Official and Unofficial Factors of Health-Nepal

Nepalese Society

•Heterogeneous•Multicultural•Multi- Linguistic•Geographic Variation•Transition Phase ( Now)

Case Study• Person injured at emergency section

of Bir Hospital• A boy who died of jaundice was

thought of black magic

Definition of Health“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” - WHO

Facts on Health

Total Health Institutions under MoHP -4396Hospitals(Central, Regional, Sub-regional, Zonal and District) -94Health Center -5Primary Health Center (PHC)-201Health Post -699Sub-Health Post -3104Ayurvedic Health Institution -293

Total Hospital Beds -6944Doctors -1457Nurse/ANM - 11637 Paramedic/Health Assistant -7491Village Health Worker -3190Ayurvedic Physician -394

Factors of Health

Factors of Health

Official Factors

Unofficial Factors

Official Factor• Government Body• Private Sectors• NGOs, INGOs, CBOs

Structure of GOMinister • Pharmacy Council

•Nursing Council•Health Professional Council•Medical Council•Ayurbeda Council

Secretary

Administration Planning, Policy,&

Foreign Aid

Health Service

Monitoring & Evaluation

Private Sectors• High Cost• Not Accessible for the Common

Citizens• Commercialized• Lack of Proper Monitor and

Evaluation by the Concerned Authority

NGOs, INGOs, CBOs• Not Well Facilitated• Lack in coordination with the

government• Lack of funds (claimed)• Making government more

dependent

Unofficial

Factors

Tradition Way of Life

Belief- Disease as Curse

Practices- Chhaupadi, Jhuma, etc

Gender- Nutriation

Poverty- 65% ( UNDP)

Education (57% literacy)

Culture- Restriction in Access

challenges• Effective Policy• Increased Budget• Mental Health has been left• Geographic Situation• Human Power-Skilled• Lack of Coordination• Superstition • Participatory Based Health Project and Programs

Thanking!Raj K. Yadav

LecturerSt. Xavier’s College