Analysis of Health Sector Budget of Nepal

Dulal, Ram Krishna; Magar, Angel; Karki, Shreejana Dulal; Khatiwada, Dipendra; Hamal, Pawan Kumar

doi:10.31729/jnma.2757

Cited by 7 publications

(7 citation statements)

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“…Although the constitution of Nepal declared healthcare a basic right that should be available for free, the establishment of a health delivery system with adequate financing is still ponderous, even after the implementation of federalism. 18 The Nepalese healthcare delivery system comprises a network of central hospitals, district hospitals, health posts, sub-health posts, mobile health camps and various community workers and volunteers. 19 However, the system is challenged by an unequal distribution of services, poor infrastructure, inadequate supply of essential drugs, insufficient budget, scarce skilled human resources and poorly regulated private healthcare providers.…”

Section: Introductionmentioning

confidence: 99%

Vicious cycle of chronic disease and poverty: a qualitative study in present day Nepal

Sapkota

Houkes

Bosma

2020

International Health

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Background In countries with out-of-pocket (OOP) payment systems for healthcare, the combination of chronic disease and poverty can have damaging socio-economic and health impacts for affected households. Using a life course perspective, this article aims to explore how Nepalese people struggle with, experience and adapt to chronic disease, poverty and their consequences, and how chronic diseases and poverty reinforce each other. Methods In-depth semi-structured interviews were conducted with 21 chronically ill Nepalese people with one or more chronic diseases and/or their caretakers. Data were transcribed and analysed thematically. Results The adaptation strategies for the consequences of the huge OOP costs make patients and their households financially disadvantaged. The impoverishment has major social impacts and often persists across generations. The situation forces people to choose between avoiding medical treatment or further impoverishing their families. Conclusions This study explored how chronically ill Nepalese people struggle with socio-economic and health consequences of OOP payments for their disease. The article sheds light on circumstances and adaptation strategies that obstruct every attempt to escape from the vicious cycle of the poverty trap. Hence poverty and health adversities accumulate across generations and contribute to greater health expenditures, worse health outcomes and severely compromised social life.

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Section: Introductionmentioning

confidence: 99%

Vicious cycle of chronic disease and poverty: a qualitative study in present day Nepal

Sapkota

Houkes

Bosma

2020

International Health

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“…A case study of West Bengal, India, the customer is king and god, customer satisfaction directly depends of the behavior of employee such as; cooperative, knowledgeable, well-mannered as well as quality of services, timely provided facilities, and affordable cost (Gangopadhyay & Ghosh, 2011). The interim constitution of Nepal has applied the inspiration of federalism and announced the provision of basic health care receives free of cost as fundamental right which requires strengthening foreseen federalism (Dulal, Magar, Karki, Khatiwada, & Hamal, 2014). Health for all is the health policy of the nation.…”

Section: Resultsmentioning

confidence: 99%

Client Satisfaction in Health Service Management in Hospitals of Province One Eastern Nepal

Niraula¹,

Poudel²

2019

J. Adv. Acad. Res.

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In health care organization, the satisfaction of client is the major factor which is directly linked with the effective use and the utilization of health care service. Effective and efficient management is a means to achieve predetermined goals. Organization cannot be successful unless it satisfies the clients. This descriptive cross-sectional study includes 680 patients which were selected from 4 public and 6 private hospitals randomly chosen from province 1. A direct interview method was used to gather and collect the data from clients' and hospital authorities for the quantitative method. The client satisfaction level was tabulated on the basis of 5 points liker scale. The reliability and the validity of the satisfaction scale for quantitative research we rechecked and examined. Association of categorical variables was assessed by Chi-square test. 92% of clients reported the higher satisfaction in the different aspects of nursing services .Around 31% of patients were completely not satisfied on "information regarding precaution of radio hazard", 26.8% on "waiting time to get the report" and 28.4% on "time consumed for report". About 28% of the participants reported not to be satisfied in the hospitals of Province 1for the availability of specialist in the emergency. The present study finding shows that 41.8 % of clients had reported any type of grievance towards health care service of hospital in Province 1.The study suggested that government should have first priority to allot sufficient specialized doctor services at least in district hospital and there should be 24 hours emergency duty of doctors. Laboratory and radio-diagnosis service in the hospital should be always be in good condition and reporting of the investigation should always be accurate as well as timely to make patients' satisfied in the hospital services. The gap of satisfaction level between private and public hospital may be fulfilled by the national health insurance system and the government should prioritize and implement the health insurance program with minimum premium.

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“…One study found the allocated budget was very limited considering the needs. 57 Considering the limitations of health systems in (LMICs) to provide quality, affordable and timely services; policy-makers, donors and other interested parties were searching for an effective and feasible option. This concern and endeavor have resulted in the potential of telemedicine and other ICT-based healthcare services.…”

Section: Discussionmentioning

confidence: 99%

<p>Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context</p>

Siddiquee¹,

Poudyal²,

Pandey³

et al. 2020

SHTT

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The traditional model of health services imposes limitations, especially in resourcelimited countries like Nepal. Introduction to information technology can mitigate various challenges like geographic complexity, urban-rural disparity, poor accessibility, shortage of healthcare professionals, inadequate health facilities, higher cost, and time. Nepal is a resourcelimited country with diverse geographic features making it hard to have proper access to healthcare facilities. Telemedicine service has the potential to improve service quality and accessibility of the disadvantaged and underserved population by overcoming the existing challenges. The objective of this review was to explore the roles of telemedicine in vanquishing existing challenges. Seven data sources (namely CINAHL, PubMed, POPLINE, Web of Science, Scopus, DOAJ and Summon) were consulted using five keywords (telemedicine, telehealth, eHealth, mHealth and Nepal to find the literature using the Boolean operator AND) to obtain the relevant materials. The narrative synthesis method was used to review papers and to analyze the findings. This review selected 27 papers for further analysis by scrutinizing 1161 initial search results. The most common features of telemedicine services so far, implemented or piloted in Nepal, were addressing geographic remoteness (21%), a shortage of in healthcare service providers (11%), saving time (11%), addressing challenges of extreme conditions (10%), cost saving (9%), service quality (9%) and real-time services (8%). Some other features of telemedicine were communication, transportation, referral, collaboration, addressing challenges in proper diagnosis and the shortage of health professionals. In a nutshell, the review findings suggested improved service quality, increased collaboration and accessibility and decreased the disparity in comparison with traditional health service models. Although it cannot be said that telemedicine in Nepal has been mainstreamed, yet the appeal is increasing due to its positive impact, especially in rural and hard-to-reach areas where with a lack of healthcare set-up and professionals.

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Analysis of Health Sector Budget of Nepal

Cited by 7 publications

References 0 publications

Vicious cycle of chronic disease and poverty: a qualitative study in present day Nepal

Vicious cycle of chronic disease and poverty: a qualitative study in present day Nepal

Client Satisfaction in Health Service Management in Hospitals of Province One Eastern Nepal

<p>Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context</p>

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