In Richtung “Gesundheit für alle“ in der Karnali-Region

Contract partner: Phase Austria - Practical Help Achieving Self Empowerment Country: Nepal Funding amount: € 299.300,00 Project start: 01.09.2023 End: 31.08.2026

Short Description:

Overall goal

The project aims to achieve better access to and quality of primary healthcare for the population of one rural municipality in Mugu District, Karnali Region, Nepal, with a focus on maternal and child health, (adolescent) reproductive health, and non-communicable diseases.

Expected results

1) Increased access to maternal and child healthcare services as well as increased awareness of and improved practices related to maternal and child health;

2) Increased access to reproductive and adolescent healthcare related services as well as increased awareness on adolescent and reproductive healthcare;

3) Increased access to services and awareness related to non-communicable diseases (NCDs) including mental health;

4) Increased access to primary health care services and increased patient satisfaction with it, as well as better management of basic essential medicines and medical equipment by government staff.

Target group / Beneficiaries

The potential direct beneficiaries include the total population, i.e. 10,988 inhabitants, of the 5 project locations (9 out of 11 wards of Soru Rural Municipality).


The project will support the primary health facilities by placing additional staff in the project region, who will work with government health workers in day-to-day healthcare provision, conduct outreach activities to ensure access for all and identify patients, conduct a variety of health-related orientation workshops and meetings with stakeholders to raise awareness and build capacity, conduct different community-oriented activities with individual groups (school children, pregnant women) on health-related issues, and conduct activities aimed at the community as a whole to raise awareness of specific issues like maternal and reproductive health, NCDs or mental health. Participating health facilities will additionally be supported with medicine and consumables.

As a flanking measure, 200 adolescents in the target area will participate in a Girls’ Empowerment programme to increase knowledge of reproductive health, gender equity and other related issues.


The proposed project region is one of the poorest and least developed regions in Nepal, with 28.9% of the province’s population living in absolute poverty and 51.7% multidimensionally poor. Healthcare provision in the region is insufficient and hampered by a lack of capacity and knowledge as well as by a lack of awareness within the population. Malnutrition among children is widespread (in a recent survey by PHASE Nepal, 26.3% of children were found underweight for age), and in the past year, there were 3 preventable maternal deaths. Teenage marriage and pregnancy are ongoing problems. However, with a beginning demographic shift and growing importance of NCDs, quality primary care is becoming ever more important. Provision of medication for NCDs is a problem, and the government initiative of introducing the Package of Essential NCD treatments (PEN) has not reached this remote area. PHASE has been active in the area since 2016, and closely cooperates with local and regional authorities, implementing and sup-porting government health strategies. The proposed project also aligns with the four strategic priorities for WHO cooperation in Nepal 2018–2022.

ADC-co-financing rate: 47,72%

project number 2319-02/2023
source of funding OEZA
sector Basisgesundheit
modality Project-type interventions
marker Gender: 1, Reproductive health: 1, Poverty: 1
  • Policy marker: are used to identify, assess and facilitate the monitoring of activities in support of policy objectives concerning gender equality, aid to environment, participatory development/good governance, trade development and reproductive, maternal, newborn and child health. Activities targeting the objectives of the Rio Conventions include the identification of biodiversity, climate change mitigation, climate change adaptation, and desertification.
    • 1= policy is a significant objective of the activity
    • 2= policy is the principal objective of the activity
  • Donor/ source of funding: The ADA is not only implementing projects and programmes of the Austrian Development Cooperation , but also projects funded from other sources and donors such as
    • AKF - Foreign Disaster Fund of the Austrian federal government
    • BMLFUW - Federal Ministry for Agriculture, Forestry, Environment and Water
    • EU - Funds of the European Commission
    • Others - various other donors are listed in ADA’s annual business report.
  • Type of Aid – Aid modalities: classifies transfers from the donor to the first recipient of funds such as budget support, core contributions and pooled programmes and funds to CSOs and multilateral organisations, project-type interventions, experts and other technical assistance, scholarships and student costs in donor countries, debt relief, administrative costs and other in-donor expenditures.
  • Purpose/ sector code: classifies the specific area of the recipient’s economic or social structure, funded by a bilateral contribution.
  • Tied/Untied: Untied aid is defined as loans and grants whose proceeds are fully and freely available to finance procurement from all OECD countries and substantially all developing countries. Transactions are considered tied unless the donor has, at the time of the aid offer, clearly specified a range of countries eligible for procurement which meets the tests for “untied” aid.