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Fact SheetMaternal, Newborn and Child HealthNational Plan, Policy & GuidelinesPublic HealthPublic Health NotesPublic Health UpdateResearch & PublicationSustainable Development Goals (SDGs)

2016 Health SDG Profile: Nepal

by Public Health Update January 13, 2017
written by Public Health Update
SDG 3: Ensure healthy lives and promote well-being for all at all ages
TARGETS
3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births 
3.2 By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births 
3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases
3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being 
3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol
3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents 
3.7 By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes
3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all 
3.9 By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination 
3.a Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate 

3.b Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all 
3.c Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States 

3.d Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks
ORIGINAL SOURCE (Sustainable Development Goals)
sdg profile nepal 20161
WHO (ORIGINAL SOURCE)

sdg profile nepal 20162
WHO (ORIGINAL SOURCE)

sdg profile nepal 20163
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Public Health

Dissemination workshop on ‘‘Barriers to access, case detection and treatment completion: Mainstreaming a pro-poor approaches in TB control in Nepal’’

by Public Health Update January 5, 2017
written by Public Health Update
5th Jan 2017
Pokhara
A dissemination workshop on ‘‘Barriers to access, case detection and treatment completion: Mainstreaming a pro-poor approaches in TB control in Nepal’’ took place on 5th January 2017 at Pokhara. The workshop was organized by the Manmohan Memorial Institute of Health Sciences in collaboration with National Tuberculosis Center & WHO TDR. 

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The objective of workshop was to disseminate the key findings of research in Pokhara. More than thirty health care providers, district supervisors and other public health professionals from Kaski district were participated in the workshop.
The Principle researcher Dr. Sujan Marahatta present the key finding of research. He also discussed the current scenario of tuberculosis globally and nationally. Plan, policies, strategies, targets of tuberculosis control program, incorporation of end TB strategy and sustainable development goals. Participants were actively participated to share their real felt barriers and the possible solution to eliminate the barriers of tuberculosis program in Nepal. Geographical, economic, transportation, unavailability of healthcare workers in health facilities, low no. of trained person in HFs to deliver tuberculosis related services, trust level to local Health facility /HCWs low, IPC skills of Health care providers, hidden economic burden to clients, unavailability of comprehensive services in health facilities were the major points highlighted by health workers during group discussion. 

IMG 20170105 154345%255B2%255D
The workshop began with the inaugural session chaired by Dinesh Kumar Chapagain, Chief Public Health Administrator, District Public Health Office, Kaski. In his speech, Chief Public Health Administrator states that there are various barriers to access, detection and treatment of tuberculosis in Nepal, majority of barriers were generated from socio-economic & geographical factors, we need to classify all these barriers and focuses on multisector approach to reduce and eliminate the factors responsible to access, case detection and treatment completion of tuberculosis. He also assured that findings from this research will incorporated to deliver services in community level from district level as well as national policy & planning level. 
Finally, the workshop concluded that all the barriers related to access, case detection and treatment completion of tuberculosis can be eliminated via multi-sectoral coalition between all stakeholders and service demand & delivery mechanism need to strengthen by intensified research and innovative activities.

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Drug and MedicineNational Plan, Policy & GuidelinesPublic Health NotesPublic Health ProgramsPublic Health UpdateResearch & Publication

List of Essential Medicines for Basic Health Services in Nepal

by Public Health Update December 21, 2016
written by Public Health Update

The Government of Nepal provides 98 types of essential medicines free of cost at different health care facilities of Nepal. Here is the list of essential medicines which are available free of cost at different health care facilities; Basic Health Service Center/ Health Post, Primary Hospital and Primary Healthcare Centers.

List of Free Medicines

S. No.Medicine NameDosage formStrengthAvailabilityProcurement authority  
Basic Health Service Center/ Health PostPrimary Hospital/ Primary Healthcare CenterLocalProvinceFederal
1Acetylsalicylic acid (aspirin)Tablet75 mg✓✓✓  
2Adrenaline (epinephrine)Injection1mg in 1ml✓✓ ✓ 
3AlbendazoleChewable Tablet400 mg✓✓✓  
Suspension200 mg/5ml✓✓✓  
4Aluminium hydroxide gel + Magnesium hydroxide (Antacid)Tablet250 mg+250mg✓✓✓  
5AmitriptylineTablet10 mg✓✓ ✓ 
Tablet25 mg✓✓ ✓ 
6AmlodipineTablet5mg✓✓ ✓ 
7AmoxicillinOral Tablet500 mg✓✓✓  
Power for oral suspension125mg/5ml, 100 ml✓✓✓  
Dispersible Tablets125 mg✓✓✓  
250 mg✓✓✓  
8AmpicillinPowder for IV/IM injection250 mg vial ✓ ✓ 
500 mg vial✓ (IMNCI)✓ ✓ 
9Artemether + Lumefantrine (AL) (Artemisinin-based Combination Therapy – ACT)Tablet20mg+120 mg    ✓
10ArtesunateInjection60 mg ampoules✓✓  ✓
11AtropineInjection0.6mg in 1 ml ampoule✓✓ ✓ 
12AzithromycinTablet250 mg✓✓✓  
Tablet500 mg✓✓✓  
13BCG VaccineInjection0.05 ml/dose✓✓  ✓
14Benzathine benzylpenicillinPowder for Injection1200000 IU ✓ ✓ 
15CalamineLotion15% wv 30 ml✓✓✓  
16Calcium gluconateInjectionInj 1g per 10ml✓ (Birthing Centre only)✓ ✓ 
17CarbamazepineTablet200mg✓✓ ✓ 
Tablet100mg✓✓ ✓ 
Oral liquidOral liquid 100mg/5ml✓✓ ✓ 
18CefiximeTablet200mg ✓✓  
19CeftriaxonePowder for Injection250mg/vial ✓ ✓ 
Powder for Injection500mg/vial ✓ ✓ 
Powder for Injection1gm w/vial ✓ ✓ 
20Cetirizine HCLTablet10mg✓✓✓  
Syrup5mg/5ml✓✓✓  
21Charcoal, activatedpowder in sachet10g✓✓✓  
22Chlorhexidine (CHX)SolutionSolution, 0.2% oral 50 ml✓✓✓  
Ointment4%, 5gm✓✓ ✓ 
23Chloroquine (CQ)Tablet150mg✓✓  ✓
24CiprofloxacinTablet250 mg✓✓✓  
Tablet500 mg✓✓✓  
Eye/Ear drops0.3% w/v, 5ml✓✓✓  
Eye ointment0.3%, 5g✓✓✓  
Injection200 mg/100ml ✓ ✓ 
25ClotrimazoleSkin cream1%, 25 g✓✓✓  
Vaginal Tablets100mg✓✓✓  
Mouth paint1% w/v, 15 ml✓✓✓  
26Clove OilLiquid5ml✓✓✓  
27CloxacillinCapsules250 mg✓✓✓  
Capsules500 mg✓✓✓  
Powder for oral liquid12mg/5 ml in 100 ml✓✓✓  
28Combined Oral Contraceptive (COC)Tablet30 pills, 21 pills, containing 150 mcg levonorgestrel and 30 mcg ethinylestradiol and 7 pills containing iron✓✓  ✓
29Cotrimoxazole (Sulphamethoxazole and Trimethoprim 5:1)Tablets400 mg + 80 mg✓✓✓  
Tablets800 mg + 160mg✓✓✓  
Syrup200mg + 40mg/5m, 50 ml✓✓✓  
30Dapsone, Clofazimine, Rifampicin (MDT Combi Pack)TabletMB adult blister pack, MB Chld blister pack (a/c to DOTS Program)✓✓  ✓
31DexamethasoneInjection4mg in 1ml ampoule ✓ ✓ 
32Dextrose (glucose)Injection/solution5%, 500ml   ✓ 
25% of 50 ml Amp✓ (Birthing Centre only)✓ ✓ 
33DiazepamInjection2ml amp (5ml/ml)✓✓ ✓ 
Tablet5mg✓✓ ✓ 
34Diclofenac SodiumTablet50 mg✓✓✓  
Injection3ml ampoule (25mg/ml)✓✓ ✓ 
35DoxycyclineCapsule100mg✓✓✓  
36Ferrous sulphate and folic acidTablet60 mg elemental iron plus 400 mcg folic acid✓ (Birthing Centre only)✓✓  
37FIPV VaccineInjection0.1 ml✓✓  ✓
38FluconazoleCapsule150 mg✓✓✓  
39FluoxetineCapsule20 mg✓✓ ✓ 
40Folic acidTablet5 mg✓✓✓  
41FurosemideTablet40 mg✓✓✓  
42GentamicinInjection40 mg/ml in 2ml✓ (IMNCI)✓ ✓ 
43Gentian VioletAqueous solution1%, 10 ml✓✓✓  
44GlimepirideTablet1mg✓✓ ✓ 
Tablet2mg✓✓ ✓ 
45HPV VaccineInjection0.5ml/ dose✓✓  ✓
46HRZETabletCombination medication; H-INH, R- Rifampicin, Z- Pyrazinamide, E- Ethambul A/c to DOTS program✓✓  ✓
47HydrocortisonePowder for Injection100 mg in vial ✓ ✓ 
48Hyoscine butylbromideInjection20 mg/ml✓✓ ✓ 
Tablet10 mg✓✓✓  
49IbuprofenTablet200mg✓✓✓  
Tablet400mg✓✓✓  
Syrup100 mg/5ml✓✓✓  
50Japanese Encephalitis InjectionInjection0.5ml/dose✓✓  ✓
51Levonorgestrel (LNG)Implantimplant (2 rods, 75 mg each) Tab0.75 mg (2-tablet pack)✓✓  ✓
52Lignocaine hydrochlorideInjection2% in vial, 30ml✓✓✓  
53Lignocaine with adrenaline 1:10,000Injection2% plus Adrenalin 1:10,000, 30 ml✓✓✓  
54LosartanTablets25mg✓✓ ✓ 
Tablets50mg✓✓ ✓ 
55Magnesium sulphateInjection500 mg/ml in 2 ml ampoule✓ (Birthing Centre only)✓ ✓ 
56Measles-Rubella VaccineInjection0.5ml / dose✓✓  ✓
57Medroxyprogesterone (Acetate DMPA)Injection150 mg/ml in 1 ml vial✓✓  ✓
58MetforminTablet500mg✓✓ ✓ 
Tablet1000mg✓✓ ✓ 
59MethyldopaTablet250 mg✓✓ ✓ 
60MetoclopramideTablet10 mg✓✓✓  
Solution5mg/5ml✓✓✓  
Injection5mg/ml in 2 ml ampoule✓✓ ✓ 
61MetronidazoleTablet200 mg✓✓✓  
Tablet400 mg✓✓✓  
Oral liquid200 mg/5ml, 90 ml✓✓✓  
Injection500 mg/100 ml ✓ ✓ 
62Mifepristone + MisoprostolTabletComb pack includes 200 mg + 4 (200) mcg✓✓ ✓ 
63MisoprostolTablet200 mcg✓✓ ✓ 
64Neomycin SkinOintment2% w/w 10 gm✓✓✓  
65NifedipineTablet10 mg✓✓ ✓ 
66NitrofurantionTablet100 mg✓✓✓  
67Normal Saline (NS)Solution0.9% infusion solution, 500 ml✓✓✓  
68OPV (Oral Polio Vaccine)Oral2 drop/dose✓✓  ✓
69Oral Rehydration Salts (ORS)PowderWHO Formula sachet/liters✓✓✓  
70OxygenInhalationMedical gas✓✓ ✓ 
71OxymetazolineNasal drop0.025%, 10 ml✓✓✓  
0.05% 10 ml✓✓✓  
72OxytocinInjection10 IU/ml✓ (Birthing Centre only)✓ ✓ 
73ParacetamolInjection150 mg/ml in 2ml ampoule✓✓ ✓ 
Tablet500 mg✓✓✓  
Syrup125mg/5ml, 50 ml✓✓✓  
74PCV Vaccine (Pneumococcal Conjugate Vaccine)Injection0.5 ml✓✓  ✓
75Pentavalent vaccine (DPT, Hep B and Hemophilus Influenza B)Injection0.5ml✓✓  ✓
76PermethrinLotion1% 100ml✓✓✓  
Cream5% w/v 30 g✓✓✓  
77PheniramineInjection22.75mg/ml 2ml✓✓ ✓ 
78PhenobarbitalTablet30 mg ✓ ✓ 
Injection100 mg/ml ✓ ✓ 
79Povidone iodineSolution5% w/v 500 ml✓✓✓  
80Pralidoxime SodiumInjection500 mg, 20 ml✓✓ ✓ 
81PrednisoloneTablet5mg✓✓ ✓ 
10 mg✓✓ ✓ 
20 mg✓✓ ✓ 
82PrimaquineTablet7.5 mg✓✓  ✓
83PyridoxineTablet10mg✓✓  ✓
84RanitidineTablet150 mg✓✓✓  
Injection25mg/ml in 2 ml ampoule✓✓ ✓ 
85Ringer’s Lactate (RL)Solution500 ml✓✓✓  
86RisperidoneTablet1 mg✓✓ ✓ 
2 mg✓✓ ✓ 
87Rotavirus VaccineInjection1.5 ml✓✓  ✓
88SalbutamolSolution for nebulization1 mg/ml of 15 ml✓✓✓  
Oral Liquid2mg/5ml✓✓✓  
MDI100 mcg✓✓ ✓ 
89Silver SulfadiazineCream0.2% w/v 15g✓✓✓  
90Tetanus diphtheria (Td) booster vaccineInjection0.5ml/dose✓✓  ✓
91Tetanus Toxoid (TT)Injection0.5ml/dose✓✓  ✓
92TetracyclineEye ointment1%, 5g✓✓✓  
93TinidazoleTablet500mg✓✓✓  
94Sodium ValporateTablet200 mg✓✓ ✓ 
95Vitamin ACapsule200,000 IU✓✓  ✓
50,000 IU✓✓  ✓
96Vitamin B complexTabletThiamine 10 mg, riboflavin 10 mg, pyridoxine 3 mg, cyanocobalamin 15 mcg (Therapeutic dose)✓✓✓  
97Vitamin K1Injection1mg/0.5 ml✓✓ ✓ 
98Zinc sulphateDispersible tablets10 mg✓✓✓  
20 mg✓ (IMNCI)✓✓  
List of free medicines in Nepal

Medicine Name

  1. Acetylsalicylic acid (aspirin)
  2. Adrenaline (epinephrine)
  3. Albendazole
  4. Aluminum hydroxide gel + Magnesium hydroxide (Antacid)
  5. Amitriptyline
  6. Amlodipine
  7. Amoxicillin
  8. Ampicillin
  9. Artemether + Lumefantrine (AL) (Artemisinin-based Combination Therapy – ACT)
  10. Artesunate
  11. Atropine
  12. Azithromycin
  13. BCG Vaccine
  14. Benzathine benzylpenicillin
  15. Calamine
  16. Calcium gluconate
  17. Carbamazepine
  18. Cefixime
  19. Ceftriaxone
  20. Cetirizine HCL
  21. Charcoal, activated
  22. Chlorhexidine (CHX)
  23. Chloroquine (CQ)
  24. Ciprofloxacin
  25. Clotrimazole
  26. Clove Oil
  27. Cloxacillin
  28. Combined Oral Contraceptive (COC)
  29. Cotrimoxazole (Sulphamethoxazole and Trimethoprim 5:1)
  30. Dapsone, Clofazimine, Rifampicin (MDT Combi Pack)
  31. Dexamethasone
  32. Dextrose (glucose)
  33. Diazepam
  34. Diclofenac Sodium
  35. Doxycycline
  36. Ferrous sulphate and folic acid
  37. FIPV Vaccine
  38. Fluconazole
  39. Fluoxetine
  40. Folic acid
  41. Furosemide
  42. Gentamicin
  43. Gentian Violet
  44. Glimepiride
  45. HPV Vaccine
  46. HRZE
  47. Hydrocortisone
  48. Hyoscine butylbromide
  49. Ibuprofen
  50. Japanese Encephalitis Injection
  51. Levonorgestrel (LNG)
  52. Lignocaine hydrochloride
  53. Lignocaine with adrenaline 1:10,000
  54. Losartan
  55. Magnesium sulphate
  56. Measles-Rubella Vaccine
  57. Medroxyprogesterone (Acetate DMPA)
  58. Metformin
  59. Methyldopa
  60. Metoclopramide
  61. Metronidazole
  62. Mifepristone+ Misoprostol
  63. Misoprostol
  64. Neomycin Skin
  65. Nifedipine
  66. Nitrofurantion
  67. Normal Saline (NS)
  68. OPV (Oral Polio Vaccine)
  69. Oral Rehydration Salts (ORS)
  70. Oxygen
  71. Oxymetazoline
  72. Oxytocin
  73. Paracetamol
  74. PCV Vaccine (Pneumococcal Conjugate Vaccine)
  75. Pentavalent vaccine (DPT, Hep B and Hemophilius Influenza B)
  76. Permethrin
  77. Pheniramine
  78. Phenobarbital
  79. Povidone iodine
  80. Pralidoxin Sodium
  81. Prednisolone
  82. Primaquine
  83. Pyridoxine
  84. Ranitidine
  85. Ringer’s Lactate (RL)
  86. Risperidone
  87. Rotavirus Vaccine
  88. Salbutamol
  89. Silver Sulfadiazine
  90. Tetanus diphtheria (Td) booster vaccine
  91. Tetanus Toxoid (TT)
  92. Tetracycline
  93. Tinidazole
  94. Sodium Valproate
  95. Vitamin A
  96. Vitamin B complex
  97. Vitamin K1
  98. Zinc sulphate

List of surgical items


S. No.ParticularsUnitSpecificationAvailabilityProcurement authority
Basic Health Service Center/ Health PostPrimary Hospital/ Primary Healthcare CenterLocal LevelProvinceFederal
1Absorbent cottonRollNet 400 gm✓✓✓  
2Adhesive TapeRoll4″✓✓✓  
3BandageThan18m*19cm✓✓✓  
4CatgutPacketcatgut 2.0✓✓✓  
5Chlorine powderPacket200G/Sachet✓✓✓  
6Condom (Male)Packet ✓✓  ✓
7Disposable syringesPacket3ml, 5ml✓✓✓  
8GauzeThan18m*19cm✓✓✓  
9I and D setPacket ✓✓✓  
10IV cannulaPacket18/20/24 g✓✓✓  
11IV setPacketDifferent sizes✓✓✓  
12PhenolBottle500 ml✓✓✓  
13Rectified spiritBottle500 ml✓✓✓  
14Rubber catheterpacketDifferent sizes✓✓✓  
15SilkPacketsilk 2.0✓✓✓  
16surgical bladepacketDifferent sizes✓✓✓  
17Surgical gloves (Disposal)Pairs6.5,7✓✓✓  
18Suture setPacket ✓✓✓  
Note: Suture set contains straight artery forcef, curve artery forcef, sponge holding forcef, tooth forcef, needle holder, bowel 100ml and eye towel. Similarly, I and D set inclues artery forcef, scapel, bowel 100ml, sponge holding forcef and eye towel

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December 21, 2016 0 comments
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PH Important Day

Universal Health Coverage Day 2016 (12.12.16): ACT WITH AMBITION

by Public Health Update December 12, 2016
written by Public Health Update
Universal Health Coverage Day, commemorated each 12 December, is the anniversary of the first unanimous United Nations resolution calling for countries to provide affordable, quality health care to every person, everywhere. 

uhc day badge

Universal health coverage has been included in the new Sustainable Development Goals adopted by the United Nations.

Universal Health Coverage (UHC) means everyone can access the quality health services they need without financial hardship.WHO: All people, including the poorest and most vulnerable.WHAT: Full range of essential health services, including prevention, treatment, hospital care and pain control.HOW: Costs shared among entire population through pre- payment and risk-pooling, rather than shouldered by the sick. Access should be based on need and unrelated to ability to pay.

             



UHC means that all individuals and communities receive the health services they need without suffering financial hardship. It includes the full spectrum of essential, quality health services, from health promotion to prevention, treatment, rehabilitation, and palliative care.

UHC enables everyone to access the services that address the most important causes of disease and death, and ensures that the quality of those services is good enough to improve the health of the people who receive them.

Protecting people from the financial consequences of paying for health services out of their own pockets reduces the risk that people will be pushed into poverty because unexpected illness requires them to use up their life savings, sell assets, or borrow – destroying their futures and often those of their children.

Achieving UHC is one of the targets the nations of the world set when adopting the Sustainable Development Goals in 2015. Countries that progress towards UHC will make progress towards the other health-related targets, and towards the other goals. Good health allows children to learn and adults to earn, helps people escape from poverty, and provides the basis for long-term economic development.

act with ambition


WHO uses 16 essential health services in 4 categories as indicators of the level and equity of coverage in countries:

Reproductive, maternal, newborn and child health:

  • family planning
  • antenatal and delivery care
  • full child immunization
  • health-seeking behaviour for child illness.
Infectious diseases:
  • tuberculosis treatment
  • HIV antiretroviral treatment
  • coverage of insecticide-treated bed nets for malaria prevention
  • adequate sanitation.
Noncommunicable diseases:
  • prevention and treatment of raised blood pressure
  • prevention and treatment of raised blood glucose
  • cervical cancer screening
  • tobacco (non-)use.
Service capacity and access:
  • basic hospital access
  • health worker density
  • access to essential medicines
  • health security: compliance with the International Health Regulations.

              

Key facts

  • All UN Member States have agreed to try to achieve universal health coverage (UHC) by 2030, as part of the Sustainable Development Goals.
  • UHC provides access to quality essential health services; safe, eff
    ective, and affordable essential medicines and vaccines; and protection from financial risk.
  • At least 400 million people globally lack access to one or more essential health services.
  • Every year 100 million people are pushed into poverty and 150 million people suffer financial catastrophe because of out-of-pocket expenditure on health services.
  • On average, about 32% of each country’s health expenditure comes from out-of-pocket payments.
  • Ensuring equitable access requires a transformation in how health services are funded, managed, and delivered so that services are centred around the needs of people and communities.
  • More than 18 million additional health workers will be needed by 2030 to meet the health workforce requirements of the Sustainable Development Goals and UHC targets, with gaps concentrated in low- and lower-middle-income countries.
  • Globally, two thirds (38 million) of 56 million deaths each year are still not registered.

World Health Organization (Updated December 2016)

December 12, 2016 0 comments
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PH Important DayPublic Health NotesPublic Health Programs

International Volunteer Day & 13th National FCHVs Day

by Public Health Update December 4, 2016
written by Public Health Update
The International Volunteer Day (IVD) mandated by the UN General Assembly, is held each year on 5 December. It is viewed as a unique chance for volunteers and organizations to celebrate their efforts, to share their values, and to promote their work among their communities, non-governmental organizations (NGOs), United Nations agencies, government authorities and the private sector.

IVD 2016’s theme #GlobalApplause – give volunteers a hand, recognizes volunteers worldwide and all they do in making peace and sustainable development a reality.
United Nations
Similarly, The 13th Female Community Health Volunteers’ Day is celebrated across the country by organizing various activities in community level health institutions with the slogan of “महिला स्वास्थ्य स्वयं सेविकाको निस्वार्थ सेवाः स्वस्थ, समृद्ध राष्ट्र निर्माणमा टेवा”

FCHV PROGRAM
Background
Recognizing the importance of women’s participation in promoting health of the people, GoN initiated the Female Community Health Volunteer (FCHV) Program in FY 2045/46 (1988/1989) in 27 districts and expanded to all 75 districts of the country in a phased manner. Initially, the approach was to select one FCHV per ward regardless of the population size. Later in 2050 (1993/94) population based approach was introduced in selected (28) districts. All together there are 51,470 FCHVs in the country (47,328 FCHVs at rural/VDC level and 4,142 at urban/municipality level). FCHVs are selected by members of Mothers’ Group for Health (MG‐H) with the help of local health facility staff. 
Capture

Explanation of logo: 
When a small pebble is thrown into a pond, it creates a wave, which gradually spreads all over the surface of pond. Similarly, the activities of FCHV starts at ward level and gradually spreads to VDC level. Subsequently, the district will be covered with such actions and ultimately, whole nation will be developed through FCHV’s action The innermost circle shows that the action starts at community or ward level by individual FCHV, (as community is the center of health activities) Second circle shows the action is spread in the enti re VDC Third circle depicts whole district will be covered by FCHV’s actions The outermost circle shows that the action of FCHV will cover the whole nation. ——————————–National Female Community Health Volunteer Program Strategy  

They are provided 18 days basic training in two phases (9+9 days) on selected primary health care components. After completion of basic training, FCHVs are provided with a certificate and medicine kit box consisting of necessary drugs and supplies free of cost. They are also provided with manuals, flip chart, ward register, IEC materials, FCHV bag, signboard and identity card. Family Planning devices (pills and condoms only to FCHVs) Iron tablets, Vitamin A, and ORS are supplied regularly through local health facility. 

The major role of the FCHV is to advocate healthy behaviors of mothers and community people to promote safe motherhood, child health, family planning, and other community based health promotion and service delivery. FCHVs distribute condoms and pills, ORS packets and vitamin A capsules, treat pneumonia cases and refer and serious cases to health institution along with motivation and education to community people. Similarly, they also distribute iron tablets to pregnant women.


Various policies, strategies and guidelines have been developed to strengthen the FCHV program. Numerous factors influence the program including national health sector reform, decentralization and handing over of health facilities to VDCs, experience gained from program implementation, and the recognition to FCHVs in reduction of maternal and child mortality and general fertility through continuous implementation of community‐based health programs in Nepal.
The FCHV program strategy has been revised in 2067 (2010) which gave strategic directions and critical approaches to ensure a st
rengthened national program for consistency and continuous support to each FCHV.

8280c8ec5f92d7bfac992e878bc164d1

Government of Nepal (GoN) is committed to increase the moral & participation of FCHV in community health development. In fiscal year 2064/65 MoH established FCHVs fund by providing cash support of Rs. 50,000 to each VDC. The mobilization of this fund for income generation activities is expected to benefit the FCHVs and the community at large.

Goal
The goal of FCHV program is to support national goal of health through involvement of community in public health activities. This includes imparting knowledge and skills for empowerment of women, increasing awareness on health related issues and involvement of local institutions in promoting health care.
Objective
FCHV program has the following objectives:
  • To prepare a pool of self‐motivated volunteers as a focal person to bridge health programs with community
  • To prepare a pool of volunteers to provide community based health services
  • To activate women to tackle common health problems by imparting relevant knowledge and skills
  • To increase the community participation in improving health
  • To develop FCHV as a motivator for health
  • To increase utilization of health care services through demand creation.

Role of FCHV

  • The main role of FCHV will be concentrated on the health promoti onal activities of mothers and children in their working area. Besides, they will also help in promoti ng uti lization of available health services and raise awareness on health through MGH
  • FCHV will help in various health programs such as family planning, safer motherhood, newborn care, immunizati on, nutrition, communicable and epidemic diseases, acute respiratory diseases and diarrheal diseases control, environmental sanitation, health education and other national programs
  • FCHV will also provide recommended services like drug distribution and diseases management as directed by Nepal government based on community based approach
  • Other health programs also might involve FCHV through their guidelines. However, the involvement of FCHV in other programs should be mandatorily endorsed by central level FCHV Coordinati on sub-committee.
  • FCHV has to submit an annual report to local health institution and her MGH.
  • FCHV has to submit a monthly report of her activities to local health worker or supervisor every month
  • FCHV can be selected by her respective MGH for a term of 5 years
  • FCHVs are entitled to abide by the code of ethics.

Source of Info: DoHS, Annual Report 2071/72 (2014/2015), National Female Community Health Volunteer Program Strategy
December 4, 2016 0 comments
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PH Important DayPublic Health Events

World AIDS Day 2016: HANDS UP FOR #HIVPREVENTION

by Public Health Update December 1, 2016
written by Public Health Update
World AIDS Day is held on the 1st December each year and is an opportunity for people worldwide to unite in the fight against HIV, show their support for people living with HIV and to commemorate people who have died. World AIDS Day was the first ever global health day, held for the first time in 1988.

DPHO Kaski & Western Regional HIV/AIDS Alliance commemorated the World AIDS Day 2016 with the theme “HANDS UP FOR #HIVPREVENTION” by organizing an “Awareness Rally Programme on HIV/AIDS from ZERO km chowk to Prithivichowk, Pokhara. 

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December 1, 2016 0 comments
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PH Important Day

‘Orange the World: Raise Money to End Violence against Women and Girls’

by Public Health Update November 26, 2016
written by Public Health Update
International Day for the Elimination of Violence against Women 25 November
The United Nations General Assembly has designated November 25 as the International Day for the Elimination of Violence Against Women.
un
un2

From 25 November through 10 December, Human Rights Day, the 16 Days of Activism against Gender-Based Violence aim to raise public awareness and mobilizing people everywhere to bring about change. This year, the UN Secretary-General’s UNiTE to End Violence against Women campaign invites you to “Orange the world,” using the colour designated by the UNiTE campaign to symbolize a brighter future without violence. 

“Violence against women and girls is a human rights violation, public health pandemic and serious obstacle to sustainable development. It imposes large-scale costs on families, communities and economies. The world cannot afford to pay this price.” — Ban Ki-moon, UN Secretary-General


Why This International Day?

  • Violence against women is a human rights violation.
  • Violence against women is a consequence of discrimination against women, in law and also in practice, and of persisting inequalities between men and women.
  • Violence against women impacts on, and impedes, progress in many areas, including poverty eradication, combating HIV/AIDS, and peace and security.
  • Violence against women and girls is not inevitable. Prevention is possible and essential.
  • Violence against women continues to be a global pandemic.
  1. http://www.un.org/en/events/endviolenceday/ 
  2. https://en.wikipedia.org/wiki/International_Day_for_the_Elimination_of_Violence_against_Women
  3. http://www2.unwomen.org/~/media/headquarters/attachments/sections/what%20we%20do/unite-fundraising-toolkit-2016-en.pdf?v=1&d=20161012T172555 


November 26, 2016 0 comments
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Free Safe Abortion Service Guideline - 2073
Public HealthNational Plan, Policy & GuidelinesPublic Health ProgramsResearch & Publication

Free Safe Abortion Service Guideline – 2073

by Public Health Update November 26, 2016
written by Public Health Update
Free Safe Abortion Service Guideline – 2073
The government of Nepal recently announced that abortion services will be available free of charge at public health facilities. For proper implementation of Free safe abortion services GoN/DoHS/FHD released Free Safe Abortion Service Guideline – 2073.
 
destop


DOWNLOAD : Free Safe Abortion Service Guideline – 2073

Safe Abortion (Comprehensive Abortion Care (CAC) services should be;

  • Accessible
  • Acceptable
  • Affordable
  • Equitable
  • Quality of Care

Sixth National Safe Abortion Day 2020

Provision of safe abortion services in The Right to Safe Motherhood and Reproductive Health Act, 2075 (2018)


  • Safe abortion Services in Nepal
  • Worldwide, an estimated 25 million unsafe abortions occur each year- WHO
  • Free Safe Abortion Service Guideline – 2073
  • International Safe Abortion Day 2017 #LeavingNoOneBehind
  • WHO calls for global action on sepsis – cause of 1 in 5 deaths worldwide
  • Interim Guidance for RMNCH services in COVID 19 Pandemic
  • Right to Safe Motherhood and Reproductive Health Act 2075
  • International Safe Abortion Day 2017 #LeavingNoOneBehind
  • Free Safe Abortion Service Guideline – 2073
  • First safe abortion service day marked


 

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November 26, 2016 0 comments
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Notice

Important Notice to operate OPD & other services from 10: 00 am to 5:00 pm – Ministry of Health

by Public Health Update November 19, 2016
written by Public Health Update
Important Notice to operate OPD & other services from 10: 00 am to 5:00 pm  – Ministry of Health 
2497a6f36dec5ecacfccdc73f1daf8ff
Gorkha patra (19 Nov 2016)



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November 19, 2016 0 comments
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PH Important Day

‘Toilets and Jobs’- World Toilet Day (19 Nov 2016)

by Public Health Update November 19, 2016
written by Public Health Update
World Toilet Day is a day to raise awareness and inspire action to tackle the global sanitation crisis – a topic often neglected and shrouded in taboos. 

RTEmagicC world toilet day.png

Today, 2.4 billion people are struggling to stay well, keep their children alive and work their way to a better future – all for the want of a toilet. 

WTD

The Sustainable Development Goals, launched in 2015, include a target to ensure everyone everywhere has access to toilets by 2030. This makes sanitation a global development priority.

In 2013, the United Nations General Assembly officially designated November 19 as World Toilet Day. World Toilet Day is coordinated by UN-Water in collaboration with governments and partners.

“Sustainable development goal 6 calls on the international community to ensure access to toilets by 2030. Delivering on this basic human right — the right to water and sanitation — is good for people, business and the economy.” — UN Secretary-General, Ban Ki-moon

The theme of World Toilet Day 2016 is ‘toilets and jobs’, focusing on how sanitation, or the lack of it, can impact people’s livelihoods.


Top facts:

  • 2.4 billion People live without improved sanitation (World Health Organization (WHO)/UNICEF 2015).
  • One in ten people has no choice but to defecate in the open (WHO/UNICEF 2015).
  • Diarrhoea caused by poor sanitation and unsafe water kills 315,000 children every year (WAS-Hwatch 2016).
  • Disease transmission at work mostly caused by poor sanitation and hygiene practices, causes 17% of all workplace deaths (International Labour Organization (ILO) 2003).
  • Loss of productivity due to illnesses caused by lack of sanitation and poor hygiene practices is estimated to cost many countries up to 5% of GDP (Hutton 2012)
NEPAL

  • In Nepal, every year 600 children under five die from diarrhoeal diseases caused by dirty water and poor sanitation. This accounts for a third of all child deaths overall.
  • Only 48% of the population in Nepal has access to a proper toilet, helping to cause widespread disease. The majority of people do not have a latrine and have no option but to defecate in the open.
                                                                                                                (WaterAid)
  • At the end of 2015, out of 75 districts, 27 claim ODF status. (Ministry of Water Supply and Sanitation)


Source of Information:
  1. http://www.un.org/en/events/toiletday/assets/img/posters/fact_sheet_toiletsandjobs_EN_3.pdf
  2. http://www.worldtoiletday.info/
  3. http://www.wateraid.org/np/what-we-do/the-crisis/sanitation#sthash.az3EaciW.dpuf 



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