Chitwan Medical College

Integration of Oral Health Into Primary Care and Public Health Systems: A Systematic Review of Strategies, Outcomes, and Sustainability Determinants

ABSTRACT Objectives To evaluate the effectiveness and implementation of integrated oral health services within primary care and other health system settings. Methods A systematic review of electronic databases was conducted. Studies evaluating the integration of oral health servi...

Measuring the association between women’s empowerment using SWPER index and utilization of maternal and newborn health services from pregnancy to postpartum in Nepal

Women’s empowerment is a global development priority that serves as both an independent goal and a critical determinant of maternal and newborn health (MNH) outcomes. This study aimed to assess the association between women’s empowerment and utilization of MNH services from pregn...

Performance of Nursing Activities Score in intensive care units of a teaching hospital in a low-middle-income country: An observational study

Abstract Background Nursing workload in intensive care units (ICUs) plays a crucial role in determining patient outcomes, quality of care, and healthcare system efficiency. The Nursing Activities Score (NAS) is a validated tool used internationally to measure nursing workload and...

Ethics in the crossfire: politicised patient care, cultural authority, and nurses’ constrained moral agency

Abstract Background Socio-political polarisation increasingly shapes health decisions and clinical encounters, yet little is known about how nurses in low- and middle-income countries navigate conflicts among formal patient rights, family authority, cultural obligations, and poli...

Stochastic Scenario Modelling of Tobacco Taxation in Nepal: Evaluating 5–10 Year Pathways to Achieve a 75 Percent Tax Share

Tobacco consumption is a major public health and economic burden in Nepal, and taxation is a central policy tool for its reduction while increasing fiscal revenue. However, the most effective pathway to achieve the WHO-recommended 75 percent tax share under different reform timel...