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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

Stakeholders Contributions 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
Tourism 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.