DRAFT Nepal DHS KIR - TEXT - April 14 2017

1 Nepal Demographic and Health Survey 2016 Key Indicators Nepal Demographic and Health Survey 2016 Key Indicators Report Ministry of Health Ramshah Path, Kathmandu Nepal New ERA Kathmandu, Nepal The DHS Program ICF Rockville, Maryland, USA April 2017 New ERA Ministry of Health The 2016 Nepal Demographic and Health Survey (2016 NDHS) was implemented by New ERA under the aegis of the Ministry of Health of Nepal . Funding for the survey was provided by the United States Agency for International Development (USAID). ICF provided technical assistance through The DHS Program, which assists countries in the collection of data to monitor and evaluate population, health, and nutrition programs.

2 Additional information about the 2016 NDHS may be obtained from the Ministry of Health, Ramshahpath, Kathmandu; Telephone: (+) 977-1-4262543/4262802; Internet: ; and New ERA, Rudramati Marg, Kathmandu, Box 722, Kathmandu 44600, Nepal ; Telephone: +977-1-4413603; Email: Internet: Information about The DHS Program may be obtained from ICF, 530 Gaither Road, Suite 500, Rockville, MD 20850, USA; Telephone: +1-301-407-6500; Fax: +1-301-407-6501; E-mail: Internet: Suggested citation: Ministry of Health, Nepal ; New ERA; and ICF. 2017. Nepal Demographic and Health Survey 2016: Key Indicators.

3 Kathmandu, Nepal : Ministry of Health, Nepal . iii CONTENTS TABLES AND FIGURES .. v FOREWORD .. vii 1 INTRODUCTION .. 1 Survey Objectives .. 1 2 SURVEY IMPLEMENTATION .. 3 Sample Design .. 3 Questionnaires .. 4 Pretest .. 6 Training of Field Staff .. 6 Fieldwork .. 7 Data Processing .. 8 3 KEY FINDINGS .. 9 Response Rates .. 9 Household Sanitation .. 9 Characteristics of Respondents .. 10 Fertility .. 12 Teenage Pregnancy and Motherhood.

4 13 Fertility Preferences .. 14 Family Planning .. 15 Need and Demand for Family Planning .. 17 Source of Modern 19 Early Childhood Mortality .. 20 Maternal Care .. 21 Antenatal Care .. 22 Tetanus Toxoid .. 23 Delivery Care .. 23 Postnatal Care for the Mother .. 24 Child Health and Nutrition .. 25 Vaccination of Children .. 25 Childhood Acute Respiratory Infection, Fever, and Diarrhea .. 27 Nutritional Status of Children.

5 28 Infant and Young Child Feeding Practices .. 32 Micronutrient Intake among Children .. 34 Anemia Prevalence in Children .. 36 Nutritional Status of Women .. 37 Anemia Prevalence in Women .. 39 HIV/AIDS Awareness, Knowledge, and Behavior .. 41 Knowledge of HIV Prevention .. 41 Comprehensive Knowledge about HIV Prevention among Young People .. 42 Multiple Sexual Partners .. 43 Coverage of HIV Testing Services .. 46 Blood Pressure .. 49 REFERENCES .. 53 v TABLES AND FIGURES Table Results of the household and individual interviews.

6 9 Table Household sanitation facilities .. 10 Table Background characteristics of respondents .. 11 Table Current Fertility .. 12 Table Teenage pregnancy and motherhood .. 14 Table Fertility preferences by number of living children .. 15 Table Current use of contraception according to background characteristics .. 16 Table Need and demand for family planning among currently married women .. 18 Table Source of modern contraception methods .. 20 Table Early childhood mortality rates .. 21 Table Maternal care indicators .. 22 Table Vaccinations by background characteristics.

7 26 Table Treatment for acute respiratory infection, fever, and diarrhea .. 28 Table Nutritional status of children .. 30 Table Breastfeeding status by age .. 33 Table Micronutrient intake among children .. 35 Table Anemia among children .. 37 Table Nutritional status of women .. 39 Table Anemia among women .. 40 Table Knowledge of HIV prevention methods .. 42 Table Comprehensive knowledge about HIV prevention among young people .. 43 Table Multiple sexual partners and higher-risk sexual intercourse in the past 12 months among men .. 45 Table Coverage of prior HIV testing: Women.

8 47 Table Coverage of prior HIV testing: Men .. 48 Table Blood pressure status: Women .. 50 Table Blood pressure status: Men .. 51 Figure Trends in total fertility rate, 1993-2016 .. 13 Figure Trends in unmet need, modern contraceptive use, and percentage of demand satisfied with modern methods, 1996-2016 .. 19 Figure Trends in childhood mortality, 1991-2016 .. 21 Figure Trends in maternal health care, 2001-2016 .. 24 Figure Trends in vaccination coverage among children 12-23 months, 1996-2016 .. 27 Figure Trends in nutritional status of children, 1996-2016.

9 31 Figure Nutritional status of children by age .. 32 Figure Minimum acceptable diet according to age, in months .. 34 vii FOREWORD he 2016 Nepal Demographic and Health Survey (NDHS) was conducted as a periodic update of the demographic and health situation in Nepal . The 2016 NDHS was the fifth DHS survey to be conducted in Nepal in collaboration with the worldwide Demographic and Health Surveys Program. The survey was implemented by New ERA under the aegis of the Ministry of Health (MOH), Government of Nepal . The survey was funded by the United States Agency for International Development (USAID), and ICF provided technical support.

10 The purpose of the 2016 NDHS was to generate reliable information on fertility; family planning; adult and child mortality; maternal and child health; nutrition; women s empowerment and domestic violence; knowledge of HIV and AIDS; and other health issues. Data collection for the survey was carried out from June 19, 2016, to January 31, 2017. This report, which presents key findings from the 2016 NDHS, is intended to provide policy makers and program managers with a first glimpse of the survey results. A more comprehensive, detailed report is scheduled for late 2017. The MOH wishes to acknowledge the efforts of a number of organizations and individuals who contributed substantially to the success of the survey.