Explanation:
Nepal moved from unitary system with a three-level federal system of government. As federalism accelerates, the national health system can also speed up its own decentralization process, reduce disparities in access, and improve health outcomes. The turn towards federalism creates several potential opportunities for the national healthcare system. This is because decision making has been devolved to the federal, provincial and local governments, and so they can make decisions that are more representative of their localised health needs. The major challenge during the transition phase is to ensure that there are uninterrupted supplies of medical commodities and services. This requires scaling up the ability of local bodies to manage drug procurement and general logistics and adequate human resource in local healthcare centres. This article documents the efforts made so far in context of health sector federalization and synthesizes the progress and challenges to date and potential ways forward. This paper is written at a time while it is critical to review the federalism initiatives and develop way forward. As Nepal progress towards the federalized health system, we propose that the challenges inherent with the transition are critically analysed and mitigated while unfolding the potential of federal health system.
Keywords: Challenges and Opportunities, Decentralization, Federalism, Health Reform, Health Sector, Nepal
Background
With the promulgation of its constitution in 2015, Nepal replaced a unitary government with a federal system of government.1 This process has made Nepal a federal democratic republic governed with three levels of government: a federal level, seven provinces and 753 local government.2 It also led to local elections in late 2017 for the first time in two decades, a landmark achievement signalling that federalism is being implemented.2 With the ongoing restructuring of the health system delivery, this article aims to synthesize the progress and challenges to date and potential ways forward based on the perspective of the federal government. The progress of federalization in Nepal is also considered in light of the experiences of other countries that have implemented federalism, and these remarks may be pertinent to progressively guide the management of the health sector federalization.
Current Situation in Nepal
During the last few decades, Nepal Government has made significant progress towards reducing maternal, under-five and infant mortality rates. During the same period, Nepal was able to halt and reverse the trends of tuberculosis
Answer:
C
Explanation:
A projection test is mostly used in clinical settings. Theses test are used to know the qualitative information about the clients.
Protective test has some disadvantages such as:
- These tests do not have standard scales tends to lack both validity and reliability
- Scoring is highly subjective
- The score of the test highly influenced by the subject's attitude and mood.
But some researcher suggested that the projection test such as Rorschach have the supplementary assessment used in conjunction with another diagnostic test that identifies thought disorder and disabilities
This is what i got
Only 2 of the 25cm cake will fit in a 600mm x 500mm
600mm=60cm
500mm=50cm
60 divided by 25 : 2.4
50 divided by 25 : 2
so the best it could fit is 2 of the 25cm cakes
Answer:
Kush was influenced greatly by Egypt: clothing, temples, calling their rulers pharaohs and burying them in pyramids. * *Kush had many elements of their culture that were unique such as their houses, and written language.
<span>I believe the answer is: In a controlled and unstable environment at slower speeds
Controlled environment refers to exercies places with full safety regulations intact in order to avoid fatal accidents. The 'slower speed'in this context does not necessarily mean always do low level workout, but we need to maintain our workout level only to reach 70& - 80% intensity most of the time in order to prevent injuries that might mess up your workout schedule.
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