1. Present Health Care System in
Nepal
Insights from NDHS 2022 and Annual
Health Report 2079/80
2. Introduction
? ? Overview of Nepal's Health Care System.
? ? Objectives of the presentation:
? - Analyze key indicators.
? - Highlight achievements and challenges.
? - Provide future recommendations.
3. Key Health Indicators
? ? Life expectancy: 71 years (NDHS 2022).
? ? Maternal mortality rate: 186 per 100,000
live births.
? ? Infant mortality rate: 24 per 1,000 live
births.
? ? Fertility rate: 2.1 (replacement level).
4. Organization of Health Care in
Nepal
? ? Three-tier governance system:
? - Federal: Ministry of Health and Population
(policy-making).
? - Provincial: Coordination and program
implementation.
? - Local: Service delivery and community
programs.
? ? Diagram of healthcare system organization.
5. Maternal and Child Health
? ? ANC Visits: 87% of pregnant women
attended at least 4 ANC visits.
? ? Institutional deliveries: 73% of births in
health facilities.
? ? Postnatal care: Coverage gaps in rural areas.
? ? Neonatal mortality rate: Significant
improvements observed.
7. Non-Communicable Diseases and
Mental Health
? ? Rising burden of diabetes and hypertension.
? ? Prevalence of mental health disorders:
Increasing awareness.
? ? Limited access to mental health care in rural
areas.
8. Family Planning and Reproductive
Health
? ? Contraceptive prevalence rate: 43% (modern
methods).
? ? Family planning unmet need: 22%.
? ? Adolescent health services expanding but
limited in reach.
9. Health Financing and Infrastructure
? ? Health Insurance Program:
? - 30% of population enrolled.
? ? Hospital infrastructure:
? - Shortages of equipment and skilled
personnel.
? - Urban-rural disparities persist.
10. Female Community Health
Volunteers (FCHVs)
? ? 52,000+ FCHVs delivering primary health
care.
? ? Key roles:
? - Promoting immunizations and maternal
health.
? - Distributing contraceptives and
supplements.
? ? Major achievements in rural outreach.
11. Challenges in Nepal¨s Health Care
System
? ? Geographic barriers: Remote areas lack
facilities.
? ? Workforce shortages: Concentration in
urban centers.
? ? Health inequities: Gender, income, and
ethnicity-based disparities.
12. Future Directions for Nepal¨s
Healthcare
? ? Strengthen primary healthcare services.
? ? Expand digital health initiatives and
telemedicine.
? ? Improve workforce training and rural
deployment.
? ? Align policies with Sustainable Development
Goals (SDGs).
13. Conclusion
? ? Nepal¨s health system has achieved notable
progress.
? ? Persistent challenges require innovative
solutions.
? ? Collaboration and sustained investment are
essential.
? ? Open for Q&A.