2001 nepal demographic and health survey ministry of health, new era, orc macro maternal and child...
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2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Maternal Maternal and and
Child Child HealthHealth
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Maternal and Child Maternal and Child Health Health
Antenatal Care
Delivery Care
Postnatal Care
Childhood Vaccinations
Childhood Illnesses
Access to Health Care
49
81
46
39
64
83
95
NEPAL
RESI DENCE
Urban
Rural
EDUCATI ON
No Education
Primary
Some secondary
SLC and above
Are women receiving Are women receiving antenatal care from a health antenatal care from a health
care provider?care provider? Percent
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Source of Antenatal CareSource of Antenatal Care17
11
11
3
6
1
Doctor
Nurse/auxiliary nurse midwife
Health assistant/ auxiliary health
worker
Maternal child health worker
Village health worker
Traditional birth attendant/other
Percent
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
51 percent of women
received NONO antenatal care
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Number of Antenatal Care Number of Antenatal Care VisitsVisits
18
7
27
4853
8
27
12
None 1 2-3 4+
Urban Rural
Percent
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
How many months pregnant How many months pregnant are women at their first ANC are women at their first ANC
visit?visit?
18
41
24
14
2
53
15 1811
3
51
16 1911
3
Noantenatal
care
<4months
4-5 m. 6-7 m. 8+ m.
Urban Rural Total
Percent
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Median number of months at 1st visit
Urban areas: 4.0 Rural areas: 5.1
How many months pregnant How many months pregnant are women at their first ANC are women at their first ANC
visit?visit?
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Quality of Antenatal CareQuality of Antenatal Care
60
48
47
29
28
23
Blood pressure measured
I nformed of signs of pregnancy
complications
Weight measured
Urine sample taken
Blood sample taken
Received iron tablets Percent
45
67
44
53
68
81
39
NEPAL
RESI DENCE
Urban
Rural
EDUCATI ON
No Education
Primary
Some secondary
SLC and above
Are women receiving two or Are women receiving two or more tetanus toxoid more tetanus toxoid
injections?injections? Percent
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Does tetanus toxoid coverage Does tetanus toxoid coverage vary by zone and region?vary by zone and region?
21
35
57
54
50
44
34
30
ECOLOGI CAL ZONE
Mountain
Hill
Terai
DEVELOPMENT REGI ON
Eastern
Central
Western
Mid- western
Far- western
Percent of women receiving two or more
tetanus toxoid injections
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Antenatal Care
Delivery Care
Postnatal Care
Childhood Vaccinations
Childhood Illnesses
Access to Health Care
Maternal and Child Maternal and Child Health Health
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Where are babies being Where are babies being delivered? delivered?
89
54
91
9
45
7
NEPAL
RESI DENCE
Urban
Rural
Home
Healthfacility
Percent
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Use of Clean Home Delivery Use of Clean Home Delivery KitsKits
In 9% of births delivered at
home, a clean home delivery
kit was used. This rate was
higher (14%) in urban areas
than in rural areas (9%).
Assistance from a Health Assistance from a Health Professional During Professional During
DeliveryDelivery13
51
10
7
18
37
68
NEPAL
RESI DENCE
Urban
Rural
EDUCATI ON
No Education
Primary
Some secondary
SLC and above
Percent
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Antenatal Care
Delivery Care
Postnatal Care
Childhood Vaccinations
Childhood Illnesses
Access to Health Care
Maternal and Child Maternal and Child Health Health
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Timing of First Postnatal Care Timing of First Postnatal Care VisitVisit (for births delivered outside (for births delivered outside
health facilities)health facilities)
No
postnatal
care
79%
Within 2
days
17%
3- 6 days
1%
7- 41 days
after
delivery
3%
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Maternal and Child Maternal and Child Health Health
Antenatal Care
Delivery Care
Postnatal Care
Childhood Vaccinations
Childhood Illnesses
Access to Health Care
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Children 12-23 Months Children 12-23 Months Vaccinated by 12 Months of Vaccinated by 12 Months of
AgeAge
DPT Polio
83 8377
71
97 9690
64 60
3
BCG 1 3 1 3 Measles All Novacci-nation
Percent
1996: only 36% fully
vaccinated
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Percent of Children 12-23 Percent of Children 12-23 Months Fully VaccinatedMonths Fully Vaccinated
75
65
57
83
90
91
RESI DENCE
Urban
Rural
EDUCATI ON
No Education
Primary
Some secondary
SLC and above
Percent
At any time before the survey
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Children 12-23 Months Fully Children 12-23 Months Fully Vaccinated* in Selected Vaccinated* in Selected
CountriesCountries73
66
60
57
55
42
40
21
11
Philippines 1998
NEPAL 2001
Bangladesh 2000
Vietnam 1997
Indonesia 1997
India 1999
Cambodia 2000
Uttar Pradesh 1999
Bihar 1999
Percent
*At any time before the survey
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Maternal and Child Maternal and Child Health Health
Antenatal Care
Delivery Care
Postnatal Care
Childhood Vaccinations
Childhood Illnesses
Access to Health Care
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Acute Respiratory Infections Acute Respiratory Infections (ARI) and Fever(ARI) and Fever
In the 2 weeks before the survey, 23% of children
under age 5 had cough and rapid breathing and 32%
had fever.
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
ARI by Child’s AgeARI by Child’s Age
15
18
22
28
36
28
48- 59 m
36- 47 m
24- 35 m
12- 23 m
6- 11 m
<6 m Percen
t
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Fever by Child‘s AgeFever by Child‘s Age
23
26
32
41
48
28
48- 59 m
36- 47 m
24- 35 m
12- 23 m
6- 11 m
<6 m Percen
t
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Treatment of ARI and FeverTreatment of ARI and Fever
24% of children who suffered from symptoms of ARI and/or fever
were taken to a health provider
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Treatment of ARI and FeverTreatment of ARI and Fever
24% of children who suffered from symptoms of ARI and/or fever
were taken to a health provider
33% in urban areas23% in rural areas
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
DiarrheaDiarrhea
In the 2 weeks before the survey, 20% of children under age 5 had diarrhea
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Diarrhea by Age of Diarrhea by Age of ChildChild
11
15
20
30
35
19
48- 59 m
36- 47 m
24- 35 m
12- 23 m
6- 11 m
<6 m Percen
t
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Diarrhea TreatmentDiarrhea Treatment
47
38
27
21
7
32
35None
ORS or increased fluids
Pill/syrup
ORS packets
Increased fluids
Taken to a health provider
Home remedy/other Percent
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Feeding Practices During Feeding Practices During Diarrhea Compared to Usual Diarrhea Compared to Usual
FeedingFeeding
TO EATTO EAT
Percent
17
44
32
7
None/nevergave food
Less Same More
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Feeding Practices During Feeding Practices During Diarrhea Compared to Usual Diarrhea Compared to Usual
FeedingFeeding
TO DRINKTO DRINK
Percent
16
24
3327
None Less Same More
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Maternal and Child Maternal and Child Health Health
Antenatal Care
Delivery Care
Postnatal Care
Childhood Vaccinations
Childhood Illnesses
Access to Health Care
Knowing where to go for treatmentKnowing where to go for treatment
Lack of female health providerLack of female health provider
Distance to health facilityDistance to health facility
Have to take transportHave to take transport
Not wanting to go aloneNot wanting to go alone
Getting money for treatmentGetting money for treatment
ANY PROBLEMANY PROBLEM
Knowing where to go for treatmentKnowing where to go for treatment
Lack of female health providerLack of female health provider
Distance to health facilityDistance to health facility
Have to take transportHave to take transport
Not wanting to go aloneNot wanting to go alone
Getting money for treatmentGetting money for treatment
ANY PROBLEMANY PROBLEM
Percent of Women Reporting Percent of Women Reporting a Big Problem in Accessing a Big Problem in Accessing
Health CareHealth Care
18 29 28
39 50 49
22 54 51
20 54 51
39 59 57
44 69 66
68 8968 89 8787
Urban Rural Urban Rural TotalTotal
Urban Rural Urban Rural TotalTotal
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Key Key FindingsFindings
One in two pregnant women received antenatal care. 45% received two or more doses on tetanus toxoid injection.
Less than one in ten births occurred in a health facility. 13% of births were attended by a health professional.
60 percent of children 12-23 months are fully immunized by age 1.
Use of a health facility to treat symptoms of ARI, fever and diarrhea is low.
2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro
Photos Credits:
• D. Hinrichsen• Caroline Jacoby• P. Govindasamy