Providing Quality Reproductive
Health in Nepal
90% of Nepal's population of 23.6 million live in rural
areas and small villages. Half live on two dollars a
day or less. The maternal mortality rate is 539 per
100,000 live births, the highest rate in South Asia.
More than half of all births occur at home without the
benefit of qualified birth attendants or doctors.
appropriate, quality reproductive health services under
such conditions is a major challenge. Although the contraceptive
prevalence rate is close to 40%, sterilization still
accounts for more than 60% of family planning methods.
The unmet need for family planning is close to 30% and
growing since more than one-fifth of the country's population
is comprised of adolescents under the age of 21.
project has three overall objectives:
understanding of the role of informed demand in efforts
to improve the quality of reproductive and sexual
health care provided in government, NGO and private
commitment and support at both national and international
levels for disseminating lessons learned from project
sources of funding for Phase II activities.
the national level the project aims to: 1) assess existing
knowledge regarding the quality of reproductive health
care, especially the role of organized women's groups
in influencing the quality of care provided; and 2)
develop and disseminate a comprehensive national strategy
for ensuring quality reproductive health information
the local level the project will: 1) facilitate participatory
approaches in the provision of reproductive health;
2) enhance ability of service providers to provide appropriate,
sensitive reproductive health care for women; and 3)
better integrate reproductive health concerns and improve
the quality of care delivered through community involvement
in the formation of local health committees, savings/credit
clubs, and micro-insurance schemes.