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Annual Report 2016

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Annual Report 2016 2016 ANNUAL REPORT R Adventist Development and Relief Agency “Changing the world, one life at a time” Legend MID WESTERN COUNTRY OFFICE Table of Contents PROJECT OFFICE HEALTH CENTRAL REGION HUMLA Adolescent Sexual and Reproductive Health (ASRH) 8 DARCHULA FAR WESTERN REGION Expanding Access to Quality Family Planning Services (FP2020) 10 FAR WESTERN BAJANG MID WESTERN REGION MUGU BAITADI BAJURA EASTERN REGION EDUCATION WESTERN REGION United for Education Project ( UFEP) 13 DEDELDHURA JUMLA KATHMANDU DOTI KALIKOT ACHAM DOLPA WESTERN REGION REGIONAL OFFICE Continuing Education for the Earthquake Affected Children (CEEAC) 14 LALITPUR MUSTANG ADRA Connection 2016 15 KANCHANPUR DAILEKH JAJARKOT BHAKTAPUR KAILALI RUKUM MANANG SURKHET CENTRAL REGION lIVELIHOOD MYAGDI SALYAN Initiative for Agriculture Productivity and Commercialization (IAPAC) 18 BARDIYA BAGLUNG KASKI GORKHA ROLPA PARBAT LAMJUNG Enhancing Livelihoods of Smallholder Farmers in Central RASHUWA EASTERN REGION BANKE GULMI Terai Districts of Nepal (ELIVES) 22 PYUTHAN DANG SYANGJA TANAHU SINDHUPALCHWOK GOAL 26 NUWAKOT Good Governance and Livelihood Project ( ) DHADING DOLKHA ARGHAKHANCHI PALPA SHOLUKHUMBU SANKHUWASABHA TAPLEJUNG NAWALPARASI KAPILBASTU RUPANDEHI CHITWAN MAKAWANPUR KAVRE DISASTER RISK MANAGEMENT RAMECHHAP Building Resilience and Adaptation to Climate Extremes and PARSA OKHALDHUNGA SINDHULI KHOTANG BHOJPUR Disasters (BRACED)-ANUKULAN 30 DHANKUTA BARA RAUTAHAT TERATHUM PHACHTHAR Building Resilience to Disaster Affected communities in UDAYAPUR ILAM SARLAHI Nepal (BURDAN) 32 MAHOTTARI DHANUSA SIRAHA SUNSARI Helping Earthquake affected communities rebuild their MORANG JHAPA SAPTARI Livelihood Project (HELP) 34 Goat Bank NEPAL (GBN) 36 Where do we work ? Health Infrastructure Restoration After Quake (HIRA) Project 38 30 Districts from a total of 75 in Nepal FINANCIAL OVERVIEW 40 Mission, Vision & Identity Message from the Country Director Empowered People, Effective Partnerships, As you read this report, you will find some Transformational Programs – with this important achievements. Behind these vision in mind, ADRA Nepal has undertaken accomplishments, there are human stories its pathway in 2016. of people working together and supporting In order to pursue this vision, we have each other, to improve living conditions and revamped our strategy to always be prepared achieve just and positive change. to fulfill our call to serve people in need. On behalf of the Adventist Development and During 2016, we have taken an active role to Relief Agency in Nepal, I would like to express support the post-earthquake reconstruction recognition to our team and our partners for and recovery process in addition to our regular their dedicated and tireless efforts. It is also development programs. Building resilience important to acknowledge the financial and Mission Vision Identity at every stage has become crucial, so we technical support of each one of our donors decided to have Disaster Risk Management as and other stakeholders. Overall guidance a standalone sector, as well as a crosscutting given by our board of directors and the The Adventist Development and Refief Empowered People - Effective The Adventist Development and issue. ADRA Network has been a key factor in Agency works with people in poverty and Partnerships Relief Agency is a global humanitarian On the other hand, Health, Education, and aligning every action toward the fulfillment distress to create just and positive change -Transformational Programs organization of the Seventh- day Livelihoods remain key sectors in which ADRA of our mission. through empowering paterships and Adventist Church that demonstrates responsible action. God’s love and compassion. Nepal will continue to serve people in Nepal. We take our mandate of changing the Because of this, we are strengthening and world, one life at a time, earnestly and with empowering our technical and administrative joy. Thank you for joining us in 2016 and we team to always be relevant to respond to the hope to continue this journey with you in Dr. Josue Orellana needs of those we are called to serve. years to come. Country Director ADRA Nepal HEALTH Strategic goal Sub-Sector ADRA Nepal aspires to be one of the government’s most active and • Health System and Infrastructure Strengthening consistent partners for ensuring healthy lives and promoting well-being • Integrated Nutrition Program for all ages (SDG3), as well as for ending hunger and achieving food and • Adolescent Sexual and Reproductive Health nutrition security (SDG2). • Family Planning • Maternal Newborn and Child Health • Equal Health Access Program VSP providing counselling to the beneficiaries at Babarjung Health Post , Sarlahi 6 Annual Report 2016 Annual Report 2016 7 DONOR Outcome achieved this Adolescent Sexual and year: 12 batches of 5 days’ competency based ASRH training: In 2016, 12 batches of 5 days’ competency Reproductive Health (ASRH) based ASRH training was conducted. The training focused on providing counselling to adolescents Name of the project on reproductive health, nutrition, and other issues, Adolescent Sexual Districts such as changes in adolescents, reproductive rights, and Reproductive family planning, and sex and sexualities. Five Health (ASRH) Sunsari, Udaypur, Sarlahi, Rautahat,Mahottari, Saptari, Si batches were completed at PMWH Thapathali, four Duration of the ndhuli,Kapilbastu,Arghakhachi, batches at Bheri Zonal Hospital, two batches at induce women to practice unsafe and forced project Yangjee Sherpa Pyuthan,Dang,Rolpa, Rukum,Bajhang, Koshi Zonal Hospital and one batch at Seti Zonal physical intercourse, frequent abortion, and face Jan 2016 – Dec 2016 Visiting Service Provider Bajura, Baitadi, Dadeldhura,Achham Hospital. One hundred eighty-nine health workers Simra bhavanipur-1, Rautahat humiliation. participated who were from Sarlahi, Rauthat, Women come to take this implant service because Mohattari, Udaypur, Sunsari, Saptari,Sindhuli, Prior the intervention of the program, women only most of the women who visit here are economically Rolpa, Argakachi, Dadeldhura, Dang and Rukum got Depo-Provera shots, condoms, and pills as backward and can’t afford their children’s education. districts. contraceptive measure for family planning from the It is even difficult for them to feed their children health post. It was after the intervention of the FP2020 and take good care of them. Compared to previous program which advocated the use Implant and IUCD, year the number of contraceptive user has been the number of implant user has now increased to rising. The female community health volunteers Certification: 69. On average 10 women visit the health post in a along with the UNFPA and ADRA Nepal supported In a process of joint monitoring of health facilities, month to take the implant service mostly from the trained health service provider provide door-to- door advocacy and implant services to women the team certifies the service site to provide Mushar, Chamar and Majhi community. They feel more (HHs’ or Number of people) comfortable to take the implant service than IUCD from the disadvantaged community. Women have REACHED adolescent friendly services. This is the process of because implant is inserted in arms. also shown eagerness in learning more about these accrediting the service site/health facility after the contraceptive measures and have been doing word Usually when women come for counselling, they make ASRH is a priority for the Government Health Facility Operation and Management service provider from that site has been trained. of mouth promotion. of Nepal, as articulated in the National Committee , schools and Primary Health enquiry about the side effects of using the implant After certification, the family health division lists the and IUCD and ensure that they don’t have to take rest The program has really been effective since Reproductive Health Strategy (1998), the Care Outreach Center to generate demand site as AFS in the country. The certification team is for longer time after using these contraceptives. Most number of user has increased and people have National Adolescent Health and Development and community support and increase access formed jointly with FHD, NHTC, DPHO, UNFPA of the women come with their husband and mother- become more aware about the importance of in-law whilst some do it secretly with the fear of their family planning. We are thankful to ADRA Nepal for Strategy (2000), and the Nepal Health Sector to information and services. and ADRA Nepal and mainly monitors the quality Program–II (NHSP-II) (2010-2015). The This project aims to train the service provider family. Most of the implant users are families with son. providing us this training opportunity which has of adolescent friendly health services.Certification However, most of the families who have three-four enhanced out skill in delivering effective implant National ASRH Program Implementation on ASRH, strengthen the AFS center, establish was carried out in 21 HF of eight districts (Sarlahi, daughters and not son, the family (husband and in- and IUCD services. I think if we can introduce Guideline 2011 also emphasizes linkages with AFS in all health facilities, and to certify AFS Rauthat, Mohattari, Kapilvastu, Rukum, Sunsari, laws) will not permit the wife to use any contraceptive similar programs in adjoining VDC to make valuable existing networks of the health system such center and to contribute to the achievement of measure unless they give birth to a son. This traditional contribution
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