Curative Services and Supportive Programes

Subject: Community Health Nursing II

Overview

Curative Services

The Government of Nepal is committed to improving the health status of rural and urban pe by delivering high-quality health services.

Objective

The overall objective of DoHS on curative services is to reduce morbidity, mortality by ensuring early diagnosis of diseases and providing appropriate and prompt treatment.

Curative Service Strategies :

  • To make curative health services available in an integrated way in rural areas through health gu and PHCCS
  • To establish hospitals on the basis of population density and patient load with at least hospital per district.
  • To establish zonal and regional hospitals to provide specialized services related to pe gynecology, general surgery, general medicine, eye care, dermatology, orthopedics and psychiatry.
  • To equip central hospitals with sophisticated diagnostic and other facilities to provide specialized and super-specialty services.
  • Specialist curative care services will be extended to remote areas, as and when require through mobile teams.
  • To extend referral systems to provide rural people with access to services from modern w equipped hospitals.
  • To strengthen diagnostic services such as laboratories and X-ray services at hospitals.
  • To extend service provision through more outreach clinics and by considering the relocation of existing facilities.
  • To promote private medical colleges, hospitals, nursing homes and hospitals run by ING NGOS and private practitioners to complement public health care provision
  • To provide basic curative services free in up to 25 bed hospitals.

Supporting Programmes

Health Training: The National Health Training Centre (NHTC) is the apex body for human resource development in Nepal's health sector. The NHTC has five regional training centers, sub-regional center, 34 clinical training sites and 75 district training units. The Training Working Group ensures the efficient running ofnational health training program, maintains the quality of training and improves the coordinationof all training provided under NHTC.

National Health Education, Information and Communication (NHEICC): The National Health Education, Information andCommunication Centre (NHEICC) is responsible for health promotion, education and communication for all MoH health services and programmes. It is thus responsible for creating more demand for health care services throughthe use of IEC materials.

Logistics Management: The Logistics Management Division (LMD) supports the procurement ofequipment, vaccines, family planning commodities and free health drugs by programme divisions andcentres. Its major function is to forecast, quantify, procure, store and distribute health commodities,equipment, instruments and to repair and maintain biomedical equipment and transport vehicles.

Public Health Laboratory Services: The National Public Health Laboratory (NPHL) is institute for building capacity for the development of the public health laboratory sector. NPHL provided eight types of routine and specialized laboratoryservices with more biochemistry, hematology, parasitology, immunology, virology, endocrinology, and microbiology tests.

Personnel Administration: The Personnel Administration Section is responsible for routine andprogramme administrative function. Its major functions include upgrading health institutions, thetransfer of health workers, level upgrading of health workers up to 7th level, capacity building as wellas internal management of human resources of personnel.

Financial Management: An effective financial support system is imperative for the efficient management of health services. DoHS's Finance Section is the focal point for financial management forall programmes under DoHS.

Health Service Management: The Management Division is responsible for DoHS's general management functions. The division's major ongoing activities were institutionalizing the use of geographic information systems (GIS) for health service planning, developing the Health Infrastructure Information System (HIIS), the construction and maintenance of health facility buildings and other infrastructure.

Medico-legal Services: Medico-legal services include forensic, pathology, autopsy, clinical forensic medicine and toxicology services. Medico-legal services have been neglected in Nepal's health system.

Primary Health Care Revitalization: The Primary Health Care Revitalization is responsible forexpanding the coverage of primary health services particularly by addressing the needs of disadvantaged and unreached population groups.Monitoring and evaluation collected, collated and provided information on the activities undertaken at the district levelto all DoHS divisions, centers, regional directorates, and the 75 district health and district public health offices. The Health Management Information System (HMIS) Section

Things to remember

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