NMICS 2010 Report - Central Bureau of Statistics

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NMICS 2010, Mid- and Far Western Regionsgrouped together in nine clusters: one rural cluster each in Achham, Dolpa and Kailali and two ruralclusters each in Baitadi, Bajhang and Humla.Similarly, in cases of large wards, especially in urban areas or municipalities, census enumerationblocks were used. Enumeration blocks were created by the GIS Section of the CBS for the 2011population census by segmenting large wards. Of the 50 urban clusters in the survey, 22 wereselected from segmented municipalities in the five districts of Banke, Dang, Kailali, Kanchanpur andSurkhet. Thus, a total of 6,000 households were selected for interviewing, of which 1,250represented urban areas (municipalities) and 4,750 represented rural areas (Village DevelopmentCommittees (VDCs)). The sample was stratified by regions and is not self-weighting. Sample weightswere applied in the reporting of subregional results. A more detailed description of the sampledesign can be found in Appendix A.QuestionnairesThe standard MICS4 questionnaires were used and adapted to include several country-specificquestions and modules. Three sets of questionnaires were used in the survey.(i) A household questionnaire used to collect information on all de jure household members (usualresidents), the household, and the dwelling.(ii) A women’s questionnaire administered to all women aged 15–49 years living in each household.(iii) An under-fives’ questionnaire administered to mothers or caretakers of all children under five 2living in each household.The Household Questionnaire included the following modules.Household listing formEducationWater and sanitationHousehold characteristicsChild labourDe-worming (Nepal-specific module)Child disciplineHand-washingSalt iodizationThe Questionnaire for Individual Women included the following modules. Woman’s background Access to mass media and use of information communication technology Desire for last birth Maternal and newborn health 3 Illness symptoms Contraception Unmet need Attitudes towards domestic violence 4 (Nepal-specific module)2 The terms ‘children under five’, ‘under-fives’, ‘children aged 0–4 years’, and ‘children aged 0–59 months’ are usedinterchangeably in this report.3 Non-MICS standard questions were added to the questionnaire for women aged 15–49 years and asked to mothers whohad given birth in a non-institutional setting in the two years preceding the survey in order to assess whether safe newborncare practices were adopted in the Mid- and Far Western Regions of Nepal.4 Non-MICS standard questions were added to the questionnaire for women aged 15–49 years to assess their attitudestowards whether mothers-in-law are justified in verbally abusing or threatening their daughters-in-law.26
NMICS 2010, Mid- and Far Western RegionsMarriage/unionHIV/AIDSTobacco and alcohol useLife satisfactionThe Questionnaire for Children Under Five was normally administered to mothers of under-fives; incases when the mother was not listed in the household roster, a primary caretaker for the child wasidentified and interviewed. The questionnaire included the following modules.AgeBirth registrationEarly childhood developmentBreastfeedingCare during illnessMalariaImmunizationChild grant (Nepal-specific module)The questionnaires are based on the MICS4 model questionnaires 5 . From the MICS4 model Englishversion, the questionnaires were translated into Nepali and two other local dialects, Tharu andAwadhi, which are widely spoken in the Terai. Questionnaires were pre-tested in the districts ofJumla (rural Mountains), Salyan (rural Hills) and Banke (urban Terai) during July 2010. Based on theresults of the pre-test, modifications were made to the wording and translation of thequestionnaires. However, due to political sensitivities regarding language issues, only the Nepaliquestionnaires were used to record data. An English version of the questionnaires used for NMICS2010 is provided in Appendix F.In addition to the administration of questionnaires, fieldwork teams tested the salt used for cookingin surveyed households for iodine content and observed the place used for hand-washing. Detailsand findings of these measurements are provided in the respective sections of the report.Training and fieldworkField workers were contracted for three months. Of 60 personnel recruited, 12 were males and therest were females. The field personnel recruited formed a heterogeneous group in terms of age,caste/ethnicity and education.An 11-day residential training course was held on 19–29 September 2010 in Banepa, KavrepalanchokDistrict, near to Kathmandu. Trainees were organized into three groups, each containing 20personnel. Each group consisted of interviewers, data editors and supervisors. Training wasconducted in three parallel sessions, and included lectures on interviewing techniques andunderstanding of the questionnaire contents as well as mock interviews between trainees to gainpractice on asking questions. The residential mode of training gave participants a good opportunityto become familiar with each other before working as a team during data collection in the field.Data were collected by 12 field teams. Each team consisted of a supervisor, three femaleinterviewers and a data editor. On average, each team collected data from 20 clusters (enumerationareas). In total, 60 people worked in the field over a period of about two and half months. Fieldworkbegan in October 2010 and concluded in December 2010.Data processingData were entered using the CSPro software on four microcomputers by four data-entry operatorsand two data-entry supervisors. In order to ensure a high level of quality control, all questionnaires5The model MICS4 questionnaires can be found at www.childinfo.org27
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
Page 17 and 18: Executive SummarySummary of finding
Page 23 and 24: I. IntroductionBackgroundThis repor
Page 25: II.Sample and Survey MethodologySam
Page 29 and 30: Mid-WesternFar WesternMid-WesternMo
Page 31 and 32: Age groupNMICS 2010, Mid- and Far W
Page 37 and 38: IV.NutritionNutritional statusChild
Page 39 and 40: PercentNMICS 2010, Mid- and Far Wes
Page 41 and 42: 0-12-34-56-78-910-1112-1314-1516-17
Page 55 and 56: PercentNMICS 2010, Mid- and Far Wes
Page 63 and 64: Table CH.6: Feeding practices durin
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Page 69 and 70: Government hospitalPrimary healthca
Page 73 and 74: Table CH.10: Solid fuel usePercenta
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Cont’d Table CH.12: Anti-malarial
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NMICS 2010, Mid- and Far Western Re
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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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Cont’d Table RH.2: Unmet need for
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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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