by Dr. Rita Thapa
- Nepal -

Nepal is one of the poorest countries in the world, wedged between China and India. With a total surface area of 147 square kilometers, the country is home to some 27 million Nepalis from more than a hundred diverse caste and ethnic identities. 86% of the Nepali people live in rural areas, with poor transport and communication facilities, and few health services. Public-private partnerships, which have steadily gained ground in Nepal, have highlighted one of the most important but neglected public health needs: safe pregnancy and childbirth.

The country has come a long way since 1951, when it launched its first modernization drive. It has since transformed from a socially orthodox Hindu kingdom to a secular federal democratic republic, with women comprising 33% of its national assembly. The Communist Party of Nepal-Maoist, which waged a decade-long insurgency in 1996, recently won elections, and a mandate to govern the country.

Having been a girl in pre-1951 Nepal, and having not been allowed to obtain formal schooling till I was 10 years old, I find these changes a bit dizzying, but recognize the huge gains for a country held back by centuries of feudalism, poverty, illiteracy, and discrimination, as well as a decade-long guerrilla war.