Sunil Kumar Joshi

Sunil Kumar Joshi
Kathmandu Medical College | KMC · Department of Community Medicine

MD, MPhil, Grad IOSH, PGDD, PhD, FRSPH
Professor and Head, Department of Community Medicine, Kathmandu Medical College, Kathmandu University, Nepal

About

183
Publications
157,911
Reads
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1,129
Citations
Citations since 2016
117 Research Items
850 Citations
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2016201720182019202020212022050100150
Introduction
I am a medical doctor (MD) specialized in Occupational Medicine, Diabetology, PhD in Public Health. I have received Swedish Research Council Postdoctoral Fellowship at the Linkoping University, Sweden. I am working as Professor and Head at the Department of Community Medicine, Kathmandu Medical College (KMC), Nepal, where I teach undergraduate (MBBS) and post graduate (MD, PhD) medical students. I am also appointed as the Vice Principal (Exams and CPD) and Chairman of Institutional Review Committee at KMC. Similarly, I am Visiting Professor at the Faculty of Health & AS, University of the West of England (UWE), Bristol, UK. Research Interests: Occupational health and safety, Environmental health, Diabetes, Violence against Women, Injuries, violence and disability control and prevention
Additional affiliations
January 2010 - September 2010
Kathmandu Medical College (KMC)/ Linköping University (LiU)
Position
  • Women and Girls Trafficking in Nepal
Description
  • Post Doctorate Research
January 2007 - December 2009
KSMA, OCPM
Position
  • Injuries: a serious public health problem in Nepal. Activities towards prevention and control of injuries, violence and disabilities in Nepal
Description
  • Doctorate Research
September 2002 - present
Kathmandu Medical College
Position
  • Head of Faculty
Education
January 2013 - June 2013
American Diabetes Association
Field of study
  • Diabetes
October 2010 - January 2011
GEXcel, Linköpings Universitetet
Field of study
  • Post Doctorate Fellowship
June 2010 - June 2010
Ludwig-Maximilians-University of Munich
Field of study
  • Occupational health - crossing borders

Publications

Publications (183)
Article
Full-text available
Background Gender inequality and violence are not mutually exclusive phenomena but complex loops affecting each other. Women in Nepal face several inequalities and violence. The causes are diverse, but most of these results are due to socially assigned lower positioning of women. The hierarchies based on power make women face subordination and viol...
Article
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Background: Road traffic injuries are a significant and increasing public health burden in Nepal, but there is no national coverage of regulated and standardized emergency medical service systems. Therefore, this study was designed to develop a first responder trauma training program for the Nepal traffic police and to evaluate the feasibility of...
Article
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Background Suicide is a significant public health concern in Nepal and there is a need for an evidence-based suicide prevention programme to facilitate stakeholders working towards suicide prevention in Nepal. Collaborative research between stakeholders focussing on shared priorities can help to prevent and control suicide. Hence, we aimed to devel...
Article
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Objective To identify and prioritise the research needed to help Nepali agencies develop an improved road safety system. Design Delphi study. Setting Nepal. Participants Stakeholders from government institutions, academia, engineering, healthcare and civil society were interviewed to identify knowledge gaps and research questions. Participants t...
Article
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Background: Healthy lifestyle behaviours have been consistently associated with reduced non-communicable disease related morbidity, mortality and wellbeing. Unhealthy behaviours are major contributors to the global burden of disease. The main aim of this study is to access lifestyle behaviours in adults during the corona virus disease-19 pandemic....
Article
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Introduction Road traffic injuries are a major but neglected global challenge. There are high and rising rates of road traffic injuries in Nepal. Most of the studies reporting these injuries in Nepal have used quantitative methods to describe the injury burden. Little qualitative research has been conducted to describe the contexts and social proce...
Article
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Objective: Accurate road crash reporting is essential for evaluating road safety interventions and plans. Under-reporting of road traffic crashes, injuries, and fatalities in police records has been widely described. The aim of this study was to apply and evaluate a community crash recording system, and assess the quality of the data in comparison...
Article
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Introduction: Victim of injuries presenting to a hospital is a medico-legal issue. So, with medical management, proper documentation of injuries should be done as a legal duty by all physicians attending such cases. The study aims to find the prevalence of injury amongst medicolegal cases in the Department of Forensic Medicine in a tertiary care ce...
Article
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This study aimed to develop and evaluate a model of hospital-based injury surveillance and describe the epidemiology of injuries in adults. One-year prospective surveillance was conducted in two hospitals in Hetauda, Nepal. Data were collected electronically for patients presenting to emergency departments (EDs) with injuries between April 2019 and...
Article
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Background Heavy goods vehicle drivers are an influential driving population in Nepal, with over 90% of goods in the country are transported by road. Due to the time spent on the road, drivers have long periods of exposure to the risk of crash involvement. The study explores the perceptions and experiences of heavy goods vehicle drivers and represe...
Preprint
Full-text available
Background: Suicide is a significant public health concern in Nepal and there is a need for an evidence-based suicide prevention programme to facilitate stakeholders working towards suicide prevention in Nepal. Collaborative research between stakeholders focussing on shared priorities can help to prevent and control suicide. Hence, we aimed to deve...
Article
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Ageing is a natural process. The elderly population is increasing in Nepal.When there is presence of diseases, physical inability, and financial harshness, the elderly in Nepal have to face many problems. This study was thus conducted to assess the socio-economic milieu and spectrum of gynaecological problems among women living in old age homes of...
Article
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Introduction: Job satisfaction is one of the determinant factors for professionals. The job satisfaction concerning school teachers reflects their strong motivation towards their job. This study aimed to measure the job satisfaction among teachers of Government and Private schools of Changu Narayan Municipality. Methods: A cross-sectional study wa...
Article
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Road traffic injuries in Nepal are increasing despite being largely preventable. Little evidence exists regarding the barriers and facilitators to a safer road system. This study aimed to explore the perspectives of professionals whose jobs had the potential to influence road safety in Nepal regarding challenges and potential solutions. Semi-struct...
Article
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Background: Abortion is legal up to 12 weeks’ gestation period in Nepal. Due to a lack of proper abortion services and socio cultural stigma, every year many women died due to abortion. The aim of this study was to asses the knowledge, attitude and practice of abortion in the residents of slum area of Kathmandu district. Methods: The cross-section...
Article
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Introduction: It is estimated that one billion people in the world have vitamin D deficiency and observed as a public health problem. The main objective of this study is to assess and compare the Vitamin D knowledge among MBBS, BDS and BSc. Nursing students of Kathmandu Medical College, Duwakot (before and after educational training). Methods: This...
Article
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Background: Abortion is legal up to 12 weeks’ gestation period in Nepal. Due to a lack of proper abortion services and socio cultural stigma, every year many women died due to abortion. The aim of this study was to asses the knowledge, attitude and practice of abortion in the residents of slum area of Kathmandu district. Methods: The cross-sectiona...
Article
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Worldwide, a large number of women experience disrespectful and abusive behavior from care providers during childbirth. This violates the rights of women to attain respectful care. This study aimed to find out the women’s experience of disrespect and abuse during institutional delivery. A cross-sectional study was conducted in two hospitals of Mora...
Article
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Background Globally, injuries cause >5 million deaths annually and children and young people are particularly vulnerable. Injuries are the leading cause of death in people aged 5–24 years and a leading cause of disability. In most low-income and middle-income countries where the majority of global child injury burden occurs, systems for routinely c...
Article
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Almost 10% of global deaths are secondary to injuries, yet in the absence of routine injury surveillance and with few studies of injury mortality, the number and cause of injury deaths in many countries are not well understood. This study aimed to develop and evaluate the feasibility of a method to identify injury deaths in rural Nepal. Working wit...
Article
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Introduction: Medical doctors have profound influence on other health professions including physiotherapist as they are at the top of the pyramid of healthcare profession. There is a lack of knowledge of physiotherapy among medical doctors. They may not be knowing of all physiotherapy services and practice. The objective of this study was to find a...
Article
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Background and Objectives: Due to Covid-19 lockdown period undergraduate medical institutions across the country are moving towards e-learning for continuity of education. The purpose of this study is to determine the perceptions of students towards e-learning and to analyze medical students’ perception on e-learning vs. conventional learning. Mate...
Article
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Introduction: The greater risk of burnout among healthcare professionals is likely to develop an adverse effect on their personal life and the patients’ care. The main aim of this study was to assess the levels of burnout experienced by healthcare workers. Methods: A cross-sectional study was conducted from November 2020 to March 2021 among healthc...
Article
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Injuries account for 9.2% of all deaths and 9.9% of the total disability-adjusted life years in Nepal. To date, there has not been a systematic assessment of the status of first response systems in Nepal. An online survey was cascaded through government, non-governmental organisations and academic networks to identify first response providers acros...
Article
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Introduction: The job of security guard is to protect the property and the people who reside or work on the premises where they guard. The occupational safety requires the maintenance and the promotion of workers’ health and working capacity by improving the working environment and the development of working organizations. The aim of study was to a...
Article
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Background Injuries, the cause of an estimated 4.5 million deaths annually and many more disabilities worldwide each year, are the predictable outcome of particular circumstances. One of the most effective ways to prevent injuries is through policy and legislation. The aim of this research study was to identify and critically review all policy and...
Article
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Introduction: Vitamin D also known as the sunshine vitamin, helps in bone metabolism and calcium homeostasis. It is estimated that one billion people in the world have vitamin D deficiency making it a public health problem. The objective of this study is to find out the knowledge regarding vitamin D among first-year medical undergraduate students o...
Article
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Objective Injuries are a global health problem. To develop context-specific injury prevention interventions, one needs to understand population perceptions of home and workplace injuries. This study explored a range of views and perceptions about injuries in a variety of settings and identified barriers and facilitators to injury prevention. Desig...
Article
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Occupational health and safety (OHS) is essential for every professional especially healthcare workers who work day and night serving patients. According to the WHO, health workers should not face any kind of workplace violence during their professional activities. Attention should also be paid to the mental and psychological health of healthcare w...
Article
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Gender inequality and violence against women are present in every society and culture around the world. The intensities vary, however, based on the local guiding norms and established belief systems. The society of Nepal is centered on traditional belief systems of gender roles and responsibilities, providing greater male supremacy and subordinatio...
Conference Paper
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Background Injuries are an important public health issue in Nepal, contributing significantly to the burden of morbidity and mortality. There is no injury surveillance system available, however healthcare service use is routinely reported to central government using the Health Management Information System (HMIS). Methods To explore the epidemiolo...
Conference Paper
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Background Nepal is fast expanding its road network, and over 90% of goods are transported by road. Large numbers of truck drivers are therefore exposed to the risk of crashes. We explored the perceptions and experiences of truck drivers and representatives from their professional association regarding road dangers. Understanding crash risk in comm...
Conference Paper
Background Among the children who meet unintentional injuries every year globally, many are left with some form of disability. The rehabilitation of these children is costly and difficult to afford due to poor economic resources. Thus, it highlights the importance of prevention of unintentional injuries. Methods A cross-sectional analytical study...
Conference Paper
Background Unintentional Injuries comprise the fifth leading cause of death in Nepal in 2017, an increase of 23% compared to 1990. In Nepal, there is minimal community-derived evidence of home or occupational injuries. Our aim was to describe the epidemiology of injuries in the Makwanpur district, including the causes and risk factors associated wi...
Conference Paper
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Background When designing a logo for the Nepal Injury Research Centre a predicament arose: there is no direct Nepali translation for the word ‘injury’. A ‘loan-word’ was used, but this highlighted a broader issue – what do different stakeholders in Nepal understand when we talk about injuries, and what implications might this have for engaging them...
Conference Paper
Background Availability of injury related mortality data can play a vital role in planning health services for injury prevention and monitoring progress towards Sustainable Development Goal 3.4. In the absence of a robust death registration system, this study explored the feasibility of a model to identify injury deaths occurring outside hospital i...
Conference Paper
Background A number of sustainable development goals (i.e. SDGs 3, 8, 11 and 16) can be addressed by reducing injuries and incorporating injury prevention into national legislation, plans and policies. Institutions can be more effective if national laws guide prioritisation, development and implementation of plans. No comprehensive review of policy...
Conference Paper
Background Busy and poor road infrastructure along routes to school poses high risk of traffic injury for children. Every child’s safe and healthy journey to/from school is fundamental to achieving Sustainable Development Goal 3.6. However, there is little evidence reporting children’s views about their school travel from developing countries. This...
Conference Paper
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Context Road crashes are the 7th leading cause of mortality in Nepal, but there are poorly developed nationwide emergency medical services. Contributing to achieving SDG 3.6 to reduce deaths from road crashes, we designed and evaluated the feasibility of a bespoke first-responder training programme for traffic police in Nepal. Process Interviews w...
Conference Paper
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Context There are daily media/news reports of road traffic crashes in Nepal mostly focusing on the number of people killed or injured. Few consider the causes, impacts or preventability. Media is recognised as a major stakeholder in road safety. We aimed to engage journalists in Nepal to improve the quality of their reports. Process We conducted t...
Conference Paper
Context Nepal Injury Research Centre (NIRC) is dedicated to injury-related studies in Nepal. One of the key objectives of NIRC is to conduct standardized research additional to building the capacity of local researchers in adopting a robust Electronic Data Capture (EDC) system. Process A NIRC data manager was appointed and trained by a REDCap expe...
Conference Paper
Background Injury surveillance is important for national injury control and prevention initiatives and enables monitoring of progress towards Sustainable Development Goals 3.4 and 3.6. In the absence of a national injury surveillance system in Nepal, we evaluated the feasibility of a model of hospital-based surveillance. Methods An injury surveill...
Conference Paper
Context Through a collaboration between the University of the West of England, Bristol and Kathmandu Medical College in 2017, we established the Nepal Injury Research Centre. An innovative capacity strengthening programme underpins our ethos and activities, and contributes to SDGs 17 (Capacity development) and 4 (Education). Process Facilitated th...
Article
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Background: Busy and poor road infrastructure along routes to school poses high risk of traffic injury for children and adolescents. Ensuring every young person’s safe journey to and from school is fundamental to achieving reductions in road injuries and Sustainable Development Goal 3.6. However, there is little evidence reporting adolescent’s v...
Article
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Introduction: Almost a billion people in the world are affected by Vitamin D deficiency. During pregnancy, the deficiency of Vitamin D can manifest as gestational diabetes, pre-eclampsia, preterm birth, or miscarriage in the early stages of pregnancy. The objective of this study was to assess the knowledge, attitude, and practice, and importance of...
Article
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Research involving human participants needs to be scientifically valid and should be conducted according to accepted ethical standards. Research ethics provides guidelines for responsible conduct of research on human participants. It primarily protects the human participants of research and also educates and monitors researchers conducting health r...
Article
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Background: Fabrication work is one of the hazardous occupations in which workers are exposed to different occupational hazards and injuries. But the workers lack proper knowledge about protecting themselves from those hazards. This study was conducted, to assess knowledge about occupational health hazards among fabrication workers and to find out...
Article
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Introduction: Labor migration has become a means to make ends meet for low-income countries. It plays a key role to provide employment opportunities and has helped in the improvement of the standard of living. With the alarming rise of migrating workers, it becomes important to acknowledge the effects of migration on both the migrant workers in the...
Preprint
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Background The World Health Organisation has estimated Nepal's road traffic fatality rate as one of the highest in South-East Asia. Road-crashes are the 7th leading cause of mortality in Nepal, but there is currently a lack of nationwide emergency medical services. We developed, designed and evaluated the feasibility of a first responder training p...
Article
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Background: Illnesses impose a huge economic burden on individuals and families. Costly health care also discourages people from using health services thereby generating prolonged or worsened health problems. The recently endorsed National Health Insurance Policy forecasts the integration of all social health protection schemes thereby ultimately...
Article
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Objective: To describe the epidemiology of home-related and work-related injuries, their mechanisms, inequalities and costs associated with these injuries. Methods: A household survey was undertaken in three palikas of Makwanpur district between April and June 2019. Data were collected electronically on non-fatal injuries that occurred in the pr...
Article
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Background The frequent lockdown in Nepal during COVID-19 pandemic had brought various kinds of complexities such as stress among college students. This situation had created uncertainty of future academic career of undergraduate students in medical colleges. Some previously published literature showed gaming as a coping mechanism against stress. O...
Article
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Introduction: Early marriage is defined as the marriage of a young person less than 18 years. Early marriage is more prevalent in South Asia as more than half of all child marriage occurs here. Thirtyseven percent of girls in Nepal marry before age 18 years. This study was done to find out the health consequences of early marriage in women of a rur...
Article
Full-text available
Objective: To assess the knowledge level of Saudi women about colostrum for the newborns. Methods: The cross-sectional study was conducted from October 2015 to June 2016 at the Gynaecological Clinics of King Abdulaziz University Hospital, Jeddah, Saudi Arabia and comprised lactating mothers in the community. Data was collected using a pretested...
Preprint
Objective: This paper describes the epidemiology of home- and work-related injuries, their mechanisms, inequalities and costs associated with these injuries. Methods A household survey was undertaken in three palikas (administrative areas) of Makwanpur district between April-June, 2019. Data were collected electronically on non-fatal injuries that...