The variation in the unmet need for FP in Nepal is an indication of significant scope for increasing access to FP and is also an indication that demand for FP services is not uniform and that promoting such access will require specific and targeted efforts. NDHS 2011 data shows significant disparities in contraceptive use among social groups and particularly high among Muslim and other Terai minorities. Women from Muslim and other Terai minorities have the lowest contraceptive use and increasing fertility in Nepal compared to other ethnic groups with an unmet need of 39%. The UNFPP project will work to increase the demand and access to FP information and services in Nepal, specifically in hard to reach populations, using the following key interventions.
Goal: Contribute to improving maternal health through increased uptake of FP services, in line with DFID’s NFPP-As such, the project will contribute to the NFPP’s impact targets of reduction in unwanted pregnancies and unsafe abortion through increase access to and use of modern methods of contraception.
We estimate that our support will, between December 2016- December 2020, contribute to;
- Nearly 3.8 million unwanted pregnancies averted; with an estimated 76,000 attributable to UNNFPP support
- Nearly 1.1 million abortions averted; with an estimated 11,500 attributable to UNNFPP support
At the outcome level our indicator is increased use of FP services for adolescents and women of reproductive age. In the districts where ADRA Nepal is supporting direct service delivery we estimate that our support will result in an estimated 8,000 additional family planning users over the period 2016-2020. In addition,
- A 3.7 %-point increase in contraceptive prevalence (from 45.3 in 2016 year to 49 in 2020 year) (Annex H: FP CIP 2014)
- A 2.8 %-point decrease in Unmet need for FP (15-49 years) (from 25.5 in 2016 year to 22.7 in 2020 year) (Annex H: FP CIP 2014)
UNFPA’s approach will focus on three overarching Outputs: advocacy, service provision, and evidence gathering. UNFPA will leverage its comparative advantage for continued policy advocacy and demand generation.
The UNFPP will contribute to Outcome 1 through the following 3 outputs:
Output 1: Increased access to information on family planning for women of reproductive age (WRA) with focus on excluded and marginalised WRA.
Output 2: Increased availability of FP services by expanding the range of contraceptive methods.
Output 3: Evidence generation to understand determinants of non-use.
The project will support interventions through technical and programmatic assistance by contributing evidence for advocacy and resource mobilisation. The intention is to generate behavioural change in the use of these services, including the demand for contraceptives. Additionally, it is committed to strengthen the national system to deliver FP services. Through this project, it is expected to deliver capacity building initiatives for quality FP service provision to the health service providers. Evidence based programming will be used to improve equitable access and improve quality of services. Disaggregated data will highlight why the target groups are not using the services, especially focusing on vulnerable women and minority groups.
Duration: 1year (Jan-Dec 2018)