CARE DURING PREGNANCY AND DELIVERY: IMPLICATIONS FOR PROTECTING THE HEALTH OF MOTHERS AND THEIR BABIES
(Final Rreport)

NEPAL MULTIPLE INDICATOR SURVEILLANCE
Fifth Cycle: March-May 1997

His Majesty's Government/Nepal-National Planning Commission Secretariat, Kathmandu

In Collaboration with UNICEF-Nepal

June 1998


Preface

His Majesty's Government of Nepal has shown its commitment to the development of children through the ratification of United Nations Convention, summit and regional conferences. In line with the commitments, the government has prepared a Ten Years National Programme of Action for Children and Development for the 1990s. In the Programme of Action, goals for the 1996 and 2001 have also been set. 

National Planning Commission is implementing series of Nepal Multiple Indicator Surveillance (NMIS) project to know the situation of children, and to provide basic data and analysis of indicators for effective national and local level planning. Further, NMIS also provides necessary data for monitoring and evaluating programmes on development of the children in line with the National Programme of Action. 

This is the fifth cycle surveillance report which provides information on the utilization of Antinatal, Delivery and Postnatal services in Nepal. This report also indicates the areas where these services have been able to make positive impact and areas that are deficient and needs improvement. 

The field work for NMIS Cycle - 5 was carried out by Central Bureau of Statistics (CBS) during the period of March - May, 1997. The data have also been analyzed in greater detail including the Polio coverage as well as Literacy which are available in CBS as further Analysis Report for the concerned institutions and individual. 

National Planning Commission expresses its sincere appreciation to the members of NMIS Steering Committee, members of the Technical Committee for their valuable contributions and to CBS for conducting field work and analysis of findings. We also extend our appreciation to UNICEF for its professional facilitation as well as financial support and to CIET International for its technical inputs.

Singha Durbar
August, 1998


Dr. Bhola Nath Chalise

Member-Secretary
National Planning Commission
and
Chairperson of NMIS Steering Committee

 NMIS STEERING COMMITTEE MEMBERS

Dr. Bhola Nath Chalise (From 9 February, 1998)

 

 

Mr. Punya Prasad Dahal (Till 8 February 1998)

 

 

Secretary, National Planning Commission Secretariat

-

Chair Person

Mr. Shree Bhagwan Singh

-

Member

Joint Secretary, National Planning Commission Secretariat

 

 

Representative

-

Member

Ministry of Education

 

 

Representative

-

Member

Ministry of Local Development

 

 

Dr. Chhatra Amatya

-

Member

Joint Secretary, Planning Division Ministry of Health

 

 

Representative

 

 

Ministry of Agriculture

-

Member

Mr. Keshav Raj Sharma

-

Member

Director General Central Bureau of Statistics

 

 

Representative

-

Member

Ministry of Women and Social welfare

 

 

Representative

-

Member

Ministry of Housing and Physical Planning

 

 

Mrs. Padma Mathema

 

Member

Under Secretary, Women and Social Welfare Section

 

 

National Planning Commission Secretariat

 

 

Mr. Gyanendra K. Shrestha

 

Member Secretary

Section Officer

 

 

National Planning Commission Secretariat

 

 

CIET International: (Instrument Design)
        Dr. Ann Cockroft, Consultant

Central Bureau of Statistics:
        Mrs Savitri Singh, Project Director

        Mr. Krishna Prasad Shrestha, Project Co-ordinator

UNICEF (Financial Support and Facilitation):

        Mr. Stewart McNab, Representative
        Mr. Fikre Y. Menkir, Planning Officer

 

 

NMIS TECHNICAL COMMITTEE

Mr. Krishna Prasad Shrestha

-

Chair Person

Deputy Director

 

 

Central Bureau of Statistics

 

 

Dr. Sanu Maiya Dali

-

Member

Consultant Gynaecologist

 

 

Dr. Q. Al Nahi

 

 

UNICEF

-

Member

Mr. Jyoti Raj Shrestha

-

Member

Sr. Public Health Officer

 

 

Ministry of Health

 

 

Mr. Mahesh Sharma

-

Member

Under Secretary, Ministry of Local Development

 

 

Mr. Ajit Singh Pradhan

-

Member

Demographer, Department of Health Services

 

 

Ms. Ranjana Shrestha

-

Member

Lalitpur Nursing Campus, Surendra Bhavan

 

 

Mr. Mahesh Parajuli

-

Member

Section Officer

 

 

Ministry of Education

 

 

Representative

-

Member

Ministry of Agriculture

 

 

Dr. Vijaya Manandhar

-

Member

WHO

 

 

Mr. Fikre Y. Menkir

-

Member

Planning Officer

 

 

UNICEF

 

 

Mr. Gyanendra Kumar Shrestha

-

Member Secretary

Section Officer

 

 


CONTENTS

Executive Summary
List of tables and figures
Abbreviations
Statistical and epidemiological terms

Introduction
Methods
Results I. Basic Indicators and risk analysis
        1. Antenatal care practices
                The women and their pregnancies
                Antenatal visits
                Other factors during pregnancy
                Variables affecting the likelihood of receiving antenatal care
                The quality of antenatal care
        2. Care during delivery
                Place of delivery
                Variables related to place of delivery
                Persons attending during labour
                Cost of delivery care
                Use of Home Delivery Kit
                Factors related to use of Home Delivery Kit
                Cutting of umbilical cord
                Treating the umbilical cord
                Duration of labour and problems during labour
                Referral of obstetric emergencies
                Health problems after birth
                Traditional birth attendants
        3. Risk analysis of delivery outcome
                a. Birth weight
                        Factors related to low birth weight
                b. Survival of newborn babies
                        Variables related to the survival of babies

Results II: Analysis for action
        1. Risk of not attending antenatal care
        2. Risk of low birth weight
        3. Risk of still birth and death soon after birth

        Action analysis
                Increase the proportion of women attending antenatal care
                Reduce low birth weight
                Reduce the risk of still birth and death soon after birth
                Priority interventions
 
References

Annexes
1. Sites in NMIS sample
2. Instruments used in NMIS Cycle 5
3. Frequencies of qualitative survey information
4. Weighted and unweighted values of key indicators
5. Results by geographic location and ethnic groups

 

Back | Main | Next

NMIS - 1st Cycle | 2nd Cycle | 3rd Cycle | 4th Cycle | 5th Cycle | 6th Cycle
Evaluation of NMIS | Hand Book in English | Hand Book in Nepali | Information | EpiInfo | Slide