Poudel, Krishna

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Associate Professor of Community Health Education, School of Public Health and Health Sciences
Last Name
Poudel
First Name
Krishna
Discipline
Public Health
Expertise
Community health and development
Global Health
HIV service delivery in Asia Pacific Region
HIV/AIDS prevention
Health promotion and disease prevention
Introduction
My primary research interests include HIV prevention, health promotion and disease prevention, HIV health service delivery, hepatitis C virus and other co-infections among HIV-positive individuals, the relationships between various micronutrients and HIV disease progression, and continuum of HIV prevention and care. I am also interested in community-based participatory research, particularly evaluation of community-based behavior change interventions. I have studied the factors associated with HIV risk behaviors and have designed, implemented, and evaluated HIV risk behavior change interventions. My research to date has involved international migrants, injecting drug users, HIV-positive individuals, men who have sex with men, female sex workers, traditional healers, policy makers, school students, and other people from the general population. My present research projects include measurement of STI prevalence, sexual risk reduction intervention, and longitudinal assessment of nutrient intake and the association with metabolic markers, oxidative stress, and disease progression among HIV-positive individuals. I am also assessing the causes of death among HIV-positive individuals and HIV service delivery in six Asia Pacific Countries.
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2006 - 200912010 - 20151
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    Publication
    Reaching hard-to-reach migrants by letters: An HIV/AIDS awareness programme in Nepal
    (2006-01) Poudel, Krishna; Jimba, Masamine; Poudel-Tandukar, Kalpana; Wakai, Susume
    We assessed the impact of an HIV/AIDS programme for Nepalese migrants to India that involved writing letters. The programme created opportunities for sending HIV/AIDS-related messages to the migrants in India, and encouraging them practicing safer sex. Initially, they received the messages only from the programme, but later from their colleagues, spouses or other family members. They discussed the messages in groups, disseminated them, and sought more knowledge in their destinations. These findings indicated that using letters could be an effective way to reach inaccessible migrants at their destinations, and help them to improve their HIV/AIDS-related knowledge, and safer sex practices.
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    Publication
    Perceived Family Support and Antiretroviral Adherence in HIV-Positive Individuals: Results from a Community-Based Positive Living With HIV Study
    (2015-01) Poudel, Krishna; Buchanan, David; Amiya, Rachel; Poudel-Tandukar, Kalpana
    The purpose of this study was to examine the association between perceived family support, either positive or negative, and adherence to antiretroviral medication regimens among HIV-positive individuals in the Kathmandu Valley, Nepal. We measured past 3-month antiretroviral adherence among 233 HIV-positive individuals, in relation to perceived family support, both positive (in terms of emotional and instrumental support) and negative (in the form of negative interactions), using the 10-item Nepali Family Support and Difficulty Scale. Medium and high levels of perceived emotional support from family were associated with reduced risk of antiretroviral nonadherence, compared with low levels of perceived emotional support (adjusted odds ratio [AOR] ¼ 0.37, 95% confidence interval [CI] [0.16, 0.88], and AOR ¼ 0.23, 95% CI [0.08, 0.64], respectively). Conversely, higher levels of felt emotional distance (AOR ¼ 1.46, 95% CI [1.00, 2.14]) and experienced physical harm (AOR ¼ 2.04, 95% CI [1.07, 3.91]) were associated with increased risk of nonadherence. The results support the recommendation that service providers need to be aware of the significant role of family support in shaping antiretroviral adherence and to consider ways to strengthen positive family support while minimizing negative family interactions to increase adherence rates.