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Fact SheetHealth Organization ProfileHealth SystemsNational Plan, Policy & GuidelinesPublic Health NotesPublic Health UpdateResearch & Publication

Department of Ayurveda and Alternative Medicine (DoAA)

by Public Health Update July 1, 2020
written by Public Health Update

Department of Ayurveda and Alternative Medicine (DoAA)

Department of Ayurveda and Alternative Medicine (DoAA) primarily manages the delivery of Ayurveda & Alternative Medicine Services and promotes healthy lifestyles through its network facilities all across the country.

The Department of Ayurveda & Alternative Medicine, one of the three departments of the Ministry of Health & Population (MoHP) is responsible for programming, management of information, and supervision, monitoring and evaluation of the Ayurveda Service programs. Ayurveda is an ancient medical system and indigenous to Nepal with deep roots.

The sources of Ayurvedic medicine are medicinal herbs, minerals and animal products. The system works through simple and therapeutic measures along with promotive, preventive, curative and rehabilitative health of people. Ayurveda health services are being delivered through one Central Ayurveda Hospital (Nardevi), one Provincial Hospital (Dang), 14 Zonal Ayurveda Dispensaries, 61 District Ayurveda Health Centers and 305 Ayurveda dispensaries across the country. The Ayurveda and Alternative Medicine unit in the Ministry of Health & population (MoHP) is responsible for formulating policies and guidelines for Ayurveda and other traditional medical system. Various national and international policies have highlighted the importance of Ayurveda services in primary health care and for prevention of Non Communicable Diseases (NCDs).

Organogram and Reporting Mechanism of Nepalese Health System in Federal Context

The Constitution of Nepal has called for the protection and promotion of traditional Ayurveda medicines along with naturopathy and homeopathy. The National Health Policy (2014) has called for expansion of Ayurvedic services in line with the National Ayurveda Health Policy (1995) and National Urban Health policy (2015). Fifteen Plan of Government of Nepal (2019/20-2023/24) has guided planned development & expansion of Ayurveda, Naturopathy, Homeopathy & other alternative medicines.

More specifically, it says:

  • Structural development suitable for identification, prevention, collection & promotion of locally available medicinal herbs, minerals & animal origin medicines.
  • Management & regulation of other alternative medicines based on standards & norms.
  • Establishment of Ayurveda, Yoga & Naturopathy Center and utilization of Ayurveda for promotion of health tourism.

Objectives of Department of Ayurveda and Alternative Medicine (DoAA)

  • To expand and develop functional, physical Ayurveda health infrastructure;
  • To improve quality control mechanism for Ayurveda health services throughout the country;
  • To develop and manage the required human resources;
  • To mobilize the adequate resources for medicinal plants;
  • To promote community participation in the management of the health facility & utilization of local herbs;
  • To promote health status & sustainable development of Ayurveda system using locally available medicinal plants;
  • To promote positive attitudes towards health care & awareness of health issues;

Strategies of Department of Ayurveda and Alternative Medicine (DoAA)

  • Provide preventive, promotive & curative health services in the rural areas;
  • Establishment & development of Ayurveda institutions;
  • Strengthen & expand the Ayurveda health services;
  • Develop skilled manpower required for various health facilities;
  • Strengthening of monitoring & supervision activities;
  • Development of information, education & communication center in the Department;
  • Develop Inter sectoral co-ordination with Education Ministry, Forestry, local development sector & other NGO’s & INGO’s;
  • Establishment of regional Ayurveda Hospitals & Ayurveda Dispensaries;
  • Strengthening & expansion of research & training center of international level;
  • National & International level training for the capacity enhancement of its human resources.

 

Organization structure of Department of Ayurveda & Alternative Medicine:

Department of Ayurveda and Alternative Medicine (DoAA)

Department of Ayurveda and Alternative Medicine (DoAA)


Organization structure of Department of Ayurveda & Alternative Medicine:

Organization structure of Department of Ayurveda & Alternative Medicine:

Federal Level

  • DoAA
  • Nardevi Hospital
  • NARTC
  • Singhadurvar Vaidhyakhana
  • NAMC
  • Ayurveda and Alternative Medicine Section (MoHP)

Provincial Level

  • District Ayurveda Health Centers
  • Anchal Ayurveda Dispensaries
  • Ayurveda Dispensaries

Recent related publications

  • Department of Ayurveda and Alternative Medicine (DoAA)
  • Guidelines for YOGA Practitioners for COVID-19

MORE Publications:NATIONAL PLAN, POLICY & GUIDELINES

For updated information, please visit official website of DoAA

Contact information

977-01-4269910
doaa.gov.np@gmail.com


Recommended

  • The Ministry of Health and Population (MoHP), Nepal
  • Department of Drug Administration (DDA), Ministry of Health and Population
  • Department of Drug Administration (DDA), Ministry of Health and Population
  • Department of Ayurveda and Alternative Medicine (DoAA)

Information was collected from various documents, reports and government publications. 

Recommended Citation: Public Health Update. Department of Ayurveda and Alternative Medicine (DoAA) [Internet]. [cited 2020 Jul 1]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/department-of-ayurveda-and-alternative-medicine-doaa/ 

 


 

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DOHS
Fact SheetHealth Organization ProfileHealth SystemsNational Plan, Policy & GuidelinesPublic Health NotesPublic Health UpdateResearch & Publication

Department of Health Services (DoHS), Ministry of Health and Population

by Public Health Update July 1, 2020
written by Public Health Update

Department of Health Services (DoHS), Ministry of Health and Population

The overall purpose of the Department of Health Services (DoHS) is to deliver preventive, promotive and curative health services throughout nepal. The DoHS is one of three departments under Ministry of Health & Population(MoHP).

Health posts are the first institutional contact point for basic health services. These lowest level health facilities monitor the activities of Female Community Health Volunteers (FCHVs) and the community-based activities of Primary Health Care Outreach Clinics (PHC-ORCs) and Expanded Programme on Immunization (EPI) clinics. In addition, they are the referral centres of FCHVs as well as venues for community based activities such as PHC-ORC and EPI clinics. Each level above the health post level is a referral point in a network from PHCCs on to primary and secondary level hospitals, and finally to tertiary level hospitals. This hierarchy is designed to ensure that most of the population can receive public health and minor treatment in accessible places. Inversely, the system works as a supporting mechanism for lower levels by providing logistical, financial, monitory supervisory and technical support from the centre to the periphery.

Organogram and Reporting Mechanism of Nepalese Health System in Federal Context

 

Organization structure: Organogram of Department of Health Services (DoHS)

The following five centres have a degree of autonomy in personnel and financial management

  • National Health Education, Information and Communication Centre (NHEICC)
  • National Health Training Centre (NHTC)
  • National Centre for AIDS and STD Control (NCASC)
  • National Tuberculosis Centre (NTC)
  • National Public Health Laboratory (NPHL)

Department of Health Services (DoHS) has following five divisions and three sections;

  • Management Division
  • Family Welfare Division
  • Curative Service Division
  • Nursing and Social Security Division
  • Epidemiology and Diseases Control Division (EDCD)

Similarly,DoHS has two sections;

  • Administration Section
  • Finance Administration Section

 

Department of Health Services (DoHS), Ministry of Health and Population

Department of Health Services (DoHS), Ministry of Health and Population

Organization structure: Organogram of Department of Health Services (DoHS)

Organization structure: Organogram of Department of Health Services (DoHS)

Functions of Department of Health Services (DoHS)

  • Advise the Government of Nepal (GoN) on formulating health related policies and developing and expanding health institutions in line with these policies.
  • Determine the required human resource for health institutions and developing them by preparing and implementing short and long term plans.
  • Manage the procurement and supply of drugs, equipment, instruments and other logistics at regional, district and below levels.
  • Coordinate activities and mobilize resources for the implementation of approved programmes.
  • Manage the immediate solution of problems arising from natural disasters and epidemics.
  • Establish relations with foreign countries and international institutions to enhance and develop health services and assist MoHP in receiving and mobilizing foreign resources by identifying areas of cooperation.
  • Encourage the private sector and non-government and foreign institutions to participate in health services, maintain relations and coordination, and control the quality of health services by regular supervision and monitoring.
  • Manage free medication and treatment for severe diseases (cancer, heart disease, Alzheimer’s, Parkinson’s disease, head injuries, spinal injuries, renal failure and sickle-cell anaemia and Kidney Dialysis, Kidney Transplant and Kidney Treatment) for impoverished citizens.
  • Manage information systems related to health facilities, health services, logistics, training and finance to support the planning, monitoring, and evaluation of health programmes.
  • Maintain data, statements and information on health services update & publication of DoHS Annual Report.
  • The financial management of DoHS, and the settlement of irregularities.

For updated information, please visit official website of DoHS

Department of Health Services, Teku, Kathmandu,Nepal
977-1- 4261712, 977-1- 4262238
info@dohs.gov.np

Recommended

  • The Ministry of Health and Population (MoHP), Nepal
  • Department of Drug Administration (DDA), Ministry of Health and Population
  • Department of Drug Administration (DDA), Ministry of Health and Population
  • Department of Ayurveda and Alternative Medicine (DoAA)

Recent Publications

  • Department of Health Services (DoHS) Annual Report 2074/75 (2017/18)
  • Basic Health Service Package 2075, DoHS, MoHP Nepal
  • Annual report of the Department of Health Services (DoHS) 2073/74 (2016/2017)

MORE Publications:NATIONAL PLAN, POLICY & GUIDELINES

Information was collected from various documents, reports and government publications. 

Recommended Citation: Public Health Update. Department of Health Services (DoHS), Ministry of Health and Population [Internet]. [cited 2020 Jul 1]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/department-of-health-services-dohs-ministry-of-health-and-population/

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Ministry of Health and Population (MOHP) Nepal
Public Health UpdateFact SheetHealth Organization ProfileHealth SystemsPublic Health Notes

Organogram and Reporting Mechanism of Nepalese Health System in Federal Context

by Public Health Update July 1, 2020
written by Public Health Update

Organogram of Nepalese Health Systems


Government of Nepal

Ministry of Health & Population   [MoHP ToR]

Divisions:

  1. Policy, Planning & Monitoring Division (Policy and Planning Section, Monitoring and Evaluation Section, Curative Service Education and Research Section)
  2. Health Coordination Division (Provincial and Local health Coordination Section, Multisectoral Coordination Section, Development support Coordination Section, Public Coordination Information Section)
  3. Quality Assurance & Regulation Division (Quality Standard and Regulation Section, Information Communication and Technology Section)
  4. Population Management Division (Population management and Information Section, Gender Equity and Social inclusion Section)
  5. Administration Division (Personal Administration Section, Financial administration Section, Legal Section, Internal Administration Section)

Unit

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

Councils

  1. Nepal Medical Council
  2. Nepal Nursing Council
  3. Nepal Ayurvedic Medical Council
  4. Nepal Health Professional Council
  5. Nepal Pharmacy Council and
  6. Nepal Health Research Council

Central Hospitals

Departments

  • Department of Health Services (DoHS)
  • Department of Drug Administration (DDA)
  • Department of Ayurveda and Alternative Medicine (DoAA)

Vector Borne Disease Research and Training Center (VBDRTC)


Department of Health Services (DoHS)
Centres

  • National Health Education, Information and Communication Centre (NHEICC)
  • National Health Training Centre (NHTC)
  • National Centre for AIDS and STD Control (NCASC)
  • National Tuberculosis Control Centre (NTC)
  • National Public Health Laboratory (NPHL)

Divisions

  • Management Division
  • Family Welfare Division
  • Curative Service Division
  • Nursing and Social Security Division
  • Epidemiology and Diseases Control Division (EDCD)

Sections

  • Administration Section
  • Finance Administration Section

Department of Drug Administration (DDA)

  1. Drug Evaluation and Registration Division [Medicine and Biological Evaluation Section, Import Section, Industry Section]
  2. Planning, Coordination and Management Division [Training and Drug Information Section, Planning and Coordination Section, Pharmacovigilance Section, Financial/Administration Section]
  3. Inspection, Evaluation and Law Enforcement Division [Inspection and Evaluation Section, Law Enforcement Section]

    National Medicines Laboratory (NML)

Department of Ayurveda and Alternative Medicine (DoAA)
  1. Herbs, Medicine and Research Division [Herbal and Medicine Section, Ayurveda Health Promotion Section]
  2. Ayurveda Medicine Division [Ayurveda Service management Section, Monitoring, Research and Coordination Section]
  3. Alternative Medicine Division [ Homeopathy and Amchi Medicine Section, Prakritik & Acupuncture Medicine Section]
  4. Administration Section

Provincial Government

Province Health System

Ministry of Social Development (MoSD)/ Ministry of Health/ Ministry of Health and Population

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

Offices

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

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


Organogram and Reporting Mechanism of Nepalese Health System in Federal Context (draft sketch)
Organogram and Reporting Mechanism of Nepalese Health System in Federal Context (draft sketch)
Organogram and Reporting Mechanism of Nepalese Health System in Federal Context (draft sketch)

This is draft sketch, please feel free to add your comments and inputs. 


Information was collected from various documents, reports and government publications. 

Recommended Citation: Public Health Update. Organogram and Reporting Mechanism of Nepalese Health System in Federal Context [Internet]. [cited 2020 Jul 1]. Pokhara. Nepal. Available from: https://www.publichealthupdate.com/organogram-and-reporting-mechanism-of-nepalese-health-system-in-federal-context/ 



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  • Joint political declaration on the reform of the global health architecture

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Disclaimer: The resources, documents, guidelines, and information on this blog have been collected from various sources and are intended for informational purposes only. Information published on or through this website and affiliated social media channels does not represent the intention, plan, or strategies of an organization that the initiator is associated with in a professional or personal capacity, unless explicitly indicated.
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National Plan, Policy & GuidelinesOutbreak NewsResearch & Publication

Clinical Guideline for Physiotherapy treatment in patients with COVID 19 in acute hospital settings

by Public Health Update June 27, 2020
written by Public Health Update

Clinical Guideline for Physiotherapy treatment in patients with COVID 19 in acute hospital settings

Nepal Physiotherapy Association (NEPTA) has developed  “Clinical Guideline for Physiotherapy treatment in patients with COVID 19 in acute hospital settings” referring the international guideline of  WHO (World Health Organization) and World Confederation for Physical Therapy(WCPT).

The guideline will provide background knowledge about COVID 19, effective treatment plan and precautions that should be taken by physiotherapists when treating patient with COVID – 19 cases in clinical setting of Nepal.

Scope and purpose

The guideline is intended for physiotherapy interventions for COVID-19 cases in hospital setting. It is developed specifically adopting to the resource level setting of Nepal and it should be taken as a standard for physiotherapy services to be provided for the patients with COVID-19 in wards and in critical care.

Overview

  • Section A: workforce planning and preparation including screening to determine indications for physiotherapy
    Medical management of COVID19
  • Section B: Delivery of physiotherapy interventions including both respiratory and mobilization/ rehabilitation as well as PPE requirement
  • Further recommendations for Rehabilitation

DOWNLOAD PDF FILE

“Clinical Guideline for Physiotherapy treatment in patients with COVID 19 in acute hospital settings”

DOWNLOAD PDF FILE


  • Guidelines for YOGA Practitioners for COVID-19
  • National Testing Guidelines for COVID-19
  • COVID-19 Cases Isolation Management Guidelines
  • Guideline for RDT Test Authorization to Private and Community Hospitals
  • MoHP Staff Mobilization Guideline
  • Case Investigation and Contact Tracing Team (CICTT) Mobilization Guideline 2077
  • COVID19 Resources: Guidelines and Documents- Ministry of Health and Population

NATIONAL PLAN, POLICY & GUIDELINES

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List of Approved Institutional Review Committee (IRC), NHRC

by Public Health Update June 21, 2020
written by Public Health Update

List of Approved Institutional Review Committee (IRC), NHRC

Following Institutional Review Committee (IRC) are approved by the Ethical Review Board (ERB), Nepal Health Research Council (NHRC), Ministry of Health and Population (MoHP) to review and monitor health related research in Nepal.

 

List of approved IRCs

S.NOrganizationAddress
1Annapurna Neurological Institute & Allied ScienceMaitighar , Kathmandu
2B & B HospitalGwarkhu, Lalitpur
3B.P.Koirala Memorial Cancer HospitalBharatpur, Chitwan
4Bharatpur HospitalBharatpur, Chitwan
5Birat Medical College & Teaching HospitalBiratnagar, Morang
6Biratnagar Eye HospitalBiratnagar, Morang
7BP Koirala Institute of Health SciencesDharan, Sunsari
8Central Institute of Science and TechnologyKathmandu
9Chitwan Medical CollegeBharatpur, Chitwan
10Civil Service HospitalNew-Baneshwar
11College of Medical Science and Teaching HospitalBharatpur, Chitwan
12Devdaha Medical College and Research Institute Pvt. Ltd.Rupandehi
13Gandaki Medical College Teaching Hospital and Research CenterKaski
14Grande International HospitalTokha, Kathmandu
15Institute of MedicineMaharajgunj, Kathmandu
16Institute of Science and Technology
17Kanti Children HospitalMaharajgunj, Kathmandu
18Kanti Dental College Teaching Hospital and Research CentreBasundhara, Kathmandu
19Karnali Academy of Health ScienceJumla
20Kathmandu Medical College and Teaching Hospital (KMCTH)Sinamangal, Kathmandu
21Kathmandu University School of Medical Sciences (KUMS)Dhulikhel, Kavre
22KIST Medical College and Teaching HospitalGwarkhu, Kathmandu
23Lumbini Medical College and Teaching HospitalParvas, Palpa
24Manipal Medical College of Medical SciencesPokhara ,Nepal
25Manmohan Memorial Institute of Health Sciences (MMIHS)Nakhkhu, Lalitpur
26National Academy of Medical Sciences (NAMS)Bir Hospital, Kathmandu
27National Ayurveda Research and Training CenterKritipur, Kathmandu
28National Institute of Neurological and Allied Sciences Pvt. Ltd.Bansbari, Kathmandu
29National Medical CollegeBirgunj, Nepal
30Nepal Army Institute of Health Sciences (NAIHS)Sanobharyang, Kathmandu
31Nepal Cancer Hospital & Research Center Pvt. LtdLalitpur
32Nepal Medical CollegeJorpati, Kathmandu
33Nepal Netra Jyoti SangTripureswor, Kathmandu
34Nepalgunj Medical College Teaching Hospital (NMTH)Kohalpur, Banke
35Nobel CollegeSinamangal, Kathmandu
36Nobel Medical College Teaching HospitalBiratnagar, Morang
37Paropakar Maternity and Women’s HospitalThapathali, Kathmandu
38Patan Academy of Health Science (PAHS)Lalitpur
39People’s Dental CollegeNayabazar, Kathmandu
40Pokhara University Research CenterLekhnath Marg, Kaski
41Public Health Concern Trust (Phect-Nepal)Pradarshani Marg, Kathmandu
42Purbanchal University College of Medical and Allied SciencesMorang
43Scheer Memorial Adventist HospitalBanepa, Kavre
44Shahid Gangalal National Heart CentreBansbari, Kathmandu
45Shigan Health FoundationNarayan Gopal Chowk
46Shree Medical and Technical CollegeChitwan
47Shree Ran Ambika Shah Eye Hospital, Lumbini Eye InstituteRupandehi
48Stupa Health Care Center Corporation Ltd (SHCC)Boudha, Tusal
49Tilganga Institute of Ophthalmology (TIO)Gaushala, Kathmandu
50Universal College of Medical SciencesBhairahawa

Please follow, NHRC’s website for more updates. 


  • NHRC approval processing fee (Effective from March 7, 2018)
  • Comparative Evaluation of Commercially available Rapid Diagnostic Test Kits for the use of Screening of Suspected Cases of Novel Coronavirus infection in Nepal
  • Preparedness and Readiness of Government of Nepal Designated COVID Hospitals
  • Preparedness and Readiness of Government of Nepal Designated Hospital running COVID Clinics

Department of Drug Administration (DDA), Ministry of Health and Population

Department of Health Services (DoHS), Ministry of Health and Population

Department of Ayurveda and Alternative Medicine (DoAA)

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National Yoga Day
Public HealthHealth Literacy, Health Education & PromotionPublic Health Update

Health benefits of Yoga

by Public Health Update June 21, 2020
written by Public Health Update

Health benefits of Yoga

Yoga brings various health benefits and improves body functions, physical as well as mental health. The benefits of doing yoga are multiple and extend beyond the physical.

Here are few physical and mental health benefits of doing Yoga; 

  • Better body image, Perfects your posture
  • Manage stress
  • Regulates your adrenal glands and body secretions 
  • Relieves stress
  • Improved respiration, energy and vitality
  • maintaining a balanced metabolism.
  • Helps with back pain
  • Increased flexibility.
  • Increased muscle strength and tone.
  • Cardiovascular benefits and circulatory health
  • Weight reduction.
  • Improved athletic performance.

International Day of Yoga: “Yoga for Health – Yoga at Home”



  • International Day of Yoga: “Yoga for Health – Yoga at Home”
  • Guidelines for YOGA Practitioners for COVID-19
  • Yoga is a valuable tool to increase physical activity and decrease NCDs
  • International Day of Yoga: Yoga for Peace


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  • Summit Declaration: The 12th National Summit of Health and Population Scientists in Nepal
  • Joint political declaration on the reform of the global health architecture

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Disclaimer: The resources, documents, guidelines, and information on this blog have been collected from various sources and are intended for informational purposes only. Information published on or through this website and affiliated social media channels does not represent the intention, plan, or strategies of an organization that the initiator is associated with in a professional or personal capacity, unless explicitly indicated.
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June 21, 2020 0 comments
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Health Literacy, Health Education & PromotionLife Style & Public Health NutritionPH Important DayPublic Health

International Day of Yoga: “Yoga for Health – Yoga at Home”

by Public Health Update June 21, 2020
written by Public Health Update

International Day of Yoga: “Yoga for Health – Yoga at Home”

Yoga

Yoga is an ancient physical, mental and spiritual practice that originated in India. The word ‘yoga’ derives from Sanskrit and means to join or to unite, symbolizing the union of body and consciousness. Today it is practiced in various forms around the world and continues to grow in popularity.

Department of Ayurveda and Alternative Medicine (DoAA)

International Day of Yoga

The United Nations proclaimed 21 June as the International Day of Yoga by resolution 69/131 on 11 December 2014. The draft resolution establishing the International Day of Yoga was proposed by India and endorsed by a record 175 member states. The proposal was first introduced by Prime Minister Narendra Modi in his address during the opening of the 69th session of the General Assembly, in which he said: “Yoga is an invaluable gift from our ancient tradition. Yoga embodies unity of mind and body, thought and action … a holistic approach [that] is valuable to our health and our well-being. Yoga is not just about exercise; it is a way to discover the sense of oneness with yourself, the world and the nature.”

The resolution notes

The resolution notes “the importance of individuals and populations making healthier choices and following lifestyle patterns that foster good health.” In this regard, the World Health Organization has also urged its member states to help their citizens reduce physical inactivity, which is among the top ten leading causes of death worldwide, and a key risk factor for non-communicable diseases, such as cardiovascular diseases, cancer and diabetes.

Aim

The International Day of Yoga aims to raise awareness worldwide of the many benefits of practicing yoga. 

Source of information (Read more): United Nations 


Recommended
  • International Day of Yoga: “Yoga for Health – Yoga at Home”
  • Guidelines for YOGA Practitioners for COVID-19
  • ‘Yoga for Peace and Prosperity’ – National Yoga Day 2075
  • International Day of Yoga: Yoga for Peace
  • Yoga is a valuable tool to increase physical activity and decrease NCDs
  • Department of Ayurveda and Alternative Medicine (DoAA)
June 21, 2020 0 comments
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International Plan, Policy & GuidelinesOutbreak NewsPH Important DayPublic HealthPublic Health UpdateResearch & Publication

Guidelines for YOGA Practitioners for COVID-19

by Public Health Update June 21, 2020
written by Public Health Update

Guidelines for YOGA Practitioners for COVID-19

Yoga may play significant role in the psycho-social care and rehabilitation of COVID-19 patients in quarantine and isolation. They are particularly useful in allaying their fears and anxiety.

Overview

Guidelines for YOGA Practitioners for COVID-19  provides guidelines for yoga professionals (Certified Yoga teachers/ instructors and therapists etc.) to teach a safe set of Yoga practices based on available scientific evidences, to novices in all walks of society as a service to humanity during this pandemic of COVID -19.

Department of Ayurveda and Alternative Medicine (DoAA)

Objectives

This is complimentary to all measures that have been adopted. Yoga based life style modules which can be used for different sections of the society in the present scenario are presented with the following objectives.

  • To improve general immunity among the population.
  • Prehabilitation of vulnerable populations (children, elderly and those with comorbid conditions such as diabetes and hypertension) and to those patients in isolation/quarantine with or without mild symptoms.
  • To add-on Yoga based interventions and Meditation practices in covid-19 cases in isolation and hospitalization for psychosocial care.

To reduce disease susceptibility in high risk population This guideline recommends evidence based safe and simple yoga practices as mentioned above that promote health of the respiratory, cardiovascular and the immune systems.

Contents

This guideline consists of;

  • Yoga based lifestyle modules for health promotion in healthy population; Yoga Based life style module to improve immune resilience in healthy population of all age groups.
  • Common Yoga Protocol
  • Yogic Diet
  • Abstinence from substance abuse including tobacco,alcohol and other addictive drugs
  • Yoga based life style to hospitalized cases without acute respiratory distress.
  • Yoga Practices for prevention, rehabilitation and to increase immunity. (Do’s/ Dont’s/Benefits)
  • Common Yoga Protocol- 10 minutes
  • Common Yoga Protocol- 20 minutes
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June 21, 2020 0 comments
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Fact SheetHealth in DataNational Plan, Policy & GuidelinesOutbreak NewsPublic HealthPublic Health UpdateReportsResearch & Publication

Comparative Evaluation of Commercially available Rapid Diagnostic Test Kits for the use of Screening of Suspected Cases of Novel Coronavirus infection in Nepal

by Public Health Update June 17, 2020
written by Public Health Update

Comparative Evaluation of Commercially available Rapid Diagnostic Test Kits for the use of Screening of Suspected Cases of Novel Coronavirus infection in Nepal

Comparative evaluation study was conducted by Nepal Health Research Council (NHRC), in collaboration with Ministry of Health and Population (MoHP), Epidemiology and Disease Control Division (EDCD), and National Public Health Laboratory (NPHL) in Sudurpashchim Province to evaluate commercially available RDTs for SARS CoV2 (COVID 19) against the most sensitive and WHO/CDC standardized rRT-PCR and to establish the laboratory based confirmation of the COVID19 cases among the clinically suspected referred cases.

Recommended: Preparedness and Readiness of Government of Nepal Designated COVID Hospitals

A hospital based quantitative cross sectional study was conducted during ongoing outbreak of 2020 month of April. A total of 200 cases were enrolled in the study using consecutive sampling. Probable and suspected cases for COVID-19 admitted in hospitals (isolation/ quarantine for covid-19) were recruited for the study.

Sensitivity and Specificity

The result of study shows that the sensitivities of the Wondfo Kits were 50%, and the specificities were 99.5% (Compared to the reference standard (RT-PCR)). Similarly, positive and negative predictive values of the test kit were 66.7% and 99% respectively. Similarly, accuracy was 98.5%. 

  • Sensitivity: TP/ (TP + FN) × 100, 2/4× 100 = 50%
  • Specificity: TN/ (TN+FP) × 100,195/196 × 100=99.5%
  • Positive Predictive Value (PPV): TP/ (TP + FP) × 100, 2/3 × 100 = 66.7%
  • Negative Predictive Value (NPV): TN/ (TN + FN) × 100, 196/197 × 100 = 99%
  • Accuracy: TP+TN/TP+TN+FP+FN× 100, 197/200× 100 = 98.5% 

For more result please download final report (NHRC)

Comparative evaluation of RDTs and RT-PCR

RDTs (Test)

RT-PCR (confirmatory)

PositiveNegativeTotal

Positive

2 (TP)1 (FP)3

Negative

2 (FN)195 (TN)197

Total

4196200

Conclusion of study

Comparative evaluation of RDTs against confirmatory diagnosis of COVID-19 (RT-PCR) showed moderate sensitivity, but high specificity and desirable accuracy. The accurate diagnosis of people infected with the SARS-CoV-2 is essential to control the global spread of COVID-1. The existing clinical accuracy of rapid tests still needs to be stringently evaluated before they are authorized for the mass screening of COVID-19. Hence, RDTS could be used as complementary to the existing RT-PCR assays, which could lead to much better diagnosis of COVID-19 and provide additional information about the immune status of the cases and community as well as for rapid surveillance where there is no amenities of laboratory facilities for RT-PCR test.

For more results please download final report (NHRC)

For additional information, please contact: Nepal Health Research Council (NHRC) Ramshah Path, Kathmandu Phone no: +977-1-4254220 / +977-1-4254220 Email: nhrc@nhrc.gov.np


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June 17, 2020 0 comments
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National Plan, Policy & GuidelinesOutbreak NewsPublic HealthReportsResearch & Publication

Preparedness and Readiness of Government of Nepal Designated COVID Hospitals

by Public Health Update June 17, 2020
written by Public Health Update

Assessment of Health-related Country Preparedness and Readiness of Nepal for Responding to COVID-19 Pandemic.

Preparedness and Readiness of Government of Nepal Designated COVID Hospitals

A nation-wide study was conducted to assess the preparedness and readiness of Government of Nepal (GoN) designated COVID hospitals to respond to COVID-19 pandemic. A cross-sectional study was conducted among 30 COVID hospitals via face to face and telephonic interviews with focal persons. Among them, telephonic interviews were carried out with focal persons of few unreachable hospitals.

A total of 30 COVID hospitals were included in the study, among which Level 1, Level 2 and Level 3 hospitals were 15 (50%), 12 (40%) and 3 (10%) respectively. The data was collected during the time period of one month (26 April 2020 to 27 May 2020). All the designated COVID hospitals were included in the study and the response rate was 100%.

Recommended: Preparedness and Readiness of Government of Nepal Designated Hospital running COVID Clinics

This fact sheet summarizes the main indicators of designated hospitals related to COVID-19 preparedness and readiness. It will support the GoN/Ministry of Health and Population (MoHP) to assess the current status of the hospitals, find the gaps and align the practices and resources for better preparedness and readiness to respond against COVID-19.

This study gathered data on general information of the hospitals including 12 domains as described below;

1. Health care facility preparedness and planning

  • 25 (83.3%) of 30 designated hospitals were existing functional hospitals and among them 4 (16%) had shifted the non-COVID patients to alternate hospitals.
  • All the hospitals coordinated with the government and had COVID management core team (96.7%); and COVID-19 Preparedness response plan (93.3%), while only 19 (60.3%) had an Infection Prevention Committee (IPC).
  • All designated hospitals had the provision of hand washing (soap water/ alcohol-based hand rub) at the hospital entrance.
  • The provision of Infra-red thermometer was available at the entrance of 93.3% of the hospitals.

2. Infrastructure

  • All the hospitals had adequate space between the beds (at least 1 meter).
  • Provision of 24 hours electricity and water supply were available in all the hospitals.
  • There were a total of 1,926 number of beds allocated for COVID patients.
  • 23 (92%), 22 (88%) and 19 (76%) COVID clinics of the respective hospitals had waiting/holding areas, separate examination areas and triage systems respectively.

3. Clinical services

  • Only 7 (23.3%) hospitals had designated emergency services for COVID patients.
  • 20 hospitals (66.7%) had Intensive Care Unit (ICU) facilities with a total of 235 ICU beds. Among them, very few, 4 (13.3%) hospitals had provision of negative pressure ICU. 7 (23.3%) hospitals had High Dependency Unit (HDU)/ Step down with a total number of 95 functional beds.

Critical equipment in ICU

  • Slightly more than half 17 (56.7%) of the hospitals had functional ICU ventilators, and 18 BiPAP machines were available in 10 (33.3%) hospitals. There were a total of 98 functional ICU ventilators. 19 (63%) of the hospitals had a defibrillator and only 8 (26.7 %) hospitals had the ABG machine.
  • None of the hospitals had availability of Extra-Corporeal Membrane Oxygenator (ECMO).
  • A total of 10 Neonatal Intensive Care Unit (NICU) beds and 21 Pediatric Intensive Care Unit (PICU) beds were available in 3 (10%) and 1 (3.3%) hospitals respectively.
  • 11 (36.7%) hospitals had operation theatres (OT) among which there were 30 OT rooms with 29 functional OT ventilators. Only 10 (33.3%) hospitals had Ante-room attached to the OT facility for PPE donning and doffing.

Laboratory services

  • Out of 29 hospitals who had facilities of special blood test, only 10% conducted D-dimer test, whereas Lactate Dehydrogenase level was conducted by 63.3%, Quantitative C-reactive protein by 53.3%, Troponin by (76.7% and Ferritin by 33.3% respectively.
  • Most of the hospitals conducted tropical disease profile tests like Scrub Typhus (50%), Dengue (66.7%), Leptospirosis (23.3%), Malaria (76.7%), Kala-azar (66.7%), Brucellosis (16.7%), Typhoid (90%), and Tuberculosis (76.7%).

COVID Investigation provision and services

  • More than a quarter (30%) of the COVID hospitals did not have the provision of investigation in the same hospital and 13.3% did not have separate designated areas for sample collection.
  • 17 (56.7%) hospitals had the provision of RDT services whereas, only 10 (33.3%) hospitals had the provision of RT-PCR services.
  • There were 70 trained human resources to conduct RT-PCR in 19 (63.3%) hospitals.

Isolation Facilities

  • 25 (83.3%) hospitals had the provision of isolation facilities with total beds of 729 for the suspected cases until the test results were available. Among them, 88% had ante-room attached for PPE donning and doffing.
  • 25 (83.3%) hospitals had a provision of admitting confirmed cases with a total number of 836 beds. Among them, 70% had an ante-room attached for PPE donning and doffing.

Personal Protective Equipment (PPE)

  • Only 12 (40%) of the designated hospitals had categorized PPE sets according to MoHP and Nepal Medical Council (NMC) guidelines.
  • There were altogether 9,280 N95 masks; 3,796 Goggles or Visor and 3,805 Water resistant OR standard disposable gowns.

4. Support services

  • More than a half (53.3%) of the COVID hospitals had provision of Central Pipeline Oxygen Supply (CPOS). Similarly, in the COVID clinic, less than half (46.7%) were facilitated with CPOS. Altogether, 503 beds were covered with CPOS in hospitals.
  • 73.3% of the hospitals had mechanized laundry facilities.
  • 36.7% of the hospitals had blood banks or storage units.
  • Ambulance services were available in 23 (76.7%) hospitals with a total number of 41 ambulances.

Diagnostic services

  • 76.7% and 73.3% of the hospitals had portable X-ray and portable Ultrasonography (USG) respectively.
  • Very few hospitals 11(36.7%) had provision of CT scan facilities.

5. Human resources

  • 83.3%, 76.7%, 30%, 16.75% and 20% of the hospitals had General Practitioner/Emergency Medicine, Anesthesiologists, Pulmonologists/ Respiratory physicians, Infectious disease specialists and critical care specialists respectively.
  • Almost half (46.7%) and 63.3% of the hospitals had trained Nursing staff for isolation wards and intensive care respectively. Capacity building (Training/ Orientation)
  • Majority 24 (80%) of the COVID hospitals had provided training on COVID-19 testing and sample handling; and use of PPE.
  • Only 13 (43.3%) hospitals had given orientation about handling the dead body to their health care workers.

6. Infection, Prevention and Control (IPC)

  • Almost all the hospitals 28 (93.3%) segregated and transported waste as per Health care waste management guidelines 2014 published by MoHP.
  • Majority of the hospitals used Hypochlorite solution 28 (93.3%) as disinfection modality for PPE followed by autoclave 25 (83.3%) and UV sterilization 3 (10%).

7. Medicine and Consumables

  • Majority 29 (96.7%) of the hospitals had Essential emergency medicines and 28 (93.3%) had recommended drugs for COVID19.
  • Hydroxychloroquine, Chloroquine and Azithromycin were available in almost all the hospitals. However, none of the hospitals had Ramdesivir, Tocilizumab (IL-6 blocker) or provision of convalescent plasma.

8. Referral

  • More than two third (70%) of the facilities had provision of referral to higher level COVID hospitals.

9. Discharge and Follow up

  • Most of the COVID hospitals (90%) had the provision of ambulance service for the patients at the time of discharge.
  • 93.3% hospitals had the provision of contact and follow up of the discharged patients along with counseling provision for home isolation. 10. Safety provisions for staffs
  • 80% and 93.3% of the hospitals had the provision of COVID-19 testing and quarantine provision for their staff respectively.

11. Handling of dead body

  • Very few (20%) COVID hospitals had body bags for dead bodies available in their hospitals.
  • The total number of body bags were 109. 12. Presence of printed copies of Guidelines and Directives published or endorsed by Ministry of Health and Populations
  • All the guidelines and directives published/endorsed by MoHP during the study period had been archived by more than 50% of the hospitals.

DOWNLOAD: FACT-SHEET

For additional information, please contact: Nepal Health Research Council (NHRC) Ramshah Path, Kathmandu Phone no: +977-1-4254220 / +977-1-4254220 Email: nhrc@nhrc.gov.np


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June 17, 2020 0 comments
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