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 service coverage index: 48%
Physicians per 1,000 population: 0.65
Catastrophic expenditure: 10.7%
2016 – 2023
Type of Support
- L4UHC Modules
- Collective Action Initiatives
- National coach
Ongoing Collective Action Initiatives
1. Develop a costed National Health Financing Strategy
2. Develop a 5-year health insurance implementation plan
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.