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Post-earthquake health-service support, Nepal
Sophie Goyet1, Rajan Rayamajhi1, Badry Nath Gyawali2
1Nepal Country Office, World Health Organization, United Nations House, Pulchowk, Lalitpur, Kathmandu, Post Box Number 108, Nepal.
Bulletin of the World Health Organization
|April 27, 2018
Summary
Trained local doctors significantly improved Nepal
Area of Science:
- Public Health
- Disaster Medicine
- Epidemiology
Background:
- Post-2015 Nepal earthquake, health services faced significant challenges.
- Limited disease surveillance and health-facility functioning persisted.
- Over 14 districts were affected, with many still in temporary shelters.
Purpose of the Study:
- To assess the impact of technical assistance on health service recovery.
- To evaluate improvements in disease surveillance and reporting.
- To understand the role of local medical professionals in disaster response.
Main Methods:
- Recruited and trained 12 Nepalese medical doctors in January 2016.
- Deployed doctors to earthquake-affected districts for technical assistance.
- Monitored health services, medicine stocks, disease surveillance, and outbreak investigations.
Main Results:
- Health facilities regained pre-earthquake service levels by mid-2016.
- Disease surveillance reporting increased from 5 to 13 districts.
- Medicine stock-outs decreased, and early outbreak detection improved.
Conclusions:
- Experienced, trained local doctors effectively supported health authorities.
- This augmented disaster recovery and public health management.
- Local medical expertise is crucial for post-disaster health system resilience.
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