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Overview of Perinatal and Neonatal Health in Nepal

Overview of Perinatal and Neonatal Health in Nepal. Dr SR Manandhar (MBBS, MD) Pediatrician , KMCTH. Introduction. Perinatal and neonatal mortality rate in Nepal is still very high

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Overview of Perinatal and Neonatal Health in Nepal

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  1. Overview of Perinatal and Neonatal Health in Nepal Dr SR Manandhar (MBBS, MD) Pediatrician, KMCTH

  2. Introduction • Perinatal and neonatal mortality rate in Nepal is still very high • Over the last 15 years, Nepal’s infant mortality rate has fallen from 82 to 48 per 1000 live births (NDHS 2006) • May be due to programmes conducted through government and other organizations, including those for ARI and diarrhoeal diseases

  3. But, very few programmes to reduce perinatal and neonatal deaths in Nepal • To reduce under 5 mortality rate • IMR and NMR should be reduced • NMR and IMR constitutes 2/3rd of under 5 mortality

  4. Nepal is on the track to achieve MDG Target. • If the current trend remains, the country will achieve MDG 4 earlier….

  5. Nepal is on the track to achieve MDG Target. • If the current trend remains, the country will achieve MDG 4 earlier….

  6. MDG Target to reduce Child Mortality for Nepal Nepal Millennium Development Goals P R O G R E S S R E P O R T 2 0 0 5

  7. NMR & IMR/1000 live birth (Trend) 9

  8. Direct causes of neonatal deaths In Nepal (Hospital based data) Infection Birth asphyxia/trauma Prematurity Hypothermia

  9. Causes of stillbirths in Dhanusha 2 yrs (1st Sept ‘06 – 31st Aug’08) (Total = 601) % Reference:Manandhar SR et al. Causes of stillbirths and neonatal deaths in Dhanusha District, Nepal: A verbal autopsy study. Kathmandu University Medical Journal (2010), Vol. 8, No. 1, Issue 29, 1-5

  10. Causes of neonatal deaths in Dhanusha 2 yrs (1st Sept ‘06 – 31st Aug’08) Reference:Manandhar SR et al. Causes of stillbirths and neonatal deaths in Dhanusha District, Nepal: A verbal autopsy study. Kathmandu University Medical Journal (2010), Vol. 8, No. 1, Issue 29, 1-5

  11. Delivery scenario of Nepal • 81% births at home • 50% births attended by relative or other untrained persons • 19% each by trained person • NDHS 2006

  12. THANK YOU

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