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
Quentin learns that the least effective way of communicating with clients who have hearing loss is using a louder than the normal tone of voice.
According to Merriam-Webster, the definition of "tone of voice" is actually "the way one speaks to another." Essentially, it's about how you sound when you say the words out loud. "tone" is confused with the tone of the sentence.
Quentin's tone of Voice describes how a brand communicates with its audience and influences how messages are received. It reflects your brand's personality, goals, values , and expertise, and helps you connect with your audience.
Learn more about communication with clients at
brainly.com/question/27959384
#SPJ4
Answer: According to the video, the way we behave, decisions we make, and emotions we have are closely tied to ______our social situations_______. our gender our physiology our social situations our intelligence
Explanation:
Being born in Mexico, having a larger home, earning less money, and working all had an increased risk of food insecurity.
<h3>What is Food Insecurity?</h3>
- The availability and accessibility of food are gauged by the concept of "food security."
- The Committee on World Food Security of the United Nations defines food security as everyone having constant physical, social, and economic access to enough, safe, and nourishing food that satisfies their dietary requirements and food preferences for an active and healthy life.
- Another one is the accessibility of food regardless of class, gender, or geography.
- Food security was a problem many thousands of years ago, as shown by the fact that central governments in ancient China and ancient Egypt were known to release food from storage during famines.
<h3>Who are the Mexicans?</h3>
- Mexicans, often known as mexicanos, are the country's citizens.
- Spanish is the most common language used in Mexico, but some people also speak languages from 68 different Indigenous linguistic groups, other languages introduced by recent immigrants to Mexico, and languages that Mexican expats living abroad have learnt. In Mexico, 21.5% of the population identified as indigenous in 2015.
Learn more about Food Insecurity here:
brainly.com/question/12133129
#SPJ4
Wait what? I’m confuse. I don’t know. Nvm. Thanks for the points :))