Non-communicable Disease Project
The prevalence of non-communicable diseases (NCD) in Nepal is expected to have surged in the past few decades due to longer life expectancy from improved care of communicable diseases. True epidemiology of NCD is unknown due to lack of well-designed prospective cohort studies. Thus, a large number of rural community residents may be living with undiagnosed and untreated NCDs. The NCD Nepal project is a community-level intervention that encompasses two arms: a comprehensive, multidimensional and longitudinal clinical care; and a community-based prospective epidemiological study.
Our primary hypotheses are as follows.
Brief protocol and procedures
The most recent census of the area (2018) showed a total of 7052 residents who are 40-75 year old (3349 men and 3703 women), which will be our target population.
2017 - Initiated cardiovascular and kidney diseases screening camps in Dang; collaborated with National Reference Laboratory
2018 - Developed research tools and clinical protocols for management of diabetes, hypertension, hyperlipidemia, and tobacco cessation; Received Institutional Review Board (IRB) approval from Nepal Health Research Council
2019 - Collaborated with Karma Health, a local non-profit organization, to assist in effective implementation of the NCD project.
We have already provided first round of care/screening for 936 individuals, of which 331 received 2nd round of care/follow up (updated on April 23, 2019).
We are actively looking for collaboration locally, nationally and internationally. Some of these include partnership with medical, nursing, public health and allied health schools, their students and professionals to foster medical education and research; collaboration with industry partners to create a comprehensive and reliable database including biomarkers and imaging; and collaboration with international academic institutions, among others. In the future, we will also test other novel strategies to address NCDs. We will deploy trained community health workers as first line intervention to deliver home-based services in prevention and early management of NCDs. We will also look forward to expand NCD program to different geographic locations of Nepal.
If you have any interest in our work, we encourage you to collaborate and work with us for mutual opportunities that will benefit both you and the community we serve.