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Family Planning ''Opportunities, challenges & Priorities in Nepal

by Public Health Update

Family Planning ” Opportunities, challenges & Priorities in Nepal


  • There is a stagnated CPR and unmet need remains high
  • Inequalities in accessing family planning (FP) and demand for FP
  • Proportion of long-acting and reversible contraceptive usage is low


  • Developed National Health Sector Strategy (2016-2020) and Costed Implementation Plan (CIP) (2015- 2020)
  • Data on FP and health services from national surveys (MICS, health facility survey 2016 and NDHS) available
  • Existence of strong national coordination mechanism (FP sub-committee)
  • Wide-spread demand generation interventions supported by many donors and government
  • Existing capacity for integrated FP services at Primary Healthcare Center(PHC)/Health Post(HP)
  • Expanding engagement of private sector in procurement and supply of contraceptives


  • Inefficient public procurement system, which creates delays for contraceptive procurement leading to frequent stock outs
  • Issues with quality of data: accuracy, adequacy, and time.
  • Quality of FP counseling services remains an issue
  • Lack of skilled health workers to provide quality FP


  • Effective advocacy with Parliament and Ministry of Finance to prevent budget cuts for FP and Ministry of
    Health to centrally position FP within the integrated service delivery; formalization of public-private
    partnerships and partnership with civil society
  • Expand LARC service sites and also training sites on quality FP (including in counseling)
  • Expand access to contraceptives among adolescents (including for unmarried adolescents) and
    marginalized populations (both rural and urban)
  • Improve health system mechanisms for procurement and supply-chain to ensure regular availability of
    commodities at service delivery points
  • Harmonize logistic data from various sources (LMIS, HMIS, etc) for realistic and accurate forecasting
The above analysis was originally developed by FP2020 focal points for Nepal in collaboration with the
FP2020 Secretariat and other partners during the Asia Focal Point Workshop in Bali, Indonesia in January
2016. FP2020’s focal point representatives are from the government and two donor organizations, usually
UNFPA and USAID, and serve as the key representatives of FP2020 in-country. They coordinate with each
other, the government, partners and other stakeholders, and the FP2020 Secretariat to drive progress on
the country’s family planning goals. These opportunities, challenges, and priorities serve as the foundation
of the shared agenda of action across the next 12- to 18-month horizon. (Original Source of information) 


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