Nursing Pre Clinic Report: Healthcare and Nursing in Nepal

This nursing pre-clinic report provides an overview of the healthcare system in Nepal. It begins by examining the types and range of health services provided in primary healthcare centers, emphasizing the principles of universal accessibility and the challenges posed by the country's topography. The report then delves into the socio-demographic characteristics of the Nepalese population, including population size, age distribution, ethnic groups, literacy rates, and health indicators such as infant mortality and disease prevalence. Furthermore, the report explores the influence of these socio-demographic factors on health behaviors and outcomes, highlighting the impact of social and cultural factors, economic status, and access to education. Finally, the report examines the implications of these factors on nursing practice, emphasizing the need for nurses to possess in-depth knowledge of the local context and the challenges posed by limited resources. The report references various studies and government reports to support its findings, offering a comprehensive analysis of Nepal's healthcare landscape and the role of nursing within it.

Running head: NURSING PRE CLINIC REPORT
Nursing Pre clinic Report
Name of the Student
Name of the University
Author Notes

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Table of Contents
The type and the range of health service provided in Primary Health Care Centre of Nepal.........2
Socio demographic characteristics of people of Nepal....................................................................3
Influence of the socio demographic characteristics of people of Nepal on the health behaviour
and outcomes...................................................................................................................................4
Influence of the socio demographic characteristics of people of Nepal up on the nursing practice5
Reference.........................................................................................................................................7

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The type and the range of health service provided in Primary Health Care Centre of Nepal
Service of the Primary Health Care facility in Nepal is based on the principle of
Universal accessibility of social group. The use of appropriate Technology has also been one of
the central ideas related to the National Health Care policy. Local topographical condition of
Nepal due to the presence of Himalaya has always been a challenge for providing quality health
service to the people across various regions. In many places infrastructure of the Primary Health
Care is still within the backward class. Changing landscape political scenario has attempted to
bring about significant modification in the Primary Health care service. What is the Restoration
of multiparty democratic system in 1990, the national health policy was introduced in the year
1991. The main aim of this policy is to expand the capability of Primary Health care service
(Darton et al., 2017).
The country has also received foreign aid in order to improve upon the final Healthcare
service. This was initiated in the year 1951 when the United States provided$2,000 fund to
support the infrastructure of the Primary Health care service (Bhuvan et al., 2015). The role of
narcissist has been one of the significant parts of the Primary Health care service. The main
principles of the nursing practice of Primary Health Care are based upon interdisciplinary team
that practice as an autonomous group. It is important for the nurses of the Primary Health Care to
have high level of skills as in many remote areas of Nepal people are totally dependent upon the
service of Primary Health Care in order to get advanced level cough treatment during critical
cases.

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It is evident from various government reports that the average time taken to avail Primary
Health care service in Terai region is much less compared to the hills and mountain regions of
Nepal, which is roughly estimated to be around 1 to 2 hours on average (Santosh et al., 2013).
Socio demographic characteristics of people of Nepal
According to the census report of 2011 population of Nepal is approximately 26 million.
The average age of the population is estimated to be roughly 21.6 years. Hence it can be said that
most of the people of Nepal in the younger age category. Infant mortality rate is also quite low
with a value of 46 deaths among per 1000 live births ("Department of Health Services |
Department of Health Services", 2017).
There more than 20 ethnic religious and cultural groups of people within the democracy
of Nepal. With a share of 16.6% of the total population the Cheetri caste group is a single largest
within the community of Nepal. This is followed by the Bahun group with 12.2% of the local
population. The Newar, Tharu and Magar are few of the other ethnic groups within the
community of Nepal.
The fertility rate and the birth rate within the community of Nepal have decreased
significantly within the last 20 years. Hence, it is evident that the people of Nepal have focused
on the matters of population control over the past decades. The current literacy rate is 62.7% for
male and 34.9% for females (Akhtar, 2015).

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Nepal is regarded as the nation of high risk to all major infectious disease. Diarrhoea
hepatitis A and typhoid fever a few of the major water borne infections disease that affects the
population of Nepal. Japanese encephalitis and malaria are few of the major Vector Borne
Disease that is recorded among the population of Nepal. 2.9% of the population is currently
suffering from obesity. The nation currently spends 5.8% of the total GDP in Healthcare sector
(Khanal et al., 2017). With increased number of diseases, it is important for the Nepal
government to raise the total expenditure on Primary Health Care sector that will help to improve
the level of awareness among the local population of Nepal.
Influence of the socio demographic characteristics of people of Nepal on the health
behaviour and outcomes
The social and cultural factors have an important effect on the overall health status of
Nepalese population. There are several religious practices that are inherited by the people of
Nepal and that have a significant influence on the overall lifestyle. According to the facts
provided by Nunns et al., (2016), Nepal is regarded as one of the poorest country in the
Southeast Asian region with most of the people coming under the poverty line in the rural areas.
The GDP of the country is also low in terms of human resource development. This poor
economic status of Nepal is one of the major causes of poor infrastructure in the primary
Healthcare sector. Other social factors that include poor hygiene and sanitation also are the major
causes of Poor health status. There is also the factor of social casting and superstitions among the
Nepalese population, which do not allow the children to get sufficient education that is needed to
develop the awareness about Healthy lifestyle. Especially in case of women, where they get
married at a very low age, it may not be possible for them to take proper decision about their
health status.

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Due to lack of education and awareness about health status the Nepalese people also do
not have proper knowledge about the correct diet that is required to maintain Healthy lifestyle.
Nevertheless in the current scenario the Government of Nepal are investing more funds or the
primary Healthcare development, which is helping the people of Nepal to improve upon their
lifestyle and get proper education that is needed to maintain a Healthy lifestyle. The support from
the foreign countries has also been one of the major boosting factors that are helping the Primary
Health Care status of Nepal and help them in the development process of gaining the basic
knowledge about health care system (Saito et al., 2016).
Influence of the socio demographic characteristics of people of Nepal up on the nursing
practice
As it is seen in the previous section, poor economic status is one of the major factors that
affect the health status of the Nepalese population. There is also the factor of poor level of
primary education that does not allow the people of Nepal to have the ability to maintain a
Healthy lifestyle.
Nursing practice is one of the major factors that are associated with the primary
Healthcare services of Nepal. In many remote places of Nepal, it is not possible for the
Healthcare authority to provide Full support infrastructure that is needed to provide critical
treatment. Hence, it is the duty of the nurses the deal with the overall consequence of poor
Healthcare infrastructure at the primary level. It is therefore evident that the nurses of the
Primary Health Care Centre in Nepal have to provide extra effort in order to deal with the
consequences of poor health status among the population. Sapkota et al., (2014), have mentioned
about the few of the major issues related to nursing practice in Nepal that is directly related to the

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social factors among the Nepalese population. With high ethnic diversity among the Nepalese
population, which has a diverse kind of lifestyle, it is important for the nurses of Primary Health
Care to have proper knowledge about the demographic scenario of Nepal. This will help them to
get proper information about the social issues that are responsible for poor health status. The
insufficient number of Healthcare workers in the Primary Health Centre is also one of the major
issues encountered by the nurses (Adhikari et al., 2016). It is important in the context of the
Nepalese population health status for the nurse to have advanced level of training in order to deal
with all the major social issues and ensure better health status for the younger generation.

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Reference
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Akhtar, R. (2015). Child Healthcare in Nepal: Progress and Direction. American Journal of
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Bhuvan, K. C., Heydon, S., & Norris, P. (2015). Rural households' access, usage and financing
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approach to cervical screening using visual inspection with acetic acid and

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