2001 nepal demographic and health survey ministry of health, new era, orc macro maternal and child...

2001 Nepal Demographic and Health SurveyMinistry of Health, New ERA, ORC Macro

Maternal Maternal and and

Child Child HealthHealth


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



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


51 percent of women

received NONO antenatal care


Number of Antenatal Care Number of Antenatal Care VisitsVisits

18

7

27

4853

8

27

12

None 1 2-3 4+

Urban Rural

Percent


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


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?


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


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



Antenatal Care

Delivery Care

Postnatal Care


Childhood Illnesses




Where are babies being Where are babies being delivered? delivered?

89

54

91

9

45

7

NEPAL

RESI DENCE

Urban

Rural

Home

Healthfacility

Percent


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



Antenatal Care

Delivery Care

Postnatal Care


Childhood Illnesses




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%



Antenatal Care

Delivery Care

Postnatal Care


Childhood Illnesses



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


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


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



Antenatal Care

Delivery Care

Postnatal Care


Childhood Illnesses



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.


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


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


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


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


DiarrheaDiarrhea

In the 2 weeks before the survey, 20% of children under age 5 had diarrhea


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


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


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


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



Antenatal Care

Delivery Care

Postnatal Care


Childhood Illnesses


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



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.


Photos Credits:

• D. Hinrichsen• Caroline Jacoby• P. Govindasamy

2001 nepal demographic and health survey ministry of health, new era, orc macro maternal and child...

Documents

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