Based on the statistics (for example see http://www.nep.searo.who.int/LinkFiles/Home_Abolition_of_User1.pdf), free health care services through local health post (abolition of user fee) is a needed initiative in Nepal. Nepal was under-investing in health sector ($14 per capita) than what Commission on Macro-economics and Health has recommended ($24-$42 per capita) for developing countries. On this regard, free health care services appears as a long due policy for Nepalese people.
Formulation and implementation of new policy should always be followed by its evaluation. It is important that the free health care service policy should also be evaluated after a year of its implementation if not by the first six months. Information collected through evaluation can provide some important policy feedbacks and it can suggest if any changes to make.
Department of Health and/or Ministry of Health should consider evaluation as one of their core activities, and schedule it within a specific time frame to get the better result of its policy efforts.
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