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Medical Products for Cardiovascular Disease Management in Nepal: a needs assessment study

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creativeworkseries.issn1812-2027
dc.contributor.authorSapkota, S
dc.contributor.authorShrestha, S
dc.contributor.authorBista, D
dc.contributor.authorShrestha, A
dc.contributor.authorMaharjan, R
dc.contributor.authorBajracharya, S
dc.contributor.authorJha, N
dc.contributor.authorKoju, RP
dc.contributor.authorShrestha, R
dc.date.accessioned2025-12-19T05:56:31Z
dc.date.available2025-12-19T05:56:31Z
dc.date.issued2021
dc.descriptionSapkota S,1-3 Shrestha S,4 Bista D,3,5 Shrestha A,4,6-8 Maharjan R,2,4,9 Bajracharya S,4 Jha N,4 Koju RP,10,11 Shrestha R12,13 1Research Division, Manmohan Memorial Institute of Health Sciences, Soalteemod, Kathmandu, Nepal. 2Department of Pharmacy, Manmohan Memorial Institute of Health Sciences, Soalteemode, Kathmandu, Nepal. 3Fellow, CVD Translational Research Program, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal. 4Department of Community Programs, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchowk, Nepal. 5Department of Pharmacy, Kathmandu University, Dhulikhel, Kavrepalanchowk, Nepal. 6Department of Public Health, Kathmandu University School of Medical Sciences, Kavrepalanchowk, Nepal. 7Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, USA. 8Institute for Implementation Science and Health, Kathmandu, Nepal. 9Department of Nursing and Midwifery, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal. 10Dean, Kathmandu University School of Medical Sciences, Kavrepalanchowk, Nepal. 11Department of Internal Medicine, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchowk, Nepal. 12Department of Pharmacology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal. 13Pharmacovigilance Unit/Research and Development Division, Dhulikhel Hospital- Kathmandu University Hospital, Dhulikhel, Kavre, Nepal
dc.description.abstractABSTRACT Background Medical Products and Technologies is a key component of the health system. Quality medicines and efficient management of the medical products can secure effective cardiovascular diseases management. Objective To collate information and identify strengths, weaknesses, opportunities and threats (SWOT) associated with medical products and technology component for cardiovascular disease management in Nepal. Method This study is a part of a larger rapid assessment of Nepal’s health system for cardiovascular disease management and based on The Health System Assessment Approach: A How-To Manual (USAID). The authors conducted a desk review of documents related to the WHO “medical product and technology” building block component and key informant interviews using a pre-tested interview protocol. The first eight interviews were transcribed verbatim and analysed inductively to generate a codebook; and the remaining, transcribed and deductively coded based on the codebook. Findings were categorised into relevant topical area and SWOT components. Result Nepal has laws and provisions for medicine regulation, pharmacovigilance, post marketing surveillance, registration and licensing provisions for pharmacy industries/ outlets, essential medicine lists and national formulary. These provisions also apply to medicines used for cardiovascular diseases. The challenge however, is the lack of effective implementation and monitoring, due to shortages of technical workforce and state of art information and technologies. Information on pharmaceutical expenditures for cardiovascular disease management is scarce; there are no standard national level guidelines that are consistently used to manage cardiovascular diseases in health facilities. Conclusion There are limited provisions and information on medical products for cardiovascular disease management in Nepal, and a need to strengthen existing provisions for medicine regulations and surveillance. KEY WORDS Cardiovascular Disease, Health System, Medicines, Medical Products, Nepal
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3713
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectCardiovascular Disease
dc.subjectHealth System
dc.subjectMedicines
dc.subjectMedical Products
dc.subjectNepal
dc.titleMedical Products for Cardiovascular Disease Management in Nepal: a needs assessment study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage29
oaire.citation.startPage18
relation.isJournalIssueOfPublicationdc065c14-b665-4d54-8d87-128bc90a8422
relation.isJournalIssueOfPublication.latestForDiscoverydc065c14-b665-4d54-8d87-128bc90a8422
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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