Health Sector Progress Report 2018, Ministry of Health & Population:
Progress of the Health Sector in FY 2074/75, Ministry of Health & Population

Major Achievements in FY 2017/2018 ( FY 2074/75)

Ministry of Health & Population (MoHP) carried out various activities in the fiscal year 2017/18. The majority of the activities were in continuity with the NHSS (2016-2021), but the annual work plan and budget process were changed due to the transition to the federalism. As a result, various activities have been shifted to the federal, provincial and local governments.

The following activities were the major achievements of FY 2017/2018;

• Restructuring of Ministry of Health and Population and Department of Health Services.  (MoHP Roles & Responsibilities, Functions ToR (Organogram- Open in new  tab) 
• Establishment of Provincial Health Directorate and Provincial Health Offices. (Organogram & ToR (Provincial Health Directorate & Provincial Health Offices) – Open in new  tab) 
• Three health related acts have been endorsed and are in action as follows:
  ☑Public Health Service Act (Download) 
  ☑ Safer Motherhood and Reproductive Health Act (Download) 
  ☑ Social Health Insurance Act (Download) 

• The transition plan to manage federalism in health was developed together with external development partners (EDPs) and is being implemented.
• The MoHP was reorganised as per the new structure under federalism.
• The Basic Health Care Package has been defined.
• The Minimum Service Standards for Hospitals and Health Posts has been developed.
• The program implementation guideline for local levels was prepared and made available on the MoHP website.
• Dissemination of Nepal National Micronutrient Survey 2016 was carried out. (Survey Result-Download) 
• An interaction program with provinces was carried out by the MoHP to discuss on progress and challenges in the health sector in September 2018.
• Altogether 56 districts have been declared “Fully Immunized” out of 77 districts. 
• Fractional dose of Injectable Polio Virus (fIPV) vaccine has been introduced in the National Immunization schedule. (DOWNLOAD INFORMATION ABOUT FIPV) 
• Of the total 32,747 ever reported HIV infected persons, 16,428 persons are on AntiRetroviral Treatment (ART)
• As of November 2018, more than 1.5 million members have been enrolled in the Social Health Insurance program with 36 districts covered.
• All the Palikas have at least one birthing centre to provide delivery service.
• Procurement Improvement Plan (PIP) for FY 2016/17-2020/21 is prepared and has been endorsed. The Procurement and Public Financial Management (PPFM) committee at MoHP and Consolidated Annual Procurement Plan (CAPP) Monitoring Committee at departmental level is monitoring the progress of PIP implementation.
• Pre-bid and Post-bid information systems including technical specification bank (TSB), (electronic) logistics management information system (LMIS/e-LMIS), quality assurance plan (QAP), contract management system (CMS)s have been activated.
• Federal level CAPP prepared and endorsed.
• Two Standard Operating Procedures (SOPs) for procurement and electronic Government Procurement (e-GP) have been prepared, endorsed and distributed to local and provincial levels. (Download: Procurement Handbook 2074)
• Standardization of procurement process through new standard bid documents (SBD) for the health sector initiated and e-GP-II implemented in the bidding process.
• Internal Control Guidelines were revised and endorsed by MoHP in July, 2018.
• The financial management review (FMR) templates were revised and approved by MoHP on 16 May 2018 as a requirement of the Disbursement Linked Indicators (DLI).
• One-Stop Crisis Management Centres (OCMC) have been established, one in each of the forty-four districts.
• Total of thirty-two Social Service Units (SSUs) in referral hospitals have been established.
• Urban Health Centres expanded and Community Health Units operationalised in strategic locations across 77 districts. (DOWNLOAD UHPC Guideline) 
• Social Audit has been implemented in 2,138 health facilities across 77 districts.
• Geriatric health services are available in eight referral hospitals.
• Development of the training manual based on the Standard Treatment Protocol for Prescribers and the Reference Manual.
• e-Reporting of the health management information system (HMIS) expanded to total 1200 health facilities.
• Health facility registry has been developed and made available on the MoHP website.
• A web-based routine data quality assessment (RDQA) tool and e-learning package have been developed and made available on the MoHP website.

Highlights of 2018/19

• Trachoma elimination achieved and certified by the World Health Organisation (WHO). (READ MORE STORY ABOUT TRACHOMA ELIMINATION) 
• Revision of a National Health Policy 2071. (National Health Policy 2071)
• Development of regulations as per the Public Health Service Act 2018 has been initiated.
• Preparation of draft thematic paper for the health sector for the Five-Year National Periodic Development Plan. (Related: Nepal Health Sector Strategy(NHSS) Implementation Plan 2016-21) 
• Development of the health sector paper for the 25-year Vision Paper.
• Organised the consultative meetings with the provincial officials.
• Provincial review of health activities has been conducted.
• Development of the program implementation guideline for local levels and uploaded in the MoHP website. (Related: Program Implementation Guideline for Province & Local Level 2075/76)
• A guideline for ‘Health Sector M&E in Federal Context’ has been developed.
• Development of Guideline for Effective Private Sector Engagement in Health has been initiated.
• A draft action plan on Antimicrobial Resistance (AMR) is being finalised.
• Development of final draft of Health Facility Operation and Management Committee (HFOMC) guideline. (Related: HFOMC Guideline)
• Development of Standard Treatment Protocols has been initiated. (Related: Standard Treatment Protocol for mental health services into the Primary Health Care System)
• The Health Sector Gender Equality and Social Inclusion Strategy has been prepared and submitted to the Cabinet for approval.
• The guideline on budget markers for Leaving No-One Behind (LNOB) has been developed.
• Nepal has been able to control rubella and congenital rubella syndrome (CRS) by achieving more than 95% reduction in rubella incidence between 2008 and 2017 with international standard surveillance which was certified by SEA Regional commission. (Related news: Congratulation #Nepal for having eliminated #trachoma and for the control of #rubella transmission) 
• Establishment of Health Emergency Operations Centers (HEOC) in three provinces;
• Hospital Preparedness and Response Readiness strengthened including establishment of emergency medical logistics warehouses and finalization of contingency plans in an additional four hub hospitals.

A short extract from Health Sector Progress Report 2018 (Executive Summary), Page VI, VII & VIII)

DOWNLOAD FULL REPORT: Health Sector Progress Report 2018 (http://www.nhssp.org.np)

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