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NSI Research and Symposia Local field studies and workshops are foundational to planning and evaluating the impact of NSI’s work. From the start, NSI has been conducting original research on rural health care workers in Nepal, seeking hard data about the situation on the ground. Completed studies are summarized here with links. Field Study: SBA Followup and Enhancement Program April 2011 Provision of a skilled birth attendant at deliveries is foundational to the goal of reducing maternal mortality and meeting the millennium development goals. For this reason, Nepal’s Ministry of Health and Population is involved in a large-scale program of training 5000 skilled birth attendants by 2012; so far over 2000 have been produced. Journal: Nepal's General Practitioners - Factors in Their Location of Work 2008 The Medical Doctorate in General Practice (MDGP) began in 1982 as an initiative of the Tribhuvan University and the University of Calgary, Canada. Phases 1and 2 had overseas components but Phase 3 from 1991 has been conducted entirely within Nepal. Field Study: Needs Assessment for Continuing Medical Education amongst doctors working in Rural Nepal 2010 Like many other countries, Nepal struggles to provide adequate healthcare to those living in rural areas. Over 80% of the population live in rural areas; however the majority of doctors live and work in Kathmandu. Qualitative Study: Retention of General Practitioners in Rural Nepal: A Qualitative Study 2008 In Nepal, as in many parts of the world, there is a major problem providing healthcare to those living in rural areas. There is a huge rural-to-urban disparity reflected in the physician-to-population ratios of 1:1000 for urban centres and 1:41000 for rural areas. Qualitative Study: Do Medical Schools that Admit the Academic 'Cream of the Crop' Exacerbate Medical Brain Drain? 2010 Increasingly, international policy makers are taking steps to address the problem of health care worker migration from under-served to better-served geographic locations. ... Literature Review: Task Shifting and Innovative Medical Education - Moving Outside the Box to Serve Rural Nepal 2009 Health care systems everywhere must tackle the problem of supplying quality health care workers to understand areas. Qualitative Study: Retention of General Practitioners in rural Nepal – a qualitative study 2008 In Nepal, as in many parts of the world, there is a major problem providing health care to those living in rural areas. Literature Review: Use of Clinical Algorithms for Continuing Medical Education in Nepal Spring 2008 In countries with a large disparity in urban and rural development, a critical challenge exists in medical personnel retention in rural areas. Focused Assesment: Measuring the Quality of Rural-Based Government Mid-Level Health Care Workers Summer 2007 In a joint project with the National Health Training Centre (NHTC), NSI conducted an extensive clinical skills assessment of 163 mid-level non-midwifery workers in 4 rural districts of the country. Field Study: General Practice Doctors in Nepal Summer 2006 Through questionnaires and personal interviews, the NSI study team determined the location and practice type of all 99 General Practice (Family Medicine) doctors trained in Nepal. Field Study: Deployment of Health Care Workers Summer 2006 NSI study team conducted on-site assessment of health care workers in 23 district hospitals in Nepal in order to determine actual staffing patterns for different levels of worker. Focused Assessment: Pre-service Health Training Programs in Nepal March - June 2006 In a joint project with the Council for Technical Education and Vocational Training (CTEVT), NSI conducted a focused assessment of 9 mid-level health care training institutions working under CTEVT. Conference: Building up General Practice in Nepal March 2006 A symposium of national and international experts discussed the family practice (GP) doctor situation in Nepal and developed strategies for strengthening this cadre. Public Health School Project: Train to Retain October 2005 MPH students at Harvard School of Public Health conducted a consultation (including literature review) that informed NSI in developing its original concept document. Literature Review: Retention of Rural Health Care Workers January 2005 NSI Task force assembled this annotated bibliography of international reference pertaining to the issue of retaining health care workers in remote locations.

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