Semi-Annual Report Supplement 1 April-30 September 2010

and the Government of Nepal, with funding from USAID/Nepal. The program aims to improve the provision and use of public sector Family Planning/Maternal, Neonatal and Child Health (FP/MNCH) services, supporting the Government of Nepal's intention to reduce fertility and mortality. The program is being implemented by JSI Research & Training Institute, Inc. and its partners, including Save the Children, EngenderHealth, JHPIEGO, World Education, Nepal Technical Assistance Group, Nepal Fertility Care Center, Management Support Services, Nepal Red Cross Society, United Mission to Nepal, BBC World Service Trust, Digital Broadcast Initiative Equal Access, and Family Planning Association of Nepal. The program's goal is to achieve the program outputs 1-4 and 6 of the Nepal Health Sector Program – Implementation Plan (2004-2009) and the Second Long Term Health Plan (1997-2017). The program's reporting period is from 1 April 2010 to 30 September 2010, and the total budget for the program is $29,999,997. The program's objective is to improve the provision and use of public sector FP/MNCH services, with a focus on reducing fertility and mortality in Nepal. The program's activities are organized into four parts: Health Systems, Policy, Leadership/Management; Service Delivery; Community Programs; and Cross-Cutting Activities. The program's key interventions include policy development, national and district level leadership and management capacity building, logistics management, health facility level service delivery, community-based service delivery, community participation in governance of local health services, community efficacy, literacy and life skills, communications and behavior change, and social mobilization. The program's monitoring and evaluation framework includes the use of health management information system (HMIS) data, monthly monitoring worksheets (MMWs), and quarterly progress reports. The program's performance indicators include the number of health facilities with improved management and governance, the number of community health workers trained, the number of women and children receiving FP/MNCH services, and the number of communities with improved health outcomes. The program's achievements during the reporting period include the development of a national policy on FP/MNCH, the establishment of a national quality assurance working group, the training of over 1,000 community health workers, and the provision of FP/MNCH services to over 10,000 women and children. The program's challenges during the reporting period include the lack of adequate funding, the limited availability of skilled health workers, and the need for improved logistics management. The program's recommendations for the next reporting period include the need for increased funding, the need for improved logistics management, and the need for enhanced community participation in governance of local health services. The program's future plans include the expansion of FP/MNCH services to additional districts, the establishment of a national health education and information center, and the development of a national health training center.