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Birth Preparedness Package and MNH Activities at Community Level

Family Health Division (FHD) continued support for expansion and maintenance of MNH activities at community level which includes revised Birth Preparedness Package (Jeevan Suraksha Flip Chart and jeevan Suraksha Card) and Matri Suraksha Chakki (Misoprostol) distribution for prevention of postpartum haemorrhage (PPH) at home delivery focusing continuum of care from pregnancy, through birth and the post-partum period, including the newborn. Such community level activities promote strengthening birth preparedness and complication readiness (preparedness of money, SBA/ health facilities, transport and blood donors), promotion of key ANC/ PNC services (Iron, TT, Albendazole), self care in pregnancy and post-partum period (food, rest, no smoking and no drinking alcohol), identification and prompt care seeking for danger signs in pregnancy, delivery and port-partum period and education and distribution of Matri Suraksha Chakki for prevention of PPH at home delivery. This community level intervention has contributed to increase the service utilization in pregnancy, delivery and post-partum care including essential newborn care.

Rural Ultra Sound Program

The purpose is to timely identify the complication during pregnancy referral to the appropriated health facility for complication management. The program is piloted in Mugu and Dhading district. In this program a trained nurse use a portable ultrasound machine for scan purpose only.

Uterine Prolapse

In the last 4 years separate fund has been allocated for uterine prolapsed. Uterine prolapsed treatment and surgery operational guideline 2065 first revise 2066 has been developed and one focal person has been identified in the FHD. In the FY 2067/2068 approximately 14,041 surgeries have been performed. More than 7000 women have been treated with conservative management with ring pressirary.

Equity and Access Program (Samata Ra Pahunch Karyakaram)

The main objective of the program is to increase access to and utilization of safe motherhood and new born health services in selected VDCs of the program districts. The program is also expected to generate practical lessons to D/PHOs to facilitate community mobilization processes and to influence policy makers to scale-up the equity and access initiatives.

Emergency Referral Fund

The main objective of this program is to provide referral services to those women from poor, Dalit, Janjati, geographically disadvantage, socially and economically disadvantage communities who need emergency caesarean section (C/S) or communication management during pregnancy. To address this issue FHD has launched this program in five remote districts namely Dolpa, Humla, Jajarkot, Darchula and bajura. A total of two hundred thousand rupees has been allocated as seed money for each district to be used by a locally formed committee as per the guidelines.

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