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This Collaborative Framework paves the road in strengthening working relationships between the Ministry of Health and Population (MoHP) and Ministry of Federal Affairs and Local Development (MoFALD) at different levels resulting in a win-win for both partners. It is a milestone towards strengthening participatory development and local governance in the long-run. MoHP

The past three decades have witnessed some impressive advances in leprosy control. Elimination as a public health problem (i.e. registered prevalence below 1 per 10 000 population) was achieved in all countries1. The agenda of eliminating leprosy at the subnational level is still unfinished in many countries and will therefore continue to be pursued in the coming years.

Over the last decade, Nepal has achieved significant progress in reducing the under five mortality rate. The reduction in under five mortality rates has been possible through effective child health programmes such as improved coverage and addition of newer vaccines in the national immunization programme, sustained high coverage with Vitamin A supplementation and deworming and expansion of the programme of community based integrated management of childhood illnesses.

Over the past two decades, the high levels of maternal mortality in developing countries has increasingly been recognised as an urgent public health concern. The fifth Millennium Development Goal (MDG) is to improve maternal health, with the target of reducing the 1990 maternal mortality ratio (MMR) by three quarters, by 2015. The Government of Nepal (GoN) is committed to achieving this goal and safe motherhood has been a national priority for Nepal.

HIV in Nepal is characterized as concentrated epidemic. More than 80 percent HIV infections spread through heterosexual transmission. People who inject drugs, female sex workers (FSWs) and men having sex with other men (MSM) are the key populations at higher risk spreading the epidemic. Male labour migrants (particularly to HIV prevalence areas in India, where labour migrants often visit female sex workers) and clients of female sex workers in Nepal are acting as bridging populations that transmit infections from higher risk groups to lower risk general population.

Proven and evidence-based interventions are of paramount importance for achieving the national target of halving new HIV infections. Understanding the dynamics of the HIV epidemic through systematic evidence is critical for addressing the knowledge gaps for an effective policy and planning decisions in response to HIV and Sexually Transmitted Infection (STI). National Centre for AIDS and STD Control (NCASC) and its partners, therefore, developed the National HIV Research Agenda to inform research gaps and to enhance quality, coverage and effectiveness of HIV prevention, treatment, care and support services in Nepal. 

Every year globally, an estimated four million babies die before they reach the age of one month.  Nearly the same numbers die in late pregnancy or are stillborn and these deaths are rarely recorded.  Millions more are disabled because of poorly managed pregnancies, deliveries and neonatal care.  Deaths are far more likely to occur early in the neonatal period. This has been neatly summarized as the “two thirds rule” which states that approximately 2/3 of all deaths in the first year of life occurs in the first month of life. Of these deaths, approximately 2/3 occurs in the first week of life. Of these deaths, approximately 2/3 occurs in the first day of life.

Reproductive Health (RH) is a state of complete physical, mental and social well being and not merely the absence of disease or infirmity. Reproductive Health therefore, implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and have the freedom to decide if, when and how often to do so. Implicit in this last condition are the rights of women and men Reproductive Health (RH) is a state of complete physical, mental and social well being and not merely the absence of disease or infirmity to be informed of, and to have access to safe, effective, affordable and acceptable methods of family planning of their choice, as well as other methods of their choice for regulation of fertility which are not against the law.

नेपाल सरकारले प्रत्येक गा.वि.स. स्तरमा स्वास्थ्य संस्थाहरु मार्फत प्रतिकारात्मक, प्रवर्धनात्मक र उपचारात्मक स्वास्थ्य सेवाहरु जस्तैः खोप, परिवार नियोजन तथा सुरक्षित मातृत्व, क्षयरोग, कुष्ठरोग आदि निःशुल्क प्रदान गर्दै आएता पनि उपचारात्मक सेवातर्फ वर्षैभरीको लागि गुणस्तरीय औषधीको अभाव हुने तथा सर्वसाधारण विरामीहरुले दर्ता शुल्क तिर्नुपर्ने जस्ता कारणले गरीव, अतिगरीव, असहाय, अपांङ्ग, जेष्ठ नागरिक र महिला सामुदायिक स्वास्थ्य स्वयंसेविका तथा ठूलो हिस्सा ओगटेका दुर्गम भेगका विरामीहरुले सेवाको उपभोग गर्न नपाई रहेको यथार्थलाई राज्यले महसुश गरी दोश्रो जन आन्दोलन २०६२÷६३ पछि गठित सरकारले सो मर्म अनुरुप राष्ट्रिय निशुल्क स्वास्थ्य सेवा कार्यक्रम लागु गरेको हो।

In 2000 the United Nations Children’s Fund (UNICEF), the United Nations Population Fund (UNFPA) and WHO set the goal of eliminating maternal and neonatal tetanus (MNT) by 2005 and drew up a strategic plan with this objective. MNT elimination is defined as the achievement of under one case of neonatal tetanus (NT) per 1000 live births annually in every district of a country. In 1990, by which date MNT had been eliminated in 76 developing countries, it was estimated that there were 560 000 cases. By 2000 there were estimated to be 238 000 cases, and 104 developing countries had achieved elimination

It has been documented that Nepal has a concentrated epidemic where most at risk populations presented HIV prevalence above 5%. Data generated through the systematic, ongoing collection of data through National HIV surveillance systems is necessary to understand the dynamics of the epidemic and enable appropriate responses.

नागरिक राहत,क्षतिपूर्ति तथा आर्थिक सहायता सम्वन्धी कार्यविधि (दोश्रो संशोधन), २०७३ को दफा १३ मा रहेको विपन्न नागरिकलाई औषधि उपचार वापत आर्थिक सहायता उपलव्ध गराउन नेपाल सरकारले स्वास्थ्य मन्त्रालय अन्तरगत एक छुट्टै कोष स्थापना गर्न सक्ने उल्लेख भएको हँुदा कोष गठन तथा संचालन गर्न वान्छनीय भएकोले नेपाल सरकार, स्वास्थ्य मन्त्रालयले यो निर्देशिका वनाई लागू गरेको छ ।

The WHO FCTC opened for signature on 16 June to 22 June 2003 in Geneva, and thereafter at the United Nations Headquarters in New York, the Depositary of the treaty, from 30 June 2003 to 29 June 2004. The treaty, which is now closed for signature, has 168 Signatories, including the European Community, which makes it the most widely embraced treaties in UN history. Member States that have signed the Convention indicate that they will strive in good faith to ratify, accept, or approve it, and show political commitment not to undermine the objectives set out in it. Countries wishing to become a Party, but that did not sign the Convention by 29 June 2004, may do so by means of accession, which is a one-step process equivalent to ratification.