USAID Nepal Family Health Program II Nepal Family Health Program II
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Community Health Workers

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

National Female Community Health Volunteers

Nepal has one of the most successful community health volunteer programs in the world. The national Female Community Health Volunteer (FCHV) program was introduced in 1988 by the Ministry of Health and Population. FCHVs cover all communities in Nepal, and generally are responsible for 100-150 households. They do not receive pay for their community service but their contribution is recognized in various ways by the government and their communities. Attrition has been very low — less than 4% per year. FCHVs contribute to Nepal's goals of reducing unmet need for family planning, under-five child mortality and maternal mortality rates.

There are about 49,000 FCHVs throughout Nepal. Most are not literate, but they serve as a grass root health resource, providing community-based health education and services in rural areas, with a special focus on maternal and child health, as well as family planning. They play a significant role in the biannual distribution of vitamin A capsules, National Immunization Days, distribution of family planning commodities, and oral rehydration salts. They also provide community-based treatment of acute respiratory infections (including use of antibiotics) and referral to health facilities in program districts.

NFHP II provides technical assistance to the national FCHV program, supports various trainings at community and central levels, and assists government counterparts with strategic planning, strategy revision, guidelines, and development of training materials.

To learn more about NFHP's work with community health workers, go to our Resources.