Implementing Federalism in the Health System of Nepal: Opportunities and Challenges
| Autor: | Sagar Dahal, Kiran Bam, Rajshree Thapa, Pravin Tiwari, Tirtha Kumar Sinha |
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| Rok vydání: | 2018 |
| Předmět: |
Health (social science)
Federalism Leadership and Management Process (engineering) Context (language use) Federal Government Management Monitoring Policy and Law Public administration Decentralization Health Reform 03 medical and health sciences 0302 clinical medicine Procurement Health Information Management Nepal Health care Humans 030212 general & internal medicine Challenges and Opportunities Human resources Government business.industry 030503 health policy & services Health Policy lcsh:Public aspects of medicine Politics lcsh:RA1-1270 Health Care Reform Perspective Health Sector 0305 other medical science business Delivery of Health Care |
| Zdroj: | International Journal of Health Policy and Management International Journal of Health Policy and Management, Vol 8, Iss 4, Pp 195-198 (2019) |
| ISSN: | 2322-5939 |
| Popis: | Nepal moved from unitary system with a three-level federal system of government. As federalism accelerates, the national health system can also speed up its own decentralization process, reduce disparities in access, and improve health outcomes. The turn towards federalism creates several potential opportunities for the national healthcare system. This is because decision making has been devolved to the federal, provincial and local governments, and so they can make decisions that are more representative of their localised health needs. The major challenge during the transition phase is to ensure that there are uninterrupted supplies of medical commodities and services. This requires scaling up the ability of local bodies to manage drug procurement and general logistics and adequate human resource in local healthcare centres. This article documents the efforts made so far in context of health sector federalization and synthesizes the progress and challenges to date and potential ways forward. This paper is written at a time while it is critical to review the federalism initiatives and develop way forward. As Nepal progress towards the federalized health system, we propose that the challenges inherent with the transition are critically analysed and mitigated while unfolding the potential of federal health system. |
| Databáze: | OpenAIRE |
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