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Nepal Pioneer Worksite Intervention Study(WSS)

Nepal Pioneer Worksite Intervention Study, a collaborative research study of Harvard T.H. Chan School of Public Health, Harvard University, Yale University and Dhulikhel Hospital, Kathmandu University Hospital (DH-KUH) was being conducted through the Department of Community Programs. It is an interventional study to reduce risk of diabetes and hypertension among the employees of Dhulikhel hospital employees. We conducted intervention at two different levels. The environmental level, where we made changes in the canteens of the hospital to promote healthy eating by adding healthy foods like whole grains, fruits and vegetables and removing unhealthy foods like high sugar beverages such as coke, fanta etc, confectioneries, refined grains etc. Next, we intervened at the individual level by providing diabetes prevention education to half of the randomly selected participants. The behavioral intervention was based on the Diabetes Prevention Program, which was successful in reducing 58% of diabetes in the US and India. We have screened 795 employees of the hospital, out of which 360 were at high risk and 313 provided informed consent to participate. The study period was of 2 years and the baseline information of the participants had collected. Subsequently, Healthy Canteen Initiation Program was launched on 3rd December 2017. We promoted whole grains products like Brown Rice, Brown Bun, Brown Bread, Oats, Porridge, Pop Corn, Flavored Water, Consumption of fruits and vegetables as well as a mix of 25% whole wheat flour in the Mo:Mo Dough and Skin removed in chicken, in all the Canteens of Dhulikhel Hospital & Kathmandu University School of Medical Science. Bakery items like Puff, Dough Nut, White Bread as well as Cold Drinks were also removed from all the canteens. Similarly, we also developed various informative posters like whole grain poster and healthy plate poster, both of which reflect information on healthy eating habits, in all the Canteens. Currently, we expanded our study in School Sites of Dhulikhel , Banepa and Panauti Municipalities of Kavre, Nepal. The specific aims of this study are as follows:

  1. To measure the effectiveness of the online multi-component lifestyle program in reducing BP among the school employees of Dhulikhel and Banepa, Nepal.
  2. To measure the success of implementation and inform the scalability of the multi-component lifestyle program.
  3. To assess the impact of Covid-19 in hypertension management in context to the mental wellbeing of hypertensive patients.
Healthy fruits at the canteen
Whole grains at the canteen

Prof. Dr. Donna Spiegelman from Harvard T.H.Chan School of Public Health, Harvard University, Principal Investigator of Nepal Pioneer Worksite Study, visited Dhulikhel Hospital Kathmandu University Hospital from January 10-12, 2018. During her visit, she observed the study process, canteen intervention as well as met the worksite team, canteen members, canteen intervention team and other stakeholder. She also presented her talk on “The Case for Worksite Interventions to Prevent Obesity and its Consequences with a focus on Nepal “at Dhulikhel Hospital Kathmandu University Hospital.

Behavioral Intervention

We conduct Diabetes prevention program, a curriculum based on theoretical and practical sessions. It includes 24 sessions: 16 core sessions weekly for 4 months followed by 1 monthly maintenance sessions. Pre and posttest questionnaires were asked before and after classes. Each core session class will last one hour and will include a scripted lecture covering a health topic and group-based discussions, where the participants will discuss about their individual needs, barriers, and strategies to overcome the barriers. Due to covid 19 restrictions and feasibility, we have conducted all classes through online platform Zoom Video Conferencing app. We deliver our Physical Activity (exercise videos) through our YouTube channel and through live communication in online session.

Core Team

We have energetic team composing Public Health professionals including Nutritionist, Physiotherapist, Nurse, and Human Biologist.

  • Project Principal Investigator: Archana Shrestha 
  •  Coordinator Public Health Professional: Bhawana Shrestha,
  • Public Health: Parashar Khadka, 
  • Physiotherapist: Subham Gyawali, 
  • Human Biology: Sneha Maskey, 
  • BSc. Nurse: Smriti Shrestha,