Nepal Country Health Policy - Basic Health Indicators including the U.N. Millennium Development Goals

Nepal

9. Basic Health Indicators including the U.N. Millennium Development Goals

Annex-1

Country reported Data for Basic Health Indicators including health related MDG Indicators

Indicator	Latest available data	Year			Source	Remarks
POPULATION AND VITAL STATISTICS
Total population (in millions)	25.8		2006		14
Population density (persons per sq km)	175^{^[1]}		2001		1
Sex ratio (males per 100 females)	100		2001		1
Population under 15 years (%)	39.3		2001		1
Population 60 years and above (%)	6.5		2001		1
Crude birth rate (per 1000 population)	28.4		2003-05		14
Crude death rate (per 1000 population)	9.9		2003-05		6
Natural (population) growth rate (%)	2.25		2001		13
Total fertility rate	3.1		2003-05		14
Urban population (%)	14.2		2001		2
SOCIO-ECONOMIC SITUATION
Gross national product per capita (US $)	300		2004/5		13
Adult literacy rate (%) Total M F	53.7 65.1 42.5		2001		5
Prevalence of low birth weight (weight <2500 grams at birth) (%)	14.3		2006		14
Prevalence of underweight (weight-for-age) in children <5 years of age (%)	38.6		2006		14
HEALTH SYSTEM
INPUTS
Facilities
Hospital beds per 10,000 population	4.26	2001/02			15	Computed
Number of PHCCs/Health centres	193	2001/02			10
Human resources
Physicians per 10,000 population	2	2004			15
Nurses per 10,000 population: Professional nurses	2			15
Budgetary resources
Total Expenditure on Health (THE) as % of Gross Domestic Product (GDP)	5.3	2003			15
Public Expenditure on Health (PHE) as % of Total Expenditure on Health (THE)	28	2003			15
Private Expenditure on Health (PvtHE) as % of Total Expenditure on Health (THE)	72	2003			15

FUNCTIONS
Pregnant women attended by trained personnel during pregnancy (%)	44	2003-04	15
Deliveries attended by trained personnel (%)	20	2005	13
Women of childbearing age using family planning (%)	48	2003-05	6
Infants reaching their first birthday that have been fully immunized against poliomyelitis (%)	78	2005	16
Infants reaching their first birthday that have been fully immunised against measles (%)	74	2005	16
Infants reaching their first birthday that have been fully immunised against tuberculosis (%)	87	2005	16
Women that have been immunised with tetanus toxoid (TT) during pregnancy (%)	30	2002/3	10
Environment
Population with safe drinking water available in the home or with reasonable access (%)	81	2005	13
Population with adequate excreta (sanitary) disposal facilities available (%)	39	2005	13
OUTCOMES
Life expectancy at birth (years): Male Female Total	60 61 61	2001	7
Infant mortality rate (per 1000 live births)	48	2006	14
Under-five mortality rate (per 1000 live births)	61	2006	14
Maternal mortality ratio (per 100,000 live births)	281	2000	15
Out-of-Pocket Spending on Health (OOPS) as % of Private Expenditure on Health (PvtHE)	92	2003	15
GENDER EQUITY
Life expectancy at birth ratio (females as a % of males)	100	2003	2	Computed value
Seats held in Parliament (% of women)	5.8	2000	13
Female share in employment (non-agricultural sector) %	18	2000	13
Ratio of earned income (females as a % of males)	0.50	1991-2001	3
Adult literacy ratio (females as a % of males)	65.5	2001	5	Computed value
Primary school enrolment ratio (females as a % of males)	86	2004	13
Secondary school enrolment ratio (females as a % of males)	78	2002/03	8	Computed value

Indicator	Latest available data	Year	Source	Remarks
MDG HEALTH RELATED INDICATORS
G1.T2.I4 - Prevalence of underweight children (under-five years of age)	38.6	2000	14
G1.T2.I5 - Proportion (%) of population below minimum level of dietary energy consumption	47	2000	13
G4.T5.I13 - Under-five mortality rate (probability of dying between birth and age 5)	61	2006	14
G4.T5.I14 - Infant mortality rate	48	2006	14
G4.T5.I15 - Proportion (%) of 1 year-old children immunised for measles	74	2005	16
G5.T6.I16 - Maternal mortality ratio	281	2006	14
G5.T6.I17 - Proportion (%) of births attended by skilled health personnel	20	2005	13
G6.T7.I18 - HIV prevalence among 15-49 years of age (%)	0.5	2005	13
G6.T8.I21c - Malaria prevalence rate per 100,000	78	2003	13
G6.T8.I23a - Tuberculosis death rate per 100,000	23	2000	13
G6.T8.I23b - Tuberculosis prevalence rate per 100,000	280	2005	13
G6.T8.I24a - Proportion (%) of Smear-Positive Pulmonary Tuberculosis cases detected and put under directly observed treatment short course (DOTS)	71	2005	13
G6.T8.I24b - Proportion (%) of Smear-Positive Pulmonary Tuberculosis cases detected cured under directly observed treatment short course (DOTS)	88	2005	13
G7.T10.I30a - Proportion (%) of population with sustainable access to an improved water source, rural	71	2005	13
G7.T10.I30b - Proportion (%) of population with sustainable access to an improved water source, urban	83	2005	13
G7.T11.I31 - Proportion (%) of urban population with access to improved sanitation	81	2005	13

Sources:

1. National Planning Commission Secretariat, Central Bureau of Statistics, Nepal, Population Projections for Nepal 2001-2021, Published In 2003.

2. The World Health Organisation, The World Health Report, 2005.

3. UNDP, Human Development Report, 2004.

4. The World Bank, World Development Indicators, 2005.

5. Nepal, National Population Census, 2001, Summary Sheet.

6. Nepal, Ministry of Health, Annual Report 2003-05.

7. Ministry of Health, Nepal Demographic and Health Survey, 2001.

8. UNESCO. http://www.unesco.org , July/September 2004 Assessment.

9. National Planning Commission Secretariat, Central Bureau of Statistics, Nepal, Living Standards Survey 2003/04, Statistical Report Volume One.

10. Update on the National Health System Profile Nepal, 2004.

11. Statistical Yearbook of Nepal, 2003.

12. Ministry of Health, Annual Report 2003-04

13. Nepal Millennium Development Goals: Progress Report 2005, His Magesty’s Government of Nepal

14. Nepal Demographic and Health Survey 2006: Preliminary Report, Population Division, MoHP, Government of Nepal

15. 11 questions of 11 SEAR countries: WHO- Regional Office for South-East Asia 2007-06-27

16. EPI Fact Sheet 2005: WHO- Regional Office for South-East Asia, New Delhi, India

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¹ Based on surface area of 147,181 sq km