Nepal's National Safe Motherhood Program has achieved a 30 percent reduction in maternal mortality over the past five years, according to a comprehensive evaluation released by the Ministry of Health. The maternal mortality ratio has dropped from 239 to 167 deaths per 100,000 live births, placing Nepal among the most improved countries in South Asia.

Key interventions that contributed to this success include the establishment of 1,200 birthing centers in rural areas, training of over 15,000 skilled birth attendants, and a cash incentive program that encourages women to deliver at health facilities rather than at home.

The program has been particularly effective in reducing deaths from postpartum hemorrhage and eclampsia, the two leading causes of maternal mortality in Nepal. Emergency obstetric care services are now available within two hours of travel for 85 percent of the population, compared to just 45 percent five years ago.

Despite the progress, health officials acknowledge significant disparities remain between provinces. Karnali Province still records maternal mortality rates nearly double the national average, and efforts are being intensified to improve access to skilled care in the most underserved regions.