ArticleBMJ open2023
Readiness of health facilities to provide services related to non-communicable diseases in Nepal: evidence from nationally representative Nepal Health Facility Survey 2021.
Article in BMJ open, 2023. 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 14 papers.
What it found
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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
14 citing papers in PubMed, 8 citations in OpenAlex.
- What happens when public primary care is ill-prepared to respond to non-communicable diseases: a mixed-method study of diabetes and hypertension care in urban Nepal.Journal of global health · 2026Article
- Visual Identity, Social Branding, and Advocacy: Development of the PEN-Plus Logo for Severe Non-Communicable Disease Care in Nepal.Public health challenges · 2026Article
- Readiness of Zanzibar's public health facilities to deliver NCD services: a cross-sectional survey toward UHC.Scientific reports · 2026Article
- The readiness of primary healthcare facilities to address non-communicable diseases in rural Bangladesh.BMC health services research · 2026Article
- Bringing severe non-communicable disease care to district-level hospitals in Nepal: PEN-Plus experience and regional policy implications.BMJ global health · 2026Article
- Primary healthcare system readiness for the prevention and management of non-communicable diseases in Nepal.Discover public health · 2026Article
- The prevalence and associated factors of uncontrolled blood pressure in a rural community of Nepal: A cross-sectional 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
- Bayesian analysis of non-communicable diseases risk factors: a focus on the lower-educated population in Bangladesh.International health · 2025Article
- Health service readiness and quality for sick child care: an effective coverage analysis in eight low- and middle-income countries.Journal of global health · 2025Article
- Article
- A quantitative assessment of current practice in diabetes and hypertension services in pharmacies in urban Nepal.PloS one · 2025Article
- Article
- Trends and determinants of clustering for non-communicable disease risk factors in women of reproductive age in Nepal.PloS one · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the readiness of public and private health facilities (HFs) in delivering services related to non-communicable diseases (NCDs) in Nepal.
methodsWe analysed data from nationally representative Nepal Health Facility Survey 2021 to determine the readiness of HFs for cardiovascular diseases (CVDs), diabetes mellitus (DM), chronic respiratory diseases (CRDs) and mental health (MH)-related services using Service Availability and Readiness Assessment Manual of the WHO. Readiness score was measured as the average availability of tracer items in per cent, and HFs were considered 'ready' for NCDs management if they scored ≥70 (out of 100). We performed weighted univariate and multivariable logistic regression to determine the association of HFs readiness with province, type of HFs, ecological region, quality assurance activities, external supervision, client's opinion review and frequency of meetings in HFs.
resultsThe overall mean readiness score of HFs offering CRDs, CVDs, DM and MH-related services was 32.6, 38.0, 38.4 and 24.0, respectively. Guidelines and staff training domain had the lowest readiness score, whereas essential equipment and supplies domain had the highest readiness score for each of the NCD-related services. A total of 2.3%, 3.8%, 3.6% and 3.3% HFs were ready to deliver CRDs, CVDs, DM and MH-related services, respectively. HFs managed by local level were less likely to be ready to provide all NCD-related services compared with federal/provincial hospitals. HFs with external supervision were more likely to be ready to provide CRDs and DM-related services and HFs reviewing client's opinions were more likely to be ready to provide CRDs, CVDs and DM-related services.
conclusionReadiness of the HFs managed by local level to provide CVDs, DM, CRDs and MH-related services was relatively poor compared with federal/provincial hospitals. Prioritisation of policies to reduce the gaps in readiness and capacity strengthening of the local HFs is essential for improving their overall readiness to provide NCD-related services.
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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.