Archana Shrestha
Biographic Data
| ID | 6959533 |
|---|---|
| NAME | Archana Shrestha |
| GIVEN NAMES | Archana |
| FAMILY NAME | Shrestha |
| SIGNATURE | SHRESTHA A |
| AFFILIATIONS | Yale University |
| ORCID | 0000-0002-4741-090X |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 19 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Female Community Health Volunteer-led intervention for hypertension prevention and control in rural Nepal
Hypertension is a leading cause of cardiovascular disease and premature mortality, disproportionately affecting low- and middle-income countries such as Nepal, where awareness, treatment, and control remain low. Female Community Health Volunteers (FCHVs) have been effective in maternal and child health programs and may support noncommunicable disease management. This hybrid type 2 effectiveness-implementation study evaluated the effectiveness and…
Female community health volunteers’ knowledge and confidence in providing community-based diabetes self-management support in Nepal
Self-management support by community health workers, referred to as Female Community Health Volunteers (FCHVs) in Nepal, can enhance diabetes care in resource-constrained settings. We assessed FCHVs’ knowledge, perceived self-efficacy, and barriers to supporting diabetes self-management before and after training. Guided by the Health Belief Model, we conducted a biphasic, Qual + quan, concurrent, embedded mixed-methods evaluations among 28 FCHVs …
The prevalence and associated factors of uncontrolled blood pressure in a rural community of Nepal
Hypertension affects 1.28 billion adults globally, with two-thirds residing in low- and middle-income countries. In Nepal, about 60% of hypertensive individuals in urban settings have uncontrolled blood pressure, but the situation in rural settings is unknown. We aimed to determine the prevalence and factors associated with uncontrolled blood pressure among individuals diagnosed with high blood pressure, in a rural community in Nepal.We conducted…
Human papillomavirus (HPV) vaccine uptake and its associated factors among adolescent girls in Kathmandu District, Nepal
HPV causes over 95% of cervical cancer globally. In Nepal, cervical cancer is the second most common cancer with a crude incidence of 14.2 per 100,000 women, and HPV vaccination for 14-year-old girls began nationwide in 2023. This study assessed HPV vaccine uptake and its associated factors among adolescent girls in Kathmandu district. A cross-sectional study was conducted using multistage cluster random sampling. From 770 schools across eight mu…
Association of mental health with living and working conditions among Nepali migrant workers in destination countries
The high prevalence of depression, anxiety, and stress among Nepali migrant workers due to poor conditions necessitates action. Pre-departure mental health programs are crucial, and both origin and destination governments must ensure safe and dignified conditions for these workers. Implementing these measures can alleviate mental health challenges and enhance their well-being
Contributing and mitigating factors of brain drain among healthcare workers from cardiac care facilities in Nepal - A qualitative case study
The migration of health experts seeking better opportunities, both nationally and internationally, is a growing concern due to its impact on health systems, particularly in developing countries. The provision of cardiovascular and other specialized medical care requires a skilled workforce, yet the factors driving brain drain among cardiac care health workers remain underexplored. This study assessed the factors influencing the brain drain of car…
Maternal Diet Quality and Third Trimester Depression
Maternal diet quality and perinatal depression significantly impact maternal and child health, yet their relationship remains underexplored in low-resource settings. This cross-sectional study examined the association between overall diet quality and risk of depression during the third trimester among 296 pregnant women receiving antenatal care at Dhulikhel Hospital, Nepal (August 2023-January 2024). Depression risk was assessed using the Edinbur…
Association of gestational weight gain rate with infant birth weight and cesarean delivery
Gestational weight gain (GWG) is linked to pregnancy outcomes, such as birth weight and delivery mode, though research in low-income countries like Nepal is limited. We examined the association of GWG rate with infant birth weight and cesarean delivery in a prospective cohort of 191 pregnant women in Nepal, using data collected from August 2018 to August 2019 at a peri-urban hospital in Dhulikhel. Participants included women with singleton, full-…
Exploring ways to support patients with noncommunicable diseases
Global healthcare systems have faced unprecedented strain due to the COVID-19 pandemic, with a profound impact on individuals with non-communicable diseases (NCDs), a scenario particularly pronounced in low-income countries like Nepal. This study aimed to understand the experiences of and challenges faced by patients with NCDs in Nepal during the pandemic, focusing on healthcare service availability and identifying factors affecting healthcare us…
Barriers and Facilitators of Implementing a Healthy Lifestyle Intervention at Workplaces in South Africa
Current evidence indicates that workplace health and wellness programmes provide numerous benefits concerning altering cardiovascular risk factor profiles. Implementing health programmes at workplaces provide an opportunity to engage adults towards positive and sustainable lifestyle choices. The first step in designing lifestyle interventions for the workplace is understanding the barriers and facilitators to implementing interventions in these s…
The degradation of spring water resources in Nepal
In this study, first, we conducted a case study to understand the spring status in a semi-urban area, then synthesized the knowledge acquired so far, of nationwide springs status to highlight the current state and future policy and action implications of spring conservation in Nepal. We found that in 72% of the springs of semi-urban areas, the discharge rate has been decreasing over the past decade. In addition, the springs of such areas were exp…
Factors Associated with Medication Adherence among Patients with Type 2 Diabetes Mellitus
As diabetes increases globally, high mortality increases due to complications of uncontrolled sugar. Medication adherence is important to control blood sugar and prevent its complications. Objective of the study was to identify factors associated with medication adherence among type 2 diabetes patients. A cross-sectional study was conducted among 343 patients visiting Dhulikhel Hospital, Nepal, for their fasting blood sugar test from September to…
How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal
Diabetes can be prevented through lifestyle modification in the prediabetic phase. A group-based lifestyle intervention called 'Diabetes Prevention Education Program' (DiPEP) was tested recently in Nepal. The present study aimed to explore experiences of making lifestyle changes among people with prediabetes participating in the DiPEP. This qualitative study, with semi-structured interviews of 20 participants, was conducted 4-7 months following D…
Analyzing the Implementation of Policies and Guidelines for the Prevention and Management of Type 2 Diabetes at Primary Health Care Level in Nepal
BACKGROUND: Nepal, in recent years, is witnessing an increasing problem of type 2 diabetes that has resulted significant premature deaths and disability. Prevention and management of non-communicable diseases (NCDs) including diabetes have been prioritized in the national policies and guidelines of the Nepal Government. However, research looking at the overview of the implementation of the existing policies and guidelines for diabetes prevention …
Reproducibility and Relative Validity of a Dietary Screener Adapted for Use among Pregnant Women in Dhulikhel, Nepal
Facilitators and barriers to healthy eating in a worksite cafeteria
A broad range of factors affect healthy eating at the cafeteria, some related to nutrition and some related to the employees type of job. Availability of healthy, hygienic, and tasty food at an affordable price could lead to healthier food choices in the worksite cafeteria. These strategies, along with work schedules that allow sufficient time for healthy eating, may help improve dietary behaviors and health of employees
Cardio-metabolic disease risk factors among South Asian labour migrants to the Middle East
This paper aims to explore the burgeoning burden of cardiovascular and metabolic disease (CMD) risk factors among South Asian labor migrants to the Middle East. We conducted a qualitative synthesis of literature using PubMed/Medline and grey literature searches, supplemented by a policy review of policies from the South Asian countries. We found a high burden of cardio-metabolic risk factors among the migrants as well as among the populations in …
Prevalence and associated factors of childhood overweight/obesity among primary school children in urban Nepal
More than one-quarter of the children in urban Lalitpur were found to be overweight/obese. High junk food consumption and sedentary activity were found to be significantly associated with childhood overweight/obesity. School health and awareness programs aiming to reduce the intake of energy-dense foods and promote an active lifestyle including active transportation to school among children are imperative. Future studies to objectively measure th…
Preterm Birth Among American Indian/Alaskan Natives in Washington and Montana
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Preterm Birth Among American Indian/Alaskan Natives in Washington and Montana
Cardio-metabolic disease risk factors among South Asian labour migrants to the Middle East
This paper aims to explore the burgeoning burden of cardiovascular and metabolic disease (CMD) risk factors among South Asian labor migrants to the Middle East. We conducted a qualitative synthesis of literature using PubMed/Medline and grey literature searches, supplemented by a policy review of policies from the South Asian countries. We found a high burden of cardio-metabolic risk factors among the migrants as well as among the populations in …
Prevalence and associated factors of childhood overweight/obesity among primary school children in urban Nepal
More than one-quarter of the children in urban Lalitpur were found to be overweight/obese. High junk food consumption and sedentary activity were found to be significantly associated with childhood overweight/obesity. School health and awareness programs aiming to reduce the intake of energy-dense foods and promote an active lifestyle including active transportation to school among children are imperative. Future studies to objectively measure th…
Facilitators and barriers to healthy eating in a worksite cafeteria
A broad range of factors affect healthy eating at the cafeteria, some related to nutrition and some related to the employees type of job. Availability of healthy, hygienic, and tasty food at an affordable price could lead to healthier food choices in the worksite cafeteria. These strategies, along with work schedules that allow sufficient time for healthy eating, may help improve dietary behaviors and health of employees
Analyzing the Implementation of Policies and Guidelines for the Prevention and Management of Type 2 Diabetes at Primary Health Care Level in Nepal
BACKGROUND: Nepal, in recent years, is witnessing an increasing problem of type 2 diabetes that has resulted significant premature deaths and disability. Prevention and management of non-communicable diseases (NCDs) including diabetes have been prioritized in the national policies and guidelines of the Nepal Government. However, research looking at the overview of the implementation of the existing policies and guidelines for diabetes prevention …
Reproducibility and Relative Validity of a Dietary Screener Adapted for Use among Pregnant Women in Dhulikhel, Nepal
The degradation of spring water resources in Nepal
In this study, first, we conducted a case study to understand the spring status in a semi-urban area, then synthesized the knowledge acquired so far, of nationwide springs status to highlight the current state and future policy and action implications of spring conservation in Nepal. We found that in 72% of the springs of semi-urban areas, the discharge rate has been decreasing over the past decade. In addition, the springs of such areas were exp…
Factors Associated with Medication Adherence among Patients with Type 2 Diabetes Mellitus
As diabetes increases globally, high mortality increases due to complications of uncontrolled sugar. Medication adherence is important to control blood sugar and prevent its complications. Objective of the study was to identify factors associated with medication adherence among type 2 diabetes patients. A cross-sectional study was conducted among 343 patients visiting Dhulikhel Hospital, Nepal, for their fasting blood sugar test from September to…
How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal
Diabetes can be prevented through lifestyle modification in the prediabetic phase. A group-based lifestyle intervention called 'Diabetes Prevention Education Program' (DiPEP) was tested recently in Nepal. The present study aimed to explore experiences of making lifestyle changes among people with prediabetes participating in the DiPEP. This qualitative study, with semi-structured interviews of 20 participants, was conducted 4-7 months following D…
Association of gestational weight gain rate with infant birth weight and cesarean delivery
Gestational weight gain (GWG) is linked to pregnancy outcomes, such as birth weight and delivery mode, though research in low-income countries like Nepal is limited. We examined the association of GWG rate with infant birth weight and cesarean delivery in a prospective cohort of 191 pregnant women in Nepal, using data collected from August 2018 to August 2019 at a peri-urban hospital in Dhulikhel. Participants included women with singleton, full-…
Exploring ways to support patients with noncommunicable diseases
Global healthcare systems have faced unprecedented strain due to the COVID-19 pandemic, with a profound impact on individuals with non-communicable diseases (NCDs), a scenario particularly pronounced in low-income countries like Nepal. This study aimed to understand the experiences of and challenges faced by patients with NCDs in Nepal during the pandemic, focusing on healthcare service availability and identifying factors affecting healthcare us…
Barriers and Facilitators of Implementing a Healthy Lifestyle Intervention at Workplaces in South Africa
Current evidence indicates that workplace health and wellness programmes provide numerous benefits concerning altering cardiovascular risk factor profiles. Implementing health programmes at workplaces provide an opportunity to engage adults towards positive and sustainable lifestyle choices. The first step in designing lifestyle interventions for the workplace is understanding the barriers and facilitators to implementing interventions in these s…
Contributing and mitigating factors of brain drain among healthcare workers from cardiac care facilities in Nepal - A qualitative case study
The migration of health experts seeking better opportunities, both nationally and internationally, is a growing concern due to its impact on health systems, particularly in developing countries. The provision of cardiovascular and other specialized medical care requires a skilled workforce, yet the factors driving brain drain among cardiac care health workers remain underexplored. This study assessed the factors influencing the brain drain of car…
Maternal Diet Quality and Third Trimester Depression
Maternal diet quality and perinatal depression significantly impact maternal and child health, yet their relationship remains underexplored in low-resource settings. This cross-sectional study examined the association between overall diet quality and risk of depression during the third trimester among 296 pregnant women receiving antenatal care at Dhulikhel Hospital, Nepal (August 2023-January 2024). Depression risk was assessed using the Edinbur…
Female Community Health Volunteer-led intervention for hypertension prevention and control in rural Nepal
Hypertension is a leading cause of cardiovascular disease and premature mortality, disproportionately affecting low- and middle-income countries such as Nepal, where awareness, treatment, and control remain low. Female Community Health Volunteers (FCHVs) have been effective in maternal and child health programs and may support noncommunicable disease management. This hybrid type 2 effectiveness-implementation study evaluated the effectiveness and…
Female community health volunteers’ knowledge and confidence in providing community-based diabetes self-management support in Nepal
Self-management support by community health workers, referred to as Female Community Health Volunteers (FCHVs) in Nepal, can enhance diabetes care in resource-constrained settings. We assessed FCHVs’ knowledge, perceived self-efficacy, and barriers to supporting diabetes self-management before and after training. Guided by the Health Belief Model, we conducted a biphasic, Qual + quan, concurrent, embedded mixed-methods evaluations among 28 FCHVs …
The prevalence and associated factors of uncontrolled blood pressure in a rural community of Nepal
Hypertension affects 1.28 billion adults globally, with two-thirds residing in low- and middle-income countries. In Nepal, about 60% of hypertensive individuals in urban settings have uncontrolled blood pressure, but the situation in rural settings is unknown. We aimed to determine the prevalence and factors associated with uncontrolled blood pressure among individuals diagnosed with high blood pressure, in a rural community in Nepal.We conducted…
Human papillomavirus (HPV) vaccine uptake and its associated factors among adolescent girls in Kathmandu District, Nepal
HPV causes over 95% of cervical cancer globally. In Nepal, cervical cancer is the second most common cancer with a crude incidence of 14.2 per 100,000 women, and HPV vaccination for 14-year-old girls began nationwide in 2023. This study assessed HPV vaccine uptake and its associated factors among adolescent girls in Kathmandu district. A cross-sectional study was conducted using multistage cluster random sampling. From 770 schools across eight mu…
Association of mental health with living and working conditions among Nepali migrant workers in destination countries
The high prevalence of depression, anxiety, and stress among Nepali migrant workers due to poor conditions necessitates action. Pre-departure mental health programs are crucial, and both origin and destination governments must ensure safe and dignified conditions for these workers. Implementing these measures can alleviate mental health challenges and enhance their well-being
Medicine (12 works) · Logistic regression (6 works) · Nursing (6 works) · Qualitative research (6 works) · Diabetes mellitus (5 works) · Internal Medicine (5 works) · Public health (5 works) · Environmental health (4 works) · Gerontology (4 works) · Global Public Health Policies and Epidemiology (4 works)