ABSTRACT
Developing countries face a raft of major macro level issues at a political, economic, geographical and of a social nature. Developing a healthcare system in a poor remote country will require a much broader set of medical leadership and management skills, as doctors will need to influence multiple systems across the country at the same time as they seek to develop and advance its healthcare services. Nepal has a population of approximately 30 million people, with an estimated 3,000 people a year experiencing kidney failure and 1,000 people with liver failure. Prior to 2008, those who could afford it would fly to India for a kidney transplant, as Nepal lacked the physical infrastructure and the human resources to deliver this service. A major political and social marketing campaign ensued which aimed to spread the message about the human organ transplant service as well as to create positive messages about healthy lifestyle and kidney failure prevention.
