Baglung is a hill district in northwestern Nepal, which covers an area of 1,784 km² and has a population of 273,614. Baglung reports 7,400 pregnancies per year. Before the implementation of the OHW program in 2010, the few existing maternity services that existed were severely underutilized; about 90% of all deliveries occurred at home, and less than 20% of all deliveries were attended by a Skilled Birth Attendant. As a result, both maternal and neonatal mortality rates were twice the national average. After five years implementing the Network of Safety, the rate of deliveries with a Skilled Birth Attendant was doubled, and the maternal and neonatal deaths were reduced to zero. We started our transition phase to the local government in 2015, and are looking to phase out at the end of 2017.
Rates of ANC (antenatal care) have not declined. In 2015, the government of Nepal redefined the definition of scheduled ANC visits to state that only women attending an ANC visit at 4, 6, 8, and 9 months of pregnancy get counted as receiving four appropriate ANC visits. Visits outside of this schedule are recorded, but are not counted by the government.