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GOVERNMENT OF NEPALMINISTRY OF HEALTH AND POPULATION
2015
NEPAL HEALTH SECTOR STRATEGY2015 - 2020
GOVERNMENT OF NEPALMINISTRY OF HEALTH AND POPULATION
2015
NEPAL HEALTH SECTOR STRATEGY2015 - 2020
Table of Contents
Executive Summary ------------------------------------------------------------------------------------------------- i
1. Background -------------------------------------------------------------------------------------------------- 1 1.1. Introduction --------------------------------------------------------------------------------------------- 1 1.2. Policy Context ----------------------------------------------------------------------------------------- 1 1.3. Scope of the Strategy ------------------------------------------------------------------------------- 2
2. Situation Analysis ------------------------------------------------------------------------------------------- 4 2.1 Health Outcomes ------------------------------------------------------------------------------------- 4 2.2 Equity Gap in Health Care Services ------------------------------------------------------------- 6 2.3 Population Dynamics and Health ----------------------------------------------------------------- 8 2.4 Quality of Care ---------------------------------------------------------------------------------------11 2.5 Shifting Burden of Diseases and Health Problems ---------------------------------------- 12 2.6 Post-disaster situation------------------------------------------------------------------------------ 13 2.7 Health Care Financing and Financial Protection -------------------------------------------- 14 2.8 Sector Management and Coordination -------------------------------------------------------- 16 2.9 Health Systems Strengthening ------------------------------------------------------------------ 18 2.10 Ayurveda Health Services and Alternative Medical Systems ---------------------------- 19
3. Vision and Mission --------------------------------------------------------------------------------------- 20 3.1 Vision -------------------------------------------------------------------------------------------------- 20 3.2 Mission ------------------------------------------------------------------------------------------------ 20
4. Strategic Direction and Approaches --------------------------------------------------------------- 21 4.1 Equitable Access to Health Services ---------------------------------------------------------- 21 4.2 Quality Health Services for All ------------------------------------------------------------------- 22 4.3 Health Systems Reform --------------------------------------------------------------------------- 23 4.4 Multi-sectoral Approach ---------------------------------------------------------------------------- 25
5. Goal, Outcomes and Outputs ------------------------------------------------------------------------ 28 5.1 Goal ----------------------------------------------------------------------------------------------------- 28 5.2 Outcomes and outputs ----------------------------------------------------------------------------- 28 Outcome 1: Rebuilt and strengthened health systems: HRH, Infrastructure, Procurement and Supply chain management ------------------------------------------------------- 29 Outcome 2: Improved quality of care at point of delivery ----------------------------------------- 32 Outcome 3: Equitable distribution and utilization of health services --------------------------- 32 Outcome 4: Strengthened Decentralized Planning and Budgeting ---------------------------- 33 Outcome 5: Improved Sector Management and Governance ----------------------------------- 34 Outcome 6: Improved Sustainability of Healthcare Financing ----------------------------------- 35 Outcome 7: Improved Healthy Lifestyles and Environment -------------------------------------- 35 Outcome 8: Strengthened Management of Public Health Emergencies ---------------------- 36 Outcome 9: Improved availability and use of evidence in decision-making processes at all levels ------------------------------------------------------------------------------------- 376 Moving towards Universal Health Coverage --------------------------------------------------------- 39 6.1 Basic Health Services ------------------------------------------------------------------------------ 39
6.2 Social Health Protection Arrangements ------------------------------------------------------- 39 6.3 Health Service Delivery Tier ---------------------------------------------------------------------- 39
7 Financial Management ------------------------------------------------------------------------------------ 41
8 Implementing NHSS and Measuring Sector Performance --------------------------------------- 41
AnnexesAnnex 1Elements of Basic health service package -------------------------------------------------------- 43Annex II Results Framework (RF) ------------------------------------------------------------------------------ 48Annex III References ---------------------------------------------------------------------------------------------- 71
List of Tables
Table 1: Diseases targeted for elimination --------------------------------------------------------------------- 6Table 2: Barriers for Social Inclusion in Health ---------------------------------------------------------------- 6
Executive SummaryUnder the auspices of National Health Policy 2014, Nepal Health Sector Strategy 2015-2020
vision and mission set forth by the National Health Policy and carries the ethos of Constitutional provision to guarantee access to basic health services as a fundamental right of every citizen. It articulates nation’s commitment towards achieving Universal Health Coverage (UHC) and provides the basis for garnering required resources and investments.
NHSS places health at the centre of overall socio-economic development. It guides the health sector’s response in realizing government’s vision to graduate Nepal from ‘Least Developed Country’ to ‘Middle Income Developing Country’ by 2022.
NHSS is developed within the context of Sector Wide Approach (SWAp) and it sees partnership as a cornerstone for health development in Nepal. NHSS was developed jointly by the government and its development partners. Both the government and development partners commit to align their efforts to NHSS priorities and are jointly accountable to achieve the results. NHSS also harnesses multi sectoral approach to address social determinants of health.
In the past two decade, Nepal has made notable progress on improving the overall health outcomes of the citizens. Between the period of 1990 and 2014, Nepal impressively reduced
towards eradication phase while leprosy is at elimination stage. Considerable efforts have been made to halt and reverse the trends of tuberculosis, HIV and malaria. However, comparably less progress was made in reducing neo-natal mortality and malnutrition.
Despite this progress, the country faces many health challenges including inequity. Many citizens
health services. Despite efforts to reduce gender inequality, the women of Nepal are still marginalized in society which affects their health and wellbeing. Therefore, the government has introduced special programmes and incentives, such as free health care programme and safe delivery incentive scheme, to reduce inequity in health. For the last few decades, the government has emphasized on improving access to health care services by expanding health facilities and strengthening community based interventions. Extension of access to health care services and improving the quality of health care remain a major challenge. The expansion of urban health services, owing to rapid urbanization is a burning challenge. Shifting burden of diseases and natural disaster induced health problems is yet another challenge. While communicable diseases continue to pose problems, there is now a growing prevalence of non-communicable diseases. There are also increasing threats of natural disasters due to climate change. Likewise, there are increasing number of deaths and injuries due to road accidents.
The devastating earthquake of April 2015 and subsequent aftershocks resulted in 1200 health facilities being affected. Reconstruction and maintenance of these health facilities is another challenge. This calls for a strong effort for emergency preparedness and response management.The current structure of MoHP, which is more than 25 years old, may not be prepared enough to address the contemporary and emerging health challenges. There is a need of restructuring of
i
MoHP in line with the federalist structure as provisioned by the constitution and ensure equitable distribution of health facilities with reference to geography and population. Apart from that, certain components of health systems need further strengthening to improve the health outcome of the citizens.
To sustain the achievements made in the health sector and address the aforementioned challenges, NHSS stands on four strategic principles:
1. Equitable access to health services2. Quality health services3. Health systems reform4. Multi-sectoral approach
Under these strategic principles, NHSS envisions for equitable service utilization, strengthening service delivery and demand generation to underserved populations, including the urban poor. NHSS calls for greater partnerships with local level institutions and community groups to empower women, promote supportive cultural practices and curb gender-based violence in the society. NHSS focuses on improving the quality of care at points of service delivery. As warranted by National Health Policy 2014, an autonomous accreditation body will be established during NHSS period for quality assurance of health services in public and private sectors. NHSS emphasises on strengthening research and promoting the use of evidence. It also aspires to leverage modern technologies for better health information management, increased access to health services,
of health facilities.
To strengthen decentralization planning and budgeting, NHSS prioritises the implementation of the Collaborative Framework for Strengthening Local Health Governance in Nepal. NHSS also
public and private sectors. At the same time, NHSS aims to strengthen institutional capacity of MoHP to better regulate public and private health systems.
NHSS recognises the importance of multi-sector approach to address social determinants of health. While the culture of inter-sectoral workings in health has been going on for a long time, NHSS emphasises on more institutionalized way of setting-up multi-sectoral approaches. For the
multi-sectoral action. This includes: recognizing young people as a starting point to promote healthy lifestyle; leveraging health facilities as a learning environment for healthy lifestyle and behaviour; tackling malnutrition and promoting the consumption of healthy foods; reducing the
including better response to climate change related health risks.
NHSS strives towards the goal to ‘improve health status of all people through accountable and equitable health service delivery system.’ NHSS stipulates the following nine outcomes to achieve this goal:
ii
1. Rebuilt and strengthened health systems: Infrastructure, HRH management, Procurement and supply chain management.
2. Improved quality of care at point-of-delivery3. Equitable utilization of health care services4. Strengthened decentralised planning and budgeting5. Improved sector management and governance
7. Improved healthy lifestyles and environment8. Strengthened management of public health emergencies9. Improved availability and use of evidence in decision-making processes at all levels
In order to move towards UHC, NHSS lays out the necessary service delivery arrangements. It
Basic Health Package. Services that are beyond the scope of basic health package are delivered through different social health protection arrangements, including health insurance.
strategy. The Government of Nepal will progressively seek to fund the implementation of this
will aspire to fund the provision of Basic Health Services entirely from government revenues. Likewise, as guided by the Development Cooperation Policy (2014), external resources will also be mobilized to narrow the resource gap.
The NHSS Implementation Plan (IP) and subsequent Annual Work Plan and Budget (AWPB) will translate the NHSS into action. The MoHP will lead the implementation, monitoring and evaluation of this strategy with participation of line ministries, development partners, non-governmental agencies, civil society, private sector, cooperatives and local communities. The NHSS Results Framework will be the basis to monitor the sector performance through annual reviews and a Mid Term Review (MTR).
iii
1
1. Background
1.1. Introduction
1
1.2. Policy Context
1
3
1.3. Scope of the Strategy
3
3
2. Situation Analysis
2.1 Health Outcomes
11
13
11
13
Disease Elimination target year Status as of June 2015
Leprosy
Kala-azar
Trachoma
Lymphatic Filariasis
Table 1: Diseases targeted for elimination
2.2 Equity Gap in Health Care Services
Barriers Implications for health sector
Table 2: Barriers for Social Inclusion in Health
31
31
33
33
2.3 Population Dynamics and Health
The
11
2.4 Quality of Care
2.5 Shifting Burden of Diseases and Health Problems
13
2.6 Post-disaster situation
2.7 Health Care Financing and Financial Protection
111
113
111
113
2.8 Sector Management and Coordination
2.9 Health Systems Strengthening
131
133
131
133
2.10 Ayurveda Health Services and Alternative Medical Systems
3. Vision and Mission
1.1 Vision
All Nepali citizens have productive and quality lives with highest level ofphysical, mental, social and emotional health.
1.2 Mission
Ensure citizens’ fundamental rights to stay healthy by utilizing availableresources optimally and through strategic cooperation between service
providers, service users and other stakeholders.
4. Strategic Direction and Approaches
4.1 Equitable Access to Health Services
Figure 1: Four Strategic Directions for UHC
Equitable Access toHealth Services
Multi-sectoralApproach
Quality HealthServices
Health SystemsReform
UHC
4.2 Quality Health Services for All
Quality Dimensions
An Accreditation Body for Quality Assurance
4.3 Health Systems Reform
Restructuring health sector and rebuilding health systems
Decentralized planning and budgeting
State and Non-State Partnerships
Regulation across the public and private health system
Strengthening research and promoting the use of evidence
Application of modern technologies
4.4 Multi-sectoral Approach
Promoting healthy lifestyles and healthy environment through multi-sectoral action
Children as the starting point
Health facilities as a learning environment for healthy lifestyles
Reducing the high burden of death and injury through improved road safety
Nutrition as a cross-cutting Issue
Collaboration to promote healthy environment
Establishing Multi-sectoral Response to Climate Change
5. Goal, Outcomes and Outputs
5.1 Goal
Improved health status of all people through accountable and equitablehealth service delivery system
5.2 Outcomes and outputs
Goal Level Indicators
Note:
Outcome 1: Rebuilt and strengthened health systems: HRH, Infrastructure, Procurement and Supply chain management
th
Health Infrastructure
Outputs for the achievement of outcome 1
Output Key Interventions
Output Key Interventions
Human Resources for Health (HRH)
Outputs for the achievement of outcome 1
Output Key Interventions
31
Procurement and Supply chain Management
Outputs for the achievement of outcome 1
Output Key Interventions
Outcome 2: Improved quality of care at point of delivery
Outputs for the achievement of outcome 2
Output Key Interventions
Outcome 3: Equitable distribution and utilization of health services
33
Outputs for the achievement of outcome 3
Output Key Interventions
strengthened
Outcome 4: Strengthened Decentralized Planning and Budgeting
Outputs for the achievement of outcome 4
Output Key Interventions
Outcome 5: Improved Sector Management and Governance
Outputs for the achievement of outcome 5
Output Key Interventions
strengthened
Outcome 6: Improved Sustainability of Healthcare Financing
Outputs for the achievement of outcome 6
Output Key Interventions
strengthened
strengthened
Outcome 7: Improved Healthy Lifestyles and Environment
Outputs for the achievement of outcome 7
Outcome 8: Strengthened Management of Public Health Emergencies
Outputs for the achievement of outcome 8
Output Key Interventions
Outcome 9: Improved availability and use of evidence in decision-making processes at all levels
Outputs for the achievement of outcome 9
Output Intervention Priorities
Output Intervention Priorities
6 Moving towards Universal Health Coverage
6.1 Basic Health Services
6.2 Social Health Protection Arrangements
6.3 Health Service Delivery Tier
7 Financial Management
8 Implementing NHSS and Measuring Sector Performance
Measuring Sector Performance
Results Framework
Mid-Term Review (MTR)
Regular Performance Reviews
Sector Performance Review
Ann
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naG9
Disa
bility
adjus
ted lif
e yea
rs (D
ALY)
lost:
Com
munic
able,
ma
terna
l, neo
natal
& nu
trition
al dis
orde
rs; no
n-co
mmun
icable
dis
ease
s; an
d inju
ries
nana
nana
8,319
,695
2013
BoD
, IH
ME
7,487
,726
6,738
,953
IHME
estim
ates
5 yea
rsMo
HPCo
mmun
icable
, mate
rnal,
neon
atal &
nutrit
ional
disor
ders
nana
nana
3,081
,654
2013
2,773
,489
2,496
,140
Non-
comm
unica
ble di
seas
esna
nana
na4,3
86,74
520
133,9
48,07
13,5
53,26
3Inj
uries
nana
nana
851,2
9620
1376
6,166
689,5
50G1
0Inc
idenc
e of im
pove
rishm
ent
due t
o OOP
expe
nditu
re in
he
alth
nana
nana
na20
11NL
SSRe
duce
by 20
%NL
SS
5 yea
rsTo
furth
er an
alyze
NLS
S 20
11 da
ta for
base
line
Out
com
e 1:
Reb
uilt
and
stre
ngth
ened
hea
lth s
yste
ms:
Infr
astr
uctu
re, H
RH
man
agem
ent,
Proc
urem
ent a
nd S
uppl
y ch
ain
man
agem
ent
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC1.1
% of
healt
h fac
ilities
mee
ting M
oHP
infra
struc
ture s
tanda
rd
HIIS
3 y
ears
MoHP
Type
of
healt
h fac
ility
Publi
c hos
pital
3220
13/14
HIIS
6090
Prim
ary H
ealth
Car
e Cen
ter (P
HCC)
9120
13/14
HIIS
9510
0
Healt
h Pos
t (HP
)16
2013
/14HI
IS50
90
Healt
h fac
ilities
in ea
rthqu
ake a
ffecte
d 14
distric
tsna
2014
/15HI
IS80
100
OC1.2
Healt
h wor
ker p
opula
tion r
atio
HR
Datab
ase
3 yea
rs Mo
HP
Targ
et to
have
one
docto
r per
1,00
0 pop
; 2 n
urse
s per
1,00
0 pop
; an
d 2 pa
rame
dics p
er
1,000
popu
lation
s by
2030
.
Docto
rs pe
r 1,00
0 pop
ulatio
n 0.1
820
13HR
H 0.3
70.5
2
Nurse
s (S
N+AN
M) pe
r 1,00
0 pop
ulatio
n 0.5
2013
HRH
0.85
1.12
Para
medic
s (HA
+AHW
) per
1,00
0 pop
ulatio
n 0.3
720
13HR
H 0.7
51.0
4
OC1.3
% of
proc
urem
ents
comp
leted
with
in the
plan
ned t
imeli
ne as
per
cons
olida
ted pr
ocur
emen
t plan
77
2013
/14LM
D re
port
9010
0LM
D re
port
3 yea
rsMo
HP D
rugs
, hea
lth
comm
oditie
s, ci
vil
cons
tructi
on, s
ervic
e
OC1.4
% of
healt
h fac
ilities
with
no st
ock o
ut of
trace
r dru
gs
7020
13/14
LMIS
90
95LM
ISAn
nual
MoHP
Out
puts
of O
utco
me
1: S
tren
gthe
ned
heal
th s
yste
m: I
nfra
stru
ctur
e, H
RH
, Pro
cure
men
t and
Sup
ply
chai
n m
anag
emen
t
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP1a
Infra
struc
ture
OP1a
1He
alth i
nfras
tructu
re de
velop
ed as
per p
lan an
d stan
dard
sOP
1a1.1
% of
healt
h ins
titutio
n buil
dings
comp
leted
as
plann
ed fo
r the
year
na
2013
/14HI
IS
100
HIIS
Annu
alDo
HSDU
CBC
Publi
c hea
lth
facilit
ies
Hosp
ital
na20
13/14
HIIS
PHCC
na20
13/14
HIIS
HP na
2013
14HI
ISAy
urve
dic he
alth f
acilit
ies
na20
13/14
HIIS
Othe
r hea
lth in
stitut
ions
na20
13/14
HIIS
Out
puts
of O
utco
me
1: S
tren
gthe
ned
heal
th s
yste
m: I
nfra
stru
ctur
e, H
RH
, Pro
cure
men
t and
Sup
ply
chai
n m
anag
emen
t
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP1a
2Da
mage
d hea
lth fa
cilitie
s are
rebu
ilt OP
1a2.1
% of
dama
ged h
ealth
facil
ities r
ebuil
t NA
2015
/16HI
IS
4050
60
7080
HI
ISAn
nual
MD, D
oHS
OP1a
3Im
prov
ed m
anag
emen
t of h
ealth
infra
struc
ture
OP1a
3.1%
of he
alth b
uildin
gs m
aintai
ned a
nnua
lly as
per
the m
ainten
ance
plan
na
2015
/16HI
IS
100
HIIS
Annu
alMD
, DoH
SHI
IS to
be up
dated
to
captu
re m
ainten
ance
Pu
blic f
acilit
ies
Hosp
ital
na20
15/16
HIIS
PHCC
na20
15/16
HIIS
HP na
2015
/16HI
ISAy
urve
dic he
alth f
acilit
ies
na20
15/16
HIIS
Othe
r hea
lth in
stitut
ions
na20
15/16
HIIS
OP1b
Huma
n res
ource
OP1b
1Im
prov
ed st
aff av
ailab
ility a
t all l
evels
with
focu
s on r
ural
reten
tion a
nd en
rollm
ent
OP1b
1.1 na
2015
/16
100
HuRI
SAn
nual
HRFM
D,
MoHP
HuRI
S to
be
stren
gthen
ed.
Distr
ict ho
spita
l
MDGP
na20
13ST
S36
2013
STS
Nursi
ng
(SN+
ANM)
6220
13ST
S
Para
medic
s (H
A+AH
W)
8420
13ST
S
PHCC
2820
13ST
SNu
rsing
(S
N+AN
M)62
2013
STS
Para
medic
s (H
A+AH
W)
7720
13ST
S
HPHA
+AHW
7520
13ST
SAN
M75
2013
STS
% of
distr
icts w
ith at
leas
t one
MDG
P av
ailab
le 58
2013
/14FH
D
Earth
quak
e aff
ected
14
distric
ts
na 20
15NH
FSNu
rsing
(SN+
ANM)
na 20
15NH
FSPa
rame
dics (
HA+A
HW)
na 20
15NH
FS
Out
puts
of O
utco
me
1: S
tren
gthe
ned
heal
th s
yste
m: I
nfra
stru
ctur
e, H
RH
, Pro
cure
men
t and
Sup
ply
chai
n m
anag
emen
t
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP1b
1.2%
of he
alth w
orke
rs wo
rking
at th
eir ow
n dep
uted
(Dur
band
i) ins
titutio
n na
2015
NHFS
90
NHFS
5 yea
rsHR
FMD,
Mo
HPHu
RIS
to be
stre
ngthe
ned
Distr
ict ho
spita
l
MDGP
na20
15NH
FSna
2015
NHFS
Nursi
ng (S
N+AN
M)na
2015
NHFS
Para
medic
s (HA
+AHW
)na
2015
NHFS
PHCC
na20
15NH
FSNu
rsing
(SN+
ANM)
na20
15NH
FSPa
rame
dics (
HA+A
HW)
na20
15NH
FS
HPHA
+AHW
na20
15NH
FSAN
Mna
2015
NHFS
OP1b
2Im
prov
ed hu
man r
esou
rce ed
ucati
on an
d com
peten
cies
OP
1b2.1
% of
healt
h aca
demi
c ins
titutio
ns m
eetin
g mi
nimum
stan
dard
s of r
espe
ctive
coun
cils
na
2013
/14Co
uncil
s
100
Coun
cils
Annu
alCo
uncil
s Mo
nitor
ing sy
stem
to be
estab
lishe
dHe
alth a
cade
mic
institu
tions
Medic
al co
llege
sna
20
13/14
NMC
Nursi
ng co
llege
sna
2013
/14NN
CPh
arma
cy in
stitut
ions
na20
13/14
NPC
Para
medic
s ins
titutio
nsna
2013
/14NH
PCAy
urve
dic in
stitut
ions
na20
13/14
NAC
OP1b
2.2att
empt
(Med
ical a
nd nu
rsing
) na
2013
/14Co
uncil
s
90Co
uncil
sAn
nual
Coun
cils
Monit
oring
syste
m to
bees
tablis
hed
Medic
al co
uncil
Grad
uate
Publi
c ins
titutio
ns na
2013
/14NM
CPr
ivate
institu
tions
na20
13/14
NMC
Fore
ignins
titutio
ns na
2013
/14NM
C
Post
grad
uate
Publi
cins
titutio
nsna
2013
/14NM
CPr
ivate
institu
tions
na20
13/14
NMC
Fore
ignins
titutio
nsna
2013
/14NM
C
Nursi
ng co
uncil
Publi
cins
titutio
nsna
2013
/14NN
CPr
ivate
institu
tions
na20
13/14
NNC
Fore
ignins
titutio
nsna
2013
/14NN
C
Out
puts
of O
utco
me
1: S
tren
gthe
ned
heal
th s
yste
m: I
nfra
stru
ctur
e, H
RH
, Pro
cure
men
t and
Sup
ply
chai
n m
anag
emen
t
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP1c
Proc
urem
ent a
nd su
pply
chain
man
agem
ent
OP1c
1Im
prov
ed pr
ocur
emen
t sys
temOP
1c1.1
% of
proc
urem
ent c
ontra
cts aw
arde
d aga
inst
Cons
olida
ted A
nnua
l Pro
cure
ment
Plan
48
20
14/15
LMD
100
LMD
Annu
alLM
D, D
oHS
OP1c
2Im
prov
ed su
pply
chain
man
agem
ent
OP1c
2.1%
of he
alth f
acilit
ies re
ceivi
ng tr
acer
comm
oditie
s wi
thin l
ess t
han t
wo w
eeks
of pl
acing
the o
rder
na
2015
NHFS
9090
95
95
100
LMIS
Annu
alLM
D, D
oHS
LMIS
to in
clude
this
OP1c
2.2%
of he
alth f
acilit
ies co
mplyi
ng go
od st
orag
e pr
actic
es fo
r med
icine
s na
2015
NHFS
100
LMIS
Annu
alLM
D, D
oHS
Comp
lianc
e to t
he 14
good
stor
age p
racti
ces
Out
com
e 2:
Impr
oved
qua
lity
of c
are
at p
oint
-of-d
eliv
ery
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC2.1
% of
healt
h fac
ilities
mee
ting m
inimu
m sta
ndar
ds of
quali
ty of
care
at po
int of
deliv
ery
na20
15NH
FS
90NH
FS3 y
ears
MoHP
Dime
nsion
s of q
uality
: eff
ectiv
e; sa
fe; cl
ient-
cente
red;
timely
; eq
uitab
le; cu
ltura
lly
and r
eliab
le.
Type
of ho
spita
lPu
blic
na20
15NH
FSPr
ivate
na20
15NH
FS
Leve
l of p
ublic
healt
h fac
ility
PHCC
na20
15NH
FSHP
na20
15NH
FSPu
blic h
ealth
facil
ities i
n ear
thqua
ke af
fected
14 di
strict
sna
2015
NHFS
OC2.2
% of
clien
ts pr
ovide
d with
quali
ty se
rvice
s as p
er na
tiona
l sta
ndar
ds (c
ompo
site i
ndica
tor fo
r tra
cer s
ervic
es)
na20
15
NHFS
8090
NHFS
3 yea
rsMo
HPNH
FS ob
serva
tion.
Trac
er se
rvice
s inc
lude
ANC,
FP
& IM
CI
Servi
ces
ANC
na20
15Fa
mily
plann
ing
na20
15IM
CIna
2015
Type
of ho
spita
lPu
blic
na20
15Pr
ivate
na20
15
Leve
l of p
ublic
healt
h fac
ility
PHCC
na20
15HP
na20
15
Out
com
e 2:
Impr
oved
qua
lity
of c
are
at p
oint
-of-d
eliv
ery
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC2.3
Inpati
ent m
ortal
ity ra
te na
2014
/15
HMIS
20%
re
ducti
onHM
IS3 y
ears
MoHP
HMIS
need
s to b
e str
ength
ened
to co
ver
repo
rting f
rom
all pu
blic
and p
rivate
hosp
itals.
Le
vel o
f pub
lic ho
spita
l
Spec
ialize
d na
2014
/15
Regio
nal/s
ub re
giona
l/zon
alna
2014
/15
Distr
ict/di
strict
leve
lna
2014
/15
OC2.4
% of
trac
er dr
ugs m
eetin
g qua
lity st
anda
rd at
diffe
rent
levels
na
2014
DDA
90DD
A3 y
ears
MoHP
To st
reng
then t
he
monit
oring
syste
m
Leve
l of p
ublic
healt
h fac
ility
Hosp
ital
na20
14DD
A
PHCC
na20
14DD
A
HPna
2014
DDA
At di
strict
stor
e lev
el na
2014
DDA
OC2.5
% of
infec
tion r
ate am
ong s
urgic
al ca
ses
na20
14/15
HMIS
HMIS
Annu
alMo
HP
HMIS
need
s to b
e str
ength
ened
to in
clude
thi
s and
cove
r rep
ortin
g fro
m all
publi
c and
pr
ivate
hosp
itals.
Targ
ets to
be se
t bas
ed
on th
e bas
eline
.
Type
of he
alth f
acilit
yPu
blic
na20
14/15
HMIS
Priva
tena
2014
/15HM
IS
Leve
l of p
ublic
healt
h fac
ility
Centr
al/sp
ecial
ized
na20
14/15
HMIS
Regio
nal/s
ub re
giona
l/zon
alna
2014
/15HM
IS
Distr
ict/di
strict
leve
lna
2014
/15HM
IS
Out
puts
of O
utco
me
2: Im
prov
ed q
ualit
y of
car
e at
poi
nt-o
f-del
iver
y
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rks
Data
Year
Sour
ce20
1620
1720
1820
1920
20
OP2.1
Healt
h ser
vices
deliv
ered
as pe
r stan
dard
s and
proto
cols
OP2.1
.1%
of he
alth w
orke
rs co
mplyi
ng se
rvice
deliv
ery
stand
ard p
rotoc
ols/gu
idelin
es fo
r tra
cer s
ervic
es
(sick
child
trea
tmen
t, ANC
chec
k-up,
FP)
na20
15NH
FS
90NH
FS3 y
ears
PHAM
ED,
MoHP
Trac
er se
rvice
s: Si
ck
child
trea
tmen
t, ANC
ch
eck-u
p and
FP
A co
mpos
ite in
dex t
o be
2015
Servi
ces
Sick
child
trea
tmen
tna
2015
NHFS
ANC
chec
k up
na20
15NH
FS
FP se
rvice
na20
15NH
FS
Type
Publi
c na
2015
NHFS
Priva
tena
2015
NHFS
Leve
l of p
ublic
healt
h fac
ilities
Ho
spita
lna
2015
NHFS
PHCC
na20
15NH
FS
HPna
2015
NHFS
OP2.1
.2%
of ph
arma
ceuti
cal c
ompa
nies w
ith go
od la
bo-
rator
y pra
ctice
s (GL
P) an
d goo
d man
ufactu
ring
prac
tices
(GMP
) 20
14DD
A10
0DD
AAn
nual
DDA,
MoH
P
OP2.1
.3%
of he
alth f
acilit
ies w
ith ca
pacit
y to p
rovid
e se
lected
labo
rator
y ser
vices
as pe
r stan
dard
na
2015
NHFS
90NH
FS3 y
ears
NPHL
Trac
er la
bora
tory s
er-
Type
Publi
c na
2015
NHFS
Priva
te na
2015
NHFS
Leve
l of p
ublic
he
alth f
acilit
ies
Hosp
ital
na20
15NH
FS
PHCC
na20
15NH
FS
HP na
2015
NHFS
OP2.2
Quali
ty as
sura
nce s
ystem
stre
ngthe
ned
OP2.2
.1%
of ho
spita
ls ba
sed m
atern
al de
aths r
eview
ed
na
2014
/15MP
DSR
100
MPDS
RAn
nual
FHD
MPD
SR sy
stem
to be
str
ength
ened
Ty
pePu
blic
na20
14/15
MPDS
R
Priva
te na
2014
/15MP
DSR
Out
puts
of O
utco
me
2: Im
prov
ed q
ualit
y of
car
e at
poi
nt-o
f-del
iver
y
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rks
Data
Year
Sour
ce20
1620
1720
1820
1920
20
OP2.2
.2%
of re
gister
ed la
bora
tories
accre
dited
0
2014
/15Mo
HP 30
MoHP
Annu
alNP
HL
Regio
nEa
stern
0
Centr
al 0
Wes
tern
0
Mid-
weste
rn 0
Far w
ester
n 0
OP2.3
Impr
oved
infec
tion p
reve
ntion
and h
ealth
care
was
te ma
nage
ment
OP2.3
.1%
of he
alth f
acilit
ies se
greg
ating
healt
h car
e wa
ste at
the t
ime o
f coll
ectio
n na
20
15NH
FS
100
DoHS
An
nual
MoHP
Type
of ho
spita
lPu
blic h
ospit
alna
2015
NHFS
Priva
te ho
spita
lna
2015
NHFS
Leve
l of p
ublic
he
alth f
acilit
ies
Hosp
ital
na20
15NH
FS
PHCC
na20
15NH
FS
HPna
2015
NHFS
OP2.3
.2%
of he
alth f
acilit
ies sa
fely d
ispos
ing he
alth c
are
waste
na
20
15NH
FS
100
Annu
alCD
, MoH
P MD
, DoH
S
Type
of he
alth
facilit
yPu
blic
na20
15NH
FS
Priva
te ho
spita
lna
2015
NHFS
Leve
l of p
ublic
he
alth f
acilit
ies
Hosp
ital
na20
15NH
FS
PHCC
na20
15NH
FS
HPna
2015
NHFS
Out
com
e 3:
Equ
itabl
e ut
iliza
tion
of h
ealth
car
e se
rvic
es
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC3.1
% of
clien
ts wh
o rec
eived
basic
healt
h ser
vices
free
of co
st
(trac
er se
rvice
s)
7510
0NH
FS3 y
ears
MoHP
Trac
er se
rvice
s: AN
C,
FP, IM
CI, P
M
Base
line i
nclud
es
deliv
ery s
ervic
e only
Trac
er se
rvice
s
ANC
na20
15NH
FS
Fami
ly pla
nning
na20
15NH
FS
IMCI
na20
15NH
FS
Deliv
ery
4720
13ST
S
OC3.2
% of
child
ren f
ully i
mmun
ized
84.5
2014
NMIC
S>9
0>9
0ND
HS
NMIC
SHM
IS
3 yea
rsMo
HP
Wea
lth qu
intile
Lowe
st qu
intile
83.1
High
est q
uintile
92.7
Equit
y gap
9.6
Eco
regio
n
Moun
tain
81.9
Hills
85.4
Tera
i84
.3
Equit
y gap
3.5
Earth
quak
e affe
cted 1
4 dist
ricts
86.9
Antig
en
DPT
3 88
Meas
les93
% of
distr
icts w
ith >
90%
fully
immu
nized
child
ren
NA20
14HM
IS80
100
% of
distr
icts w
ith >
80%
cove
rage
of D
PT3
6420
14HM
IS
Out
com
e 3:
Equ
itabl
e ut
iliza
tion
of h
ealth
car
e se
rvic
es
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC3.3
% of
insti
tution
al de
liver
y 55
.2
2014
NMIC
S65
70ND
HS
NMIC
S HM
IS
Wea
lth qu
intile
Lowe
st qu
intile
27.9
High
est q
uintile
90.7
Equit
y gap
62.8
Eco-
regio
n
Moun
tain
32.1
Hills
54.5
Tera
i58
.8
Equit
y gap
26.7
In ea
rthqu
ake a
ffecte
d 14 d
istric
ts70
.5
Caste
/ethn
icity
Brah
man/C
hhetr
i61
.8
Othe
r Ter
ai Ma
dhes
i48
.9
Dalit
47.1
Newa
r85
.4
Jana
jati
55.5
Musli
m35
.8
Equit
y gap
49.6
% of
distr
icts w
ith >
70%
insti
tution
al de
liver
y 68
2014
HMIS
100
OC3.4
66.3
2014
NMIC
S72
76ND
HSNM
ICS
Wea
lth qu
intile
Lowe
st qu
intile
62.8
High
est q
uintile
67.5
Equit
y gap
4.7
Eco-
regio
n
Moun
tain
72.2
Hills
63.3
Tera
i68
.1
Equit
y gap
8.9
In ea
rthqu
ake a
ffecte
d 14 d
istric
ts68
.3
Out
com
e 3:
Equ
itabl
e ut
iliza
tion
of h
ealth
car
e se
rvic
es
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC3.5
Numb
er of
new
outpa
tient
visits
per 1
,000 p
opula
tion
50.1
2013
/14HM
IS
6070
HMIS
3 yea
rsMo
HPSe
xFe
male
na
Male
na
OC3.6
% of
eligi
ble cl
ients
curre
ntly r
eceiv
ing an
ti-retr
ovira
l ther
apy
(adu
lts an
d chil
dren
)21
.820
13/14
HMIS
3651
HMIS
3 yea
rs NC
ASC
Out
puts
of O
utco
me
3: E
quita
ble
utili
zatio
n of
hea
lth c
are
serv
ices
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP3.1
Impr
oved
acce
ss to
healt
h ser
vices
, esp
ecial
ly for
unre
ache
d pop
ulatio
n OP
3.1.1
% of
healt
h fac
ilities
prov
iding
all b
asic
healt
h se
rvice
s by l
evel
na
2014
/15HM
IS10
0NH
FSAn
nual
HMIS
/MD
To es
tablis
h ann
ual re
portin
gsy
stem
Leve
l of p
ublic
healt
h fac
ilities
Hosp
ital
naPH
CCna
HPna
Publi
c hea
lth fa
cilitie
s in
earth
quak
e affe
cted 1
4 dis
tricts
Hosp
ital
naPH
CCna
HPna
OP3.1
.2%
of ho
useh
olds w
ithin
30 m
inutes
trav
el tim
e to
healt
h fac
ility
61.8
2011
NLSS
75NL
SS5 y
ears
CBS
NLSS
data
for 20
11 is
30
minu
tes tr
avel
time t
o SHP
, HP
Eco-
regio
nMo
untai
n44
.320
11NL
SSHi
lls48
.920
11NL
SSTe
rai
77.9
2011
NLSS
OP3.1
.3%
of di
strict
s with
at le
ast o
ne C
EONC
site
81
2014
HMIS
8488
100
100
100
HMIS
Annu
alFH
DOP
3.2He
alth s
ervic
e netw
orks
inclu
ding r
eferra
l sys
tem st
reng
thene
dOP
3.2.1
Numb
er of
comm
unity
healt
h unit
s10
020
13/14
PHCR
D
150
300
500
750
1000
PHCR
DAn
nual
PHCR
D,
DoHS
Eco-
regio
nMo
untai
n21
2013
/14PH
CRD
Hills
5420
13/14
PHCR
DTe
rai
2520
13/14
PHCR
DIn
earth
quak
e affe
cted 1
4 dist
ricts
1420
13/14
PHCR
D
Out
puts
of O
utco
me
3: E
quita
ble
utili
zatio
n of
hea
lth c
are
serv
ices
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP3.2
.2%
of re
ferra
l hos
pitals
prov
iding
fast
track
se
rvice
s for
refer
red c
lients
2015
/16Mo
HP90
HMIS
Annu
alMD
, DoH
SPu
blic h
ospit
als
Centr
al
Regio
nal
Zona
l
OP3.2
.3%
of pu
blic h
ealth
facil
ities p
rovid
ing bo
th mo
dern
and A
yurve
da se
rvice
s 0
2014
/15Do
HS10
DoHS
An
nual
DoHS
, Do
ALe
vel o
f pub
lic
healt
h fac
ilities
Zona
l and
abov
e hos
pitals
Distr
ict ho
spita
ls
PHCC HP
OP3.2
.4
% of
publi
c hos
pitals
with
own p
harm
acy
servi
cena
2015
NHFS
100
NHFS
3 yea
rsDD
ALe
vel o
f pub
lic
hosp
itals
Zona
l and
abov
e hos
pitals
na20
15NH
FS
Distr
ict ho
spita
lsna
2015
NHFS
Out
com
e 4:
Str
engt
hene
d de
cent
raliz
ed p
lann
ing
and
budg
etin
g
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC4.1
% of
MoH
P’s d
istric
t bud
get d
isbur
sed a
s bloc
k gra
nt
na20
13/14
Budg
et an
alysis
5% in
creme
ntMo
HP3 y
ears
MoHP
OC4.2
Prop
ortio
n of d
istric
t dev
elopm
ent fu
nd (D
DF) a
lloca
ted fo
r hea
lth
na20
13/14
MoFA
LD10
MoFA
LD3 y
ears
MoHP
Out
puts
of O
utco
me
4: S
tren
gthe
ned
dece
ntra
lized
pla
nnin
g an
d bu
dget
ing
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP4.1
Stra
tegic
plann
ing an
d ins
titutio
nal c
apac
ity en
hanc
ed at
all le
vels
OP4.1
.1Nu
mber
of di
strict
s (DH
O &
DPHO
) sub
mittin
g DD
C ap
prov
ed an
nual
plan t
o DoH
S on
20
13/14
DoHS
7575
7575
75
DoHS
Annu
alDo
HSSy
stem
to be
estab
lishe
d
Deve
lopme
nt re
gions
Easte
rn20
13/14
DoHS
1616
1616
16
Centr
al20
13/14
DoHS
1919
1919
19
Wes
tern
2013
14Do
HS16
1616
1616
Mid-
weste
rn20
13/14
DoHS
1515
1515
15
Far w
ester
n 20
13/14
DoHS
99
99
9
OP4.1
.2%
of gr
ant r
eceiv
ing ho
spita
ls su
bmitti
ng
the pr
ogre
ss re
port
to Mo
HP (a
bove
distr
ict
hosp
itals)
100
2013
/14PP
ICD
100
100
100
100
100
PPIC
DAn
nual
PPIC
D18
publi
c and
38 no
n-sta
te ho
spita
ls ar
e rec
eiving
the
gran
t and
all s
ubmi
tting r
epor
t Ty
pe of
hosp
itals
Publi
c hos
pitals
(abo
ve
distric
t)10
020
13/14
PPIC
D10
010
010
010
010
0
Priva
te10
020
13/14
PPIC
D10
010
010
010
010
0
OP4.1
.3(D
PHO/
DHO)
in to
tal di
strict
prog
ramm
e bud
get
2013
/14PP
ICD
5 PP
ICD
Annu
alPP
ICD
Syste
m to
be es
tablis
hed
Out
com
e 5:
Impr
oved
sec
tor m
anag
emen
t and
gov
erna
nce
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC5.1
Budg
et ab
sorp
tion r
ate (%
expe
nditu
re of
budg
et)
75.1
2013
/14FM
R90
95
FMR
Annu
alMo
HP
Capit
al56
.620
13/14
FMR
100
100
Recu
rrent
78.9
2013
/14FM
R80
85
GoN
and P
ool
81.8
2013
/14FM
R90
95
EDP
on-b
udge
t off-
treas
urer
y 33
.320
13/14
FMR
OC5.2
% of
irreg
ulariti
es (B
eruju
) clea
red
39.5
2013
/14Mo
HP50
70
Out
puts
of O
utco
me
5: I
mpr
oved
sec
tor m
anag
emen
t and
gov
erna
nce
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP5.1
Minis
try of
Hea
lth an
d Pop
ulatio
n (Mo
HP) s
tructu
re is
resp
onsiv
e to h
ealth
secto
r nee
ds
OP5.1
.1%
of ac
tivitie
s of th
e res
tructu
ring p
lan
exec
uted
0 20
15/16
PPIC
D 0
50
75
9010
0 M
oHP
Annu
alMo
HPSy
stem
to be
estab
lishe
d
OP5.1
.2%
of he
alth p
osts
with
labor
atory
servi
ces
na20
15/16
HIIS
1030
5075
100
HIIS
Annu
alNP
HLEc
o-re
gion
Moun
tain
na20
15/16
HIIS
Hills
na20
15/16
HIIS
Tera
i na
2015
/16HI
IS
OP5.2
Impr
oved
gove
rnan
ce of
priva
te se
ctor
OP5.2
.1%
of pr
ivate
hosp
itals
comp
lying
MoH
P gu
idelin
esna
2013
/14PH
AMED
20
30
40
70
100
PHAM
EDAn
nual
PHAM
EDSy
stem
to be
estab
lishe
dDe
velop
ment
regio
ns
Easte
rnna
2013
/14PH
AMED
Centr
alna
2013
/14PH
AMED
Wes
tern
na20
13/14
PHAM
ED
Mid-
weste
rnna
2013
/14PH
AMED
Far w
ester
n na
2013
/14PH
AMED
OP5.2
.2%
of pr
ivate
hosp
itals
accre
dited
0
2013
/14PH
AMED
00
2 5
10
PHAM
EDAn
nual
PHAM
EDSy
stem
to be
estab
lishe
dDe
velop
ment
regio
ns
Easte
rn20
13/14
PHAM
ED
Centr
al20
13/14
PHAM
ED
Wes
tern
2013
/14PH
AMED
Mid-
weste
rn20
13/14
PHAM
ED
Far w
ester
n 20
13/14
PHAM
ED
OP5.3
Deve
lopme
nt co
oper
ation
and a
id eff
ectiv
enes
s in t
he he
alth s
ector
impr
oved
OP5.3
.1%
of m
ultiye
ar co
mmitte
d aid
disbu
rsed b
y de
velop
ment
partn
ers
na20
13/14
PPIC
D10
0 10
010
010
010
0PP
ICD
Annu
alPP
ICD
OP5.3
.2na
2013
/14PP
ICD
40
45
50
55
60
PPIC
DAn
nual
PPIC
D
Out
puts
of O
utco
me
5: I
mpr
oved
sec
tor m
anag
emen
t and
gov
erna
nce
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP5.4
Multi-
secto
ral c
oord
inatio
n mec
hanis
ms st
reng
thene
d
OP5.4
.1%
of di
strict
s with
func
tiona
l Dist
rict H
ealth
Co
ordin
ation
Com
mitte
e na
2013
/14Do
HS40
50
60
75 10
0Do
HSAn
nual
DoHS
OP5.4
.2%
of ex
terna
l dev
elopm
ent p
artne
rs re
portin
g the
ir hea
lth ex
pend
iture
to M
oHP/
AMP
na
2013
/14PP
ICD
100
100
100
100
100
PPIC
DAn
nual
PPIC
D
OP5.5
OP5.5
.1%
of irr
egula
rities
(Ber
uju) in
MoH
P ex
pend
iture
s 11
.51
2013
/14OA
G<9
<8<7
<6<5
AGAn
nual
HRFM
DDe
partm
ents
Minis
try0.8
1
DoHS
10.68
DDA
0
DoA
0.02
OP5.5
.2%
of M
oHP
expe
nditu
re ca
pture
d by T
ABUC
S 70
2014
/15TA
BCUS
8090
100
100
100
TABU
CSAn
nual
HRFM
DAs
of Je
stha 2
072
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC6.1
Gove
rnme
nt he
alth e
xpen
ditur
e as p
erce
ntage
of G
DP1.4
2013
/14Bu
dget
analy
sis1.6
2Bu
dget
analy
sisAn
nual
MoHP
OC6.2
Incide
nce o
f cata
strop
hic he
alth e
xpen
ditur
e 13
2013
/14NL
SS12
10NL
SS 5
year
sMo
HP
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP 6.
1
OP6.1
.1%
of he
alth b
udge
t in to
tal go
vern
ment
budg
et6.1
2013
/14Re
d Bo
ok6.5
7.58.5
910
Red
Book
Annu
alPP
ICD
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP6.1
.2%
of he
alth b
udge
t in to
tal bu
dget
of Lo
cal
Gove
rnme
nt na
2013
/14Mo
FALD
2.5
33.5
5
7HR
FMD
Annu
alHR
FMD
OP6.1
.3ne
eds a
nd ou
tput c
riteria
0
2014
PPIC
D0
2540
75
10
0 HR
FMD
Annu
alHR
FMD
OP6.2
Socia
l hea
lth pr
otecti
on m
echa
nisms
stre
ngthe
ned
OP6.2
.1%
of O
OP ex
pend
iture
in to
tal he
alth e
xpen
ditur
e 49
2014
NHA
40NH
AAn
nual
MoHP
OP6.2
.2 %
of po
pulat
ion co
vere
d by s
ocial
healt
h pr
otecti
on sc
heme
s 20
14Mo
HPHR
FMD
Annu
al
HRFM
D
Free
deliv
ery
4720
14Do
HS 70
FHD
FHD
Basic
healt
h ser
vice
7720
14Do
HS 90
PCHR
DPC
HRD
Enro
llmen
t in in
sura
nce
020
14SH
SB1
2 3
5 7
NSHS
CNS
HSC
Out
com
e 7:
Impr
oved
hea
lthy
lifes
tyle
s an
d en
viro
nmen
t
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC7.1
year
s (%
) 12
2014
NMIC
S11
10ND
HSNM
ICS
3 yea
rsMo
HP
Wea
lth qu
intile
Lowe
st15
.4
High
est
7.9
Equit
y gap
7.5
Eco-
regio
n
Moun
tain
14.7
Hills
11.9
Tera
i11
.7
Equit
y gap
3.0
Earth
quak
e affe
cted 1
4 dist
ricts
9.1
Out
com
e 7:
Impr
oved
hea
lthy
lifes
tyle
s an
d en
viro
nmen
t
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC7.2
Prev
alenc
e of a
naem
ia in
wome
n age
15-4
935
2011
NDHS
30ND
HS3 y
ears
MoHP
Wea
lth qu
intile
Lowe
st34
.520
11ND
HS
High
est
31.2
2011
NDHS
Equ
ity ga
p3.3
2011
NDHS
Eco-
regio
n
Moun
tain
26.9
2011
NDHS
Hills
26.9
2011
NDHS
Tera
i42
2011
NDHS
Equit
y gap
15.1
2011
NDHS
Earth
quak
e affe
cted 1
4 dist
ricts
19.6
2011
NDHS
OC7.3
% of
peop
le ag
ed 15
-69 y
ears
with
raise
d bloo
d pre
ssur
e (a
bove
norm
al)25
.720
13/14
STEP
S
24
22ST
EPS
3 yea
rsMo
HPST
EP w
ise ap
proa
ch to
su
rveilla
nce
Sex
Fema
le20
.620
13/14
STEP
S
Male
31.1
2013
/14ST
EPS
Out
puts
of O
utco
me
7: Im
prov
ed h
ealth
y lif
esty
les
and
envi
ronm
ent
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP7.1
Healt
hy be
havio
rs an
d pra
ctice
s pro
moted
OP7.1
.1Pr
evale
nce o
f toba
cco u
se am
ong p
eople
aged
15
– 29
year
s 11
.420
13ST
EPS
10.6
10.0
9.89.5
9.2ST
EPS
NDHS
NM
ICS
3 yea
rsDo
HS
OP7.1
.2wa
shing
whe
re w
ater a
nd cl
eans
ing ag
ents
are
pres
ent
72.5
2014
NMIC
S 75
90
NDHS
NM
ICS
3 yea
rsDo
HSEc
o-re
gion
Moun
tain
2014
NMIC
S 75
90Hi
lls20
14NM
ICS
7590
Tera
i20
14NM
ICS
7590
In ea
rthqu
ake a
ffecte
d 14 d
istric
ts 20
14NM
ICS
7590
Out
puts
of O
utco
me
7: Im
prov
ed h
ealth
y lif
esty
les
and
envi
ronm
ent
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP7.1
.3%
of w
omen
aged
15-4
9 who
have
ex
perie
nced
gend
er ba
sed v
iolen
ce in
the l
ast
one y
ear
na20
16ND
HS20
%
redu
ction
ND
HS3 y
ears
DoHS
OP7.1
.4%
of po
pulat
ion us
ing an
impr
oved
drink
ing
water
sour
ce
93.3
2014
NMIC
S
95
NDHS
NM
ICS
3 yea
rsDo
HSEc
o-re
gion
Moun
tain
na
2014
NMIC
S
Hills
na20
14NM
ICS
Tera
i na
2014
NMIC
S
In ea
rthqu
ake a
ffecte
d 14 d
istric
ts na
2014
NMIC
S
Out
com
e 8:
Str
engt
hene
d m
anag
emen
t of p
ublic
hea
lth e
mer
genc
ies
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC8.1
Case
fatal
ity ra
te pe
r 100
0 rep
orted
case
s due
to pu
blic h
ealth
em
erge
ncies
7.0
2013
/14DS
S
DSS
EDCD
Routi
ne sy
stem
to be
es
tablis
hed
Publi
c hea
lth em
erge
ncies
Natur
al dis
aster
2013
/14DS
S
Dise
ase o
utbre
aks a
nd ev
ents
2013
/14DS
S
OC8.2
% of
natur
al dis
aster
s and
dise
ase o
utbre
aks r
espo
nded
with
in 48
hour
s92
.6
2013
/14DS
S10
010
0DS
SED
CDRo
utine
syste
m to
be
estab
lishe
d 10
0
Dise
ase o
utbre
aks
86.7
Outpu
ts of
Outco
me 8:
Impr
oved
man
agem
ent o
f pub
lic he
alth e
merg
encie
s
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP8.1
Impr
oved
prep
ared
ness
for p
ublic
healt
h eme
rgen
cies
OP8.1
.1Nu
mber
of di
strict
s hav
ing he
alth e
merg
ency
resp
onse
pla
n 61
2013
/14ED
CD70
7575
7575
EDCD
Annu
alMo
HP
OP8.1
.2Nu
mber
of ho
spita
ls wi
th tra
uma m
anag
emen
t ca
pacit
y 2
2013
/14Mo
HP 4
6 8
10
12
MoHP
Annu
alMo
HP
Out
com
e 8:
Str
engt
hene
d m
anag
emen
t of p
ublic
hea
lth e
mer
genc
ies
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC8.1
Case
fatal
ity ra
te pe
r 100
0 rep
orted
case
s due
to pu
blic h
ealth
em
erge
ncies
7.0
2013
/14DS
S
DSS
EDCD
Routi
ne sy
stem
to be
es
tablis
hed
Publi
c hea
lth em
erge
ncies
Natur
al dis
aster
2013
/14DS
S
Dise
ase o
utbre
aks a
nd ev
ents
2013
/14DS
S
OP8.2
Stre
ngthe
ned r
espo
nse t
o pub
lic he
alth e
merg
encie
s
OP8.2
.124
hour
s
2013
/14ED
CD 1
00ED
CDAn
nual
EDCD
Out
com
e 9:
Impr
oved
ava
ilabi
lity
and
use
of e
vide
nce
in d
ecis
ion-
mak
ing
proc
esse
s at
all
leve
ls
Code
Indica
torBa
selin
eMi
leston
e/Tar
get
Data
sour
ceMo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2017
2020
OC9.1
% of
healt
h fac
ilities
elec
tronic
ally r
epor
ting t
o nati
onal
healt
h re
portin
g sys
tems:
HMIS
and L
MIS
020
13/14
HMIS
LMIS
HMI
SLM
IS A
nnua
l D
oHS
All h
ealth
facil
ities t
o be
stren
gthen
ed to
be ab
le to
repo
rt ele
ctron
ically
.
HMIS
Publi
c hos
pital
2013
/14HM
IS10
010
0
PHCC
020
13/14
HMIS
100
100
HP0
2013
/14HM
IS10
010
0
Priva
te he
alth f
acilit
ies0
2013
/14HM
IS50
100
LMIS
Hosp
ital
020
13/14
LMIS
100
100
PHCC
020
13/14
LMIS
100
100
HP0
2013
/14LM
IS10
010
0
No. o
f dist
ricts
4520
13/14
LMIS
100
100
OC9.2
% of
child
ren b
elow
one y
ear w
hose
birth
s are
regis
tered
32
.820
14NM
ICS
3741
CRVS
Annu
al M
oFAL
D
OC9.3
Over
all sc
ore o
f hea
lth in
forma
tion s
ystem
perfo
rman
ce in
dex (
%)
na20
13/14
PHME
D50
PHA
MED
Annu
alPH
AMED
Out
puts
of O
utco
me
9: Im
prov
ed a
vaila
bilit
y an
d us
e of
evi
denc
e in
dec
isio
n-m
akin
g pr
oces
ses
at a
ll le
vel
Code
Indica
tor
Base
line
Miles
tone/T
arge
tDa
ta so
urce
Mo
nitor
ing
frequ
ency
Resp
onsib
le ag
ency
Rema
rksDa
taYe
arSo
urce
2016
2017
2018
2019
2020
OP9.1
Integ
rated
infor
matio
n man
agem
ent a
ppro
ach p
racti
ced
OP9.1
.1Nu
mber
of he
alth i
nform
ation
syste
ms th
at ha
ve
functi
onal
linka
ges w
ith na
tiona
l data
base
020
14PH
AMED
2 3
4 5
PHAM
EDAn
nual
PHAM
ED
OP9.1
.2Nu
mber
of di
strict
s with
func
tiona
l integ
rated
dis
ease
surve
illanc
e sys
tem
320
14ED
CD3
1020
5075
EDCD
Annu
alED
CD
OP9.2
Surve
y, re
sear
ch an
d stud
ies co
nduc
ted in
prior
ity ar
eas;
and r
esult
s use
d
OP9.2
.1%
of na
tiona
l leve
l sur
veys
and r
esea
rches
pr
oduc
ing po
licy b
riefs
020
13/14
NHRC
7510
0
OP9.2
.2Nu
mber
of gr
ants
prov
ided t
o pub
lic he
alth
institu
tions
for in
nova
tion
020
14Mo
HP5
5 10
15
20
Do
HSAn
nual
DoHS
To es
tablis
h a sy
stem
OP9.3
Impr
oved
healt
h sec
tor re
views
with
func
tiona
l link
age t
o plan
ning p
roce
ss
OP9.3
.1fre
quen
cy na
2015
PHAM
ED10
0 PH
AMED
Annu
alPH
AMED
OP9.3
.2%
of pr
ogra
mme b
udge
t allo
cated
for M
&E
na20
14HR
FMD
10
HRFM
DAn
nual
HRFM
D
OP9.3
.3%
of pr
ioritiz
ed ac
tion p
oints
agre
ed du
ring
na20
14Do
HS 80
PP
ICD
Annu
alDo
HS
Annex-3 References
