The effect of the continued growth of the national GDP cannot be understated, as the relationship between increased GDP and increased health indicators (such as the MDGs Nepal is on track to meet) is quite close.  While internal conflict  would certainly mitigate some of the expected improvements due to GDP, those increases, as well as the infrastructure investments, likely played an important role in helping health status continue to improve through the ten year war. There are some takeaways from Nepal and the other literature reviewed that can be applied to  all conflict situations, however. 