Nepal: Difference between revisions

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Nepal is one of the countries located in the Asia Western Pacific Region.  
Nepal is one of the countries located in the Asia Western Pacific Region.  


It has a three-level federal system of government which includes federal, provincial, and local so the health system has also been federalized.<ref>Thapa R, Bam K, Tiwari P, Sinha TK, Dahal S. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6499910/#:~:text=Nepal%20aims%20to%20accelerate%20universal,through%20the%20social%20health%20insurance. Implementing federalism in the health system of Nepal: opportunities and challenges.] International journal of health policy and management. 2019 Apr;8(4):195.</ref> Along with government health facilities, there are various private, community, and international non-governmental organizations which are providing health services to the public.  
It has a three-level federal system of government which includes federal, provincial, and local so the health system has also been federalized.<ref>Thapa R, Bam K, Tiwari P, Sinha TK, Dahal S. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6499910/#:~:text=Nepal%20aims%20to%20accelerate%20universal,through%20the%20social%20health%20insurance. Implementing federalism in the health system of Nepal: opportunities and challenges.] International journal of health policy and management. 2019 Apr;8(4):195.</ref> Along with government health facilities, there are various private, community, and international non-governmental organizations which are providing health services to the public. Government health insurance policy has recently been started here in Nepal and not in all provinces it has reached out.  Physiotherapy service has been incorporated in government health insurance.  


==== Practising physiotherapists in Nepal: 2,053 ====
Physiotherapists in Nepal are working in an in-patient setting, out-patient, rehab, and as a part of different sports teams.


== A brief history of physiotherapy in Nepal ==
== A brief history of Physiotherapy in Nepal ==
Nurses and other health professionals were trained in Government hospitals.<ref>Saurab Sharma. ''Physiotherapy regulation in Nepal''. [PowerPoint presentation].  Kathmandu University School of Medical Sciences, Nepal. [Jul 14, 2017; Feb 6, 2021]. Available from: https://www.slideshare.net/saurabsharma/physiotherapy-regulation-in-nepal?qid=c5ab0775-ca94-4fbe-95a5-733397961ebe&v=&b=&from_search=9.</ref>
* Earlier in the 1980s, Nurses and other health professionals were trained in Government hospitals.<ref name=":0">Saurab Sharma. ''Physiotherapy regulation in Nepal''. [PowerPoint presentation].  Kathmandu University School of Medical Sciences, Nepal. [Jul 14, 2017; Feb 6, 2021]. Available from: https://www.slideshare.net/saurabsharma/physiotherapy-regulation-in-nepal?qid=c5ab0775-ca94-4fbe-95a5-733397961ebe&v=&b=&from_search=9.</ref>
* Nepalese students went to foreign countries mainly India to gain a degree in Physiotherapy.
* Certificate/Diploma of Physiotherapy (CPT) was started from 1883-1990 in Tribhuvan university whereas from 2003-2010 in Kathmandu University.  Later CPT course upgraded to Bachelor of Physiotherapy (BPT) in 2010. <ref name=":0" />
* Recently, in 2018 BPT has been started at Pokhara University as well.
* Kathmandu University is planning to start Master of PHyhiotherapy.
* Increased level of awareness about need and role of physiotherapy in Government and public level since massive earthquake in 2015.
* More job positions are being created at the Government level.<ref name=":0" />
* Now,
Practicing physiotherapists in Nepal: 2,053
 
Member of Nepal Physiotherapy Association (NEPTA): 455<ref name=":1" />


== Regulating Bodies of Physiotherapy in Nepal ==
== Regulating Bodies of Physiotherapy in Nepal ==


=== Nepal Health Professional Council (NHPC) ===
=== Nepal Health Professional Council (NHPC) ===
It is a national governing body which comes under Ministry of Health and Population ( MOHP) of Nepal. Under this council, there are about 29 different professions registered including Physiotherapy.
It is a national governing body that comes under the  Ministry of Health and Population (MOHP) of Nepal. Under this council, there are about 29 different professions registered including Physiotherapy.


=== Nepal Physiotherapy Association (NEPTA)<ref>World Physiotherapy. ''Nepal.'' [PowerPoint presentation].  WCPT Country Profile 2019. [2019; 2021-02-06]. Available from: https://world.physio/sites/default/files/2020-06/CountryProfile2019_AWP_Nepal.pdf.</ref> ===
=== Nepal Physiotherapy Association (NEPTA) ===
* It is a national organization of professional Nepalese physiotherapists.<ref>Nepal Physiotherapy Association (NEPTA). Available from: http://nepalphysio.org.np/ [6 Feb 2020].
* It is a national organization of professional Nepalese physiotherapists.<ref>Nepal Physiotherapy Association (NEPTA). Available from: http://nepalphysio.org.np/ [6 Feb 2020].
</ref>
</ref>
* It become a member of World Confederation for Physical Therapy (WCPT) in 2003.
* NEPTA is recognized by the Government of Nepal and registered as a national umbrella organization of professional physiotherapists.
* It become a member of Wthe orld Confederation for Physical Therapy (WCPT) in 2003.
* It is the 11th smallest member organisation in the Asia Western Pacific Region of WCPT.
* It is the 11th smallest member organisation in the Asia Western Pacific Region of WCPT.
* There are 455 physiotherapist members in this member organisation (MO).<ref>World Physiotherapy. ''Nepal: a profile of the profession in 2020.'' Available from: https://world.physio/membership/nepal [30 June 2020, 6 Feb 2020].</ref>
* There are 455 physiotherapist members in this member organization (MO).<ref name=":1">World Physiotherapy. ''Nepal: a profile of the profession in 2020.'' Available from: https://world.physio/membership/nepal [30 June 2020, 6 Feb 2020].</ref>
* The Nepal Physiotherapy Association has experienced a 9% increase in membership numbers in the past year. ( Survey from 2018)
* The Nepal Physiotherapy Association has experienced a 9% increase in membership numbers in the past year. (Survey from 2018)
 
== Therapist Preparation ==
 
=== Entry Requirement to BPT for Students ===
* Intermediate in Science (ISc) or Higher Secondary Level (10+2 Science streams) in biology stream or equivalent Proficiency Certificate level of Physiotherapy (CPT) (registered in NHPC) as recognized by concern University with at least 50% marks or equivalent.
* An written entrance examination will be held for all applicants and should secure 50% marks to be eligible for admission which is followed by interview.<ref name=":2">Minimum Requirements For the recognition of Bachelor in Physiotherapy. Nepal Health Professional Council. 2076. Available from: https://nhpc.org.np/backend/web/uploads/formuploads/BPT%20Minimum%20Requirement.pdf Lasted accessed: 27th March, 2021.</ref>
 
=== Institutes for Physiotherapy degree ===
* [https://kusms.edu.np/bachelor-of-physiotherapy-bpt/ Kathmandu University School of Medical Sciences (KUSMS)] was the only place where formal undergraduate (4.5 years) physiotherapy course is delivered in Nepal. But since 2018/19, [https://pu.edu.np/programs/bachelor-of-physiotherapy/ Pokhara university] has also started Bachelor of Physiotherapy.
* Currently, student intake is increased to 30 students every year.
* Bachelor of Physiotherapy is a 4 and half year course where 4 academic years and 6 months of an internship. <ref name=":2" />
* Whereas, Diploma of Physiotherapy affiliated under CTEVT which is a 3-year course done immediately after secondary level of education is still being run in School of Health Sciences, Chitwan, and in Nepalese Army Institute of Health Sciences.
 
=== To work as a Physiotherapist in Nepal ===
To work as a PHysiotherapist in Nepal, one needs to be registered under Nepal Health Professional ouncil
 
== Patient Access to Physiotherapy or Physical Therapy Services / Entry Point ==
*


== Current code of ethics and revision ==
== Current code of ethics and revision ==
In your region 17% of respondents reported that physical therapists need to be a member of their national body to practice. In your country physical therapists are not required to be a member of your organisation to practice.
In your region 17% of respondents reported that physical therapists need to be a member of their national body to practice. In your country physical therapists are not required to be a member of your organisation to practice.
== Physiotherapy Education ==
Kathmandu University School of Medical Sciences (KUSMS) was the only place where formal undergraduate (4.5 years) physiotherapy course is delivered in Nepal. Bachelor of Physiotherapy (BPT) was started in 2010 AD. Currently student intake is increased to 30 students every year.
Since 2018, Pokhara university has also started Bachelor of Physiotherapy.


== Challenges of physiotherapy Profession ==
== Challenges of physiotherapy Profession ==

Revision as of 15:54, 27 March 2021

Original Editor - Manisha Shrestha Top Contributors - Manisha Shrestha and Kim Jackson

Introduction[edit | edit source]

Nepal is one of the countries located in the Asia Western Pacific Region.

It has a three-level federal system of government which includes federal, provincial, and local so the health system has also been federalized.[1] Along with government health facilities, there are various private, community, and international non-governmental organizations which are providing health services to the public. Government health insurance policy has recently been started here in Nepal and not in all provinces it has reached out. Physiotherapy service has been incorporated in government health insurance.

Physiotherapists in Nepal are working in an in-patient setting, out-patient, rehab, and as a part of different sports teams.

A brief history of Physiotherapy in Nepal[edit | edit source]

  • Earlier in the 1980s, Nurses and other health professionals were trained in Government hospitals.[2]
  • Nepalese students went to foreign countries mainly India to gain a degree in Physiotherapy.
  • Certificate/Diploma of Physiotherapy (CPT) was started from 1883-1990 in Tribhuvan university whereas from 2003-2010 in Kathmandu University. Later CPT course upgraded to Bachelor of Physiotherapy (BPT) in 2010. [2]
  • Recently, in 2018 BPT has been started at Pokhara University as well.
  • Kathmandu University is planning to start Master of PHyhiotherapy.
  • Increased level of awareness about need and role of physiotherapy in Government and public level since massive earthquake in 2015.
  • More job positions are being created at the Government level.[2]
  • Now,

Practicing physiotherapists in Nepal: 2,053

Member of Nepal Physiotherapy Association (NEPTA): 455[3]

Regulating Bodies of Physiotherapy in Nepal[edit | edit source]

Nepal Health Professional Council (NHPC)[edit | edit source]

It is a national governing body that comes under the Ministry of Health and Population (MOHP) of Nepal. Under this council, there are about 29 different professions registered including Physiotherapy.

Nepal Physiotherapy Association (NEPTA)[edit | edit source]

  • It is a national organization of professional Nepalese physiotherapists.[4]
  • NEPTA is recognized by the Government of Nepal and registered as a national umbrella organization of professional physiotherapists.
  • It become a member of Wthe orld Confederation for Physical Therapy (WCPT) in 2003.
  • It is the 11th smallest member organisation in the Asia Western Pacific Region of WCPT.
  • There are 455 physiotherapist members in this member organization (MO).[3]
  • The Nepal Physiotherapy Association has experienced a 9% increase in membership numbers in the past year. (Survey from 2018)

Therapist Preparation[edit | edit source]

Entry Requirement to BPT for Students[edit | edit source]

  • Intermediate in Science (ISc) or Higher Secondary Level (10+2 Science streams) in biology stream or equivalent Proficiency Certificate level of Physiotherapy (CPT) (registered in NHPC) as recognized by concern University with at least 50% marks or equivalent.
  • An written entrance examination will be held for all applicants and should secure 50% marks to be eligible for admission which is followed by interview.[5]

Institutes for Physiotherapy degree[edit | edit source]

  • Kathmandu University School of Medical Sciences (KUSMS) was the only place where formal undergraduate (4.5 years) physiotherapy course is delivered in Nepal. But since 2018/19, Pokhara university has also started Bachelor of Physiotherapy.
  • Currently, student intake is increased to 30 students every year.
  • Bachelor of Physiotherapy is a 4 and half year course where 4 academic years and 6 months of an internship. [5]
  • Whereas, Diploma of Physiotherapy affiliated under CTEVT which is a 3-year course done immediately after secondary level of education is still being run in School of Health Sciences, Chitwan, and in Nepalese Army Institute of Health Sciences.

To work as a Physiotherapist in Nepal[edit | edit source]

To work as a PHysiotherapist in Nepal, one needs to be registered under Nepal Health Professional ouncil

Patient Access to Physiotherapy or Physical Therapy Services / Entry Point[edit | edit source]

Current code of ethics and revision[edit | edit source]

In your region 17% of respondents reported that physical therapists need to be a member of their national body to practice. In your country physical therapists are not required to be a member of your organisation to practice.

Challenges of physiotherapy Profession[edit | edit source]

Positive steps[edit | edit source]

Resources[edit | edit source]

References[edit | edit source]

  1. Thapa R, Bam K, Tiwari P, Sinha TK, Dahal S. Implementing federalism in the health system of Nepal: opportunities and challenges. International journal of health policy and management. 2019 Apr;8(4):195.
  2. 2.0 2.1 2.2 Saurab Sharma. Physiotherapy regulation in Nepal. [PowerPoint presentation].  Kathmandu University School of Medical Sciences, Nepal. [Jul 14, 2017; Feb 6, 2021]. Available from: https://www.slideshare.net/saurabsharma/physiotherapy-regulation-in-nepal?qid=c5ab0775-ca94-4fbe-95a5-733397961ebe&v=&b=&from_search=9.
  3. 3.0 3.1 World Physiotherapy. Nepal: a profile of the profession in 2020. Available from: https://world.physio/membership/nepal [30 June 2020, 6 Feb 2020].
  4. Nepal Physiotherapy Association (NEPTA). Available from: http://nepalphysio.org.np/ [6 Feb 2020].
  5. 5.0 5.1 Minimum Requirements For the recognition of Bachelor in Physiotherapy. Nepal Health Professional Council. 2076. Available from: https://nhpc.org.np/backend/web/uploads/formuploads/BPT%20Minimum%20Requirement.pdf Lasted accessed: 27th March, 2021.