HEALTH INEQUALITY AND EQUITY IN RURAL AND URBAN SETTING IN NEPAL

Sushil Sharma

Abstract


This paper investigates the relationship between health policy, equity, and inequality in Nepal. It argues that current inequities in health facilities and outcomes are largely attributable to persistent inequities and biases in the health policy framework. We begin by surveying the complex, multifaceted reality of health facilities disparity in contemporary Nepal and trace these inequalities to exclusionary practices in the policy environment that have persisted in various forms since the inception of an federal state. We then show how these inequities contributed to the civil conflict that engulfed Nepal. Analysis and critique of the most recent policy trends, decentralisation and privatisation, provide insight into the future nexus of health policy and equity in Nepal. We conclude that it is imperative for policymakers to reconceptualise the relationship between health policy, inequality and equity at this critical juncture.

Keywords


health service, health for all, inequality, facilities, disparity

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References


Adhikari S.R.(2013). Choices of health care financing schemes for resource poor country:

an analysis of nepal’s experiences. Scientific Research. 2013; 5(8): 1295-1302. http://dx.doi.org/10.4236 /health.2013.58176

Bhuvan, K.C, Heydon, S and Norris, P.(2015). Access to and quality use of non-

communicable diseases medicines in nepal. Journal of Pharmaceutical Policy and Practice. 2015; 8(1): 1-4

Central Bureau of Statistics.(2011). Nepal in figures, Ramshahpath, Thapathali, Kathmandu:

Central Bureau of Statistics.

…………………………….(2018). Nepal in figures, Ramshahpath, Thapathali, Kathmandu:

Central Bureau of Statistics.

Garha, M.(2017).Health care in nepal: an observational perspective, Journal of Nursing

Education and Practice 2017, Vol. 7, No. 1, Emergency Nursing, British Columbia, Canada: 2016 DOI: 10.5430/jnep.v7n1p114 URL: ttp://dx.doi.org/10.5430/jnep.v7n1

p114. Sciedu Press.

Ministry of Health and Population.(2012). Human resources for health strategic plan 2011-

Kathmandu: Ministry of Health and Population, Government of Nepal.

National Planning Commission.(2009). Revitalizing primary health care country

experience: Nepal: Interim Plan, 2007-09, NPC, Govt. of Nepal.

Paudel R, Upadhyaya T, and Pahari DP.(2012). People’s perspective on access to health

care services in a rural district of nepal. Journal of the Nepal Medical Association. 2012; 52(1): 20-24. PMid:23279768

World Health Organization.(2003). Overview of the world health report 2003: shaping the

future. Geneva: WHO.


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