19/12/2025
The International Conference on Health Economics, organized by the Nepal Health Economics Association (NHEA) in coordination with the Ministry of Health and Population (MoHP), was held in Kathmandu on December 11-12, 2025. The theme of the conference was “Health Economics for Policy.”
The conference gathered around 200 experts, policymakers, researchers, and stakeholders from Nepal and abroad. Partners included the Bergen Centre for Ethics and Priority Setting in Health (University of Bergen), GIZ, P4H, HERD International, Kathmandu University, and the Norwegian Agency for Development Cooperation. Discussions centered on evidence-based health financing, priority setting, reducing financial hardship, and accelerating progress toward Universal Health Coverage (UHC) by 2030.
On the occasion, evidence was presented from the People's Voice Survey (PVS) on public trust, confidence, and perceived quality of care in Nepal's health system conducted by HERD International. Senior Research Officer Bipul Lamichhane shared the findings of the nationally representative phone-based survey involving over 2,000 adults. The results showed a generally positive perception of usual care, with higher satisfaction reported for private facilities compared to public ones. The finding showed that survey participants expressed ‘strong overall confidence’ in receiving quality care when becoming seriously ill. They had a widespread view that the health system has improved over time. The study further highlighted important variations in trust and perceptions across gender, age, urban/rural settings, and wealth quintiles. This kind of survey can be the cost-effective and a practical method for monitoring health system performance in resource-constrained environments like Nepal.
Another key highlight of the conference was a plenary session titled “Towards sustainable UHC: Fixing Fragmentation and Strengthening Nepal’s Social Health Protection System. Dr. Devendra Gnawali (OPM/ GIZ) opened the session with his presentation highlighting country’s mechanism on social health protection and key gap. Moderated by Dr. Sushil Baral, (HERD International), the panelist included Mr. Mahesh Acharya (Ministry of Finance), Dr. Krishna Prasad Paudel (Ministry of Health and Population-Nepal), Dr. Bernd Appelt (Independent Expert) and Dr. Subash Pyakurel.
The panel discussed how multiple, parallel financing arrangements have created overlapping administrative systems, unclear lines of accountability, and reduced the effectiveness of risk pooling. Beyond identifying these challenges, the discussion focused on practical reform options to better align and integrate financing mechanisms to ensure long-term sustainability. On the occasion, Anna Koziel (World Bank) also shared her remarks from a global perspective.
(photo courtesy: GIZ Nepal)