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Reproductive Health and Gender Equality

LIFE Nepal executed “The Complete Safe Motherhood Programme”. The programme had contributed to major outcomes i.e., i) sexual and reproductive health, ii) supply chain management policy and strategy development, iii) adolescents and youth, iv) gender equality and women’s empowerment, v) health, gender-based violence, and child protection system, and vi) population dynamics of UNFPA in Nepal.
Access
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Challenges
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– A roadmap for safe motherhood was developed by mayors, deputy mayors, elected representatives, and government officials during a workshop. Key focus areas included equipping birthing centers with skilled manpower, discouraging child marriage, and promoting ANC and PNC visits according to government protocols.
– A provincial health and nutrition cluster meeting emphasized achieving 100% coverage for Typhoid vaccination, managing near-expiry COVID vaccines, and setting indicators for safe motherhood and nutrition to declare the province safe for motherhood and malnutrition-free. Proper management of materials supported by EDPs in hospitals was also discussed.
– The Provincial Supply Chain Management Technical Working Group decided to improve COVID-19 vaccine data entry in e-LMIS, train store focal persons in all districts, ensure Oxytocin availability in birthing centers, and conduct focus group discussions on mental health and nutrition. Regular follow-up in palikas improved e-LMIS reporting in Madhesh Province.
– At the International Women’s Day rally, Hon. Pramila Singh and Mr. Keshab Prasad Bimali highlighted the need for coordinated efforts to combat gender-based violence and address women’s rights in Madhesh Province. The event encouraged integrated action among stakeholders in Dhanusha Districts.
– A MoWCYS thematic group meeting formed a technical team to update the RPM tool and GBV control guidelines. Regular virtual and physical GBV meetings were scheduled.
– Godaita and Gujara Palikas committed to co-financing the zero-home delivery campaign in the next AWPB, with newly elected representatives seeking guidance to declare a safe motherhood palika.
– The GESI policy was handed over to Kaudena and Gujara municipal leaders for discussion and approval, with regular follow-up needed for implementation.
– Rautahat OCMC committed to funding GBV referral mechanism orientation for ward executive members in palikas.
– An interaction program among policymakers, health providers, and community advocates identified gaps in family planning services for marginalized communities and emphasized equipping health facilities with modern methods of family planning.
– The third thematic group meeting agreed to finalize the GBV prevention guideline, prepare a GBV resource roster for Madhesh Province, and orient members on referral processes and case management against child marriage.
– In the RH/FP workshop, local representatives prioritized RH/FP programs, filling nursing staff vacancies, operationalizing FP services in birthing centers, and establishing BEONC sites with allocated budgets.
– Local youth activists, Ms. Kamli Sada and Ms. Kazal Jha, shared their experiences combating child marriage and GBV during a 16-day campaign.
– Local government executives were trained to use census data for evidence-based planning and decision-making, advocating for its best use in policy implementation.
Project Area:

Eight districts i.e., Saptari, Siraha, Dhanusha, Mahottari, Sarlahi, Rautahat, Bara, and Parsa of Madhesh Province

Target Group

Youth, adolescents, women, and local governments

Programme Duration:

February 2022-December 2023

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