15th Periodic Plan of Nepal for Health and Nutrition

health and nutrition plan of 15th periodic plan of nepal
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Health and Nutrition Plan of 15th periodic plan of Nepal (2076 BS – 2080/81 BS)

Here are the major strategies, vision, goals, objectives, and course of actions of the 15th periodic plan of Nepal that can be useful to students of Class 10, XI, XII and higher relating to EPH (Environment, Population, and Health). This article can be taken as a reference to guide their study regarding the Health and nutrition plan of Nepal. The source of this article is the National Planning Commission, 15th Periodic Plan of Nepal, (Draft).

Health and Nutrition in 15th periodic plan of Nepal:

Vision:

Development of healthy, productive, responsible and happy citizens.

Goal:

Development and expansion of effective health systems at all levels and provide quality health service assurance and access to all the citizens.

Objectives:

  1. Development and Expansion of balanced and equitable health services at national, provincial and local levels.
  2. Conversion of profit-oriented health sectors to service-oriented sectors and ensure quality and efficient health service.

Strategies:

  1. Increase the access of all citizens to preventive, promotive, curative, rehabilitative and palliative health care.
  2. Development and expansion of Ayurvedic, naturopathy and other health systems.
  3. Improve the health conditions of the mother, infants, children, adolescents, and management of the family.
  4. Development of skilled manpower accountable to manage issues like population distribution, difficult geographical location and develop need-based hospitals and health institutions.
  5. Increase national investment in the health sector and promote sustainable health finance.
  6. Implementation of a multidimensional nutrition plan effectively.
  7. Production of medicines, health equipment, distribution of medicines, inventory management, and import of quality medical accessories.

The course of actions:

  1. Management of pharmaceutical waste through integration with the local and provincial governments.
  2. Commercial farming of medicinal herbs and production of modern medical equipment.
  3. Promotion of the health service at all levels and equitable health insurance to all the citizens.
  4. Implementation of ‘One school, one health personnel’ policy through collaboration with educational sectors.
  5. Promotion of personal hygiene, sanitation and quality food for the alleviation of malnutrition.
  6. Expansion of mental health services at all levels.
  7. Control of communicable as well as non-communicable, infectious diseases and promotion of health services effectively through strategic planning.

Download 15th plan of Nepal in English pdf

Here is the unofficial translation of health and nutrition plans in the fifteenth periodic plan of Nepal.

1. Background of Health and Nutrition in Nepal:

Nepal’s constitution provides every citizen with the fundamental right to receive basic health care free of charge from the state. In view of the importance of healthy and productive citizens in the development of the country, it is the responsibility of the state to ensure equitable access to quality and all-round health services through increased investment in the region. In this context, according to the concept of a public welfare state, the health sector needs to be gradually transformed from a profitable to a serviceable sector. According to the list of single and common rights of the constitution, the responsibility of health services to the union, state and local level has been placed within the union’s authority, including health policies, standards, quality, monitoring, traditional treatment services and transmission of disease control. Coordination and cooperation of the Ministry are indispensable for its effective implementation.

There is a national agenda for achieving the Sustainable Development Goals, based on the international commitments made in time, the existing policies of the Government of Nepal and the major problems, challenges and opportunities in the health and nutrition sectors. Increasing investment in modern medicine, ayurvedic, natural, homeopathic medicine, health governance, and research is needed to make the citizens healthy. In this plan, the leading role of the state and the private and cooperative sectors will have a fulfilling role in rehabilitating the health service from the people to the doorsteps.

2. Major problems:

Failure to maintain access and uniformity of quality healthcare services as expected by the people, service and manpower services and manpower cannot be adequately developed, non-receipt of investment in healthcare services, lack of modern equipment and specialist doctors as needed in government health institutions; Non-communicable diseases, malnutrition, accidents and Padajanya existing health problems remain. Non-communicable diseases, change in diet and lifestyle burden and mental health problems are a major problem to grow. Lack of coordination between manpower production and utilization related to healthcare, the emergence of human health problems due to climate change, increased food insecurity and natural calamities, increasing the biological resistance to antibiotics due to lack of proper use of antibiotics, slowing down the maternal mortality rate. About one-third of children under 6 years of age and reproductive-age of women have low marks of nutrition and health care.

3. Challenges and opportunities:

a. Establish equitable access to citizens in all areas of health, provide free quality basic health services to all locals, make healthcare available to the most disadvantaged and at-risk citizens at high priority, reduce personal spending on health care, determine financial resources and availability.

b. Consistent management of health organizations, health insurance

c. Balanced management of skilled manpower, healthy drug production being independent, solving health problems related to lifestyle.

d. Increasing urbanization, effective management and regulation of pharmaceuticals making health information systems more systematic, integrated and technology-friendly, properly addressing the demands of all levels of health information, evaluating, reviewing.

e. Policymaking and Decision Making.

The main challenges include increasing the use of statistics in action, developing a method of recording the cause of death and conducting regular research, ensuring the quality of health care and regulating good governance in the overall health and nutrition sector.

Distribute the list of health care rights between the union, state and local level of the constitution-provided state, implementation of health insurance program through policies and laws, increasing the investment in health by utilizing their own resources at the state and local level, launching new information technology, medicines, and equipment are also major changes.

4. Vision, goals, objectives, strategies, and Action Plans:

4.1 Vision:

Healthy, productive, responsible and happy citizens.

4. 2 Goal:

By developing and expanding a robust health system at all levels, access to quality healthcare at the people’s level will be ensured.

4.3 Objectives:

1. Balanced development and expansion of all types of health services at the union, state and local levels.

2. To transform the non-profit health sector into a service sector, while increasing the government’s accountability and effective regulation for accessible and quality healthcare.

3. To promote healthy living by making service providers and servicemen more accountable by increasing citizen access and consumption of health services, including regional coordination and partnerships.

4.4 Strategies and action plans:

Strategy number 1. To ensure that all citizens have access to basic and specialized and quality healthcare, including preventive, Palliative, promotional, therapeutic, restorative and cosmetic.

Courses of Actions:

a. A package and protocol will be formulated and implemented for the citizen’s access to free basic healthcare.

b. To extend the access of health services to the rural people by expanding their access to quality healthcare services, telemedicine will be developed and expanded;

c. In partnership with private and non-governmental organizations, a rehabilitation center will be established and community-based restorative and supportive services will be developed and expanded in partnership with the private and non-governmental organizations.

d. Timely vaccination services will be provided based on disease burden and cost-effectiveness. The vaccine fund will be strengthened to make vaccine services sustainable.

e. In order to maintain a good and harmonious relationship between physician/ health worker and patient through the code of conduct, promotional programs will be implemented to ensure good behavior.

f. In order to improve the quality of health care provided by health institutions of all levels, the necessary budget will be ensured by effectively implementing Nepal Health Infrastructure Development Standards and minimum service standards.

 

Strategy number 2. Planned development and extension of Ayurveda, Naturopathy and other medical methods.

Courses of Actions:

a. The structure will be constructed for the identification, collection, preservation, and promotion of locally available medicinal herbs, minerals, and zinc.

b. Listing and organizing the prevailing natural medicine, alternative, and other medical methods and services on certain criteria, establishing national Ayurveda, yoga, meditation, pranayama, psychotherapy, panchakarma, and natural medicine service center along with specialized services of Ayurveda, Panchakarma, Yoga, and Naturopathy will be promoted.

 

Strategy number 3. To further improve and expand the overall development and family management services of mothers, children, and adolescents by addressing the health needs of citizens of all age groups according to the concept of the way of life.

Courses of Actions:

a. In line with the concept of the life cycle, the comprehensive development of mothers, children, adolescents, and family management services will be further improved and expanded.

b. To address the health needs of citizens of all age groups, health services will be made senior citizens, gender and disability friendly according to the concept of the way of life.

c. Arrangements will be made for regular health tests to quickly identify the health risks of different age groups.

d. Arrangements will be made for the free trial of diseases such as breast cancer and cervical cancer, which are increasing in women.

e. Special programs including fact-based midwife education and services will be formulated and implemented to reduce maternal mortality.

 

Strategy number 4. To develop and expand the skilled manpower that can bear hospital and health institutions and skill-specific social responsibility at the union, state and local levels depending on the distribution, geographical location, and needs of the population.

Courses of Actions:

a. To ensure that at least one basic health care center at every local level, basic emergency surgery and primary trauma care at every local level, the primary hospital, second-level hospital under the province, regional hospital and union under the highly specialized hospital and under the union. At least one specialized hospital in each province and so on.

b. The concept of “one physician/health worker-one educational institution” belonging to a single health institution will be gradually applied to all government health institutions, with additional facilities in government hospitals to effectively implement this concept and expand access to services.

c. A master plan will be formulated and implemented to determine the number, type, location and required health manpower of the health institution by developing modern methods and certain criteria.

d. Scholarships will be provided in various health disciplines based on the needs of the country and the availability of financial resources.

 

Strategy number 5. To develop a sustainable health financial system by increasing national investment in health.

Courses of Actions:

a. An integrated national health financing strategy will be formulated and implemented, covering the issue of mobilizing equitable access to health services, minimizing personal spending in health services and mobilizing financial resources in health.

b. Quality basic health services will be made available at all local levels through free and specialist health services as well as other health services through equitable health insurance.

 

Strategy number 6. To manage and regulate cooperation and partnerships between government, private and non-government sectors while ensuring the leadership role of the government in healthcare.

Courses of Actions:

a. With the necessary coordination with the education sector, “one school-one health worker policy” will be implemented.

b. An umbrella structure of the concerned business councils will be developed and expanded by improving the manpower, structure, and scope of regulatory bodies related to health.

c. The necessary structure will be developed and expanded by integrating the Umbrella Act to make the health sciences institutions more organized.

d. For the purpose of achieving a definite objective, clear criteria and procedures will be formulated to cooperate and partner with the private, community and non-governmental health organizations.

e. Medical good governance will be maintained by including government, private, community and co-operative sectors, and health care costs will be fixed and regulated.

f. In order to make the province and local level responsible, proper management of waste and pharmaceutical waste generated from hospitals and other health institutions and laboratories will be regulated as well as continued monitoring.

 

Strategy number 7. To regulate and manage the production, import, storage, distribution, and use of new technological health products as well as pharmaceuticals and pharmaceuticals.

Courses of Actions:

a. In view of the medicines provided by the Government of Nepal for free, the country will be gradually made self-reliant in the production of medicines.

b. Effective management of the production, storage, and distribution of pharmaceutical and technological health materials will be made by emphasizing the commercial cultivation of medicinal herbs and the development and promotion of the pharmaceutical industry.

c. Regulatory bodies will be developed and expanded to make effective the implementation of generic prescriptions, price, and quality of medicines, minimization of antibiotic resistance, control of antibiotic abuse and drug research.

 

Strategy number 8. To adopt integrated measures including community health system for the prevention and prevention of disease control and public health disaster management preparedness and prevention.

Courses of Actions:

a. Programs will be implemented by developing a nationally integrated body for the study, investigation, surveillance, prevention, control, prevention, elimination and regulation of transmitted and non-communicable diseases.

b. Long-term strategies will be formulated and implemented through multi-regional coordination to effectively prevent the prevention, control, and treatment of non-communicable and chronic diseases.

c. On the basis of population-based research on the weight and distribution of hereditary diseases, including sickle cell anemia and Plexumia, prevention and treatment programs will be formulated and implemented.

d. Access to mental health services will be expanded at all levels. Health services related to eye, nose, ear, neck, and mouth will be developed and expanded at the federal, state and local levels respectively.

e. A mechanism will be formulated and implemented for the immediate addressing of disasters and epidemics at the union, state and local levels, integrated development of ambulance services, mobilization of trained doctors and health workers.

 

Strategy number 9. Increasing the use of statistics in the approval, evaluation, review, policy-making, and decision making processes by making health information systems more systematic, integrated and technology-friendly, addressing the demands of all levels of health information.

Courses of Actions:

a. Health data management will be made quality and technology-friendly, and the use of statistics will be promoted in policy-making and decision-making processes at all levels, including study, research, survey, projection, analysis.

b. At the health institution level, data management will be made technology-friendly and electronic reporting will be made from the health institution and gradually the electronic health records will be extended to all health institutions.

c. Arrangements will be made for the development and transmission of information updating systems at all times in line with the national core network as per the requirement of health data produced at the local level.

d. On the basis of national needs and priorities, the results of the study, research, survey, and survey will be used for policy formulation and scheduling.

 

Strategy number 10. To improve the working area of ​​Nepal Health Research Council from time to time and develop it at the state level.

Courses of Actions:

a. In order to formulate a health policy and plan based on the facts, the structure of the Nepal Health Research Council will be expanded to the state level, in collaboration with the university and the academic sector.

 

Strategy number 11. Arrangements will be made to minimize the risks to public health through the immigration process.

Courses of Actions:

a. While developing the Immigration Health Management Information System, policy and institutional arrangements will be made for easy access to and access to health checks and health services before and after the departure of the immigrant, at the destination and after arrival.

 

Strategy number 12. Effective implementation of coordination and partnership of multilateral nutrition plan.

Courses of Actions:

a. In accordance with the multi-sectoral nutrition plan (Second), nutritional related schemes formed at the state and local level will be strengthened with a nutrition improvement plan, Arrangement will be made for nutritionally targeted and nutritionally sensitive programs from all levels of health institutions.

b. In order to reduce malnutrition, healthy habits will be promoted by increasing access to and consumption of quality and healthy foods.

 

Strategy number 13. Include health in all policies through multi-sectoral coordination.

Courses of Actions:

a. A health concept will be effectively implemented by addressing public health problems, strengthening multi-regional coordination on drinking water, environmental cleanliness, air and sound pollution, food security, education, roads, and implementing the concept of “health in all policies” and coordinating with concerned stakeholders.

b. The mixing and use of tobacco, alcohol, chemicals, pesticides and inorganic products that adversely affect health will be controlled and regulated. Production, transmission and transmission of health-related message and content will be made scientific, systematic and effective in order to discourage and control the factual and misleading messages and advertisements that promote processed and prepared foods that harm public health.

c. The construction of a bicycle lane, a home-care shop, a public park, an exercise hall, a yoga center and a gym center to promote a healthy environment and an active lifestyle, informing all citizens to use healthy food in line with the concept of healthy kitchens to make “my health, my responsibility” effective. Coordination with the concerned will be provided for the establishment.

d. Prior to the approval of the designated industries, businesses and projects, standards and mechanisms will be arranged at the union, state and local levels for the evaluation of public health impact, in view of occupational health and safety.

5. Expected achievements after the completion of the 15th periodic plan:

a. The average life expectancy of Nepali people with a healthy, strong and active life will be 72 years.

b. The maternal mortality ratio per 99 live births where infant mortality per thousand live births will fall to 14 and child mortality below the age of five will fall to 24.

c. The percentage of underweight children under the age of five will fall from 27 to 15 percent and condition of dwarfs will fall from 36 to 20 percent.

d. Citizens will receive basic health care free of charge.

e. Health insurance will increase to 60 percent of the population, personal spending on health care decreases by 40 percent, government investment in health increases by 8 percent and households with health institutions access within a 30-minute distance will incline to 80 percent.

f. According to the protocol, 81 percent of pregnant women will undergo health center visits at least four occasions, 79 percent of children will be born in the presence of skilled health workers and 95 percent of children will receive a full vaccine.

g. Malaria, black fever, and Filaria/ Filarial Elephantiasis (हात्तीपाइले रोग) will be cured.

health and nutrition plan of 15th periodic plan of nepal

Also read:

  1. 15th Periodic Plan of Nepal in English (Highlights and Targets Included)
  2. 14th periodic plan of Nepal Evaluation/ Summary


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