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Original Research

Stakeholder Engagement in Planning the Design of a National Needs Assessment for Cardiovascular Disease Prevention and Management in Nepal

Authors:

Shrestha Archana ,

Department of Community Programs, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchwok, NP; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, US
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Biraj Man Karmacharya,

Department of Community Programs, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchwok; Department of Community Medicine, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchwok, NP
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Maharjan Rashmi,

Department of Community Programs, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchwok, NP
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Vaidya Abhinav,

Department of Community Medicine, Kathmandu Medical College, Kathmandu, NP
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Dhimal Meghnath,

Nepal Health Research Council, Kathmandu, NP
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Oli Natalia,

Department of Community Medicine, Kathmandu Medical College, Kathmandu, NP
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Shrestha Rajeev,

Department of Pharmacology, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchwok, NP
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Pyakurel Prajjwal,

Department of Community Medicine, B.P. Koirala Institute of Health Sciences, Dharan, NP
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Fitzpatrick Annette,

Department of Family Medicine, School of Public Health, University of Washington, Seattle, WA; Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA; Department of Global Health, School of Public Health, University of Washington, Seattle, WA, US
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Citrin David,

Department of Global Health, School of Public Health, University of Washington, Seattle, WA, US; Nyaya Health Nepal/Possible, Kathmandu, NP; Department of Anthropology, University of Washington, Seattle, WA; Henry M. Jackson School of International Studies, University of Washington, Seattle, WA, US
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Bajracharya Swornim,

Department of Community Programs, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchwok, NP
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Xu Dong Roman,

Global Health Institute, Sun Yat-Sen University, Guangzhou, CN
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Spiegelman Donna,

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; Department of Biostatistics and Center for Methods on Implementation and Prevention Sciences, Yale School of Public Health, New Haven, CT, US
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Koju Rajendra

Department of Cardiology, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchwok, NP
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Abstract

Background: There is growing support for stakeholder engagement in health research, but the actual impact of such engagement has not been well established.

Objectives: This paper describes the stakeholder engagement process and evaluation during the planning of the national needs assessment for cardiovascular disease in Nepal.

Methods: We used personal and professional networks to identify relevant stakeholders within the 7Ps framework (Patients and the Public, Providers, Purchasers, Payers, Public Policy Makers and Policy Advocates, Product Makers and the Principal Investigators) to develop a plan for assessing cardiovascular health needs in Nepal. We consulted 40 stakeholders through 2 meetings in small groups and a workshop in a large group to develop the study methods, conceptual framework, and stakeholder engagement process. We interviewed 33 stakeholders to receive feedback on the stakeholder engagement process.

Results: We engaged 80% of the targeted stakeholders through small group discussions and a workshop. Three of 5 recommendations from the small group discussion were aimed at improving the stakeholder engagement process and 2 were aimed to improve the research methods. Eleven of 27 recommendations from the workshop aimed to improve the research methods, 4 aimed to improve stakeholder engagement, and 2 helped to expand the scope of dissemination. Ten were irrelevant or could not be incorporated due to resource limitation. Most stakeholders noted that the workshop provided an open platform for a multisectoral group to colearn from one another and share ideas. Others highlighted that the discussion generated insights to enhance research by incorporating expertise and ideas from different perspectives. The major challenges discussed were about committing the time for engagement.

Conclusions: The stakeholder engagement process positively affected the design of our research. This study provides important insights for future researchers that aim to engage stakeholders in national-level assessment programs in the health care system in the context of Nepal.

Highlights

  • The stakeholder engagement process through small group discussions and a workshop positively affected the design of our research.
  • Eleven of 27 recommendations from the workshop aimed to improve the research methods, 4 aimed to improve stakeholder engagement, and 2 helped to expand the scope of dissemination.
  • Most stakeholders noted that the workshop provided an open platform for a multisectoral group to colearn from one another and share ideas
  • This study provides important insights for future researchers that aim to engage stakeholders in national-level assessment programs in the health care system in Nepal.
How to Cite: Archana S, Karmacharya BM, Rashmi M, Abhinav V, Meghnath D, Natalia O, et al.. Stakeholder Engagement in Planning the Design of a National Needs Assessment for Cardiovascular Disease Prevention and Management in Nepal. Global Heart. 2019;14(2):181–9. DOI: http://doi.org/10.1016/j.gheart.2019.05.002
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Published on 01 Jun 2019.
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