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01-12-2016 | Report from the Field

It Takes More than a Village: Building a Network of Safety in Nepal’s Mountain Communities

Authors: Vincanne Adams, Sienna Craig, Arlene Samen, Surya Bhatta

Published in: Maternal and Child Health Journal | Issue 12/2016

Abstract

Purpose This report from the field details the ways that one small maternal child health NGO, which began its work in Tibet and now works in the mountain communities of Nepal, has established a model for integrated healthcare delivery and support it calls the “network of safety.” Description It discusses some of the challenges faced both by the NGO and by the rural mountain communities with whom it partners, as well as with the government of Nepal. Conclusion This report describes and analyzes successful efforts to reduce maternal and infant mortality in a culturally astute, durable, and integrated way, as well as examples of innovation and success experienced by enacting the network of safety model.

http://www.summitpost.org/pregnancy-and-altitude/286351.

See [10] on the social ecologies concept as related to maternal health and death in Mongolia and Craig et al. [7] on impacts of mountain environments in Nepal on patterns of resort for health seeking behavior.

See https://www.usaid.gov/nepal/maternal-and-child-health as well as the 2013 Lancet series on maternal and child health and mortality.

http://blogs.worldbank.org/health/maternal-and-child-health-nepal.

Partners in health human rights approach https://donate.pih.org/page/s/declaration.

Diagonal HC models stuff from Re-imagining GH.

www.oneheartworld-wide.org.

Similar results are seen in reduction of infant deaths: in Dolpo from 85 to 90 deaths out of 1000 births to 75, then to 35, and in the last 2 years between 3 and 5 deaths; in Baglung from 300 newborn deaths (again out of 8000 deliveries) to 150, to less than 50, and now to zero newborn deaths in 2015.

See the Nepal Safer Motherhood Project: http://www.nsmp.org/pregnancy_childbirth_nepal/index.html.

Acharya, L. B., & Cleland, J. (2000). Maternal and child health services in Nepal: Does access or quality matter more? Health Policy and Planning, 15(2), 223–229.CrossRefPubMed

Adams, V., Miller, S., Chertow, J., Craig, S., Samen, A., & Varner, M. (2005). Having a ‘safe delivery’: Conflicting views from Tibet. HCWI, 26(9), 821–851.

Adams, V., Craig, S., & Samen, A. (2015). Alternative accounting in maternal and infant health. Global Public Health,. doi:10.1080/17441692.2015.1021364.

Beall, C. M. (2001). Adaptations to altitude: A current assessment. Annual Review of Anthropology, 30, 423–456.CrossRef

Beall, C. M., Cavalleri, G., Deng, L., et al. (2010). Natural selection on EPAS1 (HIF2alpha) associated with low hemoglobin concentration in Tibetan highlanders. Proceedings of the National Academy of Sciences, 107(11), 459–464.

Bhandari, K. C., Pradhan, Y. V., Upreti, S. R., et al. (2011). State of maternal, newborn, and child health programmes in Nepal: What may a continuum of care model mean for more effective and efficient service delivery? Nepal Health Research Council, 19, 92–100.

Craig, S., Chase, L., & Lama, T. N. (2010). Taking the MINI to Mustang: Methodological and epistemological translations of an illness narrative interview tool. Anthropology and Medicine, 17(1), 1–26.CrossRefPubMed

Farmer, P., Kim, J. Y., Kleinman, A., & Basilico, M. (2013). Reimaginging global health: An introduction. Berkeley: University of California Press.

Fisher, M. (2012). Conclusion. In J. Beihl & A. Petryna (Eds.), When people come first (pp. 347–373). Princeton, NJ: Princeton University Press.

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Janes, C. (2004). Free markets and dead mothers: The social ecology of maternal mortality in post-socialist Mongolia. Medical Anthropology Quarterly, 18(2), 230–257.CrossRefPubMed

11.

LeVine, R., LeVine, S., Schnell-Anzola, B., Rowe, M. L., & Dexter, E. (2012). Literacy and mothering: How women’s schooling changes the lives of the world’s children. Oxford: Oxford University Press.CrossRef

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Ministry of Health and Population (MOHP) [Nepal], New ERA, and ICF International Inc. (2012). Nepal demographic and health survey 2011. Kathmandu, Nepal: Ministry of Health and Population. Calverton, Maryland: New ERA, and ICF International.

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Pandey, J. P., Dhakal, M. R., Karki, S., Poudel, P., & Pradhan, M. S. (2013). Maternal and child health in Nepal: The effects of caste, ethnicity and regional identity—further analysis of the 2011 Nepal demographic and health survey. Nepal Ministry of Health and Population. Calverton, Maryland: New ERA, and ICF International.

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Suwal, J. V. (2008). Maternal mortality in Nepal: Unraveling the complexity. Canadian Studies in Population, 35(1), 1–26.

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Vidnes, Thea. (2015). Challenging global advocacy of biomedical institution-based birth: A review with reference to Nepal and South Asia. Himalaya, 35(1), 103–116.

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Wiley, A. (2004). An ecology of high-altitude infancy: A biocultural perspective. New York, Cambridge: Cambridge University Press.CrossRef

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World Health Organization. (2015). Success factors for women’s and children’s health: Nepal country report. Geneva: World Health Organization Library.

Title: It Takes More than a Village: Building a Network of Safety in Nepal’s Mountain Communities
Authors: Vincanne Adams
Sienna Craig
Arlene Samen
Surya Bhatta
Publication date: 01-12-2016
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 12/2016
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-016-1993-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

It Takes More than a Village: Building a Network of Safety in Nepal’s Mountain Communities

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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