Here you can find some interesting data of the Nepalese health system: 

population & life expectancy: in Nepal live around 29.5 million people (Germany: total population 82.2 millions) with 44% which are younger than 16 years. The average life expectancy in Nepal hits 57.8 years for women and 57.3 years for men (Germany: life expectancy for male = 74 years & for female = 81 years). [1,2]

the Nepalese health system: the Asian country Nepal does not have an insurance system. Medical treatment is privately financed. In the World Health Report 2000 of the World Health Organisation (WHO) the country ranks of place 160 in terms of overall goal attainment among the health systems of the 191 member states of the UNO and it ranks of place 186 in terms of fairness in financial distribution (Germany ranks in that list places 14 and 6). In 1999 there were approximately 4.000 doctors, 5.500 nurses and 13.000 health workers registered in Nepal. The total number of hospitals in the entire country hits 83 with 4.124 beds. There is a dramatic concentration of doctors in the Capital region with 60% of the 4.000 doctors in Nepal work in the Kathmandu valley. The vast majority of the remaining 40% works in the bigger cities in the South of the country. Only well below 10% of all doctors work in rural areas and only very few of those work in the mountaineous regions. Most of them are general practitioners. Specialists like surgeons or dentists are not to be found in such remote areas of Nepal. [4]

access to medical aid: it is estimated that only 10% of the Nepalese population have access to medical aid. Access to clean water have 71% of the population and 84% live without sanitary facilities. [5] 

free eye surgery, funded by a private sponsor                                                moving of a sick person in a mountaineous area

infant mortality: the rate of infant mortality in Nepal hits 5.9% wheras the perinatal mortality of mothers exceeds 0.85%. [3]

children: malnourished children are common in Nepal. Approximately 23% of all children are considered malnourished. The most prevalent diseases by children are pneumonia and diarrhoea.

vaccination strategies, its success & diseases: the most common vaccinations in Nepal are tuberculosis 100%, DPT (3x) 83%, polio (3x) 83% and measels 89%. There are 11.400 new sputum positive tuberculosis cases per year. The leprosy prevalence in Nepal is approximately 4 ou of 10.000 and the visceral leishmaniosis hits 1.340 cases (Germany: tuberculosis incidence <20/100.000). There are 1.305 registered HIV-cases in Nepal (265 are staged AIDS, prostitutes (sex worker) 309, clients 739, house wifes 80, transfusion 2, drug abuse male = 162 / female = 1, perinatal 13. Nearly all of the these registered HIV-cases are in the age group between 14 - 40 years. [8,9] 

costs of medical treatment: all costs of medical treatment have to be paid 100% privately. There is no health insurance system established in Nepal. The treatment cost in governmentally run hospitals is discounted. The cost of a scull computed tomography hits around 40 Euros, an abdominal ultrasound costs roughly 5,50 Euros. With an average monthly income from 18 Euros, those costs of medical treatment are unaffordable for most Nepalese.

torture: if you want to inform yourself about the situation of torture in Nepal, we recommend to read an article in the magazin "The Lancet" (The Lancet  2001; Vol. 358, pages 752-756). Interesting is also an article about the working conditions for doctors in Nepal during the time of the civil war (The Lancet 2002; Vol. 359, pages 15-19).


sources:
[1] The World Fact Book 2008, Washington                                                                                                                                                                            [2] The World Health Report 2000: Health systems: improving performance. World Health Organization: Geneva, 2000
[3] Bundesministerium für wirtschaftliche Zusammenarbeit und Entwicklung, Berlin 2009
[4] Nepal Central Bureau of Statistics, Population census 1991. Kathmandu, 1991
[5] UNDP: Human Development Report 1999. New York 1999
[6] Nepal Ministry of Finance: Economy Survey 1999. Kathmandu 1999
[7] Nepal Ministry of Health: Health Information Bulletin Vol. 10. Kathmandu 1997 
[8] Nepal Ministry of Health, Department of Health Services: Annual Report 2054/2055 (1997/98). Kathmandu, 1999
[9] National Centre for AIDS and STD control. Kathmandu, 31. Juli 1999

World Health Organization / WHO: www.who.int
The World Bank: www.worldbank.org 
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