Primary Healthcare


Child Development Nepal’s interventions in the healthcare sector work to improve access to quality health services for the poor and marginalised communities. By identifying the root causes of healthcare challenges, Child Development Nepal works at the individual, community and systemic levels to develop innovative solutions and help implement quality healthcare services. The work with community groups, collaborative work with government and civil society organisations include cross-cutting strategies to improve the health and nutrition status of the poorest and excluded groups, particularly women and children. With a focus on policy advocacy and system strengthening, Child Development Nepal builds the capacities of healthcare service providers and officials of the integrated child development services, to create impact at scale.

The various areas of healthcare system delivery addressed by Child Development Nepal’s projects include improving the quality of services for maternal and reproductive health, child health and nutrition, and early identification and treatment of communicable diseases such Tuberculosis (TB), kaalazar, pneumonia, diarrhea and HIV. To increase the uptake of services, besides the supply-side interventions, many projects work with communities and groups of mothers to break social barriers by engaging men and other key decision makers in rural households. The aim of the health interventions is to strengthen and promote comprehensive health for women and girls, and create a positive and enabling environment for accessing quality healthcare services.


In India, less than 50% of the population has access to essential drugs

In India women have been the traditional healthcare providers in families. The health of children and men folk is their responsibility. And when they fall ill, other women in the family or village are likely to look after them. One of the major problems in the area of primary health is ensuring that medical personnel either reside within the villages that need their services or at least make a daily visit.

The Organisation's services in a village begin with the establishment of a Village Health Center. This is an outpatient clinic with a qualified M.B.B.S. doctor and a full time qualified Auxiliary Nurse & Midwife (ANM) who is available full time in each village.

A detailed preliminary medical survey is conducted by the ANM in the village to create a beneficiary-wise medical record. This record is updated regularly to track progress. The Organisation is currently running 200 health centers in as many villages. With over 6.2 million outpatient visits so far, this initiative has confirmed the need for such a set up in the villages. The village health centre is also the node of other basic and specialised health initiatives

Till date over 7 million patients have been examined. The Organisation ensures that there is a :

» Visit by a qualified physician every day (for 2-3 hours)
» Full-time health worker (she works out of the Organisation's Village Health Center and resides in the village)
» 20 essential medicines dispensed. A nominal user charge of Rs 5 is being collected since September, 2013
» Well-appointed health centre in all villages.
» Premises - 500- 1000Sq.Ft. in each village for medical consultation, training, information center and community interaction.
» 63 - Doctors
» 180 - Health workers
» 3- Training centers
» Phone connectivity to health centers - 100%
» Collaborative research project to develop cost effective health care model
» Computerisation of health centers - under progress
» Zero stock outs

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