The Himalaya Times
2January 2020
Health
delivery system
Among
the South Asian Countries, Nepal, despite its varied topographical structure, has
a very good health delivery system at the local levels. The government’s initiation
to establish sub-health posts and health posts, in-spite many difficulties and
constraints, in the then every Village Development Council (VDC) in the past was
noteworthy. In addition, the establishment of Primary Health Care Centre(PHC) at
each Ilaka level was remarkable. Additionally, the presence of District
Hospital in all the 75 districts had played a significant role in monitoring
and supervision of all those local level health service outlets. All these
local level health service outlets were and are responsible to provide basic
health services to the local people at their door steps.
However,
the effectiveness of these health service outlets in providing quality health
service totally depends on the regular supply of medicines, availability of appropriate
equipment, commitment and sincerity of the deputed health personnel. Most of
the service outlets located at the remote areas used to suffer from lack of
human resources, inadequate supply of medicines and equipment. The
establishment of medical colleges and nursing institutions in the country has,
to some extent, helped to produce human resources required for all these
service outlets. However, the on-going situation of medical education system is
unfortunate.
It
seems that the government has not been able to play a constructive and proactive
role in addressing grievances and concerns of both the medical colleges and
students. Due to the on-going protests of the medical students in relation to
the exorbitant fees charged by the medical colleges, admission of new MBBS and
BDS students has been delayed “Admission delays force Nepalis to study abroad”
(THT, December 31, Page 1).
Rai Biren
Bangdel
Maharajgunj
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