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Indicators of maternal newborn
and child health
Prepared by BNG
BPH 3rd Batch UCMS
Indicators status in Nepal (NDHS)
1 )Under five stunting (Based on 2006 WHO Child Growth Standards)
Stunted 36 %
Underweight 28%
Wasted 10%
2)Under 5 child mortality
Trends in Childhood Mortality
(Deaths per 1,000 live births)
Under-5 mortality rate----------------39 Deaths per 1,000 live births
Infant mortality rate-------------------32 Deaths per 1,000 live births
Neonatal mortality--------------------21 Deaths per 1,000 live births
3)Exclusive breastfeeding
• Percentage of babies breastfed within a one hour of birth-----------45%
• Percentage of babies<6 months of age exclusive breastfed --------------70%
• Babies are breastfed for a median duration of how many month----------
33.6 months
• percentage of breastfed babies less than 6 month old receiving other foods
or drinks from bottle in the last 24 hours------------6%
• Percentage of breastfed babies receiving complementary foods at 6-9
months of age-70%
4)Postnatal care for babies and mother
• Postnatal care for women
(The first within 24 hours of delivery, the second on the third day following the delivery,
and the third on the seventh day after delivery.)
• The proportion of women with a postnatal check within 2 days after delivery-------57%
• Women did not receiving any postnatal check ----------------------------------------42%
• Women who delivered in a health facility received a postnatal check within----------81%
2 days after the delivery
Postnatal Health Check for Newborns
• (At least three postnatal checkups for newborns within 7 days of delivery)
• Postnatal check within the first hour of life--------------------------------------21%
• Newborns who received a postnatal check within the first 2 days after birth---------57%
5)DPT 3 and all other immunization coverage
• Percent of children age 12-23 months who have received all basic
vaccinations
All basic vaccination---------------------78 %
Coverage of 3 doses of combined DTP3 ------91%
6)Maternal mortality rate and ratio
• Maternal mortality rate: 239 maternal deaths per 100,000 live births
• Maternal mortality ratio -----190 (per 100000 LB)
7)Antiretroviral prophylaxis among HIV
positive pregnant women
• HIV positive pregnant women-----------128
• Mother received prophylaxis and ART------175
• Babies received prophylaxis------------112
8)Skilled attender at birth
• Institutional delivery/Health facility delivery*----------------------57%
Delivered at home ---------------------------------------------------------41%
Delivery in Government facilities-----------------------------------43%
Delivery in private facilities-------------------------------------------------10%
• Skilled birth attendant-------------------------------------------------------58%
• Delivery by Cesarean ---------------------------------------------------------9%
9)Meet needs of family planning
• Percentage of currently married women age 15-49 currently using a contraceptive method
• Any method-----------------------------------------------------------------------------------53%
• Any modern method--------------------------------------------------------------------43%
• Female sterilization-----------------------------------------------------------------15%
• Injectable------------------------------------------------------------------------9%
• Male sterilization------------------------------------------------------------6%
• Pill --------------------------------------------------------------------------------------5%
• Male condom-------------------------------------------------------------------------------------4%
• Implants ------------------------------------------------------------------------------------------3%
• IUD-------------------------------------------------------------------------------------------------1%
• Traditional method----------------------------------------------------------------------------------------10%
Percentage of currently married women currently using a contraceptive method
Any modern method--------------------------------------------------------43%
Any traditional method----------------------------------------------10%
Demand for family planning
Married women in Nepal who have an unmet need for family planning but are not
currently using contraception ------------------------------------------------24%
8% for spacing
16% for limiting
Married women have a met need for family planning i.e., they are currently using
contraception =53%
Total demand for family planning among married women is----------------- 76%
With 56% satisfied through the use of modern methods
Only 18% of all women have an unmet need for family planning
10)Antibiotic treatment for suspected
pneumonia
• Province 1----------------179.7%
• Province 2----------------264.4%
• Province 3----------------162.6%
• Province 4----------------270.7%
• Province 5----------------244.2%
• Province 6----------------167.3%
• Province 7----------------210.3%
11)Antinatal care coverage
• Received ANC (4th, 6th, 8th, and 9th months) from skilled provider--
84%
• Had 4+ ANC visits ------------------------------69%
• Had ANC in first trimester----------------------65%
Thank you

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Indicators of maternal,newborn infant and child health and their sinario in nepal edited

  • 1. Indicators of maternal newborn and child health Prepared by BNG BPH 3rd Batch UCMS
  • 2.
  • 3. Indicators status in Nepal (NDHS) 1 )Under five stunting (Based on 2006 WHO Child Growth Standards) Stunted 36 % Underweight 28% Wasted 10%
  • 4. 2)Under 5 child mortality Trends in Childhood Mortality (Deaths per 1,000 live births) Under-5 mortality rate----------------39 Deaths per 1,000 live births Infant mortality rate-------------------32 Deaths per 1,000 live births Neonatal mortality--------------------21 Deaths per 1,000 live births
  • 5. 3)Exclusive breastfeeding • Percentage of babies breastfed within a one hour of birth-----------45% • Percentage of babies<6 months of age exclusive breastfed --------------70% • Babies are breastfed for a median duration of how many month---------- 33.6 months • percentage of breastfed babies less than 6 month old receiving other foods or drinks from bottle in the last 24 hours------------6% • Percentage of breastfed babies receiving complementary foods at 6-9 months of age-70%
  • 6. 4)Postnatal care for babies and mother • Postnatal care for women (The first within 24 hours of delivery, the second on the third day following the delivery, and the third on the seventh day after delivery.) • The proportion of women with a postnatal check within 2 days after delivery-------57% • Women did not receiving any postnatal check ----------------------------------------42% • Women who delivered in a health facility received a postnatal check within----------81% 2 days after the delivery Postnatal Health Check for Newborns • (At least three postnatal checkups for newborns within 7 days of delivery) • Postnatal check within the first hour of life--------------------------------------21% • Newborns who received a postnatal check within the first 2 days after birth---------57%
  • 7. 5)DPT 3 and all other immunization coverage • Percent of children age 12-23 months who have received all basic vaccinations All basic vaccination---------------------78 % Coverage of 3 doses of combined DTP3 ------91%
  • 8. 6)Maternal mortality rate and ratio • Maternal mortality rate: 239 maternal deaths per 100,000 live births • Maternal mortality ratio -----190 (per 100000 LB)
  • 9. 7)Antiretroviral prophylaxis among HIV positive pregnant women • HIV positive pregnant women-----------128 • Mother received prophylaxis and ART------175 • Babies received prophylaxis------------112
  • 10. 8)Skilled attender at birth • Institutional delivery/Health facility delivery*----------------------57% Delivered at home ---------------------------------------------------------41% Delivery in Government facilities-----------------------------------43% Delivery in private facilities-------------------------------------------------10% • Skilled birth attendant-------------------------------------------------------58% • Delivery by Cesarean ---------------------------------------------------------9%
  • 11. 9)Meet needs of family planning • Percentage of currently married women age 15-49 currently using a contraceptive method • Any method-----------------------------------------------------------------------------------53% • Any modern method--------------------------------------------------------------------43% • Female sterilization-----------------------------------------------------------------15% • Injectable------------------------------------------------------------------------9% • Male sterilization------------------------------------------------------------6% • Pill --------------------------------------------------------------------------------------5% • Male condom-------------------------------------------------------------------------------------4% • Implants ------------------------------------------------------------------------------------------3% • IUD-------------------------------------------------------------------------------------------------1% • Traditional method----------------------------------------------------------------------------------------10%
  • 12. Percentage of currently married women currently using a contraceptive method Any modern method--------------------------------------------------------43% Any traditional method----------------------------------------------10% Demand for family planning Married women in Nepal who have an unmet need for family planning but are not currently using contraception ------------------------------------------------24% 8% for spacing 16% for limiting Married women have a met need for family planning i.e., they are currently using contraception =53% Total demand for family planning among married women is----------------- 76% With 56% satisfied through the use of modern methods Only 18% of all women have an unmet need for family planning
  • 13. 10)Antibiotic treatment for suspected pneumonia • Province 1----------------179.7% • Province 2----------------264.4% • Province 3----------------162.6% • Province 4----------------270.7% • Province 5----------------244.2% • Province 6----------------167.3% • Province 7----------------210.3%
  • 14. 11)Antinatal care coverage • Received ANC (4th, 6th, 8th, and 9th months) from skilled provider-- 84% • Had 4+ ANC visits ------------------------------69% • Had ANC in first trimester----------------------65%