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• Almost all (97 percent) health facilities in Nepal offer (that is, provide, prescribe, or counsel clients on) at least three temporary modern family planning methods. Government health facilities are more likely to offer modern family planning methods than private health facilities.
• Combined oral contraceptive pills, male condoms, and progestin-only injectables (Depo) are the most commonly offered family planning methods. Long-acting reversible contraceptives (implants and intrauterine contraceptive devices [IUCDs]) are offered at half of health facilities where family planning services are available.
• Virtually all facilities where family planning services are available are able to provide male condoms, oral contraceptives, and injectables to clients at the facility. However, only around one in five facilities where family planning services are available provide IUCDs and implants at the facility.
• Ninety-five percent of health facilities that provide family planning methods actually had every method they provide available on the day of the visit.
• Overall, 16 percent of the interviewed family planning service providers reported that they had received in-service training related to family planning in the 24 months before the assessment .
• Just over 1 in 10 family planning service providers have ever received in-service training on long-acting reversible contraceptive methods.
• Hand-washing supplies were seen in just over half of health facilities offering family planning services.
• Overall, the environment for family planning counseling is poor. Visual and auditory privacy and confidentiality were assured in only 6 percent of the family planning consultations observed in the survey.
• There was almost no discussion of sexually transmitted infections or condoms during observed consultations. Method-specific side effects were discussed in a little more than one in five consultations.

ANTENATAL CARE SERVICES

• About 98 percent of health facilities in Nepal offer antenatal care (ANC) services. 
• One in four health facilities offering ANC had at least one staff member who had received inservice training in ANC within the 24 months before the assessment. 
• Twenty-five percent of facilities had ANC guidelines available on the day of the assessment.
• More than half of facilities had soap and running water or alcohol-based hand disinfectant for infection prevention available at the service site on the day of the assessment.
• Ninety percent of health facilities had all essential ANC medicines (combined iron and folic acid tablets, and albendazole tablets) available for ANC clients.
• Almost half of all observed ANC clients were counseled on nutrition during pregnancy. One third of clients were advised on issues relating to the progress of their pregnancy. Two out of ten clients were counseled on importance of at least four ANC visits and on birth/planning/preparedness measures. 
• Seven in 10 ANC providers had received personal supervision in the six months preceding the survey.
• Two of every 10 facilities offering ANC provide at least some services for prevention of mother-to-child transmission (PMTCT) of HIV.
• Only 6 percent of facilities offering ANC had insecticide-treated nets available to give to ANC clients for malaria prevention.