The growing numbers of urban poor around the world face several health challenges, including the double burden of diseases, exposure to environmental and human-made hazards, and limited access to quality and affordable healthcare. Services are not adequately planned and integrated across multiple public, private, and NGO providers and have often not kept pace with the changing disease burden or the needs of the urban poor. Additionally, due to the informality of their living and working conditions, the urban poor, particularly the urban slum population, are frequently overlooked in data, programs, and policies.
The Community-led Responsive and Effective Urban Health System-CHORUS, a Research Program Consortium funded by UK Aid, aims to improve urban health and reduce health inequities in urban communities. The RPC is implemented in Bangladesh, Ghana, Nepal, and Nigeria, with HERD International responsible for implementing the project in Nepal.
Our research focuses on four pillars:
i) Linking the plurality of health care providers.
ii) Building multi sectoral collaboration to address wider determinants of health.
iii) Strengthening systems to prevent and respond to the double burden of non-communicable (NCDs) and communicable diseases (CDs).
iv) Identifying, Reaching and engaging the urban poor.
Projects in Nepal:
HERD International is currently implementing participatory action research on urban health system strengthening in Nepal. Over a span of six years, two primary projects, detailed below, and other small-scale studies supported through CHORUS Innovation fund, referred to as innovation projects, will be conducted.
Understanding the approaches to strengthen the service delivery of non-communicable disease programmes for urban poor at the primary health care setting in Pokhara
In the given context of federalization and COVID-19, our project aims to understand the approaches to strengthen local (municipal/urban) health system that engages with private health providers in delivering quality health services with focus on NCD prevention and care, to urban poor and marginalized
The study has two phases:
i) Need assessment and co-creation phase, through which evidence will be generated to develop an intervention regarding the engagement of local health system actors and private sectors in delivering NCDs, focusing on the urban poor community.
ii) Implementation and evaluation phase that records baseline indicators, implements the intervention package, and evaluates the intervention packages based on the defined indicators at the baseline.
The project has now accomplished the need assessment phase, and now the intervention development is underway.
Innovation projects
Pathways to effective coverage for mental health services among urban adolescents
This study is focused on developing local-based solutions to improve the coverage, utilization and adherence to mental health services in Pokhara City in Nepal, prioritizing the urban poor population. The study aims to improve mental health by developing a pathway that can be supportive to increase accessibility and availability of mental health services specifically tailored for adolescents in Pokhara. The research employs a mixed-methods approach, combining qualitative and quantitative methods, to provide a comprehensive understanding of the factors influencing the uptake and impact of mental health interventions in this specific population.
Ethnographic Study of Intersecting Inequities of Urban Poor in Kathmandu, Nepal
The project aims to identify challenges and opportunities in ensuring equitable access to quality health services among urban poor. To achieve this, the study will understand the characteristics of urban poor and its linkages with pathways to care seeking and how gender and other social variables interacts and creates inequities in terms of access to health services. In addition, the study will look at the health policies to understand if the context of urban poor and the concept of equity and justice has been incorporated. Further the study will identify the potential areas for intervention to address the urban health issues. The research will be primarily ethnographic study in a selected urban poor settlement of Kathmandu district identified from initial listing and consultation with stakeholders.
Partners
This programme is a collaboration among the University of Leeds, University of York, HERD International Nepal, ARK Foundation Bangladesh, University of Ghana, University of Nigeria, BRAC University and London School of Hygiene and Tropical Medicine
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Associated Team Members
Deepak Joshi
Manager - Operational Research and EvaluationDeepak Joshi, MPH is a Monitoring, Evaluation and Research Specialist with 8 years of experience in qualitative and quantitative data analysis with a background in monitoring and evaluation for projects funded by USAID, Gates Foundation, DFID and other notable partners/academia. He has extensive experience working on maternal and child health projects. As Researcher, he has experience of working in different study designs that includes longitudinal study, quasi experimental study, quantitative surveys and qualitative study. His experience and expertise of data [...]
Learn moreSushil Chandra Baral
Managing DirectorDr. Sushil Chandra Baral is an experienced health and development expert with over 25 years of experience in research and development. Specializing in health systems, health policy, and planning at both national and international levels, Dr. Baral has played a pivotal role in communicable disease control, specifically Tuberculosis. He serves as a Managing Director at HERD International. In the past, he worked as a Strategic Advisor for the Nepal Health Sector Support Programme demonstrating expertise in program-based operational research and [...]
Learn moreShreeman Sharma
Research Uptake ManagerShreeman Sharma is a dedicated professional with a strong interest in media research, health research, health communication, and evidence uptake. He holds Master’s degrees’ in Development Management from the Asian Institute of Management and Mass Communication and Journalism from Purbanchal University. He is currently serving as a Research Uptake Manager at HERD International. Since assuming his current position in October 2020, Shreeman has taken on the role of Research Uptake Global lead for the Community-led Responsive and Effective Urban Health [...]
Learn moreShophika Regmi
Senior Manager: Health System Research, Evaluation and LearningShophika Regmi
Senior Manager: Health System Research, Evaluation and LearningMs. Shophika Regmi has been working in health and social research for more than a decade. Throughout this period, she has led research projects of various natures and scales, particularly in the health sector. She possesses extensive experiences in implementation research using participatory action approaches, designing and executing evaluation studies, national level surveillance study, and large-scale survey across diverse areas such as health system strengthening, urban health, health workforce, non-communicable disease, nutrition, maternal health, etc. With a profound interest in [...]
Learn moreAbriti Arjyal
Research Manager - Qualitative and Multidisciplinary ScienceAbriti Arjyal
Research Manager - Qualitative and Multidisciplinary ScienceKey Expertise Ms. Abriti Arjyal works as Research Manager – Multidisciplinary Qualitative Research – at HERD International and has experience in the area of public health, health system and service delivery research, social science and gender, and equity. She is an emerging young researcher with more than seven years of experience leading formative and operational field studies, evaluation studies, and literature reviews, with expertise in design and implementation of qualitative research, and various community and participatory based approaches. She has sound knowledge [...]
Learn moreSampurna Kakchapati
Research Manager: Survey, Evaluation and ImpactDr. Sampurna Kakchapati is an experienced public health professional and researcher with a PhD in Research Methodology. He brings over 15 years of extensive expertise in data science, statistics, quantitative research, and monitoring and evaluation. Recognized as a leading expert in the field, Dr. Kakchapati has demonstrated his proficiency by successfully conducting and overseeing various national and international research projects and surveys. Dr. Kakchapati holds proficiency in data analysis using statistical packages such as R program and SPSS. His professional [...]
Learn moreRaju Raman Neupane
Project CoordinatorMr. Neupane has more than 26 years of experience in the Government Health Sector working especially in child health and immunization, at the sub-national and district level. He also has experience at the local level for sectoral planning, monitoring, implementation as well as formulation of health policy and other documents. He is committed, hardworking and interested in the research field. He was involved in different health sector-related Assessments. He has strong knowledge of Appreciative Inquiry and other public health programs.
Learn moreSujan Poudel
Implementation Research OfficerMr. Sujan Poudel is a public health professional, possessing a Master’s degree in Public Health with a specialization in Public Health Service Management. He had prior experience in conducting and implementing the studies particularly in health insurance, maternal and child health, health and ageing, infectious diseases and nutrition. During this master’s degree, he obtained Ageing Research fellowship Award from Ageing Nepal. In his prior positions, Mr. Poudel worked as a Field Coordinator for the Suaahara II programme at Arghakhanchi District, [...]
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