 Nepal
COUNTRY OVERVIEW AND PROJECT BACKGROUND
According to the 2001 National Census, Nepal witnessed improvement in the FP sector in recent years, indicated by a dramatic rise in modern CPR from 28.8% in 1996 to 35.4% in 2001. Despite progress, results of the 2001 Census show a high population growth of 2.27 per year which suggests that the current population of 23 million is projected to increase to 38 million in 20 years. Recent DHS results show the unmet need for FP at 27.8%, indicating that more than 1.5 million Nepali women are not receiving needed services. In particular, the country’s terrain and cultural language diversity provide difficult barriers to reaching poor and marginalized populations who are most in need of reproductive services. Certain subpopulations in Nepal (e.g., Muslims and occupational castes/dalits) have lower FP user rates than the national average.
The goal of the HCP project is to extend the reach of the existing USAID bilateral, the Nepal Family Health Program (NFHP), to help women/couples from disadvantaged groups achieve their reproductive intentions. Based on the National FP/MCH Behavior Change Communication Strategy 2005-2009, the Department of Health Services/MOH has emphasized that a priority for the programs of external development partners is to extend health services to the poor and marginalized communities and increase access and demand for those services. In an effort to reach these populations, HCP and USAID/Nepal were awarded $1.2 million over three years (October 2003 through September 2006) through USAID/Washington’s Global Health /Office of Population and Reproductive Health (GH/OPRN) Flexible Fund Mechanism.
This project titled, “Sadbyabhar Swastha Pariwar,” utilizes four key strategies to increase access and equity to FP/RH services by marginalized groups in rural areas: (1) tailoring behavior change interventions specific to the cultures and languages of the target population; (2) community participation by forming provider and community partnerships to define quality of services; (3) strengthening NGO participation in the provision of quality services and demand creation; and (4) building sustainability to ensure that activities continue beyond the life of the project.
ACTIVITIES
STORIES FROM THE FIELD
RESEARCH REPORTS/PUBLICATIONS
- PLA/RLG Study Report: The study report tells about the effects of the PLA/RLG activities for promoting contraceptive use among the people of marginalized groups of Nepal.
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Final Project Report: The Final Project Report includes the strategies, interventions, monitoring & evaluation, lesson learnt, best practices, challenges and recommendation of the whole project period.
- Review Meeting Report: In the year 2005, to gather valuable feedback for the strategic design of phase II of drama serial, the local NGO and JHUCCP conducted review meeting in all districts.
- Facilitator Guideline: The facilitator guideline for facilitators who conducted discussion based on radio drama serial in local language.
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Results Framework
Note about materials: Some of the materials and resources listed on each page are available in their full form, others are represented by image or citation only. For more information and resources, go to www.jhuccp.org
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