ORCID Profile
0000-0001-9521-448X
Current Organisations
Kathmandu University
,
Queensland University of Technology
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Publisher: Informa UK Limited
Date: 07-2019
DOI: 10.2147/AMEP.S207353
Publisher: OMICS Publishing Group
Date: 2017
Publisher: Informa UK Limited
Date: 10-2018
DOI: 10.2147/JMDH.S176267
Publisher: Springer Science and Business Media LLC
Date: 05-07-2021
DOI: 10.1186/S12913-021-06681-0
Abstract: Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. National health insurance covers less than 10% of the population and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Sumitra Sharma.