This further analysis study of 2016 NDHS was implemented New ERA under the aegis of Ministry of Health and Population of Nepal with financial support of USAID and technical assistance was provided by ICF International. The primary objective of this study was to provide more in-depth knowledge and insights into key issues that emerged from the 2016 NDHS. The information of this further analysis provides guidance for planning implementing, refocusing, monitoring and evaluating health programs in Nepal. The further analysis is published in different seven topics:
Suaahara II (SII) is a USAID funded five year (2016 -2021) program implemented in 42 out of 77 districts of Nepal under National Multi-Sectoral Nutrition Plan (MSNP). The SII aims to reduce the prevalence of stunting, wasting and underweight among children under five years and to reduce the prevalence of anemia among reproductive age women and children age of 6-59 months. The objective of this year two panel survey of the SII was to monitor progress over time related to key inputs, outputs outcomes and impacts in program interventions community. The study assessed the knowledge and practices for each of the thematic areas including nutrition, health and family planning, water, sanitation and hygiene (WASH), agriculture/homestead food production; and governance using gender equality and social inclusion (GESI) approaches. Anthropometric status was also assessed all reproductive age women, children under five and adolescent girls of study community.
Suaahara II is a USAID funded five years (2016-2021) program implemented in 40 districts across all geographic regions of Nepal with aims to improve the nutritional status of women and children. The program was designed a multi-sectoral strategy approaches (i) improved household nutrition, sanitation and health behavior (ii) increased quality of nutrition and health services by women and children (iii) improved access to diverse and nutrient rich foods by women and children and (iv) accelerated roll-out of the Multi-sector Nutrition Plan through strengthen local governance. This panel survey was to monitor progress over time related to key input, outputs outcomes and impacts of the program intervention community. The study assessed the knowledge and practices for each of the thematic areas such as nutrition; health and family planning; water, sanitation and hygiene; agriculture production; gender equity and social inclusion. Anthropometric status was also assessed all reproductive age women, children under five and adolescent girls of study community.
The Feed the Future (FTF) program is a US Government’s Global Hunger and Food Security Initiative. The program led by USAID was designed to address food insecurity by supporting agriculture sector growth and improving nutritional status in 19 developing countries including Nepal. In Nepal it was implemented in 20 food insecure districts with aims to reduce poverty, and under nutrition through accelerating growth of the agriculture sector addressing root causes of under nutrition, and reducing gender inequality. This study was designed to establish an endline indicator for the first phase of FTF and a baseline for the second phase of project in Nepal. The study assessed agriculture productivity; per capita income; prevalence of poverty; women’s empowerment; dietary diversity; nutrition status; appropriate feeding practices, and hygienic environments among the study community.
Food for Peace (FFP), a USAID initiative five-year program is implemented in many food insecure developing countries to strengthen livelihoods, improve nutritional status and increase the capacity of vulnerable households for mitigating, adapting and recovering from shocks and stresses in communities with deep poverty and high rates of malnutrition within the program areas. This Nepal chapter survey was designed to obtain baseline indicator on food security, agriculture production, livelihoods, health, and nutrition especially among children under the age of two, pregnant and lactating women.
Ghar Ghar Maa Swasthya (GGMS), or Healthy Homes project was implemented with aim to improve the health of disadvantaged populations in Nepal through improved availability and use of family planning, maternal health, child health and other health products. This study was obtain baseline indicator on current knowledge, attitude and practices (KAP) in key health issues among the women age of 15-49 years. The study also assesses the effectiveness of the GGMS and RAI (Remote Area Initiative) interventions in the project intervention areas.
Readiness of health facilities to provide quality health services to their clients is one of the key indicators of strengthened health system. The purpose of this survey was to assess the readiness of the districts hospitals and peripheral health facilities in H4L’s program districts. The study assesses current readiness of peripheral HFs with regard to availability of services and staff; basic equipment; standard precautionary practices laboratory services; drugs and other commodities. The study also examined the functionality of management committees; health governance, accountability; satisfaction of clients with FP/MCH services they received; and analyzed the performance gaps in providing health services from the health facilities.
Maternal and Young Child Nutrition Security Initiative in Asia (MYCNSIA) was implemented UNICEF partnership with European Union (EU) in five countries, including Nepal. This 4-years project goal was to improve nutrition security of women and young children in Asia. This survey was to scaling-up the IYCF/MNP Baal Vita intervention, including implementing an impact evaluation in two (Kapilvastu and Achham) of the nine new project districts. The study assesses the changes in nutritional and micro-nutritional status of children age of 6-23 months, and infant and young child feeding and early childhood development practices of families after 3 years of the program intervention.
This study was conducted to identify and understand key bottlenecks of nutrition operations in Nepal and provide strategies and recommendations to overcome those challenges to achieve more effective and sustainable nutrition outcomes. The study generated rigorous evidence to make decisions around three areas of intended impact of the study: (i) Generating high social returns on investments in nutrition and food security programs for greater financial efficiency, (ii) Matching supply and demand of nutritional responses for greater technical effectiveness and (iii) Effective program design and engagement strategy for future WB programs on nutrition.
