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Nepal’s Health Sector Strategy (2015 ̶ 2020) laid the foundations for the development of UHC, focusing on four key strategic areas: equity in health systems, quality health services for all, health systems reform, and multi-sector collaboration.

Some of the challenges in implementing UHC in the country include addressing the disparities in access to care and reducing out-of-pocket payments, which currently account for 55% of health expenditure.


UHC Indicators

UHC service coverage index: 48%

Physicians per 1,000 population: 0.65

Catastrophic expenditure: 10.7%

L4UHC Support

Start Date

2016 – 2023

Type of Support

  • L4UHC Modules
  • Collective Action Initiatives
  • National coach
  • Ministry of Health and Population
  • Health Emergency Operation Center
  • National Planning Commission
  • Health Insurance Board (Government of Nepal)
  • Ministry of Finance
  • World Health Organization
  • German Development Cooperation
  • World Bank
  • Roshan Karn (WHO)

Ongoing Collective Action Initiatives


1. Develop a costed National Health Financing Strategy

The strategy will include well-defined, affordable, results-oriented activities and be co-owned by key stakeholders. Policy documents are being developed to support it.

2. Develop a 5-year health insurance implementation plan

The aim of the plan is to ensure quality health services and financial protection for all Nepalis. Policy documents are being developed to support it.

3. Develop a tool for monitoring accessibility and other factors

The tool will measure accessibility, availability, utilization and the quality of basic health services, and be piloted it in seven provinces, representing all ecological and urban-rural regions.

Completed Collective Action Initiatives


Reform drug procurement in order to improve drug availability and distribution, as well as to avoid irrational drug use.


  • National Steering Committee and Technical Working Group on UHC established.
  • PHCC Pharmacy Guidelines endorsed.
  • Budget allocation to district health facilities increased by 400% to $20,000.
  • Improved district-level management information systems.
  • Increased drug availability at point of care within districts.


October 2022
Regional module in Bangkok, Thailand, with Nepal, Pakistan and Cambodia
October 2022
December 2018
National module in Kathmandu, Nepal
December 2018
April 2017
Regional module in Japan with Cambodia, Lao PDR and Nepal
April 2017
Fall 2016
Regional module in Malaysia with Cambodia, Lao PDR and Nepal
Fall 2016
May 2016
Regional module in the Philipines with Cambodia, Lao PDR and Nepal
May 2016