Manandhar Srista, Chhetri Sunit, Regmi Swapnil, Chhetri Sunny, Dorji Thinley
Department of Internal Medicine B. P. Koirala Institute of Health Sciences Dharan Nepal.
Department of Internal Medicine Central Regional Referral Hospital, Ministry of Health Gelegphu Bhutan.
Public Health Chall. 2023 May 4;2(2):e85. doi: 10.1002/puh2.85. eCollection 2023 Jun.
Nepal experienced a devastating earthquake in 2015, sweeping political changes and restructuring of its healthcare system in the last decade. The economy is heavily dependent on tourism with an average of 1 million visitors per year prior to the pandemic. The country had just begun the 'Visit Nepal 2020' campaign when the government had to realign its economic activities and allocate resources to battling the impacts of the COVID-19 pandemic. The tourism sector crashed with 18.7% of the population falling into poverty. The health system faced reeling pressure with interruptions of routine services while the government struggled to provide care to COVID-19 patients. There was a shortage of 20,000 healthcare workers and derailment of important health services, such as antenatal care, institutional delivery of babies and tuberculosis diagnosis. To fund the COVID-19 vaccination efforts, the government sought donations and loans from other countries. There were disruptions in schools and the education system which had challenges in the delivery of education through digital means due to limited internet services. The agriculture and the food production system also faced major disruptions leading to exorbitant inflation and an increase in the cost of living. The country opened to normal socio-economic activities by May 2022 in an effort to reverse the impacts on various sectors of life in Nepal. We describe how Nepal, a resource-constrained country handled the COVID-19 pandemic.
2015年，尼泊尔经历了一场毁灭性的地震，在过去十年中引发了政治变革以及医疗体系的重组。该国经济严重依赖旅游业，在疫情爆发前平均每年有100万游客。该国刚刚启动“2020尼泊尔旅游年”活动，政府就不得不重新调整经济活动，并分配资源来应对新冠疫情的影响。旅游业崩溃，18.7%的人口陷入贫困。卫生系统面临巨大压力，常规服务中断，而政府则努力为新冠患者提供治疗。医疗工作者短缺2万人，重要的医疗服务，如产前护理、婴儿住院分娩和结核病诊断也受到影响。为了资助新冠疫苗接种工作，政府向其他国家寻求捐赠和贷款。学校和教育系统也受到干扰，由于互联网服务有限，通过数字手段提供教育面临挑战。农业和粮食生产系统也面临重大干扰，导致物价飞涨和生活成本上升。该国于2022年5月恢复正常社会经济活动，以努力扭转对尼泊尔生活各方面的影响。我们描述了资源有限的国家尼泊尔是如何应对新冠疫情的。
