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
The contract is likely to be voidable because it was formed
as a result of undue influence. Undue influence is being defined as an
individual’s way of influencing others by means of having them to induced them
rather than using their own free will or they are influenced without their full
attention that can lead to certain consequences.
Terry's home was destroyed in a hurricane. It is hard to find food, so he is constantly hungry. However, he feels lucky because his family survived and he is together with his loved ones. According to Maslow's theory, Terry's <u>physiological </u>needs are not met, but his <u>belonging </u>needs are being met.
What are physiological needs?
Maslow's hierarchy of needs places physiological needs at the bottom. They are the most important things a person requires to survive. Shelter, water, food, warmth, rest, and health are among them. At this level, a person's motivation stems from their instinct to survive.
What are belonging needs?
Love and belonging needs are at the third level of Maslow's hierarchy of needs. Humans are social beings who seek interaction with others. The need for friendship, intimacy, family, and love is outlined at this level of the hierarchy. Humans have a need to give and receive love in order to feel like they are part of a group. Individuals who are deprived of these needs may experience loneliness or depression.
Learn more about need hierarchy here:
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Answer: The answer is c. for plato users.
The biggest difference between the State Department and the Defense Department is that "the State Department deals with diplomacy, and the Defense Department manages the military," because these two tasks are different but sometimes intertwined in the sense that combat results from a diplomatic failure.
The answer is: A. It is aligned with values, challenging objectivity.
Action research is a form of research that conducted by offering some sort of progressive solutions to the communities that are experiencing some sort of problems. (such as hate groups, vandalism, etc)
While the intention might be good, action research is undeniable based on value, since the solutions that offered by the researchers would only based on what the researchers think as morally right. This will create a bias in the way their view the result of their research.
