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Engage, Inform, Empower

BISHES

 

 

Bhaskar Initiative for School Heart Health Empowerment Studies (BISHES) focuses on protecting 10-19-year-old school adolescents, the largest segment of Nepal’s total population (24%), against the five primary cardiovascular behavioral risk factors.

Click below to learn more about BISHES & its Goals.

01.OUR RATIONALE

Bhaskar’s fate is unfortunately common. According to the World Health Organization (WHO), Cardiovascular disease (CVD) is the leading killer worldwide, as well as in Nepal accounting for 30% of total deaths in Nepal. 66% of the total annual deaths in Nepal are linked to Non-communicable diseases such as CVDs, cancer, diabetes, chronic respiratory diseases and others as shown in the figure. The trend is rising.

 

Evidence shows that 4 out of 5 premature deaths related to cardiovascular diseases can be prevented if we can eliminate the primary risk factors.

Evidence shows a cluster of five interrelated primary risk factors of CVDs: consumption of tobacco products, alcohol, and junk foods, physical inactivity, and mental stress, as shown in the diagram.

Because evidence shows that these risk factors co-occur, in varying proportion, in other non-communicable diseases (NCDs) also, prevention of even one CVD risk factor would positively benefit the other NCDs as well.

 

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02. MISSION

The mission is to promote blanket coverage of school adolescents of 10-19 years of age with appropriate proven interventions for preventing the CVDs.

03. GOAL

The mission is to promote blanket coverage of school adolescents of 10-19 years of age with appropriate proven interventions for preventing the CVDs.

04. SAFE & SUSTAINABLE INTERVENTIONS

To this effect, BISHES has developed an action tool by incorporating most effective integrative interventions proven for prevention of CVDs which are delivered using an experiential learning process.

Healthy life style

Evidence based tools

Access to essential technologies

Risk based management

Team based services

Systems for monitoring

05.APPROACH

BISHES intends to achieve the above-stated mission, goal and expected outcomes by adhering to the core public health approaches which are built upon the four proven “P”s namely: Package, Platform, Provider, and Partnerships.

 

BISHES intends to deliver the aforementioned integrated Package of interventions proven for prevention of CVD risk factors, using the Platform of countrywide community schools, by mobilizing local teams of teachers, students, parents and community health volunteers as Providers of services and in closePartnership of all the stakeholders, especially the local leadership.

06.PROGRESS

BISHES has reached out to teachers and students of 32 government schools in 7 Provinces covering Ilam, Jhapa, Tanahun, Jumla, Kathmandu, Lalitpur , Kaski , Dang, Kailali and Saptari districts.

07.THE WAY FORWARD

BISHES intends to reach out to selected community schools in all the remaining provinces initiating a cascade of training of trainers, using BISHES Action Tool.

At the same time, a rapid screening of the five risk factors among 8-10 graders of respective schools will also be conducted before and after the application of the intervention. This would help us to assess the impact of the BAT intervention.

Since the adolescent-specific data information is missing in the current national program non-communicable diseases prevention and control program, this would serve as an important complementary information database on NCD.

THANK YOU

BMF is deeply grateful to all the partners-the ministries of health, education, the teachers and students in particular, for their ever-present support and inspiration. We offer our special gratitude to The Nick Simons Foundation for its continued generous support and to the World Health Organization for its technical support.