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Fact SheetPublic Health Update

World Health Organization Collaborating Centres in Nepal

by Public Health Update July 22, 2019
written by Public Health Update

World Health Organization Collaborating Centres in Nepal

WHO collaborating centres are institutions such as research institutes, parts of universities or academies, which are designated by the Director-General to carry out activities in support of the Organization’s programmes. Currently there are over 800 WHO collaborating centres in over 80 Member States working with WHO on areas such as nursing, occupational health, communicable diseases, nutrition, mental health, chronic diseases and health technologies. Following centres are recognized as a WHO collaborating centres in Nepal. 

WHO Collaborating Centre for TB and TB/HIV Research and Training 

Institution: SAARC Tuberculosis and HIV/AIDS Centre 
Address: Thimi, Bhaktapur G.P.O., Box 9517 – 44600
Date of Designation:  13/Mar/2002
Last Redesignation: 03/Jul/2018
Expiry:  03/Jul/2022
Terms of Reference:

  1. Training and knowledge dissemination on TB & HIV and laboratory  
  2. Technical support for operational research on TB/HIV, surveillance and cross border issues.  
  3. Provision of technical support to countries for implementation of TB and HIV control activities 
Subjects:

  1. Tuberculosis 
  2. HIV/AIDS 
Types of activity:

  1. Product development (guidelines; manual; methodologies; etc.) 
  2. Research 
  3. Training and education 

WHO collaborating centre for Ophthalmology 

Institution:

  • Tilganga Eye Hospital
  • Tilganga Institute of Ophthalmology
Address
Tilganga Marg, 44600, Kathmandu
Date of Designation:10/Jun/2019
Last Redesignation:  10/Jun/2019
Expiry:  10/Jun/2023
Terms of Reference:

  1. Assist WHO with building capacity of ophthalmologists, allied and mid-level Ophthalmic personnel and managers 
  2. Under WHO’s leadership, participate in research such as the Rapid Assessment of Avoidable Blindness (RAAB) to develop intervention programmes for control of blindness and to monitor and design existing blindness control programmes 
  3. Support WHO in the implementation of prevention of blindness activities 
Subjects:

  1. Disabilities and rehabilitation (excluding accident prevention) 
  2. Prevention of blindness 
  3. Ageing 
Types of activity:

  1. Training and education 
  2. Providing technical advice to WHO 
  3. Research 

READ MORE ABOUT WHO COLLABORATING CENTRES 


Nepal–WHO Country Cooperation Strategy (CCS) 2018–2022

Accelerate actions to slash tobacco use and advance health across the WHO South-East Asia Region

WHO TDR Update: Ensuring ethical conduct of implementation research

The WHO Framework Convention on Tobacco Control

July 22, 2019 0 comments
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National Plan, Policy & GuidelinesPublic Health UpdateResearch & Publication

National Health Policy 2076- MoHP

by Public Health Update July 22, 2019
written by Public Health Update

National Health Policy 2076- MoHP

Health Policy Highlights 1 Health Policy Highlights 2 Health Policy Highlights 3

National Health Policy 2076- MoHP

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National Health Policy 2074 (1st Draft)

National Health Policy-2071 (Nepali and English Version)

National Oral Health Policy-2070, NEPAL

Health related Policy and Program for Fiscal Year 2076/77

Key achievements – Ministry of Health & Population, Nepal

Major achievements of Ministry of Health and Population in the FY 2075-76

Nepal Health Infrastructure Development Standards 2074

Nepal Health Sector Strategy(NHSS) Implementation Plan 2016-21

July 22, 2019 0 comments
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Fact SheetNational Plan, Policy & GuidelinesPublic Health UpdateResearch & Publication

Major achievements of Ministry of Health and Population in the FY 2075-76

by Public Health Update July 20, 2019
written by Public Health Update

Major achievements of Ministry of Health and Population in the FY 2075-76

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SIMILAR POSTS

National Annual Review, MoHP – 2017/18 (Presentation Slides)

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Ministry of Health and Population: Samayojan Update

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RELATED DOCUMENTS 

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Approved Organization & Structure of MoHP

SHSDC plans to increase health insurance coverage amount

Health related Policy and Program for Fiscal Year 2076/77


NATIONAL PLAN, POLICY, REPORTS AND GUIDELINES

INTERNATIONAL PLAN, POLICY, REPORT AND GUIDELINES

July 20, 2019 0 comments
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Health in DataCommunicable DiseasesFact SheetInternational Plan, Policy & GuidelinesPublic HealthPublic Health UpdateReportsResearch & Publication

The Joint United Nations Programme on HIV/AIDS (UNAIDS) Data 2019

by Public Health Update July 18, 2019
written by Public Health Update

The Joint United Nations Programme on HIV/AIDS (UNAIDS) Data 2019

AT A GLANCE

  • Gains continue to be made against the epidemic, but those gains are getting smaller year-on-year.
  • There has been steady progress in the reduction of AIDS-related deaths, but efforts to reach the 2020 target for reductions in HIV infections are clearly off-track.
  • Gains in eastern and southern Africa are driving global progress. In much of the rest of the world, there are worrying setbacks in key countries and entire regions.
  • More than half of new HIV infections in 2018 were among key populations and their sexual partners.
  • An epidemic transition metric suggests that a diverse group of 19 countries are on the path to ending AIDS. Many more countries are not.

HIGHLIGHTS 

  • A one third decline in AIDS-related deaths: The annual number of deaths from AIDS-related illness among people living with HIV (all ages) globally has fallen from a peak of 1.7 million [1.3 million–2.4 million] in 2004 to 770 000 [570 000–1 100 000] in 2018.
  • New HIV infections declining gradually: The annual number of new HIV infections globally continued to decline gradually in 2018.
  • More than half of new infections are among key populations and their sexual partners.
  • Epidemic transition: The global incidence-prevalence ratio has declined from 11.2% in 2000 to 6.6% in 2010 to 4.6% in 2018, reinforcing the conclusion that important progress has been made against the epidemic. Despite this, the world is not yet on track to end AIDS as a public health threat by 2030.

Global summary of the AIDS epidemic 2018

  • Number of people living with HIV
    Total: 37.9 million [32.7 million–44.0 million]
    Adults : 36.2 million [31.3 million–42.0 million]
    Women (15+ years) : 18.8 million [16.4 million–21.7 million]
    Children (<15 years): 1.7 million [1.3 million–2.2 million] 
  • People newly infected with HIV in 2018
    Total: 
    1.7 million [1.4 million–2.3 million]
    Adults: 1.6 million [1.2 million–2.1 million]
    Children (<15 years): 160 000 [110 000–260 000]

  • AIDS-related deaths in 2018
    Total: 770 000 [570 000–1.1 million]
    Adults : 670 000 [500 000–920 000]
    Children (<15 years): 100 000 [64 000–160 000]

Key facts on HIV in Asia and the Pacific (2018)

Key facts on HIV in Asia and the Pacific (2018)

Key facts on HIV in Asia and the Pacific (2018)

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Key facts on HIV: Country Snapshot 2019: Nepal

Maldives ?? eliminates mother-to-child transmission of HIV, Syphilis

UNAIDS and UNDP call on 48 countries and territories to remove all HIV-related travel restrictions

HIV-infected Shrestha scales Everest, conquers stigmatization

People Living with HIV are now getting Life Insurance

10th IAS Conference on HIV Science (IAS 2019), Mexico

5th HIV-Exposed Uninfected Child and Adolescent Workshop

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Communicable DiseasesFact SheetHealth in DataInternational Plan, Policy & GuidelinesPublic HealthPublic Health Epidemiology & BiostatisticsPublic Health UpdateResearch & Publication

Key facts on HIV: Country Snapshot 2019: Nepal

by Public Health Update July 18, 2019
written by Public Health Update

Key facts on HIV: Country Snapshot 2019: Nepal

The country snapshot prepared by UNAIDS Regional Support Team for Asia and the Pacific and AIDS Data Hub provides information on the HIV epidemic and response in Nepal country.

chart

Country Snapshot, 2018

Nepal Country Card 2019 1 Nepal Country Card 2019 2

 


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Adults and children living with HIV 31 000 [27 000 – 36 000]
Adults aged 15 and over living with HIV 30 000 [26 000 – 35 000]
Women aged 15 and over living with HIV 11 000 [10 000 – 13 000]
Men aged 15 and over living with HIV 18 000 [16 000 – 22 000]
Children aged 0 to 14 living with HIV 1200 [1000 – 1400]
Adult aged 15 to 49 HIV prevalence rate 0.2 [0.1 – 0.2]
Women aged 15 to 49 HIV prevalence rate 0.1 [0.1 – 0.1]
Men aged 15 to 49 HIV prevalence rate 0.2 [0.1 – 0.2]
HIV prevalence among young women <0.1 [<0.1 – <0.1]
HIV prevalence among young men <0.1 [<0.1 – <0.1]
Adults and children newly infected with HIV <1000 [<1000 – <1000]
Adults aged 15 and over newly infected with HIV <1000 [<1000 – <1000]
Women aged 15 and over newly infected with HIV <500 [<500 – <500]
Men aged 15 and over newly infected with HIV <1000 [<500 – <1000]
Children aged 0 to 14 newly infected with HIV <100 [<100 – <100]
HIV incidence per 1000 population (adults 15-49) [0.04 – 0.05]
HIV incidence per 1000 population (all ages) 0.03 [0.03 – 0.03]
Adult and child deaths due to AIDS 1300 [1000 – 1700]
Deaths due to AIDS among adults aged 15 and over 1300 [<1000 – 1700]
Deaths due to AIDS among women aged 15 and over <500 [<200 – <500]
Deaths due to AIDS among men aged 15 and over <1000 [<1000 – 1200]
Deaths due to AIDS among children aged 0 to 14 <100 [<100 – <100]
Orphans due to AIDS aged 0 to 17 18 000 [15 000 – 21 000]

People living with HIV 31 000 [27 000 – 36 000]
People living with HIV who know their status 20 000
Percent of people living with HIV who know their status 64 [56 – 74]
People living with HIV who are on ART 15 000
Percent of people living with HIV who are on ART 49 [43 – 58]
People living with HIV who have suppressed viral loads 14 000
Percent of people living with HIV who have suppressed viral loads 44 [39 – 52]

Coverage of adults and children receiving ART (%) 49 [43 – 58]
Adults aged 15 and over receiving ART 47 [41 – 55]
Women aged 15 and over receiving ART 60 [53 – 70]
Men aged 15 and over receiving ART 39 [33 – 46]
Children aged 0 to 14 receiving ART >95 [94 – >95]
Number of adults and children receiving ART (#) 15 260
Adults aged 15 and over receiving ART 13 969
Women aged 15 and over receiving ART 6847
Men aged 15 and over receiving ART 7122
Children aged 0 to 14 receiving ART 1291
Late HIV diagnosis [with the initial CD4 cell count <200 cells/ mm3] (%) 22
Female adults (15+) 19
Male adults (15+) 29
Children (0-14) 6
Late HIV diagnosis [with the initial CD4 cell count <350 cells/ mm3] (%) 37
Female adults (15+) 33
Male adults (15+) 44
Children (0-14) 18
Adults and children newly-initiating ART (#) 2870
Adults aged 15 and over newly-initiating ART 2577
Children aged 0-14 newly-initiating ART 293
Women aged 15 and over newly-initiating ART 1194
Men aged 15 and over newly-initiating ART 1383
Adults and children known to be on ART 12 months after starting (%) 88
Female adults known to be on ART 12 months after starting 90
Male adults known to be on ART 12 months after starting 84
Children known to be on ART 12 months after starting 93

Coverage of pregnant women who receive ARV for PMTCT (%) 63 [53 – 75]
Pregnant women needing ARV for PMTCT (#) <500 [<500 – <500]
Pregnant women who received ARV for PMTCT (#) 191
Early infant diagnosis (%) 45 [38 – 53]
New HIV infections averted due to PMTCT (%) <100 [<100 – <100]

HIV prevalence (%) 5 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Knowledge of HIV status (%) 89.6 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Condom use (%) 94.6 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Active syphilis (%) 1.9 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017

HIV prevalence (%) 8.8 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Knowledge of HIV status (%) 54 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Condom use (%) 48.9 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Safe injecting practices (%) 97.6 Source: Integrated biological and behavioural Surveillance Survey 2017
Needles and syringes distributed per person who injects drugs (#) 60.638
Coverage of opioid substitution therapy 3 Source: National programme data 2017
Hepatitis B and coinfection with HIV (%) 0.3 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Hepatitis C and coinfection with HIV (%) 7.4 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017

HIV prevalence (%) 8.5 Kathmandu Valley and Pokhara; Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Knowledge of HIV status (%) 89.4 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017
Condom use (%) 91.5 Source: Integrated Biological and Behavioural Surveillance (IBBS) Survey 2017

 

OFFICIAL LINK : aidsdatahub.org 

DATA DASHBOARD

July 18, 2019 0 comments
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National Plan, Policy & GuidelinesResearch & Publication

NHPC Minimum Requirements of Bachelor in Public Health

by Public Health Update July 16, 2019
written by Public Health Update

NHPC Minimum Requirements of Bachelor in Public Health, Second Revision 2076 (2019)

Introduction

Nepal Health Professional Council has approved this requirement according to clause of 9 (kha) of the Nepal Health Professional Council Act 2053. This requirement shall be called Minimum requirement for the recognition of Bachelor’s Degree of Public Health Program (2061), first revision 2068 and second revision 2076 (2019). An institution that plans to start or conduct Bachelor’s degree of Public Health Program shall ensure the standard as specified in this minimum requirement in order to qualify for granting accreditation.

Student Entry Requirement for Students

The entry requirement for a student in BPH will be Intermediate in Science (ISc) or Higher Secondary Level (10+2 Science streams) in biology stream or Proficiency Certificate Level (PCL, Science), or Certificate in Health Sciences or equivalent as recognized by concerned University/authorized body with at least 50% marks or equivalent grade score. Besides the basic academic requirement, an entrance examination will be held for all applicants and should secure 50% marks to be eligible for admission.

Duration of Study

Duration for the completion of all the requirements for the BPH program as a full-time student is 4 Years in annual system and 48 months (8 Semesters) in semester system.

Admission Policies

  • Intake of students should be annual
  • The maximum number for intake of students is 40 per academic year
  • The selection of the student should be in merit basis

Attendance Requirements

A student must attend every scheduled lecture, tutorial, seminar, field visit and practical classes. However, to accommodate for late registration, sickness and other contingencies, the attendance requirements will be a minimum of 80% of the classes actually held.

Course Coverage

A student must attend the core courses (Public Health, Epidemiology, Community Diagnosis, Research Methodology, Health Management, Public Health statistics/biostatistics, Population health, Health Promotion and Education, Environmental Health, Reproductive/Family Health, Nutrition, Behavioral Science)

Student’s Evaluation

A student’s academic performance in a course is evaluated in two phases as:

  • Internally by the concerned faculty member through quizzes, tutorials, lab works, home assignments, class tests, class participation, term papers, internal exam etc.
  • Externally by the Office of the Controller of Examinations of concerned University through year/semester-end examinations.
  • Practical, field practice and internship will be evaluated by external examiner through practical, demonstration, presentation (oral and poster) and oral examination.

Teaching Faculty

Number of Faculties Number of faculties for BPH program should be maintained as follows: –

  • Professor/Associate Professor: 2 Full time
  • Assistant Professor/Lecturer: 5 Full time

The above-mentioned number is for the full-fledged program and should be at least 7 full time faculties. There should be at least one full time Professor/Assoc. Professor and two full time Assistant Professors at the beginning and the number should be increased before the new batch is enrolled.

Council will recognize the minimum qualification of a faculty as per the concerned university service commission eligibility.

  • As per the curricular needs additional part time teachers or teachers in course contract should be managed by Institution.
  • Full time teachers should be from core subjects (Public Health, Epidemiology, Research Methodology, Health Management, Public Health statistics/biostatistics, Public Health Demography/Population health, Health Promotion and Education, Environmental Health, Reproductive/Family Health, Public Health Nutrition, Behavioral Health Science).

Note: Faculties working as a full timer at one institution can NOT be full timer in another institution.

Student Teacher Ratio in Teaching Learning

There should be sufficient teachers to teach as per curriculum in a ratio as follows:

  • One faculty per 40 students for theory classes.
  • One faculty per 20 students for practical classes.
  • One faculty per 10 students for field work.

Qualification of Teacher

  • Minimum academic qualification for above-mentioned full-time teachers should be at least Bachelor Degree in Public Health or Health Sciences or other discipline with Master Degree in Public Health or Public Health Sciences, with at least 3 years of teaching learning experience. Among them, at least 50% of the teachers should be from BPH with Master Degree in Public Health or Public Health Sciences.
  • Other requirements for the academic positions shall be as per the requirement of concerned University.
  • (Public Health Sciences include, but not limited to Epidemiology, Public Health Statistics/biostatistics, Public Health Demography, Population Health, International Health, Primary Health Care, Health System Management, Health Policy, Public Health Economics, Health Promotion and Education, Health Communication, Public Health Nutrition, Sexual and Reproductive Health, Family Health, Occupational Safety and Health, Global Health, Behavioral Health, Community Health, Medical Anthropology and other health sciences as decided by NHPC)

Work Load

  • For taking the theory and practical classes as well as field practices
    – Principal/Chief: 8 hours/week (maximum)
    – Professor: 12 hours/week (maximum)
    – Associate professor: 14 hours/week (maximum)
    – Assistant Professor/Lecturer: 16 hours/week (maximum)
  • One theory class equivalent to three hours practical classes and six hours field practices.
  • One research supervision equivalent to one hour per week
  • Co-supervisor’s workload is calculated as half of main supervisor’s workload
  • One research supervisor can supervise only 5 students maximum per academic year.
  • Research supervisor shall be from outside the college/institute if he/she is BPH or Bachelor in health sciences and MPH (or specialized MPH) and registered in concerned council. The research supervisor should have minimum qualification of a teacher as mentioned above.

Institution

Organizational Structure of the Constitutional or Affiliated Academic Institution Concern constitutional or affiliated academic institution should establish the following committees/sections;

  • Departments/Instruction committee
  • Examination section
  • Student welfare committee
  • Research Management Committee (RMC)
  • A separate organizational financial system should include: – Financial viability plan – Annual budget for program – Source of income – Audit system

Principal or Campus Chief or Chief of Central Department or Director

Sole Public Health College: S/He should have at least Bachelor Degree in Public Health or Health Sciences with Master Degree in Public Health or Public Health Sciences and 7 years of academic/teaching learning experience. S/He should be registered in NHPC.

Multidisciplinary Health Science College: S/He should have at least Master Degree in any related subjects teaching in the college and 7 years of academic/teaching experience.  S/He should be registered in concerned council.

Head of the Department (HoD) and/or Coordinator

  • S/He should have at least Bachelor degree in Public Health or Health Sciences with Master Degree in Public Health Sciences and 5 years of academic/teaching experience.
  • S/He should be registered in NHPC.

Administrative Staff

Administrative staff should be sufficient in number to facilitate the educational/ administrative works. The required staffs are as follows:

  • Administrative Officer: S/He should have passed minimum Bachelor degree or equivalent in any subject.
  • Finance Officer: S/He should have passed minimum Bachelor degree in Commerce/ Business Studies/Administration or equivalent.
  • Account/Administrative Assistants: Accountant and Administrative Assistants should have passed 10+2 or equivalent.
  • Librarian: The Head of the Library should have University Degree and must have sufficient training in library science.
  • Computer Technician: S/He should have passed minimum Diploma/ Bachelor in computer sciences and should have command both in English and Nepali languages writings and reporting.
  • Laboratory Assistant: S/He should have passed at least 10+2 (science) with training and or demonstrating laboratory work of Laboratory Assistant in concerning Faculty or Department of particular organization.
  • Any Office Assistants (helper/peon/cleaner/driver) should be a Nepali citizen and should be literate in Nepali (Command in both Nepali and English languages is preferable).

Teaching Facilities

Land, building and physical facilities requirements are as follows:

  • Land and Building: Building with adequate floor space and sufficient land
  • There should be minimum of four rooms for routine classes, and three rooms for group discussion purposes. Number of classrooms should be increased with the number of sections.
  • The class rooms should have: – Well ventilated with adequate light – 0.75 sq meter space per student – Appropriate desk and bench, White board – Multi-media – The theory classroom should accommodate of at least 40 students
  • Principal’s office room should have enough space for visitors/faculties and for small meeting.
  • Administration office rooms should have enough space for administrative and financial work.
  • Demonstration room for 20 students at a time on the basis of 1:20 teacher -student ratio for demonstration.
  • Teachers’ room with sufficient numbers of computers and printers.
  • A Library should have enough space for book and students’ study. – 1 course book per 5 students must be available in library. – Reference book in each subject should be available at ratio of 1:10 students in library. – Access to HINARI or other online data bases and other related free journals with a internet with high speed. – At least 5 professional recent journals should be available in the library. – Adequate number of reference books on each subject for teacher should also be available in library. – Other related books/dictionaries, magazines, newspapers should be made available. – Curriculum of the program must be available at office and at the library. Furniture like table, chair, open rack, must be available in the library as per required standard and quantity. – Sufficient Computer, printer, photocopy machine, email – internet facilities should be made available.
  • For computer class, there should be one computer per two students and a separate computer classroom should be available.
  • Audio-visual aid equipment should be available for classroom.
  • Toilet at a ratio of 1:10 for working staffs and students (male/female separate).
  • Multipurpose hall (at least 200-person accommodation with essential facilities) should be available.

Facilities for Other Activities

  • An outdoors athletic ground
  • Indoor games
  • Provision of vehicles for field activities
  • Parking space- faculties, staffs and students
  • Space for student welfare with counseling services
  • Students’ hostel (Male and Female separate) is preferable
  • Canteen with safe drinking water, hygienic kitchen and dining hall

Laboratory and Equipment

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NHPC Minimum Requirements For the recognition of Master in Public Health

July 16, 2019 0 comments
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Global Health NewsMaternal, Newborn and Child HealthPublic HealthPublic Health NewsPublic Health UpdateSuccess Stories

Maldives ?? eliminates mother-to-child transmission of HIV, Syphilis

by Public Health Update July 15, 2019
written by Public Health Update

Maldives ?? eliminates mother-to-child transmission of HIV, Syphilis

SEAR/PR/1713

New Delhi/ Male, July 15, 2019: Maldives has eliminated mother-to-child transmission of HIV and syphilis, joining first few countries in the world to ensure a generation free of these deadly diseases, World Health Organization said today.

Maldives has eliminated mother-to-child transmission of HIV & Syphilis. 

Maldives has eliminated mother-to-child transmission of HIV & Syphilis. (WHO South-East Asia)

“This commendable achievement has been made possible by strong political commitment, active community engagement, invaluable contributions of health workers and sustained collaboration of partner organizations,” said Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia, at a felicitation ceremony in Male for elimination of mother-to-child transmission of HIV and syphilis.

Maldives is the second country in WHO South-East Asia Region to achieve this feat, after Thailand. Globally, congenital syphilis is the second leading cause of preventable still births while mother-to-child transmission of HIV accounts for 9% new infections.

WHO certification of Maldives’ follows confirmations and validations by national, regional and global teams that no woman or infant was detected with HIV or syphilis in the country in the last two years.

 

D fsVVCUEAAAIyh

Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia hands over a plaque to @FaisalNasym, Vice President of the Republic of #Maldives ?? & @ameenex, Minister of Health, on the occasion of the country having eliminated mother-to-child??transmission of #HIV & #syphilis (PHOTO: WHO South-East Asia)

Maldives’ success is attributed to its proactive, persistent and long-term public health measures initiated even before the first case of HIV infection was detected in the country in 1991. The country’s AIDS Control Programme, launched in 1987, prioritized creating awareness, preventing HIV transmission with a focus on the at-risk population, while also providing quality care, support and treatment to people living with HIV/AIDS and Syphilis.

“A unique feature of the country’s AIDS control programme has been the total integration of all health services, including preventive, into the general health system. Equity and rights-based approaches has helped expand universal health coverage, enabled by the universal health insurance system Aasandha,” Dr Khetrapal Singh said.

In the last 30 years, the AIDS control programme has provided countrywide access to quality HIV testing and counselling, safe blood and tissue transfusion, injection safety, and investments to provide quality care and treatment. High quality disease surveillance has ensured sporadic cases of HIV and Syphilis were quickly detected, tested and treated.

Prevention of mother-to-child transmission has been a major component of the National Strategic Plan for Prevention and Control of HIV/AIDS 2014-18. All public and private hospitals and health centres in the country offer a range of health services, such as universal access to antenatal care and screening for HIV and syphilis. Almost all births take place in health facilities and all are managed by skilled birth attendants. These concerted and consistent efforts had ensured low transmission of HIV and syphilis for several years.

Lauding Maldives, the Regional Director said, “Today’s milestone is yet another demonstration of the country’s determination to ensure health and wellbeing for everyone, everywhere. With a consistently high budget for health, over 9% of GDP, and persistent efforts over the years to ensure quality care, Maldives has overcome unique and huge challenges to be in the forefront to eliminate diseases such as malaria, lymphatic filariasis, measles, and now mother-to-child transmission of HIV and Syphilis.”

Sustaining these achievements, the country needs to further expand health services to all migrant population, many of them coming from countries with endemic transmission of these diseases, and maintain and expand coverage of quality health services.

WHO South-East Asia


PUBLIC HEALTH ACHIEVEMENTS 

Sri Lanka ?? eliminates measles

Bhutan, Maldives eliminate measles

Kenya now eliminates maternal and neonatal tetanus

Malaysia eliminates mother-to-child transmission of HIV and syphilis

5 Years of Polio-free WHO South-East Asia Region

Thailand becomes trans fat free country ??

Thailand becomes first in Asia to introduce tobacco plain packaging

Nepal: first country in South-East Asia validated for eliminating trachoma

Bye – Bye ??? Trachoma ?‍??‍? from Nepal ??

Algeria and Argentina certified malaria-free by WHO

July 15, 2019 0 comments
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ActivitiesConferencePublic Health EventsPublic Health Update

National Conference on Revitalizing National Health System of Nepal concluded

by Public Health Update July 12, 2019
written by Public Health Update

National Conference on Revitalizing National Health System of Nepal concluded

24th Ashar 2076
Pokhara
National Conference on Revitalizing National Health System of Nepal in Federal Era: Pathway to Achieve SDG Goals was successfully held at Hotel Royal Palm, Pokhara. The two-day conference was jointly organized by Faculty of Health Science and School of Health and Allied Science, Pokhara University which was supported by University Grant Commission. 

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PHOTO : Rtr Prabin Sharma & Ramu Kaka


2019 APRU Global Health Program Conference

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Young Leaders for Health Conference 2019

10th TEPHINET Global Scientific Conference

The 10th Asia Pacific Conference on Reproductive, Sexual Health & Rights

10th IAS Conference on HIV Science (IAS 2019), Mexico

July 12, 2019 0 comments
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World Population Day ”25 years of the ICPD: Accelerating the Promise”

by Public Health Update July 11, 2019
written by Public Health Update

World Population Day ”25 years of the ICPD: Accelerating the Promise”

World Population Day, which seeks to focus attention on the urgency and importance of population issues, was established by the then-Governing Council of the United Nations Development Programme in 1989, an outgrowth of the interest generated by the Day of Five Billion, which was observed on 11 July 1987.

This year’s World Population Day calls for global attention to the unfinished business of the 1994 International Conference on Population and Development. Twenty-five years have passed since that landmark conference, where 179 governments recognized that reproductive health and gender equality are essential for achieving sustainable development.

“The 2030 Agenda for Sustainable Development is the world’s blueprint for a better future for all on a healthy planet. On World Population Day, we recognize that this mission is closely interrelated with demographic trends including population growth, ageing, migration and urbanization.”

UN Secretary-General António Guterres

UN

‘आइसिपिडीको पच्चीस वर्षे यात्रा : जनङ्ख्या र विकासमा प्रतिबद्धता’ 
#WorldPopulationDay2019 : 25 Years of the ICPD: Accelerating the Promise! 
#ICPD #ICPD25 #WorldPopulationDay

Photo: UNFPA Nepal

Photo: UN Country Team Nepal

Today’s Population (NEPAL): 29623890 (CBS)


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July 11, 2019 0 comments
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World Health Organization Model List of Essential Medicines (21st List 2019)

by Public Health Update July 9, 2019
written by Public Health Update

World Health Organization Model List of Essential Medicines (21st List 2019)

JULY 9, 2019
WHO
updates global guidance on medicines and diagnostic tests to address health challenges, prioritize highly effective therapeutics, and improve affordable access.

WHO’s Essential Medicines List and List of Essential Diagnostics are core guidance documents that help countries prioritize critical health products that should be widely available and affordable throughout health systems.

Published today, the two lists focus on cancer and other global health challenges, with an emphasis on effective solutions, smart prioritization, and optimal access for patients.

“Around the world, more than 150 countries use WHO’s Essential Medicines List to guide decisions about which medicines represent the best value for money, based on evidence and health impact,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “The inclusion in this list of some of the newest and most advanced cancer drugs is a strong statement that everyone deserves access to these life-saving medicines, not just those who can afford them.”

The Essential Medicines List (2019)

Cancer treatments: While several new cancer treatments have been marketed in recent years, only a few deliver sufficient therapeutic benefits to be considered essential. The five cancer therapies WHO added to the new Medicines List are regarded as the best in terms of survival rates to treat melanoma, lung, blood and prostate cancers.

For example, two recently developed immunotherapies (nivolumab and pembrolizumab) have delivered up to 50% survival rates for advanced melanoma, a cancer that until recently was incurable.

Antibiotics: The Essential Medicines Committee strengthened advice on antibiotic use by updating the AWARE categories, which indicate which antibiotics to use for the most common and serious infections to achieve better treatment outcomes and reduce the risk of antimicrobial resistance.  The committee recommended that three new antibiotics for the treatment of multi-drug resistant infections be added as essential. 

Other updates to the medicines list include:

  • New oral anticoagulants to prevent stroke as an alternative to warfarin for atrial fibrillation and treatment of deep vein thrombosis. These are particularly advantageous for low-income countries as, unlike warfarin, they do not require regular monitoring;
  • Biologics and their respective biosimilars for chronic inflammatory conditions such as rheumatoid arthritis and inflammatory bowel diseases;
  • Heat-stable carbetocin for the prevention of postpartum haemorrhage. This new formulation has similar effects to oxytocin, the current standard therapy, but offers advantages for tropical countries as it does not require refrigeration;

Not all submissions to the EML Committee are included in the list. For example, medicines for multiple sclerosis submitted for inclusion were not listed. The Committee noted that some relevant therapeutic options currently marketed in many countries were not included in the submissions; it will welcome a revised application with all relevant available options. The EML Committee also did not recommend including methylphenidate, a medicine for attention deficit hyperactivity disorder (ADHD), as the committee found uncertainties in the estimates of benefit.

The List of Essential (in vitro) Diagnostics

The first List of Essential Diagnostics was published in 2018, concentrating on a limited number of priority diseases – HIV, malaria, tuberculosis, and hepatitis. This year’s list has expanded to include more noncommunicable and communicable diseases.

Cancers: Given how critical it is to secure an early cancer diagnosis (70% of cancer deaths occur in low- and middle-income countries largely because most patients are diagnosed too late), WHO added 12 tests to the Diagnostics List to detect a wide range of solid tumours such as colorectal, liver, cervical, prostate, breast and germ cell cancers, as well as leukemia and lymphomas. To support appropriate cancer diagnosis, a new section covering anatomical pathology testing was added; this service must be made available in specialized laboratories.

Infectious diseases: The list focuses on additional infectious diseases prevalent in low- and middle-income countries such as cholera, and neglected diseases like leishmaniasis, schistosomiasis, dengue, and zika.

In addition, a new section for influenza testing was added for community health settings where no laboratories are available.

General test: The list was also expanded to include additional general tests which address a range of different diseases and conditions, such as iron tests (for anemia), and tests to diagnose thyroid malfunction and sickle cell (an inherited form of anemia very widely present in Sub-Saharan Africa).    

Another notable update is a new section specific to tests intended for screening of blood donations.  This is part of a WHO-wide strategy to make blood transfusions safer.

“The List of Essential Diagnostics was introduced in 2018 to guide the supply of tests and improve treatment outcomes,” said Mariângela Simão, WHO Assistant Director-General for Medicines and Health Products. “As countries move towards universal health coverage and medicines become more available, it will be crucial to have the right diagnostic tools to ensure appropriate treatment.”

WORLD HEALTH ORGANIZATION 

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July 9, 2019 0 comments
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