Proposal Summary


Investigator(s)

Submitter Bikash Nepal
Higher Education Leadership Institute, Melbourne
655 Collins Street, Docklands
VIC 3008
Australia
Bikash Nepal Mail
Principal Investigator Bikash Nepal
Higher Education Leadership Institute, Melbourne
655 Collins Street, Docklands
VIC 3008
Australia
Bikash Nepal Mail
Co-Investigator(s) Albert P Haddad
Higher Education Leadership Institute, Melbourne
655 Collins Street, Docklands
VIC 3008
Australia
Albert P Haddad Mail
Co-Investigator(s) Dendup Tshering
Dagapela,District Hospital, Dagana District, Ministry of Health
Royal Government of Bhutan
Dendup Tshering Mail


Title(s) and abstract

Scientific title Prevalence of hypertension and associated behavioural risk factors among adults in Bhutan, a cross-sectional study.
Public title Prevalence of hypertension and associated behavioural risk factors among adults in Bhutan, a cross-sectional study.
 
Background Hypertension is a major non-communicable disease priority in Bhutan. The data from national STEPS surveys, annual health bulletins MoH, and WHO country reports demonstrate a substantial disease burden, treatment gap, and ongoing exposure to modifiable risk factors. The study will recruit approximately 400 adults aged 18 to 69 years from across the country. Data will be collected through a computer-assisted personal interview (CAPI) adapted from the WHO STEPS survey and the National Health Survey 2023. Anthropometric assessment of blood pressure, body weight, height and waist circumference will be assessed using quality-assured and calibrated equipment. The findings will be analysed using SPSS and descriptive statistics. The study will generate data on risk factors causing hypertension and the finding may assist in combating the increasing trend of NCD and, in the long run, decelerate the rising NCD in Bhutan.
Objectives 1. To determine the prevalence of hypertension among adults in Bhutan. 2. To describe the distribution of selected behavioural risk factors among Bhutanese adults. 3. To identify behavioural, socio-demographic, and anthropometric factors independently associated with hypertension among adults in Bhutan.
Study Methods This study will employ quantitative cross-sectional analytical design. Cross-sectional studies are appropriate for estimating disease prevalence and examining associations between outcomes and exposures at a single point in time (Setia, 2016). The study will be conducted in Bhutan across sites selected from the eastern, western, northern, southern, and central regions. The target population will comprise Bhutanese adults aged 18 years and above residing in selected communities. Inclusion criteria are adults aged 18 years or older who live in the selected study areas and are willing and able to provide informed consent. Exclusion criteria will include pregnant women, critically ill individuals, individuals unable to participate because of severe cognitive or communication limitations, and individuals declining consent.
Expected outcomes and use of results This study is expected to make both empirical and practical contributions. Empirically, it will generate updated, field-based, and geographically distributed evidence on the prevalence of hypertension and its associated behavioural determinants among Bhutanese adults, thereby addressing an important gap in the existing literature. This study will be part of the fulfilment criteria for the master's degree program.
 
Keywords hypertension, stress, BMI, Blood pressure, NCD


Research Details

Student research Yes
  Institution: Higher Education Leadership Institute
  Academic degree: Master
 Supervisor of the student(s)
  Full Name and title: Professor Albert P. Haddad
  Email: albert@leadwise.com.au
  
Start Date 29-Sep-2025
End Date 29-Sep-2027
Key Implementing Institution Higher Education Leadership Institute
Multi-country research No
Nationwide research Yes, with randomly selected geographical areas
  Bhutan, Bhutan, Bhutan, Bhutan, Bhutan, Bhutan, Bhutan, Bhutan
Research Domain(s) Non-communicable diseases & Healthy Lifestyles
Research field(s) Non-communicable Disease
Involves human subjects Yes
  Population-Based Survey
Data Collection Primary data
Proposal reviewed by other Committee Approved