Accessible Healthcare

Despite constitutional guarantees of healthcare as a fundamental right, many citizens still struggle to access quality services due to systemic inefficiencies. The rugged terrain of Nepal complicates transportation, making it difficult for patients to reach health centres. According to recent data, a staggering 92 per cent of the population takes over 15 minutes of motorized travel or more than an hour of walking to access healthcare services. 

This geographical barrier exacerbates the already high maternal mortality rate, which stood at 151 deaths per 100,000 live births in 2021. The situation is particularly dire in remote provinces like Karnali, where many hospitals lack basic equipment and essential medicines. Reports indicate that patients often travel over 100 kilometres for treatment, highlighting the severe challenges faced by those in need of care.

Moreover, local health facilities frequently lack the necessary resources and trained personnel to provide adequate care. While initiatives have been launched to improve healthcare accessibility—such as standard treatment protocols and free healthcare programmes—implementation remains inconsistent. The effectiveness of these programmes is further hampered by a shortage of skilled health workers and inadequate infrastructure. For instance, many outreach clinics struggle with underutilisation because local populations are unaware of available services or face cultural barriers that prevent them from seeking help.

To address these issues, a comprehensive approach is needed that focuses on strengthening local health posts and enhancing the training of health staff. Engaging Female Community Health Volunteers (FCHVs) can play a pivotal role in bridging the gap between healthcare providers and communities. These volunteers are instrumental in educating women about family planning, nutrition, and safe motherhood practices. Their presence in rural areas can significantly improve health awareness and encourage timely medical consultations.

Investing in healthcare infrastructure and human resources is not merely an option; it is an urgent necessity for improving health outcomes across Nepal. The government must prioritise funding for rural health facilities and ensure that they are adequately staffed with trained professionals. Additionally, partnerships between public and private health facilities can enhance service delivery. For example, private outreach centres like those operated by Dhulikhel Hospital have demonstrated success in providing high-quality care in underserved areas.

Furthermore, raising awareness about available healthcare services is crucial. Many rural residents are unaware of when to seek medical attention or the types of services offered at local clinics. Campaigns aimed at increasing health literacy can empower communities to take charge of their health and utilise available resources effectively.

In conclusion, the state of healthcare in rural Nepal requires immediate attention and action. By addressing systemic inefficiencies, enhancing training for healthcare workers, and engaging community volunteers, we can make significant strides towards ensuring that all citizens have access to quality healthcare services. This commitment will not only improve health outcomes but also foster a healthier society where women and children can thrive. 

I believe this topic is crucial for raising awareness and encouraging action toward improving health outcomes across Nepal. Thank you for considering my submission; I look forward to your response.