Nepal has made considerable strides in improving maternal health, but there is still a large unmet need for access to safe, reliable, reversible contraception. A large section of the population, most exacerbated amongst marginalized groups, is underserved. Many women may only have access to sterilization or Depo-Provera as methods of birth control. It is estimated that 27% of women of reproductive age in Nepal would like to delay or prevent pregnancy, but do not have access to modern forms of contraception. During the year following the birth of a child, two in three women are estimated to have an unmet need for contraception.
The provision of immediate postpartum IUD is critical in meeting women’s need for long-term but reversible contraceptive protection. Although the IUD is a safe, cost effective, reliable, and convenient method of family planning, only 2.1% of women are using IUD in Nepal. The Ministry of Health and Population (MOHP) has been putting various efforts to increase the use of IUD in Nepal, but progress has been incremental thus far.