Perspective: Implementing Federalism in the Health System of Nepal: Opportunities and Challenges

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Thapa Rajshree; Bam Kiran; Tiwari Pravin; Sinha Tirtha Kumar; Dahal Sagar

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Journal: International Journal of Health Policy and Management Year:2019 | Volume:8 | Issue:4 Page(s): 195-198

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Title

Perspective: Implementing Federalism in the Health System of Nepal: Opportunities and Challenges

Author(s)

Keywords

Challenges and Opportunities

Decentralization

Federalism

Health Reform

Health Sector

Nepal

Abstract

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.

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References

The effects of decentralization on efficiency in public procurement: Empirical evidence for the Czech Republic

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APA: Copy

Thapa, Rajshree, Bam, Kiran, Tiwari, Pravin, Sinha, Tirtha Kumar, & Dahal, Sagar. (2019). Perspective: Implementing Federalism in the Health System of Nepal: Opportunities and Challenges. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 8(4), 195-198. SID. https://sid.ir/paper/338705/en

Vancouver: Copy

Thapa Rajshree, Bam Kiran, Tiwari Pravin, Sinha Tirtha Kumar, Dahal Sagar. Perspective: Implementing Federalism in the Health System of Nepal: Opportunities and Challenges. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2019;8(4):195-198. Available from: https://sid.ir/paper/338705/en

IEEE: Copy

Rajshree Thapa, Kiran Bam, Pravin Tiwari, Tirtha Kumar Sinha, and Sagar Dahal, “Perspective: Implementing Federalism in the Health System of Nepal: Opportunities and Challenges,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 8, no. 4, pp. 195–198, 2019, [Online]. Available: https://sid.ir/paper/338705/en

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