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EVER since Nepal opened its doors to the outer world for forging development partnership some decades ago, it has received an overwhelming response from the donor community. Nepals hilly terrain and landlocked feature have remained as the major stumbling blocks to move ahead in the path of development. In view of the development constraints faced by this Himalayan Kingdom rich in natural resources, the donor countries have extended their valuable support over the years. The support coming mostly in the form of financial aid and logistics has contributed immensely to develop different social sectors such as health, education, tourism and water resources. The development scenario has certainly taken a leap forward in the course of the past decades. With the modest objective of assisting Nepal in its development endeavours, the Nepal Development Forum (NDF) known as the Paris Club was formed some two decades ago with the initiation of some developed countries like France, New Zealand, Canada and others. The meeting of NDF is being held for the first time in Nepal from February 4 to 7. The meeting bears a lot of importance in that the donors will have the opportunity to interact with Nepals policy makers and planners. Unlike in the meetings held in Paris, the NDF meeting in the offing will enable donors to listen to development experts from a wider cross section of the society. This would in turn help the donors to get a true picture of the constraints being faced by Nepal in the development front. The Ministry of Finance (MoF) is holding a series of preliminary consultations with experts, politicians, industrialists and intellectuals as homework to the NDF meet. The preliminary meetings with experts from varied disciplines would be instrumental to assess the achievements made so far and also to identify the shortcomings that have come on the way of development projects yet to receive the finishing touches. Politicians, experts and representatives from UNDP, ADB and non-governmental organisations will extensively discuss on draft papers on various sectors. Discussions will primarily be focussed on Medium Term Expenditure Framework (MTEF), Government-Civil Society Partnerships, Civil Service Reform, Decentralisation, Private Sector Partnership and State Owned Enterprises Reform, Consultations on Rural Development, Consultations on Financial Sector Reform, Consultations on Foreign Aid Policy and Review of Development Partnerships. The Medium Term Expenditure Programme is the first such effort of the government to link up the periodic plan and the annual budget. The meeting will also discuss the policy papers on different sectors in order to draw inputs for the final NDF meet. There would be no denying that Nepal has a better opportunity of apprising the donors regarding its problems this time around and work towards a more sustained and productive development partnership after the NDF meet concludes. DESPITE the presence of sufficient doctors and nurses the Koshi Zonal Hospital, is said to be finding it difficult to deliver necessary medical services to the patients due to the lack of sufficient budget and funds. If the news report is true, then it looks to reason for the concerned ministry, departments and agencies to delve into the reasons as why the hospital is lacking in sufficient budget. For, as the hospitals very name indicates, it is catering to the medical needs of the people of Koshi zone. And, no doubt, even for those people living in other districts and zones as this very same hospital is one of the few designated referral hospitals of the nation. As such, in keeping with its zonal and referral hospital status, the concerned medical authorities have upgraded its infrastructure and facilities so that it can not only cater to the medical needs of the patients coming to the hospital but also of those being referred to it for better diagnosis and care by other district-based hospitals and health centres. That this zonal hospital is being kept busy in dispensing with its medical services throughout the year can be seen from the over 184,000 patients who visited the hospital for medical treatment in the fiscal year 2057/58 alone. Considering the yearly rise in the nations population, more patients from eastern Nepal would be knocking at the doors of this hospital for medical care and treatment in the near future. But without adequate budgetary allocations, it would be quite difficult for the doctors and nurses of this zonal and referral hospital to meet the medical needs of the patients hailing from all over eastern Nepal. However, for a perennially cash-strapped, resource-crunched government of a least developed nation like Nepal, upgrading the existing facilities of its district and zonal-level hospitals so that they can cater to the medical needs of more citizens is becoming an increasingly challenging proposition. Nevertheless, with the government firmly committed to realise its laudable objective of medical coverage for all citizens by the year 2020 and since access to affordable and reliable medical services is one of the fundamental rights of all citizens, the concerned medical authorities should leave no avenues unexplored to ensure adequate budgetary allocations for hospitals like the Koshi Zonal Hospital. |
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