Evidence map›Paper›PMID 33853626›Full record

ReviewHealth research policy and systems2021

The prevention of - and first response to - injuries in Nepal: a review of policies and legislation.

Puspa Raj Pant, Julie Mytton, Milan Raj Dharel, Amrit Dangi, Writu Bhatta Rai, Sunil Kumar Joshi

Abstract readReview
In one paragraph

Review in Health research policy and systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Puspa Raj PantFaculty of Health and Applied Sciences, University of the West of England Bristol, Bristol, BS8 1NU, UK. puspa.pant@uwe.ac.uk.ORCID http://orcid.org/0000-0002-8827-0018
Julie MyttonFaculty of Health and Applied Sciences, University of the West of England Bristol, Bristol, BS16 1QY, UK.
Milan Raj DharelSwatantrata Abhiyan Nepal, Bakhundole, Lalitpur, Nepal.
Amrit DangiSwatantrata Abhiyan Nepal, Bakhundole, Lalitpur, Nepal.
Writu Bhatta RaiSwatantrata Abhiyan Nepal, Bakhundole, Lalitpur, Nepal.
Sunil Kumar JoshiDepartment of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.

Funding

National Institute for Health Research Ref:16/137/49
6 · The paper itself

Abstract

backgroundInjuries, the cause of an estimated 4.5 million deaths annually and many more disabilities worldwide each year, are the predictable outcome of particular circumstances. One of the most effective ways to prevent injuries is through policy and legislation. The aim of this research study was to identify and critically review all policy and legislation in Nepal that had the potential to prevent injuries.

methodsWe identified legislation and policy that met inclusion criteria through a stakeholder meeting, networks and contacts, and websites and electronic resources. Each included document was critically reviewed to identify areas of strength and opportunities for improvement. We compared the included documents against WHO's recommendations of known effective interventions.

resultsSixty-two documents met the inclusion criteria for this review. Of these, 24 (38.7%) were exclusively related to road injuries, 11 (17.7%) to occupational injuries, 6 (9.7%) to injuries in the home and 5 (8.1%) to injuries at school; 30 (48.4%) documents included text related to the first response to injuries. Of 127 strategic recommendations by WHO that provided an area for policy or legislative focus, 21 (16.5%) were considered adequately met by Nepali policy and legislation, 43 (33.9%) were considered partially met and 63 (49.6%) were not met.

conclusionWe drew five conclusions from this critical policy review, which we have related to recommendations as follows: widening the scope of legislation and policy for injury prevention to emphasize injuries occurring at home or school; addressing the causes of injuries and promoting proven preventive measures; greater clarity on both individual and institutional roles and responsibilities; trustworthy data and quality evidence to inform decision-making; and financial investment and capacity-strengthening for injury prevention and first response. The current system of federal governance in Nepal has potential for strengthening injury prevention and first response at the central, provincial and local levels.

Indexed as

PolicyHumansNepalFirst responseInjury preventionLaw implementationLegislationNational policiesNepal

Identifiers

PMID33853626
PMCPMC8045995

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.