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N T I S201016. HEALTH SERVICESStrengths Enjoyable and suitable climatic conditions Low costs in some areas Availability of unique traditional Ayurvedic medicines Well-equipped operating rooms and laboratories insome hospitals, some of which are ISO 9001 certified Significant FDI from Indian healthcare providersOpportunities Establishment of more medical colleges, including forforeign students Linking tourism to health tourism Potential to attract patients towards AyurvedicmedicinesActionsWeaknessesOverall health system is underdevelopedLack of a clear strategy supported by a clear policyShortage of doctors and nurses in the country, alsodue to out-migrationUnreliable energy supply and other infrastructuralconstraintsLack of air ambulanceNo international recognition of healthcare facilities asassurance of quality healthcareThreatsPolitical instabilityBrain drain of skilled human resources Improve statistical data through surveys, including surveys of foreigners that received, or arereceiving, medical services in the country. Undertake detailed study of export potentials and attractive markets. Revise existing health-related laws and introduce new ones required to promote health servicesin Nepal, including the export of this service. Strengthen training of medical personnel in Nepal, including easing entry of foreign medicalpractitioners to support improved medical education. Encourage procurement of new technology, equipment and medicines for Ayurvedic medicalservices.NEPAL TRADE INTEGRATION STRATEGY 2010BACKGROUND REPORT287
N T I S201017. EDUCATION SERVICESStrengths Good climatic conditions Low cost of living for students Some cost advantages for support staff Degrees can be recognized abroad (although withsome difficulty) Collaboration with and investment by Indian colleges Nepalese students also benefiting from foreignschools set up in Nepal Positive side-effects for the health sector due toteaching hospitalsOpportunities Possibility of attracting more students from countriesother than India, e.g. SAARC countries, especially SriLanka Potential for students from Middle East and Gulfcountries Better and more stable recognition policies by Indiacould be a major incentive for more Indian studentsand colleges to move to NepalWeaknesses Quality of education is only average High dependency on Indian students No worldwide recognition as an exporter of education Main reason for (Indian) students to study in Nepal islack of seats in the home country, which could changeThreats High dependency on diploma recognition policies andgeneral education policies in India Political instabilityActions Seek improved international recognition of Nepal’s degrees, in particular in India. Educationexports stand or fall on international recognition of education. Improve quality of education through improved teaching. Facilitate access of foreign teachingstaff. Enforce use of English language in education as prescribed under the relevant amendment ofNepal Education Act. Publicize educational opportunities available in Nepal in foreign markets. Improve statistical measurement of the sector through regular surveys across universities(number, country of origin of foreign students, fees paid, degree obtained, etc.). Discourage political interference in the education sector. Improve infrastructure in educational institutes, including public ones, especially at universitylevel.288NEPAL TRADE INTEGRATION STRATEGY 2010BACKGROUND REPORT
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Nepal Trade Integration Strategy 20
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Table of ContentsForewordAbbreviati
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Table 2.17 Acreage and Production o
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List of BoxesBox 2.1 A Nepalese IT
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LoD Limit of DetectionM&E Monitorin
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Chapter 1Trading Environment, Expor
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N T I S20101.3 Capacity Development
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N T I S2010Table 1.1Balance of Paym
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N T I S2010Changes in the Nepalese
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N T I S20101.5 Expanding an ‘Incl
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N T I S2010 Index 4 measures the po
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N T I S2010Table 1.9Impact of 19 Ex
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N T I S2010Table 1.10Geographical D
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N T I S20101.7 Declining Importance
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N T I S2010negotiate for the inclus
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N T I S2010Types of Exported Produc
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N T I S2010Table 2.2Large Cardamom:
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N T I S2010Index 4: Socio-economic
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N T I S2010Index 1: Export Performa
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N T I S2010exporters. Nepal permits
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N T I S2010RankCountryExports Nepal
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N T I S2010like China and Australia
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N T I S2010The opportunities for pr
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N T I S2010Lentils are subject to o
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N T I S2010Production Capacity: Nat
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N T I S2010Gender Impact: This sect
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N T I S2010Export Prospect: Accordi
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N T I S2010Cost and Quality of Infr
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N T I S2010Attractive markets for T
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N T I S2010Market Access Conditions
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N T I S2010Gender Impact: The respo
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N T I S2010Information from industr
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N T I S2010RankCountryTable 2.26Att
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N T I S2010# Botanical Name 41 Spec
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N T I S2010Current Export Destinati
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N T I S2010significant attention fr
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N T I S20109) Silver JewelryBackgro
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N T I S2010Availability and Quality
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N T I S2010Attractive Markets for S
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N T I S2010Production Capacity: Nep
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N T I S2010ii.iii.required for the
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N T I S201012345678910# Name of Ste
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N T I S2010Export Prospect: Accordi
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N T I S2010Gender Impact: Female wo
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N T I S2010The value added of those
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N T I S2010sheep population, which
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N T I S201013) TourismBackgroundTou
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N T I S2010Index 2: World Market Co
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N T I S2010There are also about 24
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N T I S2010Index 1: Export Performa
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N T I S2010Index 2: World Market Co
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N T I S2010Contribution to Skill De
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N T I S2010Types of Exported Servic
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N T I S201016) Health ServicesBackg
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N T I S2010medical services are bei
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N T I S201017) Education ServicesBa
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N T I S2010should be interpreted ca
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N T I S2010foreign students. The me
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N T I S2010Under mode 4 (presence o
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N T I S2010Index 4: Socio-economic
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N T I S2010generate revenue of US$3
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N T I S2010monopsony power. Several
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N T I S2010The possibility of direc
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N T I S2010Dairy Products, specific
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Chapter 3Access to the Indian Marke
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N T I S2010The Nepal-India Trade Tr
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N T I S2010Most issues reported abo
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N T I S2010Nepalese Domestic Issues
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N T I S2010India’s view is that t
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Chapter 4Access to the Chinese Mark
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N T I S2010products must be wholly
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N T I S2010The findings discussed h
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N T I S20104.5 Other Impediments to
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N T I S20104.7 Recommendations: Cha
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N T I S2010inflow between 2000 and
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N T I S2010Industrial Parks and SEZ
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N T I S2010Lack of up-to-date polic
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N T I S2010Apart from the critical
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N T I S2010capabilities in all five
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N T I S20105.5. Combining Investmen
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Chapter 6Trade FacilitationN T I S2
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N T I S2010In the 2005 Trade Facili
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N T I S2010The latest phase of impl
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N T I S2010improve efficiency. Few
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N T I S2010Figure 7.1Future Organog
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N T I S2010EU countries, special pr
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N T I S2010Act 1980. So far, 130 fi
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N T I S2010The current projects inc
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N T I S2010The NBSM as a secretaria
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N T I S2010Many more organizations
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N T I S2010Table 7.8Existing Nepal
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Table 7.9Standards Issues for Ten E
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N T I S20107.14 Priority Actions an
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N T I S2010It is not clear what amo
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N T I S2010GeneralNepal’s general
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N T I S2010a crucial part of the PR
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N T I S2010residue limits (MRLs) ar
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N T I S2010The viral diseases chirk
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N T I S2010SPS issues Affecting Tra
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N T I S2010Indian phytosanitary sta
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N T I S20108.5 Conclusions and Reco
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N T I S2010Simpler requirements suc
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Table 8.4Summary of Export Environm
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N T I S2010To register a patent, a
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N T I S2010breaches of law. The Nep
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N T I S2010Intellectual Property is
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Chapter 10Barriers to Service Trade
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N T I S2010Constraints in the touri
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N T I S2010Table 10.2Nepal GATS Com
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N T I S2010locations favourable for
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N T I S2010Barriers to Exports of H
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N T I S2010Institutional IssueThe s
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N T I S2010 Strengthening sub-natio
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N T I S2010Observations from enterp
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N T I S2010Nepal Ginger Producers a
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N T I S2010 Helping paper manufactu
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Page 253 and 254: N T I S2010The key principles inclu
Page 255 and 256: N T I S2010That being said, Nepal h
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Page 267 and 268: N T I S2010GoN / MoF (2009), Econom
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Page 272 and 273: N T I S2010NEPAL TRADE INTEGRATION
Page 274 and 275: N T I S2010MainOutcomes Recommended
Page 280: N T I S2010NEPAL TRADE INTEGRATION
Page 283 and 284: N T I S20102. GINGERStrengths Tradi
Page 285 and 286: N T I S20104. LENTILSStrengths High
Page 287 and 288: N T I S20105. TEAStrengths Very fav
Page 289 and 290: N T I S20106. INSTANT NOODLESStreng
Page 291 and 292: N T I S2010 Review, simplify, and i
Page 293 and 294: N T I S20109. SILVER JEWELRYStrengt
Page 295 and 296: N T I S201011. CHYANGRA PASHMINA PR
Page 297 and 298: N T I S201013. TOURISMStrengthsNatu
Page 299: N T I S201015. IT AND BPO SERVICESS
Page 303 and 304: N T I S201019. HYDRO-ELECTRICITYStr
Page 306 and 307: Appendix 1Methodology for Export Po
Page 308 and 309: N T I S2010B. Data SourcesThe analy
Page 310 and 311: Appendix 2Market Attractiveness Ind
Page 312 and 313: N T I S2010Rank13) Tourism1 Germany
Page 314 and 315: Appendix 3Updated Legislative Actio
Page 316 and 317: N T I S2010specified management sys
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Page 320 and 321: Appendix 5Malaysia GAP (Skim Amalam
Page 322 and 323: N T I S2010E. Document ControlQMS d
Page 324 and 325: Appendix 7Good Agricultural Practic
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