At the beginning in 2007, the project was concentrated only in 2 VDCs in Kathmandu district (Daxinkali and Chhaimale). Nearly 7,500 women benefited, with significant outcome results compared to baseline study. The program concentrated in health promotion group’s formation and mobilization.
In 2012, the program was then expanded to Nawalparasi (preceded by stakeholder analysis and need assessment), a more challenging district because of poorer access to health and more extreme male domination. Data collected in December 2013 in Nawalparasi shows that maternal and child health indicators, as well as women’s rights indicators, are much worse than the national average. Also since the project implementation in this area, challenges with local health service provision and sanitation are being highlighted. Childbirth in these VDCs still mostly happens at home in unsanitary and unsafe conditions for the mother and newborn (70% of the women are giving birth at home and only 35% had a skilled birth attendant present (Dec 2013 data). This results in far higher rates of infant and maternal mortality rates than the National average in Nepal; 5.5% of women surveyed in Dec 2013 had a child die in the family within the last 5 years, and 1.2% experienced a maternal death in the family in the last 5 years.
VDC: Thulo Khairatawa and Bhujahawa
Total Population of project VDCs: 12,000
Women and children: nearly 8,000
Married Women of Reproductive Age: 2,539
VDC: Daxinkali and Chhaimale VDCs
Total Population of project VDCs: 10,000
Women and children: about 7,500
Married Women of Reproductive Age: 2,000