This document is a term paper submitted to fulfill partial requirements for a Bachelor of Public Health degree. It discusses occupational health and safety policies in Nepal. The paper acknowledges those who helped and supported the students. It has objectives to study the health burden of occupational conditions in Nepal, examine workplace safety policies, and assess major occupations. The methodology describes using secondary sources like reviewing documents from the Ministry of Labour and ILO. The findings report that occupational accidents cause around 200 deaths annually in Nepal. Agriculture, services and construction are major industries with varying workplace standards. Nepal's Labour Act of 1992 covers compensation, leave, and some safety measures. Recent plans aim to improve training and inspections. The conclusion states that current policy is guided by the Labour
1. The document discusses the differences between public health, environmental health, and occupational health. It then focuses on occupational health and safety problems in Nepal.
2. Major issues discussed include high rates of work-related injuries among farmers in Nepal, respiratory issues among workers in brick kilns, carpet factories, and sawmills due to dust exposure, and various health problems observed among child workers in small-scale industries.
3. Occupational health and safety in Nepal is an emerging issue, as the country's labor laws have only recently begun addressing workplace conditions and compensation for work-related illnesses. Implementation and enforcement remain challenges.
This document outlines policies related to occupational health in Nepal. It discusses how occupational health deals with health and safety in the workplace, aiming to prevent hazards. An occupational health policy protects workers' health, safety and welfare by ensuring clean work areas, protective equipment and training. Nepal's main labor laws covering working conditions, safety and health are the Labor Act of 1992 and Labor Rules of 1993. The Labor Act includes provisions for sanitation, ventilation, lighting, maximum work hours, holidays, minimum wage, and accident prevention. The Nepalese government allocates about 20 million rupees annually for occupational safety and health programs that provide training, awareness, inspections and evaluations.
Critical review of occupational safety and health in Nepal.sirjana Tiwari
This document summarizes labor laws and occupational safety and health policies and practices in Nepal. It discusses the Labor Act of 2048 (1992), which covers issues like working conditions, worker welfare, safety, health, and dispute resolution. It applies to workplaces with 10 or more employees. Other relevant policies include the Interim Constitution of 2064-2067 and the National Labor and Employment Policy of 1996. The document also discusses implementation of occupational safety and health standards through the National Occupational Safety and Health Project, and Nepal's adoption of ILO conventions. It analyzes challenges in implementation in the construction and industrial sectors.
Occupational health and safety (OSH) aims to promote and maintain worker well-being in all occupations by preventing health issues caused by working conditions, protecting workers from workplace risks, and ensuring a healthy work environment. In Nepal, OSH is still a relatively new concept, with few industries maintaining occupational standards. Common occupational hazards in Nepal include unsafe working conditions, lack of training and supervision, outdated equipment, and violation of safety rules. While OSH principles call for prevention, protection, information sharing, and health promotion, barriers to sound OSH in Nepal include lack of awareness, poor consultation, and no safety culture among both workers and management. OSH is applied to improve worker rights, establish safety policies, provide compensation,
Nepal Health Sector Program Implementation Plan II (NHSP-IP2)Dip Narayan Thakur
The document summarizes Nepal's Health Sector Implementation Plan II (NHSP-IP II). NHSP-IP II aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and utilization of essential health services. It reviewed achievements and shortcomings of NHSP-IP I and outlined NHSP-IP II's vision, goals, strategies, and financing plans. Key points included reducing morbidity and mortality through accessible, affordable, quality care; addressing sustainability issues in health financing; and achieving greater efficiency through health systems strengthening. Progress was made in areas like immunization and maternal health, but challenges remained around nutrition, non-communicable diseases, and equity gaps.
A presentation on health education, information and communicationsachinpokharel97
The National Health Education, Information and Communication Centre (NHEICC) is responsible for health promotion, education and communication programs in Nepal. It supports national health goals and SDGs through decentralized communication programs. Major activities of NHEICC include developing guidelines and materials, broadcasting messages, and supervising district-level production of IEC materials and health programming. In the last year, over 1 million print materials were distributed and over 80,000 broadcasts were aired. Issues include inadequate compliance with communication policies, limited focus on non-communicable diseases, and programs not reaching all areas. Recommendations include following the National Health Communication Policy, increasing demand generation and online dissemination, and providing adequate budgets.
1. The document discusses the differences between public health, environmental health, and occupational health. It then focuses on occupational health and safety problems in Nepal.
2. Major issues discussed include high rates of work-related injuries among farmers in Nepal, respiratory issues among workers in brick kilns, carpet factories, and sawmills due to dust exposure, and various health problems observed among child workers in small-scale industries.
3. Occupational health and safety in Nepal is an emerging issue, as the country's labor laws have only recently begun addressing workplace conditions and compensation for work-related illnesses. Implementation and enforcement remain challenges.
This document outlines policies related to occupational health in Nepal. It discusses how occupational health deals with health and safety in the workplace, aiming to prevent hazards. An occupational health policy protects workers' health, safety and welfare by ensuring clean work areas, protective equipment and training. Nepal's main labor laws covering working conditions, safety and health are the Labor Act of 1992 and Labor Rules of 1993. The Labor Act includes provisions for sanitation, ventilation, lighting, maximum work hours, holidays, minimum wage, and accident prevention. The Nepalese government allocates about 20 million rupees annually for occupational safety and health programs that provide training, awareness, inspections and evaluations.
Critical review of occupational safety and health in Nepal.sirjana Tiwari
This document summarizes labor laws and occupational safety and health policies and practices in Nepal. It discusses the Labor Act of 2048 (1992), which covers issues like working conditions, worker welfare, safety, health, and dispute resolution. It applies to workplaces with 10 or more employees. Other relevant policies include the Interim Constitution of 2064-2067 and the National Labor and Employment Policy of 1996. The document also discusses implementation of occupational safety and health standards through the National Occupational Safety and Health Project, and Nepal's adoption of ILO conventions. It analyzes challenges in implementation in the construction and industrial sectors.
Occupational health and safety (OSH) aims to promote and maintain worker well-being in all occupations by preventing health issues caused by working conditions, protecting workers from workplace risks, and ensuring a healthy work environment. In Nepal, OSH is still a relatively new concept, with few industries maintaining occupational standards. Common occupational hazards in Nepal include unsafe working conditions, lack of training and supervision, outdated equipment, and violation of safety rules. While OSH principles call for prevention, protection, information sharing, and health promotion, barriers to sound OSH in Nepal include lack of awareness, poor consultation, and no safety culture among both workers and management. OSH is applied to improve worker rights, establish safety policies, provide compensation,
Nepal Health Sector Program Implementation Plan II (NHSP-IP2)Dip Narayan Thakur
The document summarizes Nepal's Health Sector Implementation Plan II (NHSP-IP II). NHSP-IP II aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and utilization of essential health services. It reviewed achievements and shortcomings of NHSP-IP I and outlined NHSP-IP II's vision, goals, strategies, and financing plans. Key points included reducing morbidity and mortality through accessible, affordable, quality care; addressing sustainability issues in health financing; and achieving greater efficiency through health systems strengthening. Progress was made in areas like immunization and maternal health, but challenges remained around nutrition, non-communicable diseases, and equity gaps.
A presentation on health education, information and communicationsachinpokharel97
The National Health Education, Information and Communication Centre (NHEICC) is responsible for health promotion, education and communication programs in Nepal. It supports national health goals and SDGs through decentralized communication programs. Major activities of NHEICC include developing guidelines and materials, broadcasting messages, and supervising district-level production of IEC materials and health programming. In the last year, over 1 million print materials were distributed and over 80,000 broadcasts were aired. Issues include inadequate compliance with communication policies, limited focus on non-communicable diseases, and programs not reaching all areas. Recommendations include following the National Health Communication Policy, increasing demand generation and online dissemination, and providing adequate budgets.
The document presents the key aspects of India's National Health Policy of 2017. The policy was introduced to address the changing health priorities in India and the growing burden of non-communicable diseases. It aims to achieve universal health coverage and increase trust in the public health system by focusing on quality. The policy's objectives include progressively achieving universal health coverage and increasing life expectancy to 70 years by 2025. It proposes increasing public health expenditure to 2.5% of GDP and focuses on preventive healthcare, communicable diseases, mental health, and programs for mothers, children, adolescents and immunization. The conclusion emphasizes developing new vaccines and digital tools to improve healthcare efficiency.
Health education and promotion in nepalAmrit Dangi
This document discusses the history of health promotion and education in Nepal. It outlines key initiatives from ancient times through the modern era. Some of the major developments include the use of Ayurveda practices in ancient times, plague elimination efforts by missionaries in medieval times, the introduction of vaccination and sanitation campaigns in the Rana regime, and the establishment of the National Health Education Information and Communication Centre in 1993 to coordinate health promotion programs. The document shows how health promotion has increasingly become a priority and systematic part of national health plans and policies over time in Nepal.
The National Health Education, Information and Communication Center (NHEICC) was established in 1993 as the top health program in Nepal. It aims to raise health awareness, promote health, and change behaviors through integrated education and communication. NHEICC has five sections and is responsible for organizing advocacy, developing health policies and strategies, and disseminating health messages through various media channels. It conducts a variety of activities at the national, regional, district, and community levels, including producing educational materials, implementing media campaigns, and providing training to health workers.
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.
Human Resource for Health (HRH) refers to all people engaged in actions that enhance health, including clinical staff, public health professionals, researchers, community health workers, and health management personnel. HRH is critical for achieving universal health coverage and sustainable development goals. Key HRH indicators tracked by WHO include the number of health workers per 10,000 population and their distribution by occupation, region, workplace, and gender. Nepal faces significant shortages and maldistribution of HRH compared to WHO recommendations, with only 16 health workers per 10,000 people and most located in the hills, despite half the population living in the Terai. Strengthening HRH production and deployment is vital to improving health system access and quality in Nepal.
The document discusses various indicators used to measure development, including economic indicators like GDP and social indicators like life expectancy. It explains that composite indicators which combine multiple factors, like the Human Development Index, provide a more comprehensive picture of a country's development level than any single indicator. Reasons for differences in development levels between countries include natural resources, industrialization, political stability, location, and access to trade. Within countries, there are also often disparities between urban and rural areas in terms of access to services.
Review of health planning &budgeting from province to local level in federal ...Mohammad Aslam Shaiekh
The document reviews the current health service planning system from the province to local level in Nepal.
At the local level, there is a system of top-down and bottom-up approaches for program and budget planning. The health facilities provide services and local health committees provide input into planning and prioritization.
At the provincial level, the health directorate oversees health offices in the districts and reviews and approves local health budgets and plans. The provincial health directorate then sends the provincial health program and budget to the Ministry of Social Development for approval before being sent to the federal government.
The planning process involves input from the community level up to the provincial and federal levels over a period of months, with local
The Nepal Health Sector Strategy (NHSS) 2015-2020 provides strategic guidance for the health sector over five years. Its goal is to improve health status through accountable and equitable health services. NHSS outlines nine outcomes, including rebuilding health systems and improving quality of care. It identifies key outputs needed to achieve each outcome, along with interventions, indicators, targets, data sources, and timelines to monitor progress in strengthening Nepal's health sector.
The document discusses elderly health policy in Nepal. It provides definitions of elderly according to WHO and Nepali law. The global population of elderly is growing rapidly and will double by 2050. In Nepal, the elderly population is also increasing and was 9.1% in 2011. There are several policies and programs in Nepal aimed at healthcare, income support, and homes for the elderly. However, implementation of policies remains a challenge, especially at the local level.
The document outlines the organizational structure and roles of Nepal's central health services. It describes three departments under the Ministry of Health: Department of Health Services, Department of Ayurveda, and Department of Drug Administration. The Department of Health Services has seven divisions that oversee areas like management, child health, and primary care. It also operates several centers for tuberculosis control, health training, public health laboratories, and AIDS/STD control. The organizational structure extends from the central level down to regional, district, and local health facilities. The central level determines resources and plans while lower levels provide services and refer patients within the network.
HEALTH SECTOR REFORMS- INDIA
Slides contain;
Reforms & Health System
Definition- HSR
Introduction
Financial reforms
Structural re-organization
Communication
Quality Assurance
Convergence
Public Private Partnership
Ways forward for effective HSR
Conclusion and points for Consideration
End
This document analyzes Nepal's human resources for health, including production, distribution, and skill mix of health workers. It finds that Nepal faces critical shortages of health workers, especially in rural areas. While pre-service training output has increased, distribution remains uneven, with vacancies as high as 38% for doctors and 10% for nurses. The skill mix is also inadequate, with many primary health centers and rural hospitals lacking essential cadres like doctors, nurses, and technicians. Recommendations include better coordinating training with needs, strengthening workforce data and monitoring, incentivizing rural hiring, and revising staffing norms to address gaps.
This document discusses health systems strengthening from a global perspective. It defines health systems strengthening as initiatives that improve the core functions or "building blocks" of a health system, with the goal of permanently improving system performance rather than just filling gaps. The document distinguishes between supporting a health system through improving inputs versus strengthening it by facilitating comprehensive changes to performance drivers. It identifies key priorities for facilitating health systems strengthening as the health workforce, cost-effective primary health care interventions and service delivery models, progressive decentralization, results-based financing, and enhanced integrated management approaches.
This document outlines a presentation on Nepal's National Health Policy 2071, which was approved in July 2014. It provides background on Nepal's past health experiences, current health context, and key problems and challenges in the health system. The presentation describes the need for a new health policy to address these issues. The policy's vision, mission, goals, and 14 policy areas with 120 total strategies are summarized. The presentation also discusses organizational management, financial sources, monitoring, risks, and new areas addressed by the new health policy.
Universal health coverage aims to ensure everyone has access to health services without facing financial hardship. World Health Day 2022's theme focuses on achieving universal health coverage for everyone everywhere. India's Ayushman Bharat program aims to achieve this through two pillars - providing basic health services through health centers and providing insurance coverage for serious illnesses for poor families. Realizing universal coverage requires addressing issues like inadequate resources, uneven quality of care, and high out-of-pocket costs that push people into poverty.
The current five year plan in Nepal's health services aims to increase rural access to basic primary health services and doctors. It focuses on effective implementation of population control through mother and child health and family planning services. The plan also seeks to develop specialized health services within the country. Key targets include establishing more health posts, primary health care centers, and Ayurvedic dispensaries. It also aims to reduce the total fertility rate and cases of leprosy.
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).
The document provides background information on Nepal's health system. Some key points:
- Nepal is transitioning to a federal democratic republic after a period of political instability and has set a goal to graduate from least developed country status by 2022.
- It faces challenges of poverty, inequality, and a high burden of disease. The health system provides services through a three-tier structure at the federal, provincial, and local levels.
- Financing comes from various sources including government spending which allocates a portion of its budget to health but this share has declined in recent years despite overall spending increases. Out-of-pocket costs remain high.
Public health originated in 1840 with the first public health act passed in the UK in 1848. Professor Winslow later defined public health as "the art and science of preventing disease, prolonging life and promoting health through organizing community efforts for sanitation, health education, disease prevention and treatment."
The key functions of public health include preventing and controlling disease, protecting and promoting a healthy environment, promoting healthy behaviors, identifying community health needs, developing new methodologies and research, and ensuring health for all through policies, plans and health services.
The principles of public health emphasize collective responsibility for health, the major role of government in formulating and implementing health policies and rules, and a focus on whole populations through primary and secondary prevention
The National Health Policy was adopted in 1991 in Nepal with the primary objective of extending primary health care services to the rural population. It had 15 components including preventive, promotive, and curative health services. Some key achievements include establishing new sub-health posts and primary health centers in all districts to improve access to basic services. Community participation in health services increased through over 50,000 female community health volunteers. However, some targets around hospital expansion and developing specialized services were not fully realized. Overall the policy helped reduce child mortality but challenges remain around human resource development, management, and inter-sectoral coordination.
The document presents the key aspects of India's National Health Policy of 2017. The policy was introduced to address the changing health priorities in India and the growing burden of non-communicable diseases. It aims to achieve universal health coverage and increase trust in the public health system by focusing on quality. The policy's objectives include progressively achieving universal health coverage and increasing life expectancy to 70 years by 2025. It proposes increasing public health expenditure to 2.5% of GDP and focuses on preventive healthcare, communicable diseases, mental health, and programs for mothers, children, adolescents and immunization. The conclusion emphasizes developing new vaccines and digital tools to improve healthcare efficiency.
Health education and promotion in nepalAmrit Dangi
This document discusses the history of health promotion and education in Nepal. It outlines key initiatives from ancient times through the modern era. Some of the major developments include the use of Ayurveda practices in ancient times, plague elimination efforts by missionaries in medieval times, the introduction of vaccination and sanitation campaigns in the Rana regime, and the establishment of the National Health Education Information and Communication Centre in 1993 to coordinate health promotion programs. The document shows how health promotion has increasingly become a priority and systematic part of national health plans and policies over time in Nepal.
The National Health Education, Information and Communication Center (NHEICC) was established in 1993 as the top health program in Nepal. It aims to raise health awareness, promote health, and change behaviors through integrated education and communication. NHEICC has five sections and is responsible for organizing advocacy, developing health policies and strategies, and disseminating health messages through various media channels. It conducts a variety of activities at the national, regional, district, and community levels, including producing educational materials, implementing media campaigns, and providing training to health workers.
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.
Human Resource for Health (HRH) refers to all people engaged in actions that enhance health, including clinical staff, public health professionals, researchers, community health workers, and health management personnel. HRH is critical for achieving universal health coverage and sustainable development goals. Key HRH indicators tracked by WHO include the number of health workers per 10,000 population and their distribution by occupation, region, workplace, and gender. Nepal faces significant shortages and maldistribution of HRH compared to WHO recommendations, with only 16 health workers per 10,000 people and most located in the hills, despite half the population living in the Terai. Strengthening HRH production and deployment is vital to improving health system access and quality in Nepal.
The document discusses various indicators used to measure development, including economic indicators like GDP and social indicators like life expectancy. It explains that composite indicators which combine multiple factors, like the Human Development Index, provide a more comprehensive picture of a country's development level than any single indicator. Reasons for differences in development levels between countries include natural resources, industrialization, political stability, location, and access to trade. Within countries, there are also often disparities between urban and rural areas in terms of access to services.
Review of health planning &budgeting from province to local level in federal ...Mohammad Aslam Shaiekh
The document reviews the current health service planning system from the province to local level in Nepal.
At the local level, there is a system of top-down and bottom-up approaches for program and budget planning. The health facilities provide services and local health committees provide input into planning and prioritization.
At the provincial level, the health directorate oversees health offices in the districts and reviews and approves local health budgets and plans. The provincial health directorate then sends the provincial health program and budget to the Ministry of Social Development for approval before being sent to the federal government.
The planning process involves input from the community level up to the provincial and federal levels over a period of months, with local
The Nepal Health Sector Strategy (NHSS) 2015-2020 provides strategic guidance for the health sector over five years. Its goal is to improve health status through accountable and equitable health services. NHSS outlines nine outcomes, including rebuilding health systems and improving quality of care. It identifies key outputs needed to achieve each outcome, along with interventions, indicators, targets, data sources, and timelines to monitor progress in strengthening Nepal's health sector.
The document discusses elderly health policy in Nepal. It provides definitions of elderly according to WHO and Nepali law. The global population of elderly is growing rapidly and will double by 2050. In Nepal, the elderly population is also increasing and was 9.1% in 2011. There are several policies and programs in Nepal aimed at healthcare, income support, and homes for the elderly. However, implementation of policies remains a challenge, especially at the local level.
The document outlines the organizational structure and roles of Nepal's central health services. It describes three departments under the Ministry of Health: Department of Health Services, Department of Ayurveda, and Department of Drug Administration. The Department of Health Services has seven divisions that oversee areas like management, child health, and primary care. It also operates several centers for tuberculosis control, health training, public health laboratories, and AIDS/STD control. The organizational structure extends from the central level down to regional, district, and local health facilities. The central level determines resources and plans while lower levels provide services and refer patients within the network.
HEALTH SECTOR REFORMS- INDIA
Slides contain;
Reforms & Health System
Definition- HSR
Introduction
Financial reforms
Structural re-organization
Communication
Quality Assurance
Convergence
Public Private Partnership
Ways forward for effective HSR
Conclusion and points for Consideration
End
This document analyzes Nepal's human resources for health, including production, distribution, and skill mix of health workers. It finds that Nepal faces critical shortages of health workers, especially in rural areas. While pre-service training output has increased, distribution remains uneven, with vacancies as high as 38% for doctors and 10% for nurses. The skill mix is also inadequate, with many primary health centers and rural hospitals lacking essential cadres like doctors, nurses, and technicians. Recommendations include better coordinating training with needs, strengthening workforce data and monitoring, incentivizing rural hiring, and revising staffing norms to address gaps.
This document discusses health systems strengthening from a global perspective. It defines health systems strengthening as initiatives that improve the core functions or "building blocks" of a health system, with the goal of permanently improving system performance rather than just filling gaps. The document distinguishes between supporting a health system through improving inputs versus strengthening it by facilitating comprehensive changes to performance drivers. It identifies key priorities for facilitating health systems strengthening as the health workforce, cost-effective primary health care interventions and service delivery models, progressive decentralization, results-based financing, and enhanced integrated management approaches.
This document outlines a presentation on Nepal's National Health Policy 2071, which was approved in July 2014. It provides background on Nepal's past health experiences, current health context, and key problems and challenges in the health system. The presentation describes the need for a new health policy to address these issues. The policy's vision, mission, goals, and 14 policy areas with 120 total strategies are summarized. The presentation also discusses organizational management, financial sources, monitoring, risks, and new areas addressed by the new health policy.
Universal health coverage aims to ensure everyone has access to health services without facing financial hardship. World Health Day 2022's theme focuses on achieving universal health coverage for everyone everywhere. India's Ayushman Bharat program aims to achieve this through two pillars - providing basic health services through health centers and providing insurance coverage for serious illnesses for poor families. Realizing universal coverage requires addressing issues like inadequate resources, uneven quality of care, and high out-of-pocket costs that push people into poverty.
The current five year plan in Nepal's health services aims to increase rural access to basic primary health services and doctors. It focuses on effective implementation of population control through mother and child health and family planning services. The plan also seeks to develop specialized health services within the country. Key targets include establishing more health posts, primary health care centers, and Ayurvedic dispensaries. It also aims to reduce the total fertility rate and cases of leprosy.
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).
The document provides background information on Nepal's health system. Some key points:
- Nepal is transitioning to a federal democratic republic after a period of political instability and has set a goal to graduate from least developed country status by 2022.
- It faces challenges of poverty, inequality, and a high burden of disease. The health system provides services through a three-tier structure at the federal, provincial, and local levels.
- Financing comes from various sources including government spending which allocates a portion of its budget to health but this share has declined in recent years despite overall spending increases. Out-of-pocket costs remain high.
Public health originated in 1840 with the first public health act passed in the UK in 1848. Professor Winslow later defined public health as "the art and science of preventing disease, prolonging life and promoting health through organizing community efforts for sanitation, health education, disease prevention and treatment."
The key functions of public health include preventing and controlling disease, protecting and promoting a healthy environment, promoting healthy behaviors, identifying community health needs, developing new methodologies and research, and ensuring health for all through policies, plans and health services.
The principles of public health emphasize collective responsibility for health, the major role of government in formulating and implementing health policies and rules, and a focus on whole populations through primary and secondary prevention
The National Health Policy was adopted in 1991 in Nepal with the primary objective of extending primary health care services to the rural population. It had 15 components including preventive, promotive, and curative health services. Some key achievements include establishing new sub-health posts and primary health centers in all districts to improve access to basic services. Community participation in health services increased through over 50,000 female community health volunteers. However, some targets around hospital expansion and developing specialized services were not fully realized. Overall the policy helped reduce child mortality but challenges remain around human resource development, management, and inter-sectoral coordination.
Nepalese history is divided into three eras: Ancient (1st century to 879 AD), Medieval (879 AD to 1768 AD), and Modern (1769 AD onwards). During the Ancient era, references were made to healthcare facilities. The Medieval era saw the establishment of traditional medicine dispensaries. Modern allopathic medicine was introduced by Christian missionaries in the 1600s but discontinued after their expulsion. The modern era saw the appointment of British resident physicians and establishment of hospitals under the Ranas and post-democracy. Healthcare has expanded from isolated efforts to a nationalized system through various historical periods.
Occupational health and safety- basic concepts Stefan Kovacs
The document provides an overview of occupational health and safety concepts. It discusses hazards, risks, incidents, accidents, and the importance of safety training. It emphasizes that training is crucial to avoid risks and protect workers, and that good training requires engaging content that is understandable, likable, and retainable. Training should cover general safety rules as well as specific rules for particular jobs.
Occupational Health & Safety PresentationMark Zeeman
Presentation to (New & Old) employees on OH & S issues. An informed package to refresh & introduce others to issues involved within the workplace. It is focused on everyday issues occuring in work. Provides an awareness of rights & responsibilities of employees & employers. It is expected that any issues unresolved will be voiced objectively as possible. The overall intent is to provide a campaign on issues in both safety and health.
Occupational Health and Safety Powerpoint PresentationJoLowe72
This is a Powerpoint Presentation I have been asked to prepare as part of my assessment for the Certificate 3 in Multimedia at Tastafe, Alanvale, Launceston.
This document contains the resume of Mohamed Hanafiahzaki Zaki, who has over 8 years of experience as a Safety and Health Officer in Malaysia. He has worked for several construction and manufacturing companies, with responsibilities including implementing safety policies and programs, conducting inspections, investigating accidents, and ensuring compliance with relevant regulations. He holds professional certifications in safety and health and scheduled waste management.
Workers' health and safety is an important asset , it enhances the productivity, efficiency, quality of every industry if well maintained. Construction material producer are vital industries from where supplying the demand of emerging construction materials to infrastructure and habitat projects as per projects' need. These industries employing lot of workers but they are not being worry about health and safety. Different convention of ILO as well as WHO have emphasizes to respond the issues related workers health and safety. Nepal had not yet ratified ILO convention No. 155 on occupational safety and health. Therefore lot of death, fatalities are suffered due to health and safety. It is important asset of workers that must be taken seriously by all stake holders as well as the nation. To make civilize society, all should be aware about every one's health and safety that too, workers health of safety is very important issues in every industry.
The document discusses occupational safety and health practices and programs at the Malaysian Road Transport Department. It includes sections on their occupational safety and health policy, the importance of a safety document system for identifying hazards and guidance, use of safety signage and labels, a national physical fitness test for workers, and an annual family day event to strengthen relationships among employees and their families. The policy and programs are aimed at providing a safe workplace and complying with Malaysian safety regulations for the road transport industry.
Environmental Health and Safety Management System in Different Industries in ...Mozakkir Azad
This document provides an overview of environmental health and safety (EHS) management systems in different industries in Bangladesh. It discusses key topics such as the history of health and safety management, common occupational diseases and hazards, the stages of an EHS management system, and features of an EHS management system including safety event reporting, corrective and preventive action, inspections, observations, compliance management, and risk management. It also examines occupational safety and health regulations in Bangladesh, outlining the roles of organizations like the International Labour Organization and Bangladeshi industry associations. Finally, it explores challenges and importance of occupational safety and health management in Bangladeshi industries.
Prakash V. Subramaniam is a registered EHS practitioner with over 12 years of experience in occupational safety and health. He currently works as a Senior Safety and Health Officer at On Semiconductor, where he supervises emergency response teams and ensures safety compliance. Previously he held roles in safety supervision and as a manufacturing specialist. Prakash has an engineering background and various safety certifications.
This resume is for Babatunde Sunday Adekunle, who has over 8 years of experience in health and safety roles for large projects. He holds qualifications in project management, health and safety, and electrical engineering. His experience includes roles in a bank and an oil and gas company, where he performed duties like developing health and safety plans, conducting risk assessments, emergency response planning, and ensuring regulatory compliance. He aims to utilize his expertise in areas like project management, systems engineering, and quality assurance.
National Occupational Safety and Health (OSH) Profile.pptxpranabdahal1
The document discusses priorities for developing occupational safety and health (OSH) programming in Nepal. It identifies key priority areas including policy implementation, administrative capacity, and compliance. Specifically, it notes weaknesses in Nepal's OSH legal framework, lack of enforcement of OSH standards and regulations, limited inspection capabilities, inadequate data collection on injuries/diseases, and understaffing of OSH positions in the government. The document argues that addressing these priority areas through strengthened policies, implementation, and administrative capacity will help improve OSH practices in Nepal.
Akash Mohapatra is seeking a position in workplace safety, health, and environment. He has over 13 years of experience in integrated management systems including quality, occupational health and safety, and environmental management. He is a certified lead auditor and internal auditor. His career includes positions as a lecturer in environmental sciences and as a safety officer and manager at various industrial organizations. He has extensive experience developing and implementing safety, health, and environmental programs and training.
This document summarizes an internship with an environmental consultancy firm. The interns assisted with preparing environmental impact assessment reports for various projects in industries like sugar, infrastructure, and chemicals. They studied the EIA process and relevant notifications, and learned how to assess impacts of projects on air, noise, water, ecology, and socioeconomics. The interns also conducted a traffic survey and visited the consultancy's laboratory. They recommended strategies for the consultancy to maintain business as some projects may no longer require environmental clearance. The internship provided valuable experience in practical aspects of EIA consultancy.
Final Internship Report by kiyimba Bill (International University Of East Afr...Bill Kiyimba
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1. ‘‘POLICY RELATED TO OCCUPATIONAL HEALTH AND SAFETY IN NEPAL’’
A Term paper submitted to fulfill the partial requirement of BPH Sixth Semester
[TPP 23.1 Applied Environment and Occupational Health-II]
Submitted To
Department of Public Health
LA GRANDEE International College
Simalchour, Pokhara
2013
Submitted By
SAgun PAudel
Deepika Gaire
Sarala Kumal
Renuka Ojha
1
2. ACKNOWLEDGEMENT
The students of Bachelor of Public Health 6th semester like to express our humbly thanks to all
those who have supported and helped us in accomplishing this term paper in the topic ‘‘Policy
related to Occupational Health and Safety in Nepal’’.
First of all we would like to thank our respected subject teacher Mr. Jeewan Paudel for giving us
opportunity to prepare this term paper. We are fully indebted to our coordinator Mr. Nandraj
Gahatraj for expert guidance, regular supervision, untiring encouragement, inspiration and
valuable suggestion and full support during preparation of term paper. We would like to convey
our heartfelt thanks to all those who were directly or indirectly concerned with this and to all our
well-wishers.
This term paper is written in simple language, with every bit of necessary information related to
the topic so that studying independently also would not find any difficulties. We think that this
effort will help every individual to understand about the information of the related topic.
i
3. TABLE OF CONTENT
ACKNOWLEDGEMENT .............................................................................................................................. i
TABLE OF CONTENT ................................................................................................................................. ii
1.
INTRODUCTION ............................................................................................................................... 1
2.
OBJECTIVES...................................................................................................................................... 2
2.1.
General objectives ................................................................................................................... 2
2.2.
Specific objectives .................................................................................................................... 2
3.
METHODOLOGY ............................................................................................................................... 3
4.
FINDING AND DISCUSSION............................................................................................................... 4
4.1.
Health Impact .......................................................................................................................... 4
4.1.1.
Global situation ................................................................................................................ 4
4.1.2.
In Nepal ........................................................................................................................... 4
4.2.
Workplace condition and Major occupation in Nepal ............................................................... 4
4.3.
Occupational Health Rules, Regulation and Policies .................................................................. 4
4.3.1.
Global situation ................................................................................................................ 4
4.3.2.
In Nepal ........................................................................................................................... 5
Labour Act 1992 ........................................................................................................................... 5
The Three Year Interim Plan (2007/08-2009/10) .......................................................................... 6
The Three Year Plan (2010/11-2012/13)....................................................................................... 6
5.
CONCLUSION AND RECOMMENDATION........................................................................................... 7
5.1.
5.2.
6.
Conclusion ............................................................................................................................... 7
Recommendation..................................................................................................................... 7
REFERENCES .................................................................................................................................... 7
ii
4. 1. INTRODUCTION
The International Labor Organization (ILO) and the World Health Organization (WHO) have
shared a common definition of occupational health. This definition was adopted by the Joint
ILO/WHO Committee on Occupational Health at its first session in 1950 and revised at its
twelfth session in 1995. The definition reads: "Occupational health should aim at: the promotion
and maintenance of the highest degree of physical, mental and social well-being of workers in all
occupations; the prevention amongst workers of departures from health caused by their working
conditions; the protection of workers in their employment from risks resulting from factors
adverse to health; the placing and maintenance of the worker in an occupational environment
adapted to his physiological and psychological capabilities; and, to summarize, the adaptation of
work to man and of each man to his job."
Occupational health deals with all aspects of health and safety in the workplace and has a
strong focus on primary prevention of hazards. The health of the workers has several
determinants, including risk factors at the workplace leading to cancers, accidents,
musculoskeletal diseases, respiratory diseases, hearing loss, circulatory diseases, stress related
disorders and communicable diseases and others. Occupational Safety and Health (OSH) is a
cross-disciplinary area concerned with protecting the safety, health and welfare of people
engaged in work or employment.
An occupational health policy is a plan of action primarily concerned with protecting the
health, safety, and welfare of persons at work. The policies typically are designed to protect
workers from hazardous work environments by ensuring clean work areas, the use of protective
equipment and assuring employees are properly trained.
The policies may also include provisions to protect customers and nearby communities. Often,
governmental agencies, such as the Occupational Health and Safety Administration (OSHA) in
the United States, oversee and enforce the regulations throughout the world. Occupational health
policies normally require employers to maintain certain standards in their workplace. The usual
requirements revolve around maintaining a generally safe environment, protective equipment
when necessary, and training employees in the proper use of handling equipment.
1
5. 2. OBJECTIVES
2.1.General objectives
To study the Policies related to Occupational Health and safety in Nepal.
2.2.Specific objectives
To study the health burden of occupation related conditions.
To study the situation of occupational health and safety in Nepal.
To study the occupation and working condition in Nepal.
2
6. 3. METHODOLOGY
To prepare this term paper Google was used to retrieve journal and articles. The articles related
to occupational health are downloaded and studied.. To collect the further information advanced
Google search was also done and various books from library were also studied for the
preparation of the term paper. This report was prepared by using various secondary data sources
available on internet. The websites of ministry of labour and transportation, national law
commission, International Labour Organization, WHO were visited and the relevant documents
are studies.
3
7. 4. FINDING AND DISCUSSION
4.1.Health Impact
4.1.1. Global situation
Two million people die every year from work-related accidents and diseases. An estimated 160
million people suffer from work-related diseases. There are an estimated 270 million fatal and
non-fatal work-related accidents per year. In economic terms, the ILO has estimated that 4% of
the world's annual GDP is lost as a consequence of occupational diseases and accidents.
4.1.2. In Nepal
It is estimated that each year approximately 20,000 workers suffers from accidents at workplace
which lead to about 200 lives lost in Nepal.
4.2.Workplace condition and Major occupation in Nepal
The workforce in Nepal is largely engaged in informal sectors, such as agriculture and service
industries. The industrial set-up is dominated by medium-sized and household-level industries;
very few large-scale industries are in operation. Construction industry workers are involved in
different activities (construction of building, road, bridges, power house, irrigation system, and
sewage, etc). Further, in a building construction workers involve as their specialization in
different works - technician, mason, carpenter, labour, scaffolding, rod binder, RCC work,
electrician, plaster, plumber, laying chips, marble and tiles, brick making, stone quarrying, etc.
The work environment (light, temperature, ventilation, sound, etc.) differs as of the nature of
product produced by the establishment. But no single establishment in Nepal are meeting
necessary standard of the work place though some of the management claimed their work place
is international standard.
4.3.Occupational Health Rules, Regulation and Policies
4.3.1. Global situation
OSH is the science of anticipation, recognition, evaluation and control of hazards arising in or
from the workplace which could impair the health and well-being of workers, also impacts the
surrounding communities and the environment. Though the International Labor Organization
(ILO) has maintained and developed a system of international labor standards since 1919 which
aimed at promoting opportunities for decent and productive work, in conditions of freedom,
equity, security and dignity.
The ILO Constitution sets forth the principle that workers should be protected from sickness,
disease and injury arising from their employment. The ILO has adopted more than 40 standards
specifically dealing with occupational safety and health, as well as over 40 Codes of Practice.
Nearly half of ILO instruments deal directly or indirectly with occupational safety and health
issues. Prior to the passage of the Occupational Safety and Health Act in 1970 in the United
States, American workers had little protection in the workplace.
4
8. Most industrialized countries have developed an occupational health policy that protects the
safety of their employees. The European Union Occupational Safety and Health Administration
(EU-OSHA) formed in 1996 out of Bilbao, Spain. The Korean safety organization, known as
KOSHA, went into effect in 1986. New provisions in this law relate to special benefits for
workers employed in construction, transport, hotels, tea estates and travel establishments and
those engaged in tourist business such as trekking, rafting and jungle safari.
4.3.2. In Nepal
The concept of OSH in Nepal is in its initial stage. The notion of OSH in Nepal has not been able
to educate about its principle and ideologies at all level. The OSH sector in Nepal has three
major identified sectors:
government,
the industries/ employers and
The work force/labor unions.
The government of Nepal has enforced concepts of OSH through its Labor Act 1992; it has
highlighted few issues and provisions on working hours, physical infrastructural setup, yearly
medical examination and provisions of safety measures in work etc.
The concept of working conditions, occupational safety and health of the workers is quite a new
concept even to the oldest industry of Nepal, although there were some studies in relation to
different aspects of various industries. Only a few studies specific to working conditions in
industry, including the jute industry of Nepal, have been conducted so far.
After the restoration of a multi-party system in Nepal, Government of Nepal has begun to pay
more attention to industrial working conditions and environment by enacting and enforcing the
new Labor Act,2048 (1992). The main labour laws in Nepal covering working conditions, safety
and health are the Labour Act, 2048(1992) and Labour Rules, 2050(1993). The Labour Act
contains provisions on conditions of work, workmen's compensation, leave and holidays, safety
and health, minimum wage fixation and settlement of labour disputes. The Labor Act and its
subsidiary rules, Bonus Act and rules, are the main labor laws in the country, which cover
working conditions, welfare of workers, safety and health, and industrial disputes. The Labor Act
contains provisions on conditions of work, workmen's compensation, leave and holidays, safety
and health, minimum wage fixation and settlement of labor disputes. The coverage of the Labor
Act is confined to establishments employing ten or more workers.
Labour Act 1992
Enactment of Labour Act 1992 and its regulation (1993) is only the legal document that covers
safety and health provisions of workers in industrial sector Chapter V, section 27-36 of the
Labour Act 1992 explains the health and safety of workers in the establishment. The Act has
prescribe arrangements for garbage management; provision of modern toilets; supply of adequate
safe drinking water; provision of appropriate volume of ventilation, condition of light,
temperature and sound; protection from dust; smoke, fumes and other impurities; avoidance of
5
9. overcrowding in any room of the establishment and provision of extinguishing fire. The Act also
includes the provision of medical check-up for the workers at least once a year in the
establishment which are hazard prone.
It ensures the provision of first aid in industrial enterprises with more than 50 employees, and an
academically trained medical assistant in the case of industrial enterprises with more than 400
workers. If an industrial enterprise has more than 1,000 employees, there should be a medical
doctor and a medical assistant.
It also suggests a number of preventive measures such as – protection of eyes, protection against
chemical hazards and fire, guarding against dangerous machinery, prohibition on lifting heavy
load and safety measures for pressure plants. The Act further mentions provision for compulsory
notice of any kind of accident or disease to the concerned labour office.
Section 5 of Chapter II of the Labor Act restricts to employ to work any minor or a woman
unless otherwise prescribed during the hours between 6.00 pm and 6.00 am. It limits the working
hours for adults to no more than eight hours a day or forty-eight hours a week. It provides for a
weekly holiday with pay and compulsory intervals of rest. It also provides overtime payment and
restricts to allow workers for overtime for more than four hours a day but not exceeding twenty
hours a week.
The Three Year Interim Plan (2007/08-2009/10)
It has set some strategic programs and visions to make workplace safe, healthy and productive by
promoting and developing occupational safety and health as an integral part of all the industrial
enterprises and workplace. Government of Nepal has endorsed Occupational Safety and Health
Project and allocated annual budget for it. The project sets following programs to be
implemented as the integral part of the project (NPC, 2007).
Training program on OSH for social partners.
Capacity enhancement
Training program for officers affiliated with OSH.
Orientation program for employers.
Awareness enhancement programs on industrial accidents.
Awareness program on HIV/AIDS and STDs at workplaces.
Labour education programs and
Factory inspection, monitoring and evaluation strengthening programmes.
The Three Year Plan (2010/11-2012/13)
This Approach Paper 2010 has set an objective to create healthy, safe and decent working
environment through development of cordial labour relations. This can be achieved through the
revision of the existing labour laws and developing scientific labour inspection system and
model labour offices (NPC, 2010).
6
10. 5. CONCLUSION AND RECOMMENDATION
5.1.Conclusion
The current occupational safety and health is largely guided by the Labour Act 1992 and its
regulation (1993) , The Three Year Interim Plan (2007/08-2009/10) The Three Year Plan
(2010/11-2012/13) ILO’s conventions and recommendations related to the health and safety of
the workers.
5.2.Recommendation
To make sure of the legal provisions concerning OSH, the working environment should
be secured by an adequate and appropriate system of inspection.
Awareness, education and training to the workers.
The management needs to provide necessary PPEs and maintain safe workplace by
adopting the appropriate measures to minimize the health hazards.
More research and studies are necessary to formulate occupational safety and health
guidelines.
6. REFERENCES
Occupational Safety and Health in Nepal, Dr. Sunil Kumar Joshi Grad IOSH
Available Online at http://nepjol.info/index.php/IJOSH
Current Situation of Occupational Safety and Health in Nepal, A Study Report
Prepared by Rudra Prasad Gautam, Ph D. ,Jiba Nath Prasain, Ph D.
Occupational safety and health situation in Nepal, Mr. S.N. Vaidya, Director,
Department of Labour and Employment Promotion, Kathmandu, Nepal.
Occupational health services in Nepal,Sunil Kumar Joshi, Pranab Dahal, Nepal
Nepal law Comission
International Labour Organization
http://www.who.int/
http://www.moltm.gov.np/
www.slideshare.net/sagunpaudel
THANKYOU!
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