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1.nutritional Status and Interventions in Nepal - Final Draft - 18 Dec 2017
1.nutritional Status and Interventions in Nepal - Final Draft - 18 Dec 2017
1.nutritional Status and Interventions in Nepal - Final Draft - 18 Dec 2017
Kathmandu
18-19 December
• 82% of all deaths among children under age 5 in Nepal take place before a
child’s first birthday, with 54% occurring during the first month of life
Pneumonia
Other 20%
29%
Malaria
8%
Perinatal Measles
22% HIV/AIDS 5%
4%
Without Improvement in
Nutrition, Further Child
Mortality Reduction is less likely
Sources:
EIP/WHO. Black et al, 2008. The Lancet Series on Maternal and
Child Under-nutrition.
Trends in Nutritional Status of Children
Stunting
Underweight
Wasting
Child Stunting by Province
Percent of children under 5 stunted, based on 2006 WHO Child Growth Standards
Nepal
Province 7 36%
36% Province 6
55%
Province 4
29%
Province 5
39% Province 3
29%
Province 1
33%
Province 2
37%
Nepal Demographic and Health Survey 2016
Child Stunting Regional Comparison
Percent of children under 5 who are stunted, based on 2006 WHO Child Growth Standards
Trends in Nutritional Status of Women
Percent of women age 15-49
Thinness (BMI<18.5)
Overweight/Obese
Micronutrient Deficiencies
Children
Women
Anemia in Children by Province
Percent of children age 6-59 months with any anemia
Nepal
Province 7 53%
50% Province 6
48%
Province 4
46%
Province 5
53% Province 3
43%
Province 1
55%
Province 2
59%
Anemia in Women by Province
Percent of women age 15-49 with anemia
Nepal
Province 7 41%
39% Province 6
35%
Province 4
28%
Province 5
44% Province 3
29%
Province 1
43%
Province 2
58%
IFA Supplementation during Pregnancy in Nepal
Iodine Deficiency Disorders (IDD)
Sources:
1.Ministry of Health/HMG, UNICEF, WHO, Micronutrient Initiatives, New Era. Nepal Micronutrient Status Survey 1998.
2.Ministry of Health and Population, Micronutrient Initiatives, New Era. Nepal Iodine Deficiency Disorders Status Survey 2005.
Vitamin A Deficiency (VAD)
• Vitamin A supplementation is
one of the major
contributors.*
S Thapa, MK Choe, RD Retherford. Effect of Vitamin A Supplementation on Child Mortality: evidence from Nepal’s 2001 Demographic and Health Survey. Tropical Medicine
and International Health. August 2005: 8; 782-789..
Major Nutrition Programs: Health
Nationwide At scale up
1. Maternal Infant and Young Child Nutrition (MIYCN) 1. Integrated Management of Acute
Malnutrition (IMAM) – 32 districts
2. Growth Monitoring and Counseling
2. Micronutrient Powder (MNP) distribution
3. Prevention and control of Iron Deficiency Anemia (IDA) linked with IYCF – 26 districts (including 11
earthquake districts)
4. Prevention, Control and Treatment of Vitamin A deficiency
3. School Health and Nutrition Program (56
5. Prevention of Iodine Deficiency Disorders (IDD)
districts)
6. Control of Parasitic Infestation by deworming
4. Adolescent Girls Iron Folic Acid
7. Flour fortification via large roller mills Supplementation Program – 10 districts
8. Community based integrated management of newborn and5. Multi-sectoral Nutrition Plan (MSNP)–(28
childhood illnesses Districts)
9. Maternal health (ANC, skilled delivery and PNC) 6. Golden 1000 Day Communication Campaign
At small scale
1. Maternal and Child Health Nutrition (MCHN) Program– 7 districts (Karnali, Bajura and Solu)
2. IYCF Linked with Child Cash Grant ( 5 Districts of Karnali, Achham, Bajhang and Rautahat)
3. Fully nourished village/wards initiative (campaign)
4. Emergency Nutrition Program – 14 districts during Eqs
Nepal’s Status Against WHA Global Nutrition Targets
SN World Health Assembly (WHA) 2025 Status WHA Target for Nepal’s Current
Global Targets (Base year Nepal Status
(Not Set Yet Nationally)
2011)
1 Achieve a 40% reduction in the number of 40.5% 25% 35.8% (NDHS 2016)
children under - 5 who are stunted
3 Achieve a 30% reduction in low birth weight 12.1% 8% 24.2 % (MICS 2014)
4 Ensure that there is no increase in childhood 1.4% ≤1.4% 1.2 % (NDHS 2016)
overweight
5 Increase the rate of exclusive breastfeeding 69.6% >50% 66.1 % (NDHS 2016)
in the first 6 months up to at least 50%
NMICS: Nepal Multiple Indicator Cluster Survey, 2014; NDHS: Nepal Demographic and Health Survey, 2016
Thank You