6 years have passed since the establishment of the Ramraja Prasad Singh Institute of Health Sciences, which was established amid political hype. Neither the infrastructure of the institution was prepared nor the laws and regulations. Although three people have become the chairpersons of the infrastructure preparation and development committee, the environmental impact assessment and the bill have not been finalised, so the foundation seems to be limited to paper.

Rapti and Pokhara Institute of Health Sciences, established after Ramraja Academy, have progressed a lot, but one office and Gaucher land of this institute is still waiting for infrastructure and study teaching . The proposed land is also becoming a victim of encroachment. 

2075 The Council of Ministers decided to establish the Ram Raja Prasad Singh Institute of Health Sciences in Rajviraj. It was believed that the establishment of republican leader Ramraja Prasad Singh's name would transform this area including Saptari.  After the

decision, the then people's representatives of Rajviraj municipality started looking for a suitable land. "After looking at the land of five possible places, finally, after all the points of view, 62 bighas of Rajviraj Municipality-10 Biraul were suitable, we proceeded with the process," said the then head of the municipality, Shambhu Prasad Yadav, "We took the land file to the Cabinet through the Municipal Executive Board, Municipal Assembly, District Tenure Committee, Land Reforms Ministry." 

078 The Council of Ministers meeting on May 21 decided to lease 62 bigha land of Ward No. 10 provided by the municipality in the name of the foundation for 30 years . The day after that decision, the then Prime Minister KP Sharma Oli laid the foundation stone of the foundation using virtual technology. He also made a commitment on behalf of the government that the foundation will be built soon. 

The government has approved the formation order of the Ramraja Prasad Singh Institute of Health Sciences Infrastructure Preparation and Development Committee. According to the same order, Dr. Rohit Pokharel was appointed as the chairman of the committee. Then the paper process of the establishment started . 

Gajendra Narayan Singh Hospital Rajviraj is also being made a part of the foundation and provision was made for the head of this hospital to be the executive director of the infrastructure preparation and development committee of the foundation . Dr. The then head of Pokharel and Gajendra Narayan Hospital. Ranjit Jha, being the executive director, fenced the proposed land for the establishment. The process of DPR construction has progressed . But it did not continue . Appointed chairman Dr. Pokharel resigned on October 23, 2079 saying that he will contest the election as a member of the House of Representatives. After his resignation, the foundation's infrastructure preparation and development committee became chairmanless for a long time.

The contents of the office were covered with cloth . Contract staff  Stopped coming to office without getting salary. 

The local residents of the construction site went on a relay hunger strike for a month. Under the leadership of Saptari Youth, the youth started daily dharna in front of the district administration office in November 2080. President appointment and construction of the establishment  Under the leadership of Saptari Youth, the youth collected signatures and submitted them to the then Prime Minister Pushpa Kamal Dahal. He met with the Minister of Health and then pressured the members of the Council of Ministers. However, the establishment continued to fade away . Even the time period of the establishment infrastructure preparation and development committee formation order has expired . Because of this, the validity of the committee has ended. 

The government again issued the formation order on 25th January 2080 Dr. Mahottari. It was decided to make Parashuram Mishra the chairman of the committee. His appointment is controversial. became . While the age limit of 65 years was set for the chairman in the formation order, Mishra was 67 years old on the day of his appointment, so his appointment was illegal. A month after Mishra was appointed, he resigned citing family reasons on Chait 7, 2080, after the government had not decided to remove him.

The establishment is again confused . The Council of Ministers  On March 22, 2080, Professor Dr. It was decided to appoint Pashupati Chaudhary as the Chairman of the Foundation Committee. Choudhary has been the president for a year. 

In the financial year 078/79, the establishment received a total budget of 9.75 million rupees . Of which only 1 crore 94 lakh 91 thousand 612 rupees were spent and 8 crore 25 lakh 8 thousand 387 rupees were returned. Out of the expenses, 72 lakh 3 thousand 330 rupees were paid for the construction site of the establishment. 7 lakh 9 thousand was paid for environmental impact assessment and 19 lakh 67 thousand for risk studies. In addition to this, in this financial year, 50 million was spent on salary allowance, daily visit allowance, fuel expenses, etc. . 

In the financial year 078/79, Infrastructure Preparation Development Committee spent 54 lakh 10 thousand 274 rupees and purchased a vehicle. Likewise, computers, ACs, photocopy machines, inverters and other office materials worth 9 lakh rupees were purchased. Furniture worth 1 lakh 94 thousand rupees was also purchased for the office.

In 2079/80, 48 lakh 52 thousand 274 rupees 30 paisa were spent out of a total budget of 5 million rupees. Out of the expenditure, 30 lakh rupees was paid to the company which is constructing the DPR, while the other amount was paid to the salary allowance, according to the expenditure committee.

problem due to lack of laws
The situation of Ramraja Prasad Singh Institute of Health Sciences has become a disaster due to the lack of necessary laws and regulations for building infrastructure and teaching. Chairman of the committee Dr. According to Pashupati Choudhary, there is a lack of law to conduct academic activities including study and teaching in the institute. "We made a law and sent it to the Ministry of Health, from there it is now in the Ministry of Law with the approval of the Ministry of Finance," he said. President Choudhary said that although there is a budget of 40 million rupees for the institution in the current financial year, the matter of infrastructure construction could not be started because it could not be included in the multi-year plan. "The National Planning Commission put it in the multi-year plan saying that there was no environmental impact assessment," he said, "Therefore, the situation has not come to spend 400 million, although the process of environmental impact assessment by the Ministry of Forestry is in the final stage." He said that the four crore rupees allocated by the state government is in the tender process. "We have moved forward with positive thinking, academic and infrastructural construction will speed up once the legal issues of the institution are settled," he said.