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THESIS ABSTRACT

Assessment of Current Status and Challenges in Implementing Basic Hospital Projects in Nepal

All Thesis Abstracts

Delays in Selected National Pride Road Construction Projects of Nepal

Prabin Jung Thapa

Er. Rajesh Khadka

Assessment Of Factors, Challenges and Mitigating Measures Of Building Construction Practices Adopted In Kathmandu Metropolitan City

Tripti Roka

Er. Rajesh Khadka

Analysis of Price Adjustment Practices in the Building Projects under DUDBC

Raj Acharya

Asso. Prof. Hari Mohan Shrestha

Determination of Mechanical Properties of Recycled Concrete Aggregate and It’s Effect on Compressive Strength and Cost of Concrete.

Bimlendra Mahato

Er. Sudip Karanjit

Causes, Impacts and Preventive Measures of Variation Order in Selected Building Projects of Central Level Project Implementation Unit (Building and Housing) in Kathmandu District.

Gopal Bhattarai

Dr. Dinesh Sukamani

Compliance of Geometric Design Features as per NRRS-2014 at Dhaaune– Baluwa – Deukhola Rural Road in Rukum East District.

Tanka Prasad Khanal

Er. Gopal Gautam

Assessment of Current Status and Challenges in Implementing Basic Hospital Projects in Nepal

Student: Rachana Thapa

Supervisor: Er. Hari Mohan Shrestha

Submitted Date: February, 2024

Abstract

The aim of this thesis to assess the status and challenges associated with implementing Basic Hospital Projects in Nepal, focusing on the approval process, understanding of standards, and challenges faced by local levels. Through a comprehensive review of literature, questionnaire surveys, and data analysis, key conclusions are drawn. In Nepal, the Ministry of Health and Population (MoHP) has begun the process of establishing and constructing basic hospitals throughout 655 local levels for the fiscal years 2077/78 (2020/21) and 2077/79 (2021/22). This endeavor is being backed by the Nepal Health Sector Support Programme (NHSSP), which is providing technical help. As of the end of Poush 2080 B.S, progress reports suggest that 258 local levels have received approval for construction, 189 have not yet submitted their plans, and 185 are changing their designs after getting input from MoHP. Though 258 local levels have already received approval for building. Particularly in Province 1 and Madesh Province, the approval procedure has been slowed down because of difficulties in adhering to standards and complying with design requirements. The percentage of projects that have been finished is lower than expected, despite the progress that has been made. To address the existing challenges the study identifies the need for clearer guidelines, enhanced training for local engineers and elected representatives, and improved collaboration between stakeholders. Recommendations include streamlining feedback mechanisms, establishing internal review processes, and fostering closer collaboration with MoHP. Additionally, suggestions for further research include evaluating long-term project impacts, exploring stakeholder engagement strategies, and promoting sustainable healthcare infrastructure. The findings and recommendations presented here are intended to make the implementation of basic hospital projects in Nepal more streamlined, as well as to enhance the accessibility and quality of healthcare in the country.

Keywords

Local engineers, Basic hospitals, Nepal, Challenges, Implementation, Guidelines.
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