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Letters to the Editor

Indian Pediatrics 2001; 38: 685-686  

Pediatricians in Nepal


Nepal is a landlocked country with diverse altitudinal variation (70 m to 8848 m) located in the Himalayan region. Children population (0-14 yr) in Nepal was notably large (42.4%, based on the latest census in 1991) and a high infant mortality was one of the major child health problem(1). Training of doctors and health manpower is a time consuming process and recently there has been an increasing opportunity for undergraduate medical educa-tion in Nepal. Training in pediatric speciality started in 1987(2). A thorough study on the availability of pediatricians in Nepal is unavailable.

A complete analysis of all available resources related to pediatricians in Nepal were searched and reviewed. Formally registered information on ‘pediatricians’ in the latest medical doctor’s directory(3) was analyzed.

There were a total of 120 pediatric physicians and surgeons in Nepal. Of 120, four were pediatric surgeons and 77.5% were males. The pediatrician and children popula-tion (<14 years) ratio was more than 1:65,340. Geographically, 53.3% pediatri-cians reported their permanent addresses in Kathmandu (population: 6% of total) and 43.3% in outside districts. Sixty nine per cent pediatricians recorded their permanent address in urban areas. Only four of them were foreigners. The pediatricians working in Kathmandu, outside districts and foreign countries were 65.0%, 26.7%, and 8.3%, respectively. Among the total 32, 57 and 21 pediatricians were working in a pediatric hospital, other hospitals, and private clinics, respectively. On analysis of their qualifica-tions, 60.0% of the pediatricians had a diploma in pediatrics and the rest had other post-graduate degrees. ‘Brahmin’ and ‘Newar’ (population: 12.9% and 5.6% of total, respectively) consisted of nearly two-third (63.6%) of total pediatricians.

General pediatricians and child health workers should be trained, based on the diverse composition of the Nepali society, to cope up with the community pediatric prob-lems scattered in several diverse geographical areas.


We would like to thank Nepal Medical Association for providing doctor’s directory to us.

Narayan Bahadur Basnet, Igarashi Takashi,
Department of Pediatrics, The University of Tokyo,
7-3-1 Hongo, Bunkyo-Ku,
Tokyo 113-8655,


1. Basnet NB, Yoichi S, Yanagisawa M. Geo-socio-economic aspects of infant mortality in Nepal. Int Med J 1998; 5: 51-55.

2. Dixit H, maskey BK. Medical Education in Nepal. Nepal Medical Council, Nepal Medical Association, Kathmandu, Nepal, 1995.

3. Nepal Medical Association, Doctor’s Directory 1998, Third Edition. Nepal Medical Association, Kathmandu, Nepal, 1998.


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