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Public Health

Medical waste pollutes Tinau: News from The Kathmandu post

by Public Health Update August 23, 2015
written by Public Health Update
Medical waste dumped along with other garbage has posed serious public health threats to people living on the banks of the Tinau river in Rupandehi. Butwal Sub-metropolis dis-poses around 50 tonnes of gar-bage on the river banks though people continue to use water from the river for drink-ing and other domestic use.


Bheshraj Khanal, a farmer at Aanandaban, said they are facing problems as the water from river used for irrigation is polluted with medical and other waste.Health professionals say around 80 percent of medical waste is dangerous. Such waste materials have chances to transmit 70 percent of diseases. Human or animal blood as well as body parts, blood-soaked bandages, dis-carded surgical gloves, cul-tures and swabs to inoculate cultures are found in the river. 
The Ministry of Health and Population has directed con-cerned authorities to manage medical waste through a scientific procedure involving segregation, collection, trans-portation, treatment and final disposal.However, health facilities in the district are yet to abide by the government regulation. 


There are around 100 clinics, 20 hospitals and health posts in the district. Bishnu Khanal, a senior offi-cial at the sub-metropolis, said hospitals and clinics are not allowed to dispose medical waste with other garbage.Lumbini Zonal Hospital, meanwhile, burns its medical waste in an open area, affecting locals in the sur-rounding area.

AMRITA ANAMOLBUTWAL,
AUG 22, 2015
Original Source
August 23, 2015 0 comments
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Public HealthPublic Health Programs

'Next Generation’ Family Planning Communication Campaign (Three-year long campaign)

by Public Health Update August 22, 2015
written by Public Health Update
Himalayan News Service

Lalitpur, 
August 21
Minister for Health and Population Khagaraj Adhikari today launched ‘Next Generation’ Family Planning Communication Campaign with an aim of repositioning family planning for the new generation and increasing the use of contraceptives among young married couples across the country.The campaign was launched at a programme organised in Lalitpur.


This is a three-year long campaign of the Ministry of Health and Population and National Health Education Information Communication Centre, in coordination with Family Health Division and support of the USAID Health Communication Campaign.

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The campaign is based on research findings and the guidance of the MoHP National Health Sector Programme II, draft NHSP III, the National Health Communication Policy of 2012 and the draft National Family Planning Communication Strategy 2015-2020. According to National Demographic Health Survey 2011, family planning practices of over 56 per cent of women of reproductive age fall far below the national average. NHDS states that only 12 per cent use family planning methods to delay the first birth, fewer than 32 per cent adopt family planning services for birth spacing and fewer than 13 per cent use contraceptives within two months after delivery. Minister Adhikari said due to lack of awareness about the family planning among the public and the unavailability of contraceptives, people were not using family planning methods, forcing the government to launch the campaign. He said, “The young married couples of reproductive age should use modern contraceptives to reduce the risk of unwanted pregnancy.”

Original Source:the himalayantimes


August 22, 2015 0 comments
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National Health NewsPublic Health News

MoHP act on non-compliant pharmas

by Public Health Update August 13, 2015
written by Public Health Update
Himalayan News Service Kathmandu, August 12


The Ministry of Health and Population has issued directives to the Department of Drug Administration (DDA) to ensure that all pharmacies comply with the July 7 Cabinet decision that requires them to display the price list of 96 medicine. Fixing the maximum retail price of 18 much-used common medicine and 78 special drugs for patients of chronic diseases, including cancer, the Cabinet had directed MoHP to strictly enforce the new provision.

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the himalayantimes 13th August 2015

However, complaints were received against pharmacies charging exorbitant prices and also the lack of uniformity in the price of medicine in different drug stores.Minister for Health and Population Khagaraj Adhikari said the initiative was only a beginning toward making the health sector more reliable, dependable, and systematic. He expressed hope that the drive would put an end to the trend of pharmacies fleecing patients. “I strongly urge officials of MoHP as well as DDA to carry out effective monitoring of the fixed prices and also to bring the guilty to book under the Black Marketing Act.

The government is committed to end the culture of profiteering and black-marketing in medicine,” he said. Balkrishna Khakurel, DDA director general, said the Cabinet decision had come into effect after a notification regarding the price list of 96 medicine was made public in Nepal Gazette on August 3. “Monitoring campaigns to ensure that pharmacies have been abiding with the fixed price list are being carried out. Legal action will be initiated if drug stores are caught violating the provision,” he informed. Prices of medicine were fixed as per Section 26 of Drugs Act, 1978. “Anyone who finds pharmacies charging more than the marked price may lodge a complaint with DDA. We have strongly directed the pharmacies not to indulge in unethical business practices and to follow the provision,” he said.


Original source of INfo

August 13, 2015 0 comments
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National Health NewsPublic Health News

Anti-snakevenom Problem

by Public Health Update July 23, 2015
written by Public Health Update

155155985
Kantipur National Daily 23rd July 2015



July 23, 2015 0 comments
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Public Health

Kanti starts child and adolescent mental health OPD

by Public Health Update July 23, 2015
written by Public Health Update
Source of Information
Himalayan News Service 
Kathmandu, 
July 22
Kanti Children’s Hospital, Maharjgunj, has started child and adolescent mental health OPD, first in the country. Dr Arun Raj Kunwar, child and adolescent psychiatrist at Kanti Children’s Hospital, said the currently the OPD service will be open for public every day except on public holidays from 9am to 2pm. 

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thehimalayantimes (23rd July 2015)


According to Dr Kunwar, earlier Tribhuvan University Teaching Hospital used to provide half-day service — on Mondays and Thursdays — to the children and adolescent with mental health problems. According to the World Health Organisation, worldwide 10 to 20 per cent of children and adolescents experience mental disorders. Half of all mental illnesses begin by the age of 14 and three-quarters by mid-20s. Dr Kunwar said the new OPD will provide psychiatric and psychological treatments, counselling and medication to the needy. Stating that there was lack of human resources for mental health treatment,

Dr Kunwar stressed on the need to strengthen human resources and raise awareness among parents and teachers about mental health issues of children and adolescents. “Level of awareness among parents about mental health problems is still very low in Nepal,” said Dr Kunwar. Dr Kunwar said one of the goals of starting the new OPD is to develop training programmes so that human resources can be trained to provide services to affected children and adolescents.

According to Dr Kunwar, 90 per cent students in schools have some kind of anxiety or other problems but they are never identified by their parents and teachers, hence children remain untreated. “School is the right place to intervene to address mental health problem in children and adolescents,” Dr Kunwar added. According to WHO, neuropsychiatric conditions are the leading cause of disability in young people in all regions and if untreated, these conditions severely influence children’s development, their educational attainments and their potential to live fulfilling and productive lives. 

Children with mental disorders face major challenges with stigma, isolation and discrimination as well as lack of access to health care and education facilities, in violation of their fundamental human rights, says WHO.The new child and adolescent mental health OPD has three psychiatrists — Dr Kunwar, Dr Jasmine Ma and Jaya Regmi — and Narmada Devkota, a psychological counsellor.
Source of Information
Himalayan News Service 
Kathmandu, 
July 22

July 23, 2015 0 comments
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Public Health

Fall injuries major public health concern in Nepal-SOSAS

by Public Health Update July 23, 2015
written by Public Health Update
The Nepal Surgeons OverSeas Assessment of Surgical Need (SOSAS) study has made public the first countrywide population-based assessment on fall injury prevalence in Nepal, identifying fall injuries as a major public health concern.Its findings reveal the non-fatal fall injury prevalence of 5.23 per cent and fatal fall injury prevalence of 8.8 per cent.


Extrapolating these results to the current population of Nepal, it estimates the prevalence of non-fatal fall injuries in Nepal to be 1.47 million. It has estimated that nearly 16,600 deaths annually are due to falls in Nepal and that 14,130 deaths from fall injuries may have been averted with appropriate access to surgical care. 

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The Himalayantimes 23rd July 2015

“Our findings emphasise the high prevalence of fall injuries in Nepal at a population level. A hospital-based study was conducted in Kathmandu regarding traumatic injuries, the epidemiological spectrum of physical trauma was observed over a period of one year at Kathmandu University Hospital and its various outreach centers in the community,” the report, which was published earlier this month said. Fall from height was the most common mode of injury presented in the emergency department, followed by road accidents.“Our study equally suggests that fall injuries are the most common type of injuries endured by Nepali people with 37.5 per cent of injuries reported. Road traffic injuries account for 19.8 per cent and burn injuries account for 14.2 per cent. 

Existing data concludes that fall injuries are more prevalent among elderly, with estimates suggesting that nearly 28-35 per cent of people aged 65 or over suffer fall injuries annually. Our results are not unique in the age category with the highest proportion of fall injuries suffered by the elderly — 65 years and old (8.2 per cent) followed by adults aged 15-24 (6.39 per cent) and children aged 0-14 (5.72 per cent),” the report mentions. According to the report, with nearly 80 per cent of the world’s elderly population living in developing countries, it seems reasonable, both in a moral and an economic sense, to retain an older persons’ capacity so they remain a fundamental resource to their family and community.


The Nepal Demographic Health Survey revealed that 5.5 per cent of Nepal’s population is 65 years or older, while 5.8 per cent of its study population is aged 65 years or older, corresponding appropriately. Though limited empirical data exists exploring childhood falls in the developing countries, the World Health Organisation has ranked fall as the leading cause of injury in those aged 0-4 years.

The Nepal SOSAS study provides countrywide, population-based data on fall injury prevalence in Nepal, identifying falls as a crucial public health concern. These data highlight persistent barriers to access to care for the injured and the need to improve trauma care systems in developing countries such as Nepal. 
A total of 2,695 individuals were surveyed in 1,350 households with a response rate of 97 per cent. As many as 379 injuries were reported in 354 individuals. Of these injuries, 142 injuries were due to falls (37.5 per cent) in 141 individuals (5.2 per cent of respondents), with a mean age of 30.7 years. The age group with the highest percentage of fall injuries was adults aged 25-54 years (45.1 per cent), followed by children aged 0-14 years (21.4 per cent). 

Elderly individuals aged 65 years and older sustained 5.9 per cent of fall injuries reported. Elderly individuals, however, had the highest proportion of persons who had sustained fall injury and 8.2 per cent of elderly individuals sustained a fall injury in his or her lifetime.
Original Source of Info
Himalayan News Service 

Kathmandu, 
July 22

July 23, 2015 0 comments
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International Plan, Policy & Guidelines

WHO’s Release New Guidelines on HTC services

by Public Health Update July 18, 2015
written by Public Health Update
17 July 2015 –WHO’s Release New Guidelines on HTC services
Globally only 51% of people living with HIV know of their status. The new guidelines provide a recommendation to support HIV testing services by trained lay providers and considers the potential of HIV self-testing to increase access to and coverage of HIV testing. The guidelines also address issues and elements for effective delivery of HIV testing services that are common in a variety of settings, contexts and diverse populations.

The Consolidated guidelines on HIV testing services bring together existing guidance relevant to the provision of HIV testing services (HTS) and addresses issues and elements for effective delivery of HTS that are common in a variety of settings, contexts and diverse populations.

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In addition, this document provides a new recommendation to support HTS by trained lay providers, considers the potential of HIV self-testing to increase access to and coverage of HIV testing, and outlines focused and strategic approaches to HTS that are needed to support the new UN 90 –90 –90 global HIV targets – the first target being diagnosis of 90% of people with HIV.

Download this Guideline

Source of Info: WHO

July 18, 2015 0 comments
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International Plan, Policy & GuidelinesPublic Health

UNAIDS announces that the goal of 15 million people on life-saving HIV treatment by 2015 has been met

by Public Health Update July 16, 2015
written by Public Health Update
ADDIS ABABA/GENEVA, 14 July 2015

UNAIDS announces that the goal of 15 million people on life-saving HIV treatment by 2015 has been met nine months ahead of schedule
The world has exceeded the AIDS targets of Millennium Development Goal (MDG) 6 and is on track to end the AIDS epidemic by 2030 as part of the Sustainable Development Goals (SDGs). 

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The AIDS targets of MDG 6—halting and reversing the spread of HIV—have been achieved and exceeded, according to a new report released today by the Joint United Nations Programme on HIV/AIDS (UNAIDS). New HIV infections have fallen by 35% and AIDS-related deaths by 41%. The global response to HIV has averted 30 million new HIV infections and nearly 8 million (7.8 million) AIDS-related deaths since 2000, when the MDGs were set. 



“The world has delivered on halting and reversing the AIDS epidemic,” said Ban Ki-moon, Secretary-General of the United Nations. “Now we must commit to ending the AIDS epidemic as part of the Sustainable Development Goals.” 
DOWNLOAD PDF Document
How AIDS changed everything — MDG6: 15 years, 15 lessons of hope from the AIDS response
July 16, 2015 0 comments
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International Plan, Policy & GuidelinesPublic Health

Mental Health Atlas- 2014, WHO

by Public Health Update July 15, 2015
written by Public Health Update
WHO release the MENTAL HEALTH ATLAS TODAY (14 July 2015)

The 2014 version of mental health Atlas continues to provide up-to-date information on the availability of mental health services and resources across the world, including financial allocations, human resources and specialised facilities for mental health. This information was obtained via a questionnaire sent to designated focal points in each WHO Member State.

Worldwide, nearly 1 in 10 people have a mental health disorder, but only 1% of the global health workforce is working in mental health. This means, for example, that nearly half of the world’s population lives in a country where there is less than one psychiatrist per 100 000 people.

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DOWNLOAD MENTAL HEALTH ATLAS

The report states global spending on mental health is still very low. Low and middle-income countries spend less than US$ 2 per capita per year on mental health, whereas high-income countries spend more than US$ 50.

WHO’s Mental Health Atlas provides the baseline data to measure progress on the action plan targets. The 2014 edition is the fourth and newest edition, with data on the availability of mental health services and resources across the world, including financial allocations, human resources and specialized facilities for mental health from 171 countries.
The Comprehensive mental health action plan 2013-2020 targets, and baseline values for 2013:
  • 80% of countries will have developed or updated their policies or plans for mental health in line with international and regional human rights instruments by the year 2020.  Baseline: 45% of all WHO Member States
  • 50% of countries will have developed or updated their law for mental health in line with international and regional human rights instruments by the year 2020. Baseline: 34% of all WHO Member States
  • Service coverage for severe mental disorders will have increased by 20% by the year 2020. Baseline: Currently not computable from Atlas 2014 data
  • 80% of countries will have at least two functioning national, multisectoral mental health promotion and prevention programmes by the year 2020. Baseline: 41% of all WHO Member States
  • The rate of suicide in countries will be reduced by 10%. Baseline: 11.4 per 100 000 population 80% of countries will be routinely collecting and reporting at least a core set of mental health indicators every two years through their national health and social information systems by the year 2020.

DOWNLOAD MENTAL HEALTH ATLAS
Source of Info
July 15, 2015 0 comments
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National Health NewsNational Plan, Policy & GuidelinesResearch & Publication

‪#‎NepalBudget_Health_2015‬ (FULL BUDGET SPEECH)

by Public Health Update July 14, 2015
written by Public Health Update

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BudgetUntitled

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DOWNLOAD FULL BUDGET: CLICK HERE


July 14, 2015 0 comments
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