Clinicoepidemiological Profile of Agricultural Work Related Injuries in Rural Agrarian Community of Nepal: A Cross Sectional Study




agrarian community; rural community; work related injuries.



Injuries have a significant proportion in the global burden of  diseases and are in increasing trend. Nepal being an agrarian country had frequent reporting of injuries among rural communities whose major occupation is agriculture. So, we had this study with the objective to assess clinico epidemiological profile of  agricultural work related injuries in the rural agrarian community of Nepal.


A community based cross sectional study was conducted among 362 farmers of  rural agrarian communities of Budhiganga Rural Municipality of Nepal from 20 December 2022 to 20 June 2023 after getting ethical clearance from institutional review committee (IRC-PA 254/2022). A specially designed pro forma was used to collect data through convenient sampling techniques. Collected data was entered in Microsoft Excel and analyzed by SPSS version 23.


The annual prevalence of agricultural work related injury was 48.6%.  The most common primary causes were Sickle cut injury 43(24.4%),  followed by Oxen/Cow hit injury 33 (18.8%), Traditional Plough cut injury 15 (8.5%), Spade cut injury 15 (8.5%) etc. Injury typically occurs in lower extremities 71 (40.3%).  Among them 102 (58%), 82 (46.6%), 28 (15.9%) and 147 (83.5%) had a disability, bedridden, hospitalized and received some sort of treatment.  Twenty two (12.5%), 36 (20.5%) and 32 (18.2%)  reported stress, self reported decreased vision and self reported hearing loss at the time of injury respectively. Only 9 (5.1%) had used personal protective equipment (PPE) during agricultural work and about 36 (20.5%) had helping hands at the time of injury. 


About half of farmers experienced agricultural work related injury with significant days of disability from daily activities and regular work. Use of personal protective equipment during work is miserable.


Download data is not yet available.

Author Biography

Surya Bahadur Parajuli, Department of Community Medicine


Greetings !!! Dr. Surya B. Parajuli, currently working as Assistant Professor of Community Medicine at Birat Medical College & Teaching Hospital. He is Chief of Department of Community Research and Development Program, Editor of Birat Journal of Health Sciences (BJHS) and Member Secretary of Institutional Review Committee of the same institute. Since 2018 he has started as Fellow in Translational Research Capacity Building to address Cardiovascular Diseases in Nepal supported by USNational Institutes of Health (NIH), National Heart, Lung, and Blood Institute (NHLBI). He has completed Doctor of Medicine (MD) in Community Medicine & Tropical Diseases from the B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal. He did his MBBS (Bachelor of Medicine and Bachelor of Surgery) from Kathmandu University, Nepal and Master of Arts in Humanities and Social Sciences (Rural Development/Agrarian Injury as Thesis) from Tribhuwan University, Nepal. He has founded and has been leading the Nepal Medical Volunteer Society at eastern Nepal since 2011. He has been continuously involved in Health research advocacy, eHealth initiative, a mentorship program for young students, policy advocacy, developing and setting up innovative community-based health endeavors in rural Nepal. He has been producing and presenting his popular radio health program “Doctor Saathi’ since 2011. It has already completed its 180th episode by 2018 December with having more than 50 thousand active listeners. He was a site investigator at national level RCT for “A randomized, double-blind, clinical trial of two dose regimens of VINS polyvalent anti-venom ATC J06AA03 for the treatment of Snake bites with neurotoxin envenoming in Nepal (n 08-192)” at B. P. Koirala Institute of Health Sciences, Dharan, Nepal in collaboration with Geneva University Hospital, Switzerland. Since 2015 he has been leading innovative healthcare project, Budhiganga Health Survey (BHS) having 40165 population with 9500 households at Budhiganga Rural Municipality of Morang district of Nepal in coordination with local government, research organizations, CBOs and academia. He has responsibility as editor of many biomedical journals includingBirat Journal of Health SciencesInternational Journal of Perceptions in Public HealthJournal of Medical Research and InnovationBibechana: A Multidisciplinary Journal. He has published many scientific articles, active as health columnist and currently involved in more than 20 research project and scientific publications. Since 1 Jan 2019, he started contributing as lead facilitator in different modular training on research, publication, grant proposal writing, leadership & management in health. You can communicate with him through "contact/email me" form from his website or his direct





How to Cite

Parajuli, S. B., KC, H., Shah, B. ., Parajuli, H. B., & Yadav, B. K. (2023). Clinicoepidemiological Profile of Agricultural Work Related Injuries in Rural Agrarian Community of Nepal: A Cross Sectional Study. Journal of College of Medical Sciences-Nepal, 19(4), 426–432.



Original Articles