Nepal’s Community-based Health System Model: Structure, Strategies, and Learning
Nepal has made impressive progress in reducing infant, child, and maternal mortality since it began providing community-based service delivery 20 years ago. Since 1990, the maternal mortality ratio (MMR) has declined by more than two-thirds, from 850 deaths per 100,000 live births in 1990 to 190 in 2011.
Through a grant awarded under Advancing Partners & Communities (APC), the Seva Foundation facilitates local expansion and further specialization of the existing low vision capacity building program. Seva Foundation provides equipment, additional training in clinical skills, and community outreach to their programs in Nepal and Cambodia. At the Lumbini Eye Institute in Nepal, Seva Foundation works to improve the pediatric ophthalmology fellowship and fosters continuing medical education through additional trainings.