Basic hospital at the local level: some work started, some confusion

With the aim of providing basic health services to citizens with doctors, the government had put forward a plan to build basic hospitals with 5, 10 and 15 beds. The foundation stone of 393 basic hospitals across the country was laid on 15 November 2077 with the goal of constructing buildings within two years in the local levels that do not have a hospital. But in Ramaroshan Rural Municipality, which is located in a remote area of ​​

district, the foundation stone of a hospital has not been laid yet. Deepak Khanal, Information Officer of Ramaroshan Rural Municipality, said that there was a dispute over the land for the construction of the hospital when he was the people's representative of the previous term, and since the dispute could not be resolved, no process for the construction of the hospital has been carried out so far.

'When he was a public representative of the first term, once a tender was called for the construction of a hospital . But at that time, no one got a tender," said information officer Khanal, "soon after that, other people's representatives came at the local level. No decision has been made whether to proceed with the construction of the hospital or not.'

For the construction of a basic hospital, the decision of the relevant local level executive, the recommendation of the district coordination committee is necessary . Lalpurja of land (5.6 ropani for five beds and 7.2 ropani for 10 and 15 beds) must be mandatory. Then the DPR of the hospital should be prepared and submitted to the ministry. There is a standard for releasing the budget only after such a preliminary report is approved by the ministry. The process has not started since the Ramaroshan Rural Municipality is entangled in the land dispute.

The construction work of the 10-bed hospital which was started in Turmakhand Rural Municipality of the district has not yet been completed . Ekendra Bayak, Head of Health Branch of Turmakhand Rural Municipality, said that there was an agreement with the construction company to be able to work till the end of the current year and despite the extension of the deadline, it was impossible to complete the work on time. Bayak said that the lack of a health institution building in Turmakhand affected the service.

'The construction work of the basic hospital building has not been completed . Now a side slope has been done . But it is not possible until Asadha," he said, "There is no moving building in Turmakhand even for the health post. 4/5 types of services have to be provided from one room.

Although the hospital will be built from the federal government's budget, he said that all the contract, monitoring and regulation work is done by the local level. He said that even though he has repeatedly asked the construction company to complete the work on time, it is getting delayed.

Chowrapati The construction of a 15-bed hospital, which has been laid foundation stone in the rural municipality, has not been completed. The work will be completed in two years Dhan Bahadur Thapa, Chief Administrative Officer of Chowrapati Rural Municipality, said that an agreement was signed with the construction company at a cost of 120 crores three years ago.

'Now only the ground level and foundation work has been completed . The deadline was extended for one year till May 15. After the extended deadline, it cannot be added again,' said Thapa, 'despite repeated requests from the office, the construction company is slow is doing . The issue of what to do after May 15 is being discussed.

Hikmat Bahadur Budha, chief administrative officer, said that the first phase of the 15-bed hospital in Mellekh Rural Municipality is underway. "Mellekh rural municipality has given the health sector the highest priority. We are working by managing MBBS doctors and other human resources from our own resources,' he said. The budget for building a hospital is coming from the union. But the staff stoppage has not come . It is said that all local levels should manage it. ’