DOLPA

Dolpa is a mountain district, home to 38,607 people and covering an area of 3,046 sq mi / 2,889 sq km in northwestern Nepal. There are 1,300 pregnancies reported per year. There are no roads, and plane service is unreliable at best. Our original feasibility study from 2011 reported some of the highest maternal and neonatal mortality rates in the entire world, and five times the national average of Nepal. Services and facilities were non-existent. After four years implementing the Network of Safety, the rate of deliveries with a skilled birth attendant was tripled and both maternal and neonatal mortality were reduced by 97%. In addition to serving as our pilot district, Dolpa has demonstrated that implementing our model in such a remote area is feasible, and that local stakeholders support our program and mobilize their communities, proving that the Network of Safety is simple, efficient and replicable, and sustainable. Our transition phase to the local government started on schedule in 2015, and will phase out at the end of 2017.

 

proxy indicators

Notes

In 2015, the government of Nepal changed the definition of appropriate 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

The majority of deaths happened while trying to evacuate the patients to a referral facility. This highlights the need to work with the Nepali government on a better evacuation system for the more remote areas of Nepal. This past year, OHW has started this conversation with the relevant government agencies.

 

NUMBER OF NEONATAL DEATHS

Notes

The majority of deaths happened while trying to evacuate the patients to a referral facility. This highlights the need to work with the Nepali government on a better evacuation system for the more remote areas of Nepal. This past year, OHW has started this conversation with the relevant government agencies.