Browsing by Author "Poudel, Lisasha"
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Publication Academic Stress among Adolescents of Rural Nepal: A Community-based Cross-Sectional Study(Nepal Health Research Council, 2023) Pant, Suman; Rajbhandari, Bibek; Gurung, Minani; Poudel, Lisasha; Maharjan, Ashmita; Nepal, Sujita; Thapa, Tek Bahadur; Malla, Nabina; Lama, Tashi; Sharma, Dikshya; Gurung, Chandani; Parajuli, Yubraj; Panta, NiranjanAbstract Background: Adolescents are in the transition phase between childhood and adulthood. Their mental health influences many aspects in their life as they go through many physical and emotional changes. Adolescent mental health is harmed by changes in emotional and physical state, as well as increased academic pressure. This study aimed to assess academic stress and its associated factors among adolescents in rural Nepal. Methods: A community-based cross-sectional survey was conducted among 424 adolescents residing in Karnali Province, Nepal. Academic stress was measured using Student Assessing Academic Stress. Multivariate logistic regression analysis was used to examine associated factors at the significance level of 0.05. Results: Of the total students, 19.8% had moderate academic stress and 2.4% of them had high academic stress. Female students had thrice higher odds of having academic stress as compared to male students (Adjusted Odds Ratio:3.47; 95% Confidence Interval:1.91to 6.31, p-value:<0.001). Grade 10 students had higher odds of having academic stress as compared to grade 9 (Adjusted Odds Ratio:2.02; 95% Confidence Interval:1.13 to 3.61, p-value:0.017). Students of literate mothers were more likely to experience academic stress than those with illiterate mothers (Adjusted Odds Ratio:0.53; 95% Confidence Interval:0.29 to 0.96, p-value:0.036). Students with unsatisfactory academic performance had thrice higher odds of having academic stress as compared to students with satisfactory academic performance (Adjusted Odds Ratio:3.12; 95% Confidence Interval:1.46 to 6.67, p-value:<0.003). Conclusions: The findings of the study showed that high school students have academic stress, which is related to many factors at home and school. Understanding academic stress and parents and teachers providing the best support to the students could help lessen the burden. Keywords: Academic stress; adolescents; Nepal; prevalencePublication Antihypertensive Medication Adherence and Associated Factors among Hypertensive Patients(Nepal Health Research Council, 2025) Baral, Phanindra; Poudel, Lisasha; Bista, Bihunghum; Mali, Sushmita; Baral, Niraj; Shrestha, ArchanaBackground: Hypertension is a significant public health concern in Nepal, particularly in rural areas with limited healthcare access. Adherence to antihypertensive medication is critical for adequate blood pressure control and reducing cardiovascular complications. This study aims to assess medication adherence among hypertensive patients and identify associated factors. Methods: A descriptive cross-sectional study was conducted in Namobuddha Municipality, Nepal. A total of 2,024 individuals aged 30 years and older were screened, of which 1,008 were identified as hypertensive. After applying the eligibility criteria, 478 participants were included in the final analysis. Medication adherence was assessed using the Hill-Bone Compliance to High Blood Pressure Therapy (HBCHBPT) Scale. Data were collected through face-to-face interviews using standardized questionnaires and analyzed using STATA version 17. Multivariate linear regression was performed to determine factors influencing adherence. Results: Among 478 participants, the mean age was 62.12 years, with 55.86% being female. Most participants (91.63%) were on a single antihypertensive medication, and 57.11% had uncontrolled hypertension. The mean medication adherence score was 34.57 ± 1.90. In multivariate analysis, higher hypertension knowledge scores were significantly associated with better medication adherence (? = 0.07, 95% CI: 0.01, 0.13, p = 0.03). Other factors, including age, gender, education, ethnicity, marital status, smoking, alcohol use, physical activity, and social support, were not significantly associated with adherence. Conclusions: The study found that medication adherence among hypertensive patients was suboptimal, with a significant proportion having uncontrolled blood pressure. Higher hypertension knowledge was associated with better adherence, highlighting the importance of patient education. Strengthening educational interventions and counseling strategies may improve adherence and, consequently, hypertension control. Keywords: Antihypertensive drugs; blood pressure control; hypertension; medication adherence; rural Nepal.Publication Depression among Elderly of Chhayanath Rara Municipality, Mugu, Nepal: An Observational Study(Nepal Medical Association, 2025) Malla, Nabina; Poudel, Lisasha; Pokhrel, Sushma; Chaudhary, Vidya; Mali, PrajitaAbstract Introduction: Depression is an important public health issue responsible for considerable morbidity and mortality among elderly. There were very few studies related with depression among elderly from rural community of Nepal. The objectives were to assess depression among elderly in Chhayanath Rara municipality. Methods: An observational cross-section study was conducted among 387 elderly through face-to-face interviews by using Geriatric Depression Scale-short scale (GSD 15) in a municipality of Nepal. Ethical Approval was taken from Institutional Review Committee (Reference Number: 079/80-015 ). Data were entered and analyzed into SPSS version 20. Descriptive statistics was employed to assess the prevalence of elderly depression. Results: The prevalence of depression among elderly was found to be 282 (72.87%; 95% CI: 68.44-77.30). Of those, 124 (32.04%) experienced mild depression, 115 (29.72%) had moderate depression, and 43 (11.11%) suffered from severe depression. Conclusions: The prevalence of depression in elderly was found higher compared to previous studies and other population.Publication Evaluation of Self-vision Assessment Charts in Schools of Eastern Nepal: A Multi Method Study(Nepal Medical Association, 2024) Shrestha, Archana; Thakur, Sudhir Kumar; Roshan, Abhishek; Singh, Sanjay Kumar; Pokhrel, Archana; Bohara, Apekshya; Poudel, Lisasha; Thakur, Chanda; Adhikari, Asmita; Timsina, Priyanka; Acharya, Yunika; Karn, Rajiv RanjanAbstract Introduction: Globally, over two billion people suffer from vision impairment, almost half preventable. In Nepal, the Eastern Regional Eye Care Program introduced self-vision assessment charts in 137 schools for early eye issue detection. This study assessed the charts' use and perceived impact. Methods: A multi-method study was conducted to evaluate the use of self-vision assessment charts in schools in Eastern Nepal. Ethical approval was obtained from Institutional Review Board (Refrence number: 72-079-040). Quantitative data were collected through a questionnaire survey. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed using framework analysis. Both methods were integrated to enhance understanding of participants' experiences. Results: In this study, 400 students participated in questionnaire survey, 180 in self vision assessment, and 16 teachers in in-depth interviews. Among the participants, 198 (49.50%) of students used the chart, 125 (65.78%) expressed satisfaction, 241 (60.25%) found it useful, 276 (69%) as beneficial, and 253 (63.25%) stated improved health. There were 93 (23.25%) students who felt knowledgeable about its use, with 18 (10%) using it correctly. In 162 (90%) of schools there were adequate chart placement, 23 (12.77%) provided clear signage for viewing points. Teachers recognized the chart's benefits and encouraged its use, but students lacked awareness. Regular use was viewed as beneficial for early detection of eye issues, though challenges included a need for more awareness among students and teachers and reliance on home remedies. Conclusions: Most students and teachers acknowledged self-vision assessment charts’ benefits but had low utilization and accuracy rates. Strategic interventions such as regular informational sessions, teacher motivation, and engagement with eye health experts are essential.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.