Nepal

Information for patients
Following the adoption of the national health policy in 1991, Nepal’s health care sector has made significant progress in both the public and private sectors.  Primary health care services are provided at district level through sub-health posts (SHPs), health posts (HPs), primary health care centers (PHCs) and district hospitals (DHs). Secondary and tertiary care is provided by zonal/regional hospitals and specialized tertiary facilities. 
The private health care sector in the rural areas of Nepal is dominated by traditional practitioners who provide ambulatory care services. However, facility-based private initiatives are focused in the urban areas, almost 47 percent of them being based in the district of Kathmandu. Services in the private sector are faster and more accessible as compared to those offered in the public healthcare system. 
Many NGOs are involved in health education, family planning, maternal and child health, nutrition and prevention of major infectious diseases. 


Information for healthcare professionals
The Government has introduced a Health Policy encouraging the private sector to invest in the production of health workers and in providing quality health services. As a result, several private health institutions have been founded and are expected to contribute to the development of the human resources required by Nepal.
Certificate level training for nurses in Nepal lasts for three years and is provided by the Institute of Medicine of the Tribhuvan University in Kathmandu. This prepares nurses for hospital work, and midwifery is included as part of the course. A lower level two year training for the Assistant Nurse Midwife (ANM) qualification is available. This aims to train young women to work in village health postsand the main emphasisis on mother and child health. 


Information for travellers
Nepal draws a wide range of travelers who may face health and safety issues such as altitude sickness, gastrointestinal ailments, or even physical injuries. These health hazards, coupled with difficult terrain and the lack of adequate airline services or even roadways, make the delivery of healthcare facilities a huge challenge.

Most medical facilities have insufficient resources to tackle emergency situations therefore expats and other visitors purchase emergency evacuation insurance and a standard health insurance cover. It is advisable to check with your medical insurance company regarding the procedure of claims prior to traveling to Nepal. 

Credit cards are accepted only in few clinics and hospitals in Kathmandu and the rest accept cash only. 

Link to Ministry of Health: https://www.mohp.gov.np

 

 

References
Rai, S. K., Rai, G., Hirai, K., Abe, A., & Ohno, Y. (2001). The health system in Nepal-An introduction. Environmental health and preventive medicine, 6(1), 1–8. https://doi.org/10.1007/BF02897302
https://apps.searo.who.int/pds_docs/B1361.pdf
https://web.stanford.edu/~cbauburn/basecamp/dschool/nepalstudio/organization%20of%20health%20care%20in%20Nepal%20(95).pdf
https://expatfinancial.com/healthcare-information-by-region/south-asia-healthcare-system-and-insurance-options-for-expats/healthcare-system-information-for-expats-living-in-nepal/