Support to leprosy control, Disability management and Inclusion in Nepal (2016-20)
Social Welfare Council (SWC), Lainchaur, Kathmandu, Nepal
November 29th 2018 (Mangsir 13, Thursday 2075)
Netherlands Leprosy Relief (NLR) Nepal has been undertaking its program activities guided by the five years’ project document approved by Social Welfare Council (SWC) for the project period 2016-2020 based on Outcome Mapping PME strategy. As an integral part of the project agreement, NLR Nepal organized a Central Project Advisory Committee (CPAC) meeting under the chairmanship of Member Secretary of SWC, Mr. Rajendra Kumar Poudel to review and analyze the progress and achievement of programs being conducted by NLR through its boundary partners in Province 1 and Province 7.
NLR Nepal Country Director, Mr. Himalaya Dev Sigdel extended his welcome speech to all the participants and briefly introduced working areas and issues that are covered by NLR Nepal in Province 1 and Province 7. He shared with the participants the initiation of NLR Nepal towards Inclusive Development program and how this approach would facilitate the holistic development of the communities. He finally thanked all the participants for their valuable presence in the meeting and asked for their policy as well as operational advice/feedback that would further support in achieving desired outcomes by the end of the programs.
Presentation by NLR Nepal
Followed by the welcome remarks, Deputy Technical Director of NLR Nepal, Nandalal Banstola presented the progress of the program ‘Support to leprosy control, Disability management and Inclusion in Nepal (2016-20)’ being implemented by NLR Nepal as per the project agreement with Social Welfare Council in 2015. He stated that the CPAC meeting has been conducted in a regular basis by SWC. He reflected the historical background of NLR Nepal, how it has been working in Nepal since 1977 and with the government of Nepal since 1986 and presented target Vs achievements, financial status, sustainability components of the program, coordination mechanism, any changes made in the program in this duration (if any), monitoring and evaluation mechanism applied and lastly issues and challenges faced during the planning and implementation of the program. He thanked the SWC for being cooperative in incorporating new approach of Outcome mapping or Outcome harvesting as a PME tool even though it was not included in their policy.
He explained on the thematic area of NLR Nepal and that it has been working in 25 districts with long or short term programs related to leprosy and disability as core issues, through its boundary partners. He further clarified that since NLR adopted the OM approach, it works to bring changes in four components (attitude, practice, behavior, action policy) of our boundary partners to promote the health status of community people, empower them and create inclusive community. He explained NLR worldwide strategy of the four Key Priority Programs (KPP1: Stop transmission, KPP2: Integrated self-help group, KPP3: Disability Inclusive Development, KPP4: Stigma Reduction) to achieve its goal.
He presented about the progress of LPEP pilot project that was implemented from 2015 to 2018 in Jhapa, Morang and Parsa. He explained that after the implementation of LPEP program and its significant results in the very first year of implementation, it has been expanded in 9 other districts. He also clarified that since the intervention program has been implemented as a joint program with the Nepal government, it should be viewed as a contribution of NLR Nepal towards achieving the goal of the program and not attribution. This is the core value of Outcome Mapping strategy.
Mr. Banstola reviewed the recommendation received during previous CPAC Meeting held in 26th December, 2017 with 24 participants and whether the recommendation has been incorporated.
1. Reduce the use of technical terms in a presentation
Since the issue of leprosy and disability itself has got the technical terminologies, we had used them. However, in this presentation, the use of the technical terms has been reduced to the possible extent.
2. Explain the sustainability component
Sustainability component has been incorporated in this presentation. Even though NLR is phased out, the leprosy control program will be continued because the program has been integrated within the government’s priority programs, health workers are trained on the issue, medication is available in the health facilities.
For inclusive development, there are 100 activities under the program and these activities are integrated within the municipalities’ integrated planning and the municipalities have allocated funds for the program.
3. NLR Support project activities should be centered on awareness raising, empowerment, livelihood, IEC and BCC
NLR Nepal has initiated model municipality concept to address this recommendation and other countries have also tried to replicate this program in their own setting.
4. Clear conclusion of the Mid-term evaluation
Since the midterm evaluation will be conducted at the end of 2018, this has been planned for 2019.
5. Continue the MPAC in local level
4 MPAC has been conducted in 2018. Generally, MPAC and DPAC are conducted at the end of the year, few are yet to be conducted in this month. We have planned for seven such programs.
6. Incorporate women issues and participation in perspective of inclusion and gender in this presentation
Since the focus of NLR Nepal is towards disability gender and marginalized population, these issues have been incorporated in all of the program activities.
7. Cover the entire district instead of few wards.
For Leprosy control program, NLR Nepal has covered the entire district but for the Inclusive development program, it is easier to create model municipalities rather than model districts.
8. Continue the cluster approach
Because of the nature of the leprosy control program and disability issues, we have to work in this approach.
9. The membership fee to AIN should not be from within the budget agreement with SWC.
This recommendation was sent to the NLR International Office and it was suggested to us that this fee would be paid externally.