Nepal

Table 6.12.2 Feedback from antenatal care clients
Among interviewed antenatal care (ANC) clients, the percentages who considered specific service issues to be major problems for
them on the day of the visit, by background characteristics, Nepal Health Facility Survey 2015
Managing authority Ecological region Earthquakeaffected
Client service issue Public Private Mountain Hill Terai districts (14)
National
average
Behavior/attitude of provider 1.0 0.1 1.2 0.2 1.3 0.0 0.8
Amount of explanation about
problem of treatment 3.6 7.6 1.7 1.0 7.6 0.3 4.4
Wait to see provider 11.2 12.5 11.6 8.9 13.7 11.9 11.5
Ability to discuss problems 3.5 8.1 0.7 0.7 7.8 0.0 4.4
Availability of medicines at facility 3.6 3.7 2.4 1.8 5.3 1.8 3.6
Number of days facility is open 2.5 3.5 1.0 1.6 3.8 0.8 2.7
Number of hours facility is open 2.9 3.6 0.0 2.2 4.1 2.5 3.1
Cleanliness of facility 3.0 1.1 2.6 0.1 4.9 0.0 2.7
Cost of services 1.0 8.4 3.4 1.0 3.6 0.9 2.4
Amount of visual privacy 2.0 0.3 0.0 0.7 2.7 0.4 1.7
Amount of auditory privacy 2.0 2.5 0.0 1.0 3.2 1.1 2.1
At least one client service issue 20.5 27.1 16.0 13.7 29.3 15.4 21.8
Number of interviewed ANC
clients 1,211 292 48 685 770 417 1,502
6.6 PROVIDER TRAINING AND SUPERVISION
Providers who have received recent training can be expected to have more up-to-date knowledge
about their particular service area. Personal supervision may help enhance and sustain health worker
capacity, since it should identify a provider’s strengths and weaknesses. Table 6.13 presents information on
in-service training and recent personal supervision of ANC providers.
Private hospitals were least likely to have staff who had had ANC-related in-service training; only
17 percent of providers at private hospitals had ever had such training, and only 5 percent reported receiving
training in the 24 months before the survey (Table 6.13). Considering government facilities, the proportion
of providers ever having in-service training related to ANC ranged from 34 percent in UHCs to 47 percent
in PHCCs. One quarter of providers in PHCCs had had in-service training in ANC in the 24 months before
the survey, as compared with 9 percent of providers in zonal and above hospitals.
Overall, two in five ANC providers had ever received in-service training related to ANC. However,
only 18 percent reported receiving training related to ANC during the 24 months before the assessment.
Table 6.14 shows that providers were least likely to have had in-service training on case management of
malaria in pregnancy (7 percent). Around one in four providers reported receiving in-service training on
counseling ANC clients (25 percent), on complications of pregnancy and their management (24 percent),
and on ANC screening (23 percent).
Antenatal Care • 139