NMICS 2010 Report - Central Bureau of Statistics

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NMICS 2010, Mid- and Far Western RegionsTable DQ.5: Completion rates for under-5 questionnaires by socio-economiccharacteristics of households ................................................................................................... 228Table DQ.6: Completeness of reporting ............................................................................................. 229Table DQ.7: Observation of places for hand-washing ........................................................................ 229Table DQ.8: Observation of women’s health cards ............................................................................ 230Table DQ.9: Observation of under-5s birth certificates ...................................................................... 231Table DQ.10: Observation of vaccination cards .................................................................................. 231Table DQ.11: Presence of mother in household and person interviewed forunder-5 questionnaire .............................................................................................................. 232Table DQ.12: Selection of children aged 2–14 years for the child discipline module ........................ 232Table DQ.13: School attendance by single age ................................................................................... 233List of figuresMap 1: NMICS 2010 sample domains in the MFWR, Nepal ................................................................. 25Figure HH.1: Age and sex distribution of household population .......................................................... 32Figure NU.1: Percentage of last-born children who were first breastfedwithin one hour of birth and within one day of birth ................................................................. 39Figure NU.2: Percentage of children under two by feeding pattern by age group .............................. 41Figure NU.3: Percentage of infants weighing less than 2,500 grams at birth ...................................... 52Figure CH.1: Percentage of children aged 12–23 months who received the recommnededvaccinations by 12 months of age .............................................................................................. 55Figure CH.2: Percentage of women with a live birth in the preceding 12 monthswho were protected against neonatal tetanus ......................................................................... 60Figure CH.3: Percentage of children under five with diarhoea in preceding two weekswho received ORS or increased fluids ....................................................................................... 68Figure WS.1: Percentage of household members using an improved source of drinking water bysubregion .................................................................................................................................... 82Figure ED.1: Trends in school attendance for urban and rural household membersaged 5–24 years ........................................................................................................................ 141Figure HA.1: Percentage of women who have comprehensive knowledge ofpreventing HIV transmission .................................................................................................... 17116
Executive SummarySummary of findingsThe Nepal Multiple Indicator Cluster Survey (NMICS) 2010 is a subnational survey of 7,372 womenaged 15–49 years and 3,574 children under five from 6,000 households in the Mid- and Far WesternRegions (MFWR) of Nepal. NMICS 2010 was implemented as part of the fourth round of the globalMICS household survey programme with technical and financial support from UNICEF Nepal incollaboration with the Government of Nepal. The main purpose of NMICS 2010 is to support thegovernment to generate statistically sound and comparable data for monitoring the situation ofchildren and women in the MFWR of the country. NMICS 2010 covers topics related to nutrition,child health, water and sanitation, reproductive health, child development, literacy and education,child protection, HIV and AIDS, mass media and the use of information and communicationtechnology, attitude towards domestic violence, the use of tobacco and alcohol, and life satisfaction.In addition, NMICS 2010 is the first survey in Nepal to provide baseline information on theprevalence of chaupadi (women who live in a separate house or animal shed during menstruation) inthe MFWR and evidence on women’s life satisfaction.NutritionBreastfeeding is nearly universal in the MFWR, with the median duration of any breastfeeding being31.5 months and median duration for exclusive breastfeeding being relatively short at 4.0 months.Contrary to UNICEF and WHO recommendations, only around two in three (64 percent) children areexclusively breastfed for the first six months of life. The practice of introducing complementary foodvaries somewhat in these regions; however, around two in three (63 percent) children are providedwith complementary food at 6–8 months of age. The continued practice of bottle-feeding is aconcern because of possible contamination due to unsafe water and lack of hygiene in preparation.Overall, the use of bottle with a nipple is fairly low (five percent); however, this practice rises fromthree percent among children aged 0–5 months to seven percent among children aged 12–23months. Nearly three fifths (57 percent) of children aged 6–23 months are receiving solid, semi-solidand soft foods the recommended minimum number of times a day.Child healthAlthough immunization coverage in Nepal has improved over the past decade, only around threefifths (56 percent) of children in the MFWR have been fully immunized before their first birthday.Polio vaccines coverage is higher than other immunizations, as this vaccine is included as part of thenational immunization days in Nepal. Almost nine in 10 (89 percent) children received BCGvaccination; 93 percent received the first polio dose but only 77 percent received the third; 86percent received the first DPT dose but only 68 percent received the third; and 83 percent receivedthe measles vaccine. In addition, nearly one third (31 percent) of children under five residing in theTerai of the MFWR were vaccinated against Japanese encephalitis.Eleven percent of children under five in the MFWR had had diarrhoea in the two weeks precedingthe survey. Preventing dehydration due to diarrhoea by increasing fluid intake (oral rehydrationsolution (ORS)) and continuing to feed the child are important strategies for managing diarrhoea.Around half (47 percent) of children had received ORS with continued feeding. The government alsorecommends using zinc tablets with ORS during an episode of diarrhoea. Twenty-two percent ofchildren with diarrhoea had received zinc tablets along with ORS.Seven percent of children aged 0–59 months in the MFWR were reported to have had symptoms ofpneumonia during the two weeks preceding the survey. Of these children, only half (51 percent)17
Page 1 and 2: NepalMonitoring the situationof chi
Page 3: Nepal Multiple Indicator Cluster Su
Page 6 and 7: NMICS 2010, Mid- and Far Western Re
Page 10: ForewordIt is my great pleasure to
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Page 23 and 24: I. IntroductionBackgroundThis repor
Page 25 and 26: II.Sample and Survey MethodologySam
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Page 31 and 32: Age groupNMICS 2010, Mid- and Far W
Page 37 and 38: IV.NutritionNutritional statusChild
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Page 55 and 56: PercentNMICS 2010, Mid- and Far Wes
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Cont’d Table CH.7: Oral rehydrati
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Government hospitalPrimary healthca
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NMICS 2010, Mid- and Far Western Re
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Table CH.10: Solid fuel usePercenta
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Cont’d Table CH.12: Anti-malarial
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Table WS.1: Use of improved water s
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Table WS.2: Household water treatme
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Table RH.7: Assistance during deliv
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VIII.Child DevelopmentEarly childho
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Cont’d Table ED.5: Secondary scho
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Table ED.7: School attendancePercen
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Table CP.2: Child labourPercentage
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Cont’d Table CP.5: Early marriage
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Table CP.6: Trends in early marriag
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Table CP.7: Spousal age differenceP
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Cont’d Table HA.2: Knowledge abou
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Table TA.1: Ever and current use of
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XIV. Subjective well-beingIt is wel
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Cont’d Table SW.1: Life satisfact
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Appendix A. Sample DesignThe major
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Appendix C. Estimates of Sampling E
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Table SE.2: Sampling errors: Total
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Table SE.3: Sampling errors: Urban
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Table SE.4: Sampling errors: Rural
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Table SE.5: Sampling errors: Mid-We
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Table SE.8: Sampling errors: Far We
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Table SE.9: Sampling errors: Far We
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Table SE.10: Sampling errors: Far W
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Appendix D. Data Quality TablesTabl
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Appendix E. MICS4 Indicators: Numer
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Appendix F. QuestionnairesNEPAL MUL
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HL1.LinenumberHL2.Name, last nameHL
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EDUCATIONFor household members age
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WATER AND SANITATIONWS1. WHAT IS TH
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WS7D.IS THIS CONTAINER USED ONLY FO
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HC5. Main material of the exterior
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HC10. DO YOU OR SOMEONE LIVING IN T
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CHILD LABOURTo be administered for
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DE-WORMINGTo be administered only f
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CD9. Write the name and line number
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HH19. Record the time.Hour and minu
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Interviewer’s ObservationsField E
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WOMAN’S BACKGROUNDWBWB1. IN WHAT
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DESIRE OF LAST BIRTHDBThe questionn
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MN9. DID YOU RECEIVE ANY TETANUS IN
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MN20. WHEN (name) WAS BORN, WAS HE/
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CONTRACEPTIONCP1. LET'S US TALK ABO
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UN9. Check CP2. Currently using a f
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ATTITUDES TOWARD DOMESTIC VIOLENCED
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HIV/AIDSHA1. NOW I WOULD LIKE TO TA
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HA19. Check MN17: Birth delivered b
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TA11. HAVE YOU CONSUMED ANY SMOKELE
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LS5. HOW SATISFIED ARE YOU WITH YOU
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UF12. Record the time.Hour and minu
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EC6. WITHIN THE LAST SEVEN DAYS, AB
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BREASTFEEDINGBF1. HAS (name) EVER B
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CARE OF ILLNESSCA1. IN THE LAST TWO
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CA9. WAS THE FAST OR DIFFICULT BREA
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ML8. WAS (name) GIVEN ANY MEDICINE
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IM5. HAS (name) BEEN ADMINISTERED A
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Child Grant (only for Humla, Jumla,
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NMICS 2010 Report - Central Bureau of Statistics

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