book setup 2069 nijamati.indd
book setup 2069 nijamati.indd book setup 2069 nijamati.indd
interventions are required. • The CB-NCP has been designed to reduce neonatal mortality, but it is a costly intervention and expansion has consequently been slow. However, community-based programmes for newborn care need to be scaled up nationwide. As the introduction of the CB-NCP creates increased demand for newborn care services, service delivery sites at health facilities need to be strengthened. • To meet shortage of health workers at the local level the government (MOHP) needs to be proactive to overcome the inhibiting factors in the recruitment process of human resources. Until vacant positions within the Health service are fulfilled, the vacant positions should be filled up in temporary basis locally on multi-year contracts or services need to be contracted out to the private sector. • In order to improve the accuracy of data on immunization coverage, figures need to be recalculated using revised population sizes for local areas. Furthermore, monitoring and supervision of data-reporting for the HMIS needs to be strengthened, with strong leadership and accountability at all levels, in order to obtain data from 100 percent of non-government facilities. • The nutrition component suggested for achievement of MDG 1 Target C should be strengthened to address the problem of malnutrition. • Efforts need to be made to mobilize local resource for instance, block grants provided to local bodies as well as other resources generated at the local level with guidelines and directives for allocation of funds towards achieving the target for reducing child mortality. 6. Conclusion Efforts are made to draw conclusion in general perspective and in the context of Nepal. Innovation in service delivery is focused in local level where poor, vulnerable and actual helpless service-seekers reside. Various efforts have been made to strengthen local bodies in order to enable to involve local people in understanding developmental activities, mobilize local resources and manage local affairs. LSGA is considered to be the milestone in regard to impressing legislative framework for decentralization which has developed wider functions, power and responsibilities to the local bodies for planning, implementation and monitoring the development activities and for improving service delivery in an efficient manner. The local bodies are the key institutions in their respective areas to co-ordinate and mobilize other agencies, such as - line agencies, NGOs, civil societies and community groups in course of initiating developmental programs and other activities. 246
At present, local bodies have been suffering in the absence of elected representative. The country was heavily affected by the problem of insurgency for more than ten years. As an achievement of popular People's Movement - April 2006, Nepal is adopting the republican model instead of the constitutional monarchy. The country is on the process of the federalism and the Constituent Assembly is making efforts to finalize the structure and other essential provisions for it. The people of Nepal are getting their new constitution in near future. It is expected that the new constitution with federal structure would move effectively for providing efficient services and people will get themselves empowered. In the general perspective, innovation of service delivery fill the gap of limited ability of representative democracy which define the gulf between functionality and the absence of the functionality and between formulation and implementation processes Innovation also requires efficient human resources in the organization which does not have time to wait for experimentation but have to develop an institute-base through interacting with people to save from policies backfiring. Decision makers and policy designers require to be exposed to the global currents of thinking as innovations transcend time and physical limitations of implementation of capital as well as faces lack of resources. References Amita Singh (2009), Innovations in Public Service Delivery, The Nepalese Journal of Public Policy and Governance, vol. xxiv, No.1, July, 2009, Kathmandu, Nepal. Borins, Stanford (ed), Innovation in Government, Research, Recognition and Replication, Brookings Washington D.C. Government of Nepal, Ministry of Law and Justice, 1999, Local Self- Governance Act, Kathmandu. Government of Nepal, National Planning Commission, Three year Plan (2010- 2012) Approach Paper (2010), Kathmandu. Government of Nepal, National Planning Commission (2011), White Paper on the Public Private Partnership, Kathmandu Nepal. 247
- Page 203 and 204: lg0f{o k|lqmofnfO{ k|efjsf/L agfpg]
- Page 205 and 206: • Never ending memo -tNnf] txaf6
- Page 207 and 208: lgisif{ 'Administrative decision ma
- Page 209 and 210: ;fj{hlgs k|zf;gdf ;dfj]zLs/0fsf] ;d
- Page 211 and 212: lIf0f clk|msfdf uf]/f hfltsf dflg;x
- Page 213 and 214: cd]l/sL :jtGqtfsf] 3f]if0ff, !&&^ (
- Page 215 and 216: • dfgj dfqnfO{ hft, j0f{ jf hftLo
- Page 217 and 218: ;fj{hlgs k|zf;gdf kx' Frsf nfuL @))
- Page 219 and 220: ;+lawfgn] g} /fHo ;+/rgfnfO{ ;dfj]z
- Page 221 and 222: #= g]kfn sDo'lgi6 kf6L{ -P=df=Nf]_
- Page 223 and 224: ^= ;dfj]zLs/0fsf] kIf-lakIfdf p7]sf
- Page 225 and 226: • ;fj{hlgs k|zf;gdf ;dfj]zLs/0fsf
- Page 227 and 228: • blnt ;d'bfosf JolStx?nfO{ sfof{
- Page 229 and 230: • ;/sf/L / cGo ;a} kIfx?sf] ;xefl
- Page 231 and 232: 1. Concept of Public Service Delive
- Page 233 and 234: Service innovation denotes quite a
- Page 235 and 236: 3.4 Narrowing gulf between rich and
- Page 237 and 238: Application of CRCs produced effici
- Page 239 and 240: Act, (LSGA), 2055 (1999)' LSGA is a
- Page 241 and 242: was formally introduced into the ac
- Page 243 and 244: local communities and strengthening
- Page 245 and 246: The analysis of the IMR and U5MR fo
- Page 247 and 248: As outlined in the Nepal Health Sec
- Page 249 and 250: Table 1: Quota for excluded caste,
- Page 251 and 252: of various castes and ethnic groups
- Page 253: • In the same vain citizens shoul
- Page 257 and 258: Introduction Overview on Conflict M
- Page 259 and 260: Managerial actions that minimize co
- Page 261 and 262: It is commonplace for organizations
- Page 263 and 264: Dual concern model of conflict reso
- Page 265 and 266: team members. One reason for this m
- Page 267 and 268: such techniques can help to prevent
- Page 269 and 270: strive to eliminate the source of t
- Page 271 and 272: Resolve remaining differences: Defi
- Page 273 and 274: Cottringer, William. (1997, Aug). C
- Page 275 and 276: ;Dkfbs d08nsf] cg'/f]w lghfdtL ;]jf
At present, local bodies have been suffering in the absence of elected<br />
representative. The country was heavily affected by the problem of insurgency<br />
for more than ten years. As an achievement of popular People's Movement -<br />
April 2006, Nepal is adopting the republican model instead of the constitutional<br />
monarchy. The country is on the process of the federalism and the Constituent<br />
Assembly is making efforts to finalize the structure and other essential provisions<br />
for it. The people of Nepal are getting their new constitution in near future. It is<br />
expected that the new constitution with federal structure would move effectively<br />
for providing efficient services and people will get themselves empowered.<br />
In the general perspective, innovation of service delivery fill the gap of limited<br />
ability of representative democracy which define the gulf between functionality<br />
and the absence of the functionality and between formulation and implementation<br />
processes Innovation also requires efficient human resources in the organization<br />
which does not have time to wait for experimentation but have to develop an<br />
institute-base through interacting with people to save from policies backfiring.<br />
Decision makers and policy designers require to be exposed to the global<br />
currents of thinking as innovations transcend time and physical limitations of<br />
implementation of capital as well as faces lack of resources.<br />
References<br />
Amita Singh (2009), Innovations in Public Service Delivery, The Nepalese<br />
Journal of Public Policy and Governance, vol. xxiv, No.1, July, 2009,<br />
Kathmandu, Nepal.<br />
Borins, Stanford (ed), Innovation in Government, Research, Recognition and<br />
Replication, Brookings Washington D.C.<br />
Government of Nepal, Ministry of Law and Justice, 1999, Local Self-<br />
Governance Act, Kathmandu.<br />
Government of Nepal, National Planning Commission, Three year Plan (2010-<br />
2012) Approach Paper (2010), Kathmandu.<br />
Government of Nepal, National Planning Commission (2011), White Paper on<br />
the Public Private Partnership, Kathmandu Nepal.<br />
247
Change language