What are the programs run by Government of Nepal to solve health
related problems? ​

Answers

Answer 1

Answer:

In the aftermath of the 2007 People's Movement, the 240 years of monarchy was abolished with 5th amendment of the Interim Constitution of Nepal, 2007. The amendment was the first document to bring forward the idea, officially, that Nepal was to be a federal democratic republic. It envisioned federalism as a prominent feature for a new Nepal. Local-level elections were held in 2017, but it wasn’t until mid-2018 that the federal structure started taking shape. Yet, in many sectors, including health, the transition has been ongoing.

To be sure, the entire health system has to go through major changes, and implementing these isn’t easy. The newly created 753 local governments will now oversee 4,000 plus health facilities. With the new governance structure, accountability has also been divided among the three tiers. Similarly, budgetary decisions and program implementation has been divvied up; the local level is responsible for a bulk of the responsibilities.

The other major change in the new structure is an increase in procurement units for health commodities, such as drugs and equipment, which is due to the addition of local governments, and the increased layers in supply chain management (for example, in the cold storage and transportation of vaccines).

But some of the changes could have been avoided if the transition was properly planned. One such issue has been the continuation of the district health offices. To focus on and promote healthcare services in local units, the district health offices were first removed from the new structure. However, after some alleged public outcry, the offices were reinstated. But the roles and responsibilities of these health offices are not very clear; all health facilities previously handled by the district health offices now report to their respective local level governments.

The coordination among the three levels of government has been lacking. Programmes remain unimplemented or partially implemented due to the federal government’s failure to transfer power, with clarity, to the provincial and local governments. The transfer of staff from federal employment to other tiers continues to be contentious.

In the current context, putting all the health facilities under local level governance poses a major challenge, with limited staff and skills to manage health programmes. Local-level governments themselves act as mini-ministries, with health being a component. This system lacks clear direction, capacity, and clarity to drive health programmes.

The reinstated health offices in districts do not have a clear mandate of functions like before. They used to manage services in districts and manage all health facilities, but they are now sort of defunct. Staff morale has gone down. Immediate attention is required to make these offices active again. What’s worse, the addition of multiple layers, with decentralised procurement of health commodities and equipment, increases the chances of inefficient buying or corruption.


Related Questions

1. Write two reasons to justify your answer if you think Home Science relates to the art of living.

Answers

Home Science education deals with all aspects of home and family management. It is both an art and science. It's an 'art' because it helps you manage your resources in a skilful manner, and it's a 'science' because it helps you improve your family life by offering you knowledge in the field.

Which fact supports the conclusion that goats are crucial to the international food supply?
Americans use milk from goats to make cheese.
Most of the world's milk comes from goats.
Many Americans prefer cow meat to goat meat.
The flavor of a goat's milk varies by its breed

Answers

Answer:

Americans use milk from goats to make cheese.

Explanation:

This is a guess. Sorry if it's wrong.

true or false

Bulimia nervosa cannot be prevented, but it can be treated if diagnosed early.​

Answers

Answer:

The answer is False:

Explanation:

It can be be prevented without diagnostic or not \\

hope this helps :) if correct can you give me brainiest

thank you

The answer to this is false.

Most the bones in our body are made of the same materials. Each bone has four main layers. The outside of the bone is called the periosteum. This layer contains nerves and blood vessels that bring nutrients to the bone. Next is the compact bone. It is the hardest part of the bone. Inside the compact bone is the cancellous bone. This part of the bone is light and spongy, but still strong. The innermost layer of bone is called the marrow. This layer is almost like a thick jelly. Bone marrow produces red blood cells, which help to bring oxygen to all the different parts of our body, and white blood cells, which our body uses to fight off diseases and infections.

Our skeleton also gives our body its shape and allows us to move. The skeleton is our body’s frame; if we did not have bones, we would all flop around like jellyfish. The special way our bones connect enable movement. The places where our bones meet are called joints. These are the parts of your body that you can bend and move, like your knees, elbows, shoulders, and fingers. For an example, look at one of the legs on the diagram of the skeleton. You will see bones called the femur, the tibia, and the fibula. The place where these bones meet is the knee. The knee is a joint; it is protected by the patella bone (also called the kneecap).

Finally, our bones also protect our most important organs. As you might imagine, bones are much harder than the soft, fragile organs inside of our body. For example, the ribs and sternum protect our heart, lungs, and major blood vessels. The skull protects our brain. The vertebrae in our spine protect the nerves in our spinal column. Without our bones, our bodies’ most vital organs would be much more vulnerable.

The next time you see a skeleton while watching a scary movie or visiting a haunted house, remember: those bones may be creepy, but you would not be able to live without them!
According to the passage, all of the following are protected by a bone EXCEPT

A
the stomach

B
major blood vessels

C
the brain

D
the knee joint

Answers

Answer: A. the stomach

All of you sleeping??????????????

For how long can a human sleep

Answers

Mark Brainliest please

There are a lot of weird sleep-related world records out there. From the longest line of human-mattress dominoes—2016 'dominoes' and took 14 minutes for all of them to fall—to the most people served breakfast in bed at once—418 people in 113 beds set up on the lawn of a Sheraton Hotel in China. But there's one record that remains elusive: who holds the record for longest consecutive slumber?



Tough to call

The length of time someone is actually asleep is pretty tough to measure, which is what has kept the official title out of the hands of sleepers around the world. That doesn't mean, however, that there have been no valiant attempts—though they don't really count as real sleep.

In October of 2017, Wyatt Shaw from Kentucky fell asleep for 11 days. He was just seven years old and doctors ran several tests with no conclusive explanations. Wyatt did wake up with cognitive impairment, particularly when walking and talking, but made a full recovery after treatment with drugs typically used in seizure management.

In 1959, UK hypnotist Peter Powers put himself under a hypnotic sleep for eight straight days. It made quite the splash in European media and radio shows, but doesn't quite count as sleeping.

Which statements are true about alcohol treatment programs? Check all that apply.

They offer positive peer pressure.
They provide structure.
They teach coping skills.
They promote self-destructive behavior.
They allow for a new beginning.
They support working with unrealistic goals.

Answers

Answer:

They offer positive peer pressure.

They provide structure.

They teach coping skills.

They allow for a new beginning.

Explanation:

Answer:

(A) They offer positive peer pressure.

(B) They provide structure.

(C) They teach coping skills.

(E) They allow for a new beginning.

Explanation:

Wht is the purpose of the occipital lobe?

Answers

Answer:

The occipital lobe is the part of the human brain responsible for interpreting information from the eyes and turning it into the world as a person sees it.

Explanation:

The parietal lobe processes information about temperature, taste, touch and movement, while the occipital lobe is primarily responsible for vision. The temporal lobe processes memories, integrating them with sensations of taste, sound, sight and touch.

Which of the following BEST describes the possible impact of tobacco use on families?
A.
Tobacco use can lead to financial difficulties.
B.
Tobacco use can cause increased incidence of illness.
C.
Tobacco use can lead to increased family conflict.
D.
all of the above

Answers

D. All of the above

What would you do if you realize that you are going to die after few hours??​

Answers

Answer:

im going to enjoy the moment with my friends and most important with my family and be happy

URGENT!!! WILL GIVE BRAINLIEST!!

Which of the following is the order of events when HIV enters the body?


T-4 cells take over HIV cells, then HIV takes over the bloodstream and T-4 cells destroy the HIV cells.


HIV invades the bloodstream and spreads over the entire body.


HIV invades a T-4 white blood cell, takes over that cell, reproduces and HIV particles enter the blood stream and take over other T-4 cells and the immune system weakens because of a lack of T-4 cells.


T-4 cells take over HIV cells.

Answers

Answer:

T-4 cells take over HIV cells, then HIV takes over the bloodstream and T-4 cells destroy the HIV cells.

Which is way to evaluate a risk factor

Answers

Answer:

Consider both short- and long-term consequences. Decide whether you can control the risk factor. Analyze the possible benefits and risks of a decision.

Explanation:

Think of Long term a short terms consequences, best possible way to get what your looking for

Which of the following is NOT an example of how your environment could have an influence on your food choice or eating habits?

A. Attending a local football game that serves cheeseburgers and fries
B. Going out for pizza with your friends with no other menu options
C. Your social media feed is showing a delicious recipe idea
D. Your school lunch program offers tater tots or pasta, and you do not like either choice​

Answers

Answer:

the answer is d since you don't like either so you wouldn't eat them and it wouldn't effect you

Hope This Helps!!!

Answer:

You have to make a choice of what u like and this could affect eating habits e.g loss of appetite

D

Which statement best describes the effect nicotine has on the central nervous system?
A.
It acts as a stimulant and causes pleasurable feelings.
B.
It acts as a sedative and relaxes the mind.
C.
It acts as both a stimulant and a sedative.

Answers

C. It acts as both a stimulant and a sedative.
Answer : C

Explanation: Nicotine acts as both a stimulant and a depressant to the central nervous system.

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What is the most important thing to remember when lifting weights?

Answers

Answer:

Have someone there bc if something is wrong then they can help and brig water to stay highdrated or you can faint

Answer:

Form is the most important thing when lifting weights. If your form sucks you are setting yourself up for injury!

Explanation:

By far the most important is attitude. People have to push themselves. They must push their bodies where others won't. They have to work hard in the gym, and just as hard outside of the gym to learn and recover.

Your family is planning a vacation at a nearby lake during August. Describe four things you will do on the vacation to decrease the risk of injury from water activities. Explain how each strategy reduces risk. (8 points)

Answers

Wear a life jacket, stay in the boat, stay away from the edge of the dock

Answer:

I would use protective equipment to be safer and avoid any injuries or accidents while operating any water toys.

I would use goggles when entering the lake to avoid any foreign objects getting in my eyes and so I could see under the water for anything dangerous.

Use a proper life vest to prevent drowning while in the lake.

A proper water suit to protect myself from entanglement and keep me comfortable in the water.

Explanation:

Individuals with income above the Medicaid threshold but unable to afford private insurance.
HELPPP PLSSSS

A. can still qualify for the Medicaid program
B. qualify for the Medicare program
C. should apply for the CHIP program
D. will do best with a PPO plan​

Answers

A can still qualit for Medicare

Individuals with income above the Medicaid threshold but unable to afford private insurance can still qualify for the Medicaid program; option A.

What is the Medicaid program?

The Medicaid program is a program jointly set up by the federal and state government to provide free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities in the US.

Individuals with income above the Medicaid threshold but unable to afford private insurance can still qualify for the Medicaid program through the Medicaid expansion program.

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define environment.. somebody plzz it's urgent​

Answers

Answer:

The combined form of physical,chemical and biological condition in which we live is called environment. ( hope this help you ols make me brainlestv)

Within a year of the first vape devices being released, the World Health Organization released a warning that

Answers

Answer:

they were not usefull in the aid of quiting smoking if you're using gradpoint

01:48:15 Which personal goal should Abigail incorporate into her plan for healthy eating? Exercise and eat a well-balanced diet when the feeling is right. Look for food options with a large amount of refined grains. Eliminate foods high in protein from her diet. Increase intake of foods rich in soluble and insoluble fiber.

Answers

abigail should eat at least one fruit or vegetable with each meal she consumes daily to balance out her diet

Answer:

D.  Increase intake of foods rich in soluble and insoluble fiber.

Explanation:

Edgen 2021

Select all of the following substances that can be addicting.

cigarettes
chewing tobacco
legal drugs
illegal drugs
alcohol

PLZ HELP FOR A TEST

Answers

i’m pretty sure it’s a b and e

Answer:

all of the above

Explanation:

you can get addicted to anything even if it's legalized or not

what is health and the meaning for it

Answers

Answer:

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

Answer:

Health is the state of complete physical/mental/and social well-being of a living organism

Explanation:

What is the principle of "recovery" and why is it important?

Answers

Answer:

The Recovery Principle dictates that athletes need adequate time to recuperate from training and competition. Many believe that an athlete's ability to recover from workouts is just as important as the workout itself.

CORRECT ^^^^^^^^^^^^^^^^^^^^^^^^^

What are the benefits of gym based exercise?

Answers

Answer:

Help you control your weight. ...

Reduce your risk of heart diseases. ...

Help your body manage blood sugar and insulin levels. ...

Help you quit smoking. ...

Improve your mental health and mood. ...

Help keep your thinking, learning, and judgment skills sharp as you age

Explanation:

Hope it helps

16. Which of the following choices is not one of the benefits of amending college?

A. more debe

B. more job opportunities

C. greater potential

D. greater knowledge

__________________________________________

17. Which of the following choices is not one of the characteristics of a tech prep or 2-2 program?

A. They span the last two years of high school and the first two years of college.

B. Students in these programs spend time in a real work
setting

C. They emphasize applied learning

D. They emphasize abstract critical thinking

Answers

Answer:

16. option. A And 17 option. B

The option which is not one of the benefits of amending college is more debe. Thus, the correct option is A.

The choice which is not one of the characteristics of a tech prep or 2-2 program is that Students in these programs spend time in a real work setting. Thus, the correct option is B.

What is the process of amending college?

The process of amending the college requires the absolute satisfaction of management on the basis of some new modifications that should be imposed in the college for the betterment of students, teachers, staff, etc.

The benefits of amending college are:

It creates more job opportunities.Influence greater potential.Spread greater knowledge.

The choices that are the characteristics of a tech prep or 2-2 program are as follows:

They emphasize applied learning.They emphasize abstract critical thinking.They span the last two years of high school and the first two years of college.

Students in these programs are not spending time in a real work setting. They just trained themselves for the same.

Therefore, it is well described above.

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what is a medicine that stimulates the body's immune response to make disease-fighting molecules to attack a specific pathogen?

Answers

Answer:

Antitoxin

Explanation: It was on a quizlet

Task: Use the principle in the photo to put together a weekly training program to develop the components of fitness to achieve personal goals for an elite athlete in your chosen sport.
It has to consist of at least 2 rest days.

Answers

Think of The FITT principle as a set of rules that must be adhered to in order to benefit from any form of fitness training program.

These rules relate to the Frequency, Intensity, Type and Time (FITT) of exercise.

These four principles of fitness training are applicable to individuals exercising at low to moderate training levels and may be used to establish guidelines for both cardiorespiratory and resistance training.

5. A person who has Emphysema feels:

A. relaxed.

B. stimulated

C. suffocated

D. hyperactive

__________________________________________

6. Binge drinking is consuming:

A. five or more drinks at a time for men.

B. any form of hard alcohol.

C. no more than three drinks per day for men.

D. fewer than three drinks per week for women.

Answers

Answer:C

Explanation:

Emphysema is a shortness of breath from damaged lungs

Answer:

5. option D. And 6 option. B

in what ways sleep influences the body's response to stress

Answers

Answer: each of us should be getting between 6-8 hours of rest every night, in order to remain fully awake and alert. Sleep is required for us to "reset" our programming. When we get the correct amount of sleep this makes us less likely to  become aggravated or aggitated by life's probelms because we are tired.

A lack of sleep can cause the body to react as if it's in distress, releasing more of the stress hormone, cortisol. Cortisol is responsible for your fight or flight reaction to danger, increasing your heart rate in anticipation of a fight.

Drug abuse can be characterized by all of the following except

A. inability to focus on schoolwork and home responsibilities
B. legal problems cause by drug possession
C. physical harm to yourself because of drug use
D. withdrawal symptoms when you cannot access your choice drug

Answers

Answer: im not sure but i think it would be c

because all the other ones would be signs too

Drug abuse can be characterized by all of the following except physical harm to yourself because of drug use. Therefore option C is correct.

"Physical harm to yourself because of drug use," is not an accurate characterization of drug abuse. While drug abuse can certainly lead to physical harm in the long term, it is not a defining characteristic.

The other options, A, B, and D, are commonly associated with drug abuse. Inability to focus on responsibilities, legal problems due to drug possession, and experiencing withdrawal symptoms when unable to access drugs are often seen as consequences or signs of drug abuse.

Therefore option C physical harm to yourself because of drug use is correct.

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what is the safest way to find out in the load is heavy to lift?​

Answers

Answer:

well, you could ask if its on the more heavier side, or you could lift it a little off the ground and see if it is too heavy. remember to always lift with your legs though.

Explanation:

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