Conflict Transforms the Healthcare Delivery Service in Rural Nepal.
Rollins School of Public Health
Jajarkot is a mountainous remote district and one of the most affected districts by Nepal's decade-long armed conflict (1996-2006). From the capital city, it takes 27 hours by bus to reach the district, with roads being rocky and having steep turns. Accessibility within the district is worse depending on road condition, monsoon rains, and landslides. It can take 3-4 days to reach villages of the district from the district capital. The civil war conflict damaged the district health facilities' infrastructures and created a fearful working environment for health workers.
In this picture, a caretaker carries a patient to the hospital's emergency room on the chair, which is a common way of transportation in Jajarkot. It is difficult to visit the doctors in the peripheries of the district. While sometimes available, there are not enough medicines and medical devices available for the patients. The only remaining option is to visit the district hospital, which is not easily accessible to everyone, especially for people on the outskirts of the district.