Introduction
This document provides a comprehensive overview of the evolution of Nepal’s health sector strategies and implementation plans from 2003 to 2030. It summarizes the key aspects of the “Health Sector Strategy: An Agenda for Reform” (2003), the subsequent Nepal Health Sector Implementation Plans (NHSP-IP I, II), the Health Sector Strategy 2015-2020, the Health Sector Implementation Plans (NHSP-IP III), and the current National Health Sector Strategic Plan (NHSSP) 2023-2030.
1. Health Sector Strategy: An Agenda for Reform (2003)
- Timeline: 2003-2009 (Foundation)
- Key Focus: It focuses on poverty reduction and the underlying intention is to move the health sector towards strategic planning
- GOAL: Achievement of MDGs with improved health outcomes of poor and those living in remote areas and consequent reduction in poverty
To improve the health status by providing EHCS the government set the following outputs….
Program Outputs:
- Essential Health Care Service (EHCS):
- Decentralization : Local Body Responsibility
- Private Sector Role: Role of the private sector and NGOs.
Sector Management Outputs: 1. Coordinated sector management, 2. Sustainable financing, 3. Improved structures and systems, 4. HR development 5. Integrated information systems.
2. Nepal Health Sector Implementation Plan I (NHSP-IP I)
- Timeline: 2004-2009
- Key Focus: Implementing the priorities set in the “Health sector strategy 2003 : agenda for reform” and also acts as the operational guideline for implementing the outputs of Health sector strategy 2003.
The program Activities fall into 3 category ;
- Entirely new activities
- Strengthening or restructuring of existing activities
- Continuation of existing activities
- Note : For each program output and sector management output given by HSS 2003, NHSP-IP I has proposed the action plans .
3. Nepal Health Sector Implementation Plan II (NHSP-IP II)
Timeline: 2010-2015
The Millennium development goals, the health sector strategy; agenda for reform 2003, and the first Nepal health sector program implementation plan (NHSP-IP 1) provide the basis for developing the second National Health sector implementation plan 2010-2015
Key Focus: Contribute directly to meeting the health related Millennium development Goals 1, 4, 5 and 6
Three major objectives:
- Increase access and utilization of quality EHCS
- Reduce harmful cultural practice
- Improve the health system
Value Statements
- Equitable and quality health care service
- patient / client centered health service
- Right based approves to health planning and programming
- Culturally and conflict sensitive health service
- Gender sensitive and socially inclusive health service
4. Health Sector Strategy (2015-2020)
Timeline: 2015-2020
Guided by the National Health Policy 2014, Nepal’s Health Sector Strategy 2015-2020 (NHSS) serves as the primary instrument for the health sector, embedding the constitutional right to basic health services and a commitment to Universal Health Coverage (UHC). aiming to elevate Nepal from a Least Developed Country to a Middle Income Developing Country by 2022. Developed within the Sector Wide Approach (SWAp), the NHSS emphasizes partnership between the government and development partners, fostering multi-sectoral approaches to address social determinants of health.
NHSS stands on four strategic principles:
Goal: improve the health status of all people through an accountable and equitable health service delivery system.
NHSS stipulates the following nine outcomes to achieve this goal:
1. Rebuilt and strengthened health systems:
2. Improved quality of care at point-of-delivery
3. Equitable utilization of health care services
4. Strengthened decentralised planning and budgeting
5. Improved sector management and governance
6. Improved sustainability of health sector financing
7. Improved healthy lifestyles and environment
8. Strengthened management of public health emergencies
9. Improved availability and use of evidence in decision-making processes
5. Nepal Health Sector Implementation Plan III (NHSP-IP III) 2016-2021
Vision : All Nepali citizen will be physical mental social and emotional healthy lead a productive and quality lives
Goals : improve health status of all the people through accountable and equitable health service delivery System
Strategies:
- Equity in health system
- quality health services for all
- Health in all policies
- Universal health coverage
OUTCOMES :
There are nine outcomes set by NHSP-III 1. Strengthen health system 2. improve quality care 3. Equitable utilization for decentralization 5. improved sectoral management 6. health sector financing 7. improve healthy lifestyle and environment 8. management of Public Health emergency 9. evidence in decision making
6. National Health Sector Strategic Plan (NHSSP) 2023-2030
This Strategic plan is formulated as a guiding document for achieving the SDGs target in accordance with National health policy 2076.
This strategy is based on ; Constitution of Nepal 2015, 15th periodic plan, Public health act 2075.
Directed principles ;
- UHC and Social security
- Coordination, Cooperation and collaboration between Federal, Province and local government
- Health in all policies
- Multisectoral Collaboration
- Marginalized people centric service
- Good governance and increase investment in health
- Management and ethical behaviour
Strategic Objectives:
- Enhance the efficiency and responsiveness of the health system.
- Address wider determinants of health.
- Promote sustainable financing and social protection.
- Promote equitable access to quality health services.
- Manage population and migration.
Vision :
Healthy productive, responsible and Happy citizen
Mission
To ensure the health right of the citizen
Goal
Improve the health status of all citizen of the Nepal
Conclusion
Nepal’s health sector strategies have evolved from an initial emphasis on essential services to a comprehensive approach aimed at achieving universal health coverage and addressing the broader determinants of health. The NHSSP 2023-2030 represents the latest step in this journey, with a focus on.
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