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Gender Dimension in Health and Sustainable Development Goal: Nepal
Gender Dimension in Health and Sustainable Development Goal: Nepal
3
Population Characteristics
• Total Population: 29.3 Million
300 281
259
200
125
99
100
70
0
1996 2006 2016 Target 15th Plan- Target
2020 Target 2023 2030
8
Child Mortality Rate in Nepal
118
Under-5 mortality 54% of under 5 deaths are neonates
40% of neonatal deaths are within the first 24 hours
91 Infant Mortality Ratio: 32 per thousand live birth
% of birth assisted by Skilled Health Provider : 58%
61
54
50
39 39
33 33
28
21 24
Neonatal mortality
18 20
14 12
1996 NFHS 2001 NDHS 2006 NDHS 2011 NDHS 2016 NDHS NHSS 2020 15th Plan 2023 Target 9SD 2030
Target Target
• % of Pregnant Women Received Antenatal Care from Skilled Provider :
84%
• Contraceptive prevalence rate (CPR)
- Any Method : 52.6%
- Any Modern Method : 42.8%
• Unmet need for family planning: 24% ( highest in adolescents aged
15-19 years : 34.9%)
10
RH Morbidity Status
• Pelvic organ prolapse : 6.4% *
• Cervical pre cancerous lesion : 1.6% *
• HPV 16/18 : 5.4% *
• Obstetric fistula : 200-400 cases per year
• Cervical Cancer: 16.6% of all cancer among women
11
Gender based violence
• 26 % of women aged 15-49 year experience physical or sexual
violence
• Domestic violence is predominant, followed by:
• Girls trafficking
• Physical/sexual abuse, social abuses
• Malpractices such as allegation of witchcraft, Chhaupadi, dowry
which are often fatal.
12
Chhaupadi
Witchcraft
13
Position held by Women in Nepal
• In the elections of 2017, over 40 percent of elected officials
were women in local governments, and there is a
constitutional guarantee that at least 33 percent of the
members of parliament must be women.
• Between October 2015 and June 2016, Nepal received its
first women in powerful positions—the President, the
Speaker of Parliament, and the Chief Justice of the Supreme
Court.
14
Recent Interventions towards Gender
Equality, Health and Sustainable
Development Goals
15
The Constitution of Nepal 2015
Article 35 of the Constitution of Nepal 2015 clearly mentioned about
Right relating to Health that consists of 4 rights.
1) Right to free basic health service from the state to every citizen
and no one shall be deprived of emergency service.
2) Right to information about their medical treatment
3) Every citizen shall have equal access to health service
4) Every citizen shall have access to clean drinking water and
sanitation
16
The Constitution of Nepal 2015
Article 38 of the Constitution of Nepal 2015 clearly mentioned about
Right relating to Health that consists of 6 rights.
• Every woman have equal lineage right without gender based discrimination.
• Although Act has been passed, still regulation is not formulated yet.
18
Targets of Sustainable Development Goals
19
Targets of Sustainable Development Goals
20
Key Innovation
• National Adolescent Health and Development Strategy 2018/19
initiated.
• Declaration of all health facilities of 3 districts providing 5 Family
Planning Services.
• Preparation of safe motherhood roadmap as a game changing
initiative.
21
Challenges