District Health Systems Assessment within Inter¬sectoral Context

Background: In Nepal, some districts are found to be better in terms of it health indicators and coverage whereas some are still struggling hard to achieve its better health indicators and coverage. This study tried to identify and analyze the factors that are responsible to major four key functions...

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Main Authors:	Bhusal, CL, Singh, SP, Aryal, KK, Jha BK, Ghimire, N
Format:	Technical Report
Language:	en_US
Published:	Nepal Health Research Council (NHRC) 2016
Subjects:	assessment district health system health system inter-sectoral coordination
Online Access:	http://103.69.126.140:8080/handle/123456789/153
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spelling	oai:103.69.126.140:123456789-1532022-11-08T10:29:26Z District Health Systems Assessment within Inter¬sectoral Context Health Care Delivery System Bhusal, CL Singh, SP Aryal, KK Jha BK Ghimire, N assessment district health system health system inter-sectoral coordination Background: In Nepal, some districts are found to be better in terms of it health indicators and coverage whereas some are still struggling hard to achieve its better health indicators and coverage. This study tried to identify and analyze the factors that are responsible to major four key functions of the health system as well as other contributors such as inter-sector coordination that may have equally important role in improving the function of health system. Methods: The design of the study was descriptive. The study was carried out from June-November, 2012. Six districts were selected purposively based on the performance indicators. Majority of data was collected using qualitative methods. Results: The main components in the district health system that needs an immediate attention are number of new posts to be created to fulfill the deficit, provision of area specific incentives and benefit packages. The major constraint for inter-sectoral coordination to be effective is lack of its planning and enforcement. The key areas where inter-sectoral coordination could be important are preventive and promotive health care, waste management, water supply and sanitation, health service utilization, pesticides and human health, agriculture and nutrition, air pollution. Conclusions: Bottom up approach should be enhanced for effective planning and management. Key areas need to be identified which will have significant impact on public health system by promoting inter‐sectoral coordination. Inter‐sectoral effort should be initiated from the central level and implemented in all the levels. Keywords: assessment; district health system; health system; inter-sectoral coordination. 2016-11-09T08:39:49Z 2022-11-08T10:10:40Z 2016-11-09T08:39:49Z 2022-11-08T10:10:40Z 2013 Technical Report Nepal Health Research Council (NHRC) http://103.69.126.140:8080/handle/123456789/153 en_US application/vnd.openxmlformats-officedocument.wordprocessingml.document Nepal Health Research Council (NHRC)
institution	My University
collection	DSpace
language	en_US
topic	assessment district health system health system inter-sectoral coordination
spellingShingle	assessment district health system health system inter-sectoral coordination Bhusal, CL Singh, SP Aryal, KK Jha BK Ghimire, N District Health Systems Assessment within Inter¬sectoral Context
description	Background: In Nepal, some districts are found to be better in terms of it health indicators and coverage whereas some are still struggling hard to achieve its better health indicators and coverage. This study tried to identify and analyze the factors that are responsible to major four key functions of the health system as well as other contributors such as inter-sector coordination that may have equally important role in improving the function of health system. Methods: The design of the study was descriptive. The study was carried out from June-November, 2012. Six districts were selected purposively based on the performance indicators. Majority of data was collected using qualitative methods. Results: The main components in the district health system that needs an immediate attention are number of new posts to be created to fulfill the deficit, provision of area specific incentives and benefit packages. The major constraint for inter-sectoral coordination to be effective is lack of its planning and enforcement. The key areas where inter-sectoral coordination could be important are preventive and promotive health care, waste management, water supply and sanitation, health service utilization, pesticides and human health, agriculture and nutrition, air pollution. Conclusions: Bottom up approach should be enhanced for effective planning and management. Key areas need to be identified which will have significant impact on public health system by promoting inter‐sectoral coordination. Inter‐sectoral effort should be initiated from the central level and implemented in all the levels. Keywords: assessment; district health system; health system; inter-sectoral coordination.
format	Technical Report
author	Bhusal, CL Singh, SP Aryal, KK Jha BK Ghimire, N
author_facet	Bhusal, CL Singh, SP Aryal, KK Jha BK Ghimire, N
author_sort	Bhusal, CL
title	District Health Systems Assessment within Inter¬sectoral Context
title_short	District Health Systems Assessment within Inter¬sectoral Context
title_full	District Health Systems Assessment within Inter¬sectoral Context
title_fullStr	District Health Systems Assessment within Inter¬sectoral Context
title_full_unstemmed	District Health Systems Assessment within Inter¬sectoral Context
title_sort	district health systems assessment within inter¬sectoral context
publisher	Nepal Health Research Council (NHRC)
publishDate	2016
url	http://103.69.126.140:8080/handle/123456789/153
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District Health Systems Assessment within Inter¬sectoral Context

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