Abstract
The health sector is complex, involving many stakeholders, multiple goals, and different beneficiaries. Health policy is an instrument to decide, plan and action that are undertaken to achieve health care goals within a society to combat the health problems. It is crucial for understanding it influences on health systems and prioritizing the health needs of the population.1
 In 2015, Nepal became a federal republic and replaced a unitary government with a federal government at the central level, seven provincial and 753 local governments having more authority and resources in planning and managing than before. In the spirit of Constitution of Nepal 2015 and with the vision to make the health services of the country universal and qualitative, Ministry of health and population of Nepal (2019) revised National health policy in 2019. National Health policy 2019 of Nepal has expanded its plan and strategies according to federal structure of the country to improve health sector.2 The revision of health policy paved the way forward towards health system reform in the country which is further supported by Local Government operation act 2017.3 With the new governance structure, accountability has also been divided among the three tiers and the local level is responsible for the program implementation responsibilities.4 5 The Ministry of Health and Population (MoHP) is responsible for managing the health system at the federal level, whereas at the provincial level leads by the Ministry of Social Development and local governments metro/sub-metropolitan, municipality and rural municipality are responsible for its management.6 This indicates that the health system must gear up to meet the escalating healthcare needs of every citizen and upgrading the system as per the structure of the country.
Highlights
Diaphyseal femur fracture in paediatric age group account for 1.6% of all paediatric fractures.[1]
The advantages of elastic nailing includes less soft tissue dissection, low chance of infection, immediate fracture stabilization, early mobilization and early return to daily activities.[11,12]. The aim of this prospective study was to assess the outcome of diaphyseal femur fracture in paediatric age group from 5 to 15 years treated with titanium elastic nailing system
All included patients were treated with titanium elastic nailing system
Summary
Diaphyseal femur fracture in paediatric age group account for 1.6% of all paediatric fractures.[1]. Age between 5 to 13 years were well managed with traction followed by hip QR Code Scan Me Article Info. Diaphyseal Femur Fracture in Paediatric Age group: Outcome with fixation by Elastic Nailing System. Diaphyseal femur fracture in paediatric age group account for 1.6% of all paediatric fractures. Fracture fixation by elastic nail provides three point fixation. This study aims to assess the outcome of diaphyseal femur fracture in paediatric age group from 5 to 15 years treated with titanium elastic nailing system
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