NepMed Repository :: Browsing by Author "Subedi, Madhusudan"

Browsing by Author "Subedi, Madhusudan"

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Community-Level Screening and Referral Guidelines for Major Non-Communicable Diseases at Primary Healthcare Settings: From Development to Application at the Multi-site ‘NCDs Mega-Campaign 2024’ in Kathmandu Metropolitan City, Nepal
(Nepal Medical Association, 2025) Malla, Milan; Nepal, Richa; Regmi, Sushant; Neupane, Deewash; Shrestha, Dhanendra; Bhandari, Saugat; Subedi, Madhusudan
Abstract Non-communicable diseases (NCDs), mainly cardiovascular conditions like hypertension, diabetes, and chronic kidney disease (CKD) are the major causes of morbidities and mortalities worldwide, with lower- and middle-income countries (LMICs) bearing the highest burden. As the UN 25*25 targets near their final year and the Sustainable Development Goals approach their last trimester, NCD cases continue to rise, leaving a significant undiagnosed population submerged in the communities and households. In Nepal, a few initiatives have been made at the health-facility level over the past decade. However, they lack people-centric strategies and community-focused intervention with appropriate working guidelines. This article outlines the three-phase development of a community-level screening program in Kathmandu Metropolitan City, providing structured guidelines for health workers to screen and appropriately refer cases of hypertension, diabetes, and CKD, implemented during the large-scale community-based campaigns across 256 sites in Kathmandu Metropolitan in 2024.
Job Satisfaction among Medical Doctors in Nepal: A Descriptive Cross-sectional Study
(Nepal Medical Association, 2024) Gyawali, Jeevan; Mishra, Kritika; Chauhan, Bhim; Dahal, Agnimshwor; Lamichhane, Binita; Shrestha, Bijaya; Rijal, Nejina; Sapkota, Bishrut; Sah, Ajit Kumar; Shah, Sneha; Subedi, Madhusudan
Abstract Introduction: Job satisfaction is an attitudinal variable representing the extent to which people like or dislike their jobs. It is a critical factor influencing healthcare quality, patient outcomes, and overall well-being in medical professionals. This study aimed to determine Job Satisfaction among medical doctors in Nepal. Methods: A descriptive cross-sectional study was conducted among medical doctors of Nepal between June 2023 and August 2023 after obtaining ethical approval from the Ethical Review Board of Nepal Health Research Council. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 380 participants, 63 (16.58%) (12.84-20.32 at 95% Confidence Interval) expressed satisfaction. The number of satisfied participants above 40 years were 10 (16%) and less than 40 years were 53 (84%). Out of 63, 46 (73.02%) were male and 17 (26.98%) were females. Conclusions: Job satisfaction among doctors practicing in Nepal was found to be lower than the studies conducted in similar settings.
Lived Experiences of Chronic Kidney Disease Patients undergoing Haemodialysis in a Tertiary Hospital of Nepal
(Nepal Health Research Council, 2024) Sah, Bimala Kumari; Khan, Imran; Dhungana, Ashesh; Subedi, Madhusudan; Dhital, Rolina
Background: Chronic kidney disease (CKD) poses significant global health challenges, including in Nepal, where the increasing need for hemodialysis are influencing patient’s daily life. This study aimed to explore lived experiences of CKD patients undergoing hemodialysis. Methods: A qualitative, phenomenological research design was employed. In-depth interviews were conducted with 13 hemodialysis patients at Bir Hospital from December, 2023 to January, 2024. Analysis followed Colaizzi’s method, ensuring data quality through established credibility and transferability measures. Results: Four major themes emerged: (i) Journey to receive hemodialysis (ii) Financial Constraints (iii) Psychosocial support (iv) Seeking for special health services. Patients perceived hemodialysis as a hope for existence but faced financial troubles and inadequate special and psychosocial support. Conclusions: The lived experiences of the patients reflected both hope and challenges highlighting the need for improved health services and counseling in hemodialysis wards, along with enhanced governance in the healthcare system. Keywords: Chronic kidney disease; hemodialysis; lived experience; pilot; qualitative.
Nepal Health Conclave 2024: Coordinating Diaspora for Healthcare Strengthening
(Nepal Medical Association, 2025) Subedi, Madhusudan

Browsing by Author "Subedi, Madhusudan"

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