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1 g]kfn ax';"rs &! 25 February, 2016 Krishna Tuladhar Director Central Bureau of Statistics Government of Nepal National Planning Commission Secretariat Central Bureau of Statistics

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3 3 An internationally agreed household survey: UNICEF One of the world's largest sources of statistical information on children and women MICS 1 : 1995 MICS 2: 2000 MICS 3: 2005 NMICS 4: 2010 NMICS 5: 2014 Information on 17 MDG indicators

4 Sample size: Total 520 clusters X 25 Household = Design : Two stage cluster sampling design First Stage PSU : Ward Second Stage SSU : Household Sampling frame National Population and Housing Census 2011 Complete listing of household in all selected PSUs Sample Selection Selection of wards (based on PPS) as PSUs Systematic selection of 25 households/psu

5 Development region Sub region/ Domain No. of Cluster No. of Households Urban Rural Total Urban Rural Total Mountain Eastern Hill Tarai Mountain Central Hill 4+32= Tarai Mountain Western Hill Tarai Mountain Mid -Western Hill Tarai Mountain Far-Western Hill Tarai Total

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7 Household Information Panel List of Household Members Education Child Labour Child Discipline Household Characteristics Water and Sanitation Hand washing Salt Iodization 7

8 Woman s Information Panel Woman s Background Access to Mass Media and Use of Information and Communication Technology Fertility/Birth History Maternal and New born Health Post -Natal Health Desire for Last Birth Illness Symptoms Contraception Unmet Need Attitudes toward Domestic Violence Marriage/ Union HIV/AIDS Tobacco and Alcohol Use Life Satisfaction 8

9 Under Five Child Information Panel Age Birth Registration Early Childhood Development Breastfeeding and Dietary Intake Immunization Care of Illness Anthropometry 9

10 Water Quality Testing Information Panel 1. Household drinking water : 1 ml and 100 ml Water Quality Testing (E.coli) 2. Household source water 1 ml and 100 ml 10

11 Fieldwork: February-June, 2014 Total 15 teams (90 field staff) Team composition: 6 members 1 Supervisor, 1 Editor, 3 Female interviewers and 1 Measurer Data processing: End of February-June, data processing staff (1 Supervisor + 2 Data editor + 11 Data entry operators) Data entry: CSPro 5.0, Double data entry & validation Data Analysis : IBM SPSS Statistics 21 software 11

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13 Chapter 1 Introduction Chapter 4 Child Mortality Chapter 7 Water and Sanitation Chapter 10 Literacy and Education Chapter 2 Sample and Survey Methodology Chapter 3 Sample Coverage and the Characteristics of Households and Respondents Chapter 5 Nutrition Chapter 6 Child Health Chapter 8 Reproductive Health Chapter 11 Child Protection Chapter 9 Early Childhood Development Chapter 12 HIV and AIDS Chapter 13 Access to Mass Media and Use of Information /Communication Technology Chapter 14 Subjective Wellbeing Chapter 15 Tobacco and Alcohol Use 13

14 Household Women age years Children under 5 Water quality testing 94.5% 94.8% 98.5% 98.7% 14

15 Average household size 4.6 Population under age 5 years 10% Population under age 18 years 40% 15

16 38 Under five mortality rate Infant mortality rate Nepal Urban Rural (Per 1,000 live births) 16

17 Underweight prevalence of Children under 5 age Nepal 30.1% Western Mountain 15.5% Mid-Western Mountain 45.2% (%) 17

18 18 Stunting prevalence of Children under 5 age Nepal 37.4% Eastern Terai 25.0% Mid-Western Mountain 64.2% (%)

19 Immunization by 12 months of age for children age months BCG Polio 3 DPT 3 Measles 88% 85% 83% 85% Full immunization coverage 67% 19

20 Household members using improved sources of drinking water Nepal: 93.3% Urban Rural 95.4% 92.9% 61.0% 42.1% 46.6% 27.5% 1.5% 1.4% 4.0% 1.3% 2.2% 0.7% Piped water Tube well /borehole Proctected well Proctected spring Bottled water Total Improved Water Sources 20

21 Percent of Household members with E.coli risk level in household drinking water >=1 cfu /100 ml. Rural 84.2% Kathmandu Valley 67.8% Urban 72.3% Nepal 82.2% Permissible limit for E. coli in drinking water is 0 CFU/ 100 ml. CFU = Colony Forming Unit (Ref: National Drinking Water Quality Standards,

22 Household members using Improved sanitation facilities 71.7% 43.4% 15.4% 6.1% 0.1% 1.4% 4.0% 1.3% Piped sewer system Septic tank Pit latrine Flush to unknow place Ventilated improved pit (VIP) Pit latrine with slab Composing toilet Total Household members using Improved sanitation facilities 60% which are not shared 22

23 Adolescent birth rate for women age years (per 1,000 women) Nepal 71 Central Hill 29 Mid-western Mountain 123 (%) 23

24 Percent of Women age years currently married or union who are using (or whose partner is using) a (modern or traditional) contraceptive method Nepal 49.7% Far Western Hill 42.1% Western Mountain 64.2% (%) 24

25 Percent of Women age years currently married or union with an unmet need for family planning Nepal 25.2% Far western Terai 18.0% Western Hill 31.3% (%) 25

26 Nepal Urban athmandu Valley Rural Nepal Urban Kathmandu Valley Rural Percent of Women age years with a live birth in the last 2 years attended during their last pregnancy that led to a live birth ANC visit : at least once by skilled health personnel ANC visit : at least four times by any service provider 68.3% 92.5% 100.0% 64.8% 84.0% 97.7% 59.5% 55.9% Skilled health personnel: doctor, staff nurse, auxiliary nurse(anm) 26

27 Percent of Women age years with a live birth in the last 2 years attended by skilled health personnel during their most recent live birth Nepal 55.6% Mid-Western Mountain 19.5% Central Hill 75.4% 27

28 Children age months who are attending an early childhood education programme Nepal 50.7% Rural 46.7% Urban 78.3% Girls 49.4% Boys 52.4% 28

29 Literacy rate of young women age years Nepal 84.0% Mid-Western Mountain 58.3% Western Hill 97.9% (%) 29

30 Primary school Net Attendance Ratio (adjusted ) Nepal 76.3% Central Terai 63.8% Western Hill 89.0% (%) 30

31 Gender parity index (primary school) Gender parity index (secondary school) 1 No Difference 1 31

32 Birth registration of children under age 5 years Nepal 58.1% Central Mountain 39.5% Mid -Western Mountain 84.4% (%) 32

33 Children age 5-17 years who are involved in child labour 40.9% Nepal 16.2% 37.4% Urban Rural 33

34 Children age 1-14 years disciplined by any violent method during the last 1 month 74.6% 82.8% 81.7% 62.1% Uraban Kathmandu Valley Rural Nepal 34

35 25% 16% First married women (15-49) before age 15 Currently married women years 35

36 Comprehensive knowledge about HIV prevention of women age years Nepal 26.4% Mid -Western Mountain 5.5% Central Hill 42.3% (%) of young women age years have comprehensive knowledge about HIV prevention 36

37 Nepal 21.7% 54.8% Women age years, who used a computer during the last 12 months Urban 14.2% Rural Rural 12.1% Nepal 19.6% Urban 52.4% Women age years, who used the internet during the last 12 months 37

38 Subjective measures of life satisfaction, women age years Domain of life satisfaction include: Life satisfaction 81% family life, friendships, school, current job, health, living environment, treatment by other, the way they look and the current income 57% Perception of a better life 38

39 Women age years who smoked cigarettes, or smoked or smokeless tobacco products at any time during the last 1 month 9.2% Women age years who had at least one alcoholic drink at any time during the last 1 month 9.5% 40

40 For further information please visit Thank you 40