Effectiveness of Health Service Delivery by Local Government (A Study of Chhatrakot Rural Municipality, Gulmi District)

Abstract

With the implementation of the new constitution and restructure of the nation, public expectation was high regarding development, service delivery and in good governance. It has been almost a decade of the implementation of the constitution and almost 9 years of formation of the local level. All the Local levels had already completed their one full tenure successfully they are growing mature day by day and their function is also getting more effective day by day. Basic Health service is one of the major rights which comes under the jurisdiction of the local level. Local level can formulate, implement and monitor both policies and program regarding basic health, sanitation and nutrition. In doing so Chhatrakot Rural Municipality is doing good in health service delivery but there are some areas to improve in it. It shows the people with low income and minorities they greatly depend on public health service for their well-being. But major challenge to get the health service is still transportation, geological barrier, low income, and quality of the service are also the subject to think upon it. It needs inclusive and targeted health care policies to address Socio-economic inequalities and health education and awareness program for marginalized group to ensure equitable and effective health service delivery. To improve the quality of health service and to reach out to the targeted people it needed the strengthening healthcare infrastructure, addressing socio-economic barriers, and tailoring programs to the unique needs of the diverse community.