Table 3 List of the studies on government stewardship, health system and governance on health care in Nepal, 2009–2018: a systematic review, Nepal, 2018
S.N | Study/sources | Challenges | Opportunities |
|---|---|---|---|
1 | Nepal Millennium Development Goals-Progress Report 2013 [66] | Political instability, poor quality of health service and institutional capacity on remote health institution and inequality in health sector. | Re-structure of health system to implement new constitution. |
2 | Present Progress of Information Technology in Health Care System of Nepal [67] | Lack and inconsistency of information technology in health care system of Nepal. | There are demonstration projects on consistent and wide health sector information system (HSIS). |
3 | Addressing the challenges to health sector decentralization in Nepal: an inquiry into the policy and implementation processes [68] | Centralized and weak management of health system, conflict of different policy objectives, improper coordination between section and department under health ministry, weak legal and institutional framework, unstable health financing. | For health care delivery in federal system an expert team has been established and exercising organizational and management structure. |
4 | Assessing fiscal space for health in Nepal [69] | Poor government effort, poor governance in health service delivery, not able to mobilize the internal resources (tax and donation) and insufficient capacity in district level health structure. | Social health insurance operational manual is going to draft. |
5 | Decentralization and district health services in Nepal: understanding the views of service users and service providers [70] | The low quality of health care in decentralized institution and existing capacity of health workforce is inadequate. | Decentralize system of health in municipality and rural municipality after the amendment of new constitution 2015. |
6 | Census of Private Hospitals in Nepal [71] | Almost private hospitals are centralize and difficult to transfer in remote areas. | Enough number of hospitals and competitive medical service is increasing. |
7 | Susan Heydon. Nepal: Primary Health Care, Universal Health Coverage and Foreign Aid (2015) [72] | Foreign aid in health sector of Nepal has been dispersed, inconsistent has not proper coordination. | Health financing policy is in discussion. |