Where We Work


Female provider standing at the counter of her drug shop.

Nepal Facts

  • clinic
    of childhood diarrhea cases are treated with both ORS and zinc
  • presentation
    of short-acting modern contraceptive method users rely on CRS brands
  • trend up
    of women use modern contraceptives

Rural and hard-to-reach areas, as well as specific population sub-groups, still face numerous challenges accessing quality health products and services. The Nepal CRS Company (CRS), which operates in all 75 districts of the country, aims to increase access to those areas and populations. In addition to socially marketing priority health products, CRS is supporting a network of over 1,000 Sangini providers operating in hill and mountain districts to improve the quality of their reproductive health services. 

Nepal has made considerable progress in improving the health status of its population over the past two decades. Between 1996 and 2016, under-5 mortality declined from 118 deaths per 1,000 live births to 39. Nepal’s total fertility rate declined from 4.6 in 1996 to 2.3 in 2016, while the percentage of married women using contraception increased from 29 percent to 53 percent over the same time period. Despite this progress, there is still work to be done. Health outcomes are notably worse in rural and hard to reach places. According to the most recent Nepal Demographic Health Survey in 2016, only 49 percent of rural married women were using any method of contraception compared to 55 percent of urban married women. In rural areas, the under-5 mortality rate is 55 deaths per 1,000 live births, compared to 39 deaths per 1,000 live births in urban areas.

In Nepal, SHOPS Plus is building the capacity and long-term sustainability of CRS, a pioneer social marketing company and leading provider of priority health products, with targeted technical assistance as it implements the USAID-funded Ghar Ghar Maa Swasthya (GGMS) project. GGMS seeks to improve the health of disadvantaged populations in Nepal via improved accessibility and availability of health products and services such as family planning, especially in hard-to-reach rural areas, through social marketing. SHOPS Plus aims to improve health outcomes by supporting CRS to become a technically stronger, more efficient, and sustainable provider of priority health products and services. This includes working closely with CRS to achieve greater sustainability in their product distribution while building their capacity to effectively implement behavior change communication, quality improvement, and social mobilization activities across Nepal.

Relevant research:

Program Components




Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.