NIH-funded research R21 grant

Antenatal High-Risk Pregnancy Care Bundle for Rural Nepal

Official title: Implementing and Evaluating an Antenatal High-Risk Pregnancy Intervention Bundle in Rural Nepal

Funded at University of California, San Francisco · NIH-11307269 · Data updated 2026-11-12

A new program aims to help identify and manage high-risk pregnancies in rural Nepal using risk scoring and telehealth to improve outcomes for mothers and babies.

More High Risk Pregnancy research and trials

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionUniversity of California, San Francisco
NIH-funded
Lab location1 site (San Francisco, United States)
Project startSeptember 1, 2026
Project endJune 30, 2028
Funding year2026
Award (this year)$122,182
NIH project number1R21TW013261-01
Project IDNIH-11307269 on NIH RePORTER

Who could benefit from this research

Could help

Pregnant individuals in rural Nepal identified as high-risk by the antenatal risk score or ultrasound screening.

Less likely to help

Pregnant people without high-risk factors or those outside rural Nepal may experience no direct benefit.

What this research studies

In rural Nepal, many mothers face death or serious illness due to pregnancies with high risk factors and limited healthcare resources. This project will train local nurses to use a simplified risk score and ultrasound to identify high-risk pregnancies, and it will set up telehealth follow-up so mothers can receive remote consultations. A mixed-methods approach will measure how feasible and acceptable this program is and track maternal and neonatal outcomes during a pilot phase, with a later transition to a broader rollout. The goal is to create a workable, scalable system that improves timely identification, referral, and care for high-risk pregnancies in resource-limited settings.

Why it matters

Potential benefit: If successful, the program could reduce maternal and neonatal death and illness by improving early identification and remote management of high-risk pregnancies.

How similar studies have gone: Prior work suggests telehealth and standardized risk screening can improve antenatal care, but this exact rural Nepal implementation is novel and pilot-focused.

Where this research is happening

  • University of California, San Francisco
    San Francisco, United States
    Active

Researchers

  • Principal investigator: Ranjit, Anju — University of California, San Francisco
  • Study coordinator: Ranjit, Anju

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.