Healthcare Needs Assessement of Family Planning Needs and Provision in Far Western Nepal
ESC Congress Library. Yarrow K. May 28, 2014; 50499; A-083
Dr. Kate Yarrow
Dr. Kate Yarrow
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Access to healthcare in rural Nepal is difficult due to the mountainous, geographically challenging terrain. Few doctors or healthcare workers are available to the residents of these isolated communities. There are nationally high infant and maternal mortality rates, the highest rates found in rural areas.  Education levels are low- particularly of women, which appears to have a direct impact on the uptake of healthcare. The aim of this needs assessment was to look specifically at family planning knowledge and its use in the isolated rural mountainous district of Kalikot, in far western Nepal.


The assessment was conducted through questionnaires to 92 residents of reproductive age in the district, through a small international team, with help from Nepalese medical students, and a translator. The residents were self-selecting; they were interviewed upon presentation to various health-posts.  Healthcare workers in rural healthposts were also interviewed.


The results showed a high parity within each age group, with a linear increase with each decade from ages 20-50.  There was a childhood death rate of 15% in the sample interviewed. There was a direct relationship shown between high parity and childhood mortality.

Knowledge of family planning was widespread in men (87% had heard of family planning methods), however 30% of women had no knowledge of the existance of family planning.

 Out of those with knowledge of family planning, only 63% had ever used any form of family planning. The most commonly cited reason for use of family planning, was that their family was now complete; it was less commonly used for child spacing.

There were low levels of use of LARC, primarily due to lack of availability. Current contraceptive prevalence rate was 32%, considerably lower than the Nepalese national contraceptive prevalence rate of 48%. Education levels were found to be low in women (only 40% had any formal education). Training levels of healthworkers with respect to delivery of family planning was varied.


The assessment showed an unmet need. In order to increase the uptake and continuation of methods there needs to be more training of healthworkers, and education to the community, particularly of women

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