USAID Nepal Family Health Program II Nepal Family Health Program II
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Child Health

JSI Research & Training Institute, Inc. successfully implemented the Nepal Family Health Program II for the U.S. Agency for International Development from 2007 to 2012. For further information on project activites, visit the NFHP II page on

On average, 54 children per thousand live births die before their fifth birthday in Nepal, the leading causes of which include pneumonia, diarrhea, measles, malaria and malnutrition. Likewise neonatal infection, birth asphyxia, low birth weight and hypothermia are the main causes of neonatal death.

To help the Ministry of Health and Population (MoHP) reduce childhood mortality and achieve MDG 4, NFHP II concentrates its efforts on community based integrated management of childhood illnesses (CB-IMCI) community based neonatal care program (CB-NCP) and the semi annual vitamin A supplementation of under five children. This support includes implementing and maintaining neonatal and child health programs to ensure all children have access to quality services even in the most remote areas of the country. Additional support include implementing the use of zinc for the treatment of diarrhea through the public and private sectors.

The CB-IMCI program of Nepal is well-recognized because of its strong community case management components in which peripheral health workers, particularly the female community health volunteers ( FCHV), treat pneumonia and diarrhea in under 5 children. Evidence shows that more than 60% of ARI and 52% of diarrheal cases in 2009/2010 were managed by FCHVs. NFHP also helps other donors and partners implement this program. CB-IMCI was successfully implemented throughout the country by 2010.

Reduction of neonatal mortality remains a major challenge for the health system of Nepal. To address this, the MoHP and its partners developed a community based neonatal care package (CB-NCP), which focuses on seven major components: behavior change communication, promotion of institutional delivery, postnatal follow up, management of infections, low birth weight, hypothermia and birth asphyxia. CB-NCP was implemented in 10 districts from 2009 as a pilot and gradually expanded to 25 by 2011. NFHP II provided financial and technical support to expand this program in 4 districts.

The semi-annual vitamin A supplementation program is another highly successful program in Nepal, with high coverage and impact on child mortality - coverage over the past 5 years has consistently been above 95%. During this twice-yearly event, children also receive de-worming tablets to prevent childhood anemia.

To learn more about NFHP's work in maternal and child health, go to our Resources.