by Sudim Sharma, Anjali Neupane, Dikshya Kandel, Pratibha Chalisay, Sabina Marasini, Budhi Setiawan, Deepak Chandra Bajracharya, Shyam Raj Upreti, Leela Khanal, Haruko Yokote, Chahana Singh, Kshitij Karki Background Home-Based Records (HBRs) are personal health documents intended to improve continuity of care and caregiver engagement across reproductive, maternal, newborn, and child health (RMNCH) services. In Nepal, both standalone (sHBR) and integrated (iHBR) models are implemented, yet comparative evidence on their utilization and implementation challenges is limited.
This study examined utilization patterns and system-level barriers associated with sHBR in Madhesh Province and iHBR in Koshi Province. Methods We conducted a comparative qualitative study with descriptive quantitative profiling between May 17 and August 27, 2024.
A total of 100 semi-structured in-depth interviews were completed with caregivers, health workers, Female Community Health Volunteers, and program managers across two provinces. The study applied “kuragraphy,” an ethnographic approach integrating interviews and field observations to construct contextual case narratives.
Socio-demographic data were analyzed descriptively using the statistical package for the social Sciences (SPSS).
PLOS ONE (Medicine) published a clinical update in Research Highlights on 03 Apr 2026.
The item focuses on Integrated versus standalone home-based records for reproductive, maternal, newborn, and child health in Nepal: A comparative qualitative study with descriptive quantitative profiling.
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