scholarly journals Postpartum Cardiovascular Prevention: The Need for a National Health Systems-Based Strategy

2019 ◽  
Vol 35 (6) ◽  
pp. 701-704 ◽  
Author(s):  
Natalie Dayan ◽  
Kara Nerenberg
Keyword(s):  
Health Systems ◽  
National Health ◽  
Cardiovascular Prevention

scholarly journals Health system gaps in cardiovascular disease prevention and management in Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Archana Shrestha ◽  
Rashmi Maharjan ◽  
Biraj Man Karmacharya ◽  
Swornim Bajracharya ◽  
Niharika Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Health System ◽  
Health Systems ◽  
National Health ◽  
Task Force ◽  
Health Spending ◽  
Building Blocks ◽  
Critical System ◽  
Government Organizations ◽  
The Government

Abstract Background Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. Methods We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. Results National health insurance covers less than 10% of the population; and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Conclusion Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.

scholarly journals Changing Emergency Department and hospital organization in response to a changing epidemic

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniele Coen ◽  
Ciro Paolillo ◽  
Mario Cavazza ◽  
Gianfranco Cervellin ◽  
Andrea Bellone ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Systems ◽  
National Health ◽  
Hospital Organization ◽  
The World

The world is facing a new pandemic that sets the national health systems, their structures and professionals in a crisis never experienced before. (...)

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