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Asia-Pacific Journal of Public Health
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Politicians in Apron: Case Study of Rebel Health Services in Nepal

Bhimsen Devkota, BA, MEd

Tribhuvan University, Kathmandu, Nepal, b.devkota{at}abdn.ac.uk, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, Scotland, United Kingdom

Edwin R. van Teijlingen, M.Ed, PhD

School of Health & Social Care, Bournemouth University, Bournemouth, United Kingdom, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal

This article presents the findings of a systematic review on the health consequences of Nepal’s armed conflict waged by the Maoists and the development and trajectory of their health workers. Nepal’s decade-long violent conflict resulted in more than 13 000 deaths, the destruction of more than 1000 health posts and poor health services delivery. At present, most of the former rebel health workers live in remote/rural areas and some are running health centers. The review found that the Maoists had trained more than 2000 health workers, who can be categorized into 4 levels. However, there is little evidence on their competencies and career motivation. The Maoists demand restructuring of the Nepalese health sector and the integration of their health workforce into the national health system. However, there has been no national discussion in Nepal of what kind of health reform and integration model is appropriate for a sustainable peace and improved service delivery.

Key Words: Maoist health worker • conflict • bullet • bandage • integration

This version was published on October 1, 2009

Asia-Pacific Journal of Public Health, Vol. 21, No. 4, 377-384 (2009)
DOI: 10.1177/1010539509342434
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