Nepal has made significant strides in improving maternal health and advancing sexual and reproductive health and rights (SRHR) over the past two decades. Guided by progressive sectoral policies, community based interventions, and expanded health infrastructure, the country has reduced maternal mortality, increased skilled birth attendance, and raised awareness of sexual and reproductive rights. However, these gains remain fragile and uneven, with persistent disparities across geography, gender, age, disability, and socio-economic challenges that are further exacerbated by climate-induced disasters and the ongoing impact of the COVID-19 pandemic.
This report assesses Nepal’s progress toward Sustainable Development Goals (SDGs) 3.1 (reducing maternal mortality ratio) and 3.7 (ensuring universal access to SRHR services) from 2015 to 2025. It goes beyond statistics to explore the lived realities of adolescents and young people, health providers , and policymakers, identifying both systemic enablers and barriers where policy, culture, economy and institutions influence SRHR outcomes.
