Dhading is a hill district located in central Nepal. The district covers an area of 744 sq mi / 1,926 sq km and has a population of 405,906. Although the southern part of the district borders the Kathmandu Valley, the northern part of the district is much more remote and has very few roads, and limited access to appropriate health infrastructure. Dhading reports 9,000 pregnancies per year. In 2014 we started the set-up phase of our programs and we had just started the implementation phase in 2015 when a devastating earthquake put a halt to our efforts. As a result, we modified our program implementation to integrate much-needed earthquake relief activities. Over the next two years, we will continue the implementation activities of our program. Our efforts will be focused on re-establishing a healthcare infrastructure, and on training skilled birth attendants as well as community outreach volunteers.
In 2015, the government of Nepal changed the definition of appropriate antenatal care (ANC) visits to state that only visits at four, six, eight, and nine months of pregnancy would be counted toward receiving “appropriate ANC.” Prior to 2015, all women attending at least four visits were counted as receiving appropriate ANC. The decline in this indicator can be observed across Nepal.
The devastating earthquakes in 2015 completely destroyed 65% of the existing health facilities in Dhading and inflicted partial damage on an additional 25%.