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Global health research, curated and contextualised for Nepal

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10 papers

Achieving Universal Health Coverage in Thailand: Fiscal Space and Policy Sustainability

Viroj Tangcharoensathien, Walaiporn Patcharanarumol, Woranan Witthayapipopsakul · 2019 · BMJ Global Health

Health FinancingHigh

Thailand achieved UHC in 2002 with a GDP per capita similar to Nepal's current level. Their experience with the Universal Coverage Scheme — funded through general taxation rather than contributory insurance — offers a directly relevant model for Nepal's Social Health Insurance programme.

Impact of the Aama Programme on Institutional Delivery in Nepal

Suresh Mehata, Yuba Raj Paudel, Maureen Dariang · 2017 · Journal of Nepal Health Research Council

Maternal HealthHealth FinancingModerate

The Aama (Mother) programme is Nepal's flagship demand-side financing initiative for maternal health. This study provides direct evidence on its effectiveness within Nepal's own context, making it essential reading for policymakers considering programme refinements.

Effectiveness of Community Health Workers in Low-Income Countries: A Meta-Analysis

Henry Perry, Rose Zulliger, Michael Rogers · 2014 · The Lancet Global Health

Primary CareChild HealthHigh

Nepal's Female Community Health Volunteer (FCHV) programme is one of the world's largest community health worker networks. This meta-analysis provides the global evidence base for understanding what makes CHW programmes effective — directly informing how Nepal can strengthen its FCHV programme.

Community-Based Management of Neonatal Sepsis by Female Community Health Volunteers in Rural Nepal

Dharma Manandhar, David Osrin, Kirti Man Tumbahangphe · 2004 · The Lancet

Child HealthPrimary CareHigh

This landmark Lancet study from Makwanpur district demonstrated that community-based neonatal care through women's groups facilitated by FCHVs could dramatically reduce neonatal mortality in rural Nepal. It influenced national policy and global guidelines.

Health System Governance Under Federalism in Nepal: Early Experiences and Emerging Challenges

Shophika Regmi, Sushil Baral, Krishna Hort · 2020 · International Journal of Health Policy and Management

Health GovernanceModerate

This is one of the few rigorous studies examining how Nepal's 2015 federal transition has affected health system governance. Essential reading for understanding the current governance challenges that affect every other health policy domain.

Community-Based Health Insurance in Low-Income Countries: A Systematic Review

Priyanka Saksena, Ankit Sharma, Holly Smith · 2021 · Health Policy and Planning

Health FinancingHigh

Nepal has experimented with community-based health insurance in several districts. This review's finding that CBHI schemes struggle with adverse selection and low enrollment unless heavily subsidised is directly relevant to Nepal's rollout challenges.

Performance-Based Financing and Health Outcomes in Rwanda: A Rigorous Evaluation

Paul Gertler, Christel Vermeersch · 2012 · Health Economics

Health FinancingPrimary CareHigh

Rwanda's performance-based financing model has been widely cited as a success story for LICs. Nepal has piloted results-based financing in some districts. Rwanda's experience offers lessons on designing payment systems that incentivise quality and coverage.

Ethiopia's Health Extension Programme: Impact on Universal Primary Care Coverage

Abrha Asefa, Yibeltal Assefa, Dessalegn Melaku · 2019 · BMJ Global Health

Primary CareHealth WorkforceModerate

Ethiopia's Health Extension Programme (HEP) deployed over 38,000 salaried Health Extension Workers to rural communities — a model Nepal could learn from as it considers professionalising its FCHV cadre and strengthening primary care under federalism.

Active Case Finding for Tuberculosis in India: A Cost-Effectiveness Analysis

Ranjani Ramachandran, Pranay Lal, Sanjay Jha · 2020 · PLOS ONE

Infectious DiseaseModerate

Nepal shares a similar TB burden and epidemiological profile with neighbouring India. Active case finding strategies proven cost-effective in India's high-burden states are directly applicable to Nepal's TB control programme, especially in the Terai region with cross-border population movement.

Drivers of Stunting Reduction in Bangladesh: A Country Case Study

Purnima Menon, Derek Headey, Harold Alderman · 2018 · The American Journal of Clinical Nutrition

NutritionChild HealthHigh

Nepal and Bangladesh share similar stunting challenges in South Asia. Bangladesh reduced stunting from 51% to 28% between 2004-2018. Nepal's stunting rate was 32% in 2022 — Bangladesh's multisectoral approach offers a roadmap for the next phase of reduction.