Joint Annual Review Meeting (JAR 2017) Presentations: Ministry of Health (7-8 February, 2017)

by Public Health Update February 9, 2017

written by Public Health Update

Joint Annual Review Meeting (JAR 2017) Presentations: Ministry of Health (7-8 February, 2017)

Presentation Contents;

Objective and Progress of JAR 2015-16

Progress against NHSS RF and DLIs
Sector Priorities and Overview of Nepal Health Sector Strategy Implementation Plan
Progress Made in Public Financial Management (PFM)
Logistic Management Division Procurement and Supply Chain
Local Health Governance _Field experience _decentralization
External Development Partners Working in the Health Sector
AIN PARTNERSHIP WITH MOH, PROSPECT, CHALLENGE AND WAY FORWARD
Director General_Program Implementation and Service Delivery Issues, Challenges and Way Forward
Department of Drug Administration Issues, Challenges and Way forward
Department of Ayurveda presentation JAR-2017
Health Infrastructure Development,Post-Earthquake Reconstruction
Field Observation – Reconstruction and Recovery of Health Services after Earthquake
Social Health Security Program
Priorities for Next Annual Work Plan and Budget
Health Care Delivery System in Federal Context

Download: JAR 2017 Presentations

February 9, 2017 0 comments

Online Courses

The Top 25 Online MPH Programs of 2016

by Public Health Update February 4, 2017

written by Public Health Update

Online Masters in Public Health ranks;

Original Source of Info:

http://www.onlinemastersinpublichealth.com/online-masters-public-health-programs/

To compile a list of the top 25 schools for a Master’s in Public Health degree many factors were taken into consideration. Of these, the most important things that were looked at were the cost of the school, the reputation and the graduation rate of the school. According to the statistics that were determined using these credentials, the following is a list of the top 25 schools to obtain an online Master’s in Public Health degree in 2016.

Featured Online MPH Programs

Online Masters in Public Health ranks its schools according to the following criteria:

Tuition and Opportunity Cost (60%) – Direct program costs are estimated using data reported on each school’s website. Opportunity cost is estimated as the average earnings of a Bachelor’s degree holder in the location of the main campus of the school, over the period of time estimated for completion of the degree. For programs that are explicitly designed to be completed part time, opportunity cost is measured as the average earnings over a two year period.

Prestige (20%) – Calculated based on program requirements, average GRE/MCAT scores, and percentage of applicants accepted into program

Employment Statistics (20%) – Based on post-degree outcomes such as opportunity cost of average period prior to employment, average 1st year earnings and average 5th year earnings relative to all degree holders.

Featured Public Health Programs

1. University of North Carolina

University of North Carolina’s Masters of Public Health program is heavily focused on preparing students to deal with Global Health issues. They offer two concentrations: Applied Implementation Science and Water and Population Health. The program is designed to be completed in just two and half years, but students have up to five years to complete the program if needed. Tuition and fees for the 42 credit hour program vary based on residency. Currently, North Carolina residents can expect to pay $230.16 per credit hour; nonresidents will need to
budget $1077.16 per credit hour. For more information click here.

2. University of West Florida

In addition to a Masters of Public Health, the University of Florida offers four certificate options. The options include Emergency Management, Environmental Health, Infection Control, and Occupational Safety and Health. The Council on Education of Public Health has accredited the Masters of Public Health degree program at the University of West Florida. Tuition for the program is $17,472 but partial fee waivers are available to those that qualify. Visit the University of West Florida website for more information.

3. Fort Hays State

At Fort Hays State students can expect to earn a Masters of Professional Health with a concentration in Public Health Administration. The program schedule follows the traditional semester format with a summer session starting in June. Students may start the 30 credit hour program at the beginning of any semester as long as they have been accepted. Fort Hays State is a huge bargain financially. Most students are able to complete a master’s program for around $7,600. Follow the link here for more information about Fort Hays State.

4. University of Alabama Birmingham

The University of Alabama Birmingham offers a unique dual degree option combining Public Health with a Masters in Social Work. They also offer three online only Masters of Public Health options that range from 42 to 45 credit hours. Course work can generally be completed in two years if students are enrolled fulltime. In state tuition is only $9,063, one of the least expensive on the list. Even out of state tuition is an inexpensive option, $16,259. Please refer to the University Alabama Birmingham website for further information.

5. University of South Florida

University of South Florida is sure to have something for every Public Health professional. They offer six online degree options and ten online certificate options. Their innovative approach to online learning includes the use of many 21st century technology options such as blogs, podcasting, forums, and streaming video. Tuition for the program is $23,865 and discounts are offered to out of state residents completing an online only program.

6. American Public University

Students attending American Public can expect to learn from an interdisciplinary team of experts with experience in their field of practice. This helps the school produce developing leaders in the public health field. American Public is currently undergoing the voluntary accreditation process with the Council on Education for Public Health. The three year program offers flexibility for students and provides a great value for the price. Tuition for the program is roughly $16,250. Find more information about American Public at this link.

7. University of Florida

University of Florida is a great option for a Masters of Public Health offering maximum flexibility. Their 48 credit hour program can be completed in as little as two years or as long as seven years. Students are even able to take a semester off without being penalized. The program is entirely online and lectures are designed to be played on demand. All students complete an integrative internship and have the opportunity to interact with other students and faculty on campus. Tuition for the program at current rates is $28,100. For more information follow the link.

8. Liberty University

With specializations in Health Promotion, Global Health, and Nutrition; Liberty University offers something for everyone. The Masters of Public Health program consists of 42 credit hours and can be completed in two years when attending full time. Full time students enrolled in the program are eligible for the Virginia Tuition Assistance Grant. This helps defray a portion of the programs $22,680 tuition and fees. Upon completion students are ready to advance into a variety of positions in both the public and private sector. Complete information from Liberty University can be found here.

9. University of Illinois Springfield

The University of Illinois Springfield prides itself in being highly committed to community service. They offer a generalist Masters of Public Health as well as a concentration in Environmental Health that is accredited by the National Environmental Science and Protection Accreditation Council. Both programs encompass 48 credit hours and require roughly two years to complete. In addition to their two masters programs, University of Illinois Springfield offers five certificate options for those wishing to further their career without the full commitment of a Masters of Public Health. The program cost for the degree program is on the lower end at just $18,960. To read all the details on the degree and certificate programs available thru University of Illinois Springfield, please click here.

10. Walden University

The Masters of Public Health degree program at Walden University prepares students for a wide variety of employment options. The program consists of 64 quarter credits and is usually completed within two years by taking five to ten quarter credits at a time. Walden University applied for accreditation with the Council on Education for Public Health in September 2014. Tuition and fees are currently calculated at $23,655. Further details can be found on the Walden University website.

11. Nova Southeastern University

The Masters of Public Health program thru Nova Southeastern consists of 27 core credit hours and 15 elective credit hours. Students are given up to five years to complete the program at a cost of $24,100. The program is fully accredited by the Council on Education for Public Health. In addition students can consider a 15 credit hour certificate program that can be transferred to the Masters program as long as they earn a grade of B or better. For more detailed information please follow this link to Nova Southeastern.

12. Kaplan

With over 10 satellite campuses Kaplan offers students a range of possibilities. The Masters of Public Health is available entirely online. It includes 44 core credit hours and sixteen hours of electives for a total of 60 credit hours. Kaplan offers students maximum flexibility with multiple start dates and the ability to take classes full or part time. Tuition for the program is on the lower end at just $24,100. Find out everything you need to know by clicking here.

13. Creighton University

Creighton University offers operates on an eight week rolling term. This allows students to focus all of their energy on one class at a time for a shorter amount of time. Completion of the 15 course program takes approximately two and a half years. Students can chose from two social oriented concentrations; Health Policy and Ethics or Public Health Services Administration. Creighton University is accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools. Total program fees should are approximately $33,200. For complete details please follow this link.

14. University of Massachusetts

The University of Massachusetts accepts students with three to five years of real world job experience in the field of public health. The program consists of 14 three credit courses, 120 field practicum hours and a capstone project. Full time students take three courses at a time. Part time students may take as few as one class per semester. Students who are unsure if they want to enroll in the Masters of Public Health program may take up to four courses prior to enrollment. Tuition for the full program is currently $25,500. More information can be found here.

15. George Washington University

George Washington offers the fastest option to a Masters of Public Health with a one year accelerated program. The accelerated program requires students to take 11.5 credits per term. George Washington also offers programs that last a year and half, two years, and three
years. With focus areas in Health Communication, Health Policy, Program Planning and Evaluation, and Global Health students are sure to find something that interests them. Tuition for George Washington is on the higher end at $61,425 per year. For all of the pertinent facts please follow this link.

16. University of Nebraska Medical Center

10482065_10154680645215277_4309949665558674060_n

Providing students the options they need to advance their career around their own schedules is the reason University of Nebraska Medical Center offers all online Masters of Public Health degree options. Students can chose from an 18 credit hour certificate program, or one of three 45 credit hour degree options. Focuses options include Biostatistics, Environmental and Occupational Health, or Public Health Practices. Students can expect to pay $28,305 in tuition and fees over their course of study. The same rate paid by their on campus counterparts. To review all of the pertinent facts please visit the University of Nebraska Medical Centers website here.

17. University of New England

University of New England’s Masters of Public Health is fully accredited by the Council on Education of Public Health. It consists of 46 credit hours. A full time student can complete the program in approximately 18 months with no required campus visits. The University of New England also offers an 18 credit hour Graduate Certificate in Public Health. Students are not required to complete the GRE in order to apply for this program. At $29,210 for program tuition and fees this is in the middle price range. To review all program information please click here.

18. University of Southern California

university-of-southern-california_200x200

University of Southern California’s Masters of Public Health program is accredited by both the Council on Education for Public Health and the Western Association of Schools and Colleges. The program consists of 47 course units and offers four concentration options. Concentrations include Biostatistics and Epidemiology, Health Education and Promotion, Global Health Leadership, and Geohealth. Students have 24/7access to course materials and technical support so they can study on their own schedule. Tuition for the program comes in at $76,000. To find out more click here.

19. Florida A&M University

Florida A&M University offers graduate valuable employment connections with big organizations and prepares students for quick progression up the career ladder. The Masters of Public Health program consists of 50 credit hours and can be completed in six semesters when attending full time. Requiring just two classes at a time the part-time program was designed with the working professional in mind. Instructors at this top school have virtual office hours to ensure students have a consistent option for asking questions. Prior to applying to this accredited program students should have five years of relevant work experience. Tuition and fees are $32, 500. Find more information here.

20. Capella University

The Capella University MPH program guides you through topics such as Biostatistics, Health Administrative Systems, and Psychological, Behavioral and Social issues in Public Health. This accredited program teaches its students to manage public health systems and develop solutions to public health issues with all of the facets of the field in mind. It boasts a 91% satisfaction rate among its students, and the faculty consist of professionals that serve on numerous boards including the Healthcare Quality Management Board. Enrolling in this program ensures that you are prepared for a career in the Public Health field across a number of specializations.

Click here to request your free Capella University information

21. Loyola University Chicago

Loyola University Chicago offers students the opportunity to take courses completely online or utilize a hybrid program mixing night classes with online instruction. Concentration options include Public Health Policy and Management and Epidemiology. Loyola also offers a certificate program that can be taken entirely online and later transferred to use as credit towards a Masters of Public Health. The certificate program is a great option for someone who cannot currently commit to a complete program. Tuition and fees can run upwards of $45,000 for the Masters of Public Health. For detailed information regarding Loyola University Chicago follow this link.

22. Grand Canyon University

This degree option consists of 48 credit hours designed to help public health professionals advance their careers. Most students complete the program within two years of starting. However additional time is available if needed. In addition to a Masters of Public Health the university offers a Masters in Science in Nursing with an emphasis in Public Health. For a nurse seeking a career in coordination and evaluation of health services this is the perfect option. Grand Canyon University is a fair price with full tuition and fees coming in at $24,310.

23. A.T. Still University

A.T. Still University offers small class sizes and opportunities for one on one interaction between students and faculty. Curriculum consists of 64 credit hours taught by leaders in the public health field. They also require a background check as part of their admissions process to ensure safety for patients and employers. The program is accredited by the Higher Learning Commission. Tuition and fees for the full program are currently $30,896. To find out more about A.T. Still University please visit their website.

24. Des Moines University

Excellence. Integrity. Diversity. Social Justice. Community. These are the values emphasized by Des Moines University Masters of Public Health. Students complete four tiers of study consisting of 45 credit hours. Tiers can be completed concurrently to allow for greater flexibility when needed. The program is accredited by the Council on Education for Public Health. Tuition and fees total $15,200 for the two and half year program. Students also hav
e the option of completing the program one course at a time. Click here to learn more about the programs available at Des Moines University.

25. Benedictine University

At Benedictine University students have the opportunity to complete one of four certificate programs in addition to a Masters of Public Health. Students may also chose one of the university’s dual degree options to further advance their career options. At the end of the 66 credit hour program students will be fully equipped to serve in a variety of positions including Emergency Preparedness, Health Management and Policy, Health Education and Promotion, and Epidemiology. Students can expect to pay $40,920 for program tuition and fees at Benedictine University. New students are eligible to apply for the Student Success Award to help offset up to $10,000 of the cost of attendance. Click here to learn about all Benedictine has to offer.

ORIGINAL SOURCE OF INFO : Online Masters in Public Health

Download Now

Download Mobile Application : ”Public Health Info” : Click

February 4, 2017 0 comments

PH Important Day Public Health Public Health Events

World Cancer Day 2016 – – We can. I can. #WorldCancerDay#WeCanICan

by Public Health Update February 4, 2017

written by Public Health Update

4th of February

World Cancer Day (The theme of the World Cancer Day 2017 is “We can. I can.”)

World Cancer Day is celebrated every year on 4th of February all over the world to commemorate all the efforts done by the WHO, United Nations, governmental and nongovernmental health organizations towards making the strategy to fight against cancer as well as distributing the real message about this epidemic disease and its treatments including its precautionary measures by uniting all the people a day on global basis.

16406737 10209139852553443 7991082960569871920 n

It is celebrated to plan some new strategies as well as implement some new programs which help to aware more people about this disease. This event is organized on annual basis under the supervision of Union for International Cancer Control (UICC) and other leading health organizations involved for cancer fighting.

World Cancer Day celebration was planned in the Geneva, Switzerland in 1933 under the direction of UICC (Union for International Cancer Control) and with the support various other well-known cancer societies, research institutes, treatment centers and patient groups. The World Cancer Day event was founded to fulfill all the needs to fight and control this deadly disease.

The day, 4th of February was established specially for raising the cancer awareness among people, teaching them about healthy diet, regular and proper physical activity and a lesson on how to get prevented from the environmental carcinogens.

Source: http://www.indiacelebrating.com/events/world-cancer-day/

“We must do more to end the many tragedies that cancer inflicts. About one third of cancers can be prevented, while others are curable if diagnosed and treated early. And even when cancer is advanced, patients should benefit from palliative care.”
Ban Ki-moon

Cancer is a generic term for a large group of diseases that can affect any part of the body. Other terms used are malignant tumours and neoplasms. One defining feature of cancer is the rapid creation of abnormal cells that grow beyond their usual boundaries, and which can then invade adjoining parts of the body and spread to other organs, the latter process is referred to as metastasizing. Metastases are a major cause of death from cancer.

Cancer arises from the transformation of normal cells into tumour cells in a multistage process that generally progresses from a pre-cancerous lesion to a malignant tumour. These changes are the result of the interaction between a person’s genetic factors and 3 categories of external agents, including:

physical carcinogens, such as ultraviolet and ionizing radiation;

chemical carcinogens, such as asbestos, components of tobacco smoke, aflatoxin (a food contaminant), and arsenic (a drinking water contaminant); and
biological carcinogens, such as infections from certain viruses, bacteria, or parasites.

Download: GUIDE TO CANCER EARLY DIAGNOSIS

READ MORE : WHO FACT SHEET

Download Now

Download Mobile Application : ”Public Health Info” : Click

February 4, 2017 0 comments

Fact Sheet Health in Data Health Systems Maternal, Newborn and Child Health National Plan, Policy & Guidelines Public Health Public Health Notes Public Health Update Reports Research & Publication

Key findings – The 2015 Nepal Health Facility Survey (2015 NHFS)

by Public Health Update February 2, 2017

written by Public Health Update

The 2015 Nepal Health Facility Survey (2015 NHFS) is the first comprehensive assessment of health facilities in Nepal that harmonizes various health facility among the Ministry of Health and health development partners. It was designed to provide information on the availability of basic and essential health care services and the readiness of health facilities to provide quality services to clients.

The NHFS collected information on the general readiness of facilities to provide quality health services. The survey also obtained information on the availability of each of the following services: child health care; maternal and newborn care; family planning; services for sexually transmitted infections (STIs), HIV/AIDS, tuberculosis- and malaria-related conditions; and services for non-communicable diseases (NCDs) (diabetes, cardiovascular diseases, and chronic respiratory diseases). For each of these services, the 2015 NHFS assessed whether components considered essential for quality service delivery were present and functioning. The 2015 NHFS provides representative results for Nepal, for different facility types (public hospitals, primary health care centers [PHCCs], health posts [HPs], urban health centers [UHCs], standalone HIV testing and counseling sites [HTCs], and private hospitals), for different managing authorities (government and private), for each of the three geo-ecological regions in the country, the survey was also designed for representative results for each of the 13 development-ecological zones and for the area affected by the 2015 earthquake (14 districts).

Key findings of the 2015 NHFS that follow are organized according to the topics of the chapters in this report.

FACILITY-LEVEL INFRASTRUCTURE, RESOURCES, MANAGEMENT, GENERAL SERVICE READINESS, AND QUALITY OF CARE

About 8 in 10 facilities have an improved water source and client latrine, half of facilities have regular electricity, and one-fifth of facilities have communication equipment. However, only 1 in 10 facilities have a computer with Internet access. With the exception of an adult weighing scale, a blood pressure apparatus, and a light source, public health facilities are more likely to have basic equipment available than private health facilities.
Only about half of facilities have both soap and running water.
Nearly all health facilities in Nepal offer child curative care, family planning, antenatal care, malaria diagnosis and/or treatment, and non-communicable disease services. Sexually transmitted infection (STI) diagnosis or treatment services are less commonly available.
About two-thirds of Nepal health facilities offer the package of basic client services (outpatient curative care for sick children, child growth monitoring, child vaccinations, any modern method of family planning, antenatal care, and services for STIs).
Of 18 tracer medicines, only chloramphenicol capsules/applicap, cotrimoxazole suspension or dispersible pediatric dose tablets, and RHZ (isoniazid + rifampicin + pyrazinamide) are available in less than half of health facilities.
Only 37 percent of facilities conduct regular management meetings, and 35 percent involve the community in these meetings.
Around two thirds of facilities have both routine staff training and personal supervision.

CHILD HEALTH SERVICES

Outpatient curative care for sick children is available in almost all health facilities in Nepal at least five days per week.

Eighty-five percent of facilities offer all three basic child health interventions: outpatient curative care for sick children, routine growth monitoring, and routine childhood vaccination. Ninety-four percent of facilities provide routine vitamin A supplements for children.
ORS, zinc tablets, albendazole, vitamin A capsules, and paracetamol syrup/suspension were available in 85 percent or more of the facilities offering child curative care services. Similarly, amoxicillin was available in one-quarter, cotrimoxazole in one-half and gentamycin in about two third of the facilities offering child curative care services.
A thermometer, stethoscope, and timer were available in more than 9 in 10 facilities.
Fifty-four percent of health facilities providing child curative care had soap and running water or alcohol-based hand disinfectant for hand cleansing.
More than 7 of every 10 providers of child health services have received recent supervision, and 3 of every 10 have received recent in-service training related to child health.
Providers assessed all three main symptoms (fever, cough/difficult breathing and diarrhea) in one-quarter of ob
served consultations and checked for all three major danger signs (ability to eat or drink anything, vomiting and convulsion) in only 2 percent of consultations.

FAMILY PLANNING SERVICES

Almost all (97 percent) health facilities in Nepal offer (that is, provide, prescribe, or counsel clients on) at least three temporary modern family planning methods. Government health facilities are more likely to offer modern family planning methods than private health facilities.

Combined oral contraceptive pills, male condoms, and progestin-only injectables (Depo) are the most commonly offered family planning methods. Long-acting reversible contraceptives (implants and intrauterine contraceptive devices [IUCDs]) are offered at half of health facilities where family planning services are available.
Virtually all facilities where family planning services are available are able to provide male condoms, oral contraceptives, and injectables to clients at the facility. However, only around one in five facilities where family planning services are available provide IUCDs and implants at the facility.
Ninety-five percent of health facilities that provide family planning methods actually had every method they provide available on the day of the visit.
Overall, 16 percent of the interviewed family planning service providers reported that they had received in-service training related to family planning in the 24 months before the assessment .
Just over 1 in 10 family planning service providers have ever received in-service training on long-acting reversible contraceptive methods.
Hand-washing supplies were seen in just over half of health facilities offering family planning services.
Overall, the environment for family planning counseling is poor. Visual and auditory privacy and confidentiality were assured in only 6 percent of the family planning consultations observed in the survey.
There was almost no discussion of sexually transmitted infections or condoms during observed consultations. Method-specific side effects were discussed in a little more than one in five consultations.

ANTENATAL CARE SERVICES

About 98 percent of health facilities in Nepal offer antenatal care (ANC) services.

One in four health facilities offering ANC had at least one staff member who had received inservice training in ANC within the 24 months before the assessment.
Twenty-five percent of facilities had ANC guidelines available on the day of the assessment.
More than half of facilities had soap and running water or alcohol-based hand disinfectant for infection prevention available at the service site on the day of the assessment.
Ninety percent of health facilities had all essential ANC medicines (combined iron and folic acid tablets, and albendazole tablets) available for ANC clients.
Almost half of all observed ANC clients were counseled on nutrition during pregnancy. One third of clients were advised on issues relating to the progress of their pregnancy. Two out of ten clients were counseled on importance of at least four ANC visits and on birth/planning/preparedness measures.
Seven in 10 ANC providers had received personal supervision in the six months preceding the survey.
Two of every 10 facilities offering ANC provide at least some services for prevention of mother-to-child transmission (PMTCT) of HIV.
Only 6 percent of facilities offering ANC had insecticide-treated nets available to give to ANC clients for malaria prevention.

DELIVERY AND NEWBORN CARE

Around half of health facilities in Nepal provide normal vaginal delivery services. Almost all hospitals and primary health care centers (PHCCs) offer these services.

Just over one-third of facilities that offer normal vaginal delivery service had at least one interviewed staff member who had received relevant in-service training in the preceding 24 months.
Six out of 10 facilities that offer normal vaginal delivery care have emergency transport available.
Around 9 in 10 facilities that offer normal vaginal delivery services had injectable uterotonic (oxytocin) and an intravenous fluid infusion set on the day of assessment, and more than 70 percent had injectable magnesium sulphate.
On average, 11 percent of facilities had all medicines regarded as essential for delivery care. Seventy-seven percent of zonal and above hospitals had all essential delivery care medicines on the day of the assessment, as compared with only 5 percent of health posts (HPs).
Nearly 4 in 10 health facilities had carried out neonatal resuscitation.
More than two-thirds of zonal and above hospitals had carried out all comprehensive emergency obstetric and newborn care (CEmONC) signal functions at least once in the three months preceding the survey, as compared with one-fifth of district hospitals.
Only 3 percent of PHCCs had performed all basic emergency obstetric and newborn care (BEmONC) signal functions at least once in the three months preceding the survey.
More than 90 percent of facilities routinely carry out a number of essential newborn care functions including keeping the infant warm, starting breastfeeding soon after birth, and putting the baby skin-to-skin on the mother’s abdomen.

HIV/AIDS AND SEXUALLY TRANSMITTED INFECTIONS

About 6 percent of health facilities in Nepal have an HIV testing system.

Almost one-third of facilities that have HIV testing capacity have adequate hand cleaning supplies—either running water and soap or alcohol-based hand disinfectant—at the HIV testing location.
Five percent of all facilities offer HIV care and support services.
Twelve percent of facilities offer antiretroviral therapy (ART) services. Among facilities offering these services, 80 percent had the first-line ART regimen available in the facility on the day of the assessment.
Three out of every four facilities offer sexually transmitted infection (STI) services. However, less than 1 in 10 facilities have at least one provider with recent training on the diagnosis and treatment of STIs, and only 16 percent of facilities have the capacity to screen for syphilis infection.

NON-COMMUNICABLE DISEASES

A majority of health facilities in Nepal offer services for the diagnosis and/or management of chronic respiratory diseases, and 73 percent of facilities offer services for cardiovascular diseases.

About one in five health facilities offer services for the diagnosis and/or management of diabetes.
On average, no more than 5 percent of facilities offering services for diabetes, cardiovascular diseases, or chronic respiratory diseases have providers who received training in these services during the 24 months preceding the survey.
The availability of guidelines for provision of non-communicable disease (NCD) services is consistently low.
Equipment such as a blood pressure apparatus, weighing scale, and stethoscope is available in a majority of facilities that provide NCD services. Other equipment, such as height boards, peak flow meters, and spacer devices, is less available.
The availability of essential medicines for these conditions is low in most facilities other than hospitals.

TUBERCULOSIS

TB diagnostic services were mostly concentrated at the primary health care center (PHCC) level and above.

Nationally, TB treatment services were available in 86 percent of health facilities.
TB diagnostic and treatment services together were available only in a third (30 percent) of facilities.
Only one-third of facilities offering tuberculosis diagnosis and/or treatment services had diagnosis and treatment guidelines available. Facilities in the mountain region were least likely to have guidelines.
Only 17 percent of facilities that offer tuberculosis diagnosis and/or treatment services had staff with any recent in-service training related to TB.
Only 10 percent of facilities had the capacity to carry out TB smear microscopy or x-ray services for the diagnosis of TB.
Less than 1 percent of facilities had the capacity to carry out culture and rapid diagnostic tests.
Only 4 percent of facilities offering tuberculosis diagnosis and/or treatment services also had HIV diagnostic capacity.
First-line anti-TB drugs were available in the majority (77 percent) of facilities.

MALARIA

Half of Nepal’s health facilities offer diagnosis and treatment for malaria.

About one-fifth of health facilities have at least one staff member recently trained in malaria diagnosis and/or treatment.
Sixty percent of facilities that offer malaria diagnosis and/or treatment services had first-line medicines (mainly chloroquine and primaquine) for the treatment of malaria available on the day of the assessment visit.
Despite the policy of promoting free distribution of bed nets to antenatal care clients, only 11 percent of health facilities th
at provide malaria services had long-lasting insecticide-treated mosquito nets (LLINs) in stock for distribution.

DOWNLOAD REPORT (2015 Nepal Health Facility Survey)

Download Now

Download Mobile Application : ”Public Health Info” : Click

February 2, 2017 0 comments

Global Health News PH Important Day Public Health Public Health News

World Leprosy Day – Accelerating towards a leprosy-free world

by Public Health Update January 29, 2017

written by Public Health Update

World Leprosy Day is annually observed around the world on the last Sunday of January. The day was initiated in 1954 by French philanthropist and writer, Raoul Follereau, as a way to raise global awareness of this deadly ancient disease and call attention to the fact that it can be prevented, treated and cured.

https://www.timeanddate.com/holidays/world/world-leprosy-day

Leprosy is a chronic infectious disease caused by Mycobacterium leprae, an acid-fast, rod-shaped bacillus.The disease mainly affects the skin, the peripheral nerves, mucosa of the upper respiratory tract, and the eyes. Leprosy is curable and treatment provided in the early stages averts disability. Multidrug therapy (MDT) treatment has been made available by WHO free of charge to all patients worldwide since 1995. It provides a simple yet highly effective cure for all types of leprosy.

Elimination of leprosy as public health problem (with a prevalence less than 1 case per 10 000 persons) was achieved globally in the year 2000. More than 16 million leprosy patients have been treated with MDT over the past 20 years.

WHO response

In order to reinvigorate efforts for leprosy control WHO has developed the “Global Leprosy Strategy 2016‒2020”, which is structured around the following 3 core pillars:

Pillar I: Strengthen government ownership, coordination and partnership

Key activities of Pillar I include:

Ensuring political commitment and adequate resources for leprosy programmes.

Contributing to universal health coverage with a special focus on children, women and underserved populations including migrants and displaced people.
Promoting partnerships with state and non-state actors and promote intersectoral collaboration and partnerships at the international level and within countries.
Facilitating and conducting basic and operational research in all aspects of leprosy and maximize the evidence base to inform policies, strategies and activities.
Strengthening surveillance and health information systems for programme monitoring and evaluation (including geographical information systems).

Pillar II: Stop leprosy and its complications

Key activities of Pillar II include:

Strengthening patient and community awareness of leprosy.

Promoting early case detection through active case-finding (such as campaigns) in areas of higher endemicity and contact management.
Ensuring prompt start of and adherence to treatment, including working towards improved treatment regimens.
Improving prevention and management of disabilities.
Strengthening surveillance for antimicrobial resistance including laboratory network.
Promoting innovative approaches for training, referrals and sustaining expertise in leprosy, such as e-health.
Promoting interventions for the prevention of infection and disease.

Pillar III: Stop discrimination and promote inclusion

Key activities of Pillar III include:

Promoting societal inclusion by addressing all forms of discrimination and stigma.

Empowering persons affected by leprosy and strengthening their capacity to participate actively in leprosy services.
Involving communities in action for improvement of leprosy services.
Promoting coalition-building among persons affected by leprosy and encouraging the integration of these coalitions and or their members with other community-based organizations.
Promoting access to social and financial support services, for example to facilitate income generation, for persons affected by leprosy and their families.
Supporting community-based rehabilitation for people with leprosy-related disabilities.
Working towards abolishing discriminatory laws and promoting policies facilitating inclusion of persons affected by leprosy.

16174533 955221014608539 3202564205253501165 n

Targets of the strategy

The targets of the new global strategy to be met by 2020 are:

Zero disabilities among new paediatric patients.
A grade-2 disability rate of less than 1 case per 1 million people.
Zero countries with legislation allowing discrimination on basis of leprosy.

WORLD HEALTH ORGANIZATION

January 29, 2017 0 comments

Fact Sheet Maternal, Newborn and Child Health National Plan, Policy & Guidelines Public Health Public Health Notes Public Health Update Research & Publication Sustainable 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)

WHO (ORIGINAL SOURCE)

WHO(ORIGINAL SOURCE)

WHO (ORIGINAL SOURCE)

Download Now

Download Mobile Application : ”Public Health Info” : Click

January 13, 2017 0 comments

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.

image 0 02 03 bd867a82b9c701c9322c54382fdc6b7f2fe82525fcd185369b39f18bc1974874 V

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.

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.

image 0 02 03 30f881a0ddce14664f6ab99c23437c8e82af814336ecaa6cafc76a5bcbfe2ded V

image 0 02 03 a7988ff5ae1232f1aa798107114bc448fec42a5a76e99cc5d6035111d0447e02 V

image 0 02 03 246810322d604694c0a53e172f8cb12106988545018777f26f2d81d06b37d3fa V

January 5, 2017 0 comments

Drug and Medicine National Plan, Policy & Guidelines Public Health Notes Public Health Programs Public Health Update Research & 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 Name	Dosage form	Strength	Availability		Procurement authority
S. No.	Medicine Name	Dosage form	Strength	Basic Health Service Center/ Health Post	Primary Hospital/ Primary Healthcare Center	Local	Province	Federal
1	Acetylsalicylic acid (aspirin)	Tablet	75 mg	✓	✓	✓
2	Adrenaline (epinephrine)	Injection	1mg in 1ml	✓	✓		✓
3	Albendazole	Chewable Tablet	400 mg	✓	✓	✓
3	Albendazole	Suspension	200 mg/5ml	✓	✓	✓
4	Aluminium hydroxide gel + Magnesium hydroxide (Antacid)	Tablet	250 mg+250mg	✓	✓	✓
5	Amitriptyline	Tablet	10 mg	✓	✓		✓
5	Amitriptyline	Tablet	25 mg	✓	✓		✓
6	Amlodipine	Tablet	5mg	✓	✓		✓
7	Amoxicillin	Oral Tablet	500 mg	✓	✓	✓
		Power for oral suspension	125mg/5ml, 100 ml	✓	✓	✓
		Dispersible Tablets	125 mg	✓	✓	✓
		Dispersible Tablets	250 mg	✓	✓	✓
8	Ampicillin	Powder for IV/IM injection	250 mg vial		✓		✓
8	Ampicillin	Powder for IV/IM injection	500 mg vial	✓ (IMNCI)	✓		✓
9	Artemether + Lumefantrine (AL) (Artemisinin-based Combination Therapy – ACT)	Tablet	20mg+120 mg					✓
10	Artesunate	Injection	60 mg ampoules	✓	✓			✓
11	Atropine	Injection	0.6mg in 1 ml ampoule	✓	✓		✓
12	Azithromycin	Tablet	250 mg	✓	✓	✓
12	Azithromycin	Tablet	500 mg	✓	✓	✓
13	BCG Vaccine	Injection	0.05 ml/dose	✓	✓			✓
14	Benzathine benzylpenicillin	Powder for Injection	1200000 IU		✓		✓
15	Calamine	Lotion	15% wv 30 ml	✓	✓	✓
16	Calcium gluconate	Injection	Inj 1g per 10ml	✓ (Birthing Centre only)	✓		✓
17	Carbamazepine	Tablet	200mg	✓	✓		✓
		Tablet	100mg	✓	✓		✓
		Oral liquid	Oral liquid 100mg/5ml	✓	✓		✓
18	Cefixime	Tablet	200mg		✓	✓
19	Ceftriaxone	Powder for Injection	250mg/vial		✓		✓
		Powder for Injection	500mg/vial		✓		✓
		Powder for Injection	1gm w/vial		✓		✓
20	Cetirizine HCL	Tablet	10mg	✓	✓	✓
20	Cetirizine HCL	Syrup	5mg/5ml	✓	✓	✓
21	Charcoal, activated	powder in sachet	10g	✓	✓	✓
22	Chlorhexidine (CHX)	Solution	Solution, 0.2% oral 50 ml	✓	✓	✓
22	Chlorhexidine (CHX)	Ointment	4%, 5gm	✓	✓		✓
23	Chloroquine (CQ)	Tablet	150mg	✓	✓			✓
24	Ciprofloxacin	Tablet	250 mg	✓	✓	✓
		Tablet	500 mg	✓	✓	✓
		Eye/Ear drops	0.3% w/v, 5ml	✓	✓	✓
		Eye ointment	0.3%, 5g	✓	✓	✓
		Injection	200 mg/100ml		✓		✓
25	Clotrimazole	Skin cream	1%, 25 g	✓	✓	✓
		Vaginal Tablets	100mg	✓	✓	✓
		Mouth paint	1% w/v, 15 ml	✓	✓	✓
26	Clove Oil	Liquid	5ml	✓	✓	✓
27	Cloxacillin	Capsules	250 mg	✓	✓	✓
		Capsules	500 mg	✓	✓	✓
		Powder for oral liquid	12mg/5 ml in 100 ml	✓	✓	✓
28	Combined Oral Contraceptive (COC)	Tablet	30 pills, 21 pills, containing 150 mcg levonorgestrel and 30 mcg ethinylestradiol and 7 pills containing iron	✓	✓			✓
29	Cotrimoxazole (Sulphamethoxazole and Trimethoprim 5:1)	Tablets	400 mg + 80 mg	✓	✓	✓
		Tablets	800 mg + 160mg	✓	✓	✓
		Syrup	200mg + 40mg/5m, 50 ml	✓	✓	✓
30	Dapsone, Clofazimine, Rifampicin (MDT Combi Pack)	Tablet	MB adult blister pack, MB Chld blister pack (a/c to DOTS Program)	✓	✓			✓
31	Dexamethasone	Injection	4mg in 1ml ampoule		✓		✓
32	Dextrose (glucose)	Injection/solution	5%, 500ml				✓
32	Dextrose (glucose)	Injection/solution	25% of 50 ml Amp	✓ (Birthing Centre only)	✓		✓
33	Diazepam	Injection	2ml amp (5ml/ml)	✓	✓		✓
33	Diazepam	Tablet	5mg	✓	✓		✓
34	Diclofenac Sodium	Tablet	50 mg	✓	✓	✓
34	Diclofenac Sodium	Injection	3ml ampoule (25mg/ml)	✓	✓		✓
35	Doxycycline	Capsule	100mg	✓	✓	✓
36	Ferrous sulphate and folic acid	Tablet	60 mg elemental iron plus 400 mcg folic acid	✓ (Birthing Centre only)	✓	✓
37	FIPV Vaccine	Injection	0.1 ml	✓	✓			✓
38	Fluconazole	Capsule	150 mg	✓	✓	✓
39	Fluoxetine	Capsule	20 mg	✓	✓		✓
40	Folic acid	Tablet	5 mg	✓	✓	✓
41	Furosemide	Tablet	40 mg	✓	✓	✓
42	Gentamicin	Injection	40 mg/ml in 2ml	✓ (IMNCI)	✓		✓
43	Gentian Violet	Aqueous solution	1%, 10 ml	✓	✓	✓
44	Glimepiride	Tablet	1mg	✓	✓		✓
44	Glimepiride	Tablet	2mg	✓	✓		✓
45	HPV Vaccine	Injection	0.5ml/ dose	✓	✓			✓
46	HRZE	Tablet	Combination medication; H-INH, R- Rifampicin, Z- Pyrazinamide, E- Ethambul A/c to DOTS program	✓	✓			✓
47	Hydrocortisone	Powder for Injection	100 mg in vial		✓		✓
48	Hyoscine butylbromide	Injection	20 mg/ml	✓	✓		✓
48	Hyoscine butylbromide	Tablet	10 mg	✓	✓	✓
49	Ibuprofen	Tablet	200mg	✓	✓	✓
		Tablet	400mg	✓	✓	✓
		Syrup	100 mg/5ml	✓	✓	✓
50	Japanese Encephalitis Injection	Injection	0.5ml/dose	✓	✓			✓
51	Levonorgestrel (LNG)	Implant	implant (2 rods, 75 mg each) Tab0.75 mg (2-tablet pack)	✓	✓			✓
52	Lignocaine hydrochloride	Injection	2% in vial, 30ml	✓	✓	✓
53	Lignocaine with adrenaline 1:10,000	Injection	2% plus Adrenalin 1:10,000, 30 ml	✓	✓	✓
54	Losartan	Tablets	25mg	✓	✓		✓
54	Losartan	Tablets	50mg	✓	✓		✓
55	Magnesium sulphate	Injection	500 mg/ml in 2 ml ampoule	✓ (Birthing Centre only)	✓		✓
56	Measles-Rubella Vaccine	Injection	0.5ml / dose	✓	✓			✓
57	Medroxyprogesterone (Acetate DMPA)	Injection	150 mg/ml in 1 ml vial	✓	✓			✓
58	Metformin	Tablet	500mg	✓	✓		✓
58	Metformin	Tablet	1000mg	✓	✓		✓
59	Methyldopa	Tablet	250 mg	✓	✓		✓
60	Metoclopramide	Tablet	10 mg	✓	✓	✓
		Solution	5mg/5ml	✓	✓	✓
		Injection	5mg/ml in 2 ml ampoule	✓	✓		✓
61	Metronidazole	Tablet	200 mg	✓	✓	✓
		Tablet	400 mg	✓	✓	✓
		Oral liquid	200 mg/5ml, 90 ml	✓	✓	✓
		Injection	500 mg/100 ml		✓		✓
62	Mifepristone + Misoprostol	Tablet	Comb pack includes 200 mg + 4 (200) mcg	✓	✓		✓
63	Misoprostol	Tablet	200 mcg	✓	✓		✓
64	Neomycin Skin	Ointment	2% w/w 10 gm	✓	✓	✓
65	Nifedipine	Tablet	10 mg	✓	✓		✓
66	Nitrofurantion	Tablet	100 mg	✓	✓	✓
67	Normal Saline (NS)	Solution	0.9% infusion solution, 500 ml	✓	✓	✓
68	OPV (Oral Polio Vaccine)	Oral	2 drop/dose	✓	✓			✓
69	Oral Rehydration Salts (ORS)	Powder	WHO Formula sachet/liters	✓	✓	✓
70	Oxygen	Inhalation	Medical gas	✓	✓		✓
71	Oxymetazoline	Nasal drop	0.025%, 10 ml	✓	✓	✓
71	Oxymetazoline	Nasal drop	0.05% 10 ml	✓	✓	✓
72	Oxytocin	Injection	10 IU/ml	✓ (Birthing Centre only)	✓		✓
73	Paracetamol	Injection	150 mg/ml in 2ml ampoule	✓	✓		✓
		Tablet	500 mg	✓	✓	✓
		Syrup	125mg/5ml, 50 ml	✓	✓	✓
74	PCV Vaccine (Pneumococcal Conjugate Vaccine)	Injection	0.5 ml	✓	✓			✓
75	Pentavalent vaccine (DPT, Hep B and Hemophilus Influenza B)	Injection	0.5ml	✓	✓			✓
76	Permethrin	Lotion	1% 100ml	✓	✓	✓
76	Permethrin	Cream	5% w/v 30 g	✓	✓	✓
77	Pheniramine	Injection	22.75mg/ml 2ml	✓	✓		✓
78	Phenobarbital	Tablet	30 mg		✓		✓
78	Phenobarbital	Injection	100 mg/ml		✓		✓
79	Povidone iodine	Solution	5% w/v 500 ml	✓	✓	✓
80	Pralidoxime Sodium	Injection	500 mg, 20 ml	✓	✓		✓
81	Prednisolone	Tablet	5mg	✓	✓		✓
			10 mg	✓	✓		✓
			20 mg	✓	✓		✓
82	Primaquine	Tablet	7.5 mg	✓	✓			✓
83	Pyridoxine	Tablet	10mg	✓	✓			✓
84	Ranitidine	Tablet	150 mg	✓	✓	✓
84	Ranitidine	Injection	25mg/ml in 2 ml ampoule	✓	✓		✓
85	Ringer’s Lactate (RL)	Solution	500 ml	✓	✓	✓
86	Risperidone	Tablet	1 mg	✓	✓		✓
86	Risperidone	Tablet	2 mg	✓	✓		✓
87	Rotavirus Vaccine	Injection	1.5 ml	✓	✓			✓
88	Salbutamol	Solution for nebulization	1 mg/ml of 15 ml	✓	✓	✓
		Oral Liquid	2mg/5ml	✓	✓	✓
		MDI	100 mcg	✓	✓		✓
89	Silver Sulfadiazine	Cream	0.2% w/v 15g	✓	✓	✓
90	Tetanus diphtheria (Td) booster vaccine	Injection	0.5ml/dose	✓	✓			✓
91	Tetanus Toxoid (TT)	Injection	0.5ml/dose	✓	✓			✓
92	Tetracycline	Eye ointment	1%, 5g	✓	✓	✓
93	Tinidazole	Tablet	500mg	✓	✓	✓
94	Sodium Valporate	Tablet	200 mg	✓	✓		✓
95	Vitamin A	Capsule	200,000 IU	✓	✓			✓
95	Vitamin A	Capsule	50,000 IU	✓	✓			✓
96	Vitamin B complex	Tablet	Thiamine 10 mg, riboflavin 10 mg, pyridoxine 3 mg, cyanocobalamin 15 mcg (Therapeutic dose)	✓	✓	✓
97	Vitamin K1	Injection	1mg/0.5 ml	✓	✓		✓
98	Zinc sulphate	Dispersible tablets	10 mg	✓	✓	✓
98	Zinc sulphate	Dispersible tablets	20 mg	✓ (IMNCI)	✓	✓

List of free medicines in Nepal

Medicine Name

Acetylsalicylic acid (aspirin)
Adrenaline (epinephrine)
Albendazole
Aluminum hydroxide gel + Magnesium hydroxide (Antacid)
Amitriptyline
Amlodipine
Amoxicillin
Ampicillin
Artemether + Lumefantrine (AL) (Artemisinin-based Combination Therapy – ACT)
Artesunate
Atropine
Azithromycin
BCG Vaccine
Benzathine benzylpenicillin
Calamine
Calcium gluconate
Carbamazepine
Cefixime
Ceftriaxone
Cetirizine HCL
Charcoal, activated
Chlorhexidine (CHX)
Chloroquine (CQ)
Ciprofloxacin
Clotrimazole
Clove Oil
Cloxacillin
Combined Oral Contraceptive (COC)
Cotrimoxazole (Sulphamethoxazole and Trimethoprim 5:1)
Dapsone, Clofazimine, Rifampicin (MDT Combi Pack)
Dexamethasone
Dextrose (glucose)
Diazepam
Diclofenac Sodium
Doxycycline
Ferrous sulphate and folic acid
FIPV Vaccine
Fluconazole
Fluoxetine
Folic acid
Furosemide
Gentamicin
Gentian Violet
Glimepiride
HPV Vaccine
HRZE
Hydrocortisone
Hyoscine butylbromide
Ibuprofen
Japanese Encephalitis Injection
Levonorgestrel (LNG)
Lignocaine hydrochloride
Lignocaine with adrenaline 1:10,000
Losartan
Magnesium sulphate
Measles-Rubella Vaccine
Medroxyprogesterone (Acetate DMPA)
Metformin
Methyldopa
Metoclopramide
Metronidazole
Mifepristone+ Misoprostol
Misoprostol
Neomycin Skin
Nifedipine
Nitrofurantion
Normal Saline (NS)
OPV (Oral Polio Vaccine)
Oral Rehydration Salts (ORS)
Oxygen
Oxymetazoline
Oxytocin
Paracetamol
PCV Vaccine (Pneumococcal Conjugate Vaccine)
Pentavalent vaccine (DPT, Hep B and Hemophilius Influenza B)
Permethrin
Pheniramine
Phenobarbital
Povidone iodine
Pralidoxin Sodium
Prednisolone
Primaquine
Pyridoxine
Ranitidine
Ringer’s Lactate (RL)
Risperidone
Rotavirus Vaccine
Salbutamol
Silver Sulfadiazine
Tetanus diphtheria (Td) booster vaccine
Tetanus Toxoid (TT)
Tetracycline
Tinidazole
Sodium Valproate
Vitamin A
Vitamin B complex
Vitamin K1
Zinc sulphate

List of surgical items

S. No.	Particulars	Unit	Specification	Availability		Procurement authority
S. No.	Particulars	Unit	Specification	Basic Health Service Center/ Health Post	Primary Hospital/ Primary Healthcare Center	Local Level	Province	Federal
1	Absorbent cotton	Roll	Net 400 gm	✓	✓	✓
2	Adhesive Tape	Roll	4″	✓	✓	✓
3	Bandage	Than	18m*19cm	✓	✓	✓
4	Catgut	Packet	catgut 2.0	✓	✓	✓
5	Chlorine powder	Packet	200G/Sachet	✓	✓	✓
6	Condom (Male)	Packet		✓	✓			✓
7	Disposable syringes	Packet	3ml, 5ml	✓	✓	✓
8	Gauze	Than	18m*19cm	✓	✓	✓
9	I and D set	Packet		✓	✓	✓
10	IV cannula	Packet	18/20/24 g	✓	✓	✓
11	IV set	Packet	Different sizes	✓	✓	✓
12	Phenol	Bottle	500 ml	✓	✓	✓
13	Rectified spirit	Bottle	500 ml	✓	✓	✓
14	Rubber catheter	packet	Different sizes	✓	✓	✓
15	Silk	Packet	silk 2.0	✓	✓	✓
16	surgical blade	packet	Different sizes	✓	✓	✓
17	Surgical gloves (Disposal)	Pairs	6.5,7	✓	✓	✓
18	Suture set	Packet		✓	✓	✓
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

Download PDF

⚡ Looking for expert analysis, policy briefs, and high-level reviews on Nepal's health sector?

We are now offering premium subscription services to deliver timely, evidence-backed policy briefs, comprehensive technical reviews, and strategic analysis straight to your inbox. Tap into specialized consultant expertise and stay ahead on Nepal's emerging health strategies.

👉 [Contact Us]

Do you have a website? Looking for the best hosting provider? Here’s a discount code.

Latest Public Health Jobs

Latest Posts

Thanks for visiting us.
Disclaimer: The resources, documents, guidelines, and information on this blog have been collected from various sources and are intended for informational purposes only. Information published on or through this website and affiliated social media channels does not represent the intention, plan, or strategies of an organization that the initiator is associated with in a professional or personal capacity, unless explicitly indicated.
If you have any complaints, information, or suggestions about the content published on Public Health Update, please feel free to contact us at blog.publichealthupdate@gmail.com.
#StayUpdated

December 21, 2016 0 comments

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.

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.

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

PH Important Day Public Health Notes Public 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.

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.

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

Newer Posts

Older Posts

Featured Online MPH Programs

Featured Public Health Programs

1. University of North Carolina

2. University of West Florida

3. Fort Hays State

4. University of Alabama Birmingham

5. University of South Florida

6. American Public University

7. University of Florida

8. Liberty University

9. University of Illinois Springfield

10. Walden University

11. Nova Southeastern University

12. Kaplan

13. Creighton University

14. University of Massachusetts

15. George Washington University

16. University of Nebraska Medical Center

17. University of New England

18. University of Southern California

19. Florida A&M University

20. Capella University

21. Loyola University Chicago

22. Grand Canyon University

23. A.T. Still University

24. Des Moines University

25. Benedictine University

List of Free Medicines

Medicine Name

List of surgical items

PUBLIC HEALTH INITIATIVE