Tuesday, July 5, 2011

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(21st 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. 

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