One woman dies every two hours from maternal death in Nepal. The health situation is even worse in the rural areas due to many hindering factors like harsh terrain, lack of knowledge and low socio-economic status of the people, lack of availability and access to quality health care. For instance, only thirty-eight percent of rural mothers receive antenatal care from skilled birth attendees, compared with eighty-five percent of urban mothers. Only a fraction of people in rural areas manage to visit the health institution, that also in the late stage of their disease. Most of the problems are still hidden and unrecognized. These conditions show the necessity of integrating primary health care with preventive programs and developing a structured health system in rural areas. For this, DCP developed the concept of “Regular Health Monitoring Program (RHMP) or Family Health Program (FHP)”


RHMP or FHP is the preventive program where health screening is done to identify the high-risk people for timely intervention, detect the disease and treat it as early as possible. During the screening, if the disease is detected, the person will be referred to the health centre of DCP or to DH (in case of complicated cases) for treatment.  Health education and counseling service will also be given at the same time

The implementation strategy of the RHMP or FHP would be as follows:

(i) development of Pro-forma including household information, child and adult health profile, and provision of management slip;

(ii) selection of cluster after meeting with respective stakeholders

(iii) data collection using developed Pro-forma, maintaining logbook, clinical examination, etc.

(iv) development of database where each profile will be entered into the database;

(v) analysis for need assessment;

(vi)  design and implementation of intervention programs; and

(vii) regular follow-up