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    Maternal and Child Health: 2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

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    Wardiati Yusuf
    The document summarizes findings from the 2001 Nepal Demographic and Health Survey related to maternal and child health. It finds that about half of pregnant women receive antenatal care and prenatal tetanus injections. Less than 10% of births occur in health facilities and only 13% are assisted by health professionals. Approximately 60% of children age 12-23 months are fully immunized by age 1. Symptoms of acute respiratory infection, fever, and diarrhea are common in young children, but utilization of health facilities for treatment is low. Access to healthcare is a major challenge, especially due to distance and lack of female providers.

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    Maternal and Child Health: 2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

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    Wardiati Yusuf
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    The document summarizes findings from the 2001 Nepal Demographic and Health Survey related to maternal and child health. It finds that about half of pregnant women receive antenatal care and prenatal tetanus injections. Less than 10% of births occur in health facilities and only 13% are assisted by health professionals. Approximately 60% of children age 12-23 months are fully immunized by age 1. Symptoms of acute respiratory infection, fever, and diarrhea are common in young children, but utilization of health facilities for treatment is low. Access to healthcare is a major challenge, especially due to distance and lack of female providers.

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    The document summarizes findings from the 2001 Nepal Demographic and Health Survey related to maternal and child health. It finds that about half of pregnant women receive antenatal care and prenatal tetanus injections. Less than 10% of births occur in health facilities and only 13% are assisted by health professionals. Approximately 60% of children age 12-23 months are fully immunized by age 1. Symptoms of acute respiratory infection, fever, and diarrhea are common in young children, but utilization of health facilities for treatment is low. Access to healthcare is a major challenge, especially due to distance and lack of female providers.

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    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    15 views36 pages

    Maternal and Child Health: 2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Uploaded by

    Wardiati Yusuf
    The document summarizes findings from the 2001 Nepal Demographic and Health Survey related to maternal and child health. It finds that about half of pregnant women receive antenatal care and prenatal tetanus injections. Less than 10% of births occur in health facilities and only 13% are assisted by health professionals. Approximately 60% of children age 12-23 months are fully immunized by age 1. Symptoms of acute respiratory infection, fever, and diarrhea are common in young children, but utilization of health facilities for treatment is low. Access to healthcare is a major challenge, especially due to distance and lack of female providers.

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    of 36

    Maternal and Child Health

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Maternal and Child Health


    Antenatal Care Delivery Care

    Postnatal Care
    Childhood Vaccinations

    Childhood Illnesses
    Access to Health Care
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Are women receiving antenatal care from a health care provider?


    NEPAL RESIDENCE Urban Rural EDUCATION No Education Primary Some secondary SLC and above
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    49

    Percent

    81 46

    39 64 83 95

    Source of Antenatal Care


    Doctor

    17 Percent

    Nurse/auxiliary nurse midwife Health assistant/ auxiliary health worker Maternal child health worker

    11

    11

    Village health worker

    Traditional birth attendant/other


    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    51 percent of women received NO antenatal care

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Number of Antenatal Care Visits


    53
    Percent

    48 27 27 12

    18 7 8

    None

    1 Urban

    2-3 Rural

    4+

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    How many months pregnant are women at their first ANC visit?
    53 51 41 18 24 15 16 18 19
    Percent

    14 11 11 2 3 3

    No antenatal care

    <4 months

    4-5 m. Urban

    6-7 m. Rural Total

    8+ m.

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    How many months pregnant are women at their first ANC visit?

    Median number of months at 1st visit

    Urban areas: 4.0 Rural areas: 5.1

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Quality of Antenatal Care


    Received iron tablets

    23

    Percent

    Blood sample taken

    28

    Urine sample taken

    29

    Weight measured Informed of signs of pregnancy complications Blood pressure measured


    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    47

    48

    60

    Are women receiving two or more tetanus toxoid injections?


    NEPAL RESIDENCE Urban Rural EDUCATION No Education Primary Some secondary SLC and above
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    45

    Percent

    67 44

    39 53 68 81

    Does tetanus toxoid coverage vary by zone and region?


    ECOLOGICAL ZONE Mountain Hill Terai DEVELOPMENT REGION Eastern Central Western Mid-western Far-western
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    21

    Percent of women receiving two or more tetanus toxoid injections

    35 57

    54 50 44 34 30

    Maternal and Child Health


    Antenatal Care
    Delivery Care

    Postnatal Care
    Childhood Vaccinations

    Childhood Illnesses
    Access to Health Care
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Where are babies being delivered?


    NEPAL
    9 89
    Percent

    RESIDENCE

    Home
    54 45

    Urban

    Health facility
    91

    Rural
    7
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Use of Clean Home Delivery Kits

    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%).

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Assistance from a Health Professional During Delivery


    NEPAL RESIDENCE Urban Rural EDUCATION No Education Primary Some secondary SLC and above
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    13

    Percent

    51 10

    7 18 37 68

    Maternal and Child Health


    Antenatal Care
    Delivery Care

    Postnatal Care
    Childhood Vaccinations

    Childhood Illnesses
    Access to Health Care
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Timing of First Postnatal Care Visit


    (for births delivered outside health facilities)
    7-41 days after delivery 3-6 days 1% No Within 2 days 17% postnatal care 79% 3%

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Maternal and Child Health


    Antenatal Care

    Delivery Care
    Postnatal Care

    Childhood Vaccinations
    Childhood Illnesses
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Access to Health Care

    Children 12-23 Months Vaccinated 1996: by 12 Months of Age only 36%


    97 83 83 77 71 96 90

    fully vaccinate d
    60

    64

    Percent

    3 BCG 1
    DPT
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    1
    Polio

    Measles

    All

    No vaccination

    Percent of Children 12-23 Months Fully Vaccinated


    RESIDENCE Urban Rural EDUCATION No Education Primary Some secondary SLC and above
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Percent
    75 65

    57 83 90 91
    At any time before the survey

    Children 12-23 Months Fully Vaccinated* in Selected Countries


    Philippines 1998 NEPAL 2001 Bangladesh 2000 Vietnam 1997 Indonesia 1997 India 1999 Cambodia 2000 Uttar Pradesh 1999 Bihar 1999

    73 66 60 57 55 42 40 21 11

    Percent

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    *At any time before the survey

    Maternal and Child Health


    Antenatal Care

    Delivery Care
    Postnatal Care

    Childhood Vaccinations
    Childhood Illnesses
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Access to Health Care

    Acute Respiratory Infections (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 Survey Ministry of Health, New ERA, ORC Macro

    ARI by Childs Age


    <6 m 6-11 m 12-23 m 24-35 m 36-47 m 48-59 m
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    28

    Percent

    36 28 22 18 15

    Fever by Childs Age


    <6 m 6-11 m 12-23 m 24-35 m 36-47 m 48-59 m
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    28

    Percent

    48 41 32 26 23

    Treatment 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 Survey Ministry of Health, New ERA, ORC Macro

    Treatment 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 areas 23% in rural areas


    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Diarrhea

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

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Diarrhea by Age of Child


    <6 m 6-11 m 12-23 m 24-35 m 36-47 m 48-59 m
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    19

    Percent

    35 30 20 15 11

    Diarrhea Treatment
    Home remedy/other Taken to a health provider Increased fluids ORS packets Pill/syrup ORS or increased fluids
    7 21 27 32 38 47

    Percent

    None
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    35

    Feeding Practices During Diarrhea Compared to Usual Feeding


    44 32 17 7
    Percent

    None/never gave food


    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Less

    Same

    More

    TO EAT

    Feeding Practices During Diarrhea Compared to Usual Feeding


    33 24 16 27
    Percent

    None
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Less

    Same

    More

    TO DRINK

    Maternal and Child Health


    Antenatal Care

    Delivery Care
    Postnatal Care

    Childhood Vaccinations
    Childhood Illnesses

    Access to Health Care


    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    Percent of Women Reporting a Big Problem in Accessing Health Care


    Urban Rural Total Knowing where to go for treatment 18 Lack of female health provider Distance to health facility Have to take transport Not wanting to go alone Getting money for treatment ANY PROBLEM
    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

    29
    50 54 54 59

    28
    49 51 51 57

    39 22 20 39

    44
    68

    69
    89

    66
    87

    Key Findings
    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 Survey Ministry of Health, New ERA, ORC Macro

    Photos Credits: D. Hinrichsen Caroline Jacoby P. Govindasamy

    2001 Nepal Demographic and Health Survey Ministry of Health, New ERA, ORC Macro

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