Browsing by Author "Chand, Amit"
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Publication Prevalence and Perceptions of Dietary Supplement Use Among Nepalese Gym-Users(Nepal Medical Association, 2025) Yadav, Yoveen Kumar; Sapkota, Niraj; Jha, Rahul; Chand, Amit; Pathak, Kunal; Thakur, Garima; Kunwar, SunilAbstract Introduction: Dietary supplements are widely used by gym-goers to enhance physical appearance and performance, but their inappropriate use poses potential health risks. This study aimed to assess the patterns, motivations, and knowledge of dietary supplement use among gym users in the Lamjung District of Nepal. Methods: This was an observational cross-section study conducted from December 16, 2020, to January 13, 2021, among 214 gym users. Data were collected using a structured questionnaire based on the Health Belief Model (HBM) framework. Descriptive statistics were used to analyze the data. Results: Among 214 gym users surveyed, 70 (32.71%) reported consuming dietary supplements.Protein and amino acids were used by 49 (70%) of the supplement consumers. The primary motivation for supplement use was muscle mass enhancement 62 (88.57%), followed by increasing strength and power 46 (65.71%). Peers influenced 48 (68.57%) of users, while advertisements had minimal influence 3 (4.29%). Knowledge about supplements showed, 141 (65.89%) believing supplements could contribute to cancer and 126 (58.88%) agreeing that Nepal lacks effective quality control for these products. Conclusions: Many gym users in Nepal, mostly male students aged 23–28, take dietary supplements—mainly proteins and amino acids—to boost muscle mass, often influenced by peers. The findings reveal gym users perceive high benefits but low health risks from supplements, with peer influence outweighing expert guidance.Publication Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study(Nepal Medical Association, 2025) Shrestha, Ashis; Poudel, Lisasha; Tikhatri, Dipesh; Regmi, Sushant; Jha, Jay Bhushan; Baniya, Shreya; Phuyal, Mandish Prasad; Prasai, Akanshya; Kunwar, Sunil; Chand, Amit; Karki, Prakriti; Tamrakar, Nurusha; Sapkota, Ritu; Yadav,k RamanAbstract Introduction: The National Health Summit is a policy discussion platform that advocates the policy statement stated by National Health Policy 2019 which results in a set of declarations to address issues in the health system. This study’s objective is to monitor the extent of declaration’s implementation, its facilitators-barriers, and to formulate recommendation for future National Health Summit declarations and implementation strategies. Methods: This is a qualitative study conducted by Nepal Medical Association. in November-December 2024. Ethical approval from Nepal Health Research Council, Ethical Review Board (Reference number: 1069). The study was designed using the Realistic Evaluation Framework to look into the “context” which are the external factors impacting implementation of the declarations, the “mechanism” which are key elements facilitating or hindering policy changes, and the “outcome” which were the tangible results of NHS declarations. Results: Review and analysis of the participant responses identified policy influene and advocacy as contexts. The mechanisms identified were political and bureaucratic challenges, collaboration, finaicial hurdles, commitment, accountability, leadership, evidence based practices. The outcome discussed were health system strengthening, health workforce, governance, innovation, advocacy and digaital transformations. Conclusions: Implementation of declaration is challenging, with fragmentation as major health issues, however, continuous advocacy has had a synergistic effect in implementation and prioritization of the policy.