Explanation:
Nepal moved from unitary system with a three-level federal system of government. As federalism accelerates, the national health system can also speed up its own decentralization process, reduce disparities in access, and improve health outcomes. The turn towards federalism creates several potential opportunities for the national healthcare system. This is because decision making has been devolved to the federal, provincial and local governments, and so they can make decisions that are more representative of their localised health needs. The major challenge during the transition phase is to ensure that there are uninterrupted supplies of medical commodities and services. This requires scaling up the ability of local bodies to manage drug procurement and general logistics and adequate human resource in local healthcare centres. This article documents the efforts made so far in context of health sector federalization and synthesizes the progress and challenges to date and potential ways forward. This paper is written at a time while it is critical to review the federalism initiatives and develop way forward. As Nepal progress towards the federalized health system, we propose that the challenges inherent with the transition are critically analysed and mitigated while unfolding the potential of federal health system.
Keywords: Challenges and Opportunities, Decentralization, Federalism, Health Reform, Health Sector, Nepal
Background
With the promulgation of its constitution in 2015, Nepal replaced a unitary government with a federal system of government.1 This process has made Nepal a federal democratic republic governed with three levels of government: a federal level, seven provinces and 753 local government.2 It also led to local elections in late 2017 for the first time in two decades, a landmark achievement signalling that federalism is being implemented.2 With the ongoing restructuring of the health system delivery, this article aims to synthesize the progress and challenges to date and potential ways forward based on the perspective of the federal government. The progress of federalization in Nepal is also considered in light of the experiences of other countries that have implemented federalism, and these remarks may be pertinent to progressively guide the management of the health sector federalization.
Current Situation in Nepal
During the last few decades, Nepal Government has made significant progress towards reducing maternal, under-five and infant mortality rates. During the same period, Nepal was able to halt and reverse the trends of tuberculosis
Top-down analysis uses a(n) ____ approach, and bottom-up analysis uses a(n) _____ approach.
The top-down analysis uses a(n) inductive approach, and the bottom-up analysis uses a(n) deductive approach.
Top-down analysis generally refers to using a wide range of factors as the basis for decision-making. A top-down approach aims to identify the big picture and all its components. These components are usually the driving force behind the end goal. Top-down is commonly associated with the word "macro" or macroeconomics.
The top-down analysis begins with an analysis of macroeconomic indicators and performs a more specific sector analysis. We then dive into the fundamental analysis of specific companies. Top-down investment is an investment analysis approach that looks at macro factors of the economy such as GDP, employment, taxation, and interest rates, and then examines micro factors such as specific industries and companies.
Learn more about the inductive approach in top-down analysis here: https://brainly.com/question/21938916
#SPJ4
The current edition of the dsm includes a glossary listing ______, which represent psychological problems observed in groups from various parts of the world.
The current edition of the DSM(Diagnostic and Statistical Manual) includes a glossary listing cultural concepts of distress which represent psychological problems observed in groups from various parts of the world.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the handbook widely used by clinicians and psychiatrists in the United States to diagnose psychiatric illnesses.
Diagnostic and Statistical Manual descriptions, signs, and other standards necessary for diagnosing mental health problems. It additionally contains data regarding who is most suffering from special sorts of illnesses, the everyday age of onset, the development and course of the issues, risks and prognostic factors, and other associated diagnostic problems.
learn more about Diagnostic and Statistical Manual here
https://brainly.com/question/13650558
#SPJ4
Which deficiency exists if a necessary control is missing or not properly implemented?
A design deficiency exists if a necessary control is missing, is not properly designed, or is not properly implemented.Additionally, if a well-designed control does not work as intended or if the person conducting the control is not appropriately qualified or authorized, there is an operational defect.
Hence, we can say that:
When: There is a design deficiency, the control is completely absent or despite being in situ, the control is not adequately constructed.Consider this payroll model as an example of an administrative task that necessitates the division of labor. Segregation of tasks is a design element that should be present but is not in the case of a company's payroll administration system, leaving the business vulnerable to fraud and financial risk.You can check out more questions based on design deficiency, through the link below:
https://brainly.com/question/14526017
#SPJ4
Innovations that make life better, like antibiotics or semiconductors, have originated in one place and then been spread around the world as a result of:__________
Innovations that make life better, like antibiotics or semiconductors, have originated in one place and then been spread around the world as a result of: Originated independently at different times in different places around the world.
Innovation can refer to something new, such as an invention, or the practice of developing and introducing new things. An innovation is usually a new product, but it can also be a new way of doing things or even a new way of thinking.
Certain bacterial illnesses are treated or prevented with the use of antibiotics. They are ineffective in combating viral diseases like the cold or the flu. Only non-serious medical disorders like acne, which are unlikely to go better on their own absent antibiotics, must be treated with antibiotics.
Semiconductor materials have a conductivity value between that of a conductor, such as metallic copper, and that of an insulator, such as glass. Its resistivity decreases as its temperature increases; Metals behave in the opposite way.
To learn more about innovations:
https://brainly.com/question/19969274
#SPJ4
The belief that there is a positive correlation between individual worth and fate is called ___.
The belief that there is a positive correlation between individual worth and fate is called just world beliefs.
What does it mean to believe in a just world?
The just-world hypothesis relates to our conviction that justice prevails in the world and, as a result, that the moral propriety of our deeds will decide how they turn out. According to this perspective, those who behave well will be rewarded, and those who do bad things will be punished.
Why is just-world hypothesis important?
If people receive what they are due, then the world is considered to be just. The just-world theory is crucial because it contends that individuals might, strangely enough, treat certain victims poorly to maintain their faith in justice.
Learn more about just-world hypothesis: https://brainly.com/question/9938335
#SPJ4
The johnson administration's office of economic opportunity funded programs that enabled citizens to create agencies to improve their lives at the local level. what was the name of this policy?
The main objectives of President Lyndon B. Johnson's ambitious policy initiatives, legislation, and programs known as "The Great Society" were to eradicate poverty, reduce crime, end inequality, and improve the environment.
What were some programs in the Great Society?New major spending programs that addressed education, medical care, urban problems, rural poverty, and transportation were launched during this period. The program and its initiatives were subsequently promoted by him and fellow Democrats in Congress in the 1960s and years following.
What was the impact of the Great Society programs?It established the Office of Economic Opportunity to direct and coordinate educational, employment and training programs that laid its groundwork. Between 1965 and 1968, spending to help the poor doubled; within 10 years, the percentage of Americans living below the poverty line declined to 12 percent from 20 percent.
To learn more about the Great Society visit:
https://brainly.com/question/21620243
#SPJ4
When assessing clients prior to administering antihistamines, what specific information should you obtain?
When assessing clients prior to administering antihistamines, one should know about the allergies of the person.
Special care should be taken when these drugs are used by any patient with a history of arrhythmias or prolonged QT intervals.An anti-hitamine reduces allergy symptoms by binding histamine receptors and thus reducing fluid leakage that causes runny nose etc so the use of anti-histamines definitely makes life more bearable for example in the spring when pollen dust is prevalent.
For temporary relief of dryness of mouth from antihistamines ,the patient can chew on sugarless gums ,the nurse can let the patient have bits of ice melt in their mouth or the nurse can give a saliva substitute.
To know more about antihistamines:
https://brainly.com/question/9708169
#SPJ4
Many people enjoy experiencing optical illusions like the ponzo illusion. why do you think people tend to be so interested in optical illusions?
The Ponzo illusion illustrates how the brain frequently makes assumptions about an object's characteristics that it cannot directly detect by using depth perception.
What is Ponzo illusion?The task you just finished is an illustration of the Ponzo illusion, a type of optical trick. The Ponzo illusion illustrates how the brain frequently makes assumptions about an object's characteristics that it cannot directly detect by using depth perception.
Most people overcorrect when asked to make the bottom line the same length as the top line; as a result, the bottom line is longer than the top.
Why is that so?In the Ponzo illusion, the oblique (slanted) vertical lines give the appearance of depth by giving the brain distance information. The two oblique lines appear to us how train tracks may appear to someone else (parallel, converging into the distance).
To know more about Ponzo illusion visit:
https://brainly.com/question/14188447
#SPJ4
A modern religion that promotes a process of focusing thought and clarifying life goals is:_________
"Knowledge-study"/Scientiology is a modern religion that promotes a process of focussing thought and clarifying life goals. Scientiology means "divine wisdom", is an eclectic movement particularly influenced by Hinduism, that focusses on the mystical religion of the whole religion.
Religions change, grow and sometimes emerge in response to immigration, social problems, controversies within existing religions or through individuals having unique experiences.
A new religion may start as a variant of established religion that grows into an independent form. It may be syncretic- a blend of different existing religions.
Finally, a new religion may surface independent of and distinct from established religion. While some new religion may surface independent of and distinct from established religions.
To know more about religion here:
https://brainly.com/question/14486245
#SPJ4
What period of american party politics has been primarily characterized by divided government?
From the 1960s to the present-day period of american party politics has been primarily characterized by divided government.
What is government?A government is the system or collection of individuals in charge of an organized community, most commonly a state. In the broadest sense, government is made up of the legislative, the executive, and the judiciary. The basic tasks of a government are to provide leadership, maintain order, provide public services, provide national security, provide economic security, and provide economic assistance.
Types of Government Systems: Democracy, Monarchy, and Dictatorship
To learn more about government from the given link:
https://brainly.com/question/1078669
#SPJ4
When examining the possible outcome of an election, what type of confidence interval is most suitable for estimating the current support for a candidate?
Examining the possible outcome of an election, the type of confidence interval is most suitable for estimating the current support for a candidate confidence interval for the population proportion.
The election is a formal collective decision-making process in which a group selects one or more individuals for public office.
Elections have been the normal mechanism by which modern representative democracies function since the 17th century. Elections can fill positions in legislative, sometimes executive and judicial, and local and local government. This process is also used by many other private and business organizations, from clubs to voluntary associations and corporations.
The global use of elections as a tool for selecting members of parliament in modern representative democracies contrasts with the practice in ancient Athens, the archetype of democracy. The officers were a lottery.
Learn more about Election here: https://brainly.com/question/11314884
#SPJ4
On what basis did the members of congress who signed the southern manifesto on integration argue that the supreme court's opinion in the brown case in 1954 was invalid?
On the opposition of racial integration of public places the members of congress who signed the southern manifesto on integration argue that the supreme court's opinion in the brown case in 1954 was invalid.
When the Supreme Court ruled in Brown v. Board of Education in 1954 that segregation in public schools was unconstitutional, the Manifesto was written as a response. Among the Jim Crow laws that governed the Southern United States at the time, school segregation policies were among the longest-lasting and best-known.
19 US senators and 82 southern representatives all signed the manifesto. The whole Congressional delegations were signatories.
To learn more about southern manifesto here
https://brainly.com/question/13739912
#SPJ4
When bobby tries to claim that he owns the shed on peter’s property after living there for 10 years, he’s attempting to claim title by ______________.
When bobby tries to claim that he owns the shed on peter’s property after living there for 10 years, he’s attempting to claim the title by Adverse possession.
Adverse possession Harmful possession means that a person who owns land belonging to someone else can acquire valid title to it, so long as certain requirements are met and the enemy owner holds the property for a sufficient period of time. This is the doctrine. Restrictions
Adverse possession Prejudiced property rights, sometimes colloquially referred to as "squatters' rights", is a legal doctrine in Anglo-American common law according to which the law over a portion of property A person without legal title - usually land (real estate) - can acquire legitimate title through continued possession or use of property without the rightful owner's permission (license). Personal ownership is not prejudicial if owned as a tenant or licensee of the rightful owner.
Learn more about Adverse possession here: https://brainly.com/question/22711915
#SPJ4
The 14th amendment, according to baum, has two phrases that are vague enough that reasonable court decisions can be made on either side; they are?
The 14th amendment, according to Baum, has two phrases that are vague enough that reasonable court decisions can be made on either side. They are - due process of law and equal protection of the law.
The Fourteenth Amendment's due process guarantee states that no one's fundamental rights to "life, liberty, or property, without due process of law," can be taken away by the government. The due process right is intended to safeguard individuals against acts performed by local, state, and federal governments as well as counties, towns, and cities.
Residents of the United States is subject to its laws. No state may pass or carry out laws that restrict the liberties or privileges of US residents, and no state may rob anybody of their right to life, liberty, or property.
Without the requisite legal due process; and no state may deny any individual inside its borders the equal protection of the law.
To learn more about Fourteenth Amendment, refer
https://brainly.com/question/1643008
#SPJ4
Why might a u. S. Citizen join an interest group rather than simply exercising his or her right to vote?.
People unite interest groups because they are extremely motivated by the group's goals or because they consider they will gain extra strength to make a change.
Right to VoteVoting is a significant part of any democracy. By voting, citizens are participating in the democratic approach. Citizens vote for administrators to symbolize them and their ideas, and the leaders back the citizens' interests.
It is important because without it nationals would not be able to pick the people who will run their country. It is also a major commitment. Those that do not vote are falling to carry out a civic responsibility. They are also handing over their political influence to views they may oppose.
To learn more about Right to Vote visit the link
https://brainly.com/question/6826755
#SPJ4
Setting the overall strategy for what the campaign is doing is the responsibility of the campaign __________. a. coordinator b. fundraiser c. pollster d. manager please select the best answer from the choices provided a b c d
The correct option is an option (d), i.e. manager.
What does the campaign manager do?
A political campaign's operations, including fundraising, advertising, opinion research, voter turnout (with direct contact to the public), and other activities directly supporting the effort, are coordinated by a campaign manager, campaign chairman, or campaign director, who may be employed or volunteer.
Why is campaign management important?
A marketing campaign's management is essential to its success. It enables you to swiftly make modifications if necessary, enabling you to manage every component of a campaign, and streamlines the entire marketing process to make execution simpler.
Learn more about campaign manager: https://brainly.com/question/24278947
#SPJ4
What were the main issues in the various culture wars of the 1980s and 1990s? why were those struggles so intense?
Since then, issues like gun politics, abortion, the use of recreational drugs and their legalization, and the separation of religion and state have inflamed American society.
What is culture?Culture is a general term that refers to social behavior, institutions, and conventions present in human societies as well as the people that make up these groups as well as their knowledge, beliefs, and abilities. Culture is frequently said to have originated in or been influenced by a particular area or place.The diversity of cultures found in different communities is evidence that humans acquire culture through the learning processes of enculturation and socialization.What is gun politics?The Second Amendment guarantees the freedom to own firearms. However, there are a lot of guns in the country, and some political observers claim that this is one of the reasons why there are more and more mass shootings happening there. Because of this, some on opposing sides of the political spectrum have urged for increased gun control.Learn more about culture here:
https://brainly.com/question/12678729
#SPJ4
Your understanding of who you are and what your preferences are can be improved by a process called?
Your understanding of who you are and what your preferences are can be improved by a process called self-assessments.
Self-assessment is a means to discover more about who you are, including your likes, dislikes, and typical responses to certain situations. Finding a career and major that are a good fit for you requires first learning about yourself. Assessments are instruments that can be used to investigate your abilities, passions, values, and other characteristics.
A self-assessment is meant to assist someone understand the scope of their skills and identify areas for improvement. When an employee first begins self-evaluating, it can be intimidating, but with practise, it becomes more natural.
To learn more about self assessments here
https://brainly.com/question/14515871
#SPJ4
What type of substance does not undergo spontaneous changes under the surrounding conditions?
A Stable Substance does not undergo spontaneous changes under the surrounding conditions.
Spontaneous means natural and unplanned. When you describe an action or event as spontaneous, it means it happened naturally, without having been planned. Spontaneous aims to be a durable, youth-appealing midnight flick in the vein of "Heathers" or "Donnie Darko.
Spontaneous is defined as the act or quality of acting without thinking in advance. Going on a road trip at the very last minute because it seems fun is an example of spontaneity. The quality of being spontaneous.
learn more about Spontaneous here
https://brainly.com/question/24376583
#SPJ4
There are 9 members on a board of directors. if they must form a subcommittee of 6 members, how many different subcommittees are possible?
There are 84 ways different subcommittees are possible.
There are 9 members with a committee of 6 member
This is combination
Number of possible combinations are = 9C6 (Where nCr = n!/r! (n-r)! )
=9!/6! (9-6)!
= 9*8*7 /(1*2*3)
=84 ways
A combination is a mathematical technique that determines the number of possible arrangements within a collection of items, regardless of the order of selection. A combination can select items in any order. Combinations can be confused with permutations
To calculate combinations, use the formula nCr = n! /r! * (n - r)!, where n is the total number of items and r is the number of items selected at one time. To calculate the combination, we need to calculate the factorial
Learn more about combinations here: https://brainly.com/question/11732255
#SPJ4
A recent survey of clinical psychologists (norcross & karpiak, 2012) found that the format of psychotherapy that was practiced by the highest percentage of clinical psychologists was ______.
A recent survey of clinical psychologists (Norcross & Karpiak, 2012) found that the format of psychotherapy that was practiced by the highest percentage of clinical psychologists was individual.
Psychotherapy is the application of psychological techniques, particularly when based on routine one-on-one contact, to assist a person in altering behavior, enhancing pleasure, and resolving issues.
Talk therapy is one of the methods a psychotherapist utilizes to treat patients with emotional issues and mental diseases. Psychotherapists might be psychiatrists, psychologists, counselors, or social workers, depending on the degree and expertise they get. Individuals, couples, groups, and families are all possible clientele.
It enhances coping skills, boosts self-esteem, lessens anxiety, and enhances social and community functioning. Patients can manage problems related to their mental health concerns, which have an impact on the rest of their lives, with the use of supportive psychotherapy.
To know more about psychotherapy refer to: https://brainly.com/question/14227208
#SPJ4
When methods must share data you can pass the data into and return the data out of methods?
When methods must share data, you can pass the data into and return the data out of methods. A method could be called using any numeric value as an argument, whether it is a variable, a named constant, or a literal constant.
A method's return type is part of its signature. According to Oracle, the method signature consists of the name and parameter types. Therefore, all the other elements of the method's declaration, such as modifiers, return type, parameter names, exception list, and body are not part of the signature.
The current methods are called halts. The arguments of the newly called method are pushed to the stack. The method code runs. After the method finishes running, the stack is again emptied and the old stack contents is again restored.
To know more about method here
brainly.com/question/15114851
#SPJ4
When you used focused repetition to acquire or polish a skill, which of the five practice principles are you implementing?
when you used focused repetition to acquire or polish a skill the five practice principle are anticipating, monitoring, selecting, sequencing, and connecting.
They are made to be directly related to a school's written teaching and learning programme, which specifies what is to be taught, and the strategy to assessment, which aids teachers in determining the requirements of individual students for learning and how best to assess students' levels of comprehension.
Each Principle is accompanied with a theory of action that explains how teachers' efforts can eventually result in better student learning. It creates a succinct evidence-based overview and explains the precise changes that can be anticipated.
To learn more about five practice principle here
https://brainly.com/question/27335245
#SPJ4
The __________, according to marx, were the workers who were oppressed by those who owned the means of production.
Proletariat
The proletariat, according to Karl Marx, were the workers who were oppressed by those who owned the means of production.
What is Proletariat?The proletariat is the social class of wage earners; these people are the only ones in a society who have substantial economic value outside of their labor force. A proletariat belongs to such a class.
What is an example of proletariat?the proletariat, one of the lowest economic and social classes in society. The poor, landless freemen made up the proletariat in ancient Rome. It featured small business owners and artisans who had become progressively poorer as a result of the expansion of slavery.
To know more about Karl Marx visit:
https://brainly.com/question/13058230
#SPJ4
When a contract falls within the statute of frauds but is not in writing, the contract is:________
a. illegal.
b. unenforceable.
c. void.
d. voidable.
When a contract falls within the statute of frauds but is not in writing, the contract is unenforceable
A legal principle known as the statute of frauds (SOF) mandates that certain types of contracts be performed in writing. The law covers agreements involving the sale of real estate, transactions involving items valued at more than $500, and agreements lasting a year or longer.
The statute of frauds was predominantly established in the United States as common law, or unwritten law. However, in some jurisdictions, like the majority of states, it has now been institutionalized by statutes. The defendant may assert it as a defense in a breach of contract proceeding when the statute of frauds is relevant.
To know more about statute of frauds
brainly.com/question/11850294
#SPJ1
A scientist studying the sequence of the homodimer of lpl would most likely expect that:________
A scientist studying the sequence of the homodimer of lpl would most likely expect that: Lipoprotein lipase.
In order to release fatty acid nutrition for essential tissues, lipoprotein lipase (LPL), which hydrolyzes the triglycerides in lipoproteins, plays a crucial function in plasma lipid metabolism. Adipocytes and myocytes produce LPL, which is then secreted into the interstitial spaces. GPIHBP1, a protein found on endothelial cells, then binds to LPL and transports it to the capillary lumen, where it acts. LPL has been believed to be a homodimer for many years, with dimerization being necessary for both secretion and catalytic activity. The idea that LPL is a homodimer was reviewed in this study. Our results show that monomeric LPL and LPL coupled to GPIHBP1 are both functional.
Learn more about Lipoprotein lipase here.
https://brainly.com/question/28167232
#SPJ4
Which structure is highlighted?
a) ventral rootlets gray
b) ramus communicans
c) dorsal root ventral
d) ramus dorsal ramus
Option A) ventral rootlets gray.
Ventral rootlets gray structure is highlighted.
Each ventral root (also known as the ventral root, anterior base, ventral base, or motor base) is attached to the spinal cord by a series of rootlets that arise from the ventrolateral groove of the spinal cord.
These rootlets carry nerve fibers to and from the spinal cord. The dorsal root carries sensory (afferent) fibers to the spinal cord and the ventral root carries motor (efferent) fibers from the spinal cord.
The ventral root fibers are the axons of motor and visceral efferent nerves and emerge as ventral rootlets from an obscure ventrolateral sulcus. The ventral roots of individual spinal cord segments unite to form the ventral root. This ventral root contains motor axons of motor neurons and visceral motor neurons.
Learn more about ventral root at
https://brainly.com/question/8303011
#SPJ4
Statisticians who specialize in estimating the probability of death based on personal characteristics are called:________
Statisticians who specialize in estimating the probability of death based on personal characteristics are called actuaries.
Survival analysis, also known as time-to-event analysis, is a branch of statistics that examines the time to occurrence of a particular event of interest.
Insurers use this analysis to foretell the death of an insured and other crucial factors such as policy surrenders, suspension of renewals and claims time. The person who specialize in this is actuaries. The results of such analysis help providers to calculate premiums and customer lifetime value.
This analysis started from the medical and biological fields which used to study mortality, organ failure and the incidence of various diseases.
Perhaps for this reason, survival analysis is often associated with negative events. However, it can also refer to positive events such as how long it would take someone to win the lottery if they entered the lottery every week.
Know more about survival analysis here
https://brainly.com/question/28026219
#SPJ4
Even if the largest number in the unsorted section of a list is already at the end of the unsorted section, the ____ algorithm will exchange this number with itself.
The selection sort set of rules will exchange this wide variety with itself.
An set of rules is a procedure used for solving a problem or performing a computation. Algorithms act as an precise listing of instructions that behavior particular actions little by little in either hardware- or software program-primarily based exercises.
The recipe for baking a cake, the method we use to resolve an extended department problem, the process of doing laundry, and the capability of a search engine are all examples of an algorithm.
There are three simple constructs in an algorithm:
Linear series: is development of tasks or statements that observe one after the alternative.Conditional: IF-THEN-ELSE is choice this is made among two path of moves.Loop: whilst and FOR are sequences of statements which might be repeated some of instances.Much like sorting papers or even tying your footwear, following a recipe is a type of set of rules. The goal of path being to create a duplicated final results. in order to finish a recipe you have to follow a given set of steps.
Learn more about Algorithms here : https://brainly.com/question/24953880
#SPJ4
Paint in its most basic form is composed of ________ and a liquid binder. group of answer choices pigment glaze impasto beeswax tempera
Answer:
pigment
Explanation:
Paint in its most basic form is composed of pigment and a liquid binder.
What is paint composed of?When the pigment and binder are mixed together, they form a paste or liquid that can be applied to various surfaces, such as canvas, paper, or wood. The binder acts as a vehicle for the pigment, allowing it to be spread evenly and adhere to the surface. As the paint dries, the binder hardens and forms a film, locking the pigment in place.
The combination of pigment and binder is what creates paint and allows artists to express their creativity through color and form.
Learn more about paint at https://brainly.com/question/17996239
#SPJ6
