NMICS 2010 Report - Central Bureau of Statistics

NMICS 2010, Mid- and Far Western RegionsTable RH.6: Content of antenatal carePercentage of women aged 15–49 years who had a live birth during the two years preceding the survey who had their blood pressuremeasured, urine sample taken, and blood sample taken as part of antenatal care, MFWR, Nepal, 2010RegionBlood pressuremeasuredPercent of pregnant women who had:Urine sample taken Blood sample taken Blood pressuremeasured, urineand blood sampletaken[1]No. of women aged15–49 years whohad a live birthduring the twoyears preceding thesurveyMid-Western 52.7 50.0 40.4 35.2 687Far Western 57.5 41.5 31.1 27.3 578SubregionAreaMid-Western Mountains 45.3 38.6 31.6 28.6 101Mid-Western Hills 53.5 50.3 41.4 35.7 373Mid-Western Terai 54.8 54.9 42.8 37.3 213Far Western Mountains 42.4 30.1 21.0 16.1 104Far Western Hills 49.8 40.1 26.2 20.8 198Far Western Terai 68.6 46.9 38.5 36.1 275Urban 71.0 64.1 61.1 55.2 120Rural 53.2 44.2 33.5 29.1 1,144EducationNone 41.7 31.6 24.9 20.1 699Primary 63.1 54.8 41.6 35.6 230Secondary + 76.9 70.4 55.9 52.6 335Wealth index quintilePoorest 36.9 26.9 19.2 15.7 321Second 52.0 43.7 37.6 29.4 285Middle 55.2 42.2 32.8 31.4 255Fourth 64.7 56.8 43.0 36.8 214Richest 78.3 75.7 59.6 56.0 188Total 54.9 46.1 36.1 31.5 1,265[1] MICS Indicator 5.6Assistance at deliveryThree quarters of all maternal deaths occur during delivery and the immediate postpartum period.The single most critical intervention for safe motherhood is to ensure a competent health workerwith midwifery skills is present at every birth, and transport is available to a referral facility forobstetric care in case of an emergency. The WFFC goal is to ensure that all women have ready andaffordable access to skilled attendance at delivery. The indicators used are the proportion of birthswith a skilled attendant and the proportion of institutional deliveries. The indicator on a skilledattendant at delivery is also used to track progress toward the MDG target of reducing the maternalmortality ratio by three quarters between 1990 and 2015. NMICS 2010 included a number ofquestions to assess the proportion of births attended by a skilled attendant. A skilled attendantincludes a doctor, staff nurse and Auxiliary Nurse Midwife.Table RH.7 shows that 29 percent of women aged 15–49 in the MFWR who had a live birth in thetwo years preceding the survey were delivered by skilled personnel. Some seven percent weredelivered by other health workers, 47 percent by a relative or friend, nine percent by a traditionalbirth attendant, two percent by a Female Community Health Volunteer, three percent by others, andfour percent gave birth alone. For assistance by skilled personnel, there was little variation byregion. Subregionally, the highest percentage was in the Mid-Western Terai (41 percent) and lowest113