The impact of federalisation on Nepal's health system: a longitudinal analysis
HSRI Nepal Team Concludes All of the Field Work
HSRI Nepal project team has finally completed all of its field-works with the completion of the second round of KIIs and a PPA workshop in Panchpokhari Thangpal Rural Municipality of Sindhupalchok District in December 2022. This concludes the second round of the data collection of this 3-year longitudinal study. With several papers published and the successful submission of a policy brief to the Ministry of Health and Population from the data analysis of the first round of fieldwork, the analysis of the second round of data collection has also started. In this final round of fieldwork, the project team has collected recent updates in terms of progress and challenges of the federalized health system and will soon share via reports, articles, conferences and policy briefs.
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Second Round Province Level PPA Workshops Completed, Surkhet
Karnali Province ( 10-11 November 2022)
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HSRI Nepal project team successfully completed the second round of PPA workshops with the new and old participants of Karnali Province, Surkhet. The workshops were very interactive and informative. The types of Information gathered from both old participants and new participants in two separate workshops were similar confirming the current scenario of the health system at the province level
Project's Findings Presented at Global Nepal Conference, Sydney, Australia (Sep 16-18, 2022)
Dr. Pratik Adhikary, one of the HSRI research leads from PHASE Nepal travelled to Sydney Australia to take part in the Global Nepali conference held in Sydney, Australia, Sept 16-18, 2022. In the conference, he presented a the paper titled "Health professionals' perspectives on health service delivery in federal Nepal: A qualitative analysis."
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Second Round PPA Workshops in Mugu and Nawalparashi
HSRI Nepal team from PHASE Nepal and Manmohan Institute of Health Science has successfully completed the second round of Participatory Policy Analysis (PPA) Workshops in Mugu and Nawalparashi respectively at the selected local municipal governments. In the months of August and September 2022, a total of 8 workshops were completed 4 of which were with the new participants of the local governments while the other 4 workshops were with the repeated participants from the 1st round of workshops as a follow to get and update on progresses and challenges in the health system and health service delivery. The workshops completed with very interactive discussions providing important findings for the project.
Second Round PPA Workshops in Chautara, Sinchupalchok
HSRI Nepal team successfully completed the 1st batch of the 2nd round of the Participatory Policy Analysis (PPA) Workshop in Chautara, Sindhupalchok in the last week of June 2022. With interesting discussions and findings, two separate workshops were held with existing and new participants, respectively. There were a total of 13 participants in the new group and 6 participants in the repeat group.
HSRI Nepal Workshop, April 22&23, 2022
This April researchers from both UK and Nepal physically gathered in Nepal and successfully ran a two-day workshop followed by a series of small group interactions among partner organizations of the project. The workshop was very successful in following up with the current progress of the project, the impact of the project as well as discussing the publication of the rich information contained in the project data.
Among several of the achievements such as presenting and participating in the Nepal Health Research Council Annual Conference, the project was successful in presenting a policy brief to the Ministry of Health and Population. The recommendations from the project will feed into Nepal Health Sector Strategic Plan 2022-30. The policy brief can be accessed fromthe following link.
www.nepalfederalhealthsystem.com/publications/Policy-Briefs/MoPH-Policy-Brief-May2022
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GLIMPSES OF HSRI NEPAL WORKSHOP (April 22-23, 2022)
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PARTICIPATORY POLICY WORKSHOP (PPA)
Nov 14, 2021
Venue: Training Hall, Panchpokhari Thangpaldhap Rural Municipality
Location: Thangpaldhap, Sindhupalchowk
The workshop was conducted at the premises of Panchpokhari Thangpaldhap Rural Municipality. The workshop was conducted with 10 Participants with mix of health professionals and elected representative. The workshop highlighted the importance of health system in Nepal mostly concerned at rural setting with difficult geographical terrains. As well as, the discussion was largely concentrated on the impact of federalization in delivering health services in Nepal. Lastly, the concluding remarks was provided by the Chairman of Panchpokhari Thangpaldhap Rural Municipality and addressed few points that needs to be adopted to make positive changes in health sector of Nepal.
PARTICIPATORY POLICY WORKSHOP (PPA)
October 4, 2021
Venue: Hotel Araniko Resort
Location: Chautara, Sindhupalchwok
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PARTICIPATORY POLICY WORKSHOP (PPA)
Sep 23, 2021
Venue: Ageno-The Hestia Restaurant, Sanepa, Lalitpur
The workshop took participatory approach, in which the participants were requested to work with the facilitators through a series of exercises designed to help on reflecting on what changes the move to a federal system has caused in their respective professional role, to think about any new challenges it has created, to rank those in order of importance, and to work together to see if we can collectively think of any ways of addressing the most pressing challenges.
JULY 4 2020
NEPAL PUBLIC HEALTH ASSOCIATION:
PUBLIC HEALTH DIALOGUE ON COVID-19
July 12, 2021
Simon Rushton represented the Nepal Federal Health System team at a Public Health Dialogue webinar arranged by the Nepal Public Health Association. He discussed the lessons that Nepal could learn from the UK on how to respond to COVID-19. Other contributors to the session discussed the lessons to be learned from Italy and Australia.
JUNE 7 2020
EXPERT PANEL ON 'THEÂ COVID 19 PANDEMIC: CHALLENGES AND PATHWAYS FORWARD', HOSTED BY THE MANMOHAN MEMORIAL INSTITUTE OF HEALTH SCIENCES
June 9, 2019
Edwin van Teijlingen, Padam Simjkhada, Simon Rushton and Sujan Marahatta, along with other experts, were all part of a panel discussion on June 7 2020 sharing their ideas and experiences of the COVID 19 crisis and its implications for Nepal’s health and education systems. The recording of the webinar can be found on the MMIHS Facebook page here:
APRIL 1 2020
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PROJECT LAUNCH
On 1 April 2020, a major new collaborative project launched examining the consequences for the health system of Nepal’s move to a federal government structure. The three-year project is UK-funded by the MRC, Wellcome Trust and DFID under the Health Systems Research Initiative.
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The project is collaboration between researchers at the Universities of Sheffield, Bournemouth and Huddersfield in the UK and the Manmohan Memorial Institute of Health Science and PHASE Nepal in Kathmandu. Jointly led by Dr. Simon Rushton and Dr. Julie Balen, the project involves an interdisciplinary team including experts in public health, law, health economics, politics and policy, and sociology.
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Over the next three years, the team will work with stakeholders at all levels of the health system, from the federal Ministry down to the village-level Female Community Health Volunteers. Together we will help identify good practices and implementation challenges in moving to a federal system.
The project will employ several researchers in Nepal through the Manmohan Memorial Institute of Health Sciences and PHASE Nepal. As a result of the current COVID-19 crisis, data collection is currently scheduled to start in late 2020.