ReviewGlobalization and health2022
Transforming Nepal's primary health care delivery system in global health era: addressing historical and current implementation challenges.
Review in Globalization and health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Solar power for maternal and neonatal care after the Jajarkot earthquake, Nepal.Bulletin of the World Health Organization · 2026Article
- Assessment of community health workforce governance in federal Nepal.Health policy and planning · 2026Article
- Community and stakeholder engagement in national priority setting and participatory research for HIV, Tuberculosis, and Malaria programs in Nepal.Research involvement and engagement · 2026Article
- Implementation fidelity to the World Health Organization package of essential non-communicable disease interventions (PEN) during scale-up in Nepal's primary healthcare system: a mixed methods study.Implementation science communications · 2026Article
- Geographic and Temporal Variations in Immunization Coverage in Nepal: An Ecological Time-Trend Analysis.Health science reports · 2026Article
- Challenges and suffering of people with advanced illness in rural Nepal: a mixed method multiple case study in four municipalities.BMC palliative care · 2026Article
- Primary healthcare system readiness for the prevention and management of non-communicable diseases in Nepal.Discover public health · 2026Article
- Mapping Orthopedic Research Trends in Nepal (2000-2024): A Scopus-Based Bibliometric Study.Indian journal of orthopaedics · 2025Review
- Stakeholder analysis for 'One Health' approach to tackle antimicrobial resistance.BMJ global health · 2025Review
- Implementation status of the free newborn care program in Gandaki Province, Nepal.BMC health services research · 2025Article
- Achieving Universal Health Coverage and Health-Related Sustainable Developmental Goals in Nepal through Traditional, Complementary and Integrative Medicine.JNMA; journal of the Nepal Medical Association · 2025Article
- A patient survey on outpatient physiotherapy services in Nepal: service received, and patients' recommendations.BMC health services research · 2025Article
- Transforming health in Nepal: a historical and contemporary review on disease burden, health system challenges, and innovations.Health research policy and systems · 2025Review
- The hidden curriculum: examining gender disparities in career trajectories of female medical graduates from Nepal.BMC public health · 2025Article
- Navigating Nepal's health financing system: A road to universal health coverage amid epidemiological and demographic transitions.PloS one · 2025Article
- Contribution of health system governance in delivering primary health care services for universal health coverage: A scoping review.PloS one · 2025Article
- Over the counter use of topical corticosteroid for skin conditions among patients before attending skin specialist clinic in Nepal: A qualitative study.PLOS global public health · 2025Article
- National Health Policy and factors predicting its implementation at the local level in Nepal: an exploratory cross-sectional study.Frontiers in public health · 2025Article
- Late-Onset Rheumatoid Arthritis (LORA): A Diagnostic and Therapeutic Challenge Among Older Patients Visiting a Poorly Resourced Health-Care Setting.Mediterranean journal of rheumatology · 2024Review
- Triage processes in primary, secondary, and tertiary health care facilities in the Kathmandu Valley, Nepal: a mixed-methods study.BMC emergency medicine · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nepal's Primary Health Care (PHC) is aligned vertically with disease control programs at the core and a vast network of community health workers at the periphery. Aligning with the globalization of health and the factors affecting global burden of diseases, Nepal echoes the progressive increase in life expectancy, changes in diseases patterns, including the current impact of COVID-19. Nepal's health system is also accommodating recent federalization, and thus it is critical to explore how the primary health care system is grappling the challenges amidst these changes. In this review, we conducted a narrative synthesis of literature to explore the challenges related to transformation of Nepal's primary health care delivery system to meet the demands incurred by impact of globalization and recent federalization, covering following database: PubMED, Embase and Google Scholar. Of the 49 articles abstracted for full text review, 37 were included in the analyses. Existing theories were used for constructing the conceptual framework to explain the study findings. The results are divided into four themes. Additional searches were conducted to further support the narrative synthesis: a total of 46 articles were further included in the articulation of main findings. Transforming Nepal's primary health care system requires a clear focus on following priority areas that include i) Revised efforts towards strengthening of community based primary health care units; ii) Adapting vertical programs to federal governance; iii) Reinforcing the health insurance scheme; and iv) Strengthening an existing network of community health workers and health human resources. This review discusses how these broad goals bear challenges and opportunities.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.