Nepal’s scramble to piece together a health budget amid rumoured cuts

Mandeep Pathak’s mind is on full alert. A tractor carrying local people to a funeral crashed near his rural hospital in Nepal, leaving one dead and 16 injured, and he is busy in the operating theatre. But the orthopaedic surgeon and medical director at Bayalpata Hospital has a second emergency on his mind: funding.After Nepal adopted a federal system, the 70 bed hospital had its governance moved to a new province created by the change. In 2022, Nyaya Health Nepal, the non-governmental organisation that runs the hospital, signed a five year deal in which the Far West province paid 40% of its operating costs.But when the province’s annual budget was released in June there was no money for Bayalpata Hospital, which provides services free of charge. “Both the chief minister and the minister of finance said ‘it must be a mistake,’” says Pathak.Bureaucrats told him that they have money but…
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