GTA has a multidisciplinary team of experts who specialize in research, data management, and statistical analysis, qualitative analysis, report writing and developing manuscripts. The professionals have experience in conducting qualitative and quantitative research that includes formative research, rapid assessment, household survey, operational research, action research and evaluation – baseline, midline, and end-line. Our team also provides data management services such as developing data collection tools/guidelines and databases, data cleaning and analysis.
GTA believes in innovation to address health and social problems. Innovative approaches can lead to effective and efficient completion of work. Some examples of innovations in GTA’s projects are physician champions in a hospital for AMR stewardship, web-based learning on AMR, comprehensive targeted intervention to control cholera and so on.
Evaluation of a hospital-based and primary health care center (PHCC) stewardship training program for nurses and midwives to improve infection control, optimize antibiotic use, and reduce risks for multidrug-resistant pathogens in Kathmandu Valley, HFHS GHI/Merck, 2020/21
The primary objective of the research is to evaluate the adaptation of a nursing-midwifery antimicrobial stewardship and infection prevention and control (AMS-IPC) training program in Nepal.
Evaluation of a Pharmacy Antimicrobial Stewardship and Economic Program (PhASE) for Community Pharmacists in Kathmandu Valley, Nepal, HFHS GHI/ Pfizer, 2020/21
The objective of the research is to evaluate a pharmacy antimicrobial stewardship and economic (PhASE) program with a focus on community-based pharmacists.
Impact of Procedure to Correct PFO upon Travel to Extreme Altitude among climbers and Sherpa Population, HFHS, 2019/2020
The objective is to close 20 intracardiac, interatrial shunts among adult participants and measure peripheral oxygen saturation (SPO2) at high and low altitudes, pre- and post-closure.
International Network for Asia-Pacific Antimicrobial Stewardship, HFHS GHI/Pfizer, 2019-21
The primary study objective is to assess the effectiveness of an antimicrobial stewardship program across diverse low- and middle-income countries in the Asia-Pacific region, forming a cross-cultural network for antimicrobial stewardship.
The Global Learning in Antimicrobial Resistance (GLAMR) Platform, HFHS GHI/Pfizer/Give2Asia, 2019-20
GLAMR is a web-based AMR repository containing curriculum for the setup of AMR programs in health facilities in Nepal, with opportunities for live communication with mentors, including webinars with providers around Nepal and other programmatic activities. The GLAMR platform has three major characteristics: contextual, capacity building, and consultative.
Assessment of Immunization Services in the Private Sector in Kathmandu Valley, RAVIN/JSI, 2019
- The general objective of this assessment was to assess the immunization service delivery status of the private sector in the Kathmandu valley and to examine its readiness to introduce the Rota Virus Vaccine (RVV).
Conducting a feasibility study of the draft WHO toolkit for AMR stewardship programs in selected hospitals of Nepal, HFHS GHI/WHO, 2018-19
The primary objectives of the feasibility study were to:
Assess the perceptions of AMR stewardship from a diverse range of stakeholders;
Explore how different stakeholders assess the feasibility of implementing the various components of the toolkit in the hospitals and at the national level; and,
Identify enablers and barriers for implementing the toolkit at the hospitals and national levels.
A socio-cultural and economic assessment of antibiotic dispensing practices among community-based pharmacists, HFHS GHI/Merck, 2018-19
The objective of the assessment was to increase understanding of:
antibiotic dispensing practices among community pharmacists;
knowledge and perspectives about AMR, community-based stewardship programs and training among pharmacists and health providers;
identification of socio-cultural and economic factors affecting antibiotic dispensing practices among community pharmacists; and,
potential barriers and facilitators to stewardship and training/education programs to reduce antibiotic use within communities.
Wound and burn infections and associated pathogen resistance: a hospital-based intervention to promote stewardship and appropriate care modalities in Kathmandu and Pokhara, HFHS GHI/Merck, 2018-19
Adaptation and evaluation of a hospital-based antimicrobial stewardship program with a focus on the wound and burn care;
Conduct of a 6-month laboratory surveillance project to document organisms cultured and susceptibility data;
Utilize data to adapt the current clinical practice guidelines developed;
Development, implementation, and evaluation of an AMR Steward training-of-trainers;
Implementation and evaluation of the PPRF program for burn and wound care in study wards
OCV Shedding Study at Banke district, JHU/DOVE project/Gates Foundation, 2016/17
Explore the duration of OCV strain shedding in the stool of the vaccinated population
A hospital- and community-based study to promote antimicrobial stewardship in Nepal, HFHS GHI/Merck, 2016-18
Document and identify current antimicrobial use, patient outcomes, and potential barriers and facilitators to implementation of an antimicrobial stewardship program;
Assess change in antimicrobial use after implementation of an antimicrobial stewardship program (ASP);
Conduct a longitudinal survey to identify barriers and facilitators to acceptance of recommendations and compliance with guidelines;
Increase knowledge of barriers and facilitators for appropriate antimicrobial use in the broader Nepali health system among community healthcare providers.
A retrospective analysis of cholera outbreaks in Nepal: An implication for mass OCV vaccination, JHU/DOVE Project/Gates Foundation, USA, 2015
Conducted in 19 AMR surveillance site hospitals and 25 districts
Surveillance for Enteric Fever in Asia Project (SEAP) — Phase I, Retrospective Analysis of typhoid fever, Sabin Vaccine Institute, USA, 2015
Conducted in 19 AMR surveillance site hospitals
Assessment of Factors Determining Vaccine Wastage in Bajura, Dailekh, Parbat, Sindhuli, Sarlahi and Ramechhap districts of Nepal, WHO Nepal, August to December 2015
Conducted in six districts from the far western, mid-western, central and eastern part of Nepal
A qualitative study on Social and Economic burden of Enteric Fever in Nepal, supported by the Coalition Against Typhoid (CaT), Washington, Sabin Vaccine Institute in coordination with CaT Nepal, July to December 2015
Conducted in Kathmandu Valley
Assessment of Post-Earthquake Preparedness and Pre-positioning for Potential Cholera Outbreak in 14 earthquake-affected districts of Nepal, EDCD/DOVE project/JHU, Nagasaki University, and IVI, May to July 2015
Led by Epidemiology and Disease Control Division, DoHS, MoHP
Assessment of Factors Determining Availability, Utilization, and Retention of Vaccination Cards in Gorkha and Nawalparasi districts of Nepal, UNICEF Nepal, August 2014 to December 2014
Led by Child Health Division, DoHS, MoHP
Assessment of Immunization Services Delivery System in twenty municipalities of Nepal, WHO, 2013
Conducted in Damak, Biratnagar, Dharan, Rajbiraj, Janakpur, Gaur, Ghorahi, Bharatpur, Birgunj, Kathmandu, Lalitpur, Banepa, Dipayal, Birendranagar, Pokhara, Baglung, Butwal, Bhairahawa, Nepalgunj, and Dhangadhi
Feasibility, Impact and Economic assessment of Vi polysaccharide Typhoid Vaccine, IVI, 2010/13
Conducted in Lalitpur and Bhaktapur Districts where vaccination campaigns held