Assessment of Health System Performance in Nepal - Ministerial ...

Health System Performance 2010indicates that these institutions are delivering services adequately. Overall, the percentage ofhouseholds reporting government health facilities as “good” is only 14 percent, while 64percent reported that they were only “fair.” In the Mid-western region, up to 35 percent ofhouseholds reported facilities as “poor.”Figure 3.8: Reported adequacy of health care services by regionSource: CBS (2004)3.2.2 Private health institutionsBoth public and private health institutions contribute to the delivery of health services. Wehave very limited data on private providers, but their contributions can be seen in theutilization of services. The following figures compare the numbers of public health providerswith private health providers by ecological belt. Overall, there are more public than privateinstitutions. The Mountain region has fewer private hospitals than the other two ecologicalbelts. In the Terai, a greater number of people have utilized private health care providers,while people in the Mountain region are more likely to use public institutions. In the Hillregion utilization of public and private hospitals appears to be nearly equal. To calculateutilization, “private provider” includes hospitals, clinics, and pharmacies. Public providersinclude hospitals, primary health care centres, health posts, and sub-health posts.Figure 3.9 (a) and (b): Public/private health care institution utilization by ecologicalbelt15