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Nepal counts down to 2015

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High dose Vitamin A post-partum supplementation within six weeks of delivery ... of measles, prolonged diarrhea, xerophthalmia, severe malnutrition with Vitamin A ... – PowerPoint PPT presentation

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Title: Nepal counts down to 2015


1
Nepal counts down to 2015
  • Dr. Pradhan Y.V
  • Director, Child Health Division
  • Department of Health Services,
  • Ministry of Health Population
  • Nepal

2
Welcome to Nepal...
Afghanistan
South Asia
Pakistan
Bhutan
Bangladesh
India
Sri Lanka
Maldives
3
Nepal Facts
4
Trend in Under-Five Mortality 1986-2016
MDG 54 deaths per 1000 live births by 2015
5
Three Major Programmes
  • Vitamin A supplementation
  • Community based pneumonia treatment
  • Newer interventions to reduce neonatal mortality

6
Nepal Vitamin A Programme
  • High dose Vitamin A supplementation to 6-59
    months children twice a year
  • Treatment of measles, prolonged diarrhea,
    xerophthalmia, severe malnutrition with Vitamin A
  • High dose Vitamin A post-partum supplementation
    within six weeks of delivery
  • Promotion of vitamin A rich foods

National Role-out
1998
1999
2000
2001
1997
2002
7
Nepal Vitamin A Programme
Impressive coverage gt 3.5 million children
reached each round (gt 90 )
Vitamin A Coverage by Year (1993-2005)
12,000 child deaths averted each year
8
Female Community Health Volunteers
9
Female Community Health Volunteers
10
Community Based Treatment of Pneumonia
FCHVs assess and treat with Cotrim
Timer
11
Community Based Treatment of Pneumonia
25 districts covered in 2005
12
Community Based Treatment of Pneumonia
Proportion of Expected Pneumonia Cases Treated
()
8,500 deaths averted each year
13
Interventions to reduce neonatal mortality
  • MIRA
  • Reducing maternal and neonatal mortality using
    participatory womens groups
  • MINI
  • Reducing neonatal mortality with management of
    neonatal infections by FCHVs

14
Keys to Success
  • Openness to research findings and new ideas
  • Development, testing and refinement of local
    implementation model
  • Gradual expansion with quality control
  • Willingness to delegate preventive and designated
    curative services to non-health professionals
    (FCHVs)
  • Continued dedication of the FCHVs and other
    health workers
  • Good government-partner collaboration and
    coordination
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