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The Makwanpur Model: Making Public Healthcare in Nepal Work

January 15, 2021 Advertisement March 11, 2017 marked a turning point in the administrative structure of the Nepalese government. The Constitution of Nepal, which had been promulgated in 2015, mandated political decentralization through federalism. Under the previous unitary system, political power had been concentrated in the national capital of Kathmandu. Now, in addition to the federal government in Kathmandu, two other tiers of government were added; the seven provincial governments and the 3,157 former village development committees were consolidated into 744 local units. The local governments’ role was significantly expanded with the intention of giving the nooks and crannies of the nation greater administrative autonomy through increased resource-sharing among the various tiers of the government.

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