Although the skilled workforce, including specialist doctors, continues to increase confidence in the service delivery of Gulmi Hospital, the delay in the construction of the new building has forced the hospital to provide services from a cramped building.

The deadline for the 50-bed Gulmi Hospital, which was to be completed in two years, was extended for the third time. This deadline is also about to expire. Despite repeated requests and monitoring, painting, electrical work and finishing are still pending. The last time the deadline for building construction was until mid-December of the last fiscal year. Due to legal hassles, the deadline extended last Ashar is until December 16.

With the full financial support of the Government of India, the work was being carried out through the then Intensive Urban and Building Construction Office Rupandehi through PMC Consultant CSIR. Currently, this road, urban and building construction project is being implemented from Palpa.

The hospital building was awarded to the Swachhanda/Baniya JV on June 18, 2078, for a total of Rs 259.4 million excluding VAT, and will be completed on June 17, 2080, said Arvind Chaudhary, an engineer at the construction company. He said that the target is to complete the work in two months by adding manpower. The construction company has extended the work for 6 months for the first time, 1 year and 6 months for the second time and 6 months for the third time.

Partial painting and finishing work including electronics are still to be done in the construction of the hospital building. It is currently being done by 28 workers. The earthquake-resistant five-storey Gulmi Hospital building will be a disabled-friendly building with a lift.

PMC Consultant CSIR Engineer Satish Kumar Yadav is monitoring the under-construction hospital building on behalf of the donor agency. He said that despite repeated requests, there has been no work, but he has been assured that the work will be completed in the next two months. He said that he has monitored the quality, safety and implementation of work as per the agreement and performance evaluation.

According to Ghanashyam Yadav, Engineer of Road Urban and Building Construction Project Palpa, 88 percent of the physical work of Gulmi Hospital has been completed. According to which 80 percent financial progress has been made . The total amount is 217.3 million rupees . 

The hospital's Public Health Inspector Bom Aryal said that the service delivery is being hampered due to the non-completion of the hospital building on time.  'There are many problems in service delivery and service expansion,' he said, 'If it had been completed quickly, the citizens could have been provided with services quickly and easily .' He said that the ICU and kidney dialysis services could not be expanded due to the building being under construction . However, he said that the dialysis service is running, but it has not been increased further . He also said that the number of patients could not be served as desired . 

Resunga Municipality Mayor Khildhwaj Panthi said that even though the municipality is trying to make the hospital fully equipped, the construction business is causing trouble . ‘Services and facilities are being added, now we only have a problem with the office building,’ he said, ‘There have been repeated discussions and requests, we are hopeful that it will be completed soon.’ He said that construction entrepreneurs are being asked to work with additional manpower.

Resunga Municipality has been providing incentive allowances to six specialist doctors to retain specialist doctors at Gulmi Hospital. For the first time, 18 doctors, including six specialist doctors and a medical officer, are providing services at Gulmi Hospital. The municipality is operating services including incentive allowances to retain specialist doctors at Gulmi Hospital, handing over kidney dialysis machines, facilitating orthopedic specialist services, providing oxygen concentrator machines to the homes of asthma and pneumonia patients in the city, free cataract surgery, and rural ultrasound services.