SafeSIM Saves Lives in Rural Nepal

 
$255
$49,745
Raised
Remaining
Dec 19, 2011

Update from Dunai District Hospital in Nepal

In Dolpa district in the Kernali Zone of Nepal, the best information we have suggests a maternal mortality rate as high as 10%, neonatal mortality rate as high as 20%, and infant mortality rate as high as 33%. These are among the worst maternal and child mortality rates in the world.

There is just one doctor and one skilled birth attendant (SBA) in Dolpa, at the district hospital in Dunai. This hospital is located 4 hours from the nearest village cluster (or VDC), and 7 days from the farthest VDC. Last year, the hospital received just 100 referrals for institutional deliveries and provided antenatal care for less than 300 pregnancies. 

Reporting rates for health information in Dolpa are affected by disconnected geographies, with 34% of outreach clinics and 29% of FCHVs reporting to the district health office. Based on the information that is available at the district level, iron compliance for mothers stands at 28%, only 32% of mothers receive post-partum vitamin A, and the hospital experiences a drop in ANC visits from 71% of pregnancies for visit one to 35% for visit number four. 21% of the births recorded at the district level are attended by SBAs, and less than 1/4 of mothers are visited at all after giving birth. 

The current maternal and child health information system implemented in Baglung district is focused on data collection and is not actionable for short- or medium-term decisions. Female community health volunteers (FCHVs) create and collect paper pregnancy reports for 45 days, then walk their stack of paper to the nearest health post. Every 6 months, OHW staff collect data from the health posts, then enter data into excel spreadsheets. In order to support the FCHVs, health post staff, and district and regional level healthcare providers, information must move faster.

Comments:

About Project Reports

Project Reports on GlobalGiving are posted directly to globalgiving.org by Project Leaders as they are completed, generally every 3-4 months. To protect the integrity of these documents, GlobalGiving does not alter them; therefore you may find some language or formatting issues.

If you donate to this project or have donated to this project, you will get an e-mail when this project posts a report. You can also subscribe for reports via e-mail without donating or by subscribing to this project's RSS feed.

donate now:

Retired Project

This project is no longer accepting donations.

Still want to help?
Find another project in Nepal or in Health that needs your help.

Organization

Medic Mobile

San Francisco, CA, United States
http://medicmobile.org/

Project Leader

Josh Nesbit

CEO
San Francisco, CA United States

Where is this project located?

Map of SafeSIM Saves Lives in Rural Nepal