Recent studies show that the maternal mortality ratio for Nepal has declined considerably to 281 per 100,000 lives births in 2006. Factors contributing to this reduction most likely include a significant reduction in fertility rate, an increase in skilled birth attendance, a substantial increase in the coverage of antenatal care, and a reduction in anaemia among pregnant women. In 2006, 19 per cent of births in Nepal were attended by a skilled attendant.
• Increase the number of pregnant women who have knowledge of antenatal care and birth preparedness.
By 2010, women will have increased understanding of and access to high quality antenatal care, skilled birth attendance, postnatal care, and newborn care services. At least 80 per cent of pregnant women in DACAW districts will have knowledge on antenatal care and birth preparedness, and 50 per cent will know about proper newborn care practices (clean delivery, early and exclusive breastfeeding, prevention of hypothermia and infections). Skilled birth attendance will have increased in DACAW districts.
At least 16 health facilities in eight districts will be providing emergency obstetric and neonatal care services, according to national standards, and the use of misoprosol for post-partum haemorrhage will be expanded to four districts.