Health clinics and maternity care to poor women in Nepal


Healthy pregnancy and safe birth for Nepal’s poorest women

In Nepal, 380 out of 100,000 women die at birth and 28 out of 1,000 infants die within the first 28 days including 2/3 within the first week. In the western part of Nepal, the issue is even greater as the women have poor access to health clinics and in general do not have knowledge about how to ensure a healthy pregnancy. With the ACCESS project, CARE Denmark improves women’s access to birth assistance in Bajura, which is one of the most remote districts in Nepal. The ACCESS makes sure that the skilled birth attendants will get better educated and have the required necessities to ensure a good and safe birth.

Target group
The project’s primary target is the approximately 26,000 women of childbearing age including pregnant women and women with newborn children, especially the poorest women. In addition, the activities target the local health workers including the skilled birth attendants and volunteers, as well as the authorities responsible for health clinics.

Improve access to midwifery:
In cooperation with the local authorities, 27 local health clinics are upgraded to handle births. Moreover, on a pilot basis solar heating systems are installed at 5 clinics to heat the delivery rooms during the winter to reduce the number of infants who die of cold. At the district hospital the equipment is upgraded by which they are able to perform caesarean sections and blood transfusions among other things.
In order to ensure a higher standard in the clinics, 24 birth attendants are educated which means that all clinics will have trained personnel. To ensure that the clinics meet the pregnant women’s needs a quality assurance system is introduced, which allows women to express themselves and make specific recommendations for the authorities to follow up on.

Change in health behavior:
CARE Denmark supports the training of a network of volunteer healthcare assistants in the district, which ensures that the help reach all pregnant women in the villages. Also, the volunteer assistants support groups of mothers with information about pregnancy and childbirth.
Throughout the district an information campaign is introduced to inform widely about the service available for pregnant women, as well as harmful cultural traditions that could damage the newborn child and therefore should be avoided.

The Bajura district is Nepal’s most remote western region.

Duration and buget
The project period is from May 2014 to September 2016 and has a budget of 2,8 million DKK funded by the National Telethon. The project is supported with 150,000 DKK from Asta and Jul. P. Justesens Fond as well as 125,000 DKK from Fonden af 17-12-1981.

– Local partners
– The health administration and district hospital of Bajura district
– Local Authorities
– Local mothers groups


Morten Fauerby Thomsen
Programme Coordinator
+45 35 200 100