Publication: A National Equity Initiative to Address Noncommunicable Diseases and Injuries: Findings and Recommendation from the Nepal NCDI Poverty Commission
| creativeworkseries.issn | 1812-2027 | |
| dc.contributor.author | Koirala, B | |
| dc.contributor.author | Adhikari, SR | |
| dc.contributor.author | Shrestha, A | |
| dc.contributor.author | Vaidya, A | |
| dc.contributor.author | Aryal, KK | |
| dc.contributor.author | Kalaunee, SP | |
| dc.contributor.author | Shrestha, A | |
| dc.contributor.author | Mishra, SR | |
| dc.contributor.author | Sharma SK | |
| dc.contributor.author | Karki, A | |
| dc.contributor.author | Maharjan, B | |
| dc.contributor.author | Singh, S | |
| dc.contributor.author | Schwarz, D | |
| dc.contributor.author | Gupta, N | |
| dc.contributor.author | Bukhman, G | |
| dc.contributor.author | Karmacharya, BM | |
| dc.date.accessioned | 2025-12-26T09:14:57Z | |
| dc.date.available | 2025-12-26T09:14:57Z | |
| dc.date.issued | 2022 | |
| dc.description | Koirala B,1,10 Adhikari SR,2 Shrestha A,3 Vaidya A,4 Aryal KK,5 Kalaunee SP,6 Shrestha A,3 Mishra SR,7 Sharma SK,8 Karki A,9 Maharjan B,10 Singh S,10 Schwarz D,11 Gupta N,12 Bukhman G,12 Karmacharya BM3 1,10Tribhuvan University, Institute of Medicine Department of Cardiothoracic and Vascular Surgery,Maharajgunj, Kathmandu 2Tribhuvan University Faculty of Humanities and Social Sciences, Central Department of Economics, Kritipur, Kathmandu 3Dhulikhel Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre 4Kathmandu Medical College and Teaching Hospital, Department of Community Medicine, Sinamangal Kathmandu 5Bergen Center for Ethics and Priority Setting in Health Department of Global Public Health and Primary Care University of Bergen 6Nyaya Health Nepal, Tripureshwor, Kathmandu 7Nepal Development Society, Chitwan, Nepal 8B.P. Koirala Institute of Health Sciences, Dharan. 9School of Health, Medical and Applied Sciences Central Queensland University 10Kathmandu Institute of Child Health, Budhanilkantha Kathmandu 11Brigham and Women’s Hospital, Division of Global Health Equity; Harvard Medical School, Department of Medicine 12Center for Integration Science, Brigham and Women’s Hospital; Program in Global NCDs and Social Change Harvard Medical School; NCD Synergies Project Partners In Health; NCDI Poverty Network, Boston USA | |
| dc.description.abstract | ABSTRACT We aimed to assess the burden of NCDIs across socioeconomic groups, their economic impact, existing health service readiness and availability, current policy frameworks and national investment, and planned programmatic initiatives in Nepal through a comprehensive literature review. Secondary data from Global Burden of Disease estimates from GBD 2015 and National Living Standard Survey 2011 were used to estimate the burden of NCDI and present the relationship of NCDI burden with socioeconomic status. The Commission used these data to define priority NCDI conditions and recommend potential cost-effective, poverty-averting, and equity-promoting health system interventions. NCDIs disproportionately affect the health and well-being of poorer populations in Nepal and cause significant impoverishment. The Commission found a high diversity of NCDIs in Nepal, with approximately 60% of the morbidity and mortality caused by NCDIs without primary quantified behavioral or metabolic risk factors, and nearly half of all NCDI-related DALYs occurring in Nepalese younger than 40 years. The Commission prioritized an expanded set of twenty-five NCDI conditions and recommended introduction or scale-up of twenty-three evidence-based health sector interventions. Implementation of these interventions would avert an estimated 9680 premature deaths per annum by 2030 and would cost approximately $8.76 per capita. The Commission modelled potential financing mechanisms, including increased excise taxation on tobacco, alcohol, and sugar-sweetened beverages, which would provide significant revenue for NCDI-related expenditures. Overall, the Commission’s conclusions are expected to be a valuable contribution to equitable NCDI planning in Nepal and similar resource-constrained settings globally. KEY WORDS NCDI Poverty Commission, Noncommunicable diseases and injuries | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/3889 | |
| dc.language.iso | en_US | |
| dc.publisher | Kathmandu University | |
| dc.subject | NCDI Poverty Commission | |
| dc.subject | Noncommunicable diseases and injuries | |
| dc.title | A National Equity Initiative to Address Noncommunicable Diseases and Injuries: Findings and Recommendation from the Nepal NCDI Poverty Commission | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Short Communication | |
| oaire.citation.endPage | 383 | |
| oaire.citation.startPage | 376 | |
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