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Explore Nepal's successful child health programs, including Vitamin A supplementation, community-based pneumonia treatment, and interventions to reduce neonatal mortality.
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Nepal counts down to 2015 Dr. Pradhan Y.V Director, Child Health Division Department of Health Services, Ministry of Health & Population Nepal
Welcome to Nepal... Afghanistan South Asia Pakistan Bhutan Bangladesh India Sri Lanka Maldives
Trend in Under-Five Mortality1986-2016 MDG = 54 deaths per 1000 live births by 2015
Three Major Programmes • Vitamin A supplementation • Community based pneumonia treatment • Newer interventions to reduce neonatal mortality
1993 1994 1995 1996 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 2002 1997
Nepal Vitamin A Programme Impressive coverage: > 3.5 million children reached each round (> 90 %) Vitamin A Coverage by Year (1993-2005) 12,000 child deaths averted each year
4,000 VDCs 35,217 wards 80 households each 75 districts 48,000 FCHVs Female Community Health Volunteers
Community Based Treatment of Pneumonia FCHVs assess and treat with Cotrim Timer
Community Based Treatment of Pneumonia 25 districts covered in 2005
Community Based Treatment of Pneumonia Proportion of Expected Pneumonia Cases Treated (%) 8,500 deaths averted each year
Interventions to reduce neonatal mortality • MIRA Reducing maternal and neonatal mortality using participatory women’s groups • MINI Reducing neonatal mortality with management of neonatal infections by FCHVs
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