COUNTRY BACKGROUND - Gross National Happiness Commission

Table 13.5 Goals for Children and Women in the 7FYP
Sl. No. Global goals for 2000 Present situation in Bhutan Bhutan's goal for 1997
CHILD HEALTH
1. Reduce IMR by 1/3 or to 50, whichever is less 142 (1984) 50
2. Reduce U5MR by 1/3 or to 70, whichever is less 195 70
3. Eradicate polio 0 case reported Eradicate polio
4. Eradicate neo-natal tetanus by 1995 8-14 cases for every 1000 births Eradicate neo-natal tetanus
5. 90% reduction of measles cases 11 cases for every 1000 population 1 cases for every 1000 population
6. 95% reduction of deaths caused by measles. 95% reduction
7. Maintain more than 85% immunization coverage for under oneyear
olds.
84%(1990) At least 85%
8. Achieve 100% tetanus coverage of all women of child bearing age. 63%(1990) 100%
9. Reduce diarrhoea incidence among under five year olds by 25% 16% Reduce to 10%
10. Reduce deaths caused by diarrhoeas by half. 40% Reduce to 20%.
11 Reduce ARI incidence in under five year olds by one-third. 19% Reduce to 14%
MATERNAL HEALTH
1. Reduce MMR by half (per 100,000 live births). 770 358
2. Ensure 100% access to family planning education/services. 8.8 per 1,000 population (contraceptive pre -
valence rate)
100% access
3. Ensure 100% access to trained attendant during delivery. 10% access Safe pregnancy.
4. Ensure 100% access to referral for high risk pregnancies. 5% 100%
NUTRITION
1. Reduce severe and moderate malnutrition by half. 38% 19%
2. Reduce the rate of low birth weight (less than 2.5 Kgs) to less than
10%.
36% (hospital records) Reduce to insignificant levels
3. Reduce the rate of iron deficiency anaemia by one-third. 68% (pregnant women) Virtual elimination
4. Eliminate Vitamin A deficiency Virtual elimination 14%(children 0-5
5. Eliminate Iodine deficiency. 20% of women
14% of school children
6. Promote breastfeeding to be exclusive feeding for infants from 0 to
4 months of age.
95% of children breast-fed for more than one
year.
Reduce IDD to minimum levels.
Health Services
Strengthen existing healthy BF practices.
7. Institutionalized growth monitoring/growth promotion to be 100%. 90% access to PHC/Road to Health Card. Universal use of growth monitoring as a tool
to improve nutritional status.
8. Ensure household food security To be verified Ensure adequate nutritional status of
population.
WATER AND SANITATION
1. Universal access to safe drinking water. 25% 60%
2. Universal access to sanitary means of excreta disposal. 62% 100% access to latrines, which are not
necessarily sanitary.
3. (Eradication of guinea worm disease)
(-does not exist in Bhutan)
50-80% Decrease incidence of worm infestation to
30% of the population
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