Analysis of health sector budget of Nepal

Dulal, Ram Krishna; Magar, Angel; Karki, Shreejana Dulal; Khatiwada, Dipendra; Hamal, Pawan Kumar

Article:
Analysis of health sector budget of Nepal

creativeworkseries.issn	JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.author	Dulal, Ram Krishna
dc.contributor.author	Magar, Angel
dc.contributor.author	Karki, Shreejana Dulal
dc.contributor.author	Khatiwada, Dipendra
dc.contributor.author	Hamal, Pawan Kumar
dc.creator.affiliation	Nepal Association of Medical Editors, Kathmandu, Nepal.
dc.creator.affiliation	Health Policy, Planning and Financing, London School of Hygiene and Tropical Medicine, London, United Kingdom.
dc.creator.affiliation	Lungenklinik Hemer, theo-Funccius-Str.1, Hemer, Germany.
dc.creator.affiliation	Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
dc.creator.affiliation	National Academy of Medical Sciences, Tundikhel, Kathmandu, Nepal.
dc.date.accessioned	2026-10-08T06:01:09Z
dc.date.available	2026-10-08T06:01:09Z
dc.date.issued	2014
dc.description.abstract	Abstract Introduction: Primarily, health sector connects two segments - medicine and public health, where medicine deals with individual patients and public health with the population health. Budget enables both the disciplines to function effectively. The Interim Constitution of Nepal, 2007 has adapted the inspiration of federalism and declared the provision of basic health care services free of cost as a fundamental right, which needs strengthening under foreseen federalism. Methods: An observational retrospective cohort study, aiming at examining the health sector budget allocation and outcome, was done. Authors gathered health budget figures (2001 to 2013) and facts published from authentic sources. Googling was done for further information. The keywords for search used were: fiscal federalism, health care, public health, health budget, health financing, external development partner, bilateral and multilateral partners and healthcare accessibility. The search was limited to English and Nepali-language report, articles and news published. Results: Budget required to meet the population's need is still limited in Nepal. The health sector budget could not achieve even gainful results due to mismatch in policy and policy implementation despite of political commitment. Conclusions: Since Nepal is transforming towards federalism, an increased complexity under federated system is foreseeable, particularly in the face of changed political scenario and its players. It should have clear goals, financing policy and strict implementation plans for budget execution, task performance and achieving results as per planning. Additionally, collection of revenue, risk pooling and purchasing of services should be better integrated between central government and federated states to horn effectiveness and efficiency. Keywords: Health care; Budget; Financing; Unitary system; Federalism.
dc.identifier.doi	https://doi.org/10.31729/jnma.2757
dc.identifier.uri	https://hdl.handle.net/20.500.14572/8037
dc.language.iso	en_US
dc.publisher	Nepal Medical Association
dc.subject	Health care
dc.subject	Budget
dc.subject	Financing
dc.subject	Unitary system
dc.subject	Federalism
dc.title	Analysis of health sector budget of Nepal
dc.type	Article
dspace.entity.type	Publication
local.article.type	Original Article
oaire.citation.endPage	821
oaire.citation.startPage	811
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relation.isJournalIssueOfPublication.latestForDiscovery	3343ac2a-d3ee-4656-894b-87301f9b3449
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