Nepal

Table 4.10 Infection control for vaccination services
Among facilities offering child vaccination services, the percentages with indicated items for infection control observed to be available at the service site
on the day of the survey, by background characteristics, Nepal Health Facility Survey 2015
Background
characteristic
Soap
Percentage of facilities offering child vaccination services that have indicated items for infection control
Running
water 1
Soap
and
running
water
Alcoholbased
hand
disinfectant
Soap and
running
water or else
alcoholbased
hand
disinfectant
Latex Safety
gloves box
Needle
destroyer
Waste
receptacle 2
Injection
safety
precaution
guideline
All
infection
prevention
items 3
Number of
facilities
offering child
vaccination
services
Facility type
Zonal and above
hospitals 87.5 87.5 87.5 37.7 87.5 83.4 83.1 24.9 4.2 25.2 0.0 5
District-level
hospitals 57.4 61.8 54.4 41.2 66.2 75.0 83.8 10.3 17.6 7.4 4.4 14
Private hospitals 77.0 77.7 72.3 54.6 84.5 73.4 72.6 20.4 20.6 4.1 2.0 20
PHCCs 56.2 62.8 53.1 23.4 60.3 68.4 84.7 8.2 9.7 4.1 1.0 40
HPs 53.7 44.5 41.4 24.5 50.3 81.7 88.7 2.0 5.8 3.4 0.5 710
UHCs 52.4 38.4 35.6 35.2 51.4 74.2 92.5 0.0 0.0 4.0 0.0 26
Managing authority
Public 54.0 45.8 42.3 25.1 51.3 80.7 88.5 2.5 6.0 3.7 0.6 796
Private 77.0 77.7 72.3 54.6 84.5 73.4 72.6 20.4 20.6 4.1 2.0 20
Ecological region
Mountain 47.3 37.6 33.6 22.2 48.1 81.3 83.3 4.0 2.0 3.3 0.2 105
Hill 57.5 54.0 50.8 28.7 57.1 84.0 92.1 3.9 7.6 5.5 1.0 430
Terai 52.9 38.5 34.7 22.9 46.1 74.7 83.8 1.2 6.2 1.1 0.3 281
Earthquakeaffected
districts
(14) 59.6 53.3 50.5 31.2 60.0 89.8 94.7 3.0 4.9 6.8 0.0 174
National average 54.6 46.6 43.0 25.9 52.1 80.5 88.1 3.0 6.4 3.7 0.7 816
1
Piped water, water in bucket with specially fitted tap, or water in pour pitcher
2
Waste receptacle with plastic bin liner
3
All infection precaution items include: soap and running water or else alcohol-based hand disinfectant, latex gloves, waste receptacle with plastic bin
liner, safety box or needle destroyer, and injection safety precaution guideline.
4.4 SICK CHILD CARE PRACTICES
To assess whether providers are offering good-quality services, NHFS observers attended sick child
consultations. Using checklists based on IMCI guidelines, the observers noted what information the provider
gave and whether recommended procedures were carried out during the consultations. Observers did not
assess whether the information was correct or whether examination findings were interpreted appropriately.
In total, the observers reported on 2,186 sick child consultations. The majority of sick children were
examined by paramedics (56 percent), 16 percent were seen by consultant/specialists, and the same
percentage were examined by medical officers. Thirteen percent of children were examined by nursing staff.
In hospitals, the majority of sick children were examined by a medical doctor. In peripheral health facilities,
more than two-thirds of children were examined by paramedics (Tables 4.11.1 and 4.11.2).
Child Health Services • 85