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Table 4 Stakeholders in health and access to medicines

From: Access to and use of medicines in the Annapurna region of Western Nepal and possible impacting factors



Problems and Issues

Local community

Provided administrative and managerial support via the health facility management committee

No such support in Rivan village due to lack of resources with the village development committee

Supported health post on infrastructure development, equipment and programs


Supported delivery of medicines and health services via the female community health volunteer


NGOs and INGOs

Supported public health project and pharmacy services

Lack of coordination among NGOs and INGOs and with the health system

Directly provided medicines and health service via missionary hospitals

Decline in international funding and sustainability issue

Provided much needed secondary care, long term preventive health and rehabilitation support

logistics and bureaucratic problems in implementing projects


Direct support for essential medicines and health services via donations and health camps

Medicines and health use by tourists affect local people’s medicine taking behaviour

Infrastructure support


Indirect support by providing income via tourism business


Government Health System

Provided limited free medicines and basic healthcare


Provided vaccination, reproductive health services and preventive healthcare programs

Problem with quality and limited number of free essential medicines.