The Primary Health Care Based Community Programme was initiated by the Nepal Red Cross Society (NRCS) in 1988 in cooperation with the Danish Red Cross. Phase III of the project was implemented for five years in three districts of Nepal: Palpa, Arghakhanchi and Achham. Project activities included institutional development, staff training; construction of drinking water schemes; and the promotion of health and hygienic practices such as the installation of toilets, improved cooking stoves, washing platforms and kitchen gardens. This study assesses the relevance, effectiveness, impact and sustainability of each of the project components. It also assesses the spillover and replication effects of the program in new/non-project area in the districts.
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