NMICS 2010 Report - Central Bureau of Statistics

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Government hospitalPrimary healthcare centreHealth post/sub health postVillage Health WorkerMobile/ outreach clinicFemale CommunityHealth VolunteerPrivate hospital / clinicPrivate pharmacyRelative / friendShopHome remedyTraditional healer(dhami/ jhakri)Cont’d Table CH.8: Care-seeking for suspected pneumonia and antibiotic use during suspected pneumoniaPercentage of children aged 0–59 months with suspected pneumonia in the two weeks preceding the survey who were taken to a health provider and percentage of children who were given antibiotics, MFWR,Nepal, 2010Mother’s educationPercentwithsuspectedpneumoniaintwo weeksprecedingsurveyNo. ofchildrenaged0–59monthsPercent with suspected pneumonia who were taken to:Public source Private source Other sourceAny appropriateprovider[1]Percentwithsuspectedpneumoniawhoreceivedantibioticsin twoweeksprecedingsurvey [2]None 7.6 2,148 9.3 6.5 17.2 1.5 2.1 4.5 17.6 11.3 0.2 0.8 9.3 0.6 52.0 51.9 164Primary 7.5 579 8.9 12.8 9.2 0.6 3.7 12.6 22.9 10.8 0.0 0.0 5.3 5.3 58.0 (76.9) 44Secondary 6.1 846 7.3 1.9 18.1 0.3 0.0 3.0 22.0 29.9 2.6 0.0 8.8 1.9 42.5 (51.8) 52Wealth index quintilePoorest 6.4 927 1.1 8.1 19.9 0.7 5.9 4.1 11.9 6.1 0.5 0.0 14.5 1.7 45.5 45.9 60Second 8.0 804 13.2 8.6 9.9 1.0 0.0 8.6 19.9 7.3 2.1 0.0 3.2 1.5 52.7 45.8 64Middle 9.5 709 11.1 6.7 20.1 0.0 0.0 7.4 15.8 23.5 0.0 0.0 6.2 3.4 49.9 61.7 67Fourth 7.4 611 13.8 5.1 21.9 0.4 0.0 1.0 25.3 23.6 0.0 0.0 16.1 0.0 58.2 (71.9) 45Richest 4.3 523 0.4 0.0 0.0 7.4 7.2 4.2 35.9 17.2 0.0 5.9 0.0 0.0 50.8 (63.7) 23No. ofchildrenaged0–59monthswithsuspectedpneumoniain twoweeks precedingsurveyTotal 7.3 3,574 8.8 6.6 16.1 1.1 2.0 5.6 19.3 14.9 0.6 0.5 8.5 1.6 51.1 56.1 259[1] MICS Indicator 3.9[2] MICS Indicator 3.10Figures in parenthesis indicate that the percentage is based on denominators of 25–49 unweighted cases* An asterisk indicates that the percentage or proportion is calculated on fewer than 25 unweighted casesOne case with missing ‘mother’s education’ not shown
NMICS 2010, Mid- and Far Western RegionsSome 56 percent of under-fives in the MFWR with suspected pneumonia had received an antibioticduring the two weeks preceding the survey (Table CH.8). There was little variation by backgroundcharacteristic or sample sizes were too small to show reliable trends.Mothers’ knowledge of the danger signs of pneumonia is an important determinant in care-seekingbehaviour. Information on care-seeking behaviour is presented in Table CH.9. Overall, six percent ofmothers/caretakers knew of the two danger signs of pneumonia—fast and difficult breathing. Themost commonly identified symptom for taking a child to a health facility was fever (89 percent); thiswas followed by ‘becomes sicker’ (39 percent). Some 19 percent of mothers/caretakers identified‘fast breathing’ and 22 percent identified ‘has difficulty breathing’ as symptoms requiring children tobe taken to a healthcare provider immediately. There was little variation by backgroundcharacteristic in mothers/caretakers knowledge of the two danger signs of pneumonia.Table CH.9: Care seeking of illness symptomsPercentage of mothers and caretakers of children aged 0–59 months by symptoms that would cause them to take the child immediately toa health facility, and percentage of mothers who recognize fast and difficult breathing as signs for seeking care immediately, MFWR,Nepal, 2010RegionPercent of mothers/caretakers of children aged 0–59 months who think that a childshould be taken immediately to a health facility if the child:Is notable todrink orbreastfeedBecomessickerDevelopsa feverHas fastbreathingHasdifficultybreathingHasblood instoolIsdrinkingpoorlyHasothersymptomsMothers/ caretakerswhorecognizedthetwodangersigns ofpneumoniaNo. ofmothers/caretakersofchildrenaged0–59monthsMid-Western 16.5 39.6 91.9 18.8 21.2 12.6 8.2 34.6 5.0 1,463Far Western 25.8 37.1 85.7 19.6 23.7 11.9 5.5 35.3 7.5 1,166SubregionMid-WesternMountainsArea22.6 36.8 84.8 16.2 17.6 14.6 9.9 30.9 5.7 212Mid-Western Hills 11.4 38.4 95.2 16.0 19.2 11.8 10.7 40.7 3.6 801Mid-Western Terai 22.5 43.0 89.4 25.0 26.4 13.2 2.9 25.4 7.2 450Far Western Mountains 9.0 38.9 83.2 27.3 18.3 4.3 2.7 40.7 8.8 216Far Western Hills 31.6 36.3 81.9 19.3 18.3 9.7 10.9 41.3 7.2 395Far Western Terai 28.2 37.0 89.3 16.7 29.6 16.5 2.8 29.0 7.2 555Urban 24.2 26.4 90.4 20.4 24.2 18.0 4.0 33.8 8.1 232Rural 20.2 39.6 89.0 19.0 22.1 11.8 7.3 35.0 5.9 2,397EducationNone 20.4 38.4 87.4 18.6 20.5 11.9 7.0 34.7 5.4 1,554Primary 17.9 38.7 92.5 17.2 28.1 10.9 8.6 37.3 6.5 431Secondary + 22.8 38.5 91.1 21.9 22.9 14.4 5.8 33.8 7.7 643Wealth index quintilePoorest 16.4 33.6 86.2 14.8 15.3 7.8 8.2 43.0 3.9 667Second 18.7 34.8 91.0 19.7 21.1 11.4 10.3 36.7 5.8 567Middle 23.4 43.1 90.4 18.3 25.2 14.1 5.8 31.2 6.1 520Fourth 24.4 40.8 88.9 23.4 27.2 13.7 4.9 31.5 8.3 472Richest 22.1 43.1 90.0 21.8 26.1 17.2 4.3 27.8 7.6 403Total 20.6 38.5 89.1 19.1 22.3 12.3 7.0 34.9 6.1 2,62971
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NepalMonitoring the situationof chi
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Nepal Multiple Indicator Cluster Su
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NMICS 2010, Mid- and Far Western Re
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ForewordIt is my great pleasure to
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Executive SummarySummary of finding
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Page 23 and 24: I. IntroductionBackgroundThis repor
Page 25 and 26: 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
Page 67 and 68: Cont’d Table CH.7: Oral rehydrati
Page 69: Government hospitalPrimary healthca
Page 73 and 74: Table CH.10: Solid fuel usePercenta
Page 77 and 78: Cont’d Table CH.12: Anti-malarial
Page 81 and 82: Table WS.1: Use of improved water s
Page 83 and 84: Table WS.2: Household water treatme
Page 107 and 108: Cont’d Table RH.2: Unmet need for
Page 115 and 116: 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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