Gains In Health Sector

With the implementation of the government’s strategic action plans, Nepal’s heath sector has witnessed remarkable progress in the last one year.  The Ministry of Health and Population’s (MoHP) has put its best foot forward to address the issues such as sexual violence, mental health, and financial allocation. Ensuring everyone’s access to quality health services is crucial for public well-being. The country's healthcare policy must be tailored to this direction. Relentless efforts, taken by Pushpa Kamal Dahal Prachanda-led government, have yielded positive outcomes. Still there is room for the improvement for the effective execution of policies. At the same time, it is also necessary to take the stock of the programmes and schemes that seek to increase the access of poor and marginalised to the health facilities.  Transparency and constant monitoring help overcome inherent shortcomings while enhancing the capacity of service delivery.

One important decision is that health workers are obliged to return to their designated workplaces, particularly in rural areas. When the workforce is evenly distributed, the equitable access to health utilities becomes possible. Approximately 800 health workers have been identified working outside their designated areas, prompting the government to call for their return, a move that aligns with global recommendations for optimal healthcare delivery. Telemedicine services, a modern solution to bridge urban-rural healthcare disparities, have been introduced. The initiative allows senior doctors in urban areas to consult with patients and doctors in rural regions through internet and telephone services. The success of telemedicine hinges on its widespread accessibility, especially in remote areas where healthcare resources are scarce.

According to the report of the World Health Organisation, there is a need of nearly 92,100 healthcare workers across the nation. Currently, with around 30,000 healthcare professionals, the government's call for collaboration between local, provincial, and central authorities to meet this deficit is encouraging. However, swift and effective implementation of plans to add another 30,000 health workers is expected to address the increasing demands on the healthcare system. The collaboration between the MoHP, Education Ministry, and Nepal Medical Education Commission to amend the medical education act is a positive step. This aims to provide opportunities for aspiring medical professionals to study within the country contributing to the long-term sustainability of the healthcare workforce. 

Many a challenge still persists. The construction of basic hospitals demands stringent oversight for smooth operation. Reliance on leased buildings raises concerns about the sustainability and quality of healthcare services delivered. The government's commitment to providing free medical services for economically disadvantaged citizens and the elderly is praiseworthy. However, monitoring the allocation of 10 per cent of beds in private hospitals for these groups is essential to ensure equitable access. The introduction health insurance system, while strategic, requires careful implementation to genuinely support economically disadvantaged citizens.

 As we move to envision a healthier future, it's important to focus on long-term solutions and adjust our strategies based on what the people need. The government needs to make sure that the plans they make turn into real improvements so that everyone in the country can benefit. The government should also be bold to sort out the bigger problems like irregularities and anomalies that erode efficiency and deprive the people of health service. Similarly, the government should focus on ensuring adequate infrastructure, medical equipment, human resources and medicines.