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