The manpower available at Burtiwang Hospital, which was inaugurated and put into operation last year, can provide general operation services. But there is no sustainable electricity service and blood transfusion service.

This hospital, which serves three rural municipalities and one municipality in West Baglung, as well as Rukum and other districts in the western region, has not been able to become effective due to the lack of blood transfusion service. Especially, despite being a place where many road accident patients come and receive treatment from a large population, the manpower is not sufficient and other aspects required for operations are weak.

According to the head of the hospital, Dr. Avinash Pokharel, the hospital has three doctors. There is a shortage of manpower in the most needed services such as gynecology and orthopedics. The hospital has built the ward itself through internal management. The ward was built by removing the housing of the health workers. Senior nurse Parbati Aryal said that 2 ventilators, cabins and a children's ward are also being built here.

‘We could not admit many patients due to lack of wards, now we have removed the residence and made wards,’ she said, ‘There is still no ICU for complicated obstetric operations.’ She said that despite the announcement and inauguration of the hospital, there has been a delay in equipment, manpower and management. After Dhaulagiri Hospital in Baglung district headquarters became a provincial hospital, the primary health center of Burtiwang was made a hospital.

The hospital has also introduced phototherapy service to save babies from jaundice. A well-equipped lab has been built in the hospital with the help of Fairmade Foundation and the Gandaki Province Government. Due to which, there is a data that 30,000 patients took the service last year alone. Last year, out of 260 deliveries, 19 operations were successful in Burtiwang. But there is still a shortage of electricity here. Since the generator is small, there is a compulsion to take risks in operations due to lack of capacity. If the electricity goes out, services like labs and X-rays are immediately disrupted.

Last year, Gandaki Province Chief Minister Surendra Raj Pandey and Health Minister Krishna Pathak visited and inaugurated the hospital. But they have not shown interest in managing the necessary materials, equipment and human resources. 'If the hospital cannot manage everything it needs, the service will not run just because of the building,' said the then chairman of the building construction committee, Chandra Aryal. 'Everyone's concern and thinking is that management should be made efficient.'

Since it is located near the mid-hill highway, road accident patients reach here every day. They need specialist services related to head and spine. That is lacking. Hospital chief Pokharel said that only by establishing a trauma center and operating the service, such high-risk patients can be treated.