1. Healthcare for Tourists:
lets make a common goal
Presented by: Dr. Subash Pyakurel
CEO
Health Concern

2. Outline of the Presentation
First segment : Overview of research findings
Second segment : Concept objective
Third segment : Development Phases and
recommended roles

3. First Segment
Survey on ‘Health-seeking behaviour of tourists visiting Nepal’

4. Methodology
• Study Area -Boudha, Kathmandu, Nepal
• Data collection tool -Informal questionnaire
• Data Collection
Technique - Interview with the tourists
visiting Nepal
• Sample size -31

5. Countries represented
• China
• France
• Netherlands
• Germany
• USA
• Belgium
• Italy
• Israel
• Taiwan

6. 10%
20%
60%
10%
0%
10%
20%
30%
40%
50%
60%
70%
<7 7 to 14 15-30 >30
no. of days staying in Nepal
responseinpercentage
Fig. 1 . Bar diagram showing the duration of stay in Nepal

7. 23%
42%
14%
15%
6%
0% 10% 20% 30% 40% 50%
Travel agents / Guides
Hotels
Embassy
Local people
Others
referencesource
response in percentage
Fig 2. bar diagram showing the response on first contact point for
reference to treatment

8. 25%
40%
90%
2% 5%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Types of preparedness
ResponseinPercentage
Fig 3. Bar diagram showing the type of Health
pre-preparedness

9. 97%
1% 3%
0%
20%
40%
60%
80%
100%
120%
Necessity of One-stop expert health solution
Yes
No
Maybe
Fig 4. Bar diagram showing the response regarding the requirement of
One-stop expert health solution for tourists

10. Conclusion from survey
• It is found that the maximum number of tourists refer to
unreliable sources in case of health problem.
• The concept of ‘one-stop expert health solution model’ is
highly appreciated .

11. Second Segment : Concept
Core objective of the concept:
To create a special healthcare delivery system to the tourists
visiting Nepal that would gradually progress into medical tourism

12. Third Segment : Phases of development
Phase 4 : Evaluation
Phase 3 : Implementation of the Plan
Phase 2 : Implementation Strategy and Action Plan
Phase 1 : General Consensus

13. Phase 1: General Consensus
• Brainstorming and discussion
• Feedback and inputs from health and tourism
stakeholders, embassies and international societies
• Create supportive, positive collaborative and
cooperative environment among all stakeholders
through interactive sessions in a common platform.

14. Phase 2 :Implementation strategy and Action plan
Step
1
• Accreditation and quality standardization of healthcare institution and
health professionals
Step
2
• Formation of special panel for doctors, hospitals and clinics
Step
3
• Formation of ‘Tourists Healthcare Information System (THIS)’ under NTB
with PPP model
Step
4
• Incorporation of innovative technology in health system like : Electronic
Medical Record system, Telemedicine, Tele-radiology, mobile applications,
web solutions etc.
Step 5
• Promotional strategy
Step
6
• Monitoring and supervision body and protocol

15. Phase 3 : Implementation
(Recommended Division of roles)
Health
Concern
Ministry of
Health and
Population
(MoHP)
National
Planning
Commission
(NPC)
Nepal
Tourism
Board
(NTB)
Healthcare
Providers
Embassies
and
International
societies
Ministry of
Tourism
(MoT)

16. Recommended Division of Roles
Ministry of Health and Population
• Infrastructure criteria for hospitals
• Hospital ranking and accreditation
• Quality assurance
• Formation of the autonomous regulatory body
• Support and consulting to Healthcare providers in quality
upgradation.

17. National Planning Commission
• Development of short term and long term policies and
plans at National Level.
• Coordination and channeling of government bodies for
the concept
• Formation of special task force involving relevant
stakeholders.

18. Ministry of Tourism
• Supporting NPC, MoHP with data and experience.
• Incorporation of promotional schemes through their
existing mechanism.
• System development and cooperation for sustainability
of the concept.

19. Nepal Tourism Board
• Promotion and execution of ‘THIS’ with support of
stakeholders and private sectors.
• Promotional schemes of the project.
• Act as long term development facilitator/coordinator up
to a logical end.

20. Healthcare Providers
• Upgrading the quality of health services through:
oInfrastructure development
oMaintenance of hospital environment and cleanliness
oInterpersonal and communication standardization and
training of health professionals
• Development of separate department and system for
international patients.
• Showing utmost cooperation and reciprocation
throughout the process.

21. Embassies and International Societies
• Continuous input, consult and support(specific demand
and criteria for concerned citizens).
• Opportunity of gaining first hand insight to foreign health
care policy of your respective countries for further
improvements.
• Act as a bridge in Quality upgradation of healthcare
providers.

22. Role of Health Concern
• Input to NPC, MoHP, MOT for development of
strategies/policies.
• Input to MoHP in quality issue, accreditation model and selection
of panel of doctors and institutes.
• Consultation to hospitals in creating a system for HCFT.
• Support to NTB in designing THIS.
• Introducing e-health and innovations like telemedicine, EMR,
Web solutions, mobile applications etc.
• Liaison with international groups like GHTC, AMTC, WMTA,
global experts.
• Coordination with embassies and INGOs.

23. Phase 4 : Evaluation(continuous)
Regular supervision, monitoring and research