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WHO strategic partnership in strengthening health care in Bhutan and addressing emerging challenges

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WHO strategic partnership in strengthening health care in Bhutan and addressing emerging challenges

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Bhutan has made reducing non-communicable diseases (NCDs) a priority during its 13th Five-Year Plan. Dr Bhupinder Kaur Aulakh, WHO Representative to Bhutan, discusses with Kuensel reporter Jigmi Wangdi how WHO will work with the government to strengthen Bhutan’s health system over the next five years.

How would you describe the current public health situation in Bhutan? What areas require attention?

Bhutan’s health system is exemplary, providing universal health coverage, including free services, diagnostic tests, medicines, and even international referrals. The system is a model for universal health care and demonstrates an impressive commitment to inclusion. However, with the rise in non-communicable diseases, there is an urgent need to expand advocacy efforts beyond the health sector. Addressing risk factors such as smoking and alcohol consumption, physical inactivity, and other lifestyle-related issues is critical. Involving non-health sectors and collaborating with a variety of agencies is key to improving public health and effectively managing these risks.

What are WHO’s main public health priorities in Bhutan?

WHO’s priorities are closely aligned with the Ministry of Health and the wider government agenda. The 13th Five-Year Plan provides a framework to guide WHO’s activities, as well as those of other ministries. Our focus remains on promoting overall health, ensuring universal health coverage, and improving access to quality health services for all. By supporting these goals, WHO aims to make a significant contribution to the development of Bhutan’s health sector.

Bhutan has seen a significant increase in non-communicable diseases (NCDs). How is WHO working with the government to tackle NCDs?

Non-communicable diseases, often referred to as lifestyle diseases, are responsible for more than 70% of deaths in Bhutan. There are many factors contributing to this worrying trend, including increased alcohol and tobacco consumption, physical inactivity and rising obesity rates. WHO is working hand in hand with the Ministry of Health to address these issues through health promotion activities and advocacy. Our goal is to reduce risk factors and encourage healthier lifestyles by promoting a balanced diet and physical activity. We believe that targeted measures in these areas will help curb the prevalence of non-communicable diseases.

Bhutan’s fertility rate is 2.0, which is below the replacement level of 2.1. What are WHO and the Ministry of Health doing to increase the fertility rate?

Bhutan’s current fertility rate is 2.0, which is below the replacement level of 2.1. This decline is influenced by a number of factors, including increased education and employment opportunities for women. The Government is actively working to support women in balancing their career ambitions with family life. Policies that promote flexible working hours and provide childcare support are essential. WHO is assisting the Ministry of Health in developing an infertility programme and providing opportunities to learn from international practices. We are working to ensure that the necessary support systems are in place to encourage family growth and address fertility issues.

How does WHO support Bhutan’s 13th Five-Year Plan, especially in the field of health?

The 13th Five-Year Plan is the guiding document for the Ministry of Health and WHO. We fully support the plan’s goals, including improving access to health services, enhancing the quality of health services and building the capacity of the health workforce. Workforce attrition is a major challenge, so we are also working to strengthen the skills of existing health professionals and develop health service standards. Our collaboration aims to ensure that the health sector can effectively meet current and future needs.

What recommendations does WHO have for improving access and equity in health care in Bhutan?

To improve access and equity in healthcare, WHO recommends that Bhutan focus on marginalized and vulnerable groups. This includes highland communities, tribal groups, transgender people, and people living in remote and urban areas. The goal is to ensure that no one is left behind and that all population groups have access to quality health services. By addressing these gaps, we aim to create a more equitable health system that works effectively for everyone.

After the epidemic, how can Bhutan better respond to and mitigate the impact of potential public health emergencies?

Bhutan’s response to the COVID-19 pandemic has shown that the country has effectively used its immunization platform, with relatively low morbidity and mortality. Going forward, WHO will assist the Ministry of Health of Bhutan to strengthen its preparedness for future public health emergencies. This includes conducting simulation exercises, assessing preparedness for high-risk factors such as earthquakes and glacial lake outburst floods, and strengthening disaster management capacity. We are working with disaster management agencies to improve their skills and enhance their ability to respond to emergencies. In addition, WHO has provided equipment and capacity-building support to ensure that Bhutan is fully prepared for any potential health crisis.

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