Reproductive health response in Nepal quake: A quick review

In Nepal earthquake, access to reproductive health (RH) services was also halted because of destruction and damages of health facilities. People were subjected to situations that substantially increase their exposure to STIs including HIV, sexual and gender-based violence; and safe motherhood and family planning services were compromised.  Reproductive health sub-cluster supported to Ministry of Health and Population to cater the services especially in the areas of antenatal care, better access to emergency obstetric care, family planning methods, and more comprehensive services relating menstrual hygiene, and sexual and gender-based violence uninterruptedly based on the Minimum Initial Services Package (MISP).

Activities

  • Assessed the readiness for sexual and reproductive health services including safe motherhood and family planning at health facility or camp
  • Concentrated activities to ensure the access to emergency reproductive health (RH) services and implementation of the Minimum Initial Service Package (MISP) for Reproductive Health
  • Conducted reproductive health (RH) camps in remote locations to provide health care services to communities cut off from health facilities
  • Established of transitional care homes and safe space for pregnant women, postnatal mothers, newborns and children who remain homeless at affected communities
  • Provided maternity and dignity kit for pregnant women, women and girls at affected communities Developed a guidelines for emergency contraceptives use
  • A relief package (cash) provided also to female community health volunteers (FCHV)
  • Formed Adolescent Sexual Reproductive Health (ASRH) working group under RH subcluster to ensure that ASRH issues were adequately integrated within the overall Reproductive health activities

Challenges

  • Over exhausted human resource in government health facilities
  •  Pre-existing social cultural practices
  • lack of reproductive health literacy
  • Under reporting of sexual and gender based violence
  • Unaware of available health services and health facility nearby newly displacement site

References

https://www.humanitarianresponse.info/en/operations/nepal
https://www.humanitarianresponse.info/en/operations/nepal/health
https://www.humanitarianresponse.info/en/operations/nepal/foreign-medical-team-wg
https://www.humanitarianresponse.info/en/operations/nepal/reproductive-health


My education includes training in medicine, public health, clinical research, biostatistics and health response in complex emergency. I have more than seven years of experiences in health research (Survey, Case control studies, Randomised Controlled Trials (RCT), Health Policy and Systems Research). My areas of expertise also include the project management particularly in health sector. I have also experience and interest to work in health emergency in large population in disaster setting.

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