The "war of the people" has affected the whole country. Access to social services in the most remote regions has been seriously restricted. Health centers, schools, community centers and local government offices have been destroyed in over 300 villages. The destruction of radio transmittors have left more than 20 districts with limited or no communication with the outside world. Transport in and between districts has reduced significantly due to frequent checkpoints and the fear of being caught in a fake road block. Some towns have seen their population soar with refugee families and orphans fleeing their native villages after deadly attacks. According to a report by the Minister of Finance in 2002, no hospital or health care center has been opened in previous years because of the war.

There are also great problems in the supply of basic food. An temporary alternative has been set up, using donkeys, but the destruction of bridges has increased the distances involved. Traditionally villager found part of their food in the forest, but this has become a suspicious activity in the eyes of government forces, and people caught in the forest are considered Maoist guerillas. National and regional strikes also affect life od the country, especially import and export activities. The Indian border can sometimes be closed for more than a week during strikes.

Concerning the health sector, the annual budget is way below the real needs of the country. Nepal is one of the poorest countries in the world, and the poorest country in Asia.
There are a lot of international charities working in Nepal. Their programmes are essentially focused on health, education and water treatment. Due to the unstable situation, their activities are unequally spread throughout the country, and entire regions are left with nothing. This is also the reason why some charities have decided to suspend their activities in Nepal. HumanCare is totally committed to Nepal.