Devotka and van Teijlingen identify multiple reasons why Nepal was successful even during such trying times.  Neither side purposely disrupted health systems during the conflict.  Though the conflict led to a decrease in service utilization, due to access problems, the rebels overall looked favorably on health services and made no efforts to deny access to citizens during the fighting.  The rebels made an effort to ensure health clinics in their area were still sufficiently staffed and supplied.  Most clinics in rebel-held areas were sufficiently staffed and had supplies. 