Since 2003, MDA program has been conducting till date in Nepal. The program was initiated in all districts in 2013 and later in 2017 it was stopped in more than half of the districts. Nepal is one of the first countries in the global program to achieve 100% geographical coverage, reaching all 63 districts out of 77 districts with MDA. About 48 out of 63 have stopped MDA and are on post-MDA surveillance. The remaining 15 districts have failed the pre-TAS/TAS for at least once. Of these 15 districts, this study is based on Parbat and Bardiya.
Objectives of the Study
The overall purpose of the project is:
To gather in-depth insights on factors that are associated with MDA coverage and compliance in Bardiya and Parbat. In other words, the study gathers in-depth insights into individual, community, health system and programmatic factors associated with MDA coverage and compliance, with the goal of providing actionable insights into how to adapt and tailor field strategies to improve MDA in districts that have failed pre-TAS in Nepal. In addition to the broader objective, this study has specific objectives as well. These are ranged from individual level, community to programmatic aspects. For example, at the individual level, the study seeks to explore the rate systematic non-compliance among people or groups of individual across the communities while on the other side study explores role of sociocultural factors for motivations and professional quality of life during MDA among others.
The mixed methods study design including; qualitative, quantitative, observation and rapid ethnographic data collection along with participatory stakeholders’ workshops. Further, for the quantitative study; the population study includes the adults of aged 18 years and above, who reside in the two selected districts; Bardiya and Parbat at the time of survey. For the qualitative study; the study population include community members, local community and government leaders and health staff in both of the study districts and a few national-level government and NGO staff based in Kathmandu.
Associated Team Members
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
Private: Puja KCProject Officer - Audio Visual and Communication
Personal Bio Ms. Puja K.C is a registered public health professional working in health research. She has more than five years of professional working experience in the quantitative and qualitative research projects related to maternal, newborn and child health, reproductive health, NCDs, injury, disability, urban health, and health system. She is working as a Research and Data Management Officer at HERD International. She possesses expertise in data management, tools and database designing , training facilitation, field implementation, desk monitoring and [...]Learn more
Obindra Bahadur ChandQualitative Research Officer
Personal Bio An experienced health and social sciences researcher working and engaging in the broader area of health and development covering the wider area of medical anthropology and global health. These include health system research, cross-cultural context of health service delivery and development, access to health services and facilities for various groups of people as well as disability and disaster using primarily qualitative methods. He has more than 8 years of professional experience in qualitative research with expertise in designing, [...]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