Healthcare Governance for the Development of Health Sector in Nepal
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Paper presented at 'Nepal Development Conference: Views and Visions of Nepali Ph.D. Scholars Residing in the UK for the Development of Nepal' organised by Embassy of Nepal, London, 7 November 2020
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- Common health issues among Indian elderly include vision, hearing, joint, and dental problems as well as diseases like hypertension.
- Elderly people also face mental health issues, abuse, financial insecurity, and lack of family support.
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3) It also outlines the role of NGOs like HelpAge India in providing services and care for senior citizens.
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This document provides an overview and review of Nepal's 1991 National Health Policy and the need for a new health policy. It summarizes the key objectives and components of the 1991 policy, including priorities for preventive, promotive and curative health services. It then reviews progress made against the 1991 policy goals. Several new health policies, strategies and plans have been introduced since 1991 to address issues not covered previously. The document argues that while progress has been made in some areas, the 1991 policy is now outdated given changes over the last 20 years and a new health policy is needed.
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Public-private partnerships (PPPs) in healthcare aim to improve universal access, equity, and affordability of primary care through collaboration between government and private sectors. PPPs can help address India's shortage of healthcare professionals and facilities, which are disproportionately located in urban areas despite most of the population living rurally. Common forms of PPPs in India include contracting private providers for service delivery, outsourcing management of public facilities, health insurance schemes, and joint ventures. Successful PPPs require transparency, impartiality, value for money, integrated services, and financial viability to equitably meet public health goals through shared responsibilities between sectors.
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The document discusses implementing a quality assurance program through accreditation, health technology assessment, peer review, feedback mechanisms, and performance monitoring. It outlines PhilHealth's accreditation of different types of healthcare providers like physicians, hospitals, rural health units, and more. Minimum requirements for accreditation include 100% compliance with core indicators and 60% compliance in key areas like patient rights, care, and safety for centers, or 75% compliance in additional areas like leadership for assistant centers. The document emphasizes continuous quality improvement.
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Priority setting in healthcare is necessary to allocate limited resources to maximize health benefits. It involves ranking diseases, health conditions, and interventions based on criteria like burden of disease, cost-effectiveness, equity, and existing delivery capacity. While controversial, priority setting can be made legitimate through transparent processes that consider community needs and engage stakeholders. Frameworks provide structures to conduct priority setting exercises and address ethical challenges through criteria like accountability, participation, and appeals mechanisms. Identifying who loses out in the system through analyses like benefit incidence assessments is also important.
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Current drugs trends nuring education
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5th international congress on healthcare and hospital management
5th INTERNATIONAL CONGRESS ON HEALTHCARE AND HOSPITAL MANAGEMENT
“Innovation in Healthcare Services, Lean Management and Technological Developments”
10 -13 December 2014
www.hsyk-antalya.org
Spice Hotels & SPA, Belek, Antalya
(382751635) (382744132) 5. hcm 2014 -- 2. announcement
This document announces the 5th International Congress on Healthcare and Hospital Management to be held from December 10-13, 2014 in Antalya, Turkey. The congress will discuss innovation in healthcare services, lean management, and technological developments. Topics to be covered include lean management in healthcare, technological advancements, healthcare management, and more. It provides important dates and invites attendees to submit abstracts and poster presentations. The goals of the congress are to discuss improving health services worldwide and share knowledge and experiences in health and hospital management.
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Interprofessional care is an essential part of the health service delivery system. It helps to achieve improved care and to deliver the optimal and desired health outcomes by working together, sharing and learning skills. Health care organisation is a collective sum of many leaders and followers. Successful delivery of interprofessional care relies on the contribution of interprofessional care team
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Introduction:
Welcome to our captivating SlideShare presentation on the Special Senses, where we delve into the extraordinary capabilities that allow us to perceive and interact with the world around us. Join us on a sensory journey as we explore the intricate structures and functions of sight, sound, smell, taste, and balance.
The special senses are our primary means of experiencing and interpreting the environment, each sense providing unique and vital information that shapes our perceptions and responses. These senses are facilitated by highly specialized organs and complex neural pathways, enabling us to see a vibrant sunset, hear a symphony, savor a delicious meal, detect a fragrant flower, and maintain our equilibrium.
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Contact @ +971 529818279
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Healthcare Governance for the Development of Health Sector in Nepal
- 1. Healthcare Governance for the Development of Health Sector in Nepal Bachchu Kailash Kaini, PhD, MHA, MBA, LLB, BEd, Cert Clinical Audit Nepal Development Conference by Nepal Embassy, London Views and Visions of Nepali Ph.D. Scholars Residing in the UK for the Development of Nepal
- 2. • Committed to principles of universal health coverage • Committed to reducing the burden of poor health, especially among disadvantaged populations • Going through major changes under the Federal system • Divided accountability, power and budget • Limited resources, staff and skills • Poor quality of care and behind in the development of health sector • Disease-centric, donor driven and vertical programming Nepalese Healthcare System
- 3. Good Governance (Source: UNDP, 1997)
- 4. Healthcare Governance • It refers ‘to a wide range of steering and rule-making related functions carried out by governments/decisions makers as they seek to achieve national health policy objectives that are conducive to universal health coverage’. • It is ‘a political process that involves balancing competing influences and demands’. It includes: – maintaining the strategic direction of policy development and implementation; – detecting and correcting undesirable trends and distortions; – articulating the case for health in national development; – regulating the behaviour of a wide range of actors; and – establishing transparent and effective accountability mechanisms. (Source: WHO)
- 5. • It requires whole-of-government and whole-of- society approach • It reflects how people shape their societies in the 21st century • Health in the 21st century is evolving with the notions of health, democracy and the roles of the state and society • Health should be seen as a priority for joined-up government • Health sector recognises health as requiring greater leadership and outreach Governance for Health (Source: Governance for Health in 21st Century, WHO Europe, 2012)
- 6. • Defining roles, responsibilities & accountabilities • Building leadership • Communication and stakeholder engagement • Regulation, assurance and compliance • Managing risk and patient safety • Clinical effectiveness and evidence based practice • Improving quality of care and patient experience Healthcare Governance at Operational Level
- 7. Healthcare Governance Framework for Healthcare Institutions Healthcare Governance Risk Management Clinical Audit Clinical Effectiveness Complaint and Complement Service User and Staff Experience Compliance and Standards Stakeholder Involvement Learning and Sharing Improving Quality of Care Excellent Outcome Continuous Professional Development System and Process Accountability Transparency ©BK Kaini
- 8. • Accountability for practice • Learning from others • Involving the service users • Evidence based practice • Working with teams • Reflection of practice • Working across interfaces Healthcare Governance for Healthcare Professionals
- 9. Opportunities for Improving Health System in Nepal • Collaboration between various sectors and agencies • Empower local government • Support hospitals and health centres across the country • Educate healthcare professionals and staff • Manage resources efficiently • Promoting and maintaining population health in a participatory and inclusive way
- 10. • Formal policy, strategy and framework for healthcare governance in Nepal • Establishing a regulatory body to assess, monitor and improve quality of care • Incorporate in formal university curriculum • Integrated approach • Structure, policy and system at every healthcare organisation and organisational approach • Promote accountability and transparency • CPD, training and research Way Forward in Nepal