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These are explicitly denominated national input indicators, not facility-level readiness, availability, use, ownership, referral or autonomy measures.", "tags": [], "territory": "Nepal national indicator series", "title": "National bed and physician density series", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/NPL/indicator/SH.MED.BEDS.ZS?format=json" }, { "kind": "source_reference", "source": "Physicians (per 1,000 people), Nepal", "url": "https://api.worldbank.org/v2/country/NPL/indicator/SH.MED.PHYS.ZS?format=json" } ] }, { "analytical_mapping": { "mapping_basis": "reported_from_technical_assessment_and_qualitative_study", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:NPL:decision-autonomy:three-tier-policy-and-local-planning-boundary", "source_projection_ids": [ "country-improvement-source:NPL:world-bank-quality-health-systems-technical-assessment-2023", "country-improvement-source:NPL:adhikari-building-blocks-2023" ], "support_state": "candidate_supported", "target_slot": "policy-formulation-and-reported-local-planning-2023", "target_view": "decisions", "typed_fields": { "boundary": "No source here provides a complete matrix for staffing, revenue retention, capital investment or procurement decisions.", "constraint": "The qualitative study has selected sites and does not establish formal authority or decision rights in every municipality.", "federal_decision": "Overall health policy formulation is reported as a federal responsibility", "local_decision": "Study participants reported local governments designing and implementing policies and plans for local needs" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank, Nepal Quality Health Systems Technical Assessment, 2023; Adhikari et al., 2023, Leadership and governance results.", "country_ids": [ "NPL" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "World Bank institutional arrangements; Adhikari et al., Results: Leadership and governance, paragraph 1." }, "material_id": "material:795603849a8dd2b3f7d32c6d", "notes": [ "Keep formal authority and participant-reported practice separate. Do not infer unmeasured decision domains." ], "origin": "candidate-analytical-mappings", "period": "Technical assessment 2023; qualitative study published 2023", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "d38d2e6a1f716f027327d99c5db0a213f63467e3a32cd593ff5befd6037a5216" }, "statement": "The sources distinguish reported federal policy formulation from participant-reported local policy and planning discretion. They do not establish a nationally complete set of operational, financial, workforce or procurement decision rights.", "tags": [], "territory": "Nepal; qualitative evidence is limited to the study's selected jurisdictions", "title": "Policy formulation and reported local planning", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10621174/fullTextXML" }, { "kind": "source_reference", "source": "Final Technical Assessment: Nepal Quality Health Systems Program-for-Results (P177389)", "url": "https://documents.worldbank.org/curated/en/099040823091022278/pdf/P1773890d829e308090230f11d7dc260e1.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "evidence-boundary_from_facility_survey_and_federalisation_study", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:NPL:decision-autonomy:provider-autonomy-evidence-limit", "source_projection_ids": [ "country-improvement-source:NPL:health-facility-survey-2021", "country-improvement-source:NPL:adhikari-building-blocks-2023" ], "support_state": "candidate_supported", "target_slot": "provider-autonomy-evidence-limit-2021-2023", "target_view": "autonomy", "typed_fields": { "boundary": "Neither source allocates provider-level budget, revenue-retention, workforce, procurement, capital or service-mix authority.", "facility_evidence": "The survey reports observed readiness and managing authority strata", "federalisation_evidence": "The qualitative study reports locally tailored policies and identified procurement and workforce challenges" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and Population et al., Nepal Health Facility Survey 2021; Adhikari et al., 2023.", "country_ids": [ "NPL" ], "coverage_domains": [ "autonomy", "decision_rights", "facility_data", "governance", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Nepal HFS 2021, Chapter 3; Adhikari et al., Results: Leadership and governance." }, "material_id": "material:840c76abc53ff6b9fd814f79", "notes": [ "Do not replace these evidence limits with assumed provider autonomy." ], "origin": "candidate-analytical-mappings", "period": "Facility survey 2021; qualitative study published 2023", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "d38d2e6a1f716f027327d99c5db0a213f63467e3a32cd593ff5befd6037a5216" }, "statement": "The selected sources support observations on facility readiness and reported local planning experience, but they do not provide a provider-level autonomy matrix. The objects deliberately retain the unmeasured decision domains as undetermined.", "tags": [], "territory": "Nepal; qualitative evidence is limited to selected provinces and municipalities", "title": "Provider-autonomy evidence limit", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://dhsprogram.com/pubs/pdf/SPA35/SPA35.pdf" }, { "kind": "source_reference", "source": "Overcoming the challenges facing Nepal's health system during federalisation: an analysis of health system building blocks", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10621174/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "reported_from_programme_technical_assessment_with_global_review_boundary", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:NPL:time-reform:quality-health-systems-programme-design-boundary", "source_projection_ids": [ "country-improvement-source:NPL:world-bank-quality-health-systems-technical-assessment-2023", "country-improvement-source:NPL:sapkota-decentralisation-review-2023" ], "support_state": "candidate_supported", "target_slot": "quality-health-systems-programme-design-2023", "target_view": "reforms", "typed_fields": { "aim": "Programme focus is reported as readiness and efficiency of health-care delivery", "boundary": "Neither source validates national programme implementation, outcomes, or effects attributable to the programme.", "comparative_context": "Systematic review of reviews describes decentralisation effects as context-dependent", "programme_design": "World Bank technical assessment describes a Quality Health Systems Program-for-Results" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank, Nepal Quality Health Systems Technical Assessment, 2023; Sapkota et al., 2023.", "country_ids": [ "NPL" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "World Bank technical assessment, programme description; Sapkota et al., Abstract." }, "material_id": "material:54d0bb1b41013f07c920bf6e", "notes": [ "Treat the programme as assessed design unless separately supported with implementation and outcome evidence." ], "origin": "candidate-analytical-mappings", "period": "Technical assessment and systematic review published 2023", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "4d6c065913c36816d14374b5faa60e83d7a620ada8cd42355e3728c508ba4a40" }, "statement": "The 2023 technical assessment documents a proposed quality-health-systems programme design, while the systematic review provides global context on decentralisation. They do not show whether the programme was implemented uniformly or quantify its effect in Nepal.", "tags": [], "territory": "Nepal programme context; systematic-review source is global", "title": "Quality Health Systems programme-design boundary", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099040823091022278/pdf/P1773890d829e308090230f11d7dc260e1.pdf" }, { "kind": "source_reference", "source": "The impact of decentralisation on health systems: a systematic review of reviews", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10749071/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "reported_from_world-bank-technical-assessment_with_constitutional_boundary", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:NPL:actors-functions:three-tier-health-system-context", "source_projection_ids": [ "country-improvement-source:NPL:constitution-2015-second-amendment", "country-improvement-source:NPL:world-bank-quality-health-systems-technical-assessment-2023" ], "support_state": "candidate_supported", "target_slot": "three-tier-health-system-context-2023", "target_view": "functions", "typed_fields": { "boundary": "The sources do not supply an exhaustive, current facility-by-facility function map.", "constitutional_structure": "Federal, provincial and local levels", "formal_right": "Constitutional right to free basic health services and emergency health services", "reported_federal_function": "Overall health policy formulation in the technical assessment" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Nepal, Constitution of Nepal, Article 35; World Bank, Nepal Quality Health Systems Technical Assessment, institutional arrangements section.", "country_ids": [ "NPL" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Constitution, Article 35; World Bank technical assessment, Institutional and implementation arrangements, anchor: The federal government is responsible for overall health policy formulation." }, "material_id": "material:83236552ab1bed0c3a3ebe1b", "notes": [ "Do not infer an exhaustive allocation of current service-delivery or facility-management functions." ], "origin": "candidate-analytical-mappings", "period": "Constitution promulgated 2015; technical assessment dated 2023", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "4d6c065913c36816d14374b5faa60e83d7a620ada8cd42355e3728c508ba4a40" }, "statement": "The Constitution supplies the formal three-level state architecture and health rights; the 2023 technical assessment reports federal responsibility for overall health policy formulation. Together, they do not provide a complete current operational-function map for provinces, municipalities, hospitals or primary-care facilities.", "tags": [], "territory": "Nepal national governance architecture", "title": "Three-tier health-system context", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099040823091022278/pdf/P1773890d829e308090230f11d7dc260e1.pdf" }, { "kind": "source_reference", "source": "Constitution of Nepal (English with First Amendment)", "url": "https://daosyangja.moha.gov.np/assets/12/Constitution_of_Nepal_English_with_1st_Amendment_2_0%281%29.pdf/file" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Notice of Meeting and Agenda for the Board of Directors of IDA to be held on May 7, 1991. 1991. https://documents1.worldbank.org/curated/en/409521593479309971/pdf/Notice-of-Meeting-and-Agenda-for-the-Board-of-Directors-of-IDA-to-be-held-on-May-7-1991.pdf", "country_ids": [ "NPL" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "Proposed Credit Pakistan Family Health Project President's Memorandum and Recommendation IDA R91-46", "institution": null, "locator": { "physical_pdf_page": 1, "source_word_anchor": "Proposed Credit Pakistan Family Health Project President's Memorandum and Recommendation IDA R91-46", "source_word_count": 12 }, "material_id": "material:2ad9114b4d31c35905fc3f8a", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 1991, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c1bed880f49a76e15cb74947b9c917c29709e82df2f317d1bca7512d8962a108", "page_count": 1, "text_sha256": "0ae143f5209fc2403be575cdaf3aebb88e3a06703a2de95f112c5d4bd8b31acf" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "Notice of Meeting and Agenda for the Board of Directors of IDA to be held on May 7, 1991", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/409521593479309971/pdf/Notice-of-Meeting-and-Agenda-for-the-Board-of-Directors-of-IDA-to-be-held-on-May-7-1991.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ghimire U, et al. Challenges in Effective Referral of Cardiovascular Diseases in Nepal: A Qualitative Study from Health Workers' and Patients' Perspective. International Journal of Environmental Research and Public Health. 2024;21(3):337. doi:10.3390/ijerph21030337. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10932621/fullTextXML", "country_ids": [ "NPL" ], "coverage_domains": [ "governance", "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "35 healthcare professionals", "institution": "International Journal of Environmental Research and Public Health", "locator": { "html_text_block": "paragraph 1", "locator_type": "xml_text_anchor", "section": "Methods: Study participants", "source_word_anchor": "35 healthcare professionals from tertiary, secondary, and primary levels", "source_word_count": 9 }, "material_id": "material:c302591f1f4fe0e56d550c56", "notes": [ "Keep CVD, Bagmati Province, participant counts and qualitative method explicit. Do not treat reported barriers as a quantified national referral-completion rate or as proof of the formal referral law." ], "origin": "country-evidence-improvement-sources", "period": "Qualitative study published 2024; fieldwork period is not used as a national-system time point", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "0a326c3dcb10b916a1b7c7f734845a67581caf6b4d0c01f1038ecae6fb34ac6a" }, "statement": "The study reports interviews with 35 health professionals and 22 CVD patients and identifies reported referral barriers for cardiovascular care. It is a disease-specific qualitative study in the stated setting, not a national referral-performance estimate.", "tags": [], "territory": "Bagmati Province study participants, including primary, secondary and tertiary care levels and CVD patients", "title": "Challenges in Effective Referral of Cardiovascular Diseases in Nepal: A Qualitative Study from Health Workers' and Patients' Perspective", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10932621/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Nepal, District Administration Office Syangja. Constitution of Nepal (English with First Amendment). Kathmandu: Government of Nepal; 2015. https://daosyangja.moha.gov.np/assets/12/Constitution_of_Nepal_English_with_1st_Amendment_2_0%281%29.pdf/file", "country_ids": [ "NPL" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "right to free basic health services", "institution": "Nepal Law Commission", "locator": { "locator_type": "pdf_article_anchor", "page": 20, "section": "Part 3: Fundamental Rights and Duties, Article 35", "source_word_anchor": "Every citizen shall have the right to free basic health services from the State", "source_word_count": 13 }, "material_id": "material:5768d8fa66feed6c9c9a085e", "notes": [ "Use this only for constitutional design and rights. Do not infer current implementation, service quality, facility ownership, or an exhaustive allocation of health functions." ], "origin": "country-evidence-improvement-sources", "period": "Constitution promulgated 20 September 2015; source is an English text with the first amendment", "publication_date": null, "publication_year": 2015, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "8f41cd547526375a28b2c25f08a25b903e39a79d60a61f47f8850f947198927a", "response_sha256": "8f41cd547526375a28b2c25f08a25b903e39a79d60a61f47f8850f947198927a" }, "statement": "The Constitution establishes the federal, provincial and local levels of the state and provides a constitutional right to basic health services free of cost and to emergency health services. It does not itself allocate operational responsibility for each facility, specify a referral pathway, or measure delivery.", "tags": [], "territory": "Federal Democratic Republic of Nepal", "title": "Constitution of Nepal (English with First Amendment)", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://daosyangja.moha.gov.np/assets/12/Constitution_of_Nepal_English_with_1st_Amendment_2_0%281%29.pdf/file" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Final Technical Assessment: Nepal Quality Health Systems Program-for-Results (P177389). Washington, DC: World Bank; 2023. https://documents.worldbank.org/curated/en/099040823091022278/pdf/P1773890d829e308090230f11d7dc260e1.pdf", "country_ids": [ "NPL" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The federal government is responsible for overall health policy formulation", "institution": "World Bank", "locator": { "locator_type": "pdf_text_anchor", "section": "Institutional and implementation arrangements", "source_word_anchor": "The federal government is responsible for overall health policy formulation", "source_word_count": 9 }, "material_id": "material:755377b8b5976131c925ad09", "notes": [ "Keep programme design, reported institutional context and implementation distinct. Do not turn a Programme-for-Results assessment into evidence that all provinces, municipalities or facilities have the same authority or capacity." ], "origin": "country-evidence-improvement-sources", "period": "Technical assessment dated 2023; programme design and baseline context, not a current operating census", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "4d6c065913c36816d14374b5faa60e83d7a620ada8cd42355e3728c508ba4a40", "response_sha256": "4d6c065913c36816d14374b5faa60e83d7a620ada8cd42355e3728c508ba4a40" }, "statement": "The technical assessment describes the three-tier federal health-system context and a proposed results programme focused on quality-system readiness and efficiency. It reports programme and institutional context, rather than independently establishing universal execution of all described responsibilities.", "tags": [], "territory": "Nepal; programme scope includes federal institutions and selected provincial and local levels", "title": "Final Technical Assessment: Nepal Quality Health Systems Program-for-Results (P177389)", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099040823091022278/pdf/P1773890d829e308090230f11d7dc260e1.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Hospital beds (per 1,000 people), Nepal, indicator SH.MED.BEDS.ZS. World Development Indicators API, retrieved 22 August 2026. https://api.worldbank.org/v2/country/NPL/indicator/SH.MED.BEDS.ZS?format=json", "country_ids": [ "NPL" ], "coverage_domains": [ "facility_data", "hospital_organization", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Hospital beds (per 1,000 people)", "institution": "World Bank World Development Indicators", "locator": { "locator_type": "json_record", "source_word_anchor": "0.54", "source_word_count": 1 }, "material_id": "material:bd72b6c428af5c792e049963", "notes": [ "Preserve indicator denominator, year and national level. Do not convert this density into a count of functioning beds, a clinical-capacity measure or a claim about any provider sector." ], "origin": "country-evidence-improvement-sources", "period": "Dated annual observations returned by the API, including 2023; retrieved 22 August 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "75f09f840c72b6529b1b7a4f62a6063ee39fbedc54e364d5578f823792926035" }, "statement": "The API returns a national hospital-bed-density series. The 2023 observation is 0.54 beds per 1,000 people. This is a national input-density indicator and does not identify facility ownership, operational bed availability, occupancy, referral patterns or subnational distribution.", "tags": [], "territory": "Nepal national indicator series", "title": "Hospital beds (per 1,000 people), Nepal", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/NPL/indicator/SH.MED.BEDS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Khanal GN, et al. Implementing Federalism in the Health System of Nepal: Opportunities and Challenges. 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It does not establish national prevalence of those experiences or current legal allocation of every health function.", "tags": [], "territory": "Federal government; Bagmati, Lumbini and Karnali Provinces; and nine purposively selected municipalities", "title": "Overcoming the challenges facing Nepal's health system during federalisation: an analysis of health system building blocks", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10621174/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Physicians (per 1,000 people), Nepal, indicator SH.MED.PHYS.ZS. 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It is not a measure of staffing at specific facilities, clinical availability, public-private distribution, or authority over the workforce.", "tags": [], "territory": "Nepal national indicator series", "title": "Physicians (per 1,000 people), Nepal", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/NPL/indicator/SH.MED.PHYS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Shrestha MK, et al. Structured Counselling and Regular Telephonic Follow-up to Improve Referral Flow and Compliance in Nepal for Diabetic Retinopathy: SCREEN-D Study. PLOS ONE. 2024;19(2):e0297734. doi:10.1371/journal.pone.0297734. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10858536/fullTextXML", "country_ids": [ "NPL" ], "coverage_domains": [ "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "71.2% (n=109) in the intervention group", "institution": "PLOS ONE", "locator": { "html_text_block": "paragraph 1", "locator_type": "xml_text_anchor", "section": "Results", "source_word_anchor": "71.2% n=109 in the intervention group and 42.9% n=64", "source_word_count": 10 }, "material_id": "material:8d580e81a7b27f587ef7c324", "notes": [ "Preserve the diabetic-retinopathy indication, Lumbini-Zone referral-centre setting, trial denominator, intervention comparison and three-month period. 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The intervention result is a setting-specific trial outcome and cannot establish the performance of Nepal's general referral system.", "tags": [], "territory": "Nineteen referring centres of a tertiary eye-care centre in Lumbini Zone, Nepal; ten centres randomized", "title": "Structured Counselling and Regular Telephonic Follow-up to Improve Referral Flow and Compliance in Nepal for Diabetic Retinopathy: SCREEN-D Study", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10858536/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Sapkota S, Dhakal A, Rushton S, et al. The impact of decentralisation on health systems: a systematic review of reviews. 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Nepal - COVID-19 Emergency Response and Health Systems Preparedness Project. 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Nepal - COVID-19 Emergency Response and Health Systems Preparedness Project : Restructuring and Additional Financing. 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