Farming Health Environment Nepal Phase-II activities updates


1.  This quarter was dedicated for office set up and accomplishing all the administrative tasks for example conducting District Level Project Advisory Committee (DPAC) meeting and getting approval letters from all the working municipalities.

2.  The overall project budget has been segregated by each municipality for transparency and as per the need directed by current local governance structure.

3.  Preliminary visits were done in all old working areas along with some new areas to be familiar with geography and boundaries and meeting key stakeholders and target groups were crucial for coordination to plan and implement Phase II activities.

4.  Due to change of local governance structure, updated map of Chitwan was not available. Therefore, having in-depth interaction with local people, project working areas have been located.

5.  Inauguration ceremony of FHEN Phase II has been planned for November. Therefore, necessary preparations were completed.

6.  Baseline survey is crucial to assess the current situation of communities’ knowledge and practice about Integrated Pest Management for designing effective intervention. Therefore, necessary tools for baseline survey have been prepared.

Alternative Health Financing Project activities

Alternative Health Financing Project started from February 2017 with an aim of exploring health financing options to achieve Universal Health Coverage in Nepal which is in it termination phase. Since July, 2017 the following activities has been carried out. Field visits were the major events in the past three months that included in-depth interview and key-informant interview with relevant stakeholders using interview guideline.

Field visit to Baglung and Kailali was carried out in July and August respectively in order to review Social Health Security Program (SHSP) run by Government of Nepal through Social Health Security Development Committee (SHSDC). District Manager and Enrollment Officers of SHSDC, Chief and focal person for the insurance program from District Public Health Office, focal person for the program from district/zonal hospitals were interviewed in-depth for the purpose.Similarly, with an aim to review implementation status and challenges of Community based Micro Health Insurance supported by Nirdhan NGO, a visit to Banke was carried out in August.

For the purpose, program manager of Nirdhan NGO and focal person from Save the Children, the supporting organization, were interviewed in-depth.

Further, in mid-September to review one of six piloted public scheme of Community based Health Insurance by Nepal government, field visit to Dumkauli Primary Health Care Center (PHCC) of Nawalparasi district has been carried out. Medical Officer of the PHCC as well as current and past focal person of the CBHI were interviewed in group. Beside the documentation of field notes, drafting report has also been carried out. Activities to be carried out in this phase are consultation with health economists and dissemination of the final report.