Health Profile of Nepal According to NDHS

Subject: Community Health Nursing II

Overview

Health Profile of Nepal According to the Latest Nepal Demographic Health Survey (NDHS)

Access to Government Health Facilities

Almost half (49%) of households are within 30 minutes of a government health facility The total fertility rate for the 3 years preceding the survey is 2.3 births per woman, a decline from 2.6 children in 2011.

Maternal Health

Between 1996 and 2016, Nepal's maternal mortality ratio (MMR) dropped from 539 maternal deaths per 100,000 live births to 239 maternal deaths per 100,000 live births. Maternal fatalities made for around 12% of all deaths among women in 2016 who were of reproductive age. Women who were pregnant on average got four prenatal care visits.

Both the percentage of institutional deliveries (from 35% to 57%) and births aided by SBAS (from 36% to 58%) increased by 22% between 2011 and 2016.

Within two days of birth, more women than ever before (57%) had a postnatal care (PNC) examination, up from 45% in 2011.

Nepal has committed to doing its part to achieve Sustainable Development Goal (SDG) target 3.1 of reducing the global MMR to less than 70 maternal deaths per 100,000 live births by 2030. To achieve this ambitious target, Nepal will need to reduce its MMR by at least 7.5% annually addressing severe inequities in maternal health access, utilization and quality.

Child Health

Immunization: Seventy-eight percent of children age 12-23 months had received all basic vaccinations at the time of the survey. Only 1% of children did not receive any vaccines.

Breastfeeding: Fifty-five percent of children under age 2 are breastfed within 1 hour of birth, and 66% of children under age 6 months are exclusively breastfed.

Nutritional Status of Children: Thirty-six percent of children under age 5 are stunted (short for their age), 10% are wasted (thin for their height), 27% are underweight (thin for their age), and 19% are overweight (heavy for their height).

Nutrition: It includes the nutritional status of infants, young children, and adults. Infant and young child feeding practices, including breastfeeding and complementary feeding, are covered. Specific topics include the prevalence of anemia among women and children, and supplementation, deworming, and fortification for children, women, and households.

Complementary Feeding: Forty-seven percent of children age 6-23 months the minimum recommended diversity (at least four food groups). 71% receive meals a minimum frequency, and 36% meet the criteria of a minimum acceptable diet. receives

Coverage of Vitamin A and Deworming in Children: During the 6 months before the survey.b of children age 6-59 months received a vitamin A capsule, and 76% of children age 12-59 received deworming medication. Anemia in children and women: More than half (53%) of the children age 6-59 months and 41% of the women age 15-49 are anemic.

CB-IMNCI

The Community-Based Integrated Management of Childhood Illness program was started in 1995 to manage illnesses like pneumonia, diarrhea, malaria, measles, and malnutrition among children between the ages of 2 months and 5. The Community-Based Integrated Management of Neonatal and Childhood Illness later combined this package with the Community-Based Newborn Care Package in 2014. (CB-IMNCI)

Female community health volunteers (FCHVS) are taught to examine, recognize, and provide antibiotics to children under the age of five who have pneumonia as part of the CB-IMCI program. In Nepal, the prevalence of ARI symptoms in children under the age of five decreased from 5% in 2011 to 2% in 2016.

Fever is the most common illness among children in Nepal. It can be the manifestation of mild illnesses such as the common cold or severe illnesses such as malaria, measles, pneumonia, or Japanese encephalitis. The prevalence of fever among children under age 5 increased from 19% to 21% between 2011 and 2016.

Diarrhea is one of the most common illnesses among children and continues to be a major cause of childhood morbidity and mortality (MOHP 2011). The prevalence of diarrhea among children under age 5 is 8%.

Child Mortality

The neonatal mortality rate is 21 deaths per 1,000 live births, while the under-5 mortality rate is deaths per 1,000 live births. This means that 54% of all under-5 deaths occur in the first month life.

Between 1996 and 2016, neonatal mortality fell from 50 to 21 deaths per 1,000 live births, int mortality declined from 78 to 32 deaths per 1,000 live births, and under-5 mortality fell from 128 to 39 deaths per 1,000 live births.

Blood Pressure

Non-Communicable Diseases (NCDs) are a significant and growing burden on the health of individuals and populations worldwide. Early detection and management are key tools in the control of NCDs.

In Nepal, 17% of women and 23% of men age 15 and older had hypertension at the time of the survey. Among household population in the 15-69 age group, 15% of women and 22% of men had hypertension.

Things to remember

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