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Health

Health Situation in Nepal

Nepal is a landlocked country surrounded by India and China. Geographically, it can be divided into three datinet belts.
  1. The mountain in the north.
  2. The hills in the middle and
  3. The plain of the Terai in the south.The development of transport & communications are extremely difficult.
Administratively, the country is divided into
  1. 5 Development Regions
  2. 14 Zones
  3. 75 Districts
  4. 58 Municipalities
  5. 3912 Village Development Committe- es (VDC)
  6. About 36,000 Wards
Mortality & morbidity rates especially among women & children are alarming.Com- municable & noncommunicable childhood illness,complication of child birth, nutri- tional disorders & endemiz diseases such as malaria, tuberculosis, leprosy, STDs, rabies, vector borne diseases continue to prevail at a high rates.These problems are further exacerbated by under-utilization of resources, shortage of adequately trained personnel, underdeveloped infrastructure,Poor public sector management, and the weak intra and inter-sectoral co-ordination. The following are the health facts

A) General information:-

  1. Total population - 2.5(million)million
  2. Total area (Km2) - 147,181
  3. Male - 11,563,921
  4. Female - 11,587,502
  5. Sex ratio - 0.997
  6. Urban population - 16.10%
  7. Rural population - 83.90%
    (Civil undeat in the country has changed,the population increase in urban population)
  8. Population Growth rate - 2.27%
  9. Population Density - 157
    (pop/km2)
  10. Population by Ecological belts
    Mountains (land area 35%) - 7.3%
    Hills (land area 42% - 44.3%
    Terai (land area 23% - 48.4%
  11. Literacy - 66
B) Health Status:-

Services Provided

  1. Per doctor - 18,439
    Registered doctor (NMC) - 5975
    (Health Care delivery is a major problem inspite of large no.of doctors. Brain drawn is increasing because of low salary,less opportunity for career develop- ment, less equiped hospitals, etc.)
  2. Per Nurse - 4,987
  3. Per Hospital bed - 2,349
  4. As per 9th 5 year Plan (NPC)
    - Life expectancy at birth - 58.95
    - Maternal Mortality rate/100,000 live birth - 339
    - Crude birth rate CBR/1000 - 23.58
    - Fertility (in %)- - 2.1
    - Rural - 3.4 )
  5. Infant Mortality Rate/1000 - 64.2
  6. Lender 5 Mortality Rate/1000 - 91
  7. Crude Mortality Rate/1000 - 10
  8. Total Hospital beds (Govt.) - 5023
  9. Primary Health Centres - 160
  10. Health Post - 710
  11. Sub health post - 3167
  12. Hospitals (including district, zonal, regional, sub regional, Ayurvedic central) - 85
Communicable diseases, malnutrition & the motherhood related diseases are found to be the causes of 68% of all diseases and 50% of total mortality rate in Nepal. There is substaintial disparity in the condition of health services between the urban and the rural areas.

Note : This content shows source by Dr. Arjun Raj Pant

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