| Description | 
                                                        Topics covered in the survey were education, household facilities, vital registration, water, sanitation, iodised salt, immunisation, vitamin 'A', anti natal care, post natal care, child health, family planning, breastfeeding, information, education and communication and HIV/AIDS. The sample households are representative of the country, with three ecological zones, 13 sub-regions, and urban and rural areas of the country. This survey is the continuation and improvement recommended by the evaluation committee on Nepal Multiple Indicator Surveillance (NMIS), which completed its sixth cycle during 1997-1998. The fieldwork of this survey was conducted March to May 2000. To encourage use data, additional data analysis of the BCHIMES findings, electronic data files are available to interested researchers from CBS. 
 
BCHIMES highlights the current situation of the above mentioned subjects and also suggests some measures that can be undertaken to improve the situation in the country. It provides a detailed analysis of polio and vitamin 'A' coverage during National Polio Immunisation/Vitamin 'A' days, and literacy by its source. It is believed that findings from this report will be of great value to planners, policymakers, researchers and service providers involved in these areas for the effective monitoring and evaluation of plans and programmes. | 
                                                    
                                                                                                                                                                                                                                                                                                                                                                        
                                                        | Table of contents | 
                                                        Chapter 1 Methodology	 
Introduction	 
Survey objective and the content of questionnaire 	 
Survey organisation 	 
Sample design 	 
Scope and coverage of survey 	 
Questionnaire design 	 
Recruitment, training and fieldwork 	 
Data entry and processing 	 
	 
Chapter 2 Household Characteristics 	 
Household size, age structure, sex ratio and dependency ratio 	 
Household heads by sex 	 
Literacy status of household heads 	 
Religion of household heads 	 
Vital registration of children 	 
Household facilities 	 
Households with number of bed rooms 	 
Summary and conclusion 	 
	 
Chapter 3 Education 	 
Literacy 	 
Gross Enrolment Rate 	 
Net Enrolment Rate 	 
Dropout rate 	 
Reasons for dropout	 
Time taken to and from school 	 
Attendance of currently school going children in the last 3 days 	 
Reasons for not attending school in the last 3 days 	 
Early Childhood Development (ECD) Experience/pre-primary 	 
Summery and conclusion 	 
	 
Chapter 4 Water Supply 	 
Introduction and background 	 
Description of relevant policy and programmes (GO and NGOs) 	 
Short-term and long-term targets 	 
Result of previous findings 	 
BCHIMES result analysis and discussion 	 
Source of drinking water 	 
Water sufficiency in households 	 
Time spent in fetching water and average number of trips made 	 
Trips of water made by household members 	 
Average time taken and average number of trips made for water 	 
Water purification and protection methods 	 
Health status 	 
Episodes of diarrhoea in the community 	 
Episodes of dysentery in the community 	 
Episodes of jaundice in the community 	 
Episodes of typhoid in the community 	 
Episodes of cholera in the community 	 
Policy implications and plan of action 	 
Summary and conclusion 	 
	 
Chapter 5 Sanitation 	 
Introduction and background 	 
Description of relevant policy/programmes (GO and NGOs)	 
Short-term and long-term targets 	 
Key indicators 	 
BCHIMES result analysis and discussion (1-13) 	 
Policy implications and plan of action 	 
Summary and conclusion 	 
	 
Chapter 6 Salt Iodisation 	 
Introduction 	 
Use of iodised salt 	 
Type of salt used 	 
Iodine content by type of salt 	 
Summery and conclusion	 
	 
Chapter 7 Family Planning 	 
Introduction 	 
Heard of family planning 	 
Ever-use of contraception 	 
Current use of contraception 	 
Informed consent and sterilisation regret 	 
Summary and conclusion 	 
	 
Chapter 8 ANC Services 	 
Introduction 	 
Coverage of ANC services and differentials 	 
Place of ANC service and ANC service provider 	 
Subjects discussed during ANC services 	 
Time taken to reach health institution 	 
Time of first ANC service 	 
TT shots during pregnancy 	 
Iron and Folic Acid 	 
Pregnancy-related Problems and help sought 	 
Tobacco and alcohol consumption during pregnancy 	 
Night blindness during last pregnancy 	 
Food intake during pregnancy 	 
Summary and conclusion 	 
	 
Chapter 9 Delivery and Post Natal Care 	 
Introduction 	 
Place of delivery 	 
Persons assisting in delivery 	 
Whether Home Delivery Kit used 	 
Umbilical cord 	 
Size of baby at birth 	 
Postpartum check-up received 	 
Problems experienced during delivery 	 
Summary and conclusion 	 
	 
Chapter 10 Information, Education and Communication 	 
Introduction 	 
Exposure of currently married women of reproductive age to print media 	 
Exposure to radio 	 
Exposure to television 	 
“Ghanti Heri Haad Nilnu” 	 
Summary and conclusion	 
	 
Chapter 11 STD/HIV/AIDS 	 
Introduction 	 
Knowledge of STD/AIDS 	 
Knowledge of HIV testing place and ever tested	 
Knowledge of ways to avoid AIDS 	 
Perception about a healthy-looking person 	 
Chances of getting AIDS 	 
Methods of avoiding AIDS 	 
Source of information about sexually transmitted diseases 	 
Source of information about HIV/AIDS 	 
Summary and conclusion 	 
	 
Chapter 12 Breastfeeding 	 
Breastfeeding practices 	 
Practices of colostrum feeding 	 
Duration of Breastfeeding 	 
Drinking water given to the children by age 	 
Baby food given to the children by age 	 
Exclusive breastfeeding, timely complementary feeding and continued feeding rates	 
Extent of bottle-feeding 	 
Reason for not breastfeeding 	 
Willingness to continue breastfeeding 	 
Summary and conclusion 	 
	 
Chapter 13 Child Health 	 
Acute Respiratory Infections	 
Introduction 	 
Prevalence and treatment of acute respiratory infections	 
Symptoms of ARI 	 
Diarrhoeal disease 	 
Introduction 	 
Prevalence and differentials 	 
Blood in the stool 	 
Treatment of diarrhoea 	 
Summary and conclusion 	 
	 
Chapter 14 Vitamin A 	 
Introduction 	 
Awareness of the National Vitamin A Programme 	 
Vitamin A supplementation 	 
Practices related to vitamin A capsule distribution 	 
Summary and conclusion 	 
	 
Chapter 15 Immunisation 	 
Introduction 	 
Immunisation coverage 	 
Trends in fully immunised children 	 
Knowledge related to vaccination 	 
National Polio Immunisation Day (NID) coverage 	 
Summary and conclusion 	 
	 
Chapter 16 Data Quality and Sample Characteristics 	 
Introduction 	 
Sample coverage and fieldwork 	 
Data entry and analysis 	 
Response rates 	 
Children that completed children's questionnaire 	 
Percentage of children 6-15 years that completed the education module 	 
Age and sex distribution 	 
Missing cases for key variables 	 
Household and Respondent by background characteristics 	 
	 
APPENDICES	 
Appendix - 1: Sample Design for BCHIMES	 
Table A1: Number of Households by Hills, Terai, Mountains and Development Region 	 
Table A2: Sampling Errors - Total Sample 	 
Table A3: Sampling Errors - Rural Sample 	 
Table A4: Sampling Errors - Urban Sample 	 
Table A5: Early Childhood Development experience by sex and background variables 	 
	 
Appendix -2: Household Questionnaire	 
100. Household Information Panel	 
200. Household Schedule 	 
300. Education Module 	 
400. Drinking Water 	 
500. Sanitation and Latrine 	 
600. Salt 	 
	 
Appendix - 3: Individual Questionnaire	 
100. Individual Questionnaire Control	 
200. Demographic and Social Characteristics 	 
300. Family Planning 	 
400. Ante-Natal and Delivery Care 	 
500. STD/HIV/AIDS 	 
600. Breastfeeding 	 
700. Care of Acute Respiratory Infections (ARI)	 
800. Diarrhoea 	 
900. Vitamin A 	 
1000. Immunisation 	 
	 
Appendix 4: Sample Selected Areas in BCHIMES 2000 
 	 
Appendix 5: Central Staff Involved in BCHIMES Activities	 
Appendix 5.1: Field Staff Involved in BCHIMES Activities 	 
Appendix 5.2: Persons Involved in Data Entry 	 
 
Glossary of Abbreviation 	 
 
General Notes |