ArticleBMC public health2020
Health system's readiness to provide cardiovascular, diabetes and chronic respiratory disease related services in Nepal: analysis using 2015 health facility survey.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06623006 (Self Management of Type 2 Diabetes Using a Co-designed Mobile Health), which is not on this map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Self Management of Type 2 Diabetes Using a Co-designed Mobile Health (Mhealth) Intervention in Nepal: A Randomized Control Trial
Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.
- Diabetes mellitus service preparedness and availability: a systematic review and meta-analysis.Frontiers in endocrinology · 2024Pooled it
- Capacity and service readiness of facilities for non-communicable diseases in Bangladesh: a health system perspective from two selected districts.BMC health services research · 2026Article
- Service availability and readiness for diabetes and hypertension care among health facilities in Lagos State, Nigeria.BMC primary care · 2026Article
- Primary healthcare system readiness for the prevention and management of non-communicable diseases in Nepal.Discover public health · 2026Article
- Facilitators and barriers of general health service readiness in the primary level public health facilities of Baitadi, Nepal: A qualitative study.PLOS global public health · 2026Article
- Service readiness of primary healthcare facilities for dengue management in Bagmati Province, Nepal: a mixed method study.Journal of public health (Oxford, England) · 2025Article
- Tackling chronic kidney disease in Nepal: from evidence to action.Journal of nephrology · 2025Review
- Transforming health in Nepal: a historical and contemporary review on disease burden, health system challenges, and innovations.Health research policy and systems · 2025Review
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- Readiness for non-communicable disease service delivery in Ethiopia: an empirical analysis.BMC health services research · 2024Article
- Barriers and facilitators for strengthening physiotherapy services in Nepal: perspectives from physiotherapists and health providers.BMC health services research · 2024Article
- Physiotherapy and its service in Nepal: implementation and status reported from facility surveys and official registers.BMC health services research · 2024Article
- Assessing the Nepalese health system's readiness to manage gender-based violence and deliver psychosocial counselling.Health policy and planning · 2024Article
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- Stroke Care in South Asia - Identifying Gaps for Future Action.Global heart · 2024Review
- Household preparedness for emergencies during COVID-19 pandemic among the general population of Nepal.PLOS global public health · 2024Article
- Article
- Cascade of diabetes care in Bangladesh, Bhutan and Nepal: identifying gaps in the screening, diagnosis, treatment and control continuum.Scientific reports · 2023Article
- Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe burgeoning rise of non-communicable diseases (NCDs) is posing serious challenges in resource constrained health facilities of Nepal. The main objective of this study was to assess the readiness of health facilities for cardiovascular diseases (CVDs), diabetes and chronic respiratory diseases (CRDs) services in Nepal.
methodsThis study utilized data from the Nepal Health Facility Survey 2015. General readiness of 940 health facilities along with disease specific readiness for CVDs, diabetes, and CRDs were assessed using the Service Availability and Readiness Assessment manual of the World Health Organization. Health facilities were categorized into public and private facilities.
resultsOut of a total of 940 health facilities assessed, private facilities showed higher availability of items of general service readiness except for standard precautions for infection prevention, compared to public facilities. The multivariable adjusted regression coefficients for CVDs (β = 2.87, 95%CI: 2.42-3.39), diabetes (β =3.02, 95%CI: 2.03-4.49), and CRDs (β = 15.95, 95%CI: 4.61-55.13) at private facilities were higher than the public facilities. Health facilities located in the hills had a higher readiness index for CVDs (β = 1.99, 95%CI: 1.02-1.39). Service readiness for CVDs (β = 1.13, 95%CI: 1.04-1.23) and diabetes (β = 1.78, 95%CI: 1.23-2.59) were higher in the urban municipalities than in rural municipalities. Finally, disease-related services readiness index was sub-optimal with some degree of variation at the province level in Nepal. Compared to province 1, province 2 (β = 0.83, 95%CI: 0.73-0.95) had lower, and province 4 (β =1.24, 95%CI: 1.07-1.43) and province 5 (β =1.17, 95%CI: 1.02-1.34) had higher readiness index for CVDs.
conclusionThis study found sub-optimal readiness of services related to three NCDs at the public facilities in Nepal. Compared to public facilities, private facilities showed higher readiness scores for CVDs, diabetes, and CRDs. There is an urgent need for policy reform to improve the health services for NCDs, particularly in public facilities.
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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.