STANDARD TREATMENT PROTOCOL OF EMERGENCY …

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STANDARD TREATMENT PROTOCOL OF EMERGENCY HEALTH SERVICE PACKAGE

GOVERNMENT OF NEPAL MINISTRY OF HEALTH AND POPULATION

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NATIONAL HIV TESTING AND TREATMENT GUIDELINES 2020 2

2078

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Photograph courtesy: Dr. Ashis Shrestha Dr. Olita Shilpakar

ACKNOWLEDGEMENT

I feel honoured to pen down a few words of appreciation for the commendable act of developing this Standard Treatment Protocol of Emergency Health Service Package (EHSP), a landmark step in managing emergency conditions in Nepal.

It is pragmatic to make necessary amendments to establish citizens' access to free basic health services and emergency health services by making them regular, effective, qualitative, and readily available. As legal provisions are enacted by Federal Parliament, the published Public Health Service Act 2018 and Public Health Service Regulation 2020 act as guiding documents for health facilities to provide emergency health care services. I am highly thankful to each and every individual who worked persistently to develop this document. I would like to acknowledge all subject experts and representatives of the Curative Service Division for their invaluable feedback in the series of consultative meetings of STP of EHSP development.

I would also like to applaud the support and guidance of the Secretary of Ministry of Health and Population (MoHP) Mr. Laxman Aryal, Chief Specialists of MoHP Dr. Roshan Pokhrel and Mr. Mahendra Prasad Shrestha, Division Chiefs of MoHP- Chief of Policy Planning and Monitoring Division Dr. Gunaraj Lohani, Chief of Quality Standard and Regulation Division Dr. Bikash Devkota, Chief of Health Coordination Division Prof. Dr. Jageshwar Gautam. I would like to sincerely thank the directors of different Divisions and centres of the Department of Health Services.

I am indebted to the technical and financial support of WHO Country Office Nepal in developing this protocol. The hard work and regular contributions of Dr. Madan Kumar Upadhyaya, Director and Section Chief Dr. Pomawati Thapa from the Curative Service Division, independent consultants Dr. Senendra Raj Upreti, Dr. Olita Shilpakar, Prof. Dr. Abhinav Vaidya, Mr. Janak Thapa, and WHO Country Office Colleagues Dr. Rajesh Sambhajirao Pandav, Dr. Md. Khurshid Alam Hyder, Dr. Khin Pa Pa Naing, and Ms. Kimat Adhikari is praiseworthy.

Last but not the least, I would like to sincerely thank all independent experts, supporting organizations, and government representatives for their valued feedback and continuous support.

Date: 2078, Jestha

Dr. Dipendra Raman Singh Director General

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STANDARD TREATMENT PROTOCOL OF EMERGENCY HEALTH SER VICE PACKAGE iv

FOREWORD

I feel privileged to put some words on Standard Treatment Protocol of Emergency Health Service Package. The constitution of Nepal has promulgated health as a fundamental human right of the people and has stated in Part 3 article 35, that"Every citizen shall have the right to free basic health services from the State and no one shall be deprived of emergency health services." The Public health service regulation 2020 has defined emergency health services as guided by Public health service act 2018. This Standard Treatment Protocol of Emergency Health Service Package is a milestone in strengthening readiness of health institutions to deliver quality emergency health care services. There were a series of consultative workshops at different levels while drafting and finalizing this protocol.

In this regard, I would like to acknowledge the support and guidance of the Secretary of Ministry of Health and Population (MoHP) Mr. Laxman Aryal, Chief Specialists of MoHP Dr. Roshan Pokhrel and Mr. Mahendra Prasad Shrestha, Director General of Department of Health Services Dr. Dipendra Raman Singh, Division Chiefs of MoHP- Chief of Policy Planning and Monitoring Division Dr. Gunaraj Lohani, Chief of Quality Standard and Regulation Division Dr. Bikash Devkota, Chief of Health Coordination Division Prof. Dr. Jageshwar Gautam. I would like to sincerely thank the directors of different Divisions and centres of Department of Health Services.

We are indebted to the technical and financial support of WHO Country Office Nepal in developing this protocol. The hard work and regular contributions of Section Chiefs from the Curative Service Division Dr. Pomawati Thapa, Dr. Narendra Kumar Khanal, Dr.Prakash Budhathoki, independent consultants Dr. Olita Shilpakar, Dr. Senendra Raj Upreti, Prof. Dr. Abhinav Vaidya, Mr. Janak Thapa, and WHO Country Office Colleagues Dr. Rajesh Sambhajirao Pandav, Dr. Md. Khurshid Alam Hyder, Dr. Khin Pa Pa Naing and Ms. Kimat Adhikari is praiseworthy. Similarly, I am grateful to the contribution of different independent emergency experts and health development partners for their valuable feedback and support.

Date: 2078, Jestha

Dr. Madan Kumar Upadhyaya Director

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CORE WORKING TEAM

This document is an English version of the Standard Treatment Protocol of Emergency Health Service Package. The following core working team contributed regularly in the development of the treatment protocol.

Curative Service Division, Department of Health Services 1. Dr. Madan Kumar Upadhaya, Director 2. Dr. Tara Nath Pokhrel, (Immediate Director, CSD) 3. Dr. Narendra K. Khanal, Senior Consultant Medical Generalist 4. Dr. Prakash Budhathoki, Senior Consultant Dental Surgeon 5. Dr. Pomawati Thapa, Senior Consultant Medical Generalist 6. Mr. Bharat Mani Marhatta, Senior Pharmacy Officer 7. Ms. Uma Kumari Rijal, Nursing Officer 8. Ms. Nilam Kumari Singh, Nursing Officer 9. Mr. Kamlesh Mishra, Public Health Inspector

World Health Organization (WHO) Country Office, Nepal 1. Dr. Rajesh Sambhajirao Pandav, WHO Representative 2. Dr. Md Khurshid Hyder, Public Health Administrator 3. Dr. Khin Pa Pa Naing, Technical Officer ? Health System 4. Ms. Kimat Adhikari, National Professional Officer- Health System

Independent Consultants, Nepal Public Health Research and Development Center (PHRD Nepal) 1. Dr. Olita Shilpakar, Senior Consultant Emergency Physician, Team Leader 2. Dr. Senendra Raj Upreti, Expert Reviewer 3. Prof. Dr. Abhinav Vaidya, Public Health Expert 4. Mr. Janak Thapa, Executive Director, Public Health Expert 5. Ms. Saimona Karki, Documentation Officer

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