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Family Planning ” Opportunities, challenges & Priorities in Nepal
COUNTRY CONTEXT
- 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
OPPORTUNITIES
- 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
CHALLENGES
- 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
PRIORITIES
- 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)
RELATED POSTS
- Family Planning: Empowering People, Developing Nations – World Population Day 2017
- National Family Planning Day (18- Sep 2016)
- Family Planning 2020 (FP2020) Commitment, Nepal
- National Family Planning Costed Implementation Plan (2015-2020)
- #National Family Planning Day (18th Sep 2015)
- National Family Planning Day sep 18th 2014
- Nepal Demographic and Health Survey 2016 Key Indicators Report
- Key findings – The 2015 Nepal Health Facility Survey (2015 NHFS)
- 2016 Health SDG Profile: Nepal
- Sep 26 Every Year !! World Contraception Day
- 2011 Nepal Demographic and Health Survey (NDHS)
- National Female Community Health Volunteers (FCHVs) Program
- National Family Planning Program, Nepal
- Family Planning ” Opportunities, challenges & Priorities in Nepal
