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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Kidney disease has posed a major disease burden in low- and middle- income countries. Hypertension, Type 2 Diabetes Mellitus (T2DM) and proteinuric kidney disease remain the three most common causes of chronic kidney disease (CKD) in Nepal. Kidney, Hypertension, Diabetes and Cardiovascular diseases (KHDC) program offers community-based services for early detection and management of diabetes, hypertension, cardiovascular and chronic kidney diseases to prevent complications since 2003. Since few years, the program shifted priorities from population-based mass screening to a targeted high-risk approach in search of sustainable strategies while equally emphasizing on integration of this modality into existing health system for tackling kidney disease burden. Community engagement activities and capacity building of primary care providers through on site and remote mentoring by expert from tertiary level teaching hospital is the foundation. This report represents update from one of the remote hilly municipalities of Phungling in Nepal coming to end of Year 2 of project implementation.
Female Community health Volunteers (FCHVs) are trained to undertake a predefined high-risk screening, for NCDs including CKD, in communities and measure capillary blood sugar (as needed), blood pressure (BP) and BMI. High-risk individuals are referred to nearby health care centers (HCCs). At HCCs, trained Health Care Providers (HCPs), supported by KHDC expert team evaluate for behavioural and medical/family history, physical examination, measurement of BP, blood sugar (FBS and HbA1c) serum creatinine, lipid profile and urine protein. Subsequent management is done as per context specific guideline. Telemedicine support is offered to patient with confirmed diagnosis through expertise at tertiary level centers and followed up by FCHVs for treatment adherence at community level. Monthly online refresher trainings through case-based discussions are provided to HCPs.
A total of 116 FCHVs and 149 HCPs have been trained till the end of Year 2 in three municipalities of eastern Nepal. 3,635 adults were identified as high risk for NCDs including diabetes, hypertension, by FCHVs through community-based screening and were referred for consultation at primary level HCCs. Turnover at primary HCCs was 72.7% (n=2643). Mean (±SD) age of the individuals consulted was 47.1 (±16.1). Of the 824 (31.2%) individuals diagnosed with NCDs, 417 (15.8%) were new detections. Sixty two (2.5%) had proteinuric CKD and 40 (1.5%) had eGFR <60/ mL/min/1.73 m²; 11, 18, and 4 of them had concurrent diagnosis of T2DM, Hypertension, and both, respectively. Management of detected diseases were done according to context specific guideline. Remote support was provided in the management by telemdicine.
While undetected cases of chronic disease and CKD can be identified through high-risk screening for NCDs, efficient mobilization of available resource remain key for such integrated strategy to ensure early detection, timely management and treatment adherence.
