Slide 1

Report
Welcome
And
Namaste
“His Majesty's Government of Nepal has embraced the sprit of the Millennium
Declaration and is committed to the achievement of the Millennium
Development Goals (MDGs) to advance human development that provides
equal opportunities and ensures a bright future for all its citizens.
Nepal has made significant progress over the last 15 years in reducing poverty,
improving access to education, health services and drinking water, and
promoting biodiversity conservation and alternative energy. It is a remarkable
achievement considering the difficult situation in the country in recent years.
However, some serious challenges remain in addressing inequality and
exclusion, which is a critical factor hindering the equitable distribution of the
result of development efforts across all geographical regions and social
groups.”
Matthew Kahnne
Infant Mortality Rate
(per-thousand live births)
120
100
80
60
40
20
0
1990
1995
2000
2005
2010
2015
Under-Five Mortality Rate
(per thousand live births)
180
160
140
120
100
80
60
40
20
0
1990
1995
2000
2005
2010
2015
Promotion of one-year-olds
immunized against measles
100
80
60
40
20
0
1990
1995
2000
2005
2010
2015
Reduce by two-thirds between 1990 and 2015 the
under – 5 mortality rate
INDICATORS
1990
1995
2000
2005
2015 (TARGET)
IMR
108a
79b
64c
61d
34
U5MR
162a
118c
91c
82d
54
Promotion of one-year olds
immunized against measles
42e
57b
71c
851
>90
Source : a National Family Health Survey (1996) (1989 data), b NFHS 1996 c
NDHS 2001. D World Bank estimate 2003; Country Data Profile
(www.worldbank.org) 2005
e Nepal Fertility, Family Planning and Health Survey 1991. F
HMIS/DOHS 2003/04
Maternal Mortality Ratio
(per 100,000 life births)
1000
800
600
400
200
0
1990
1995
2000
2005
2010
2015
Percentage of deliveries attended
by health care providers
80
60
40
20
0
1990
1995
2000
2005
2010
2015
Challenges





80% of Delivery take place at home
Inadequate no. of Skilled Birth Attendance
Unsatisfactory Access to RH information and services
Government Strategy to provide free delivery in 25 of the poorest district onlychallenge in the remaining part of the country
Conflict-Insurgency
HIV prevalence rate among adults
(15-49 years of age) in percent
2
1.5
1
0.5
0
1990
1995
2000
2005
2010
2015
Have halted by 2015 and begun to reverse the
spread of HIV/AIDS
INDICATORS
1990
1995
2000
2005
2015 (TARGET)
HIV prevalence among 1549 years of age (%)
NA
NA
0.29a
0.5b
-
Contraceptive prevalence
rate including condom use
(%)
24c
29c
39c
NA
-
Source : a National Centre for AIDS and STD Control (1999data), b
UNAIDS, FH/NCASC 2003 c NDHS 2001
To have halted by 2015 and begun to reverse the
incidence of malaria and other major diseases
INDICATORS
1990
1995
2000
2005
2015(TARGET)
Prevalence rate associated with malaria 115a
(number of cases per 100,000 people at
risk)
NA
65b
78b
-
Proportion of population in malaria
risk areas using effective malaria
prevention measures
NA
9.75d.1 6.94d
11.4b.2
-
Slide positivity rate (SPR)e
5.1
9.2
4.3
NA
-
Prevalence associated with tuberculosis 460
420
310
280
-
Death rates associated with
tuberculosis
43
35
23
NA
-
Proportion of tuberculosis cases
detected
NA
46
69
71
Proportion of tuberculosis cases cured
under Directly observed Treatment
Short Courses (DOTS)
NA
NA
89
88
-
Source : A HDR 1996 (1992data)b. NPC/UNDP 2004 (b.1 and b.2 2003
data) d Rana 2001 (d.1 2002 data) e NDHS 2004 (1:2003 data)
Challenges




A comprehensive care support service package for PLWHA is missing
Lack of educational awareness among women- significant challenge
Capacity for multi-sectoral involvement especially among ministries and the
monitoring and evaluation system seem structurally inadequate
In the absence of National HIV/AIDS sub-account as part of over all National
Health Account (NHA), monitoring the flow of resources is yet an-other
challenging task
Information Technology Policy 2000 Nepal


In bullet no. 10 - the policy to use information technology to
promote eCommerce, E-education and E-health among others
and to transfer technology in rural areas.
Action Plan- Dissemination of Information and Technology
- Educational institutions and hospitals
- Distant learning system should be introduced
- Websites for Ministry of Health and Population shall be created
- Necessary legal infrastructure to be created for the promotion
of telemedicine
Institutional Provision
* National Information Technology Development Council
* National Information Technology Coordination Committee
* National Information Technology Center (under MoST)
* Information Technology Park Development Committee
THANK
YOU

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