Universal Access to Essential Medicines: An Evaluation of Nepal’s Free Health Care Scheme

  • Shiva Raj Adhikari Patan Multiple Campus, Tribhuvan University, Lalitpur, Nepal.
  • Achyut Raj Pandey Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.
  • Mamata Ghimire Institute for Nepal Environment and Health System Development, Kathmandu, Nepal.
  • Arjun Kumar Thapa Faculty of Humanities and Social Sciences, Pokhara University, Dhungepatan, Kaski, Nepal.
  • Dinesh Kumar Lamsal Civil Service Hospital, Minbhawan, Kathmandu, Nepal.


Background: Access to medicine for the poor is recognized to be difficult task and one of the major challenges in achieving universal health coverage, particularly in low-and- middle income countries. In order to ensure the availability of essential medicines free of cost in public health facilities, Nepal has also commenced Free Health Care Services (FHCS). So, this study aims to evaluate availability, expiry, and stock-out duration of essential medicines at front line service providers in Nepal.
Methods: Cross-sectional survey was conducted 28 public health facilities, 7 district warehouses, and 14 private pharmacies in 7 districts of Nepal. The survey was conducted during the March and April 2014. Survey tools recommended by the WHO operational package for assessing, monitoring and evaluating country pharmaceutical situations was used with slight modification as per Nepal’s situation.
Results: The availability of medicine was found to be 92.44% in this study. The percentage of expired medicines in district warehouse was found to be 8.40. The average stock-out duration in district warehouse was 0.324 days.
Conclusions: Although the availability of essential medicines at peripheral health facilities was found to be satisfactory with lesser proportion of expired medicines, a strong monitoring and evaluation of expired and stock medicines are desirable to maintain and improve the access to essential medicines.

How to Cite
ADHIKARI, Shiva Raj et al. Universal Access to Essential Medicines: An Evaluation of Nepal’s Free Health Care Scheme. Journal of Nepal Health Research Council, [S.l.], v. 16, n. 1, p. 36-42, mar. 2018. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/1105>. Date accessed: 05 june 2020. doi: https://doi.org/10.33314/jnhrc.v16i1.1105.