In Nepal, it is estimated that nearly one-third of all births are mistimed or unwanted, one-fourth of married women of reproductive age have an unmet need for family planning, and maternal mortality is 281 deaths per 100,000 live births – of which one cause is unsafe abortion. PSI provides the information and tools necessary for couples to space the births of their children, improving the health of the entire family. PSI/Nepal is working in partnership with the government, private sector and civil society to contribute to the reduction of maternal mortality and unwanted pregnancies among women in Nepal by increasing the access and availability of long-term contraceptive methods as well as safe medical abortion.
Nearly 20 million of Nepal's 28 million people are at risk of developing malaria.PSI/Nepal partners with the Government of Nepal to reduce the number of Nepalis at risk by offering prevention and control programs in 31 high and medium-risk districts. Programming goals include:
- Increasing awareness among those at risk of malaria.
- Educating adults and school-age children about the importance of early detection, diagnosis, treatment and prevention.
- Strengthening partnerships among key players such as government, schools, private sector and civil society.
- Partnering and training private sector health-service providers who have the capacity to quickly detect and effectively treat malaria.
- Distributing more than one million long-lasting insecticide-treated mosquito nets (LLINs) to families in high-risk districts, since 2006 and an additional 3.1 million LLINs by 2013.
The South Asia Regional HIV/AIDS Program funded by the Global Fund to Fight AIDS, TB, and Malaria (GFATM) under Round 9, is a five-year regional initiative to reduce the impact of HIV on men who have sex with men (MSM) and transgender (TG) populations in South Asia. The program is being implemented in seven South Asian countries: Afghanistan, Bangladesh, Bhutan, India, Nepal, Pakistan and Sri Lanka.
The focus of this multi-country program is to provide regional and national-level support to national responses to the HIV prevention, treatment, care and support needs of MSM and TG populations. The approach is to strengthen community systems for a more effective engagement in service provision, policy development, advocacy, and strategic information development and dissemination by MSM/TG populations themselves.
PSI Nepal is the Principal Recipient (PR) of this program. As PR of this program, PSI Nepal is playing a co-ordinating and oversight role, with the majority of the programme activities being undertaken by the Sub-Recipients and national partner organizations in seven different countries. PSI has established coordinating mechanisms for smooth operation of the program and ensures all program deliverables are met. PSI Nepal is also responsible for procuring health and drug-related commodities for distribution in Afghanistan and Pakistan managed by the Sub-Recipient, Naz Foundation International.
The objectives of the program are as follows:
- Improve the delivery of HIV prevention, care and treatment services for MSM and TG in South Asia;
- Improve the policy environment with regards MSM, TG, and HIV-related issues in South Asia; and,
- Improve strategic knowledge about the impact of HIV on MSM and TG populations in South Asia.
The phase one of the grant started from 1 January, 2011 for two years.
Although access to improved sources in Nepal has increased, the safety of household drinking water in Nepal is uncertain and household water treatment is rarely practiced. Access to safe water per household still remains low at 44%. Majority of households (85%) do not treat drinking water and they consider clear looking water to be safe to drink. Out of 13.3% of the total population who drinks treated water only 1.1% uses chlorine to treat their drinking water (NDHS 2006). Diarrhea is one of the leading diseases in Nepal which contributes to a significant increase (598/1000) in the incidence of diarrhea of children under five years in 2009/10 (DoHS). Prevalence of diarrhea is highest among children aged 6-11 months (22.6 %) and 12-23 months (19.6 %). PSI/Nepal has been promoting WaterGuard – a household chlorine water purifications solution which enables parents and caregivers to effectively purify and ensure the safety of their family’s water. Innovative Interpersonal Communication activities are organized in the community to address the misconception of ‘clear water is safe water’ and to generate awareness on the need to treat drinking water to prevent diarrhea.