Browsing by Author "Shrestha, Ashis"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Publication Responding to a Hazardous Materials Incident in Nepal(Nepal Medical Association, 2025) Phuyal, Naveen; Shrestha, AshisAbstract Paper talks about hazardous materials incidents in Nepal that threaten health, safety and the environment. Rapid urbanisation and industrial growth have made chemical, biological, radiological and nuclear emergencies more likely, but there is still not a clear national plan or complete chemical inventory, leaving the health sector unprepared. Emergency responders rely on the Emergency Response Guidebook and the Wireless Information System for Emergency Responders, but many are not aware of these tools or trained to use them. The Nepalese Army has a dedicated chemical, biological, radiological and nuclear platoon, yet hospitals still lack decontamination protocols, equipment and trained staff. Coordination between agencies is weak, resources are limited and exercises are rare. It feels like the pieces do not fit together. We suggest developing national guidelines aligned with international standards, forming dedicated response teams, running regular training sessions and including chemical incident plans in hospital disaster plans to improve preparedness .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.Publication Violence in Healthcare: Legal Measures, Systemic Challenges, and Collective Accountability(Nepal Medical Association, 2024) Shrestha, Ashis