- Its MeLv 49 years agoFavorite Answer
With the government’s investment of around Rs 3 billion every year on maternal and child health, Nepal has made a tremendous stride towards achieving the Millennium Development Goals (MDGs), especially on maternal health. However, the government has a challenge to achieve the goal on reducing child mortality.
Achievements aside, neonatal mortality, death of a child within 28 days of birth, remains a major concern for the country, which according to the 2010 report of the UNDP on Nepal’s MDG progress, accounts for 69 percent of Infant Mortality Rate (IMR) and 54 percent of under-five mortality (U5MR) in 2006.
“The neonatal mortality rate remained stagnant for almost a decade as the government had no policy to address the issue. However, the launch of the Community-based Newborn Care Package (CBNCP), some three years ago, has addressed it,” Dr Yasobardhan Pradhan, the director general at the Department of Health Services (DoHS) under the Ministry of Health and Population (MoHP), said. “The CBNCP package addresses the major issues resulting in deaths of neonatal such as infection, birth injury and birth asphyxia, among other factors.”
Dr Pradhan added that the programme that was initially launched in Dang and Bardiya districts has shown a decline by 30 to 35 percent in neonatal deaths. “We will expand the programme to all the 75 districts and that will no doubt accelerate our progress on the neonatal indicator of the MDG,” Dr Pradhan said.
However, the government is likely to fail to achieve the target of reducing the number of children with stunted growth. As in Nepal, 41percent of children born are stunted which needs to be decreased to 29 percent. Similarly, the government has to work hard to reduce the number of ‘wasting children’.
The death of infants per 1,000 live births, that is IMR, has decreased significantly as shown by the Nepal Demographic and Health Survey (NDHS) 2011. The IMR, which was 48 in 2006, has decreased to 46 in 2011 that has to be further reduced to 32 per 1,000 live births by 2015.
There have also been good achievements in covering immunisation.
Though the government has made significant improvements in reducing maternal mortality rate, the number of births attended by skilled birth attendants (SBAs) remains another challenge that would impede Nepal from achieving majority of the MDG 5.
While the country currently has around 2,400 SBAs, it needs to increase the number to around 6,500. However, the government lacks a strong commitment on this issue.
Likewise, the trend of using contraceptives in 2011 is 43.2 percent—a one percent decrease from 2006 that needs to be increased to 67 by 2015.
“As the NDHS 2011 report shows that fertility rate decreased drastically from 5.1 percent in 1984-86 to 2.6 in 2008-11, this would mean that we are on the right track.” Dr Naresh Pratap, director at the Family Health Division at the DoHS, said.
Also the number of women consulting either doctors, nurses or midwives during their pregnancy period has increased significantly. According to 2011 NDHS, 58 percent of women went for consultation. Though antenatal care received by women now is much higher than in the past, only 36 percent of babies were delivered by doctors, nurses or midwives.
To encourage women to deliver a child in a health facility, the government provides Rs 1,500 in the Mountains, Rs 1,000 in the Hills and NRs 500 in the Tarai regions as travel costs for each delivery.
A recent special issue journal on Maternal, New born and Child Health of the Nepal Health Research Council states that the ‘implementation inefficiency, low coverage and equity gap…remain a serious challenge to Nepal’s efforts to achieve’ MDG goals on maternal health and reducing child mortality.
In another research paper of the journal titled ‘Fitting the Community-based Newborn Care Package into the Health System of Nepal’ reads that ‘the behavourial change, communication and postnatal counseling are assumed to increase the newborn care practice as well as care seeking practices.’
For instance, lack of counseling to mothers has been pointed out in another research which states that none of the mothers who delivered in hospitals knew that they got the money as a transportation incentive’….they only knew that there was a cash payment, but they didn’t know the purpose for that,’ reads the research finding.
The research implies that had there been proper counseling to mothers, they would have definitely called other to-be-mothers to deliver at health institutions, which would help avert deaths of mothers and newborns.
As the county faces a shortage of health personnel, which, if not addressed on time, will be a major reason behind the failing to meet the MDGs.
- bhandariLv 59 years ago
I have found the resources; policies of the government and the awareness programmers lunched after 1980 have significantly done well for women in Nepal therefore its being good day by day. Now, there are many projects, ngos, rural banks, SME projects, ministry and department involved densely in this sector and maternal health too is slowly getting better.
- manierLv 44 years ago
What do you advise by wellbeing branch? you may circulate to a health center, there are some clinics which serve the low earnings families. they have a social centers individual whom will refer and walk you in the process the right channels. Maternal care is accessible to all and sundry inspite of your legal status. do no longer pay interest to the illiberal. undergo in recommendations that we live in an extremely perplexing financial device and there are such quite some U.S. citizens and voters fearing their money, nutrition, unemployment advantages ought to acquire a decrease if the government delivers help it to somebody "no longer entitled" to acquire it. undergo in recommendations they could be attempting to get a job particularly of prosecuting each and every person else of their spare time. * I copied and pasted here from the U. S. branch of wellbeing and Human centers, so examine and don't worry for what different have already written and could proceed to place in writing as solutions: "Your toddler may well be eligible for coverage if he or she is a U.S. citizen or a lawfully admitted immigrant, despite in case you're no longer (notwithstanding, there's a 5-3 hundred and sixty 5 days decrease that applies to lawful everlasting citizens). Eligibility for childrens relies on the youngster's status, no longer the verify's. additionally, if somebody else's toddler lives with you, the youngster may well be eligible despite in case you're no longer with the aid of fact your earnings and supplies won't count form for the youngster." persist with the link in my resource to locate extra in regards to the placement you're describing. if your purpose is the different and you're in basic terms attempting to get biased solutions so as to instigate violence against immigrants, my answer keeps to be the comparable. i'm a individual. i understand this international is around and rotates.....
- RajLv 79 years ago
Pretty good and improving each day.
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- 9 years ago
Ya its quite good, improvement is seen day by day in each and every activities. Thanks.