Despite having established several legal frameworks promoting digital accessibility, Nepal lacks implementation resulting in significant gaps across healthcare websites. This writeup examines the current state of web accessibility in Nepal government’s health-related websites based on WAVE API analysis of the eight homepages, namely https://www.mohp.gov.np, https://www.dohs.gov.np, https://www.fwd.gov.np, https://www.digitalhealth.mohp.gov.np, https://www.nhpc.gov.np, https://www.iom.edu.np, https://www.bpkhis.edu and https://www.dda.gov.np
Nepal doesn’t lack the legal instruments for digital accessibility, however, there seems to be a gap in their implementation. The Right to Information Act of 2007 ensures that every person has the right to access and regulate information. Nepal signed the Convention on the Rights of Persons with Disabilities (CRPD) on 3 Jan 2008, which also requires infrastructure so that information and communication is accessible to all. Health is similarly among the eight priority sectors for digital transformation in the Digital Nepal Framework. The National ICT Policy (2015) and the National Broadband Policy (2016) add weight to the drive for digital growth, but challenges in implementation persist.
The analysis of eight healthcare-related government websites reveal concerning patterns across multiple domains. This analysis was done using a Python program and WebAIM’s accessibility WAVE API.
The eight homepages averaged 30.43 Errors, 23.00 Contrast Issues and 28.00 Alerts per site. These numbers indicate significant accessibility barriers for users with disabilities.
WebAIM defines errors as accessibility issues that are almost always barriers for users with disabilities and require immediate attention. Contrast issues occur when there is insufficient color contrast between text (or images of text) and its background, making content difficult or even impossible to read for users with low vision or color blindness. Alerts refer to potential accessibility issues that may not be definitive problems but still require review or further manual evaluation.
The eight homepages we analyzed had 62 empty links that don’t tell users where they will go when clicked. There are 51 images missing alternative text, which means people who can’t see the images won’t know what they contain. The site also has 46 linked images that are missing alternative text, making it impossible for screen reader users to understand where clicking these images would take them. Additionally, there are 19 buttons that have no text or labels, leaving users with disabilities confused about what these buttons do. Finally, the websites’ homepages contain 17 empty headings that don’t describe the content of their sections, making navigation difficult for people using assistive technology.
We believe several factors contribute to the current state of web accessibility in Nepal’s healthcare sector. One major factor is resource limitations, as widespread poverty and inadequate telecommunications infrastructure in rural areas restrict access to digital services. Another significant issue is the awareness gap—there is a general lack of understanding about the transformative potential of Information and Communication Technology (ICT), including websites, for improving the lives of persons with disabilities. Finally, policy implementation challenges persist; although legal frameworks exist, there is a lack of a suitable policy environment specifically designed to promote ICT accessibility.
Poor digital accessibility, especially in health-related websites, has severe consequences in Nepal, where difficult terrain, limited infrastructure, and frequent natural disasters like floods and earthquakes already hinder access to care. In rural areas, where physical services are scarce, digital platforms become essential. Yet, inaccessible websites exclude persons with disabilities, causing dangerous delays in receiving critical updates on safety protocols and medical aid. Government platforms must be accessible to ensure rapid, inclusive information delivery during crises, as inaccessibility in such moments can cost lives. In Nepal, an estimated two percent of the population with disabilities, including roughly 94,000 visually impaired and 79,000 hearing-impaired individuals, face significant barriers accessing healthcare information due to non-compliant website design on key health portals such as the Department of Health Services. We see basic keyboard navigation failures and violation of semantic markup standards which results in exclusion of people from vital emergency directives and service updates.
Based on the analysis, several strategies aligned with international standards could significantly improve digital accessibility in Nepal’s healthcare websites. First, accessibility policy implementation is essential—specific digital accessibility guidelines for government healthcare websites should be enforced based on the Web Content Accessibility Guidelines (WCAG). Second, training and awareness efforts must be strengthened by investing in capacity building for web developers and content creators, equipping them with the necessary skills and knowledge on accessibility principles and techniques. Third, regular auditing should be incorporated into the website development and maintenance cycle to ensure that accessibility is not overlooked over time.
Additionally, applying the 80-20 rule by prioritizing critical fixes—such as addressing empty links, missing alternative text, and contrast issues—can lead to significant improvements with relatively minimal effort. Lastly, the government can leverage the Rural Telecom Development Fund to finance accessibility initiatives and promote the development of assistive technologies in local languages. These strategies, if properly implemented, can help create a more inclusive digital healthcare environment for all, including persons with disabilities.
Poor web accessibility in Nepal’s healthcare websites creates a significant digital barrier that exacerbates existing challenges in healthcare access. These accessibility barriers—primarily empty links, missing alternative text and poor contrast—effectively exclude persons with disabilities from accessing critical health information in a country where 79.42 percent of the population lives in rural areas, facing financial, geographical and infrastructural challenges to healthcare access. The digital divide is particularly concerning as Nepal increasingly relies on digital health initiatives to overcome its rugged terrain, proclivity to natural disasters and limited physical infrastructure. While some sites like Digital Health show progress, others contain numerous barriers that prevent equal access for persons with disabilities. Addressing these issues will require coordinated efforts across technical, policy and awareness dimensions. As Nepal continues its digital transformation in healthcare, ensuring accessibility should be integrated into development processes from the beginning rather than added as an afterthought.
