Achham is one of the remotest districts of Nepal. It is accessible by automobile from
Kathmandu and
Nepalgunj via a paved road that runs along the western border of Nepal from
Dhangadhi. The
unpaved road of Mid-Hill Highway through Dailakh district also traverses to
Mangalsen by crossing Karnali at Rakam. Mangalsen, the district headquarters, is an eight-hour walk and a 2.5 hour drive from
Sanphebagar – a town in Achham sporting a non-functional domestic airport. A bridge crosses the Budhiganga River in Sanphebagar allowing access during high water, a second bridge over the Kailash River. During 2009/2010, the government of Nepal has constructed a paved road connecting Sanphebagar to Mangalsen. The district is served by two hospitals, the government district hospital in Mangalsen and one recently opened in Bayalpata named Bayalpata Hospital that is a collaboration between the government and the non-profit organization
Nyaya Health. ==Education==