ArticleHealthcare (Amsterdam, Netherlands)2018
Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal.
Article in Healthcare (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- "Now that they come to our doorsteps to teach us these things…" - Postpartum contraception outcomes from a pre-post effectiveness-implementation study of an integrated community health worker intervention in rural Nepal.Reproductive health · 2025Trial
- Strategies for Successful Integration of Mental Health Care Delivery into Community Health Worker Programs.Journal of public mental health · 2026Article
- Acceptability, appropriateness, and feasibility of a point-of-care ultrasound program for the diagnosis of forearm fractures in rural Nepal: a mid-level provider qualitative study.BMC medical education · 2026Article
- Article
- Evaluating the performance of artificial intelligence in summarizing pre-coded text to support evidence synthesis: a comparison between chatbots and humans.BMC medical research methodology · 2025Article
- Addressing challenges for psychotherapy supervision in global mental health through experiential learnings from rural Nepal.Discover public health · 2025Article
- Community health workers' barriers and facilitators to use a novel mHealth tool for motivational interviewing to improve adherence to care among youth living with HIV in rural Nepal.PLOS global public health · 2024Article
- Protocol for a randomized controlled trial on community education and surveillance on antibiotics use among young children in Nepal.Contemporary clinical trials communications · 2023Article
- The promise of digital health technologies for integrated care for maternal and child health and non-communicable diseases.BMJ (Clinical research ed.) · 2023Article
- Development and functioning of the mobile app-based mh-GAP intervention guide in detection and treatment of people with mental health conditions in primary healthcare settings in Nepal.Global mental health (Cambridge, England) · 2023Article
- A Type II hybrid effectiveness-implementation study of an integrated CHW intervention to address maternal healthcare in rural Nepal.PLOS global public health · 2023Article
- Health Information System and Health Care Applications Performance in the Healthcare Arena: A Bibliometric Analysis.Healthcare (Basel, Switzerland) · 2022Article
- Comparing two data collection methods to track vital events in maternal and child health via community health workers in rural Nepal.Population health metrics · 2022Article
- Article
- Collaborative care model for depression in rural Nepal: a mixed-methods implementation research study.BMJ open · 2021Article
- Cross-cultural adaptation of motivational interviewing for use in rural Nepal.BMC psychology · 2021Article
- Article
- Community-based postpartum contraceptive counselling in rural Nepal: a mixed-methods evaluation.Sexual and reproductive health matters · 2020Article
- Lessons learned through piloting a community-based SMS referral system for common mental health disorders used by female community health volunteers in rural Nepal.BMC research notes · 2020Article
- Costing Analysis of a Pilot Community Health Worker Program in Rural Nepal.Global health, science and practice · 2020Article
Corrections and comments
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Authors and funding
32 authors.
Funding
Abstract
Integrating care at the home and facility level is a critical yet neglected function of healthcare delivery systems. There are few examples in practice or in the academic literature of affordable, digitally-enabled integrated care approaches embedded within healthcare delivery systems in low- and middle-income countries. Simultaneous advances in affordable digital technologies and community healthcare workers offer an opportunity to address this challenge. We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data generated routinely being utilized for program improvement; and being responsive to privacy, security, and human rights concerns. We discuss implementation, lessons learned, challenges, and opportunities for future directions in integrated care delivery systems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.