scholarly journals Childhood Tuberculosis: An Under Prioritized Disease in Nepal

2021 ◽  
Vol 59 (234) ◽  
Author(s):  
Rabin Gautam ◽  
Gambhir Shrestha ◽  
Prabin Phuyal
Keyword(s):  
Health System ◽  
Childhood Tuberculosis ◽  
Case Detection ◽  
National Tuberculosis Program ◽  
Successful Program ◽  
National Tuberculosis ◽  
The Government ◽  
The Way

Globally, childhood tuberculosis constitutes up to 10% of overall tuberculosis cases. In Nepal, childhood tuberculosis has remained around 5.5% of overall tuberculosis cases and has remained stagnant over the years. Moreover, our health system is focused on adult tuberculosis. Childhood tuberculosis has recently got its attention both at the national and international levels. National Tuberculosis Program has been a successful program; however, more has to be done to track childhood tuberculosis progress. In this viewpoint, we discuss current initiatives taken by the government and the way forward for case detection and management of childhood tuberculosis in Nepal.

RELASI ULAMA DAN PENGUASA MASA KOLONIALISME

2020 ◽  
Vol 8 (2) ◽  
pp. 126-134
Author(s):  
Agung Perdana Kusuma
Keyword(s):  
The Netherlands ◽  
Private Sector ◽  
General Public ◽  
18Th Century ◽  
The Government ◽  
Colonial Government ◽  
The Way

In the 18th century, although the Dutch Company controlled most of the archipelago, the Netherlands also experienced a decline in trade. This was due to the large number of corrupt employees and the fall in the price of spices which eventually created the VOC. Under the rule of H.W. Daendels, the colonial government began to change the way of exploitation from the old conservative way which focused on trade through the VOC to exploitation managed by the government and the private sector. Ulama also strengthen their ties with the general public through judicial management, and compensation, and waqaf assets, and by leading congregational prayers and various ceremonies for celebrating birth, marriage and death. Their links with a large number of artisans, workers (workers), and the merchant elite were very influential.

scholarly journals Improving maternal health services through social accountability interventions in Nepal: an analytical review of existing literature

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Adweeti Nepal ◽  
Santa Kumar Dangol ◽  
Anke van der Kwaak
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health System ◽  
Maternal Health Services ◽  
Policy Formulation ◽  
Social Accountability ◽  
The Social ◽  
The Government ◽  
The Impact

Abstract Background The persistent quality gap in maternal health services in Nepal has resulted in poor maternal health outcomes. Accordingly, the Government of Nepal (GoN) has placed emphasis on responsive and accountable maternal health services and initiated social accountability interventions as a strategical approach simultaneously. This review critically explores the social accountability interventions in maternal health services in Nepal and its outcomes by analyzing existing evidence to contribute to the informed policy formulation process. Methods A literature review and desk study undertaken between December 2018 and May 2019. An adapted framework of social accountability by Lodenstein et al. was used for critical analysis of the existing literature between January 2000 and May 2019 from Nepal and other low-and-middle-income countries (LMICs) that have similar operational context to Nepal. The literature was searched and extracted from database such as PubMed and ScienceDirect, and web search engines such as Google Scholar using defined keywords. Results The study found various social accountability interventions that have been initiated by GoN and external development partners in maternal health services in Nepal. Evidence from Nepal and other LMICs showed that the social accountability interventions improved the quality of maternal health services by improving health system responsiveness, enhancing community ownership, addressing inequalities and enabling the community to influence the policy decision-making process. Strong gender norms, caste-hierarchy system, socio-political and economic context and weak enforceability mechanism in the health system are found to be the major contextual factors influencing community engagement in social accountability interventions in Nepal. Conclusions Social accountability interventions have potential to improve the quality of maternal health services in Nepal. The critical factor for successful outcomes in maternal health services is quality implementation of interventions. Similarly, continuous effort is needed from policymakers to strengthen monitoring and regulatory mechanism of the health system and decentralization process, to improve access to the information and to establish proper complaints and feedback system from the community to ensure the effectiveness and sustainability of the interventions. Furthermore, more study needs to be conducted to evaluate the impact of the existing social accountability interventions in improving maternal health services in Nepal.

scholarly journals Health system gaps in cardiovascular disease prevention and management in Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Archana Shrestha ◽  
Rashmi Maharjan ◽  
Biraj Man Karmacharya ◽  
Swornim Bajracharya ◽  
Niharika Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Health System ◽  
Health Systems ◽  
National Health ◽  
Task Force ◽  
Health Spending ◽  
Building Blocks ◽  
Critical System ◽  
Government Organizations ◽  
The Government

Abstract Background Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. Methods We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. Results National health insurance covers less than 10% of the population; and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Conclusion Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.

scholarly journals Perspectives of pharmaceutical stakeholders on determinants of medicines accessibility at the primary care level

2021 ◽  
Vol 96 (1) ◽  
Author(s):  
Hoda Ibrahim Rizk ◽  
Monira Mahmoud Elkholy ◽  
Abeer Abdou Barakat ◽  
Raghda Mostafa Mostafa Elsayed ◽  
Shaimaa A. M. Abd El Fatah
Keyword(s):  
Health System ◽  
Access To Medicines ◽  
Generic Medicine ◽  
Essential Medicines ◽  
Cross Sectional ◽  
Urban Group ◽  
Rural And Urban ◽  
External Stakeholders ◽  
Assessment Approach ◽  
The Government

Abstract Background Equitable access to essential medicines of maintained efficacy, safety, quality, and cost-effectiveness must be ensured by a well-functioning health system. This study aims to identify the determinants of patients’ access to medicines at the primary health care (PHC) level from the perspectives of various (internal and external) stakeholders of the pharmaceutical system. Methods The study employed both quantitative and qualitative components. Quantitative component applied a descriptive a cross-sectional design and qualitative component applied an in-depth interview design. It was a health system research conducted at two (PHC) facilities (one urban and the other rural) in Egypt. It inquired upon political, economic, and managerial aspects of the pharmaceutical system utilizing the “Health System Assessment Approach: a How-To Manual” and the “WHO operational package for assessing, monitoring and evaluating country pharmaceutical situations.” Results Analysis of the quantitative data extracted from the cross-sectional component with external stakeholders (patients) revealed that about one-third of patients in both facilities were unable to pay for the medicine. Patients in both settings took less than an hour to reach the PHC facility. The Percent of patients who believe that the private pharmacies’ medicine is better than the PHC one was significantly higher in rural than urban group (24% and 10% respectively) and the percent of medicines dispensed was 50% and 66.7% in rural and urban groups respectively. Analysis of the qualitative data extracted from in-depth interviews with internal stakeholders (key informants from regulatory agencies, pharmaceutical industry, academia, pharmacists, and physicians) were summarized utilizing Strengths-Weaknesses-Opportunities-Challenges (SWOC) analysis approach. Various viewpoints toward the determinants of patients’ access to medicines were disclosed. Conclusions The Percent of medicines dispensed was insufficient in both rural and urban facilities. There is a need to invest in building trust in generic medicine quality in the government health facilities focusing on improving medicine availability and ensuring enough amounts of high-quality drugs. Although there are drug committees in the two studied PHC facilities for demonstrating the prescribing and dispensing policies, yet the system required to enforce these policies is still deficient.

scholarly journals Increased and Expedited Case Detection by Xpert MTB/RIF Assay in Childhood Tuberculosis: A Prospective Cohort Study

2012 ◽  
Vol 54 (10) ◽  
pp. 1388-1396 ◽  
Author(s):  
Andrea Rachow ◽  
Petra Clowes ◽  
Elmar Saathoff ◽  
Bariki Mtafya ◽  
Epiphania Michael ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Childhood Tuberculosis ◽  
Case Detection

Guatemala’s economy on the way to recovery

2021 ◽  
Keyword(s):  
Climate Change ◽  
Latin America ◽  
Violent Crime ◽  
Business Environment ◽  
Policy Support ◽  
Content Type ◽  
Containment Measures ◽  
The Government ◽  
The Way

Significance National GDP nevertheless contracted by just 1.5% in 2020 -- less than almost any other country in Latin America. Resilient remittances and exports, coupled with unprecedented policy support, have mitigated the effects of the pandemic and subsequent containment measures, leaving the country better placed for recovery than its neighbours. Impacts Enduring poverty, inequality and violent crime, and the impacts of accelerating climate change, will drive further migration from Guatemala. The government will pursue banking law reforms, to reduce risks to financial activities in the post-pandemic business environment. Infighting and corruption scandals will hinder the opposition's ability to benefit from the decline of the president's popularity.

The fight of Armenia against COVID-19 in the context of international cooperation

2021 ◽  
pp. 127-133
Author(s):  
M. A. Tamamyan
Keyword(s):  
Mass Media ◽  
Health System ◽  
International Cooperation ◽  
International Organizations ◽  
Full Range ◽  
Coronavirus Infection ◽  
The Mass Media ◽  
The Republic ◽  
The Government ◽  
External Actors

The article is devoted to the study of methods of combating coronavirus infection in the Republic of Armenia in the context of international cooperation. Attention is focused on the interaction of country with international organizations to overcome the pandemic in the country. This paper presents the author's table based on the analysis of the mass media in order to summarize the full range of cooperation between the Government of Armenia and external actors during the COVID-19. The article emphasizes the importance of creating an anti-crisis committee to combat coronavirus, as well as the need to increase funding for the health system.

scholarly journals A Survey and Analysis on the Sense of Nuclear Safety & Security for the Public: A Chinese Perspective

2018 ◽  
Vol 10 (7) ◽  
pp. 2495 ◽  
Author(s):  
Ye Yan ◽  
Fanghua Lu
Keyword(s):  
Nuclear Safety ◽  
Assessment System ◽  
Intermediate Level ◽  
Three Dimension ◽  
The Public ◽  
Related Information ◽  
Sense Of Security ◽  
The Government ◽  
Security Affairs ◽  
The Way

With the new round of global nuclear issues, the populace’s emotion has been tensed and discomposure has been trigged off. To accurately understand the sense of nuclear safety & security for the Chinese public and ensure that the government makes reasonable decisions regarding nuclear issues, a special questionnaire and evaluation has been carried out. With the use of the principles for sociology of security, the methods of questionnaires and SPSS, a three-dimension assessment system, which consists of knowledge and experience, internal, and external trust, and the way of perception, was constructed. This research shows that the state of Chinese populace’s sense of nuclear safety & security is generally as follows: their knowledge of nuclear safety & security and personal experience are still on a low to intermediate level; In terms of trust, it shows that the populace has lack of adequate trust in nuclear safety & security of neighboring countries or regions, as well as Chinese government’s countermeasures; in the way of perception of nuclear safety & security, the populace has few options of related information sources and though the sources are less reliable. Also, the size of the audience of nuclear safety & security is far short of what is desired. Finally, the comprehensive assessment holds that the current overall sense of security for the Chinese populace is on a low to intermediate level (40.71%). This paper points out that China should strengthen the popularization of the security of nuclear science to enhance public security confidence, also, further, more detailed and specific safeguarding measures regarding nuclear safety & security should be made to promote the development of nuclear safety & security affairs.

Between Uniatism and Arabism

2019 ◽  
Vol 32 (3-4) ◽  
pp. 361-392 ◽  
Author(s):  
Norig Neveu
Keyword(s):  
Middle East ◽  
Interwar Period ◽  
Adaptation Strategy ◽  
Arab Nationalism ◽  
International Networks ◽  
Complex Process ◽  
The Government ◽  
The Relationship ◽  
The Church ◽  
The Way

Abstract In the Emirate of Transjordan, the interwar period was marked by the emergence of the Melkite Church. Following the Eastern rite and represented by Arab priests, this church appeared to be an asset from a missionary perspective as Arab nationalism was spreading in the Middle East. New parishes and schools were opened. A new Melkite archeparchy was created in the Emirate in 1932. The archbishop, Paul Salman, strengthened the foundation of the church and became a key partner of the government. This article tackles the relationship between Arabisation, nationalisation and territorialisation. It aims to highlight the way the Melkite Church embodied the adaptation strategy of the Congregation for the Oriental Churches in Transjordan. The clergy of this national church was established by mobilising regional and international networks. By considering these clerics as go-between experts, this article aims to decrypt a complex process of territorialisation and transnationalisation of the Melkite Church.

Dr. Bodington

1897 ◽  
Vol 43 (182) ◽  
pp. 675-675
Keyword(s):  
British Columbia ◽  
Marked Improvement ◽  
Common Humanity ◽  
The Government ◽  
First Time ◽  
The Way

The following cutting from The Province, published in Victoria, British Columbia, will be of interest to many of the members of our Association:—“The Provincial Secretary's ‘Bill to amend the Lunacy Act’ was introduced to the House (not before it was wanted) on Wednesday last, and read a first time. We trust that provisions have been made to render impossible any recurrence of the sad circumstances attendant upon the care of the insane which we recently had occasion to deplore, and that common humanity will compel members to take the keenest possible interest in every clause of the enactment. Reform has been the order of the day at the Westminster Asylum ever since Dr. Bodington took charge two years ago—another appointment, by the way, upon which it is only just to congratulate the Government. We predicted that Dr. Bodington would prove a success, and we are glad to hear on excellent and altogether unbiassed authority that the asylum may now be considered in every way a credit to the country. Perfect discipline is maintained amongst the patients without any necessity for that ‘restraint’ which formed so barbarous a characteristic of the ancient régime. More satisfactory still is the knowledge that marked improvement has become noticeable amongst cases formerly rated hopeless or incurable.”

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