Suchergebnisse

Introduction: One of the goals of sustainable development is to make cities inclusive, safe, resilient and sustainable. The healthy city approach is becoming increasingly important in addressing a large number of urban health problems and promoting healthy lifestyles in city dwellers.Objectives: We performed a case study of the healthy city project in Wonju, South Korea to find out its characteristics and approaches, and to explore its relevance to the cities in Nepal.Methods: We conducted a case study of the healthy city Wonju project by reviewing relevant published articles and web pages of the city (http://healthycity.wonju.go.kr), alliance for healthy cities, Korean statistical information service and World Health Organization. We also reviewed articles and documents related to healthy cities in South-East Asian countries and Nepal.Results: The healthy city Wonju project, started in 2004, executed its five-year plan between 2006 and 2010, and is currently running with its 10 year long-term plan (2011- 2020). For its success, Wonju City has been awarded six times by WHO. Recently, Wonju city organized the seventh global conference of the AFHC in August, 2016 in Wonju with the main theme of "our cities, our health, our future". Key features of the healthy city Wonju project included: Strong political commitment of local government, financing the healthy city initiative with tobacco consumption tax, partnerships with universities, well organized healthy city teams under city administration, coordination with national and regional healthy cities alliance, community participation, and involvement in research for evidence-based planning and evaluation. Nepal, one of the fast urbanizing countries in South-East Asia faces large number of urban health problems.Conclusions: Though numbers of cities and city dwellers are increasing rapidly, Nepal lacks healthy city projects and networking. The approaches of healthy city Wonju might be useful for developing countries such as Nepal to initiate and develop healthy cities projects in a sustainable way. Journal of Gandaki Medical CollegeVol. 10, No. 1, 2017, page: 34-42

Introduction: Perceived risk, preventive behavior and enabling environment play vital role to prevent COVID-19 transmission in health care settings. The study aimed to assess perceived risk, preventive behavior and enabling environment among healthcare workers of different cadre during COVID-19 pandemic in Nepal. Methods: A cross sectional online survey was conducted among 427 health workers from April 25 to June 10, 2020. A structured questionnaire was prepared in Google form. Perceived risk was measured using 10 items scale, value ranging from 10 to 50. Descriptive and inferential statistics were computed at 5% level of significance. Ethical approval was taken from Nepal Health Research Council. Results: Of total, 49.6% respondents were male; 38.4% were from government organizations and 48.0% were doctors. Mean perceived risk was 31.8, 32.8, 31.3 among doctors, nursing professionals and others respectively; and it did not have significant difference among them. However, significant differences were observed in different items of perceived risk across difference cadre of health workers. Most of the health workers reported practice of preventive behavior always or most of the time. Of total, 5.4% doctors and 6.9% other health workers reported they had sometimes access to soap and water. 11.7% doctors, 7.5% nursing professionals and 7.8% other health workers had sometimes access to hand sanitizer; 18.0% doctors, 10.4% nursing professionals and 12.1% other health workers had sometimes access to face mask. Conclusion: Perceived risk of COVID-19 was high, preventive behavior was satisfactory; but access to enabling environment was poor. Therefore, adequate attention should be given to ensure the availability of protective equipment at work place.

For socio-economic assessment on wheat production, research was conducted from March to June, 2019 in two major wheat growing districts of Nepal, Kailai and sunsari. The primary information was collected by face to face interview using the pre-tested semi-structured interview schedule, two Key Informant Surveys were also done.In addition, the secondary information were collected from the review of related literatures. The survey areas were selected by consultating with Agriculture Knowledge Centre and agricultural officials of the local government; sample were selected by using simple random sampling. All total, 194 samples were selected for this study; the outliers and incomplete responses were omitted. The descriptive statistics revealed that Nepal 297 (66.16 %) has the highest area coverage in Sunsari while Gautam (36.50%) has the highest coverage in Kailali. Multiple regression model revealed that wheat cultivated area (p= 0.000), adoption of NARC released varieties (p= 0.000), gender of the household head (p= 0.017), age of the household head (p= 0.040), membership of organization (p= 0.094) and number of family members between age group 15 to 59 years (p= 0.085) have significant effect on wheat production. Furthermore, the unpaired t-test showed that the mean productivity of wheat in Kailali (2.99 Mt./ha) is significantly higher than that of Sunsari (2.81t./ha) at 5% level of significance. To increase the wheat productivity, the concerned government agricultural institutions should: assure access to NARC released improved varieties, make policy to consolidate the fragmented land, encourage the economically active population and the household heads towards wheat production by providing the efficient technical and financial support.