Country experiences in planning, monitoring and reporting MDG

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Country experiences in planning, monitoring and
reporting MDG

• WHO Nepal, 2004

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How what for is the report ?

• Report was prepared by UN development Group
  Office (UNGO) for country report
• To support a dynamic campaign and keep poverty
  issues a focus
• To support decision makers achieving MDGs,
  mobilizing community and civil society

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Nepal basic data 2002

• Total population 24.6 million
• Urban population 14.6
• Annual population growth rate 2.3
• Total Fertility Rate 4.3
• Population below income poverty line
• 1 37.7 2 82.5
• HDI 0.504 (0.499 in 2001)

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• Maternal mortality ratio 830/100.000
• Infant mortality rate 66/100.000 (2001)
• U 5yr Mortality rate 91/100.000(2001)
• Life expectancy at birth 59.6 year
• Adult literacy 44 (women 25)
• Children underweight for age 48
• Health expenditure 5.2 of GDP
• Public 29.7, private 70.3
• Out of pocket expenditure 93.3 (2001)

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Program coverage 2002

• Birth attended by health worker 12
• Malaria cases 33/100,000 (2000)
• Contraceptive prevalence rate 39 (2001)
• TBC DOTS detected 64,cured 88
• Pop.w. sustainable access to an improved w.
  source rural 87, urban 94 (2000)
• Pop. w. sustainable access to affordable
  essential drugs 0-49 (1999)

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Assessment of monitoring environment

• Data gathering capacity strong periodic,
  regular, nationally representative data
• Quality of recent survey strong valid,
  reliable, replicable
• Statistical capacity strong longstanding
  mechanism, implemented in gt 2 episodes
• Statistical analysis to policy planning strong
  new information and analysis systematically fed
  into policy making, planning resource allocation

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Other WHO contribution

• Nepal Health Sector Strategy Implementation Plan
  External developments partners government
  forum jointly planning the programme intervention
  
• Commission of macroeconomic and health
• launching 10 districts as pro poor health
  planning district pilot sites

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Strength and potentials

• A strong and committed EDP group
• A wide network of institutions
• A recognition of WHO in advisory position

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Problems and challenges

• A high turn over of officials
• Security and political issues
• Cultural issues (structural poverty)

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The way forward

• Try to make the next biennium planning more
  effective to increase access to health care,
  using the NHSP-IP as a reference
• Empowering the districts health management at
  the regional level
• Keep health issues in the high level agenda