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President Obama's ambitious Global Health Initiative — announced to a receptive international community in 2009 — is faltering as budget constraints and shaky implementation limit the impact of the multibillion-dollar program.

Global health Nepal vii 2011 5 5
Patients at the Nata medical center in Birathnagar, Nepal wait to receive their papers for diagnosis. Tuberculosis is a major health problem in Nepal. (Marcus Bleasdale/VII/GlobalPost)

Healing the world: Nepal

Facts and figures on Nepal's health challenges and the aims of the GHI.

WASHINGTON — Here’s a fact-based snapshot of Nepal's health challenges and the aims of the U.S. government's Global Health Initiative:

NEPAL

Total GHI spending:
FY 2009: $22 million
FY 2010: $25 million

Total population: 29 million
GDP per capita: $438

Births that are assisted by a skilled attendant: 19 percent
Population using an effective water treatment method: 15 percent

Major health concerns in the country:
1) Child, newborn and maternal mortality are all very high
2) Infectious diseases are a problem, including many spread through water, food and vectors, as well as HIV, which is on the rise

GHI's main goals: Helping Nepal to build management and research capacity; encourage partnerships between nonprofit, private and public health care systems to overcome staffing shortages; help Nepal continue its significant health progress by extending services to more women, children and populations marginalized by remote geography or ethnic differences

GHI on the ground: American health experts will help Nepal become self-sufficient in its research and data collection; even though those things are happening successfully right now, they are largely done by non-Nepalese people and agencies.

(Sources: CIA; GHI country strategy documents; Kaiser Family Foundation; UN; www.foreignassistance.gov)

Funding for this project is provided by the Henry J. Kaiser Family Foundation as part of its U.S. Global Health Policy program.

http://www.globalpost.com/dispatch/news/health/110505/healing-the-world-nepal