Introduction to health and health system of Nepal

Health as we all know is ‘It is a state of physical, mental and social well being and not merely an absence of disease or infirmity’ according to World health organization(WHO). There are multiple other definitions of health according to different fields, but the most standard which is followed is that stated by WHO as mentioned above. An individual is not considered healthy unless he/she is sound from all the aspects like mental, physical, economical, spiritual etc. For a person to be healthy he/she has to have a good prospective towards life and should have the basic needs a person requires to survive. It is because unless the basic needs of a person is fulfilled and the person has positive aspect to life he/she cannot be considered well physically, socially and mentally. Something or the other will be wrong in his/her life. For the people of particular country to be healthy a good and advanced health system is required.

            Health system is required in every country so as to promote, stabilize and restore health of the people of the country. The health system can consist of organizations ( private or governmental), group of people promoting health or  individuals alone involved in health care system. There is a notion that health system deals only with certain aspects like diseases, accidents etc. But, the truth is that the health system does not deal only diseases or accidents but also deals with other aspects like health insurance, vector control and safety legislation. So, we can say that the health system deals with  law, health, environment, behaviour of people and much more. The responsibility of health system is not only towards the health of people but also to consider the economical cost of illness.

            In Nepal the health system consists of modern / allopathic medicine, traditional or ayurvedic medicine, homeopathy, unani and other forms of medicine. Still the people in certain regions of Nepal believe in the traditional healers like dhami and jakri which gives a point that to this date(21^st century) the health sector of Nepal has not improved to update the minds of people in the country; though the population asking for modern medicine has improved in this decade. So, still the government of Nepal has to look towards the building blocks of health sectors so as to improvise the minds and health of the people of the country. The building blocks of health system are service delivery, health workforce, information, medical products; vaccine and logistics, financing and leadership.

            The Nepal health system comprises of national health system, regional health system and district health system. The types of health services provided by the government are preventive, curative, promotive, palliative, hospital and ambulatory. Still the health system of Nepal is way back in comparison to multiple countries of the world. The reason that the health system of Nepal is lagging behind are external dependency for financial support, political instability of the country, retention of health workforce only in the urban areas and low quality of health care.

            Looking at an overview we can consider that the health system of Nepal has improved to some extent in the last 10 yrs period. On the other hand, the improvement is still not enough to provide a good health facilities  to the people of the country. The health system of Nepal still has to move a lot forward so as to improvise the sector of health and population of the country .The only way to do that is to built awareness among the people and act upon the reasons that are holding back the development of health sector above all,  political instability. 

Morning walk in Nepal

As I stated yesterday, I am going to show you the pictures of the places where I walk in the morning. 

                                           Looks good when seen from far. Dosen't it?

                             Do you think I will get pass the diseases walking on this kind of road?

                           I suppose the tree is very proud. It is because it is one of the few trees laid on
                           the sidewalk of the road.

                       Do you really think this is a river? Well, it can be a river of dirt though.

                                                   Wow! a drain.. How clean is the area?

                                                  God knows what's going on here.

                            People doing yoga on the other side of road. This is the field made by FIFA international.
                          

                              Now you know its not a park. Where I walk,it's a road for the vehicles.

                                    This is the so called 83rd tree on the side walk. Do you see any tree??

                                                  The new bridge which is never to be built.

                                            Wow!! That's what is liked by the government.

                        Many people come to the same place for morning walk. Even dogs, cows, goats etc.

                            Base of temple called koteswor mahadev. This is one of the places of peace where I end
                            my morning walk each day.

                                    The old dead bridge which I mentioned in my article yesterday.

                                        I am lucky that I haven't fallen down the holes in the bridge so far.

                                                       Even bikes pass the old dead bridge.

Morning walk in Nepal

Like many of you out there I also do some walking in the morning. I started so that I could maintain my health towards the normality. How could I know that I had to pay a price for this healthy life style? The locality where I do my morning walk has a good road, amazing! god knows how, that's the truth. Now that the road is fine, there is a police camp as well so I do not have to worry about my safety too. It's Nepal, something has to go wrong. As always there is something wrong there. Oh wait, I forgot to tell you about some the trees which are planted in that area. The thing that bothers me is the huge pile of dirt all along the road where people walk. There is also a river like thing as people call it which is covered with dirt. There was a bridge along the river which is pretty old. I am not talking about old guy who can breath, i am talking about an old guy who is dead. The government decided to make a new one over there. Do you know what government did? they shifted the dead bridge to a new place, around 1 meters from the original site. The condition of bridge can't be explained now. People still walk on the bridge, so do I. It's been years and the bridge is still on the verge of making. Even God dosen't know when is it going to be made. So, talking about my morning walk- it had been 2 wks of morning walk when I got some symptoms like diarrhea, fever, headache and I was diagnosed as a case of typhoid. When I went back on my thought I knew it was because of the tea which I drank as I was coming back to my home after the walk. Then for 6 mths no walk, no work and so on. I have now decided not to even smell the air in that area so I bought a mask. Well, I don't know for how long the mask is protecting me from getting a lung disease as well. GUESS WHAT!! MY HEART IS FINE.
 I will post the photos tomorrow.

Hospitals in Nepal

Now is the time when I talk about the real thing which I am good at. Since I am a doctor, i ought to be good at describing the conditions of the health sector in Nepal. Let me relate it to you this way,' doctors in Nepal are far more capable of diagnosing diseases by just listening to the history than any doctors in any part of the world'. Its just like the pilots of Nepal are one of the best ones in the entire world due to Nepal's abundance of hills and mountains. But in the former case its not due to abundance, rather its due to rarity.
     The equipments that are being used by the doctors in the developed worlds are not available in Nepal, is not the true statement. Any equipments that are available for diagnosing diseases from the simplest equipments are like hair in a bald man's head in this country. I do want to state that there are good hospitals that try to provide good services too, but I am not to  talk about the rare things. There are hospitals that are well equipped and expensive. There are hospitals that are unequipped and cheap. There are no hospitals that are well equipped and inexpensive, not even the government hospitals. In this part of the world were poverty is the major issue; there should have been  good health facilities provided by the government to the people, its exactly the opposite. People are desperate for good health service and government is desperate for the chair. I don't actually know what is the thing about the chair politicians speak of. I think the chair should be sat on when the person running the country is satisfied by the work he has done for the country.

 The last thing which should be thought of carefully is: NEPAL HAS THE HIGHEST MATERNAL MORTALITY RATE IN THE ENTIRE WORLD.

Thinking of the country, the country has to 1st develop the infrastructure (1st statement from anyone in the world for the country). Even the constitution has not been able to standup, let aside the infrastructure. Dose anyone from the united states know how to stay in a nation without electricity for 16 hrs a day? I know a lot about that. I even gave my final year mbbs examination when there was no electricity for 18 straight hrs and guess what, it was the coldest winter ever. When I look back into those times I feel funny because I can't relate it as a past. The present condition is even worse than it used to be.  
      Let the electricity alone, when I have to go to the hospital i have to walk to the hospital for somedays of the month. Well,  it is not for my health, its because somedays the country is closed and for the other petrol is not available in the country.
     I truly want to stay in the nation and want to help in the development of the nation. I read everyday that another country has donated Nepal some heavy money for the part of its development. But its kind of weird that I have never seen any processes of development so far. Oh well, road is being built by China in Nepal. Its being built at the antique place in the country called ' Bhaktapur' ( It a part of Kathmandu). There are many instances when roads are built in many parts of Nepal, but the funny thing about that is- only after the road is built, people destroy the road to clean the drain ( its the same thing again and and again--no one can do anything about that, can we?? Not even the government).

NEPAL THE COUNTRY OF BEAUTY, WHICH NEEDS HELP TO FLOURISH

From the time immemorial, as the countries were developing, the country Nepal has been hiding in the shades of underdeveloped nations. The country even though visited by many foreigners is still not heard of by many. This country could have come to the standards of present prolific nations if the manpower and the natural resources of the country were utilized. The country, Nepal is no doubt filled with the beauty of nature, it also has the potential to give tons of raw materials for the development of the people and the nation. I feel like crying when I see the present state of the nation and I do know that the nation is crying with me. As the time is passing by, deeper the grave is bing dug for this nation.
   A time was there when this nation was known as 'the peace nation' but presently due to the political instability and cruel nature of the people within, who once were in peace have led to the downfall of the nation. This 21st century has led the country towards the 1st century. Leave alone the development of the nation, people who want and can work are leaving the nation and emigrating to other countries for the safety and employment. The people who are left in the country and who want to work for it are being robed by unknown groups (so called by the media and police). Political instability, poverty, illiteracy, inhumanity and many more have befallen over the country.
   But still the nation has hope that someday the nation will prosper, someday it will get the respect it needs, a day will come when the people of Nepal will think about the development of their country rather then their own life.    

   This is a blog for the prosper and development of nepal. This day I hope will influence the people all around the world. I hope to talk only about the good of the country. May the prayer be heard not by god but by the people of this nation.