Mr. Haridas Sharma
Phone :- 01- 4269735
Nepal is a landlocked country surrounded by India and China. Geographically, it can be divided into three distinct belts - the mountains in the north, the hills in the middle and the plain of the terain to the south. The predominance of rugged mountainous areas has made the development of transport and communications extremely difficult.
Even today a large part of the country remains inaccessible by modern transport and communications; essential goods and information cannot reach remote areas in a timely manner. The most remote and poorest districts have an additional burden. They have to depend on outside economies, paying two to three times more for essential goods. The costs of medicines and other basic necessities are often beyond the means of the poor in remote regions.
Nepal is a land of diversity with marked multi-ethnic characteristics. Approximately 55% of the population comprises indigenous Nepali speakers. Nepal is a Hindu kingdom with a social system characterized by the centrality of the family with factors such as caste and religion having significant impact on the lives of the people.
Administratively, Nepal is divided into
||5 development regions,|
||3915 Village Development Committees (VDC), and|
||nearly 36,000 wards.|
The ilaka is an administrative service level between the district and the VDC; there are 9 ilakas per district. At the district level, each of the departmental or ministry offices oversees the plans and programs for that sector. The role of Chief District Officer is to maintain law and order whereas the Local Development Officer co-ordinates the development activities in the district through the District Development Committee (DDC). The District Health Officer is responsible for all health activities of the district including the organization and management of district hospital, PHCs, HPs and SHPs.
District Development Committees are responsible for the political and economic development of their respective districts. The District Development Act of 1992, later replaced by Local Self Governance Act 1999, empowers the DDC to function as an integrated development institution in line with the national decentralization policy. Furthermore, this act delegates development authority to the respective municipalities and villages.
Nepal's economic development has been severely constrained by geographic, topological and socio-cultural factors including: its landlocked position, limited natural resources, rapid population growth, heavy dependence on traditional agriculture and an increasing reliance on foreign assistance. A high though declining rate of population growth has exerted heavy pressure on the country's limited natural resources, resulting in deforestation, soil erosion and pollution of water sources.
The rapid rate of urbanization during the past two decades has created unprecedented pressure on Kathmandu and a number of cities in the Terai. Apart from the obvious health issues, the main problems are inadequate infrastructure and services, increase in slum and squatter settlements, a decline in the quality of the environment and social conflicts due to overcrowding.
Mortality and morbidity rates especially among women and children are alarmingly high. Acute preventable childhood diseases, complications of child birth, nutritional disorders and endemic diseases such as malaria, tuberculosis, leprosy, STDs, rabies, vector borne diseases continue to prevail at a high rate. Determinants of such conditions are associated with pervasive poverty, low literacy rates, poor mass education, rough terrain and difficult communications, low levels of hygiene and sanitary facilities, and limited availability of safe drinking water. These problems are further exacerbated by under-utilization of resources; shortages of adequately trained personnel; underdeveloped infrastructure; poor public sector management; and weak intra- and inter-sectoral co-ordination.
Gagan Kumar Thapa
Honorable State Minister
Tara Man Gurung
Dr. Senendra Raj Upreti
- स्थानीय स्वास्थ्य संस्था व्यवस्थापन तथा संचालन निर्देशिका २०७१, दोश्रो संशोधन २०७३
- अस्पताल व्यवस्थापन सम्बन्धी कार्यविधि, २०७३
- स्वास्थ्य मन्त्रालय मातहतका कर्मचारीको प्रोत्साहन भत्ता सम्बन्धी कार्यविधि, २०७३
- सामुदायीक अस्पतालहरूलार्इ अनुदान दिने सम्बन्धि (दोश्रो संशोधन) निर्देशिका, २०७३
- NHSS Implementation Plan 2016-21