| subtitle |
Nepal Multiple Indicator Surveillance |
| Author(s) |
National Planning Commission Secretariat (NPC Secretariat) |
| Date |
1998-06-01 |
| Country |
Nepal |
| Language |
English |
| Contributor(s) |
United Nations Children's Fund Nepal , Central Bureau of Statistics, Nepal |
| Description |
This fifth report in the NMIS Series includes a brief section in the Introduction on relevant existing data in Nepal, and the government strategy for promoting safe motherhood. The Methods section includes a background to the methodology used in the NMIS, which will be relevant especially for those readers who have not seen the first four reports in the NMIS Series. The methods used in the fifth cycle are described, including the instruments used and the sources of data from households, institutions, key informants and focus groups. The Results section gives the results of a descriptive analysis of the levels of antenatal care, delivery care and other practices during pregnancy and delivery, and information about the outcome of reported pregnancies in terms of the size of the baby and whether or not the baby survived. It includes a univariate risk analysis of those variables having an effect on the risk of not receiving antenatal care and of an adverse outcome of the pregnancy (undersized baby or death of the baby). It also shows the results of the risk analysis to examine the effects of variables in combination on the risk of not having antenatal and delivery care or of an undersized baby or death of a baby. It includes estimates of the possible effects of different interventions aimed at improving antenatal and postnatal care. Results disaggregated geographically and by ethnic group are given in Annex 5.
Note that in this fifth cycle of the NMIS there was no attempt to estimate maternal mortality. Recent estimates of the maternal mortality in Nepal are available from other sources. Nevertheless, it includes data on access to emergency obstetric care and other variables known to be associated with maternal mortality. If it can indicate ways in which these indicators can be improved, this would be expected to result in a reduction in maternal mortality. |
| Table of 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 |
| Download |
https://catalog.ihsn.org//catalog/3182/download/46634 |
