Navigating Uncertainty: The Future of Nepal Demographic and Health Survey and Nepal Health Facility Survey in Evolving Public Health Landscape in Nepal

Effective data systems are essential for driving focus and processes within health systems. Demographic and Health Surveys (DHS) and Health Facility Surveys (HFS) play a critical role in providing nationally representative data on service quality, health indicators, and resource allocation. Although the next round of Nepal Health Facility Survey was scheduled for 2026 and Nepal Demographic and Health Survey for 2027, these surveys face uncertainty due to recent decisions by the new U.S. administration to cut foreign aid, including support for the DHS project. In Nepal, data from DHS and HFS are indispensable for evaluating health systems, shaping evidence- based policies, and monitoring public health progress. However, funding uncertainties threaten to create data gaps, may distort health sector priorities, and diminish opportunities for developing future leaders in health sector. This situation highlights the urgent need for innovative solutions, investments in robust routine data systems, and strengthened collaboration among stakeholders to ensure the continuity of vital health system data.