Government of Nepal
Ministry of Finance
AID MANAGEMENT INFORMATION SYSTEM FOR NEPAL
Activities and inputs
· Provide TA to NHTC and PHTC to develop a SAS training management system for Provincial Health Training Centers and orient two PHTCs and support for training management
· Provide TA to strengthen the capacity of selected provincial and local governments to optimally utilize SAS budget allocations to continue and expand services
· Build capacity of selected health facility management committees to expand, implement and sustain provision of SAS. Provide TA to Palika to strengthen HFOMC by utilization of local resources as per local need
· Provide TA to develop mechanism and orient health facility staff to assess provision of responsive SAS and incorporate COVID response sessions
· Support for Integration of abortion under 13 weeks in preservice curriculum and support implementation
· Provide technical support to government to update SAS training manuals & guidelines to align with the new SMRHR regulation
· Support GoN and Province Government for COVID response including orient Interim RMNCH guideline (for COVID period) to managers, service providers/HWs and community people and support for rollout this guideline in the districts and support for safety items including drugs and commodities
· Initiate policy discourses at all levels of government to build broad consensus on SAS related policy/laws formation and TA to concerning authority in implementation
· Support the collaboration among all levels of government (including constitutional bodies and local/provincial bodies) to implement and monitor SAS
· Continue engagement with governments at all levels for allocation and utilization of funds for SAS activities (training, commodities, and supplies) and support for implementation. Provide TA to utilized allocated budget
· Advocate and TA for the integration of SAS in policy documents and support for implementation (ASRH implementation guideline, FCHV strategy, GBV policy, HMIS/LMIS indicators etc).
· Train and mobilized Samudayik Aguwa to bolster women's and girls' agency and combat harmful social norms. Provide TA to Palika to capacitate Samudayik Aguwa (NLs) and mobilized in the community
· Design and conduct force field analysis (key opponents/ key supporters) and social norms analysis in partnership with the government to develop and implement targeted strategies with different actors and support for implementation
· Conduct community dialogue sessions and individual discussions with elected government representatives, civil society members (including men and boys), and other stakeholders to develop a supportive environment
· Conduct assessment/study and monitoring of program for evidence-based planning and decision-making including support in health service data management
· Identify, train and mobilized champions who will engage government agencies/officials from all levels for enhanced availability of SAS
· Develop/adapt and endorse an advocacy toolkit to address social norms and stigma and support for implementation
· Provide support for FCHV training using revised curriculum on SAS. Provide TA to Nursing Division/province and Palika to conduct FCHV training
· Engage with CSO/CBOs and local government to implement community level awareness raising and stigma reduction activities on SRHR
Samudayik Aguwa (NLs) are informed and empowered to engage with local government, health systems and civil society to ensure abortion plans and budgets reflect community needs, focusing on hard to reach populations (poor, vulnerable, and socially excluded)
Samudayik Aguwa (NLs) community outreach supports women & girl’s agency to make choices about their reproductive health and to seek safe abortion, making it part of civil society agenda the local level
· Ipas Nepal, along with other INGOs, is facing reductions in funding from the largest anonymous donor in the abortion rights field. Additionally, there is uncertainty around funding from foreign governments due to a potential reduction in their GDP because of the coronavirus pandemic. At a time when sexual and reproductive health services are crucial, funding cuts pose a particular challenge not just for INGOs but also for people that rely on public health systems to provide free SRH services.
· The lockdown and travel restrictions resulted in delays in implementing the project activities. Ipas Nepal planned and accelerated the implementation of the activities from November onwards after lifting of lock-down and decreasing the COVID-19 cases. The second wave of COVID-19 started in late March 2021; and has impacted almost all areas of the health system. Ipas Nepal is conducting many virtual activities and other COVID-19 response activities including procurement and supply of personnel protective equipment and other essential supplies.
· An assessment of the SRHR program during COVID-19 context from the Reproductive Health Sub-cluster revealed that nearly three-fourth of SAS sites were non-functional, not able to provide SRH services, including abortion, during the lockdown period.
Open a PDF file of the doc attached Open.