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
At a high tide, the gates are closed. The water held inside the barrage, the turbine starts to work, turning the kinetic energy into power, or energy. As time goes by, there will eventually be a low tide, when the difference in depth are greatest. This results in the gates being opened up, letting the water rush out providing max amount of energy.
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Answer:
The answer is: Monitoring of the client's intracranial pressure
Explanation:
Intracranial pressure (ICP) monitoring is a diagnostic test that helps your doctors determine if high or low cerebrospinal fluid (CSF) pressure is causing your symptoms. The test measures the pressure in your head directly using a small pressure-sensitive probe that is inserted through the skull.
<u>Accession </u>is the right of an owner of property such as plants or animals to increase in the property. The owner of a cow, for example, owns the calves born to the cow.
A method of gaining property known as accession property law entails the labor- or material-based addition of value to the property.
According to property law, accession refers to the process of obtaining property by enhancing existing property with labour or raw materials like plants. Owning property automatically grants the right to hold anything that is contributed to or created by it .
An illustration of accession is as follows: If someone permits someone else to harvest undesired alfalfa from their land and make it into bales of feed for livestock, that person may then acquire the finished product.
To learn more about property law, refer
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