Nepal-WHO Country Cooperation Strategy (CCS) 2018–2022
Nepal has made impressive progress in health outcomes relative to its income level.
Life expectancy has been steadily increasing and Nepal’s progress in reducing maternal
and child deaths has been lauded internationally, even though the maternal mortality
remains the highest in the South-East Asia Region. There are notable achievements in
reducing prevalence of HIV and TB and Nepal is on track to be malaria-free by 2025.
Aggregate improvement in health outcomes, however, mask the large urban–rural,
gender, poverty, ethnicity and caste inequities.
Following decades of political uncertainty, the country is going through a political transition from a unitary state to a federalized structure with new roles and responsibilities for local, provincial and federal governments. Nepal’s newly endorsed Constitution enshrines the right to healthy living and access to health services as a fundamental human right. It guarantees every citizen with the right to free basic health services from the State, emergency health services, and equal access to health services. This implies a significant restructuring of the state and provides an enviable opportunity to re-organize the health systems around the principles of universal health coverage.