Major Outlines:
- There was felt need of development of the minimum service standards (MSS) for all level of the Ayurveda Health Facilities.
- The MSS is the readiness tool that sets in minimum set of standards to be fulfilled by the Ayurveda Institutions (from Local to Central) to be able to provide the services that it claims to provide
- It does not detail out how the services are to be provided which is basically the scope of Standard Treatment Protocols.
- The development of the minimum service standards was led by Department of Ayurveda and Alternative Medicine and followed a consultative process among divisions/centres and practitioners.
Details
- Background The constitution of Nepal has provisioned health as a fundamental right for all its citizens. The Public Health Service Act 2075 outlines basic health services to all for free. The mandate of providing the basic health care services primarily lies with the local government while Ministry of Health and Population is responsible in developing tools, standard
- Scope of MSS : The need of the standardization of the readiness of Ayurveda units for service availability in the light of basic health care services steered MSS for units with the major scope of assessment of the Ayurveda Health units for the present status and gap analysis, development of action plans for improvement and evidence generation for result based investment. It will also be a monitoring tool for Ministry of Health and Population and Department of Ayurveda and Alternative Medicine for assessing status of those units .
- Organization of the standards: The overall service standards are categorized in three major sections: governance and management, clinical service management and support service management. There are a total 636 set of standards with total score of 842, out of which- 108 standards for measuring governance and management and score of 110 and this has weightage of 20%, standards for measuring clinical service management and score of 376 and this has 570 weightage of 60%, and 152 standards for measuring support service management and score of 162 and this has weightage of 20%
The following key documents were referred for the development of MSS
- National Health Policy2076
- National Ayurveda Health Policy, 2052
- Public Health Service Act,2075
- Basic Health Service Package,2075
- Governance(Managementand Operation)Act,2064
- Financial Procedure Regulation,2064
- Nepal Health Service Regulation, 2055
- Civil Service Regulation,2050
- Nepal Health Sector strategy 2015-2020. Ministry of Health and Population, GoN.
- Quality Improvement Tool for Health Facility, 2074
- Implementation Guideline for Social Audit in Health Sector, 2070 Revised 2073
- National Ayurveda Essential medicines
- Infrastructure and Standards Guideline for Quality Drug Manufacturing in Ayurveda Facilities, 2062
- Quality herbs storage guideline , 2076 -गुणस्तरीय जडिबुटी भण्डारण दिग्दर्शन, २०७६)
- Minimum Service Standards (MSS) Checklist to Identify the Gaps in Quality Improvement of Heath - Post, Curative Service Division, MoHP, GoN, 2075
- Minimum Service Standards (MSS) Checklist to Identify the Gaps in Quality Improvement of Primary, Secondary and Tertiary Hospitals, Quality Standards and Regulation Division, MoHP, GoN, 2075
- Ayurveda Hospitals Operation Standards and Guideline,MoHP/GoN,2061
- Treatment Protocol for Ayurveda Hospital Level Part–I,DoA/WHO,2005
- Treatment Protocol for Zonal Ayurveda Aaushadhalaya Level Part–I,DoA/WHO,2005
- Treatment Protocol for Ayurveda Dispensaries Level Part–I,DoA/WHO,2005
- Nagarik Aarogya Karyakram Sanchalan Nirdeshika, 2076
- Panchakarma antrageat purbakarma sewa pradhan garne aayurved chikitsak aabam - swasthekarmiharuko lagi tayar pariyeko talim tatha karyasanchalan margadarshan pustika, 2075
- Guideline for Heath Management Information System ,Recording and Reporting,2070
- Health care waste management guideline, 2014. Ministry of Health and Population, Government of Nepal
The MSS for Ayurveda Hospitals Central Level is the readiness tool that sets in minimum set of standards to be fulfilled by the Ayurveda Hospitals, Central Level to be able to provide the services that it claims to provide.
- The development of the minimum service standards for the Ayurveda Hospital- Central Level was led by Department of Ayurveda and Alternative Medicine and followed a consultative process among divisions/centers and practitioners.
- In the health system of Nepal, the Ayurveda Hospitals are the referral contact points for Ayurveda health service delivery. There was felt need of development of the minimum service standards (MSS) for all level of the Ayurveda Health Facilities.
The MSS for Ayurveda Hospitals is the readiness tool that sets in minimum set of standards to be fulfilled by the Ayurveda Hospitals to be able to provide the services that it claims to provide.
- Ayurveda Hospitals can thrive to provide more than what has been enlisted in the MSS but it is crucial that they have first fulfilled the MSS requirements. The MSS is complementary to the existing quality improvement tools in the sense that it will ensure inputs in place before checking on the processes and outputs.
- It does not detail out how the services are to be provided which is basically the scope of Standard Treatment Protocols.
- In the health system of Nepal, the Ayurveda Hospitals Province level are the referral contact points for Ayurveda health service delivery at the Provincial level . There was felt need of development of the minimum service standards (MSS) for all level of the Ayurveda Health Facilities.
The MSS for Ayurveda Hospitals is the readiness tool that sets in minimum set of standards to be fulfilled by the Ayurveda Hospitals to be able to provide the services that it claims to provide.
- Ayurveda Hospitals can thrive to provide more than what has been enlisted in the MSS but it is crucial that they have first fulfilled the MSS requirements. The MSS is complementary to the existing quality improvement tools in the sense that it will ensure inputs in place before checking on the processes and outputs.
- It does not detail out how the services are to be provided which is basically the scope of Standard Treatment Protocols.
- In the health system of Nepal, the Ayurveda Hospitals are the referral contact points for Ayurveda health service delivery. There was felt need of development of the minimum service standards (MSS) for all level of the Ayurveda Health Facilities.
In the health system of Nepal, the Ayurveda Aushadhalaya is the first institutional contact point for service delivery. This institution is dedicated for the basic health service delivery envision in the basic health service (BHS) package of the government. There was felt need of development of the minimum service standards(MSS) for all level of the Ayurveda Health Facilities.
During the development of the MSS for Ayurveda Aushadhalaya, the framework was prepared with three basic components- governance and management, clinical service management and support service management.