Nepal

Table 7.10 Training for providers of normal vaginal delivery services: immediate newborn care
Among interviewed providers of normal vaginal delivery or newborn care services, percentages who report receiving in-service training on topics related to
delivery and newborn care during the 24 months preceding the survey, by background characteristics, Nepal Health Facility Survey 2015
Background
characteristic
Neonatal
resuscitation
using bag and
mask
During
the past
24
months
At any
time
Percentage of interviewed providers of normal vaginal delivery or newborn care services
who report receiving in-service training in:
Early and
exclusive
breastfeeding
During
the past
24
months
At any
time
Newborn
infection
management
During
the past
24
months
At any
time
Thermal care
During
the past
24
months
At any
time
Sterile cord
cutting and
appropriate cord
care
During
the past
24
months
At any
time
Kangaroo mother
care for low birth
weight babies
During
the past
24
months
At any
time
Number of
interviewed
providers of
normal
vaginal
delivery or
newborn
care
services
Facility type
Zonal and above
hospitals 6.7 23.0 5.1 18.3 5.8 20.3 5.2 18.2 4.4 15.5 6.6 18.8 58
District-level
hospitals 12.6 29.7 12.7 26.3 8.2 20.3 11.3 24.2 12.7 25.5 12.6 28.1 141
Private hospitals 3.1 11.2 2.2 9.4 0.6 4.9 1.3 6.6 1.8 7.6 1.2 7.9 325
PHCCs 14.0 33.3 14.2 32.5 10.7 26.9 12.8 27.8 12.5 29.2 13.4 32.1 205
HPs 15.3 33.9 16.8 34.1 9.7 25.4 14.5 29.6 14.6 30.9 14.6 34.3 1,026
Managing authority
Public 14.5 33.0 15.6 32.4 9.6 24.9 13.5 28.3 13.7 29.5 13.9 32.8 1,432
Private 3.1 11.2 2.2 9.4 0.6 4.9 1.3 6.6 1.8 7.6 1.2 7.9 325
Ecological region
Mountain 18.4 32.2 17.7 32.3 13.7 23.5 18.4 33.4 18.9 31.1 18.6 33.3 214
Hill 12.4 27.1 13.7 26.6 7.9 20.1 11.0 21.9 11.3 23.2 11.9 26.9 998
Terai 10.0 31.1 10.1 29.4 5.7 22.2 8.9 25.1 8.8 27.2 8.2 28.5 546
Earthquake-affected
districts (14) 9.7 22.4 9.6 20.4 4.9 12.8 8.0 17.2 7.0 15.9 8.3 19.5 355
National average 12.4 28.9 13.1 28.2 7.9 21.2 11.2 24.3 11.5 25.4 11.6 28.2 1,757
Note: Training here refers only to in-service training. The training must have involved structured sessions; it does not include individual instruction that a provider
might have received during routine supervision.
7.7 CLIENT EXPERIENCE
In health facilities providing normal vaginal delivery care, women who delivered at the facility and
were being discharged at the time of the NHFS visit were interviewed about the postnatal services they and
their newborns had received. A total of 309 women were interviewed when they left the maternity or
postnatal ward.
Table 7.11 presents data on mode of delivery among the postpartum women interviewed in the 2015
NHFS. The majority of the women (77 percent) had a normal vaginal delivery, but one-fifth had had a
cesarean section. Cesarean deliveries were much more common in private hospitals (30 percent) and zonal
and above hospitals (27 percent) than in district hospitals (6 percent).
Delivery and Newborn Care • 163