care services in Nepal are provided by both the public and private sectors,
and yet, the health care facilities, hygiene, nutrition, and sanitation in
Nepal are of poor quality, particularly in the rural areas. Provisions of
health care services are constrained by inadequate government funding. The poor
and excluded have limited access to basic health care facilities due to the
high costs and low availability. Traditional beliefs have also been shown to
play a significant role in the spread of disease in Nepal. The demand for
health services is further lowered by the lack of health education. Additionally,
reproductive health care is neglected, putting women at a disadvantage.
In its Human Development Report (2009), the UN highlighted a growing social problem in Nepal with individuals who lack citizenship, are marginalized, and are then denied access to government welfare benefits.
These problems have led many governmental and nongovernmental organizations (NGOs) to implement communication programs encouraging people to engage in healthy behaviors, such as family planning, contraceptive use, spousal communication, safe motherhood practices, use of skilled birth attendants during delivery, and practice of immediate breastfeeding. These are especially important to implement in rural areas, as most of the health care issues are largely attributed to the region's lack of political power and limited resources. Because most health care services are centered in the capital, Kathmandu, other parts of Nepal face social and service exclusion.
Therefore, because of these interventions by the local NGOs and INGOs, it is expected that the health care services, as compared to the past, in the rural areas will experience some positive growth. Specifically, the increase in primary health care services, as well as basic health education programs, are expected to raise awareness of the benefits of proper health practices in the everyday lives of these communities.