Aryal Binod Kumar, Daud Mohammad, Thapa Ambika, Mahotra Anita, Ale Magar Sudip, Malla Chandra Kumari
Global Health Alliance Nepal (GHAN), Maharajgunj, Kathmandu, Nepal.
Department of Health Services (DoHS), PHCRD, Teku, Kathmandu, Nepal.
J Nepal Health Res Counc. 2018 Jul 3;16(2):149-155.
Non-communicable Diseases are an alarming public health emergency in Nepal. Owing to the risk of NCD's in Nepal, Government of Nepal has developed a Multisectoral Action Plan for Non-communicable Disease 2014-2020 and has adopted the World Health Organization Package of Essential Non-communicable Disease protocol. Prior for its implementation in Nepal, baseline study has been carried out to assess the status of health facilities in Nepal.
A descriptive cross-sectional study was carried out in Kailali and Ilam district encompassing a total of 92 health facilities. A set of structured questionnaire and interview guideline was used to obtain the data. Collected data was transferred to Microsoft Excel, cleaned and analyzed in SPSS 16.0. Descriptive analysis was performed to express the frequencies and relative frequencies Results: Of the total health facilities, 49 and 43 health facilities of Ilam and Kailali were interviewed. The hospital of Ilam consisted all the procedure, equipment and medicine for the management of NCDs whilst, health posts lacked Oxygen services. Only 592 posts were fulfilled out of 704 sanctioned post in both the districts of which only 161 were trained in management of NCDs. Atotal of 231 patients were diagnosed with NCDs before the day of study in all the health facilities of both districts.
Study reveals the gaps in capacity of health institution and system in terms of training, supply, equipments, and diagnostics. However, training of health workers, supply of essential medicines and improvising the service delivery would supplement the effective implementation of PEN in Nepal.
非传染性疾病在尼泊尔是令人担忧的公共卫生紧急情况。由于尼泊尔存在非传染性疾病风险，尼泊尔政府制定了《2014 - 2020年非传染性疾病多部门行动计划》，并采用了世界卫生组织基本非传染性疾病一揽子方案协议。在尼泊尔实施该计划之前，已开展基线研究以评估尼泊尔卫生设施的状况。
在凯拉利和伊拉姆地区开展了一项描述性横断面研究，涵盖总共92个卫生设施。使用一套结构化问卷和访谈指南来获取数据。收集的数据被转移到Microsoft Excel中，进行清理并在SPSS 16.0中进行分析。进行描述性分析以表达频率和相对频率。结果：在伊拉姆和凯拉利地区，分别对49个和43个卫生设施进行了访谈。伊拉姆的医院具备管理非传染性疾病的所有程序、设备和药品，而卫生站缺乏氧气服务。两个地区704个核定岗位中仅592个岗位有人任职，其中只有161人接受过非传染性疾病管理培训。在研究当天之前，两个地区所有卫生设施中共有231名患者被诊断患有非传染性疾病。
研究揭示了卫生机构和系统在培训、供应、设备和诊断方面的能力差距。然而，对卫生工作者的培训、基本药品的供应以及改善服务提供将有助于尼泊尔有效实施基本非传染性疾病一揽子方案。
