Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study
Introduction: The National Health Summit is a policy discussion platform that advocates the policy statement stated by National Health Policy 2019 which results in a set of declarations to address issues in the health system. This study’s objective is to monitor the extent of declaration’s implemen...
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Nepal Medical Association
2024-12-01
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| Series: | Journal of Nepal Medical Association |
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| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8871 |
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| author | Ashis Shrestha Lisasha Poudel Dipesh Tikhatri Sushant Regmi Jay Bhushan Jha Shreya Baniya Mandish Prasad Phuyal Akanshya Prasai Sunil Kunwar Amit Chand Prakriti Karki Nurusha Tamrakar Ritu Sapkota Raman Yadav |
| author_facet | Ashis Shrestha Lisasha Poudel Dipesh Tikhatri Sushant Regmi Jay Bhushan Jha Shreya Baniya Mandish Prasad Phuyal Akanshya Prasai Sunil Kunwar Amit Chand Prakriti Karki Nurusha Tamrakar Ritu Sapkota Raman Yadav |
| author_sort | Ashis Shrestha |
| collection | DOAJ |
| description |
Introduction: The National Health Summit is a policy discussion platform that advocates the policy statement stated by National Health Policy 2019 which results in a set of declarations to address issues in the health system. This study’s objective is to monitor the extent of declaration’s implementation, its facilitators-barriers, and to formulate recommendation for future National Health Summit declarations and implementation strategies.
Methods: This is a qualitative study conducted by Nepal Medical Association. in November-December 2024. Ethical approval from Nepal Health Research Council, Ethical Review Board (Reference number: 1069). The study was designed using the Realistic Evaluation Framework to look into the “context” which are the external factors impacting implementation of the declarations, the “mechanism” which are key elements facilitating or hindering policy changes, and the “outcome” which were the tangible results of NHS declarations.
Results: Review and analysis of the participant responses identified policy influene and advocacy as contexts. The mechanisms identified were political and bureaucratic challenges, collaboration, finaicial hurdles, commitment, accountability, leadership, evidence based practices. The outcome discussed were health system strengthening, health workforce, governance, innovation, advocacy and digaital transformations.
Conclusions: Implementation of declaration is challenging, with fragmentation as major health issues, however, continuous advocacy has had a synergistic effect in implementation and prioritization of the policy.
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| format | Article |
| id | doaj-art-ce7db6ffc90e4d95bef9202505c3edc4 |
| institution | Kabale University |
| issn | 0028-2715 1815-672X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj-art-ce7db6ffc90e4d95bef9202505c3edc42025-01-03T09:12:31ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2024-12-016328110.31729/jnma.8871Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative StudyAshis Shrestha0Lisasha Poudel1Dipesh Tikhatri2Sushant Regmi3Jay Bhushan Jha4Shreya Baniya5Mandish Prasad Phuyal6Akanshya Prasai7Sunil Kunwar8Amit Chand9Prakriti Karki10Nurusha Tamrakar11Ritu Sapkota12Raman Yadav13Patan Academy of Health Sciences, Lagankhel, Lalitpur, NepalInstitute for Implementation Science and Health, Kathmandu, NepalNepal Medical Association, Exhibition Road, Kathmandu, NepalPatan Academy of Health Sciences, Lagankhel, Lalitpur, NepalNepal Medical Association, Exhibition Road, Kathmandu, NepalNepal Medical Association, Exhibition Road, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamanal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamanal, Kathmandu, NepalPatan Academy of Health Sciences, Lagankhel, Lalitpur, NepalPatan Academy of Health Sciences, Lagankhel, Lalitpur, NepalNepal Medical Association, Exhibition Road, Kathmandu, NepalHope International College, Mahalaxmisthan, Lalitpur, NepalHope International College, Mahalaxmisthan, Lalitpur, NepalHope International College, Mahalaxmisthan, Lalitpur, Nepal Introduction: The National Health Summit is a policy discussion platform that advocates the policy statement stated by National Health Policy 2019 which results in a set of declarations to address issues in the health system. This study’s objective is to monitor the extent of declaration’s implementation, its facilitators-barriers, and to formulate recommendation for future National Health Summit declarations and implementation strategies. Methods: This is a qualitative study conducted by Nepal Medical Association. in November-December 2024. Ethical approval from Nepal Health Research Council, Ethical Review Board (Reference number: 1069). The study was designed using the Realistic Evaluation Framework to look into the “context” which are the external factors impacting implementation of the declarations, the “mechanism” which are key elements facilitating or hindering policy changes, and the “outcome” which were the tangible results of NHS declarations. Results: Review and analysis of the participant responses identified policy influene and advocacy as contexts. The mechanisms identified were political and bureaucratic challenges, collaboration, finaicial hurdles, commitment, accountability, leadership, evidence based practices. The outcome discussed were health system strengthening, health workforce, governance, innovation, advocacy and digaital transformations. Conclusions: Implementation of declaration is challenging, with fragmentation as major health issues, however, continuous advocacy has had a synergistic effect in implementation and prioritization of the policy. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8871coordinationdeclarationhealth policyhealth systempolicy implementation |
| spellingShingle | Ashis Shrestha Lisasha Poudel Dipesh Tikhatri Sushant Regmi Jay Bhushan Jha Shreya Baniya Mandish Prasad Phuyal Akanshya Prasai Sunil Kunwar Amit Chand Prakriti Karki Nurusha Tamrakar Ritu Sapkota Raman Yadav Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study Journal of Nepal Medical Association coordination declaration health policy health system policy implementation |
| title | Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study |
| title_full | Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study |
| title_fullStr | Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study |
| title_full_unstemmed | Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study |
| title_short | Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study |
| title_sort | tracking progress of national health summit declarations health policy analysis a qualitative study |
| topic | coordination declaration health policy health system policy implementation |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8871 |
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