Transcript Nepal: Health Status Country Profile in Brief Dr Paras K Pokharel

Nepal: Health Status
Country Profile in Brief
Dr Paras K Pokharel
Associate Professor
Department of Community Medicine
BP Koirala Institute of Health Sciences
Dharan, Nepal
Map of the Country
NEPAL
Population Statistics
Population of Nepal increased from
15million in 1981 to 18.5 million in 1991
and their to 23.1 million in 2001 fixing an
annual growth rate of 2.2 percent in 1901 decade. Geographic distribution is
uneven. The census of 2001 counted
7.3, 44.3 and 48.4 percent of the total
population in the Mountain, Hill and the
Terai, regions respectively. Urban areas,
then 33, accommodated 9.2 percent of
the total population in 1991.
Major Demographic Parameters
Crude Birth Rate (CBS)
Crude Death Rate (CDR)
Total Fertility Rate (TFR)
Infant Mortality Rate (IMR)
Expectation of life at birth
(2001)
32.5
9.3
4.1
64.1
Per 1000 Population
Per 1000 Population
Per woman
Per 1000 live births
59.7
Labour force participation (for the year 1998/ 99)
Unemployment Rate 1.8% (population aged 15 years and over)
Literacy (for the year 2001)
Literacy Rate 53.7% (population aged 6 years and over)
Economy & Expenditure In Health
The value of gross domestic product at
producer’s price, in 2000/2001, is estimates to be
Rs.376,433 millions which is higher by 10.9% of
the previous year. Total expenditure in health by
government in 1996/97 is Rs.885.4 million, in
1997/98 is Rs.1049.0 million, in 1998/99 is
Rs.1137.4 million and in 1999/2000 Rs.1324.8
million spent by government in health sector. The
public expenditure on health is 1.2% of GDP.
Note: ($1 = Nrs.78.00)
Top Ten Diseases
Sore Eye 7 Complaints
0.93 0.96
1.06
5.51
Abdominal Pain
1.4
Chronic Bronchitis
Ear Infection
1.95
Gastritis
Pyrexia
Itestinal Worms
2.02
ARI
3.35
Diarrhoeal Diseases
3.13
2.82
STD / HIV & Skin
Diseases
HIV / AIDS Situation of Nepal
600
Male
Female
Total
500
400
300
200
100
0
1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Male
3
0
2
12
39
41
18
71
23
85
141 167 246
345
Female
Total
1
4
2
2
3
5
14
26
38
77
40
81
22
40
39
110
65
88
67
84
98 124
152 225 265 370
171
516
Ch
W
om
ild
Ad
re
e
ult
n
n
Li
L
Li
ivi
vin
vin
n
C
g
g
g
Ne
um
w
w
w
w
i
i
ith
u
t
t
h
h
la
De
HI
HI
HI
tiv
PL
at
V
V
V/
e
h
/
/
W
De
AI
AI
AI
19
HA
D
DS
at
DS
99
S
h
s
HIV / AIDS Estimation for Nepal
0
10000
20000
30000
40000
Cumulative HIV / AIDS in Nepal
by Sub – Group, 2001
1%
11%
20%
6%
62%
IDUs
Housewives
Client of SW
Sex Worker
Perinatal
HIV / AIDS Situation in Nepal by
Sub – Group, 2001
5%
1% 1%
10%
0 - 5yrs
14 - 19yrs
20 - 29yrs
30 - 39yrs
27%
40 - 49yrs
+50yrs
56%
Met and Unmet Need of Family
Planning
Using to Limit
4%
11%
Expressing no
demand
36%
16%
Unmet need for
Limit
Unmet need for
Spacing
Using the Space
Communication Facilities
Telephones - main lines in use: 436,816 (January
2002)
Telephones - mobile cellular: 15000
Telephone system:
General assessment: fair telephone and
telegraph service
International: radiotelephone communications;
microwave landline to India
Satellite earth station - 1 Intelsat (Indian Ocean)
Radio broadcast stations: AM 6, FM 5,
shortwave 1 (January 2000)
Health Services
Description
1999/2000
2000/01
2001/02
Hospitals
83
Health Centres
10
Health Posts
711
Ayurvedic Services
275
Sub – Health Posts
3179
Primary Health Centres
93
10
700
285
3171
160
89
10
700
285
3161
180 205
5250
300
5310
300
Hospital Beds
Government Sector
Private Sector
5190
200
Human Resources in Health
Description
1999/2000
2000/01
2001/02
Doctors*
1259
3600
5415
Nurses
2907
3621
3921
ANM
1748
3242
3942
Kaviraj
292
302
313
Vaidya
322
337
354
Health Assistants
5295
5295
8966
Health Workers
3190
3321
3321
Village Health Workers 4015
3985
3980
Health Volunteers
62546
62546
62546
References
• Annual Health Report. Dept. of Health Services, 2001
• Statistical Pocket Book, 2002, Nepal
(www.cbs.gov.np)
• Connectivity Providers - Contact Data
– Mercantile Office Systems
– World Link Communications
– Health Net Nepal
• Reports on Networking Infrastructure in Nepal
– The Nepali Internet
– UUCP access in Nepal
– Nepal with Full Internet
– Nepal contact info
– .np country domain is active
References
• Web Links Concerning ISPs and Networking in Nepal
– Top Level Domain contact
– World Link Communications
– Mercantile Office Systems
• General Web Links to Information about Nepal
– 2000 World Factbook: Nepal (U.S. CIA)
– Nepal Online http://www.nepalonline.net
– NepalNet http://www.panasia.org.sg/nepalnet
– City.Net Nepal http://www.city.net/countries/nepal
THANK YOU