National Health Care

National Health Programme

The child health and immunization section, the maternal and neonatal health section, the family planning and reproductive health department, and the nutrition section are all included in the family welfare divisions. The family welfare division now includes the former child health and family health divisions.

Child Health Programme:

Immunization The word "immunization" was created by Edward Jenner. Informally, during his rule, Jung Bahadur Rana started immunizing the Royal Children (1843-1845). In 2034, the National Immunization Program (NIP), formerly known as the Expanded Program in Immunization (EPI), began. One of the government's top priorities is the National Immunization Program (NIP). It significantly helped Nepal achieve Millennium Development Goals (MDG) 4 and 5 by lowering the morbidity and death rates associated with vaccine-preventable illnesses among children and mothers. According to the 2015 constitution of Nepal, everyone has a basic right to healthcare. Every kid has the legal right to get high-quality vaccinations, according to the Immunization Act (BS 2072). Currently, 11 antigens are given to eligible newborns and toddlers through the national Immunization program. Rota Vaccine is recently added in national immunization schedule. The Comprehensive Multi Year Plan- I (cYMP) first (1),(2011-2016), CYMP-II (2017-2021) which is a 5-year plan of action, governs the National Immunization Programme (NIP) of Nepal. Nepal was certified as polio free status on 27 March 2014. Polio free status maintained since August 2010

Objectives of National Immunization program

The National Immunization Programme has two main guiding documents:

• The Nepal Health Sector Programme-2 Implementation Plan (NHSP IP 2) placed a strong emphasis on expanding access to and consumption of basic healthcare services, particularly to decrease access inequities. It gave the vaccination program top attention.
• The primary directive for the national vaccination program is found in the Comprehensive Multi-year Plan of Action (CMYP-1) (2012-2016). It was in line with the Global Vaccine Action Plan, World Health Assembly (W resolutions, and national vaccination program strategy papers.
• "To reduce child mortality, morbidity, and disability linked with vaccine-preventable illnesses," was the CMYP's overarching objective (2012-2016).

Targets

The target population of the National Immunization Programme are:

• BCG, DPT-HepB-Hib, OPV, IPV, PCV, and measles-rub (MR1) vaccines for infants under 1 year old.
• Children under 12 months old for Japanese encephalitis
• Children aged 15 months for the measles-rubella second dose (MRSD) and pregnant women for the low dosage diphtheria toxoid (Td) and tetanus toxoid vaccines. containing

Activities in Health Post

• Conduct outreach clinics and mobile camps to expand access to immunization provide health knowledge about how to handle negative effects.
• Offer vaccination services to the target population's kids.
• Monitoring and logging.
• Keep the vaccine's cold chain intact.

Nutrition

People may live a healthy lifestyle and support the economical growth of the nation. The national nutrition program has a high degree of dedication to improving everyone's nutritional status, but notably that of women and children. By boosting human capital through increased population productivity, nutrition interventions have been shown to be among the most cost-effective investments for overall socio-economic development. Therefore, improving the population's nutritional status is essential for achieving several of the Sustainable Development Goals more quickly. All Nepali residents now have the legal right to a healthy diet and enough food supply thanks to the Constitution.

Objectives

The general objective of the National Nutrition Programme is to enhance nutritional well-being, reduce child and maternal mortality and to contribute for equitable human development The specific objectives of the programme are as follows:

• to lower protein-energy undernutrition in children under five and women who are fertile,
• to end vitamin A and iodine deficient illnesses and maintain eradication,
• to lessen the prevalence of intestinal worms in children and expectant mothers,
• to lower the incidence of anemia in mothers, children, and teenage girls,
• enhancing maternal nutrition,
• the occurrence of low birth weight should be decreased,
• To increase home food security so that everyone may have access to and consume the food they need for a healthy life,
• to encourage healthy eating practices in order to boost everyone's nutritional status,
• to decrease mortality, enhance nutritional status, and minimize infectious illnesses,
• to reduce the prevalence of illnesses linked to a bad lifestyle, such as diabetes, cancer, hypertension, and disorders linked to smoking,
• to better the nutritional and health status of pupils.
• to lessen the serious danger of hunger and survival in extremely trying situations,
• to improve the system for assessing, tracking, and analyzing the nutrition situation.

Targets

Current global nutrition targets Sustainable Development Goal 2 - End hunger, ach security and improved nutrition and promote sustainable agriculture

• By 2030, end hunger and ensure access by all people, in particular the poor and vulnerable situations, including infants, to safe, nutritious and sufficient food all year
• By 2030, end all forms of malnutrition, including achieving, by 2025, the internation targets on stunting and wasting in children under 5 years of age, and address the needs of adolescent girls, pregnant and lactating women and older persons
• By 2030, double the agricultural productivity and incomes of small-scale food particular women, indigenous peoples, family farmers, pastoralists and fishe through secure and equal access to land, other productive resources and inputs, knowledge, financial services, markets and opportunities for value addition and non-farm employment

Activities in Health-Post

• Control of diseases that are preventable by vaccination through routine immunization and occasional campaigns
• Children between the ages of 1 and 5 are dewormed every two years while taking vitamin A supplements in all 75 districts.
• All expectant mothers should be dewormed after finishing the first trimester.
• Health education regarding the significance of storing nutritious food
• Health information about complementary feeding and breastfeeding
• Mild infection management and, if required, referral.
• Growth tracking
• Evaluation of dietary status.