![]() Often the minimum initial service package (MISP) is not being enforced consistently, and the key SRH aspects such as abortion, contraceptives, and supporting young people are being ignored. Access to SRH care goes beyond the availability of contraception education on reproductive health and responsible parenthood, antenatal care, safe delivery and postnatal care, safe abortion, treatment of infertility, treatment of sexually transmitted infections (STIs). Problems are further intensified by the existing capacity issues in health care systems. To maintain one’s sexual and reproductive health, people need access to accurate information and the safe, effective, affordable and acceptable contraception method of their choice. Similarly, there is a greatest unmet demand for SRH services among the most vulnerable-adolescents, poor communities, those living in rural areas and urban slums, people living of Human Immunodeficiency Virus (HIV), internally displaced persons and those experiencing humanitarian disasters. ![]() Strategies and social distancing approach adapted by countries to reduce the COVID-19 pandemic transmission is anticipated to affect the ability of these women to continue using contraception. In March 2020, an estimated 450 million women are using modern contraceptives across 114 priority low- and middle-income countries. The UNFPA stated that COVID-19 pandemic could critically undermine progress made towards Sexual and Reproductive Health (SRH). Ī recent projection of United Nation Population Fund (UNFPA) forecasts catastrophic impact on women’s health if COVID-19 pandemic continues since more than 47 million women could lose access to contraception, leading to 7 million unintended pregnancies. More than 500 women die every day during pregnancy and childbirth in countries due to a lack of trained birth attendants, medical services or unsafe abortions. ![]() The mortality in women of childbearing age can be reduced if they have access to proper maternal and neonatal health services and family planning (FP). Women’s reproductive health is one of the most important aspects of development. A total of 87,722 positive cases has been recorded in five study districts (Dang, Jhapa, Doti, Baidati and Kathmandu) which holds about 39% of the total cases in the country and 42% of female were tested positive in these five districts. The total cases per million population is 32,541 deaths per million population is 396 and test per million population is 191,834 in Nepal. A total of 983,103 has been diagnosed COVID-19 positive in Nepal. Nepal reported its first case on 13 January 2020 and by 15th November 2021 Nepal has cure rate of 97.7%, and 1.4% case fatality rate. On 11 th March 2020, the World Health Organization (WHO) declared COVID-19 to be a pandemic and recommended several measures to prevent its transmission. The first case of novel coronavirus (COVID-19) was reported in China in December 2019.
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