USAID Nepal Family Health Program II Nepal Family Health Program II
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Resources / Links

JSI Research & Training Institute, Inc. successfully implemented the Nepal Family Health Program II for the U.S. Agency for International Development from 2007 to 2012. For further information on project activites, visit the NFHP II page on jsi.com.


Under NFHP II and its the predecessor project (Nepal Family Health Program) we monitor, document and assess our interventions on a continuing basis. From these results we develop dissemination materials designed to share key lessons learned with a wide range of potential audiences including government counterparts in Nepal, program managers in Nepal and elsewhere, public health researchers/ academics and others.

Most resources are available as free downloads. You'll need the free Adobe Acrobat Reader program to view the PDF file on your computer.

Policy, Systems and Management · Logistics · Performance Improvment and Training · Family Planning · Child Health · Maternal & Neonatal Health · Community Health Workers · Local Health Governance · Literacy · Health Behavior · Monitoring and Evaluation · General Links

Policy, Systems and Management

"Review of Activities Taken by NFHP and its Partners to Strengthen Partnership Between Community and Health Facilities" by Prof. Ishwar B Shrestha, 2007.

"Assessment of NFHP Activities to Strengthen the Interaction Between Community and Health Service System" by Dr. BD Chataut and G Gurung, April 2006.

"Reproductive Health Community Security in Nepal" by Dr. JR Lamichhane, June 2006. Available upon request.

Notes on Capacity Development" - NFHP, 2008. Available upon request.

www.hsrsp.rti.org

www.nep.searo.who.int

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Logistics

Logistics Brief: Where Product Impact Population

Logistics Brief: Transforming Decision Making with web-based LMIS

Logistics Brief: New Demand based Supply Chain Model Yields Health Benefits in Nepal

Logistics Brief: Stronger Supply Chain, Better Health

Logistics Brief: Increased Storage Capacity Improves Nepal's Public Health Supply Chain

Health Logistics and EPI Cold Chain Management Training (April 2001) – GON, UNICEF, USAID and JSI - English and Nepali versions are available upon request.
This is 3 day EPI Logistics Management Training package. District and below district level logistics personnel are expected participants for this training.

Basic Health Logistics Management Training for Maternity and Child Health Worker/ Village Health Worker (December 2007) – GON, USAID and NFHP – Reference manual, Trainers' Notebook & Participant Handbook - English and Nepali versions are available upon request.
This is 2 day Basic Logistics Management Training. Expected participants for this training are community level Health workers. Maternity and Child Health Workers (MCHW) and Village Health Workers (VHW) is one of the best linkages and they could work with FCHVs to distribute health commodities for providing quality health services to community level effectively.

Pull System Training on Health Logistics Management for Essential Health Commodities (February 2007) – GON, USAID and NFHP – Reference manual, Trainers' Notebook & Participant Handbook - Nepali version are available upon request.
This is 2 day Pull System on Health Logistics Management training package for Essential Health Commodities. District and below district level logistics personnel and In-charge from all level of service delivery point are the expected participants for this training. Expected number of participants is 20 per batch (+- 2 ) in the above Logistics training program.

Technical Brief - Logistic Management Information System

Technical Brief - Pull System

Technical Brief - District Store Construction

Technical Brief - Health Commodity Security

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Performance Improvement and Training

Technical Brief - Improving Health Worker's Performance Through In-Service Training

Technical Brief - Strengthening IP Pracitces in Peripheral Health Facilities

Technical Brief - Strengthening District Quality Assurance Working Groups and Use of District Funds

Policy on Quality Health Services 2064 (2007)
The Policy is produced by Ministry of Health and Population to establish Quality Assurance (QA) system in government and non government sector which has been emphasized in Second Long Term Plan (1997-2017) of GoN. Available upon request.

Quality Assurance Working Group Guidelines - Nepali version available upon request.
This guideline is developed for the internal use of NFHP staff for the proper facilitating and functioning of the forum.

Strengthening Technical Support Visit Guideline (2008) - Nepali version available upon request.
This guideline is developed for the internal use of NFHP staff for the proper conduction of technical support visit using performance improvement approach.

The Transition From Training to Performance Improvement in Low Resource Settings (2003) - James L. Griffin
This document provides information on how USAID has used performance improvement models and adapted them in low resource settings.

Supervision Health Services: Improving the performance of people (2004) - English version available upon request.
This learning package is designed as part of a strategy to improve the performance of health services supervision and the quality of services provided at healthcare delivery sites. The package was developed around the Performance Improvement (PI) approach, provides a step-by-step process for improving performance and quality of services. It focuses on the essential skills required of a supervisor, and is most appropriate for supervisors of medium to large facilities and district-level supervisors. The learning package comprises a reference manual, notebook for trainers, and handbook for participants.

Performance Improvement - Stages, Steps and Tools - IntraHealth
Describes step-wise conduction of performance improvement approach

Standard Based Management and Recognition - Jhpeigo
Describes briefly about Standard Based Management and Recognition Process.

Client Oriented: Provider Efficient (COPE) Handbook - EngenderHealth
This handbook provides information to implement COPE process, which help health care provider to continuously improve quality of services.

Assessment of Providers' Performance: COFP & Counseling Training

Training course management guideline (2004) – GON/ NFHP - English and Nepali versions are available upon request.
This training management guideline is meant to serve as a guide to NHTC and its partners in the management of family planning/reproductive health training courses.

National Training Strategy

Training Works! What You Need to Know about Managing, Designing, Delivering, and Evaluating Group-Based Training - Reproline
This training handbook summarizes the tasks that should be completed at each stage of family planning/reproductive health training to ensure an effective training course.

Training Resources Group
It has information about TRG (Training Resources Group) which has a broad range of resources for training and learning for its own use and to meet the needs of clients. Over the years, they have published several issues of 'how to' articles and "organizations in actions" from their experiences and knowledge.

Alternative Learning Approaches

Postabortion Care On-the-job-training: Trainers' Notebook & Participant Handbook (October 2002) - English version available upon request.
This is a structured On-the-Job Training (OJT) on PAC and is competency-based. This is a very cost effective and suitable in Nepali context to meet training need on PAC. The On-the-job training is not meant to be a substitute for group-based training and intended for nurses as well as doctors for capacity building of human resource to start regular 24 hour PAC services.

USAID Global Health eLearning Centre
Offers Internet-based courses on various technical public health issues e.g Family Planning, MNH and other related issues.

ANM Pre-service

These teaching learning materials are intended for ANM students during their pre-service education.

Teaching and Learning Package for Family Planning: Reference Manual, Participant Handbook Trainers' Notebook (April 2004) - Nepali version available upon request.

Teaching and Learning Package for Midwifery: Reference Manual I, II, III, Participant Handbook I, II, III, Trainers Notebook (November 2005) - English version available upon request.

Teaching and Learning Package for Health Logistics: Reference Manual, Participant Handbook, Trainers' Notebook (April 2004) - Nepali version available upon request.

Teaching and Learning Package for Child Health: Reference Manual, Trainers' Notebook (April 2004) - Nepali version available upon request.

Infection Prevention

Infection Prevention Training for Clinical service-Reference Manual, Notebook for Trainers, Course Handbook for Participants (November 2005) - English version available upon request.
This is a 5-day Infection prevention Training. Expected participants for this training are doctors, nurses, paramedics to maintain quality infection prevention practices in the hospital.

Infection Prevention Training for District Hospital and Below District Level Health Facilities: Reference Manual, Participant Handbook (April 2006) - Nepali version available upon request.
This is a 3-day Infection prevention Training. Expected participants for this training are doctors, nurses, paramedics and support staff to maintain quality infection prevention practices in the health facilities.

Infection Prevention Online course (2004) - EndgenderHealth
This course is designed to help health care providers, supervisors of health care facilities, medical students, and nursing students strengthen infection prevention practices in low-resource settings.

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Child Health

CB-IMCI Health Facility Level Training package (2004) - CB-IMCI Technical Working Group of Nepal
This is 9 days training package. Expected participants for this training are District technical supervisor, Hospital clinical staff, PHS, HP and SHP clinical staff. Available upon request.

CB-IMCI Community Level Training package (2004) - CB-IMCI Technical Working Group of Nepal
This is 7 days training package. Expected participants for this training are VHW/MCHW and FCHVs. Available upon request.

VDC/HFOMC orientation package
This is 1 day orientation for VDC and HFOMC members on CB-IMCI program to support FCHVs. Available upon request.

Technical Brief - Vitamin A Supplements for Children

Technical Brief - Overview of Community-Based Integrated Management of Childhood Illnesses

Technical Brief - Innovations in Community-Based Integrated Management of Childhood Illnesses

Focused ethnographic study on Acute Respiratory Infection (ARI) among children

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Family Planning

Technical Brief - Strengthening Post-Partum Family Planning (PPFP)

Increasing access to FP services in rural districts of Nepal: A case study from Kalikot district

Family Planning Myths and Misconception

Postpartum Family Planning Reference Book

National Medical Standard Vol I English 4th Edition 2010

National Medical Standard Vol I Nepali 4th Edition 2010

VHW/MCHW FP Refresher Training

No Scalpel Vasectomy Training - Reference manual, Trainers' Notebook & Participant Handbook (May 2006) - English version is available upon request.
This is a self-paced course, which should run approximately 12 days, with up to 5 days additional clinical practice at a high volume site or training site itself, to teach doctors how to perform NSV under local anesthesia. It is intended for doctors from a site where regular vasectomy/NSV services (i.e., one day a week at minimum) are already available or will be started immediately after the training is complete.

Minilaparotomy Under Local Anesthesia Training - Reference manual, Trainers' Notebook & Participant Handbook (April 2006) - English & Nepali versions are available upon request.
This is a competency based 12-day course, with 5 days additional clinical practice at a high volume site or training site itself, to teach doctor & nurse teams how to perform minilaparotomy under local anesthesia. It is intended for a team of doctor & nurse from a site where regular minilaparotomy services (i.e., one day a week at minimum) are already available or will be started immediately after the training is complete.

Norplant® Implants Guidelines for Family Planning Service Program Training - Reference manual, Trainers' Notebook & Participant Handbook (May 2003) - English & Nepali versions are available upon request.
This is a 12-day course, to teach nurses/paramedics how to insert and remove (U technique) Norplant Implants with its components of standard IP practices and counseling. It is intended for nurses/ paramedics from a site where regular Norplant services (i.e., one day a week at minimum) are already available or will be started immediately after the training is complete.

IUCD Guidelines for Family Planning Service Programs Training: Reference manual, Trainers' Notebook & Participant Handbook (December 2002) - English & Nepali versions are available upon request.
This is a 12-day course, with 6 days additional clinical practice at a high volume site, for nurse and auxiliary nurse midwives (ANM) to teach them how to provide clinical IUCD services. It is intended for nurses and ANM from a site where regular IUCD services (i.e., one day a week at minimum) are already available or will be started immediately after the training is complete.

Comprehensive Family Planning (COFP) and Counseling Training: Reference manual, Trainers' Notebook & Participant Handbook (February 2003) - English & Nepali versions are available upon request.
This is a 13-day course, for Nurses, ANMs, AHWs or HAs to teach them how to counsel clients to make an informed choice for any family planning method and specifically how to provide condoms, pills and Depo Provera. It is intended for nurses and paramedics from a site where family planning services.

Reproline - Family Planning
This site has wide range of technical information about FP and tools for trainers.

Technical Brief - Improving Access to Family Planning Services in Rural Areas

Technical Brief - Expanding IUCD/Norplant Services

Technical Brief - Strenghtening the National Family Planning Program

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Maternal and Neonatal Health

Technical Brief - Chlorhexidine Program

Technical Brief - Strengthening MNH Services in Rural Nepal

Maternal and Neonatal Health Job Aid

Maternal and Neonatal Health Antenatal Care & Postnatal Care Job Aid

Maternal and Neonatal Health Update Reference Book

Maternal and Neonatal Health Update Trainer's Guide

National Medical Standard for Reproductive Health Vol II

Postabortion Care Training - Reference manual, Trainers' Notebook & Participant Handbook (December 2002) - English and Nepali versions are available upon request.
This is a competency based 8-day course, to teach nurse teams how to provide PAC service and management maintaining standard IP practices and FP counseling. It is intended for a nurse's team from a site where regular 24 hours PAC services are already available.

Reproline - Maternal and Neonatal Health
This site has wide range of technical information about MNH and tools for trainers.

Design-Stage Trial of Gentamicin in the Uniject Device: A Feasibility Study

Technical Brief - Gentamicin in Uniject to Treat Newborn Sepsis by FCHVs

Technical Brief - The Morang Innovative Neonatal Intervention

Technical Brief - Postabortion Care

Technical Brief - Community-Based Maternal / Neonatal Care

Technical Brief - Community-Based Postpartum Hemorrage Prevention

Baseline Survey for CB-MNC Program in Banke District

Baseline Survey for CB-MNC Program in Jhapa District

Baseline Survey for CB-MNC Program in Kanchanpur District

Baseline and Follow-Up Surveys of CB-MNC Work in Jhapa, Banke, and Kanchanpur Districts

Community-Based Maternal and Neonatal Care Summative Report - December 2007.

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Community Health Workers

Female Community Health Volunteers Strategy 2010

Female Community Health Volunteers Training Manual

Mothers Group orientation packageAvailable upon request.
This is 1 day orientation for mother group on CB-IMCI program to seek child care from FCHVs and awareness. Expected number of participants is 20 per batch (+- 2 ) in the above CH training program.

National Female Community Health Volunteer Program Strategy (Revised 2003)English and Nepali versions are available upon request.
This is a strategy document of the program that outlines several policy levels steps to recognize FCHVs and further strengthen this valuable program.

FCHV Trainer's Guideline (Revised 2005)Nepali version is available upon request.
This guidelines comprises of the training curriculums/agendas of various FCHV trainings conducted at various level and review meeting.

Supplementary Analysis FCHVs in the 17 Core Program Districts (2003)Available upon request..

An Analytical Report on Female Community Health Volunteers (FCHVs) of Nepal (May 2006) – USAID, New Era and ORC macroAvailable upon request.

FCHV Endowment Fund Survey (2006)English version is available upon request.
This is a qualitative survey report conducted to assess contribution of Endowment Fund to the FCHV program.

FCHV Souvenir magazine (2007)Nepali version is available upon request.
The souvenir magazine was published on the occasion of 20th years of FCHV program.

FCHV Fund Guidelines (2008)English and Nepali versions are available upon request.

Technical Brief - Female Community Health Volunteers

A Study on the FCHV Endowment Fund

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Local Health Governance

Technical Brief - Local Health Governance Strengthening Program

Capacity building is a process not an event: lesson from health sector decentralization of Nepal, Gagan Gurung. Nepal Medical College Journal. Link: http://www.nmcth.edu/images/gallery/Short%20Communication/5walbg_gurung.pdf
or www.ncbi.nlm.nih.gov/pubmed/20334073

Nepal health sector decentralization in Limbo: What are the bottlenecks?
Gagan Gurung. Nepal Medical College Journal. http://www.nmcth.edu or http://www.nmcth.edu/page.php?_page=journal&mod=journal&id=5&b=b1

Technical Brief - Health Facility Management Strengthening Program


cover of Training Manual

Capacity Building Training Manual for Health Facility Operation & Management Committee (HFOMC)



cover of Operational Manual

Operational Manual for Review Workshop of HFOMC



cover of Participants Manual

Participant's Manual for HFOMC

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Literacy

Technical Brief - Girls Access to Education (GATE)

Technical Brief - Health Education and Adult Literacy (HEAL)

World Education Literacy Projects - Girls' Access to Education (GATE) Program and Brighter Futures Program

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Health Behavior

Technical Brief - Health Exhibition

Technical Brief - Radio Health Program

A Study on Radio Listeners' Group

NFHP BCC Formative Research and Evaluation: Findings on FCVH client interactions and exit interviews. Final Report, 2004.

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Monitoring and Evaluation

Family Planning Needs of Migrant Couples in Nepal 2012

Health Profile of Gutu VDC of Surkhet Districts 2011-LHGSP

Health Profile of Duruwa VDC of Dang District 2011-LHGSP

Monitoring Report A comparison of three reporting periods July 2008-June 2009, July 2009-June 2010, and July 2010-June 2011

Coverage and Compliance of Chlorhexidine (Kawach) Use and other Components of Community-based Program in Banke, Jumla and Bajhang Districts This report based upon findings from a survey in three districts that employed 30 clusters in each district and 20 RDW in each cluster, provides information on various components of community based intervention, such as ANC, delivery, postpartum and newborn care. In addition, the findings also includes use of Misoprostol by the women after the delivery and use of CHX on the cord stump of newborns.

Coverage and Compliance of Chlorhexidine (Kawach) in Banke, Jumla and Bajhang Districts Studies have shown that immediate cleansing of umbilical cord with 4% CHX reduces the cord infection and reduces neonatal mortality by about 23%. This report provides detailed findings from a survey on CHX (Kawach) that was piloted in the three districts (Jumla, Bajhang and Banke) of Nepal. The survey employed 30 cluster design in each district and 20 recently delivered women (RDW) in each cluster, with a sample size of 600 RDW in each district. Results showed that the application of Kawach in the stump of newborns was two-thirds in Banke, 58% in Jumla and 47% in Bajhang. The compliance was about 70% in Banke and Bajhang but higher in Jumla (77%).

Maternal and Newborn Health (MNH) Activities at Community Level Baseline and Endline Survey in Sindhuli 2011 The MNH Activities at CL intervention was initiated in Sindhuli in early 2009 with the objectives of increasing awareness amongst pregnant women and their families of danger signs during antenatal, delivery and postnatal periods; preparing mothers for delivery postnatal care of the mother; and essential newborn care. The program impact was assessed comparing the endline results with the baseline. In both surveys 30 clusters at the first stage were selected and then 30 RDW in the 2nd stage, with a total sample size of 900 RDW in each survey. The survey clusters in both of the surveys were same.

NFHP-II_Monitoring Report (October 2010 – March 2011)

NFHP-II_Monitoring Report (2008-09 and 2009-10)

Family Planning, Maternal, Newborn and Child Health Situation in Rural Nepal: A Mid-term Survey for NFHP II, Summary Report

Family Planning, Maternal, Newborn and Child Health Situation in Rural Nepal: A Mid-term Survey for NFHP II, Full Report
The Mid-term Survey 2009 for NFHP II was conducted to monitor change in the impact and outcome indicators of NFHP which included fertility and mortality rates, family planning, maternal health, newborn care practices, child health status, and maternal and child nutrition. The survey was conducted in the 111 rural clusters of 40 districts (20 NFHP CPDs and 20 control districts) with 3,932 households and 5,019 eligible women. These clusters were same as that selected for the 2006 NDHS and methodolgy used was also consistent with theDHS. Data from the Mid-term has been compared with the pooled data of 2006 NDHS drawn from the same clusters in order to monitor changes.

Mobilizing Men in Rural Nepal to Support Safer Motherhood and Reproductive Health Services Mid-term Evaluation, 2004.
The report demonstrates the utility and effectiveness of male involvement programming strategies as a means to improve the reproductive health status of men and women.

Nepal Family Health Program Mid-Term Survey 2005.
The overall objective of the mid-term survey was to assess the progress made by the Nepal Family Health Program (NFHP) in its program districts in obtaining its goals and objectives and to get recommendations for further improvement of the program activities.

Analysis of 2006 Nepal Demographic and Health Survey (NDHS) Data for Rural Areas of NFHP II Districts by Rajendra Lal Dangol, 2008.
Nepal Family Health Program (NFHP) Phase II (2007-2012) aims to improve the delivery and use of basic public sector family planning, maternal, newborn, child health, and literacy/life skills services, in a manner that builds local capacity to provide these basic services.
The major focus of NFHP II is in the rural areas, therefore data analysis has been confined to the rural areas of the 20 CPDs. For comparative purposes, NFHP-II rural data has been compared with the rural data for rest of the 55 districts.

Comparative data of NFHP II CPDs, Non NFHP Districts and National from 2006 NDHS
NFHP M&E Team's DHS presentation, 2008.

Technical Brief - Public Health Analytics (PHA)

Technical Brief - Technical Support Visits

Technical Brief - Program Management Information System

Technical Brief - Surveys & Studies

Technical Support Visit: Community Level (VHW/MCHW/FCHV) Tool

Technical Support Visit: Health Facility Level Tool

Technical Support Visit: Ilaka Level Monthly Review Meeting Observation Form

VDC Health System Profile: Group Discussion with FCHVs Tool

VDC Health System Profile: Health Facility (PHCC, HP and SHP) Questionnaire

VDC Health System Profile: Key Informant Questionnaire

WHO Nepal health information resources


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General Links

Measure / DHS

Nepal DHS Reports

Other Nepal documents at Measure / DHS

U.N. Nepal Information Platform

USAID Nepal

USAID eLearning

USAID BASICS II project

USAID ACCESS project

WHO Bulletin

Health Sector Reform Support Project


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