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Nepal is in the midst of a rapidly changing political and economic environment. The last few years have seen a popular uprising (the “Jana Andolan II”), the end of the Maoist insurgency, the dissolution of the monarchy, a national election, and the drafting of an Interim Constitution.

Amidst all these advancements, and as the structure of the “New Nepal” takes form, a number of wide-ranging and monumental changes have taken place within the health sector; most notably, the Interim Constitution identifies basic health and education as fundamental human rights of every citizen.

To support such commitments, the Ministry of Health and Population has taken a number of policy initiatives, including drafting a ten-point position paper, and has adopted a policy of free essential health care provision, in which certain services at a variety of health institutions are provided free of charge or at a reduced rate. The Ministry’s Three- Year Interim Plan lays out a set of goals, strategies, and priorities for strengthening the health system.

The Health Sector Reform Support Programme is a DfID-funded programme which aims to support the Ministry of Health and Population through technical assistance and strategic support. In particular, we focus on seven output areas: social inclusion, state-nonstate partnerships, financial management, decentralisation, health economics and financing, institutional development, and sector management.

Featured Publications

1. "Assessing Implementation of Nepal's Free Health Care Policy
Fifth and Sixth Health Facility Survey Report"

To measure the impact of free health care policy on services, the survey looked at the flow of programme funds, status of human resources, and availability and status of drug supplies. It also reviewed trends in the profiles of service users, current costs for medications, the operating hours of health facilities, publicly available information about free care, and the management of the programme in districts.

2. "The Sector-Wide Approach in the Health Sector."

The SWAp has been adopted in the health sector of Nepal since 2004. This report documents achievements, experiences, and lessons learned in the health sector of Nepal while implementing Nepal Health Sector Strategy through Nepal Health Sector Progra mme - Implementation Plan (NHSP-IP).