Abstract
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Highlights
Health News about elections being postponed, delayed, rigged or their results ignored are common in some of the countries low on the international corruption index (1), but it is slightly odd to see a country with regular national elections denying this democratic right at a local level
There was an attempt to form an all-party representative committee in local bodies but was ineffective in reality. This long gap between local elections had left an institutional vacuum at the local level, obstructing the smooth delivery of basic health and social care services
This was clearly mirrored in the performance to recovery from 2015 earthquake which killed more than 9000 people and destroyed hundreds of primary health care infractures (3)
Summary
Health News about elections being postponed, delayed, rigged or their results ignored are common in some of the countries low on the international corruption index (1), but it is slightly odd to see a country with regular national elections denying this democratic right at a local level. At a local level public bodies were last elected in 1997. Perhaps because of absence of people representatives in local bodies corruption flourished, hampering the delivery of health service in local communities.
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