern in Nepal. Very little has been achieved, however, in terms of actual reduction in the number of victims despite numerous anti-sex trafficking programs. This situation may be attributable to a lack of empirical evidence upon which to formulate anti-sexual trafficking interventions. This study aimed to assess sex trafficking-related knowledge, awareness and attitudes, and factors associated with sex trafficking awareness and attitudes towards the victims of sex trafficking and/or anti-sex trafficking campaigns among adolescent female students in Nepal.A cross-sectional study was conducted between August-September 2013 among 292 adolescent female students (>10 years old using systematic random sampling from three high schools in Sindhupalchowk district, Nepal. As an initial step, descriptive analyses were employed to characterize the data and multivariate logistic regression analyses were used to explore factors associated with sex trafficking awareness and related attitudes.Seventy-six percent of sampled students reported that they were aware of sex trafficking and 94.6% indicated media (i.e., radio or television as the primary sources of their knowledge. Fifty-one percent mentioned relatives/friends as mediators of sex trafficking, 60.4% reported promise for better jobs as the primary attraction behind sex trafficking, and 48.6% mentioned adolescent females as the most vulnerable group for sex trafficking. Over half (56.8% of the respondents had positive attitudes towards the victims of sex trafficking and/or anti-sex trafficking campaigns. Age (OR = 3.38, 95% CI:2.51-4.55, parents' occupation (OR = 3.89, 95% CI:1.58-9.58, and having a radio/TV at home (OR = 6.67, 95% CI:3.99-9.54 were significantly associated with awareness, whereas being younger (OR = 0.67, 95% CI:0.55-0.79 and having joint-family (OR = 2.67, 95% CI:1.49-4.80 were significantly associated with having a positive attitudes towards

BANJARESE GREETINGS SYSTEM IN DISTRICT KAPUAS OF CENTRAL KALIMANTAN

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Indra Perdana

2015-12-01

Full Text Available Research on the study of the use of greeting in Banjarese which stay in Kapuas District of Central Borneo.This Research focused to describe the greeting word used by the people, particularly the greeting word in Banjarese used by the first generetion in Kapuas. The research method used is descriptive qualitative. Data collection by observation with a look at, involved notes. Sources of research data used is the preference of all speech that is displayed by 1 Aged over 30 years, 2 Native language studied. 3 Knowing its own culture, 4 The Banjarese are the first generation derived from Banjarmasin, 5 The Banjarese who had lived in Kapuas. Based on this research shows 1 Greetings kinship to greet our parents (father + mother → (+ Uma Abah; Greetings kinship parents to greet our father and mother (grandfather + grandmother → (kai + nini; Greetings kinship to greet parents our grandparents are corrected; Greetings kinship to greet both parents protested was waring; Greetings kinship to say hello (brother + sister → (kaka + ading. Greetings kinship to say hello if our children have children (grandchildren → (grandchildren; Greetings kinship to say hello if we have children and grandchildren is a great-grandfather. And 2 The system of daily greeting, to call people who may be called ikam lifetime, lives. I use the word, unda to appoint themselves. As for honor or call older used the word pian, and said ulun to appoint its own self.

Bear-inflicted injuries - a report from Nepal.

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Atreya, Alok; Kanchan, Tanuj; Nepal, Samata; Acharya, Jenash

2016-06-01

Upper Mustang in the Northern Himalayan range of Nepal is the home of brown bears (Ursusarctos). Low-plant biomass as a result of scanty rainfall in Upper Mustang is a reason for habitat overlap of humans and wild animals. Humans who enter into the wild to collect firewood and graze cattle are liable to wild animal attacks. Such attacks, especially by brown bears, are readily identified by the type of injuries. These are more commonly confined to head and neck regions. Cutting, gnawing and tearing by sharp teeth and claws produces specific pattern of injuries, which are devastating but seldom fatal. This article reports a rare case of brown bear injury inflicted upon a man from the Upper Mustang region in Nepal. © The Author(s) 2016.

The Innovative Concept of Cold District Heating Networks: A Literature Review

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Marco Pellegrini

2018-01-01

Full Text Available The development of sustainable and innovative solutions for the production and supply of energy at district level is nowadays one of the main technical challenges. In the past, district heating and cooling networks aimed to achieve greater energy efficiency through the centralization of the energy production process but with relevant losses related to heat transport. Moving towards a higher share of renewables and lower demand of primary energy requires redesign of the energy district networks. The novel concept of cold district heating networks aims to combine the advantages of a centralized energy distribution system with low heat losses in energy supply. This combined effect is achieved through the centralized supply of water at relatively low temperatures (in the range 10–25 °C, which is then heated up by decentralized heat pumps. Moreover, cold district heating networks are also very suitable for cooling delivery, since cold water supplying can be directly used for cooling purposes (i.e., free cooling or to feed decentralized chillers with very high energy efficiency ratio. This paper provides a preliminary literature review of existing cold district heating networks and then qualitatively analyses benefits and drawbacks in comparison with the alternatives currently used to produce heat and cold at district level, including the evaluation of major barriers to its further development.

Challenges in diabetes mellitus type 2 management in Nepal

DEFF Research Database (Denmark)

Gyawali, Bishal; Ferrario, Alessandra; van Teijlingen, Edwin

2016-01-01

references. Results Diabetes mellitus type 2 is emerging as a major health care problem in Nepal, with rising prevalence and its complications especially in urban populations. Several challenges in diabetes management were identified, including high cost of treatment, limited health care facilities, and lack...... on the prevalence, cost and treatment of diabetes mellitus type 2 and its complications in Nepal and to critically assess the challenges to be addressed to contain the epidemic and its negative economic impact. Design A comprehensive review of available evidence and data sources on prevalence, risk factors, cost...

Barriers to utilization of antenatal care services in Eastern Nepal

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Krishna Kumar eDeo

2015-08-01

Full Text Available BackgroundWorld Health Organization (WHO recommends at least four pregnancy check-ups for normal pregnancies. Ministry of Health and Population (MOHP Nepal has introduced various strategies to promote prenatal care and institutional delivery to reduce maternal and child deaths. However, maternal health service utilization is low in some selected and socio-economic and ethnic groups. Hence, this study aims to assess barriers to the recommended four antenatal care (4ANC visits in eastern Nepal.MethodsA cross-sectional quantitative study was conducted in Sunsari district. A total of 372 randomly selected women who delivered in the last year preceding the survey were interviewed using a semi-structured questionnaire. Bivariate and multivariate logistic regression analysis was carried out to identify barriers associated with 4ANC visits.ResultsMore than two-third women (69% attended at least 4ANC visits. The study revealed that women exposed to media had higher chance of receiving four or more ANC visits with an adjusted Odds Ratio (aOR=3.5, 95% CI: 1.2-10.1 in comparison to women who did not. Women from an advantaged ethnic group had more chance of having 4ANC visits than respondents from a disadvantaged ethnic group (aOR=2.4, 95% CI: 2.1-6.9. Similarly, women having a higher level of autonomy were nearly three times more likely (aOR= 2.9, 95%CI: 1.5-5.6 and richer women were twice (aOR=2.3, 95% CI: 1.1-5.3 as likely to have at least 4ANC visits compared to women who had a lower level of autonomy and were economically poor.ConclusionBeing from disadvantaged ethnicity, lower women?s autonomy, poor knowledge of maternal health service and incentive upon completion of ANC, less media exposure related to maternal health service, and lower wealth rank were significantly associated with fewer than the recommended 4ANC visits. Thus, maternal health programs need to address such socio-cultural barriers for effective health care utilization.

Validating a tool to measure auxiliary nurse midwife and nurse motivation in rural Nepal.

Science.gov (United States)

Morrison, Joanna; Batura, Neha; Thapa, Rita; Basnyat, Regina; Skordis-Worrall, Jolene

2015-05-12

A global shortage of health workers in rural areas increases the salience of motivating and supporting existing health workers. Understandings of motivation may vary in different settings, and it is important to use measurement methods that are contextually appropriate. We identified a measurement tool, previously used in Kenya, and explored its validity and reliability to measure the motivation of auxiliary nurse midwives (ANM) and staff nurses (SN) in rural Nepal. Qualitative and quantitative methods were used to assess the content validity, the construct validity, the internal consistency and the reliability of the tool. We translated the tool into Nepali and it was administered to 137 ANMs and SNs in three districts. We collected qualitative data from 78 nursing personnel and district- and central-level stakeholders using interviews and focus group discussions. We calculated motivation scores for ANMs and SNs using the quantitative data and conducted statistical tests for validity and reliability. Motivation scores were compared with qualitative data. Descriptive exploratory analysis compared mean motivation scores by ANM and SN sociodemographic characteristics. The concept of self-efficacy was added to the tool before data collection. Motivation was revealed through conscientiousness. Teamwork and the exertion of extra effort were not adequately captured by the tool, but important in illustrating motivation. The statement on punctuality was problematic in quantitative analysis, and attendance was more expressive of motivation. The calculated motivation scores usually reflected ANM and SN interview data, with some variation in other stakeholder responses. The tool scored within acceptable limits in validity and reliability testing and was able to distinguish motivation of nursing personnel with different sociodemographic characteristics. We found that with minor modifications, the tool provided valid and internally consistent measures of motivation among ANMs

Societal impacts and vulnerability to floods in Bangladesh and Nepal

OpenAIRE

Tanvir H. Dewan

2015-01-01

Bangladesh and Nepal lie between the Himalayas and low-lying coasts of the Bay of Bengal and are traversed by hundreds of rivers and tributaries. Historical data shows that, since 1970, the scale, intensity and duration of floods have increased in Bangladesh and Nepal, causing grave human suffering; disruptions in normal life and activity, damages of infrastructure, crops and agricultural land with severe impacts on the economy. Bangladesh is affected by torrential rain, glacier melt, upstrea...

FAMILY RUN SMEs IN NEPAL AND THEIR APPROACH TO MARKETING

OpenAIRE

Sanghai, Megha Sanghai

2007-01-01

This exploratory research aims to study the role of marketing and its relevance in small and medium sized family businesses in Nepal by comparing it to the combined review of authors and academicians in the field of SME/ entrepreneurial marketing. Although marketing is a key factor in the survival and development of business ventures, SMEs in Nepal cannot do conventional marketing because of the limitations of resources which are inherent to Nepalese SMEs and also because business owner/ mana...

Chinese Policy Toward South Asia: Implications and Prospects for Nepal

Science.gov (United States)

2013-03-01

Silk Road not only served as a major trade route between India and China, but was also credited for the expansion of Buddhism in this region. India...endowed with legendary fighters of world fame.36 Nepal is the melting pot where two important religions, Hinduism and Buddhism are being practiced...It is believed that Hinduism exists since 1200 BC37 and Buddhism since 520 BC.38 Buddha was born in Nepal, enlightened in India, and Buddhism spread

Factors affecting IUCD discontinuation in Nepal

DEFF Research Database (Denmark)

Thapa, Subash; Paudel, Ishwari Sharma; Bhattarai, Sailesh

2015-01-01

Information related to contraception discontinuation, especially in the context of Nepal is very limited. A nested case-control study was carried out to determine the factors affecting discontinuation of intrauterine contraceptive devices (IUCDs). A total of 115 cases (IUCD discontinuers) and 115...

75 FR 12562 - Central Utah Project Completion Act

Science.gov (United States)

2010-03-16

...-- Water and Science; Utah Reclamation Mitigation and Conservation Commission; and the Central Utah Water... Commission (Mitigation Commission), and the Central Utah Water Conservancy District (District), as Joint Lead... Diamond Fork System Final Supplement to the Diamond Fork Power System Final Environmental Impact Statement...

Collection for Nepal

CERN Multimedia

Staff Association

2015-01-01

You are wonderful, thank you! On 25 April 2015, Nepal and neighboring countries suffered a violent earthquake, which killed thousands. On 28 April CERN Staff Association and CERN Management appealed to your generosity to help those affected, and opened an account to be able to receive your donations. We are now pleased to announce that the amount raised is CHF 34'800, and was donated to the NGO Live to Love of His Holiness the Gyalwang Drukpa. We thank everyone who contributed to this important cause.

Geographic disparities in state and district policies targeting youth obesity.

Science.gov (United States)

Taber, Daniel R; Chriqui, Jamie F; Chaloupka, Frank J

2011-10-01

States and school districts nationwide have enacted policies targeting youth obesity, but many policies lack specific requirements or enforcement language. Geographic disparities in youth obesity could worsen if policies are weaker in areas with higher obesity prevalence. To determine if state or district policy strength varies with youth obesity prevalence across Census divisions. Policies in five domains related to nutrition and physical activity in schools were obtained from all states and nationally representative samples of 578 and 592 public school districts in the 2006-2007 and 2008-2009 school years, respectively. Policy language strength was rated on a 0-100 scale on both the state and district level. Regression models were used to determine if mean 2006-2007 strength scores, and changes in mean scores from 2006-2007 to 2008-2009, were associated with youth obesity prevalence across Census divisions. Analyses were conducted in 2010. State and district policies governing foods sold outside of school meal programs ("competitive foods") were stronger in 2006-2007 in the two divisions with the highest youth obesity prevalence (East South Central, West South Central). Furthermore, mean competitive food policy strength increased the most from 2006-2007 to 2008-2009 in these divisions. The West South Central had the weakest district physical education policies in 2006-2007, however, and was the only division in which average strength of district school meal policies decreased. State and districts in Census divisions with the highest youth obesity prevalence are taking steps to restrict competitive foods in schools, but many have not targeted other policy domains as aggressively. Copyright © 2011 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Performance evaluation of quality protein maize genotypes across various maize production agro ecologies of Nepal

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Jiban Shrestha

2015-12-01

Full Text Available To identify superior quality protein maize genotypes for grain yield under different agro climatic conditions of terai and hill districts in Nepal, the coordinated varietal trials (CVT were conducted at Dailekh, Doti, Salyan, Lumle and Pakhribas in 2013 and Salyan, Pakhribas and Kabre in 2014 during summer season and coordinated farmer’s field trials (CFFT at Surkhet and Dailekh in 2013 and Salyan, Pakhribas and Khumaltar in 2014 during summer season. The experiment was carried out using randomized complete block design with three replications for CVT and CFFT. Across the locations and years the superior genotypes found under CVT were S01SIYQ, S01SIWQ-2 and Poshilo Makai-1 where as S99TLYQ-HG-AB, S99TLYQ-B and Poshilo Makai-1 were found superior genotypes under CFFT. The superior genotypes derived from CFFT will be promoted further for similar environments across the country.

Characterization of extensively drug-resistant Mycobacterium tuberculosis in Nepal.

Science.gov (United States)

Poudel, Ajay; Maharjan, Bhagwan; Nakajima, Chie; Fukushima, Yukari; Pandey, Basu D; Beneke, Antje; Suzuki, Yasuhiko

2013-01-01

The emergence of extensively drug-resistant tuberculosis (XDR-TB) has raised public health concern for global control of TB. Although molecular characterization of drug resistance-associated mutations in multidrug-resistant isolates in Nepal has been made, mutations in XDR isolates and their genotypes have not been reported previously. In this study, we identified and characterized 13 XDR Mycobacterium tuberculosis isolates from clinical isolates in Nepal. The most prevalent mutations involved in rifampicin, isoniazid, ofloxacin, and kanamycin/capreomycin resistance were Ser531Leu in rpoB gene (92.3%), Ser315Thr in katG gene (92.3%), Asp94Gly in gyrA gene (53.9%) and A1400G in rrs gene (61.5%), respectively. Spoligotyping and multilocus sequence typing revealed that 69% belonged to Beijing family, especially modern types. Further typing with 26-loci variable number of tandem repeats suggested the current spread of XDR M. tuberculosis. Our result highlights the need to reinforce the TB policy in Nepal with regard to control and detection strategies. Copyright © 2012 Elsevier Ltd. All rights reserved.

IMPACT OF ALTITUDES ON SOIL CHARACTERISTICS AND ENZYMATIC ACTIVITIES IN FOREST AND FALLOW LANDS OF ALMORA DISTRICT OF CENTRAL HIMALAYA

OpenAIRE

B. R. Maurya; Vimal Singh; P. P. Dhyani

2014-01-01

Abstract: Altitude is one of the major topographical factors which influence the fertility status of soil. Population explosion has rooted deforestation at different altitudes to bring more area under cultivation leading to fallow lands. Objective of this study was to assess the impact of altitude on electro-chemical properties and enzymatic activities of forest and fallow land soils of Almora district of Central Himalaya. Seventy soil samples were collected from different altitudes of forest...

Addressing the challenges to health sector decentralization in Nepal: an inquiry into the policy and implementation processes.

Science.gov (United States)

Dhakal, R; Ratanawijitrasin, S; Srithamrongsawat, S

2009-09-01

The objective of the study was to analyze the status and explore the challenges to decentralization policy implementation in Nepal. Thirty seven key informants rich in experience and knowledge, seven focus group discussions, observation of six health facilities and analysis of about 25 key policy documents provided the data for this study. The study identified the challenges to the implementation of decentralization reforms in the public health sector as: (i) centralised and weak management and programming practices of the government; (ii) weak legal and institutional framework; (iii) conflicting policy objectives; (iv) lack of implementation strategy; (v) poor financial and human resource management system; (vi) lack of adequate preparation for managing the reform; (vii) weak capacity at all levels; (viii) political instability. It was revealed that the implementation of the policy in Nepal was extremely poor as many of the important policy measures were either never initiated or they were only partially implemented. The challenges lie both at - policy design and implementation phase. Clear policy objectives, appropriate structure, sound planning, financing and human resources policy, adequate capacity, responsive information system, defined service packages, active participation of stakeholders and a conducive socio-political environment are considered imperative for successful implementation of the policy. Preparation for managing reform implementation at national and district levels is prerequisite for decentralization to work. Pushing for decentralization in a politically fragile environment may rather lead to further fragmentation, instead of strengthening government legitimacy.

Maternal Mortality in Nepal: Unraveling the Complexity

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Suwal, Juhee V.

2008-01-01

Full Text Available EnglishMaternal mortality has been recognised as a public health problem in the developing countries. The situation concerning maternal mortality in Nepal remained unexplored and vague until the early 1990s. By using 1996 Nepal Family Health Survey, this study discusses the maternal mortality situation in Nepal and analyses the differentials in maternal mortality by place of residence,region, ethnic and religious groups, age at death, and parity. Almost 28 percent of deaths of women in reproductive age was accountable to maternal causes.Logistic regression analysis shows ‘ethnicity,’ ‘age of women,’ and ‘number of births’ as strong predictors of maternal mortality. A number of policy recommendations are suggested to help lower maternal mortality.FrenchLa mortalité liée à la maternité est un des phénomènes de santé qui a étéidentifié dans les pays en voie de développement. La situation de la mortalitéliée à la maternité au Népal est restée inexplorée et assez vague jusqu’au débutdes années 1990. En utilisant les données du Nepal Family Health Survey de1996, cet article examine la situation de la mortalité liée à la maternité au Népalet analyse les différentiels des taux de mortalité par lieu de résidence, région,groupe ethnique et religieux, âge au décès, et parité. Presque 28 pourcent desdécès de femmes en âge de procréer sont liés à la maternité. L’analyse derégression logique démontre que « l’ethnicité », « l’âge des femmes », et le« nombre de naissances » sont de forts prédicteurs du taux des mortalités liées àla maternité.

Does Private School Competition Improve Public School Performance? The Case of Nepal

Science.gov (United States)

Thapa, Amrit

2013-01-01

Using data from the survey of the Ministry of Education, Nepal-2005 for school leaving certificate (SLC) exam, this paper attempts to estimate the impact of private school competition on public school performance for the case of Nepal. The study uses the number of private schools in the neighborhood as a measure of competition. The identification…

The prospects of renewable energy technologies for rural electrification: A review from Nepal

International Nuclear Information System (INIS)

Gurung, Anup; Kumar Ghimeray, Amal; Hassan, Sedky H.A.

2012-01-01

Utilization of renewable energy technologies remains one of the major energy policies throughout the world. These technologies are proven to be successful for electrifying rural communities, especially in developing countries. Realizing the benefits of renewable energy sources, the Government of Nepal has initiated the production and distribution of renewable energy technologies in recent years, mainly to electrify rural communities. Although these technologies are suitable for providing electricity in isolated and remote rural areas, their implementation programs have not been successful as expected. This review provides broad-spectrum view about the energy situation in Nepal and highlights the current policies and subsidies for the optimal utilization of renewable energy resources in isolated and poor rural communities. In addition, major promotional barriers for their implementation in Nepal have been discussed. - Highlights: ► Nepal has enormous potential of renewable energy sources. ► Till date only small fraction of renewable energy sources has been exploited. ► However, renewable energy technologies seem to be promising options for rural electrification.

Participatory Communication in Development Process of Matenggeng Dams Cilacap District Central Java

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Waluyo Handoko

2014-12-01

Full Text Available The construction process of Matenggeng Dams is still have problem such as no dialogue or renegotiation to create a mutual agreement between the government and Dayeuhluhur society. This research aims to identify, analyze and design the model of participatory development communication in the construction process of Matenggeng Dams at Dayeuhluhur subdistrict Cilacap District, Central Java Province. This research used qualitative method with case study. Data Collection through interviews, observation, analysis of documentation and focus group discussions (FGD. The results showed: (1 People have known for a long time about the discourse of Matenggeng Dams construction through interpersonal communication from the parents. (2 There is still no agreement about compensation between the community and the government. (3 The community agree and have learned the benefits of dams and willing to dialogue again to achieve an agreement of compensation for the land and productive trees. The implication, the public will continue to feel anxious for certainty the future of people's lives, if there is no certainty continuation the development of the Matenggeng dams.

Effects of abortion legalization in Nepal, 2001-2010.

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Jillian T Henderson

Full Text Available Abortion was legalized in Nepal in 2002, following advocacy efforts highlighting high maternal mortality from unsafe abortion. We sought to assess whether legalization led to reductions in the most serious maternal health consequences of unsafe abortion.We conducted retrospective medical chart review of all gynecological cases presenting at four large public referral hospitals in Nepal. For the years 2001-2010, all cases of spontaneous and induced abortion complications were identified, abstracted, and coded to classify cases of serious infection, injury, and systemic complications. We used segmented Poisson and ordinary logistic regression to test for trend and risks of serious complications for three time periods: before implementation (2001-2003, early implementation (2004-2006, and later implementation (2007-2010.23,493 cases of abortion complications were identified. A significant downward trend in the proportion of serious infection, injury, and systemic complications was observed for the later implementation period, along with a decline in the risk of serious complications (OR 0.7, 95% CI 0.64, 0.85. Reductions in sepsis occurred sooner, during early implementation (OR 0.6, 95% CI 0.47, 0.75.Over the study period, health care use and the population of reproductive aged women increased. Total fertility also declined by nearly half, despite relatively low contraceptive prevalence. Greater numbers of women likely obtained abortions and sought hospital care for complications following legalization, yet we observed a significant decline in the rate of serious abortion morbidity. The liberalization of abortion policy in Nepal has benefited women's health, and likely contributes to falling maternal mortality in the country. The steepest decline was observed after expansion of the safe abortion program to include midlevel providers, second trimester training, and medication abortion, highlighting the importance of concerted efforts to improve

Effects of abortion legalization in Nepal, 2001-2010.

Science.gov (United States)

Henderson, Jillian T; Puri, Mahesh; Blum, Maya; Harper, Cynthia C; Rana, Ashma; Gurung, Geeta; Pradhan, Neelam; Regmi, Kiran; Malla, Kasturi; Sharma, Sudha; Grossman, Daniel; Bajracharya, Lata; Satyal, Indira; Acharya, Shridhar; Lamichhane, Prabhat; Darney, Philip D

2013-01-01

Abortion was legalized in Nepal in 2002, following advocacy efforts highlighting high maternal mortality from unsafe abortion. We sought to assess whether legalization led to reductions in the most serious maternal health consequences of unsafe abortion. We conducted retrospective medical chart review of all gynecological cases presenting at four large public referral hospitals in Nepal. For the years 2001-2010, all cases of spontaneous and induced abortion complications were identified, abstracted, and coded to classify cases of serious infection, injury, and systemic complications. We used segmented Poisson and ordinary logistic regression to test for trend and risks of serious complications for three time periods: before implementation (2001-2003), early implementation (2004-2006), and later implementation (2007-2010). 23,493 cases of abortion complications were identified. A significant downward trend in the proportion of serious infection, injury, and systemic complications was observed for the later implementation period, along with a decline in the risk of serious complications (OR 0.7, 95% CI 0.64, 0.85). Reductions in sepsis occurred sooner, during early implementation (OR 0.6, 95% CI 0.47, 0.75). Over the study period, health care use and the population of reproductive aged women increased. Total fertility also declined by nearly half, despite relatively low contraceptive prevalence. Greater numbers of women likely obtained abortions and sought hospital care for complications following legalization, yet we observed a significant decline in the rate of serious abortion morbidity. The liberalization of abortion policy in Nepal has benefited women's health, and likely contributes to falling maternal mortality in the country. The steepest decline was observed after expansion of the safe abortion program to include midlevel providers, second trimester training, and medication abortion, highlighting the importance of concerted efforts to improve access. Other

Factors Affecting the Place of Delivery among Mothers Residing in Jhorahat VDC, Morang, Nepal

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Prativa Dhakal

2018-01-01

Full Text Available Background: In Nepal, the maternal mortality ratio is 281 per thousand live births, among which 40% mortality occurs during home delivery. Home delivery increases the risk of maternal and neonatal mortality and morbidity due to the birth not assisted by skilled attendant. This study was carried out to determine the factors affecting the place of delivery among the mothers residing in Jhorahat VDC, Morang district, Nepal. Methods: A mixed method study using interviews based on semi-structured questionnaire (n=93 among mothers and two focus group discussion among decision makers of the house and female community health volunteers was conducted between November to December 2012. For quantitative data, Chi-square test and Fischer’s Exact test were used to examine the association between the selected variables and place of delivery. Results: More than half (58.1% of the mothers had institutional delivery and 41.9% of them had home delivery. The most common reason for home delivery was easy and convenient environment (66.7% and that for institutional delivery was safety (77.8%. There was a significant association between caste, education of mothers, education of spouse, occupation of spouse, per capita income, time to reach the nearest health center, parity, previous place of delivery, number of antenatal visit, knowledge about place of delivery, planned place of delivery, and place of delivery. Conclusion: Maternal health services, such as prenatal care, skilled assistance during delivery and post-natal care, along with adequately equipped health institutions, play a major role in the reduction of maternal morbidity and mortality. Concerted efforts should be made both at community and government levels to increase institutional delivery.

Collection for Nepal

CERN Multimedia

Staff Association

2015-01-01

Following the violent earthquake in Nepal and neighbouring countries, a collection of money to help the victims was organized at CERN. A sum of 34 800 CHF was collected, and transferred to the NGO Live to Love. On July 22, the NGO sent a letter to CERN thanking for the support (see below). You can also find more information concerning this NGO and how they use their funds on our website: http://staff-association.web.cern.ch/sites/staff-association.web.cern.ch/files/Docs/Live_to_Love.pdf

Refining the structural framework of the Khimti Khola region, east-central Nepal Himalaya, using quartz textures and c-axis fabrics

Science.gov (United States)

Larson, Kyle P.

2018-02-01

New quartz texture and c-axis fabric data from across the Paleoproterozoic Ulleri-Phaplu-Melung orthogneiss in the Khimti Khola region of east central Nepal provide new constraints on the internal structural framework of the Himalaya that help shed light on the convergence accommodation processes active in the upper portion of the crust during orogenesis. These data outline a strain history that varies across the unit. Deformation near the base of the unit occurred at ∼605 (±50) °C with evidence of significant static recrystallization and recovery preserved in quartz, whereas deformation near the top of the unit occurred at ∼540 (±50) ˚C with quartz characterized by dynamic recrystallization mechanisms. The strength of the quartz c-axis fabrics follows a similar spatial pattern, with those from near the top of the unit recording stronger fabrics than those measured from lower in the unit. Together, these data are interpreted to indicate strain localization, possibly at progressively lower temperature, near the top of the Ulleri-Phaplu-Melung orthogneiss. This interpretation is consistent with cooling ages that indicate the upper boundary of the unit coincides with an out-of-sequence shear zone. This study not only provides a structural characterization of the shear zone, helping to refine the kinematic framework of this portion of the Himalaya, but also confirms the utility of fabric strength analysis in deciphering strain localization within pervasively deformed rocks.

Generic Pest Risk Analysis for Potato in Nepal

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Baidya Nath Mahto

2017-05-01

Full Text Available Pest Risk Analysis (PRA is the process of evaluation for biological and economic evidences in order to determine whether a pest should be regulated under phyto-sanitary measures. The present mini review highlights the potential potato pathogen list recorded in Nepal harmful for potato production and productivity. At global scale altogether 135 potential quarantine pests (PQP for potato has been recorded, while in Nepal only 92 PQP were recorded. Out of those 52, 13 and 27 were fungi, bacteria and viruses respectively. Among the 92 PQP, 34, 30 and 13 were considered at high, medium and lower risk type pathogens for potato. There was no information available on other 15 PQP.

Predisposing, enabling, and need factors associated with utilization of institutional delivery services: A community-based cross-sectional study in far-western Nepal.

Science.gov (United States)

Freidoony, Leila; Ranabhat, Chhabi Lal; Kim, Chun-Bae; Kim, Chang-Soo; Ahn, Dong-Won; Doh, Young Ah

2018-01-01

Use of institutional delivery services can be effective in reducing maternal and infant mortality. In Nepal, however, the majority of women deliver at home. Using Andersen's behavioral model of use of health care services, this cross-sectional study aimed to identify factors associated with use of institutional delivery services in four villages and one municipality in Kailali district, Nepal. Mothers (N = 500) who had given birth in the 5 years preceding the survey (conducted between January and February 2015) were randomly selected by cluster sampling and interviewed using a semi-structured questionnaire. Bivariate analyses and multivariate hierarchical logistic regression analyses were performed. Among the women surveyed, 65.6% had used institutional delivery services for their last delivery, a higher proportion than the national average. Primiparity, having a secondary or higher education level, living in the Durgauli village, having husbands with occupations other than agriculture or professional/technical jobs, and having attended four or more antenatal care (ANC) visits had significantly increased use of institutional deliveries. Also, belonging to the richest 20% of the community and having experienced pregnancy complications were marginally significantly associated. These findings demonstrate the need for improving mother's education, encouraging them to attend ANC visits and addressing disparities between different regions.

Critical Review of the Millennium Project in Nepal

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Ashma Vaidya

2016-10-01

Full Text Available “Our Common Future” harmonized development policies around a new sustainable development (SD paradigm, and experts also emphasize the importance of a democratic and equitable approach to define and achieve sustainable development. However, SD targets and indicators are often defined by a suite of experts or a few stakeholder groups, far removed from on-the-ground conditions. The most common expert-led development framework, the United Nations’ Millennium Development Goals (MDGs, promoted one set of targets and indicators for all developing countries. While progress towards these targets was routinely reported at the national scale, these targets may not reflect context-specific sustainable development. We evaluated the relevance and comprehensiveness of MDG 7 (environmental sustainability for Nepal. Although Nepal has met most of the MDG 7 (e.g., forest cover, protected areas coverage, water and sanitation, on closer inspection these indicators do not provide adequate context for ensuring that these targets provide the intended levels of development. Simple forest cover and protected area indicators belie the dearth of ecological conservation on the ground, and water and sanitation indicators do not reflect the inequality of access based on poverty and regions. While the Millennium Development Goals align with broad sustainability concerns in Nepal, these indicators do not reveal its true development conditions.

Challenging gender roles through STEM education in Nepal

Science.gov (United States)

Wallenius, Todd J.

Science, Technology, Engineering, Mathematics (STEM) education programs are currently being introduced and expanded across "developing" nations. STEM programs often conflict with hegemonic gender norms, for example by targeting girls and women in male dominated societies. However, given the cultural complexity of STEM for girls, implementing educators are rarely asked their point of view on programs from abroad. This study explored the perceptions of educators in Nepal who participated in the Girls Get STEM Skills (GGSS) program, a program funded through the U.S. Department of State for 2015/2016. The 8-month program reached 254 girls across three government schools and included the donation of 30 laptops. In August, 2016, the researcher conducted one-on-one interviews and focus groups with 18 participants at GGSS school sites in Pokhara, Nepal. Qualitative data was gathered on educators' perceptions of teacher roles, Nepal as a developing nation, gender imbalance in STEM, and the GGSS curriculum. The study argues that educators viewed educational topics through the lens of bikas, the Nepali word for development. This suggests that the principal impact of STEM programs--as part of larger development initiatives--may be the creation and reinforcement of new social meanings rather than the tangible impacts of the projects themselves.

Status and prospects of maize research in Nepal

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Govind KC

2015-12-01

Full Text Available Food and nutritional securities are the major threats coupled with declining factor productivity and climate change effects in Nepal. Maize being the principal food crops of the majority of the hill people and source of animal feed for ever growing livestock industries in Terai of Nepal. Despite the many efforts made to increase the maize productivity in the country, the results are not much encouraging. Many of the maize based technologies developed and recommended for the farmers to date are not fully adopted. Therefore, problem is either on technology development or on dissemination or on both. Considering the above facts, some of the innovative and modern approaches of plant breeding and crop management technologies to increase the maize yield need to be developed and disseminated. There is a need for location-specific maize production technologies, especially for lowland winter maize, marginal upland maize production system, and resource poor farmers. Research efforts can be targeted to address both yield potential and on-farm yields by reducing the impacts of abiotic and biotic constraints. Therefore, in order to streamline the future direction of maize research in Nepal, an attempt has been made in this article to highlight the present status and future prospects with few key pathways.

Crossing the roof of the world: Trade in medicinal plants from Nepal to China.

Science.gov (United States)

He, Jun; Yang, Bin; Dong, Min; Wang, Yunshang

2018-04-26

Trade in medicinal and aromatic plants (MAPs) between Nepal and China has taken place for centuries along the Tibetan border. While there is anecdotal evidence that economic development in China over the past decades, coupled with regional infrastructure development and increasing market integration, has substantially changed this trade, there are no current published studies investigating this, e.g. in terms of species and market structure. This knowledge gap impedes the development of public interventions, e.g. in support of sustainable trade. The primary objective of this study is to provide the first informative insights into the Nepal-China trade in MAPs, with particular emphasis on the value chain in Tibet. Data was collected from December 2015 to August 2016 in Nepal and Tibet. The data collection included standardized questionnaires to understand and map the value chain of MAPs, including the actors involved and key governance issues. Data was collected from Katmandu-based MAPs wholesalers exporting from Nepal to China, (n = 6) and with regional wholesalers (n = 40) based in Tibet. The questionnaires contained quantitative and qualitative components focusing on key elements of the MAPs value chain, e.g. the traded species and their values. This was augmented with qualitative interviews with Lhasa-based processors (n = 4) and government officials (n = 12) working in border controls, customs, and/or drug administration. We also collected official statistics on the Nepal-China MAPs trade and conducted a workshop in Lhasa with traders and government officials to discuss the nature of the Nepal-China MAPs trade. The Nepal-China MAPs trade boomed after 2011 when the value of traded plants increased more than nine-fold. This rapid increase reflected both a broader species composition and higher unit prices in response to increasing demand from China. The trade expansion was also driven by increasing demand in China and facilitated by improved

Strong ground motion in the Kathmandu Valley during the 2015 Gorkha, Nepal, earthquake

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Takai, Nobuo; Shigefuji, Michiko; Rajaure, Sudhir; Bijukchhen, Subeg; Ichiyanagi, Masayoshi; Dhital, Megh Raj; Sasatani, Tsutomu

2016-01-01

On 25 April 2015, a large earthquake of Mw 7.8 occurred along the Main Himalayan Thrust fault in central Nepal. It was caused by a collision of the Indian Plate beneath the Eurasian Plate. The epicenter was near the Gorkha region, 80 km northwest of Kathmandu, and the rupture propagated toward east from the epicentral region passing through the sediment-filled Kathmandu Valley. This event resulted in over 8000 fatalities, mostly in Kathmandu and the adjacent districts. We succeeded in observing strong ground motions at our four observation sites (one rock site and three sedimentary sites) in the Kathmandu Valley during this devastating earthquake. While the observed peak ground acceleration values were smaller than the predicted ones that were derived from the use of a ground motion prediction equation, the observed peak ground velocity values were slightly larger than the predicted ones. The ground velocities observed at the rock site (KTP) showed a simple velocity pulse, resulting in monotonic-step displacements associated with the permanent tectonic offset. The vertical ground velocities observed at the sedimentary sites had the same pulse motions that were observed at the rock site. In contrast, the horizontal ground velocities as well as accelerations observed at three sedimentary sites showed long duration with conspicuous long-period oscillations, due to the valley response. The horizontal valley response was characterized by large amplification (about 10) and prolonged oscillations. However, the predominant period and envelope shape of their oscillations differed from site to site, indicating a complicated basin structure. Finally, on the basis of the velocity response spectra, we show that the horizontal long-period oscillations on the sedimentary sites had enough destructive power to damage high-rise buildings with natural periods of 3 to 5 s.

Developing conservation governance strategies: holistic management of protected areas in Nepal

OpenAIRE

Budhathoki, Prabhu

2012-01-01

The Buffer Zone (BZ) concept has been introduced in Nepal as a key component of the national biodiversity conservation strategy to mitigate the impacts of protected areas on local communities, and thereby reduce adverse impacts of local people on protected areas. Unlike traditional Buffer Zone programmes which are mostly limited to creating a protective layer and/or distributing economic benefits to local people, the Buffer Zone management approach in Nepal integrates livelihoods and conserva...

Strong sustainability in Nepal: A structural economics approach

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Devkota, Surendra R.

This dissertation analyzes the sustainability of the economy of Nepal. The main empirical question addressed is whether the Tenth Plan of Nepal (2002--2007) will meet its projected economic output goal and achieve its primary goal of reducing poverty. To this end, economic growth scenarios are examined in terms of availability of energy demand and supply, and income disparity among different households. The structure of the Nepali economy is examined using a Leontief input-output table, a Ghosian supply-side input-output table, and a social accounting matrix for the year 1999. Based on the input-output analysis of energy demand and supply for the 10th Plan, it is unlikely that energy requirements of the projected output will be met, unless some extra sources of energy are developed. Households need to switch their energy use from fuel wood/biomass to other alternatives. In order to meet the target of the Plan vis-a-vis energy demand or supply, a few policy measures are urgently needed, though some of these options require many years to develop. Household income inequality and distribution is examined through the SAM multipliers; namely aggregate, transfer, open-loop, and closed-loop multipliers. The investment-income multiplier scenarios for the 10th Plan indicate that the nominal income of households may increase due to the increased investment, which will not necessarily improve the bottom deciles households, particularly socio-economically deprived households. Economic growth in Nepal during the past fifty years demonstrates that the modernization model is unsuccessful. Economic growth occurred at some centers at the cost of periphery. A huge regional disparity has developed between hills and plains, east and west, city and rural areas. Nepal's persistent poverty indicates a failure of modernization theory. The Tenth Plan would be another continuation of a failed legacy, unless social and natural endowments are considered for sustainability. Nepal could be an

Climatic conditions and child height: Sex-specific vulnerability and the protective effects of sanitation and food markets in Nepal.

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Mulmi, Prajula; Block, Steven A; Shively, Gerald E; Masters, William A

2016-12-01

Environmental conditions in early life are known to have impacts on later health outcomes, but causal mechanisms and potential remedies have been difficult to discern. This paper uses the Nepal Demographic and Health Surveys of 2006 and 2011, combined with earlier NASA satellite observations of variation in the Normalized Difference Vegetation Index (NDVI) at each child's location and time of birth to identify the trimesters of gestation and periods of infancy when climate variation is linked to attained height later in life. We find significant differences by sex: males are most affected by conditions in their second trimester of gestation, and females in the first three months after birth. Each 100-point difference in NDVI at those times is associated with a difference in height-for-age z-score (HAZ) measured at age 12-59 months of 0.088 for boys and 0.054 for girls, an effect size similar to that of moving within the distribution of household wealth by close to one quintile for boys and one decile for girls. The entire seasonal change in NDVI from peak to trough is approximately 200-300 points during the 2000-2011 study period, implying a seasonal effect on HAZ similar to one to three quintiles of household wealth. This effect is observed only in households without toilets; in households with toilets, there is no seasonal fluctuation, implying protection against climatic conditions that facilitate disease transmission. We also use data from the Nepal Living Standards Surveys on district-level agricultural production and marketing, and find a climate effect on child growth only in districts where households' food consumption derives primarily from their own production. Robustness tests find no evidence of selection effects, and placebo regression results reveal no significant artefactual correlations. The timing and sex-specificity of climatic effects are consistent with previous studies, while the protective effects of household sanitation and food markets are

Prospects for development of heat supply systems in high-rise districts

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Zhila, Viktor; Solovyeva, Elena

2018-03-01

The article analyzes the main advantages and disadvantages of centralized and decentralized heat supply systems in high-rise districts. The main schemes of centralized heat supply systems are considered. They include centralized heat supply from boiler houses, centralized heat supply from autonomous heat sources, heat supply from roof boiler houses and door-to-door heating supply. For each of these variant, the gas distribution systems are considered and analyzed. These systems vary depending on the heat source location. For each of these systems, technical and economic indicators are taken into account, the analysis of which allows choosing the best option for districts where high-rise buildings predominate.

Preferred Source and Perceived Need of More Information about Dental Implants by the Undergraduate Dental Students of Nepal: All Nepal Survey

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Arati Sharma

2018-01-01

Full Text Available Objectives. This study was conducted to know the preferred source and perceived need of more information about dental implants by the undergraduate students of Nepal and their association with academic levels and gender. Materials and Methods. It was conducted in all the dental colleges of Nepal from June 2016 to June 2017 after taking ethical clearance and approval from the research committee of BPKIHS. It included all those who were present at the time of survey. Data collection was done through a cross-sectional questionnaire survey during the academic schedule of the colleges, supervised and monitored by the investigators themselves. The collected data were coded and entered in Microsoft excel 2013, and statistical analysis was done by SPSS 20 version. Result. A majority of the respondents agreed that they were not provided with sufficient information about implant treatment procedures during their BDS program (65.3%, would like more to be provided in the curriculum (95.1%, and would like to get additional reliable information from dental consultants and specialists (40.7% and training on it from fellowship programs conducted by universities (39.2%. Significant association was seen between the responses and academic levels. Conclusion. Undergraduate dental students of Nepal want more information about dental implants through various means.

Preferred Source and Perceived Need of More Information about Dental Implants by the Undergraduate Dental Students of Nepal: All Nepal Survey.

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Sharma, Arati; Shrestha, Bidhan; Chaudhari, Bijay Kumar; Suwal, Pramita; Singh, Raj Kumar; Niraula, Surya Raj; Parajuli, Prakash Kumar

2018-01-01

This study was conducted to know the preferred source and perceived need of more information about dental implants by the undergraduate students of Nepal and their association with academic levels and gender. It was conducted in all the dental colleges of Nepal from June 2016 to June 2017 after taking ethical clearance and approval from the research committee of BPKIHS. It included all those who were present at the time of survey. Data collection was done through a cross-sectional questionnaire survey during the academic schedule of the colleges, supervised and monitored by the investigators themselves. The collected data were coded and entered in Microsoft excel 2013, and statistical analysis was done by SPSS 20 version. A majority of the respondents agreed that they were not provided with sufficient information about implant treatment procedures during their BDS program (65.3%), would like more to be provided in the curriculum (95.1%), and would like to get additional reliable information from dental consultants and specialists (40.7%) and training on it from fellowship programs conducted by universities (39.2%). Significant association was seen between the responses and academic levels. Undergraduate dental students of Nepal want more information about dental implants through various means.

Temporal signatures of advective versus diffusive radon transport at a geothermal zone in Central Nepal

International Nuclear Information System (INIS)

Richon, Patrick; Perrier, Frederic; Koirala, Bharat Prasad; Girault, Frederic; Bhattarai, Mukunda; Sapkota, Soma Nath

2011-01-01

Temporal variation of radon-222 concentration was studied at the Syabru-Bensi hot springs, located on the Main Central Thrust zone in Central Nepal. This site is characterized by several carbon dioxide discharges having maximum fluxes larger than 10 kg m -2 d -1 . Radon concentration was monitored with autonomous Barasol TM probes between January 2008 and November 2009 in two small natural cavities with high CO 2 concentration and at six locations in the soil: four points having a high flux, and two background reference points. At the reference points, dominated by radon diffusion, radon concentration was stable from January to May, with mean values of 22 ± 6.9 and 37 ± 5.5 kBq m -3 , but was affected by a large increase, of about a factor of 2 and 1.6, respectively, during the monsoon season from June to September. At the points dominated by CO 2 advection, by contrast, radon concentration showed higher mean values 39.0 ± 2.6 to 78 ± 1.4 kBq m -3 , remarkably stable throughout the year with small long-term variation, including a possible modulation of period around 6 months. A significant difference between the diffusion dominated reference points and the advection-dominated points also emerged when studying the diurnal S 1 and semi-diurnal S 2 periodic components. At the advection-dominated points, radon concentration did not exhibit S 1 or S 2 components. At the reference points, however, the S 2 component, associated with barometric tide, could be identified during the dry season, but only when the probe was installed at shallow depth. The S 1 component, associated with thermal and possibly barometric diurnal forcing, was systematically observed, especially during monsoon season. The remarkable short-term and long-term temporal stability of the radon concentration at the advection-dominated points, which suggests a strong pressure source at depth, may be an important asset to detect possible temporal variations associated with the seismic cycle. - Graphical

Socio-economic assessment on maize production and adoption of open pollinated improved varieties in Dang, Nepal

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Sanjiv Subedi

2017-12-01

Full Text Available Research was conducted from February to May, 2017 for socioeconomic assessment on maize production and adoption of open pollinated improved maize varieties in Dang district of Nepal. Altogether, 100 samples were taken by simple random sampling from the major maize growing areas and relevant publications were reviewed. Focal Group Discussion and Key Informant Survey were also done. Descriptive statistics, unpaired t-test, probit regression and indexing were used for data analysis using statistical tools- SPSS, STATA and MS-Excel. Probit econometric model revealed that ethnicity (1% level, gender (5% level, area under open pollinated improved maize (1% level, seed source dummy (1 % level and number of visits by farmers to agrovet (5% level significantly determined the adoption of open pollinated improved maize varieties. In addition, unpaired t-test revealed that the productivity of open pollinated improved maize varieties was significantly higher (at 1% level than local; also, the multinational companies' hybrids showed significantly higher productivity (at 1% level when compared to open pollinated improved varieties. Furthermore, indexing identified- lack of availability of quality seeds and fertilizers (I= 0.86 as the major problem associated with the maize production. Giving aggressive subsidy on open pollinated improved seeds and dealership to registered agrovets for selling the subsidy seeds could enhance the adoption. Moreover, government organizations working in the areas of agricultural extension and research must focus on adoption of open pollinated improved maize varieties among the farmers, substituting the local and developing the high yielding hybrid varieties in Nepal to increase the maize productivity.

Public and Private School Performance in Nepal: An Analysis Using the SLC Examination

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Thapa, Amrit

2015-01-01

Using data from the survey of the Ministry of Education, Nepal-2005 for School Leaving Certificate Exam, this paper analyzes public and private school performance in Nepal. The ordinary least square estimates suggest that private school students perform better than public school students. However, the problem of self-selection bias arises, as…

IAU Project and Research Activity in Nepal

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Gautam, Suman

2015-08-01

The second half of the twentieth century has witnessed a tremendous development in the field of astronomy and space exploration. The large telescope both on the land and in the orbit, using the whole range of the electromagnetic spectra from radio waves to gamma rays are extending their range of exploration, right to the edge of the observable universe, and making astounding discoveries in the process. Many large international telescope facilities and global plans are accessible to all astronomers throughout the world, providing an inexpensive entry to cutting- edge international research for developing countries.Nepal is a mountainous country it has a wide range of climatic and altitude variations which varies from an elevation of 200 meter to ≥ 4000 meter. The average temperature varies from ≥ 25 o C to ≤ 0 to 5oC. Because of these diverse weather and climatic variation there is the potential for the establishment of sophisticated observatory/ data centre and link with each other. So, the future possible opportunity of astronomy in Nepal will be discussed. Besides Education and Research activities conducted in Tribhuvan University, Nepal under the support of International Astronomical Union (IAU) will also be highlighted. The importance brought by those two workshops conducted on data simulation supported by IAU under TF1 will also be discussed which is believed to play a vital role for the promotion and development of astronomy and astrophysics in developing countries.

Emigration from Nepal: some major issues.

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Singh, M L

1997-07-01

This study examined emigration from Nepal during 1952-91. Data were obtained from census records decennially. Records indicate that the volume of emigration amounted to about 2.39% of total population in 1952-53, and 3.58% in 1991. The level of emigration rose from 198,120 persons to 658,290. Emigrants are persons who were absent from their home for more than 6 months due to tourism, pilgrimage, business trips, studies, employment, or permanent migration. Most emigrants return home after several months or years. A recent survey finds that 14.1% returned after more than 5 years. The Nepal model of migration is different from conventional or Marxist models. For example, landlessness or near landlessness are not the primary reasons for migration. The recent emigration to Arab countries is driven by the desire for better income. Emigrants pay handsomely to go abroad for work (Rs. 85,000). Nepalese emigrate to Australia and the US for a better income and a better life. The proportion of female emigrants was 6.23% of total emigrants to Arab countries, and 16.2% to India. 31% of emigrants were females who emigrated to North America, and 29% emigrated to European countries. Emigrants to Arab countries were likely to return home. Emigrants to North America and Europe were likely to be permanent migrants. The author prefers Mellassoux's (1981) model that says that Nepal is losing manpower during their most productive years. Remittances do not offset the loss. Government costs are incurred for supporting education abroad, benefits in old age and for youth, and the spread of sexually transmitted diseases.

Barriers to treatment and control of hypertension among hypertensive participants: A community based cross-sectional mixed method study in municipalities of Kathmandu, Nepal

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Surya Devkota

2016-08-01

Full Text Available AbstractIntroduction: Despite the established evidence on benefits of controlling raised blood pressure and development of several guidelines on detection and management of hypertension, people often have untreated or uncontrolled hypertension. In this context, we undertook this study to identify the barriers existing in hypertension treatment and control in the municipalities of Kathmandu district in Nepal. Methods: This was a community based, cross-sectional mixed method study conducted in the municipalities of Kathmandu district in Nepal between January and July 2015. Among 587 randomly selected participants, the aware hypertensive participants were further assessed for the treatment and control of hypertension. For qualitative component, 20 participants having uncontrolled hypertension took part in two focused group discussions and two cardiac physicians participated in in-depth interviews.Results: Out of 587 participants screened, 191 (32.5% were identified as hypertensive. Among 191 hypertensive participants, 118 (61.8% were aware of their problem. Of the 118 aware hypertensive participants, 93 (78.8% were taking medicines, and among those treated, 46 (49.6% had controlled hypertension. Proportions of participants taking anti-hypertensive medications varied significantly with age groups, ethnicity, occupation and income. Hypertension control was significantly associated with use of combination therapy, adherence to medication, follow-up care, counseling by healthcare providers and waiting time in hospital. Being worried that the medicine needs to be taken life-long, perceived side effects of drugs, non-adherence to medication, lost to follow-up, inadequate counseling from physician, and lack of national guidelines for hypertension treatment were the most commonly cited barriers for treatment and control of hypertension in qualitative component of the research.Conclusion: Large proportion of the hypertensive population has the untreated and

Operation management system evaluation in the central Finland health care district - end users' view of system implementation.

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Lemmetty, Kaisa; Häyrinen, Eija

2005-01-01

In this paper we evaluate the implementation of the operation management system in the Central Finland Health Care District. The implementation of the operation management system changed the practice of operation management for the surgical clinic and concerned 500 personnel in total. A survey was carried out to investigate the end users' views on the system's usefulness, usability and the training and user support provided. The users' possibilities to accomplish their tasks and the kind of obstacles they face in operation management were explored. The assessment revealed that more end support is needed after the system implementation, even though a generally positive attitude towards the system was manifested among the staff.

Astragalus kongrensis Benth. Ex Baker (Fabaceae, a New Record for Central and North-West Himalayas

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Lal Babu Chaudhary

2006-09-01

Full Text Available Astragalus kongrensis Benth. Ex Baker is reported for the first time from Central (Nepal and North-West Himalayas (India. Earlier the species was known from East Himalaya (Sikkim-India, Bhutan and China. The description and illustrations of the species are provided.

Molecular Epidemiology and Antigenic Characterization of Seasonal Influenza Viruses Circulating in Nepal.

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Upadhyay, B P; Ghimire, P; Tashiro, M; Banjara, M R

2017-01-01

Influenza is one of the public health burdens in Nepal and its epidemiology is not clearly understood. The objective of this study was to explore the molecular epidemiology and the antigenic characteristics of the circulating influenza viruses in Nepal. A total of 1495 throat swab specimens were collected from January to December, 2014. Real time PCR assay was used for identification of influenza virus types and subtypes. Ten percent of the positive specimens were randomly selected and inoculated onto Madin-Darby Canine Kidney Epithelial cells (MDCK) for influenza virus isolation. All viruses were characterized by the hemagglutination inhibition (HI) assay. Influenza viruses were detected in 421/1495 (28.2%) specimens. Among positive cases, influenza A virus was detected in 301/421 (71.5%); of which 120 (39.9%) were influenza A/H1N1 pdm09 and 181 (60.1%) were influenza A/H3 subtype. Influenza B viruses were detected in 119/421 (28.3%) specimens. Influenza A/H1N1 pdm09, A/H3 and B viruses isolated in Nepal were antigenically similar to the vaccine strain influenza A/California/07/2009(H1N1pdm09), A/Texas/50/2012(H3N2), A/New York/39/2012(H3N2) and B/Massachusetts/2/2012, respectively. Influenza viruses were reported year-round in different geographical regions of Nepal which was similar to other tropical countries. The circulating influenza virus type and subtypes of Nepal were similar to vaccine candidate virus which could be prevented by currently used influenza vaccine.

Psychotropic drugs in Nepal: perceptions on use and supply chain management.

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Upadhaya, Nawaraj; Jordans, Mark J D; Gurung, Dristy; Pokhrel, Ruja; Adhikari, Ramesh P; Komproe, Ivan H

2018-01-24

Psychotropic drugs play an important role in the treatment of mental, neurological and substance use disorders. Despite the advancement of the use of psycho-pharmaceuticals in the developed countries, the psychotropic drug production and supply chain management in low- and middle- income countries are still poorly developed. This study aims to explore the perceptions of stakeholders involved in all stages of the psychotropic drug supply chain about the need, quality, availability and effectiveness of psychotropic drugs, as well as barriers to their supply chain management. The study was conducted among 65 respondents from the Kathmandu, Chitwan and Pyuthan districts, grouped into four categories: producers, promoters and distributors (N = 22), policy makers and government actors (N = 8), service providers (N = 21) and service users/family members (N = 14). The respondents reported that psychotropic drugs, despite having side effects, are 1) needed, 2) available in major regional centers and 3) are effective for treating mental health problems. The stigma associated with mental illness, however, forces patients and family members to hide their use of psychotropic drugs. The study found that the process of psychotropic drug supply chain management is similar to other general drugs, with the exceptions of strict pre-approval process, quantity restriction (for production and import), and mandatory record keeping. Despite these regulatory provisions, respondents believed that the misuse of psychotropic drugs is widespread and companies are providing incentives to prescribers and retailers to retain their brand in the market. The production and supply chain management of psychotropic drugs is influenced by the vested interests of pharmaceutical companies, prescribers and pharmacists. In the context of the government of Nepal's policy of integrating mental health into primary health care and increased consumption of psychotropic drugs in Nepal, there is a

Occupational radiation exposure monitoring among radiation workers in Nepal

International Nuclear Information System (INIS)

Bhatt, Chhavi Raj; Shrestha, Shanta Lall; Khanal, Tara; Ween, Borgny

2008-01-01

Nepal was accepted as a member of the IAEA in 2007. Nepal is one of the world's least developed countries and is defined in Health Level IV. The population counted 26.4 millions in 2007. The health care sector increases with new hospitals and clinics, however, Nepal has no radiation protection authority or radiation protection regulation in the country until now. The radiation producing equipment in the health sector includes conventional X-ray and dental X-ray equipment, fluoroscopes, mammography, CT, catheterization laboratory equipment, nuclear medicine facilities, a few linear accelerators, Co 60 teletherapy and High Dose Rate brachytherapy sources. The situation regarding dosimetry service for radiation workers is unclear. A survey has been carried out to give an overview of the situation. The data collection of the survey was performed by phone call interviews with responsible staff at the different hospitals and clinics. Data about different occupationally exposed staff, use of personal radiation monitoring and type of dosimetry system were collected. In addition, it was asked if dosimetry reports were compiled in files or databases for further follow-up of staff, if needed. The survey shows that less of 25% of the procedures performed on the surveyed hospitals and clinics are performed by staff with personnel radiation monitoring. Radiation monitoring service for exposed staff is not compulsory or standardized, since there is no radiation protection authority. Nepal has taken a step forward regarding radiation protection, with the IAEA membership, although there are still major problems that have to be solved. An evaluation of the existing practice of staff dosimetry can be the first helpful step for further work in building a national radiation protection authority. (author)

Flood Induced Disasters and Stakeholder Involvement to Implement Integrated Food Management in Nepal

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Gautam, N. P.

2016-12-01

Nepal, a landlocked country in South Asia covers an area of 147, 181 square kilometers. Its elevation ranges from 61m as the lowest to 8848m, the highest peak Everest in the world. More than 80% of the annual rainfall occurs in the monsoon season from June to September. Thus, due to the intense rainfall that occurs within a short period, monsoon acts as the biggest cause for the occurrence of different disastrous events including flood. Beyond it, Nepal lies at the center and southern edge of Hindu-Kush Himalayan (HKH) region, which is the youngest geological formation in the world. Hence, floods and landslides are common in this region. In Nepal, from the records of 1971-2010, floods and landslides are the second biggest cause for casualties after epidemics. Hawaii based Center of Excellence in disaster management and humanitarian assistance in 2015 has declared Nepal as 30th vulnerable country from the aspect of floods. According to WMO definition, integrated flood management (IFM) is a process of promoting an integrated rather than a fragmented approach to flood management, integrating land and water resource development in a river basin within the context of integrated water resources management (IWRM), with the aim of maximizing the net benefits from flood plains while minimizing loss of life from flooding. That is the reason why the IFM is one of the important countermeasures to be implemented in Nepal to reduce the adverse effects of floods. This study emphasizes on the existing conditions along with the challenges of IFM with respect to stakeholder involvement in the context of Nepal. It can be assured that all the highlighted issues coming out from this study will be highly valuable to policy makers, implementing agencies along with scientific and local communities to enhance IFM works in the nation for the benefits of societies.

District Fiscal Policy and Student Achievement

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Gary G. Huang

2002-09-01

Full Text Available School restructuring raises questions about the role of school districts in improving student learning. Centralization by state governments and decentralization to individual schools as proposed in systemic reform leave districts' role unsettled. Empirical research on the district role in the context of ongoing reform is inadequate. This analysis of combined data from the NAEP and the Common Core of Data (CCD was intended to address the issue. We analyzed 1990, 1992, and 1996 NAEP 8th grade mathematics national assessment data in combination with CCD data of corresponding years to examine the extent to which student achievement was related to districts' control over instructional expenditure, adjusting for relevant key factors at both district and student levels. Upon sample modification, we used hierarchical linear modeling (HLM to estimate the relationships of student achievement to two district fiscal policy indictors, current expenditure per pupil (CEPP and districts' discretionary rates for instructional expenditure (DDR. Net of relevant district factors, DDR was found unrelated to districts' average 8th grade math performance. The null effect was consistent in the analysis of the combined NAEP-CCD data for 1990, 1992, and 1996. In contrast, CEPP was found related to higher math performance in a modest yet fairly consistent way. Future research may be productive to separately study individual states and integrate the findings onto the national level.

Economic Relationship between Access to Land and Rural Poverty in Nepal

OpenAIRE

Chandra Bahadur Adhikar; Trond Bjorndal

2014-01-01

In the present socio-economic structure of Nepal, land is the main source of income and consumption for the majority of Nepalese. This study analyses the economic relationship between access to land and poverty in Nepal by establishing the link between land and consumption as well as land and income. A generalised additive model (GAM) and ordinary least squares (OLS) demonstrate that greater access to land increases income and consumption of the household and thereby reduces poverty. The sign...

No One Way: Differentiating School District Leadership and Support for School Improvement

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Anderson, Stephen E.; Mascall, Blair; Stiegelbauer, Suzanne; Park, Jaddon

2012-01-01

This article examines findings from a qualitative investigation of how school district administrators in four mid to large sized urban school districts (10,000-50,000) identify and address differences in school performance. The analysis explores the interaction between district policies and actions that centralize and standardize expectations for…

Trade in Health Service: Unfair Competition of Pharmaceutical Products in Nepal

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Madhusudan Subedi

2010-02-01

Full Text Available About 35 percent of the total demand for medicines in Nepal is covered by Nepali Pharmaceutical companies, and such companies are moving ahead for producing different kinds of medicines. The Government of Nepal, Department of Drug Administration (DDA has formulated different regulations and guidelines to ensure ethical practices in the medical sector of Nepal. Ethical Promotion of Medicine-2007 was developed and released to encourage the improvement of health care through the rational use of medicine and discourage unethical practices. It is distressing that the guidelines have not been implemented properly due to the conflict of interests among concerned stakeholders. The cost of medicine has been very expensive and poor people have always suffered. Key Words: Bonus; Ethical Guideline; Unethical Practices; Pharmaceutical Regulation; Conflict of Interest DOI: 10.3126/dsaj.v3i0.2783 Dhaulagiri Journal of Sociology and Anthropology Vol.3 2009 123-142

Societal impacts and vulnerability to floods in Bangladesh and Nepal

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Tanvir H. Dewan

2015-03-01

Full Text Available Bangladesh and Nepal lie between the Himalayas and low-lying coasts of the Bay of Bengal and are traversed by hundreds of rivers and tributaries. Historical data shows that, since 1970, the scale, intensity and duration of floods have increased in Bangladesh and Nepal, causing grave human suffering; disruptions in normal life and activity, damages of infrastructure, crops and agricultural land with severe impacts on the economy. Bangladesh is affected by torrential rain, glacier melt, upstream water flow and tidal surges. In 1988, Bangladesh experienced one of the most severe floods of the twentieth century which aroused significant concern internationally and triggered the Bangladesh Action Plan for Flood Control. The Government of Bangladesh (GOB has so far constructed a number of flood shelters and carried out 482 water and flood control projects involving flood protection embankments, drainage channels, sluice gates and regulators on different rivers and canals. These also provided safety measures against inundation by tidal waves, storm-surges and flooding. The Terai region of Nepal is highly prone to hydrological risks including torrential rain, floods, glaciers resulting in erosion and landslides. The Government of Nepal (GON has implemented different mitigation measures mainly early warning awareness, rescue measure, relief, and post-flood rehabilitation programs etc. Disaster Management Bureaus of both the countries have already conducted many trainings, workshops and seminars to disseminate scientific knowledge and coping up practices to disaster managers and to create public awareness. Besides the contemporary approaches to mitigating flood effects, people of these countries have coped with floods through generations relying on traditional/indigenous knowledge and other local adaptation practices. It is crucial that along with scientific process, indigenous, traditional and conventional practices are to be integrated for a national

Utilization of maternal health care services in post-conflict Nepal

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Bhandari TR

2015-08-01

Full Text Available Tulsi Ram Bhandari, Prabhakaran Sankara Sarma, Vellappillil Raman Kutty Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India Background: Despite a decade-long armed conflict in Nepal, the country made progress in reducing maternal mortality and is on its way to achieve the Millennium Development Goal Five. This study aimed to assess the degree of the utilization of maternal health care services during and after the armed conflict in Nepal.Methods: This study is based on Nepal Demographic and Health Survey data 2006 and 2011. The units of analysis were women who had given birth to at least one child in the past 5 years preceding the survey. First, we compared the utilization of maternal health care services of 2006 with that of 2011. Second, we merged the two data sets and applied logistic regression to distinguish whether the utilization of maternal health care services had improved after the peace process 2006 was underway.Results: In 2011, 85% of the women sought antenatal care at least once. Skilled health workers for delivery care assisted 36.1% of the women, and 46% of the women attended postnatal care visit at least once. These figures were 70%, 18.7%, and 16%, respectively, in 2006. Similarly, women were more likely to utilize antenatal care at least once (odds ratio [OR] =2.18, confidence interval [CI] =1.95–2.43, skilled care at birth (OR =2.58, CI =2.36–2.81, and postnatal care at least once (OR =4.13, CI =3.75–4.50 in 2011.Conclusion: The utilization of maternal health care services tended to increase continuously during both the armed conflict and the post-conflict period in Nepal. However, the increasing proportion of the utilization was higher after the Comprehensive Peace Process Agreement 2006. Keywords: antenatal care, armed conflict, Nepal, post-conflict, postnatal care, skilled care at birth

Characteristics of uranium districts of the Russian Federation

International Nuclear Information System (INIS)

Boitsov, A.V.; Nikolsky, A.L.

2001-01-01

Uranium deposits are discovered in 15 ore districts of the Russian Federation. They are subdivided into four groups: Streltsovsky district with existing production centre, Stavropolsky district with depleted deposits, three prospective districts and ten reserve districts. The overview of new data on these districts is presented. Streltsovsky district with Priargunsky Production Centre include 19 molybdenum-uranium deposits of structure-bound volcanic type in caldera. The main activities in Stavropolsky district with two depleted uranium deposits are connected with restoration works and wastes rehabilitation. Except Streltsovsky district there are no more deposits in the Russian Federation prepared for uranium production. At the same time some uranium deposits of Vitimsky, Zauralsky, and West-Siberian districts are prospective for new development of production centres. They belong to the sandstone type, related to paleovalley or basal channel, and are suitable for ISL operation. The deposits of the other districts are considered to be reserve and considered unprofitable for uranium production at present and in the nearest future. The biggest of them is Aldansky district with gold-uranium deposits in potassium metasomatites in areas of Mesozoic activation of Archean cratons. Central Transbaikalsky, Yeniseisky, Yergeninsky, Onezhsky, Ladozhsky, Bureinsky, Khankaisky, Volgo-Uralsky reserve districts include mainly small-size deposits of vein, volcanic, surficial and metasomatite types with low uranium grades. (author)

District cool water distribution; Reseau urbain et distribution d`eau glacee

Energy Technology Data Exchange (ETDEWEB)

Schabaillie, D. [Ste Climespace (France)

1997-12-31

The city of Paris has developed several district cool water distribution networks (Climespace) for air conditioning purposes, one in the Halles district (central Paris) linked with the Louvre museum, one in the Opera district (with large department stores) and one in the east of paris (Bercy). Each of these networks has a cool water production plant, the one at the Halles producing also hot water and safety electric power. The characteristics of the equipment (heat pumps, refrigerating machinery, storage...) are described. The pipes are laid in the city sewage network, and the cool carrier is water. The various networks are centrally supervised at the Halles center

A preliminary study of the content and distribution of pesticide residues in soil samples from the Kathmandu valley, Nepal Estudio preliminar sobre el contenido y distribución de residuos de pesticidas en suelos del valle de Katmandú, Nepal Estudo preliminar sobre o teor e distribuição de resíduos de pesticidas em amostras de solos do vale de Kathmandu, Nepal

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Monika Sieghardt

2012-11-01

Full Text Available The increasing use of pesticides for agricultural production is causing soil pollution problems in different parts of Nepal. Uncontaminated agricultural soils are of great importance as they have a direct impact on food security and human health. The objective of this study was to investigate the quality and quantity of pesticides in soil samples from districts near the capital city of Kathmandu, from where fruit and vegetables are brought to the city for consumption. A questionnaire survey was carried out in four districts around Kathmandu city to investigate the types of pesticides that are most commonly used in these districts. A total of 15 soil samples were taken at a depth of 10 cm and four complete soil profiles were sampled at three different depths (10 cm, 30 cm and 50 cm on the farms of those who were interviewed. A total of four replicates of each soil sample were extracted and analyzed. The pH, soil texture and organic carbon content of the soil samples were analyzed to understand the general soil characteristics. The QuEChERS method used for the analysis of food samples was modified and applied to the soil samples. An HPLC-MS/MS was used for the qualification and quantification of the pesticide residues in the soil samples. The questionnaire survey revealed that carbendazim, chlorpyrifos-methyl, parathion-methyl, imidacloprid, metalaxyl, dimethoate, omethoate and dichlorvos were the most commonly used pesticides in the area studied. The chemical analysis showed that soil samples from all the districts except Kathmandu city were contaminated with various pesticides. The soil samples collected at the depth of 10 cm were found to be contaminated with the fungicide carbendazim and the insecticide chlorpyrifos-methyl at rates of up to 0.038 mg kg-1 and the systemic insecticide imidacloprid was found at up to 0.016 mg kg-1. The study of soil samples taken at different depths (10 cm, 30 cm and 50 cm showed that pesticides were homogenously

Productivity of public hospitals in Nepal: a data envelopment analysis.

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Silwal, Pushkar Raj; Ashton, Toni

2017-07-20

Public hospitals in Nepal account for a major share of the total health budget. Therefore, questions are often asked about the performance of these hospitals. Existing measures of performance are limited to historical ratio analyses without any benchmarks. The objective of this study is to explore the trends in inputs, outputs and productivity changes in Nepalese public hospitals from 2011-2012 to 2013-2014. The study was conducted among 32 Nepalese public hospitals (23 district level and 9 higher level) for the three fiscal years from 2011-2012 to 2013-2014. First, basic ratio analyses were conducted for the input and output measures over the study years. Then, Malmquist productivity change scores were obtained using data envelopment analysis. Aggregated as well as separate analyses were conducted for district level and higher level hospitals. Real expenditures of the sampled hospitals declined over the 3-year period from an average of US$ 371 000 in year 1 to US$ 368 730 in year 2 and US$ 328680 in year 3. The average aggregated hospital outputs increased marginally from 8276 in 2011-2012 to 8613 in 2013-2014. The total factor productivity of the study hospitals declined by 6.9% annually from 2011-2012 to 2013-2014. Of the total 32 hospitals, productivity increased in only 12 (37.5%) hospitals and declined in the remaining 20 hospitals. The total factor productivity loss was influenced by a decline in technology change, despite an increase in efficiency. In general, productivity of the study hospitals declined over the study period. Availability and accessibility of accurate, detailed and consistent measures of hospital inputs and outputs is a major challenge for this type of analysis. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Productivity of public hospitals in Nepal: a data envelopment analysis

Science.gov (United States)

Ashton, Toni

2017-01-01

Objectives Public hospitals in Nepal account for a major share of the total health budget. Therefore, questions are often asked about the performance of these hospitals. Existing measures of performance are limited to historical ratio analyses without any benchmarks. The objective of this study is to explore the trends in inputs, outputs and productivity changes in Nepalese public hospitals from 2011–2012 to 2013–2014. Setting and participants The study was conducted among 32 Nepalese public hospitals (23 district level and 9 higher level) for the three fiscal years from 2011–2012 to 2013–2014. Outcome measures First, basic ratio analyses were conducted for the input and output measures over the study years. Then, Malmquist productivity change scores were obtained using data envelopment analysis. Aggregated as well as separate analyses were conducted for district level and higher level hospitals. Results Real expenditures of the sampled hospitals declined over the 3-year period from an average of US$ 371 000 in year 1 to US$ 368 730 in year 2 and US$ 328680 in year 3. The average aggregated hospital outputs increased marginally from 8276 in 2011–2012 to 8613 in 2013–2014. The total factor productivity of the study hospitals declined by 6.9% annually from 2011–2012 to 2013–2014. Of the total 32 hospitals, productivity increased in only 12 (37.5%) hospitals and declined in the remaining 20 hospitals. The total factor productivity loss was influenced by a decline in technology change, despite an increase in efficiency. Conclusions In general, productivity of the study hospitals declined over the study period. Availability and accessibility of accurate, detailed and consistent measures of hospital inputs and outputs is a major challenge for this type of analysis. PMID:28729314

When the Men Are Away: Migration and Women's Participation in Nepal's Community Forestry

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Ang Sanu Lama

2017-08-01

Full Text Available Studies of migration and gender have focused mostly on changes at the household level, where they have found women's experience to be mixed, with greater autonomy in decision-making but also a greater work burden and increased stress. Little is known about migration's impact on community-level gender relations. This study of 10 forest user groups in 3 districts of Nepal, experiencing different levels of migration, investigated changes within migrant and nonmigrant households and how they impact people's participation in local forest user groups. We found a slight increase in women's participation in the groups' general assemblies, especially among nuclear households with at least 1 migrant member. However, male migration did not seem to increase women's access to those groups' executive committees, where most decisions are made. Traditional gender norms, institutional requirements that privilege literacy and men's networking skills, and men's entrenched control of local forestry institutions continue to limit women's participation in community forestry. Women with migrant husbands also suffer disproportionately from time poverty, which further limits their engagement in activities outside the home.

Knowledge and practices on maternal health care among mothers: A Cross sectional study from rural areas of mid-western development region Nepal

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Kapil Gyawali

2013-01-01

Full Text Available Background: Safe motherhood is a priority program in Nepal, aiming to restrain maternal deaths. Meanwhile, knowledge, practices, accessibility, and service quality are considered keys to improve service utilization. This study was conducted to identify knowledge and practices of maternal health care among mothers having < 1-year-old child in the Mid-western Development Region, Nepal. Materials and Methods: A community-based cross-sectional study was conducted during January-April 2011 in rural, Mid-western Development Region, Nepal. Three Village Development Committees (VDC from Bardiya (plain and two VDCs from each of the Salyan and Pyuthan (hill and Jumla (mountain districts were selected randomly. Hence, there were 81 clusters (1VDC = 9 clusters and 7-8 participants were selected randomly from each cluster. Data were collected by interview using structured questionnaire and Focus Group Discussion Guideline (18 FGDs, analyzed by SPSS (16.0. CD recorded qualitative data were transcribed and narrated. Percent mean and standard deviation were calculated. Results: Three quarters of the participants had correct knowledge regarding minimum numbers of antenatal visits to be done by a pregnant woman (WHO guideline. Nearly two-fifth participants knew schedule of antenatal care (ANC visits. Almost 60% had done ≥ 4 ANC visits during last pregnancy. Majority visited Sub Health Post/Health Post/Primary Health Care Centre for ANC Checkup. About 90% had taken Iron and folic acid tablets. About 57% were home deliveries (last childbirth, 40% deliveries were assisted by relatives/husband, and only 32% did postnatal health checkup. Conclusions: There were gaps in the knowledge and practices for health care during pregnancy, childbirth and in the postpartum period. A high rate of home deliveries with the low postnatal service utilization was prevalent. Intensive awareness progam and behavioral change interventions, regular pregnancy monitoring may promote the

Sexual harassment among females in working place at Dhangadhi municipality Kailali, District of Nepal

OpenAIRE

Lal Bahadur Kunwar; Bir Bahadur Kunwar; Poshan Thapa; Ishor Sharma; Shankar Singh Dhami; Lalit Jung Rokaya

2014-01-01

Sexual harassment is a challenging issue where women and men work together. It is being recognized as a violation of human rights and human dignity which undermines the equality of opportunity and treatment between men and women. So, this descriptive study was conducted in Dhangadhi Municipality Kailali District, Nepalto find out the experience of sexual harassment in female at working place. Only female respondents who were working in office were taken purposively from four sectors such as g...

The Role of Civil Society in Shaping Democratic Civil-Military Relations During Political Transition in Nepal

Science.gov (United States)

2015-03-01

Participation,” in Nepal: Quest for Participatory Democracy , ed. L. R. Baral (New Delhi: Adroit, 2006), 1. 68 Ibid, 3. 69 Ibid, 10. 70 Yanyong Innanchai...Political Participation.” In Nepal: Quest for Participatory Democracy , edited by L. R. Baral, 1–15. New Delhi: Adroit, 2006. . “The Nepali...with an emphasis on the current period. Since its first experience with democracy in 1950, the king intenupted Nepal ’s pw-suit of consolidation until

Farmers' laws and irrigation : water rights and dispute management in the hills of Nepal

NARCIS (Netherlands)

Poudel, R.

2000-01-01

The title of my Thesis is "Farmers' Laws and Irrigation: Water Rights and Dispute Management in the Hills of Nepal". This is based on a research I conducted in the Thulotar Kulo irrigation system in Nepal, during 1997 and 1998. Thulotar Kulo is a farmer-managed irrigation

Social care and support for elderly men and women in an urban and a rural area of Nepal.

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Kshetri, Dan Bahadur Baidwar; Smith, Cairns S; Khadka, Mira

2012-09-01

This study has aimed to describe the care and support for urban and rural elderly people of Bhaktapur district, Nepal. Efforts were made to identify the feeling of some features of general well-beings associated to mental health, person responsible for care and support, capability to perform daily routine activities, sources of finance and ownership to the property. More than half of the respondents were found having single or multiple features of loneliness, anxiety, depression and insomnia. The rate of point prevalence loneliness was found higher in the above 80 years of age, urban respondents. Almost 9 in 10 respondents were capable themselves to dress, walk and maintain personal hygiene and majority of them were assisted by spouse, son/daughter-in-laws. Family support was common sources of income and ownership to the property was absolutely high.

Ethnic Disparities in Contraceptive Use and Its Impact on Family Planning Program in Nepal

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Mukesh Mishra

2010-09-01

Full Text Available Objective: Regardless of three decades of implementation of family planning program in Nepal, need offamily planning services is largely unmet. Systematic studies, evaluating the impact of family program onseveral ethnic groups of Nepal has not been carried out in large scale. This study sheds light on theinvestigation of, whether the use of contraceptives varies among different ethnic groups in Nepal andwhat are the predictors of contraceptive variance in ethnic groups in Nepal.Materials and methods: The study is based on data collected from Nepal Demographic Health Survey(NDHS 2006. Multilevel logistic regression analyses of 10793 married women of reproductive agenested within 264 clusters from the surveys were considered as the sample size. Individual, household,and program variables were set and a multilevel logistic regression model was fitted to analyze thevariables, using GLLAMM command in STATA-9.Results: Multilevel logistic regression analysis indicated that Muslims, Dalits and Terai madheshi womenwere significantly less likely to use modern contraceptives compared to the Brahmins and Chhetries(Higher Castes. Women who were exposed to family planning information in radio were more likely touse modern contraceptives than women not exposed to radio information (OR=1.22, P> 0.01. An odd ofusing contraceptives by Newar was (OR 1.09, P>0.05, the highest among all ethnic groups. Exposure ofwomen to family planning messages through health facilities, family planning workers, and means ofcommunication, increased the odds of using modern contraceptives. However, impact of the familyplanning information on contraceptive use varied among ethnicity.Conclusion: Special attention need to be paid, in particular to the ethnicity, while formulating familyplanning policies in Nepal, for better success rate of family planning intervention programs.

Public funding of health at the district level in Indonesia after decentralization-sources, flows and contradictions.

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Heywood, Peter; Harahap, Nida P

2009-04-16

During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility of district governments. In addition, public funding for health services more than doubled between 2001 and 2006. It was widely expected that services would improve as district governments now had both more adequate funds and the responsibility for services. To date there has been little improvement in services. Understanding why services have not improved requires careful study of what is happening at the district level. We collected information on public expenditure on health services for the fiscal year 2006 in 15 districts in Java, Indonesia from the district health offices and district hospitals. Data obtained in the districts were collected by three teams, one for each province. Information on district government revenues were obtained from district public expenditure databases maintained by the World Bank using data from the Ministry of Finance. The public expenditure information collected in 15 districts as part of this study indicates district governments are reliant on the central government for as much as 90% of their revenue; that approximately half public expenditure on health is at the district level; that at least 40% of district level public expenditure on health is for personnel, almost all of them permanent civil servants; and that districts may have discretion over less than one-third of district public expenditure on health; the extent of discretion over spending is much higher in district hospitals than in the district health office and health centers. There is considerable variation between districts. In contrast to the promise of decentralization there has been

Factors influencing specialist outreach and support services to rural populations in the Eden and Central Karoo districts of the Western Cape.

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Schoevers, Johan; Jenkins, Louis

2015-04-21

Access to health care often depends on where one lives. Rural populations have significantly poorer health outcomes than their urban counterparts. Specialist outreach to rural communities is one way of improving access to care. A multifaceted style of outreach improves access and health outcomes, whilst a shifted outpatients style only improves access. In principle, stakeholders agree that specialist outreach and support (O&S) to rural populations is necessary. In practice, however, factors influence whether or not O&S reaches its goals, affecting sustainability.Aim and setting: Our aim was to better understand factors associated with the success or failure of specialist O&S to rural populations in the Eden and Central Karoo districts in the Western Cape. An anonymous parallel three-stage Delphi process was followed to obtain consensus in a specialist and district hospital panel. Twenty eight specialist and 31 district hospital experts were invited, with response rates of 60.7%-71.4% and 58.1%-74.2% respectively across the three rounds. Relationships, communication and planning were found to be factors feeding into a service delivery versus capacity building tension, which affects the efficiency of O&S. The success of the O&S programme is dependent on a site-specific model that is acceptable to both the outreaching specialists and the hosting district hospital. Good communication, constructive feedback and improved planning may improve relationships and efficiency, which might lead to a more sustainable and mutually beneficial O&S system.

Heterogeneous Landscapes on Steep Slopes at Low Altitudes as Hotspots of Bird Diversity in a Hilly Region of Nepal in the Central Himalayas

Czech Academy of Sciences Publication Activity Database

Basnet, T. B.; Rokaya, Maan Bahadur; Bhattarai, B. P.; Münzbergová, Z.

2016-01-01

Roč. 11, č. 3 (2016), č. článku e0150498. E-ISSN 1932-6203 R&D Projects: GA ČR GB14-36098G Institutional support: RVO:67179843 Keywords : species richness * elevational gradient * habitat heterogeneity * insectivorous birds * forest birds * vegetation structure * protected areas * lowland Nepal * communities * patterns Subject RIV: EH - Ecology, Behaviour Impact factor: 2.806, year: 2016

Molecular characterization of multidrug-resistant Mycobacterium tuberculosis isolated in Nepal.

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Poudel, Ajay; Nakajima, Chie; Fukushima, Yukari; Suzuki, Haruka; Pandey, Basu Dev; Maharjan, Bhagwan; Suzuki, Yasuhiko

2012-06-01

Despite the fact that Nepal is one of the first countries globally to introduce multidrug-resistant tuberculosis (MDR-TB) case management, the number of MDR-TB cases is continuing to rise in Nepal. Rapid molecular tests applicable in this setting to identify resistant organisms would be an effective tool in reversing this trend. To develop such tools, information about the frequency and distribution of mutations that are associated with phenotypic drug resistance in Mycobacterium tuberculosis is required. In the present study, we investigated the prevalence of mutations in rpoB and katG genes and the inhA promoter region in 158 M. tuberculosis isolates (109 phenotypically MDR and 49 non-MDR isolates collected in Nepal) by DNA sequencing. Mutations affecting the 81-bp rifampin (RIF) resistance-determining region (RRDR) of rpoB were identified in 106 of 109 (97.3%) RIF-resistant isolates. Codons 531, 526, and 516 were the most commonly affected, at percentages of 58.7, 15.6, and 15.6%, respectively. Of 113 isoniazid (INH)-resistant isolates, 99 (87.6%) had mutations in the katG gene, with Ser315Thr being the most prevalent (81.4%) substitution. Mutations in the inhA promoter region were detected in 14 (12.4%) INH-resistant isolates. The results from this study provide an overview of the current situation of RIF and INH resistance in M. tuberculosis in Nepal and can serve as a basis for developing or improving rapid molecular tests to monitor drug-resistant strains in this country.

Politicians in apron: case study of rebel health services in Nepal.

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Devkota, Bhimsen; van Teijlingen, Edwin R

2009-10-01

This article presents the findings of a systematic review on the health consequences of Nepal's armed conflict waged by the Maoists and the development and trajectory of their health workers. Nepal's decade-long violent conflict resulted in more than 13,000 deaths, the destruction of more than 1000 health posts and poor health services delivery. At present, most of the former rebel health workers live in remote/rural areas and some are running health centers. The review found that the Maoists had trained more than 2000 health workers, who can be categorized into 4 levels. However, there is little evidence on their competencies and career motivation. The Maoists demand restructuring of the Nepalese health sector and the integration of their health workforce into the national health system. However, there has been no national discussion in Nepal of what kind of health reform and integration model is appropriate for a sustainable peace and improved service delivery.

Outbreak of pandemic influenza A/H1N1 2009 in Nepal.

Science.gov (United States)

Adhikari, Bal Ram; Shakya, Geeta; Upadhyay, Bishnu Prasad; Prakash Kc, Khagendra; Shrestha, Sirjana Devi; Dhungana, Guna Raj

2011-03-23

The 2009 flu pandemic is a global outbreak of a new strain of H1N1 influenza virus. Pandemic influenza A (H1N1) 2009 has posed a serious public health challenge world-wide. Nepal has started Laboratory diagnosis of Pandemic influenza A/H1N1 from mid June 2009 though active screening of febrile travellers with respiratory symptoms was started from April 27, 2009. Out of 609 collected samples, 302 (49.6%) were Universal Influenza A positive. Among the influenza A positive samples, 172(28.3%) were positive for Pandemic influenza A/H1N1 and 130 (21.3%) were Seasonal influenza A. Most of the pandemic cases (53%) were found among young people with ≤ 20 years. Case Fatality Ratio for Pandemic influenza A/H1N1 in Nepal was 1.74%. Upon Molecular characterization, all the isolated pandemic influenza A/H1N1 2009 virus found in Nepal were antigenically and genetically related to the novel influenza A/CALIFORNIA/07/2009-LIKE (H1N1)v type. The Pandemic 2009 influenza virus found in Nepal were antigenically and genetically related to the novel A/CALIFORNIA/07/2009-LIKE (H1N1)v type.

Outbreak of pandemic influenza A/H1N1 2009 in Nepal

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Shrestha Sirjana

2011-03-01

Full Text Available Abstract Background The 2009 flu pandemic is a global outbreak of a new strain of H1N1 influenza virus. Pandemic influenza A (H1N1 2009 has posed a serious public health challenge world-wide. Nepal has started Laboratory diagnosis of Pandemic influenza A/H1N1 from mid June 2009 though active screening of febrile travellers with respiratory symptoms was started from April 27, 2009. Results Out of 609 collected samples, 302 (49.6% were Universal Influenza A positive. Among the influenza A positive samples, 172(28.3% were positive for Pandemic influenza A/H1N1 and 130 (21.3% were Seasonal influenza A. Most of the pandemic cases (53% were found among young people with ≤ 20 years. Case Fatality Ratio for Pandemic influenza A/H1N1 in Nepal was 1.74%. Upon Molecular characterization, all the isolated pandemic influenza A/H1N1 2009 virus found in Nepal were antigenically and genetically related to the novel influenza A/CALIFORNIA/07/2009-LIKE (H1N1v type. Conclusion The Pandemic 2009 influenza virus found in Nepal were antigenically and genetically related to the novel A/CALIFORNIA/07/2009-LIKE (H1N1v type.

Neurocysticercosis in Nepal: a retrospective clinical analysis

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Rajeev Ojha

2015-01-01

Full Text Available Aim: The prevalence of epilepsy is higher in Nepal. This study was conducted to analyze the clinical manifestations of neurocysticercosis (NCC among seizure patients admitted to our center. Methods: We retrospectively studied all the NCC patients admitted to Neurology Department, Bir Hospital, Kathmandu, Nepal from April 2012 to February 2014. Computer tomography/magnetic resonance imaging (CT/MRI head, clinical profile, lab investigations and exclusion of other causes were the basis of the NCC diagnosis. Chi-square and Student′s t-test were used for comparison of variables. Results: Out of 131 seizure patients admitted, 21 patients were diagnosed with NCC (mean age: 33.95 ± 16.41; male: 15 (71.4%, female: 6 (28.6%. Generalized tonic clonic seizure was the most common seizure type in NCC patients (18 patients; 85.7%, two of them had status epilepticus during presentation in Emergency Department. Three patients had focal seizure, one with epilepsia partialis continua. Neuroimaging showed multiple NCC lesions in 8 (38.1% and a single NCC lesion in 13 (61.9% patients. Seven of them (33.3% sought traditional healers before being presented to our center. Eight patients (38.1% were treated with antiepileptics in local health-post without neuroimaging studies done. Calcified stage of NCC was the most frequent CT/MRI findings (12 patients; 57.1%. Phenytoin was preferred both by physicians and patients due to its low cost. Conclusion: NCC is a common finding among seizure patients in Nepal. Poor economic status, illiteracy and underdeveloped rural society are the major challenges in prevention and treatment of NCC.

National health insurance policy in Nepal: challenges for implementation

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Shiva Raj Mishra

2015-08-01

Full Text Available The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9% and rural (59% discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015, the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal.

Quality Education for the Pastoralist in Public Primary Schools in Kajiado County, Kenya: Case Study of Dupoto-E-Maa Education Project in Kajiado Central District

Science.gov (United States)

Ouda, James Bill; Opiyo, Rose Atieno; Wambiya, Pascal

2015-01-01

Conditions of learning are critical in determining quality of education. There have been real concerns raised by stakeholders regarding the quality of education for pastoralists in public primary schools in Kajiado Central District in Kenya. Interventions have been put in place to address the issue of quality education. One such intervention is…

Primary Education and Dropout in Nepal

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Devkota, Shree Prasad; Bagale, Shiba

2015-01-01

This article tries to highlight the dropout rate of primary education of Nepal. The main essence of the article is to explore the situation of dropout of primary education. There are several programs and policies to reduce the dropout, out of the school children and so on but still there are several issues that are left behind. Educational budget…

Breast feeding practices and associated factors in Bhaktapur District of Nepal: A community based cross-sectional study among lactating mothers

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Dillee Prasad Paudel

2014-01-01

Full Text Available Background: Infant feeding is a major determinant of survival, future nutrition and health status of children. Breast-feeding is an unequalled way of providing ideal food for the healthy growth and development of infants. It is also an integral part of the reproductive process with important implications for the health of mothers. Exclusive breast feeding (EBF is superior to non-exclusive breast-feeding with a protective effect against both morbidity and mortality. This study was aimed to explore the breast feeding practice and affecting factors in Bhaktapur, Nepal. Materials and Methods: Community based cross-sectional study was carried out from February to May 2007 in a rural area of Bhaktapur, Nepal. Total 333 lactating mothers having a child less than 6 months were interviewed using pretested questionnaire with her written consent. Analysis was performed in Statistical Pakage of Social Science-13 version applying appropriate statistics. Results were presented in tabular and narrative forms. Results: Among 333 mothers (mean age ± standard deviation 24.68 ± 4.16 years, majority (76.6% were 20-30 years. Almost 83.0% were Hindus, 25.8% illiterate, 62.8% house-wives and 53.5% from joint family with low economic status. About 48.0% had a baby of 2-4 months, 86.0% avoided pre-lacteal feeding, 87.1% fed colostrums, 27.9% fed the first milk within half an hour and 55.0% practiced exclusive breast-feeding for 6 months. Child′s age, education, religion, occupation, family type and knowledge level were significant (P < 0.05 factors affecting to breast feeding. Conclusion: Despite the high proportion of women initiated breast-feeding early after birth, the prevalence of EBF for 6 months was very low and a large portion had poor practice of breast feeding. Education, relationship of mother with a family member and level of knowledge were found most significant factors. Appropriate measures such as public awareness and effective counseling will support

Effects of Abortion Legalization in Nepal, 2001-2010

OpenAIRE

Harper, Cynthia; Darney, Philip; Henderson, JT; Puri, M; Blum, M; Harper, CC; Rana, A; Gurung, G; Pradhan, N; Regmi, K; Malla, K; Sharma, S

2013-01-01

Background: Abortion was legalized in Nepal in 2002, following advocacy efforts highlighting high maternal mortality from unsafe abortion. We sought to assess whether legalization led to reductions in the most serious maternal health consequences of unsafe

Illness recognition, decision-making, and care-seeking for maternal and newborn complications: a qualitative study in Sarlahi District, Nepal.

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Lama, Tsering P; Khatry, Subarna K; Katz, Joanne; LeClerq, Steven C; Mullany, Luke C

2017-12-21

Identification of maternal and newborn illness and the decision-making and subsequent care-seeking patterns are poorly understood in Nepal. We aimed to characterize the process and factors influencing recognition of complications, the decision-making process, and care-seeking behavior among families and communities who experienced a maternal complication, death, neonatal illness, or death in a rural setting of Nepal. Thirty-two event narratives (six maternal/newborn deaths each and 10 maternal/newborn illnesses each) were collected using in-depth interviews and small group interviews. We purposively sampled across specific illness and complication definitions, using data collected prospectively from a cohort of women and newborns followed from pregnancy through the first 28 days postpartum. The event narratives were coded and analyzed for common themes corresponding to three main domains of illness recognition, decision-making, and care-seeking; detailed event timelines were created for each. While signs were typically recognized early, delays in perceiving the severity of illness compromised prompt care-seeking in both maternal and newborn cases. Further, care was often sought initially from informal health providers such as traditional birth attendants, traditional healers, and village doctors. Key decision-makers were usually female family members; husbands played limited roles in decisions related to care-seeking, with broader family involvement in decision-making for newborns. Barriers to seeking care at any type of health facility included transport problems, lack of money, night-time illness events, low perceived severity, and distance to facility. Facility care was often sought only after referral or following treatment failure from an informal provider and private facilities were sought for newborn care. Respondents characterized government facility-based care as low quality and reported staff rudeness and drug type and/or supply stock shortages. Delaying

Barriers to utilization of postnatal care at village level in Klaten district, central Java Province, Indonesia.

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Probandari, Ari; Arcita, Akhda; Kothijah, Kothijah; Pamungkasari, Eti Poncorini

2017-08-07

Maternal health remains a persisting public health challenge in Indonesia. Postnatal complications, in particular, are considered as maternal health problems priority that should be addressed. Conducting adequate care for postnatal complications will improve the quality of life of mothers and babies. With the universal health coverage implementation, the Indonesian government provides free maternal and child health services close to clients at the village level, which include postnatal care. Our study aimed to explore barriers to utilization of postnatal care at the village level in Klaten district, Central Java Province, Indonesia. A qualitative study was conducted in March 2015 - June 2016 in Klaten district, Central Java, Indonesia. We selected a total of 19 study participants, including eight mothers with postnatal complications, six family members, and five village midwives for in-depth interviews. We conducted a content analysis technique on verbatim transcripts of the interviews using open code software. This study found three categories of barriers to postnatal care utilization in villages: mother and family members' health literacy on postnatal care, sociocultural beliefs and practices, and health service responses. Most mothers did not have adequate knowledge and skills regarding postnatal care that reflected how they lacked awareness and practice of postnatal care. Inter-generational norms and myths hindered mothers from utilizing postnatal care and from having adequate nutritional intake during the postnatal period. Mothers and family members conducted unsafe self-treatment to address perceived minor postnatal complication. Furthermore, social power from extended family influenced the postnatal care health literacy for mother and family members. Postnatal care in the village lacked patient-centered care practices. Additionally, midwives' workloads and capacities to conduct postnatal information, education and counseling were also issues. Despite the

Career intentions of medical students in the setting of Nepal's rapidly expanding private medical education system.

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Huntington, Ian; Shrestha, Suvash; Reich, Nicholas G; Hagopian, Amy

2012-08-01

The number of medical students trained in Nepal each year has increased nearly fifty-fold in the last 15 years, primarily through the creation of private medical schools. It is unknown where this expanding cohort of new physicians will ultimately practice. We distributed an anonymous survey to students in their last 2 years of medical school at four medical schools in Nepal to examine two dimensions of career intention: the intention to practice in Nepal and the intention to practice in rural areas. Eighty-five per cent of the eligible study population participated, for a total of 469 medical students. Of these, 88% thought it was likely they would practice in Nepal and 88% thought it likely they would practice in urban areas. Those students who indicated a greater likelihood of practicing abroad came from families with higher incomes, were more likely to think earning a good salary was very important to their decision to become a physician, and were less likely to think they could earn a good salary in Nepal. Students whose tuition was paid by the government were no more likely to indicate an intention to practice in Nepal than students paying their own tuition at private medical schools. Students who indicated a greater likelihood of practicing in rural areas were more likely to be male, to have gone to a government secondary school, to have been born in a village, or to have received a scholarship from the Ministry of Education that requires rural service. Based on our findings, we suggest the following policy changes: (1) medical schools consider selecting for students from rural backgrounds or government secondary schools who are more likely to intend to practice in rural areas, and (2) increase the number of post-graduate positions--weighted toward rural health needs--to retain students in Nepal.

What adaptation to research is needed following crises: a comparative, qualitative study of the health workforce in Sierra Leone and Nepal.

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Raven, Joanna; Baral, Sushil; Wurie, Haja; Witter, Sophie; Samai, Mohamed; Paudel, Pravin; Subedi, Hom Nath; Martineau, Tim; Elsey, Helen; Theobald, Sally

2018-02-07

Health workers are critical to the performance of health systems; yet, evidence about their coping strategies and support needs during and post crisis is lacking. There is very limited discussion about how research teams should respond when unexpected crises occur during on-going research. This paper critically presents the approaches and findings of two health systems research projects that explored and evaluated health worker performance and were adapted during crises, and provides lessons learnt on re-orientating research when the unexpected occurs. Health systems research was adapted post crisis to assess health workers' experiences and coping strategies. Qualitative in-depth interviews were conducted with 14 health workers in a heavily affected earthquake district in Nepal and 25 frontline health workers in four districts in Ebola-affected Sierra Leone. All data were transcribed and analysed using the framework approach, which included developing coding frameworks for each study, applying the frameworks, developing charts and describing the themes. A second layer of analysis included analysis across the two contexts, whereas a third layer involved the research teams reflecting on the approaches used to adapt the research during these crises and what was learned as individuals and research teams. In Sierra Leone, health workers were heavily stigmatised by the epidemic, leading to a breakdown of trust. Coping strategies included finding renewed purpose in continuing to serve their community, peer and family support (in some cases), and religion. In Nepal, individual determination, a sense of responsibility to the community and professional duty compelled staff to stay or return to their workplace. The research teams had trusting relationships with policy-makers and practitioners, which brought credibility and legitimacy to the change of research direction as well as the relationships to maximise the opportunity for findings to inform practice. In both contexts

Paying for hospital-based care of Kala-azar in Nepal: assessing catastrophic, impoverishment and economic consequences.

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Adhikari, Shiva R; Maskay, Nephil M; Sharma, Bishnu P

2009-03-01

Households obtaining health care services in developing countries incur substantial costs, despite services generally being provided free of charge by public health institutions. This constitutes an economic burden on low-income households, and contributes to deepening their level of poverty. In addition to the economic burden of obtaining health care, the method of financing these payments has implications for the distribution of household assets. This effect on resource-poor households is amplified since they have decreased access to health insurance. Recent literature, however, ignores the importance of the method of financing health care payments. This paper looks at the case of Nepal and highlights the impact on households of paying for hospital-based care of Kala-azar (KA) by analysing the catastrophic, impoverishment and economic consequences of their coping strategies. The paper utilizes micro-data on a random selection of 50% of the KA-affected households of Siraha and Saptari districts of Nepal. The empirical results suggest that direct costs of hospital-based treatment of KA are catastrophic since they consume 17% of annual household income. This expenditure causes more than 20% of KA-affected households to fall below the poverty line, with the remaining households being pushed into the category of marginal poor; the poverty gap ratio is more than 90%. Further, KA incidence can have prolonged and severe economic consequences for the household economy due to the mechanisms of informal sector financing to which households resort. A heavy burden of loan repayments can lead households on a downward spiral that eventually becomes a poverty trap. In other words, the method of financing health care payments is an important ingredient in understanding the economic burden of disease.

Climate change issues of Nepal: challenges and perspectives for future generations

International Nuclear Information System (INIS)

Regmi, M.R.; Khanal, H.S.

2009-01-01

In Nepal Climate change has implications on reduction of snow pack on the mountains, water supply shortages, increase forest fires, increase in extreme weather, increase demand for irrigation, decreases power generation; wells dry up due to lower water table. Climate change seeks the two actions on the mitigation of greenhouse gases and adaptation to the climate change. This paper also describes the climate change issues of Nepal. In addition it deals with the potential threats of climate change to water Supply, agriculture and food security, temperature increase, run-off patterns, glacial melt and floods. (author)

The Himalayas of Nepal, a natural laboratory for the search and measurement of CO2 discharge

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Girault, Frédéric; Koirala, Bharat P.; Bhattarai, Mukunda; Rajaure, Sudhir; Richon, Patrick; Perrier, Frédéric

2010-05-01

Large CO2 flux has been found in the Trisuli Valley, North of Kathmandu, Central Nepal, in 2005. This leakage zone is located in the vicinity of the Syabru-Bensi hot springs, and is characterized by an average flux of CO2 of 6500±1100 g m-2 day-1 over an area of 15 m × 15 m (Perrier et al., Earth and Planetary Science Letters, 2009). The site is also located close to the Main Central Thrust Zone (MCT Zone), one of the large Himalayan thrust, connected at depth to the Main Himalayan Thrust, the main thrust currently accommodating the India-Tibet collision (Bollinger et al., Journal of Geophysical Research, 2004). Isotopic carbon ratios (δ13C) indicate that this CO2 may come from metamorphic reactions at about 15 km of depth (Becker et al., Earth and Planetary Science Letters, 2008; Evans et al., Geochemistry Geophysics Geosystems, 2008). Actually, this zone was originally found because of the large δ13C found in the water of the hot springs suggesting degassing (Evans et al., Geochemistry Geophysics Geosystems, 2008). In 2007, another zone of CO2 discharge was discovered 250 m away from the main Syabru-Bensi hot springs. This new zone, located next to the road and easy to access all over the year, was intensely studied, from the end of 2007 to the beginning of 2009. In this zone, an average value of CO2 flux of 1700±300 g m-2 d-1 was obtained over an area of about 40 m × 10 m. Using CO2 flux data from repeated measurements, similar flux values were observed during the dry winter season and the wet summer period (monsoon) (Girault et al., Journal of Environmental Radioactivity, 2009). Thus, in addition to fundamental issues related to global CO2 balance in orogenic belts and tectonically active zones, these small scale (100-meter) CO2 discharge sites emerge as a potentially useful laboratory for detailed methodological studies of diffusive and advective gas transport. Recently, the search for further gas discharge zones has been carried out using various clues

Traditional uses of medicinal plants in gastrointestinal disorders in Nepal.

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Rokaya, Maan B; Uprety, Yadav; Poudel, Ram C; Timsina, Binu; Münzbergová, Zuzana; Asselin, Hugo; Tiwari, Achyut; Shrestha, Shyam S; Sigdel, Shalik R

2014-12-02

Gastrointestinal disorders cause morbidity and can lead to mortality, especially in the developing world where sanitation is deficient. A large part of the human population relies on medicinal plants for treating various diseases, including gastrointestinal disorders. The present review summarizes the traditional uses of medicinal plants of Nepal used to treat gastrointestinal disorders, and evaluates their bio-efficacy based on a review of the available phytochemical and pharmacological literature. We searched different electronic databases and libraries for the literature on medicinal plants used in Nepal to treat gastrointestinal disorders. For each species, we also searched the literature for information on conservation status, as well as for phytochemical and pharmacological studies in support of the ethnobotanical information. We used principal component analysis to explore the relation among disorders and plant families, plant life forms, plant parts and preparation modes. We also performed permutation tests to determine if botanical families were used more often than expected considering their availability in the Nepali flora. We documented a total of 947 species belonging to 158 families and 586 genera used to treat gastrointestinal disorders in Nepal. Diarrhea was the disorder treated by the highest number of species (348), followed by stomachache (340) and dysentery (307). Among the reported species, five were endemic to Nepal, whereas 16 orchid species were protected under CITES Appendices II and III. The randomization test showed that species belonging to 14 families were used less often than expected, whereas plants belonging to 25 families were used more often than expected. The PCA scatter plot showed distinct groups of gastrointestinal disorders treated with similar plant life forms, plant parts, and/or preparation modes. We found 763 phytochemical studies on 324 species and 654 pharmacological studies on 269 species. We showed the diversity and

All projects related to nepal | Page 2 | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

This research project will help the Sri Lanka-based Social Scientists' Association (SSA) ... Social Policy, POLICY MAKING, RESEARCH NETWORKS, SOCIAL INEQUALITY, Gender ... Region: Indonesia, Myanmar, Nepal, Sri Lanka, Malaysia.

Is the Job Satisfaction Survey a good tool to measure job satisfaction amongst health workers in Nepal? Results of a validation analysis.

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Batura, Neha; Skordis-Worrall, Jolene; Thapa, Rita; Basnyat, Regina; Morrison, Joanna

2016-07-27

Job satisfaction is an important predictor of an individual's intention to leave the workplace. It is increasingly being used to consider the retention of health workers in low-income countries. However, the determinants of job satisfaction vary in different contexts, and it is important to use measurement methods that are contextually appropriate. We identified a measurement tool developed by Paul Spector, and used mixed methods to assess its validity and reliability in measuring job satisfaction among maternal and newborn health workers (MNHWs) in government facilities in rural Nepal. We administered the tool to 137 MNHWs and collected qualitative data from 78 MNHWs, and district and central level stakeholders to explore definitions of job satisfaction and factors that affected it. We calculated a job satisfaction index for all MNHWs using quantitative data and tested for validity, reliability and sensitivity. We conducted qualitative content analysis and compared the job satisfaction indices with qualitative data. Results from the internal consistency tests offer encouraging evidence of the validity, reliability and sensitivity of the tool. Overall, the job satisfaction indices reflected the qualitative data. The tool was able to distinguish levels of job satisfaction among MNHWs. However, the work environment and promotion dimensions of the tool did not adequately reflect local conditions. Further, community fit was found to impact job satisfaction but was not captured by the tool. The relatively high incidence of missing responses may suggest that responding to some statements was perceived as risky. Our findings indicate that the adapted job satisfaction survey was able to measure job satisfaction in Nepal. However, it did not include key contextual factors affecting job satisfaction of MNHWs, and as such may have been less sensitive than a more inclusive measure. The findings suggest that this tool can be used in similar settings and populations, with the

A large-scale investigation of the quality of groundwater in six major districts of Central India during the 2010-2011 sampling campaign.

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Khare, Peeyush

2017-09-01

This paper investigates the groundwater quality in six major districts of Madhya Pradesh in central India, namely, Balaghat, Chhindwara, Dhar, Jhabua, Mandla, and Seoni during the 2010-2011 sampling campaign, and discusses improvements made in the supplied water quality between the years 2011 and 2017. Groundwater is the main source of water for a combined rural population of over 7 million in these districts. Its contamination could have a huge impact on public health. We analyzed the data collected from a large-scale water sampling campaign carried out by the Public Health Engineering Department (PHED), Government of Madhya Pradesh between 2010 and 2011 during which all rural tube wells and dug wells were sampled in these six districts. Eight hundred thirty-one dug wells and 47,606 tube wells were sampled in total and were analyzed for turbidity, hardness, iron, nitrate, fluoride, chloride, and sulfate ion concentrations. Our study found water in 21 out of the 228 dug wells in Chhindwara district unfit for drinking due to fluoride contamination while all dug wells in Balaghat had fluoride within the permissible limit. Twenty-six of the 56 dug wells and 4825 of the 9390 tube wells in Dhar district exceeded the permissible limit for nitrate while 100% dug wells in Balaghat, Seoni, and Chhindwara had low levels of nitrate. Twenty-four of the 228 dug wells and 1669 of 6790 tube wells in Chhindwara had high iron concentration. The median pH value in both dug wells and tube wells varied between 6 and 8 in all six districts. Still, a significant number of tube wells exceeded a pH of 8.5 especially in Mandla and Seoni districts. In conclusion, this study shows that parts of inhabited rural Madhya Pradesh were potentially exposed to contaminated subsurface water during 2010-2011. The analysis has been correlated with rural health survey results wherever available to estimate the visible impact. We next highlight that the quality of drinking water has enormously improved

Medical problems of porters and trekkers in the Nepal Himalaya.

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Basnyat, B; Litch, J A

1997-05-01

The purpose of this study was to assess the incidence of medical illness among members of trekking groups in the Nepal Himalaya. The design was a cohort study using interview and clinical examination by a single physician. The setting was the Manaslu area in the central Nepal Himalaya along a 22-day trekking route with elevations ranging from 487 m to 5100 m. Subjects were 155 members of commercial trekking groups: 102 Nepali porters, 31 Nepali trek staff, and 22 Western trekkers. We found that medical problems occurred in 45% of party members. The porter cohort contained the highest diversity and severity of illness. The relatively larger porter cohort experienced 77% of the medical problems recorded compared with 17% among Western trekkers and 6% among trek staff. The incidence of medical problems was not significantly different in the porter staff (52%) and Western trekkers (55%) and was significantly lower for the trek staff (13%). High-altitude pharyngitis/bronchitis was the most common illness in the party (12%) followed by acute mountain sickness (8%) and gastroenteritis (6%). Other conditions included anxiety (3%), cellulitis (3%), scabies (3%), snow blindness (3%), acute alcohol intoxication (2%), conjunctivitis (2%), fever (2%), lacerations (2%), and hemorrhoids (1%). Illness with infectious etiologies comprised 33% of the medical problems. The incidence of altitude illness was not significantly less in the Nepali porter staff than in the Western trekkers. Evacuation was required in 5% of party members, all from the porter group. This study should alert expedition medical providers and trip leaders of the need to be observant for and prepared to treat the frequent and diverse medical problems among the porter staff in their party, in addition to the Western members. Medical problems are common in remote mountainous areas, indicating that trip physicians should be experienced in primary care.

An Overture for eCAM: Science, Technology and Innovation Initiation for Prosperous, Healthy Nepal.

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Kaphle, Krishna; Bhuju, Dinesh Raj; Jha, Pramod Kr; Bhattarai, Hom Nath

2011-01-01

Nepal the "Shangri-La" in the lap of the Himalayas is gearing up for modern times as it starts rebuilding after a decade of senseless violence and destruction. The nation one of the poorest in the global development index is rich in natural resources and biodiversity. Reports of medicinal plants far exceeding those recorded and reported so far are encouraging and at the same time concerns for medicinal plants under threat as a result of overexploitation are emerging from Nepal. The harsh mountain terrains, lack of industrialization and harnessing potentiality of its areas of strength; water; natural resources and tourism make it poor in per capita income which averages ~ 300 US$, with half the population living under >1$ a day. Nepal is beginning to realize that the way ahead is only possible through the path of Science and Technology (ST). Nepal Academy of Science and Technology formerly known as Royal Academy of Science and Technology organized the fifth national conference held every 4 years that took place in the capital Kathmandu during November 10-12, 2008. The ST initiation event saw the participation of ~ 1400 people representing over 150 organizations from the country and experts from abroad. The theme for the fifth national meet was "Science, Technology and Innovation for Prosperous Nepal". Complementary and Alternative Medicine (CAM) was an important theme in the event as the realization for the need of ST research focused in CAM for harnessing the chemo diversity potential was univocally approved.

Between Yesterday and Today: Contemporary Art in Nepal

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Kathryn Hagy

2012-01-01

Full Text Available This paper examines works from the last decade by six Nepalese artists and delves into questions such as how today’s artists align themselves between their ancient arts and their contemporary context. What is the conversation about globalism and its impact on artists? How do artists deal with social pressures and is the content of their work directly affected by these pressures? Through in-country research and subsequent study and interviews with artists, what is revealed is an energetic art scene that draws much of its inspiration from a local context, whether that be affirmation of or protest against that context to some degree. When visiting Kathmandu Nepal, one is bound to discover that like the ancient sculptures, paintings and temple architecture that exist on every corner, the art of contemporary Nepal is everywhere as well.

Women's Autonomy and Its Correlates in Western Nepal: A Demographic Study.

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Bhandari, Tulsi Ram; Kutty, V Raman; Ravindran, T K Sundari

2016-01-01

Despite various efforts for enhancing women's autonomy in developing countries, many women are deprived of their capacity in decision-making on their household affairs as well as social issues. This paper aimed to examine women's autonomy and its associated factors in the Kapilvastu district of Nepal. We measured women's autonomy using a recently developed women's autonomy measurement scale from June to October 2014. Descriptive statistics, chi-square test and logistic multivariate modeling technique were applied for assessing the association of demographic and socio-economic characteristics of women and their autonomy. Mean score for women's autonomy was 23.34 ± 8.06 out of the possible maximum 48. It was found to be positively associated with higher age difference at marriage, advantaged caste/ethnicity, better employment for the husband, couple's education more than 10 years schooling, and higher economic status of the household. We found strong direct effect of women's education (OR = 8.14, CI = 3.77-17.57), husband's education (OR = 2.63, CI = 1.69-4.10) and economic status of household (OR = 1.42, CI = 1.01-2.03) on women's autonomy. When we adjusted women's education for husband's education, the odds ratio decreased by around 22% {from (OR = 8.14, CI = 3.77-17.57) to (OR = 6.32, CI = 2.77-14.46)} and was a mediator effect. The economic status of household also had mediator effect on women's autonomy through their education. Education status of women is a key predictor of women's autonomy in Kapilvastu district. Husband's education and economic status of the household are other important predictors of women's autonomy which have a mediator effect on women's autonomy. Improving educational status and economic conditions of both women and their husbands may be the best solution to promote women's autonomy.

Development and Climate Change in Nepal. Focus on Water Resources and Hydropower

International Nuclear Information System (INIS)

Agrawala, S.; Raksakulthai, V.; Van Aalst, M.; Larsen, P.; Smith, J.; Reynolds, J.

2003-01-01

This document is an output from the OECD Development and Climate Change project, an activity jointly overseen by the EPOC Working Party on Global and Structural Policies (WPGSP), and the DAC Network on Environment and Development Co-operation (ENVIRONET). The overall objective of the project is to provide guidance on how to mainstream responses to climate change within economic development planning and assistance policies, with natural resource management as an overarching theme. This report presents the integrated case study for Nepal carried out under an OECD project on Development and Climate Change. The report is structured around a three-tier framework. First, recent climate trends and climate change scenarios for Nepal are assessed, and key sectoral impacts are identified and ranked along multiple indicators to establish priorities for adaptation. Second, donor portfolios in Nepal are analyzed to examine the proportion of donor activities affected by climate risks. A desk analysis of donor strategies and project documents as well as national plans is conducted to assess the degree of attention to climate change concerns in development planning and assistance. Third, an in-depth analysis is conducted for Nepal's water resources sector which was identified as most vulnerable to climate change. This part of the analysis also involved stakeholder consultation through an in-country workshop to identify key synergies and conflicts between climate change concerns and sectoral projects and plans

Intervention processes and irrigation institutions : sustainability of farmer managed irrigation systems in Nepal

OpenAIRE

Pant, D.R.

2000-01-01

With the support from various donors, His Majesty's Government of Nepal has implemented support programmes with a view to transform water availability, improve production, and increase the institutional capabilities of farmers to develop and sustain efficient, fair and reliable irrigation management practices in irrigation systems in Nepal. In this respect, this study aimed to understand the social, administrative and political processes involved in the social and institutional chang...

Environomic multi-objective optimisation of a district heating network considering centralized and decentralized heat pumps

International Nuclear Information System (INIS)

Molyneaux, A.; Leyland, G.; Favrat, D.

2010-01-01

Concern for the environment has been steadily growing in recent years, and it is becoming more common to include environmental impact and pollution costs in the design problem along with construction, investment and operating costs. To economically respond to the global environmental problems ahead, progress must be made both on more sustainable technologies and on the design methodology, which needs to adopt a more holistic approach. Heat pumps and, in particular systems integrating heat pumps and cogeneration units, offer a significant potential for greenhouse gas reduction. This paper illustrates the application of a multi-objective and multi-modal evolutionary algorithm to facilitate the design and planning of a district heating network based on a combination of centralized and decentralized heat pumps combined with on-site cogeneration. Comparisons are made with an earlier study based on a single objective environomic optimisation of the same overall model.

Associations of women's position in the household and food insecurity with family planning use in Nepal.

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Diamond-Smith, Nadia; Raj, Anita; Prata, Ndola; Weiser, Sheri D

2017-01-01

Women in Nepal have low status, especially younger women in co-resident households. Nepal also faces high levels of household food insecurity and malnutrition, and stagnation in uptake of modern family planning methods. This study aims to understand if household structure and food insecurity interact to influence family planning use in Nepal. Using data on married, non-pregnant women aged 15-49 with at least one child from the Nepal 2011 Demographic and Health Survey (N = 7,460), we explore the relationship between women's position in the household, food insecurity as a moderator, and family planning use, using multi-variable logistic regressions. We adjust for household and individual factors, including other status-related variables. In adjusted models, living in a food insecure household and co-residing with in-laws either with no other daughter-in-laws or as the eldest or youngest daughter-in-law (compared to not-co-residing with in-laws) are all associated with lower odds of family planning use. In the interaction model, younger-sisters-in-law and women co-residing with no sisters-in-law in food insecure households have the lowest odds of family planning use. This study shows that household position is associated with family planning use in Nepal, and that food insecurity modifies these associations-highlighting the importance of considering both factors in understanding reproductive health care use in Nepal. Policies and programs should focus on the multiple pathways through which food insecurity impacts women's reproductive health, including focusing on women with the lowest status in households.

Determinants of Farmers Adaptation to Climate Change. A Case from Nawalparasi District of Nepal

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Jeevan Lamichhane

2016-06-01

Full Text Available A field survey was conducted to study the factor that determines farmers’ decisions to adapt to climate change in Deurali and Agyouli V.D.Cs of Nawalparasi District. Altogether 180 household, 90 from each V.D.C were selected randomly for the study. A logit regression model was employed in the study. However, in order to measure the magnitude of the impact of the explanatory variables on the decision of the farmer to adapt to climate change marginal effects were computed. The study uses a binary dependent variable taking the value 1 if the farmer adapted to climate change and 0 otherwise. A farmer is considered to have adapted to climate change if he/she has employed at least one of the adaptation strategies such as early and late planting, use of drought resistant crops, zero tillage operation, crop diversification, use of mulching and composting of weeds to control water loss and conserving moisture in the field. This current research considers the following as potential factors determining farmers’ decisions to adapt to climate change; economically active members, education of the household head, farm size, annual cash earnings, access to credit, training and extension. Findings reveal that these factors influence farmers’ decisions to adapt to climate change in Nawalparasi District and marginal effects computed showed that per unit increase in these variables increased the probability of practicing different adaptation strategies by 4.3%, 31.4%, 3%, 1.5%, 17%, 66% respectively. The log likelihood was computed to be -43.45. Psuedo. R2 was calculated to be 39%.

Spatiotemporal variations of hydrogeochemistry and its controlling factors in the Gandaki River Basin, Central Himalaya Nepal.

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Pant, Ramesh Raj; Zhang, Fan; Rehman, Faizan Ur; Wang, Guanxing; Ye, Ming; Zeng, Chen; Tang, Handuo

2018-05-01

The characterization and assessment of water quality in the head water region of Himalaya is necessary, given the immense importance of this region in sustaining livelihoods of people and maintaining ecological balance. A total of 165 water samples were collected from 55 sites during pre-monsoon, monsoon and post-monsoon seasons in 2016 from the Gandaki River Basin of the Central Himalaya, Nepal. The pH, EC values and TDS concentrations were measured in-situ and the concentrations of major ions (Ca 2+ , Mg 2+ , K + , Na + , Cl - , SO 4 2- , NO 3 - ) and Si were analyzed in laboratory. Correlation matrices, paired t-test, cluster analysis, principal component analysis (PCA), the Piper, Gibbs, and Mixing plots, and saturation index were applied to the measurements for evaluating spatiotemporal variation of the major ions. The results reveal mildly alkaline pH values and the following pattern of average ionic dominance: Ca 2+ >Mg 2+ >Na + >K + for cations and HCO 3 - >SO 4 2 - >Cl - >NO 3 - for anions. The results of PCA, Gibbs plot and the ionic relationships displayed the predominance of geogenic weathering processes in areas with carbonate dominant lithology. This conclusion is supported by geochemically different water facies identified in the Piper plot as Ca-HCO 3 (83.03%), mixed Ca-Mg-Cl (12.73.0%) and Ca-Cl (4.24%). Pronounced spatiotemporal heterogeneity demonstrates the influence of climatic, geogenic and anthropogenic conditions. For instance, the Ca 2+ -SO 4 2- , Mg 2+ -SO 4 2- and Na + -Cl - pairs exhibit strong positive correlation with each other in the upstream region, whereas relatively weak correlation in the downstream region, likely indicating the influence of evapo-crystallization processes in the upstream region. Analyses of the suitability of the water supply for drinking and irrigation reveal that the river has mostly retained its natural water quality but poses safety concern at a few locations. Knowledge obtained through this study can

VARIABILITY PROMISING LINES PEANUT ON THE DRY LAND IN CENTRAL MALUKU DISTRICT

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Sheny Kaihatu

2013-01-01

Full Text Available Study multiple strains or varieties of peanut aim to get two until three peanut promising lines (productivity larger three tons per ha of drought-tolerant Series of Dry Days larger than 15 percent and adaptive dryland agroecosystem in Maluku, performed in Central Maluku district Makariki 2010, using Randomized Block Design three replications. 10 strains planted include: S-4, S-5, S-8, S-9, S-10, S-11, S-15, S-16, S-19, S-20, and two varieties local Lions and Red as comparison. Wide swath of 2.5 m x 3.5 m, spacing of 40 cm x 15 cm, one seed per planting hole. Parameter: number of observations crop plants, 50 percent flowering, plant height, maturity, number of pods per plant, weight of wet pods per plant, dry weight of pods per plant, pod dry weight per plot, weight of 100 seeds (g and dry seed weight (tons per ha. Results: strains or varieties S-4 gives a wet pod weight and dry weight of pods per plant higher in amount of 62.2 g and 37.27 g where as strain S-5, S-11, and S-15 dry seed weight higher respectively by two tons per ha.

The New District of East Belitung: the Review Poliferation Process

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Hendri Yani

2013-02-01

Full Text Available The regional autonomy conducted in many functions of government. One of its forms is proliferation of region. The aim of this study was to overview the proceed of proliferation in East Belitung District. This research was a qualitative research consisted of two main techniques to collect the data; they were interview and secondary data from documentations. The findings show that there were ten steps to create the new East Belitung District. The steps started from the preparations of local’s planning and administration to the final steps in the hand of national parliaments. This study found that the number of local government in Indonesia has increases, and the process at the central government level seem relatively easy. But, the eligibility criteria being compromised. Then, the political will from communities were not clear mention. Also there was a conflict interest between local government and central government in the feasibility study for proliferation in Belitung District. It concluded that we could not deny that political intervention in the bureaucracy has facilitated the formation of East Belitung districts.

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International Development Research Centre (IDRC) Digital Library (Canada)

Reducing Vulnerability to the Threat of Japanese Encephalitis in Nepal ... South Asian Network for Development and Environmental Economics (SANDEE) - Phase III ... In South Asia, people's social, political and cultural aspirations often get ...

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International Development Research Centre (IDRC) Digital Library (Canada)

... of data storage capability coupled with the rise of social media and Internet business ... Asia, South Asia, Laos, Malaysia, Mongolia, Nepal, Pakistan, Philippines, Japan ... South Asian Network for Development and Environmental Economics ...

Mixed-methods approaches in health research in Nepal

OpenAIRE

Simkhada, Padam; Van Teijlingen, Edwin; Wasti, Sharada Prasad; Sathian, B.

2014-01-01

Combining and integrating a mixture of qualitative and quantitative methods in one single study is widely used in health and social care research in high-income countries. This editorial adds a few words of advice to the novice mixed-methods researcher in Nepal.

Son preference, number of children, education and occupational choice in rural Nepal

OpenAIRE

Hatlebakk, Magnus

2012-01-01

A unique family survey was conducted in Nepal to investigate the economic consequences of having a first-born girl. Women get more children, but we find no causal effect of number of children on economic outcomes. But independently of the number of children there is a positive effect on boys' education of having a first born sister, who presumably takes care of household work so the boys can focus on school. This indicates a stronger son-preference in Nepal than what is found in studies from ...

Medicine procurement in hospital pharmacies of Nepal: A qualitative study based on the Basel Statements

Science.gov (United States)

Ranjit, Eurek

2018-01-01

Background Accessibility and affordability of evidence-based medicines are issues of global concern. For low-income countries like Nepal, it is crucial to have easy and reliable access to affordable, good-quality, evidence-based medicines, especially in the aftermath of natural or manmade disasters. Availability of affordable and evidence-based high quality medicines depends on the medicine procurement procedure, which makes it an important aspect of healthcare delivery. In this study, we aimed to investigate medicine procurement practices in hospital pharmacies of Nepal within the framework of International Pharmaceutical Federation [FIP] hospital pharmacy guidelines “the Basel Statements”. Method We conducted semi-structured interviews with hospital pharmacists or procurement officers in hospital pharmacies of four major regions in Nepal to explore procurement practices. Data were collected until saturation of themes, analysed using the framework approach, and organised around the statements within the procurement theme of the Basel Statements. Results Interviews conducted with 53 participants revealed that the procurement guidelines of the Basel Statements were adopted to a certain extent in hospital pharmacies of Nepal. It was found that the majority of hospital pharmacies in Nepal reported using an expensive direct-procurement model for purchasing medicines. Most had no formulary and procured medicines solely based on doctors’ prescriptions, which were heavily influenced by pharmaceutical companies’ marketing strategies. Whilst most procured only registered medicines, a minority reported purchasing unregistered medicines through unauthorised supply-chains. And although the majority of hospital pharmacies had some contingency plans for managing medicine shortages, a few had none. Conclusions Procurement guidelines of the Basel Statements were thus found to be partially adopted; however, there is room for improvement in current procurement practices in

Medicine procurement in hospital pharmacies of Nepal: A qualitative study based on the Basel Statements.

Science.gov (United States)

Shrestha, Mina; Moles, Rebekah; Ranjit, Eurek; Chaar, Betty

2018-01-01

Accessibility and affordability of evidence-based medicines are issues of global concern. For low-income countries like Nepal, it is crucial to have easy and reliable access to affordable, good-quality, evidence-based medicines, especially in the aftermath of natural or manmade disasters. Availability of affordable and evidence-based high quality medicines depends on the medicine procurement procedure, which makes it an important aspect of healthcare delivery. In this study, we aimed to investigate medicine procurement practices in hospital pharmacies of Nepal within the framework of International Pharmaceutical Federation [FIP] hospital pharmacy guidelines "the Basel Statements". We conducted semi-structured interviews with hospital pharmacists or procurement officers in hospital pharmacies of four major regions in Nepal to explore procurement practices. Data were collected until saturation of themes, analysed using the framework approach, and organised around the statements within the procurement theme of the Basel Statements. Interviews conducted with 53 participants revealed that the procurement guidelines of the Basel Statements were adopted to a certain extent in hospital pharmacies of Nepal. It was found that the majority of hospital pharmacies in Nepal reported using an expensive direct-procurement model for purchasing medicines. Most had no formulary and procured medicines solely based on doctors' prescriptions, which were heavily influenced by pharmaceutical companies' marketing strategies. Whilst most procured only registered medicines, a minority reported purchasing unregistered medicines through unauthorised supply-chains. And although the majority of hospital pharmacies had some contingency plans for managing medicine shortages, a few had none. Procurement guidelines of the Basel Statements were thus found to be partially adopted; however, there is room for improvement in current procurement practices in hospital pharmacies of Nepal. Adoption and

Medicine procurement in hospital pharmacies of Nepal: A qualitative study based on the Basel Statements.

Directory of Open Access Journals (Sweden)

Mina Shrestha

Full Text Available Accessibility and affordability of evidence-based medicines are issues of global concern. For low-income countries like Nepal, it is crucial to have easy and reliable access to affordable, good-quality, evidence-based medicines, especially in the aftermath of natural or manmade disasters. Availability of affordable and evidence-based high quality medicines depends on the medicine procurement procedure, which makes it an important aspect of healthcare delivery. In this study, we aimed to investigate medicine procurement practices in hospital pharmacies of Nepal within the framework of International Pharmaceutical Federation [FIP] hospital pharmacy guidelines "the Basel Statements".We conducted semi-structured interviews with hospital pharmacists or procurement officers in hospital pharmacies of four major regions in Nepal to explore procurement practices. Data were collected until saturation of themes, analysed using the framework approach, and organised around the statements within the procurement theme of the Basel Statements.Interviews conducted with 53 participants revealed that the procurement guidelines of the Basel Statements were adopted to a certain extent in hospital pharmacies of Nepal. It was found that the majority of hospital pharmacies in Nepal reported using an expensive direct-procurement model for purchasing medicines. Most had no formulary and procured medicines solely based on doctors' prescriptions, which were heavily influenced by pharmaceutical companies' marketing strategies. Whilst most procured only registered medicines, a minority reported purchasing unregistered medicines through unauthorised supply-chains. And although the majority of hospital pharmacies had some contingency plans for managing medicine shortages, a few had none.Procurement guidelines of the Basel Statements were thus found to be partially adopted; however, there is room for improvement in current procurement practices in hospital pharmacies of Nepal

Nepal Networking

DEFF Research Database (Denmark)

Hansen, Annette Skovsted

, as a Danida fellow. Today, the older sister works in Nepal and the younger in Seattle, where they still make use of their personal networks including connections to their fellow alumni of technical assistance courses. Inspired by work on social remittances in combination with network theory , I argue......Technical Assistance courses have many functions apart from disseminating knowledge and information, one such function is to engender networks. During the course period, participants meet and establish contact and some of these contacts remain connections between alumni for many years after...... the courses are finished. The alumni networks depend on the uses they are put to by the individual alumni and the support they get from alumni and host countries. The United Nations initiated technical assistance courses in the late 1940s in order to train nationals from developing countries as a means...

The Art of Survival: Policy Choices for Nepal

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Dev Raj Dahal

2012-06-01

Full Text Available The tendency to change foreign policy tilt with every change in government has posed difficulty for Nepal to maintain internal cohesion and external adaptation. Now the nation is suffering from ceaseless spasms of political instability because many of its state-bearing institutions are broken and new are not yet invented to glue the nation’s diverse society and get viable traction to balance neighborhood geopolitics and become relevant to international community. In this context, Nepal now needs a regime that fosters centripetal tendencies of domestic forces for a cohesive and coherent foreign and security policy strategy to survive and prosper in a world dominated by protagonist giants and devise material, institutional and symbolic bases of the nation to scramble safe future.DOI: http://dx.doi.org/10.3126/dsaj.v5i0.6355 Dhaulagiri Journal of Sociology and Anthropology Vol. 5, 2011: 31-48 

Effects of Abortion Legalization in Nepal, 2001–2010

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Henderson, Jillian T.; Puri, Mahesh; Blum, Maya; Harper, Cynthia C.; Rana, Ashma; Gurung, Geeta; Pradhan, Neelam; Regmi, Kiran; Malla, Kasturi; Sharma, Sudha; Grossman, Daniel; Bajracharya, Lata; Satyal, Indira; Acharya, Shridhar; Lamichhane, Prabhat; Darney, Philip D.

2013-01-01

Background Abortion was legalized in Nepal in 2002, following advocacy efforts highlighting high maternal mortality from unsafe abortion. We sought to assess whether legalization led to reductions in the most serious maternal health consequences of unsafe abortion. Methods We conducted retrospective medical chart review of all gynecological cases presenting at four large public referral hospitals in Nepal. For the years 2001–2010, all cases of spontaneous and induced abortion complications were identified, abstracted, and coded to classify cases of serious infection, injury, and systemic complications. We used segmented Poisson and ordinary logistic regression to test for trend and risks of serious complications for three time periods: before implementation (2001–2003), early implementation (2004–2006), and later implementation (2007–2010). Results 23,493 cases of abortion complications were identified. A significant downward trend in the proportion of serious infection, injury, and systemic complications was observed for the later implementation period, along with a decline in the risk of serious complications (OR 0.7, 95% CI 0.64, 0.85). Reductions in sepsis occurred sooner, during early implementation (OR 0.6, 95% CI 0.47, 0.75). Conclusion Over the study period, health care use and the population of reproductive aged women increased. Total fertility also declined by nearly half, despite relatively low contraceptive prevalence. Greater numbers of women likely obtained abortions and sought hospital care for complications following legalization, yet we observed a significant decline in the rate of serious abortion morbidity. The liberalization of abortion policy in Nepal has benefited women’s health, and likely contributes to falling maternal mortality in the country. The steepest decline was observed after expansion of the safe abortion program to include midlevel providers, second trimester training, and medication abortion, highlighting the importance

Clinic Attendance for Antiretroviral Pills Pick-Up among HIV-Positive People in Nepal: Roles of Perceived Family Support and Associated Factors.

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Ayer, Rakesh; Kikuchi, Kimiyo; Ghimire, Mamata; Shibanuma, Akira; Pant, Madhab Raj; Poudel, Krishna C; Jimba, Masamine

2016-01-01

HIV-positive people's clinic attendance for medication pick-up is critical for successful HIV treatment. However, limited evidence exists on it especially in low-income settings such as Nepal. Moreover, the role of family support in clinic attendance remains under-explored. Therefore, this study was conducted to examine the association between perceived family support and regular clinic attendance and to assess factors associated with regular clinic attendance for antiretroviral pills pick-up among HIV-positive individuals in Nepal. A cross-sectional study was conducted among 423 HIV-positive people in three districts of Nepal. Clinic attendance was assessed retrospectively for the period of 12 months. To assess the factors associated, an interview survey was conducted using a semi-structured questionnaire from July to August, 2015. Multiple logistic regression models were used to assess the factors associated with regular clinic attendance. Of 423 HIV-positive people, only 32.6% attended the clinics regularly. They were more likely to attend them regularly when they received high family support (AOR = 3.98, 95% CI = 2.29, 6.92), participated in support programs (AOR = 1.68, 95% CI = 1.00, 2.82), and had knowledge on the benefits of antiretroviral therapy (AOR = 2.62, 95% CI = 1.15, 5.99). In contrast, they were less likely to attend them regularly when they commuted more than 60 minutes to the clinics (AOR = 0.53, 95% CI = 0.30, 0.93), when they self-rated their health status as being very good (AOR = 0.13, 95% CI = 0.04, 0.44), good (AOR = 0.14, 95% CI = 0.04, 0.46), and fair (AOR = 0.21, 95% CI = 0.06, 0.70). HIV-positive individuals are more likely to attend the clinics regularly when they receive high family support, know the benefits of antiretroviral therapy, and participate in support programs. To improve clinic attendance, family support should be incorporated with HIV care programs in resource limited settings. Service providers should also consider

Clinic Attendance for Antiretroviral Pills Pick-Up among HIV-Positive People in Nepal: Roles of Perceived Family Support and Associated Factors

Science.gov (United States)

Kikuchi, Kimiyo; Ghimire, Mamata; Shibanuma, Akira; Pant, Madhab Raj; Poudel, Krishna C.; Jimba, Masamine

2016-01-01

Introduction HIV-positive people’s clinic attendance for medication pick-up is critical for successful HIV treatment. However, limited evidence exists on it especially in low-income settings such as Nepal. Moreover, the role of family support in clinic attendance remains under-explored. Therefore, this study was conducted to examine the association between perceived family support and regular clinic attendance and to assess factors associated with regular clinic attendance for antiretroviral pills pick-up among HIV-positive individuals in Nepal. Methods A cross-sectional study was conducted among 423 HIV-positive people in three districts of Nepal. Clinic attendance was assessed retrospectively for the period of 12 months. To assess the factors associated, an interview survey was conducted using a semi-structured questionnaire from July to August, 2015. Multiple logistic regression models were used to assess the factors associated with regular clinic attendance. Results Of 423 HIV-positive people, only 32.6% attended the clinics regularly. They were more likely to attend them regularly when they received high family support (AOR = 3.98, 95% CI = 2.29, 6.92), participated in support programs (AOR = 1.68, 95% CI = 1.00, 2.82), and had knowledge on the benefits of antiretroviral therapy (AOR = 2.62, 95% CI = 1.15, 5.99). In contrast, they were less likely to attend them regularly when they commuted more than 60 minutes to the clinics (AOR = 0.53, 95% CI = 0.30, 0.93), when they self-rated their health status as being very good (AOR = 0.13, 95% CI = 0.04, 0.44), good (AOR = 0.14, 95% CI = 0.04, 0.46), and fair (AOR = 0.21, 95% CI = 0.06, 0.70). Conclusion HIV-positive individuals are more likely to attend the clinics regularly when they receive high family support, know the benefits of antiretroviral therapy, and participate in support programs. To improve clinic attendance, family support should be incorporated with HIV care programs in resource limited settings

Solar home systems in Nepal

Energy Technology Data Exchange (ETDEWEB)

Henryson, Jessica; Haakansson, Teresa

1999-04-01

Photovoltaic (PV) technology is a clean and environmentally friendly technology that does not require any fuels. The high reliability of operation and little need for maintenance makes it ideally suited for rural areas. Today PV systems are used in Nepal to power telecommunications centres, navigational aids, in pumping systems for irrigation and drinking water, and for household electrification. A solar home system consists of a PV module, a battery, a charge controller and 3-4 fluorescent light bulbs with fixture. The system provides power for lighting and operation of household appliances for several hours. The success of donor supported programs have shown that solar home systems can be a practical solution for many rural households. In 1996 the Government of Nepal launched a subsidy program for solar home systems, which dramatically has increased the demand for solar home systems among rural customers. This report includes a survey of 52 households with solar home systems in two villages. The field-study shows that the villagers are very happy with their systems and the technical performance of the systems in both villages is satisfactory. The study also shows the positive impact electricity has on education, health, income generation and quality of life. The beneficiaries of introducing electricity in remote areas are the children and the women 39 refs, 18 tabs. Examination paper

Human Trafficking in Nepal: Post-Earthquake Risk and Response.

Science.gov (United States)

Gyawali, Bishal; Keeling, June; Kallestrup, Per

2017-04-01

As Nepal mourns the 1-year commemoration of the April 2015 earthquake and its aftershocks that killed more than 8500 people and left thousands injured and displaced, other more hidden repercussions of the resultant chaotic environment need attention: the increased risk of human trafficking. Considering that natural disasters provide a milieu for this illicit trade, there is a need for a robust response from stakeholders such as donors, civil society organizations, and government organizations against human trafficking following disasters such as the Nepal earthquake. Responsibility to prevent and fight trafficking should be explicitly included in the mandate of relief and rehabilitation mechanisms set up at the national level to coordinate the disaster relief response, serving to support populations in both rural and urban areas. (Disaster Med Public Health Preparedness. 2017;11:153-154).

Women and citizenship post-trafficking: the case of Nepal.

Science.gov (United States)

Richardson, Diane; Laurie, Nina; Poudel, Meena; Townsend, Janet

2016-05-01

This article analyses the relationship between gender, sexuality and citizenship embedded in models of citizenship in the Global South, specifically in South Asia, and the meanings associated with having - or not having - citizenship. It does this through an examination of women's access to citizenship in Nepal in the context of the construction of the emergent nation state in the 'new' Nepal 'post-conflict'. Our analysis explores gendered and sexualized constructions of citizenship in this context through a specific focus on women who have experienced trafficking, and are beginning to organize around rights to sustainable livelihoods and actively lobby for changes in citizenship rules which discriminate against women. Building from this, in the final section we consider important implications of this analysis of post-trafficking experiences for debates about gender, sexuality and citizenship more broadly.

The Impact of Job Satisfaction on the Turnover Intent of Executive Level Central Office Administrators in Texas Public School Districts: A Quantitative Study of Work Related Constructs

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Johnny O’Connor

2018-05-01

Full Text Available The purpose of this study was to examine the relationship between job satisfaction and turnover intent of executive level central office administrators in Texas public school districts. For the intent of this study, executive level central office administrators were defined as staff members who serve in one of the following roles in a school district: assistant, associate, area, or deputy superintendent. The data were collected from a random sample of 234 participants in which survey instruments of job satisfaction and turnover intent were used. Each instrument was created on a five-point Likert scale. Based on the results of the study, it was concluded that a moderate inverse relationship exists between job satisfaction and turnover intent and job satisfaction explained 41.3% of an executive level central office administrator’s intent for turnover. Research related to this employee group is lacking. Therefore, not much is known regarding how it relates to their attitude towards work-related factors. Learning more about job satisfaction and turnover intention of these individuals could have long term implications since it relates to mitigating the shortage of superintendent candidates available to fill the growing number of vacancies as well as recruitment, retention, and increased work productivity of these staff.

Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal

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Sanjib Kumar Sharma

2011-01-01

Full Text Available Background. This study was carried out to establish the prevalence of cardiovascular risks such as hypertension, obesity, and diabetes in Eastern Nepal. This study also establishes the prevalence of metabolic syndrome (MS and its relationships to these cardiovascular risk factors and lifestyle. Methods. 14,425 subjects aged 20–100 (mean 41.4 ± 15.1 were screened with a physical examination and blood tests. Both the International Diabetic Federation (IDF and National Cholesterol Education Programme’s (NCEP definitions for MS were used and compared. Results. 34% of the participants had hypertension, and 6.3% were diabetic. 28% were overweight, and 32% were obese. 22.5% of the participants had metabolic syndrome based on IDF criteria and 20.7% according to the NCEP definition. Prevalence was higher in the less educated, people working at home, and females. There was no significant correlation between the participants’ lifestyle factors and the prevalence of MS. Conclusion. The high incidence of dyslipidemia and abdominal obesity could be the major contributors to MS in Nepal. Education also appears to be related to the prevalence of MS. This study confirms the need to initiate appropriate treatment options for a condition which is highly prevalent in Eastern Nepal.

Upscaling a district heating system based on biogas cogeneration and heat pumps

NARCIS (Netherlands)

van Leeuwen, Richard Pieter; Fink, J.; Smit, Gerardus Johannes Maria; de Wit, Jan B.

2015-01-01

The energy supply of the Meppel district Nieuwveense landen is based on biogas cogeneration, district heating, and ground source heat pumps. A centrally located combined heat and power engine (CHP) converts biogas from the municipal wastewater treatment facility into electricity for heat pumps and

Source of gross-alpha radioactivity anomalies in recharge wells, central Florida phosphate district. Final report

International Nuclear Information System (INIS)

Oural, C.R.; Brooker, H.R.; Upchurch, S.B.

1986-01-01

The central Florida phosphate industry utilizes recharge wells to mitigate withdrawals of water from the Florida aquifer and to dewater the surficial aquifer prior to mining. From a water-management point of view, these wells are efficient and serve a vital function. Recent monitoring of the radiation environment in these wells, however, casts doubts on the safety of the wells. While most of the wells conform to state and federal standards for radium, gross-alpha radiation frequently exceeds standards. The purpose of the study was to determine the radionuclide(s) responsible for the high gross-alpha radiation and to identify a method for sampling of the recharge wells that would standardize data across the phosphate district. It was found that excess gross alpha is primarily due to polonium-210. Since gross alpha and polonium-210 measurements are quite sensitive to methods of sample collections, preservation and analyses, standard procedures for sample processing are presented in the report

A research on bread consumption of families living in the central district of Tokat province

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Zeynep EKMEKCİ BAL

2013-06-01

Full Text Available In this study, bread consumption statuses of families living in the central district of Tokat province were identified. Data were obtained from 272 consumers in November 2012. According to the findings, the amount of per capita bread consumption is 291.95 g which is lower than the national average consumption. The most frequently consumed bread type of families was loaf bread with 70.59%. Consumers were mainly purchased bread from supermarkets (80.51% and oven (25.37%. More than half of consumers think that the quality of bread sold in the market is insufficient. Several families cannot consume a significant portion of bread purchased during the day; they re-used some of the staled bread and wasted the rest of staled bread. Measures should be taken to prevent the waste of bread. The quality of the bread produced should be increased and a necessary care for hygiene should be taken during production and sales stages.

Factors Associated with Pregnancy among Married Adolescents in Nepal: Secondary Analysis of the National Demographic and Health Surveys from 2001 to 2011

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Rina Pradhan

2018-01-01

Full Text Available Pregnancy-related morbidity and mortality are much more prevalent among adolescents than adults, particularly in low-income settings. Little is known about risk factors for pregnancy among adolescents in Nepal, but setting-specific evidence is needed to inform interventions. This study aimed to describe the prevalence, and identify factors associated with pregnancy among adolescents in Nepal between 2001 and 2011. Secondary analyses of Nepal Demographic Health Surveys (NDHS data from 2001, 2006, and 2011 were completed. The outcome was any pregnancy or birth among married adolescents; prevalence was calculated for each survey year. Although the rate of marriage among adolescent women in Nepal decreased significantly from 2001 to 2011, prevalence of pregnancy and birth among married adolescent women in Nepal remains high (average 56% in Nepal, and increased significantly between 2001 and 2011. Regression analyses of this outcome indicate higher risk was associated with living in the least resourced region, early sexual debut, and older husband. Despite national efforts to reduce pregnancies among married adolescent women in Nepal, prevalence remains high. Integrated, cross-sectoral prevention efforts are required. Poverty reduction and infrastructure improvements may lead to lower rates of adolescent pregnancy.

Leading Change for the Implementation of Common Core State Standards in Rural School Districts

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Lopez, Paul; Wise, Donald

2015-01-01

Rural school districts across the nation, with their limited resources, face daunting challenges posed by the implementation of the Common Core State Standards. This article presents a recent study of 13 rural school districts in the Central Valley of California and how these districts are responding to those challenges. A total of 352 teachers…

Assessing the Groundwater Concentrations and Geographical Distribution of Arsenic in Nepal

Science.gov (United States)

Ma, J.; Liu, F.

2015-12-01

Arsenic 33As, one of the major groundwater contaminants, occurs in both natural and anthropogenic forms. Arsenic inhibits cellular respiration and the production of ATP in human body. Prolonged intake of non-lethal quantities of arsenic can cause cancer and diseases in vital organs such as the heart, liver, skin, and kidney. Each year, millions of people in the rural areas of Bangladesh, India, and other developing countries in South Asia are exposed to arsenic-poisoned groundwater. According to the World Health Organization, arsenic levels in drinking water should not exceed 10 parts per billion; however, the levels of arsenic found in groundwater in the heavily contaminated regions are often more than ten times of the recommended limit. Nepal is one of these regions. In most of the rural areas in Nepal, there is no infrastructure to produce clean filtered water, and wells thus became the major source. However, most of these wells were dug without testing for groundwater safety, because the test commands resources that the rural communities do not have access to. This is also limited data published on Nepal's groundwater contaminant levels. The scarcity of information prohibits the international community from recognizing the severity of arsenic poisoning in Nepal and coming up with the most efficient measures to help. With this project, we will present a method to determine groundwater safety by analyzing geologic data and using remote sensing. The original source of arsenic is the arsenic-bearing minerals in the sediments. Some geological formations have higher arsenic levels than others due to their depositional environments. Therefore, by using existing geologic data from Nepal and countries with similar types of arsenic contamination, we hope to determine correlations between areas where there are reports of high concentrations of arsenic in groundwater to the environmental factors that may cause a particular concentration of arsenic. Furthermore, with deeper

The Prevalence of Diabetic Retinopathy Among Known Diabetic Population in Nepal.

Science.gov (United States)

Mishra, S K; Pant, B P; Subedi, P

2016-01-01

Background The worldwide prevalence of diabetic retinopathy (DR) was found to be 34.6%. WHO estimates that DR is responsible for 4.8% of the 37 million cases of blindness throughout the world. In a study undertaken in urban population in Nepal, M.D. Bhattarai found the prevalence of diabetes among people aged 20 years and above to be 14.6% and the prevalence among people aged 40 years and above to be 19%. Studies on DR, to our knowledge, have mostly been hospital based in Nepal. Little information is available about prevalence of DR at the community level in Nepal. Objective To investigate the prevalence of diabetic retinopathy and associated risk factors among known diabetic population of Nepal. Method A descriptive cross sectional study was conducted among individuals aged 30 and more using cluster sampling method. The study sites were Kathmandu metropolitan city and Birgunj sub-metropolitan city. A sample size of 5400 was calculated assuming 5% prevalence rate with 95% confidence level, 5% worst acceptable level and 1.5 cluster sampling design effect. Study participants were interviewed, anthropometric measurements and fundus photograph was taken from participants with diabetes. Fundus photographs were used to grade retinopathy. Result Around 12% of the respondents were diabetic, mean age 55.43±11.86 years, of which slightly more than half were females (50.2%). Among these diabetic respondents 9.9% had some forms of diabetic retinopathy, mean age 54.08±10.34 years, 56.7% were male. When severe grade of retinopathy in any eye was considered as overall grade of retinopathy for the individual, prevalence of Non-proliferative Diabetic Retinopathy, Proliferative Diabetic Retinopathy and complete vision loss was found to be 9.1%, 0.5% and 0.3%. Prevalence of Diabetic Macular Edema was 5.5%. Duration of diabetes, family history of diabetes and blood pressure at the day of survey was found to be associated with having any retinopathy. Conclusion Diabetic retinopathy

Pangolins in eastern Nepal: trade and ethno-medicinal importance

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Hem Bahadur Katuwal

2015-07-01

Full Text Available Pangolin populations are declining globally due to illicit trade for meat and ethno-medicinal practices. We performed semi-structured interviews to analyze scenario of trade activities and documented the ethno-medicinal importance of pangolins in four districts of eastern Nepal. Out of 106 respondents, 78.3% had seen live pangolins, 90.6% had seen their burrows and 66% respondents speculated their decreasing population. Although 64% of the respondents were aware that pangolin is protected species, 44% of respondents had eaten its meat. We found the trade as an organized network where poachers of one village supply pangolins and its parts to poachers of another village and so on until it reaches the international border. Trade flow was more across the Chinese border via different routes where the prices varied from US$ 500–625/kg or even more. For this illegal trade, poachers provoke unemployed youths especially from ethnic communities. Most people hunt pangolins merely for trade without knowing its exact medicinal value. Some people, however, use meat and scales to supposedly cure gastro-intestinal disease, skin disease, cardiac problem, pregnancy pains, back pain; and also for making rings, bags, jackets, purses and musical instruments. As most pangolin habitats lie outside protected areas, illicit trade is increasing rapidly. We recommend immediate strategic plans, effective monitoring techniques and inter-border cooperation to thwart the trade, and raise awareness of their importance.  

Evaluation in School Districts; Organizational Perspectives. CSE Monograph Series in Evaluation, 10.

Science.gov (United States)

Bank, Adrianne, Ed.; Williams, Richard C., Ed.

This monograph focuses on educational evaluation and how it occurs within a specific setting--school districts' central administrative offices--examining the relationships between evaluation activities and district organizational features that impinge upon such activities. The various chapter authors worked with the Center for the Study of…

Leading Effective Educational Technology in K-12 School Districts: A Grounded Theory

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Hill, Lara Gillian C.

2011-01-01

A systematic grounded theory qualitative study was conducted investigating the process of effectively leading educational technology in New Jersey public K-12 school districts. Data were collected from educational technology district leaders (whether formal or non-formal administrators) and central administrators through a semi-structured online…

Feasibility Study of Low-Cost Image-Based Heritage Documentation in Nepal

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Dhonju, H. K.; Xiao, W.; Sarhosis, V.; Mills, J. P.; Wilkinson, S.; Wang, Z.; Thapa, L.; Panday, U. S.

2017-02-01

Cultural heritage structural documentation is of great importance in terms of historical preservation, tourism, educational and spiritual values. Cultural heritage across the world, and in Nepal in particular, is at risk from various natural hazards (e.g. earthquakes, flooding, rainfall etc), poor maintenance and preservation, and even human destruction. This paper evaluates the feasibility of low-cost photogrammetric modelling cultural heritage sites, and explores the practicality of using photogrammetry in Nepal. The full pipeline of 3D modelling for heritage documentation and conservation, including visualisation, reconstruction, and structure analysis, is proposed. In addition, crowdsourcing is discussed as a method of data collection of growing prominence.

Characterization of the Genetic Diversity of Acid Lime (Citrus aurantifolia (Christm.) Swingle) Cultivars of Eastern Nepal Using Inter-Simple Sequence Repeat Markers.

Science.gov (United States)

Munankarmi, Nabin Narayan; Rana, Neesha; Bhattarai, Tribikram; Shrestha, Ram Lal; Joshi, Bal Krishna; Baral, Bikash; Shrestha, Sangita

2018-06-12

Acid lime ( Citrus aurantifolia (Christm.) Swingle) is an important fruit crop, which has high commercial value and is cultivated in 60 out of the 77 districts representing all geographical landscapes of Nepal. A lack of improved high-yielding varieties, infestation with various diseases, and pests, as well as poor management practices might have contributed to its extremely reduced productivity, which necessitates a reliable understanding of genetic diversity in existing cultivars. Hereby, we aim to characterize the genetic diversity of acid lime cultivars cultivated at three different agro-ecological gradients of eastern Nepal, employing PCR-based inter-simple sequence repeat (ISSR) markers. Altogether, 21 polymorphic ISSR markers were used to assess the genetic diversity in 60 acid lime cultivars sampled from different geographical locations. Analysis of binary data matrix was performed on the basis of bands obtained, and principal coordinate analysis and phenogram construction were performed using different computer algorithms. ISSR profiling yielded 234 amplicons, of which 87.18% were polymorphic. The number of amplified fragments ranged from 7⁻18, with amplicon size ranging from ca. 250⁻3200 bp. The Numerical Taxonomy and Multivariate System (NTSYS)-based cluster analysis using the unweighted pair group method of arithmetic averages (UPGMA) algorithm and Dice similarity coefficient separated 60 cultivars into two major and three minor clusters. Genetic diversity analysis using Popgene ver. 1.32 revealed the highest percentage of polymorphic bands (PPB), Nei’s genetic diversity (H), and Shannon’s information index (I) for the Terai zone (PPB = 69.66%; H = 0.215; I = 0.325), and the lowest of all three for the high hill zone (PPB = 55.13%; H = 0.173; I = 0.262). Thus, our data indicate that the ISSR marker has been successfully employed for evaluating the genetic diversity of Nepalese acid lime cultivars and has furnished valuable information on

Women and citizenship post‐trafficking: the case of Nepal

Science.gov (United States)

Richardson, Diane; Laurie, Nina; Poudel, Meena; Townsend, Janet

2016-01-01

Abstract This article analyses the relationship between gender, sexuality and citizenship embedded in models of citizenship in the Global South, specifically in South Asia, and the meanings associated with having – or not having – citizenship. It does this through an examination of women's access to citizenship in Nepal in the context of the construction of the emergent nation state in the ‘new’ Nepal ‘post‐conflict’. Our analysis explores gendered and sexualized constructions of citizenship in this context through a specific focus on women who have experienced trafficking, and are beginning to organize around rights to sustainable livelihoods and actively lobby for changes in citizenship rules which discriminate against women. Building from this, in the final section we consider important implications of this analysis of post‐trafficking experiences for debates about gender, sexuality and citizenship more broadly. PMID:27642193