The prevention of – and first response to – injuries in Nepal: a review of policies and legislation
Abstract Background Injuries, the cause of an estimated 4.5 million deaths annually and many more disabilities worldwide each year, are the predictable outcome of particular circumstances. One of the most effective ways to prevent injuries is through policy and legislation. The aim of this research...
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doaj-ae3077fb98bb44c4af117f64d33780bc2021-04-18T11:48:06ZengBMCHealth Research Policy and Systems1478-45052021-04-0119112010.1186/s12961-021-00686-1The prevention of – and first response to – injuries in Nepal: a review of policies and legislationPuspa Raj Pant0Julie Mytton1Milan Raj Dharel2Amrit Dangi3Writu Bhatta Rai4Sunil Kumar Joshi5Faculty of Health and Applied Sciences, University of the West of England BristolFaculty of Health and Applied Sciences, University of the West of England BristolSwatantrata Abhiyan NepalSwatantrata Abhiyan NepalSwatantrata Abhiyan NepalDepartment of Community Medicine, Kathmandu Medical CollegeAbstract Background Injuries, the cause of an estimated 4.5 million deaths annually and many more disabilities worldwide each year, are the predictable outcome of particular circumstances. One of the most effective ways to prevent injuries is through policy and legislation. The aim of this research study was to identify and critically review all policy and legislation in Nepal that had the potential to prevent injuries. Methods We identified legislation and policy that met inclusion criteria through a stakeholder meeting, networks and contacts, and websites and electronic resources. Each included document was critically reviewed to identify areas of strength and opportunities for improvement. We compared the included documents against WHO’s recommendations of known effective interventions. Results Sixty-two documents met the inclusion criteria for this review. Of these, 24 (38.7%) were exclusively related to road injuries, 11 (17.7%) to occupational injuries, 6 (9.7%) to injuries in the home and 5 (8.1%) to injuries at school; 30 (48.4%) documents included text related to the first response to injuries. Of 127 strategic recommendations by WHO that provided an area for policy or legislative focus, 21 (16.5%) were considered adequately met by Nepali policy and legislation, 43 (33.9%) were considered partially met and 63 (49.6%) were not met. Conclusion We drew five conclusions from this critical policy review, which we have related to recommendations as follows: widening the scope of legislation and policy for injury prevention to emphasize injuries occurring at home or school; addressing the causes of injuries and promoting proven preventive measures; greater clarity on both individual and institutional roles and responsibilities; trustworthy data and quality evidence to inform decision-making; and financial investment and capacity-strengthening for injury prevention and first response. The current system of federal governance in Nepal has potential for strengthening injury prevention and first response at the central, provincial and local levels.https://doi.org/10.1186/s12961-021-00686-1Injury preventionFirst responseNational policiesLegislationLaw implementationNepal |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Puspa Raj Pant Julie Mytton Milan Raj Dharel Amrit Dangi Writu Bhatta Rai Sunil Kumar Joshi |
spellingShingle |
Puspa Raj Pant Julie Mytton Milan Raj Dharel Amrit Dangi Writu Bhatta Rai Sunil Kumar Joshi The prevention of – and first response to – injuries in Nepal: a review of policies and legislation Health Research Policy and Systems Injury prevention First response National policies Legislation Law implementation Nepal |
author_facet |
Puspa Raj Pant Julie Mytton Milan Raj Dharel Amrit Dangi Writu Bhatta Rai Sunil Kumar Joshi |
author_sort |
Puspa Raj Pant |
title |
The prevention of – and first response to – injuries in Nepal: a review of policies and legislation |
title_short |
The prevention of – and first response to – injuries in Nepal: a review of policies and legislation |
title_full |
The prevention of – and first response to – injuries in Nepal: a review of policies and legislation |
title_fullStr |
The prevention of – and first response to – injuries in Nepal: a review of policies and legislation |
title_full_unstemmed |
The prevention of – and first response to – injuries in Nepal: a review of policies and legislation |
title_sort |
prevention of – and first response to – injuries in nepal: a review of policies and legislation |
publisher |
BMC |
series |
Health Research Policy and Systems |
issn |
1478-4505 |
publishDate |
2021-04-01 |
description |
Abstract Background Injuries, the cause of an estimated 4.5 million deaths annually and many more disabilities worldwide each year, are the predictable outcome of particular circumstances. One of the most effective ways to prevent injuries is through policy and legislation. The aim of this research study was to identify and critically review all policy and legislation in Nepal that had the potential to prevent injuries. Methods We identified legislation and policy that met inclusion criteria through a stakeholder meeting, networks and contacts, and websites and electronic resources. Each included document was critically reviewed to identify areas of strength and opportunities for improvement. We compared the included documents against WHO’s recommendations of known effective interventions. Results Sixty-two documents met the inclusion criteria for this review. Of these, 24 (38.7%) were exclusively related to road injuries, 11 (17.7%) to occupational injuries, 6 (9.7%) to injuries in the home and 5 (8.1%) to injuries at school; 30 (48.4%) documents included text related to the first response to injuries. Of 127 strategic recommendations by WHO that provided an area for policy or legislative focus, 21 (16.5%) were considered adequately met by Nepali policy and legislation, 43 (33.9%) were considered partially met and 63 (49.6%) were not met. Conclusion We drew five conclusions from this critical policy review, which we have related to recommendations as follows: widening the scope of legislation and policy for injury prevention to emphasize injuries occurring at home or school; addressing the causes of injuries and promoting proven preventive measures; greater clarity on both individual and institutional roles and responsibilities; trustworthy data and quality evidence to inform decision-making; and financial investment and capacity-strengthening for injury prevention and first response. The current system of federal governance in Nepal has potential for strengthening injury prevention and first response at the central, provincial and local levels. |
topic |
Injury prevention First response National policies Legislation Law implementation Nepal |
url |
https://doi.org/10.1186/s12961-021-00686-1 |
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