Apil Kc
Dados Biográficos
| ID | 86044 |
|---|---|
| NOME | Apil Kc |
| PRENOMES | Apil |
| SOBRENOME | Kc |
| ASSINATURA | KC A |
| AFILIAÇÕES | Uppsala University |
| ORCID | 0000-0002-0541-4486 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAÇÕES | 14 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 2 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
We discovered new ways of learning’
BACKGROUND: Children with disabilities face many barriers to early childhood development services and to pre-primary education. Evidence on inclusive school readiness and community-based approaches in low- and middle-income countries (LMICs) still remains limited. OBJECTIVE: To explore the feasibility and acceptability of a co-designed training programme for caregivers to support school readiness among children aged 4-6 years in Bangladesh, Nepal…
Measuring respectful maternal and newborn care in Nepal
Background Respectful maternal and newborn care is the cornerstone of high-quality care, however, measuring experience of respectful care has challenges since it can be subjective, and dependent on expectations. In this study, we assess the concordance between women’s reported experiences of respectful maternal and newborn care and independent observation of their care in Nepal. Methods This is a secondary analysis of a prospective cohort study a…
Association between national action and trends in antibiotic resistance
The world’s governments have agreed on actions to address the challenge of antibiotic resistance. This raises the question of what level of national action is associated with improved outcomes, including both slower growth and lower levels of antibiotic resistance. Answering this question is challenged by variation in data availability and quality as well as disruptive events such as the COVID-19 pandemic. We investigate the association between l…
‘Too much, too little’ – heat wave impact during pregnancy and the need for adaptation measures
The balls are rolling for climate change, with increasing vulnerability to women and children related to climate extreme events. Recent evidence has shown that acute exposure to heat wave during pregnancy can be associated with adverse health outcomes in childhood, with the risk being significantly higher among socially disadvantaged population, despite their lack of contribution to global carbon dioxide emissions and the rising global ambient te…
Association of international remittance with satisfaction and utilization of maternal healthcare services in Nepal
This study aimed to explore the association of international remittance with satisfaction and utilization of maternal health services in Nepal. This is a secondary analysis based on two prospective cohort studies. Regression analyses were carried out to assess the association. Women from remittance‐receiving households had 1.27 higher odds of receiving timely initiation of first ANC visit (aOR = 1.27; 95% CI: 1.19, 1.35). The association between …
Length-of-stay and factors associated with early discharge after birth in health facilities in Guinea by mode of birth
The immediate postpartum period (first 24 hours after birth) represents a critical time for women and newborns. Postnatal length-of-stay varies globally; in Guinea, a 24-hour facility stay following childbirth is recommended, with an emphasis on providing frequent monitoring of mother and newborn for the first 6 hours. This study describes postpartum length-of-stay following facility-based births in Guinea, and investigates factors associated wit…
Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal
BACKGROUND: Globally, every year, approximately 1 million foetal deaths take place during the intrapartum period, fetal heart monitoring (FHRM) and timely intervention can reduce these deaths. OBJECTIVE: This study evaluates the implementation barriers and facilitators of a device, Moyo for FHRM. METHODS: The study adopted a qualitative study design in four hospitals in Nepal where Moyo was implemented for HRM. The study participants were labour …
Changes in preterm birth and stillbirth during Covid-19 lockdowns in 26 countries
Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data f…
Incidence and outcomes of intrapartum-related neonatal encephalopathy in low-income and middle-income countries
Factors associated with poor adherence to intrapartum fetal heart monitoring in relationship to intrapartum related death
Background Poor quality of intrapartum care remains a global health challenge for reducing stillbirth and early neonatal mortality. Despite fetal heart rate monitoring (FHRM) being key to identify fetus at risk during labor, sub-optimal care prevails in low-income settings. The study aims to assess the predictors of suboptimal fetal heart rate monitoring and assess the association of sub-optimal FHRM and intrapartum related deaths. Method A prosp…
Status and Challenges of Reconstruction of Heritage Structures in Nepal After 2015 Gorkha, Nepal Earthquake
A destructive earthquake of moment magnitude Mw 7.8 struck central Nepal on April 25, 2015, followed by hundreds of aftershocks. A preliminary report of the Department of Archaeology (DOA), Nepal, suggested that as many as 745 monuments in 20 districts were affected. The heritage structures are crucial sectors for development, mainly through tourism and employment generation. However, over three years following the Gorkha Nepal earthquake, many c…
Effect of the Covid-19 pandemic response on intrapartum care, stillbirth, and neonatal mortality outcomes in Nepal
BACKGROUND: The COVID-19 pandemic response is affecting maternal and neonatal health services all over the world. We aimed to assess the number of institutional births, their outcomes (institutional stillbirth and neonatal mortality rate), and quality of intrapartum care before and during the national COVID-19 lockdown in Nepal. METHODS: In this prospective observational study, we collected participant-level data for pregnant women enrolled in th…
Out of Pocket Expenditure for Sick Newborn Care in Referral Hospitals of Nepal
In Nepal, OOPE for sick newborn care in hospitals varied by neonatal morbidity and duration of stay. The largest proportion of OOPE were for accommodation and travel. Affordable and accessible health care will substantially reduce the OOPE for sick newborn care in hospitals
Learning from Nepal’s Progress to Inform the Path to the Sustainable Development Goals for Health, Leaving No-One Behind
Learning from Nepal's Progress to Inform the Path to the Sustainable Development Goals for Health, Leaving No-One Behind
The Association of Childhood Pneumonia with Household Air Pollution in Nepal
Although the occurrence of childhood pneumonia in Nepal has decreased, the level of its association with HAP remained high
“Every Newborn-BIRTH” protocol
BACKGROUND: - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study aims to validate selected newborn and maternal indicators for routine tracking of coverage and quality of facility-based care for use at district, national and global levels. METHODS: EN-BIRTH is an observational study including >20 000 facility births in three countries (Tanzania, Bangladesh and Nepal) to validate selected indicators. Direct clinical observation will …
Equity and Coverage in the Continuum of Reproductive, Maternal, Newborn and Child Health Services in Nepal-Projecting the Estimates on Death Averted Using the LiST Tool
Nepal has experienced an improvement in the coverage and equity in RMNCH interventions. Reducing inequities will improve coverage for skilled birth attendants and antenatal care. The current annual rate of change in RMNCH coverage will further reduce the maternal, neonatal, under-five childhood deaths and stillbirths
The Association of Women’s Empowerment with Stillbirths in Nepal
There are various factors linked with stillbirths. It is important to track stillbirths to improve health outcomes of mothers and newborn. Further studies are necessary to analyse women empowerment factors to understand the linkages between empowerment and stillbirths
Stunting Among Under 5-Year-Olds in Nepal
Stunting among under-5-year children decreased in the years spanning 2001-2016. This study demonstrated multiple factors that can be addressed to decrease the risk of stunting, which has important implications for neurodevelopment later in life. We add literature on risk factors for stunting in under-5-year children
Quality of Care for Maternal and Newborn Health in Health Facilities in Nepal
These findings show gaps in equipment and drugs, especially in PHCCs and private health facilities. Improving readiness and availability of equipment and drugs in PHCCs and private health facility will help improve the quality of care to further reduce maternal and newborn mortality in Nepal
Trends for Neonatal Deaths in Nepal (2001–2016) to Project Progress Towards the SDG Target in 2030, and Risk Factor Analyses to Focus Action
Although neonatal mortality is declining in Nepal, if the current trend continues it will take another 50 years for families in the poorest group to attain the 2030 ENAP target. There are different factors associated with neonatal mortality, reducing the disparities for maternal and neonatal care will reduce mortality among the poorest families
Resuscitation practices of low and normal birth weight infants in Nepal
BACKGROUND: The global burden of stillbirth and neonatal deaths remains a challenge in low-income countries. Training in neonatal resuscitation can reduce intrapartum stillbirth and early neonatal mortality. Previous results demonstrate that infants who previously would have been registered as stillbirths are successfully resuscitated after such training, suggesting that there is a process of selection for resuscitation that needs to be explored.…
Persistent inequity in maternal health care utilization in Nepal despite impressive overall gains
BACKGROUND: Maternal health care utilization is at the core of global public health provision and an area of focus in the now-concluded Millennium Development Goal agenda. OBJECTIVE: This study aims to examine trends in maternal health care utilization over the last 15 years in Nepal, focusing on coverage and equity. METHODS: This paper used data from the Demographic Health Survey (DHS) 2001, 2006 and 2011 and Multiple Indicator Cluster Survey (M…
Equity improvements in maternal and newborn care indicators
Community-based maternal and newborn care interventions have been shown to improve neonatal survival and other key health indicators. It is important to evaluate whether the improvement in health indicators is accompanied by a parallel increase in the equitable distribution of the intervention activities, and the uptake of healthy newborn care practices. We present an analysis of equity improvements after the implementation of a Community Based N…
Level of mortality risk for babies born preterm or with a small weight for gestation in a tertiary hospital of Nepal
ISRCTN97846009
Newborn survival in Nepal
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 2…
Changes in preterm birth and stillbirth during Covid-19 lockdowns in 26 countries
Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data f…
Newborn survival in Nepal
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 2…
Level of mortality risk for babies born preterm or with a small weight for gestation in a tertiary hospital of Nepal
ISRCTN97846009
Equity improvements in maternal and newborn care indicators
Community-based maternal and newborn care interventions have been shown to improve neonatal survival and other key health indicators. It is important to evaluate whether the improvement in health indicators is accompanied by a parallel increase in the equitable distribution of the intervention activities, and the uptake of healthy newborn care practices. We present an analysis of equity improvements after the implementation of a Community Based N…
Resuscitation practices of low and normal birth weight infants in Nepal
BACKGROUND: The global burden of stillbirth and neonatal deaths remains a challenge in low-income countries. Training in neonatal resuscitation can reduce intrapartum stillbirth and early neonatal mortality. Previous results demonstrate that infants who previously would have been registered as stillbirths are successfully resuscitated after such training, suggesting that there is a process of selection for resuscitation that needs to be explored.…
Persistent inequity in maternal health care utilization in Nepal despite impressive overall gains
BACKGROUND: Maternal health care utilization is at the core of global public health provision and an area of focus in the now-concluded Millennium Development Goal agenda. OBJECTIVE: This study aims to examine trends in maternal health care utilization over the last 15 years in Nepal, focusing on coverage and equity. METHODS: This paper used data from the Demographic Health Survey (DHS) 2001, 2006 and 2011 and Multiple Indicator Cluster Survey (M…
“Every Newborn-BIRTH” protocol
BACKGROUND: - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study aims to validate selected newborn and maternal indicators for routine tracking of coverage and quality of facility-based care for use at district, national and global levels. METHODS: EN-BIRTH is an observational study including >20 000 facility births in three countries (Tanzania, Bangladesh and Nepal) to validate selected indicators. Direct clinical observation will …
Equity and Coverage in the Continuum of Reproductive, Maternal, Newborn and Child Health Services in Nepal-Projecting the Estimates on Death Averted Using the LiST Tool
Nepal has experienced an improvement in the coverage and equity in RMNCH interventions. Reducing inequities will improve coverage for skilled birth attendants and antenatal care. The current annual rate of change in RMNCH coverage will further reduce the maternal, neonatal, under-five childhood deaths and stillbirths
The Association of Women’s Empowerment with Stillbirths in Nepal
There are various factors linked with stillbirths. It is important to track stillbirths to improve health outcomes of mothers and newborn. Further studies are necessary to analyse women empowerment factors to understand the linkages between empowerment and stillbirths
Stunting Among Under 5-Year-Olds in Nepal
Stunting among under-5-year children decreased in the years spanning 2001-2016. This study demonstrated multiple factors that can be addressed to decrease the risk of stunting, which has important implications for neurodevelopment later in life. We add literature on risk factors for stunting in under-5-year children
Quality of Care for Maternal and Newborn Health in Health Facilities in Nepal
These findings show gaps in equipment and drugs, especially in PHCCs and private health facilities. Improving readiness and availability of equipment and drugs in PHCCs and private health facility will help improve the quality of care to further reduce maternal and newborn mortality in Nepal
Trends for Neonatal Deaths in Nepal (2001–2016) to Project Progress Towards the SDG Target in 2030, and Risk Factor Analyses to Focus Action
Although neonatal mortality is declining in Nepal, if the current trend continues it will take another 50 years for families in the poorest group to attain the 2030 ENAP target. There are different factors associated with neonatal mortality, reducing the disparities for maternal and neonatal care will reduce mortality among the poorest families
Effect of the Covid-19 pandemic response on intrapartum care, stillbirth, and neonatal mortality outcomes in Nepal
BACKGROUND: The COVID-19 pandemic response is affecting maternal and neonatal health services all over the world. We aimed to assess the number of institutional births, their outcomes (institutional stillbirth and neonatal mortality rate), and quality of intrapartum care before and during the national COVID-19 lockdown in Nepal. METHODS: In this prospective observational study, we collected participant-level data for pregnant women enrolled in th…
Out of Pocket Expenditure for Sick Newborn Care in Referral Hospitals of Nepal
In Nepal, OOPE for sick newborn care in hospitals varied by neonatal morbidity and duration of stay. The largest proportion of OOPE were for accommodation and travel. Affordable and accessible health care will substantially reduce the OOPE for sick newborn care in hospitals
Learning from Nepal’s Progress to Inform the Path to the Sustainable Development Goals for Health, Leaving No-One Behind
Learning from Nepal's Progress to Inform the Path to the Sustainable Development Goals for Health, Leaving No-One Behind
The Association of Childhood Pneumonia with Household Air Pollution in Nepal
Although the occurrence of childhood pneumonia in Nepal has decreased, the level of its association with HAP remained high
Incidence and outcomes of intrapartum-related neonatal encephalopathy in low-income and middle-income countries
Factors associated with poor adherence to intrapartum fetal heart monitoring in relationship to intrapartum related death
Background Poor quality of intrapartum care remains a global health challenge for reducing stillbirth and early neonatal mortality. Despite fetal heart rate monitoring (FHRM) being key to identify fetus at risk during labor, sub-optimal care prevails in low-income settings. The study aims to assess the predictors of suboptimal fetal heart rate monitoring and assess the association of sub-optimal FHRM and intrapartum related deaths. Method A prosp…
Status and Challenges of Reconstruction of Heritage Structures in Nepal After 2015 Gorkha, Nepal Earthquake
A destructive earthquake of moment magnitude Mw 7.8 struck central Nepal on April 25, 2015, followed by hundreds of aftershocks. A preliminary report of the Department of Archaeology (DOA), Nepal, suggested that as many as 745 monuments in 20 districts were affected. The heritage structures are crucial sectors for development, mainly through tourism and employment generation. However, over three years following the Gorkha Nepal earthquake, many c…
Changes in preterm birth and stillbirth during Covid-19 lockdowns in 26 countries
Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data f…
Length-of-stay and factors associated with early discharge after birth in health facilities in Guinea by mode of birth
The immediate postpartum period (first 24 hours after birth) represents a critical time for women and newborns. Postnatal length-of-stay varies globally; in Guinea, a 24-hour facility stay following childbirth is recommended, with an emphasis on providing frequent monitoring of mother and newborn for the first 6 hours. This study describes postpartum length-of-stay following facility-based births in Guinea, and investigates factors associated wit…
Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal
BACKGROUND: Globally, every year, approximately 1 million foetal deaths take place during the intrapartum period, fetal heart monitoring (FHRM) and timely intervention can reduce these deaths. OBJECTIVE: This study evaluates the implementation barriers and facilitators of a device, Moyo for FHRM. METHODS: The study adopted a qualitative study design in four hospitals in Nepal where Moyo was implemented for HRM. The study participants were labour …
Measuring respectful maternal and newborn care in Nepal
Background Respectful maternal and newborn care is the cornerstone of high-quality care, however, measuring experience of respectful care has challenges since it can be subjective, and dependent on expectations. In this study, we assess the concordance between women’s reported experiences of respectful maternal and newborn care and independent observation of their care in Nepal. Methods This is a secondary analysis of a prospective cohort study a…
Association between national action and trends in antibiotic resistance
The world’s governments have agreed on actions to address the challenge of antibiotic resistance. This raises the question of what level of national action is associated with improved outcomes, including both slower growth and lower levels of antibiotic resistance. Answering this question is challenged by variation in data availability and quality as well as disruptive events such as the COVID-19 pandemic. We investigate the association between l…
‘Too much, too little’ – heat wave impact during pregnancy and the need for adaptation measures
The balls are rolling for climate change, with increasing vulnerability to women and children related to climate extreme events. Recent evidence has shown that acute exposure to heat wave during pregnancy can be associated with adverse health outcomes in childhood, with the risk being significantly higher among socially disadvantaged population, despite their lack of contribution to global carbon dioxide emissions and the rising global ambient te…
Association of international remittance with satisfaction and utilization of maternal healthcare services in Nepal
This study aimed to explore the association of international remittance with satisfaction and utilization of maternal health services in Nepal. This is a secondary analysis based on two prospective cohort studies. Regression analyses were carried out to assess the association. Women from remittance‐receiving households had 1.27 higher odds of receiving timely initiation of first ANC visit (aOR = 1.27; 95% CI: 1.19, 1.35). The association between …
Medicine (22 obras) · Global Maternal and Child Health (20 obras) · Environmental health (16 obras) · Population (11 obras) · Child Nutrition and Water Access (10 obras) · Nursing (9 obras) · Economic growth (8 obras) · Public health (8 obras) · Demography (7 obras) · Obstetrics (7 obras)