Nepal Injury Research Centre (NIRC) is established under Department of Community Medicine, Kathmandu Medical College (KMC). The Nepal Injury Research Centre (NIRC) is a partnership between Kathmandu Medical College (KMC) and the University of the West of England, Bristol, UK. Our collaborators include; Mother and Infant Research Activities (MIRA), Nepal Red Cross Society, SwatantrataAbhiyan, Safe Crossings and the University of Bristol UK. The NIRC has an office at the KMC Preclinical Campus in Duwakot, and a field research office in Hetauda, Makwanpur.
Injuries are the predictable and preventable outcome of particular circumstances. Injury is one of the world’s most preventable and pressing public health problems, although currently both neglected and underfunded. One third of the world’s morbidity and mortality due to injuries occur in the 11 countries of the South East Asia Region, of which Nepal is one of the poorest. Nepal has very high rates of unintentional injury, including from natural disasters, road injury] and others. In 2015 earthquakes killed almost 9000 and injured over 22000 people. Globally, road traffic injuries are projected to rise from the 8th to the 5th leading cause of death by 2030, with the majority occurring in low and middle income countries (LMICs). A huge road building programme in Nepal over the last decade has seen 80078km of roads built and vehicle numbers increased by over 800000 in the last 4 years. Many new roads do not have proven safety features and are poorly maintained. Nepal does not have a national road safety agency or vehicle safety standards and there is limited capacity for enforcement of traffic safety legislation. Road traffic injuries and deaths are increasing but without any injury surveillance, robust death registration or complete traffic police data systems, the true numbers are unknown. Household surveys and hospital data suggest that home injuries (e.g. falls, burns, poisoning), occupational and animal injuries are significant but true estimates are unclear. In addition, there is poor coordination of emergency services, so injured people often travel for hours to the nearest hospital without any stabilisation of their injuries, and may deteriorate or die during the journey.
We are currently funded by the UK Government through the National Institute of Health Research, Global Health Research Programme. This funding supports academic partnerships between the UK and LMICs. Our funding is available until the end of June 2020. We are already planning how to continue the sustainability of the NIRC beyond this period.