NFCC was selected by the Family Health Division and contracted by UNFPA to update National Implementation plan for cervical cancer screening and prevention in consultation with relevant stakeholders for the year of 2016-2020 both in Nepali and English. The previous version of the Implementation Plan was developed in 2012 and expired in 2015.
Focus Area : Kailali District Donor : American Cancer Society/Conquer Cancer Foundation
To accomplish the goals of improving cervical cancer screening services and ensuring continuum of care, this program/study titled ‘Using mhealth technology to ensure continuum of care in cervical cancer screening in Kailali district of Nepal’ was awarded to NFCC by Conquer Cancer Foundation under American Cancer Society. This objective of this one year program is to evaluate and monitor the rate of follow up on referrals of cervical cancer screening using mHealth technology.
Focus Area : 9 Districts Donor : Dutch WASH Alliance
NFCC in collaboration with Water, Sanitation and Hygiene-Resource Centre Network Nepal conducted a study to understand the knowledge, behavior and attitude about menstruation/menstrual hygiene management and practices associated with it. The nine ethnic groups studied were Brahmin, Chhetri, Musalman, Magar, Yadav, Newar, Tamang, Kami and Tharu from nine districts, namely Doti, Dang, Kapilvastu, Lalitpur, Chitwan, Tanahun, Makwanpur, Saptari and Jhapa. Currently, data analysis is in process.
An assessment of health institutions in three districts Siraha,Sindhuli and Makwanpur was conducted. This Assessment looked into the WASH facilities in health institutions in term of accessibility, availability for both patient and health care services providers. This assessment also looked after the functionality and management of available WASH facilities in these institutions.
An assessment of current and past adolescent health interventions and/or programs was conducted by NFCC as part of the GAVI HPV Vaccine Demonstration Project deliverables from Government of Nepal. NFCC was selected by the Family Health Division for this assessment. This assessment looked into work done by organizations in any capacity whether as a whole program geared towards adolescents or even small interventions or pilots such as knowledge sharing, training, IEC material development etc. It is expected that with the findings of this assessment, the Government of Nepal will be able to identify the ideal adolescent health intervention for co-delivery with HPV vaccination.
Focus Area : Makwanpur District Donor : Open Source
NFCC along with an individual researcher Anne Kukuczka, Free University of Berlin, Germany introduced menstrual cups to women and girls of Sisneri VDC, Makwanpur District. This eight month longitudinal study looked at the acceptability and uptake of menstrual cup among adolescent girls and women. It also examined differences in usage and acceptability of menstrual cups among adolescent girls and women. The third follow up was interrupted due to the April earthquake.
NFCC conducted a Chhaupadi assessment for USAID/Nepal to identify best practices for the effective reduction of the negative effects of Chhaupadi tradition on women’s and girls. The geographic scope of the assessment was far and mid-western region of Nepal, where chhaupadi is widely prevalent. The districts selected were Achham, Kailali and Bajura. The objectives of the chhaupadi assessment were:
Summarize the status of chhaupadi through analysis of secondary sources, and identify main strategies being used to reduce or eliminate the practice of chhaupadi
Make recommendations with regard to the best means to reduce the negative impact of chhaupadi and maintain positive social and cultural cohesion
Build collaboration among government and development agencies on the best and most feasible means for reducing or eliminating the negative impacts of chhaupadi in the far western region.
Using various research tools like individual questionnaire, organization survey, key informant interview, observation checklist, focus group discussion data were collected. As a part of major outcome of the assessment NFCC presented a recommended program strategy for the mitigation of the negative impacts of chhaupadi in the west and far western Nepal based on the findings of the assessment and also collaborative workshop conducted with various development and government stakeholders.
NFCC conducted a Health Facility Assessment for PSI Nepal This assessment looked into availability of family planning services, Infection Prevention materials and trained human resources in family planning in health facilities of 20 districts. In this 3 month long assessment all the districts from five development regions were covered.
With support from University of Alabama, Birmingham, an HPV sampling study will be conducted among two cohorts of women (200 in each group) in Kathmandu and Achham district. The purpose of this study will be to examine the vulnerability of women from low risk populace and high risk populace (HIV positive) to HPV. Both qualitative and quantitative data will be collected and analyzed. This study will usher in the initiation of more comprehensive studies on HPV prevalence, vulnerabilities and uptake of various screening mechanisms in Nepal.
With support from UNICEF, NFCC is piloting a menstrual hygiene management project in ten VDCs’ of Saptari in 2012. This pilot will be integrated into the existing GATE project (UNICEF) and will use out of school adolescent girls as manufacturers and sellers of reusable sanitary napkins. These girls will also be educators on sexual and reproductive health in their respective communities.
Funded by a consortium of donors and sub contracted by FHI, this project was implemented in the Kathmandu valley for the high risk populace comprising of migrants workers, FSWs, MSMs and clients of FSWs. With outreach done through the peer method, client friendly static and mobile clinics were used for service delivery. For the convenience of the clients, mobile sites were set up near their work sites. The BCI Partners in all the three districts of the Kathmandu valley played the most important role of creating demand, referring clients for treatment and following up on the clients for regular checkups. In addition to the said target population, services were also offered for another vulnerable group, police and army men.
The service sites followed the operational guidelines set by the Government of Nepal for treatment of STIs and closely monitored the effects of medications. Attention was given to ensure gender friendly services for the target beneficiaries.
Under the guidance of the Gender Section of the Ministry of Health and Population, NFCC is currently completing a mapping of all organization providing services for survivors of GBV. It is expected that the completed document will be a first of its kind and a useful resource in the following ways:
for Government of Nepal to monitor services for survivors;
for all organizations to network and collaborate;
for survivors to access a full range of services and support available in Kathmandu Valley.
This assessment included a detailed study of all adolescent health interventions implemented across Nepal, what interventions could be linked to the HPV vaccination project and a strategy for the integration of adolescent health interventions with the HPV vaccination as well as its scale up nationally. NFCC was contracted to do this assessment by FHD and supported by WHO Nepal. The findings were presented to the government of Nepal.
Yet another breakthrough in research on menstruation is the development of the ABYMMA Scale in collaboration with the University of Pittsburgh, USA. The ABYMMA Scale is the first qualitative tool on menstruation developed specifically for Nepal. This tool called Adolescent Boys and Young Men Menstrual Attitudes (ABYMMA) scale measures the menstrual attitude among adolescent boys and young men. This tool can be used by any organization working on menstruation as a pre-intervention and post intervention tool to measure impact.
With support from the University of Alabama, Birmingham, USA, NFCC conducted a study to assess prevailing perceptions on the association between Menstrual Restrictions and Human Rights Infringement among urban Nepalese in Kathmandu Valley. This study is the first large scale survey of status of menstrual restriction among Nepalis. Data analysis is complete and academic papers are being developed.
In collaboration with Department of Behavioural and Community Health Sciences (BCHS) of the Graduate School of Public Health at the University of Pittsburgh, USAconducted a collaborative film-making research with adolescent girls in Far West-Nepal. The said girls were taught how to make films and equipped with cameras so that they could document their daily lives when menstruating and when not. This type of qualitative research is a path-breaking methodology even at a global level.