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 in Nepal. SHOPS Plus supports the Nepal CRS Company (CRS), a pioneer social marketing company that operates in all 75 districts of the country, to increase healthcare access for rural and other key populations through health education, a trained network of over 1,000 private providers, and socially marketed key health products. SHOPS Plus is building the capacity and long-term sustainability of CRS with targeted technical assistance as it implements the USAID-funded Ghar Ghar Maa Swasthya project.

Nepal has made considerable progress in improving the health status of its population over the past two decades. However, 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, thus making gender considerations a crucial part of this work. 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.

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, provider quality improvement, and social mobilization activities across Nepal. As a part of this process, SHOPS Plus aided CRS in releasing an ORS/zinc co-pack in Province 2 of Nepal to improve access to treatment for diarrhea. In addition, the project is supporting CRS to transition to a social enterprise model to ensure its long-term financial viability. Lastly, SHOPS Plus works with CRS to perform research studies that provide key data for decision-making, equipping CRS with the information needed to improve its activities.

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.