Introduction
ReBUILD for Resilience is an international research consortium funded by the UK government, dedicated to strengthening resilience and building stronger systems for health across multiple levels and sectors in fragile and shock-prone settings, namely Lebanon, Myanmar, Nepal and Sierra Leone. These settings face significant challenges due to fragility, violence, conflict and other shocks, eroding efforts to build healthy, equitable and prosperous societies. Innovative, timely and contextually tailored evidence generated in partnership with key local and national stakeholders is critical to developing and sustaining resilient health systems, which are currently lacking in these regions. Through this consortium, we aim to generate high quality, practical, multidisciplinary, operationally-relevant and scalable health system research in these settings.
This study aims to explore the policy context and assess the climate resilience capacity of health systems especially at the local level to address the health risks of climate change in Nepal. Specifically, the objectives of this study are to:
- assess the health sector policies, preparedness and responses adopted to address health risks of climate change at national and subnational levels in Nepal;
- adapt and develop a climate resilience capacity mapping framework and assess the capacity of a municipality health system to face the challenges posed by climate change;
- collaborate with health system stakeholders to co-create a context relevant adaptation intervention package to support building climate resilient health system.
Approach
This is a cross-sectional exploratory study using mixed methods – review and analysis of secondary data and documents and primary data collection mainly through qualitative data collection techniques. The study will use the resilience framework to inform the overall study design and analysis.
Further, the study will use the available standard resilience capacity assessment tools and framework to adapt and develop a tailored framework for assessing climate resilient capacity assessment of the system at national and subnational levels. The study will use participatory workshops with local stakeholders to co-create intervention package to prepare and respond to the risks of climate crisis.
The study is being implemented in Kapilvastu municipality in Kapilvastu District of Lumbini Province and Patarashi rural municipality in Jumla District of Karnali Province.
Outcomes:
This study will generate evidence on capacity and needs of local health systems in the context of climate change in the federalized context, thereby, informing about the climate resilience capacity of health systems.
Associated Team Members
Shophika Regmi
Senior Manager: Health System Research, Evaluation and LearningShophika Regmi
Senior Manager: Health System Research, Evaluation and LearningAppointed as the lead for Systems, Policy and Programme Department Ms. Shophika Regmi has been working in health and social research for more than a decade. Throughout this period, she has led research projects of various natures and scales, particularly in the health sector. She possesses extensive experiences in implementation research using participatory action approaches, designing and executing evaluation studies, national level surveillance study, and large-scale survey across diverse areas such as health system strengthening, urban health, health workforce, non-communicable [...]
Learn moreSushil Chandra Baral
Managing DirectorDr. Sushil Chandra Baral is an experienced health and development expert with over 25 years of experience in research and development. Specializing in health systems, health policy, and planning at both national and international levels, Dr. Baral has played a pivotal role in communicable disease control, specifically Tuberculosis. He serves as a Managing Director at HERD International. In the past, he worked as a Strategic Advisor for the Nepal Health Sector Support Programme demonstrating expertise in program-based operational research and [...]
Learn moreBharat Raj Bhatta
Senior Officer - Health Systems ResearchMr. Bharat Raj Bhatta is a public health professional with a decade of experience in health research and programs. He holds expertise in research design and implementation, carrying out national-scale health surveys, data analysis, documentation, scientific writing and publication. He has also successfully led and managed several health projects. He is also skilled in disease surveillance and information system for surveillance, and has experience working in health emergency in the COVID-19 pandemic response in Nepal since its initial phase, working [...]
Learn moreAney Rijal
Qualitative Research OfficerMs. Aney Rijal is a dedicated public health professional, holding master’s in public health with a specialization in Implementation Research. She has experience in mixed method approaches in the field of tropical disease and health insurance researches. Ms. Rijal extends her expertise in research design, stakeholder analysis, data analysis and evidence synthesis along with communication, coordination with the multidisciplinary stakeholders. She is keen in conducting health systems research in infectious disease, tropical medicine, biosecurity, climate change and mental health. She [...]
Learn moreSujan Sapkota
Project ManagerMr. Sujan Sapkota is an experienced professional with specialization in Public Health Nutrition, showcasing a distinguished blend of academic knowledge and extensive practical experience spanning over a decade. His educational background includes MSc. in Food Science and Nutrition, Master’s in Rural Development, with supplemental courses in Research Methodology. Mr. Sapkota has developed comprehensive understanding of health, nutrition, Water Sanitation and Hygiene (WASH), and Disaster Risk Reduction (DRR) through his career, showcasing his specialized expertise in these areas with a rich [...]
Learn moreAnil Dhungana
Research CoordinatorMr. Anil Dhungana is a Public Health professional with over 9 years of extensive experience in strengthening local government health systems. His expertise spans health governance, policy and program planning, and promoting evidence-based decision-making. With a focus on nutrition, health, and Water Sanitation and Hygiene (WASH), he has collaborated with both national and international non-governmental organizations, as well as the government, in program management, planning, and implementation. Currently serving as a Research Coordinator at HERD International in Kapilvastu, Mr. Dhungana [...]
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