Nepal

Table 6.15 Availability of services for prevention of mother-to-child transmission of HIV in facilities offering antenatal care services
Among facilities offering antenatal care (ANC) services, the percentages offering services for the prevention of mother-to-child transmission (PMTCT) of HIV and,
among the facilities offering PMTCT services, the percentages with specific PMTCT program components, by background characteristics, Nepal Health Facility
Survey 2015
Background
characteristic
Percentage
of facilities
offering
ANC that
provide any
PMTCT 1
Number of
facilities
offering
ANC
services
HIV testing
and/or
counseling
for
pregnant
women
Percentage of ANC facilities offering PMTCT that provide:
HIV testing
for infants
born to
HIV+
women
ARV
prophylaxis
for HIV+
women
ARV
prophylaxis
for infants
born to
HIV+
women
Infant and
young child
feeding
counseling
Nutritional
counseling
for HIV+
pregnant
women
and their
infants
Family
planning
counseling
for HIV+
women
Number of
facilities
offering
ANC and
any PMTCT
services
Facility type
Zonal and above
hospitals 78.0 6 100.0 70.9 65.8 61.1 95.3 95.3 100.0 4 4
District-level
hospitals 56.2 15 100.0 68.3 46.3 46.3 95.1 92.7 92.7 8 8
Private hospitals 22.0 60 100.0 55.1 6.2 6.2 87.0 88.6 90.1 13 13
PHCCs 39.8 42 98.8 na 12.2 12.2 89.0 78.0 85.4 17 0
HPs 15.8 765 100.0 na 6.0 6.0 78.7 77.5 82.1 121 0
UHCs 9.5 31 100.0 na 0.0 0.0 38.9 38.9 38.9 3 0
Managing authority
Public 17.9 859 99.9 69.2 10.5 10.3 80.5 78.2 82.7 154 13
Private 22.0 60 100.0 55.1 6.2 6.2 87.0 88.6 90.1 13 13
Ecological region
Mountain 11.1 118 100.0 40.0 6.3 6.3 92.2 81.1 85.8 13 1
Hill 16.1 479 100.0 64.2 10.5 10.5 81.0 80.6 81.9 77 13
Terai 23.9 322 99.7 61.5 10.4 10.2 79.0 77.0 84.2 77 12
Earthquake-affected
districts (14) 8.8 193 100.0 67.9 10.9 10.9 78.6 78.6 78.6 17 6
National average 18.2 919 99.9 62.0 10.1 10.0 81.0 79.0 83.3 167 26
Number of
facilities
offering
ANC and
any PMTCT
services
excluding
PHCCs,
HPs, and
UHCs 2
ARV = Antiretroviral
na = Not applicable
1
Facility provides any of the following services for the prevention of transmission of HIV from an HIV-positive pregnant woman to her child: HIV testing and/or
counseling for pregnant women, HIV testing for infants born to HIV-positive women, ARV prophylaxis for HIV-positive pregnant women, ARV prophylaxis for infants
born to HIV-positive women, infant and young child feeding counseling for prevention of mother-to-child transmission, nutritional counseling for HIV-positive pregnant
women and their infants, and family planning counseling for HIV-positive pregnant women.
2
This denominator is for the indicator “HIV testing for infants born to HIV+ women.”
6.7.2 Availability of Guidelines, Trained Staff, Medicines, and Diagnostics
Table 6.16 presents information on the availability of the necessary elements for the provision of
quality PMTCT services, including service guidelines, HIV testing capacity, and availability of antiretroviral
medicines for women and infants, at facilities that offer ANC and PMTCT services. The results indicate that,
in general, Nepal health facilities that offer ANC and PMTCT services are not well-equipped to provide
PMTCT services. Only 6 percent of these facilities have guidelines on PMTCT. A much larger proportion
but still a minority of facilities have at least one staff member recently trained in PMTCT (40 percent), while
a quarter have at least one staff member recently trained in infant and young child feeding. Public health
facilities are more likely to have at least one staff member recently trained in PMTCT or infant and young
child feeding than private hospitals.
142 • Antenatal Care