Evidence map›Paper›PMID 42125203›Full record

ArticlePublic health challenges2026

Visual Identity, Social Branding, and Advocacy: Development of the PEN-Plus Logo for Severe Non-Communicable Disease Care in Nepal.

Dhurba Khatri, Shishir Paudel, Yamuna Chhetri, Bhakta Bahadur K C, Rudra Prakash Hada, Sheela Shrestha, Leela Khanal, Sandeepa Karki

Abstract read
In one paragraph

Article in Public health challenges, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Dhurba KhatriKathmandu Institute of Child Health (KIOCH) Kathmandu Nepal.ORCID https://orcid.org/0000-0001-5244-5536
Shishir PaudelKathmandu Institute of Child Health (KIOCH) Kathmandu Nepal.ORCID https://orcid.org/0000-0003-3077-6697
Yamuna ChhetriKathmandu Institute of Child Health (KIOCH) Kathmandu Nepal.ORCID https://orcid.org/0009-0005-5534-4876
Bhakta Bahadur K CMinistry of Health and Population Kathmandu Nepal.ORCID https://orcid.org/0000-0002-3306-2940
Rudra Prakash HadaKathmandu Institute of Child Health (KIOCH) Kathmandu Nepal.
Sheela ShresthaNational Health Education, Information and Communication Center Kathmandu Nepal.
Leela KhanalIndependent Researcher Kathmandu Nepal.
Sandeepa KarkiKathmandu Institute of Child Health (KIOCH) Kathmandu Nepal.ORCID https://orcid.org/0000-0002-2076-5604

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-communicable diseases (NCDs), such as type 1 diabetes, rheumatic heart disease, and sickle cell disease, impose significant health and social burdens in Nepal, particularly among children and young adults. To strengthen visibility, reduce NCD-related stigma, and foster engagement with the PEN-Plus program, a participatory design process was adopted to develop a national logo. This article outlines and critically reflects on the rationale, participatory development process, and symbolism behind the PEN-Plus Nepal logo, situating it within the broader field of health communication and social branding. Drawing on behavioral science theories and participatory design principles, the PEN-Plus logo was co-created with patients, health workers, government representatives, and communication experts. Ministry of Health and Population, National Health Education, Information and Communication Center officially endorsed the PEN-Plus logo, which now serves as a unifying symbol to raise awareness, foster community ownership, and support long-term advocacy for equitable severe NCD care in Nepal.

Identifiers

PMID42125203
PMCPMC13159710

What OpenQuestion holds

Textmetadata
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.