Monday, July 4, 2011

Fundamentals of health system research in Nepal

                Viewing the latter three words in the topic mentioned above we can see three different words that are compiled together to produce one statement. There are different meanings to health, system and research. Health as we all know is ‘ state of complete physical, mental and social well being and not merely the absence of disease processes’ according to World health organization in the year 1948. System is the collaboration of different fields working in a constellation so as to accomplish an activity, task or work; to reach a certain goal. For example when people built a house there is collaboration of not only the workers but also the engineer, the owner and many more which is in itself a system. The third word is ‘research’ which is systematic collection, analysis and interpretation of data to answer certain question or solve some objectives in any fields (health, economy, physics, biology etc).
                Talking about the health system, as we already know the meaning of the words, we can interpretate it as the collaboration of different fields working in a constellation so as to accomplish certain task in the sector of health. The system comprises not only of doctors and nurses as most of us think; but it comprises of multiple different aspects so as to maintain the health of people of a country. The system comprises of multiple factors such as socio-economic, political, cultural, physical epidemiological and so on, without which the health system would collapse. The components within the system of health are folk medicine, private practice, pharmaceuticals, health services at different levels, education, sanitation, food and so forth. Now, we have come to know that health system not only focuses on the disease or infirmity but also focuses on different aspect that can lead to deviation from normal physical, mental and social wellbeing. So, for the development of health in the country, the government has to focus not only on hospitals or clinics but also on the other sectors.
                Knowing about what the health sector is, we now focus on health system research. Health system research is the systematic collection, analysis and interpretation of data to answer certain questions or accomplish some objective in the field of health system. Since the primary intent of health system is to promote good health, the research on health system focuses on what can be done to improvise the system of health so that in return the health system provides good health services to promote health in the people of the country. Right now according to research the health system of Nepal is facing challenges such as external dependency of finance, political instability, retention of health force in the urban area of the country etc. The government of the country now can focus on how to eliminate these obstacles and move forward so as to upgrade the health system. This can be done only if the interaction of health sector and non-health sector is established. Non health sector as we already mentioned above can comprise of politics, education, sanitation, socio-economical stability and so on.
                  Now the question arises how the faults in the health system can be lifted so as to promote health in the country? This is why the term ‘Health system research’ exists. In the health system research there are multiple aspects that has to be looked upon.  The purpose of health system research is to build up and inform about policy, manage  professional practices so as to empower decision-makers to improve  health & well-being of people through optimal use of resources and opportunities. This in implemented in the context of complexities of health sector issue, policy and programme.
                Thus, to build, smooth and advanced health sector in the country the process of Health system research is very important. It is due to the fact that it allows the government and the professionals of health care to act upon the different aspect of health system sectors as well as the health sectors to improvise and maintain the health of the people of the country. 

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