FAMILY PLANNING
The Contraceptive Prevalence Rate is increasing. It has gone from 32.70% in FY 2055/56 to 34.45% in FY 2056/57 and 37.59% in FY 2057/58.

Nationally, Over the last three years, there has been an increase in the number of new acceptors of different spacing methods (from 415,906 to 470,840), with a substantial increase in Norplant acceptors. The number of new poll acceptors increased (from 61,810 in FY 2055/56 to 104,356 in FY 2057/58), as did IUCD acceptors (from 6,244 in FY 2055/56 to 8,616 in FY 2057/58). While new acceptors of voluntary surgical contraception (VSC) increased remarkably (from 64,433 in FY 2055/56 to 74,099 in FY 2057/58), male VSC acceptors increased only marginally. The percentage of the target for utilisation of family planning methods increased from 83% in FY 2051/52 to 108% on FY 2057/58.

Regionally, over the last three years, there have been increases in pill, Depot Provera , and VSC acceptance. In accordance with Family Health Division (FHD) policy , the number to minilaps has increased significantly while the number of laparoscopies has declined.

SAFE MOTHERHOOD
The overall goal of the Safe Motherhood Programme is to reduce maternal and neonatal mortality and morbidity to an acceptable level. His Majesty's Government (HMG) employs a multi-sectoral approach to the development and implementation of the Safe Motherhood Programme (including both health and non-health activities) so as to strengthen all possible areas that could improve the health of women and their children.

Safe motherhood services have received increased priority in recent years. Over the last fiscal year there was a rise in the total number of antenatal care (ANC) first visits from 335,898 to 400,289, a noted increase in postnatal care (PNC) first visits from 90,566 TO 124,555, and an increase in the number of recorded deliveries by trained personnel (including TBAs) from 129,583 to 136,231.However, overall coverage of AVC, delivery, and PNC services remain low (40.5%, 13.8% and 12.6 respectively0, and the number of maternal deaths is suspected to be very high-estimated at one death every two hours. Major achievements have been the development of an integrated reproductive health (RH) policy, operational guidelines, and clinical protocols. These guidelines and protocols have been field tested, revised, and disseminated nation-wide through orientation and training. Three functional CEOC hospital established.

FEMALE COMMUNITY HEALTH VOLUNTEER (FCHV ) PROGRAMME
National, Regional and District workshops were held to remain the FCHVs program and developed action plans. 2,297 new Mothers Group were formed and received orientation for the selection of new FCHVs against the target of 2,487. Representing all the five regions of the country, 277FCHVs were participated in the exchange visit program. Four municipality (Palpa, Bara, Siraha, Kailali) had received an orientation for the initiation of FCHVs program to the municipality areas.

TRADITIONAL BIRTH ATTENDANT (TBA) PROGRAMME
Trained TBAs conducted 64,611 deliveries this year, representing 47.4% of reported deliveries, an increase from last year's figure of 51,371 deliveries. VHWs and MCHWs collected 95,514 reports from TBAs, an increase over FY 2056/57 when 92,185 reports were collected.

PRIMARY HEALTH CARE OUTREACH (ORC)
Throughout the country 122,423 outreach clinics were conducted against the target conducting 184,888 clinics. At 66% of the annual target, this represents a slight increase over previous years' achievements. The average number of clients served per clinic rose from eight in 2056/57 to nine in 2057/58.

All the PHC Outreach clinics were not conducted for several reasons, one being that clients did not visit clinics because supplies of medicine were not available. Clinics were not regular due to unavailability of service providers on regular basis to reports indicated that communities have little knowledge of PHC ORC services. District Health Officers (DHOs ) have been advised to manage PHC ORC clinics effectively, assuring service availability on regular basis with attractive package. (DHOs) also advised to encourage to raise community awareness of available services, run clinics according to national standards, and collect client fees as a means of replenishing medicinal supplies.