MSF worked in Nepal from 2002 to 2009.
Why were we there?
- Armed conflict
MSF has worked in Nepal since 2002. Teams provided health care to people affected by the conflict between government forces and the Communist Party of Nepal which lasted from 1996 until 2006, and by the resurgence of violence that accompanied a chaotic peace process.
MSF worked where help was most needed, including in basic health care, reproductive health care and water and sanitation provision.
Despite Nepal’s struggles with political stability after the peace process, MSF is now leaving the country as government agencies and developmental organisations start to take a longer-term approach to covering the people’s health needs. Capacity-building and training on the job are consequently key objectives in the remaining MSF projects.
Teams worked to increase knowledge about reproductive health and called for better access to good-quality public health services. Through radio announcements and education, MSF also addressed the issue of oxytocin misuse. The drug, used to stimulate contractions in pregnant women, is widely misused. This can result in fetal and neonatal deaths, and ruptures of the uterus.
In May, MSF handed over programs in the mountainous Kalikot district, where MSF had offered basic and secondary health care, TB treatment and emergency services with a special focus on health care for pregnant women and children under five. In 2009, MSF carried out more than 10,000 consultations and assisted with 192 deliveries.
In December, MSF handed over its last remaining program in the Terai region of Nepal, which provided free medical services, emergency consultations, maternal health care, and treatment of acutely malnourished children. In the areas affected by internal unrest MSF used mobile clinics in the most neglected areas and transferred patients needing more care to its facility at Gaur District Hospital. MSF carried out more than 10,000 consultations and assisted more than 1,300 deliveries.
In the areas where it worked, MSF leaves behind an improved level of care for mothers and newborns, and better trained staff.