Subject: Community Health Nursing II
Modern contraceptive techniques are made accessible by the National Health Service through medical facilities at fixed clinics and through mobile outreach services. The primary metric for tracking the success of the National Family Planning Program is the contraceptive prevalence rate (CPR). The CPR for the use of contemporary family planning techniques nationwide stayed at 43% in 2072–73, the same as the year before.
General Objectives:
Regardless of a person's gender, caste, or financial standing, GoN works to improve their health situation. Therefore, the ultimate goal of the FP program is to enhance everyone's health status through an equitable and responsible health service delivery system by empowering individuals to access and use voluntary FP in an educated manner (through increased and equitable access to quality FP information and services).
Specific Objectives:
Safe Motherhood:
The safe motherhood programme is one of the priority programmes of Nepal. Safe pregnancy, safe delivery and safe birth of new born are the major components of safe motherhood. This can be accomplished through increased access to effective antenatal, delivery and postnatal care and a massive health awareness activity in local communities as well as by addressing avoidable factors that cause death during pregnancy, childbirth and postpartum period. Evidence suggests that three delays are important factors for maternal and newborn morbidity and mortality in Nepal (delays in seeking care, reaching care and receiving care),
Goal
Activities in Health-Post for Mother
Newborn and Under 5 Child
Adolescent Sexual and Reproductive Health: Between childhood and adulthood, the adolescent years are a time of physical, psychological, and social maturation. It is the stage between childhood and adulthood. Due to pubertal changes, it is important to provide teenagers with the knowledge and resources they need to understand their sexuality and avoid unintended pregnancies, STDs, and the associated risk of infertility. In order to reach the NHSP-2 goal of having 1,000 public health facilities adolescent-friendly by 2015, the National ASRH program is being steadily ramped up.
National Adolescent's Reproductive Health Strategies Goal:
The objectives of National adolescent's reproductive health strategies is
Targets
To make 1,000 health facilities adolescent-friendly by 2015 in line with NHSP-2 (2010-2015) The National Health Policy (2014) and NHSS (2016-2021) envision all health facilities adolescent friendly health services. The programme aims to reduce the adolescent fertility rate (AFR) by improving access to family planning information and devices.
Activities
FCHV Programme
Female community health volunteer program was initiated in 1988 in 27 districts and to all 75 districts thereafter. It mainly focuses on family planning, maternal and child health.
Goal and Objectives of the FCHV Programme Goal
The major role of FCHVS is
Primary Health Care Outreach Health: Health facilities were extended to the village level under the National Health Policy. However, the use of services provided by these facilities, especially preventive and promotive services, was limited due to accessibility factors. Primary health care outreach clinics (PHC-ORC) were therefore initiated in 1994 (2051 BS) to bring health services closer to communities.
Aim of PHC Outreach
The aim of these clinics is to improve access to basic health services including family planning, child health and safe motherhood. These clinics are service extension sites of PHCCs and health posts.
Targets: Access the basic health care services to the disadvantages, marginalized and backward people.
Services to be Provided by PHC-ORCS according to PHC-ORC strategy
Safe Motherhood and Newborn Care:
Family Planning:
Child Health:
Health Education and Counseling:
First aid:
Demography and Reproductive Health Research
Demography and Reproductive Health Research includes the planning, monitoring and evaluation of reproductive health activities as key functions of the Programme. This section conducts studies and coordinates reproductive health related research and studies carried out by other organizations in Nepal.
Objective
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