Mahila Swahsta Sewa
Country of Operation
- Population Services International (PSI)Not-for-profit
SummaryThe Mahila Swahsta Sewa network is a fractional franchise of 173 health providers in Nepal that provide a variety of family planning/reproductive health and maternal and child care services.
Mahila Swahsta Sewa provides both short and long-term contraceptive options for people in the region, and treatment for tuberculosis, malaria, and diarrheal disease
Key program components
Mahila Swhasta Sewa (MSS) is a network of 300 clinics in 45 of the 75 Nepal districts. Each clinic is staffed by 1-2 Assistant Nurse Midwife (ANM). MSS providers are given a wide range of monitoring, support and training tools to improve their clinics. Population Services International (PSI) works with a network of local women and NGOs to conduct mobilization and outreach in the communities surrounding the MSS clinics through a group of local women (DIDIs). The DIDIs implement interactive group sessions, individual outreach and provide special services at the MSS clinics. The DIDIs supporting the outreach activities are paid a nominal monthly stipend for their work. Services provided at the MSS clinics include the provision of a variety of contraceptives, sexually transmitted infection (STI) treatment, and it has plans to expand services to antenatal care (ANC), labor and delivery, emergency obstetric care, post-natal care, vaccinations, malaria and TB testing/treatment and diarrheal disease treatment.
In effort to expand access and choice to long-term methods, PSI hosts 'Clinic Support Days' (CSDs) to give providers the opportunity to refine their practical and counseling skills in Intrauterine Device (IUD) and implant insertions and counseling. Additionally, by linking clinical support days to and MSS provider, PSI Nepal can ensure that procedures for managing complications are permanently remembered and utilized, if necessary, by a senior nurse. MSS is a central strategy of PSI Nepal to improve the quality of the private sector and to expand the impact of MCH programs in the country. PSI Nepal supports other healthcare networks including the public sector, NGOs and commercial sector in Nepal (SuperNetwork).