This is the English version of National Health policy of Nepal 2076.

1. National Health Policy of
Nepal-2076
BIKRAM ADHIKARI
MPH-2018
BPKIHS
1

2. Outline
• Background
• Previous Attempts
• Present Context
• Problems
• Challenges
• Vision
• Mission
• Goals
• Objectives
• Policies 2

3. Background
• To provide Quality health services to citizens is the prime
duty of Nation
• Constitution of Nepal has established Basic Health services
as fundamental human rights
3

4. Previous Attempts
• 300 years ago: Established Singhdarbar Baidhya khana
• 1947 BS: Established Bir Hospital
• 2013 BS: Started Formulation and Development of Periodic Developmental Plan
• 2032 BS: First 15year long term Health Plan
• 2054 BS: Second 20year Long term health plan
• 2045 BS: Female Health Volunteer Program started
• 2048 BS: First National Health Policy
• 2034 BS: Small Pox eradication declared
• Integration of different vertical Projects
• Different Disease elimination phase-
• Disease control Programs
4

5. Previous Attempts
• Nepal Health Sector Program-I (2060-2065)
• Nepal Health sector program-II(2066-2071)
• Nepal Health Sector Strategy (2015-2020)
5

6. Present Context
• Local and provincial government have taken their duty in health
sector and have started working
• There are Medical council, Nursing council, Public Health
Professional council, Pharmacy council, etc. to regulate health
workforce, health services and health researches
• Public Health Activities have significantly reduced mother and
child tetanus frequency, leprosy and trachoma are eradicated
• Tuberculosis, JE, Diphtheria, Meseals, Mumps, HIV, Dengue,
diarrheal diseases , malaria, kalazar, typhoid, respiratory diseases
etc. are under control and are decreasing in trend
6

7. Present Context
• 40% of the drugs are produced within Nepal
• Special treatment for eye, heart, kidney, bones and joints,
diseases , organ transplant, plastic surgery are all present in
Nepal and people are benefitted by this
• Most private hospitals and health institution are urban
oriented and they are necessary to be decentralized.
7

8. Problems
8
PROBLEMS
• Complexities in
balanced
production of
skillful manpower
Malnutrition
despite
growing
obesity
Non
communicable
disease
Unreached
health
service
Access to
quality
medicine
Urban health
Mental health
Geriatric health
Genetic disease
Environmental Health
Occupational Health
Lack of
proper
regulation
Climate change
Food insecurity
Natural calamities
Brain drain
8
Improper
use of
Antibiotics

9. Challenges
• To establish equal access of citizens to all areas of health
• To provide free quality basic health care at all local levels
• To provide health services by giving high priority to the most
vulnerable and at risk citizens
• Reduction of high out of pocket health expenditure
• Effective implementation of Health Insurance Program
• Conversion of profit oriented health institutions to service
oriented
9

10. Challenges
• Establishment and running health institution as per the federal
government structure
• Development of skilled manpower
• To become independent in drug manufacturing
• Record keeping system for the reasons of death of citizens
• Further development and expansion of Health Information
management system
• Emergence of new communicable diseases and increase in non-
communicable diseases are posing a threat to public health and
productivity of citizens. 10

11. Vision
• Aware and conscious citizens aiming for proper health
and happy life
11

12. Mission
• To ensure Citizens' fundamental rights to health by
making maximum and effective use of resources
through cooperation and partnership
12

13. Goals
• To create opportunities for all citizens to enjoy the
constitutional right to health
13

14. Objectives
• To develop, expand and improve all kinds of health systems
in accordance with the federal structure
• To improve the quality of services provided by health
institutions at all levels and to create easy access
• To develop and expand the health system based on social
justice and good governance for all the citizens in the federal
structure ensuring access and consumption of quality health
services.
14

15. Objectives
• To strengthen the social health security system by including
the most marginalized class
• To promote government, non-government and private sectors
cooperation and multi sectorial partnership
• To transform non-profit health sector into service oriented
health service
15

16. Guiding Principles
• Universal Health Coverage
• Diversification of equitable health insurance
• Restructuring Health care
• Multi sectorial coordination and cooperation in all health
policies
• Special Health services focused to most marginalized class
people
16

17. Policies
1. Basic health service will be ensured free of cost from all
levels of health intuitions (3 strategies)
2. Easy access of specialist services will be ensured via Health
Insurance(4 strategies)
3. Easy access to Basic Emergency Health Services to all
Nepali Citizen will be ensured (6 strategies)
4. Health System will be restructured as per the federal system
into Central, Provincial and Local level. Improvement,
Development and Extension of Health system. (13
strategies) 17

18. Policies
5. Integrated development and expansion of Promotional,
Preventive ,Therapeutic, Rehabilitation and Palliative services
based on the concept of Universal Health Coverage (10
strategies)
6. Promote cooperation and partnership between governmental,
non-governmental and private Health sectors, management and
monitoring them. In addition encourage investment in Health
education, services and research among private, internal and
external investors. (6 strategies)
7. Integrated development and expansion of Ayurved, Yog,
Homeopathetic and Natural treatment system (6 strategies) 18

19. Policies
8. For easily accessible, effective and quality health services,
based on population geography and federal structure,
development and expansion of quality health workers and
management of health services (9 strategies)
9. Development, expansion and improvement of Health
Professional Council to make health services provided by
providers effective, efficient and quality (4 strategies)
19

20. Policies
10.Encouraging for the production of quality drugs and health
related technologies; and make access and appropriate use
of quality drugs and health related technologies via efficient
production, import, storage, monitoring distribution and
effective management will be insured. (8 strategies)
11.For controlling Communicable disease, Insect related
diseases, animals related diseases, climate change, other
diseases and outbreaks, preparedness and mitigation of
disasters , integreated solution will be applied (8 strategies)
20

21. Policies
12.Development and expansion of integrated system and making
individual, family, society and related bodies for Control and
management of Non-communicable diseases(8 strategies)
13.To improve nutritional status, discourage use of contaminated
and harmful foods and increase in the assess, use , production
and promotion of healthy foods (4 strategies).
14.Increase in the quality of health research as per the international
guidelines and apply the facts obtained from research in the
policy development, planning, and development and their
effective use (4 strategies)
21

22. Policies
15.Development of Integrated Health Information System by
modernizing, increasing quality and making more
technology friendly of existing Health management
Information System (5 strategies)
16.ight to Health related Information and treatment related
information will be ensured (2 strategies)
17. Development and expansion of mental health, oral health,
eye, ear, nose and throat health services (6 strategies)
22

23. Policies
18. Ensure quality of services provided by hospitals and other health
institutions (6 strategies)
19. Renovation and change of health related policy, health system structure
and management in relation to need of time to maintain good
governance (7 strategies)
20. Development and ,expansion of safe motherhood, child health,
adolescent health and reproductive health, gediatric health (6
strategies)
21. Management of special fund for sustainable development of health
sector (6 strategies)
22. Management of Increasing urbanization, internal and external
migration and solve public health problems due to them. (4 strategies)
23

24. Policies
23.Decision making and organizing programs after Population
related research , data Management, and analysis (4
strategies)
24.Scientific investigation and control of Control air, water,
sound, environment pollution, and food pollution (3
strategies)
25.Appropriate management to reduce risk in public health
from immigration process and health security of Nepalese
living abroad (4 strategies) 24

25. Comparison
2048
• Based on the principle of PRIMARY
HEALTH CARE
• Based on rural population
• Focused more on communicable disease
• Had no mental and dental aspects
• No focus on integrated health
management information system and
climate change
• No focus on human right to health related
information, health of Nepalese abroad….
2071/2074/2076
• Based on the principle of UNIVERSAL
HEALTH COVERAGE
• Based on both urban and rural
• Focus is on both communicable and
communicable disease and injuries(emerging
and re-emerging disease
• More focus on mental and dental health.
• Focus on integrated health management
information system, climate change
• Also focus on right to health related
information, health of Nepalese abroad
Climate change
25

26. Comparison
2048
• Based on the principle of PRIMARY
HEALTH CARE
• Based on rural population
• Focused more on communicable disease
• Had no mental and dental aspects
• No focus on integrated health management
information system and climate change
• No focus on human right to health related
information, health of Nepalese abroad….
• Health system different form federal system
2071/2074/2076
• Based on the principle of UNIVERSAL HEALTH
COVERAGE
• Based on both urban and rural population
• Focus is on both communicable and communicable
disease and injuries(emerging and re-emerging
disease
• More focus on mental and dental health.
• Focus on integrated health management
information system, climate change
• Also focus on right to health related information,
health of Nepalese abroad Climate change
• Health system restructured as per the federal system
26

27. Other Info
• I’m not a professional you-
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videos. I’m planning to
donate all earnings from
my you tube channel to
Orphanages and Cancer
patients.
• You can learn about
research skills via my you
tube and indirectly help
orphanages and caner
patients.
27
https://www.youtube.com/c
hannel/UCTgjGeyEEPY-
NIcUmVyHddQ/videos

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