Central circular saying that there is no budget to purchase medicine, the local level is confused
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The Nepal government has been distributing 98 types of medicines for free. "Iron pills" belonging to this list are lacking in government health institutions in Far West. Due to lack of 'iron pill', pregnant women who come for prenatal check-up are returning disappointed.
Chief of District Health Office Doti Ramesh Malasi said that there is no budget to purchase this medicine from the center. After receiving this letter from the center, we have decided to buy all the nine local levels of Doti We have sent a letter saying,' he said, 'Now we have no right to purchase any medicine. Union, state and local governments are empowered. Now let them administer the medicine in their own way.'
Dr. Head of Health Directorate Rajpur, who has been talking about 6 months ago that there may be a problem of drug shortage in the district. Khagendra Bam said. He said, 'We informed the union government about this on time, but due to lack of budget, the medicine could not be purchased . We have asked the local government to buy a small amount, they will probably buy it.' Bam said that the provincial government will purchase only after the budget of the next financial year 2082/083.
According to District Health Office Achham, there are 5,600 pregnant women in the district. But office chief Jhapt Dhungana informed that there is a shortage of iron pills in the district. He said, 'The 20,000 tablets of medicine we have expired in April.'
Bajura, which is considered a remote district of Far West province, has also lacked iron wheels. Mahesh Chand, head of District Health Office Achham, said, 'According to the correspondence from above, we have asked the local government to purchase it themselves a month ago. Now there are 2 thousand 846 people taking this medicine.'
District Health Office Dadeldhura is also facing a similar problem. Dadeldhura Health Office Chief Keshar Saud said that they have sent 2 lakh tablets to Kailali. According to the data of the office, 2 thousand 897 people are pregnant in the district.
Head of office Birendra Bhatt informed that iron pills are available for one month in Darchula. He says that they are confused about what to do next.
The problem has also been seen in Kailali and Kanchanpur districts of Terai in the far west. Head of office Om Prakash Joshi said that 11 thousand 208 women are pregnant in Kanchanpur. Office head Ramesh Malasi said that the number of pregnant women in Doti is not certain. "We have sent a letter to all the local levels of the district," he said, "maybe they will buy it now."
Health information officer Tejvikram Shahi said that there is a shortage of iron pills in Kailali as well. According to Kailali, the Provincial Supply Management Center of Sudurpaschim Province, there is currently a shortage of iron pills throughout the province. Office chief Jhanak Dhungana said, 'We don't have a budget . We also talked about this matter at the center . There is also information from above that there is a lack of budget . We have sent a letter asking the local level to manage it by itself.'
Doti's Shikhar municipality has already purchased and distributed to all health institutions, said Harishchandra Shahi, the health coordinator of the municipality. 'We have enough until June,' he said .
KI Singh Rural Municipality, Purvi Chowki Rural Municipality, Badikedar Rural Municipality, Adarsh Rural Municipality and Zorayal Rural Municipality have also said that there is stock for one month.
Health Branch Head Tej Bahadur Khadka said that the purchase process has not been started in Dipayal Silagadi Municipality, Sayal Rural Municipality.
Although there is a shortage of iron pills in government health institutions, private clinics are selling them . Health workers say that the absence of this medicine will have a negative impact on the health of pregnant women and newborns.
