District Investment Case Overcoming Bottleneck in Achieving MDGs 4, 5, 6 & 7

Although, Nepal has made noted progress in both MDG 4 & 5, there is growing concern that this progress is not being experienced equitably across the country (between and within the districts). The Government of Nepal (MOHP) in 2011 has expressed their interest in having the Investment Case (IC) approach undertaken at district level and requested support for the development of costed district level health plans that address local constraints to MNCH intervention coverage. In this regard, in order to accelerate the coverage of intervention programs there is an emergent need to do a district level analysis (in-depth analysis) of district level data in order to explore and identify the district specific bottlenecks, the solution of district specific problems and development of district level health plans that address local constraints to maternal, neonatal and child health (MNCH) intervention coverage.


– To coordinate with stakeholders, facilitate the process implementation and support district teams to undertake evidence based planning and budgeting based on local strengths and constratints.


Phase Year District
First 2011 Dadeldhura, Udaypur
Second 2013 Achham, Bajhang, Baitadi, Bajura
Third 2015 Achham, Bajhang, Baitadi, Bajura, Doti, Humla, Jumla, Dolpa, Mugu, Kalikot,
Fourth 2016 Parsa, Saptari, Dhanusa, Rautahut, Mohattrai


Date of commencement: September, 2013 (Second Phase)

Completion date: December,2016 (Reactivated from February, 2016)



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