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WHO Country Cooperation Strategy 2006-2011 Nepal
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The WHO Country Cooperation Strategy (CCS), a medium-term framework for WHO cooperation with the Government of Nepal, has been developed keeping in mind the need to balance between the country priorities and WHO priorities as outlined in WHO’s 11th General Programme of Work and the Medium Term Strategic Plan. This CCS has been prepared through a series of consultation and dialogue with major stakeholders including health sector policy makers and planners, health professionals and programme managers, members of academia, external development partners and agencies. The WHO Country Office led the process and the Regional Office and WHO Headquarters contributed to it WHO’s collaborative work in Nepal during the period of 2006-2011 would be based on the strategic agenda and objectives identified in the CCS which have been developed keeping in mind the national health sector needs, MDGs and the comparative advantage of WHO.
Nepal, one of the least developed countries, has faced in a decade of political unrest until very recently. The conflict, which started in 1996 with the Maoist insurgency,
took a heavy toll of peoples’ lives and significantly hampered the country’s economic
development. However, recent political changes have paved the way towards multiparty
democracy and the solution of the decade-long political conflict and violence.
Nepal has made some progress over the years in raising the health status, particularly
through expansion of immunization for vaccine-preventable diseases and priority disease
interventions. However, much remains to be done. DALYs lost due to ill health remain
the highest in the Region and are second to sub-Saharan Africa. Major communicable
diseases still persist and are a major public health problem. At the same time, diseases
related to life style and risk factors (e.g. diabetes, hypertension, CVD, cancer etc.) are
increasing. Population growth remains high compared to the other countries in the
Region. About two-thirds of the population is under 15 years of age, and the number
of people 60 years and above is also increasing. Thus, the country is going through
demographic and epidemiological transitions.
Despite the emphasis on equity and social justice in the national health policy, health gaps between the rich and the poor, and between urban and rural areas are wide. The disparities in access, service utilization and health status are marked. The deeply rooted discriminatory practices based on ethno-caste system or patriarchal structure affect the poor and the marginalized in every sphere, including access to and
utilization of health services.
The Nepal Health Sector Programme Implementation Plan (NHSP-IP) emphasizes the essential services package but resources are skewed towards tertiary care. While production of health care providers is increasing, quality is a cause for concern. The health sector is heavily dependent on external resources. At the same time, people spend a significant amount of money on health care from their pocket. The private sector is growing without much regulation and supervision from the Ministry of Health.
Considering the above political, social and health development challenges and opportunities, the strategic agenda of this CCS has identified six priority components.
These are: strengthening health system; control and prevention of disease and disability;
human resource development; child, adolescent and reproductive health; healthier
environment; and emergency preparedness and response. Each of the components has a number of strategic objectives and strategic approaches, which are aligned with NHSP-IP outputs relevant to WHO.

WHO ,   (2007 )
Type / Script:
Progress Report in English
Thematic Group:
 WHO : World Health Organization
10.02.00  -  Comprehensive Health Services
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