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  • Title: Need to strengthen and promote preventive health care in Nepal.
    Journal: JNMA J Nepal Med Assoc; 1994; 32(111):129-30. PubMed ID: 12154938.
    Abstract:
    This editorial stresses the importance of preventive health care to the health and welfare of people in Nepal. It focuses on family planning and quality of service, women's reproductive health care, and HIV/AIDS in Nepal. An update of family planning in Nepal shows that, even though knowledge and use of family planning has increased greatly since 1976, services still must be strengthened and delivery outlets must be expanded to meet the growing demand for family planning. Another article finds that the quality of sterilization services and of screening of clients for sterilization at temporary service delivery sites (camps) equals that of permanent sites. Sterilization remains the leading family planning method in Nepal. The quality of care in the delivery of family planning services is further explored in an article focusing on two family planning sites in Kathmandu. The authors concluded that providers know how to provide better quality services than they are currently doing and that on-site obstacles can be addressed without delaying delivery of family planning services or adding more resources. The critique, Women's Health: the Neglected Dimension, reveals that little is known about the health status of rural women in rural Nepal. It appears that the level of morbidity in Bangladesh, Egypt, and India is rather high, however. Health workers need to go beyond the discourse on the ideals of safe motherhood and take actions which will realize safe motherhood: prenatal care, improvements in female literacy, and liberalization of the restrictive abortion law. Abortion is addressed in another article in this issue. The prevalence of sexually transmitted diseases, types of sexual behavior, condom use, and knowledge of HIV/AIDS are examined in an article on commercial sex workers in the Kathmandu Valley.
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