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Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study

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dc.contributor.authorShrestha, Ashis
dc.contributor.authorPoudel, Lisasha
dc.contributor.authorTikhatri, Dipesh
dc.contributor.authorRegmi, Sushant
dc.contributor.authorJha, Jay Bhushan
dc.contributor.authorBaniya, Shreya
dc.contributor.authorPhuyal, Mandish Prasad
dc.contributor.authorPrasai, Akanshya
dc.contributor.authorKunwar, Sunil
dc.contributor.authorChand, Amit
dc.contributor.authorKarki, Prakriti
dc.contributor.authorTamrakar, Nurusha
dc.contributor.authorSapkota, Ritu
dc.contributor.authorYadav,k Raman
dc.date.accessioned2025-07-29T09:19:30Z
dc.date.available2025-07-29T09:19:30Z
dc.date.issued2025
dc.descriptionAshis Shrestha Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Lisasha Poudel Institute for Implementation Science and Health, Kathmandu, Nepal Dipesh Tikhatri Nepal Medical Association, Exhibition Road, Kathmandu, Nepal Sushant Regmi Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Jay Bhushan Jha Nepal Medical Association, Exhibition Road, Kathmandu, Nepal Shreya Baniya Nepal Medical Association, Exhibition Road, Kathmandu, Nepal Mandish Prasad Phuyal Kathmandu Medical College and Teaching Hospital, Sinamanal, Kathmandu, Nepal Akanshya Prasai Kathmandu Medical College and Teaching Hospital, Sinamanal, Kathmandu, Nepal Sunil Kunwar Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Amit Chand Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal Prakriti Karki Nepal Medical Association, Exhibition Road, Kathmandu, Nepal Nurusha Tamrakar Hope International College, Mahalaxmisthan, Lalitpur, Nepal Ritu Sapkota Hope International College, Mahalaxmisthan, Lalitpur, Nepal Raman Yadav Hope International College, Mahalaxmisthan, Lalitpur, Nepal
dc.description.abstractAbstract Introduction: The National Health Summit is a policy discussion platform that advocates the policy statement stated by National Health Policy 2019 which results in a set of declarations to address issues in the health system. This study’s objective is to monitor the extent of declaration’s implementation, its facilitators-barriers, and to formulate recommendation for future National Health Summit declarations and implementation strategies. Methods: This is a qualitative study conducted by Nepal Medical Association. in November-December 2024. Ethical approval from Nepal Health Research Council, Ethical Review Board (Reference number: 1069). The study was designed using the Realistic Evaluation Framework to look into the “context” which are the external factors impacting implementation of the declarations, the “mechanism” which are key elements facilitating or hindering policy changes, and the “outcome” which were the tangible results of NHS declarations. Results: Review and analysis of the participant responses identified policy influene and advocacy as contexts. The mechanisms identified were political and bureaucratic challenges, collaboration, finaicial hurdles, commitment, accountability, leadership, evidence based practices. The outcome discussed were health system strengthening, health workforce, governance, innovation, advocacy and digaital transformations. Conclusions: Implementation of declaration is challenging, with fragmentation as major health issues, however, continuous advocacy has had a synergistic effect in implementation and prioritization of the policy.
dc.identifierhttps://doi.org/10.31729/jnma.8871
dc.identifier.urihttps://hdl.handle.net/20.500.14572/918
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.titleTracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage11
oaire.citation.startPage3

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