Abriti Arjyal
Datos Biográficos
| ID | 6694380 |
|---|---|
| NOMBRE | Abriti Arjyal |
| NOMBRES | Abriti |
| APELLIDO | Arjyal |
| FIRMA | ARJYAL A |
| AFILIACIONES | Nepal Development Research Institute |
| ORCID | 0000-0002-3624-5726 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2019 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
What happens when public primary care is ill-prepared to respond to non-communicable diseases
Background: With rapid urbanisation in low- and middle-income countries, public primary care is struggling to respond to the growing prevalence of hypertension and diabetes, while the private sector has grown to meet demand. We aimed to understand current use and readiness of public and private primary care diabetes and hypertension services, and how readiness impacts perceptions and practices of urban communities. Methods: We conducted a converg…
The experiences of female community health workers during Covid-19 and the influence of gender norms and values in Nepal
Female Community Health Volunteers (FCHVs) are close-to-community providers who voluntarily serve their communities in Nepal. Gaps exist in evidence regarding the challenges posed by shocks such as the pandemic, as well as the gendered experiences of FCHVs in the general context. This study aimed to explore the experiences and challenges faced by FCHVs during COVID-19 and the influence of gender norms and values. We conducted a qualitative study …
MANTRA game analytics
Mobile technology can deliver public health interventions to reach remote populations such as unique mHealth interventions aimed at low-literacy audiences in low resource settings. This research study assessed a mobile phone-based serious game that teaches geohazard, maternal, and neonatal health messages. This study is part of the Maternal and Neonatal Technologies in Rural Areas (MANTRA) project: Increasing maternal and child health resilience …
Using participatory video to generate active agents of change at community level to address the drivers of antimicrobial resistance in two settings in Nepal
CARAN highlights the potential of PV as a way of creating community-level champions to help address the drivers of AMR. More work is required to understand the longer-term value of creating such champions
Drivers of antimicrobial resistance within the communities of Nepal from One Health perspective
Background: A major driver of antimicrobial resistance (AMR) is the inappropriate use of antimicrobials. At the community level, people are often engaged in behaviors that drive AMR within human, animal, and environmental (One Health) impacts. This scoping review consolidates research to determine (a) the community's knowledge, attitudes, and practices around AMR; (b) existing community-based interventions; and (c) barriers and enablers to addres…
Factors influencing the implementation of integrated screening for HIV, syphilis, and hepatitis B for pregnant women in Nepal
In Nepal, national guidelines recommend free HIV and syphilis screening for pregnant women at their first antenatal visit, using an opt-out approach. However, screening uptake is low and the guidelines do not include hepatitis B screening. It is essential to understand the factors influencing the implementation of integrated screening for HIV, syphilis, and hepatitis B, as recommended by WHO, to improve uptake and prevent vertical transmission. T…
Contextual factors affecting the implementation of an anemia focused virtual counseling intervention for pregnant women in plains Nepal
It is important to understand gender norms, mobile access, and mobile literacy before implementing an mHealth intervention. The contextual barriers to implementation meant that we were not able to engage family members as much as we had hoped, and we were not able to minimize in-person contact with families. We recommend a flexible approach to mHealth interventions which can be responsive to local context and the situation of participants. Home v…
Consent through art
Obtaining informed consent can be challenging during peer research when the boundaries between researcher and participant are blurred. We developed a novel visual consent method with illiterate artists in Nepal who conducted peer interviews in their communities. Artists discussed and sketched images related to ethical principles to create a visual consent form. This improved comprehension about research ethics and developed the confidence of arti…
Health systems resilience in fragile and shock-prone settings through the prism of gender equity and justice
Fragile and shock-prone settings (FASP) present a critical development challenge, eroding efforts to build healthy, sustainable and equitable societies. Power relations and inequities experienced by people because of social markers, e.g., gender, age, education, ethnicity, and race, intersect leading to poverty and associated health challenges. Concurrent to the growing body of literature exploring the impact of these intersecting axes of inequit…
The Gendered Experience of Close to Community Providers during Covid-19 Response in Fragile Settings
Many countries, and particularly those including fragile contexts, have a shortage of formal health workers and are increasingly looking to close-to-community (CTC) providers to fill the gap. The experiences of CTC providers are shaped by context-embedded gender roles and relations. This qualitative research study in Lebanon, Nepal, Myanmar and Sierra Leone explored the gendered experiences of CTC providers during the COVID-19 pandemic in fragile…
Do Women in Nepal Like Playing a Mobile Game? MANTRA
In Low and Middle Income Countries (LMIC), one of the causes of maternal and child mortality is a lack of medical knowledge and consequently the inability to seek timely healthcare. Mobile health (mHealth) technology is gradually becoming a universal intervention platform across the globe due to ubiquity of mobile phones and network coverage. MANTRA is a novel mHealth intervention developed to tackle maternal and child health issues through a ser…
A feminist vision for transformative change to disaster risk reduction policies and practices
Community engagement
Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low - and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication descri…
Addressing anaemia in pregnancy in rural plains Nepal
Maternal anaemia prevalence in low-income countries is unacceptably high. Our research explored the individual-, family- and community-level factors affecting antenatal care uptake, iron folic acid (IFA) intake and consumption of micronutrient-rich diets among pregnant women in the plains of Nepal. We discuss how these findings informed the development of a home visit and community mobilisation intervention to reduce anaemia in pregnancy. We used…
Mantra
Serious games, conveying educational knowledge rather than merely entertainment, are a rapidly expanding research domain for cutting-edge educational technology. Digital interventions like serious games are great opportunities to overcome challenges in low-and-middle-income countries that limit access to health information, such as social barriers like low-literacy and gender. MANTRA: Increasing maternal and child health resilience before, during…
What is ‘antimicrobial resistance’ and why should anyone make films about it? Using ‘participatory video’ to advocate for community-led change in public health
In this article, we discuss the role of participatory video (PV) as a tool for developing community-level solutions to ‘Antimicrobial Resistance’ (AMR) in Nepal. In recent years, PV has become an ever more popular tool in development contexts for supporting communities in low and middle income countries to raise awareness of issues that they do not feel are adequately represented in mainstream media. One area of growing interest in this regard is…
Mantra
This project was approved by the University College London Ethics Committee in London, United Kingdom [10547/001], and the Nepal Health Research Council in Kathmandu, Nepal [Reg. No. 105/2017]. All participants provided informed written consent
The values and principles underpinning community engagement approaches to tackling antimicrobial resistance (AMR)
in action within existing AMR interventions. Finally, we consider the extent to which CE approaches are appropriate to tackle AMR challenges. We reflect on these in relation to the tool, and current literature for both CE and AMR research. Authors and co-producers anticipate this tool being used to scene-set, road map and trouble shoot the development, implementation, and evaluation of CE projects to address AMR and other One Health challenges. H…
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The values and principles underpinning community engagement approaches to tackling antimicrobial resistance (AMR)
in action within existing AMR interventions. Finally, we consider the extent to which CE approaches are appropriate to tackle AMR challenges. We reflect on these in relation to the tool, and current literature for both CE and AMR research. Authors and co-producers anticipate this tool being used to scene-set, road map and trouble shoot the development, implementation, and evaluation of CE projects to address AMR and other One Health challenges. H…
Mantra
Serious games, conveying educational knowledge rather than merely entertainment, are a rapidly expanding research domain for cutting-edge educational technology. Digital interventions like serious games are great opportunities to overcome challenges in low-and-middle-income countries that limit access to health information, such as social barriers like low-literacy and gender. MANTRA: Increasing maternal and child health resilience before, during…
What is ‘antimicrobial resistance’ and why should anyone make films about it? Using ‘participatory video’ to advocate for community-led change in public health
In this article, we discuss the role of participatory video (PV) as a tool for developing community-level solutions to ‘Antimicrobial Resistance’ (AMR) in Nepal. In recent years, PV has become an ever more popular tool in development contexts for supporting communities in low and middle income countries to raise awareness of issues that they do not feel are adequately represented in mainstream media. One area of growing interest in this regard is…
Mantra
This project was approved by the University College London Ethics Committee in London, United Kingdom [10547/001], and the Nepal Health Research Council in Kathmandu, Nepal [Reg. No. 105/2017]. All participants provided informed written consent
Do Women in Nepal Like Playing a Mobile Game? MANTRA
In Low and Middle Income Countries (LMIC), one of the causes of maternal and child mortality is a lack of medical knowledge and consequently the inability to seek timely healthcare. Mobile health (mHealth) technology is gradually becoming a universal intervention platform across the globe due to ubiquity of mobile phones and network coverage. MANTRA is a novel mHealth intervention developed to tackle maternal and child health issues through a ser…
A feminist vision for transformative change to disaster risk reduction policies and practices
Community engagement
Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low - and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication descri…
Addressing anaemia in pregnancy in rural plains Nepal
Maternal anaemia prevalence in low-income countries is unacceptably high. Our research explored the individual-, family- and community-level factors affecting antenatal care uptake, iron folic acid (IFA) intake and consumption of micronutrient-rich diets among pregnant women in the plains of Nepal. We discuss how these findings informed the development of a home visit and community mobilisation intervention to reduce anaemia in pregnancy. We used…
Health systems resilience in fragile and shock-prone settings through the prism of gender equity and justice
Fragile and shock-prone settings (FASP) present a critical development challenge, eroding efforts to build healthy, sustainable and equitable societies. Power relations and inequities experienced by people because of social markers, e.g., gender, age, education, ethnicity, and race, intersect leading to poverty and associated health challenges. Concurrent to the growing body of literature exploring the impact of these intersecting axes of inequit…
The Gendered Experience of Close to Community Providers during Covid-19 Response in Fragile Settings
Many countries, and particularly those including fragile contexts, have a shortage of formal health workers and are increasingly looking to close-to-community (CTC) providers to fill the gap. The experiences of CTC providers are shaped by context-embedded gender roles and relations. This qualitative research study in Lebanon, Nepal, Myanmar and Sierra Leone explored the gendered experiences of CTC providers during the COVID-19 pandemic in fragile…
Contextual factors affecting the implementation of an anemia focused virtual counseling intervention for pregnant women in plains Nepal
It is important to understand gender norms, mobile access, and mobile literacy before implementing an mHealth intervention. The contextual barriers to implementation meant that we were not able to engage family members as much as we had hoped, and we were not able to minimize in-person contact with families. We recommend a flexible approach to mHealth interventions which can be responsive to local context and the situation of participants. Home v…
Consent through art
Obtaining informed consent can be challenging during peer research when the boundaries between researcher and participant are blurred. We developed a novel visual consent method with illiterate artists in Nepal who conducted peer interviews in their communities. Artists discussed and sketched images related to ethical principles to create a visual consent form. This improved comprehension about research ethics and developed the confidence of arti…
Drivers of antimicrobial resistance within the communities of Nepal from One Health perspective
Background: A major driver of antimicrobial resistance (AMR) is the inappropriate use of antimicrobials. At the community level, people are often engaged in behaviors that drive AMR within human, animal, and environmental (One Health) impacts. This scoping review consolidates research to determine (a) the community's knowledge, attitudes, and practices around AMR; (b) existing community-based interventions; and (c) barriers and enablers to addres…
Factors influencing the implementation of integrated screening for HIV, syphilis, and hepatitis B for pregnant women in Nepal
In Nepal, national guidelines recommend free HIV and syphilis screening for pregnant women at their first antenatal visit, using an opt-out approach. However, screening uptake is low and the guidelines do not include hepatitis B screening. It is essential to understand the factors influencing the implementation of integrated screening for HIV, syphilis, and hepatitis B, as recommended by WHO, to improve uptake and prevent vertical transmission. T…
Using participatory video to generate active agents of change at community level to address the drivers of antimicrobial resistance in two settings in Nepal
CARAN highlights the potential of PV as a way of creating community-level champions to help address the drivers of AMR. More work is required to understand the longer-term value of creating such champions
What happens when public primary care is ill-prepared to respond to non-communicable diseases
Background: With rapid urbanisation in low- and middle-income countries, public primary care is struggling to respond to the growing prevalence of hypertension and diabetes, while the private sector has grown to meet demand. We aimed to understand current use and readiness of public and private primary care diabetes and hypertension services, and how readiness impacts perceptions and practices of urban communities. Methods: We conducted a converg…
The experiences of female community health workers during Covid-19 and the influence of gender norms and values in Nepal
Female Community Health Volunteers (FCHVs) are close-to-community providers who voluntarily serve their communities in Nepal. Gaps exist in evidence regarding the challenges posed by shocks such as the pandemic, as well as the gendered experiences of FCHVs in the general context. This study aimed to explore the experiences and challenges faced by FCHVs during COVID-19 and the influence of gender norms and values. We conducted a qualitative study …
MANTRA game analytics
Mobile technology can deliver public health interventions to reach remote populations such as unique mHealth interventions aimed at low-literacy audiences in low resource settings. This research study assessed a mobile phone-based serious game that teaches geohazard, maternal, and neonatal health messages. This study is part of the Maternal and Neonatal Technologies in Rural Areas (MANTRA) project: Increasing maternal and child health resilience …
Medicine (11 obras) · Political science (9 obras) · Public relations (8 obras) · Sociology (8 obras) · Focus group (7 obras) · Global Maternal and Child Health (7 obras) · Psychological intervention (7 obras) · Computer Science (6 obras) · Economic growth (6 obras) · Health care (6 obras)