DoHS Annual Health Report 2079/80 | Download now: Nepal, situated in the Southeast Asia region, is home to more than 29 million people. It is a federal republic nation with seven provinces and 753 local-level governments (LLGs). Epidemiologically, nearly three-quarters of deaths in the country are attributed to non-communicable diseases (NCDs). Historically, until 935 BS (879 AD), health services predominantly relied on traditional medicine, particularly Ayurveda. Over time, the health system has undergone different significant transformations, influenced by changes in administrative divisions and people’s movement. The evolution of Nepal’s health system, from the commitment to primary care in 1978 to Millennium Development Goals (MDGs) and now the Sustainable Development Goals (SDGs), has been supported by comprehensive health policies and robust strategies, with the most recent health sector strategy being Nepal Health Sector – Strategic Plan (NHS-SP) 2079/80-2087/88 (2023-2030).
A crucial milestone in Nepal’s journey towards universal health coverage (UHC) is the constitutional recognition of basic health as a fundamental right, reinforced by legal arrangements such as the Public Health Service Act 2075 (2018) and its Regulations, 2077(2020). Responsibility for health service delivery is decentralized, with each level of government tasked with specific roles. The provision of BHS is primarily concentrated at the local level, within LLGs. The healthcare pathway begins at the grassroots level with female community health volunteers (FCHVs) and progresses through Basic Health Service Centres (BHSCs), primary, secondary, tertiary, specialized, and super-specialized hospitals as the outlets of service delivery. This continuum of care is supported by health sections at LLGs, health offices, provincial health directorates (PHDs), provincial ministries overseeing the health sector, as well as departments and divisions within the Ministry of Health and Population (MoHP), ensuring effective governance of the health system.
The report serves a dual purpose, functioning as both an annual program monitoring report and a comprehensive document covering various aspects, including:
- Health Scenario: An overview of the prevailing health issues at the federal and provincial level.
- The local level details are included in the respective provincial level annual reports; needful information at the programmatic level for local levels have also been included as per the need felt by the respective programs.
- Guiding documents and milestones: Salient features of the key guiding documents and milestones relevant to health programs.
- Major activities in FY 2079/80: A comprehensive account of the significant activities carried out in the health sector and related programs/services during the fiscal year.
- Status of program/service indicators: Monitoring of the status of the pertinent program/services providing insights into achievements and areas that require attention.
- SWOT Analysis: A strategic analysis covering the strengths, weaknesses, opportunities, and threats (SWOT) pertaining to the programs and services.
The timely release of the annual report assumes crucial importance, as it establishes a vital link between service delivery and evidence-informed decision-making and planning for future programs. This dynamic and insightful report not only reflects the health sector’s current standing but also guides future initiatives towards more effective and impactful healthcare strategies and action.
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