Reaching People-Programming Modalities

Community Based Programme

The UNFPA supports the Government of Nepal in carrying out population and reproductive health related activities in all 75 districts of the country however The Government of Nepal and UNFPA have decided to intensify their cooperation in the decentralized context through Community Based Programme (known also as Population and Reproductive Health Integrated Project). Consequently, in line with the United Nations Development Assistance Framework and Nepal's Local Self Governance Act 1999, UNFPA has been focusing technical and financial support onto selected districts and villages in coordination with other UN agencies. Six districts Saptari, Mahottari, Rautahat, Kapilvastu, Dang and Dadeldhura, were selected for intensified attention on capacity building and addressing key reproductive health and population and development issues in an integrated manner. The following indicators and geographic criteria were used for the selection of the focus districts: the district's human development index, population size and density, population growth, contraceptive prevalence rate, and the involvement of other United Nations agencies. Due to migration, the selected districts are also areas of high risk of HIV and AIDS. Because it is not possible to cover at once each of these districts wholly, a number of focus Village Development Committees have been chosen in each district on the basis of the highest proportions of marginalized, socially excluded groups. Each of the six districts has a Project Support Unit attached to the District Development Committee. In addition, a Central Level Coordination Unit manages, monitors and supervises the decentralized activities.

UNFPA/GoN Community Based Programme aims at addressing the root causes of the conflict - poverty and social exclusion - and at reinforcing the capacity of local governance bodies (Village Development Committees, Municipalities, District Development Committees) to manage and mainstream population, reproductive health and gender issues at the district and community level. The Fund and the government also aim at empowering communities by increasing the quality and number of reproductive health services offered, and by strengthening the capacity of health delivery systems at the district and village levels.
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UNFPA's Humanitarian Response to People in Crisis Situations

The Ministry of Health and Population (MoHP) Three-Year Interim Plan lays out a set of goals, strategies, and priorities for strengthening the health system, nevertheless the development of sustainable and effective health delivery system will take time. UNFPA is working together with the government for this longer-term goal. However, as an immediate remedy, UNFPA, the government and non-governmental organizations are taking action to deliver immediate health care to those in need, particularly in remote areas, where health services are not easily accessible.

Nepal is ranked the eleventh most at-risk country to earthquakes, the thirtieth to floods, and one of twenty of the most multi-hazard prone countries in the world. Natural disasters tend to lead to more deaths in Nepal than in most South Asian countries. This high proportion reflects Nepal's limited institutional capacity for search, rescue and relief; the difficult terrain; and the social unrest's undermining disaster response capabilities. Furthermore, natural disasters only increase the existing challenges of responding to issues of reproductive health and sexual and gender-based violence. The national mechanisms and plans to prevent, prepare and respond to natural disasters are weak and are mostly gender and inclusion blind. The fragile peace situation, with frequent outbreaks of violence, coupled with natural disasters continues to require direct emergency assistance by humanitarian and development partners in Nepal.

UNFPA has been providing humanitarian assistance to those most affected by the conflict since 2005.
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