Summary of Talk:
While there is good evidence that reducing cardio-metabolic risk factors reduces the cardiovascular deaths and disability, much less is known about the burden of problem and how to achieve this specially for underserved populations. Thus, we implemented studies to provide a scientific understanding of the burden of high blood pressure in Nepal, to explore the feasibility of community-based intervention, and to test whether Female Community Health Volunteers of Nepal can perform a set of activities that will result in reducing blood pressure among the hypertensive, prehypertensive and normotensive population. The study found FCHV led lifestyle intervention coupled with home-based blood pressure monitoring is effective for reducing blood pressure among hypertensive and significantly ameliorated the increase in blood pressure among normotensive and prehypertensive adults in the general population of Nepal, a low-income country. This strategy is potentially feasible for up-scale in countries with strong networks of community health workers and in those that are developing these networks.
Dr Dinesh Neupane joined Duke Kunshan University on 01/09/2017 as a Non-Communicable Chronic Diseases (NCD) Postdoctoral Fellow. He did his Bachelor in Public Health in 2006 from Institute of Medicine, Tribhuvan University, Nepal in 2006 and Master of Science in Public Health in 2012 from University of Southern Denmark, Denmark. He received his PhD from Aarhus University, Denmark in June 2017. He also took specialized courses on NCDs and Primary Health Care from Johns Hopkins Bloomberg School of Public Health; Department of Continuing Education, University of Oxford; Comprehensive Rural Health Project(CRHP), Jamkhed, India and Society for Education, Action and Research in Community Health(SEARCH), India in various dates. He has published more than 35 articles in peer-reviewed journals in the last 5 years and has presented several oral and poster presentations at international conferences. Previously he worked for Aarhus University, World Health Organization and JSI Research and Training, Inc. He taught Global Health elective course for public health students at Aarhus University and worked as STATA lab instructor for MSc Public Health Students at University of Southern Denmark. He co-supervised 3 MPH theses and supervised field work of 15 Danish graduate and undergraduate students. He is a member of the Nepal Lancet Commission for Non-Communicable Diseases and Injury Commission and research fellow of International Society of Hypertension and a founding chairperson of Nepal based NGO called Nepal Development Society which focuses on research, innovation and development. He primarily works in chronic diseases prevention and control in low and middle-income countries.