Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal

Rawal LB, Sun Y, Dahal PK, Baral SC, Khanal Bhattarai S, Arjyal A, Manandhar S, Abdullah AS (2022)
PLoS ONE 17(1): e0261518.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Rawal, Lal B; Sun, Yuewen; Dahal, Padam K; Baral, Sushil C; Khanal Bhattarai, SudeepaUniBi; Arjyal, Abriti; Manandhar, Shraddha; Abdullah, Abu S
Abstract / Bemerkung
INTRODUCTION: Non-Communicable Diseases (NCDs) have become the leading public health problems worldwide and the cardiovascular diseases (CVDs) is one of the major NCDs. Female Community Health Volunteers (FCHVs) in Nepal are the key drivers to implementing frontline health services. We explored the potential for engaging FCHVs for CVD risk screening at the community level in Nepal.; METHODS: We used multiple approaches (quantitative and qualitative) for data collection. The trained FCHVs administered CVD risk screening questionnaire among 491 adults in rural and urban areas and calculated the CVD risk scores. To maintain consistency and quality, a registered medical doctor also, using the same risk scoring chart, independently calculated the CVD risk scores. Kappa statistics and concordance coefficient were used to compare these two sets of risk screening results. Sensitivity and specificity analyses were conducted. Two focus group discussions among the FCHVs were conducted to determine their experiences with CVD risk screening and willingness to engage with CVD prevention and control efforts.; RESULTS: The mean level of agreement between two sets of risk screening results was 94.5% (Kappa = 0.77, P<0.05). Sensitivity of FCHV screening was 90.3% (95% CI: 0.801-0.964); and the specificity was 97% (95% CI: 0.948, 0.984). FCHVs who participated in the FGDs expressed a strong enthusiasm and readiness to using the CVD risk screening tools. Despite their busy workload, all FCHVs showed high level of motivation and willingness in using CVD risk screening tools and contribute to the prevention and control efforts of NCDs. The FCHVs recommended needs for providing additional training and capacity building opportunities.; CONCLUSION: We conclude that there is a potential for engaging FCHVs to use simple CVD risk screening tools at the community level. The findings are promising, however, further studies engaging larger number of FCHVs and larger population would warrant feasibility of such tools within the existing healthcare systems in Nepal.
Erscheinungsjahr
2022
Zeitschriftentitel
PLoS ONE
Band
17
Ausgabe
1
Art.-Nr.
e0261518
eISSN
1932-6203
Page URI
https://pub.uni-bielefeld.de/record/2960626

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Rawal LB, Sun Y, Dahal PK, et al. Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal. PLoS ONE . 2022;17(1): e0261518.
Rawal, L. B., Sun, Y., Dahal, P. K., Baral, S. C., Khanal Bhattarai, S., Arjyal, A., Manandhar, S., et al. (2022). Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal. PLoS ONE , 17(1), e0261518. https://doi.org/10.1371/journal.pone.0261518
Rawal, L. B., Sun, Y., Dahal, P. K., Baral, S. C., Khanal Bhattarai, S., Arjyal, A., Manandhar, S., and Abdullah, A. S. (2022). Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal. PLoS ONE 17:e0261518.
Rawal, L.B., et al., 2022. Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal. PLoS ONE , 17(1): e0261518.
L.B. Rawal, et al., “Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal”, PLoS ONE , vol. 17, 2022, : e0261518.
Rawal, L.B., Sun, Y., Dahal, P.K., Baral, S.C., Khanal Bhattarai, S., Arjyal, A., Manandhar, S., Abdullah, A.S.: Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal. PLoS ONE . 17, : e0261518 (2022).
Rawal, Lal B, Sun, Yuewen, Dahal, Padam K, Baral, Sushil C, Khanal Bhattarai, Sudeepa, Arjyal, Abriti, Manandhar, Shraddha, and Abdullah, Abu S. “Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal”. PLoS ONE 17.1 (2022): e0261518.

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