Program Office

PSI/Nepal
Naya Bato, Dhobighat, Sanepa
Lalitpur, Nepal

GPO Box: 21976

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Phone: +977-1-555-3190
Fax: +977-1-555-0619
info@psi.org.np

Nepal

Nepal is rich in culture, but challenged by an unstable political climate, a high incidence of natural disasters and mountainous terrain. Most Nepali people live in remote villages that are difficult to reach and lack public health services. As a result of these challenges, the landlocked country in South Asia faces several major health issues, such access to safe water, adequate nutrition and infectious disease prevention/treatment.

When PSI/Nepal launched in 2002, it focused on HIV/AIDS prevention, child survival and family planning. Today, PSI/Nepal’s programs include:

  • Reproductive Health and Family Planning;
  • Malaria prevention, control and treatment;
  • HIV/AIDS prevention; and
  • Safe water education.

PSI’s efforts to reach children in Nepal are especially salient because children under 5 years old account for nearly a quarter of all deaths.1 PSI’s efforts are also greatly needed to fill governmental funding gaps – especially in rural areas. One-third of Nepali people live below the national poverty line, yet social security for health care is limited and governmental expenditures for health care are insubstantial.2 As a result, nearly three-fourths of the country’s healthcare needs are addressed though by private sources.3

  1. 1. World Health Organization: Nepal Country System Profile.
  2. 2. World Health Organization: Nepal Country System Profile.
  3. 3. World Health Organization: Nepal Country System Profile.
Health Areas

Diarrheal Disease, HIV, Malaria, Reproductive Health

Health Impact

PSI/Nepal estimates that in 2011, its products and services helped avert:

  • 15,739 Reproductive Health DALYs1
  • 1,357 Child Survival DALYs
  1. 1. The DALY (Disability-Adjusted Life Year) is a widely-used, credible metric that was first developed by the World Bank and is now routinely relied upon in the public health community.
Improving Health in Nepal

Reproductive Health

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.

Malaria

Nearly 20 million of Nepal's 28 million people are at risk of developing malaria.1PSI/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.

HIV Prevention

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.

Safe Water

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.

  1. 1. Source: World Health Organization: Malaria Situation in SEAR Countries (2007).
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Partners

  • Government of Nepal Ministry of Health and Population
  • Department of Health Services, Epidemiology and Disease Control Division
  • Other local agencies