Sudur Paschim

The Far-Western Development Region (Nepali: सुदुर पश्चिमाञ्चल विकास क्षेत्र, Sudur Pashchimānchal Bikās Kshetra) is one of Nepal's five development regions. It is located at the western end of the country with headquarters at Dipayal.

The Far-Western Region covers 19,539 km2. It has nine districts with the regional headquarters at Dipayal, Doti district. The Far-Western Region is remote and developmentally challenged. Some 44% of people in the Far West Hills and 49% in the Himalayan districts live below the poverty line. The region has limited access to basic services and increasing services is challenging due to the difficult topography. The region has complex socio-economic structures and there is both widespread gender- and caste-based discrimination. Traditional systems associated with religion, culture and customs also have a great impact on overall development.[1]

It comprises two zones:

Mahakali
Seti
The Far-Western Region of Nepal is sometimes called the Doti region, which some believe originated from 'Dovati' meaning land between two rivers. Others believe it originated from the Hindu god Dev, and aatavi, meaning the place of re-creation. The area's history goes back to the 13th century when Niranjan Malldeo founded the Doti Kingdom following the fall of the Katyuri Kings. Dotiyali and Kumauni are spoken in the Far-Western Region. Deuda, Jhoda, Chhpeli, Chhaliya, Bhada etc. are traditional dances of the region and Gaura or Gamara is the biggest festival of the region. And medical situation in far western is very sub standard. Based on WHO data, Nepal ranked 139th in life expectancy in 2010 with the average Nepalese living to 65.8 years.[1] Disease prevalence is higher in Nepal than it is in other South Asian countries, especially in rural areas. Leading diseases and illnesses include diarrhea, gastrointestinal disorders, goiter, intestinal parasites, leprosy, visceral leishmaniasis and tuberculosis. According to United Nations data for 2003, approximately 60,000 persons aged 15 to 49 had human immunodeficiency virus (HIV), and the HIV prevalence rate was 0.5%. In spite of those figures, some improvements in health care have been made, most notably significant progress in maternal-child health. For example, Nepal’s Human Development Index (HDI) was 0.504 in 2002, ranking Nepal 140 out of 177 countries, up from 0.291 in 1975. High profile persons from nepal, they can afford to goto anywhere they want but far westerners most of us can't even afford food for twice a day, how can they afford medical expenses?

So, I am starting talk about much needed medical college with its teaching hospital.