SERVICE DELIVERY SURVEY: HEALTH AND AGRICULTURE SERVICES
(Final Report)

NEPAL MULTIPLE INDICATOR SURVEILLANCE
Sixth Cycle: (November 97 - January 98)

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

In Collaboration with UNICEF-Nepal

June 1998


CONTENTS

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

Introduction
Methods
Results
        Health Services
                Use of government health services
                Factors affecting use of government health services
                Use of other/non-government health services
                Purpose of visiting government and non-government health services
                Experience of government health services
                Views about government health services
                Willingness to pay for improved health services
                Sources of health information

        Agriculture and livestock services
                Occupation of household head
                Ownership of land
                Contact with agriculture and livestock services
                Factors affecting likelihood of contact with agriculture and livestock services
                Quality of agricultural services
                Payment for agriculture/livestock service
                Opinion of agriculture/livestock services
                Willingness to pay for improved agriculture and livestock services
                Agricultural loans
                Factors affecting applying for loans
                Supplies of essential agriculture and livestock materials

        Governance and local government
                Source of information about government services
                Opinions about basic services
                Role of VDCs
                Priorities at different levels and support between levels
                Information needed for planning

References

Annexes

Annex 1   

  Sites in the NMIS sample

Annex 2   

  Instruments

Annex 3   

  Information from focus groups, institutional reviews and key informants

Annex 4   

  Weighted and unweighted values of key indicators

Annex 5   

  Disaggregated results by geographic area and ethnicity

 


Preface

Nepal Multipie Indicator Surveillance (NMIS) is being conducted to collect community based information for the monitoring the National Programme of Action for the Children and Development for the 1990s set in line with the World Summit for Children, 1990.

This is the Sixth Cycle report on Service Delivery Survey: Health and Agriculture Services surved 18,770 household and contacted with 108,899 people. It focuses particularly on the delivery of government health and agriculture services. This report provides basic data and analysis of indicators for effective national and local level planning especially in health and agruculture sectors of service delivery system. The field survey was carried out by Central Bureau of Statistics between October and November 1997.

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

 


Dr. Bhola Nath Chalise, Secretary
National Planning Commission Secretariat and
Chairperson, NMIS Steering Committee

Singha Durbar
December 1998.


NMIS STEERING COMMITTEE MEMBERS

Dr. Bhola Nath Chalise

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

 

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