As the 2021 case study highlights, quality health data is critical to strengthening Nepal’s health system, especially to identify and address disparities experienced by marginalized subpopulations. The decentralized health system in Nepal results in fragmented availability of data at all levels and difficulties in channeling funds to provinces and local levels. A data gap assessment for the health-related SDGs also showed significant limitations in disaggregated data for monitoring equity and understanding the health situation at the local level.

To address these challenges, GAVI, the Global Fund, UNFPA, UNICEF, UNAIDS, WHO and the World Bank coordinated their activities and worked with the Government of Nepal to strengthen routine data sources, vital statistics and population-based surveys, as well as building data management capacity at national and sub-national levels. The activities aim to make available accurate and quality data on births, deaths and access to and use of health services, disaggregated by equity stratifiers at each level. This will allow subnational levels to have greater autonomy in decision-making and better target health interventions to those most in need.

Key and vulnerable populations affected by HIV, Nepal. ©The Global Fund/Sarah Hoibak.