This country evidence note explores the political economy dynamics associated with attempts to ensure access to qualified human resources for health (HRH) in remote rural areas of Nepal where low ratios of skilled health personnel per head of population persist.

Like other political economy studies, this paper seeks to understand the interaction of structure and agency, making connections between the way individuals and organisations behave; the decisions they make; the actions they take; and the relevant features of the context in which all of these actions take place.