The health system of Nepal faces several challenges due to its mountainous terrain and diverse population. It has a public health care system that is decentralized across three levels - central, provincial, and local. At the local level, rural municipalities now govern health facilities. The government aims to provide universal health coverage through initiatives like free basic health services and delivery care. However, resource constraints and geographical barriers limit equitable access to quality care, especially in rural areas. The system also works to control diseases while promoting traditional and alternative medicine practices.
Organization Structure of Public Health System in Nepal.
Organization Profile (Structure, Functions, Roles, Responsibilities, ToR): http://bit.ly/HealthsystemsNepal
Organization Structure of Public Health System in Nepal | Health System Nepal | Current Health system of Nepal | Organization Structure of Nepalese Health System | Public Health System | Health Governance System in Nepal |Health Organization Profile | https://publichealthupdate.com |
More updates: https://publichealthupdate.com
A health system, also sometimes referred to as health care system or as healthcare system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations.
There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. Implicitly, nations must design and develop health systems in accordance with their needs and resources, although common elements in virtually all health systems are primary healthcare and public health measures.In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, charities, religious organizations, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has been described as often evolutionary rather than revolutionary.
Essential Package of Health Services Country Snapshot: NepalHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Organization Structure of Public Health System in Nepal.
Organization Profile (Structure, Functions, Roles, Responsibilities, ToR): http://bit.ly/HealthsystemsNepal
Organization Structure of Public Health System in Nepal | Health System Nepal | Current Health system of Nepal | Organization Structure of Nepalese Health System | Public Health System | Health Governance System in Nepal |Health Organization Profile | https://publichealthupdate.com |
More updates: https://publichealthupdate.com
A health system, also sometimes referred to as health care system or as healthcare system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations.
There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. Implicitly, nations must design and develop health systems in accordance with their needs and resources, although common elements in virtually all health systems are primary healthcare and public health measures.In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, charities, religious organizations, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has been described as often evolutionary rather than revolutionary.
Essential Package of Health Services Country Snapshot: NepalHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
This presentation is prepared as part of the Course assignment of " EPI 525: "Public Health Service Management" for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials for Local Level Health Planning
The course offers an opportunity to develop a holistic understanding of Primary Health Care, its functions, and scope. The course attendants will learn the principles of Primary Health Care, the course is expected to help the students to understand and internalize international health and public health transition facilitating the integration of health sector with other sectors.
This is the product of compilation from various sources. I would like to acknowledge all direct and indirect sources although they have not been mentioned explicitly within the document.
This presentation is prepared as part of the Course assignment of “Development and Management of HRH” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials. The content and facts included in the presentation are as of information available till June 2023 and no conflict of interest is associated with the presentation. The presentation is prepared by Sagar Parajuli.
Critical Review of NHSS-IP_Sagar Parajuli.pptxSagarParajuli9
This presentation is prepared as part of the Course assignment of “Public Health Service Management” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials. The content and facts included in the presentation are as of information available till February 2023 and no conflict of interest is associated with the presentation. The presentation is prepared by Sagar Parajuli.
New Organogram of Nepalese Health System (Please check the updated slides on ...Prabesh Ghimire
This slide has been updated to accommodate the recent changes. Please check the following link for the updated presentation:
https://www.slideshare.net/PrabeshGhimire/organogram-organization-structure-of-nepalese-health-system-updated-nov-2021
Mode of Human Resource for Health Production in Nepal
Various Academic and Non Academic Institutes and Councils producing all sorts of Human Resource for Health in Nepal.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
Sri Lanka has achieved strong health outcomes over and above what is commensurate with its income level. The country has made significant gains in essential health indicators, witnessed a steady increase in life expectancy among its people, and eliminated malaria, filariasis, polio and neonatal tetanus. The Sri Lanka HiT review presents a comprehensive overview of the different aspects of the country’s health system, and the background and context within which the health system is situated. The review also presents information on reforms to address emerging health needs such as the growing challenge of noncommunicable diseases (NCDs) and serving a rapidly ageing population
This presentation is prepared as part of the Course assignment of " EPI 525: "Public Health Service Management" for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials for Local Level Health Planning
The course offers an opportunity to develop a holistic understanding of Primary Health Care, its functions, and scope. The course attendants will learn the principles of Primary Health Care, the course is expected to help the students to understand and internalize international health and public health transition facilitating the integration of health sector with other sectors.
This is the product of compilation from various sources. I would like to acknowledge all direct and indirect sources although they have not been mentioned explicitly within the document.
This presentation is prepared as part of the Course assignment of “Development and Management of HRH” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials. The content and facts included in the presentation are as of information available till June 2023 and no conflict of interest is associated with the presentation. The presentation is prepared by Sagar Parajuli.
Critical Review of NHSS-IP_Sagar Parajuli.pptxSagarParajuli9
This presentation is prepared as part of the Course assignment of “Public Health Service Management” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials. The content and facts included in the presentation are as of information available till February 2023 and no conflict of interest is associated with the presentation. The presentation is prepared by Sagar Parajuli.
New Organogram of Nepalese Health System (Please check the updated slides on ...Prabesh Ghimire
This slide has been updated to accommodate the recent changes. Please check the following link for the updated presentation:
https://www.slideshare.net/PrabeshGhimire/organogram-organization-structure-of-nepalese-health-system-updated-nov-2021
Mode of Human Resource for Health Production in Nepal
Various Academic and Non Academic Institutes and Councils producing all sorts of Human Resource for Health in Nepal.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
Sri Lanka has achieved strong health outcomes over and above what is commensurate with its income level. The country has made significant gains in essential health indicators, witnessed a steady increase in life expectancy among its people, and eliminated malaria, filariasis, polio and neonatal tetanus. The Sri Lanka HiT review presents a comprehensive overview of the different aspects of the country’s health system, and the background and context within which the health system is situated. The review also presents information on reforms to address emerging health needs such as the growing challenge of noncommunicable diseases (NCDs) and serving a rapidly ageing population
3. 2nd PBBSc - Comty - Unit - 3 - Organization and administration of health s...thiru murugan
2nd Year PBBSc Nursingcommunity Health Nursing
Organization and administration of health services in India
UNIT III:
Organization and administration of health services in India.
National health policy
Health Care Delivery system in India.
Health team concept
Centre, State, district, urban health services, rural health services
System of medicines
Centrally sponsored health schemes
Role of voluntary health organizations and international health agencies
Role of health personnel in the community
Public health legislation.
Important questions:
Different level of health services in india (Centre, State, district, urban health services, rural health services)
Health team
System of medicines / AYUSH
Role of health personnel in the community
National health policy
voluntary health organizations – WHO, UNICEF, Red cross
Public health legislation.
National health policy:
Definition:
Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society”
National health policy 1983:
National health policy in India was not framed and announced in 1983.
The ministry of health and family welfare evolved a National Health Policy in 1983.
The policy focus on the preventive, promotive, public health and rehabilitation aspects of health care.
To attain the objectives “Health for all by 2000 AD”.
KEY ELEMENTS OF NATIONAL HEALTH POLICY 1983:-
Awareness of health problems
Safe drinking water and sanitation
Rural health infrastructure
Health management of information system
Legislative support to health
Combat wide spread of malnutrition
Research in health care
Different system of medicines
Factors interfering with the progress towards health for all:
Insufficient political commitment
Failure to achieve equality
The low status of women.
Slow socio-economic development.
Lack of human resources.
Inadequacy of health promotion activities.
Weak health information system and no baseline data.
Pollution, lack of water supply and sanitation.
Uncontrolled population
Advanced technology
Natural and man-made disasters
National Health Policy 2002:
The national health policy 1983 revised in 2002 with new objectives and strategies in order meet the health problems and demand of peoples
Objectives:
To achieve an acceptable standard of good health
To upgrading health infrastructure
To improve equitable health service
To give priority for prevention and first line curative
To promote rational use of drugs.
To increase use of Traditional Medicine (AYUSH)
National Health Policy 2002 - Policy prescriptions:
Equity
Delivery of national health programmes
Extending public health services
Education of health care professionals
Need for specialists in 'public health' & 'family medicine
Nursing personnel
Urban health
Mental health
Information Education and Communication
Health research
Role of private sector
Health statistics
Women's health
Medical ethics
Enforcement of quality standard for food &drug
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
India Diagnostic Labs Market: Dynamics, Key Players, and Industry Projections...Kumar Satyam
According to the TechSci Research report titled “India Diagnostic Labs Market Industry Size, Share, Trends, Competition, Opportunity, and Forecast, 2019-2029,” the India Diagnostic Labs Market was valued at USD 16,471.21 million in 2023 and is projected to grow at an impressive compound annual growth rate (CAGR) of 11.55% through 2029. This significant growth can be attributed to various factors, including collaborations and partnerships among leading companies, the expansion of diagnostic chains, and increasing accessibility to diagnostic services across the country. This comprehensive report delves into the market dynamics, recent trends, drivers, competitive landscape, and benefits of the research report, providing a detailed analysis of the India Diagnostic Labs Market.
Collaborations and Partnerships
Collaborations and partnerships among leading companies play a pivotal role in driving the growth of the India Diagnostic Labs Market. These strategic alliances allow companies to merge their expertise, strengthen their market positions, and offer innovative solutions. By combining resources, companies can enhance their research and development capabilities, expand their product portfolios, and improve their distribution networks. These collaborations also facilitate the sharing of technological advancements and best practices, contributing to the overall growth of the market.
Expansion of Diagnostic Chains
The expansion of diagnostic chains is a driving force behind the growing demand for diagnostic lab services. Diagnostic chains often establish multiple laboratories and diagnostic centers in various cities and regions, including urban and rural areas. This expanded network makes diagnostic services more accessible to a larger portion of the population, addressing healthcare disparities and reaching underserved populations. The presence of diagnostic chain facilities in multiple locations within a city or region provides convenience for patients, reducing travel time and effort. A broader network of labs often leads to reduced waiting times for appointments and sample collection, ensuring that patients receive timely and efficient diagnostic services.
Rising Prevalence of Chronic Diseases
The increasing prevalence of chronic diseases is a significant driver for the demand for diagnostic lab services. Chronic conditions such as diabetes, cardiovascular diseases, and cancer require regular monitoring and diagnostic testing for effective management. The rise in chronic diseases necessitates the use of advanced diagnostic tools and technologies, driving the growth of the diagnostic labs market. Additionally, early diagnosis and timely intervention are crucial for managing chronic diseases, further boosting the demand for diagnostic lab services.
The Importance of Community Nursing Care.pdfAD Healthcare
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Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
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Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
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Artificial Intelligence to Optimize Cardiovascular Therapy
Current Health System Nepal After health reform 2018
1. Health System of Nepal
Presented by:
Jahirul Hushen
Dr. Minani Gurung
Rakchya Amatya
Dr. Samukta Chand
Saurav Aacharya
Sudhir Mishra
Dr. Anjan Rijal
Mahidol University, Faculty of Public Health-2018, Batch
2.
3. 3
Nepal: Officially the Federal Democratic Republic of Nepal
Land Area: 143,351 km2
Water Area: 3,830 km2
Total Area: 147,181km2
Population: 29,033,914
Population Density: 202.54/km2
Government: Federal
Parliamentary Republic
INTRODUCTION
4. Geographically Divided in 3 Eco-Zones
Mountains : 16 Districts
35% of total area- (above 4800 meter from sea level)
Hills : 40 Districts
42% of total area- (300-4800 Meter from sea level)
Terai: 21 Districts
Cover about 23 % of total area– (70-300 meter from sea level)
Divided into 7 Provinces, 287 Metro, sub metro and Municipality and 460 rural municipality.
5. Political Division
In 2017, the parliament of Nepal restructured the political
division by replacing an earlier system where Nepal was divided
into 14 administrative zones and 5 development regions.
Now there are 7 federal provinces based on geographical
representations
The provinces’ name and headquarters are yet to be announced
Now rural/municipality is the apex body for local level
governance and development in the framework of devolution
6. Population Status
According to 2011 Census total population is more than 26 million
(26,494,504) with annual growth rate 1.35%
Religion wise, Hinduism is the major religion in Nepal followed by
Buddhism.
81.34
9.04
4.39 3.05
2.13
Distribution of Population based on religion
Hindu Buddhist Islam Kirat Christian and others
7. Demographic Indicators
Sex Ratio 0.95
Population Density 181/square km
Population Growth Rate 1.35 %
Urban Population 18%
Total Fertility Rate 2.12 children born/woman
Contraceptive Prevalance Rate 49.7%
Crude Birth Rate 19.9 births/1000 population
Crude Death Rate 5.7 deaths/1000 population
Doctor to patient ratio 0.2/1000 population
Life Expectancy Rate
70.7 years
(Male 70.1 and Female 71.3
Source: Population and Housing Census, 2011
Nepal Demographic Profile 2018
9. Background
The health system in Nepal is 129 years old,1 and is
based on primary health care approach
Pattern of diseases differs according to the geographic
variations from the plains in the south to the high
northern parts
Health service providers are government, private and
public private partnership
10. Historical Development of Policy and System after first DemocracyFirstDemocracy1950
1951
1st Health
Policy
(1951-63)
1964
1974
Regionalisation of
Health Services
1975
1992
Vertical Health program
& Implementation of
PHC System
1990: 2nd Democracy
1991: 2nd Health plan
:Focus on Expansion of HS
2002
1993-2002 :Tertiary Care Centres
and Expansion of Primary Health
Care Centres & Involvement private
sector
1997-2017 Second
Long Term Health
Plan
1998:Self Government Act
Introduction of Free Health
Care Service; Provision of
maternity initiatives and
revitalization : Handover HF
In 2008: PHC revitalization
division added
2007
2014 New Health Policy
2014
2015
2015: Nepal Federal
Constitution mention
health as fundamental
Human right
2017
2017: Government of
Nepal handover all
primary level HF to
Local government
11. Nepal’s Free Health Care Policy
• 2008: Nepal launched a program for free essential healthcare for
primary health services and access to a number of essential drugs
for all citizens seeking care at health post. 3
• 2009: Services were extended to primary health care centres and
to district hospitals, all outpatient, inpatient and emergency
services, as well as essential medicines, were given free of charge
to all the citizens of Nepal.
12. Nepal’s Free Health Care Policy
• Since February 2009 institutional deliveries are free of charge to
all women nationwide.
• 70 essential drugs are provided free of cost.
• Upto NRS 100,000 (around USD 1000) is provided to
underprivileged families by them Government towards
treatment of cancer 3
13. Nepal’s Free Health Care Policy Continue
• NRS 400 is provided to all pregnant women who undergo an ANC visit
in a health facility as per protocol (at least 4 visits plus delivery at
health centre).
• Transportation Cost provided to pregnant mother who have
institutional delivery as an incentive to utilize the available health
services
• NRS 1000 for Terai Region
• NRS 2000 for Hilly Region
• NRS 3000 for Mountainous Region (From current Budget speech)
14. Nepal’s Free Health Care Policy Continue
• Iron Tablet Free distribution (225 tablets) for pregnant women with
Albendazole.
• Vitamin A supplementation to mothers
• Treatment of certain conditions of the heart, kidney and liver disease; and
cancer is free for the citizens at government hospitals.
• Dialysis facilities are free for a certain number of sessions per week until
renal replacement therapy (kidney transplants)
Source: Annual Report 2015
15. Nepal Free Health Care Policy continue
• Family Planning Services are provided free of cost by the government
health facilities. Condoms, Depo-provera, Pills, Implant, IUCD, Minilap
and Vasectomy. 3
• TB and Leprosy Screening are done and medicines are provided
accordingly, free of cost under direct supervision of the health worker
• Cotrimoxazole, Zinc tablets and ORS is given free of cost for children
suffering from diarrhoeal disease.
16. The Health Care System
Allopathy or Modern Medicine
Traditional medicine- Ayurveda and Aamchi
Homeopathy
Unani
Other complimentary System
Government System
(Through Department of Health Services &
Department of Ayurveda )
In various communities,people have their own
health practices like Dhami, Jhakri, Gruva,
Lama etc
Practiced in Southern parts of Nepal
17. Health Service Delivery
Female community health volunteers
More than 50000 unpaid volunteers and mother groups who cover
health Education, distribution of medicines (Pills, ORS) and health
prevention (treatment of diarrhea and referral after identification,
counselling to mothers for ANC/PNC check ups, Vitamin A
distribution etc)
Community based health services and intervention:
Immunization (mobile clinic per month ), primary health care out
reach clinic (Health Education, FP/MNCH service, CBIMNCI
service)
Tertiary care centers/hospitals/mobile clinics
Access: Almost half (49%) of households are within 30 minutes of
a government health facility. 3
18. Ministry of Health and Population
Department of Health ServiceDepartment of Ayurveda Department of Drug Administration
Division (7) Center (6)
Central Hospital (6)
Ministry of Social Development
Health Department
Regional Health Directorate (5)
Regional and Sub Regional Hospital /Zonal Hospital (10)
Metro/Sub Metro/ Municipality
Rural Municipality
Social Development -Health Unit
District (public) Health Office (29/48) District /Other Hospital (85)
Primary Health Care Center (200)
Health Post (3808)
Urban/ Community Health unit
FCHV (51,470) PHC/ORC clinic (12,180) PHC/ORC clinic (16,022)
Health Facility Operating and
Management Committee
Source: HMIS, DoHS
Organogram
Center
Province
19. Health Governance
At Center Level
Ministry of Health and Population : For policy and Guideline
Department : Health Services, Drug Administration and Department of Ayurveda
Regulatory Bodies: Nepal Medical Council, Nursing council etc
At Province Level :
Ministry of Social Development : Policy and guideline formation at province level
Health Department :In process (Only draft available)
At District Level:
District (Public) Health Office : Technical support to Rural Municipality and health facilities
At Municipality and Rural Municipality Level:
Rural /Municipality general Assembly : Planning , Management and approval of programs
Social Unit – Health Section : Monitoring and conducting health programs
HFMOC at ward level : Local level planning
20. Essential Health Services
Child Health program
Immunization program
Community Based Integrated Management of Neonatal
Childhood Illness
Nutrition Program
22. Safe Motherhood Program
Antenatal, Delivery and Post natal care
Female Community Health Volunteer
Primary Health Care outreach clinics
Demography and Reproductive health
research
24. Disease Control
Malaria
Kala-azar
Lymphatic Filariasis (LF)
Dengue
Zoonoses
Leprosy
Tuberculosis
HIV/AIDS and STI
Eye Care
Entomology
Epidemiology and Disease Outbreak Management
Disaster Management
Surveillance and Research
Homeopathic Services
Human Organ Transplant Services
31. National Health Insurance
• Budget for the fiscal year 2016/17 ensures implementation of the
'National Health Insurance Scheme' in a phase-wise manner.
• The scheme targets to provide health insurance facility to every Nepali
citizen within three years.
Source: mof.gov.np
32. Referral and Feedback Mechanism System
Central Hospital
PHC/HP
Regional
/Zonal Hospital
AHW/ANM
Hospital
Level
National/Central
Province Level
District
Catchment
area and
Community
Referral Line
Feedback Line
Source: mohp.gov.np
33. MOH
Centers Divisions
RHD
DHO
PHC/HP
NPC
DoHS
MD/HMIS
SHP
HMIS System:
Data Collection/Information Flow Chart
VHW/MCHW
Hospital
National/
Central
Regional
District
Catchment
area and
Community
Reporting
Frequency
Trimesterly
Monthly
Trimesterly/
Periodic
Monthly
Monthly
Feedback
Frequency
Trimesterly
Trimesterly
Monthly
Latest
Reporting
Time
By end of
1st month
of each
Trimester
By end of
1st month
of each
Trimester
12th day
of Next
Month
•7th day of
next month
•3rd day of
next month
•1st day of
next month
Monthly
By e-system
By e-system
By e-system
By
Person (Hard
Copy)
Mode of
Information
Flow
Central/Regional
/Zonal Hospital
7th day
of Next
Month
By e-system
Reporting Line
Feedback Line
34. Health Financing
Government of Nepal
Donor (25% of total health budget in last FY 2015-16)
Local government (7.2% of total local level grant, allocated to health
by local government)
International non government organization
5.7 % Budget in health sector for upcoming FY 2018-19 (i.e. 56.41
Billion)
35. Major Program Initiative in Health
I. Institutional delivery declared free with maternity incentive scheme
II. Introduction of free health care (service charges abolished and essential drugs
provided free)
III. Surgery of uterine prolapse
IV. Cash support to poor patients suffering from cancer, heart disease, heart
disease, chronic kidney disease
V. Compulsory two year rotation of physicians out side Kathmandu after
completing MBBS course under Government scholarship.
VI. Nutrition supplementation program.
36. Challenges of Health System of Nepal
• Resource gap
• Climate change and health
• Equity and quality health services
• Inter-agency coordination
• Sustainability of Health Programs
• Reemerging and new emerging disease
• Increase in Non communicable disease
• Geographical Constraints
• Traditional Beliefs
• Privatization of health services: increase quality in urban areas but
challenging for rural and remote regions