Nepal

The policy on gender equality and social inclusion (GESI) in health sector of Nepal is formulated in 2009 targeting toward poor, vulnerable, marginalized social and ethnic groups. Gender inequality and social discrimination are a social problem that affect on individual health finally. The main objective of this paper is to critically analysis and evaluates the Government’s strategy on health sector gender equality and social inclusion in Nepal. [from abstract]

This paper discusses on policy provisions as well as synchronization of Nepal’s efforts on fulfilling its commitment for right to health. [from abstract]

Antiretroviral treatment (ART) services have been proved to be very effective in treatment and prevention of HIV/AIDS worldwide. This paper is aimed at whether ART services in Nepal are accessible to people living with HIV (PLHIV) and also tries to explore some barriers to accessibility of ART services. [from abstract]

This report synthesises findings from five country case studies from the health dimension of this project, which focus
on maternal and child health (MCH) (Mozambique,Nepal, Rwanda) and neglected tropical diseases (NTDs)(Cambodia, Sierra Leone). MCH was selected given its centrality in two of the Millennium Development Goals (MDGs) and its ability to act as a proxy for strengthened health systems.

International migration of health workers is a controversial issue globally. It has both negative and positive impact on both source and destination countries. The shortfall of health workers in the developed countries has led to the accusation of poaching health workers from the developing countries where health care systems are struggling. The causes and consequences of health workers’ migration vary in different countries. This study explored the reasons why a group of Nepalese health workers migrated to the United Kingdom (UK).[from abstract]

Female Community Health Volunteers (FCHVs) are considered service providers for major health problems at the community level in Nepal. However, few studies have been conducted about the roles of FCHVs from the users’perspective. This study sought to examine the current status of FCHV service utilization and identify the determinants of caregivers’utilization of FCHVs’health services in the mid-western region of Nepal. [from abstract]

Local health planners are in a prime position to devise feasible context-specific activities to overcome
constraints and increase met need for family planning to accelerate progress towards MDG 5. [from abstract]

Family planning (FP) services have been available in Nepal for over 50 years, most extensively from the public sector health system, with nongovernmental agencies involved from the very beginning. These services are largely delivered by
facility-based service providers, except for the distribution of condoms and pills and, occasionally,
injectables. Community workers such as VHWs and MCHWs could potentially fill the gap if they were given the necessary knowledge and skills. [adapted from resource]

One strategic approach to increase the use of appropriate maternal healthcare services is to encourage the expansion of the role of the private sector. However, critics of such an approach argue that increasing the role of the private sector will lead to increased inequity in the use of maternal healthcare services. This article explores this issue in two South Asian countries that have traditionally had high rates of maternal mortality—Nepal and Bangladesh. [from abstract]

Human Resource for Health production was started in Nepal in a limited way some eighty years ago and picked up a
somewhat faster pace from the 1950s as per the requirements at that time. The establishment of the Institute of Medicine
led to some diversification but it was only after 1990 that there has been a much larger involvement of the private sector
in the production of Human Resources for Health. Although a number of categories have been listed in this article, the
position of doctors, dentists and nurses has been dealt with in more detail. [from abstract]

Low birth weight (LBW) is a major risk factor for neonatal death. However, most neonates in low-income countries are not weighed at birth. This results in many LBW infants being overlooked. Female community health volunteers (FCHVs) in Nepal are non-health professionals who are living in local communities and have already worked in a field of reproductive and child health under the government of Nepal for more than 20 years. The effectiveness of involving FCHVs to detect LBW infants and to initiate prompt action for their care was studied in rural areas of Nepal. [from abstract]Amano S

This evaluation assessed the success of a pilot program that trained [Female community health volunteers] in early pregnancy detection using urine pregnancy tests (UPTs), counseling, and referral to appropriate antenatal, safe abortion, or family planning services. [from abstract]

This study aims to evaluate the Developmental –Behavioural pediatrics (DBP) training experiences of pediatricians and pediatric trainees during their post graduate training in pediatrics. [from abstract]

Theory of Change (ToC) approach workshops are a useful approach for developing ToCs as a basis for mental health care plans because they facilitate logical, evidence based and contextualised plans, while promoting stakeholder buy in.
Because of the existing hierarchies within some health systems, strategies such as limiting the types of participants
and stratifying the workshops can be used to ensure productive workshops.

This research aimed to assess how policies reducing demand-side barriers to access to health care have affected service delivery with a particular focus on human resources for health using case studies in five countries (Ghana, Nepal, Sierra Leone, Zambia and Zimbabwe). In each the authors reviewed financing and HRH policies, considered the impact financing policy change had made on health service utilization rates, analysed the distribution of health staff and their actual and potential workloads, and compared remuneration terms in the public sectors. [from abstract]

This article describes the Morang Innovative Neonatal Intervention
(MINI), which tested a replicable model for the community management of neonatal infections within the existing government health system through the use of female community health volunteers. [adapted from author]

This protocol will test the effect of community mobilization through women’s groups, and health management committee strengthening, on institutional deliveries and home deliveries attended by trained health workers. [adapted from abstract]

The objective of this assessment was to identify challenges in graduate public health education in Nepal, and explore ways to address these challenges. [from abstract]

The aim of this study was to understand medical career choices and the factors that influence medical students’ and young doctors’ career choices in Nepal and to understand what would encourage them to work in rural areas as generalists. [from abstract]

This study was carried out to determine whether the selected government health facilities in Nepal satisfy the conditions for safe injections in terms of staff training, availability of sterile injectable equipment and their proper disposal after use; and to assess knowledge and attitudes of healthcare workers in these health care facilities with regard to injection safety. [from abstract]

Needlestick injuries and other sharps-related injuries which expose health care professionals to bloodborne pathogens continue to be an important public health concern. This article presents comprehensive information on needlestick injuries (NSI), post exposure prophylaxis, precautions and suggestions for prevention of NSI in dentistry. [from abstract]

This questionnaire-based survey was carried out to find out the effectiveness of teachers training for medical education faculty on assessment (student evaluation) techniques. [adapted from author]

This study attempted to determine the best way to implement new strategies of medical abortion and increase safety and access using auxiliary nurse midwives trained as skilled birth attendants [adapted from author].

This review is to explore the factors affecting the uptake of skilled birth attendants for delivery and the issues associated with women’s role and choices of maternal health care service for delivery in Nepal. [from abstract]

The overall objective of the report is to analyse the role of civil society engagement in enhancing the health service delivery in Nepal. Health service delivery is associated with the efficiency of human resource for health. [from author]

This report examines working conditions of health workers in Nepal in relation to income and incentives, work supplies and equipment, issues on safety and security and the role of local authorities and the community. [from summary]

The report analyses the Ministry of Health and Population Human Resources for Health Management system in Nepal. It examines the main gaps in the human resources management system in the health sector and makes recommendations for viable mechanisms to strengthen the system. [from summary]

This report provides insight into health workforce performance in Nepal, looking at the four dimensions of health workforce performance: availability, competency, responsiveness and productivity. It informs policy-makers and managers on interventions to improve health workforce performance in Nepal. [from summary]

This report analyses the current situation of HRH training, recruitment, placement and retention in the health system of Nepal with an emphasis on role of public private partnership to address the HRH related gaps with suitable policy interventions. [from summary]

The Ministry of Health and Population of Nepal has identified major challenges in human resources for health, specifically in the shortage, distribution and skill mix of health workers in the country. This report aims to provide insight into specific challenges and policy recommendations for the ministry and concerned stakeholders. [from summary]