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Emerging challenges in family planning programme in Nepal
D R Shrestha1, A Shrestha, J Ghimire
1Nepal Family Health Program II, Oasis complex, Patan Dhoka, PO Box 1600, Kathmandu, Nepal. dshrestha@nfhp.org.np
Journal of Nepal Health Research Council
|October 5, 2012
Summary
Nepal
Area of Science:
- Reproductive Health
- Public Health Policy
- Demography
Background:
- Family planning is a key government program in Nepal.
- Significant progress in reproductive health was noted until 2006.
- A surprising decline in contraceptive prevalence was observed between 2006 and 2011.
Purpose of the Study:
- To analyze the reasons behind the stagnated contraceptive prevalence rate in Nepal.
- To identify factors contributing to the decline in contraceptive use.
- To propose strategies for improving family planning services.
Main Methods:
- Analysis of the Nepal Demographic Health Survey 2011 data.
- Identification of potential factors influencing contraceptive use trends.
- Review of existing family planning program approaches.
Main Results:
- A notable decline in contraceptive prevalence rate occurred between 2006 and 2011.
- Possible contributing factors include spousal separation, increased use of traditional methods, abortion, and emergency contraception.
- Lack of innovative approaches for special populations was identified.
Conclusions:
- Strategic implementation of family planning programs is crucial.
- Recommendations include further data analysis, tailored services for special groups, integration with general health services, effective counseling, and improved access to modern methods.
- These steps are vital for enhancing contraceptive prevalence and the overall family planning program in Nepal.
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