A Milestone in Stroke Care: Advancements in Nepal's Healthcare System

Since 2021, the Nepal Stroke Association (NSA), in collaboration with the Heidelberg University Hospital and the German Society for International Cooperation (GIZ) through the “Hospital Partnerships” funding program, has spearheaded a transformative initiative to improve stroke care across Nepal. This growing network of hospitals has achieved remarkable progress, overcoming the challenges of a still-developing public healthcare system.

Through the NSA’s leadership and dedication, repeated training programs for healthcare professionals and public awareness campaigns have been implemented nationwide. These efforts have significantly increased understanding of stroke symptoms and treatment options among both medical staff and the general population. Notably, NSA’s initiatives have successfully demonstrated that acute stroke therapy, including systemic thrombolysis in emergency settings, can save lives even in resource-limited environments.

The impact of these efforts has reached Nepal’s Ministry of Health. In a groundbreaking decision, Health Minister Pradeep Paudel announced that the government will now cover the costs of expensive thrombolytic drugs (Actilyse and Tenecteplase) through the state healthcare system. This landmark move removes a significant barrier to stroke treatment, ensuring that life-saving medication is accessible to all who need it.

Dr. Raju Paudel, President of the Nepal Stroke Association, celebrated this decision as a watershed moment for stroke care in Nepal. He emphasized that this achievement would not have been possible without the NSA’s relentless advocacy and the collaborative efforts with the German partners of the Nepal Stroke Project. “This milestone demonstrates what can be achieved through partnership and shared commitment,” said Dr. Paudel. “It is a turning point for stroke medicine in Nepal.”

Each year, an estimated 8,000 to 10,000 lives are lost to strokes in Nepal, many due to the unaffordability and inaccessibility of thrombolytic drugs, which can cost up to NPR 138,000 per dose. Recognizing this dire need, the NSA played a pivotal role in securing collaboration between the Ministry of Health and the U.S.-based charity Direct Relief. This partnership has resulted in a five-year commitment to provide these drugs free of charge to federal and provincial hospitals.

Dr. Lekh Jung Thapa, founder of the Nepal Stroke Association, hailed the development as a cornerstone for Nepal’s neurology field. He noted that the NSA has also developed comprehensive guidelines for stroke treatment, which are set to be adopted nationwide. “This decision and the upcoming implementation of national guidelines mark a new era for stroke care in Nepal,” said Dr. Thapa. “We are ensuring that no patient will die from a lack of treatment.”

The Nepal Stroke Association’s unwavering commitment and advocacy have turned the tide in Nepal’s fight against stroke. By empowering healthcare professionals, engaging communities, and driving systemic change, the NSA has laid the foundation for a brighter future. This achievement is a testament to the power of collaboration and the enduring impact of targeted healthcare initiatives.

Together, with our Nepali colleagues and partners worldwide, we celebrate this milestone and look forward to continued progress in stroke prevention and treatment.

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