Publication:
Needs Assessment of Leadership and Governance in Cardiovascular Health in Nepal

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creativeworkseries.issn1812-2027
dc.contributor.authorPradhan, PMS
dc.contributor.authorBhatt, RD
dc.contributor.authorPandit, R
dc.contributor.authorShrestha, A
dc.contributor.authorMaharjan, R
dc.contributor.authorJha, N
dc.contributor.authorBajracharya, S
dc.contributor.authorShrestha, S
dc.contributor.authorKoju, RP
dc.contributor.authorKarmacharya, BM
dc.date.accessioned2025-12-19T06:08:27Z
dc.date.available2025-12-19T06:08:27Z
dc.date.issued2021
dc.descriptionPradhan PMS,1-3 Bhatt RD,3-5 Pandit R,3,6 Shrestha A,7-10 Maharjan R,3,7,11 Jha N,7 Bajracharya S,7 Shrestha S,7 Koju RP,12,13 Karmacharya BM7,8 1Department of Community Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Nepal. 2Nepalese Society of Community Medicine. 3Fellow, CVD Translational Research Program, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal. 4Wuhan University, Faculty of Medical Sciences, School of Health Sciences, Wuhan, China. 5Department of Biochemistry, Kathmandu University School of Medical Sciences, Nepal. 6Department of Physiology, Nepal Medical College and Teaching Hospital, Nepal. 7Department of Community Programs, Dhulikhel Hospital-Kathmandu University Hospital, Dhulikhel, Nepal. 8Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal. 9Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, USA. 10Institute for Implementation Science and Health, Kathmandu, Nepal. 11Department of Nursing and Midwifery, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal. 12Dean, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre. 13Department of Internal Medicine, Dhulikhel Hospital-Kathmandu University Hospital, Dhulikhel, Kavre.
dc.description.abstractABSTRACT Background Good governance and leadership are essential to improve healthy life expectancy particularly in low and middle-income countries (LMICs). This study aimed to epitomize the challenges and opportunities for leadership and good governance for the health system to address non-communicable diseases particularly cardiovascular diseases (CVD) in Nepal. Objective The objective of this study was to understand and document CVD programs and policy formulation processes and to identify the government capacity to engage stakeholders for planning and implementation purposes. Method A national-level task force was formed to coordinate and steer the overall need assessment process. A qualitative study design was adopted using “The Health System Assessment Approach”. Eighteen indicators under six topical areas in leadership and governance in cardiovascular health were assessed using desk review and key informant interviews. Result Voice and accountability exist in planning for health from the local level. The government has shown a strong willingness and has a strategy to work together with the private and non-government sectors in health however, the coordination has not been effective. There are strong rules in place for regulatory quality, control of corruption, and maintaining financial transparency. The government frequently relies on evidence generated from large-scale surveys for health policy formulation and planning but research in cardiovascular health has been minimum. There is a scarcity of cardiovascular disease-specific protocols. Conclusion Despite plenty of opportunities, much homework is needed to improve leadership and governance in cardiovascular health in Nepal. The government needs to designate a workforce for specific programs to help monitor the enforcement of health sector regulations, allocate enough funding to encourage CVD research, and work towards developing CVD-specific guidelines, protocols, and capacity building. KEY WORDS Cardiovascular diseases, Governance, Leadership, Needs assessment, Nepal
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3715
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectCardiovascular diseases
dc.subjectGovernance
dc.subjectLeadership
dc.subjectNeeds assessment
dc.subjectNepal
dc.titleNeeds Assessment of Leadership and Governance in Cardiovascular Health in Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage39
oaire.citation.startPage30
relation.isJournalIssueOfPublicationdc065c14-b665-4d54-8d87-128bc90a8422
relation.isJournalIssueOfPublication.latestForDiscoverydc065c14-b665-4d54-8d87-128bc90a8422
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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