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:A merchant wholesaler
Explanation:A merchant wholesaler is an institution which purchases products so that they can then sell these products to the larger market such as businesses, government agencies and retailers. When they purchase these goods it becomes theirs.
What are the two basic types of merchant wholesalers?
There is a full service wholesalers which provides full service and there are limited wholesalers which provides limited services to their suppliers and customers.
The best answers for this would be:
Every friday afternoon around 4:00 pm, nerf darts start
flying around the office at aplia, where both work and play are highly valued. –
Slogan would be the best fit for this statement.
at virginia tech, students and professors remember the
courage of professor liviu librescu, who died protecting his students from a
gunman in 2007. – Hero would be the best description for the statement of
culture.
at ibm, people talk about the meeting where people were told
to turn off the projector and "just talk." this de-emphasized the
importance of slides in organizational communications. – Finally story is a
great way to put into the communication of other people.
A firm may narrow its focus to a specific region of the world so that it can better understand the cultures, legal and social norms, and other factors that are important for effective competition in those markets
.
Option a
<u>Explanation:</u>
Any firm when it starts must focus on first developing and enhancing itself fully. A 100 percent work efficiency must be the goal of the firm and it must try to achieve at least 99 percent. Thus, first, it must start at a small pace, build its foundations and then expand.
A firm may thus narrow its focus to a specific region so that it can better understand the cultures, legal and social norms, and other factors that are important for effective competition in those markets.
Answer:
<em>Middleman Minorities </em>
Explanation:
A minority middleman is <em>a minority group of which the primary occupations connect producers with consumers: traders, money lenders, etc.</em>
A middleman minority, though likely experiencing prejudice, doesn't have an "extreme inferior" position in society.
Sociologists such as Blalock and Bonacich have developed the definition of "middleman minority" since the 1960s, but it is also used by political scientists and economists.
