15.three Year Interim Plan

Three Year Interim Plan
(2007/08 – 2009/10)
Introduction
• Good health is an important asset for every citizen
to improve living standard. Healthy human
resources are essential for an overall development.
• "Health as a fundamental right of the people” is a
globally recognized value, which is also
incorporated in the Interim Constitution of Nepal,
2007. This indeed is a historical manifestation of
the state's responsibility towards ensuring the
citizens' right to health.
Problems, Challenges and Opportunities
Problems:
-Lack of skilled human resources and problems in their
mobilisation to health centres.
-Centralisation of general and financial administration.
-Very slow pace of equipment and drug.
-Inadequate supply of equipment and drug.
-Political interference in management.
-Weak of supervision.
-Lack of physical infrastructure and inadequate repair and
maintenance of physical infrastructure.
Challenges:
• Improvement of the physical infrastructure of health
institutions.
• Delivery of equal health services to the people
belonging to various cultural/gender, geographical
regions and social status.
• Revision of outdated legal provisions.
• Increase government expenditure in health sector.
• Timely use of financial resources provided by the donor
communities and regulating in the private sector.
• Problems related to the conflict victims, especially
those suffering from mental disorders, disabilities and
economic hardship.
Opportunities:
• Constitution recognizes that health is the

citizens right.
• Health institutions have been extended to
VDC.
• Decentralisation policy implementation is
underway.
• Private sectors involvement to a considerable
extent is noteworthy.
Objective
• The main objective is to ensure citizens' fundamental right
to have improved health services through access to quality
health services without any discrimination by region, class,
gender, ethnicity, religion, political belief and social and
economic status keeping in view the broader context of
social inclusion.
The constituent elements of such an objective are:
1. To provide quality health service.
2. To ensure easy access to health services to all citizens
(geographical, cultural, economic and gender).
3. To ensure enabling environment for utilizing available
health services.
Quantitative Targets
Strategies
• Upgrading of sub-health posts to health posts, and in the electoral

constituencies, where there is no primary health center primary
health care centers will be established.
• Public health promotion will be focused on through public health
education.
• Public health related preventive, promotive and curative programs
would be implemented according to the principle of primary
health care services. Accordingly, essential health services will be
extended.
• Inter linkages between Health Profession Education, treatment and
public health services will be strengthened as part of the health
sector management for making health services pro-people and
efficient.
Contd…..
• District health system will be operated as an integrated system and the
referral system will be further promoted.
• Management of human, financial and physical resources will be made
more effective in order to upgrade the quality of health services being
provided by the private, government and nongovernment sectors.
• Quality drugs will be made available at reasonable prices and in
adequate quantity, with proper pharmacy services throughout the
country.
• Special attention will be given to health improvement of the
economically and socially disadvantaged people and communities.
• A policy to deal with NGOs, the private sector, community and
cooperatives will be prepared and implemented.
• Various health services will be provided from one place in a
coordinated way.
• Decentralization process will be strengthened as an integral part
of community empowerment.
• Ayurvedic and other alternate health service systems will be
developed and extended.
• Tele-medicine service will be established and extended.
• Mobile health service camps with specialized services will be
launched for the benefit of the marginalized, poor, Adibasi
Janajati, the Madhesi and Muslim communities.
• Free and basic health services, and other health provisions will
be brought into practice and in every health institution, a
citizens' charter will be placed in a distinctly visible manner
• Services currently in operation for the benefit of the victims of
conflict, who are afflicted physically, mentally and with sexual
violence, will be continued with more effectiveness in
cooperation with NGOs, civil societies, and professional bodies.
• Communicable disease control programs will be continued with
added emphasis to the problems of drug addicts, and control of
HIV/AIDS. Measures will be developed for the prevention and
cure of non-communicable diseases like cancer, cardio-vascular,
and mental diseases. Necessary preparedness will be put in
place to cope with the possible outbreak of dangerous diseases
like dengue, bird-flu, etc
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Three Year Interim Plan

• Constitution recognizes that health is the

• Upgrading of sub-health posts to health posts, and in the electoral

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