PLAN, an international child centered community development organization, working with children, their families, communities, organization and governments of the developing countries had initiated the MNCH Program in Nepal after the devastating earthquake, especially focusing the in two majorly affected districts (Sindhupalchok, Dolakha) along with its Partner Lifeline Nepal which has been providing technical and managerial assistance to government programs in health , education and agriculture primarily focusing on remote , hard to reach areas to promote lives of marginalized and disadvantaged population.
The emergency response in the two districts (Sindhupalchok and Dolkha) included the immediate RH, WASH and nutritional assessment and interventions, prevention of maternal, newborn morbidity and mortality through unhindered access to basic & emergency obstetric care for ANC, safe delivery and postnatal care. Screening of children for the identification of severe acute malnutrition and referral to OTP centers had also been done at the community level through the home visits and BCC sessions.
Plan Nepal/Lifeline Nepal has envisioned to support result oriented essential actions on MNCHN that encompass proper sanitation and hygiene including latrine facilities, access to clean water and hand washing practices, clean delivery as well as essential breast feeding of new born, infants and young child feeding, their growth and development and appropriate nutritional care of both mother and child through home visits, BCC sessions and institution services at HFs.
Project districts: Dolakha, Sindhupalchowk
a) To resume basic health services in the earthquake affected communities of 16 VDC in Dolakha and 13 VDC in Sindhupalchok districts focusing on pregnant & lactating mothers including under five children as
• Irish tent
• Temporary toilet for tent.
• Water tank for storage (500 litre)
• Water tank for hand washing (200 litre)
b) The purpose is to improve the status of maternal and child health through balancing between the institution services at health facilities and community actions through home visit together for effective MNCHN promotion in the community.
c) The objective is to make quality MNCHN services at health facility and provide essential actions through home visit focused on safe delivery, new born baby and nutrition care and actions.
d) To improve the household health and nutrition behaviors
e) To improve water sanitation and hygiene behaviors and practices (BCC Session)
• Being a partner NGO, Lifeline Nepal had worked for four months at 13 VDCs of Sindhupalchowk and 16 VDCs of Dolakha in order to enhance the Community actions through home visit, nine hundred ninety five in Dolakha and seven hundred sixty one in Sindhupalchowk district were focused for functional health seeking behavior and referral system to utilize the institutional services at HFs.
• BCC sessions (fifty four in Dolakha, thirty three in Sindhupalchowk) were conducted among the pregnant, lactating mothers & under five children mothers after ANC/PNC mapping and neonatal assessment through brochures and running nutritive cooking session at CFS.
• Resumption of health services was done after RH assessment of the Health Facilities by providing one hundred seventy five Irish tents.
• Six hundred sixty two Clean Delivery kit as well as Seven Hundred Eighty Five Neonatal kit has been provided in order to prevent morbidity and mortality rate.
• BCC session was conducted throughout the program which has been further improved through delivery of five hundred warm clothes to the postnatal mothers and newborns, mothers group meeting by the FCHVs in the ward level,
• Delivery of the equipments such as cupboard, plastic chair, plastic bucket, plastic table to the health facilities, construction of the WASH facilities (temporary toilet in twenty three health facilities and water tank frame in twenty six health facilities of both working districts).
• Counsel 1,000 days women including mothers of under five children on maternal, infant and young child nutrition (MIYCN)
• Organized meeting and workshops with FCHV and Mother’s group at health facility to share the programs and collect information about ANC, PNC, & under five children and made community level awareness ceation activities Plan.
• Dissemination of MNCH promotional messages was done through five F.M. of the Sindhupalchowk namely Radio Sindhu, Radio Melamchi, Radio Planet, Youth F.M. Radio Sunkoshi similarly in Dolakha Radio Sailungee, Radio Bhimeshwor, Radio Kalinchowk, Hamro Radio were selected.
• Chief of district health officer as well as program health officer organized monitoring visits on monthly basis to program. The Lifeline Nepal was supported for the conduction of such supervision visits.
• Lifeline Nepal Organized the district level coordination meetings & program review meeting with DHO to advocate for program issues (District).
Outcome 1: Practices that promote optimal health & nutrition behaviors improved
1.1: Maternal and child care service utilization pattern changed
1.2 : ANC/PNC mothers Knowledge , life skills and Health behaviors improved
1.3 : Reduced episodes of diarrheal diseases and ARI among mothers, adolescents and IYC
1.4 : Feeding behaviors improved with increased availability and access to appropriate food (in quality, quantity, frequency and safety)
Outcome 2: Improved Maternal and neonatal health
2.1 Maternal and child care service utilization pattern changed
2.2 Maternal & newborns receive clean safe delivery and early essential newborn care improved with increased availability & access to clean delivery kit, warm clothes
Outcome 3: Resumption of Health care services
3.1 Establish and strengthen the regular health services at each Health facilities by providing accommodation tent HWs tent .
3.2 Improved utilization of functional storage and distribution systems for MNCH commodities
Outcome 4: Improve water sanitation and hygiene behaviors and Hand washing practices
4.1 Improved use of drinking water & Hand washing behaviors of mothers ,children and their care givers
4.2 increased availability & access to drinking as well as hand washing at health facilities
4.3 Improved toilet use with increased availability and access to temporary toilet