Nepal (Rukum)
Location: Rukum District
Improved Outcomes for Maternal and Child health
This project will be a role model for improving the maternal and child health (MCH) situation in the project area through integrated health promotion and intervention at the facility and community level.
PARTNER: Human Development and Community Services (HDCS)

Rukum is a district in the Rapti zone, nearly 280km west of Kathmandu. The total literacy rate of the district is 54.1% with only 42.8% of female literacy rate – which is much lower than the national rate of 69.9%.

Goal of the Project

This project will be a role model for improving the maternal and child health (MCH) situation in the project area through integrated health promotion and intervention at the facility and community level.  It will be working in difficult and remote locations, dealing with highly vulnerable and marginalized communities. The project will help those who are mostly deprived of essential maternal and child health services in their community.

The components of health promotion include extensive health education sessions in the community among mothers’ groups. This improves the awareness and knowledge level of pregnant women and mothers. Awareness will be raised about the fact that early identification of complications in pregnancy can help to prevent maternal and child deaths as can malaria prevention measures – such as the use of bed nets.

In 16 targeted areas in the Rukum district, the goal by June 2020 is:

  • To reduce the maternal mortality rate by 10%
  • To reduce the infant mortality rate by 7%
  • To improve the health status of children under five.

Eight of these 16 communities have been reached with a similar project from 2015-2017, but are not yet ready for self-sufficiency.

Project Impact

Impact so far, both direct and indirect:

Direct:

  • 15,200 men and 17,000 women
  • 14,200 boys and 13,200 girls
  • 220 men and 160 women with a disability
  • 100 boys and 55 girls with a disability

Indirect:

  • 28,000 men and 28,500 women
  • 27,000 boys and 26,000 girls
  • 400 men and 550 women with a disability
  • 350 boys and 60 girls with a disability

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