Major Challenges of PHC in context of Nepal

Major Challenge of PHC in Context of Nepal

The public health landscape is facing some pressing concerns as the new century begins. Public health professionals are currently facing a variety of new problems. The PHC difficulties can be discussed from a variety of angles. The following list includes some of the main challenge dimensions.

• Public Health Dimension,
• Socio-Cultural Dimension,
• Socio-Environmental Dimension,
• Political Dimension,
• National Polities,
• International Dimension,
• Philosophical Dimension.

Public Health Dimension:

The major challenges under public health dimension are as follows.

• Population Explosion and Migration.
• Communicable Diseases.

ARI, Diarrhoea are major killers of under 5 children in Nepal. TB, JE, is growing problems.

• Epidemic/Endemic,
• Disaster,
• Malnutrition,
• Inadequate Safe Water Supply,
• Re-emerging Disease,
• New Emerging Disease,
• New Morbidity,
• Mental Disease and Violence,
• Geriatric Problem,
• Reproductive Health,
• Resource Allocation,
• Changes in the Rank order of Disease,
• Poor Management,
• The search for equity,
• Establishing Objectives and standards,
• Incorporation of Behavioral science,
• Selecting Priorities and analysis.

Socio-Economic Dimension

• Poverty,
• Illiteracy,
• Changing life style,
• Peoples Participation,
• Decentralization.

Socio-cultural Dimension

• Cultural Practices,
• Cultural Stigma,
• Cultural Value,
• Food Taboos.

Socio-Environmental Dimension

Environmental Degradation: Refugees creating social, economic, cultural and health problem. E.g. Bhutanese Refugee in  Nepal.

Political Dimension

• Lack of political commitment,
• Dependency,
• Utilization of political structure.

National Policies

• Lack of promoting and protecting Ethno-medicine,
• Rational applicationof Existing knowledge,
• Ethical Safeguards.

International Dimension

• Structure and scheme of Globalization,
• War and use of Biological,Chemical weapons,
• Structural Adjustment Program(SAP).

Philosophical Dimension

• Defining the boundaries of Public Health,
• Improving the definition of Public Health Problems,
• Changing Public Perception of Public,
• The challenge of optimism,
• Predicting the predictable future,
• Protecting the Future.