1. 1. Ravi K Mishra MPH, Third Batch National Medical College, Birgunj National Health Policy, 2071 Approved by the Cabinet meeting -: 2071-04-01 (17th July 2014) 1
2. 2. Outline of seminar Introduction Historical background Present context Problems and Challenges Need of Policy Policies Strategies Organizational management Risks New area addressed by New health policy Discussion Total No of Slide: 27 Estimated Time Period : 25 Minutes 2
3. 3. 1. Background Health is a part of Development Fundamental Human right Essential health care services to all those whose health need often not met Quality health care services 3
4. 4. 2. Past Experiences Establishment of Singhdarbar Baidhya khana Establishment of Bir Hospital in 1889 Different Five year plan from 1st to 13th till Establishment of Ministry of Health and population First long term health Plan Second Long term health plan Small Pox eradication achieved Integration of different vertical Projects Different Disease elimination phase- Disease control Programs- 4
5. 5. 3. Present Context Basic Health services to all people Involvement of private sectors NGO involvement in treatment of Eye, Heart, Cancer, Kidney, Neuro, Plastic surgery Health Research Human Resource Production Drug industries Continuation of Disease Eradication, Elimination and Controls of different diseases Multi sectoral Approach in Health ODF, Complete Immunization, Nutrition programs 5
6. 6. 6
7. 7. 4. Problems Health services has not been able to reach to all citizen from all regions, strata, class and community as in interim Constitution- not equitable. Still Communicable diseases burden Non communicable disease burden increase day by day. PEM in Rural Child and Obesity in Urban Climate Change, Disaster Preparedness, Accidents, Food Insecurity PHC services near to fail in Urban -only for routine services7
8. 8. Problems. Quality drug to citizen Lab services extension Brain Drain Administrative Problems Health act and Regulation update Lack between Health Manpower production and Utilization Community Responsibility 8
9. 9. Challenges Referral and feedback system Emerging and reemerging Diseases NMR stagnant Open Boarder Population Growth and constant CPR Migration and Urbanization Disability Geriatrics population increase 9
10. 10. 5. Need of New Policy To Over come these Problems and threats Interim Constitution mentions that Fundamental human right Information right to Individual Different Health services- Preventive, Promotive, Diagnostic, curative, Rehabilitative Quality Health Services Identification of resources NGO/INGOs role Accountable 10
11. 11. 5.1 Vision All Nepali citizens have the physical, mental, social and spiritual health to lead productive and quality lives 11 5.2 Mission Ensure citizen fundamental rights to stay healthy by optimally utilizing the available resources and fostering strategic cooperation between health service provider, service users and other stakeholders.
12. 12. Mission Utilization of Resources Service Provider CustomersStakeholder Health as a Fundamental Human right 12
13. 13. 5.3 Goal 13 Provide health services through equitable and accountable health system while increasing access of every citizen to quality health services to ensure as a fundamental human right to every citizens.
14. 14. 5.4 Objectives 14 1. Provide free of cost the basic health services that remains as a fundamental right of a citizen. 2. Establish effective and accountable health services that are easily accessible equipped with essential drugs, diagnostics and skilled human resources. 3. Promote participation of people in health services provision, promote ownership while increasing involvement/partnership to built ownership within government and private sector.
15. 15. 6. Policies 15 1. Provide access quality health services (universal Health Coverage) to every citizens in an effective way and provide basic health services free of cost. (26 Strategies) 2. Plan, produce, retain and develop skilled human resources to deliver affordable and effective health services. (13 strategies) 3. Develop Ayurvedic system of medicine by managing and utilizing the herbs available in the country as well as protect and do systematic development of other complementary medicine system.
16. 16. Contd 16 4. Ensuring simple and effective provision/import and utilization of quality medicine and medicinal products and enhancing in country production capacity gradually head towards self dependence. (4 Strategies) 5. Improve quality of health research inline with international standards and establish effective mechanisms to translate these into policy making, planning and medicine systems. (8 Strategies) 6. Promote public health by giving priority to health education, information and communication to people protecting people's fundamental right to
17. 17. Contd 17 7. Minimize prevalence of malnutrition through promotion and utilization of healthy food. (7 Strategies) 8. Ensure provision of quality health services through efficient and accountable mechanism and process of coordination, monitoring and regulation. (10 Strategies) 9. Ensure professional standards and quality of health services by making health related professional councils capable, professional and accountable. (4 Strategies) 10. Gradually mainstream health in all policies by further strengthening collaboration with multi-
18. 18. Contd 18 11. Ensure citizens right to live in healthy environment through effective control environmental pollution for health protection and promotion.(3 Strategies) 12. Improve governance through policies, management and organizational structure to deliver quality health services. (14 Strategies) 13. Promote public private partnership for systematic and qualitative development of health sector. (3 Strategies) 14. Gradually increase state 's investment in health sector and effectively utilize and manage support from private sector and development partners to
19. 19. 7. strategies Total 120 strategies Each policy has strategies 19
20. 20. 8. Organizational management 20 Appointment of necessary staff along with additional monitoring authority, for each divisions, departments, branches, sub-branches, etc. under the Health and population Ministry of the existing organizational structures from the center to the village level, will be done as per requirement, by considering of the state for the effective implementation of this policy.
21. 21. 9. Financial sources Government revenue collection Foreign Loan Private 21
22. 22. 10. Monitoring and supervision Format of National Planning Commission HMIS Computer software 22
23. 23. 11. Risks Resource mobilization Future Federal system of Republican structure 23
24. 24. 12. Cancellation National Health Policy, 2048 is Cancelled. 24
25. 25. New Areas addressed by New health policy Promotion of domestic resource Priority for Nutrition Program Priority for Protection of Environment and climate change Quality through different councils Financial security for treatment of disease to citizens Features: Each Policy has Specific strategies 25
26. 26. References National Health Policy 2071, Unofficial translation draft MoHP , National Health Policy, 2071 www.mohp.gov.np 26
27. 27. Thank You Discussion ???? 27