HEALTH SYSTEM IN NEPAL

• 1990: 16 PRIVATE HOSPITALS

• 2014: 300 PLUS AND INCREASING

• INCREASED MEDICAL AFFILIATIONS

• PRIVATE MEDICAL INSTITUTIONS OCCUPY MORE THAN 60% HEALTH HUMAN RESOURCES

• PRIVATE SECTOR WAS NOT REGULATED UNDER SET STANDARDS ON DAILY BASIS

• LESS GOVERNMENT INTERVENTION LEADS TO CORRUPT POLICIES

MEDICAL INDUSTRY AND NEPAL

• Private Hospitals are mostly located at Urban Areas

• Serves the richest who can afford luxury and expensive services

• 79% of population in Nepal are from rural areas

• People have to travel and stay in urban areas for medical Treatment
COVID-19 PANDEMIC AND NEPAL

• Regulated Price of PCR Test: Rs.2000, Private charged more than Rs.4000

• They openly challenge the government: Do whatever you can, we will not obey you??

• Get a booking/room only if you have money

• Pay all Bills to recover

• dead and Due???? Sorry you dont own that body, we will use it
WHY BP KOIRALA FOUNDATION IS FAILING?

• The kinship of powerful political relatives are main in charges of the hospital

• BP Pratisthan can afford same expensive machine as private hospitals if supported by

MOH and PM

• Cost of MRI at BP used to be 7k however unavailability of the machine cause them total
of 25k if done at Birtanagar.

• Scam of 10 Million every year in drinking water.

• No pharmacy inside the hospital which means no revenue stream for hospital

• Adding unwanted Construction of Buildings for corruption purpose by

Government and Hospital Management
• As a result, contractors and officials are getting fatter, and clients are forced
to seek treatment on the floor or in private without getting a bed
• The time Oli government was praising the rise of cancer hospital at Birtamode BP
foundation was struggling for shortage of wheelchairs, trolleys and beds in the
emergency room, demand for support was made but never heard by concerned
authorities

• Examination Dean sold question papers to students who was never jailed and got
retired at 61 age. Later he was reassigned for 4 years by changing institutions
retirement age upto 65 years
FEW QUESTIONS

• Can You use same blood sample reports in multiple hospitals??

• Does the old medicine work if new doctor is visited??

• You are visiting hospital for cure or prevention??

• They find solution of your health issue or suggest medicine for try??
WHAT WOULD BE THE MAJOR IMPACT ON
SOCIETY?
CASE OF DR. GOVINDA KC

WHY HUNGER STRIKE?

• same agenda in strike
• agreement gets signed but government changes
• old agreements were never taken seriously by new government
• 19 strikes till now
WHO IS DR. KC?

•  Nepali orthopedic surgeon and philanthropic activist

• Born on: 25th March, 1957
• He is a professor of orthopedics at Tribhuvan University Teaching Hospital (TUTH), part of
the Institute of Medicine, Nepal
• Known for his activism in favor of independent academic functioning of the government
medical institutes of Nepal
• 28 years of experience at TU, IOM
MAIN DEMANDS

• Decentralized Medical Facilities, not just in Kathmandu

• Medical fees as per the requirements
• Maximum of 5 Affiliations from one University
• Affordable Medical services for every citizen with proper regulations from Ministry of
Health
• Province wise well established Government Hospitals
• Constitution of Nepal has given clear Statement on Making Medical and Health Facility
an essential need for all, which should never be compromised at any conditions.

• For reference Read: The public Health Service Act, 2075 (2018)
DR. KC BLAMES GOVERNMENT FOR

• Dr. KCs Protests that Political Professionals are shaking hands with Medical Mafias of
Nepal

• Investments mostly come from Parliament Members pressurizing Government to stop

taking actions against the Medical Culprits
REFORMS AND ACHIEVEMENTS

• Government agreement to start MBBS classes at Karnali Academy of Health Sciences by

the 2021 end
• the government has also agreed to develop infrastructure for initiation of MBBS classes
in Geta, Bardibas and Pokhara Institute of Health Sciences in Sudurpaschim Province by
2023 (2080 BS)
• government will take initiatives for the establishment of medical colleges in Doti,
Dadeldhura, Udaypur and Illam or Panchthar along with the allocation of budget for free
health services at Bayalpata Hospital