The Nepal Safer Motherhood Project (NSMP) supports the development
of His Majesty's Government of Nepal's (HMGN's) National Safer
Motherhood Plan and policy in two main ways:
- By using the experience of implementing its district-level
programmes to influence the government's thinking, planning
and policy development. This approach is called 'rooted advocacy'.
- By supporting initiatives of emerging importance that,
though sometimes unrelated to current district-level experiences,
are critical for the long-term development of the sector.
An example is promoting the safe
able to achieve these strategies due to its high levels of
internal technical expertise, combined with an excellent working
relationship with HMGN's Health Divisions.
The strategies have led to some significant changes. For example,
the role of nurses
and paramedics has been expanded to providing emergency
obstetric care (EmOC) by:
NSMP has also had significant influence
on health sector planning. This includes making a major contribution
to HMGN's 15-year Strategic Plan for Safe Motherhood and supporting
the establishment of a national Essential Obstetric Care (EOC) monitoring
system that includes a national maternal
death audit compiled from district level data.
In addition, the project helped to develop a national Safe Motherhood
Information, Education and Communication (IEC) strategy, piloted
a BEOC course for medical officers
and developed National Infection Control Guidelines.
In December 2003, abortion became legal in Nepal, with NSMP a
leading advocate, researcher and contributor to the discussions.
The project also currently supports the Technical
Committee for the Implementation of Comprehensive Abortion Services
addition to its work in Nepal, NSMP has been an active player at an international level. Project staff
have presented papers at several major international
conferences, hosted technical meetings and established important
links with many other sectors and networks.
2004 will see the Department for International Development (DfID)
continuing to support safe motherhood in Nepal with a 5-year programme
of support for the implementation of the Nepal National Safer Motherhood
Plan. This will also be managed by Options.