Nepal Family Health Program (NFHP)

Dates: 2001-2007

Country: Nepal

Client(s): USAID

Services: Assessment, Monitoring, Evaluation, and Research, Technical Assistance, Quality Assurance and Improvement, Capacity Development

Technical Expertise: Family Planning & Reproductive Health, Health Care Waste Management, Social and Behavior Change, Health Supply Chain Management, Health Systems Strengthening, Human Resources Management, Maternal Health, Newborn and Child Health , Nutrition


The Nepal Family Health Program (NFHP) was a six-year bilateral activity funded by the United States Agency for International Development/Nepal (USAID/Nepal) and implemented by JSI Research & Training Institute, Inc. (JSI).

NFHP was designed to support the Government of Nepal's long-term goal of reducing fertility and under-five mortality within the context of the National Health Policy and the Second Long term Health Plan 1997-2017. The focus of NFHP was on strengthening the government's health service delivery system by ensuring the provision of a basic package of quality FP/MCH services at every level of the health care system, especially at the community level.

The Ministry of Health and Population (MoHP) public sector health care network is extensive: 89 hospitals, 186 primary health care centers (PHCC), 698 health posts (HP), 3129 sub-health posts (SHP), 16,219 immunization outreach clinics, 14,512 PHC outreach clinics, 380 mobile outreach VSC sites, and 48,352 Female Community Health Volunteers (FCHVs). Thus, the public health care system in Nepal has the potential to provide health care throughout the nation. However, it faces a number of obstacles, including accessibility difficulties due to the terrain in the middle hills and mountain regions, inadequately trained and supervised staff, and inconsistent supplies of essential drugs, resources and equipment. NFHP focused on strengthening key national programs and systems and attempts to fill the gaps mentioned above.

NFHP supported the MoHP through four coordinated, inter-linked and mutually supportive components:

  • Strengthened delivery and use of high-impact family planning and maternal and child health (FP/MCH) services delivered at household and community levels;
  • Strengthened capacity of District Health Offices (DHO) to support delivery of community-based interventions, and the increased use and enhancement of quality comprehensive FP services;
  • Strengthened capacity of national-level programs to support district health systems, comprehensive FP services, and community-based FP/MCH programs; and
  • Provision of technical support to the MoHP to strengthen national-level programs: FP, Vitamin A, community-based integrated management of the childhood illness (CB-IMCI), maternal health, behavior change communication (BCC), logistics management information system (LMIS), FCHV program, and pre- and in-service training programs.

Thus, NFHP support ranged from national level to district and community levels. Intensive support was focused on 17 core program districts (CPDs), with CB-IMCI program-specific support provided to another seven districts. The 17 CPDs stretched from east to far west Nepal, mostly in the flat terai region, with two districts located in the mountain region.

NFHP ran from December 2001 to December 2007 and was implemented by partners with considerable experience working with Nepal's health services; JSI, EngenderHealth, Johns Hopkins University/Center for Communication Program (JHU/CCP), Johns Hopkins University Program in International Education on Reproductive Health (JHPIEGO), CARE, Save the Children/US (SC/US), Nepal Fertility Care Center (NFCC), Nepali Technical Assistance Group (NTAG), Management Support Services (MASS), and ADRA. JSI and partners are currently implementing the follow-on NFHP II project.


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