Courses Repository - Full Resource Record Display
Title: Public Health Systems - Challenges and Opportunities: the Case of Nepal
Keywords: Universal health coverage
Public Health
Primary Health Care
Health systems
Essential health care package
Country: Germany
Institution: Germany - Center for International Health at the Ludwig-Maximilian-Universität München
Course coordinator: Sarah Scholze
Deepak Paudel
Date start: 2023-05-01
Date end: 2023-05-05
About duration and dates: Registration Deadline: 2023-04-14; One week with four full days in class, one half day for virtual field exposure. Pre-reading will be issued 2 weeks prior to online-course beginning. Post-course assignment is due 2 weeks after the end of the face-to-face-course.
Classification: advanced optional
Mode of delivery: Face to face
Course location: Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
ECTS credit points: 3 ECTS credits
SIT: Pre-Reading Assignment: 10 hrs
Lectures: 35 hrs
Virtual field work and group work : 4+4 hrs
Individual assignment after course week: 35 hrs
Assessment: 2 hrs
Language: English
At the end of the module the student should be able to …

• describe health care delivery system in Nepal and major sources of health information
• explain major health problems including challenges and opportunities to address those problems
• identify socio-cultural aspects of care seeking, service delivery and health behaviors
• identify innovations and initiatives taken to address these health problems both from supply side and demand side
• compare issues and challenges between health care system in developed and developing countries
• discuss possible health system solutions in a resource constrained system.
Assessment Procedures:
• Individual assignment after course week: students will prepare a review paper (word count 2000 to 3000) focusing health system issues and challenges for different health problems (e.g. maternal health, child health, neonatal health, non-communicable diseases, injuries and road traffic accidents) which will be rated by the facilitator (Grading A-D, F)
• Multiple choice test (Grading A-D, F)

The final grade will be calculated as an equally weighted arithmetic mean of the two graded assessment parts.

In case of failure of the MC test, students will be assigned a 2000 to 3000-word essay on a topic as defined by the facilitators.
In case of failure of the homework assignment, these can be resubmitted within a time frame defined by the facilitator.
• An overview of the Public Health delivery system in Nepal.
• Comparison of health care systems in different resource settings.
• Health related challenges from supply side (health system) and demand side (community and users).
• Public health interventions to address health problems.
• Socio-cultural determinants of health care seeking behaviour in Nepal.
Pre-course Reading Assignments
• Participants receive pre-course reading assignments (2-3 peer reviewed journal papers, 1 chapter from Annual Report of Ministry of Health, 1 project brief / report focusing any health system issue in Nepal)
• Readings will be essential for students to follow the face-to-face course (10 hours) and will be linked with the group work and discussions

Public Health delivery system in Nepal
• Lectures (14 hours)

Health related challenges from supply side (health system) and demand side (community and users)
• Lectures (9 hours)
• Field exposure to a health facility and community (4 hours)
• Group work after field exposure (2 hours)

Public health interventions to address health problems
• Lectures focusing community (demand side) issues (6 hours)
• Lectures focusing health system (supply side) issues (6 hours)
• Tutored Group Work (2 hours)

Assessment (2 hours)

Post-course Assignments
• Further reading as suggested by facilitators (15 hrs)
• Compile a review paper prepared during the course based on the inputs provided and reference documents shared by facilitators (20 hrs)
Proof of English fluency: tropEd students from an accredited tropEd home institution who have passed a core course in English language will be considered sufficiently fluent in English language. Also students who can provide proof of academic education passed entirely in English language will be considered sufficiently fluent. Applicants not being able to provide either of these criteria will be asked to proof fluency by a TOEFL (iBT score >= 79) or IELTS (score >=6.0).
Max. number of participants: 15;
Up to 10 tropEd Master’s students are admitted.
Students are selected on a first-come, first-serve basis
Local students will be selected on merit basis (degrees, grades, professional qualification)
€ 600,-; important notice: course fees are not refundable as consumables for the course have to be purchased in advance, with the exception of the course not taking place due to reasons on the side of the course coordination.
not available
tropEd accreditation:
Accredited in April 2018. This accreditation is valid until April 2023.
Key reading (examples)

Annual Report of DOHS:

Key system resources from Nepal:

Data sources:
Demographic and Health Survey, Service Provision Assessment

World Bank Nepal



Peer reviewed journal papers:

Drivers of health system strengthening: learning from implementation of maternal and child health programmes in Mozambique, Nepal and Rwanda

Newborn survival in Nepal: a decade of change and future implications

The national free delivery policy in Nepal: early evidence of its effects on health facilities

Healthy mothers, healthy children: does maternal demand for antenatal care matter for child health in Nepal?

Governance challenges in the Nepalese primary health care system: time to focus on greater community engagement?

Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016: a systematic analysis for the Global Burden of Disease Study 2016
Email Address:
Date Of Record Creation: 2018-04-14 02:18:05 (W3C-DTF)
Date Of Record Release: 2018-04-14 06:32:54 (W3C-DTF)
Date Record Checked: 2021-04-13 (W3C-DTF)
Date Last Modified: 2022-11-18 10:56:58 (W3C-DTF)

Fifteen years of the tropEd Masters in International Health programme: what has it delivered? Results of an alumni survey of masters students in international health

L. Gerstel1, P. A. C. Zwanikken1, A. Hoffman2, C. Diederichs3, M. Borchert3 and B. Peterhans2

1 Royal Tropical Institute, Amsterdam, The Netherlands
2 Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland
3 Institute of Tropical Medicine and International Health, Charite – Universit€atsmedizin Berlin, Berlin, Germany