Table 4.

Stakeholders in health and access to medicines

Stakeholders	Contributions	Problems and Issues
Local community	Provided administrative and managerial support via the health facility management committee	No such support in Rivan village due to lack of resources with the village development committee
	Supported health post on infrastructure development, equipment and programs
	Supported delivery of medicines and health services via the female community health volunteer
NGOs and INGOs	Supported public health project and pharmacy services	Lack of coordination among NGOs and INGOs and with the health system
	Directly provided medicines and health service via missionary hospitals	Decline in international funding and sustainability issue
	Provided much needed secondary care, long term preventive health and rehabilitation support	logistics and bureaucratic problems in implementing projects
Tourism	Direct support for essential medicines and health services via donations and health camps	Medicines and health use by tourists affect local people’s medicine taking behaviour
	Infrastructure support
	Indirect support by providing income via tourism business
Government Health System	Provided limited free medicines and basic healthcare
	Provided vaccination, reproductive health services and preventive healthcare programs	Problem with quality and limited number of free essential medicines.