lok sewa aayog

LOK SEWA AAYOG – PRIMARY HEALTH CARE REVITALIZATION

PRIMARY HEALTH CARE REVITALIZATION

Almost a quarter of the population lacks access to even the most basic health care services, and almost half of Nepalese children under five suffer from under-nutrition. Every hour, a women in Nepal dies due to pregnancy and child-birth related complications, and only one in five births is attended by a Skilled Birth Attendants (SBA). Nevertheless new challenges for optimal management of the health system are well identified, particularly the growing disparities in health and rapidly expanding and unregulated private sector, the system efforts on selective health condition target as quick solution without comprehensively addressing the essential elements of developing and produced unequal health outcomes. Recent, reform efforts are exemplified by the adoption of a health sector strategy and Implementation Plan of the Nepal Health Sector Program II (2010-2015). The Plan puts a major emphasis on an increased coverage and quality of ‘essential health care services’ with a special attention to improved access for poor, vulnerable and disadvantaged groups.

The concern for the poor and marginalized people both in urban and rural areas has been the priority of the government. In order to materialize the constitutional commitment (Interim Constitution, 2007) of fundamental right of basic free health care, MoHP introduced a policy of providing “Free Health Care Services” to the population in a phased manner to enhance access to primary health care services for every citizen on an equal footing with special consideration for the safety net for the poor, ultra-poor, destitute, disabled, senior citizens and Female Community Health Volunteers (FCHV). Consequently, in 2009 (Jestha 2065), Ministry of Health and Population (MoHP) embedded in principles of essential care and equity constituted a new division Primary Health Care Revitalization (PHCRD) under the revitalize PHC in Nepal by addressing emerging health challenges in close collaboration with other DoHS divisions and relevant actors. The division has 3 thematic focuses:

  • National Free Health Care
  • Social Health Protection, and
  • Urban and Environment Health

Also Read:

Tragedy – BA 1st year | TU notes

LOK SEWA AAYOG – ORGANIZATIONAL STRUCTURE AND FUNCTIONS

Goal, Objectives and Strategy

Goal: To reduce morbidity and mortality especially of poor, marginalized and vulnerable people by securing the right of the citizens to quality essential health services
Component 1

National Free

Health Care

Program

Components 2

Social Health

Protection

Components 3

Urban and Environmental Health

Objective 1

To increase access to and utilization of quality essential health care services by ensuring availability of essential drugs in both urban and rural health facilities throughout the year

Objective 2

To achieve universal coverage of essential health service by developing a more comprehensive approach (structures or system) with the aim of protecting the population against the financial risks of expensive health care

Objective 3

To provide quality essential health care services to the municipal population at accessible delivery points trough urban health clinic in partnership with MoLD/ Municipality

Objective 4

To promote environment health specifically hygiene and sanitation amongst population in conjunction with other essential health care services for improved hygiene practices in partnership with related agencies

Strategy

1.       Develop and ensure implementation of comprehensive essential health care services package considering the below

–          Program communication

–          Rapid expansion of the package

–          Community participation

–          Strengthening accountability, integration and reduce vertically

2.       Appoint a focal person for PRD within the district health system

3.       Outreach for underserved population and community empowerment to demand their rights to quality services and realized their responsibilities

4.       Ensure quality of care and available of essential drugs through M & E

Strategy

1.       Support the MoHP in Pilot testing of networking & social protection mechanisms as outlined in the National Insurance Health Insurance Strategy

2.       Mechanisms to revitalize Community Drug Science are explored and endorsed

3.       Ensure the services are sensitive to GESI and users have equal access to services without regard to financial or social status

Strategy

1.       Develop and endorse Urban Health Strategy

2.       Coordinate with other divisions and MoLD/ Municipalities to establish urban health centres

3.       Support municipalities in deploying the Female Community Health Volunteers (FCHVs) as Municipal Health Volunteers in delivering EHCS

4.       Support municipalities in deploying and capacity enhancing of clinical health workers

Strategy

1.       Multi-sector coordination including specify division’s functionalities and responsibilities with other key stake holders

2.       IEC for integrated messages (link with behavior change)

3.       Institutional arrangement as best practice for WASH

Also Read:

LOK SEWA AAYOG – CAUSES OF DISEASE AND INFECTION

LOK SEWA AAYOG – PRIMARY HEALTH CARE OUTREACH CLINIC

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