Transcript Slide 1
Welcome And Namaste
“His Majesty's Government of Nepal has embraced the sprit of the Millennium Declaration and is committed to the achievement of the Millennium Development Goals (MDGs) to advance human development that provides equal opportunities and ensures a bright future for all its citizens.
Nepal has made significant progress over the last 15 years in reducing poverty, improving access to education, health services and drinking water, and promoting biodiversity conservation and alternative energy. It is a remarkable achievement considering the difficult situation in the country in recent years. However, some serious challenges remain in addressing inequality and exclusion, which is a critical factor hindering the equitable distribution of the result of development efforts across all geographical regions and social groups.”
Matthew Kahnne
120 100 80 60 40 20 0 1990 Infant Mortality Rate (per-thousand live births) 1995 2000 2005 2010 2015
Under-Five Mortality Rate (per thousand live births) 180 160 140 120 100 80 60 40 20 0 1990 1995 2000 2005 2010 2015
Promotion of one-year-olds immunized against measles 100 80 60 40 20 0 1990 1995 2000 2005 2010 2015
Reduce by two-thirds between 1990 and 2015 the under – 5 mortality rate
INDICATORS 1990 1995 2000 2005 2015 (TARGET) IMR 108 a 79 b 64 c 61 d 34 U5MR 162 a 118 c 91 c 82 d 54 Promotion of one-year olds immunized against measles 42 e 57 b 71 c 85 1 >90 Source : a National Family Health Survey (1996) (1989 data), b NFHS 1996 c NDHS 2001. D World Bank estimate 2003; Country Data Profile ( www.worldbank.org
) 2005 e Nepal Fertility, Family Planning and Health Survey 1991. F HMIS/DOHS 2003/04
Maternal Mortality Ratio (per 100,000 life births)
1000 800 600 400 200 0 1990 1995 2000 2005 2010 2015
Percentage of deliveries attended by health care providers 80 60 40 20 0 1990 1995 2000 2005 2010 2015
Challenges
80% of Delivery take place at home Inadequate no. of Skilled Birth Attendance Unsatisfactory Access to RH information and services Government Strategy to provide free delivery in 25 of the poorest district only challenge in the remaining part of the country Conflict-Insurgency
HIV prevalence rate among adults (15-49 years of age) in percent 2 1.5
1 0.5
0 1990 1995 2000 2005 2010 2015
Have halted by 2015 and begun to reverse the spread of HIV/AIDS
INDICATORS 1990 1995 2000 2005 2015 (TARGET) HIV prevalence among 15 49 years of age (%) NA Contraceptive prevalence rate including condom use (%) 24 c NA 0.29
a 29 c 39 c 0.5
b NA Source : a National Centre for AIDS and STD Control (1999data), b UNAIDS, FH/NCASC 2003 c NDHS 2001
To have halted by 2015 and begun to reverse the incidence of malaria and other major diseases
INDICATORS 1990 1995 2000 2005 2015( TARGET ) NA 65b 78b Prevalence rate associated with malaria (number of cases per 100,000 people at risk) 115a NA Proportion of population in malaria risk areas using effective malaria prevention measures Slide positivity rate (SPR)e 5.1
9.75d.1
9.2
6.94d
4.3
11.4b.2
NA Prevalence associated with tuberculosis 460 Death rates associated with tuberculosis 43 420 35 310 23 280 NA Proportion of tuberculosis cases detected NA 46 69 71 Proportion of tuberculosis cases cured under Directly observed Treatment Short Courses (DOTS) NA NA 89 88 Source : A HDR 1996 (1992data)b. NPC/UNDP 2004 (b.1 and b.2 2003 data) d Rana 2001 (d.1 2002 data) e NDHS 2004 (1:2003 data)
Challenges
A comprehensive care support service package for PLWHA is missing Lack of educational awareness among women- significant challenge Capacity for multi-sectoral involvement especially among ministries and the monitoring and evaluation system seem structurally inadequate In the absence of National HIV/AIDS sub-account as part of over all National Health Account (NHA), monitoring the flow of resources is yet an-other challenging task
Information Technology Policy 2000 Nepal
In bullet no. 10 - the policy to use information technology to promote eCommerce, E-education and E-health among others and to transfer technology in rural areas.
Action Plan- Dissemination of Information and Technology - Educational institutions and hospitals - Distant learning system should be introduced - Websites for Ministry of Health and Population shall be created - Necessary legal infrastructure to be created for the promotion of telemedicine
Institutional Provision * National Information Technology Development Council * National Information Technology Coordination Committee * National Information Technology Center (under MoST) * Information Technology Park Development Committee