Nepal Safer Motherhood Project - Working to improve the Utilisation of Quality Midwifery and Essential Obstetric Care Services in Nepal Visit the DFID Website HMGN logo

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Effect of Conflict on Access to SM Services

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Working in Conflict

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Working in Conflict

 

Nepal's current civil conflict poses special challenges to the Nepal Safer Motherhood Project (NSMP). The security situation varies from district to district. As such, assuring the safety of project and partner staff requires that each situation is monitored and evaluated individually, using a common assessment framework.

 

This assessment highlights issues about NSMP's work. If, for example, people will not gather at night to discuss safer motherhood issues because of fear of attack, the project must find other means of disseminating information.

 

Evaluating the Security Situation

NSMP project staff in each district or cluster of districts report all security incidents and rumours to a central Coordinator in the project's Kathmandu office who monitors the situation and evaluates it against a standard set of security indicators . These include:

 

  • Psychological, physical or financial threats against project staff.
  • Inappropriate requests about project assets or equipment.
  • Evidence of negative impact on the project's activities.
  • Increases in the number of security-related incidents.
  • Decreases in the ability of partners to implement their planned activities.

 

Re-evaluating Programme Efficacy

NSMP continuously re-evaluates its programme. This is particularly the case when activities have to be cancelled, partner groups are unable to implement activities, there are increased vacancies among sanctioned health posts, staff refuse to work outside the district centres or routine services are disrupted.

 

Through discussions with partner groups and local stakeholders, alternative solutions are explored, such as the re-allocation of resources to print and radio media in order to continue the promotion of safe motherhood messages and avoid exposing partners and communities to increased security risks.

 

front of a building that has been bombedAssuring Staff Safety

All NSMP field staff have received training in security management, risk management and negotiating skills, following the principles of 'Do No Harm'. Understanding that locally employed staff may be more acceptable to local stakeholders than 'outsiders' from other districts, and may benefit from greater levels of security, the project has stepped up its efforts to recruit qualified local staff, especially in areas heavily affected by the conflict.

 

Day to Day Security Measures

These include:

 

  • Staff carrying a letter issued by NSMP that identifies them and clearly states the project's health related purpose.
  • Staff carrying an NSMP identification card.
  • Security guidelines that are regularly updated and disseminated to each project office.
  • A crisis management plan for each district.
  • Satellite telephone systems for the most remote districts where communications may be difficult in an emergency.

 

A code of conduct advises all staff in areas such as communication, use of familiar language, dress, punctuality, transparency in working relations and personal behaviour, gossip or talk about politics and misuse of authority.

 

NSMP's Working Principles

NSMP's resources and equipment are used solely to benefit the community. The project never willingly donates or contributes money to political parties or military groups or reimburses staff for such payments. NSMP is fully transparent in its operations and accountable to the communities it supports. It recognises the fundamental rights and freedoms of all individuals and the need to resolve conflict in non-violent ways.

     
 

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