Case Study – Nepal

Case Study – Nepal

Author: Alex Jones
External author: Nitin N. Bhandari

Our analysis traces three connected interventions: Community-Based Integrated Management of Child Illnesses (CB-IMCI), the Community-Based Newborn Care Package (CB-NCP), and Community-Based Integrated Management of Newborn and Childhood Illness (CB-IMNCI). The first targeted under-five mortality and was the product of a contextualised World Health Organization (WHO) recommendation. The second reflected the government’s attempt to reduce neonatal mortality when a contextually implementable WHO recommendation was not available. The third is a merger of the first two, taking into account the contemporary state of Nepal’s health system (given that what is possible now was not possible when CB-IMCI or CB-NCP were first launched) and adjusting some of the more controversial components of CBNCP.

We asked what, why and how (if at all) learning from other countries played a role in this process.