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eHealth Roadmap- Ministry of Health and Population, Nepal

by Public Health Update
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eHealth Roadmap- Ministry of Health and Population, Nepal

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Rapid Communication: Key changes to the treatment of drug-resistant tuberculosis

by Public Health Update
written by Public Health Update

Rapid Communication: Key changes to the treatment of drug-resistant tuberculosis

11 December 2019 | GENEVA – Significant improvements in treatment outcomes and quality of life for patients with drug-resistant tuberculosis (TB) are expected, following key updates to treatment approaches, announced by the World Health Organization  (WHO) in a Rapid Communication released  today.
 
Treatment success for multidrug-resistant and rifampicin resistant TB (MDR/RR -TB) (1) is currently low in many countries. This could be increased by improving access to new regimens that are more effective, less toxic and easier to implement for eligible patients. In November 2019, WHO convened a meeting of  its Guideline Development Group to update WHO Consolidated Guidelines on the treatment of drug-resistant TB, based on new evidence shared by countries, research and technical partners, and through responses to the public call for data.

The changes suggested by the evidence review are the phasing out of shorter injectable containing regimens and the introduction of a shorter all-oral bedaquiline containing regimen for eligible MDR/RR-TB patients. In addition, in patients with extensively drug resistant (XDR -TB) (2), a shorter regimen with bedaquiline, pretomanid and linezolid may be used under operational research conditions as an alternative to the longer regimen.

This Rapid Communication has been released in advance of the updated guidelines expected in 2020,  to inform national TB programmes and other stakeholders about the key implications for treatment of MDR/RR-TB and XDR-TB in order to allow for rapid transition and planning at the country level.

Moving forward

Accelerated efforts to address the MDR-TB crisis are essential to end the global TB epidemic and achieve the targets of the UN High Level Meeting political declaration, WHO End TB Strategy and the UN Sustainable Development Goals. 
 
In 2020, WHO will convene a Global Consultation to inform countries, technical partners, donors and civil society on the key changes in the updated Consolidated Guidelines on the Treatment of Drug-Resistant TB. The meeting will aim to support countries to update their national guidelines, inform programme budgets and enable monitoring systems to facilitate rapid transition to more effective treatment regimens for patients with drug-resistant TB.
 
“The treatment landscape for patients with drug-resistant TB continues to improve thanks to research that is generating new evidence. We would like to thank patients, countries, technical partners, donors, civil society and other key TB stakeholders for their support throughout this guidelines development process” said Dr Tereza Kasaeva, Director of the WHO Global TB Programme. “Now we ask for renewed political commitment and stakeholder support to work with national TB programmes to improve treatment outcomes for MDR-TB patients and save lives worldwide.”  
 
The changes suggested  in the rapid communication reinforce the Joint Statement issued by the WHO Director General Dr Tedros Adhanom Ghebreyesus and WHO Civil Society Taskforce on TB.  In addition, in advance of the Guideline Development Group meeting, a series of consultations were held with civil society representatives and partners through webinars and calls on the MDR-TB guideline development process by the WHO Global TB Programme, the Office of the WHO Chief Scientist and other departments.

(1) MDR-TB: Resistance of Mycobacterium tuberculosis against at least isoniazid and rifampicin, the cornerstone medicines for treatment of TB. Rifampicin-resistant disease on its own requires similar clinical management as MDR-TB.

(2) XDR-TB: Resistance of Mycobacterium tuberculosis to any fluoroquinolone and to at least one of three second-line injectable drugs (capreomycin, kanamycin and amikacin), in addition to multidrug resistance.

DOWNLOAD: Rapid Communication: Key changes to the treatment of drug-resistant tuberculosis

Guideline on TB Treatment, Transmission Management and Research Center Establishment and Operational Criteria, 2076

NTP, Nepal: New TB Treatment Algorithm & Regimen (Updated)

WHO announces landmark changes in MDR-TB treatment regimens

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Sri Lanka has eliminated mother to child transmission of HIV and syphilis

by Public Health Update
written by Public Health Update

Sri Lanka has eliminated mother to child transmission of HIV and syphilis

Dec 4, 2019  Sri Lanka is being declared as a country which has eliminated mother to child transmission of HIV and Syphilis by the World Health Organization.

In September 2015, the UN General Assembly adopted the 2030 Agenda for Sustainable Development that includes 17 Sustainable Development Goals (SDGs) out of which goal 3 is on good health and wellbeing. Ensuring healthy lives and promoting well-being at all ages is essential for sustainable development of a nation. Eradication of Polio, elimination of malaria and measles are major milestones which contributed to a marked reduction in neonatal, infant and child mortality rates in Sri Lanka.
According to the reported data by the National STD AIDS Control Programme, by the end of 2018, 85 children were infected with HIV due to mother to child transmission. Annually, a very few children are being newly diagnosed with Congenital Syphilis.
Programme for Prevention of Syphilis commenced in 1954 and in 2002 the Programme for Prevention of Paediatric HIV was established. In the year 2013, these two programmes were combined and further strengthened as “Elimination of mother to child transmission (EMTCT) of HIV and Syphilis Programme” on a multidisciplinary approach. The strong links between maternal and child health services and sexually transmitted infection and HIV services in central and district levels government health sector were further strengthened and links were developed with private sector services. The Family Health Bureau (FHB) and the National STD & AIDS Control Programme(NSACP) worked closely to take services to the grassroots level through MOH offices and STD clinics in the districts. Provincial and district health authorities facilitated the implementation of the programme in the communities. The programme was supported by UN organizations, NGOs, persons living with HIV and Key populations. Sustainability of the programme is assured through government funding.
HIV and syphilis testing coverage among pregnant women increased to >95% by end 2017. All pregnant women with HIV or syphilis and babies exposed were managed by local teams including MOH, Venereologists, Obstetricians and Paediatricians. All pregnant women diagnosed with HIV infection received EMTCT services and delivered uninfected children. By end 2018, country had achieved the set targets to be eligible to request for validation of EMTCT of HIV and Syphilis status.
This programme contributed to the development of the country by assuring child health, reducing maternal illnesses and deaths and by increasing accessibility to services for women in disadvantaged situations. Further, it normalized the HIV test and promoted open discussion on HIV.
In July 2019, the ministry of health made a formal request to WHO to validate the EMTCT of HIV and syphilis status in the country. This was followed by the visit of the regional validation team (RVT)of experts, representing WHO South-East Asian Regional Officein mid-September 2019 to assess the elimination status. After a thorough assessment, the regional validation team presented its’ report on Sri Lanka to Global Validation Committeeat WHO headquarters based in Geneva.
The WHO headquarters, based on the decision of Global Validation Committee, has formally declared that Sri Lanka has eliminated mother to child transmission of HIV and syphilis.
This achievement will have an inspiring impact on the resolve to End AIDS by 2025, five years ahead the global target in 2030, a commitment undertaken by the country.
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PH Important DayPrimary Health CarePublic HealthUniversal Health Coverage

International Universal Health Coverage Day: Keep the Promise!

by Public Health Update
written by Public Health Update

International Universal Health Coverage Day: Keep the Promise!

On 12 December 2012, the United Nations General Assembly endorsed a resolution urging countries to accelerate progress toward universal health coverage (UHC) – the idea that everyone, everywhere should have access to quality, affordable health care – as an essential priority for international development. On 12 December 2017, the United Nations proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution 72/138.

Aim

International Universal Health Coverage Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage with multi-stakeholder partners. Each year on 12 December, UHC advocates raise their voices to share the stories of the millions of people still waiting for health, champion what we have achieved so far, call on leaders to make bigger and smarter investments in health, and encourage diverse groups to make commitments to help move the world closer to UHC by 2030. (United Nations)

Universal Health Coverage (UHC)

Political Declaration of the High-level Meeting on Universal Health Coverage

High-Performance Health-Financing for UHC: Driving Sustainable, Inclusive Growth in the 21st Century

Tokyo Declaration on Universal Health Coverage: All Together to Accelerate Progress towards UHC

2019 Monitoring Report: Primary Health Care on the Road to Universal Health Coverage

Universal Health Coverage Day 2019: ”Keep the Promise’’

Universal Health Coverage Day 2019: Major Events in Nepal ??

Universal Health Coverage in Nepal (Presentations, Notes, Videos & Articles)

Key Message

  • On 23 September, all @UN Member States came together to sign the most ambitious & comprehensive political declaration on health in history. This #UHCDay, let’s call on our leaders to #KeepthePromise.
  • Health is a human right that too many people are waiting for. When will leaders keep the promise of #HealthForAll? #UHCDay
  • Every country is on the record committing to #HealthForAll. We have only one message for them: #KeepthePromise. 
  • Enough talk. This #UHCDay, we must Keep the Promise of #HealthForAll.
  • Universal health coverage is a nation’s promise to its people. It’s time that leaders kept their word. #UHCDay 
  • No one, anywhere, should go bankrupt to get the health services they need. Period. #HealthForAll #UHCDay
  • 210M people worldwide must spend >25% of their household budget to get the health services they need. No one should have to choose between health & other necessities. #HealthForAll #KeepThePromise
  • At least half of the world’s population lack access to essential health services. This is unacceptable. #KeepthePromise of #HealthForAll, everywhere. #UHCDay 
  • We have made the case for universal health coverage ethically, economically and politically. Now is the time to deliver on that promise. #UHCDay #HealthForAll
  • At the #HLMUHC, leaders agreed that universal health coverage is the responsibility of the entire government. Now, they must Keep the Promise. #HealthForAll
  • #UHCDay Reminder: We can’t Keep the Promise of #HealthforAll w/out addressing social, economic & environmental determinants of health.
  • #KeepthePromise: Increase investment in #PrimaryHealthCare by at least 1% of GDP. #UHCDay #HealthForAll
  • This #UHCDay, we have one message: #KeepThePromise of strong, equitable health systems that #LeaveNoOneBehind. #HealthForAll
  • No matter your gender, race, religion, sexual orientation, age, ability or citizenship, #HealthForAll means all people can get the health services they need, w/out discrimination or financial hardship. #HealthForAll
  • In the fight for #HealthForAll, we must put the needs of the poorest & most marginalized groups first, not last. #LeaveNoOneBehind #UHCDay
  • #KeepThePromise to measure what matters: to #LeaveNoOneBehind, countries must count everyone. #HealthForAll
  • To secure #HealthForAll, we must build accountable & transparent institutions that can fight corruption and ensure social justice. #UHCDay
  • On #UHCDay, we demand strong regulatory systems that ensure medical products people can afford and trust. #HealthForAll
  • To #KeepthePromise of #HealthforAll, legislators must promote the responsible use of emerging technologies. This means stronger legislations that prioritize public safety & privacy over profit. #UHCDay
  • Leaders have agreed that quality & access must go hand-in-hand. Our response? Keep the Promise. #HealthForAll #UHCDay
  • #PrimaryHealthCare can provide people with the right care, at the right time, right in their communities – and it’s one of the best ways to help people lead a healthy life.
  • Improving #PrimaryHealthCare goes beyond employing health workers. To achieve #HealthForAll by 2030, we must support frontline caregivers at all levels of education, training, employment & retention. #UHCDay
  • How do we achieve #HealthForAll? Stop chronic under-investment in the health workforce and employ 9 million additional nurses and midwives by 2030. #UHCDay #KeepthePromise
  • Investing in #HealthforAll means investing in the capacity of policymakers, researchers, practitioners & health workers: the backbones of strong health systems. #KeepthePromise #UHCDay
  • Dear world leaders: #KeepthePromise to strengthen health systems by increasing domestic public financing. #HealthForAll #UHCDay
  • On #UHCDay, we demand that leaders #KeepthePromise to cut down out-of-pocket health expenses by increasing domestic financing for public health. #HealthforAll
  • Investing in a population’s health pays dividends to entire countries. #HealthforAll is not only the right choice, but the smart choice. #UHCDay #KeepthePromise
  • Leaders have spoken: Universal health coverage is everyone’s business. This #UHCDay, we need to see collective action to Keep the Promise of #HealthForAll.
  • In 2019, every health system should be gender-responsive. We must meet the unique health needs of all genders to truly #LeaveNoOneBehind on the path to #HealthForAll. #UHCDay
  • According to @WHO, 70% of the health and social workforce is comprised of women often in unpaid or underpaid positions. This is unacceptable. On #UHCDay, we demand investments in gender parity on the road to #HealthForAll.
  • On #UHCDay, we demand that world leaders #KeepthePromise to promote #genderequality when designing, implementing and monitoring health policies. This means taking into account the specific needs and rights of women and girls.
  • Women make up 70% of the health & social workforce globally, but they are woefully underrepresented in leadership roles. Dismantling gender inequality requires a collective commitment from all sectors of society. #UHCDay #HealthForAll

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1st National Workshop on Integrated Healthcare Waste Management and WASH in Healthcare Facilities

by Public Health Update
written by Public Health Update

1st National Workshop on Integrated Healthcare Waste Management and WASH in Healthcare Facilities

DAY 3

DAY 2ND 

 

DAY FIRST

FOR MOBILE: CLICK HERE

FOR MOBILE: CLICK HERE

Workshop: 1st National Workshop on Integrated Healthcare Waste Management (IHCWM) and Water Sanitation & Hygiene (WASH) in Healthcare Facilities

Venue: Hyatt Regency Kathmandu
Date: 10 – 12 December 2019

Organizers

The Ministry of Health and Population (MoHP) together with concerned line ministries and supporting partners like GIZ, WHO, UNDP, UNICEF, WaterAid, SNV, are jointly organizing this learning workshop on “Integrated Healthcare Waste Management and WASH in HCFs”.

Objectives

Exchange learning on sustainable practices of healthcare waste management and WASH in HCFs that ensures the equitable access to quality healthcare services by reducing infections and adverse impacts on public health and environment.

Approach

The learning workshop brings together Nepali and international key actors to raise awareness for the current issues in IHCWM and WASH in Nepal and provide a forum for knowledge exchange for the participants. Knowledge exchange is promoted by presentations, panel discussions, thematic working groups, an innovative market place showcasing relevant technologies and initiatives and the final summary concluding the key lessons learned and the way forward for Nepal.

Expected Output

  1. Exchange of knowledge, tools, technology and practice of sustainable healthcare waste management system and WASH in healthcare facilities at subnational level.
  2. To advocate for global and national actions to improve healthcare waste management and WASH in HCFs and support in decision making and resource allocation.
  3. Common understanding on urgency of joint effort at subnational level to address the issues of unsafe management of hazardous wastes and poor practice of WASH in HCFs.
  4. National and international networking, alliance, peer learning, inter and intra sectoral cooperation for learning and innovations.
  5. Roadmap for Integrated Health Care Waste Management for Nepal with the provided IHCWM model.
  6. Endorsement of model and commitment of stakeholders to implement the Model.
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The 2019 Human Development Report (HDR) #HDR2019

by Public Health Update
written by Public Health Update

UNDP #HDR2019 “Beyond income, beyond averages, beyond today: inequalities in human development in the 21st Century”

To answer global protests, tackle new inequalities — UN report
2019 Human Development Report says business as usual will not solve new generation of inequalities

DOWNLOAD FULL REPORT: CLICK HERE

Nepal

  • Human Development Index (HDI) Value 0.579 (2018)
  • Human Development Index (HDI) RANK : 147 (2018)
  • Gender Development Index: 0.897 (2018)
  • Gender Inequality Index: 0.476
  • Lost health expectancy: 13.8

KEY MESSAGES OF THE REPORT

  • Despite the considerable gains in health, education and living standards the world has witnessed in the last decades, something in our globalized society is not working. The connecting thread is #inequality, argues #HDR2019.
  • The new #HDR2019 says despite substantial gains in health, education and living standards, the basic needs of many remain unmet while a next generation of #inequalities is open, determining people’s opportunities in 21st Century & beyond.
  • While the gap in basic living standards is narrowing for millions of people, the necessities to thrive have evolved. A new generation of inequalities in human development is opening up around education, technology and climate change, hindering the progress of SDGs.
  • A new generation of #inequalities in #humandev is opening up. In countries with very high human development, for example, subscriptions to fixed broadband are growing 15 times faster.
  • A new generation of #inequalities in #humandev is opening up. The proportion of adults with tertiary education is growing more than six times faster than in countries with low human development.
  • #HDR2019 analyzes #inequality in three steps: #beyondincome, beyond averages, and beyond today. But the problem of inequality is not beyond solutions, and the report proposes a battery of policy options to tackle it.
  • Reversing #inequality in #humandev requires more than redistribution. It needs decoupling political & economic power, leveling the economic playing field and continuing to close gaps in basic deprivations, while reversing new, emerging types of inequalities.
  • According to #HDR2019’s inequality-adjusted #HumanDevelopment Index, 20% of #humandev progress was lost through #inequalities in 2018. Policies should look at but also go #beyondincome, says new report.
  • #HDR2019 finds #inequality begins even before birth and can accumulate, amplified by differences in health & education, into adulthood. Solutions must therefore start at or before birth, including investing in children’s learning, health & nutrition.
  • Early childhood investments must continue through a person’s life, during & after their time in the workforce. Pro-productivity policies must be coupled with antitrust and other policies to fix market imbalances, argues #HDR2019
  • Averages often hide what’s really going on in society, says #HDR2019. We need more detailed info to tackle #inequality – especially in addressing #multidimensionalpoverty, leaving no one behind, & promoting #genderequality
  • #HDR2019 estimates that it will take 202 years to close the #gendergap in economic opportunity alone. Just as progress on the #SDGs should be accelerating, the report’s 2019 Gender #Inequality Index says it is actually slowing.
  • #Climatechange hurts #humandev in many ways, with additional 250,000 expected deaths per YEAR from its effects between 2030 & 2050, says #HDR2019. But there are options to tackle it, if we act now.
  • Government action to tackle #inequalities cannot be based on policies in isolation or thinking there exists a single silver bullet. Rather, policies should link the expansion and distribution of both capabilities and income.
  • The Asia-Pacific region has witnessed the steepest rise globally in human development – but multidimensional poverty continues to drive inequality.
  • Leaping ahead, lagging behind? Asia-Pacific leads the world in access to broadband – yet may be vulnerable to new forms of inequalities in higher education and climate resilience. 
  • According to #HDR2019, East Asia stands to reap much of the global economic benefit of AI by 2030. But progress should benefit all.
  • No other region has seen such rapid human development progress as Asia and the Pacific. South Asia grew fastest, with the most progress in life expectancy and schooling.
  • According to #HDR2019, only 25% of the tertiary school-aged population in South Asia and 44% in East Asia and the Pacific are enrolled in higher education.
  • Rapid progress in the Asia-Pacific region hasn’t benefited everyone: 661 million of the world’s 1.3 billion in #multidimensionalpoverty live in the region.
  • Over 22% of South Asian kids under 5 experience nutritional #inequality at home, where one child is malnourished while a sibling is not.

DOWNLOAD FULL REPORT: CLICK HERE

 

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Universal Health Coverage Day 2019: ”Keep the Promise’’

by Public Health Update
written by Public Health Update

Universal Health Coverage Day 2019: ”Keep the Promise’’

Universal Health Coverage Day on 12 December is the annual rallying point for the growing movement for #HealthForAll. It marks the anniversary of the United Nations’ historic and unanimous endorsement of universal health coverage in 2012. The main objective of  UHC Day is to raise awareness of the need for strong and resilient health systems and universal health coverage (UHC).

Theme

The theme of UHC Day 2019 is ‘Keep the Promise’

In September, all UN Member States agreed to a Political Declaration on UHC. Heads of state, at the High-Level Meeting on UHC at the United Nations General Assembly in New York on 23 September 2019, demonstrated strong political vision and commitment to ensuring UHC for the people they serve. In the resulting political declaration, UN Member States recognized the importance of primary health care as “the cornerstone of a sustainable health system for universal health coverage and health-related Sustainable Development Goals”.  Now, UHC advocates will take their turn to send them a message and this year’s UHC Day campaign theme says it loud and clear: Keep the Promise.

  • We need to see action plans to guarantee health as a right, not a privilege. 
  • We need to see real investment in a society where all people—regardless of gender, race, religion, citizenship, age, ability, sexual orientation, or wealth—can get the quality health care they need and trust without facing financial hardship. 
  • We need to see strong, equitable health systems that truly leave no one behind. 

12.12: Take Action

Spotlight the promises that have been made: The most ambitious and comprehensive political declaration in history only means something if people know about it. This UHC Day, highlight what your country promised at the HLM, and why we need to follow through.

Get leaders on the record, and get specific: “Health for All” is much easier said than done. This 12.12, clarify where your leaders stand. Host a public rally, engage media or invite policymakers to speak – and demand to know what changes they will make for your community, and when.

Make sure the right voices are in the room: We can’t change the system without changing whose voices take priority. Use your platforms to meaningfully engage health workers, young people and communities whose rights, needs and experiences have been sidelined for too long.

Invest in allies, new and old: Find a UHC Day activity happening near you and show up; reach out to fellow civil society groups and see how you can support each other; build strong, diverse partnerships that will support the movement long after 12 December.

Read more: UHC Day

Recommended readings

High-Performance Health-Financing for UHC: Driving Sustainable, Inclusive Growth in the 21st Century

Political Declaration of the High-level Meeting on Universal Health Coverage

World Health Statistics 2019: Monitoring health for the SDGs

Tokyo Declaration on Universal Health Coverage: All Together to Accelerate Progress towards UHC

Universal Health Coverage (UHC)

Universal Health Coverage Day 2019: Major Events in Nepal ??

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Universal Health Coverage Day 2019: Major Events in Nepal ??

by Public Health Update
written by Public Health Update

Universal Health Coverage Day 2019: Major Events in Nepal ??

Universal Health Coverage Day is celebrated annually on December 12 to raise awareness of the need for strong and resilient health systems and universal health coverage (UHC). On the occasion of UHC Day following events are registered on Universal Health Day Global Campaign Website for Nepal. 

1) Panel discussion, TV talk show, and Media mobilization organized by Ageing Nepal

Ageing Nepal is planning to conduct a week long campaign in observation of UHC day 2019 with the following activities: Both print and electronic (radio and tv) will be mobilized to raise the issues of UHC 2030. It is expected that around 3.5 million people will be reached through media. A panel discussion will be conducted featuring 3-4 speakers with a moderator through a radio programme. An older activist, local leader of older people and concerned government official will be invited in the discussion.  Ageing Nepal will arrange a TV talk show with a doctor. The main theme of the programme will be focused on how we can act together to achieve UHC by 2030 with the aim leave no one behind.  An op-ed on this year theme of UHC day in relation with older people will be published in National Daily to raise public awareness, build momentum and accelerate advocacy efforts. A petition signed by over 500 people demanding health services that are affordable, available and accessible to older persons in an integrated manner will be submitted to Ministry of Health.

The following community services will be conducted to mark UHC 2019:
Tai Chi also called meditation in motion will be taught to older people that will help them to reduce stress, improve focus, increase energy level and improve overall health. A cleaning campaign will be organized in the community to raise awareness of keeping the environment clean by picking up litter in streets and other public spaces. It will be a step towards a healthier world to live in. Pamphlets with messages on health for all will be designed and distributed throughout the campaign. It will allow people to know more about the UHC 2030. A documentary by Dr. Sharad Bhattarai on diabetes will be shown to older people to provide in-depth information and how they can live a healthy life despite living with the disease. An eye camp will be conducted in collaboration with other local organizations in Kathmandu. The camp will provide service to more than 100 poor and marginalized people particularly older people.

The Ageing Nepal team will conduct a photo stunt in a community with older people and other age groups to make them aware of the day and its importance. The photos will be widely shared through social media for mass awareness. An awareness building session will be organized in a college where 30 under graduate students will be made aware of the mental health of older people and UHC 2030. A peer group discussion of around 15 older people will be organized to find out the health issues of older people. Each activity with short description and photo will be widely shared through social media with suggestehashtagsgs.

Location: Kathmandu, Nepal

2) High Level Multi-Stakeholder Panel Discussion on Universal Health Coverage at Provincial Level organized by BHORE

High Level Multi-Stakeholder Panel Discussion on Universal Health Coverage at Provincial Level: A high level multi-stakeholder panel discussion on universal health coverage will be organized at provincial level in Province 2. The province 2 is among 7 provinces in Nepal. Nepal has started its federal structure implementation in last couple of years. Thus, achieving universal health coverage at provincial level is utmost important to achieve UHC at national level. So, now it’s high time to make UHC movement strong at provincial and local level to achieve UHC at national level. The province 2 has the lowest status of health indicators among all seven provinces and is much below the national status. Considering the newly formed government at provincial and local level after, the political commitment and capacity building of provincial and local level government is essential to achieve UHC.
Location: Janakpurdham 

UHC

BHORE

 

3) Panel Discussion Program on “Universal Health Coverage in Nepal: Opportunities and Challenges” and Rally organized by Nepal Public Health Students’ Society

Nepal Public Health Students’ Society is planning to celebrate Universal Health Coverage (UHC) Day through organizing 4 days of activities starting December 9, 2019. The main event of the program will be a panel discussion entitled “Universal Health Coverage in Nepal: Opportunities and Challenges” that will be held on UHC Day 12th December 2019. On December 9, NPHSS will organize awareness stalls at Tribhuwan University Teaching Hospital, where public health students will give information to hospital visitors highlight universal health coverage and health as a fundamental human right. On December 10, we will organize a competition among medical students to create media promotional materials for UHC. On December 11, NPHSS will organize a rally that will start at Bhadrakali Temple and move towards Singha Durbar, passing through the Ministry of Health and Ministry of Agriculture before ending at the Maitighar Mandala. Posters, banners, pamphlets, charts, T-shirts and caps with printed messages will be used in the rally and national television reporters will be invited to cover the event.

Location: Kathmandu, Nepal

IOM

IOM

 

4) Rally organized by Nepal Public Health Research and Development Center PHRD Nepal 

Nepal Public Health Research and Development Center PHRD Nepal will conduct a rally on 12 December 2019 in Kathmandu Valley. PHRD Nepal is expecting participation from more than 250 health professionals, students and other stakeholders which will transform in into mass meeting. Further, presentations with themes of the key asks of the UHC movement will be given by officials of the Health Insurance Board, health economists, UN representatives, public health experts, members of academia and civil societies representatives. The event will be covered by social media and will increase awareness of the key actions need to achieve UHC through presentations involving high-level stakeholders.

Location: Kathmandu, Nepal

5) Health quiz on ‘‘Universal Health Coverage Day 2019.’’ organized by Public Health Update
On the occasion of Universal Health Coverage Day Coverage 2019, Public Health Update announces a health quiz on ‘‘Universal Health Coverage Day 2019.’’ Healthcare providers and Facebook page followers will participate in this health quiz. The main objective of this quiz is to increase awareness and motivate healthcare providers to celebrate #UHCDay in their workplaces and communities.
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Learn more: https://www.facebook.com/publichealthinfo/photos/a.330040660427286/2432551490176182/

Universal Health Coverage Day #HealthQuiz 2019!

Recommended readings

High-Performance Health-Financing for UHC: Driving Sustainable, Inclusive Growth in the 21st Century

Political Declaration of the High-level Meeting on Universal Health Coverage

World Health Statistics 2019: Monitoring health for the SDGs

Tokyo Declaration on Universal Health Coverage: All Together to Accelerate Progress towards UHC

Universal Health Coverage (UHC)

 

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National Guideline for Snake bite Management in Nepal 2019
National Plan, Policy & GuidelinesPublic Health UpdateResearch & Publication

National Guideline for Snake bite Management in Nepal 2019

by Public Health Update
written by Public Health Update

Overview

This guide offers vital information on snake bite management in Nepal, how to diagnose snakebite, and how to manage it, with a special focus on the correct way to give anti-snake venom. It’s designed to help all levels of government teach health workers about preventing and treating snakebites, which will ultimately save lives. Therefore, all health workers are strongly urged to follow the recommended steps in this guideline.

Recommended first aid treatment (Ref Page no. 32)

Standards for Establishing Snakebite Treatment Centers, 2077

REASSURANCE

  • The victim may be very frightened and anxious. Reassure victim that most of the suspected snakebite are caused by nonvenomous snakes. Reassure victim on that snakebite is a treatable condition.

IMMOBILIZATION

  • Immobilize the bitten limb with a splint or sling. Any cloth or bandage may be used for this, as done for fracture limb. Any form of movement causing muscle contraction like walking, undressing will increase absorption and spread of venom by squeezing veins and lymphatics.
  • Pressure immobilization (PIB) is believed to delay in spread of venom to systemic circulation and PIB method is commonly recommended by many experts in pre-hospital management. However, the pressure-immobilization technique demands special equipment and training and is not considered practicable for general use in Nepal. Searching for the material to apply pressure immobilization may cause delay in seeking much needed health care for treatment of envenoming.
  • Moreover, envenoming by cobra and vipers snakes causes local tissue damage and localization of toxin by PIB may worsen tissue damage. n Pressure pad immobilization has been found to be useful in Myanmar. It’s applicability in Nepal is not known. n Remove rings, jewelries, tight fittings and clothing and avoid any interference with the bite wound to prevent infection, increase absorption of venom and increase local bleeding.

RAPID TRANSPORT

  • The victim should be transported to the hospital where he can receive the medical care.
  • The most common cause of death due to snakebite envenoming in Nepal is due to respiratory paralysis (and rarely shock due to bleeding from Russell’s viper envenoming). In one of the community- based study, 80% of the patient with envenoming died even before reaching snakebite treatment center or hospital. Rapid transport using motorcycle has been found to decrease mortality in Nepal. The victim is seated and held between driver and pillion rider.

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by Public Health Update
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Employees Provident Fund Health Insurance Package

Employees Provident Fund Health Insurance Package

Employees Provident Fund Health Insurance Package

Employees Provident Fund Health Insurance Package

Employees Provident Fund Health Insurance Package

Employees Provident Fund Health Insurance Package

Employees Provident Fund Health Insurance Package

Employees Provident Fund Health Insurance Package

Employees Provident Fund Health Insurance Package

 

More information: http://site.epfnepal.com.np/service/16 

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