Nepal

Rural and hard-to-reach areas and specific population sub-groups still face numerous health challenges. The Nepal CRS Company, which operates in all 75 districts of the country, aims to increase access to family planning services to those areas and populations. 

  • 8%
    of women were told about family planning during a postpartum visit
  • 2 in 3
    users of oral contraceptive pills use CRS brands
  • 1 in 4
    users of reversible methods use a CRS product
  • 12%
    of modern contraceptives used are supplied by CRS
  • 2.6
    is the total fertility rate
  • 44%
    of women use modern contraceptives

A core component of the USAID Nepal Country Strategy is to strengthen local institutions to deliver services more effectively. In the health sector, the Nepal CRS Company already provides a substantial share of the country’s contraceptives. The company can expand its impact by using evidence more effectively, and targeting its efforts to where the need is greatest: rural women who are well suited to short-acting methods and young men and women wishing to space births.

In 2010, CRS began implementing the USAID-supported Ghar Ghar Maa Swasthya (GGMS) project to improve the health of disadvantaged populations in Nepal. The project focuses on improving accessibility and availability to health goods and services, especially in hard-to-reach rural areas, through diversified social marketing techniques and subsidized health interventions. SHOPS Plus provides technical assistance to CRS in its implementation of the GGMS project.  SHOPS Plus will impact on Nepal's health outcomes through its capacity building support to CRS, resulting in a technically stronger, more efficient, and more sustainable provider of family planning products and services. 

Program Components

Enhancing Rural Coverage of Social Marketing Activities through a New Model

A major strength of the Nepal CRS Company's social marketing program has been its national coverage and rural reach. The challenges of reaching rural communities in Nepal are great and opportunities still exist to improve access to health products and supportive communications in these areas. As a part of a redesign of CRS’s Rural Access Initiative, SHOPS Plus will introduce more effective behavior change techniques, link outreach activities to community development strategies, and strengthen sustainability.

Increasing the Technical, Institutional, and Financial Sustainability of CRS

SHOPS Plus takes a comprehensive approach to supporting the Nepal CRS Company to increase access to and use of critical health products. This approach is centered on building the technical, institutional, and financial capacity of the company. SHOPS Plus works with CRS to improve the quality of service provision of its Sangini network, which provides socially marketed clinical services.