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:
Maya Lin's "Vietnam Veterans Memorial" is an example of an artist creating a place for a human purpose which is reminiscent of contemporary art form from human history.
Explanation:
This Memorial is situated in the Washington D.C, United States and it gives honor to the soldiers of the United States who fought in the Vietnam War. The establishment of this building or memorial is connected with many issues which have been the source of controversies, some of which have resulted in the takeover of the memorial area. Due to these controversies, this Vietnam Memorial is now made up of three parts.
Possibly more trades could take place around the world
<span>This shows that there is a statistically significant difference between the two parties on the idea. The null hypothesis would have shown that there is no difference in the two parties. Party affiliation, then, will likely be indicative of the level of a person's support for the concept of welfare reform.</span>
I believe the answer to your question is going to be
“Rule by a power-hungry leader”
