Sindhupalchok is a mountain district located to the north of Kathmandu. The district covers an area of981 sq mi / 2,542 sq km and is home to 286,976 people.
The district reports 7,400 pregnancies per year. Though this district is relatively close to Nepal's capital Kathmandu, it is one of the least developed districts in Nepal. The existing healthcare services do not meet the current needs of the population, and only 20% of all births are conducted by a skilled birth attendant. In 2015 One Heart World-Wide was scheduled to start the set-up phase of our program in Sindhupalchok. These plans were affected by the earthquakes in 2015, which demolished most of the existing infrastructure. As a result, we started our program earlier than anticipated and focused our efforts on earthquake relief activities. Over the next two years, we will continue with earthquake relief activities along with our regular program activities in order for us to be able to provide healthcare services to all the mothers and newborns of this district.
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.
The devastating earthquakes in 2015 completely destroyed 75% of the existing health facilities in Sindhupalchok and inflicted partial damage on an additional 15%.