Given poor healthcare conditions in the country, Nepal has suffered hugely from the second wave of Covid-19. As the second wave hit Nepal, CCMC and other key government agencies have struggled to arrange required essential healthcare facilities, including quality hospital facilities and vaccines, to the people. Though the pandemic has forced GoN to announce an increase in annual healthcare expenditure, a welcome move from the GoN side, the pre-existing conditions in this sector and available time period made the thus announced raised health sector budget and expenditure plans unrealistic. A pre-mature federal structure of the country is to be partially blamed for this limitation. Since Nepal does not stand in a position to manage additional financial resources for higher healthcare expenditure itself, it has relied on the country’s old bi-lateral and multilateral partners to meet the current needs.