Current Periodic Plan

Current Periodic (three/five year) Plan Targets and Area Covered

1st Five Year Plan (1956-1961)

• More emphasis was given on the curative services.
• Nepal Malaria Eradication organization (NMEO) programme in Chitwan reached to the of eradication of malaria and resettlement of the hill people in the Teras region.
• Organization of Ministry of Health took place in 1956.
• The first intake of girls in Bir Hospital Nursing School took place in 1956 and 13 nurses were produced in 1960.

Second Five Year Plan Period (1962-65)

• Life expectancy 33 years.
• Small pox survey started in 1962 with the objectives to eradicate in future.
• Pilot projects for control of two major diseases:
  •  Leprosy control in 1963
  •  The control in 1965
• Royal drug research laboratory was established in 1964.

Third Five Year Plan Period (1965-70)

• 113 health posts.
• Vertical projects:
  • Fp and maternal child health project in 1968.
  • Leprosy eradication projects launched in 1965.
  • Smallpox eradication projects in 1967.

Fourth Five Year Plan Period (1970-75)

• Life expectancy 42.3 years, IMR 157/1,000 live birth
• 1971 pilot project of integrated basic health services was stated in Bara district
• Notification and recording of the last case of smallpox seen in Nepal was in 1974
• Community health and integration division (CHID) was set up to reduce duplication a make cost-effectiveness. 
• Training institutions for the production of various middle and basic levels health worker in 1972

Fifth Five Year Plan Period (1975-80)

• Life expectancy 46 years,IMR reduced to 145/1,000 live birth.
• Nepal had signed the HFA 2000 document at Alma Ata in 1978.

Sixth Five Year Plan Period (1980-85)

• Life expectancy 53 years.
• Concept of basic minimum needs (BMN).
• Idea of COMBINA as a basic minimum health needs.
• C-Child spacing, O-oral Rehydration.
• M- Maternal &child health.
• B-Basic natal care.
• I-immunization-nutrition.
• A-ARI.

Seventh Five Year Plan Period (1985-90)

• A national health information system was developed and functioning since 1988.
• Estimated IMR was 111/1000 live birth.
• Emphasis on:
  • basic minimum health care need.
  • PHC.
  • Sanitation.

After 2047 BS Post Jana Andolan Health Services

Eighth Five Year Plan Period (1992-97)

• National health policy 1991.
• National Health Policy 1991 spelt out the target of establishing sub-health posts in:
  • Every VDC and primary health centre in every constituency of the country
• Total fertility rate remained at 4.6 as against the target to reduce at 4.5.
• Targets such as spraying medicines for malaria control in the area inhabited by 600,000 to 800,000 people twice a year in 64 districts of the kingdom, sample blood collection and test, cure of the affected persons.
• Nepal, for the first time, launched polio drops services to 3.3 million children of 0-5 age group is 996/97 by organising immunisation day.
• On medical college hospital - BP Koirala Institute of Health Science Teaching Hospital (1993) from public sector.
• BP Koirala Memorial Cancer Hospital (1995) in Chitwan and Shahid Gangalal National Heart Center 1997) in Kathmandu were established.
• Manipal Medical College Teaching Hospital (1997)

Ninth Five Year Plan Pertod (1997-2002)

Providing secondary and tertiary medical care services and education, private sector institutions established Bharatpur Medical College Teaching Hospital (1998), Bhairahawa Medical College Teaching Hospital (1999), Kathmandu Medical College Teaching Hospital (2000), and Nepaltung Medical College Teaching Hospital (2002).

Tenth Five Year Plan Period (2002-2007)

• Poverty Alleviation,
• Macroeconomics,
• Social Justice and Inclusion,
• Economic Development,
• Social Development: Education, Health, Population,
• Infrastructure Development,
• Peace, Reconstruction/Rehabilitation and Reintegration,
• Local Development, Good Governance and Decentralization.

Nepal has accepted the universal recognition of "Health: people's basic right outcome to th maternal mortality rate has fallen down to 281 per 100000 and child mortality rate to 61 pe thousand. Similarly infant mortality rate is 48 per thousand and newly born infant mortality rate 34 per thousand, according to the NDHS 2006. The average life expectancy of the Nepalese people has reached 62 years and it is more for fema than for males.

Eleventh Year Plan Three Year Interim Plan (2007/08-2009/10)

Nepal has moved forward in the direction of ensuring sustainable peace after the past hist movements and the People's Movement of 2006. Objective of this Plan is to generate an experience of a direct feeling of change in the lives o general public by supporting in the establishment of peace and reducing the ex unemployment, poverty and inequality in the country.

Twelve-year Plan Three Year Interim Plan (2010/11-2012/13)

Strategy

• For a robust health care system, build physical infrastructures, expand the capabilities of health organizations and human resources, and handle drugs and equipment well.
• Effectively deliver health services at all levels, including those in emergency, disaster, and promotional situations.
• Encourage collaboration between the governmental, corporate, nonprofit, and community sectors to expand services, develop human resources, and deliver quality healthcare.
• By implementing management procedures and creating an effective referral system, you may make health services quick, people-oriented, integrated, and decentralized.

Thirteen Year Plan Three Year Interim Plan (2012/13-2014/15)

• This strategy's goal is to enhance everyone's fair access to and usage of high-quality healthcare services and marijuana.
• to broaden access and improve the standard of free and essential medical care
• to increase the health institution's capability for providing preventive, promotive, and curative health services in an efficient manner. To make it possible for INGOs, NGOs, and other stakeholders to coordinate
• to encourage the community and civic society to raise awareness of health services
• to organize and intensify the activity of monitoring and assessment

Fourteen Five Year Plan (2014/2015-2018/2019) .

Targets of 14thfive-year plan:

• Provide qualitative basic health care services at a free of cost to all citizens.
• Major area of programs.
• Improvement in delivering health services.
• Improve and development of physical health infrastructure.
• Institutional Sector Improvement and Good Governance.
• Identification and sustainability of the health sector investment.
• Management of tools and equipment and medicines.
• Human resource development and quality health services.
• Nutrition related programme.
• Emergency health.
• Co-operation and understanding.
• Cooperation and collaboration.
• Policy improvement.

Fifteen Five Year Plan (2018/2019-2023/2024)

• According to approached plan of national planning commission, 15th five year plan is being running.
• Developing and expanding health care systems at all levels will be conveyed to public health access to the public level

Strategy

• To ensure the access of preventive, promotive, curative and rehabilitative and palliative care including quality health care services to all the people.
• Schematic development and development of Ayurvedic, prosthetic medicine and other medical methods.
• Developing a sustainable development system by developing national investment in health.
• Preparing Integrated Measures for Survival of communicable and non- communicable disease prevention Pre-Preparation and Integration with Health System.
• Mitigate the risk of public health from disaster process.
• Co-ordination and Collaboration for the effective implementation of Multi-sectoralnutritional plan.

Health Specific Plan

Nepal Health Sector Strategy Implementation Plan (NHSP-IP) 2004-2009

The first five years of the Health Sector Reform Strategy's implementation will be governed by the operational instructions provided by the Nepal Health Sector Strategy Implementation Plan (NHSP-IP). The Health Sector Strategy's objective is to enhance health outcomes for the underprivileged and those residing in rural locations, hence reducing poverty and achieving Nepal's health sector's Millennium Development Goals. Its goal is to enhance the population's health status in Nepal by encouraging the use of crucial healthcare services provided by a properly run healthcare system.

Nepal Health Sector Programme-2 Implementation Plan 2010-2015

A national framework for the health sector, the Second Nepal Health Sector Programme (NHSP-2) directly aids in the achievement of the health-related Millennium Development Goals (MDGs) 1 (partly), 4, 5, and 6. To further meet Nepal's healthcare requirements, the NHSP-2's EHCS package was enlarged; new programs on mental health, oral health, environmental health, community-based newbor care, and a community-based nutrition care and support program were included. The initiative also includes inter-sectoral cooperation, public-private partnerships (PP governance and accountability), and the prevention of non-communicable diseases.

Nepal Health Sector Strategy 2015-2020

NHSS places health at the center of overall socio-economic development. It guides the be sector's response in realizing government's vision to graduate Nepal from 'Least Develo Country' to 'Middle Income Developing Country' by 2022. To sustain the achievements made y the health sector and address the aforementioned challenges, NHSS stands on four str principles:

Nepal Health Sector Strategy 2015-2020 (NHSS) is the primary instrument to guide the sector for the next five years, based on the National health policy 2014. It adopts the vision mission set forth by the National Health Policy and carries the ethos of Constitutional provis to guarantee access to basic health services as a fundamental right of every citizen. It articu nation's commitment towards achieving Universal Health Coverage (UHC) and provides basis for garnering required resources and investments.

• Multi-sectoral approach.
• Equitable access to health services.
• Health systems reform.
• Quality health services.