Unofficial translation

(Darft ver.l as of 08 Aug 2014)

ti -
 •
•
Content
3
attempts 3
Present situation 4

4. Problems and challenges 5

5. Rationale for new policy, guiding principles and vision 7
8
8
8
8
8
9
8. Organizational Management 20
9. Financial Sources 20
10. Monitoring and Evaluation 20

12. Cancellation 20

National Health Policy 2071 - Unofficial translation draft ver 1 (08 Aug 2014)
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National Health Policy, 2071

services to all oeo11Jie

at

volunteer ......,,,.,.,,_ started in

approach globally. policy to
maternal child UV¥•UU care was
to simplify the monitoring mecmm
-~~- . .J integrated by 2047 BS.
As - 2048 promoted involvement of private sector in health and also
provided policy environment to open up investment from private sector in health care services.
... new private institutions institutions were ,.,,,..,,.U,,h:Ul'""'
extensively. Participation and involvementof private sector have been increased in urban""""'""~"
and mainly focused in providing curative services production of drugs and

National Health Policy 2071 - Unofficial translation draft ver 1 (08 Aug 2014)
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are some indicators that considerable progress achieved

1
Subject The decade BS2048 2068 BS
of BS 2007 -1991 -2011
(the decade AD_
of19SO)
a) Infant mortality rate (per one 200 107 46

(Per one 1800 850 170

53 68.8
(2011 AD)
five mortality (per 280 197 54

7 5.8 2.6
70 88/87

a remarkable achievement and

many problems and chi:tueni.z:t~s

•
community as
• obesity is growing urban area, malnutrition is observed in nearly
under years and women of reproductive age despite continuous arn~mrns
state.
• problems are growing
u.,,,,.....u calamities.

• Non-communicable as cancer, heart diseases including high blood pressure,

diabetes, diseases, liver diseases as well as psychiatric illness and dental
ais1eas1~s are everyday. Likewise, the number of people dying because of
accidents and injuries is going up.
• Although very improtanat to address, state not been able to adequately prioretize
health, gedriatric health, mental health, genetic diseases, environmental health,
occupational health, sexual and reproductive health, adolocent health and youth
programs.
• People centerd programs have not strengthened and adequately planned to ensure their
access to qualitaty medicine, its rational use, incountry production and quality
distribution of essential medicine.

National Health Policy 2071- Unofficial translation draft ver 1(08Aug2014)

 •
•

• population
• to be addressed
urgently.
• ,.,., __.,.,,.,,"''""' acts, rules, policies, strategies
"'"'""''"'..~ manner. Likewise, as

National Health Po/H;y 2071 - Unofficial translation drnft ver 1 Aug 2014)
71Page

state is a signatory of different international commitment, challenges persist adhere

to the treaties and agreements related to health.
• It is necessary for the state to its investment into the
necessary for the people with mental and physical handicap
blindness, weak sight and hearing impairment as the state is the
international convention related to
• It is necessary local government be empowered and make pu1t>m:;-n!spons1
while people's participation programs at

As the current health policy, 2048 is not adequate to ensure citizen's m1mam~:n1~u
and to manage challenges, it is to .. v . u n......."'
1m\1en1u. principles have been developed and
orcioo:sea accordingly.

National Policy, 2071 will be implemented on the basis of the following

• A provision to provide quality health service as a fundamental right of the citizens shall
be ensured.
• citizens be ensured.
• iviunua•-""·' and implemented on basis of equity social justice to
marginalized at community to the

• all walk of live shall be inspired to participate in the health services.

• to the promotion~ protection and rehabilitation of
citizens shall the other policies of the state.
• Participation of private sectors shall be encouraged in such as way that citizens can
can afford and easily acess quality services.
• and resources received from internal and external agencies shall be mobilized in
as way that this policy and the made under this policy can be implemented
efficiently.
• All health services provided through the government or non government sectors from
shaU be regulated and monitored.
• Health service delivery shall be made accountable.

This policy is essential to ideally execute the aforementioned principles.

National Health Policy 2071- Unofficial translation draft ver 1 (08 Aug 2014)
 medicine systems.
4) 0
'"" provision/import
0
"'""" quality and
enhancing in country production capacity gradually head towards
selfdependence
5) Improve quality of health research inline with international standards and establish
effective mechanisms to translate these into policy making, planning and medicine
systems
6) Promote public health by giving priority to health education, information
communication to people protecting people's fundamental right to health i11formation

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7) Minimize prevalence of malnutrition through promotion and utilization ofhealthy food

8) Ensure provision of quality health through efficient and accountable mecn1:mlsm
and process ofcoordination, monitoring and regulation
9) Ensure professional standards and quality of health services by making related
professional councils capable, professional and accountable.
10) Gradually mainstream health in all policies by further strengthening collaboration
multi-sector stakeholders in health.
11) Ensure citizens right to live in environment through effective control
environmental pollution for health protection and promotion.
12) Improve governance through policies, management and organizational structure to
deliver quality health services
13) Promote public private partnership for systematic and qualitative development of health
sector
14) Gradually increase state 's investment in health sector and effectively utilize and manage
from sector development partners to ensure affordable and quality
services and ensure financial protection in health expenditures

1. Following strategies are will be implemented to provide access quality health

services (Universal Health Coverage) to every citizen in an effective way and

(Related to policy No. 1)

1. I . Basic health services are provided free of cost making the law related to the basic healt.h
services.
1.2. Nepal is the nation supporting the International Convention of Disabled, all the
services necessary for blind, people low eye-sights. deaf and mentally, physically and
intellectually disabled will be included as the mandatory health services.
l .3. The bask health-services programs conducted by the state will be made current as per
necessity of the citizens of the health-refated needs and the national directories and protocols
will prepared and implemented confirming that the citizens are getting the quality health·
services.
l .4. The health-services will be made more intensified in rural areas, the marginalized groups of
the urban areas are also included and balanced services wiH be provided on the basis of
equity.
l .5. The priority given to resistance and promotional services will be kept intact and the quality
treatment services based on national standard will be promoted with the proper use of
technology and medidnes.
l .6. Determining and developing the sectors that provide advanced and international-standard
services, Nepal will be developed as the study center for the health tourism and health
science.

National Health Policy 2071- Unofficial translation draft ver 1 (08 Aug 2014)
 service wiU be made available throughout the country under the same
code number. Necessary medicines, oxygen and <tuatified manpower will be made available
in the ambulan<.-e services. Certain bases will be to the people in
omam::e will be started to them immediate health care
will be provided to the injured making the web of able first-aid qualified
and necessary in one hour distance in the roads.
l. I 9. On the basis of the standard. devised on the basis of the ratio of geographical and
demographic features, a health care center will be constructed per in the maximum of
thirty minutes distance. Periodical plan will incorporate the scheme to construct a primary
health-care center per twenty thousand of population and a hospital with twenty-five beds per

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111 Page

hundred thousm1ds of population. Similarly, a primar) health-care center \\ill be cstabHsh<.:d

per industrial area.
1.20. Periodic plan will incorporate and gradually act upon the plan lo extend the mental
servic~'S from the local health care centers to the extra-advanced service providing hospitals.
l .2 l. Family planning and rcpn:.xinctive health \viii be acted upon as the unified service. Alt
hca.lth organizations will incorporate the youths and adolescent-friendly health services. The
law will be promulgated for the repmducfoe health.
1.22. child-diseases programs to promote the child health will
strengthened, made current and acted
1.23. The health services to treat the eyes ears will he extendt.>d throughout the country
actively acted upon.
l .24. National level hospitals will be established to treat and teach on the problems related to
teeth, nose, eye and ear.
l .25. National pubtk health !abs and mcdidne Jabs wiH be strengthened and
,~"''"''>•U•P labs~

t.26. by

1) following strategies will be taken to plan, produce, retain and develop skilled human
resources to deliver affordable and effective services

resource management
manpower will be planned
resources will be as investment.

2.2. national curriculum made and implemented to the

responsible and aptly and stratified manpower as the national necessity. The quality
of the produced manpower from the educational organizations wili be monitored by the
level monitoring and the govemmental and non~governmental educational organizations
will be helped as well as regulated.

2.3. Active and regular presence of the manpower in their workplaces will be through
the creation of the environment to make them obligatorily work at the place allocated for them.
The health workers working in the remote areas and their dependent family members will be
benefitted from certain facilities and opportunities.

2A. Quality services wiU be ensured creating the additional vacancies so that skills <)f multiple
skilled persons will be mixed.

25. A doctor and 23 heatth workers per ten thousand of population will be gradually ensured.
Special provision will be made for the remote and mountainous areas.

National Health Policy 2071 - Unofficial translation draft ver 1 (08 Aug 2014)
 ided

utilizing

will wm
developed gradually. It developed and
evaluating the quality service by the research carried out in this field. Long~term
and implemented protection, development expansion of
'''"'''"''!'""'medicinal system.

3.2 Appropriate infrastructures wHl be developed and expanded for the effective
1enH nnn1nn of the ayurvedic methods.
1

33 Emphasis wilt be given to increase the production and marketing while ensuring the
quality of production by the private and public ayurvedic producers with specific plans and
programs f(;r the protection appropriate use of loca.lly available herbs.

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3A Study, and producing

Research program.

3.5 Special consideration ""iH

be given in promoting the quality of Ayurved health service
monitoring the improper activities in the name of Ayurvcd and herbs.

4) utilization of quality metucme

production capacity gradually

to No4)

the drugs

per the or
and laboratory

4.3 A and types

fredy through every

5) following will be implemented to health i.nline with

international standards and establish effective m'~eb.anis.n1s these into policy

(related to

5. institutional and condition of

in a timely manner by improving in the quality of
research to it to the international standard. Specific programs will be designed in
area of council's capacity building to promote and facilitate health research.

5.2 A system to regulating the health research to provide new ways

recommendations in promotion, protection, improvement and restoration of citizen's health
and utilizing recommendations from the research more effectively in the policy making,
planning and implementation.

5.3 There will be an increase in easy public access to reports and conclusions from the health
research.

5.4 Inclusion of health in the research related to other areas wiH be""'"'""'""

National Health Policy 2071 - Unofficial translation draft ver 1 (08 Aug 2014)
 on

related to \VJth the

that internationally proven to be highly effective

in all the throughout the
related programmes, that are currently being run in the schools,
plan with an extensive of operation will be developed and
health programmes will be implemented by appointing one health worker at least up to a high
school.

6. 7 A system wiU be devised to the right to infonnation related to the information

that the concerned beneficiary should get regarding health services especially all types of
information regarding treatments of patients.

National Health Policy 2071 - Unofficial translation draft ver 1 (08 Aug 2014)
5

accountable mechanism and

".,. ...... .,..,. . u.i1nwrn10 s1trate2;1es will
9.l to ensure quality ~of service
related education the country ·will be

9.2 exi~1ing acts statutes be and implemented maintain the unifr1m1ity in

the services provided the health institutions and councils.

9.3 and councils infraslructure~wbe. .

9,4 non-governmental related professional
associations/organizations in and study and ..,,,,,,.,,,,y. promoted.

ver 1 (08 Aug 2014)

• 17 IP age

10) ~nUU:UUllYmainstream in all policies by further Str·~m12til1ening COllll:UlM:H~at.mn

um1-se:et(J1r stakeholders in health.

(related to no 10)

!O. I Accepting health as a main Je'<elopment agenda. existing multl-scdor collaborations

strengthened. Health agenda wiH included in aH concerned policil;.'.s.

I0.2 Action plans will be prepared and implement in such a way that there be multi-sector
coordination as various like, drinking water, sanitation, energy. food security
environment, education, accommndatitm, infrastructure development including
in availing the health service.

l 0.3 Sustaining the progress made by Nepal in health related millennium goals which was set
up to 2015, set for the future time-frame will be addressed more

For the overall m0magc1nc:nt effects cfimate change

multi-sector action plan will be all stakeholders wiU
done properly utilizing the national mechanism or opportunities.

10.5 in to the diseases transmitted from animals and insects to human,

wiH be developed for cffoctive coordination and collaboration among
•

live
health protection and orjLJmouon.

(related to noH)

Proactive leadership will and collaborated in the regulating by the

t<J effectively control the as a result of climate change and
"""'"W'"'"~"""' pollution for the protection of health.

l l .2 An effective mechanism wiH sdentificaUy manage the garbage related to

health service across the country. Existing provisions on the management of garbage wifl be
strictly enforced.

113 Legal provisions will be developed and enforced to manage the radiation used in the
health sector according to national and international standard.

12) In order to maintain improve governance through policies, management and organizational
structure to deliver quality health services

(related to policy no 12)

• 12. l Existing acts and other legal provisions will be reviewed and modified as necessary to
make the health service operation more effective as well as reliable. Integrated Public Health Act

National Health Policy 2071 - Unofficial translation draft ver 1 (08 Aug 2014)
 or
from the be systematized legally.

l 12 adapted to facilitate organ donation and selection of

and practically defining brain-dead to make available more
easily for organ trnnsplantation.
..
12.13 Jn the context of having many unions in a institution, there will be a
provision fbr only one pmfessional organization (trade union) in an institution.

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l 2. t 4 Problems of infertility \\ill bl'.'. addressed h) surrogacy laws.

13) to public private partnership for systematic and qualitative de1ve11c.p1ne111t

following wm be adapted.
(related to policy no 13)

13.l Public and private participation will be developed in a way that

complimentary to each other in order to further promote the concept of
participation.

13 .2 There will icgal prov is ions to promote and '"''"''"'nm the concept of cooperative
participation in the health sector.

133 A sound will be developed the health from the

they will
14) increase state's in health sector and et1ec11:iv1elv
support from sector to ensure affordable
health and ensure financial protection in expenditures

(related to
• 14J The spending in health sector is not actually an expenditure but it is an investment~ by

every year.

14.2 Currently 55% of total investment for is spent by individuals from their
sources it will decreased.

14.3 While distributing budget in the health se<:tor, it will he done by setting certain

145 A nationwide insurance policy will be implemented by making law and implementation
jn order to ensure delivery of an accessible health service making a sustainable
financial management. Those who are unable and financial poor will be subsidized.

t 4.6 · fmmunization Fund' established with the aim of avoiding financial crisis for
uninterrupted operation ofimmuni7Jltion programme will be systematized legally.

14.7 Generating new ideas for financial management of health sector and supporting such acts
wiU be promoted. Other funds on health sector will be made more organized and effective.

14.8 Provisions will be made for utilizing programmes and cash at local level for the health
service and infrastructures.

National Health Policy 2071 - Unofficial translation draft ver 1 (08 Aug 2014)
 .

,.-

it

l. in

2. to refonned by making as the

central and state government when implementing as the nation converts

is cancelled.

National 2071-

..