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MEOR Program Helps Improve Nepal’s Health Outcomes


  • Nepal’s health indicators are improving, but gains aren’t shared equitably.
  • Abt evaluates NHSP3 to inform project and policy changes.
  • Increased access to quality health services, particularly for the poor
The Challenge

Despite its post-conflict legacy and the 2015 earthquake, Nepal continues to achieve substantial progress. Critical health indicators are improving, including under-five and maternal mortality rates. However, these gains aren’t shared equitably across geographic areas or among income and social groups. Rural children are more likely to die before their fifth birthday than urban kids. The poorest children are twice as likely as rich children to die before reaching one and five years of age.

The Approach

The MEOR project in Nepal is evaluating the performance, including health outcomes, of the NHSP3 to achieve several goals:

  1. Improve NHSP3’s design, implementation and reporting
  2. Validate its logical framework and theory of change
  3. Generate evidence to inform stakeholder decision-making
  4. Conduct operational research on intervention effectiveness and quality
  5. Conduct research on broader health system efficiency
  6. Share evidence with Nepal’s health system and strengthen its knowledge management capabilities to improve overall health policy
The Results

The MEOR component enables the Department for International Development (DFID) to make continuous improvements in and adaptations of its support for NHSP3 to ensure achievement of intended impact and outcomes. MEOR has effectively tracked progress toward achievement of NHSP3 indicators; improved the review and evaluation of DFID’s investment in Nepal; built evidence to inform NHSP3 and NHSS (2015–2020 delivery); and improved learning and programme adaptation based on available evidence.