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 |
|
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
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
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