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   health   care.   Services   are  not  sufficiently planned and integrated across multiple public, private and NGO providers   and  have frequently   not  kept  pace  with   the changing disease  burden or  composition  and needs of  the urban poor. Furthermore, due to the informality of their living and  working conditions, the urban poor, particularly the urban slum population are frequently  overlooked  in  data,  programmes and policies. Community-led Responsive and Effective Urban Heath System-CHORUS,  a Research Program Consortium  (RPC) funded  by UK   Aid,   envisions   to  improve   urban  health   and  reduce health inequities of  urban communities. The RPC is  implemented in Bangladesh,  Ghana,  Nepal  and Nigeria.  HERD   International  is responsible to implement the the project in Nepal.

Why is this project important?

We are implementing policy-focused, implementation research to identify  cost-effective  and sustainable  Health  System interventions in   selected urban  area of   Nepal.   Our research programme  will  contribute  to urban health system to be accountable and responsive to the needs of the urbanpoor.

What are the Research Pillars?

Our research focuses on these four pillars:

i)Linking the plurality of private, NGO  and government providers

ii)Building collaboration across sectors to address wider determinants of health

iii)Strengthening systems to prevent and respond to the double burden of non-communicable (NCDs) and communicable disease (CDs) and

iv)Reaching and engaging the urban poor.


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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