iCCM in Nepal is currently considered to be in a stage of expansion. A female community health volunteer (FCHV) is responsible for 100-150 households, and typically spends 5-6 hours per week on duties. These FCHVs have been taking on new roles in maternal, neonatal, child health and family planning and are the primary service providers for vitamin A supplement distribution, public sector acute respiratory infection (ARI) case management, ORS distribution, and National Immunization Days. There are also two paid CHW cadres in the government health system: village health workers (VHWs) and maternal child health workers. VHWs are the primary cadre responsible for providing immunization services and normally they are the main point of contact with FCHVs, collecting monthly reports and resupplying them with program commodities. FCHVs’ effectiveness is therefore dependent on a linkage with the health care system, through VHWs.
1. MCHIP. Child Health Country Profile: Nepal. Washington, DC: 2012.
Year of Introduction
Identification and treatment of diarrhea and ARI; provision of vitamin A supplements
IMCI in 48 out of 75 districts (as of 2010)
Name for Service Provider
Female community health volunteer (FCHV), village health worker (VHW), maternal child health worker