Overview

This is a three-year project aimed at addressing critical health challenges faced by women, children, and adolescent girls in western Nepal. The project is implemented in Tribeni Municipality, located in Bajura District of Sudur Paschim Province.

The project seeks to enhance access to sexual and reproductive health (SRH) services, including family planning, through a dual approach: improving the quality of care and promoting community-based health education.

By the end of the project at least 5,000 women, new-born, children and adolescents will have access to maternal neo-natal child health and family planning services with 30% increase in service utilization and at-least 85% client satisfaction.

The initiative will promote equitable access to SRH services for all, particularly marginalized populations, by mobilizing local health workers and community volunteers.

Key Areas of Need

• Poor Health Service Provision
• Poor Care-Seeking Practices
• High Prevalence of Reproductive Health Problems
• Improper Health Education in Schools and Communities
• Discriminatory Practices
• Adolescent Health Issues
• Low Capacity of Health Workers and Lack of Continuous Medical Education

Project Goals

The project aims to improve the health outcomes by ensuring equitable access to high-quality maternal, newborn, and child health care.

1. Strengthening delivery of safe, hygienic, and reliable MNCH and family planning services through improved health system infrastructure, capacity, and coordination.
2. Increasing access to high-quality MNCH and family planning services , enabling more women to utilize essential healthcare services effectively.
3. Expanding access to health services, including family planning through community-based health promotion measures.

Key Activities

Outcome I: Health System Strengthening

• Upgrade existing health infrastructure to provide safe, hygienic environments.
• Supply essential medical equipment and consumables to Health Posts.
• Train and support health workers and Health Facility Operation & Management Committees (HFOMCs) in WASH facilities, infection prevention, waste management, birthing services, family planning, and maternal care.

Outcome II: Service Quality Improvement

• Deploy trained nurses to remote villages to deliver ultrasound,anemia screening, and urine protein testing.
• Conduct Visual Inspection with Acetic Acid (VIA) screening programs for women of reproductive age.
• Provide support for the management of uterine prolapse, including integration of traditional healing approaches.
• Partner with referral facilities to reduce barriers in accessing higher-level care

Outcome III: Community-Based Health Promotion

• Conduct regular meetings for FCHV and health mother group.
• Develop and distribute health information booklets
• Conduct Male Health Promotion Group meetings
• Strengthen the capacity of HFOMCs to monitor Health Posts, and maintain regular management oversight.
• Collaborate with Rural Municipalities for ensuring the long-term sustainability of services

Teams and Partners

Funding Agency: Else Kröner-Fresenius Foundation (EKFS) and Karuna Deutschland e.V

Implementing Agency: Green Tara Nepal