Nepal is currently divided into 5 development regions, 14 zones, and 75 districts. The districts are further subdivided into municipalities, village development committees, and wards. At the district level, there is a chief district officer to maintain law and order, a local development officer to coordinate developmental activities, and a district health officer responsible for all of the district’s health activities, including organization and management of the district hospital, primary healthcare centres, health posts, and sub–health posts.1 According to the recently promulgated Constitution of Nepal, the country is now being divided into 7 states.5 The transition from 5 development regions to 7 federal states is in progress, and the old model of 5 development regions with 14 zones has not been fully replaced.

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