USAID Nepal Family Health Program II Nepal Family Health Program II
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Maternal and Neonatal 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

NFHP II, USAID supports the Ministry of Health and Population (MoHP) conduct interventions to strengthen service delivery and pilot and expand innovative community-level approaches that aim to improve maternal and neonatal health (MNH).

At the central level, NFHP II supports the Family Health Division (FHD) run the secretariat for the National Safe Motherhood and Neonatal Sub-Committee (SMNSC) and develop policy, guidelines and standards such as the National Medical Standard for Reproductive Heath (Volume II and III); guideline for the national level scale-up of misoprostol for prevention of postpartum haemorrhage at home births and for the national-level scale-up of chlorhexidine for prevention of umbilical sepsis.

NFHP II helps strengthen the quality of maternal and neonatal care at health facilities by holding “MNH Updates” training sessions that provides health workers with selected skilled birth attendant (SBA) skills followed by additional updates on infection prevention practices and waste management skills. The MNH Update was initiated in 2009 by NFHP II in 2 districts and later expanded to 12 districts. In 2011, the FHD in partnership with other donor agencies and I/NGOs expanded it to all 75 districts.

Other support includes hiring of auxiliary nurse midwives, facility upgrades, on-site coaching and technical support visits to ensure continuity and quality of services at health facilities.

At the community level, female community health volunteers (FCHVs) are mobilized for demand creation to increase the utilization of MNH services. FCHVs promote key behaviors at the household level during pregnancy, delivery and post-partum periods, including those for neonates through the birth preparedness package (BPP). Based on successful pilots conducted with support from NFHP II, FCHVs are also involved in increasing the access of select community level services, such as the distribution of misoprostol for prevention of postpartum haemorrhage at home births and use of chlorhexidine for prevention of umbilical sepsis. NFHP II supports the expansion of the revised BPP with misoprostol in nine districts and provides technical support to partners for its expansion in 21 districts.

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