NMA ELECTION 2082

MANGAL MANDATE: Team Mangal's Manifesto for NMA Election 2082

A commitment to transform Nepal's healthcare through professional, participative, serving, and transparent leadership.

Introduction

Nepalese doctors today are not only fighting disease, but also struggling against a sick healthcare system. Political interference has made appointments unfair rather than merit-based. Doctors' salaries are extremely low. Labor rights remain unclear. Legal risks are borne individually by doctors. Rural service involves hardship and risk, yet offers no incentives. In such circumstances, the NMA has failed to truly become an institution for all doctors. This has led to frustration, physician migration, and a decline in the quality of healthcare.

Now, the Nepali medical sector urgently needs a major transformation—and we are ready for it. Our agenda is clear. The NMA will be freed from political interference. Equal voting rights for all doctors will be ensured, with transparent decision-making through app-based balloting. Through a Doctors' Act, fair salaries and benefits, labor rights, insurance, and legal protection will be guaranteed. NMA membership will no longer be limited to a card and a journal. Employment support, free legal services, digital platforms, research, training, mental health support, and international opportunities will become core services of the NMA. Merit-based appointments, removal of barriers in medical education, strict control of quackery, and unconditional policy reforms for the safety of health workers will be implemented.

We will not be limited to issuing statements and initiatives. This is not just a manifesto—it is a commitment to transform the system.

4 Pillars of our Commitment

1. Professional NMA

  • We will not align with or be involved in any political party.
  • We will not participate in partisan political activities of any kind.
  • We will focus exclusively on professional and institutional activities.

2. Participative NMA

  • All major NMA decisions will be made through member balloting via the NMA app.
  • We will not entertain influence from any external interest group in NMA work.

3. Serving NMA

  • We will not engage in any activity that brings disrepute to the medical fraternity.
  • We will not take leave from NMA activities for personal study leave, fellowship, or other opportunities.

4. Transparent NMA

  • We will publish a monthly progress report for members.
  • We will publish quarterly income and expenditure reports to ensure financial transparency.

Agenda 1: Our NMA — An NMA of Every Doctor

The NMA must no longer be controlled by a few; it must belong to every doctor. We commit to equal voting rights for all physicians, transparent online voting and balloting, and guaranteed representation of resident and early-career doctors. Upon election, from the very first Executive Committee meeting, we will move—through the Council—to amend the regulations to decisively democratize the NMA as follows:

Restore universal membership with voting rights by reintroducing general membership for all doctors at NPR 300.
End exclusionary election rules by immediately abolishing the 4-year and 7-year eligibility barriers to contest NMA elections.
Guarantee one doctor, one vote by implementing fully online voting through the NMA app in the upcoming election.
Secure mandatory representation of resident doctors in the Executive Committee, ensuring their voices shape decisions.
Provide free, institutional legal protection to every doctor through NMA Legal Advisors, with this right embedded in the NMA statute.
Ensure fair, cluster-based representation of resident doctors and medical officers in the NMA Council.
Revive and strengthen provincial structures by activating provincial committees and removing the 50-member requirement for district-level expansion.
Make the NMA digitally transparent and accessible by enabling online meetings and decision-making across the Executive Committee, Council, and all sub-committees.
Return power to the membership by mandating that all major decisions of the Association be approved through a member-wide balloting system.

This is not cosmetic reform. This is a decisive shift of power—from closed rooms to the collective will of Nepal's doctors.

Agenda 2: The Doctors' Act — Law, Dignity, and Protection for Every Doctor

Doctors cannot be expected to carry the health system on their shoulders while remaining legally unprotected, underpaid, and socially insecure. We will forcefully demand that the Government of Nepal enact a comprehensive Doctors' Act for all physicians registered with the Nepal Medical Council, fully incorporating the economic and social protections recommended by the Dr. Tanka Barakoti Report—benefits the State is duty-bound to provide. We will pursue this both inside Parliament and outside it. If needed, we are prepared to take every legitimate step required to make this law a reality.

This Act will stand as a doctor-specific legal framework, parallel to the Labour Act—clearly defining rights, responsibilities, security, and dignity in medical practice.

Core pillars of the Doctors' Act:

💰 Economic Security

  • Doctors' Loan Scheme through state-owned banks with low-interest, concessional loans
  • Income tax exemption up to NPR 1.5M for rural doctors

💼 Fair Pay & Allowances

  • Legally binding minimum salary standards
  • Universal provident fund coverage

⚖️ Labour Rights

  • Defined working hours, leave, overtime compensation

🛡️ Social Security

  • Free treatment in public institutions
  • Mandatory health & life insurance
  • Doctors' Welfare Fund

📚 Professional Growth

  • State-backed funding & support for training
  • Removal of education barriers

⚔️ Legal Protection

  • Statutory protection against complications
  • Legal Assistance Fund

Agenda 3: Transforming NMA Services — From Symbolic Membership to Real Support

Today, NMA membership offers only two formal benefits under its statute: the Journal of NMA, and access to NMA guest houses and participation in conferences and trainings.

This is grossly insufficient for a modern professional body. We will fundamentally expand NMA services—turning membership into a daily source of professional, legal, and personal support for every doctor.

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Digital NMA

Build a single, integrated digital platform covering all NMA services, membership applications, renewals, communications, and service delivery.

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NMA Job Connect

Launch the NMA Job Connect App to actively support doctors in job searching, placement, and career mobility across Nepal.

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Legal Aid

Establish a dedicated Legal Aid Unit to provide doctors with free legal consultation and guidance.

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Provincial Journals

Publish the Journal of Koshi Provincial NMA (BPKIHS branch) and Rural Health Journal (KAHS branch).

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Decentralized Research & Grant Training

Conduct research and grant-writing trainings at the provincial level.

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Research & Career Mentorship

Run structured mentorship programs in coordination with active professional medical associations.

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Global Opportunities

Form an International Coordination Committee within NMA and launch Fellowship programs with medical associations worldwide.

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Safe Medical Practice

Develop Patient Safety Guidelines and national protocols on Informed Consent, Documentation, and Communication.

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Physician Wellbeing

Launch comprehensive wellbeing and mental health programs.

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Modernized NMA Guest Houses

Upgrade NMA guest houses and introduce airport pickup/drop services for doctors.

NON-NEGOTIABLE POLICY CHANGES

Existing laws in Nepal are actively restricting doctors' education, research, clinical practice, and professional growth. These barriers are weakening the entire health system. We have identified the following non-negotiable policy reforms, and we will pursue them with absolute resolve:

Merit-Based Appointments

Enforce non-political, competitive recruitment in all public health institutions.

Zero Tolerance for Quackery

Establish a dedicated Anti-Quackery Unit within the Ministry of Health.

Unblock Postgraduate Entry

Repeal Section 16(6) of the Medical Education Act.

End Unjust Scholarship Bond Restrictions

Repeal Rule 22(5) of the Medical Education Regulations.

Fair Medical Justice

Mandate Consumer Courts adopt the Medical Jury system.

Protect Academic Training of Government Doctors

Amend the Health Services Act to recognize postgraduate clinical training.

Rationalize Private Practice Rules

Repeal the 2072 scholarship bond guideline.

Unlock Career Progression

Introduce group-based promotion pathways for MD/MS doctors.

Zero Tolerance for Violence in Healthcare

Complete pending legal amendments to enforce a Zero-Tolerance Policy.

Research and Advocacy Units within the NMA

To ensure continuous, evidence-based advocacy on issues related to the medical profession, medical education, and the safety and rights of doctors and health workers, the NMA will establish five permanent Research and Advocacy Units, led by experienced and respected physicians.

These units will conduct rigorous research, generate policy evidence, and lead sustained national campaigns in their respective domains—ensuring that NMA advocacy is informed, strategic, and impossible to ignore.

👥 Medical Students

  • • Ending barriers to medical education
  • • Anti-Bullying and Harassment in Medical Schools
  • • Career Guidance for Students

🏥 Resident & Early Career Doctors

  • • Resident Welfare and Support Programs
  • • Recognition and Appreciation Day
  • • Mentorship Programs

🛡️ Healthcare Safety & Protection

  • • Zero Tolerance to Violence Policy

⚖️ Policy & Governance

  • • Tanka Barakoti Report Implementation
  • • Patient Safety Guidelines
  • • Informed Consent Act

💙 Physician Wellbeing & Mental Health

  • • Comprehensive Mental Health Programs
  • • Stress Management & Burnout Prevention
  • • Peer Support & Counseling Network

🔄 Other Units

To be determined on regular basis

We would like to hear from you

What changes should NMA prioritize?