1. Shyam Sundar Budhathoki, Paras K Pokharel School of Public Health & Community Medicine, B P Koirala Institute of Health Sciences, Dharan, Nepal October 6, 2014

2.  Background  B P Koirala Institute of Health Sciences at a glance  Health Literacy Initiative (HLI)  Comprehensive Health Service Area (CoHSA)  Ongoing HL activities  Future Plans  Conclusion  Acknowledgements

5.  South Asia  26.4 million people  Rural population 83%  Life expectancy 68 yrs  1/4 th population below poverty line  125 ethnic groups  123 spoken languages  Literacy rate 66% (Females 57%)  Human development (0.540) rank 145/187

6.  Doctor population 0.37/1000 (Rural =0.008, Capital =1.5)  FCHV at Community level (50,000), One Hospital per district  U5MR/IMR/NMR= 42/34/24 per 1000 LB  MMR 170/100,000 LB  Double burden of disease  Pneumonia and diarrhoea (rank 1 & 2 in causes of premature deaths  6 out of 10 in the list are Infectious diseases  IHD & Stroke among the top 10  50% of all deaths by NCDs  Hospital based prevalence of NCD =40%

7.  B P Koirala Institute of Health Sciences  Founded 1993  Biggest and Oldest Health sciences University  Public Owned (MoHP)  Mandated  to work towards developing socially responsible and competent health work force,  providing health care and  engaging in health research  Catchment population of approx. 5 million

8.  Undergraduate to Postgraduate and doctoral courses in Medical, Dental, Nursing, Public Health & Biomedical sciences.  Community based Education with a unique Teaching district (TD) concept  TD refers to 7 out of 16 district in East Nepal  Partnership with District Hospital/ PHC/ HP of TDs  Students training  Health services strengthening

9. BPKIHS SunsariMorangJhapaDhankutaSaptariIllamUdaypur

10. HEALTH SERVICES  Increase quantum and quality of health service across the board  Year round HR support to a government health institutions  Model for preparing people for managing health crisis  Strengthening of referral system EDUCATIONAL  Satisfying and fulfilling experience for students  Opportunities for problem solving & leadership development  Enabling environment for Multi Professional Education  Excellent exposure of health system to teachers RESEARCH  Convenient for Community based researches  Exploring the social and clinical dimensions of diseases and health related events

11.  Comprehensive Health Service Area  Innovative partnership model (Public –Private)  Public University & Private charity  Comprehensive Primary Health Care at community level  Establish as a Demographic surveillance site  Secretariat for Health Literacy Initiative (HLI) of BPKIHS

12.  National scenario not known  Few studies can be found  Cardio vascular disease (Oli, N et al 2014)  Ocular diseases; cataract and glaucoma (Thapa SS et al 2011)  Sexual health (Kaufman, Harman and Shrestha 2012)  Infant feeding practices (Ulak, N et al 2012)  Breast cancer (Bhatt, V et al 2011)  Findings  Qualitative findings on cardiovascular diseases suggest inadequate awareness  Less than 10 % were aware of Cataract and Glaucoma  Six moths for exclusive breast feeding by 50% mothers  In Summary  More researches needed  Leading institution at National level need to be identified

13.  Milestone in Health Literacy Initiative (HLI), 2013  Health Literacy Core Group in BPKIHS ▪ teaching faculties and ▪ multidisciplinary health professionals in December 2013. ▪ The aim of the core group : to carry out researches, identify innovative approaches and make evidence based policy recommendations to uplift health literacy among people of Nepal.

14.  Piloted short academic modules for students (PG),  Doctoral student thesis  Health literacy and knowledge of chronic diseases in Nepal (HLS EU Asia Q/ AHLA)  community based research through community based health facility and outreach clinics  Knowledge and perception on prevention of mosquito borne diseases in Nepal  health education and promotion sessions in clinics and the community.

15.  Research  Commission more local researches  Collaborative International Researches  Strengthen current efforts  Curriculum reforms  Advocate evidence based inclusion of HL component in UG and PG curriculums  Include research modules for UG and PG students  Practice  Develop strong partnership with community to strengthen CBE as well as raise health literacy level of Community

16.  HL: A new concept  Good Institutional Commitment to contribute  Supportive International Network  HLI: A seed for Change has been sown  Community level institution in place  Researches, and activities started

17. TT

20.  AHLA  Health Literacy and Health Promotion Conference  B P Koirala Institute of Health Sciences