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) 1
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 2
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 3
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- 4
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 5
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 8
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 9
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 10
11. 5.1 Vision All Nepali citizens have the physical, mental,
social and spiritual health to lead productive and quality lives 11
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 12
13. 5.3 Goal 13 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 14 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 15 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 16 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 19
20. 8. Organizational management 20 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.
22. 10. Monitoring and supervision Format of National Planning
Commission HMIS Computer software 22
23. 11. Risks Resource mobilization Future Federal system of
Republican structure 23
24. 12. Cancellation National Health Policy, 2048 is Cancelled.
24
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 25
26. References National Health Policy 2071, Unofficial
translation draft MoHP , National Health Policy, 2071
www.mohp.gov.np 26