How we do it

Establishing stroke ready hospitals

The outcome of a stroke depends on where you are treated!

Since 2021 we included nine tertiary care centers in eight major cities as partner hospitals and further 15 hospitals are associated to the program.

– please have a look at our Mapping Tool to see the coverage of the hospitals.

Since 2021, more than 1000 health care professionals (physicians, nurses) have participated in medical education events and ten stroke team leaders have attended an Angels’ Initiative “Train-The-Trainers”-Workshop empowering them as trainers and local stroke advocates.

In the last 15 months, we gave 25 face-to-face-trainings in hospitals and a monthly webinar series educates about latest scientific updates.

A network with regular case discussions and exchange connects 100 physicians and nurses.

70 doctors and nurses from 23 hospitals attended our 2-day Symposium in February 2023.

We guide the hospitals with the following steps: (1) Building a multidisciplinary stroke team, (2) Assessment with the WSO Roadmap (3) Defining goals and action plans, (4) Continuous training and “Training-the-Trainers”, (5) Providing hands-on-protocols, (6) Stroke care advocacy with hospital boards

Raising public awareness of strokes

“When somebody has a stroke, every second that goes by is crucial. As brain tissue and neurons begin to fade away, time could not be more precious.”

(World Stroke Day Campaign, 2021).

Our goal is that every person in Nepal knows how to recognize a stroke (BE-FAST) and knows to get the affected person to a hospital as fast as possible. We are part of the World Stroke Organization’s #Precioustime campaign this year.

Over the past two years we have reached 2.5 million people in Nepal through social media campaigns using platforms like Instagram®, Facebook®, Tiktok® and Twitter®: Read our blog post in the International Journal of Stroke.

We have delivered the stroke message to people in everyday situations: Health camps were held in three major cities of Nepal with distribution of information materials, lectures, and counselling of vascular risk factors.

Flyers were distributed with the food delivery BHOJ, printed banners were placed in partner restaurants, digital billboards broadcast the #precioustime message.

A prospective study aims to evaluate the feasibility and effectiveness of our Public Awareness Campaign on Stroke Awareness of the population in Nepal.

Quality Monitoring

Our goal is to continuously enter patient data in RES-Q to provide an evidence base for targeting gaps in stroke care and define areas to be improved.

To ensure quality monitoring, 22 participating hospital stroke teams have received a “hands-on”-training on RES-Q, a tool aiming to monitor, analyze and improve stroke care quality.

Additionally, printed checklists containing all relevant patient information were distributed to facilitate data entry.

Stroke care advocacy

In 2022, a stroke care task force was established between the project partners and the World Health Organization Country Office Nepal (WHO), the Ministry of Health and Population (MOHP) and the Department of Health Services (DOHS).

The finalization of a nationwide stroke protocol and the accreditation of training manuals represent first steps, while key components of a comprehensive National Road Map for Stroke Care are presently in progress.