Nepal is a developing country and there is the ongoing step that nepal are develop. In the statistical data nepal has most of the places are rural community and some of the are urban. Karnali also one of the those type of zone which hasn’t have good health quality. The Karnali Zone is the most poverty-stricken area of Nepal. The five districts that make up this zone -- Dolpa, Humla, Jumla, Kalikot and Mugu, all come at the bottom of Nepal's district-wise human development index. The Karnali people suffer from widespread hunger, illiteracy, poor health, unemployment, and very low incomes. According to the UN's Human Development Report, the Karnali Zone is the least developed area in Nepal with very low indicators of human development. It is characterized by a annual disease epidemics and famines. Karnali has full of beauty but not a health.