Népal

Le Népal, enclavé en Asie du Sud, compte 28 millions de personnes, avec une espérance de vie de 69 ans pour les hommes et 72 ans pour les femmes. Il lutte contre les inégalités de santé et favorise en particulier une meilleure accessibilité des services de santé par l'introduction de programmes gratuits, de programmes ciblés, et d'incitations à une bonne fourniture de services. Malgré une hausse significative des dépenses de santé, les reste-à-charge demeurent élevés. La Stratégie Népalaise de Santé 2015-2020 trace la voie vers la Couverture Sanitaire Universelle (CSU) et priorise l'amélioration des ressources humaines en santé, la gestion des finances publiques, les infrastructures, l'approvisionnement et la gouvernance. Tant la politique sanitaire que la stratégie de santé sont en accord avec les Objectifs de Développement Durable. Depuis 2018, le Partenariat CSU promeut la santé primaire et renforce l'autonomisation en matière de fourniture de services de soin à tous les niveaux. Il développe aussi une stratégie de financement de la santé et fournit une aide technique au renforcement des systèmes d'information sanitaires. Documents complémentaires disponibles ici.

Indicateurs de Santé

UHC Partnership Supported Products and Services

Technical Areas

Completed/Cancelled

Product/Service	Deliverables	Status
Finalize Basic health care services package in line with SDGs, UHC, health structure and health functions in the federal ized context, keeping implementation in mind	Basic health service package (BHSP)	Completed
Provide technical support in production of National Health Accounts in tracking and ensuring the regular monitoring of the health expenditure for policy making and financial protection leading to development of health financing strategy	National health account	Completed
Provide technical support to strengthen Health Management Information System (HMIS) in the federated context for reporting in particular on UHC and the health-related SDGs	Equity for UHC	Completed
Finalize Basic health care services package in line with SDGs, UHC, health structure and health functions in the federal ized context, keeping implementation in mind	Costing of BHSP	Completed
Provide technical support in production of National Health Accounts in tracking and ensuring the regular monitoring of the health expenditure for policy making and financial protection leading to development of health financing strategy	Health financing strategy	Completed
Provide technical support to strengthen Health Management Information System (HMIS) in the federated context for reporting in particular on UHC and the health-related SDGs	M&E for UHC and SDGs	Completed
Finalize Basic health care services package in line with SDGs, UHC, health structure and health functions in the federal ized context, keeping implementation in mind	Public Health Service Act 2018	Completed
Provide technical support in production of National Health Accounts in tracking and ensuring the regular monitoring of the health expenditure for policy making and financial protection leading to development of health financing strategy	Health financing data	Completed
Provide technical support to strengthen Health Management Information System (HMIS) in the federated context for reporting in particular on UHC and the health-related SDGs	Implementation research	Completed
National health policy and health sector performance reviews	Framing of National health policy	Completed
Provide technical support to improve accessto quality medical products	Essential drugs list and Nepal national formulary	Completed
Presence at provincial level to provide guidance and technical assistance to provincial governments in liaison with the WHO Country Office and Federal Ministry of Health on Basic health care services delivery and Universal health coverage – details to be defined	WHO presence in provinces toaccelerate UHC activities	Completed
National health policy and health sector performance reviews	15th 5-year national plan and 25-year plan	Completed
Provide technical support to improve accessto quality medical products	Antimicrobial resistance	Completed
National health policy and health sector performance reviews	National health sector performance reviews	Completed
Provide technical support to improve accessto quality medical products	Improved access to affordable and safemedicine	Completed
Support HR planning and development, including required HRH management capacity at federal, provincial and local government	HRH strategic road map and HRH registry in place Health worker population ratio (per 1000 population) increased to 0.3 in2018	Completed
Provide technical support to improve accessto quality medical products	Improved regulatory framework	Completed
Support HR planning and development, including required HRH management capacity at federal, provincial and local government	HRH registry	Completed
Provide technical support to strengthen Health Management Information System (HMIS) in the federated context for reporting in particular on UHC and the health-related SDGs	Web based electronic DHIS-2 Capacity building	Completed

Details

Product/Service	Deliverables	Status
Develop health financing strategy and support implementation, monitoring and evaluation	Develop health financing strategy and support implementation, monitoring and evaluation	Ongoing

Key indicators: Nepal
WHO region	South-East Asia
Child health
Diphtheria tetanus toxoid and pertussis (DTP3) immunization coverage among 1-year-olds (%) (2019)	93
Demographic and socioeconomic statistics
Poverty headcount ratio at $1.25 a day (PPP) (% of population) (2010)	24.8
Gender inequality index rank (2014)	108
Human development index rank (2014)	145
Health financing
Total expenditure on health as a percentage of gross domestic product (2014)	5.80 (Nepal note)
Private expenditure on health as a percentage of total expenditure on health (2014)	59.67 (Nepal note)
General government expenditure on health as a percentage of total government expenditure (2014)	11.18 (Nepal note)
Health systems
Physicians density (per 1000 population) (2014)	0.598
Nursing and midwifery personnel density (per 1000 population) (2014)	2.041
Mortality and global health estimates
Neonatal mortality rate (per 1000 live births) (2019)	19.8 (Both sexes)
Under-five mortality rate (probability of dying by age 5 per 1000 live births) (2019)	30.8 (Both sexes)
	28.5 (Female)
	32.9 (Male)
Maternal mortality ratio (per 100 000 live births) (2017)	186 [ 135 - 267 ]
Sustainable development goals
Life expectancy at birth (years) (2019)	68.9 (Male)
	72.7 (Female)
	70.9 (Both sexes)
Births attended by skilled health personnel (%) (2016)	58
World Health Statistics
Population (in thousands) total (2016)	28 983
Population proportion under 15 (%) (2016)	31.7
Population proportion over 60 (%) (2016)	7.3
Literacy rate among adults aged >= 15 years (%) (2007-2012)	57