Абстрактный

The public health, government responsibility and new federal structure in Nepal.

Keshav Rana

The concept of public health in Nepal is not new for this period but the government initiation in the areas of public health is still dearth due to the lack of public health act and its low priority. The health status is measured in terms of the disease indicators in both public and private sectors but should be measured in the perspective of positive health indicators. Country had gained the dramatic progress in the health issues but the rapid civilization and globalization process the country is becoming the victim of triple burden diseases as a consequence of the epidemiological alteration, lifestyle and climatic condition as well as social environment, and there is the opportunity and challenges of new federalism to address the those issues. The government should create space to the public health professionals in every federal structure as a focal person for planning, executing and evaluation of the public health programs and activities for the significant progress to overcome the health issues. The policies, plans, programs, activities and infrastructure establishment should be oriented to maintain and promote the health status before the disease condition (rather than treatment). The future action of nation is to take the public health in a high priority as a collaborative approach and fill the human resource gap, emphasis on political accountability and good governance, tackle the inequalities and improve the access of quality care specially remote area, promotion and improvement in infrastructure, water supply and sanitation as well as innovation and research.