Nepal : Operational Issues and Prioritization of Resources in the Health Sector
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Washington, DC
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This study is the first comprehensive
analysis of health care delivery in Nepal, and fills major
gaps on the knowledge of the country's health sector,
expanding the understanding of current, and prospective
causes of sickness and death, of the actual level of
external assistance in the sector, and of the level of
additional resources needed to meet basic needs, and ease
institutional constraints within health services. It is
suggested that large projected increases in the population
will place enormous pressure on the already strained
resources, while regional disparities in health indicators,
and care are large, and under-served. Although policymakers
should still deal with infectious diseases, and related
illnesses, special attention should be devoted to improve
the health status of children, and target the disadvantaged,
and poorer areas. Furthermore, the study implies that
institutional weaknesses, and ineffective program management
are at the root of poor service delivery. Recommendations
suggest an increased political commitment, focusing on
infectious diseases, maternal, and prenatal ailments, and
nutrition deficiencies. In addition, institutional capacity
should be developed, and better health care systems ensured
through public-private partnerships. Priorities should be
established through careful planning, appropriate
management, and financial availability.
Palabras clave
ACCIDENTS, AGED, AILMENTS, ALLOCATIVE EFFICIENCY, BASIC HEALTH CARE, BURDEN OF DISEASE, CHILD HEALTH, CHILD HEALTH SERVICES, CHILDHOOD, CITIES, COMMUNICABLE DISEASES, DEATHS, DECENTRALIZATION, DECISION MAKING, DOCTORS, ELDERLY PEOPLE, EMPOWERMENT, EPIDEMIOLOGICAL TRANSITION, EPIDEMIOLOGY, ESSENTIAL DRUGS, EXPENDITURES, EXTERNALITIES, FAMILY HEALTH, FIELD RESEARCH, GIRLS, HEALTH, HEALTH CARE, HEALTH COMMITTEES, HEALTH DELIVERY, HEALTH ECONOMICS, HEALTH EDUCATION, HEALTH EXPENDITURE, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INDICATORS, HEALTH INTERVENTIONS, HEALTH INVESTMENTS, HEALTH MANPOWER, HEALTH PLANNING, HEALTH POSTS, HEALTH PROGRAMS, HEALTH SECTOR, HEALTH SERVICES, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH TRAINING, HIGH FERTILITY, HOSPITALS, HYGIENE, HYGIENE BEHAVIORS, ILLITERACY, ILLNESSES, IMMUNIZATION, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INFECTIOUS DISEASES, INJURIES, INTERVENTIONS, LIFE EXPECTANCY, MALNUTRITION, MEDICINE, MORBIDITY, MORTALITY, MOTHERHOOD, MOTHERS, NUTRITION, POPULATION GROWTH RATES, POVERTY REDUCTION, PREGNANCY, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE SECTOR, PRIVATE SECTORS, PUBLIC HEALTH, PUBLIC INVESTMENTS, PUBLIC SECTOR, RURAL AREAS, RURAL POPULATION, SAFE DRINKING WATER, SAFE WATER, SAFETY, SANITATION, SEX, SEXUALLY TRANSMITTED DISEASES, SUPERVISION, TRANSPORT, VACCINATION, WATER, WORKERS HEALTH CARE DELIVERY, HEALTH SERVICE MANAGEMENT, INSTITUTION BUILDING, DISEASE PREVENTION & CONTROL, BASIC NEEDS, POPULATION INCREASE, RESOURCE PLANNING, REGIONAL DISPARITY, HEALTH INDICATORS, CHILDREN'S MEDICAL CARE, DISADVANTAGED GROUPS, POVERTY GAP, PROGRAM MANAGEMENT, GOVERNMENT COMMITMENTS, MATERNAL HEALTH SERVICES, PRENATAL CARE, NUTRITION PROGRAMS, CAPACITY BUILDING, PARTNERSHIPS, PRIVATE SECTOR PARTICIPATION, FINANCIAL ASSISTANCE