Assessment of Health Service Delivery to Address Cardiovascular Diseases in Nepal

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Assessment of Health Service Delivery to Address Cardiovascular Diseases in Nepal


JournalKathmandu University Medical Journal
Article typeJournal research article – Clinical research
Publication date – Jan – 2022
Authors – Suwal PS, Prajapati D, Bajracharya S, Shrestha A, Maharjan R, Shrestha S, Jha N, Koju RP, Vaidya A
KeywordsCVDs, Health-service delivery, Infrastructure, Needs assessment, Nepal
Open access – Yes
SpecialityHealth policy
World region South-eastern Asia
Country: Nepal
Language – English
Submitted to the One Surgery Index on January 13, 2022 at 2:18 am
Abstract:

Background
A health care delivery system is the organization of people, institutions, and resources designed to deliver health services. A comprehensive study to explore cardiovascular health service delivery in Nepal is lacking.
Objective
This study attempted to assess Nepal’s health system gap on organization and delivery of cardiovascular disease prevention and management services.
Method
This mixed-method study used the six building blocks of the World Health Organization health system framework: organization; access; coverage, utilization and demand; equity; quality of services; and outcomes. We conducted the desk reviews of national and international documents, performed several key informant interviews, calculated the relevant indicators, and assessed the Strengths, Weaknesses, Opportunities, and Threats of the cardiovascular health service delivery.
Result
We found that most of the cardiovascular services are concentrated in urban areas, and suffer from poor access, quality, utilization, and coverage in most of the areas resulting in poor health outcomes. Though the services have recently improved due to increased primary care interventions, there is scope for the development of competent human resources, advancement of technologies, development of national protocols, and improved monitoring and supervision. Improved disease system including the medical recording and reporting mechanism to incorporate and reflect the true burden of CVD in Nepal is lacking.
Conclusion
Despite having health facilities from grassroots to the central level, availability, access, and quality of cardiovascular health services are poor. Further improvement and equitable expansion of promotive, preventive, diagnostic, referral, and rehabilitative cardiovascular services are needed to ensure universal health coverage

OSI Number – 21433

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