Nepal

conditions as malaria and TB depends entirely on laboratory and/or imaging results. The 2015 NHFS
assessed diagnostic capacity using the methodology proposed by WHO and USAID (WHO 2012). Tables
3.7.1 and 3.7.2 present information on basic diagnostic capacity for all health facilities. Table 3.7.3 focuses
on results relating to advanced diagnostic and imaging capacity in hospitals and PHCCs.
Table 3.7.1 Laboratory diagnostic capacity - basic test (NHSS RF: OP2.1.3)
Among all facilities, the percentages with capacity to conduct basic laboratory diagnostic tests in the facility, and among PHCCs
and hospitals the percentages that have all basic laboratory diagnostic tests by facility type, Nepal Health Facility Survey 2015
Basic laboratory tests
Zonal and
above
hospitals
District
level
hospitals
Facility type
Private
hospitals PHCCs HPs UHCs
Standalone
HTCs
National
average
Hemoglobin 96.6 97.4 93.3 74.7 3.6 0.0 22.6 15.7
Blood glucose 48.5 52.6 58.0 27.2 1.2 0.0 14.5 7.9
Malaria diagnostic test 1 89.8 82.9 83.5 65.6 13.2 2.3 2.6 21.6
Urine protein 2 93.2 100.0 90.5 64.0 2.0 0.0 23.5 13.8
Urine glucose 3 93.2 98.7 91.8 63.0 1.8 0.0 21.1 13.5
HIV diagnostic test 4 86.3 56.6 25.0 11.2 0.7 0.0 68.8 5.9
Syphilis rapid diagnostic test 5 82.2 80.3 78.1 51.4 1.3 0.0 45.6 11.8
Urine pregnancy test 6 93.2 96.1 90.0 69.8 21.3 18.4 31.0 30.2
Number of facilities 6 16 70 42 775 32 23 963
All items 30.7 21.1 14.8 3.4 na na na 12.6
Number of PHCCs and hospitals 6 16 70 42 na na na 134
1
Facility reports that it conducts malaria testing at the facility and had unexpired malaria rapid diagnostic test kits available at
the facility, or else facility had a functioning microscope, glass slides with covers and appropriate reagents available on the day
of the survey for malaria microscopy..
2
Facility reports that it conducts urine protein test at the facility and had at least one unexpired urine protein dipstick available
at the facility.
3
Facility reports that it conducts urine glucose test at the facility and had at least one unexpired urine glucose dipstick available
at the facility.
4
Facility reports that it conducts HIV testing at the facility and had HIV rapid diagnostic test capacity at the facility (at least one
unexpired screening HIV RDT kit, at least one unexpired confirmatory HIV RDT kit, and at least one unexpired tiebreaker HIV
RDT kit all available somewhere at the facility), or else facility had an ELISA scanner or reader and a plate washer and ELISA
essay kit and an incubator for HIV testing all available and working; or dynabeads with vortex mixer or western blot all available
on the day of the survey.
5
Facility reports that it conducts syphilis test at the facility and had at least one unexpired syphilis rapid diagnostic test kit
available at the facility on the day of the survey.
6
Facility reports that it conducts urine pregnancy test at the facility and had at least one unexpired urine pregnancy rapid
diagnostic test kit available at the facility on the day of the survey.
Table 3.7.1a Health Posts with laboratory services (NHSS RF: OP5.1.2)
Among health posts, percentages that have their own laboratory services,
by background characteristics, Nepal Health Facility Survey 2015
Background
characteristic
Percentages with
laboratory
services 1
Number of
health posts
Facility type
HPs 13.4 775
Ecological region
Mountain 6.7 108
Hill 6.8 403
Terai 26.2 264
Earthquake-affected districts (14) 3.6 148
National average 13.4 775
1
Facility reports that it has laboratory services; laboratory services is
defined as conducting any tests at the facility, including any rapid
diagnostic tests.
42 • Facility-Level Infrastructure, Resources, Management, and General Service Readiness