Experts and officials are urging Nepal to reassess its health priorities in order to reach Universal Health Coverage (UHC). They emphasize the need to focus not just on increasing funding, but also on making smarter decisions about which services and populations to prioritize.
Kathmandu – Nepal’s progress toward achieving Universal Health Coverage (UHC) depends not just on funding but also on smart planning and targeting the right health services and populations, said Dr. Bikash Devkota, Secretary at the Ministry of Health and Population (MoHP), during a workshop held in Kathmandu.
The event, focused on reviewing and reprioritizing the Essential Health Care Package (EHCP), was jointly organized by the MoHP and the Bergen Centre for Ethics and Priority Setting in Health (BCEPS), University of Bergen. Dr. Devkota stressed the need for better use of existing resources, data-driven decisions, and strong implementation of health policies. “We have the right policies, but weak execution is holding us back,” he said.
The workshop brought together government officials, development partners, researchers, and civil society members to strengthen Nepal’s EHCP.
In the opening session, Dr. Krishna Prasad Paudel of MoHP explained that while Nepal’s EHCP currently covers nine key service areas and includes 98 essential medicines, there are still major challenges in financing and access. “Over half of health spending in Nepal still comes directly from people’s own pockets,” he pointed out.
Achyut Raj Pandey, a PhD scholar at the University of Bergen, shared case studies from Pakistan, Zanzibar, Ethiopia, and Afghanistan—countries that used evidence and stakeholder input to build more effective health care packages. He emphasized the importance of using data and economic analysis for better results.
Ravi Kanta Mishra, a senior public health officer at MoHP, discussed how Nepal is adapting international tools like FairChoices (developed by UiB and the University of Washington) to support data-informed decisions. This is part of Nepal’s broader Health Sector Strategic Plan (2023–2030).
Dr. Krishna Aryal, a researcher at UiB, shared preliminary findings using FairChoices. Over 130 health interventions were analyzed for cost-effectiveness, impact, and practicality. “We now have a clearer picture of which services save the most lives at the lowest cost,” he said.
Participants also took part in group discussions on priorities in tackling non-communicable and communicable diseases, and improving maternal, child, and adolescent health and nutrition (RMNCAH-N).
The closing session, led by BCEPS and MoHP, outlined how health interventions would be ranked based on both data and expert input. Finalized packages will fall into two categories: essential basic services and those included in health insurance.
Dr. Rajesh Sambhajirao Pandav, WHO Representative to Nepal, reaffirmed WHO’s support, saying, “We’re committed to helping Nepal develop inclusive, evidence-based processes.”
Dr. Deepak Karki, Health Advisor at the British Embassy and Chair of External Development Partners, added, “If we want to achieve UHC, services must not only be high-quality but also affordable and accessible to the people who need them most.”
The workshop concluded with a shared pledge by all participants to work together to build a more fair, efficient, and people-centered health system in Nepal.
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