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