| Distribution of individual clean delivery kits |
| Description | - Clean delivery kits including chlorhexidine for prevention of umbilical cord infection among newborns
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| Beneficiaries | - 1100 visibly pregnant women in all 31 earthquake-affected districts, except in Kathmandu Valley
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| Setting up of WHO MCKs and medical tents |
| Description | - 40 MCKs provided by WHO with all necessary equipment for establishing a birthing center and a functional outpatient department
- More than 350 medical tents provided by UNFPA, UNICEF, and German Development Cooperation
- MCKs were installed in damaged hospitals, primary health centers, and health posts to serve as emergency shelters for the provision of health services
- Other medical tents served as shelters for RH services
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| Outcomes | - More than 100 birthing centers resumed their services under these tents
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| Deployment of nursing and medical teams with skilled birth-attendance competencies |
| Description | - 25 nurses qualified as skilled birth attendants (in 24 birthing centers) were deployed as well as 8 senior nurses (to cover 40 birthing centers)
- This program was supported by UNICEF and implemented through the MIDSON
- The nurses volunteered from government hospitals and nursing colleges
- They provided extra support and onsite coaching to the regular maternity staff, helped staff cope with the surge of activities, and facilitated institutional deliveries and timely management of complicated pregnancies/deliveries; some nurses also volunteered to join NGOs' emergency programs
- One roving obstetrician was deployed to the affected hospitals to initiate/continue C-sections and other medical reproductive health procedures
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| Outcomes | - By June 2015: Antenatal care was re-established in all services sites; majority of birthing centers were able to provide delivery services and C-section services were available in 13 of 14 district hospitals
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| Organization of outreach reproductive health camps |
| Description | - The RH camps were mobile in nature, remaining in one site for about 2 to 4 days before moving to the next community; the number of mobile camps ranged from 8 to 14 per district considering its population coverage and needs; it also included on-site local capacity building, enabling referrals to health facilities and a mobile unit for awareness-raising sessions; it was implemented together with DPHOs; information on the scheduled dates for mobile RH camps was disseminated through FCHVs youth groups prior to the camps
- 132 RH camps were conducted in 128 villages, with support from UNFPA
- RH camps were carried out by national health professionals
- Provided SRH services free of charge for earthquake-affected people in remote communities in all 14 affected districts[1]
- Provided life-saving health care support to women and their families, ranging from antenatal and postnatal check-ups, safe delivery, family planning, lab testing facilities (including for HIV), management of STI, psychosocial support, health response to genderbased violence, and referrals; key health messages and information were delivered to women and girls
- Free-of-charge transportation of severe cases identified through the camps was ensured
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| Beneficiaries | - 104,740 women and adolescent girls reached; UNFPA has estimated that the needs of 1.4 million affected people were covered
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| Distribution of ERH kits |
| Description | - 1331 ERH kits provided to tertiary level hospitals, district hospitals, and smaller health facilities in all the 14 most affected districts, through a total of 37 partners; the kits were also used in the outreach RH camps and in the WHO Medical Camp Kits; the additional kits were supplied/replenished depending on the request from MoH, DPHOs, and/or implementing partners
- Provided at community, primary health care, and referral hospital levels, ranging from 1 to up to 35 boxes of equipment
- Kits included contraceptives, drugs, and supplies for STI treatment and clinical delivery assistance, instruments, equipment, and supplies for the management of obstetric complications, including assisted deliveries and C-sections, medical abortion, and postrape treatment kits
- Misoprostol was added to the kits where a program aiming to prevent postpartum hemorrhage during home deliveries was already ongoing
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| Outcomes | - 213 health facilities benefited from the ERH kits
- UNFPA has calculated that the needs of an estimated 1.4 million affected population were covered
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| Provision of psychosocial counseling |
| Description | - Provision to maternity hospital health workers who needed support, on voluntary basis, for six weeks after the disaster to help them cope with the stress induced by the earthquake and repeated aftershocks and the unprecedented surge in caseload they were handling
- Social mobilizers and health services providers trained on psychosocial counseling were identified and hired in close collaboration with DPHO
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| Beneficiaries | - Approximately 100 staff (25 percent) of the central referral maternity hospital in Kathmandu
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