Tuberculosis is one of the most prevalent infectious disease and significant public health problem in Nepal and continues to pose serious threat to the health of the population and development of the country. Currently nearly 80,000 people have tuberculosis in Nepal, with more than 44,000 new cases arising every year. About half of these are infectious (sputum smear-positive) cases which continue the chain of transmission. The majority of TB patients belong to the economically active age groups of 15–45 years.
National Strategic Plan (2006–2011) aims to contribute directly to the Millennium Development Goal (Halt and begin to reverse the increasing trend of HIV by 2015) through numbers of key strategies for Prevention; and Treatment Care and Support. Keeping in view of current low coverage and access to services, insufficient focus to treatment care and support as well as inadequate link between prevention and treatment care and support, the NSP (2006 – 2011) is designed in line with Universal Access target of 80% coverage with prevention, treatment, care and support services to Most-at-risk population and People living with HIV and AIDS. The NSP (2006 – 2011) is developed within the broader framework of the National HIV and AIDS Policy and 11-point guiding principles.
Cold Chain maintenance is an essential component of every immunization programme, without which delivery of immunization services is rendered impossible. For the safe storage and transportation of vaccine, cold chain equipment is a mandatory requirement. All equipment must be able to keep vaccines safely whatever the outside temperature, and however the climate varies at different times of the year. This means it is vitally important to use well-made, reliable equipment that at the very least, meets the minimum standards determined by WHO for vaccine storage and transport.
The World Development Report 2018: Learning to Realize Education’s Promise argues that without learning, education will fail to deliver on its promise to eliminate extreme poverty and create shared opportunity and prosperity for all.