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In 2015, Nepal adopted a new constitution, transforming the country from a unitary state into a Federal Republic, with 7 new provinces and 753 new local governments. This constitutional change, which has gradually been implemented over the last 9 years, has had profound consequences for the health system – both positive and negative. Based on a collaborative, longitudinal study funded by the UK’s Health System Research Initiative, this presentation will, first, discuss some of the opportunities and challenges constitutional change has thrown up for the health sector (many of which were unforeseen at the time of the drafting of the constitution); and, second, reflect on the project’s use of Participatory Policy Analysis as a method for understanding more deeply the consequences of political change and co-producing policy and practice solutions/recommendations.
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About the speaker
Simon Rushton is Professor of International Politics at the University of Sheffield, UK. His research interests focus on the global politics of health, peace and conflict, and participatory research methods. His work has looked in particular at international responses to infectious diseases; the links between health and national security; the changing architecture of global health governance; healthcare delivery in conflict and other crisis situations; and post-conflict peacebuilding. His current research projects are in Nepal and Colombia.
Find Simon Rushton on X: @SimonRushton8