SN | Study/sources | Challenges | Opportunities |
---|---|---|---|
1 | Hogan DR et.al. Monitoring universal health coverage within the Sustainable Development Goals: development and baseline data for an index of essential health services [8] | Nepal’s UHC service coverage index is low i.e. only 46 (The higher rank is > 80) and increasing the UHC service coverage index is challenging. | The legal status is progressive and high probability to accelerate the service coverage. |
2 | Barriers to using skilled birth attendants’ services inmid- and far-western Nepal: a cross-sectional study [56] | Education level, geographical difficulties and lack of trained human resources are the barrier to achieve SBA coverage. | Political commitment to promote maternal and child health service and conditional cash transfer (CCT) for antenatal checkup institutional delivery and post-partum period from local provincial and central government. |
3 | Maternal Health in Nepal Progress, Challenges and Opportunities [57] | Lack of awareness about maternal health services, underutilization of maternal health services, social disparities in maternal health, political instability, and low socio-economic status of women, teenage marriage and early pregnancy, unsafe abortion, maldistribution of human resource for health, unavailability and unaffordability of quality care, superstition and indigenous practice. | Special programs have been formulated to achieve the targets of Second Long Term Health Plan, National Health Policy, Millennium Development Goal, and National Health Sector Program and so on. |
4 | K Sceammell et. al; A landscape analysis of universal health coverage for mothers and children in South Asia [58] | Health facilities have not enough space, privacy, equipment and drugs for maternal and child health service. | Government of Nepal provided high priority to establish well equipped birthing centers in each health facilities. |
5 | Bhutta ZA et. al Global experience of community health workers for delivery of health related millennium development goals: a systematic review, country case studies, and recommendations for integration into national health systems. [59] | Insufficiency of experts (Physician, Surgeon, Gynecologist etc.) middle and basic level health workforce paramedics and nurse) related to universal health coverage. | Regional and zonal hospitals are going to establish to train health workers. |
6 | Success factors for women’s and children’s health: Nepal [60] | Inequality of MCH program, poor quality of skill delivery in remote area and increasing poverty after earthquake 2015. | The successful achievement of maternal health (ANC and SBA) and child health in Millennium Development Goal. |
7 | NK Raut. Path to Universal Health Coverage in Nepal: Is it Achievable? [61] | About 1/3rd of population in rural, mid and far western and poor people have less than adequate basic health service coverage, child vaccination coverage is > 85% and basic maternal health service coverage is about 50% which is due to geographical difficulties, complex bureaucratic structure and not able to define poor and minorities. | Government of Nepal is initiating basic health service package and minimum service standard of each health facilities to achieve UHC with legal and institutional framework. |
8 | GP Bhandari et.al. State of non-communicable diseases in Nepal [62] | High proportion of NCDs (CVD, COPD, DM and cancer) in non-specialist institutions revels 31% that makes threats to control | It has been high priority program and controlling guidelines and protocols are preparing in community level too. |
9 | Sharma SR, et.al. Non-communicable disease prevention in Nepal: systemic challenges and future directions [63] | Behavioral factors such as tobacco use, alcohol consumption, physical inactivity and unhealthy diet are driving the epidemic of NCDs, which are further influenced by social, economic and environmental determinants. | Multispectral Action Plan for Prevention and Control of NCDs 2014–2020 has been formulated in grass root level too. |
10 | Shrestha A. et.al. Water Quality, Sanitation, and Hygiene Conditions in Schools and Households in Dolakha and Ramechhap Districts, Nepal [64] | Quality of water sanitation and hygiene (WASH) is poor in school and household level and maintenance of public toilets have created problems. | School led total sanitation and community led total sanitation program has been started. |
11 | Verma SC et.al. Prevalence of pulmonary tuberculosis among HIV infected persons in Pokhara, Nepal [65] | Tuberculosis and HIV co-infection, alcohol consumption with TB and low case finding rate in rural area are challenging. | Directly Observed Treatment Short course is still effective and female community health volunteer program accelerates case findings in community. |