| Reflections on Experiences in Safe Motherhood |
Outlines experiences of SSMP in supporting the Nepal government in the development of evidence based policies and planning in safe motherhood, with particular emphasis on skilled birth attendance, overcoming cost barriers for women seeking obstetric care, safe blood supplies and physical assets maintenance. .... |
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| Implementing the Essential Maternal and Neonatal Health Care Package |
| The essential MNH package was developed by the government of Nepal, with support from
partners, including SSMP, as a part of the national effort to improve maternal and neonatal
health outcomes by ensuring a basic range of services at appropriate levels of health facility
and at community level. International evidence supports this as an effective intervention, and it
is already being used as a reference in developing training curricula and programme plans, for
example in the skilled birth attendants training strategy. However, the major challenge will be to
implement the package across the country. This will require extending services at peripheral levels
and providing additional training to staff, which have huge cost implications. A comprehensive
strategy will be required, with detailed costing exercises, which SSMP will need to be involved
in supporting..... |
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| Scaling Up Maternal and Neonatal Health Care in Nepal |
A sustainable health service is one that is guaranteed on an uninterrupted basis, even if it has to be financed from external sources. This is the only way that sustainability can be regarded in the context of a fragile state such as Nepal. Scaling up is not only about funding; it is also about the capacity to implement a major programme of development; to manage change; to deliver services and ensure that people can use them. .... |
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| Physical Assets Management |
| Well planned and managed infrastructure is a must for creating an enabling environment for
better health services and for the retention of human resources. The support being provided
by SSMP in this respect is described; firstly in terms of ongoing construction projects. The
effects of budget capping by DfID have been to some extent mitigated by provision of government
funding. The technical support being provided from SSMP in the whole process of
infrastructural development is described; this work is based upon the need to ensure that
SSMP-funded construction projects go ahead promptly and to a good standard. However
where possible, a systematic approach to improving construction practice and standards in
general is taken. A comprehensive set of proposals for the ways in which SSMP can take
this work forward, are set out..... |
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| Social Inclusion under the Equity and Access Programme |
The Support to the Safe Motherhood Programme equity and access component is addressing social inclusion at both central and district/ community levels. In eight selected districts social inclusion approaches and activities are managed by the contracted equity and access agency, ActionAid Nepal, through district based partner organisations. Other partners, United Mission to Nepal and UNICEF are also implementing community based access activities in the districts where they provide service strengthening inputs. At central level, policy and institutional development support is provided, with the aim of ensuring that in the future social inclusion is an integral part of government programming in health, managed through government institutions and public private partnership arrangements. In view of the government history of focusing on universal service provision, this will provide significant challenges which may extend beyond the life of the programme. .... |
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