BHOJPUR

Bhojpur is a hill district located in the northeastern part of Nepal. It is home to 182,459 people, and the total district area is 582 sq mi / 1,507 sq km. Bhojpur reports 4,500 pregnancies per year. We have completed the set-up phase of our program in 2015 and our initial assessment reports that less than 20% of all deliveries were attended by a skilled birth attendant. In 2016 westarted implementing our Network of Safety. This phase is the most labor-intensive portion of our program. Over the next three years, we will train community outreach providers, implement a community outreach program, upgrade health facilities into birthing centers, and train skilled birth attendants. In collaboration with the local District Health Department we will develop a basic health infrastructure, provide health education and foster community empowerment. Our goal over the next five years is to double the rate of deliveries with a skilled birth attendant, and reduce the maternal and neonatal mortality by at least 50%.

 
 
 

proxy indicator

Notes

In 2015, the government of Nepal changed the definition of appropriate antenatal care (ANC) visits to state that only visits at four, six, eight, and nine months of pregnancy would be counted toward receiving “appropriate ANC.” Prior to 2015, all women attending at least four visits were counted as receiving appropriate ANC. The decline in this indicator can be observed across Nepal.

 

number of maternal deaths

Notes

We are seeing several cases of Hepatitis E (waterborne hepatitis), which resulted in pregnancy complications and deaths. We are currently working with a team of OB doctors to address this new challenge.

 

number of neonatal deaths

Notes

We are seeing several cases of Hepatitis E (waterborne hepatitis), which resulted in pregnancy complications and deaths. We are currently working with a team of OB doctors to address this new challenge.