NMICS 2010 Report - Central Bureau of Statistics

NMICS 2010, Mid- and Far Western RegionsTable RH.4: Antenatal care providerPercentage of women aged 15–49 years who gave birth in the two years preceding the survey by type of personnel providing antenatalcare, MFWR, Nepal, 2010RegionPercent by person providing antenatal care:At least onceby skilledpersonnel(doctor, staffnurse andAuxiliary NurseMidwife)[1]Other healthworkersOthers (nothealthworkers)/missingNo antenatalcare receivedTotalNo. of womenaged 15–49years who gavebirth in twoyears precedingsurveyMid-Western 46.2 23.2 2.4 28.2 100.0 687Far Western 43.6 33.5 3.5 19.4 100.0 578SubregionAreaMid-Western Mountains 29.2 31.7 4.0 35.1 100.0 101Mid-Western Hills 45.1 23.6 1.9 29.4 100.0 373Mid-Western Terai 56.2 18.2 2.8 22.9 100.0 213Far Western Mountains 32.4 26.8 8.1 32.8 100.0 104Far Western Hills 36.7 40.8 0.6 21.9 100.0 198Far Western Terai 52.7 30.8 3.8 12.6 100.0 275Urban 73.4 6.2 4.4 15.9 100.0 120Rural 42.0 30.2 2.8 25.1 100.0 1,144EducationNone 32.0 29.9 3.2 34.9 100.0 699Primary 46.9 36.1 2.1 14.9 100.0 230Secondary + 70.8 18.0 3.0 8.3 100.0 335Wealth index quintilePoorest 21.7 32.5 2.8 43.0 100.0 321Second 43.3 30.9 2.2 23.7 100.0 285Middle 41.7 30.7 4.5 23.1 100.0 255Fourth 58.3 25.4 2.1 14.3 100.0 214Richest 76.8 14.4 3.1 5.7 100.0 188Total 45.0 27.9 2.9 24.2 100.0 1,265[1] MICS Indicator 5.5a; MDG Indicator 5.5As respondents had difficulty in distinguishing the different types of skilled health personnel providing antenatal care, the data for doctor,staff nurse and Auxiliary Nurse Midwife were aggregated.UNICEF and WHO recommend a minimum of at least four antenatal care visits during pregnancy.Nepal’s antenatal care protocol provisions antenatal care visits in the fourth, sixth, eighth and ninthmonths of pregnancy under the focused safe motherhood programme. Table RH.5 shows thenumber of antenatal care visits for women aged 15–49 years who had a live birth during the twoyears preceding the survey by any provider. Some 40 percent of women in the MFWR had receivedat least four antenatal care visits. In addition, 20 percent had received three visits, 10 percent hadreceived two visits and five percent had received one visit.Women in the Mid-Western Region (34 percent) were less likely than those in the Far WesternRegion (48 percent) to receive at least four visits. Subregionally, the highest percentage was in theFar Western Terai (59 percent) and the lowest was in the Mid-Western Mountains (21 percent).Urban women (53 percent) were more likely than rural women (39 percent) to receive at least fourvisits. Women’s education level and wealth quintile both influenced the likelihood of their receivingat least four antenatal care visits. Only 27 percent of women with no education received at least fourvisits compared to 50 percent of women with primary education and 62 percent of women with at111