335 Understanding migration of health workers and its impact on Nepal’s health system

Abstract PTH 7: Health Policy and Health Services 2, B308 (FCSH), September 5, 2025, 11:30 - 12:24 Introduction Human resources for health (HRH) are essential for a well-functioning healthcare system, directly impacting service delivery, quality, and accessibility. In Nepal, a significant gap exists in the availability of healthcare professionals, particularly in rural areas. The ongoing migration of health workers to higher-paying opportunities abroad has exacerbated this shortage, putting the country’s healthcare system under immense pressure. Aim This study aims to understand the trend of health worker migration from Nepal and evaluate its impact on the country’s healthcare system. Specifically, it focuses on the challenges faced due to the shortage of skilled professionals, especially in underserved regions. Method A scoping review was conducted using secondary data sources, including reports from the Nepal Medical Education Commission, National HRH Strategy 2030, and data from councils. Trends in health worker migration, gaps in health workforce requirements, and the existing health policies were analyzed to assess their impact on Nepal’s healthcare delivery system. Result The findings highlight a significant shortfall in Nepal’s healthcare workforce, with an estimated 64,000 more workers needed to meet current demands. The migration of doctors, nurses, and paramedics is a growing concern, with many seeking opportunities abroad due to better salaries and working conditions. The government’s investments in medical education, including scholarships, have not been fully realized, as many graduates leave the country post-training. Furthermore, the focus on training specialists has led to insufficient investment in mid-level healthcare providers, limiting the effectiveness of the system. Conclusion To address Nepal’s health workforce gap, urgent policy interventions are essential, particularly in retaining and strategically deploying healthcare professionals. Adjusting salaries and retention packages for doctors and nurses is crucial. Additionally, empowering community health workers and mid-level health workers by equipping them with essential skills and creating retention incentives is vital for strengthening the healthcare system, especially in rural and underserved areas.