Pokhrel Rita, Knoble Abigail, Gautam Pratibha, Shah Mohammad Kashim, Paudel Pravin, Amatya Archana, Upadhyaya Madan Kumar, Rajbhandari Ruma
Nick Simons Institute, Kathmandu, Nepal.
Mass General Brigham, Boston, MA, USA.
Lancet Reg Health Southeast Asia. 2025 Feb 22;34:100548. doi: 10.1016/j.lansea.2025.100548. eCollection 2025 Mar.
District hospitals in Nepal, as in other Low- and Lower - Middle Income Countries (LLMICs), struggle to provide quality care due to inadequate investments in equipment, human resources, and hospital infrastructure. To address these challenges, under the leadership of the Ministry of Health and Population (MoHP), Nick Simons Institute (NSI) developed and implemented the novel Minimum Service Standards (MSS) assessment tool in close partnership with the Government of Nepal. The MSS tool routinely assesses a hospital's readiness to provide mandated care and identify gaps, which are then closed via a small annual grant to the health facility, together providing the knowledge and resources to improve hospital readiness and service availability. Since its inception in 2014, the program has expanded to 130 government hospitals as of April 2024. The program provides a blueprint for hospitals to pursue excellence and has tracked and motivated substantial improvements in services since 2014, such as basic laboratory investigations (+46%), cesarean sections (+40%), and spinal anesthesia (+32%). The program has impacted healthcare policy due to the close collaboration with the MoHP, influencing budget allocation, insurance payments, and hospital upgrade criteria, cementing its sustainability and long term impact.
No external funding.
与其他低收入和中低收入国家（LLMICs）一样，尼泊尔的地区医院因在设备、人力资源和医院基础设施方面投资不足，难以提供高质量医疗服务。为应对这些挑战，在卫生与人口部（MoHP）的领导下，尼克·西蒙斯研究所（NSI）与尼泊尔政府密切合作，开发并实施了新颖的最低服务标准（MSS）评估工具。MSS工具定期评估医院提供法定医疗服务的准备情况并找出差距，然后通过每年向医疗机构提供小额赠款来弥补这些差距，同时提供知识和资源以提高医院的准备水平和服务可及性。自2014年启动以来，截至2024年4月，该项目已扩展至130家政府医院。该项目为医院追求卓越提供了蓝图，自2014年以来跟踪并推动了服务的大幅改善，如基本实验室检查（+46%）、剖宫产（+40%）和脊髓麻醉（+32%）。由于与卫生与人口部密切合作，该项目对医疗政策产生了影响，影响了预算分配、保险支付和医院升级标准，巩固了其可持续性和长期影响。
无外部资金。
