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were not made clear; this was complicated by poor coordination between different government agencies and inadequate fiscal transfers to local authorities; • Low capacity of local bodies, including weak revenue- generating capacity at the local level; • Lack of proper supervision, monitoring and auditing of local bodies, and; • Increased conflict and insecurity after the implementation of the decentralization act in 1999. 5.7. Way forward For the effectiveness of public service delivery in Nepal, the following reforms and innovations are essential: • A holistic approach for effective PSD with the provision of relevant pro-poor policies and their effective implementation are necessary. This can be done when the excluded groups are well represented and participate effectively in the political system to change the outcome in their favor. Unless society eliminates its exclusionary practices, state transformation can do little to help individuals feel free to develop and use their capabilities to the fullest extent possible. • The political system and state structure need change. Such change and progress requires peace. In short, ending inequality depends in large measure on political inclusion, whose prerequisite is peace. The ultimate need is both a democratic state and a democratic society. Ending exclusion through fair representation and participation in the political system can enlarge options and thus enhance empowerment. In this context, it is obvious that the electoral system, the internal democracy of political parties, and decentralization have great influence on representation and participation in the process of democratization which ultimately enriches inclusive development. • Economic and social policies with a focus on excluded groups are necessary for improving unequal human development, and attaining rapid human progress. Targeting basic services including education and health for women, Dalits and Janajatis together with changes in other policies is necessary. This social empowerment needs to move hand in hand with economic empowerment through the provision of decent employment opportunities. 244
• In the same vain citizens should not merely claim rights and freedoms, but also fulfill their many obligations by respecting the country’s laws, recognizing the rights and freedom of others, eliminating discrimination, and observing justice in their daily activities. All this can happen only when society undergoes a decisive change towards inclusive and equitable human development that increases the range of choice for everyone. • The fact that unequal human development is both a cause and result of exclusion points to the need for a two-fold strategy: ü Ensuring the equitable representation of all groups in state structures; and ü Enabling citizens to participate effectively in decisions concerning their development. • The democratic principles can function only if society undergoes significant social and economic transformation. Considering this fact, the state has to invest disproportionately more both in the health and education and in income-generating activities of the poor in order to close the gap between those who are excluded and those who are not. • The nature of the electoral system of a country determines to a large extent how inclusively its population is represented in the political system and how meaningful this participation is for human development. • Efforts need to be deepened and extended for capacity building of local bodies. • A federal system based on national consensus is expected by many to ensure both inclusion and empowerment at all levels of the new polity. But making federalism practicable will require enormous study by all those involved in political activity, especially the members of the CA. However, the government’s decision to restructure the nation into a federal system has opened up again the issues related to the division of the country into state or regions; decisions about the structure of local government systems; fiscal decentralization; and the delineation of responsibilities among the different tiers of government. • Although reduction in IMR and U5MR at the national level is encouraging, there are significant regional and rural-urban disparities. Therefore, it is necessary to identify which populations are most affected and map out where they reside. After identification of these populations, targeted health 245
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were not made clear; this was complicated by poor coordination<br />
between different government agencies and inadequate fiscal<br />
transfers to local authorities;<br />
• Low capacity of local bodies, including weak revenue- generating<br />
capacity at the local level;<br />
• Lack of proper supervision, monitoring and auditing of local bodies,<br />
and;<br />
• Increased conflict and insecurity after the implementation of the<br />
decentralization act in 1999.<br />
5.7. Way forward<br />
For the effectiveness of public service delivery in Nepal, the following reforms<br />
and innovations are essential:<br />
• A holistic approach for effective PSD with the provision of relevant<br />
pro-poor policies and their effective implementation are necessary.<br />
This can be done when the excluded groups are well represented and<br />
participate effectively in the political system to change the outcome in<br />
their favor. Unless society eliminates its exclusionary practices, state<br />
transformation can do little to help individuals feel free to develop and<br />
use their capabilities to the fullest extent possible.<br />
• The political system and state structure need change. Such change<br />
and progress requires peace. In short, ending inequality depends in<br />
large measure on political inclusion, whose prerequisite is peace. The<br />
ultimate need is both a democratic state and a democratic society.<br />
Ending exclusion through fair representation and participation in the<br />
political system can enlarge options and thus enhance empowerment.<br />
In this context, it is obvious that the electoral system, the internal<br />
democracy of political parties, and decentralization have great influence<br />
on representation and participation in the process of democratization<br />
which ultimately enriches inclusive development.<br />
• Economic and social policies with a focus on excluded groups are<br />
necessary for improving unequal human development, and attaining<br />
rapid human progress. Targeting basic services including education<br />
and health for women, Dalits and Janajatis together with changes in<br />
other policies is necessary. This social empowerment needs to move<br />
hand in hand with economic empowerment through the provision of<br />
decent employment opportunities.<br />
244