Focus Area : NationalDonor : USAID
A unique model of public-NGO partnership, CFWC provides high quality family planning services to the general public and trainings to government, NGO and INGO personnel. Officially a training center of the Government of Nepal, CFWC was administered by NFCC and governed by a Management Committee comprising of representation from Family Health Division, National Health Training Center, USAID, NFHP II, Central Regional Health Directorate, Kathmandu District Health Office, UNFPA and other NGOs. CFWC followed the standard training modules of National Health Training Center, blending both the didactic and practicum. The annual training schedule was prepared by NHTC and a certain training quota for family planning methods and the number of trainees to be trained was allocated to CFWC in each fiscal year. The CFWC was one of the eight sites for a multi-country study "A Randomized Controlled Trial of Two Vasectomy Techniques". A collaboration between Engender Health and FHI, this study resulted in the adoption of a new non-scalpel vasectomy technique in Nepal. This technique was adopted for its' effectiveness and for ensuring a high success rate in permanent male sterilization.
Repair and Maintenance (RAM) Center
Focus Area : 20 districtsDonor : USAID
A unit offering repair and maintenance of equipment to health service outlets like hospitals, clinics, nursing homes, medical colleges etc., the RAM center helped public and private sectors improve the quality of services by ensuring that equipment used in service delivery are standardized and in proper working condition. Providing assistance and service all the way to the Sub-Health Post level (primary service delivery unit), the RAM center worked in twenty core program districts of USAID. In addition, 19 private, public and community hospitals, clinics and nursing homes inside and outside Kathmandu were part of the clientele of the RAM center.
Institutionalized Clinic and Training Center (ICTC)
Focus Area : Mid and Far Western NepalDonor : USAID
Akin to the CFWC, ICTC was owned by the government and administered by NFCC. ICTC was established as an outcome of the decentralization policy of the Government of Nepal taking factors like cost, accessibility and a host of other issues into consideration. ICTC imparted training to the public sector health care providers, NGO and INGO personnel based in the mid and far-western development regions of Nepal. Achieving remarkable success, ICTC followed standard training modules of National Health Training Center, which blends both the didactic and practicum. The annual training schedules are prepared by the NHTC and ICTC in turn received an annual training quota for each family planning methods and the number of trainees to be trained annually.
Nepal Social Marketing, and Franchised Project for AIDS, Reproductive Health and Child Survival
Focus Area : 49 DistrictsDonor : USAID
The NMARC Project was initiated with the primary objective to assist the Government of Nepal to:
• Increase the use of high quality family planning products and services by targets groups
• Increase the supply and use of maternal and child health products and services among target groups.
• Increase HIV/STI prevention practices, products and services among the most at risk groups.
Using its existing franchised networks, namely Sangini, SEWA (network of Nurse and Paramedics) and PSSN (network of Ob/Gyn), NFCC was primarily responsible for the following:
2. Technical Support Visit (TSV)
3. Monitoring and Supervision
4. Quality of Care.
Focus Area : 5 Districts Donor : USAID
To combat the problem of maternal mortality, the Ministry of Health and Population and Family Health Division developed a pilot project in 5 selected districts (Bardia, Banke, Rupandehi, Nawalparasi and Chitwan) where the efficacy of misoprostol in preventing postpartum hemorrhage would be studied. NFCC was responsible for the following:
1. Developing the training manual
2. Conducting trainings and orientations
3. Forming crucial Community Change Agents
4. Monitoring and supervision to ensure proper use of misoprostol.
This successful pilot is now a part of the National Safe Motherhood Program. The Family Health Division now promotes misoprostol as ‘Matri Surakcha Chakki’ for prevention of post-partum hemorrhage.
Adolescent Health Assessment
Focus Area : NationalDonor : WHO
An assessment of current and past adolescent health interventions and/or programs was conducted by NFCC as part of the GAVI HPV Vaccine Demonstration Project deliverables from Government of Nepal. NFCC was selected by the Family Health Division for this assessment. This assessment looked into work done by organizations in any capacity whether as a whole program geared towards adolescents or even small interventions or pilots such as knowledge sharing, training, IEC material development etc. It is expected that with the findings of this assessment, the Government of Nepal will be able to identify the ideal adolescent health intervention for co-delivery with HPV vaccination.
The STI project
Focus Area : Kathmandu ValleyDonor : USAID/FHI
This project was implemented in the Kathmandu valley for the high risk populace comprising of migrants workers, FSWs, MSMs and clients of FSWs. With outreach done through the peer method, client friendly static and mobile clinics were set up for service delivery. For the convenience of clients, mobile service sites were set up near their work sites. BCI Partners in all three districts of the Kathmandu valley were responsible for demand creation, client referral for treatment and follow up for regular checkups. In addition to the said target population, services were also offered for uniformed personnel like police and army who have been identified as a vulnerable group. Service sites followed Government of Nepal’s operational guidelines for treatment of STIs. Attention was given to ensure gender friendly services for the target beneficiaries.
STI and VCT Clinic in Chitwan and Banke
Focus Area : 2 DistrictDonor : UNDP/ Global Found
Supported by United Nation Development Program (UNDP) under the Global Fund, NFCC provided STI and VCT services to most at risk populations in two districts, namely Chitwan and Banke. Through this program, Peer educators were mobilized, clinics provided STI checkup and HIV testing to high risk groups.
Menstrual Health Hygiene & Rights Pilot Project in Saptari
Focus Area :15 VDC's Saptari DistrictDonor : UNICEF
The Menstrual Health Hygiene & Rights Pilot Project in Saptari District was implemented in 15 VDCs of the district. The objective of the program was to assess the level of knowledge and understanding of Sexual and Reproductive Health, Menstrual Hygiene Management and practices associated with Menstrual Hygiene Management among out of school adolescent girls from disadvantaged communities. All the said adolescent girls were GATE (Girl’s Access to Education) graduates. Sanitary napkin making training was also provided to the adolescent girls.
Focus Area: Far Western RegionDonor : USAID
NFCC conducted a Chhaupadi assessment for USAID/Nepal to identify best practices for the effective reduction of the negative effects of Chhaupadi tradition on women’s and girls. The geographic scope of the assessment was far and mid-western region of Nepal, where chhaupadi is widely prevalent. The districts selected were Achham, Kailali and Bajura. A major outcome of the assessment was a recommended program strategy detailing National level, District level and community level action plan for the mitigation of the negative impacts of chhaupadi in Mid and Far Western Nepal.
Development of Menstrual Health Hygiene Management & Rights package for FHD
Focus Area : National
Donor : Wateraid Nepal, Save the Children
NFCC developed Nepal’s first MHM package which was endorsed by the Family Health Division and Department for Education for integration into the School Health Program. The said package is expected to be rolled out in the 14 earthquake affected districts immediately and scaled up to all 75 districts in future. It is expected that the roll out of the said package will be in coordination and collaboration between the Family Health Division and the Department of Education.
HPV/VIA Cervical Cancer Screening Camp
Focus Area : 3 Development Region
Donor : University of Alabama at Birmingham
As part of the ongoing HPV study, HPV screening camps were conducted in three development regions, namely Eastern Development Region (Jhapa), Central Development Region (Lalitpur) and Far Western Development Region (Achham). All camps were conducted in close coordination with the local District Public Health Office. The Knowledge assessment questionnaires were conducted in all three camps to assess socio-demographic, reproductive health, HPV, cervical cancer and the HPV vaccine. Women provided self-collected and clinician collected cervico-vaginal specimens. Samples were analyzed in United States and results communicated to women by NFCC field worker. All HPV positive women were referred for VIA test in nearby hospitals. Comprehensive follow up was done via phones.
Using Mhealth Technology to ensure Continuum of Care in Cervical Cancer Screening in Kailali District
Focus Area : Kailali DistrictDonor : American Cancer Society/Conquer Cancer Foundation
To accomplish the goals of improving cervical cancer screening services and ensuring continuum of care, this program/study titled ‘Using mhealth technology to ensure continuum of care in cervical cancer screening in Kailali district of Nepal’ was awarded to NFCC by Conquer Cancer Foundation under American Cancer Society. This objective of this one year program is to evaluate and monitor the rate of follow up on referrals of cervical cancer screening using mHealth technology.
Strengthening the Continuum of Care through Quality Sexual and Reproductive Health Programming
Focus Area : Gorkha District Donor : International Medical Corps (IMC)
Strengthening the Continuum of Care through Quality Sexual and Reproductive Health Programming, is a one year IMC funded program, strengthening the SRH services post-Earthquake in 24 VDCs of Gorkha. The program aims to strengthen the government’s capacity to coordinate, manage and oversee an integrated continuum of care and support, and, will build the capacity of health service providers to provide comprehensive sexual and reproductive health services in their community.
The project addresses the sexual and reproductive health (SRH) needs of women and men of reproductive age in Gorkha district by first ensuring the availability and quality of Minimal Initial Service Package (MISP) services in health facilities. Furthermore, it will facilitate the transition of these service sites from provision of life-saving urgent care to comprehensive SRH services as soon as the situation allows.
Health Facility Assessment
Focus Area : 20 Districts Donor : Population Service International (PSI)
NFCC conducted a Health Facility Assessment for PSI Nepal. This assessment looked into availability of family planning services, Infection Prevention materials and trained human resources in family planning in health facilities of 20 districts. In this 3 month long assessment all the districts from five development regions were covered.
Ruby Cups for Girl's and Women's in Nepal
Focus Area : National
Donor : Open Source
NFCC along with an individual researcher Anne Kukuczka, Free University of Berlin, Germany introduced menstrual cups to women and girls of Sisneri VDC, Makwanpur District. This eight month longitudinal study looked at the acceptability and uptake of menstrual cup among adolescent girls and women. It also examined differences in usage and acceptability of menstrual cups among adolescent girls and women. The third follow up was interrupted due to the April earthquake.