COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system
COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system
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尼泊尔的 COVID-19 大流行：联邦系统中不同级别政府的行动和合作的有效性的新证据
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发表时间：
2021
期刊：
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通讯作者：
E. V. Teijlingen
中科院分区：
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作者：
P. Adhikary;J. Balen;Sujan Gautam;S. Ghimire;J. Karki;C. Andrew;Lee;S. Marahatta;S. Panday;G. Pohl;S. Rushton;S. Sapkota;P. Simkhada;M. Subedi;E. V. Teijlingen
由新型病原体（SARS-CoV-2）引起的新型冠状病毒病（COVID-19）于2020年初在全球迅速传播，并于3月11日被世界卫生组织（世卫组织）宣布为大流行。COVID-19继续对全球个人、社会和国家卫生系统产生重大影响。由于其新颖性和影响力，它对所有卫生保健系统都构成了挑战。世界各国政府和卫生系统的应对方式各不相同。就尼泊尔而言，此次大流行是对2015年联邦宪法实施后新建立的分散卫生系统的重大考验。这篇论文构成了我们正在进行的关于国家卫生系统分散化的大型研究的一部分。这项研究是由英国谢菲尔德大学、哈德斯菲尔德大学和伯恩茅斯大学以及尼泊尔PHASE尼泊尔和曼莫汉纪念健康科学研究所进行的，由英国卫生系统研究计划资助。本文介绍了联邦、省和地方政府所采取行动的有效性以及它们之间的合作与协调水平的一些早期证据（截至2020年7月）。
A new coronavirus disease (COVID-19) caused by a novel pathogen (SARS-CoV-2) spread rapidly around the world in early 2020, and it was declared a pandemic by the World Health Organization (WHO) on 11 March. COVID-19 continues to have a large impact on individuals, societies, and on national health systems across the globe. Due to its novelty and impact, it has challenged all health care systems. The ways in which governments and health systems have responded have varied widely across the world. In the case of Nepal, the pandemic represented a major test for the newly decentralised health system, created as a result of the implementation of the 2015 federal constitution. This paper forms a part of our large on-going study of the decentralisation of the country’s health system. The study is run by the Universities of Sheffield, Huddersfield and Bournemouth in the UK and PHASE Nepal and Manmohan Memorial Institute of Health Sciences in Nepal, and is funded by the UK Health Systems Research Initiative. This paper presents some of the early evidence (as of July 2020) on the effectiveness of the actions taken by Federal, Provincial and Local Governments and the levels of cooperation and coordination between them.