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Our Research Publications

PERC’s research is published in leading peer-reviewed journals, ensuring that our findings
contribute to the global knowledge base on public health and environmental issues.

Global, regional, and national burden of tuberculosis and multidrug-resistant tuberculosis by HIV status, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023

In 2023, there were an estimated 9·11 million (95% uncertainty interval 8·04–10·3) incident cases of all-form TB, 1·22 million (0·98–1·49) deaths, and 54·6 million (43·8–65·5) DALYs globally. HIV-related TB comprised 781 000 (690 000–879 000) incident cases and 210 000 (142 000–279 000) deaths, contributing 11·0 mil...

https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(26)00295-1/abstract

GBD 2023 TB HIV Collaborators

Effectiveness of peer counselling in addressing psychological distress and exposure to violence among sexual and gender minorities in Nepal: a study protocol for a randomized controlled trial

The burden of social stressors (discrimination, prejudice, violence, and stigmatization) is disproportionately high among LGBTIQA + (Lesbian, Gay, Bisexual, Transgender, Intersex, Queer and Asexual) individuals. These stressors negatively influence the overall well-being of this population which in turn affects their health-seeking behaviours,...

https://link.springer.com/article/10.1186/s13063-026-09843-9

Keshab Deuba, Rachana Shrestha, Reena Koju, Manisha Dhakal, James Underhill, Per Einar Binder, Ingvild Fossgard Sandøy & the SAATHI study

High-Risk Sexual Contacts in Nepal and India Among Male Labor Migrants: Findings from the 2024 National Survey in Nepal

AbstractThe first national HIV bio-behavioral survey in men who work as migrant laborers in India was conducted in 2024 in all seven provinces in Nepal. We aimed to determine the levels of risky sexual behaviors, including contacts with female sex workers (FSW). Household-level multi-stage cluster-based sampling was used to recruit 1872 male labor...

https://link.springer.com/article/10.1007/s10508-026-03455-9

Ivana Bozicevic, Kiran Acharya, Keshab Deuba, Lok Raj Pandey, Sarbesh Sharma, Ali Mirzazadeh

Evaluating the Effectiveness of an Intimate Partner Violence Training Intervention on Healthcare Providers’ Preparedness, Knowledge, and Experiences: A Mixed-Methods Study From Nepal

Abstract Intimate partner violence (IPV) places a considerable burden on health systems globally due to its profound effects on women’s health, and women who experience violence often seek care from healthcare providers (HCPs). However, HCPs often lack the preparedness and confidence to respond effectively, resulting in missed opportunities f...

https://journals.sagepub.com/doi/10.1177/08862605261444014

Koju R, Shrestha R, Dhungana J, Lamichhane A, Misra A, Ekström AM, Deuba K

Maternal Mortality in Nepal: Identifying High-Risk Groups Through Census Data

AbstractNearly all maternal deaths are preventable, yet Nepal’s maternal mortality ratio remains high, with social and geographic disparities. Beyond direct obstetric causes, factors such as education, income, and place of residence influence maternal mortality risk, but disaggregated national data remain limited. This study examined the social ...

https://link.springer.com/article/10.1007/s10900-026-01562-1

Monna Kurvinen, Sharad Sharma, Keshab Deuba

Strengthening Nonspecialist Health Care Providers’ Capacity to Address Mental Health in the Context of Domestic Violence in Nepal: Pre–Post Mixed Methods Training Evaluation

Objective:This study evaluated the impact of structured mental health training on the knowledge, attitudes, confidence, and psychosocial support skills of nonspecialist HCPs in Madhesh Province, Nepal. Methods:This study is a nested substudy within a larger domestic violence (DV) intervention trial and used a mixed method, pre–post interventi...

https://formative.jmir.org/2026/1/e72793

Reena Koju, achana Shrestha, Jayanti Dhungana, Achyut Lamichhane, Diksha Sapkota, Anna Mia Ekström, Keshab Deuba

Disease burden attributable to intimate partner violence against females and sexual violence against children in 204 countries and territories, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023

Violence against women and against children are human rights violations with lasting harms to survivors and societies at large. Intimate partner violence (IPV) and sexual violence against children (SVAC) are two major forms of such abuse. Despite their wide-reaching effects on individual and community health, these risk factors have not been adequ...

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)02503-6/fulltext

GBD 2023 Intimate Partner Violence and Sexual Violence against Children Collaborators

Readiness of health facilities to provide HIV testing and counseling and TB services in Nepal: Findings from a 2021 Nepal Health Facility Survey

Abstract Introduction HIV and Tuberculosis (TB) are major public health challenges in Nepal, requiring well-prepared health systems to provide effective care. We assessed the readiness of Nepal’s health facilities to provide HIV testing and counseling (HTC) and TB services. Methods We conducted a secondary analysis of 359 health faci...

https://www.sciencedirect.com/science/article/pii/S2949856225001126

Kiran Acharya, Ali Mirzazadeh, Keshab Deuba

Determinants of loss to follow-up among people living with HIV receiving antiretroviral therapy in a universal test and treat setting: A retrospective cohort study in Nepal

Objectives This study aims to assess the cumulative incidence and rate of loss to follow-up (LTFU) among people living with HIV (PLHIV) in Nepal who begin antiretroviral therapy (ART) early, as well as to identify factors associated with LTFU in the context of the universal test and treat approach. Study design Retrospective cohort study....

https://www.sciencedirect.com/science/article/pii/S2666535225000539

Shrestha A, Poudel L, Adhikari B, Bhandari S, Shrestha R, Kunwar RS, Pandey LR, KC MB, Wilson EC, Deuba K

Progress Toward the Elimination of Vertical HIV Transmission in Nepal: A Retrospective Cohort Study

Despite global advancements, pregnant women living with HIV in Nepal remain at risk for vertical transmission. This study examined demographic and clinical characteristics, antiretroviral therapy (ART) retention, and transmission outcomes among this population. A retrospective cohort analysis was conducted using data from Nepal’s national electr...

https://link.springer.com/article/10.1007/s10900-025-01474-6

Shrestha U, Pandey LR, KC MB, Mirzazadeh A, Deuba K

Leveraging DHIS2 Tracker for Breakthroughs in Public Health Research: A Pioneering Approach to HIV and TB Surveillance in Nepal.

DHIS2 has become a cornerstone for data collection and reporting in over 80 countries. This tool is pivotal in monitoring health program indicators, such as vaccination coverage, HIV testing/diagnosis, and tuberculosis (TB) treatment outcomes, aligning with national and global health strategies. However, traditional data reported through health ma...

https://community.dhis2.org/t/leveraging-dhis2-tracker-for-breakthroughs-in-public-health-research-a-pioneering-approach-to-hiv-and-tb-surveillance-in-nepal/57617

Deuba K

Burden of intimate partner violence, mental health issues, and help-seeking behaviors among women in Nepal

Background Intimate partner violence (IPV) is the most common form of violence, presenting a significant public health concern, especially for women and girls. Help-seeking can reduce future IPV and mitigate adverse health outcomes, including mental health issues. Objectives This study is the first national assessment on IPV, mental healt...

https://pmc.ncbi.nlm.nih.gov/articles/PMC11921001/

Kurvinen M, Ekström AM, Deuba K

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