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:
Our country Nepal is rich in natural beauties, gifts, resources, and wonders. There are many places and things of cultural, historical and religious importance. Mt. Everest, the highest peak in the world, lies in Nepal. We are proud of it. The snowcapped mountain peaks beautiful water resources, the green forests of hypnotic beauty, flora and fauna, etc. attracts many tourists every year.
Nowadays tourism in Nepal is very important. Nepal is a suitable place to promote tourism. Nature has given us many things which are liked by tourists. Some tourists come here to enjoy natural beauties and wonders. Some of them visit our country for trekking and climbing mountains. Some want to learn something about our history, culture, religion and so on. We can see that some tourists come here to enjoy their holidays.
Your answer is D.
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<span>The answer to that question is letter B. Fief or what we call feudum in Latin is an important element in feudalism. This process occurs when an overlord or vassal grants property of rights over a chosen individual. Usually these inheritances are in a form of property of lands. An overlord or vassal gives something to a chosen individual because they are entitled to a fee or a fealty. Giving a fealty is something an overlord or vassal would do to pay off services or allegiance given to them. </span>
South Korea was the country or it could also be Korea