The Government of Nepal has submitted the Federal Civil Service Bill 2080 to the Federal Parliament of Nepal.
Nepal’s NAP on AMR 2021-2026 focuses mainly on AMR management in bacteria because of the urgency and widespread impact of antibacterial resistance (ABR). The NAP-AMR is a national strategy aimed at addressing the issue of ABR in an integrated manner. The scope of NAP-AMR is very well aligned with the GAP on AMR that was endorsed by member states during the 68th World Health Assembly.
The overarching goal of the NAP-AMR is to effectively combat AMR in Nepal by taking the “One Health” approach and contribute towards the global efforts to tackle this public health emergency. The vision is to reduce the mortality, morbidity, and economic impact of AMR in Nepal. The NAP-AMR shall establish collaboration amongst all relevant stakeholders and strengthen governance mechanisms as well as the capacity of all stakeholders to confront the cause and impact of AMR in Nepal.
Objectives
The core objective of the NAP-AMR is to slow the emergence of AMR in Nepal and strengthen the organizational and management structure to ensure intra and intersectoral coordination with a “One Health” approach and implement activities related to it.
The NAP-AMR clearly outlines the specific priorities and interventions to be implemented over the five-year period to tackle the public health challenge of AMR in Nepal.
Focus areas of the five strategic priorities
This Annual Health Report (AHR) is for fiscal year (FY) 2079/80. It serves as a comprehensive document within the health sector, fulfilling the dual purpose of monitoring progress of annual programs and providing a detailed documentation of various facets including the health scenario, guiding documents/milestones, major activities of the fiscal year (FY), program/service status and strategic analysis of the strength, weakness, opportunity, and threat for the programs and service delivery.
The annually compiled comprehensive health sector report stands as a pivotal document, serving as a thorough monitoring and evaluation tool for the progress of planned programs, analysing shifts in coverage and utilization statistics. This indispensable record not only offers a snapshot of the sector’s advancements but also traces its evolution over time. This marks the 29th consecutive publication of its kind and the 7th Annual Report since the reorganization of MoHP.
The report serves a dual purpose, functioning as both an annual program monitoring report and a comprehensive document covering various aspects, including:
This is the eighth round of Nepal National Health Accounts based on the System of Health Accounts (SHA) 2011 Framework, covering FYs 2018/19 and 2019/20.
The Nepal National Health Accounts 2018/19 to 2019/20 report was prepared adhering to the System of Health Accounts 2011 (SHA 2011), a global standard framework for producing health accounts with necessary refinements relevant to the country context. The report provides estimates of healthcare expenditures within Nepal’s health system, utilizing predetermined expenditure boundaries, data sources, classification codes, and estimation methodology. All reasonable precautions have been taken to justify the information presented in this publication, and the estimates presented in this report could be further improved.
Household OOP payments for health care were the largest source and payer for their health care, with a share of 57.9% and 54.2% of the current health expenditure in FYs 2018/19 and 2019/20, respectively.
Preventive and promotive care services claimed about 8.8% and 11.0% of CHE,FYs 2018/19 and 2019/20 respectively.
The Family Welfare Division, DoHS, MoHP, releases a new Vaccine Preventable Diseases Surveillance Plan (Polio Transition Plan) for 2079-2086 to sustain Nepal’s polio-free status and maintain continuity of polio-related activities after the Global Polio Eradication Initiative scales down its support.
Commitment, Sustainability, Universal Coverage, Collaboration, Interdependency between Polio Eradication and the Polio Transition Plan, ownership, and responsibility are the key principles of this plan.
The measles outbreak investigation, outbreak response immunization (ORI), and root cause analysis (RCS) of the measles outbreak were conducted in 10 districts: Banke, Morang, Bajura, Kailali, Surkhet, Bardiya, Dang, Mahottari, Kanchanpur, and Sunsari. The Root Cause Analysis of the Measles Outbreak 2022-2023 identified many key programmatic areas to improve to accelerate the MR elimination goal of 2026. This is the first study Nepal has ever done to understand the real root cause analysis (RCA) of a measles outbreak. The administrative measles coverage data, measles rubella annual country report-2023, cohort of missed children in the last five years (2017-2022), findings of independent monitoring data, and RCA desk and field findings provided sufficient evidence to support the conclusion of failure to vaccinate as the prime cause of the measles outbreak in all ten measles outbreak districts.
Provider-based reasons for failure to vaccinate
Client-based reasons for failure to vaccinate
Provider-based reasons for vaccine failure
Provider-based reasons for vaccine failure indicates issues with cold chain management at the local levels
Measles Rubella Outbreak Investigation and response:
Strengthening routine Immunization:
Enhance measles and VPD surveillance:
Accountability and governance oversight:
Kathmandu / New Delhi | February 14, 2024: The World Health Organization congratulates Nepal for restricting levels of industrially produced trans-fatty acids in the food supply through a legislation, a move aimed at promoting health and saving lives.
“Eliminating trans-fatty acids is a cost-effective measure with great health benefits in preventing premature deaths from cardiovascular diseases,” said Ms Saima Wazed, Regional Director, WHO South-East Asia.
Prioritizing prevention and control of noncommunicable diseases (NCDs) in South-East Asia Region, WHO has been supporting countries for elimination of trans-fatty acids from national food supplies, along with other measures. With Nepal’s legislation, now nearly 80% of the Region’s population – 1.6 billion people – will be potentially protected from the harms of trans-fatty acids.
Globally, 540,000 deaths every year can be attributed to intake of industrially produced trans-fatty acids. High trans-fat intake significantly increases the risk of death from cardiovascular diseases. Trans fat has no known health benefits.
In the WHO South-East Asia Region, non-communicable diseases cause 69% of the nearly 9 million deaths every year. Cardiovascular diseases are a major cause of deaths.
In 2018 WHO released REPLACE a guide of six strategies to help achieve the elimination of industrially produced trans-fatty acids. In collaboration with Resolve to Save Lives, REPLACE protocols are being implemented across the Region.
By 2022 Thailand, India and Bangladesh had adopted regulations for elimination of trans-fatty acids in food supply. Indonesia had complementary policy measures. Sri Lanka issued a regulation in 2023. Nepal issued the legislation on trans-fatty acids on 8 February.
Restricting trans-fatty acids is one of the measures under WHO South-East Asia Region’s ‘SEA HEARTS’ that emphasizes on united effort across all partners and all stakeholders for aligned and effective acceleration of actions to reduce deaths from cardiovascular diseases.
Nepal’s legislation on trans-fatty acids will add 30 million people to the SEA HEARTS target of protecting two billion people from the harmful effects of trans-fatty acids through best practice or complementary policy measures of WHO REPLACE by 2025.
WHO has been urging countries in the Region to focus on best-practice policies, monitoring and surveillance, to drive progress against trans-fatty acids.
Last month, Thailand was among the first five recipients of WHO certificate validating progress in eliminating industrially produced trans-fatty acids.
Eliminating trans-fatty acids from the food supply will enhance the health and wellbeing of people and also help attain the SDG targets of reducing premature mortality by one-third from noncommunicable diseases by 2030.
The National Immunization Programme (NIP) is a Priority 1 (P1) public health program of the Government of Nepal, which was launched as the Expanded Programme on Immunization in 2034 BS (1977/78). Here is the latest updated National Immunization Schedule of Nepal.
S. No. | Vaccine | Age | Route | Diseases |
| 0 | Tetanus diphtheria (Td) | Pregnant Mother: For the first pregnancy: 2 doses (1-month gap) For the second pregnancy and onwards: 1 dose | Intramuscular | Maternal and Neonatal Tetanus & Diphtheria |
1. | BCG (Bacillus Calmette Guerin) | At birth (1 dose) | Intradermal | Tuberculosis |
2. | Pentavalent Vaccine (Diphtheria, Pertussis, Tetanus, Hepatitis B and Hemophilus influenza B) | 6, 10 and 14 weeks (3 doses) | Intramuscular | Diphtheria, pertussis, Tetanus, Hepatitis B and Haemophilus Influenza B |
3. | OPV (Oral Polio Vaccine) | 6 and 10 and 14 weeks (3 doses) | Oral | Polio |
4. | PCV (Pneumococcal Conjugate Vaccine) | 6, 10 weeks and 9 months (3 doses) | Intramuscular | Pneumococcal diseases (Meninges, ear and chest infections) |
5. | Rotavirus vaccine | 6 & 10 weeks (2 doses) | Oral | Rotavirus diarrhea |
5. | fIPV (Fractional Injectable polio vaccine) | 14 weeks and 9 months (2 doses) | Intradermal | Polio |
6. | MR (Measles – Rubella) | 9 and 15 months (2 doses) | Subcutaneous | Measles and Rubella |
7. | JE (Japanese Encephalitis) | 12 months (1 dose) | Subcutaneous | Japanese Encephalitis |
| 8 | Typhoid Vaccine | 15 months (1 dose) | Intramuscular | Typhoid fever |
| 9 | HPV | Adolescent girls in grades 6-10 and out-of-school girls aged 10 | Intramuscular | Cervical cancer |
Rotavirus Vaccine (Information for Parents and Public)
Rotavirus Vaccine Guideline 2075, CHD, Department of Health Services
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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.
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The Family Welfare Division, Department of Health Services (DoHS), releases a new guideline on HPV Vaccine Demonstration 2080 to provide guidance on the HPV vaccine demonstration program in Nepal.
The Government of Nepal, Ministry of Health and Population, has decided to conduct a nationwide Measles-Rubella (MR) Vaccination Campaign from 25 February to 20 March 2024. The guideline on ‘MR Vaccination Campaign 2080-81’ is formulated to provide comprehensive guidance for vaccination efforts, with a particular focus on health workers stationed at vaccination centers, ensuring the efficient execution of vaccination sessions.
This guide offers technical guidance to managers, supervisors, and health workers at different levels, including cold chain officers and assistants, to plan, manage, and conduct the Measles-Rubella Vaccination Campaign for the fiscal year 2080-81.
Download guideline (MR Vaccination Campaign Guideline 2080-81)
FWD, DoHS
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