Background: Ventricular septal rupture is a rare but fatal mechanical complication of acute myocardial infarction. Although the incidence has decreased, the mortality rate from ventricular septal rupture has remained extremely high. Objectives: The aim of this study was to assess the patient with acute myocardial infarction complicating with ventricular septal rupture and to identify the risk f...

Background Social accountability or citizen-led accountability has been promoted in many low- and middle-income countries to improve the quality, access to and use of maternal health services. Experiences with social accountability in maternal health services in Nepal have not yet been documented. This study identifies existing social accountability structures and activities in maternal h...

BACKGROUND To eliminate visceral leishmaniasis (VL) in India and Nepal, challenges of VL diagnosis, treatment and reporting need to be identified. Recent data indicate that VL is underreported and patients face delays when seeking treatment. Moreover, VL surveillance data might not reach health authorities on time. This study quantifies delays for VL diagnosis and treatment, and analyses the du...

Breast cancer is the second most common malignancy among women in Nepal. It is more common in young premenopausal women. Breast cancer continues to increase in incidence due to lifestyle changes in Nepalese women despite constant remarkable development in the management of this disease over the past three decades. Breast cancer was diagnosed solely clinically and surgery was the only treatment ...

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 migra...

INTRODUCTION In Nepal, a number of private sector medical schools have opened recently; although sufficient numbers of doctors are graduating there continues to be a doctor shortage in rural areas. This article analysed the rural doctor shortage in Nepal and reviewed the international literature for strategies that may be suitable for use in Nepal. METHODS Original research articles, reviews,...

INTRODUCTION Early neonatal deaths account for 75% of neonatal deaths globally. Antenatal iron-folic acid (IFA) supplementation has significantly reduced the risk of early neonatal deaths in China and Indonesia. We investigated the impact of antenatal IFA supplements on the risk of early neonatal deaths in Nepal and Pakistan during the last decade. METHODS Data from the most recent singleton ...

Mechi zone is located in the eastern region of Nepal and has a population of 1.2 million. According to the Nepal Blindness Survey in 1981 the prevalence of blindness in this zone was 0.64%. The most important cause of blindness in Nepal was cataract, accounting for two thirds of NepalÕs blindness. The people of the eastern region of Nepal had to go either to the neighbouring zone or across the ...

OBJECTIVE To determine, in one low income country (Nepal), which characteristics of medical students are associated with graduate doctors staying to practise in the country or in its rural areas. DESIGN Observational cohort study. SETTING Medical college registry, with internet, phone, and personal follow-up of graduates. PARTICIPANTS 710 graduate doctors from the first 22 classes (1983-2...

Child mortality rate in Nepal has seen a significant decline in the past fifteen years and is expected to achieve ‘Millennium Development Goal (MDG) four’ before the stipulated time. A substantial improvement has been seen in controlling micro-nutrient deficiencies and childhood illnesses in the country, yet Protein Energy Malnutrition (PEM) among under five year children remains a stagnant pro...