Nepal is one of 10 low-and middle-income countries (which also include Bangladesh, Cambodia, China, Egypt, Ethiopia, the Lao People’s Democratic Republic, Peru, Rwanda and Viet Nam) with a high maternal and child mortality burden that in 2012 were on the fast-track to achieve MDGs 4 (to reduce child mortality) and 5a (to reduce maternal mortality). The primary objective of this document and accompanying review process was to identify factors both within and outside the health sector that have contributed to reductions in maternal and child mortality in Nepal – focusing on how improvements were made, and emphasizing policy and programme management best practices and how these were optimized and tailored to Nepal’s unique context. It was recognized that it can be difficult to establish causal links between policy and programme inputs and health impact. For this reason, plausibility criteria were used to identify key policy and programme inputs and other contributing factors that could be linked to potential mortality reductions. These criteria included, the potential impact of the policy or programme on mortality reduction, that it had been implemented long enough to have influenced mortality, and it had reached a large enough target population to explain national-level reductions in mortality.2 Following this, stakeholders reviewed the identified policies and programmes to reach consensus on the key inputs that could have likely influenced mortality. Research is needed to better quantify how policies and programmes contribute to improved health outcomes. More data in this area would enable the analysis to be further refined.
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Publisher:
WHO, MoHP Nepal, PMNCH, WORLD BANK, AHPSR
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(2014
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Type / Script:
Progress Report
in English
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Keywords:
HEALTH, MATERNAL HEALTH, CHILD HEALTH, WOMEN HEALTH, REPRODUCTIVE HEALTH, MATERNAL MORTALITY, INFANT MORTALITY, CONTRACEPTION, CONTRACEPTIVES, CONTRACEPTIVE USAGE, MATERNAL HEALTH SERVICES, MOTHERHOOD, CHILD DEVELOPMENT, CHILD NUTRITION, CHILD MORTALITY, FAMILY PLANNING, HEALTH EDUCATION, HEALTH POLICY, MENTAL HEALTH, HEALTH INDICATORS
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Thematic Group:
WHO
:
World Health Organization
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Thesaurus:
10.02.00
- Comprehensive Health Services
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Reference Link:
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