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Malaria Risk Areas Micro-stratification 2020

by Public Health Update January 5, 2021

Malaria risk stratification identifies geographical areas that are at a potential risk of malaria transmission based on the recent malaria burden, receptivity characteristics, and the potential vulnerability of the area to malaria. Malaria risk stratification is a prerequisite for a rational targeted intervention and an essential step for an effective and efficient resource mobilization.

Risk Wards as of Micro-stratification 2020

Total High Risk Wards: 28
Total Moderate Risk Wards: 125

Provinces

Province 1: Total High Risk Wards = 0,Total Moderate Risk Wards = 0
Province 2: Total High Risk Wards = 1, Total Moderate Risk Wards = 1
Bagmati Province: Total High Risk Wards = 0, Total Moderate Risk Wards = 0
Gandaki Province: Total High Risk Wards = 0, Moderate Risk Wards = 1
Province 5: Total High Risk Wards = 3, Total Moderate Risk Wards = 12
Karnali Province: Total High Risk Wards = 6, Total Moderate Risk Wards = 18
Sudurpashchim Province: Total High Risk Wards = 18, Total Moderate Risk Wards = 93

Districts	Municipalities (Wards)	Risk Type
Saptari	Saptakoshi NP (11)	High (1)
	Saptakoshi NP (3)	Moderate (1)
Nawalparasi East	Gaidakot NP (18)	Moderate (1)
Banke	Narainapur (3)	High (1)
	Bajnath (2); Duduwa (2); Kohalpur NP (12); Narainapur (6); Raptisonari (3)	Moderate (5)
Bardiya	Bansgadhi NP (1); Thakurbaba NP (4)	High (2)
	Bansgadhi NP (2); Thakurbaba NP (1, 2, 3)	Moderate (4)
Dang	Babai (7)	Moderate (1)
Kapilbastu	Krishnanagar NP (6); Maharajgunj NP (4)	Moderate (2)

Humla	Tanjakot (2, 3, 4)	High (3)
	Aadanchuli (5); Chankheli (2); Sarkeegad (2); Tanjakot (1)	Moderate (4)
Mugu	Khatyad (8, 10)	High (2)
	Khatyad (11); Soru (3, 5)	Moderate (3)
Salyan	Kalimati (3)	High (1)
Surkhet	Bheriganga NP (1); Birendranagar NP (10, 11); Chaukune (8); Ghurbhakot NP (13); Lekhbesi NP (7, 9, 10); Panchapuri NP (3, 4, 9)	Moderate (11)

Districts	Municipalities (Wards)	Risk Type
Achham	Mangalsen NP (11); Safhebagar NP (10)	Moderate (2)
Baitadi	Melauli NP (6, 7); Pancheswor (3, 4); Shibnath (2, 6)	High (6)
	Pancheshwor (2); Shibnath (1, 3, 4)	Moderate (4)
Bajura	Budinanda NP (1, 2, 5, 6, 7)	High (5)
	Himali (4, 6); Jagannath (1)	Moderate (3)
Dadeldhura	Parsuram NP (6, 5)	High (2)
	Aalital (5); Parsuram NP (4, 8, 9, 12)	Moderate (5)
Kailali	Bhajani NP (5); Dhangadi NP (9); Godawari NP (12)	High (3)
	Bardagoriya (1, 2, 5); Bhajani NP (7); Chure (4); Dhangadi NP (1, 2, 3, 4, 5, 6, 7, 12, 14, 15, 18); Gauriganga NP (1, 2, 3, 5, 7); Godagodi NP (1, 3, 4); Godawari NP (2, 3, 4, 6, 8, 9, 10, 11); Janaki (3, 6, 9); Kailari (2, 4); LamkiChuha NP (4, 8); Tikapur NP (1, 2, 5, 6, 7)	Moderate (44)
Kanchanpur	Bhimdatta NP (1, 9)	High (2)
	Bedkot NP (4, 6); Belauri NP (1, 5, 6, 9, 10); Bhimdatta NP (2, 3, 6, 7, 10, 11, 13, 15, 18, 19); Krishnapur NP (1, 3, 4, 6, 7); Laljhadi (2); Mahakali NP (3, 4, 7, 8, 10); Purnabash NP (2, 9, 11); SuklaPhanta NP (1, 2, 5, 12)	Moderate (35)

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January 5, 2021 0 comments

Public Health Environmental Health & Climate Change Fact Sheet National Plan, Policy & Guidelines

Air Quality Monitoring Stations in Nepal

by Public Health Update January 5, 2021

written by Public Health Update

Air pollution has become a serious environmental concern and a public health risk in Nepal. Government of Nepal has taken various initiatives for the control of air pollution. Air quality monitoring program is one of the initiative of the Department of Environment, Ministry of Forests and Environment.

The main purpose of the establishment of the Air Quality Monitoring network stations is to provide the basis for decision makers to perform air quality management and increase the public awareness.

Department of Environment is planning to set a network of air quality monitoring network throughout the country. The data from air quality monitoring can be accessed through http://pollution.gov.np

Air Quality Monitoring Stations in Nepal

Nepalgunj
Status: Running
Latitude; 28.05275
Longitude: 81.6222

Lumbini
Status: Running
Latitude: 27.489522
Longitude: 83.279089

Dang
Status: Running
Latitude: 27.9914
Longitude: 82.5346

GBS, Pokhara
Status Running
Latitude: 28.258
Longitude: 83.968

Sauraha
Status: Running
Latitude: 27.573483
Longitude: 84.498578

Simara
Status: Running
Latitude: 27.156708
Longitude: 84.997761

Dhulikhel
Status: Running
Latitude: 27.608483
Longitude: 85.547803

Bhaktapur
Status: Running
Latitude: 27.673762
Longitude: 85.417528

Shankapark
Status Running
Latitude: 27.73457
Longitude: 85.342576

Bharatpur
Status: Running
Latitude: 27.672503
Longitude: 84.438393

Hetauda
Status: Running
Latitude: 27.4226747
Longitude: 85.0344161

Bhimdatta (Mahendranagar)
Status: Running
Latitude: 28.965051
Longitude: 80.182925

Pulchowk
Status: Running
Latitude: 27.682581
Longitude: 85.318841

DHM, Pokhara
Status: Running
Latitude: 28.205817
Longitude: 83.97361

Surkhet
Status: Running
Latitude: 28.678541
Longitude: 81.472938

Dhankuta
Status: Running
Latitude: 26.98066
Longitude: 87.34392

Bhaisipati
Status: Running
Latitude: 27.65311
Longitude: 85.302252

Janakpur
Status: Running
Latitude: 26.739805
Longitude: 85.92854

Biratnagar
Status: Running
Latitude: 26.4450921
Longitude: 87.2750912

Rara
Status: Running
Latitude: 29.5082222
Longitude: 82.0939167

PU Pokhara
Status: Running
Latitude: 28.143122
Longitude: 84.08551

Damak
Status: Running
Latitude: 26.669363
Longitude: 87.703262

Ratnapark
Status Running
Latitude: 27.7
Longitude: 85.31

Dhangadhi
Status: Running
Latitude: 28.704133
Longitude: 80.5945

Jhumka
Status: Running
Latitude: 26.664451
Longitude: 87.195171

TU Kritipur
Status: Running
Latitude: 27.681719
Longitude: 85.289313

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Public Health Environmental Health & Climate Change National Plan, Policy & Guidelines Research & Publication

National Climate Change Policy, 2076 (2019)

by Public Health Update January 5, 2021

written by Public Health Update

The National Climate Change Policy, 2019 has been introduced with the objective of providing policy guidance to various levels and thematic areas towards developing a resilient society by reducing the risk of climate change impacts.

Goal

To contribute to socio-economic prosperity of the nation by building a climate resilient society.

Objectives

To enhance climate change adaptation capacity of persons, families, groups and communities vulnerable to, and at risk of, climate change;
To build resilience of ecosystems that are at risk of adverse impacts of climate change;
To promote green economy by adopting the concept of low carbon emission development;
To mobilize national and international financial resources for climate change mitigation and adaptation in just manner;
To conduct research, make effective technology development and information service delivery related to climate change;
To mainstream or integrate climate change issues into policies, strategies, plans and programs at all levels of State and sectoral areas;
To mainstream gender equality and social inclusion (GESI) into climate change mitigation and adaptation programs”

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Guest Post Health Literacy, Health Education & Promotion Non- Communicable Diseases (NCDs)Public Health

Exercises for the Cure of Diabetes Mellitus-2 at Home

by Public Health Update January 2, 2021

written by Public Health Update

Sanchita Subedi

Type 2 diabetes has been a serious problem of today’s world. It has been increasing with the increased low physical activity, day to day stressful lifestyle. Diabetes Mellitus-2 is a non-communicable disease which has been seeing in adults mostly with the age ranging above 30. There’s no permanent cure for Diabetes Mellitus-2 but along with the proper diet, regular physical activities and healthy lifestyle can reduce the risks of Diabetes Mellitus-2 and also it helps to maintain the blood sugar level. But if the person is already diagnosed with Diabetes then along with the diet and exercises the medication and insulin therapy is also needed in some cases.

It’s always a better day to start with morning exercises. Regular exercises helps to prevent and reduce the risks of the cardio-vascular diseases and the risks of the kidney failure also the blindness that may happen in the severe conditions. The following regular exercises can be done to help reduce the Blood glucose level in the body and promote the health conditions.

Walking

Walking can be the effective exercise to make the body fit and healthy. Regular walk for 30 mins every morning with the fresh air would help to maintain the blood glucose level in the body. The comfortable cloths with the pair of shoes would help to maintain the freshness all day long.

2. Cycling

Cycling can be the effective major to help reduce the blood glucose level with the regular ride. The cycling can give the body a heat to reduce the weight. But in the cases like joint pains, arthritis, osteoporosis the cycling will make the condition worse so better to avoid the cycling. But some exercises like: Aerobic exercises can be a better one.

3. Swimming

Regular swimming helps to maintain a fitness in the body. Swimming exercises helps to maintain the blood glucose level in the body. A fresh morning start with a swimming in the pool can make the entire day stress-free. The swimming exercises helps to reduce the risks of obesity.

4. Sports

Sports is the way of making a body healthy and fit. There are many sports which helps to reduce the risks of obesity. The sports with a week of interval can be the best effort to be taken to help the people’s who are already at the risk of diabetes to lessen the future complications. The sports like: Badminton, Tennis, volleyball with the peers would be the best to maintain the blood glucose level.

5. Relaxation Techniques

The regular relaxation techniques can help to maintain the day to day stressful lifestyle. The relaxation techniques like: meditation, breathing exercises in the morning will help to maintain the stress. The day start with the mindfulness will help to maintain the peace of mind entire the day.

6. Aerobic Exercises

Aerobic exercises can be the best one to maintain the regular fitness of the body and reduce the risks of the obesity. The regular aerobic exercises can be the best workout for the entire day to be fit. The everyday 15 minutes of exercise can help to reduce the severe condition of obesity.

7. Home Work-Outs

The simple exercises at home would be the better one to help the people who cannot maintain their time for the gym centers. The home workout like; push-ups, squats, simple jumping exercises can help to maintain the healthy life style. The workout for 30 mins with the regular morning will help to maintain the physical fitness the entire day.

8. YOGA

Regular start of the day with the yoga helps to maintain the daily stress. The Yoga techniques practiced in the morning will help to maintain the blood glucose level and also help to the weight loss journey. The yoga is found to be the best exercise which can be done anywhere. The regular yoga for 25 mins which help to boost the day.

Related reading: Health benefits of Yoga

Sanchita Subedi, Public Health Professional Email: sanchitasubedi19@gmail.com
More from author: COVID-19 AND IT’S PSYCHOLOGICAL IMPACT ON CHILDREN’S AND ADOLESCENT

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Global Health News Outbreak News Public Health News

WHO issues its first emergency use validation for a COVID-19 vaccine

by Public Health Update January 1, 2021

written by Public Health Update

WHO issues its first emergency use validation for a COVID-19 vaccine and emphasizes need for equitable global access.

The World Health Organization (WHO) today listed the Comirnaty COVID-19 mRNA vaccine for emergency use, making the Pfizer/BioNTech vaccine the first to receive emergency validation from WHO since the outbreak began a year ago.

The WHO’s Emergency Use Listing (EUL) opens the door for countries to expedite their own regulatory approval processes to import and administer the vaccine. It also enables UNICEF and the Pan-American Health Organization to procure the vaccine for distribution to countries in need.

“This is a very positive step towards ensuring global access to COVID-19 vaccines. But I want to emphasize the need for an even greater global effort to achieve enough vaccine supply to meet the needs of priority populations everywhere,” said Dr Mariângela Simão, WHO Assistant-Director General for Access to Medicines and Health Products. “WHO and our partners are working night and day to evaluate other vaccines that have reached safety and efficacy standards. We encourage even more developers to come forward for review and assessment. It’s vitally important that we secure the critical supply needed to serve all countries around the world and stem the pandemic.”

Regulatory experts convened by WHO from around the world and WHO’s own teams reviewed the data on the Pfizer/BioNTech vaccine’s safety, efficacy and quality as part of a risk-versus-benefit analysis. The review found that the vaccine met the must-have criteria for safety and efficacy set out by WHO, and that the benefits of using the vaccine to address COVID-19 offset potential risks.

The vaccine is also under policy review. WHO’s Strategic Advisory Group of Experts on Immunization (SAGE) will convene on 5 January, 2021, to formulate vaccine specific policies and recommendations for this product’s use in populations, drawing from the SAGE population prioritization recommendations for COVID-19 vaccines in general, issued in September 2020.

The Comirnaty vaccine requires storage using an ultra-cold chain; it needs to be stored at -60°C to -90°C degrees. This requirement makes the vaccine more challenging to deploy in settings where ultra-cold chain equipment may not be available or reliably accessible. For that reason, WHO is working to support countries in assessing their delivery plans and preparing for use where possible.

How the emergency use listing works

The emergency use listing (EUL) procedure assesses the suitability of novel health products during public health emergencies. The objective is to make medicines, vaccines and diagnostics available as rapidly as possible to address the emergency while adhering to stringent criteria of safety, efficacy and quality. The assessment weighs the threat posed by the emergency as well as the benefit that would accrue from the use of the product against any potential risks.

The EUL pathway involves a rigorous assessment of late phase II and phase III clinical trial data as well as substantial additional data on safety, efficacy, quality and a risk management plan. These data are reviewed by independent experts and WHO teams who consider the current body of evidence on the vaccine under consideration, the plans for monitoring its use, and plans for further studies.

Experts from individual national authorities are invited to participate in the EUL review. Once a vaccine has been listed for WHO emergency use, WHO engages its regional regulatory networks and partners to inform national health authorities on the vaccine and its anticipated benefits based on data from clinical studies to date.

In addition to the global, regional, and country regulatory procedures for emergency use, each country undertakes a policy process to decide whether and in whom to use the vaccine, with prioritization specified for the earliest use. Countries also undertake a vaccine readiness assessment which informs the vaccine deployment and introduction plan for the implementation of the vaccine under the EUL.

As part of the EUL process, the company producing the vaccine must commit to continue to generate data to enable full licensure and WHO pre-qualification of the vaccine. The WHO pre-qualification process will assess additional clinical data generated from vaccine trials and deployment on a rolling basis to ensure the vaccine meets the necessary standards of quality, safety and efficacy for broader availability.

OFFICIAL LINK (31 December 2020 News release)

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Public Health Health Financing and Economics Health Systems National Plan, Policy & Guidelines Public Health Notes Research & Publication

Public Financial Management (PFM) Strategic Framework

by Public Health Update December 29, 2020

written by Public Health Update

Public Financial Management (PFM) concerns the revenue mobilisation and public expenditure systems of the country. PFM has to ensure that resource mobilisation and utilisation, budgeting and programming, budget release and expenditure management, maintenance of accounts and preparation of financial statements for reporting are performed in a transparent, accountable and responsible manner, complying with the legal provisions of the country.

The main objectives of PFM are to maintain good financial governance and make public service delivery efficient and effective through fulfilling legal provisions in revenue mobilisation, budget formulation and approval, budget release, budget implementation and reporting. Auditing is regarded as a tool for assessing financial good governance. An independent audit, carried out fairly, focusing on regularity, economy, efficiency, effectiveness and propriety, both evaluates and promotes accountability and transparency in financial administration: audits support financial good governance.

The three main dimensions of PFM are revenue or resource mobilisation, public debt, public expenditure and public accountability.

Public Expenditure and Financial Accountability Assessment (PEFA) is a tool for measuring the performance of PFM and improving accountability. PEFA also functions as a framework tool to improve financial accountability and align External Development Partners (EDPs) with the country system.

The Government of Nepal (GoN) has enforced the Financial Procedures and Fiscal Accountability Act, 2019 (2076) (FPFAA) to regulate and manage the financial procedures of the federal government.

Source of information: Public Financial Management (PFM) Strategic Framework

For more information: Download PFM Strategic Framework

English Version

Nepali Version

Related readings

Ministry of Health & Population

Divisions:

Unit

Health Emergency and Disaster Management Unit (Health Emergency Operation Center -HEOC)

Councils

Central Hospitals

Departments

Vector Borne Disease Research and Training Center (VBDRTC)

Department of Health Services (DoHS)
Centres

Divisions

Sections

Administration Section
Finance Administration Section

Department of Drug Administration (DDA)

Department of Ayurveda and Alternative Medicine (DoAA)

Provincial Government

Provincial Health System

Ministry of Social Development (MoSD)

Hospital Development and Medical Service Division
Policy, Law, Standard, Planning and Public Health Division

Offices

Health Directorate
PHEOC
Health Offices
Provincial Health Logistic Management Center
Health Training Center
Provincial Reference Laboratory

Local Government

Local Health System

Metropolitan Health System (Division/ Section)
Sub-Metropolitan Health Section
Rural Municipality Health Section
Municipality Health Section
Primary Hospitals
Primary Health Care Center
Health Post
Urban Health Promotion Center
Urban Health Center
Community Health Unit
Female Community Health Volunteers
Expanded Program on Immunization Clinics
Primary Health Care Outreach Clinics

Related readings: Health Insurance Board (HIB)

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December 29, 2020 3 comments

Public Health Health Financing and Economics National Plan, Policy & Guidelines Public Health Notes Research & Publication

Process & Timeframe for Health Sector Budget and Programme Formulation in Nepal

by Public Health Update December 29, 2020

written by Public Health Update

Formulation of Budget and Programme

Each level of government and its subordinate offices must formulate a budget and programme for the next year in order to obtain resources.

The budget should be divided under economic expenditure heads, based on the approved “Integrated code for revenue and expenditure for all three tiers of governments”, 2074. The budget and programme proposals shall be based on the objectives and targets of the periodic plan, Medium-term Expenditure Framework (MTEF) and the international commitments and annual plans and policies of the GoN.

Budget proposals shall be based on the long-term vision, mission, target and objectives and expected outputs. The budget proposal for the following year should track the progress of current year budget implementation. In formulating the health budget, intensity of disease, priority-based programmes, Basic Health Services, previous-year budget progress, demand from the field office, and local context must be included. Business Plans (BPs) are a helpful tool to ensure realistic budget formulation.

Budget and programme formulation at federal level

The MoHP receives the budget ceiling and budget formulation guidelines from the Ministry of Finance (MoF) and National Planning Commission; the Policy, Planning and Monitoring Division (PPMD) of MoHP sends budget ceilings and budget formulation guidelines to the subordinate departments, central-level offices, national and specialised hospitals and other health entities. The MoHP finalises the budget proposals from subordinate offices through discussion of the rationale of activities with departments. The PPMD enters the activities with their proposed budgets into the Electronic Annual Work Plan and Budget (e-AWPB) and Line Ministries Budget Information System (LMBIS).

The budget proposal of the MoHP is submitted to the MoF and NPC for discussion and finalisation of the ministerial budget. The budget formulation process begins from the third week of Magh each year and is completed in the fourth week of Baisakh.

By constitutional provision, the federal-level budget shall be presented in the joint session of federal parliament on the 15th of Jestha each year. Before presenting the budget estimation to parliament, the Minister of Finance submits next year’s budget policy to the Finance Committee and seeks suggestions. The Finance Minister presents progress on the current year’s budget and the status report of public enterprises along with the budget estimation.

Budget and programme formulation in provinces

At the provincial level, health budget proposals are formulated in accordance with the guidelines by the Health Division of the MoSD and the Budget Ceiling from Policy and Planning Commission and the Ministry of Economic Affairs and Planning (MoEAP).

The budget is drawn up taking into account the province periodic plan, project bank, MTEF and the rationale of the new programme. The MoSD shall provide finalised budget proposals for the next FY and forwards, with three-year expenditure projections, to the Province Policy and Planning Commission (PPC) and MoEA. The MoEA finalises the budget of the MoSD, including other ministries, and submits the budget estimation to the province assembly on Asar 1 each year.

Budget and programme formulation at local level:

At the local level, the programme and budget shall be formulated in compliance with the steps and limitations as laid out in the Local-level Programme Formulation Directives, 2075. The local executives shall deliver the budget proposal to the local assembly before Asar 10.

Role of the MoHP in conditional grants to local- and provincial-level budgeting:

At present, the MoHP identifies the activities and budget for the programmes implemented at provincial and local level and makes them available to the Federal MoF. The MoF allocates the budget as discussed with the MoHP as conditional grants to provinces and the local level.

Medium-term Expenditure Framework (MTEF): The MTEF for the health sector for all three tiers of government is prepared in accordance with Clause 17(2) (ka to chha) of the Inter-Governmental Financial Management Transfer Act, 2074, and Schedule 6 of the Local-level Budget Formulation Directives, 2076. The MTEF is prepared with the expected outputs/targets of the programme and the estimated budget for the same. The MTEF includes health sector programmes with detailed activity indicators, targets, and estimated budget for three years, including funding sources and short programme descriptions.

Approval of budget and programme

The federal parliament, provincial assembly and local assembly shall approve the budget. After approval of the budget, a budget authorisation letter shall be issued with detailed activities.

Timeframe for Federal Budget and Programme Formulation

S.N	Details of process	Responsibility	Timeframe
1.	Preparation of annual programme and budget formulation	Ministry	Magh 2^nd–3^rd week
2.	Receipt of budget ceiling from NPC and distribution of guidelines on budget formulation along with budget ceiling	Ministry	Magh 3^rd week
3.	Review of budget formulation preparations and revision of budget ceiling as needed	Ministry	Falgun 1^st week
4.	Entry of proposed budget and programme details in e-AWPB	Departments and centres	Falgun 2^nd week
5.	Discussion of proposed divisional budget in the ministry	Ministry	Falgun 2^nd–3^rd week
6.	Entry of proposed programme and budget in e-AWPB	Departments and centres	Falgun 4^th week
7.	Verification that the whole budget and programme under the ministry is in line with the budget formulation guidelines, budget ceiling and procurement plan	Ministry	Chaitra 1^st week
8.	Entry of finalised proposed budget and programmes of MoHP in e-AWPB and LMBIS	Departments and centres	Chaitra 2^nd–3^rd week
9.	Migration of proposed budget and programme of LMBIS to NPC and MoF	Ministry	Chaitra 4^th week
10.	Policy-focused discussion on proposed annual programmes and federal- and local-level budgets in NPC	NPC	Chaitra 4^th week
11.	Revision of LMBIS in line with the agreed discussion held in NPC	Departments and centres	Baisakh 1^st week
12.	Policy-focused discussion on programmes and budget with MoF	MoF	Baisakh 2^nd–4^th week
13.	Forwarding of statements of transfer through conditional grants with detailed programmes and activities to MoF	Ministry	Baisakh 3^rd week
14.	Entry of agreed proposed programmes and budget with MoF in LMBIS and e-AWPB	Ministry	Baisakh 4^th week
15.	Submission of budget estimates to the joint session of federal parliament	MoF	Jesth 15
16.	Revision of LMBIS and e-AWPB in accordance with the approved budget from parliament	Ministry	Ashad 2^nd week
17.	Approval of the office-wise allocation in LMBIS from MoF	Ministry	Shrawan 1^st week
18.	Issue of budget implanting authorisation with details of programmes for each office	Ministry	Shrawan 1^st–2^nd week

Timeframe for Federal Budget and Programme Formulation

PROVINCIAL BUDGET AND PROGRAMME FORMULATION TIMEFRAME

S.N	Steps/phases	Timeframe
1.	Submission of revenue and expenditure projection for next FY to GoN	By end of Paush
2.	Delivery of budget ceilings and guidelines on fiscal transfer from GoN to Provinces	By end of Falgun
3.	Determination of the size of estimation on resources and budget ceiling	By Chaitra 15
4.	Delivery of budget ceiling to line ministries/entity I province	By Chaitra 20
5.	Submission of proposed programmes and budget to PPC and MoEA	By Baisakh 10
6.	Finalisation of proposed programmes and budget	By Jestha 15
7.	Obtaining approval from PPC on the proposed development programmes/activities	By Jestha 25
8.	Submission of Province budget to Province assembly	By Ashad 1
9.	Obtaining approval from Province assembly on programmes and budget	By end of Ashad
10.	Publication of the budget and programmes of the following FY	Ashad 1

PROVINCIAL BUDGET AND PROGRAMME FORMULATION TIMEFRAME

BUDGET AND PROGRAMME FORMULATION TIMEFRAME AT LOCAL LEVEL

SN	Steps/phases	Timeframe
1.	Submission of revenue projection by Revenue Consultative Committee to local executives	Paush 15
	Submission of revenue and expenditure projection for following FY with data to GoN	By end of Paush
2.	Obtaining budget ceilings and guidelines on fiscal transfer from GoN/Province	By end of Falgun
3.	Allocation to different thematic sectors	by end of Chaitra
4.	Determination/estimation of resources and budget ceiling by the Budget Ceiling Determining Committee	By Baisakh 10
5.	Providing budget ceiling to committees and thematic divisions	By Baisakh 15
6.	Prioritising ward-level programme formulation	By Jestha 15
7.	Formulation of the integrated proposed budget for the local level for the following FY	By end of Jestha
8.	Approval of programmes and budget from the local executive	By Ashad 5
9.	Submission of budget estimation with mid-term expenditure framework	By Ashad 10
10.	Obtaining approval from local-level assembly on the budget and programmes, including MTEF	By end of Ashad
11.	Publication of the budget and programmes for the following FY	By Shrawan 15

BUDGET AND PROGRAMME FORMULATION TIMEFRAME AT LOCAL LEVEL

Source of information: Public Financial Management (PFM) Strategic Framework

Related readings

Ministry of Health & Population

Divisions:

Unit

Health Emergency and Disaster Management Unit (Health Emergency Operation Center -HEOC)

Councils

Central Hospitals

Departments

Vector Borne Disease Research and Training Center (VBDRTC)

Department of Health Services (DoHS)
Centres

Divisions

Sections

Administration Section
Finance Administration Section

Department of Drug Administration (DDA)

Department of Ayurveda and Alternative Medicine (DoAA)

Provincial Government

Provincial Health System

Ministry of Social Development (MoSD)

Hospital Development and Medical Service Division
Policy, Law, Standard, Planning and Public Health Division

Offices

Health Directorate
PHEOC
Health Offices
Provincial Health Logistic Management Center
Health Training Center
Provincial Reference Laboratory

Local Government

Local Health System

Metropolitan Health System (Division/ Section)
Sub-Metropolitan Health Section
Rural Municipality Health Section
Municipality Health Section
Primary Hospitals
Primary Health Care Center
Health Post
Urban Health Promotion Center
Urban Health Center
Community Health Unit
Female Community Health Volunteers
Expanded Program on Immunization Clinics
Primary Health Care Outreach Clinics

Related readings: Health Insurance Board (HIB)

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December 29, 2020 2 comments

Syllabus PROVINCE PUBLIC SERVICE COMMISSION, BAGMATI PROVINCE

Syllabus Public Health Notes

Syllabus for 5th Level Positions (Health)- Bagmati Province Public Service Commission

by Public Health Update December 29, 2020

written by Public Health Update

Syllabus for 5th Level Positions (Health)- Bagmati Province Public Service Commission

Health Assistant
Staff Nurse
Radiographer
Medical Lab. Technician
Medical Recorder Supervisor
Pharmacy Assistant (Coming soon)

Health Assistant

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Health Assistant

Staff Nurse

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Staff Nurse

Radiographer

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Radiographer

Medical Lab. Technician

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Medical Lab. Technician

Medical Recorder Supervisor

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Medical Recorder Supervisor

SYLLABUS (ENTRANCE & PSC)

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December 29, 2020 0 comments

Global Health News Public Health Public Health News

10 global health issues to track in 2021

by Public Health Update December 29, 2020

written by Public Health Update

The year 2020 was a devastating year for global health. The pandemic threatens to set back hard-won global health progress achieved over the past two decades – in fighting infectious diseases, for example, and improving maternal and child health.

In 2021, countries around the world will need to continue battle COVID-19. They will need to move swiftly to repair and reinforce their health systems so they can deliver these tools, and to address the key societal and environmental issues that result in some sections of the population suffering so much more than others.

WHO listed the following 10 global health issues to track in 2021;

Build global solidarity for worldwide health security
Speed up access to COVID-19 tests, medicines and vaccines
Making Health For All a reality
Tackle health inequities
Prioritize science & innovation & improve data quality
Revitalize efforts to tackle communicable diseases
Combat drug resistance
Prevent and treat NCDs and mental health conditions
Build back better from the pandemic
Act in solidarity

More details: WHO

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Health Organization Profile Health Systems National Plan, Policy & Guidelines Research & Publication

Health Insurance Board (HIB)

by Public Health Update December 27, 2020

written by Public Health Update

Background

Health Insurance Board (HIB) of Nepal is a government authority, formulated to plan, manage and operate health insurance services as per the mandate of Nepal Health Insurance Act & its regulation. The HIB was formed following the enactment of the Nepal Health Insurance Act 2074. Health insurance program is a social protection program of the Government of Nepal that aims to enable its citizens to access quality health care services without placing a financial burden on them.

Recommended course: E-Learning Course on Health Insurance System of Nepal

Health Insurance program helps prevent people from falling into poverty due to health care costs i.e. catastrophic expenditure due to accidents or disease by combining prepayment and risk pooling with mutual support. This program also advocates towards quality health services.

Objectives

Main Objective

To ensure Universal Health Coverage by increasing access to, and utilization of necessary quality health services.

Specific objectives

To increase the financial protection of the public by promoting pre-payment and risk pooling in the health sector;
To mobilize financial resources in an equitable manner; and
To improve the effectiveness, efficiency, accountability and quality of care in the delivery of health care services.

Strategies

Increasing participation of communities towards health insurance program by providing special protection to the poor and marginalized and
Extending coordination and cooperation with government and non-government service provider health institutions for gradual expansion of health insurance program throughout the country.

Read more about: The Social Health Security Program (SHSP)

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Contact Information
Health Insurance Board
Teku, Kathmandu, Nepal
Phone: +977-01-4100223/4100224/4100225
Audio Notice Board: 16600111224
Fax : +977-01-4100223
Email : Info@Hib.Gov.Np
Website : https://hib.gov.np/np

Department of Ayurveda and Alternative Medicine (DoAA)

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December 27, 2020 2 comments

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Syllabus for 5th Level Positions (Health)- Bagmati Province Public Service Commission

10 global health issues to track in 2021

WHO listed the following 10 global health issues to track in 2021;

Health Insurance Board (HIB)

Background

Objectives

Strategies

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