Assessment of Health Care Service Delivery at Central Madhesh Province, Nepal

Introduction: Effective health service management is critical for improving healthcare delivery, resource utilisation, and patient outcomes.Key objectives were to determining the impact of federal regulations on healthcare delivery, measuring changes in access and affordability, and analysing the financial implications for stakeholders. Materials & Methods: This descriptive, cross-sectional study looks into the management of the health system in Central Madhesh, Nepal with an emphasis on the effect of federal policy changes on healthcare delivery. The study looks at healthcare services in several places and district, including Jaleshwor, Matihani, Gaushala, Janakpur & Lalgadh. The study also conducts a SWOT analysis, epidemiological study and fiveyear plan. Results: The findings reveal tremendous improvement and continued obstacles in the healthcare system, such as infrastructural shortages, funding constraints, and human resource limitations. Recommendations are made to improve emergency services, coordination, and healthcare delivery to successfully fulfil the needs of the district's citizens. Conclusion: The health system of Central Madhesh has various obstacles that limit its ability to deliver high-quality care to its residents. Limited resources, such as financing, medical supplies, and skilled personnel, along with ageing infrastructure and logistical challenges, present substantial constraints to successful service delivery.