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128 results on '"Arjyal, Abriti"'

6. Contextual factors affecting the implementation of an anemia focused virtual counseling intervention for pregnant women in plains Nepal: a mixed methods process evaluation

Author

Bhattarai, Sanju, Yadav, Samata Kumari, Thapaliya, Bibhu, Giri, Santosh, Bhattarai, Basudev, Sapkota, Suprich, Manandhar, Shraddha, Arjyal, Abriti, Saville, Naomi, Harris-Fry, Helen, Haghparast-Bidgoli, Hassan, Copas, Andrew, Hillman, Sara, Baral, Sushil Chandra, and Morrison, Joanna

Published
2023
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7. Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women’s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Published
2022
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9. Health systems resilience in fragile and shock-prone settings through the prism of gender equity and justice: implications for research, policy and practice

Author

Mansour, Wesam, Arjyal, Abriti, Hughes, Chad, Gbaoh, Emma Tiange, Fouad, Fouad Mohamed, Wurie, Haja, Kyaw, Hnin Kalayar, Tartaggia, Julie, Hawkins, Kate, Than, Kyu Kyu, Kallon, Lansana Hassim, Saad, Maya Abou, Chand, Obindra, Win, Phone Myint, Yamout, Rouham, Regmi, Shophika, Baral, Sushil, Theobald, Sally, and Raven, Joanna

Published
2022
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11. MANTRA game analytics: Effectiveness of educational mobile game on knowledge gain and retention of Female Community Health Volunteers (FCHVs) and women in rural Nepal assessed through game analytics

Author

Mueller, Sonja, primary, Stavrianaki, Katerina, additional, Boscor, Andrei, additional, Saville, Naomi, additional, Arjyal, Abriti, additional, Baral, Sushil, additional, Fordham, Maureen, additional, Hearn, Gareth, additional, and Kostkova, Patty, additional

Published
2024
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14. Addressing antimicrobial resistance through community engagement: a framework for developing contextually relevant and impactful behaviour change interventions

Author

Mitchell, Jessica, primary, Hawkings, Helen, additional, Latham, Sophia, additional, Fieroze, Fariza, additional, Arjyal, Abriti, additional, Barrington, Dani Jennifer, additional, Baral, Sushil, additional, Saify, Md Badruddin, additional, Cooke, Paul, additional, Hamade, Prudence, additional, Huque, Rumana, additional, Parajuli, Ayuska, additional, Siddiki, Amam Zonaed, additional, and King, Rebecca, additional

Published
2023
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22. Study protocol for a randomised controlled trial of a virtual antenatal intervention for improved diet and iron intake in Kapilvastu district, Nepal: VALID

Author

Saville, Naomi M, primary, Bhattarai, Sanju, additional, Harris-Fry, Helen, additional, Giri, Santosh, additional, Manandhar, Shraddha, additional, Morrison, Joanna, additional, Copas, Andrew, additional, Thapaliya, Bibhu, additional, Arjyal, Abriti, additional, Haghparast-Bidgoli, Hassan, additional, Baral, Sushil C, additional, and Hillman, Sara, additional

Published
2023
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23. Impact of a Virtual Antenatal Intervention for Improved Diet and Iron Intake in Kapilvastu District, Nepal: VALID Randomised Controlled Trial

Author

Saville, Naomi, primary, Bhattarai, Sanju, additional, Giri, Santosh, additional, Sapkota, Suprich, additional, Morrison, Joanna, additional, Thapaliya, Bibhu, additional, Bhattarai, Basudev, additional, Yadav, Samata, additional, Arjyal, Abriti, additional, Copas, Andrew, additional, Haghparast-Bidgoli, Hassan, additional, Harris-Fry, Helen, additional, Piya, Reecha, additional, Baral, Sushil, additional, and Hillman, Sara, additional

Published
2023
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24. Assessing food-based strategies to address anaemia in pregnancy in rural plains Nepal: a mixed methods study.

Author

Morrison, Joanna, Giri, Romi, James, Philip, Arjyal, Abriti, Kharel, Chandani, Saville, Naomi, Baral, Sushil, Hillman, Sara, and Harris-Fry, Helen

Subjects
MOTHERS, CULTURE, NUTRITIONAL assessment, FOCUS groups, RURAL conditions, RESEARCH methodology, FOOD security, SOCIAL norms, INTERVIEWING, PREGNANT women, FATHERS, NUTRITIONAL requirements, DESCRIPTIVE statistics, RESEARCH funding, IRON deficiency anemia, JUDGMENT sampling, DATA analysis software, NUTRITIONAL status, EDUCATIONAL attainment, PREGNANCY
Abstract

Anaemia in pregnancy is a persistent health problem in Nepal and could be reduced through nutrition counselling and strengthened iron folic acid supplementation programmes. We analysed 24-hour diet recall data from 846 pregnant women in rural plains Nepal, using linear programming to identify the potential for optimised food-based strategies to increase iron adequacy. We then conducted qualitative research to analyse how anaemia was defined and recognised, how families used food-based strategies to address anaemia, and the acceptability of optimised food-based strategies. We did 16 interviews of recently pregnant mothers, three focus group discussions with fathers, three focus group discussions with mothers-in-law and four interviews with key informants. Dietary analyses showed optimised diets did not achieve 100 % of recommended iron intakes, but iron intakes could be doubled by increasing intakes of green leaves, egg and meat. Families sought to address anaemia through food-based strategies but were often unable to because of the perceived expense of providing an 'energy-giving' diet. Some foods were avoided because of religious or cultural taboos, or because they were low status and could evoke social consequences if eaten. There is a need for counselling to offer affordable ways for families to optimise iron adequacy. The participation of communities in tailoring advice to ensure cultural relevance and alignment with local norms is necessary to enable its effectiveness. [ABSTRACT FROM AUTHOR]

Published
2023
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26. Drivers of Anti-Microbial Resistance (AMR) Within the Communities of Nepal from a One Health Perspective: A Scoping Review protocol

Author

PARAJULI, AYUSKA, Arjyal, Abriti, Poudel, Shraddha, Regmi, Shophika, King, Natalie, Mitchell, Jessica, Latham, Sophia, Hamade, Prudence, Hawkings, Helen, King, Rebecca, and Baral, Sushil

Subjects
Medicine and Health Sciences, Social and Behavioral Sciences
Abstract

Anti-microbial resistance (AMR) poses one of the biggest health hazards in global health and food security in the present century as new resistance mechanisms are emerging and spreading across the globe. This has threatened our ability to treat infections with available anti-microbial, which in turn increases the risk of spreading disease to others, severe illness and even death. AMR is a multifaceted challenge and hence, requires a collaborative approach across sectors, in accordance with the global action plan, 2015 1. Different types of community related factors, mainly categorized into behavioral and environmental factors are responsible for the transmission of drug resistant bacteria in the community. Irrational use of antibiotics is one of the major contributors of AMR in community settings. Most of the injudicious prescription of antibiotics occurs in the community care settings. Despite being a critical public health problem, AMR is often neglected in Nepal owing to other public health priorities as evidenced by the lack of appropriate implementation of laws and policies related to AMR 2. Lower and middle income countries of the South East Asian region are considered hotspots for AMR. However, modern travel of goods and people can easily spread AMR across the borders and continents, making it global public health problem. Thus, this scoping review aims to explore the drivers of AMR and existing enablers and barriers to address AMR within the communities of Nepal from a one health perspective across gender, geographic location (including rural/urban), ethnicity/religion and education status of community members.

Published
2022
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27. The Gendered Experience of Close to Community Providers during COVID-19 Response in Fragile Settings: A Multi-Country Analysis

Author

Raven, Joanna, primary, Arjyal, Abriti, additional, Baral, Sushil, additional, Chand, Obindra, additional, Hawkins, Kate, additional, Kallon, Lansana, additional, Mansour, Wesam, additional, Parajuli, Ayuska, additional, Than, Kyu Kyu, additional, Wurie, Haja, additional, Yamout, Rouham, additional, and Theobald, Sally, additional

Published
2022
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28. Exploring the potential for children to act on antimicrobial resistance in Nepal: Valuable insights from secondary analysis of qualitative data.

Author

Mitchell, Jessica, Cooke, Paul, Arjyal, Abriti, Baral, Sushil, Jones, Nichola, Garbovan, Lidis, and King, Rebecca

Subjects
DRUG resistance in microorganisms, SECONDARY analysis, SOCIAL dynamics, NONPRESCRIPTION drugs
Abstract

This study explores the perceived roles of children in antimicrobial resistance (AMR) in two sites across Nepal. AMR is a global challenge and underpinned by many complex behavioural drivers including how antimicrobial medicines are sourced and used. Because of this social dynamic, several research groups are using community engagement (CE) approaches to understand AMR at community level. However, most data negate the importance of children in behaviours linked to, and potentially driving AMR. In this study, authors apply secondary analysis methods to 10 transcripts representing the views of 23 adults engaged in an AMR-focused film-making project. By focusing on participants' reference to children, we reveal that antimicrobial usage and adherence to health providers' messages can be influenced by the age of the patient. Secondly that children are involved in some of the behaviours which are known to drive antimicrobial resistance such as purchasing over-the-counter antibiotic drugs. Finally, community members discuss that, with careful creation of resources, AMR could be meaningfully presented in educational settings with a view to children acting as agents of change around AMR-driving behaviours. Findings suggest that age-inclusive community engagement projects could be effective in tackling AMR at community level in Nepal and other low resource settings. [ABSTRACT FROM AUTHOR]

Published
2023
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29. Community engagement:The key to tackling Antimicrobial Resistance (AMR) across a One Health context?

Author

Mitchell, Jessica, Cooke, Paul, Ahorlu, Collins, Arjyal, Abriti, Baral, Sushil, Carter, Laura, Dasgupta, Rajib, Fieroze, Fariza, Fonseca-Braga, Mariana, Huque, Rumana, Lewycka, Sonia, Pachuli, Kalpana, Saxeena, Deepack, Tomley, Fiona, Tsekleves, Emmanuel, Vu Thi Quynh, Gioa, King, Rebecca, Mitchell, Jessica, Cooke, Paul, Ahorlu, Collins, Arjyal, Abriti, Baral, Sushil, Carter, Laura, Dasgupta, Rajib, Fieroze, Fariza, Fonseca-Braga, Mariana, Huque, Rumana, Lewycka, Sonia, Pachuli, Kalpana, Saxeena, Deepack, Tomley, Fiona, Tsekleves, Emmanuel, Vu Thi Quynh, Gioa, and King, Rebecca

Abstract

Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low – and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication describes a knowledge-exchange cluster of six LMIC-based projects who co-designed and answered a series of research questions around the usage of Community Engagement (CE) within AMR. Findings suggest that CE can facilitate AMR behaviour change, specifically in LMICs, because it is a contextualised approach which supports communities to develop locally meaningful solutions. However, current CE interventions focus on human aspects, and demand-side drivers, of AMR. Our cluster suggests that broader attention should be paid to AMR as a One Health issue. The popularity of mixed methods approaches within existing CE for AMR interventions suggests there is interdisciplinary interest in the uptake of CE. Unfortunately, the specificity and context-dependency of CE can make it difficult to evaluate and scale. Nevertheless, we suggest that in synthesising learnings from CE, we can develop a collective understanding of its scope to tackle AMR across contexts.

Published
2022

31. Additional file 5 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Subjects
humanities, reproductive and urinary physiology
Abstract

Additional file 5: Supplementary Annex 5. Menstrual monitoring consent form in English.

Published
2022
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32. Additional file 3 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 3: Supplementary Annex 3. Menstrual monitoring participant information sheet in English.

Published
2022
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33. Additional file 1 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 1: Supplementary Annex 1. Trial Steering Monitoring (TSC) charter.

Published
2022
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34. Additional file 8 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 8: Supplementary Annex 8. Data Monitoring Committee (DMC) charter.

Published
2022
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35. Additional file 4 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 4: Supplementary Annex 4. Full Trial participant information sheets in English.

Published
2022
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36. Additional file 7 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 7: Supplementary Annex 7. Expected pregnancies to be enrolled and numbers after loss to follow-up.

Published
2022
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37. Additional file 6 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 6: Supplementary Annex 6. Full Trial consent form in English.

Published
2022
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38. Additional file 2 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 2: Supplementary Annex 2. List of selected study clusters with population and expected pregnancies.

Published
2022
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40. Community engagement: The key to tackling Antimicrobial Resistance (AMR) across a One Health context?

Author

Mitchell, Jessica, primary, Cooke, Paul, additional, Ahorlu, Collins, additional, Arjyal, Abriti, additional, Baral, Sushil, additional, Carter, Laura, additional, Dasgupta, Rajib, additional, Fieroze, Fariza, additional, Fonseca-Braga, Mariana, additional, Huque, Rumana, additional, Lewycka, Sonia, additional, Kalpana, Pachillu, additional, Saxena, Deepak, additional, Tomley, Fiona, additional, Tsekleves, Emmanuel, additional, Vu Thi Quynh, Gioa, additional, and King, Rebecca, additional

Published
2021
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42. Scaling Up Tobacco Cessation within TB Programmes: Findings from a Multi-Country, Mixed-Methods, Implementation Study.

Author

Elsey, Helen, primary, Azdi, Zunayed Al, additional, Regmi, Shophika, additional, Baral, Sushil, additional, Fatima, Razia, additional, Feroze, Fariza, additional, Huque, Rumana, additional, Karki, Jiban, additional, Khan, Dost Mohammad, additional, Khan, Amina, additional, Khan, Zohaib, additional, Li, Jinshuo, additional, Noor, Maryam, additional, Arjyal, Abriti, additional, Shrestha, Prabin, additional, Ullah, Safat, additional, and Siddiqi, Kamran, additional

Published
2021
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43. Community engagement: The key to tackling Antimicrobial Resistance (AMR) across a One Health context?

Author

Mitchell, Jessica, Cooke, Paul, Ahorlu, Collins, Arjyal, Abriti, Baral, Sushil, Carter, Laura, Dasgupta, Rajib, Fieroze, Fariza, Fonseca-Braga, Mariana, Huque, Rumana, Lewycka, Sonia, Kalpana, Pachillu, Saxena, Deepak, Tomley, Fiona, Tsekleves, Emmanuel, Vu Thi Quynh, Gioa, and King, Rebecca

Subjects
ANTIMICROBIAL stewardship, MIDDLE-income countries, COMMUNITY health services, LOW-income countries, RESEARCH funding, THEMATIC analysis, DRUG resistance in microorganisms, HEALTH promotion
Abstract

Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low – and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication describes a knowledge-exchange cluster of six LMIC-based projects who co-designed and answered a series of research questions around the usage of Community Engagement (CE) within AMR. Findings suggest that CE can facilitate AMR behaviour change, specifically in LMICs, because it is a contextualised approach which supports communities to develop locally meaningful solutions. However, current CE interventions focus on human aspects, and demand-side drivers, of AMR. Our cluster suggests that broader attention should be paid to AMR as a One Health issue. The popularity of mixed methods approaches within existing CE for AMR interventions suggests there is interdisciplinary interest in the uptake of CE. Unfortunately, the specificity and context-dependency of CE can make it difficult to evaluate and scale. Nevertheless, we suggest that in synthesising learnings from CE, we can develop a collective understanding of its scope to tackle AMR across contexts. [ABSTRACT FROM AUTHOR]

Published
2022
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44. Implementation and Scale Up of Tobacco Cessation Within TB Programmes: Findings from a Multi-Country, Mixed-Methods Implementation Study

Author

Elsey, Helen, primary, Azdi, Zunayed Al, additional, Regmi, Shophika, additional, Baral, Sushil, additional, Fatima, Razia, additional, Feroze, Fariza, additional, Huque, Rumana, additional, Karki, Jiban, additional, Khan, Dost Mohammad, additional, Khan, Amina, additional, Khan, Zohaib, additional, Li, Jinshuo, additional, Noor, Maryam, additional, Arjyal, Abriti, additional, Shrestha, Prabin, additional, Ullah, Safat, additional, and Siddiqi, Kamran, additional

Published
2021
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46. Comprehensive Anaemia Programme And Personalized Therapies (CAPPT): Protocol For A Cluster-Randomised Controlled Trial Testing The Effect Women’s Groups, Home Counselling And Iron Supplementation On Haemoglobin In Pregnancy In Southern Nepal

Author

Saville, Naomi M, primary, Kharel, Chandani, additional, Morrison, Joanna, additional, Harris-Fry, Helen A., additional, James, Philip, additional, Copas, Andrew, additional, Giri, Santosh, additional, Arjyal, Abriti, additional, Beard, B. James, additional, Haghparast-Bidgoli, Hassan, additional, Skordis, Jolene, additional, Richter, Adam, additional, Baral, Sushil, additional, and Hillman, Sara, additional

Published
2021
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47. The values and principles underpinning community engagement approaches to tackling antimicrobial resistance (AMR)

Author

Mitchell, Jessica, Cooke, Paul, Baral, Sushil, Bull, Naomi, Stones, Catherine, Tsekleves, Emmanuel, Verdezoto, Nervo, Arjyal, Abriti, Giri, Romi, Shrestha, Ashim, King, Rebecca, Mitchell, Jessica, Cooke, Paul, Baral, Sushil, Bull, Naomi, Stones, Catherine, Tsekleves, Emmanuel, Verdezoto, Nervo, Arjyal, Abriti, Giri, Romi, Shrestha, Ashim, and King, Rebecca

Abstract

This paper presents seven values underpinning the application of Community Engagement (CE) approaches to the One Health challenge of antimicrobial resistance (AMR) developed during an international workshop in June 2019. We define a value as a quality or standard which a CE project is aiming for, whilst a principle is an objective which underpins the value and facilitates its achievement. The values of Clarity, Creativity, (being) Evidence-led, Equity, Interdisciplinarity, Sustainability and Flexibility were identified by a network of 40 researchers and practitioners who utilise CE approaches to tackle complex One Health challenges including, but not limited to, AMR. We present our understanding of these seven values and their underlying principles as a flexible tool designed to support stakeholders within CE for AMR projects. We include practical guidance on working toward each value, plus case studies of the values in action within existing AMR interventions. Finally, we consider the extent to which CE approaches are appropriate to tackle AMR challenges. We reflect on these in relation to the tool, and current literature for both CE and AMR research. Authors and co-producers anticipate this tool being used to scene-set, road map and trouble shoot the development, implementation, and evaluation of CE projects to address AMR and other One Health challenges. However, the tool is not prescriptive but responsive to the context and needs of the community, opening opportunity to build a truly collaborative and community-centred approach to AMR research.

Published
2020

49. What is ‘antimicrobial resistance’ and why should anyone make films about it? Using ‘participatory video’ to advocate for community-led change in public health

Author

Cooke, Paul, primary, Shrestha, Ashim, additional, Arjyal, Abriti, additional, Giri, Romi, additional, Jones, Nichola, additional, King, Rebecca, additional, Mitchell, Jessica, additional, Tait, Caroline, additional, Donlan, Inés Soria, additional, and Baral, Sushil, additional

Published
2020
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