Your SlideShare is downloading. ×
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
situational analysis of MDGs 4,5 and 6 in Nepal
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

situational analysis of MDGs 4,5 and 6 in Nepal

778

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
778
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
31
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. SITUATIONAL ANALYSIS OF MDGS 4,5 AND 6 GOALS IN CONTEXT OF NEPALPresented By:Kamal Bdr. BudhaKamala PaneruBikal SubediGokarna sapkotaKhagendra Poudel
  • 2. INTRODUCTIONThe UN global conferences of the 1990s drew up anumber of different key global Development goals andtargets to focus equalize and harmonize the needs andstatus of the people all over the world.These goals and targets were known as the InternationalDevelopment targets. Again in 2000, the representativesof 189 nations, including 147 heads of state andGovernment adopted the Millennium Declaration duringthe Millennium Development Summit (September 6-8,2000) of the United Nations.
  • 3. The Millennium Declaration focused on peace, security anddevelopment to all people. The representatives made specificcommitment seven area viz.1. Pease, security and disarmament2. Development and poverty eradication3. Protection our common environment4. Human right, democracy and good governance5. Protecting the vulnerable6. Meeting the special needs of Africa7. Strengthening the United Nations
  • 4. The international development targets and thedevelopment goals were merged together and renamed asthe Millennium Development Goals (MDGs).1. Eradicate extreme poverty and hunger2. Achieve universal primary education3. Promote gender equality and empower women4. Reduce child mortality5. Improve maternal health6. Combat HIV/AIDS, malaria and other diseases7. Ensure environmental sustainability8. Develop a global partnership for development.
  • 5. 5  The goal and targets to be reached by 2015 in each of seven areas are so called the MDGs.  MDGs place health at the heart of development.  3 of 8 goals are directly related to health; 8 of 18 targets are directly related to health; 18 of 48 indicators of the progress are health related. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 6. Goal 4: Reduce Child Mortality Rate6 Target 5:  Reduce by two thirds, between 1990 and 2015, the Under five mortality rate. Indicator:  Under-five mortality rate (UNICEF-WHO)  Infant mortality rate (UNICEF-WHO)  Proportion of eye year children immunized against measles. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 7. Goal 5: Improve Maternal Health7 Target 6:  Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio. Indicator:  Maternal mortality ratio (UNICEF-WHO)  Proportion of births attended by skilled health personnel (UNICEF-WHO) SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 8. Goal 6: Combat HIV/ AIDS, malaria, and other diseases Target 7:8  Have halted by 2015 and begun to reverse the spread of HIV / AIDS. Indicator:  HIV prevalence among pregnant women aged 15- 24 years  Condom use rate of contraceptive prevalence rate  Condom use at last high- risk sex  Percentage of population aged 15-24 years with comprehensive correct knowledge of HIV / AIDS  Contraceptive prevalence rate  Ratio of school attendance of orphans to school attendance of non orphans aged 10-14 years SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 9. Target 8:  Have halted by 2015 and began to reverse the9 incidence of malaria and other major diseases. Indicator:  Prevalence and death rates associated with malaria  Proportion of population in malaria-risk areas using effective malaria prevention and treatment measures  Prevalence and death rate associated with tuberculosis  Proportion of tuberculosis cases detected and cured under DOTS (internationally recommended TB control strategy) SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 10. Goal 4: Reduce Child Mortality Rate10 SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 11. Reduce by two- third between 199011 and 2015 the under five years mortality rate Indicators 1990 1995 2000 2005 2010 2011 2015 IMR( Per 1000 LB) 108 79 64 61 41 46 34 U5MR(Per 1,000LB) 162 118 91 82 50 54 54 Proportion of 1-year olds 42 57 71 85 85.6 88 >90 immunized against measles SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 12. 12  Infant mortality rate (per 1,000 live births) is decrease by ½ and more: from 108 [1990] to 41[2010] or/and 46 [2011] and 34 has achieved data of MDGs in 2015.  Similarly,Under-5 mortality rate (per 1,000 live births) is also decrease from 162 [1990] to 50 [2010] or/and 54[2011]; which is nearer to the target i.e. 54.  % of 1 year-old children immunized against measles in 1990 is 42 which is increase by the year 2009 [85.6] and/or 88 in 2011; which is nearest to the MDGs target i.e. >90. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 13. Measles coverage13 120 100 9796 9193 8688 84 88 8687 78 8081 81 80 75 76 70 72 2065/66 60 2066/67 2067/68 40 20 0 NATION EDR CDR WDR MWDR FWDR SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 14. Goal 5: Improve Maternal Health14 SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 15. Reduce by third- quarters between 1990 and 2015 the maternal mortality rate15 Indicators 1990 1995 2000 2005 2010 2011 2015 Maternal Mortality Rate 850 or 539 415 281 229 - 231 or 515 134 Percentage of deliveries 7 9 11 20 28.8 36 60 attended by skill health personal Contraceptive 24 29 39 44.2 45 49.7 67 Prevalence Rate SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 16. 16  Maternal mortality ratio (per 100,000 live births) in 1990 is 850 which is reduced in year 2009 [229] from this indicator Nepal was awarded.(1)  Maternal Mortality Ratio decreased from 539/100,000 live births (DHS 1996) to 325 in 2006 and 300 in 2009.(2)  Skilled attendance at birth increased from 13% (DHS 2001) to 22% in 2006 and 35% by 2009. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 1: Given in MDGs Progress report 2010 • 2/5/2013 2:Given in NHSP-PI
  • 17. Goal 6: Combat HIV/ AIDS malaria, and other diseases17 SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 18. Have halted by 2015 and to reverse the18 spread of HIV/AIDS Indicators 199 199 2000 2005 2010 2011 2015 0 5 HIV prevalence NA NA 0.29 0.25 0.49 - among 15-49 years olds (%) Contraceptive 24 29 39 44.2 45 65.8 67 prevalence rate (%) SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 19. 19  Knowledge of at least one programmatic method of preventing HIV transmission increased from 37.6% (DHS 2001) to 75% for women and 50.8% (DHS 2001) to 85% for men.  Given the CPR estimated from the HMIS and NDHS, achieving NHSP‐IP goal of 67 percent by 2015 from the current level demands innovative approaches and appropriate strategies.  However, there has been decline in Total Fertility Rate (TFR) from 3.1 in 2006 to 2.6 in 2011 (NDHS 2011) and is expected to meet the NHSP‐IP target of 2.5 by 2015. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 20. The contraceptive prevalence rate (CPR) for modern family planning method is 44 percent, it is comparable with 2011 NDHS (43%). Central development region reported the highest level of CPR(51%) and western development region reported the lowest (32%). Contraceptive prevalence rate (%) is 24 in 1990 and 45 in 2010. this shows that just nearer to double % CPR is increased.(1)20 Contraceptive Prevalence Rate increased from 39% (DHS 2001) to 43% in 2006 and 47% by 2009.(2) SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN 1: Given in MDGs Progress report 2010 2:Given in NHSP-PI NEPAL
  • 21. Have halted by 2015 and to reverse the spread of Malaria and Other Disease21 Indicators 1990 1995 2000 2005 2015 Prevalence rate associated 115 NA 65 78 - with malaria(per 100,000 at risk) Proportion of population in NA 9.75 6.94 11.4 - malaria risk areas using effective prevention measures Slide positivity rate 5.1 9.2 4.3 NA - SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 22. 22 Indicators 1990 1995 2000 2005 2010 2015 Prevalence rate associated 460 420 310 280 - with Tuberculosis Death rate associated with 43 35 23 NA - Tuberculosis Proportion of tuberculosis NA 46 69 71 75 - cases detected Proportion of tuberculosis NA NA 89 88 89 - cases cured under DOTS SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 23. Case detection and treatment23 success rate of TB Activity 2005/06 2006/07 2007/08 2008/09 Case 65 70 71 75 detection rate Treatment 88 89 88 89 success rate SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 24. 24  Prevalence rate associated with malaria(number of cases per 1000 of the population) is 1.96 in 1990 and decrease in the year 2009 [0.16].  Prevalence associated with tuberculosis is 460 in 1990 and decrease in year 2005 [280]. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 25. Situation of HIV in Nepal (2011)25 SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 26. Important milestone in the response to HIV/AIDS26  1988; Launched the first National AIDS prevention and control Program  1990-92; First medium term plan  193-97; Second medium term plan  1993; National policy on blood safety  1995; National policy on HIV/AIDS  1997-2001; Strategic plan for HIV/AIDS prevention  2000; Situational analysis of HIV/AIDS  2002-06; National HIV/AIDS strategic plan  2003-07; National HIV/AIDS operational plan  2006-2011; New national HIV/AIDS strategic plan  2006-2008; National HIV/AIDS action plan SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 27. Adult (15-49) HIV Prevalence27 SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 28. DISCUSSION28  National Free Health Program: to increase access to and utilization of quality essential health services by ensuring availability of essential drugs In both urban and rural health facilities throughout the year.  Social health protection – to achieve universal coverage of essential health services by developing a more comprehensive approach (structure or system) with the aim of protecting the population against the financial risks of expensive health care. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 29. 29  Urban and Environmental Health – To provide quality essential health care services to the municipality population at accessible delivery points through urban Health clinic in partnership with MoLD ; To promote environmental health especially hygiene and sanitation amongst population in conjunction with other essential health care services for improved hygiene practices in partnership with related agencies SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 30. Conclusion30  Nepal has made marked progress in some social indicators leading to the attainment of some MDGs by 2015. But the progress has halted in the recent years. The country faces added difficulty in achieving MDGs in the current political scenario- weak resource base, violence, conflict and weak governance.  The conflict affect towards achieving MDGs for a number of reasons including the risk of domestic resource crowd out, ineffectiveness of service delivery, prolonged absence of elected representatives at the local bodies, and setbacks in social mobilization and community participation. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 31. 31  MDGs are reinforcing to each other and the attainment of one goal would help the attainment of others.  MDGs can be achieved only through a strategic partnership among government, local bodies, NGOs, CBOs, and donors, strategic partnership in project formulation, execution, coordination of development activities, donor harmonization, and participatory monitoring and evaluation system are highly essential. SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 32. References32  1. UNDP, Gov. of Nepal. Nepal Millennium Development Goals - Planipolis - Unesco[Internat]. sep. 2005[Cited feb. 2013]: Available from:  www.planipolis.iiep.unesco.org/upload/Nepal/Nepal%20MDG%202005.pd  www.npc.gov.np  2. CIGI, KDI. Post-2015 Development Agenda: Goals, Ta rgets and Indicators[Internet].Copyright © 2012[ cited feb 2013; p.4. Avalable from: file:///D:/MDGs/Statement%20delivered%20by%20UN%20Resident%20and %20Humanitarian%20Coordinator%20on%20the%20third%20Nepal%20MD Gs%20Progress%20Report%202010%20_%20Statement%20_%20UNDP %20in%20Nepal.htm  www.cigionline.org  3. UNDP, Gov. of Nepal. MDG Progress Report for Nepal 2010 - UNDP in Nepal [Internat]. sep. 2005[Cited feb. 2013]: Available from:  www.undp.org.np/pdf/MDG-Layout-Final.pdf SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 33. 33  7. Gov of Nepal. NHSP-IP 2004- 2009.Ministry of Health; oct. 2009: Availeble from:  8. Poudel s, Gurung Sa, Gurung Sb, Timilsina S, Kumal S. MDGs in nepal[Internate]. 2012[ cited 3 feb. 2013].Pokhara: Available from: www.slideshare.net/sagunpaudel/mdgs-in-nepal SITUATIONAL ANALYSIS OF MDGs 4,5 and 6 IN NEPAL 2/5/2013
  • 34. 34

×