HealthcareHigh Priority5 years

Reform #25: Transform Healthcare System for Universal Coverage

Revolutionize healthcare through strengthened rural infrastructure, qualified health workers, digital health systems, and universal insurance coverage for all Nepalis.

The Problem - Detailed Analysis

Rural and marginalized communities face severe healthcare gaps due to underfunded facilities, lack of qualified doctors, poor infrastructure, creating preventable deaths and inequality.

Proposed Solutions - Phased Approach
  • 1Upgrade Primary Health Centers with essential medicines, labs, maternity care, and telemedicine
  • 2Train and deploy doctors, nurses, and community health workers to rural areas with incentives
  • 3Create digital health platform with electronic health records and telemedicine services
  • 4Expand government health insurance to all low-income and rural households
  • 5Strengthen preventive services with vaccination, nutrition, and mental health programs
Real World Evidence

Thailand's Universal Coverage reduced catastrophic health spending by 30%

Sri Lanka achieved strong health outcomes despite low per-capita spending through equity focus

Rwanda integrated digital health, reducing child mortality by over 60% in a decade

Ethiopia's Health Extension Program trained 40,000 female health workers

Implementation Timeline
1

Year 1: Map health facilities, start health worker training, initiate digital platform

2

Years 2-3: Construct health posts, expand services, enforce insurance coverage

3

Years 4-5: Full system operation, nationwide digital coverage, universal rural access

Performance Targets

95% population within 30 minutes of primary health facility within 5 years

50% reduction in catastrophic out-of-pocket health spending

90% health insurance enrollment among low-income households

80% of health facilities using digital health records

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Quick Information

Healthcare

High

5 years

#25 of 27

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