Publication: Nepal: Maternal and Reproductive Health at a Glance
Loading...
Published
2014-11
ISSN
Date
2015-09-11
Author(s)
Editor(s)
Abstract
Nepal has made a remarkable progress in achieving the Millennium Development Goals (MDGs), especially in extreme poverty and education. Nepal has achieved MDG 5 but only one in three births is attended by skilled medical personnel. Disparities exist in access to maternal care by residence and wealth quintiles. The total fertility rate has declined to 2.4 in 2012, along with increased contraceptive use at 50 percent. High unmet need of 27 percent still remains. Nutritional deficiencies for pregnant and lactating women remain a challenge. Nepal has initiated a number of key interventions to respond to increased adolescents needs for health services, improve accessibility and quality of services at local level, and enhance equitable access to services through micro-planning exercise and provision of financial protection.
Link to Data Set
Citation
“Ohno, Naoko; El-Saharty, Sameh; Sarker, Intissar; Bhattarai, Manav; Secci, Federica. 2014. Nepal: Maternal and Reproductive Health at a Glance. Health, nutrition, and population global
practice knowledge brief;. © World Bank. http://hdl.handle.net/10986/22590 License: CC BY 3.0 IGO.”
Digital Object Identifier
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Maldives(World Bank, Washington, DC, 2014-11)Maldives, a middle income country, is on track to meet most of the Millennium Development Goals (MDGs), while gender gap requires attention. Maldives has made great progress in improving maternal health and has achieved MDG. The total fertility rate has declined to 2.3 in 2012. Contraceptive use has increased but high unmet need of 28.1 percent is of concern. Skilled birth attendance is high at 95 percent. Access to maternal health services is fairly equitable by residence and wealth quintile, while geographical access to services remains challenging. Also, unwanted pregnancies among young women are on the rise. Maldives has initiated a number of interventions to increase adolescents needs for sexual and reproductive health services, improve quality of RMNCH services, and increase utilization of health services at local level.Publication Bangladesh : Maternal and Reproductive Health at a Glance(World Bank, Washington, DC, 2014-11)Bangladesh is among the most densely populated countries in the world. Poverty remains high at 43 percent of the population subsist on less than United States (U.S.) $1.25 per day (2010). Bangladesh achieved several millennium development goal (MDG) targets in education, health, and poverty reduction. Gender equality and women's empowerment are important determinants of reproductive health. While fertility and contraceptive prevalence rate (CPR) are evenly distributed, wide gaps in access to maternal health services remain. Bangladesh will need to focus on increasing political commitment to adolescent health; focusing interventions on high-fertility and high maternal mortality ratio (MMR) areas; addressing human resources constraints; and harnessing the use of technology.Publication India : Maternal and Reproductive Health at a Glance(World Bank, Washington, DC, 2014-11)India is the third largest economy and has the second largest population in the world. It achieved millennium development goal (MDG) on poverty reduction; however, gender inequality still persists. Maternal mortality rate is 190 deaths per 100,000 live births, representing a 65 percent decline from 1990. Fertility fell to 2.5, while contraceptive prevalence rate increased to nearly 55 percent. Seventy-four percent of women sought antenatal care (ANC) from a qualified provider and 52 percent of births were attended by qualified providers. Wide gaps in contraceptive prevalence rate (CPR) and access to skilled-birth attendance remain by geography and wealth quintile. India will focus on preventing unwanted pregnancies especially among adolescents; improving demand-side strategies; strengthening access and quality in public and private sectors; improving antenatal, intranatal, and postnatal care; strengthening monitoring and evaluation (M and E) systems and reducing inequities; and improving nutrition.Publication Bhutan : Maternal and Reproductive Health at a Glance(World Bank, Washington, DC, 2014-11)Bhutan is a small landlocked country in the Himalayas between China and India. Poverty reduction has been rapid from about 23 percent in 2007 to 12-13 percent in 2012. Gender equality and women's empowerment are important determinants of reproductive health. Contraceptive prevalence rate (CPR) is higher among the poorest quintile than the richest. Large disparities in access to skilled birth attendant remain by geography and wealth quintile. Poor nutrition is a serious issue for pregnant mothers, since 55 percent of women are anemic. Bhutan will need to focus on increasing the focus on quality along the continuum of care; improving access and equity; and ensuring sustainability of health financing.Publication Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges(World Bank, Washington, DC, 2014-05)Considerable progress has been made towards the achievement of the Millennium Development Goals (MDGs) since 1990. Although advances in improving MDG 4 and MDG 5a (reducing child and maternal mortality, respectively) have been made, progress is some countries have been insufficient. While some countries have made substantial gains, others have not. This paper is part of a larger study that aims to address this gap in knowledge. The paper discusses the findings from qualitative case studies of five countries that are either on track to meet MDGs 4 and 5a by 2015 or have made significant progress to this end (Bolivia, China, Egypt, Malawi and Nepal). Although they have different socio-economic characteristics, all have made significant advancements due to a strong commitment to improving maternal and child health. To do this, strong political commitment, through policies backed by financial and programmatic support, was critical. In addition, focusing on the most vulnerable populations helped increase access to and use of services. Empowering women and families through education, employment, and poverty reduction programs have led to better health outcomes. These countries still face challenges, however, in terms of the evolving health system, and changes at the economic, social and political levels. Future qualitative and quantitative analyses on the returns of health investments, the political context and institutional arrangements at the country level could help deepen the understanding of the ways in which various countries, with their unique conditions, can improve MCH.
Users also downloaded
Showing related downloaded files
Publication World Development Report 2017(Washington, DC: World Bank, 2017-01-30)Why are carefully designed, sensible policies too often not adopted or implemented? When they are, why do they often fail to generate development outcomes such as security, growth, and equity? And why do some bad policies endure? This book addresses these fundamental questions, which are at the heart of development. Policy making and policy implementation do not occur in a vacuum. Rather, they take place in complex political and social settings, in which individuals and groups with unequal power interact within changing rules as they pursue conflicting interests. The process of these interactions is what this Report calls governance, and the space in which these interactions take place, the policy arena. The capacity of actors to commit and their willingness to cooperate and coordinate to achieve socially desirable goals are what matter for effectiveness. However, who bargains, who is excluded, and what barriers block entry to the policy arena determine the selection and implementation of policies and, consequently, their impact on development outcomes. Exclusion, capture, and clientelism are manifestations of power asymmetries that lead to failures to achieve security, growth, and equity. The distribution of power in society is partly determined by history. Yet, there is room for positive change. This Report reveals that governance can mitigate, even overcome, power asymmetries to bring about more effective policy interventions that achieve sustainable improvements in security, growth, and equity. This happens by shifting the incentives of those with power, reshaping their preferences in favor of good outcomes, and taking into account the interests of previously excluded participants. These changes can come about through bargains among elites and greater citizen engagement, as well as by international actors supporting rules that strengthen coalitions for reform.Publication World Development Report 2008(Washington, DC, 2007)The world's demand for food is expected to double within the next 50 years, while the natural resources that sustain agriculture will become increasingly scarce, degraded, and vulnerable to the effects of climate change. In many poor countries, agriculture accounts for at least 40 percent of GDP and 80 percent of employment. At the same time, about 70 percent of the world's poor live in rural areas and most depend on agriculture for their livelihoods. World Development Report 2008 seeks to assess where, when, and how agriculture can be an effective instrument for economic development, especially development that favors the poor. It examines several broad questions: How has agriculture changed in developing countries in the past 20 years? What are the important new challenges and opportunities for agriculture? Which new sources of agricultural growth can be captured cost effectively in particular in poor countries with large agricultural sectors as in Africa? How can agricultural growth be made more effective for poverty reduction? How can governments facilitate the transition of large populations out of agriculture, without simply transferring the burden of rural poverty to urban areas? How can the natural resource endowment for agriculture be protected? How can agriculture's negative environmental effects be contained? This year's report marks the 30th year the World Bank has been publishing the World Development Report.Publication Poverty, Prosperity, and Planet Report 2024(Washington, DC: World Bank, 2024-10-15)The Poverty, Prosperity, and Planet Report 2024 is the latest edition of the series formerly known as Poverty and Shared Prosperity. The report emphasizes that reducing poverty and increasing shared prosperity must be achieved in ways that do not come at unacceptably high costs to the environment. The current “polycrisis”—where the multiple crises of slow economic growth, increased fragility, climate risks, and heightened uncertainty have come together at the same time—makes national development strategies and international cooperation difficult. Offering the first post-Coronavirus (COVID)-19 pandemic assessment of global progress on this interlinked agenda, the report finds that global poverty reduction has resumed but at a pace slower than before the COVID-19 crisis. Nearly 700 million people worldwide live in extreme poverty with less than US$2.15 per person per day. Progress has essentially plateaued amid lower economic growth and the impacts of COVID-19 and other crises. Today, extreme poverty is concentrated mostly in Sub-Saharan Africa and fragile settings. At a higher standard more typical of upper-middle-income countries—US$6.85 per person per day—almost one-half of the world is living in poverty. The report also provides evidence that the number of countries that have high levels of income inequality has declined considerably during the past two decades, but the pace of improvements in shared prosperity has slowed, and that inequality remains high in Latin America and the Caribbean and Sub-Saharan Africa. Worldwide, people’s incomes today would need to increase fivefold on average to reach a minimum prosperity threshold of US$25 per person per day. Where there has been progress in poverty reduction and shared prosperity, there is evidence of an increasing ability of countries to manage natural hazards, but climate risks are significantly higher in the poorest settings. Nearly one in five people globally is at risk of experiencing welfare losses due to an extreme weather event from which they will struggle to recover. The interconnected issues of climate change and poverty call for a united and inclusive effort from the global community. Development cooperation stakeholders—from governments, nongovernmental organizations, and the private sector to communities and citizens acting locally in every corner of the globe—hold pivotal roles in promoting fair and sustainable transitions. By emphasizing strategies that yield multiple benefits and diligently monitoring and addressing trade-offs, we can strive toward a future that is prosperous, equitable, and resilient.Publication Global Economic Prospects, January 2025(Washington, DC: World Bank, 2025-01-16)Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.Publication Expanding Opportunities: Toward Inclusive Growth(World Bank, Washington, DC, 2023-04-04)South Asia’s outlook is shaped by both good and bad news in the global economy. Lower commodity prices, a strong recovery in the services sector, and reduced disruptions in value chains are aiding South Asia’s recovery but rising interest rates and uncertainty in financial markets are putting downward pressure on the region’s economies. Countries in South Asia, especially those with large external debt, face difficult tradeoffs as they respond to these pressures. Growth prospects have weakened, with large downside risks in most countries given limited fiscal space and depleting foreign reserves. Going forward, broad reform programs, including a sustainable fiscal outlook, are needed to put South Asia on a more robust and inclusive growth path. Inequality of opportunity, which is higher in South Asia than in other regions of the world, is both unfair and inefficient. Reducing inequality of opportunity and increasing economic mobility will help broaden countries’ tax base and boost support from the population for the critical reforms.