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Sample records for district western nepal

  1. PREVALENCE OF LYMPHATIC FILARIASIS, MALARIA AND SOIL TRANSMITTED HELMINTHIASIS IN A COMMUNITY OF BARDIYA DISTRICT, WESTERN NEPAL.

    PubMed

    Ranjitkar, Samir; Alifrangis, Michael; Adhikari, Madhav; Olsen, Annette; Simonsen, Paul E; Meyrowitsch, Dan Wolf

    2014-11-01

    Lymphatic filariasis (LF), malaria and soil transmitted helminthiasis (STH) cause major health problems in Nepal, but in spite of this very few stud- ies have been carried out on these parasitic infections in Nepal. A cross sectional survey of all three categories of parasitic infections was carried out in Deuda- kala Village of Bardiya District, western Nepal. A total of 510 individuals aged 5 years and above were examined from finger prick blood for circulating filarial antigen (CFA), malaria antigen using a rapid diagnostic test (RDT), and malaria DNA using a PCR-based assay. In addition, 317 individuals were examined for soil-transmitted helminth (STH) eggs by the Kato-Katz technique. Prevalence of LF, malaria (antigen) and STH infection was 25.1%, 0.6% and 18.3%, respectively. PCR analysis did not detect any additional malaria cases. The prevalence of LF and STH infections differ significantly among different age groups and ethnic communities. The high prevalence of LF in the community studied indicates an immediate need for implementing a mass drug administration program for its control in this particular geographical area of Nepal.

  2. Knowledge and Practice on Injection Safety among Primary Health Care Workers in Kaski District, Western Nepal

    PubMed Central

    Gyawali, Sudesh; Rathore, Devendra Singh; Shankar, P Ravi; Kc, Vikash Kumar; Jha, Nisha; Sharma, Damodar

    2016-01-01

    Background Unsafe injection practice can transmit various blood borne infections. The aim of this study was to assess the knowledge and practice of injection safety among injection providers, to obtain information about disposal of injectable devices, and to compare the knowledge and practices of urban and rural injection providers. Methods The study was conducted with injection providers working at primary health care facilities within Kaski district, Nepal. Ninety-six health care workers from 69 primary health care facilities were studied and 132 injection events observed. A semi-structured checklist was used for observing injection practice and a questionnaire for the survey. Respondents were interviewed to complete the questionnaire and obtain possible explanations for certain observed behaviors. Results All injection providers knew of at least one pathogen transmitted through use/re-use of unsterile syringes. Proportion of injection providers naming hepatitis/jaundice as one of the diseases transmitted by unsafe injection practice was significantly higher in urban (75.6%) than in rural (39.2%) area. However, compared to urban respondents (13.3%), a significantly higher proportion of rural respondents (37.3%) named Hepatitis B specifically as one of the diseases transmitted. Median (inter-quartile range) number of therapeutic injection and injectable vaccine administered per day by the injection providers were 2 (1) and 1 (1), respectively. Two handed recapping by injection providers was significantly higher in urban area (33.3%) than in rural areas (21.6%). Most providers were not aware of the post exposure prophylaxis guideline. Conclusion The knowledge of the injection providers about safe injection practice was acceptable. The use of safe injection practice by providers in urban and rural health care facilities was almost similar. The deficiencies noted in the practice must be addressed. PMID:27540325

  3. An Assessment of Monsoon Triggered Landslides in Western Nepal

    NASA Astrophysics Data System (ADS)

    Sudan Acharya, Madhu

    2010-05-01

    Due to heavy monsoon rain, rugged topography and very young mountains, frequent slope failures and soil erosion are very common in Nepal but in most of cases the natural slopes are disturbed by men to construct a road through it and the situation further aggravated by the Monsoon rain. Summer usually tests the disaster response capacity of Nepal, when the monsoons trigger water induced disasters. This year Nepal's Western regions were most severely affected by floods and landslides. Every year, sadly, it is the same story of mostly poor people living in remote villages succumbing to landslides and flooding and those who survive facing hardships brought on by the disaster. The tail end of the monsoon in October has triggered flood and landslides in Nepal which affected a total of 14 districts in the mid and far-west regions, of which Kailali, Bardiya, Banke, Dadeldhura, Accham and Kanchapur district are most affected. The affected areas are geographically scattered and remote, and are therefore difficult to access. In this year (2009), flood and landslides have claimed 62 lives, affecting more than 152,000 individuals from 27,000 families. More than 4,000 families are displaced and are taking shelter in schools, open space and forest areas with no protection from the external elements. In the above context the prevention and mitigation measures for landslides is a great challenge for Nepal. Nepal has been investing its huge amount of resources to stabilize landslides and roadside slope failures, still then it has become unmanageable during Monsoon time. Considering the above facts, an assessment of landslides which were occurred during the Monsoon (July-October 2009), along Khodpe - Jhota - Chainpur road in far western region of Nepal has been carried out based on the field observation of various landslides. The paper presents the causes and mechanisms of failures of different landslides which are mostly triggered by Monsoon rain. It also suggests some low cost

  4. Economic uses of forest plant resources in western Chitwan, Nepal

    PubMed Central

    Dangol, Dharma R.

    2012-01-01

    This paper discusses economic uses of forest plant resources documented from 117 forest plots and neighboring areas of western Chitwan, Nepal. The paper lists information on the plant species (1) that provide valuable food, vegetable and medicinal products that maintain human health and general well-being of the households; (2) that are economically valuable to farmers such as high-grade fodder, useful plants for crop management (e.g., pesticide, compost, green manure); (3) that are used as piscicide (harvest fish from rivers and streams), (4) that provide materials for use in household construction (e.g. building materials, thatch) and tool making; and (5) that have aesthetic value. The access to forest resources is important for many households, especially those living in remote and poor agricultural areas such as Western Chitwan. This paper also highlights the availability of the species wherever possible based upon the field data. PMID:23066332

  5. HIV epidemic in Far-Western Nepal: effect of seasonal labor migration to India

    PubMed Central

    2011-01-01

    Background Because of limited work opportunities in Nepal and the open-border provision between Nepal and India, a seasonal labor migration of males from Far-Western Nepal to India is common. Unsafe sexual activities of these migrants in India, such as frequent visits to brothels, lead to a high HIV prevalence among them and to a potential transmission upon their return home to Nepal. The present study aims to evaluate the role of such seasonal labor-migration to India on HIV transmission in Far-Western Nepal and to assess prevention programs. Methods An HIV epidemic model was developed for a population in Far-Western Nepal. The model was fitted to the data to estimate the back and forth mobility rates of labor-migrants to India, the HIV prevalence among migrants and the HIV transmission rate in Far-Western Nepal. HIV prevalence, new infections, disease deaths and HIV infections recruited from India were calculated. Prevention programs targeting the general population and the migrants were evaluated. Results Without any intervention programs, Far-Western Nepal will have about 7,000 HIV infected individuals returning from India by 2015, and 12,000 labor-migrants living with HIV in India. An increase of condom use among the general population from 39% to 80% will reduce new HIV infections due to sexual activity in Far-Western Nepal from 239 to 77. However, such a program loses its effectiveness due to the recruitment of HIV infections via returning migrants from India. The reduction of prevalence among migrants from 2.2% to 1.1% can bring general prevalence down to 0.4% with only 3,500 recruitments of HIV infections from India. Conclusion Recruitment of HIV infections from India via seasonal labor-migrants is the key factor contributing to the HIV epidemic in Far-Western Nepal. Prevention programs focused on the general population are ineffective. Our finding highlights the urgency of developing prevention programs which reduce the prevalence of HIV among migrants

  6. The use of medicinal plants in the trans-himalayan arid zone of Mustang district, Nepal

    PubMed Central

    2010-01-01

    Background This study documents the use of medicinal plants from the Mustang district of the north-central part of Nepal. Traditional botanical medicine is the primary mode of healthcare for most of the population of this district and traditional Tibetan doctors (Amchi) serve as the local medical experts. Methods Field research was conducted in 27 communities of the Mustang district in Nepal from 2005-2007. We sampled 202 interviewees, using random and snowball sampling techniques. After obtaining prior informed consent, we collected data through semi-structured interviews and participant-observation techniques. Voucher specimens of all cited botanic species were deposited at TUCH in Nepal. Results We recorded the traditional uses of 121 medicinal plant species, belonging to 49 vascular plant and 2 fungal families encompassing 92 genera. These 121 species are employed to treat a total of 116 ailments. We present data on 58 plant species previously unknown for their medicinal uses in the Mustang district. Of the medicinal plants reported, the most common growth form was herbs (73%) followed by shrubs, trees, and climbers. We document that several parts of individual plant species are used as medicine. Plant parts were generally prepared using hot or cold water as the 'solvent', but occasionally remedies were prepared with milk, honey, jaggery, ghee and oil. Amchis recommended different types of medicine including paste, powder, decoction, tablet, pills, infusion, and others through oral, topical, nasal and others routes of administration. Conclusions The traditional pharmacopoeia of the Mustang district incorporates a myriad of diverse botanical flora. Traditional knowledge of the remedies is passed down through oral traditions and dedicated apprenticeships under the tutelage of senior Amchi. Although medicinal plants still play a pivotal role in the primary healthcare of the local people of Mustang, efforts to ensure the conservation and sustainable use of

  7. What Caused the Winter Drought in Western Nepal during Recent Years?

    SciTech Connect

    Wang, S-Y; Yoon, Jin-Ho; Gillies, R.; Cho, Changrae

    2013-11-01

    Western Nepal has experienced consecutive and worsened winter drought conditions since 2000 culminating in a severe drought episode during 2008-2009. In this study, the meteorological conditons and a historical pespective of the winter droughts in western Nepal were analyzed using respectively instumental records and a paleoclimatic drought index. Althought decadal-scale drought conditions were found to be recurrent in the paleoclimate record, the severity of the recent decadal drought (since 2000) clearly stands out in the 700 years of record and, this is suggestive of potential anthropogenic influences in the recent decades. Meteorological diagnosis using atmospheric reanalysis in the recent decades revealed that (1) winter drought in western Nepal is linked to the Arctic Oscillation and its decadal variability, which initiates a tropospheric short-wave train across the Europe, Eurasia and South Asia, and that (2) the persistent warming of the Indian Ocean likely contributes to the suppression of rainfall through enhanced local Hadley circultion. It is therefore conceivable that the recent spells of decadal drought in Nepal drought are symptomatic of both natural variability and anthropogenic influences.

  8. Risk factors for early infant mortality in Sarlahi district, Nepal.

    PubMed Central

    Katz, Joanne; West, Keith P.; Khatry, Subarna K.; Christian, Parul; LeClerq, Steven C.; Pradhan, Elizabeth Kimbrough; Shrestha, Sharada Ram

    2003-01-01

    OBJECTIVES: Early infant mortality has not declined as rapidly as child mortality in many countries. Identification of risk factors for early infant mortality may help inform the design of intervention strategies. METHODS: Over the period 1994-97, 15,469 live-born, singleton infants in rural Nepal were followed to 24 weeks of age to identify risk factors for mortality within 0-7 days, 8-28 days, and 4-24 weeks after the birth. FINDINGS: In multivariate models, maternal and paternal education reduced mortality between 4 and 24 weeks only: odds ratios (OR) 0.28 (95% confidence interval (CI) = 0.12-0.66) and 0.63 (95% CI = 0.44-0.88), respectively. Miscarriage in the previous pregnancy predicted mortality in the first week of life (OR = 1.98, 95% CI = 1.37-2.87), whereas prior child deaths increased the risk of post-neonatal death (OR = 1.85, 95% CI 1.24-2.75). A larger maternal mid-upper arm circumference reduced the risk of infant death during the first week of life (OR = 0.88, 95% CI = 0.81-0.95). Infants of women who did not receive any tetanus vaccinations during pregnancy or who had severe illness during the third trimester were more likely to die in the neonatal period. Maternal mortality was strongly associated with infant mortality (OR = 6.43, 95% CI = 2.35-17.56 at 0-7 days; OR = 11.73, 95% CI = 3.82-36.00 at 8-28 days; and OR = 51.68, 95% CI = 20.26-131.80 at 4-24 weeks). CONCLUSION: Risk factors for early infant mortality varied with the age of the infant. Factors amenable to intervention included efforts aimed at maternal morbidity and mortality and increased arm circumference during pregnancy. PMID:14758431

  9. Community perceptions of unintentional child injuries in Makwanpur district of Nepal: a qualitative study

    PubMed Central

    2014-01-01

    Background In Nepal, childhood unintentional injury is an emerging public health problem but it has not been prioritised on national health agenda. There is lack of literature on community perceptions about child injuries. This study has explored community perceptions about child injuries and how injuries can be prevented. Methods Focus group discussions were conducted with mothers, school students and community health volunteers from urban and rural parts of Makwanpur district in Nepal. FGDs were conducted in Nepali languages. These were recorded, transcribed and translated into English. A theoretical framework was identified and thematic analysis conducted. Results Three focus group discussions, with a total of 27 participants, took place. Participants were able to identify examples of child injuries which took place in their community but these generally related to fatal and severe injuries. Participants identified risk factors such as the child’s age, gender, behaviours and whether they had been supervised. Consequences of injuries such as physical and psychological effects, impact on household budgets and disturbance in household plans were identified. Suggestions were made about culturally appropriate prevention measures, and included; suitable supervision arrangements, separation of hazards and teaching about safety to the parents and children. Conclusion Community members in Nepal can provide useful information about childhood injuries and their prevention but this knowledge is not transferred into action. Understanding community perceptions about injuries and their prevention can contribute to the development of preventive interventions in low income settings. PMID:24886124

  10. Awareness about a national immunization day programme in the Sunsari district of Nepal.

    PubMed Central

    Jha, N.; Pokhrel, S.; Sehgal, R.

    1999-01-01

    The initiative to eradicate poliomyelitis globally by the year 2000 was launched at the Forty-first World Health Assembly in May 1988, when all WHO Member States were challenged to help eradicate poliomyelitis from the world, a gift to the children of the twenty-first century. In Nepal, 100-250 children per year become disabled due to poliomyelitis. The government of Nepal is determined to eradicate the disease from the country by the year 2000 through the National Immunization Day (NID) Programme. Since 1996, about 3.3 million children under 5 years of age have been immunized each year in Nepal. In the present study, we analysed the impact of the campaign in the Sunsari district of Nepal. The study was carried out during the first NID (6 December 1996) to evaluate the local population's awareness of the programme and the impact of the media on such awareness. A total of 843 respondents were interviewed, 39% of whom were illiterate. Two important aspects of the mass campaign (whether a child previously immunized should be immunized again in the NID, and whether children should be brought to the next NID) were clearly understood by the majority of the people (93.1% and 98.8% of the respondents, respectively), although only a small proportion (24.4%) of individuals understood the purpose of the programme. Radio was the single most effective means of providing information, education, and communication about NIDs. The encouraging response, especially from a poor, illiterate rural population, augurs well for the goal of eradicating poliomyelitis from the world. PMID:10444884

  11. The incidence of color blindness among some school children of Pokhara, Western Nepal.

    PubMed

    Niroula, D R; Saha, C G

    2010-03-01

    The incidence of color blindness varies from race to race and different in different geographical area. Since, there is no such report about the prevalence of color blindness in the western part of Nepal, the present study had been conducted to find out the incidence of color blindness among school children of Pokhara city, western Nepal. Participant's (n=964, 474 boys, 490 girls, age group 10 to 19 years) color vision was tested by using Ishihara chart (38 plates). Among 474 boys, 18 boys were color blind with the prevalence of 3.8%. None of girls were found to be color blind. Out of 18 color blind boys, nine, six and three boys were the victims of deuteranopia, deuteranomaly and protanomaly respectively. The incidence of color blindness were more amongst the Darji (14.3%) and Newar (9.1%) ethnic groups.

  12. Poverty, literacy and child labour in Nepal: a district-level analysis.

    PubMed

    Thapa, S; Chhetry, D; Aryal, R H

    1996-09-01

    1991 census data on the prevalence of child labor in the 75 districts of Nepal are analyzed to determine the relationship of poverty and literacy on the prevalence of child labor. The census collected data on labor among children aged 10-14 years as well as upon their duration of work. No data were collected on labor among children aged 5-9 years. Child labor in this analysis refers to children aged 10-14 years gainfully employed for 6 months of longer in exchange for cash or kind. 422,286 (18%) of the country's 2.3 million children aged 10-14 worked at least 6 months during the year preceding the census, while an additional 4.6% worked for less than 6 months. There is a wide variation in the prevalence of child labor in the 75 districts, ranging from 4.5-36.2% among boys and 5.5-79% among girls. Districts with a higher incidence of poverty are associated with a higher percentage of working children, while districts with a lower percentage of literates are associated with a significantly higher level of child labor. Female children are more strongly affected by poverty than males. Intervention programs designed to reduce the level of child labor need to focus upon both reducing poverty and increasing literacy.

  13. Establishing a health demographic surveillance site in Bhaktapur district, Nepal: initial experiences and findings

    PubMed Central

    2012-01-01

    Background A health demographic surveillance system (HDSS) provides longitudinal data regarding health and demography in countries with coverage error and poor quality data on vital registration systems due to lack of public awareness, inadequate legal basis and limited use of data in health planning. The health system in Nepal, a low-income country, does not focus primarily on health registration, and does not conduct regular health data collection. This study aimed to initiate and establish the first HDSS in Nepal. Results We conducted a baseline survey in Jhaukhel and Duwakot, two villages in Bhaktapur district. The study surveyed 2,712 households comprising a total population of 13,669. The sex ratio in the study area was 101 males per 100 females and the average household size was 5. The crude birth and death rates were 9.7 and 3.9/1,000 population/year, respectively. About 11% of births occurred at home, and we found no mortality in infants and children less than 5 years of age. Various health problems were found commonly and some of them include respiratory problems (41.9%); headache, vertigo and dizziness (16.7%); bone and joint pain (14.4%); gastrointestinal problems (13.9%); heart disease, including hypertension (8.8%); accidents and injuries (2.9%); and diabetes mellitus (2.6%). The prevalence of non-communicable disease (NCD) was 4.3% (95% CI: 3.83; 4.86) among individuals older than 30 years. Age-adjusted odds ratios showed that risk factors, such as sex, ethnic group, occupation and education, associated with NCD. Conclusion Our baseline survey demonstrated that it is possible to collect accurate and reliable data in a village setting in Nepal, and this study successfully established an HDSS site. We determined that both maternal and child health are better in the surveillance site compared to the entire country. Risk factors associated with NCDs dominated morbidity and mortality patterns. PMID:22950751

  14. Climate change and adverse health events: community perceptions from the Tanahu district of Nepal

    NASA Astrophysics Data System (ADS)

    Mishra, Shiva Raj; Mani Bhandari, Parash; Issa, Rita; Neupane, Dinesh; Gurung, Swadesh; Khanal, Vishnu

    2015-03-01

    Nepal is a country economically dependent on climate-sensitive industries. It is highly vulnerable to the environmental, social, economic and health impacts of climate change. The objective of this study is to explore community perceptions of climate variability and human health risks. In this letter, we present a cross sectional study conducted between August 2013 and July 2014 in the Tanahu district of Nepal. Our analysis is based on 258 face-to-face interviews with household heads utilizing structured questionnaires. Over half of the respondents (54.7%) had perceived a change in climate, 53.9% had perceived an increase in temperature in the summer and 49.2% had perceived an increase in rainfall during the rainy season. Half of the respondents perceived an increase in the number of diseases during the summer, 46.5% perceived an increase during the rainy season and 48.8% during winter. Only 8.9% of the respondents felt that the government was doing enough to prevent climate change and its impact on their community. Belonging to the Janajati (indigenous) ethnic group, living in a pakki, super-pakki house and belonging to poor or mid-level income were related to higher odds of perceiving climate variability. Illiterates were less likely to perceive climate variability. Respondents living in a pakki house, super-pakki, or those who were poor were more likely to perceive health risks. Illiterates were less likely to perceive health risks.

  15. Universal institutional delivery among mothers in a remote mountain district of Nepal: what are the challenges?

    PubMed Central

    Baral, S. C.; Giri, S.; Kumar, A. M. V.

    2016-01-01

    Setting: Eight village development committees of Mugu District, a remote mountainous district of Nepal that has poor maternal health indicators. Objectives: 1) To assess the proportion of mothers who delivered in health facilities (institutional delivery); 2) among mothers who delivered at home, to understand their reasons for doing so; and 3) among mothers who delivered in health facilities, to understand their challenges. Design: Cross-sectional study involving semi-structured interviews with mothers conducted in 2015. Results: Of 275 mothers, 97 (35%) had an institutional delivery. Multivariate logistic regression analysis showed that women who resided within 1 h distance from the birthing centre, had adequate mass media exposure or had only one child were more likely to deliver in hospital. Reasons for non-institutional delivery (n = 178) were related to geographical access (49%), personal preferences (18%) and perceived poor quality care (4%). Mothers who accessed institutional delivery (n = 97) also reported difficulties related to travel (60%), costs (28%), dysfunctional health system (18%) and unfriendly attitudes of the health-care providers (7%). Conclusion: To improve access to institutional delivery, the government should establish a 24/7 emergency ambulance network, including air ambulance. Health system issues, including unfriendly staff attitudes, urgently need to be addressed to gain the trust of the mothers. PMID:28123966

  16. Universal institutional delivery among mothers in a remote mountain district of Nepal: what are the challenges?

    PubMed

    Joshi, D; Baral, S C; Giri, S; Kumar, A M V

    2016-12-21

    Setting: Eight village development committees of Mugu District, a remote mountainous district of Nepal that has poor maternal health indicators. Objectives: 1) To assess the proportion of mothers who delivered in health facilities (institutional delivery); 2) among mothers who delivered at home, to understand their reasons for doing so; and 3) among mothers who delivered in health facilities, to understand their challenges. Design: Cross-sectional study involving semi-structured interviews with mothers conducted in 2015. Results: Of 275 mothers, 97 (35%) had an institutional delivery. Multivariate logistic regression analysis showed that women who resided within 1 h distance from the birthing centre, had adequate mass media exposure or had only one child were more likely to deliver in hospital. Reasons for non-institutional delivery (n = 178) were related to geographical access (49%), personal preferences (18%) and perceived poor quality care (4%). Mothers who accessed institutional delivery (n = 97) also reported difficulties related to travel (60%), costs (28%), dysfunctional health system (18%) and unfriendly attitudes of the health-care providers (7%). Conclusion: To improve access to institutional delivery, the government should establish a 24/7 emergency ambulance network, including air ambulance. Health system issues, including unfriendly staff attitudes, urgently need to be addressed to gain the trust of the mothers.

  17. Indigenous use and bio-efficacy of medicinal plants in the Rasuwa District, Central Nepal

    PubMed Central

    2010-01-01

    Background By revealing historical and present plant use, ethnobotany contributes to drug discovery and socioeconomic development. Nepal is a natural storehouse of medicinal plants. Although several ethnobotanical studies were conducted in the country, many areas remain unexplored. Furthermore, few studies have compared indigenous plant use with reported phytochemical and pharmacological properties. Methods Ethnopharmacological data was collected in the Rasuwa district of Central Nepal by conducting interviews and focus group discussions with local people. The informant consensus factor (FIC) was calculated in order to estimate use variability of medicinal plants. Bio-efficacy was assessed by comparing indigenous plant use with phytochemical and pharmacological properties determined from a review of the available literature. Criteria were used to identify high priority medicinal plant species. Results A total of 60 medicinal formulations from 56 plant species were documented. Medicinal plants were used to treat various diseases and disorders, with the highest number of species being used for gastro-intestinal problems, followed by fever and headache. Herbs were the primary source of medicinal plants (57% of the species), followed by trees (23%). The average FIC value for all ailment categories was 0.82, indicating a high level of informant agreement compared to similar studies conducted elsewhere. High FIC values were obtained for ophthalmological problems, tooth ache, kidney problems, and menstrual disorders, indicating that the species traditionally used to treat these ailments are worth searching for bioactive compounds: Astilbe rivularis, Berberis asiatica, Hippophae salicifolia, Juniperus recurva, and Swertia multicaulis. A 90% correspondence was found between local plant use and reported plant chemical composition and pharmacological properties for the 30 species for which information was available. Sixteen medicinal plants were ranked as priority species, 13

  18. An ethnobotanical survey of medicinal plants used in Terai forest of western Nepal

    PubMed Central

    2012-01-01

    Background Nepal Himalayas have been known as a rich source for valuable medicinal plants since Vedic periods. Present work is the documentation of indigenous knowledge on plant utilization as natural remedy by the inhabitants of terai forest in Western Nepal. Methods Study was conducted during 2010–2011 following standard ethnobotanical methods. Data about medicinal uses of plants were collected by questionnaire, personal interview and group discussion with pre identified informants. Voucher specimens were collected with the help of informants, processed into herbarium following standard methods, identified with the help of pertinent floras and taxonomic experts, and submitted in Department of Botany, Butwal Multiple Campus, Tribhuvan University, Nepal for future references. Results During the present study 66 medicinal plant species belonging to 37 families and 60 genera has been documented. These plants were used to treat various diseases and ailments grouped under 11 disease categories, with the highest number of species (41) being used for gastro-intestinal disorders, followed by dermatological disorders (34). In the study area the informants’ consensus about usages of medicinal plants ranges from 0.93 to 0.97 with an average value of 0.94. Herbs (53%) were the primary source of medicine, followed by trees (23%). Curcuma longa (84%) and Azadirachta indica (76%) are the most frequently and popularly used medicinal plant species in the study area. Acacia catechu, Bacopa monnieri, Bombax ceiba, Drymaria diandra, Rauvolfia serpentina, and Tribulus terrestris are threatened species which needs to be conserved for future use. Conclusions The high degree of consensus among the informants suggests that current use and knowledge are still strong, and thus the preservation of today's knowledge shows good foresight in acting before much has been lost. The connections between plant use and conservation are also important ones, especially as the authors note that

  19. Epidemiology of Unintentional Child Injuries in the Makwanpur District of Nepal: A Household Survey

    PubMed Central

    Pant, Puspa Raj; Towner, Elizabeth; Ellis, Matthew; Manandhar, Dharma; Pilkington, Paul; Mytton, Julie

    2015-01-01

    Secondary sources of information indicate that the proportion of child deaths due to injuries is increasing in Nepal. This study aimed to describe the epidemiology of unintentional injuries in children, explore risk factors and estimate the burden faced by families and the community in the Makwanpur district. We conducted a household survey in Makwanpur, covering 3441 households. Injuries that occurred during the 12 months before the survey and required treatment or caused the child to be unable to take part in usual activities for three or more days were included. We identified 193 cases of non-fatal unintentional child injuries from 181 households and estimated an annual rate of non-fatal injuries of 24.6/1000 children; rates for boys were double (32.7/1000) that for girls (16.8/1000). The rates were higher among the children of age groups 1–4 years and 5–9 years. Falls were the most common cause of non-fatal child injuries followed by burns in preschool children and road traffic injuries were the most likely cause in adolescence. Mean period of disability following injury was 25 days. The rates and the mechanisms of injury vary by age and gender. Falls and burns are currently the most common mechanisms of injury amongst young children around rural homes. PMID:26633439

  20. Serological and Entomological Study of Dengue in Dang and Chitwan Districts of Nepal

    PubMed Central

    Shrestha, Rojina; Pant, Narayan Dutt; GC, Ganga; Thapa, Srinivas; Neupane, Biswas; Shah, Yogendra; Gautam, Ishan; Pandey, Basu Dev

    2016-01-01

    A descriptive cross-sectional study was carried out among 264 suspected dengue patients in two districts (Dang and Chitwan) of Nepal from June 2013 to November 2013. The anti-dengue IgM positivity was found to be (51/264)19.31% by capture ELISA, of which 21 (41.2%) were male and 30 (58.8%) were female. Symptoms of seropositive cases were fever, anorexia, nausea, headache, retro-orbital pain, skin rashes, and myalgia. Hematological features like thrombocytopenia and leucopenia were found to be significantly associated with the dengue fever (DF). Discarded tires were found as the commonest breeding habitats for the dengue vectors. Higher sero-positivity was recorded from the area having higher Breteau index (BI). The pH, chloride ion concentration and the salinity of the water from breeding habitats were found to be ranging from 6.9±0.82 to 8, 103.33±17.52 mg/L to 140.65 mg/L, and 0.19±0.032 ppt to 0.25 ppt respectively. This study may be helpful for the health authorities and public health workers for early diagnosis of DF and for the improved preventive measures to be adopted in the epidemic and possible epidemic areas. PMID:26828951

  1. Medicinal plants used by the Tamang community in the Makawanpur district of central Nepal

    PubMed Central

    2014-01-01

    Background We can conserve cultural heritage and gain extensive knowledge of plant species with pharmacological potential to cure simple to life-threatening diseases by studying the use of plants in indigenous communities. Therefore, it is important to conduct ethnobotanical studies in indigenous communities and to validate the reported uses of plants by comparing ethnobotanical studies with phytochemical and pharmacological studies. Materials and methods This study was conducted in a Tamang community dwelling in the Makawanpur district of central Nepal. We used semi-structured and structured questionnaires during interviews to collect information. We compared use reports with available phytochemical and pharmacological studies for validation. Results A total of 161 plant species belonging to 86 families and 144 genera to cure 89 human ailments were documented. Although 68 plant species were cited as medicinal in previous studies, 55 different uses described by the Tamang people were not found in any of the compared studies. Traditional uses for 60 plant species were consistent with pharmacological and phytochemical studies. Conclusions The Tamang people in Makawanpur are rich in ethnopharmacological understanding. The present study highlights important medicinal plant species by validating their traditional uses. Different plant species can improve local economies through proper harvesting, adequate management and development of modern techniques to maximize their use. PMID:24410808

  2. Spectral Color Indices Based Geospatial Modeling of Soil Organic Matter in Chitwan District, Nepal

    NASA Astrophysics Data System (ADS)

    Mandal, Umesh K.

    2016-06-01

    Space Technology provides a resourceful-cost effective means to assess soil nutrients essential for soil management plan. Soil organic matter (SOM) is one of valuable controlling productivity of crops by providing nutrient in farming systems. Geospatial modeling of soil organic matter is essential if there is unavailability of soil test laboratories and its strong spatial correlation. In the present analysis, soil organic matter is modeled from satellite image derived spectral color indices. Brightness Index (BI), Coloration Index (CI), Hue Index (HI), Redness Index (RI) and Saturation Index (SI) were calculated by converting DN value to radiance and radiance to reflectance from Thematic Mapper image. Geospatial model was developed by regressing SOM with color indices and producing multiple regression model using stepwise regression technique. The multiple regression equation between SOM and spectral indices was significant with R = 0. 56 at 95% confidence level. The resulting MLR equation was then used for the spatial prediction for the entire study area. Redness Index was found higher significance in estimating the SOM. It was used to predict SOM as auxiliary variables using cokringing spatial interpolation technique. It was tested in seven VDCs of Chitwan district of Nepal using Thematic Mapper remotely sensed data. SOM was found to be measured ranging from 0.15% to 4.75 %, with a mean of 2.24 %. Remotely sensed data derived spectral color indices have the potential as useful auxiliary variables for estimating SOM content to generate soil fertility management plans.

  3. Epidemiology of Unintentional Child Injuries in the Makwanpur District of Nepal: A Household Survey.

    PubMed

    Pant, Puspa Raj; Towner, Elizabeth; Ellis, Matthew; Manandhar, Dharma; Pilkington, Paul; Mytton, Julie

    2015-11-30

    Secondary sources of information indicate that the proportion of child deaths due to injuries is increasing in Nepal. This study aimed to describe the epidemiology of unintentional injuries in children, explore risk factors and estimate the burden faced by families and the community in the Makwanpur district. We conducted a household survey in Makwanpur, covering 3441 households. Injuries that occurred during the 12 months before the survey and required treatment or caused the child to be unable to take part in usual activities for three or more days were included. We identified 193 cases of non-fatal unintentional child injuries from 181 households and estimated an annual rate of non-fatal injuries of 24.6/1000 children; rates for boys were double (32.7/1000) that for girls (16.8/1000). The rates were higher among the children of age groups 1-4 years and 5-9 years. Falls were the most common cause of non-fatal child injuries followed by burns in preschool children and road traffic injuries were the most likely cause in adolescence. Mean period of disability following injury was 25 days. The rates and the mechanisms of injury vary by age and gender. Falls and burns are currently the most common mechanisms of injury amongst young children around rural homes.

  4. The Byanshi: an ethnographic note on a trading group in far western Nepal.

    PubMed

    Manzardo, A E; Dahal, D R; Rai, N K

    1976-09-01

    The Byanshi who live in the district of Darchula are among the lesser known trading groups of Nepal. The Byanshi, close to the borders of Nepal, India, and Tibet, make their living trading wool, yak tails, salt, grain, and other commodities across the Himalayas and over the border into Pithoragarh district and even down into the Terai. The Byanshi live their lives in 2 separate areas. In the summer they live in their traditional homeland in Byana panchayat in the northern section of Darchula, close to Nepal's border with China. The major settlements in the area are Tinkar and Chhangru. The entire panchayat has a population of about 2000. In the winter, when snow makes life difficult in the high mountains, the Byanshi migrate down to Khalanga panchayat. Of greater importance than agriculture is animal husbandry, which is the backbone of trade in the Himalayas. Most important is that husbandry supports trade. The Byanshi social organization is somewhat confusing. An attempt is made to explain the clan structure as simply as possible. Upon the birth of a child the women from the village bring local beer, meat, and other food to the mother. Up to the 11th day after childbirth, the new mother and child are considered to be polluted. On the 8th day after delivery a ceremony known as "malengkho kormo" is performed, where the mother and child are ritually bathed. From this point, both the mother and child may enter the hearth area of their house, but the house itself is considered polluted. On the 11th day, all villagers are invited to attend the ceremony known as "chhyosimo" which purifies the house and the people. The Byanshi practice 3 forms of marriage: marriage by capture; love marriage, a form of elopmement; and the arranged marriage. The latter is becoming most common. Death rituals have always been the most exaggerated and costly ceremonies for the Bayanshi. The religion of the Byanshi combines features of Tibetan Buddhism, hill animism, and Hinduism in a very

  5. Pattern of Pediatric Dermatoses in a Tertiary Care Hospital of Western Nepal

    PubMed Central

    Ranjit, Annu; Pathak, Santosh

    2016-01-01

    Pediatric dermatoses are one of the most common presentations in a dermatology clinic and reflect the health and hygiene status of children. The incidence and severity of these skin lesions are influenced by geographical area, seasonal and cultural factors, and socioeconomic status. This study was done to show the prevalence of different pediatric dermatoses in a tertiary care hospital of Western Nepal. Chart reviews of children aged one day to 17 years, presenting to Universal Medical College Teaching Hospital, Nepal, from 1 September 2014 to 30 august 2015, were done. Descriptive analysis and two-sided chi-square test were done. Among 23992 patients visiting the dermatology outpatient department (OPD), 5398 (22.5%) were of pediatric age groups (male/female: 1.2/1); most of them belonged to young teens and teenagers (n = 3308; 61.3%). Three most common dermatoses were fungal infections (18.5%), eczema (14.4%), and acne (10.1%). Fungal infections (n = 653; 65.4%) and acne (n = 284; 51.9%) were common in males, whereas eczema (n = 402; 51.7%) was more common in females. Fungal infection (P < 0.001), eczema (P < 0.001), pigmentation disorders (P < 0.001), and acne (P < 0.01) were significantly more during summer, while scabies was more in winter (P < 0.001). Dermatophytosis, pyoderma, and warts comprised frequently occurring fungal, bacterial, and viral infections, respectively. PMID:27247564

  6. Late Oligocene high-temperature shear zones in the core of the Higher Himalayan Crystallines (Lower Dolpo, western Nepal)

    NASA Astrophysics Data System (ADS)

    Carosi, R.; Montomoli, C.; Rubatto, D.; Visonã, D.

    2010-08-01

    A high-temperature shear zone, Toijem shear zone, with a top-to-the-SW sense of shear affects the core of the Higher Himalayan Crystallines (HHC) in western Nepal. The shear zone developed during the decompression, in the sillimanite stability field, of rocks that previously underwent relatively high-pressure metamorphism deformed under the kyanite stability field. PT conditions indicate that the footwall experienced higher pressure (˜9 kbar) than the hanging wall (˜7 kbar) and similar temperatures (675°-700°C). Monazite growth constrains the initial activity of the shear zone at 25.8 ± 0.3 Ma, before the onset of the Main Central Thrust zone, whereas the late intrusion of a crosscutting granitic dike at 17 ± 0.2 Ma limits its final activity. Monazites in kyanite-bearing gneisses from the footwall record prograde metamorphism in the HHC from ˜43 to 33 Ma. The new data confirm that exhumation of the HHC started earlier in western Nepal than in other portions of the belt and before the activity of both the South Tibetan Detachment System (STDS) and Main Central Thrust (MCT) zones. As a consequence, western Nepal represents a key area where the channel-flow-driven mechanism of exhumation, supposed to be active from Bhutan to central-eastern Nepal, does terminate. In this area, exhumation of crystalline units occurred by foreland propagation of ductile and, subsequently, brittle deformation.

  7. Expansion of Visceral Leishmaniasis to the Western Hilly Part of Nepal

    PubMed Central

    Pandey, Basu Dev; Pun, Sher Bahadur; Kaneko, Osamu; Pandey, Kishor; Hirayama, Kenji

    2011-01-01

    We report the first case of visceral leishmaniasis (VL) from the non-endemic western hilly region of Nepal. The patient presented with a history of high-grade fever, abdominal distension, anemia, and weight loss. The case was confirmed as VL by microscopical detection of the Leishmania species amastigote in bone marrow aspiration and by a positive result for the rK39 test. The patient was treated with 0.5–1.0 mg/kg of Amphotericin B for 14 days (total of 405 mg), and amastigotes were negative on discharge. Five months later, this patient again developed fever, abdominal distension, and anemia. Clinical and hematological examinations suggested a relapse of VL. The patient was treated with 1 mg/kg of Amphotericin B for 18 days (total of 515 mg) and was clinically improved on discharge. PMID:21212211

  8. Animal production systems of small farms in the Kaski district of Nepal.

    PubMed

    Redding, Laurel; Chetri, Dipesh Kumar; Lamichhane, Dirga Kumar; Chay, Yoon; Aldinger, Lauren; Ferguson, James

    2012-10-01

    The aim of this study was to describe animal production on small farms in the Kaski district of Nepal, with the goal of identifying areas where animal health and productivity could be improved. Eighty-five randomly selected farms from four different Village Development Committees were visited. Farmers were interviewed and premises and animals visually inspected on all farms. Feed samples were collected from a subset of farms. The most commonly kept species were water buffalo (used for milk and meat), cattle (used for milk and labor), and goats (used for meat). Average milk production levels were 4.7 kg/day for water buffalo and 1.9 kg/day for cattle. All animals were milked manually, no calves were weaned, and only one farm practiced artificial insemination. A majority of cattle and goats had access to pasture, and a majority of farms fed their working or producing animals concentrates; however, nutritional input was insufficient in terms of energy, protein, and micronutrient content to increase levels of production. Goat-raising was the most profitable endeavor, followed by water buffalo and cattle. We conclude that animals have the potential to contribute significantly to improved livelihoods of farmers in terms of both income generation and non-tangible benefits. However, we found that significant constraints on animal production exist, including insufficient nutritional levels and a lack of preventative care resulting in animal disease. Furthermore, cultural considerations reflecting attitudes toward cattle shape farming in ways that may limit production. Nevertheless, targeted interventions that improve animal health and productivity are possible without being cost prohibitive.

  9. Knowledge of Maternal and Newborn Care Among Primary Level Health Workers in Kapilvastu District of Nepal

    PubMed Central

    Acharya, D; Paudel, R; Gautam, K; Gautam, S; Upadhyaya, T

    2016-01-01

    Background: Higher maternal and neonatal deaths are common in low- and middle-income countries; due to less access to skilled help. Adequate knowledge and skills on maternal and newborn care (MNC) of community health workers can improve maternal and newborn health. Aims: To identify the knowledge of primary level health workers on some components of MNC. Subjects and Methods: Respondents were selected using simple random sampling method. For collecting the data, enumerators visited health institutions for 2 months from 1st October to 31st November 2012, and structured interview schedule was used to gather the information. A cross-sectional study was conducted in a total of one hundred and thirty-seven primary level health workers in Kapilvastu district, Nepal. The Chi-square test was employed to examine the association between the knowledge of health workers on MNC and designation and work experience. Data were analyzed using SPSS version 17. Results: In a total of 137 primary level health workers, more than half 53.2% (73/137) were senior auxiliary health workers/health assistant. Health workers having correct knowledge on contents of MNC were-registration 32.1% (44/137), major components of antenatal care 57.7% (79/137), danger signs of pregnancy 39.4% (54/137), five cleans 59.1% (81/137), postnatal health problems 54.0% (74/137), majority to health action to newborn care, newborn bath and meaning of exclusive breastfeeding. There was a statistical association between designation of health workers and above-mentioned components of MNC (P < 0.05). Conclusions: The differentials in the knowledge of MNC among primary level health suggest improving knowledge of the grass root level health workers with appropriate training and development programs. PMID:27144073

  10. TRADITIONAL USES OF PLANTS OF COMMONLAND HABITATS IN WESTERN CHITWAN, NEPAL.

    PubMed

    Dangol, D R

    2008-01-01

    This paper is based on the flora data gathered from 138 common land plots as part of a multi-method longitudinal study of the reciprocal relations between population and environment in western Chitwan, Nepal. The paper also describes the uses and availability of different species drawing upon both field data and knowledge of indigenous and local residents in the study area. Land use in western Chitwan is changing rapidly and common land areas have been under much stress due to population increase, whereas the common land areas are valuable to local residents. Both indigenous and new migrant residents in this area use the available plant resources for different purposes which bring economic benefit to the households. Plant species provide valuable food, vegetable and medicinal products that maintain human health and general wellbeing of the household. These plants are also economically valuable to farmers with high quality forage value as well as useful for crop management (e.g., pesticide, compost, green manure). Moreover, some plant species are used as fish poison to harvest fish from rivers and streams. Likewise, the common land areas provide materials for use in house construction (e.g., thatch) and making tools with the potential and viable sites as communal grazing land. It is evident that access and utilization of common land resources are important for many households, especially those in remote and poor agricultural areas such as western Chitwan.

  11. Ethnomedicinal plants used by the people of Manang district, central Nepal

    PubMed Central

    Bhattarai, Shandesh; Chaudhary, Ram P; Taylor, Robin SL

    2006-01-01

    Background The district of Manang (2000 – 6000 m) is located in the Central Himalayas, Nepal. The majority of local inhabitants of the area are Gurungs, of Tibetan origin. The remoteness of the region has resulted in continued use of plants as medicine in an area where the ethnobotany has sparsely been documented. Methods Interviews were conducted with amchi (Tibetan medicinal practitioners), local healers (including priests locally known as 'lamas'), plant traders, and knowledgeable villagers (including herders) regarding local plant names and their medicinal uses during several field visits (2002–2005). When convenient to the locals, a jungle or forest walk was done with the healers, allowing for both plant collection and detailed information gathering. Results This present research documented 91 ethnomedicinal plant species, belonging to 40 families under 73 genera, and 45 new ethnomedicinal plant species are added. These 91 locally used medicinal plants are found to treat 93 ailments. This study provides information on 45 plant species previously unknown for their medicinal uses in Manang. The indication for use, mode of preparation, dose and administration of medicine are described in detail for each species. Conclusion This wealth of ethnobotanical knowledge persists, and is being transferred to the next generation in some areas in upper Manang, in a country where this is often not the case. The senior amchi of the area (Karma Sonam Lama), who has been practicing Tibetan medicine for three generations, feels that it is of utmost importance to conserve the traditional healing system and to pass his knowledge on to the local community about the importance of medicinal plants. He hopes that this will lead to the conservation and sustainable management of medicinal plants in the villages. Over the duration of this research, the prices of several rare medicinal plants of Manang increased dramatically, highlighting both the scarcity and the quick disappearance

  12. Home delivery and newborn care practices among urban women in western Nepal: a questionnaire survey

    PubMed Central

    Sreeramareddy, Chandrashekhar T; Joshi, Hari S; Sreekumaran, Binu V; Giri, Sabitri; Chuni, Neena

    2006-01-01

    Background About 98% of newborn deaths occur in developing countries, where most newborns deaths occur at home. In Nepal, approximately, 90% of deliveries take place at home. Information about reasons for delivering at home and newborn care practices in urban areas of Nepal is lacking and such information will be useful for policy makers. Methods A cross-sectional survey was carried out in the immunisation clinics of Pokhara city, western Nepal during January and February, 2006. Two trained health workers administered a semi-structured questionnaire to the mothers who had delivered at home. Results A total of 240 mothers were interviewed. Planned home deliveries were 140 (58.3%) and 100 (41.7%) were unplanned. Only 6.2% of deliveries had a skilled birth attendant present and 38 (15.8%) mothers gave birth alone. Only 46 (16.2%) women had used a clean home delivery kit and only 92 (38.3%) birth attendants had washed their hands. The umbilical cord was cut after expulsion of placenta in 154 (64.2%) deliveries and cord was cut using a new/boiled blade in 217 (90.4%) deliveries. Mustard oil was applied to the umbilical cord in 53 (22.1%) deliveries. Birth place was heated throughout the delivery in 88 (64.2%) deliveries. Only 100 (45.8%) newborns were wrapped within 10 minutes and 233 (97.1%) were wrapped within 30 minutes. Majority (93.8%) of the newborns were given a bath soon after birth. Mustard oil massage of the newborns was a common practice (144, 60%). Sixteen (10.8%) mothers did not feed colostrum to their babies. Prelacteal feeds were given to 37(15.2%) newborns. Initiation rates of breast-feeding were 57.9% within one hour and 85.4% within 24 hours. Main reasons cited for delivering at home were 'preference' (25.7%), 'ease and convenience' (21.4%) for planned deliveries while 'precipitate labor' (51%), 'lack of transportation' (18%) and 'lack of escort' during labor (11%) were cited for the unplanned ones. Conclusion High-risk home delivery and newborn care

  13. Women's Autonomy and Its Correlates in Western Nepal: A Demographic Study.

    PubMed

    Bhandari, Tulsi Ram; Kutty, V Raman; Ravindran, T K Sundari

    2016-01-01

    Despite various efforts for enhancing women's autonomy in developing countries, many women are deprived of their capacity in decision-making on their household affairs as well as social issues. This paper aimed to examine women's autonomy and its associated factors in the Kapilvastu district of Nepal. We measured women's autonomy using a recently developed women's autonomy measurement scale from June to October 2014. Descriptive statistics, chi-square test and logistic multivariate modeling technique were applied for assessing the association of demographic and socio-economic characteristics of women and their autonomy. Mean score for women's autonomy was 23.34 ± 8.06 out of the possible maximum 48. It was found to be positively associated with higher age difference at marriage, advantaged caste/ethnicity, better employment for the husband, couple's education more than 10 years schooling, and higher economic status of the household. We found strong direct effect of women's education (OR = 8.14, CI = 3.77-17.57), husband's education (OR = 2.63, CI = 1.69-4.10) and economic status of household (OR = 1.42, CI = 1.01-2.03) on women's autonomy. When we adjusted women's education for husband's education, the odds ratio decreased by around 22% {from (OR = 8.14, CI = 3.77-17.57) to (OR = 6.32, CI = 2.77-14.46)} and was a mediator effect. The economic status of household also had mediator effect on women's autonomy through their education. Education status of women is a key predictor of women's autonomy in Kapilvastu district. Husband's education and economic status of the household are other important predictors of women's autonomy which have a mediator effect on women's autonomy. Improving educational status and economic conditions of both women and their husbands may be the best solution to promote women's autonomy.

  14. Active Deformation in the Greater Himalayan Zone in Western Nepal from Inversion of New (U-Th)/He Cooling Ages

    NASA Astrophysics Data System (ADS)

    Harvey, J. E.; Burbank, D.

    2015-12-01

    Much of the central Himalaya features an abrupt rise in mean elevation from ~1.5 km in the Lesser Himalaya to ~4-5 km Greater Himalaya and Tibetan Plateau. This physiographic transition is known as PT2, and is often interpreted as the surface expression of transport over a ramp in the Main Himalayan Thrust (MHT). In western Nepal, however, the same rise in elevation occurs over two distinct topographic steps (PT2-N and PT2-S). In previous work, Harvey et al. (2015) argue that this anomalous topography is the result of recent southward-migration of mid-crustal deformation along the MHT. Due to the seismogenic potential of the MHT it is important to constrain its geometry in the western Nepal seismic gap, which has not had a large earthquake in over 600 years. To test the above hypothesis, we perform [U-Th]/He dating on 39 apatite and 47 zircon samples collected along seven relief transects throughout western Nepal. We constrain exhumation histories by inverting these new cooling ages with the 3-D thermo-kinematic model Pecube. Five transects collected from the Greater Himalaya north of PT2-N are best fit by relatively rapid exhumation rates (~1-2 km/Myr) since ~4 Ma. The other two, collected from farther south near PT2-S, require rapid (~1-2 km/Myr) exhumation until around 8-11 Ma, followed by much slower (~0.1-0.2 km/Myr) exhumation until at least the late Pliocene. Assuming that exhumation rates reflect uplift rates, the rapid Plio-Pleistocene exhumation in the Greater Himalaya north of PT2-N suggest that this physiographic transition is similar to that at the foot of the Greater Himalaya in central Nepal. It follows that active deformation is occurring along a NW-trend as much as 100 km farther north than would be expected if simply projecting PT2 across western Nepal. This finding is consistent with transport over a more northerly MHT ramp or perhaps oblique slip along the recently identified, surface-breaking WNFZ. Although the geomorphology and microseismicity

  15. Evaluation of academic detailing programme on childhood diarrhoea management by primary healthcare providers in Banke district of Nepal.

    PubMed

    Khanal, Saval; Ibrahim, Mohamed Izham B Mohamed; Shankar, Pathiyil Ravi; Palaian, Subish; Mishra, Pranaya

    2013-06-01

    Academic detailing is rarely practised in developing countries. A randomized control trial on healthcare service was conducted to evaluate the impact of academic detailing programme on the adherence of primary healthcare providers in Banke district, Nepal, to childhood diarrhoea treatment guidelines recommended by World Health Organization/United Nations Children's Fund (WHO/UNICEF). The participants (N=209) were systematically divided into control and intervention groups. Four different academic detailing sessions on childhood diarrhoea management were given to participants in the intervention group. At baseline, 6% of the participants in the control and 8.3% in the intervention group were adhering to the treatment guidelines which significantly (p < 0.05) increased among participants in the intervention (65.1%) than in the control group (16.0%) at the first follow-up. At the second follow-up, 69.7% of participants in the intervention group were adhering to the guidelines, which was significantly (p < 0.05) greater than those in the control group (19.0%). Data also showed significant improvement in prescribing pattern of the participants in the intervention group compared to the control group. Therefore, academic detailing can be used for promoting adherence to treatment guidelines in developing countries, like Nepal.

  16. Evaluation of Academic Detailing Programme on Childhood Diarrhoea Management by Primary Healthcare Providers in Banke District of Nepal

    PubMed Central

    Ibrahim, Mohamed Izham b. Mohamed; Shankar, Pathiyil Ravi; Palaian, Subish; Mishra, Pranaya

    2013-01-01

    Academic detailing is rarely practised in developing countries. A randomized control trial on healthcare service was conducted to evaluate the impact of academic detailing programme on the adherence of primary healthcare providers in Banke district, Nepal, to childhood diarrhoea treatment guidelines recommended by World Health Organization/United Nations Children's Fund (WHO/UNICEF). The participants (N=209) were systematically divided into control and intervention groups. Four different academic detailing sessions on childhood diarrhoea management were given to participants in the intervention group. At baseline, 6% of the participants in the control and 8.3% in the intervention group were adhering to the treatment guidelines which significantly (p<0.05) increased among participants in the intervention (65.1%) than in the control group (16.0%) at the first follow-up. At the second follow-up, 69.7% of participants in the intervention group were adhering to the guidelines, which was significantly (p<0.05) greater than those in the control group (19.0%). Data also showed significant improvement in prescribing pattern of the participants in the intervention group compared to the control group. Therefore, academic detailing can be used for promoting adherence to treatment guidelines in developing countries, like Nepal. PMID:23930342

  17. Measuring impacts of community forestry program through repeat photography and satellite remote sensing in the Dolakha district of Nepal.

    PubMed

    Niraula, Rabin Raj; Gilani, Hammad; Pokharel, Bharat Kumar; Qamer, Faisal Mueen

    2013-09-15

    During the 1990's community-based forest management gained momentum in Nepal. This study systematically evaluates the impacts that this had on land cover change and other associated aspects during the period 1990-2010 using repeat photography and satellite imagery in combination with interviews with community members. The results of the study clearly reflect the success of community-based forest management in the Dolakha district of the mid-hills of Nepal: during the study period, the rate of conversion of sparse forest into dense forest under community-based management was found to be between 1.13% and 3.39% per year. Similarly, the rate of conversion of non-forest area into forest was found to be between 1.11% and 1.96% per year. Community-based forest management has resulted in more efficient use of forest resources, contributed to a decline in the use of slash-and-burn agricultural practices, reduced the incidence of forest fires, spurred tree plantation, and encouraged the conservation and protection of trees on both public and private land. The resulting reclamation of forest in landside areas and river banks and the overall improvement in forest cover in the area has reduced flash floods and associated landslides.

  18. Women’s Autonomy and Its Correlates in Western Nepal: A Demographic Study

    PubMed Central

    Bhandari, Tulsi Ram; Kutty, V. Raman; Ravindran, T. K. Sundari

    2016-01-01

    Despite various efforts for enhancing women’s autonomy in developing countries, many women are deprived of their capacity in decision-making on their household affairs as well as social issues. This paper aimed to examine women’s autonomy and its associated factors in the Kapilvastu district of Nepal. We measured women’s autonomy using a recently developed women’s autonomy measurement scale from June to October 2014. Descriptive statistics, chi-square test and logistic multivariate modeling technique were applied for assessing the association of demographic and socio-economic characteristics of women and their autonomy. Mean score for women’s autonomy was 23.34± 8.06 out of the possible maximum 48. It was found to be positively associated with higher age difference at marriage, advantaged caste/ethnicity, better employment for the husband, couple’s education more than 10 years schooling, and higher economic status of the household. We found strong direct effect of women’s education (OR = 8.14, CI = 3.77–17.57), husband’s education (OR = 2.63, CI = 1.69–4.10) and economic status of household (OR = 1.42, CI = 1.01–2.03) on women’s autonomy. When we adjusted women’s education for husband’s education, the odds ratio decreased by around 22% {from (OR = 8.14, CI = 3.77–17.57) to (OR = 6.32, CI = 2.77–14.46)} and was a mediator effect. The economic status of household also had mediator effect on women’s autonomy through their education. Education status of women is a key predictor of women’s autonomy in Kapilvastu district. Husband’s education and economic status of the household are other important predictors of women’s autonomy which have a mediator effect on women’s autonomy. Improving educational status and economic conditions of both women and their husbands may be the best solution to promote women’s autonomy. PMID:26799217

  19. Oral cleanliness of 12-13-year-old and 15-year-old school children of Sunsari District, Nepal.

    PubMed

    Yee, R; David, J; Khadka, R

    2006-09-01

    The aim of the study was to evaluate the oral cleanliness of school children in the District of Sunsari, Nepal. A multi-stage random sampling oral epidemiological survey was conducted in private and government, urban, rural town and rural village schools in 15 illakas of Sunsari District, Eastern Nepal. A total of 600, 12-13-year-old and 600 15-year-old school children were examined by trained examiners using the simplified oral hygiene index (OHI-S). The average age-group, debris and calculus index scores were combined to obtain the simplified oral hygiene index (OHI-S). The mean OHI-S scores were compared and evaluated using the parametric t-test for two independent samples. The mean OHI-S for urban 12-13-year-old school children was 0.98 compared to 1.34 for school children of rural towns and 1.44 for school children of rural villages and these differences in mean OHI-S were statistically significant (P < 0.005). In the 15-year-old age group, urban school children had a mean OHI-S score of 1.00 compared to 1.37 for rural towns and 1.43 for rural villages. The variance in the mean OHI-S scores were statistically significant (P < 0.005). The overall level of cleanliness in the school children surveyed was good. Children of urban schools had the lowest scores followed by school children from rural towns and then rural villages. When the mean OHI-S scores were compared with the DMFT scores, there was an inverse relationship between oral cleanliness and dental caries. Frequency of sugar consumption and the availability and affordability of fluoridated toothpaste may be important factors in the development of dental caries than oral cleanliness.

  20. Application of YHyM/BTOPMC to evaluate hydrological response of Kali Gandaki River Basin (KGRB) in Western Nepal

    NASA Astrophysics Data System (ADS)

    Manandhar, S.; Pandey, V. P.; Ishidaira, H.; Kazama, F.

    2011-12-01

    Snowmelt runoff is an important source of water resources in the mountainous basins of Nepal. Modeling snowmelt runoff is challenging especially when snow observations are unavailable. In order to overcome the data shortage, YHyM/BTOPMC, a physically-based distributed hydrological model integrated with a simple degree-day based snow accumulation/melt sub-model was applied to evaluate hydrological response of Kali Gandaki River Basin (KGRB) in Western Nepal. It is apparent that temperature in Nepal is increasing, progressively higher for high elevations and precipitation is becoming more erratic. Hence, the snowmelt process, river runoff and water availability in KGRB is sensitive to the increasing climate change. The objective of this study is to assess the hydrological response of the basin to different climatic perturbation. Assessing the runoff pattern/water availability situation is very important in flood risk management, water use planning and in overall management of water resources. Public domain global data along with daily measured temperature and rainfall data were used in this study. The model was calibrated and validated using daily observed discharges and the stream flow in KGRB can be predicted with an acceptable degree of accuracy. The model performance was tested through the Nash-Sutcliffe efficiency objective function and by the volume ratio of simulated to observed discharge. Annual temporal variability of stream-flow was also plotted to ensure the response of KGRB to temperature and precipitation changes.

  1. Land-Use and Socioeconomic Change, Medicinal Plant Selection and Biodiversity Resilience in Far Western Nepal

    PubMed Central

    Baral, Kedar; Paudel, Prashant; Acharya, Ram P.; Thapa-Magar, Khum B.; Cameron, Mary; Bussmann, Rainer W.

    2016-01-01

    Indigenous plant use-systems have evolved under, and constantly adapted to human and non-human impacts. In the last decades however, increasing socioeconomic and cultural transformations, including land-use change, outmigration, globalized markets, the introduction of new species, and climate change have led to a decreasing availability of indigenous resources, and are ultimately leading to a reduction of local use-knowledge. Participant observations, discussions, walks-in-the-woods, semi-structured interviews and informal meetings were carried out in 12 villages of far western Nepal between 2011 and 2015 to assess how sociocultural changes have affected the sustenance of indigenous systems and local biodiversity, when compared to studies carried out in the previous decades. Our findings show that there were no statistically significant differences in subject variable means, but differences were relatively important to plant parts-use and plant growth-forms (p = 0.183 and 0.088 respectively). Cissampelos pareira, Acorus calamus, Calotropis gigantea were found to have the greatest relative importance, whereas Ageratina adenophora, Melia azedarach, Carum carvi were most important based on use values. Among them, C. pareira and A. adenophora were introduced. The spatial distribution of species collected for medicine showed that all habitats were important for collection however, habitats close to villages were more favored. The use of non-indigenous and easily available species and more accessible habitats is becoming more prevalent as primary forests become increasingly overexploited, indigenous species become limited, and sociocultural cause of land use change expand. The utilization of indigenous and non-indigenous species and nearby habitats, although possibly affecting the quality of medicinal species, nonetheless reveals the dynamism of indigenous medicines as an adaptive asset mitigating human and non-human environmental changes. PMID:27936247

  2. Land-Use and Socioeconomic Change, Medicinal Plant Selection and Biodiversity Resilience in Far Western Nepal.

    PubMed

    Kunwar, Ripu M; Baral, Kedar; Paudel, Prashant; Acharya, Ram P; Thapa-Magar, Khum B; Cameron, Mary; Bussmann, Rainer W

    2016-01-01

    Indigenous plant use-systems have evolved under, and constantly adapted to human and non-human impacts. In the last decades however, increasing socioeconomic and cultural transformations, including land-use change, outmigration, globalized markets, the introduction of new species, and climate change have led to a decreasing availability of indigenous resources, and are ultimately leading to a reduction of local use-knowledge. Participant observations, discussions, walks-in-the-woods, semi-structured interviews and informal meetings were carried out in 12 villages of far western Nepal between 2011 and 2015 to assess how sociocultural changes have affected the sustenance of indigenous systems and local biodiversity, when compared to studies carried out in the previous decades. Our findings show that there were no statistically significant differences in subject variable means, but differences were relatively important to plant parts-use and plant growth-forms (p = 0.183 and 0.088 respectively). Cissampelos pareira, Acorus calamus, Calotropis gigantea were found to have the greatest relative importance, whereas Ageratina adenophora, Melia azedarach, Carum carvi were most important based on use values. Among them, C. pareira and A. adenophora were introduced. The spatial distribution of species collected for medicine showed that all habitats were important for collection however, habitats close to villages were more favored. The use of non-indigenous and easily available species and more accessible habitats is becoming more prevalent as primary forests become increasingly overexploited, indigenous species become limited, and sociocultural cause of land use change expand. The utilization of indigenous and non-indigenous species and nearby habitats, although possibly affecting the quality of medicinal species, nonetheless reveals the dynamism of indigenous medicines as an adaptive asset mitigating human and non-human environmental changes.

  3. Suicidal ideation among students of a medical college in Western Nepal: a cross-sectional study.

    PubMed

    Menezes, Ritesh G; Subba, S H; Sathian, Brijesh; Kharoshah, Magdy A; Senthilkumaran, Subramanian; Pant, Sadip; Arun, M; Kundapur, Rashmi; Jain, Animesh; Lobo, Stany Wilfred; Ravi Shankar, P

    2012-07-01

    Many studies have been conducted in the developed countries to know the magnitude and factors influencing suicidal ideation among medical students, but such data are sparse in developing countries. This cross-sectional study was therefore conducted to find out the prevalence of suicidal ideation and factors influencing such ideation among students of a medical college in Western Nepal. A total of 206 students were selected using random sampling and questioned about their socio-demographic factors, other risk factors and suicidal ideation using a preformed validated questionnaire. The data were analyzed using SPSS for Windows Version 16.0 and the EPI Info 3.5.1 Windows Version. Descriptive statistics and testing of hypothesis were applied for the statistical methodology. The univariate and multivariate logistic regression methods were used to examine the association between different variables. Suicidal ideation in the last one year was present in nearly one tenth of the study population and in almost one fifth of them life-time suicidal ideation was present. Factors that were associated with suicidal ideation were primarily dissatisfaction with academic performance, being in the clinical semesters, having history of drug abuse and feeling neglected by parents. Most common reason reported for suicidal ideation was family related followed by self-related. Recognition of suicidal ideation among students and their associated factors can help in detecting it on time, making the right interventions and controlling the problem. Understanding the magnitude of the problem and their epidemiology via scientific study like this would be the first step in this process.

  4. Hidden Costs of Hospital Based Delivery from Two Tertiary Hospitals in Western Nepal

    PubMed Central

    Acharya, Jeevan; Kaehler, Nils; Marahatta, Sujan Babu; Mishra, Shiva Raj; Subedi, Sudarshan

    2016-01-01

    Introduction Hospital based delivery has been an expensive experience for poor households because of hidden costs which are usually unaccounted in hospital costs. The main aim of this study was to estimate the hidden costs of hospital based delivery and determine the factors associated with the hidden costs. Methods A hospital based cross-sectional study was conducted among 384 post-partum mothers with their husbands/house heads during the discharge time in Manipal Teaching Hospital and Western Regional Hospital, Pokhara, Nepal. A face to face interview with each respondent was conducted using a structured questionnaire. Hidden costs were calculated based on the price rate of the market during the time of the study. Results The total hidden costs for normal delivery and C-section delivery were 243.4 USD (US Dollar) and 321.6 USD respectively. Of the total maternity care expenditures; higher mean expenditures were found for food & drinking (53.07%), clothes (9.8%) and transport (7.3%). For postpartum women with their husband or house head, the total mean opportunity cost of “days of work loss” were 84.1 USD and 81.9 USD for normal delivery and C-section respectively. Factors such as literate mother (p = 0.007), employed house head (p = 0.011), monthly family income more than 25,000 NRs (Nepalese Rupees) (p = 0.014), private hospital as a place of delivery (p = 0.0001), C-section as a mode of delivery (p = 0.0001), longer duration (>5days) of stay in hospital (p = 0.0001), longer distance (>15km) from house to hospital (p = 0.0001) and longer travel time (>240 minutes) from house to hospital (p = 0.007) showed a significant association with the higher hidden costs (>25000 NRs). Conclusion Experiences of hidden costs on hospital based delivery and opportunity costs of days of work loss were found high. Several socio-demographic factors, delivery related factors (place and mode of delivery, length of stay, distance from hospital and travel time) were associated

  5. Mid-Late Holocene Asian monsoon variations recorded in the Lake Rara sediment, western Nepal

    NASA Astrophysics Data System (ADS)

    Nakamura, A.; Yokoyama, Y.; Maemoku, H.; Yagi, H.; Okamura, M.; Matsuoka, H.; Miyake, N.; Adhikari, D.; Dangol, V.; Miyairi, Y.; Obrochta, S.; Matsuzaki, H.; Ikehara, M.

    2011-12-01

    The Asian monsoon is an important component of the Earth's climate system to understand regional and global climate dynamics. While geological reconstructions indicate that the Asian summer monsoon intensity gradually decreased through the Holocene, a clear and coherent picture of millennial and centennial scale variability has yet to emerge (e.g., Overpeck and Cole, 2007). The Himalayas are a key location for understanding centennial to millennial scale variations in the Asian monsoon, yet few studies of the Holocene have been conducted in this sensitive area. Direct evidence for shifts in monsoonal wind strength is often limited to marine proxy records, while terrestrial reconstructions (e.g., lake levels and spleothems) focus on precipitation. Here, we present the first evidence of terrestrial summer monsoon wind strength changes from Lake Rara, western Nepal. The lake is located at 3,000m above sea level and has a maximum water depth of 168m. Lake Rara Mn/Ti data, a proxy for lake stratification, provide the first direct comparison of the Indian summer monsoon wind intensity between the terrestrial Himalayan region and the marine Arabian sea region (Gupta et al., 2003) during mid-late Holocene. Centennial to millennial scale variability found in those records are synchronous, with the weak wind intervals corresponding to drier periods of East Asian. Strong similarities between the Lake Rara monsoon record and the Dongge cave speleothems precipitation record (Wang et al., 2005) suggest that the influence of Indian summer monsoon penetrates into southeastern China, which should be taken into account when interpreting paleomonsoon reconstructions. Overpeck JT, Cole JE. 2007. Climate change - Lessons from a distant monsoon. Nature 445: 270-271. Gupta AK, Anderson DM, Overpeck JT. 2003. Abrupt changes in the Asian southwest monsoon during the Holocene and their links to the North Atlantic Ocean. Nature 421: 354-357. Wang YJ, Cheng H, Edwards RL, He YQ, Kong XG, An

  6. Stratigraphy and structure of the western Kentucky fluorspar district

    USGS Publications Warehouse

    Trace, R.D.; Amos, D.H.

    1984-01-01

    The western Kentucky fluorspar district is part of the larger Illinois-Kentucky fluorspar district, the largest producer of fluorspar in the United States. This report is based largely on data gathered from 1960 to 1974 during the U.S. Geological Survey-Kentucky Geological Survey cooperative geologic mapping program of Kentucky. It deals chiefly with the stratigraphy and structure of the district and, to a lesser extent, with the fluorspar-zinc-lead-barite deposits. Sedimentary rocks exposed in the district range in age from Early Mississippian (Osagean) to Quaternary. Most rocks exposed at the surface are Mississippian in age; two-thirds are marine fossiliferous limestones, and the remainder are shales, siltstones, and sandstones. Osagean deep-water marine silty limestone and chert are present at the surface in the southwestern corner of the district. Meramecian marine limestone is exposed at the surface in about half the area. Chesterian marine and fluvial to fluviodeltaic clastic sedimentary rocks and marine limestone underlie about one-third of the area. The total sequence of Mississippian rocks is about 3,000 ft thick. Pennsylvanian rocks are dominantly fluvial clastic sedimentary rocks that change upward into younger fluviodeltaic strata. Pennsylvanian strata of Morrowan and Atokan age are locally thicker than 600 ft along the eastern and southeastern margin and in the major grabens of the district where they have been preserved from erosion. Cretaceous and Tertiary sediments of the Mississippi embayment truncate Paleozoic formations in and near the southwestern corner of the district and are preserved mostly as erosional outliers. The deposits are Gulfian nonmarine gravels, sands, and clays as much as 170 ft thick and upper Pliocene fluvial continental deposits as thick as 45 ft. Pleistocene loess deposits mantle the upland surface of the district, and Quaternary fluvial and fluviolacustrine deposits are common and widespread along the Ohio and Cumberland

  7. Assessment of Critical Knowledge on Maternal and Newborn care Services among Primary Level Nurse Mid-wives in Kapilvastu District of Nepal.

    PubMed

    Acharya, D; Paudel, R

    2015-01-01

    Background Despite greater emphasis on maternal and neonatal health through policy and programming in Nepal, maternal and neonatal health is still not impressive. Health care providers' knowledge assessment on maternal and neonatal care has been well documented elsewhere, but it is very little understood in Nepal. Objective The primary objective of this study was to assess the critical knowledge of primary level nurse- midwives on maternal and newborn care in Kapilvastu District of Nepal. Method This was an Institution based cross-sectional study, conducted in Kapilvastu district, Nepal among sixty eight nurse-midwives. The participants were selected using simple random sampling technique. For collecting the data, health institutions were visited by enumerators for a month from 1st October to 1st November 2012. Data were entered into Microsoft Excel, cleaned and analyzed using SPSS version 17.0. Result More than 3/4th of the nurse-midwives had 10-20 years of experience. Majority of them (89.7%) had poor knowledge in taking action to prevent mother to child transmission for HIV positive women. More than half of them (54.4%) had some knowledge in performing the active management of third stage of labor whereas almost half (51.5%) had poor knowledge to actions needed on post-partum haemorrhage (PPH). Similarly, more than two third (69.1%) had poor knowledge in newborn care. Conclusion Majority of the nurse-midwives were found to have either poor or some level of knowledge in most of the components of maternal and newborn care services. So, greater emphasis should be given to upgrade the knowledge of nurse mid-wives.

  8. Knowledge, attitude and practice towards medicines among school teachers in Lalitpur district, Nepal before and after an educational intervention

    PubMed Central

    2013-01-01

    Background Few studies regarding Knowledge, Attitude and Practice (KAP) towards medicines among school teachers have been carried out in Nepal. Obtaining baseline KAP is important to note deficiencies and plan appropriate interventions. School teachers have to know about medicines as they can be an important source of information about rational and safe use of medicines. The department of Clinical Pharmacology, KIST Medical College, Lalitpur, conducted a study regarding KAP of school teachers about medicines before and after an educational intervention from April 2011 to December 2011. Methods The study was done in selected schools of Lalitpur district. Teachers were selected on a voluntary basis after obtaining written informed consent. Gender, ethnic or caste group, native place, age, educational qualifications, subject taught were noted. An educational intervention using a combination of methods like presentations, brainstorming sessions, interactive discussions using posters and distribution of information leaflets about the use of medicines was conducted. The KAP and overall scores among subgroups according to gender, age, level of education, subject, ethnicity, type of school (primary vs. secondary and government vs. private school) were studied. KAP and overall scores before and after the intervention was compared using Wilcoxon signed ranks test as the scores were not normally distributed. Results A total of 393 teachers participated before and after the intervention. The median (interquartile range) knowledge, attitude and practice scores before the intervention were 63 (10), 23 (5) and 270 (48) respectively while the overall score was 356. The median knowledge, attitude and practice scores after the intervention were 71 (10), 28 (5) and 270 (48) respectively while the overall score increased to 369. Maximum possible score of knowledge, attitude and practice were 100, 40 and 320 respectively. Scores improved significantly for knowledge (p<0.001), attitude

  9. Prevalence of cardiovascular health risk behaviors in a remote rural community of Sindhuli district, Nepal

    PubMed Central

    2014-01-01

    Background Cardiovascular disease (CVD) is emerging as a public health menace among low and middle income countries. It has particularly affected the poorest. However, there is paucity of information about CVD risk factors profile among Nepalese rural communities where the majority of people live in poverty. Therefore, this study aimed to identify the prevalence of cardiovascular health risk behaviors in an outback community of Nepal. Methods We conducted a descriptive cross-sectional study in Tinkanya Village Development Committee (VDC), Sindhuli between January and March, 2014. Total 406 participants of age 20 to 50 years were selected randomly. Data were collected using WHO-NCD STEPwise approach questionnaires and analyzed with SPSS V.16.0 and R i386 2.15.3 software. Result The mean age of participants was 36.2 ± 9 years. Majority of participants (76.3%) were from lower socio-economic class, Adibasi/Janajati (63.1%), and without formal schooling (46.3%). Smoking was present in 28.6%, alcohol consumption in 47.8%, insufficient fruits and vegetables intake in 96.6%, insufficient physical activity in 48.8%; 25.6% had high waist circumference, 37.4% had overweight and obesity. Average daily salt intake per capita was 14.4 grams ±4.89 grams. Hypertension was detected in 12.3%. It had an inverse relationship with education and socio-economic status. In binary logistic regression analysis, age, smoking, body mass index (BMI) and daily salt intake were identified as significant predictors of hypertension. Conclusion Present study showed high prevalence of smoking, alcohol consumption, insufficient fruit and vegetable intake, daily salt intake, overweight and obesity and hypertension among remote rural population suggesting higher risk for developing CVD in future. Nepalese rural communities, therefore, are in need of population-wide comprehensive intervention approaches for reducing CVD health risk behaviors. PMID:25066117

  10. Structure of the Red Dog District, western Brooks Range, Alaska

    USGS Publications Warehouse

    de Vera, Jean-Pierre P.; McClay, K. R.

    2004-01-01

    The Red Dog district of the western Brooks Range of northern Alaska, which includes the sediment-hosted Zn-Pb-Ag ± Ba deposits at Red Dog, Su-Lik, and Anarraaq, contains one of the world's largest reserves of zinc. This paper presents a new model for the structural development of the area and shows that understanding the structure is crucial for future exploration efforts and new mineral discoveries in the district. In the Red Dog district, a telescoped Late Devonian through Jurassic continental passive margin is exposed in a series of subhorizontally stacked, internally imbricated, and regionally folded thrust sheets. These sheets were emplaced during the Middle Jurassic to Late Cretaceous Brookian orogeny and subsequently were uplifted by late tectonic activity in the Tertiary. The thrust sheet stack comprises seven tectonostratigraphically distinct allochthonous sheets, three of which have been subject to regional and detailed structural analysis. The lowermost of these is the Endicott Mountains allochthon, which is overlain by the structurally higher Picnic Creek and Kelly River allochthons. Each individual allochthon is itself internally imbricated into a series of tectonostratigraphically coherent and distinct thrust plates and subplates. This structural style gives rise to duplex development and imbrication at a range of scales, from a few meters to tens of kilometers. The variable mechanical properties of the lithologic units of the ancient passive margin resulted in changes in structural styles and scales of structures across allochthon boundaries. Structural mapping and analysis of the district indicate a dominant northwest to west-northwest direction of regional tectonic transport. Local north to north-northeast transport of thrust sheets is interpreted to reflect the influence of underlying lateral and/or oblique ramps, which may have been controlled by inherited basin margin structures. Some thrust-sheet stacking patterns suggest out

  11. Spatial and Temporal Dynamics of Flora in Forest, Grassland and Common Land Ecosystems of Western Chitwan, Nepal

    PubMed Central

    DANGOL, Dharma Raj; MAHARJAN, Keshav Lall

    2013-01-01

    This paper describes changes of species composition and population of flora in space and time in western Chitwan, Nepal. This paper also discusses on the changes in flora due to flood and human activities. To illustrate these changes, we used survey data collected from January to April of 1996, 2000, and 2007 from the Barandabhar forest, National Park forest and the forests along the Narayani River banks, grasslands of National Park and common lands of western Chitwan as a part of longitudinal study on “reciprocal relation of population and the environment”. From these data, density values were calculated to analyze spatial and temporal changes in flora species composition and population. We also noted the changes of top species in time and space in due course of time. If the species and its rank not changed, their densities (population) values of flora species changed. We found that changes in species composition, population, appearance or disappearance of flora from a particular space (research plot) were noted as a result of natural forces or human activities. PMID:25061414

  12. Emerging opportunistic protozoa and intestinal pathogenic protozoal infestation profile in children of western Nepal.

    PubMed

    Easow, Joshy Maducolil; Mukhopadhyay, Chiranjoy; Wilson, Godwin; Guha, Simantee; Jalan, Basavaraj Yogitha; Shivananda, Padavagadu Ganapati

    2005-12-01

    Intestinal parasitic infestation continues to be of public health importance in many tropical and subtropical countries for their high prevalence and effects on the morbidity in the population. This 5-year hospital-based retrospective analysis was aimed to find out the intestinal protozoal parasitic profile in 1790 pre-school and school-going children visiting the hospital with gastrointestinal illness. Giardia lamblia was the most prevalent pathogenic protozoan intestinal parasite (73.4%), followed by Entamoeba histolytica (24.4%). Interestingly, "newer" opportunistic pathogens like Cyclospora cayetanensis (1.0%) and Cryptosporidium sp. (1.0%) were detected from immunocompromised children below 2 years of age as a result of vertical transmission, which is alarming for a country like Nepal at the stage of 'concentrated epidemic' of HIV infection.

  13. Unplanned roads impacts assessment in Phewa Lake watershed, Western region, Nepal

    NASA Astrophysics Data System (ADS)

    Leibundgut, Geoffroy; Sudmeier-Rieux, Karen; Devkota, Sanjaya; Jaboyedoff, Michel; Penna, Ivanna; Adhikari, Anu; Khanal, Rajendra

    2015-04-01

    This work describes current research being conducted in the Phewa Lake watershed, near Pokhara in Nepal's Siwaliks/Middle hills, a moist sub-tropical zone with the highest amount of annual rainfall in Nepal (4,500 - 5,000 mm). The watershed lithology is mainly siltstone, sandstones and intensively weathered rocks, highly prone to erosion and shallow landslides (Agrawala et al., 2003). The main purpose of this study is to focus on the impact of unplanned earthen road construction in the Phewa Lake watershed as part of land use changes over 30 years in one of Nepal's most touristic regions. Over the past three decades, the road network has expanded exponentially and a majority of rural earthen roads are often funded by communities themselves, with some government subsidies. They are usually constructed using a local bulldozer contractor with no technical or geological expertise increasing erosion processes, slope instabilities risk and impacts to settlements, forests, water sources, agriculture lands, and infrastructure. Moreover, these human-induced phenomena are being compounded by increasingly intense monsoon rains, likely due to climate change (Petley, 2010). Research methods were interdisciplinary and based on a combination of remote sensing, field observations and discussions with community members. The study compared 30 year-old aerial photos with current high resolution satellite images to correlate changes in land use with erosion and slope instabilities. Secondly, most of the watershed's roads were surveyed in order to inventory and quantify slope instabilities and soil loss events. Using a failure-characteristics grid, their main features were measured (location, size, type and extension of damage areas, etc.) and a GIS data base was created. We then estimated economic impacts of these events in terms of agriculture lands losses and road maintenance, based on field observations and discussions with affected people. Field work investigations have shown that

  14. Improved fodder tree management in the agroforestry systems of central and western Nepal

    SciTech Connect

    Karki, M.B.

    1992-01-01

    Ten, three year old, fodder tree species were evaluated at four on-station and three on-farm sites in Nepal. Ficus semicordata (Buchattam. ex Sm.) growth was found to be significantly higher than the rest in diameter and dry foliage weight values. Species were significantly different in height, diameter, and foliage and wood growth. Sites were significantly different in total height growth only. On-farm species evaluation indicated that A. lakoocha and F. semicordata had significantly higher growth. Allometric regression equations were developed to predict foliage, total wood, and total biomass yield of F. semicordata, and B. variegata. Individual-tree models were developed. For B. variegata, diameter at 50 cm. and for F. semicordata, crown diameter and height gave the best fitted equations. Regression equations for three sites did not differ significantly. Therefore, data were pooled and a common model was estimated for each species. In on-farm regression models, height and crown diameter were the best predictors for F. semicordata and dbh gave the best fit for B. variegata. The models for the two species were used to construct regional fodder and fuelwood biomass tables. An improved crop-livestock-fodder agroforestry system was designed for a village in Nepal. Linear programming was used to demonstrate the use of a tool to optimize land allocation maximizing net returns while satisfying the supply of minimum needs of food, fodder, and fuelwood. The optimal solution indicated that, by improving the returns to labor and by applying more compost, the village should be able to increase the annual net farm returns from NRs. 2.94 million to NRs. 3.85 million. The food, fodder and fuelwood production levels were shown to increase by 17%, 130%, and 537% respectively. The labor and compost requirements were up by 138% and 59% respectively, over the five year period. The soil loss through run-off was estimated to decrease by about 15% over the same period.

  15. Perceptions of users and providers on barriers to utilizing skilled birth care in mid- and far-western Nepal: a qualitative study

    PubMed Central

    Onta, Sharad; Choulagai, Bishnu; Shrestha, Binjwala; Subedi, Narayan; Bhandari, Gajananda P.; Krettek, Alexandra

    2014-01-01

    Background Although skilled birth care contributes significantly to the prevention of maternal and newborn morbidity and mortality, utilization of such care is poor in mid- and far-western Nepal. This study explored the perceptions of service users and providers regarding barriers to skilled birth care. Design We conducted 24 focus group discussions, 12 each with service users and service providers from different health institutions in mid- and far-western Nepal. All discussions examined the perceptions and experiences of service users and providers regarding barriers to skilled birth care and explored possible solutions to overcoming such barriers. Results Our results determined that major barriers to skilled birth care include inadequate knowledge of the importance of services offered by skilled birth attendants (SBAs), distance to health facilities, unavailability of transport services, and poor availability of SBAs. Other barriers included poor infrastructure, meager services, inadequate information about services/facilities, cultural practices and beliefs, and low prioritization of birth care. Moreover, the tradition of isolating women during and after childbirth decreased the likelihood that women would utilize delivery care services at health facilities. Conclusions Service users and providers perceived inadequate availability and accessibility of skilled birth care in remote areas of Nepal, and overall utilization of these services was poor. Therefore, training and recruiting locally available health workers, helping community groups establish transport mechanisms, upgrading physical facilities and services at health institutions, and increasing community awareness of the importance of skilled birth care will help bridge these gaps. PMID:25119066

  16. Surface ruptures of large Himalayan earthquakes in Western Nepal: Evidence along a reactivated strand of the Main Boundary Thrust

    NASA Astrophysics Data System (ADS)

    Hossler, T.; Bollinger, L.; Sapkota, S. N.; Lavé, J.; Gupta, R. M.; Kandel, T. P.

    2016-01-01

    The chronology of the seismic ruptures along the active faults of Western Nepal remains almost unconstrained despite their high seismogenic potential. We present here a slip history of one of these structures, a 120 km-long reactivated segment of the Main Boundary Thrust named the Surkhet-Gorahi fault. This slip history is based on geomorphologic and neotectonic mapping of active faults deduced from the analysis of a high resolution total station digital elevation model and 15 detrital charcoals radiocarbon ages constraining the age of deposition or abandonment of 4 alluvial terraces of the Bheri river in Botechaur. Our results show that the last two earthquakes occurred on this fault after 1860 and 640 BP, respectively, and accommodated slip greater than 8 m each, a value corresponding to the incremental vertical offset of the terraces. Such events released a significant part of the slip deficit accumulated on the Main Himalayan thrust fault. However, given the geometry of this fault system as well as the date of occurrence of the last events, the ruptures could be associated with major earthquakes also rupturing the Main Frontal Thrust, such as the great 1505 earthquake.

  17. Integrating IWB Use in Western Pennsylvania K-12 Schools Districts: The Professional Development Connection

    ERIC Educational Resources Information Center

    Peled, Yehuda; Medvin, Mandy; Domanski, Linda

    2015-01-01

    This research examines teacher attitudes and anxieties about interactive whiteboard (IWB) use as related to perceived classroom implementation to enhance student engagement and achievement. The research took place in four western Pennsylvania, U.S.A. school districts. Data suggest that the districts in this study have invested in IWB technology…

  18. A Geochronological Study of Paleogene -Neogene Foreland Basin Sediments Western Nepal Himalaya: Implication of Provenance Analysis

    NASA Astrophysics Data System (ADS)

    Baral, U.; Lin, D.; Chamlagain, D.

    2015-12-01

    After the collision between the Indian and Asian plates, during early Cenozoic several south propagating thrusts were active and the sediments deposited at the northern tip of the Greater India have been reworked, recycled and metamorphosed, and were subsequently exhumed and transported to the foreland basin. Petrography, detrital zircon (DZ) dating and Lu-Hf isotope analysis, and trace element analysis were conducted from two sections of Nepal Himalaya for the determination of change in provenance, and constrain the possible timing of Indo-Asiacollision. The U-Pb ages of the DZ grains from Upper Cretaceous to Paleocene Amile Formation are older than early Mesoproterozoic with dominant number of grains showing ƐHf (t) value between 0 to +10. The trace element data shows that the sediments are from passive margin with northward paleoflow direction. These finding conclude that the sediments during this time was sourced from northern margin of Indian Plate that elucidate the possibility of the Ind0-Asia collisionsomewhere between late Paleocene to early Eocene (~58-50 Ma).The U-Pb ages from the marine Eocene Bhainskati Formation dominantly clusters between ~1000 and 500 Ma and the ƐHf (t) values ranges from -10 to +10. The trace element result shows that the sediments were from both the passive and active continental margin. The transition of deposition from marine Bhainskati Formation to continental Dumri Formation is marked by 3-4 m thick Oxisol layer with a ~10-15 Mya deposition gap during the Oligocene. The U-Pb ages of detritus from Early to mid-Miocene Dumri Formation have a wide range of detritus ranging from Archean to Mesozoic age with dominant numbers resembling the age of the Tethys Himalaya (TH) and Upper Lesser Himalaya (ULH). The presence of younger grains of Cenozoic age (~80-50 Ma) put the possibility of the Gangdase arc source deposited directly in Dumri Formation or first deposited in the TH and later transported to it. The ƐHf (t) value ranges

  19. Pharmacy practice and injection use in community pharmacies in Pokhara city, Western Nepal

    PubMed Central

    2014-01-01

    Background Community pharmacies in Nepal serve as the first point of contact for the public with the health care system and provide many services, including administering injections. However, there is a general lack of documented information on pharmacy practice and injection use in these pharmacies. This study aims to provide information about pharmacy practice in terms of service and drug information sources, and injection use, including the disposal of used injection equipment. Methods A mixed method, cross-sectional study was conducted in 54 community pharmacies in Pokhara city. Data was collected using a pre-tested, semi-structured questionnaire, and also by the direct observation of pharmacy premises. Interviews with pharmacy supervisors (proprietors) were also conducted to obtain additional information about certain points. Results Interviews were carried out with 54 pharmacy supervisors/proprietors (47 males and 7 females) with a mean age and experience of 35.54 and 11.73 years, respectively. Approximately a half of the studied premises were operated by legally recognized pharmaceutical personnel, while the remainder was run by people who did not have the legal authority to operate pharmacies independently. About a quarter of pharmacies were providing services such as the administration of injections, wound dressing, and laboratory and consultation services in addition to medicine dispensing and counseling services. The ‘Current Index of Medical Specialties’ was the most commonly used source for drug information. Almost two-thirds of patients visiting the pharmacies were dispensed medicines without a prescription. Tetanus Toxoid, Depot-Medroxy Progesterone Acetate, and Diclofenac were the most commonly-used/administered injections. Most of the generated waste (including sharps) was disposed of in a municipal dump without adhering to the proper procedures for the disposal of hazardous waste. Conclusions Community pharmacies in Pokhara offer a wide range

  20. Ambiguous Loss in a Non-Western Context: Families of the Disappeared in Postconflict Nepal

    ERIC Educational Resources Information Center

    Robins, Simon

    2010-01-01

    Ambiguous loss has become a standard theory for understanding the impact of situations where the presence of a family member is subject to ambiguity. A number of studies of ambiguous loss have been made in a range of situations of ambiguity, but almost all have been firmly located within a Western cultural context. Here, ambiguous loss is explored…

  1. Western Molybdenum Company mine, Chewelah District, Stevens County, Washington

    USGS Publications Warehouse

    Cooper, John R.

    1954-01-01

    The Western Molybdenum Co. mine was opened many years ago to obtain copper. The only production was several carloads of crude copper ore shipped during World War I. An unsuccessful attempt to produce molybdenum was made in 1939-1941.

  2. Predisposing, enabling, and need factors associated with utilization of institutional delivery services: A community-based cross-sectional study in far-western Nepal.

    PubMed

    Freidoony, Leila; Ranabhat, Chhabi Lal; Kim, Chun-Bae; Kim, Chang-Soo; Ahn, Dong-Won; Doh, Young Ah

    2016-12-08

    Use of institutional delivery services can be effective in reducing maternal and infant mortality. In Nepal, however, the majority of women deliver at home. Using Andersen's behavioral model of use of health care services, this cross-sectional study aimed to identify factors associated with use of institutional delivery services in four villages and one municipality in Kailali district, Nepal. Mothers (N = 500) who had given birth in the 5 years preceding the survey (conducted between January and February 2015) were randomly selected by cluster sampling and interviewed using a semi-structured questionnaire. Bivariate analyses and multivariate hierarchical logistic regression analyses were performed. Among the women surveyed, 65.6% had used institutional delivery services for their last delivery, a higher proportion than the national average. Primiparity, having a secondary or higher education level, living in the Durgauli village, having husbands with occupations other than agriculture or professional/technical jobs, and having attended four or more antenatal care (ANC) visits had significantly increased use of institutional deliveries. Also, belonging to the richest 20% of the community and having experienced pregnancy complications were marginally significantly associated. These findings demonstrate the need for improving mother's education, encouraging them to attend ANC visits and addressing disparities between different regions.

  3. Geomorphic impacts, age and significance of two giant landslide dams in the Nepal Himalayas: Ringmo-Phoksundo (Dolpo District) and Dhampu-Chhoya (Mustang District).

    NASA Astrophysics Data System (ADS)

    Fort, Monique; Braucher, Regis; Bourlès, Didier; Guillou, Valery; Nath Rimal, Lila; Gribenski, Natacha; Cossart, Etienne

    2014-05-01

    Large catastrophic slope failures have recently retained much attention in the northern dry Himalayas (1). They play a prominent role in the denudation history of active orogens at a wide range of spatial and time scales (2), and they impact durably landforms and process evolution in upstream catchments. Their occurrence mostly results from three different potential triggers: earthquakes, post-glacial debuttressing, and permafrost melting. We focus on two examples of giant rock slope failures that occurred across and north of the Higher Himalaya of Nepal and assess their respective influence on the regional, geomorphic evolution. The Ringmo rockslide (4.5 km3) results from the collapse of a mountain wall (5148 m) cut into palaeozoic dolomites of the Tethysian Himalayas. It caused the damming of the Suli Gad River at the origin of the Phoksumdo Lake (3600 m asl). The presence of glacial till at the very base of the sequence suggests the rockslide event is post-glacial, a field assumption confirmed by cosmogenic dating. Two consistent 36Cl ages of 20,885 ±1675 argue for a single, massive event of paraglacial origin that fits well with the last chronologies available on the Last Glacial Maximum in the Nepal Himalaya. The persistence of the Phoksumdo Lake is due to its dam stability (i.e. high lime content of landslide components) and to low sediment flux from the arid, upper Suli Gad catchment. The Dhampu-Chhoya rock avalanche (about 1 km3, area extent 10 km2) was derived from the northward failure of the Kaiku ridge, uphold by north-dipping, upper crystallines of the Higher Himalaya. It dammed the Kali Gandaki River, with complex interactions with the Late Pleistocene ice tongues derived from the Dhaulagiri (8167 m) and Nilgiris (7061 m) peaks. Both the rock avalanche and glaciers controlled the existence and level of the "Marpha Lake" (lacustrine deposits up to Kagbeni). Again, consistent 10Be ages of 29,680 ± 1015 ka obtained from two large blocks (>1000 m3

  4. Water Quality, Sanitation, and Hygiene Conditions in Schools and Households in Dolakha and Ramechhap Districts, Nepal: Results from A Cross-Sectional Survey.

    PubMed

    Shrestha, Akina; Sharma, Subodh; Gerold, Jana; Erismann, Séverine; Sagar, Sanjay; Koju, Rajendra; Schindler, Christian; Odermatt, Peter; Utzinger, Jürg; Cissé, Guéladio

    2017-01-18

    This study assessed drinking water quality, sanitation, and hygiene (WASH) conditions among 708 schoolchildren and 562 households in Dolakha and Ramechhap districts of Nepal. Cross-sectional surveys were carried out in March and June 2015. A Delagua water quality testing kit was employed on 634 water samples obtained from 16 purposively selected schools, 40 community water sources, and 562 households to examine water quality. A flame atomic absorption spectrophotometer was used to test lead and arsenic content of the same samples. Additionally, a questionnaire survey was conducted to obtain WASH predictors. A total of 75% of school drinking water source samples and 76.9% point-of-use samples (water bottles) at schools, 39.5% water source samples in the community, and 27.4% point-of-use samples at household levels were contaminated with thermo-tolerant coliforms. The values of water samples for pH (6.8-7.6), free and total residual chlorine (0.1-0.5 mg/L), mean lead concentration (0.01 mg/L), and mean arsenic concentration (0.05 mg/L) were within national drinking water quality standards. The presence of domestic animals roaming inside schoolchildren's homes was significantly associated with drinking water contamination (adjusted odds ratio: 1.64; 95% confidence interval: 1.08-2.50; p = 0.02). Our findings call for an improvement of WASH conditions at the unit of school, households, and communities.

  5. Water Quality, Sanitation, and Hygiene Conditions in Schools and Households in Dolakha and Ramechhap Districts, Nepal: Results from A Cross-Sectional Survey

    PubMed Central

    Shrestha, Akina; Sharma, Subodh; Gerold, Jana; Erismann, Séverine; Sagar, Sanjay; Koju, Rajendra; Schindler, Christian; Odermatt, Peter; Utzinger, Jürg; Cissé, Guéladio

    2017-01-01

    This study assessed drinking water quality, sanitation, and hygiene (WASH) conditions among 708 schoolchildren and 562 households in Dolakha and Ramechhap districts of Nepal. Cross-sectional surveys were carried out in March and June 2015. A Delagua water quality testing kit was employed on 634 water samples obtained from 16 purposively selected schools, 40 community water sources, and 562 households to examine water quality. A flame atomic absorption spectrophotometer was used to test lead and arsenic content of the same samples. Additionally, a questionnaire survey was conducted to obtain WASH predictors. A total of 75% of school drinking water source samples and 76.9% point-of-use samples (water bottles) at schools, 39.5% water source samples in the community, and 27.4% point-of-use samples at household levels were contaminated with thermo-tolerant coliforms. The values of water samples for pH (6.8–7.6), free and total residual chlorine (0.1–0.5 mg/L), mean lead concentration (0.01 mg/L), and mean arsenic concentration (0.05 mg/L) were within national drinking water quality standards. The presence of domestic animals roaming inside schoolchildren’s homes was significantly associated with drinking water contamination (adjusted odds ratio: 1.64; 95% confidence interval: 1.08–2.50; p = 0.02). Our findings call for an improvement of WASH conditions at the unit of school, households, and communities. PMID:28106779

  6. Urban Profiles in Prevention: A Descriptive Summary of Prevention Programs in Urban School Districts in the Western Region.

    ERIC Educational Resources Information Center

    Western Center for Drug-Free Schools and Communities.

    This document describes 18 drug use prevention progams in metropolitan urban school districts in the following seven western states: (1) California; (2) Hawaii; (3) Idaho; (4) Montana; (5) Nevada; (6) Oregon; and (7) Washington. Each description outlines the level of commitment of each urban district, abilities within each program to collaborate…

  7. The 2014 Karnali River Floods in Western Nepal: Making Community Based Early Warning Systems Work When Data Is Lacking

    NASA Astrophysics Data System (ADS)

    Dugar, S.; MacClune, K.; Venkateswaran, K.; Yadav, S.; Szoenyi, M.

    2015-12-01

    Implementing Community Based Flood Early Warning System (EWS) in developing countries like Nepal is challenging. Complex topography and geology combined with a sparse network of river and rainfall gauges and little predictive meteorological capacity both nationally and regionally dramatically constrain EWS options. This paper provides a synopsis of the hydrological and meteorological conditions that led to flooding in the Karnali River, West Nepal during mid-August 2014, and analyses the effectiveness of flood EWS in the region. On August 14-15, 2014, a large, slow moving weather system deposited record breaking rainfall in the foothills of the Karnali River catchment. Precipitation depths of 200 to 500 mm were recorded over a 24-hour period, which led to rapid rise of river heights. At the Chisapani river gauge station used for the existing EWS, where the Karnali River exits the Himalaya onto the Indo-Gangetic Plain, water levels rapidly exceeded the 11 meter danger level. Between 3 to 6 am, water levels rose from 11 to 16. 1 meters, well beyond the design height of 15 meters. Analysis suggests that 2014 floods may have been a one-in-1000 year event. Starting with the onset of intense rainfall, the Chisapani gauge reader was in regular communication with downstream stakeholders and communities providing them with timely information regarding rising water level. This provided people just enough time to move to safe places with their livestock and key assets. Though households still lost substantial assets, without the EWS, floodwaters would have caught communities completely unaware and damage would almost certainly have been much worse. In particular, despite the complications associated with access to the Chisapani gauge and failure of critical communication nodes during the floods, EWS was instrumental in saving lives. This study explores both the details of the flood event and performance of the early warning system, and identifies lessons learned to help

  8. Subsurface geology of Tertiary rocks of northeastern district of Western Desert, Egypt

    SciTech Connect

    Elzarka, M.H.; Radwan, I.A.

    1983-03-01

    The lithofacies analysis of the Tertiary rocks reveals two ancient subbasins at the north and southeast of the northeastern district, Western Desert. The lithofacies of the Paleocene and early and middle Eocene sections are mainly calcareous. Shale predominates in the late Eocene rocks. The Paleocene rocks seem to have accumulated in a lagoonal environment of epineritic depths. The Paleocene rocks of the northern subbasin indicate accumulation on an unstable shelf. The Paleocene environmental conditions seem to have prevailed during the early and middle Eocene. During the late Eocene, rocks of shallow-water and current-agitated environments accumulated. The lower clastic layers of the Oligocene, having a sand/shale ratio less than one, indicate a clastic shoreline environment-lagoonal subenvironment. The Oligocene clastics are overlain by a basaltic sheet at the eastern part of the district. The middle Miocene lithofacies indicate rock accumulation in a contemporaneously subsiding basin under lagoonal or delta-front conditions at the southern part of the district. Marine stagnant-bottom-water conditions prevailed during the accumulation of the middle Miocene rocks at the norther parts. The Pliocene rocks seem to have accumulated in lagoons, where the inflow exceeded evaporation and alternating periods of exposure and flooding by either fresh or saline water of poor circulation prevailed. The tectonic instability of the district was initiated by volcancity during the late Oligocene.

  9. Culture and Internal Security of Nepal

    DTIC Science & Technology

    2012-06-08

    in Tibet. The Newars, the earliest known arrivals and most accomplished artisans and merchants in Nepal, have been living mostly in the Kathmandu...article, “Social Change in Conflict–Affected Areas of Nepal,” in Social Development Notes of the World Bank points out that the main root of the...January 2012, the local people in the Banke district closed down Nepalgunj- based customs office demanding endorsement of a bill from the Parliament to

  10. No time to worship the serpent deities: women, economic change, and religion in north-western Nepal.

    PubMed

    Saul, R

    1999-03-01

    This paper explores the changing relationships between lay women, and the spiritual realm, in two ethnic Tibetan communities, Kag and Dzong, in northwestern Nepal. The study tackles how economic and social change has affected women's spiritual roles within the household and the community, and how these roles, in turn, have influenced the course of such change. In Kag, the introduction of tourism changed women's way of life. They became income-generating members of the community as lodge-owners. With new responsibilities to manage, Kag women eventually neglected their traditional social and spiritual obligations, much to the dismay of the older generation. On the other hand, women in Dzong still consider full social and physical participation in village life important despite the added obligations. They maintain spiritual harmony within the village. Dzongba women do not seem to feel the same conflicts as Kagpa women. The negative impact of Kag women's neglect of traditional social and spiritual responsibilities should be weighed against the possible benefits to women, household, and economy.

  11. SPECIES COMPOSITION, DISTRIBUTION, LIFE FORMS AND FOLK NOMENCLATURE OF FOREST AND COMMON LAND PLANTS OF WESTERN CHITWAN, NEPAL

    PubMed Central

    Dangol, D. R.

    2012-01-01

    This paper enumerates 349 plant species belonging to 77 families of vascular plants collected in the winter seasons of 1996 and 2000 by the flora teams of the Population and Ecology Research Laboratory, Nepal. Of the total species, 249 species belong to dicotyledons, 87 species to monocotyledons and 13 species to pteridophytes. Among the families, dicotyledons contributed the highest number of families (55 in number) followed by monocotyledons and pteridophytes. In the study areas, species composition varies with the type of habitats in the study plots. Some species are unique in distribution. The highest unique species are contributed by common lands (87 spp.), followed by the Chitwan National Park forest (36 spp.) and Tikauli forest (32 spp.). Ageratum houstonianum Mill., Cynodon dactylon (L.) Pers., Imperata cylindrica (L.) Beauv., Rungia parviflora (Retz.) Nees, Saccharum spontaneum L. and Thelypteris auriculata (J. Sm.) K. Iwats are the most common species across all the research blocks. Of the listed plants, many plants have local names either in Nepalese or other tribal languages. Plants are named in different ways on the basis of habit, habitat, smell, taste, and morphological characters of the plants, which are also the basis of nomenclature in plant taxonomy. PMID:22962539

  12. Prevalence and correlates of tobacco use amongst junior collegiates in twin cities of western Nepal: A cross-sectional, questionnaire-based survey

    PubMed Central

    Sreeramareddy, Chandrashekhar T; Kishore, PV; Paudel, Jagadish; Menezes, Ritesh G

    2008-01-01

    Background College students are vulnerable to tobacco addiction. Tobacco industries often target college students for marketing. Studies about prevalence of tobacco use and its correlates among college students in Nepal are lacking. Methods A cross-sectional survey was carried out in two cities of western Nepal during January-March, 2007. A pre-tested, anonymous, self-administered questionnaire (in Nepali) adapted from Global Youth Tobacco Survey (GYTS) and a World Bank study was administered to a representative sample of 1600 students selected from 13 junior colleges by two-stage stratified random sampling. Results Overall prevalence of 'ever users' of tobacco products was 13.9%. Prevalence among boys and girls was 20.5% and 2.9% respectively. Prevalence of 'current users' was 10.2% (cigarette smoking: 9.4%, smokeless products: 6.5%, and both forms: 5.7%). Median age at initiation of cigarette smoking and chewable tobacco was 16 and 15 years respectively. Among the current cigarette smokers, 58.7% (88/150) were smoking at least one cigarette per day. Most (67.8%) 'Current users' purchased tobacco products by themselves from stores or got them from friends. Most of them (66.7%) smoked in tea stalls or restaurants followed by other public places (13.2%). The average daily expenditure was 20 Nepalese rupees (~0.3 USD) and most (59%) students reported of having adequate money to buy tobacco products. Majority (82%) of the students were exposed to tobacco advertisements through magazines/newspapers, and advertising hoardings during a period of 30 days prior to survey. The correlates of tobacco use were: age, gender, household asset score and knowledge about health risks, family members, teachers and friends using tobacco products, and purchasing tobacco products for family members. Conclusion School/college-based interventions like counseling to promote cessation among current users and tobacco education to prevent initiation are necessary. Enforcement of legislations

  13. Integrated mental health atlas of the Western Sydney Local Health District: gaps and recommendations.

    PubMed

    Fernandez, Ana; Gillespie, James A; Smith-Merry, Jennifer; Feng, Xiaoqi; Astell-Burt, Thomas; Maas, Cailin; Salvador-Carulla, Luis

    2016-03-24

    Objective Australian mental health care remains hospital centric and fragmented; it is riddled with gaps and does little to promote recovery. Reform must be built on better knowledge of the shape of existing services. Mental health atlases are an essential part of this knowledge base, enabling comparison with other regions and jurisdictions, but must be based on a rigorous classification of services. The main aim of this study is to create an integrated mental health atlas of the Western Sydney LHD in order to help decision makers to better plan informed by local evidence.Methods The standard classification system, namely the Description and Evaluation of Services and Directories in Europe for Long-term Care model, was used to describe and classify adult mental health services in the Western Sydney Local Health District (LHD). This information provided the foundation for accessibility maps and the analysis of the provision of care for people with a lived experience of mental illness in Western Sydney LHD. All this data was used to create the Integrated Mental Health Atlas of Western Sydney LHD.Results The atlas identified four major gaps in mental health care in Western Sydney LHD: (1) a lack of acute and sub-acute community residential care; (2) an absence of services providing acute day care and non-acute day care; (3) low availability of specific employment services for people with a lived experience of mental ill-health; and (4) a lack of comprehensive data on the availability of supported housing.Conclusions The integrated mental health atlas of the Western Sydney LHD provides a tool for evidence-informed planning and critical analysis of the pattern of adult mental health care.What is known about the topic? Several reports have highlighted that the Australian mental health system is hospital based and fragmented. However, this knowledge has had little effect on actually changing the system.What does this paper add? This paper provides a critical analysis of

  14. Anemia among school children in eastern Nepal.

    PubMed

    Khatiwada, Saroj; Gelal, Basanta; Gautam, Sharad; Tamang, Man Kumar; Shakya, Prem Raj; Lamsal, Madhab; Baral, Nirmal

    2015-06-01

    Anemia is one of the most common public health problems in developing countries like Nepal. This study was done to find the prevalence of anemia among the children aged 4-13 years in eastern Nepal. A cross-sectional study was conducted in 2012 in four districts (Morang, Udayapur, Bhojpur and Ilam) of eastern Nepal to find the prevalence of anemia among the school children of eastern Nepal. Children aged 4-13 years were selected randomly from different schools of above districts and 618 venous blood samples were collected. Hemoglobin level was estimated by using cyanmethemoglobin method. The mean hemoglobin level was 12.2 ± 1.82 gm/dl. About 37.9% (n = 234) children were found anemic. Anemia prevalence was 42.4% (n = 78), 31.6% (n = 60), 45.3% (n = 48) and 34.8% (n = 48) among school children of Morang, Udayapur, Bhojpur and Ilam district, respectively. The study finds anemia as a significant health problem among the school children of eastern Nepal.

  15. Childhood behavioural disorders in Ambo district, western Ethiopia. II. Validation of the RQC.

    PubMed

    Tadesse, B; Kebede, D; Tegegne, T; Alem, A

    1999-01-01

    We report here on a study conducted to measure the validity of an Amharic version of the Reporting Questionnaire for Children (RQC), that was used in a survey of childhood behavioural disorders in a predominantly rural district in western Ethiopia. Mothers of 196 children aged 5-15 years, who were initially interviewed by the RQC were re-interviewed by a psychiatrist who was unaware of the RQC status of these children. The re-interview was conducted using a DSM IV checklist. The study showed that a cut-off point of one or more positive responses to any of the 10 questions on the RQC maximized sensitivity (87.5%) and specificity (65%). The discriminatory power of each item was also computed, and the item dealing with wetting/soiling oneself was found to have the highest ability to identify cases from non-cases. The item on abnormal speech was found to have the least discriminating power.

  16. Spring temperatures in the far-western Nepal Himalaya since AD 1640 reconstructed from Picea smithiana tree-ring widths

    NASA Astrophysics Data System (ADS)

    Thapa, Udya Kuwar; Shah, Santosh K.; Gaire, Narayan Prasad; Bhuju, Dinesh Raj

    2015-10-01

    We developed a new, 422-year long tree-ring width chronology (spanning AD 1591-2012) from Picea smithiana (Wall.) Boiss in Khaptad National Park, which is located in the far-western Nepalese Himalaya. Seasonal correlation analysis revealed significant indirect relationship with spring temperature and lead to the reconstruction of March-May average temperature for the past 373 years (AD 1640-2012). The reconstruction was found significant based on validation statistics commonly used in tree-ring based climate reconstruction. Furthermore, it was validated through spatial correlation with gridded temperature data. This temperature reconstruction identified several periods of warming and cooling. The reconstruction did not show the significant pattern of cooling during the Little Ice Age but there were few cold episodes recorded. The spring temperature revealed relationship with different Sea Surface Temperature index over the equatorial Pacific Ocean, which showed linkages with climatic variability in a global scale.

  17. Analysis of Provenance of Siwalik Group in Western Nepal Himalaya Using Petrography and U-Pb Geochronology

    NASA Astrophysics Data System (ADS)

    Baral, U.; Lin, D.; Chamlagain, D.

    2014-12-01

    The east-west trending southernmost litho-tectonic unit, Siwalik, is about 5 Km thick fluvial coarsening upward sequence, which was deposited during middle Miocene to early Pleistocene. This fluvial sediment is excellent archives of the Himalayan exhumation, tectonic events and mountain building processes. This paper deals with the possible provenance of the middle Miocene to early Pleistocene fluvial sediments along the Karnali River section as well as added some knowledge of the Himalayan orogeny by the means of petrography and detrital zircon U-Pb dating under LA-ICP-MS. The petrographic studies shows the detritus grain of sandstones from the Karnali River section falls on 'recycled orogeny' field on QFL plots. The detrital zircon U-Pb geochronological study shows that the sediments were mostly derived from entire three litho units ;Tethys, Higher, and Lesser Himalaya during the time of deposition of Siwalik whereas the erosion process of Lesser Himalayan sediment increased after ~10 Ma. Overall, the combined studies show the mixed type of provenance as seen in the western Himalaya of India. Key words: U-Pb geochronology, Provenance, Siwalik Group

  18. High Schistosoma mansoni disease burden in a rural district of western Zambia.

    PubMed

    Mutengo, Mable M; Mwansa, James C L; Mduluza, Takafira; Sianongo, Sandie; Chipeta, James

    2014-11-01

    Schistosoma mansoni disease is endemic in most parts of rural Zambia, and associated complications are common. We conducted a cross-sectional study among 754 people in rural communities of Kaoma District, western Zambia to determine the burden of S. mansoni infection and associated morbidity. Parasitology and ultrasonography assessments were conducted on consenting participants. The overall prevalence of S. mansoni infection and geometric mean egg count (GMEC) were 42.4% (304) and 86.6 eggs per gram (95% confidence interval = 75.6-99.6), respectively. Prevalence was highest in the age group of 15-19 years old (adjusted prevalence ratio = 1.70, P = 0.017). S. mansoni-related portal fibrosis was detected in 26% of the participants screened. Participants above 39 years old were 2.93 times more likely to have fibrosis than the 7-9 years old age group (P = 0.004). The study highlights the high burden of S. mansoni disease in this area and calls for immediate interventions to avert complications associated with the disease.

  19. Preliminary study on avian fauna of the Krishna River basin Sangli District, Western Maharashtra, India.

    PubMed

    Kumbar, Suresh M; Ghadage, Abhijit B

    2014-11-01

    The present study on avifaunal diversity carried out for three years at the Krishna River Basin, Sangli District revealed a total of 126 species of birds belonging to 30 families, of which 91 species were resident, 16 migratory, 12 resident and local migratory and 7 species were resident and migratory. Among the migrant birds, Rosy Starling Sturnus roseus was dominant in the study area. Commonly recorded resident bird species were, Red vented bulbul, Jungle crow, House sparrow, Common myna, Brahminy myna, Rock pigeon, Spotted dove, Rose ringed parakeet, Indian robin, White-browed fantail-flycatcher and Small sunbird. Most of the families had one or two species, whereas Muscicapidae family alone had 16 species. Forty one species of waterfowls were recorded in this small landscape. Out of 126 bird species, 38 were insectivorous, 28 piscivorous, 25 omnivorous, 19 carnivorous, 9 granivorous, 5 frugivorous and 2 species were nectar sucker and insectivorous. These results suggest that richness of avifauna in the Krishna River Basin, Western Maharashtra might be due to large aquatic ground, varied vegetations and favourable environmental conditions.

  20. Structural control on the shape of intrusions in the Koktokay ore district, Chinese Altai, north western China

    NASA Astrophysics Data System (ADS)

    Tian, Ye; Qin, Ke Zhang; Zhou, Qi Feng; Paterson, Greig

    2016-02-01

    The Koktokay pegmatite-type rare-metal-bearing ore district in the Altai orogen is famous for both its large scale and its diversity of rare metals. However, the emplacement mechanisms of the ore-bearing pegmatite intrusions in the Koktokay ore district are still unclear. Based on field observations, the emplacement of the ore-bearing pegmatite intrusions falls into two types. The first type is typical of the formation of dykes and sills, whereby they intruded into fan shaped, moderate dipping, joints within plutonic rocks. The second type involves the formation of a punched laccolith that was fed by a pegmatite sill. Magmatic stoping is the main mechanism of the laccolith emplacement. The peripheral faults played an important role in helping the emplacement of the laccolith. The trend of dykes and sills indicate two potential prospecting areas, which are located in the western and northern regions of the Koktokay ore district.

  1. Hydrogeochemical Investigations of Historic Mining Districts, Central Western Slope of Colorado, Including Influence on Surface-Water Quality

    USGS Publications Warehouse

    Nash, J. Thomas

    2002-01-01

    This report describes reconnaissance hydrogeochemical investigations of 22 mining districts on the Western Slope of Colorado in the Gunnison and Uncompahgre National Forests and adjacent public lands administered by the Bureau of Land Management. Sources and fates of contaminants from historic mines, mine waste, and mill tailings are interpreted from chemical analyses for 190 samples of surface waters; 185 samples of mined rocks, mill tailings, and altered rocks; and passive leach analyses of 116 samples of those mineralized materials. Short reaches of several headwater streams show relatively low level effects of historic mining; the headwaters of the Uncompahgre River are highly contaminated by mines and unmined altered rocks in the Red Mountain district. There is encouraging evidence that natural processes attenuate mine-related contamination in most districts.

  2. Quantum Information and Nepal

    NASA Astrophysics Data System (ADS)

    Brady, Adam; Chapagain, Nirdosh; Simkhada, Prashanna

    2011-10-01

    Quantum Information (QI) is a relatively young science with exciting research opportunities. Nepal has an untapped reserve of motivated students with scientific research potential. Based on our educational experience in Nepal and in the US and based on our exposure to QI, we explore the possibility of developing QI research in Nepal. In this poster we lay out basic facts on physics and physics education in Nepal, report on an introductory QI class experiment at BYU, and use what we have learned to envision a QI future in Nepal.

  3. Occurrence of anti-D alloantibodies among pregnant women in Kasese District, Western Uganda

    PubMed Central

    Mbalibulha, Yona; Muwanguzi, Enoch; Mugyenyi, Godfrey R; Natukunda, Bernard

    2015-01-01

    Objectives This study was undertaken to determine the distribution of ABO/RhD (rhesus D antigen) blood phenotypes, prevalence of anti-D alloantibodies, and the risk factors for alloimmunization among pregnant women in Kasese District, Western Uganda. Materials and methods Ethylenediamine tetraacetic acid-containing plasma samples and serum samples were taken from pregnant women attending the antenatal clinic. The blood groups were identified using the microplate grouping method, while the presence of anti-D alloantibodies was detected by the indirect antiglobulin test (IAT). Data were also collected from the pregnant women on the risk factors associated with anti-D alloantibody formation. Results Among the 726 participants, the blood group distribution was as follows: O: 356 (49.%); A: 190 (26.%); B: 152 (21%); and AB: 28 (4%). A total of 28 (3.86%) pregnant women were RhD negative. Anti-D alloantibodies were detected in 88 (12.1%) of the participants; and of these, 13 (14.8%) were RhD negative. Statistically significant risk factors for anti-D alloimmunization included miscarriage, stillbirth, and postpartum hemorrhage. Conclusion Blood group O was the most common among the pregnant women in this study and the prevalence of Rh negativity was 3.8%. The frequency of anti-D alloimmunization among pregnant women in Kasese District was 12.12%, with 85.5% of these being RhD positive. Risk factors such as a history of stillbirths, miscarriages, and incidence of postpartum hemorrhage were significantly associated with anti-D alloimmunization. There is a need to routinely carry out antenatal blood grouping and IAT screening on pregnant women in Uganda to detect anti-D alloimmunization. Given the high prevalence of anti-D alloantibody formation among RhD-positive women, we recommend additional research studies on the role of autoimmunity among antigen-positive women, as well as the occurrence of RhD variants plus their implications on hemolytic disease of the fetus and

  4. Newborn Care Practices among Adolescent Mothers in Hoima District, Western Uganda

    PubMed Central

    Waiswa, Peter; Kawooya, Vincent; Nalwadda, Christine K.; Okuga, Monica; Nabiwemba, Elizabeth L.

    2016-01-01

    Introduction Adolescent childbearing remains a major challenge to improving neonatal mortality especially in Sub Saharan countries which are still struggling with high neonatal mortality rates. We explored essential newborn care practices and associated factors among adolescent mothers in Western Uganda. Methods Data were collected among 410 adolescent mothers with children aged one to six months in Hoima district. Three composite variables (appropriate neonatal breastfeeding, cord care and thermal protection) were derived by combining related practices from a list of recommended newborn care practices. Logistic regression analysis was conducted to identify factors independently associated with practice of essential newborn care. Results Appropriate newborn feeding, optimal thermal protection and dry cord care were practiced by 60.5%, 67.2% and 31% of adolescent mothers respectively. Independent predictors’ of cord care were: knowledge of cord care (AOR 5.34, 95% CI (1.51–18.84) and having delivered twins (AOR 0.04, 95% CI (0.01–0.22). The only predictor of thermal care was knowledge (AOR 25.15, 95% CI (7.01–90.20). Staying in a hospital for more than one day postpartum (AOR 2.45, 95%CI (1.23–4.86), knowledge of the correct time of breastfeeding initiation (AOR 14.71, 95% CI (5.20–41.58), predicted appropriate neonatal feeding, whereas; adolescent mothers who had had a caesarean delivery (AOR 0.19, 95% CI (I 0.04–0.96) and a male caretaker in the postnatal period (AOR 0.18, 95% CI (0.07–0.49) were less likely to practice the recommended newborn feeding. Conclusion Sub optimal essential newborn care practice was noted especially suboptimal cord care. Adolescent mothers should be a focus of strategies to improve maternal and neonatal health. PMID:27855186

  5. Ethnobotany in the Nepal Himalaya

    PubMed Central

    Kunwar, Ripu M; Bussmann, Rainer W

    2008-01-01

    Background Indigenous knowledge has become recognized worldwide not only because of its intrinsic value but also because it has a potential instrumental value to science and conservation. In Nepal, the indigenous knowledge of useful and medicinal plants has roots in the remote past. Methods The present study reviews the indigenous knowledge and use of plant resources of the Nepal Himalayas along the altitudinal and longitudinal gradient. A total of 264 studies focusing on ethnobotany, ethnomedicine and diversity of medicinal and aromatic plants, carried out between 1979 and 2006 were consulted for the present analysis. In order to cross check and verify the data, seven districts of west Nepal were visited in four field campaigns. Results In contrast to an average of 21–28% ethnobotanically/ethnomedicinally important plants reported for Nepal, the present study found that up to about 55% of the flora of the study region had medicinal value. This indicates a vast amount of undocumented knowledge about important plant species that needs to be explored and documented. The richness of medicinal plants decreased with increasing altitude but the percentage of plants used as medicine steadily increased with increasing altitude. This was due to preferences given to herbal remedies in high altitude areas and a combination of having no alternative choices, poverty and trust in the effectiveness of folklore herbal remedies. Conclusion Indigenous knowledge systems are culturally valued and scientifically important. Strengthening the wise use and conservation of indigenous knowledge of useful plants may benefit and improve the living standard of poor people. PMID:19055723

  6. Caldera-related gold mineralization of the El Limón mining district, western Nicaragua

    NASA Astrophysics Data System (ADS)

    Malone, Gary B.; Stoiber, Richard E.

    1987-08-01

    The town of El Limón, the center of a small gold mining district, lies 36 km northeast of León, Nicaragua. This paper reports on the sequence of volcanic rocks in the district, the structures in these volcanics and the relationship of the gold veins to them.

  7. The Role of Obstetric Knowledge in Utilization of Delivery Service in Nepal

    ERIC Educational Resources Information Center

    Karkee, Rajendra; Baral, Om Bahadur; Khanal, Vishnu; Lee, Andy H.

    2014-01-01

    Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of Nepal, we evaluated if having obstetric knowledge…

  8. Parent Decision-Making When Selecting Schools: The Case of Nepal

    ERIC Educational Resources Information Center

    Joshi, Priyadarshani

    2014-01-01

    This paper analyzes the parent decision-making processes underlying school selection in Nepal. The analysis is based on primary survey and focus group data collected from parent meetings in diverse local education markets in two districts of Nepal in 2011. It highlights three main arguments that are less frequently discussed in the context of…

  9. Working Together, Staying Vital. Proceedings of the Joint Conference of the Western Australian District High Schools Administrators' Association and the National Society for the Provision of Education in Rural Australia (20th, Fremantle, Western Australia, June 2004)

    ERIC Educational Resources Information Center

    Boylan, Colin, Ed.; Hemmings, Brian, Ed.

    2004-01-01

    The 20th National Society for the Provision of Education in Rural Australia (SPERA) and Western Australia District High School Administrators' Association (WADHSAA) joint conference proceedings, based on the theme "Working Together, Staying Vital," was held in Fremantle, Perth, Western Australia, in June 2004. The proceedings contain 13…

  10. Strengthening Free Healthcare in Rural Nepal.

    PubMed

    Basnet, B; Gauchan, B; Shrestha, R; Baruwal, A; Karcles, G; Silver, Z

    2014-01-01

    Nepal, a mountainous country in South East Asia, still lags in increasing access to healthcare and reducing health inequity. Possible Non Government Organization based in Achham, Nepal, which is a sister organization of Possible International Non Government Organization based in New York, USA recognized the increasing health needs in the far western rural hilly parts of Nepal, where extreme poverty and illiteracy was creating a vulnerable picture especially in Achham. Possible (previously named Nyaya Health) started to operate Bayalpata Hospital in 2009 after completing more than one year of free health services in Sanfe-Bagar, Achham, in partnership with the Nepalese Ministry of Health and Population. It supports the idea that free health service has its own challenges but a public-private partnership can thrive while promote equity in health services.

  11. Nepal: Quest for Survival.

    DTIC Science & Technology

    1983-05-02

    Shiva Tantrik schools and Mahayana Buddhism continued to spread. The Vishyas were in turn supplanted by the Mallas in the 12th century. The Mallas trace...from field commanders by maintaining that "Nepal is a fort made by God ." 2 4 The Government of Nepal received an ultimatum to recognize British

  12. Assessment of the impact of family physicians in the district health system of the Western Cape, South Africa

    PubMed Central

    Mash, Bob; Naledi, Tracey

    2014-01-01

    Background: In 2007, South Africa made family medicine a new speciality. Family physicians that have trained for this new speciality have been employed in the district health system since 2011. The aim of the present study was to explore the perceptions of district managers on the impact of family physicians on clinical processes, health system performance and health outcomes in the district health system (DHS) of the Western Cape. Methods: Nine in-depth interviews were performed: seven with district managers and two with the chief directors of the metropolitan and rural DHS. Interviews were recorded, transcribed and analysed using the ATLAS-ti and the framework method. Results: There was a positive impact on clinical processes for HIV/AIDS, TB, trauma, non-communicable chronic diseases, mental health, maternal and child health. Health system performance was positively impacted in terms of access, coordination, comprehensiveness and efficiency. An impact on health outcomes was anticipated. The impact was not uniform throughout the province due to different numbers of family physicians and different abilities to function optimally. There was also a perception that the positive impact attributed to family physicians was in the early stages of development. Unanticipated effects included concerns with their roles in management and training of students, as well as tensions with career medical officers. Conclusion: Early feedback from district managers suggests that where family physicians are employed and able to function optimally, they are making a significant impact on health system performance and the quality of clinical processes. In the longer term, this is likely to impact on health outcomes. Evaluation de l'impact des médecins de famille dans le système de santé du district du Western Cape, en Afrique du Sud. Contexte: En 2007, l'Afrique du Sud a institué une nouvelle spécialité, la médecine de famille. Les médecins de famille qui se sont sp

  13. Mobile Learning Practice in Higher Education in Nepal

    ERIC Educational Resources Information Center

    Parajuli, Krishna Prasad

    2016-01-01

    During the 15 years of this current century, mobile technology has become a leading technology in the support of educational outcomes. This study investigated the mobile learning practices among undergraduates in higher education in the semi-urban and rural areas of the Gorkha district of Nepal. The objectives were to explore the availability of…

  14. Platinum potential of mafic-ultramafic massifs in the western part of the Dambuka ore district (Upper Amur Region, Russia)

    NASA Astrophysics Data System (ADS)

    Melnikov, A. V.; Stepanov, V. A.; Moiseenko, V. G.

    2016-02-01

    New data on the Pt potential of mafic-ultramafic massifs of the Khani-Maya, Uldegit, and Dzhalta complexes in the western part of the Dambuka ore district are discussed. The Khani-Maya Complex is represented by metamorphosed gabbro, gabbronorites, gabbro anorthosites, subordinate pyroxenites, hornblendites, and peridotites. The Uldegit Complex is composed of pyroxenites, hornblendites, gabbro, gabbronorites, norites, troctolites, peridotites, dunites, actinolite-tremolites, serpentinites, anthophyllites, and tremolite-plagioclase rocks. The Dzhalta Complex is formed of peridotites, gabbro, eclogitized gabbro, hornblendites, cortlandites, and pyroxenites. All these complexes differ from each other by the concentrations of Ni, Cu, Co, Au, and platinoids depending on the composition of the constituting rocks and the presence of sulfide minerals.

  15. Determinants of choice of market-oriented indigenous Horo cattle production in Dano district of western Showa, Ethiopia.

    PubMed

    Alemayehu, Befikadu; Bogale, Ayalneh; Wollny, Clemens; Tesfahun, Girma

    2010-12-01

    Based on a survey data collected from 150 farming households in Dano district of western Showa of Ethiopia, this paper analyzes determinants of smallholders' choice for market oriented indigenous Horo cattle production and tries to suggest policy alternatives for sustainable use of animal genetic resource in the study area. Descriptive statistics and binary logistic model were employed to analyze the data. Eight explanatory variables including age of the household head, size of the grazing land, total size of cultivated land, farmer's experience in indigenous cattle production, farmer's attitude towards productivity of local breed, off-farm income, fattening practice, and availability of information and training of the head of the household regarding conservation, management and sustainable use indigenous cattle were found to be statistically significant variables to explain farmers' choice for market oriented indigenous cattle production activities. Besides, possible policy implications were made in order to improve conservation, management and sustainable use of market oriented indigenous cattle genetic resources.

  16. Fecal contamination of drinking water in Kericho District, Western Kenya: role of source and household water handling and hygiene practices.

    PubMed

    Too, Johana Kiplagat; Kipkemboi Sang, Willy; Ng'ang'a, Zipporah; Ngayo, Musa Otieno

    2016-08-01

    Inadequate protection of water sources, and poor household hygienic and handling practices have exacerbated fecal water contamination in Kenya. This study evaluated the rate and correlates of thermotolerant coliform (TTC) household water contamination in Kericho District, Western Kenya. Culture and multiplex polymerase chain reaction (PCR) techniques were used to characterize TTCs. The disk diffusion method was used for antibiotic susceptibility profiling of pathogenic Escherichia coli. Out of the 103 households surveyed, 48 (46.6%) had TTC contaminated drinking water (TTC levels of >10 cfu/100 mL). Five of these households were contaminated with pathogenic E. coli, including 40% enteroaggregative E. coli, 40% enterotoxigenic E. coli, and 20% enteropathogenic E. coli. All these pathogenic E. coli strains were multidrug resistant to sulfamethoxazole/trimethoprim, ampicillin, tetracycline and ampicillin/sulbactam. Rural household locality, drinking water hand contact, water storage container cleaning practice, hand washing before water withdrawal, water source total coliforms <10 cfu/100 mL, temperature, and free chlorine levels were associated with TTC contamination of household drinking water. Significant proportions of household drinking water in Kericho District are contaminated with TTCs including with pathogenic multidrug-resistant E. coli. Source and household hygiene and practices contribute significantly to drinking water contamination.

  17. Secondary Education in Nepal

    ERIC Educational Resources Information Center

    Butler, Lucius

    1973-01-01

    This article describes the development of education in Nepal from its beginnings in indigenous education associated with Hindu and Buddhist religions to the present democratic period, which began in 1971 and entails a reform in curriculum and school organization. (JH)

  18. [Ophthalmologic findings and problems in West Nepal].

    PubMed

    Brandt, F; Bishwas, I C; Pradhan, Y M

    1982-10-01

    On the basis of a screening of 6226 patients in western Nepal the most common causes of disease were established. Refraction anomalies and cataract were both found in over 20 percent of the patients, conjunctivitis/dacryocystitis and corneal opacities each in more than 10 percent. Lid conditions, trachoma, pterygium, vitamin A deficiency, glaucoma, iritis, diseases of the fundus and phtisis bulbi were each seen in more than 1 percent of the patients. Problems of treatment are described.

  19. Peculiarities of strength and deformability properties of clay soils in districts of Western Siberia

    NASA Astrophysics Data System (ADS)

    Efimenko, Sergey; Efimenko, Vladimir; Sukhorukov, Alexey

    2016-01-01

    The article demonstrates the methodology of the substantiation of the calculated values of moisture, strength, and deformability characteristics of clay subgrade soils for the design of pavements by strength conditions in II, III, and IV road-climatic zones in West Siberia. The main purpose of the work is to ensure the quality of the design of roads in newly developed regions of Russia. To achieve this goal the following problems have been solved: the dislocation of boundary lines of road-climatic zones has been specified, zoning of the investigated territory for the design of roads has been detailed; regularities of changes in strength and deformability characteristics of clay subgrade soils of their moisture have been established; the territorial normalization of the calculated values of moisture, strength, and deformability of clay subgrade soils in relation to the allocated road districts has been carried out. Specification of boundary lines of road-climatic zones has been implemented on the basis of the taxonomic system "zone-subzone-road district". The calculated values of moisture, strength, and deformability characteristics of clay soils, established and differentiated according to road-climatic zones, will ensure the required level of the reliability of transport infrastructure facilities during the life cycle of roads.

  20. Multidisciplinary study on anthropogenic landslides in Nepal

    NASA Astrophysics Data System (ADS)

    Puglia, Christopher; Derron, Marc-Henri; Nicolet, Pierrick; Sudmeier-Rieux, Karen; Jaboyedoff, Michel; Devkota, Sanjay

    2013-04-01

    Nepal is a country in which shallow landslide is a frequent phenomenon. Monsoon is the main triggering factor but anthropogenic influence is often significant too. Indeed, many infrastructures, such as roads or water pipes, are not built in a rigorous way because of a lack of funds and knowledge. In the present study we examine the technical, social and economic issues of landslide management for two sites in Nepal. The first site is located in Sanusiruwari VDC (Sindhupalchock district, central Nepal) and the second one in Namadi VDC (Ramecchap district, central Nepal). Both sites are affected by landslides induced by the construction of hydropower plants. These landslides may threaten the viability of the hydropower plants. At both sites the problems are quite similar, but the first site project is a private one and the second one is a public one implemented by the United Nations Development Programme (UNDP). For both sites, bioengineering methods using Vetiver (Vetyveria zizanioides) plantations is the main stabilization measure. To follow the progression of both landslides, fieldwork observations were conducted before and after the 2012 rainy season, including photogrammetric and distancemeter acquisitions. Main issues were discussed with communities and stakeholders of the hydropower projects through interviews and participatory risk mapping. Main issues include: lack of communication between the project managers and communities leading to conflict and the lack of maintenance of the bio-engineering sites, leading to less effective Vetiver growth and slope stabilization. Comparing the landslide management (technical, social and economic) of the two projects allows to point out some specific issues within an integrated risk perspective.

  1. Regional flood-frequency reconstruction for Kullu district, Western Indian Himalayas

    NASA Astrophysics Data System (ADS)

    Ballesteros Cánovas, J. A.; Trappmann, D.; Shekhar, M.; Bhattacharyya, A.; Stoffel, M.

    2017-03-01

    Floods are a major threat in many valleys of the Indian Himalayan Region (IHR). Yet, the lack of reliable data on past events renders the implementation of appropriate adaptation policies a difficult task, and therefore also hampers the mitigation of future disasters. In an attempt to overcome these shortcomings, we combine reconstructed paleoflood events based on tree-ring analyses with existing systematic records, so as to derive a regional flood frequency. Analysis was realized with tree-ring records and through the dating of growth disturbances in riparian trees of major rivers in Kullu district (Himachal Pradesh, Indian Himalayas). To this end, we combined field-based observations, tree-ring analyses, hydraulic modelling and statistical approaches. Results suggest that the occurrence of floods in Kullu district is recurrent, with a marked seasonality and a cyclic natural variability in flood frequency at multi-decadal scales, as well as distinct spatial representativeness. The inclusion of peak discharge data of past, previously ungauged, flood events derived from tree-ring records has a significant and positive impact on the flood frequency assessment. Flood hazards and associated risks have been clearly underestimated in the region and based on the systematic records alone. We also demonstrate that a regional flood frequency approach is suitable to optimize the information gathered from tree rings and that flood frequency can thus be analyzed for larger regions. The approach used in this paper can be implemented in the other, poorly gauged region and thus contribute to climate change adaptation policies in undocumented environments such as the Indian Himalayan Region.

  2. Base of principal aquifer for parts of the North Platte, South Platte, and Twin Platte Natural Resources Districts, western Nebraska

    USGS Publications Warehouse

    Hobza, Christopher M.; Abraham, Jared D.; Cannia, James C.; Johnson, Michaela R.; Sibray, Steven S.

    2014-01-01

    Water resources in the North and South Platte River valleys of Nebraska, including the valley of Lodgepole Creek, are critical to the social and economic health of the area, and for the recovery of threatened and endangered species in the Platte River Basin. Groundwater and surface water are heavily used resources, and uses are regulated in the study area. Irrigation is the dominant water use and, in most instances, is supplied by both groundwater and surface-water sources. The U.S. Geological Survey and its partners have collaborated to use airborne geophysical surveys for areas of the North and South Platte River valleys including the valley of Lodgepole Creek in western Nebraska. The objective of the surveys was to map the aquifers and underlying bedrock topography of selected areas to help improve the understanding of groundwater–surface-water relations to guide water-management decisions. This project was a cooperative study involving the North Platte Natural Resources District, the South Platte Natural Resources District, the Twin Platte Natural Resources District, the Conservation and Survey Division of the University of Nebraska-Lincoln, and the Nebraska Environmental Trust. This report presents the interpreted base-of-aquifer surface for part of the area consisting of the North Platte Natural Resources District, the South Platte Natural Resources District, and the Twin Platte Natural Resources District. The interpretations presented herein build on work done by previous researchers from 2008 to 2009 by incorporating additional airborne electromagnetic survey data collected in 2010 and additional test holes from separate, related studies. To make the airborne electromagnetic data useful, numerical inversion was used to convert the measured data into a depth-dependent subsurface resistivity model. An interpretation of the elevation and configuration of the base of aquifer was completed in a geographic information system that provided x, y, and z

  3. A Study on Factors Affecting Low Back Pain and Safety and Efficacy of NSAIDs in Acute Low Back Pain in a Tertiary Care Hospital of Western Nepal

    PubMed Central

    Bhattarai, Srijana; Chhetri, Himal Paudel; Alam, Kadir; Thapa, Pabin

    2013-01-01

    Introduction: Low back pain is characterized by a range of symptoms which include pain, muscle tension or stiffness, and is localized between the shoulder blades and the folds of the buttocks, with or without spreading to the legs. Non-Steroidal Anti Inflammatory Drugs (NSAIDs) are the drugs of choice which provide an analgesic effect for acute low back pain. Aim: To study the factors affecting low back pain, efficacy and safety of different non-steroidal anti-inflammatory drugs (aceclofenac, diclofenac, naproxen and nimesulide) in low back pain. Methodology: Data collection form and numeric pain rating scale were used as study tools for studying patients’ demographies and severities of pain respectively. Patients prescribed with aceclofenac 100 mg , diclofenac 100 mg, naproxen 500 mg and nimesulide 100 mg for acute low back pain at Orthopaedics Outpatients Department of Manipal Teaching Hospital, Nepal, were enrolled in this study. The decrease in pain scores was recorded on 5th and 10th days of follow-up and pain scores were calculated. Descriptive statistics and Kruskal Wallis non parametric test were used for analysis. Results: Among 150 patients, 67.3% were females (n=101). Low back pain was more prevalent (24.7%) in age-group of 59-68 years and a positive correlation was seen. Similarly, low back pain was found to be high among people involved in agriculture, heavy weight lifters and non smokers. The decrease in average pain scores was more in the patients treated with aceclofenac (4.83 ± 0.537), followed by that in those who were treated with naproxen (4.13 ± 0.067) and diclofenac (3.84 ± 0.086). The decrease in pain scores was found to be lowest among patients who were treated with nimesulide (2.11 ± 0.148). Nimesulide presented more number of side-effects than the comparative drugs. Conclusion: Different factors affect low back pain, such as age, gender, personal habit, posture, occupation, weight lifting. Aceclofenac showed greater decrease in pain

  4. Reliability of clinical diagnosis in identifying infectious trachoma in a low-prevalence area of Nepal.

    PubMed Central

    Baral, K.; Osaki, S.; Shreshta, B.; Panta, C. R.; Boulter, A.; Pang, F.; Cevallos, V.; Schachter, J.; Lietman, T.

    1999-01-01

    The WHO Alliance for Global Elimination of Trachoma by 2020 has increased the need to identify ocular chlamydial infections by clinical examination in areas of both high and low prevalence. The relationship between clinically active trachoma (as defined by clinical examination) and chlamydial infection is known for areas with hyperendemic trachoma, but not for areas with a low prevalence of the clinical disease. In the present study, we examined, photographed, and DNA tested the conjunctivae of children in the Surkhet district of mid-western Nepal, an area known to have a low prevalence of clinically active trachoma. Although 6% of the children aged 10 years and under were found to have clinically active trachoma, none were found to have chlamydia infection by the most sensitive DNA amplification tests available. A very low prevalence of clinically active trachoma is not necessarily evidence of the presence of chlamydial infection. Therefore, the WHO policy of not recommending an intensive trachoma control effort when the prevalence of clinically active trachoma is less than 10% in children is appropriate for this area of Nepal. PMID:10427930

  5. Mineralogy and sedimentology of the Miocene Göcenoluk borate deposit, Kırka district, western Anatolia, Turkey

    NASA Astrophysics Data System (ADS)

    García-Veigas, Javier; Helvacı, Cahit

    2013-05-01

    The Miocene boratiferous district of Kırka, in western Anatolia (Turkey), is the most important Na-borate (borax) resource in the world. Two separate deposits in the Kırka district are located near the villages of Sarıkaya and Göcenoluk (Eskişehir Province). Borax is intensively exploited in open-pit mines in the Sarıkaya deposit while only small quarries of colemanite are known in the Göcenoluk deposit. Recent exploratory drilling in the Göcenoluk area intersected a thick succession of dolostones, tuffs and three borate-bearing units (Lower, Intermediate and Upper Borate Units). In them, the most abundant borate mineral is ulexite (Ca-Na-borate) passing at depth to probertite. Borax (Na-borate) is only present in the Intermediate Borate Unit. Minor amounts of colemanite (Ca-borate) and hydroboracite (Ca-Mg-borate) occur at the base, and/or top, of each mineralized unit. Pyroclastic layers within the borate units show intense alteration by alkaline, boron-bearing waters and formation of diagenetic clay minerals (smectites), zeolites (analcime) and borosilicates (searlesite). The Göcenoluk succession is interpreted as a shallow, ephemeral, alkaline lake deposit in which carbonates formed as stromatolites and travertines. Borate precipitation in the Göcenoluk area took place interstitially within muddy and carbonate sediments in a lateral progression from marginal Ca-borates towards Na-Ca-borates and rarely to Na-borates in the center of the lake. Authigenic silicate mineral distribution shows parallel changes toward the center of the lake that reflect increasing pH gradient.

  6. Nepal CRS project incorporates.

    PubMed

    1983-01-01

    The Nepal Contraceptive Retail Sales (CRS) Project, 5 years after lauching product sales in June 1978, incorporated as a private, nonprofit company under Nepalese management. The transition was finalized in August 1983. The Company will work through a cooperative agreement with USAID/Kathmandu to complement the national family planning goals as the program continues to provide comtraceptives through retail channels at subsidized prices. Company objectives include: increase contraceptive sales by at least 15% per year; make CRS cost effective and move towards self sufficiency; and explore the possibility of marketing noncontraceptive health products to improve primary health care. After only5 years the program can point to some impressive successes. The number of retial shops selling family planning products increased from 100 in 1978 to over 8000, extending CRS product availability to 66 of the country's 75 districts. Retail sales have climbed dramatically in the 5-year period, from Rs 46,817 in 1978 to Rs 271,039 in 1982. Sales in terms of couple year protection CYP) have grown to 24,451 CYP(1982), a 36% increase over 1980 CYP. Since the beginning of the CRS marketing program, total distribution of contraceptives--through both CRS and the Family Planning Maternal and Child Haelth (FP/MCH) Project--has been increasing. While the FP/MCH program remains the largest distributor,contribution of CRS Products is increasing, indicating that CRS is creating new product acceptors. CRS market share in 1982 was 43% for condoms and 16% for oral contraceptives (OCs). CRS markets 5 products which are subsidized in order to be affordable to consumers as well as attractive to sellers. The initial products launched in June 1978 were Gulaf standard dose OCs and Dhaal lubricated colored condoms. A less expensive lubricates, plain Suki-Dhaal condom was introduced in June 1980 in an attempt to reach poorer rural populations, but rural distribution costs are excessive and Suki

  7. Reconnaissance of surface-water quality in the North Platte Natural Resources District, western Nebraska, 1993

    USGS Publications Warehouse

    Steele, G.V.; Cannia, J.C.

    1997-01-01

    In 1993, the U.S. Geological Survey and the North Platte Natural Resources District began a 3-year study to determine the geohydrology and water quality of the North Platte River alluvial aquifer near Oshkosh, Garden County, Nebraska. The objectives of the study were to determine the geohydrologic properties of the North Platte River alluvial aquifer, to establish a well network for long- term monitoring of concentrations of agricultural chemicals including nitrate and herbicides, and to establish baseline concentrations of major ions in the ground water. To meet these objectives, monitor wells were installed at 11 sites near Oshkosh. The geohydrologic properties of the aquifer were estimated from water-level measurements at selected irrigation wells located in the study area and short- term constant-discharge aquifer tests at two monitor wells. Water samples were collected bimonthly and analyzed for specific conductance, pH, water temperature, dissolved oxygen, and nutrients including dissolved nitrate. Samples were collected semiannually for analysis of major ions, and annually for triazine and acetamide herbicides. Evaluation of the aquifer-test data indicates the hydraulic conductivities of the North Platte River alluvial aquifer range between 169 and 184 feet per day and transmissivities ranged from 12,700 to 26,700 feet-squared per day. The average specific yield for the alluvial aquifer, based on the two aquifer tests, was 0.2. Additional hydrologic data for the alluvial aquifer include a horizontal gradient of about 0.002 foot per foot and estimated ground- water flow velocities of about 0.1 to 1.8 feet per day. Evaluation of the water-quality data indicates that nitrate concentrations exceed the U.S. Environmental Protection Agency's (USEPA) Maximum Contamination Level of 10 milligrams per liter for drinking water in areas to the east and west of Oshkosh. In these areas, nitrate concentrations generally are continuing to rise. West of Oshkosh the highest

  8. Geothermal manifestations in Nepal

    SciTech Connect

    Raj Bhattarai, D.

    1986-01-01

    A number of thermal springs have been located in different parts of Nepal. As very few systematic studies have been carried out so far very little is known on their chemistry and genesis. Talalov (1973) and Bhattarai have made an inventory of the thermal springs of Nepal and have provided some relevant information on about forty of them. Dikshit and Bhattarai and Bashyal have made preliminary investigations of some thermal springs of Dhawalagiri and Karnali Zone, and Lumbini Zone respectively. The present paper deals with some of the geological and chemical studies of the thermal springs undertaken by the author.

  9. Reproductive status of western mosquitofish inhabiting selenium- contaminated waters in the Grassland Water District, Merced County, California

    USGS Publications Warehouse

    Saiki, M.K.; Martin, B.A.; May, T.W.

    2004-01-01

    This study was implemented to determine if western mosquitofish (Gambusia affinis) populations in the Grassland Water District suffer from impaired reproduction because of seleniferous inflows of agricultural drainwater from the Grassland Bypass Project. During June to July 2001, laboratory trials with pregnant female fish collected from two seleniferous treatment sites exposed to selenium-laden drainwater and two nonseleniferous reference sites yielded fry that averaged >96% survival at birth. In addition, none of the newborn fry exhibited evidence of teratogenesis, a typical consequence of selenium toxicity. Chemical analysis of postpartum female fish and their newborn fry indicated that mosquitofish from seleniferous sites accumulated relatively high body burdens of selenium (3.96 to 17.5 ??g selenium/g in postpartum female fish and 5.35 to 29.2 ??g selenium/g in their fry), whereas those from nonseleniferous sites contained lower body burdens (0.40 to 2.72 ??g selenium/g in postpartum female fish and 0.61 to 4.68 ??g selenium/g in their fry). Collectively, these results strongly suggest that mosquitofish inhabiting selenium- contaminated waters are not experiencing adverse reproductive effects at current levels of selenium exposure.

  10. Leptospira Seroprevalence and Risk Factors in Health Centre Patients in Hoima District, Western Uganda

    PubMed Central

    Pearson, Raewynne; Kankya, Clovice; Kajura, Charles; Alinaitwe, Lordrick; Kakooza, Steven; Pelican, Katharine M.; Travis, Dominic A.; Mahero, Michael; Boulware, David R.; Mugisha, Lawrence

    2016-01-01

    Background The burden of human leptospirosis in Uganda is unknown. We estimated the seroprevalence of Leptospira antibodies, probable acute/recent leptospirosis, and risk factors for seropositivity in humans in rural Western Uganda. Methodology and Principal Findings 359 non-pregnant adults visiting the Kikuube and Kigorobya Health Centers were sequentially recruited during March and April 2014. A health history survey and serum were collected from consented participants. Overall, 69% reported having fever in the past year, with 49% reporting malaria, 14% malaria relapse, 6% typhoid fever, 3% brucellosis, and 0% leptospirosis. We tested sera by microscopic agglutination test (MAT) against eight Leptospira serovars representing seven serogroups. Leptospira seroprevalence was 35% (126/359; 95%CI 30.2–40.3%) defined as MAT titer ≥ 1:100 for any serovar. The highest prevalence was against L. borgpetersenii Nigeria (serogroup Pyrogenes) at 19.8% (71/359; 95%CI 15.9–24.4%). The prevalence of probable recent leptospirosis (MAT titer ≥1:800) was 1.9% (95%CI 0.9–4.2%) and uniquely related to serovar Nigeria (serogroup Pyrogenes). Probable recent leptospirosis was associated with having self-reported malaria within the past year (p = 0.048). Higher risk activities included skinning cattle (n = 6) with 12.3 higher odds (95%CI 1.4–108.6; p = 0.024) of Leptospira seropositivity compared with those who had not. Participants living in close proximity to monkeys (n = 229) had 1.92 higher odds (95%CI 1.2–3.1; p = 0.009) of seropositivity compared with participants without monkeys nearby. Conclusions/Significance The 35% prevalence of Leptospira antibodies suggests that exposure to leptospirosis is common in rural Uganda, in particular the Nigeria serovar (Pyrogenes serogroup). Leptospirosis should be a diagnostic consideration in febrile illness and “smear-negative malaria” in rural East Africa. PMID:27487398

  11. Rural Agricultural Change and Fertility Transition in Nepal

    ERIC Educational Resources Information Center

    Bhandari, Prem; Ghimire, Dirgha

    2013-01-01

    Using longitudinal panel data from the Western Chitwan Valley of Nepal, this study examines the impact of the use of modern farm technologies on fertility transition--specifically, the number of births in a farm household. Previous explanations for the slow pace of fertility transition in rural agricultural settings often argued that the demand…

  12. Innovation in Primary School Construction: Community Participation in Seti Zone, Nepal. Educational Building Report 20. A Case Study.

    ERIC Educational Resources Information Center

    Tamang, H. D.; Dharam, K. C.

    Nepal is one of the poorest countries in the world. In 1981 the Education for Rural Development in Seti Zone Project--more commonly known as the "Seti Project"--was part of the Nepalese government's effort to develop a system of basic education in that far western region of Nepal. The early success of the project provided the impetus for…

  13. Processes of Internal and International Migration from Chitwan, Nepal

    PubMed Central

    Bohra, Pratikshya; Massey, Douglas S.

    2011-01-01

    In this study we examine which factors predict internal and international migration from Chitwan, a flat valley located in the South-Central region of Nepal, seeking to measure the effect of theoretically specified variables such as human capital, social capital, physical capital, and neighborhood socioeconomic conditions while controlling for demographic variables. We use data from the Chitwan Valley Family Study (CVFS) to estimate a series of discrete time event history models of first and repeat migration to three competing destinations: other locations within Chitwan, other districts within Nepal, and places outside of Nepal. Results support hypotheses derived from neoclassical economics, the theory of new economics of migration, social capital theory, and cumulative causation theory. Our results underscore the need for a synthetic theoretical model that incorporates factors operating at the individual, household, and community levels. The use of multiple explanatory models yields a clearer picture of the forces driving internal and international migration from rural districts in developing nations such as Nepal. PMID:21423821

  14. Nepal moves mountains with literacy.

    PubMed

    Hanford, H

    1992-01-01

    Women's literacy in Nepal is 13% compared with 38% for men. 70% of children, primarily girls, enrolled in school drop out. Many girls are never enrolled. Nepal is a country with rapid population growth, poverty, and an eroding resource base. A description is given of the effective Chili Beti, a women's literacy program operated by the Nepalese government and UNICEF. The target is girl's not enrolled in the formal school system. Classes are conveniently arranged so as not to interfere with household life in a traditional, rural society. Classes begin in November and last for 6 months at a time of day agreeable to students and parents; this avoids a conflict with field work and household chores. The program began in 1983 in a few remote areas and has expanded to include 75 districts. 5000 girls have completed the course. Attendance rates are 86%, and 25% graduate into the primary school system. The goal is to reach 1.7 million out-of-school children by the year 2000, and to expand the program to include boys as well. Success is attributed to course material which is made relevant to girls' daily lives and builds simultaneously practical knowledge and self-confidence, i.e., building latrines or halting rat infestation. Songs and group activities (planting gardens) are used to reinforce classroom presentations. A unique feature of the program is the use of the cartoon character, Kamali, who is a young village girl engaging students while gradually acquiring skills and becoming a Chili Beti teacher herself. Kamali also mobilizes her community to fight soil erosion. After a year of lessons, a secret is revealed: that Kamali is a member of the lower caste; this instills hope that changes is possible. Teachers are also role models and are selected from the local area. There is a month long teacher training program involving recruitment of girls for the program and teaching in and out of a classroom setting. The program challenges attitudes about the appropriateness of

  15. Adult Learning Opportunities in Nepal

    ERIC Educational Resources Information Center

    Regmi, Krishna; Regmi, Sharada

    2008-01-01

    This paper presents the initial findings from a study of education system in Nepal. This paper examines the adult learning opportunities within the educational and cultural contexts by reviewing available literature relevant to Nepal. Findings show that there are wider opportunities for adult learning than those considered from education and…

  16. Ethnomedicine of the Kagera Region, north western Tanzania. Part 3: plants used in traditional medicine in Kikuku village, Muleba District

    PubMed Central

    2012-01-01

    Background The Kagera region of north western Tanzania has a rich culture of traditional medicine use and practice. Traditional medicines are the mainstay of healthcare in this region and are known to support the management of many illnesses such as malaria, bacterial infections, epilepsy, gynecological problems and others. However, most of the plants being used have either not been documented or evaluated for safety and efficacy or both. This study, the sixth of an ongoing series, reports on the medicinal plants that are used at Kikuku village, Muleba District. Methodology A semi-structured questionnaire was used to collect information on the common/local names of the plants, parts of the plants used, diseases treated, methods of preparing the herbal remedies, dosage of the remedies administered, frequency and duration of treatment and toxicity of the medicines. A literature review was carried out for information on the ethnomedical uses of the reported plants. Results A total of 49 plant species belonging to 47 genera and 24 plant families were documented. The family Euphorbiaceae and Asteraceae had the highest representation. The plants are used for the treatment of skin conditions (10 plants; 20%), bacterial infections and wounds (14 plants; 28.6%), malaria (14 plants; 28.6%), gastrointestinal disorders (11 plants; 22.4%), gynecological problems including infertility (8 plants; 16.3%), hypertension (5 plants; 10.2%), viral infections (7 plants; 14.3%), chest problems (5 plants; 10.2%), diabetes (3 plants; 6.1%), cancer (2 plants; 4.1%), inflammatory conditions (arthritis, rheumatism), HIV and AIDS, and hernia each treated by 1 plant (3 plants in total; 6.1%). Information obtained from the literature indicate that 25 (51.0%) of the therapeutic claims are supported by laboratory results or have similar claims of ethnomedical use from other countries. Conclusion Herbal remedies comprise an important and effective component of the healthcare system in Kikuku

  17. Teachers interact with radio in Nepal.

    PubMed

    Sedlak, P A

    1987-01-01

    The Nepal Radio Education Teacher Training Project (RETT) is an interactive program for upgrading underqualified primary school teachers, 27% of whom lack the 10th grade school leaving certificate. Nepal is so mountainous that reaching rural areas is too expensive to train teachers effectively. This program uses curriculum principles such as systematic planning, distributed learning, cyclical instruction, and radio techniques such as intensive broadcasting, interactive learning, immediate reinforcement and an engaging instructional pace for this adult audience. With the help of USAID, Radio Nepal operates a 100,000 watt shortwave transmitter from a studio in suburban Kathmandu. As of August 1980, 5593 teachers from 72 of 75 districts have enrolled, and 2944 have been certified. The 1st phase of the program taught Nepali, mathematics, social studies, health, physical education and art. The 2nd phase emphasizes the content taught in years 7-10, added English, mathematics, science and Nepali. There are major differences in this interactive program compared to those instituted in Kenya, Nicaragua, the Dominican Republic and Thailand, with young audiences. These adults are teachers, unmonitored, individual listeners, in a home setting, usually studying in the evenings in competition with other radio programming, and learning secondary school subject matter. In contrast, prior programs elsewhere have had captive children in primary school monitored by teachers. Incentives are being provided to keep teachers in the courses, such as discounted radios, job security, pay increments and certification. The use of repetition and rapid feedback inherent in interactive radio programming helps to meet the challenges in voluntary participation.

  18. Is there new public health management (NPM) in Nepal? Arguments for and against NPM in Nepal.

    PubMed

    Paudel, Mohan

    2013-01-01

    This article is a reflection about whether new public management (NPM) styles of reforms seen in other developing countries are also seen in Nepal, and to substantiate these facts with the available evidence and findings. The author saw the emergence of NPM ideas in Western industrialized countries like the United Kingdom and New Zealand. Now it exists in several developing countries of Africa and Asia; but it is very hard to generalize the degree and scope of NPM elements' existence. In Southeast Asia, there is still a mix of the old bureaucratic system with new NPM-oriented reform initiatives. Series of administrative reforms, donor conditionality, and the reestablishment of democracy in the country after 1991 have influenced an orientation toward an efficient, people-oriented, mixed-economy model with increasing partnership of private agencies and nongovernmental organizations in Nepal. The political movement of the last 15 years in the country has strongly called for a new, efficient, and performance-oriented administration and management culture in the country. There are several initiatives already introduced (public-private partnership, decentralization, good governance, accountability/public auditing, performance-based outcome/results-oriented financing and reporting systems). However, to take this momentum up, it still requires strong willingness of political leaders and senior administrators. At the moment, peace and stability of turmoil, political stability, state-of-the-art management skills, and supportive organizational culture are the fundamental requirements for increasing the realization of, and sustaining the NPM-oriented reforms in Nepal.

  19. Women Physicists in Nepal

    NASA Astrophysics Data System (ADS)

    Shrestha, N.; Shrestha, S.; Bhattarai, P. K.

    2009-04-01

    Women constitute more than half the total population of Nepal. They are, however, far behind men in all aspects of life. There are wide gender gaps in the social, economic, administrative, political, and legal fields. Data from 1960 to 2001 show that the proportion of female students varied inconsistently at the postgraduate level, and no women held PhD degrees. From 2002 to mid-2008, the number of female students at the MSc and PhD levels has gradually increased. It is expected that this will bring significant improvement in the education of women as a whole, and will help to promote the study of physics by women in the country.

  20. Women physicists in Nepal

    NASA Astrophysics Data System (ADS)

    Shrestha, Nilam; Shrestha, Sanju

    2015-12-01

    Nepal is one of the least developed countries in the world, and education has been a major focus of the government. Half of the population is female, and providing education to women has been one of the biggest challenges to the government. Encouraging science education for girls, with a focus on physics, is even more of a Herculean task. Enrollment of girls in higher education is just over 25%. Data from 2002 to mid-2014 shows that the number of women in physics is increasing gradually, although their numbers are still very low.

  1. Linking microstructures, petrology and in situ U-(Th)-Pb geochronology to constrain P-T-t-D evolution of the Greather Himalyan Sequences in Western Nepal (Central Himalaya)

    NASA Astrophysics Data System (ADS)

    Iaccarino, Salvatore; Montomoli, Chiara; Carosi, Rodolfo; Langone, Antonio

    2013-04-01

    Last advances in forward modelling of metamorphic rocks and into the understanding of accessories minerals behaviour, suitable for geochronology (e.g. zircon and monazite), during metamorphism, bring new insights for understanding the evolution of metamorphic tectonites during orogenic cycles (Williams and Jercinovic, 2012 and reference therein). One of the best exposure of high- to medium grade- metamorphic rocks, is represented by the Greater Himalayan Sequence (GHS) in the Himalayan Belt, one of the most classic example of collisional orogen. Recent field work in Mugu Karnali valley, Western Nepal (Central Himalaya), identified a compressional top to the South ductile shear zone within the core of the GHS, named Magri Shear Zone (MSZ), developed in a high temperature regime as testified by quartz microstructures and syn-kinematic growth of sillimanite. In order to infer the tectono-metamorphic meaning of MSZ, a microstructural study coupled with pseudosection modelling and in situ U-(Th)-Pb monazite geochronology was performed on selected samples from different structural positions. Footwall sample constituted by (Grt + St ± Ky) micaschist shows a prograde garnet growth (cores to inner rims zoning), from ~500°C, ~0.60GPa (close to garnet-in curve) to ~580°C, ~1.2 GPa temporal constrained between 21-18 Ma, by medium Y cores to very low Y mantles monazite micro-chemical/ages domain . In this sample garnet was still growing during decompression and heating at ~640°C, ~0.75 GPa (rims), and later starts to be consumed, in conjunction with staurolite growth at 15-13 Ma, as revealed by high Y rims monazite micro-chemical/ages domain. Hanging-wall mylonitic samples have a porphyroclastic texture, with garnet preserve little memory of prograde path. Garnet near rim isoplets and matrix minerals intersect at ~700°C and ~0.70 GPa. A previous higher P stage, at ~1.10 GPa ~600°C, is testified by cores of larger white mica porhyroclasts. Prograde zoned allanite (Janots

  2. Listening to Local Voices? International Targets and Decentralised Education Planning in Nepal

    ERIC Educational Resources Information Center

    Caddell, M.

    2005-01-01

    This article draws on a case study of district educational planning in Nepal to explore how education for all priorities and targets impact on educational practice at the sub-national level. It raises questions about the extent of local ownership of education and development targets and highlights the micro-politics of data collection exercises.…

  3. The "Iron Gate": High-Stakes Assessment at Age 16 in Nepal and England

    ERIC Educational Resources Information Center

    Davies, Dan

    2016-01-01

    In Nepal, the School Leaving Certificate (SLC) assessment taken by 16-year-olds at the end of Grade 10 of formal schooling performs a similar function to the General Certificate of Secondary Education (GCSE) examination in England in that it summarises individual, school, district and national achievement and acts as a filtering mechanism to the…

  4. False Teeth Still a Public Health Problem among Children in Kanungu District--South Western Uganda 2006

    ERIC Educational Resources Information Center

    Stephen, Sebudde

    2006-01-01

    False teeth among children are a Public Health problem which has not received adequate attention in Uganda. This study was therefore developed as a community-based descriptive cross-sectional carried out in Kanungu District using qualitative methods of data collection among caregivers of children, Community Owned Resource Persons and Service…

  5. Molecular phylogenetic identification of Fasciola flukes in Nepal.

    PubMed

    Shoriki, Takuya; Ichikawa-Seki, Madoka; Devkota, Bhuminand; Rana, Hari B; Devkota, Shiva P; Humagain, Sudeep K; Itagaki, Tadashi

    2014-12-01

    Eighty-one Fasciola flukes collected from 8 districts in Nepal were analyzed for their species identification on the basis of their spermatogenic status and nuclear ribosomal internal transcribed spacer 1 (ITS1) and for their phylogenetic relation with Fasciola flukes from other Asian countries on the basis of the mitochondrial NADH dehydrogenase subunit 1 (nad1) gene. Sixty-one flukes (75.3%) were aspermic Fasciola sp., and 20 flukes (24.7%) were identified as Fasciola gigantica. All of the aspermic flukes displayed the Fh/Fg type in ITS1, which was predominant in aspermic Fasciola sp. from China, and most (60 flukes) displayed the Fsp-ND1-N1 haplotype in the nad1, which had an identical nucleotide sequence to the major haplotype (Fg-C2) of the aspermic flukes from China. These results suggest that aspermic Fasciola sp. was introduced into Nepal from China. Furthermore, the results of the diversity indices, neutrality indices, and median-joining network analysis with reference haplotypes from Asian countries suggest that aspermic Fasciola sp. rapidly expanded its distribution. In contrasts, F. gigantica displayed 10 nad1 haplotypes, which showed higher population diversity indices than the haplotypes of aspermic flukes, indicating that the F. gigantica population was clearly distributed in Nepal earlier than the aspermic Fasciola population. Although the F. gigantica haplotypes from Nepal formed a star-like phylogeny consisting of a main founder haplotype (Fg-ND1-N1), together with some F. gigantica haplotypes from Myanmar and Thailand, the Nepal population differed genetically from F. gigantica populations of neighboring countries as each country had distinct founder haplotype(s).

  6. Chhaupadi Culture and Reproductive Health of Women in Nepal.

    PubMed

    Ranabhat, Chhabi; Kim, Chun-Bae; Choi, Eun Hee; Aryal, Anu; Park, Myung Bae; Doh, Young Ah

    2015-10-01

    Different sociocultural barriers concerning women's health are still prevalent. Chhaupadi culture in Nepal is that threat wherein menstruating women have to live outside of the home in a shed-like dwelling. Our study aims to determine the factors of reproductive health problems related to Chhaupadi. A cross-sectional study was performed with women of menstrual age (N = 672) in Kailali and Bardiya districts of Nepal. Data were collected with stratified sampling and analyzed using SPSS. Reproductive health problems were observed according to the World Health Organization reproductive health protocol. Regression analysis was performed to show the association between relevant variables. Results reveal that one fifth (21%) of households used Chhaupadi. Condition of livelihood, water facility, and access during menstruation and precisely the Chhaupadi stay was associated (P < .001) with the reproductive health problems of women. The study concludes that Chhaupadi is a major threat for women's health. Further research on appropriate strategies against Chhaupadi and menstrual hygiene should be undertaken.

  7. Revisiting global body politics in Nepal: A reflexive analysis.

    PubMed

    Harcourt, Wendy

    2016-01-01

    Using the example of a human rights training in Nepal, the author looks at global body politics in a reflexive piece on her engagement in development practices that translate western feminist ideas on gender inequality and empowerment via UN human rights policies into non-western contexts. It firsts look at postcolonial and critical literature on feminist engagement in gender and development processes including a discussion on the concept of global body politics before examining briefly the framing of gender-based violence in Nepal. The core of the paper is a reflexive analysis and interrogation of the training in Nepal in order to bring out the tensions and contradictions around western developmental, feminist and human rights discourses. The discussion looks at how difficult it is for feminist, human rights and developmental discourses and practices to unmoor themselves from the notion of the 'expert' and those who do the rights/work/righting rights training and those who are perennially seen as requiring training. The conclusion reflects on possibilities of other epistemic practices found in intercultural dialogues.

  8. New climatic classification of Nepal

    NASA Astrophysics Data System (ADS)

    Karki, Ramchandra; Talchabhadel, Rocky; Aalto, Juha; Baidya, Saraju Kumar

    2016-08-01

    Although it is evident that Nepal has an extremely wide range of climates within a short latitudinal distance, there is a lack of comprehensive research in this field. The climatic zoning in a topographically complex country like Nepal has important implications for the selection of scientific station network design and climate model verification, as well as for studies examining the effects of climate change in terms of shifting climatic boundaries and vegetation in highly sensitive environments. This study presents a new high-resolution climate map of Nepal on the basis of long-term (1981-2010) monthly precipitation data for 240 stations and mean air temperature data for 74 stations, using original and modified Köppen-Geiger climate classification systems. Climatic variables used in Köppen-Geiger system were calculated (i) at each station and (ii) interpolated to 1-km spatial resolution using kriging which accounted for latitude, longitude, and elevation. The original Köppen-Geiger scheme could not identify all five types of climate (including tropical) observed in Nepal. Hence, the original scheme was slightly modified by changing the boundary of coldest month mean air temperature value from 18 °C to 14.5 °C in order to delineate the realistic climatic condition of Nepal. With this modification, all five types of climate (including tropical) were identified. The most common dominant type of climate for Nepal is temperate with dry winter and hot summer (Cwa).

  9. Declining fertility in Nepal.

    PubMed

    Das Dangol, B; Retherford, R D; Thapa, S

    1997-03-01

    This article relies on data from the 1991 Nepal Fertility, Family Planning, and Health Survey (NFFPHS) and the 1996 Nepal Living Standards Survey (NLSS) to assess trends in fertility in Nepal. The NFFPHS shows heaping at ages 5, 8, 10, and 12 years and a larger proportion of infants. The NLSS shows a different pattern of misreporting of youth and a stronger but similar pattern of age heaping as the NFFPHS for adults. Children ever born by maternal age indicates a degree of completeness and the deletion by older women of deceased children and married children living outside the household. Findings suggest less complete reporting in the NLSS. Age-specific fertility rates are calculated based on birth histories (BH) and the own-children (OC) method based on life tables. Findings indicate that BH and OC estimates of the cumulative fertility rate (CFR) derived from the NLSS and the NFFPHS were comparable for estimating trends in the total fertility rate (TFR). The trends from the two data sets overlapped fairly well during 1983-89. Fertility trends by single years of age showed considerably annual fluctuations due to age misreporting. The CFR and TFR for aggregated time periods showed little or no decline for the earlier 5-year period, a steeper decline in the second period, and variations in trends by data set for the third period from 1983 to 1989. One curve showed no decline and the other showed fertility decline. Fitting a straight line to the trend for 1977-91 shows that CFR declined by 1.61 children from 5.29 children in 1977 to 3.68 children in 1991. TFR declined by 1.90 children from 6.68 children in 1977 to 4.78 children in 1991. The author cautions that the point of fertility decline was not determined exactly, but data suggest that decline occurred around 1980, and the rate was fast thereafter. TFR declined by 2.70 children in urban areas and 1.83 children in rural areas.

  10. Women physicists in Nepal

    NASA Astrophysics Data System (ADS)

    Shrestha, Nilam; Shrestha, Sanju

    2013-03-01

    Women constitute more than half of the total population of Nepal but are far behind men in all aspects of life. There is a wide gender gap socially, economically, and politically. Data for 1960 through 2001 show that the proportion of female students varied at the postgraduate level and there was no woman with a PhD degree. From 2002 through mid-2010 the number of female students increased gradually at both the MSc and in PhD levels, due to study opportunities abroad. We expect that this trend will continue, with significant improvement in furthering the education of women as a whole, and will lead to an increase in women physicists in the country.

  11. Paleozoic sedimentary rocks in the Red Dog Zn-Pb-Ag district and vicinity, western Brooks Range, Alaska: provenance, deposition, and metallogenic significance

    USGS Publications Warehouse

    Slack, John F.; Dumoulin, Julie A.; Schmidt, J.M.; Young, L.E.; Rombach, Cameron

    2004-01-01

    The distribution and composition of Paleozoic strata in the western Brooks Range may have played a fundamental role in Zn-Pb mineralization of the Red Dog district. In our model, deposition and early lithification of biogenic chert and bedded siliceous rocks in the upper part of the Kuna Formation served as a regional hydrologic seal, acting as a cap rock to heat and hydrothermal fluids during Late Mississippian base-metal mineralization. Equally important was the iron-poor composition of black shales of the Kuna Formation (i.e., low Fe/Ti ratios), which limited synsedimentary pyrite formation in precursor sediments, resulting in significant H2S production in pore waters through the interaction of aqueous sulfate with abundant organic matter. This H2S may have been critical to the subsurface deposition of the huge quantities of Zn and Pb in the district. On the basis of this model, we propose that low Fe/Ti and S/C ratios in black shale sequences are potential basin-scale exploration guides for giant sediment-hosted, stratiform Zn-Pb-Ag deposits.

  12. Prevalence, causes of blindness, visual impairment and cataract surgical services in Sindhudurg district on the western coastal strip of India

    PubMed Central

    Patil, Shailbala; Gogate, Parikshit; Vora, Siddharth; Ainapure, Sachin; Hingane, Ramkrishna N; Kulkarni, Anil N; Shammanna, B R

    2014-01-01

    Background: Konkan coast of India is geographically distinct and its pattern of blindness has never been mapped. Aim: To study the prevalence and causes of blindness and cataract surgical services in Sindhudurg district of West Coast. Subjects: Individual aged > 50 years. Materials and Methods: Rapid assessment of avoidable blindness used to map blindness pattern in the district. Statistical analysis: SPSS version 19. Results: Amongst those examined 1415 (51.7%) had visual acuity (VA) >20/60, 924 (33.8%, confidence interval (C.I) 30.5%-36.8%) had VA 20/200-<20/60(visual impairment), 266 (9.7%, C.I. 6.1%-13.3%) had VA < 20/200-20/400 (severe visual impairment) and 132 (4.8%, C. I. 1.1%-8.5%) had VA < 20/400 (blindness by WHO standards). There was no significant gender difference in prevalence of blindness, but blindness and visual impairment was more in older and rural residing individuals. Amongst those with presenting vision < 20/200 in better eye, 309 (82.4%) had cataract, 36 (9.7%) had corneal scars, 13 (3.5%) had diabetic retinopathyand 3 (0.8%) had glaucoma. Cataract surgical coverage for the district was only 30.5%; 32% for males and 28.4% for females. Unable to afford, lack of knowledge and lack of access to services were the commonest barriers responsible for cataract patients not seeking care. Amongst those who had undergone cataract surgery, only 50% had visual acuity ≥ 20/60.46.9% of the population had spectacles for near, but only 53.3% of the population had presenting near vision < N10. Conclusion: Cataract, refractive errors and diabetes were significant causes of visual impairment and blindness. PMID:24618491

  13. Schistosoma mansoni Infections, Undernutrition and Anaemia among Primary Schoolchildren in Two Onshore Villages in Rorya District, North-Western Tanzania

    PubMed Central

    2016-01-01

    Background Undernutrition and anaemia remains to be a major public health problem in many developing countries, where they mostly affect children. Intestinal parasitic infections are known to affect both growth and haemoglobin levels. Much has been reported on the impact of geohelminths on anaemia and undernutrition, leaving that of Schistosoma mansoni not well studied. Therefore this study intended to determine the association between S.mansoni infections, anaemia and undernutrition among schoolchildren in Rorya district, Northwestern Tanzania. Methodology A cross-sectional study was carried among schoolchildren in two onshore villages namely Busanga and Kibuyi in Rorya district. Single stool specimens were collected from 513 randomly selected schoolchildren and processed for microscopic examination using the Kato-Katz method. Nutritional status was determined by anthropometry. Blood samples were also collected and examined for malaria parasites and haemoglobin levels using the Giemsa stain and HaemoCue methods, respectively. A pretested questionnaire was used to collect socio-demographic data and associated factors. Results The prevalence of S. mansoni infection and malaria was 84.02% and 9.16%, respectively. Other parasites found were Ascaris lumbricoides (1.36%) and Hookworm (1.36%). The prevalence of stunting and wasting was 38.21% and 14.42%, respectively. The prevalence of anaemia was 29.43%, whereby 0.58% had severe anaemia. S. mansoni infection was not found to be associated with undernutrition or anaemia (p>0.05). The risk of stunting and wasting increased with increasing age (p<0.001). Anaemia was associated with age, sex and village of residence (p<0.05). Conclusions S.mansoni, undernutrition and anaemia are highly prevalent in the study area. The observed rates of undernutrition and anaemia were seen not to be associated with S.mansoni infection suggesting possibly being a result of poor dietary nutrients. This study suggests that policy makers should

  14. Towards midwifery education and regulation in Nepal.

    PubMed

    John, Asha

    2015-09-01

    This is a short reflection of four wonderful weeks spent in Nepal supporting, advocating and strengthening the existing work of the Midwifery Society of Nepal and the Global midwifery twinning project (GMTP) with the Royal College of Midwives. Although Nepal is on target to achieve reduction in its maternal mortality rate for millennium goal 5 there is still no registered protected title of 'midwife' In order to establish a strong midwifery workforce in Nepal, the three pillars that need to be highlighted are: midwifery education, midwifery regulation and professional midwifery association. The four-week programme led by GMTP volunteers helped towards building capacity in leadership, advocacy and campaigning skills in Nepal.

  15. Age at first marriage in Nepal: differentials and determinants.

    PubMed

    Aryal, Tika Ram

    2007-09-01

    The aim of this paper is to investigate the differentials and determinants of female age at first marriage in rural Nepal. The life table technique was employed to calculate median age at marriage. The proportional hazard model was used to study the effect of various socioeconomic variables, and to identify the magnitude and significance of their effects on the timing of first marriage. The data were taken from a sample survey of Palpa and Rupandehi districts in rural Nepal. Both married and unmarried females of marriageable age were included in the survey. Median age at marriage was about 17 years for data from only married females, whereas it was about 18 years for data from married as well as unmarried females of marriageable age. Median age at marriage was about 16 years for uneducated females and 19 years for females educated up to intermediate or higher level. The analysis underestimates the median age at marriage for married females, probably due to right censoring. The risk of getting married early decreased gradually with increasing year-of-birth cohort. The risk of early marriage was higher among females of high socioeconomic status compared with those of low socioeconomic status. Females engaged in service married earlier than those engaged in household work. High socioeconomic status families are motivated, for religious and prestige reasons, to get their daughters married at an early age, preferably before menarche. Thus, education, occupation and age at menarche are the most powerful factors in deciding the timing of first marriage in Nepal.

  16. Nepal forestry initiative: 1986-1987 annual report

    SciTech Connect

    Kilpatrick, K.; Shen, S.Y.; Vyas, A.D.; Johnson, D.O.

    1988-05-01

    The Nepal Forestry Initiative is a project developed through discussions between the US Agency for International Development (AID) and His Majesty's Government of Nepal and managed for AID by Argonne National Laboratory. The project seeks to facilitate widespread acceptance of multipurpose tree species cultivated under various production systems. Production systems selected for research and demonstration include alley cropping, contour hedgerow, and short rotation. A site in the Dhading District of the Mid-Hills Region of Nepal is serving as the first project site. Site delineation, shed construction, and the first stage of terrace building have been completed. Planting stock for several native species and some exotic species has been collected, and attempts to propagate these species in the nursery have begun. A socioeconomic survey of the people who will be directly affected by the project was conducted. It was followed by a survey to identify the multipurpose tree species being used by the local population. Two advisory committees -- a technical advisory committee and a social/cultural advisory committee -- have reviewed the initial project document and the progress through September 1987. Their written evaluations are appended to this report.

  17. Nepal CSM program confronts old problems with new ideas.

    PubMed

    1984-01-01

    Following 2 years of government negotiations, the social marketing banner in Nepal has been passed to a preivate firm, the Nepal Contraceptive Retail Sales (CRS) Company, Limited. With the change comes hope of rebirth for a program that has been plagued by cultural, distributional, and promotional impediments. The rejuvenation began in 1981, when the project acquired 4 jeeps, easing mobility and promotional problems. Then, the government rescinded a ban on brand name contraceptive radio advertisements. CRS now sells 5 contraceptive products: Dhaal and Suki Dhaal condoms, Gulaf and a low dose Nilocon pill, and Kamal foaming spermicidal tablets. In October, CRS began sales of its 1st noncontraceptive product, oral rehydration salts. CRS also plans to introduce a high priced colored condom this year and its exploring the possibility of marketing other drugs in a push toward self sufficiency. For the present, the Agency for International Development (AID) will continue supplying about 98% of CRS' budget, with product sales accounting for the remaining income. AID has pledged approximately $1.8 million for December 1982 to September 1985. Moreover, CRS may earn profits on its newest contraceptive products. From the new CRS vantage point, it is evident some old problems persist. Nepalese districts now carry CRS products, but the number of distribution outlets must be increased. James Messick, former Westinghouse field representative, believes the social marketing program's new independent status will help it meet such challenges. CRS now sells 43% of Nepal's condoms and 16% of the country's oral contraceptives.

  18. Taking Specialist Surgical Services to the Rural District Hospitals at One Forth Cost: A Sustainable 'Return on Investment' Public Health Initiative of Patan Hospital, Patan Academy of Health Sciences, Nepal.

    PubMed

    Shah, J N

    2015-01-01

    The inequitable distribution and centralization of resources and services in urban area persists around the world, more so in developing countries. The challenge to meet the health needs of rural population requires health policy makers, government and concerned organization to put extra efforts. Such efforts require innovative, feasible and sustainable strategies to address the social justice of people living in districts away from capital and urban cities. At Patan Academy of Health Sciences, the medial school curriculum is designed to address these issues. Together with health professionals from Patan Hospital, the main teaching hospital on which the academy evolved, have initiated strategies to bring specialist services, starting with surgical services to remote district hospitals to serve the need of rural population. This initiative is 'desirable, doable and feasible'. Further more, this can be modified for replication and promotion by other academic institutions, central hospitals and government health system.

  19. Notes on the mosquitoes of Nepal. IV. Results of the 1994 collecting in the Midwestern Region, including new country records and voucher confirmation (Diptera, Culicidae).

    PubMed

    Darsie, R F; Courtney, G W; Pradhan, S P

    1996-03-01

    During 1994, field studies were conducted in the Midwestern Region of Nepal. Two camps were located in the "inner terai," low mountain valleys between the Churia Range and the Mahabarat Lekh. A third camp was in the mountains at Jumla. Visits were made to 2 high mountain sites, Simikot, Humla District, and Rara National Park. The result from all these sampling sites was the recovery of 6 new country records, 5 in the genus Aedes and 1 in the genus Heizmannia. Some mosquitoes in the Nepal checklist had no voucher specimens. Locality data are given for 9 of these. Biodata on another species that is quite rare in Nepal are given.

  20. Urban air quality of kathmandu valley "Kingdom of Nepal"

    NASA Astrophysics Data System (ADS)

    Sharma, C. K.

    The oval shaped tectonic basin of Kathmandu valley, occupying about 656 sq.km is situated in the middle sector of Himalayan range. There are three districts in the valley, i.e. Kathmandu, Lalitpur and Bhaktapur. Out of the three, the most populated is Kathmandu city (the capital of Kingdom of Nepal) which has a population of 668,00 in an area of approximately 50 km 2. The energy consumption of the city population is about 1/3 of the total import to Nepal of gasoline, diesel, kerosene, furnace oil and cooking gas. This has resulted heavy pollution of air in the city leading to bronchitis, and throat and chest diseases. Vehicles have increased several fold in recent months and there are 100,000 in number on the road and they have 900 km of road, out of which only 25% is metalled. Most of the two and three wheelers are polluting the air by emission of gases as well as dust particulate. SO 2 has been found to go as high as 202 μg cm -3 and NO 2 to 126 μg cm -3 particularly in winter months when a thick layer of fog covers the valley up to 10 am in the morning. All the gases are mixed within the limited air below the fog and the ground. This creates the problem. Furthermore, municipal waste of 500 m 3 a day and also liquid waste dumped directly into the Bagmati river at the rate of 500,000 ℓ d -1 makes the city ugly and filthy. Unless pollution of air, water and lard are controlled in time, Nepal will lose much of its foreign exchange earnings from the tourist industry. It is found that tourist arrivals have considerably reduced in recent years and most of hotels occupancy is 50-60% in peak time. Nepal is trying to introduce a legal framework for pollution control but it will take time to become effective.

  1. Children from the Dalit Community in Rural Nepal: A Challenge to Inclusive Education

    ERIC Educational Resources Information Center

    Khanal, Damodar

    2015-01-01

    Based on empirical research carried out in public secondary schools in the western part of Nepal, this article examines how Dalit children experience secondary-level education. Their experiences are explored using in-depth interviews with Dalit children, their parents and teachers. The findings reveal that Dalit children's inclusion is affected by…

  2. Using Inexpensive Technology and Multimedia to Improve Science Education in Rural Communities of Nepal

    ERIC Educational Resources Information Center

    Neupane, Sujaya

    2014-01-01

    This article explores an ongoing project that promotes science education in rural communities of western Nepal by using affordable technology. With the advent of inexpensive technology and multimedia resources, teaching materials for science education can be accessed with a much smaller budget than was previously possible. A preliminary survey…

  3. A study of certain correlates of job satisfaction among judicial personnel, in a district of Western Maharashtra

    PubMed Central

    Patel, Kriti A.; Rajderkar, Shekhar S.; Naik, Jayashree D.; Behere, Vivek S.

    2014-01-01

    Background: In present scenario, the legal profession has gained utmost importance, which makes the job of a lawyer the most challenging, with lots of mental and physical strain. The rewards can be great, but so are the pressures. High job demands lead to imbalance between what is expected and what is received (job dissatisfaction) which, in turn, leads to job strains. So, the present study focused on the impact of certain variables on job satisfaction of the judiciaries. Objectives: To study the level of job satisfaction among judicial personnel; to identify the impact of job level (hierarchy) in the experience of job satisfaction; to find the gender difference (if any) for the level of job satisfaction; and to examine the pattern of relationship of certain variables with job satisfaction. Materials and Methods: A cross-sectional study was conducted in 1 year duration, in total 965 judicial personnel of different courts in the district of Sangli, which involved data collection using predesigned proforma. A scale, having 15 different independent predictors was used as a validated screening tool, to calculate their job satisfaction score. The most contributing variable and its correlation with job satisfaction was found by stepwise multiple regression and correlation analysis using SPSS Version-16. Results and Conclusion: Out of the total, Class I judiciaries were 692 (71.7%). A majority (71.4%) of the study subjects were male. Overall mean job satisfaction score was 5.38 ± 2.7. Twenty-three percent females, compared with only 9% males, had low job satisfaction (P < 0.5). The best predictor of job satisfaction in males and females was emotional exhaustion (β = 0.191) and conflicts between values and practice (β = 0.252), respectively. Higher is the job satisfaction score, lesser the level of job satisfaction. The findings of the study revealed that job satisfaction was found to be significantly (P < 0.0005) and positively correlated with all the variables in the

  4. Asthma and indoor environment in Nepal

    PubMed Central

    Melsom, T; Brinch, L; Hessen, J; Schei, M; Kolstrup, N; Jacobsen, B; Svanes, C; Pandey, M

    2001-01-01

    BACKGROUND—The development of asthma seems to be influenced by the adoption of a Western lifestyle. A study was undertaken to assess the importance of indoor environmental factors in Nepal where the lifestyle and home environment differ from that in the West.
METHODS—The home environment of 121 schoolchildren with asthma and 126 controls aged 11-17 years was studied. The homes of all participants were investigated and the children and their mothers were interviewed using a standardised questionnaire. Cases and controls were identified from an ISAAC (International Study of Asthma and Allergy in Childhood) based population study of 2330 schoolchildren in Kathmandu, Nepal.
RESULTS—Keeping cattle inside the house during the night was related to a lower risk for having asthma (adjusted odds ratio (OR) 0.2(95% CI 0.1 to 0.5)) while there was no association between asthma and cattle kept outside. Asthma was associated with cigarette smoking by two or more family members (OR 1.9 (95% CI 1.0 to 3.9)) and with the domestic use of smoky fuels (OR 2.2 (95% CI 1.0 to 4.5)). In analyses stratified by sex, passive smoking and the use of smoky fuels were significantly associated with asthma only in boys.
CONCLUSIONS—The risk of asthma in Nepalese children was lower in subjects exposed to cattle kept inside the house and higher in subjects exposed to passive smoking and indoor use of smoky fuels. Childhood exposure to microorganisms or allergens from cattle may protect against the development of atopic disease.

 PMID:11359965

  5. Seismic slip deficit along Nepal Himalayas: implications for seismic hazard

    NASA Astrophysics Data System (ADS)

    Bollinger, Laurent; Tapponnier, Paul; Nath Sapkota, Soma; Klinger, Yann

    2016-04-01

    In 1255, 1344 and 1408 AD, then again in 1833, 1934 and 2015, large earthquakes, devastated Kathmandu. The 1255 and 1934 surface ruptures have been identified east of the city, along comparable segments of the Main Frontal Thrust (MFT). Whether the other two pairs of events were similar, is unclear. Taking into account charcoal's "Inbuilt-ages", we revisit the timing of terrace offsets at key sites, to compare them with the seismic record since 1200 AD. The location, extent, and seismic moment of the 1833 and 2015 events imply that they released only a small part of the regional slip deficit, on a deep thrust segment that stopped north of the Siwaliks. By contrast, the 1344 or 1408 AD earthquake may have ruptured the MFT up to the surface in central Nepal between Kathmandu and Pokhara, East of the surface trace of the great 1505 AD earthquake which affected Western Nepal. If so, the whole megathrust system in Nepal ruptured during a sequence of earthquakes that lasted less than three centuries and propagated the rupture up to the surface from East to West. Today's situation in the himalayan seismic sequence might be close to that of the 14th century.

  6. The geology and mineral deposits of part of the western half of the Hailey 1 degree x 2 degrees quadrangle, Idaho; with sections on the Neal mining district and the Dixie mining district

    USGS Publications Warehouse

    Bennett, Earl H.

    2001-01-01

    Rocks in the western half of the Hailey 1 ?? 2 ? quadrangle of south-central Idaho include various units of the Atlanta lobe of the Idaho batholith (biotite granodiorite to two-mica granite) of Cretaceous age and plutons and dikes of Tertiary (Eocene to Miocene) age that intrude the batholith. Eocene plutonic rocks consist of a bimodal suite of anorogenic granite and tonalite-granodiorite and hypabyssal rhyolite and rhyodacite dikes. Rocks of the Eocene Challis Volcanics are scarce in the map area but are widespread to the east. Rhyolite ash flows of the Miocene Idavada Volcanics and basalt of the Snake River Plain crop out in the southern part of the area. Lacustrine rocks of probable Eocene to Holocene age are present in the vicinity of Anderson Ranch Reservoir. Quaternary basalts and gravels are widespread on the South Fork of the Boise River, and alluvial deposits are common along active drainages. Metasedimentary rocks of unknown age crop out on House Mountain, Chimney Peak, and on the ridges east of Anderson Ranch Reservoir. Older structures in the Idaho batholith include a major fault beneath House Mountain that may be a decollement for one of the large thrust sheets in eastern Idaho or part of an extensional core complex. The southern part of the Atlanta lobe of the Idaho batholith is cut by northeast-striking faults (parallel with the Trans-Challis fault system) that are related to Eocene extension and by northwest-oriented faults that formed during basin and range extension in the Miocene. The basin and range faults have prominent scarps typical of basin and range topography. The combination of northeast and northwest faults has broken the batholith into a series of rhomboid blocks. Some of these northeast and northwest faults are older structures that were reactivated in the Eocene or Miocene, as indicated by Ar 40 /Ar 39 dates on mineralized rock contained in some of the structures. The Idaho batholith and associated rocks in the map area host several

  7. Magnetic resonance sounding survey data collected in the North Platte, Twin Platte, and South Platte Natural Resource Districts, Western Nebraska, Fall 2012

    USGS Publications Warehouse

    Kass, Mason A.; Bloss, Benjamin R.; Irons, Trevor P.; Cannia, James C.; Abraham, Jared D.

    2014-01-01

    This report is a release of digital data and associated survey descriptions from a series of magnetic resonance soundings (MRS, also known as surface nuclear magnetic resonance) that was conducted during October and November of 2012 in areas of western Nebraska as part of a cooperative hydrologic study by the North Platte Natural Resource District (NRD), South Platte NRD, Twin Platte NRD, the Nebraska Environmental Trust, and the U.S. Geological Survey (USGS). The objective of the study was to delineate the base-of-aquifer and refine the understanding of the hydrologic properties in the aquifer system. The MRS technique non-invasively measures water content in the subsurface, which makes it a useful tool for hydrologic investigations in the near surface (up to depths of approximately 150 meters). In total, 14 MRS production-level soundings were acquired by the USGS over an area of approximately 10,600 square kilometers. The data are presented here in digital format, along with acquisition information, survey and site descriptions, and metadata.

  8. Impact of Indoor Residual Spraying of Lambda-Cyhalothrin on Malaria Prevalence and Anemia in an Epidemic-Prone District of Muleba, North-Western Tanzania

    PubMed Central

    Mashauri, Fabian M.; Kinung'hi, Safari M.; Kaatano, Godfrey M.; Magesa, Stephen M.; Kishamawe, Coleman; Mwanga, Joseph R.; Nnko, Soori E.; Malima, Robert C.; Mero, Chacha N.; Mboera, Leonard E. G.

    2013-01-01

    The Government of Tanzania introduced indoor residual spraying (IRS) in Muleba district in north-western Tanzania after frequent malaria epidemics. Malaria parasitological baseline and two cross-sectional follow-up surveys were conducted in villages under the IRS program and those not under IRS to assess the impact of IRS intervention. After two rounds of IRS intervention there was a significant reduction of malaria parasitological indices in both two villages. In IRS villages overall, parasitemia prevalence was reduced by 67.2%, splenomegaly was reduced by 75.8%, whereas anemia was reduced by 50.5%. There was also a decline of malaria parasite density from 896.4 at baseline to 128.8 at second follow-up survey. Similarly, there was also a reduction of malaria parasitological indices in non-IRS villages; however, parasitological indices in IRS villages remained far below the levels in non-IRS villages. The reduction of malaria parasitological indices in non-IRS villages might have been contributed by interventions other than IRS. PMID:23458959

  9. Agro-ecosystem and socio-economic role of homegarden agroforestry in Jabithenan District, North-Western Ethiopia: implication for climate change adaptation.

    PubMed

    Linger, Ewuketu

    2014-01-01

    Homegarden agroforestry is believed to be more diverse and provide multiple services for household than other monocropping system and this is due to the combination of crops, trees and livestock. The aim of this study was to assess socio-economic and agro-ecological role of homegardens in Jabithenan district, North-western Ethiopia. Two sites purposively and two villages randomly from each site were selected. Totally 96 households; in which 48 from homegarden agroforestry user and 48 from non-tree based garden user were selected for this study. Socio-economic data and potential economic and agro-ecosystem role of homegarden agroforestry over non-tree based garden were collected by using semi-structured and structured questionnaires to the households. Homegarden agroforestry significantly (P < 0.05) improved the farmers cash income than non-tree based garden. With insignificant garden size; homegarden agroforestry practice provides good socio-economical and agro-ecological service for farmers which have a higher implication for climate change adaptation than non-tree based garden.

  10. NGOs, Foreign Aid, and Development in Nepal

    PubMed Central

    Karkee, Rajendra; Comfort, Jude

    2016-01-01

    The number of non-governmental organizations (NGOs) working in Nepal has grown significantly since the 1990s due to a range of factors. A total of 39,759 NGOs and 189 international non-governmental organizations were registered in Nepal between 1977 and 2014 in various sectors, including health, agriculture, poverty alleviation, and good governance. Despite thousands of NGOs and significant amounts of foreign aid, Nepal remains one of the poorest countries in South Asia. The case of Nepal indicates that aid and donor support alone are insufficient for sustained development. PMID:27606310

  11. Nepal: Background and U.S. Relations

    DTIC Science & Technology

    2006-02-02

    Press, January 25, 2006. 5 Nepal Riot Police Out in Force as Parties Launch National Strike,” Agence France Presse, January 26, 2006. 6 Sushil Sharma ...Restore Democracy,” Reuters News, October 8, 2002; Sushil Sharma , “Anti- King Protests in Nepal,” BBC News, November 26, 2002. 51 “Senior US Official...Pulse (Sydney), October 11, 2002; Sushil Sharma , “Thousands Protest Against Nepal King,” BBC News, December 15, 2002; “Thousands Urge Nepal King to Revive

  12. Breastfeeding in Nepal: patterns and determinants.

    PubMed

    Aryal, T R

    2007-01-01

    The aim of this study was to investigate the determinants of breast-feeding according to the characteristics of mother and her child. Cox proportional hazard model technique has been employed to investigate the determinants of breast-feeding. The data were utilized from a sample survey of Palpa and Rupandehi districts of rural Nepal. The study revealed that the current age of mothers, their education and socio-economic status were found to be the main determinants of breast-feeding. The current age of mother showed statistically significant relation with the duration of breast-feeding. Younger mothers are most likely to terminate breast-feeding early as compared to older counter-parts. The decreased risk of terminating breast-feeding was found with increased duration of post-partum amenorrhea, and a strong positive association was found to be statistically significant. The increased relative risk of terminating breast-feeding was found with increased the level of education of mothers, which indicates that the education is inversely related to the duration of breast-feeding. For instance, three times higher risk of terminating breast-feeding was found for educated mothers as compared to illiterate mothers. Socio-economic status of the household exhibits a statistically significant effect on the duration of breast-feeding. It is believed that this finding may help planners and policy-makers for designing proper policy and program for improving mothers and their children's health and for reducing fertility of a country.

  13. Community-based early warning systems for flood risk mitigation in Nepal

    NASA Astrophysics Data System (ADS)

    Smith, Paul J.; Brown, Sarah; Dugar, Sumit

    2017-03-01

    This paper focuses on the use of community-based early warning systems for flood resilience in Nepal. The first part of the work outlines the evolution and current status of these community-based systems, highlighting the limited lead times currently available for early warning. The second part of the paper focuses on the development of a robust operational flood forecasting methodology for use by the Nepal Department of Hydrology and Meteorology (DHM) to enhance early warning lead times. The methodology uses data-based physically interpretable time series models and data assimilation to generate probabilistic forecasts, which are presented in a simple visual tool. The approach is designed to work in situations of limited data availability with an emphasis on sustainability and appropriate technology. The successful application of the forecast methodology to the flood-prone Karnali River basin in western Nepal is outlined, increasing lead times from 2-3 to 7-8 h. The challenges faced in communicating probabilistic forecasts to the last mile of the existing community-based early warning systems across Nepal is discussed. The paper concludes with an assessment of the applicability of this approach in basins and countries beyond Karnali and Nepal and an overview of key lessons learnt from this initiative.

  14. Linking Attitudes, Policy, and Forest Cover Change in Buffer Zone Communities of Chitwan National Park, Nepal.

    PubMed

    Stapp, Jared R; Lilieholm, Robert J; Leahy, Jessica; Upadhaya, Suraj

    2016-06-01

    Deforestation in Nepal threatens the functioning of complex social-ecological systems, including rural populations that depend on forests for subsistence, as well as Nepal's biodiversity and other ecosystem services. Nepal's forests are particularly important to the nation's poorest inhabitants, as many depend upon them for daily survival. Two-thirds of Nepal's population relies on forests for sustenance, and these pressures are likely to increase in the future. This, coupled with high population densities and growth rates, highlights the importance of studying the relationship between human communities, forest cover trends through time, and forest management institutions. Here, we used surveys to explore how household attitudes associated with conservation-related behaviors in two rural communities-one that has experienced significant forest loss, and the other forest gain-compare with forest cover trends as indicated by satellite-derived forest-loss and -regeneration estimates between 2005 and 2013. Results found a significant difference in attitudes in the two areas, perhaps contributing to and reacting from current forest conditions. In both study sites, participation in community forestry strengthened support for conservation, forest conservation-related attitudes aligned with forest cover trends, and a negative relationship was found between economic status and having supportive forest conservation-related attitudes. In addition, on average, respondents were not satisfied with their district forest officers and did not feel that the current political climate in Nepal supported sustainable forestry. These findings are important as Nepal's Master Plan for the Forestry Sector has expired and the country is in the process of structuring a new Forestry Sector Strategy.

  15. Linking Attitudes, Policy, and Forest Cover Change in Buffer Zone Communities of Chitwan National Park, Nepal

    NASA Astrophysics Data System (ADS)

    Stapp, Jared R.; Lilieholm, Robert J.; Leahy, Jessica; Upadhaya, Suraj

    2016-06-01

    Deforestation in Nepal threatens the functioning of complex social-ecological systems, including rural populations that depend on forests for subsistence, as well as Nepal's biodiversity and other ecosystem services. Nepal's forests are particularly important to the nation's poorest inhabitants, as many depend upon them for daily survival. Two-thirds of Nepal's population relies on forests for sustenance, and these pressures are likely to increase in the future. This, coupled with high population densities and growth rates, highlights the importance of studying the relationship between human communities, forest cover trends through time, and forest management institutions. Here, we used surveys to explore how household attitudes associated with conservation-related behaviors in two rural communities—one that has experienced significant forest loss, and the other forest gain—compare with forest cover trends as indicated by satellite-derived forest-loss and -regeneration estimates between 2005 and 2013. Results found a significant difference in attitudes in the two areas, perhaps contributing to and reacting from current forest conditions. In both study sites, participation in community forestry strengthened support for conservation, forest conservation-related attitudes aligned with forest cover trends, and a negative relationship was found between economic status and having supportive forest conservation-related attitudes. In addition, on average, respondents were not satisfied with their district forest officers and did not feel that the current political climate in Nepal supported sustainable forestry. These findings are important as Nepal's Master Plan for the Forestry Sector has expired and the country is in the process of structuring a new Forestry Sector Strategy.

  16. Population mobility and spread of HIV across the Indo-Nepal border.

    PubMed

    Nepal, Binod

    2007-09-01

    The article reviews information on the epidemiology of HIV/AIDS and behavioural networking to examine the role of population mobility in spreading HIV across the Indo-Nepal border. Documents were collected through a systematic search of electronic databases and web-based information resources, and the review focuses on studies about types of the virus, prevalence of HIV, and sexual and injecting networking. HIV-1 (subtype C) and HIV-2 were identified in Nepal. The prevalence of HIV was higher among male labour migrants and female sex workers (FSWs) who returned from India, especially from Mumbai, than in similar non-migrant groups. In the early 2000s, about 6-10% of Mumbai returnee men, compared to up to 4% of India returnee men and up to 3% of non-migrant men in the far-west Nepal, were identified with HIV. Likewise, when the prevalence of HIV among sex workers in Kathmandu was found to be 17% in 1999-2000, up to 44% of India returnee and 73% of Mumbai returnee FSWs were identified with the virus. These data are, however, based on small samples with questionable representativeness of the target populations and need to be interpreted cautiously. They also generate a biased impression that HIV was coming into Nepal from India. Recently, the possibility of a two-way flow of HIV across the Indo-Nepal border through injecting and sexual networking have been indicated by serological and behavioural data from a south-eastern cluster of Nepal and a north-eastern district of India. Although similar behavioural networks exist along other segments of the border, serological data are unavailable to assess whether and how extensively this phenomenon has caused the spread of HIV. Collaborative research and interventions covering both sides of the border are desirable to fully understand and address the prospect of HIV epidemics associated with cross-border population mixing.

  17. Progress Toward Measles Elimination - Nepal, 2007-2014.

    PubMed

    Khanal, Sudhir; Sedai, Tika Ram; Choudary, Ganga Ram; Giri, Jagat Narain; Bohara, Rajendra; Pant, Rajendra; Gautam, Mukunda; Sharapov, Umid M; Goodson, James L; Alexander, James; Dabbagh, Alya; Strebel, Peter; Perry, Robert T; Bah, Sunil; Abeysinghe, Nihal; Thapa, Arun

    2016-03-04

    In 2013, the 66th session of the Regional Committee of the World Health Organization (WHO) South-East Asia Region (SEAR) established a goal to eliminate measles and to control rubella and congenital rubella syndrome (CRS) in SEAR by 2020. Current recommended measles elimination strategies in the region include 1) achieving and maintaining ≥95% coverage with 2 doses of measles-containing vaccine (MCV) in every district, delivered through the routine immunization program or through supplementary immunization activities (SIAs); 2) developing and sustaining a sensitive and timely measles case-based surveillance system that meets minimum recommended performance indicators; 3) developing and maintaining an accredited measles laboratory network; and 4) achieving timely identification, investigation, and response to measles outbreaks. In 2013, Nepal, one of the 11 SEAR member states, adopted a goal for national measles elimination by 2019. This report updates a previous report and summarizes progress toward measles elimination in Nepal during 2007-2014. During 2007-2014, estimated coverage with the first MCV dose (MCV1) increased from 81% to 88%. Approximately 3.9 and 9.7 million children were vaccinated in SIAs conducted in 2008 and 2014, respectively. Reported suspected measles incidence declined by 13% during 2007-2014, from 54 to 47 cases per 1 million population. However, in 2014, 81% of districts did not meet the measles case-based surveillance performance indicator target of ≥2 discarded non-measles cases per 100,000 population per year. To achieve and maintain measles elimination, additional measures are needed to strengthen routine immunization services to increase coverage with MCV1 and a recently introduced second dose of MCV (MCV2) to ≥95% in all districts, and to enhance sensitivity of measles case-based surveillance by adopting a more sensitive case definition, expanding case-based surveillance sites nationwide, and ensuring timely transport of

  18. A study on usefulness of a set of known risk factors in predicting maternal syphilis infections in three districts of Western Province, Zambia

    PubMed Central

    Sakala, Jacob; Chizuni, Nellisiwe; Nzala, Selestine

    2016-01-01

    Introduction Despite roll-out of cost-effective point-of-care tests, less than half antenatal attendees in rural western Zambia are screened for syphilis. This study formulated a clinical, risk-based assessment criteria and evaluated its usefulness as a non-biomedical alternative for identifying high-risk prenatal cases. Methods We conducted a cross-sectional survey of antenatal clinic attendees in Kaoma, Luampa and Nkeyema districts to collect data on exposure to nine pre-selected syphilis risk factors. These factors were classified into major and minor factors based on their observed pre-study association strengths to maternal syphilis. Clinical disease was defined as exposure to either two major factors, one major with two minor factors or three minor factors. Sensitivity, specificity and predictive values of the clinical protocol were then calculated in comparison to rapid plasmin reagin results. Results The observed syphilis prevalence was 9.3% (95% CI: 7.4 - 11.6%) and the overall sensitivity of the study criteria was 62.3% with positive predictive value of 72.9%. Sensitivities of individual case-defining categories were even lower; from 17.4% to 33.3%. Results confirmed that abortion history, still birth, multiple sexual partners, previous maternal syphilis infection, partner history of sexually transmitted infection and maternal co-morbid conditions of HIV and genital ulcer disease were significantly associated to maternal syphilis in study population as well. Conclusion The criteria was not as effective as biomedical tests in identifying maternal syphilis. However, it could be a useful adjunct/alternative in antenatal clinics when biomedical tests are either inadequate or unavailable. PMID:27703597

  19. Helicopter electromagnetic and magnetic geophysical survey data, portions of the North Platte and South Platte Natural Resources Districts, western Nebraska, May 2009

    USGS Publications Warehouse

    Smith, B.D.; Abraham, J.D.; Cannia, J.C.; Minsley, B.J.; Deszcz-Pan, M.; Ball, L.B.

    2010-01-01

    This report is a release of digital data from a helicopter electromagnetic and magnetic survey that was conducted during June 2009 in areas of western Nebraska as part of a joint hydrologic study by the North Platte Natural Resource District (NRD), South Platte NRD, and U.S. Geological Survey (USGS). Flight lines for the survey totaled 937 line kilometers (582 line miles). The objective of the contracted survey, conducted by Fugro Airborne, Ltd., is to improve the understanding of the relation between surface-water and groundwater systems critical to developing groundwater models used in management programs for water resources. A unique aspect of the survey is the flight line layout. One set of flight lines was flown in a zig-zag pattern extending along the length of the previously collected airborne data. The success of this survey design depended on a well-understood regional hydrogeologic framework and model developed by the Cooperative Hydrologic Study of the Platte River Basin and the airborne geophysical data collected in 2008. Resistivity variations along lines could be related to this framework. In addition to these lines, more traditional surveys consisting of parallel flight lines, separated by about 400 meters were carried out for three blocks in the North Platte NRD, the South Platte NRD and in the area of Crescent Lakes. These surveys helped to establish the spatial variations of the resistivity of hydrostratigraphic units. An additional survey was flown over the Crescent Lake area. The objective of this survey, funded by the USGS Office of Groundwater, was to map shallow hydrogeologic features of the southwestern part of the Sand Hills that contain a mix of fresh to saline lakes.

  20. Knowledge, perception, and management skills of mothers with under-five children about diarrhoeal disease in indigenous and resettlement communities in Assosa District, Western Ethiopia.

    PubMed

    Merga, Nigatu; Alemayehu, Tadesse

    2015-03-01

    As primary caregiver to under-five children in Ethiopia, mothers' knowledge, perception, and management skills are important to minimize the effects of morbidity and mortality associated with diarrhoeal diseases. A community-based comparative cross-sectional study was conducted in Abramo and Megele 37 kebeles (the last administration division) in Assosa district of western Ethiopia in July 2010. Quantitative data were obtained by a structured questionnaire from 232 randomly-selected mothers having children aged less than five years regarding their knowledge, perception, and management. Qualitative data were also collected by arranging four focus group discussions involving mothers from the two communities. The prevalence of diarrhoeal diseases among under-five children was 33.2%, and the knowledge of mothers about the causes, transmission, and prevention of diarrhoea in the study area was 37.5%. The prevalence of diarrhoeal disease was higher in the settlement area whereas mothers' knowledge was better in the indigenous community; 62.9% of mothers were categorized as having good attitude on causes, transmission, and prevention of diarrhoeal disease. Community water source, water storage container, and knowledge of mothers remained a strong predictor of diarrhoeal morbidity after conducting logistic regression analysis (OR=8.4, CI 3.59-31.85; OR=2.2, CI 1.02-4.89; and OR=3.62, CI 1.23-4.71 respectively). Diarrhoeal morbidity was high in the study areas. On the contrary, knowledge and attitude of mothers, recognizing the danger sign of dehydration due to diarrhoea, and the prevention and management of childhood diarrhoeal diseases were not adequate. Information, education and communication strategy may help increase the knowledge and create positive attitude among mothers regarding the cause, prevention, and management of diarrhoea.

  1. Increasing Science Literacy in Nepal

    NASA Astrophysics Data System (ADS)

    Lamsal, Jeevan

    2016-07-01

    Nepal, a small landlocked and one of the least developed countries in south Asia is curious with its neighbor's giant space missions. As for now, space mission is not imminent to Nepal at least for decade. Due to lack of proper education and the resources; space education is also not very effective. In the curriculum of Nepal, basic astronomy is included in the science book of middle school which consist only 5% of the total course and 10% in high school. However the total course has been mostly theoretical which has made this subject uninteresting and difficult among the students. The examinations in all education levels are practiced on the rote memorization of contents. Pokhara Astronomical Society (PAS) introduced new techniques in teaching with more practical approach. We helped students to construct bamboo telescopes and observe the night sky which brought tremendous interest in studying astronomy in middle school. Similarly in high schools we organized different kinds of webinar with renowned scientist from different parts of the world. We screened documentaries of space activities; we helped them to use online robotic telescopes by using internet. This eventually is creating more interest in students to study science and particularly astronomy in their higher studies. The use of mobile Apps and different satellite tracking website helped students determine the location of space objects and created more interest for detail study of them. We are now reaching thousands of students with different proceedings to popularize astronomy and generating interest to pursue higher education in this subject. As well as creating the scientific awareness and understanding among others who are not choosing science in their higher studies. This paper highlights the comparative study of advanced and practical approach of teaching over traditional approach. The results of survey suggest most students are interested in choosing science in their higher studies where practical

  2. Non-governmental organizations: their roles in family planning program in Nepal.

    PubMed

    Pyakuryal, B

    1989-01-01

    Nepal is a poor country which is short on food and suffering from a low level of child survival. High population growth further impedes social and economic development in the country. As such, population policy and socioeconomic policy should work together to create voluntary demand for a smaller family norm and family planning. Both government and non-government organizations (NGO's) have thus far worked to check population growth. NGOs have made important contributions in the health, population, and anti-poverty arenas. While successful on a small scale, however, NGO programs have only limited potential for expansion. Successful NGO efforts have therefore served mainly as examples of that which might be achieved elsewhere. Broader potential exists for NGO participation in health care and family planning. NGOs have in fact worked to reduce population growth in Nepal since the late 1950s. This paper reviews the role of NGOs in family planning programs with special attention to the work of the Family Planning Association of Nepal (FPAN). The FPAN has 17 branch offices, 4 action units, and 8 special projects working in 25/75 districts with over 700 staff and a substantial body of volunteers. The association particularly emphasizes contraception for the young, child spacing, and child and maternal welfare. The conceptual framework of population growth and the role of NGOs, the structure of population growth in Nepal, and practical strategic suggestions are presented.

  3. Evaluation of a monitoring program for assessing the effects of management practices on the quantity and quality of drainwater from the Panoche Water District, western San Joaquin Valley, California

    USGS Publications Warehouse

    Leighton, David A.; Fio, John L.

    1995-01-01

    An evaluation was made of an existing monitoring program in the Panoche Water District for 1986-93. The Panoche Water District is an agricultural area located in the western San Joaquin Valley of California. Because irrigation drainage from this area has high concentrations of dissolved solids and selenium, management strategies have been developed to improve the quality of drainwater discharge. The purpose of the Panoche Water District's monitoring program is to assess the effects of water- and land-use practices on local ground water and drain flow from the district. Drainflow from the district consists of the discharge from 50 separate on-farm underground tile-drainage systems. The Panoche Water District maintains information on water deliveries, planned and actual crop types, and planned and actual acreages planted each year. In addition, the water district monitors ground-water and drainage-system discharges using a variety of data-collection methods. A total of 62 observation well sites are used to monitor ground-water level and quality. A total of 42 sites were monitored for drainflow quantity, and drain flow quality samples were collected from the outlets of each of the 50 drainage systems. However, these data were collected inconsistently and (or) intermittently during the period studied. All data obtained from the water district were compiled and stored in a geographic information system database. Water delivered for irrigation by the Panoche Water District is a mix of imported water and local ground water pumped directly into delivery canals. Although delivered water is a mix, information on the proportion of water from the two sources is not reported. Also, individual growers pump directly to their crops unknown quantities of ground water, the total of which could be greater than 60 percent of total applications during years when water district deliveries are greatly reduced (for example, the years during and following a drought). To evaluate the

  4. Spatial autocorrelation in uptake of antenatal care and relationship to individual, household and village-level factors: results from a community-based survey of pregnant women in six districts in western Kenya

    PubMed Central

    2013-01-01

    Background The majority of maternal deaths, stillbirths, and neonatal deaths are concentrated in a few countries, many of which have weak health systems, poor access to health services, and low coverage of key health interventions. Early and consistent antenatal care (ANC) attendance could significantly reduce maternal and neonatal morbidity and mortality. Despite this, most Kenyan mothers initiate ANC care late in pregnancy and attend fewer than the recommended visits. Methods We used survey data from 6,200 pregnant women across six districts in western Kenya to understand demand-side factors related to use of ANC. Bayesian multi-level models were developed to explore the relative importance of individual, household and village-level factors in relation to ANC use. Results There is significant spatial autocorrelation of ANC attendance in three of the six districts and considerable heterogeneity in factors related to ANC use between districts. Working outside the home limited ANC attendance. Maternal age, the number of small children in the household, and ownership of livestock were important in some districts, but not all. Village proportions of pregnancy in women of child-bearing age was significantly correlated to ANC use in three of the six districts. Geographic distance to health facilities and the type of nearest facility was not correlated with ANC use. After incorporating individual, household and village-level covariates, no residual spatial autocorrelation remained in the outcome. Conclusions ANC attendance was consistently low across all the districts, but factors related to poor attendance varied. This heterogeneity is expected for an outcome that is highly influenced by socio-cultural values and local context. Interventions to improve use of ANC must be tailored to local context and should include explicit approaches to reach women who work outside the home. PMID:24314170

  5. Efficacy of arsenic filtration by Kanchan arsenic filter in Nepal.

    PubMed

    Singh, Anjana; Smith, Linda S; Shrestha, Shreekrishna; Maden, Narendra

    2014-09-01

    Groundwater arsenic contamination has caused a significant public health burden in lowland regions of Nepal. For arsenic mitigation purposes, the Kanchan Arsenic Filter (KAF) was developed and validated for use in 2003 after pilot studies showed its effectiveness in removing arsenic. However, its efficacy in field conditions operating for a long period has been scarcely observed. In this study, we observe the efficacy of KAFs running over 6 months in highly arsenic-affected households in Nawalparasi district. We assessed pair-wise arsenic concentrations of 62 randomly selected household tubewells before filtration and after filtration via KAFs. Of 62 tubewells, 41 had influent arsenic concentration exceeding the Nepal drinking water quality standard value (50 μg/L). Of the 41 tubewells having unsafe arsenic levels, KAFs reduced arsenic concentration to the safe level for only 22 tubewells, an efficacy of 54%. In conclusion, we did not find significantly high efficacy of KAFs in reducing unsafe influent arsenic level to the safe level under the in situ field conditions.

  6. Nepal project moves ahead as grass-roots force.

    PubMed

    1995-06-01

    A JOICFP mission to Nepal (April 2-14, 1995) performed several tasks, including the following: 1) collection of materials from nongovernmental organizations, the government, and international agencies in preparation for a National IEC Workshop (November 14-16, 1995) and a National Workshop (November 19-21, 1995) on family planning promotions; 2) arrangements for an external evaluation of the Community-based Sustainable Family Planning/Maternal and Child Health (MCH) Project with Special Focus on Women, which is supported by the United Nations Population Fund (UNFPA); 3) discussions regarding the production of the Nepali version of the videotape, "Rakhee and Mousse," and plans for utilization of US$11,122 of the JOICFP Voluntary Fund (JVF); 4) observation of refresher training for 135 women volunteers from 15 villages in Panchkhal, Kavre District, that was conducted by Sabatri Basnet; and 5) a meeting with the village health committee and women volunteers of the community-based, primary health care unit of Anaikiot. Coordination with the other activities of the Family Planning Association of Nepal and women volunteers to diffuse FP/MCH services and project activities has been a positive development in the project. The mission decided, based on its visits, to formulate technical support in the form of training, provision of quality service, and a referral institute for patients for the project areas of Panchkhal and Sunsari.

  7. Nepal prepares for national quake safety day

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    When Nepal's annual Earthquake Safety Day rolls around next January 16, the National Society for Earthquake Technology-Nepal plans a weeklong program of earthquake drills by school children, a safety exhibitions risk management symposium, and a report on the achievements of the Kathmandu Valley Earthquake Risk Management Project. The 18-month project of NSET-Nepal and GeoHazards International has several objectives: assess earthquake risk and devise an action plan to manage the risk; reduce vulnerability of Kathmandu Valley's approximately 650 public schools; raise public awareness; and build local institutions that can sustain the work of the project.

  8. Sustainable multipurpose tree production systems for Nepal

    SciTech Connect

    Shen, S.Y.; Kilpatrick, K.J.

    1988-03-01

    Argonne National Laboratory is developing methods for producing reforestation plating stock, fuel, and fodder in a sustainable manner in Nepal. This project, in cooperation with the Ministry of Forest and Soil Conservation of Nepal, is sponsored by the US Agency for International Development (AID). Several production systems are being evaluated for the Mid-Hills Region of Nepal. To provide sustainable biomass production and ecological management of the fragile Mid-Hills Region, the production systems must simultaneously satisfy the physiological requirements of the plants, the symbiotic requirements of the plant and the microorganisms in its rhizosphere, the physicochemical requirements of nutrient and water cycling, and the climatic and topographic constraints.

  9. Typhoid vaccine introduction: An evidence-based pilot implementation project in Nepal and Pakistan.

    PubMed

    Khan, M Imran; Pach, Alfred; Khan, Ghulam Mustafa; Bajracharya, Deepak; Sahastrabuddhe, Sushant; Bhutta, Waqaas; Tahir, Rehman; Soofi, Sajid; Thapa, Chandra B; Joshi, Nilesh; Puri, Mahesh K; Shrestha, Parisha; Upreti, Shyam Raj; Clemens, John D; Bhutta, Zulfiqar; Ochiai, R Leon

    2015-06-19

    The World Health Organization (WHO) in 2008 recommended the use of currently licensed typhoid vaccines using a high risk or targeted approach. The epidemiology of disease and the vaccine characteristics make school-based vaccination most feasible in reducing typhoid disease burden in many settings. To assess feasibility of school-based typhoid vaccination, two districts in Kathmandu, Nepal and two towns in Karachi, Pakistan were selected for pilot program. Vaccination campaigns were conducted through the departments of health and in partnerships with not-for-profit organizations. In total 257,015 doses of Vi polysaccharide vaccine were given to students in grades 1-10 of participating schools. The vaccination coverage ranged from 39 percent (38,389/99,503) in Gulshan town in Karachi, to 81 percent (62,615/77,341) in Bhaktapur in Kathmandu valley. No serious adverse event was reported post vaccination. The coverage increased for vaccination of the second district in Pakistan as well as in Nepal. There was an initial concern of vaccine safety. However, as the campaign progressed, parents were more comfortable with vaccinating their children in schools. Supported and conducted by departments of health in Pakistan and Nepal, a school-based typhoid vaccination was found to be safe and feasible.

  10. Clinical manifestations and outcomes of severe malaria among children admitted at Rungwe and Kyela district hospitals in south-western Tanzania.

    PubMed

    Kalinga, Akili; Mayige, Mary; Kagaruki, Gibson; Shao, Amani; Mwakyusa, Brighton; Jacob, Frank; Mwesiga, Charles

    2012-01-01

    Malaria remains as an important public health and a major cause of childhood death and paediatric hospital admission in sub-Saharan Africa. This prospective hospital based cross sectional study was conducted from April 2007 to April 2008. The main objective was to assess clinical manifestations and outcomes of severe malaria in children admitted to district hospital in Rungwe and Kyela in south-western Tanzania. A total of 1371 children were selected as screening group of which 409 (29.8%) were tested positive for malaria. Mean age of the children was 2.7 (95%CI= 2.5, 2.8) years and the majority (86%) were under five years of age. The proportion of children severe malaria in Rungwe was significantly higher than that of Kyela by 21.3% (P=0.002). The common symptoms of severe malaria during admission were convulsions (50.9%) compensated shock (30.6%), prostration (29.1%) and symptomatic severe anaemia (14.9%). The case fatality rate (CFR) was 4.6% and the cure rate (CR) was 95.4%. Children with suspected severe acidosis and symptomatic severe anemia were 4.8 (95%CI=1.6, 14.6) and 5.5 (95%CI 1.1, 28.2), respectively, more likely to die compared to those without these symptoms. The proportion of deaths among children presenting ≥5 symptoms was 32.1% higher than among those presenting one symptom (OR =0.50, 95%CI 0.125-2.000; P=0.000). Convulsions and compensated shock were the leading symptoms at admission. Suspected severe acidosis and symptomatic severe anemia were the predictors of mortality for children. In order to reduce mortality among admitted children with severe malaria there is a need for health providers to deploy strategic management of fatal prognostic factors. In conclusion, convulsion and compensated shock were the leading symptoms among children at admission and that suspected severe acidosis and symptomatic severe anemia were the predictors of mortality. It is therefore important to emphasis early diagnosis and prompt treatment of severe cases of

  11. Implementing a systems-oriented morbidity and mortality conference in remote rural Nepal for quality improvement

    PubMed Central

    Schwarz, Dan; Schwarz, Ryan; Gauchan, Bikash; Andrews, Jason; Sharma, Ranju; Karelas, Gregory; Rajbhandari, Ruma; Acharya, Bibhav; Mate, Kedar; Bista, Amir; Bista, Megha Giri; Sox, Colin

    2011-01-01

    Problem In hospitals in rural, resource-limited settings, there is an acute need for simple, practical strategies to improve healthcare quality. Setting A district hospital in remote western Nepal. Key measures for improvement To provide a mechanism for systems-level reflection so that staff can identify targets for quality improvement in healthcare delivery. Strategies for change To develop a morbidity and mortality conference (M&M) quality improvement initiative that aims to facilitate structured analysis of patient care and identify barriers to providing quality care, which can subsequently be improved. Design The authors designed an M&M involving clinical and non-clinical staff in conducting root-cause analyses of healthcare delivery at their hospital. Weekly conferences focus on seven domains of causal analysis: operations, supply chain, equipment, personnel, outreach, societal, and structural. Each conference focuses on assessing the care provided, and identifying ways in which services can be improved in the future. Effects of change Staff reception of the M&Ms was positive. In these M&Ms, staff identified problem areas in healthcare delivery and steps for improvement. Subsequently, changes were made in hospital workflow, supply procurement, and on-site training. Lessons learnt While widely practiced throughout the world, M&Ms typically do not involve both clinical and non-clinical staff members and do not take a systems-level approach. The authors' experience suggests that the adapted M&M conference is a simple, feasible tool for quality improvement in resource-limited settings. Senior managerial commitment is crucial to ensure successful implementation of M&Ms, given the challenging logistics of implementing these programmes in resource-limited health facilities. PMID:21949441

  12. Restructuring the Educational System in Nepal

    ERIC Educational Resources Information Center

    Bhatt, Dibya Deo; Mohsin, Mohammad

    1975-01-01

    The five year nationwide plan for restructuring the educational system in Nepal is described. Emphasis is placed on an egalitarian harmonization of multilingual traditions into a single nationhood. (DE)

  13. Systemic lupus erythematosus in Nepal: A review.

    PubMed

    Kafle, M P; Lee, Vws

    2016-08-01

    Nepal is a small country that is landlocked between India and China. Several ethnic groups live within the 147,181 km(2) of this country. Geographic diversity ranges from the high Himalayas to the flatlands of the Ganges plains. Lupus nephritis (LN), a complication of systemic lupus erythematosus (SLE), is a common kidney problem in Nepal; but the real incidence and prevalence of SLE in Nepal is largely not known. Here, it more commonly affects people (mostly women) living in the southern flatlands, but SLE is reported to be uncommon further south in India. Even though the disease appears to be common, good quality research is uncommon in Nepali literature. This article was written to provide a review of the articles published to date about SLE in Nepal and to discuss the gaps in knowledge that require further evaluation.

  14. Newborn survival in Nepal: a decade of change and future implications.

    PubMed

    Pradhan, Y V; Upreti, Shyam Raj; Pratap K C, Naresh; K C, Ashish; Khadka, Neena; Syed, Uzma; Kinney, Mary V; Adhikari, Ramesh Kant; Shrestha, Parashu Ram; Thapa, Kusum; Bhandari, Amit; Grear, Kristina; Guenther, Tanya; Wall, Stephen N

    2012-07-01

    Nepal is on target to meet the Millennium Development Goals for maternal and child health despite high levels of poverty, poor infrastructure, difficult terrain and recent conflict. Each year, nearly 35,000 Nepali children die before their fifth birthday, with almost two-thirds of these deaths occurring in the first month of life, the neonatal period. As part of a multi-country analysis, we examined changes for newborn survival between 2000 and 2010 in terms of mortality, coverage and health system indicators as well as national and donor funding. Over the decade, Nepal's neonatal mortality rate reduced by 3.6% per year, which is faster than the regional average (2.0%) but slower than national annual progress for mortality of children aged 1-59 months (7.7%) and maternal mortality (7.5%). A dramatic reduction in the total fertility rate, improvements in female education and increasing change in skilled birth attendance, as well as increased coverage of community-based child health interventions, are likely to have contributed to these mortality declines. Political commitment and support for newborn survival has been generated through strategic use of global and national data and effective partnerships using primarily a selective newborn-focused approach for advocacy and planning. Nepal was the first low-income country to have a national newborn strategy, influencing similar strategies in other countries. The Community-Based Newborn Care Package is delivered through the nationally available Female Community Health Volunteers and was piloted in 10 of 75 districts, with plans to increase to 35 districts in mid-2013. Innovation and scale up, especially of community-based packages, and public health interventions and commodities appear to move relatively rapidly in Nepal compared with some other countries. Much remains to be done to achieve high rates of effective coverage of community care, and especially to improve the quality of facility-based care given the rapid

  15. Space Education and Public awareness in Nepal

    NASA Astrophysics Data System (ADS)

    Lamsal, Jeevan; Wagle, Suman

    Nepalese students are curious with space missions of China and India. The possibility of space mission is not imminent to Nepal for the next few decades. To develop space activities and to industrialize astronomy, base of space education in the high schools must be very effective. This paper highlights the present scenario of space education and discusses the syllabus of astronomy in the different education level of Nepal. Astronomy is included in the syllabus of science book of middle school and high school which contains very few contents of solar system, constellations, galaxy, black holes and formation of stars. There is no any degree for higher studies in astronomy as a separate department in any university of Nepal. This paper also highlights the space activities and national level programs conducting in Nepal. With the rise of many astronomical clubs and societies in the different regions of Nepal, astronomy outreach has been more effective in the recent time. Methods of astronomy outreach and public awareness that are being used in Nepal will be discussed in brief and how these programs have affected to create interest of students and public in astronomy will be mentioned in brief.

  16. Rural Agricultural Change and Fertility Transition in Nepal*

    PubMed Central

    Bhandari, Prem; Ghimire, Dirgha

    2013-01-01

    Using longitudinal panel data from the Western Chitwan Valley of Nepal, this study investigates the impact of the use of modern farm technologies on fertility transition—specifically, the number of births in a farm household. Previous explanations for the slow pace of fertility transition in rural agricultural settings often argued that the demand for farm labor is the primary driver of high fertility. If this argument holds true, the use of modern farm technologies that are designed to carry out labor-intensive farm activities ought to substitute for farm labor and discourage births in farm families. However, little empirical evidence is available on the potential influence of the use of modern farm technologies on the fertility transition. To fill this gap, the panel data examined in this study provides an unusual opportunity to test this long standing, but unexplored, argument. The results demonstrate that the use of modern farm technologies, particularly the use of a tractor and other modern farm implements, reduce subsequent births in farm households. This offers important insight for understanding the fertility transition in Nepal, a setting that is experiencing high population growth and rapidly changing farming practices. PMID:23729867

  17. Gneiss wastes as secondary raw material for the ceramic industry: an example from the Verbano Cusio Ossola district (Piedmont, north-western Alps, Italy)

    NASA Astrophysics Data System (ADS)

    Cavallo, Alessandro

    2015-04-01

    The Verbano Cusio Ossola province (VCO, Piedmont, north-western Italy) is one of the most important Italian quarrying districts, due to the peculiarity and variety of its exploited rock types, mainly orthogneisses such as Serizzo and Beola, and subordinately granites, marbles and other rocks. The most important and extensively exploited ornamental stone from the VCO province is surely the Serizzo, commercialized in four main varieties, and representing about 70% of all the stone production from the VCO area. The protholith of the Serizzo is a Permian granite - granodiorite metamorphosed during the alpine events, and the rock-forming minerals are mainly quartz, K-feldspar, plagioclase (andesine), biotite, with variable amounts of muscovite and epidote (allanite). The other important ornamental stone of the VCO province is the Beola, a series of heterogeneous materials (mainly orthogneisses) with marked (mylonitic) foliation and strong mineralogical lineation, occurring in the median Ossola Valley; its production (15% of the whole stones of the VCO) is subordinated with respect to that of Serizzo. The mineralogical composition of the Beola varieties is similar to Serizzo, consisting of quite homogeneous quartz, K-feldspar (orthoclase or microcline), plagioclase, biotite and muscovite. The main differences relate to the grain size, the rock fabric (generally mylonitic) and to the presence of accessory/secondary minerals. Recent regulatory developments and the growing environmental awareness, require an increasing reuse of wastes deriving from the extraction and processing of dimension stones (up to 50 % of the extracted gross volume). Granite wastes from the VCO (Baveno pink granite and Montorfano white granite), after specific industrial treatments (crushing, sieving, drying, magnetic separation of biotite and hornblende), are used successfully as quartz-feldspars mix in the ceramic industry, with very low FeOtot content. On the other hand, other quartzose

  18. Detrital zircon U-Pb geochronology of the Siwalik Group of the Nepal Himalaya: implications for provenance analysis

    NASA Astrophysics Data System (ADS)

    Baral, Upendra; Lin, Ding; Chamlagain, Deepak

    2016-04-01

    This paper deals with the provenance analysis of the Neogene foreland basin sediments of the Siwalik Group in the Nepal Himalaya. This study adopts the techniques of the optical petrography and detrital zircon U-Pb ages from two river sections: the Koshi Nadi in eastern Nepal and the Surai Khola in western Nepal Himalaya. The optical petrography data and resulting QFL plot show a "recycled orogeny" field for the studied sandstone samples, indicating northern lithotectonic units; Tethys Himalaya, Higher Himalaya and Lesser Himalaya as the source of the foreland basin sediments. The detrital zircon geochronological data set has clearly revealed that the cluster ages are younger than ~1000 Ma; however, the older grains (>1000 Ma) are significantly fewer. The obtained age spectrum is similar to the Tethys Himalaya and the upper Lesser Himalaya, but the lower Lesser Himalayan rocks were not distinct, which indicates that sediments in the Neogene foreland basin of the Nepal Himalaya were primarily sourced from the Tethys Himalaya and upper Lesser Himalaya. The minor subordinate scattered peaks that roughly correspond to the age of the Higher Himalaya and lower Lesser Himalaya may indicate that a lower proportion of the sediments might have a link with the Higher Himalaya and lower Lesser Himalaya. Therefore, the provenance of the Siwalik Group in the Nepal Himalaya might have witnessed a mixed type of provenance similar to the northwestern Himalaya.

  19. Abortion law reform in Nepal.

    PubMed

    Upreti, Melissa

    2014-08-01

    Across four decades of political and social action, Nepal changed from a country strongly enforcing oppressive abortion restrictions, causing many poor women's long imprisonment and high rates of abortion-related maternal mortality, into a modern democracy with a liberal abortion law. The medical and public health communities supported women's rights activists in invoking legal principles of equality and non-discrimination as a basis for change. Legislative reform of the criminal ban in 2002 and the adoption of an Interim Constitution recognizing women's reproductive rights as fundamental rights in 2007 inspired the Supreme Court in 2009 to rule that denial of women's access to abortion services because of poverty violated their constitutional rights. The government must now provide services under criteria for access without charge, and services must be decentralized to promote equitable access. A strong legal foundation now exists for progress in social justice to broaden abortion access and reduce abortion stigma.

  20. Epidemiology of blindness in Nepal*

    PubMed Central

    Brilliant, L. B.; Pokhrel, R. P.; Grasset, N. C.; Lepkowski, J. M.; Kolstad, A.; Hawks, W.; Pararajasegaram, R.; Brilliant, G. E.; Gilbert, S.; Shrestha, S. R.; Kuo, J.

    1985-01-01

    This report presents the major findings of the Nepal Blindness Survey, the first nationwide epidemiological survey of blindness, which was conducted in 1979-80. The survey was designed to gather data that could be used to estimate the prevalence and causes of blindness in the country. Ancillary studies were conducted to obtain information on socioeconomic correlates and other risk factors of blinding conditions and patterns of health care utilization. The nationwide blindness prevalence rate is 0.84%. Cataract is the leading cause of blindness, accounting for over 80% of all avoidable blindness. Trachoma is the most prevalent blinding condition, affecting 6.5% of the population. Very few cases of childhood blindness were detected. The implications of the survey findings for programme planning, health manpower development, and health education are discussed. PMID:3874717

  1. Projected integrated farm in Nepal

    SciTech Connect

    Dhital, K.

    1980-01-01

    A proposed integrated crop-livestock agro-processing complex to be based at Janakpur, Nepal is described. This project was proposed by the Agricultural Development Bank and is a small effort towards creating a self-sufficient rural community similar to one reported in China. The plan of the farm aims to achieve the integration of several agricultural, aquacultural, solar energy and biogas energy components with complete recycling of waste. These include biogas plants with associated slurry and storage tanks for operating a 3-kW generator, a 3.7-kW pump, providing domestic cooking, as well as energy to operate a fruit-processing plant. Energy for water heating, crop drying and refrigeration will be supplied by solar energy. Fish, livestock, fruits and vegetables will be produced by the farm.

  2. Government’s Strategy Against the Maoist Insurgency in Nepal

    DTIC Science & Technology

    2010-06-11

    start of the insurgency in Nepal, the government started various steps to crush the insurgency. The mobilization of the Nepal police to crush the...clarity as to “how.” However, when the Maoist insurgency was eminent in Nepal and police were actually mobilized against the insurgency, the

  3. English Language Teaching in Nepal: A Descriptive Survey Report.

    ERIC Educational Resources Information Center

    Giri, Ram Ashish

    An overview of English language education in Nepal is provided, and a discussion of a study focusing on the English language education situation in Nepal is presented. The investigation sought to answer the following questions: (1) What kind of English curriculum does Nepal have? (2) Who designs and prescribes curriculum, curriculum materials, and…

  4. Non-surgical interventions for pelvic organ prolapse in rural Nepal: a prospective monitoring and evaluation study

    PubMed Central

    Fitchett, Joseph R; Bhatta, Surya; Sherpa, Tenzing Y; Malla, Bishwo S; A Fitchett, Elizabeth J; Samen, Arlene

    2015-01-01

    Objectives Pelvic organ prolapse (POP) is a major cause of morbidity in Nepal, particularly affecting women in the rural communities. Women with POP in Nepal may suffer from symptoms for decades. At present, the Government of Nepal advocates surgical intervention but access to surgical care is inadequate. This report evaluated the feasibility of a non-surgical public health programme in rural Nepal, and describes risk factors associated with POP in this setting. Design Prospective monitoring and evaluation study of a new public health programme. Setting Baglung district, rural Nepal. Participants Women with gynaecological symptoms of POP. Main outcome measures Risk factors for disease progression were assessed using Fisher’s exact test, Pearson’s χ2-test and logistic regression analysis. Results Of the 74 women included in this analysis, 70.8% were diagnosed with stage 2 POP or greater. The majority of women did not have any further children following the onset of POP symptoms (63.5%). Duration of symptoms ranged from 2 months to 60 years, with 73.4% of women suffering for over 5 years and 28.4% suffering for over 20 years. Univariate analyses identified age at screening, age at onset of symptoms, the duration of symptoms and an associated rectocele as factors associated with increasing POP severity (p < 0.05). Kegel exercises were taught to 25 (33.8%) women with POP and ring pessaries were offered to 47 (63.5%) women with POP. Conclusions Non-surgical interventions may provide an opportunity to address the significant burden of POP in rural Nepal. PMID:26664731

  5. Identifying Pathways for Improving Household Food Self-Sufficiency Outcomes in the Hills of Nepal

    PubMed Central

    Karki, Tika B.; Sah, Shrawan K.; Thapa, Resam B.; McDonald, Andrew J.; Davis, Adam S.

    2015-01-01

    Maintaining and improving household food self-sufficiency (FSS) in mountain regions is an ongoing challenge. There are many facets to the issue, including comparatively high levels of land fragmentation, challenging terrain and transportation bottlenecks, declining labor availability due to out-migration, and low technical knowledge, among others. Using a nonparametric multivariate approach, we quantified primary associations underlying current levels of FSS in the mid-hills of Nepal. A needs assessment survey was administered to 77 households in Lungaun (Baglung District), Pang (Parbat District), and Pathlekhet (Myagdi District), with a total of 80 variables covering five performance areas; resulting data were analyzed using Classification and Regression Trees. The most parsimonious statistical model for household FSS highlighted associations with agronomic management, including yields of maize and fingermillet within a relay cropping system and adoption of improved crop cultivars. Secondary analyses of the variables retained in the first model again focused primarily on crop and livestock management. It thus appears that continued emphasis on technical agricultural improvements is warranted, independent of factors such as land holding size that, in any case, are very difficult to change through development interventions. Initiatives to increase household FSS in the mid-hills of Nepal will benefit from placing a primary focus on methods of agricultural intensification to improve crop yields and effective technology transfer to increase adoption of these methods. PMID:26047508

  6. Disabled women׳s maternal and newborn health care in rural Nepal: A qualitative study

    PubMed Central

    Morrison, Joanna; Basnet, Machhindra; Budhathoki, Bharat; Adhikari, Dhruba; Tumbahangphe, Kirti; Manandhar, Dharma; Costello, Anthony; Groce, Nora

    2014-01-01

    Objective there is little evidence about disabled women׳s access to maternal and newborn health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and care seeking. Our study explores disabled women׳s experiences of maternal and newborn care in rural Nepal. Design we used a qualitative methodology, using semi-structured interviews. Setting rural Makwanpur District of central Nepal. Participants we purposively sampled married women with different impairments who had delivered a baby in the past 10 years from different topographical areas of the district. We also interviewed maternal health workers. We compared our findings with a recent qualitative study of non-disabled women in the same district to explore the differences between disabled and non-disabled women. Findings married disabled women considered pregnancy and childbirth to be normal and preferred to deliver at home. Issues of quality, cost and lack of family support were as pertinent for disabled women as they were for their non-disabled peers. Health workers felt unprepared to meet the maternal health needs of disabled women. Key conclusions and implications for practice integration of disability into existing Skilled Birth Attendant training curricula may improve maternal health care for disabled women. There is a need to monitor progress of interventions that encourage institutional delivery through the use of disaggregated data, to check that disabled women are benefiting equally in efforts to improve access to maternal health care. PMID:24768318

  7. Identifying Pathways for Improving Household Food Self-Sufficiency Outcomes in the Hills of Nepal.

    PubMed

    Karki, Tika B; Sah, Shrawan K; Thapa, Resam B; McDonald, Andrew J; Davis, Adam S

    2015-01-01

    Maintaining and improving household food self-sufficiency (FSS) in mountain regions is an ongoing challenge. There are many facets to the issue, including comparatively high levels of land fragmentation, challenging terrain and transportation bottlenecks, declining labor availability due to out-migration, and low technical knowledge, among others. Using a nonparametric multivariate approach, we quantified primary associations underlying current levels of FSS in the mid-hills of Nepal. A needs assessment survey was administered to 77 households in Lungaun (Baglung District), Pang (Parbat District), and Pathlekhet (Myagdi District), with a total of 80 variables covering five performance areas; resulting data were analyzed using Classification and Regression Trees. The most parsimonious statistical model for household FSS highlighted associations with agronomic management, including yields of maize and fingermillet within a relay cropping system and adoption of improved crop cultivars. Secondary analyses of the variables retained in the first model again focused primarily on crop and livestock management. It thus appears that continued emphasis on technical agricultural improvements is warranted, independent of factors such as land holding size that, in any case, are very difficult to change through development interventions. Initiatives to increase household FSS in the mid-hills of Nepal will benefit from placing a primary focus on methods of agricultural intensification to improve crop yields and effective technology transfer to increase adoption of these methods.

  8. Characteristics and determinants of child nutritional status in Nepal.

    PubMed

    Martorell, R; Leslie, J; Moock, P R

    1984-01-01

    Herein, we examine characteristics and determinants of child malnutrition in the districts of Bara and Rautahat of the Terai region of Nepal. The sample studied consists of 510 rural children ranging in age from 3 to 10 yr. The Nepali children were found to have one of the highest reported prevalences of stunting (65% were less than 90% National study for Health Statistics median height for age). The study children were also 1 to 1.5 kg lighter when compared to US children of the same height. Fat deposits, as measured by anthropometric variables and Hb levels were also very low. Multiple regression analysis showed that age, district of residence, household income, breast-feeding, and several specific food items were significant predictors of nutritional status. Association with other factors such as caste and parental schooling, were not evident in multiple regressions. Boys were as likely to be malnourished as girls. Prolonged breast-feeding was associated with greater fat stores, but with reduced stature and low Hb values. Both landholdings and household income were found to be positively and significantly associated with almost all measures of nutritional status.

  9. Strategic rehabilitation of the earthquake affected microhydropower plants in Nepal

    NASA Astrophysics Data System (ADS)

    Baidar, B.; Koirala, R.; Neopane, H. P.; Shrestha, M. V.; Thapa, B.

    2016-11-01

    Most people in the rural areas of Nepal rely on Micro-hydro Power Plants (MHPs) for their energy sources. With around four decade experiences in design and development of MHPs, Nepalese techno-entrepreneurs have gained wider reputation in the South Asian region and the beyond. However with the lack of competences in developing Francis turbines, majority of the MHPs are equipped with either Pelton of Cross Flow turbine, even though Francis units are suitable. With the devastating earthquake of a 7.6 magnitude that struck in the Gorkha district on Saturday, 25 April 2015, about 76 km northwest of the capital city Kathmandu, and the aftershocks followed claimed more than 8000 lives. It did not leave hydropower plants either. Many big plants have been affected and hundreds of MHPs were damaged, needing short to long term rehabilitation. The preliminary assessment of the 61 affected MHPs in the 6 earthquake affected districts shows more than 50% sites are suitable for Francis turbine. Hence the strategic rehabilitation plan has been developed in the present paper for the affected plants considering issues like geographical shift, dislocation of people and also with the focus on replacing the old turbine with Francis turbine in the suitable sites. The similar strategy can also be implemented in other developing countries with such situations.

  10. Navigating diagnoses: understanding mind-body relations, mental health, and stigma in Nepal.

    PubMed

    Kohrt, Brandon A; Harper, Ian

    2008-12-01

    Anthropologists and psychiatrists traditionally have used the salience of a mind-body dichotomy to distinguish Western from non-Western ethnopsychologies. However, despite claims of mind-body holism in non-Western cultures, mind-body divisions are prominent in non-Western groups. In this article, we discuss three issues: the ethnopsychology of mind-body dichotomies in Nepal, the relationship between mind-body dichotomies and the hierarchy of resort in a medical pluralistic context, and, finally, the role of mind-body dichotomies in public health interventions (biomedical and psychosocial) aimed toward decreasing the stigmatization of mental illness. We assert that, by understanding mind-body relations in non-Western settings, their implications, and ways in which to reconstitute these relations in a less stigmatizing manner, medical anthropologists and mental health workers can contribute to the reduction of stigma in global mental health care.

  11. Navigating Diagnoses: Understanding Mind–Body Relations, Mental Health, and Stigma in Nepal

    PubMed Central

    Harper, Ian

    2013-01-01

    Anthropologists and psychiatrists traditionally have used the salience of a mind–body dichotomy to distinguish Western from non-Western ethnopsychologies. However, despite claims of mind–body holism in non-Western cultures, mind–body divisions are prominent in non-Western groups. In this article, we discuss three issues: the ethnopsychology of mind–body dichotomies in Nepal, the relationship between mind–body dichotomies and the hierarchy of resort in a medical pluralistic context, and, lastly, the role of mind–body dichotomies in public health interventions (biomedical and psychosocial) aimed toward decreasing the stigmatization of mental illness. We assert that, by understanding mind–body relations in non-Western settings, their implications, and ways in which to reconstitute these relations in a less stigmatizing manner, medical anthropologists and mental health workers can contribute to the reduction of stigma in global mental healthcare. PMID:18784989

  12. Ocular telemedicine between Nepal and the USA: prevalence of vitreoretinal disease in rural Nepal.

    PubMed

    Ulrich, J N; Poudyal, G; Marks, S J; Vrabec, T R; Marks, B; Thapa, A B S; Shresta, M K; Ruit, S; Federman, J L

    2009-05-01

    This study is aimed at reporting experiences with telemedicine between Nepal and the USA and at reporting the prevalence of age-related macular degeneration (AMD) and diabetic retinopathy (DR) in rural Nepal. AMD and DR are becoming more significant factors for non-reversible vision loss in rural Nepal due to increasing life expectancy and urbanisation. The prevalence of DM is low compared with the developed world, but the percentage of diabetics with DR is high, presumably due to limited access to healthcare. The higher prevalence of DM in Hetauda is explained as being due to a more urban lifestyle, dietary habits (more deep-fried food) and more advanced age.

  13. Electrocardiography in people living at high altitude of Nepal

    PubMed Central

    Aryal, Nirmal; Weatherall, Mark; Bhatta, Yadav Kumar Deo; Mann, Stewart

    2017-01-01

    Objective The main objective of this study was to estimate the prevalence of coronary heart disease (CHD) of high-altitude populations in Nepal determined by an ECG recordings and a medical history. Methods We carried out a cross-sectional survey of cardiovascular disease and risk factors among people living at four different altitude levels, all above 2800 m, in the Mustang and Humla districts of Nepal. 12-lead ECGs were recorded on 485 participants. ECG recordings were categorised as definitely abnormal, borderline or normal. Results No participant had Q waves to suggest past Q-wave infarction. Overall, 5.6% (95% CI 3.7 to 8.0) of participants gave a self-report of CHD. The prevalence of abnormal (or borderline abnormal) ECG was 19.6% (95% CI 16.1 to 23.4). The main abnormalities were: right axis deviation in 5.4% (95% CI 3.5 to 7.7) and left ventricular hypertrophy by voltage criteria in 3.5% (95% CI 2.0 to 5.5). ECG abnormalities were mainly on the left side of the heart for Mustang participants (Tibetan origin) and on the right side for Humla participants (Indo-Aryans). There was a moderate association between the probability of abnormal (or borderline abnormal) ECG and altitude when adjusted for potential confounding variables in a multivariate logistic model; with an OR for association per 1000 m elevation of altitude of 2.83 (95% CI 1.07 to 7.45), p=0.03. Conclusions Electrocardiographic evidence suggests that although high-altitude populations do not have a high prevalence of CHD, abnormal ECG findings increase by altitude and risk pattern varies by ethnicity. PMID:28243317

  14. Operationalizing crop monitoring system for informed decision making related to food security in Nepal

    NASA Astrophysics Data System (ADS)

    Qamer, F. M.; Shah, S. N. Pd.; Murthy, M. S. R.; Baidar, T.; Dhonju, K.; Hari, B. G.

    2014-11-01

    In Nepal, two thirds of the total population depend on agriculture for their livelihoods and more than one third of Gross Domestic Product (GDP) comes from the agriculture sector. However, effective agriculture production across the country remains a serious challenge due to various factors, such as a high degree of spatial and temporal climate variability, irrigated and rain-fed agriculture systems, farmers' fragile social and economic fabric, and unique mountain practices. ICIMOD through SERVIR-Himalaya initiative with collaboration of Ministry of Agricultural Development (MoAD) is working on developing a comprehensive crop monitoring system which aims to provide timely information on crop growth and drought development conditions. This system analyzes historical climate and crop conditions patterns and compares this data with the current growing season to provide timely assessment of crop growth. Using remote sensing data for vegetation indices, temperature and rainfall, the system generated anomaly maps are inferred to predict the increase or shortfall in production. Comparisons can be made both spatially and in graphs and figures at district and Village Developmental Committee (VDC) levels. Timely information on possible anomaly in crop production is later used by the institutions like Ministry of Agricultural Development, Nepal and World Food Programme, Nepal to trigger appropriate management response. Future potential includes integrating data on agricultural inputs, socioeconomics, demographics, and transportation to holistically assess food security in the region served by SERVIR-Himalaya.

  15. Genetic diversity of Leishmania tropica strains isolated from clinical forms of cutaneous leishmaniasis in rural districts of Herat province, Western Afghanistan, based on ITS1-rDNA.

    PubMed

    Fakhar, Mahdi; Pazoki Ghohe, Hossein; Rasooli, Sayed Abobakar; Karamian, Mehdi; Mohib, Abdul Satar; Ziaei Hezarjaribi, Hajar; Pagheh, Abdol Sattar; Ghatee, Mohammad Amin

    2016-07-01

    Despite the high incidence of cutaneous leishmaniasis (CL) in Afghanistan, there is a little information concerning epidemiological status of the disease and phylogenetic relationship and population structure of causative agents. This study was conducted to determine the prevalence and distribution of CL cases and investigate the Leishmania tropica population structure in rural districts of Heart province in the West of Afghanistan in comparison to neighboring foci. Overall, 4189 clinically suspected CL cases from 177 villages (including 12 districts) in Herat province were enrolled in the referral laboratory of WHO sub-office in Herat city from January 2012 to December 2013. 3861 cases were confirmed as CL by microscopic examination of Giemsa-stained slides. ITS1 PCR-RFLP analysis showed dominance of L. tropica (more than 98%) among 127 randomly chosen samples. Analysis of the ITS1 sequences revealed 4 sequence types among the 21 L. tropica isolates. Comparison of sequence types from Herat rural districts with the representatives of L. tropica from Iran, India, and Herat city showed two main population groups (cluster A and B). All isolates from Herat province, India and Southeast, East, and Central Iran were found exclusively in cluster A. The close proximity of West Afghanistan focus and Birjand county as the capital of Southern Khorasan province in East Iran can explain relatively equal to the genetic composition of L. tropica in these two neighboring regions. In addition, two populations were found among L. tropica isolates from Herat rural districts. Main population showed more similarity to some isolates from Birjand county in East Iran while minor population probably originated from the Southeast and East Iranian L. tropica. Recent study provided valuable information concerning the population structure of L. tropica and epidemiology of ACL in the West of Afghanistan, which could be the basis for molecular epidemiology studies in other regions of Afghanistan.

  16. Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal.

    PubMed

    Neupane, Dinesh; Mclachlan, Craig S; Gautam, Rupesh; Mishra, Shiva Raj; Thorlund, Michael; Schlütter, Mette; Kallestrup, Per

    2015-01-01

    Background The prevalence of hypertension is increasing in Nepal. Thus, there is a need for a programme to improve primary healthcare. One possibility is to assign prevention, diagnosis, and treatment of hypertension to female community health volunteers (FCHVs). Objective To assess literacy and motivation to be involved in a hypertension prevention and control programme in Nepal among FCHVs. Design Five focus group discussions (FGDs) were conducted with a total of 69 FCHVs in Lekhnath municipality, Kaski district, Nepal. Seven themes were developed on the basis of data collection: 1) knowledge about hypertension; 2) risk factors of hypertension; 3) prevention and control of hypertension; 4) access to treatment for hypertension in the community; 5) learning about blood pressure measurement; 6) ability to raise blood pressure awareness in the community; 7) possible challenges for their future involvement. Data were analysed using the thematic analysis approach. Results FCHVs have some knowledge about diagnosis, risk factors, and complications of hypertension. General unanimity was observed in the understanding that hypertension and risk factors needed to be addressed. The willingness of FCHVs to contribute to prevention, control, and management was strong, and they were confident that with some basic training they could obtain skills in hypertension management. Conclusions Despite limited knowledge about hypertension, FCHVs expressed willingness and readiness to be trained in hypertension management. This study supports the possibility of involving FCHVs in prevention and control of hypertension in Nepal.

  17. Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal

    PubMed Central

    Neupane, Dinesh; Mclachlan, Craig S.; Gautam, Rupesh; Mishra, Shiva Raj; Thorlund, Michael; Schlütter, Mette; Kallestrup, Per

    2015-01-01

    Background The prevalence of hypertension is increasing in Nepal. Thus, there is a need for a programme to improve primary healthcare. One possibility is to assign prevention, diagnosis, and treatment of hypertension to female community health volunteers (FCHVs). Objective To assess literacy and motivation to be involved in a hypertension prevention and control programme in Nepal among FCHVs. Design Five focus group discussions (FGDs) were conducted with a total of 69 FCHVs in Lekhnath municipality, Kaski district, Nepal. Seven themes were developed on the basis of data collection: 1) knowledge about hypertension; 2) risk factors of hypertension; 3) prevention and control of hypertension; 4) access to treatment for hypertension in the community; 5) learning about blood pressure measurement; 6) ability to raise blood pressure awareness in the community; 7) possible challenges for their future involvement. Data were analysed using the thematic analysis approach. Results FCHVs have some knowledge about diagnosis, risk factors, and complications of hypertension. General unanimity was observed in the understanding that hypertension and risk factors needed to be addressed. The willingness of FCHVs to contribute to prevention, control, and management was strong, and they were confident that with some basic training they could obtain skills in hypertension management. Conclusions Despite limited knowledge about hypertension, FCHVs expressed willingness and readiness to be trained in hypertension management. This study supports the possibility of involving FCHVs in prevention and control of hypertension in Nepal. PMID:26679406

  18. How does the spread of primary and secondary schooling influence the fertility transition? Evidence from rural Nepal.

    PubMed

    Silva, Simone; Hotchkiss, David R

    2014-01-01

    From 1996 to 2006, Nepal experienced a substantial fertility decline, with the total fertility rate dropping from 4.6 to 3.1 births per woman. This study examines the associations between progress towards universal primary and secondary schooling and fertility decline in rural Nepal. Several hypotheses regarding mechanisms through which education affects current fertility behaviour are tested, including: the school environment during women's childhood; current availability of schools; knowledge of educational costs; and women's own educational attainment. Data for the analysis come from the 2003-04 Nepal Living Standards Survey, a nationally representative random sample of households, which includes detailed data on fertility, household expenditure, educational attainment, demographic characteristics and the use of social services. Census and administrative data are also used to construct district-level gross enrolment ratios for primary and secondary schools during the women's childhood. Discrete dependent variable modelling techniques are used to estimate the effects of the following variables on the probability of women giving birth in a given year: district-level gross enrolment ratios for primary and secondary schools during women's childhood; having had a child previously in school; women's own educational level; current school availability; and other covariates. Separate models are estimated for the overall sample of rural women of reproductive age, and for parity-specific sub-samples. The results suggest that district-level gross enrolment ratios for secondary schools and, in some instances, having had a previous child enrolled in school are significant determinants of fertility in rural areas. These results are highly independent of women's own educational levels. Overall, the results suggest that, in the rural Nepal context, mass schooling influences the fertility transition through both community- and household-level pathways.

  19. Regional variation in pig farmer awareness and actions regarding Japanese encephalitis in Nepal: implications for public health education.

    PubMed

    Dhakal, Santosh; Joshi, Durga Datt; Ale, Anita; Sharma, Minu; Dahal, Meena; Shah, Yogendra; Pant, Dhan Kumar; Stephen, Craig

    2014-01-01

    Japanese encephalitis (JE) is a mosquito-borne zoonotic disease that has pigs as the major amplifying hosts. It is the most important cause of viral encephalitis in people in Nepal and is spreading in its geographic distribution in that country. Pig farming is increasing in Nepal due to reducing cultural biases against pigs and government programs to support pig farming for poverty alleviation. Major strategies for JE prevention and control include education, vector control, and immunization of people and pigs. This study used a survey of 400 pig farmers in 4 areas of Nepal with different JE and pig farming histories to explore regional variations in farmer awareness and actions towards JE, the association of awareness and actions with farm and farmer variables, and the implications of these associations for public health education. Exposure to JE risk factors was common across pig farms and pig farming districts but there were significant district level differences in knowledge and practices related to on-farm JE risk reduction. Social factors such as literacy, gender, and cultural practices were associated with farmer attitudes, knowledge and practices for JE control. JE vaccine uptake was almost non-existent and mosquito control steps were inconsistently applied across all 4 districts. Income was not a determining factor of the differences, but all farmers were very poor. The low uptake of vaccine and lack of infrastructure or financial capacity to house pigs indoors or away from people suggest that farmer personal protection should be a priority target for education in Nepal. This study re-enforces the need to attack root causes of people's personal disease prevention behaviours and take into account local variation in needs and capacities when designing health or agriculture education programs.

  20. Rebuilding Earthquake Struck Nepal through Community Engagement

    PubMed Central

    Adhikari, Bipin; Mishra, Shiva Raj; Raut, Shristi

    2016-01-01

    Nepal underwent two major earthquakes during 2015 which claimed 9,000 deaths, left more than 23,000 injured, displaced about 2 million people and destroyed about 1,000 health facilities. Emerging health issues and disease outbreaks soon after the earthquakes were major priorities. However, preventive measures such as health education, health promotion and trainings embedded in community engagement remained largely unimplemented. Establishing community preparedness by delivering knowledge about the disasters, preparing contingency plans and conducting disaster drills can be promising in Nepal where geographical inaccessibility invariably impedes the on time management during disasters. The steps that could be taken in Nepal without additional resources include identifying community leaders and volunteers who could participate in health promotion initiatives, training of thus identified community volunteers, formation of community task force, devolvement of responsibilities with continual support (trainings and resources) and supervision of the community task force. PMID:27379225

  1. Nutritional assessment of community-dwelling older adults in rural Nepal

    PubMed Central

    Ghimire, Saruna; Baral, Binaya Kumar; Callahan, Karen

    2017-01-01

    Background Demographic transition in Nepal, like in many developing countries, has resulted in a burgeoning elderly population whose health status is not currently monitored. One pillar of health is adequate nutrition. Yet, little is known about the nutritional health status of the elderly in Nepal. The financial, material, and personnel limitations in Nepal’s health delivery services necessitate health screening instruments that require minimal clinical staff and resources. To our knowledge, no such nutritional assessment tool has been validated in Nepal. Therefore, our aims are two-fold: To assess the nutritional status of the elderly population in one typical Nepali village, Okharpauwa, in Nuwakot District, Nepal; and concurrently, to validate the Mini Nutritional Assessment (MNA) tool. Methods A cross-sectional field study was conducted with a sample of 242 elderly people in Okharpauwa, Nepal to obtain prevalence of malnutrition. Differences in demographic and lifestyle factors between these who were malnourished, those at risk of malnourishment, and those who had adequate nutritional status were analyzed. The MNA tool was evaluated using receiver operating characteristic (ROC) curve analysis; sensitivity, specificity, and diagnostic accuracy were calculated. Results 111 males and 131 females, with a mean age of 69.8±7.4 years, participated in this study. The mean BMI of the participants was 21.4±3.9 kg/m2; the mean MNA score was 19.3±4.2. BMI was significantly correlated with the total MNA score (r = 0.58; p<0.001). The diagnostic accuracy, sensitivity and specificity of MNA were 81%, 86% and 67% respectively. Of the 242 elderly sampled, 24% were malnourished and 65% were at risk of malnutrition. Malnutrition was more prevalent among females (29%) than males (18%), and most prevalent among the marginalized Dalit ethnic group (40%). Elderly persons who were married and literate had better nutritional health than their counterparts. Conclusions The MNA

  2. Using formative research to design a context-specific behaviour change strategy to improve infant and young child feeding practices and nutrition in Nepal.

    PubMed

    Locks, Lindsey M; Pandey, Pooja R; Osei, Akoto K; Spiro, David S; Adhikari, Debendra P; Haselow, Nancy J; Quinn, Victoria J; Nielsen, Jennifer N

    2015-10-01

    Global recommendations on strategies to improve infant feeding, care and nutrition are clear; however, there is limited literature that explains methods for tailoring these recommendations to the local context where programmes are implemented. This paper aims to: (1) highlight the individual, cultural and environmental factors revealed by formative research to affect infant and young child feeding and care practices in Baitadi district of Far Western Nepal; and (2) outline how both quantitative and qualitative research methods were used to design a context-specific behaviour change strategy to improve child nutrition. Quantitative data on 750 children aged 12-23 months and their families were collected via surveys administered to mothers. The participants were selected using a multistage cluster sampling technique. The survey asked about knowledge, attitude and behaviours relating to infant and young child feeding. Qualitative data on breastfeeding and complementary feeding beliefs and practices were also collected from a separate sample via focus group discussions with mothers, and key informant interviews with mothers-in-law and husbands. Key findings revealed gaps in knowledge among many informants resulting in suboptimal infant and young child feeding practices - particularly with relation to duration of exclusive breastfeeding and dietary diversity of complementary foods. The findings from this research were then incorporated into a context-specific nutrition behaviour change communication strategy.

  3. An exemplary developing astronomy movement in Nepal

    NASA Astrophysics Data System (ADS)

    Neupane, Sudeep

    2015-03-01

    Astronomy and space science education had been given least importance by Nepalese government in the past. The modern astronomy movement is believed to have started when an official observation programme of Haley's comet was organized by Royal Nepal Academy of Science and Technology (RONAST) in 1986. Following the huge pressure from the scientific community, the Nepal government (Kingdom of Nepal at that time) established B.P. Koirala Memorial Planetarium, Observatory and Science Museum Development Board in 1992. Initiatives of the project started with observatory set up and the development of astrophysics syllabus for university students. Astrophysics is included as an elective paper in the Physics masters course. The lead astrophysicist of Nepal Dr. Binil Aryal is running a research group in Tribhuvan University since 2005 which has a significant number of international publications. The developing government initiatives and achievements will be discussed. In 2007, a group of astronomy enthusiastic students along with amateurs working independently in past established Nepal Astronomical Society (NASO), which surprisingly increased the amateur activities and inspired other amateur groups to revive. During IYA 2009, more than 80 outreach and observation events were organized solely by NASO. NASO was able to collaborate with many international programmes and projects like GHOU/GTTP, EurAstro, AWB, UNAWE, SGAC, Star Peace, TWAN etc during and beyond IYA2009. Currently Nepal is recognized as the most eventful country of outreach and astronomy education among the amateur community. The success story of the astronomy movement and the local difficulties while organizing the events will be explained.

  4. Communicating Astronomy With Public in Nepal

    NASA Astrophysics Data System (ADS)

    Bhattarai, Suresh

    2015-08-01

    This paper highlights the mode of communications that Nepal Astronomical Society (NASO) implemented during 2007-2014 for promoting science and technology in Nepal with astronomy as a key tool.Camparatve study between the role of old media and new media for astronomy communication will be discussed. The role of new media and Information and Communication Technology (ICT) to foster astronomy communication with the public with some case studies will be discussed in detail. Proposed model of integrating both old and old media with smooth transition between these communication channels will be presented and discuss in brief.

  5. Biogas in Nepal--Retrospects and prospects

    SciTech Connect

    Sood, D.K.

    1983-12-01

    The tremendous need and potential of biogas in Nepal, supported by a very large cattle population, seems to be primarily limited by manpower and budgetary constraints and poor planning and implementation. Besides cooking and lighting, considerable potential, particularly at the rural level exists for biogas powered agro-processing applications such as rice hulling, oil expelling and flour grinding. Experience has shown that such applications, for which equipment is easily available, can be better served by community Biogas plants. The government of Nepal, with assistance from international organizations such as the Asian Development Bank, is strengthening the Biogas Company and taking other appropriate measures to disseminate and establish biogas on a firm footing.

  6. NASA Response to Nepal Quake

    NASA Astrophysics Data System (ADS)

    Diaz, E.; Webb, F.; Green, D. S.; Stough, T.; Kirschbaum, D.; Goodman, H. M.; Molthan, A.

    2015-12-01

    In the hours following the magnitude 7.8 Gorkha, Nepal, earthquake on April 25, 2015, NASA and its partners began the process of assessing their ability to provide actionable data from a variety of space resources and scientific capabiltiies in order to provide responders with actionable information to assist in the relief and humanitarian operations. Working with the USGS, NGA, ASI, and JAXA, in the hours and days following the event, the team generated a number of scientific data products that were distributed to organizations responding to the event. Data included, ground based geodetic observations, optical and radar data from international and domestic partners, to compile a variety of products, including "vulnerability maps," used to determine risks that may be present, and "damage proxy maps," used to determine the type and extent of existing damage. This talk will focus on the response process, highlighting some of the products generated and distributed and lessons learned that would be useful for responding to future events that would improve the effectiveness of such a broad, agency wide response.

  7. Institutional development for sustainable rangeland resource and ecosystem management in mountainous areas of northern Nepal.

    PubMed

    Dong, Shikui; Lassoie, James; Shrestha, K K; Yan, Zhaoli; Sharma, Ekalabya; Pariya, D

    2009-02-01

    Rangelands represent one of the most important natural resources in mountainous regions of northern Nepal. However, a poor understanding of the social dimensions of rangeland use has limited their proper management and sustainable development, which represent major challenges for Nepal's resource managers. Institutional development is thought to be a viable solution to this problem and may ultimately lead to improved rangeland management in Nepal. Based on this hypothesis, a study was conduced in the Rasuwa district of northern Nepal to examine the effectiveness of institutional development at the local and national levels in mitigating the problems facing sustainable rangeland management by using an institutional analysis and development (IAD) framework. The information and data were mainly collected from different stakeholders, farmers, professionals and practitioners using a toolkit of participatory rural appraisal (PRA), workshops and literature review. It can be concluded from this case study that a number of institutional development efforts are needed to promote sustainable rangeland management in this region. First, local herders represent a repository of rich indigenous knowledge essential to sustaining sound rangeland management practices; hence, indigenous practices need to be integrated into modern technologies. Second, public services and technical support are currently unavailable or inaccessible to local herders; hence, research, development and extension interventions need to be initiated for marginalized pastoral communities. Third, rangeland institutions are incomplete and ill-organized, so institutional development of various organizations is necessary for promoting sustainable rangeland management. Fourth, the policies and governance necessary for promoting rangeland management are not well-designed; hence, governance reform and policy development need to be formulated through internal and external agencies and organizations.

  8. Demand and access to mental health services: a qualitative formative study in Nepal

    PubMed Central

    2014-01-01

    Background Nepal is experiencing a significant ‘treatment gap’ in mental health care. People with mental disorders do not always receive appropriate treatment due to a range of structural and individual issues, including stigma and poverty. The PRIME (Programme for Improving Mental Health Care) programme has developed a mental health care plan to address this issue in Nepal and four other low and middle income countries. This study aims to inform the development of this comprehensive care plan by investigating the perceptions of stakeholders at different levels of the care system in the district of Chitwan in southern Nepal: health professionals, lay workers and community members. It focuses specifically on issues of demand and access to care, and aims to identify barriers and potential solutions for reaching people with priority mental disorders. Methods This qualitative study consisted of key informant interviews (33) and focus group discussions (83 participants in 9 groups) at community and health facility levels. Data were analysed using a framework analysis approach. Results As well as pragmatic barriers at the health facility level, mental health stigma and certain cultural norms were found to reduce access and demand for services. Respondents perceived the lack of awareness about mental health problems to be a major problem underlying this, even among those with high levels of education or status. They proposed strategies to improve awareness, such as channelling education through trusted and respected community figures, and responding to the need for openness or privacy in educational programmes, depending on the issue at hand. Adapting to local perceptions of stigmatised treatments emerged as another key strategy to improve demand. Conclusions This study identifies barriers to accessing care in Nepal that reach beyond the health facility and into the social fabric of the community. Stakeholders in PRIME’s integrated care plan advocate strategic

  9. Mesozoic magmatism and timing of epigenetic Pb-Zn-Ag mineralization in the western Fortymile mining district, east-central Alaska: Zircon U-Pb geochronology, whole-rock geochemistry, and Pb isotopes

    USGS Publications Warehouse

    Dusel-Bacon, Cynthia; Aleinkoff, J.N.; Day, W.C.; Mortensen, J.K.

    2015-01-01

    Epigenetic Pb-Zn-Ag ± Cu prospects in the western Fortymile district are spatially associated with splays of the northeast-trending Kechumstuk sinistral-normal fault zone and with ca. 68-66 Ma felsic intrusions and dikes. The similarity between Pb isotope compositions of feldspars from the Late Cretaceous igneous bodies and sulfides from the epithermal prospects suggests a Late Cretaceous age for most of the mineralization. Fluid flow along the faults undoubtedly played a major role in mineralization. We interpret displacement on the northeast-trending faults to be a far-field effect of dextral translation along Late Cretaceous plate-scale boundaries and faults that were roughly parallel to the subsequently developed Denali and Tintina fault systems, which currently bound the region.

  10. Establishing a Computerized Substance Abuse Surveillance System for District Social Workers in the Western Cape Province, South Africa: Methods, Successes and Challenges

    ERIC Educational Resources Information Center

    Burnhams, Nadine Harker; Myers, Bronwyn; Fakier, Nuraan; Parry, Charles; Carelse, Jermaine

    2011-01-01

    The provision of accurate, in-depth data on substance abuse trends and service needs has become increasingly important in light of the growing wave of substance abuse in South Africa and particularly in the Western Cape Province. This article describes the design and implementation of an electronic substance abuse surveillance system (SASS)…

  11. Girls' and Women's Education in Nepal.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    The impact of enlightened policies and incentives designed to increase girls' enrollment and achievement in education has been marginal in Nepal. Ministry of Education (MOE) goals aimed at increasing girls' participation include increasing the enrollment rate, opening early childhood development centers, promoting recruitment of at least one…

  12. Primary Education and Dropout in Nepal

    ERIC Educational Resources Information Center

    Devkota, Shree Prasad; Bagale, Shiba

    2015-01-01

    This article tries to highlight the dropout rate of primary education of Nepal. The main essence of the article is to explore the situation of dropout of primary education. There are several programs and policies to reduce the dropout, out of the school children and so on but still there are several issues that are left behind. Educational budget…

  13. Issues in Nursing Education in Nepal.

    ERIC Educational Resources Information Center

    Ogilvie, Linda

    1998-01-01

    Data from questionnaires and interviews indicated that nursing education in Nepal faces issues similar to those faced in Canada. These include changing student attitudes, getting men into the profession, maintaining standards, and coping with changed nurses' roles as economic changes transform health care. (SK)

  14. Comparative Education and Development: Reflections from Nepal

    ERIC Educational Resources Information Center

    Parajuli, Mahesh Nath; Wagley, Mana Prasad

    2010-01-01

    Relation between education and development has been recognized in Nepal since the beginning of planned development efforts and the modern schooling at mass level. Both were initiated during 1950s. Beginning of Development Studies in MPhil and PhD in Education in School of Education, Kathmandu University focused exploring such relationships in a…

  15. Soil bioengineering application and practices in Nepal.

    PubMed

    Dhital, Yam Prasad; Kayastha, Rijan Bhakta; Shi, Jiancheng

    2013-02-01

    The small mountainous country Nepal is situated in the central part of the Himalayas. Its climate varies from tropical in the south to arctic in the north; and natural vegetation follows the pattern of climate and altitude. Water-induced disaster problems including soil erosion, debris flow, landslides and flooding are common due to the unstable landscape. Soil erosion is the most important driving force for the degradation of upland and mountain ecosystems. Soil bioengineering has been used in Nepal for nearly 30 years to deal with erosion problems on slopes, in high way construction and riverbank stabilization. The main soil bioengineering techniques used in Nepal are brush layering, palisades, live check dams, fascines and vegetative stone pitching. This study is based on the geology, climate and vegetation of Nepal and briefly summarizes the application of soil bioengineering on slopes and stream banks, with especial attention to the role of vegetation on slope and stream bank stabilization. Furthermore, this paper addresses the role of community participation and responsibility for successful application of vegetation-based techniques in management, maintenance and utility aspects for the future. In recent years, soil bioengineering techniques are extensively used due to their cost-effectiveness, using locally available materials and low-cost labour in comparison to more elaborate civil engineering works. However, scientific implementation and record-keeping and evaluation of the work are indeed essential.

  16. Soil Bioengineering Application and Practices in Nepal

    NASA Astrophysics Data System (ADS)

    Dhital, Yam Prasad; Kayastha, Rijan Bhakta; Shi, Jiancheng

    2013-02-01

    The small mountainous country Nepal is situated in the central part of the Himalayas. Its climate varies from tropical in the south to arctic in the north; and natural vegetation follows the pattern of climate and altitude. Water-induced disaster problems including soil erosion, debris flow, landslides and flooding are common due to the unstable landscape. Soil erosion is the most important driving force for the degradation of upland and mountain ecosystems. Soil bioengineering has been used in Nepal for nearly 30 years to deal with erosion problems on slopes, in high way construction and riverbank stabilization. The main soil bioengineering techniques used in Nepal are brush layering, palisades, live check dams, fascines and vegetative stone pitching. This study is based on the geology, climate and vegetation of Nepal and briefly summarizes the application of soil bioengineering on slopes and stream banks, with especial attention to the role of vegetation on slope and stream bank stabilization. Furthermore, this paper addresses the role of community participation and responsibility for successful application of vegetation-based techniques in management, maintenance and utility aspects for the future. In recent years, soil bioengineering techniques are extensively used due to their cost-effectiveness, using locally available materials and low-cost labour in comparison to more elaborate civil engineering works. However, scientific implementation and record-keeping and evaluation of the work are indeed essential.

  17. Fundamental Education and Village Development in Nepal

    ERIC Educational Resources Information Center

    Blackwell, James E.

    1969-01-01

    The Village Development Project, in operation in Nepal from 1952 until 1959, was less than successful in its total effect because of competition between U.S. and Indian foreign aid programs and the unfamiliarity of village development workers with rural life. (MF)

  18. Burden of serious fungal infections in Nepal.

    PubMed

    Khwakhali, Ushana Shrestha; Denning, David W

    2015-10-01

    There are few reports of serious fungal infections in Nepal though the pathogenic and allergenic fungi including Aspergillus species are common in the atmosphere. Herein, we estimate the burden of serious fungal infections in Nepal. All published papers reporting fungal infection rates from Nepal were identified. When few data existed, we used specific populations at risk and fungal infection frequencies in those populations to estimate national incidence or prevalence. Of the 27.3 M population, about 1.87% was estimated to suffer from serious fungal infections annually. We estimated the incidence of fungal keratitis at 73 per 100,000 annually. Chronic obstructive pulmonary disease is common with 215,765 cases, contributing to 1119 cases of invasive aspergillosis annually. Of 381,822 adult asthma cases, we estimated 9546 patients (range 2673-13,364) develop allergic bronchopulmonary aspergillosis and 12,600 have severe asthma with fungal sensitisation. Based on 26,219 cases of pulmonary tuberculosis, the annual incidence of new chronic pulmonary aspergillosis (CPA) cases was estimated at 1678 with a 5 year period prevalence of 5289, 80% of CPA cases. Of 22,994 HIV patients with CD4 counts <350 not on antiretrovirals, Pneumocystis pneumonia was estimated at 990 cases annually. Cases of oral and oesophageal candidiasis in HIV/AIDS patients were estimated at 10,347 and 2950, respectively. There is a significant burden of serious fungal infections in Nepal. Epidemiological studies are necessary to validate these estimates.

  19. Girls Trafficked from Nepal into Indian Brothels.

    ERIC Educational Resources Information Center

    Rao, Arati

    1996-01-01

    Account of the underground culture of sexual slavery of young girls. Children from Nepal are being lured in large numbers into the sex industry in Bombay, India. Describes the process by which children are seduced and coerced into this bondage with active support from political and law enforcement leaders. (LSR)

  20. Major Delays in the Diagnosis and Management of Tuberculosis Patients in Nepal

    PubMed Central

    Mahato, Roshan Kumar; Vaeteewootacharn, Kriangsak; Koju, Rajendra; Bhattarai, Ratna

    2015-01-01

    Background Early diagnosis is a determining factor for spread of tuberculosis. Delay in diagnosis and treatment of tuberculosis geometrically increases spread and infectivity of the disease and is associated with higher risk of mortality. Aim The present study aimed to investigate the length of delays in diagnosis and treatment among new pulmonary tuberculosis patients in central development region of Nepal. Materials and Methods A cross-sectional study was conducted by administration of structured questionnaire interview and reviewing the medical records of the new sputum smear positive pulmonary tuberculosis cases during January–May 2015. Simple random sampling was applied to select samples from 5 districts of 19 districts comprising at least one each from 3 ecological regions of Nepal. Results A total of 374 new sputum smear positive pulmonary tuberculosis cases were included in the study. The median patient delay, health system delay, and total delay were 32 days, 3 days and 39.5 days respectively. The unacceptable patients delay was 53.21% (95% CI: 48.12-58.29) of all new patients, whereas it was 26.74% (95% CI: 22.23-31.24) for the unacceptable health system delay and the unacceptable total delay was 62.83% (95% CI: 57.91-67.75). Conclusion TB diagnosis and treatment is still a significant problem of Nepal. Majority of unacceptable delays were from patients. Identifying factors influencing delays and developing evidence-based approaches to address those delays will help in advancing tuberculosis prevention and management in low-income settings. PMID:26557545

  1. Access to and quality use of non-communicable diseases medicines in Nepal.

    PubMed

    K C, Bhuvan; Heydon, Susan; Norris, Pauline

    2015-01-01

    Noncommunicable diseases are a major healthcare problem in Nepal and their burden is increasingevery year. Noncommunicable diseases (NCDs) bring additional challenges to the Nepalese healthcaresystem which is already experiencing infrastructure shortages, poor service delivery, inadequate essential medicines coverage and shortages of healthcare workers. The Nepal government provides a limited number of free essential medicines through the free essential healthcare services program. This consists of a basic healthcare package provided through primary healthcare (PHC) facilities and district hospitals. Though around 40 essential medicines are provided without charge, studies have reported problems with access especially in all rural areas. There is a need to improve access to, coverage and quality use of medicines. The government has decided to provide some free medicines for NCDs alongside free essential medicines to be distributed via current healthcare structures. Though well intended, this decision will put extra strain on the essential medicines program. It should be supplemented by a comprehensive NCDs policy that takes account of the issues of sustainability and quality use of medicines. Complex cases of NCDs will be managed by tertiary hospitals but most of the cases of NCDs especially for rural people and the poor will end up in secondary level public hospitals (district and zonal hospitals). Therefore, the government needs to strengthen these public hospitals. Meanwhile, given the severity of the NCDs problem in Nepal, the Ministry of Health and Population (MoHP) should liaise with nongovernmental and missionary hospitals especially in rural areas to run NCDs management services. The Ministry should encourage these hospitals to run hospital pharmacies to improve people's access to and quality use of NCDs medicines. At the primary healthcare level, the Ministry could run NCDs prevention and control programs but existing PHC workers need training to perform

  2. Population genetics of Vibrio cholerae from Nepal in 2010: evidence on the origin of the Haitian outbreak.

    PubMed

    Hendriksen, Rene S; Price, Lance B; Schupp, James M; Gillece, John D; Kaas, Rolf S; Engelthaler, David M; Bortolaia, Valeria; Pearson, Talima; Waters, Andrew E; Upadhyay, Bishnu Prasad; Shrestha, Sirjana Devi; Adhikari, Shailaja; Shakya, Geeta; Keim, Paul S; Aarestrup, Frank M

    2011-01-01

    Cholera continues to be an important cause of human infections, and outbreaks are often observed after natural disasters, such as the one following the 2010 earthquake in Haiti. Once the cholera outbreak was confirmed, rumors spread that the disease was brought to Haiti by a battalion of Nepalese soldiers serving as United Nations peacekeepers. This possible connection has never been confirmed. We used whole-genome sequence typing (WGST), pulsed-field gel electrophoresis (PFGE), and antimicrobial susceptibility testing to characterize 24 recent Vibrio cholerae isolates from Nepal and evaluate the suggested epidemiological link with the Haitian outbreak. The isolates were obtained from 30 July to 1 November 2010 from five different districts in Nepal. We compared the 24 genomes to 10 previously sequenced V. cholerae isolates, including 3 from the Haitian outbreak (began July 2010). Antimicrobial susceptibility and PFGE patterns were consistent with an epidemiological link between the isolates from Nepal and Haiti. WGST showed that all 24 V. cholerae isolates from Nepal belonged to a single monophyletic group that also contained isolates from Bangladesh and Haiti. The Nepalese isolates were divided into four closely related clusters. One cluster contained three Nepalese isolates and three Haitian isolates that were almost identical, with only 1- or 2-bp differences. Results in this study are consistent with Nepal as the origin of the Haitian outbreak. This highlights how rapidly infectious diseases might be transmitted globally through international travel and how public health officials need advanced molecular tools along with standard epidemiological analyses to quickly determine the sources of outbreaks.

  3. Determinants of farmers' choice for veterinary service providers in Nepal Mountains.

    PubMed

    Lamichhane, Dirga Kumar; Shrestha, Sabina

    2012-08-01

    This study was aimed to analyze factors that affect farmers' choice for major actors of veterinary service providers in village areas of Kaski district of Nepal, with the objective of identifying choice-specific attributes which could be addressed for improving the penetration of professional veterinary services in village areas. The information was obtained from 125 farmers using a structured questionnaire. A proportional hazard model was used for data analysis because of its ability to accommodate the attributes of both the chooser and the choice simultaneously. The results showed that village animal health workers (VAHWs) were the most preferred service providers followed by veterinarians and mid-level technicians. The farmers' age and education level had a significant but inverse relationship with the probability of choosing any of the three service providers. From our study, we found that the main choice-specific attributes with a significant impact on the choice probability was the distance to the preferred service provider. Since there was a high preference for VAHW, this suggests the possibility of poorly trained service providers dominating veterinary service market in village areas of Kaski district. Hence, the efforts put forward in the legalization of VAHW system in Nepal should first address the constraints that obstruct the accessibility of professional veterinary service providers in village areas.

  4. Analysis of livelihood security: a case study in the Kali-Khola watershed of Nepal.

    PubMed

    Bhandari, B S; Grant, M

    2007-10-01

    This paper examines household livelihoods in highland and lowland communities of the Kali-Khola agricultural watershed in western Nepal on the basis of economic, ecological and social security indicators. Significant differences were found in soil fertility status, pests and diseases management, risk and uncertainties, use of agrochemicals and access to social services. No remarkable variations were found in crop diversification, annual agricultural income and food sufficiency. However, uncertainty and risk in agricultural production is relatively low in highland communities. The findings reveal that agriculture production alone is not a viable livelihood option for agricultural watershed communities in Nepal. The households growing crops with hired labour have relatively sustainable livelihoods in Nepal's agricultural watersheds. Insufficient agricultural land, insufficient working manpower within a family, and lack of access to ecological agricultural services are prime factors in being livelihood insecure in agricultural watershed communities. Therefore, long-term policies and plans need to be developed for the empowerment of local farmers and to support rural livelihoods with adaptable and flexible income-generating strategies, resilient resource management institutions and enhancement of knowledge, skills and social capital.

  5. Chinese Policy Toward South Asia: Implications and Prospects for Nepal

    DTIC Science & Technology

    2013-03-01

    India, Pakistan, Nepal and Bhutan), while the other three ( Bangladesh , Sri Lanka and Maldives) do not share borders with China (Map 1). Nepal and...India; contingent cooperation with Pakistan, Bangladesh and Sri Lanka; and secretive cooptation with Nepal and Maldives.16 Pursuing this strategy at...Pak War of 1965, China sided with Pakistan. Again during the Indo-Pak War in 1971, which led to the birth of Bangladesh , Sino-Pak cooperation was

  6. The Maoist Insurgency in Nepal: 1996-2001

    DTIC Science & Technology

    2002-04-09

    landmark Peace Talks" by Gopal Sharma . 14 " A Perspective on Developments in Nepal." Brigadier Chandra B Khanduri. 15 Nepalgunj, Pyuthun, Raraodi, Jajrakot...to 04/02." 42 "Quoted in Nepal after Regicide: Maoist Threat increases". Brig CB Khanduri. 43 a Nepal officials to face graft inquiry" by Sushil ... Sharma . Newsroom of BBC Report 08 March 02. 44 ’Nepal People’s Review Feb 21 - Feb 27:Online Edition’ - "A disciplined Army." 45 "Maoist Insurgency in

  7. Bhaktapur, Nepal: the MAL-ED birth cohort study in Nepal.

    PubMed

    Shrestha, Prakash Sunder; Shrestha, Sanjaya Kumar; Bodhidatta, Ladaporn; Strand, Tor; Shrestha, Binob; Shrestha, Rita; Chandyo, Ram Krishna; Ulak, Manjeswori; Mason, Carl J

    2014-11-01

    The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) cohort study site in Nepal is located in the Bhaktapur municipality, 15 km east of Kathmandu, the capital city of Nepal. Bhaktapur, an ancient city famous for its traditional temples and buildings, is included on UNESCO's World Heritage List and is a major tourist attraction in Nepal. Nepal is a land-locked country located in South Asia between China and India with an area of 147 181 km(2), ranging from sea-level plains to Mount Everest, the world's highest peak. The total population as of the 2011 census was 26.6 million, with an average annual population growth rate of 1.4. Nepal is one of the world's least developed countries and is ranked 157 of 186 in the 2013 Human Development Report; one-third of the Nepali population lives below the poverty line. The current under-5 mortality rate is 54 per 1000 live births, the infant mortality rate is 46 per 1000 live births, and the neonatal mortality rate is 33 per 1000 live births. Vaccine coverage for all Expanded Program on Immunization vaccines is >80%. Among children, the most common diseases contributing to significant morbidity and mortality are acute respiratory infection and dehydration from severe diarrhea. In this article, we report on the geographic, demographic, and socioeconomic features of the Bhaktapur MAL-ED site and describe the data that informed our cohort recruitment strategy.

  8. Ground water quality in the Kathmandu valley of Nepal.

    PubMed

    Pant, Bhoj Raj

    2011-07-01

    A study was undertaken to assess the quality of groundwaters in the Kathmandu Valley, Nepal. The groundwater samples were randomly collected from shallow well, tube well, and deep-tube wells located at different places of Kathmandu, Lalitpur, and Bhaktapur districts in the Kathmandu valley. Physical, chemical, and microbiological parameters of the samples were evaluated to estimate the groundwater quality for drinking water. It was found that the groundwater in the valley is vulnerable to drink due to presence of iron and coliform bacteria. Iron was estimated to be much higher then the acceptable limit of World Health Organization (WHO) drinking-water quality guidelines (1.9 mg/L). Total coliform bacteria enumerated in groundwaters significantly exceeded the drinking-water quality standard and observed maximum coliform (267 CFU/100 mL) in shallow wells. The electrical conductivity and turbidity were found to be 875 μS/cm and 55 NTU, respectively, which are above the WHO recommendations for drinking water guidelines. However, pH value was measured within the acceptable limit. Arsenic, chloride, fluoride, and hardness concentrations were found to be in agreement with the recommendations of WHO drinking-water quality guidelines.

  9. Factors associated with place of delivery in rural Nepal

    PubMed Central

    2014-01-01

    Background Promotion of institutional delivery is a key intervention in reducing maternal mortality and improving maternal and neonatal health. This study explored factors associated with institutional delivery in rural Nepal. Method A household survey was conducted in three rural Village Development Committees of Kavrepalanchowk district to identify the individual, household and health service factors associated with the institutional delivery. All 240 eligible mothers from the study area were interviewed during the study period. Multiple logistic regression analysis was applied to establish the factor associated with the institutional delivery, the outcome variable. Results Antenatal care practice, adverse pregnancy outcome, ethnicity and time taken to reach the health institution were significantly associated with the institutional delivery. Utilization of an antenatal care service had the greatest effect on institutional delivery. Conclusion Universal antenatal care service utilization may be a critical intervention for increasing institutional delivery. There is a need to raise awareness in hard-to-reach areas where adverse pregnancy outcomes is not considered a serious event. PMID:24708511

  10. Factors influencing maternal nutrition in rural Nepal: an exploratory research project.

    PubMed

    Schumer, Jean E; Bernell, Stephanie L; Bovbjerg, Viktor E; Long, Marie L

    2014-01-01

    In this pilot project we examined factors contributing to maternal nutrition among women of child-bearing age in the Western Region of Nepal. We found that rural women are interested in learning about nutrition regardless of educational attainment and that level of education is strongly associated with interest in learning about nutrition (p <.001). Although the majority of women with no education expressed interest in learning about nutrition (71%), a substantial percentage (22%) were not interested. Education and the teaching of basic health messages may hold important benefits for improving maternal and child health.

  11. Crustal extension and magmatism during the mid-Cenozoic ignimbrite flare-up in the Guazapares Mining District and Cerocahui basin regions, northern Sierra Madre Occidental, western Chihuahua, Mexico

    NASA Astrophysics Data System (ADS)

    Murray, Bryan Patrick

    Silicic large igneous provinces are significant in the geologic record, due to their unusually extensive areal coverage (>100,000 km2) and large volumes (>250,000 km3), and may be characteristic of continental regions undergoing broad lithospheric extension. The Sierra Madre Occidental of northwestern Mexico is the biggest and best-preserved silicic large igneous province of the Cenozoic and is considered part of the extensive mid-Cenozoic ignimbrite flare-up that affected much of the southwestern North American Cordillera. Despite its size and preservation, very little is known about the geology of the Sierra Madre Occidental, and the timing and spatial extent of ignimbrite flare-up volcanism in relation to crustal extension is relatively unknown. This study presents new geologic mapping, stratigraphy, zircon U-Pb laser ablation ICP-MS dating, modal analysis, and geochemical data from the Guazapares Mining District and Cerocahui basin regions, two adjacent areas of the northern Sierra Madre Occidental in western Chihuahua. The rock exposure and topographic relief in this previously unmapped ~450 km2 area make it ideal for studying the relationships between silicic large igneous province volcanism and crustal extension. Three informal formations are identified in the study area: (1) the ca. 27.5 Ma Parajes formation, a ~1-km-thick succession of primarily welded silicic outflow ignimbrite sheets erupted from sources within ~50--100 km of the study area that were active during the Early Oligocene pulse of the mid-Cenozoic ignimbrite flare-up; (2) the ca. 27--24.5 Ma Temoris formation, composed primarily of locally erupted mafic-intermediate lavas and associated intrusions with interbedded alluvial deposits, likely related to rocks of the Southern Cordillera basaltic andesite province that were intermittently erupted across all of the northern Sierra Madre Occidental following the Early Oligocene ignimbrite pulse; and (3) the ca. 24.5--23 Ma Sierra Guazapares

  12. Livelihood Vulnerability Approach to Assess Climate Change Impacts to Mixed Agro-Livestock Smallholders Around the Gandaki River Basin of Nepal

    NASA Astrophysics Data System (ADS)

    Panthi, J., Sr.

    2014-12-01

    Climate change vulnerability depends upon various factors and differs between places, sectors and communities. People in developing countries whose subsistence livelihood depends upon agriculture and livestock are identified as particularly vulnerable. Nepal, where the majority of people are in a mixed agro-livestock system, is identified as the world's fourth most vulnerable country to climate change. However, there are few studies on how vulnerable mixed agro-livestock smallholders are and how their vulnerability differs across different ecological regions. This study aims to test two vulnerability assessment indices, livelihood vulnerability index (LVI) and IPCC vulnerability index (VI-IPCC), around the Gandaki river basin of Nepal. A total of 543 households practicing mixed agro-livestock were surveyed from three districts (Dhading, Syangja and Kapilvastu) representing the mountain, mid-hill and lowland altitudinal belts respectively. Data on socio-demographics, livelihoods, social networks, health, food and water security, natural disasters and climate variability were collected. Both indices differed across the three districts, with mixed agro-livestock smallholders of Dhading district found to be the most vulnerable and that of Syangja least vulnerable. This vulnerability index approach may be used to monitor rural vulnerability and/or evaluate potential program/policy effectiveness in poor countries like Nepal. The present findings are intended to help in designing intervention strategies to reduce vulnerability of mixed agro-livestock smallholders and other rural people in developing countries to climate change.

  13. Causes of visual impairment and blindness in children in three ecological regions of Nepal: Nepal Pediatric Ocular Diseases Study

    PubMed Central

    Adhikari, Srijana; Shrestha, Mohan K; Adhikari, Kamala; Maharjan, Nhukesh; Shrestha, Ujjowala D

    2015-01-01

    Purpose To study the causes of blindness and visual impairment in children in three ecologically diverse regions of Nepal. Materials and methods This is a baseline survey report of a 3-year longitudinal population-based study. One district each from the three ecological regions – Terai, Hills, and Mountains – was selected for the study. Village Development Committees from each district were selected by random sampling. Three community health workers were given training on vision screening and identification of abnormal ocular conditions in children. Health workers who examined children and collected data using pretested questionnaire performed house-to-house surveys. Children with abnormal vision or ocular conditions were referred to and examined by pediatric ophthalmologists. Results A total of 10,950 children aged 0–10 years, 5,403 from Terai, 3,204 from Hills, and 2,343 from Mountains, were enrolled in the study. Of them, 681 (6.2%) were nonresponders. The ratio of boys to girls was 1.03:1. Prevalence of blindness was 0.068% (95% confidence interval [CI] 0.02%–0.12%) and visual impairment was 0.097% (95% CI 0.04%–0.15%). Blindness was relatively more prevalent in Terai region (0.08%, 95% CI 0.02%–0.13%). The most common cause of blindness was amblyopia (42.9%) followed by congenital cataract. Corneal opacity (39%) was the most common cause of unilateral blindness. Conclusion More than two-thirds of the causes that lead to blindness and visual impairment were potentially preventable. Further, nutritional and genetic studies are needed to determine the factors associated with ocular morbidity and blindness in these regions. PMID:26347452

  14. Structural, mineralogical and geochemical constraints on the atypical komatiite-hosted Turret deposit in the Agnew-Mt. White district, Western Australia

    NASA Astrophysics Data System (ADS)

    Voute, F.; Thébaud, N.

    2015-08-01

    In the Norseman-Wiluna belt, Yilgarn Craton, the Agnew-Mt. White district is the host of many gold deposits. Located in the hinge of the regional Lawlers anticline, the Turret gold deposit is structurally controlled by the Table Hill shear zone that transects the Agnew Ultramafic unit. Geochemistry, coupled with petrographic data, allowed the delineation of the paragenetic sequence associated with gold mineralisation and include (1) a pervasive talc-carbonate alteration assemblage, (2) a pre-mineralisation stage associated with pervasive arsenopyrite + chalcopyrite + pyrrhotite + pyrite alteration, followed by (3) a late deformation event along a dilatational segment of the main Table Hill shear zone, leading to the formation of a breccia hosting a Cu-Bi-Mo-Au (± Ag ± Zn ± Te ± W) metal assemblage. The presence of Au-Ag-Cu alloys, native bismuth, chalcopyrite and other Bi-Te-S phases in the mineralisation stage suggest that gold may have been scavenged from the hydrothermal fluids by composite Bi-Te-Cu-Au-Ag-S liquids or melts. Using this mineral paragenetic sequence, together with mineralogical re-equilibration textures observed, we show that the gold deposition at Turret occurred over a temperature range approximately between c. 350 and 270 °C. This temperature range, together with the structural control and typical mesothermal alteration pattern including carbonate-chlorite alteration, shows that the Turret deposit shares common characteristics with the orogenic gold deposit class. However, the metal association of Cu, Au, Bi, and Mo, the quartz-poor, and high copper-sulphide content (up to 15 %) are characteristics that depart from the typical orogenic gold deposit mineralogy. Through comparison with similar deposits in the Yilgarn Craton and worldwide, we propose that the Turret deposit represents an example of a porphyry-derived Au-Cu-Bi-Mo deposit.

  15. Serosurveillance and factors associated with the presence of antibodies against bluetongue virus in dairy cattle in two eco-zones of Nepal.

    PubMed

    Gaire, T N; Karki, S; Dhakal, I P; Khanal, D R; Bowen, R A

    2016-12-01

    Cattle play an important role in the epidemiology of bluetongue (BT) by acting as reservoir hosts. However, the status of BT virus (BTV) in dairy cattle in Nepal is unknown. The objective of this study was to estimate the prevalence of BTV antibodies in dairy cattle in two eco-zones of Nepal, and to identify the factors associated with virus exposure. The authors conducted a cross-sectional serosurvey from March 2012 through February 2013 by sampling 131 dairy cattle from seven clusters (villages) in the Chitwan district in the Terai region (southern lowlands) and the Lamjung district in the Hills region (the middle part of Nepal). Of the 131 serum samples tested, 29.3% (95% confidence interval [CI]: 21.5-37.2) were positive for BTV antibodies. Herd-level seroprevalence was 45.7% (95% CI: 30.9-61.0). Bivariate analysis indicated a positive association between seroconversion to BTV and age, and an association with breed of cattle after controlling for clustering of animals within herds. Based on this model, cattle were more likely to become seropositive as they aged. Crossbred cattle were more likely to be seropositive than those of exotic breeds (odds ratio [OR] = 4.6; 95% CI: 1.5-14.1). The results indicate widespread exposure of dairy cattle to BTV in Nepal. The authors suggest that dairy cattle should be included in the surveillance plan for BTV infection in Nepal and that it is important to educate farmers about the possible impacts of this disease.

  16. Topographical Differences of Infant Mortality in Nepal.

    PubMed

    Dev, R; Williams, M F; Fitzpatrick, A L; Connell, F A

    2016-01-01

    Background Infant mortality is a major problem in Nepal, particularly in the mountainous region of the country. Objective To identify factors that contributes to the high rate of infant mortality in the mountain zone in Nepal. Method Data were derived from the 2011 Nepal Demographic and Health Survey (NDHS). Infant mortality was analyzed across three ecological zones in a sample of 5,306 live births in the five years preceding the survey. The contribution of risk factors to the excess infant mortality was assessed using multiple logistic regression. Result Infant mortality rate (deaths per 1000 live births) in the ecological zones were 59 (95% CI: 36, 81), 44 (35, 53), and 40 (33, 47) for the mountain, hill and terai zones, respectively. Women living in the mountain zone were more likely to report that distance to care was a "big problem" and had a greater risk of infant mortality compared to the terai zone (OR=1.42, 95% CI: 1.01, 2.02, p=0.04). This increased risk was observed only among births to mothers who perceived distance to the nearest health facility as a "big problem" (aOR=1.57, 95% CI: 1.01, 2.40, p=0.04) controlling for other risk factors. Conclusion These findings suggest that the higher Infant mortality rate (IMR) in the mountain zone was among the women who perceived distance to health facilities as a big problem. Improved accessibility to health services, particularly in this zone, is an essential strategy for reducing infant mortality in Nepal.

  17. Medical Humanities in Nepal: Present Scenario.

    PubMed

    Dhakal, Ajaya Kumar; Shankar, P Ravi; Dhakal, Sanjaya; Shrestha, Devendra; Piryani, Rano Mal

    2014-01-01

    Humanities have an essential role in medical education. The current gap between the humanities and medicine has to be bridged and there should be continuous and vigorous debate about the theory and practice of medical humanities. Medical humanities is a relatively new concept even in developed countries, and is at infancy stage in developing countries. In Nepal, modules on medical humanities have been initiated in certain medical schools by enthusiastic faculties and it requires further debates for inclusion in curriculum.

  18. Spine surgery in Nepal: the 2015 earthquake

    PubMed Central

    2015-01-01

    At noon on Saturday, 25 April 2015, a 7.8 magnitude earthquake struck Nepal. It was centered in the Himalaya northwest of Kathmandu, the capital of over 1 million people. The violent tremors were felt as far away as New Delhi, India 1,000 km from the epicenter, but the worst of its destructive force was experienced in the heavily populated Kathmandu valley and in the remote mountainous villages of the Himalaya. Ancient temples crumbled; poorly constructed buildings collapsed; men, women, and children were trapped and injured, sometimes fatally. Avalanches killed mountain climbers, Sherpa guides, and porters at Everest base camp (EBC). The death toll to date exceeds 8,600 with as many as 20,000 injured. Spinal Health International (SHI), a nonprofit volunteer organization, has been active in Nepal in past years and responded to requests by Nepali spine surgeons for assistance with traumatic spine injury victims following the earthquake. SHI volunteers were present during the 2nd major earthquake of magnitude 7.3 on 12 May 2015. Past and current experiences in Nepal will be presented. PMID:27683676

  19. IAU Project and Research Activity in Nepal

    NASA Astrophysics Data System (ADS)

    Gautam, Suman

    2015-08-01

    The second half of the twentieth century has witnessed a tremendous development in the field of astronomy and space exploration. The large telescope both on the land and in the orbit, using the whole range of the electromagnetic spectra from radio waves to gamma rays are extending their range of exploration, right to the edge of the observable universe, and making astounding discoveries in the process. Many large international telescope facilities and global plans are accessible to all astronomers throughout the world, providing an inexpensive entry to cutting- edge international research for developing countries.Nepal is a mountainous country it has a wide range of climatic and altitude variations which varies from an elevation of 200 meter to ≥ 4000 meter. The average temperature varies from ≥ 25 o C to ≤ 0 to 5oC. Because of these diverse weather and climatic variation there is the potential for the establishment of sophisticated observatory/ data centre and link with each other. So, the future possible opportunity of astronomy in Nepal will be discussed. Besides Education and Research activities conducted in Tribhuvan University, Nepal under the support of International Astronomical Union (IAU) will also be highlighted. The importance brought by those two workshops conducted on data simulation supported by IAU under TF1 will also be discussed which is believed to play a vital role for the promotion and development of astronomy and astrophysics in developing countries.

  20. Demystifying the Maoist barefoot doctors of Nepal.

    PubMed

    Devkota, Bhimsen; van Teijlingen, Edwin

    2010-01-01

    Though not purposefully targeted, Nepal's decade-long violent conflict waged by the United Communist Party Nepal-Maoist (UCPN-M) has had considerable impact on the health of the population. Fairly early on the UCPN-M established its own primary health care services in the rural areas under its control. This questionnaire study included 197 Maoist health workers recruited from a wide range of backgrounds in terms of age, experience, gender, caste and ethnicity, and schooling. Many appear to be young paramedics with few skills, who received a short training during the decade long conflict. For two-thirds of them political ideology was a key motivating factor for joining, and for unemployed youths this proportion was significantly higher. Nine out of 10 considered themselves as 'qualified' to work as support level health workers in the future. Regression analysis shows that a significantly higher proportion of women and those with previous academic and basic type of training were willing to integrate/rehabilitate into the mainstream health sector since the conflict ended in 2006. It is important to capitalize upon this opportunity to redevelop the health services, especially in rural areas in Nepal, and to contribute to the peace process.

  1. Dating and Sex among Emerging Adults in Nepal

    ERIC Educational Resources Information Center

    Regmi, Pramod R.; van Teijlingen, Edwin R.; Simkhada, Padam; Acharya, Dev R.

    2011-01-01

    Social and cultural changes in Nepal, including better communication facilities and transport, more urbanization and a rising age at which people marry, have created more opportunities for young people for "dating." Our qualitative study explores whether the existence of dating cultures influences young people's sexual behavior in Nepal.…

  2. Annotated Checklist of the Terrestrial Gastropods of Nepal

    PubMed Central

    Budha, Prem B.; Naggs, Fred; Backeljau, Thierry

    2015-01-01

    Abstract This is the very first checklist of the terrestrial gastropods of Nepal. It includes 138 species and six subspecies, of which 22 species are endemic and four are introduced. It highlights 34 species recorded for the first time in Nepal and provides new distribution records for another 30 species. PMID:25878541

  3. Education and Conflict in Nepal: Possibilities for Reconstruction

    ERIC Educational Resources Information Center

    Pherali, Tejendra J.

    2011-01-01

    This paper analyses the nexus of the "People's War" and education in Nepal and argues that education was one of the main causes of the violent conflict. Despite "modernisation" efforts and increased participation, schools in Nepal continued to embody socially and culturally prejudiced values and institutionally legitimised the…

  4. Universal Primary Education in Nepal: Fulfilling the Right to Education

    ERIC Educational Resources Information Center

    Lohani, Shiva; Singh, Ram Balak; Lohani, Jeevan

    2010-01-01

    With the net enrollment ratio in primary education in Nepal at 94%, most children are in the school system, but the system fails to ensure that all enrolled children will continue in school cycle and complete primary education of acceptable quality. Given the system's poor internal efficiency, Nepal is not likely to achieve the MDG and EFA goals…

  5. Promoting Lifelong Learning in Multilingual Context: A Case from Nepal

    ERIC Educational Resources Information Center

    Regmi, Kapil Dev

    2011-01-01

    Nepal is a multilingual country with low adult literacy rate (about 57% in 2008). Through different policy documents and motivation from some of the transnational organizations such as UNESCO, Nepal is on the process of adopting lifelong learning perspective as a major educational policy. In this context the article raises two issues: how to…

  6. Iodine status after iodized salt supplementation in schoolchildren of eastern Nepal.

    PubMed

    Nepal, Ashwini Kumar; Khatiwada, Saroj; Shakya, Prem Raj; Gelal, Basanta; Lamsal, Madhab; Brodie, David; Baral, Nirmal

    2013-11-01

    This study was designed to assess the urinary iodine concentrations of schoolchildren at baseline and after iodized salt supplementation in eastern region of Nepal. A cross sectional study was conducted from August 2009 to July 2011 among schoolchildren of three eastern districts of Nepal: Sunsari, Dhankuta, and Tehrathum. A sample of 828 school age children from the three districts was chosen for the study after obtaining written consent from their guardians. The schoolchildren treatment group (n=300) was provided with a supplement of iodized salt for six months. Urinary iodine concentration was estimated by ammonium persulfate digestion microplate method at baseline and after supplementation. Urinary iodine controls L1, L2 (Seronorm, Norway) were analyzed to obtain intra-assay CVs (L1 = 7.4%, L2 = 3.3%) and inter assay CVs (L1=23.5%, L2=11.26%). Median interquartile range urinary iodine concentration in the three districts: Sunsari, Dhankuta and Tehrathum at baseline versus intervention were 272.0 (131.5-473.0) microg/l versus 294.0 (265.0-304.0) microg/l (p=0.379), 247.0 (144.5-332.32) versus 361.0 (225.66-456.52) microg/l (p<0.001), and 349.5 (203.75-458.09) microg/l versus 268.76 (165.30-331.67) microg/l (p<0.001), respectively. This study indicated improved iodine status and increased median urinary iodine concentration after iodized salt supplementation. Regular monitoring of population urinary iodine concentration at national and regional levels should be performed to ensure that all individuals have optimal delivery of iodine nutrition.

  7. Fitting Community Based Newborn Care Package into the health systems of Nepal.

    PubMed

    Pradhan, Y V; Upreti, S R; Kc, N P; Thapa, K; Shrestha, P R; Shedain, P R; Dhakwa, J R; Aryal, D R; Aryal, S; Paudel, D C; Paudel, D; Khanal, S; Bhandari, A; Kc, A

    2011-10-01

    Community-based strategies for delivering effective newborn interventions are an essential step to avert newborn death, in settings where the health facilities are unable to effectively deliver the interventions and reach their population. Effective implementation of community-based interventions as a large scale program and within the existing health system depends on the appropriate design and planning, monitoring and support systems. This article provides an overview of implementation design of Community-Based Newborn Care Package (CB-NCP) program, its setup within the health system, and early results of the implementation from one of the pilot districts. The evaluation of CB-NCP in one of the pilot districts shows significant improvement in antenatal, intrapartum and post natal care. The implementation design of the CB-NCP has six different health system management functions: i) district planning and orientation, ii) training/human resource development, iii) monitoring and evaluation, iv) logistics and supply chain management, v) communication strategy, and vi) pay for performance. The CB-NCP program embraced the existing system of monitoring with some additional components for the pilot phase to test implementation feasibility, and aligns with existing safe motherhood and child health programs. Though CB-NCP interventions are proven independently in different local and global contexts, they are piloted in 10 districts as a "package" within the national health system settings of Nepal.

  8. Demographic situation and development in Nepal.

    PubMed

    Pradhanang, A L

    1983-01-01

    In Nepal economic development has not kept pace with population growth. The government must develop a vigorous dual program to promote economic development and to reduce population growth. Previous efforts to promote economic development, using a macrolevel approach, failed to improve the economic conditions for the majority of Nepal's citizens. The macrolevel approach required large capital outlays and resulted in an influx of foreign investors and the importation of inappropriate technologies from the developed countries. As a result, urbanization and pollution increased, and both the proportion and the absolute number of poor persons increased. A microlevel approach is now being instituted by the government, and an emphasis is being placed on meeting the basic needs of the poor and on promoting economic self-sufficiency. The country has extensive water resources which can be tapped for irrigation purposes. Nepal also has rich mineral deposits which should be exploited in such a way as to ensure that the profits accrue to the Nepalese. The country has an abundance of manpower resources, but there is a dearth of skilled workers. Unemployment, especially in rural areas, is a serious problem, and efforts should be made to either develop the agricultural sector or create new jobs in other sectors. Nepal's demographic problems include rapid population growth, the influx of a large number of migrants from India, and a high rural to urban migration rate. In 1981, the population size was 15 million, the annual growth rate was 2.6%, the crude birth rate was 38.5, the crude death rate was 18.4, and life expectancy was 47.5 years. The government is currently developing plans 1) to promote the development of core sectors of the economy, 2) to provide family planning services for the poor, 3) to meet the basic needs of rural residents in order to stem the flow of migration to urban areas, 4) to mobilize women to play an active role in the country's development and population

  9. Cross sectional, community based study of care of newborn infants in Nepal

    PubMed Central

    Osrin, David; Tumbahangphe, Kirti M; Shrestha, Dej; Mesko, Natasha; Shrestha, Bhim P; Manandhar, Madan K; Standing, Hilary; Manandhar, Dharma S; Costello, Anthony M de L

    2002-01-01

    Objective To determine home based newborn care practices in rural Nepal in order to inform strategies to improve neonatal outcome. Design Cross sectional, retrospective study using structured interviews. Setting Makwanpur district, Nepal. Participants 5411 married women aged 15 to 49 years who had given birth to a live baby in the past year. Main outcome measures Attendance at delivery, hygiene, thermal care, and early feeding practices. Results 4893 (90%) women gave birth at home. Attendance at delivery by skilled government health workers was low (334, 6%), as was attendance by traditional birth attendants (267, 5%). Only 461 (8%) women had used a clean home delivery kit, and about half of attendants had washed their hands. Only 3482 (64%) newborn infants had been wrapped within half an hour of birth, and 4992 (92%) had been bathed within the first hour. 99% (5362) of babies were breast fed, 91% (4939) within six hours of birth. Practices with respect to colostrum and prelacteals were not a cause for anxiety. Conclusions Health promotion interventions most likely to improve newborn health in this setting include increasing attendance at delivery by skilled service providers, improving information for families about basic perinatal care, promotion of clean delivery practices, early cord cutting and wrapping of the baby, and avoidance of early bathing. What is already known on this topicMost births in rural south Asia occur at homeNeonatal mortality has remained fairly constant in developing countries despite falling infant mortalityWhat this paper addsOnly 6% of births in rural Nepal took place in the presence of a skilled attendantCord cutting implements were often unclean and drying and wrapping of newborn infants was usually delayed99% of babies were breast fed, 92% of them within six hours of birth, and colostrum was generally givenInterventions need to focus on educating women about hygiene, encouraging early wrapping, and delaying bathing of newborn babies

  10. Epidemiology of road traffic injuries in Nepal, 2001–2013: systematic review and secondary data analysis

    PubMed Central

    Karkee, Rajendra; Lee, Andy H

    2016-01-01

    Objective To investigate the epidemiology of road traffic injury (RTI) in Nepal for the period 2001–2013. Methods 2 approaches, secondary data analysis and systematic literature review, were adopted. RTI data were retrieved from traffic police records and analysed for the incidence of RTI. Electronic databases were searched for published articles that described the epidemiology of RTI in Nepal. Results A total of 95 902 crashes, 100 499 injuries and 14 512 deaths were recorded by the traffic police over the 12-year period, 2001–2013. The mortality rate increased from 4/100 000 population in 2001–2002 to 7/100 000 population in 2011–2012. There were relatively more reported crashes yet fewer deaths in Kathmandu valley than the rest of the country. Of the 20 articles related to RTI, only 11 articles met the eligibility criteria, but these were mainly descriptive case series or cross-sectional hospital-based studies. The majority of RTI were reported to occur among motorcyclists and pedestrians, in males, and in the age group 20–40 years. The common sites of injury were lower and upper extremities. Only 3 articles mentioned possible causes of accidents that include pedestrian road behaviour, alcohol consumption and improper bus driving. Conclusions Nepal suffers a heavy burden of RTI, with higher fatalities on highways out of Kathmandu valley caused by bus crashes in hilly districts. The majority of published studies on RTI are descriptive and hospital based, indicating the need for more thorough investigation of causes of RTI and systematic recording of crashes for the development of effective interventions. PMID:27084283

  11. The Impact of Hotspot-Targeted Interventions on Malaria Transmission in Rachuonyo South District in the Western Kenyan Highlands: A Cluster-Randomized Controlled Trial

    PubMed Central

    Bradley, John; Knight, Philip; Stone, William; Osoti, Victor; Makori, Euniah; Owaga, Chrispin; Odongo, Wycliffe; China, Pauline; Shagari, Shehu; Doumbo, Ogobara K.; Sauerwein, Robert W.; Kariuki, Simon; Drakeley, Chris; Stevenson, Jennifer; Cox, Jonathan

    2016-01-01

    Background Malaria transmission is highly heterogeneous, generating malaria hotspots that can fuel malaria transmission across a wider area. Targeting hotspots may represent an efficacious strategy for reducing malaria transmission. We determined the impact of interventions targeted to serologically defined malaria hotspots on malaria transmission both inside hotspots and in surrounding communities. Methods and Findings Twenty-seven serologically defined malaria hotspots were detected in a survey conducted from 24 June to 31 July 2011 that included 17,503 individuals from 3,213 compounds in a 100-km2 area in Rachuonyo South District, Kenya. In a cluster-randomized trial from 22 March to 15 April 2012, we randomly allocated five clusters to hotspot-targeted interventions with larviciding, distribution of long-lasting insecticide-treated nets, indoor residual spraying, and focal mass drug administration (2,082 individuals in 432 compounds); five control clusters received malaria control following Kenyan national policy (2,468 individuals in 512 compounds). Our primary outcome measure was parasite prevalence in evaluation zones up to 500 m outside hotspots, determined by nested PCR (nPCR) at baseline and 8 wk (16 June–6 July 2012) and 16 wk (21 August–10 September 2012) post-intervention by technicians blinded to the intervention arm. Secondary outcome measures were parasite prevalence inside hotpots, parasite prevalence in the evaluation zone as a function of distance from the hotspot boundary, Anopheles mosquito density, mosquito breeding site productivity, malaria incidence by passive case detection, and the safety and acceptability of the interventions. Intervention coverage exceeded 87% for all interventions. Hotspot-targeted interventions did not result in a change in nPCR parasite prevalence outside hotspot boundaries (p ≥ 0.187). We observed an average reduction in nPCR parasite prevalence of 10.2% (95% CI −1.3 to 21.7%) inside hotspots 8 wk post

  12. Prevalence and Associated Factors of Hypertension: A Community-Based Cross-Sectional Study in Municipalities of Kathmandu, Nepal

    PubMed Central

    Pandey, Achyut Raj; Devkota, Surya

    2016-01-01

    Objective. This study aimed to assess the prevalence and associated factors of hypertension in newly declared municipalities of Kathmandu, Nepal. Design, Settings, and Participants. This was a community-based cross-sectional study conducted in the municipalities of Kathmandu District, Nepal, between January and July 2015. Study participants were aged 18 to 70 years, residing permanently in the study sites. Municipalities, Wards, households, and respondents were selected randomly. Results. Of the 587 participants, 58.8% were females, mean (SD) age was 42.3 (13.5) years, 29.3% had no formal education, 35.1% were Brahmins, and 41.2% were homemakers. Prevalence of hypertension was 32.5% (95% CI: 28.7–36.3). Age, gender, education, ethnicity, occupation, smoking, alcohol consumption, physical activity, diabetes, menopausal history, and family history of cardiovascular disease (CVD) and hypertension were significantly associated with hypertension. In multivariable analysis, smoking, alcohol consumption, physical activity, body mass index, and diabetes were identified as significant explanatory variables for hypertension. Conclusion. This study demonstrated that the people living in newly established municipalities of Kathmandu, Nepal, have a high burden of hypertension as well as its associated factors. Therefore, community-based preventive approaches like lifestyle modification and early detection and treatment of hypertension might bring a substantial change in tackling the burden effectively. PMID:27293880

  13. Geographical Information System based assessment of spatiotemporal characteristics of groundwater quality of upland sub-watersheds of Meenachil River, parts of Western Ghats, Kottayam District, Kerala, India

    NASA Astrophysics Data System (ADS)

    Vijith, H.; Satheesh, R.

    2007-09-01

    Hydrogeochemistry of groundwater in upland sub-watersheds of Meenachil river, parts of Western Ghats, Kottayam, Kerala, India was used to assess the quality of groundwater for determining its suitability for drinking and agricultural purposes. The study area is dominated by rocks of Archaean age, and Charnonckite is dominated over other rocks. Rubber plantation dominated over other types of the vegetation in the area. Though the study area receives heavy rainfall, it frequently faces water scarcity as well as water quality problems. Hence, a Geographical Information System (GIS) based assessment of spatiotemporal behaviour of groundwater quality has been carried out in the region. Twenty-eight water samples were collected from different wells and analysed for major chemical constituents both in monsoon and post-monsoon seasons to determine the quality variation. Physical and chemical parameters of groundwater such as pH, dissolved oxygen (DO), total hardness (TH), chloride (Cl), nitrate (NO3) and phosphate (PO4) were determined. A surface map was prepared in the ArcGIS 8.3 (spatial analyst module) to assess the quality in terms of spatial variation, and it showed that the high and low regions of water quality varied spatially during the study period. The influence of lithology over the quality of groundwater is negligible in this region because majority of the area comes under single lithology, i.e. charnockite, and it was found that the extensive use of fertilizers and pesticides in the rubber, tea and other agricultural practices influenced the groundwater quality of the region. According to the overall assessment of the basin, all the parameters analysed are below the desirable limits of WHO and Indian standards for drinking water. Hence, considering the pH, the groundwater in the study area is not suitable for drinking but can be used for irrigation, industrial and domestic purposes. The spatial analysis of groundwater quality patterns of the study area shows

  14. Changing Farmers' Land Management Practices in the Hills of Nepal

    NASA Astrophysics Data System (ADS)

    Paudel, Giridhari Sharma; Thapa, Gopal B.

    2001-12-01

    This paper sheds light on changing farmers' land management practices in two mountain watersheds, with and without external assistance, in the western hills of Nepal. Information used in the analysis were obtained through a survey of 300 households, group discussion, key informant interviews, and field observation conducted during April-September 1999. Confronted with ever-decreasing landholding size due to a steadily growing population and scarcity of nonfarming employment opportunities, farmers in both watersheds have increasingly adopted assorted types of structural and biological measures to control soil erosion, landslides, gully expansion, and soil nutrient loss to maintain or even enhance land productivity. Adoption of gully control measures, construction of the retention walls, alley cropping, use of vegetative measures for landslide control, mulching, and use of green manure and chemical fertilizers are found significantly high in the project area due to the provision of technical and financial support, whereas composting is found significantly high in the nonproject area. Different from the traditionally held beliefs, population pressure on a finite land resource has brought positive change in land management. However, the experience from both watersheds indicates that there is limit to the extent that resource poor farmers can respond to land degradation without any external assistance. Required is the arrangement for appropriate polices and support services and facilities enabling farmers to adopt locationally suitable and economically attractive land management technologies.

  15. Changing farmers' land management practices in the hills of Nepal.

    PubMed

    Paudel, G S; Thapa, G B

    2001-12-01

    This paper sheds light on changing farmers' land management practices in two mountain watersheds, with and without extemal assistance, in the western hills of Nepal. Information used in the analysis were obtained through a survey of 300 households, group discussion, key informant interviews, and field observation conducted during April-September 1999. Confronted with ever-decreasing landholding size due to a steadily growing population and scarcity of nonfarming employment opportunities, farmers in both watersheds have increasingly adopted assorted types of structural and biological measures to control soil erosion, landslides, gully expansion, and soil nutrient loss to maintain or even enhance land productivity. Adoption of guly control measures, construction of the retention walls, alley cropping, use of vegetative measures for landslide control, mulching, and use of green manure and chemical fertilizers are found significantly high in the project area due to the provision of technical and financial support, whereas composting is found significantly high in the nonproject area. Different from the traditionally held beliefs, population pressure on a finite land resource has brought positive change in land management. However, the experience from both watersheds indicates that there is limit to the extent that resource poor farmers can respond to land degradation without any extemal assistance. Required is the arrangement for appropriate polices and support services and facilities enabling farmers to adopt locationally suitable and economically attractive land management technologies.

  16. Student feedback on the use of paintings in Sparshanam, the Medical Humanities module at KIST Medical College, Nepal

    PubMed Central

    2011-01-01

    Background Paintings have been used in Medical Humanities modules in Nepal at Manipal College of Medical Sciences and KIST Medical College. Detailed participant feedback about the paintings used, the activities carried out, problems with using paintings and the role of paintings in future modules has not been previously done. Hence the present study was carried out. Methods The present module for first year medical students was conducted from February to August 2010 at KIST Medical College, Nepal. Paintings used were by Western artists and obtained from the Literature, Arts and Medicine database. The activities undertaken by the students include answering the questions 'What do you see' and 'What do you feel' about the painting, creating a story of 100 words about the scene depicted, and interpreting the painting using role plays and poems/songs. Feedback was not obtained about the last two activities. In August 2010 we obtained detailed feedback about the paintings used. Results Seventy-eight of the 100 students (78%) participated. Thirty-four students (43.6%) were male. The most common overall comments about the use of paintings were "they helped me feel what I saw" (12 respondents), "enjoyed the sessions" (12 respondents), "some paintings were hard to interpret" (10 respondents) and "were in tune with module objectives" (10 respondents). Forty-eight (61.5%) felt the use of western paintings was appropriate. Suggestions to make annotations about paintings more useful were to make them shorter and more precise, simplify the language and properly introduce the artist. Forty-one students (52.6%) had difficulty with the exercise 'what do you feel'. Seventy-four students (94.9%) wanted paintings from Nepal to be included. Conclusions Participant response was positive and they were satisfied with use of paintings in the module. Use of more paintings from Nepal and South Asia can be considered. Further studies may be required to understand whether use of paintings

  17. Seasonal Dietary Intakes and Socioeconomic Status among Women in the Terai of Nepal

    PubMed Central

    Campbell, Rebecca K.; Talegawkar, Sameera A.; Christian, Parul; LeClerq, Steven C.; Khatry, Subarna K.; Wu, Lee S.F.

    2014-01-01

    ABSTRACT Despite widespread nutritional deficiencies, investigations of usual diet in rural South Asia remain sparse. The present study characterizes year-round and seasonal dietary patterns of women in the Terai of Nepal by sociodemographic status, using a novel, weekly single-visit and usual food frequency questionnaire that links recall to the agricultural season. The study was conducted across seasons in 2006-2008 among 15,899 women of reproductive age in Sarlahi district. Intakes were tabulated for all foods, overall and by socioeconomic status (SES), and in and out of season, as appropriate. Foods consumed regularly [median (interquartile range) weekly frequency] were rice [13 (7-13)], potatoes [10 (5-13)], legumes [6 (2-9)], and vegetable oil [13 (13-13)]. Animal products were infrequently consumed [1 (0-2) time per week] as were fruits and vegetables, most with a median weekly intake frequency of 0. Higher SES was associated with more frequent consumption of most food-groups, including in-season fruits and vegetables. Diets of women in the Terai of Nepal lack diversity and, likely, nutrient adequacy, which may pose health risks. PMID:25076658

  18. Prevalence of hearing loss and ear morbidity among adolescents and young adults in rural southern Nepal.

    PubMed

    Schmitz, Jane; Pillion, Joseph P; LeClerq, Steven C; Khatry, Subarna K; Wu, Lee S-F; Prasad, Rakesh; Karna, Sureswor L; Shrestha, Sharada R; West, Keith P

    2010-05-01

    A cross-sectional survey was conducted among 3646 persons, 15 to 23 years of age, in the southern plains District of Sarlahi, Nepal, to assess the prevalence and severity of hearing loss and middle-ear dysfunction, and adverse effects of hearing loss on social integration. Between 2006 and 2008, subjects were enumerated and underwent otoscopic, tympanometric, and audiometric evaluations at central sites in villages. Hearing loss was diagnosed in subjects who failed a hearing screening and exhibited an average air conduction threshold value greater than or equal to 30 dBHL in the worse ear. Clinically, 32.8% of subjects exhibited a dull or retracted tympanic membrane, and 18% had abnormal tympanometry. Nearly 12% failed the hearing screening test, among whom more than half, or 6.1% overall, had hearing loss. Hearing-impaired subjects were six- to eight-fold (ORs, with 95% CIs excluding 1.0) more likely to report problems in hearing usual sounds or communicating with other people. Among young adults living in southern Nepal, hearing loss is common, and associated with social disability.

  19. The role of obstetric knowledge in utilization of delivery service in Nepal.

    PubMed

    Karkee, Rajendra; Baral, Om Bahadur; Khanal, Vishnu; Lee, Andy H

    2014-12-01

    Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of Nepal, we evaluated if having obstetric knowledge could make a difference in maternal delivery behaviour. The results suggested that BP/CR program was effective in raising women's obstetric knowledge, which was significantly associated with facility delivery according to logistic regression analysis. In particular, women who acknowledged that unexpected problems could occur during pregnancy and childbirth were more likely (odds ratio [OR] 5.83, 95% confidence interval [CI] 2.95-11.52) to deliver at a health facility than others unaware of the possible consequences. Similarly, women who knew any antepartum danger sign (OR 2.16, 95% CI: 1.17-3.98), any intrapartum danger sign (OR 3.80, 95% CI: 2.07-6.96) and any postpartum danger sign (OR 3.47 95% CI: 1.93-6.25), tended to deliver at a health facility. Convincing and counselling the pregnant women of the health consequences of pregnancy and childbirth would increase their utilization of delivery service.

  20. Women's Satisfaction of Maternity Care in Nepal and Its Correlation with Intended Future Utilization

    PubMed Central

    Paudel, Yuba Raj; Mehata, Suresh; Paudel, Deepak; Dariang, Maureen; Aryal, Krishna Kumar; Poudel, Pradeep; King, Stuart; Barnett, Sarah

    2015-01-01

    The impact of rapid increase in institutional birth rate in Nepal on women's satisfaction and planned future utilization of services is less well known. This study aimed to measure women's satisfaction with maternity care and its correlation with intended future utilisation. Data came from a nationally representative facility-based survey conducted across 13 districts in Nepal and included client exit interviews with 447 women who had either recently delivered or had experienced complications. An eight-item quality of care instrument was used to measure client satisfaction. Multivariate probit model was used to assess the attribution of different elements of client satisfaction with intended future utilization of services. Respondents were most likely to suggest maintaining clean/hygienic health facilities (42%), increased bed provision (26%), free services (24%), more helpful behaviour by health workers (18%), and better privacy (9%). Satisfaction with the information received showed a strong correlation with the politeness of staff, involvement in decision making, and overall satisfaction with the care received. Satisfaction with waiting time (p = 0.035), information received (p = 0.02), and overall care in the maternity care (<0.001) showed strong associations with willingness to return to facility. The findings suggest improving physical environment and interpersonal communication skills of service providers and reducing waiting time for improving client satisfaction and intention to return to the health facility. PMID:26640814

  1. Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal

    PubMed Central

    Griffiths, Karolina; Banjara, Megha Raj; O'Dempsey, T.; Munslow, B.; Kroeger, Axel

    2013-01-01

    Objectives. The number of countries reporting dengue cases is increasing worldwide. Nepal saw its first dengue outbreak in 2010, with 96% of cases reported in three districts. There are numerous policy challenges to providing an effective public health response system in a fragile state. This paper evaluates the dengue case notification, surveillance, laboratory facilities, intersectoral collaboration, and how government and community services responded to the outbreak. Methods. Qualitative data were collected through 20 in-depth interviews, with key stakeholders, and two focus-group discussions, with seven participants. Results. Limitations of case recognition included weak diagnostic facilities and private hospitals not incorporated into the case reporting system. Research on vectors was weak, with no virological surveillance. Limitations of outbreak response included poor coordination and an inadequate budget. There was good community mobilization and emergency response but no routine vector control. Conclusions. A weak state has limited response capabilities. Disease surveillance and response plans need to be country-specific and consider state response capacity and the level of endemicity. Two feasible solutions for Nepal are (1) go upwards to regional collaboration for disease and vector surveillance, laboratory assistance, and staff training; (2) go downwards to expand upon community mobilisation, ensuring that vector control is anticipatory to outbreaks. PMID:23690789

  2. Nepal Earthquake: Exploring some of the Catastrophes

    NASA Astrophysics Data System (ADS)

    Hazra, Pranab; Sundar De, Syam; Paul, Suman; Ghosh, Abhijit; Guha, Gautam

    2016-07-01

    The characteristic variations of different meteorological parameters during the period of Nepal earthquakes having M=7.8 occurred on April 25, 2015 and M=7.3 on May 12, 2015 are presented. The results are interpreted in terms of Lithosphere-Atmosphere-Ionosphere coupling processes occurred due to thermal anomalies in the event of major earthquakes. These are reported in terms of thermodynamic properties within the lower ionosphere. The differences in the results are explained through the emission of α-particle from Rn ^{222}.

  3. Communicating Climate Change - Weather Forecast Need Assessment and Information Dissemination Mechanism to Farmers in Nepal

    NASA Astrophysics Data System (ADS)

    Panthi, J., Sr.

    2014-12-01

    Climate Change is becoming one of the major threats to the fragile Himalayan ecosystem. It is affecting all sectors mainly fresh water, agriculture, forest, biodiversity and species. The subsistence agriculture system of Nepal is mainly rain-fed; therefore, climate change and climate extremes do have direct impacts on it. Weather extremes like droughts, floods and landslides long-lasting fog, hot and cold waves are affecting the agriculture sectors of Nepal. As human-induced climate change has already showing its impacts and it is going to be there for a long time to come, it is paramount importance to move towards the adaptation. Early warning system is an effective way for reducing the impacts of disasters. Forecasting of weather parameters (temperature, precipitation, and wind) helps farmers for their preparedness activities. With consultation with farmers and other relevant institutions, a research project was carried out, for the first time in Nepal, to identify the forecast information need to farmers and their dissemination mechanism. Community consultation workshops, key informant survey, and field observations were the techniques used for this research. Two ecological locations: Bageshwori VDC in Banke (plain) and Dhaibung VDC in Rasuwa (mountain) were taken as the pilot sites for this assessment. People in both the districts are dependent highly on agriculture and the weather extremes like hailstone, untimely rainfall; droughts are affecting their agriculture practices. They do not have confidence in the weather forecast information disseminated by the government of Nepal currently being done because it is a general forecast not done for a smaller domain and the forecast is valid only for 24 hours. The weather forecast need to the farmers in both the sites are: rainfall (intensity, duration and time), drought, and hailstone but in Banke, people wished to have the information of heat and cold waves too as they are affecting their wheat and tomato crops

  4. Promoting Landspace Astrophotography for Dark Sky Preservation in Nepal

    NASA Astrophysics Data System (ADS)

    Dwa, Manisha; Bhattarai, Suresh

    2015-08-01

    This paper will present astrophotography and dark sky preservation initiatives and its impact in Nepal. It will highlight the astrophotography and the dark skies Initiatives of Nepal Astronomical Society (NASO) since 2007. Some case studies from the landspace astrophotography by TWAN, EurAstro Mission and others promoted by NASO will be discussed in details. It will also present our collaborative approach with the media to take the idea of dark sky peservation to Nepalese Community in the country and abroad. Some success stories linked with UNESCO World Heritage Sites of Nepal will be discussed in brief. Our appreach of introducing such photography as a tool for astronomy communication will be discussed.

  5. High-risk childbirth practices in remote Nepal and their determinants.

    PubMed

    Thapa, N; Chongsuvivatwong, V; Geater, A F; Ulstein, M

    2000-01-01

    This study describes birth-related practices and their determinants among women in the Jumla district of Nepal. Data were derived from a household survey in 1996. Of 939 married women of reproductive age, 657 who had given birth to their last child during the previous five years were included in the analysis. Qualitative information was further obtained from traditional birth attendants (TBAs), mothers-in-law, community leaders and pregnant women. High-risk practices were common and related to local custom and lack of knowledge on the importance of cleanliness. Husband's level of education greater than fifth grade significantly reduced the high-risk practices in all stages of childbirth, independent of other socio-economic, biological and village variables.

  6. Environmental variability and child growth in Nepal.

    PubMed

    Shively, Gerald; Sununtnasuk, Celeste; Brown, Molly

    2015-09-01

    Data from the 2011 Nepal Demographic Health Survey are combined with satellite remotely sensed Normalized Difference Vegetation Index (NDVI) data to evaluate whether interannual variability in weather is associated with child health. For stunting, we focus on children older than 24 months of age. NDVI anomaly averages during cropping months are evaluated during the year before birth, the year of birth, and the second year after birth. For wasting, we assess children under 59 months of age and relate growth to NDVI averages for the current and most recent growing periods. Correlations between short-run indicators of child growth and intensity of green vegetation are generally positive. Regressions that control for a range of child-, mother- and household-specific characteristics produce mixed evidence regarding the role of NDVI anomalies during critical periods in a child's early life and the subsequent probability of stunting and wasting. Overall findings suggest that the relationship between environmental conditions and child growth are heterogeneous across the landscape in Nepal and, in many cases, highly non-linear and sensitive to departures from normality.

  7. The World Health Organization Recommendations for Trachoma Surveillance, Experience in Nepal and Added Benefit of Testing for Antibodies to Chlamydia trachomatis pgp3 Protein: NESTS Study

    PubMed Central

    Zambrano, Andrea I.; Sharma, Shekhar; Crowley, Kathryn; Dize, Laura; Muñoz, Beatriz E.; Mishra, Sailesh K.; Rotondo, Lisa A.; Gaydos, Charlotte A.; West, Sheila K.

    2016-01-01

    Background The World Health Organization (WHO) now requires a second surveillance survey for trachoma after an impact assessment has found follicular trachoma (TF) <5% to determine if re-emergence has occurred. Using new WHO guidelines, we undertook surveillance surveys, and determined the prevalence of infection and antibody positivity, in two districts in Nepal. Methods 20 clusters were randomly selected within each district, 15 were randomly selected for antibody testing. In each cluster, we randomly selected 50 children ages 1–9 years and 100 adults ≥15 years. TF and trachomatous trichiasis (TT) were evaluated. Conjunctival swabs to test for chlamydial infection using GenXpert platform were obtained, and dried blood spots were collected to test for antibodies to Chlamydia Trachomatis pgp3 using the Luminex platform. Findings 3 cases of TF were found in the two districts, and one case of infection. Pgp3 antibody positivity was 2·4% (95% confidence interval: 1·4%, 3·7%), and did not increase with age (P = 0.24). No clustering of antibody positivity within communities was found. TT prevalence was <1/1,000 population. Interpretation The surveillance surveys, as proposed by WHO, showed no evidence for re-emergence of trachoma in two districts of Nepal. The low level and no significant increase by age in seroprevalence of antibodies to C trachomatis pgp3 antigen deserve further investigation as a marker of interruption of transmission. PMID:27654497

  8. Zika Virus: Yet Another Emerging Threat to Nepal.

    PubMed

    Dhimal, M; Gautam, I; Baral, G; Pandey, B; Karki, K B

    2015-01-01

    Zika virus (ZIKV) is a flavivirus with single stranded RNA related to yellow fever, dengue, West Nile, and Japanese encephalitis viruses and is transmitted by Aedes mosquitoes primarily by Aedes aegipti which is widely distributed in Nepal. ZIKV was first identified incidentally in Rhesus monkey in Uganda in 1947 and human infection in 1952; and by now outbreaks of ZIKV disease have been recorded in Africa, the Americas, Asia and the Pacific. The World Health Organization (WHO) has recently declared the ZIKV an international public health emergency. The aim of this paper is to briefly summarize origin, signs, symptoms, transmission, diagnosis, preventions and management of ZIKV and possible threat to Nepal in light of endemicity of other arbovirus infections and common mosquito vector species in Nepal. Keyword: Aedes aegypti; aedes albopictus; zika virus; microcephaly; birth defect; Nepal.

  9. Childhood Immunization and Access to Health Care: Evidence From Nepal.

    PubMed

    Devkota, Satis; Panda, Bibhudutta

    2016-03-01

    This article examines the effect of access to health care center, in terms of travel time, on childhood immunization in Nepal using the 2004 and 2011 waves of the Nepal Living Standards Measurement Surveys. We employ probit and instrumental variable probit estimation methods to estimate the causal effect of travel time on the probability of immunization. Results indicate that travel time to the nearest health center displays a significant negative association with the probability of immunization (coefficient = -0.015,P< .05). Furthermore, the effect of travel time tends to be stronger in rural and distant areas of Nepal's mountain and hill regions. The results suggest that policy interventions should increase the number of mobile clinics in rural villages and provide conditional cash transfer to incentivize immunization coverage at the household level. In addition, household income, parental education, ethnicity, and household location emerge as important determinants of immunization in Nepal.

  10. Back to the future. [Forestry management in Nepal

    SciTech Connect

    Pardo, R. )

    1993-06-01

    If the forests in the Himalayan mountain kingdom of Nepal were evenly distributed and accessible, they could likely meet the country's needs for forest products including the significant use of wood fuels. However, accelerated forest degradation and deforestation is occurring in Nepal. This article reviews how the 1992 Nepal Forestry Act substantially reallocates the responsibility for management of Nepal's forests between the central government and the local communities, dividing the forests into five different types: community, leasehold, government-managed, protected, and religious. Some of the problems created by the law's community forestry provisions are described. Since no guidelines for management are in the legislation nor are there objectives and standards for administration, changes in these areas could improve implementation and achieve sustainable forest development. 6 refs., 1 fig.

  11. Prachanda: The Mastermind Behind the Maoist Insurgency in Nepal

    DTIC Science & Technology

    2010-12-01

    promoting an outdated ideology and practices in the remote Kingdom of Nepal to supposedly serve the illiterate and economically and socially destitute...Centre) had promoted a violent general strike in Nepal, but the Nepali Congress Party’s government suppressed the strike. The repression by the ruling... hostel facilities, he had to stay outside in a rented house, where he got an opportunity to make connections with communist leaders and had access to

  12. Introducing occupational health in an emerging economy: a Nepal experience.

    PubMed

    Carter, William S

    2010-07-01

    From January to July of 2009, an investigation was conducted on Occupational Health in Nepal. An evaluation of occupational health and safety in Nepal is compared to that in other South Asian countries. The analysis includes an evaluation of what is in place and a multi-tiered recommendation to define and enact a modern legal framework, implement enforcement policies, develop forums, educate professional workforce, train and thus empower workers and management, and ensure an effective workers compensation program.

  13. Non-doctor anaesthesia in Nepal: developing an essential cadre.

    PubMed

    Zimmerman, Mark; Lee, Maurice; Retnaraj, Samson

    2008-07-01

    Nepal is a mountainous country of 27 million people where the widespread lack of access to operative services is a major cause of morbidity and mortality. One critical reason for this is the lack of trained, appropriately distributed anaesthesia providers. We discuss the evolution of the 'anaesthesia assistant' in Nepal, review the international literature concerning the development of non-doctor anaesthetists, and invite links with others working in this field.

  14. Geothermal district heating systems

    NASA Astrophysics Data System (ADS)

    Budney, G. S.; Childs, F.

    1982-06-01

    Ten district heating demonstration projects and their present status are described. The projects are Klamath County YMCA, Susanville District Heating, Klamath Falls District Heating, Reno Salem Plaza Condominium, El Centro Community Center Heating/Cooling, Haakon School and Business District Heating, St. Mary's Hospital, Diamond Ring Ranch, Pagosa Springs District Heating, and Boise District Heating.

  15. Anti Japanese encephalitis virus IgM positivity among patients with acute encephalitic syndrome admitted to different hospitals from all over Nepal

    PubMed Central

    Bhattarai, Anupama; Nepal, Krishus; Adhikari, Sailaja; Sharma, Mukunda; Parajuli, Pramila

    2017-01-01

    The Japanese encephalitis virus (JEV) infection is one of the major public health problems in Nepal because of its increasing disease morbidity and mortality. The main purpose of this study was to determine the anti-JEV IgM positivity among acute encephalitis syndromic cases from all over Nepal. The present study was conducted at National Public Health Laboratory, Kathmandu, Nepal from April 2015 to October 2015. A total of 671 (418 CSF and 253 serum) samples were collected from 625 patients with acute encephalitic syndrome, admitted to different hospitals from all over Nepal. IgM antibody capture enzyme linked immunosorbent assay (ELISA) was used for the detection of anti-JEV IgM positive cases. The rate of anti-JEV IgM positivity was found to be 21.12%. The majority of positive cases (50%) were from the age group below 15 years, with the highest numbers of cases occurring in September (55.30%). Among all the anti-JEV IgM positive cases, higher numbers of cases were males. Geographically, the highest numbers of anti-JEV IgM positive cases were recorded from Terai region. Similarly, largest numbers of anti-JEV IgM positive cases were reported from Kailai district followed by those from Kanchanpur. However, anti-JEV IgM positive cases were also reported from hill districts. Continuation of active surveillance and vector control measures, proper management of diagnostic facilities and expanded program of immunization in JE endemic areas should be strongly emphasized to reduce the endemicity of the disease. PMID:28264024

  16. Anti Japanese encephalitis virus IgM positivity among patients with acute encephalitic syndrome admitted to different hospitals from all over Nepal.

    PubMed

    Bhattarai, Anupama; Pant, Narayan Dutt; Nepal, Krishus; Adhikari, Sailaja; Sharma, Mukunda; Parajuli, Pramila

    2017-01-01

    The Japanese encephalitis virus (JEV) infection is one of the major public health problems in Nepal because of its increasing disease morbidity and mortality. The main purpose of this study was to determine the anti-JEV IgM positivity among acute encephalitis syndromic cases from all over Nepal. The present study was conducted at National Public Health Laboratory, Kathmandu, Nepal from April 2015 to October 2015. A total of 671 (418 CSF and 253 serum) samples were collected from 625 patients with acute encephalitic syndrome, admitted to different hospitals from all over Nepal. IgM antibody capture enzyme linked immunosorbent assay (ELISA) was used for the detection of anti-JEV IgM positive cases. The rate of anti-JEV IgM positivity was found to be 21.12%. The majority of positive cases (50%) were from the age group below 15 years, with the highest numbers of cases occurring in September (55.30%). Among all the anti-JEV IgM positive cases, higher numbers of cases were males. Geographically, the highest numbers of anti-JEV IgM positive cases were recorded from Terai region. Similarly, largest numbers of anti-JEV IgM positive cases were reported from Kailai district followed by those from Kanchanpur. However, anti-JEV IgM positive cases were also reported from hill districts. Continuation of active surveillance and vector control measures, proper management of diagnostic facilities and expanded program of immunization in JE endemic areas should be strongly emphasized to reduce the endemicity of the disease.

  17. Communicating awareness of light pollution with the schools in Nepal

    NASA Astrophysics Data System (ADS)

    Acharya, Jayanta

    2015-08-01

    Nepal is also highly polluted by the lights and other dusts partials, but lacks the formal education of light pollutions and effect of light for astronomy observations. When we get Sky Quality Meter (SQM) last year (2014) we have installed it in Kathmandu.This paper will highlight about installation SQM in Nepal, measurement of brightness of the night sky in magnitudes per square arc second. Research work of light pollution of Kathmandu will be more in focus. Highlight of the Astronomy programs by different Schools in Nepal along with the background of coverage of Astronomy education in the syllables of different education level. The various procedure , technique and idea used in providing the space education through different activities and program to school studentsThe paper will also deal with the Importance of light and use of artificial light. Beside it will also highlight the possibility of development of various observatories in Nepal because of its tremendous topography increasing the Astro tourism in Nepal.Hence the paper would focus on the light pollution of the city like Kathmandu and light system in Nepal and Astronomy education to its implementation along with its outreach to Nepalese society.

  18. Injection practices in Nepal: health policymakers’ perceptions

    PubMed Central

    2014-01-01

    Background The unnecessary and unsafe use of injections is common in developing countries like Nepal. Policymakers have an important role in promoting rational and safe injection use. Hence, the present study was carried out to explore the perception of health policymakers regarding safe injection practice in Nepal. Methods An exploratory qualitative study design was used in this study. Key policymakers from both the central and regional level were selected using purposive sampling. A semi-structured questionnaire advocated by the World Health Organization (WHO) was used after modifying the context. Interviews were conducted to clarify doubts and obtain additional information. The data was analyzed manually using deductive content analysis technique. Results In total, eleven policymakers participated. All unanimously agreed that injection safety is a problem and seven participants reported that injections are overused. They shared the opinion that injections are administered by various providers, including formal and informal health providers, and also quacks. Almost half the respondents reported that the National Drug Policy discourages injection overuse, while others reported that the policy contains no provisions regarding injection overuse. Most policymakers stated that only single-use disposable injection equipment is used to provide injection, while others thought that sterilizable glass syringe is also used. More than half of the participants believed that the quality of injection equipment available in the Nepalese market is not regulated by any government institution. Almost two-third of the policymakers stated that syringes and needles are not reused, while the rest thought syringes might be reused without sterilization in some parts of the country. Almost half of the respondents stated that illegal commercialization of used syringes exists in Nepal. Almost all respondents thought that health care institutions have a waste management plan, while more than

  19. Status of intestinal parasitosis among hospital visiting patients in Deukhury Valley, Dang, Nepal.

    PubMed

    Khanal, L K; Rai, S K; Khanal, P R; Ghimire, G

    2011-06-01

    Intestinal parasitosis is highly prevalent among the general population in Nepal. This study aimed to assess the status of intestinal parasitosis among patients attending Deukhury Community Hospital, Lamahi, Dang, situated in the mid western region of Nepal. A total of 210 stool samples examined by direct smear technique were reported. The overall prevalence of intestinal parasitic infection was found to be 21.4% (M = 23.5% vs F = 19.3%). Children < 15 yrs age were infected more often as compared to > 60 yrs and 15-60 yrs aged people. Among adults, Entamoeba histolytica infection was found to be very high compared to high helminthic infection found among children. Finding showed that, the prevalence was significantly high (68.8%) among people having low socio-economic status compared to others (31.1%) (p < 0.05). Among various parasites detected, E. histolytica was the most common parasite (48.8%) followed by helminths, mainly Ascaris lumbricoides (31.1%), hookworm (13.3%), Trichuris trichiura (4.4%) and Taenia species (2.2%) respectively in the locality.

  20. Municipal solid waste generation in Kathmandu, Nepal.

    PubMed

    Dangi, Mohan B; Pretz, Christopher R; Urynowicz, Michael A; Gerow, Kenneth G; Reddy, J M

    2011-01-01

    Waste stream characteristics must be understood to tackle waste management problems in Kathmandu Metropolitan City (KMC), Nepal. Three-stage stratified cluster sampling was used to evaluate solid waste data collected from 336 households in KMC. This information was combined with data collected regarding waste from restaurants, hotels, schools and streets. The study found that 497.3 g capita(-1) day(-1) of solid waste was generated from households and 48.5, 113.3 and 26.1 kg facility(-1) day(-1) of waste was generated from restaurants, hotels and schools, respectively. Street litter measured 69.3 metric tons day(-1). The average municipal solid waste generation rate was 523.8 metric tons day(-1) or 0.66 kg capita(-1) day(-1) as compared to the 320 metric tons day(-1) reported by the city. The coefficient of correlation between the number of people and the amount of waste produced was 0.94. Key household waste constituents included 71% organic wastes, 12% plastics, 7.5% paper and paper products, 5% dirt and construction debris and 1% hazardous wastes. Although the waste composition varied depending on the source, the composition analysis of waste from restaurants, hotels, schools and streets showed a high percentage of organic wastes. These numbers suggest a greater potential for recovery of organic wastes via composting and there is an opportunity for recycling. Because there is no previous inquiry of this scale in reporting comprehensive municipal solid waste generation in Nepal, this study can be treated as a baseline for other Nepalese municipalities.

  1. Promoting Education for Girls in Nepal. CDIE Impact Evaluation, Number 5.

    ERIC Educational Resources Information Center

    Agency for International Development (IDCA), Washington, DC. Center for Development Information and Evaluation.

    For 2 decades, the U.S. Agency for International Development (USAID) has sought to strengthen Nepal's formal and nonformal education systems and elevate the status of women in Nepal. The extent to which USAID women's empowerment and literacy activities have contributed to increasing and improving the basic education of girls in Nepal was examined…

  2. Teaching English as a Foreign/Second Language in Nepal: Past and Present

    ERIC Educational Resources Information Center

    Bista, Krishna

    2011-01-01

    In this paper, the author reviews the history of English language teaching English as a second or foreign language in schools and colleges in Nepal. Teaching English language and literature in Nepal is of about a half a decade, starting from the mid of twentieth century. English learners in Nepal do not have enough exposure to various techniques…

  3. Clinical and epidemiological observations on an outbreak of plague in Nepal*

    PubMed Central

    Laforce, F. Marc; Acharya, I. L.; Stott, Gordon; Brachman, Philip S.; Kaufman, Arnold F.; Clapp, Richard F.; Shah, N. K.

    1971-01-01

    In the autumn of 1967, plague broke out among hill people in western Nepal, a country that had not previously reported human plague. Two persons were infected from an active sylvatic focus at a grazing area 5 km from Nawra, the village where the epidemic occurred. The second patient introduced plague into the village where the rest of the cases occurred. Clinical and epidemiological evidence suggests that plague was spread both by the airborne route, resulting in 6 cases of tonsillar plague and 1 case of primary pneumonic plague, as well as by infected fleas, resulting in 17 cases of bubonic plague. Since no evidence of a rodent epizootic was uncovered in the village itself, and because of the distinct clustering of the bubonic cases, human-to-human spread of plague by infected ectoparasite vectors, presumably Pulex irritans, is thought to have occurred. This focus probably represents the most southerly boundary of the central Asian plague area yet identified. PMID:5317008

  4. Alcohol Consumption Practices among Married Women of Reproductive Age in Nepal: A Population Based Household Survey

    PubMed Central

    Thapa, Narbada; Aryal, Krishna Kumar; Puri, Rupendra; Shrestha, Saraswoti; Shrestha, Sheela; Thapa, Pukar; Mehata, Suresh; Thapa, Pushpa; Banjara, Megha Raj; Stray-Pedersen, Babill

    2016-01-01

    Background Alcohol chemically known as ethanol, causes several health, economic and social consequences across the world. Literatures suggest potential harm of alcohol drinking by pregnant women especially to the fetus and the mother. Despite anumber of significant public health problems related to alcohol consumption, this area has been ignored in Nepal and information at the national level is limited. Thus this study aimed at finding the prevalence of alcohol consumption among married women of reproductive age. Methods A nationally representative household survey was carried out from April to August 2013 by taking 16 districts across all 15 eco administrative regions. From the selected districts, 86 village development committees and 14 municipalities were selected as primary sampling units using probability proportionate to size, followed by random selection of 3 wards from each primary sampling unit. Finally, 30 households within each ward were selected using systematic random sampling, and one married women of reproductive age from each household. A total of 9000 married women of reproductive age were interviewed using a semi-structured questionnaire, on alcohol consumption practices including environmental factors and socio demographic characteristics and were included in the analysis. Results National prevalence of alcohol consumption ever among married women of reproductive age was 24.7% (95% CI:21.7–28.0), last 12 months 17.9% (95% CI:15.3–20.7) and last 30 days (current drinking) 11.8% (95% CI:9.8–14.1). There was substantial variation among the districts ranging from 2% to 60%. Multivariable analysis suggests women with no education or within formal education, dalit and janajatis ethnicity, whose husbands drink alcohol, who brew alcohol at home and women from mountains were significantly at higher risk of consuming alcohol. Among the women who drank alcohol in last 12 months, a substantial proportion of them drank home brewed alcoholic beverages

  5. Factors associated with underweight and stunting among children in rural Terai of eastern Nepal.

    PubMed

    Pramod Singh, G C; Nair, Manju; Grubesic, Ruth B; Connell, Frederick A

    2009-04-01

    Malnutrition continues to affect a large proportion of children in the developing world. The authors undertook this study to identify biologic, socioeconomic, and health care factors associated with underweight and stunting in young children in an the eastern Tarai (plains) district of Nepal. Data were collected via questionnaires from mothers of 443 children aged 6 to 36 months in Sunsari district. Multistage cluster sampling was used to select villages and children. Anthropometric measurements were made on both children and their mothers. Logistic regression was used to measure the independent (adjusted) effect of risk and protective factors on the odds of underweight or stunting. More than half (53.3%) of the children were found to be underweight (<2 standard deviations weight for age below reference median) and more than one third (36.6%) had stunting (<2 standard deviations height for age below reference median). Low maternal body mass index, child's age, higher birth order, and lower standard of living score were strong predictors of underweight, whereas mother's education >5 years and participation in vitamin A and nutritional programs were protective. Infant age, low maternal body mass index, and low standard of living score were significant risk factors for stunting, whereas mother's education >5 years was strongly protective. These results suggest that underweight and stunting are the result of a nexus of biological, socioeconomic, and health care factors.

  6. Commercial Medicinal Plant Extraction in the Hills of Nepal: Local Management System and Ecological Sustainability

    NASA Astrophysics Data System (ADS)

    Larsen, Helle Overgaard

    2002-01-01

    This paper presents a case study from Jumla District, Nepal, investigating local management systems and ecological sustainability of commercial collection of a medicinal plant, spikenard ( Nardostachys grandiflora DC, Valerianaceae), growing in alpine meadows. Interviews were undertaken with local collectors, traders, and district forest office staff, and the dynamics of people-plant interactions are analyzed using the Oakerson model. In all, 110 sample plots 1m square were laid out in three areas with differing collection and grazing pressures for recording of floristic composition and abundance of spikenard root biomass. Comparisons show significantly more root biomass in uncollected than collected areas with local management and the interpretation of differences in abundance is discussed. The combination of qualitative and quantitative investigations can provide a framework for the study of people-plant interactions, and this study can serve as first step in a compilation of cases to create a more detailed picture of local management systems of Nepali nontimber forest products in general and commercially collected medicinal and aromatic plants in particular.

  7. HIV-Related Risk Behaviors Among Labor Migrants, Their Wives and the General Population in Nepal.

    PubMed

    Thapa, Subash; Thapa, Deependra Kaji; Buve, Anne; Hannes, Karin; Nepal, Chiranjibi; Mathei, Catharina

    2017-04-01

    Nepalese labor migrants and their wives are considered as at-risk populations for HIV infection. There may be a risk of HIV transmission from the labor migrant and their wives to the general population due to HIV-related risk behaviors, but so far empirical evidence to support this hypothesis is scarce. Therefore, this study was conducted to compare HIV-related risk behaviors between labor migrants, their wives, and males and females from the general population in the far-western region of Nepal. This was a cross-sectional study, in which structured face-to-face interviews were conducted with 261 male labor migrants, 262 wives of labor migrants, 123 males and 122 females from the general population. We found that the proportion of the labor migrants and their wives reporting having had extramarital sex in the previous year did not differ significantly with the males (11.9 vs. 13.4 %, p value 0.752) and females (2.0 vs. 1.7 %, p value 0.127) from the general population. However, the labor migrants compared with the males from the general population were 1.51 times and the wives of labor migrants compared with the females from the general population were 2.37 times more likely to have been tested for HIV. Both the males from the general population and the labor migrants are equally engaged in unprotected extramarital sex. Therefore, it is recommended that the prevention programs, including access to condoms and HIV testing, should be scaled up targeting a broader range of individuals in the far-western region of Nepal.

  8. Provenance analysis of Neogene sediments in the Thakkhola-Mustang Graben (central Nepal)

    NASA Astrophysics Data System (ADS)

    Adhikari, B. R.; Wagreich, M.

    2009-04-01

    The Thakkhola-Mustang Graben, which reflects Neogene extensional tectonics in the Tibetan Plateau and Himalaya, lies north of the Dhaulagiri-Annapurna ranges and south of the Yarlung-Tsangpo Suture Zone. The regional geology of the basin is dominated by a basement of Tibetan-Tethys sedimentary rocks of Paleozoic and Mesozoic ages, unconformably overlain by continental debris (more than 850 m) of Neogene to Quaternary age (Fort et al., 1982; Yoshida et al., 1984). Stratigraphically, the graben sediments have been divided into four formations; the Miocene Tetang and Thakkhola formations, disconformably overlain by the Plio-Pleistocene Sammargaon and Marpha formations. In the present study, the sediment provenance and the nature of the source rocks have been investigated. Field mapping, logging of 22 profiles, measurement of pebble imbrication and lithology in all possible beds and heavy mineral sampling (50 samples) were carried out. Paleocurrent data from imbricated pebbles (no other palaeocurrent indicators were seen) in the western part of the graben shows SE-directed flow while in the eastern part it shows a SSW transport. Sandstone, mudstone, quartzite and granite clasts are dominant in the Ghiling, Chaile and Dhakmar sections on the western side while carbonate clasts are dominant in the Tetang and Dhinkyo Khola sections in the southeastern part of the basin. Tourmaline, staurolite, zircon, garnet and apatite constitute a significant proportion of the heavy-minerals whereas epidote, andalusite, kyanite, chloritoid, hornblende, chrome-spinel, rutile and amphibole are less common. Paleocurrent data of imbricated conglomerates in all formations of the basin show a southward flow direction of the Kaligandaki River. All the paleocurrent data and composition analysis of the conglomerates in the northwestern part of the basin (Dhi and Tange) of the Thakkhola Formation suggest that the clasts were derived from Mesozoic rocks to the east. Mostly Paleozoic clasts, with

  9. Assessment of physical premises of selected pharmacies of Nepal

    PubMed Central

    Poudel, Bhupendra Kumar; Ishii, Itsuko

    2016-01-01

    Background: This work attempts to investigate the standards of physical premises of pharmacies in terms of cleanliness, ventilation, protection from physical environment, spaciousness and storage facilities of two selected districts of Nepal: Kathmandu and Kaski. Methods: A cross-sectional, observational study of 100 randomly selected retail and wholesale pharmacies (55 from Kathmandu and 45 from Kaski) was conducted for their compliance to provisions of physical premises: cleanliness, ventilation, protection from physical environment, spaciousness and storage facilities. Preliminarily, scoring was done by converting 5-point Likert scale to a 100-point scale as follows: 1 = 0–20, 2 = 21–40, 3 = 41–60, 4 = 61–80 and 5 = 81–100. These scores were then reported as poor (score ⩽ 40), below average (score of 41–49), average (score of 50), above average (score of 51–60) and good (score ⩾ 61). Cronbach’s alpha for retails and wholesales obtained was .720 and .757, respectively. Results: In wholesales, protection from physical environment was least scored among other components, with the mean score 34.7 ± 8.3 for Kathmandu and 37.3 ± 13.3 for Kaski. Ventilation was scored 35.3 ± 6.3 for Kathmandu and 39.3 ± 11.6 for Kaski. All other components were obtained below average. However, in retails, the storage facilities were rated ‘poor’ with mean score 36.3 ± 13.9 for Kathmandu and 36.0 ± 11.9 for Kaski. Most other components were scored above average except for ventilation which was scored ‘good’. It was found that there was no significant difference between physical premises of the pharmacies of Kathmandu and Kaski in terms of all the indicators. The findings suggest that physical premise of many pharmacies was not found appropriate as provisioned in the good pharmacy practice requirements of Codes on Sales and Distribution of Drugs. Conclusion: Most pharmacies were found non-compliant to

  10. A distinct genetic population of Gongylonema pulchrum from water buffaloes in Nepal.

    PubMed

    Makouloutou, Patrice; Rana, Hari Bahadur; Adhikari, Bishunu; Devkota, Bhuminand; Dhakal, Ishwari Prasad; Sato, Hiroshi

    2013-08-01

    Whole-length esophagi of 111 Murrah cross water buffaloes (Bubalus bubalis) were collected in the Kathmandu and Chitwan districts of Nepal from December 2009 to February 2010. Gullet worms showing a typical epithelium-dwelling character were detected in 13 of 53 (24.5%) buffaloes in Kathmandu and in 5 of 58 (8.6%) buffaloes in Chitwan. The worms' morphology and measurements were identical to those of Gongylonema pulchrum Molin, 1857, except for the length of the left spicules relative to the body length. Scanning electron microscopy did not detect any further morphological differences regarding the collected specimen from Nepal compared with G. pulchrum . The ribosomal RNA gene (rDNA), including internal transcribed spacer (ITS) 1 and 2, and a partial region of the cytochrome c oxidase subunit I (COI) of mitochondrial DNA of the worms were characterized and compared with those of G. pulchrum collected from cattle, deer, wild boars, and monkeys in Japan and from cattle in Iran. The 18S, 5.8S, and 28S rDNA nucleotide sequences of the buffalo-collected worms had 99.8% (1,779/1,782), 100% (158/158), and 98.3-98.8% (3,494-3,507/3,551) identities, respectively, with those of G. pulchrum from the other host mammals. The ITS regions exhibited higher variations between the buffalo-collected worms and G. pulchrum from the other host mammals (85-88% identity for ITS1 and 56-80% identity for ITS2). The COI also showed lower identities (89.2-90.2%), although only a single amino acid substitution was noted compared with the majority of G. pulchrum samples collected in Japan. Based on these molecular genetic characters in the rDNA and COI mitochondrial DNA, together with a shorter left spicule length relative to body length, the gullet worms isolated from buffaloes in Nepal might belong to a distinct local or buffalo-preferring population of G. pulchrum, although its geographical distribution on the continent and host specificity remain to be clarified.

  11. Incidence and Risk Factors for Neonatal Jaundice among Newborns in Southern Nepal

    PubMed Central

    Scrafford, Carolyn G.; Mullany, Luke C.; Katz, Joanne; Khatry, Subarna K.; LeClerq, Steven C.; Darmstadt, Gary L.; Tielsch, James M.

    2016-01-01

    Objective To quantify the incidence of and risk factors for neonatal jaundice among infants referred for care from a rural, low-resource, population-based cohort in southern Nepal. Methods Study participants were 18,985 newborn infants born in Sarlahi District in Southern Nepal from May 2003 through January 2006 who participated in a cluster-randomized, placebo-controlled, community-based trial to evaluate the effect of newborn chlorhexidine cleansing on neonatal mortality and morbidity. Jaundice was assessed based on visual assessment of the infant by a study worker and referral for care. Adjusted relative risks (RR) were estimated to identify risk factors for referral for neonatal jaundice using Poisson regression. Results The incidence of referral for neonatal jaundice was 29.3 per 1,000 live births (95% Confidence Interval: 26.9, 31.7). Male sex, high birth weight, breastfeeding patterns, warm air temperature, primiparity, skilled birth attendance, place of delivery, prolonged labor, oil massage, paternal education, and ethnicity were significant risk factors (p-values<0.01). After multi-variable adjustment, sex, birth weight, difficulty feeding, prolonged labor, primiparity, oil massage, ambient air temperature, and ethnicity remained important factors. Among infants with difficulty feeding, exclusive breastfeeding was a risk factor for neonatal jaundice, whereas exclusive breastfeeding was protective among infants with no report of difficulty feeding. Conclusions Several known risk factors for neonatal jaundice in a low-resource setting were confirmed in this study. Unique observed associations of jaundice with ambient air temperature and oil massage may be explained by the opportunity for phototherapy based on the cultural practices of this study population. Future research should investigate the role of an infant’s difficulty in feeding as a potential modifier in the association between exclusive breastfeeding and jaundice. PMID:24112359

  12. Peer-led active tuberculosis case-finding among people living with HIV: lessons from Nepal

    PubMed Central

    Joshi, Dipu; Sthapit, Raisha

    2017-01-01

    Abstract Problem People living with a human immunodeficiency virus (HIV) infection have a high risk of tuberculosis and should undergo regular screening. However, they can be difficult to reach because they are stigmatized and discriminated against. Approach In Nepal, the nongovernmental organization Naya Goreto implemented a peer-led tuberculosis screening project in which people living with HIV volunteered to contact others in this high-risk population. Volunteers took part in a short training course, after which they attempted to contact people living with HIV through existing networks and self-help groups. Tuberculosis screening and testing were carried out in accordance with national guidelines. Local setting In Nepal, the prevalence of HIV infection is 0.3% in the general population but is much higher, at 6%, in people in Kathmandu who inject drugs. To date, the health system has not been able to implement systematic tuberculosis screening in people living with HIV. Relevant changes Between May 2014 and mid-September 2015, 30 volunteers screened 6642 people in 10 districts, 5430 (82%) of whom were living with HIV. Of the 6642, 6046 (91%) were tested for tuberculosis and 287 (4.3%) were diagnosed with the disease, 240 of whom were HIV-positive. Of those with tuberculosis, 270 (94%) initiated treatment. Lessons learnt Using peers to contact people living with HIV for tuberculosis screening resulted in a high participation rate and the identification of a considerable number of HIV-positive tuberculosis patients. Follow-up during treatment was difficult in this highly mobile group and needs more attention in future interventions. PMID:28250514

  13. Understanding socio economic contexts of female sex workers in eastern Nepal.

    PubMed

    Sagtani, R A; Bhattarai, S; Adhikari, B R; Baral, D D; Yadav, D K; Pokharel, P K

    2014-12-01

    The present focus is mostly laid on high risk behavior of commercial sex workers without any consideration of their location, educational status and other socio-cultural norms. Thus, we designed a study to understand socio demographic characteristics, lifestyle of female sex workers and search for driving factors for prostitution in eastern Nepal. A descriptive study was conducted in three districts of Eastern Nepal in 2012 over the period of six months. The data regarding their socio demographic characteristics, income, reason for joining sex trade and future choice regarding the profession were recorded from 210 female sex workers through face-to-face interviews. Majority (53.3%) of respondents belonged to the productive age group of 20-29 years, more than one thirds (43.3%) had not received any form of formal education and were unmarried. More than half (53.80%) were presently living alone and about one thirds of the women (31.90%) were minors when they joined this profession. Major portion of the sample (94.80%) worked more than three days a week with median income of 15 thousand per month and 41 percent had sex with more than or equal to ten clients per week. Poor economic condition was the most frequent (47.6%) factor leading to joining of sex trade however, more than two thirds, (72.80%) wanted to quit the profession. Given low level of education, relatively low income, and young age among this population, empowerment and alternative employment/education opportunities should be created to develop this part of Nepalese society.

  14. Uterine prolapse prevention in Eastern Nepal: the perspectives of women and health care professionals

    PubMed Central

    Radl, Christina M; Rajwar, Ranjita; Aro, Arja R

    2012-01-01

    Uterine prolapse is a major reproductive health issue in Nepal. There is a wide range of literature available on the causes and risk factors of uterine prolapse and on the ways to prevent and treat it. There is still a lack of published evidence on what prevention and treatment services are working well or the attitudes toward them. This paper presents the findings of a qualitative study on primary and secondary prevention of uterine prolapse in Eastern Nepal. Method The study involved eight focus group discussions with 71 women in six villages of the eastern districts of Siraha and Saptari and 14 qualitative interviews with health professionals from the local to central level. The group discussions and interviews covered the awareness levels of uterine prolapse and its prevention and treatment, as well as participants’ opinions on and experiences with the services offered. Results It was found that patriarchy, gender discrimination, and cultural traditions such as early marriage and pregnancy make it difficult for people to discontinue uterine prolapse risk behaviors. Women are aware of risk factors, prevention, and treatment, but are powerless to change their situations. Health professionals and women are fond of surgery as treatment, but opinions on the use of ring pessaries and pelvic floor muscle training are split. Conclusion The main recommendation that can be drawn from this study is that research on the effectiveness of early treatments, such as ring pessaries and exercise, should be conducted. Furthermore, the involvement of other target groups (husbands, adolescents, and mothers-in-law) needs to be increased in order to make it easier for women to adapt low-risk behaviors. Finally, uterine prolapse prevention should be better integrated in national reproductive health services. Enforcing transparency, monitoring systems, and collaborations are important factors that should be considered as well. PMID:22927768

  15. Hearing Loss is Associated with Decreased Nonverbal Intelligence in Rural Nepal

    PubMed Central

    Emmett, Susan D.; Schmitz, Jane; Pillion, Joseph; Wu, Lee; Khatry, Subarna K.; Karna, Sureshwar L.; LeClerq, Steven C.; West, Keith P.

    2014-01-01

    Objective Evaluate the association between adolescent and young adult hearing loss and nonverbal intelligence in rural Nepal Study Design Cross-sectional assessment of hearing loss among a population cohort of adolescents and young adults Setting Sarlahi District, southern Nepal Patients 764 individuals aged 14–23 years Intervention Evaluation of hearing loss, defined by WHO criteria of pure-tone average (PTA) >25 decibels (0.5, 1, 2, 4 kHz), unilaterally and bilaterally Main Outcome Measure Nonverbal intelligence, measured by the Test of Nonverbal Intelligence, 3rd Edition (TONI-3) standardized score (mean 100; standard deviation (SD) 15) Results Nonverbal intelligence scores differed between participants with normal hearing and those with bilateral (p =0.04) but not unilateral (p =0.74) hearing loss. Demographic and socioeconomic factors including male sex, higher caste, literacy, education level, occupation reported as student, and ownership of a bicycle, watch, and latrine were strongly associated with higher nonverbal intelligence scores (all p <0.001). Subjects with bilateral hearing loss scored an average of 3.16 points lower (95% CI: −5.56, −0.75; p =0.01) than subjects with normal hearing after controlling for socioeconomic factors. There was no difference in nonverbal intelligence score based on unilateral hearing loss (0.97; 95% CI: −1.67, 3.61; p =0.47). Conclusions Nonverbal intelligence is adversely affected by bilateral hearing loss, even at mild hearing loss levels. Social and economic well being appear compromised in individuals with lower nonverbal intelligence test scores. PMID:25299832

  16. Blue sheep in the Annapurna Conservation Area, Nepal: habitat use, population biomass and their contribution to the carrying capacity of snow leopards.

    PubMed

    Aryal, Achyut; Brunton, Dianne; Ji, Weihong; Raubenheimer, David

    2014-01-01

    The Himalaya region of Nepal provides a habitat for the endangered snow leopard (Panthera uncia) and its principal prey species, the blue sheep (Pseudois nayaur). The aim of this study was to describe the habitat, the distribution and the population structure of blue sheep, and to estimate their contribution to the carrying capacity of snow leopard in the upper Mustang region of Nepal. Blue sheep were recorded at altitudes from 3209-5498 m on slopes with gradients of 16-60° and aspects of 40°NE to 140°SE. A total of 939 blue sheep were counted in the upper Mustang region, and 98 were counted in the Yak Kharka region of Manang district; however, upper Mustang had the lowest population density of blue sheep recorded within their distribution range in Nepal (0.86 blue sheep/km(2)). The results of the study show that a higher density of blue sheep is associated with greater plant species diversity. The most important species present in the blue sheep habitat were Kobresia pygmaea, Artemesia spp., Lonicera spp., Lancea tibetica, Poa spp., Astragalus spp. and Ephedra gerardiana. It is estimated that the existing blue sheep population biomass of approximately 38 925 kg in the upper Mustang region could support approximately 19 snow leopards (1.6 snow leopards/100 km(2)).

  17. Genotypic Characterization of Human Immunodeficiency Virus Type 1 Derived from Antiretroviral Drug-Treated Individuals Residing in Earthquake-Affected Areas in Nepal.

    PubMed

    Negi, Bharat Singh; Kotaki, Tomohiro; Joshi, Sunil Kumar; Bastola, Anup; Nakazawa, Minato; Kameoka, Masanori

    2017-04-10

    Molecular epidemiological data on human immunodeficiency virus type 1 (HIV-1) are limited in Nepal and have not been available in areas affected by the April 2015 earthquake. Therefore, we conducted a genotypic study on HIV-1 genes derived from individuals on antiretroviral therapy residing in 14 districts in Nepal highly affected by the earthquake. HIV-1 genomic fragments were amplified from 40 blood samples of HIV treatment-failure individuals, and a sequencing analysis was performed on these genes. In the 40 samples, 29 protease, 32 reverse transcriptase, 25 gag, and 21 env genes were sequenced. HIV-1 subtyping revealed that subtype C (84.2%, 32/38) was the major subtype prevalent in the region, while CRF01_AE (7.9%, 3/38) and other recombinant forms (7.9%, 3/38) were also detected. In addition, major drug resistance mutations were identified in 21.9% (7/32) of samples, indicating the possible emergence of HIV-1 drug resistance in earthquake-affected areas in Nepal.

  18. Major problems and key issues in Maternal Health in Nepal.

    PubMed

    Simkhada, B; van Teijlingen, E R; Porter, M; Simkhada, P

    2006-01-01

    This paper highlights some of the challenges facing maternal health in Nepal and to suggest possible solutions for improvements. Key literature from across the globe is reviewed and discussed in a Nepalese context. Maternal mortality remains one of the biggest public health problems in Nepal. Lack of access to basic maternal healthcare, difficult geographical terrain, poorly developed transportation and communication systems, poverty, illiteracy, women's low status in the society, political conflict, shortage of health care professional and under utilization of currently available services are major challenges to improving maternal health in Nepal. In order to effect real improvements in maternal health, attention needs to be focused both on biomedical and social interventions. Improving health facilities, mother's nutrition, women's position in the society such as freedom of movement, providing education to female children, integrating Traditional Birth Attendants into local health services can play a vital role in the improvement of mothers' health.

  19. Rehabilitation engineering and leprosy in Nepal: a personal view.

    PubMed

    Meanley, S

    1992-01-01

    Green Pastures Hospital is a specialist leprosy hospital in Pokhara, Nepal. As part of its service it offers a range of appliances aimed to assist in the rehabilitation of patients. This paper outlines the different orthoses and prostheses made at the Orthopaedic Appliances Centre in the hospital, their various indications and some of the benefits and problems associated with their use. Specific reference is made to the requirements related to local conditions and customs. The terrain, communications, facilities and materials available in Nepal make the work of the few rehabilitation engineers in the country somewhat different from that of those in the West. Some of these differences are described, drawing out contrasts in technical requirements of appliances and in organizational structures in the field of rehabilitation in the UK and Nepal.

  20. Astronomy Olympiad: An Initiative To Promote Astronomy Education In Nepal

    NASA Astrophysics Data System (ADS)

    Bhattarai, Suresh

    2015-08-01

    This paper presents National Astronomy Olympiad Program as a new initiative towards the development of astronomy education in Nepal by Nepal Astronomical Society (NASO).Innovoative components of the olympiad programs designed by NASO to engage both scince and non-science backgound people will be discussed in detail. It will discuss the first National Astronomy Olympiad 2014 and Second National Astronomy Olympiad 2015 in details. It will also present crowd funding, its effectiveness to outreach as well as collecting funds from around the world will be presented in brief. Proposed module of astronomy olympiad to promote astronnomy in the countries without formal astronomy education in high school like Nepal,will be presented in dedail. Possible strategry to strengthen such programs in developing nations and role of IAU to promote such educational program will be explored in detail.

  1. Municipal solid waste management in Nepal: practices and challenges

    SciTech Connect

    Pokhrel, D.; Viraraghavan, T. . E-mail: t.viraraghavan@uregina.ca

    2005-07-01

    Solid waste management in Kathmandu valley of Nepal, especially concerning the siting of landfills, has been a challenge for over a decade. The current practice of the illegal dumping of solid waste on the river banks has created a serious environmental and public health problem. The focus of this study was to carry out an evaluation of solid waste management in Nepal based on published information. The data showed that 70% of the solid wastes generated in Nepal are of organic origin. As such, composting of the solid waste and using it on the land is the best way of solid waste disposal. This will reduce the waste volume transported to the landfill and will increase its life.

  2. School District Mergers: What One District Learned

    ERIC Educational Resources Information Center

    Kingston, Kathleen

    2009-01-01

    Throughout the planning process for a school district merger in a northwestern Pennsylvania school district, effective communication proved to be a challenge. Formed in 1932, this school district of approximately 1400 students was part of a utopian community; one established by a transportation system's corporation that was a major industrial…

  3. Zoonotic Chlamydiaceae Species Associated with Trachoma, Nepal

    PubMed Central

    Rothschild, James; Ruettger, Anke; Kandel, Ram Prasad; Sachse, Konrad

    2013-01-01

    Trachoma is the leading cause of preventable blindness. Commercial assays do not discriminate among all Chlamydiaceae species that might be involved in trachoma. We investigated whether a commercial Micro-ArrayTube could discriminate Chlamydiaceae species in DNA extracted directly from conjunctival samples from 101 trachoma patients in Nepal. To evaluate organism viability, we extracted RNA, reverse transcribed it, and subjected it to quantitative real-time PCR. We found that 71 (70.3%) villagers were infected. ArrayTube sensitivity was 91.7% and specificity was 100% compared with that of real-time PCR. Concordance between genotypes detected by microarray and ompA genotyping was 100%. Species distribution included 54 (76%) single infections with Chlamydia trachomatis, C. psittaci, C. suis, or C. pecorum, and 17 (24%) mixed infections that includied C. pneumoniae. Ocular infections were caused by 5 Chlamydiaceae species. Additional studies of trachoma pathogenesis involving Chlamydiaceae species other than C. trachomatis and their zoonotic origins are needed. PMID:24274654

  4. Pictures open unexpected horizons in Nepal.

    PubMed

    Walker, D A

    1986-01-01

    Picture literacy constitutes one of the main accomplishments of Nepal's nonformal education program. Although program participants had little difficulty initially in identifying pictured objects, they were unable to understand the meaning or intended message of an illustration. In classroom discussions, participants were asked to analyze pictures, relate them to their own experiences, and read more meaning into illustrations. As the literacy curriculum was developed and tested, it became clear that the use of pictures greatly increased the number of meaningful ideas that could be communicated in the lessons. Comics were especially valuable in introducing social issues in a dramatic, exciting way that could not be achieved through stories with a limited vocabulary. While the written story must be coherent, the comic can be fragmentary and more ground can be covered. The pictures make the page less formidable and reinforce the written word. Once pictures and comics had been introduced into the literacy curriculum, experimentation with other uses was possible. For example, participants role-played the comics and created their own stories around discussion pictures. All these activities proved to be educationally sound and appropriate to the cultural setting.

  5. Development of leadership self-efficacy and collective efficacy: adolescent girls across castes as peer educators in Nepal.

    PubMed

    Posner, J; Kayastha, P; Davis, D; Limoges, J; O'Donnell, C; Yue, K

    2009-01-01

    Adolescent girls in Nepal face enormous social barriers to accessing education and health services due to exclusionary socio-religious traditions and years of conflict. The programme and study reported here address two issues that a national assembly of in-school and out-of-school adolescent girls, who had completed a basic life skills class, and, in the case of unschooled girls, an intensive literacy course, identified as important to their well-being - menstrual restrictions and HIV awareness and prevention. Local non-governmental organizations developed a peer education programme in three districts of Nepal that paired girls from different castes and different educational levels. The programme sought to increase peer educators' (PE) leadership and collective efficacy for informing peers and adults in their communities about the effects that these issues have on women and girls. In total, 504 girls were selected and trained as PEs. They conducted targeted discussion sessions with other girls and organised mass awareness events, reaching 20,000 people. Examination of the effects of participating in the programme on key outcome measures showed that leadership self-efficacy, which was a central theoretical construct for the programme, provided a strong predictor of both increased HIV knowledge and of practicing fewer menstrual restrictions at endline. The project demonstrated that girls from different caste and educational backgrounds are able to work together to change individual behaviour and to address socio-cultural norms that affect their lives and well-being within their communities.

  6. Health-Seeking Behaviors and Self-Care Practices of People with Filarial Lymphoedema in Nepal: A Qualitative Study

    PubMed Central

    Adhikari, Ram Kumar; Sherchand, Jeevan Bahadur; Mishra, Shiva Raj; Ranabhat, Kamal; Pokharel, Amrit; Devkota, Pramila; Mishra, Durga; Ghimire, Yadu Chandra; Gelal, Khageshwor; Paudel, Rajan; Wagle, Rajendra Raj

    2015-01-01

    Background. Lymphatic filariasis is endemic in Nepal. This study aimed to investigate health-seeking behaviors and self-care practices of people with filarial Lymphoedema in Nepal. Methods. A cross-sectional study was conducted using qualitative methods in three endemic districts. Twenty-three patients with current Lymphoedema were recruited in the study. Results. Hydrocele was found to be a well-known condition and a major health problem in the studied communities. People with Lymphoedema primarily sought health care from traditional healers, whereas sometimes home-based care was their first treatment. Later Ayurvedic and allopathic hospital-based care were sought. Respondents reported various psychological problems such as difficulty in engaging in sexual intercourse, anxiety, worry and stress, depression, low self-esteem, feeling weak, fear of being abandoned, and fear of transmitting disease to the children. Standard foot care practices except washing were largely absent. Conclusions. Lymphoedema in the limbs and hydrocele were found to be major health problems. The traditional health care providers were the first contact of care for the majority of respondents. Only a few patients had been practicing standard foot care practices. PMID:25694785

  7. Expansion of Safe Abortion Services in Nepal Through Auxiliary Nurse‐Midwife Provision of Medical Abortion, 2011‐2013

    PubMed Central

    Basnett, Indira; Shrestha, Dirgha Raj; Shrestha, Meena Kumari; Shah, Mukta; Aryal, Shilu

    2016-01-01

    Introduction The termination of unwanted pregnancies up to 12 weeks’ gestation became legal in Nepal in 2002. Many interventions have taken place to expand access to comprehensive abortion care services. However, comprehensive abortion care services remain out of reach for women in rural and remote areas. This article describes a training and support strategy to train auxiliary nurse‐midwives (ANMs), already certified as skilled birth attendants, as medical abortion providers and expand geographic access to safe abortion care to the community level in Nepal. Methods This was a descriptive program evaluation. Sites and trainees were selected using standardized assessment tools to determine minimum facility requirements and willingness to provide medical abortion after training. Training was evaluated via posttests and observational checklists. Service statistics were collected through the government's facility logbook for safe abortion services (HMIS‐11). Results By the end of June 2014, medical abortion service had been expanded to 25 districts through 463 listed ANMs at 290 listed primary‐level facilities and served 25,187 women. Providers report a high level of confidence in their medical abortion skills and considerable clinical knowledge and capacity in medical abortion. Discussion The Nepali experience demonstrates that safe induced abortion care can be provided by ANMs, even in remote primary‐level health facilities. Post‐training support for providers is critical in helping ANMs handle potential barriers to medical abortion service provision and build lasting capacity in medical abortion. PMID:26860072

  8. Humanitarian Assistance and Disaster Relief mission by a tripartite medical team led by the Singapore Armed Forces after the 2015 Nepal earthquake

    PubMed Central

    Ho, Ming Li Leonard; Lim, Jonathan Zhao Min; Tan, Mark Zhong Wei; Kok, Wai Leong; Zhang, Jun Ren; Tan, Mian Yi; Tan, Adrian Chong Beng

    2016-01-01

    INTRODUCTION This study aimed to report the injury or disease patterns, challenges, key observations, and recommendations by the Singapore Armed Forces (SAF) team that embarked on an Humanitarian Assistance and Disaster Relief (HADR) mission in the aftermath of the April 2015 Nepal earthquake. METHODS The SAF medical team that provided HADR assistance to Nepal consisted of personnel from the SAF, Singapore¢s Ministry of Health and the Royal Brunei Armed Forces. Upon arrival in Kathmandu, Nepal, the SAF medical team was assigned to the Gokarna district by the local health authorities. In addition to providing primary healthcare, the medical facility was equipped to perform resuscitation and minor procedures. We also assembled mobile medical teams (MMTs) that travelled to various remote areas of the country to deliver medical aid. RESULTS A total of 3,014 patients were managed by the SAF medical team. Of these patients, 1,286 (42.7%) were men. 574 (19.0%) patients sustained earthquake-related injuries or illnesses, while 2,440 (81.0%) sustained non-earthquake-related injuries or illnesses. The team treated a total of 447 (77.9%) adults and 127 (22.1%) paediatric patients with earthquake-related injuries or illnesses. A significant number of patients developed exacerbations of underlying medical conditions. 2,161 (71.7%) patients were treated in our main facility in Gokarna, while 853 patients (28.3%) were treated by our MMTs. CONCLUSION The ability to transport healthcare personnel and essential medical equipment within a short time allowed the SAF medical team to provide crucial medical care in the aftermath of the 2015 Nepal earthquake. PMID:27549187

  9. Estimating the prevalence and burden of major disorders of the brain in Nepal: methodology of a nationwide population-based study

    PubMed Central

    2014-01-01

    Background The major disorders of the brain (MDBs), in terms of their prevalence and the burdens of ill health, disability and financial cost that they impose on individuals and society, are headache, depression and anxiety. No population-based studies have been conducted in Nepal. Aim Our purpose was to assess the prevalence and burden attributable to MDBs in Nepal in order to inform health policy. Here we report the methodology. Methods The unusual sociocultural diversity and extreme geographical variation of the country required adaptation of standard methodology. We ran pre-pilot and pilot studies before embarking on the main study. The study design was cross-sectional. The population of interest were adults aged 18–65 years who were Nepali speaking and living in Nepal. We selected, employed and trained groups of interviewers to visit randomly selected households by cold-calling. Households were selected from 15 representative districts out of 75 in the country through multistage cluster sampling. One participant was selected randomly from each household. We used structured questionnaires (the HARDSHIP questionnaire, Hospital Anxiety and Depression Scale, and Eysenck Personality Questionnaire -Neuroticism), culturally adapted and translated into Nepali. We recorded blood pressure, weight, height and waist circumference, and altitude of each household. We implemented various quality-assurances measures. Results We completed the survey in one month, prior to onset of the monsoon. Among 2,210 selected households, all were contacted, 2,109 were eligible for the study and, from these, 2,100 adults participated. The participation rate was 99.6%. Conclusion Standard methodology was successfully applied in Nepal, with some adaptations. The sociocultural and extraordinary geographic diversity were challenging, but did not require us to compromise the scientific quality of the study. PMID:25146939

  10. Sex Trafficking Related Knowledge, Awareness, and Attitudes among Adolescent Female Students in Nepal: A Cross-Sectional Study

    PubMed Central

    2015-01-01

    Background Sex trafficking has been a long-standing concern in Nepal. Very little has been achieved, however, in terms of actual reduction in the number of victims despite numerous anti-sex trafficking programs. This situation may be attributable to a lack of empirical evidence upon which to formulate anti-sexual trafficking interventions. This study aimed to assess sex trafficking-related knowledge, awareness and attitudes, and factors associated with sex trafficking awareness and attitudes towards the victims of sex trafficking and/or anti-sex trafficking campaigns among adolescent female students in Nepal. Methods A cross-sectional study was conducted between August–September 2013 among 292 adolescent female students (>10 years old) using systematic random sampling from three high schools in Sindhupalchowk district, Nepal. As an initial step, descriptive analyses were employed to characterize the data and multivariate logistic regression analyses were used to explore factors associated with sex trafficking awareness and related attitudes. Results Seventy-six percent of sampled students reported that they were aware of sex trafficking and 94.6% indicated media (i.e., radio or television) as the primary sources of their knowledge. Fifty-one percent mentioned relatives/friends as mediators of sex trafficking, 60.4% reported promise for better jobs as the primary attraction behind sex trafficking, and 48.6% mentioned adolescent females as the most vulnerable group for sex trafficking. Over half (56.8%) of the respondents had positive attitudes towards the victims of sex trafficking and/or anti-sex trafficking campaigns. Age (OR = 3.38, 95% CI:2.51–4.55), parents’ occupation (OR = 3.89, 95% CI:1.58–9.58), and having a radio/TV at home (OR = 6.67, 95% CI:3.99–9.54) were significantly associated with awareness, whereas being younger (OR = 0.67, 95% CI:0.55–0.79) and having joint-family (OR = 2.67, 95% CI:1.49–4.80) were significantly associated with

  11. Perception of bleeding as a danger sign during pregnancy, delivery, and the postpartum period in rural Nepal.

    PubMed

    Matsuyama, Akiko; Moji, Kazuhiko

    2008-02-01

    Many developing countries implement safe motherhood programs to tackle high maternal mortality rates. The approach requires recognition of the signs of emergency obstetric cases in order to facilitate immediate care seeking, followed by immediate medical care. Whether such signs are recognized in a timely manner at the community level is determined by how the community perceives health problems. We explore the local understanding of one danger sign--bleeding during pregnancy and at delivery--and the meaning attached to it. The study was conducted in the Kavrepalanchowk district of Nepal. Different qualitative methods were applied. The findings indicate that the community's perception of bleeding might be quite different from that of health professionals and that perceptions and meanings attached to bleeding vary depending on the actors in the family. They all have significant implications for what should be the focus of health education and who should be involved in promoting maternal health.

  12. Protracted fluvial recovery from medieval earthquakes, Pokhara, Nepal

    NASA Astrophysics Data System (ADS)

    Stolle, Amelie; Bernhardt, Anne; Schwanghart, Wolfgang; Andermann, Christoff; Schönfeldt, Elisabeth; Seidemann, Jan; Adhikari, Basanta R.; Merchel, Silke; Rugel, Georg; Fort, Monique; Korup, Oliver

    2016-04-01

    River response to strong earthquake shaking in mountainous terrain often entails the flushing of sediments delivered by widespread co-seismic landsliding. Detailed mass-balance studies following major earthquakes in China, Taiwan, and New Zealand suggest fluvial recovery times ranging from several years to decades. We report a detailed chronology of earthquake-induced valley fills in the Pokhara region of western-central Nepal, and demonstrate that rivers continue to adjust to several large medieval earthquakes to the present day, thus challenging the notion of transient fluvial response to seismic disturbance. The Pokhara valley features one of the largest and most extensively dated sedimentary records of earthquake-triggered sedimentation in the Himalayas, and independently augments paleo-seismological archives obtained mainly from fault trenches and historic documents. New radiocarbon dates from the catastrophically deposited Pokhara Formation document multiple phases of extremely high geomorphic activity between ˜700 and ˜1700 AD, preserved in thick sequences of alternating fluvial conglomerates, massive mud and silt beds, and cohesive debris-flow deposits. These dated fan-marginal slackwater sediments indicate pronounced sediment pulses in the wake of at least three large medieval earthquakes in ˜1100, 1255, and 1344 AD. We combine these dates with digital elevation models, geological maps, differential GPS data, and sediment logs to estimate the extent of these three pulses that are characterized by sedimentation rates of ˜200 mm yr-1 and peak rates as high as 1,000 mm yr-1. Some 5.5 to 9 km3 of material infilled the pre-existing topography, and is now prone to ongoing fluvial dissection along major canyons. Contemporary river incision into the Pokhara Formation is rapid (120-170 mm yr-1), triggering widespread bank erosion, channel changes, and very high sediment yields of the order of 103 to 105 t km-2 yr-1, that by far outweigh bedrock denudation rates

  13. Sustainable urban housing in Kathmandu, Nepal: Proposals and evaluations

    NASA Astrophysics Data System (ADS)

    Shrestha, Vikas

    Kathmandu Valley represents one of the oldest cultural hubs in the Himalayas. The historic towns in the valley consist of densely built traditional Chowk and Bahal houses with enclosed courtyards. With exposure to the outside world since 1951, the western style single-family detached house has become an image of the modern home and a status symbol. In the context of the exploding population, the prevailing trend of these free standing houses have exacerbated urban sprawl and led to inefficient use of the limited agricultural land in the valley. Devoid of shared open spaces, the new settlements lack play areas for children, places for social gathering and a sense of community. Building materials that are not manufactured locally must be trucked from India over the mountains. So is coal for the production of brick and cement, and diesel for transportation. Minimizing the amount of imported materials and energy used by these modern houses will reduce the environmental impact and also benefit the national economy. Kathmandu enjoys clear sky conditions during winter that makes passive solar design a potential strategy to achieve thermal comfort and eliminate kerosene heaters with their harmful effects. The abundance of rainfall during monsoon season makes rainwater collection a viable supplement to the unreliable municipal water supply. This dissertation creates three new housing prototypes that address all these issues. These prototypes are modern interpretations of the vernacular Chowk and Bahal, which create communal open space by grouping rowhouses around a common courtyard. Combining vernacular wisdom with the principles of sustainable design, these prototypes reduce land consumption; reduce resource consumption; create community open space; minimize imported materials; increase energy efficiency and thermal comfort; make homes and neighborhoods self sustainable for water supply and wastewater treatment; and altogether improve the quality of life. This dissertation

  14. Private Firms Run Two Mich. Districts

    ERIC Educational Resources Information Center

    Ash, Katie

    2013-01-01

    Educators and policy observers are keeping a close eye on two controversial experiments in private management of public schools now unfolding in the western Michigan city of Muskegon Heights and in the Detroit-area community of Highland Park. Citing chronic budget woes in the communities' low-performing school districts, Gov. Rick Snyder of…

  15. 76 FR 16809 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... Bureau of Land Management Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho... Interior, Bureau of Land Management (BLM) Twin Falls District Resource Advisory Council (RAC) and..., 2011. On April 27, 2011, the Twin Falls District RAC members will meet at the Best Western Sawtooth...

  16. 76 FR 79707 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-22

    ... Bureau of Land Management Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho... Interior, Bureau of Land Management (BLM) Twin Falls District Resource Advisory Council (RAC) and..., 2012, the Twin Falls District RAC members will meet at the Best Western Sawtooth Inn at 2653 S....

  17. The Himalayas of Nepal, a natural laboratory for the search and measurement of CO2 discharge

    NASA Astrophysics Data System (ADS)

    Girault, Frédéric; Koirala, Bharat P.; Bhattarai, Mukunda; Rajaure, Sudhir; Richon, Patrick; Perrier, Frédéric

    2010-05-01

    : the presence of a hot spring with high δ13C, of H2S smell, of hot spots in thermal images, of a geological contact, of self-potential anomalies (Byrdina et al., Journal of Geophysical Research, 2009) or of large radon-222 flux. Preliminary results about the failures or successes of the various methods will be given in the Trisuli and Langtang valleys (Central Nepal), in the Kali Gandaki valley (Western Nepal) and in the Thuli Bheri valley (Lower Dolpo, Far Western Nepal). These various sites also offer an opportunity to test the optimal estimation of total CO2 flux, using the least amount of experimental measurements. Preliminary results complemented by simulations will also be given on the total CO2 flux. In parallel, monitoring methods are being studied in the Syabru-Bensi pilot site. First, CO2 flux has been studied as a function of time using repeated measurements. Furthermore, the high radon content of the geological CO2 allows cost-effective monitoring using BARASOL probes. More than two years of data are already available and give hints on the use of radon to follow CO2 discharge as a function of time. These first results show how experimental studies carried out in natural discharge zones provide a rich laboratory to test the methodological approaches useful for CO2 leakage and monitoring.

  18. Women's Participation in Higher Education: China, Nepal, and the Philippines.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    These studies of the involvement of women in higher education in China, Nepal, and the Philippines provide a common framework for analysis. Each study is organized around five broad areas: socio-cultural factors, politico-economic factors, ideological factors, legal factors, and infrastructural factors. An analysis of the progress of women's…

  19. Cultural Anarchism: The Consequences of Privileging Languages in Nepal

    ERIC Educational Resources Information Center

    Giri, Ram Ashish

    2010-01-01

    Nepali, the official language of administration of Nepal, has been privileged through systematic political manoeuvres throughout its history. English also enjoys special status and privileges, and despite the fact that it is officially only a "foreign" language, in practice it is one of the most dominant languages in educational and…

  20. Retrospective Descriptive Study of Cerebral Palsy in Nepal

    ERIC Educational Resources Information Center

    Thapa, Ritesh

    2016-01-01

    There is very little data pertaining to cerebral palsy (CP) from Nepal. In this retrospective study it was observed that dyskinetic CP was seen in 29% and the sex ratio of males to females was two in the study population of children with CP. Both of these are much higher than data from developed countries. Hence, further randomized cross-sectional…

  1. Uneven Terrain: Educational Policy and Equity in Nepal

    ERIC Educational Resources Information Center

    Shields, Robin; Rappleye, Jeremy

    2008-01-01

    This paper investigates the relationship between educational policy, equity, and national development in Nepal. It argues that current inequities in educational opportunities and outcomes are largely attributable to persistent inequities and biases in the educational policy framework. We begin by surveying the complex, multifaceted reality of…

  2. Beyond Bilingual Education: Multilingual Language Education in Nepal

    ERIC Educational Resources Information Center

    Taylor, Shelley K.

    2010-01-01

    The purpose of this paper is to describe the framework for implementing multilingual language education (MLE) countrywide in Nepal. I outline key tenets of MLE, explain the rationale for implementing it in the Nepali context, and describe the MLE framework that formed the basis of trainer workshops. The framework is divided into 7 topics: 4 of…

  3. Nepal: Civic and Voter Education. Quarterly Reports, 2001.

    ERIC Educational Resources Information Center

    National Democratic Inst. for International Affairs, Washington, DC.

    The lack of confidence the people of Nepal feel about their political process is due, in part, to the majority's unfamiliarity with, and lack of participation in, their democratic institutions. Since 1994, the National Democratic Institute (NDI) has been partaking in a broader national effort to increase Nepalis contributions to their governing…

  4. Global projects and Astronomy awareness activities in Nepal

    NASA Astrophysics Data System (ADS)

    Gautam, Suman

    2015-08-01

    Modern astronomy is a crowning achievement of human civilization which inspires teenagers to choose career in science and technology and is a stable of adult education. It is a unique and cost effective tool for furthering sustainable global development because of its technological, scientific and cultural dimensions which allow us to reach with the large portion of the community interact with children and inspire with our wonderful cosmos.Using astronomy to stimulate quality and inspiring education for disadvantaged children is an important goal of Nepal Astronomical Society (NASO) since its inception. NASO is carrying out various awareness activities on its own and in collaboration with national and international organizations like Central Department of Physics Tribhuvan University (TU), International astronomical Union (IAU), Department of Physics Prithvi Narayan Campus Pokhara, Nepal academy of science and technology (NAST), Global Hands on Universe (GHOU), EU- UNAWE and Pokhara Astronomical Society (PAS) to disseminate those activities for the school children and teachers in Nepal. Our experiences working with kids, students, teachers and public in the field of universe Awareness Activities for the school children to minimize the abstruse concept of astronomy through some practical approach and the project like Astronomy for the visually impaired students, Galileo Teacher Training program and International School for young astronomers (ISYA) outskirts will be explained which is believed to play vital role in promoting astronomy and space science activities in Nepal.

  5. Differentiation, Development, (Dis)Integration: Education in Nepal's "People's War"

    ERIC Educational Resources Information Center

    Shields, Robin; Rappleye, Jeremy

    2008-01-01

    A violent conflict between Maoist insurgents and the national government has engulfed Nepal for most of the last decade, a situation that has been complicated by deep-seated instability at the highest levels of the government itself. Even with the declaration of a ceasefire in 2006, violence endures in pockets of lawless banditry and unrest at the…

  6. Menstruation and Education in Nepal. NBER Working Paper No. 14853

    ERIC Educational Resources Information Center

    Oster, Emily; Thornton, Rebecca

    2009-01-01

    This paper presents the results from a randomized evaluation that distributed menstrual cups (menstrual sanitary products) to adolescent girls in rural Nepal. Girls in the study were randomly allocated a menstrual cup for use during their monthly period and were followed for fifteen months to measure the effects of having modern sanitary products…

  7. Comparative Policy Brief: Status of Intellectual Disabilities in Nepal

    ERIC Educational Resources Information Center

    Crishna, Brinda; Prajapati, Surya Bhakta

    2008-01-01

    In Nepal, the estimates of the prevalence of disabilities vary, and there is sparse information specifically about people with intellectual disabilities (ID). Existing data suggest higher rates of prevalence of ID in the more remote northern area due to use of non-iodized salt, lack of health facilities, and extreme poverty. Superstitious beliefs…

  8. Corporal Punishment in Private Schools: The Case of Kathmandu, Nepal

    ERIC Educational Resources Information Center

    Khanal, Jeevan; Park, Sae-Hoon

    2016-01-01

    The purpose of this study was to elaborate the situation of corporal punishment which is being practiced in Nepalese schools going against new policies that promote the non-violence teaching. It was based on original qualitative study of one private school of Kathmandu (the capital city of Nepal) having more than 2000 students and 100 teachers.…

  9. Action Learning in ActionAid Nepal: A Case Study

    ERIC Educational Resources Information Center

    Lustig, Patricia; Rai, Deep Ranjani

    2009-01-01

    This article describes an example of how action learning was used as a framework for an organisational intervention to fundamentally change the organisational culture over a period of time. It also identifies our learning over that period of time and what worked well (and not so well) in an International Non-Governmental Organisation in Nepal.

  10. Molecular Epidemiology of Helicobacter pylori Infection in Nepal: Specific Ancestor Root

    PubMed Central

    Miftahussurur, Muhammad; Sharma, Rabi Prakash; Shrestha, Pradeep Krishna; Suzuki, Rumiko; Uchida, Tomohisa; Yamaoka, Yoshio

    2015-01-01

    Prevalence of Helicobacter pylori infection in Nepal, a low-risk country for gastric cancer, is debatable. To our knowledge, no studies have examined H. pylori virulence factors in Nepal. We determined the prevalence of H. pylori infection by using three different tests, and the genotypes of virulence factors were determined by PCR followed by sequencing. Multilocus sequence typing was used to analyze the population structure of the Nepalese strains. The prevalence of H. pylori infection in dyspeptic patients was 38.4% (56/146), and was significantly related with source of drinking water. In total, 51 strains were isolated and all were cagA-positive. Western-type-cagA (94.1%), cagA pre-EPIYA type with no deletion (92.2%), vacA s1a (74.5%), and m1c (54.9%) were the predominant genotypes. Antral mucosal atrophy levels were significantly higher in patients infected with vacA s1 than in those infected with s2 genotypes (P = 0.03). Several Nepalese strains were H. pylori recombinants with genetic features of South Asian and East Asian genotypes. These included all East-Asian-type-cagA strains, with significantly lesser activity and inflammation in the corpus than the strains of the specific South Asian genotype (P = 0.03 and P = 0.005, respectively). Although the population structure confirmed that most Nepalese strains belonged to the hpAsia2 population, some strains shared hpEurope- and Nepalese-specific components. Nepalese patients infected with strains belonging to hpEurope showed higher inflammation in the antrum than strains from the Nepalese specific population (P = 0.05). These results support that ancestor roots of Kathmandu`s people not only connected with India alone. PMID:26226153

  11. Dengue virus and Japanese encephalitis virus epidemiological shifts in Nepal: a case of opposing trends.

    PubMed

    Dumre, Shyam P; Shakya, Geeta; Na-Bangchang, Kesara; Eursitthichai, Veerachai; Rudi Grams, Hans; Upreti, Senendra R; Ghimire, Prakash; KC, Khagendra; Nisalak, Ananda; Gibbons, Robert V; Fernandez, Stefan

    2013-04-01

    We report on the changing epidemiology of two important flaviviruses in Nepal: Japanese encephalitis (JE) and dengue viruses. Morbidity and mortality in Nepal is in the thousands since JE was introduced in 1978. Nepal launched an extensive laboratory-based JE surveillance in 2004. Nepal experienced a remarkable reduction in disease burden after mass immunizations from 2005 to 2010, when 2,040 JE infections and 205 JE-related deaths were confirmed. With its emergence in 2006, dengue has become a significant challenge in the country, highlighted by a sudden outbreak in 2010 that resulted in 359 confirmed dengue infections. Currently, both viruses cocirculate in Nepal. Here, we document the remarkable expansion of dengue in Nepal, which urgently requires national surveillance to refine the burden and make recommendations regarding control and prevention programs. We believe that the use of existing JE surveillance network for integrated dengue surveillance may represent the most appropriate alternative.

  12. Dental hygienists on top of the world: supporting oral health education in Nepal.

    PubMed

    Knevel, R J M

    2005-11-01

    This article describes the oral health situation in Nepal. Based on research and strategic planning reports from the WHO and the Ministry of Health in Nepal the value of Oral Health Promotion in Nepal is being promoted. The implications of possible dental treatment and/or oral health promotions are being discussed. A plan for support of improvement of the oral health in Nepal is presented. The main focus is the support of the development of the dental hygiene education and profession in Nepal. Another focus of attention is the ability of dental hygienists in Nepal to develop them individually and to create independent professionalization. This article forms the basis for developing a 5-year collaborative programme with Kantipur School of Dentistry and the Dental Hygiene Education, Amsterdam. It can be a means to inspire dental hygienists around the world to put efforts into improving oral health in developing countries.

  13. 21 Ma Eclogite From the Main Central Thrust Sheet, Eastern Nepal Himalaya

    NASA Astrophysics Data System (ADS)

    Corrie, S. L.; Kohn, M. J.; Vervoort, J. D.; Parkinson, C. D.

    2007-12-01

    Though uncommon throughout the Himalaya, eclogites have been documented in the Kaghan Valley of Pakistan, the Tso Morari dome in India, the Kharta region of Tibet, and the Makalu-Everest region of the Arun River valley in eastern Nepal. The Kaghan and Tso Morari UHP eclogites have been dated at ~50 Ma, and are commonly viewed as reflecting aborted subduction of the leading edge of the Indian plate during the initial stages of Indo- Asian collision. Here we show that the Arun eclogites are significantly younger, only ~21 Ma, so reflect either different origins, or substantial time lags in tectonics along strike. The Arun eclogites are stratigraphically continuous with the surrounding Greater Himalayan Sequence (GHS) felsic gneisses, and have been interpreted as metamorphosed basaltic sills. P-T conditions have been estimated at >14 kbar at 670-710 °C. The GHS in this region overlies Lesser Himalayan rocks along the Main Central Thrust (MCT), which can be traced for over 2000 km along strike. Lu-Hf dates from garnet separates in one relict eclogite indicate an age of 20.7±0.4 Ma (MSWD = 2.2). Five garnet amphibolites from nearby were also dated via Lu-Hf, and their ages range from 14-20 Ma (13.9±2.5, 14.1±0.3, 14.5±2.8, 15.1±0.6, and 19.8±1.1 Ma). The ~21 Ma age obtained from the eclogite postdates eclogite ages from the western Himalaya (Kaghan and Tso Morari) by ~30 Myr, and has important implications for tectonic models of Himalayan orogenesis. One possible model is that (aborted) subduction, slab breakoff, and ascent of India's leading edge occurred diachronously: ~50 Ma in the western Himalaya, ~20 Ma in eastern Nepal, and presumably even younger in the eastern Himalaya. Alternatively, because the Arun eclogites did not reach ultra-high pressure conditions seen by western eclogites (only ≥45, not ≥90 km depth), they may simply reflect deepening or longer transport of the MCT in the Arun area. Regardless, a ~21 Ma age for these eclogites combined with

  14. Modifying and Validating the Composite International Diagnostic Interview (CIDI) for Use in Nepal

    PubMed Central

    Ghimire, Dirgha J.; Chardoul, Stephanie; Kessler, Ronald C.; Axinn, William G.; Adhikari, Bishnu P.

    2012-01-01

    Background Efforts to develop and validate fully-structured diagnostic interviews of mental disorders in non-Western countries have been largely unsuccessful. However, the principled methods of translation, harmonization, and calibration that have been developed by cross-national survey methodologists have never before been used to guide such development efforts. The current report presents the results of a rigorous program of research using these methods designed to modify and validate the Composite International Diagnostic Interview (CIDI) for an epidemiological survey in Nepal. Methods A five-step process of translation, harmonization, and calibration was used to modify the instrument. A blinded clinical reappraisal design was used to validate the instrument. Results Preliminary interviews with local mental health expert led to a focus on major depressive episode, mania/hypomania, panic disorder, post-traumatic stress disorder, generalized anxiety disorder, and intermittent explosive disorder. After an iterative process of multiple translations-revisions guided by the principles developed by cross-national survey methodologists, lifetime DSM-IV diagnoses based on the final Nepali CIDI had excellent concordance with diagnoses based on blinded SCID clinical reappraisal interviews. Conclusions Valid assessment of mental disorders can be achieved with fully-structured diagnostic interviews even in low-income non-Western settings with rigorous implementation of replicable developmental strategies. PMID:23494758

  15. Buddha's birthplace (Lumbini, Nepal) is polluted

    NASA Astrophysics Data System (ADS)

    Rupakheti, Dipesh; Adhikary, Bhupesh; Praveen Puppala, Siva; Kang, Shichang; Naja, Manish; Panday, Arnico; Zhang, Qianggong; Rupakheti, Maheswar; Mahata, Khadak; Lawrence, Mark

    2016-04-01

    Lumbini, in southern Nepal, is a UNESCO world heritage site of universal value as the birthplace of the Buddha. Poor air quality in Lumbini and surrounding regions is a great concern for public health as well as for preservation, protection and promotion of Buddhist heritage and culture. Measurements of the ambient concentrations of key air pollutants (BC, PM, CO, O3) were conducted in Lumbini, first of its kind in Lumbini, during an intensive measurement period of three months (April-June 2013) in the pre-monsoon season. The measurements were carried out as a part of the international air pollution measurement campaign; SusKat-ABC (Sustainable Atmosphere for the Kathmandu Valley - Atmospheric Brown Clouds). Hourly average concentrations were: BC: 4.9±3.8 (0.3-29.9) μg/m3; CO: 344.1±160.3 (124.9-1429.7) ppbv; O3: 46.6±20.3 (0.85-118.1) ppbv; PM10: 128.8±91.9 (10.5-603.9) μg/m3; and PM2.5: 53.1±35.1 (6.1-272.2) μg/m3. These levels are comparable to heavily polluted sites in the region. The 24-h average PM2.5 and PM10 concentrations frequently (94% and 85%, respectively, of the sampled period) exceeded the WHO guideline, which implies significant health risks for the residents and visitors in the region. Clear diurnal cycles were observed for the pollutants. Occurrences of peak concentrations during the study period were due to regional forest fires and meteorological conditions conducive of transport to Lumbini. The WRF-STEM model was used to simulate the meteorology and the pollution concentration, and showed the model concentration to be lower by a factor of ~1.4-5, even though the model was able to capture the observed variability. Regionally tagged CO tracers and the chemical composition of fine mode PM2.5 was obtained from the model. The aerosol spectral light absorption coefficients obtained from Lumbini indicated presence of BC from both biomass burning and fossil fuel combustion, with more than half of the ambient BC attributable to fossil fuel

  16. Sexual health knowledge, sexual relationships and condom use among male trekking guides in Nepal: a qualitative study.

    PubMed

    Simkhada, Padam; van Teijlingen, Edwin R; Regmi, Pramod R; Bhatta, Prakash

    2010-01-01

    People in Nepal generally hold fairly traditional views about sex and sexual health, whilst Western tourists often have a more liberal approach towards sex and relationships. There is evidence that significant sexual interaction occurs between male trekking guides and female travellers and/or local female sex workers in Nepal. This qualitative study explored trekking guides' sexual health knowledge, sexual relationships and condom use with female trekkers and local female sex workers. A total of 21 in-depth interviews were conducted with male trekking guides. Most reported having had sexual relationships with female trekkers and local female sex workers. Explanations for intercourse with female trekkers included: financial support; getting future trekkers through word-of-mouth advertising from the women they have had sex with; and opportunities for emigration. Interestingly, sexual intercourse is reported as more likely to be initiated by female trekkers than by guides, and more so by older women. In contrast, the main reasons for having sex with local female sex workers included: romantic love or sexual excitement and novelty. Awareness regarding sexual health was high among guides, but several factors discouraged the regular use of condoms. Further research with female tourists would help understand the motivations and reasons for their sexual behaviour.

  17. Intervention studies on rational use of drugs in public and private sector in Nepal.

    PubMed

    Kafle, Kumud Kumar; Shrestha, Naveen; Karkee, Shiba Bahadur; Prasad, Radha Raman; Bhuju, Gajendra Bahadur; Das, Prabhakar Lal

    2005-06-01

    In developing countries, inappropriate, inefficient and ineffective use of pharmaceuticals have resulted into the poor health and medical cares for the community people. For improving the situation, various interventions have been tested and proved effective in different settings. In Nepal also, various strategies have been tested and found effective to improve the prescribing and dispensing practices. This paper has examined the process and results of different studies. The educational intervention, the training has not been effective in improving the prescribing practices but has limited effect on dispensing practices in the public sector. However, it becomes effective in improving prescribing practices if combined with a managerial intervention e.g. peer-group discussion. In private sector, training alone is effective in changing the drug recommendation practices of retailers. But none of interventions have been found to be effective in improving dispensing practices. After examining the effectiveness of different interventions, training combined with peer-group discussion is recommended for piloting in all Primary Health Care (PHC) outlets of a district to improve the prescribing practices. For improving the dispensing practices in both public and private sector, additional studies have to be carried out using different strategies.

  18. Consequence of indoor air pollution in rural area of Nepal: a simplified measurement approach.

    PubMed

    Ranabhat, Chhabi Lal; Kim, Chun-Bae; Kim, Chang-Soo; Jha, Nilambar; Deepak, K C; Connel, Fredric A

    2015-01-01

    People of developing countries especially from rural area are commonly exposed to high levels of household pollution for 3-7 h daily using biomass in their kitchen. Such biomass produces harmful smoke and makes indoor air pollution (IAP). Community-based cross-sectional study was performed to identify effects of IAP by simplified measurement approach in Sunsari District of Nepal. Representative samples of 157 housewives from household, involving more than 5 years in kitchen were included by cluster sampling. Data were analyzed by SPSS and logistic regression was applied for the statistical test. Most (87.3%) housewives used biomass as a cooking fuel. Tearing of eyes, difficulty in breathing, and productive cough were the main reported health problems and traditional mud stoves and use of unrefined biomass were statistically significant (p < 0.05) and more risk (AOR > 2) with health problems related to IAP. The treatment cost and episodes of acute respiratory infection was >2 folders higher in severe IAP than mild IAP. Simplified measurement approach could be helpful to measure IAP in rural area. Some effective intervention is suggested to reduce the severe level of IAP considering women and children.

  19. Scientific validation of medicinal plants used by Yakkha community of Chanuwa VDC, Dhankuta, Nepal.

    PubMed

    Subba, Bimala; Srivastav, Chitranjan; Kandel, Ram Chandra

    2016-01-01

    Ethnobotanical knowledge is important among tribal people, but much of the information is empirical due to the lack of scientific validation. The purpose of this study was to document the medicinal plants used by an ethnic group (Yakkha) at Chanuwa VDC of Dhankuta district in Nepal and to validate scientifically in the use of plants based on results of phytochemical, antimicrobial and antioxidant property analyses and available literature reports. Data were collected through interviews of the Yakkha people with the help of a semi-structured questionnaire and the guided field walk method. A total of 30 different medicinal plants were recorded along with their vernacular names (for few plants) used by the Yakkha community's people. Literature review reveals that most of the plant species described herein have also been used in other countries, too. Among 30 plants selected for this study methanol extract of five ethno-medicinal plants viz., Dendrocnide sinuata, Solanum anguivi, Pogostemon cablin, Boehmeria platyphylla and Clerodendrum trichotomum and ethanol extract of C. trichotomum were subjected for antibacterial and antioxidant properties. The antimicrobial activities were measured using the paper disc diffusion method. The antioxidant properties of plants were measured by DPPH and FRAP reduction assay. Among all extracts, ethanol extract of C. trichotomum and methanol extract of B. platyphylla displayed the highest antibacterial and antioxidant activities, respectively.

  20. Regional downscaling of global climate runs for Nepal

    NASA Astrophysics Data System (ADS)

    Granerød, M.; Mesquita, M. D.; Basnayake, S.

    2011-12-01

    Nepal is a vulnerable country to changes in climate. This is mainly due to its dependency on water resources from the Himalayas. There is evidence of significant warming in Nepal, with an average trend of around +0.06 degrees Celsius per year. Studies have shown that the warming rates are higher in higher altitudes. Such temperature trend will have an impact on the melting of the glaciers and consequently on Nepal. Precipitation has also been observed to have increased, but not at the same magnitude as temperature. The water supply is affected by more unpredictable precipitation that can lead to droughts and shorter heavy rainfall. Future projections can give an indication whether these factors will affect river runoff, which can have large impacts on agriculture and in other sectors. Global Climate Models (GCMs) have a coarse resolution and limitations in the numerical and in the physical treatment. More detailed climate datasets are needed to produce climate projections for countries like Nepal. In this study, we use the climate version of the Weather Research and Forecasting model (clWRF3.1.1, developed at the University of Cantabria, Spain), which is a regional climate model (RCM), to provide a more detailed description of future climate scenarios in Nepal. The Atmospheric General Circulation Model, ARPEGE, has been used to provide lateral boundary conditions for the model evaluation. A control simulation from 1970 to 2000, and 4 future climate scenario runs from 2030 to 2060 are created based on these data. The parent domain has a horizontal grid resolution of 48 km, covering the area 68 to 100 degrees East and 1 degree South to 38 degree North. The nested domain has a horizontal grid resolution of 12 km, covering the area 79 to 90 degree East and 25 to 32 degree North. Both domains are run with 37 vertical levels reaching up to 50 hPa. In the clWRF setup, the microphysical scheme used is the WRF Single-Moment 3-class scheme and the cumulus option is the Grell

  1. Foreign Assistance and Its Impact on Civil-Military Relations: A Case Study of Federal Democratic Republic of Nepal

    DTIC Science & Technology

    2014-03-01

    China activities and keeping Nepal away from being too dependent in India. While assisting Kathmandu, Beijing is consciously making strategic inroads...112 Campbell, “Nepal Case Study,” 5. 113 M Humagain, “Aid Quantum : China the Rising Sun on Nepal Economic...military/library/congress/2006_hr/060407- hillen.pdf. Humagain, M. “Aid Quantum : China the Rising Sun on Nepal Economic Horizon.” Kathmandu Post

  2. 77 FR 54944 - In the Matter of the Designation of The Communist Party of Nepal (Maoist) Also Known as United...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... Matter of the Designation of The Communist Party of Nepal (Maoist) Also Known as United Revolutionary People's Council Also Known as People's Liberation Army of Nepal Also Known as CPN(M) Pursuant to Section... of Nepal (Maoist), also known as United Revolutionary People's Council, also known as...

  3. California's Districts of Choice

    ERIC Educational Resources Information Center

    Kronholz, June

    2014-01-01

    This article describes the results of a California state law established in 2010 that created "Districts of Choice." The District of Choice law was meant to encourage districts to compete for students by offering innovative programs and this-school-fits-my-child options that parents wanted. This designation meant that children from any…

  4. Human Trafficking in Nepal: Post-Earthquake Risk and Response.

    PubMed

    Gyawali, Bishal; Keeling, June; Kallestrup, Per

    2016-09-15

    As Nepal mourns the 1-year commemoration of the April 2015 earthquake and its aftershocks that killed more than 8500 people and left thousands injured and displaced, other more hidden repercussions of the resultant chaotic environment need attention: the increased risk of human trafficking. Considering that natural disasters provide a milieu for this illicit trade, there is a need for a robust response from stakeholders such as donors, civil society organizations, and government organizations against human trafficking following disasters such as the Nepal earthquake. Responsibility to prevent and fight trafficking should be explicitly included in the mandate of relief and rehabilitation mechanisms set up at the national level to coordinate the disaster relief response, serving to support populations in both rural and urban areas. (Disaster Med Public Health Preparedness. 2016;page 1 of 2).

  5. Conflict resilience among community forestry user groups: experiences in Nepal.

    PubMed

    Nightingale, Andrea; Sharma, Jeevan Raj

    2014-07-01

    This paper explores the impact of violent conflict in Nepal on the functioning of community forestry user groups (CFUGs), particularly those supported by the Livelihoods and Forestry Programme, funded by the United Kingdom's Department for International Development (DFID). The key questions are: (i) what explains the resilience of CFUGs operating at the time of conflict?; (ii) what institutional arrangements and strategies allowed them to continue working under conflict conditions?; and (iii) what lessons can be drawn for donor-supported development around the world? The study contributes to other research on the everyday experiences of residents of Nepal living in a period of conflict. It suggests that CFUG resilience was the result of the institutional set up of community forestry and the employment of various tactics by the CFUGs. While the institutional design of community forestry (structure) was very important for resilience, it was the ability of the CFUGs to support and use it effectively that was the determining factor in this regard.

  6. Women and citizenship post‐trafficking: the case of Nepal

    PubMed Central

    Richardson, Diane; Laurie, Nina; Poudel, Meena; Townsend, Janet

    2016-01-01

    Abstract This article analyses the relationship between gender, sexuality and citizenship embedded in models of citizenship in the Global South, specifically in South Asia, and the meanings associated with having – or not having – citizenship. It does this through an examination of women's access to citizenship in Nepal in the context of the construction of the emergent nation state in the ‘new’ Nepal ‘post‐conflict’. Our analysis explores gendered and sexualized constructions of citizenship in this context through a specific focus on women who have experienced trafficking, and are beginning to organize around rights to sustainable livelihoods and actively lobby for changes in citizenship rules which discriminate against women. Building from this, in the final section we consider important implications of this analysis of post‐trafficking experiences for debates about gender, sexuality and citizenship more broadly. PMID:27642193

  7. Application of reliability concepts to the Nepal power system

    SciTech Connect

    Billinton, R.; Pandey, M.; Aboreshaid, S.; Fotuhi-Firuzabad, M.

    1995-12-31

    In many of the less industrialized countries throughout the world, reliability is incorporated in power system planning and operation using traditional deterministic techniques. This is the case with the Nepal Power System (NPS), where developed expansion plans have been based on non-probabilistic criteria. This paper illustrates the application of probabilistic methods to reliability evaluation of the NPS. Evaluations at both the generation and composite generation and transmission system levels have been performed. The overall system and nine major load centers have been assessed. These load points carry in total more than 54% of the system load. An assessment of an expansion plan proposed by the Nepal Electricity Authority (NEA) has been performed. The results indicate the reliability implications associated with the system and the proposed expansion plan, and show that quantitative reliability evaluation of the NPS is both possible and practical.

  8. Bear-inflicted injuries - a report from Nepal.

    PubMed

    Atreya, Alok; Kanchan, Tanuj; Nepal, Samata; Acharya, Jenash

    2016-06-01

    Upper Mustang in the Northern Himalayan range of Nepal is the home of brown bears (Ursusarctos). Low-plant biomass as a result of scanty rainfall in Upper Mustang is a reason for habitat overlap of humans and wild animals. Humans who enter into the wild to collect firewood and graze cattle are liable to wild animal attacks. Such attacks, especially by brown bears, are readily identified by the type of injuries. These are more commonly confined to head and neck regions. Cutting, gnawing and tearing by sharp teeth and claws produces specific pattern of injuries, which are devastating but seldom fatal. This article reports a rare case of brown bear injury inflicted upon a man from the Upper Mustang region in Nepal.

  9. Impact of disasters on child stunting in Nepal

    PubMed Central

    Gaire, Surya; Delbiso, Tefera Darge; Pandey, Srijana; Guha-Sapir, Debarati

    2016-01-01

    Background Stunting is a major public health problem that results from inadequate nutritional intake over a long period of time. Disasters have major implications in poor and vulnerable children. The aim of this study was, therefore, to assess the impact of disasters on child stunting in Nepal. Method A sample consisting of 2,111 children aged 6–59 months was obtained from the 2011 Nepal Demographic and Health Survey. We used bivariate and multivariate analyses to examine moderate and severe stunting against disaster, controlling for all possible confounders. Result Out of the total study sample, 43% were stunted (17.1% severely and 25.9% moderately). The final model, after adjusting for confounders, showed that epidemics have no impact on child stunting (adjusted odds ratio [OR] =1.14, 95% confidence interval [CI]: 0.66, 1.97 and adjusted OR =1.04, 95% CI: 0.66, 1.65 for severe and moderate stunting, respectively). Floods have impact on child stunting (adjusted OR =0.57, 95% CI: 0.31, 0.96 and adjusted OR =0.66, 95% CI: 0.41, 0.94 for severe and moderate stunting, respectively). However, children aged 6–11 months, nonvaccinated children, children of working women, children who live in mountainous areas, and children from the poorest households were more likely to be moderately stunted. Similarly, children aged 36–47 months, Dalit and other ethnic groups, children from rural settings, and children from the poorest households were more likely to be severely stunted. Conclusion This article illustrates the need to rethink about child stunting in Nepal. This study suggests need for further research, integration of disaster data in the Nepal Demography Health Survey, educational interventions, public awareness, promotion of vaccination, and equity in health service delivery. PMID:27354834

  10. Collection and trade of wild-harvested orchids in Nepal

    PubMed Central

    2013-01-01

    Background Wild orchids are illegally harvested and traded in Nepal for use in local traditional medicine, horticulture, and international trade. This study aims to: 1) identify the diversity of species of wild orchids in trade in Nepal; 2) study the chain of commercialization from collector to client and/or export; 3) map traditional knowledge and medicinal use of orchids; and 4) integrate the collected data to propose a more sustainable approach to orchid conservation in Nepal. Methods Trade, species diversity, and traditional use of wild-harvested orchids were documented during field surveys of markets and through interviews. Trade volumes and approximate income were estimated based on surveys and current market prices. Orchid material samples were identified to species level using a combination of morphology and DNA barcoding. Results Orchid trade is a long tradition, and illegal export to China, India and Hong Kong is rife. Estimates show that 9.4 tons of wild orchids were illegally traded from the study sites during 2008/2009. A total of 60 species of wild orchids were reported to be used in traditional medicinal practices to cure at least 38 different ailments, including energizers, aphrodisiacs and treatments of burnt skin, fractured or dislocated bones, headaches, fever and wounds. DNA barcoding successfully identified orchid material to species level that remained sterile after culturing. Conclusions Collection of wild orchids was found to be widespread in Nepal, but illegal trade is threatening many species in the wild. Establishment of small-scale sustainable orchid breeding enterprises could be a valuable alternative for the production of medicinal orchids for local communities. Critically endangered species should be placed on CITES Appendix I to provide extra protection to those species. DNA barcoding is an effective method for species identification and monitoring of illegal cross-border trade. PMID:24004516

  11. A Partnership in Burn Care Education - Nepal and Australia

    PubMed Central

    Edgar, D; Tonkin, C.; Baker, T.; Goodwin-Walters, A.; Wood, F.

    2005-01-01

    Summary This paper describes some of the issues related to an education partnership which has been developed over the last four years between the Royal Perth Hospital Burn Team in Australia and the Bir Hospital Burn Team in Kathmandu, Nepal. The paper provides an insight into the preparation and collaboration required from both teams and describes some practical ideas to assist those who may be considering educating others in a developing burn service outside their catchment area. PMID:21991002

  12. Infestation of people with lice in Kathmandu and Pokhara, Nepal.

    PubMed

    Poudel, S K S; Barker, S C

    2004-06-01

    The prevalence of infestation with head lice and body lice, Pediculus spp. (Phthiraptera: Pediculidae) and pubic (crab) lice Pthirus pubis (L.) (Phthiraptera: Pthiridae), was recorded from 484 people in Nepal. The prevalence of head lice varied from 16% in a sample of people aged 10-39 years of age, to 59% in street children. Simultaneous infestations with head and body lice (double infestations) varied from 18% in slum children to 59% in street children.

  13. Symptom Recognition to Diagnosis of Autism in Nepal

    ERIC Educational Resources Information Center

    Shrestha, Merina; Shrestha, Rena

    2014-01-01

    Awareness and knowledge about autism is almost non-existent in Nepal. Children who eventually get the diagnosis often miss their opportunity for early intervention. The current study shows that medical help was seeked at mean age of 27.9 + 14.5 months and most of them were for delayed language and the first preference for parents were…

  14. National health insurance policy in Nepal: challenges for implementation.

    PubMed

    Mishra, Shiva Raj; Khanal, Pratik; Karki, Deepak Kumar; Kallestrup, Per; Enemark, Ulrika

    2015-01-01

    The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9%) and rural (59%) discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015), the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS) after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal.

  15. HIV-AIDS in Nepal: the coming crisis.

    PubMed

    Seddon, D

    1998-01-01

    The number of officially reported cases of HIV infection and of AIDS in Nepal remains low in comparison with numbers in many other Asian countries. But Nepal's open border with India (where HIV infection rates are rapidly rising) and the high level of physical mobility within Nepal and abroad, associated with widespread labor migration and encouraged by the recent development of road transport, means that there is a real danger of a rapid spread of HIV within Nepal. The major means of infection is through heterosexual encounters involving male clients and female sex workers, but other sections of the population are also at risk from infection. Media attention has focused on female sex workers, particularly those who have worked in India, but the issue is far broader than this. Social and economic factors forcing or encouraging young men and women to seek employment away from home underlie the widespread growth of ¿the sex industry¿ and the ¿trafficking¿ of girls and young women. The state's capacity to respond effectively is limited, in part through lack of resources; international agencies are supporting local nongovernmental organizations in a variety of activities designed to ¿educate¿ and to ¿support¿ those at risk; but in the last analysis, it is the local communities from which young men and women migrate and to which they return that are obliged to find ways of coping. Sometimes these communities are supportive of the victims, sometimes not. The spread of HIV-AIDS is not just a ¿health¿ issue, but an issue of economic and social development, of gender relations and of human rights.

  16. Landslide distribution resulting from the 2015 Gorkha, Nepal earthquake sequence

    NASA Astrophysics Data System (ADS)

    Collins, B. D.; Jibson, R.

    2015-12-01

    Thousands of landslides (predominantly rock slides and rock falls) were triggered as a result of the 2015 Gorkha, Nepal earthquake sequence. Given the steep, high relief of the epicentral zones and the widely distributed population of Nepal in these regions, hundreds of fatalities occurred as a direct result of landsliding. Further, roads, hydroelectric plants, and other critical infrastructure were subjected to considerable secondary hazards including highly weakened slopes and inundation from lake impoundments that formed upslope of valley-blocking landslide dams. As part of a humanitarian and scientific mission to Nepal supported by the U.S. Agency for International Development, Office of Foreign Disaster Assistance, we conducted landslide assessments throughout earthquake-affected areas (report available at http://dx.doi.org/10.3133/ofr20151142) and, in the process, developed a sense for the overall landslide distribution resulting from the earthquakes. Whereas landslides were abundant near the major earthquake epicenters, few landslides were observed in many steep areas of the country where effects would normally have been expected. For example, although avalanches and ice and rock falls occurred near Mt. Everest, located approximately 220 km from the April 25 epicenter, we noted few landslides in a similar area of steep terrain located 40 km closer to the epicenter. Similarly, although we noted entire mountainsides covered by landslides within 20 km of the mainshock epicenter, we observed many other mountainsides within this same region lacking any indication of ground disturbance. Observations of shattered ridgetops with ridge parallel fractures at several locations indicate that topographically-amplified ground shaking occurred in some areas. This, along with the complex geology and the asymmetric directionality of rupture, could help explain the landslide distribution and thus where hazards are most likely from similar future earthquakes in central Nepal.

  17. 10. DETAIL, NORTH FRONT, WESTERN SECTION OF MAIN BLOCK AND ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    10. DETAIL, NORTH FRONT, WESTERN SECTION OF MAIN BLOCK AND WEST WING, ROOF LINE - Smithsonian Institution Building, 1000 Jefferson Drive, between Ninth & Twelfth Streets, Southwest, Washington, District of Columbia, DC

  18. Intestinal parasitic infections among patients attending Nepal Medical College Teaching Hospital, Kathmandu, Nepal.

    PubMed

    Agrawal, P K; Rai, S K; Khanal, L K; Ghimire, G; Banjara, M R; Singh, A

    2012-06-01

    This study was conducted to find out the prevalence of intestinal parasitic infection among patients attending Nepal Medical College Teaching Hospital, Kathmandu from July 2011 to February 2012. A total of 312 stool samples collected in a clean, dry screw capped plastic container were examined using the formal-ether concentration and sucrose-flotation techniques. Overall parasite positivity rate was 30.1% with significant difference between males (34.2%) and Female (26.3%) (p < 0.05). Out of total positive, 90.4% had single parasitism whereas 9.6% had multiple parasitism. Children aged < or = 5 years were found to be highly infected (35.8%), followed by 6-15 years (32.1%) and > 15 years old (26.9%). Rate of infection was significantly higher among patients from inside Kathmandu Valley (31.1%) than outside valley (17.4%) (p < 0.05). E. histolytica (38.5%) and Hookworm (10.6%) were the commonest protozoa and helminthes respectively. Other parasites detected were G. lamblia (26.0%), E. coli (1.0%), T. trichiura (7.7%), A. lumbricoides (6.7%), H. nana (5.8%) and Taenia species (3.8%). Out of total parasites detected, 65.4% were protozoa and 34.6% were helminthes. Positive rate was higher in Dalit (37.5%) and Aadibasi-Janjati (34.3%) than Brahman-Chhetri (22.6%) (p < 0.05).

  19. Newborn Health Interventions and Challenges for Implementation in Nepal

    PubMed Central

    Khatri, Resham Bahadur; Mishra, Shiva Raj; Khanal, Vishnu; Gelal, Khageshwor; Neupane, Subas

    2016-01-01

    Neonatal mortality is a major challenge in reducing child mortality rates in Nepal. Despite efforts by the Government of Nepal, data from the last three demographic and health surveys show a rise in the contribution of neonatal deaths to infant and child mortality. The Government of Nepal has implemented community-based programs that were piloted and then scaled up based on lessons learned. These programs include, but are not limited to ensuring safe motherhood, birth preparedness package, community-based newborn care package, and integrated management of childhood illnesses. Despite the implementation of such programs on a larger scale, their effective coverage is yet to be achieved. Health system challenges included an inadequate policy environment, funding gaps, inadequate procurement, and insufficient supplies of commodities, while human resource management has been found to be impeding service delivery. Such bottlenecks at policy, institutional and service delivery level need to be addressed incorporating health information in decision-making as well as working in partnership with communities to facilitate the utilization of available services. PMID:26904534

  20. Distribution probability of large-scale landslides in central Nepal

    NASA Astrophysics Data System (ADS)

    Timilsina, Manita; Bhandary, Netra P.; Dahal, Ranjan Kumar; Yatabe, Ryuichi

    2014-12-01

    Large-scale landslides in the Himalaya are defined as huge, deep-seated landslide masses that occurred in the geological past. They are widely distributed in the Nepal Himalaya. The steep topography and high local relief provide high potential for such failures, whereas the dynamic geology and adverse climatic conditions play a key role in the occurrence and reactivation of such landslides. The major geoscientific problems related with such large-scale landslides are 1) difficulties in their identification and delineation, 2) sources of small-scale failures, and 3) reactivation. Only a few scientific publications have been published concerning large-scale landslides in Nepal. In this context, the identification and quantification of large-scale landslides and their potential distribution are crucial. Therefore, this study explores the distribution of large-scale landslides in the Lesser Himalaya. It provides simple guidelines to identify large-scale landslides based on their typical characteristics and using a 3D schematic diagram. Based on the spatial distribution of landslides, geomorphological/geological parameters and logistic regression, an equation of large-scale landslide distribution is also derived. The equation is validated by applying it to another area. For the new area, the area under the receiver operating curve of the landslide distribution probability in the new area is 0.699, and a distribution probability value could explain > 65% of existing landslides. Therefore, the regression equation can be applied to areas of the Lesser Himalaya of central Nepal with similar geological and geomorphological conditions.

  1. Bottlenecks and opportunities for delivering integrated pediatric HIV services in Nepal

    PubMed Central

    Diese, Mulamba; Shrestha, Lexman; Pradhan, Birendra; Singh, Dipendra; Raaijmakers, Hendrikus; Kisesa, Annefrida; Chamla, Dick; Ntambue, Mukengeshayi Abel

    2016-01-01

    Background In children, integration of HIV in MNCH services has been shown to incr. ease uptake of early infant diagnosis. This article examines bottlenecks and opportunities for scaling up integrated pediatric HIV services in Nepal. Methods This is a descriptive study using both mixed qualitative and quantitative methods, conducted in January 2015 in 19 facilities in five regions of Nepal most affected by HIV epidemic. The qualitative methods comprised in-depth structured interviews with key informants (leadership of The National Center for AIDS and STD Control and National Public Health Laboratory, district management teams, medical officers in charge of health facilities and HIV clinics, frontline staff at antenatal care and HIV clinics and laboratory). The quantitative methods were used to abstract data of HIV-infected pregnant women seen between January and December 2014, HIV-exposed infants aged less than 12 months, and HIV infected children aged less than 15 years who were initiated HIV treatment from 2010 to 2014. Structured tools were used to collect data which were analysed using IBM SPSS. Results Of the 19 facilities assessed, 18(98%), 18(98%), 14(75%), and 11(58%) provided prevention of mother-to-child transmission (PMTCT), Expanded Program on Immunization (EPI), pediatric ART and nutrition rehabilitation services, respectively. However, only 1(5%) facility collected onsite dried blood spots (DBS) for PCR HIV testing and 6(32%) facilities provided counselling and referral for DBS. In 2014, of the 121 HIV-exposed infants recorded, only 21(17%) received PCR test. The median turnaround time of the PCR test results was 54 days. Of the 21 records with PCR test, 11(52.5%) were from PMTCT clinics, 7(33%) from Nutritional rehabilitation clinics, and 3(14.5%) from pediatric outpatient clinic. Conversely, 934 children were initiated ART between 2010 and 2014, of which 5% were infants and 29% aged between 1 and 5 years. 298(32%) had comorbidities of which 64% had

  2. Free-Roaming Dogs in Nepal: Demographics, Health and Public Knowledge, Attitudes and Practices.

    PubMed

    Massei, G; Fooks, A R; Horton, D L; Callaby, R; Sharma, K; Dhakal, I P; Dahal, U

    2017-02-01

    In Nepal, most dogs are free to roam and may transmit diseases to humans and animals. These dogs often suffer from malnutrition and lack basic health care. Minimal information is available about their demographics and about public attitudes concerning dogs and diseases. We carried out a study in Chitwan District (central Nepal), to collect baseline data on free-roaming owned dog demographics, assess knowledge, attitudes and practices of dog owners concerning dogs and rabies, evaluate rabies vaccination coverage and anthelmintic treatment of dogs, measure dogs' response to rabies vaccination and assess dog health through body condition scores and parasites. We conducted household interviews with owners of free-roaming female dogs (n = 60) and administered dogs with rabies vaccination and anthelmintics. Dog owners regularly fed free-roaming dogs but provided minimal health care; 42% of respondents did not claim ownership of the dog for which they provided care. We collected skin, faecal and blood samples for parasite identification and for measuring rabies virus-specific antibodies. Ninety-two per cent of dog owners were aware of the routes of rabies virus transmission, but only 35% described the correct post-exposure prophylaxis (PEP) following a dog bite. Twenty-seven per cent of the dogs had measurable rabies virus-specific antibody titres and 14% had received anthelmintics in the previous year. Following rabies vaccination, 97% of dogs maintained an adequate antibody titre for ≥6 months. Most dogs appeared healthy, although haemoprotozoans, endoparasites and ectoparasites were identified in 12%, 73% and 40% of the dogs, respectively. Poor skin condition and parasite load were associated. Seventy-four per cent of the females had litters in 1 year (mean litter size = 4.5). Births occurred between September and February; we estimated 60% mortality in puppies. We concluded that vaccination coverage, PEP awareness and anthelmintic treatment should be

  3. When I Give, I Own: Building Literacy through READ Community Libraries in Nepal

    ERIC Educational Resources Information Center

    Neuman, Susan B.; Khan, Nafizuddin; Dondolo, Thamsanqa

    2008-01-01

    Under the auspices of the International Reading Association, an evaluation was conducted of Rural Education and Development (READ) program of creating community libraries in Nepal. READ set out to address the high rates of illiteracy and poverty in Nepal through the development of these libraries. To examine READ's approach, a team of…

  4. School Decentralisation in Nepal: A Disjuncture between Macro-Level Advocacy and Micro-Level Reality?

    ERIC Educational Resources Information Center

    Khanal, Peshal

    2010-01-01

    While school decentralisation policy in Nepal has been taking effect for more than 8 years with the financial and technical assistance of the World Bank, confusion and controversy have been prevalent in relation to its goals, outcomes and sustainability. This article explores the issues of school decentralisation in Nepal by relating the Bank's…

  5. Determinants of Child Immunization in Nepal: The Role of Women's Empowerment

    ERIC Educational Resources Information Center

    Pandey, Shanta; Lee, Hae nim

    2012-01-01

    Background: Approximately 1.4 million or 13% of all children who die each year could be prevented with widely-available vaccines. Objective: We examined if women's empowerment improved child immunization using data on 1,056 mothers with young children from Nepal. Methods: The study utilized the 2006 Nepal Demographic and Health Survey, a…

  6. Does Private School Competition Improve Public School Performance? The Case of Nepal

    ERIC Educational Resources Information Center

    Thapa, Amrit

    2013-01-01

    Using data from the survey of the Ministry of Education, Nepal-2005 for school leaving certificate (SLC) exam, this paper attempts to estimate the impact of private school competition on public school performance for the case of Nepal. The study uses the number of private schools in the neighborhood as a measure of competition. The identification…

  7. Public and Private School Performance in Nepal: An Analysis Using the SLC Examination

    ERIC Educational Resources Information Center

    Thapa, Amrit

    2015-01-01

    Using data from the survey of the Ministry of Education, Nepal-2005 for School Leaving Certificate Exam, this paper analyzes public and private school performance in Nepal. The ordinary least square estimates suggest that private school students perform better than public school students. However, the problem of self-selection bias arises, as…

  8. Overview of Integrated Child Development Services Programme in India: Some Policy Implications for Nepal.

    ERIC Educational Resources Information Center

    Shrestha, Kishor

    This paper presents an overview of the Integrated Child Development Services (ICDS) program in India, discusses the context of Early Childhood Education (ECE) in Nepal, analyzes the best practices of the ICDS, and draws some policy implications for improving ECE in Nepal. The ICDS program is an integrated child development program with the…

  9. Save the Children Nonformal Education and Early Childhood Development Activities in Rural Nepal.

    ERIC Educational Resources Information Center

    Reinhold, Amy Jo

    In 1981, Save the Children (SC) opened an office in Nepal to support projects related to health, education, income generation, and resource management. Statistics show that between 7 and 8 million of Nepal's 19 million people live below the poverty line, and almost 2 out of 3 adolescent girls do not attend school, placing the overall female…

  10. Exploring the Nature and Reasons for Sexual Violence within Marriage among Young Women in Nepal

    ERIC Educational Resources Information Center

    Puri, Mahesh; Shah, Iqbal; Tamang, Jyotsna

    2010-01-01

    Sexual violence within marriage (SVWM) is a major public health and human right issue and yet remains a much neglected research area, especially in Nepal. An exploratory study using free listing, in-depth case histories and causal flow analysis was conducted among two major ethnic groups in Nepal. Descriptive data collected from free listing…

  11. Epidemic of Hysteria in a School of Rural Eastern Nepal: A Case Report

    ERIC Educational Resources Information Center

    Shakya, Rabi

    2005-01-01

    Introduction: The headmaster of a school (NRMV) in rural eastern Nepal, pleaded for help from the public health Department of Psychiatry, BKIHS, Dharan, Nepal, to prevent closure of his school as guardians of many students refused to send their children to his school, which was supposedly haunted by evil spirits. The author, along with his staff,…

  12. The role of auxiliary nurse-midwives and community health volunteers in expanding access to medical abortion in rural Nepal.

    PubMed

    Puri, Mahesh; Tamang, Anand; Shrestha, Prabhakar; Joshi, Deepak

    2015-02-01

    Medical abortion was introduced in Nepal in 2009, but rural women's access to medical abortion services remained limited. We conducted a district-level operations research study to assess the effectiveness of training 13 auxiliary nurse-midwives as medical abortion providers, and 120 female community health volunteers as communicators and referral agents for expanding access to medical abortion for rural women. Interviews with service providers and women who received medical abortion were undertaken and service statistics were analysed. Compared to a neighbouring district with no intervention, there was a significant increase in the intervention area in community health volunteers' knowledge of the legal conditions for abortion, the advantages and disadvantages of medical abortion, safe places for an abortion, medical abortion drugs, correct gestational age for home use of medical abortion, and carrying out a urine pregnancy test. In a one-year period in 2011-12, the community health volunteers did pregnancy tests for 584 women and referred 114 women to the auxiliary nurse-midwives for abortion; 307 women in the intervention area received medical abortion services from auxiliary nurse-midwives. There were no complications that required referral to a higher-level facility except for one incomplete abortion. Almost all women who opted for medical abortion were happy with the services provided. The study demonstrated that auxiliary nurse-midwives can independently and confidently provide medical abortion safely and effectively at the sub-health post level, and community health volunteers are effective change agents in informing women about medical abortion.

  13. State of non-communicable diseases in Nepal

    PubMed Central

    2014-01-01

    Background The prevalence of Non Communicable Diseases (NCDs) is still unknown in Nepal. The Ministry of Health and Population, Government of Nepal has not yet formulated policy regarding NCDs in the absence of evidence based finding. The study aims to find out the hospital based prevalence of NCDs in Nepal, thus directing the concerned authorities at policy level. Methods A cross sectional study was conducted to identify the hospital based prevalence of 4 NCDs (cancer, cardiovascular disease, diabetes mellitus and chronic obstructive pulmonary disease), wherein 400 indoor patients admitted during 2009 were randomly selected from each of the 31 selected health institutions which included all non-specialist tertiary level hospitals outside the Kathmandu valley (n = 25), all specialist tertiary level hospitals in the country (n = 3) and 3 non-specialist tertiary level hospitals inside the Kathmandu valley. In case of Kathmandu valley, 3 non-specialist health institutions- one central hospital, one medical college and one private hospital were randomly selected. The main analyses are based on the 28 non-specialist hospitals. Univariate (frequency and percentage) and bivariate (cross-tabulation) analysis were used. Results In non-specialist institutions, the hospital based NCD prevalence was 31%. Chronic obstructive pulmonary disease (43%) was the most common NCD followed by cardiovascular disease (40%), diabetes mellitus (12%) and cancer (5%). Ovarian (14%), stomach (14%) and lung cancer (10%) were the main cancers accounting for 38% of distribution. Majority of CVD cases were hypertension (47%) followed by cerebrovascular accident (16%), congestive cardiac failure (11%), ischemic heart disease (7%), rheumatic heart disease (5%) and myocardial infarction (2%). CVD was common in younger age groups while COPD in older age groups. Majority among males (42%) and females (45%) were suffering from COPD. Conclusions The study was able to reveal that Nepal is also

  14. Strong sustainability in Nepal: A structural economics approach

    NASA Astrophysics Data System (ADS)

    Devkota, Surendra R.

    This dissertation analyzes the sustainability of the economy of Nepal. The main empirical question addressed is whether the Tenth Plan of Nepal (2002--2007) will meet its projected economic output goal and achieve its primary goal of reducing poverty. To this end, economic growth scenarios are examined in terms of availability of energy demand and supply, and income disparity among different households. The structure of the Nepali economy is examined using a Leontief input-output table, a Ghosian supply-side input-output table, and a social accounting matrix for the year 1999. Based on the input-output analysis of energy demand and supply for the 10th Plan, it is unlikely that energy requirements of the projected output will be met, unless some extra sources of energy are developed. Households need to switch their energy use from fuel wood/biomass to other alternatives. In order to meet the target of the Plan vis-a-vis energy demand or supply, a few policy measures are urgently needed, though some of these options require many years to develop. Household income inequality and distribution is examined through the SAM multipliers; namely aggregate, transfer, open-loop, and closed-loop multipliers. The investment-income multiplier scenarios for the 10th Plan indicate that the nominal income of households may increase due to the increased investment, which will not necessarily improve the bottom deciles households, particularly socio-economically deprived households. Economic growth in Nepal during the past fifty years demonstrates that the modernization model is unsuccessful. Economic growth occurred at some centers at the cost of periphery. A huge regional disparity has developed between hills and plains, east and west, city and rural areas. Nepal's persistent poverty indicates a failure of modernization theory. The Tenth Plan would be another continuation of a failed legacy, unless social and natural endowments are considered for sustainability. Nepal could be an

  15. Dental caries prevalence, oral health knowledge and practice among indigenous Chepang school children of Nepal

    PubMed Central

    2013-01-01

    Background Chepang communities are one of the most deprived ethnic communities in Nepal. According to the National Pathfinder Survey, dental caries is a highly prevalent childhood disease in Nepal. There is no data concerning the prevalence of caries along with knowledge, attitude and oral hygiene practices among Chepang schoolchildren. The objectives of this study were to 1) record the prevalence of dental caries 2) report experience of dental pain 3) evaluate knowledge, attitude and preventive practices on oral health of primary Chepang schoolchildren. Method A cross sectional epidemiological study was conducted in 5 government Primary schools of remote Chandibhanjyang Village Development Committee (VDC) in Chitwan district. Ethical approval was taken from the Institutional Review Board within the Research Department of the Institute of Medicine (IOM) Tribhuvan University. Consent was obtained from parents for conducting clinical examination and administrating questionnaire. Permission was taken from the school principal in all schools. Data was collected using a pretested questionnaire on 131 schoolchildren aged 8-16-year- olds attending Grade 3–5. Clinical examination was conducted on 361 school children aged 5–16 –year-olds attending grade 1–5. Criteria set by the World Health Organization (1997) was used for caries diagnosis. The questionnaires, originally constructed in English and translated into Nepali were administered to the schoolchildren by the researchers. SPSS 11software was used for data analysis. Results Caries prevalence for 5–6 –year-old was above the goals recommended by WHO and Federation of Dentistry international (FDI) of less than 50% caries free children. Caries prevalence in 5-6-year-olds was 52% and 12-13-year-olds was 41%. The mean dmft/DMFT score of 5–6 –year-olds and 12 -13-year -olds was 1.59, 0.31 and 0.52, 0.84 respectively. The DMFT scores increased with age and the d/D component constituted almost the entire dmft

  16. Pilot study to reduce emissions, improve health, and offset BC emissions through the distribution of improved cook stoves in Nepal

    NASA Astrophysics Data System (ADS)

    Banmali Pradhan, B.; Panday, A. K.; Surapipith, V.

    2013-12-01

    In most developing countries, wood and other biomass fuels are still the primary source of energy for the majority of the people, particularly the poor. It is estimated that cook stoves account for approximately 20% of global black carbon emissions. In Nepal 87% of energy is supplied from traditional biomass and 75% of households still depend on biomass as a cooking fuel. The substitution of traditional cook stoves with improved cook stoves provides an important way to reduce black carbon emissions. In 2013 the International Centre for Integrated Mountain Development (ICIMOD) has commenced a pilot study that both examines ways to effectively disseminate improved cookstoves across remote rural mountain regions, and also quantifies the resulting changes in emissions, air quality and health. The selected study area is in Bajrabarahi Village in Makawanpur district, to the southwest of Kathmandu. The study area consists of around 1600 households, which are divided into control groups and groups where the cook stove intervention is taking place. The study complements the ';Clean Cooking energy solution for all by 2017' announced by the Government of Nepal recently, and will provide insights to the government on ways to effectively reduce black carbon emissions from cook stoves. To make the study robust and sustainable, local women's group and a local medical institution are involved in the project right from the conceptualization stage. The study region has been chosen in part because the medical school Patan Academy of Health Sciences (PAHS) has already started a long term health assessment in the region, and has built up considerable local contacts. The local women's group is working on the modality of cook stove distribution through micro credit programmes in the village. We will distribute the best available manufactured, fan-assisted cook stoves that are expected to reduce BC emissions the most. Health assessments, emissions estimates, as well as measurements of

  17. Infant vaccination timing: Beyond traditional coverage metrics for maximizing impact of vaccine programs, an example from southern Nepal

    PubMed Central

    Hughes, Michelle M.; Katz, Joanne; Englund, Janet A.; Khatry, Subarna K.; Shrestha, Laxman; LeClerq, Steven C.; Steinhoff, Mark; Tielsch, James M.

    2016-01-01

    Background Immunization programs currently measure coverage by assessing the proportion of children 12–24 months who have been immunized but this does not address the important question of when the scheduled vaccines were administered. Data capturing the timing of vaccination in first 6 months, when severe disease is most likely to occur, are limited. Objective To estimate the time to Bacillus Calmette–Guérin (BCG) (recommended at birth), diphtheria-tetanus-pertussis-H, influenza b-hepatitis B (DTP-Hib-HepB), and oral polio vaccine (OPV) (recommended at 6, 10, and 14 weeks) vaccinations and risk factors for vaccination delay in infants <6 months of age in a district in southern Nepal where traditional coverage metrics are high. Design/methods Infants enrolled in a randomized controlled trial of maternal influenza vaccination were visited weekly at home from birth through age 6 months to ascertain if any vaccinations had been given in the prior week. Infant, maternal, and household characteristics were recorded. BCG, DTP-Hib-HepB, and OPV vaccination coverage at 4 and 6 months was estimated. Time to vaccination was estimated through Kaplan–Meier curves; Cox-proportional hazards models were used to examine risk factors for delay for the first vaccine. Results The median age of BCG, first OPV and DTP-Hib-HepB receipt was 22, 21, and 18 weeks, respectively. Almost half of infants received no BCG by age 6 months. Only 8% and 7% of infants had received three doses of OPV and DTP-Hib-HepB, respectively, by age 6 months. Conclusion A significant delay in receipt of infant vaccines was found in a prospective, population-based, cohort in southern Nepal despite traditional coverage metrics being high. Immunization programs should consider measuring time to receipt relative to the official schedule in order to maximize benefits for disease control and child health. PMID:26788880

  18. Association of Cord Blood Levels of Lead, Arsenic, and Zinc and Home Environment with Children Neurodevelopment at 36 Months Living in Chitwan Valley, Nepal

    PubMed Central

    Parajuli, Rajendra Prasad; Umezaki, Masahiro; Fujiwara, Takeo; Watanabe, Chiho

    2015-01-01

    Background Inconsistent results continue to be reported from studies linking low-level prenatal lead exposure and child development. Because of limited earlier epidemiological studies with birth cohort follow up design, it still remains inconclusive that either the associations of cord blood level of toxic, and essential elements, and postnatal raising environment on neurodevelopment of children remains constant throughout childhood or change over time. Aims This study aims to investigate the influence of in utero toxic [lead (Pb) and arsenic (As)] and essential elements [zinc (Zn)] levels on neurodevelopment of 36 months children in Chitwan valley, Nepal taking the postnatal environment into account. Study Designs and Subjects In this birth cohort study, participants (N=100 mother-infants’ pairs) were recruited in Chitwan district, Nepal. We measured Pb, As and Zn concentrations in cord blood. Postnatal raising environment (i.e., Home score or home environment hereafter) was evaluated using Home Observation for Measurement of Environment (HOME) scale. Neurodevelopment of children at 36 months of age (n=70) were assessed using Bayley Scale of Infant Development, Second Edition (BSID II). Multivariate regression was performed (n=70) to see the association of in utero toxic and essential elements level and home environment with neurodevelopment score adjusted for covariates. Results Cord blood levels of Pb, As and Zn were not associated with any BSID II cluster scores of 36 months children. The children with relatively superior HOME score and concurrent nutritional status (weight at 36 months) showed better cognitive development (i.e., MDI scores) and motor functions than their counterparts, respectively. Conclusion In this general population in Nepal, prenatal Pb, As and Zn levels are not important determinants of the neurodevelopment of 36- month-old children while a consistent beneficial effect of a stimulating home environment on neurodevelopmental indicators

  19. District cooling gets hot

    SciTech Connect

    Seeley, R.S.

    1996-07-01

    Utilities across the country are adopting cool storage methods, such as ice-storage and chilled-water tanks, as an economical and environmentally safe way to provide cooling for cities and towns. The use of district cooling, in which cold water or steam is pumped to absorption chillers and then to buildings via a central community chiller plant, is growing strongly in the US. In Chicago, San Diego, Pittsburgh, Baltimore, and elsewhere, independent district-energy companies and utilities are refurbishing neglected district-heating systems and adding district cooling, a technology first developed approximately 35 years ago.

  20. Attempts to bring the trained teachers in the schools of Nepal

    NASA Astrophysics Data System (ADS)

    Lamsal, Jeevan

    2016-07-01

    To develop space activities and to industrialize astronomy, base of space education in the high schools must be very effective. This paper highlights the present scenario of space education and discusses the syllabus of astronomy in the different education level of Nepal. Astronomy is included in the curriculum of science book of middle school and high school which contains very few contents of solar system, constellations, galaxy, black holes and formation of stars. There is no any degree for higher studies in astronomy as a separate department in any university of Nepal. This paper also highlights the space activities and national level programs conducting in Nepal to support astronomy education. With the rise of many astronomical clubs and societies in the different regions of Nepal, astronomy education has been more effective in the recent time. Series of Galileo Teacher's Training Program in the different parts of Nepal being organized by Global Hands on Universe in cooperation with local astronomy clubs will be discuss in brief. The attempts to bring more trained and skilled teachers in the classroom by the government and non-government agencies are now gradually increasing. The competition of private schools and their capacity building workshops to their teachers to attract more students is also playing active role to shape the school education effective. The challenges, prospects and the practice of effective astronomy education prevailing in Nepal will be discuss. Key Words: Nepal, Astronomy Education, GTTP, Trained Teachers

  1. The Burden of Parasitic Zoonoses in Nepal: A Systematic Review

    PubMed Central

    Devleesschauwer, Brecht; Ale, Anita; Torgerson, Paul; Praet, Nicolas; Maertens de Noordhout, Charline; Pandey, Basu Dev; Pun, Sher Bahadur; Lake, Rob; Vercruysse, Jozef; Joshi, Durga Datt; Havelaar, Arie H.; Duchateau, Luc; Dorny, Pierre; Speybroeck, Niko

    2014-01-01

    Background Parasitic zoonoses (PZs) pose a significant but often neglected threat to public health, especially in developing countries. In order to obtain a better understanding of their health impact, summary measures of population health may be calculated, such as the Disability-Adjusted Life Year (DALY). However, the data required to calculate such measures are often not readily available for these diseases, which may lead to a vicious circle of under-recognition and under-funding. Methodology We examined the burden of PZs in Nepal through a systematic review of online and offline data sources. PZs were classified qualitatively according to endemicity, and where possible a quantitative burden assessment was conducted in terms of the annual number of incident cases, deaths and DALYs. Principal Findings Between 2000 and 2012, the highest annual burden was imposed by neurocysticercosis and congenital toxoplasmosis (14,268 DALYs [95% Credibility Interval (CrI): 5450–27,694] and 9255 DALYs [95% CrI: 6135–13,292], respectively), followed by cystic echinococcosis (251 DALYs [95% CrI: 105–458]). Nepal is probably endemic for trichinellosis, toxocarosis, diphyllobothriosis, foodborne trematodosis, taeniosis, and zoonotic intestinal helminthic and protozoal infections, but insufficient data were available to quantify their health impact. Sporadic cases of alveolar echinococcosis, angiostrongylosis, capillariosis, dirofilariosis, gnathostomosis, sparganosis and cutaneous leishmaniosis may occur. Conclusions/Significance In settings with limited surveillance capacity, it is possible to quantify the health impact of PZs and other neglected diseases, thereby interrupting the vicious circle of neglect. In Nepal, we found that several PZs are endemic and are imposing a significant burden to public health, higher than that of malaria, and comparable to that of HIV/AIDS. However, several critical data gaps remain. Enhanced surveillance for the endemic PZs identified in this

  2. Disaster risk profile and existing legal framework of Nepal: floods and landslides

    PubMed Central

    Gaire, Surya; Castro Delgado, Rafael; Arcos González, Pedro

    2015-01-01

    Nepal has a complicated geophysical structure that is prone to various kinds of disasters. Nepal ranks the most disaster-prone country in the world and has experienced several natural calamities, causing high property and life losses. Disasters are caused by natural processes, but may be increased by human activities. The overall objective of this paper is to analyze the disaster risk profile and existing legal framework of Nepal. The paper is based on secondary data sources. Major causative factors for floods and landslides are heavy and continuous rainfall, outburst floods, infrastructure failure, and deforestation. Historical data of natural disasters in Nepal show that water-induced disasters have killed hundreds of people and affected thousands every year. Likewise, properties worth millions of US dollars have been damaged. There is an increasing trend toward landslides and floods, which will likely continue to rise if proper intervention is not taken. A positive correlation between water-induced disasters and deaths has been observed. Nepal has a poor Index for Risk Management (INFORM). There are fluctuations in the recording of death data caused by flood and landslides. The Government of Nepal focuses more on the response phase than on the preparedness phase of disasters. The existing disaster management act seems to be weak and outdated. There is a gap in current legal procedure, so the country is in dire need of a comprehensive legal framework. The new proposed act seems to take a much broader approach to disaster management. With a long-term vision of managing disaster risk in the country, the Government of Nepal has begun the Nepal Risk Reduction Consortium (NRRC) in collaboration with development and humanitarian partners. In order to improve the vulnerability of Nepal, an early warning system, mainstreaming disasters with development, research activities, community participation and awareness, and a rainfall monitoring system must all be a focus. PMID

  3. Disaster risk profile and existing legal framework of Nepal: floods and landslides.

    PubMed

    Gaire, Surya; Castro Delgado, Rafael; Arcos González, Pedro

    2015-01-01

    Nepal has a complicated geophysical structure that is prone to various kinds of disasters. Nepal ranks the most disaster-prone country in the world and has experienced several natural calamities, causing high property and life losses. Disasters are caused by natural processes, but may be increased by human activities. The overall objective of this paper is to analyze the disaster risk profile and existing legal framework of Nepal. The paper is based on secondary data sources. Major causative factors for floods and landslides are heavy and continuous rainfall, outburst floods, infrastructure failure, and deforestation. Historical data of natural disasters in Nepal show that water-induced disasters have killed hundreds of people and affected thousands every year. Likewise, properties worth millions of US dollars have been damaged. There is an increasing trend toward landslides and floods, which will likely continue to rise if proper intervention is not taken. A positive correlation between water-induced disasters and deaths has been observed. Nepal has a poor Index for Risk Management (INFORM). There are fluctuations in the recording of death data caused by flood and landslides. The Government of Nepal focuses more on the response phase than on the preparedness phase of disasters. The existing disaster management act seems to be weak and outdated. There is a gap in current legal procedure, so the country is in dire need of a comprehensive legal framework. The new proposed act seems to take a much broader approach to disaster management. With a long-term vision of managing disaster risk in the country, the Government of Nepal has begun the Nepal Risk Reduction Consortium (NRRC) in collaboration with development and humanitarian partners. In order to improve the vulnerability of Nepal, an early warning system, mainstreaming disasters with development, research activities, community participation and awareness, and a rainfall monitoring system must all be a focus.

  4. Implementation of the Arsenic Biosand Filter in Nepal

    NASA Astrophysics Data System (ADS)

    Murcott, S.; Ngai, T.; Shrestha, R.; Pokharel, K.; Walewijk, S.

    2004-05-01

    A low-cost, household-scale drinking water filter, the Arsenic Biosand Filter (ABF), appropriate for rural Nepal, was developed by researchers at Massachusetts Institute of Technology and two local partners (ENPHO and RWSSSP) to simultaneously remove arsenic and pathogens from tubewell water. The project implementation site is the Terai region of southern Nepal, where about 90% of people receive water from tubewells and where about 25+% and 40+% of tubewells are contaminated with arsenic (naturally-occurring) and coliforms (from human and animal sources) respectively, causing severe health consequences such as cancers and gastrointestinal illnesses. Despite growing recognition of the immediacy of the arsenic crisis in this region, many previous arsenic technology projects have failed. This is because many of the available technologies have serious drawbacks, including complex production methods, high maintenance, high costs, insufficient filtration rate, and/or reliance on materials unavailable in remote villages. In addition, most technologies treat arsenic and pathogens independently, resulting in complicated treatment operations. Implementation deficiencies including ineffective technology transfer, confusing NGO responsibilities, organizational non-sustainability, lack of user education and contribution, and inadequate long-term maintenance and monitoring capacity are other major problems. The ABF design is optimized based on the socio-economic conditions of rural Terai and is constructed using locally available labor and materials. It was the only arsenic remediation technology to win the prestigious World Bank Development Marketplace Competition in 2003. Funding from this prize will provide start-up capital to pilot a technology transfer network. In 2004, the team has established an in-country technology dissemination and implementation center and is building local capacity in arsenic-affected villages towards long-term, self-reliant, user-participatory safe

  5. Chemical and environmental vector control as a contribution to the elimination of visceral leishmaniasis on the Indian subcontinent: cluster randomized controlled trials in Bangladesh, India and Nepal

    PubMed Central

    Joshi, Anand B; Das, Murari L; Akhter, Shireen; Chowdhury, Rajib; Mondal, Dinesh; Kumar, Vijay; Das, Pradeep; Kroeger, Axel; Boelaert, Marleen; Petzold, Max

    2009-01-01

    shared their house with cattle. IRS was effective in all sites but LLINs were only effective in Bangladesh and India. Mud plastering did not reduce sand fly density (Bangladesh study); lime plastering in India and one Nepali site, resulted in a significant reduction of sand fly density but not in the second Nepali site. Conclusion Sand fly control can contribute to the regional VL elimination programme; IRS should be strengthened in India and Nepal but in Bangladesh, where vector control has largely been abandoned during the last decades, the insecticide treatment of existing bed nets (coverage above 90% in VL endemic districts) could bring about an immediate reduction of vector populations; operational research to inform policy makers about the efficacious options for VL vector control and programme performance should be strengthened in the three countries. PMID:19804620

  6. Source Parameters for the 2015 Nepal Earthquake Revealed by InSAR Observations

    NASA Astrophysics Data System (ADS)

    Li, Yongsheng; Zhang, Jingfa; Li, Zhenhong

    2016-08-01

    On April 25 2015, an Mw7.8earthquake occurred in Nepal, which is the largest since the 1934 Bihar Earthquake. 2015 Nepal earthquake occurred in subduction thrust interface due to collision of Indian Plate and Eurasian Plate, which is the main seismogenic fault structure named Main Himalaya Thrust fault (MHT).The earthquake released a huge amount of energy, causing huge losses of people and infrastructure. Using a combination of ALOS-2 ScanSAR wide mode data and SENTINEL-1A Interferometric Wide Swath data, we constructed maps of what happened on and below Earth's surface during the Mw7.8 earthquake in Nepal.

  7. A School Health Project Can Uplift the Health Status of School Children in Nepal

    PubMed Central

    Shrestha, Rachana Manandhar; Miyaguchi, Moe; Shibanuma, Akira; Khanal, Arun; Yasuoka, Junko; Jimba, Masamine

    2016-01-01

    Background School health is effective in helping students achieve health literacy, enhance their health-related behaviors, and thereby improve their health status. However, in resource-limited countries, evidence is limited to show the impact of school health. We determined the association of the school health and nutrition (SHN) project activities on students’ a) health knowledge, b) hygiene practices, and c) health outcomes, one year after the project completion. Methods This is a cross-sectional study conducted among the schools with the SHN project and without the project in four districts of Nepal. We recruited 604 students from six schools in the project group and 648 students from other six schools in the comparison group. We used a self-administered questionnaire to collect the data, and analyzed them using regression models and a structural equation model (SEM). Results Students from the SHN project group reported the decreased odds of worm infestation (AOR = 0.50, 95% CI: 0.34 to 0.75) and diarrhea/ dysentery infection (AOR = 0.67, 95% CI: 0.47 to 0.97) compared to those in the comparison group. Furthermore, the SEM analysis also showed that the students in the project group were more likely to have better health outcomes (β = 0.03, p< 0.05). Conclusion Students in the SHN project group were more likely to have better health outcomes compared to those in the comparison group, even after one year of the project completion. As it can bring about sustainable changes for students, it should be scaled up in other parts of the country. PMID:27812190

  8. Hillslope-channel connectivity and local sediment budget in a Himalayan Valley (Kali Gandaki, Nepal)

    NASA Astrophysics Data System (ADS)

    Fort, Monique; Etienne, Cossart; Gilles, Arnaud-Fassetta

    2010-05-01

    In the confined Himalayan valleys and in a context of monsoon, contrasted climate, landslides interact with rivers immediately, causing channel diversions, short-lived dams and sediment traps. Yet, remnants of ancient landslides may play an important role in the location of present instabilities and sediment fluxes. We document here debris storages and interaction patterns with fluvial activity observed in the Middle Kali Gandaki river (Myagdi District, Nepal Himalayas). We focus on the Pairothapla-Talbagar landslide (about 10 x 10 exponent 6 m3) that dammed the Kali Gandaki probably a few centuries ago. On the basis of diachronic (1974-2000-2008) geomorphic surveys and mapping, and thanks to DEM facilities, we reconstructed the extent of the landslide deposits, characterized the material (debris avalanche, including >350 m3 blocks), estimated the volume of the resulting lake (9-14 x 10 exponent 6 m3), and of sedimentary wedges resulting from later superficial reworking and downstream redistribution of debris. We assess the recent evolution of the landslide mass. Current instabilities (rainfall triggered shallow landslides) are large enough to supply debris to the river and increase the density hence the transport capacity of the flow downstream; in turn armouring boulders may be set into motion again, hence accelerating erosion of the Talbagar landslide mass in a positive feedback. We estimate the volume of debris eroded and exported by the Kali Gandaki during the last three decades. We end up with the sedimentary budget related to this event. Comparison with other features, either older or more recent, observed along the middle Kali Gandaki valley suggests that landsliding plays the major role in the overall process of denudation and sediment transfer of the Higher Himalaya. When coupled with high fluvial activity, it considerably reduces the residence time of sediments in the temporary, spatially limited traps of the valley bottom and highly influences sediment

  9. Women's autonomy and husbands' involvement in maternal health care in Nepal.

    PubMed

    Thapa, Deependra Kaji; Niehof, Anke

    2013-09-01

    Both increasing women's autonomy and increasing husbands' involvement in maternal health care are promising strategies to enhance maternal health care utilization. However, these two may be at odds with each other insofar as autonomous women may not seek their husband's involvement, and involved husbands may limit women's autonomy. This study assessed the relationship between women's autonomy and husbands' involvement in maternal health care. Field work for this study was carried out during September-November 2011 in the Kailali district of Nepal. In-depth interviews and focus group discussions were used to investigate the extent of husbands' involvement in maternal health care. A survey was carried out among 341 randomly selected women who delivered a live baby within one year prior to the survey. The results show that husbands were involved in giving advice, supporting to reduce the household work burden, and making financial and transportation arrangements for the delivery. After adjustment for other covariates, economic autonomy was associated with lower likelihood of discussion with husband during pregnancy, while domestic decision-making autonomy was associated with both lower likelihood of discussion with husband during pregnancy and the husband's presence at antenatal care (ANC) visits. Movement autonomy was associated with lower likelihood of the husband's presence at ANC visits. Intra-spousal communication was associated with higher likelihood of discussing health with the husband during pregnancy, birth preparedness, and the husbands' presence at the health facility delivery. The magnitude and direction of association varied per autonomy dimension. These findings suggest that programs to improve the women's autonomy and at the same time increase the husband's involvement should be carefully planned. Despite the traditional cultural beliefs that go against the involvement of husbands, Nepalese husbands are increasingly entering into the area of maternal

  10. Strong ground motion in the Kathmandu Valley during the 2015 Gorkha, Nepal, earthquake

    NASA Astrophysics Data System (ADS)

    Takai, Nobuo; Shigefuji, Michiko; Rajaure, Sudhir; Bijukchhen, Subeg; Ichiyanagi, Masayoshi; Dhital, Megh Raj; Sasatani, Tsutomu

    2016-01-01

    On 25 April 2015, a large earthquake of Mw 7.8 occurred along the Main Himalayan Thrust fault in central Nepal. It was caused by a collision of the Indian Plate beneath the Eurasian Plate. The epicenter was near the Gorkha region, 80 km northwest of Kathmandu, and the rupture propagated toward east from the epicentral region passing through the sediment-filled Kathmandu Valley. This event resulted in over 8000 fatalities, mostly in Kathmandu and the adjacent districts. We succeeded in observing strong ground motions at our four observation sites (one rock site and three sedimentary sites) in the Kathmandu Valley during this devastating earthquake. While the observed peak ground acceleration values were smaller than the predicted ones that were derived from the use of a ground motion prediction equation, the observed peak ground velocity values were slightly larger than the predicted ones. The ground velocities observed at the rock site (KTP) showed a simple velocity pulse, resulting in monotonic-step displacements associated with the permanent tectonic offset. The vertical ground velocities observed at the sedimentary sites had the same pulse motions that were observed at the rock site. In contrast, the horizontal ground velocities as well as accelerations observed at three sedimentary sites showed long duration with conspicuous long-period oscillations, due to the valley response. The horizontal valley response was characterized by large amplification (about 10) and prolonged oscillations. However, the predominant period and envelope shape of their oscillations differed from site to site, indicating a complicated basin structure. Finally, on the basis of the velocity response spectra, we show that the horizontal long-period oscillations on the sedimentary sites had enough destructive power to damage high-rise buildings with natural periods of 3 to 5 s.

  11. District, Know Thyself

    ERIC Educational Resources Information Center

    Tupa, Megan; McFadden, Ledyard

    2009-01-01

    Finalists for the Broad Prize for Urban Education demonstrate that identifying strategies that fit the local context is essential in creating success for students. Long Beach Unified School District in California and Broward County Public Schools in Florida demonstrate how districts can use different strategies to achieve the same goals.

  12. School District Energy Manual.

    ERIC Educational Resources Information Center

    Association of School Business Officials International, Reston, VA.

    This manual serves as an energy conservation reference and management guide for school districts. The School District Energy Program (SDEP) is designed to provide information and/or assistance to school administrators planning to implement a comprehensive energy management program. The manual consists of 15 parts. Part 1 describes the SDEP; Parts…

  13. Do School Districts Matter?

    ERIC Educational Resources Information Center

    Whitehurst, Grover J.; Chingos, Matthew M.; Gallaher, Michael R.

    2013-01-01

    School districts occupy center stage in education reform in the U.S. They manage nearly all public funding and are frequently the locus of federal and state reform initiatives, e.g., instituting meaningful teacher evaluation systems. Financial compensation for district leaders is high, with many being paid more than the chief state school officers…

  14. Climatic conditions and child height: Sex-specific vulnerability and the protective effects of sanitation and food markets in Nepal.

    PubMed

    Mulmi, Prajula; Block, Steven A; Shively, Gerald E; Masters, William A

    2016-12-01

    Environmental conditions in early life are known to have impacts on later health outcomes, but causal mechanisms and potential remedies have been difficult to discern. This paper uses the Nepal Demographic and Health Surveys of 2006 and 2011, combined with earlier NASA satellite observations of variation in the Normalized Difference Vegetation Index (NDVI) at each child's location and time of birth to identify the trimesters of gestation and periods of infancy when climate variation is linked to attained height later in life. We find significant differences by sex: males are most affected by conditions in their second trimester of gestation, and females in the first three months after birth. Each 100-point difference in NDVI at those times is associated with a difference in height-for-age z-score (HAZ) measured at age 12-59 months of 0.088 for boys and 0.054 for girls, an effect size similar to that of moving within the distribution of household wealth by close to one quintile for boys and one decile for girls. The entire seasonal change in NDVI from peak to trough is approximately 200-300 points during the 2000-2011 study period, implying a seasonal effect on HAZ similar to one to three quintiles of household wealth. This effect is observed only in households without toilets; in households with toilets, there is no seasonal fluctuation, implying protection against climatic conditions that facilitate disease transmission. We also use data from the Nepal Living Standards Surveys on district-level agricultural production and marketing, and find a climate effect on child growth only in districts where households' food consumption derives primarily from their own production. Robustness tests find no evidence of selection effects, and placebo regression results reveal no significant artefactual correlations. The timing and sex-specificity of climatic effects are consistent with previous studies, while the protective effects of household sanitation and food markets are

  15. Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys

    PubMed Central

    De Silva, Mary J.; Ssebunnya, Joshua; Breuer, Erica; Murhar, Vaibhav; Luitel, Nagendra P.; Medhin, Girmay; Kigozi, Fred; Shidhaye, Rahul; Fekadu, Abebaw; Jordans, Mark; Patel, Vikram; Tomlinson, Mark; Lund, Crick

    2016-01-01

    Context A robust evidence base is now emerging that indicates that treatment for depression and alcohol use disorders (AUD) delivered in low and middle-income countries (LMIC) can be effective. However, the coverage of services for these conditions in most LMIC settings remains unknown. Objective To describe the methods of a repeat cross-sectional survey to determine changes in treatment contact coverage for probable depression and for probable AUD in four LMIC districts, and to present the baseline findings regarding treatment contact coverage. Methods Population-based cross-sectional surveys with structured questionnaires, which included validated screening tools to identify probable cases. We defined contact coverage as being the proportion of cases who sought professional help in the past 12 months. Setting Sodo District, Ethiopia; Sehore District, India; Chitwan District, Nepal; and Kamuli District, Uganda Participants 8036 adults residing in these districts between May 2013 and May 2014 Main Outcome Measures Treatment contact coverage was defined as having sought care from a specialist, generalist, or other health care provider for symptoms related to depression or AUD. Results The proportion of adults who screened positive for depression over the past 12 months ranged from 11.2% in Nepal to 29.7% in India and treatment contact coverage over the past 12 months ranged between 8.1% in Nepal to 23.5% in India. In Ethiopia, lifetime contact coverage for probable depression was 23.7%. The proportion of adults who screened positive for AUD over the past 12 months ranged from 1.7% in Uganda to 13.9% in Ethiopia and treatment contact coverage over the past 12 months ranged from 2.8% in India to 5.1% in Nepal. In Ethiopia, lifetime contact coverage for probable AUD was 13.1%. Conclusions Our findings are consistent with and contribute to the limited evidence base which indicates low treatment contact coverage for depression and for AUD in LMIC. The planned follow up

  16. Estimating Indoor PM2.5 and CO Concentrations in Households in Southern Nepal: The Nepal Cookstove Intervention Trials

    PubMed Central

    Chen, Chen; Zeger, Scott; Breysse, Patrick; Katz, Joanne; Checkley, William; Curriero, Frank C.; Tielsch, James M.

    2016-01-01

    High concentrations of household air pollution (HAP) due to biomass fuel usage with unvented, insufficient combustion devices are thought to be an important health risk factor in South Asia population. To better characterize the indoor concentrations of particulate matter (PM2.5) and carbon monoxide (CO), and to understand their impact on health in rural southern Nepal, this study analyzed daily monitoring data collected with DataRAM pDR-1000 and LASCAR CO data logger in 2980 households using traditional biomass cookstove indoor through the Nepal Cookstove Intervention Trial–Phase I between March 2010 and October 2011. Daily average PM2.5 and CO concentrations collected in area near stove were 1,376 (95% CI, 1,331–1,423) μg/m3 and 10.9 (10.5–11.3) parts per million (ppm) among households with traditional cookstoves. The 95th percentile, hours above 100μg/m3 for PM2.5 or 6ppm for CO, and hours above 1000μg/m3 for PM2.5 or 9ppm for CO were also reported. An algorithm was developed to differentiate stove-influenced (SI) periods from non-stove-influenced (non-SI) periods in monitoring data. Average stove-influenced concentrations were 3,469 (3,350–3,588) μg/m3 for PM2.5 and 21.8 (21.1–22.6) ppm for CO. Dry season significantly increased PM2.5 concentration in all metrics; wood was the cleanest fuel for PM2.5 and CO, while adding dung into the fuel increased concentrations of both pollutants. For studies in rural southern Nepal, CO concentration is not a viable surrogate for PM2.5 concentrations based on the low correlation between these measures. In sum, this study filled a gap in knowledge on HAP in rural Nepal using traditional cookstoves and revealed very high concentrations in these households. PMID:27389398

  17. The population decline of Gyps vultures in India and Nepal has slowed since veterinary use of diclofenac was banned.

    PubMed

    Prakash, Vibhu; Bishwakarma, Mohan Chandra; Chaudhary, Anand; Cuthbert, Richard; Dave, Ruchi; Kulkarni, Mandar; Kumar, Sashi; Paudel, Khadananda; Ranade, Sachin; Shringarpure, Rohan; Green, Rhys E

    2012-01-01

    Populations of oriental white-backed vulture (Gyps bengalensis), long-billed vulture (Gyps indicus) and slender-billed vulture (Gyps tenuirostris) crashed during the mid-1990s throughout the Indian subcontinent. Surveys in India, initially conducted in 1991-1993 and repeated in 2000, 2002, 2003 and 2007, revealed that the population of Gyps bengalensis had fallen by 2007 to 0.1% of its numbers in the early 1990s, with the population of Gyps indicus and G. tenuirostris combined having fallen to 3.2% of its earlier level. A survey of G. bengalensis in western Nepal indicated that the size of the population in 2009 was 25% of that in 2002. In this paper, repeat surveys conducted in 2011 were analysed to estimate recent population trends. Populations of all three species of vulture remained at a low level, but the decline had slowed and may even have reversed for G. bengalensis, both in India and Nepal. However, estimates of the most recent population trends are imprecise, so it is possible that declines may be continuing, though at a significantly slower rate. The degree to which the decline of G. bengalensis in India has slowed is consistent with the expected effects on population trend of a measured change in the level of contamination of ungulate carcasses with the drug diclofenac, which is toxic to vultures, following a ban on its veterinary use in 2006. The most recent available information indicates that the elimination of diclofenac from the vultures' food supply is incomplete, so further efforts are required to fully implement the ban.

  18. Predictive modelling of rainfall-induced landslide hazard in the Lesser Himalaya of Nepal based on weights-of-evidence

    NASA Astrophysics Data System (ADS)

    Dahal, Ranjan Kumar; Hasegawa, Shuichi; Nonomura, Atsuko; Yamanaka, Minoru; Dhakal, Santosh; Paudyal, Pradeep

    2008-12-01

    Landslide hazard mapping is a fundamental tool for disaster management activities in mountainous terrains. The main purpose of this study is to evaluate the predictive power of weights-of-evidence modelling in landslide hazard assessment in the Lesser Himalaya of Nepal. The modelling was performed within a geographical information system (GIS), to derive a landslide hazard map of the south-western marginal hills of the Kathmandu Valley. Thematic maps representing various factors (e.g., slope, aspect, relief, flow accumulation, distance to drainage, soil depth, engineering soil type, landuse, geology, distance to road and extreme one-day rainfall) that are related to landslide activity were generated, using field data and GIS techniques, at a scale of 1:10,000. Landslide events of the 1970s, 1980s, and 1990s were used to assess the Bayesian probability of landslides in each cell unit with respect to the causative factors. To assess the accuracy of the resulting landslide hazard map, it was correlated with a map of landslides triggered by the 2002 extreme rainfall events. The accuracy of the map was evaluated by various techniques, including the area under the curve, success rate and prediction rate. The resulting landslide hazard value calculated from the old landslide data showed a prediction accuracy of > 80%. The analysis suggests that geomorphological and human-related factors play significant roles in determining the probability value, while geological factors play only minor roles. Finally, after the rectification of the landslide hazard values of the new landslides using those of the old landslides, a landslide hazard map with > 88% prediction accuracy was prepared. The methodology appears to have extensive applicability to the Lesser Himalaya of Nepal, with the limitation that the model's performance is contingent on the availability of data from past landslides.

  19. Pitfalls of CITES implementation in Nepal: a policy gap analysis.

    PubMed

    Dongol, Yogesh; Heinen, Joel T

    2012-08-01

    Implementation of policy involves multiple agencies operating at multiple levels in facilitating processes and actions to accomplish desired results. The Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) was developed and implemented to regulate and control international wildlife trade, but violations of the agreement are widespread and growing worldwide, including in Nepal. This study attempts to understand how domestic CITES policies are translated into action and what effect actions and processes have on compliance. In doing so, this study provides insights into the implementation and enforcement pitfalls of national legislation that explain CITES violations in Nepal. Primarily, we used 26 key informants interviews to learn opinions of experts, and the grounded theory approach for further qualitative data analysis. In addition, we used Najman's (1995) policy implementation analysis framework to explain gaps. Many interrelated variables in the content of the policy, commitment and capacity of the agencies, the roles of clients and coalitions and contextual issues were observed. Variables that emerged suggest pitfalls in the regulatory policy represented by low probability of detection, arrest and punishment. Moreover, redistributive policies in buffer zones of protected areas are needed into perpetuity to benefit locals. Also, conservation organizations' support for building public and political salience is imperative.

  20. Pitfalls of CITES Implementation in Nepal: A Policy Gap Analysis

    NASA Astrophysics Data System (ADS)

    Dongol, Yogesh; Heinen, Joel T.

    2012-08-01

    Implementation of policy involves multiple agencies operating at multiple levels in facilitating processes and actions to accomplish desired results. The Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) was developed and implemented to regulate and control international wildlife trade, but violations of the agreement are widespread and growing worldwide, including in Nepal. This study attempts to understand how domestic CITES policies are translated into action and what effect actions and processes have on compliance. In doing so, this study provides insights into the implementation and enforcement pitfalls of national legislation that explain CITES violations in Nepal. Primarily, we used 26 key informants interviews to learn opinions of experts, and the grounded theory approach for further qualitative data analysis. In addition, we used Najman's (1995) policy implementation analysis framework to explain gaps. Many interrelated variables in the content of the policy, commitment and capacity of the agencies, the roles of clients and coalitions and contextual issues were observed. Variables that emerged suggest pitfalls in the regulatory policy represented by low probability of detection, arrest and punishment. Moreover, redistributive policies in buffer zones of protected areas are needed into perpetuity to benefit locals. Also, conservation organizations' support for building public and political salience is imperative.

  1. Service provider perspectives on post-abortion contraception in Nepal.

    PubMed

    Wang, Lin-Fan; Puri, Mahesh; Rocca, Corinne H; Blum, Maya; Henderson, Jillian T

    2016-01-01

    The government of Nepal has articulated a commitment to the provision of post-abortion contraception since the implementation of a legal safe abortion policy in 2004. Despite this, gaps in services remain. This study examined the perspectives of abortion service providers and administrators regarding strengths and shortcomings of post-abortion contraceptive service provision. In-depth interviews were conducted with 24 abortion providers and administrators at four major health facilities that provide legal abortion in Nepal. Facility factors perceived to impact post-abortion contraceptive services included on-site availability of contraceptive supplies, dedicated and well-trained staff and adequate infrastructure. Cultural norms emerged as influencing contraceptive demand by patients, including method use being unacceptable for women whose husbands migrate and limited decision-making power among women. Service providers described their personal views on appropriate childbearing and the use of specific contraceptive methods that influenced counselling. Findings suggest that improvements to a facility's infrastructure and training to address provider biases and misinformation may improve post-abortion family planning uptake. Adapting services to be sensitive to cultural expectations and norms may help address some barriers to contraceptive use. More research is needed to determine how to best meet the contraceptive needs of women who have infrequent sexual activity or who may face stigma for using family planning, including adolescents, unmarried women and women whose husbands migrate.

  2. Application of constructed wetlands for wastewater treatment in Nepal.

    PubMed

    Shrestha, R R; Haberl, R; Laber, J; Manandhar, R; Mader, J

    2001-01-01

    Surface water pollution is one of the serious environmental problems in urban centers in Nepal due to the discharge of untreated wastewater into the river-system, turning them into open sewers. Wastewater treatment plants are almost non-existent in the country except for a few in the Kathmandu Valley and even these are not functioning well. Successful implementation of a few constructed wetland systems within the past three years has attracted attention to this promising technology. A two-staged subsurface flow constructed wetland for hospital wastewater treatment and constructed wetlands for treatment of greywater and septage is now becoming a demonstration site of constructed wetland systems in Nepal. Beside these systems, five constructed wetlands have already been designed and some are under construction for the treatment of leachate and septage in Pokhara municipality, wastewater in Kathmandu University, two hospitals and a school. This paper discusses the present condition and treatment performance of constructed wetlands that are now in operation. Furthermore, the concept of the treatment wetlands under construction is also described here. With the present experience, several recommendations are pointed out for the promotion of this technology in the developing countries.

  3. From Zero Energy Buildings to Zero Energy Districts

    SciTech Connect

    Polly, Ben; Kutscher, Chuck; Macumber, Dan; Schott, Marjorie; Pless, Shanti; Livingood, Bill; Van Geet, Otto

    2016-08-26

    Some U.S. cities are planning advanced districts that have goals for zero energy, water, waste, and/or greenhouse gas emissions. From an energy perspective, zero energy districts present unique opportunities to cost-effectively achieve high levels of energy efficiency and renewable energy penetration across a collection of buildings that may be infeasible at the individual building scale. These high levels of performance are accomplished through district energy systems that harness renewable and wasted energy at large scales and flexible building loads that coordinate with variable renewable energy supply. Unfortunately, stakeholders face a lack of documented processes, tools, and best practices to assist them in achieving zero energy districts. The National Renewable Energy Laboratory (NREL) is partnering on two new district projects in Denver: the National Western Center and the Sun Valley Neighborhood. We are working closely with project stakeholders in their zero energy master planning efforts to develop the resources needed to resolve barriers and create replicable processes to support future zero energy district efforts across the United States. Initial results of these efforts include the identification and description of key zero energy district design principles (maximizing building efficiency, solar potential, renewable thermal energy, and load control), economic drivers, and master planning principles. The work has also resulted in NREL making initial enhancements to the U.S. Department of Energy's open source building energy modeling platform (OpenStudio and EnergyPlus) with the long-term goal of supporting the design and optimization of energy districts.

  4. The Goldfield mining district, Nevada: an acid sulfate bonanza gold deposit

    USGS Publications Warehouse

    Rockwell, Barnaby W.

    2000-01-01

    This paper provides an introduction to the geology, ore deposits, and fluid geochemistry of the Goldfield mining district, Esmerelda and Nye Counties, Nevada. Also included is a brief interpretation of mineral maps of the western half of the district which were recently produced from remotely sensed imagery acquired by the Airborne Visible Infrared Imaging Spectrometer (AVIRIS) systems operated by NASA JPL.

  5. Leadership Development Institute: A California Community College Multi-College District Case Study

    ERIC Educational Resources Information Center

    Leon, Bianca R.

    2016-01-01

    The purpose of this study is to examine a community college district Grow Your Own (GYO) leadership program in the Western United States, the Multi College Leadership Development Institute (MCLDI). The MCLDI was developed in-house for a multi-campus community college district and offered to interested employees at all position levels with the…

  6. A structural transect in the Lower Dolpo: Insights on the tectonic evolution of Western Nepal

    NASA Astrophysics Data System (ADS)

    Carosi, R.; Montomoli, C.; Visonà, D.

    2007-02-01

    We present the results of a structural transect in Lower Dolpo, cross-cutting the upper part of the Lesser Himalaya (LH), the Higher Himalayan Crystallines (HHC) and the lower part of the Tibetan Sedimentary Sequence (TSS). The MCT zone affects the upper part of the LH as well as the lower part of the HHC and shows a later brittle reactivation. Mean vorticity in the MCT points to non-coaxial deformation. These data, together with available kinematic data along the belt, on the South Tibetan Detachment System (STDS) and in the core of the HHC, point to increasing simple shear toward the tectonic boundaries. A top-to-the-SW high-temperature shear zone (Toijem Shear Zone) is recognized in the middle part of the HHC at the boundary between Units 1 and 2. It developed during the earlier stages of exhumation of the HHC, enhancing the decompression of the hanging wall and the emplacement of leucogranite dykes and sills. Its development could be explained by a change in the velocity profile during the extrusion of the HHC, triggered by first order changes in rock types of the tectonic unit. The STDS is marked by a wide zone of high strain and by a metamorphic jump from amphibolite facies in the carbonate rocks of the upper part of the HHC to greenschist facies marbles in the lower part of the TSS. The development of a pervasive foliation towards the bottom of the TSS indicates increasing strain, related to top down-to-the-NE tectonic transport. A Low P metamorphic event, marked by the growth of post-D1 biotite porphyroblasts at the base of the TSS, is related to the conductive heating from the underlying HHC.

  7. Exposure of the Lesser Himalayan Duplex in Central Nepal

    NASA Astrophysics Data System (ADS)

    Robinson, Delores; Martin, Aaron

    2013-04-01

    In central Nepal, between the Main Central thrust and the Main Boundary thrust, only Lesser Himalayan rock is exposed in structurally complex relationships; whereas in other regions of Nepal, Lesser Himalayan rocks are buried under klippen of Greater Himalayan rock. Thus, central Nepal along the Modi Khola south through the Kali Gandaki River and the village of Tansen is one of the few locations along the Himalayan thrust belt where the entire Lesser Himalayan duplex is exposed. This location is critical to determining the kinematics of the thrust belt. The purpose of this study is to determine the structural architecture of central Nepal using the collected structural data, incorporating available age data, drawing and balancing cross sections and testing variations in shortening given different stratigraphic assumptions. The two balanced cross sections are constructed from the same topography but have different underlying assumptions and decisions made during the development. We tested whether major changes in the stratigraphy and simplifications regarding the evolution of the Lesser Himalayan duplex affected the amount of shortening. Cross section 1 has a shortening estimate from the Main Central thrust to the Main Boundary thrust, including motion on the Main Central thrust, of 359 km or 77.8%. Cross section 2 has a shortening estimate of 371 km or 78.4% over the same region. These shortening estimates do not include meso-scale and micro-scale shortening in the Lesser and Greater Himalayan rocks nor do they include intra-Greater Himalayan faults. The percentage of shortening between the two cross sections is the same and the amount of shortening is not significantly different. These are striking outcomes given the different choices made when constructing the cross sections especially with regards to the stratigraphy. This suggests that the different choices made when drawing a cross section may be fairly unimportant for the estimate of shortening and percentage

  8. Surveillance of Influenza A Virus and Its Subtypes in Migratory Wild Birds of Nepal.

    PubMed

    Karmacharya, Dibesh; Manandhar, Sulochana; Sharma, Ajay; Bhatta, Tarka; Adhikari, Pratikshya; Sherchan, Adarsh Man; Shrestha, Bishwo; Bista, Manisha; Rajbhandari, Rajesh; Oberoi, Mohinder; Bisht, Khadak; Hero, Jean-Marc; Dissanayake, Ravi; Dhakal, Maheshwar; Hughes, Jane; Debnath, Nitish

    2015-01-01

    Nepal boarders India and China and all three countries lie within the Central Asian Flyway for migratory birds. Novel influenza A H7N9 caused human fatalities in China in 2013. Subclinical infections of influenza A H7N9 in birds and the potential for virus dispersal by migratory birds prompted this study to assess avian H7N9 viral intrusion into Nepal. Surveillance of influenza A virus in migratory birds was implemented in early 2014 with assistance from the Food and Agricultural Organization (FAO). Of 1811 environmental fecal samples collected from seven wetland migratory bird roosting areas, influenza A H9N2 was found in one sample from a ruddy shelduck in Koshi Tappu Wildlife Reserve located in southern Nepal. Avian H7N9 and other highly pathogenic avian influenza viruses were not detected. This study provides baseline data on the status of avian influenza virus in migratory bird populations in Nepal.

  9. India, Nepal, Tibet, Himalaya Mountains as seen from the Apollo 7 spacecraft

    NASA Technical Reports Server (NTRS)

    1968-01-01

    India, Nepal, Tibet, Himalaya Mountains, looking east toward Ganges Plain, as seen from the Apollo 7 spacecraft during its 8th revolution of the earth. Photographed from an altitude of 126 nautical miles, at ground elapsed time of 12 hours.

  10. Surveillance of Influenza A Virus and Its Subtypes in Migratory Wild Birds of Nepal

    PubMed Central

    Sharma, Ajay; Bhatta, Tarka; Adhikari, Pratikshya; Sherchan, Adarsh Man; Shrestha, Bishwo; Bista, Manisha; Rajbhandari, Rajesh; Oberoi, Mohinder; Bisht, Khadak; Hero, Jean-Marc; Dissanayake, Ravi; Dhakal, Maheshwar; Hughes, Jane; Debnath, Nitish

    2015-01-01

    Nepal boarders India and China and all three countries lie within the Central Asian Flyway for migratory birds. Novel influenza A H7N9 caused human fatalities in China in 2013. Subclinical infections of influenza A H7N9 in birds and the potential for virus dispersal by migratory birds prompted this study to assess avian H7N9 viral intrusion into Nepal. Surveillance of influenza A virus in migratory birds was implemented in early 2014 with assistance from the Food and Agricultural Organization (FAO). Of 1811 environmental fecal samples collected from seven wetland migratory bird roosting areas, influenza A H9N2 was found in one sample from a ruddy shelduck in Koshi Tappu Wildlife Reserve located in southern Nepal. Avian H7N9 and other highly pathogenic avian influenza viruses were not detected. This study provides baseline data on the status of avian influenza virus in migratory bird populations in Nepal. PMID:26176773

  11. How did Nepal reduce the maternal mortality? A result from analysing the determinants of maternal mortality.

    PubMed

    Karkee, R

    2012-01-01

    Nepal reportedly reduced the maternal mortality ratio by 48% within one decade between 1996-2005 and received the Millennium development goal award for this. However, there is debate regarding the accuracy of this figure. On the basis of framework of determinants of maternal mortality proposed by McCarthy and Maine in 1992 and successive data from Nepal demographic health survey of 1996, 2001 and 2006, a literature analysis was done to identify the important factors behind this decline. Although facility delivery and skilled birth attendants are acclaimed as best strategy of reducing maternal mortality, a proportionate increase in these factors was not found to account the maternal mortality rate reduction in Nepal. Alternatively, intermediate factors particularly women awareness, family planning and safe abortion might have played a significant role. Hence, Nepal as well as similar other developing countries should pay equal attention to such intermediate factors while concentrating on biomedical care strategy.

  12. Near-fatal myocarditis complicating typhoid fever in a traveler returning from Nepal.

    PubMed

    Palombo, Michal; Margalit-Yehuda, Reuma; Leshem, Eyal; Sidi, Yechezkel; Schwartz, Eli

    2013-01-01

    We report a 27-year-old traveler who returned from Nepal suffering from typhoid fever. His disease was complicated by life-threatening myocarditis and ventricular fibrillation, a rare manifestation in travelers.

  13. Representation of extreme precipitation events in Nepal in CMIP5 models

    NASA Astrophysics Data System (ADS)

    Jung, Woosung; Ryu, Byeong; Yun, Myong

    2016-04-01

    Nepal is highly vulnerable to of extreme climate events due in part to its mountainous terrain and lack of infrastructure. Climate change is projected to increase the frequency and magnitude of extreme temperature and precipitation events worldwide, with particularly severe impacts likely in Nepal. In this study we analyze the performance of general circulation models from the Coupled Model Intercomparison Project Phase 5 (CMIP5) at simulating temperature and precipitation in Nepal relative to the NCEP Reanalysis II and observational data, and we project how extreme events may change during the 21st century. We analyze the uncertainty in our projections, and compare the current generation of models in CMIP5 to prior results in this region using older climate models. Finally, we consider the impact of our projections on Nepal's society and economy.

  14. Extent of Fecal Contamination of Household Drinking Water in Nepal: Further Analysis of Nepal Multiple Indicator Cluster Survey 2014.

    PubMed

    Kandel, Pragya; Kunwar, Ritu; Lamichhane, Prabhat; Karki, Surendra

    2017-02-08

    Water sources classified as "improved" may not necessarily provide safe drinking water for householders. We analyzed data from Nepal Multiple Indicator Cluster Survey 2014 to explore the extent of fecal contamination of household drinking water. Fecal contamination was detected in 81.2% (95% confidence interval [CI]: 77.9-84.2) household drinking water from improved sources and 89.6% (95% CI: 80.4-94.7) in water samples from unimproved sources. In adjusted analysis, there was no difference in odds of fecal contamination of household drinking water between improved and unimproved sources. We observed significantly lower odds of fecal contamination of drinking water in households in higher wealth quintiles, where soap and water were available for handwashing and in households employing water treatment. The extent of contamination of drinking water as observed in this study highlights the huge amount of effort required to ensure the provision of safely managed water in Nepal by 2030 as aimed in sustainable development goals.

  15. 76 FR 43933 - Fisheries of the Exclusive Economic Zone Off Alaska; Pacific Ocean Perch in the Western Aleutian...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-22

    ... Economic Zone Off Alaska; Pacific Ocean Perch in the Western Aleutian District of the Bering Sea and... directed fishing for Pacific ocean perch in the Western Aleutian District of the Bering Sea and Aleutian... action is necessary to prevent exceeding the 2011 allocation of Pacific ocean perch in this...

  16. 77 FR 34262 - Fisheries of the Exclusive Economic Zone Off Alaska; Pacific Ocean Perch in the Western Aleutian...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... Economic Zone Off Alaska; Pacific Ocean Perch in the Western Aleutian District of the Bering Sea and... directed fishing for Pacific ocean perch in the Western Aleutian District of the Bering Sea and Aleutian... action is necessary to prevent exceeding the 2012 allocation of Pacific ocean perch in this...

  17. 75 FR 69601 - Fisheries of the Exclusive Economic Zone Off Alaska; Pacific Ocean Perch in the Western Aleutian...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-15

    ... Zone Off Alaska; Pacific Ocean Perch in the Western Aleutian District of the Bering Sea and Aleutian... for Pacific ocean perch in the Western Aleutian District of the Bering Sea and Aleutian Islands... necessary to prevent exceeding the 2010 allocation of Pacific ocean perch in this area allocated to...

  18. Challenges in diabetes mellitus type 2 management in Nepal: a literature review

    PubMed Central

    Gyawali, Bishal; Ferrario, Alessandra; van Teijlingen, Edwin; Kallestrup, Per

    2016-01-01

    Background and objectives Diabetes has become an increasingly prevalent and severe public health problem in Nepal. The Nepalese health system is struggling to deliver comprehensive, quality treatment and services for diabetes at all levels of health care. This study aims to review evidence on the prevalence, cost and treatment of diabetes mellitus type 2 and its complications in Nepal and to critically assess the challenges to be addressed to contain the epidemic and its negative economic impact. Design A comprehensive review of available evidence and data sources on prevalence, risk factors, cost, complications, treatment, and management of diabetes mellitus type 2 in Nepal was conducted through an online database search for articles published in English between January 2000 and November 2015. Additionally, we performed a manual search of articles and reference lists of published articles for additional references. Results Diabetes mellitus type 2 is emerging as a major health care problem in Nepal, with rising prevalence and its complications especially in urban populations. Several challenges in diabetes management were identified, including high cost of treatment, limited health care facilities, and lack of disease awareness among patients. No specific guideline was identified for the prevention and treatment of diabetes in Nepal. Conclusions We conclude that a comprehensive national effort is needed to stem the tide of the growing burden of diabetes mellitus type 2 and its complications in Nepal. The government should develop a comprehensive plan to tackle diabetes and other non-communicable diseases supported by appropriate health infrastructure and funding. PMID:27760677

  19. Challenges in diabetes mellitus type 2 management in Nepal: a literature review.

    PubMed

    Gyawali, Bishal; Ferrario, Alessandra; van Teijlingen, Edwin; Kallestrup, Per

    2016-01-01

    Background and objectives Diabetes has become an increasingly prevalent and severe public health problem in Nepal. The Nepalese health system is struggling to deliver comprehensive, quality treatment and services for diabetes at all levels of health care. This study aims to review evidence on the prevalence, cost and treatment of diabetes mellitus type 2 and its complications in Nepal and to critically assess the challenges to be addressed to contain the epidemic and its negative economic impact. Design A comprehensive review of available evidence and data sources on prevalence, risk factors, cost, complications, treatment, and management of diabetes mellitus type 2 in Nepal was conducted through an online database search for articles published in English between January 2000 and November 2015. Additionally, we performed a manual search of articles and reference lists of published articles for additional references. Results Diabetes mellitus type 2 is emerging as a major health care problem in Nepal, with rising prevalence and its complications especially in urban populations. Several challenges in diabetes management were identified, including high cost of treatment, limited health care facilities, and lack of disease awareness among patients. No specific guideline was identified for the prevention and treatment of diabetes in Nepal. Conclusions We conclude that a comprehensive national effort is needed to stem the tide of the growing burden of diabetes mellitus type 2 and its complications in Nepal. The government should develop a comprehensive plan to tackle diabetes and other non-communicable diseases supported by appropriate health infrastructure and funding.

  20. Akranes and Borgarfjordur district heating system

    SciTech Connect

    Ragnarsson, A.; Hrolfsson, I.

    1998-12-01

    Akranes and Borgarnes are two towns in the western part of Iceland, about 100 km north of Reykjavik. Geothermal investigations for Akranes started as early as around 1950; but in spite of several attempts, a geothermal field, which could be utilized economically, was not found for a long period. After the increase in oil prices in the early 1970s, further studies were carried out. On the basis of the results of those studies, it was decided to build a combined district heating system for Akranes, Borgarnes, Hvanneyri (agricultural school) and some farms in the Borgarfjordur region. The water is piped from the hot spring Deildartunga, which is one of the largest hot springs in the world. Besides that, the system utilizes two wells at the farm Baer. The utilization of the hot spring makes the system different from most other district heating systems in Iceland, which are based on water from wells. Akranes and Borgarfjordur District Heating System was established in 1979. Before that time, space heating in this area was both by oil (93%) and electricity (7%). The system has now been split into three companies: one that is responsible for all the hot water production and transmission, and one district heating system for each of the two communities.

  1. Upper Animas Mining District

    EPA Pesticide Factsheets

    Web page provides narrative of What's New?, Site Description, Site Risk, Cleanup Progress, Community Involvement, Next Steps, Site Documents, FAQ, Contacts and LInks for the Upper Animas Mining District site in San Juan County, Colorado.

  2. Geothermal district G1

    SciTech Connect

    Not Available

    1988-12-01

    Geothermal District G1 includes 37 northeastern California counties and six geothermal fields: Lake City, Susanville, Litchfield, Wendel, Amedee, and Casa Diablo. Electrical generation from geothermal resources occurs in three of the fields: Wendel, Amedee, and Casa Diablo. Low-temperature geothermal projects are underway throughout the district and are described in a road log format. The ten projects described are located at Big Bend, Glass Mountain, Bieber, Alturas, Cedarville, Lake City, Honey Lake Valley, Greenville, and in Sierra and Mono Counties.

  3. Negotiating geophysical hazards in Nepal: An interdisciplinary approach

    NASA Astrophysics Data System (ADS)

    Oven, Katie; Petley, Dave; Rosser, Nick; Dunn, Chris; Rigg, Jonathan

    2010-05-01

    It is widely accepted that the impact of natural hazards reflects not only the nature of geophysical processes but also the social conditions that prevail. The need for collaborative research to address these complex interactions between the natural and human systems is well recognised, however moving from theory to practice presents a number of significant challenges. How researchers frame problems; develop their research questions; select the methodologies to explore these questions; and privilege certain knowledges over others, can be seen to vary between physical and social science. Drawing on a case study examining the vulnerability of rural communities to landslides in the Upper Bhote Koshi Valley, Central Nepal, this paper explores how these barriers can be overcome and the benefits of undertaking interdisciplinary research within the natural hazards field. This research investigates the different framings of landslide risk and vulnerability from different stakeholder and disciplinary perspectives. Specifically, we ask: 1. Who is vulnerable to landslide hazard? 2. Why do people occupy landslide prone areas? 3. How do ‘at risk' rural communities perceive and respond to landslide hazard and risk? The findings, based on a series of participatory methodologies, challenge a number of assumptions made regarding landslide vulnerability in mountain communities. Within the Upper Bhote Koshi Valley clear transitions in settlement patterns, rural livelihoods and thus the occupation of landslide prone areas have been seen over time. For the majority of households, their decision to occupy these areas is driven by the economic and social benefits associated with the Arniko Highway which runs through the valley, linking Nepal with Tibet. Landslide vulnerability therefore emerges not just from societal marginalisation but also from situations of relative prosperity. The findings suggest that occupants of landslide prone areas have a good understanding of landslide hazard

  4. Connecting source and transport: Suspended sediments in the Nepal Himalayas

    NASA Astrophysics Data System (ADS)

    Andermann, Christoff; Crave, Alain; Gloaguen, Richard; Davy, Philippe; Bonnet, Stéphane

    2012-10-01

    Understanding the dynamics of sediment fluxes is a key issue to constrain modern erosion rates in mountain belts and determine the still debated level of control exerted by precipitation, topography and tectonics. The well defined monsoon seasonality in the Himalayas, together with active tectonics and strong relief provide an ideal environment to assess these possible interactions. For this purpose, we present a new compilation of daily suspended sediment data for 12 stations of the major rivers of the Nepal Himalayas. We analyze the relationships of sediment transport with daily river discharge and precipitation data as well as with morphometric parameters. We show that suspended sediment concentrations vary systematically through the seasons and asynchronously to river discharge displaying a hysteresis effect. This clockwise hysteresis effect disappears when suspended sediment fluxes are directly compared with direct storm discharge. Therefore we attribute the hysteresis effect to groundwater dilution rather than a sediment supply limitation. We infer a rating model to calculate erosion rates directly from long river discharge chronicles. We show that, when normalized by drainage area and mean sediment flux, all rivers exhibit the same trend. This similarity implies that all river basins have the same erosion behavior, independent of location, size and catchment characteristics. Erosion rates calculated from suspended sediment fluxes range between 0.1 and 2.8 mm/yr. The erosion rates of the three main basins of Nepal are in the range 0.9-1.5 mm/yr, Erosion rates in the Higher Himalayas are relatively low (<0.5 mm/yr, except for Kali Gandaki), while in the Lesser Himalayas they range from 0.2 to 2 mm/yr. We propose that material transport in the rivers depends on hillslope sediment supply, which is, in turn, controlled by those rainfalls producing direct runoff. In other words, the rivers in the Nepal Himalayas are supply-limited and the hillsopes as a

  5. Geomorphic changes induced by the April-May 2015 earthquake sequence in the Pharak-Khumbu area (Nepal): preliminary assessments.

    NASA Astrophysics Data System (ADS)

    Fort, Monique

    2016-04-01

    Landsliding is a common process shaping mountain slopes. There are various potential landslide triggers (rainfall, bank erosion, earthquakes) and their effectiveness depends on their distribution, frequency and magnitude. In a Himalayan context, the effects of monsoon rainfall can be assessed every year whereas the unpredictability and low frequency of large earthquakes make their role in triggering slope instability more obscure. A 7.8 magnitude earthquake struck central Nepal (Gorkha District) on 25 April 2015 and was followed by many aftershocks exceeding magnitude 5, including another strong 7.3 magnitude earthquake on May 12, 2015 (Dolakha District). This seismic crisis provides an exceptional opportunity to assess the disruptions that earthquakes may cause in "regular" geomorphic systems controlled by rainfall. Here we present field observations carried out in the Pharak-Khumbu area (East Nepal, Dudh Kosi catchment) before and after the April-May 2015 earthquakes. The Pharak, a "middle mountains" (2000-4500 m) area, is affected by monsoon rains (3000 m/yr at 2500 m) and characterised by steep hillslopes, shaped by different geomorphic processes according to slope height and aspect, rock type and strength, inherited landforms, stream connectivity and current land use changes. This study focuses on the south of Lukla (Phakding District), and more specifically on the Khari Khola catchment and its surroundings. The area lies at the transition between the Higher Himalayan crystallines and the Lesser Himalayan meta-sediments. On the basis of our diachronic observations (March and November 2015), we surveyed and mapped new earthquake-induced slope instabilities such as rock falls, rockslides, landslides and debris flows and a combination of several of them. Interviews with local people also helped to assess the exact timing of some events. While the first M 7.8 earthquake produced significant impacts in the northern Khumbu area, the M 7.3 aftershock seems to have

  6. Characteristics of subevents and three-stage rupture processes of the 2015 Mw 7.8 Gorkha Nepal earthquake from multiple-array back projection

    NASA Astrophysics Data System (ADS)

    Qin, Weize; Yao, Huajian

    2017-01-01

    On 25 April 2015 an Mw 7.8 earthquake occurred in Nepal and caused about 9000 casualties. This earthquake ruptured part of the Main Himalaya Thrust fault, which is due to the convergence of the subducting Indian plate to the overriding Eurasian plate, and showed thrust mechanism with a very small fault dip angle (about 7-10°). We apply teleseismic multiple-array back projection analysis to study the rupture process of this earthquake and find 6 clear high frequency radiation sources (subevents). Our results illustrate a simple unilateral eastward rupture of ∼160 km with relative stable rupture speed of ∼2.8 km/s and a duration of 56 s. The entire rupture processes can be divided into 3 stages. The high frequency radiation appears to be mainly located at the edge of the large slip area, but the subevents have different characteristics in the western and eastern rupture areas. For this 2015 Nepal earthquake, the scales of asperities appear to be mainly controlled by depth, which dominates the overall patterns of slip and high frequency radiation. We finally propose a multiple-scale asperity model with stress and structural heterogeneities along the rupture direction to explain the distribution of high frequency subevents, co-seismic slip, and aftershocks.

  7. Yield of intensified tuberculosis case-finding activities using Xpert® MTB/RIF among risk groups in Nepal

    PubMed Central

    Baral, S.; Shrestha, P.; Puri, M.; Kandel, S.; Lamichanne, B.; Elsey, H.; Brouwer, M.; Goel, S.; Chinnakali, P.

    2016-01-01

    Setting: Twenty-two districts of Nepal, where intensified case-finding (ICF) activities for tuberculosis (TB) were implemented among risk groups under the TB REACH initiative in collaboration with the National TB Programme from July 2013 to November 2015. Objectives: To assess the yield of TB screening using an algorithm with smear microscopy followed by Xpert® MTB/RIF. Design: A descriptive study using routinely collected data. Results: Of 145 679 individuals screened, 28 574 (19.6%) had presumptive TB; 1239 (4.3%) of these were diagnosed with TB and 1195 (96%) were initiated on anti-tuberculosis treatment. The yield of screening was highest among people living with the human immunodeficiency virus (PLHIV) (6.1%), followed by household contacts (3.5%) and urban slum dwellers (0.5%). Among other risk groups, such as prisoners, factory workers, refugees and individuals with diabetes, the yield was less than 0.5%. The number needed to screen to diagnose an active TB case was 17 for PLHIV, 29 for household contacts and 197 for urban slum dwellers. Of 11 525 patients from ICF and the routine programme, 112 (1%) were diagnosed with multidrug-resistant TB. Conclusion: There was a substantial yield of TB cases among risk groups such as PLHIV and household contacts. Although the yield in urban slum dwellers was found to be moderate, some intervention should nonetheless be targeted because of the large population and poor access to care in this group. PMID:27358808

  8. Promoting astronomy for the development of society in Nepal

    NASA Astrophysics Data System (ADS)

    Bhattarai, Suresh; Neupane, Sudeep

    2011-06-01

    Astronomy as one of the oldest sciences has influenced and spurred steady development of society and culture. Inherent superstitious beliefs and their related rituals that have been hampering the progress and prosperity of nations have been dispelled and reduced considerably through the promotion of astronomical activities at all levels of the society. For disseminating basic knowledge and logic of astronomical facts that were deemed important for the development of our society, various programmes have been conducted through mass media. Many talk programmes, seminars and star parties were organised in different places. Our experiences when planning and executing such programmes are summarised and illustrated. The effectiveness of our programmes with the participation of general public is discussed in detail. Positive results of our activities that have contributed towards creation of substantial awareness of astronomy for the development of our society in Nepal are explained.

  9. Coping with poor water supplies: empirical evidence from Kathmandu, Nepal.

    PubMed

    Katuwal, Hari; Bohara, Alok K

    2011-03-01

    The authors examined the demand for clean drinking water using treatment behaviors in Kathmandu, Nepal. Water supply is inadequate, unreliable and low quality. Households engage in several strategies to cope with the unreliable and poor quality of water supplies. Some of the major coping strategies are hauling, storing, and point-of-use treatment. Boiling, filtering, and use of Uro-guard are some of the major treatment methods. Using Water Survey of Kathmandu, the authors estimated the effect of wealth, education, information, gender, caste/ethnicity and opinion about water quality on drinking water treatment behaviors. The results show that people tend to increase boiling and then filtering instead of only one method if they are wealthier. In addition, people boil and then filter instead of boiling only and filtering only if they think that water delivered to the tap is dirty. Exposure to information has the strongest effect in general for the selection of all available treatment modes.

  10. Engineering geological aspect of Gorkha Earthquake 2015, Nepal

    NASA Astrophysics Data System (ADS)

    Adhikari, Basanta Raj; Andermann, Christoff; Cook, Kristen

    2016-04-01

    Strong shaking by earthquake causes massif landsliding with severe effects on infrastructure and human lives. The distribution of landslides and other hazards are depending on the combination of earthquake and local characteristics which influence the dynamic response of hillslopes. The Himalayas are one of the most active mountain belts with several kilometers of relief and is very prone to catastrophic mass failure. Strong and shallow earthquakes are very common and cause wide spread collapse of hillslopes, increasing the background landslide rate by several magnitude. The Himalaya is facing many small and large earthquakes in the past i.e. earthquakes i.e. Bihar-Nepal earthquake 1934 (Ms 8.2); Large Kangra earthquake of 1905 (Ms 7.8); Gorkha earthquake 2015 (Mw 7.8). The Mw 7.9 Gorkha earthquake has occurred on and around the main Himalayan Thrust with a hypocentral depth of 15 km (GEER 2015) followed by Mw 7.3 aftershock in Kodari causing 8700+ deaths and leaving hundreds of thousands of homeless. Most of the 3000 aftershocks located by National Seismological Center (NSC) within the first 45 days following the Gorkha Earthquake are concentrated in a narrow 40 km-wide band at midcrustal to shallow depth along the strike of the southern slope of the high Himalaya (Adhikari et al. 2015) and the ground shaking was substantially lower in the short-period range than would be expected for and earthquake of this magnitude (Moss et al. 2015). The effect of this earthquake is very unique in affected areas by showing topographic effect, liquefaction and land subsidence. More than 5000 landslides were triggered by this earthquake (Earthquake without Frontiers, 2015). Most of the landslides are shallow and occurred in weathered bedrock and appear to have mobilized primarily as raveling failures, rock slides and rock falls. Majority of landslides are limited to a zone which runs east-west, approximately parallel the lesser and higher Himalaya. There are numerous cracks in

  11. Nepal's War on Human Rights: A summit higher than Everest

    PubMed Central

    Singh, Sonal; Dahal, Khagendra; Mills, Edward

    2005-01-01

    Nepal has witnessed serious human rights violations including arbitrary arrests, detentions, "disappearances", extra judicial executions, abductions and torture carried out by both the Royal Nepalese Army and the Maoist rebels in the 10 years of the "peoples war". Women and children have borne the brunt of the conflict. Massive displacement has led to adverse social and psychological consequences. While the reasons for the conflict are mainly indigenous and rooted in the social and economic in-equities, remedies for health inequities must come not only from the health sector but also from broad social policies and adopting a participatory and conflict-sensitive approach to development. Meanwhile the international community needs to use its leverage to urge both sides to accept a human rights accord and honor international human rights and humanitarian laws, while investigating allegations of abuse and prosecute those responsible. PMID:15985165

  12. Spatial assessment of attitudes toward tigers in Nepal.

    PubMed

    Carter, Neil H; Riley, Shawn J; Shortridge, Ashton; Shrestha, Binoj K; Liu, Jianguo

    2014-03-01

    In many regions around the world, wildlife impacts on people (e.g., crop raiding, attacks on people) engender negative attitudes toward wildlife. Negative attitudes predict behaviors that undermine wildlife management and conservation efforts (e.g., by exacerbating retaliatory killing of wildlife). Our study (1) evaluated attitudes of local people toward the globally endangered tiger (Panthera tigris) in Nepal's Chitwan National Park; and (2) modeled and mapped spatial clusters of attitudes toward tigers. Factors characterizing a person's position in society (i.e., socioeconomic and cultural factors) influenced attitudes toward tigers more than past experiences with tigers (e.g., livestock attacks). A spatial cluster of negative attitudes toward tigers was associated with concentrations of people with less formal education, people from marginalized ethnic groups, and tiger attacks on people. Our study provides insights and descriptions of techniques to improve attitudes toward wildlife in Chitwan and many regions around the world with similar conservation challenges.

  13. Kusunda: An Indo-Pacific language in Nepal

    PubMed Central

    Whitehouse, Paul; Usher, Timothy; Ruhlen, Merritt; Wang, William S.-Y.

    2004-01-01

    The Kusunda people of central Nepal have long been regarded as a relic tribe of South Asia. They are, or were until recently, seminomadic hunter-gatherers, living in jungles and forests, with a language that shows no similarities to surrounding languages. They are often described as shorter and darker than neighboring tribes. Our research indicates that the Kusunda language is a member of the Indo-Pacific family. This is a surprising finding inasmuch as the Indo-Pacific family is located on New Guinea and surrounding islands. The possibility that Kusunda is a remnant of the migration that led to the initial peopling of New Guinea and Australia warrants additional investigation from both a linguistic and genetic perspective. PMID:15056764

  14. Household headship and child death: Evidence from Nepal

    PubMed Central

    2010-01-01

    Background Nepal has seen substantial improvements in its reproductive health outcomes, but infant and child mortality are still high. This study attempts to examine the prevalence and factors influencing the experience of child death of mothers who have given birth during a five-year period. More specifically, this paper aims to investigate whether household headship has an impact on child death in Nepal. Methods This paper reports on data drawn from the Nepal Demographic and Health Survey (NDHS 2006), a nationally representative sample survey. The analysis is confined to women who had given birth during the five years preceding the survey (n = 4066). The association between experience of child death of mother and the explanatory variables was assessed via bivariate analysis using a chi-square test. The variables were also examined using multivariate analysis (binary logistic regression) to assess the net effect of household headship on child death after controlling for the other variables. Results Out of all the mothers who had given birth during a five-years period, 3,229 (79.4%) were from male-headed households; the remaining 837 (20.6%) were from female-headed households. A significantly higher proportion of mothers from male-headed households (6.5%) than female-headed households (4.5%) had experienced the death of a child over the five years preceding the survey. Several socio-demographic, economic, and cultural variables were significant predicators for death of a child. For instance, women who had given birth to three or more children and who were Hindu were more likely to experience a child's death than were their counterparts. On the other hand, women who were literate, who had ever used family planning methods, who had visited a health facility, who utilized antenatal care for the last pregnancy, and who were from female-headed households were less likely to see a child die than were women in their comparison group. Notably, keeping all other control

  15. Sporadic, rainfall triggered landslides and debris flows in the monsoon, Nepal Himalaya

    NASA Astrophysics Data System (ADS)

    Fort, Monique; Etienne, Cossart; Alexis, Conte; Natacha, Gribenski; Gilles, Arnaud-Fassetta

    2010-05-01

    Small river catchments play a major role in the overall denudation of the Himalayas, because they may generate extreme, geomorphic events. We characterize their potential impacts on the morphology and functioning of trunk rivers, and indirectly on infrastructure and settlements located along the valley floor. Our study case, the Ghatte Khola, is an intermittent tributary of the Kali Gandaki (Western Nepal) affected by occasional debris flow events. The cause of the debris flows is a persistent planar slide zone (dip slope) that is reactivated by pre- or monsoon heavy rainfall on the upper, forested catchment. As a result, the narrow valley of the upstream part of the tributary is temporary clogged by slide masses, until sudden, landslide outburst floods occur. Downstream, where the channel is entrenched across a 5-8 m thick debris fan, the functioning of successive debris flows cause bank erosion and stream channel widening. At the junction with the Kali Gandaki, the flows may aggrade debris volumes large enough to dam the Kali Gandaki for a few hours and cause the level of this major river to rise more than 5 m upstream. During the last 40 years, pulsed aggradations transferred erosion point to the opposite (left bank) side of the Kali Gandaki. This ephemeral, yet threatening behaviour of the stream, occurs every two or three years, according to field investigations (geomorphic mapping, sediment analysis) and interviews of villagers. We present various scenarios simulated using the SAGA-GIS cellular automata combined with a Digital Elevation Model. We discuss the available rainfall intensity-duration thresholds susceptible to trigger Himalayan landslides. Our study suggests that such high-magnitude/low-frequency events are very efficient to foster sediment fluxes and create temporary sediment storages in Himalayan valleys, a fact that is to be considered prior to any new settlement and road design in a country where infrastructures are rapidly developing.

  16. Features of positive ground flashes observed in Kathmandu Nepal

    NASA Astrophysics Data System (ADS)

    Adhikari, Pitri Bhakta; Sharma, Shriram; Baral, Kedarnath

    2016-07-01

    Lightning vertical electric fields pertinent to the subtropical thunderstorms occurring over the rugged terrain have been measured and recorded at a hilly station Kathmandu, Nepal. In the present work, waveforms of the positive ground flashes have been selected from all the records and were analyzed. To the best of our knowledge, this is the first time that fine structure of electric field signature pertinent to the positive return stroke; have been analyzed and presented from Nepal. One hundred and thirty three (133) of the total of four hundred twenty-five (425) flashes were selected from seven thunderstorm days and analyzed. Of the data recorded for seven days, 133 flashes (31.3%) were positive flashes and 276 flashes (64.9%) were cloud flashes. Majority of the positive ground flashes were found to be single stroke ones, whereas, the average number of strokes per flash is found to be 1.1 with a maximum value of 4. Majority of the positive ground flashes were found either lacking the initial breakdown process and the leader stage or these processes could not be detected. The return strokes are found to be succeeded by large in cloud activity in the continuing current portion of the flash. The average zero-crossing time of the positive return strokes was found to be 60.45 μs with a range of 447.81 μs and the average rise time was found to be 9.44 μs with a range of 42.56 μs.

  17. Exposure to airborne particulate matter in Kathmandu Valley, Nepal.

    PubMed

    Gurung, Anobha; Bell, Michelle L

    2012-01-01

    Kathmandu Valley, Nepal, has severe air pollution, although few studies examine air pollution and health in this region. To the best of our knowledge, no previous studies in Nepal used time-activity diaries or conducted personal monitoring of individuals' exposures. We investigated personal exposure of particulate matter (PM) with aerodynamic diameter ≤2.5 μm (PM(2.5)) by location, occupation, and proximity to roadways. PM(2.5) monitoring, time-activity diary, respiratory health questionnaire, and spirometer testing were performed from 28 June 2009 to 7 August 2009 for 36 subjects, including traffic police (TP), indoor officer workers next to main road (IOWs_NMR) and away from main road (IOWs_AMR), in urban area (UA), urban residential area, and semi-UA (SUA). TP had the highest exposure of all the occupations (average 51.2 μg/m(3), hourly maximum >500 μg/m(3)). TP levels were higher at the UA than other locations. IOW_NMR levels (averaged 46.9 μg/m(3)) were higher than those of IOW_AMR (26.2 μg/m(3)). Exposure was generally higher during morning rush hours (0800-1100 hours) than evening rush hours (1500-1800 hours) for all occupations and areas (78% of days for TP and 84% for urban IOW). PM(2.5) personal exposures for each occupation at each location exceeded the World Health Organization ambient PM(2.5) guideline (25 μg/m(3)). Findings suggest potential substantial health impacts of air pollution on this region, especially for TP.

  18. Macroseismic Intensities from the 2015 Gorkha, Nepal, Earthquake

    NASA Astrophysics Data System (ADS)

    Martin, S. S.; Hough, S. E.; Gahalaut, V. K.; Hung, C.

    2015-12-01

    The Mw 7.8 Gorkha, Nepal, earthquake, the largest central Himalayan earthquake in eighty-one years, yielded few instrumental recording of strong motion. To supplement these we collected 3800 detailed media and first-person accounts of macroseismic effects that included sufficiently detailed information to assign intensities. Our resultant macroseismic intensity map reveals the distribution of shaking in Nepal and the adjacent Gangetic basin. A key observation was that only in rare instances did near-field shaking intensities exceed intensity 8 on the European Macroseismic Scale (EMS), a level that corresponds with heavy damage or total collapse of many unengineered masonry structures. Within the Kathmandu Valley, intensities were generally 6-7 EMS, with generally lower intensities in the center of the valley than along the edges and foothills. This surprising (and fortunate) result can be explained by the nature of the mainshock ground motions, which were dominated by energy at periods significantly longer than the resonant periods of vernacular structures throughout Kathmandu. Outside the Kathmandu Valley the earthquake took a heavy toll on a number of remote villages, where many especially vulnerable masonry houses collapsed catastrophically in shaking equivalent to 7-8 EMS. Intensities were also generally higher along ridges and small hills, suggesting that topographic amplification played a significant role in controlling damage. The spatially rich intensity data set provides an opportunity to consider several key issues, including amplification of shaking in the Ganges basin, and the distribution of shaking across the rupture zone. Of note, relatively higher intensities within the near-field region are found to correlate with zones of enhanced high-frequency source radiation imaged by teleseismic back-projection (Avouac et al., 2015). We further reconsider intensities from a sequence of earthquakes on 26 August 1833, and conclude the largest of these ruptured

  19. Neglect and abuse of older people in Nepal: a commentary on "A baseline study on reported cases of elder abuse in Nepali press".

    PubMed

    Sharma Bhattarai, Lok P

    2014-01-01

    Little is known about elder abuse in Nepal. To gain further insights, the National Human Rights Commission in association with the Geriatric Center in Nepal published a report that analyzes all cases of older people's abuse published in two daily newspapers in Nepal over a 2-year period. This commentary discusses the main findings of the report, as well as future directions.

  20. Young eclogite from the Greater Himalayan Sequence, Arun Valley, eastern Nepal: P- T- t path and tectonic implications

    NASA Astrophysics Data System (ADS)

    Corrie, S. L.; Kohn, M. J.; Vervoort, J. D.

    2010-01-01

    Garnet geochronology was used to provide the first direct measurement of the timing of eclogitization in the central Himalaya. Lu-Hf dates from garnet separates in one relict eclogite from the Arun River Valley in eastern Nepal indicate an age of 20.7 ± 0.4 Ma, significantly younger than ultra-high pressure eclogites from the western Himalaya, reflecting either different origins or substantial time lags in tectonics along strike. Four proximal garnet amphibolites from structurally lower horizons are 14-15 Ma, similar to post-eclogitization ages published for rocks along strike in southern Tibet. P- T calculations indicate three metamorphic episodes for the eclogite: i) eclogite-facies metamorphism at ˜ 670 °C and ≥ 15 kbar at 23-16 Ma; ii) a peak- T granulite event at ˜ 780 °C and 12 kbar; and iii) late-stage amphibolite-facies metamorphism at ˜ 675 °C and 6 kbar at ˜ 14 Ma. The garnet amphibolites were metamorphosed at ˜ 660 °C. Three models are considered to explain the observed P- T- t evolution. The first assumes that the Main Himalayan Thrust (basal thrust of the Himalayan thrust system) cuts deeper at Arun than elsewhere. While conceptually the simplest, this model has difficulty explaining both the granulite-facies overprint and the pulse of exhumation between 25 and 14 Ma. A second model assumes that (aborted) subduction, slab breakoff, and ascent of India's leading edge occurred diachronously: ˜ 50 Ma in the western Himalaya, ˜ 25 Ma in the central Himalaya of Nepal, and presumably later in the eastern Himalaya. This model explains the P- T- t path, particularly heating during initial exhumation, but implies significant along-strike diachroneity, which is generally lacking in other features of the Himalaya. A third model assumes repeated loss of mantle lithosphere, first by slab breakoff at ˜ 50 Ma, and again by delamination at ˜ 25 Ma; this model explains the P- T- t path, but requires geographically restricted tectonic behavior at Arun

  1. PLANT DIVERSITY OF WESTERN CHITWAN FLORISTIC APPROACH

    PubMed Central

    Dangol, D. R.; Shivakoti, G. P.

    2012-01-01

    This paper identifies and documents the plant biodiversity of western Chitwan, Nepal. Specifically, our attention was focussed on the plants of forests, grasslands and common lands based on our “Reciprocal Relation of Population and Environment Study Project” conducted during January-April 1996. This species-diversity of trees, shrubs and herbaceous flora was recorded from 117, 117, and 1049 sampling quadrats of 10×10, 3×3 and 1×1 m2, respectively. The flora of our study plots contains 236 species that belong to 191 genera and 66 families. Of 236 species of plants, 119, 113, 59, 35 and 119 species were recorded from Tikauli forest, National Park forest, forests along the Narayani river, grasslands of National Park and common lands of the western Chitwan, respectively. Dicotyledons represent 184 (77.97%) species of the total flora species followed by monocotyledons (46 spp., 19.49%) and ferns (6 spp., 2.54%), respectively. The five largest families are Leguminosae (38 spp.), Poaceae (27 spp.), Asteraceae (22 spp.), Rubiaceae (10 spp.), and Scrophulariaceae (9 spp.). Hedyotis, Grewia and Lindernia, each with 4 spp., are the most speciose genera in the flora. PMID:22899874

  2. Scalability and Sustainability in Uncertain Environments: Recovery from the Nepal Earthquakes, April 25 and May 12, 2015.

    NASA Astrophysics Data System (ADS)

    Comfort, L. K.; Joshi, J. B. D.; Yuldashev, F.

    2015-12-01

    Decision making in disaster recovery involves both rapid scaling up of resources and personnel from external sources, to rebuild a damaged community, and consequent scaling down of this influx of new actors, organizations, and resources as the community returns to daily operations. How to integrate new concepts, technologies, and resources into communities to rebuild the social, economic, and political infrastructure in stronger, more sustainable ways, as well to reconstruct the damaged technical infrastructure represents a challenging set of problems for any community. This problem is critical in environments exposed to recurring risk of interacting hazards that characterize metropolitan regions today. This analysis will examine the process of decision making that is being initiated at national, regional, district, and municipal levels in Nepal following the April 25 and May 12, 2015 Earthquakes as a field study of this process in action. We will build on an initial brief reconnaissance trip to Nepal, June 30 - July 10, 2015, just as response operations were ending and the transition to recovery was beginning. It will capture this transition process to identify the organizational structure through which it operates and the communication and coordination processes that enhance or impede the development of sustainable, disaster-resilient communities as they recover from disaster. We will collect three types of data from different sources, and use appropriate methods of analysis for each type of data. For documentary analysis, we will trace the logic of governmental action for managing risk and recovering from disaster that is stated in public laws, policies, and documents. For electronic media, we will use content analysis to identify key actors, organizations, transactions, and interactions among actors, and conduct a network analysis, using standard measures of centrality, distance, closeness, and clustering. We will use expert interviews and satellite maps to

  3. 77 FR 54944 - Designation of the Communist Party of Nepal (Maoist) as a Specially Designated Global Terrorist...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Designation of the Communist Party of Nepal (Maoist) as a Specially Designated Global Terrorist; In the Matter of the Designation of The Communist Party of Nepal (Maoist) Also Known as United Revolutionary People's Council Also Known as People's...

  4. Pharmacy workers in Nepal can provide the correct information about using mifepristone and misoprostol to women seeking medication to induce abortion.

    PubMed

    Tamang, Anand; Puri, Mahesh; Lama, Kalyan; Shrestha, Prabhakar

    2015-02-01

    In Nepal, despite policy restrictions, both registered and unregistered brands of mifepristone and misoprostol can easily be obtained at pharmacies. Since many women visit pharmacies for abortion information, ensuring that they receive effective care from pharmacy workers remains an important challenge. We conducted an operations research study to examine whether trained pharmacy workers can correctly provide information on safe use of mifepristone and misoprostol for early first trimester medical abortion. Pharmacy workers in one district were given orientation and training using a harm-reduction approach, and compared with a non-equivalent comparison group in the second district. Overall, trained pharmacy workers' knowledge increased substantially, but no increase was found in the comparison group. Compared to the baseline (65%), 97% of trained pharmacy workers knew up to what stage of pregnancy and how women should use mifepristone and misoprostol. A higher percentage of pharmacy workers in the intervention group (77%) compared to the comparison group (49%) were knowledgeable at follow-up about determining whether an abortion was successful, implying a need for improving this aspect of training. As many mid-level health providers run their own pharmacies and offer medical abortion pills, it is important for the government to consider training these providers and registering their pharmacies as safe medical abortion service outlets.

  5. Micronutrients Deficiency, a Hidden Hunger in Nepal: Prevalence, Causes, Consequences, and Solutions

    PubMed Central

    2015-01-01

    Micronutrient deficiency is a global challenge to health as in Nepal. In Nepal, the targeted beneficiaries are less aware about importance of micronutrients (MNs), which has resulted in low intake of foods rich in MNs. Micronutrient deficiencies (MNDs) have huge impact on health of vulnerable population like women and children and have jeopardized the national economy and prosperity of developing countries including Nepal. However, less attention has been paid towards MNDs, which can be prevented. Therefore, this study aims to draw attention of the concerned authorities and researchers to combat against MNDs in Nepal. This study showed that different types of MNDs with higher prevalence exist in Nepal. The major causes of MNDs were poor diet, diseases and infestations, and poor health caring practices. The results of MNDs were unwanted child and maternal mortality, impairments of lives, and reduction in productivity and intellectual capacity. School health and nutrition education and supplementation and fortification of essential MNs proved to be effective while dietary diversification and economic growth and poverty eradication seemed promising. Control and prevention of MNDs can help to achieve Millennium Development Goals as well, so studies in this sector should be emphasized. PMID:27347513

  6. Primary health care development: where is Nepal after 30 years of Alma Ata Declaration?

    PubMed

    Karkee, R; Jha, N

    2010-01-01

    The year 2008 has witnessed the global conversation to return to tenets of Alma-Ata and to review its 30 years of journey. We reviewed Nepal's journey on Primary Health Care development: policy formulation, structure development, progress and constraints. Though Nepal has institutionalised the PHC approach in health policy, strategy and health care delivery system, this has not been effectively translated into actions, and the results are mixed. Nepal has gained impressive achievements in selective primary health care markers: 45.43% maternal mortality and 62.34% child mortality reduction during 1990-2005. But gain in comprehensive health care markers is not impressive: 18.7% Skilled Birth Attendant (4% in poorest quintile and 45% in richest quintile), 39% having access to improved sanitation and 55.7% of females are literate as compared to males. Socio-political environment until recently was not favourable for comprehensive primary health care, allowing limited health sector decentralisation and community empowerment. Health activities were focussed more on selective health care strategy in the form of disease control, immunisation, vitamin A supplementation, oral rehydration solution use and contraceptive use. Nepal's rural hilly geography posed great challenge on logistic supply, communication and retention of health workers rendering public health centres of low quality with negative perceptions of consumers. Nepal is on the pathway to build equitable comprehensive primary health care.

  7. Disaster response under One Health in the aftermath of Nepal earthquake, 2015.

    PubMed

    Asokan, G V; Vanitha, A

    2017-03-01

    Until now, an estimate quotes that 1100 healthcare facilities were damaged and over 100,000 livestock lost in the two earthquakes that occurred in April and May of 2015 in Nepal. Threats of infectious diseases, mostly zoonoses, could affect Nepal's economy, trade, and tourism, and reaching the targets of the United Nations Millennium Development Goals. Historically, outbreaks of infectious diseases, including zoonoses, were largely associated with the aftereffects of the earthquakes. It has been documented that zoonoses constitute 61% of all known infectious diseases. Therefore, the purpose of this communication was to examine the infectious disease outbreaks after earthquakes around the world and explore the risk assessment of the zoonoses threats reported in Nepal and highlight adopting One Health. Our summaries on reported zoonoses in Nepal have shown that parasitic zoonoses were predominant, but other infectious disease outbreaks can occur. The fragile public health infrastructure and inadequately trained public health personnel can accelerate the transmission of infections, mostly zoonoses, in the post impact phase of the earthquake in Nepal. Therefore, we believe that with the support of aid agencies, veterinarians and health professionals can team up to resolve the crisis under One Health.

  8. An Overture for eCAM: Science, Technology and Innovation Initiation for Prosperous, Healthy Nepal.

    PubMed

    Kaphle, Krishna; Bhuju, Dinesh Raj; Jha, Pramod Kr; Bhattarai, Hom Nath

    2011-01-01

    Nepal the "Shangri-La" in the lap of the Himalayas is gearing up for modern times as it starts rebuilding after a decade of senseless violence and destruction. The nation one of the poorest in the global development index is rich in natural resources and biodiversity. Reports of medicinal plants far exceeding those recorded and reported so far are encouraging and at the same time concerns for medicinal plants under threat as a result of overexploitation are emerging from Nepal. The harsh mountain terrains, lack of industrialization and harnessing potentiality of its areas of strength; water; natural resources and tourism make it poor in per capita income which averages ~ 300 US$, with half the population living under >1$ a day. Nepal is beginning to realize that the way ahead is only possible through the path of Science and Technology (ST). Nepal Academy of Science and Technology formerly known as Royal Academy of Science and Technology organized the fifth national conference held every 4 years that took place in the capital Kathmandu during November 10-12, 2008. The ST initiation event saw the participation of ~ 1400 people representing over 150 organizations from the country and experts from abroad. The theme for the fifth national meet was "Science, Technology and Innovation for Prosperous Nepal". Complementary and Alternative Medicine (CAM) was an important theme in the event as the realization for the need of ST research focused in CAM for harnessing the chemo diversity potential was univocally approved.

  9. Effectiveness and Feasibility of Active and Passive Case Detection in the Visceral Leishmaniasis Elimination Initiative in India, Bangladesh, and Nepal

    PubMed Central

    Hirve, Siddhivinayak; Singh, Shri Prakash; Kumar, Narendra; Banjara, Megha Raj; Das, Pradeep; Sundar, Shyam; Rijal, Suman; Joshi, Anand; Kroeger, Axel; Varghese, Beena; Thakur, Chandreshwar Prasad; Huda, M. Mamun; Mondal, Dinesh

    2010-01-01

    This study analyzed the effectiveness of active case detection (ACD) for new visceral leishmaniasis (VL) cases. ACD detection was carried out using house to house screening in Bangladesh and India and by neighborhood screening around index cases in Nepal. The percent increase of new VL cases through ACD compared to PCD was 6.7–17.1% in India; 38.8% in Nepal; and 60% in Bangladesh. The screening effort was high in India and Bangladesh (house to house screening) compared to Nepal (index case screening). The additional cost per new VL case detected varied: $50 to $106 in India; $172 in Bangladesh; $262 in Nepal depending on the type of screening staff, transport and training costs. The estimated annual VL incidence in the ACD arm ranged from 315–383 in India; 109 in Bangladesh, and 43 per 100,000 in Nepal. The additional effort and cost rises as disease incidence declines or PCD improves. PMID:20810811

  10. Evaluation of alternate outreach models for cataract services in rural Nepal

    PubMed Central

    2010-01-01

    Background Bharatpur Eye Hospital in Chitwan District, a primarily agrarian setting in south-central Nepal, reduced the number of diagnostic screening and treatment (DST) camps by one half (151 to 75) in an attempt to increase both the efficiency of its outreach program and the number of people that go directly to the hospital for service. The Hospital evaluated the two program models in terms of program costs, cataract surgical utilization, hospital direct payment and patient equity. Methods The study is a prospective, before and after, study of the impact of an alternate outreach model on cataract service utilization patterns and cost per outreach camp and cost per cataract surgery at Bharatpur Eye Hospital, comparing the service years July 2006 to June 2007, with July 2007 to June 2008. Study findings were based on routinely gathered hospital and outreach administrative data. Results The total cost of the DST camps decreased by approximately US$2000. The cost per camp increased from US$52 to $78 and the cost per cataract surgery decreased from US$ 3.80 to $3.20. The number of patients who went directly to the hospital, and paid for cataract surgery, increased from 432 (17%) to 623 (25%). The total number of cataract surgical procedures at Bharatpur Eye Hospital remained very similar between the two service years (2501 and 2449, respectively). The presenting visual acuity and sex of the two cataract surgical populations were very similar (favouring women, 53 and 55% in the two years, respectively). A shift toward younger men and women occurred with a 245 (64%) increase in people age 50-59 years, and shift away from people age 70 years and older with a 236 (22%) reduction. The age and sex distribution of the direct paying patients were very similar in the two years. Conclusion The new, more concentrated, more rural DST model of service delivery reduced overall outreach program costs, cost per cataract surgery transported, while increasing direct payments to the

  11. Competency: District Views from Southern California.

    ERIC Educational Resources Information Center

    Tyo, John

    1979-01-01

    Educators from Fullerton Union High School District, Newport-Mesa Unified School District, Capistrano Unified School District, and Huntington Beach Union High School District describe their efforts toward developing competency-based curriculum to meet state mandates. (SJL)

  12. Districts for 104th Congress

    USGS Publications Warehouse

    ,

    1990-01-01

    This is a polygon coverage of 104th Congressional District boundaries obtained from the U.S. Bureau of the Census. The 103rd Congress was the first Congress that reflected the reapportionment and delineation of congressional districts based on the 1990 census. The next (104th) Congress reflects redelineation of districts that occurred for six states: Georgia, Louisiana, Maine, Minnesota, South Carolina, and Virginia. Congressional Districts U.S. House of Representatives Census TIGER/Line Files

  13. Education Management and Performance after Rural Education Finance Reform: Evidence from Western China

    ERIC Educational Resources Information Center

    Liu, Mingxing; Murphy, Rachel; Tao, Ran; An, Xuehui

    2009-01-01

    Based on a survey of rural school districts in Western China, this essay explores the effects of fiscal centralisation on the relationship between local governance and school district management, most particularly on how managerial power is distributed in the rural education sector. The essay also examines some of the possible effects that changes…

  14. Rightsizing a School District

    ERIC Educational Resources Information Center

    Esselman, Mary; Lee-Gwin, Rebecca; Rounds, Michael

    2012-01-01

    The transformation of the Kansas City, Missouri Public Schools (KCMSD) has been long overdue. Multiple superintendents and administrations, using billions of dollars of desegregation funds ventured to transform the district by creating magnet schools, themed schools, and career-focused high schools. Missing from these initiatives, but included in…

  15. Modelling district nurse expertise.

    PubMed

    Burke, Michelle

    2014-12-01

    As changes in society and health provision mean that one in four people over the age of 75 will require nursing care at home, pre-registration adult nurse education increasingly prepares student nurses for a future career within the community. District nurses undertake complex, multidimensional health and social assessments and care in a non-clinical setting and work in partnership with patients and their significant others to promote practical and psychological coping mechanisms and self-care. The district nurse's first assessment visit is key to developing a therapeutic partnership and it is often during this visit that expertise in district nursing practice emerges. The holistic, contextual and dynamic aspects of nursing in the home setting can make district nursing expertise difficult to illustrate and demonstrate within the classroom setting. This article explores the ways in which an understanding of expertise development theory can enable the tacit expertise that occurs within the first assessment visit to be made visible to student nurses, using simulation and expert narrative as a pedagogical strategy.

  16. Districts Weigh Obesity Screening

    ERIC Educational Resources Information Center

    Butler, Kevin

    2008-01-01

    Parents of children in most elementary grades in Minnesota's Independent School District 191 receive an annual notice with potentially life-altering data for their children--and they are not state test scores, attendance rates, or grades. The notice contains the child's body mass index (BMI) score, which estimates whether the student has excess…

  17. Districts Tackling Meal Debt

    ERIC Educational Resources Information Center

    Shah, Nirvi

    2012-01-01

    School districts have resorted to hiring debt collectors, employing constables, and swapping out standard meals for scaled-back versions to try to coerce parents to pay off school lunch debt that, in recent years, appears to have surged as the result of a faltering economy and better record-keeping. While the average school lunch costs just about…

  18. Districts Shun Stimulus Bids

    ERIC Educational Resources Information Center

    Maxwell, Lesli A.

    2010-01-01

    In the final sprint to polish Race to the Top applications, hundreds of school districts shunned a shot at a share of $4 billion in grants by refusing to sign on to their states' plans for the federal competition. California officials had secured the signatures of 790 local education agencies (leas) late last week, including most of the state's…

  19. The Importance of Districts

    ERIC Educational Resources Information Center

    Tymms, Peter; Merrell, Christine; Heron, Tara; Jones, Paul; Albone, Stephen; Henderson, Brian

    2008-01-01

    Effectiveness studies have largely concentrated on the school as the unit of analysis, although an increasing number have directed their attention to the teacher as the main unit of interest. But policy is often directed through organisations at the district level or what is sometimes known as the Education Authority (EA). Few studies have…

  20. School District Purchasing.

    ERIC Educational Resources Information Center

    Natale, Joseph L.

    This chapter of "Principles of School Business Management" discusses the effective management of purchasing processes in a school district. These processes include obtaining materials, supplies, and equipment of maximum value for the least expense, and receiving, storing, and distributing the items obtained. The chapter opens with an overview of…

  1. Districts Delivering Online

    ERIC Educational Resources Information Center

    Sternberg, Ruth

    2006-01-01

    The idea is not new: Offer courses remotely, build in variety and the students will come. This article discusses how public schools are investing in offering online courses, catering to students' specific learning needs and to remote locations. Several surveys conducted in recent years show that school districts nationwide are embracing this…

  2. District-Level Downsizing

    ERIC Educational Resources Information Center

    Schachter, Ron

    2011-01-01

    Draconian cuts have become the order of business for many school districts since the economic recession hit in 2008. But for the coming school year, "draconian" has taken on an even harsher meaning, as states from California and Texas to Illinois and New York wrestle with deficits in the tens of billions of dollars and make…

  3. FACTORS IN FUTURE DISTRICT ORGANIZATION.

    ERIC Educational Resources Information Center

    Citrus Junior Coll., Azusa, CA.

    CALIFORNIA HAS ACCEPTED THE CONCEPT THAT ALL SCHOOL DISTRICTS ARE TO BE INCLUDED IN JUNIOR COLLEGE DISTRICTS. THIS STUDY DETERMINED WHAT EFFECT ANY CHANGE IN THE TERRITORY NOW INCLUDED IN THE CITRUS JUNIOR COLLEGE DISTRICT WOULD HAVE UPON THE SCHOOL'S ENROLLMENTS, BUILDING PROGRAM, AND FINANCIAL STRUCTURE. TOTAL ENROLLMENT IN THE COLLEGE, 1963-64,…

  4. District Consolidation: Rivals Coming Together

    ERIC Educational Resources Information Center

    Mart, Dan

    2011-01-01

    District consolidation is a highly emotional process. One key to success is sticking to the facts. In Iowa, school districts facing financial difficulties or enrollment concerns do not have to move directly to consolidation. In many cases, districts begin by developing sharing agreements. These sharing agreements may start with simple sharing of…

  5. A District's Journey to Inquiry

    ERIC Educational Resources Information Center

    Keeling, Mary

    2009-01-01

    Students learn best from well-designed instruction. To what extent can a school district design a curriculum that supports inquiry learning? How can a district implement consistent inquiry practices in forty schools? In this article, the author discusses Newport News Public School District's journey to inquiry which began in 2004 with a…

  6. Treeline dynamics with climate change at the central Nepal Himalaya

    NASA Astrophysics Data System (ADS)

    Gaire, N. P.; Koirala, M.; Bhuju, D. R.; Borgaonkar, H. P.

    2014-07-01

    Treeline shifting in tandem with climate change has widely been reported from various parts of the world. In Nepal, several impacts of climate change on the physical environment have been observed, but study on the biological impacts is lacking. This dendrochronological study was carried out at the treeline in the high mountain slope of Kalchuman Lake (3750-4003 m a.s.l.) area of Manaslu Conservation Area in the central Nepal Himalaya to explore the impact of climate change on the treeline dynamic. Two belt transect plots (size: 20 m wide, > 250 m long) were laid which included treeline as well as tree species limit. Ecological mapping of all individuals of dominant trees Abies spectabilis and Betula utilis was done and their tree cores were collected. Stand character and age distribution revealed an occurrence of more matured B. utilis (max. age 198 years) compared to A. spectabilis (max. age 160 years). A. spectabilis contained an overwhelmingly high population (89%) of younger plants (< 50 years) indicating its high recruitment rate. Population age structure along the elevation gradient revealed an upward shifting of A. spectabilis at the rate of 2.61 m year-1 since AD 1850. The upper distribution limit of B. utilis was found to be stagnant in the past few decades. An increment in plant density as well as upward shifting in the studied treeline ecotones was observed. The temporal growth of A. spectabilis was correlated negatively with the monthly mean and minimum temperature of June to September of the current and previous year. The regeneration of A. spectabilis, on the other hand, was positively correlated with August precipitation and monthly maximum temperature of the month of the current year. The growth and regeneration of A. spectabilis was more sensitive to maximum and minimum temperature rather than average temperature. The growth of the B. utilis was mainly limited by moisture stress during the pre-monsoon season. As these two species presented species

  7. Treeline dynamics with climate change at Central Nepal Himalaya

    NASA Astrophysics Data System (ADS)

    Gaire, N. P.; Koirala, M.; Bhuju, D. R.; Borgaonkar, H. P.

    2013-10-01

    Global climate change has multidimensional impacts with several biological fingerprints, and treeline shifting in tandem with climate change is a widely observed phenomenon in various parts of the world. In Nepal several impacts of climate change on physical environments have been observed. However, studies on the biological impacts are lacking. This dendrochronological study was carried out at the treeline ecotone (3750-4003 m a.s.l.) in the Kalchuman Lake (Kal Tal) area of the Manaslu Conservation Area in central Nepal Himalaya with the aim to study the dynamic impact of climate change at the treeline. The study provides an insight into regeneration and treeline dynamics over the past 200 yr. Two belt transect plots (size: 20 m wide, >250 m long) were laid covering forest line, treeline as well as tree species Abies spectabilis and Betula utilis was done and their tree-cores were collected. Stand character and age distribution revealed an occurrence of more matured B. utilis (max. age 198 yr old) compared to A. spectabilis (max. age 160 yr). A. spectabilis contained an overwhelmingly high population (89%) of younger plants (<50 yr) indicating its high recruitment rate. Population age structure along an elevation gradient revealed an upward shifting of A. spectabilis at the rate of 2.61 m yr-1 since 1850 AD. The upper distribution limit of B. utilis was found stagnant in the past few decades. An increment in plant density as well as upward shifting in the studied treeline ecotones was observed. Thus, two species presented species-specific responses to climate change and much wider differences anticipated in their population status as climate continues to cha spectabilis correlated negatively with the mean monthly temperature of May-August of the current year and with September of the previous year. The regeneration of A. spectabilis, on the other hand, was positively related with May-August precipitation and January-April temperature of the current year. The

  8. Disparity in health care: HIV, stigma, and marginalization in Nepal

    PubMed Central

    2009-01-01

    Background The provision of effective health care to people with HIV and those from usually marginalised backgrounds, such as drug users and sex workers is a growing concern in Nepal, because these populations often do not seek health care, as willingly as the general population. Exploration of the factors, which hinder them seeking health care is crucial. The 'lived' experiences of the usually marginalized participants in this research will reflect on the constraining factors, and contribute to the development of appropriate strategies, which will facilitate people with HIV and other marginal populations to seek more readily appropriate health services. Methods This study explored the healthcare-seeking experiences of 20 HIV-positive participants in Nepal, as well as 10 drug-using participants who had never had an HIV test and did not know their HIV status. Using grounded theory, this study investigated the perceptions and experiences of HIV-positive persons, or those perceived to be at risk for HIV, as they sought health care services in locations around Kathmandu Valley. Results Health professionals were perceived to lack knowledge and sensitivity in providing health care to often marginalized and stigmatized injecting drug users, sex workers and HIV-positive people. Stigma and marginalization seem to interfere with doctors' and other health professionals' decisions to voluntarily treat persons who they perceive to be at high risk for HIV infections. Doctors and other health professionals appear suspicious, even unaware, of contemporary biomedical knowledge as it relates to HIV. The fear that certain marginalized groups, such as injecting drug users and sex workers, would be infected with HIV has further intensified stigma against these groups. Conclusion The study identified the beginning of a change in the experiences of HIV-positive people, or those at risk of HIV, in their seeking of health care. With focused, contemporary HIV education and training, the

  9. Minor soil erosion contribution to denudation in Central Nepal Himalaya.

    NASA Astrophysics Data System (ADS)

    Morin, Guillaume; France-Lanord, Christian; Gallo, Florian; Lupker, Maarten; Lavé, Jérôme; Gajurel, Ananta

    2013-04-01

    In order to decipher river sediments provenance in terms of erosion processes, we characterized geochemical compositions of hillslope material coming from soils, glaciers and landslide, and compared them to rivers sediments. We focused our study on two South flank Himalayan catchments: (1) Khudi khola, as an example of small High Himalayan catchment (150 km2), undergoing severe precipitation, and rapid erosion ≈ 3.5 mm/yr [A] and (2) the Narayani-Gandak Transhimalayan basin (52000 km2) that drains the whole central Nepal. To assess the question, systematic samplings were conducted on hillslope material from different erosion processes in the basins. River sediment include daily sampling during the 2010 monsoon at two stations, and banks samples in different parts of the basins. Source rocks, soil and landslide samples, are compared to river sediment mobile to immobile element ratios, completed by hydration degree H2O+ analysis[2]. Data show that soils are clearly depleted in mobile elements Na, K, Ca, and highly hydrated compared to source rocks and other erosion products. In the Khudi basin, the contrast between soil and river sediment signatures allow to estimate that soil erosion represents less than 5% of the total sediment exported by the river. Most of the river sediment therefore derives from landslides inputs and to a lesser extent by barren high elevation sub-basins. This is further consistent with direct observation that, during monsoon, significant tributaries of the Khudi river do not export sediments. Considering that active landslide zones represent less than 0.5% of the total watershed area, it implies that erosion distribution is highly heterogeneous. Landslide erosion rate could reach more than 50 cm/yr in the landslide area. Sediments of the Narayani river are not significantly different from those of the Khudi in spite of more diverse geomorphology and larger area of the basin. Only H2O+ and Total Organic Carbon concentrations normalised to Al

  10. The Relationship between Schools' Costs per Pupil and Nevada School Performance Framework Index Scores in Clark County School District

    ERIC Educational Resources Information Center

    Rice, John; Huang, Min

    2015-01-01

    Clark County School District (CCSD) asked the Western Regional Education Laboratory (REL West) to examine the relationship between spending per pupil and Nevada School Performance Framework (NSPF) index scores in the district's schools. Data were examined from three school years (2011/12, 2012/13, 2013/14) and for three types of schools…

  11. Importance of Health and Social Care Research into Gender and Sexual Minority Populations in Nepal.

    PubMed

    Regmi, Pramod R; van Teijlingen, Edwin

    2015-11-01

    Despite progressive legislative developments and increased visibility of sexual and gender minority populations in the general population, mass media often report that this population face a wide range of discrimination and inequalities. LGBT (lesbian, gay, and bisexual, and transgender) populations have not been considered as priority research populations in Nepal. Research in other geographical settings has shown an increased risk of poor mental health, violence, and suicide and higher rates of smoking, as well as alcohol and drugs use among LGBT populations. They are also risk for lifestyle-related illness such as cancer, diabetes, and heart diseases. Currently, in Nepal, there is a lack of understanding of health and well-being, social exclusion, stigma, and discrimination as experienced by these populations. Good-quality public health research can help design and implement targeted interventions to the sexual and gender minority populations of Nepal.

  12. Determinants and promotion of oral hygiene behaviour in the Caribbean and Nepal.

    PubMed

    Buunk-Werkhoven, Yvonne A B; Dijkstra, Arie; Bink, Pim; van Zanten, Sarah; van der Schans, Cees P

    2011-10-01

    The purpose of this study was to identify predictors of oral hygiene behaviour (OHB) based on the Theory of Planned Behaviour (TPB) among dental care seekers in two cultural different regions: the Caribbean (Aruba/Bonaire) and Nepal. In addition, measures of oral health knowledge (OHK) and the expected social outcomes of having healthy teeth (ESO) were investigated. The main effects of the predictors as well as their interactions with region (Caribbean vs. Nepal) were examined. The interaction term contributed significantly to the amount of explained variance. In the Caribbean, OHB was determined by Attitude and Social Norms, and in Nepal by Perceived Behaviour Control and ESO. On the basis of these findings, quite different oral health care interventions are called for in developing and underdeveloped countries.

  13. Natural resource management: A. I. D. 's experience in Nepal. Occasional paper

    SciTech Connect

    Chew, S.T.

    1990-10-01

    Since 1980, the Agency for International Development (A.I.D.) has invested about $77 million in projects to improve Nepal's natural resource management. The paper reviews the two largest projects; it also describes how USAID/Nepal is supporting multidonor forestry projects. The review identifies several important lessons. USAID/Nepal has been more effective in influencing policymaking and institutional changes when supporting multidonor projects than when acting alone. The reviewed projects underscore the difficulty of implementing large projects that involve technologies far beyond the host country's capabilities. More importantly, they demonstrate that support for resource conservation need not always be technically sophisticated, but sometimes can -- and should -- begin by integrating research and extension activities into existing agricultural and rural development projects. To gain farmer support, such activities should increase livestock and tree production without compromising food crop production. Efforts to decentralize forestry management should not stop at the local government but should involve the affected communities themselves.

  14. Complete nucleotide sequence of a monopartite Begomovirus and associated satellites infecting Carica papaya in Nepal.

    PubMed

    Shahid, M S; Yoshida, S; Khatri-Chhetri, G B; Briddon, R W; Natsuaki, K T

    2013-06-01

    Carica papaya (papaya) is a fruit crop that is cultivated mostly in kitchen gardens throughout Nepal. Leaf samples of C. papaya plants with leaf curling, vein darkening, vein thickening, and a reduction in leaf size were collected from a garden in Darai village, Rampur, Nepal in 2010. Full-length clones of a monopartite Begomovirus, a betasatellite and an alphasatellite were isolated. The complete nucleotide sequence of the Begomovirus showed the arrangement of genes typical of Old World begomoviruses with the highest nucleotide sequence identity (>99 %) to an isolate of Ageratum yellow vein virus (AYVV), confirming it as an isolate of AYVV. The complete nucleotide sequence of betasatellite showed greater than 89 % nucleotide sequence identity to an isolate of Tomato leaf curl Java betasatellite originating from Indonesian. The sequence of the alphasatellite displayed 92 % nucleotide sequence identity to Sida yellow vein China alphasatellite. This is the first identification of these components in Nepal and the first time they have been identified in papaya.

  15. Burgeoning burden of non-communicable diseases in Nepal: a scoping review.

    PubMed

    Mishra, Shiva Raj; Neupane, Dinesh; Bhandari, Parash Mani; Khanal, Vishnu; Kallestrup, Per

    2015-07-16

    In the last decades, prevalence of non-communicable diseases (NCDs) has escalated in Nepal. This study reviews existing evidence on the burden of non-communicable diseases in Nepal using the framework developed by Arksey and O'Malley for scoping reviews. A total of 110 articles were identified from database searches, and four from additional searches. The titles and abstracts were reviewed using predetermined screening criteria. We limited our search to existing literature in English language and included all studies regardless of year of study. Both observational and interventional studies were included. Studies conducted outside Nepal and studies not reporting prevalence of NCDs were excluded. Additionally, we searched reference lists of included publications. All previous reports of Step Wise Surveillance to NCDs (STEPS Surveys) were included in the review. Finally, a total of 60 articles were included in this review. Limited studies on population-based prevalence of mental illness, chronic respiratory diseases, cardiovascular diseases, and road traffic accidents were found. There were limitations in the studies related to generalizability due to small sample sizes, non-random sampling and lack of studies from certain region of country. Nevertheless, high prevalence of hypertension and diabetes was found. Similarly, hospital-based studies reported high burden of cardiovascular diseases among outpatient contacts. Population-based cancer registries do not exist in Nepal. However, existing studies report 8,000-10,000 cancer deaths annually in Nepal. The most common cancer site in males was the lung, followed by the oral cavity and gastric, while the first three in females were cervix uteri, breast and lung. Prevalence of psychiatric morbidity was also high. Despite alarming burden of NCDs, the country's response is weak. Nepal needs to build non-communicable disease programmes with focus on disease prevention and management as well as awareness activities in urban

  16. Feasibility Study of Low-Cost Image-Based Heritage Documentation in Nepal

    NASA Astrophysics Data System (ADS)

    Dhonju, H. K.; Xiao, W.; Sarhosis, V.; Mills, J. P.; Wilkinson, S.; Wang, Z.; Thapa, L.; Panday, U. S.

    2017-02-01

    Cultural heritage structural documentation is of great importance in terms of historical preservation, tourism, educational and spiritual values. Cultural heritage across the world, and in Nepal in particular, is at risk from various natural hazards (e.g. earthquakes, flooding, rainfall etc), poor maintenance and preservation, and even human destruction. This paper evaluates the feasibility of low-cost photogrammetric modelling cultural heritage sites, and explores the practicality of using photogrammetry in Nepal. The full pipeline of 3D modelling for heritage documentation and conservation, including visualisation, reconstruction, and structure analysis, is proposed. In addition, crowdsourcing is discussed as a method of data collection of growing prominence.

  17. Do Women’s Land Rights Promote Empowerment and Child Health in Nepal?

    PubMed Central

    Allendorf, Keera

    2013-01-01

    SUMMARY Women’s land rights are increasingly put forth as a means to promote development by empowering women, increasing productivity, and improving welfare. However, little empirical research has evaluated these claims. This paper uses the 2001 Nepal Demographic and Health Survey to explore whether women’s land rights empower women and benefit young children’s health in Nepal. The results provide support for both of these hypotheses. Women who own land are significantly more likely to have the final say in household decisions, a measure of empowerment. Similarly, children of mothers who own land are significantly less likely to be severely underweight. PMID:23700354

  18. Addressing the needs of people with disability in Nepal: The urgent need.

    PubMed

    Paudel, Yuba Raj; Dariang, Maureen; Keeling, Stephen J; Mehata, Suresh

    2016-04-01

    Health planners and policy makers often overlook the needs of people with disability (PWDs) in less developed countries such as Nepal. The aftermath of conflict and earthquake has further escalated the need of people with disability in Nepal. While the country is preparing for the implementation of a national health sector strategy for the next five years and when the health system is being restructured, we believe that this is the right time to address needs of people with disability by strengthening the health system and operationalizing community based rehabilitation. Furthermore, there is a need of a standard database and monitoring system to regularly assess social inclusion of people with disability.

  19. First molecular identification and characterization of classical swine fever virus isolates from Nepal.

    PubMed

    Postel, Alexander; Jha, Vijay C; Schmeiser, Stefanie; Becher, Paul

    2013-01-01

    Classical swine fever (CSF) is a major constraint to pig production worldwide, and in many developing countries, the epidemiological status is unknown. Here, for the first time, molecular identification and characterization of CSFV isolates from two recent outbreaks in Nepal are presented. Analysis of full-length E2-encoding sequences revealed that these isolates belonged to CSFV subgenotype 2.2 and had highest genetic similarity to isolates from India. Hence, for CSFV, Nepal and India should be regarded as one epidemiological unit. Both Nepalese isolates exhibited significant sequence differences, excluding a direct epidemiological connection and suggesting that CSFV is endemic in that country.

  20. Do Women's Land Rights Promote Empowerment and Child Health in Nepal?

    PubMed

    Allendorf, Keera

    2007-11-01

    Women's land rights are increasingly put forth as a means to promote development by empowering women, increasing productivity, and improving welfare. However, little empirical research has evaluated these claims. This paper uses the 2001 Nepal Demographic and Health Survey to explore whether women's land rights empower women and benefit young children's health in Nepal. The results provide support for both of these hypotheses. Women who own land are significantly more likely to have the final say in household decisions, a measure of empowerment. Similarly, children of mothers who own land are significantly less likely to be severely underweight.

  1. Anomalous soil radon fluctuations - signal of earthquakes in Nepal and eastern India regions

    NASA Astrophysics Data System (ADS)

    Deb, Argha; Gazi, Mahasin; Barman, Chiranjib

    2016-12-01

    The present paper deals with pre-seismic soil radon-222 recorded at two different locations 200 m apart, at Jadavpur University main campus, Kolkata, India. Solid state nuclear track detector method is used for detection of the radioactive radon gas. Two simultaneous 4-month long time series data have been analysed. Anomalous fluctuations in the radon datasets have been observed prior to recent earthquakes in Nepal and eastern India during the monitoring period, mainly, the massive 25th April 7.8 M Nepal earthquake. The simultaneous measurements assist in identifying seismogenic radon precursor efficiently.

  2. Decentralizing conservation and diversifying livelihoods within Kanchenjunga Conservation Area, Nepal.

    PubMed

    Parker, Pete; Thapa, Brijesh; Jacob, Aerin

    2015-12-01

    To alleviate poverty and enhance conservation in resource dependent communities, managers must identify existing livelihood strategies and the associated factors that impede household access to livelihood assets. Researchers increasingly advocate reallocating management power from exclusionary central institutions to a decentralized system of management based on local and inclusive participation. However, it is yet to be shown if decentralizing conservation leads to diversified livelihoods within a protected area. The purpose of this study was to identify and assess factors affecting household livelihood diversification within Nepal's Kanchenjunga Conservation Area Project, the first protected area in Asia to decentralize conservation. We randomly surveyed 25% of Kanchenjunga households to assess household socioeconomic and demographic characteristics and access to livelihood assets. We used a cluster analysis with the ten most common income generating activities (both on- and off-farm) to group the strategies households use to diversify livelihoods, and a multinomial logistic regression to identify predictors of livelihood diversification. We found four distinct groups of household livelihood strategies with a range of diversification that directly corresponded to household income. The predictors of livelihood diversification were more related to pre-existing socioeconomic and demographic factors (e.g., more landholdings and livestock, fewer dependents, receiving remittances) than activities sponsored by decentralizing conservation (e.g., microcredit, training, education, interaction with project staff). Taken together, our findings indicate that without direct policies to target marginalized groups, decentralized conservation in Kanchenjunga will continue to exclude marginalized groups, limiting a household's ability to diversify their livelihood and perpetuating their dependence on natural resources.

  3. Solar retinopathy. A study from Nepal and from Germany.

    PubMed

    Rai, N; Thuladar, L; Brandt, F; Arden, G B; Berninger, T A

    1998-01-01

    319 patients with a solar retinopathy were seen in an eye clinic in Nepal within 20 months. All patients had either a positive history of sun-gazing or typical circumscribed scars in the foveal area. In more than 80% of the patients the visual acuity was 6/12 or better and did not deteriorate over time. 126 (40%) patients had a history of gazing at the sun during an eclipse, 33 (10%) were sun worshipers and 4 (1%) were in both categories. Three years later 29 patients were re-examined in a follow-up study. Only 16 had had visual disturbances directly after they had gazed into the sun. No colour vision defects were seen in any of the 44 affected eyes, when tested with Panel D 15, while four patients (6 eyes) had some uncertainty with the tritan plates of the Ishihara test charts. Metamorphopsia were recorded in 11 eyes. Five German patients with solar retinopathy were examined in more detail. Colour contrast sensitivity (CCS) was tested for the central and the peripheral visual field. CCS for tritan axis was raised in all patients for the central visual field, while it was normal for the peripheral visual field.

  4. Forest product use at an upper elevation village in Nepal

    NASA Astrophysics Data System (ADS)

    Metz, John J.

    1994-05-01

    This paper describes forest product use at Chimkhola, an upper elevation village of west central Nepal. Villagers have large herds of livestock that they use to fertilize agricultural fields by holding the animals on cropland for one to several weeks prior to planting. Herds are moved sequentially from one group of fields to another until all are planted, and then families take animals into the forests. Herders, therefore, live in temporary shelters away from the homestead throughout the year, and for much of the year feed their livestock fodder cut from forest trees. By combining repeated interviews of sample households, one-time interviews with a large sample of village families, and direct measurements of forest products being used, I found that livestock maintenance consumes 74% of the hand-harvested wild biomass: 26.4% for green fodder, 32.3% for fuelwood at the herder's hut, and 13.8% for construction of the herder's hut. Fuelwood burned at the homestead is the next largest consumer, 17.6%. Villagers also use small amounts of forest materials for house construction, charcoal, agricultural implements, and bamboo for baskets and mats. The large amounts used by herders and livestock at Chimkhola mean that wild vegetation use there far exceeds the measurements made by previous reliable studies at other communities. This system of forest use is, however, degrading Chimkhola's forests and gradually converting them to shrublands.

  5. System-wide effects of Global Fund investments in Nepal.

    PubMed

    Trägård, Anna; Shrestha, Ishwar Bahadur

    2010-11-01

    Nepal, with a concentrated HIV epidemic and high burden of tuberculosis (TB) and malaria, was perceived to have immensely benefited from grants by the Global Fund to Fight AIDS, Tuberculosis and Malaria in addressing the three diseases, amounting to total approved funding of US$80 million. This paper looks at the interaction and integration of Global Fund-supported programmes and national health systems. A mixed method 'case study' approach based on the Systemic Rapid Assessment Toolkit (SYSRA) was used to systematically analyse across the main health systems functional domains. The Country Coordinating Mechanism has been credited with providing the stewardship in attracting additional resources and providing oversight. The involvement of civil society for delivering key HIV and malaria interventions targeting high-risk groups was perceived to be highly beneficial. TB and malaria services were found to be well integrated into the public health care delivery system, while HIV services targeting at-risk groups were often delivered using parallel structures. Political instability, absence of continuity in leadership and sub-optimal investments in health were together perceived to have led to fragmentation of financing and planning activities, especially in HIV the programme. The demand for timely programmatic and financial reporting for donor-supported programmes has contributed to the creation of parallel monitoring and evaluation structures, with missed opportunities for strengthening and utilizing the national health management information systems.

  6. Pesticide use knowledge and practices: a gender differences in Nepal.

    PubMed

    Atreya, Kishor

    2007-06-01

    It is important to understand gender difference on pesticide use knowledge, attitude and practices for identifying pesticide risks by gender and to recommend more gender-sensitive programs. However, very few studies have been conducted so far in Nepal. This study, thus, interviewed a total of 325 males and 109 females during 2005 to assess gender differences on pesticide use knowledge, attitude and practices. More than 50% females had never been to school and only <8% individuals were found trained in Integrated Pest Management (IPM). Almost all males and females did not smoke, drink and eat during pesticides application and also believed that pesticides are harmful to human health, livestock, plant diversity and their environment. However, there were gender differences on household decision on pesticides to be used (p<0.001), care of wind direction during spraying (p=0.032), prior knowledge on safety measures (p=0.016), reading and understanding of pesticides labels (p<0.001), awareness of the labels (p<0.001) and protective covers. Almost all respondents were aware of negative impacts of pesticide use on human health and environment irrespective of gender; however, females were at higher risk due to lower level of pesticide use safety and awareness. It is strongly recommended to initiate gender-sensitive educational and awareness activities, especially on pesticide use practices and safety precautions.

  7. Pesticide use knowledge and practices: A gender differences in Nepal

    SciTech Connect

    Atreya, Kishor . E-mail: k.atreya@gmail.com

    2007-06-15

    It is important to understand gender difference on pesticide use knowledge, attitude and practices for identifying pesticide risks by gender and to recommend more gender-sensitive programs. However, very few studies have been conducted so far in Nepal. This study, thus, interviewed a total of 325 males and 109 females during 2005 to assess gender differences on pesticide use knowledge, attitude and practices. More than 50% females had never been to school and only <8% individuals were found trained in Integrated Pest Management (IPM). Almost all males and females did not smoke, drink and eat during pesticides application and also believed that pesticides are harmful to human health, livestock, plant diversity and their environment. However, there were gender differences on household decision on pesticides to be used (p<0.001), care of wind direction during spraying (p=0.032), prior knowledge on safety measures (p=0.016), reading and understanding of pesticides labels (p<0.001), awareness of the labels (p<0.001) and protective covers. Almost all respondents were aware of negative impacts of pesticide use on human health and environment irrespective of gender; however, females were at higher risk due to lower level of pesticide use safety and awareness. It is strongly recommended to initiate gender-sensitive educational and awareness activities, especially on pesticide use practices and safety precautions.

  8. Environmental Change and Out-Migration: Evidence from Nepal

    PubMed Central

    Massey, Douglas S.; Axinn, William G.; Ghimire, Dirgha J.

    2011-01-01

    Scholars and activists have hypothesized a connection between environmental change and out-migration. In this paper we test this hypothesis using data from Nepal. We operationalize environmental change in terms of declining land cover, rising times required to gather organic inputs, increasing population density, and perceived declines in agricultural productivity. In general, environmental change is more strongly related to short- than long-distance moves. Holding constant the effects of other social and economic variables, we find that local moves are predicted by perceived declines in productivity, declining land cover, and increasing time required to gather firewood. Long-distance moves are predicted by perceived declines in productivity, but the effect is weaker than in the model of short-distance mobility. We also show that effects of environmental change vary by gender and ethnicity, with women being more affected by changes in the time required to gather fodder and men by changes in the time to gather firewood, and high caste Hindus generally being less affect than others by environmental change. PMID:21350676

  9. All Eyes on Nepal - A Success Case for Integrated Observations

    NASA Astrophysics Data System (ADS)

    Cox, E. L., Jr.

    2015-12-01

    When hazards are known it is not a question of if but when the disaster shock will happen and it is critical that all relevant observational data, tools and technologies be accessible and integrated by experts and volunteers to provide reliable, timely and actionable information. In this talk NASA's coordinated response to the recent Nepal "Gorkha" will be presented as a case study to highlight the opportunities and challenges. Triggered by a global seismic network and the interpretation by operational, research and response agencies, all available assets were quickly mobilized, charters activated to share data, and information gathered to assess impacts. This included assessing available data from optical and radar-based satellites and global positioning systems to baseline pre-event conditions and distinguish immediate and ongoing changes. Models and maps were generated to identify land deformation and damage proxies for communities, resources and infrastructure. Technologies facilitated national and international collaboration among public and private sector institutions to task satellites and optimize integration and processing of data from vital airborne platforms or ingest relevant new data streams. Crowd-sourced data added to the mix and provided a critical source of ground truth that blended with reports from field teams and those in communities. New levels of situational awareness were achieved through integrated data products and the reliance on relationships and new technologies that allowed for volunteers to analyze results in an unprecedented fashion. The results demonstrated how science aided by emerging technologies is changing our implementation of disaster response.

  10. Enterobius vermicularis causing symptoms of appendicitis in Nepal.

    PubMed

    Sah, Shatrughan Prasad; Bhadani, Punam Prasad

    2006-07-01

    This study set out to determine the prevalence of Enterobius vermicularis in surgically removed appendices and to assess the possible relation of the parasite to acute appendicitis. All 624 surgically removed appendices received in the Department of Pathology, BPKIHS, Dharan, Nepal during 2(1/2) years (August 1999-January 2002) were examined. E. vermicularis was identified in nine (1.62%) appendices from the patients with a clinical diagnosis of appendicitis. The parasite was most frequently seen in histologically normal appendices (6/71) and was rarely associated with histological change of acute appendicitis (3/539). No cases of E. vermicularis infestation occurred in appendices showing chronic inflammation or removed during the course of other surgical procedures. E. vermicularis was found more frequently in uninflamed and histologically normal appendices (8.45%) than those which were inflamed with histopathologic changes of acute appendicitis (0.56%). It may be a cause of symptoms resembling acute appendicitis although the mechanism for this does not involve mucosal invasion by the parasite.

  11. Diet and nutrient balance of red panda in Nepal.

    PubMed

    Panthi, Saroj; Coogan, Sean C P; Aryal, Achyut; Raubenheimer, David

    2015-10-01

    We identified the winter plant species consumed by red panda in the Dhorpatan Hunting Reserve of eastern Nepal and compared this to the early-summer diet which was determined previously by Panthi et al. (2012). In addition, we estimated the proximate nutritional content of the leaves identified in red panda diet for both seasons, and we used nutritional geometry to explore macronutrient balance of leaves from the two different sampling periods. We identified six different plants in winter scats, which were the same as found in the previously determined early-summer diet. Arundinaria spp. bamboos were the main species found (82.1 % relative frequency), followed by Acer spp. (6.3 %), Betula utilis (4.6 %), Quercus semicarpifolia (3.7 %), Berberis spp. (1.3 %), and lichens (1.0 %), leaving 2.0 % unidentified. Geometric analysis suggested that the macronutrient balance of seasonal diets were similar in nutrient balance to the most frequently consumed Arundinaria spp. Differences in macronutrient balance may indicate seasonal nutrient preferences, such as increased carbohydrate intake in winter for thermogenesis, and increased protein and lipid intake in early summer to support reproduction and lactation; however, these differences may also indicate differences in resource availability. Habitat conserved for red panda in the region should include sufficient Arundinaria spp. as well as lesser consumed plants which may serve as complimentary foods.

  12. Safe delivery care: policy, practice and gaps in Nepal.

    PubMed

    Bhandari, Tulsi Ram; Dangal, Ganesh

    2013-01-01

    Delivery care is regarded as safe when it is attended by a skilled birth attendant either at health facility or home. Childbirth practices differ from place to place and are determined by availability and accessibility of health services. After National Health Policy (1991), Nepal has focused on safe motherhood policies and programmes. Maternal mortality ratio decreased nearly fourfold between the years 1990 to 2011. The country is likely to achieve the Millennium Development Goal (MDG) 5. However, indicators of the MDG 5: skilled care at birth and institutional delivery rates are very far from the targets. From the initial findings of limited studies, safe delivery incentive programme has been successful for increasing the skilled care at birth and institutional delivery and reducing the maternal mortality twofold between the years 1990 to 2011. In spite of numerous efforts there is a wide difference in the utilization of skilled care at birth among the women by area of residence, ecological regions, wealth quintiles, education status, age and parity of women, caste ethnicity and so forth. This difference indicates that current policies and programmes are not enough for addressing the low utilization of safe delivery care throughout the country.

  13. Intestinal parasitosis in school going children of Dharan municipality, Nepal.

    PubMed

    Gyawali, Narayan; Amatya, Ritu; Nepal, Hari Prasad

    2009-01-01

    This community-based investigation was carried out to estimate the prevalence of intestinal parasitosis in primary school-going children of the Dharan municipality, Sunsari, Nepal from 2007 through 2008. A total of 182 stool samples were collected from 101 male and 81 female children of ages 4 to 10 years. A questionnaire including the factors predisposing to parasitosis, was filled up by the parents of each child. Parasitic examination was carried out by direct wet mount examination and concentration method using 10% formol-ether. The prevalence rate was found to be 22.5%. The result revealed preponderance of Giardia lamblia (11.5%) followed by Entamoeba histolytica/dispar (4.4%), Ascaris lumbricoides (3.3%), hookworm (1.6%) and Enterobius vermicularis (0.5%). Statistically significant difference in the prevalence with respect to age and gender was not seen. However, socioeconomic status, type of toilet used and the practice of hand washing had a strong correlation (p < 0.05) with the prevalence of parasitic infection. Abdominal discomfort also had a strong statistical association (p < 0.05) with the prevalence of parasitic infection. Proportionally higher infection rate was seen in participants not using filtered or boiled water. Lack of education of mothers and children, improper toilets and failure to practice proper hand washing were perceived from this study as contributors to the acquisition of intestinal parasitic infections.

  14. Diet and nutrient balance of red panda in Nepal

    NASA Astrophysics Data System (ADS)

    Panthi, Saroj; Coogan, Sean C. P.; Aryal, Achyut; Raubenheimer, David

    2015-10-01

    We identified the winter plant species consumed by red panda in the Dhorpatan Hunting Reserve of eastern Nepal and compared this to the early-summer diet which was determined previously by Panthi et al. (2012). In addition, we estimated the proximate nutritional content of the leaves identified in red panda diet for both seasons, and we used nutritional geometry to explore macronutrient balance of leaves from the two different sampling periods. We identified six different plants in winter scats, which were the same as found in the previously determined early-summer diet. Arundinaria spp. bamboos were the main species found (82.1 % relative frequency), followed by Acer spp. (6.3 %), Betula utilis (4.6 %), Quercus semicarpifolia (3.7 %), Berberis spp. (1.3 %), and lichens (1.0 %), leaving 2.0 % unidentified. Geometric analysis suggested that the macronutrient balance of seasonal diets were similar in nutrient balance to the most frequently consumed Arundinaria spp. Differences in macronutrient balance may indicate seasonal nutrient preferences, such as increased carbohydrate intake in winter for thermogenesis, and increased protein and lipid intake in early summer to support reproduction and lactation; however, these differences may also indicate differences in resource availability. Habitat conserved for red panda in the region should include sufficient Arundinaria spp. as well as lesser consumed plants which may serve as complimentary foods.

  15. Modelling glacier change in the Everest region, Nepal Himalaya

    NASA Astrophysics Data System (ADS)

    Shea, J. M.; Immerzeel, W. W.; Wagnon, P.; Vincent, C.; Bajracharya, S.

    2015-05-01

    In this study, we apply a glacier mass balance and ice redistribution model to examine the sensitivity of glaciers in the Everest region of Nepal to climate change. High-resolution temperature and precipitation fields derived from gridded station data, and bias-corrected with independent station observations, are used to drive the historical model from 1961 to 2007. The model is calibrated against geodetically derived estimates of net glacier mass change from 1992 to 2008, termini position of four large glaciers at the end of the calibration period, average velocities observed on selected debris-covered glaciers, and total glacierized area. We integrate field-based observations of glacier mass balance and ice thickness with remotely sensed observations of decadal glacier change to validate the model. Between 1961 and 2007, the mean modelled volume change over the Dudh Koshi basin is -6.4 ± 1.5 km3, a decrease of 15.6% from the original estimated ice volume in 1961. Modelled glacier area change between 1961 and 2007 is -101.0 ± 11.4 km2, a decrease of approximately 20% from the initial extent. The modelled glacier sensitivity to future climate change is high. Application of temperature and precipitation anomalies from warm/dry and wet/cold end-members of the CMIP5 RCP4.5 and RCP8.5 ensemble results in sustained mass loss from glaciers in the Everest region through the 21st century.

  16. Vitamin Status among Breastfed Infants in Bhaktapur, Nepal

    PubMed Central

    Ulak, Manjeswori; Chandyo, Ram K.; Thorne-Lyman, Andrew L.; Henjum, Sigrun; Ueland, Per M.; Midttun, Øivind; Shrestha, Prakash S.; Fawzi, Wafaie W.; Graybill, Lauren; Strand, Tor A.

    2016-01-01

    Vitamin deficiencies are known to be common among infants residing in low- and middle-income countries but relatively few studies have assessed several biochemical parameters simultaneously. The objective of the study was to describe the status of vitamins (A, D, E, B6, B12 and folate) in breastfed infants. We measured the plasma concentrations of trans retinol, 25 hydroxy vitamin D, α-tocopherol, pyridoxal 5′-phosphate, cobalamin, folate, methylmalonic acid, homocysteine, hemoglobin and C-reactive protein from 467 randomly selected infants. One in five (22%) was deficient in at least one vitamin. Mean (SD) plasma folate concentration was 73 (35) nmol/L, and no infant in the sample was folate deficient. Vitamin B6 deficiency and vitamin B12 deficiency was found in 22% and 17% of the infants, respectively. Elevated plasma methylmalonic acid or total homocysteine concentration was found in 82% and 62% of infants, respectively. Fifteen percent of infants were vitamin A deficient and 65% were marginally deficient in vitamin A. Fewer than 5% of infants had low plasma vitamin D concentration or vitamin E concentration (α-tocopherol <9.3 µmol/L). Our results illustrate the importance of continued supplementation campaigns and support the expansion of food fortification and dietary diversification programs that target children and women in Nepal. PMID:27005657

  17. Impulsive alluviation during early Holocene strengthened monsoons, central Nepal Himalaya

    NASA Astrophysics Data System (ADS)

    Pratt, Beth; Burbank, Douglas W.; Heimsath, Arjun; Ojha, Tank

    2002-10-01

    The steep-walled bedrock gorges of the Greater Himalayan rivers currently lack significant stored sediment, suggesting that fluvial erosion and transport capacity outpace the supply of sediment from adjacent hillsides. Despite this appearance of sustained downcutting, such rivers can become choked with sediments and aggrade during intervals of higher precipitation. Cosmogenic dating (10Be and 26Al) of fluvially carved bedrock surfaces indicates that sediment at least 80 m thick filled the Marsyandi River valley in central Nepal during a time of strengthened early Holocene monsoons. Despite threefold differences in height (43 124 m) above the modern river, these fluvial surfaces display strikingly similar cosmogenic exposure ages clustering around 7 ± 1 ka. We speculate that enhanced monsoonal precipitation increased pore pressure and the frequency of landsliding, thereby generating a pulse of hillslope-derived sediment that temporarily overwhelmed this alpine fluvial system's transport capacity. After the easily liberated material was exhausted ca. 7 ka, the hillslope flux dropped, and the river incised through the aggraded alluvium. It concurrently eroded adjacent rock walls, thereby removing previously accumulated 10Be and 26Al and resetting the cosmogenic clock in the bedrock. Unlike previous studies, these exposure ages cannot be used to derive river-incision rates; instead they record a coupled fluvial-hillslope response to climate change.

  18. Evaluating local benefits from conservation in Nepal's Annapurna Conservation Area.

    PubMed

    Spiteri, Arian; Nepal, Sanjay K

    2008-09-01

    Protected areas are integral to the global effort to conserve biodiversity, and, over the past two decades, protected area managers have begun to recognize that conservation objectives are next to impossible to achieve without considering the needs and concerns of local communities. Incentive-based programs (IBPs) have become a favored approach to protected area management, geared at fostering local stewardship by delivering benefits tied to conservation to local people. Effective IBPs require benefits to accrue to and be recognized by those experiencing the greatest consequences as a re