| Guidelines for safe motherhood in remote areas |
To help address the particular difficulties women in remote areas experience in accessing maternity care, the government has produced a set of Remote Area Guidelines, based on inputs from key safe motherhood partners and experts. The aim is to ensure women living in remote areas have access to professional care during pregnancy and delivery, and in the event of complications are able to reach life-saving emergency services in time. In view of the low population densities in mountain and hill areas, it is not practical to provide sophisticated emergency obstetric care locally, and even normal delivery services are constrained by severe shortages of skilled staff. The guidelines therefore cover a range of practical interventions, such as improving local health facilities, increasing provision of outreach clinic services, establishing maternity waiting homes near health facilities so that village women can stay within easy reach of care prior to the birth, home based preventative measures (including misoprostol), emergency transport arrangements (including reservation of aircraft seats for obstetric emergencies) and establishment of emergency funds. .... |
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| Revised National Guidelines for implementation of the new Aama Programme |
The Ministry of Health and Population has recently revised the national guidelines for implementation of the new Aama Programme, which combines free delivery care for all women at all public health facilities with safe delivery incentives to help them with their transport costs. Selected non-government facilities, such as missionary and non-profit NGO hospitals and some medical colleges, are also included. These guidelines are intended to help central level programme planners and district and health facility staff to ensure the programme is properly managed for the benefit of women. .... |
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| CAC Site Listing Process |
Guidelines for listing health facilities as official providers of safe abortion services. .... |
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| Aama Programme Guidelines |
On 14th January 2009, the Government of Nepal launched a new programme that aims to save maternal and newborn lives by encouraging more women to deliver their babies in a health facility. The programme, called Aama (meaning mother in Nepali), combines free delivery services at any public health facility with the Safe Delivery Incentives Programme (SDIP) already in place. The SDIP provides women who deliver in a health facility with a lump sum payment to help offset their travel costs. These national guidelines give details of the provisions under the programme. Aama was based on the experiences with the SDIP, which was shown to have been successful in increasing the number of women delivering in a health facility, especially in 25 low human development index districts, where free services were given with the incentives. .... |
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| Operational Guidelines on Incentives for Safe Delivery Services 2062 |
In order to reduce the existing high maternal and neonatal mortality rates in the country, His Majesty\'s Government of Nepal (HMG/N) has promulgated a cost sharing scheme to increase the access of women to safe delivery services (in health facilities or at home) and to mobilise skilled birth attendants to provide home based delivery services. The scheme will provide incentives to pregnant women and skilled birth attendants (SBA) and subsidies to health institutions for births assisted by SBAs. These guidelines have been developed to facilitate the process of distributing the incentives to beneficiaries, SBAs and health institutions in an easy and systematic way. .... |
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