eLifeLink is partnering with with the Champions for Nepal Health organization to enhance services provided by existing health posts and primary health centers in remote areas of Nepal by provisioning telemedicine facilities. This is a newly formed nonprofit organization based in Kathmandu, Nepal whose mission and objectives align closely with eLifeLink. In addition, eLifeLink will also partner with other well-established nonprofit organizations such as Rotary Clubs and Alumni Organizations (Examples GAA and SEBS), who have been working to enhance the quality of health care services in remote areas of Nepal. In addition, eLifeLink will conduct research on eHealth projects implemented by various international development organizations, INGOs and local NGOs in remote areas of Nepal to gain knowledge, learn from their rich and diverse experiences as well as seek opportunities to collaborate.
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Nepal is one of the poorest nations in the world. The Human Development Index (HDI) value as published in the Human Development Report 2019 ranks Nepal at 147 out of 189 countries and territories. Although this is a 52% increase in HDI value since 1990 the access to quality health services in the rural and remote areas of Nepal is far from satisfactory. Despite having more than 3800 health posts across the country the low quality of service is primarily due to severe shortage of qualified health care personnel, medical equipment, medicines and ineffective government regulation and enforcement in the health industry. Villagers in such areas are forced to walk for a few days to get to municipalities and metropolitan cities to receive quality health care service. There has also been an upsurge in the number of patients with non communicable diseases such as hypertension and lung cancer. However, there are very limited screening conducted in government run health facilities to identify it in early stages for more effective prevention of such diseases. The level of education imparted to the villagers are also far from adequate.
Burden of disease estimates show that burden of NCDs has been steadily rising in Nepal. The premature mortality due to NCDs has risen from 51% in 2066/67 (2010) to 71% in 2075/76 (2019). The proportional mortality of NCDs is ever increasing. Cardiovascular disease (CVDs) is responsible for 30% deaths, cancer 9%, diabetes 4%, chronic respiratory diseases 10% and other NCDs 13%. Increasing life expectancy, demographic and epidemiological transition, rampant urbanization and change in the lifestyle all account to this rising burden of NCDs. The increasing disease burden is associated with decreasing quality of life, increase in DALYs and catastrophic health expenditures.
A four-year analysis of National Health Accounts (NHA) reported highest healthcare spending was on NCDs at NPR 37.73 billion. Out of Pocket (OOP) expenditure by disease and health conditions was highest for NCDs with 31% of OOP expenses (NHA, 2068/69-2071/72). Notably, on comparing the STEPS survey from 2066/67 (2008) to 2076/77 (2019), there is increase the prevalence of insufficient physical activity and increased body mass index (BMI) in adult population of the country shown in Figure below.
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