Transforming Nepal’s primary health care delivery system in global health era
Addressing historical and current implementation challenges
Dados Bibliográficos
| ID | 19533987 |
|---|---|
| Autores | Bipin Adhikari (0000-0001-8981-3910, Angkor Hospital for Children, autor correspondente), Shiva Raj Mishra (0000-0002-2993-3504), Ryan Schwarz (0000-0001-8486-8373, Brigham and Women's Hospital) |
| Ano | 2022 |
| Volume | 18 |
| Fascículo | 1 |
| Páginas | 8-8 |
| Data de publicação | 2022-12-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Globalization and Health (JOURNAL) |
| Identificadores do periódico | ISSN: 1744-8603 • E-ISSN: 1744-8603 |
| Editora | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s12992-022-00798-5 |
| PMID | 35101073 |
| OpenAlex | W4210472177 |
| Idioma | EN |
| Citações recebidas | 17 |
| Referências citadas | 56 |
Nepal’s Primary Health Care (PHC) is aligned vertically with disease control programs at the core and a vast network of community health workers at the periphery. Aligning with the globalization of health and the factors affecting global burden of diseases, Nepal echoes the progressive increase in life expectancy, changes in diseases patterns, including the current impact of COVID-19. Nepal’s health system is also accommodating recent federalization, and thus it is critical to explore how the primary health care system is grappling the challenges amidst these changes. In this review, we conducted a narrative synthesis of literature to explore the challenges related to transformation of Nepal’s primary health care delivery system to meet the demands incurred by impact of globalization and recent federalization, covering following database: PubMED, Embase and Google Scholar. Of the 49 articles abstracted for full text review, 37 were included in the analyses. Existing theories were used for constructing the conceptual framework to explain the study findings. The results are divided into four themes. Additional searches were conducted to further support the narrative synthesis: a total of 46 articles were further included in the articulation of main findings. Transforming Nepal’s primary health care system requires a clear focus on following priority areas that include i) Revised efforts towards strengthening of community based primary health care units; ii) Adapting vertical programs to federal governance; iii) Reinforcing the health insurance scheme; and iv) Strengthening an existing network of community health workers and health human resources. This review discusses how these broad goals bear challenges and opportunities
Community health · Economic growth · Economics · Global health · Health care · Health services research · International health · Political science · Public health · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Nursing · Health Policy
Factors influencing the utilisation of National health insurance program in urban areas of Nepal
Access to health services among culturally and linguistically diverse populations in the Australian universal health care system
The hidden curriculum
Spatial Variations and Determinants of Anemia among Under-five Children in Nepal, DHS (2006–2016)
National Health Policy and factors predicting its implementation at the local level in Nepal
Stakeholder analysis for ‘One Health’ approach to tackle antimicrobial resistance
Undernutrition inequality between Dalits and non-Dalits in Nepal – A decomposition analysis
A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda
An anthropological history of Nepal’s Female Community Health Volunteer program
Multidomain and multilevel strategies to improve equity in maternal and newborn health services in Nepal
Perceptions around Covid-19 and vaccine hesitancy
Over the counter use of topical corticosteroid for skin conditions among patients before attending skin specialist clinic in Nepal
Exploring the feasibility of integrating health, nutrition and stimulation interventions for children under three years in Nepal’s health system
Protest, withdrawal, and change
“Who speaks for us”
Comparing health systems readiness for integrating domestic violence services in Brazil, occupied Palestinian Territories, Nepal and Sri Lanka
A bucket in the ocean
Making sense of complexity in context and implementation
When complexity science meets implementation science
Will global health survive its decolonisation?
Time to challenge the spurious hierarchy of systematic over narrative reviews?
Balancing the strengths of systematic and narrative reviews
Scoping studies
High-quality health systems in the Sustainable Development Goals era
Why do people purchase antibiotics over-the-counter? A qualitative study with patients, clinicians and dispensers in central, eastern and western Nepal
Decolonising global health in 2021
Earthquake rebuilding and response to Covid-19 in Nepal, a country nestled in multiple crises
How does globalization affect Covid-19 responses
Cardio-metabolic disease risk factors among South Asian labour migrants to the Middle East
Burgeoning burden of non-communicable diseases in Nepal
Elements of effective community engagement
National health insurance policy in Nepal
Health system’s readiness to provide cardiovascular, diabetes and chronic respiratory disease related services in Nepal
Combating non-communicable diseases
Social Health Insurance
Scoping studies
| Obras citantes distintas | 17 |
|---|---|
| Citações por ano | 4,25 |
| Intervalo de citações | 2022 - 2026 (5) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 16 |