National health policy of Nepal, 2071 Approved by Cabinet Meeting 2071/04/01

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)
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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
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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
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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-
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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
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6. 6

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. 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
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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
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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
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11. 5.1 Vision
All Nepali citizens have the physical, mental, social and
spiritual health to lead productive and quality lives
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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. Mission
Utilization
of
Resources
Service
Provider
CustomersStakeholder
Health as a
Fundamental
Human right
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13. 5.3 Goal
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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. 5.4 Objectives
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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. 6. Policies
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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. Contd…
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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. 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. 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. 7. strategies
 Total 120 strategies
 Each policy has strategies
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20. 8. Organizational management
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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. 9. Financial sources
 Government revenue collection
 Foreign Loan
 Private
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22. 10. Monitoring and supervision
 Format of National Planning Commission
 HMIS
 Computer software
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23. 11. Risks
 Resource mobilization
 Future Federal system of Republican structure
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24. 12. Cancellation
National Health Policy, 2048 is Cancelled.
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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
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26. References
 National Health Policy 2071, Unofficial translation
draft
 MoHP , National Health Policy, 2071
www.mohp.gov.np
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27. Thank You
Discussion
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