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.
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.
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 JoshiManager: Operational Research and Evaluation
Deepak 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 more
Sushil Chandra BaralManaging Director
Key Expertise Dr Sushil Chandra Baral is an experienced heatlh and development expert of Nepal, specialising in health systems strengthening and health policy and planning at the national and international level. He has twenty five years of experience in health systems and services, health policy and planning, operational research and social development sector in developing countries context. He has got considerable professional experience in health system, health policy and planning, health service delivery, health research and programme management. He has [...]Learn more
Shreeman SharmaResearch Uptake Manager
Shreeman Sharma is an experienced professional with specialization in development Communication and knowledge management. Having dual master degree on Journalism and Mass Communication and Development Management, he has more than 15 years of experience in journalistic practice, public communication, Knowledge Management, advocacy and network buildings. He has experience of working with civil society networks and international non-government organization with major responsibility of designing and implementing advocacy and communication strategy, evidence uptake – communicating programmes’ impacts to the stakeholders and building [...]Learn more
Shophika RegmiSenior Manager: Health System Research, Evaluation and Learning
Personal bio Ms Shophika has been working in health and social research for more than a decade. During these years, she has led and managed research projects of different nature and scale particularly in health sector, which methodologically include implementation research, evaluation research, national level surveillance study, large-scale survey and qualitative method using participatory approaches. Her engagement in different areas in various projects (health system resilience, gender and intersectionality, non-communicable disease, TB and tobacco, nutrition and family planning) proves her [...]Learn more
Abriti ArjyalResearch Manager: Qualitative and Multidisciplinary Science
Key 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 more
Sampurna KakchapatiResearch Manager: Survey, Evaluation and Impact
Personal bio A committed health professional from Postdoctoral in Research Methodology with extensive experience in public health, research and statistics for nearly 10 years. Expert in conducting and leading a variety of research projects and surveys in Nepal and aboard. Recognized as strong coach and trainer for general research methodology (quantitative research, qualitative research, mixed methods), machine learning, data analysis using statistical packages such R program, STRATA, SPSS and GIS. Ample work experience in the areas of HIV/AIDS, Tuberculosis, Malaria, Non-communicable diseases, Nutrition, Family planning, [...]Learn more
Raju Raman NeupaneProject Coordinator
Mr. 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 more
Santosh GiriSenior Officer - Data Management and Information Technology
Dedicated and highly motivated public health professional with history of successful research goals utilizing consistent and organized practices. Organized and dependable with success in managing multiple priorities with a positive attitude. Data Manager with over 4 years of successful experience in research, data management and analysis. Recognized consistently for performance excellence and contributions to roles undertaken.Learn more