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Decentralized Action for Children and Women (DACAW)

Child Protection


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National Health Sector Support

© UNICEF/NEP722/MChamberlain

The health sector in Nepal has achieved very good results and Nepal is one of the few countries on track to achieve the Millenium Development Goals in child and maternal mortality reduction.

Health sector reform is ongoing in Nepal, and is being conducted within a sector-wide approach (SWAp), with coordination among external development partners (EDP) on planning, financing and policy issues. They have been instrumental in maintaining child survival high on the government’s agenda and, with the Ministry of Health and Population, their advocacy has resulted in a 30 per cent increase in the total health budget, and a focus on essential healthcare.


• Support the health sector SWAp with pooled funding to strengthen the whole health sector, ensuring progress is maintained, and actively participate in the Health Sector External Development Partners’ Group.
• Build the capacity of staff at District Health Offices to develop implementation plans for provision of free health services for the poor and disadvantaged.
• Ensure that women and excluded groups participate in Health Management Committees in support of free health services.
• Build alliances with EDPs to promote newborn, child and maternal health and mortality reduction, through advocacy for plans and budgets that are data- and outcome-driven, and support for high-impact interventions.
• Strengthen the health system with funding from Global Alliance for Vaccine Initiative - Health Systems Strengthening (GAVI-HSS).
• Ensure that nutrition policies and guidelines are updated, and a national nutrition strategy is formulated, though advocacy and strategy development with stakeholders.
• Ensure that life-saving interventions related to health and nutrition are available for children in declared emergencies, by disaster preparedness planning, and rapid assessment and response to disease outbreaks.

Expected results

By 2010, there will be improved polices, programmes and implementation capacity at national and district levels for maternal, neonatal and child healthcare. In 15 districts, key health staff at District Health Offices will develop plans to implement free health services for the poor and disadvantaged, and at least 50 per cent of health facilities in these districts will have women and excluded groups participating in Health Facilities Management Committees.

The health sector SWAp will be supported with pooled funding from UNICEF, and there will be a strong alliance between EDPs to promote newborn, child and maternal health and mortality reduction. The GAVI-HSS funding will be utilised.

Nutrition strategies and projects will be in place and contributing to greater child survival.

UNICEF will be able to respond to the health and nutrition needs of children in emergencies.



For every child
Health, Education, Equality, Protection