Escolar Documentos
Profissional Documentos
Cultura Documentos
R e p o rt
Department of Health Services
2073/74 (2016/17)
Government of Nepal
Ministry of Health and Population
Department of Health Services
Kathmandu, Nepal
CONTENTS
Message from Hon'ble State Minister
Preface from Secretaty of Health and Population
Foreword
Acknowledgement
Executive Summary i
Trend of Health Services Coverage Fact-sheet xi
Abbrreviations and Acronyms xvii
National Health Policy 2071 (2014) xxiii
Chapter 1: INTRODUCTION
1.1 Background 1
1.2 Department of Health Services (DoHS) 3
1.3 Source of information 5
1.4 Structure of the Report 5
Chapter 2: CHILD HEALTH 6-56
2.1 Immunization 6
2.2 Nutrition 25
2.3 Integrated Management of Neonatal & Childhood Illness (IMNCI) 44
Chapter 3: FAMILY HEALTH 57-116
3.1 Family Planning 57
3.2 Safe Motherhood and Newborn Health 71
3.3 Female Community Health Volunteer (FCHV) 88
3.4 Primary Health Care Outreach (PHC/ORC) 91
3.5 Demography and Reproductive Health Research 93
3.6 Adolescent Sexual and Reproductive Health 105
Chapter 4: DISEASE CONTROL 117 - 213
4.1 Malaria 117
4.2 Kala-azar 134
4.3 Lymphatic Filariasis (LF) 139
4.4 Dengue 143
4.5 Zoonoses 145
4.6 Leprosy 149
4.7 Tuberculosis 163
4.8 HIV/AIDS and STI 175
4.9 Eye Care 193
4.10 Entomology 196
4.11 Epidemiology and Disease Outbreak Management 198
4.12 Disaster Management 201
4.13 Surveillance and Research 205
4.14 Homeopathic Services 208
4.15 Human Organ Transplant Services 210
Chapter 5: CURATIVE SERVICES (Inpatients/OPD services) 214 -235
Chapter 6: SUPPORTING PROGRAMS 236 -303
6.1 Health Training 236
6.2 Vector Borne Disease Research & Training 244
6.3 Health Education, Information and Communication 249
6.4 Logistic Management 255
6.5 Public Health Laboratory Services 262
6.6 Personnel Administration Management 268
6.7 Financial Management 272
6.8 Health Service Management 279
6.9 Primary Health Care Revitalization 290
6.10 Medico-Legal services 299
6.11 Monitoring and Evaluation 301
Chapter7: PROGRESS OF OTHER DEPARTMENTS UNDER MoHP 304 - 314
7.1 Derpartment of Drug Administration 304
7.2 Department of Ayurveda 309
Chapter 8 : HEALTH COUNCILS 315 - 332
8.1 Nepal Nursing Council 315
8.2 Nepal Ayurvedic Medical Council 318
8.3 Nepal Health Research Council 320
8.4 Nepal Medical Council 326
8.5 Nepal Health Professional Council 328
8.6 Nepal Pharmacy Council 331
Chapter 9: HEALTH CARE SOCIAL SECURITY 333 - 337
Chapter 10: DEVELOPMENT PARTNER SUPPORT 338- 354
10.1 Multilateral Non-Government Organization 339
10.2 Bilateral Organization 341
10.3 Internal Non-Government Organization 343
10.4 Non-Government Organization 351
ANNEXES
Annex 1: Activities carried out in FY 2073/74 by programs
Annex 2: Target for 2074/75 by programs
Annex 3: Health Services: Estimated Target Population, Raw & Analyzed data sheets
Annex 4: Human Resource (HR) situation by districts
Executive Summary
Executive Summary
A. INTRODUCTION
The annual report of the Department of Health Services (DoHS) for fiscal year 2073/74 (2016/2017)
is the twenty-third consecutive report of its kind. This report focuses on the objectives, targets and
strategies adopted by Nepal’s health programmes and analyses their major achievements and
highlights trends in service coverage over three fiscal years.
This report also identifies issues, problems and constraints and suggests actions to be taken by
health institutions for further improvements. The main institutions that delivered basic health
services in 2073/74 were the 123 public hospitals including other ministries, the 1,715 non-public
health facilities, the 200 primary health care centres (PHCCs) and the 3,808 health posts. Primary
health care services were also provided by 12,180 primary health care outreach clinic (PHCORC)
sites. A total of 16,022 Expanded Programme of Immunization (EPI) clinics provided immunization
services. These services were supported by 49,001 female community health volunteers (FCHV). The
information on the achievements of the public health system, NGOs, INGOs and private health
facilities were collected by DoHS’s Health Management Information System (HMIS).
B. CHILD HEALTH
Immunization
The National Immunization Program (NIP) formerly Expanded Program on Immunization (EPI) was
started in FY 2034/35 and is a priority 1 program. It is one of the successful public health
interventions of Ministry of Health. It made a large contribution to Nepal's achievement of
Millennium Development Goal 4 and 5 by reducing morbidity and mortality among children and
mothers from vaccine preventable diseases.
Nepal's constitution 2015 ensures access to health care as a fundamental right of the people. The
Immunization Act endorsed (BS 2072 Magh 12) says that every child has the right to access quality
vaccines.
National Immunization Program has included several underused and new vaccines in program and
currently there are eleven antigens–BCG, DPT-HepB-Hib (penta), PCV, OPV (bOPV), Measles and
Rubella (MR) and Japanese Encephalitis provided through 16,000 service delivery points in health
facilities (fixed session), outreach sessions and mobile clinic (sessions). Government of Nepal
procures BCG, OPV, Td , JE, measles/rubella 1st dose and co-finances to GAVI supported vaccines
DPT-HepB-Hib (penta), PCV and measles component of MR2. Aiming to reach every child in country,
some innovative activities have also been carried out in country like Full Immunization declaration
initiative, Immunization Act, rule and immunization fund creation.
The coverage of all antigens increased in 073/74 compare to 072/073. The highest coverage was of
BCG (91%), DPT-HepB-Hib3 (86%), oral polio vaccine 3 (86%), which were all more than the previous
year. The measles rubella second dose was introduced in 2072/73 and had the lowest coverage
(57%) however it is more than previous year.
Nutrition
The national nutrition programme is priority programme of the government. It aims to achieve the
nutritional well-being of all people so as they can maintain a healthy life and contributed to the
country's socioeconomic development. There is high level commitment to improving the nutritional
status especially of women and of young children.
Nutrition is a globally recognized development agenda. Since the year 2000, several global
movements have advocated nutrition for development. The Scaling-Up-Nutrition (SUN) initiative
DoHS, Annual Report 2073/74 (2016/17) i
Executive Summary
calls for multi-sectoral action for improved nutrition during the first 1,000 days of life. The
Government of Nepal as an early member of SUN adopted the Multi-sector Nutrition Plan (MSNP) in
2012 to reduce chronic nutrition. The UN General Assembly declared the 2016–2025 period as the
Decade of Action on Nutrition. Aligning with the MSNP and current global initiatives, CHD – nutrition
section has developed strategies and plans for improving maternal infant and young child nutrition
assisted by experts from the Nutrition Technical Committee. Moreover, as recommended by the
Nepal Nutrition Assessment and Gap Analysis (NAGA) and guided by MSNP, in 2012–2013 MoH
conducted an Organization and Management Survey towards establishing a National Nutrition
Centre for implementing MSNP in the health sector. Recently, MSNP-2 has been approved for
2075/76 – 2079/80.
In 2073/74 an average of 3 growth monitoring visit was carried out by 0-23 month's children at
national level which is slightly decreased as of previous year. Sixty three percent children aged 0-23
months were registered for growth monitoring which is six percent more than 2072/73 and twenty-
five percent of 0-6 months infants registered for growth monitoring who were exclusively breastfed
for their first six months which is 6.65 percent less than 072/073.
Integrated Management of Childhood Illness
In October 2014 the childhood (CB-IMCI) and newborn (CBNCP) care programmes were merged into
the Community Based Integrated Management of Childhood Illness (CB-IMNCI) programme to give a
more integrated approach. It is an integrated package of child-survival interventions and addresses
major newborn care conditions including birth asphyxia, bacterial infection, jaundice, hypothermia,
low birth weight, and encouragement of breastfeeding. It addresses the major illnesses of 2 to 59
month old children — pneumonia, diarrhoea, malaria, measles and malnutrition, in a holistic way.
In fiscal year 2073/74, 25,742 newborns cases (aged 0-28 days) were registered and treated at
health facilities and PHC/ORCs of whom 12,295 were treated for local bacterial infections and 3,713
for possible Severe Bacterial Infections (PSBI). In the same year, 31,098 infants (29-59 day old) were
treated at health facilities and PHC/ORCs of whom 2,765 were treated for PSBI. At the national level
1.0 percent 0-59 day old (among expected number of live births) suffered from PSBI. And 58.4
percent of all PSBI cases were treated with a complete dose of gentamycin.
In 2073/74, 1,184,120 cases of Diarrhoea were reported of which 0.44 percent suffered from severe
dehydration (increased from 0.2 percent the previous year). The national incidence of diarrhoea per
1,000 under-5 year olds decreased from 422/1,000 in 2072/73 to 400/1000 in FY 2073/74. In FY
2073/74, a total of 1,810,722 ARI cases were registered, out of which 10.5% were categorized as
pneumonia cases and 0.29% were severe pneumonia cases. The incidence of pneumonia (both
pneumonia and severe pneumonia at HF and PHC/ORC) at national level was 64 per 1000 under five
children as compared to 147 per 1,000 under-five children in the previous fiscal year (FY 2072/73).
C. FAMILY HEALTH
Family planning
In order to provide the reproductive population with options to limit or space births, various modern
contraceptive methods are made available under the national health services delivery system.
Family planning services are provided through different health institutions at various levels through
static clinics as well as mobile outreach services. The Contraceptive Prevalence Rate (CPR) is one of
the main indicators for monitoring and evaluating the National Family Planning Program. The
contraceptive prevalence rate (CPR) for modern family planning method is 44% at national level in
fiscal year 2073/74. There has been a one percentage point increase in modern CPR at national level
in FY 2073/74 than in FY 2072/73. There is wide variation in CPR at the province level with lowest
35% in Province 4 and highest 49% in Province 2
Total number of clinics expected to run in a year 159,764 (13,314 PHC/ORC Clinics x 12 times).
However, only 83% clinics were conducted in FY 2073/74. On an average 19 clients were served per
clinic during the fiscal year 2073/74 and it was slightly increased compared to FY 2072/73 (16%).
A total of 1076 persons including health facility personnel and district stakeholders were trained in
MPDSR during FY 2073/74. Furthermore, all FCHVs of Baitadi had also received MPDSR orientation.
D. DISEASE CONTROL
Malaria
Nepal has surpassed the Millennium Development Goal 6 by reducing malaria morbidity and
mortality rates by more than 50% in 2010 as compared to 2000. Therefore, Government of Nepal
has set a vision of Malaria free Nepal in 2025. Current National Malaria Strategic Plan (NMSP) 2014-
2025 was developed based on the epidemiology of malaria derived from 2012 micro-stratification,
The aim of NMSP is to attain “Malaria Free Nepal by 2026”.
Total positive cases of malaria slightly increased to last fiscal year from 991 in FY 2072/73 to 1128 in
2073/74 where 492 cases are indigenous cases and 636 are imported casesdue to active
surveillance. The proportion of P. falciparum infections is decreasing trend and reached 13.1 % in
current FY2073/74 as compared to the previous year, however still the proportion is high which may
be due to high number of imported P. falciparum cases.The trend of indigenous pf malaria cases are
decreasing while imported cases of pf are in increasing trend. The trend of clinically suspected
malaria case, slide positivity rate, pf and pv malaria cases also decreasing year by year, mainly due to
increased coverage of RDT, microscopic laboratory service at peripheral level, high coverage of LLINs
in endemic districts and increased socio-economic status of community people.
Kala-azar
Kala-azar is a major public health problem in 18 districts of Nepal and to eliminate Kala azar in Nepal
set goal to improving the health status of vulnerable groups and at risk populations living in kala-azar
endemic areas of Nepal by eliminating kala-azar so that it is no longer a public health problem. The
incidence of kala-azar at national and district level has been less than 1/10,000 population since
2013. The trend of KA cases has been decreasing significantly for the last several years. In FY
2073/2074, total 225 native cases and 6 foreign cases were reported. 157 cases were reported from
programme district while other cases were from other nonprogrammer district. The case fatality
rate was 0.3 percent in 2073/2074.
Lymphatic filariasis
Lymphatic Filariasis (LF) is a public health problem in Nepal. The goal of national Lymphatic Filariasis
programme is the people of Nepal no longer suffer from lymphatic filariasis. As of 2073/74, MDA has
been stopped (phased out) in 31 districts, post-MDA surveillance initiated in 20 districts and
morbidity management partially initiated in all endemic districts. All endemic districts will complete
the recommended six rounds of MDA by 2018. The LF elimination programme has also indirectly
contributed to strengthening of health system through trainings and capacity building activities. The
transmission assessment survey in 31 districts in 2016 found that the prevalence of infection had
significantly reduced. Since 2003 more than 100 million doses of lymphatic filariasis drugs have been
administrated to at-risk population. 2172 hydrocele surgeries have been performed in year
2073/074.
Dengue
Dengue, a mosquito-borne disease emerged in Nepal in since 2005. The goal of national Dengue
control program is to reduce the morbidity and mortality due to dengue fever, dengue haemorrhagic
fever (DHF) and dengue shock syndrome (DSS).The number of reported dengue cases has decreased
significantly since 2010 but cases of dengue were increased in 2073/74 fiscal year. The majority of
iv DoHS, Annual Report 2073/74 (2016/17)
Executive Summary
cases have been reported from Chitwan, Jhapa and Rupandehi with more than 46 percent of
2073/74 cases from Chitwan. Total 1527 cases reported from 42 districts.
Zoonoses
Nepal has dual burden of disease and zoonotic diseases of epidemic, endemic and pandemic
potentials are major public health concerns. Globally more than 300 Zoonotic diseases are identified
among which about 60 have been identified in Nepal as emerging and re-emerging diseases. No
Nepalese dies of rabies or poisonous snake bites due to the unavailability of anti-rabies vaccine
(ARV) or anti-snake venom serum or timely health care services and to prevent, control and manage
epidemic and outbreak of zoonoses is the goal of zoonoses program. Around 30,000 cases in pets
and more than 100 human rabies cases occur each year with the highest risk are in the Terai. During
the FY 2073/74, 39,744 dog and other animal bites cases has been reported including 8 deaths
throughout the Nepal and 6121 cases of Snake bite has been reported. 33 deaths due to snake bite
has been reported this year.
Leprosy
During the reporting year 2073/74, a total number of 3215 new leprosy cases were detected and put
under Multi Drug Therapy (MDT). 2626 cases were under treatment and receiving MDT at the end of
the fiscal year. Registered prevalence rate of 0.92 cases per 10,000 population at national level was
reported this year which is below the cut-off point of below 1 case per 10,000 population as per the
standard set by WHO. 87 (2.71%) new leprosy cases of Grade 2 Disability (G2D), 220 (6.84%) new
child leprosy cases and 1361 (42.33%) new female leprosy cases were recorded. The increasing trend
of registered prevalence rate after the elimination in 2009 is a serious concern for leprosy control
programme hence early and active case detection activities need to be amplified and
records/reports of local health facility level needs to be verified and validated.
Leprosy Control Division, Disability Focal Unit had recently endorsed Policy, Strategy and 10 Years
Action Plan on Disability Management (Prevention, Treatment and Rehabilitation). The unit is
coordinating with DPOs and related organization for the disability prevention and rehabilitation of
people with disability
Tuberculosis
Tuberculosis (TB) is still a major public health problem in Nepal. Directly Observed Treatment short
course (DOTS) have successfully been implemented throughout the country since April 2001 and a
total of 4344 DOTS treatment centers are providing TB treatment service throughout the country. In
Fiscal Year 2073/74, total of 31,765 cases of TB were registered. Among them, 54.63% were
pulmonary bacteriologically confirmed (PBC). Most cases were reported among the middle-aged
group with the highest among 15-24 year of age (20%). The childhood TB (new and relapse) was
5.7%. The Case Notification Rate (CNR) all forms was 111 per 100,000 population. The Midwest
Region hold highest case (CNR 128) followed by central region (CNR 123), far western region (CNR
109), western region(CNR 106) and eastern region (CNR 83). Whereas in eco-terrain, CNR was
highest in Terai zones followed by hill and mountain zones with rates of 123, 104 and 61 per 100,000
populations respectively.
The overall treatment success rates (all forms) of drug susceptible TB was 92.%. The treatment
success rates of new and re-treatment Pulmonary Bacteriological Confirmed (PBC) was 90%
compared 93 % in new Pulmonary Clinically Diagnosed (PCD) and Extra Pulmonary cases. Failure rate
in new PBC was 1.2% compared to 2.2% in retreatment cases, 0.1% in new PCD cases and 0.16% in
EP cases. National Tuberculosis program, Nepal was able to save 29,027 lives in FY 2073/74
nationally, but still 971 deaths were reported among general TB cases.
Eye care
Nepal’s eye care programme is run by Nepal Netra Jyoti Sangh and is a successful example of an
NGO-run eye care programme. The prevalence of blindness in Nepal has reduced at the current
time. In 2073/74, Nepal’s hospitals, eye care centres and outreach clinics provided 3,873,340
outpatient consultations and performed 317,901 eye surgeries.
Entomology
Entomology section/entomology lab is one of the integral parts of Epidemiology and Disease Control
Division. It is accountable to plan, implement, monitor & supervise all entomological activities like
surveillance, risk assessment & operational research of vectors borne diseases as well other
emerging and re-emerging diseases having potential of outbreak and prone to be epidemic in
nature. In FY 2073/74, investigations and an entomological survey was conducted in 12 different
districts of five regions of Nepal. In that survey Anopheles mosquitoes were collected. These are the
common species of anopheles mosquito which were found in that survey.
Disaster management
This collaborative programme between MoH/DoHS/EDCD and WHO-EHA has been committed to
enhancing health sector emergency preparedness, disaster response and epidemiology and
outbreak management capabilities in close coordination & collaboration with key players in the
country. In the fiscal year 2073/74, no any such disaster event was recorded which affected the
health of people. District health sector contingency planning, Rapid Response training, Emergency
and disaster preparedness planning activities were carried out for disaster preparedness.
E. CURATIVE SERVICES
In 2073/74, curative health services were provided to outpatients, including emergency patients,
and inpatients including free health services. Inpatient services were provided different level of
hospitals including INGOs/NGOs, Private medical college hospitals, nursing homes, and private
hospitals. In this fiscal year 2073/2074, 72% of the total population received outpatients (OPD)
services, 1,322,816 patients were admitted for hospital services and 1,765,764 patients received
emergency services from hospitals.
F. SUPPORTING PROGRAMMES
Health Training
The National Health Training Centre is the apex body for human resource development in Nepal’s
health sector. The NHTC has five regional training centres, one sub-regional centre, 34 clinical
training sites and 75 district training units. The Training Working Group ensures the efficient running
of national health training programmes, maintains the quality of training and improves the
coordination of all training provided under NHTC. In 2073/74 initiated a number of new training
programmes including on primary trauma care management, on-the-job training for gynaecologists
and obstetric fistula training.
At the district level, behavior change communication activities were conducted for preventing and
controlling epidemics, broadcasted health message through local FM Radio, developed need based
IEC materials and distributed to health facilities.
Logistics management
The main role of Logistics Management Division is to support in delivering quality health care
services providing by program divisions and centers through logistics supply of essential equipments,
vaccines, family planning commodities and free health drugs to all regional /district stores and
health facilities. The major function of LMD is to forecast, quantify, procure, store and distribute
health commodities, equipments, instruments and repairing & maintaining of the bio-medical
equipments/instruments and transportation vehicles. The quarterly LMIS and monthly Web-based
LMIS have facilitated evidence based logistics decision making and initiatives in annual logistics
planning, quarterly national pipeline review meetings, the consensus forecasting of health
commodities and the implementation of the pull system. LMD carried out Regional Procurement and
Supply Chain Workshop in all regions of the country to address the problems and issues faced by the
districts in procurement and supply chain management of health commodities in the region and
district.
LMD has form a authorized 23 members Logistics Working Group (LWG) under the chaired of LMD
Director with representation of Divisions, Centers, supporting partners and other stakeholders. LWG
address all issues and challenges on procurement and supply chain on health commodities and
materials in center, region and district level.
Personnel administration
The Personnel Administration Section is responsible for routine and programme administrative
function. Its major functions include upgrading health institutions, the transfer of health workers,
level upgrading of health workers up to 7th level, capacity building as well as internal management
of human resources of personnel. MoH has more than 30,000 employees of whom more than
24,000 are technical personnel and 6,300 are administrative staff across the 196 sanctioned types of
technical and administrative posts.
Financial management
An effective financial support system is imperative for the efficient management of health services.
DoHS’s Finance Section is the focal point for financial management for all programmes under DoHS.
In 2073/74 out of total national budget of Rs. 10,48,92,13,54,000 a sum of Rs. 40,56,30,27,000
(3.86%) was allocated for the health sector during the reporting year. Of the total health sector
Medico-legal services
Medico-legal services include forensic, pathology, autopsy, clinical forensic medicine and toxicology
services. Medico-legal services have been neglected in Nepal’s health system. The report presents
five recommendations for improving medico-legal services in Nepal: recognizing the specific nature
of the forensic/medico-legal service sector, training district medical officers and other health
professionals to provide medico-legal services, providing facilities, providing incentives and
remuneration and improving coordination between investigating authorities.
H. HEALTH COUNCILS
The six professional health councils (Nepal Medical Council, Nepal Nursing Council, Nepal Ayurvedic
Medical Council, Nepal Health Professional Council, Nepal Pharmacy Council and Nepal Health
Research Council) accredit health-related schools and training centres and regulate care providers.
AA anaesthesiologist assistant
AAHW auxiliary Ayurveda health worker
ADRA Adventist Development and Relief Agency
AEFI adverse event following immunization
AES acute encephalitis syndrome
AFP acute flaccid paralysis
AFS adolescent‐friendly services
AGE acute gastroenteritis
AHA Ayurveda Health Assistant
AHW auxiliary health worker
AIDS acquired immuno‐deficiency syndrome
AMDA Association of Medical Doctors of Asia
AMR antimicrobial resistance
ANC antenatal care
ANM auxiliary nurse-midwife
API annual parasite incidence
ARI acute respiratory infection
ART antiretroviral therapy
ARV anti-rabies vaccine and antiretroviral
ASBA advanced skilled birth attendant
ASRH adolescent sexual and reproductive health
ASVS anti-snake venom serum
BAMMS Bachelor of Ayurveda and Modern Medicine and Surgery
BAMS Bachelor of Ayurveda Medicine and Surgery,
BC birthing centre
BCC behaviour change communication
BDS bachelor of dental science
BMEAT biomedical equipment assistant training
BMET biomedical equipment training
BOPV bivalent oral polio vaccine
BPKIHS BP Koirala Institute of Health Sciences
BS Bikram Sambat (Nepali era)
BTSC blood transfusion service centre
CB-IMCI Community-Based Integrated Management of Childhood Illness programme
CB-IMNCI Community Based Integrated Management of Neonatal and Childhood Illness
CB-NCP Community Based Integrated Management of Newborn Care Programme
CBO community-based organisation
CB-PMTCT Community-Based Prevention of Mother to Children Transmission
CCE comprehensive centres of excellence
CDD control of diarrheal disease
CDR Central Development region
CEONC comprehensive emergency obstetric and neonatal care
CHD Child Health Department
2. Past Attempts
In Nepal, only limited people had access to ayurvedic and modern health care services at
Singhadarbar Vaidyakhana established nearly 300 years ago, and Bir Hospital established in 1947;
most ordinary people had to rely on traditional healers such as dhamijhakri, jharphuke, guvaju etc.
After the introduction of the periodic developmental plan in the country from B.S. 2013, a planned
development process began also in the health sector. In this process the first 15 year long-term
health plan and the second 20 year long-term health plan were introduced in B.S.2032 and 2054
respectively.
People actively and remarkably participated in health programs such as Smallpox Eradication,
Malaria Control, Tuberculosis Control, Polio Eradication, Filariasis Elimination, Leprosy Elimination,
as well as regular administration of vitamin ‘A’ to the children. Female Community Health Volunteer
program started from B.S. 2045 in Nepal has been a model program for the whole world.
Meanwhile, a policy for integrating vertical health programs from the perspective of cost
effectiveness and ease of implementation was adopted and the integration of malaria, leprosy,
tuberculosis, smallpox, and family planning / maternal child health programs was completed by B.S.
2047.
After the opening for private-sector investment in the health sector through the enactment of The
National Health Policy 2048, Institutes for the study of health sciences as well as private health
facilities were established in massive scale. The involvement of private sector in health has been
mainly in curative services, production of medicines and equipment, and they are concentrated in
urban areas. At the same time, Nepal Health Sector Program-1 (2060-2065) and Nepal Health Sector
Program-2 (2066-2071) have been formulated and implemented in order to enhance the
effectiveness of the investment of Government, Non-Government and Donor agencies.
Major Issues:
Citizens of all localities, levels, classes, groups and communities do not have yet easy and
affordable access to health care as aspired by the constitution.
Despite the continuous effort of the state, about a half of under 5 children and women of
reproductive age are undernourished whereas the problem of obesity is growing among urban
population.
Health problems created by the situations like climate change, raising food insecurity and
natural disasters are on the rise.
Prevalence of cancer, hypertension, diabetes, and illnesses related to heart, kidneys, liver,
lungs, along with other non communicable diseases like mental illnesses, dental problems are
on the rise. Likewise, deaths due to road and injuries are increasing day after day.
State has not been able to provide adequate priority on primary health care programs in urban
areas, health of senior citizens, mental disorders, genetic and congenital diseases,
environmental health, occupational hazard, sexual and reproductive health of adolescents and
health promotion on school-age children, etc.
Access to quality medicine for people, right use of medicine, production and distribution of
essential drugs and medical equipments within the country are not effective and people
oriented.
Laboratory services and medical equipments are not yet up to the quality standard.
The issues such as complexities seen in rational production of various skilled health
professionals that take social responsibility, brain drain of health professionals, transfer of
health and other personnel, continuous presence of health personnel in health facilities,
security of health personnel, etc., have not yet been addressed in a planned way.
Not been able to mobilize private-sector investment in health for the benefit of the people and
divert their investment to appropriate areas.
Not been able to effectively regulate health sector according to law and rules. There is a lack of
sufficient harmony between the organizations producing health personnel and the
organizations utilizing them.
Major Challenges:
There is a need for appropriate implementation of a two way referral system in order to
improve the quality standard of health care services.
There is a need for immediate management of highly infectious diseases (like Bird-flu) or
potential new diseases, controlling of epidemic, emergency preparedness for minimizing human
casualty due to earthquake and other natural disasters and retrofitting of hospitals and other
health institutions.
In order to reduce new born, child and maternal mortality rate, there is a need for maximizing
the effectiveness of controlling Diarrhea, acute respiratory infection, Malaria, Kala Azar,
As a fundamental right of citizens, provision for obtaining quality health care will be ensured.
Right to information related to the health services provisioned for citizens will be ensured.
In order to ensure the health services provisioned by the state is accessible to poor,
marginalized, and vulnerable communities; based on equality and social justice, programs will
be designed and implemented accordingly.
People will be participated in every kind and level of health services.
Policies and programs related to health promotion, protection, improvement, and rehabilitation
will be gradually incorporated into state’s other policies.
Participation of private sector will be promoted ensuring citizen’s easy access to quality health
services at fair price.
Resources obtained from internal and external agencies will be mobilized for effective
implementation of this policy and the programs formulated under this policy.
All health services, provided by government or organized differently through a network of
government and private sector, will be regulated.
Flow of health services will be made fully accountable.
This policy has been deemed necessary for successful implementation of the above guiding
principles.
5.2 Mission
Ensure the fundamental right of citizens to remain healthy through a strategic collaboration among
service provider, beneficiaries, and stakeholders and optimum utilization of available resources.
5.3 Goal
To ensure health for all citizens as a fundamental human right by increasing access to quality health
services through a provision of just and accountable health system.
5.4 Objectives
1. To make available free the basic health services that existed as citizen’s fundamental right.
2. To establish an effective and accountable health system with required medicines, equipments,
technologies and qualified health professional for easy access to acquire quality health services
by each citizen.
3. To promote people’s participation in extending health services. For this, promote ownership of
the private and cooperative sector by augmenting and managing their involvement.
6. Policies
1. To make available in an effective manner the quality health services, established as a
fundamental right, ensuring easy access within the reach of all citizens (universal health
coverage) and provision of basic health services at free of cost.
2. To plan produce, acquire, develop, and utilize necessary human resources to make health
services affordable and effective.
3. To develop the ayurvedic medicine system through the systematic management and utilization
of available herbs in the country as well as safeguarding and systematic development of other
existing complementary medicine systems.
4. To aim at becoming self-sufficient in quality medicine and medical equipment through effortless
and effective importation and utilization with emphasis on internal production.
5. To utilize in policy formulation, program planning, medical and treatment system, the proven
behaviors or practices obtained from researchers by enhancing the quality of research to
international standard.
6. To promote public health by giving high priority to education, information, and communication
programs for transforming into practice the access to information and messages about health as
a right to information.
7. To reduce prevalence of malnutrition through promotion and usage of quality healthy foods.
8. To ensure availability of quality health services through competent and accountable mechanism
and system for coordination, monitoring and regulation.
9. To ensure professional and quality service standard by making health related professional
councils capable, professional, and accountable.
10. To mainstreaming health in every policy of state by reinforcing collaboration with health-related
various stakeholders.
7. Strategies
1. Following strategies (related to policy 1) will be adopted to make available in an effective
manner the quality health services, established as a fundamental right, ensuring easy access
within the reach of all citizens (universal health coverage) and provision of basic health
services at free of cost.
1.1. Basic health service will be provided at free of cost by making acts relating to basic health
service.
1.2. As Nepal is the signatory of international convention on Rights of Persons with Disabilities,
all necessary health services needed for people who are blinds, visually impaired, hearing
impaired as well as mentally, cognitively and physically disabled will be included in urgent
health service category.
1.3. National health guidelines and protocols will be prepared and implemented to ensure all
citizens have received standard quality health care by reforming basic health program of
state for fulfilling basic health needs of citizens.
1.4. Impartial service will be delivered on the basis of equality by strengthening programs
delivering health services in rural areas as well as including marginalized groups in urban
areas.
1.5. Quality health treatment care of national standard will be catered by keeping priority on
preventive and promotive service and by using proper medicine and technology.
1.6. Nepal will be developed as regional hub for health tourism and medical science studies by
confirming areas delivering highly specialized and international standard services and
developing those areas.
1.7. Integrated program of health service, care and support will be formulated and
implemented according to the need of senior citizens.
1.8. Current situation of managing infectious diseases will be modified and implemented under
periodic plan on timely basis with essential additional immunization service. Respective
services are implemented effectively on the basis of policies related to prevention and
control of non communicable diseases, prevention and treatment of accidents and injury,
and mental health.
1.9. Affordable health services will be made available all over the country through telemedicine
(ehealth).
1.10. Arrangement of a doctor and a nurse along with other health technicians will be made
available in every VDC and one nurse midwife in every ward according to population.
Necessary number of health promotion and monitoring officer will be mobilized in every
2.4 Quality health services will be ensured by creating new positions of human resources by
having skills mixed on the basis of population.
2.5 Arrangement of one doctor along with 23 health workers will be ensured for every 10
thousand population gradually. Special arrangement will be made for remote and
mountainous areas.
2.6 Arrangements for encouragement of health workers including doctor will be done for
enhancing their capacity by creating opportunity of higher education, in-service training,
and participating them in research and study.
2.7 Regional and zonal hospitals are included in specialization course provided by
government academy.
2.8 Brain drain of human resources is discouraged by taking effective measures such as
career development and various kinds of financial and non-financial incentives to stop
currently visible brain drain and to create conducive working environment.
2.9 Skilled human resource will be produced for safe motherhood by initiating midwifery
education. Opportunity of midwifery education will be provided for enhancing capacity
of working nurses.
2.10 Transparent and scientific rotation transfer system will be developed and implemented
to systematize transfer of health workers and staffs.
2.11 Policy will be adopted for utilizing skilled private sector workers into government
service according to need. Likewise arrangement will be made for utilizing health
workers produced in private sectors into governmental entities according to need.
2.12 Study, research and training center of international standard will be set up by utilizing
outstanding achievements obtained in Nepal’s health sector.
3 Following strategies (related to policy 3) will be adopted to develop the ayurvedic medicine
system through the systematic management and utilization of available herbs in the country
as well as safeguarding and systematic development of other existing complementary
medicine systems.
3.1 Ayurveda will be developed gradually. Development and reformation will be done by
assessing quality of service in this area from research. Long term plan will be developed and
implemented for the safeguard, development, and expansion of homeopathy, unani (Greek),
and other complimentary medicine system.
3.2 Development and expansion of appropriate structure will be done gradually for
implementation of ayurveda system effectively.
3.3 Emphasis is given for production and commercialization by ensuring quality of herbal
medicine produced by government and private ayurveda medicine manufacturer with
special plan and programs for the safeguard and proper use of locally available herbs.
3.4 Study and research of ayurveda, and development of skilled human resources related to
research will be operated as a priority program by arranging and developing appropriate
human resources for national ayurveda research and training center.
3.5 Special focus will be given to enhance the quality of ayurveda health service by regulating
inappropriate activities in the name of ayurveda and herbs.
4. Following strategies (related to policy 4) will be adopted to aim at becoming self-sufficient in
quality medicine and medical equipment through effortless and effective importation and
utilization with emphasis on internal production.
4.1 Country will be made self sufficient in production of medicine. Arrangement will be made for
production and supply of all essential medicines.
4.2 Supplied to private and government sector, manufactured either within country or
imported, system will be developed according to the criteria for ensuring quality of
medicines, medical tools, equipments, and items used in laboratory.
4.3 Special arrangement will be done for controlling misuse of freely distributed drugs and will
increase gradually the types and numbers of freely distributed essential drugs from every
health institutions.
4.4 Making estimates, purchases, and distribution of drugs more effective and making current
arrangement of purchase and supply system strong, procedural reform including
participation of skilled pharmacist will be done in this process.
5. Following strategies (related to policy 5) will be adopted to utilize in policy formulation,
program planning, medical and treatment system, the proven behaviors or practices obtained
from researchers by enhancing the quality of research to international standard.
5.1 Current organizational, institutional and procedural state of affair of Nepal health research
council will be improved timely to increase quality of health research to international
standard. Special programs will be launched to enhance the capacity of council for the
promotion and facilitation of health research.
5.2 Health research will be regulated for providing new findings and suggestions for promoting,
safeguarding, improving and rehabilitating health of citizens and arrangement will be made
10.2 Action plans will be implemented in coordination with multi sector as various aspects such
as safe drinking water, hygiene, energy, food security, climate, environment, education,
accommodation, road including physical development impact the receipt of health services.
10.3 Sustaining the progress made in millennium development goal set for 2015 by Nepal, goal
set thereafter will be addressed effectively.
10.4 Coordination with all the stakeholder entities will be done for making multi sectoral action
plan by utilizing national network and mechanism and opportunities for addressing negative
effect on health due to climate change for overall management.
10.5 Proper arrangement will be done for effective coordination and collaboration with
stakeholders entities for managing diseases communicated through animals and insects.
11. Following strategies (related to policy 11) will be adopted to ensure the right of citizens to live
in healthy environment through effective control of environmental pollution for protection
and promotion of health.
11.1 Collaboration for leadership will be taken for regulation by developing mechanism for
controlling adverse effect of environmental pollution and climate change for health
safeguarding and promotion.
11.2 Effective arrangement will be done for managing waste generated from the entities
providing health services in scientific manner. Current legal system for managing waste will
be implemented strictly.
11.3 Act will be implemented to manage radioactive materials used in health sector according to
national and international standards.
12. Following strategies (related to policy 12) will be adopted to maintain good governance in the
health sector through necessary policy, structure and management for delivery of quality
health services.
12.1 Changes will be made to acts and rules according to need after reviewing them to make
health services in operation more effective and trustworthy. Integrated public health service
12.2 System of result oriented utilization and management will be adopted for effectively
mobilizing foreign aid in health sector by integrating all partner entities.
12.3 All physical infrastructure constructed will be made friendly to disable people, children, and
will be made earthquake resistant. Infrastructures that are being used currently but at risks
will be strengthened using available technology to make earthquake resistant. To provide
service to all physical infrastructures additional necessary infrastructure like store etc will be
added and systematized.
12.4 Health institutions are constructed according to the prevailing building standard on the
basis of physical location and population.
12.5 Modern information technology will be used at maximum for health management.
12.6 Multi-sectoral action plan will prepared and implemented to address emergency health
issues instantly arising from natural disaster and other causes.
12.7 Individuals having social prestige and respect, and individuals regarding health service as
charity, professionals, and local community will be involved in forming development
committees of various hospitals and operations and management committees of health
institutions. Community involvement is encouraged in management of health service, easy
access and continuation.
12.8 Act will be implemented for management and regulation of hospital management
committee including other committees.
12.9 Good governance action plan will be prepared and implemented for ensuring qualitative
service by incorporating government, private, community and cooperative in health service
delivery. Local cooperatives having many consumers will be participated in management of
local level health institutions by developing criteria for delivering health service.
12.10 Health good-governance action plan will be prepared and implemented for making health
service delivery transparent, responsive and publicly accountable.
12.12 Action of organ donation will be eased by defining brain dead in scientific and professional
manner, in relation to selecting appropriate organ recipient with the goal of providing
organs for transplanting will be systematized by law.
12.13 Arrangement will be made to have only one official professional trade union in relation to
current situation of many trade unions present in one health institution.
13. Following strategies (related to policy 13) will be adopted to promote public and private
sectors partnership for systematic and quality development of health sector.
13.1 Public and private partnership will be developed complimenting each other to promote
further the concept of public and private partnership.
13.3 Grant will be providing to health institutions in nongovernmental sector by making clear
criteria.
14. Following strategies (related to policy 14) will be adopted to increase the investment in the
health sector by state to ensure quality and accessible health services and to provide financial
security to citizens for medical cost and as well as effectively utilize and manage financial
resources obtained from private and non government sector.
14.1 Arrangement will be done for allocating budget on the basis of population by determining
per capita investment in health sector by acknowledging spending made in health is not
expenditure but an investment. Per capita investment will be increased gradually.
14.3 Amount appropriated for health sector will be distributed equitably by making criteria.
14.4 Nationwide insurance plan will be rolled out by making law and directives for ensuring
delivery of affordable health service by making financial management sustainable.
Arrangement will be made to provide discount for Incapable and financially poor.
14.5 Vaccine fund set up with the aim of preventing fund scarcity will be systematized through
law to conduct immunization program without interruption.
14.6 Action will be encouraged to find or help others to find new ways to manage finance of
health sector. Other funds of health sector will be made systematic and effective.
14.7 Arrangement will be made to use local level program and fund for health service and
infrastructures.
14.8 Production and sales and distribution of substance with tobacco and other substance
harmful to health will be discouraged with high taxes. Sources of fund obtained this way are
spent in health service.
15. Miscellaneous
15.1 Current sectoral policy and newly made such policies will be helpful and complementary to
implement provisions contained in this national policy.
15.2 Partnership and collaboration will be done with private, commercial groups, cooperatives,
communities and development partner organizations and not for profit service providers
with the aim of providing quality, sufficient, relevant, timely service of appropriate kind.
8. Structural arrangements
For effective implementation of this policy, departments, divisions, branches, subdivision etc of
current organizational structure from central to rural level along with additional regulating bodies,
and employee positions according to these levels will be added or reduced according to need under
the ministry of health and population by taking care of state restructuring.
9. Financial resources
Government sources, foreign loans and assistance, and investments of private sector in this sector in
totality will be the sources of implementation of this national health policy.
2. Health management information system will be amended timely and will be upgraded to
complete computerized system.
11. Risks
1. In the absence of overall resource mobilization strategy in health sector, chances of difficulty in
resource mobilization will be present.
2. Health policy may need to be readjusted by segregating programs to be included in the domain of
center and federation after the country is transformed into the federal structure.
12. Revocation
National health policy 2048 has been revoked.
INTRODUCTION
1.1 Background
This is the twenty-third annual report of the Department of Health Services (DoHS). This report
analyses the performance and achievements of DoHS in fiscal year 2073/74 (2016/2017). It focuses
on performance in 2073/74 and the following areas that provide the basis improving performance in
subsequent years:
• Programme’s policy statements, including goals, objectives, strategies, major activities and
achievements.
• Programme’s indicators.
• Problems, issues, constraints and recommendations on improving performance and achieving
targets.
This report also provides information on the contributions of the Department of Ayurveda and
Department of Drug Administration, the health councils, partners and stakeholders on
contemporary issues in the health sector as well as the progress of major programmes implemented
by DoHS and its regional health directorates (RHDs), district health offices (DHOs), district public
health offices (DPHOs) and health facilities.
The preparation of this report follows the seven province level workshop in parallel sessions on the
first two days that culminated in the National Annual Performance Review Workshop date on 20 –25
September 2017 which was held in Kathmandu..These workshops were attended by senior
personnel from the regional directorates, divisions, centres and sections, central level hospitals, and
by representatives of external development partners (EDPs) and non-governmental organizations
(NGOs and INGOs).
Workshop participants reviewed the policy statements of each programme and analysed data
generated by the Health Management Information System (HMIS and from other sources on
selected indicators. These data were interpreted during the presentations and discussions.
The Ministry of Health delivers promotional, preventive, diagnostic, curative, and palliative health
care services and carries out related policy, planning, human resource, financial management and
monitoring and evaluation functions. MoH has five divisions: the Curative Services Division; the
Policy, Planning and International Cooperation Division (PPICD); the Public Health, Monitoring and
Evaluation Division; the Human Resources and Financial Management Division and the
Administration Division.
Nepal’s public health system has the following six centres that have a degree of autonomy in
personnel and financial management: National Health Education, Information and Communication
Centre (NHEICC); National Health Training Centre (NHTC); National Centre for AIDS and STD Control
(NCASC); National Tuberculosis Centre (NTC); National Public Health Laboratory (NPHL) and Vector-
Borne Disease Training and Research Centre (VBDTRC). The NHTC coordinates all training
programmes of the divisions and implements training by sharing common inputs and reducing the
travelling time of care providers. All information, education and communication (IEC) and behaviour
change communication (BCC) activities are coordinated by NHIECC. The centres support the delivery
of essential health care services (EHCS) and work in coordination with the respective divisions. In
addition, the six professional councils (Nepal Medical Council, Nepal Nursing Council, Nepal
Ayurvedic Medical Council, Nepal Health Professional Council, Nepal Pharmacy Council and Nepal
Health Research Council) accredit health-related schools and training centres and regulate care
providers.
DoHS, the Department of Ayurveda (DoA) and the Department of Drug Administration (DDA) come
under MoH. These three departments are responsible for formulating and implementing
programmes, the use of financial resources and accountability, and monitoring and evaluation. DDA
is the regulatory authority for assuring the quality and regulating the import, export, production,
sale and distribution of drugs. The Department of Ayurveda offers Ayurvedic care and implements
health promotional activities.
VBDRTC
NHEICC
PHCRD
NCSAC
NHTC
EDCD
NPHL
LMD
CHD
FHD
NTC
LCD
MD
CENTRAL HOSPITALS - 6
REGIONAL TB
HOSPITAL – 2
HOSPITAL - 3
CENTRE - 1
REGIONAL
REGIONAL
REGIONAL
-5
ZONAL HOSPITAL – 10
The five RHDs provide technical backstopping and programme monitoring to district health systems
and come directly under MoH. The regional, sub-regional and zonal hospitals have decentralised
authority through their hospital development boards. There are also training centres, laboratories,
TB centres (in some regions) and medical stores at the regional level.
Each of Nepal’s districts has either a DHO or DPHO. The DPHOs and DHOs are responsible for
implementing EHCS and monitoring activities and outputs of district hospitals, primary health care
centres (PHCCs) and health posts. The public health care service delivery outlets include health
posts, PHCCs, health centres, district and other hospitals, zonal hospitals, sub-regional hospitals,
regional hospitals, and central level hospitals.
Health posts are the first institutional contact point for basic health services. These lowest level
health facilities monitor the activities of FCHVs and the community-based activities of primary health
care outreach clinics (PHC-ORCs) and EPI clinics. In addition, they are the referral centres of FCHVs as
well as venues for community based activities such as PHC-ORC and EPI clinics. Each level above the
health post level is a referral point in a network from PHCCs on to district, zonal sub-regional and
regional hospitals, and finally to tertiary level hospitals. This hierarchy is designed to ensure that
most of the population can receive public health and minor treatment in accessible places. Inversely,
the system works as a supporting mechanism for lower levels by providing logistical, financial,
monitory supervisory and technical support from the centre to the periphery.
Annex 1 presents the achievement of targets of DoHS’s programmes, Annex 2 gives the programme
targets for the next fiscal year (2074/75), Annex 3 gives the human resource situation of all districts,
while Annex 4 presents the target populations for FY 2073/74 and 2074/75 and health services raw
and analysed data by the indicators of different programmes disaggregated by ecological,
development regions and districts.
Source: HMIS
Chapter 2
Child Health: Immunization
CHILD HEALTH
National Immunization Program (NIP) formerly Expanded Program on Immunization (EPI) was
started in 2034 and is a priority 1 program. It is one of the successful public health interventions of
Ministry of Health and has achieved several milestones and contributed in reduction of morbidity,
mortality and disability associated with vaccine preventable diseases.
National Immunization Program works closely with other divisions of Department of Health Services,
centres of Ministry of Health and different partners supporting routine immunization. EPI section is
one of the sections among the three sections of Child Health Division which plans, executes and
monitors several activities of immunization. Vaccine and cold chain section of Logistics Management
Division procures, stores and distributes vaccine throughout the country as planned by EPI section of
CHD, while NHEICC develops routine and supplementary immunization's IEC and social mobilization
materials and conducts activities in close coordination with the EPI section. Capacity building of
health staffs on routine immunization in close coordination with EPI section is executed through
National Health and Regional Health Training Centres. Immunization related information is collected
through HMIS section of Management Division and is shared quarterly for review and feedback. EPI
section of Child Health Division coordinates several stakeholders of immunization to execute
activities of the annual work plan.
National Immunization Program has included several underused and new vaccines in program and
currently there are eleven antigens–BCG, DPTHepBHib (penta), PCV, OPV (bOPV), Measles and
Rubella (MR) and Japanese Encephalitis provided through 16,000 service delivery points in health
facilities (fixed session), outreach sessions and mobile clinic (sessions). Inactivated Polio Vaccine
(IPV) which was introduced in routine immunization in 2014 has stock out globally and has stopped
temporarily but is in plan to be introduced in 2018 as fractional IPV (fIPV). Government of Nepal
procures BCG, OPV, Td, JE, measles/rubella 1st dose and co-finances to GAVI supported vaccines
DPTHepBHib, PCV and measles component of MR2.
National Immunization Program has cMYP 2017-2021 aligned with global, regional and national
guidelines, policies and recommendation to guide the program for five years. All the activities
outlined in cMYP have been costed as well as have developed strategies for implementation.
National Immunization Program has a very good record to meet the eradication, elimination and
control of vaccine preventable disease targets. Small pox eradication has become the history, MNT
elimination status is sustained from 2005, polio free status is maintained since 2010, measles
elimination and rubella, congenital rubella syndrome control is targeted by 2019. Japanese
encephalitis and other vaccine preventable diseases like pertussis are in state of control however 10
cases of Diphtheria were reported from various parts of the country.
National Immunization Program produces evidences on burden of diseases which can be prevented
from vaccines like rotavirus diarrhoea, invasive bacterial disease etc. in collaboration of academia
and research institutes within the country. National Immunization Program with the support of WHO
works with various committees functions as advisory, quality monitoring of immunization program
like National committee for immunization practice, Adverse Events Following Immunization
Most of the activities in past years were identified and carried out as per goal and objectives
spelled in cMYP 2012-16 and have been either met or near to be met and that will be discussed
in subsequent chapters. However, booster dose of currently used antigen based on evidence and
protection of adult from potential VPDs have not been met.
3. TARGET POPULATION
3.1 Under 1 year children for BCG, DPT-HepB-Hib, OPV, IPV, PCV and Measles/ Rubella1 (MR1)
vaccine.
3.2 Twelve months children for JE
3.3 15 months children for MRSD
8 DoHS, Annual Report 2073/74 (2016/2017)
Child Health: Immunization
3.4 Pregnant women for Tetanus Toxoid containing (Td) vaccine.
5.3 Achievements against objective no. 1: Achieve and maintain at least 90% vaccination coverage
for all antigens at national and district level by 2016.
The table and map presented below shows the achievement status against objective no. 1:
Above table 2.1.2 shows antigens wise coverage at national level during FY 2073/74 and figure 2.1.2
shows the three years trends of immunization coverage. Immunization coverage of all antigens
except IPV was found increased in FY 2073/74 as compared to FY 2072/73. The highest coverage was
91.34% for BCG, 90.73% and 90.14% for DPTHepBHIb1 and OPV1 respectively. Similarly, the
coverage of DPTHepBHib3 and OPV3 were 86.79% and 85.93 respectively. The children who have
completed the 3rd dose of DPT-HepB-Hib and OPV after their first birthday is accounted 5.14% of
the national coverage. If this coverage of 5.14% aggregated to DPTHepBHib3 and OPV3, the
coverage reaches to above 90% for both antigens. The coverage of 1st, 2nd and 3rd dose of
DPTHepBHib and OPV is different; since these doses are administered in same settings should be the
same. The coverage of PCV1 was 88.20% and that of PCV3 was 77.73%. The IPV coverage is only 16%
because there is shortage (globally and nationally) of IPV vaccine since October 2016. Measles
Figure 2.1.3: Districts with > 90% for all antigens (BCG, DPTHepBHib, OPV, PCV and MR1)
The above map 2.1.3 shows that only 8 districts have achieved ≥90% coverage with BCG,
DPTHepBHIb3, OPV3, PCV3 and MR1. Since PCV and MR2 were not introduced during the
development of cMYP 2012-16 and JE vaccine was only introduced in all 75 districts in 2016, if we
exclude PCV and JE from the objective 1, there will be 30 districts achieving ≥90% coverage.
Figure 2.1.4 and Figure 2.1.4a. : 3 years trend of DPTHepHib3 coverage by region and 1 year
coverage by province
Figure 2.1.4 shows that DPTHepBHib3 coverage during Fy 2073/074 remained between 82% to 92%
in all development regions and highest being in MWDR (92%) whereas lowest in WDR (82%). Figure
Table 2.1.3: Districts categorized based on the 80% coverage of DPT-HepB-Hib1 (Access) and drop
out less than 10% of DPT-HepB-Hib1 VS DPT-HepB-Hib3 (Utilization) 2073/74
Table 2.1.3 shows that 54 CAT1 districts have good accessibility as well as utilization of immunization
services i.e. more than 80% children have sufficient immunization service delivery points to utilize
the immunization services, thus the dropout rate is less than 10%. The 5 districts under CAT 2 have
problems of utilizing immunization services, thus have high dropout rate. The 18 districts under CAT
3 have problems of accessibility for the immunization service delivery i.e. either there are not
sufficient sessions or all sessions have not delivered their immunization services throughout the
year. There are no districts under CAT 4.
The un-immunized children are calculated against DPTHepBHib3 i.e. total targeted children of under
1 year minus children who received 3rd dose of DPTHepBHib. The number of unimmunized children
with DPTHepBHib3 was 84,231 in 2073/74 which was 122,168 in 2072/73, and 56,513 in 2071/72.
Though the number of unimmunized children in 2073/74 is less than previous year yet it remains
high. If the number of children who completed their 3rd dose of DPTHepbHib3 after their first
birthday are subtracted in this number, the unimmunized children will be 52,150.
Measles elimination and rubella and congenital rubella syndrome control is targeted by 2019. To
achieve this target, the coverage of MR1 and MR2 should be minimum of 95% universally.
Figure 2.1.5 shows region wise 3 years measles rubella 1st dose coverage and figure 2.1.5a shows
province wise coverage of MR1 and MR2 during 2073/74. MR1 coverage has increased by 7% at
national level compared to previous year of 77%. Similarly, the MR1 coverage has increased in EDR,
CDR, WDR, MWDR and FWDR by 5%, 12%, 1%, 9% and 3% respectively compared to the previous
year. None of the regions have reached to 95% in Fy 2073/74. The highest of 92% was in MWDR and
lowest of 80% in WDR. The MR2 coverage in Fy 2073/74 was found 57% and is far lower than
expected.
Province wise coverage of MR1 (figure 2.1.5b) shows highest coverage of 96% in province 6 and
lowest of 75% in province no. 4 during Fy 2073/74. Similarly, MR2 coverage was only 57% at national
level which was found highest of 67% in province no. 5 and lowest of 49% each in province no. 2 & 3.
Td vaccine is given to pregnant women. Previously unimmunized pregnant woman receives 2 doses
of Td vaccine. Those who have completed their 2 or more doses of Td vaccines during their past
pregnancies receive 1 dose Td vaccine.
Above figures 2.1.6 and 2.1.6a show the Td2 and Td2+ coverage trend for 3 years by region and Td2
and Td2+ coverage during 2073/74 by province respectively. Td2+ includes cumulative doses of Td or
tetanus toxoid containing vaccine doses received during the present and past pregnancies. Td2 and
Td2+ coverage has decreased by 2% at national level as compared to previous year 2072/73. Highest
declining of Td2+ coverage by 6% has found in WDR and found decreased by 3% in EDR, 1% in each
MWDR and FWDR. The coverage Td2+ of CDR is 1% higher than previous year. In provinces, the
highest coverage of 81% is reported in province no. 2 and lowest of 49% in province no. 3 during FY
2073/74.
6.1 Polio Supplementary immunization: Nepal is polio free since 2010. Nepal falls in tier3 country
among globally targeted country for supplementary immunization activities and GPEI did not plan
for polio SIA, however NIP decided to conduct supplementary immunization in limited geographical
areas based on the immunity gap. Thus one dose of OPV was administered in selected 15 districts on
4-5 March 2017 (21-22 Falgun 2073). Total children under 5 children received OPV were 1,462,863
against 1,585,612 targeted (108%).
Source: CHD/DoHS
7. In objective 2, cMYP 2012-16 has set the objective to ensure access to vaccines of assured quality
and with appropriate waste management and the NIP has strictly followed the objective as the
vaccines used in routine immunization are WHO prequalified. All vaccines received had expiry date
more than 18 months and attached with appropriate vaccine vial monitors (VVM). Vaccine
transported with appropriately conditioned icepacks both at store and sessions level. Auto Disable
(AD) syringes are used to administer each dose of vaccine and one syringe for one vial is used to
reconstitute the vaccine vial. Injection safety and multi-dose vial policy are in place. In case of
adverse events following immunization, cases are thoroughly investigated and causal association is
established by expert AEFI committee members. Surveillance of Adverse Events Following
Immunization (AEFI) is one of the functional surveillance systems.
8. In objective 3, cMYP 2012-16 has set the objective to achieve and maintain polio free status. The
standard indicators for polio eradication program have been discussed in successive chapters.
Nepal is polio free since August 2010. Officially SEAR (South East Asian Region) region was declared
polio free on 27 March 2014. Nepal has been able to sustain polio free status. The non AFP rate as
well as adequate stool collection rate has been maintained above the global surveillance standard.
Figure 2.1.11: Map showing reported Acute Flaccid Paralysis (AFP) in FY 2073/74
The map (figure 2.1.12) shows non polio AFP rate by districts. National non polio AFP rate is 4.5
(more than 2/1,00,000 under 15 populations). There are 61 districts which have reported non polio
AFP rate more than 2 and 11 districts have non polio AFP rate between 1 to 1.9, and 1 district has
reported less than 1 non polio AFP rate. There are 5 districts which have not reported AFP cases and
these districts have very sparse population.
The table below shows province wise non polio AFP and adequate stool collection rate. All the
provinces have met the standard indicators of non-AFP rate more than 2 and adequate stool
collection more than 80%.
Table 2.1.4: NPAFP and Adequate Stool collection Rate by Province, FY 2073/74
Province NPAFP Cases NPAFP Rate Stool Adq
Note: the non-polio AFP and adequate stool collection rate of Nawalparasi and Rukum have been
calculated as old structure
The map (Figure 2.1.13) shows adequate stool collection rate which is 97% nationally (Adequate
stool collection rate should be more than 80%). Nationally, the adequate stool collection rate is
above the surveillance standard while in 5 districts, no AFP were reported and in most of the district
the adequate stool collection rate is more than 80%.
9. In objective no. 4, cMYP 2012-16 has set the objective to maintain maternal and neonatal tetanus
elimination status. The status is as follows:
10. In objective no. 5, the cMYP 2012-16 has set the objectives to initiate measles elimination.
Measles elimination is a flagship program of SEAR. Nepal has targeted measles elimination by 2019
while SEAR has targeted elimination by 2020. There are 520 case based measles surveillance sites.
The case based measles surveillance sites are in expansion phase throughout the country. The
sensitivity of measles surveillance is evaluated against non-measles and non- rubella (NMNR) cases
and that should be more then 2 /1,00,000 populations. Currently the non-measles and non- rubella
rate is 2.9/1,00,000 i.e. meet the surveillance standard nationally.
Figure 2.1.15 shows laboratory confirmed measles, rubella cases from 2003 to 2014. There is a
drastic reduction in measles and rubella cases. There were 203 suspected measles cases reported
from 16 suspected measles outbreak. Among them, twelve were confirmed measles outbreaks and
total 100 measles cases were laboratories confirmed and EPI linked measles cases detected during
the period.
The table below shows the province wise non-measles and non-rubella cases and rate. All the
provinces have met NMNR standard of more than 2. The highest NMNR was 5.47 in province no. 6
and lowest in 0.52 in province no. 2.
11. The objective no. 6 of cMYP 2012- 16 has set the objectives to accelerate control of vaccine
preventable diseases through introduction of new and underused vaccines. Japanese Encephalitis
has remained endemic in country. Periodically the disease outbreak has been recorded especially in
southern part of Nepal. To control the disease, National Immunization Program decided to introduce
JE vaccine (SA-14-14-2) in high burdened districts first, in phased manner from 2006 until 2011 and
thus it was expanded in 31 districts until 2015. In 2016, the vaccine has been introduced in all 75
districts in routine after mass campaign of JE vaccine.
ACUTE ENCEPHALITIS SYNDROME SURVEILLANCE: Acute encephalitis syndrome surveillance was
initiated in 2003/04 built on AFP network to know the burden of disease of Japanese Encephalitis
throughout the country. The status of JE disease is as follows:
Figure 2.1.16 shows the trend of reported AES and laboratory JE cases since 2004 to 2016. In
2073/74 total of 85 cases of confirmed JE detected from 33 districts.
Figure 2.1.17: Reported AES and laboratory confirmed JE cases by districts in FY 2073/2074
Figure 2.1.17 shows that 72 districts have reported AES cases and only 38 districts have 127
laboratory confirmed JE cases.
Province wise data shows that highest JE cases were reported from province no. 2 followed by 1 and
5 and no provinces remained free of disease.
12. The objective 7 of cMYP 2012-16 has set the objective to strengthen and expand VPD
surveillance. National program with the technical and financial support of WHO, Surveillance on
Invasive Bacterial disease (IBD) and Rota Virus Diarrhoea is ongoing in 2 sentinel sites.
13. The objective 8 of cMYP 2012-16 has set the objective to continue to expand immunization
beyond infancy. National Immunization Program has completed feasibility study for the introduction
of Human papilloma Virus vaccine in 2 districts (Chitwan and Kaski). National Committee for
Immunization practice has recommended for the introduction of HPV in routine immunization.
Source:
ource: HMIS/MD/DoHS
2.2 Nutrition
2.2.1 Background
Nutrition section under Child Health Division is responsible for national nutrition program for
improving the nutritional status of children, pregnant women and adolescents. Its goal is to
achieve nutritional well-being of all people to maintain a healthy life to contribute in the
socio-economic development of the country, through improved nutrition program implementation in
collaboration with relevant sectors. Nutrition interventions are cost effective investments for
attaining many of the Sustainable Development Goals. In alignment with international and national
declarations and national health policies, the Government of Nepal is committed to ensuring that its
citizens have adequate food, health and nutrition. The Constitution (2015) ensures the right to food,
health and nutrition to all citizens. Hunger and under-nutrition often results in the vicious cycle of
malnutrition and infections that leads to poor cognitive and intellectual development, less
productivity and compromised socioeconomic development.
Focus on nutrition — Nutrition is a globally recognized development agenda. Since the year 2000,
several global movements have advocated nutrition for development. The Scaling-Up-Nutrition (SUN)
initiative calls for multi-sectoral action for improved nutrition during the first 1,000 days of life. The
Government of Nepal as an early member of SUN adopted the Multi-sector Nutrition Plan (MSNP) in
2012 to reduce chronic nutrition. Recently, the UN General Assembly declared the 2016–2025 period
as the Decade of Action on Nutrition.
Policy initiatives — The National Nutrition Policy and Strategy was officially endorsed in 2004 to
address all forms of malnutrition including under-nutrition and over-nutrition. This policy provides
the strategic and programmatic directions in the health sector while the MSNP provides a broader
policy framework within and beyond the health sector under a Food and Nutrition Security
Secretariat of the National Planning Commission that coordinates its implementation. The National
Health Policy, 2071 highlights improved nutrition via the use and promotion of quality and nutritious
foods generated locally to fight malnutrition. The Nutrition Technical Committee was established in
CHD in 2011 to support multi-sectoral coordination for developing nutrition programmes.
Aligning with the MSNP and current global initiatives, CHD – nutrition section has developed
strategies and plans for improving maternal infant and young child nutrition assisted by experts from
the Nutrition Technical Committee. Moreover, as recommended by the Nepal Nutrition Assessment
and Gap Analysis (NAGA) and guided by MSNP, in 2012–2013 MoH conducted an Organization and
Management Survey towards establishing a National Nutrition Centre for implementing MSNP in the
health sector. Recently, MSNP -2 has been approved for 2075/76 – 2079/80.
The overall objective of the national nutrition programme undertaken by nutrition section is to
enhance nutritional well-being, reduce child and maternal mortality and contribute to equitable
human development.
2.2.4 Targets
In FY 2073/74, the percentage of newborns with low birth weight (<2.5 kg) was increased to 11% at
national level from that as 9% in FY 2072/73. It was similar across the provinces with the highest rate
in the province 1 (15.4 percent) while lowest rate at province 6 (6.9 percent) (Figure 2.2.1).
Nationally, there was an average of 3 visits per child in FY 2073/74 and it was slightly decreased from
the previous year. As far as provinces are concerned, the provinces 1, 4 and 7 had average visits
more than that of the national average whereas the province 2 had the lowest average visits across
the provinces (Figure 2.2.2).
Figure 2.2.1: Percentage of newborns with low Figure 2.2.2: Average no. of growth monitoring
birth weight (<2.5 kg) visits per child (0–23 months)
4 3.9 3.8
15.4
3.2 3.3
13.3 3 2.9 3
11.8 3
11.3 2.5 2.5
10.5
9.9
9 1.9
8.4
2
6.9
8.9
The percentage of children aged 0 to 23 months registered for growth monitoring in 2073/74 (69 per
cents) was sharply increased from the previous fiscal year, however, it was still less than that in FY
2071/72. Across the provinces, the province 7 had the highest percentage while province 3 had the
lowest percentage of children aged 0 to 23 months registered for growth monitoring in 2073/74
(Figure 2.2.3).
In 2072/73, 4.4 percent of 0-23 month olds was reported as underweight at national level among
children at their first growth monitoring while it was tremendously decreased for those at repeated
visits highlighting importance of growth monitoring. The highest proportion of underweight children
were from the provinces 6 and 7 while the least was from provinces 1 and 4 (Figure 2.2.4).
Figure 2.2.3: Percentage of children aged 0–23 Figure 2.2.4: Percentage of registered children aged 0-23
months registered for growth with underweight (New Vs Repeat Visits)
monitoring
110 10 9.5
100 8 7.3
2 1.5 1.2
40 1.1 0.8
0.5 0.5 0.5 0.6
0.2 0.1
0
20
0
% of children aged 0–23 months registered for growth
monitoring who were underweight (New)
% of children aged 0–23 months registered for growth
FY 2071/72 FY 2072/73 FY 2073/74 monitoring who were underweight (Repeat)
IYCF is also linked with the distribution of micro-nutrient powder (Baal Vita) in 15 districts and with
child cash grants (CCG) in the five Karnali Zone districts. However, more effective counselling and
monitoring mechanisms are needed for these programmes.
There is a large provincial difference in the percentage of children aged 0-6 months that registered
for growth monitoring and were exclusively breastfed in their first six months. In FY 2073/74, 40.8
percent of these children were exclusively breastfed in the province 3 compared to only 3.1 percent
of such children in the province 2 (Figure2.2.5). The national average was 25.1 percent, which was
decreased by 7% from the previous year. Moreover, it is much less than the 2016 Nepal Demographic
and Health Survey (NDHS) figure - 66 percent.
The proportion of 6-8 month old children registered for growth monitoring who received
complementary foods varied in FY 2073/74 from about 3 percent of these children in the province 2
to 64.6 percent in the province 3 (Figure 2.2.6). Nationally, only 30.6 percent of these children
received complementary food which is much lower than the NDHS 2016 figure of 84 percent. The
current data suggests reflects the poor timely introduction of complementary feeding and the
consequent need to provide appropriate counselling to mothers and caregivers to improve feeding
practices.
64.6
40.8
40 37.3
35.5
35 31.7
28.5 25.1
39.5
30 26.4
37.2
32.3
30.6
25 20.9
27.5
27.3
23.5
20
14.1
12.3
15
10
2.9
5 3.1
Source HMIS
HMIS/MD/DoHS Source HMIS/MD/DoHS
HMIS/MD/DoHS
In 2073/
2073/-74,
74, total 15,633 children with SAM admitted in outpatient’s therapeutic programme 21
districts. Among them, 13,378 were discharged with 10651 with complete recovery. Among all
discharged SAM cases, 80 percent were recovered, less than 1 percent died and 10 percent were
defaulter, which are within the SPHERE standards of effectiveness of IMAM Program: recovery
reco rate
>75 percent, defaulter rate <15 percent and death rate <10 percent. However, few districts, including
Sarlahi, Parsa, Chitwan, and Acham achieved substantially below average results (Table 2.2.2). In
some districts, the number of discharged child
children
ren is higher than that of admitted children, this is due
to reason that some of the children being admitted in previous years and continued treatment in
current fiscal year.
65 60 57 56 52 55
60 44 40 49
41 43 40 40
40 31 32 28
24
20
0
National Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7
PLW receiving IFA 1st time PLW Receiving 180 IFA PPW receiving 45 IFA
The coverage of first time iron distribution is high at 74 percent nationally with the highest coverage
in province 5,6, and 7 (98 percent, 100 percent, and 81 percent respectively), but the compliance of
taking 180 tablets throughout the pregnancy (44 percent) and 45 days post-partum (40 percent) is
substantially low. Province 3 has the lowest coverage amongst all for all three indicators.
Figure 2.2.8: IFA distribution as percentage of expected live births in Nepal in last three years
The promotion of MNPs is linked with improving complementary feeding. Mothers and caregivers
are counselled to introduce complementary foods at six months of age, on age-appropriate feeding
frequency, on improving dietary quality of complementary foods by making them nutrient and
calorie dense, as well as on hand washing with soap before feeding. Mothers and caregivers are
trained to prepare ‘poshilo jaulo’ (pulses, rice and green vegetables cooked in oil) and ‘lito’ (mixture
of blended and roasted cereal and legume flours). A feasibility study of the programme in 2008/09
found strong community acceptance with a very high coverage and compliance on the use of MNP.
The linking of IYCF with MNPs has contributed to significant improvement in IYCF practices. The
prevalence of anemia among children age 6-23 months has decreased to 68% (NDHS, 2016) from 78
percent. However, it still calls for continuous effort as the coverage of the program is not very
promising.
In 2073/74 58 percent of children aged 6 to 23 months had taken their first dose of multiple
micronutrient power (MNP-Baal Vita) in the 16 programme districts. Rasuwa and Gorkha has the
highest coverage at 100 percent while Makawanpur has the lowest at 49 percent. Compared to the
1st cycle of MNP intake, the 3rd cycle of intake indicating the compliance is relatively low at 42
percent. Here, it is important to mention that coverage of 1 st cycle intake is calculated based on the
target population of 6-23 months, while that of 3rd cycle is calculated among the children aged 18-23
months, who have ever taken MNP. This was done as the target population for aged 12-18 and 18-23
months is not available in HMIS estimation. Rasuwa and Gorkha seem performing well with the
higher coverage while Rukum west needs to make intensive efforts. Overall, effective nutrition
education, counselling and follow up to the mothers/caretakers is essential to improve coverage as
well as comply with the recommended doses of MNPs.
There are, however, disparities in the use of iodized salt. The NDHS 2016 found the Province 2 to
have the highest coverage (99.3 percent), while the Province 6 had the lowest (85.1 percent) (Figure
2.2.10).
).
Figure 2.2.
2.2.9:: Percentage of households using iodized salt
110
94.9
90 80 81.5
70
55.2 57.5
50.4
50
30
10
-10 1998 NMSS 2005 NIDDS 2010 (FWDR & 2011 NDHS 2014 NMICS 2016 NDHS
MWDR)
120
97 100 100
100 93
85 87 88
81 82 84
78 76 80
80 72 75
70
Percentage
60
40
20
0
National Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7
Kartik 2073 (October 2016) Baisakh 2074 (April 2017)
Source: HMIS/MD/DoHS
From this fiscal year, the progress on biannual Vitamin A supplementation is presented by 1 st Round
(Kartik) and 2nd Round (Baisakh). The overall national achievement is more than 80 percent among
the children aged 6-59 months with 85 percent in Kartik and 81 percent in Baisakh. Nonetheless, the
coverage by provinces varies with province 5 and 6 with higher proportion of children receiving
vitamin A supplementation with the province 4 and 5 with the lover proportions of children receiving
it.
119 118
120 120
97 100 98
96 97 97 97
92 93
100 88 84 90 87 87 100 87 89
84
80 82 80 77 78
74 72 75
80 69 73 80 68 71
Percentage
66
Percentage
60 60
40 40
20 20
0 0
In both round, except in province 3 and 4, the relatively higher percentage of children aged 6-11
month had received Vitamin A compared to the children aged 12-59 months. The overall national
coverage does not vary much by age-groups in Kartik and Baisakh rounds. Additionally, the provinces
3 and 4 also showed the lowest coverage amongst other provinces. The relatively higher coverage of
the children aged 6-11 months in the Mid-western and Far Western regions could be due to the
introduction of new strategy of vitamin A supplementation to the infants aged 6-11 months in
2014/15. This strategy allowed health facilities and FCHVs to provide vitamin A to children
immediately after they reached six months of age. Under this strategy, children then receive the
second dose at the regular biannual supplementation events. Majority of the districts in provinces 2,
6 and 7 are supplementing Vitamin A with this new service delivery mechanism.
2.2.6.9 Biannual Deworming Tablet Distribution to the Children aged 12-59 months
Child Health Division attempts to include report on biannual deworming tablets distribution to the
children aged 12-59 months. Aiming to reduce childhood anemia with control or parasitic infestation
through public health measures, this activity is integrated with biannual Vitamin A supplementation
to the children aged 6-59 months, which takes place nationally in every ward on first week of Baisakh
and Kartik each year. Deworming to the target children was initiated in few districts during the year
2000 integrating with biannual Vitamin A supplementation and with gradual scaling-up, the program
was successfully implemented nationwide by the year 2010.
The report is presented separately for Baisakh and Kartik round of FY 2073/074. As shown in figure
2.2.13, the national coverage of deworming tablet distribution is 84 percent in Kartik round and 71
percent in Baisakh round. For all the provinces, the coverage shown similar pattern with higher in
Karik and lower in Baisakh with exception in province 3. Province-wise, province 5 and 6 shows
highest coverage with province 2 and 3 with relatively low coverage. In province 1, the coverage for
Baisakh is substantially low (56 percent) than that in Kartik (86 percent).
120
96 98
100 86 90 87
84 79 84 82
Percentage
80 71 72 73 76 68
56 58
60
40
20
0
National Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7
Kartik 2073 (October 2016) Baisakh 2074 (April 2017)
Source: HMIS/MD/DoHS
During 2008-2012, government had implemented a pilot SHN project in primary schools based on the
Joint Action Plan in Sindhupalchowk and Syangja districts. This pilot project has some promising
results recommending to scaling up of the program in other districts. With gradual scaling-up, the
program has covered all 75 districts by FY 2073/074. The current Joint Action Plan (2071/072 to
2075/76) calls for:
annual health screening
biannual deworming of Grade 1–10 school children
a first aid kit box with refilling mechanism in all primary schools
hand washing facilities with soap in all schools
toilets in all schools
the use of the new attendance registers in all schools
orient school management committees on facilitating health and nutrition activities
child club mobilization on health and nutrition issues.
One of the major activity under SHN Program is Biannual School Deworming to all the School-aged-
children (SAC) that is conducted in first week of Jestha and Mangsir every year. District (Public)
Health Offices provide deworming tablets to the respective District Education Offices and the school-
focal-teachers distribute the tablets to the SAC in their school. Until the last FY, progress in this
regard has not been reported in the annual report due to the very poor, almost no reporting to the
system. However, though very low, there is some reporting this FY as presented in the figure 2.2.14
below. As reflected, national coverage of school deworming is as low as 29 percent with the highest
in province 6 (81 percent) and with lowest in province 2 (only 5 percent).
100
81
80
Percentage
60
40
40 29 30 29
26
21
20
5
0
National Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7
Source: HMIS /MD/DoHS
/DoHS
2.2.6.11
.2.6.11 Adolescent Girls Iron Folic Acid Supplementation
From FY 2072/073, the SHN Program has initiated Weekly Iron Folic Acid (IFA) supplementation to
the adolescent girls aged 10-19
10 19 years aiming to prevent and control the high burden of Iron
Deficiency Anemia among this particular group of population. This ac
activity
tivity was piloted in Kathmandu,
Dolakha, Khotang, Panchthar, Bhojpur, Saptari, Puthan and Kapilvastu in FY 2072/073. In FY
2073/074, scaling up of the program was planned in 17 more districts, namely Humla, Bajura,
Bajhnag, Doti, Bhaktapur, Rupandehi, ManManang,
ang, Surkhet, Parsa, Jumla, Mahottari, Kalikot, Sarlahi,
bara, Mugu, Dolpa, and Udaypur. Child Health Division has completed the Training to the concerned
official from all these districts. However, the program has yet not been implemented in all the
districts
icts due to the various reason.
2.2.6.12
.2.6.12 Nutrition in emergencies
In addition to the regular nutrition program intervention, Child Health Division also provide services
of Nutrition in Emergencies. When an emergency caused by any reasons such as natural disasters
(earthquake, flood, drought, etc.), conflicts or any other cause occurs affecting the overall health,
nutrition, and livelihoods of all the population either in any are of the country or nationwide,
Nutrition in Emergencies (NiE) services is provided to the affected areas. NiE interventions focus on
the pregnant and lactating women (PLWs) and children under five years of age as they are
nutritionally most vulnerable during any emergency. Under NiE interventions following Five Building
Blocks of nutrition interventions are implemented in the affected areas of the ccountry.
ountry.
Promotion, protection and support to breast feeding of infant and young children aged 0-23
0
months.
Promotion of proper complementary feeding to the infant and young children aged 6-23 6
months.
Management of moderate acute malnutrition (MAM) among the children aged 6-59
6 59 months and
among PLWs through targeted supplementary feeding program (TSFP).
42 DoHS, Annual Report 2073/74
207 (201
(2016/2017)
Child Health
Management of severe acute malnutrition among the children aged 6-59 months through
therapeutic feeding.
Intensification of Micronutrient supplementation for children and women including MNP and
vitamin A for children aged 6-59 months, IFA for pregnant and postnatal women.
5 Children aged 6-59 months received multiple micronutrient powders (Baal Vita) 85
2.3.1 Introduction
In Nepal, Child survival intervention began when Control of Diarrhoeal Disease (CDD) Program was
initiated in 1983. Further, Acute Respiratory Infection (ARI) Control Program was initiated in 1987.
To maximize the ARI related services at the household level, referral model and treatment model at
the community level were piloted. An evaluation of this intervention in 1997 revealed that
treatment model was more effective and popular in the community than referral model. In
1997/98, ARI intervention was combined with CDD and named as CB-AC program. One year later
two more components, nutrition and immunization, were also incorporated in the CBAC program.
IMCI program was piloted in Mahottari district and was extended to the community level as well.
Finally, the government decided to merge the CBAC into IMCI in 1999 and named it as Community-
Based Integrated Management of Childhood Illness (CB-IMCI). CB-IMCI included the major
childhood killer diseases like pneumonia, diarrhoea, malaria, measles, and malnutrition. The
strategies adopted in IMCI were improving knowledge and case management skills of health service
providers, overall health systems strengthening and improving community and household level care
practices. After piloting of low osmolar ORS and Zinc supplementation, it was incorporated in CB-
IMCI program in 2005. Nationwide implementation of CB-IMCI was completed in 2009 and revised
in 2012 incorporating important new interventions.
Up to 2005, Nepal had made a huge progress in reduction of under-five and infant mortality,
however, the reduction of neonatal mortality was observed very sluggish because the country had
no targeted interventions for newborns especially at community level. State of world report, WHO
showed that major causes of mortality were infections, asphyxia, low birth weight and
hypothermia. The Government of Nepal formulated the National Neonatal Health Strategy 2004.
Based on this 'Community-Based New Born Care Program (CB-NCP)' was designed in 2007, and
piloted in 2009. CB-NCP incorporated seven strategic interventions: behaviour change
communication, promotion of institutional delivery, postnatal care, management of neonatal
sepsis, care of low birth weight newborns, prevention and management of hypothermia and
recognition and resuscitation of birth asphyxia. Furthermore, in September 2011, Ministry of Health
and Population decided to implement the Chlorhexidine (CHX) Digluconate (7.1% w/v) aiming to
prevent umbilical infection of the newborn. The government decided to scale up CB-NCP and
simultaneously, the program was evaluated in 10 piloted districts. Upto 2014, CB-NCP was
implemented in 41 districts covering 70% population.
In both of the programs (CB-IMCI and CB-NCP), FCHVs were considered as frontline health service
providers but quality and coverage of service were very low. CB-NCP and CB-IMCI have similarities
in interventions, program management, service delivery and target beneficiaries. Both programs
have duplicated interventions like management of neonatal sepsis, promotion of essential newborn
care practices, infection prevention, and management of low birth weight. Though FCHVs are doing
very good on the promotion of healthy behaviours, they are found poorly performing in service
delivery. Moreover, they are overburdened with workloads and massive resource was used in a
fragmented manner for the same purpose. Also, inequity in quality service delivery and utilization
are the major challenges in newborn and child health programs. Health governance issue is also
affecting to better functioning of the health system. Considering the management of similar kind of
two different programs, MoH decided to integrate CB-NCP and IMCI into a new package that is
named as CB-IMNCI.
In CB‐IMNCI program, FCHVs are expected to carry out health promotional activities for maternal,
newborn and child health and dispensing of essential commodities like distribution of iron, zinc,
ORS, chlorhexidine which do not require assessment and diagnostic skills, and immediate referral in
case of any danger signs appeared among sick newborn and children. Health workers will counsel
and provide the health services like management of non‐breathing cases, low birth weight babies,
common childhood illnesses, and management of neonatal sepsis. Also, the program has provisioned
for the post‐natal visits by trained health workers through primary health care outreach clinic.
Development of IMNCI training site has already been started. The program has envisioned that
CHD will act as the quality assurance and monitoring entity for the CB‐IMNCI program. Clinical
training sites and RHTC will be the lead agency for training in near future. IMNCI section has been
focusing on the phase-wise implementation of the program with continuous monitoring and
supportive supervision to strengthen the program and onsite coaching to enhance the clinical skill
among health workers. CB-IMNCI program has been implemented in 75 districts.
Major interventions
Under five
children with
Diarrhoea
treated with
ORS and Zinc
Major activities
Major activities carried out under the IMNCI programme in FY 2073/74 were as follows:
- Development and certification of Mid-western Regional Hospital as an IMNCI Clinical
Training Site as Nepal’s first IMNCI Clinical Training Site
- Expansion of IMNCI Training Site at Pokhara (Pokhara Academy of Health Science) and
Dang (Rapti Sub-regional Hospital): On-going
- Development of National Medical Standard for Care of Newborns and Children has been
started: On-going
- Development of FB-IMNCI package: On-going
- Implementation of Remote Area Guideline for CB-IMNCI program (on-going)
- Development a pool of IMNCI trainers for CB-IMNCI and Comprehensive Newborn Scale up
of Navi care Program in public as well as private sector
- Procurement of commodities and equipment related to IMNCI
- Establishment/Strengthening of SNCU
- Printing of CB-IMNCI, Comprehensive New born Care (Level II) Training Materials
(Guidelines, Handbook, Chart, Flex, etc.)
- Training of Trainers (TOT) for CBIMNCI and Comprehensive Newborn Care Training (Level II)
- Implementation of free sick newborn care program through five hospitals (Kanti Children
Hospital, Koshi Zonal Hospital, Western Regional Hospital, Lumbini Zonal Hospital and Seti
Zonal Hospital)
- Initiation of Perinatal Quality Improvement Initiative in 12 hospitals
Regular monitoring is important for better management of program. Therefore, CB-IMNCI program
has identified 6 major indicators to monitor the programs that are listed below:
1. % of Institutional delivery
2. % of newborn who had applied Chlorhexidine gel immediately after birth (within one hour)
3. % of infants (0-2 months) with PSBI receiving complete dose of Injection Gentamicin
4. % of under 5 children with pneumonia treated with antibiotics
All indicators except number six are related to HMIS. It is expected that if there is high institutional
delivery, there would be good essential newborn care and immediate management of
complications like birth asphyxia that will ultimately contribute to reduce the neonatal mortality.
The 2073/74 monitoring results of the CB-IMNCI programme were as follows (Table 2.3.1).
Compliance of injection Gentamicin at national level for PSBI cases among under two months child
was 58.35 percent, which was highest in province 2 (78.5%) and lowest in province 4 (16.4%).
Percentage of Under 5 years children with pneumonia treated with antibiotics (excluding FCHV) was
208.9 percent at national level. In the previous years, the pneumonia cases reported by FCHV were
used to be included. But, from this fiscal year the indicator is in the process of revision and the
cases of pneumonia reported by FCHVs are excluded. The figure exceeded 100 percent in all
provinces because the treatment of cases by antibiotics other than pneumonia was also added like
skin infection, ear infection etc. which is actually the reporting error. As per CB-IMNCI treatment
protocol, all diarrhoeal cases should be treated with ORS and Zinc. Based on HMIS data, U5 children
suffering from diarrhoea treated with ORS and Zinc at National level was 92.1 percent, which was
highest in province 4 (96.6%) and lowest in province 1 (86.4 %).
2.3.3 Achievements
Since FY 2064/65, CB‐IMCI services data (as received from Health Facilities, VHWs/MCHWs and
FCHVs) has been incorporated into HMIS. Therefore, from FY 2064/65 onwards, service provided at
Table 2.3.2: Classification and treatment of 0-28 day newborn cases by province (FY 2073/74)
National
Province 1
Province 2
Province 3
Province 4
Province 5
Province 6
Province 7
%
Indicators among
No.
total
cases
Total cases (HF+ORC) 4,573 2,370 2,989 1,888 5,694 3,967 4,261 25,742 NA
Possible severe bacterial
578 217 246 124 1035 752 761 3,713 14.4
infections (PSBI) (HF+ORC)
Local bacterial infections
2,549 1,660 1,296 904 1,887 1,745 2,255 12,296 47.8
(HF+ORC)
Jaundice (HF+ORC) 298 122 320 296 339 181 184 1,740 6.8
% of Low weight or feeding
3.98 5.23 5.16 7.40 6.06 8.55 10.55 1,605 6.8
problem (HF only)
Referred 357 183 214 88 252 131 185 1,410 5.5
Deaths 7 2 13 2 45 12 23 104 0.4
FCHVs
Sick baby 2,607 2,105 1,794 783 1,982 1,391 2,357 13,019 NA
Treated with antibiotic and
1,656 1,121 534 193 1,118 865 855 6,342 48.7
referred to a health facility
Deaths 168 70 155 52 204 145 249 1,043 8.01
Source: HMIS/MD/DoHS
In FY 2073/74, a total of 25,742 newborns cases were registered and treated at health facilities and
PHC/ORC level (HF-23,650 and PHC/ORC-2,092). Province 5 had highest number of registered cases
followed by province 1 and least case load was in Province 1. Out of total registered cases in FY
2073/74, 3,713 cases were classified as Possible Severe Bacterial Infection (PSBI) which accounts for
14.4 percent at national level and among the total registered cases the proportion of PSBI was
highest in province 6 (19%) followed by Province 5 (18%). Among the total registered cases at the
national level ( Health facilities and PHC-ORC level), 47.8 percent cases were classified as LBI, 6.8
percent as Jaundice, and 6.2 percent as Low Birth weight or Breast Feeding Problem. Among the
total registered cases the proportion of LBI was highest in province 2 (70%) followed by Province 1
DoHS, Annual Report 2073/74 (2016/17) 51
Child Health
(56%). All classified cases were treated accordingly following the national protocol and out of the
total recorded cases (25,742) in FY 2073/74, i.e. 27.5 percent were treated by Cotrim paediatric
tablet, 5.5 percent cases were referred and 0.4 percent was reported dead from health facilities and
PHC-ORC level.
Total 13,019 cases were identified by FCHVs as sick children out of which 48.7 percent were treated
with antibiotic and referred to health facilities and 8.01 percent were reported as death (as shown
in table 2.3.2) in FY 2073/74.
2..3.3.2 Management of 2-59 months children
Diarrhoea
CB-IMNCI program has created enabling environment to health workers for better identification,
classification and treatment of diarrhoeal diseases. As per CB-IMNCI national protocol, diarrhoea
has been classified into three categories: 'No Dehydration', 'Some Dehydration', and ‘Severe
Dehydration'. The reported number and classification of total new diarrhoeal cases has been
presented in table 2.3.3 below.
Province 2
Province 3
Province 4
Province 5
Province 6
Province 7
National
Total 55,474 88,821 47,379 22,220 65,641 45,216 58,433 383,184
HF + ORC diarrhoeal cases
In FY 2073/74, a total of 1,184,012 diarrhoeal cases were reported out of which about one third
(32%) were reported from health facilities and ORC and rest two third (68%) by FCHVs. Among
registered cases in Health Facilities and PHC/ORC more than three fourth (82%) were classified as
having no dehydration. Severe dehydration among registered diarrhoeal cases remained below 1%
across all provinces.
Province 1
Province 2
Province 3
Province 4
Province 5
Province 6
Province 7
Indicators National
Incidence of
diarrhoea/1,000 <5 376 335 288 302 411 722 697 400
years population
Diarrhoeal deaths
7 16 4 1 1 2 2 33
(HF+ORC)
Case fatality rate
0.13 0.18 0.08 0.05 0.02 0.04 0.03 0.09
per 1000 (HF+ORC)
Source: HMIS/MD/DoHS
Incidence of diarrhoea per thousand under age 5 children was highest in province 6 (722) followed
by province 7 (697) where incidence was 1.5 times higher than the national average. Further, the
lowest incidence was in province 3 (288).Case fatality rate across all the provinces was below 1 per
thousand.
Treatment of diarrhoea
Province 2
Province 3
Province 4
Province 5
Province 6
Province 7
Indicators National
Total cases
186,090 205,477 181,071 76,889 206,359 128,064 200,170 1,184,120
(HF+ORC+FCHV)
Diarrhoeal cases 160,798 194,706 166,946 74,298 183,273 123,139 187,923 1,091,083
treated with ORS
and zinc 86.41% 94.76% 92.20% 96.63% 88.81% 96.15% 93.88% 92.14%
Intravenous (IV) 1,113 2,282 1,026 285 937 975 1,117 7,735
fluid (HF) 0.09% 0.19% 0.09% 0.02% 0.08% 0.08% 0.09% 0.65%
Source: HMIS/MD/DoHs
In FY 2073/74, the proportion of diarrhoeal cases treated with ORS and Zinc as per IMNCI national
protocol at national level was 92% and was highest in Province 4 (97%) and lowest in province 5
(88%).
ARI management is one of the components of CB-IMNCI program. As per CB-IMNCI protocol, every
ARI cases should be correctly assessed and classified as no pneumonia, pneumonia or severe
pneumonia; and given home therapy, treated with appropriate antibiotics or referred to higher
centre as per the indications.
Table 2.3.6: Acute respiratory infection (ARI) and pneumonia cases by provinces (2073/74)
Province 1
Province 2
Province 3
Province 4
Province 5
Province 6
Province 7
Indicators National
Total ARI cases 354,323 289,278 276,317 152,164 289,294 164,473 284,873 1,810,722
In FY 2073/74, a total of 1,810,722 ARI cases were registered, out of which 10.5% were categorized
as pneumonia cases and 0.29% were severe pneumonia cases. The incidence of pneumonia (both
pneumonia and severe pneumonia at HF and PHC/ORC) at national level was 66 per 1000 under five
children. The incidence of pneumonia among under five children has decreased sharply because in
the past years, the reported cases of pneumonia by FCHV were included in the numerator, but from
this fiscal year the indicator is in the process of revision and the cases of pneumonia reported by
FCHV is excluded from the numerator. Likewise, highest ARI incidence was seen at Province 7
(992/1000 U5 children) followed by Province 6 (927/1000 U5 children) and least at Province 3
(439/1000 U5 children). Similarly, Provinces 1 and 6 had the highest percentage of pneumonia
cases among ARI cases (12.15% and 12.14%) and Province 7 has the lowest (8.31%).
The total ARI-related deaths at health facilities were reported to be 176 which is more compared to
previous FY 2072/73 which was 155. The ARI case fatality rate per thousand at health facility also
increased to 0.28 per 1000 in FY 2073/74 compared to last fiscal year (0.08). ARI case fatality rate
shows a wide variation in between the provinces ranging from the lowest 0.073 per 1000 in
province 3 to the highest 1.16 per 1000 in province 4.
54 DoHS, Annual Report 2073/74 (2016/17)
Child Health
Other common childhood illnesses
CB-IMNCI Program also focuses on identifying and treating Malaria, Malnutrition, Measles, and
other common illnesses among children under five. The interventions to address malnutrition
among children are being led by Nutrition Section and interventions to address measles and other
vaccine preventable diseases are being led by EPI Section, Child Health Division and Malaria is led by
EDCD. IMNCI Section would actively collaborate with EPI, Nutrition Sections and with EDCD for the
reduction of Malnutrition and Measles and other common childhood diseases in an integrated
approach to childhood diseases.
Table 2.3.7: Classification of cases as per CB-IMNCI protocol by province (FY 2073/74)
Malaria Very severe
Severe mal-
Non- febrile Measles Ear infection Anaemia
Falciparum nutrition
falciparum disease
Unable to implement free newborn care Better coordination and collaboration Hospitals,
guideline since last FY as expected. between related hospitals, Palikas, Palikas,
D/PHOs and CHD. Better orientation D/PHOs and
about the program and clsrity in its
CHD
implementation modality
Increase in percentage of severe pneumonia Targeted interventions (BCC activities, RHDs, DHOs,
cases and for early detection, treatment DPHOs
and referral) needs to be focused
Though recent research findings have shown Ensure better involvement of private DoHS, CHD
more care seeking practice towards private sector to ensure quality services are
sectors, there has been limited engagement provided with proper follow up of
childhood treatment protocols.
of private sectors to ensure their better
involvement
Poor referral mechanism Strengthen the referral mechanism FHD, CHD,
DHOs, DPHOs
FAMILY HEALTH
GoN also commits to strengthen policies and strategies related FP within the new federal context,
mobilize resources, improve enabling environment to engage effectively with external development
partners and supporting partners, promote public-private partnerships, and involve non-health
sectors. National and international commitments will be respected and implemented (such as
NHSSIP 2015-2020, Costed Implementation Plan 2015-2020 and FP2020 etc.).
From program perspective, GoN through its subsidiary (FHD/DoHS/MoH and the new structures
under federal system) will ensure access to and utilization of quality FP services through improved
contraceptive use especially among hard to reach, marginalised, disadvantaged and vulnerable
groups and areas, broaden the access to range of modern contraceptives method mix including long
acting reversible contraceptives such as IUCD and implant from service delivery points, reduce
contraceptive discontinuation, scale up successful innovative evidence informed FP service delivery
and demand generation interventions.
In Nepal, FP information, education and services are provided through the government, social
marketing, NGOs and the private sector (including commercial sectors). In the government health
system, short acting reversible contraceptive methods (SARCs: male condoms, oral pills and
injectables) are provided through PHCCs, health posts and PHC-ORCs. FCHVs provide information
and education to community people, and distribute male condoms and resupply oral contraceptive
pills. Long acting reversible contraceptive (LARC) services such as intrauterine contraceptive devices
(IUCDs) and implants are only available in hospitals, PHCCs and health posts that have trained and
skilled providers. Access to LARC services is provided in remote areas through satellite clinics,
Quality FP services are also provided through private and commercial outlets such as NGO run
clinic/centre, private clinics, pharmacies, drug stores, hospitals including academic hospitals. FP
services and commodities are made available by some social marketing (and limited social
franchising) agencies.
FP services are part of essential health care services and are provided free in all public sector outlets.
The five policies and strategic areas to achieve the above objectives are presented in Box 3.1.1.
Box 3.1.1: Policies and strategic areas for FP
1. Enabling environment: Strengthen the enabling environment for FP by:
advocacy for FP;
legal and socio-cultural barriers to access to FP services for young people and other
groups;
integration of FP services;
task shifting and sharing; and
FP as the reproductive right of females and males.
2. Demand generation: Increase health care seeking behaviour among populations with high unmet
need for modern contraception by:
integration and implementation of comprehensive sexuality education in secondary
schools and higher education;
innovative approaches to reach adolescents with FP messages;
designing, implementing and evaluating programmes to increase access to and the use of
FP among adolescents and young people;
increasing knowledge about FP among individuals and couples to facilitate decision-
making on contraceptive use;
3.1.4 Achievements
Current users
As with the previous years, female sterilization (38%) occupies the greatest part of the contraceptive
method mix for all current user, followed by Depo (17%), male sterilization (13%), implant (11%) and
lastly IUCD (6%) in 2073/74 (Figure 3.1.1).
The number of FP users at the national level was 93 percent of projected users in FY 2073/74
(2,707,553 against 2,900,000 projected).
Figure 3.1.1: Proportion of FP current user— Figure 3.1.2: Share of FP current users (%), all
method mix, 2073/74 methods, by Province, 2073/74
Male Condom 25% 23%
sterilizatio 221,311 Pills 19%
19% 17%
n 345,634 (8%) 185,545 20%
(13%) (7%)
15%
9%
Depo 10% 7%
5%
451,790 5%
(17%)
Female 0%
IUCD
Province 1
Province 2
Province 3
Province 4
Province 5
Province 6
Province 7
sterilizatio
n 175,593
1,040,078 Implant (6%)
(38%) 287,602
(11%)
Province 2 has the highest proportion (22.6%) of current users while Province 6 (5.1%) the lowest
(Table3.1.1) in 2073/74. Total number of permanent current users exceeds that of spacing method
at national level and in Province 2 and 4.
Figure 3.1.3: mCPR by Province, 2073/74 Figure 3.1.4: mCPR by ecological zones,
60% 2073/74
48% 49%
50% 44% 41% 44% 60%
35% 37% 40% 50%
40% 50% 44%
30% 40% 36% 36%
20% 30%
10% 20%
0% 10%
0%
Nation Mountain Hill Terai
District-wise HMIS data indicates that in 2073/74 fifteen districts had mCPR greater than or equal to
50 percent, 52 districts had mCPR between 30-50 percent and 10 districts had mCPR less than 30
percent (Figure 3.1.5). Parsa had the highest mCPR (70.7 percent) while Humla had the lowest (23.4
percent).
The average mCPR is 59.6 percent for the top 10 districts and 26.1 percent for the bottom 10
districts — a difference of 33.5 percent. The number of districts with mCPR below 30 percent
Figure 3.1.
3.1.6: S-Curve
Curve pattern of CPR growth, 2073/74 Figure 3.1.7:
3.1. : Trends in mCPR by districts,
FY 2071/72-2073/74
2071/72
100
80
16 15 15
60
40 42 47 52
20
17 13 10
0
2071/72 2072/73 2073/74
Figure 3.1.
3.1.8: Share of long acting and permanent Figure 3.1.9:
3.1. Share of temporary methods as % of
method (LAPM) as % of total current users by total current users by ecological region 2073/74
ecological region, 2073/74
30% 28%
25%
20% 17%
15% 11%
10%
8%
6% 5% 6% 6%
5% 1% 2% 3% 3%4%3% 3%5%
0%
Mountain Hill Terai Nation
0%
Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7 Nation
Spacing methods Permanent methods
Contraceptive defaulters (for all temporary methods excluding condom), a proxy indicator for
contraceptive discontinuation, is high. In Nepal about 46% of contraceptive users have discontinued
using the method or switched to another contraceptive method (Figure 3.1.13). These women may
choose (switch to) less effective methods or remain method unused (discontinued while still in need)
leading to risk of unintended pregnancy and its consequences. Province 5 (36%) has the lowest
defaulter rate while Province 6 has the highest (73%). Compared to SARCs (short acting reversible
contraceptives—pills and Depo), LARCs has low defaulter rate (Figure 3.1.14) in all Provinces. LARCs
are the most effective as well as cost-effective contraceptives, can be used for longer period of time,
have very low discontinuation rates, and also has higher client satisfaction. Globally, SARCs are
promoted as first line contraceptives for all prospective clients. The high discontinuation of SARCs
and low uptake of LARCs in Nepal indicates concerns over and the need of programmatic focus on
both supply and demand aspect sustaining the past achievements and focusing more on LARCs.
Figure 3.1.11: Percentage of contraceptive Figure 3.1.12: Percentage of contraceptive method
method defaulters by Province 2073/74 defaulters by methods, 2073/74
New acceptors
Depo (36%) occupies the greatest part of the contraceptive method mix for temporary method new
acceptors, followed by condom (29%), male sterilization (19%), implant (12%) and lastly IUCD (4%) in
2073/74 (Figure 3.1.13).
Implant,
95,605 Depo, 27
(12%) 9,209
(36%)
IUCD, 34,
028 (4%)
Percentage of share of VSC among total new acceptors is highest (33%) in Province 2 and female VSC
contributed 88% of VSC (Figure 3.1.15 and 3.1.16). Women and men in Province 4 and 6 accepted
least number of VSCs. Male acceptors dominated in Province 3,4 and 6 (Figure 3.1.16).
Figure 3.1.15: Share of VSC as of total new Figure 3.1.16: Share of male and female VSC as of
accepto
acceptors
rs by Province, 2073/74 total new acceptors by Province, 2073/74
35% 33%
30%
25% 20%
20% 13%
15% 12% 10%
10% 6% 6%
5%
0%
Female VSC acceptors were highest in Terai ecological region followed by Hill (Figure 3.1.17).
3.1. As
mentioned earlier female acceptors significantly
significantly dominates the total VSC in Terai (Figure 3.1.18).
3.1.18)
Figure 3.1.1
3.1.17:: Share of VSC procedure as % of Figure 3.1.18:
3.1.1 Share of male and female VSC as of total new
total VSCs by ecological zones, 2073/74 acceptors by Ecological Regions,2073/74
Regions,2073/74
Achievement,
ievement, minilap and Vasectomy new acceptors
acceptors, against the projection for 2073/74 is 75.6%.
Province 5 achieving the lowest (64.8%) (Table 3.1.3). However, in absolute numbers (9,988), as
expected, Province 2 outperformed others.
DoHS, Annual Re
Report
port 2073/74
207 (201
(2016/2017) 67
Family Health
Table 3.1.4: New acceptors (temporary modern methods) by Province, 2073/74
Method Province National
Prov 1 Prov 2 Prov 3 Prov 4 Prov 5 Prov 6 Prov 7 total
users
IUCD 3,998 5113 10
10,758 3,599
599 6,388
388 828 3,217 33,901
Implant 17,746 7,705 25
25,054 7,239
239 19,207
207 6,558 12,096 95,605
Depo 45,752 38,379 55
55,247 20,698 61,948
948 26,005 31,180 279,209
Pills 23,094 21,873 23
23,085 13,627 33,882
882 11,095 16,070 142,726
Condom 26,799 25,373 30
30,200 20,820 61,662
662 18,088 38,370 221,312
Total new 117,389 98,443 144,344 65,983 183,087 62,574 100,933 772,753
temporary
methods
thods acceptors
Share of total new 15.2% 12.7% 18.7% 8.5% 23.7% 8.1% 13.1%
acceptors as %
total users
Method wise Depo followed by pills topped in all Provinces. Among LARCs LARCs, implant significantly
dominated over IUCD in all provinces (Table
(Table 3.1.4 and Figure 3.1.19). Likewise, implant acceptors
are higher than IUCD in all ecological regions (Figure 3.1.20). Women in mountain accepted lower
number of contraceptive methods than other ecological regions.
FP use aafter
fter abortion is encouraging.
encouraging. Contraceptive uptake among total reported abortion services is
70.7% (Figure 3.1.24)
3.1.2 ) and with the lowest uptakes in Province 2 and 6 (Figure(Figu 3.1.23).). But the
contribution of LARCs is only 16% (Figure 3.1.2
3.1.24)) indicating women after abortion are relying on less
effective methods. This trend was evident also in all ecological regions (Figure 3.1.25)
3.1.2
Province 1
Province 2
Province 3
Province 4
Province 5
Province 6
Province 7
SARCS LARCS
3.1.24 ; Proportion of post abortion FP method 3.1.25 ; Proportion of post abortion FP method uptake
uptake by method type, 2073/74 by Province, 2073/74
50% 39%
LARCS, 1 36%
40%
5.8% 30%
20% 11% 10%
10% 3%1%
0%
SARCS, 5 3% 48% 49%
4.9%
Mountain Hill Terai
SARCs LARCs
Only about 8 to 9 percent of under 20 years of age population (a proxy for adolescent population)
accepted modern contraceptive methods (Figure 3.1.28). More than half of the method mix is
contributed by Depo (Figure 3.1.26). Adolescents in Province 2 reported to accept lower proportion
of contraceptives compared to other Provinces (Figure 3.2.28). Condom and LARCs use is lower than
SARCs in all Provinces (Figure 3.2.27). Contraceptive use was lowest in mountain ecological region
(Figure 3.2.29). Adolescents have high unmet need while contraceptive use is low, this is indicative
of implementation challenges of comprehensive sexual and reproductive health programmatic in
general and adolescent’s family planning program in particular in Nepal.
3.1.26: Temporary method mix among under 3.1.27: Under 20 years temporary method new acceptors
20 total new acceptors, 2073/74 among adolescent target population by method, 2073/74
Implant
10%
12%
9%
9%
8%
Pills 10%
7%
6%
6%
IUCD
6%
6%
(4,060)
6%
34% 8%
5%
5%
5%
4%
4%
(14,892) 6%
3%
3%
2%
2%
2%
2%
2%
2%
2%
2%
(2,146) 4%
1%
2%
0%
Depo
52%
(22,960)
Condom SARCs LARCs
3.2.1 Background
The goal of the National Safe Motherhood Programme is to reduce maternal and neonatal morbidity
and mortality and improve maternal and neonatal health through preventive and promotive activities
and by addressing avoidable factors that cause death during pregnancy, childbirth and the postpartum
period. Evidence suggests that three delays are important factors for maternal and newborn morbidity
and mortality in Nepal (delays in seeking care, reaching care and receiving care).
The following major strategies have been adopted to reduce risks during pregnancy and childbirth and
address factors associated with mortality and morbidity:
Promoting birth preparedness and complication readiness including awareness raising and
improving preparedness for funds, transport and blood supplies.
Expansion of 24 hours birthing facilities alongside Aama Suraksha Programme promotes antenatal
check-ups and institutional delivery.
The expansion of 24-hour emergency obstetric care services (basic and comprehensive) at selected
public health facilities in all districts.
The Safe Motherhood Programme has made significant progress since it began in 1997 and with
formulation of safe motherhood policy in 1998. Service coverage has grown along with the development
of policies, programmes and protocols. The policy on skilled birth attendants (2006) highlights the
importance of skilled birth attendance (SBA) at all births and embodies the government’s commitment
to train and deploy doctors, nurses and ANMs with the required skills across the country. Introduction of
Aama programme to ensure free service and encourage women for institutional delivery has improved
access to institutional deliveries and emergency obstetric care services. The endorsement of the revised
National Blood Transfusion Policy (2006) was another significant step for ensuring the availability of safe
blood supplies for emergency cases. The main programme strategies are listed in Box 3.2.1.
The Nepal Health Sector Strategy (NHSS) identifies equity and quality of care gaps as areas of concern
for achieving the maternal health sustainable development goal (SDG) target, and gives guidance for
improving quality of care, equitable distribution of health services and utilisation and universal health
coverage with better financing mechanism to reduce financial hardship and out of pocket expenditure
for ill health.
In 2066/67, the government approved PPH education and the distribution of the matrisurakshachakki
(MSC) tablets through FCHVs to prevent PPH in home deliveries. For home deliveries, three misoprostol
tablets (600 mcg) are handed over to pregnant women during ANC or by FCHV to take immediately after
delivery and before the placenta is expelled. Forty-five districts were implementing the programme in
2072/73 and FHD implemented three new districts in 2073/74 (Kaski, Parbat and Syangja districts). Two
batches of TOT were conducted with 30 trainers from these three districts. These trainers in turn
conducted training of all health workers from all three districts and all FCHV in Kaski districts, FCHVs
from 23 VDCs in Parbat district and FCHVs from two VDCs in Syangja district. Recent NDHS (2016) shows
that only 13 percent of women who gave childbirth without skilled assistance took MSC tablets, this call
for the importance of strengthening this programme as women who delivered at home are likely to be
higher risk.
b. Cervical cancer screening and prevention training: Cervical cancer is the most common cancer of
women in Nepal, accounting for 21.4 percent of all cancer among 34–64 year old women. The national
guidelines on cervical cancer screening and prevention (2010) call for screening at least 50 percent of
women aged 30–60 years and for reducing the mortality due to cervical cancer by 10 percent with
recommended screening among this group every five years. Cervical cancer screening is done by visual
inspection of the cervix by trained nurses or doctors using acetic acid. If any signs of a pre-cancerous
lesion are seen, women are referred for cryotherapy to cure the lesion. This approach is cost-effective as
the early detection of lesions and early management by cryotherapy will usually prevent progression to
cervical cancer, and the cost of scaling up this activity is relatively low. As of 2073/74, cervical cancer
screening has been expanded to 64 districts. In the reporting year 98 nurses and doctors were trained
on visual inspection with acetic acid and cryotherapy. Vaccination to adolescent under the human
papilloma virus (HPV) demonstration project in coordination with CHD with support from WHO.
c. Obstetric fistula management: Obstetric fistula affects many women from poorer communities and
significantly impairs their quality of life due to the social stigma attached to this condition and their
physical suffering. The government has allocated funds for the free screening of obstetric fistula
integrated with pelvic organ prolapsed screening and free surgical services at the BP Koirala Institute of
Health Sciences (BPKIHS, Dharan) and Model hospital, Kathmandu. In 2073/74, 120 women received
free surgical treatment for obstetric fistula.
FHD has been coordinating with the National Health Training Centre (NHTC) and the National Academy
for Medical Sciences (NAMS) for the pre-service and in-service training of health workers. NHTC
provides training on SBA, ASBA, operating theatre management, family planning (including implants and
IUCD), and antenatal ultrasonography. In 2073/74, 582 SBA, 28 ASBA and 20 AA were trained by NHTC
and NAMS. By the end of 2073/74 a total of 9,000 SBAs and 168 ASBAs have been trained.The proper
placement of trained staff such as ASBAs and anaesthesiologist assistants (AAs) has been a continuous
challenge. FHD continued to monitor the deployment of doctors (MDGP, OBGYN, ASBA) and AAs,and
inform DOHS and MOH as necessary for appropriate transfer. This has resulted in improved functionality
of CEONC services.
Expansion and quality improvement of service delivery sites
FHD continued to expand 24/7 service delivery sites like birthing centres, BEONC and CEONC sites at
PHCCs, health posts and hospitals. The expansion of service sites is possible mostly due to the provision
of funds to contract short-term staff locally. By the end of 2073/74 CEONC services were established in
72 districts, only 60 districts were functional throughout the year. During the fiscal year 8-12 districts
provided interrupted C-section services.
A total of 1,811 birthing centres and 158 BEONC sites were functioning by the end of 2073/74. In line
with strategies of the Nepal Health Sector Strategy (2015–2020), in 2072/73 FHD began strengthening
strategically located birthing centres towards upgrading them to comprehensive centres of excellence
(CCEs) and in 2073/74in 98 strategically located birthing centresin 17 districts with support from UNICEF
and NHSSP.
Study in 2013 (FHD 2013) shows that the overcrowding of normal delivery services at referral hospitals
has contributed to poor quality of care. To expand and improve the quality of maternity services, FHD
has been allocating budget to overcrowded hospitals since 2069/70. IN 2073/74,five overcrowded zonal
and regional hospitals are receiving funds for recruiting staff and for quality improvement. FHD has also
allocated budgets for recruiting staff nurses and ANMs in these hospitals to cope with the overcrowding
of maternity wards and MOH is developing master plan for these hospitals to overcome this problem.
Emergency referral funds
It is estimated that 15 percent of pregnant women will develop serious complications during their
pregnancies and deliveries, and 5 to 10 percent of them will need caesarean section deliveries (WHO,
2015) to avoid deaths or long-term morbidity. In cases of difficult geographical terrain and unavailable
CEONC services, it is crucial that these women are referred to appropriate centres. To address this issue
FHD allocated emergency referral funds to Regional Directorate for air lifting of women in need of
immediate transfer to higher centres. A total of 4,000,000 Rupees was allocated to five regions and
Comprehensive abortion care (manual vacuum aspiration [MVA]) services are available in all 75 district
hospitals and majority of PHCCs. Additionally, second trimester abortion services are available in 30
hospitals where CEONC services are also available. Medical abortion (MA) services are being expanded
in health posts through the additional training of SBAs. Medical abortion services have been expanded
to 60 districts with the support of various partners.At the end of 2073/74, total 1,020 ANMs and 466
health facilities were listed for providing MA services and 1,414 doctors and 526 nurses as MVA service
providers and 538 health facilities were listed as MVA service sites. During reporting year 182 ANMs and
132 health facilities were listed for providing MA services and 93 doctors and 64 nurses were trained as
MVA service providers and 15 health facilities were listed as MVA service sites.
In 2070/71, FHD started orienting paramedics on first aid to manage obstetric complications at health
facilities without birthing centres and to enable paramedics to support SBAs and ANMs at times of
emergency. In 2073/74, 51 trainers were trained on this subject in 17 districts.
DoHS, Annual Report 2073/74 (2016/2017) 75
Family Health
Nyano Jhola Programme
The Nyano Jhola Programme was launched in 2069/70 to protect newborns from hypothermia and
infections and to increase the use of peripheral health facilities (birthing centres). Two sets of clothes
(bhoto,daura, napkin and cap) for newborns and mothers, and one set of wrapper, mat for baby and
gown for mother are provided for women who give birth at birthing centres and district hospitals. The
programme was interrupted due to financial constraints, however MOH allocated extra budget for
2073/74 due to popular demand.
The government has introduced demand-side interventions to encourage women for institutional
delivery. The Maternity Incentive Scheme, 2005 provided transport incentives to women to deliver in
health facilities. In 2006, user fees were removed from all types of delivery care in 25 low HDI districts
and expanded to nationwide under the Aama Programme in 2009. In 2012, the separate 4ANC
incentives programme was merged with the Aama Programme. In 2073/74, the Free Newborn Care
Programme (introduced in FY 2072/73) was merged with the Aama Programme with the provisions
listed in Box 3.2.2.
Box 3.2.2: Provisions of the Aama and Newborn Programme
a. For women delivering their babies in health institutions:
Transport incentive for institutional delivery: Cash payment to women immediately after institutional
delivery (NPR 1,500 in mountains, NPR 1,000 in hills and NPR 500 in Tarai districts).
Incentive for 4 ANC visits: A cash payment of NPR 400 to women on completion of four ANC visits at 4, 6, 8
and 9 months of pregnancy, institutional delivery and postnatal care.
Free institutional delivery services: A payment to health facilities for providing free delivery care. For a
normal delivery health facilities with less than 25 beds receive NPR 1,000 and health facilities with 25 or
more beds receive NPR 1,500. For complicated deliveries health facilities receive NPR 3,000 and for C-
sections (surgery) NPR 7,000. Ten types of complications (antepartum haemorrhage (APH) requiring blood
transfusion, postpartum haemorrhage (PPH) requiring blood transfusion or manual removal of placenta
(MRP) or exploration, severe pre-eclampsia, eclampsia, MRP for retained placenta, puerperal sepsis,
instrumental delivery, and management of abortion complications requiring blood transfusion) and
admission longer than 24 hours with IV antibiotics for sepsis are included as complicated deliveries. Anti-D
administration for RH negative is reimbursed NPR 5,000. Laparotomies for perforation due to abortion,
indicated or emergency C-sections, laparotomy for ectopic pregnancies and ruptured uteruses are
reimbursed NPR 7,000.
b. For newborns: A payment to health facilities for providing free sick newborn care. Facilities are reimbursed
for set packages of care: Packages 0, A, B and C costing nothing, NPR 1,000, NPR 2,000 and NPR 5,000
respectively. Health facilities can claim a maximum of NPR 8,000 (packages A+B+C), depending on medicines
and diagnostic and treatment services provided.
c. Incentives to health workers (to be arranged from health facility reimbursement amounts):
For deliveries: A payment of NPR 300 to health workers for attending all types of deliveries.
For sick newborn care: A payment of NPR 300 to health workers for providing all forms of packaged
services.
Figure 3.2.1: Women receiving free delivery care and transport incentive as percentage of expected
live births
49
48 48 48
47 47
Aama Programme data shows that only 48 percent of expected deliveries received free care and 47
percent received transport incentives, one percent point decline from 2072/73. (Figure 3.2.1).
In 2071/72, 54 percent of Aama Programme related expenditure (transport and health facility
reimbursement) and 25 percent of 4ANC related expenditure was captured in MoH’s Transaction
Accounting and Budget Control System (TABUCS). This increased to 73 percent for Aama Programme-
related expenditure and 76 percent for 4ANC expenditure in 2072/73 (note that the increase in
expenditure for 4ANC is due to reduced budget allocation). Almost 86 percent Aama programme budget
and 51 percent 4 ANC budget has been absorbed in FY2073/74. The data indicates that there is an
increasing trend in absorption of Aama programme budget, which is mainly due to improvement in
TABUCS entry by cost centres. The free newborn care programme expenditure has improved from 15
percent in FY2072/73 to 25 percent in FY 2073/74.
Pregnant women are encouraged to receive at least four antenatal check-ups, give birth at a health
institution and receive three post natal check-ups, according to the national protocols. HMIS reported
since 2066/67 to track the timing of ANC visits as per the protocol. All antenatal indicators
perfoamncedropped in 2073/74. The national average of first ANC visits as a percentage of expected
pregnancies increased from 96 percent in 2071/72 and 97 percent in 2072/73 which has declined to
87percent in 2073/74.The proportion of pregnant women who visit antenatal first visit on-time also
declined from 76 percent 2072/73 to 59 percent in 2073/74. The proportion of pregnant women attending
at least 4 ANC visits among expected pregnancies as per the protocol has declined from 51 percent in
2072/73 to 45 percent in 2073/74 at the national level (Figure 3.2.2). As the trend of all these indicators
were increasing for the last three year, the reasons for declined in all indicators could not be identified,
except poor reporting from referral hospitals. FHD is able to get information on institutional deliveries
from these referral hospitals; however data on antenatal and post-natal care is not possible to get from
these hospitals.
Figure 3.2.2: Regional and national trends of percentage pregnant women with four ANC visits(as per protocol)
among expected pregnancies
100
90
80 68
70 58 60
60 51 55 55 52 51
50 49 49 47
50 45 43 45 44 45
39
40
30
20
10
0
EDR CDR WDR MWDR FWDR Nepal
2071/72 2072/73 2073/74
Figure 3.2.3: Fourth ANC visit (as per protocol) as a percentage of first ANC visits (as per protocol)
100 88
83 80
79 78 78 78 76 76 76
80 71 70 70 69 73 72
64 67
60
40
20
0
EDR CDR WDR MWDR FWDR Nepal
2071/72 2072/73 2073/74
While the percentage of pregnant women who received antenatal care (at any time, first visit by 4 th
month, and 4 ANC according to protocol) declined the proportion of women who came for four visits (as
per protocol) among w
who
ho did their first visit per protocol is constant over the last two years (figure
3.2.3).
In 2073/74seventeen
2073/74seventeen districts had 4 ANC coverage per national protocol of above 70 70 percent (Figure
3.2.4) an increase from eight districts in 2072/73
2072/73.However
However,, districts with 4 ANCcoverage less than 30
percentincreased
increased from 10 districts in 2072/73 to 18 districts in 2073/74. Percentage of pregnant women
who visit ANC at least one time is more than 7700 percent in 66 districts. These results show the need to
focus on the quality of the ANC consultation process as it is expected that satisfied and well informed
pregnant women will be more likely to complete the recommended four visits.
Figure 3.2.4: ANC 4 visits by expected number of pregnant women as pe
per the protocol by district,
2073/74
Although women are encouraged to deliver at a facility, home deliveries using emergency obstetric care
kits, and obstetric first aid at home if complications occur, are important components of delivery care in
settings where institutional delivery services are not available.
Nepal is committed to achieving 70 percent of all deliveries by SBAs and at institutions by 2020
(2076/77) to achieve the SDG target in 2030. In 2073/74, nationally and in CDR and WDR, the proportion
of deliveries attended by SBAs increased (Figure 3.2.5).
Figure 3.2.5: Trend of deliveries attended by SBAs as percentage expected live births (2071/72–2073/74)
Institutional deliveries as a percentage of expected live births increased from 55 to 59 percent over
the last year, compensating the lost due to the effects of the 2015 earth quake and fuel crisis
(Figure 3.2.6). Institutional deliveries increased in all regions in 2073/74 from the previous year
except for EDR.
Figure 3.2.6: Trend of institutional deliveries as percentage of expected live births (2071/72 – 2073/74)
80 68 68
68
57
66 66 67 57 59
56 56 58 54 56 55
60 55 51 47
40
20
0
EDR CDR WDR MWDR FWDR Nepal
Table 3.2.2:
3.2.2: Proportions of Institutional Deliveries at Different types of Health Institutions
HP PHCC District and Referral or Private and Others2
General Specialised NGO
Hospitals Hospitals1
2072/73 27.4 8.0 25.9 35.9 1.4 1.5
2073/74 27.4 7.8 23.9 38.5 1.7 0.8
Source: HMIS
1
Zonal, Sub-regional,
Sub regional, regional, central, specialized and teaching hospitals. Janakpur Zonal hospital did not report in 2071/72.
BPKIHS and Bharatpur data were not captured in 2073/74 HMIS report.
2
Institutional clinics, health centres, urban health clinics, CHU, aand
nd other health facility
DoHS, Annual Report 207
2073/74 (2016/2017)
(201 81
Family Health
Table 3.2.3: Status of birthing centre, BEONC and CEONC expansion
2071/72 2072/73
Region Districts
BCs BEONC CEONC* Total BCs BEONC CEONC* Total
Eastern 16 281 31 16 332 301 26 26 353
Central 19 366 41 17 431 394 40 27 461
Western 16 278 40 13 334 340 44 22 406
Mid-western 15 399 28 13 444 399 28 17 444
Far Western 9 297 26 9 334 321 21 12 354
Total 75 1,621 166 67 1,875 1,755 159 104 2,018
*Number of districts with CEONC services established in the district
Table 3.2.4: Status of birthing centre, BEONC and CEONC services in Provinces
2073/74
Province Districts Total
BCs BEONC CEONC*
(BC and BEONC)
Province 1 14 291 24 14 315
Province 2 8 129 13 8 142
Province 3 13 309 30 12 339
Province 4 11 253 26 9 279
Province 5 12 307 30 10 337
Province 6 10 248 16 10 264
Province 7 9 344 19 9 363
Total 77 1881 158 72 2039
*Number of districts with CEONC services established in the district
Postnatal care
Postnatal care services include the following:
Three postnatal check-ups, the first within 24 hours of delivery, the second on the third day and the
third on the seventh day after delivery.
The identification and management of complications of mothers and newborns and referrals to
appropriate health facilities.
The promotion of exclusive breastfeeding.
Personal hygiene and nutrition education, and postnatal vitamin A and iron supplementation for
mothers.
The immunization of newborns.
Postnatal family planning counselling and services.
Figure 3.2.8: Trend of three PNC as per protocolas percentage of live births
60
2071/72 2072/73 2073/74
50
40 35 35
30 24 24 26
23
18 18 17 19 19 17 18 20 19
20 15
11 11
10
0
EDR CDR WDR MWDR FWDR Nepal
Source: HMIS
Newborn care
Newborn care includes:
delivery by a skilled birth attendant at home and facility births with immediate newborn care
(warmth, cleanliness, immediate breast feeding, cord care, eye care and immunization) for all
newborns and the resuscitation of newborns with asphyxia;
health education and behaviour change communication for mothers on early newborn care at
home;
the identification of neonatal danger signs and timely referral to an appropriate health facility; and
community based newborn care (see Section 2.3 above).
A separate report on post-natal care to new born is not reported in HMIS and it can be assumed that the
percentage of new born who received PNC as per protocol is similar to as of mothers. Among 343,577
live births reported 91 percent received application of Chlorhexidine (Nabi care) at umbilical cord at
delivery. Total low birth weight (LBW) was 11.5 percent among institutional deliveries -2.5 percent were
very low birth weight (less than 2000 gm) and another 9 percent were LBW (2000-2499 gm). Reported
still birth rate among deliveries at health institutions increased from 14 in 2072/73 to 17 per 1000 total
births in 2073/74.
The proportion of caesarean sections among expected live births slightly increased in 2073/74 to 10.1
percent of expected live births with increases in all regions. WHO (2015) puts the acceptable C-section
rate at 5–10 percent of all live births. While the C-Section rate in EDR, CDR and WDR are higher than
10percent the rate in FWDR is 3.9 percent, below the minimum accepted level of 5 percent. The
proportion of C-sections among total expected births in mountain districts does not increase from
2072/73 at 1.7 percent (Table 3.2.3), although 2016 NDHS data show higher percentage of C-Section
rate at 2.6 percent in mountain areas.This indicates limited availability of C-Section services in mountain
areas with almost one percent of pregnant women (of expected livebirths) from these areas getting
service out of their districts.
Table 3.2.5: Trends of proportion of caesarean sections among total expected live births
2070/71 2071/72 2072/73 2073/74
Mountain districts 0.7 1.0 1.7 1.7
The met need for emergency obstetric care (EOC) increased to 29 percent of estimated complications in
2073/74 from 23.6 percent the previous year based on Aama reporting (Table 3.2.4). The WHO standard
is that 15 percent of expected birth cases suffer major direct obstetric complications throughout
pregnancy, childbirth or the immediate postpartum period. The data indicates that less than a third are
reported to have received emergency obstetric care services from Aama programme implementing
sites.
Table 3.2.6: Met need for EOC based on Aama Programme reporting*
Total expected live 15% of expected live Number of obstetric Met need for EOC
births births (estimated complications managed services
Fiscal year
proportion needing (%)
EmOC)
*2071/72 614,666 92,200 23,611 25.6
2072/73 637,263 95,590 22,563 23.6
2073/74 641,899 96,285 28,011 29.1
*2071/72 data is based on HMIS data
84 DoHS, Annual Report 2073/74 (2016/2017)
Family Health
Provincial level Performance
The performance of provinces of Nepal varies in maternal and newborn health care utilisation. (figure
3.2.9). The continuum of care in maternal and newborn health care services shows that there needs to
be more awareness and encouragement of pregnant women to seek timely first antenatal care, improve
quality of counselling during antenatal care, improved access to delivery care services and post-natal
care services. C-Section rate in province number 1 and 3 is higher than maximum desirable rate
10percent while that of province 2, 6 and 7 is lower than minimum acceptable rate of 5percent.
77
75
80
72
70
69
68
68
65
70
64
63
63
60
60
60
59
59
59
58
57
57
56
55
60
51
49
46
46
45
50
45
44
44
35
40
30
30
21
17.2
16.6
19
19
17
20
10.1
11
11
9.8
9.0
8
3.9
3.5
10
2.4
0
Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7 Nepal
Source: HMIS
Safe abortions
More than1,005,000 women have received safe abortion services from certified service sites since the
service began in Nepal in 2060/61. The use of safe abortions services increased from 89,214 in 2072/73
to 96,417 women in 2073/74, of which 56 percent received medical abortions. Fourteen percent of safe
abortion service users were adolescents (<20 years) slight decline from 16 percent in 2072/73. Thought
the number of women who received safe abortion services increased in 2073/74 from previous year, it is
still less than one third of the total estimated abortion occurred in Nepal in 2014 (CREHPA 2016).
Compared to fiscal year 2072/73, the proportion of women who had a safe abortion and then used
contraceptives increased from 69 percent in 2072/73 to 71 percent in 2072/73 (Figure 3.2.10). The
acceptance of post abortion contraception among medical abortion service users was high compared to
DoHS, Annual Report 2073/74 (2016/2017) 85
Family Health
among surgical abortion users (medical abortion 77% versus surgical abortion 63%). Overall, post-
abortion LARC use is higher among women who had surgical abortion (18 percent) than among medical
abortion (14 percent).
100
40.3 31.3 29.3
80
60 14.3 15.8
11.4
54.4 54.9
40 48.1
20
0
2071/72 2072/73 2073/74
Source: HMIS Short Term Methods Long Term Methods No Method
3.3.1 Background
The government initiated the Female Community Health Volunteer (FCHV) Programme in 2045/46
(1988/1989) in 27 districts and expanded it to all 75 districts thereafter. Initially one FCHV was
appointed per ward following which in 2050 (1993/94) a population-based approach was introduced
in 28 districts. There are 51,420 FCHVs working in Nepal. The goal and objectives of the programme
are listed in Box 3.3.1.
FCHVs are selected by health mothers' groups. FCHVs are provided with 18 days basic training
following which they receive medicine kit boxes, manuals, flipcharts, ward registers, IEC materials,
and an FCHV bag, signboard and identity card. Family planning devices (pills and condoms only), iron
tablets, vitamin A capsules, and ORS are supplied to them through health facilities.
The major role of FCHVs is to advocate healthy behaviour by mothers and community people to
promote safe motherhood, child health, and family planning and other community based health
issues and service delivery. FCHVs distribute condoms and pills, ORS packets and vitamin A capsules,
treat pneumonia cases, refer serious cases to health institution and motivate and educate local
people on healthy behaviour. They also distribute iron tablets to pregnant women.
The government is committed to increase the morale and participation of FCHVs for community
health. Policies, strategies and guidelines have been developed to strengthen the programme. The
FCHV programme strategy was revised in 2067 (2010) to promote a strengthened national
programme. In fiscal year 2064/65 MoH established FCHV funds of NPR 50,000 in each VDC mainly
to promote income generation activities. FCHVs are recognised for having played a major role in
reducing maternal and child mortality and general fertility through community-based health
programmes.
Goal — Improve the health of local communities by promoting public health. This includes imparting
knowledge and skills for empowering women, increasing awareness on health related issues and involving
local institutions in promoting health care.
Objectives — i) Mobilise a pool of motivated volunteers to connect health programmes with communities and
to provide community-based health services, ii) activate women to tackle common health problems by
imparting relevant knowledge and skills; iii) increase community participation in improving health, iv) develop
FCHVs as health motivators and v) increase the use of health care services.
25000 933
10512
15000
10068
9983
10000
5000
840 488
867 808 743 717 703 507
0
pills distribution cycle condom distribution iron tab distribution health mother's group
cycle meeting
Source: HMIS
Fewer CB-IMCI services were provided by FCHVs in communities in 2073/74 (Table 3.3.3). FCHVs
treated 166,202 no. of children with infections treated with cotrim. Also, FCHVs assisted the
immunization against polio of children below 5 years on National Immunisation Day, the community-
based management and treatment of acute respiratory infections and control of diarrheal diseases,
community nutrition programmes and other public health activities.
Source: HMIS
The aim of these clinics is to improve access to basic health services including family planning, child
health and safe motherhood. These clinics are service extension sites of PHCCs and health posts. The
primary responsibility for conducting them lies with maternal and child health workers (MCHWs) and
village health workers (VHWs) at sub-health posts and ANMs, AHWs and VHWs at PHCCs and health
posts. With the upgrading of MCHWs and VHWs and the upgrading of all sub-health posts the
responsibility is being shared with all ANMs and AHWs. FCHVs and local NGOs and community based
organisations (CBOs) support health workers to conduct clinics including recording and reporting.
Based on local needs, these clinics are conducted every month at fixed locations on specific dates
and times. They are conducted within half an hour's walking distance for their catchment
populations. VHWs and MCHWs or ANMs/AHWs provide the basic primary health care services listed
in Box 3.4.1.
Table 3.4.2: Average number of people served per clinic per day by province in FY 2073/74
Province PHCC/day Health post/day PHC-ORC/clinic
Province 1 33 13 18
Province 2 32 12 20
Province 3 37 13 17
Province 4 33 10 17
Province 5 38 19 22
Province 6 27 13 19
Province 7 42 15 23
National 35 13 19
Kaski 42 55 124
Kailali 39 47 93
Banke 40 54 198
Solukhumbu 41 36 101
FY2073/74
Baitadi
Totals 206 238 632
Source: MPDSR training report
Following the trainings, DHO and DPHO personnel oriented FCHVs on carrying out MPDSRs and the
notification of the deaths of local women. MPDSR committees were formed at district, hospital and
health facility levels in the five districts.
94 DoHS, Annual Report 2073/74 (2016/2017)
Family Health
Community-based MPDSR:
The community-based MPDSR process was started in Solukhumbu, Dhading, Kaski, Banke and Kailali
districts in FY 2072/73. During this FY 2073/74 it was further expanded to Baitadi with orientations
and trainings. Forty District Stakeholders, 22 hospital staff, 183 Community Health Service Providers
and 1063 FCHVs and HFOMC were oriented and trained at Baitadi during roll out.
An international trainer was mobilized for trainers’ training on maternal death cause assignment
from verbal autopsy with 26 participants from GoN, Nepal Society of Obstetrician/Gynaecologists
(NESOG), Perinatal Society of Nepal (PESON), Nepal Medical Association (NMA), tertiary hospitals
and external development partners. This was followed by training for the 12 medical doctors at the
districts implementing Community-based MPDSR.
By the end of In this FY 2073/74, hospital-based MPDSR was expanded into 65 hospitals. Training of
trainers was conducted at Kathmandu with participants from referral hospitals of all regions. This
was followed by seven batches of trainings for staff at65 hospitals. There were 29 participants in the
trainers training including Obstetrician/Gynecologists, Pediatricians, Medical Officers, Nursing Staff
and Medical Recorders. The roll out training was conducted for at regional level with 175
participants from RHDs, PHCs, DHOs, RHDs and 65 hospitals.
Following the community and hospital trainings, six districts and 65 hospitals in 38 districts are now
implementing the program.
A web-based reporting system is developed by the Family Health Division for enhancing functional
recording and reporting of the data related to the community- and hospital-based mortality.
On-site coaching and supportive supervision
Family Health Division conducted on-site coaching for supporting the districts and hospitals for
implementing MPDSR. Standard checklists were used during the process of monitoring and on-site
coaching was provided at individual sites.The on-site coaching covered Solukhumbu, Dhading, Kaski,
Kailali and Baitadi for community based MPDSR and 40 hospitals.
The visiting team met with the MPDSR committee, reviewed available data, forms and documents to
discuss on issues. Discussions were mainly prioritized to orient the MPDSR committee on process of
MPDSR focusing on identifying avoidable factors contributing to the maternal and perinatal deaths
and developing action plans to prevent such avoidable factors which improved quality of services
and ultimately contributed in reducing maternal and perinatal mortalities.
With the MPDSR process initiated in the community and strengthened in the hospitals, FHD is
receiving the tools with information on the maternal and perinatal deaths from many sites. There
are still gaps in regular implementation and reporting of the information and reporting. The
information received the web-based system till FY 2073/74 has been presented below.
Community-based MPDSR:
During the period, death of 192 women of age 12-55 years have been notified by the FCHVs which
have been screened by the staff from respective health posts. Among the 192 deaths, 48 (25%) were
pregnancy-related deaths. Verbal autopsy was conducted by the respective District (Public) Health
Offices (D(P)HOs for almost all (47) pregnancy-related deaths except one. One verbal autopsy could
not be conducted as the woman, who had committed suicide, used to live with her husband in
Pokhara who was untracable after the event
Once the verbal autopsy was completed, doctors in the district reviewed the verbal autopsy forms
and identified delays and cause of deaths. Based on the cause of deaths assigned by the doctors,
among all pregnancy-related deaths, 66% were direct maternal deaths, 26% were indirect maternal
deaths and 8% were accidental/incidental deaths (accident and suicide). Among the direct maternal
deaths, 42% were due to obstetric hemorrhage, 22% were due to eclampsia, 13% were due to
abortion related complications, 13% due to obstetric embolism and 10% due to pregnancy-related
sepsis.
First Delay:
• Sought care from traditional healer, home delivery, lack of knowledge of danger signs, did
not share problem with family, took medicine from local medical shop, did not take proper
nutrition during pregnancy, unwanted pregnancy, did not take misoprostol at home to
manage hemorrhage, no antenatal care, did not take medical advice
Second Delay:
• Delay in arranging money, delay in reaching facility due to public transport, delay in getting
referred from medical shop
Third Delay:
• No proper primary management at HP, delay in receiving care in hospital, delay in admitting
the patient at hospital, long time waiting at hospital before taking care, substandard care
received at hospital, no proper communication between facilities during referral
Coordination:
• Advocate on need of road construction with local development offices for raising
accessibility to health services, advocate for Calcium tablets distribution to pregnant women,
advocate for safe roads and bridges specially during rainy season, arrangement of stretchers
for local transportation
Quality of service:
• Referral system strengthening by co-
ordination with hospital and
Ambulance service providers,
provision of hotline number to
facilitate referral, provision of
ambulance driver's number of all
available ambulances at all health
facilities, ensure antenatal services in
all primary health care outreach
clinics, monitoring for proper
counseling as per protocol to mothers
attending ANC clinic, proper recording
of all cases in health facilities, ensure Figure 3.5.5 Cause of death
Hospital-based MPDSR:
The hospitals implementing MPDSR started entering the maternal death review form and perinatal
death review forms in the web-based system. The received data related to the maternal deaths
received so far was analysed and presented below. However, there are gaps in reporting from the
hospitals.
3. Health facility notifies pregnancy related death 3. Attending team completes MDR Form and
to DHO/DPHO notifies FHD and DPHO
[Phone call/Form] [MDR Form within 24 hours]
4. District verbal autopsy (VA) team completes 4. Medical team reviews MDR form and assigns
verbal autopsy with health facility cause of death
[Verbal autopsy form] [Cause assignment]
5. Medical team within district MPDSR committee 5. Medical team within MPDR committee prepares
reviews VA and assigns cause of death summary report for hospital MPDR committee
[Cause assignment] [SummaryReport]
6. District VA team prepares summary report for 6. Hospital MPDR committee reviews the death and
district MPDSR committee uploads the data
[Summary report] [Hospital MPDR Committee Review within 72 hours]
7. District MPDSR committee reviews death 7. Hospital MPDR committee identifies and
[District MPDSRctte review] prioritizes the response activities
[MDR Form]
8. District MPDSR committee identifies and 8. Hospital MPDR committee prepares action plan
prioritizes response activities and acts
[Prioritization Form] [Hospital: Action plan]
Hospitals
Hospital MPDR Committee reviews the death District MPDSR Committee reviews the death
[Hospital MPDRctte meeting, once a month] [District MPDSR committee meeting]
Hospital MPDR Committee identifies and prioritizes District MPDSR committee identifies and prioritizes
response activities response activities
[Prioritization of response activities] [Prioritization of response activities]
Hospital MPDR committee prepares action plan and District MPDSR committee prepares action plan and
acts acts
[Hospital: Action plan and actions] [District: Action plan and actions]
A cross-sectional descriptive study design using both quantitative and qualitative approaches was
applied to get valid and reliable information from both the services providers and service users.
Eleven districts were purposively selected for this RA based on the guidance provided by FHD. A total
of 69 health facilities (12 government hospitals, 15 PHCCs and 42 HPs) were sampled for this RA
from the list of all public and private facilitiesimplementing AamaProgrammeme. In-depth interviews
were carried out among 1561 recently delivered women. In addition, 72 exit client interviews were
carried out to understand women’s perception on the receipt of delivery service received.
DoHS, Annual Report 2073/74 (2016/2017) 101
Family Health
Qualitative information was obtained from in-depth interviews conducted with 219 key informant
interviews which included AamaSurakshya Programme focal person, service provider, account
officer, and health facility management committee members. The key findings of this RA are:
Use of delivery care
At the national level institutional delivery has increased from 14% in 2005/06 to 55% in 2015/16 and
during the same period, the home delivery has been declined from 20% to 4%.
Major Recommendations
DoHS/FHD to ensure availability of Aama guideline in implementing facility, timely flow of
funds to all spending units, and send letter to D(P)HO and health facilities requesting them
to use the facility management committees fund in case of delay in receiving budget. Clear
instruction on timely reporting of financial progress should be made from FHD to D(P)HO
and D(P)HO to the health facilities. All health facilities should send the Aamaprogrammeme
progress every month and also update the progress in Transaction Accounting and Budget
Control System (TABUCS). Ensure the compliance ofAama guideline in terms of providing
incentive in day of discharge, provided to women, displaying the name of Aama
beneficiaries and use of unit cost in improving the overall quality of the services.
3.5.1.2 Assessment of the Integration of Family Planning and Expanded Program of Immunization
(EPI)
As Immunization programme has the highest coverage rate in Nepal, the GoN/FHD initiated a pilot
to integrate FP into routine EPI in Kalikot in 2070/71. Because of the positive result of the FP/EPI
integration pilot, FHD expanded the programme to Bajhang in FY 2071/72 and further to Doti,
Parbat, Bajhang and Rukum in FY 2072/73.
This quick assessment of the integrated model selected one PHCC and one HP from Doti, Parbat,
Bajhang and Rukum districts. The rapid evaluation used a mix of quantitative and qualitative
methods including semi-structured questionnaires and discussion guidelines.
Findings
1. In the four districts studied the integrated model successfully increased access to family
planning.
In the 8 health facilities of the four districts studied the number of FP clients has increased
after the intervention compared to the period before intervention.
The uptake of pills, implant and IUD has also improved and thus method mix has balanced
after the integration.
3. The integrated model has allowed an opportunity for marginalized population group to
benefit from FP.
Of the total clients who received family planning methods, a little over a quarter (27%) are
Dalits and this proportion of Dalit FP users is more than the actual proportion of Dalits
population of 22% in four districts combined.
The total number of EPI users increased in 2073 during programme intervention period (six
months data) compared to the six months before the intervention with some fluctuations of
service in the last two months of comparison.
They had initial training, FP registers updated at least partially, and FP/EPI clinics
implemented the model as per MOH, FHD guidelines
5. Clients’ perspectives
Mothers who attended FP/EPI integrated clinics were overall happy with the model.
They see a lot of benefits in it as they say they can get two services from one place.
Women who did not go for FP service to FP/MCH static clinic now are easily accessing FP
services because of close vicinity of the service delivery point (referring to EPI ORCs or EPI
static clinics)
Most mothers accept FP service during their 2nd visit to the EPI/ORC
Those who do not accept FP at first visit is mainly because of no resumption of
menstruation.
Mothers who do not accept FP at 2nd visit mainly do so because of absentee husbands.
A fair number of mothers cannot accept FP at second visit because they cannot decide on
their own after getting FP counselling; they need to ask their husbands.
Objectives:
To increase the availability of and access to quality information on adolescent health and
development, and provide opportunities to build the knowledge and skills of adolescents,
service providers and educators.
To increase the accessibility and use of adolescent health and counselling services.
To create safe and supportive environments for adolescents to improve their legal, social
and economic status.
To create awareness on adolescence issues through BCC campaigns and at national,
provincial and community levels through FCHVs and mother groups
Targets:
To make all health facilities as adolescent friendly as per the envision of National Health policy
(2014) and NHSS (2016-2021)
To ensure universal access to ASRH services, the Nepal Health Sector Strategy Implementation Plan
(2016-2021) aims to:
scale up Adolescent Friendly Service (AFS) to all health facilities;
behavioral skill focused ASRH training to 5,000 Health Service Providers and
more than 100 health facilities to be certified with quality AFS by 2021
The programme aims to reduce the adolescent fertility rate (AFR) by improving access to family
planning services and information.
Prioritizing the integration and effective program management, FHD established Family Welfare
Section in four thematic areas: Adolescent Sexual and Reproductive Health (ASRH); Family Planning
(FP); Female Community Health Volunteers (FCHVs); and PHC-Out reach Clinic since BS FY 2073/74
(FY 2016/17).
As per recommendations of the ASRH barrier study entitled “Assessing supply side constraints
affecting the quality of adolescent friendly services (AFS) and the barriers for service utilization”
carried out in 2014 under leadership of FHD technically and financially supported by UNFPA and
UNICEF, two major interventions were implemented in BS.2072 (2015) as part of system
strengthening (capacity building, certification for quality delivery of AFS in friendly manner) and
awareness raising interventions among adolescents and key stakeholders. Over the period of time
ASRH training package was revised as per national standards; establish and strengthen ASRH clinical
training sites within RH comprehensive training sites and additional 2 training sites in Bharatpur
Hospital and Koshi Zonal Hospital were established. Different training materials, quality
improvement tools were developed and printed which were subsequently distributed in different
districts (UNFPA supported to print 3000 ASRH training manuals, 3000 Adolescent Job aids; 1000 QI
and Certification tool, 3000 Flip Charts and 20,000 eight sets of ASRH booklets) for strengthening
health system.
The National ASRH program has been gradually scaled up to 70 of the 75 districts covering 1134
health facilities till the end of current fiscal year 2073/74. Different development partners such as
UNFPA, UNICEF, WHO, Save the Children, Ipas, ADRA Nepal and MSI Nepal at national and
subnational level supported to Family Health Division (FHD) for scaling up and strengthening ASRH
services in the health facilities in order to make those health facilities as adolescent friendly service
sites. The remaining five districts (Manang, Mustang, Dolpa, Rasuwa and Sindhupalchowk) will be
covered in the running FY 2074/75.
2.1 ASRH Clinical Training site development: ASRH clinical training sites were established at Seti
Zonal Hospital, Bheri Zonal Hospital, Western Regional Hospital, Paropakar Maternity Hospital within
RH Comprehensive Training sites, and Bharatpur Hospital in FY 2072/73 (FY 2015-16) and Koshi Zonal
Hospital in FY 2073/74 (FY 2016-17).
2.2 Competency based ASRH training to the Health service providers: Total 1415 health service
providers trained on behavioural and skill focused competency based 5 days ASRH training from
2015 to Dec 2017 (BS. FY 2071/72 to 2073/74) from AFS sites to be implemented for making
Adolescent Friendly Services under leadership of National Health Training centre. Among 1415
trained HSPs, 74 trainers received Training of Trainers (TOT) and developed pool of trainers on ASRH
first time in Nepal at national and regional level. Out of total trained on ASRH, 1073 (76%) HSPs were
trained with the support of UNFPA through Redbook (NHTC) and ADRA Nepal and rest of them
trained from NHTC (Red book- UNICEF), Save the Children, and MSI.
Figure 1
One of the participants of the ASRH training reflected his opinion that "I will make a separate
room for Adolescent in my hospital. I am also planning to attend school health programs to tell
adolescents that this facility is adolescent friendly. Lastly, I will make sure that confidentiality
and privacy guaranteed and secured for whatever problems they consult with"
2.3 AFS sites certification through joint monitoring: Upon request of DHO with pre-certification
pre certification of
minimum 80% of the overall WHOs WHO 9 standards’ score, a joint monitoring team, comprises of
FHD/UNFPA/DHO/ADRA/SAVE/MSI, has visited health facilities for certification of AFS using “QI and
Certification Tool for AFS 2015”. Joint monitoring team followed 4
4-step
steps processes of certification of
AFS as follows:
1. Facility Observation
2. Interview with health workers (at least 2)
3. Interview with HFOMC members (at least 2)
4. Client Exit interview with Adolescent Girls and Boys (at least 2)
The main objective of Certification is to: Certify with assurance of availability of "Quality and
Friendly" ASRH services in health facility as per WHOs 9 standards with minimum overall 80% score.
The monitoring process of HF takes about 4 to 5 hours in the HF to accomplish above mentioned 4
steps with debriefing to the same team announcing the result of certification if HF is being able to
achieve minimum 80% overall score. The criteria set for being adolescent
adolescent-friendly
friendly services (AFS)
include the availab
availability
ility of trained staff, proper information delivered to adolescent on sexual and
reproductive health, delivery of ASRH services in a confidential way, display of the AFS logo in the
health facilities and including two adolescents as an invitee in the Healt
Health
h Facility Operation and
Management Committees (HFOMC) meetings.
The summary table of the AFS certified sites shows two times increase in FY 2073/74 (FY 2016-17)
2016
(total 28 HFs in 13 districts) compared to total 14 HFs in 6 districts in FY 2072/73 (FY 2015-16).
2015 16). Total
DoHS, Annual Report 2073/74
207 (2016
6/2017) 107
Family Health
51 HFs certified in between Dec 2015 to Dec 2017 in 20 districts (45 supported by UNFPA; 1 by
Government; 2 by MSI and 3 by SAVE the Children). The certified sites received “appreciation letter
of certification” for 5 years of period effective from August 2017 with signature of FHD Director and
Family Welfare Section Chief, FHD.
Table 1: Summary of certified Health facilities from Dec 2015 to Dec 2017 (BS. FY 2072/73 to FY
2073/74)
In December 2015 9 HFs- certified in 4 districts
(9 UNFPA supported sites)
January to July 2016 5 HFs- certified in 2 districts
(4 UNFPA supported sites including 1 HF by SCI)
Total in FY 2015-16 (BS FY 2072/73) 14
16 July to Dec 2016 15 HFs- certified in 6 districts
(15 UNFPA supported sites)
Jan to July 2017 13 HFs- certified in 7 districts
(9 UNFPA supported sites including 2 HF by MSI & 2
HF by SCI)
Total in FY 2016-17 (BS. FY 2073/74) 28
16 July to Dec 2017 9 HFs- certified in 4 districts
(8 UNFPA supported sites including 1 HF by GON)
Total in FY 2017-18 (BS. FY 2074/75) 9
Grand total from Dec 2015- Dec 2017 51 HFs- certified in 20 districts
The detail list of certified health facilities is in Annexe I table 1 and average score obtained in each 9
sections by 51 HF is in Figure 1 of Annexe I.
Different awareness raising activities on ASRH was carried out in this FY in support of different
partners (UNFPA, UNICEF, GIZ, and USAID-Health for Life, Save the Children, UMN, ADRA Nepal,
FPAN Nepal and MSI Nepal) under leadership of National Health Education Information and
Communication Center (NHEICC) and FHD among the adolescents at community level. Different
approaches like My First Baby (MFB), Partner Defined Quality for Youth (PDQY), school health
program etc were applied to raise the awareness among adolescents and other communities. These
very many activities helped adolescents to understand the problems during adolescents, their
mitigation approach and services available at HF addressing their needs.
3.1 Establishment of AFICs in schools: A total of 212 AFICs established in UNFPA supported districts
in order to link between AFS in health facilities and AFICs in schools. Similarly, Save the Children
supported to establish 85 AFICs in its working districts. The AFICs is equipped with ASRH related
IEC/BCC materials such as 8 sets of ASRH booklet, Adolescent health and development flip chart;
comic book on ASRH, poster on finger pointing to AFS, brochure on delay marriage, danger signs
during pregnancy with orientation to the teachers, parents, school health management, and health
service providers from AFS to utilize the IEC materials by both teachers and adolescents girls and
boys as well as access to AFS services by adolescents when and as needed. A total of 2,822 teachers,
parents, students and Health Service Providers were sensitized on ASRH, AFIC, and CSE, contributing
to an open and enabling environment in the community and promote the utilization of AFS during
this fiscal year.
108 DoHS, Annual Report 2073/74 (2016/2017)
Family Health
At the regional level, advocacy workshops conducted for Journalists from 10 UNFPA supported
districts and sensitized total 39 journalists on ASRH, AFS and CSE issues. As a result; Journalists are
conducting various media related interventions focusing on ASRH and CSE.
More than 200 Community key stakeholders; religious leaders; parents and teachers sensitized on
ASRH/FP issues as well as social norms through Intergenerational dialogue in FY 2073-74
2073 74 (2016-
(2016
2017).
Result
lt # 4 ASRH Service Utilization:
4.1 Proportion of adolescent new acceptors among total new acceptors of spacing modern
contraceptives by provinces (2073/74)
The proportion of pills users is observed highest in Province # 2 followed by province number 6,
whereas Depo users was highest in Province # 6 followed by province 1 and 3. Overall users for all
temporary commodities observed low in Province number 7 (Figure 2).
Figure 2
2:
4.3 Safe abortions:: The proportion having medical abortions was highest in the province number 3
and lowest in province number 7 whereas the proportion of surgical abortion was highest in
province number 5 and lowest in province number 4. The proportion of adolescent abortion at
National level by both medical and surgical procedure w
was
as 13.8% of the total abortion done in this
reporting Fiscal Year.
Table 5:: Proportion of adolescent safe abortion service users among total safe abortion service
users by provinces (2073/74)
(
National and Provincial total abortion among
Medical abortion Surgical abortion
level adolescent
National 11.6%( 6196) 16.7% (7138) 13.8% (13334)
Province 1 9.6% (1037
1037) 10.3% (703) 9.9% (1740)
Province 2 12.4% (547
547 ) 20.8% (570) 15.6% (117)
Province 3 18.5% (2486)
2486) 16.9% (2025) 17.7% (4511)
Province 4 8.0% (643)
643) 8.5% (431) 8.2% (1074)
Province 5 10.1% (841) 29.7% (2751) 20.4% (3592)
Province 6 13.3% (279) 11.3% (163) 12.5% (442)
Province 7 5.5% (279) 9.1% (495) 7.2% (858)
Source: HMIS
Number of Abortion cases (medical and surgical among Adolescents) at province level.
Table 1: List of Certified AFS sites with pre- certification and certification score obtained
disaggregated by Provincial level (From Dec 2015 to Dec 2017)
Certificati Date of
S. N. District AFS sites Pre-score
on Score Certification
Province 1
1 Sunsari Sitapur HP 92.00% 91.00% 16-Apr
2 Sunsari Ithari PHCC 91.30% 93.00% 16-Apr
3 Udaypur Jogidah HP 98.70% 98.80% 17-Nov
4 Udaypur Sundurpur HP 94.70% 94.70% 17-Nov
5 Udaypur Hardeni HP 94.70% 94.70% 17-Nov
Province 2
6 Mahottari Bardibas Hospital 90.70% 93.30% 16-Nov
7 Mahottari Gaushala PHCC 89.40% 94.00% 16-Nov
8 Mahottari Bharatpur HP 93.60% 81.00% 17-Nov
9 Rautahat Kanakpur HP 93.00% 93.00% 16-Nov
10 Rautahat Patura PHCC 85.60% 91.50% 16-Nov
11 Rautahat Sarmujwa HP 90.00% 96.80% 16-Nov
Figure 1: The National Standard wise total Score obtained by 51 certified AFS sites of 20 districts
(joint monitoring certification score)
Figure 1 illustrates that out of total nine national standards for joint monitoring and certification
process of ASRH services provided from AFS sites, average score of two indicators (number 7 & 9)
were found low in comparison to other indicators. So, major concern should be focused on life skill-
skill
based sexual and reproductive health education to adolescents and young people and improve and
sustain the quality of health services as a part of health management system strengthening.
Disease Control
4.1 Malaria
Background
Nepal’s malaria control programme began in 1954, mainly in the Tarai belt of central Nepalwith
support from the United States. In 1958, the National Malaria Eradication Programme was initiated
and in 1978 the concept reverted to a control programme. In 1998, the Roll Back Malaria (RBM)
initiative was launched for control in hard-core forests, foothills, the inner Tarai and hill river valleys,
which accounted for more than 70 percent of malaria cases in Nepal. Malaria is a greater risk in
areas with an abundance of vector mosquitoes, amongst mobile and vulnerable populations, in
relatively inaccessible areas, and during times of certain temperatures.
In Nepal, the first malaria micro-stratification was limited to district level where a district was
identified as the basic administrative unit. The population at risk of malaria was defined as the total
population of the district. The updated micro-stratification 2013 exercise (based on the number of
malaria cases, geo-ecology, vector breeding and vulnerability due to migration and population
movements), identified 54 VDCs to be high risk, 201 VDCs moderate risk and 999 VDCs low risk for
contracting malaria (Figure 4.1.1). The exercise identified 13 million people (47.9% of the
population) as living in malaria endemic VDCs, out of which around 1 million (3.62%) live in high risk
VDCs,2.66 million (9.8%) in moderate risk VDCs, and 9.38 million(34.5%) in low risk VDCs. A total of
14.13 million (52.1%) people are estimated to live in VDCs with no malaria transmission in Nepal.
The high risk areas are the foothills with river belts, forest fringe areas in the Tarai, hill river valleys
and inner Tarai areas. Low risk VDCs lie in the cultivated outer Tarai plains, mountains and mountain
valleys.The Global Fund to Fight AIDS, Tuberculosis and Malaria(GFATM) has supported the malaria
control programme since 2004.
EDCD has finished ward level micro stratification study on 2016 which was endorsement by
director general of DoHS. The results of this study were based on summation of scores of
each determinant that the ward received. The three determinants and their weight were -
disease burden with weight of 0.3, receptivity (geo-ecology) with weight of 0.5 and
vulnerability with weight of 0.2. Based on this analysis, a ward with a score of 75% or more
was categorized as high risk, a ward with a score of 60 % or more was categorized as a
moderate risk ward, a ward with a score of more than 20 % but less than 60% was
categorized as low risk, and a ward with a score of 20 % or less was categorized as no risk.
The study revealed that a total of 29,433 out of a total 31,550 wards were found to be at some level
of risk of transmission. Out of these, 54 wards in 28 VDCs of 12 districts were at found to be at high
DoHS, Annual Report 2073/74 (2016/17) 117
Disease Control
risk (0.17% of total risk wards), 370 wards (1.17% of total risk wards) across 127 VDCs of 27 districts
(including the 12 high risk districts) were categorized as moderate risk and 29,009 wards (91.94% of
total risk wards) were categorized as low risk wards whereas the remaining 2117 wards (6.70% of
total risk wards) came under no risk categories. Based on the latest population census, a total of
169,747 people (0.60%) live in high risk wards, similarly 1,357,723 people (4.83%) live in moderate
risk wards and 2,39,60,215 people (85.30%) live in low risk wards and 25,99,694 (9.25%) live under
no risk wards.At a Regional level approximately 85% of the High Risk Wards were found in Far
Western Development Region and Mid-Western Development Region. Among the 54 high risk
wards, 35 wards (64.81%) were in Far Western Development Region alone with the remaining 11
wards (20.37%) in Mid-Western Development Region, 5 wards (9.26%) in Central Development
Region and 3 wards (5.56%) in Western Development Region (WDR). The Eastern Development
Region did not have any high risk wards.
Due to reliability issues in the data reported through the HMIs as well as the non-availability of line
listing of all the confirmed cases several criteria was put in place. A ward where malaria information
of 2015 and 2014 was not available for review (eg. Baitadi district, Maharudra wards no.8), however,
there was an ongoing most recent transmission (i.e in 2016) or where a focal outbreak had occurred
was straight away classified as high risk because there was an ongoing transmission with API of most
recent year suggesting a focal outbreak in the ward. Wards with indigenous cases in all 3 years,
wards with indigenous case in 2 out of 3 years, and wards with imported cases with evidence of
probable introduced cases were categorized as moderate risk.A ward with a single indigenous case
in each of the three years was classified as moderate risk although it may have been a misclassified
case; yet since only 75 % – 80 % line listings were available and people seek care outside the public
health facility; it was more prudent to be over-cautious since the goal was getting to zero indigenous
case by 2020 (recently revised goal that the earlier 2022).
The strategic plan was divided into two phases: achieve Malaria Pre - Elimination by 2018 and attain Malaria
Elimination by 2026. Malaria pre-elimination targets were set to achieve and sustain zero deaths due to malaria
by 2015, reduce the incidence of indigenous malaria cases by 90%, and reduce the number of VDCs having
indigenous malaria cases by 70% of current levels by 2018. The baseline year was taken as 2012.
Strategy
The strategy to achieve the targets was identified as follows:
Current Achievement
By 2016, National Malaria Program had achieved 54% reduction in indigenous malaria cases compared to 2012,
death was recorded in an imported case of malaria, and no foci have been cleared of malaria transmission.
1. P. vivax is the overwhelmingly predominant parasite species in Nepal and strategy should reflect the
importance of P vivax in elimination programme and it should target P vivax with novel and innovative
interventions.
2. Traditional conventional interventions are neither effective for P vivax control nor elimination.
3. Novel interventions based on strong evidence are required to clear hypnozoites in the liver and prevent
relapse, point of care tests to detect asymptomatic and sub – microscopic infections, and new community
based testing and treatment methods to increase access to quality assured and quality controlled
diagnosis and prompt effective treatment. Ensure G6PD point of care test and roll out radical cure
treatment for P vivax infection.
4. Without interrupting P vivax (reduction will not be sufficient) transmission, achieving malaria elimination
is unlikely.
Malaria Burden
Progression towards malaria-free status is a continuous process, and not a set of independent stages.
As intervention coverage is increased and malaria incidence is reduced, the heterogeneity in
incidence and transmission rates is likely to further increase whereby malaria infection and disease
are more likely to be concentrated in a small proportion of individuals, such as small groups of
households, or hotspots that are at a substantially increased risk of malaria transmission. Hotspots
maintain transmission and targeting hotspots is a highly effective and efficient way to reduce malaria
transmission.
A key approach to ensure optimal responsewill be a structured malaria programme based on risk stratification
by malaria burden and an analysis of past malaria incidence, transmission risk determinants, the environment
and an analysis of access and use of health care services. The burden of malaria and the geographical area at
risk of malaria will be defined by evidence based on the micro stratification study, 2016. This will be validated
Malaria risk is defined up to the smallest unit of community - the wards, which are classified as high risk wards,
adjoining wards to high risk wards, moderate risks, low risk, and no risk wards. Targeted interventions based on
risk stratification are likely to be more effective, efficient, and may add more value to money.
Malaria information from private sector is mostly unreported. Despite an estimated adjustment of additional 20
% to HMIS data based on the concept of free drug for malaria treatment in only public health facilities
throughout Nepal, yet actual private sector data is lacking and estimate of adjustment may be an
understatement.
Notification
A legal framework to notify each and every case of malaria in the public as well as private sectors should be in
place by 2018. National Malaria Elimination Steering Committee (NMESC) will develop the legal framework for
notification.
Foci Identification
Districts should identify, classify, respond and update malaria foci in their districts with support from the region
and canter. Although foci activity has just started recently, scale up of the activity will be implemented by 2017
to gradually achieve target coverage of 15% cleared foci by 2018, 35% cleared foci by 2019, 60% of cleared foci
by 2020, 80% of cleared foci by 2021, and 100% of cleared foci by 2022; and sustain it thereafter. Foci response
will target early quality diagnosis and effective treatment in the community using community testing, malaria
mobile clinics, and detection and treatment of asymptomatic and sub-microscopic malaria; achieving universal
coverage with LLINs distribution, and focal IRS spraying toclear the area from transmission of malaria. Mapping
hot spots and hot pops within a focus may be beneficial for more effective and efficient targeted interventions.
Operational Research
Map active foci with qPCR to identify asymptomatic and sub microscopic malaria and define hot spots and hot
pops for more effective and efficient targeted interventions by 2018.
Implement MDA in closed and isolated setting with MPPT for P. vivax after G6PD testing by 2017- 2018 and
disseminate the results by 2019-2020.
Imported Malaria
As countries move toward malaria elimination, imported infections become increasingly significant as theyoften
represent the majority of cases, can sustain transmission, cause resurgences, and lead to mortality. The
changing epidemiology of imported malaria in Nepal is a big challenge to malaria elimination. Imported malaria
is one of the main threats to achievement and maintenance of elimination, with greatest risk for countries
neighbouring high-endemic areas such as Nepal with an open border with India. Despite consistently low
reports of malaria cases, a major epidemiological shift is taking place within the country: imported cases have
risen from 16% of the total confirmed malaria cases in the country in 2004 to 45 % in 2016. Large `numbers of
Nepalese go to work in neighbouring malaria endemic states of India such as Assam, Gujrat, West Bengal and
Maharashtra and may return with malaria infection. Besides, seasonal migration for work for couple of months
during the peak malaria season to endemic states and home coming for celebrating major festivals is way of life
in Far West and Mid-West Regions. An operational research to map migrant and mobile population will be
conducted along with social networking, developing awareness through IEC about malaria prevention and
increase in early health seeking behaviours, enhanced surveillance and increase in health-care access through
Malaria Mobile Clinics in high and moderate risk areas from March to October. Reduction in malaria receptivity
in such high risk mapped areas by LLINs distribution and focal IRS spray and personal protection by distribution
of prevention package during transit will be promoted. Screening incentives will be explored at the border
entry with enhanced health seeking behaviours and target networks and use of mobile alerts and reminders on
return. Cross border collaboration needs to move away from just being an idea to be actually implemented with
concrete mechanisms and focal points to exchange data with the Indian National Vector Borne Disease Control
Programme (NVBDCP) and agreed chain of actions in areas where cases are originating. Such mechanisms and
agreement on actions to be undertaken in the affected areas (in both India and Nepal) require formal and
regular meetings with EDCD’s counterpart in India. WHO is best placed to hold/gather such meetings at a high
level to get firm commitment from India after the past failed attempts.
Universal coverage with mass LLINs distribution will be promoted in high risk wards and adjoining wards and
moderate risk wards. Continuous distribution of LLINs to pregnant women will be promoted in high risk wards
and adjoining wards and in moderate risk wards through ANC visit. Mass LLINs distribution by government
agency will be explored from 2018.
The coverage, use, and durability of LLINs after 3 -6 months of distribution will be tracked as a baseline and a
longitudinal study will be conducted after 12, 24, and 30 months. Operational research related to technical and
economic feasibility of using WHOPES-approved long lasting insecticide treatment of conventional nets
(IconMaxx) will be explored.
IRS
As outlined in the IVM guidelines, IRS will be conducted as follows:
IRS will be conducted in an integrated manner to address other vector borne diseases such as Dengue and Kala-
azar.
Each district willimplement foci response and delimit foci in the district as follows: (cumulative) – 15 % foci by
2018, 35 % by 2019, 60 % by 2020, 80% by 2021, and 100% of foci responded by 2022 and sustained it
thereafter. Foci identification will be conducted by DHO/DPHO with participation of local health facilities and
with active support from the center in the first year, but during foci updates in subsequent years DHO/DPHO
will conduct the exercise.
Appropriate response to delimit and eliminate the foci consists of early diagnosis and prompt complete
treatment (in addition to 3 days ACT, single low dose Primaquine for uncomplicated falciparum malaria and for
uncomplicated vivax malaria administer G6PD test and on normal test result treat with 3 days Chloroquine and
14 days Primaquine).
Increase access to diagnosis and treatment in the area is ensured through community test treat and track by
FCHVs (or modified approach) and Malaria Mobile Clinics. Universal coverage with LLINs and /or IRS spray will
ensure further reduction in transmission in the area. Case based surveillance along with detection of
asymptomatic and sub clinical malaria by PCR done at designated centers further drains the infectious pool of
reservoirs in the community. Foci will be mapped with PCR to target hotspots & hot population and implement
MMCs in the focus to increase early diagnosis and prompt complete treatment. Updated malaria foci, malaria
hot spots and hot pops information will be maintained at METF in the center.
3. Improve quality of and increase access to early diagnosis and effective and complete
treatment of malaria.
Quality Diagnosis
Quality malaria microscopy is a critical issue in National Malaria Programme. An external review of malaria
microscopy diagnosis in Nepal recommends roll out and scale up of quality assured and quality controlled
RDTs( capable to detect Pf &Pv- Combo) in most areas with establishment of designated strengthened
microscopy centers at strategic locations for cross check and quality control.
Community diagnosis and up to PHCs and private sectors malaria diagnosis should be done by Quality Combo
RDTs throughout the country. Trained microscopists if available in PHCs and private sectors may utilize
microscopy for diagnosis but quality assured and control guidelines should be in place. All positives and 10 %
negatives RDTs, should undergo cross checking and quality control. Prepare thick and thin slide of the sample
and each week send the slide for quality control to designated district microscopy center. Feedback should be
sent within a week. Conduct basic, refresher and competency assessment in malaria microscopy foras public
and private health care facilities, designated microscopy and referral centers respectively.
Equivocal slides and random sampling of positive and negative slides should be sent to the designated referral
centers for review. Feedback should be sent within a week.
The big challenge is to comply with complete treatment particularly in vivax malaria treatment as per NMTP
2016. There is currently three treatment regimen in operation for P vivax treatment without G6PD testing: a.
chloroquine only; b. chloroquine and 5 days Primaquine; c. chloroquine and 14 days Primaquine. Drug
adherence, monitoring, and follow up are not implemented. A point of care test (RDTs) will be pre- positioned
by Malaria Programme by 2017. Although current point of care test will not address female heterozygotes for
G6PD and on exposure to Primaquine they may hemolyze, careful counseling and provision of FST facility in
each district may minimize the risk. It is envisioned that within a year, point of care test will address the issue of
female heterozygotes. Primaquine administration for 14 days for radical cure of P vivax malaria after a normal
G6PD test is the critical element in compliance with treatment protocol.
PSM/Logistics Plan
The Procurement and Supply Management plan requires new interventions that will foster an enable
environment for decision making based on evidence for 1) a more accurate forecasting of needs ofdrugs and
diagnostics commodities, 2) a more regular control of stock data reported to avoid stock-out, 3) a stronger
quality assurance system, and 4) a more robust plan for minimizing drug expiry and guarantee adequate waste
management.
- Establish and train a central forecasting committee for malaria commodities at EDCD comprising
members from Logistic Management Division (LMD), Save the Children (STC), WHO, Department of
Drug Administration(DDA), local USAID mission health section. The Terms of Reference for such
committee should be completed by July 2017.
- Set-up and conduct monthly meeting to cross-check data reported to LMD and EDCD (LMIS versus
MDIS, as well as data reported by VCIs, DHOs or other channels). A joint LMD-EDCD team will conduct
these meeting and produce reports to the TWG and NMESC.
- Develop product specifications, prepare cost estimates for procurement and validate the specifications
during an annual workshop with national stakeholders.
Case Management
Conduct malaria case management training for physicians, medical officers, and health care providers in public
and private sectors. Case management will focus on severe malaria in order to address increasing imported
cases of severe malaria seeking health care mostly in private sectors.
4. Develop and sustain support through advocacy and communication, from the political
leadership and the communities towards malaria elimination
National Malaria Elimination Steering Committee (NMESC)
NMESC is required for policy, advocacy, and partnerships building. Such committed would include high level
representatives of the Ministries of Health, Education, Environment, Agriculture and Finance, as well as
representatives of Economic Development Partners (EDPs) such as WHO, USAID, UNICEF, DFID, GIZ, AFD, etc.
NMESC would meet annually to review progresses accomplished by the malaria program and examine the
current challenges, bottlenecks and requests for policy changes, support or funding.
As describe under objective 1), such strategy requires first a clear mapping of private facilities by legal
Private sector will report or comply if incentives mechanism (not monetary) or formal partnerships are
established including but not limited to:
- EDCD/MoH providing for free the full range of BCC materials, guidelines, protocol materials, RDTs and
drugs for quality diagnostic and treatment.
- EDCD providing training, mentoring and monitoring to private facilities staff.
- EDCD inviting private sector representative at District and Central Levels to regular coordination meetings.
- EDCD setting up a recognition system for best reporting/performing facilities (annual awards during
annual review of private sector data/achievements for instance).
- Private facilities reporting on a monthly basis the number of clinical cases, diagnosis results and treatment
provided following national treatment and case management protocol.
- Private facilities referring cases (severe or not) to recommended public facilities when not able to provide
necessary and appropriate services to patients.
- Private facilities offering testing and treatment for free when receiving commodities and training from
government.
- Private facilities participating in regular coordination meetings with district or national level authorities.
A national level meeting should be held with government authorities (EDCD, MOH, DHOs) and representative
of the private sector organizations/associations to agree on partnership conditions and review on a regular
basis the data generated from both sectors.
It is expected that WHO would play the role of mediator to establish such collaboration but initially hosting a
bilateral high level meeting on that matter to introduce both parties to each other, recommend the
collaboration, assist EDCD to present its proposal and drive the discussion towards a formal commitment and
agreement framing on the collaboration.
In addition EDCD can unilaterally establish and test the relevance of health/check posts at the border of high
risk districts which would provide on-site testing, communication materials and prevention commodities
packages (prophylaxis, LLINs, repellants, etc.) to targeted migrant workers/populations.
Because the METF staff will be dedicated to the Malaria Program to fully focus on this disease, EDCD will
develop specific Job Description for these position, describe the level term of references, responsibilities and
authority of the METF, and will internally restructure/shift its organigram to include this team while keeping the
same number of employees.
An internal Malaria Programme Review should be conducted in 2017, 2020 and 2022 to review and measure
progresses made toward elimination and update as needed the NMSP.
To ensure that all interventions are planned and budgeted in a timely fashion and that activities follow a clear
roadmap, the METF will develop every year a work plan that will be reviewed and approved by the TWG/M.
Achievements
Nepal achieved MDG 6 ahead of time by reducing malaria morbidity and mortality rates by more
than 50 percent in 2010.Despite political instability, Nepal’s malaria programme has successfully
implemented planned interventions to eliminate the remaining active malaria foci (VDCs). MoH, with
support from its EDPs, has implemented a strong malaria control programme, steadily improving the
coverage and quality of indoor residual spraying, introducing long lasting insecticide-treated nets,
and increasing access to rapid malaria diagnosis and powerful artemisinin-based combination
treatments.
Data generated by public health care facilities in the HMIS, the Early Warning and Reporting System
(EWARS) and from studies including malaria micro-stratification show a substantial decline over the
last six years in clinical and laboratory confirmed Plasmodium falciparum and P.vivax cases. The
findings of the micro-stratification exercise (2013) reduced the number of high and moderate risk
district from 31 to 25 and identified 1,254 VDCs (out of 3,972) as presenting a risk of contracting
malaria. In 2073/74 (2016), micro stratification was done to assess the risk at ward level. The result
was published.
The trends of the malaria epidemiological situation between 2071/72 and 2073/74 show a slightly
increasing trend of confirmed cases and 3 deaths (Table 4.1.1):
Confirmed malaria casesincreased from 991 in 2072/73 to 1128 in 2073/74. The proportion of
P. falciparum infections slightly decreased and accounted for 13.1 percent of all cases in current
year although the proportion is still high, which may be due to high number of imported P.
falciparum cases.
During 2004–2007, the annual parasite incidence (API) remained stable (0.26-0.27 per 1000
population countrywide), and thereafter gradually declined to the lowest level ever recorded (in
2073/74) of 0.08/1000 at risk population (calculated based on denominator set after micro-
stratification, 2016).
The trend of clinically suspected malaria cases is also decreasing, mainly due to the increased
coverage of RDT, microscopic laboratory service at peripheral level and regular orientation and
onsite coaching of service providers. A total of 3904 probable/clinical suspected malaria cases
treated by chloroquine were reported in 2073/74.
There was a sharp decrease in the number of indigenous P. falciparum cases with slowly
decreasing trend of indigenous P.vivax cases. But cases being identified in new areas, especially
in hilly terrain, suggest that P.vivaxmalaria remains a challenge for the elimination of malaria in
Nepal. This raises the need for new country specific elimination strategies.
Source: EDCD
The trend of the national malariometric indicators (Table 4.1.1) indicates that Nepal has entered the
elimination phase. Despite district variance including on number of cases, the API and slide positivity
rates (SPR) and the zero indigenous cases from districts such as Kavre and Sindhupalchok over the
last three years suggests a paradigm shift. The highest number of confirmed cases were reported
from Kailali district (267), followed by Dhanush (78), Baitadi (75), Kanchanpur (75, Kap) and
Kaplbastu (72). This shows substantial progress towards elimination targets (bearing in mind that
data are only generated by public health care facilities and require continuous attention for
improvement).
Confirmed malaria is slightly increased due to active surveillance and others many factors may have
contributed to the decline of clinical and the decline of the number of endemic districts (and
probably of the number of active foci):
Overall improvements in the social determinants of health (for example, less than 20% of
Nepalese people now live below the poverty line against more than 40% in 2000).
Increased access to simple diagnostic tools like (combo) RDTs.
The availability of powerful antimalarial medicine(ACTs) in all public health facilities.
The distribution of around 5 million LLINs in endemic areas.
The large financial support from the GFATM since 2004 has played a major role by allowing the
programme and partners to scale up essential interventions and malaria control tools to the most
peripheral level. Data reported by the districts via HMIS and reports received by the programme may
differ for various reasons such as lack of orientation of staff who generate data and statistical
officers who enter the data as per the suggestion of vector control officers at district and regional
levels. The involvement of the vector control inspector (VCI), statistical officers and lab personnel
from districts and regions on data quality coupled with rigorous on-site coaching and support by the
central EDCD team (comprising government and contracted staff from Save the Children working at
the programme management unit) have paid dividends in helping decrease errors.
Crucial concerns remain to be addressed to improve the reliability and precision of data. In
particular, there is a need to increase the capacity of EDCD and district teams to analyse data
generated by public health facilities and progressively include and analyse data generated by all
private health institutions including NGOs that run community activities and support refugees and
migrants.
Low blood slide Train health workers on Supplied RDT at community level
examination rates for RDT and microscopy in
Trained health workers from
malaria elimination malaria reported districts
malaria reported districts
programme
Malaria case reporting Orient district and District and peripheral level staff
and case investigation peripheral staff on case oriented on case investigation,
investigation and reporting surveillance, foci investigation and
reporting.
Insufficient variables EDCD to address the Discussed with HMIS section and
in HMIS tool (for e.g. insufficient variables agreed to rectify at next revision
slide and RDT during HMIS tools revision
classification)
Background
Kala-azar is a vector-borne disease caused by the parasite Leishmaniadonovani, which istransmitted
by the sandflyPhlebotomusargentipes. The disease is characterized by fever for more than two
weeks with spleenomegaly, anaemia, and progressive weight loss and sometimes darkening of the
skin. In endemic areas, children and young adults are the principal victims. The disease is fatal if not
treated on time. Kala-azar and HIV/TB co-infections have emerged in recent years.
The government committed to the regional strategy to eliminate kala-azar and signed the
memorandum of understanding that was formalized at the World Health Assembly in 2005, with the
target of achieving elimination by 2015. In 2005, the EDCDformulated a National Plan for
Eliminatingkala-azar across preparatory (2005-2008), attack (2008–2015) and consolidation (2015
onwards) phases. See Box 4.2.1 for the plan’s goals, objectives and strategies. The expected outputs
of the plan are related to the components of the system that need strengthening. One is to develop
a functional network that provides diagnosis and case management with special outreach to the
poorest people.
Target — Reduce the incidence of kala-azar to less than 1 case per 10,000 populations at district
level.
Objectives:
Reduce the incidence of kala-azar in endemic communities including poor, vulnerable and
unreached populations.
Reduce case fatality rates from kala-azar.
Treat post-kala-azar dermal leishmaniasis (PKDL) to reduce the parasite reservoir.
Prevent and treatkala-azar and HIV–TB co-infections.
Strategies — Based on the regional strategy proposed by the South East Asia kala-azar technical
advisory group and the adjustments proposed by the Nepal expert group discussions, MoH has
adopted the following strategies for the elimination of kala-azar.
Improve programme management
Early diagnosis and complete treatment
Integrated vector management
Effective disease and vector surveillance
Social mobilization and partnerships
Clinical, implementation and operational research.
The national plan was revised in 2010 as the National Strategic Guideline on Kala-Azar Elimination in
Nepal that recommended rK39 as a rapid diagnostic test kit and miltefosine as the first line of
Over the last decade, there have been significant advances in the diagnosis and treatment of kala-
azar. Nepal’s national programme made the rK39 dipstick test kit (a rapid and easily applicable
serological test) available to PHCC level in programme districts.
Indoor residual spraying in priority affected areas — In 2073/74 two rounds of selective indoor
residual spraying were carried out in prioritised kala-azar affected areas of endemic districts based
on the national IRS guideline. IRS is carried out only in villages where kala-azar cases were recorded
in the previous year or in areas with an outbreak in the recent past. The kala-azar programme also
benefits from IRS for the prevention of malaria.
L-AmB was introduced in Nepal in December 2015 after training about 60 doctors and nurses from
endemic districts. The therapy should be directly observed and patients should be hospitalized for
the full duration of the therapy.L-AmB needs a cold chain (<25oCelsius) for storage; and therefore
should be made availableonly in hospitals where proper storage is ensured.
Training on revised national guidelines and treatment protocol — Medical officers, nursing staff,
laboratory staffs and other paramedics were trained on the revised national kala-azar guidelines and
treatment protocols.
Kala-azar review meeting — A review meeting was held with DHO and district hospital personnel
and the focal persons of all kala-azar endemic and non-endemic districts focusing on data
verification, line listing update and the revised treatment protocols.
Disease surveillance— Kala-azar tends to be underreported as most data is obtained through passive
case detection especially from government hospitals. During 2073/74, active case detection was
carried out in endemic VDCs. This was done through the camp approach. The VDCs were selected
based on the number of new cases reported in the previous and running fiscal year. Community-
In 2072/2073, 267 kala-azar cases were reported, an increase from the previous year (Table 4.2.1).
The most cases were reported from Morang (50), Siraha (23) and Mahottari (18) while the
programme districts of Parsa reported no cases. Thirty two non-programme districts reported 69
cases in 2072/73 (Achham, Arghakhanchi, Baitadi, Bajhang, Bajura, Banke, Bardiya, Dailekh, Dang,
Darchula, Dhading, Dhankuta, Dolpa, Doti, Gulmi, Humla, Ilam, Jajarkot, Kalikot,Kanchanpur,
Kathmandu, Khotang, Mugu, Nawalparasi, Nuwakot, Pyuthan, Ramechhap, Rolpa, Rukum, Salyan,
Sindhupalchowk and Syangja). This epidemiological shifting indicates that the programme should
conduct a vector survey to map the presence of the vector and the indigenous transmission of the
disease.
In 2073/2074, 151kala-azar cases were reported, decreased from the previous year (Table 4.2.1).
The most cases were reported from Sarlahi (24), Morang (21) and Malpa (16) while the programme
districts of Parsa reported no cases. Twenty five non-programme districts reported 80 cases in
2073/74 (Achham, Argrakhachi, Bajura, Banke, Bardiya, Dailekh, Dang, Dhankutta, Doti, Humla,
Kalikot, Kanchanpur, Kapilbastu, Kathmandu, Kavre, Lalitpur, Mugu, Pyuthan, Ramechape, Rukum,
Rupandehi, Salyan, Sindhuli, Synajha and Tanahu)
The incidence of kala-azar at national and district level has been less than 1/10,000 population since
2013. The incidence at district level in 2071/72 ranged from 0.47/10,000 in Morang to 0.01 in Kailali
district and in 2072/73 from 0.47 in Morang to 0.01 in Bara. In 2073/74, the district level incidence
per 10,000 people in areas at risk ranged from 0.72, 0.64, 0.28, 0.28 in Humla, Palpa, Sarlahi and
Surkhet respectively to 0.01 in Kathmandu, Nawalparasi and Rautahat with an average incidence of
0.16 per 10,000 in the 18 programme districts and 0.11 at the national level (excluding 6 foreign
cases) (Table 4.2.2). The case fatality rate was 3.s1 percent in 2073/2074. 18 endemic districts
reported kala-azar cases in 2073/74.
Note that kala-azar cases reported from DHOs and DPHOs via the HMIS and case reports received by
the programme sometimes vary. The HMIS usually receives raw data from districts while the
programme proactively collects data from hospitals and other health facilities, DHOs and DPHOs
through EWARS. EDCD verifies data with the help of line listing report of all cases (EDCD started to
line list all kala-azar cases in 2012). EDCD also receives case reports done at central and district levels
with the line listing of cases.
Cases Incidence
Districts 2071/72 2072/73 2073/74 2071/72 2072/73 2073/74
Jhapa 6 11 6 0.07 0.12 0.07
Morang 48 50 21 0.47 0.48 0.2
Sunsari 18 14 6 0.22 0.16 0.07
Saptari 8 16 6 0.14 0.23 0.09
Udayapur 2 3 2 0.06 0.09 0.06
Siraha 17 23 15 0.26 0.34 0.22
Table 4.2.3 summarises the progress in 2073/74 against recommendations made at regional and
national reviews in the previous year.
Table 4.2.3: Recommendations at regional and national reviews of 2072/73 and actions in
2073/74
DARCHULA
Average prevalence: 13%
BAJHANG
MUGU
MDA stopped districts: 31
BAITADI
BAJURA
Total at risk population: 25 million
N
DADEL- JUMLA
DHURA
DOTI ACHHAM KALIKOT DOLPA
MUSTANG
KANCHAN-
PUR DAILEKH
JAJARKOT
KAILALI
SURKHET
RUKUM MANANG E
MYAGDI
SALYAN
BARDIYA GORKHA
ROLPA KASKI
LAMJUNG
PARBAT RASUWA
BANKE PYUT-
HAN GULMI
Index
DANG
ARGHAK SYANGJA TANAHU SINDHU-
HACHI NUWAKOT PALCHOK
PALPA DOLAKHA
DHADING KATHM
KAPIL- NAWAL SULUK-
Non endemic districts (14) BASTU RUPAN-
DEHI
PARASI
CHITWAN MAKAWAN- LALIT KAVRE
HUMBU
SANKHUWA-
SABA
TAPLEJUNG
SUNSARI MORANG
Government of Nepal
Ministry of Health
Department of Health Services
Box 4.3.1: Goal, objectives, strategies and targets of lymphatic filariasis elimination programme
Objectives:
To eliminate lymphatic filariasisas a public health problem by 2020
To interrupt the transmission of lymphatic filariasis
To reduce and prevent morbidity
To provide deworming through albendazole to endemic communities especially to children
To reduce mosquito vectors by the application of suitable available vector control measures (integrated
vector management).
Strategies:
Interrupt transmission by yearly mass drug administration using two drug regimens (diethylcarbamazine
citrate and albendazole) for six years
Morbidity management by self-care and support using intensive simple, effective and local hygienic
techniques.
Targets:
To scale up MDA to all endemic districts by 2014
Achieve <1% prevalence (microfilaraemia rate) in endemic districts after six years of MDA by 2018.
More than 12,000 adverse events (mostly mild headaches, dizziness, stomach aches) were reported
after MDA. Health workers and volunteers mobilized for the campaign reported nearly 8,000 new
cases of morbidity due to or suspected to be due to lymphatic filariasis. More than 30,000 cases of
lymphedema of the lower and upper limbs, breast swelling and hydrocele were reported from
endemic districts during previous MDA campaigns.
The progress and coverage of the MDA campaign is shown in Table 4.3.1.
Regional level activities — Regional level planning meetings in Butwal, Dhangadhi and Biratnagar;
regional coordination meetings and monitoring and supervision.
Implementation unit and district level activities — Planning meetings, training of health workers,
advocacy, social mobilization, IEC/BCC, monitoring and supervision, interactions with the media,
interactions with multi-sector stakeholders and logistics supply.
Social mobilization activities — The production of revised IEC materials, checklists, reporting,
recording, and guidelines for MDA campaign; media mobilization and advertisement of MDA;
coordination and collaboration with stakeholders and school health programmes and interactions in
schools on the disease and MDA.
The major challenges that remain that need addressing to consolidate the achievements are
ensuring quality MDA including achieving high coverage in urban areas and some specific
communities, and adverse event management, sustaining low prevalence in MDA phased out
districts, expanding morbidity management and disability prevention, and post MDA surveillance.
The biggest challenge is the persistent high prevalence in some districts despite completing the
recommended rounds of MDA.
The following are the major programme recommendations:
Continue MDA at least for the next years to complete the recommended six rounds in all
endemic districts, and carry out transmission assessment, periodic surveillance and follow up
surveys to monitor progress towards elimination.
Strengthen the capacity of the health system and service providers on morbidity management
and disability prevention and post-MDA surveillance.
Carry out operational research, studies and programme reviews.
Consolidate all documents related to the programme in a dossier for the later validation and
verification of elimination.
Background
Dengue is a mosquito-borne disease that occurs in Nepal as dengue fever, dengue haemorrhagic
fever (DHF) and dengue shock syndrome (DSS). The earliest cases were detected in 2005. Sporadic
cases and outbreaks occurred in 2006 and 2010. Initially most cases had travelled to the
neighbouring country (India), although lately indigenous cases are also being reported.
The affected districts are Chitwan, Kanchanpur, Kailali, Banke, Bardiya, Dang, Kapilvastu, Parsa,
Rupandehi, Rautahat, Sarlahi, Saptari and Jhapa, reflecting the spread of the disease throughout the
Tarai plains from west to east. In 2011, 79 confirmed cases were reported from 15 districts with the
highest number in Chitwan (55).
Aedesaegipti (the mosquito-vector) was identified in five peri-urban areas of the Tarai (Kailali, Dang,
Chitwan, Parsa and Jhapa) during entomological surveillance by EDCD during 2006–2010, indicating
the local transmission of dengue.
Studies carried out in collaboration with the Walter Reed/AFRIMS Research Unit (WARUN)in 2006 by
EDCD and the National Public Health Laboratory (NPHL)found that all four sub-types of the Dengue
virus (DEN-1, DEN-2, DEN-3 and DEN-4) were circulating in Nepal. Details of Nepal’s Dengue Control
Programme are given in Box 4.4.1.
Goal — To reduce the morbidity and mortality due to dengue fever, dengue haemorrhagic fever (DHF) and
dengue shock syndrome (DSS).
Objectives:
To develop an integrated vector management (IVM) approach for prevention and control.
To develop capacity on diagnosis and case management of dengue fever, DHF and DSS.
To intensify health education and IEC activities.
To strengthen the surveillance system for prediction, early detection, preparedness and early response
to dengue outbreaks.
Strategies:
Early case detection, diagnosis, management and reporting of dengue fever,DHF and DSS.
Regular monitoring of dengue fever, DHF and DSS cases and surveillance through the EWARS.
Mosquito vector surveillance in municipalities.
The integrated vector control approach where a combination of several approaches are directed
towardscontainment and source reduction
Achievements
A total of 1527 dengue cases were reported from 42 districts in 2073/74 (Table 4.4.1). The most
were from Chitwan (687) followed by Jhapa and Rupendehi. And there was one confirmed deaths
due to Dengue —in Chitwan.
The number of reported dengue cases has decreased significantly since 2010 (Figure 4.4.1) with high
percent increase in the last three years from 302 to 134 to 1527 in the current year. The majority of
cases have been reported from Chitwan, Jhapa and Rupandehi with more than 46 percent of
2073/74 cases from Chitwan.
Background
The Epidemiology and Disease Control Division (EDCD) is responsible for responding to poisonous
snake bites, and the control and prevention of rabies and other zoonosis in coordination and
collaboration with the general public and non-governmental and private partners
See Box 4.5.1 goals and objectives of the national zoonosis control programme.
Goals:
No Nepalese dies of rabies or poisonous snake bites due to the unavailability of anti-rabies vaccine (ARV)
or anti-snake venom serum or timely health care services.
To prevent, control and manage outbreaks and epidemics of zoonosis.
Objectives:
To strengthen the response and capacity of health care service providers for preventing and controlling
zoonoses.
To improve coordination among and between stakeholders for preventing and controlling zoonoses.
To enhance the judicious use of tissue culture, ARV and ASVS in health facilities.
To reduce the burden of zoonotic diseases (especially rabies and six other priority zoonoses) through
public awareness programmes.
To provide tissue culture ARV as a post-exposure treatment to all victims bitten by suspicious or rabid
animals.
To reduce the mortality rate in humans by providing ASVS and ARV.
To train medical officers and paramedics on snake bite management and the effective use of ARS.
To reduce the number of rabid and other suspicious animal bites.
To reduce the annual death rate due to rabies.
Rabies— almost half of Nepal’s population is at high risk and a quarter at moderate risk of
rabies.Around 30,000 cases in pets and more than 100 human rabies cases occur each year with the
highest risk are in the Tarai (Figure 4.5.1). Latent infectionshave been reported in dogs and cats and
rabies has also been reported in bats.Very few patients take rabies immune globulin (post-exposure
prophylaxis). Surveillance is passive. Recent progress has seen the Arctic Fox rabies genome type
virus isolated and laboratories strengthened for ARV production.
Snake bites
Poisonous snake bites — Twenty-one of the 79 species of snakes found in Nepal are poisonous (11
pit viper species, 5 krait species, 3 cobra species and 1 each coral and Russel’s viper species). Around
15,000 snake bite cases occur annually of which about 10 percent are poisonous bites. The mortality
rate is about 10 percent among poisonous bite cases. The 26 Tarai districts are highly affected. In the
last eight years between 1 and 131 deaths have been reported from poisonous snake bites each
year. The free distribution of anti-snake venom serum (ASVS) began in 1999/2000. Indian
quadrivalent ASVS is used.
The following activities were carried out in 2073/74 for the control and management of poisonous
snake bites:
Guideline for snake bite was published
orientation program to Medical officers, nurses and paramedics was conducted on the proper
use of Anti snake venom
Procurement of cell culture ASV for almost 2000 people of high risk area
Research was done for the production of anti-snake venom within the country.
In 2073/74, 6,121 snake bite cases were reported in Nepal (Table 4.5.2). A total of 912cases were
poisonous resulting in 33 deaths. Table 4.5.3 summarises progress in 2073/72 against previous years
data.
4.6 Leprosy
Background
The establishment of the Khokana Leprosarium in the nineteenth century was the beginning of
organized leprosy services in Nepal. Key leprosy control milestones since 1960 and the goal, objectives
and strategies of the national Leprosy Control Programme are:
Objectives:
1. Achieve elimination status in all districts by 2019
2. Expand services for early detection of leprosy cases at health facility, especially in high
prevalence districts through Enhancing selected diverse approaches (ISDT)
3. Strengthen cases-based reporting and surveillance by 2017
4. Initiate Post-Exposure Leprosy Prophylaxis to family members and neighbors
5. Achieve the surveillance performance indicators
Strategies
1. Expand and Enhance early case detection through selected diverse approaches (ISDT)
2. Strive to achieve the surveillance performance indicators
3. Modernize and intensify the service delivery pathways for ensuring quality services
4. Heighten the collaboration and partnership for Leprosy-Free Nepal
5. Enhance support mechanism for people infected and affected by leprosy
Capacity building — The Leprosy Control Division (LCD) ran the following capacity building programmes
in 2073/74:
The Comprehensive Leprosy Training especially for Female Health Workers of took places in two
batches July 24 – Augusts 28 and 2016 and July 31st – August 4th 2016 and witnessed 40 participants
from 20 leprosy endemic districts.
One day leprosy orientation programmes for media persons, village health promoters, social
workers, nursing staff, lab staff and MBBS and elective medical students.
The 5-days comprehensive leprosy training (CLT) course for health workers.
The 6 days basic leprosy training (BLT) course for medical officers
Comprehensive Leprosy Training to 20 Health workers (HA & AHW) of 10 districts from 17-21
October 2016
IEC and advocacy — In order to enhance community awareness, passive case detection, voluntary case
reporting and to reduce stigma, IEC activities were regularly undertaken using electronic and print
media. Posters highlighting the diagnosis, reactions, treatment and free leprosy services were produced
and distributed for display at health facilities in all 75 districts and for raising public awareness. Two
infomercials and one music video were produced and broadcast. Leprosy messages were also
broadcasted in coordination with Nepal TV and FM radio programmes highlighting the World Leprosy
Day. Moreover, as LCD as been designated as the Disability Focal Unit by Ministry of Health in 2071 B.S,
short promotional video related to disability was produced and broadcasted from NTV.
World Leprosy Day—World Leprosy Day which is celebrated on the last Sunday of in the month of
January internationally, similarly 64th World Leprosy Day was commemorated on 29th January 2017 in
Nepal by conducting various activities at national, regional and district levels. On the same day a media
interaction programme was arranged at DoHS in presence of the Director General, warm clothes
distribution programme was undertaken for leprosy affected people of Narayanthan on the same day.
Reviews — Regular trimester review meetings were held at district and regional levels where
aggregated data, administrative issues and accomplishments were presented and discussed and future
plans discussed. Three central trimester review workshops were held to assess the outcome and
monitoring of the programme. Regional TB-Leprosy Officers (RTLOs) presented and shared information
and issues on the leprosy programme in their regions. Regional medical store chiefs also presented the
MDT drugs situation and informed that MDT supply had been uninterrupted over the year.
Early case detection— A focal campaign for active case detection was run in the three high leprosy
endemic districts of Kapilvastu, Rupandehi and Bara districts. Forty-five health workers, 135 FCHVs and
90 leprosy affected people were oriented on performing house-to-house searches. The searches were
then carried out. Leprosy officers, supervisors and partner personnel then supported health facilities to
diagnose and manage identified cases. In addition, a week long active case detection programmes was
also run in urban slums of Mahottari in coordination with the DHOs, district TB and leprosy officer
(DTLOs), FCHVs, health workers and additional support from partner organisations.
Contact examination — Contact examination is an index case-based approach where health workers
and FCHVs visit every household around a newly detected leprosy case using the pictorial card and
search for any signs and symptoms of leprosy and refer suspected cases to the nearest health facility for
confirmation and treatment. This programme was undertaken in VDCs of Dhanusa, Saptari and Rautahat
districts with the family and neighbours of 136 index cases. Twenty six new cases were diagnosed in the
contact/neighbours examination conducted from 30 Sep. - 27 Nov. 2016 (14 Ashwin - 12 Mangsir 2073).
Total cases
G2D cases
No. of
% of MB
Female
Female
No. of
cases
% of
% of
G2D
Districts Municipality/ Child
index Adult
VDC (>14 yr)
cases MB PB MB PB
Saptari 10 25 2 2 0 3 7 29 5 71% 2 29%
Dhanusha 20 75 1 7 1 3 12 17 3 25% 0 0%
Rautahat 19 36 2 3 0 2 7 29 4 57% 1 14%
Total 49 136 5 12 1 8 26 23 12 48% 3
12%
District Level Mini Leprosy Elimination Campaign (MLEC) –Despite the fact that Nepal attained an
elimination status in 2010, every year the prevalence of leprosy is still greater than 1 per 10,000
population in 18-20 Terai districts. Hence, in order to achieve the elimination status in sub-national
level, MLEC was carried out in Banke and Bardiya district in support from Sasakawa Memorial Health
Foundation. The package of MLEC included sensitization, advocacy, IEC, awareness, door to door case
search and stigma reduction activities. Altogether, 2400 people were oriented regarding leprosy, six
lakhs population were screened and 282 (145 Bardiya/137 Banke) new cases were identified and put
under MDT.
Continued medical education— A one day medical education event was run for neurologists, surgeons,
dermatologists, physicians and other medical officers in Biratnagar, Chitwan, Butwal, Nepalgunj and
Dhangadi from 22nd -26th Ashad 2073. The events highlighted the roles of clinical specialists in leprosy
control, reducing disease burden and stigma prevention and provided up-to-date information on leprosy
management.
Transport support to released-from-treatment cases — The LCD provided grants of NPT 1,000 to 3040
patients released from treatment to cover their transport costs after completing MDT treatment. The
treatment regularity rate of patients is increasing partly due to the provision of this incentive.
Recording, reporting, update and leprosy case validation— Recording and reporting update and case
validation was carried out in Dhanusa district to verify data and records of cases in health facilities, to
validate cases diagnosed by health facilities and to strengthen recording and reporting and the release
of cases from treatment. This was carried by a joint team of LCD, RHD, DHO, DPHO, WHO and TLMN.
Publications — The annual report 2073/74 (2015/16) was published and programme operational
guideline containing technical and financial information for implementing and conducting leprosy
control activities was developed and printed that were distributed to DHOs/DPHO/RMS. Besides, Policy,
Strategy and 10 Years Action Plan on Disability Management 2073-2082, Leprosy Handbook and Bulletin
were also published and disseminated.
Supervision and monitoring — Regular supervisory visits were undertaken by LCD staff to guide health
workers at peripheral health facilities and to DHOs, DPHOs and RHDs. Additional funds for this were
provided by WHO and Netherlands Leprosy Relief (NLR).
Involvement of people affected by leprosy— LCD has been supporting a networks of people affected by
leprosy and empowered them to widen the involvement and participation of leprosy affected people in
leprosy related awareness raising and income generation activities. This is highly appreciated by the
people affected with leprosy and the partners working in leprosy control activities in Nepal.
Review, planning and interaction programmes — Review, planning and interaction programmes were
organized in the 19 high endemic Terai district each trimester to identify and resolve technical issues
and for updating and verifying records in the presence of DHOs, DPHOs, TBLOs, statistical officers, other
health workers and leprosy affected people.
Coordination with partners — LCD organized coordination meetings among the partners working in the
leprosy control and disability prevention sector. Three meetings were held with the participation of
WHO, NLR, Leprosy Mission Nepal (LMN), Nepal Leprosy Trust (NLT), International Nepal Fellowship
(INF), BIKASH Nepal, Partnership for New Life (PNL), Nepal Leprosy Fellowship (NLF), Nepal Leprosy
Relief Association (NELRA), Sewa Kendra, Shanti Sewa Griha, Rehabilitation, Empowerment and
Development (READ) Nepal, and IDEA Nepal. The meetings were held to share regular updates on
activities, to have common approach to celebrate World Leprosy Day and to develop programme
guidelines.
Surveillance for preventing disability— The surveillance of leprosy cases was carried out in seven health
facilities (Koshi Zonal Hospital, Anandaban Hospital, Lalgadh Hospital, Seti Zonal Hospital, Butwal Clinic,
Patan Clinic and INF-Banke Clinic. Detail information was collected about 200 under treatment cases was
collected. Further strengthening of this system is needed to collect timely and quality information with a
plan to collect it every three months.
Post exposure prophylaxis —Leprosy post-exposure prophylaxis (LPEP) in which the single dose
Rifampicin is given to contacts of newly diagnosed leprosy patients to decrease their risk of developing
leprosy, is now extended to Kailali, Dhanusa, Kapilvastu and Rupandehi districts from the initial pilot
districts: Parsa, Morang and Jhapa. This programme is being implemented in government as well as
partners (The Leprosy Mission Nepal, Netherland Leprosy Relief & Nepal Leprosy Trust) support. The
updates on LPEP till Chaitra 2073 is as followed:
Grant to leprosy affected persons— Every year a grant is provided to support leprosy affected residents
in the Khokana and Pokhara leprosy ashrams through the Nepal Leprosy Relief Association (NELRA). The
grant goes to provide fuel, blanket, food and incentives to approximately 175 leprosy affected people.
The amount of grant has increase from NRs. 1 million to 1.2 million in the current year.
3 days Injury –Trauma Management Training was carried out targeting 22 health professionals
(Health assistants, nurses and medical officers) of 7 provinces from Ashad 25-27, 2074 at
Sukraraj Tropical Infectious Disease Hospital.
Activities regarding Orientation and Empowerment of Disability Stakeholders were carried out in
Kathmandu, Hetuada and Surkhet for members of Disability Peoples Organization in Jestha and Ashad
2074.
Dissemination of Policy, Strategy and 10 Years Action Plan on Disability Management (2073-
2082)
After rigorous discussions and meetings with disability partners, stakeholders and disability
peoples' organizations, Policy, Strategy and 10 Years Action Plan on Disability Management
(2073-2082) was developed. The dissemination of the Action Plan took place on Jeatha 4, 2074
(18th May 2017) in presence of former Honorable Health Minister: Gagan Kumar Thapa and
Honorable State Minister of Health: Tara Man Gurung.
Prevalence
Overall prevalence
At the end of FY 2073/74 (2016/17), 2626 leprosy cases were receiving MDT in Nepal, which makes a
registered prevalence rate of 0.92 case per 10,000 population at the national level. This rate is below the
cut-off point of 1 case per 10,000 population set by WHO to indicate the elimination of leprosy as a
public health problem. This shows that Nepal’s elimination status from 2009 is being sustained. The
prevalence rate has slightly increased than the previous year. Out of 77 districts, 6 districts reported
zero prevalence, 54 districts had a prevalence rate <1 and 17 districts had a rate of more than 1.
The number of districts reporting a prevalence rate of more than 1 per 10,000 population decreased to
16 from 18 in the previous year (Figure). Fifteen of the 17 districts are in the Terai belt whereas Jajarkot
falls in the hilly region. Banke reported the highest prevalence rate (4.67 per 10,000 population).
Figure: Districts with leprosy prevalence rate above 1 per 10,000 population
Banke 4.67
Bardiya 4.53
Dhanusa 2.03
Parsa 1.6
Bara 1.59
Sarlahi 1.58
Mahottari 1.45
Jhapa 1.37
Morang 1.36
Rautahat 1.32
Siraha 1.3
Jajarkot 1.28
Kailali 1.2
Nawalparasi-East 1.13
Chitwan 1.12
Kapilvastu 1.11
Nawalparasi-West 1.06
0 1 2 3 4 5
The detection of new cases signifies ongoing transmission with the rate measured per 100, 100,000
000
population. A total of 3215 new leprosy cases were detecte
detectedd in 2073
2073/74 with the 36% of new cases in
Province (1,170 cases
Province-2 cases).. Meanwhile, Province
Province-4 and 6 have the lowest new case detection (as
as shown in
the figure).
igure). The ne
neww case detection rate (NCDR) per 100,000 populations for FY 2072073/744 was 11.23
23
nationally
nationally.
Figure: Province-wise
Province wise new leprosy cases, 2073/74
209
115 501
Province
Province-1
880
Province
Province-2
Province
Province-3
Province
Province-4
1170
Province
Province-5
125 Province
Province-6
215
Province
Province-7
Sunsari 10.42
Nawalparasi West 10.6
Nawalparasi East 10.98
Rupandehi 12.18
Saptari 13.75
Udaypur 13.77
Chitwan 13.82
Kailali 13.96
Siraha 15.62
Rautahat 16.77
Jajarkot 17.03
Kapilvastu 17.43
Parsa 17.46
Jhapa 17.8
Morang 18.01
Bara 18.88
Mahottari 20.21
Sarlahi 20.81
Dhanusa 32.53
Bardiya 51.14
Banke 51.83
0 10 20 30 40 50 60
Fifty two percent of new cases were multibacillary (MB) and the rest were paucibacillary (PB). This
proportion has remained around fifty percent for the last few years. More than one third (42.33%) of
the new cases were among females. The female proportion has remained in the range of 30-40 percent
for the last five years. 6.84 percent of new cases were detected among children. The stagnant indicator
of child cases signifies that transmission is still prevalent among children. However, the Grade-2
Disability (visible disability) has decreased to 2.71% from 3.57%.
Figure: Trend in new leprosy case detection rate and prevalence rate from 2067/68-2073/74
1 0.92 20
0.89 0.89
0.85 0.84 0.83
0.79
NCDR/1,00,000 Population
0.8
PR/10,000 Population
15
0.6
12.2 11.9 11.8 10
11.2 11.01 11.23
10.67
0.4
0 0
2067/68 2068/69 2069/70 2070/71 2071/72 2072/73 2073/74
30
27
25
20 20
15 15
11 12
10
8
5 5
0
2067/68 2068/69 2069/70 2070/71 2071/72 2072/73 2073/74
DISABILITY CASES
Leprosy cases that are not detected early on or in a timely and complete may results in disabilities. Early
detection and timely and complete treatment is crucial for preventing disabilities. The Proportion of
Grade 2 Disability (G2D) among new cases and the rate per 100,000 population are major monitoring
indicators of early case detection. During 2073/74, 87 cases of visible disability (G2D) were recorded
with a proportion among new cases of 2.71% nationally.
45 42.33
38.28
40 35.46 36.03
35 31.6 30.86
28.39
30
25
20
15
10 7.73 7.2 6.84
6.26 6.33
5.19 4.18
5 4.42
3.57 3.16 2.89 3.38 3.57 2.71
0
2067/68 2068/69 2069/70 2070/71 2071/72 2072/73 2073/74
Conclusions
The elimination status was maintained at the national level as the prevalence rate remained below 1
case/10,000 population this year although the rate was still high in 17 districts compared to 18 districts
last year. The increased proportion of female and child cases could be a result of more early and active
case detection activities. Finally, there is good coordination and partnerships with partners.
The figures for the main indicators of leprosy control for the last eight years are summarised in Table
while the main strengths, weakness and challenges of the leprosy control programme are listed.
(2009/10)
(2010/11)
(2011/12)
(2012/13)
(2013/14)
(2014/15)
(2015/16)
(2016/17)
2066/67
2067/68
2068/69
2069/70
2070/71
2071/72
2072/73
2073/74
Indicators
New patients 3,157 3,142 3,481 3,253 3,223 3,053 3,054 3215
New case detection rate 11.5 11.2 12.2 11.9 11.18 11.01 10.67 11.23
Under Treatment cases at the end 2,104 2,210 2,430 2,228 2,271 2,461 2,559 2626
PR/10,000 population 0.77 0.79 0.85 0.82 0.83 0.89 0.89 0.92
No. new child cases 212 163 218 136 204 236 220 220
Proportion child cases 6.71 5.19 6.26 4.24 6.33 7.73 7.20 6.84
New G2D cases 86 109 110 94 109 135 109 87
Proportion G2D cases 2.72 3.47 3.16 2.89 3.38 4.42 3.57 2.71
G2D rate/100,000 0.31 0.39 0.39 0.35 0.40 0.49 0.38 0.33
New female cases 1,030 892 1,100 1,004 1,143 1,100 1,169 1361
Proportion female cases 32.6 28.4 31.6 30.8 35.46 36.03 38.28 42.33
Released from treatment 3,844 2,979 3,190 3,374 3187 2,800 2,902 3040
No. Defaulters 25 31 24 43 24 38 44 57
No. relapse cases 18 20 25 14 11 8 12 15
Source: LCD
Table 4.6.5: Strengths, weakness and challenges for the leprosy control programme
Strengths Weaknesses Challenges
Commitment from political level Low priority for leprosy To sustain the elimination
–government's commitment to programme at periphery achieved at national level and
Bangkok Declaration for Leprosy Low motivation of health elimination at district level
Accessible of leprosy service workers To maintain access and quality of
Free MDT, transport service for Very few rehabilitation services in low endemic mountain
released from treatment cases activities and hill districts
and other services for treating Inadequate training and To strengthen surveillance,
complications orientation for newly logistic, information, and job
Uninterrupted supply of MDT recruited health workers and oriented capacity-building for
refresher trainings for focal general health workers, and an
Good communication and
persons and managers efficient referral network
collaboration among supporting
partners Poor institutional set-up and To assess the magnitude of
Improving participation of inadequate human resources disability due to leprosy
leprosy affected people in Problem for reaction and To further reduce stigma and
national programme complication management at discrimination against affected
persons and their families
Steering, coordination and periphery level
technical committees formed Poor result-based output, Insufficient activities in low
4.7 Tuberculosis
Background
Tuberculosis (TB) is a public health problem in Nepalthat affects thousands of people each year and
is the sixth leading cause of death in the country. WHO estimates that 44,000 people develop active
TB every year and out of them 20,500 have infectious pulmonary disease and can spread the disease
to others. The achievement of the global targets of diagnosing 70 percent of new infectious cases
and curing 85 percent of these patients will prevent 30,000 deaths in Nepal over the next five years.
In 2073/74, the National Tuberculosis Programme (NTP) registered 31,764 TB cases. Among them
16,927 (53.28%) were new and relapse pulmonary smear positive TB cases, 427 (1.34%) were smear
positive retreatment cases, 5,216 (16.42%) were sputum smear negative and 9,194 (28.94%) were
extra-pulmonary TB cases. Of all registered cases20,364 (64.1%) were male and 11,400 (35.9%)
female.
According to the latest WHO data (May 2016), tuberculosis deaths in Nepal reached 5,506, 3.5
percent of all deaths. The age adjusted death rate was 27.80 per 100,000 of population, which ranks
Nepal as the forty-third most affected country. There were 971(296 female and 675 male) reported
deaths from TB in 2073/74. Most TB cases and deaths occur among men in a ratio of 2 male cases
for every female case. TB mortality is unacceptably high given that most deaths are preventable if
proper diagnosis and treatment are provided.
The Directly Observed Treatment Short Course(DOTS)has been implemented throughout the country
since April 2001. The NTP has coordinated with the public sector, private sector, local government,
I/NGOs, social workers, educational institutions and other sectors to expand DOTS and sustain the
good progress achieved by the NTP. There are 4,344 DOTS treatment centres in Nepal and the NTP
has adopted the global End TB Strategy and the achievement of the SDGs as the country’s TB control
strategy. Box 4.7.1 lists the aims of the national programme.
Box 4.7.1: Vision, goal, strategy and target of the National TB Programme
Vision: Nepal free of tuberculosis.
Long term goal: End the tuberculosis epidemic by 2050.Short term goal: Reduce TB incidence by 20%
by 2021 compared to 2015 and increase case notifications by a cumulative total of 20,000 from July
2016 to July 2021.
Objectives:
Increase case notification through improved health facility-based diagnosis.
Maintain the treatment success rate at 90% of patients (for all forms of TB) through to 2021.
Provide drug resistance diagnostic services for 50% of persons with presumptive drug resistant
TB by 2018 and 100% by 2021 and successfully treat at least 75% of diagnosed drug resistant
patients.
Further expand case finding by engaging the private sector.
Strengthen community systems for the management, advocacy, support and rights of TB
patients in order to create an enabling environment to detect and manage TB cases in 60% of all
districts by 2018 and 100% of districts by 2021.
The strategy’s components (three pillars) and related strategies are as follows:
1. Integrated, patient- entered care and prevention:
Early diagnosis of TB including universal drug-susceptibility testing, and systematic
screening of contacts and high-risk groups.
Treatment of all people with TB including drug-resistant TB.
Collaborative TB/HIV activities and the management of co-morbidities.
The preventive treatment of persons at high risk, and vaccination against TB.
2. Bold policies and supportive systems:
Political commitment with adequate resources for TB care and prevention.
The engagement of communities, civil society organizations, and public and private care
providers.
Universal health coverage policy and regulatory frameworks for case notification,vital
registration, quality and rational use of medicines, and infection control.
Social protection, poverty alleviation and actions on other determinants of TB.
3. Intensified research and innovation:
The discovery, development and rapid uptake of new tools, interventions and strategies.
1
SDG 3: Ensure healthy lives and promote well-being for all at all ages)
164 DoHS, Annual Report 2073/74 (2016/17)
Disease Control
Research to optimize implementation and impact, and promote innovations.
Nepal adopted the DOTS strategy in 1996 and achieved nationwide coverage in 2001. All DOTS sites
are integrated in public health services or run through NTP partner organizations in public and
private sectors. In 2073/74, 4,344 institutions were offering TB diagnosis and treatment DOTS-based
TB control services. Among them, 4,204 are government health institutions. Also, several NTP
partners provide DOTS including private nursing homes, polyclinics, I/NGO health clinics, prisons,
refugee camps, police hospitals, medical colleges and municipalities.
The burden of disease from TB can be measured in terms of incidence (defined as the number of
new and relapse cases arising in a given period), prevalence and mortality. WHO estimates the
current prevalence of all types of TB cases for Nepal at 60,000 (241/100,000) while the number of all
forms of incidence cases (newly notified cases) is estimated at 44,000 (156/100,000).
Case notification
The NTP reported 31,764 tuberculosis cases in 2073/74. TheNationalCaseNotificationRate(Allforms)
is111/100,000population.BasedontheCNR, thereare 18districtshad CNR more then 120, while
30districtshad CNR between 75-120 and remaining 22 districts had below 75 CNR.Among 18 districts,
1 2 districts are from the Terai belt and mostly concentrated in central region.
There were 97% newer cases registered (New and Relapse) among all TB cases notified. Around 71 %
of all TB cases reporting in this reporting period were pulmonary cases and out of them 77%were
bacteriologically confirmed. Among those bacteriologically confirmed, 30% were confirmed using
Xpert MTB/RIF testing.
Nearly half of all TB cases (41%) of the cases were reported only from central region, where as in
terms of eco-terrain distribution, Terai belt holds more than half of TB cases (57%) reported this
year.
DoHS, Annual Report 2073/74 (2016/17) 165
Disease Control
Altogether 31,764 new cases were notified during 2073/74 (Figure 4.7.2). Among them 53.28
percent were bacteriologically confirmed new and relapse pulmonary cases (PBC), 16.42 percent
were clinically diagnosed pulmonary cases (PCD), 28.94 percent were extra pulmonary cases and
1.34 percent were smear positive retreatment cases (Figure 4.7.2). Just over 28,382 of these cases
(89.35%) had a new episode of TB and 3,382(10.65%) had already been diagnosed with TB but their
treatment was changed to a retreatment regimen. Among the new cases (31,764), 71.06percent
were pulmonary cases and 28.94 percent extra pulmonary cases.
Smear positive
retreatment
cases (427)
1%
The case notification rate of new smear positive cases (CNR/SS+) increased from 1996 until
2001when nationwide DOTS expansion was achieved. Of the 45,000–50,000 new cases (all forms)
estimated by WHO in recent years, NTP has notified 72 percent and successfully treated 91 percent
of notifiedcases. In spite of this sustained good performance, the CNR (both SS+ and all forms) has
stagnated in recent years (Figure 4.7.3). The percentage of new SS+ notification rate among new
pulmonary cases was 75percent in 2073/74, near the recommended WHO standard of 65 percent.
70
67
65
60 60
55 55
53 52 53
50
45
40
2068/69 2069/70 2070/71 2071/72 2072/73 2073/74
Distribution by age and sex — Around 5.61 percent of cases registered this year were child cases. Of
the 94.39 percent adult cases there were 1.78 male to every female case. Among the childhood
cases, most (3.86% of total) were 5–14 years old. The regional age-wise distribution varied
considerably in 2073/74 from only 4 percent in the eastern region to 13 percent in the mid-western
region conversely meaning that the adult TB population was highest in the eastern region (96%) and
lowest in the mid-Western Region (89%).
Annual trends— The national CNR has been decreasing for many years Figure 4.7.4). The number of
cases registered reduced from 32,056 in the previous year to 31,764 in 2073/74. The rate of change
in CNR is 1.
80
64 67 69
60
61 60
56
40
2068/69 2069/70 2070/71 2071/72 2072/73 2073/74
Treatment outcomes
The NTP has achieved excellent treatment success rate, with a 91 percent treatment success rate
sustained since the introduction of DOTS in 1996, exceeding the global target of 85 percent.The
success rate has been 91 percent or more for new and relapse cases in the last 6 years (Figure 4.7.5).
However, the success rate has been lower for retreatment cases (loss to follow-up and retreatment)
but stable. 2073/74 saw the highest success rates for retreatment cases (88%). And the treatment
success rate among registered TB cases is almost constant in all five development regions. Out of all
TB cases registered in 2072/73, 92 percent successfully completed their treatment in 2073/74. The
western and Mid-western region achieved the highest (92%) and the far western region the lowest
success rate (87%).
100
95 91 92 91
90 90 90
90
88
85
85 84 83 86
80
75
72
70
65
60 New and Relapse
55 Retreated
50
2068/69 2069/70 2070/71 2071/72 2072/73 2073/74
Case finding— The national policy defines six types of MDR-TB cases. Drug resistant TB is detected
early by the investigation of all new TB cases.Most MDR-TB cases are diagnosed as failure after
category 2 and retreatment.
140
124
120 108
97
100 92
80 82
80 75
69 68
62
60 52 54
40
20 10 10 9 12 12 13
0
New Relapse TAD Cat-I Failure Cat-II Failure others
CDR and WDR regions have an increasing trend of notified MDR-TB case. The central region has been
identifying the most MDR-TB cases and the Far-western region the least (Figure 4.7.7).
180
153 2071/72
160
138 2072/73
140
2073/74
120 109
100 87
79
80 73
57
60 50 47 50 49
38 36 35
40 28
20
0
EDR CDR WDR MWDR FWDR
Trend of treatment success rate is decreasing by 7% in FY 2071/72 compared to the result of 76% of
FY 2068/69. The fluctuation in treatment success rate is mainly affected by the proportion of failure
and lost to follow in the cohort. Another important result that was affecting success rate is deaths of
patients which was always around 9 to 11 percentage in the last couple of years. As per the cohort
report of 2071/72, 366 DR TB cases were enrolled in MDR TB however 33 MDR cases shifted to XDR
(4) and Pre-XDR (29). At the cohort analysis 10.5% (35/333) died, 9.9% (33) were lost to follow up
and few remaining were MOTT cases.
Treatment success rate of XDR-TB is extremely low ranging from 13% to 33% for consecutive year.
Most of the XDR-TB patient died within the treatment period due to disease severity, complication
and toxicity.
11% 12%
9% 9% 10.5% 8% 8% 11% 7% 7%
11% 9%
The overall agreement rate or the concordance of sputum slide examinations between microscopy
centres and RTQCCs was more than 99 percent in 2073/74 (Table 4.7.4). The agreement rate has
improved in recent years. The external quality assurance (EQA) for sputum microscopy is carried out
by the four regional health directorates and the National TB centre in Kathmandu.
A lot quality assurance sampling/system (LQAS) has been implemented throughout Nepal. At each
microscopy centre, examined slides for EQA are collected and selected according to the LQAS.
DoHS, Annual Report 2073/74 (2016/17) 171
Disease Control
Previously NTP used to collect all positive and 10 percent negative slides for EQA. In LQAS, slides are
collected and selected using standard procedures to give a statistically significant sample size. LQAS
is a systematic sampling technique that helps maintain good quality sputum results between
microscopy centres and quality control centres. The two means of testing for MDR-TB are given in
Box 4.7.4.
The culture of M. tuberculosis remains the gold standard for both diagnosis and drug susceptibility
testing, and also the method of choice to monitor drug resistant TB treatment. Conventional culture
methods using Lowenstein-Jensen (LJ) has the major disadvantage of being very slow. LJ cultures
take eight weeks for negative results and four to six weeks after initial culture for drug susceptibility
testing. National TB Reference Laboratories (NRL), NTC and GENETUP, are providing culture and
drug susceptibility test (DST) servicesand the planis to establish centres in all regions in 2073/74.
The NTP regularly monitors case finding, smear conversion, treatment outcomes and programme
management reports from all levels of the programme. Data is initially analysed by DHOs and DPHOs
at district reporting and planning workshops. DTLOs report on treatment centres and districtsat
regional planning, monitoring and evaluation workshops. Finally, regional TB and leprosy officers
report by district at national PME workshops. These workshops take place every four months at the
beginning of each new trimester.
Four month
District, Regional Reporting &
Regional 4 monthly
Region Treatment Centre Planning Workshop
Sub Centre
District Reporting & Planning
Treatment Centre District 4 monthly
Workshop
District Sub Centre
monthly
Treatment Center Reporting
TreatmentCentre 4 monthly
& Planning Workshop
0.4
Number
0.3
0.21
0.2 0.17
0.1 0.13
This prevalence has dropped from 0.42% (highest level projected in 2004) to 0.17 in 2016 and is
expected to maintain a plateau at 0.2% through 2020 with thecurrent
current level of efforts.
5,085
5,000
1,790
611 585 759 767
-
0--14 years 15-24
24 years 25-49
49 years 50+ years
Figure 3: Annual HIV infections among adults (15+) by route of transmission : 1990
1990-2020
2020
8,000
6,000
4,000
2,000
0
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
External infections Needle sharing Male
Male-male sex Wife to husband Husband to wife Sex Work
Heterosexual
eterosexual transmission is the major routine of transmission in the total pool of HIV infection in
Nepal.The contribution from all bands of KPs is similar in the period of projection
projecti 1995-2020,
2020, only
the level is varying
varying.
External development partners equally support the national response to HIV in Nepal by providing a
substantial amount of resources required for combating HIV.The Global Fund, bilateral agencies,
namely Global Fund for AIDS, TB and Malaria (GFATM), United States Agency for International
Development (USAID), United Nations Children’s Fund (UNICEF),AIDS Health Care Foundation (AHF)
are the external sources that are contributing to the national HIV response.
2.1 Introduction
More than two decades of the HIV epidemic has stimulatedNepal to respond with a number ofpolicy
initiatives. These policy responses have come cross cuttingly from the health sector as well as other
development sectors aiming at creating an enabling policy environment for the containment of HIV
as well as mitigation of the epidemic. Notable policy developments taken for guiding the national
response to HIV are spelt out here.
programme with services that are integratedinto the general health services of the country. It builds
on lessons learned from implementation of the National AIDS Strategy 2011–2016, its mid-term
review and the Nepal HIV Investment Plan 2014–2016, and it applies recommendations from the
AIDS Epidemic Model exercise and other strategic information from studies, surveys and
assessments.
Initiated Testing and Counseling (CITC). Moving further from its previous approach of voluntary CITC,
the national HIV testing and counselling program has been later widened to include Provider-
Initiated Testing and Counseling (PITC), as well as CITC as crucial components of the nation’s fight
against HIV. With the expansion of HTC sites across the country, there has been parallel
development. National Guidelines on HTC was formulated in 2003 and updated in 2007, 2009 and
2011 and later the separate guidelinesis merged as acomprehensive guideline on treating and
preventing HIV in 2014. The community based testing approach has also been initiated in key
population,and as suggested by National HIV Testing and Treatment Guidelines, 2017 Nepal is also
moving forward to implement community-led testing approachin order tomaximize HIV testing. For
this approach,National Guideline on Community Led HIV Testing in Nepal 2017’is also endorsed.
Human resources for HTC have been trained for public health facilities as well as NGOs-run HTS sites.
Along with HTS, detection and management of Sexually Transmitted Infections (STIs) havealso been
a strategic focus and integral part of the national response to HIV ever since Nepal started its
response to HIV. Over the years, STI clinics have been operating across the country maintaining their
linkage to KPson the basis of the National STI Case Management guideline which was developed in
1995 and also revised in 2009 and 2014.
The Government of Nepal is promoting the uptake of HIV testing among KPs through targeted
communications and linkages between community outreach and HTS. Likewise, Provider-Initiated
Testing and Counseling (PITC) havebeen taken to STI clinics, Antenatal Clinic (ANC), childbirth,
malnourished clinic, postpartum, Family Planning, and TB services. Thus in this context, the national
response, over the years, has seen an expanding coverage of HTS as an entry point to:
Early access to effective medical care (including ARV therapy, treatment of opportunistic
infections(OIs), preventive therapy for tuberculosis and other OI and STIs;
Reduction of HIVin all including mother-to-child transmission;
Emotional care (individual, couple and family);
Referral to social support and peer support;
Improved coping and planning for the future;
Normalization of HIV in society (reduction of stigma and discrimination);
Family planning and contraceptive services; and
Managing TB/HIV co-infection.
syndromic approach with the referral for etiological treatment when needed.
Table 1: Service Statistics HIV Testing and Counseling for the period of BS 2071/72-2073/74
Indicators 2071/72 2072/73 2073/74
Total tested for HIV 2,64,081 122,888 176,228
Total Positive reported 1,480 2,163 1,781
Cumulative HIV reported cases 26,702 28,865 30,646
Source: NCASC
The HIV testing is higher in Province 7 (40,388) and Province 3 (39,043) whereas the percentage of
positivity yield is higher in Province 2 and Province 3. The province wise detail is also shown in Table
2.
Table 2: Province wise Service Statistics HIV Testing and Counseling in 2073/74
Provinces Tested for HIV Positive reported % of positivity yield
Province 1 31,780 207 0.7%
Province 2 14,245 273 1.9%
Province 3 39,043 630 1.6%
Province 4 4,530 108 2.4%
Province 5 45,104 134 0.3%
Province 6 682 9 1.3%
Province 7 40,844 208 0.5%
176,228 1781 1.0%
Source: NCASC
4.1 Introduction
Nepal started its Prevention of Mother to Child Transmission (PMTCT) program in 2005 with setting
up three sites at: 1) B. P. Koirala Institute of Health Science (BPKIHS), Dharan; 2) Maternity Hospital,
Kathmandu and; 3) Bheri Zonal Hospital, Nepalgunj. Moving further in this direction, apart from the
free provision of maternal ART and prophylaxis for infants, the National Guidelines on PMTCT have
been developed and integrated intoNational HIV Testing and Treatment Guidelines in Nepal, 2017.
Humanresources, especially from maternal and child health care, have been trained in alignment
with PMTCT services. Along with that the preparation and updating of training manuals have taken
place. Apartof it,HIV testinghas been incorporated into maternal and child health care in the form of
PITC. Tailoring to the needs of HIV-infected infants as well as HIV exposed babies; counselling and
information on infant feeding have been adjusted accordingly.
HIV testing and counseling during ANC, labour and delivery and postpartum
ARV drugs to mothers infected with HIV infection
Safer delivery practices
Infant feeding information, counseling and support,
Early Infant Diagnosis (EID) of all HIV exposed children at 6 weeks and
Referrals to comprehensive treatment, care and social support for mothers and families with
HIV infection.
With the collaboration of community-basedorganization, the government of Nepal launched
Community-Based Prevention of Mother to Children Transmission (CB-PMTCT) program in 2009
taking PMTCT services beyond hospitals and making the services accessible to pregnant women
living in remote areas. The CB-PMTCT program, drawing the leverage of community support, has
found to have increased ANC coverage as well as HTC uptake among pregnant women (UNICEF
2012). CB-PMTCT programme hasbeen expandedthroughout the country.
Apart from CB-PMTCT program, adhering to the key actions envisaged by the National Strategy, the
country is scaling up PMTCT service synchronizing with planned ART, HTC /STI, OI services for
ensuring access to acontinuum of care and ART to pregnant women with HIV. Furthermore, linkages
have been established between PMTCT sites and KAP targeted intervention, Family Planning, SRH
and counseling services.
Table 3:Service Statistics on PMTCT in Nepal for the period of BS 2071/72 -2073/74
The HIV testing among pregnant women is higher in Province 3 (100,340),and Province 5 (74,829)
whereas the percentage of positivity yield among pregnant women is higher in Province 1, 2, 3 and 4
than national. The province-wise detailis also shown in Table 4.
Aiming at the elimination of mother to child transmission, Nepal takinga major transformative
measure this fiscal year, adheres to Option B+ and embarks for providing lifelong ART for all
identified pregnant women and breastfeeding mothers with HIV, regardless of CD4 along with
prophylaxis treatment for their infants as well. The rollout of the lifelong treatment adds the
benefits of thetriple reinforcing effectivenessof the HIV response: (a) help improve maternal health
(b) prevent vertical transmission, and (c) reduce sexual transmission of HIV to sexual partners.
4.4
.4 Key challenges/Issues and recommendations
Issues Recommendations
Availability of HIV test kits with limited expiry date
date. Ensure timely procurement and supply of test
kits to service sites.
Tracking of HIV-positive
positive mothers and exposed baby for The robust tracking system to track the HIV-
HIV
EID positive women should be developed,
developed and
home-based
based blood sample for EID test of
exposed baby can be recommended.
recommended
Mainstream
Mainstreaming
ing the private hospital in the national District should strengthen coorrdination with
reporting system for PMTCT test private hospitals to regularize the reporting
to district.
district
Supportive monitoring visit at service delivery points Frequent monitoring visit should be
from the district and centre performed to intensify the service at
abirthing
birthingcentre
centre and beyond birthing centre.
5.1Introduction
With a primary aim to reduce mortality among HIV-infected patients, the government, in 2004,
started giving free ARV drugs in a public hospital and that was followed by the development of first
ever national guidelines on ARV treatment. Since then, a wide array of activities has been carried out
with the aim of providingTreatment, Care and Support services to People Living with HIV (PLHIV).
Based on National HIV Testing and Treatment Guidelines 2017 county implemented ‘test and treat’
strategy form February 2017. Necessary diagnostic and treatment-related infrastructures such as
CD4 machines and viral load machines have been set up in different parts of the country for
supplementing ART management program. Human resources have been trained for Treatment, Care
and Support in parallel with the preparation and updating of training guidelines. People Living with
HIV have been empowered aiming at enhancing their supplementary roles in Treatment, Care and
Support.
Out of those who are currently on ART, 91.7% are adults and remaining 8.3% are children, while
male population makes 51.0%, female population 48.6%, and remaining 0.4% are of thethird gender.
The number of people on ART is higher in Province 3 (4,082) and Province 7 (2,824). The province
wise detailis also shown in Table 6.
DoHS, Annual Report 2073/74 (2016/17) 185
Disease Control
With the purpose of early diagnosing HIV infection among children born to HIV infected mother
earlyDeoxyribonucleic Acid (DNA) Polymerase Chain Reaction (PCR) test is done at the National
Public Health Laboratory in Kathmandu. The DNA PCR test is done at birth and 6 weeks. This test is
recommended for diagnosing HIV status of children below 18 months and for those whose test
result is inconclusive by rapid test.
As of 2073/74,total 8,669has received CHBC services from 43 covering districts (Table 7). In the same
context, 42 districts have CCCs areacross the country which have been delivering their services to
PLHIV (Table 8).
Indicators Numbers
Number of PLHIV received CHBC services 8,669
Number of PLHIV referred for ART management 4,210
Number of PLHIV referred for management of opportunity infections 730
Indicators Numbers
Number of CCC sites in Nepal 44
Number of PLHIV received psycho-social counseling support 6,500
Number of PLHIV received nutritional support 6,410
Number of PLHIV referred for management of opportunity infections 1,932
Issues Recommendation
Low access to CD4 Count Placement of point of care CD4 machine and implementing viral load
and Viral Loadmachines testing by GenXpert and using DBS is recommended.
Client duplication in the The robust, unique identifier system should be developed to track
service the individual client within and across the service sites.
Start an electronic record keeping system with backup capability. In
Lost or deteriorating medical
addition, creating a client coding system would facilitate improved
records(Recording and
record keeping and continuity when clients are transferredin or
Reporting)
transferredout.
Poorsupply of OIs medicines Provide aconsistent supply of OIs medicines that are supposed to be
as per demand provided according to the program.
The PLHIVs face financial problems, but there is not sufficient
Inadequate financial support government support to pay for medical care and treatment. So
for the clients thegovernment should establish a mechanism to share the financial
burden facing by PLHIV.
Poor Monitoring and Regular and frequent monitoring and supervision to all ART Centers
Supervision of the ART for the effectiveness and efficient running of the program(Site by
Programs site visit)
CHBC services coverage is Government should invest in such an essentialservice in
declining over time due to coordination with NGOs.
limited support from donors.
key populations at higher risk of HIV (PWID, MSM and TG, FSW and migrants) in identified three
epidemic zones (figure 7) to collect information on socio-demographics and biological markers to
assess the prevalence of HIV and other sexually transmitted infections (STI), behavioural information
(condom use, number of sex partners, needle sharing behaviours).The epidemic zones are based on
different distributions of key populations at risk, mobility links and HIV risk behaviour (figure 7).
Female sex workers and their clients, and MSM & TG, male labour migrants are amajor key
population at risk for HIV in this province. These key populations mainly reside in highway districts
(Sunsari, Morang and Jhapa). NCASC, as per its national surveillance plan has been conducting IBBS
surveys among key populations such as FSW, MSM & TG, and PWID in adifferent cluster. HIV
prevalence among PWID in Eastern Terai is 8.3% (IBBS, 2015) and 6.3% among MSM & TG in Eastern
Terai (IBBS, 2015). Currently, 24 HTS sites are providing HIV testing and counselling services in
Province one whereas 9 ART sites are providing treatment and care support to PLHIV. Similarly, 2
OST sites are providing OST service to PWID.
Figure 7
7:: HIV epidemic zones in Nepal
IBBS surveys are conducted among FSW, PWID and MSM/TG in the Kathmandu Valley. HIV
prevalence among FSW in the Kathmandu Valley is 2% (IBBS, 2015) whereas HIV prevalence among
PWID and MSM/TG is 6.4%6.4% and 2.4% respectively. HIV prevention services are being targeted to
these groups, and are being provided by the implementation partners whereas treatment, care and
support services are provided through government and community organizations.
organizations. There are 36 HTS
sites, 14 ART sites and 6 OST sites providing HIV prevention, treatment and care services in this
province.
This province consists of highway districts and the Pokhara Valley. FSW and their clients, MSM/TG,
PWIDs and migrant workers are key populations in the Pokhara Valley whereas rest of the districts
are considered as low HIV prevalence zones. IBBS surveys are conducted in the Pokhara valley in
regular intervals among key populations. HIV prevalence among FSW, PWIDs is 0.3%,
2.8%.respectively. There are 24 HTS sites, 1 OST site (Western Regional Hospital) and 9 ART centres
in this province which are providing HIV prevention, treatment and care services.
Province number 5 lies in the mid-western Terai and hilly region of Nepal. It consists of 12 districts
namely:Arghakhanchi; Banke; Bardiya; Dang; Gulmi; Kapilvastu; Nawalparasi west; Palpa; Pyunthan; Rolpa;
Rukum and Rupandehi. This province consists of Terai highway districts and Hilly regions from where
people migrate to India and other countries. Female sex workers and their clients, PWIDs MSM/TG, are key
risk populations in Terai districts whereas migrants are the key risk populations in the hilly districts. NCASC
There are only 14 HTS sites and 2 ART sites in this province. Only migrants who migrate to high-risk areas
such as in Indian cities where HIV prevalence is high can be key population in this province.
This province comprises of 2 Terai highway districts and 7 districts in hilly and mountains regions. FSW,
PWIDs and MSM/TG are key drivers of HIV in Terai region whereas male labor migrants are key
populations in the 7 hilly districts. IBBS surveys are regularly conducted among these groups in this
province. There are 21 HTC and 11 ART sites in this province that provide HIV prevention and treatment
and care services to key population.
c) Percentage of sex workers reporting condom use with most recent client
d) Percentage of people who inject drugs reporting having used a condom the last time they had a
sexual intercourse
e) Percentage of men reporting the use of condom the last time they had anal sex with a male
partner
f) Percentage of migrants aged 15-49 reporting the use of condom the last time they had sex with
non-regular sexual partner
Though considerable progress was achieved in mitigating blindness in the past decades, there is
a need to implement more effective programmes to meet the goal of Vision 2020 and WHO
Global Action Plan and a lot of effort should be made to realise the vision of sight for all. In this
period, considerable development has been achieved in the sector of infrastructure
development also. At present the services at primary eye care centres/eye hospitals are
available in all the districts of the country. The technology applied in eye care has been
regularly updated to the global standard.
A considerable progress has also been made in the field of producing human resource in the
area of eye care. In 1981 there were total seven ophthalmologists in the country. This number
has now reached 205.At present there is one ophthalmologist for an estimated population of
150,000. In 1981 there was not even one optometrist in Nepal. Now there are 160 optometrists
in the country. The number of ophthalmic assistants has also reached 425 from zero. The
number of other directly involved health workers and nurses has also reached 450 and the
number of eye care managers and equipment maintenance personnel is also increasing
gradually. The number of necessary human resource necessary for effective management of
eye care service in proportion to the pressure of the patients and the population is still a
challenge.
One of the important decisions of Nepal Government in the field of eye care is to include eye
care service in the package of basic health service in Nepal Health Sector Strategy (NHSS) III. It
may increase the government ownership in and expansion of eye care sector in the future.
Though it is positive to score significant achievement in the field of eye care services, new
problems and challenges are coming up in the field of eye care service.
1
Epidemiology of Blindness in Nepal:2012 Nepal Netra Jyoti Sangh
DoHS, Annual Report 2073/74 (2016/17) 193
Disease Control
To reduce the overall blindness below 0.2% among the visual acuity <3/60 and <0.4% among the visual
acuity 6/60 by the year 2020.
With all this opportunities and challenges the service output of the of the eye care services for the fiscal
year 2016 are as given below table:
4. 10 Entomology
Background
The Entomology Section and its laboratory is an integral part of the Epidemiology and Disease
Control Division. The section was established in 2012/13. The section plans, implement, monitors
and supervises entomological activities including surveillance, risk assessmentsandthe operational
research of vector and carrier borne diseases including malaria, kala-azar, filariasis, dengue,
chikungunya, zika, Japanese encephalitis, chandipura encephalitis, scrub typhus, leptospirosis,
plague, gastroenteritis and emerging and re-emerging diseases with the potential of epidemic
outbreaks. It is also responsible for assuring the quality of tests to diagnose vector borne diseases.
There is the provision for entomology sections in all regional health directorates and EDCD. The
objectives of the section are listed in Box 4.10.1.
Activities in 2073/74
The following investigations were carried out in 2073/74
Investigations and an entomological survey in all five regions in 12 districts of Nepal. In that survey
Anopheles mosquitoes were collected. These are the common species of anopheles
mosquito which were found in that survey.An. Culicifacies, An. vagus, An. annularis, An.
fluviatilis, An. splendidus,An. peditaeniatus
The objectives and strategies of the Epidemiology and Outbreak Management Section are given in
Box 4.11.1.
Box 4.11.1: Objectives and strategies of the Epidemiology and Outbreak Management Section
Objective — To reduce the burden of communicable diseases and unwanted health events through
preparedness and responses during outbreak and epidemic situations by using the existing health care
system.
Strategies:
The development and execution of preparedness planning to respond to outbreaks, epidemics and the
control of unwanted health events.
The formation and mobilization of rapid response teams.
The regular monitoring of outbreaks and epidemics through surveillance activities.
Regular activities
Preparedness planning for outbreaks, epidemics and unwanted health events:
The identification of outbreak and epidemic prone districts and communities based on the
review of previous data.
The identification of outbreak and epidemic potential diseases and health problems by analysing
disease seasonality.
The preparation and annual updating of preparedness plans at regional and district levels.
The preparation of lists of drugs and health logistics for use in outbreaks and epidemics.
The stock-pilling of drugs and health logistics at strategic locations.
The preparation of Infectious Disease Control Guidelines and orientation on them at the regional
level.
Rapid response teams for investigating and responding to outbreaks and epidemics:
The formation of rapid response teams at central, regional, district and community levels and
their mobilization during outbreaks and epidemics.
Investigating outbreaks.
Responding to outbreaks through awareness activities and IEC activities, case management,
community mobilization and the coordination of stakeholders.
Source: EDCD
Table 4.11.2: Issues, recommendations and actions — epidemiology and outbreak management
Issues Recommendations Actions
Outbreaks of food and Improve water supplies, hygiene and Coordination with the Department of
water borne disease sanitation. Water Supply and Sanitation for
Initiate food-borne disease surveillance effective interventions
as soon as possible Coordination with the Department of
Food Technology and Quality
Control(DFTQC)
Inadequate human resource Place adequate health workers in right Organization and management
at EDCD places survey for human resource gap
Carry out an organization and analysis
management survey to identify gaps in Fulfilling vacant posts
human resources at EDCD
Inadequate coverage of the Review the functionality of the existing Assessment of the functional status
surveillance system sentinel sites for EWARS of EWARS sentinel sites
Scale up EWARS sentinel sites to cover Revision of EWARS guideline
more outbreak potential areas
Add other diseases to EDCD’s list of six
potential outbreak diseases
The inadequate Investigate outbreak in a more scientific Make a roster of field
investigation of outbreaks way epidemiologists
Disseminate outbreak investigation The mobilization of a comprehensive
reports team for outbreak investigation
Deploy trained field epidemiologists to
investigate outbreaks
The threat of emerging and Enhance the capacity of response teams Orientation programme at district
re-emerging diseases. through regular capacity development level
and logistic arrangements
Changing disease patterns Planning and budgeting for NCDs Allocated budget to rapid response
with more non- teams (RRTs) and guideline
communicable diseases preparation.
Background
The Disaster Management Section is a programme implementation unit of EDCD. The disaster
management programme is implemented by MoH, DoHS, EDCD and WHOEmergency Risk
Management (WHO-ERM). This section works for health sector emergency preparedness and
disaster response including disaster related outbreak management in coordination and collaboration
with stakeholders across the country.
This section aims to enhance the capacities of the health sector in emergency preparedness through
disaster preparedness, disaster risk reduction and response by:
expediting health sector contingency planning;
training health workers on emergency preparedness and responding to disasters; and
Strengthening multi-sectoral coordination and collaboration for health sector disaster
management.
In the fiscal year 2073/74, no any such disaster event was recorded which affected the health of
people.
The Disaster Management Section has prepared a number of guidelines to guide disaster resilience,
prevention, preparedness and response (Table 4.12.1).
Activities in 2073/74
District health sector contingency planning— In 2073/74, 11 districts viz. Bhojpur, Sankhuwasabha,
Tehrathum, Taplejung, Okhaldhunga, Khotang, Tanahun, Kaski, Myagdi, Manang and Mustang
completed health sector contingency planning for disaster preparedness. This means that all the 75
districts have now completed health sector contingency planning (Table 4.12.2). These plans are
prepared by DHOs and DPHOs with technical and financial support from EDCD and WHO-ERM.
Rapid Response training — Two RRT Teams in 2 districts, namely Baitadi and Palpa were trained on
emergency preparedness and disaster response. The Integrated Training Package for Rapid Response
Team on Emergency Preparedness and Response Manual was piloted among these two districts. The
training was conducted by EDCD with support from UNFPA.
Emergency and disaster preparedness planning– All the 75 districts conducted one day orientation
on emergency and disaster preparedness themselves.
Stockpiling — In 2073/74 EDCD’s Disaster Management Section continued its disaster preparedness
activity of stockpiling essential drugs and supplies at the central level, including surgical and trauma
kits and rehabilitation equipment. MoH and WHO manage large scale inter-agency emergency
health kits and diarrhoeal disease kits, which are stockpiled in Kathmandu, Biratnagar and
Nepalgunj. And all regional health directorates stockpiled necessary medicine and logistics while
DHOs and DPHOs stockpiled medicines and logistics in their disaster cupboards.
Background
EDCD’s Disease Surveillance and Research Section was established in August 2013. It conducts the
surveillance of reportable diseases and is responsible for collecting, analysing, interpreting, and
reporting information for infectious diseases. It monitors disease trends for early detection and
prompt response to outbreaks. It also assists in developing public health policies and programme
planning and implementation related to communicable diseases.
EDCD is a secretariat of the Water Quality Surveillance Committee, which is led by the EDCD
director. The committee is responsible for the regular surveillance of water borne diseases, for
coordinating with stakeholders for quality surveillance and for improving surveillance by training
human resources and through meetings and other programmes. It is also responsible for facilitating
water quality testing when waterborne disease epidemics occur and for recording the drinking water
distribution system through geographical information system (GIS) data and providing feedback to
the responsible organization.
The EWARS is mainly concerned with the weekly reporting of number of cases and deaths (including
zero reports) of six priority diseases — malaria, kala-azar, dengue and acute gastroenteritis (AGE),
cholera and severe acute respiratory infection (SARI). It prioritises the immediate reporting (within
24 hours of diagnosis) of one or more confirmed cases of cholera, severe and complicated malaria
cases, one suspected/clinical case of dengue, or five or more cases of AGE and SARI, from the same
geographical locality in a one week period. Other communicable diseases should also be reported to
the EWARS, whenever the number of cases exceeds the expected level.
The system was established in 1997 in 8 sentinel sites and was expanded to 24 sites in 1998, 26 sites
in 2002, 28 sites in 2003, 40 sites in 2008. As of April 2015, there were 81 sentinel sites throughout
the country covering all 75 districts.Its main objectives are given in Box 4.13.1.
To strengthen the flow of information on vector borne and other outbreak prone infectious diseases from the
districts; and to facilitate prompt rapid outbreak responses by rapid response teams at central, regional and
district levels to support DHOs, DPHOs, PHCCs and health posts with case investigation and disease control.
The system also helps in programme planning, evaluation, and the formulation of research hypotheses and to
disseminate data and information on infectious diseases.
Activities in 2073/2074
The medical recorders, doctors, nurses, lab personnel, other hospital staff, and staff from DPHOs and
DHOshave been oriented on the system in 4 districts, which also servesto strengthen the sites’
programmes and coordination between the hospitals and DHOs and DPHOs. Eighteen of the 82 sites
are yet to be oriented. EDCD also provided on-site support to the Sentinel sites with poor reporting
status.
Figure 4.13.1: Sentinel site districts of the Early Warning and Reporting System
EWARS Regional Review workshop: IN 2073/74 EWARS review workshop was carried out at five
development regions. Medical recorders of all 82 EWARS sentinel sites were the participants for the
workshop.
Regular functioning of control room— The main activities of the control room of the Disease
Surveillance and Research Section (which came into existence from last year with support from
WHO, NHSSP and GIZ), were as follows:
Dr. Samuel Haheneman of of Germany had discovered Homoeopathic system before two century. This is
based on fixed principals of "Similia Similibus Curantur". Medicine is provided on healthy human
symptom obtained from patients.
Pasupati Homoeopathic Hospital's is the only one hospital providing homoeopathic services to the
people of Nepal in the public sector. The homoeopathic system is economic, easy and effective having
no side effect as well. The hospital provides OPD and IPD services to the patients and six beds are
available for Indoor patients along with meal free of cost. The hospital is processing for upgrade from six
to twenty five beds.
SUMMARY OF ACHIEVEMENT
Homoeopathic system is going popular mode of treatment. Hospital record shows that, the number of
patient is increasing day by day. Many rejected cases by other system of medicine and surgical cases
have been treated successfully. A total number of 78450 patient were visits for treatment in the fiscal
year 2073/74.
CONSTRAINTS
Due to limited budget it is hard to manage the medicine for increasing number of patients.
Not enough human resources for the ever increasing number of patients in Hospital basically the
Doctors, Technical personal (IT) and other supporting staffs due to lack of budget.
208 DoHS, Annual Report 2073/74 (2016/17)
Disease Control
Due to unavailability of pathological Laboratory and x-ray Machine,patients have to go outside
for pathological findings.
Human resource especially the Doctor,Technical staff and other supporting staff do not have any
opportunity to expose themselves for higher studies, attending in the training and seminars.
CONCLUSION
The Homoeopathic Hospital is providing service to outdoor patient as well as Indoor patient free of cost.
Homoeopathic system is to be developed. People all over of the Nepal are not getting service of this
Hospital who is far away from Kathmandu valley. So it should be developed to provide service to 5
development regions of Nepal gradually.
Objectives
bjectives
1. To strengthen and expand organ transplantation services in the country.
2. To provide and expand specialized services beyond transplantation
3. To provide high quality health care at a low price/free of cost
4. To undertake
take research related to human organ transplant to understand the state of kidney
and other organ failure in Nepal.
5. To advocate for policy interventions
6. To organize free health camps across Nepal to screen any kind of diseases.
7. To conduct educational activities
activities to raise awareness regarding organ failure, organ
transplantation and organ donation.
8. To produce high level human resources by providing structured training in various aspects of
services to expand the services across the country.
The above table shows that the number of patients in all these aspects have increased remarkably in
the FY 2073/74. There were 22,473
22 473 patients served in outpatien
outpatientt department, while the rate of
admission and discharge were almost similar with 1
1,676
676 and 1,675
1 675 respectively.
The status of human resources at SDBNTC shows an upward trend in each fiscal year. In the FY
2073/74, there were a total of 183 staffs of which 150 were technical and 33 were non-technical
non technical
staffs. These both numbers are higher than that of previous years.
If we look at the precise data on technical human resources, the number of doctors in FY 2073/74 is
35 which have increased significantly in the last two years. The number of nurses though shows
more or less a constant graph since the last one year. The number of paramedics too has increased
in number in comparison to the previous fiscal years.
Status of Financial
inancial Resources, FY 2071/72 - 2073/74
40000000
Budget expenditure
277924893
221328482
20000000
165011000
0
2071/72 2072/73 2073/74
Challenges:
Lack of awareness
Lack of adequate space
Legal constraints/legal factor
Cost factor
5.1 Background
The Government of Nepal is committed to improving the health status of rural and urban people by
delivering high-quality health services. The policy aims to provide prompt diagnosis and treatment, and
to refer cases from PHCCs and health posts to hospitals. Diagnostic services and referral mechanisms
have been established at different levels to support early diagnosis of health problems.
In December 2006 the government began providing essential health care services (emergency and
inpatient services) free of charge to destitute, poor, disabled, senior citizens, FCHVs, victims of gender
violence and others in up to 25-bed district hospitals and PHCCs and for all citizens at health posts in
October 2007.The Interim Constitution of Nepal, 2007said that every citizen has the right to basic health
services free of costs as provided by the law.
The overall objective of DoHS on curative services is to reduce morbidity, mortality by ensuring the early
diagnosis of diseases and providing appropriate and prompt treatment. The main strategies to achieve
this are listed in Box 5.1.
Table: 5.4: Status of different levels of hospitals submitting all 12 monthly reports, FY 2073/74
No. 12 months reporting Expected Total Report Received
Type of hospitals
hospitals N % Reports N %
General Hospital 6 0 0 72 34 47
Regional Hospital 2 1 50 24 12 50
Specialized Hospital 5 1 20 60 28 47
Teaching Hospital (Public) 4 2 50 48 39 81
Teaching Hospital (Non-Public) 17 7 41 204 144 71
Grand Total 34 11 32 408 257 63
Source: HMIS, DoHS
Figure 5.1: Bed occupancy rate (in %) of higher-level public hospitals, FY 2073/74
92.4
88.6
100
82.3
90
74.1
73.7
73.1
67.4
80
64.7
69
62.7
62.5
62.5
60.3
59.9
59.3
70
54.4
48.2
60
44.8
44.2
42.8
37.9
50
40
31.6
36
40
23.6
23
30
20
10
0
DH SALYAN 93
DH DOLPA 89.3
DH UDAYAPUR 80.1
DH PYUTHAN 73.4
DH ROLPA 67.9
DH BAJHANG 65.4
DH ERHATHUM 63.7
DH RUKUM 62.7
JIRI HOSPITAL 62
DH SIRAHA 61.5
DH MUGU 59.4
DH TAPLEJUNG 53.8
DH DAILEKH 53.4
DH SUNSARI 53.3
HEATUDA HOSPITAL 52.7
DH KALIKOT 52.5
DH RAMECHHAP 51.8
DH DOTI 51.6
DH BHOJPUR 50.9
DH ARGHAKHANCHI 50.9
DH BAJURA 50.6
DH PANCHTHAR 50.5
DH GULMI 50.2
DH MYAGDI 50.2
DH BARDIYA 48.6
DH BARA 47
DH DARCHAULA 45.5
DH TANAHU 43.8
DH KAPILBASTU 43.7
DH SINDHULI 43.5
DH SANKHUWASABHA 43
DH ACHHAM 40.4
DH KHOTANG 39.6
DH RAUTAHAT 38.9
DH SINDHUPALCHOK 38.1
DH NUWAKOT 37.3
DH PALPA 37.3
DH NAWALPARASI 36.7
DH ILAM 36.7
DH SYANGJA 34.7
DH DHADING 33.9
DH SOLUKHUMBU 33.8
DH SARLAHI 29
DH GORKHA 28.6
DH JAJARKOT 26.4
DH PARBAT 24.4
BHARATPUR HOSPITAL 24
DH DHANKUTA 22.5
DH BAITADI 20.7
DH RASUWA 12.3
DH MANANG 11.4
DH MUSTANG 9.2
DH HUMLA 0
DH OKHALDHUNGA 0
DH MAHOTTARI 0
0 10 20 30 40 50 60 70 80 90 100
0 10 20 30 40 50 60 70 80
Average length of stay — In fiscal year 2073/74, the average length of stay by inpatients:
at higher-level government hospitals ranged from 2 days at Dhaulagiri Zonal hospital to 17 days at
the Mental Hospital, Lalitpur (Figure 5.4);
at public district hospitals ranged from 1 day at Sarlahi, Rautahat and Bara district hospitals to 4
days at Udayapur District hospital (Figure 5.5); and
in other district level hospitals ranged from 1 day at Mangalbare, Pipara, Pokhariya, Bardibas and
Chandranigahapur hospitals to 14.4 days in APF hospital (Figure 5.6).
Figure 5.4: Average length of stay by Figure 5.5: Average length of stay by inpatients in
inpatients in higher-level hospitals, FY 2073/74 public district hospitals, FY 2073/74
0 1 2 3 4
Figure 5.6: Average length of stay by inpatients in other district level hospitals, FY 2073/74
0 2 4 6 8 10 12 14 16
Hospital emergency ward attendance at hospitals with full progress reporting in 2073/74 was as follows:
Among higher level hospitals, BPKIHS, Dharan recorded the highest attendance at its emergency
ward (67,903) while HUMAN ORGAN TRANSPLANT CENTER recorded the lowest (Figure 5.7).
Among public district hospitals Bharatpur Hospital had the highest attendance at its emergency unit
(35792) while Manang District Hospital had the lowest (395) (Figure 5.8).
Among other district level hospitals Tikapur Hospital had the highest attendance at its emergency
ward (17365) while Chisapani hospital, Nawalparasi had the least (196) (Figure 5.9).
5000
0
10000
15000
20000
25000
30000
35000
40000
Figure 5.8:
Figure 5.7:
DH MANANG 395 HUMAN ORGAN… 95
DH RUKUM 682
DH HUMLA 818 MENTAL HOSPITAL 445
DH OKHALDHUNGA 835
DH RASUWA 1070 MID-WESTERN REGIONAL… 2284
Curative Services
DH MUGU 1118
DH PALPA
KARNALI ACADEMY OF… 3090
1322
DH SOLUKHUMBU 1531 MID WESTERN REGIONAL… 4575
DH MUSTANG 1549
DH BAITADI 1664 BHERI ZONAL HOSPITAL 4779
DH BHOJPUR 1837
DH DOLPA 1848 SUKRARAJ TROPICAL… 5243
DH SALYAN 2011
DH JAJARKOT 2199 NATIONAL GANGALAL… 6546
DH KALIKOT 2398
DH ACHHAM 2460 RAPTI ZONAL HOSPITAL 6766
DH BAJURA 2560
JIRI DISTRICT HOSPITAL 2697 DADELDHURA SUB… 6939
DH RAMECHHAP 2862
DH DOTI 3045 SAGARMATHA ZONAL… 7736
DH TAPLEJUNG 3066
DH SINDHUPALCHOK 3195 DHAULAGIRI ZONAL… 8489
DH ROLPA 3381
DH DARCHAULA 3405 NATIONAL TRAUMA… 10970
DH PARBAT 3488
DH DAILEKH 3505 MECHI ZONAL HOSPITAL 14659
DH BAJHANG 3710
DH BARA 5109 JANAKPUR ZONAL HOSPITAL 17417
DH BARDIYA 5114
DH ARGHAKHANCHI 5128 BHAKTAPUR HOSPITAL 21294
DH TANAHU 5299
DH GULMI 5646 NARAYANI SUB REGIONAL… 21457
DH TERHATHUM 5741
DH PYUTHAN
MAHAKALI ZONAL… 22692
5809
DH SANKHUWASABHA 6347 Emergency ward attendance at district hospitals, FY 2073/74 MATERNITY HOSPITAL 24941
DH SIRAHA 6365
DH SUNSARI
Emergency ward attendance in higher level hospitals, FY 2073/74
Figure 5.9: Emergency ward attendances at other district level hospitals, FY 2073/74
17365
20000
12853
18000
16000
14000
8605
7838
12000
6247
10000
4865
4301
3631
8000
2426
2190
2170
2069
1882
1771
1723
6000
1520
1488
1497
1338
1284
1248
1014
988
949
4000
370
242
230
196
2000
0
Outpatient attendance in the fiscal uear 2073/74 at hospitals with full progress reporting was as follows:
Outpatient attendance at higher level hospitals ranged from 67219 at Narayeni Sub regional
Hospital to 4926 at TU MCTC Hospital (Figure 5.10).
Outpatient attendance at district hospitals ranged from 46,242 patients at Udayepur District
Hospital to 2958 at Dhankuta District Hospital (Figure 5.11).
Outpatient attendance at other district level hospitals ranged from 52,218 at Lamjung Community
Hospital, Lamgunj to 882 at Ram Uma Shanker hospital,Lahan (Figure 5.12).
New outpatient visits accounted for a varying range of the proportion of total clients across Nepal
(Figure 5.13).
67219
35455 41924
24487 26466
4926 8388 10524
TU MCTC
MAHAKALI
HOSPITAL
NATIONAL
SUB REGIONAL
HEALTH SCIENCE
MID WESTERN
NARAYANI SUB
DADELDHURA
HOSPITAL
MENTAL
TRAUMA
CENTER
ACADEMY OF
ZONAL
REGIONAL
HOSPITAL
REGIONAL
HOSPITAL
HOSPITAL
KARNALI
DH UDAYAPUR 46242
DH SINDHULI 32828
DH GORKHA 31591
DH TANAHU 29761
DHMYAGDI 27522
DH PYUTHAN 27046
DH DOLPA 26664
DH RAUTAHAT 25907
DH SALYAN 25353
DH GULMI 22794
DH ILAM 21759
DH SUNSARI 20475
DH SINDHUPALCHOWK 19970
DH NAWALPARASI 19251
DH BARDIYA 18918
DH KAPILBASTU 18022
DH DAILEKH 17307
DH TAPLEJUNG 17266
DH NUWAKOT 16955
DH DARCHULA 16416
DH SYANGJA 16391
DH SANKHUWASABHA 15973
DH BAJURA 15931
DH ACHHAM 15812
DH KHOTANG 15601
DH SIRAHA 14507
DH PARBAT 14234
DH BAJHANG 13290
DH BAITADI 12723
DH ARGHAKHANCHI 12641
DH KALIKOT 12473
DH ROLPA 12461
DH SARLAHI 12056
DH TERHATHUM 11531
DH DOTI 11395
DH RAMECHHAP 11322
DH PALPA 11187
DH JAGARKOT 10692
DH DHADING 10573
DH MUGU 10164
DH MUSTANG 6846
DH OKHALDHUNGA 6365
DH SOLUKHUMBU 5123
DH HUMLA 4816
DH RASUWA 4312
DH MANANG 4033
DH BHOJPUR 3537
DH RUKUM 3014
DH DHANKUTA 2958
DH BARA 0
DH PANCHATHAR 0
DH MAHOTTARI 0
Figure 5.13: Percentage of new outpatient visits among total population, FY 2073/74
Inpatient attendance in 2073/74 at hospitals with full progress reporting was as follows:
Maternity hospital had the most inpatient admissions 25470 with the Mental hospital, Lalitpur
having the fewest (697) (Figure 5.14)
Among public district hospitals, Chitawan Hospital had the most inpatient admissions (40180),
while Manang District Hospital had the fewest (115) (Figure 5.15).
Among other district hospitals Bhim Hospital, Rupandehi recorded the most inpatient admissions
(4,816) while Mangalbare Hospital recorded the fewest (28) (Figure 5.16).
The percentage of the total population who received government hospital inpatient
services in 2073/74 ranged up to about 20 percent in Jhapa with most districts having a
considerably lower proportion (less than 5%) (Figure 5.17).
MATERNITY HOSPITAL
BHARATPUR HOSPITAL 40180
25470 HEATUDA HOSPITAL 7292
DH BARA 4576
PATAN HOSPITAL_LALITPUR 22069 DH PANCHTHAR 3354
DH SUNSARI 3278
NARAYANI SUB REGIONAL… 20819 DH NUWAKOT 3137
DH UDAYAPUR 3126
WESTERN REGIONAL… 18937 DH MYAGDI 3123
DH PYUTHAN 2922
SETI ZONAL HOSPITAL 18614 DH SALYAN 2860
DH ARGHAKHANCHI 2844
KOSHI ZONAL HOSPITAL 17899 DH BAJHANG 2728
DH TAPLEJUNG 2498
LUMBINI ZONAL HOSPITAL 17200
DH GULMI 2386
DH BARDIYA 2302
DH KAPILBASTU 2202
BHERI ZONAL HOSPITAL 12290 DH RAUTAHAT 2161
DH SINDHULI 2116
National Gangalal Heart… 12149 DH BHOJPUR 2096
DH NAWALPARASI 2088
BIR HOSPITAL 12067 DH ILAM 1959
DH DHADING 1898
MID WESTERN REGIONAL… 9730 DH SANKHUWASABHA 1883
DH GORKHA 1877
KANTI CHILDREN HOSPITAL 9442 DH DAILEKH 1822
DH TERHATHUM 1786
RAPTI SUB REGIONAL… 9010 DH RUKUM 1655
DH KHOTANG 1546
JANAKPUR ZONAL…
JIRI DISTRICT HOSPITAL 1512
8988 DH ACHHAM 1495
DH SARLAHI 1484
MECHI ZONAL HOSPITAL 5848 DH KALIKOT 1458
DH DARCHAULA 1439
SAGARMATHA ZONAL… 5429 DH TANAHU 1427
DH SIRAHA 1368
MAHAKALI ZONAL… 4195 DH PARBAT 1357
DH ROLPA 1322
RAPTI ZONAL HOSPITAL 3048 DH MUGU 1224
DH SYANGJA 1154
DHAULAGIRI ZONAL… 3022 DH SOLUKHUMBU 1109
DH DOTI 1108
National Trauma Center 2970
DH JAJARKOT 1099
DH BAJURA 1058
DH SINDHUPALCHOK 1032
SUKRARAJ TROPICAL… 2600 DH RAMECHHAP 1017
DH DHANKUTA 975
KARNALI ACADEMY OF… 2261 DH BAITADI 782
DH PALPA 646
BHAKTAPUR HOSPITAL 1567 DH OKHALDHUNGA 580
DH DOLPA 329
Human Organ Transplant… 1114 DH RASUWA 264
DH MUSTANG 204
MENTAL HOSPITAL 697 DH MANANG 115
DH MAHOTTARI 0
DH HUMLA 0
0 10000 20000 30000
0 20000 40000
Figure 5.17: Percentage district populations receiving public hospital inpatient services in 2073/74
Source: HMIS
Total patients — In 2073/74 Nepal’s the HMIS recorded 905,194 patients (female 60%–male 40%) being
discharged from all types of hospitals (Table 5.5).Of this number 980703 (92%) (female 56%–male 36%)
were recorded as cured or recovered, while 14840 (1.51%) did not show clinical improvement (female
51%-male 49%). A total of 4,593 (0.4%) patients (female 43%–male 57%) died within 48 hours of
admission while , whereas 4,579(0.46%) patients (female 43%–male 57%) died more than 48 hours after
admission. Most patients were aged between 20-29 years (24%), More than a half of the inpatients were
aged 15-49 years (53.8%).
Table 5.5: Inpatient morbidity by age and sex, all hospitals, FY 2073/74
29 Days - 1
≥ 60 Years
≤ 28 Days
01 - 04
05 - 14
15 - 19
20 - 29
30 - 39
40 - 49
50 - 59
Years
Years
Years
Years
Years
Years
years
Year
Recovered/ Female 19935 13108 19864 32004 54855 183127 73707 47152 41043 63694 548489
Cured Male 24305 20508 25767 36295 25394 42811 40592 39867 40982 60184 356705
Not Female 255 224 299 502 583 1537 806 874 772 1726 7578
Improved Male 346 385 392 551 475 852 744 795 867 1855 7262
Referred Female 496 410 467 773 1107 2839 1252 948 950 1830 11072
Out Male 699 596 617 864 583 1029 987 942 997 2126 9440
DOR/LAMA Female 683 493 626 863 1321 3266 1659 1261 1257 2943 14372
/DAMA Male 990 773 996 1021 754 1402 1251 1337 1368 3209 13101
Female 84 94 102 161 266 743 223 135 125 232 2165
Absconded
Male 74 104 124 182 127 167 126 122 111 210 1347
Death < 48 Female 261 67 42 49 65 172 171 197 234 718 1976
29 Days - 1
≥ 60 Years
≤ 28 Days
01 - 04
05 - 14
15 - 19
20 - 29
30 - 39
40 - 49
50 - 59
Years
Years
Years
Years
Years
Years
years
Year
Age Group Total
Hours Male 314 152 55 68 45 117 156 253 354 1098 2612
Female 21864 14463 21435 34408 58240 191831 77,950 50733 44668 72,027 587619
% 4 2 4 6 10 33 13 9 8 12 100
Male 27,116 22,614 28,007 39,035 27,434 46,505 44,040 43,609 45,054 69,670 393,084
Total
% 7 6 7 10 7 12 11 11 11 18 100
Total 48,980 37,077 49,442 73,443 85,674 238,336 121,990 94,342 89,722 141,697 980,703
% 5 4 5 7 9 24 12 10 9 14 100
Source: HMIS, DoHS
Note: LAMA = left against medical advice , DAMA discharged against medical advice
Outpatient consultations — The top-most reason for outpatient consultations in 2073/74 was for upper
respiratory tract infection (3.9%), followed by gastritis (3.7%) (Figure 5.19).
Figure 5.19: Top ten reasons (%) for outpatient consultations, FY 2073/74
Disease types — In terms of disease types among inpatients and outpatient services in FY 2073/74:
the number one airborne disease was pneumonia (organism unspecified) (15,033 cases) followed
by pneumonia (unspecified) (2,813 cases) and bronchitis (1,715 cases) (Table 5.6);
the number one airborne disease cause of death was pneumonia (unspecified organism) (115);
the death rate among inpatients attributed to airborne diseases was 13.9 percent
among the 698 cases of vector borne diseases 61 percent of patients had Dengue Fever no deaths
reported but among 125 cases 9 death reported from Viral Encephalitis (Table 5.7);
Table 5.10: Communicable and non-communicable disease cases and deaths (inpatients), FY 2073/74
Diseases Cases % Deaths %
Communicable 8769 2.5 172 17
Non-communicable 338150 85 5019 83
Total 346919 100 5191 100
Cause of death — Regarding the causes of death (and morbidity) among inpatients in FY 2073/74:
the leading cause of death among inpatients was ‘Unknown and unspecified cause of morbidity
(523) (Figure 5.22).
Deliveries —237,275 deliveries were conducted in hospitals in 2073/74 of which 72 percent happened
through spontaneous labour, 25 percent through caesarean sections and 3 percent were vacuum
assisted (Figure 5.24).
Total Delivery:
237275
25%
3%
72%
Competency Based
Upgraded Training
Training
NHTC’s network includes five regional health training centres, one sub sub-regional
regional health training
centre (Figure 6.1.2).
6.1.2 34 clinical training sites, district supervisors with general training of trainers
(GTOT
GTOT) and one training focal person in each district). The hospital-based
hospital based training sites (Figure 6.1.3
and Table 6.1.1) conduct family planning, skilled birth attendance ,mid-level level practicum ,safe
abortion services, rural USG, anaesthesia assistance, paediatric nursing, medico-legal
medico legal and other
types of training programmes.
Training Network
NHTC
Training sites
34 sites
1. NAMS,KTM
2. TUTH,KTM
3. PMWH,KTM
4. JZH,Dhanusha
5. Bharatpur Hospital 1. BPKIHS,Dharan
6. NHRS,Birgunj
2. MZH,Jhapa
7. Hetauda Hospital
8. Dhulikhel Hospital
3. SZH,Rajiraj
9. CFWC,KTM 4. KZH,Biratnagar
10. FPAN 5. Amda Hospital,
-Kathmandu
Kathmandu Damak
-Chitwan
Chitwan 6. Missionhospital,
-Dhanusha
Dhanusha Okhaldhunga
7. FPAN,Itharai
Goal:
The overall goal of NHTC is to build a technical and managerial capacity of health service providers
at all levels to deliver quality health care services towards attainment of the optimum level of
health status.
Objectives:
To enhance and standardize the training curricula, references, trainer’s capacity with the
training sites.
To organize training activities to address the need of quality health services providers in
different level of health facilities.
To address the training requirements reflected in current national health
policy and strategies
To ensure quality of training programs
using different mechanisms in adherence to national standards.
Strategies:
Assessing, standardizing and accrediting training and training sites.
Developing and standardizing training packages.
The institutional capacity development of all training units.
Conducting pre-service, in-service, orientation, refresher, long-term and short-term trainings
as per national requirements.
Integrating and institutionalizing training.
Develop links with professional career development organizations.
Strengthening the Training Information Management System (TIMS) and training rosters.
Activities
Types of training
Pre-service training — NHTC provides two types of pre-service trainings — the Diploma in
Biomedical Equipment Engineering (18 months) and the Anaesthesia Assistant Course (1 year).
Upgrading— In-service upgrading trainings are designed and conducted as per the needs of
programme divisions and centres. The training packages aim to develop the skills to implement new
programmes and improve job performance. The main courses are listed in Box 6.1.2.
Competency and clinical-based training courses — The 23 courses offered are listed in Box 6.1.2.
Box 6.1.2: Types of upgrading and competency and clinical-based training courses
Refresher training — A range of refresher trainings are conducted as per the needs of divisions and
centres to develop the skills for implementing new programmes and to improve job performance.
These include refresher training courses for FCHVs and skilled birth attendants (SBAs).
Orientation programmes — NHTC supports the divisions and centres to develop orientation
packages and prepare pools of trainers for conducting orientations for health and non-health
workers including for Health Facility Operation and Management Committee (HFOMC) members
and on Appreciative Inquiry (AI).
Induction training —NHTC has begun providing induction training for all health service groups from
2072/73. The one month courses (24 days) is provided for all health service disciplines.
NHTC responsibilities
NHTC is responsible for certifying non-clinical and clinical competency-based training courses.
NHTC develops annual training programme plans and budgets that cover the sub-regional and
RHTCs and the training sites and 75 district health training programmes.
NHTC delivers the approved annual training programme to the sub-regional and RHTCs,
training sites and districts. All centres, sites and districts implement the programme as per the
training guidelines. A quality improvement (QI) tool has been introduced to quality assure
clinical skill-based training.
NHTC is responsible for accrediting many of the non-clinical and clinical competency based
training courses that are listed in Box 6.1.2 and training sites. Five reproductive health training
sites are accredited to conduct reproductive health trainingwhile different hospitals are
accredited to conduct mid-level practicum and TU Teaching Hospital to conduct medico-legal
training. Institutions must be accredited before providing training courses.
NHTC develops the training curricula based on programme needs in collaboration with
divisions and centres. Various technical working groups, which involve government and
supporting partners, review and revise existing curricula and form technical working groups to
formulate new curricula. NHTC reviewedthe SBA, PNC, 5 upgrading trainings and other
curricula and packagesin 2072/73 and developed a new gender-based violence (GBV) package
and OFPOP training programmes.
NHTC coordinates and collaborate with MoH partner institutions including external
development partners, NGOs, the private health sector and medical colleges. Various
stakeholders support NHTC to plan and execute its training programmes.
NHTC conducts skill based training for health workers including about 9,000 medical officers
and nursing staff having been trained on safe birth attendance (SBA). NHTC conducts its on-site
Follow–up Enhancement Programme for SBA and mid-level practicum trained health workers
Physical facilities — NHTC develops the facilities at regional training centres, hospitals and district
level training sites and reviews and ensures the presence of adequate physical facilities and
equipment.
Training programme development — NHTC develops the training programmes as per the needs of
MoH, DoHS and other stakeholders and facilitates coordination between divisions, centres, districts
and training sites on the training programmes. NHTC plans, implements and manages the training
need of the divisions and centres and supports training improvement in coordination and
collaboration with external development partners, NGOs, private providers and medical colleges.
Capacity building— NHTC develops the capacity of health workers in different specialized areas. As
part of faculty development and strengthening staff capacity, NHTC provides opportunities to
participate in different programmes of national and international institutions.
Supporting partners— The partners listed in Box 6.1.3 support NHTC to plan and execute health
training programmes.
Training Working Group— A high level Training Working Group (TWG) with the membership of
government and external development partners discuss training quality improvement, curriculum
development and training accreditation.
Financial resources — The annual programme budget funds the training programmes. It is
envisioned to allocate annual grants for locally organized training based on defined training needs
and to make funding available based on decentralized planning by training institutions. A
mechanism is also being explored for training institutions to generate and mobilise local resources.
Achievements in 2073/74
In 2073/74 NHTC spent 80.62 percent of its central and regional budgets and 95.18 percent of its
district level budget (Table 6.1.2), and performed well against targets set for the year 2073/074
i.e physical progress 95.92% central and 100% district level .
New initiatives
Upgrading and maintenance of facilities — A few health training buildings were renovated and
some equipment (laptops, LCDs, desktop computer, printer, photocopy machine) were supplied to
strengthen training sites. NHTC also added many books, periodicals and equipment to its libraries.
Twenty-one day’s VBDs Basic Training for VCI/MI and Focal persons were conducted in VBDRTC,
Hetauda from 2074/3/17- 2074/4/6. Fifteen persons were trained on basic VBDs including medical
officers, HA, PHI, VCI and MI from 15 districts Facilitators were managed from VBDRTC, CHRD, and
some from outside from government sector.
Pre and post test of the participants was taken as a part of evaluation, data analyzed and significance
of the pre and post knowledge exhibited by applying Paired T test. Overall training and skills of
facilitators also evaluated by received feedback and suggestions from the participants. An average
mark in pre test was 45.29% and accelerated up to 78.97% in post test. Minimum marks obtained by
a participant in pre test were 18.75% which accelerated in 48.75% in post test. Maximum marks
obtained by participants in pre test was 73.75% in pre test which progressed to 100% in post
test.(see: figure 1).
244 DoHS, Annual Report 2073/74 (2016/17)
Supporting Programmes
Figure 1: Pre and post test score of Individual
120
Pre test Post test
100
100
78.97
80 73.75
60
48.75 45.29
40
18.75
20
0
Min Average Max
Pre and post test of the participants was taken, data analyzed. Overall training and skills of
facilitators also evaluated by received feedback and suggestions from the participants. An average
mark in pre test was 51.25% and accelerated up to 84.58% in post test. A minimum mark obtained
by a participant in pre test was 20% which accelerated in 67% in post test. A maximum mark
obtained by participants in pre test was 70% in pre test which progressed to 97.5% in post test.
Malaria microscopy basic training was conducted by VBDRTC in FY 2073/74 in two groups. Training
for first group was started from 12/12/2073 and second group from 16/02/ 2074. A total of 25
persons were trained including laboratory technician and laboratory assistants in basic training.
Among the 25 participants, 5 person developed advanced level skills, 2 persons qualified in first
group and 1 participant developed advanced level skills and 2 participants became qualified in
second group and other participants need continued practice and refresher training to be qualified
and gain advanced level skills.
Malaria microscopy refresher training was conducted by VBDRTC in FY 2073/74 in two groups.
Training for first group was started from 2073/03/01 and second group from 2073/12/12. Thirteen
persons were participated in group first and 15 from group second. Among them, 1 participant
developed advanced level skills, 2 became qualified from first group and 4 developed advanced level
skills, 2 became qualified from group second and rest of the participants need continue practice and
refresher training to qualified and develop advanced level skills.
Following research activities/ study carried out in the fiscal year 2073/74
Suscessptibility test of different species of Anopheline mosquitoes with Alphacypermethrin
(0.05%) and Lambdacyhalothrin (0.05%) in Dhanusha District.
Results:
Results of susceptibility tests performed on different species of the adult female Anopheline
mosquitoes Susceptibility test of different species of Anopheline mosquitoes with
Deltamethrin (0.05%) and Permethrin (0.05%) in Dhanusha District with Alphacypermethrin
(0.05%) and Lambdacyhalothrin (0.05%) in Tulsi, Dhara Tole, ward no.1 of Mithila
Municipality of Dhanusha district indicate that tolerance have been developed in Anopheles
annularis the vector of malaria in Nepal and other Anopheles species Anopheles culicifacies,
Anopheles splendidus and Anopheles vagus with pyrethroid insecticides (Alphacypermethrin
and Lambdacyhalothrin). Since present susceptibility test was performed in wild caught
mosquitoes and representing low sample size; to supplement this study further
susceptibility tests need to be carried out in F1 generation of the Anopheles species of same
locality. Present susceptibility tests attempted to find out the susceptibility status of adult
female Anopheline mosquitoes withpyrethroid insecticides (Alphacypermethrin and
Lambdacyhalothrin)in Tulsi, Dhara Tole, ward no. 1 of Mithila municipality of Dhanusha
district and the information obtained from this study could be useful for planning of vector
control strategies.
This susceptibility test / study were conducted second time in the same study area from
2074/02/09 to 2074/02/15 with slight variation in temperature and humidity.
Conclusion:
Results of susceptibility tests performed on different species of the adult female Anopheline
mosquitoes with Deltamethrin (0.05%) and Permethrin (0.05%) in Tulsi, Dhara Tole, ward
no.1 of Mithila Municipality of Dhanusha district indicate that tolerance have been
developed in Anopheles annularis the vector of malaria in Nepal and other Anopheles
species Anopheles culicifacies, Anopheles splendidus, Anopheles vagus and Anopheles
subpictus with pyrethroid insecticides (Deltamethrin and Permethrin). Since present
susceptibility test was performed in wild caught mosquitoes and representing low sample
size; to supplement this study further susceptibility tests need to be carried out in F1
generation of the Anopheles species of same locality. Present susceptibility tests attempted
to find out the susceptibility status of adult female Anopheline mosquitoes with pyrethroid
insecticides (Deltamethrin and Permethrin) in Tulsi, Dhara Tole, ward no.1 of Mithila
municipality of Dhanusha district and the information obtained from this study could be
useful for planning of vector control strategies.
Background
The National Health Education, Information and Communication Centre (NHEICC) is the apex body
under theMinistry of Healthfor planning, implementing, monitoring and evaluating Nepal's health
promotion, education and communication programmes including periodic surveys and research. The
Scope of the centre is guided by the National Health Communication Policy 2012 following the
National Health Policy 2014, communication strategies and other health related plans and policies.
The centre functions to support health programmes and services to achieve national health goals
and SDGs through health communication approach. The centre is the lead for all health promotion,
education and communication programmes including multi-sectoral health initiatives. The centre
uses advocacy, social mobilization and marketing, behaviour changeand community led social
change strategies to implement its programmes.
Goal : The goal of the Health Communication Policy is to promote healthy behaviour, prevention and
control of diseases and increase access to and use of health services.
Objectives :
Mobilize and use modern and traditional communication multimedia and methods to raise
health awareness, knowledge and promote healthy behaviour among the general public.
Strengthen, expand and implement health communication programmes at all levels.
Generate, collect and mobilize resources to implement health communication programmes.
Prevent the unauthorized dissemination and duplication of health related messages or
information and materials on different issues.
Enhance capacity on health communication to develop, produce and disseminate quality,
correct, authorized, uniform and appropriate messages and information.
Provide quality health messages and information through appropriate media and methods to the
citizens who otherwise have little access to such messages and information.
Policies:
The Main health promotion, education and communication policies are as follows:
Implement health communication programmes in a decentralized manner.
Provide continuity to planning and implementation of communication programmes of all health
services and programmes in an integrated way through a one-door system.
Allocate at least two percent budget of MoH's annual budget for health communication
programmes.
Promote participation, coordination and cooperation of relevant organizations and
stakeholders in health communication programmes.
Use different appropriate types of media to disseminate health messages and information.
DoHS, Annual Report 2073/74 (2016/17) 249
Supporting Programmes
Disseminate health messages and information based on need, approved standards and through
all communication media and methods to reach all intended audiences.
Disseminate health messages and information in an educative, artistic and entertaining way in
local language and in culturally appropriate ways.
Prevent the dissemination of health messages and information without taking consent from the
government for maintaining quality, correctness, uniformity and appropriateness, avoiding
duplication and making policy-based health messages and information.
Encourage communication media, institutions, health workers and journalists to disseminate
valid and scientific health messages and information.
Encourage and facilitate the dissemination of health messages and information through
different communication media and methods in public private partnerships.
Regulate, control and ban the dissemination of messages and information that can adversely
affect human health or is exaggerated, misleading or unauthorized.
Provide information on the proper use of medicines and on service charges at government,
non-government and private health facilities.
Prioritize messages and information on lifestyle-related diseases and encourage healthy
lifestyles.
Capacity building of health promotion and communication personnel to effectively plan and
implement health communication programmes.
Provide quality health messages and information to people in remote areas and to the
disadvantaged, poor and marginalized people at appropriate times and through appropriate
media and methods.
Link health messages, information and programmes with services and provide them in socially
inclusive, gender friendly and right, fact and audience-based ways.
Use advanced modern communication technology to disseminate health messages and
information.
Monitor and evaluate the use of messages and materials and the effectiveness of health
communication programmes.
Strategies :
Advocacy, social mobilization and behaviour change communication are the major strategies for
health promotion, education and communication. The specific strategies are as follows:
Implementing a one-door integrated approach for all health communication programmes under
MoH.
Ensuring adequate budget for health communication programmes.
Coordinating with stakeholders through technical committees and other means.
Mobilizing communication media, methods and materials for the prevention of diseases and
promotion of health.
Standardizing health messages and information for uniformity and appropriateness.
Using entertainment approach with an education format for disseminating health messages and
information.
Ensuring that all stakeholders disseminate health messages and information after taking consent
from concerned MoH bodies.
Encouraging health journalists to disseminate messages and information on health issues.
Encouraging the dissemination of health messages and information through public-private
partnerships.
Discouraging messages and information that is harmful to health.
250 DoHS, Annual Report 2073/74 (2016/17)
Supporting Programmes
Table 6.3.1 : Health communication programme components & sections and their scopes :
Components and
S.N. Scope and Key functions
Sections
1 Health Promotion and Standardize, regulate and update health promotion,
Education education and communication related initiatives and
contents.
Develop, produce and disseminate messages, materials and
tools.
Ensure a target audience-centric approach.
Coordinate initiatives to promote healthy lifestyles.
Conduct periodic formative studies for evidence based
planning.
Provide strategic guidance to partner organization to plan
the evidence-based health promotion interventions.
Use modern communications technology for health
promotion.
2 Environmental Health, Develop, implement and update frameworks and strategies
Hygiene and for eenvironmental health and community hygiene
Communicable Disease programmes.
Prevention Ensure hygiene and sanitation practices in all health service
delivery outlets with the provision of appropriate facilities.
Public health emergency and response/preparedness (PHERP) :
Develop and update a public health emergency
communication preparedness and response plan.
Form a public health emergency communication working
group in collaboration with stakeholders.
Allocate contingency funds for health promotion during
public health emergencies and develop, produce and
stockpile IEC materials for public health emergencies.
3 Reproductive and Child Develop, implement and update evidence-based strategies
Health Communication and an action plan to promote maternal, newborn, and child
health, sexual and reproductive health.
Develop, implement and update evidence-based strategies
and an action plan to promote maternal,infant, young child
and adolescent nutrition.
Provide health promotion, education and communication
technical support to standardize, regulate and update the
DoHS, Annual Report 2073/74 (2016/17) 251
Supporting Programmes
Components and
S.N. Scope and Key functions
Sections
message and contents of maternal, newborn, childhealth,
sexual and reproductive health and nutrition programmes.
4 Tobacco and Non- Standardize, regulate and update non-communicable disease
Communicable Disease risk factors related health promotion, education, and
(NCD) Control communication initiatives.
Develop, produce and disseminate messages, materials and
tools.
Collaborate with state and non-state partners to maximize
and expand programme outreach.
Implement MPOWER and health promotion interventions
including the Package of Essential Non-communicable
diseases (PEN)
Achievements
The physical achievement in the year 2073/74 regarding IEC programme was90 percent and the
trend in three consecutive years is shown in the following table (Table 6.2.3) where, 69.55 percent
of its budget was spent in thereporting year.
Table 6.3.3 : Trend of physical and financial achievement of NHEICC (2071/72 to 2073/74)
Table 6.3.4 : Percentage Trend of Physical and financial achievement of District level
An efficient management of logistics is crucial for an effective and efficient delivery of health
services as well as ensuring rights of citizen of having quality of health care services. Logistics
Management Division (LMD) has established under the Department of Health Services in 2050/51
(1993), with a network of central and five regional medical stores as well as district level stores. The
major function of LMD is to forecast, quantify, procure, store and distribute health commodities for
the health facilities of government of Nepal. It also involves repair and maintenance of bio-medical
equipment, instruments and the transportation vehicles.
In order to systematize the management of logistics, the Logistics Management Information System
(LMIS) unit was established in LMD in 1994. LMIS unit just started Online Inventory Management
System in 2 Central Warehouses, 5 Regional Warehouses and 75 District Warehouses in 2073/2074.
LMIS Unit also collects and analyses quarterly (three monthly) LMIS reports from all of the health
facilities across the country; prepares report and disseminates it to:
Forecast annual requirements of commodities for public health program including family
planning, maternal, neonatal and child health, HIV and AIDS commodities, vaccines, and
Essential Drugs;
Help to ensure demand and supply of drugs, vaccines, contraceptives, essential medical and cold
chain supplies at all levels;
Quarterly monitor the national pipeline and stock level of key health commodities.
Goal
Quality health commodities available at health facilities and community level round the year.
Overall Objective
To plan and carry out the logistics activities for the uninterrupted supply of essential medicines,
vaccines, contraceptives, equipment, HMIS/LMIS forms and allied commodities (including repair and
maintenance of bio-medical equipment) for the efficient delivery of healthcare services from the
health institutions of government of Nepal in the country.
Strategies
Logistics planning for forecasting, quantification, procurement, storage and distribution of
health commodities.
Introduce effective and efficient procurement mechanisms like e-Bidding, e Submission.
Use of LMIS information and real time data in the decision making.
Strengthen physical facilities at the central, regional, sub-regional and district level for the
storage and distribution of health commodities.
Promote Online Inventory Management System and Non Expendable/Expendable Items
Inventory System in Central, Regional and Districts warehouses.
Auctioning of non-functional cold chain equipments/furniture, vehicle etc.
Repair and maintenance of bio-medical, cold chain equipments/instruments and transportation
vehicles.
Capacity building of required human resources on logistics management regarding public
procurement, e-bidding, e-procurement, and online Inventory Management System at Central,
Regional and District levels.
Due to this most of the HFs in affected districts were completely destroyed and could not send the
reports. Besides, the political situation after the earthquake was also not favourable resulting in no
reporting from HFs especially from Tarai districts. The LMIS has helped to generate accurate and
reliable feedback reports, thereby contributing to improve logistics functions like budgeting,
quantifying, forecasting, procurement, storage, transportation and distribution of FP, MCH
commodities and essential drugs to be procured by the centre. LMIS has played a key role in
reducing stock-out rates and increasing year-round availability of key health commodities through
close monitoring. Similarly, LMD has implemented web-based LMIS and Inventory reporting system.
Province 2
Province 3
Province 4
Province 5
Province 6
Province 7
National
a. Procurement
LMD continued and added more commodities in the multi-year procurement. Condom, Injectable,
ORS, Iron Tablets, Essential Drugs are now being procured through multi-year mechanism. Multi-
year mechanism saves every year bidding and evaluation time for tender. LMD also completed the
LICB (limited international competitive bidding) process in coordination with World Bank in the
procurement of Implants, which results in procuring directly from the manufacturer in much lower
cost.
A district-wise breakdown list of essential drugs and quantities to be procured at the district level,
based on consensus forecast was developed by PHCRD and LMD. The list and budget was sent to all
districts by the Primary Health Care Revitalization Division (PHCRD). Similarly, on the development of
e-bidding software, the terms of reference/guidelines was finalized and sent to prospective e-
bidders for their review and feedback.
Providing of training on public procurement for the Region and District level personnel with the
financial support of UK AID/NHSSP and technical support of GoN/PPMO. Completion of the training
in FY 2071/72 in 3 Region (Eastern, Central and Far Western), rest of 2 Region (Western and Mid-
Western) was covered in FY 2072/73.
To estimate the commodity needs and assess stock status of in-country supply pipeline so as to
identify and correct supply imbalance.
258 DoHS, Annual Report 2073/74 (2016/17)
Supporting Programs: Logistic Management
To provide data on specific commodity requirements and plan for government budget
allocations.
To support the estimation of commodity procurement cost.
To inform donors about funding requirements and advocate for commodity procurement.
To ensure government’s commitment for Citizens Right in providing health care service.
The workshop developed a forecasting and quantification of Essential drugs, RH/FP commodities,
MNCH commodities, vaccines, syringes and HIV& AIDS commodities. The forecast was based on
scientific data, which included demographic data, consumption pattern, morbidity issues and some
special programmatic considerations.
The workshop was highly successful in addressing issues on forecast and quantification of health
commodities with some important recommendations from the participants. The workshop also
incorporated other factors effecting forecasting i.e. non-prescribed drugs, replacing drugs, fast
moving drugs and duplication. The success of forecast and quantification is a milestone in logistics
management, but there is always room for continuous improvement.
Similarly, National Level Consolidated Annual Procurement Plan (CAPP) organized by DOHS in
collaboration with all concerned division and centre in January 2017with technical assistance and
financial support from NHSSP. LMD’s Procurement Unit took a lead role to prepare CAPP.
In each quarter, a national pipeline meeting takes place at the LMD to review, monitor, and evaluate
the procurement, shipment, distribution, transportation and stock status of family planning and
other health commodities.
LMD conducted Quarterly Pipeline Review meetings. The meeting was participated by Program
Divisions of DOHS, External Donor Partners and stakeholders like Social Marketing agency. In the
meetings shipment schedules, shipment status (planned, ordered and received), actual consumption
and months-of-stock-on-hand of 32 health commodities were discussed.
The MOH and LMD commissioned an assessment in 1999 to identify the current storage conditions
and space needed at district level. The assessment was carried out with support from JSI Research &
Training Institute and USAID. The study revealed that 58 of 75 districts had immediate storage needs
(none of the districts had ideal cold storage facilities) and all 75 would require new stores. Space was
inadequate and security was poor. 49 out of 75 districts had storerooms scattered in two or more
rooms with none specifically designed for storage and many were in rented buildings. Most of the
As a support in freeing storage space, LMD has carried out auctioning in health institutions of 75
districts in need based approach with the support of UNICEF/Lifeline Nepal. Auctioning in 5 below-
district level health institutions, 46 district level institutions, 10 regional level institutions and one
central level health institution. The process has generated Rs. 2,156,363 revenue for government
and cleared over 21,000 sq. ft. area. The process is still going on.
Effective Vaccine Management is one of the core working areas of LMD. Effectiveness of vaccine
management widely depends on the effective and proper storage of vaccine as well as cold chain
and supply chain management. To ensure proper cold chain, LMD has mobilized Mechanical
Engineers and Refrigerator Technician for immediate repair of damaged refrigerators and freezer to
ensure effective vaccine management. LMD had repaired and maintenance of refrigerators and
freezers whenever required. By far, 107 cold chain equipment has been repaired in 50
districts.Currently one Refrigerator Technician has been mobilized in RMS Biratnagar for CCE repair
and maintenance in Eastern Development Region.
Similarly, storage capacity in 45 districts were strengthened by transportation of 96 Godrej Sure chill
refrigerators enabling the districts and their sub-stores to store vaccine in proper temperature to
provide quality immunization service. Lifeline Nepal supported in distribution, installation and
preventive maintenance of refrigeratorssupported by UNICEF Nepal.
There are currently diagnostic health laboratories in 8 central hospitals, 3 regional hospitals, 3 sub-
regional hospitals, 10 zonal hospitals, 62 district hospitals, 16 other district level hospitals, 204 PHCCs
and more than 1,500 private health institutions. Almost all of these laboratories need to improve their
quality assurance practices, human resources, competency, service range and physical infrastructure.
NPHL monitors these laboratories through its external quality assurance of lab services and the quality
control testing of samples. It conducts the National External Quality Assurance Scheme (NEQAS)
programme to monitor testing quality. It dispatches samples (including biochemical tests, malaria slides,
HIV testing, Transfusion Transmissible Infection (TTI) screening, and Prothrombin Time (PT) for blood
testing) to laboratories to test. NPHL provides feedback based on the results. This also helps access the
testing capability of lab personnel.
Types of Laboratories
Sub- Other Private
Province Central Regional Zonal District
regional District PHCCs Health
Hospital Hospital Hospital Hospital
Hospital Hospital Institution
1 0 1 0 2 12 2 42
2 0 0 1 0 6 3 32
3 8 1 0 0 9 2 40
4 0 1 0 1 8 3 20
5 0 0 1 2 13 3 38
6 0 1 0 0 7 2 12
7 0 1 1 2 7 1 20
Total 8 3 3 10 62 22 204 1500
Each year various outbreaks and epidemics threaten global health. NPHL is responsible for diagnosing
emerging and re-emerging infectious diseases and established the National Influenza Centre (NIC) in
April 2010 and its Bio-Safety Level-3 lab in January 2015. The National Influenza Centre functions
through the regional National Influenza Surveillance Network (NISN). NPHL is able to diagnose influenza
A (H1N3, H1N1, H5, H7), Influenza B, and other viruses including Respiratory Syncytial Virus (RSV),
Hanta, Ebola, Crimean-Congo haemorrhagic fever(CCHF), Kyasanur forest disease (KFD), dengue,
chikungunya, zika, leptospira, and scrub typhus. It can also measure HIV viral load, Hepatitis C viral load
and carry out genotyping.
The National Bureau for Blood Transfusion Services, which is based at NPHL, is the national authority for
implementing the National Blood Programme (NBP). The bureau works to ensure the safe, adequate and
262 DoHS, Annual Report 2073/74 (2016/17)
Supporting Programmes
timely supply of blood and blood products to meet transfusion needs by producing policies, guidelines,
protocols, and standard operating procedures. NPHL is the national reference laboratory for screening
transfusion transmissible infections (TTIs) and is responsible for evaluating conformational testing kits
and for sending proficiency panels to blood transfusion service centres (BTSCs) under the National
Quality Assurance Scheme (NEQAS). It is also responsible for training BTSC staff, supervising and
monitoring BTSCs and supplying equipment to newly established BTSCs.
Objectives:
To affirm the government’s commitment and support for the organization and management of
efficient, cost-effective and sustainable health laboratory services.
To strengthen laboratory services for supporting the diagnosis, treatment, surveillance, prevention
and control of diseases.
To establish national standards for laboratory quality systems.
To ensure the quality of health laboratories through a quality system.
To empower the establishment, implementation and monitoring of the national health laboratory
programme and the national regulatory mechanism for regulating health laboratories.
To ensure adequate financial and human resources for health laboratory services.
To monitor adherence to ethical values in laboratory practice, including patient confidentiality,
adherence to professional codes of conduct and ethical research practices.
To encourage research and collaboration to inform and improve the quality of health laboratory
services.
NPHL provided different laboratory test from its different department biochemistry, haematology,
parasitology, immunology, virology, endocrinology, and microbiology
microbiology. number of test were in increasing
trend with comparison with previous year.
174761
200000 145468
120055
100000
0
Routine Test 2071/72 2072/73 2073/74
Salmonella
• S.typhi is predominant than S.paratyphi A from 2005 till date however, the prevalence of S.
Paratyphi A is increasing annually indicating changing epidemiology.
• Children below 15 years are most commonly affected.
• Classical MDR (Resistance to ampicillin, chloramphenicol and cotrimoxazole) at a time among
salmonella isolates declined from 2002 onwards, and newly emerged MDR isolates (resistant to
Shigella spp
• Shifts in the prevalent serogroups have been observed
• 1999-2004
2004 : Shigella dysenteriae was prevalent but since 2005, Shigella flexneri predominates
(69% in 2016)
Vibrio spp
• Shift in serotype observed.
• 2003
2003-2004:
2004: V. cholerae O1 Ogawa
• 2005
2005-2006:
2006: V. cholerae O1 Inaba
80 60
70 50
60
50 40
40 30
30 20
20
10 10
0 0
120
100
80
60
40
20
0
56002983
60000000
36295506
50000000
40000000 26915520
30000000
20000000
10000000
0
2071/72 2072/73 073/74
Challenges
The major challenge for Nepal’s health laboratories is the shortage of skilled human resources. There
are no adequately skilled post
post--microbiologists/
microbiologists/virologists
virologists to diagnose infectious diseases. In spite of
recent progress there are still not enough skilled biomedical engineers to repair, maintain and calibrate
of laboratory testing equipment. There are inadequate pathologists, medical technologist and
biochemists at health facilities.
Routine activities
MoH has more than 30,000 employees of whom more than 24,000 are technical personnel and
6,300 are administrative staff. DoHS have about 24,000 personnel including in its health facilities
across the 196 sanctioned types of technical and administrative posts (across all divisions and
sections). The number of sanctioned and fulfilled posts under DoHS is given in Table 6.5.1.
18 Pharmacist 7/8th 2 2
th
19 Senior Public Health Officer 7/8 9 9
24 Entomologist 7/8th 1 0
New initiatives
The following new initiatives were taken from the fiscal year 2072/73:
File tracking system.
Digital attendance introduced within DoHS.
An online calendar of operations (online action plan) of divisions and DoHS introduced.
Target —To achieve 100 percent expenditure of all budgets in accordance with programme work
plans within a specified times as per financial rules and regulations of the government and to
maintain the recording and reporting system accurately and on time.
Achievements in 2073/74
Out of total National Budget of Rs. 10,48,92,13,54,000 a sum of Rs. 40,56,30,27,000 (3.86%) was
allocated for the health sector during the fiscal year 2073/74. Of the total health sector budget, Rs.
31,45,05,36,111 (77.53%) was allocated for the execution of programs under the Department of
Health Services Network (Table 6.7.1).
Table 6.7.4: Central level recurrent budget allocation by source and programme activities, FY 2073/74
Programme budget Total budget allocation by sources
Budget
heading
Code No GoN % Donor % Total %
Tuberculosis Control
3701133 422,848,000.00 11.18 155,422,000.00 3.83 578,270,000 3.8
Programmes
National HIV/AIDS
3701143 79,675,000.00 2.11 779,509,000.00 19.20 859,184,000 19.2
Control Programmes
3701153 FP/MCH Programmes 310,662,000.00 8.21 61,600,000.00 1.52 372,262,000 1.5
Integrated CHD
3701163 664,407,000 17.56 1,813,194,000.00 44.65 2,477,601,000 44.7
Programme
Epidemiology
3701193 235,689,000.00 6.23 417,996,000.00 10.29 653,685,000 10.3
Programme
Leprosy Control
3701203 20,192,000.00 0.53 9,000,000.00 0.22 29,192,000 0.2
Programme
3701213 Indent Procurement 125,500,000.00 3.32 106,250,000.00 2.62 231,750,000 2.6
Hospital Construction
3701223 /Management 1,157,199,000.00 30.59 37,674,000.00 0.93 1,194,873,000 0.9
Information System
3701233 NHEICC programmes 67,288,000.00 1.78 52,957,000.00 1.30 120,245,000 1.3
Health Laboratory
3701263 147,796,000.00 3.91 0.00 0.00 147,796,000 0.0
Services
3701363 PHCRD programmes 293,199,000.00 7.75 556,000,000.00 13.69 849,199,000 13.7
Primary Health RD
3701383 165,000,000.00 4.36 0.00 0.00 165,000,000 0.0
Avain
National Health
3701243 Training Centre 94,065,000.00 2.49 71,085,000.00 1.75 165,150,000 1.8
programmes
Total 3,783,520,000 100.00 4,060,687,000 100.00 7,844,207,000 100.0
Table 6.7.5: Central level recurrent budget released by source and programme, FY 2073/74
Table 6.7.6: Central level recurrent budget expenditure by source and programme, FY 2073/74
Programme budget Released budget by source
Budget
heading
Code No GoN % Donor % Total %
Tuberculosis
3701133 Control 243401833.62 7.74 10,524,811.00 0.39 253,926,645 4.33
Programmes
National HIV/AIDS
3701143 Control 62136293.42 1.98 609,721,148.05 22.39 671,857,441 11.45
Programmes
FP/MCH
3701153 208,467,506.40 6.63 45,064,411.34 1.66 253,531,918 4.32
Programmes
Integrated CHD
3701163 540,108,530.25 17.18 1,186,435,663.52 43.57 1,726,544,194 29.43
Programme
Epidemiology
3701193 192,901,194.60 6.14 224,629,062.43 8.25 417,530,257 7.12
Programme
Leprosy Control
3701203 14,526,594.00 0.46 4,402,235.00 0.16 18,928,829 0.32
Programme
3701213 Indent Procurement 111,564,362.44 3.55 36,791,463.35 1.35 148,355,826 2.53
Hospital
Construction
3701223 1,137,167,092.00 36.17 17,040,789.00 0.63 1,154,207,881 19.67
/Management
Information System
NHEICC
3701233 58,893,502.70 1.87 24,741,604.45 0.91 83,635,107 1.43
programmes
Health Laboratory
3701263 147,761,596.92 4.70 0.00 0.00 147,761,597 2.52
Services
3701363 PHCRD programmes 199,462,740.37 6.34 516,787,149.15 18.98 716,249,890 12.21
Primary Health
3701383 143,039,231.24 4.55 0.00 0.00 143,039,231 2.44
Avain
National Health
3701243 Training Centre 84,392,249.69 2.68 46,705,256.00 1.72 131,097,506 2.23
programmes
Total 3,143,822,728 100.00 2,722,843,593 100 5,866,666,321 100
Table 6.7.8: Central level capital budget released by source and programme, FY 2073/74
Budget Programmebudget Released budget by source
Code No heading GoN % Donor % Total %
Tuberculosis Control
3701134 109,166,149.00 17.29 387,281.00 0.11 109,553,430 11.03
Programmes
National HIV/AIDS
3701144 5,380,908.87 0.85 0.00 0.00 5,380,909 0.54
Control Programmes
FP/MCH
3701154 5,601,317.00 0.89 0.00 0.00 5,601,317 0.56
Programmes
Integrated Child
3701164 7,092,000.00 1.12 175,847,199.00 48.64 182,939,199 18.43
Health Programme
Epidemiology
3701194 4,371,494.00 0.69 1,392,160.00 0.39 5,763,654 0.58
Programme
3701214 Indent Procurement 370,887,000.00 58.75 133,899,997.00 37.04 504,786,997 50.85
Hospital
Construction
3701224 8,403,762.00 1.33 0.00 0.00 8,403,762 0.85
/Management
Information System
Health Laboratory
3701264 119,401,977.31 18.91 50,000,000 13.83 169,401,977 17.06
Services
Primary Health Care
3701364 Division 963,210.00 0.15 0.00 0.00 963,210 0.10
programmes
Total 631,267,818.18 100.00 361,526,637.00 100 992,794,455 100
Table 6.7.9: Central level capital budget expenditure by source and programme, FY 2073/74
Budget Programmes Budget Released Budget by Source
Code No Heading GoN % Donor % Total %
Tuberculosis Control
3701134 109,166,149.00 21.23 387,281.00 0.12 109,553,430 13.27
Programmes
National HIV/AIDS
3701144 5,380,908.87 1.05 0.00 0.00 5,380,909 0.65
Control programmes
Table 6.7.10: District level recurrent budget allocation by source and programme, FY 2073/74
Budget Programmebudget Total budget allocation by source
Code No heading GoN % Donor % Total %
3708063 TB Control Programmes 135,426,000 2.69 67,408,000 5.16 202,834,000 3.20
3708023 NHEICC Programmes 54,000,000 1.07 0 0 54,000,000 0.85
National Health Training
16,900,000
3708033 Centre Programmes 0.34 1,500,000 0.11 18,400,000 0.29
Integrated Health
4,830,672,000
3708043 Services Programmes 95.90 1,237,326,000 94.72 6,067,998,000 95.66
Total 5,036,998,000 100 1,306,234,000 100 6,343,232,000 100
Table 6.7.11: District level recurrent budget released by source and programme, FY 2073/74
Table 6.7.12: District level recurrent budget expenditure by source and programme, FY 2073/74
Programme budget Released budget by source
Budget
heading
Code No GoN % Donor % Total %
TB Control
3708063 119,421,310.68 2.69 48,474,504.00 7.88 167,895,815 3.32
Programmes
3708023 NHEICC Programmes 49,320,578.25 1.11 0.00 0.00 49,320,578 0.97
National Health Training
3708033 14,608,681.00 0.33 380,179.00 0.06 14,988,860 0.30
Centre Programmes
Integrated Health 566,541,961.0
3708043 4,263,483,589.82 95.88 92.06 4,830,025,551 95.41
Services Programmes 3
Total 4,446,834,159.75 100 615,396,644.03 100 5,062,230,803.78 100
Table 6.7.14: District level capital budget released by source and programme, FY 2073/74
Budget Programme budget Released budget by source
Code No heading GoN % Donor % Total %
Integrated Health
3708044 1,501,710,000 99.50 3,401,753,000 99.99 4,903,463,000 99.84
Services Programmes
TB Control
3708064 4,491,000 0.30 225,000 0.01 4,716,000 0.10
Programmes
3708034 NHTC Programmes 3,000,000 0.20 0 0 3,000,000 0.06
Total 1,509,201,000 100 3,401,978,000 100 4,911,179,000 100
Table 6.7.15: District level capital budget expenditure by source and programme, FY 2073/74
Budget Programme budget Released budget by source
Code No heading GoN % Donor % Total %
Integrated Health
3708044 1,346,181,547.72 99.64 3,292,722,290.81 100 4,638,903,839 100
Services Programmes
3708064 TB Control Programmes 2,448,325.57 0.18 151,695.00 0.00 2,600,021 0.00
3708034 NHTC Programmes 2,440,076.25 0.18 0.00 0.00 2,440,076 0.00
Total 1,351,069,949.54 100.0 3,292,873,985.81 100.00 4,643,943,935.35 100
Table 6.7.17: Irregularity clearance status of last three years FY 2071/72 - 2073/74 (NPR In ,000)
Strategies:
Make arrangements to collect and analyse health information and use it to support the
planning, monitoring, and evaluation of health programmes
Strengthen bottom-up planning from community to central levels via the optimum use of
available resources including health service information.
Conduct and expand regular periodic performance reviews and use outcomes for
improvements down to community level.
Strengthen and guide the monitoring and supervision system at all levels.
a. The Health Management Information Section manages health service information from
community to the DoHS level. This system provides the basic information for planning, monitoring
and evaluation of the health system at all levels. The major functions of the HMIS are listed in Box
6.8.3.
Nepal’s health sector needs accurate, comprehensive and disaggregated data to gauge its
performance, to identify inequalities between social groups and geographic areas, to plan future
interventions, and to enable the monitoring of NHSP-2 and NHSS targets to provide evidence to
inform strategic and policy level decisions.
The current HMIS software system (DHIS 2 software) almost is meet all the requirements of the
recently revised HMIS. There is still software related errors seen which are raised due to calendar
and other issue. It should be addressed as soon as possible.
h. The Impoverished Citizens Service Unit provides the following funding for impoverished Nepalese
citizens to treat serious health conditions:
up to NPR 100,000 per patient via notified hospitals for free medication and treatment of
severe diseases including cancer, heart disease, head and spinal injuries, and Alzheimer's,
Parkinson’s and sickle cell anaemia diseases;
medication costs up to NPR 100,000 for post-renal transplant cases;
free dialysis services as per doctors certified;
renal transplantation costs up to NPR 400,000 per patient; and
financial support and treatment for very important national persons, important national
persons and other national persons.
a) Geographic information systems— The use of GIS data is being institutionalized in the health
system. A health facility mapping survey (HFMS) is being carried out in all 75 districts supported by
WHO.
b) Health Infrastructure Information System — The HIIS is expected to provide the basis for decision
making on building construction and maintenance as well as for resource allocation. The system is
in process of completion after which it will be regularly updated.
c) Building construction and maintenance— The Management Division oversees the construction
and maintenance of health facility buildings and other infrastructure in partnership with the
Department of Urban Development and Building Construction (DUDBC). All maintenance within
DoHS premises and construction and maintenance works in districts and regions costing less than
one million are disbursed through the Management Division. All other construction works costing
more than one million is done through DUDBC. Since 2061/62 2022 facilities have been built while
in 2073/74 NPR 3,652 billion was spent on health building construction through DUDBC (Table
6.8.1). An MoH committee monitors these works. Table 6.8.2 shows the number of health buildings
completed and handed overin the previous five years.
Detail Number
Total number of health facilities built 2022
Table 6.8.2: Building construction scenario in previous five years (completed and handed over
buildings)
Types of building 2069/70 2070/71 2071/72 2072/73 2073/74
Health posts with birthing centres 0 115 200 101 275
Doctors’quarters 0 20 - - 20
Staff quarters 0 25 - - 36
PHCCs 0 5 7 2 6
Birthing centres 0 12 20 5 8
CEOC buildings 0 1 - - -
d) Health facility upgrading— The Management Division has started the process of upgrading PHCCs
and below 15 bed district hospitals up to 15 bed hospitals. In line with the upgrading of all sub-
health posts to health posts and higher level facilities to at least 15 bed hospitals following certain
procedures, division collects demand and recommendations from concerned agencies and process
for approval. The status of health facility up-gradation is given in Table 6.8.3.
e) Operating licenses renewed— The operating licenses of 71 private 51 to 200 bed hospitals were
renewed by the Management Division in 2073/74.
Table 6.8.4: Number of impoverished patients provided with treatment support for serious
diseases, 2073/74
Kidney Dialysis
After Kidney
Spinal Injury
Head Injury
Medication
Parkinsons
Transplant
Transplant
Alzeimers
Sicklecell
Anaemia
Cancer
Kidney
Heart
Total
Name of
SN
Hospitals/particular
National academy of
1 health sciences, Bir 48 11 0 0 592 1 0 2 0 0 654
hospital, Kathmandu
Tribhuwan university,
2 teaching hospitalm 69 27 0 0 17 0 46 2 0 0 161
Maharajgunj
Patan academy of
3 health science, patan 61 0 0 5 147 0 2 0 4 0 219
hospital
B.P. Koirala institute of
4 183 0 0 72 66 0 28 7 7 0 363
health science, Dharan
Maternity Hospital,
5 0 0 0 0 17 0 0 0 0 0 17
Thapathali
Sahid Gangalal N. Heart
6 0 0 0 2251 0 0 0 0 0 0 2251
centre, Bansbari
Civil service Hospital,
7 0 0 0 0 284 0 0 0 0 8 292
Minbhawan
Manmohan Cardio
8 0 0 0 691 0 0 0 0 0 0 691
Thoracic , Vascular &TC
B.P. Koirala Memoriyal
9 Cancer Hospital, 0 0 0 0 3577 0 0 0 0 0 3577
Bharatpur
Human Organ
10 Transplant Centre, 388 132 0 0 0 0 0 0 0 0 520
Bhaktapur
Western Regional
11 49 0 0 0 0 0 0 0 0 0 49
Hospital, Pokhara
Narayani sub regional
12 26 0 0 0 0 0 0 0 0 0 26
hospital,Birgunj
Rapti sub regional
13 10 0 0 0 0 0 0 0 0 0 10
hospital, Dang
Koshi zonal Hospital,
14 16 0 0 0 0 0 0 0 0 0 16
Morang
Janakpur Zonal
15 9 0 0 0 0 0 0 0 0 0 9
Hospital, Janakpur
Bheri Zonal Hosppital,
16 9 0 0 0 0 0 0 0 0 819 828
Banke
18 Seti zonal hospital, 20 0 0 0 0 0 0 0 0 866 886
Kidney Dialysis
After Kidney
Spinal Injury
Head Injury
Medication
Parkinsons
Transplant
Transplant
Alzeimers
Sicklecell
Anaemia
Cancer
Kidney
Heart
Total
Name of
SN
Hospitals/particular
kailali
Mahakali Zonal
19 Hospital, Kanchanpur 0 0 0 0 0 0 0 0 0 0 0
Mahakali
Nepal Medical College
20 101 0 0 0 0 0 0 0 0 0 101
Jorpati
Gandaki Medical
21 51 0 0 0 0 0 0 0 0 0 51
College, Pokhara
Universal Collegeof
22 Medical Sciences, 65 0 0 0 0 0 0 0 0 0 65
Bhairahawa
Chitwal Medical College
23 Teaching Hospital, 73 0 0 34 4 17 2 0 0 0 130
Chitwan
College Of Medical
24 112 0 0 0 0 0 0 0 0 0 112
Sciences, Chitwan
Nepalgunj Medical
25 124 0 0 0 0 0 0 0 0 0 124
College, Banke
Manipal Medical
26 college, Teaching 65 0 0 0 0 0 0 0 0 0 65
Hopsital pokhara
Bhaktapur Cancer
27 2646 0 0 0 0 0 0 0 0 0 2646
Hospital, Bhaktapur
National Kidnye Centre,
28 619 0 0 0 0 0 0 0 0 0 619
Banasthali
Dhulikhel Hospital ,
30 44 0 0 0 69 0 0 0 0 0 113
Kavre
Golden Hospital pvt.Ltd,
31 53 0 0 0 0 13 0 0 0 0 66
Biratnagar
32 B&B Hospital, Gwarko 13 0 0 0 0 0 0 0 0 0 13
Aarogya health
33 154 0 0 0 0 0 0 0 0 0 154
pratisthan, Pulchowk
National dyalysis
34 61 0 0 0 0 0 0 0 0 0 61
center, Bashundara
Cancer care nepal,
35 0 0 0 0 173 0 0 0 0 0 173
Jawalakhel
Alka Hospital Pvt,
36 53 0 0 0 0 0 0 0 0 0 53
Jawalakhel
Charak Memoriyal
37 Hospital Pvt, Kaski 23 0 0 0 0 0 0 0 0 0 23
pokhara
Himal Hopsital Pvt,
38 15 0 0 0 0 0 0 0 0 0 15
Gyaneswar, Ktm
National Trama Center,
39 0 0 0 0 0 15 51 0 0 0 66
Mahabauddha, Ktm
Grandi International
40 18 0 0 0 0 0 0 0 0 0 18
Hospital Pvt, Dhapasi
Vayoda Hospital Pvt,
41 18 0 0 0 0 0 0 0 0 0 18
Balkhu
Kidney Dialysis
After Kidney
Spinal Injury
Head Injury
Medication
Parkinsons
Transplant
Transplant
Alzeimers
Sicklecell
Anaemia
Cancer
Kidney
Heart
Name of
Total
SN
Hospitals/particular
Gautam Buddha
Samudayek Heart
42 145 0 0 48 0 0 0 0 0 0 193
Hospital, Butwal,
Rupandehi
Siddharatha City
43 40 0 0 0 0 0 0 0 0 0 40
Hospital Pvt, Butwal
Nepal Swasthye Bikash
44 & Research Sahakari 4 0 0 0 0 0 0 0 0 0 4
Ltd, Biratnagar, Morang
Crimson Hospital ,
45 9 0 0 0 0 0 0 0 0 0 9
Manigram Rupandehi
Nepal Cancer Hospital
46 0 0 0 0 607 0 0 0 0 0 607
& rearch center
Kathmandu Cancer
47 Center, Tathali, 0 0 0 0 267 0 0 0 0 0 267
Bhaktapur
Nobel Medical College
48 Teaching 28 0 118 0 25 1 5 0 0 177
Hospital,Biratnagar
Janaki Health Care and
49 19 0 0 0 0 0 0 0 0 0 19
Research Center Pvt.Ltd
OM hospital and
50 22 0 0 0 0 0 0 0 0 0 22
Research Center
Neuro Cardio
51 Multispeciality Hospital, 0 0 0 0 0 11 0 0 0 0 11
Biratnagar
OM shahi Pathivara
52 26 0 0 0 0 0 0 0 0 0 26
Hospital, Jhapa
Purna Tung Birta city
53 29 0 0 0 0 0 0 0 0 0 29
Hospital, Jhapa
Lakecity and critical
54 12 0 0 0 0 0 0 0 0 0 12
care Hospital, pokhara
Venus \hospital pvt.ltd,
55 15 0 0 0 0 0 0 0 0 0 15
Baneshwor, Kathmandu
Kist Medical College,
56 Teaching Hospital, 20 0 0 0 0 0 0 0 0 0 20
Lalitpur
Greencity Hospital pvt.
57 Ltd, Dhapasi, 14 0 0 0 0 0 0 0 0 0 14
Kathmandu
After Kidney Transplant
58 0 0 198 0 0 0 0 0 0 0 198
Medication
Out Of Nepal Treated
59 0 14 0 0 1 0 0 0 0 0 15
cases
Total 5531 159 198 3219 5821 82 130 16 11 1693 16860
The Management Division carried out the 45 activities listed in Annex 1in 2073/74. The division
achieved 97.84 percent physical progress in terms of activities carried out and 90.97 percent
financial progress in terms of budget spent (Table 6.8.5).
Primary Health Care (PHC) is a strategic movement for the achievement of “Optimum health for all”.
PHC needs to be expanded throughout the country for acheiving the universal health coverage
(UHC). PHC is regarded as a cost-effective approach and its principles in social justice, equity, human
rights, universal access to health services, community involvement and priority to the most
vulnerable and underprivileged. The National Health Sector Strategy (NHSS, 2015–2020) calls for
meeting the existing and emerging health care needs of the population across all geographic
environments.
Primary Health Care Revitalization Division (PHCRD), established in 2009, functions for expanding the
coverage of primary health services in an equitable manner particularly by addressing the needs of
disadvantaged and unreached population groups. Basic health care services delivered through
primary health care providers are generally cost effective by nature and can directly contribute to
improved health status and higher life expectancy. Areas of concern that the primary health care has
to address are: growing burden of non-communicable diseases, inequitable access to healthcare
services, limited range of service availability at lower tiers of health facilities and rapid
commercialization of the basic health services.
PHCRD strives to strengthen the gate keeping functions at the lower level of public health facilities
while enhancing the capacity of District Health Offices and Municipalities to develop local health
systems that are responsive and accountable to clients’ needs. As mandated by the Constitution of
Nepal, the division is playing an instrumental role in expanding the reach of basic health services at
across the country, particularly focusing on urban areas while also introducing service packages that
are focused on prevention of NCDs. The division also continues to facilitate continuum of care across
preventive, promotive, curative and rehabilitative components of health services.The PHCRD is
envisaged to revitalize PHC services in Nepal by addressing the unaddressed and unmet issues of
PHC.
Vision: To contribute in improving the health status of Nepali population, especially of the poor and
excluded through provision of equitable and accessible health care services.
Goal: To reduce morbidity and mortality especially of poor, marginalized and vulnerable people by
securing the right of the citizens to quality basic health services.
Objectives
Ensure the fundamental right of all Nepalese citizens to basic health care services
Ensure year-round availability of essential drugs in both urban and rural health facilities to
increase access and utilization of quality Basic health care services.
Reduce mortality & morbidity related to major four NCDs, mental diseases and others
diseases in Nepal.
Increase the utilization of health care services especially by the poor, marginalized,
vulnerable and disadvantaged groups by minimizing economical, cultural and geographical
barriers
Promote good governance and accountability of the health workers and health facilties
towards the people through social audit
Increase the quality of treatment services through Rational Use of Medicine (RUM) and
Standard Treatment Protocol (STP)
Promote urban health services through Urban Health Centre (UHC) and Urban Health
Promotion Centre (UHPC)
The Division carries out the following programs components, scope and key functions:
National free basic health care service program is implemented to ensure the availability and
utilization of quality basic health care services free of cost through the health facilities (Hospital,
PHCC, HP, UHC and CHU) as mandated by the consititution of Nepal.
Major Activities:
Planning and procurement of free essential drugs
OPD registration fee - District Hospital/PHCC/HP
Grant for printing and distribution of OPD ticket & reporting form
Major Achievement
Out of total estimated population, 71.70 percentage (2,05,22,192 new cases) utilized OPD services.
Achievement
SN Indicators
(Number) (Percentage)
1 Number of person utilizing free health OPD services 20522192 71.70
among total estimated population
2 Number of person utilizing free health emergency services 44278 0.16
among total estimated population
3 Number of person utilizing free health indoor services 497339 1.74
among total estimated population
4 Referral cases (Out) among total number person utilizing 5483 0.02
free health services
Source: HMIS
Hospital free basic health care service utilization status by targeted groups, FY 2073/74
Social health protection program is focused on increasing the access and utilization of health care
services by the people most in need expecially the poor, marginalized and the vulnerable people in
equitable manner with the aim to achieve universal health coverage.
Urban Health
Rapid urbanisation and internal migration has posed a great challenge for the government to
provide health services in urban areas. Urban residents face unique health challenges. Haphazard
urban planning has drastically increased the level of pollution of all types and has also brought about
lifestyle changes resulting in poor dietary intake, increased consumption of alcohol and tobacco
products, unhealthy sexual behaviour, sedentary lifestyle, etc. These environmental and behavioural
changes have posed new health challenges such as increased burden of non-communicable diseases
DoHS, Annual Report 2073/74 (2016/17) 293
Supporting Programmes
including mental illness. This underscores the need for greater focus on basic health services and
service sites to deliver health services in urban areas.
For the last three decades, the government’s health policy was largely rural focussed with health
programmes and activities tailored to rural areas delivered through district health system. The
Government of Nepal (GoN) approved the Urban Health Policy on April 21, 2015. The policy brings
the health and development sector together to unfold, understand, internalise and implement
Urban Health Centre (UHC) for the greater cause of serving the urban population, particularly the
unreached groups. Motivated by the need for urban health services and the Constitution of Nepal,
which enshrines the right to "free basic health services" to all citizens, the National Health Policy and
the Urban Health Policy, the Ministry of Health developed a concept for Urban Health Promotion
Centre (UHPC).
The objective of Urban Health Program is to increase the access and utilization of quality health
services by indicated urban community especially- women, children, poor and marginalized group.
Environmental Health
The Constitution of Nepal has enshrined the fundamental right of every Nepalses Citizen to live in a
healthy environment. This is new a program for environment health under PHCRD that will be
implemented from FY 2074/75. The main objective of this program is to monitor of the adverse
effect to the entironmental degredation on health and to work with different stakeholders to
improve and maintain a healthy environment.
Non-communicable diseases (NCDs) are emerging as the leading cause of death in Nepal due to
changes in social determinants like unhealthy lifestyles, urbanization, demographic and economic
transitions. The deaths due to NCDs (cardiovascular disease, diabetes, cancer and respiratory
disease) have increased from 51% of all deaths in 2010 to 60% in 2014 (WHO Nepal Country profile
2014). They are already killing more people than communicable diseases. Thus, Nepal has adapted
and contextulized the PEN intervention for primary care in low resource setting developed by WHO.
PEN Implementation Plan (2016 – 2020) has been developed inline with the Multisectoral Action
Plan for prevention and control of NCDs (2014-2020). Nepal PEN protocol 1, 2 and concept note was
developed and endorsed in June, 2016 and the program started in two pilot districts (Ilam and
Kailali) on October, 2016. In addition, Nepal PEN protocol 3 and 4 was endorsed and the program
was scaled up in additional 8 districts in FY 2073/74.
Mental Health
Nepal has high burden of mental illness but there are limted interventions to address the epidemic
of mental diseases. PHCRD under DoHs and Curative division under MOH have been assigned as the
focal unit for implementation of mental health program in Nepal. PHCRD will implement mental
health program from FY 2074/75.
5. Other Programs:
Figure 1: Physical and financial progress, FY 2073/74 (Central level Budget Sub Title 370136 )
120
99.18
100
80
58.06
60
40
20
0
Physical Financial
Source: PHCRD
Figure 2: Physical and financial progress, FY 2073/74 {District Level Budget Sub Title 370804 )
96 95.55
95
94
93
92
91 90.43
90
89
88
87
Physical Financial
Source: PHCRD
Result area wise Issues and challenges were analysed and following actions were taken
The infancy stage of forensic or medico-legal field in Nepal is now crawling with great difficulty. This
field has great wish to grow up in normal way to address and to provide help for Nepali people as
there is high degree suffering in society because of improper and inadequate medico-legal service to
needy population. This service sector which is supposed to be developed by state is not only ignored
but also not adequately recognized and remaining as more or less unidentified. As a result of
improper, incomplete and nonscientific application of forensic evidences the justice is suffering
directly and “Rule of law” or “Law and order” are also suffering indirectly. There are more than
enough examples of several year imprisonment for an innocent person and release as reward for a
criminal in court cases related with crime against human body.
Constitution of Nepal 2072 in it’s article 35 guarantees Right to Health for all Nepali citizen and in
articles 20, 21 and 22 Right to justice, Right of victim of crime and Right against Torture also
guaranteed. There are other articles like article 42 Right to social justice, article 44 Right of
consumer which are all related with medico-legal field for their proper implementation in real life
situation. For effective application of above constitutional rights, medico-legal sector in Nepal must
be in properly functional state.
Time has compelled to recognize medico-legal field and it is shown by other way with spontaneous
appearances of more than four dozens of Nepali doctors specialized in the field of forensic. Now it is
high time for Nepal Government to facilitate the environment to utilize those experts in medico-
legal field for providing their specialist service to Nepali people.
Few incidents have coming up with the support and advocacy by MELESON (Medico-legal Society of
Nepal), a registered professional society of practicing Nepali Forensic Medicine specialists in this
country. Some of the positive outcome can be listed as follow:
1. Ministry of Health has created few posts for consultants in this field at four hospitals of the
country.
2. A historical first National Medico-legal Workshop was held on this year at Kathmandu which
was organized by Ministry of Health.
3. Six types of medico-legal examination and reporting formats are prepared and prescribed by
Nepal Government with initiation of Ministry of Law and Justice last year.
4. National Health Training Center from Department of Health requested to MELESON to
prepare six various types of Standard Operating Procedures (SOP), Reference Manuals and
Training Manualsfor standard medico-legal examination and reporting procedures. This task
was completed by MELESON successfully. Now following SOPs are on the process of
authentication by Ministry.
a) SOP and manuals for autopsy work
b) SOP and manuals for injury examination
c) SOP and manuals for sexual offence cases examination
d) SOP and manuals for age estimation
e) SOP and manuals for examination of victims of torture
f) SOP and manuals for forensic identification of skeletal remains
Though there are various problems in health care service delivery system in the country, the forensic
service sector which is in pathetic condition must be addressed to keep minimum standard. There
are suggestions provided from the first National Medico-legal Workshop 2074 for very basic and
minimum care in forensic sector. If those suggestions or recommendations are cared step by step, it
may take no longer to have minimum standard in this service field.
Major Achievements:
6.11.5 Challenges
Ensuring availability of quality data to meet the health sector data needs at local, province and
federal level.
Evidence based decision making at all levels.
Multi-sectoral collaboration to improve integrated information management leveraging ICT at all
levels sustaining the good practices and achievements of the health sector.
Institutionalization and regularization of national health accounting.
1. BACKGROUND
Government of Nepal has promulgated the Drug Act 1978, to prohibit the misuse or abuse of
medicines and allied pharmaceutical materials as well as the false or misleading information relating
to efficacy and use of medicines and to regulate and control the production, marketing, distribution,
export-import, storage and utilization of those medicines which are not safe for the use of the
people, efficacious and of standard quality.
To implement and fulfill the aim of Drug Act 1978 and various regulations under it Government of
Nepal established Department of Drug Administration (DDA) in 1979.
In accordance with the objectives of the National Health Policy 1991, the National Drug Policy 1995
has been formulated and implemented. It focuses on establishing co-ordination among government,
non-government and private organizations involved in the activities related to medicine production,
import, export, storage, supply, sales, distribution, quality assessment, regulatory control, rational
use and information flow. Achieving the aims and objectives of National Drug Policy is another
important area for DDA.
Under the Drug Act 1978, the following regulations and codes have been implemented as supporting
tools for the active enforcement of Drug Act 2035.
1. Regulation on Constitution of Drug Consultative Council and Drug Advisory Committee, (2037
BS).
2. Drug Registration Regulation, (2038 BS).
3. Drug Standard Regulation (2043 BS).
4. Enquiry and Inspection Regulation (2040 BS).
5. Drug Sale and Distribution Code (2071 BS).
6. Codes on Good Manufacturing Practice (2072 BS).
Drug Donation guidelines have been implemented for the quality assurance of donated medicines
and medicine registration guideline 2073 has also been implemented for facilitates efficient medicine
registration process.
2. OBJECTIVES
The main objective of DDA is to regulate all functions relating modern, veterinary and traditional
medicines, like misuse and abuse of medicines and its raw materials, to stop false and misleading
advertisement and make available safe, efficacious and quality medicine to the general public by
controlling the production, marketing, distribution, sale, export-import, storage and use of medicines.
Division of DDA
Registration Division
Import and Export Section:
To register the foreign medicine manufacturing company and products in a scientific
manner for import.
To issue the recommendation letter for import/export of medicines
To renew the recommendation letter for import-export.
Industry Section;
To issue recommendation letter for the establishment of pharmaceutical industry and
issue Product Manufacturing License and renew them.
Check and approve the pharmaceutical manufacturing plant layout.
Evaluate the new products and issue marketing permission for the sale & distribution.
Issue letter of recommendation for the import of raw materials and renew them.
Management Division
Training and Drug Information Section:
Conduct the refresher training to medicine sellers.
Disseminate information about medicines particularly adverse effects, contraindication,
drug Interaction and storage condition and other necessary information regarding medicines.
Planning section
Prepare yearly planning for activities conduct by DDA and regional office.
Coordinate with Ministry, other department and other government and non
government organization for conducting activities and submit the report to MOH.
Collect, prepare and forward monthly, quarterly and yearly report.
Administration section
Management of human resources (recruitment, posting, promotion, transfer etc)
Perform Procurement related activities
Monitoring and evaluation of regional offices activities.
Inspection Division
Inspect drug industries, wholesale and retail pharmacies regularly.
Take legal and administrative action on cases of non-compliance as per the provision of Drug
Act and its Regulations.
Regulate sales and distribution of psychotropic and narcotic drugs.
Co-ordinate Good Manufacturing Practice Audit within and outside the country.
Law section
Prepare necessary medicine related document for registering the case on court against
pharmacy and industry or order issues regulated by DDA
Give legal suggestion to department.
Import/export section
Inspection for the effective implementation of Drug Act 2035 and other regulations under
Drug Act.
Audit section
WHO GMP certification and Recertification related activities.
Branch Offices:
DDA has its branch offices at Biratnagar, Birgunj and Nepalgunj. These offices carry out the
responsibility of inspection as well as Pharmacy registration and renewal
Revenue
Total revenue: 4,07,95,581
Challenges
Regulatory non compliance comes under legal framework and taking legal action to them.
Lacking mechanism (legal and organizational) for regulation of HTP.
Information management, transparency and lacking of dynamic and Responsive Information
system
Illegal import of medicine due to open border and, SSFFCs regulation and control.
Lacking of resources (human, technology)
Regional harmonization and uniformity, MRH and SRA collaboration.
Pharmaco vigilance, post marketing surveillance
Medicine price regulation and transparency
Good governance and accountability
Ethical promotion of medicinal products.
Regulates of nutraceuticals and feed supplement for human and veterinary use.
Ayurveda is an ancient medical system and indigenous to Nepal with deep roots. The
sources of Ayurvedic medicine are medicinal herbs, minerals and animal products. The
system works through simple and therapeutic measures along with promotive, preventive,
curative and rehabilitative health of people. Ayurveda health services are being delivered
through two Ayurveda Hospitals, 14 Zonal Ayurveda Dispensaries, 61 District Ayurveda
Health Centers and 305 Ayurveda dispensaries across the country. The Ayurveda and
Alternative Medicine unit in the Ministry of Health (MoH) is responsible for formulating
policies and guidelines for Ayurveda and other traditional medical system.
Various national and international policies have highlighted the importance of Ayurveda
services in primary health care and for prevention of NCDs. The Constitution of Nepal has
called for the prevention and promotion of traditional Ayurveda medicines along with
naturopathy and homeopathy. The National Health Policy (2014) has called for expansion of
Ayurvedic services as have the National Ayurveda Health Policy (1995) and National Urban
Health policy (2015).
The plan approach paper (2016/17-2018/19) for fourteenth plan of government of Nepal
has guided the government to better preserve, manage and utilize the herbs available in the
country. More specifically, it says : 1) suitable structure will be developed and extended for
effective implementation of Ayurveda system; 2) Ayurvedic production will be increased
along with monitoring malpractices in the the name of Ayurveda and herbs and 3)
Ayurvedic, Homeopathy, Unani and other complementary medical systems will be
preserved, developed and preserved with long-term planning.
M in istr y o f H e alth
Si n gh D ur b ar N ep al N at io n al Na ti on al A y u rb e da a n d
D ep ar tm e B a id h y a k ah an A yu r v ed a A y u rv ed a A yu r ved a al te rn at iv e
n t of B ik a s s am i ti M e di c al R es ea rc h a nd M ed i c in e
A c a d em y
A y ur v ed a C o un c i l tta i ni n g c en tre Sec t io n
R e gi o na l A y u rv ed a H o s p it al
D a ng
Zo n al Ay ur v e da D i sp e ns o ri e s—
14
A y u rve d D is p en s ar i es -
30 5
D i s tri c t A y u r ved a H ea lt h
C en tr es - 6 1
Department of Ayurveda
Planning,
Medicine & Drug,
Monitoring Administrativ Financial
Logistic Research &
& e Section Admin.
Managemen Training
Coordination Section
t Division Division
Division
Altogether 1907 posts have been sanctioned under the Department of Ayurveda. Of which 999 posts
are technical, 101 are administrative and 807 posts are supporting level (office assistance).
Objectives
To expand and develop functional, physical Ayurveda health infrastructure;
To improve quality control mechanism for Ayurveda health services throughout the country;
To develop and manage the required human resources;
To mobilize the adequate resources for medicinal plants;
To promote community participation in the management of the health facility & utilization
of local herbs;
To procure, store and distribute the Ayurveda medicine & other allied materials;
To promote health status & sustainable development of Ayurveda system using locally
available medicinal plants;
To promote positive attitudes towards health care & awareness ooff health issues;
Strategies
Provide preventive, promotive & curative health services in the rural areas;
Establishment & development of Ayurveda institutions;
Strengthen & expand the Ayurveda health services;
Develop skilled manpower required for various health facilities;
Strengthening of monitoring & supervision activities;
Development of information, education & communication center in the Department;
Develop Inter sectoral
sector co-ordination
co-ordination with Education Ministry, Forestry, local development
sector & other
other NGO's & INGO's;
Establishment of regional Ayurveda Hospitals & Ayurveda Dispensaries;
Strengthening & expansion of research & training center of international level;
Major Activities
Central level
Procurement & payment of essential Ayurveda drugs & transportation to districts.
Office building of National Ayurveda Panchakarma and Yoga Center, Budhanilkantha
partially completed.
Master plan, Architectural master plan, Architectural details of individual Blocks of National
Ayurveda Panchakarma and Yoga Center, Budhanilkantha completed.
Free health camps conducted on Shivaratri festival & three districts outside Kathmandu
Annual performance review meeting.
Management and Leadership training for Ayurveda physician
Refresher Training of orientation to the district office chief.
Panchakarma, yoga training to Kaviraj & Vaidhyas.
Management of NCDs
Supervision and monitoring of Ayurveda and alternative medicine clinic.
District level
Construction of twenty nine Ayurveda health facilities buildings ongoing.
Ayurveda medicine, First-aid and surgical equipment supplied to all health facilities.
Repaired existing buildings and compound walls in district and local levels.
Ayurveda medicine preparation were continued at rural Ayurveda Pharmacy and districts.
District Ayurveda Health Center utilizing the locally available medicinal herbs and supplied to
Ayurveda institution in the regions.
Promotive Panchakarma/Rasayana/Yoga programme for older population
Awareness program on medicinal plants
Program for lactating mother (Distribution of Satavari Powder( Galactogogue Medicine).
Conduction of free Ayurveda health camps in 75 districts.
Conduction of traditional healers training (district wise)
Construction, Maintenance & repair of Ayurveda institution
Ayurveda Health Education for School students
Supervision and monitoring of Ayurveda institution
Conduction of rural outreach clinic and Management of NCDs
Analysis of Achievement
Based on the treatment report of different Ayurveda institutions following diseases were classified
as top ten diseases:
Amlapitta (Gastritis)
Udar rog (Abdominal diseases)
Swasan Bikar (Respiratory diseases)
Vata Vyadhi (Osteorthritis, Rheumatoid Arthritis & other neuromuscular Diseases)
Jwar (Pyrexia)
Bal Roga (Pediatric diseases)
Karna, Nasa, Mukha, Danta & Kantha rog (ENT, Oral, Dental diseases)
Stri rog (Gynecological diseases)
Brana (Wound, Abscess & Other Skin Diseases)
Atisar/Grahani (Diarrheal diseases)
Table shows the number of people served at various regions and zones by sex in 2073/74. The
highest number of people were served in western region where as the least number of people were
served in mid western region.
Hospital
S. Particular EDR CDR WDR MWDR FWDR DoA* Total
s
N
OPD service 202864 287101 300174 191123 208233 26814 1216309
1
Senior citizen
6521 8205 12543 7568 5203 235 40275
2 programme
Lactating mother
4119 5264 5157 4163 4229 212 23144
3 programme
Snehan\ Swedan 5238 5184 2764 3218 5261 6421 28086
4
Free Health Camp 6542 12385 7221 7237 6382 1275 1521 42563
5
Rural outreach
18026 11852 25769 15781 86636
6 clinic 15208
Total 243310 329991 353628 229090 244516 34957 1521 1437013
**F ree health camp conducted by DoA
7.2.4 Problems/Constraints
HEALTH COUNCILS
General Information
Nepal Nursing Council , Bansbari.
Phone No. 4372521
Fax No. 4377214
Post Box No. 12541
E-mail info@nnc.org.np, Website: www.nnc.org.np
Established Under Nepal Nursing council Act 2052.
Objectives:
To Register the name of eligible nurses and A.N.M., Midwifery, in the registration book of the
Council according to their qualification to maintain quality nursing & Midwifery education &
Services throughout the country
Nurse 44737
ANM 29140
Total 73877
Foreign nurse 830
Problems: Published
Lack of coordination among the stakeholders related in various ways with the educational
institutions.
a. letter of intent
b. affiliation
c. approval
Some of the educational institutions do not follow the minimum requirement and trying to
neglect rule and regulations.
Key Achievements
In line with National Health Policy 2014, minimum requirement to start midwifery education in
the country was developed.
Common guideline for the midwifery curriculum was developed keeping in view the
international standard.
E-recording started.
Online form submission for the 17th NLEN which is going to be held in Kartik 25, 2074 (Nov 11th
2017)
Challenges …….
No uniformity among the educational institutions in terms of their faculty position, curriculum
others……. Etc
Hospitals do not follow the standard guideline e.g: nurse- patient ratio, inappropriate posting,
low wage, etc.
Quality assurance is utmost important.
Graduates are without minimum exposure to practical during the study from neighboring
countries and these are the ones posted in special unit on volunteer basis.
The Nepal Ayurvedic Medical Council (NAMC) is the autonomous body to regulate & control
Ayurvedic medicine in Nepal. It was establishe under the Ayurveda Medical Council Act, 2045. The
council is the regulatory & legislative body for Ayurvedic courses, human resources, institutions,
practitioners & Traditional healers in Nepal. All Ayurveda practitioner & educational institutions have
to register with the council. The council has developed a code of ethics for Ayurvedic doctors &
minimum requirements for Ayurvedic educational institutions. The main fuctions & objectives of the
council are listed below :
The council's main committee consists of an Ayurvedic doctor nominated by the government as
chairperson, three doctors, the Director General of Department of Ayurveda, three doctors elected
by registered doctors and one campus chief nominated by the government. The council registers
eligible Nepali practitioners. Also, foreigners who want to practice Ayurvedic medicine in Nepal
should be limited registered with the council (for one year at a time). However, it is not possible for
foreigners to register to establish private clinics in Nepal. The number of registered members and
courses are given below :
NHRC carries out research in priority areas of the Ministry of Health. Out of total research
conducted between 1995 and 2017, majority of research were related to health system, non-
communicable diseases, and the environmental health. The table below shows the research
activities of the NHRC by research areas between 1995 and 2017.
Table 1: Total Research Conducted by the NHRC between 1995 and 2017 by Research Area
Research Areas No of Research Percent
Communicable Diseases 45 18.9
Environment Health 44 18.5
Health System 42 17.6
Reproductive Health 31 13
Neonatal and Child Health 18 7.6
Non Communicable Disease 17 7.1
Traditional Medicine 11 4.6
Mental Health 10 4.2
Nutrition and Food Safety 8 3.4
Geriatric Health 6 2.5
Miscellaneous 4 1.7
Injury and Accident 2 0.8
Total 138 100.0
8.2.3 Publication
NHRC published a number of reports during the last fiscal year, apart from the peer reviewed index
journal, Journal of Nepal Health Research Council. The list below summarizes major publications of
the NHRC during the FY 2073/74. (Reports are available online: http://nhrc.gov.np/reports)
1. Karki KB, Maskey J, Giri M, Pandey AR, Makai P, Subedi R, Poudyal A, Aryal KK. Assessment of
Chronic Kidney Disease Support Program of Government of Nepal, 2016. Nepal Health
Research Council, Kathmandu, Nepal, 2017
2. Karki KB, Pandey AR, Pandey A, Dhimal M, Mahat A, Poudyal A, Subedi R, Lohani GR,
Neopane AK, Jha BK, Lacoul M, Dhakal P, Ghimire N, Maharjan KG, Thapa P, Aryal KK. Review
Figure2: Total Number of Research Proposal Received for Ethical Approval (1991 to 2017).
Figure 3: Total Research Budget of NHRC between 2006 to 2017 (NPR in Million)
60.00
GoN EDPs
50.00
40.00
30.00
20.00
10.00
0.00
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
The above figure illustrates the total research budget of NHRC between 2006 to 2017. The
Government of Nepal (GoN) covered the major source of research budget. In addition to this,
External Development Partners are other imperative sources of budget for research in NHRC.
According to article 20 of the Act, “After one year of the commencement of this Act, no
person other than a registered health professional shall be entitled to carry on the health
profession, directly or indirectly”. Therefore all health professionals are requested to register in the
Council and up date it on every five years according to the rule 36 of “Nepal Health Professional
Council” regulation.
Registration process
Each individual or institution shall fill appropriate registration form and submit the application to the
Council along with supporting documents and bank voucher. The Council will forward this
application to the respective subject committte. After evaluation of the application, the subject
committte will forward the application to the Council with its recommendation. The Council meeting
will make a decision and finally award the registration certificate. The NHPC has now started online
application system for registration and also started an entrance exam of the applicant. The Council
will now award the registration certificate only after passing of this exam. Following activities
performed by council at FY 2073/74.
INTRODUCTION
Nepal Pharmacy Council (NPC) is an autonomous body constituted under the Nepal
Pharmacy Counpalcil Act, 2057 to make pharmacy profession more effective through
systematic and scientific operation. The functions, duties and powers of NPC are as follows:
To prepare and implement policy, plans and programs to run pharmacy profession
scientifically and systematically,
To grant recognition to educational institutions and certificates and degrees awarded by
such institutions which provide pharmacy education,
To determine the standards of curricula, conditions for admission and examination
system of the educational institutions providing pharmacy education, and enquire
whether standards so determined are maintained or not and abrogate the certificate
and degree awarded by the educational institutions which do not comply with the
standards so determined after completing the procedures as prescribed,
To determine the qualification as required to carry out the pharmacy profession and
register the name of pharmacists and pharmacy assistants as prescribed in the
Registration Book of the Council who have completed the qualification so determined,
To remove the names of registered pharmacist and pharmacy assistant from the
registration book after the completion of the procedures as prescribed if they are found
to violate or not following the professional codes of conduct as prescribed.
Conducting licensing examination for pharmacists and pharmacy assistants (three times
a year),
Registration of pharmacists and pharmacy assistants qualifying the licensing
examination and issuing the Registration Certificates,
Updating of the registrations certificates every three years,
Accreditation of the pharmacy colleges and universities conferring the pharmacy
degrees,
Granting the permission for starting a new college(s) after the affiliation with the
relevant body,
Monitoring and supervising the pharmacy colleges and universities conferring the
pharmacy degrees,
Recognizing the foreign universities and colleges conferring the pharmacy degrees,
Number of Pharmacists and Pharmacy Assistants (up to the end of F.Y. 2073/074)
a. Pharmacists
b. Pharmacy Assistants
Achievements in 2073/074
Nepal is committed to access to quality health care for all its citizens. Although good progress has been
made on improving access, much remains to be done. Out-of-pocket expenditure still puts vulnerable
households at risk of catastrophic spending and prevents them from using services. Existing social health
protection schemes are fragmented and often fail to provide financial protection against catastrophic
spending and are not always based on medical needs. Thus, there was a need to develop a health care
financing pre-payment system and to pool risks to minimize financial hardships. The National Health
Insurance Program (NHIP) was funded in the government’s budget for 2011/12 (2068/2069). The
government then adopted the National Health Insurance Policy in 2014. Under this policy the
government established the semi-autonomous Social Health (Health Insurance) Security Development
Committee (SHSDC) in 2015 to implement the program to promote pre-payment and risk pooling to
mobilize financial resources for health. The SHSDC is chaired by theMinistry of health Secretary with
membership from the Ministry of Finance, MoH, DoHS and experts.
Objectives:
Ensure access to quality health service (equity and equality).
Protect from financial hardship and reduce out-of pocket payments
Extent to universal health coverage
Strategy:
To implement health insurance program gradually throughout the country by increasing enrolment
through awareness activities at the community level and special protection for poor and marginalized
people by coordinating with government and private health service providers.
The main features of the Social Health (Health Insurance) Security Program are as follows:
It is a voluntary program based on family contributions. Families of up to five members have to
contribute NPR 2,500 per year and NPR 425 per additional member.
It provides subsidized rates for families whose members have a poverty identity card.
The Social Health Security Program was initiated in April 2016 in Kailali district and in June 2016 in
Baglung and Ilam districts. As such, the program was rolled out to three districts in FY 2072/73. In
the FY 2073/74, the program was expanded to additional 12 districts. By the end of this year,
228113 people have been enrolled to the program, which is less than one percent of total the
population of Nepal (Table 2). More than 63 million annual contributions have been collected (Table
3).
DEVELOPMENT PARTNERS
The outcomes discussed in the previous chapters are the results of combined efforts of the Ministry
of Health and its development partners (multilateral, bilateral and international organizations and
national NGOs). The Department of Health Services acknowledges its partnership with these
organizations and their large contributions to Nepal’s health sector. This chapter lists the
programme focus of these organizations and their contact details. Partners have also provided
technical assistance in their areas of expertise.
Development partners support the government health system through a sector-wide approach
(SWAp). The SWAp now supports the implementation of the new Nepal Health Sector Strategy
(NHSS, 2016–2021). The Joint Financing Arrangement (JFA) has been signed by various partners and
the government. The JFA describes in detail the arrangement for partners’ financing of the NHSS.
The JFA elaborates the pool funding arrangement and parallel financing mechanism as bilaterally
agreed between the government and the donor partners. This time the World Bank has allocated all
its commitment through a Program-for-Results, a tool which disburses fund against a verifiable set
of results, called Disbursement Linked Results (DLRs). DFID and GAVI are also disbursing part of their
commitments against some DLRs identified and agreed with the MOH.
The matrix below provides contributions of various partners for supporting the NHSS.
UNICEF Child Health UNICEF priority districts Total Allocated : UNICEF Nepal
Maternal and Newborn Health – 15 Health: US $ UN House, Pulchowk
HIV and AIDS Emergency (earthquake) Not available PO Box 1187
WHO Nepal Health policies and strategic plans, health National Allocation (Award): Dr Jos Vandelaer
systems strengthening, Access to medicines 5.12 m WHO Representative
and other technologies, RMNCAH,NTDs, Expenditure: 4.65 m WHO Country Office for Nepal
Vaccine preventable diseases, NCDs, Health UN House,
339
Development Partners
Health sector budget
Organization Major program focus Geographical coverage Contact details
for FY 2016/2017
and environment, information and evidence, Pulchowk, Lalitpur
Alert and response, emergency risk and crisis Email: vandelaerjo@who.int
management, TB, HIV, Malaria, Mental Phone: + 977-1-552199
health, disabilities and rehabilitation, gender Fax: + 977-1-5527756
equity and human rights, social determinants
of health, epidemic and pandemic prone
diseases
World Bank Results based operation with Nation wide Total allocated Office address:
disbursement linked indicators to be budget of all The World Bank
achieved in the areas of procurement, programs activities: The Yak and Yeti Complex
financial management, health Durbar Marg
management information system and US$ 22 million Kathmandu
the use of data, and citizen engagement.
Tel: 014236000
Fax: 014225112
Email:
infonepal@worldbank.org
Web: http://www.worldbank.org/
http://www.worldbank.org/en/country/n
epal
CHD/DoHS and 1. Targeted Supplementary Feeding 3 districts Estimated Budget Office address:
WFP Programme under EQ PRRO during post- 1. USD 1.2 million Tel: 977-1-5260607,
earthquake Total distributed: 49 Fax: 977-1-5260201
2. Distribution of Fortified Nutritious 4 districts mt Plumpy’Sup
Food in the immediate aftermath of the 2. USD 500,000 E-mail:
devastating flood Total distributed: wfp.kathmandu@wfp.org
United Nations 186.960 mt Super george.mutwiri@wfp.org
World Food 3. Blanket Supplementary Feeding 6 districts
Programme and Targeted Cereal amrit.gurung@wfp.org
Programme 3. USD 4 million
and Ministry of Supplementary Feeding Programme
during the post-flood emergency phase Web:
Health 4 districts:- VDCs: 168 http://go.wfp.org/web/wfpgo
Mother and Child Health Nutrition Estimated Budget:
(MCHN) USD 2,583,612.80
340
Development Partners
Deutsche 1. Social health insurance including Achham, Banke, Total Allocated Budget of Office address:
Gesellschaft für hospitalmanagement Dhading, Dailekh, Kailali, all programs activities:
Internationale Nuwakot, Rasuwa, Support to the Health
Zusammenarbeit 2.Human resources for health Bhaktapur, Total Expenses of all Sector
(GIZ) GmbH programs activities: Programme(S2HSP)
Mentoring and coaching on EmONC and Note:In addition to the Sanepa, Lalitpur, Nepal
facility management focus on the above €3,501,503 T +977 1 5013088
Midwifery education programme mentioned districts, GIZ F +977 1 5013078
supports the Social E s2hsp@giz.org.np
3. Governance in health with focus on federalism Health Security I www.giz.de/nepal
and urban health Development
Committee on the
4. Health information systems nationwide roll outof
social health insurance,
5. Adolescent health and development HMIS for e-Reporting
from health facilities and
MoH in overall
governance aspects in
341
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
the health system with a
focus on federalism and
urban health
USAID District number: 75 Total Allocated Budget of Office address:
districtsthrough all programs activities: USAID/Nepal
1) Maternal Newborn and Child Health different projects US $ 42,150,000 c/0 U.S. Embassy
(SUAAHARA, H4L and Building, Maharajgunj
CNCP) Total Expenses of all
District number : all 75 programs activities: G.P.O Box: 295
districts through US $42,150,000
different projects Tel: 01-4234000
2) Family Planning & Reproductive Health
(GGMS, SIFPO 2,
SUAAHARA, H4L, FACT, Fax: 01-4007285
Redbook)
District number: 16 http://nepal.usaid.gov
3) HIV/AIDS and STI districts (Linkages
project)
District number: 42
districts through
different projects
(SUAAHARA, Safe
4) Water Sanitation and Hygiene program
WASH II, WASH
Recovery Activity,
Health and Hygiene
Activity)
SUAAHARA II 1 Maternal Infant and Young Child Nutrition District number: 9 Total allocated budget of Office address:P.O.
Program (MIYCN): districts all programs activities: Box: 3752, Green Block,
Ward No: 10,
2. Support to strengthen nutrition related indicators District number: HMIS US $1,347,970.00 Chakupat, Lalitpur;
and records, reporting: training 12 districts Total expenses of all
RDQA - 13 districts programs activities: Tel: 5260247; 5260837
3)IMNCI Program Scale Up and Follow up: District number for
IMNCI: 7 districts- US $1,183,210.00 (88%) Email: clandry@hki.org,
4)Planning with VDC level Nutrition and Food District number: - 2 ppandey@hki.org
Security Steering committees districts Web:www.hki.org
342
Development Partners
343
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
CARE Nepal Capacity building of health workers District number: 43 Total allocated Office address:
(SUAAHARA II, trough competency based trainings on Districts budget of all Samata Bhawan Dhobighat,
SAMMAN III, CB-IMNCI, FP, SBA, Nutrition, Infection programs Lalitpur
Emergency Projects, prevention, etc. Taplejung, Panchthar, activities:
ACCESS Project, Sankhuwasava, Tel: +977-01-5522800
Aawasar Project) Social accountability on health service Solukhumbu, US $ 1,992,965.43
delivery through Community Health Bhojpur, Fax: +977-01-5521202
Score Board, and HFOMC Strengthening Dolakha Total expenses of
activities and Community Mobilization; Sindhupalchok all programs Email: carenepal@np.care.org
Strengthening Health Mothers Group. Kavre, Sindhuli, activities:
Rasuwa, Nuwakot, Web: WWW.carenepal.org
Promotion of health seeking behavior Dhading, US $ 1,679,236.60
among women and their families and Rupandehi,
involvement of decision makers at Nawalparasi, Gorkha,
household level (preventive measures, Lamjung, Syangja, The budget of
service utilization, giving up harmful Myagdi, Baglung, SUAAHARA II has
practices). Bardiya, Banke, Dang, already been
Kapilbastu, included in
Construction of 3 prefabricated health Arghakhachi, Palpa, SUAAHARA/HKI
post buildings with full set of Gulmi, Pyuthan, part.
equipment and furnitureand Rolpa, Salyan,
construction of 3 earthquake resilient Rukum, Surkhet,
PHC-ORC buildings with full set of Jajarkot, Dailekh,
equipment and furniture in Gorkha. Mugu, Darchula,
Bajura, Bajang Doti,
Dadeldhura, Baitadi,
344
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Achham,
Kanchanpur, Kailali
FHI 360 Nepal HIV and sexually transmitted 16 districts, 119 local Total allocated Gopal Bhawan, Anamika Galli,
through USAID- infection (STI) prevention bodies (5 budget: Baluwatar, Kathmandu -4, Nepal
funded education, referral and follow-up, metropolitan cities, 8 US$ 3.85 million Tel: +977.1.4437173
LINKAGES Nepal sub-metropolitan Fax: +977.1.4417475
and condom promotion and
cities, 72 Total Expenditure: Email: bhshrestha@fhi360.org
distribution municipalities and 34 US$ 2.65 million
HIV testing and counseling (HTC) rural municipalities) www.fhi360.org/countries/nepal
services
STI examination and treatment
services
Referral to and linkages with anti-
retroviral therapy (ART) services
Care, support and counseling for
adherence and retention
Stigma and discrimination
reduction
Technical support to National
National level
Center for AIDS and STD Control
(NCASC)
Support to Ministry of Health for National level
strengthening Nepal Country
Coordination Mechanism (CCM) for
the Global Fund
345
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Helen Keller 1)Improve nutritional status of pregnant District number: 40 Total allocated Office address:
International (HKI) and lactating women, children under 2 budget for all P.O Box : 3752
years of age, adolescent girls programs activities: Green Block, Ward #10
District number: 6 Chakupat, Patan, Lalitpur Nepal
2) Increase resilience for targeted and most US $10,975,852
vulnerable populations in Nepal. Tel: 5260247, 5260837,
District number; 1 Total expenses of all
3) Study on relationship between maternal programs activities: Email ::ddavis@hki.org
exposure to Mycotoxins on birth outcomes
and stunting District number: 1 US $10,841,375 Web:www.hki.org
International Monitoring prescribing Different districts. Allocated Budget: Office address: 304 Surya Bikram
Network for Rational practices and availability of free MOH/DoHS Gyawali
Use of Drugs drugs at PHC outlets to improve Marg,Baneswor,Kathmandu
( INRUD,Nepal) rational use of medicines/
Standard Treatment Protocol Tel: 4115636
adherence.
Provides technical support to Fax: 4115515
DoHS/MOH to the set activities
since 2009-10. E-mail: kumudkafle@gmail.com
Web:www.inrud-nepal.org.np
World Vision 1) Maternal Child Health and Nutrition District number: 7 Total allocated Office address:
International Nepal Districts budget of all 5th floor, Karmachari Sanchayakosh
2)Water sanitation and Hygiene programs activities: Building, Lagankhel, lalitpur
346
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
US $ 11,55,441 ( Tel: +977 1 554887
only program cost)
Fax: +977 1 5013570
Total expenses of all
programs activities: Email: info_nepal@wvi.org
Web:www.wvi.org/nepal
US $ 11,38,786 (
Only program cost)
The Leprosy Mission Community and Home-Based Care District number: All Total Budget: Office address:
(TLM) Nepal. (CHBC) services Nepal Not available TLM Nepal Country Office
Dholahity, Lalitpur
Tel: +977-1-5572157
Total Expenses :
Not available Email: shovakhark@tlmnepal.org
Web: www.tlmnepal.org
Save the Children 1) Maternal, newborn, child health and 1) National plus 13 Total allocated Save the Children Nepal
family planning districts: Kailali, budget for all Country Office, PO Box 3394
Dang, Dailekh, program activities: Airport Gate, ShambuMarga
Jajarkot, Banke, US$: 11,249,785 Tel: +977-1-4468130
Mahottari, Fax: +977-1-4468132
2) Integrated health, nutrition, Surkhet, Bardia, Total expenses of all Email:
education and livelihood Bajura, Pyuthan, program activities: post.nepal@savethechildren.org
Rupandehi, Siraha, US$: 11,863,509 Web:
Nuwakot https://nepal.savethechildren.net
3) Humanitarian health, nutrition water 2) 11 districts:
supply and sanitation support Pyuthan, Rolpa,
Kapibastu, Saptari,
4) HIV AIDS, Tuberculosis and Malaria Dhanusha,
through GFATM Udayapur,
Makawanpur,
Sindhuli,
Ramechhap,
Okhaldhunga,
Khotang
3) 5 districts:
347
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Gorkhat,
Nuwakot, Rasuwa,
Sindhupalchowk,
Dolakha
4) 75 districts
United Mission to 1) Community Health Project: Major focus District number: 10 Total allocated Office address:
Nepal (UMN) on Maternal Health, Family Planning, Child district budget of all PO Box: 126
Nutrition, Health System strengthening, HIV (Morang, Sunsari, programs activities: Thapathali, Kathmandu
and AIDS and WASH. Dhading, Nawalparasi,
Rupandehi, Kapilvastu, US $580,171 Tel: 4228118, 4268900
Rukum, Mugu, Doti and
Bajhang) Total expenses of all
2) Community based Mental Health programs activities: Fax: 4225559
Project: Major focus on capacity building,
integration of basic mental health into US $533,239 Email: communications@umn.org.np
primary health care system, psycho-social District number: 5
support and group counseling to the self- districts Web: umn.org.np
help group of mental ill patients, drug (Dhading, Rupandehi,
support, community mobilization and Rukum, Doti and
stigma reduction activities. Bajhang)
348
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
JSI Research & Training 1) Chlorhexidine Navi Care Program District number: 75 Total allocated Office address:
Institute, Inc. budget of all Baluwatar, Pabitra Bhakta Marg,
programs activities: Kathmandu, Nepal
349
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
based integrated management of newborn
and childhood illness, Childhood disability District number: 11
services, emergency medical & surgical (Morang, Sunsari,
treatment to sponsored children and their Sindhuli, Rautahat,
siblings) Makawanpur, Myagdi,
Baglung, Parbat,
Banke, Bardiya, Jumla)
Population Services 1) Women’s Health Project District number: 40 Total allocated Office address:
International/ Nepal budget of all
programs activities: Krishna Galli, Pulchowk, Patan,
Lalitpur, Nepal
US $ 2,854,297
Tel: 977-1-5553190, 550620
Total expenses of all
programs activities: Email:
ganeshthapa@psi.org.np@psi.org.
US $ 2,322,831 np
Web: www.psi.org
Water Aid Nepal Integration of Hygiene Promotion Districts Total allocated Office address:
through Routine Immunization Bardiya, budget of all
Program Jajarkot programs activities: WaterAid Nepal
Myagdi JM Road 10, Pabitra Tole, Nakhipot-
Nawalparasi NPR 26,927,357.04 (IN 14, Lalitpur, Nepal
GBP 196956.90)
& Tel: 01-5230210/864/365
Advocacy program on WASH in Total expenses of all
Health care facilities National advocacy programs activities:
Fax: NA
NPR 26,927,357.04 (IN
GBP 196956.90) Email:wateraidnepal@wateraid.or
g
Web:www.wateraid.org/np
350
Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
FAIRMED Total allocated Office address:
FOUNDATION NEPAL District number: 2 budget of all FAIRMED Nepal, Kalika Marg, Sanepa
1)Maternal New Born Health programs activities: 2
District number: 1 Lalitpur, P O Box 10047
2)Post disaster, (resumption of basic health US $6.16 m
care), Tel: 5012670
District number: 2
Total expenses of all
3 Disability inclusion related activities programs activities: Email:nepal@fairmed.ch
District number:2
4)Health system strengthening, and US $5.18m Web:www.fairmed.ch.
behavior change at community level
352
Development Partners
Budget for health sector for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
(HMSP)) programs activities:
District number:All Nepal Email:nsi@nsi.edu.np
3) Advocacy US $ 2,447,616.24
District number:15 Web:www.nsi.edu.np
4) Monitoring & Evaluation Districts
Sunaulo Parivar 1)Sexual Reproductive Health District number 32 Total allocated budget of Office address:
Nepal, an Districts 36 Center all programs activities:
implementing 2 Family Planning ( Static and Outreach GPO- 11254 Baluwatar, Kathamndu
partner of Marie Clinic) 2.8 million USD
Stopes
Tel: 4419371
International
3) Training on RH District number 3 Training Total expenses of all
Center\ programs activities: Fax: 4420416
4) Health System Strengthening District number : 11
Districts NRS. 2.7 million USD Email:
kp.upadhyay@mariestopes.org.np
Web:www.mariestopes.org.np
Sushma Koirala 1) Plastic and reconstructive Surgery, Hand District number: 45 Total allocated budget of Office address:
Memorial and micro surgery all programs activities: Shankharapur Municipality-6,
Hospital for US $. 709160.00 Sankhu, Kathmandu
Plastic and 2) Surgical and checkup camps in rural Tel: 01-4450826
areas Total expenses of all Fax: 01-4450725
Reconstructive
programs activities: Email: SKH@wlink.com.np
Surgeries. 3) Dental treatment and Physiotherapy US $. 623452.70 Web: www.nepalhospital.de
Nepal CRS 1. Social marketing of Family Planning, CRS’s products are Total Budget: Office address:
Company reproductive health and maternal and available in all 75 districts. Not available Mahadevtar, Tokha Road,
child health commodities. Kathmandu. P.O Box 842
2. Funded by USAID and KfW. Presently Total Expenses:
Not available Phone: 4362097
implementing the USAID funded GGMS
Email: mis@crs.org.np
Project.
3. CRS’ contraceptive product range Website: www.crs.org.np
includes condoms, OCPs, ICs, IUDs,
implants and ECs, clean delivery kits, STI
treatment kits, chlorine water treatment
353
Development Partners
Budget for health sector for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
solution and ORS.
Family Planning 1) Promote SRH rights District number: 37 Total Budget: Office address:
Association of 2) Comprehensive Sexuality Education/Gender Not available Family Planning Association of Nepal
Nepal (FPAN) Equality and Empowerment District number: 37 Central Office, Pulchowk, Lalitpur
3) Increase access to SRH information, education Total Expenses: P. O. Box 486, Kathmandu, Nepal
and services to marginalized / under served District number: 37
Not available
group and quality integrated sexual and Tel: 977-1-5010240, 977-1-5010104
reproductive health service District number: 37 Fax: 977-1-5010248
4) Knowledge Management, Enhance Email:fpandg@fpan.org.np
organizational performance efficiency, Web:http://fpan.org
effectiveness, accountability and volunteerism
Nepal Red Cross Emergency health response and 3 districts (KTM valley) Total Budget: Nepal Red Cross Society,
Society (NRCS) preparedness 15 districts Not available Health Service Departmetn
Emergency preparedness and response 14 districts Red Cross Marga. Kalimati, Kathmandu
Earthquake response operation 6 districts Total Expenses:
Our Concern Our Participations 65 districts Tel: 4270650, 4272761, 4279425
Not available
Ambulance Services 13 districts Fax: 014271915
Eye Care services 72 services E-mail:
Blood transfusion services 4 services nrcs@nrcs.org
First aid services and road safety 75 services Web:
General first aid services http://www.nrcs.org
www.nrcscehp.org
PHASE Nepal 1) Maternal Health District number: 6 Total allocated budget of Office address:
all health program Dadhikot-9, Bhaktapur
2) Child Health activities:
NRs. 38,566,507 Tel: 01-6634089
3) Family Planning
Total expenses of all Fax: 01-6634038
4) Health Awareness Raising Activities programs activities:
NRs. 3,57,09,729 Email: info@phasenepal.org
Web: www.phasenepal.org
354
Annex 1: Major Activities Carried out in FY 2073/74
ANNEX 1 Major activities carried out in FY 2073/74
Child Health: Immunization
SN Activities Unit Targets Achieve. %
1 Post Introduction Evaluation Survey after completion of six No. of 1 1 100
months of introduction of JE in Routine immunization times
2 District level interaction and training program on No. of 1 1 100
strengthening of Immunization program to increase the times
accessiblity and utilization of Immunization services
3 Evaluation of electronic registration of Immunization No. of 1 1 100
services in those districts in which the electronic registration times
has started and scale up in 4 districts of eastern and mid
western region
4 Financial analysis of entire investment on Immunization No. of 1 1 100
services (10 districts) times
5 GIS training to increase accessibility of Immunization (EPI No. of 1 1 100
Supervisor Officer, Statistics Officer/Assistant of 10 districts times
and 5 RHDs)
6 Immunization training programme (1 batch: new health No. of 1 1 100
workers of National/Regional Training Centre, RHD, RMS and times
DHO )
7 Immunization training programme for health workers No. of 1 1 100
working in Private and Non-Government Health Institutions times
and Urban Health Clinics (4 batch: 100 persons)
8 Media interaction of National Immunization Programme-3 No. of 1 1 100
times times
9 One day Advocacy Workshop for raising Immunization Fund- No. of 1 1 100
5 regions (private sector, industrial sector, corporate times
company, bank, other financial and cooperative company,
Rotary, Lions, Red Cross and other related institutions)
10 Two days National level workshop of EPI Supervisors on No. of 1 1 100
Immunization Act, Immunization rules, financial times
management and update of knowledge and skills on
Immunization
11 Polio campaign program on high risk Polio districts (2 steps) No. of 1 1 100
times
12 Post Introduction Evaluation and Immunization Coverage No. of 2 2 100
Survey of HPV vaccine demonstration program (Kaski and times
Chitwan district)
6 NaynoJhola Number - - -
7 UP Surgery Number 3500 2000 57.00
8 Fistula/UP Screening Place 250 120 48.00
9 Clinical update for Nursing Staffs District 75 75 100.00
10 Free Treatment for Neonate Number 30000 7500 25.00
11 MPDSR Program Implementation District 5 5 100.00
Tuberculosis:
SN Activities Unit Targets Achieve %
1 Procurement of digital x-ray machine pieces 1 1 100
2 PME workshop of NTP at national level times 3 3 100
3 Basic DR modular training for health workers times 13 13 100
4 LQAS training to lab staff times 10 10 100
Orientation to the health workers of newly established 16 100
5 gene-xpert centers times 16
6 Basic lab modular training times 12 8 66
7 Trimester PME workshop at regional level times 15 15 100
360 DoHS, Annual Report 2073/74 (2016/17)
Annex 1: Major Activities Carried out in FY 2073/74
SN Activities Unit Targets Achieve %
8 Clinical management training to medical doctors times 3 3 100
9 Procurement of cartridge for gene-xpert machine pieces 12000 0 0
10 Procumbent of first line TB drugs times 1 1 100
11 Construction of Chest Hospital percent 20 5 25
12 Procurement of LED fluroscence microscope pieces 15 0 0
13 Procurement of binocular microscopes pieces 20 20 100
14 Establishment of MIGIT culter in eastern region times 1 0 0
15 Procurement of four module gene-xpert machine pieces 10 10 100
16 Upgrade 2 module xpert machines into four modules pieces 10 10 100
17 procurement of van for active TB case finding pieces 2 0 0
18 procure equipments for infection control for DR centers pieces 10 10 100
19 Procurement of weighing machine pieces 2000 2000 100
Basic clinical management training in TB to medical 6 100
20 officers times 6
21 Training for E-TB Master Register to DTLO/Statician times 5 5 100
22 Procure of laptop pieces 20 20 100
23 Onsite data verification program (OSDV). times 15 5 33
24 Conditional grant to Kalimati Chest hospital times 3 3 100
25 Microbiologist Contact persons 4 2 50
26 Procurement of motor cycle for districts pieces 1 1 100
Basic modular training for newly recruited health 79 100
27 workers persons 79
28 Commemorate World TB Day in districts times 75 75 100
Microscopic camp in mountainous, hill and terai 130 108
29 districts times 120
Microscopic camp in jail, school,and in other vulnerable 180 110
30 population times 160
31 Nutritional allowances for retreatment TB patients persons 2800 2400 86
33 Trimester PME workshop at DOTS center level times 225 225 100
34 Expansion of community based DOTS at districts districts 10 10 100
Conduct interaction program with pharmacist/private
35 practioners on PPM times 56
Basic TB Modular Training to health worker working at 25 100
36 DOTS Center times 25
37 Establishment of 24 hour TB Treatment center centers 7 7 100
Source: NTC
Leprosy
SN Activity Unit Target Achieve %
1. Purchase & distribution of supportive device for
Times 2 2 100%
Disable leprosy affected people
2. Support to the referral centre to provide special
Times 3 - 0%
treatment to leprosy affected people
3. Transportation cost for those patients who have
complication and admitted at referral centre or Times 1950 1400 66%
hospital
4. Coordination with stakeholders related to leprosy and
Times 3 3 100%
disability
5. Reconstructive surgery Times 1 - 0%
6. Technical monitoring and case validation Times 15 15 100%
Health Training
SN Activities Unit Target Achievement %
1 Supervisor upgrading training Person 125 125 100.0
2 Sr.AHW training Person 330 328 99.39
3 Sr. ANM Person 120 119 99.17
4 AHW Person 80 78 97.5
5 ANM Person 80 74 92.5
6 AHW-P Person 100 93 93.0
7 ANM-P Person 100 92 92.0
8 Pediatric nursing training Person 50 50 100.0
9 Mental disease management training District 4 4 100.0
10 Basic IUCD training (Nursing staffs) Person 52 52 100.0
11 Palliative care training (Doctors and staff nurse) Person 18 18 100.0
12 Induction training for health officers (open Person 259 259 100.0
competition)
13 Medico-legal training (Doctors) Person 50 45 90.0
14 X-ray users maintenance training Person 10 10 100.0
15 CTS training Person 24 31 77.42
16 AA training (HA, staff nurse) Person 5 5 100.0
17 TOT on high altitude Person 35 35 100.0
18 Vasectomy training (MO, groupwise) 12+5 days Person 50 50 100.0
19 Minilap training (MO/staff nurse) 12+5 days Person 48 48 100.0
1 Production and airing of reproductive and child times 256 256 100
health related messages through NTV
2 Publishing of HEICC program implementation Nos 100 100 100
guidelines
3 Publication of health related messages and notices Nos 64 36 56.25
through different newspaper
4 Publication of Flip wall chart (calendar ) Nos 75,003 75,003 100
5 Development, Printing and communication times 700,000 700,000 100
program on FP, SM and Neonatal Health
6 Development, Printing and distribution of Mount times 3954 3954 1000
board on FP, SM and Neonatal Health
7 Distribution of IEC/BCC materials through Regional Nos 3 3 100
Medical Store
8 Production and Airing of danger signs of pregnancy Nos 1,080 1,080 100
through FM radios on different languages
9 Production, printing and distribution of pamphlets Nos 56,004 56,000 99.99
on danger signs of pregnancy
10 Production, printing and distribution of colorful Nos 56,004 56,004 100
pamphlets on delay marriage
11 Production, printing and distribution of Nos 6,004 6,004 100
adolescents friendly colorful posters
12 Production and Airing of delay marriage through Nos 1,081 1,081 100
FM radios on different languages
13 Airing and broadcasting of Jeevan chakra through times 7,472 7,472 100
Radio Nepal and NTV respectively
14 Online dissemination of health messages times 100 100 100
15 Broadcasting of Public health Debate through NTV times 20 20 100
16 Communication program for occupational health times 3 3 100
17 Communication program and daily monitoring of times 3,000 3,000 100
newspaper about epidemic disease control and
prevention
18 Communication program for NCD times 200,516 200,516 100
19 Public health radio program through Radio Nepal times 52 52 100
20 Communication program for health promotion and times 200,000 169,900 84.95
Tobacco control activities
21 Communication program for Epidemic diseases times 1,900 1,900 100
22 Golden 1000 days communication campaign times 23,674 23,618 99.76
program
23 Talk show program about FP day celebration times 2 2 100
through TV
24 8 sets booklet production and printing of Nos 5,000 5000 100
Adolescents and reproductive health related
materials
25 Communication program on TB, HIV and Leprosy times 102,028 102,028 100
control program
26 Establishment and implementation of Health news times 2 2 100
desks
27 Production of CDs on different communication Nos 1 1 100
programs
28 Update NHEICC website and Social media account Nos 1 1 100
open for dissemination of messages
Logistics Management:
SN Activities Unit Target Achieve %
1. Construction of New Warehouse in Teku and Pathalaiya Building 2 2 100
2. Procurement and payment of Biomedical, Cold Chain, Times 3 3 100
Machinery Equipment
3. Procurement of Biomedical and Cold Chain Spare Parts Times 3 3 100
4. Procurement of Hospital Equipments Number 200 200 100
5. Procurement and Distribution of Pick-Up Number 16 16 100
6. Procurement and Distribution of Ambulance Number 15 15 100
7. Procurement and Distribution of Motorcycle/Scoter Number 45 45 100
8. Procurement and Distribution of Vehicle Number 7 7 100
9. Training on Online Inventory Management System Number 50 50 100
10. Training on Procurement and Supply Chain Number 150 150 100
Management
11. Preparation of Tender Documents, Bidding Times 70 70 100
Publications, Third Party Insurance etc
12. Quality Control of Drugs and Equipments Times 60 60 100
13. Maintenance of Biomedical, Cold Chain Equipments, Number 105 105 100
Machinery and Vehicles
14. Printing of LMIS Forms and Stock Book Times 1 1 100
15. Website updates, repair and maintenance of LMIS Times 1 1 100
16. Fuel for Vaccine protection to Generator operations Places 7 7 100
17. Workshop/Meeting on Pipeline, Forecasting and Times 5 5 100
Quantification
18. Routine Data Quality Assessment Times 1 1 100
19. Repacking and transportation of Essential Drugs, Times 450 450 100
Vaccines, Equipments
20. Integrated Supervision, Monitoring and Evaluation Times 50 50 100
21. Contract staffs for operation of LMIS (District Program) Number 80 80 100
22. Repacking and transportation of Essential Drugs, Number 225 225 100
Vaccines, Equipment (District Program)
Source: LMD
Source: PHCRD
Management
SN Activities Unit Targets Achieve %
1 Hospital strengthening program Times 82 82 100
2 Printing of HMIS R/R & monitoring tools Times 1 1 100
3 Upgrading of HMIS Software Times 1 1 100
Training/Follow-on health care waste management
4 Times 12 12 100
programme
5 Revision/update and printing of program guidelines Times 1 1 100
6 Data Management Training Times 2 2 100
7 National annual review workshop Times 1 1 100
8 Services for impoverished citizens through listed Hospital Times 3 3 100
9 Integrated supervision Times 150 150 100
Preparation and Printing of DoHS Annual Report FY
10 Times 1 1 100
2072/73
11 Oral health basic training for health workers Times 1 1 100
Source: MD/DoHS
Tuberculosis
SN Activities Targets
1 Human resource for NTC culture/dst lab person
2 Hire a lab technician and a lab boy for regional QC centers person
3 PME workshop of NTP at national level times
basic DR modular training for helath workes of new and existing DR centers/sub
4 batch
centers
Provide suppport to hospitals, medical colleges, PHCS to establish DR centers and sub
5 place
centers
7 LQAS training to lab staff batch
8 Basic lab modular training batch
9 Trimester PME workshop at regional level time
10 Clinical management training to medical doctors batch
11 Training of c/dst ISO safety measures batch
12 scholarship for higher medical education such as MD in chest etc person
13 Procurement of digital x-ray machine piece
14 Procurement of N95 Mask and other personal protecting accessories piece
15 Procurement of cartridge for gene-xpert machine piece
16 Procurement of consumebals and reagents for sputum microscopy Times
17 Procument of first line TB drugs times
18 TB drug transportation from national level to regional medical stores. times
19 procurement of second line drug times
20 Supervision from center to regions/districts times
Leprosy
SN Activities Unit Target
1. Physiotherapy Lab Establishment Places 2
2. Procurement of Vehicle Times 1
3. Laptop and desktop computer purchase Quantity 1
4. Strengthen of data management, web based system Times 3
5. Training on Diagnosis of Autism, Down Syndrome and Cerebral Palsy for
Times 11
Physiotherapist and medical doctors
6. Cooperation with Ayurveda & other medical system for leprosy control
Times 5
programme
7. Conduct reconstructive surgery camp in coordination with supporting partners in
Times 7
the centre and province level
8. Coordination meeing of Steering, Technical and coordination committees with
Times 3
leprosy and disability related partners
9. Operational research Times 2
10. Transportation for the distribution/management of MDT Times 3
11. Celebration of World Leprosy Day Times 1
12. Surveillance for leprosy and disability prevention Times 2
13. Orientation on leprosy for parliamentarians and health workers Times 5
14. Trimester review meeting Times 3
15. Printing of annual report, programme implementation guideline and bulletins Times 1
16. Support to the students of public health and doctors for the conduction of study
Times 14
related to leprosy affected and disability
17. Preparation of guideline on leprosy and complication management Times 3
18. Early diagnosis and assessment service for Autism, Down Syndrome and Cerebral
Places 8
Palsy
Health Training
SN Activities Unit Target
1 Continuation on Supervisor upgrading training Person NA
2 Continuation on Sr.AHW training Person ,,
3 Continuation on Sr. ANM Person ,,
4 Continuation on AHW Person ,,
5 Continuation on ANM Person ,,,
6 Continuation on AHW-P Person ,,
7 Continuation on ANM-P Person ,,
8 Pediatric nursing training Person ,,
10 Basic IUCD training (Nursing staffs) Person ,,
11 Palliative care training (Doctors and staff nurse) Person ,,
12 Induction training for newly recruited health officers Person ,,
13 Medico-legal training (Doctors) Person ,,
14 X-ray users maintenance training Person ,,
15 CTS training Person ,,
16 AA training (HA, staff nurse) Person ,,
18 Vasectomy training (MO, groupwise) 12+5 days Person ,,
19 Minilap training (MO/staff nurse) 12+5 days Person ,,
20 Implant training (Nursing staff/ paramedics) Person ,,
21 Comprehensive family planning and counseling training (FP service Person ,,
providers)
Management
SN Activities Unit Targets
1 Computer Assistant on contract service District 60
Health care waste management, onsite coaching and preparation of job Times 2
2
description health workers
3 HMIS Training to newly recruited HWs -75 Districts District 75
4 Hospital Equipment maintenance program expansion in 5 regions Region 5
5 Web site hosting, upgrade and firewall in DoHS Times 1
6 AI Training Times 2
7 HMIS Training Manual Update Times 1
8 Revision/update and printing of program guidelines Times 1
9 National annual review workshop Times 1
10 Printing of HMIS , R/R Tools, Monitoring Sheet Times 1
11 HMIS Training for Central and Private Hospitals Staff Times 1
12 Oral health basic training for health workers Times 24
13 Oral health school programme Times 4
14 Services for impoverished citizens in community level Times 8
15 Software update and purchase of health information piece 5
16 Printing of DoHS Annual Report 2073/74 Times 1
17 National annual review workshop Times 1
18 Integrated supervision Times 300
Source: MD,DoHS
BCG
2nd Dose 2nd Dose 2nd Dose Dose Dose Schedule
Dose Dose Dose Dose Dose Dose s
Nepal 91.3 90.7 88.5 86.5 90.1 88.2 85.9 88.2 85.6 77.7 16.2 84 57 67.2 73.1
Province 1 92.3 90.2 87.4 87.1 89.9 87.2 86.3 88.9 86.3 81.5 28.2 83.5 60.6 72.6 79.8
01 TAPLEJUNG 96.4 93 94 91.6 92.6 93.1 91.4 90 89.6 76.5 35.7 88.6 62.4 67.3 65.1
02 PANCHTHAR 88.8 93.6 91.4 91.1 92 89.6 89.7 91.1 90.8 86.9 39.2 90 69.2 73.8 83.5
03 ILAM 76.7 76.1 73.5 74.9 76.1 72.5 74.2 74.6 73.2 67.9 23.5 70.3 52.9 63.7 69.8
04 JHAPA 96 93.3 89.7 90.9 93 89.5 90.6 92.5 89.2 87.4 34.8 87.7 66.6 79.2 79.6
05 MORANG 99.5 92.7 88.9 90.6 91.6 89 87.9 91.9 88.1 84.4 19 84.8 58.2 74.6 67
06 SUNSARI 99.5 92.1 87.4 86 92.1 87.4 86 90.8 86.8 79.9 19.5 81.1 54.2 68 74.1
07 DHANKUTA 72.8 78 77.8 78.3 78.1 77.7 79.5 77.6 76.6 73.8 71.4 76.1 55.4 69 78.9
08 TERHATHUM 77.8 84.4 84.5 78.6 85.9 83.3 77.7 83 83.2 75.2 24.4 82 58.1 75 79.6
09 SANKHUWASABHA 90.6 96.1 94.9 90.9 96.1 95 91.6 93.5 92.2 79.3 44.5 85.6 63.2 70.8 76.8
10 BHOJPUR 80.1 87.2 86.6 82.6 86.8 86.6 82.9 86.4 86.4 80.4 13 83.9 63.5 71.5 79.1
11 SOLUKHUMBU 74.4 80.4 81.4 77.3 80.5 81.3 77.5 73.8 70 69.6 59.6 81.1 54.2 55.8 73.7
12 OKHALDHUNGA 86.6 81.8 82.2 80.6 81.9 82.5 81 80.5 82.3 78.2 25.2 78.4 68.4 61.2 75
13 KHOTANG 86.1 92.8 92.1 87.8 92.9 92.1 87.8 92.7 91.4 82 22.8 89.9 70.1 81.5 92.3
14 UDAYAPUR 89.2 91 88 88.1 91.1 88 87.3 89.2 86.4 84.3 29.6 83.3 64.2 78.1 142.6
Province 2 103.2 110.7 104.2 98.7 109.1 104.3 98.1 103.7 94.3 72.3 9.2 91.2 49 64.6 65.6
15 SAPTARI 86.7 94 91.5 88.3 93.7 90.8 87.6 91.1 87.6 81.5 16.4 86.6 48 70.4 77.9
16 SIRAHA 115.1 115.3 109.2 106 114.7 109.8 103.8 110.2 104 83.9 14.9 95.7 45.1 71.8 93
17 DHANUSA 113.1 130.7 125.9 115.4 129 124.8 114.1 137.3 118.3 86.2 3.8 101.5 32.5 70.4 58.9
18 MAHOTTARI 105.1 125.3 106.9 100.7 121.7 110.2 100 107 94.2 60.6 11.4 93.1 31.4 64.4 78.8
19 SARLAHI 96.7 102.2 93 88.9 100.5 91.3 87.2 87.8 78.4 56 7 79.1 107.2 57.8 29.8
32 RAUTAHAT 108 110.9 105.5 98 109.3 107.4 99.7 99.6 87.8 64.3 4.4 90 27.5 55.1 47.9
33 BARA 96.7 102.9 100.6 97.9 101.5 99.5 98.3 97.8 91.1 67 8.8 93.9 47.6 63.9 89
34 PARSA 103.6 102.2 99.7 93.3 100.9 99.5 92.7 96.9 93 81.5 8.7 90.6 44.9 65.1 56.5
Province 3 84.8 76.7 76.6 76 76.4 76 75.1 75.3 75.9 72.5 17.7 76 49.4 58.9 62.1
20 SINDHULI 87 87 85.8 79.3 86.6 84.9 78.6 82.3 81.2 71.4 8.4 78 51.3 63.7 88.9
21 RAMECHHAP 57.4 60.7 62.1 61.3 60.4 61.2 60.8 60.6 62 53.3 29.3 60.9 47 49.3 66.4
22 DOLAKHA 62.2 72.9 71.4 70.9 73.3 71.8 71.1 69.6 67.6 62.7 27.7 72 55 56.4 67.5
23 SINDHUPALCHOK 59.4 76.3 76.7 75.1 74.7 74.8 72.3 75.5 76.5 71.6 23.5 74.4 51.7 33.1 74.9
24 KAVRE 93.3 85.5 81.2 80.7 85.5 81.3 79.8 83.2 81 73.2 27.6 75.7 57.7 65.9 67.2
25 LALITPUR 108.4 71.1 66.7 68.9 68.1 64.6 62.2 64.1 73.1 64.2 17.4 70.3 34 60.3 39.9
26 BHAKTAPUR 43.9 72.8 80.6 81.1 73.2 81 81.4 71.9 79.4 83.2 34.4 83.7 58 66 42.8
27 KATHMANDU 95.5 68.6 69.2 70.5 68.6 69.2 70.5 68.6 68.4 69.6 17.7 72.3 40.4 52.8 50.6
28 NUWAKOT 71.5 85.7 91.6 83.8 84.6 81.3 82.1 86.5 84.7 75.7 25.1 84.3 58.5 59.2 93.8
29 RASUWA 82.9 99 99.5 101.2 99.1 99 101.6 97.1 97.5 91.2 20.6 97.4 73.7 81.9 96.2
30 DHADING 62.3 81.3 79.2 77.4 81.3 79.1 77.3 79.9 77.9 72.7 12.9 77.8 59.2 68.1 77.9
31 MAKWANPUR 85.3 94.4 93.1 89.7 93.7 92.4 89.3 93.4 93 87.6 5.5 89.1 65.1 71.9 76.7
35 CHITAWAN 94.7 82.6 82.1 81.8 83.9 84.6 81.9 82.1 81.3 78.7 5.8 78.4 56.8 66.7 62.7
Province 4 75.1 77.7 77.1 76.4 77.3 77 76.3 77 77.3 74.6 20.1 75.3 64.5 70.9 69.2
36 GORKHA 69.8 77.3 78.2 80.2 77.3 78.1 80.2 76.8 77.1 78.5 25 79.8 68.8 79.6 76.8
37 LAMJUNG 71.3 76.3 77.3 75.9 74.4 75.9 75.9 74.8 76 71.7 22.5 73.8 58.2 67.8 67.9
38 TANAHU 63.5 72.8 72.6 70 72.8 72.6 70 72.5 75 70.1 15.8 68.7 58.1 65.6 64.9
39 SYANGJA 66.3 82.3 81.2 80.2 82.2 81.2 80.3 81.6 80.7 73.3 40.4 75.1 64.7 69.1 77.1
40 KASKI 93.5 71.7 71.9 71 71.4 71.8 70.7 71.4 72.1 70.5 9.2 71.2 63.2 63.2 40.8
41 MANANG 27.7 44.6 50.9 46.4 42 50.9 46.4 42.9 49.1 45.5 24.1 50 18.1 27.5 44.6
42 MUSTANG 47.2 68.5 70.2 71 69 71.8 70.2 62.5 67.3 60.1 37.1 69.4 54.3 64.7 75
43 MYAGDI 80.4 84.7 81.5 81.5 84.7 81.5 81.5 83.7 81.5 79.7 17 81.9 66.7 89.7 77.6
44 PARBAT 59.5 75.7 75.4 75.9 75.2 74.6 75.1 75.1 75.9 70.9 21.5 71.2 69 74.4 64.2
45 BAGLUNG 77 81.7 78.8 78.9 81.6 78.6 78.3 81.5 79.5 77.8 32.7 78.3 69.3 78.3 95.8
48.1 NAWALPUR 76.9 85.1 84.2 82.8 84.3 84.3 82.9 83.5 84.3 83.7 8 84 67.2 72.7 82.9
Province 5 92.4 90.7 89.3 87.3 90.4 88.9 86.9 90.1 89 84.7 8.5 86.1 67.3 72.4 72.9
46 GULMI 79.4 84.7 85.7 84.2 84.8 85.4 84.4 83.9 85.5 83 7.3 82.4 71.7 76 23.2
47 PALPA 80.1 80.6 79.7 77.5 80.6 79.7 77.5 80.6 79.8 77.1 39.7 77.3 77.8 74.9 81.3
48 NAWALPARASI 77.1 83.9 83.3 82.1 84.7 83.2 82 84 83.1 78.2 3.4 78.2 61 67.5 76.7
49 RUPANDEHI 103.4 90.5 90.7 87.8 90.7 90.7 87.7 90.7 90.5 89 11.9 89.3 67.3 72.5 69.2
50 KAPILBASTU 96.9 102.9 97.9 94.6 102.9 97.8 94.3 101.8 97 83.9 5.6 86.2 54.4 66.7 71.7
51 ARGHAKHANCHI 68.1 83.6 83.8 79.5 83.7 83.2 79.7 83.2 83.1 77.4 19.7 77.8 66.4 73.7 61.4
52 PYUTHAN 97.5 97.6 96.5 94.6 95.4 96.1 92.3 96.7 95.2 91.1 2.8 97.6 86 95.8 98.2
53 ROLPA 99.1 99.3 99.6 96.7 96.5 97.4 96 95.7 96.6 89.3 7.3 95.3 72.3 79 87.3
54 RUKUM 115.8 103.7 98.9 96.8 103.9 99.2 96.2 97.5 104.4 87.6 3 93.3 62.9 61.8 63.3
56 DANG 88.3 88.1 85.8 86.7 88.4 85.5 86.2 87.6 85.8 85.6 7.5 86.7 68.4 73.2 72.7
57 BANKE 109.9 99.1 95.4 93.5 99.1 95.4 93.5 99 95.4 91.9 0 92 66 74.7 86.9
58 BARDIYA 78.4 76.9 77.8 75.7 74.8 75.6 73.8 77 77.8 75.3 2.1 76.6 70.7 62.8 74.2
Province 6 101.4 101.5 99.9 96.6 100.5 99.8 96.1 96.2 94.1 85.7 6.4 95.8 56.2 63.9 105.3
54.1 RUKUM WEST 103.7 99.9 93.4 90.8 101.5 96.3 93.3 98.9 97.4 82.3 4.5 90.3 59.5 56.5 78.7
55 SALYAN 93.2 91.4 91 90.1 91.4 91 90.1 87.6 87.4 87.3 0 92.1 65.7 73.7 97.2
59 SURKHET 93 90.1 90.1 88 90.1 90.2 88 89.7 89.1 83.8 3.7 86 65.8 69.2 90.4
60 DAILEKH 95.3 98.7 98.1 94.9 98.7 98.1 94.9 96.2 95.2 90.4 0 97.3 60.9 61.1 115
61 JAJARKOT 108.9 111.5 106.6 98 107.8 106.7 96.8 101.1 101 86.3 6.9 97.4 41.1 44.9 94.8
62 DOLPA 104.3 100.6 98.1 94.7 100.1 96.9 93.2 97.1 93.8 86.7 51.4 89.4 53.7 65.5 107.8
63 JUMLA 103.6 98.2 104.5 103.8 96 102.3 101.3 88.3 90.1 73.5 8.6 103.4 28.1 35.8 229.9
64 KALIKOT 120.6 127.4 121.4 115.8 126.7 122.3 115.6 113 100.2 84.3 10.2 113 43.5 78.4 109.1
65 MUGU 136.4 143.4 140 135.9 138.3 136.4 131.3 136.8 126.9 115 27.6 132.8 72.5 76.6 147.1
66 HUMLA 109.2 113.5 116.1 109.6 105 107.7 98.7 89.2 82.7 73.4 25 94.4 41.7 85.6 0
Province 7 86.6 86.6 85.9 84.8 86.5 85.6 84.8 85 83.7 78.8 21.9 84.6 61.2 71.4 84.5
67 BAJURA 107.5 106.9 107.7 105.1 105.3 106.2 103.9 105.4 102.6 96.7 50.2 101.6 66.3 71.8 103.1
68 BAJHANG 98.6 96.2 91.7 94.3 95.9 91.2 94 91.6 87 85.2 24.2 94.3 53.7 74.3 86
69 ACHHAM 94.6 97.6 96.9 96.9 97.8 96.9 96.5 96.6 95.9 93.4 15.2 99.1 75.8 90.8 100.6
70 DOTI 99.9 101.1 99.4 95.2 101.1 99.4 95.2 94.7 92.3 80.9 32.4 93.5 63.4 78.3 90
71 KAILALI 77.6 79.3 78.3 76.3 79 78 76.9 79.1 77.5 74.4 13.4 76.5 54.8 64.7 68.3
72 KANCHANPUR 80.9 78 78.2 78.8 78.1 78.3 78.6 77.3 77.4 74.9 25.9 76.3 61.7 67.4 89.1
73 DADELDHURA 81.9 80.5 81 80.2 80.5 81 80.2 79.2 79.6 80.1 48.1 80.1 64.2 71.9 97.5
74 BAITADI 88.2 88.3 87.9 85.2 88.3 87.9 84.8 86 85.4 70.6 8.6 88.7 69 72.6 88.6
75 DARCHAULA 87.4 86.4 86.9 88.2 86.6 85.8 87.4 84.3 84.3 73.6 20.3 87.6 56.1 72.3 85.3
Analyzed Data: Immunization (Sheet 1 of 3)
Dropout Rate (%) Wastage Rate (%)
District/HF Name BCG vs DPT-HepB- DPT-HepB- Measles/ BCG DPT-HepB- OPV PCV IPV Measles/ JE TD
Measles/ Hib 1 vs 3 Hib1 vs MR1 rubella 1 vs 2 Hib Rubella
Rubella1
Nepal 8 4.7 7.4 31.9 74.8 22.4 25.1 10.4 56.8 51 45.8 34.5
Province 1 9.5 3.5 7.4 28.9 75 23.1 25.9 11.2 49.6 49.6 45.3 32.6
01 TAPLEJUNG 8.1 1.6 4.8 31.2 84 34.1 37.3 20.7 60.8 62.7 55.9 47.2
02 PANCHTHAR -1.4 2.7 3.9 26.3 87.7 24.6 25.2 16.1 46 69 60.8 33.8
03 ILAM 8.4 1.6 7.7 24.4 84.9 30 31 16.5 62.8 58.4 58.6 35.8
04 JHAPA 8.7 2.5 6 26.8 59.6 11.9 14 6.6 -4.5 23.6 26.4 18.5
05 MORANG 14.7 2.2 8.5 31.7 54 6.2 8.3 3.1 30.1 22.8 21.3 14.6
06 SUNSARI 18.5 6.7 12 33 51.4 13.1 15.9 4.4 36.9 30.8 30.8 23.3
07 DHANKUTA -4.6 -0.44 2.4 30.9 84.8 31.4 34.5 15.4 59.3 57.1 50 38.6
08 TERHATHUM -5.4 7 2.9 33.2 84.6 45.5 46.7 21.5 70.3 71.8 65.8 57.7
09 SANKHUWASABHA 5.5 5.5 10.9 28 80.1 31.4 33.1 16.2 59.8 64.3 56.8 41.8
10 BHOJPUR -4.8 5.3 3.8 26.1 81.7 43.8 45 23.9 63.9 71.4 65.1 51.9
11 SOLUKHUMBU -8.9 3.8 -0.88 32.3 76.6 36.4 36.3 24.7 64.6 51.2 51.7 45.4
12 OKHALDHUNGA 9.5 1.4 4.1 17.1 87.1 51.9 54.3 26.2 82.5 73.1 74.2 60.3
13 KHOTANG -4.4 5.4 3.1 24.8 92 49.2 55.5 26.7 64 74.1 69.4 53.1
14 UDAYAPUR 6.6 3.2 8.5 26.9 80.9 25.5 30.6 13.1 59.9 52.1 48.8 35.6
Province 2 11.6 10.8 17.5 43.4 70.7 17.9 20.8 7.3 49.4 49.5 42.5 32.2
15 SAPTARI 0.16 6.1 7.9 43.9 76.1 31.5 34.5 17.6 62.4 59.7 55 48.1
16 SIRAHA 16.9 8.1 17 53.4 73.8 15 17.5 4.7 39.5 52.6 42.5 30.8
17 DHANUSA 10.3 11.7 22.4 66.7 63.7 15.7 18.2 5.1 28.8 53.3 39.7 30.8
18 MAHOTTARI 11.4 19.6 25.7 65.7 70.1 10 10.8 4.1 55.3 53.3 41 26.1
19 SARLAHI 18.2 13.1 22.7 -45 63.4 19.6 25.5 4.6 40.2 31.2 35 27.6
32 RAUTAHAT 16.7 11.7 18.9 66.7 67.3 17.5 17.4 5.6 27 48.7 39.8 29.6
33 BARA 2.9 4.8 8.7 44.8 75.7 14 15.9 5 46.1 50.5 39.5 23.3
34 PARSA 12.5 8.7 11.3 44.4 73 19.6 26.1 12.2 48.5 47.4 43.3 37.9
Province 3 10.3 0.95 0.89 32.5 72 21.7 24.3 8.6 54.5 48.1 42.2 30.5
20 SINDHULI 10.4 8.8 10.3 35 83.5 33.7 35.2 22.5 70.5 60 57 50.8
21 RAMECHHAP -6.1 -0.84 -0.28 27.2 88.1 48.3 50.2 25.8 77 66.9 60.5 53.5
22 DOLAKHA -15.9 2.8 1.2 27.9 80 37.3 37 12.9 63.6 65.3 61 48.2
23 SINDHUPALCHOK -25.1 1.5 2.5 31.1 86.5 30.7 34.1 10.3 58.8 61.2 38.2 51
24 KAVRE 18.8 5.6 11.4 24.2 77.3 27.3 29.4 5.7 62.6 63.2 55 33.7
25 LALITPUR 35.2 3.2 1.1 47.7 52.6 0.94 18.1 -1.7 37.6 41.6 21.4 16.2
26 BHAKTAPUR -90.9 -11.4 -15 24.9 77.9 7.9 7.4 0.76 17.8 34.9 30.2 10.5
27 KATHMANDU 24.3 -2.7 -5.4 37.7 48.5 9.8 11.3 5.7 35.1 25.4 25.6 11.4
28 NUWAKOT -18 2.2 1.6 31.7 85.2 30 34.4 23.2 64.4 60.5 63.1 44
29 RASUWA -17.5 -2.3 1.6 23.3 79.5 36.2 36.4 14.9 52.2 66.2 60.1 44.8
30 DHADING -24.8 4.8 4.3 27.2 85.4 34.4 35.4 14.5 71.9 58.9 55.7 44.9
31 MAKWANPUR -4.5 5 5.6 25.4 64.6 17.5 19.5 6.3 62.2 41.3 41.4 24.8
35 CHITAWAN 17.2 0.97 5.1 28.1 71.9 21.9 24.3 1.7 53 41.6 37 29.4
Province 4 -0.34 1.6 3 20.5 83.4 30.8 33.6 14.1 72.1 58.7 53 42.7
36 GORKHA -14.4 -3.6 -3.2 22.2 88.9 38.6 39.6 25.7 77.1 67.4 62.7 52.2
37 LAMJUNG -3.5 0.56 3.4 27.4 83 33.7 37.8 11.6 69.6 67.7 56.2 45.9
38 TANAHU -8.2 3.7 5.6 24.4 88 39.2 39.6 21.5 79.7 64.9 64 57.6
39 SYANGJA -13.2 2.5 8.8 24.1 88.1 32.3 35.4 13 73.2 63.5 56.3 49.3
40 KASKI 23.9 1 0.71 11.6 71.3 20.6 24.1 6.8 56.1 44.3 42.1 20.6
41 MANANG -80.6 -4 -12 51.8 94.8 80.4 80 29.4 85.8 84.3 73.5 78.9
42 MUSTANG -47 -3.5 -1.2 12.2 92 65.1 70.6 14.7 82.1 73.1 62.4 74.5
43 MYAGDI -1.9 3.8 3.3 24.4 85.5 32.8 37 14.1 64.6 63.2 48.6 47.2
44 PARBAT -19.6 -0.3 5.9 12.3 84.8 38.3 42.3 17.4 76.2 67.2 54.5 54.2
45 BAGLUNG -1.6 3.4 4.2 21.5 80.5 26.9 31.2 12.4 66.8 52.1 46.9 36
48.1 NAWALPUR -9.3 2.8 1.3 23.3 80.7 18.7 21.1 7.5 57.6 44.1 41.6 29.5
Province 5 6.9 3.7 5.1 24 73.3 18.3 21.5 8.3 58.4 49 44.5 28.9
46 GULMI -3.8 0.5 2.6 24.3 89.7 38 39.5 25.4 77.1 67.6 68.6 55.8
47 PALPA 3.5 3.9 4.2 10 77.2 28.9 38.8 9.1 66.2 63 55.3 46.6
48 NAWALPARASI -1.4 2.2 6.8 25.2 80.6 13 16.9 6.2 60.1 46.6 43.4 26.1
49 RUPANDEHI 13.7 3 1.4 23.4 45.8 10.4 12.7 4.2 37.2 28.4 29.3 18.7
50 KAPILBASTU 11 8 16.2 34.1 72.9 15.5 20.6 6.3 46.7 52.3 48.8 29.2
51 ARGHAKHANCHI -14.2 5 7 25.5 80.3 24.9 27.4 11.7 68.8 64.1 57.3 42.6
52 PYUTHAN -0.02 3.1 0.04 22.6 79.7 32 33.2 9.3 70.7 61.5 50.2 47.1
53 ROLPA 3.8 2.7 4 29.8 80.6 29.3 31.6 17.9 71.3 62.3 56.6 41
54 RUKUM 19.5 6.6 10 35.8 78.1 42.8 44.2 24.8 82.6 71.1 65.1 63.9
56 DANG 1.8 1.6 1.6 24.2 53.3 8.7 10.5 4.2 24.1 29.6 28.1 6.3
57 BANKE 16.3 5.7 7.1 25.7 74.4 11.9 14.3 5.7 40.9 35.7 19.4
58 BARDIYA 2.3 1.6 0.36 9.5 71.6 11.2 13.9 4.9 29.5 40.8 33.3 17.3
Province 6 5.5 4.7 5.5 40.2 77.6 33.6 34.5 20.2 68.8 58.3 56.3 54.1
54.1 RUKUM WEST 12.9 9.1 9.6 37.1 72.2 27.9 28 12.8 48.5 55.6 52.2 47.5
55 SALYAN 1.2 1.4 -0.85 30.4 79.6 32.6 34.3 14.7 57.6 54.7 43.2
59 SURKHET 7.4 2.4 4.5 23.2 68.9 22.1 24.5 14.2 55.8 46.4 44.4 37.5
60 DAILEKH -2.2 3.9 1.4 36.1 82.9 45.4 45.1 28.3 66.6 68.1 68.6
61 JAJARKOT 10.6 12.1 12.6 55.5 80.1 32 33.6 23.5 77.3 61.9 63.2 57.9
62 DOLPA 14.3 5.8 11.2 35.9 84.3 45.1 46.4 36.2 68.7 66.3 64.8 62.2
63 JUMLA 0.23 -5.7 -5.2 70.9 72.5 33.5 34 15 66.3 58.8 47.3 53.8
64 KALIKOT 6.3 9.1 11.3 58.6 78.4 35.7 36.1 25.4 72.8 61.7 60.8 57.6
65 MUGU 2.7 5.2 7.4 40.4 81.1 38.7 39.6 25.5 72.9 55.5 59.2 59.1
66 HUMLA 13.6 3.4 16.9 52.3 73.8 24.4 26.1 14.5 66.3 50.5 8.7 50.4
Province 7 2.2 2.1 2.3 29.3 77.3 22.7 25.4 11.8 55.2 51.5 46.2 35.4
67 BAJURA 5.5 1.7 4.9 33.1 82.7 29 30.6 20 63.7 56.4 55.1 47.7
68 BAJHANG 4.4 2 2 43.6 78.6 30.8 32.6 17.1 62.7 52.3 56.6 46.3
69 ACHHAM -4.8 0.78 -1.5 25.8 74.7 25.3 26.6 17.7 57.4 58.6 49.1 41.3
70 DOTI 6.4 5.8 7.5 39 82.1 27.2 29.6 11.9 62.8 62.6 52.9 41.3
71 KAILALI 1.5 3.8 3.5 27.9 56.1 12.1 16.6 5.1 30.7 31.5 28.7 17.4
72 KANCHANPUR 5.7 -0.99 2.2 21.9 70.1 6.5 8.4 5.6 35.5 31.5 31.9 12.2
73 DADELDHURA 2.2 0.44 0.58 22.8 79.9 22 25.6 8.8 53.9 52.1 46.6 32.1
74 BAITADI -0.62 3.5 -0.44 25.5 89.1 38.6 41.4 20.9 76.4 70 61 51.8
75 DARCHAULA -0.18 -2.2 -1.4 36.9 85.1 38.7 40.6 16.5 72.3 63.3 62 56.6
Raw Data: Immunization (Sheet 1 of 3)
Measles/
of DPT-HepB-Hib &
3 doze completion
Encephalitis
Japnese
BCG
District/HF Name IPV
1st 2nd 3rd 1st 2nd 3rd 1st 2nd 3rd 1st 2nd TT 2 &
TT 1 TT 2 TT 2+
Dose Dose Dose Dose Dose Dose Dose Dose Dose Dose Dose TT 2+
National Total 569751 566098 552190 539698 562452 550544 536191 550364 534158 484993 100815 524332 356878 32081 420494 324440 280800 205666 486466
EASTERN 128033 126960 122670 121389 126478 122455 120181 124378 120192 111203 34616 115828 76902 8810 96698 74913 66732 39933 106665
1 01 TAPLEJUNG 2779 2683 2710 2641 2670 2686 2637 2596 2585 2206 1029 2555 1759 703 1897 1853 1526 560 2086
2 02 PANCHTHAR 3909 4122 4025 4009 4050 3945 3951 4010 3998 3827 1728 3962 2920 328 3115 3334 2915 137 3052
3 03 ILAM 5075 5041 4864 4959 5038 4801 4914 4941 4848 4495 1557 4651 3517 453 4231 4371 3908 124 4032
4 04 JHAPA 19020 18474 17762 18011 18428 17731 17952 18319 17669 17310 6884 17360 12708 1191 15127 13305 11739 1048 12787
5 05 MORANG 22766 21218 20349 20745 20961 20367 20123 21036 20172 19308 4358 19411 13267 837 17010 7528 8889 9752 18641
6 06 SUNSARI 18536 17159 16280 16016 17159 16280 16016 16924 16172 14881 3628 15101 10115 1439 12701 9550 7824 7022 14846
7 07 DHANKUTA 2783 2981 2974 2994 2986 2969 3040 2966 2927 2823 2729 2910 2012 144 2506 2446 2304 243 2547
8 08 TERHATHUM 1799 1953 1955 1817 1986 1926 1797 1919 1924 1740 564 1897 1267 108 1636 1082 1245 615 1860
9 09 SANKHUWASABHA 3176 3369 3326 3184 3369 3330 3209 3275 3232 2780 1558 3001 2161 150 2419 1878 1686 1058 2744
10 10 BHOJPUR 2972 3238 3216 3067 3222 3214 3077 3207 3208 2983 481 3115 2303 102 2596 2120 2011 669 2680
11 11 SOLUKHUMBU 1678 1812 1836 1744 1815 1833 1747 1664 1579 1570 1344 1828 1237 148 1272 1085 1041 577 1618
12 12 OKHALDHUNGA 2959 2794 2808 2754 2796 2818 2765 2749 2811 2671 860 2679 2220 227 1987 1591 1510 756 2266
13 13 KHOTANG 3623 3907 3875 3696 3911 3875 3695 3900 3849 3452 960 3784 2845 286 3310 2989 2500 764 3264
14 14 UDAYAPUR 6913 7057 6825 6833 7060 6823 6767 6917 6696 6539 2292 6455 4719 325 5745 4974 4304 1365 5669
15 15 SAPTARI 12839 13914 13543 13069 13876 13444 12975 13487 12973 12071 2421 12819 7189 999 10539 9193 7515 5586 13101
16 16 SIRAHA 17206 17238 16322 15850 17151 16413 15516 16468 15549 12547 2223 14300 6663 1370 10607 7614 5815 9657 15472
CENTRAL 207595 205410 198580 191837 203208 197911 190320 196168 186726 158888 29640 184413 116657 12076 142516 126657 105086 65298 170384
17 17 DHANUSA 19369 22387 21563 19762 22087 21374 19534 23504 20256 14760 653 17380 5795 1301 12572 10144 8139 11627 19766
18 18 MAHOTTARI 15380 18340 15640 14740 17817 16125 14637 15658 13780 8868 1663 13622 4677 1383 9581 11258 9721 4988 14709
19 19 SARLAHI 16996 17974 16347 15625 17669 16046 15328 15444 13776 9847 1233 13900 20157 1462 10867 10625 8675 10752 19427
20 20 SINDHULI 5870 5866 5785 5350 5840 5730 5305 5553 5477 4819 565 5261 3419 618 4241 3108 2955 2050 5005
21 21 RAMECHHAP 2706 2863 2929 2887 2846 2883 2864 2856 2921 2512 1383 2871 2091 121 2195 2343 2163 315 2478
22 22 DOLAKHA 2654 3112 3050 3026 3130 3065 3035 2970 2887 2675 1183 3075 2217 550 2273 1560 1389 1312 2701
23 23 SINDHUPALCHOK 3825 4909 4935 4835 4806 4814 4656 4856 4921 4606 1515 4786 3296 373 2108 2231 2003 1460 3463
24 24 KAVRE 8084 7409 7034 6996 7405 7042 6919 7211 7022 6341 2395 6562 4973 126 5680 6358 5223 282 5505
25 25 LALITPUR 11888 7798 7311 7552 7464 7084 6818 7032 8013 7037 1903 7709 4034 212 7152 7282 6006 610 6616
26 26 BHAKTAPUR 3107 5157 5708 5744 5185 5736 5764 5091 5626 5892 2435 5931 4452 79 5061 3136 3288 216 3504
27 27 KATHMANDU 39311 28247 28482 29000 28220 28472 29003 28223 28165 28669 7305 29774 18535 1468 24224 23943 20703 420 21123
28 28 NUWAKOT 4483 5377 5748 5257 5306 5101 5151 5424 5315 4747 1573 5290 3615 112 3659 3648 2974 685 3659
29 29 RASUWA 798 953 958 975 954 953 978 935 939 878 198 938 719 0 799 860 736 11 747
30 30 DHADING 4892 6378 6214 6070 6377 6204 6066 6272 6111 5707 1009 6103 4446 1 5113 3794 3540 1883 5423
31 31 MAKWANPUR 8184 9060 8941 8608 8999 8871 8575 8967 8930 8413 531 8552 6376 56 7044 5669 4501 2261 6762
32 32 RAUTAHAT 17262 17731 16856 15657 17471 17167 15928 15911 14034 10284 708 14386 4796 1167 9619 10244 6284 9888 16172
33 33 BARA 15322 16303 15938 15513 16075 15768 15579 15500 14431 10616 1388 14880 8218 811 11046 5741 4999 8742 13741
34 34 PARSA 13907 13718 13389 12527 13548 13359 12452 13005 12485 10945 1167 12170 6772 1349 9810 5130 3957 6601 10558
35 35 CHITAWAN 13557 11828 11752 11713 12009 12117 11728 11756 11637 11272 833 11223 8069 887 9472 9583 7830 1195 9025
WESTERN 97527 98691 97727 95731 98598 97567 95597 98139 97636 93017 18848 93787 72213 4330 79374 47144 45247 47441 92688
36 36 GORKHA 4230 4688 4737 4858 4687 4736 4858 4657 4672 4757 1517 4839 3767 254 4355 2605 2502 1490 3992
37 37 LAMJUNG 2826 3026 3063 3009 2948 3008 3009 2964 3013 2843 892 2924 2123 117 2473 1517 1751 848 2599
38 38 TANAHU 5081 5823 5812 5605 5823 5812 5605 5804 6001 5608 1263 5497 4156 28 4694 2795 2340 1937 4277
39 39 SYANGJA 4249 5272 5204 5139 5266 5204 5148 5228 5169 4696 2592 4810 3653 11 3900 1753 2004 2451 4455
40 40 KASKI 11266 8635 8658 8547 8596 8650 8520 8597 8682 8489 1110 8574 7581 54 7587 5508 5715 2845 8560
41 41 MANANG 31 50 57 52 47 57 52 48 55 51 27 56 27 0 41 51 28 20 48
42 42 MUSTANG 117 170 174 176 171 178 174 155 167 149 92 172 151 19 180 103 66 66 132
43 43 MYAGDI 2087 2199 2115 2115 2199 2115 2115 2172 2116 2068 442 2127 1607 0 2159 1117 1026 1256 2282
44 44 PARBAT 2071 2632 2623 2640 2615 2596 2614 2612 2641 2468 748 2477 2172 125 2345 706 1099 1272 2371
45 45 BAGLUNG 5113 5422 5230 5238 5414 5218 5194 5409 5273 5166 2169 5195 4076 85 4603 2908 2505 2267 4772
46 46 GULMI 5112 5450 5518 5423 5461 5495 5431 5401 5505 5342 467 5307 4018 44 4264 2133 2382 2597 4979
47 47 PALPA 4827 4860 4807 4671 4860 4807 4670 4860 4808 4646 2394 4657 4192 72 4035 2066 2048 2237 4285
48 NAWALPUR 5820 6447 6377 6269 6386 6385 6280 6320 6387 6339 603 6364 4881 19 5278 3328 3082 2574 5656
48 48.1 NAWALPARASI 6243 6793 6740 6645 6854 6732 6634 6795 6727 6326 272 6332 4738 170 5244 2798 2847 3716 6563
49 49 RUPANDEHI 22207 19430 19473 18849 19465 19475 18837 19477 19431 19109 2552 19166 14674 2496 15802 10620 8624 10640 19264
50 50 KAPILBASTU 12946 13741 13076 12644 13747 13067 12595 13606 12961 11208 752 11521 7588 748 9298 5216 5416 9989 15405
51 51 ARGHAKHANCHI 3301 4053 4063 3851 4059 4032 3861 4034 4028 3752 956 3769 2809 88 3116 1920 1812 1236 3048
MID WESTERN 83129 81521 80186 78346 80737 79722 77721 79176 77885 73228 4183 78026 54123 5121 58748 48615 41329 27008 68337
52 52 PYUTHAN 5552 5555 5490 5382 5432 5469 5253 5502 5418 5186 161 5553 4299 453 4791 2566 2630 2122 4752
53 53 ROLPA 5338 5349 5363 5206 5197 5247 5170 5152 5201 4810 393 5133 3604 397 3940 2729 2366 1867 4233
54 54 RUKUM 1501 1344 1282 1255 1347 1286 1247 1264 1353 1135 39 1209 776 109 763 672 539 382 921
54.1 RUKUM WEST 3843 3703 3462 3365 3761 3569 3458 3667 3612 3052 167 3346 2105 222 1996 1786 1305 1182 2487
55 55 SALYAN 5413 5304 5283 5230 5304 5283 5230 5086 5073 5070 0 5349 3723 0 4175 3060 2842 2483 5325
56 56 DANG 12152 12128 11812 11930 12162 11769 11872 12057 11817 11789 1026 11933 9044 732 9678 10861 9728 555 10283
57 57 BANKE 13139 11849 11407 11177 11853 11407 11188 11836 11413 10987 0 11002 8173 875 9249 6673 5737 5932 11669
58 58 BARDIYA 7987 7830 7926 7706 7618 7699 7519 7841 7920 7666 215 7802 7063 286 6278 4858 4382 3287 7669
59 59 SURKHET 7933 7693 7688 7508 7685 7696 7506 7656 7607 7155 318 7343 5642 1 5935 3853 3465 2982 6447
60 60 DAILEKH 5817 6029 5992 5793 6029 5992 5793 5874 5813 5523 0 5944 3800 196 3809 3073 2527 2210 4737
61 61 JAJARKOT 4304 4404 4212 3871 4258 4214 3826 3994 3992 3409 274 3847 1711 435 1869 2564 1805 1079 2884
62 62 DOLPA 872 841 820 792 837 810 779 812 784 725 430 747 479 179 584 648 484 168 652
63 63 JUMLA 2564 2431 2586 2570 2376 2531 2508 2186 2230 1818 212 2558 744 335 948 1263 886 1159 2045
64 64 KALIKOT 3763 3974 3787 3612 3952 3816 3605 3523 3124 2630 317 3525 1459 304 2631 2411 1519 1129 2648
65 65 MUGU 1693 1779 1738 1686 1716 1693 1630 1698 1575 1427 343 1648 982 408 1037 907 640 317 957
66 66 HUMLA 1258 1308 1338 1263 1210 1241 1137 1028 953 846 288 1087 519 189 1065 691 474 154 628
FAR WESTERN 53467 53516 53027 52395 53431 52889 52372 52503 51719 48657 13528 52278 36983 1744 43158 27111 22406 25986 48392
67 67 BAJURA 3401 3381 3405 3323 3331 3359 3285 3334 3244 3060 1589 3214 2151 231 2327 1511 1234 1977 3211
68 68 BAJHANG 4588 4479 4269 4391 4462 4246 4374 4266 4049 3964 1128 4388 2475 463 3424 2418 1851 2085 3936
69 69 ACHHAM 5832 6022 5977 5975 6032 5974 5950 5959 5916 5759 938 6111 4537 10 5438 2310 1980 3928 5908
70 70 DOTI 5027 5089 5002 4793 5089 5002 4793 4764 4645 4070 1629 4705 2871 314 3548 3467 2655 1355 4010
71 71 KAILALI 14882 15197 15003 14616 15147 14955 14748 15155 14859 14260 2568 14664 10575 78 12479 8409 7203 6223 13426
72 72 KANCHANPUR 9050 8730 8747 8816 8743 8764 8794 8649 8657 8380 2897 8534 6664 215 7282 4433 3608 4274 7882
73 73 DADELDHURA 2800 2754 2769 2742 2754 2769 2742 2710 2724 2738 1646 2738 2113 98 2367 1310 975 1455 2430
74 74 BAITADI 5182 5191 5166 5008 5192 5164 4982 5057 5017 4147 505 5214 3886 191 4085 2156 1983 3204 5187
75 75 DARCHAULA 2705 2673 2689 2731 2681 2656 2704 2609 2608 2279 628 2710 1711 144 2208 1097 917 1485 2402
Raw Data: Immunization (Sheet 2 of 3)
Follow-up
Total cases Low weight/ Cotrim Refer Death
District Name PSBI LBI Jaundice Amoxycillin Ampicilline Gentamycin Other
Feeding Prob. Paediatrics
anti-
≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 1st Compl. ≤ 28 29-59 biotic ≤ 28 29-59 ≤ 28 29-59
days days days days days days days days days days days days days days doze Doze days days days days days days
Nepal ##### ##### 3514 2535 11104 14892 1610 663 1605 1898 3418 4736 388 611 3901 3568 5015 7035 7054 1200 719 12480 90 17
Province 1 4116 5923 477 471 2302 3666 277 158 164 258 632 1484 73 120 464 454 1188 1709 1440 256 229 2713 6 0
01 TAPLEJUNG 140 401 7 24 62 145 7 4 7 11 45 97 5 3 22 7 28 179 67 1 8 236 0 0
02 PANCHTHAR 108 187 21 31 73 137 11 1 1 12 28 41 0 1 5 34 31 60 24 3 2 113 1 0
03 ILAM 73 133 12 3 38 91 16 10 7 10 8 39 0 1 5 3 2 12 20 12 6 47 0 0
04 JHAPA 1011 1358 76 52 640 855 138 60 50 96 257 391 4 10 32 33 166 214 553 91 93 596 3 0
05 MORANG 872 771 183 143 337 356 5 2 13 13 5 13 17 5 247 274 355 344 211 46 20 550 0 0
06 SUNSARI 549 1054 49 58 285 868 14 11 10 34 68 589 3 5 64 37 194 256 73 37 51 325 0 0
07 DHANKUTA 193 179 10 16 106 93 10 3 13 14 42 40 5 5 6 7 50 45 30 11 4 125 0 0
08 TERHATHUM 78 169 5 7 45 141 7 21 12 12 10 35 2 13 3 4 26 46 22 5 6 24 0 0
09 SANKHUWASABHA 136 189 16 22 73 110 9 3 3 13 33 34 0 3 9 20 12 8 69 3 2 83 0 0
10 BHOJPUR 134 163 6 9 106 86 8 5 6 5 42 39 0 2 0 0 9 10 72 3 1 80 0 0
11 SOLUKHUMBU 194 412 31 34 112 139 7 13 9 13 31 48 19 26 11 4 68 85 44 5 9 73 2 0
12 OKHALDHUNGA 148 171 13 19 99 136 8 10 7 3 23 40 1 0 4 6 13 25 62 5 4 88 0 0
13 KHOTANG 204 387 16 28 129 227 9 3 11 10 37 62 10 40 20 15 93 183 82 26 12 153 0 0
14 UDAYAPUR 276 349 32 25 197 282 28 12 15 12 3 16 7 6 36 10 141 242 111 8 11 220 0 0
Province 2 1720 4325 193 195 1161 2884 77 46 90 213 222 715 54 143 208 285 716 2079 598 145 86 2043 1 0
15 SAPTARI 197 469 5 9 140 402 1 0 8 26 27 93 0 19 11 12 83 219 100 7 9 337 0 0
16 SIRAHA 230 515 25 29 148 204 8 1 9 9 37 27 2 20 13 32 50 234 89 13 10 125 0 0
17 DHANUSA 166 254 17 15 98 202 20 8 10 20 22 35 1 3 25 12 27 124 39 4 4 132 0 0
18 MAHOTTARI 269 753 71 41 175 669 11 7 12 54 43 177 14 22 72 122 148 555 133 7 9 575 0 0
19 SARLAHI 46 344 3 8 37 337 4 2 2 5 15 219 0 20 12 12 14 78 42 2 2 157 0 0
32 RAUTAHAT 451 1396 33 54 354 659 12 18 29 60 26 59 16 17 42 57 261 558 108 41 42 473 0 0
33 BARA 180 199 26 17 110 148 6 3 18 6 21 26 20 38 20 26 60 72 22 60 3 106 1 0
34 PARSA 181 395 13 22 99 263 15 7 2 33 31 79 1 4 13 12 73 239 65 11 7 138 0 0
Province 3 2827 2889 243 249 1251 1387 305 116 146 147 361 440 20 31 158 120 276 408 885 199 124 1055 12 1
20 SINDHULI 182 153 15 20 75 86 13 5 7 9 25 32 4 11 7 21 14 15 49 13 5 74 2 1
21 RAMECHHAP 203 193 15 15 83 86 11 3 8 3 23 39 1 2 7 7 15 11 55 5 2 35 0 0
22 DOLAKHA 195 215 12 3 35 62 14 20 31 20 31 49 1 1 5 1 37 35 61 9 8 46 1 0
23 SINDHUPALCHOK 321 444 34 38 148 250 43 30 14 17 52 88 0 6 34 11 41 32 226 43 25 192 5 0
24 KAVRE 261 255 25 16 101 87 28 3 7 5 38 17 3 0 9 18 4 11 43 18 6 100 0 0
25 LALITPUR 205 196 6 7 72 58 21 8 2 15 17 12 0 0 9 0 3 8 16 14 9 32 0 0
26 BHAKTAPUR 87 92 7 14 56 48 4 0 5 4 14 11 1 0 2 1 2 20 24 6 4 43 0 0
27 KATHMANDU 151 142 10 7 66 72 21 5 9 7 2 3 0 1 0 0 6 13 39 15 9 15 0 0
28 NUWAKOT 81 108 9 7 26 50 13 9 0 4 12 11 2 1 3 1 3 5 4 3 2 28 0 0
29 RASUWA 49 36 1 5 29 23 9 2 2 0 14 19 0 0 2 1 1 0 11 6 3 39 0 0
30 DHADING 350 298 46 36 134 139 57 17 18 17 52 51 5 3 28 18 2 10 76 25 26 162 4 0
31 MAKWANPUR 219 232 14 22 140 181 32 8 11 6 19 34 3 6 12 6 19 53 127 18 8 85 0 0
35 CHITAWAN 523 525 49 59 286 245 39 6 32 40 62 74 0 0 40 35 129 195 154 24 17 204 0 0
Province 4 1798 1527 122 71 868 881 283 51 133 133 177 236 16 17 50 32 136 226 504 81 39 709 2 0
36 GORKHA 245 206 8 17 132 126 30 9 14 20 7 8 1 1 2 3 13 25 87 6 7 79 0 0
37 LAMJUNG 47 16 8 0 21 10 5 0 4 1 2 2 0 0 0 0 9 4 8 5 0 8 0 0
38 TANAHU 198 87 10 5 90 46 42 4 9 7 14 5 1 0 2 1 16 16 51 14 6 64 0 0
39 SYANGJA 176 249 6 3 68 128 11 3 10 5 11 9 9 9 5 1 25 38 29 11 7 94 0 0
40 KASKI 242 196 8 7 132 83 40 14 47 70 20 12 0 1 2 0 1 18 69 13 4 54 0 0
41 MANANG 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
42 MUSTANG 9 14 1 0 6 7 0 0 0 0 2 1 0 0 0 0 3 1 3 0 0 3 0 0
43 MYAGDI 154 118 14 4 61 94 63 0 2 1 28 63 3 1 23 20 2 0 21 3 0 52 0 0
44 PARBAT 84 90 9 4 24 40 7 0 1 4 5 17 0 0 4 0 4 2 24 3 2 20 0 0
45 BAGLUNG 337 332 17 14 222 247 48 16 13 14 59 85 2 5 8 4 58 109 96 8 5 251 2 0
48.1 NAWALPUR 304 219 41 17 111 100 37 5 33 11 29 34 0 0 4 3 5 13 115 18 8 84 0 0
Province 5 5481 4615 996 492 1796 1744 323 121 332 343 518 442 56 77 1134 968 1119 855 957 235 102 2191 36 10
46 GULMI 166 175 10 9 54 82 13 9 7 3 2 0 0 0 0 1 0 0 11 1 0 2 0 0
47 PALPA 674 550 44 26 81 107 61 14 87 69 0 13 0 0 8 3 34 54 29 23 7 128 19 8
48 NAWALPARASI 149 149 19 20 103 91 3 0 7 16 41 27 0 2 3 3 8 8 85 9 5 53 0 0
49 RUPANDEHI 211 430 24 26 144 221 6 8 33 33 38 70 8 3 12 5 21 41 68 16 13 105 0 0
50 KAPILBASTU 362 795 48 101 167 389 24 21 53 101 73 100 23 32 133 99 135 288 96 23 23 278 4 0
51 ARGHAKHANCHI 63 68 10 4 42 43 3 3 2 2 1 2 4 9 10 4 7 21 45 6 4 22 1 0
52 PYUTHAN 254 333 50 52 119 166 30 26 10 18 0 2 0 0 104 73 59 81 104 16 16 171 3 0
53 ROLPA 326 365 46 46 134 201 32 15 30 32 68 116 3 4 50 34 20 63 56 23 9 126 2 0
54 RUKUM 52 83 10 3 25 63 8 8 6 4 17 17 3 13 13 7 6 14 23 6 0 16 0 0
56 DANG 1040 731 134 50 302 155 69 13 34 17 0 1 0 0 140 109 217 95 260 67 16 250 2 2
57 BANKE 340 216 45 25 167 101 11 3 19 14 45 22 5 2 39 24 94 63 47 10 4 193 0 0
58 BARDIYA 1844 720 556 130 458 125 63 1 44 34 233 72 10 12 622 606 518 127 133 35 5 847 5 0
Province 6 3650 4483 730 602 1619 2544 162 65 312 435 433 598 99 161 1024 977 818 1126 1891 115 71 1693 12 5
54.1 RUKUM WEST 271 239 104 95 82 71 19 6 16 16 61 72 8 12 119 141 71 20 107 7 4 51 2 0
55 SALYAN 379 348 104 73 175 180 20 3 15 8 0 0 1 5 162 161 225 211 55 8 6 236 1 0
59 SURKHET 1138 1349 170 131 634 996 60 8 55 42 127 120 20 8 260 211 59 39 1277 33 21 334 0 0
60 DAILEKH 390 461 126 69 142 276 5 4 28 37 39 31 3 11 174 157 170 204 39 12 2 230 2 0
61 JAJARKOT 316 404 53 63 168 180 10 11 29 60 7 12 20 35 76 43 108 180 129 21 15 236 3 0
62 DOLPA 242 390 32 71 63 170 14 14 17 42 32 68 25 65 37 48 55 86 42 10 6 110 0 5
63 JUMLA 153 262 26 16 67 125 11 1 20 20 27 63 6 4 33 33 22 71 66 10 5 150 0 0
64 KALIKOT 273 226 79 40 99 116 3 0 42 46 81 93 5 4 108 114 22 35 28 6 4 132 2 0
65 MUGU 108 172 9 13 69 123 10 3 18 43 16 52 2 3 8 7 11 47 51 1 2 44 1 0
66 HUMLA 380 632 27 31 120 307 10 15 72 121 43 87 9 14 47 62 75 233 97 7 6 170 1 0
Province 7 4058 3119 753 455 2107 1786 183 106 428 369 1075 821 70 62 863 732 762 632 779 169 68 2076 21 1
67 BAJURA 237 239 47 52 150 167 3 4 18 34 100 95 3 2 74 68 54 69 62 7 0 219 0 0
68 BAJHANG 245 213 60 39 120 124 5 2 20 22 23 31 6 7 130 88 102 110 30 7 3 146 5 0
69 ACHHAM 934 684 234 158 460 349 12 10 125 99 388 297 34 31 335 303 167 79 135 19 9 700 6 0
70 DOTI 240 252 35 31 107 127 10 6 19 25 17 20 0 3 40 43 88 103 42 6 0 128 3 0
71 KAILALI 1407 881 219 62 714 521 98 30 108 79 364 165 7 3 144 98 209 117 269 73 36 511 2 1
72 KANCHANPUR 644 519 96 55 386 305 44 52 96 78 120 136 13 8 81 65 86 85 149 42 11 179 2 0
73 DADELDHURA 99 100 21 13 39 55 5 0 14 12 21 28 1 1 31 26 4 6 30 2 2 43 1 0
74 BAITADI 198 166 36 26 100 103 4 2 19 10 34 31 5 7 17 20 46 44 46 11 4 96 2 0
75 DARCHAULA 54 65 5 19 31 35 2 0 9 10 8 18 1 0 11 21 6 19 16 2 3 54 0 0
Raw Data: CBIMCI (Sheet 1 of 11)
PHCORC (< 2 months Children)
Classification Treatment
Total cases Refer Death
Follow-up
PSBI LBI Jaundice Amoxycillin Ampicilinein Gentamycin Cotrim
District Name
≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 1st Compl. ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59
days days days days days days days days days days days days doze Doze days days days days days days
Nepal 2092 4217 199 230 1191 2752 130 83 254 616 16 100 236 212 2075 2336 210 241 1787 14 4
Province 1 457 995 101 91 247 583 21 16 63 150 8 38 82 74 1319 499 101 105 386 1 0
01 TAPLEJUNG 34 173 4 9 22 86 2 4 11 58 1 1 1 1 10 89 4 16 95 0 0
02 PANCHTHAR 4 19 0 0 4 19 0 0 0 2 0 0 0 0 4 15 0 0 6 0 0
03 ILAM 30 43 2 1 23 34 0 3 14 13 0 0 0 0 1 0 3 4 1 1 0
04 JHAPA 37 60 4 4 7 33 12 8 2 7 0 0 0 0 1112 12 31 43 10 0 0
05 MORANG 150 209 33 46 67 109 3 0 2 5 1 0 75 72 68 162 3 3 131 0 0
06 SUNSARI 77 140 24 10 43 113 1 0 8 36 0 0 0 0 45 72 33 17 80 0 0
07 DHANKUTA 5 3 1 1 2 3 0 0 0 0 0 1 1 0 2 4 1 2 2 0 0
08 TERHATHUM 11 11 3 0 4 6 0 0 0 0 0 0 2 1 5 11 5 10 4 0 0
09 SANKHUWASABHA 6 11 0 1 6 2 0 0 1 1 0 0 0 0 3 0 0 0 0 0 0
10 BHOJPUR 5 6 0 1 4 2 0 0 0 0 0 0 0 0 2 1 1 0 1 0 0
11 SOLUKHUMBU 28 58 4 4 24 35 0 0 19 20 4 17 0 0 3 9 3 0 0 0 0
12 OKHALDHUNGA 4 9 2 1 1 6 0 0 1 0 0 0 1 0 0 2 2 3 2 0 0
13 KHOTANG 44 186 23 12 18 87 3 1 5 7 2 19 1 0 44 74 14 2 18 0 0
14 UDAYAPUR 22 67 1 1 22 48 0 0 0 1 0 0 1 0 20 48 1 5 36 0 0
Province 2 650 1566 24 39 498 1218 45 44 55 195 2 19 48 69 483 1111 38 45 922 1 1
15 SAPTARI 79 170 5 3 46 151 1 0 8 41 0 4 0 0 33 102 3 6 99 0 1
16 SIRAHA 5 23 0 0 5 4 0 0 0 6 0 0 0 0 2 10 0 1 0 0 0
17 DHANUSA 21 68 2 0 17 50 0 0 3 5 0 0 0 0 7 34 0 0 25 0 0
18 MAHOTTARI 46 257 6 3 36 258 3 0 8 89 2 7 1 2 53 236 3 9 228 0 0
19 SARLAHI 5 3 0 0 4 2 1 0 1 0 0 0 0 0 2 1 0 0 1 0 0
32 RAUTAHAT 322 703 3 23 302 548 8 2 7 18 0 8 33 41 290 497 21 21 445 0 0
33 BARA 8 14 0 1 2 14 0 1 2 5 0 0 2 0 5 6 1 2 9 0 0
34 PARSA 164 328 8 9 86 191 32 41 26 31 0 0 12 26 91 225 10 6 115 1 0
Province 3 162 168 3 5 45 74 15 8 12 41 0 1 1 1 20 54 15 26 25 1 1
20 SINDHULI 5 7 0 1 3 2 1 0 0 0 0 0 0 0 3 3 2 2 2 0 1
21 RAMECHHAP 12 9 0 0 0 3 2 0 0 1 0 0 0 0 0 3 1 0 1 0 0
22 DOLAKHA 9 20 0 0 1 8 0 1 4 12 0 0 0 0 3 5 0 1 0 0 0
23 SINDHUPALCHOK 13 31 0 1 11 10 2 2 4 8 0 0 0 0 0 1 1 15 9 1 0
24 KAVRE 11 12 1 0 9 8 1 1 0 0 0 0 0 0 0 0 4 1 1 0 0
25 LALITPUR 3 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 BHAKTAPUR 1 20 0 0 1 1 0 0 1 1 0 0 0 0 0 17 0 0 2 0 0
27 KATHMANDU 71 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 2 0 0
28 NUWAKOT 7 20 1 1 1 13 3 4 0 12 0 1 0 0 2 3 2 4 0 0 0
29 RASUWA 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 DHADING 7 12 0 0 3 7 2 0 0 1 0 0 0 0 0 1 3 2 1 0 0
31 MAKWANPUR 11 17 1 2 10 17 0 0 2 5 0 0 0 0 1 6 0 0 7 0 0
35 CHITAWAN 11 10 0 0 6 4 2 0 1 1 0 0 1 1 11 15 2 1 0 0 0
Province 4 90 102 2 0 36 55 13 7 7 14 0 2 1 0 19 39 7 1 34 0 0
36 GORKHA 31 34 0 0 7 17 2 1 0 1 0 0 0 0 4 8 2 1 1 0 0
37 LAMJUNG 2 2 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0
38 TANAHU 13 7 0 0 0 2 5 1 2 0 0 0 0 0 3 2 1 0 2 0 0
39 SYANGJA 13 21 0 0 6 7 2 4 1 3 0 1 0 0 2 13 0 0 13 0 0
40 KASKI 5 0 0 0 4 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0
41 MANANG 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 2 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 1 4 0 0 0 5 0 0 0 5 0 0 1 0 0 0 0 0 2 0 0
44 PARBAT 4 3 1 0 0 2 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
45 BAGLUNG 18 27 1 0 15 18 2 1 1 4 0 1 0 0 8 16 1 0 13 0 0
48.1 NAWALPUR 1 3 0 0 1 3 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0
Province 5 213 484 39 23 91 303 16 2 18 64 2 18 40 27 68 192 17 31 99 9 0
46 GULMI 7 3 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 6 11 0 0 2 10 4 0 0 0 0 0 0 0 2 9 2 0 2 1 0
48 NAWALPARASI 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 10 50 1 1 7 35 0 0 3 11 2 0 0 0 2 7 1 4 14 0 0
50 KAPILBASTU 114 175 14 17 50 149 5 1 10 15 0 12 20 11 33 123 8 15 49 0 0
51 ARGHAKHANCHI 3 6 0 0 2 4 0 1 0 0 0 2 0 0 1 0 0 1 1 0 0
52 PYUTHAN 11 14 1 0 5 9 3 0 0 0 0 0 1 0 1 9 0 0 2 0 0
53 ROLPA 8 37 0 0 4 27 0 0 2 19 0 0 0 0 1 11 1 4 6 0 0
54 RUKUM 1 40 0 3 2 36 0 0 0 2 0 2 0 0 1 25 1 5 1 0 0
56 DANG 10 2 2 0 2 0 3 0 0 0 0 0 0 0 1 0 2 0 0 0 0
57 BANKE 6 18 2 0 2 15 0 0 0 11 0 0 1 1 3 2 1 2 5 8 0
58 BARDIYA 37 127 19 2 10 18 1 0 3 6 0 2 18 15 23 6 1 0 19 0 0
Province 6 317 614 22 52 126 317 19 5 48 111 4 18 31 27 88 293 16 16 200 0 2
54.1 RUKUM WEST 27 30 0 0 20 26 1 0 14 18 0 0 0 1 0 0 0 0 23 0 0
55 SALYAN 20 46 1 0 17 37 0 0 0 0 0 0 1 1 14 32 1 0 16 0 0
59 SURKHET 14 24 0 0 3 16 0 0 1 6 0 0 0 0 0 3 0 0 7 0 0
60 DAILEKH 30 92 7 7 9 27 0 0 4 8 0 0 12 11 12 26 3 4 26 0 0
61 JAJARKOT 58 98 2 4 13 27 0 0 3 5 0 2 3 3 27 100 5 8 17 0 0
62 DOLPA 78 121 4 17 13 46 0 2 6 13 4 15 4 2 8 21 0 0 36 0 2
63 JUMLA 15 49 0 0 9 23 7 0 4 9 0 0 0 0 2 27 0 0 15 0 0
64 KALIKOT 2 8 0 1 2 6 0 0 2 4 0 0 0 0 1 3 0 1 6 0 0
65 MUGU 38 52 1 0 25 42 10 3 9 22 0 1 1 1 7 23 1 1 10 0 0
66 HUMLA 35 94 7 23 15 67 1 0 5 26 0 0 10 8 17 58 6 2 44 0 0
Province 7 203 288 8 20 148 202 1 1 51 41 0 4 33 14 78 148 16 17 121 2 0
67 BAJURA 7 45 2 8 5 40 0 0 4 22 0 3 5 3 2 16 2 2 13 0 0
68 BAJHANG 23 73 1 7 17 41 0 0 2 3 0 0 15 0 12 41 3 11 15 0 0
69 ACHHAM 76 29 1 1 65 27 0 0 35 7 0 0 4 5 18 12 9 1 8 0 0
70 DOTI 62 126 3 4 45 76 0 0 6 5 0 1 9 5 41 71 2 2 81 2 0
71 KAILALI 13 6 0 0 8 8 0 1 3 0 0 0 0 0 3 4 0 1 1 0 0
72 KANCHANPUR 5 4 0 0 3 2 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0
73 DADELDHURA 8 3 0 0 3 3 0 0 0 3 0 0 0 0 0 0 0 0 1 0 0
74 BAITADI 9 2 1 0 2 5 1 0 0 1 0 0 0 1 2 4 0 0 1 0 0
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Raw Data: CBIMCI (Sheet 3 of 11)
Febrile disease
Ear infection
malnutrition
Very Severe
Other fever
Dehydration
Dehydration
Dehydration
Measeles
District Name
Anaemia
very severe
pneumonia
Pneumonia
Falciparum
falciparum
Prolonged
Dysentery
Sev Pneu/
Diarrhoea
Severe
Other
Total
disease
Severe
Some
Non-
No
No
Nepal 1511031 451298 166402 4473 246610 53025 1506 3219 37900 216 218 0 1637 84808 179597 10003 4362 358259
Province 1 265530 89561 36910 769 31690 9372 190 257 4548 13 24 0 164 14443 24990 324 595 57729
01 TAPLEJUNG 12896 4089 1719 31 1604 872 7 13 151 0 0 0 7 730 1617 23 74 2392
02 PANCHTHAR 17221 6015 2718 43 1360 699 4 15 115 0 0 0 2 609 1648 14 5 3919
03 ILAM 13308 4710 2744 80 1079 329 2 6 84 0 0 0 3 574 1375 5 47 2178
04 JHAPA 34354 12580 4543 62 4873 1000 28 37 782 0 0 0 10 2368 3004 21 41 5279
05 MORANG 31988 11025 3870 51 4087 754 35 13 515 0 0 0 4 1949 2153 7 95 9551
06 SUNSARI 29920 9199 4968 49 4042 1309 11 56 643 0 0 0 6 1997 2281 28 129 5865
07 DHANKUTA 14696 6295 1606 11 1490 125 1 0 163 2 0 0 1 494 1376 0 41 3605
08 TERHATHUM 10462 3352 1202 52 769 336 1 4 118 0 0 0 77 483 1358 4 8 2803
09 SANKHUWASABHA 14540 3842 2608 39 1700 237 13 10 129 0 0 0 17 582 1791 9 67 3248
10 BHOJPUR 16169 5301 1427 18 1965 532 2 9 192 6 17 0 8 852 1833 17 15 3618
11 SOLUKHUMBU 12722 5227 1893 138 1551 355 7 16 132 4 3 0 2 506 926 16 10 1954
12 OKHALDHUNGA 20754 7048 2567 36 2201 773 8 8 321 1 0 0 4 983 2029 133 6 5019
13 KHOTANG 18594 5732 2616 59 2284 1186 20 54 570 0 4 0 11 1076 1806 36 41 3677
14 UDAYAPUR 17906 5146 2429 100 2685 865 51 16 633 0 0 0 12 1240 1793 11 16 4621
Province 2 238525 67533 24094 648 47460 13293 267 1008 6985 0 2 0 555 22017 23839 903 938 47142
15 SAPTARI 30658 8765 1752 40 6311 1800 7 46 917 0 0 0 3 2402 2916 302 23 6368
16 SIRAHA 39625 12439 4243 70 6210 2185 35 300 778 0 0 0 13 2636 3762 79 66 8573
17 DHANUSA 29144 9888 3321 63 6229 1321 0 105 982 0 0 0 27 2676 1363 98 153 4475
18 MAHOTTARI 24659 7925 3403 60 4369 1580 4 119 822 0 0 0 15 2368 2014 58 176 6080
19 SARLAHI 18453 6319 2020 9 4002 1002 9 37 525 0 2 0 9 1538 1652 121 24 3117
32 RAUTAHAT 35343 8325 4288 175 7958 2543 147 198 1276 0 0 0 56 4098 3608 68 143 4807
33 BARA 31489 7350 2619 114 7344 1155 22 105 979 0 0 0 39 3157 3915 70 198 7441
34 PARSA 29154 6522 2448 117 5037 1707 43 98 706 0 0 0 393 3142 4609 107 155 6281
Province 3 225950 65907 29161 783 33930 5261 166 316 4476 42 27 0 632 9497 25049 1287 569 54402
20 SINDHULI 12395 3370 2478 42 1850 522 16 2 200 1 3 0 19 648 1688 105 11 2192
21 RAMECHHAP 17991 5819 2526 52 2278 320 7 10 252 0 0 0 15 603 2020 43 0 4457
22 DOLAKHA 15737 5829 1795 93 2815 520 17 0 440 8 0 0 18 626 2064 38 18 2618
23 SINDHUPALCHOK 22502 6856 3151 68 3235 689 26 9 549 7 1 0 31 890 2882 70 8 4516
24 KAVRE 20849 7132 2254 38 3161 488 7 7 217 0 0 0 25 652 2895 52 24 10286
25 LALITPUR 21186 6105 2359 8 2500 191 1 19 219 3 0 0 22 557 936 80 61 4421
26 BHAKTAPUR 7483 2466 823 25 1094 65 1 2 108 2 0 0 13 261 1047 22 8 1949
27 KATHMANDU 15895 4398 1809 25 2795 268 5 20 267 8 18 0 34 746 1492 103 98 3987
28 NUWAKOT 13312 3650 1641 23 2110 248 1 36 233 0 5 0 11 613 2040 125 4 2438
29 RASUWA 5748 2042 576 17 1005 160 1 2 100 0 0 0 0 255 668 16 0 913
30 DHADING 23832 6735 3936 209 4025 722 24 81 801 0 0 0 22 1143 3000 139 152 5392
31 MAKWANPUR 18514 5334 2007 93 2838 638 25 59 442 13 0 0 11 851 2024 270 32 3716
35 CHITAWAN 30506 6171 3806 90 4224 430 35 69 648 0 0 0 411 1652 2293 224 153 7517
Province 4 128130 41230 12312 137 16325 2515 21 82 1801 24 28 0 51 5393 18332 109 369 34655
36 GORKHA 23670 6297 2139 17 3238 691 5 26 407 0 0 0 11 963 3711 54 57 6099
37 LAMJUNG 12635 3215 1057 7 1408 162 4 11 122 2 2 0 11 437 2514 8 31 3197
38 TANAHU 11338 3701 1149 9 1107 317 1 4 74 7 8 0 2 469 1380 7 34 3061
39 SYANGJA 11316 4415 862 23 2055 134 2 7 80 3 5 0 3 528 1559 4 29 2209
40 KASKI 11875 4868 1061 26 1404 178 0 10 76 0 2 0 6 363 1440 3 67 2741
41 MANANG 592 227 76 0 99 14 0 1 2 0 0 0 0 15 84 0 0 98
42 MUSTANG 2415 1012 229 2 277 95 1 0 29 2 0 0 1 57 227 0 37 581
43 MYAGDI 10713 3229 831 24 1503 144 1 4 174 7 0 0 2 499 1788 5 4 2448
44 PARBAT 10494 3293 1882 7 975 114 2 0 137 0 11 0 4 275 1769 13 7 2170
45 BAGLUNG 20856 7520 2066 18 2593 531 4 11 602 0 0 0 8 1138 2370 12 7 4197
48.1 NAWALPUR 12226 3453 960 4 1666 135 1 8 98 3 0 0 3 649 1490 3 96 7854
Province 5 285888 78018 24880 583 48160 7251 372 464 8002 56 66 0 104 15351 30143 2035 762 73964
46 GULMI 19194 6555 1360 1 2397 324 0 16 293 0 0 0 10 631 1991 95 33 1881
47 PALPA 24759 5107 2276 41 2380 634 164 39 226 0 0 0 1 665 2863 25 202 5445
48 NAWALPARASI 16862 4574 944 9 3088 139 4 11 366 0 0 0 0 701 3429 37 32 5735
49 RUPANDEHI 32906 9224 2078 7 6578 686 0 58 1068 1 0 0 25 2126 2822 81 87 8389
50 KAPILBASTU 37533 8581 1708 118 9403 1578 138 146 1856 0 0 0 2 3201 4560 968 99 6516
51 ARGHAKHANCHI 10330 3376 1520 36 1377 231 7 6 163 0 1 0 2 436 1099 70 7 1831
52 PYUTHAN 24319 6016 2432 89 3797 786 12 23 760 0 0 0 3 1407 2634 42 42 7178
53 ROLPA 19521 4998 3066 65 4101 651 16 20 530 4 3 0 11 1159 2422 49 14 4318
54 RUKUM 4347 1234 754 32 971 272 5 9 145 0 0 0 0 209 392 13 11 516
56 DANG 37288 10934 3593 84 5218 566 21 99 1244 47 46 0 39 1929 2977 105 44 11260
57 BANKE 28252 6772 2649 27 5110 710 3 26 659 0 8 0 3 1798 1834 69 126 8258
58 BARDIYA 30577 10647 2500 74 3740 674 2 11 692 4 8 0 8 1089 3120 481 65 12637
Province 6 147123 42001 17598 765 28338 8067 326 750 5156 51 20 0 90 8187 17980 2190 359 27547
54.1 RUKUM WEST 13472 3791 1791 71 2377 565 9 43 496 0 0 0 16 626 2093 61 138 2929
55 SALYAN 16685 5439 2563 40 3163 682 24 7 510 7 0 0 0 957 2640 37 3 2876
59 SURKHET 32987 9316 2962 67 5165 818 25 5 947 0 0 0 2 1649 3978 57 26 8977
60 DAILEKH 21390 5887 2541 130 3810 1176 42 11 486 0 0 0 1 966 2627 32 7 4609
61 JAJARKOT 18307 5347 1666 92 3886 900 27 72 606 0 0 0 26 1152 2022 273 15 3088
62 DOLPA 4775 1414 746 96 813 483 74 110 287 7 10 0 32 331 414 46 26 168
63 JUMLA 8827 2713 1721 40 2165 814 18 34 364 0 0 0 2 524 408 119 21 991
64 KALIKOT 15927 3791 1815 95 3927 1163 24 66 596 0 3 0 0 753 2959 1085 77 2918
65 MUGU 7536 2047 956 71 1472 591 30 159 552 36 4 0 4 619 426 368 40 684
66 HUMLA 7217 2256 837 63 1560 875 53 243 312 1 3 0 7 610 413 112 6 307
Province 7 219885 67048 21447 788 40707 7266 164 342 6932 30 51 0 41 9920 39264 3155 770 62820
67 BAJURA 19891 4403 2605 85 3813 1770 38 58 810 13 0 0 0 753 3055 576 133 4209
68 BAJHANG 16484 4946 2305 133 3522 1237 27 29 626 1 2 0 13 673 1423 314 56 2134
69 ACHHAM 50382 19026 3814 125 13294 829 25 62 1683 11 2 0 10 2410 15743 787 260 22751
70 DOTI 17231 4801 1705 106 3668 746 17 34 814 3 8 0 0 1140 2951 21 2 2960
71 KAILALI 38822 11739 2261 100 4838 696 29 52 953 1 5 0 15 1814 4941 94 251 12261
72 KANCHANPUR 24873 6861 2190 48 3740 501 2 19 657 0 0 0 1 1074 3315 727 36 7010
73 DADELDHURA 13224 4027 1466 40 2252 193 1 13 385 0 0 0 2 564 2289 167 1 2563
74 BAITADI 25445 7278 3203 85 3746 880 20 64 567 1 34 0 0 926 3635 452 22 6134
75 DARCHAULA 13533 3967 1898 66 1834 414 5 11 437 0 0 0 0 566 1912 17 9 2798
Raw Data: CBIMCI (Sheet 4 of 11)
Anti-helminthes
Follow-up
ORS & Zinc
Vitamin A
Amoxycilline
District Name
Paediatrics
antibiotics
IV Fluid
Diarrhoea
Diarrhoea
Total
Cotrim
Others
Others
Other
ARI
ARI
Nepal 1511031 93345 145493 146175 301184 7735 36408 18978 1658 892 8176 130478 91 33 271
Province 1 265530 17461 28380 28530 38925 1113 6200 2078 427 206 3605 28470 11 7 52
01 TAPLEJUNG 12896 1102 587 723 2265 37 890 685 23 5 125 1816 0 0 7
02 PANCHTHAR 17221 1214 1250 1714 2046 25 95 16 18 5 45 1876 0 0 0
03 ILAM 13308 1425 1057 410 1484 37 112 31 24 12 10 2293 2 0 10
04 JHAPA 34354 3295 3660 4787 5593 179 1740 310 118 73 199 3271 0 0 1
05 MORANG 31988 252 4494 5457 4958 108 715 26 34 0 64 2692 0 0 0
06 SUNSARI 29920 2722 3924 2686 4540 340 682 170 41 32 2301 3353 0 0 0
07 DHANKUTA 14696 576 998 336 1565 27 83 2 22 6 80 1358 0 0 0
08 TERHATHUM 10462 703 1904 1247 1278 15 309 240 12 1 8 345 0 0 3
09 SANKHUWASABHA 14540 1387 720 2406 1881 46 222 10 6 18 62 1263 0 0 0
10 BHOJPUR 16169 847 1094 2265 2453 18 131 31 17 1 59 1190 1 0 1
11 SOLUKHUMBU 12722 1315 1600 1332 1998 48 193 47 28 34 57 1391 4 1 0
12 OKHALDHUNGA 20754 1861 1932 2138 2908 4 251 92 5 0 91 2504 0 0 30
13 KHOTANG 18594 693 2232 604 2872 148 327 340 38 10 456 3052 2 5 0
14 UDAYAPUR 17906 69 2928 2425 3084 81 450 78 41 9 48 2066 2 1 0
Province 2 238525 13712 44083 21229 62278 2282 9977 8577 313 262 1622 25213 23 16 5
15 SAPTARI 30658 971 2444 3909 8816 88 907 243 6 29 76 3232 0 0 0
16 SIRAHA 39625 1016 7228 4467 8194 270 889 6226 44 42 63 3859 14 0 0
17 DHANUSA 29144 1522 4360 2473 7506 115 1636 264 33 29 106 3369 0 0 3
18 MAHOTTARI 24659 1681 4914 1705 6339 234 1323 249 28 5 69 3374 0 0 0
19 SARLAHI 18453 1039 2979 1092 5429 78 522 177 56 43 112 1822 8 8 2
32 RAUTAHAT 35343 995 7998 2358 10401 627 2125 808 67 44 88 5815 0 0 0
33 BARA 31489 3958 5901 2479 8783 568 1022 257 46 18 1069 2335 1 8 0
34 PARSA 29154 2530 8259 2746 6810 302 1553 353 33 52 39 1407 0 0 0
Province 3 225950 19527 11394 19165 39647 1026 3854 1515 263 115 696 16988 7 4 55
20 SINDHULI 12395 1705 1523 1504 2454 28 322 161 12 10 30 1116 0 0 0
21 RAMECHHAP 17991 1584 329 573 2550 12 154 14 9 0 24 1020 0 0 0
22 DOLAKHA 15737 1151 356 295 3587 129 238 229 12 49 17 1066 0 0 5
23 SINDHUPALCHOK 22502 2732 610 3230 3976 242 278 85 29 8 59 2085 1 0 0
24 KAVRE 20849 1838 646 1762 3413 49 236 98 9 10 47 1431 1 1 0
25 LALITPUR 21186 1417 741 1626 2917 39 284 163 9 5 60 1455 0 0 18
26 BHAKTAPUR 7483 547 93 770 1177 10 143 64 6 1 49 817 0 0 0
27 KATHMANDU 15895 524 1428 2235 2893 180 256 71 17 2 80 1395 0 0 0
28 NUWAKOT 13312 1652 18 190 2471 22 189 99 7 3 27 1191 0 0 1
29 RASUWA 5748 579 25 266 1254 1 57 40 9 0 8 534 1 0 0
30 DHADING 23832 3070 713 2199 5119 134 313 76 91 17 160 2348 1 1 0
31 MAKWANPUR 18514 1195 1965 1762 3370 113 535 296 23 2 50 1136 0 2 12
35 CHITAWAN 30506 1533 2947 2753 4466 67 849 119 30 8 85 1394 3 0 19
Province 4 128130 7133 9331 17954 18794 285 1487 233 141 71 354 10826 12 1 33
36 GORKHA 23670 558 2087 5662 3982 28 338 54 11 12 62 1856 3 0 0
37 LAMJUNG 12635 485 1168 1093 1464 32 61 13 12 3 14 388 3 1 15
38 TANAHU 11338 617 1621 1431 1538 45 223 2 6 15 15 856 0 0 0
39 SYANGJA 11316 571 1140 1409 2237 59 142 29 40 10 63 1295 0 0 2
40 KASKI 11875 875 406 1151 1401 51 111 17 10 4 65 601 6 0 12
41 MANANG 592 31 27 103 114 0 3 1 0 0 0 58 0 0 0
42 MUSTANG 2415 270 148 515 299 28 35 3 1 6 10 141 0 0 4
43 MYAGDI 10713 858 197 1086 1729 8 56 15 2 12 33 1063 0 0 0
44 PARBAT 10494 1329 571 1632 1116 18 58 46 16 1 18 1023 0 0 0
45 BAGLUNG 20856 774 1624 1513 3112 7 202 32 29 2 40 2479 0 0 0
48.1 NAWALPUR 12226 765 342 2359 1802 9 258 21 14 6 34 1066 0 0 0
Province 5 285888 9744 26007 29635 54520 937 4792 2214 204 74 737 15504 13 1 74
46 GULMI 19194 90 915 987 488 0 3 0 1 1 0 260 0 0 0
47 PALPA 24759 112 2895 2582 2821 196 53 11 21 15 64 1090 4 0 17
48 NAWALPARASI 16862 1018 491 2587 3478 1 367 50 4 4 21 875 0 0 0
49 RUPANDEHI 32906 1660 2825 3311 7105 112 427 72 20 6 72 1195 0 0 0
50 KAPILBASTU 37533 2015 6026 4118 11038 339 1268 634 58 26 139 2952 2 0 0
51 ARGHAKHANCHI 10330 148 1000 2336 1432 41 103 36 8 2 12 959 0 0 20
52 PYUTHAN 24319 68 1431 1022 4595 0 222 65 17 6 28 1215 0 0 0
53 ROLPA 19521 1872 1340 1236 5617 58 238 72 10 3 52 1436 0 0 0
54 RUKUM 4347 483 340 180 1181 40 58 18 1 5 8 51 0 0 0
56 DANG 37288 147 5243 7706 5897 61 761 112 18 1 103 2358 0 0 1
57 BANKE 28252 1285 1679 1449 6339 61 910 840 4 4 51 654 0 1 12
58 BARDIYA 30577 846 1822 2121 4529 28 382 304 42 1 187 2459 7 0 24
Province 6 147123 9435 11941 11648 37175 975 5456 2219 101 82 592 12309 5 2 37
54.1 RUKUM WEST 13472 1648 708 1092 3103 196 479 49 16 6 106 906 4 1 29
55 SALYAN 16685 32 3683 2177 3938 6 185 35 4 0 7 1542 0 0 0
59 SURKHET 32987 2551 217 261 5850 10 705 72 7 11 85 2144 0 0 1
60 DAILEKH 21390 621 2311 2461 5236 193 313 412 6 3 108 1115 1 0 6
61 JAJARKOT 18307 156 1872 2805 6064 84 659 252 19 14 28 1478 0 0 0
62 DOLPA 4775 330 597 449 999 145 250 67 5 7 61 720 0 0 0
63 JUMLA 8827 1129 596 535 2717 11 390 172 4 10 85 1157 0 1 0
64 KALIKOT 15927 1824 59 8 5051 41 915 679 7 5 81 1773 0 0 1
65 MUGU 7536 594 789 1105 2055 170 890 233 13 11 27 620 0 0 0
66 HUMLA 7217 550 1109 755 2162 119 670 248 20 15 4 854 0 0 0
Province 7 219885 16333 14357 18014 49845 1117 4642 2142 209 82 570 21168 20 2 15
67 BAJURA 19891 1836 1566 1818 5787 221 334 207 3 2 31 3923 2 1 0
68 BAJHANG 16484 1210 2254 1191 5294 33 685 175 9 8 90 1533 0 1 1
69 ACHHAM 50382 4210 828 3282 14046 129 891 592 30 11 171 6158 1 0 2
70 DOTI 17231 728 2618 1245 4908 45 370 86 48 35 24 1032 0 0 3
71 KAILALI 38822 1755 1208 1499 5915 362 676 103 56 15 113 2097 1 0 0
72 KANCHANPUR 24873 2279 1995 2749 3999 166 876 702 40 7 78 1346 0 0 0
73 DADELDHURA 13224 1409 518 2039 2874 18 196 67 5 3 27 777 2 0 3
74 BAITADI 25445 2154 1770 2340 4746 132 526 199 14 1 24 2320 2 0 1
75 DARCHAULA 13533 752 1600 1851 2276 11 88 11 4 0 12 1982 12 0 5
Raw Data: CBIMCI (Sheet 5 of 11)
Ear infection
malnutrition
Other fever
Dehydration
Dehydration
Dehydration
Measeles
District Name
Anaemia
very severe
pneumonia
Pneumonia
Prolonged
Dysentery
Sev Pneu/
Diarrhoea
Severe
Other
Total
disease
Severe
Some
No
No
Nepal 261709 104928 23097 690 67337 14525 181 465 4009 99 4681 17298 689 603 23772
Province 1 51377 21731 6130 104 10953 3217 52 36 521 10 912 2800 42 89 3656
01 TAPLEJUNG 4568 1702 510 11 714 408 8 4 45 0 143 545 7 24 388
02 PANCHTHAR 2768 1284 347 1 457 208 2 0 5 0 26 180 0 0 241
03 ILAM 3199 1471 486 6 680 135 2 0 11 2 52 233 0 0 186
04 JHAPA 9958 3791 891 16 2232 445 0 0 56 1 117 321 0 0 351
05 MORANG 6710 3207 1017 20 1847 345 13 0 44 0 45 133 0 38 368
06 SUNSARI 5170 2226 868 7 1343 576 0 0 54 1 48 200 2 1 154
07 DHANKUTA 1450 759 170 0 240 34 0 0 20 0 20 106 0 0 141
08 TERHATHUM 1007 446 76 0 165 38 0 0 10 0 14 74 0 0 132
09 SANKHUWASABHA 1016 411 89 6 316 13 0 0 8 0 15 76 2 2 129
10 BHOJPUR 2813 1269 175 11 663 92 0 2 19 0 73 165 0 0 285
11 SOLUKHUMBU 1427 759 156 18 240 62 1 0 8 1 26 62 0 7 142
12 OKHALDHUNGA 3354 1385 476 0 573 237 1 0 25 0 68 155 2 3 377
13 KHOTANG 5232 2017 516 5 901 421 5 30 139 5 177 399 25 2 455
14 UDAYAPUR 2705 1004 353 3 582 203 20 0 77 0 88 151 4 12 307
Province 2 78838 31163 7367 224 22106 5644 51 132 1073 8 1728 4175 160 182 5870
15 SAPTARI 11480 4776 342 30 3520 801 1 7 118 2 239 531 4 2 989
16 SIRAHA 9885 3600 1140 14 2302 921 4 51 92 0 133 462 7 15 866
17 DHANUSA 13030 5574 906 9 3677 584 2 22 127 1 281 428 8 20 457
18 MAHOTTARI 11724 5679 1223 28 3174 893 4 10 164 1 128 281 14 17 916
19 SARLAHI 4034 1488 233 23 1198 241 4 0 65 0 93 188 83 5 294
32 RAUTAHAT 13554 4701 1958 64 3961 1181 29 32 333 4 361 1127 11 30 1051
33 BARA 6075 2511 393 21 2072 248 4 4 60 0 125 339 7 29 548
34 PARSA 9056 2834 1172 35 2202 775 3 6 114 0 368 819 26 64 749
Province 3 27003 11611 2033 55 6990 1024 8 85 228 16 297 1860 85 21 2658
20 SINDHULI 3008 1486 404 4 623 160 1 2 11 0 35 208 2 0 184
21 RAMECHHAP 1741 789 116 3 320 60 0 2 7 0 9 152 3 0 80
22 DOLAKHA 1734 834 116 7 507 51 0 0 13 0 16 102 0 2 83
23 SINDHUPALCHOK 2874 1266 296 0 709 77 1 0 27 0 28 257 21 0 287
24 KAVRE 3327 1377 218 8 925 222 0 1 9 1 39 231 3 4 536
25 LALITPUR 1678 580 56 0 475 42 0 0 16 0 9 136 3 0 137
26 BHAKTAPUR 762 365 47 0 228 15 0 5 3 7 11 46 6 0 73
27 KATHMANDU 1397 631 42 0 543 28 1 0 10 0 0 31 2 0 146
28 NUWAKOT 2628 1166 111 16 693 107 1 0 34 2 35 168 9 7 270
29 RASUWA 615 266 28 0 158 22 0 0 11 0 7 26 2 0 67
30 DHADING 3289 1483 189 16 829 127 3 40 21 2 37 200 1 7 367
31 MAKWANPUR 2036 699 211 1 466 75 1 15 50 0 39 210 8 0 176
35 CHITAWAN 1914 669 199 0 514 38 0 20 16 4 32 93 25 1 252
Province 4 14172 5567 765 33 2963 394 2 20 233 0 204 1373 16 18 1995
36 GORKHA 3510 1186 142 7 737 146 0 0 36 0 5 410 3 13 720
37 LAMJUNG 884 331 42 0 212 10 0 0 13 0 5 101 1 2 92
38 TANAHU 920 359 46 3 177 67 0 0 3 0 1 110 2 0 114
39 SYANGJA 2091 1019 98 12 464 29 1 2 5 0 9 144 2 0 201
40 KASKI 862 327 88 6 175 24 0 0 15 0 8 60 1 1 127
41 MANANG 55 18 1 0 27 0 0 0 0 0 1 3 0 0 3
42 MUSTANG 98 53 3 0 17 7 0 0 0 0 0 5 0 0 7
43 MYAGDI 920 354 8 0 235 9 0 0 4 0 28 113 0 2 146
44 PARBAT 916 288 123 0 87 2 0 0 21 0 3 74 2 0 73
45 BAGLUNG 2808 1323 173 4 516 97 1 18 91 0 84 248 2 0 273
48.1 NAWALPUR 1108 309 41 1 316 3 0 0 45 0 60 105 3 0 239
Province 5 32128 11705 2194 50 8519 1334 5 24 523 9 420 1587 106 120 3350
46 GULMI 3038 1382 145 0 608 37 0 0 18 0 7 36 0 7 10
47 PALPA 1316 594 106 0 261 0 0 0 1 0 0 143 0 4 239
48 NAWALPARASI 2041 545 19 0 529 9 0 0 6 0 15 118 0 0 423
49 RUPANDEHI 6671 2315 236 0 2012 322 0 3 76 1 73 317 0 20 985
50 KAPILBASTU 4776 1708 273 7 1447 394 0 8 213 1 84 309 61 66 388
51 ARGHAKHANCHI 799 444 80 7 169 18 0 3 3 0 15 30 2 0 38
52 PYUTHAN 2783 906 348 2 741 153 5 0 15 0 42 131 3 0 318
53 ROLPA 3921 1334 280 8 1058 165 0 0 89 0 102 206 18 1 205
54 RUKUM 1512 594 164 7 416 52 0 5 47 0 30 95 2 0 93
56 DANG 1405 529 106 3 372 45 0 0 26 7 33 60 2 7 257
57 BANKE 2673 868 333 15 640 85 0 5 26 0 17 96 10 9 239
58 BARDIYA 1193 486 104 1 266 54 0 0 3 0 2 46 8 6 155
Province 6 24760 9442 2371 77 6720 1729 36 99 743 16 651 1669 166 54 1494
54.1 RUKUM WEST 1634 706 106 0 528 99 0 8 52 3 73 66 0 38 158
55 SALYAN 3500 1433 494 0 840 288 3 2 124 0 56 374 14 0 118
59 SURKHET 2992 1326 146 0 772 190 0 0 28 0 35 171 6 1 356
60 DAILEKH 4882 1537 459 24 1358 233 1 1 65 0 71 412 10 0 324
61 JAJARKOT 4260 1482 354 11 1190 235 14 28 208 1 175 245 43 6 238
62 DOLPA 966 393 94 11 237 45 5 2 29 11 33 21 9 2 7
63 JUMLA 2040 891 295 10 505 221 0 1 91 0 66 86 5 0 70
64 KALIKOT 1513 555 109 9 455 161 0 4 35 0 36 158 9 0 92
65 MUGU 1667 593 174 12 407 125 5 18 69 1 74 118 68 7 91
66 HUMLA 1306 526 140 0 428 132 8 35 42 0 32 18 2 0 40
Province 7 33431 13709 2237 147 9086 1183 27 69 688 40 469 3834 114 119 4749
67 BAJURA 3507 1245 385 30 692 245 19 11 93 0 62 308 14 12 356
68 BAJHANG 4344 1769 504 73 1224 311 6 8 205 6 100 269 16 14 285
69 ACHHAM 9314 4016 194 12 3002 97 0 14 163 0 206 1587 51 70 2618
70 DOTI 4771 1735 314 12 1283 205 0 3 82 0 61 484 12 2 377
71 KAILALI 2555 1256 157 5 727 59 0 0 39 0 11 164 5 6 313
72 KANCHANPUR 1476 556 74 2 403 29 0 23 3 34 0 203 3 0 130
73 DADELDHURA 1582 544 104 6 491 11 0 0 17 0 3 179 4 8 173
74 BAITADI 2981 1207 324 5 685 119 0 4 45 0 9 333 8 2 271
75 DARCHAULA 2901 1381 181 2 579 107 2 6 41 0 17 307 1 5 226
Raw Data: CBIMCI (Sheet 6 of 11)
Anti-helminthes
Only
Follow-up
ORS & Zinc
Vitamin A
Amoxycilline
District Name
Paediatrics
Diarrhoea
Diarrhoea
Total
Cotrim
Others
Others
ARI
ARI
Nepal 261709 6098 15491 76171 6421 2010 1199 434 1017 14663 25 0 34
Province 1 51377 1350 3172 12770 980 252 454 101 453 3725 5 0 1
01 TAPLEJUNG 4568 263 294 1002 266 99 55 7 8 463 0 0 1
02 PANCHTHAR 2768 112 216 665 13 1 4 4 3 126 0 0 0
03 ILAM 3199 92 397 825 28 7 44 3 14 200 2 0 0
04 JHAPA 9958 147 553 2049 173 43 176 55 30 701 0 0 0
05 MORANG 6710 5 28 1968 166 11 14 0 0 470 3 0 0
06 SUNSARI 5170 181 564 1572 113 45 38 12 292 436 0 0 0
07 DHANKUTA 1450 23 119 304 12 1 24 4 0 16 0 0 0
08 TERHATHUM 1007 30 119 334 23 2 4 0 4 36 0 0 0
09 SANKHUWASABHA 1016 62 24 313 3 0 3 0 3 36 0 0 0
10 BHOJPUR 2813 44 62 1091 11 1 8 8 27 137 0 0 0
11 SOLUKHUMBU 1427 102 127 224 9 0 13 1 0 68 0 0 0
12 OKHALDHUNGA 3354 230 334 697 40 1 18 0 7 318 0 0 0
13 KHOTANG 5232 59 325 1048 80 33 29 3 58 419 0 0 0
14 UDAYAPUR 2705 0 10 678 43 8 24 4 7 299 0 0 0
Province 2 78838 695 5776 25268 2871 876 301 151 101 6291 5 0 0
15 SAPTARI 11480 129 381 4178 256 60 26 29 1 798 0 0 0
16 SIRAHA 9885 42 798 2963 256 92 30 24 5 737 3 0 0
17 DHANUSA 13030 75 361 3375 474 164 6 5 4 568 1 0 0
18 MAHOTTARI 11724 97 938 4004 348 27 39 25 10 559 0 0 0
19 SARLAHI 4034 63 255 1215 124 40 16 5 0 102 0 0 0
32 RAUTAHAT 13554 119 1376 4436 755 194 56 25 6 2216 0 0 0
33 BARA 6075 67 374 2309 243 90 113 33 22 350 1 0 0
34 PARSA 9056 103 1293 2788 415 209 15 5 53 961 0 0 0
Province 3 27003 1192 818 8106 360 154 79 15 131 846 0 0 7
20 SINDHULI 3008 233 254 823 56 7 12 3 5 135 0 0 0
21 RAMECHHAP 1741 54 44 421 8 0 13 0 40 31 0 0 0
22 DOLAKHA 1734 78 12 715 7 1 3 0 6 129 0 0 0
23 SINDHUPALCHOK 2874 187 54 802 36 9 5 6 10 96 0 0 0
24 KAVRE 3327 183 75 1158 7 2 3 3 2 137 0 0 0
25 LALITPUR 1678 33 21 452 13 2 4 0 0 26 0 0 6
26 BHAKTAPUR 762 40 0 213 21 7 0 0 5 10 0 0 0
27 KATHMANDU 1397 9 45 546 10 4 1 0 25 38 0 0 0
28 NUWAKOT 2628 100 4 803 45 16 7 3 7 88 0 0 0
29 RASUWA 615 23 5 173 0 0 5 0 6 11 0 0 0
30 DHADING 3289 155 19 882 13 6 20 0 21 91 0 0 0
31 MAKWANPUR 2036 48 166 561 73 73 2 0 2 32 0 0 0
35 CHITAWAN 1914 49 119 557 71 27 4 0 2 22 0 0 1
Province 4 14172 391 1049 3277 141 28 35 4 62 440 1 0 16
36 GORKHA 3510 51 271 811 22 1 6 1 3 154 1 0 0
37 LAMJUNG 884 4 47 200 5 1 2 0 3 12 0 0 6
38 TANAHU 920 31 79 223 6 0 2 0 0 10 0 0 0
39 SYANGJA 2091 47 365 499 16 7 12 1 4 38 0 0 0
40 KASKI 862 73 9 174 10 3 3 1 18 20 0 0 10
41 MANANG 55 6 1 27 1 0 0 0 0 1 0 0 0
42 MUSTANG 98 4 4 26 0 0 0 0 0 2 0 0 0
43 MYAGDI 920 15 14 230 0 0 2 0 12 21 0 0 0
44 PARBAT 916 67 23 97 18 2 1 0 4 42 0 0 0
45 BAGLUNG 2808 75 202 731 39 12 6 0 18 74 0 0 0
48.1 NAWALPUR 1108 18 34 259 24 2 1 1 0 66 0 0 0
Province 5 32128 560 1728 8666 558 167 51 28 92 763 4 0 0
46 GULMI 3038 0 0 21 0 0 0 0 0 4 0 0 0
47 PALPA 1316 7 145 251 5 2 1 1 2 11 0 0 0
48 NAWALPARASI 2041 11 5 540 13 1 1 0 0 5 0 0 0
49 RUPANDEHI 6671 136 189 2000 163 13 9 3 49 77 0 0 0
50 KAPILBASTU 4776 117 428 1624 178 76 24 21 13 283 0 0 0
51 ARGHAKHANCHI 799 1 11 114 8 8 0 0 0 8 0 0 0
52 PYUTHAN 2783 7 343 899 16 4 3 1 3 79 0 0 0
53 ROLPA 3921 114 166 1364 45 8 7 1 8 66 0 0 0
54 RUKUM 1512 90 154 471 24 6 2 0 1 2 0 0 0
56 DANG 1405 1 2 371 31 2 1 1 9 16 0 0 0
57 BANKE 2673 45 253 719 72 47 0 0 3 125 4 0 0
58 BARDIYA 1193 31 32 292 3 0 3 0 4 87 0 0 0
Province 6 24760 762 1035 8227 1011 394 134 48 54 1176 1 0 1
54.1 RUKUM WEST 1634 96 50 646 73 28 1 7 0 55 0 0 0
55 SALYAN 3500 0 9 1162 32 3 5 3 3 99 0 0 0
59 SURKHET 2992 63 83 895 49 0 3 0 2 97 0 0 0
60 DAILEKH 4882 39 386 1740 107 131 29 6 12 149 0 0 0
61 JAJARKOT 4260 13 108 1534 253 107 49 22 11 200 0 0 1
62 DOLPA 966 14 50 223 41 4 9 3 2 128 0 0 0
63 JUMLA 2040 211 136 582 72 49 2 0 4 242 0 0 0
64 KALIKOT 1513 113 5 614 63 11 13 4 9 47 0 0 0
65 MUGU 1667 130 40 399 201 30 4 3 5 36 1 0 0
66 HUMLA 1306 83 168 432 120 31 19 0 6 123 0 0 0
Province 7 33431 1148 1913 9857 500 139 145 87 124 1422 9 0 9
67 BAJURA 3507 130 249 853 100 67 13 8 11 546 5 0 2
68 BAJHANG 4344 518 485 1608 69 14 30 20 15 115 0 0 4
69 ACHHAM 9314 228 133 3032 125 27 22 24 53 262 1 0 0
70 DOTI 4771 23 472 1379 52 8 11 9 24 175 1 0 1
71 KAILALI 2555 63 91 687 52 9 6 4 0 37 0 0 0
72 KANCHANPUR 1476 30 44 431 37 3 31 21 7 48 0 0 0
73 DADELDHURA 1582 46 49 469 16 7 2 0 12 14 0 0 0
74 BAITADI 2981 72 211 748 20 1 17 0 0 139 0 0 0
75 DARCHAULA 2901 38 179 650 29 3 13 1 2 86 2 0 2
Raw Data: CBIMCI (Sheet 7 of 11)
FCHV
Below 2 months 2 - 59 months Death
Treated with
District Name Sick baby No Treated Total cases Treated ORS Zinc
cotrim & refered Total cases ≤ 28 29-59 2-59
pneumonia with of with ORS expenditure expenditure
≤ 28 29-59 ≤ 28 29-59 of ARI Days Days months
cases cotrim diarrhoea & Zinc (packet) (tablet)
Days Days Days Days
Nepal 13019 29414 6342 14496 1059834 904605 166202 800936 713728 1154049 6900426 1043 60 115
Province 1 2607 5214 1656 3691 199118 159240 43814 130616 109103 192880 988945 168 11 25
01 TAPLEJUNG 123 341 105 316 4198 3677 1086 3075 2547 5450 20683 42 0 2
02 PANCHTHAR 41 67 38 56 9435 8230 1254 4518 4532 6698 43881 4 0 0
03 ILAM 35 74 18 34 13552 12070 2302 7765 6241 12652 54272 12 0 2
04 JHAPA 383 671 201 416 31661 23486 7533 19965 18244 33144 171926 16 2 0
05 MORANG 512 1009 348 706 36447 28779 9084 22642 19953 32765 196703 7 1 4
06 SUNSARI 654 907 534 698 25898 20024 6429 24336 17600 31262 141261 9 1 0
07 DHANKUTA 92 351 67 201 11252 6678 1842 4935 4823 7476 45314 0 0 0
08 TERHATHUM 217 255 19 203 7500 6299 1273 4301 3434 6435 30967 6 1
09 SANKHUWASABHA 52 195 35 96 4992 4941 953 2633 2601 4582 21889 4 0 7
10 BHOJPUR 116 152 32 78 9649 8806 1540 6108 4556 8912 35587 22 1 1
11 SOLUKHUMBU 64 110 43 125 5103 4158 1712 3809 2479 4874 16776 4 0 0
12 OKHALDHUNGA 77 333 30 81 16917 14603 2702 10028 7973 13410 77004 10 2 1
13 KHOTANG 71 380 64 332 10091 7368 3428 7443 6308 11274 58253 23 4 6
14 UDAYAPUR 170 369 122 349 12423 10121 2676 9058 7812 13946 74429 9 0 1
Province 2 2105 4902 1121 2626 158249 134154 26748 116656 107160 159328 932435 70 1 3
15 SAPTARI 128 464 61 273 20532 19444 1371 16481 14489 24352 121767 0 0 0
16 SIRAHA 210 659 74 217 27320 21967 4714 18667 15835 24942 141450 13 0 0
17 DHANUSA 108 318 48 67 23991 20820 2146 16399 13345 21647 129853 0 0 0
18 MAHOTTARI 355 939 289 601 17744 14575 3869 13096 11540 18591 99798 1 0 0
19 SARLAHI 135 327 60 196 14228 12056 1813 7984 7609 9769 64490 2 0 1
32 RAUTAHAT 784 900 373 666 17710 13954 4723 14620 15841 19716 127215 34 0 1
33 BARA 222 917 118 306 20844 18260 3032 15938 16091 22147 136613 17 1 1
34 PARSA 163 378 98 300 15880 13078 5080 13471 12410 18164 111249 3 0 0
Province 3 1794 4740 534 1400 166767 151819 15862 133692 119193 222340 1507330 155 9 25
20 SINDHULI 75 205 39 128 15637 11393 4347 9981 9243 14830 83601 17 2 5
21 RAMECHHAP 17 125 3 22 16408 15266 427 12636 10926 19757 103289 6 1 0
22 DOLAKHA 27 170 3 23 11887 11660 431 9503 8254 17970 545998 7 0 0
23 SINDHUPALCHOK 97 361 23 108 11694 11528 411 9203 7867 14719 69195 37 2 4
24 KAVRE 195 429 50 123 18572 17652 379 12327 12618 19808 98392 13 0 3
25 LALITPUR 162 315 0 14 8862 8225 285 7838 6648 12021 59182 0 0 0
26 BHAKTAPUR 64 130 13 13 4757 4475 478 6421 5177 15562 41297 3 1 0
27 KATHMANDU 311 786 22 46 23079 21959 386 17452 13291 25903 109777 0 0 0
28 NUWAKOT 104 191 31 164 8321 8055 393 6426 7087 12281 56059 1
29 RASUWA 2 2 0 2442 2253 76 2674 2555 5126 22980 4 1 2
30 DHADING 81 381 12 55 10053 9169 362 9286 9841 17006 85378 23 1 5
31 MAKWANPUR 280 951 185 396 19993 17994 3936 19065 15592 29787 137144 22 1 3
35 CHITAWAN 379 694 153 308 15062 12190 3951 10880 10094 17570 95038 22 0 3
Province 4 783 1703 193 597 92120 84222 6636 54669 52227 89685 472676 52 4 8
36 GORKHA 75 231 6 50 11370 10510 892 7262 7066 13865 63401 7 1 3
37 LAMJUNG 89 112 3 20 8201 7712 657 5021 4867 7321 45010 12 0 1
38 TANAHU 74 121 32 64 6775 5947 1238 5732 5478 9166 52106 7
39 SYANGJA 102 372 35 157 13519 12851 821 4956 4885 7816 44456 8 1 1
40 KASKI 252 482 41 66 15119 13689 338 9467 8916 15269 70538 5 0 2
41 MANANG 3 3 123 109 24 174 156 409 1560
42 MUSTANG 1 11 1 1 248 250 44 291 219 538 1873 0 0 0
43 MYAGDI 29 53 1 11 4076 3888 139 3284 2921 5235 26663 0
44 PARBAT 12 17 2 5 8732 7709 497 3996 3600 6419 33674 1
45 BAGLUNG 90 149 33 130 15468 13504 1732 8120 7444 15347 72674 12 2 1
48.1 NAWALPUR 59 152 39 90 8489 8053 254 6366 6675 8300 60721 0 0 0
Province 5 1982 3655 1118 2029 171864 143911 29875 140718 120087 191217 1122885 204 13 19
46 GULMI 8 42 29 1 13611 12522 1243 5638 3009 7327 35119 0 0 0
47 PALPA 36 105 17 29 9417 7765 1919 5806 5813 9224 55293 12 1 0
48 NAWALPARASI 70 107 10 52 5963 5763 87 8458 7471 10833 74231 1 0 0
49 RUPANDEHI 219 349 8 64 22582 19778 1054 21023 15454 30874 132327 2 0 0
50 KAPILBASTU 181 501 82 242 7015 6801 1126 9177 7392 13097 61083 30 2 0
51 ARGHAKHANCHI 22 215 7 52 10105 9627 476 5038 3846 6738 33268 9 1 3
52 PYUTHAN 36 85 70 91 16833 13283 3535 10760 10760 12905 107600 31 3 2
53 ROLPA 77 381 20 212 14757 11718 3949 13391 11453 19507 111866 28 1 4
54 RUKUM 23 116 19 123 2897 1011 362 1105 1025 1878 8623 4 0 1
56 DANG 297 495 172 269 20135 16514 5793 20084 19472 29668 186827 29 1 0
57 BANKE 330 575 249 505 25249 18965 8034 23429 21759 31905 197034 31 3 2
58 BARDIYA 683 684 435 389 23300 20164 2297 16809 12633 17261 119614 27 1 7
Province 6 1391 4443 865 2182 92219 76845 19954 82848 77737 118892 719820 145 9 8
54.1 RUKUM WEST 114 222 64 134 3525 3282 396 3440 3106 4834 30620 10 2 0
55 SALYAN 187 357 131 209 16674 12413 4320 12393 11628 17311 116955 31 5 2
59 SURKHET 186 499 45 92 17382 16556 826 19314 19034 25790 184809 27 1 1
60 DAILEKH 246 665 168 372 28310 22720 7444 23343 20072 29287 185066 15 1 2
61 JAJARKOT 269 763 201 533 6413 4810 2312 5453 5169 8935 43873 11 0 3
62 DOLPA 73 234 52 165 1126 717 496 558 611 1445 5110 2 0 0
63 JUMLA 85 371 43 222 7769 7329 2230 7118 7228 12393 53335 0 0 0
64 KALIKOT 106 388 25 151 7315 6288 857 8495 8344 13657 80956 8 0 0
65 MUGU 52 651 42 112 1719 1240 418 1277 1214 2872 9610 41 0 0
66 HUMLA 73 293 94 192 1986 1490 655 1457 1331 2368 9486 0 0 0
Province 7 2357 4757 855 1971 179497 154414 23313 141737 128221 179707 1156335 249 13 27
67 BAJURA 94 334 77 209 16990 11266 5766 9142 8040 11558 74781 16 0 1
68 BAJHANG 480 371 108 220 14949 11649 4316 11658 10363 16602 93791 53 2 2
69 ACHHAM 169 369 57 138 29092 25982 1143 19670 18710 29222 171677 25 4 9
70 DOTI 161 404 110 167 15655 13269 3209 12584 10698 15369 96163 27 1 4
71 KAILALI 718 2374 292 933 32924 29397 3797 34167 31478 32844 258616 44 3 2
72 KANCHANPUR 578 341 90 106 22463 19342 1754 24886 21918 33759 200674 18 1 1
73 DADELDHURA 92 343 35 44 11199 10495 127 10869 9657 12713 94826 15 0 2
74 BAITADI 59 214 53 117 27690 24995 2640 15232 14115 21457 133580 34 1 5
75 DARCHAULA 6 7 33 37 8535 8019 561 3529 3242 6183 32227 17 1 1
Raw Data: CBIMCI (Sheet 8 of 11)
Classification
ARI
District Name No pneumonia Pneumonia Sev Pneu/ very severe disease
Total
HF PHCORC FCHV Total HF PHCORC FCHV Total HF PHCORC Total
Nepal 451298 104928 904605 1460831 166402 23097 155229 344728 4473 690 5163 1810722
Province 1 89561 21731 159240 270532 36910 6130 39878 82918 769 104 873 354323
01 TAPLEJUNG 4089 1702 3677 9468 1719 510 521 2750 31 11 42 12260
02 PANCHTHAR 6015 1284 8230 15529 2718 347 1205 4270 43 1 44 19843
03 ILAM 4710 1471 12070 18251 2744 486 1482 4712 80 6 86 23049
04 JHAPA 12580 3791 23486 39857 4543 891 8175 13609 62 16 78 53544
05 MORANG 11025 3207 28779 43011 3870 1017 7668 12555 51 20 71 55637
06 SUNSARI 9199 2226 20024 31449 4968 868 5874 11710 49 7 56 43215
07 DHANKUTA 6295 759 6678 13732 1606 170 4574 6350 11 0 11 20093
08 TERHATHUM 3352 446 6299 10097 1202 76 1201 2479 52 0 52 12628
09 SANKHUWASABHA 3842 411 4941 9194 2608 89 51 2748 39 6 45 11987
10 BHOJPUR 5301 1269 8806 15376 1427 175 843 2445 18 11 29 17850
11 SOLUKHUMBU 5227 759 4158 10144 1893 156 945 2994 138 18 156 13294
12 OKHALDHUNGA 7048 1385 14603 23036 2567 476 2314 5357 36 0 36 28429
13 KHOTANG 5732 2017 7368 15117 2616 516 2723 5855 59 5 64 21036
14 UDAYAPUR 5146 1004 10121 16271 2429 353 2302 5084 100 3 103 21458
Province 2 67533 31163 134154 232850 24094 7367 24095 55556 648 224 872 289278
15 SAPTARI 8765 4776 19444 32985 1752 342 1088 3182 40 30 70 36237
16 SIRAHA 12439 3600 21967 38006 4243 1140 5353 10736 70 14 84 48826
17 DHANUSA 9888 5574 20820 36282 3321 906 3171 7398 63 9 72 43752
18 MAHOTTARI 7925 5679 14575 28179 3403 1223 3169 7795 60 28 88 36062
19 SARLAHI 6319 1488 12056 19863 2020 233 2172 4425 9 23 32 24320
32 RAUTAHAT 8325 4701 13954 26980 4288 1958 3756 10002 175 64 239 37221
33 BARA 7350 2511 18260 28121 2619 393 2584 5596 114 21 135 33852
34 PARSA 6522 2834 13078 22434 2448 1172 2802 6422 117 35 152 29008
Province 3 65907 11611 151819 229337 29161 2033 14948 46142 783 55 838 276317
20 SINDHULI 3370 1486 11393 16249 2478 404 4244 7126 42 4 46 23421
21 RAMECHHAP 5819 789 15266 21874 2526 116 1142 3784 52 3 55 25713
22 DOLAKHA 5829 834 11660 18323 1795 116 227 2138 93 7 100 20561
23 SINDHUPALCHOK 6856 1266 11528 19650 3151 296 166 3613 68 0 68 23331
24 KAVRE 7132 1377 17652 26161 2254 218 920 3392 38 8 46 29599
25 LALITPUR 6105 580 8225 14910 2359 56 637 3052 8 0 8 17970
26 BHAKTAPUR 2466 365 4475 7306 823 47 282 1152 25 0 25 8483
27 KATHMANDU 4398 631 21959 26988 1809 42 1120 2971 25 0 25 29984
28 NUWAKOT 3650 1166 8055 12871 1641 111 266 2018 23 16 39 14928
29 RASUWA 2042 266 2253 4561 576 28 189 793 17 0 17 5371
30 DHADING 6735 1483 9169 17387 3936 189 884 5009 209 16 225 22621
31 MAKWANPUR 5334 699 17994 24027 2007 211 1999 4217 93 1 94 28338
35 CHITAWAN 6171 669 12190 19030 3806 199 2872 6877 90 0 90 25997
Province 4 41230 5567 84222 131019 12312 765 7898 20975 137 33 170 152164
36 GORKHA 6297 1186 10510 17993 2139 142 860 3141 17 7 24 21158
37 LAMJUNG 3215 331 7712 11258 1057 42 489 1588 7 0 7 12853
38 TANAHU 3701 359 5947 10007 1149 46 828 2023 9 3 12 12042
39 SYANGJA 4415 1019 12851 18285 862 98 668 1628 23 12 35 19948
40 KASKI 4868 327 13689 18884 1061 88 1430 2579 26 6 32 21495
41 MANANG 227 18 109 354 76 1 14 91 0 0 0 445
42 MUSTANG 1012 53 250 1315 229 3 -2 230 2 0 2 1547
43 MYAGDI 3229 354 3888 7471 831 8 188 1027 24 0 24 8522
44 PARBAT 3293 288 7709 11290 1882 123 1023 3028 7 0 7 14325
45 BAGLUNG 7520 1323 13504 22347 2066 173 1964 4203 18 4 22 26572
48.1 NAWALPUR 3453 309 8053 11815 960 41 436 1437 4 1 5 13257
Province 5 78018 11705 143911 233634 24880 2194 27953 55027 583 50 633 289294
46 GULMI 6555 1382 12522 20459 1360 145 1089 2594 1 0 1 23054
47 PALPA 5107 594 7765 13466 2276 106 1652 4034 41 0 41 17541
48 NAWALPARASI 4574 545 5763 10882 944 19 200 1163 9 0 9 12054
49 RUPANDEHI 9224 2315 19778 31317 2078 236 2804 5118 7 0 7 36442
50 KAPILBASTU 8581 1708 6801 17090 1708 273 214 2195 118 7 125 19410
51 ARGHAKHANCHI 3376 444 9627 13447 1520 80 478 2078 36 7 43 15568
52 PYUTHAN 6016 906 13283 20205 2432 348 3550 6330 89 2 91 26626
53 ROLPA 4998 1334 11718 18050 3066 280 3039 6385 65 8 73 24508
54 RUKUM 1234 594 1011 2839 754 164 1886 2804 32 7 39 5682
56 DANG 10934 529 16514 27977 3593 106 3621 7320 84 3 87 35384
57 BANKE 6772 868 18965 26605 2649 333 6284 9266 27 15 42 35913
58 BARDIYA 10647 486 20164 31297 2500 104 3136 5740 74 1 75 37112
Province 6 42001 9442 76845 128288 17598 2371 15374 35343 765 77 842 164473
54.1 RUKUM WEST 3791 706 3282 7779 1791 106 243 2140 71 0 71 9990
55 SALYAN 5439 1433 12413 19285 2563 494 4261 7318 40 0 40 26643
59 SURKHET 9316 1326 16556 27198 2962 146 826 3934 67 0 67 31199
60 DAILEKH 5887 1537 22720 30144 2541 459 5590 8590 130 24 154 38888
61 JAJARKOT 5347 1482 4810 11639 1666 354 1603 3623 92 11 103 15365
62 DOLPA 1414 393 717 2524 746 94 409 1249 96 11 107 3880
63 JUMLA 2713 891 7329 10933 1721 295 440 2456 40 10 50 13439
64 KALIKOT 3791 555 6288 10634 1815 109 1027 2951 95 9 104 13689
65 MUGU 2047 593 1240 3880 956 174 479 1609 71 12 83 5572
66 HUMLA 2256 526 1490 4272 837 140 496 1473 63 0 63 5808
Province 7 67048 13709 154414 235171 21447 2237 25083 48767 788 147 935 284873
67 BAJURA 4403 1245 11266 16914 2605 385 5724 8714 85 30 115 25743
68 BAJHANG 4946 1769 11649 18364 2305 504 3300 6109 133 73 206 24679
69 ACHHAM 19026 4016 25982 49024 3814 194 3110 7118 125 12 137 56279
70 DOTI 4801 1735 13269 19805 1705 314 2386 4405 106 12 118 24328
71 KAILALI 11739 1256 29397 42392 2261 157 3527 5945 100 5 105 48442
72 KANCHANPUR 6861 556 19342 26759 2190 74 3121 5385 48 2 50 32194
73 DADELDHURA 4027 544 10495 15066 1466 104 704 2274 40 6 46 17386
74 BAITADI 7278 1207 24995 33480 3203 324 2695 6222 85 5 90 39792
75 DARCHAULA 3967 1381 8019 13367 1898 181 516 2595 66 2 68 16030
Raw Data: CBIMCI (Sheet 9 of 11)
Classification
Diarrhoea
Total
District Name No Dehydration Some Dehydration Severe Dehydration Prolonged Diarrhoea Dysentery diarrhoeal
cases Total
HF PHCORC Total HF PHCORC Total HF PHCORC Total HF PHCORC Total HF PHCORC Total FCHV
Nepal 246610 67337 313947 53025 14525 67550 1506 181 1687 3219 465 3684 37900 4009 41909 800936 1184120
Province 1 31690 10953 42643 9372 3217 12589 190 52 242 257 36 293 4548 521 5069 130616 186090
01 TAPLEJUNG 1604 714 2318 872 408 1280 7 8 15 13 4 17 151 45 196 3075 6688
02 PANCHTHAR 1360 457 1817 699 208 907 4 2 6 15 0 15 115 5 120 4518 7248
03 ILAM 1079 680 1759 329 135 464 2 2 4 6 0 6 84 11 95 7765 9992
04 JHAPA 4873 2232 7105 1000 445 1445 28 0 28 37 0 37 782 56 838 19965 28543
05 MORANG 4087 1847 5934 754 345 1099 35 13 48 13 0 13 515 44 559 22642 29723
06 SUNSARI 4042 1343 5385 1309 576 1885 11 0 11 56 0 56 643 54 697 24336 31617
07 DHANKUTA 1490 240 1730 125 34 159 1 0 1 0 0 0 163 20 183 4935 6825
08 TERHATHUM 769 165 934 336 38 374 1 0 1 4 0 4 118 10 128 4301 5610
09 SANKHUWASABHA 1700 316 2016 237 13 250 13 0 13 10 0 10 129 8 137 2633 4912
10 BHOJPUR 1965 663 2628 532 92 624 2 0 2 9 2 11 192 19 211 6108 9362
11 SOLUKHUMBU 1551 240 1791 355 62 417 7 1 8 16 0 16 132 8 140 3809 6025
12 OKHALDHUNGA 2201 573 2774 773 237 1010 8 1 9 8 0 8 321 25 346 10028 13821
13 KHOTANG 2284 901 3185 1186 421 1607 20 5 25 54 30 84 570 139 709 7443 12260
14 UDAYAPUR 2685 582 3267 865 203 1068 51 20 71 16 0 16 633 77 710 9058 13464
Province 2 47460 22106 69566 13293 5644 18937 267 51 318 1008 132 1140 6985 1073 8058 116656 205477
15 SAPTARI 6311 3520 9831 1800 801 2601 7 1 8 46 7 53 917 118 1035 16481 28921
16 SIRAHA 6210 2302 8512 2185 921 3106 35 4 39 300 51 351 778 92 870 18667 30324
17 DHANUSA 6229 3677 9906 1321 584 1905 0 2 2 105 22 127 982 127 1109 16399 28212
18 MAHOTTARI 4369 3174 7543 1580 893 2473 4 4 8 119 10 129 822 164 986 13096 23120
19 SARLAHI 4002 1198 5200 1002 241 1243 9 4 13 37 0 37 525 65 590 7984 14440
32 RAUTAHAT 7958 3961 11919 2543 1181 3724 147 29 176 198 32 230 1276 333 1609 14620 30439
33 BARA 7344 2072 9416 1155 248 1403 22 4 26 105 4 109 979 60 1039 15938 26783
34 PARSA 5037 2202 7239 1707 775 2482 43 3 46 98 6 104 706 114 820 13471 23238
Province 3 33930 6990 40920 5261 1024 6285 166 8 174 316 85 401 4476 228 4704 133692 181071
20 SINDHULI 1850 623 2473 522 160 682 16 1 17 2 2 4 200 11 211 9981 13153
21 RAMECHHAP 2278 320 2598 320 60 380 7 0 7 10 2 12 252 7 259 12636 15621
22 DOLAKHA 2815 507 3322 520 51 571 17 0 17 0 0 0 440 13 453 9503 13413
23 SINDHUPALCHOK 3235 709 3944 689 77 766 26 1 27 9 0 9 549 27 576 9203 13940
24 KAVRE 3161 925 4086 488 222 710 7 0 7 7 1 8 217 9 226 12327 17130
25 LALITPUR 2500 475 2975 191 42 233 1 0 1 19 0 19 219 16 235 7838 11047
26 BHAKTAPUR 1094 228 1322 65 15 80 1 0 1 2 5 7 108 3 111 6421 7824
27 KATHMANDU 2795 543 3338 268 28 296 5 1 6 20 0 20 267 10 277 17452 21092
28 NUWAKOT 2110 693 2803 248 107 355 1 1 2 36 0 36 233 34 267 6426 9586
29 RASUWA 1005 158 1163 160 22 182 1 0 1 2 0 2 100 11 111 2674 4020
30 DHADING 4025 829 4854 722 127 849 24 3 27 81 40 121 801 21 822 9286 15016
31 MAKWANPUR 2838 466 3304 638 75 713 25 1 26 59 15 74 442 50 492 19065 23108
35 CHITAWAN 4224 514 4738 430 38 468 35 0 35 69 20 89 648 16 664 10880 16121
Province 4 16325 2963 19288 2515 394 2909 21 2 23 82 20 102 1801 233 2034 54669 76889
36 GORKHA 3238 737 3975 691 146 837 5 0 5 26 0 26 407 36 443 7262 12079
37 LAMJUNG 1408 212 1620 162 10 172 4 0 4 11 0 11 122 13 135 5021 6817
38 TANAHU 1107 177 1284 317 67 384 1 0 1 4 0 4 74 3 77 5732 7401
39 SYANGJA 2055 464 2519 134 29 163 2 1 3 7 2 9 80 5 85 4956 7641
40 KASKI 1404 175 1579 178 24 202 0 0 0 10 0 10 76 15 91 9467 11248
41 MANANG 99 27 126 14 0 14 0 0 0 1 0 1 2 0 2 174 314
42 MUSTANG 277 17 294 95 7 102 1 0 1 0 0 0 29 0 29 291 688
43 MYAGDI 1503 235 1738 144 9 153 1 0 1 4 0 4 174 4 178 3284 5176
44 PARBAT 975 87 1062 114 2 116 2 0 2 0 0 0 137 21 158 3996 5176
45 BAGLUNG 2593 516 3109 531 97 628 4 1 5 11 18 29 602 91 693 8120 11862
48.1 NAWALPUR 1666 316 1982 135 3 138 1 0 1 8 0 8 98 45 143 6366 8487
Province 5 48160 8519 56679 7251 1334 8585 372 5 377 464 24 488 8002 523 8525 140718 206359
46 GULMI 2397 608 3005 324 37 361 0 0 0 16 0 16 293 18 311 5638 9004
47 PALPA 2380 261 2641 634 0 634 164 0 164 39 0 39 226 1 227 5806 9245
48 NAWALPARASI 3088 529 3617 139 9 148 4 0 4 11 0 11 366 6 372 8458 12227
49 RUPANDEHI 6578 2012 8590 686 322 1008 0 0 0 58 3 61 1068 76 1144 21023 30621
50 KAPILBASTU 9403 1447 10850 1578 394 1972 138 0 138 146 8 154 1856 213 2069 9177 22137
51 ARGHAKHANCHI 1377 169 1546 231 18 249 7 0 7 6 3 9 163 3 166 5038 6840
52 PYUTHAN 3797 741 4538 786 153 939 12 5 17 23 0 23 760 15 775 10760 16254
53 ROLPA 4101 1058 5159 651 165 816 16 0 16 20 0 20 530 89 619 13391 19382
54 RUKUM 971 416 1387 272 52 324 5 0 5 9 5 14 145 47 192 1105 2821
56 DANG 5218 372 5590 566 45 611 21 0 21 99 0 99 1244 26 1270 20084 26306
57 BANKE 5110 640 5750 710 85 795 3 0 3 26 5 31 659 26 685 23429 29977
58 BARDIYA 3740 266 4006 674 54 728 2 0 2 11 0 11 692 3 695 16809 21545
Province 6 28338 6720 35058 8067 1729 9796 326 36 362 750 99 849 5156 743 5899 82848 128064
54.1 RUKUM WEST 2377 528 2905 565 99 664 9 0 9 43 8 51 496 52 548 3440 7018
55 SALYAN 3163 840 4003 682 288 970 24 3 27 7 2 9 510 124 634 12393 17393
59 SURKHET 5165 772 5937 818 190 1008 25 0 25 5 0 5 947 28 975 19314 26284
60 DAILEKH 3810 1358 5168 1176 233 1409 42 1 43 11 1 12 486 65 551 23343 29963
61 JAJARKOT 3886 1190 5076 900 235 1135 27 14 41 72 28 100 606 208 814 5453 11705
62 DOLPA 813 237 1050 483 45 528 74 5 79 110 2 112 287 29 316 558 2215
63 JUMLA 2165 505 2670 814 221 1035 18 0 18 34 1 35 364 91 455 7118 10841
64 KALIKOT 3927 455 4382 1163 161 1324 24 0 24 66 4 70 596 35 631 8495 14225
65 MUGU 1472 407 1879 591 125 716 30 5 35 159 18 177 552 69 621 1277 3907
66 HUMLA 1560 428 1988 875 132 1007 53 8 61 243 35 278 312 42 354 1457 4513
Province 7 40707 9086 49793 7266 1183 8449 164 27 191 342 69 411 6932 688 7620 141737 200170
67 BAJURA 3813 692 4505 1770 245 2015 38 19 57 58 11 69 810 93 903 9142 15719
68 BAJHANG 3522 1224 4746 1237 311 1548 27 6 33 29 8 37 626 205 831 11658 17985
69 ACHHAM 13294 3002 16296 829 97 926 25 0 25 62 14 76 1683 163 1846 19670 36917
70 DOTI 3668 1283 4951 746 205 951 17 0 17 34 3 37 814 82 896 12584 18503
71 KAILALI 4838 727 5565 696 59 755 29 0 29 52 0 52 953 39 992 34167 40516
72 KANCHANPUR 3740 403 4143 501 29 530 2 0 2 19 23 42 657 3 660 24886 29561
73 DADELDHURA 2252 491 2743 193 11 204 1 0 1 13 0 13 385 17 402 10869 13817
74 BAITADI 3746 685 4431 880 119 999 20 0 20 64 4 68 567 45 612 15232 20682
75 DARCHAULA 1834 579 2413 414 107 521 5 2 7 11 6 17 437 41 478 3529 6470
Raw Data: CBIMCI (Sheet 10 of 11)
Treatment
ARI (Severe/Pneumonia Cases only) Diarrhoeal Cases
Amoxycilline Cotrim Paediatrics ORS and Zinc
antibiotics HF
IV Fluid (HF)
District Name
Other
PHCORC
PHCORC
PHCORC
FCHV
Total
FCHV
Total
Total
Total
Total
HF
HF
HF
Nepal 93345 6098 99443 145493 15491 166202 327186 146175 572804 301184 76171 713728 1091083 7735 1098818
Province 1 17461 1350 18811 28380 3172 43814 75366 28530 122707 38925 12770 109103 160798 1113 161911
01 TAPLEJUNG 1102 263 1365 587 294 1086 1967 723 4055 2265 1002 2547 5814 37 5851
02 PANCHTHAR 1214 112 1326 1250 216 1254 2720 1714 5760 2046 665 4532 7243 25 7268
03 ILAM 1425 92 1517 1057 397 2302 3756 410 5683 1484 825 6241 8550 37 8587
04 JHAPA 3295 147 3442 3660 553 7533 11746 4787 19975 5593 2049 18244 25886 179 26065
05 MORANG 252 5 257 4494 28 9084 13606 5457 19320 4958 1968 19953 26879 108 26987
06 SUNSARI 2722 181 2903 3924 564 6429 10917 2686 16506 4540 1572 17600 23712 340 24052
07 DHANKUTA 576 23 599 998 119 1842 2959 336 3894 1565 304 4823 6692 27 6719
08 TERHATHUM 703 30 733 1904 119 1273 3296 1247 5276 1278 334 3434 5046 15 5061
09 SANKHUWASABHA 1387 62 1449 720 24 953 1697 2406 5552 1881 313 2601 4795 46 4841
10 BHOJPUR 847 44 891 1094 62 1540 2696 2265 5852 2453 1091 4556 8100 18 8118
11 SOLUKHUMBU 1315 102 1417 1600 127 1712 3439 1332 6188 1998 224 2479 4701 48 4749
12 OKHALDHUNGA 1861 230 2091 1932 334 2702 4968 2138 9197 2908 697 7973 11578 4 11582
13 KHOTANG 693 59 752 2232 325 3428 5985 604 7341 2872 1048 6308 10228 148 10376
14 UDAYAPUR 69 0 69 2928 10 2676 5614 2425 8108 3084 678 7812 11574 81 11655
Province 2 13712 695 14407 44083 5776 26748 76607 21229 112243 62278 25268 107160 194706 2282 196988
15 SAPTARI 971 129 1100 2444 381 1371 4196 3909 9205 8816 4178 14489 27483 88 27571
16 SIRAHA 1016 42 1058 7228 798 4714 12740 4467 18265 8194 2963 15835 26992 270 27262
17 DHANUSA 1522 75 1597 4360 361 2146 6867 2473 10937 7506 3375 13345 24226 115 24341
18 MAHOTTARI 1681 97 1778 4914 938 3869 9721 1705 13204 6339 4004 11540 21883 234 22117
19 SARLAHI 1039 63 1102 2979 255 1813 5047 1092 7241 5429 1215 7609 14253 78 14331
32 RAUTAHAT 995 119 1114 7998 1376 4723 14097 2358 17569 10401 4436 15841 30678 627 31305
33 BARA 3958 67 4025 5901 374 3032 9307 2479 15811 8783 2309 16091 27183 568 27751
34 PARSA 2530 103 2633 8259 1293 5080 14632 2746 20011 6810 2788 12410 22008 302 22310
Province 3 19527 1192 20719 11394 818 15862 28074 19165 67958 39647 8106 119193 166946 1026 167972
20 SINDHULI 1705 233 1938 1523 254 4347 6124 1504 9566 2454 823 9243 12520 28 12548
21 RAMECHHAP 1584 54 1638 329 44 427 800 573 3011 2550 421 10926 13897 12 13909
22 DOLAKHA 1151 78 1229 356 12 431 799 295 2323 3587 715 8254 12556 129 12685
23 SINDHUPALCHOK 2732 187 2919 610 54 411 1075 3230 7224 3976 802 7867 12645 242 12887
24 KAVRE 1838 183 2021 646 75 379 1100 1762 4883 3413 1158 12618 17189 49 17238
25 LALITPUR 1417 33 1450 741 21 285 1047 1626 4123 2917 452 6648 10017 39 10056
26 BHAKTAPUR 547 40 587 93 0 478 571 770 1928 1177 213 5177 6567 10 6577
27 KATHMANDU 524 9 533 1428 45 386 1859 2235 4627 2893 546 13291 16730 180 16910
28 NUWAKOT 1652 100 1752 18 4 393 415 190 2357 2471 803 7087 10361 22 10383
29 RASUWA 579 23 602 25 5 76 106 266 974 1254 173 2555 3982 1 3983
30 DHADING 3070 155 3225 713 19 362 1094 2199 6518 5119 882 9841 15842 134 15976
31 MAKWANPUR 1195 48 1243 1965 166 3936 6067 1762 9072 3370 561 15592 19523 113 19636
35 CHITAWAN 1533 49 1582 2947 119 3951 7017 2753 11352 4466 557 10094 15117 67 15184
Province 4 7133 391 7524 9331 1049 6636 17016 17954 42494 18794 3277 52227 74298 285 74583
36 GORKHA 558 51 609 2087 271 892 3250 5662 9521 3982 811 7066 11859 28 11887
37 LAMJUNG 485 4 489 1168 47 657 1872 1093 3454 1464 200 4867 6531 32 6563
38 TANAHU 617 31 648 1621 79 1238 2938 1431 5017 1538 223 5478 7239 45 7284
39 SYANGJA 571 47 618 1140 365 821 2326 1409 4353 2237 499 4885 7621 59 7680
40 KASKI 875 73 948 406 9 338 753 1151 2852 1401 174 8916 10491 51 10542
41 MANANG 31 6 37 27 1 24 52 103 192 114 27 156 297 0 297
42 MUSTANG 270 4 274 148 4 44 196 515 985 299 26 219 544 28 572
43 MYAGDI 858 15 873 197 14 139 350 1086 2309 1729 230 2921 4880 8 4888
44 PARBAT 1329 67 1396 571 23 497 1091 1632 4119 1116 97 3600 4813 18 4831
45 BAGLUNG 774 75 849 1624 202 1732 3558 1513 5920 3112 731 7444 11287 7 11294
48.1 NAWALPUR 765 18 783 342 34 254 630 2359 3772 1802 259 6675 8736 9 8745
Province 5 9744 560 10304 26007 1728 29875 57610 29635 97549 54520 8666 120087 183273 937 184210
46 GULMI 90 0 90 915 0 1243 2158 987 3235 488 21 3009 3518 0 3518
47 PALPA 112 7 119 2895 145 1919 4959 2582 7660 2821 251 5813 8885 196 9081
48 NAWALPARASI 1018 11 1029 491 5 87 583 2587 4199 3478 540 7471 11489 1 11490
49 RUPANDEHI 1660 136 1796 2825 189 1054 4068 3311 9175 7105 2000 15454 24559 112 24671
50 KAPILBASTU 2015 117 2132 6026 428 1126 7580 4118 13830 11038 1624 7392 20054 339 20393
51 ARGHAKHANCHI 148 1 149 1000 11 476 1487 2336 3972 1432 114 3846 5392 41 5433
52 PYUTHAN 68 7 75 1431 343 3535 5309 1022 6406 4595 899 10760 16254 0 16254
53 ROLPA 1872 114 1986 1340 166 3949 5455 1236 8677 5617 1364 11453 18434 58 18492
54 RUKUM 483 90 573 340 154 362 856 180 1609 1181 471 1025 2677 40 2717
56 DANG 147 1 148 5243 2 5793 11038 7706 18892 5897 371 19472 25740 61 25801
57 BANKE 1285 45 1330 1679 253 8034 9966 1449 12745 6339 719 21759 28817 61 28878
58 BARDIYA 846 31 877 1822 32 2297 4151 2121 7149 4529 292 12633 17454 28 17482
Province 6 9435 762 10197 11941 1035 19954 32930 11648 54775 37175 8227 77737 123139 975 124114
54.1 RUKUM WEST 1648 96 1744 708 50 396 1154 1092 3990 3103 646 3106 6855 196 7051
55 SALYAN 32 0 32 3683 9 4320 8012 2177 10221 3938 1162 11628 16728 6 16734
59 SURKHET 2551 63 2614 217 83 826 1126 261 4001 5850 895 19034 25779 10 25789
60 DAILEKH 621 39 660 2311 386 7444 10141 2461 13262 5236 1740 20072 27048 193 27241
61 JAJARKOT 156 13 169 1872 108 2312 4292 2805 7266 6064 1534 5169 12767 84 12851
62 DOLPA 330 14 344 597 50 496 1143 449 1936 999 223 611 1833 145 1978
63 JUMLA 1129 211 1340 596 136 2230 2962 535 4837 2717 582 7228 10527 11 10538
64 KALIKOT 1824 113 1937 59 5 857 921 8 2866 5051 614 8344 14009 41 14050
65 MUGU 594 130 724 789 40 418 1247 1105 3076 2055 399 1214 3668 170 3838
66 HUMLA 550 83 633 1109 168 655 1932 755 3320 2162 432 1331 3925 119 4044
Province 7 16333 1148 17481 14357 1913 23313 39583 18014 75078 49845 9857 128221 187923 1117 189040
67 BAJURA 1836 130 1966 1566 249 5766 7581 1818 11365 5787 853 8040 14680 221 14901
68 BAJHANG 1210 518 1728 2254 485 4316 7055 1191 9974 5294 1608 10363 17265 33 17298
69 ACHHAM 4210 228 4438 828 133 1143 2104 3282 9824 14046 3032 18710 35788 129 35917
70 DOTI 728 23 751 2618 472 3209 6299 1245 8295 4908 1379 10698 16985 45 17030
71 KAILALI 1755 63 1818 1208 91 3797 5096 1499 8413 5915 687 31478 38080 362 38442
72 KANCHANPUR 2279 30 2309 1995 44 1754 3793 2749 8851 3999 431 21918 26348 166 26514
73 DADELDHURA 1409 46 1455 518 49 127 694 2039 4188 2874 469 9657 13000 18 13018
74 BAITADI 2154 72 2226 1770 211 2640 4621 2340 9187 4746 748 14115 19609 132 19741
75 DARCHAULA 752 38 790 1600 179 561 2340 1851 4981 2276 650 3242 6168 11 6179
Raw Data: CBIMCI (Sheet 11 of 11)
Death
≤ 28 Days 29-59 Days 2-59 months
District Name
ARI Diarrhoea Other
FCHV
Total
HF PHCORC FCHV Total HF PHCORC FCHV Total HF PHCORC HF PHCORC HF PHCORC
Nepal 90 14 1043 1147 17 4 60 81 91 25 33 0 271 34 115 569
Province 1 6 1 168 175 0 0 11 11 11 5 7 0 52 1 25 101
01 TAPLEJUNG 0 0 42 42 0 0 0 0 0 0 0 0 7 1 2 10
02 PANCHTHAR 1 0 4 5 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 1 12 13 0 0 0 0 2 2 0 0 10 0 2 16
04 JHAPA 3 0 16 19 0 0 2 2 0 0 0 0 1 0 0 1
05 MORANG 0 0 7 7 0 0 1 1 0 3 0 0 0 0 4 7
06 SUNSARI 0 0 9 9 0 0 1 1 0 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 6 6 0 0 0 0 0 0 0 0 3 0 1 4
09 SANKHUWASABHA 0 0 4 4 0 0 0 0 0 0 0 0 0 0 7 7
10 BHOJPUR 0 0 22 22 0 0 1 1 1 0 0 0 1 0 1 3
11 SOLUKHUMBU 2 0 4 6 0 0 0 0 4 0 1 0 0 0 0 5
12 OKHALDHUNGA 0 0 10 10 0 0 2 2 0 0 0 0 30 0 1 31
13 KHOTANG 0 0 23 23 0 0 4 4 2 0 5 0 0 0 6 13
14 UDAYAPUR 0 0 9 9 0 0 0 0 2 0 1 0 0 0 1 4
Province 2 1 1 70 72 0 1 1 2 23 5 16 0 5 0 3 52
15 SAPTARI 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0
16 SIRAHA 0 0 13 13 0 0 0 0 14 3 0 0 0 0 0 17
17 DHANUSA 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 4
18 MAHOTTARI 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 2 2 0 0 0 0 8 0 8 0 2 0 1 19
32 RAUTAHAT 0 0 34 34 0 0 0 0 0 0 0 0 0 0 1 1
33 BARA 1 0 17 18 0 0 1 1 1 1 8 0 0 0 1 11
34 PARSA 0 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0
Province 3 12 1 155 168 1 1 9 11 7 0 4 0 55 7 25 98
20 SINDHULI 2 0 17 19 1 1 2 4 0 0 0 0 0 0 5 5
21 RAMECHHAP 0 0 6 6 0 0 1 1 0 0 0 0 0 0 0 0
22 DOLAKHA 1 0 7 8 0 0 0 0 0 0 0 0 5 0 0 5
23 SINDHUPALCHOK 5 1 37 43 0 0 2 2 1 0 0 0 0 0 4 5
24 KAVRE 0 0 13 13 0 0 0 0 1 0 1 0 0 0 3 5
25 LALITPUR 0 0 0 0 0 0 0 0 0 0 0 0 18 6 0 24
26 BHAKTAPUR 0 0 3 3 0 0 1 1 0 0 0 0 0 0 0 0
27 KATHMANDU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 NUWAKOT 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1
29 RASUWA 0 0 4 4 0 0 1 1 1 0 0 0 0 0 2 3
30 DHADING 4 0 23 27 0 0 1 1 1 0 1 0 0 0 5 7
31 MAKWANPUR 0 0 22 22 0 0 1 1 0 0 2 0 12 0 3 17
35 CHITAWAN 0 0 22 22 0 0 0 0 3 0 0 0 19 1 3 26
Province 4 2 0 52 54 0 0 4 4 12 1 1 0 33 16 8 71
36 GORKHA 0 0 7 7 0 0 1 1 3 1 0 0 0 0 3 7
37 LAMJUNG 0 0 12 12 0 0 0 0 3 0 1 0 15 6 1 26
38 TANAHU 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 8 8 0 0 1 1 0 0 0 0 2 0 1 3
40 KASKI 0 0 5 5 0 0 0 0 6 0 0 0 12 10 2 30
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 2 0 12 14 0 0 2 2 0 0 0 0 0 0 1 1
48.1 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 36 9 204 249 10 0 13 23 13 4 1 0 74 0 19 111
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 19 1 12 32 8 0 1 9 4 0 0 0 17 0 0 21
48 NAWALPARASI 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0
50 KAPILBASTU 4 0 30 34 0 0 2 2 2 0 0 0 0 0 0 2
51 ARGHAKHANCHI 1 0 9 10 0 0 1 1 0 0 0 0 20 0 3 23
52 PYUTHAN 3 0 31 34 0 0 3 3 0 0 0 0 0 0 2 2
53 ROLPA 2 0 28 30 0 0 1 1 0 0 0 0 0 0 4 4
54 RUKUM 0 0 4 4 0 0 0 0 0 0 0 0 0 0 1 1
56 DANG 2 0 29 31 2 0 1 3 0 0 0 0 1 0 0 1
57 BANKE 0 8 31 39 0 0 3 3 0 4 1 0 12 0 2 19
58 BARDIYA 5 0 27 32 0 0 1 1 7 0 0 0 24 0 7 38
Province 6 12 0 145 157 5 2 9 16 5 1 2 0 37 1 8 54
54.1 RUKUM WEST 2 0 10 12 0 0 2 2 4 0 1 0 29 0 0 34
55 SALYAN 1 0 31 32 0 0 5 5 0 0 0 0 0 0 2 2
59 SURKHET 0 0 27 27 0 0 1 1 0 0 0 0 1 0 1 2
60 DAILEKH 2 0 15 17 0 0 1 1 1 0 0 0 6 0 2 9
61 JAJARKOT 3 0 11 14 0 0 0 0 0 0 0 0 0 1 3 4
62 DOLPA 0 0 2 2 5 2 0 7 0 0 0 0 0 0 0 0
63 JUMLA 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1
64 KALIKOT 2 0 8 10 0 0 0 0 0 0 0 0 1 0 0 1
65 MUGU 1 0 41 42 0 0 0 0 0 1 0 0 0 0 0 1
66 HUMLA 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 21 2 249 272 1 0 13 14 20 9 2 0 15 9 27 82
67 BAJURA 0 0 16 16 0 0 0 0 2 5 1 0 0 2 1 11
68 BAJHANG 5 0 53 58 0 0 2 2 0 0 1 0 1 4 2 8
69 ACHHAM 6 0 25 31 0 0 4 4 1 1 0 0 2 0 9 13
70 DOTI 3 2 27 32 0 0 1 1 0 1 0 0 3 1 4 9
71 KAILALI 2 0 44 46 1 0 3 4 1 0 0 0 0 0 2 3
72 KANCHANPUR 2 0 18 20 0 0 1 1 0 0 0 0 0 0 1 1
73 DADELDHURA 1 0 15 16 0 0 0 0 2 0 0 0 3 0 2 7
74 BAITADI 2 0 34 36 0 0 1 1 2 0 0 0 1 0 5 8
75 DARCHAULA 0 0 17 17 0 0 1 1 12 2 0 0 5 2 1 22
Analyzed Data: Nutrition (Sheet 1 of 2)
GROWTH MONITORING
Percentage of Average Average % of children 0- % of children
Average number % of children 12- % of children aged
newborns Percentage of Percentage of Percentage of number of number of 11 months aged 0-23
of visits among 23 months 0-23 months
with low birth children aged 0- children aged children aged visits among visits among registered for months
children aged 0- registered for registered for
District Name weight 11 months 12-23 months 0-23 months children aged children aged Growth registered for
11 months Growth growth
(<2.5kg) registered for registered for registered for 12-23 months 0-23 months Monitoring Growth
registered for Monitoring who monitoring who
among total growth growth growth registered for registered for (New) who Monitoring
growth were were underweight
delivery by monitoring monitoring monitoring growth growth were (New) who were
monitoringᵃ Underweight (Repeat Visits)
HWs monitoringᵃ monitoringᵃ Underweight Underweight
Nepal 11.3 84.8 53.5 69.1 3 2.9 3 3.5 5.7 4.4 0.5
Province 1 15.4 82.6 43.9 63.5 3.2 3.5 3.3 1.2 2 1.5 0.2
01 TAPLEJUNG 3 112.9 44.2 78.9 3.4 4.7 3.8 2.1 3.1 2.4 0.1
02 PANCHTHAR 4.9 103.4 37.8 71.3 2.8 3.8 3.1 0.5 1.5 0.7 0.1
03 ILAM 2.3 81 50.8 65.9 3.6 3.2 3.5 0.2 0.3 0.2 0.1
04 JHAPA 21.4 89 36.7 63.4 2.6 4 3 0.5 0.9 0.6 0.1
05 MORANG 24.3 77.8 35.6 56.7 3.3 3.5 3.3 1.2 3.5 1.9 0.0
06 SUNSARI 7.8 59.7 37.5 48.5 2.8 2.4 2.7 1.5 2.2 1.8 0.1
07 DHANKUTA 4.8 74.7 56.3 65.7 4.3 2.8 3.7 0.8 0.5 0.7 0.1
08 TERHATHUM 6.6 83.1 36.1 60.3 3.4 3.6 3.4 1.4 2.9 1.8 0.1
09 SANKHUWASABHA 5.7 87 31.8 59.7 3.3 3.7 3.4 0.6 2.1 1 0.0
10 BHOJPUR 3.7 97 53.7 75.6 4 4 4 0.8 0.6 0.8 0.1
11 SOLUKHUMBU 3.5 76.4 116.5 96.5 5.6 4.9 5.2 5.3 1.3 2.9 0.7
12 OKHALDHUNGA 6.8 130.4 96.4 113.8 3 3.4 3.2 2.7 4.2 3.3 0.5
13 KHOTANG 2.1 88.1 68.8 78.6 3.6 3.2 3.4 1 1.3 1.1 0.1
14 UDAYAPUR 4.7 86.8 39.4 63.7 2.8 3.7 3.1 2 1.8 1.9 0.6
Province 2 10.5 75.1 51.3 62.9 1.9 2 1.9 4.3 5.7 4.9 0.5
15 SAPTARI 7.4 104.9 67.3 86 2.3 2.7 2.5 3.6 6.4 4.7 0.1
16 SIRAHA 18.9 68.6 38.4 53.6 1.7 1.9 1.8 4.4 5.1 4.7 0.6
17 DHANUSA 1.6 58 46.4 52.1 1.9 2 1.9 2 2.6 2.3 0.4
18 MAHOTTARI 5.7 98.2 70.4 84.2 2.2 2.2 2.2 3.4 3.3 3.4 0.3
19 SARLAHI 6.9 49.7 42 45.7 1.6 1.5 1.5 3.5 7.4 5.3 1.1
32 RAUTAHAT 9.5 60 51.8 55.7 1.7 1.7 1.7 6.2 5.8 6 0.7
33 BARA 3.1 79.5 48.4 63.3 2.1 2.1 2.1 6.6 7.3 6.9 1.0
34 PARSA 26.1 92.2 49 69.4 1.4 1.5 1.5 4.8 8.1 6 1.3
Province 3 9.9 68.3 45 56.4 3.2 2.6 2.9 2.9 4 3.3 0.5
20 SINDHULI 3.2 99.3 65.6 82.6 2.6 2.5 2.6 3.2 4.4 3.7 0.3
21 RAMECHHAP 5.1 77.8 48.8 63.7 3.3 2.6 3 2.2 8.2 4.4 0.8
22 DOLAKHA 8.1 85 53.1 69.5 3.8 3.2 3.5 2.7 3.2 2.9 0.5
23 SINDHUPALCHOK 7.4 91.9 51 71.5 3.3 2.8 3.1 2.5 4 3 0.5
24 KAVRE 11.7 60.2 43.2 51.7 3.6 3.7 3.6 1.9 4.3 2.9 0.2
25 LALITPUR 11.2 94.6 30.8 61.5 2.3 2.7 2.4 7.8 4.4 6.9 0.3
26 BHAKTAPUR 9.5 80.3 55.2 67.2 3 2.2 2.7 2 1.9 2 0.3
27 KATHMANDU 11.7 37 48.6 43.1 3.8 1.9 2.7 1.4 2.1 1.8 0.3
28 NUWAKOT 3.6 84.1 72.6 78.4 2.6 2.1 2.4 1.8 3.9 2.8 0.6
29 RASUWA 4.1 128.9 72.2 100.4 3.3 3.5 3.4 2.2 8.5 4.5 0.2
30 DHADING 4.6 74.7 27.9 51.8 3.9 6 4.4 3.6 7.2 4.5 0.5
31 MAKWANPUR 2.8 86.3 37.4 61.6 3.2 3.4 3.3 2 8.4 4 0.4
35 CHITAWAN 17.5 77.3 25.2 51.4 2.9 3.4 3 2.5 7.3 3.7 1.9
Province 4 11.8 84.2 51.7 68.6 4.1 3.5 3.9 1.1 1.5 1.2 0.1
36 GORKHA 5.4 96.5 75.7 86.6 3.7 3.3 3.6 1.1 1.8 1.4 0.2
37 LAMJUNG 6.6 85.2 51.4 69 3.9 4.6 4.1 0.8 1.2 1 0.1
38 TANAHU 6.8 74.7 29.4 53.3 4 4.2 4.1 1.8 1.9 1.8 0.1
39 SYANGJA 4.5 72.3 60 66.5 5.7 3.2 4.6 0.2 0.2 0.2 0.0
40 KASKI 18.5 78.1 40.7 59.4 3.5 3.1 3.4 2.6 3.1 2.8 0.4
41 MANANG 13.3 60.7 19.5 37.2 3.9 4.7 4.2 0 0 0 0.0
42 MUSTANG 8.9 116.5 42.1 77.2 3.6 5.9 4.3 2.4 1.7 2.2 0.1
43 MYAGDI 4.8 88.1 71.4 80.1 4.3 3.3 3.9 0.2 0.1 0.1 0.0
44 PARBAT 5.8 87.6 64.7 76.7 4.2 3.3 3.8 0.5 0.5 0.5 0.0
45 BAGLUNG 3.7 97.6 77.1 88 4.2 3.3 3.8 0.3 0.6 0.4 0.0
48.1 NAWALPUR 3.1 88.4 35.7 62.6 4 4.4 4.1 0.6 2.6 1.1 0.0
Province 5 13.3 99.6 58.1 79.2 3 3 3 3.6 5.8 4.4 0.6
46 GULMI 4.4 93.3 81.4 87.8 3.7 3.1 3.5 0.9 1.3 1.1 0.0
47 PALPA 11.8 120.5 72.8 98 4.2 5 4.5 1.8 0.4 1.3 0.0
48 NAWALPARASI 9.3 98.3 39.3 69.4 3.7 3.8 3.7 1.8 3 2.1 0.3
49 RUPANDEHI 18.8 113.5 71 92.1 2.6 2.3 2.5 1.2 1 1.2 0.0
50 KAPILBASTU 9.4 136.1 97.6 116.5 2.4 2.6 2.5 10.2 16 12.7 1.9
51 ARGHAKHANCHI 8.2 102.9 58.7 82.3 3.8 3 3.5 0.9 3.6 1.8 0.5
52 PYUTHAN 5.1 115.5 90.1 103.6 3.6 2.8 3.3 3 4.8 3.7 0.4
53 ROLPA 2.9 93.2 53.4 74.1 3.2 3.6 3.3 1.1 2.9 1.7 0.2
54 RUKUM 3 144.2 66.5 106.3 2.1 2.1 2.1 2.4 2.8 2.5 0.4
56 DANG 8 86.9 39.3 63.5 2 2.2 2.1 3.2 5.1 3.8 0.4
57 BANKE 17.4 60.9 32.8 46.6 2.7 3 2.8 4.2 7.1 5.3 1.3
58 BARDIYA 11.4 65 10.1 37.8 4.6 13.6 5.8 5.2 10.8 5.9 1.2
Province 6 6.9 127.4 92.9 110 2.4 2.5 2.5 7.9 11.5 9.5 1.1
54.1 RUKUM WEST 7 122.1 45.7 84.8 2.6 3.2 2.7 2.8 6.3 3.7 0.5
55 SALYAN 7.2 107.1 74.4 90.9 2.6 2.6 2.6 3.3 3.4 3.3 0.8
59 SURKHET 6.9 100.2 50.5 75.3 2.3 2.5 2.4 2.9 3.8 3.2 0.6
60 DAILEKH 6.6 99.2 40.8 69.7 2.9 4.2 3.3 4.3 4.8 4.5 0.4
61 JAJARKOT 6.5 130.1 82.3 105.6 1.9 1.8 1.9 7.4 10.7 8.7 1.7
62 DOLPA 5.9 198.2 184.8 191.3 1.7 1.8 1.7 8 11 9.5 0.4
63 JUMLA 10.9 235.1 252.5 244.1 2.6 2.7 2.6 12.8 11 11.8 1.2
64 KALIKOT 4.6 162.5 153 157.6 2.1 2.3 2.2 20.9 27.9 24.4 3.8
65 MUGU 6.8 196 199.6 197.9 3.1 3.6 3.4 13.2 13.4 13.3 0.9
66 HUMLA 3.7 137.8 215.1 178 1.2 1.2 1.2 15.6 15.8 15.8 5.5
Province 7 8.4 91.1 62.8 77.1 3.7 4 3.8 5.2 10.3 7.3 0.8
67 BAJURA 5.6 191.6 152.5 171.8 2 1.9 2 10.6 16 13 2.9
68 BAJHANG 6.5 130.7 107.1 118.9 2.9 2.6 2.8 3.6 6.9 5 0.9
69 ACHHAM 5.6 119.1 102.7 111 5.5 6.1 5.8 2.8 7.5 5 0.8
70 DOTI 4.1 93.5 72.1 83.4 3 3.5 3.2 6.5 9.5 7.7 0.9
71 KAILALI 11.4 62.6 13.8 38.1 3.9 7.5 4.5 2.5 4.1 2.8 1.0
72 KANCHANPUR 9.1 64.5 57.2 60.9 2.3 1.6 2 11.1 22.5 16.4 1.0
73 DADELDHURA 9.9 86.6 73.5 80.2 4.8 4.9 4.9 3.5 5.5 4.4 0.6
74 BAITADI 6.9 108.6 81.6 95.4 4.9 5.6 5.2 4.2 6.9 5.3 0.6
75 DARCHAULA 6 114 91.6 102.9 4.6 5 4.8 2.5 2.3 2.4 0.3
Analyzed Data: Nutrition (Sheet 1 of 2)
District Code
% of children aged 0- 6 % of children aged 6–8
% of children aged 6- % of children aged % of children aged 6-23 % of children aged 6-23
months registered for months registered for
59 months, who 12-59 months who months, who received months who received
growth monitoring, who growth monitoring who
received Vitamin A received 1st dose of Baal Vita monthly food
were exclusively breastfed received solid, semi-solid
supplements antihelminthics (MNP) supplements
for the first six months or soft foods
National Total 1027675 16562 4915 1049152 614014 21696 3885 639595 1641689 38258 8800 1688747
EASTERN 216016 1445 395 217856 133451 2593 230 136274 349467 4038 625 354130
01 TAPLEJUNG 7878 58 4 7940 4501 65 11 4577 12379 123 15 12517
02 PANCHTHAR 8024 42 10 8076 4465 60 7 4532 12489 102 17 12608
03 ILAM 14099 4 17 14120 7418 21 0 7439 21517 25 17 21559
04 JHAPA 28578 57 4 28639 21267 53 33 21353 49845 110 37 49992
05 MORANG 40276 92 11 40379 19487 382 12 19881 59763 474 23 60260
06 SUNSARI 19957 62 17 20036 9981 85 10 10076 29938 147 27 30112
07 DHANKUTA 9316 28 8 9352 3732 32 0 3764 13048 60 8 13116
08 TERHATHUM 4500 11 4 4515 1969 64 1 2034 6469 75 5 6549
09 SANKHUWASABHA 6874 63 2 6939 2856 25 2 2883 9730 88 4 9822
10 BHOJPUR 10771 51 8 10830 5747 51 8 5806 16518 102 16 16636
11 SOLUKHUMBU 7754 57 115 7926 10195 128 11 10334 17949 185 126 18260
12 OKHALDHUNGA 8859 185 44 9088 7244 342 36 7622 16103 527 80 16710
13 KHOTANG 9610 92 14 9716 6043 129 7 6179 15653 221 21 15895
14 UDAYAPUR 11925 179 92 12196 7322 455 19 7796 19247 634 111 19992
15 SAPTARI 20361 285 21 20667 16181 499 23 16703 36542 784 44 37370
16 SIRAHA 7234 179 24 7437 5043 202 50 5295 12277 381 74 12732
CENTRAL 242552 3743 1461 247756 134764 4378 792 139934 377316 8121 2253 387690
17 DHANUSA 8634 123 36 8793 7929 178 32 8139 16563 301 68 16932
18 MAHOTTARI 16340 210 38 16588 12352 168 47 12567 28692 378 85 29155
19 SARLAHI 4958 116 11 5085 3407 107 85 3599 8365 223 96 8684
20 SINDHULI 10757 85 35 10877 6323 134 11 6468 17080 219 46 17345
21 RAMECHHAP 8203 68 84 8355 3338 143 8 3489 11541 211 92 11844
22 DOLAKHA 9923 74 66 10063 4506 112 9 4627 14429 186 75 14690
23 SINDHUPALCHOK 13066 222 54 13342 5537 259 36 5832 18603 481 90 19174
24 KAVRE 13259 194 48 13501 9795 338 11 10144 23054 532 59 23645
25 LALITPUR 12812 226 17 13055 5954 124 31 6109 18766 350 48 19164
26 BHAKTAPUR 11207 84 48 11339 4938 124 6 5068 16145 208 54 16407
27 KATHMANDU 42746 331 163 43240 18899 395 34 19328 61645 726 197 62568
28 NUWAKOT 8574 50 61 8685 4995 120 15 5130 13569 170 76 13815
29 RASUWA 2861 26 5 2892 1687 60 4 1751 4548 86 9 4643
30 DHADING 16527 229 52 16808 9967 480 98 10545 26494 709 150 27353
31 MAKWANPUR 17946 376 52 18374 8293 350 60 8703 26239 726 112 27077
32 RAUTAHAT 6193 241 60 6494 6412 211 30 6653 12605 452 90 13147
33 BARA 13220 404 161 13785 8898 407 67 9372 22118 811 228 23157
34 PARSA 4856 249 84 5189 3676 212 34 3922 8532 461 118 9111
35 CHITAWAN 20470 435 386 21291 7858 456 174 8488 28328 891 560 29779
WESTERN 283082 2999 704 286785 146967 3408 648 151023 430049 6407 1352 437808
36 GORKHA 15881 131 25 16037 9354 160 34 9548 25235 291 59 25585
37 LAMJUNG 9610 59 11 9680 6700 26 2 6728 16310 85 13 16408
38 TANAHU 17651 222 18 17891 6554 269 11 6834 24205 491 29 24725
39 SYANGJA 21770 17 4 21791 7387 43 2 7432 29157 60 6 29223
40 KASKI 23219 78 111 23408 10188 83 19 10290 33407 161 130 33698
41 MANANG 199 0 0 199 106 2 0 108 305 2 0 307
42 MUSTANG 748 15 0 763 569 8 1 578 1317 23 1 1341
43 MYAGDI 7457 3 2 7462 4011 4 0 4015 11468 7 2 11477
44 PARBAT 9596 17 0 9613 4617 7 2 4626 14213 24 2 14239
45 BAGLUNG 20588 209 2 20799 10199 38 5 10242 30787 247 7 31041
46 GULMI 16334 82 3 16419 9483 43 5 9531 25817 125 8 25950
47 PALPA 23435 36 5 23476 15682 37 1 15720 39117 73 6 39196
48 NAWALPUR 19713 78 1 19792 8846 60 6 8912 28559 138 7 28704
48.1 NAWALPARASI 21090 282 55 21427 8130 285 31 8446 29220 567 86 29873
49 RUPANDEHI 38900 201 20 39121 20780 103 3 20886 59680 304 23 60007
50 KAPILBASTU 23328 1410 366 25104 19522 2082 512 22116 42850 3492 878 47220
51 ARGHAKHANCHI 13563 159 81 13803 4839 158 14 5011 18402 317 95 18814
MID WESTERN 137940 4572 1105 143617 90012 5971 1187 97170 227952 10543 2292 240787
52 PYUTHAN 16551 246 51 16848 7980 248 41 8269 24531 494 92 25117
53 ROLPA 10853 125 32 11010 6754 210 12 6976 17607 335 44 17986
54 RUKUM 2059 51 7 2117 889 29 4 922 2948 80 11 3039
54.1 RUKUM WEST 7066 115 39 7220 3386 97 17 3500 10452 212 56 10720
55 SALYAN 9416 237 69 9722 6712 166 67 6945 16128 403 136 16667
56 DANG 11844 213 37 12094 6028 263 38 6329 17872 476 75 18423
57 BANKE 11742 375 145 12262 7228 593 116 7937 18970 968 261 20199
58 BARDIYA 22827 828 195 23850 11599 872 245 12716 34426 1700 440 36566
59 SURKHET 10834 192 61 11087 6146 147 38 6331 16980 339 99 17418
60 DAILEKH 11166 282 25 11473 7694 455 53 8202 18860 737 78 19675
61 JAJARKOT 4342 251 72 4665 2376 268 56 2700 6718 519 128 7365
62 DOLPA 1014 72 4 1090 1184 82 6 1272 2198 154 10 2362
63 JUMLA 8163 751 130 9044 9886 1091 116 11093 18049 1842 246 20137
64 KALIKOT 4881 611 173 5665 5232 1009 289 6530 10113 1620 462 12195
65 MUGU 4891 209 57 5157 6539 364 53 6956 11430 573 110 12113
66 HUMLA 291 14 8 313 379 77 36 492 670 91 44 805
FAR WESTERN 148085 3803 1250 153138 108820 5346 1028 115194 256905 9149 2278 268332
67 BAJURA 5431 392 179 6002 4120 325 133 4578 9551 717 312 10580
68 BAJHANG 11536 219 73 11828 7352 194 109 7655 18888 413 182 19483
69 ACHHAM 31898 898 252 33048 29585 1689 266 31540 61483 2587 518 64588
70 DOTI 8743 404 65 9212 7582 519 92 8193 16325 923 157 17405
71 KAILALI 33694 541 352 34587 16546 649 144 17339 50240 1190 496 51926
72 KANCHANPUR 9067 234 72 9373 3262 619 64 3945 12329 853 136 13318
73 DADELDHURA 10987 265 60 11312 9027 389 63 9479 20014 654 123 20791
74 BAITADI 24092 687 146 24925 20284 801 146 21231 44376 1488 292 46156
75 DARCHAULA 12637 163 51 12851 11062 161 11 11234 23699 324 62 24085
Raw Data: Nutrition (Sheet 3 of 8)
Admission
Children at End of Last Month
New Re-admission
District Name <6 months 6-59 months Total <6 months 6-59 months Total <6 months 6-59 months Total
Female
Female
Female
Female
Female
Female
Female
Female
Female
Total
Total
Total
Total
Total
Total
Total
Total
Total
Male
Male
Male
Male
Male
Male
Male
Male
Male
Natioanal Total 42 31 73 1897 1421 3318 1939 1452 3391 292 258 550 12246 9458 21704 12538 9716 22254 50 24 74 367 210 577 417 234 651
EASTERN 0 0 0 109 75 184 109 75 184 146 116 262 1534 1217 2751 1680 1333 3013 25 8 33 38 22 60 63 30 93
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
04 JHAPA 0 0 0 3 6 9 3 6 9 5 0 5 47 60 107 52 60 112 0 0 0 1 0 1 1 0 1
05 MORANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 0 0 0 35 22 57 35 22 57 1 0 1 143 105 248 144 105 249 0 0 0 13 8 21 13 8 21
13 KHOTANG 0 0 0 0 0 0 0 0 0 17 1 18 0 0 0 17 1 18 8 1 9 0 0 0 8 1 9
14 UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SAPTARI 0 0 0 71 47 118 71 47 118 123 115 238 1344 1052 2396 1467 1167 2634 17 7 24 24 14 38 41 21 62
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CENTRAL 39 27 66 1264 961 2225 1303 988 2291 94 93 187 4417 3317 7734 4511 3410 7921 9 13 22 173 99 272 182 112 294
17 DHANUSA 0 0 0 0 0 0 0 0 0 1 1 2 110 104 214 111 105 216 0 0 0 0 0 0 0 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 0 42 35 77 42 35 77 0 0 0 411 373 784 411 373 784 0 0 0 28 35 63 28 35 63
20 SINDHULI 2 2 4 129 83 212 131 85 216 9 10 19 261 200 461 270 210 480 0 0 0 8 4 12 8 4 12
21 RAMECHHAP 1 2 3 28 28 56 29 30 59 7 4 11 119 114 233 126 118 244 0 0 0 14 5 19 14 5 19
22 DOLAKHA 0 0 0 43 24 67 43 24 67 2 1 3 163 53 216 165 54 219 0 0 0 8 9 17 8 9 17
23 SINDHUPALCHOK 7 7 14 236 241 477 243 248 491 4 10 14 176 126 302 180 136 316 0 1 1 13 4 17 13 5 18
24 KAVRE 0 0 0 50 36 86 50 36 86 2 2 4 60 33 93 62 35 97 0 0 0 7 2 9 7 2 9
25 LALITPUR 0 0 0 62 54 116 62 54 116 5 5 10 320 225 545 325 230 555 0 0 0 9 2 11 9 2 11
26 BHAKTAPUR 0 0 0 6 4 10 6 4 10 0 0 0 182 115 297 182 115 297 0 0 0 2 1 3 2 1 3
27 KATHMANDU 24 12 36 365 249 614 389 261 650 42 35 77 1387 1127 2514 1429 1162 2591 7 10 17 41 13 54 48 23 71
28 NUWAKOT 0 0 0 68 32 100 68 32 100 1 4 5 195 115 310 196 119 315 0 0 0 3 0 3 3 0 3
29 RASUWA 0 0 0 23 5 28 23 5 28 0 0 0 48 26 74 48 26 74 0 0 0 4 1 5 4 1 5
30 DHADING 5 4 9 69 42 111 74 46 120 6 8 14 234 133 367 240 141 381 0 0 0 8 5 13 8 5 13
31 MAKWANPUR 0 0 0 70 56 126 70 56 126 3 2 5 352 226 578 355 228 583 0 0 0 5 5 10 5 5 10
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 0 0 0 69 65 134 69 65 134 9 7 16 78 69 147 87 76 163 0 0 0 4 1 5 4 1 5
35 CHITAWAN 0 0 0 4 7 11 4 7 11 3 4 7 321 278 599 324 282 606 2 2 4 19 12 31 21 14 35
WESTERN 0 0 0 167 105 272 167 105 272 3 11 14 1020 804 1824 1023 815 1838 0 0 0 23 21 44 23 21 44
36 GORKHA 0 0 0 13 14 27 13 14 27 1 4 5 43 43 86 44 47 91 0 0 0 3 2 5 3 2 5
37 LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 KASKI 0 0 0 0 0 0 0 0 0 0 1 1 10 8 18 10 9 19 0 0 0 0 0 0 0 0 0
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 0 0 0 2 1 3 13 11 24 15 12 27 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 0 0 0 1 1 2 1 1 2 0 0 0 11 8 19 11 8 19 0 0 0 3 1 4 3 1 4
48 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48.1 NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 0 0 0 4 3 7 4 3 7 0 4 4 33 36 69 33 40 73 0 0 0 0 2 2 0 2 2
50 KAPILBASTU 0 0 0 149 87 236 149 87 236 0 1 1 910 698 1608 910 699 1609 0 0 0 17 16 33 17 16 33
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MID WESTERN 2 4 6 201 126 327 203 130 333 4 8 12 2280 1757 4037 2284 1765 4049 3 3 6 63 36 99 66 39 105
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 1 1 7 0 7 7 1 8 0 0 0 9 7 16 9 7 16 0 0 0 0 0 0 0 0 0
57 BANKE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 BARDIYA 0 0 0 106 74 180 106 74 180 0 0 0 359 311 670 359 311 670 0 0 0 2 1 3 2 1 3
59 SURKHET 2 3 5 2 0 2 4 3 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 JAJARKOT 0 0 0 26 11 37 26 11 37 0 2 2 105 62 167 105 64 169 0 0 0 0 1 1 0 1 1
62 DOLPA 0 0 0 0 0 0 0 0 0 2 3 5 98 65 163 100 68 168 3 3 6 1 2 3 4 5 9
63 JUMLA 0 0 0 8 5 13 8 5 13 2 3 5 130 108 238 132 111 243 0 0 0 20 4 24 20 4 24
64 KALIKOT 0 0 0 0 1 1 0 1 1 0 0 0 533 331 864 533 331 864 0 0 0 8 8 16 8 8 16
65 MUGU 0 0 0 52 35 87 52 35 87 0 0 0 573 453 1026 573 453 1026 0 0 0 6 2 8 6 2 8
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 473 420 893 473 420 893 0 0 0 26 18 44 26 18 44
FAR WESTERN 1 0 1 156 154 310 157 154 311 45 30 75 2995 2363 5358 3040 2393 5433 13 0 13 70 32 102 83 32 115
67 BAJURA 0 0 0 0 0 0 0 0 0 5 5 10 459 284 743 464 289 753 0 0 0 12 3 15 12 3 15
68 BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 536 435 971 536 435 971 0 0 0 12 8 20 12 8 20
69 ACHHAM 0 0 0 45 48 93 45 48 93 1 1 2 233 186 419 234 187 421 0 0 0 7 8 15 7 8 15
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 KAILALI 1 0 1 3 6 9 4 6 10 8 6 14 41 57 98 49 63 112 0 0 0 1 0 1 1 0 1
72 KANCHANPUR 0 0 0 108 100 208 108 100 208 16 17 33 633 549 1182 649 566 1215 0 0 0 31 7 38 31 7 38
73 DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 343 286 629 343 286 629 0 0 0 5 6 11 5 6 11
74 BAITADI 0 0 0 0 0 0 0 0 0 15 1 16 750 566 1316 765 567 1332 13 0 13 2 0 2 15 0 15
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Raw Data: Nutrition (Sheet 5 of 8)
Discharge
Transfer In
Re-covered Death De-faulter
6-59 6-59 6-59 6-59
District Name <6 months Total <6 months Total <6 months Total <6 months Total
months months months months
Female
Female
Female
Female
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Natioanal Total 22 7 243 192 265 199 159 144 8371 6437 8530 6581 1 191 39 25 40 216 49 17 1185 888 1234 905
EASTERN 7 0 41 31 48 31 42 43 709 610 751 653 0 191 4 3 4 194 0 0 59 45 59 45
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
04 JHAPA 0 0 7 8 7 8 1 0 33 43 34 43 0 0 0 3 0 3 0 0 4 6 4 6
05 MORANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 7 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 0 0 1 0 1 0 1 0 109 83 110 83 0 0 0 0 0 0 0 0 15 10 15 10
13 KHOTANG 0 0 0 0 0 0 1 1 0 0 1 1 0 191 0 0 0 191 0 0 0 0 0 0
14 UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SAPTARI 0 0 33 23 33 23 39 42 567 484 606 526 0 0 4 0 4 0 0 0 40 29 40 29
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CENTRAL 11 4 87 72 98 76 85 68 2895 2099 2980 2167 0 0 14 15 14 15 45 17 628 512 673 529
17 DHANUSA 0 0 5 1 5 1 0 0 52 46 52 46 0 0 0 0 0 0 0 0 2 2 2 2
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 3 3 3 3 0 0 264 202 264 202 0 0 2 4 2 4 0 0 104 115 104 115
20 SINDHULI 0 0 5 2 5 2 7 8 364 232 371 240 0 0 2 3 2 3 0 0 31 17 31 17
21 RAMECHHAP 0 0 0 0 0 0 0 0 117 102 117 102 0 0 4 6 4 6 1 0 10 6 11 6
22 DOLAKHA 1 0 23 10 24 10 4 3 79 38 83 41 0 0 1 0 1 0 0 1 8 5 8 6
23 SINDHUPALCHOK 0 1 1 5 1 6 18 11 199 168 217 179 0 0 0 0 0 0 8 10 34 20 42 30
24 KAVRE 0 0 2 3 2 3 3 1 75 54 78 55 0 0 0 0 0 0 0 0 6 2 6 2
25 LALITPUR 0 0 4 4 4 4 9 5 288 210 297 215 0 0 0 0 0 0 0 0 6 10 6 10
26 BHAKTAPUR 0 0 2 1 2 1 0 0 111 70 111 70 0 0 0 0 0 0 0 0 8 7 8 7
27 KATHMANDU 9 3 23 27 32 30 24 12 621 419 645 431 0 0 3 1 3 1 36 6 161 135 197 141
28 NUWAKOT 1 0 1 1 2 1 0 4 185 121 185 125 0 0 0 0 0 0 0 0 13 7 13 7
29 RASUWA 0 0 0 0 0 0 0 1 32 11 32 12 0 0 0 0 0 0 0 0 11 7 11 7
30 DHADING 0 0 0 0 0 0 9 8 142 114 151 122 0 0 0 1 0 1 0 0 29 18 29 18
31 MAKWANPUR 0 0 11 4 11 4 5 11 201 158 206 169 0 0 2 0 2 0 0 0 31 16 31 16
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 0 0 7 11 7 11 4 2 62 55 66 57 0 0 0 0 0 0 0 0 46 50 46 50
35 CHITAWAN 0 0 0 0 0 0 2 2 103 99 105 101 0 0 0 0 0 0 0 0 128 95 128 95
WESTERN 0 0 26 15 26 15 4 5 718 563 722 568 0 0 1 0 1 0 0 0 156 90 156 90
36 GORKHA 0 0 3 1 3 1 0 0 42 34 42 34 0 0 1 0 1 0 0 0 42 31 42 31
37 LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 KASKI 0 0 6 4 6 4 2 1 5 7 7 8 0 0 0 0 0 0 0 0 0 0 0 0
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 2 2 24 17 26 19 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 0 0 12 8 12 8 0 0 11 9 11 9 0 0 0 0 0 0 0 0 0 0 0 0
48 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48.1 NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 0 0 0 0 0 0 0 2 20 23 20 25 0 0 0 0 0 0 0 0 2 0 2 0
50 KAPILBASTU 0 0 5 2 5 2 0 0 616 473 616 473 0 0 0 0 0 0 0 0 112 59 112 59
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MID WESTERN 4 3 52 38 56 41 7 7 1663 1273 1670 1280 0 0 14 3 14 3 3 0 182 108 185 108
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 0 0 0 0 0 0 0 6 2 6 2 0 0 0 0 0 0 0 0 0 0 0 0
57 BANKE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 BARDIYA 0 0 29 24 29 24 0 0 281 243 281 243 0 0 1 0 1 0 0 0 33 27 33 27
59 SURKHET 0 0 0 0 0 0 2 3 2 0 4 3 0 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 JAJARKOT 0 0 5 4 5 4 0 2 83 56 83 58 0 0 0 1 0 1 0 0 7 3 7 3
62 DOLPA 3 3 3 0 6 3 4 0 82 50 86 50 0 0 9 0 9 0 3 0 6 3 9 3
63 JUMLA 1 0 4 1 5 1 1 2 106 81 107 83 0 0 1 1 1 1 0 0 12 7 12 7
64 KALIKOT 0 0 2 1 2 1 0 0 354 236 354 236 0 0 3 0 3 0 0 0 69 36 69 36
65 MUGU 0 0 5 4 5 4 0 0 457 335 457 335 0 0 0 0 0 0 0 0 28 20 28 20
66 HUMLA 0 0 4 4 4 4 0 0 292 270 292 270 0 0 0 1 0 1 0 0 27 12 27 12
FAR WESTERN 0 0 37 36 37 36 21 21 2386 1892 2407 1913 1 0 6 4 7 4 1 0 160 133 161 133
67 BAJURA 0 0 1 2 1 2 4 5 394 237 398 242 0 0 0 2 0 2 0 0 11 7 11 7
68 BAJHANG 0 0 20 19 20 19 0 0 386 318 386 318 0 0 3 0 3 0 0 0 24 18 24 18
69 ACHHAM 0 0 5 6 5 6 0 0 161 126 161 126 0 0 1 0 1 0 0 0 44 31 44 31
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 KAILALI 0 0 9 4 9 4 9 5 35 53 44 58 1 0 0 0 1 0 0 0 0 0 0 0
72 KANCHANPUR 0 0 0 2 0 2 8 11 478 436 486 447 0 0 2 2 2 2 0 0 30 23 30 23
73 DADELDHURA 0 0 1 3 1 3 0 0 240 187 240 187 0 0 0 0 0 0 0 0 12 9 12 9
74 BAITADI 0 0 1 0 1 0 0 0 692 535 692 535 0 0 0 0 0 0 1 0 39 45 40 45
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Raw Data: Nutrition (Sheet 6 of 8)
Discharge
Transfer Out Children at End of This Month
Not Improved Refer to Hospital
6-59 6-59 6-59
District Name <6 months Total <6 months Total <6 months Total <6 months 6-59 months Total
months months months
Female
Female
Female
Female
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Natioanal Total 120 114 627 474 747 588 8 3 186 162 194 165 5 4 189 162 194 166 45 30 3104 2494 3149 2524
EASTERN 100 110 128 142 228 252 3 0 18 15 21 15 1 0 6 5 7 5 0 0 734 645 734 645
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
04 JHAPA 2 0 5 7 7 7 0 0 0 0 0 0 0 0 2 4 2 4 0 0 3 6 3 6
05 MORANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 0 0 16 7 16 7 0 0 1 0 1 0 0 0 2 0 2 0 0 0 8 6 8 6
13 KHOTANG 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0
14 UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SAPTARI 97 110 107 128 204 238 2 0 17 15 19 15 0 0 2 1 2 1 0 0 723 633 723 633
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CENTRAL 2 0 264 185 266 185 0 1 76 85 76 86 2 2 91 69 93 71 12 5 898 713 910 718
17 DHANUSA 0 0 6 6 6 6 0 0 2 0 2 0 0 0 0 0 0 0 0 0 45 45 45 45
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 18 31 18 31 0 0 1 1 1 1 0 0 0 0 0 0 0 0 100 94 100 94
20 SINDHULI 0 0 4 1 4 1 0 0 2 1 2 1 0 0 1 0 1 0 0 0 45 41 45 41
21 RAMECHHAP 0 0 8 7 8 7 0 0 1 1 1 1 0 0 1 2 1 2 0 0 30 23 30 23
22 DOLAKHA 0 0 5 5 5 5 0 0 0 13 0 13 0 0 2 2 2 2 0 0 23 10 23 10
23 SINDHUPALCHOK 0 0 8 2 8 2 0 0 6 3 6 3 0 0 11 4 11 4 0 0 43 29 43 29
24 KAVRE 0 0 3 1 3 1 0 0 0 7 0 7 0 0 5 0 5 0 2 0 26 17 28 17
25 LALITPUR 0 0 7 11 7 11 0 0 7 4 7 4 0 0 12 12 12 12 0 0 74 44 74 44
26 BHAKTAPUR 0 0 3 2 3 2 0 0 5 4 5 4 0 0 17 8 17 8 0 0 56 39 56 39
27 KATHMANDU 2 0 94 56 96 56 0 0 35 28 35 28 1 2 33 36 34 38 0 0 238 217 238 217
28 NUWAKOT 0 0 16 5 16 5 0 0 1 0 1 0 1 0 1 2 2 2 0 0 42 31 42 31
29 RASUWA 0 0 3 5 3 5 0 0 1 1 1 1 0 0 1 0 1 0 0 0 3 2 3 2
30 DHADING 0 0 52 22 52 22 0 0 9 3 9 3 0 0 0 1 0 1 2 2 32 15 34 17
31 MAKWANPUR 0 0 11 12 11 12 0 0 5 7 5 7 0 0 7 2 7 2 0 0 52 41 52 41
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 0 0 14 9 14 9 0 0 0 2 0 2 0 0 0 0 0 0 8 3 8 5 16 8
35 CHITAWAN 0 0 12 10 12 10 0 1 1 10 1 11 0 0 0 0 0 0 0 0 81 60 81 60
WESTERN 0 0 95 66 95 66 0 1 11 7 11 8 2 1 14 10 16 11 2 2 386 279 388 281
36 GORKHA 0 0 0 1 0 1 0 1 4 1 4 2 0 0 1 0 1 0 0 0 4 2 4 2
37 LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 KASKI 0 0 2 1 2 1 0 0 0 0 0 0 2 1 7 8 9 9 0 0 0 0 0 0
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 13 11 15 12
45 BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0 0 0 0 0 0 2 0 2 0
48 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48.1 NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 0 0 12 10 12 10 0 0 0 2 0 2 0 0 0 0 0 0 0 1 1 6 1 7
50 KAPILBASTU 0 0 81 54 81 54 0 0 3 4 3 4 0 0 6 2 6 2 0 0 366 260 366 260
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MID WESTERN 5 4 78 49 83 53 3 0 45 24 48 24 0 0 34 29 34 29 4 0 493 392 497 392
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 2 3
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 1 9 5 9 6 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
57 BANKE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 BARDIYA 0 0 4 6 4 6 0 0 14 11 14 11 0 0 2 0 2 0 0 0 130 95 130 95
59 SURKHET 2 3 2 0 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 JAJARKOT 0 0 15 11 15 11 0 0 3 4 3 4 0 0 0 1 0 1 0 0 21 10 21 10
62 DOLPA 3 0 0 0 3 0 3 0 7 2 10 2 0 0 0 1 0 1 0 0 6 10 6 10
63 JUMLA 0 0 36 21 36 21 0 0 3 1 3 1 0 0 0 1 0 1 4 0 35 30 39 30
64 KALIKOT 0 0 4 0 4 0 0 0 16 5 16 5 0 0 5 4 5 4 0 0 89 58 89 58
65 MUGU 0 0 8 6 8 6 0 0 1 0 1 0 0 0 14 15 14 15 0 0 119 98 119 98
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 7 13 7 0 0 91 88 91 88
FAR WESTERN 13 0 62 32 75 32 2 1 36 31 38 32 0 1 44 49 44 50 27 23 593 465 620 488
67 BAJURA 0 0 9 5 9 5 1 0 0 0 1 0 0 1 1 0 1 1 0 0 79 45 79 45
68 BAJHANG 0 0 17 10 17 10 0 0 11 7 11 7 0 0 3 12 3 12 0 0 104 95 104 95
69 ACHHAM 0 0 3 6 3 6 1 0 5 5 6 5 0 0 11 7 11 7 0 0 88 77 88 77
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 KAILALI 0 0 0 2 0 2 0 1 2 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0
72 KANCHANPUR 0 0 22 6 22 6 0 0 7 7 7 7 0 0 0 3 0 3 27 23 210 160 237 183
73 DADELDHURA 0 0 0 1 0 1 0 0 4 3 4 3 0 0 14 17 14 17 0 0 79 75 79 75
74 BAITADI 13 0 11 2 24 2 0 0 7 8 7 8 0 0 15 10 15 10 0 0 33 13 33 13
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Raw Data: Nutrition (Sheet 7 of 8)
6-12 12-18 18-23 6-12 12-18 18-23 12-18 18-23 12-18 18-23 18-23 18-23
Natioanal Total 122098 72754 75156 25004 16072 10774 60602 23123 11448 7509 47325 7941
EASTERN 21730 13975 11199 6634 4732 2665 10036 5998 3090 1757 7241 2397
01 TAPLEJUNG 2 0 0 4 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0
04 JHAPA 0 0 0 0 0 0 0 0 0 0 0 0
05 MORANG 9171 4874 2776 2157 1283 657 4636 1921 862 431 3259 845
06 SUNSARI 7723 5515 4734 3710 3141 1915 3808 2749 1947 1232 2921 1394
07 DHANKUTA 1 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 957 396 218 754 263 80 453 117 281 55 250 145
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0
11 SOLUKHUMBU 36 20 20 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 3840 3170 3451 9 45 13 1139 1211 0 39 811 13
13 KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0
14 UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0
15 SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0
CENTRAL 59715 42604 54001 6127 4620 3468 23845 10027 2493 2989 20231 1487
17 DHANUSA 19 25 13 16 8 9 0 0 4 2 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 18 24 28 3 4 6 0 0 2 3 0 0
20 SINDHULI 4500 3516 3866 119 86 116 2686 1469 33 49 3042 279
21 RAMECHHAP 1454 803 1115 66 19 25 579 322 6 25 933 11
22 DOLAKHA 2600 2384 2475 157 169 145 850 351 50 29 825 43
23 SINDHUPALCHOK 4251 3347 4079 78 27 25 1209 1087 4 65 1521 1
24 KAVRE 5453 2056 1938 38 77 21 4038 955 24 305 2772 24
25 LALITPUR 4843 3571 4353 223 299 478 1217 702 33 116 1325 132
26 BHAKTAPUR 4707 4031 3262 295 116 183 1195 238 125 194 2374 87
27 KATHMANDU 16988 15220 27362 1335 948 496 4045 2350 194 1002 1382 105
28 NUWAKOT 455 1212 846 11 9 275 284 83 8 13 186 2
29 RASUWA 624 406 153 220 70 53 354 115 67 48 268 49
30 DHADING 5944 652 754 312 300 233 4734 777 253 374 4305 241
31 MAKWANPUR 3051 1650 730 1017 519 236 1101 498 376 152 622 188
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 4658 3598 2934 2105 1860 1077 1532 1060 1292 595 660 277
35 CHITAWAN 150 109 93 132 109 90 21 20 22 17 16 48
WESTERN 22317 10658 7163 6983 3983 2764 13774 4719 3350 1422 10507 2120
36 GORKHA 4420 1986 1472 783 386 337 3224 1130 341 202 2972 318
37 LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0
38 TANAHU 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0
40 KASKI 0 0 0 0 0 0 0 0 0 0 0 0
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 2555 631 213 956 154 53 1158 149 458 27 598 129
48 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0
48.1 NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 9273 4692 2956 1773 1176 682 5489 1900 696 349 3696 361
50 KAPILBASTU 6069 3349 2522 3471 2267 1692 3903 1540 1855 844 3241 1312
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0
MID WESTERN 11289 3525 1816 3159 2026 1502 8058 1392 1143 941 5692 797
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0
54 RUKUM 337 331 234 290 213 135 182 139 106 92 136 71
54.1 RUKUM WEST 763 577 471 545 421 287 425 326 234 219 319 125
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 3270 1937 862 1804 1210 950 1260 522 697 396 550 459
57 BANKE 0 0 0 0 0 0 0 0 0 0 0 0
58 BARDIYA 6882 631 191 308 50 22 6185 398 76 18 4683 41
59 SURKHET 0 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0
61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0
62 DOLPA 32 42 47 209 124 95 2 7 29 216 3 101
63 JUMLA 1 1 2 1 3 3 2 0 1 0 1 0
64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0
65 MUGU 4 6 9 2 5 10 2 0 0 0 0 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0
FAR WESTERN 7047 1992 977 2101 711 375 4889 987 1372 400 3654 1140
67 BAJURA 0 0 0 0 0 0 0 0 0 0 0 0
68 BAJHANG 15 0 0 7 0 0 0 0 0 0 0 0
69 ACHHAM 4820 1359 646 1853 628 337 3356 560 1209 361 2237 1022
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0
71 KAILALI 1 0 0 6 0 0 0 0 0 0 0 0
72 KANCHANPUR 0 0 0 0 8 9 0 0 3 7 0 0
73 DADELDHURA 2173 565 213 233 75 29 1458 282 160 32 1193 117
74 BAITADI 38 68 118 2 0 0 75 145 0 0 224 1
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0
Raw Data: Nutrition (Sheet 8 of 8)
Antenatal
Postnatal
District Name
Oedema
Excl. Red (Severe Red: Cured Red:
introduction of months) Green (Moderate Stagnating or
breast Acute child after Absent of
Complementary (Normal) Acute decreasing
feeding Female Male Malnutrition) treatment defaulting
feeding Malnutrition) weight
National Total 156696 190754 44530 42718 25546 16999 2612698 99587 12680 348 2948 680 488
EASTERN 23091 25729 8525 8683 5586 5455 291820 13317 884 3 137 47 29
01 TAPLEJUNG 678 664 111 110 237 121 1103 79 2 0 0 0 4
02 PANCHTHAR 1347 1319 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 1188 1000 87 14
04 JHAPA 158 16
05 MORANG 7267 6515 92 76 193 30 905 16 4 0 0 0 0
06 SUNSARI 1354 1376 78 98 41 12 2046 187 11 2 8 1
07 DHANKUTA 1358 1469 7 8 83 32 953 12 0 0 0 0 0
08 TERHATHUM 17 1
09 SANKHUWASABHA 6 7 335 34 1 0 0 0 0
10 BHOJPUR 3 2 4 1 5 2 17 5 1
11 SOLUKHUMBU 7 17 7857 8125 4404 4896 0 0 0 0 0 0 0
12 OKHALDHUNGA 5355 8899 257 164 316 232 126900 3346 424 33 8 6
13 KHOTANG 2098 2182 0 0 0 0 0 0 0 0 0 0 0
14 UDAYAPUR 1543 1545 113 99 188 98 104 33 0 0 0 0 0
15 SAPTARI 887 734 0 0 24 10 159068 9531 398 1 87 30 14
16 SIRAHA 6 2 8 8 214 57 44 9 9 3
CENTRAL 55606 86178 4473 3577 4612 1864 1442644 35346 3774 40 827 203 163
17 DHANUSA 351 464 37 24 197 30 7359 502 84 0 31 3 1
18 MAHOTTARI 14 17 9 7 14 6 1600 146 48 0 0 0 0
19 SARLAHI 108 126 49 44 35 15 46991 4981 392 8 33 4 7
20 SINDHULI 5427 7552 565 492 772 237 136939 3553 292 2 49 13 15
21 RAMECHHAP 941 1737 647 558 151 102 105452 1183 95 0 12 4 10
22 DOLAKHA 2367 2480 487 592 3 2 109352 1236 69 0 9 4 3
23 SINDHUPALCHOK 1969 2767 148866 3835 304 4 68 38 16
24 KAVRE 5776 12693 51 52 187 90 144885 3308 185 3 64 13 9
25 LALITPUR 3470 5027 56 67 252 85 101208 1809 301 3 146 8 4
26 BHAKTAPUR 5379 7390 759 565 490 337 54729 866 165 1 9 14 1
27 KATHMANDU 11592 24526 654 566 800 448 292920 4241 527 2 113 12 10
28 NUWAKOT 3491 2733 49 40 88 32 48080 1140 97 27 4 4
29 RASUWA 687 787 0 0 0 12503 253 35 1 8 9 6
30 DHADING 7507 11753 548 89 179 67 98209 2697 263 3 43 12 10
31 MAKWANPUR 3114 2956 207 183 121 26 126779 4803 804 10 187 59 57
32 RAUTAHAT 55 85 7 5 43 17 915 37 8 0 0 0 0
33 BARA 84 123 28 1 509 9 9 0 0 0 0
34 PARSA 2359 2067 323 266 1191 355 3142 339 42 2 15 0 4
35 CHITAWAN 915 895 25 27 61 14 2206 408 54 1 13 6 6
WESTERN 32282 30951 101 86 272 75 202451 7555 1247 41 164 25 31
36 GORKHA 3957 3811 41 22 73 13 149206 2252 82 0 25 13 6
37 LAMJUNG 318 367 5 20 0 1 173 0 1 0 0 0 0
38 TANAHU 35 43 1 1 6 3
39 SYANGJA 466 485 1 0 1 0 79 0 0 0 0 0 0
40 KASKI 319 230 0 0 3 0 0 0 0 1 0 0 0
41 MANANG 0 0 0 0 0 0
42 MUSTANG 23 14 4 3 5 2 110 0 0 0 0 0 0
43 MYAGDI 8 14 7 56
44 PARBAT 496 20 17 24
45 BAGLUNG 521 537 9 6 83 15
46 GULMI 4 6 27
47 PALPA 2221 2226 4 4 20 2 210 11 0 0 1 0 0
48 NAWALPUR 2396 1520 5 2 21 5 28 3
48.1 NAWALPARASI 1656 1144 1 188 5 0 0 0 0 0
49 RUPANDEHI 5935 5618 18 23 24 15 17 0 0 0 0 0 0
50 KAPILBASTU 12495 13250 0 0 0 11 51861 5264 1147 40 114 12 25
51 ARGHAKHANCHI 1928 1686 5 5 36 8 0 0 0 0 0 0 0
MID WESTERN 29401 31020 30932 29901 14440 9299 199700 17255 2778 120 566 208 139
52 PYUTHAN 2491 2615 0
53 ROLPA 898 939 4 5 0 0 126 23
54 RUKUM 233 242 10 13 53 20 15 2 0 0 0 0 0
54.1 RUKUM WEST 1465 1330 65 55 98 44 645 95 1 0 0 1 0
55 SALYAN 2409 2511 8 6 9 5 10
56 DANG 4980 5006 0 1 28 3 253 2 1
57 BANKE 2665 2574 11 11 2002 290 15 1
58 BARDIYA 5022 5069 0 0 0 0 114760 4030 313 2 91 28 30
59 SURKHET 2398 2599 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 244 301 0 0 0 985 441
61 JAJARKOT 1316 1206 0 0 0 2 21007 1809 166 8 34 15 6
62 DOLPA 437 425 1292 1167 597 304 2270 465 69 0 11 9 0
63 JUMLA 1741 2717 6784 6238 3424 2312 18668 2496 370 17 66 37 20
64 KALIKOT 2504 2448 17196 17136 7835 4625 26473 4006 545 17 216 62 56
65 MUGU 563 1006 5563 5278 2360 1944 9395 2729 972 63 49 11 21
66 HUMLA 35 32 10 2 25 29 3091 867 326 13 98 45 6
FAR WESTERN 16316 16876 499 471 636 306 476083 26114 3997 144 1254 197 126
67 BAJURA 659 793 420 415 356 236 53827 5459 1017 16 534 66 43
68 BAJHANG 627 608 12 10 77 21 26613 1790 416 1 174 31 19
69 ACHHAM 5238 5269 1 2 0 0 158934 5883 501 1 53 12 7
70 DOTI 329 459 10 10 49 15 679 41 3
71 KAILALI 377 379 0 0 0 0 2204 3 0 0 0 0 0
72 KANCHANPUR 2756 2909 12 1 0 0 94143 5151 439 0 75 17 13
73 DADELDHURA 1550 1493 0 0 0 0 32462 2417 314 4 62 19 12
74 BAITADI 4282 4457 40 31 87 16 106443 5364 1307 122 356 52 32
75 DARCHAULA 498 509 4 2 67 18 778 6 0 0 0 0 0
Analysed Data: Safe Motherhood Programme
Percentage of deliveries
supply of Iron Folic Acid
Percentage of pregnant
Percentage of assisted
per 100,000 live births
institutional deliveries
protocol (4th, 6th, 8th
Percentage of women
Percentage of women
Percentage of women
Percentage of normal
Birth Attendant (SBA)
women who had four
attended by a Skilled
by caesarean section
ANC checkups as per
attended by a health
Percentage of births
within 24 hours of
one ANC checkup
during pregnancy
and 9th month)
Percentage of
Percentage of
Percentage of
deliveries
deliveries
delivery
delivery
facility)
District
Nepal 102.1 52.8 52.8 20.7 44.3 54.6 52.4 4.7 81.4 2.5 16.1 51.2 51.2 19.1
Province 1 95.3 44.1 44.1 5.5 41.1 49.1 47.9 2.9 71.3 2.7 26 42 42 8.9
01 TAPLEJUNG 87 36.3 36.3 0 45 36 34.6 8.7 89.3 2.2 8.5 38.9 38.9 15.1
02 PANCHTHAR 80.8 42.6 42.6 0 43.8 39.1 36.8 2.6 91.6 1.5 6.9 37.1 37.1 10.8
03 ILAM 64.1 36.1 36.1 0 35.4 20.5 20.3 2.2 89.1 1.7 9.3 22.1 22.1 3.2
04 JHAPA 105.4 41.8 41.8 4.9 38.6 74.8 74.8 0.28 48.6 1 50.4 64 64 5.3
05 MORANG 122.4 43.1 43.1 8.5 34 78 77.9 0.29 65.5 5.5 29 52.9 52.9 8.4
06 SUNSARI 85.2 53.7 53.7 0 43 23.1 23.1 0.73 99.4 0.4 0.18 23.6 23.6 5.6
07 DHANKUTA 79.2 37.1 37.1 0 38.9 14.4 14 1.6 95.5 3.6 0.99 18.2 18.2 4.5
08 TERHATHUM 73.6 34.3 34.3 0 35.7 28.3 27.9 1.1 84.9 6.5 8.5 24.2 24.2 1.7
09 SANKHUWASABHA 70.4 46.7 46.7 0 46.1 60.6 47.9 13.3 89.4 3.2 7.4 50.2 50.2 12.1
10 BHOJPUR 74.5 39.5 39.5 0 35.1 26.7 18.7 10.9 98.7 1.3 0 27.9 27.9 13
11 SOLUKHUMBU 104.7 39.3 39.3 85.9 53 24.1 24 5.6 96.4 0.39 3.2 25.7 25.7 21.3
12 OKHALDHUNGA 85.4 43 43 28.4 54.3 61 60.6 3.9 91.3 2.3 6.4 62.2 62.2 30.4
13 KHOTANG 107.4 56.3 56.3 0 60.6 25.5 23.3 16.4 97.3 0.06 2.7 34.8 34.8 18.6
14 UDAYAPUR 82.5 43.3 43.3 0 48.4 39.3 36.6 4.8 91.4 0.79 7.8 39 39 11.8
Province 2 102.9 37.3 37.3 14.8 42.6 43.9 45.3 7 90.4 3 6.7 43.7 43.7 22.9
15 SAPTARI 104.6 62.2 62.2 0 58.2 33.1 33.2 1.8 98.2 0.18 1.6 34.4 34.4 28.8
16 SIRAHA 110.7 40.3 40.3 6.5 43.3 45.2 45.4 0.92 92.2 1.7 6 44.1 44.1 10.3
17 DHANUSA 96 21 21 0 28.8 58.6 63.2 5.7 80.7 5.4 13.9 67.1 67.1 12.9
18 MAHOTTARI 101.2 47 47 0 56.8 16.3 15.4 17.2 98.9 0.57 0.57 30.4 30.4 18.6
19 SARLAHI 98.3 32.7 32.7 22.1 30.7 33.4 35.4 5.5 93.7 5.6 0.63 49.3 49.3 33
32 RAUTAHAT 126.5 37.8 37.8 6.1 55 41.9 47.4 14.1 98.8 0.98 0.26 53.3 53.3 32.3
33 BARA 87.8 32.2 32.2 0 35.9 30.7 31.1 3.5 97.3 1.2 1.5 15.5 15.5 10.4
34 PARSA 99.1 28.1 28.1 94 35.1 97.4 95.3 7.4 81.5 3.5 15 52.7 52.7 37.9
Province 3 109 68 68 21.2 31.8 52.8 52.1 1.1 70.5 2.1 27.4 47.6 47.6 13.4
20 SINDHULI 77.5 29 29 0 41.3 23.7 20.3 4 94.2 1.6 4.2 25.5 25.5 4.2
21 RAMECHHAP 60.3 35.9 35.9 0 38.6 32.2 31.7 3 88.6 3.4 8 33.3 33.3 8.9
22 DOLAKHA 69.4 50.6 50.6 22.7 56 42.7 42 3 90.7 1.1 8.2 43.7 43.7 17.5
23 SINDHUPALCHOK 63.6 29.2 29.2 15.1 31.1 21.7 19.6 4.1 96.6 1.6 1.8 17.4 17.4 3.7
24 KAVRE 112.8 44.9 44.9 0 24.7 65.9 64.5 1.7 76.9 2.7 20.4 63.2 63.2 16.5
25 LALITPUR 93.2 78 78 26.8 70.1 77.6 77.2 0.58 53.1 1.8 45.1 59.4 59.4 28.4
26 BHAKTAPUR 61.6 37.8 37.8 0 22.8 21.5 21.6 0.21 68.8 0.64 30.6 19.9 19.9 6.8
27 KATHMANDU 144.1 104.2 104.2 30.9 8.9 81 80.9 0.08 62.7 2.1 35.2 70.6 70.6 18.7
28 NUWAKOT 70.9 40.5 40.5 0 37.6 34.2 33.3 1 91.1 2.2 6.7 32.8 32.8 4.9
29 RASUWA 98.9 47.8 47.8 0 50.8 24.9 25.1 2.8 100 0 0 27.8 27.8 16.2
30 DHADING 75 54 54 0 53.6 41.8 40.8 1.2 98.2 0.71 1.1 41 41 11.2
31 MAKWANPUR 101 52.8 52.8 0 55.4 46.9 46.4 0.81 89.8 0.62 9.6 47 47 11.6
35 CHITAWAN 146.1 68.8 68.8 67.8 31.3 18.3 18 0.39 70.4 3.1 26.4 18.5 18.5 3.2
Province 4 102.4 59.1 59.1 15.3 45.9 46 45.7 1.3 79.9 1.9 18.2 43 43 13.7
36 GORKHA 78.5 46.2 46.2 0 48.4 35 35.4 1.5 93.8 1.4 4.8 36.6 36.6 18.8
37 LAMJUNG 92.4 54 54 24.5 61.1 42.2 41.9 1 87.9 3.4 8.7 42.7 42.7 14.1
38 TANAHU 56.3 25.6 25.6 0 25 22.9 22.8 0.56 96.6 0.99 2.4 22.4 22.4 8.3
39 SYANGJA 81.7 41.9 41.9 0 43.6 22.7 22.6 0.61 92.7 3.9 3.4 22.8 22.8 11.6
40 KASKI 192.4 109.6 109.6 56.9 41.5 102 101.1 1.1 64.9 2.1 33 85.6 85.6 21.3
41 MANANG 76.5 14.8 14.8 0 11.3 12.2 9.6 4.3 100 0 0 13 13 10.4
42 MUSTANG 78.7 23.7 23.7 0 29.2 19.8 20.2 2 100 0 0 20.6 20.6 8.3
43 MYAGDI 99.7 66.5 66.5 0 67.1 52.8 52.8 4.5 92.4 2.7 4.9 56.3 56.3 23.6
44 PARBAT 60.2 43.1 43.1 0 48.2 29.1 29.1 0.47 95.5 2.3 2.3 27.7 27.7 6.1
45 BAGLUNG 82.1 46.9 46.9 14.6 46.3 45.1 45.3 2.6 93.8 0.98 5.2 46.7 46.7 11.8
48.1 NAWALPUR 90.4 59.4 59.4 0 59.1 20.1 19.6 1.4 100 0 0 20.4 20.4 6.6
Province 5 102.7 57.9 57.9 44.7 57.5 69.3 65.2 5.1 83.1 3.2 13.7 65.2 65.2 25
46 GULMI 73.4 61.6 61.6 0 44.9 37.6 38.3 1.4 98.6 0.7 0.74 39.1 39.1 30.3
47 PALPA 117.1 69.1 69.1 48.3 69.1 89.1 89 0.84 79.8 3.4 16.8 86.1 86.1 13
48 NAWALPARASI 96.2 62 62 0 58.8 34 34.1 0.05 97.1 0.46 2.5 34 34 5.1
49 RUPANDEHI 128.1 69 69 90.4 83.8 109 106.4 2.6 73.5 4.1 22.4 105 105 42.6
50 KAPILBASTU 121.9 53.9 53.9 7.3 51.8 31.3 32 3.7 98.7 0.5 0.77 33.7 33.7 14.2
51 ARGHAKHANCHI 65.7 41 41 0 33.8 26.5 27.2 1.5 98.5 0.26 1.3 23.6 23.6 5.9
52 PYUTHAN 91 47.8 47.8 0 48.9 55 54.1 1.2 92.4 0.56 7 55.3 55.3 5.6
53 ROLPA 90.5 44.2 44.2 36.1 56.7 50 36.1 14.4 98.6 0.14 1.3 49.5 49.5 10.8
54 RUKUM 101.7 45.9 45.9 0 68.4 38 34.3 8.3 92.4 6.4 1.2 38.3 38.3 22.6
56 DANG 86.2 60.7 60.7 21.2 43.9 66.3 66 0.44 87.1 4 8.9 66.5 66.5 51.3
57 BANKE 113.5 49.5 49.5 138 47.5 126.7 100.7 26.4 76.4 4.8 18.9 97.9 97.9 13
58 BARDIYA 79.1 56 56 38.1 55 50.6 50 0.59 98.8 0.69 0.52 48 48 27.7
Province 6 109.8 49.1 49.1 15.8 50.1 60.2 50.5 11.3 93.9 1.9 4.2 59.3 59.3 20.4
54.1 RUKUM WEST 156.3 31.6 31.6 0 42.7 53.7 42.6 12.6 92.1 3.9 4 52.4 52.4 10.2
55 SALYAN 100.9 58.5 58.5 0 44.3 54 54 0.42 95.3 1.9 2.8 53.9 53.9 10.4
59 SURKHET 110.2 73.5 73.5 11.4 52.4 80.8 67.4 13.4 88.1 2.7 9.2 81.6 81.6 21.8
60 DAILEKH 84.2 47.6 47.6 31.8 46.8 70 45.1 25.8 98.7 0.67 0.58 66.8 66.8 22.1
61 JAJARKOT 80.6 25.1 25.1 24.6 26.6 31.3 28.1 7.1 98.9 1.1 0 32.5 32.5 18.8
62 DOLPA 84.7 29.9 29.9 0 61 30.6 31.4 3.5 95 4.7 0.33 31.6 31.6 22.1
63 JUMLA 110.7 34.6 34.6 0 76.9 54.1 48.4 10 93.8 0.91 5.3 56.2 56.2 29.6
64 KALIKOT 142.5 50.6 50.6 62.3 51.5 72.3 64 8.6 98.4 0.47 1.1 70.2 70.2 45.3
65 MUGU 216.7 41.6 41.6 0 84 49.3 56.3 5.7 94.5 1.6 3.9 34.8 34.8 10.5
66 HUMLA 49.6 15.2 15.2 0 77.3 18.9 15.3 4.6 98.8 0.82 0.41 17.5 17.5 11.1
Province 7 91.8 55.2 55.2 23.6 51.8 67.8 59.5 8.8 92.7 1.5 5.8 67.4 67.4 34.9
67 BAJURA 92.9 47.8 47.8 0 55.3 69.1 63.9 6.3 99.3 0.53 0.18 68.2 68.2 31.6
68 BAJHANG 113.3 61.1 61.1 20.9 59.1 75.8 73.1 3.3 97 0.77 2.2 74.8 74.8 31.5
69 ACHHAM 115.1 72.7 72.7 0 72.9 73.8 57.5 18.9 96.9 0.23 2.9 75.1 75.1 52.1
70 DOTI 104.4 52.6 52.6 19.3 54.4 71 69.6 2.5 95.6 3 1.5 70.5 70.5 31.1
71 KAILALI 84.4 51.5 51.5 30.4 41.8 76.5 63.5 13 84.1 2.6 13.3 75.2 75.2 52.7
72 KANCHANPUR 77.1 49 49 60.7 46.4 48.2 48.2 0.01 99.6 0.29 0.13 48.2 48.2 11.7
73 DADELDHURA 100.9 61.5 61.5 0 50.2 68.9 66.8 2.4 93.4 1 5.6 69.2 69.2 19.5
74 BAITADI 90.6 61.6 61.6 0 62.5 64.5 44.9 20.1 98.7 0.64 0.66 64.7 64.7 27.3
75 DARCHAULA 82.8 50.7 50.7 0 53.1 59.6 57.9 1.9 96 1.2 2.8 59.7 59.7 19.7
Analysed Data: Safe Motherhood Programme
pregnancies terminated
pregnancies terminated
pregnancies terminated
who received Vitamin A
terminated by induced
Percentage of women
by induced procedure
by induced procedure
by induced procedure
Percentage of clients
emergency obstetric
procedure at health
procedure at health
postpartum women
postpartum women
pregnancies >20yrs
Maternal mortality
complication who
at health facility -
supplementation
at health facility-
received a blood
at health facility
contraceptives
received LARC
Percentage of
Percentage of
Percentage of
Percentage of
Percentage of
Percentage of
Percentageof
Met need for
supply of IFA
transfusion
Medical
surgical
facility
facility
births
care
District
Nepal 40.1 72.2 11.6 1.8 11 12.7 5.7 14 7.1 15.8 70.7 21
Province 1 31.5 64.3 23.7 1.3 12.3 13.7 5.3 16.4 8.3 14 75.8 6
01 TAPLEJUNG 35 63.1 6.2 1.2 13.8 15 9.8 9.7 5.2 7.4 46.3 0
02 PANCHTHAR 41.8 66.6 6.7 2.6 29.4 32 2.9 10 29.1 23.7 87.8 0
03 ILAM 26.5 60.7 16.9 2.2 21 23.2 2.5 6.6 20.7 23.3 90 0
04 JHAPA 31.3 61.5 4.9 2.8 18.9 21.7 9.4 15.6 12.3 10.7 67.1 5
05 MORANG 22.1 68.5 93.7 0.55 8.7 9.2 3 49.2 6.2 12.5 77.7 9
06 SUNSARI 23.4 46.9 2.1 1.6 15.4 17 9.3 0.5 7.7 13.1 79.9 0
07 DHANKUTA 31.8 61.6 1 1.6 19.2 20.8 7.2 1.1 13.5 17.5 82.5 0
08 TERHATHUM 36 65.6 1.5 0.25 1.8 2 0.92 0 1.1 0 10.5 0
09 SANKHUWASABHA 32.1 53.5 4.2 2 10.5 12.4 9.6 7.8 2.9 4 70.8 0
10 BHOJPUR 55.7 113 2 0.04 0.58 0.62 0.38 1.7 0.24 17.9 107.1 0
11 SOLUKHUMBU 35.2 73.1 1.7 0.47 1.3 1.8 1.4 11.1 0.4 18.4 87.8 86
12 OKHALDHUNGA 79.7 87.6 5.5 0.02 1.3 1.3 0.36 6.8 0.94 7.4 44.4 28
13 KHOTANG 50.3 98.2 1.6 0.16 1 1.2 0.18 35 0.98 0 0 0
14 UDAYAPUR 30.2 53.9 2.4 0.01 1.6 1.6 1 2.4 0.53 2.7 60.8 0
Province 2 39.9 87.2 2.3 0.74 4 4.7 1.8 33.9 2.9 16.3 72.3 15
15 SAPTARI 46.5 81.4 1.2 0.28 4 4.3 0.06 7.7 4.3 11.4 83 0
16 SIRAHA 47.1 93.5 4.2 0.66 5.9 6.6 1.6 24.7 4.9 13.7 76.9 7
17 DHANUSA 34.7 86 0.61 1.6 5 6.6 3.6 4.2 3 17 63.2 0
18 MAHOTTARI 46.6 121.4 1 0.64 1.7 2.3 1.6 34.9 0.73 62.2 99.3 0
19 SARLAHI 28.2 52.6 0.77 0.08 1.1 1.2 0.8 1.6 0.42 14.6 101.9 22
32 RAUTAHAT 46.2 106.8 3.5 0.33 3 3.4 0.41 3.9 3 21 90.5 6
33 BARA 35.2 83.6 0.69 0.17 1.7 1.9 0.11 23 1.8 11.4 70.5 0
34 PARSA 36.6 76.9 7.7 2.4 10.7 13 7 65.9 6 9.9 57.5 94
Province 3 24 46.3 15.6 2.9 13.4 16.3 7.7 3.6 8.6 13.5 65 21
20 SINDHULI 39.7 83.3 11.8 0.13 2.5 2.6 0.18 10.4 2.4 2.4 19.3 0
21 RAMECHHAP 41.9 65.1 1.6 0.49 7 7.5 0.52 9.6 7 10.5 60 0
22 DOLAKHA 55.3 76 2.3 0.35 5.3 5.7 1.8 14.7 3.9 10.2 81.7 23
23 SINDHUPALCHOK 29.4 58.6 2 0.12 1.4 1.5 0.04 2.4 1.4 32.8 94.8 15
24 KAVRE 21.2 35.3 3.5 2 12.6 14.5 4.1 7.7 10.4 13.7 69.4 0
25 LALITPUR 67.7 77.9 30.5 1.1 16.5 17.6 7 0.89 10.6 17.4 68.4 27
26 BHAKTAPUR 25.7 42.8 2 0.32 3.3 3.6 0.4 5.2 3.2 19.7 110.4 0
27 KATHMANDU 6.6 24.5 16.8 6.3 20.1 26.3 13.8 2.8 12.5 14.5 61.8 31
28 NUWAKOT 25.1 59.1 2 0.66 6.9 7.6 5.8 6.9 1.7 34.7 84 0
29 RASUWA 35.4 72.4 0.81 0 0 0 0 0 0 0
30 DHADING 33.5 45.1 2.9 0.58 7.5 8.1 1.1 3.3 7 3.2 53.6 0
31 MAKWANPUR 19.8 74.7 2.4 1.6 12.7 14.3 8.4 7.1 5.9 10.6 47.3 0
35 CHITAWAN 12.7 29 54.7 3.8 20.1 23.9 12.2 3.3 11.8 8.3 75.5 68
Province 4 32.3 66.8 7.8 1.6 17.3 18.9 7.3 3.8 11.6 15.6 61.4 15
36 GORKHA 46.1 69 4.7 2.7 9.8 12.4 4.5 4.1 8 10.9 60.5 0
37 LAMJUNG 40.6 52.7 4 0.37 2.8 3.2 1.3 20.1 1.8 5.3 23 25
38 TANAHU 20.2 34.9 1.7 1.4 17.1 18.5 9.4 2.3 9.1 30.1 98.7 0
39 SYANGJA 35.4 76.3 2.4 0.57 7.1 7.7 1.7 4.4 5.9 5.4 38.1 0
40 KASKI 18.5 102.6 27.5 2.7 32.5 35.2 21.3 2 13.9 11.2 40.7 57
41 MANANG 13 15.7 0 0 0 0 0 0 0
42 MUSTANG 38.3 31.6 0.79 0 0 0 0 0 0 0
43 MYAGDI 53.5 70.3 3.7 2.8 37.7 40.5 3.8 8.2 36.7 18.2 87.4 0
44 PARBAT 30.4 48.2 0.48 1.5 25.4 27 8 5 19 28.4 86.1 0
45 BAGLUNG 39.1 61.6 1.1 0.58 13.1 13.7 0.79 41.8 12.9 2.8 38 15
48.1 NAWALPUR 36.3 55.4 3 0.96 9.9 10.8 0.02 0 10.8 19.4 85.2 0
Province 5 54.8 83.6 13.6 2.7 10.6 13.3 7 19.2 6.3 20.2 77 45
46 GULMI 45.3 86.2 2.5 0.29 2 2.3 0.1 3.9 2.2 15.7 70.8 0
47 PALPA 104.5 130.8 19.8 1.5 17.1 18.6 8.8 2 9.9 22.5 85.7 48
48 NAWALPARASI 31.2 45.9 3 1.3 14.9 16.3 7 12.8 9.3 23.4 87.9 0
49 RUPANDEHI 91.6 114.9 41.3 1.1 13.6 14.7 5.6 10.1 9.1 22 90.4 90
50 KAPILBASTU 53.9 96.5 3.2 2.2 14.6 16.7 7.2 0.27 9.5 26.2 88.8 7
51 ARGHAKHANCHI 23.1 54.6 6.1 0.1 1.2 1.3 1.3 0 0 0 0 0
52 PYUTHAN 69.1 98 4.2 0.98 11.3 12.3 7.8 9.7 4.5 25.7 83.4 0
53 ROLPA 52.1 82.2 2.7 0.26 1.3 1.5 0.32 6.2 1.2 3 73 36
54 RUKUM 57.2 76.9 1.8 0 0 0 0 2.8 0 0
56 DANG 25.4 32.1 9 14.4 9.6 23.9 17.7 6.4 6.3 21.5 75.9 21
57 BANKE 34.7 111.6 13.4 1.1 14.9 16 10.6 57.1 5.5 6.4 37 138
58 BARDIYA 45.6 45.5 3 0.23 4.2 4.4 1.2 35.7 3.3 10.9 52 38
Province 6 65.5 94.7 3.4 0.98 6.8 7.8 3.2 12.3 4.6 20.6 74.5 16
54.1 RUKUM WEST 49.9 66 8.5 0 0.53 0.53 0.09 16.5 0.44 4.2 100 0
55 SALYAN 69.9 95.2 2.6 0.77 3.2 4 2.5 14.3 1.5 7.1 22.1 0
59 SURKHET 83.9 93.2 1.9 2.8 20.7 23.4 10 26 13.4 22.5 75.9 11
60 DAILEKH 67 104.6 3.4 0.24 2.6 2.9 1.3 4 1.6 5.6 80.8 32
61 JAJARKOT 38.1 83.7 2.1 0.1 1.5 1.6 0.23 5.8 1.3 12 101.3 25
62 DOLPA 55 97.1 3.5 0.49 2.1 2.5 0.88 0 1.7 15.4 46.2 0
63 JUMLA 52.3 116.4 6.2 1.7 3.8 5.5 0.4 8.7 5.1 61 136.6 0
64 KALIKOT 75 106.1 3 0.42 6.1 6.5 1.3 15.9 5.2 12.6 78 62
65 MUGU 70.8 128 2.6 0.13 2.9 3.1 3.1 3.3 0 0 10.9 0
66 HUMLA 48.6 64.2 1.1 0 0 0 0 0 0 0
Province 7 55.5 80.9 6.1 1.1 14.8 16 7.2 14.3 8.8 15.5 74.4 24
67 BAJURA 70.4 108.1 3.3 0.29 1.7 2 0.49 15.7 1.5 11.5 56.4 0
68 BAJHANG 75.6 96 2.4 1.6 6.2 7.8 7.6 8.2 0.18 46.5 108.6 21
69 ACHHAM 84.9 110.1 3.3 1.4 22.1 23.5 4.1 30.1 19.4 16 98.5 0
70 DOTI 58.9 95.2 3.8 0.88 14.1 15 3.9 2.2 11 10.6 67.4 19
71 KAILALI 30.7 69.3 4.3 2 17.7 19.8 12.7 16.1 7 16.4 60.5 30
72 KANCHANPUR 46.7 53.2 17.4 0.52 12.6 13.1 3.1 11 10 9.3 82.6 61
73 DADELDHURA 73.4 85.7 5.8 0.99 31.1 32.1 12.9 28.8 19.3 20.6 76 0
74 BAITADI 69.9 81.6 1.3 0.06 11.6 11.7 3.6 2.2 8.1 7.1 64.5 0
75 DARCHAULA 84 114.8 2.8 0.37 6.4 6.8 6.6 3.5 0.13 5.5 95.3 0
Raw Data: SAFEMOTHERHOOD (Sheet 1 of 6)
Antenatal Checkup Delivery Services
Received
First ANC Visit (any First ANC visit as per Four ANC visits as per Skilled Birth Non-SBA health
Reports
Total
District Name time) protocol protocol Attendants (SBA) workers
< 20 ≥ 20 < 20 ≥ 20 < 20 ≥ 20
Total Total Total Facility Home Total Facility Home Total Facility Home Total
Years Years Years Years Years Years
NEPAL 52176 125603 529721 655324 84705 363132 447837 52284 286863 339147 331255 4883 336138 18976 10879 29855 350231 15762 365993
Province 1 8975 21950 82309 104259 14424 54162 68586 9124 39123 48247 52124 301 52425 1612 1533 3145 53736 1834 55570
01 TAPLEJUNG 656 678 1905 2583 373 1203 1576 222 855 1077 997 31 1028 71 187 258 1068 218 1286
02 PANCHTHAR 568 842 2823 3665 708 2440 3148 387 1543 1930 1660 9 1669 112 4 116 1772 13 1785
03 ILAM 634 769 3603 4372 606 2981 3587 333 2126 2459 1341 41 1382 55 98 153 1396 139 1535
04 JHAPA 728 3913 17583 21496 2117 10394 12511 1342 7185 8527 15251 9 15260 16 42 58 15267 51 15318
05 MORANG 939 6165 22684 28849 4104 11863 15967 2284 7871 10155 18356 9 18365 35 34 69 18391 43 18434
06 SUNSARI 685 3195 13149 16344 1948 9697 11645 1866 8433 10299 4425 12 4437 14 126 140 4439 138 4577
07 DHANKUTA 577 526 2596 3122 385 1836 2221 168 1295 1463 544 7 551 23 42 65 567 49 616
08 TERHATHUM 384 442 1314 1756 327 971 1298 177 641 818 664 1 665 11 15 26 675 16 691
09 SANKHUWASABHA 509 674 1865 2539 580 1729 2309 390 1293 1683 1716 12 1728 471 9 480 2187 21 2208
10 BHOJPUR 738 693 2154 2847 506 1791 2297 292 1219 1511 699 15 714 320 97 417 1019 112 1131
11 SOLUKHUMBU 349 505 1932 2437 262 1197 1459 139 776 915 534 24 558 26 105 131 560 129 689
12 OKHALDHUNGA 682 652 2357 3009 435 1708 2143 229 1284 1513 2098 35 2133 52 87 139 2150 122 2272
13 KHOTANG 928 1111 3542 4653 747 2473 3220 439 2001 2440 930 80 1010 176 536 712 1106 616 1722
14 UDAYAPUR 598 1785 4802 6587 1326 3879 5205 856 2601 3457 2909 16 2925 230 151 381 3139 167 3306
Province 2 8838 29075 102727 131802 14957 59246 74203 7760 39983 47743 54755 3212 57967 1457 7461 8918 56212 10673 66885
15 SAPTARI 1370 2382 13560 15942 1501 10274 11775 892 8595 9487 4973 91 5064 71 199 270 5044 290 5334
16 SIRAHA 1310 4087 12953 17040 2580 7886 10466 1215 4985 6200 6926 61 6987 33 109 142 6959 170 7129
17 DHANUSA 1233 4324 12598 16922 2052 5881 7933 922 2790 3712 10311 834 11145 26 974 1000 10337 1808 12145
18 MAHOTTARI 934 3287 11958 15245 2097 8349 10446 1114 5959 7073 2044 272 2316 411 2184 2595 2455 2456 4911
19 SARLAHI 857 3967 13835 17802 2450 7404 9854 1354 4575 5929 5905 502 6407 141 862 1003 6046 1364 7410
32 RAUTAHAT 1055 6300 14527 20827 2009 7556 9565 1183 5031 6214 6749 1045 7794 147 2175 2322 6896 3220 10116
33 BARA 1186 2469 11859 14328 1344 6950 8294 641 4603 5244 4869 211 5080 133 432 565 5002 643 5645
34 PARSA 893 2259 11437 13696 924 4946 5870 439 3445 3884 12978 196 13174 495 526 1021 13473 722 14195
Province 3 9878 19890 124354 144244 15697 87597 103294 9146 80864 90010 68762 246 69008 1109 321 1430 69871 567 70438
20 SINDHULI 683 1440 3947 5387 956 2728 3684 404 1613 2017 1393 18 1411 255 25 280 1648 43 1691
21 RAMECHHAP 774 646 2278 2924 478 1904 2382 258 1482 1740 1482 56 1538 81 65 146 1563 121 1684
22 DOLAKHA 690 472 2579 3051 399 2283 2682 268 1958 2226 1809 38 1847 67 67 134 1876 105 1981
23 SINDHUPALCHOK 1026 774 3438 4212 560 2527 3087 285 1647 1932 1272 24 1296 165 105 270 1437 129 1566
24 KAVRE 1166 1805 8258 10063 1261 5171 6432 620 3383 4003 5752 5 5757 130 24 154 5882 29 5911
25 LALITPUR 466 747 9684 10431 440 1877 2317 440 8291 8731 8628 7 8635 57 8 65 8685 15 8700
26 BHAKTAPUR 362 552 3903 4455 999 3699 4698 240 2496 2736 1545 19 1564 14 1 15 1559 20 1579
27 KATHMANDU 1400 5487 55089 60576 4182 45604 49786 3338 40481 43819 34025 0 34025 34 1 35 34059 1 34060
28 NUWAKOT 931 1131 3451 4582 808 2655 3463 544 2073 2617 2144 6 2150 65 1 66 2209 7 2216
29 RASUWA 247 155 822 977 105 583 688 61 411 472 228 20 248 18 10 28 246 30 276
30 DHADING 739 1471 4587 6058 1271 4188 5459 866 3492 4358 3280 13 3293 98 2 100 3378 15 3393
31 MAKWANPUR 646 2013 7977 9990 1309 6117 7426 739 4480 5219 4567 23 4590 71 9 80 4638 32 4670
35 CHITAWAN 748 3197 18341 21538 2929 8261 11190 1083 9057 10140 2637 17 2654 54 3 57 2691 20 2711
Province 4 6853 11610 48511 60121 8685 35577 44262 6131 28533 34664 26589 260 26849 409 383 792 26998 643 27641
36 GORKHA 955 1119 3775 4894 853 2898 3751 500 2382 2882 2145 65 2210 38 57 95 2183 122 2305
37 LAMJUNG 703 795 2972 3767 691 2316 3007 426 1776 2202 1700 11 1711 21 21 42 1721 32 1753
38 TANAHU 659 1190 3450 4640 894 2669 3563 432 1677 2109 1861 16 1877 29 17 46 1890 33 1923
39 SYANGJA 819 1222 4170 5392 938 3172 4110 490 2272 2762 1472 18 1490 27 13 40 1499 31 1530
40 KASKI 931 3423 20246 23669 2416 13439 15855 2253 11224 13477 12425 6 12431 117 18 135 12542 24 12566
41 MANANG 164 7 81 88 2 50 52 0 17 17 11 0 11 3 2 5 14 2 16
42 MUSTANG 199 26 173 199 13 115 128 8 52 60 47 4 51 3 2 5 50 6 56
43 MYAGDI 528 644 2019 2663 433 1574 2007 330 1446 1776 1380 30 1410 30 89 119 1410 119 1529
44 PARBAT 672 506 1652 2158 377 1543 1920 226 1317 1543 1032 10 1042 11 6 17 1043 16 1059
45 BAGLUNG 754 1309 4298 5607 962 3038 4000 676 2529 3205 3003 88 3091 79 98 177 3082 186 3268
48.1 NAWALPUR 469 1369 5675 7044 1106 4763 5869 790 3841 4631 1513 12 1525 51 60 111 1564 72 1636
Province 5 7800 19022 95715 114737 14159 70637 84796 9665 55028 64693 72482 347 72829 4936 727 5663 77418 1074 78492
46 GULMI 744 959 3904 4863 872 3741 4613 725 3358 4083 2465 73 2538 26 67 93 2491 140 2631
47 PALPA 831 1763 5508 7271 1359 3950 5309 830 3462 4292 5508 22 5530 25 27 52 5533 49 5582
48 NAWALPARASI 494 1034 6985 8019 799 5734 6533 519 4654 5173 2836 6 2842 0 4 4 2836 10 2846
49 RUPANDEHI 1077 2965 25375 28340 1783 18263 20046 1132 14125 15257 23525 1 23526 576 6 582 24101 7 24108
50 KAPILBASTU 973 1155 15614 16769 702 9936 10638 407 7000 7407 4308 87 4395 3 504 507 4311 591 4902
51 ARGHAKHANCHI 528 725 2554 3279 595 2095 2690 316 1730 2046 1320 37 1357 4 72 76 1324 109 1433
52 PYUTHAN 595 1414 3917 5331 1019 2738 3757 686 2116 2802 3157 11 3168 68 3 71 3225 14 3239
53 ROLPA 635 1517 3504 5021 1066 2433 3499 675 1776 2451 1980 24 2004 793 4 797 2773 28 2801
54 RUKUM 176 397 958 1355 292 547 839 207 405 612 428 29 457 78 33 111 506 62 568
56 DANG 604 3336 8879 12215 2781 7343 10124 2199 6400 8599 9343 14 9357 61 1 62 9404 15 9419
57 BANKE 672 2143 11841 13984 1435 7844 9279 872 5223 6095 12364 43 12407 3240 6 3246 15604 49 15653
58 BARDIYA 471 1614 6676 8290 1456 6013 7469 1097 4779 5876 5248 0 5248 62 0 62 5310 0 5310
Province 6 4246 13697 28053 41750 8760 17940 26700 5201 13450 18651 18852 365 19217 4019 262 4281 22871 627 23498
54.1 RUKUM WEST 317 2279 3692 5971 948 1500 2448 419 787 1206 1602 23 1625 448 35 483 2050 58 2108
55 SALYAN 574 2317 3713 6030 1768 2680 4448 1315 2181 3496 3206 22 3228 24 1 25 3230 23 3253
59 SURKHET 838 3029 6660 9689 2281 4898 7179 1687 4769 6456 5927 0 5927 1175 0 1175 7102 0 7102
60 DAILEKH 785 1598 3695 5293 1355 3063 4418 820 2173 2993 2818 16 2834 1578 42 1620 4396 58 4454
61 JAJARKOT 341 1277 1999 3276 740 1209 1949 315 706 1021 1041 100 1141 230 60 290 1271 160 1431
62 DOLPA 285 188 546 734 81 235 316 50 209 259 255 17 272 10 20 30 265 37 302
63 JUMLA 351 952 1872 2824 729 1222 1951 215 667 882 1161 72 1233 219 36 255 1380 108 1488
64 KALIKOT 351 915 3661 4576 405 1986 2391 196 1430 1626 2052 4 2056 271 4 275 2323 8 2331
65 MUGU 258 982 1788 2770 358 945 1303 135 397 532 612 108 720 18 55 73 630 163 793
66 HUMLA 146 160 427 587 95 202 297 49 131 180 178 3 181 46 9 55 224 12 236
Province 7 5586 10359 48052 58411 8023 37973 45996 5257 29882 35139 37691 152 37843 5434 192 5626 43125 344 43469
67 BAJURA 334 684 2342 3026 515 1843 2358 297 1258 1555 2056 26 2082 194 10 204 2250 36 2286
68 BAJHANG 607 1152 4278 5430 809 2842 3651 500 2428 2928 3476 28 3504 155 5 160 3631 33 3664
69 ACHHAM 964 1406 5909 7315 1093 4495 5588 759 3858 4617 3637 19 3656 1049 149 1198 4686 168 4854
70 DOTI 740 1016 4399 5415 658 3156 3814 439 2287 2726 3564 43 3607 117 12 129 3681 55 3736
71 KAILALI 674 2913 13740 16653 2344 11619 13963 1547 8609 10156 12527 1 12528 2570 4 2574 15097 5 15102
72 KANCHANPUR 440 1434 7459 8893 1204 6114 7318 891 4754 5645 5551 1 5552 0 1 1 5551 2 5553
73 DADELDHURA 366 651 2904 3555 505 2070 2575 355 1810 2165 2345 7 2352 83 0 83 2428 7 2435
74 BAITADI 957 576 4908 5484 492 4147 4639 263 3466 3729 2693 23 2716 1207 9 1216 3900 32 3932
75 DARCHAULA 504 527 2113 2640 403 1687 2090 206 1412 1618 1842 4 1846 59 2 61 1901 6 1907
Raw Data: SAFEMOTHERHOOD (Sheet 2 of 6)
Type of Delivery PNC Visit Transport
ANC Incentive
Spontaneous Vacuum/Forcep C/S Total 3 PNC Incentive
Received
Received
Shoulder
Shoulder
Shoulder
Shoulder
District Name Within visit as
Cephalic
Cephalic
Cephalic
Cephalic
Eligible
Eligible
Breech
Breech
Breech
Breech
Total
24 hour per
protocol
NEPAL 305727 1785 3488 8969 148 285 59089 862 1691 373785 2795 5464 382044 328398 122610 448175 402849 153556 123031
Province 1 39531 272 357 1354 95 71 13722 428 472 54607 795 900 56302 45977 9746 46930 38480 14575 9732
01 TAPLEJUNG 1140 3 6 24 2 2 98 2 10 1262 7 18 1287 1155 448 8462 1023 2017 416
02 PANCHTHAR 1606 2 27 26 0 0 114 0 10 1746 2 37 1785 1683 488 1748 1739 815 774
03 ILAM 1320 0 14 24 0 1 134 0 5 1478 0 20 1498 1504 221 1390 1373 639 622
04 JHAPA 7776 8 88 161 0 8 8085 1 82 16022 9 178 16209 13047 1079 10843 10781 901 873
05 MORANG 11882 235 80 883 93 55 4646 423 330 17411 751 465 18627 12478 1976 5236 8349 443 657
06 SUNSARI 4435 2 44 18 0 0 8 0 0 4461 2 44 4507 4534 1068 7640 3918 3851 1590
07 DHANKUTA 670 0 2 25 0 0 7 0 0 702 0 2 704 717 179 312 300 176 124
08 TERHATHUM 580 2 5 41 0 4 59 0 0 680 2 9 691 576 40 674 674 502 479
09 SANKHUWASABHA 1623 1 19 58 0 0 132 2 2 1813 3 21 1837 1810 436 1697 1519 1127 885
10 BHOJPUR 1091 1 13 13 0 1 0 0 0 1104 1 14 1119 1065 498 974 937 484 442
11 SOLUKHUMBU 743 0 4 3 0 0 23 0 2 769 0 6 775 598 496 2025 2022 265 247
12 OKHALDHUNGA 2022 12 18 51 0 0 114 0 30 2187 12 48 2247 2190 1070 1828 1826 496 414
13 KHOTANG 1652 3 20 1 0 0 46 0 0 1699 3 20 1722 1507 806 1066 1066 667 667
14 UDAYAPUR 2991 3 17 26 0 0 256 0 1 3273 3 18 3294 3113 941 3035 2953 2192 1542
Province 2 58219 1127 831 1872 7 92 4319 72 56 64410 1206 979 66595 55963 29273 132492 140103 27642 24111
15 SAPTARI 4934 1 80 7 2 0 81 0 0 5022 3 80 5105 5243 4392 4328 2978 2064 1461
16 SIRAHA 6292 0 40 117 1 2 386 0 27 6795 1 69 6865 6792 1580 13213 12789 681 567
17 DHANUSA 9460 5 11 637 0 0 1634 0 0 11731 5 11 11747 11831 2269 699 623 101 67
18 MAHOTTARI 4110 4 240 25 0 0 25 0 0 4160 4 240 4404 4586 2800 2500 17607 633 1111
19 SARLAHI 8690 8 143 505 0 27 59 0 0 9254 8 170 9432 8926 5974 97587 97564 22466 19946
32 RAUTAHAT 8808 40 119 78 0 11 24 0 0 8910 40 130 9080 8771 5314 4948 3124 805 402
33 BARA 4580 1043 24 20 2 47 19 60 10 4619 1105 81 5805 2526 1704 6025 3650 215 106
34 PARSA 11345 26 174 483 2 5 2091 12 19 13919 40 198 14157 7288 5240 3192 1768 677 451
Province 3 58435 47 246 1698 19 23 22334 98 372 82467 164 641 83272 62962 17748 55867 55013 14712 12601
20 SINDHULI 1838 2 11 32 0 0 82 0 0 1952 2 11 1965 1776 292 2706 1665 551 493
21 RAMECHHAP 1460 0 16 57 0 0 116 5 12 1633 5 28 1666 1614 434 1557 1556 1059 1041
22 DOLAKHA 1723 3 24 22 0 0 148 0 10 1893 3 34 1930 1924 768 3122 3181 1096 977
23 SINDHUPALCHOK 1341 2 17 23 0 0 25 0 0 1389 2 17 1408 1151 243 1024 991 510 472
24 KAVRE 4570 2 9 162 0 0 1217 0 0 5949 2 9 5960 5639 1476 4757 4548 745 630
25 LALITPUR 4658 0 24 153 0 2 3976 0 0 8787 0 26 8813 6652 3177 1041 759 1419 476
26 BHAKTAPUR 1066 2 4 10 0 0 469 5 3 1545 7 7 1559 1438 493 394 394 0 9
27 KATHMANDU 21637 1 6 709 0 0 11919 17 221 34265 18 227 34510 29683 7871 26329 26308 1148 1120
28 NUWAKOT 1994 1 12 49 0 0 124 0 23 2167 1 35 2203 2121 319 2123 2152 923 945
29 RASUWA 273 1 2 0 0 0 0 0 0 273 1 2 276 275 160 224 222 130 135
30 DHADING 3274 10 30 24 0 0 36 0 0 3334 10 30 3374 3311 902 3298 3297 2571 2562
31 MAKWANPUR 4171 2 17 23 1 5 426 10 10 4620 13 32 4665 4647 1144 4646 5301 2672 1931
35 CHITAWAN 10430 21 74 434 18 16 3796 61 93 14660 100 183 14943 2731 469 4646 4639 1888 1810
Province 4 23035 0 238 557 0 2 5035 77 175 28627 77 415 29119 25251 8014 28083 25074 9115 8366
36 GORKHA 2127 0 22 32 0 0 104 0 6 2263 0 28 2291 2281 1171 2273 2241 1467 1403
37 LAMJUNG 1500 0 10 58 0 0 132 1 16 1690 1 26 1717 1740 575 907 886 669 632
38 TANAHU 1837 0 15 19 0 0 46 0 0 1902 0 15 1917 1850 682 1831 1822 449 443
39 SYANGJA 1411 0 9 59 0 0 52 0 0 1522 0 9 1531 1504 764 1506 1506 730 730
40 KASKI 9075 0 83 293 0 0 4447 74 139 13815 74 222 14111 10535 2618 8588 8775 307 703
41 MANANG 13 0 2 0 0 0 0 0 0 13 0 2 15 15 12 10 2 9 2
42 MUSTANG 49 0 0 0 0 0 0 0 0 49 0 0 49 52 21 6045 3038 1217 811
43 MYAGDI 1384 0 56 42 0 0 74 0 3 1500 0 59 1559 1503 631 1384 1374 700 648
44 PARBAT 1004 0 5 24 0 0 24 0 0 1052 0 5 1057 991 217 999 953 674 605
45 BAGLUNG 3040 0 19 30 0 2 156 2 11 3226 2 32 3260 3191 809 2990 2966 1445 1381
48.1 NAWALPUR 1595 0 17 0 0 0 0 0 0 1595 0 17 1612 1589 514 1550 1511 1448 1008
Province 5 65679 76 964 2464 20 57 10363 144 479 78506 240 1500 80246 72825 27916 65923 65341 40738 28628
46 GULMI 2660 2 15 19 0 0 19 0 1 2698 2 16 2716 2590 2008 2487 2492 1761 1742
47 PALPA 4239 1 55 182 0 2 849 2 55 5270 3 112 5385 5348 807 3230 3193 688 555
48 NAWALPARASI 2700 5 26 13 0 0 67 0 3 2780 5 29 2814 2835 422 2898 2640 1622 1698
49 RUPANDEHI 18676 12 280 1047 0 19 5507 85 195 25230 97 494 25821 23225 9412 22833 22651 19172 9339
50 KAPILBASTU 4710 3 40 23 0 1 31 0 6 4764 3 47 4814 4635 1959 4054 3975 1128 1095
51 ARGHAKHANCHI 1477 1 17 4 0 0 19 0 0 1500 1 17 1518 1179 294 1349 1405 581 770
52 PYUTHAN 2929 1 65 18 0 0 196 1 31 3143 2 96 3241 3239 328 3233 3232 1855 1855
53 ROLPA 2668 25 36 4 0 0 25 4 7 2697 29 43 2769 2743 599 2765 2765 1617 1617
54 RUKUM 528 7 13 38 0 0 7 0 0 573 7 13 593 511 301 485 477 239 244
56 DANG 7920 12 61 324 12 32 707 20 91 8951 44 184 9179 9422 7275 9432 7511 6259 4907
57 BANKE 11985 5 268 755 8 3 2908 32 90 15648 45 361 16054 12062 1606 7795 10035 1934 1371
58 BARDIYA 5187 2 88 37 0 0 28 0 0 5252 2 88 5342 5036 2905 5362 4965 3882 3435
Province 6 21529 16 356 424 4 7 931 8 49 22884 28 412 23324 22528 7747 76285 36910 14251 11924
54.1 RUKUM WEST 1917 2 37 74 2 6 73 1 12 2064 5 55 2124 2001 390 1551 2140 877 666
55 SALYAN 3042 3 68 60 2 0 67 2 21 3169 7 89 3265 3220 620 3339 3144 1814 1709
59 SURKHET 6160 3 92 194 0 0 653 0 0 7007 3 92 7102 7172 1918 7103 7103 4655 4655
60 DAILEKH 4332 1 58 30 0 0 26 0 0 4388 1 58 4447 4200 1387 4416 4405 2154 1705
61 JAJARKOT 1276 5 22 15 0 0 0 0 0 1291 5 22 1318 1321 764 6099 1074 1719 1230
62 DOLPA 281 0 5 14 0 0 1 0 0 296 0 5 301 274 192 1671 205 79 50
63 JUMLA 1311 0 25 13 0 0 61 3 11 1385 3 36 1424 1432 755 46236 5565 1485 618
64 KALIKOT 2260 1 42 10 0 1 22 0 4 2292 1 47 2340 2256 1456 2335 2317 1172 1081
65 MUGU 712 1 5 12 0 0 27 2 1 751 3 6 760 445 134 459 387 248 163
66 HUMLA 238 0 2 2 0 0 1 0 0 241 0 2 243 207 131 3076 10570 48 47
Province 7 39299 247 496 600 3 33 2385 35 88 42284 285 617 43186 42892 22166 42595 41928 32523 27669
67 BAJURA 2201 2 39 12 0 0 4 0 0 2217 2 39 2258 2221 1029 2242 2167 1374 1328
68 BAJHANG 3463 0 69 28 0 0 67 6 7 3558 6 76 3640 3586 1511 3614 3603 2500 2337
69 ACHHAM 4408 217 43 11 0 0 104 25 10 4523 242 53 4818 4774 3308 4578 4524 3476 3374
70 DOTI 3441 12 83 102 3 5 54 0 0 3597 15 88 3700 3655 1613 3622 3622 2338 2000
71 KAILALI 12589 5 97 359 0 27 1963 2 45 14911 7 169 15087 14838 10393 14833 14421 12952 9234
72 KANCHANPUR 5340 10 69 16 0 0 7 0 0 5363 10 69 5442 5557 1345 5489 5480 4374 3975
73 DADELDHURA 2238 1 25 25 0 0 118 1 16 2381 2 41 2424 2439 687 2419 2318 1713 1629
74 BAITADI 3818 0 41 25 0 0 23 0 3 3866 0 44 3910 3917 1653 3897 3897 2776 2776
75 DARCHAULA 1801 0 30 22 0 1 45 1 7 1868 1 38 1907 1905 627 1901 1896 1020 1016
Raw Data: SAFEMOTHERHOOD (Sheet 3 of 6)
Total No of live
CHX applied in
No of still births Blood transfusion
Normal (≥ 2.5 kg) Low (2 to < 2.5 kg) Very low (< 2 kg)
birth
cord
Macerate
Asphyxia
Asphyxia
Asphyxia
District Name
Total No
Total No
Total No
Defect
Defect
Defect
Fresh
Units
No.
d
NEPAL 309096 2922 113 30843 1351 40 8539 840 38 3156 2802 313677 343577 5927 8580
Province 1 43562.5 833 10 5828 499 4 2116 301 9 328 237 31444 43573 886 1265
01 TAPLEJUNG 1273 15 0 29 3 0 10 1 0 34 4 1271 1299 30 63
02 PANCHTHAR 1694 15 0 62 3 0 26 4 0 13 4 1793 1753 48 88
03 ILAM 1466 3 1 30 0 0 5 0 0 16 7 1390 1502 17 25
04 JHAPA 12932 537 1 2274 445 1 1246 284 8 45 47 4293 15342 238 384
05 MORANG 10324 29 0 2619 13 0 700 5 1 75 97 7657 7303 454 508
06 SUNSARI 4173 69 0 325 4 0 26 0 0 20 7 3498 4277 3 1
07 DHANKUTA 617 7 0 26 0 0 5 1 0 5 2 610 642 1 3
08 TERHATHUM 641 7 0 33 0 0 12 0 0 6 2 513 686 0 0
09 SANKHUWASABHA 1746 54 1 87 9 0 18 0 0 24 18 1889 1645 17 71
10 BHOJPUR 1051 18 1 30 1 0 10 3 0 13 6 1136 1083 2 5
11 SOLUKHUMBU 723 4 0 23 0 0 3 0 0 8 2 234 751 5 9
12 OKHALDHUNGA 2097 22 3 130 6 2 24 0 0 9 24 2178 2268 29 47
13 KHOTANG 1655 15 0 22 2 0 14 1 0 24 9 1631 1703 35 38
14 UDAYAPUR 3171 38 3 138 13 1 17 2 0 36 8 3351 3319 7 23
Province 2 58036 525 22 4856 266 2 1925 117 1 521 258 60086 55012 1246 1678
15 SAPTARI 4918 36 1 339 39 0 52 0 0 18 20 5527 5233 20 25
16 SIRAHA 5814 33 2 772 17 0 587 6 0 27 13 1565 7208 130 135
17 DHANUSA 11713 14 1 171 3 0 24 0 0 164 7 11610 3287 4 4
18 MAHOTTARI 4355 71 8 225 18 0 36 1 0 19 11 4662 4402 30 61
19 SARLAHI 9149 48 2 514 21 0 165 21 0 22 34 9703 9476 6 72
32 RAUTAHAT 8839 164 7 757 138 0 170 68 1 60 45 9402 9684 29 26
33 BARA 5310 6 0 136 1 0 35 0 0 26 33 5799 5143 17 6
34 PARSA 7938 153 1 1942 29 2 856 21 0 185 95 11818 10579 1010 1349
Province 3 56281 193 15 5378 81 5 792 111 9 1027 684 56102 75231 340 923
20 SINDHULI 1748 16 0 48 4 0 10 1 0 12 4 1890 1884 29 48
21 RAMECHHAP 1582 15 2 67 7 0 18 3 0 17 7 1661 1644 11 11
22 DOLAKHA 1823 17 3 126 6 0 35 2 1 19 7 1993 1976 14 20
23 SINDHUPALCHOK 1232 9 0 75 2 0 23 0 1 11 6 1229 1252 2 3
24 KAVRE 2616 7 1 285 0 0 60 2 1 777 24 5403 3336 25 91
25 LALITPUR 7211 1 0 755 1 0 158 0 0 22 50 915 8683 7 8
26 BHAKTAPUR 1306 2 0 106 1 0 31 0 0 3 12 1140 1324 12 27
27 KATHMANDU 26392 26 1 3266 12 2 241 64 4 67 365 22584 30128 148 531
28 NUWAKOT 2119 7 2 60 0 0 19 0 0 9 16 2190 2174 10 13
29 RASUWA 260 0 0 8 0 0 3 0 0 2 0 273 267 0 0
30 DHADING 3165 17 1 125 3 0 28 2 0 29 18 3442 3306 7 14
31 MAKWANPUR 4506 13 0 112 3 2 19 0 0 11 31 4619 4634 22 34
35 CHITAWAN 2321 63 5 345 42 1 147 37 2 48 144 8763 14623 53 123
Province 4 25398 120 5 2763 40 0 634 66 0 146 247 25282 28069 229 409
36 GORKHA 2152 26 0 99 8 0 23 4 0 17 11 2233 2260 23 29
37 LAMJUNG 1601 35 1 102 6 0 11 4 0 11 10 1750 1733 53 76
38 TANAHU 1775 6 0 109 1 0 21 1 0 3 5 1855 1900 4 5
39 SYANGJA 1448 0 1 58 2 0 10 0 0 6 10 1491 1490 9 9
40 KASKI 11752 31 0 2161 19 0 512 51 0 74 162 10956 13815 85 136
41 MANANG 13 0 0 1 0 0 1 0 0 0 0 15 16 0 0
42 MUSTANG 51 0 0 5 0 0 0 0 0 0 1 48 60 0 0
43 MYAGDI 1435 4 1 61 0 0 11 4 0 6 13 1441 1512 13 131
44 PARBAT 1020 0 0 32 0 0 31 0 0 6 7 792 1010 1 0
45 BAGLUNG 2580 9 0 90 2 0 8 2 0 18 19 3103 2652 41 16
48.1 NAWALPUR 1571 9 2 45 2 0 6 0 0 5 9 1598 1621 0 7
Province 5 64222 641 16 7872 299 8 1964 201 7 613 859 75894 75720 2720 3250
46 GULMI 2194 2 0 68 1 1 34 0 1 14 6 2528 2618 4 4
47 PALPA 4671 8 0 526 3 0 96 4 0 34 44 5562 5505 25 63
48 NAWALPARASI 2551 15 0 214 1 0 49 1 0 18 23 2735 2769 35 74
49 RUPANDEHI 20767 194 1 3853 126 3 953 55 0 227 298 22221 23563 618 1085
50 KAPILBASTU 4463 7 3 412 6 1 49 1 0 50 36 5216 4860 1 1
51 ARGHAKHANCHI 1305 7 0 105 1 0 12 0 0 7 7 1415 1509 0 0
52 PYUTHAN 3035 14 1 136 4 0 28 0 1 39 21 3197 3202 48 82
53 ROLPA 2670 31 2 62 3 0 19 4 0 28 13 2742 2752 6 16
54 RUKUM 541 8 0 15 1 0 2 0 0 2 7 525 599 1 0
56 DANG 8586 103 4 621 35 0 128 16 0 29 114 9305 9345 130 137
57 BANKE 8838 191 5 1332 95 2 531 116 5 131 250 15246 13820 1720 1668
58 BARDIYA 4601 61 0 528 23 1 63 4 0 34 40 5202 5178 132 120
Province 6 22014 267 19 1366 52 11 257 19 3 248 111 22342 23092 141 230
54.1 RUKUM WEST 1873 52 1 95 5 0 45 2 1 31 19 1773 2015 35 55
55 SALYAN 2976 28 7 193 10 1 39 5 0 20 15 3141 3199 34 15
59 SURKHET 6550 67 0 447 3 1 42 2 0 92 22 7019 7028 34 75
60 DAILEKH 4133 38 4 253 11 0 41 4 1 24 27 4183 4453 9 19
61 JAJARKOT 1619 10 0 102 5 0 11 2 0 13 3 1378 1390 5 4
62 DOLPA 238 4 2 13 0 0 2 0 0 6 4 270 256 0 0
63 JUMLA 1312 26 1 119 10 9 41 3 0 37 13 1368 1457 8 14
64 KALIKOT 2215 33 3 91 4 0 17 1 0 18 7 2311 2334 14 43
65 MUGU 862 7 0 44 3 0 19 0 1 4 1 688 739 2 5
66 HUMLA 236 2 1 9 1 0 0 0 0 3 0 211 221 0 0
Province 7 39582 343 26 2780 114 10 851 25 9 273 406 42527 42880 365 825
67 BAJURA 2121 35 1 90 5 2 37 1 1 16 12 2212 2247 20 30
68 BAJHANG 3392 36 2 188 9 0 46 2 0 12 27 3583 3552 10 24
69 ACHHAM 4534 64 9 191 8 2 78 2 4 56 31 4676 4694 59 74
70 DOTI 3525 22 1 134 4 0 15 2 0 26 19 3583 3649 6 6
71 KAILALI 13461 63 3 1209 26 2 520 3 2 69 237 14969 15085 186 455
72 KANCHANPUR 5006 41 1 440 47 3 64 7 0 23 29 5475 5470 18 30
73 DADELDHURA 2157 20 5 198 7 0 39 2 1 21 17 2284 2405 57 193
74 BAITADI 3608 41 3 242 6 0 27 2 1 34 25 3864 3888 3 5
75 DARCHAULA 1778 21 1 88 2 1 25 4 0 16 9 1881 1890 6 8
Raw Data: SAFEMOTHERHOOD (Sheet 5 of 6)
Postpartum haemorrhage
Hyperemesis grivadarum
Ectopic pregnancy (O00)
Ante-partum
Intra-partum
Post-partum
(O21.0)
(O13)
(O46)
(O72)
District Name
NEPAL 1178 7632 1652 959 802 4812 953 4473 5920 105 4133 3623 650 5519 25 34 74
Province 1 92 954 184 81 112 621 121 561 340 11 697 772 97 771 0 0 6
01 TAPLEJUNG 9 42 30 8 5 158 9 10 1 0 23 1 11 2 0 0 0
02 PANCHTHAR 1 89 1 8 4 11 3 61 118 0 83 79 10 11 0 0 0
03 ILAM 3 93 3 1 0 19 4 6 2 0 13 56 6 50 0 0 0
04 JHAPA 13 439 47 18 15 248 31 135 17 0 129 129 4 300 0 0 1
05 MORANG 62 41 82 27 75 133 46 50 51 9 63 63 14 207 0 0 2
06 SUNSARI 0 76 5 4 0 4 0 84 9 0 255 133 4 26 0 0 0
07 DHANKUTA 1 7 0 0 0 20 0 8 1 0 2 46 7 3 0 0 0
08 TERHATHUM 0 2 0 0 0 0 0 1 0 0 4 15 1 1 0 0 0
09 SANKHUWASABHA 0 1 0 1 2 1 0 70 45 0 22 43 30 3 0 0 0
10 BHOJPUR 0 11 1 2 1 2 2 22 6 0 6 48 3 12 0 0 0
11 SOLUKHUMBU 0 1 0 0 1 0 0 1 6 0 18 12 0 6 0 0 2
12 OKHALDHUNGA 2 116 1 2 3 6 5 39 61 1 23 59 4 107 0 0 1
13 KHOTANG 0 3 0 0 2 0 4 7 12 1 34 26 0 11 0 0 0
14 UDAYAPUR 1 33 14 10 4 19 17 67 11 0 22 62 3 32 0 0 0
Province 2 92 213 77 194 142 252 132 686 429 13 679 468 40 257 1 2 16
15 SAPTARI 7 10 2 9 7 4 6 56 37 0 25 46 16 34 0 0 0
16 SIRAHA 7 90 9 68 27 0 16 23 20 1 133 116 1 15 0 1 0
17 DHANUSA 3 4 13 3 1 20 17 5 11 1 4 3 8 3 0 0 0
18 MAHOTTARI 0 2 3 2 0 1 5 10 1 0 28 27 0 7 0 0 0
19 SARLAHI 0 0 0 1 4 0 1 13 1 3 136 138 3 64 1 1 2
32 RAUTAHAT 28 12 28 5 10 207 46 56 9 1 207 79 1 48 0 0 1
33 BARA 17 4 0 1 8 0 0 2 0 0 12 29 0 1 0 0 0
34 PARSA 30 91 22 105 85 20 41 521 350 7 134 30 11 85 0 0 13
Province 3 468 2901 1001 238 129 1890 214 421 334 26 680 690 155 263 8 4 16
20 SINDHULI 0 61 0 3 0 16 0 31 7 0 55 92 3 10 0 0 0
21 RAMECHHAP 0 5 1 0 2 0 4 40 9 1 21 23 0 8 0 0 0
22 DOLAKHA 4 36 0 3 1 4 3 8 0 0 12 22 1 1 0 0 1
23 SINDHUPALCHOK 0 8 0 1 0 7 2 16 1 0 18 26 0 5 0 0 1
24 KAVRE 10 5 2 5 12 0 25 9 110 2 88 40 13 4 0 0 0
25 LALITPUR 89 12 262 7 4 297 30 6 6 7 39 12 9 10 2 1 0
26 BHAKTAPUR 15 39 12 4 0 86 8 1 6 1 6 25 14 16 0 0 0
27 KATHMANDU 285 2205 642 133 51 1283 87 42 30 8 228 125 21 72 4 1 8
28 NUWAKOT 0 5 0 3 0 9 1 3 2 0 23 47 2 49 0 0 0
29 RASUWA 0 2 0 0 0 0 2 0 0 0 2 3 0 1 0 0 0
30 DHADING 0 39 11 2 4 3 3 43 11 0 15 37 5 40 0 0 0
31 MAKWANPUR 2 33 0 4 4 39 2 20 1 0 45 97 22 39 0 0 0
35 CHITAWAN 63 451 71 73 51 146 47 202 151 7 128 141 65 8 2 2 6
Province 4 209 927 219 69 131 1290 110 377 282 12 413 367 130 1531 1 2 6
36 GORKHA 2 116 4 4 4 21 2 143 110 0 34 13 6 103 0 0 0
37 LAMJUNG 4 64 5 1 1 25 1 7 27 2 24 10 1 92 1 0 0
38 TANAHU 0 34 0 2 0 5 3 15 38 0 40 35 2 1 0 0 0
39 SYANGJA 0 22 1 1 1 5 5 60 1 0 14 67 0 28 0 0 0
40 KASKI 202 635 195 44 123 1210 92 81 25 9 208 162 116 1217 0 2 5
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
43 MYAGDI 0 38 0 9 0 2 2 16 58 0 6 17 0 11 0 0 0
44 PARBAT 0 4 2 0 0 1 0 1 0 0 5 5 0 2 0 0 0
45 BAGLUNG 0 2 3 5 1 4 5 21 6 0 25 12 0 14 0 0 1
48.1 NAWALPUR 0 12 9 3 0 17 0 33 17 1 56 46 5 63 0 0 0
Province 5 249 1855 116 323 235 700 273 1980 4323 35 1119 576 153 2219 12 21 17
46 GULMI 0 5 3 0 0 2 1 3 0 0 29 24 7 28 0 0 0
47 PALPA 25 162 15 26 23 26 37 109 317 3 137 67 32 247 0 1 2
48 NAWALPARASI 0 89 4 11 0 3 1 23 2 0 95 23 1 22 0 0 0
49 RUPANDEHI 97 596 26 130 106 450 120 920 2578 23 452 100 64 427 3 15 2
50 KAPILBASTU 0 11 7 13 9 109 5 30 9 0 69 27 1 78 1 0 0
51 ARGHAKHANCHI 0 2 0 0 0 0 0 6 1 0 15 12 0 6 0 0 0
52 PYUTHAN 2 3 1 2 2 0 3 35 7 1 91 72 4 274 0 0 0
53 ROLPA 3 14 0 1 2 0 2 17 17 0 12 22 1 6 1 0 1
54 RUKUM 0 0 0 0 0 0 0 10 6 0 1 18 0 1 0 0 0
56 DANG 32 436 31 8 19 50 28 351 765 0 115 100 16 91 0 1 2
57 BANKE 90 475 27 114 61 32 62 397 556 7 78 94 24 996 7 4 6
58 BARDIYA 0 62 2 18 13 28 14 79 65 1 25 17 3 43 0 0 4
Province 6 23 373 6 14 22 20 31 170 38 4 114 283 21 26 1 3 2
54.1 RUKUM WEST 1 70 0 0 5 1 4 31 16 1 23 57 0 3 0 0 0
55 SALYAN 2 122 0 0 3 0 2 23 0 1 26 55 0 3 0 0 0
59 SURKHET 0 53 2 1 3 1 3 27 3 0 13 13 7 5 1 0 0
60 DAILEKH 1 70 3 6 2 15 6 26 4 0 17 67 4 2 0 1 1
61 JAJARKOT 6 13 0 3 1 0 5 17 4 0 10 15 5 7 0 0 1
62 DOLPA 0 0 0 0 0 0 2 2 4 1 0 0 0 1 0 0 0
63 JUMLA 11 24 1 3 1 2 4 17 1 0 6 18 2 2 0 0 0
64 KALIKOT 0 10 0 1 3 0 2 13 4 1 12 38 1 3 0 2 0
65 MUGU 2 11 0 0 4 1 3 11 2 0 6 18 2 0 0 0 0
66 HUMLA 0 0 0 0 0 0 0 3 0 0 1 2 0 0 0 0 0
Province 7 45 409 49 40 31 39 72 278 174 4 431 467 54 452 2 2 11
67 BAJURA 0 33 0 0 0 0 3 6 4 0 30 43 3 5 0 0 0
68 BAJHANG 1 10 2 0 5 5 4 9 36 0 18 27 3 2 0 0 1
69 ACHHAM 2 30 1 2 4 1 10 23 34 3 30 35 11 10 0 0 0
70 DOTI 4 24 2 0 1 0 2 28 16 0 47 71 3 79 0 1 0
71 KAILALI 32 205 38 6 14 30 32 70 50 0 209 175 20 273 0 1 5
72 KANCHANPUR 0 2 3 14 3 0 3 49 5 0 33 24 4 23 2 0 5
73 DADELDHURA 4 48 3 5 1 1 9 35 10 1 31 30 8 12 0 0 0
74 BAITADI 0 23 0 3 3 0 5 16 9 0 21 45 0 11 0 0 0
75 DARCHAULA 2 34 0 10 0 2 4 42 10 0 12 17 2 37 0 0 0
Raw Data: SAFEMOTHERHOOD (Sheet 6 of 6)
Safe Abortion Service (No of women) Post Abortion FP methods Post Abortion Care (PAC)
Medical Surgical Total Medical Surgical Total This facility
District Name
< 20 ≥ 20 < 20 ≥ 20 < 20 ≥ 20 Short Long Short Long Short Long Others
Total Total Total Total Total Total Medical Surgical
years Years years Years years Years term term term term term term
NEPAL 6196 47444 53640 7138 35639 42777 13334 83083 96417 34048 7416 41464 18877 7849 26726 52925 15265 68190 1324 1965 9268
Province 1 1037 9723 10760 703 6150 6853 1740 15873 17613 6896 1438 8334 3984 1033 5017 10880 2471 13351 196 517 972
01 TAPLEJUNG 11 172 183 30 312 342 41 484 525 47 0 47 157 39 196 204 39 243 0 31 0
02 PANCHTHAR 121 1437 1558 17 137 154 138 1574 1712 1061 344 1405 37 61 98 1098 405 1503 2 14 34
03 ILAM 154 1506 1660 21 183 204 175 1689 1864 1120 358 1478 124 76 200 1244 434 1678 3 0 100
04 JHAPA 404 2546 2950 267 1997 2264 671 4543 5214 1725 249 1974 1216 307 1523 2941 556 3497 119 142 404
05 MORANG 109 1623 1732 44 784 828 153 2407 2560 1265 176 1441 404 145 549 1669 321 1990 7 9 136
06 SUNSARI 161 1572 1733 211 1904 2115 372 3476 3848 1044 219 1263 1527 285 1812 2571 504 3075 43 281 70
07 DHANKUTA 55 575 630 20 317 337 75 892 967 432 78 510 197 91 288 629 169 798 5 22 29
08 TERHATHUM 4 27 31 3 23 26 7 50 57 0 0 0 6 0 6 6 0 6 0 0 13
09 SANKHUWASABHA 9 113 122 74 332 406 83 445 528 124 2 126 229 19 248 353 21 374 0 10 25
10 BHOJPUR 2 9 11 0 17 17 2 26 28 25 5 30 0 0 0 25 5 30 0 0 20
11 SOLUKHUMBU 0 11 11 13 25 38 13 36 49 13 3 16 21 6 27 34 9 43 0 2 11
12 OKHALDHUNGA 1 38 39 0 15 15 1 53 54 16 2 18 4 2 6 20 4 24 17 0 116
13 KHOTANG 6 44 50 2 7 9 8 51 59 0 0 0 0 0 0 0 0 0 0 2 5
14 UDAYAPUR 0 50 50 1 97 98 1 147 148 24 2 26 62 2 64 86 4 90 0 4 9
Province 2 547 3861 4408 570 2173 2743 1117 6034 7151 2897 571 3468 1106 595 1701 4003 1166 5169 79 91 681
15 SAPTARI 51 716 767 0 11 11 51 727 778 551 87 638 6 2 8 557 89 646 1 37 7
16 SIRAHA 98 798 896 21 275 296 119 1073 1192 597 66 663 157 97 254 754 163 917 5 2 86
17 DHANUSA 97 525 622 235 507 742 332 1032 1364 434 99 533 196 133 329 630 232 862 9 9 4
18 MAHOTTARI 22 108 130 92 188 280 114 296 410 43 28 71 109 227 336 152 255 407 0 0 17
19 SARLAHI 7 83 90 10 160 170 17 243 260 81 4 85 146 34 180 227 38 265 2 0 0
32 RAUTAHAT 58 515 573 6 74 80 64 589 653 415 121 536 39 16 55 454 137 591 11 0 26
33 BARA 33 315 348 0 21 21 33 336 369 218 42 260 0 0 0 218 42 260 13 8 55
34 PARSA 181 801 982 206 937 1143 387 1738 2125 558 124 682 453 86 539 1011 210 1221 38 35 486
Province 3 2486 10945 13431 2025 9987 12012 4511 20932 25443 8455 1689 10144 4645 1749 6394 13100 3438 16538 393 211 2017
20 SINDHULI 11 186 197 0 15 15 11 201 212 32 4 36 4 1 5 36 5 41 0 0 90
21 RAMECHHAP 27 371 398 1 29 30 28 400 428 211 45 256 1 0 1 212 45 257 11 4 7
22 DOLAKHA 11 192 203 7 85 92 18 277 295 150 15 165 61 15 76 211 30 241 1 15 118
23 SINDHUPALCHOK 9 104 113 0 3 3 9 107 116 72 38 110 0 0 0 72 38 110 2 1 31
24 KAVRE 151 944 1095 55 378 433 206 1322 1528 725 128 853 125 82 207 850 210 1060 2 13 14
25 LALITPUR 91 1311 1402 55 870 925 146 2181 2327 912 201 1113 276 203 479 1188 404 1592 5 4 20
26 BHAKTAPUR 24 251 275 3 31 34 27 282 309 267 47 314 13 14 27 280 61 341 24 0 22
27 KATHMANDU 1765 4457 6222 1348 5487 6835 3113 9944 13057 3804 820 4624 2369 1078 3447 6173 1898 8071 307 44 1056
28 NUWAKOT 10 121 131 40 405 445 50 526 576 77 26 103 207 174 381 284 200 484 1 0 175
29 RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 DHADING 49 616 665 6 100 106 55 716 771 379 24 403 9 1 10 388 25 413 5 116 96
31 MAKWANPUR 75 608 683 107 873 980 182 1481 1663 390 149 539 220 28 248 610 177 787 7 1 212
35 CHITAWAN 263 1784 2047 403 1711 2114 666 3495 4161 1436 192 1628 1360 153 1513 2796 345 3141 28 13 176
Province 4 643 7383 8026 431 4622 5053 1074 12005 13079 4830 1267 6097 1163 768 1931 5993 2035 8028 95 163 1014
36 GORKHA 114 473 587 83 246 329 197 719 916 310 40 350 144 60 204 454 100 554 7 1 97
37 LAMJUNG 9 80 89 9 54 63 18 134 152 27 8 35 0 0 0 27 8 35 0 0 2
38 TANAHU 68 816 884 68 845 913 136 1661 1797 731 151 882 502 390 892 1233 541 1774 0 20 65
39 SYANGJA 37 423 460 7 129 136 44 552 596 195 31 226 0 1 1 195 32 227 1 0 26
40 KASKI 156 1862 2018 234 2854 3088 390 4716 5106 1209 443 1652 293 131 424 1502 574 2076 72 133 593
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 82 1072 1154 7 113 120 89 1185 1274 826 192 1018 55 40 95 881 232 1113 0 0 93
44 PARBAT 42 760 802 23 315 338 65 1075 1140 498 180 678 160 144 304 658 324 982 2 0 31
45 BAGLUNG 47 992 1039 0 64 64 47 1056 1103 379 31 410 9 0 9 388 31 419 2 9 96
48.1 NAWALPUR 88 905 993 0 2 2 88 907 995 655 191 846 0 2 2 655 193 848 11 0 11
Province 5 841 7501 8342 2751 6500 9251 3592 14001 17593 5340 1177 6517 4643 2382 7025 9983 3559 13542 314 505 2628
46 GULMI 22 148 170 1 7 8 23 155 178 98 28 126 0 0 0 98 28 126 0 1 54
47 PALPA 63 659 722 45 596 641 108 1255 1363 490 45 535 371 262 633 861 307 1168 5 22 139
48 NAWALPARASI 66 846 912 66 622 688 132 1468 1600 656 167 823 376 207 583 1032 374 1406 6 3 169
49 RUPANDEHI 167 2196 2363 127 1345 1472 294 3541 3835 1642 482 2124 980 363 1343 2622 845 3467 216 54 580
50 KAPILBASTU 167 1375 1542 185 986 1171 352 2361 2713 1139 229 1368 558 483 1041 1697 712 2409 45 131 398
51 ARGHAKHANCHI 0 0 0 6 69 75 6 69 75 0 0 0 0 0 0 0 0 0 0 0 52
52 PYUTHAN 27 284 311 41 495 536 68 779 847 190 63 253 298 155 453 488 218 706 10 2 29
53 ROLPA 10 69 79 7 14 21 17 83 100 20 1 21 50 2 52 70 3 73 6 9 61
54 RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17
56 DANG 213 833 1046 2188 769 2957 2401 1602 4003 499 90 589 1678 772 2450 2177 862 3039 19 64 563
57 BANKE 80 714 794 83 1452 1535 163 2166 2329 448 38 486 264 112 376 712 150 862 6 210 423
58 BARDIYA 26 377 403 2 145 147 28 522 550 158 34 192 68 26 94 226 60 286 1 9 143
Province 6 279 1822 2101 163 1280 1443 442 3102 3544 1245 372 1617 659 363 1022 1904 735 2639 128 84 700
54.1 RUKUM WEST 0 20 20 0 4 4 0 24 24 20 0 20 3 1 4 23 1 24 0 16 2
55 SALYAN 21 85 106 33 142 175 54 227 281 18 8 26 24 12 36 42 20 62 0 0 127
59 SURKHET 186 1242 1428 105 935 1040 291 2177 2468 753 277 1030 560 281 841 1313 558 1871 90 27 330
60 DAILEKH 7 109 116 11 87 98 18 196 214 126 3 129 35 9 44 161 12 173 17 11 104
61 JAJARKOT 4 60 64 1 10 11 5 70 75 58 7 65 9 2 11 67 9 76 1 0 27
62 DOLPA 3 14 17 2 7 9 5 21 26 4 1 5 4 3 7 8 4 12 0 1 2
63 JUMLA 44 108 152 7 5 12 51 113 164 124 60 184 0 40 40 124 100 224 20 22 31
64 KALIKOT 14 184 198 2 46 48 16 230 246 137 16 153 24 15 39 161 31 192 0 5 30
65 MUGU 0 0 0 2 44 46 2 44 46 5 0 5 0 0 0 5 0 5 0 2 47
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 363 6209 6572 495 4927 5422 858 11136 11994 4385 902 5287 2677 959 3636 7062 1861 8923 119 394 1256
67 BAJURA 9 50 59 2 17 19 11 67 78 30 7 37 5 2 7 35 9 44 4 9 7
68 BAJHANG 5 5 10 86 345 431 91 350 441 165 41 206 109 164 273 274 205 479 0 39 101
69 ACHHAM 80 1375 1455 25 283 308 105 1658 1763 1202 251 1453 253 31 284 1455 282 1737 76 35 248
70 DOTI 47 628 675 7 234 241 54 862 916 452 78 530 68 19 87 520 97 617 3 7 129
71 KAILALI 126 1509 1635 341 2620 2961 467 4129 4596 932 291 1223 1096 463 1559 2028 754 2782 4 256 343
72 KANCHANPUR 56 1300 1356 15 407 422 71 1707 1778 974 133 1107 329 33 362 1303 166 1469 8 12 160
73 DADELDHURA 31 769 800 10 525 535 41 1294 1335 321 71 392 419 204 623 740 275 1015 14 27 151
74 BAITADI 4 573 577 0 255 255 4 828 832 259 28 287 219 31 250 478 59 537 9 4 64
75 DARCHAULA 5 0 5 9 241 250 14 241 255 50 2 52 179 12 191 229 14 243 1 5 53
Analyzed Data: Family Planning (Sheet 1 of 2)
Temporay Method
Received New Acceptors as % of MWRA Current Users as % of MWRA
District Name CPR
Reports
Condom Pills Depo IUCD Implant Total Condom Pills Depo IUCD Implant Total
NEPAL 54041 3.6 2.3 4.5 0.5 1.5 12.4 3.6 3.0 7.3 2.8 4.6 21.3 43.6
Province 1 9215 2.5 2.2 4.3 0.4 1.7 11.1 2.5 3.7 12.1 2.3 4.4 25.1 47.8
01 TAPLEJUNG 647 4.4 3.5 7.1 0.7 3.7 19.4 4.4 2.9 16.0 4.4 4.4 32.2 38.4
02 PANCHTHAR 600 4.4 3.4 7.3 0.3 3.1 18.5 4.4 4.9 11.9 2.4 7.2 30.9 35.2
03 ILAM 649 2.6 3.8 5.3 0.4 3.2 15.3 2.6 9.2 15.1 2.8 10.3 39.9 51.5
04 JHAPA 716 1.7 2.5 3.1 0.2 1.3 8.9 1.7 4.0 7.5 2.1 4.3 19.5 53.5
05 MORANG 873 1.7 1.1 3.1 0.3 0.9 7.0 1.7 2.8 10.1 2.3 3.9 20.8 61.5
06 SUNSARI 707 1.9 1.4 2.7 0.7 1.6 8.3 1.9 2.4 20.5 2.9 2.5 30.1 54.3
07 DHANKUTA 579 3.5 2.2 4.9 0.2 1.3 12.2 3.5 7.3 12.8 2.2 4.8 30.7 39.1
08 TERHATHUM 382 5.9 1.8 4.9 0.2 1.3 14.0 5.9 2.4 6.7 1.9 3.5 20.3 27.6
09 SANKHUWASABHA 608 3.2 2.8 8.4 0.3 1.7 16.4 3.2 1.9 8.8 1.6 4.6 20.1 27.4
10 BHOJPUR 793 5.0 2.4 4.7 0.2 3.0 15.2 5.0 5.0 12.4 0.7 5.0 28.1 34.7
11 SOLUKHUMBU 408 3.7 4.2 12.5 0.3 1.7 22.4 3.7 3.9 21.1 0.7 4.2 33.7 37.7
12 OKHALDHUNGA 703 3.8 3.1 7.8 0.3 1.9 16.9 3.8 4.6 15.6 2.0 7.7 33.7 41.3
13 KHOTANG 942 4.5 3.5 6.8 0.2 0.9 15.8 4.5 3.7 9.7 1.0 2.3 21.1 27.0
14 UDAYAPUR 608 2.1 1.9 3.4 0.6 2.3 10.3 2.1 2.7 5.6 3.0 3.7 17.1 27.1
Province 2 7563 2.0 1.8 3.1 0.4 0.6 7.9 2.0 1.6 4.3 1.0 1.3 10.2 49.4
15 SAPTARI 1395 3.1 2.3 3.7 0.3 0.5 9.9 3.1 4.0 8.4 0.6 1.7 17.8 56.3
16 SIRAHA 1324 1.9 1.6 4.5 0.3 0.6 8.9 1.9 1.2 5.4 0.8 1.2 10.5 47.7
17 DHANUSA 1214 2.1 1.3 3.4 0.5 0.3 7.6 2.1 1.5 4.0 0.7 0.8 9.0 54.0
18 MAHOTTARI 989 2.1 1.5 2.7 0.6 0.4 7.4 2.1 2.0 4.4 1.2 0.7 10.5 45.1
19 SARLAHI 996 1.3 1.3 2.7 0.2 0.7 6.2 1.3 1.3 2.9 1.1 1.6 8.2 47.0
32 RAUTAHAT 263 2.0 1.1 2.0 0.1 0.6 5.9 2.0 0.9 2.4 0.2 0.5 6.0 42.3
33 BARA 726 1.9 0.8 2.3 0.1 0.4 5.5 1.9 0.9 3.2 2.2 1.2 9.4 35.5
34 PARSA 656 2.2 4.8 3.5 1.4 1.5 13.4 2.2 1.0 4.0 1.5 2.6 11.4 70.7
Province 3 12183 2.4 1.8 4.3 0.8 2.0 11.3 2.4 2.4 6.8 5.2 6.9 23.7 41.1
20 SINDHULI 1060 3.1 1.5 3.8 0.3 2.1 10.9 3.1 3.2 7.3 1.7 5.5 20.9 34.6
21 RAMECHHAP 1200 4.5 1.5 4.5 0.2 1.8 12.5 4.5 1.3 7.2 3.0 9.7 25.7 32.7
22 DOLAKHA 1030 3.0 1.9 6.9 0.3 2.2 14.3 3.0 1.6 8.8 1.2 5.7 20.3 37.0
23 SINDHUPALCHOK 726 2.2 1.5 5.9 0.2 4.8 14.7 2.2 1.5 8.3 1.3 11.0 24.4 37.7
24 KAVRE 795 2.1 2.0 4.8 1.6 3.5 13.9 2.1 2.9 9.2 6.0 15.1 35.4 55.1
25 LALITPUR 749 1.8 1.4 3.1 1.1 1.6 9.0 1.8 1.8 8.1 4.8 8.0 24.5 49.4
26 BHAKTAPUR 1069 2.0 1.0 3.7 1.3 0.7 8.6 2.0 1.4 5.0 6.4 4.0 18.9 34.6
27 KATHMANDU 1311 1.1 1.6 2.8 0.9 1.5 7.8 1.1 2.4 5.1 6.2 4.9 19.7 31.4
28 NUWAKOT 472 2.1 2.1 5.1 0.2 2.5 12.1 2.1 1.8 5.8 3.0 4.3 17.0 38.9
29 RASUWA 461 6.0 1.5 7.4 0.8 4.8 20.5 6.0 1.0 7.3 1.8 13.6 29.7 54.8
30 DHADING 1672 3.4 2.5 7.6 0.3 2.0 15.8 3.4 2.9 10.6 2.6 6.6 26.0 39.9
31 MAKWANPUR 917 2.3 3.0 7.1 1.0 2.5 16.0 2.3 4.1 10.3 1.0 5.0 22.6 52.9
35 CHITAWAN 721 4.9 2.1 4.1 1.1 0.9 13.1 4.9 3.0 4.2 12.6 8.7 33.5 59.0
Province 4 7595 3.7 2.4 3.6 0.6 1.3 11.6 3.7 2.9 4.8 3.0 3.2 17.5 35.6
36 GORKHA 981 4.5 3.4 6.5 0.2 2.0 16.6 4.5 2.9 8.4 0.9 5.0 21.7 40.3
37 LAMJUNG 741 3.6 2.0 3.9 1.0 1.3 11.9 3.6 2.3 4.3 1.6 2.2 14.1 33.5
38 TANAHU 738 2.7 2.3 2.7 0.7 1.1 9.5 2.7 2.2 3.7 3.0 2.6 14.1 29.6
39 SYANGJA 947 3.3 1.7 2.4 0.1 0.9 8.4 3.3 3.7 3.2 1.4 1.9 13.5 32.4
40 KASKI 885 3.3 2.8 3.2 0.7 1.3 11.2 3.3 3.6 6.2 5.6 3.5 22.2 41.5
41 MANANG 166 17.3 2.5 4.9 0.0 4.8 29.5 17.3 3.5 7.0 0.0 12.9 40.6 56.2
42 MUSTANG 195 9.3 4.8 11.9 0.5 6.3 32.8 9.3 3.8 12.0 8.5 13.9 47.5 69.0
43 MYAGDI 569 5.2 2.5 6.2 0.2 2.5 16.6 5.2 2.0 4.5 5.0 7.7 24.3 39.8
44 PARBAT 671 3.9 1.9 3.4 0.3 1.8 11.3 3.9 2.2 3.3 1.9 3.6 14.9 28.4
45 BAGLUNG 783 4.4 2.8 3.5 0.2 0.8 11.8 4.4 3.1 4.0 2.9 2.8 17.3 30.9
48.1 NAWALPUR 919 3.3 1.6 3.0 1.8 0.6 10.3 3.3 2.3 3.4 2.5 1.6 13.2 37.2
Province 5 7119 5.7 3.1 5.7 0.6 1.8 16.9 5.7 4.5 8.0 3.2 6.0 27.3 43.6
46 GULMI 490 12.8 2.4 3.6 0.3 0.6 19.7 12.8 3.2 3.8 0.7 1.1 21.7 35.2
47 PALPA 739 4.9 2.0 3.4 0.7 1.7 12.8 4.9 3.2 4.9 4.6 4.8 22.5 44.6
48 NAWALPARASI 489 4.0 1.4 2.7 0.2 1.6 9.9 4.0 2.1 4.1 1.6 3.0 14.8 38.8
49 RUPANDEHI 1061 6.4 6.7 11.1 0.3 1.0 25.6 6.4 7.3 12.8 1.5 4.1 32.0 47.6
50 KAPILBASTU 1026 4.6 3.1 4.6 0.8 4.0 17.2 4.6 4.7 7.2 2.4 7.5 26.4 37.7
51 ARGHAKHANCHI 521 4.0 1.5 2.5 0.1 0.7 8.8 4.0 1.5 2.7 1.1 3.2 12.5 23.7
52 PYUTHAN 609 6.7 3.9 6.2 0.1 1.5 18.4 6.7 5.5 9.8 1.4 5.0 28.4 36.9
53 ROLPA 641 9.2 2.1 7.9 0.1 1.9 21.3 9.2 2.3 8.8 1.6 9.9 31.9 38.1
54 RUKUM 177 2.7 4.0 9.3 0.3 2.5 18.8 2.7 3.2 9.0 0.5 3.8 19.3 25.7
56 DANG 466 5.1 2.0 3.7 0.7 2.0 13.4 5.1 5.8 9.7 7.7 8.0 36.3 52.6
57 BANKE 325 4.9 2.2 4.7 0.9 1.7 14.5 4.9 3.8 6.9 3.2 5.0 24.0 42.0
58 BARDIYA 575 3.6 1.4 4.4 1.4 1.7 12.4 3.6 2.6 6.2 7.2 12.3 31.8 59.6
Province 6 4761 4.9 3.0 7.1 0.2 1.8 17.0 4.9 2.4 7.0 2.0 5.7 21.9 37.4
54.1 RUKUM WEST 598 4.0 3.6 10.6 0.2 1.4 19.8 4.0 2.6 9.4 0.2 2.2 18.5 24.7
55 SALYAN 637 6.2 1.7 4.8 0.2 2.3 15.2 6.2 2.2 8.5 3.4 7.8 28.0 38.6
59 SURKHET 872 5.0 2.8 5.1 0.2 3.2 16.4 5.0 2.7 5.5 2.7 6.8 22.7 48.7
60 DAILEKH 804 5.2 3.6 7.5 0.2 1.0 17.6 5.2 2.5 5.3 3.4 8.0 24.5 35.4
61 JAJARKOT 324 2.0 2.7 8.1 0.1 1.5 14.4 2.0 2.0 7.9 0.8 6.3 19.0 30.4
62 DOLPA 285 3.3 5.2 10.6 0.5 0.6 20.3 3.3 3.9 13.1 0.0 0.6 20.9 34.9
63 JUMLA 354 5.1 2.3 5.5 0.4 0.9 14.2 5.1 1.6 4.0 0.5 3.9 15.0 44.4
64 KALIKOT 353 8.4 2.0 6.5 0.4 1.5 18.8 8.4 3.0 9.7 1.3 4.3 26.6 36.9
65 MUGU 273 2.8 5.5 11.2 0.0 0.4 19.9 2.8 1.5 6.1 0.0 0.3 10.7 26.3
66 HUMLA 261 2.1 6.9 13.6 0.2 0.0 22.8 2.1 1.6 3.1 0.0 0.0 6.8 23.4
Province 7 5605 6.2 2.6 5.1 0.5 2.0 16.4 6.2 3.5 7.2 2.0 5.4 24.2 40.5
67 BAJURA 334 5.5 2.0 5.3 0.2 2.2 15.1 5.5 2.3 6.4 0.3 3.7 18.1 33.9
68 BAJHANG 611 6.4 2.5 6.3 0.5 1.7 17.4 6.4 2.2 7.9 1.6 4.6 22.7 33.7
69 ACHHAM 977 7.8 3.8 7.2 0.1 1.4 20.4 7.8 3.8 8.1 1.0 4.0 24.7 30.6
70 DOTI 721 8.5 2.6 4.7 0.5 1.1 17.4 8.5 3.7 9.7 2.3 4.9 29.2 38.4
71 KAILALI 680 5.2 2.4 3.7 0.5 1.9 13.7 5.2 4.5 6.5 2.3 5.9 24.3 48.7
72 KANCHANPUR 445 5.5 2.1 4.7 1.0 1.5 14.8 5.5 2.8 6.1 3.4 3.7 21.4 41.8
73 DADELDHURA 378 6.7 2.6 5.6 0.2 2.5 17.7 6.7 1.6 8.0 0.8 5.0 22.1 34.2
74 BAITADI 955 7.0 3.4 5.8 0.4 2.1 18.7 7.0 4.0 7.8 1.3 8.5 28.5 37.6
75 DARCHAULA 504 7.3 2.5 6.8 0.5 6.0 23.1 7.3 2.9 7.3 1.0 9.1 27.6 37.5
Analyzed Data: Family Planning (Sheet 2 of 2)
Permanent Method
District Name New Acceptors as Current Users as % of VSC new Cases Proportion of VSC new acceptors at Proportion of VSC provided by
% of MWRA % of MWRA
Female Male HF Camp Government NGO
NEPAL 0.5 22.3 70.9 29.1 49.4 50.6 71.3 28.7
Province 1 1 23 94 6 68.3 31.7 47.6 52.4
01 TAPLEJUNG 0 6 0 100 0.0 100.0 100.0 0.0
02 PANCHTHAR 0 4 22 78 0.0 100.0 100.0 0.0
03 ILAM 0 12
04 JHAPA 1 34 97 3 95.8 4.2 8.3 91.7
05 MORANG 1 41 92 8 66.6 33.4 50.8 49.2
06 SUNSARI 1 24 98 2 36.8 63.2 97.9 2.1
07 DHANKUTA 0 8
08 TERHATHUM 0 7 0 100 0.0 100.0 100.0 0.0
09 SANKHUWASABHA 0 7 50 50 23.9 76.1 52.2 47.8
10 BHOJPUR 0 7 26 74 26.3 73.7 84.2 15.8
11 SOLUKHUMBU 0 4
12 OKHALDHUNGA 0 8 60 40 84.6 15.4 15.4 84.6
13 KHOTANG 0 6 0 100 0.0 100.0 100.0 0.0
14 UDAYAPUR 0 10 85 15 11.4 88.6 100.0 0.0
Province 2 1 39 88 12 60.6 39.4 63.7 36.3
15 SAPTARI 1 38 100 0 89.4 10.6 100.0 0.0
16 SIRAHA 1 37 97 3 19.5 80.5 79.1 20.9
17 DHANUSA 1 45 100 0 94.5 5.5 73.2 26.8
18 MAHOTTARI 0 35 99 1 86.8 13.2 98.2 1.8
19 SARLAHI 1 39 70 30 3.4 96.6 71.6 28.4
32 RAUTAHAT 0 36 84 16 0.0 100.0 84.3 15.7
33 BARA 1 26 19 81 2.9 97.1 17.4 82.6
34 PARSA 2 59 98 2 72.0 28.0 41.2 58.8
Province 3 0 17 31 69 56.7 43.3 72.4 27.6
20 SINDHULI 0 14 92 8 0.0 100.0 100.0 0.0
21 RAMECHHAP 0 7 41 59 41.2 58.8 96.1 3.9
22 DOLAKHA 0 17 30 70 70.9 29.1 100.0 0.0
23 SINDHUPALCHOK 0 13 15 85 0.0 100.0 65.0 35.0
24 KAVRE 0 20 51 49 87.9 12.1 5.8 94.2
25 LALITPUR 1 25 5 95 93.5 6.5 19.3 80.7
26 BHAKTAPUR 0 16 49 51 21.6 78.4 36.4 63.6
27 KATHMANDU 0 12 29 71 77.8 22.2 63.8 36.2
28 NUWAKOT 0 22 42 58 9.9 90.1 100.0 0.0
29 RASUWA 1 25 76 24 0.0 100.0 5.4 94.6
30 DHADING 0 14 5 95 10.2 89.8 100.0 0.0
31 MAKWANPUR 0 30 2 98 16.1 83.9 85.5 14.5
35 CHITAWAN 1 25 37 63 63.8 36.2 95.7 4.3
Province 4 0 18 43 57 26.8 73.2 94.4 5.6
36 GORKHA 0 19 48 52 11.3 88.7 100.0 0.0
37 LAMJUNG 1 19 25 75 6.2 93.8 96.6 3.4
38 TANAHU 0 15 38 62 2.3 97.7 100.0 0.0
39 SYANGJA 0 19 70 30 0.0 100.0 100.0 0.0
40 KASKI 0 19 62 38 77.4 22.6 82.9 17.1
41 MANANG 0 16
42 MUSTANG 0 22
43 MYAGDI 1 16 23 77 0.0 100.0 100.0 0.0
44 PARBAT 0 14 29 71 21.8 78.2 100.0 0.0
45 BAGLUNG 0 14 38 62 23.6 76.4 100.0 0.0
48.1 NAWALPUR 0 24 66 34 1.9 98.1 99.1 0.9
Province 5 0 16 85 15 11.0 89.0 87.8 12.2
46 GULMI 0 14 57 43 14.3 85.7 57.1 42.9
47 PALPA 0 22 76 24 82.7 17.3 22.5 77.5
48 NAWALPARASI 1 24 100 0 1.8 98.2 99.6 0.4
49 RUPANDEHI 0 16 79 21 7.9 92.1 76.9 23.1
50 KAPILBASTU 0 11 98 2 0.0 100.0 100.0 0.0
51 ARGHAKHANCHI 0 11 79 21 14.9 85.1 99.3 0.7
52 PYUTHAN 0 9 63 37 23.3 76.7 97.7 2.3
53 ROLPA 0 6 16 84 15.6 84.4 98.9 1.1
54 RUKUM 0 6 0 100 0.0 100.0 100.0 0.0
56 DANG 0 16 77 23 0.3 99.7 79.6 20.4
57 BANKE 0 18 76 24 38.3 61.7 94.9 5.1
58 BARDIYA 1 28 96 4 0.0 100.0 100.0 0.0
Province 6 1 15 10 90 29.1 70.9 92.6 7.4
54.1 RUKUM WEST 0 6 0 100 11.1 88.9 100.0 0.0
55 SALYAN 0 11 5 95 28.7 71.3 100.0 0.0
59 SURKHET 0 26 38 62 69.6 30.4 87.5 12.5
60 DAILEKH 0 11 1 99 20.0 80.0 100.0 0.0
61 JAJARKOT 2 11 5 95 1.5 98.5 87.4 12.6
62 DOLPA 0 14 0 100 0.0 100.0 100.0 0.0
63 JUMLA 1 29 0 100 53.5 46.5 100.0 0.0
64 KALIKOT 0 10 1 99 43.3 56.7 100.0 0.0
65 MUGU 0 16
66 HUMLA 0 17
Province 7 0 16 60 40 37.6 62.4 95.4 4.6
67 BAJURA 2 16 52 48 75.4 24.6 100.0 0.0
68 BAJHANG 1 11 4 96 32.7 67.3 99.5 0.5
69 ACHHAM 0 6 63 37 9.4 90.6 91.0 9.0
70 DOTI 0 9 96 4 15.4 84.6 99.2 0.8
71 KAILALI 0 24 69 31 49.5 50.5 88.3 11.7
72 KANCHANPUR 0 20 89 11 0.0 100.0 90.6 9.4
73 DADELDHURA 0 12 71 29 46.9 53.1 100.0 0.0
74 BAITADI 0 9 77 23 1.0 99.0 100.0 0.0
75 DARCHAULA 0 10 35 65 6.5 93.5 96.7 3.3
Raw Data: FAMILY PLANNING (Sheet 1 of 3)
New Acceptors
Received
Temporary Methods
Reports
District Name Pills Depo IUCD Implant Total
Condom (Temporary
<20 Years ≥ 20 years Total <20 Years ≥ 20 years Total <20 Years ≥ 20 years Total <20 Years ≥ 20 years Total
Methods)
NEPAL 54041 221311 15057 127669 142726 22960 256249 279209 2146 31882 34028 4060 91545 95605 772879
Province 1 9215 26799 2144 20950 23094 4386 41366 45752 312 3686 3998 891 16855 17746 117389
01 TAPLEJUNG 647 1264 165 847 1012 256 1799 2055 8 182 190 207 855 1062 5583
02 PANCHTHAR 600 1953 96 1376 1472 292 2900 3192 2 133 135 58 1297 1355 8107
03 ILAM 649 1691 182 2337 2519 240 3248 3488 5 288 293 79 2033 2112 10103
04 JHAPA 716 3358 321 4651 4972 563 5595 6158 85 387 472 149 2402 2551 17511
05 MORANG 873 3777 178 2321 2499 537 6595 7132 171 447 618 90 1933 2023 16049
06 SUNSARI 707 3491 233 2406 2639 371 4680 5051 5 1251 1256 84 2881 2965 15402
07 DHANKUTA 579 1341 73 768 841 144 1736 1880 0 72 72 19 487 506 4640
08 TERHATHUM 382 1353 58 349 407 139 990 1129 1 39 40 9 301 310 3239
09 SANKHUWASABHA 608 1119 108 854 962 354 2588 2942 3 106 109 25 577 602 5734
10 BHOJPUR 793 1847 154 723 877 264 1473 1737 2 74 76 55 1039 1094 5631
11 SOLUKHUMBU 408 828 94 851 945 363 2453 2816 2 62 64 18 366 384 5037
12 OKHALDHUNGA 703 1294 120 942 1062 297 2366 2663 1 100 101 26 629 655 5775
13 KHOTANG 942 1871 156 1300 1456 251 2611 2862 16 59 75 6 355 361 6625
14 UDAYAPUR 608 1612 206 1225 1431 315 2332 2647 11 486 497 66 1700 1766 7953
Province 2 7563 25373.27 5240 16633 21873 2098 36281 38379 127 5113 5240 229 7476 7705 98570
15 SAPTARI 1395 4596 165 3195 3360 121 5345 5466 3 450 453 12 710 722 14597
16 SIRAHA 1324 2795 138 2224 2362 289 6362 6651 4 489 493 12 911 923 13224
17 DHANUSA 1214 3514 172 2122 2294 392 5490 5882 15 840 855 89 340 429 12974
18 MAHOTTARI 989 3136 144 1992 2136 299 3694 3993 7 905 912 37 560 597 10774
19 SARLAHI 996 2261 155 2080 2235 365 4355 4720 12 339 351 13 1269 1282 10849
32 RAUTAHAT 263 3184 232 1548 1780 146 3084 3230 10 187 197 10 1013 1023 9414
33 BARA 726 2933 87 1214 1301 174 3517 3691 21 124 145 14 677 691 8761
34 PARSA 656 2953 4147 2258 6405 312 4434 4746 55 1779 1834 42 1996 2038 17976
Province 3 12183 30199.87 2368 20717 23085 5295 49952 55247 840 9918 10758 1063 23991 25054 144344
20 SINDHULI 1060 2117 84 934 1018 284 2277 2561 7 209 216 37 1393 1430 7342
21 RAMECHHAP 1200 2134 39 648 687 217 1890 2107 0 108 108 26 832 858 5894
22 DOLAKHA 1030 1262 63 757 820 239 2710 2949 2 140 142 16 906 922 6095
23 SINDHUPALCHOK 726 1398 64 917 981 372 3427 3799 9 117 126 97 3004 3101 9405
24 KAVRE 795 1815 196 1498 1694 333 3789 4122 108 1250 1358 224 2816 3040 12029
25 LALITPUR 749 1982 90 1433 1523 256 3072 3328 9 1198 1207 45 1644 1689 9729
26 BHAKTAPUR 1069 1417 13 668 681 131 2447 2578 16 863 879 18 488 506 6061
27 KATHMANDU 1311 4336 957 5377 6334 1024 10328 11352 376 3248 3624 319 5900 6219 31865
28 NUWAKOT 472 1343 136 1190 1326 333 2839 3172 1 153 154 32 1514 1546 7541
29 RASUWA 461 574 14 134 148 78 634 712 0 79 79 27 430 457 1970
30 DHADING 1672 2654 228 1691 1919 668 5253 5921 14 221 235 68 1536 1604 12333
31 MAKWANPUR 917 2179 200 2718 2918 738 6093 6831 272 732 1004 74 2342 2416 15348
35 CHITAWAN 721 6990 284 2752 3036 622 5193 5815 26 1600 1626 80 1186 1266 18733
Province 4 7595 20819.55 1211 12416 13627 2000 18698 20698 139 3460 3599 382 6857 7239 65983
36 GORKHA 981 2712 153 1914 2067 319 3582 3901 4 143 147 50 1176 1226 10053
37 LAMJUNG 741 1441 122 687 809 185 1376 1561 69 315 384 20 480 500 4695
38 TANAHU 738 2133 310 1544 1854 296 1875 2171 10 513 523 108 801 909 7590
39 SYANGJA 947 2096 83 1031 1114 84 1430 1514 5 56 61 16 580 596 5381
40 KASKI 885 3905 206 3073 3279 330 3453 3783 39 814 853 106 1407 1513 13333
41 MANANG 166 195 0 28 28 2 53 55 0 0 0 0 54 54 332
42 MUSTANG 195 229 4 115 119 14 282 296 0 12 12 5 152 157 813
43 MYAGDI 569 1342 57 593 650 150 1445 1595 1 47 48 32 625 657 4292
44 PARBAT 671 1346 51 601 652 121 1074 1195 5 102 107 24 594 618 3918
45 BAGLUNG 783 2940 118 1755 1873 189 2152 2341 4 129 133 6 540 546 7833
48.1 NAWALPUR 919 2481 107 1075 1182 310 1976 2286 2 1329 1331 15 448 463 7743
Province 5 7119 61661.81 1655 32227 33882 3989 57959 61948 535 5853 6388 859 18348 19207 183087
46 GULMI 490 8210 88 1479 1567 127 2191 2318 4 203 207 3 361 364 12666
47 PALPA 739 2920 104 1095 1199 320 1743 2063 44 396 440 175 873 1048 7670
48 NAWALPARASI 489 3200 71 1078 1149 138 2058 2196 1 184 185 48 1244 1292 8022
49 RUPANDEHI 1061 13638 98 14340 14438 106 23723 23829 6 718 724 36 2134 2170 54799
50 KAPILBASTU 1026 6192 146 4027 4173 159 6034 6193 8 1057 1065 48 5267 5315 22938
51 ARGHAKHANCHI 521 1916 40 698 738 92 1133 1225 0 28 28 17 329 346 4253
52 PYUTHAN 609 3778 199 2012 2211 387 3134 3521 1 81 82 22 836 858 10450
53 ROLPA 641 4950 172 982 1154 616 3619 4235 1 73 74 67 969 1036 11449
54 RUKUM 177 351 129 383 512 218 987 1205 1 33 34 14 311 325 2427
56 DANG 466 6970 379 2358 2737 778 4273 5051 94 924 1018 226 2452 2678 18454
57 BANKE 325 5904 133 2474 2607 333 5308 5641 90 1012 1102 102 1967 2069 17323
58 BARDIYA 575 3633 96 1301 1397 715 3756 4471 285 1144 1429 101 1605 1706 12636
Province 6 4761 18087.61 1636 9459 11095 3740 22265 26005 61 767 828 389 6169 6558 62574
54.1 RUKUM WEST 598 1471 196 1151 1347 517 3393 3910 2 64 66 7 520 527 7321
55 SALYAN 637 3606 211 800 1011 522 2233 2755 7 136 143 83 1227 1310 8825
59 SURKHET 872 4297 269 2107 2376 718 3638 4356 13 156 169 220 2504 2724 13922
60 DAILEKH 804 3189 247 1967 2214 522 4048 4570 11 118 129 24 588 612 10714
61 JAJARKOT 324 798 213 832 1045 507 2700 3207 0 35 35 25 557 582 5667
62 DOLPA 285 278 87 353 440 174 713 887 1 40 41 0 52 52 1698
63 JUMLA 354 1255 85 482 567 270 1094 1364 17 78 95 26 208 234 3515
64 KALIKOT 353 2608 38 591 629 119 1894 2013 4 125 129 4 458 462 5841
65 MUGU 273 342 118 562 680 178 1206 1384 0 0 0 0 55 55 2461
66 HUMLA 261 243 172 614 786 213 1346 1559 6 15 21 0 0 0 2609
Province 7 5605 38370.16 803 15267 16070 1452 29728 31180 132 3085 3217 247 11849 12096 100933
67 BAJURA 334 1733 26 610 636 68 1602 1670 13 42 55 6 679 685 4779
68 BAJHANG 611 2960 62 1092 1154 110 2809 2919 1 217 218 14 792 806 8057
69 ACHHAM 977 4772 106 2237 2343 174 4278 4452 1 75 76 14 870 884 12527
70 DOTI 721 4280 36 1265 1301 117 2224 2341 1 246 247 12 547 559 8728
71 KAILALI 680 9890 257 4319 4576 426 6731 7157 51 980 1031 121 3437 3558 26212
72 KANCHANPUR 445 6084 177 2220 2397 314 4893 5207 65 1065 1130 36 1629 1665 16483
73 DADELDHURA 378 2295 17 861 878 74 1842 1916 0 78 78 16 844 860 6027
74 BAITADI 955 4090 107 1912 2019 95 3322 3417 0 229 229 11 1221 1232 10987
75 DARCHAULA 504 2265 15 751 766 74 2027 2101 0 153 153 17 1830 1847 7132
Raw Data: FAMILY PLANNING (Sheet 2 of 3)
Sterilization
(Temporary
Methods)
District Name Total all
Condom
Implant
Female
Depo
Male
Total
Total
IUCD
Pills
Methods IUCD Tubectomy
NEPAL 221311 185545 451790 175593 287602 1321841 1040078 345634 1385712 2707553 1895 1856
Province 1 26798.51333 39611 128422 24642 46568 266041.5133 202406 37483 239889 505931 688 971
01 TAPLEJUNG 1264 838 4615 1279 1270 9266 16 1768 1784 11050 0 0
02 PANCHTHAR 1953 2143 5248 1069 3149 13562 340 1573 1913 15475 0 0
03 ILAM 1691 6071 9953 1847 6800 26362 6033 1610 7643 34005 1 3
04 JHAPA 3358 7823 14771 4097 8463 38512 59248 7916 67164 105676 258 627
05 MORANG 3777 6375 23169 5209 8850 47380 88179 4715 92894 140274 254 42
06 SUNSARI 3491 4453 38105 5408 4554 56011 41859 2953 44812 100823 159 294
07 DHANKUTA 1341 2801 4887 833 1846 11708 1563 1648 3211 14919 0 0
08 TERHATHUM 1353 550 1548 433 802 4686 127 1563 1690 6376 0 0
09 SANKHUWASABHA 1119 661 3077 573 1606 7036 92 2451 2543 9579 0 0
10 BHOJPUR 1847 1849 4586 274 1832 10388 126 2333 2459 12847 0 0
11 SOLUKHUMBU 828 883 4764 167 951 7593 158 743 901 8494 0 0
12 OKHALDHUNGA 1294 1576 5329 679 2611 11489 364 2235 2599 14088 7 5
13 KHOTANG 1871 1538 4075 419 951 8854 205 2285 2490 11344 0 0
14 UDAYAPUR 1612 2050 4295 2355 2883 13195 4096 3690 7786 20981 9 0
Province 2 25373.26667 19842 53066 12699 15599 126579.2667 475343 10870 486213 612792 3 32
15 SAPTARI 4596 5969 12413 832 2510 26320 56245 526 56771 83091 0 0
16 SIRAHA 2795 1774 8096 1240 1758 15663 54436 1018 55454 71117 0 3
17 DHANUSA 3514 2578 6830 1152 1346 15420 75336 1435 76771 92191 0 0
18 MAHOTTARI 3136 2937 6446 1800 997 15316 50080 408 50488 65804 0 0
19 SARLAHI 2261 2351 5012 1937 2731 14292 65835 2341 68176 82468 0 0
32 RAUTAHAT 3184 1479 3799 278 805 9545 57250 650 57900 67445 0 0
33 BARA 2933 1398 5107 3438 1926 14802 39487 1763 41250 56052 1 0
34 PARSA 2953 1356 5363 2022 3526 15220 76674 2729 79403 94623 2 29
Province 3 30199.87333 31333 86912 66955 88699 304098.8733 89343 133972 223315 527414 307 94
20 SINDHULI 2117 2135 4888 1167 3732 14039 4961 4296 9257 23296 0 1
21 RAMECHHAP 2134 606 3391 1404 4537 12072 202 3067 3269 15341 0 17
22 DOLAKHA 1262 679 3756 505 2447 8649 2936 4151 7087 15736 0 2
23 SINDHUPALCHOK 1398 979 5337 854 7058 15626 1897 6676 8573 24199 18 0
24 KAVRE 1815 2544 7991 5187 13021 30558 8874 8202 17076 47634 0 0
25 LALITPUR 1982 1917 8734 5197 8697 26527 8679 18344 27023 53550 0 1
26 BHAKTAPUR 1417 997 3520 4506 2816 13256 7613 3415 11028 24284 18 21
27 KATHMANDU 4336 9735 20849 25081 20065 80066 29545 18079 47624 127690 258 52
28 NUWAKOT 1343 1126 3602 1887 2685 10643 6784 6900 13684 24327 0 0
29 RASUWA 574 98 698 171 1302 2843 656 1757 2413 5256 1 0
30 DHADING 2654 2251 8270 1998 5151 20324 1542 9329 10871 31195 0 0
31 MAKWANPUR 2179 3947 9863 947 4748 21684 3529 25487 29016 50700 12 0
35 CHITAWAN 6990 4319 6013 18051 12440 47813 12125 24269 36394 84207 0 0
Province 4 20819.55333 16246 27089 17082 18260 99496.55333 53264 49752 103016 202513 247 233
36 GORKHA 2712 1777 5078 544 3021 13132 5560 5665 11225 24357 1 9
37 LAMJUNG 1441 914 1717 627 883 5582 2070 5601 7671 13253 71 7
38 TANAHU 2133 1721 2943 2395 2103 11295 5792 6577 12369 23664 0 0
39 SYANGJA 2096 2378 2023 907 1228 8632 8439 3661 12100 20732 16 0
40 KASKI 3905 4268 7403 6635 4173 26384 11163 11900 23063 49447 159 214
41 MANANG 195 39 79 0 145 458 15 160 175 633 0 0
42 MUSTANG 229 95 297 211 344 1176 253 281 534 1710 0 0
43 MYAGDI 1342 506 1154 1291 1981 6274 1034 2982 4016 10290 0 0
44 PARBAT 1346 754 1160 646 1253 5159 964 3744 4708 9867 0 1
45 BAGLUNG 2940 2025 2653 1935 1886 11439 3395 5628 9023 20462 0 2
48.1 NAWALPUR 2481 1769 2582 1891 1243 9966 14579 3553 18132 28098 0 0
Province 5 61661.80667 48220 86377 34861 64561 295680.8067 138311 37829 176140 471821 329 493
46 GULMI 8210 2075 2469 431 734 13919 5394 3274 8668 22587 1 0
47 PALPA 2920 1951 2972 2775 2916 13534 8273 4992 13265 26799 20 75
48 NAWALPARASI 3200 1674 3339 1282 2441 11936 15605 3804 19409 31345 0 0
49 RUPANDEHI 13638 15568 27414 3230 8768 68618 30351 2930 33281 101899 299 290
50 KAPILBASTU 6192 6270 9544 3142 9970 35118 13559 1525 15084 50202 0 4
51 ARGHAKHANCHI 1916 736 1310 521 1543 6026 2637 2791 5428 11454 0 0
52 PYUTHAN 3778 3129 5580 790 2851 16128 2197 2632 4829 20957 0 16
53 ROLPA 4950 1225 4756 884 5331 17146 116 3213 3329 20475 0 0
54 RUKUM 351 409 1167 71 494 2492 72 752 824 3316 0 0
56 DANG 6970 7970 13258 10595 11042 49835 18799 3514 22313 72148 9 80
57 BANKE 5904 4581 8265 3875 6000 28625 15779 5665 21444 50069 0 28
58 BARDIYA 3633 2632 6303 7265 12471 32304 25529 2737 28266 60570 0 0
Province 6 18087.61333 8819 25638 7215 20853 80612.61333 13556 43501 57057 137670 91 3
54.1 RUKUM WEST 1471 978 3492 60 828 6829 167 2143 2310 9139 0 0
55 SALYAN 3606 1287 4894 1954 4496 16237 806 5287 6093 22330 0 0
59 SURKHET 4297 2260 4700 2279 5803 19339 10365 11721 22086 41425 65 0
60 DAILEKH 3189 1509 3249 2057 4887 14891 228 6392 6620 21511 1 0
61 JAJARKOT 798 783 3103 333 2463 7480 374 4110 4484 11964 16 1
62 DOLPA 278 324 1101 0 50 1753 171 1000 1171 2924 0 0
63 JUMLA 1255 384 988 119 959 3705 856 6395 7251 10956 9 0
64 KALIKOT 2608 918 3005 413 1325 8269 277 2936 3213 11482 0 2
65 MUGU 342 190 750 0 42 1324 118 1810 1928 3252 0 0
66 HUMLA 243 186 356 0 0 785 194 1707 1901 2686 0 0
Province 7 38370.16 21474 44286 12139 33062 149331.16 67855 32227 100082 249413 230 30
67 BAJURA 1733 717 2017 93 1164 5724 1162 3835 4997 10721 0 0
68 BAJHANG 2960 1041 3668 735 2151 10555 359 4741 5100 15655 164 0
69 ACHHAM 4772 2310 5009 619 2488 15198 611 2997 3608 18806 2 14
70 DOTI 4280 1875 4889 1171 2467 14682 972 3603 4575 19257 5 0
71 KAILALI 9890 8633 12373 4422 11193 46511 42075 4504 46579 93090 0 11
72 KANCHANPUR 6084 3128 6781 3748 4118 23859 19132 3624 22756 46615 46 0
73 DADELDHURA 2295 557 2724 273 1701 7550 1234 2869 4103 11653 1 4
74 BAITADI 4090 2327 4584 758 4966 16725 1816 3514 5330 22055 12 1
75 DARCHAULA 2265 886 2241 320 2814 8526 494 2540 3034 11560 0 0
Raw and Analysed Data: FCHV (Sheet 1 of 1)
Postpartum Vitamin A
Condoms distribution
meeting held (Times)
Visits to pregnant
Received Reports
women (Person)
Pills distribution
Mother's group
Community Health
mesoprostol taken
Number of Female
contact after birth
Distribution of
Breast feeding < 1
group meetings
Visits to newborn &
applied in cord
Chlorhexidine
% of mothers
management
hour of birth
Skin to skin
Volunteers
(Piece)
(Cycle)
postpartum mothers
weight
Ensure
District Name Live Still
held
birth birth
3rd day
≤ 24 hrs
of birth
7rd day
of birth
of birth
NEPAL ##### 506909 1139320 717267 38462 1E+05 1865 1879 1E+05 95283 111211 3874 1039 93723 107229 106212 188387 9983379 808138 49001 86
Province 1 8307 85845 165236 98194 3824 21440 386 587 16790 15223 18678 267 192 14900 17935 18197 35621 1192477 185029 8578 83
01 TAPLEJUNG 618 5433 4082 1312 115 839 42 16 686 736 774 23 14 681 601 593 859 33085 3342 896 51
02 PANCHTHAR 515 3780 6977 3211 364 1114 22 5 975 1047 1061 2 2 893 763 633 1124 74062 9024 394 80
03 ILAM 603 9220 8257 3535 354 1163 24 345 1061 766 1256 17 12 838 628 604 2122 72216 11493 1057 73
04 JHAPA 572 6069 25710 21646 59 2635 28 14 1947 391 2208 34 39 1594 2061 1896 6228 189096 42013 586 86
05 MORANG 797 8036 33248 21214 455 3518 40 18 2105 2410 2568 29 18 2245 3780 4150 9982 204078 31954 722 93
06 SUNSARI 617 12501 30337 21779 960 3052 38 30 2233 2230 2302 46 36 1949 3902 4553 4820 211779 34390 1052 99
07 DHANKUTA 517 3389 5654 2066 42 936 15 13 716 857 784 20 22 637 590 534 1215 34883 7067 315 90
08 TERHATHUM 381 3636 3217 480 78 759 19 15 634 639 693 5 4 573 474 429 693 39833 2004 392 77
09 SANKHUWASABHA 434 2612 4900 2089 121 540 17 14 413 445 490 4 7 364 338 294 755 35468 4208 314 69
10 BHOJPUR 755 6480 8701 4252 350 1567 49 18 1372 1285 1492 9 2 1005 936 817 2241 90896 10459 530 102
11 SOLUKHUMBU 355 2558 3425 1611 232 702 3 26 547 85 561 31 20 536 434 439 894 12222 2193 265 80
12 OKHALDHUNGA 676 8277 9347 2451 8 649 14 2 601 553 643 8 0 557 527 513 686 37652 7368 707 98
13 KHOTANG 908 8405 9257 5174 622 2030 23 37 1926 2005 2006 17 1 1612 1328 1251 2085 80077 6185 898 78
14 UDAYAPUR 559 5449 12124 7374 64 1936 52 34 1574 1774 1840 22 15 1416 1573 1491 1917 77130 13329 450 101
Province 2 8441 80155 238984 160070 17474 45521 498 667 40674 38664 42460 732 223 37172 40102 38749 58843 1732177 98018 7073 94
15 SAPTARI 1375 12075 31715 26318 277 3528 33 2 2787 2962 2929 10 8 2644 3972 4006 5312 272451 19965 1074 94
16 SIRAHA 1275 12187 34745 17974 181 3748 59 35 2774 227 3099 86 9 2529 1979 1786 7009 217865 14962 981 104
17 DHANUSA 1178 9694 30861 21006 2058 7422 69 112 6537 4983 6904 18 0 5953 5173 5270 8626 204847 11439 882 92
18 MAHOTTARI 895 8590 33488 22169 3594 7306 38 185 7511 6987 6807 108 22 6377 8069 7712 10856 216143 17989 635 113
19 SARLAHI 534 9330 17627 12803 1628 3395 64 35 3290 3450 3432 66 40 4084 4345 4188 4303 113590 9178 1015 77
32 RAUTAHAT 1074 10216 31395 22025 4201 8898 65 167 8096 8794 8764 179 68 8221 8115 7702 10056 273669 10591 841 101
33 BARA 1161 10248 34380 20633 5190 7070 74 50 6401 7516 6699 181 59 3751 4505 4268 7188 259313 7151 932 92
34 PARSA 949 7815 24773 17142 345 4154 96 81 3278 3745 3826 84 17 3613 3944 3817 5493 174299 6743 713 91
Province 3 8729 87626 150597 78657 3524 13528 262 193 10301 7565 12243 193 62 8757 8854 8705 26298 856262 106369 9016 81
20 SINDHULI 657 5240 15153 11953 337 2804 33 31 2447 629 2746 19 9 1857 2099 2226 3049 78112 10646 494 88
21 RAMECHHAP 736 7688 10440 5825 264 873 16 23 805 878 894 7 9 788 608 548 1155 87172 5514 752 85
22 DOLAKHA 683 11513 8118 4834 149 751 14 0 538 656 756 5 0 632 633 485 955 30066 3338 1238 77
23 SINDHUPALCHOK 970 7450 13431 4759 920 1794 69 15 1308 1256 1468 20 7 872 924 876 1930 31241 4646 693 90
24 KAVRE 1168 10353 15753 8744 469 965 11 17 793 816 814 15 2 706 767 809 1376 73738 7403 956 90
25 LALITPUR 383 5723 6306 900 53 348 6 22 216 106 266 4 0 127 73 104 1643 55001 5309 445 107
26 BHAKTAPUR 286 2673 5081 5761 124 325 18 2 200 151 305 2 0 184 263 307 1502 35746 6011 218 102
27 KATHMANDU 985 11477 15054 7570 114 861 2 1 571 149 557 31 0 467 576 610 6418 130533 14669 1589 60
28 NUWAKOT 858 8001 7595 4015 260 1142 13 41 1019 1093 1050 49 7 833 662 640 2173 48807 3312 1007 66
29 RASUWA 206 2383 3212 1556 0 297 8 0 257 277 287 11 3 272 281 260 365 17220 1232 245 81
30 DHADING 623 5289 13834 3925 515 642 10 11 457 467 954 4 13 501 417 413 933 88025 9510 471 94
31 MAKWANPUR 601 5112 20706 9610 27 2077 43 11 1289 714 1622 17 11 1056 914 697 2430 83129 20173 450 95
35 CHITAWAN 573 4724 15914 9205 292 649 19 19 401 373 524 9 1 462 637 730 2369 97472 14606 458 86
Province 4 6482 59333 87060 50739 1590 5595 85 66 4731 4458 5375 69 19 4850 5474 5723 12973 708076 66594 5767 86
36 GORKHA 871 7265 13351 4990 2 983 18 1 812 774 976 25 0 833 890 839 1448 70163 7705 624 97
37 LAMJUNG 707 6914 6003 3005 64 260 5 6 208 253 262 4 4 232 257 255 439 55127 4264 654 88
38 TANAHU 553 4548 8002 4540 321 602 18 28 535 583 573 5 3 431 356 402 1239 45619 6299 448 85
39 SYANGJA 851 6891 11920 8356 18 831 12 2 586 277 772 9 7 773 918 992 2691 81335 10678 594 97
40 KASKI 785 9784 10497 6653 144 373 6 2 237 203 274 15 1 168 229 413 2726 111474 8045 1037 79
41 MANANG 153 1044 87 15 0 7 0 0 1 2 2 0 0 1 2 1 3 3933 73 118 74
42 MUSTANG 199 579 326 51 2 14 1 0 5 3 8 0 0 9 5 5 18 3725 128 135 36
43 MYAGDI 507 3755 5143 3501 250 388 6 3 374 397 407 2 2 410 383 415 456 58830 3353 370 85
44 PARBAT 672 4796 6341 3400 202 200 2 0 147 84 194 3 0 181 163 165 656 53733.5 4547 500 80
45 BAGLUNG 733 9580 12925 7873 540 1458 10 16 1353 1389 1403 2 2 1318 1150 1031 1557 143463 9044 922 87
48.1 NAWALPUR 451 4177 12465 8355 47 479 7 8 473 493 504 4 0 494 1121 1205 1740 80673 12458 365 95
Province 5 7345 89709 229655 147286 5703 17374 271 140 14170 13619 15426 427 166 12918 17360 19026 27241 2259774 164771 8718 86
46 GULMI 782 9906 12099 8759 477 1589 8 16 1429 1165 1441 40 29 1413 1456 1471 2730 124621 9845 959 86
47 PALPA 780 7147 12487 6695 36 830 8 6 730 797 806 62 18 609 997 994 1635 83397 10770 553 108
48 NAWALPARASI 462 4236 20231 9149 51 623 3 0 457 539 523 10 1 394 1206 1210 1347 153468 9611 435 81
49 RUPANDEHI 905 12529 35935 14723 477 1030 9 0 603 202 755 5 0 626 570 556 5322 228772 28780 1395 75
50 KAPILBASTU 918 10432 29084 20074 2072 5647 62 43 4809 5118 5120 138 81 4192 4537 4452 5929 234152 14763 1040 84
51 ARGHAKHANCHI 521 8258 8280 7151 222 1018 18 8 800 831 884 13 4 761 1046 993 1510 127121 5104 845 81
52 PYUTHAN 584 5448 14950 9288 59 1598 30 4 1081 724 1315 6 1 905 891 836 1584 176361 12269 432 105
53 ROLPA 637 4849 10647 6155 725 1794 38 10 1652 1629 1722 69 2 1361 1065 874 1837 166247 7947 445 91
54 RUKUM 168 1156 994 895 146 264 10 17 241 232 272 15 7 233 158 129 322 7905 1342 126 76
56 DANG 555 9921 25746 26460 541 1094 22 11 881 836 1007 8 3 779 1951 1982 1039 274741 22823 871 95
57 BANKE 575 7973 33392 15925 719 1594 57 15 1272 1320 1362 55 19 1224 2196 4267 3519 359541 26431 785 85
58 BARDIYA 458 7854 25810 22012 178 293 6 10 215 226 219 6 1 421 1287 1262 467 323448 15086 832 79
Province 6 4186 39571 82603 58452 3995 9848 180 152 8564 8644 9338 415 189 8176 7843 7366 11537 799348 53562 4102 80
54.1 RUKUM WEST 295 2278 4291 2536 137 736 12 4 474 434 618 3 2 395 332 271 743 26379 4010 243 78
55 SALYAN 563 4582 13818 10806 785 1490 31 20 1277 1432 1348 22 10 1161 1862 1931 1488 138368 8635 423 90
59 SURKHET 666 10443 18050 11378 178 680 5 11 521 606 587 0 0 541 407 373 891 248291 13881 987 88
60 DAILEKH 756 9213 19682 12506 294 1648 27 44 1533 1503 1617 23 11 1494 1469 1365 2359 185566 10454 788 97
61 JAJARKOT 359 2581 5994 4688 739 1771 26 11 1607 1693 1697 8 7 1513 999 864 1882 39628 4289 258 83
62 DOLPA 282 722 1125 783 109 335 13 14 311 284 349 17 4 355 340 330 365 12316 1540 132 46
63 JUMLA 347 4275 7385 6358 1011 1345 20 17 1227 1298 1309 135 93 1241 1232 1178 1657 45300 2943 509 70
64 KALIKOT 354 3030 8607 6191 473 1024 33 18 965 886 1040 174 43 906 790 712 1011 78122 4814 284 89
65 MUGU 293 1093 2310 1931 152 525 9 5 397 278 504 20 15 306 217 159 849 13127 981 290 31
66 HUMLA 271 1354 1341 1275 117 294 4 8 252 230 269 13 4 264 195 183 292 12251 2015 188 60
Province 7 5159 64670 185185 123869 2352 8136 183 74 6767 7110 7691 1771 188 6950 9661 8446 15874 2435265 133795 5747 94
67 BAJURA 331 3288 14108 8223 373 965 31 10 917 889 951 13 8 939 931 789 1225 69245 7214 261 105
68 BAJHANG 588 4235 14770 9727 208 915 29 11 726 845 893 22 18 742 819 800 996 92891 3764 425 83
69 ACHHAM 916 10336 26809 13494 586 1363 23 4 1236 1181 1331 7 5 1270 1356 1315 1649 201221 6840 943 91
70 DOTI 688 6269 19058 11740 601 1227 24 12 963 1077 1136 41 6 1009 1083 1041 1677 140510 5087 627 83
71 KAILALI 588 13247 39730 39080 154 1208 23 12 1036 1136 1115 1625 134 983 1202 1117 7443 1067414 64260 1062 104
72 KANCHANPUR 373 8353 25207 11547 11 497 12 9 345 395 442 33 14 502 1813 1083 683 408004 26470 773 90
73 DADELDHURA 320 5260 10554 5003 44 350 18 7 224 303 314 5 3 286 441 407 464 74697 1997 456 96
74 BAITADI 851 9512 23987 16547 314 620 6 6 466 506 546 17 0 651 1400 1324 751 295075 14412 831 95
75 DARCHAULA 504 4170 10962 8508 61 991 17 3 854 778 963 8 0 568 616 570 986 86208 3751 369 94
Raw Data: PHCORC (Sheet 1 of 2)
Vitamin A for
group attend
Iron tablet distribution
postpartum
tracing (TB)
Blood slide
collection
Defaulter
Mother's
Condoms Pills Depo
District Name
New
Repeated Postpartum
pregnant Piece No Cycle No
NEPAL 102584 190188 41421 62464 2741812 104893 137217 189686 1663 1705 180748
Province 1 18142 32329 6416 6762 429182 24943 38449 49820 261 527 28771
01 TAPLEJUNG 682 929 446 469 25712 1253 2170 2454 31 7 1989
02 PANCHTHAR 591 1160 163 168 51826 1635 3667 5906 5 3 1486
03 ILAM 979 2720 529 614 36181 4212 6681 7549 33 64 3374
04 JHAPA 2292 4746 992 1317 48321 3992 5178 4372 31 44 2557
05 MORANG 6945 7973 1544 1509 72291 4921 6481 8377 72 187 3980
06 SUNSARI 2992 6169 797 981 37355 2052 3094 3360 53 174 3692
07 DHANKUTA 353 874 143 148 9982 629 1045 2509 0 12 1028
08 TERHATHUM 173 601 99 92 11360 620 704 717 8 0 554
09 SANKHUWASABHA 348 814 126 76 8531 389 724 1626 1 0 1002
10 BHOJPUR 355 1099 250 247 35760 1049 1875 2990 0 0 1973
11 SOLUKHUMBU 194 311 135 129 8411 629 1198 1777 2 0 1010
12 OKHALDHUNGA 294 747 203 125 21130 898 1576 2884 6 31 3015
13 KHOTANG 1031 1941 675 587 40129 1294 2173 1820 19 0 1944
14 UDAYAPUR 913 2245 314 300 22193 1370 1883 3479 0 5 1167
Province 2 42917 61397 19793 36681 656161 24738 27237 21326 521 706 42926
15 SAPTARI 4625 9577 2141 1863 114099 5774 6470 4715 47 110 9290
16 SIRAHA 3027 4817 930 951 66831 2101 2295 2296 69 4 5477
17 DHANUSA 6868 10295 3252 3531 76981 3636 3629 2004 27 1 4457
18 MAHOTTARI 13400 14989 4149 21536 91247 5418 6203 5380 40 31 6836
19 SARLAHI 2034 2193 1003 1330 32220 1305 1478 1531 119 4 2341
32 RAUTAHAT 5473 8633 3978 3932 140422 4188 4459 2193 132 199 5446
33 BARA 3181 5352 2049 1578 57165 784 1106 1770 57 277 4077
34 PARSA 4309 5541 2291 1960 77196 1532 1597 1437 30 80 5002
Province 3 7838 16430 3709 5104 300910 13347 22207 47621 149 74 27019
20 SINDHULI 1014 1678 568 754 29919 1129 1948 2715 12 25 1332
21 RAMECHHAP 409 1286 186 311 20565 477 874 2748 7 0 1952
22 DOLAKHA 365 979 239 336 12910 764 1128 1902 7 1 1393
23 SINDHUPALCHOK 789 1156 327 282 17041 1578 2835 6232 20 0 2900
24 KAVRE 620 2145 336 223 37428 1918 2632 7218 20 10 4407
25 LALITPUR 160 315 121 121 17046 664 1258 2308 7 1 1702
26 BHAKTAPUR 233 284 155 166 20682 665 1001 969 14 2 931
27 KATHMANDU 442 580 353 356 24123 1161 2149 3673 14 1 4094
28 NUWAKOT 684 769 550 1551 29679 1208 1670 3153 11 0 2499
29 RASUWA 126 282 18 19 5970 61 168 354 2 0 632
30 DHADING 542 1723 223 415 41780 2202 3940 6922 2 1 2510
31 MAKWANPUR 1792 3538 316 280 22730 927 1727 7546 13 18 1410
35 CHITAWAN 662 1695 317 290 21037 593 877 1881 20 15 1257
Province 4 4637 12523 2266 2258 238247 8606 10611 10329 125 65 17680
36 GORKHA 667 2046 538 362 28286 1027 1829 2897 67 4 2948
37 LAMJUNG 339 1247 197 167 12419 741 873 842 1 5 2635
38 TANAHU 664 1326 134 409 17937 558 956 1792 2 0 1201
39 SYANGJA 497 1627 323 243 27631 1984 2107 1023 23 5 3301
40 KASKI 670 1708 221 357 46186 1747 1622 1421 20 40 3429
41 MANANG 4 5 2 2 691 10 34 1 0 0 25
42 MUSTANG 7 23 2 4 1133 41 62 77 0 0 91
43 MYAGDI 235 736 54 26 16743 414 377 541 2 0 606
44 PARBAT 173 506 108 130 8892 431 428 312 0 2 571
45 BAGLUNG 546 1451 202 360 60840 979 1539 886 5 9 1936
48.1 NAWALPUR 835 1848 485 198 17489 674 784 537 5 0 937
Province 5 16444 42518 4765 5771 491823 15997 19250 25445 269 210 27025
46 GULMI 778 2256 350 1074 30952 1408 1046 1061 24 12 2882
47 PALPA 907 3911 163 78 29823 2203 1486 2288 10 106 1365
48 NAWALPARASI 1127 3750 216 113 19873 606 592 772 8 3 1453
49 RUPANDEHI 2621 5706 815 693 75993 2741 3304 2369 52 70 3898
50 KAPILBASTU 4329 6608 2063 1874 93191 2968 3311 1154 45 2 4575
51 ARGHAKHANCHI 618 1091 94 444 26781 445 696 667 6 3 1903
52 PYUTHAN 991 2139 168 129 55362 1475 2037 2612 14 8 1955
53 ROLPA 811 1947 130 453 57357 648 1491 2729 4 0 1999
54 RUKUM 266 300 185 226 6500 398 503 684 1 0 345
56 DANG 901 3489 126 231 40706 1360 2500 4955 63 0 2254
57 BANKE 2299 7908 275 369 45086 1178 1426 2565 30 4 3258
58 BARDIYA 796 3413 180 87 10199 567 858 3589 12 2 1138
Province 6 7299 10015 2197 3280 224365 6078 8515 17025 159 71 12984
54.1 RUKUM WEST 1371 956 116 93 22275 602 1063 2367 1 0 861
55 SALYAN 821 1830 409 216 43596 830 1427 4829 28 18 1663
59 SURKHET 909 2481 181 193 33804 696 1352 3010 4 26 2724
60 DAILEKH 897 1461 211 428 32855 673 657 2013 42 1 3875
61 JAJARKOT 1051 1003 441 475 22560 1275 1508 2842 13 0 930
62 DOLPA 266 222 120 114 9658 419 577 232 4 0 822
63 JUMLA 675 1015 360 910 23008 488 469 516 4 25 1303
64 KALIKOT 338 432 116 153 18857 471 367 652 2 0 423
65 MUGU 373 482 168 601 12004 390 476 285 52 1 172
66 HUMLA 598 133 75 97 5748 234 619 279 9 0 211
Province 7 5307 14976 2275 2608 401124 11184 10948 18120 179 52 24343
67 BAJURA 389 584 159 328 29882 1090 699 1384 5 0 714
68 BAJHANG 733 1182 391 328 51482 1442 910 764 35 12 2021
69 ACHHAM 1015 2686 612 858 88741 2425 2441 1996 8 6 7064
70 DOTI 466 1114 213 448 53134 943 710 1027 76 5 2053
71 KAILALI 1149 4470 341 144 40475 2052 2604 6546 29 5 2158
72 KANCHANPUR 265 958 113 35 17772 455 753 2538 0 0 460
73 DADELDHURA 278 512 98 43 16498 547 634 1009 2 5 784
74 BAITADI 608 2472 134 290 62969 1433 1404 2046 24 19 6705
75 DARCHAULA 404 998 214 134 40171 797 793 810 0 0 2384
Analyzed Data:Malaria (Sheet 1 of 1)
MALARIA
% of confirmed cases of
District Name Malaria annual parasite
Annual blood examination Slide positivity rate (SPR) of Clinical malaria incidence % of imported cases among uncomplicated malaria treated % of confirmed cases of severe
incidence (per 1,000 % of P. Falciparum (PF) cases
rate (ABER) of malaria malaria (CMI) positive cases of malaria with antimalarials as per national malaria
population )
guidelines
National Total 0.79 0.95 0.08 0.26 13.1 56.4 100 3.0
Provience 1 0.44 0.39 0.02 0.35 24.49 77.6 100 2.0
01 TAPLEJUNG 0.13 0.00 0.00 0.00 0.00 0.0 0 0.0
02 PANCHTHAR 1.44 0.81 0.12 0.00 25.00 100.0 100 0.0
ILAM 0.93 0.15 0.01 0.00 50.00 100.0 100 0.0
JHAPA 0.50 0.57 0.03 0.00 13.64 77.3 100 4.5
MORANG 0.46 0.17 0.01 0.73 42.86 71.4 100 0.0
SUNSARI 0.19 0.98 0.02 0.60 44.44 66.7 100 0.0
DHANKUTA 0.15 7.04 0.11 0.30 0.00 80.0 100 0.0
TERHATHUM 0.25 0.00 0.00 0.28 0.00 0.0 0 0.0
SANKHUWASABHA 0.03 0.00 0.00 0.24 0.00 0.0 0 0.0
BHOJPUR 1.06 0.00 0.00 0.51 0.00 0.0 0 0.0
SOLUKHUMBU 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
OKHALDHUNGA 0.34 0.00 0.00 0.00 0.00 0.0 0 0.0
KHOTANG 4.29 0.00 0.00 0.54 0.00 0.0 0 0.0
UDAYAPUR 0.38 0.00 0.00 0.00 0.00 0.0 0 0.0
Province 2 0.51 0.83 0.04 0.40 19.86 28.1 100 19.9
SAPTARI 0.80 0.46 0.04 0.07 0.00 0.0 100 133.3
SIRAHA 0.38 0.00 0.00 1.23 0.00 0.0 0 0.0
DHANUSA 0.63 2.52 0.16 0.00 23.08 10.3 100 25.6
MAHOTTARI 1.21 0.38 0.05 0.85 21.43 71.4 100 0.0
SARLAHI 0.10 3.03 0.03 0.00 0.00 33.3 100 0.0
RAUTAHAT 0.35 0.27 0.01 0.58 0.00 60.0 100 0.0
BARA 0.59 0.65 0.04 0.10 36.84 47.4 100 5.3
PARSA 0.57 0.22 0.01 0.62 16.67 83.3 100 0.0
Province 3 0.42 0.63 0.03 0.25 28.89 37.8 100 2.2
SINDHULI 1.00 0.76 0.08 0.14 0.00 0.0 100 0.0
RAMECHHAP 0.52 0.00 0.00 0.00 0.00 0.0 0 0.0
DOLAKHA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
SINDHUPALCHOK 0.05 0.00 0.00 0.04 0.00 0.0 0 0.0
KAVRE 0.08 0.00 0.00 0.26 0.00 0.0 0 0.0
LALITPUR 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
BHAKTAPUR 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
KATHMANDU 0.00 100.00 0.00 0.00 71.43 100.0 100 14.3
NUWAKOT 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
RASUWA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
DHADING 1.78 0.00 0.00 0.05 0.00 0.0 0 0.0
MAKWANPUR 0.28 0.19 0.01 0.08 100.00 50.0 100 0.0
CHITAWAN 0.36 0.71 0.03 0.19 37.50 56.3 100 0.0
Province 4 0.87 0.32 0.03 0.06 10.34 72.4 100 0.0
GORKHA 0.57 0.00 0.00 0.00 0.00 0.0 0 0.0
LAMJUNG 0.77 0.00 0.00 0.07 0.00 0.0 0 0.0
TANAHU 1.25 0.00 0.00 0.12 0.00 0.0 0 0.0
SYANGJA 0.81 0.81 0.07 0.10 0.00 100.0 100 0.0
KASKI 0.40 0.96 0.04 0.04 11.76 76.5 100 0.0
MANANG 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
MUSTANG 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
MYAGDI 1.92 0.00 0.00 0.25 0.00 0.0 0 0.0
PARBAT 0.77 0.34 0.03 0.03 100.00 100.0 100 0.0
BAGLUNG 0.89 0.00 0.00 0.00 0.00 0.0 0 0.0
NAWALPUR 1.64 0.20 0.03 0.10 0.00 55.6 100 0.0
Province 5 1.07 0.77 0.08 0.21 16.19 74.5 100 0.0
GULMI 1.14 0.44 0.05 0.00 0.00 100.0 100 0.0
PALPA 1.73 0.33 0.06 0.46 33.33 66.7 100 0.0
NAWALPARASI 0.54 0.25 0.01 0.78 0.00 75.0 100 0.0
RUPANDEHI 1.43 0.51 0.07 0.24 25.76 51.5 100 0.0
KAPILBASTU 0.90 1.59 0.14 0.00 18.06 80.6 100 0.0
ARGHAKHANCHI 1.06 2.46 0.26 1.21 62.50 100.0 100 0.0
PYUTHAN 10.40 1.48 1.54 0.14 18.18 100.0 100 0.0
ROLPA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
RUKUM 0.00 0.00 0.00 1.57 0.00 0.0 0 0.0
DANG 0.99 0.56 0.06 0.10 2.94 91.2 100 0.0
BANKE 0.68 0.89 0.06 0.11 3.45 69.0 100 0.0
BARDIYA 1.19 0.92 0.11 0.14 10.20 77.6 100 0.0
Province 6 0.70 1.79 0.13 0.07 5.33 74.7 100 0.0
RUKUM WEST 0.04 0.00 0.00 0.07 0.00 0.0 0 0.0
SALYAN 0.00 0.00 0.00 0.34 0.00 0.0 0 0.0
SURKHET 0.92 1.87 0.17 0.00 5.97 71.6 100 0.0
DAILEKH 0.46 1.82 0.08 0.03 0.00 100.0 100 0.0
JAJARKOT 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
DOLPA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
JUMLA 0.00 0.00 0.00 0.23 0.00 0.0 0 0.0
KALIKOT 1.48 0.00 0.00 0.50 0.00 0.0 0 0.0
MUGU 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
HUMLA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
Province 7 1.6 1.6 0.3 0.1 8.3 50.6 100.0 0.6
BAJURA 1.4 14.7 2.1 7.8 18.8 12.5 100.0 0.0
BAJHANG 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
ACHHAM 0.8 3.8 0.3 0.5 8.9 68.9 100.0 0.0
DOTI 0.3 1.1 0.0 0.0 0.0 100.0 100.0 0.0
KAILALI 1.4 2.1 0.3 0.1 9.4 57.7 100.0 0.0
KANCHANPUR 2.7 0.6 0.2 0.0 9.3 62.7 100.0 0.0
DADELDHURA 1.3 1.0 0.1 0.0 0.0 60.0 100.0 0.0
BAITADI 2.1 6.2 1.3 1.6 2.7 2.7 100.0 4.0
DARCHAULA 0.7 1.2 0.1 0.0 50.0 100.0 100.0 0.0
Raw Data:MALARIA (Sheet 1 of 4)
Blood Slide Collection Examined Positive Treatment
District Name
ACD PCD Total Micros-copy only RDT Only Both (M+R) Micros-copy only RDT Only Both (M+R) Total Pregnant
National Total 10785 73469 84254 47940 28078 8978 357 285 227 869 9
Provience 1 1859 10652 12511 7605 3926 999 36 9 4 49 0
PANCHTHAR 20 473 493 383 109 1 3 1 0 4 0
ILAM 194 1096 1290 281 1006 43 0 2 0 2 0
JHAPA 750 3110 3860 2886 872 102 17 4 1 22 0
MORANG 131 3926 4057 2893 419 745 7 0 0 7 0
SUNSARI 206 713 919 213 622 84 4 2 3 9 0
DHANKUTA 20 51 71 45 25 1 5 0 0 5 0
TERHATHUM 92 19 111 85 12 0 0 0 0 0 0
SANKHUWASABHA 2 17 19 0 12 0 0 0 0 0 0
BHOJPUR 0 271 271 1 270 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 68 68 6 62 0 0 0 0 0 0
KHOTANG 0 80 80 80 0 0 0 0 0 0 0
UDAYAPUR 444 823 1267 727 517 23 0 0 0 0 0
Province 2 2573 14926 17499 7556 7590 2387 33 47 66 146 0
SAPTARI 214 1053 1267 368 705 219 2 2 2 6 0
SIRAHA 62 1351 1413 656 700 57 0 0 0 0 0
DHANUSA 1342 1750 3092 1461 713 918 14 13 51 78 0
MAHOTTARI 69 3609 3678 2707 768 203 4 4 6 14 0
SARLAHI 77 517 594 312 155 127 12 6 0 18 0
RAUTAHAT 252 1609 1861 1207 583 80 1 1 3 5 0
BARA 521 2384 2905 638 1484 783 0 15 4 19 0
PARSA 36 2653 2689 207 2482 0 0 6 0 6 0
Province 3 1202 5820 7022 2128 3402 1656 7 21 17 45 0
SINDHULI 190 2441 2631 945 932 754 6 11 3 20 0
RAMECHHAP 139 41 180 2 10 168 0 0 0 0 0
DOLAKHA 145 0 145 0 145 0 0 0 0 0 0
SINDHUPALCHOK 55 0 55 0 57 0 0
KAVRE 33 160 193 33 138 24 0
LALITPUR 2 49 51 137 6 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 7 7 1 5 1 1 5 1 7 0
NUWAKOT 11 79 90 83 67 8 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0
DHADING 7 358 365 48 146 171 0 0 0 0 0
MAKWANPUR 511 541 1052 520 239 293 0 1 1 2 0
CHITAWAN 109 2144 2253 359 1657 237 0 4 12 16 0
Province 4 341 5595 5936 3738 1756 537 13 10 1 24 0
GORKHA 186 314 500 73 234 183 0 0 0 0 0
LAMJUNG 4 544 548 443 95 0 0 0 0 0 0
TANAHU 0 734 734 647 79 21 0 0 0 0
SYANGJA 0 145 145 0 145 101 0 2 0 2 0
KASKI 85 1695 1780 1202 578 0 12 5 0 17 0
MANANG 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 20 44 64 63 8 5 0 0 0 0 0
PARBAT 13 293 306 80 2 215 0 0 1 1 0
BAGLUNG 33 203 236 229 5 0 0 0 0 0 0
NAWALPUR 0 1623 1623 1001 610 12 1 3 0 4 0
Province 5 341 5595 5936 3738 1756 537 13 10 1 24 0
GULMI 14 405 419 161 251 40 0 2 0 2 0
PALPA 97 693 790 831 72 0 3 0 0 3 0
NAWALPARASI 118 4459 4577 2721 1810 46 1 6 2 9 0
RUPANDEHI 410 12548 12958 5312 7317 329 14 48 4 66 0
KAPILBASTU 694 3832 4526 1813 2584 130 8 31 33 72 0
ARGHAKHANCHI 12 286 298 0 325 0 0 8 0 8 1
PYUTHAN 25 397 422 32 581 129 3 5 3 11 0
ROLPA 6 113 119 119 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0
DANG 0 6028 6028 455 5198 374 0 9 25 34 0
BANKE 153 3009 3162 464 2210 586 4 4 21 29 0
BARDIYA 490 4820 5310 3676 762 872 27 6 16 49 4
Province 6 542 3459 4001 1718 2248 225 33 20 22 75 0
RUKUM WEST 10 0 10 0 0 10 0 0 0 0 0
SALYAN 0 2 2 0 2 0 0 0 0 0 0
SURKHET 529 3033 3562 1459 2036 90 31 14 22 67 0
DAILEKH 403 403 225 210 5 2 6 0 8 0
JAJARKOT 3 2 5 7 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 19 19 27 0 120 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0
Province 7 3927 27422 31349 21457 7400 2637 222 168 116 506 9
BAJURA 79 30 109 22 81 6 2 12 2 16 0
BAJHANG 66 37 103 12 89 5 0 0 0 0 0
ACHHAM 16 1053 1069 227 910 44 18 21 6 45 0
DOTI 91 466 557 438 37 84 0 6 0 6 0
KAILALI 1935 10658 12593 7892 4356 347 137 103 27 267 6
KANCHANPUR 1246 12369 13615 11388 843 1384 43 8 24 75 1
DADELDHURA 24 1926 1950 747 832 371 8 2 10 20 0
BAITADI 108 881 989 625 194 394 14 14 47 75 2
DARCHAULA 362 2 364 106 58 2 0 2 0 2 0
Raw Data:MALARIA (Sheet 2 of 4)
Plasmodium Vivax (PV) Plasmodium Falciparum (PF) Plasmodium Mixed (P-MIX)
F M F M F M F M F M F M F M F M F M F M F M F M
SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 2 1 1 29 52 0 0 4 30 0 0 12 7 0 0 1 6 0 0 2 1 0 0 0 0
SAPTARI 0 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 1 0 19 34 0 0 0 6 0 0 9 5 0 0 0 2 0 0 1 1 0 0 0 0
MAHOTTARI 0 0 1 3 0 0 1 6 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
SARLAHI 0 1 1 10 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 2 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARA 0 0 2 3 0 0 1 6 0 0 3 2 0 0 1 1 0 0 0 0 0 0 0 0
PARSA 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
Province 3 0 0 2 24 0 1 0 5 0 0 2 0 0 1 2 6 0 0 0 0 0 0 0 2
SINDHULI 0 0 1 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 0 0 0 0 1 0 1 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 1
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
CHITAWAN 0 0 1 5 0 0 0 4 0 0 1 0 0 0 0 4 0 0 0 0 0 0 0 1
Province 4 0 0 3 2 0 0 2 14 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KASKI 0 0 3 1 0 0 1 10 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 1 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 1 2 13 48 3 1 14 156 1 1 2 4 0 2 7 22 0 0 1 1 0 0 0 4
GULMI 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PALPA 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 0 4 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUPANDEHI 1 0 9 15 0 0 5 19 1 1 2 3 0 0 3 6 0 0 0 0 0 0 0 1
KAPILBASTU 0 0 0 12 0 0 0 47 0 0 0 0 0 1 2 6 0 0 1 1 0 0 0 2
ARGHAKHANCHI 0 0 0 0 0 0 1 2 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 1
PYUTHAN 0 0 0 0 0 1 0 8 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 1 2 0 0 5 25 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
BANKE 0 1 1 7 0 0 0 19 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
BARDIYA 0 1 2 8 3 0 3 27 0 0 0 0 0 0 1 4 0 0 0 0 0 0 0 0
Province 6 0 0 4 15 1 0 4 47 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 1
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 4 15 1 0 4 39 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 1
DAILEKH 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 3 9 82 141 2 7 26 194 0 0 2 9 2 0 1 20 0 0 2 2 0 0 1 3
BAJURA 0 1 3 7 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 0 3 10 2 6 2 18 0 0 0 1 2 0 0 1 0 0 0 0 0 0 0 0
DOTI 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 0 3 25 74 0 1 15 124 0 0 2 6 0 0 0 13 0 0 2 1 0 0 0 1
KANCHANPUR 1 0 11 16 0 0 6 34 0 0 0 0 0 0 1 6 0 0 0 0 0 0 0 0
DADELDHURA 0 0 4 4 0 0 3 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAITADI 2 5 36 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
DARCHAULA 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Raw Data:MALARIA (Sheet 3 of 4)
No of malaria cases Treatment of malaria
Suspected/ Probable Confirmed Uncomplicated Probable Severe Confirmed Severe Suspected/ Probable Confirmed Uncomplicated Probable Severe Confirmed Severe
District Name
< 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years
F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M
National Total 20 26 299 345 14 29 228 858 0 0 0 2 3 1 # 16 20 26 299 345 14 29 228 858 0 0 0 2 3 1 14 16
Provience 1 4 3 17 15 0 0 13 36 0 0 0 0 0 0 0 1 4 3 17 15 0 0 13 36 0 0 0 0 0 0 0 1
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 0 0 0 0
ILAM 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0
JHAPA 0 0 0 0 0 0 1 21 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 21 0 0 0 0 0 0 0 1
MORANG 4 3 11 9 0 0 0 7 0 0 0 0 0 0 0 0 4 3 11 9 0 0 0 7 0 0 0 0 0 0 0 0
SUNSARI 0 0 4 4 0 0 5 4 0 0 0 0 0 0 0 0 0 0 4 4 0 0 5 4 0 0 0 0 0 0 0 0
DHANKUTA 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0
TERHATHUM 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 2 16 22 185 222 1 2 47 96 0 0 0 0 3 1 # 13 16 22 185 222 1 2 47 96 0 0 0 0 3 1 12 13
SAPTARI 2 3 33 41 0 0 4 2 0 0 0 0 0 0 3 5 2 3 33 41 0 0 4 2 0 0 0 0 0 0 3 5
SIRAHA 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 7 9 38 26 1 1 28 48 0 0 0 0 3 1 9 7 7 9 38 26 1 1 28 48 0 0 0 0 3 1 9 7
MAHOTTARI 7 10 75 118 0 0 2 12 0 0 0 0 0 0 0 0 7 10 75 118 0 0 2 12 0 0 0 0 0 0 0 0
SARLAHI 0 0 0 5 0 1 1 16 0 0 0 0 0 0 0 0 0 0 0 5 0 1 1 16 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0
BARA 0 0 37 30 0 0 7 12 0 0 0 0 0 0 0 1 0 0 37 30 0 0 7 12 0 0 0 0 0 0 0 1
PARSA 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0
Province 3 0 0 11 12 0 2 6 37 0 0 0 0 0 0 0 1 0 0 11 12 0 2 6 37 0 0 0 0 0 0 0 1
SINDHULI 0 0 7 8 0 0 1 19 0 0 0 0 0 0 0 0 0 0 7 8 0 0 1 19 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 0 0 0 0 2 2 3 0 0 0 0 0 0 0 1 0 0 0 0 0 2 2 3 0 0 0 0 0 0 0 1
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0
CHITAWAN 0 0 0 0 0 0 2 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 14 0 0 0 0 0 0 0 0
Province 4 0 0 1 1 0 0 5 19 0 0 0 0 0 0 0 0 0 0 1 1 0 0 5 19 0 0 0 0 0 0 0 0
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
KASKI 0 0 1 0 0 0 4 13 0 0 0 0 0 0 0 0 0 0 1 0 0 0 4 13 0 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0
Province 5 0 0 57 63 5 7 37 235 0 0 0 0 0 0 0 0 0 0 57 63 5 7 37 235 0 0 0 0 0 0 0 0
GULMI 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0
PALPA 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 31 27 0 0 0 9 0 0 0 0 0 0 0 0 0 0 31 27 0 0 0 9 0 0 0 0 0 0 0 0
RUPANDEHI 0 0 25 28 2 1 19 44 0 0 0 0 0 0 0 0 0 0 25 28 2 1 19 44 0 0 0 0 0 0 0 0
KAPILBASTU 0 0 0 0 0 2 3 68 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 68 0 0 0 0 0 0 0
ARGHAKHANCHI 0 0 0 0 0 1 1 6 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 6 0 0 0 0 0 0 0 0
PYUTHAN 0 0 0 0 0 1 1 9 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 9 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 0 3 0 0 6 28 0 0 0 0 0 0 0 0 0 0 0 3 0 0 6 28 0 0 0 0 0 0 0 0
BANKE 0 1 3 0 1 1 27 0 0 0 0 0 0 0 0 0 0 1 3 0 1 1 27 0 0 0 0 0 0 0 0
BARDIYA 0 0 0 0 3 1 6 39 0 0 0 0 0 0 0 0 0 0 0 0 3 1 6 39 0 0 0 0 0 0 0 0
Province 6 0 0 0 5 1 0 8 66 0 0 0 0 0 0 0 0 0 0 0 5 1 0 8 66 0 0 0 0 0 0 0 0
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 0 0 1 0 8 58 0 0 0 0 0 0 0 0 0 0 0 0 1 0 8 58 0 0 0 0 0 0 0 0
DAILEKH 0 0 0 5 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 8 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 1 28 27 7 18 112 369 0 0 0 2 0 0 2 1 0 1 28 27 7 18 112 369 0 0 0 2 0 0 2 1
BAJURA 0 0 0 0 0 2 2 12 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 12 0 0 0 0 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 0 0 0 4 6 5 30 0 0 0 0 0 0 0 0 0 0 0 0 4 6 5 30 0 0 0 0 0 0 0 0
DOTI 0 0 0 3 0 0 0 6 0 0 0 1 0 0 0 0 0 0 0 3 0 0 0 6 0 0 0 1 0 0 0 0
KAILALI 0 0 0 2 0 5 43 219 0 0 0 0 0 0 0 0 0 0 0 2 0 5 43 219 0 0 0 0 0 0 0 0
KANCHANPUR 0 0 0 0 1 0 18 56 0 0 0 1 0 0 0 0 0 0 0 0 1 0 18 56 0 0 0 1 0 0 0 0
DADELDHURA 0 0 0 0 0 0 7 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 13 0 0 0 0 0 0 0 0
BAITADI 0 1 28 22 2 5 37 31 0 0 0 0 0 0 2 1 0 1 28 22 2 5 37 31 0 0 0 0 0 0 2 1
DARCHAULA 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
Raw Data:MALARIA (Sheet 4 of 4)
Died
F M F M F M F M F M F M
National Total 0 0 0 0 0 0 0 0 0 0 0 0
Provience 1 0 0 0 0 0 0 0 0 0 0 0 0
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0
ILAM 0 0 0 0 0 0 0 0 0 0 0 0
JHAPA 0 0 0 0 0 0 0 0 0 0 0 0
MORANG 0 0 0 0 0 0 0 0 0 0 0 0
SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0
DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0
TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0
SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0
Province 2 0 0 0 0 0 0 0 0 0 0 0 0
SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0
SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 0 0 0 0 0 0 0 0 0 0 0 0
MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0
SARLAHI 0 0 0 0 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0
BARA 0 0 0 0 0 0 0 0 0 0 0 0
PARSA 0 0 0 0 0 0 0 0 0 0 0 0
Province 3 0 0 0 0 0 0 0 0 0 0 0 0
SINDHULI 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 0 0 0 0 0 0 0 0 0 0 0
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 0 0 0 0 0 0 0 0 0 0
CHITAWAN 0 0 0 0 0 0 0 0 0 0 0 0
Province 4 0 0 0 0 0 0 0 0 0 0 0 0
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0
KASKI 0 0 0 0 0 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 0 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 0 0 0 0 0 0 0 0 0 0 0 0
GULMI 0 0 0 0 0 0 0 0 0 0 0 0
PALPA 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0
RUPANDEHI 0 0 0 0 0 0 0 0 0 0 0 0
KAPILBASTU 0 0 0 0 0 0 0 0 0 0 0 0
ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0
PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 0 0 0 0 0 0 0 0 0 0
BANKE 0 0 0 0 0 0 0 0 0 0 0 0
BARDIYA 0 0 0 0 0 0 0 0 0 0 0 0
Province 6 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 0 0 0 0 0 0 0 0 0 0
DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 0 0 0 0 0 0 0 0 0 0 0
BAJURA 0 0 0 0 0 0 0 0 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 0 0 0 0 0 0 0 0 0 0 0
DOTI 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 0 0 0 0 0 0 0 0 0 0 0 0
KANCHANPUR 0 0 0 0 0 0 0 0 0 0 0 0
DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0
BAITADI 0 0 0 0 0 0 0 0 0 0 0 0
DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0
Analyzed Data:Kala-azar (Sheet 1 of 1)
KALA-AZAR LYMPHATIC FILARIASIS
Age/Sex Age/Sex
District Name Method of Diagnosis Treated With No of Deaths Method of Diagnosis Treated With No of Deaths
< 5 Years ≥ 5 Years < 5 Years ≥ 5 Years
National Total 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Provience 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JHAPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MORANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 2 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIRAHA 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SARLAHI 0 0 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHULI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CHITAWAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KASKI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PALPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUPANDEHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAPILBASTU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BANKE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARDIYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANCHANPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Raw Data:KALAAZAR (Sheet 1 of 2)
Indi-genous
Province 2 0 2 34 38 65 9 0 0 0 0 0 2
SAPTARI 0 0 5 1 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIRAHA 0 0 7 8 12 3 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 0 0 5 10 13 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAHOTTARI 0 1 5 5 10 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SARLAHI 0 1 11 12 23 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARA 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARSA 0 0 0 1 0 1 0 0 0 0 0 0
Province 3 0 1 1 12 12 2 0 0 0 0 0 1
SINDHULI 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 1 0 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 1 4 4 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
CHITAWAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 4 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KASKI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 0 2 5 47 46 8 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PALPA 0 1 3 12 14 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUPANDEHI 0 0 0 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAPILBASTU 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ARGHAKHANCHI 0 0 0 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PYUTHAN 0 0 1 5 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BANKE 0 1 0 8 7 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
BARDIYA 0 0 0 11 10 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 6 1 5 2 13 16 5 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 2 9 7 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DAILEKH 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 4 0 0 3 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 3 2 10 12 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJURA 0 2 1 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOTI 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANCHANPUR 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Analyzed Data: Leprosy
New Case Detection Female proportion among
District Rate/100000
Prevalence Rate/10000 MB proportion among New Child proportionamong new G II proportion among new Defaulter proportion
new
End of Previous
Smear positive
Patients at the
Transfer Out
Smear done
DG II (New)
Transfer In
New Cases
Pts. At end
Registered
Total child
Deduction
Deduction
New Child
Defaulter
Relapse
Female
Restart
Other
District
Total
Total
Year
RFT
National 1729 1806 15 51 26 3627 1645 21 30 120 1816 1811 218 759 375 90 126 617
Bhojpur 3 2 0 0 0 5 0 0 0 1 1 4 0 2 2 0 0 0
Dhankuta 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
Ilam 2 3 0 1 0 6 2 0 0 0 2 4 3 2 1 0 1 1
Jhapa 116 95 0 2 1 214 118 0 1 5 124 90 4 11 8 4 0 40
Khotang 3 3 0 0 0 6 2 0 0 0 2 4 0 2 1 0 0 1
Morang 103 98 0 8 0 209 102 2 3 4 111 98 9 50 20 7 4 39
Okhaldhunga 4 4 0 0 0 8 3 0 0 0 3 5 0 0 0 0 0 2
Panchthar 3 0 0 0 0 3 1 0 0 0 1 2 0 0 0 0 0 0
S.Shava 2 0 0 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0
Solukhumbu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sunsari 64 57 0 0 1 122 57 0 0 4 61 61 2 36 11 2 3 21
Taplejung 2 2 0 0 0 4 3 0 0 0 3 1 0 0 0 0 0 0
Terhathum 1 1 0 0 0 2 0 1 0 0 1 1 0 0 0 0 0 0
Udayapur 16 29 0 0 0 45 24 0 0 0 24 21 1 7 2 0 1 12
Pradesh 1 320 294 0 11 2 627 313 3 4 14 334 293 19 110 45 13 9 116
BARA 85 87 0 0 6 178 82 2 0 3 87 91 3 2 0 4 21
DHANUSHA 85 103 3 4 0 195 98 1 2 6 107 88 24 80 45 14 17 33
MAHOTTARI 40 55 1 0 0 96 35 0 0 3 38 58 10 54 18 2 10 12
PARSA 66 64 0 0 0 130 62 0 0 0 62 68 5 2 1 2 1 22
RAUTAHAT 61 74 0 0 0 135 60 0 0 8 68 67 15 0 0 7 2 19
Saptari 51 67 0 1 0 119 64 0 0 0 64 55 1 3 1 1 1 29
SARLAHI 76 77 1 0 1 155 67 0 0 3 70 85 30 46 21 4 5 27
Siraha 31 48 0 0 1 80 47 0 0 0 47 33 3 45 25 4 1 20
Pradesh 2 495 575 5 5 8 1088 515 3 2 23 543 545 91 232 111 38 37 183
BHAKTAPUR 2 2 0 0 0 4 2 0 0 1 3 1 0 0 0 0 2
CHITWAN 49 62 0 3 0 114 53 0 3 1 57 57 4 5 5 2 1 18
DHADING 2 3 0 0 0 5 1 0 0 0 1 4 0 0 0 0 0 0
DOLKHA 1 2 0 0 0 3 1 0 0 0 1 2 0 0 0 0 0 1
KATHMANDU 15 44 0 0 3 62 48 3 0 3 54 8 1 18 8 0 0 12
KAVRE 2 4 0 2 0 8 7 0 0 0 7 1 0 0 0 0 0 0
LALITPUR 3 6 0 0 0 9 4 0 0 0 4 5 0 5 2 0 1 3
MAKWANPUR 28 11 0 0 0 39 10 0 0 0 10 29 0 4 4 0 0 1
NUWAKOT 5 9 0 0 0 14 8 0 0 0 8 6 0 1 1 0 0 0
RAMECHHAP 2 1 0 0 0 3 2 0 0 0 2 1 0 0 0 0 0 0
RASUWA 0 1 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0
SINDHULI 8 12 0 0 0 20 9 0 0 0 9 11 0 1 1 0 1 3
SINDHUPALCHOWK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pradesh 3 117 157 0 5 3 282 145 3 3 5 156 126 5 35 22 2 3 40
Baglung 2 5 0 0 0 7 3 0 0 0 3 4 0 0 0 0 0 1
Gorkha 5 8 0 0 0 13 9 0 0 0 9 4 0 0 0 0 0 2
Kaski 22 23 0 0 0 45 17 0 0 5 22 23 0 7 4 1 2 11
Lamjung 3 5 0 0 0 8 6 0 0 1 7 1 0 3 3 1 0 4
Manang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mustang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Myagdi 5 7 0 0 0 12 5 0 0 0 5 7 0 4 2 0 0 2
Nawalparasi East 45 29 0 0 0 74 36 0 3 2 41 33 7 14 5 2 0 11
Parbat 5 6 0 0 0 11 4 0 0 1 5 6 0 3 0 0 0 3
Syangja 10 14 0 0 0 24 8 0 0 0 8 16 1 3 0 0 0 7
Tanahun 20 7 0 0 0 27 11 0 0 6 17 10 1 4 1 0 0 2
Pradesh 4 117 104 0 0 0 221 99 0 3 15 117 104 9 38 15 4 2 43
Arghakhanchi 4 1 0 3 0 8 5 0 0 0 5 3 0 4 3 0 1 1
Banke 110 135 1 10 7 263 72 6 6 23 107 156 26 63 26 12 14 56
Bardiya 70 88 1 0 0 159 53 1 1 6 61 98 9 39 15 2 8 33
Dang 23 34 0 1 0 58 18 0 1 0 19 39 5 33 12 1 1 16
Gulmi 9 9 0 0 0 18 12 0 0 0 12 6 0 0 0 0 0 4
Kapilbastu 39 53 0 0 0 92 40 1 0 0 41 51 6 10 2 3 3 21
Nawalparasi West 45 29 0 1 0 75 36 1 2 3 42 33 8 13 6 2 0 11
Palpa 15 18 0 0 0 33 18 0 0 0 18 15 15 12 5 1 1 6
Pyuthan 6 6 0 0 0 12 3 0 1 0 4 8 4 2 2 2 0 5
Rolpa 14 9 0 1 0 24 10 0 0 1 11 13 0 6 4 0 0 2
Rupandehi 80 64 0 6 0 150 80 0 1 4 85 65 2 15 5 4 41 0
Rukum East 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pradesh 5 415 446 2 22 7 892 347 9 12 37 405 487 75 197 80 27 69 155
Dailekh 6 4 0 0 0 10 4 0 0 0 4 6 0 1 1 0 0 1
Rukum West 15 9 0 0 0 24 14 0 0 0 14 10 0 9 9 0 0 4
Dolpa 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0
Humla 5 0 0 0 0 5 2 0 0 0 2 3 0 0 0 0 0 0
Jajarkot 14 29 0 0 0 43 21 0 0 0 21 22 1 29 21 1 1 10
Jumla 5 5 0 0 0 10 5 0 0 1 6 4 1 4 2 1 0 2
Kalikot 7 10 0 0 0 17 7 0 0 0 7 10 4 4 1 0 0 4
Mugu 7 3 0 0 0 10 5 0 0 0 5 5 0 3 3 0 0 1
Salyan 17 12 0 1 0 30 16 0 0 1 17 13 5 6 5 0 0 4
Surkhet 33 21 3 2 0 59 31 1 0 3 35 24 1 15 10 1 0 10
Pradesh 6 109 93 3 3 1 209 105 1 0 5 111 98 12 71 52 3 1 36
Achham 36 14 0 0 0 50 25 0 4 0 29 21 1 14 8 0 2 2
Baitadi 8 5 1 0 0 14 9 0 0 1 10 4 0 3 2 0 0 0
Bajhang 5 2 0 0 0 7 3 0 0 0 3 4 0 0 0 0 0 0
Bajura 9 1 0 0 0 10 1 0 2 4 7 3 0 0 0 0 0 0
Dadeldhura 4 4 0 0 0 8 3 0 0 1 4 4 0 1 1 0 1 0
Darchula 0 3 0 0 0 3 0 0 0 0 0 3 0 1 1 0 0 1
Doti 3 4 0 0 1 8 2 0 0 1 3 5 0 0 0 0 0 0
Kailali 56 70 4 5 0 135 50 1 0 7 58 77 6 41 30 3 2 30
Kanchanpur 35 34 0 0 4 73 28 1 0 7 36 37 0 16 8 0 0 11
Pradesh 7 156 137 5 5 5 308 121 2 6 21 150 158 7 76 50 3 5 44
Raw Data: Leprosy
PB Cases
Other Deduction
Total Registered
Total Deduction
Smear positive
Transfer Out
Smear done
DG II (New)
Transfer In
Pts. At end
New Cases
Total child
New Child
Defaulter
Relapse
Restart
Female
District
RFT
NATIONAL 843 1409 0 33 10 2295 1395 3 27 55 1480 815 197 404 13 130 36 655
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ILAM 1 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0
JHAPA 35 62 0 2 0 99 65 0 2 1 68 31 1 5 0 2 0 26
KHOTANG 1 1 0 0 0 2 1 0 0 0 1 1 0 0 0 0 0 1
MORANG 39 90 0 19 0 148 100 0 1 3 104 44 10 50 0 10 0 45
OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PANCHTHAR 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
S.SHAVA 0 3 0 0 0 3 2 0 0 0 2 1 0 1 0 0 0 1
SOLUKHUMBU 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1
SUNSARI 15 32 0 0 0 47 31 0 0 0 31 16 2 15 0 2 0 19
TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 18 0 0 0 18 11 0 0 0 11 7 0 1 0 0 0 6
PRADESH 1 92 207 0 21 0 320 211 0 3 5 219 101 13 72 0 14 0 99
BARA 40 59 0 0 2 101 67 0 0 2 69 32 1 1 0 1 19
DHANUSHA 178 160 0 7 0 345 231 1 10 27 269 76 55 72 2 34 0 86
MAHOTTARI 65 82 0 0 1 148 98 0 8 2 108 40 22 70 0 16 0 44
PARSA 51 53 0 0 0 104 54 0 0 0 54 50 5 0 0 7 0 17
RAUTAHAT 45 57 0 0 0 102 65 0 0 0 65 37 15 0 0 10 0 27
SAPTARI 28 27 0 0 0 55 43 0 0 0 43 12 0 0 0 0 0 14
SARLAHI 49 99 0 0 0 148 105 0 0 0 105 43 18 54 0 11 0 47
SIRAHA 59 58 0 0 0 117 62 0 0 0 62 55 1 25 0 4 0 41
PRADESH 2 515 595 0 7 3 1120 725 1 18 31 775 345 117 222 2 83 0 295
BHAKTAPUR 2 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0
CHITWAN 24 28 0 0 52 35 0 1 0 36 16 3 2 2 1 0 5
DHADING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 8 19 0 0 1 28 23 1 0 0 24 4 0 3 0 0 0 4
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 2 3 0 0 0 5 0 0 0 0 0 5 0 1 0 0 0 1
MAKWANPUR 0 5 0 0 0 5 1 0 0 0 1 4 0 0 0 0 0 3
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 2 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHULI 3 3 0 0 0 6 4 0 0 0 4 2 0 0 0 0 0 1
SINDHUPALCHOWK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PRADESH 3 41 58 0 0 1 100 67 1 1 0 69 31 3 6 2 1 0 14
BAGLUNG 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1
GORKHA 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
KASKI 2 6 0 0 0 8 6 0 0 0 6 2 0 1 0 0 0 1
LAMJUNG 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI EAST 11 8 0 0 0 19 14 0 0 0 14 5 3 2 0 0 0 6
PARBAT 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
SYANGJA 0 2 0 0 0 2 2 0 0 0 2 0 0 1 0 0 0 2
TANAHUN 0 2 0 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0
PRADESH 4 14 21 0 0 0 35 23 0 0 0 23 12 3 4 0 0 0 10
ARGHAKHANCHI 1 1 0 0 0 2 1 0 0 0 1 1 0 0 0 0 0 1
BANKE 42 156 0 2 1 201 87 1 1 6 95 106 24 53 0 12 0 88
BARDIYA 34 147 0 3 0 184 68 0 2 4 74 110 16 18 0 11 0 70
DANG 4 5 0 0 0 9 5 0 0 0 5 4 0 3 0 1 0 4
GULMI 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1
KAPILBASTU 21 57 0 0 0 78 59 0 0 0 59 19 0 0 0 0 0 26
NAWALPARASI WEST 12 9 0 0 0 21 14 0 1 1 16 5 3 2 0 1 0 6
PALPA 2 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0 0
PYUTHAN 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
ROLPA 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
RUPANDEHI 23 57 0 0 0 80 51 0 0 1 52 28 0 0 0 0 34 0
RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PRADESH 5 140 434 0 5 1 580 289 1 4 12 306 274 43 76 0 25 34 196
DAILEKH 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1
RUKUM WEST 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 3 0 0 0 3 1 0 0 0 1 2 1 0 7 1 0 1
JUMLA 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 1 4 0 0 0 5 4 0 0 0 4 1 1 0 0 1 0 2
SURKHET 6 12 0 0 0 18 11 0 0 0 11 7 2 5 0 1 0 3
PRADESH 6 7 22 0 0 0 29 17 0 0 0 17 12 9 10 7 3 0 7
ACHHAM 0 4 0 0 0 4 3 0 0 0 3 1 0 2 0 0 1 0
BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJHANG 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
BAJURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DADELDHURA 2 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0 0
DARCHULA 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 24 53 0 0 2 79 43 0 1 6 50 29 9 7 2 3 1 27
KANCHANPUR 6 15 0 0 3 24 13 0 0 1 14 10 0 5 0 1 0 7
PRADESH 7 34 72 0 0 5 111 63 0 1 7 71 40 9 14 2 4 2 34
Raw Data: Leprosy
Total Leprosy Cases (MB+PB)
Other Deduction
Total Registered
Total Deduction
Smear positive
Transfer Out
Smear done
DG II (New)
Transfer In
Pts. At end
New Cases
Total child
New Child
Defaulter
Relapse
Restart
Female
District
RFT
NATIONAL 2572 3215 15 84 36 5922 3040 24 57 175 3296 2626 415 1163 388 220 162 1272
BHOJPUR 3 2 0 0 0 5 0 0 0 1 1 4 0 2 2 0 0 0
DHANKUTA 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
ILAM 3 3 0 1 0 7 2 0 0 1 3 4 3 2 1 0 1 1
JHAPA 151 157 0 4 1 313 183 0 3 6 192 121 5 16 8 6 0 66
KHOTANG 4 4 0 0 0 8 3 0 0 0 3 5 0 2 1 0 0 2
MORANG 142 188 0 27 0 357 202 2 4 7 215 142 19 100 20 17 4 84
OKHALDHUNGA 4 4 0 0 0 8 3 0 0 0 3 5 0 0 0 0 0 2
PANCHTHAR 4 0 0 0 0 4 1 0 0 0 1 3 0 0 0 0 0 0
S.SHAVA 2 3 0 0 0 5 2 0 0 0 2 3 0 1 0 0 0 1
SOLUKHUMBU 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1
SUNSARI 79 89 0 0 1 169 88 0 0 4 92 77 4 51 11 4 3 40
TAPLEJUNG 2 2 0 0 0 4 3 0 0 0 3 1 0 0 0 0 0 0
TERHATHUM 1 1 0 0 0 2 0 1 0 0 1 1 0 0 0 0 0 0
UDAYAPUR 16 47 0 0 0 63 35 0 0 0 35 28 1 8 2 0 1 18
PRADESH 1 412 501 0 32 2 947 524 3 7 19 553 394 32 182 45 27 9 215
BARA 125 146 0 0 8 279 149 2 0 5 156 123 4 3 0 5 0 40
DHANUSHA 263 263 3 11 0 540 329 2 12 33 376 164 79 152 47 48 17 119
MAHOTTARI 105 137 1 0 1 244 133 0 8 5 146 98 32 124 18 18 10 56
PARSA 117 117 0 0 0 234 116 0 0 0 116 118 10 2 1 9 1 39
RAUTAHAT 106 131 0 0 0 237 125 0 0 8 133 104 30 0 0 17 2 46
SAPTARI 79 94 0 1 0 174 107 0 0 0 107 67 1 3 1 1 1 43
SARLAHI 125 176 1 0 1 303 172 0 0 3 175 128 48 100 21 15 5 74
SIRAHA 90 106 0 0 1 197 109 0 0 0 109 88 4 70 25 8 1 61
PRADESH 2 1010 1170 5 12 11 2208 1240 4 20 54 1318 890 208 454 113 121 37 478
BHAKTAPUR 4 2 0 0 0 6 4 0 0 1 5 1 0 0 0 0 0 2
CHITWAN 73 90 0 3 0 166 88 0 4 1 93 73 7 7 7 3 1 23
DHADING 2 3 0 0 0 5 1 0 0 0 1 4 0 0 0 0 0 0
DOLKHA 1 2 0 0 0 3 1 0 0 0 1 2 0 0 0 0 0 1
KATHMANDU 23 63 0 0 4 90 71 4 0 3 78 12 1 21 8 0 0 16
KAVRE 2 4 0 2 0 8 7 0 0 0 7 1 0 0 0 0 0 0
LALITPUR 5 9 0 0 0 14 4 0 0 0 4 10 0 6 2 0 1 4
MAKWANPUR 28 16 0 0 0 44 11 0 0 0 11 33 0 4 4 0 0 4
NUWAKOT 5 9 0 0 0 14 8 0 0 0 8 6 0 1 1 0 0 0
RAMECHHAP 4 1 0 0 0 5 4 0 0 0 4 1 0 0 0 0 0 0
RASUWA 0 1 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0
SINDHULI 11 15 0 0 0 26 13 0 0 0 13 13 0 1 1 0 1 4
SINDHUPALCHOWK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PRADESH 3 158 215 0 5 4 382 212 4 4 5 225 157 8 41 24 3 3 54
BAGLUNG 2 6 0 0 0 8 3 0 0 0 3 5 0 0 0 0 0 2
GORKHA 5 9 0 0 0 14 9 0 0 0 9 5 0 0 0 0 0 2
KASKI 24 29 0 0 0 53 23 0 0 5 28 25 0 8 4 1 2 12
LAMJUNG 4 5 0 0 0 9 7 0 0 1 8 1 0 3 3 1 0 4
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 5 7 0 0 0 12 5 0 0 0 5 7 0 4 2 0 0 2
NAWALPARASI EAST 56 37 0 0 0 93 50 0 3 2 55 38 10 16 5 2 0 17
PARBAT 5 7 0 0 0 12 4 0 0 1 5 7 0 3 0 0 0 3
SYANGJA 10 16 0 0 0 26 10 0 0 0 10 16 1 4 0 0 0 9
TANAHUN 20 9 0 0 0 29 11 0 0 6 17 12 1 4 1 0 0 2
PRADESH 4 131 125 0 0 0 256 122 0 3 15 140 116 12 42 15 4 2 53
ARGHAKHANCHI 5 2 0 3 0 10 6 0 0 0 6 4 0 4 3 0 1 2
BANKE 152 291 1 12 8 464 159 7 7 29 202 262 50 116 26 24 14 144
BARDIYA 104 235 1 3 0 343 121 1 3 10 135 208 25 57 15 13 8 103
DANG 27 39 0 1 0 67 23 0 1 0 24 43 5 36 12 2 1 20
GULMI 9 10 0 0 0 19 13 0 0 0 13 6 0 0 0 0 0 5
KAPILBASTU 60 110 0 0 0 170 99 1 0 0 100 70 6 10 2 3 3 47
NAWALPARASI WEST 57 38 0 1 0 96 50 1 3 4 58 38 11 15 6 3 0 17
PALPA 17 18 0 0 0 35 20 0 0 0 20 15 15 12 5 1 1 6
PYUTHAN 6 7 0 0 0 13 3 0 1 0 4 9 4 2 2 2 0 5
ROLPA 15 9 0 1 0 25 11 0 0 1 12 13 0 6 4 0 0 2
RUPANDEHI 103 121 0 6 0 230 131 0 1 5 137 93 2 15 5 4 75 0
RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PRADESH 5 555 880 2 27 8 1472 636 10 16 49 711 761 118 273 80 52 103 351
DAILEKH 6 5 0 0 0 11 4 0 0 0 4 7 0 1 1 0 0 2
RUKUM WEST 15 10 0 0 0 25 15 0 0 0 15 10 0 9 9 0 0 4
DOLPA 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0
HUMLA 5 0 0 0 0 5 2 0 0 0 2 3 0 0 0 0 0 0
JAJARKOT 14 32 0 0 0 46 22 0 0 0 22 24 2 29 28 2 1 11
JUMLA 5 6 0 0 0 11 5 0 0 1 6 5 1 4 2 1 0 2
KALIKOT 7 10 0 0 0 17 7 0 0 0 7 10 9 9 1 0 0 4
MUGU 7 3 0 0 0 10 5 0 0 0 5 5 0 3 3 0 0 1
SALYAN 18 16 0 1 0 35 20 0 0 1 21 14 6 6 5 1 0 6
SURKHET 39 33 3 2 0 77 42 1 0 3 46 31 3 20 10 2 0 13
PRADESH 6 116 115 3 3 1 238 122 1 0 5 128 110 21 81 59 6 1 43
ACHHAM 36 18 0 0 0 54 28 0 4 0 32 22 1 16 8 0 3 2
BAITADI 8 5 1 0 0 14 9 0 0 1 10 4 0 3 2 0 0 0
BAJHANG 6 2 0 0 0 8 4 0 0 0 4 4 0 0 0 0 0 0
BAJURA 9 1 0 0 0 10 1 0 2 4 7 3 0 0 0 0 0 0
DADELDHURA 6 4 0 0 0 10 5 0 0 1 6 4 0 1 1 0 1 0
DARCHULA 1 3 0 0 0 4 1 0 0 0 1 3 0 1 1 0 0 1
DOTI 3 4 0 0 1 8 2 0 0 1 3 5 0 0 0 0 0 0
KAILALI 80 123 4 5 2 214 93 1 1 13 108 106 15 48 32 6 3 57
KANCHANPUR 41 49 0 0 7 97 41 1 0 8 50 47 0 21 8 1 0 18
PRADESH 7 190 209 5 5 10 419 184 2 7 28 221 198 16 90 52 7 7 78
Tubuerculosis Case Notification Rate
CNR CNR_ New Case
SN District PBC_CNR_New PBC_CNR_Relapse CNR_PBC CNR_PCD CNR_EP
New_all All %
1 BHOJPUR 23 2 25 2 22 45 48.5 93
2 DHANKUTA 26 2 27 5 15 46 48.1 95
3 ILAM 26 3 29 8 17 50 53.3 94
4 JHAPA 60 6 67 17 33 108 117.0 92
5 KHOTANG 18 0 18 4 13 34 34.7 97
6 MORANG 51 6 59 11 34 93 103.4 90
7 OKHALDHUNGA 26 6 33 0 22 47 54.5 87
8 PANCHTHAR 19 3 23 1 16 35 39.9 88
9 SANKHUWASABHA 25 1 27 5 22 51 54.0 95
10 SOLUKHUMBU 13 1 14 6 10 29 29.8 97
11 SUNSARI 53 6 62 9 35 95 105.6 90
12 TAPLEJUNG 9 3 12 0 9 18 21.6 86
13 TERHATHUM 15 3 19 6 12 33 36.5 89
14 UDAYAPUR 42 7 50 8 21 71 79.4 89
Province 1 42 5 48 9 27 76 84 91
1 SAPTARI 42 3 45 16 15 73 75.9 96
2 SIRAHA 55 3 58 14 16 84 87.8 96
3 PARSA 61 6 68 34 34 127 136.4 93
4 MAHOTTARI 61 5 67 41 14 116 121.2 95
5 DHANUSHA 45 4 50 14 24 81 87.7 93
6 RAUTAHAT 42 5 49 30 23 93 101.5 92
7 SARLAHI 59 9 70 32 20 109 121.4 90
8 BARA 65 11 77 34 27 124 138.0 90
Province 2 54 6 60 27 22 101 109 93
1 BHAKTAPUR 66 13 80 13 69 142 162.0 87
2 CHITAWAN 63 17 82 23 38 119 142.9 84
3 DHADING 43 5 48 7 21 70 75.9 92
4 DOLAKHA 20 2 23 9 24 51 56.6 91
5 KATHMANDU 54 10 67 15 78 139 159.8 87
6 KABHREPALANCHOK 39 6 45 11 33 82 89.3 92
7 LALITPUR 49 6 57 18 61 120 135.3 89
8 MAKAWANPUR 85 12 100 26 28 136 153.8 88
9 NUWAKOT 44 11 56 8 21 72 84.8 85
10 RAMECHHAP 24 2 27 11 25 58 61.9 93
11 RASUWA 38 7 45 7 9 52 60.7 85
12 SINDHULI 51 11 64 12 17 80 93.5 86
13 SINDHUPALCHOK 38 6 45 8 18 61 70.1 87
Province 3 52 10 64 15 49 112 128 87
1 PARBAT 32 2 34 7 24 61 65.5 94
2 BAGLUNG 25 5 30 7 19 49 56.1 88
3 GORKHA 49 6 55 12 23 82 89.4 92
4 SYANGJA 41 10 53 12 29 80 94.2 85
5 TANAHU 39 11 51 10 28 75 90.0 84
6 KASKI 38 5 44 7 36 76 86.5 88
7 LAMJUNG 32 6 39 11 29 70 79.1 89
8 MANANG 16 0 31 0 0 16 31.1 50
9 MUSTANG 41 0 41 8 24 73 73.0 100
10 MYAGDI 22 5 28 0 32 53 60.5 88
Province 4 36 6 44 9 28 71 81 88
1 GULMI 48 6 54 21 36 102 111.0 92
2 KAPILBASTU 58 9 68 17 18 92 102.4 90
3 ARGHAKHANCHI 43 7 50 26 36 99 111.9 89
4 NAWALPARASI 65 11 78 21 31 113 129.6 87
5 PALPA 66 12 80 15 49 128 144.4 89
6 DANG 84 17 104 44 45 169 192.9 88
7 RUPANDEHI 57 9 68 34 32 118 133.8 88
8 ROLPA 67 10 78 14 28 106 120.2 89
9 RUKUM 42 9 51 24 22 85 96.3 88
10 BANKE 90 13 107 20 34 142 161.2 88
11 BARDIYA 78 9 89 13 28 115 130.8 88
12 PYUTHAN 55 11 68 15 38 104 120.2 87
Province 5 65 11 78 24 32 119 135 88
1 DAILEKH 32 4 37 13 36 82 86.0 95
2 DOLPA 15 0 15 0 2 17 17.4 100
3 HUMLA 29 7 38 14 22 63 73.6 85
4 JAJARKOT 28 4 32 9 23 60 63.9 93
5 JUMLA 21 1 22 17 37 74 75.7 98
6 KALIKOT 17 1 18 9 37 62 64.4 97
7 MUGU 21 2 23 38 23 82 84.1 98
8 SALYAN 38 6 44 13 26 76 83.2 92
9 SURKHET 46 9 58 47 63 151 168.0 90
Province 6 33 5 39 22 38 91 98 92
1 ACHHAM 36 6 45 4 18 55 66.3 83
2 BAITADI 37 3 42 7 13 54 61.4 88
3 BAJHANG 28 9 39 7 16 49 61.4 80
4 BAJURA 39 8 52 9 20 64 81.3 79
5 DADELDHURA 34 5 41 14 18 66 73.6 89
6 DARCHULA 38 6 43 27 11 75 81.3 92
7 DOTI 50 7 58 8 20 78 86.2 91
8 KANCHANPUR 87 14 104 32 37 151 173.1 87
9 KAILALI 70 9 81 20 34 121 135.4 89
Province 7 57 8 67 17 26 96 110 88
Nepal 52 8 61 18 32 99 111 89
Tuberculosis: Case Notification
PBC PCD PCD
SN District
New Relapse Retreatment Total New Rel Ret Total new rel Ret Total Total
1 BHOJPUR 38 4 4 42 3 0 0 3 34 0 2 36 81
2 DHANKUTA 43 3 3 46 8 1 1 9 26 0 0 26 81
3 ILAM 78 9 9 87 23 0 0 23 52 0 0 52 162
4 JHAPA 528 56 64 592 140 4 10 152 281 2 7 288 1032
5 KHOTANG 33 0 0 33 5 2 2 7 25 0 0 25 65
6 MORANG 534 66 76 611 108 1 7 115 332 1 20 353 1079
7 OKHALDHUNGA 39 9 10 49 0 0 0 0 32 1 1 33 82
8 PANCHTHAR 38 6 7 45 2 0 0 2 29 2 2 31 78
9 SANKHUWASABHA 40 2 3 43 8 0 0 8 33 1 1 34 85
10 SOLUKHUMBU 14 1 1 15 6 0 0 6 10 0 0 10 31
11 SUNSARI 454 47 74 530 73 1 4 77 283 1 11 295 902
12 TAPLEJUNG 12 4 4 16 0 0 0 0 12 0 0 12 28
13 TERHATHUM 15 3 4 19 6 0 0 6 12 0 0 12 37
14 UDAYAPUR 142 25 29 171 28 0 0 28 71 0 0 72 271
Province 1 2008 235 288 2299 410 9 24 436 1232 8 44 1279 4014
1 SAPTARI 288 18 20 308 110 0 0 110 100 1 1 101 519
2 SIRAHA 373 18 18 391 95 2 3 98 102 3 5 107 596
3 PARSA 408 38 48 457 223 4 6 229 220 5 7 228 914
4 MAHOTTARI 416 33 37 453 276 0 0 276 93 0 0 93 822
5 DHANUSHA 364 31 37 402 108 5 7 115 185 3 6 192 709
6 RAUTAHAT 331 36 49 380 228 5 8 237 170 5 6 176 793
7 SARLAHI 500 73 88 588 262 6 9 271 161 6 7 168 1027
8 BARA 502 85 94 596 252 6 9 261 203 1 7 210 1067
Province 2 3182 332 391 3575 1554 28 42 1597 1234 24 39 1275 6447
1 BHAKTAPUR 228 45 47 276 36 9 9 45 223 12 13 236 557
2 CHITAWAN 407 110 124 531 139 8 10 149 231 13 17 250 930
3 DHADING 149 16 17 166 23 1 1 24 70 4 4 74 264
4 DOLAKHA 37 4 7 44 15 2 2 17 44 1 1 45 106
5 KATHMANDU 1109 213 261 1376 271 15 25 298 1459 63 124 1587 3261
6 KABHREPALANCHOK 156 22 23 179 41 1 1 42 126 6 6 132 353
7 LALITPUR 259 33 40 301 87 1 7 94 292 9 27 324 719
8 MAKAWANPUR 379 55 66 447 109 6 6 115 117 6 6 124 686
9 NUWAKOT 125 31 33 158 23 0 0 23 58 2 2 60 241
10 RAMECHHAP 50 5 5 55 20 1 2 22 49 0 2 51 128
11 RASUWA 17 3 3 20 3 0 0 3 3 0 1 4 27
12 SINDHULI 156 35 39 195 37 1 1 38 53 0 0 53 286
13 SINDHUPALCHOK 112 17 17 131 18 3 3 22 49 3 3 52 205
Province 3 3184 589 682 3879 822 48 67 892 2774 119 206 2992 7763
1 PARBAT 48 3 3 51 10 0 1 11 33 1 2 35 97
2 BAGLUNG 70 13 14 84 17 2 2 19 50 1 2 53 156
3 GORKHA 125 15 17 142 29 1 1 30 57 0 1 58 230
4 SYANGJA 109 28 32 141 31 1 2 33 75 3 3 78 252
5 TANAHU 132 36 41 173 34 1 1 35 88 8 8 96 304
6 KASKI 210 27 32 242 33 1 3 36 177 7 20 197 475
7 LAMJUNG 54 11 13 67 16 1 2 18 50 0 0 50 135
8 MANANG 1 0 1 2 0 0 0 0 0 0 0 0 2
9 MUSTANG 5 0 0 5 1 0 0 1 3 0 0 3 9
10 MYAGDI 25 6 7 32 0 0 0 0 35 1 1 36 68
Province 4 779 139 160 939 171 7 12 183 568 21 37 606 1728
1 GULMI 127 16 17 144 53 3 4 57 91 4 4 95 296
2 KAPILBASTU 367 54 60 427 104 3 4 108 108 2 3 111 646
3 ARGHAKHANCHI 87 14 14 101 46 5 6 52 67 5 5 72 225
4 NAWALPARASI 449 79 91 540 132 10 11 143 205 10 13 218 901
5 PALPA 167 30 36 203 38 1 1 39 120 5 5 125 367
6 DANG 511 102 122 633 257 7 11 268 268 3 9 278 1179
7 RUPANDEHI 563 94 113 678 313 12 19 334 294 7 24 318 1330
8 ROLPA 157 23 24 182 28 2 2 32 63 2 2 66 280
9 RUKUM 92 19 20 112 49 3 4 53 47 1 1 48 213
10 BANKE 504 71 97 601 109 3 5 115 183 3 4 189 905
11 BARDIYA 357 41 52 409 53 0 6 62 119 0 7 130 601
12 PYUTHAN 130 27 29 161 31 2 2 35 86 1 3 89 285
Province 5 3511 570 675 4191 1213 51 75 1298 1651 43 80 1739 7228
1 DAILEKH 92 12 12 104 38 0 0 38 102 0 0 102 244
2 DOLPA 6 0 0 6 0 0 0 0 1 0 0 1 7
3 HUMLA 16 4 5 21 8 0 0 8 11 1 1 12 41
4 JAJARKOT 52 8 8 60 17 0 0 17 43 0 0 43 120
5 JUMLA 25 1 1 26 20 0 0 20 43 0 1 44 90
6 KALIKOT 25 2 2 27 13 1 1 14 56 0 0 56 97
7 MUGU 13 1 1 14 23 0 0 23 14 0 0 14 51
8 SALYAN 100 15 15 115 32 2 2 34 67 1 1 68 217
9 SURKHET 182 37 42 226 178 6 7 186 232 7 13 246 658
Province 6 511 80 86 599 329 9 10 340 569 9 16 586 1525
1 ACHHAM 100 16 19 124 9 0 0 10 43 0 3 49 183
2 BAITADI 97 8 12 110 15 1 2 17 29 0 2 33 160
3 BAJHANG 59 18 23 83 12 1 2 14 33 0 0 33 130
4 BAJURA 58 12 18 77 10 0 2 13 27 0 2 30 120
5 DADELDHURA 52 8 11 63 22 0 0 22 26 0 1 27 112
6 DARCHULA 53 8 8 61 38 0 0 38 14 0 0 15 114
7 DOTI 107 16 17 124 18 0 0 18 42 0 0 42 184
8 KANCHANPUR 434 69 79 517 148 7 10 161 172 3 9 186 864
9 KAILALI 613 79 98 713 163 2 9 177 286 6 14 303 1193
Province 7 1573 234 285 1872 435 11 25 470 672 9 31 718 3060
Nepal 14748 2179 2567 17354 4934 163 255 5216 8700 233 453 9195 31764
Raw Data:HIV
HIV Testing and Counseling PMTCT
District/HF Name On ART
Tested Positive Tested Positive
Nepal 176228 1781 382887 128 14544
Province 1 31780 207 53646 27 1197
01 TAPLEJUNG 0 0 217 0 0
02 PANCHTHAR 0 0 857 0 0
03 ILAM 58 0 3468 0 27
04 JHAPA 10230 46 2520 0 288
05 MORANG 6435 71 16953 0 280
06 SUNSARI 13261 84 21968 26 541
07 DHANKUTA 468 5 1156 0 6
08 TERHATHUM 25 0 49 0 0
09 SANKHUWASABHA 40 0 2064 0 25
10 BHOJPUR 60 0 43 0 0
11 SOLUKHUMBU 0 0 283 0 0
12 OKHALDHUNGA 391 0 196 0 6
13 KHOTANG 550 0 1475 0 0
14 UDAYAPUR 262 1 2397 1 24
Province 2 14245 273 32724 17 1428
15 SAPTARI 331 10 3437 0 88
16 SIRAHA 979 26 6945 3 62
17 DHANUSA 1029 63 10412 6 497
18 MAHOTTARI 2240 14 1664 1 53
19 SARLAHI 3118 17 1439 3 114
32 RAUTAHAT 1392 36 1555 0 80
33 BARA 3333 20 4625 0 11
34 PARSA 1823 87 2647 4 523
Province 3 39043 630 100340 45 4082
20 SINDHULI 120 4 3227 1 15
21 RAMECHHAP 220 0 78 0 0
22 DOLAKHA 985 0 2286 0 0
23 SINDHUPALCHOK 116 0 1362 0 37
24 KAVRE 10 0 2120 1 46
25 LALITPUR 8596 26 9519 0 290
26 BHAKTAPUR 4190 15 1653 0 28
27 KATHMANDU 18784 442 41337 38 2599
28 NUWAKOT 116 11 4728 0 109
29 RASUWA 0 0 275 0 0
30 DHADING 47 2 4972 0 63
31 MAKWANPUR 2506 17 7840 0 146
35 CHITAWAN 3353 113 20943 5 749
Province 4 4530 108 45189 20 1807
36 GORKHA 117 5 3435 1 161
37 LAMJUNG 148 0 2616 2 84
38 TANAHU 781 7 2664 0 163
39 SYANGJA 345 12 3506 1 225
40 KASKI 2373 76 25160 15 944
41 MANANG 24 0 31 0 0
42 MUSTANG 0 0 15 0 0
43 MYAGDI 139 3 1157 1 41
44 PARBAT 511 0 1298 0 51
45 BAGLUNG 92 5 5307 0 138
48.1 NAWALPUR 0 0 0 0 0
Province 5 45104 346 81521 13 2772
46 GULMI 150 18 3940 4 150
47 PALPA 1417 1 6896 1 252
48 NAWALPARASI 5397 28 6692 0 156
49 RUPANDEHI 4118 134 19341 6 1021
50 KAPILBASTU 3180 34 5281 0 344
51 ARGHAKHANCHI 6334 7 2643 0 78
52 PYUTHAN 5902 2 5288 1 62
53 ROLPA 287 1 4165 0 28
54 RUKUM 831 0 1662 0 38
56 DANG 8793 17 13930 0 180
57 BANKE 6609 101 6264 1 394
58 BARDIYA 2086 3 5419 0 69
Province 6 682 9 16899 0 434
54.1 RUKUM WEST 0 0 0 0 0
55 SALYAN 230 2 1599 0 14
59 SURKHET 98 0 7170 0 258
60 DAILEKH 354 7 4579 0 140
61 JAJARKOT 0 0 189 0 0
62 DOLPA 0 0 426 0 0
63 JUMLA 0 0 1471 0 0
64 KALIKOT 0 0 1443 0 22
65 MUGU 0 0 22 0 0
66 HUMLA 0 0 0 0 0
Province 7 40844 208 52568 6 2824
67 BAJURA 255 0 2284 0 44
68 BAJHANG 4444 10 3894 0 65
69 ACHHAM 6544 61 7354 1 529
70 DOTI 4695 30 7600 0 590
71 KAILALI 5649 57 13976 1 1154
72 KANCHANPUR 8451 32 6579 4 243
73 DADELDHURA 3247 7 4554 0 75
74 BAITADI 6725 10 3864 0 104
75 DARCHAULA 834 1 2463 0 20
Raw Data: OPD Morbidity
A. Communicable, Immunizable B. Communicable, Vector Borne
Azar/Leshmaniasis
Acute Encephalitis
Neonatal Tetanus
Whooping Cough
Clinical Malaria
Paralysis (AFP)
like Syndrome
Dengue Fever
Acute Flaccid
(Plasmodium
(Plasmodium
Tuberculosis
Chicken Pox
Falciparum)
Hepatitis B
Diptheria
Filariasis
Measles
Tetanus
Malaria
Malaria
Mumps
Rubella
Vivax)
Organisation unit / Data
(AES)
Kala-
Nepal 740 364 4546 14 426 20851 417 301 30614 27246 2244 2064 1354 3904 571 1152 931 566
Province 1 122 69 462 3 35 2791 58 90 7354 5926 113 434 331 987 57 68 283 58
01 TAPLEJUNG 2 2 30 0 0 26 0 0 398 606 0 4 19 0 0 0 1 0
02 PANCHTHAR 2 4 8 0 0 28 0 0 316 278 0 0 0 0 0 0 0 0
03 ILAM 5 0 26 0 0 121 2 8 268 312 0 4 4 0 2 0 0 0
04 JHAPA 11 0 162 0 5 831 9 4 1253 536 23 0 20 0 3 11 230 0
05 MORANG 0 0 32 0 8 1088 3 0 673 501 53 200 213 652 48 24 21 8
06 SUNSARI 28 26 64 2 8 262 12 8 812 622 6 24 15 286 0 0 15 15
07 DHANKUTA 10 26 4 0 0 20 1 2 274 358 1 46 2 14 2 14 0 2
08 TERHATHUM 22 0 20 0 5 32 5 13 392 463 8 0 0 11 0 0 0 0
09 SANKHUWASABHA 3 1 21 0 8 51 0 1 615 659 10 48 0 9 2 19 0 22
10 BHOJPUR 10 7 37 0 0 43 1 28 642 292 1 27 5 13 0 0 16 1
11 SOLUKHUMBU 1 0 18 0 0 19 1 1 151 116 2 31 48 0 0 0 0 0
12 OKHALDHUNGA 20 3 11 0 1 26 0 5 578 296 0 0 0 0 0 0 0 0
13 KHOTANG 0 0 0 0 0 8 0 0 305 399 0 15 0 1 0 0 0 0
14 UDAYAPUR 8 0 29 1 0 236 24 20 677 488 9 35 5 1 0 0 0 10
Province 2 82 16 509 2 64 2352 79 43 2239 1028 30 361 267 1377 62 71 87 234
15 SAPTARI 17 7 44 0 20 152 11 0 213 49 0 4 4 12 0 0 0 0
16 SIRAHA 1 1 161 0 13 312 24 1 394 63 1 44 0 452 41 43 1 25
17 DHANUSA 6 0 3 2 10 176 0 2 106 1 0 0 0 0 6 1 0 0
18 MAHOTTARI 15 6 71 0 6 369 7 5 380 295 22 64 20 258 1 5 8 63
19 SARLAHI 2 0 44 0 0 198 0 0 181 85 2 0 14 0 0 8 9 18
32 RAUTAHAT 16 0 72 0 11 221 13 30 197 182 2 4 2 310 6 1 0 19
33 BARA 19 2 73 0 2 561 19 4 508 167 1 8 12 49 5 13 20 52
34 PARSA 6 0 41 0 2 363 5 1 260 186 2 237 215 296 3 0 49 57
Province 3 364 85 2670 3 264 5760 123 73 9301 6548 1534 850 362 421 220 217 513 97
20 SINDHULI 28 11 574 0 1 170 3 10 644 305 0 48 30 38 13 31 0 11
21 RAMECHHAP 13 0 39 3 25 115 1 16 1290 761 0 1 0 0 0 3 0 0
22 DOLAKHA 22 0 32 0 1 256 8 0 691 248 0 4 0 0 0 0 0 0
23 SINDHUPALCHOK 54 0 44 0 6 175 0 3 1202 363 0 17 18 5 0 0 0 0
24 KAVRE 32 0 64 0 1 363 5 5 736 281 4 10 65 63 0 1 0 0
25 LALITPUR 77 1 159 0 110 2058 13 4 603 592 78 10 11 23 17 62 34 54
26 BHAKTAPUR 36 0 10 0 10 130 29 1 382 414 26 4 14 1 0 0 0 0
27 KATHMANDU 0 3 751 0 106 1234 4 0 824 900 1308 138 109 90 143 20 33 11
28 NUWAKOT 51 0 183 0 1 87 1 5 554 273 9 8 99 47 16 6 0 18
29 RASUWA 0 0 0 0 0 15 0 0 87 68 0 0 0 0 0 0 0 0
30 DHADING 12 0 46 0 2 145 1 0 722 510 1 6 1 1 0 2 0 0
31 MAKWANPUR 12 22 25 0 1 268 29 1 460 223 3 7 15 31 11 56 0 0
35 CHITAWAN 27 48 743 0 0 744 29 28 1106 1610 105 597 0 122 20 36 446 3
Province 4 61 6 344 1 16 1514 26 14 4554 3928 152 103 83 62 35 37 0 1
36 GORKHA 7 0 0 0 0 253 0 10 898 730 23 0 0 0 0 0 0 0
37 LAMJUNG 24 0 74 0 4 92 6 0 1087 766 3 3 2 5 24 10 0 0
38 TANAHU 1 1 1 1 10 59 1 0 384 363 3 30 18 7 3 2 0 0
39 SYANGJA 12 5 13 0 0 183 1 0 416 194 0 0 0 3 0 0 0 0
40 KASKI 8 0 31 0 2 362 12 1 405 333 105 43 32 16 8 17 0 0
41 MANANG 0 0 0 0 0 0 0 0 5 5 0 1 0 0 0 0 0 0
42 MUSTANG 2 0 3 0 0 4 0 0 10 39 2 1 0 0 0 0 0 0
43 MYAGDI 0 0 124 0 0 59 1 0 246 399 0 2 0 1 0 4 0 0
44 PARBAT 2 0 25 0 0 38 0 0 158 181 2 0 0 1 0 0 0 0
45 BAGLUNG 3 0 73 0 0 63 4 0 508 405 4 0 1 0 0 0 0 0
48.1 NAWALPARASI EAST 2 0 0 0 0 401 1 3 437 513 10 23 30 29 0 4 0 1
Province 5 69 16 181 2 41 5046 93 56 3183 3427 178 100 88 723 89 281 27 75
46 GULMI 0 0 6 0 2 37 0 0 26 75 4 0 0 0 0 1 0 0
47 PALPA 7 0 11 0 22 584 4 5 137 83 74 11 15 24 2 5 8 19
48 NAWALPARASI WEST 1 1 0 0 0 620 1 5 266 194 2 3 6 234 8 44 2 13
49 RUPANDEHI 4 0 0 2 0 1138 48 2 397 183 56 10 20 221 31 47 15 35
50 KAPILBASTU 8 7 92 0 3 666 20 28 347 192 5 25 32 0 13 59 0 1
51 ARGHAKHANCHI 6 8 39 0 3 102 1 7 236 210 16 27 7 37 15 31 0 0
52 PYUTHAN 4 0 0 0 1 396 1 0 319 746 3 0 0 1 7 10 0 0
53 ROLPA 3 0 1 0 0 163 0 0 449 346 2 0 0 16 3 0 0 0
54 RUKUM EAST 0 0 19 0 0 13 0 0 65 31 0 10 0 15 1 7 0 3
56 DANG 21 0 0 0 0 630 2 3 399 639 5 1 0 59 4 30 0 0
57 BANKE 1 0 13 0 5 338 6 6 148 195 9 2 6 54 0 15 2 4
58 BARDIYA 14 0 0 0 5 359 10 0 394 533 2 11 2 62 5 32 0 0
Province 6 20 7 165 0 1 820 9 2 2012 1636 30 58 56 39 18 131 7 38
54.1 RUKUM WEST 0 1 1 0 1 141 0 0 520 156 0 2 6 2 5 0 0 14
55 SALYAN 0 0 0 0 0 138 0 0 198 277 0 5 0 19 4 74 1 8
59 SURKHET 2 0 34 0 0 291 0 0 492 553 12 0 0 0 3 24 6 1
60 DAILEKH 0 0 0 0 0 83 0 0 300 276 8 18 0 3 0 25 0 0
61 JAJARKOT 0 0 36 0 0 91 7 0 92 63 2 1 27 0 2 0 0 12
62 DOLPA 0 0 3 0 0 0 0 0 5 45 0 1 0 0 0 0 0 0
63 JUMLA 8 6 24 0 0 45 2 0 41 68 7 15 23 4 0 0 0 0
64 KALIKOT 0 0 0 0 0 5 0 0 49 132 0 0 0 5 0 0 0 0
65 MUGU 0 0 10 0 0 1 0 0 6 36 1 3 0 2 4 5 0 3
66 HUMLA 10 0 57 0 0 25 0 2 309 30 0 13 0 4 0 3 0 0
Province 7 22 165 215 3 5 2568 29 23 1971 4753 207 158 167 295 90 347 14 63
67 BAJURA 0 0 8 0 0 46 8 0 154 237 1 0 0 61 0 3 1 1
68 BAJHANG 0 0 1 0 0 84 2 0 52 367 5 0 0 1 0 1 0 0
69 ACHHAM 4 0 4 2 1 248 0 13 201 568 47 32 6 71 21 37 1 45
70 DOTI 0 0 0 0 0 151 0 0 90 264 0 0 0 0 1 1 0 0
71 KAILALI 15 158 90 0 2 730 6 9 698 1120 142 94 153 70 45 189 7 12
72 KANCHANPUR 1 7 112 0 1 1052 10 1 225 1033 1 9 8 0 14 68 1 0
73 DADELDHURA 0 0 0 0 0 127 2 0 93 556 8 0 0 0 1 1 0 0
74 BAITADI 2 0 0 1 0 66 1 0 209 356 2 23 0 91 8 47 4 5
75 DARCHAULA 0 0 0 0 1 64 0 0 249 252 1 0 0 1 0 0 0 0
Raw Data: OPD Morbidity
C. Communicable, Water/Food Borne D. Other
Dysentery/Amoeb
Volume Depletion
Dysentery/Shigell
Intestinal Worms
Typhoid (Enteric
Presumed Non-
Enteritis (AGE)
(Dehydration)
Acute Gastro-
Hepatitis A
Hepatitis E
Meningitis
Diarrhoea
Infectious
Jaundice
Ameobic
Bacillary
Leprosy
Cholera
Fever)
Organisation unit / Data
iasis
osis
Nepal 481340 371649 361491 151240 533717 7537 497363 47277 2700 1091 41304 2255 2198
Province 1 80884 58796 47093 20497 62456 1224 82103 7604 126 100 6432 344 534
01 TAPLEJUNG 2025 2500 1479 606 2097 98 3272 249 8 0 265 0 0
02 PANCHTHAR 1660 1002 1390 357 2774 0 1836 105 0 0 292 0 0
03 ILAM 2143 2232 1609 342 1992 59 3456 199 2 0 349 3 0
04 JHAPA 13435 7719 8193 4461 6659 270 17885 1646 28 0 600 168 4
05 MORANG 28255 18677 10486 4436 9412 148 15087 2719 44 86 2460 105 504
06 SUNSARI 4999 4742 6209 3073 12276 237 14084 662 13 9 714 35 0
07 DHANKUTA 2465 4039 1555 519 2791 28 1782 374 0 0 149 7 8
08 TERHATHUM 2598 739 1220 281 1274 10 1211 147 0 0 111 1 2
09 SANKHUWASABHA 4347 2166 1195 324 3593 33 3929 548 12 2 158 1 1
10 BHOJPUR 4109 2334 2051 817 3390 2 3000 134 4 3 365 2 7
11 SOLUKHUMBU 1308 1626 1210 438 2521 20 2054 87 4 0 184 0 1
12 OKHALDHUNGA 2508 1494 2212 726 5172 54 3283 69 2 0 245 4 0
13 KHOTANG 3755 4280 3675 1471 3314 3 4623 227 0 0 296 0 0
14 UDAYAPUR 7277 5246 4609 2646 5191 262 6601 438 9 0 244 18 7
Province 2 76515 53003 83044 31399 124100 2023 206925 3523 130 65 8024 675 202
15 SAPTARI 7115 7529 10466 3622 26343 129 28114 130 0 3 1205 54 0
16 SIRAHA 14253 8221 8523 3772 16526 350 22826 700 48 1 1599 57 29
17 DHANUSA 13855 6240 10816 3887 15193 146 31574 352 29 3 561 119 2
18 MAHOTTARI 10076 5136 9495 3833 11822 260 32361 592 4 18 705 73 3
19 SARLAHI 6742 5064 7618 2904 6947 253 19062 267 1 19 465 54 0
32 RAUTAHAT 10796 5499 12121 4820 20007 272 30148 241 26 0 1623 97 0
33 BARA 7083 7901 14145 4105 15990 10 24056 486 12 0 502 138 1
34 PARSA 6595 7413 9860 4456 11272 603 18784 755 10 21 1364 83 167
Province 3 80720 107583 55305 20721 97155 1071 58265 14535 1347 733 9458 189 378
20 SINDHULI 8305 4484 3207 1518 5844 305 6693 630 1 0 524 6 0
21 RAMECHHAP 3885 2582 2361 1027 6846 46 2939 240 6 2 316 3 1
22 DOLAKHA 1661 3146 2767 1106 7133 95 3629 443 84 1 204 3 5
23 SINDHUPALCHOK 4677 5501 4161 1614 8615 13 5174 298 25 0 572 0 5
24 KAVRE 6717 3923 4912 998 11662 45 4128 1051 18 7 493 0 1
25 LALITPUR 9455 9408 6792 2288 6420 154 4426 4409 563 479 531 79 6
26 BHAKTAPUR 2895 7111 1872 726 3357 13 1662 401 75 5 112 0 0
27 KATHMANDU 18388 32832 9449 4277 16556 3 8795 3475 453 93 3871 35 280
28 NUWAKOT 6741 4395 4715 1929 4613 305 3854 526 13 0 792 1 6
29 RASUWA 416 1166 635 438 2023 4 531 12 0 0 36 0 0
30 DHADING 6924 6154 5376 1909 8640 79 3150 458 3 0 491 0 2
31 MAKWANPUR 2505 2232 2405 862 6454 9 2562 171 5 0 106 3 3
35 CHITAWAN 8151 24649 6653 2029 8992 0 10722 2421 101 146 1410 59 69
Province 4 55021 39077 27758 10573 47284 400 27854 6811 412 5 3544 161 652
36 GORKHA 4175 6373 4187 1726 4875 14 3666 577 24 1 509 5 0
37 LAMJUNG 4778 3240 3014 1044 5802 112 2067 477 5 0 214 1 8
38 TANAHU 7132 2995 2464 992 5235 50 3400 583 4 0 447 4 0
39 SYANGJA 5066 2371 2793 675 4837 7 3651 243 1 0 130 8 8
40 KASKI 15895 14984 5688 2736 9035 90 5005 3651 354 4 886 113 632
41 MANANG 102 285 223 37 327 1 658 7 0 0 8 0 0
42 MUSTANG 92 564 229 60 660 1 238 12 2 0 63 0 0
43 MYAGDI 1253 963 1518 753 3561 58 1280 197 0 0 46 3 0
44 PARBAT 3340 1461 2215 532 2518 0 1263 121 1 0 155 3 1
45 BAGLUNG 8416 2988 3542 1327 4234 66 2074 505 21 0 912 5 0
48.1 NAWALPARASI EAST 4772 2853 1885 691 6200 1 4552 438 0 0 174 19 3
Province 5 97401 56296 71010 28823 102598 994 55208 7914 415 100 6988 603 359
46 GULMI 5577 3040 3652 1007 3223 0 4142 649 0 0 119 0 0
47 PALPA 7649 4968 3495 772 5963 97 2916 544 32 3 609 42 75
48 NAWALPARASI WEST 7757 5237 2656 1029 10243 0 4184 315 0 0 482 46 5
49 RUPANDEHI 12655 11808 15721 5264 15168 238 11083 1260 218 38 608 102 237
50 KAPILBASTU 9893 10423 15359 6962 17956 306 9113 614 40 16 1498 71 4
51 ARGHAKHANCHI 4164 2205 2874 769 3236 68 2265 299 24 20 247 9 21
52 PYUTHAN 6545 2688 3686 1926 9635 0 2232 749 61 0 342 7 0
53 ROLPA 6630 1999 3098 1553 4848 0 1283 650 0 0 465 5 0
54 RUKUM EAST 1696 387 1065 432 1961 34 1454 12 0 0 26 0 0
56 DANG 16902 3957 6345 2452 11277 57 3760 1568 10 17 715 9 13
57 BANKE 9180 5242 7297 3032 12171 186 7833 382 30 6 1140 141 2
58 BARDIYA 8753 4342 5762 3625 6917 8 4943 872 0 0 737 171 2
Province 6 39888 28396 32990 18298 44061 1283 39437 2027 165 53 3183 113 13
54.1 RUKUM WEST 3848 1415 2561 1156 3435 52 2060 273 7 0 218 12 1
55 SALYAN 7092 3570 4988 2610 6035 201 3230 378 1 24 305 12 1
59 SURKHET 10427 6662 6295 3213 6392 0 5686 476 19 0 484 23 0
60 DAILEKH 10286 3203 3251 2393 12623 214 3245 222 44 0 829 4 1
61 JAJARKOT 3239 3003 2880 1624 3429 98 1940 90 1 0 262 38 10
62 DOLPA 673 933 1252 662 1868 182 7731 102 0 0 57 0 0
63 JUMLA 1387 4089 2703 1403 2835 230 4779 183 23 5 106 12 0
64 KALIKOT 815 1325 3291 1855 4565 20 3636 162 37 6 479 4 0
65 MUGU 790 1815 2939 1455 1126 208 3604 84 31 18 82 2 0
66 HUMLA 1331 2381 2830 1927 1753 78 3526 57 2 0 361 6 0
Province 7 50911 28498 44291 20929 56063 542 27571 4863 105 35 3675 170 60
67 BAJURA 4514 3990 4881 3082 4661 88 2252 171 1 0 639 2 5
68 BAJHANG 5431 2059 5815 2204 3679 133 2995 188 8 0 399 0 0
69 ACHHAM 3388 4602 7049 3588 15703 25 3794 241 19 0 328 26 19
70 DOTI 2719 2541 5460 2337 6067 0 4089 298 1 6 520 5 0
71 KAILALI 16273 6757 7091 3366 8601 198 6829 2126 39 29 818 56 35
72 KANCHANPUR 8619 2406 4162 1768 6601 76 2927 1451 34 0 149 64 0
73 DADELDHURA 3630 2938 3142 1655 4020 0 1537 195 0 0 304 9 0
74 BAITADI 3900 1805 3403 1787 3932 22 1855 148 3 0 301 6 1
75 DARCHAULA 2437 1400 3288 1142 2799 0 1293 45 0 0 217 2 0
Raw Data: OPD Morbidity
E. HIV/STI
Urethral Discharge
Disease Syndrome
Disease Syndrome
Vaginal Discharge
Lower Abdominal
Syndrome (UDS)
Syndrome (VDS)
Syndrome (NCS)
Scrotal Swelling
Syndrome (SSS)
(GUDS)-Female
Syndrome (IBS)
Pain Syndrome
Inguinal Bubo
(GUDS)-Male
HIV Infection
Genital User
Genital User
Conjunctive
Gonococcal
Neonatal
Syphilis
(LAPS)
Organisation unit / Data
Nepal 1371 5702 2315 50534 52333 1363 2266 1217 14366 10318
Province 1 89 636 309 6442 8285 116 81 29 16 215
01 TAPLEJUNG 1 4 7 168 162 4 6 0 1 4
02 PANCHTHAR 0 3 4 77 130 3 0 2 0 4
03 ILAM 0 19 7 286 292 14 4 2 0 28
04 JHAPA 23 84 75 693 963 15 3 3 10 14
05 MORANG 25 35 101 2997 4088 4 21 3 0 15
06 SUNSARI 0 111 20 448 552 16 9 5 3 83
07 DHANKUTA 14 165 13 294 373 7 19 5 0 5
08 TERHATHUM 0 2 1 102 79 1 1 2 0 1
09 SANKHUWASABHA 23 124 24 266 235 30 10 0 0 19
10 BHOJPUR 0 6 12 123 136 2 0 0 0 10
11 SOLUKHUMBU 0 3 1 61 128 0 0 0 0 0
12 OKHALDHUNGA 0 6 5 98 217 7 0 0 1 6
13 KHOTANG 0 23 12 158 291 7 0 4 0 5
14 UDAYAPUR 3 51 27 671 639 6 8 3 1 21
Province 2 187 709 284 3470 4763 306 164 125 84 245
15 SAPTARI 68 50 15 486 375 3 2 6 3 8
16 SIRAHA 12 228 29 580 863 20 40 3 0 21
17 DHANUSA 11 111 37 303 601 25 12 5 0 17
18 MAHOTTARI 2 104 33 624 969 37 18 11 18 27
19 SARLAHI 0 2 9 353 611 8 0 0 0 7
32 RAUTAHAT 20 43 25 587 511 32 8 4 0 27
33 BARA 7 21 9 196 288 7 1 3 0 76
34 PARSA 67 150 127 341 545 174 83 93 63 62
Province 3 272 1254 549 8385 11708 193 1347 738 14012 9097
20 SINDHULI 0 230 14 649 877 5 17 0 10 21
21 RAMECHHAP 3 46 7 311 278 2 1 2 2 15
22 DOLAKHA 1 14 11 173 456 1 0 4 0 4
23 SINDHUPALCHOK 8 36 57 463 316 17 10 5 3 165
24 KAVRE 25 58 13 343 191 4 27 28 11 15
25 LALITPUR 4 32 65 893 4179 73 981 376 91 17
26 BHAKTAPUR 0 26 8 216 138 5 4 3 2 1
27 KATHMANDU 210 558 178 2129 2079 36 154 131 51 426
28 NUWAKOT 2 19 31 605 703 13 6 0 0 15
29 RASUWA 3 0 1 6 13 1 0 0 1 24
30 DHADING 4 49 22 776 669 18 5 1 1 10
31 MAKWANPUR 3 22 10 511 340 0 2 0 0 1
35 CHITAWAN 9 164 132 1310 1469 18 140 188 13840 8383
Province 4 80 813 317 4560 4887 135 220 78 43 228
36 GORKHA 18 187 44 624 745 29 1 1 0 2
37 LAMJUNG 35 97 16 482 630 1 1 4 2 12
38 TANAHU 4 27 9 573 505 6 11 15 10 7
39 SYANGJA 8 8 1 218 142 0 0 0 0 0
40 KASKI 10 370 212 1243 1659 79 201 56 27 188
41 MANANG 0 9 0 57 11 0 0 1 0 0
42 MUSTANG 2 3 3 20 22 0 4 0 0 1
43 MYAGDI 0 17 5 103 132 9 0 0 1 6
44 PARBAT 0 14 3 105 112 1 0 0 0 0
45 BAGLUNG 1 40 19 614 763 3 2 1 1 8
48.1 NAWALPARASI EAST 2 41 5 521 166 7 0 0 2 4
Province 5 427 1038 452 12785 8789 296 242 110 80 230
46 GULMI 3 0 0 36 9 0 0 0 0 0
47 PALPA 90 88 153 1116 954 81 16 7 47 3
48 NAWALPARASI WEST 22 75 5 1103 442 3 51 29 0 27
49 RUPANDEHI 130 153 22 2864 1324 115 22 21 11 6
50 KAPILBASTU 137 238 151 1484 1695 82 86 8 8 76
51 ARGHAKHANCHI 8 75 21 336 298 3 18 25 4 27
52 PYUTHAN 0 12 6 264 395 0 0 1 1 0
53 ROLPA 9 27 24 510 531 0 2 0 2 15
54 RUKUM EAST 0 3 0 29 54 0 0 0 0 0
56 DANG 3 87 25 1254 849 1 12 2 0 11
57 BANKE 4 185 7 1354 596 8 7 12 6 32
58 BARDIYA 21 95 38 2435 1642 3 28 5 1 33
Province 6 100 387 122 5569 6140 130 70 72 29 96
54.1 RUKUM WEST 14 15 23 254 476 2 1 1 1 1
55 SALYAN 9 42 13 863 1109 6 3 2 1 1
59 SURKHET 12 117 8 1628 1411 13 7 57 14 53
60 DAILEKH 65 79 15 866 473 2 10 3 3 16
61 JAJARKOT 0 12 1 582 887 69 38 4 0 1
62 DOLPA 0 6 2 204 182 7 0 0 0 1
63 JUMLA 0 21 21 338 373 3 5 1 0 11
64 KALIKOT 0 16 16 382 548 10 4 0 0 1
65 MUGU 0 76 12 222 416 7 0 0 10 10
66 HUMLA 0 3 11 230 265 11 2 4 0 1
Province 7 216 865 282 9323 7761 187 142 65 102 207
67 BAJURA 8 30 16 271 352 7 4 1 0 1
68 BAJHANG 21 154 43 611 645 15 12 3 7 21
69 ACHHAM 81 43 8 1406 1625 1 9 8 0 28
70 DOTI 53 22 6 339 358 12 1 0 2 9
71 KAILALI 29 420 140 3236 2306 85 95 44 67 115
72 KANCHANPUR 3 55 25 1829 826 25 13 7 25 29
73 DADELDHURA 8 79 13 883 806 0 2 1 1 1
74 BAITADI 11 27 7 566 395 10 5 1 0 3
75 DARCHAULA 2 35 24 182 448 32 1 0 0 0
Raw Data: OPD Morbidity
F. Other Infected Diseases
ARI/Lower Upper Respiratory Reproductive Tract Reproductive Tract
Organisation unit / Data Severe Bronchitis (Acute Urinary Tract
Respiratory Tract Tract Infection Pneumonia Viral Influenza Infection (RTI) - Infection (RTI) -
Pneumonia & Chronic) Infection (UTI)
Infection (LRTI) (URTI) Female Male
Nepal 856497 1116725 240744 20909 206606 324563 230120 14019 5179
Province 1 153422 177085 55271 6746 35316 64925 46719 3923 1510
01 TAPLEJUNG 4691 6705 2012 155 602 1490 1167 50 10
02 PANCHTHAR 7642 7842 2785 75 623 1134 483 47 7
03 ILAM 10349 9869 2249 92 1016 3125 3475 42 6
04 JHAPA 22866 32021 8034 279 6794 13937 15737 442 164
05 MORANG 34052 34764 17495 5132 11669 21847 6018 2647 1077
06 SUNSARI 17334 20575 4459 218 4347 5706 7046 139 42
07 DHANKUTA 6286 8712 1359 92 1058 1640 2590 67 20
08 TERHATHUM 3990 5509 1368 19 834 1430 1373 22 12
09 SANKHUWASABHA 5274 6135 2563 129 719 2249 887 51 18
10 BHOJPUR 7766 8171 2152 52 1265 2218 2913 126 36
11 SOLUKHUMBU 4521 8933 1466 101 728 1475 461 39 13
12 OKHALDHUNGA 10001 9613 2500 12 1272 2222 1042 97 25
13 KHOTANG 8708 8947 3045 141 1184 2450 1011 59 28
14 UDAYAPUR 9942 9289 3784 249 3205 4002 2516 95 52
Province 2 106583 117963 28190 2441 42014 30243 17353 1300 702
15 SAPTARI 17145 13353 2247 64 5366 5660 3149 100 41
16 SIRAHA 20354 23090 4569 214 5101 5319 2112 133 15
17 DHANUSA 17231 18297 3341 75 6255 3919 2187 162 67
18 MAHOTTARI 13001 14985 4449 124 5401 3503 2363 151 81
19 SARLAHI 9078 9184 1888 106 3781 2633 1422 48 14
32 RAUTAHAT 8874 14043 4648 538 7633 3537 2058 305 187
33 BARA 11721 15108 2826 206 3949 2206 1534 120 43
34 PARSA 9179 9903 4222 1114 4528 3466 2528 281 254
Province 3 162417 226032 53168 4920 37727 72409 49486 4145 1538
20 SINDHULI 7052 7916 3163 69 1367 2387 1501 105 137
21 RAMECHHAP 10060 14204 2922 72 1392 3458 1221 126 65
22 DOLAKHA 9461 13406 2113 87 871 2802 2873 69 54
23 SINDHUPALCHOK 15550 15745 3590 161 2560 3822 6358 301 158
24 KAVRE 17140 25514 2986 62 1953 5275 2111 216 108
25 LALITPUR 11244 22511 7927 1724 5177 9931 6243 337 171
26 BHAKTAPUR 9898 19909 1532 38 2001 4677 1907 79 36
27 KATHMANDU 29815 40397 12135 1231 12797 21655 9923 2206 411
28 NUWAKOT 7338 9623 1957 146 1748 2551 2227 56 10
29 RASUWA 2289 4956 523 6 142 605 54 5 0
30 DHADING 14094 14728 4510 140 2467 4116 8318 91 31
31 MAKWANPUR 6435 10352 1891 64 1062 1851 1985 58 6
35 CHITAWAN 22041 26771 7919 1120 4190 9279 4765 496 351
Province 4 112116 157154 26868 1490 23999 42376 28816 1280 370
36 GORKHA 9402 20824 2765 48 2188 4549 8944 462 19
37 LAMJUNG 7833 10717 2392 96 1232 3304 2988 42 8
38 TANAHU 9362 13136 1970 163 1789 3598 3429 96 71
39 SYANGJA 12310 14811 1252 15 2723 3147 2174 170 20
40 KASKI 27959 36075 12116 941 10077 17758 5124 386 199
41 MANANG 514 926 24 0 67 96 237 0 0
42 MUSTANG 984 2957 122 3 68 294 64 10 0
43 MYAGDI 6539 11851 660 62 811 1967 1283 24 24
44 PARBAT 12585 13730 1662 29 1473 1553 1471 46 18
45 BAGLUNG 14639 20181 2527 58 1961 3029 1605 34 6
48.1 NAWALPARASI EAST 9989 11946 1378 75 1610 3081 1497 10 5
Province 5 151147 197531 33289 1830 38774 52062 33216 1674 547
46 GULMI 10462 12333 2197 21 2634 3427 3612 50 9
47 PALPA 13297 15426 3027 111 3998 7118 3916 298 68
48 NAWALPARASI WEST 11422 14446 1336 53 2070 3336 2774 170 44
49 RUPANDEHI 32508 34935 4729 263 7998 11616 6263 405 161
50 KAPILBASTU 12206 21908 3041 347 6504 4860 2335 290 85
51 ARGHAKHANCHI 8157 8398 2253 256 1598 2153 2516 83 17
52 PYUTHAN 8315 17376 3080 224 2615 3357 461 20 5
53 ROLPA 7535 5900 2860 81 1102 2539 183 60 32
54 RUKUM EAST 1673 1474 745 27 366 444 24 10 4
56 DANG 14796 24505 3955 150 3241 5101 4874 53 11
57 BANKE 15886 17473 3342 156 2446 2756 3210 78 26
58 BARDIYA 14890 23357 2724 141 4202 5355 3048 157 85
Province 6 66621 98249 18714 1351 13478 24330 13458 943 248
54.1 RUKUM WEST 3660 8459 1711 121 920 2375 600 103 40
55 SALYAN 8334 12167 2606 54 2276 2766 1815 44 8
59 SURKHET 17030 23159 3427 213 3744 5854 6432 123 7
60 DAILEKH 14569 15845 3129 210 1668 3097 1828 65 24
61 JAJARKOT 3591 11154 882 57 768 2495 406 93 29
62 DOLPA 1943 2175 704 130 406 1152 115 81 15
63 JUMLA 8424 9307 2244 155 967 1554 397 122 24
64 KALIKOT 3403 7368 1503 125 1099 2352 1315 175 20
65 MUGU 3022 5048 1191 102 814 1443 177 87 55
66 HUMLA 2645 3567 1317 184 816 1242 373 50 26
Province 7 104191 142711 25244 2131 15298 38218 41072 754 264
67 BAJURA 5773 8350 2680 189 1161 2792 803 30 7
68 BAJHANG 7643 9469 2522 109 1424 2870 3021 57 15
69 ACHHAM 20210 32108 4197 209 1557 6555 4230 32 13
70 DOTI 7207 14307 2146 155 1112 3175 2191 34 17
71 KAILALI 22239 27492 3707 555 3152 9557 5305 427 130
72 KANCHANPUR 13708 14378 3436 674 2834 4853 16519 90 36
73 DADELDHURA 7159 13950 2163 124 1312 3166 1920 17 19
74 BAITADI 10580 14474 2485 79 1245 2762 3525 49 24
75 DARCHAULA 9672 8183 1908 37 1501 2488 3558 18 3
Raw Data: OPD Morbidity
G. Nutritional & Metabolic Disorder H. Skin Diseases
Anaemia/Polyneur
Diabetes Mellitus
Goitre,Cretinism
Avitaminoses &
Other Nutrient
Malnutrition
Polyneuritis
Dermatitis/
Chloasma/
Deficiency
Melasma
Urticaria
Albinism
Alopecia
Eczema
Obesity
opathy
Vitiligo
Warts
Organisation unit / Data
(DM)
Acne
Nepal 8657 161587 26455 96237 8133 75156 38048 62524 21166 28752 97727 358096 14978 18982 3209
Province 1 1935 25847 2820 14501 1520 11205 4377 7739 2263 1351 14738 58490 1002 3811 301
01 TAPLEJUNG 15 356 61 79 20 158 233 232 59 12 659 2018 13 22 3
02 PANCHTHAR 7 129 21 499 19 209 133 91 5 11 746 2801 22 324 0
03 ILAM 10 1289 16 967 24 465 137 311 111 34 772 3119 59 5 31
04 JHAPA 14 5165 220 1443 42 1885 1069 1275 463 113 2559 7464 101 122 9
05 MORANG 1780 16093 1971 5246 1251 6053 984 3544 696 825 3336 10416 427 2813 206
06 SUNSARI 6 1117 153 3241 87 757 731 579 341 138 1656 7085 39 155 4
07 DHANKUTA 3 172 55 288 4 53 170 105 40 2 452 3363 83 67 4
08 TERHATHUM 26 282 11 190 2 200 206 149 73 22 485 2656 21 43 0
09 SANKHUWASABHA 3 400 7 281 1 249 99 79 53 21 455 2005 26 6 0
10 BHOJPUR 3 71 27 622 7 226 40 100 18 24 514 2905 25 22 5
11 SOLUKHUMBU 5 176 13 308 10 217 154 194 27 21 565 2342 40 9 2
12 OKHALDHUNGA 26 71 154 398 12 229 44 123 69 5 756 3255 13 3 0
13 KHOTANG 32 109 55 420 24 286 92 299 40 41 872 4201 58 24 2
14 UDAYAPUR 5 417 56 519 17 218 285 658 268 82 911 4860 75 196 35
Province 2 573 10637 4483 27805 1196 18201 4349 4026 631 477 10532 38873 454 665 66
15 SAPTARI 1 240 860 4985 16 2417 589 470 72 29 1470 6313 17 161 0
16 SIRAHA 73 883 421 4123 498 2039 1113 522 91 37 1317 5398 64 15 0
17 DHANUSA 20 307 320 3358 82 1813 450 602 54 64 1291 5323 85 77 4
18 MAHOTTARI 33 508 385 3086 138 1766 588 349 46 134 1141 2939 35 108 36
19 SARLAHI 3 295 473 2837 41 1363 276 229 135 36 746 3091 13 44 3
32 RAUTAHAT 1 366 764 4169 60 4050 366 771 62 63 1237 4062 24 26 3
33 BARA 5 541 368 3161 68 2191 445 556 82 41 1770 5758 139 92 1
34 PARSA 437 7497 892 2086 293 2562 522 527 89 73 1560 5989 77 142 19
Province 3 3270 74781 5908 14149 2512 17820 6933 31654 12738 19527 29504 88973 9207 8717 2153
20 SINDHULI 2 210 240 616 24 359 91 623 18 119 1120 2872 66 32 5
21 RAMECHHAP 2 406 175 976 3 507 383 432 51 90 1377 4175 23 43 0
22 DOLAKHA 10 763 96 375 11 180 90 309 57 18 1969 3349 51 27 8
23 SINDHUPALCHOK 8 225 347 1098 21 760 765 154 83 39 1321 6070 97 253 0
24 KAVRE 192 5881 439 1491 40 1141 469 3819 2859 2664 2625 8475 2063 2207 5
25 LALITPUR 693 10699 1238 893 164 3985 692 3665 2882 1250 1839 6903 814 1080 669
26 BHAKTAPUR 170 2691 134 444 3 282 688 559 311 184 1381 5553 91 67 16
27 KATHMANDU 1067 35361 1389 3217 2002 6955 1766 17804 5239 14138 8716 17932 5333 4464 1427
28 NUWAKOT 78 276 395 785 43 320 218 429 70 137 1379 3631 137 31 1
29 RASUWA 2 26 37 295 1 40 43 32 7 1 225 1373 3 1 0
30 DHADING 15 572 681 1150 40 1272 612 424 121 37 1626 7937 53 108 2
31 MAKWANPUR 13 260 323 762 3 333 299 91 14 14 881 2910 77 44 4
35 CHITAWAN 1018 17411 414 2047 157 1686 817 3313 1026 836 5045 17793 399 360 16
Province 4 1004 28128 963 12380 752 5682 5180 8492 2816 4133 14036 43926 1819 1846 169
36 GORKHA 167 978 451 1053 25 451 1265 374 111 176 1105 6352 154 91 5
37 LAMJUNG 16 1486 18 1517 149 414 180 1000 679 106 1863 4445 78 21 1
38 TANAHU 18 834 21 823 204 475 555 293 54 61 1015 4531 52 254 19
39 SYANGJA 88 886 59 1823 14 375 385 304 94 24 517 3020 47 54 6
40 KASKI 706 21369 301 2792 243 2361 514 5657 1691 3650 4103 9962 1408 1277 137
41 MANANG 0 166 0 104 0 2 2 23 4 0 47 210 0 0 0
42 MUSTANG 0 43 2 113 0 31 9 33 3 3 110 659 22 4 0
43 MYAGDI 0 152 0 316 10 109 57 117 33 17 957 3004 17 29 0
44 PARBAT 1 202 17 1589 15 390 668 142 14 11 1205 2647 9 53 0
45 BAGLUNG 8 561 16 1020 88 521 1336 421 83 40 1659 5008 31 27 0
48.1 NAWALPARASI EAST 0 1451 78 1230 4 553 209 128 50 45 1455 4088 1 36 1
Province 5 1719 17236 4507 16238 1716 13132 8661 6677 1531 2463 16143 66256 1576 2646 340
46 GULMI 8 327 8 78 1 237 496 102 17 3 416 1075 3 13 0
47 PALPA 840 5834 105 1533 1209 1822 746 1261 504 845 1894 6426 441 330 258
48 NAWALPARASI WEST 4 1260 186 1931 92 1659 281 290 51 26 679 4338 13 49 0
49 RUPANDEHI 560 5008 543 2598 222 2378 1248 1549 339 1141 3525 17144 403 1805 23
50 KAPILBASTU 153 1088 1730 3856 55 2021 715 1494 144 87 2216 6363 49 75 5
51 ARGHAKHANCHI 10 360 59 669 30 341 656 310 124 58 874 2158 52 35 11
52 PYUTHAN 1 646 92 490 15 188 586 392 174 31 1066 4147 145 79 7
53 ROLPA 1 78 38 211 17 181 330 150 27 26 731 2294 43 18 2
54 RUKUM EAST 4 1 17 44 0 17 28 21 1 17 70 416 4 4 0
56 DANG 113 851 124 973 4 713 1006 238 67 214 2068 7572 73 124 23
57 BANKE 16 1091 301 1559 59 1719 1050 250 19 1 1226 7027 208 38 4
58 BARDIYA 9 692 1304 2296 12 1856 1519 620 64 14 1378 7296 142 76 7
Province 6 27 1096 2979 4117 122 2390 3649 1874 624 250 4758 21355 407 329 16
54.1 RUKUM WEST 8 228 247 759 0 387 924 279 214 53 602 1452 35 109 0
55 SALYAN 2 128 82 305 20 245 716 191 50 18 845 4066 112 62 0
59 SURKHET 11 619 144 1118 16 419 938 408 71 75 895 6615 134 35 2
60 DAILEKH 1 28 91 622 4 289 388 141 45 10 760 2940 31 16 2
61 JAJARKOT 2 11 222 192 13 358 177 171 38 14 576 1461 14 25 0
62 DOLPA 0 6 58 41 1 64 1 90 7 0 80 420 4 0 0
63 JUMLA 0 62 861 388 4 150 94 147 82 46 254 1599 41 14 0
64 KALIKOT 1 2 492 245 0 215 249 177 32 27 522 902 9 4 1
65 MUGU 1 11 523 393 50 139 154 166 58 4 98 1248 20 52 11
66 HUMLA 1 1 259 54 14 124 8 104 27 3 126 652 7 12 0
Province 7 129 3862 4795 7047 315 6726 4899 2062 563 551 8016 40223 513 968 164
67 BAJURA 6 17 353 270 17 327 92 114 5 32 574 1760 11 16 11
68 BAJHANG 1 44 626 185 48 512 513 166 36 5 532 4037 46 9 1
69 ACHHAM 11 924 873 1056 24 732 999 272 103 72 1023 4003 59 275 24
70 DOTI 8 279 31 315 20 331 350 154 19 47 773 2142 14 56 0
71 KAILALI 26 1520 315 3092 120 2188 1559 675 149 271 1548 10799 191 285 100
72 KANCHANPUR 45 776 1957 878 44 1363 487 178 35 29 1136 8917 106 243 0
73 DADELDHURA 2 209 419 652 21 585 291 225 62 24 882 2523 11 28 4
74 BAITADI 1 65 198 349 21 453 304 80 72 64 699 3348 21 3 18
75 DARCHAULA 29 28 23 250 0 235 304 198 82 7 849 2694 54 53 6
Raw Data: OPD Morbidity
H. Skin Diseases
Fungal Infection
Herpes Simplex
(Lichen Planus)
Lymphadenitis
Erythroderma
Herpes Zoster
Furunculosis
Leukoderma
Impetigo
Psoriasis
Abscess
Scabies
Organisation unit / Data
Acute
Boils
Nepal 9540 15727 12218 191774 276234 295203 45593 423181 488866 13128 19057 22795
Province 1 953 2069 3067 32865 37595 46808 6872 72347 91900 1913 2441 5356
01 TAPLEJUNG 66 111 53 1144 1265 2636 291 2239 4723 63 34 90
02 PANCHTHAR 39 46 16 1840 1334 1451 87 2561 4882 16 35 78
03 ILAM 53 87 87 833 1484 2356 388 4128 6119 123 59 201
04 JHAPA 191 282 181 2513 5432 6771 1542 11602 13940 126 227 827
05 MORANG 99 299 2274 7766 9405 8933 916 17773 18383 708 1704 1980
06 SUNSARI 72 122 99 5644 3587 5306 1148 13319 14558 155 118 470
07 DHANKUTA 29 82 41 789 1580 1658 289 2604 2687 51 13 156
08 TERHATHUM 38 102 36 1385 659 1346 401 1887 1820 23 5 110
09 SANKHUWASABHA 34 116 89 1573 1562 1581 98 1880 2237 21 2 192
10 BHOJPUR 39 84 17 1355 2283 2632 226 1719 4440 53 11 218
11 SOLUKHUMBU 26 73 9 912 840 976 116 1240 1350 41 25 121
12 OKHALDHUNGA 11 97 61 2829 2219 2492 302 3114 3552 92 53 231
13 KHOTANG 118 128 37 1799 2045 3290 252 2534 5140 78 19 180
14 UDAYAPUR 138 440 67 2483 3900 5380 816 5747 8069 363 136 502
Province 2 642 655 844 48591 69768 81107 9673 72708 119166 2151 567 1553
15 SAPTARI 147 172 24 5958 8944 11136 1559 9128 17171 212 67 245
16 SIRAHA 68 107 98 5040 8653 11425 1184 9598 16623 184 59 115
17 DHANUSA 36 33 31 3629 7567 8674 1330 10826 13431 411 67 109
18 MAHOTTARI 169 83 120 4131 6649 7732 979 6354 10815 324 138 194
19 SARLAHI 22 23 18 3791 4564 6704 805 5370 7987 202 42 244
32 RAUTAHAT 81 97 190 6312 13434 12948 1364 8986 20310 392 58 144
33 BARA 74 76 133 7843 11397 10957 1079 11726 16651 304 123 273
34 PARSA 45 64 230 11887 8560 11531 1373 10720 16178 122 13 229
Province 3 4743 6279 4475 31304 43106 54260 9949 74799 47760 4300 10107 6055
20 SINDHULI 37 282 30 1068 2942 3502 625 3640 4688 140 64 253
21 RAMECHHAP 41 87 30 2714 2811 2779 334 4168 2642 22 51 315
22 DOLAKHA 51 121 113 1681 1306 2306 186 2534 2426 50 159 194
23 SINDHUPALCHOK 76 164 158 2064 2473 4264 382 3627 3197 65 102 197
24 KAVRE 112 1281 159 3063 7944 4899 874 6203 2823 31 1958 274
25 LALITPUR 1006 184 124 2348 2834 4050 475 3549 3144 135 999 221
26 BHAKTAPUR 106 163 19 914 2196 2268 400 3163 1328 33 16 404
27 KATHMANDU 2518 2845 3362 3801 5432 9810 3054 14441 8114 3263 5735 2988
28 NUWAKOT 79 118 134 1586 2688 3306 768 4209 3321 280 172 297
29 RASUWA 17 16 1 201 555 578 34 776 917 5 11 10
30 DHADING 105 193 75 2599 3759 6009 814 4808 5544 33 268 436
31 MAKWANPUR 7 93 65 2371 2290 2843 302 4807 2376 25 22 131
35 CHITAWAN 588 732 205 6894 5876 7646 1701 18874 7240 218 550 335
Province 4 1517 2428 964 14892 17051 24432 3602 40180 32272 1140 2096 3260
36 GORKHA 66 272 148 2220 2672 4445 966 5110 4439 89 82 424
37 LAMJUNG 70 254 12 2131 2473 3007 290 5007 3109 57 38 703
38 TANAHU 115 312 39 1463 1619 2799 271 4741 3952 72 123 51
39 SYANGJA 89 88 43 1704 1352 1970 257 3069 3179 67 11 53
40 KASKI 981 927 603 1753 1867 3439 739 10274 4600 782 1608 1382
41 MANANG 1 3 0 5 85 167 11 170 195 4 6 1
42 MUSTANG 4 7 0 79 174 174 11 339 328 2 0 8
43 MYAGDI 34 146 14 1085 992 1588 53 1231 2008 15 86 165
44 PARBAT 18 42 5 1060 1268 1945 211 2286 2504 14 85 238
45 BAGLUNG 69 214 38 1157 1594 2137 146 2885 3967 10 27 174
48.1 NAWALPARASI EAST 70 163 62 2235 2955 2761 647 5068 3991 28 30 61
Province 5 955 2110 1431 37889 59255 47645 9139 103051 104555 1697 2774 4095
46 GULMI 3 44 8 1011 491 935 194 1147 1649 173 54 127
47 PALPA 287 457 369 2546 3039 4533 484 4687 4026 213 619 573
48 NAWALPARASI WEST 43 205 110 1252 4401 3081 438 7200 7066 76 67 161
49 RUPANDEHI 185 403 149 7391 9280 7549 2879 26737 18592 536 849 1304
50 KAPILBASTU 44 83 188 4922 9080 7865 2004 13000 19335 203 425 163
51 ARGHAKHANCHI 58 146 32 1111 1423 1559 261 1923 3112 24 68 183
52 PYUTHAN 123 228 48 4468 3722 3863 276 4540 8120 129 240 345
53 ROLPA 14 50 14 1202 2697 2036 227 2339 3826 40 56 227
54 RUKUM EAST 1 5 17 77 195 601 58 523 890 5 1 0
56 DANG 93 216 111 5428 6721 5063 917 12008 7621 124 64 299
57 BANKE 39 118 262 3189 11217 5879 691 17272 17980 63 20 123
58 BARDIYA 65 155 123 5292 6989 4681 710 11675 12338 111 311 590
Province 6 245 650 861 8093 18648 18578 3220 21298 40605 1229 364 989
54.1 RUKUM WEST 10 71 46 855 1653 1508 234 1667 1539 16 101 233
55 SALYAN 12 34 50 1097 2526 2432 322 2907 4321 127 8 180
59 SURKHET 46 150 51 2109 5629 4948 1240 7677 9707 293 35 175
60 DAILEKH 21 122 164 1355 3076 3334 581 3450 7273 294 66 58
61 JAJARKOT 17 16 18 272 1309 1651 200 1594 3683 75 10 26
62 DOLPA 9 34 7 185 562 508 66 646 3934 11 0 29
63 JUMLA 4 1 374 609 785 1117 83 710 3008 20 10 20
64 KALIKOT 23 51 48 644 1075 1087 137 958 2626 166 35 38
65 MUGU 77 136 73 468 730 843 129 881 1965 148 78 125
66 HUMLA 26 35 30 499 1303 1150 228 808 2549 79 21 105
Province 7 485 1536 576 18140 30811 22373 3138 38798 52608 698 708 1487
67 BAJURA 28 114 51 1062 2373 2481 245 3271 4204 71 5 104
68 BAJHANG 27 71 9 1079 2518 2383 219 2035 4183 112 60 183
69 ACHHAM 56 129 119 1758 3231 3853 497 5073 8044 110 299 294
70 DOTI 28 109 38 1116 1857 2049 282 2477 3396 64 39 196
71 KAILALI 241 560 75 5163 8463 3832 895 12631 12774 202 77 288
72 KANCHANPUR 19 130 157 4744 4447 2548 296 5356 7619 18 13 175
73 DADELDHURA 46 201 28 888 2386 1727 327 2586 4287 24 61 90
74 BAITADI 11 90 81 1184 4082 2037 181 2995 4951 57 69 111
75 DARCHAULA 29 132 18 1146 1454 1463 196 2374 3150 40 85 46
Raw Data: OPD Morbidity
I. Ear, Nose and Throat Infection
Acute Suppurative
Suppurative Otitis
Pharyngitis/Sore
Reflux Laryngitis
Foreign Body in
Foreign Body in
Foreign Body in
Deviated Nasal
Acute Tonsilitis
Septum (DNS)
Otitis Externa
Nasal Polyps
Otitis Media
Sinusitis
Chronic
Rhinitis
Throat
Throat
Media
Organisation unit / Data
Nose
Wax
Ear
Nepal 286141 85331 320227 398818 214093 19404 7113 8127 80147 10884 19975 185799 49550 16995
Province 1 42891 12854 209428 116708 72064 4183 1967 3150 12856 2005 1917 25965 8678 2461
01 TAPLEJUNG 1573 332 1062 7135 2329 96 32 13 341 45 61 1015 287 22
02 PANCHTHAR 1278 168 676 8569 1994 75 21 8 170 11 9 990 170 11
03 ILAM 1867 277 1280 9878 3027 156 29 46 438 50 14 1452 268 72
04 JHAPA 5889 2345 5679 11855 8440 230 35 32 2812 138 137 4669 1586 145
05 MORANG 10943 4718 191124 13496 25839 2423 1468 2886 5369 1441 1507 4802 3099 1770
06 SUNSARI 7023 1777 2421 5182 3029 295 165 11 1195 39 4 2826 968 28
07 DHANKUTA 1334 149 925 9604 3642 103 18 7 139 25 19 915 282 58
08 TERHATHUM 1072 120 541 5917 2646 107 10 2 222 46 22 807 188 48
09 SANKHUWASABHA 1453 257 679 6917 3361 219 53 75 445 32 6 347 174 120
10 BHOJPUR 1429 241 794 9970 3119 120 32 12 359 25 24 705 261 20
11 SOLUKHUMBU 1193 328 648 4116 2434 78 14 11 246 34 7 1430 171 9
12 OKHALDHUNGA 1880 522 776 7286 3553 70 17 13 250 23 55 1946 203 74
13 KHOTANG 2563 354 1230 9577 3613 110 33 22 229 30 41 1947 302 62
14 UDAYAPUR 3394 1266 1593 7206 5038 101 40 12 641 66 11 2114 719 22
Province 2 59886 14799 10766 22687 12291 2448 596 401 11228 300 437 17156 7227 203
15 SAPTARI 9319 1384 1736 3812 2339 248 38 24 950 93 44 3516 1343 14
16 SIRAHA 7571 1488 2014 3833 2353 279 92 22 786 24 113 3203 682 29
17 DHANUSA 7808 1875 1409 2819 1713 355 128 71 1531 10 10 2050 523 48
18 MAHOTTARI 6162 1709 1769 2660 1047 316 84 26 1437 13 57 2380 717 31
19 SARLAHI 4101 1109 868 2036 1190 264 63 106 1010 80 43 1089 378 2
32 RAUTAHAT 8958 3303 946 2503 1333 490 63 43 2541 13 39 1457 1560 40
33 BARA 7013 1494 1023 2526 1168 185 69 44 1077 47 51 1618 1105 35
34 PARSA 8954 2437 1001 2498 1148 311 59 65 1896 20 80 1843 919 4
Province 3 50659 19998 41047 115211 62597 5076 2333 2494 27881 4693 12052 47185 14225 9209
20 SINDHULI 2476 514 1619 5278 2096 152 13 222 742 15 63 1809 325 32
21 RAMECHHAP 2462 518 1373 8906 4074 150 43 22 596 39 5 1658 292 14
22 DOLAKHA 1761 348 1329 8358 2468 150 40 41 446 41 3 2080 347 12
23 SINDHUPALCHOK 2785 656 2146 8211 4147 159 21 9 675 168 117 4685 408 98
24 KAVRE 4282 1910 2810 12244 5691 182 91 109 2155 74 1453 4718 499 1876
25 LALITPUR 4034 1686 4107 10108 6423 2160 1141 821 4563 204 421 4969 1396 194
26 BHAKTAPUR 4743 2942 2188 6650 5578 181 54 182 5732 423 1067 2704 2884 1235
27 KATHMANDU 9188 5341 13103 21423 14966 938 523 574 7552 2983 6139 9746 3709 2925
28 NUWAKOT 2652 667 1848 6051 2579 180 90 80 540 71 89 2453 338 30
29 RASUWA 647 82 194 1592 618 40 1 3 58 14 2 1206 79 1
30 DHADING 3523 791 1853 7924 3154 153 39 27 756 51 80 2763 478 25
31 MAKWANPUR 2435 478 876 4645 2077 75 25 23 402 21 96 1987 346 2
35 CHITAWAN 9671 4065 7601 13821 8726 556 252 381 3664 589 2517 6407 3124 2765
Province 4 26795 10793 24601 60246 24731 2156 860 841 11381 1958 2901 28950 5759 2553
36 GORKHA 3546 901 2059 9210 3345 163 30 12 791 60 44 2704 765 39
37 LAMJUNG 2486 818 1705 5580 1749 111 40 15 955 35 39 3779 420 327
38 TANAHU 2183 398 2223 5089 1826 374 208 290 936 154 12 2137 329 20
39 SYANGJA 1795 501 4032 5885 2114 157 38 12 848 15 39 3467 316 17
40 KASKI 7332 6422 6292 13101 7174 861 377 412 5621 1422 2557 6854 2799 2043
41 MANANG 92 23 312 555 130 11 1 2 21 12 0 131 11 0
42 MUSTANG 225 33 285 942 491 11 3 1 40 18 7 613 38 0
43 MYAGDI 2135 267 1072 3747 1281 138 43 28 188 19 23 813 199 0
44 PARBAT 1950 351 1905 5982 2075 116 50 12 570 173 75 2656 200 61
45 BAGLUNG 2794 553 2299 6618 3103 89 35 29 756 28 62 4173 257 42
48.1 NAWALPARASI EAST 2257 526 2417 3537 1443 125 35 28 655 22 43 1623 425 4
Province 5 55944 14312 19401 43681 24564 1936 613 734 9813 1204 1885 32920 7956 1968
46 GULMI 1031 441 1259 2242 1479 25 3 34 201 7 24 302 229 4
47 PALPA 2939 1377 3549 7674 4311 194 71 85 1434 260 726 3397 1333 545
48 NAWALPARASI WEST 3290 532 838 2048 1150 125 11 2 368 2 17 2611 338 71
49 RUPANDEHI 12004 3463 3893 6963 5183 361 328 456 2871 526 684 5839 1737 770
50 KAPILBASTU 7852 2352 3103 4023 2364 260 53 32 1500 35 73 6371 1661 127
51 ARGHAKHANCHI 1731 452 1060 3125 941 163 46 40 384 57 71 1537 317 137
52 PYUTHAN 3943 954 1253 4411 2737 116 17 9 734 139 16 2702 459 49
53 ROLPA 2060 510 618 2942 1189 53 15 14 138 17 5 1808 207 7
54 RUKUM EAST 528 85 248 404 396 45 18 5 117 9 1 812 48 0
56 DANG 6906 1178 1385 3655 2151 91 16 18 685 33 1 1534 359 12
57 BANKE 8387 1356 970 2401 901 273 29 26 398 96 15 2368 582 24
58 BARDIYA 5273 1612 1225 3793 1762 230 6 13 983 23 252 3639 686 222
Province 6 20295 6147 8228 18176 8681 1141 238 169 3076 226 273 11974 2484 295
54.1 RUKUM WEST 2086 862 535 2074 1140 166 51 46 454 86 69 986 268 129
55 SALYAN 3160 885 1406 2852 2078 100 15 56 484 12 26 1887 226 2
59 SURKHET 5253 1383 2287 4963 1860 335 53 16 711 20 54 2729 898 33
60 DAILEKH 3030 447 626 2235 802 83 45 17 170 19 50 1950 299 31
61 JAJARKOT 1450 673 352 1188 393 60 9 2 162 12 6 502 186 3
62 DOLPA 444 146 412 703 118 25 4 8 151 10 4 402 59 17
63 JUMLA 1416 514 755 1293 497 108 17 4 352 21 17 862 102 14
64 KALIKOT 1474 448 599 893 780 95 2 4 212 23 13 1659 152 5
65 MUGU 1214 394 587 793 646 98 33 13 218 21 19 529 203 45
66 HUMLA 768 395 669 1182 367 71 9 3 162 2 15 468 91 16
Province 7 29671 6428 6756 22109 9165 2464 506 338 3912 498 510 21649 3221 306
67 BAJURA 2344 555 389 1177 631 169 20 54 284 3 2 1559 382 28
68 BAJHANG 1769 632 757 1452 396 220 24 14 428 13 21 808 210 8
69 ACHHAM 3816 1232 530 2490 1619 342 43 32 423 106 97 5373 531 87
70 DOTI 3087 639 440 1408 603 271 40 10 524 58 223 1634 403 23
71 KAILALI 6478 1435 1796 4682 2507 626 255 188 980 92 33 6124 854 53
72 KANCHANPUR 4621 691 1161 3286 911 330 29 5 721 53 31 2042 247 35
73 DADELDHURA 2354 509 596 1722 791 229 30 2 292 58 42 709 297 27
74 BAITADI 3137 385 561 3777 952 179 45 24 90 9 4 1659 148 34
75 DARCHAULA 2065 350 526 2115 755 98 20 9 170 106 57 1741 149 11
Raw Data: OPD Morbidity
J. Oral Health Related Problems
degeneration (Age
Nightblindness/Vi
Colour Blindness
sual disturbance
Amblyopia (Lazy
Retinoblastoma
Refractive Error
Traumatic Eye
Exophthalmos
Conjunctivitis
Hypertensive
Retinopathy
Retinopathy
pigmentosa
Pterygium
Trachoma
Glaucoma
Entropion
Chalazion
Ectropion
Blindness
Cataract
Macular
Diabetic
Retinitis
related)
Disease
Uveitis
Squint
Organisation unit / Data
eye)
Sty
Nepal 393953 22421 184411 4940 217128 15250 2771 1732 21701 10257 9371 7074 5167 3267 19005 3781 5766 5929 2812 1230 25100 6282 1186
Province 1 74621 16872 92767 1294 108300 7634 1094 641 5630 3050 3013 2242 3522 1231 5517 1858 2739 3665 1285 464 10659 1179 343
01 TAPLEJUNG 3020 49 54 0 186 0 1 7 131 25 0 0 1 2 75 0 0 0 0 0 2 3 0
02 PANCHTHAR 3217 24 33 3 5 9 1 3 133 8 13 54 0 0 160 0 16 0 0 0 16 1 0
03 ILAM 3782 20 81 3 508 11 2 3 115 21 27 5 2 0 89 9 5 24 20 4 78 0 0
04 JHAPA 20313 15409 44058 235 50600 3440 230 131 1930 1509 1697 582 183 89 2781 1040 1636 2586 994 194 7247 77 25
05 MORANG 13004 843 48063 912 56035 4129 815 462 1706 1338 1270 1514 3307 1060 1506 773 1010 1044 248 263 3213 932 318
06 SUNSARI 5974 324 80 11 3 0 1 2 273 16 0 35 0 0 53 1 0 0 0 0 8 42 0
07 DHANKUTA 3029 12 9 0 7 10 0 10 142 6 0 0 0 1 26 0 0 0 0 1 3 4 0
08 TERHATHUM 2398 32 15 0 19 5 1 3 125 6 0 1 0 0 70 0 0 0 1 0 0 6 0
09 SANKHUWASABHA 2145 0 16 6 24 2 1 2 133 7 5 4 1 0 51 0 51 1 17 0 2 2 0
10 BHOJPUR 3133 41 134 69 662 6 0 2 137 26 0 0 8 1 232 7 1 3 0 1 32 7 0
11 SOLUKHUMBU 2778 28 59 3 15 9 0 0 125 1 0 22 0 0 83 10 0 0 0 1 15 8 0
12 OKHALDHUNGA 3956 16 42 5 109 5 3 3 170 6 0 14 0 0 216 0 7 1 1 0 21 15 0
13 KHOTANG 3544 29 57 0 121 1 0 4 287 18 0 4 0 0 82 0 0 0 4 0 17 2 0
14 UDAYAPUR 4328 45 66 47 6 7 39 9 223 63 1 7 20 78 93 18 13 6 0 0 5 80 0
Province 2 52088 819 31013 850 16269 359 42 28 2197 439 43 113 33 41 517 21 26 62 23 9 1330 2043 22
15 SAPTARI 5922 25 21 32 26 3 1 4 182 11 0 1 2 0 61 1 0 0 0 0 2 145 2
16 SIRAHA 6325 160 150 95 28 25 10 11 505 29 4 0 3 0 133 11 17 1 8 0 7 170 11
17 DHANUSA 5634 88 51 92 7 0 0 1 214 1 2 3 0 0 24 0 0 0 0 0 1 69 0
18 MAHOTTARI 4794 121 52 73 21 8 1 0 251 0 13 19 7 2 98 2 4 7 8 1 0 296 0
19 SARLAHI 4373 97 379 229 16 13 4 0 141 3 0 0 0 19 26 0 3 17 0 0 0 91 0
32 RAUTAHAT 5957 112 82 130 6 0 7 2 163 37 0 3 0 0 51 2 0 0 0 1 1 398 5
33 BARA 5702 95 40 24 27 5 10 1 224 25 0 3 3 6 65 3 0 0 0 1 2 428 4
34 PARSA 13381 121 30238 175 16138 305 9 9 517 333 24 84 18 14 59 2 2 37 7 6 1317 446 0
Province 3 81359 2787 12144 1802 39745 3473 979 348 4662 2768 4541 3034 843 315 3495 527 1068 877 468 156 3652 952 453
20 SINDHULI 3869 105 73 6 17 0 1 6 219 21 1 2 3 3 122 1 3 7 1 5 10 4 0
21 RAMECHHAP 4722 23 36 0 81 4 1 1 131 11 2 7 0 3 191 5 0 0 0 0 10 33 1
22 DOLAKHA 5028 30 173 308 300 13 0 4 206 16 45 55 11 4 257 11 8 9 20 4 33 65 0
23 SINDHUPALCHOK 6399 60 145 2 176 3 9 4 270 7 0 5 2 75 362 3 50 0 0 4 10 17 0
24 KAVRE 7021 59 227 36 3461 479 5 3 336 149 200 161 23 0 440 18 58 34 33 1 183 97 69
25 LALITPUR 7883 2289 1374 144 1791 920 196 99 822 864 1211 767 605 41 142 1 13 4 1 0 791 27 0
26 BHAKTAPUR 7264 9 2483 17 10515 233 128 1 520 399 134 117 1 57 221 64 32 115 41 22 840 109 328
27 KATHMANDU 13341 97 5317 700 18382 1630 606 193 1019 951 2690 1771 181 77 1009 366 707 554 336 115 1191 268 38
28 NUWAKOT 4979 21 49 17 56 5 0 18 208 41 1 0 0 0 102 4 4 4 1 1 13 6 11
29 RASUWA 1754 6 218 2 767 6 0 0 64 9 0 4 2 0 42 3 0 4 3 0 73 7 1
30 DHADING 6244 4 234 5 247 0 10 2 249 35 3 6 3 0 195 10 4 2 13 2 76 33 0
31 MAKWANPUR 4558 20 19 35 5 2 0 7 87 9 1 5 2 0 118 6 0 1 6 0 19 7 0
35 CHITAWAN 8297 64 1796 530 3947 178 23 10 531 256 253 134 10 55 294 35 189 143 13 2 403 279 5
Province 4 42630 1083 3800 664 8705 1315 174 175 2500 1261 960 908 250 285 3102 497 1126 511 146 267 2235 878 347
36 GORKHA 5567 32 94 4 48 6 0 4 222 13 0 1 1 0 220 0 1 0 1 0 17 5 0
37 LAMJUNG 6157 70 385 7 1893 29 10 2 296 98 23 6 39 9 250 45 10 51 70 0 142 5 0
38 TANAHU 4076 153 110 6 25 4 11 5 123 8 0 2 2 0 151 1 0 0 0 0 5 11 0
39 SYANGJA 2840 46 199 1 798 1 0 0 165 80 2 8 5 8 174 23 0 2 1 0 116 2 0
40 KASKI 8834 692 2098 593 4865 1242 133 151 708 793 928 885 162 256 1085 418 890 426 60 259 1321 765 346
41 MANANG 452 2 2 0 0 0 0 2 8 0 0 0 0 0 19 0 0 0 0 0 1 0 0
42 MUSTANG 1106 1 59 1 92 4 0 0 37 32 0 0 0 0 50 0 43 0 0 0 10 1 0
43 MYAGDI 3822 20 505 4 469 13 12 8 317 199 4 0 28 10 579 7 160 5 13 7 289 10 0
44 PARBAT 2506 30 280 39 383 9 3 1 218 22 1 1 8 0 306 2 16 15 1 0 292 31 1
45 BAGLUNG 3564 21 37 0 21 7 3 0 253 8 2 5 5 2 204 1 0 1 0 1 38 7 0
48.1 NAWALPARASI EAST 3706 16 31 9 111 0 2 2 153 8 0 0 0 0 64 0 6 11 0 0 4 41 0
Province 5 84938 341 31570 156 40915 2163 430 477 4197 2457 737 716 405 1357 3697 776 649 748 545 304 6683 930 10
46 GULMI 1037 38 3 0 8 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 5608 13 1219 10 1883 185 16 112 431 212 82 70 132 125 197 112 165 46 130 10 214 4 3
48 NAWALPARASI WEST 6829 52 5709 28 8473 93 16 10 412 357 40 16 1 1 253 148 33 58 47 12 852 82 0
49 RUPANDEHI 17311 80 6795 51 13685 762 115 101 1085 647 316 183 37 1209 74 77 63 24 75 2 785 90 0
50 KAPILBASTU 11588 36 31 21 8 5 5 5 541 33 67 78 1 6 115 21 0 13 3 1 7 231 0
51 ARGHAKHANCHI 2204 6 6 11 9 6 5 4 154 12 4 8 6 5 83 3 5 2 2 2 8 18 0
52 PYUTHAN 4164 12 57 1 1 2 0 1 129 4 0 0 0 0 91 2 2 2 6 0 1 14 0
53 ROLPA 2551 15 10 1 9 0 0 1 120 13 1 3 0 0 41 1 0 0 0 0 5 0 0
54 RUKUM EAST 1096 0 0 0 0 0 0 0 6 0 0 0 1 0 25 0 1 0 0 11 0 1 0
56 DANG 6041 6 25 4 18 0 1 0 306 6 8 2 3 0 54 0 0 1 0 0 26 6 0
57 BANKE 22122 55 17629 22 16811 1110 272 243 655 1149 218 356 222 5 2663 412 380 602 282 266 4781 366 7
58 BARDIYA 4387 28 86 7 10 0 0 0 336 24 1 0 2 6 101 0 0 0 0 0 4 118 0
Province 6 25239 251 292 31 142 26 11 31 1264 87 1 8 10 11 1077 18 9 17 4 17 62 121 3
54.1 RUKUM WEST 1289 23 16 0 3 0 5 1 197 17 0 0 1 0 110 0 0 5 0 8 8 0 0
55 SALYAN 3112 17 21 0 6 0 1 5 233 13 0 0 0 0 110 0 0 0 0 0 4 13 0
59 SURKHET 5487 55 62 2 27 3 0 3 278 16 0 0 0 4 272 4 2 8 1 2 34 16 0
60 DAILEKH 3370 4 9 2 15 0 0 1 120 12 1 1 0 2 60 10 4 3 0 1 4 14 0
61 JAJARKOT 2033 21 47 4 5 5 2 4 144 12 0 0 1 1 59 0 0 1 0 0 5 12 3
62 DOLPA 2157 13 5 1 2 0 0 1 18 4 0 4 6 1 59 0 0 0 1 0 0 1 0
63 JUMLA 2169 22 7 5 4 0 1 1 27 1 0 0 2 2 54 0 1 0 2 0 1 31 0
64 KALIKOT 1771 32 18 9 26 2 0 0 84 2 0 0 0 0 127 0 0 0 0 0 3 25 0
65 MUGU 1452 28 38 7 2 13 2 4 73 2 0 3 0 0 72 1 0 0 0 6 3 6 0
66 HUMLA 2399 36 69 1 52 3 0 11 90 8 0 0 0 1 154 3 2 0 0 0 0 3 0
Province 7 33078 268 12825 143 3052 280 41 32 1251 195 76 53 104 27 1600 84 149 49 341 13 479 179 8
67 BAJURA 2800 93 29 11 7 2 1 0 115 1 0 0 0 1 44 2 61 0 0 2 2 12 0
68 BAJHANG 2775 25 149 37 119 10 0 7 96 7 2 5 7 1 186 2 4 10 8 1 34 23 0
69 ACHHAM 3568 23 38 6 102 1 4 3 140 12 1 0 16 1 160 2 0 9 2 0 32 24 0
70 DOTI 3650 39 22 12 1 2 0 0 96 4 0 0 2 0 357 0 0 0 0 0 1 46 0
71 KAILALI 9580 56 12515 51 2820 257 24 19 275 145 69 42 76 24 429 67 84 17 328 10 403 21 6
72 KANCHANPUR 2902 2 9 2 0 4 2 1 203 3 4 3 1 0 38 0 0 0 0 0 3 24 0
73 DADELDHURA 2132 15 21 18 2 2 7 1 86 7 0 3 0 0 143 11 0 11 3 0 2 12 0
74 BAITADI 2828 10 25 6 0 1 2 1 88 5 0 0 1 0 91 0 0 2 0 0 1 1 2
75 DARCHAULA 2843 5 17 0 1 1 1 0 152 11 0 0 1 0 152 0 0 0 0 0 1 16 0
Raw Data: OPD Morbidity
L. Obstetrics Complications
Prolonged labour
Complications of
Ruptured Uterus
Puerperal Sepsis
Haemorrhage
Haemorrhage
Hypertension
Complication
Hyperemesis
Intrapartum
Antepartum
Antepartum
Grivadarum
Postpartum
Postpartum
Severe/Pre-
Obstructed
Pregnancy
Pregnancy
eclampsia
Eclampsia
Eclampsia
Eclampsia
labor and
Retained
Abortion
Placenta
Induced
delivery
Ectopic
Labour
Organisation unit / Data
Other
(PIH)
Nepal 3697 9181 6272 3493 2133 2366 2605 12434 4792 4543 4072 2605 5955 4010 28610 4591
Province 1 2255 3306 2900 2273 1897 2207 2019 3778 2200 2684 2503 2227 2376 2506 5084 1855
01 TAPLEJUNG 18 37 33 13 1 0 0 170 11 5 1 0 26 3 0 14
02 PANCHTHAR 0 15 0 0 1 0 0 7 1 37 4 0 8 37 9 2
03 ILAM 1 40 1 0 0 0 0 6 0 11 0 0 5 15 1537 4
04 JHAPA 27 465 30 2 4 0 4 423 1 106 5 0 24 24 20 12
05 MORANG 2195 2598 2780 2252 1885 2202 2015 3102 2175 2437 2457 2221 2249 2258 3415 1790
06 SUNSARI 0 68 45 0 0 0 0 15 0 8 4 4 17 38 10 3
07 DHANKUTA 8 4 4 0 3 2 0 6 0 4 0 0 2 19 1 7
08 TERHATHUM 2 2 0 0 0 0 0 0 0 0 0 0 0 6 40 1
09 SANKHUWASABHA 3 16 1 1 0 0 0 8 1 11 1 0 6 15 8 6
10 BHOJPUR 0 24 3 1 0 0 0 16 3 7 12 0 2 18 3 5
11 SOLUKHUMBU 0 10 2 1 2 0 0 1 0 1 1 0 7 7 9 1
12 OKHALDHUNGA 1 10 0 1 0 0 0 0 1 6 3 1 8 23 5 1
13 KHOTANG 0 10 1 0 0 0 0 6 0 9 3 1 14 16 3 1
14 UDAYAPUR 0 7 0 2 1 3 0 18 7 42 12 0 8 27 24 8
Province 2 97 284 248 88 73 25 54 306 132 200 93 19 386 208 96 57
15 SAPTARI 14 3 6 2 1 0 2 10 5 12 20 2 5 21 9 14
16 SIRAHA 18 135 127 21 30 9 27 55 23 28 20 7 103 31 20 18
17 DHANUSA 10 14 18 4 4 3 3 36 10 11 8 1 7 4 4 7
18 MAHOTTARI 2 23 18 3 0 0 4 11 20 28 7 1 55 37 17 2
19 SARLAHI 0 1 0 0 8 0 1 0 13 0 0 5 11 28 7 0
32 RAUTAHAT 0 64 40 42 16 1 12 146 40 74 7 2 165 67 20 13
33 BARA 40 14 19 6 2 0 0 35 8 14 4 0 16 1 0 3
34 PARSA 13 30 20 10 12 12 5 13 13 33 27 1 24 19 19 0
Province 3 904 2534 2124 938 47 71 380 5269 2014 753 519 268 1040 491 11610 2303
20 SINDHULI 45 284 212 1 0 0 2 405 2 6 0 0 30 44 492 0
21 RAMECHHAP 1 21 0 0 0 0 0 7 2 4 3 0 6 7 1 0
22 DOLAKHA 3 45 0 4 1 0 1 10 2 7 3 0 10 28 6 2
23 SINDHUPALCHOK 1 28 1 1 0 0 0 15 2 3 0 0 10 10 98 5
24 KAVRE 10 48 2 0 0 0 1 37 1 12 105 5 6 14 0 2
25 LALITPUR 68 34 222 5 0 0 4 2124 1618 1 13 11 698 76 136 2109
26 BHAKTAPUR 45 38 15 18 5 0 0 397 0 0 0 0 0 0 0 0
27 KATHMANDU 322 1299 1168 66 21 9 21 1415 153 362 297 214 126 83 3359 64
28 NUWAKOT 4 38 36 2 0 0 0 33 2 9 1 1 43 30 3 14
29 RASUWA 0 2 0 0 0 0 0 1 1 1 0 0 2 3 0 0
30 DHADING 1 62 8 2 2 0 2 15 4 53 8 0 11 39 63 9
31 MAKWANPUR 12 10 3 2 0 0 1 0 2 3 1 0 17 19 147 19
35 CHITAWAN 392 625 457 837 18 62 348 810 225 292 88 37 81 138 7305 79
Province 4 203 993 355 53 55 34 85 2126 160 183 99 41 297 139 1587 52
36 GORKHA 2 5 1 0 1 1 0 5 0 2 3 0 0 2 2 0
37 LAMJUNG 12 34 11 2 1 3 11 333 15 0 0 2 6 0 13 4
38 TANAHU 8 19 4 0 0 0 1 33 2 9 34 1 1 9 0 2
39 SYANGJA 1 37 1 1 0 2 0 7 4 49 1 4 9 46 23 1
40 KASKI 176 823 316 44 47 28 68 1685 136 83 44 34 234 35 1481 34
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
43 MYAGDI 1 14 1 0 0 0 0 12 0 3 0 0 0 4 0 1
44 PARBAT 0 9 0 0 0 0 0 0 0 0 0 0 5 5 2 0
45 BAGLUNG 2 9 1 3 2 0 0 12 3 7 1 0 6 11 7 3
48.1 NAWALPARASI EAST 1 43 20 3 4 0 5 38 0 30 16 0 36 27 59 7
Province 5 140 1218 435 111 29 17 37 765 154 520 702 29 1520 248 7195 116
46 GULMI 0 70 44 0 0 0 0 5 0 0 0 0 0 0 85 0
47 PALPA 23 175 17 21 14 3 8 37 39 106 319 2 100 34 126 23
48 NAWALPARASI WEST 5 25 25 11 0 2 0 1 5 22 0 0 28 23 34 2
49 RUPANDEHI 21 422 74 17 1 3 2 434 6 152 69 11 1209 21 6603 28
50 KAPILBASTU 4 174 224 12 5 2 11 203 10 21 3 0 38 12 5 2
51 ARGHAKHANCHI 35 41 40 22 5 5 0 31 51 61 41 5 65 33 39 25
52 PYUTHAN 4 56 1 1 1 0 0 7 6 12 3 2 38 20 78 13
53 ROLPA 4 62 0 0 0 0 1 2 1 11 6 0 5 19 61 5
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 9 8 1 1 9 0 0
56 DANG 6 65 9 4 0 0 6 19 6 4 0 6 12 41 18 6
57 BANKE 37 79 0 9 0 0 7 1 17 99 210 2 10 28 122 11
58 BARDIYA 1 49 1 14 3 2 2 25 13 23 43 0 14 8 24 1
Province 6 49 382 134 19 22 2 12 82 42 85 49 7 79 169 70 155
54.1 RUKUM WEST 19 95 70 2 1 0 0 10 4 8 4 0 4 10 5 126
55 SALYAN 1 32 10 0 0 0 0 34 2 1 0 0 3 16 3 1
59 SURKHET 8 64 5 1 1 0 2 1 12 16 4 0 16 21 5 6
60 DAILEKH 1 74 37 0 0 0 0 28 6 7 13 0 7 36 31 10
61 JAJARKOT 0 31 0 1 1 0 0 0 3 10 3 0 7 13 1 4
62 DOLPA 2 18 3 0 0 0 0 0 3 2 0 1 5 5 3 0
63 JUMLA 17 33 5 13 18 2 10 8 7 13 18 3 25 14 4 2
64 KALIKOT 1 33 3 1 1 0 0 0 5 17 7 0 8 34 16 5
65 MUGU 0 2 1 1 0 0 0 1 0 2 0 0 1 8 1 1
66 HUMLA 0 0 0 0 0 0 0 0 0 9 0 3 3 12 1 0
Province 7 49 464 76 11 10 10 18 108 90 118 107 14 257 249 2968 53
67 BAJURA 7 33 0 1 0 0 0 0 3 5 3 0 14 28 8 9
68 BAJHANG 7 37 0 0 0 1 1 3 2 6 16 0 14 21 1 4
69 ACHHAM 2 41 2 2 5 0 1 3 11 8 25 1 47 40 11 12
70 DOTI 1 63 0 0 1 0 1 9 5 9 3 0 28 45 55 4
71 KAILALI 18 206 63 3 2 9 14 91 54 38 48 10 112 54 46 15
72 KANCHANPUR 9 29 2 2 0 0 0 0 2 0 2 0 6 6 2834 2
73 DADELDHURA 5 36 3 3 2 0 0 2 11 47 9 1 27 33 5 5
74 BAITADI 0 11 6 0 0 0 1 0 1 3 1 0 7 19 7 1
75 DARCHAULA 0 8 0 0 0 0 0 0 1 2 0 2 2 3 1 1
Raw Data: OPD Morbidity
M. Gynae Problems N. Mental Health related problems
Dipsomania, Drug)
disorder (Hysteria)
(Mental disorder)
Prolapsed Uterus
fertility/Infertility
Uterine Bleeding
Bipolar Affective
Acute psychotic
Phobic anxiety
Schizophrenia
Mental Illness
Addiction (ch.
Inflammatory
Other Anxiety
Disfunctional
Disease (PID)
Retardation
Sub-fertility
Compulsive
acoholisim,
Depression
Conversive
Obsessive-
Menstrual
Dementia
Migraine
(Female)
Neurosis
Disorder
Disorder
disorder
disorder
Epilepsy
Mental
(Male)
Organisation unit / Data
(DUB)
Pelvic
Sub-
Nepal 139526 19673 71931 41539 9270 1870 4965 16566 10205 10000 10522 37283 13569 28494 3810 8019 9122 5156 15645 30636 10003
Province 1 18834 4863 14026 8193 2454 676 1066 2195 751 1011 523 3653 1401 3425 661 1538 2141 1395 1632 3487 1112
01 TAPLEJUNG 408 68 349 163 4 3 0 80 5 19 4 80 20 54 1 58 58 7 8 63 19
02 PANCHTHAR 480 54 350 161 2 0 1 6 1 1 0 12 1 22 1 3 3 1 6 29 2
03 ILAM 798 50 546 249 14 0 7 2 11 22 10 107 12 150 1 12 28 17 71 143 6
04 JHAPA 3224 249 2034 1241 462 42 11 75 0 24 11 413 15 321 15 18 214 15 34 891 9
05 MORANG 6104 3445 5987 4331 1919 626 980 1728 647 918 474 1791 1097 2022 584 1307 1568 1311 1230 1493 1018
06 SUNSARI 754 97 591 291 1 0 0 47 7 0 0 257 3 20 0 8 88 0 68 213 2
07 DHANKUTA 644 51 256 117 2 2 2 35 2 3 5 70 4 34 2 11 15 0 3 39 12
08 TERHATHUM 378 18 167 192 5 0 1 10 0 0 0 23 11 7 0 3 12 0 3 26 2
09 SANKHUWASABHA 1453 107 1206 177 8 1 26 72 0 12 2 50 0 60 2 9 10 6 30 136 12
10 BHOJPUR 383 97 247 136 0 0 29 61 1 0 1 37 3 13 0 3 6 2 16 60 3
11 SOLUKHUMBU 467 58 565 228 4 0 2 23 19 6 10 49 18 50 10 13 18 1 63 50 3
12 OKHALDHUNGA 983 51 551 182 4 0 5 22 43 2 1 307 9 289 3 10 37 8 59 54 2
13 KHOTANG 1007 143 359 211 7 0 0 2 0 0 0 22 4 6 0 39 38 2 4 35 0
14 UDAYAPUR 1751 375 818 514 22 2 2 32 15 4 5 435 204 377 42 44 46 25 37 255 22
Province 2 5018 691 4357 1655 97 10 440 353 240 109 99 1373 142 577 97 274 307 197 310 1029 217
15 SAPTARI 435 75 449 146 1 0 23 14 8 0 0 169 0 18 0 6 8 2 1 30 0
16 SIRAHA 893 180 724 398 34 7 37 83 22 21 6 193 28 28 13 6 9 4 44 188 42
17 DHANUSA 383 53 316 171 7 0 11 2 0 3 0 125 2 48 0 0 61 17 4 68 14
18 MAHOTTARI 857 132 797 303 13 0 31 22 0 5 1 217 13 11 2 27 13 28 29 133 41
19 SARLAHI 167 12 179 58 0 0 0 0 0 0 0 37 6 23 0 3 1 7 1 7 4
32 RAUTAHAT 810 137 835 210 12 0 30 10 9 0 5 291 3 151 0 69 18 60 7 68 8
33 BARA 925 49 567 117 6 2 6 2 2 0 2 59 1 18 2 2 24 3 9 156 2
34 PARSA 548 53 490 252 24 1 302 220 199 80 85 282 89 280 80 161 173 76 215 379 106
Province 3 41266 7211 24597 12813 4869 697 2005 7822 6646 5909 6501 15977 5623 9659 1198 2707 3630 1858 7303 16160 5422
20 SINDHULI 1372 409 1172 522 227 15 11 24 7 20 2 64 19 67 4 23 8 4 183 62 141
21 RAMECHHAP 1375 249 1374 413 5 3 1 55 3 41 10 638 53 288 6 26 13 5 249 304 28
22 DOLAKHA 1411 149 391 192 4 5 4 137 0 34 2 121 16 199 15 97 50 14 198 187 96
23 SINDHUPALCHOK 1532 249 694 394 13 1 3 33 0 10 19 73 29 133 7 42 59 24 14 137 30
24 KAVRE 4343 450 2606 856 646 31 39 696 128 182 132 1828 265 1005 114 26 591 9 62 515 312
25 LALITPUR 5500 1380 2044 757 433 140 165 2974 4481 2821 2591 2411 1024 1982 189 503 458 227 479 2653 2240
26 BHAKTAPUR 3719 237 1241 733 137 22 18 141 93 70 31 433 150 230 1 267 579 2 30 928 5
27 KATHMANDU 11485 2623 9603 5215 2212 318 1472 1825 458 780 971 5423 2678 3928 362 1026 1137 675 3891 9662 1060
28 NUWAKOT 1476 187 653 301 8 0 17 44 0 7 24 109 2 70 0 24 28 5 15 244 18
29 RASUWA 319 6 123 82 2 0 0 4 2 7 1 18 1 44 0 6 0 1 8 6 7
30 DHADING 1919 262 766 645 34 11 4 34 11 33 9 263 26 181 7 77 166 7 107 174 70
31 MAKWANPUR 1087 122 471 296 0 0 1 4 3 223 0 150 3 190 0 42 5 10 615 18 21
35 CHITAWAN 5728 888 3459 2407 1148 151 270 1851 1460 1681 2709 4446 1357 1342 493 548 536 875 1452 1270 1394
Province 4 22799 2289 8972 5243 776 169 443 3308 856 1801 1852 6232 2837 4826 969 1212 887 695 2424 3746 1205
36 GORKHA 2831 193 808 387 15 1 10 173 27 80 5 1349 24 136 2 88 58 21 445 77 63
37 LAMJUNG 1823 128 728 288 5 0 10 74 0 11 1 319 28 229 1 18 5 7 199 134 17
38 TANAHU 1541 183 996 345 27 13 6 141 12 41 11 112 39 181 15 110 34 11 201 391 27
39 SYANGJA 1154 69 534 213 21 0 5 112 3 5 10 275 33 381 7 156 26 12 30 90 29
40 KASKI 9994 1367 4169 3196 653 129 376 2547 810 1657 1825 3711 2629 3320 910 564 613 621 1450 2695 1033
41 MANANG 27 0 15 5 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0
42 MUSTANG 126 1 25 22 0 0 4 1 0 0 0 2 1 7 0 9 7 2 5 2 0
43 MYAGDI 914 28 364 182 4 0 6 3 1 1 0 1 0 80 0 68 50 0 2 4 3
44 PARBAT 988 150 201 125 7 0 7 170 0 5 0 53 1 31 13 98 5 0 6 33 10
45 BAGLUNG 2190 142 779 375 44 19 19 26 1 0 0 255 75 392 0 18 61 8 28 214 16
48.1 NAWALPARASI EAST 1211 28 353 105 0 7 0 61 2 1 0 154 7 69 21 82 27 13 57 106 7
Province 5 22050 2277 11691 6049 751 152 815 2074 1557 902 1411 6498 3149 7514 742 1758 1464 892 2859 4549 1529
46 GULMI 518 57 186 68 0 0 1 20 1 0 3 68 43 39 5 0 1 0 19 65 9
47 PALPA 3138 934 1908 1162 312 20 255 507 364 338 397 3024 1490 4727 266 485 251 70 1285 1574 344
48 NAWALPARASI WEST 1178 22 1088 579 7 4 0 20 0 0 1 81 13 115 0 0 44 15 23 47 39
49 RUPANDEHI 4638 313 3166 1242 193 74 441 960 940 327 923 1624 1170 1258 332 944 894 726 710 1552 816
50 KAPILBASTU 2689 143 1921 550 81 23 31 258 0 61 2 286 33 67 5 92 50 7 18 463 113
51 ARGHAKHANCHI 1088 158 274 256 50 25 35 80 57 40 34 304 153 202 64 119 89 34 102 243 60
52 PYUTHAN 1936 104 479 325 4 1 24 24 170 102 27 235 5 147 4 11 4 1 370 128 56
53 ROLPA 1325 110 496 216 22 3 3 35 1 16 13 85 46 181 2 8 10 1 23 17 2
54 RUKUM EAST 199 28 65 28 0 0 0 0 0 0 0 9 0 28 0 1 24 0 0 3 0
56 DANG 2497 302 746 637 14 0 17 23 2 13 6 212 54 390 43 45 13 4 100 255 35
57 BANKE 1218 46 407 292 9 2 8 12 0 1 5 326 55 95 11 11 58 24 159 76 12
58 BARDIYA 1626 60 955 694 59 0 0 135 22 4 0 244 87 265 10 42 26 10 50 126 43
Province 6 14331 1154 3017 2477 131 92 86 338 48 73 56 961 179 954 65 188 402 53 362 622 238
54.1 RUKUM WEST 1520 100 404 332 57 61 1 5 1 35 0 279 49 117 23 72 48 6 148 229 60
55 SALYAN 1413 148 515 431 6 1 2 31 20 17 2 371 93 417 0 9 7 7 123 87 19
59 SURKHET 2866 185 605 527 21 2 11 34 11 3 41 98 6 167 5 53 186 11 48 112 7
60 DAILEKH 2070 227 302 492 11 5 21 44 2 6 0 53 5 102 36 17 121 13 19 19 71
61 JAJARKOT 1237 206 299 232 7 0 3 5 0 0 0 16 0 53 0 3 0 0 4 44 5
62 DOLPA 646 14 248 9 0 1 0 192 0 4 0 7 1 0 0 0 0 5 15 56 0
63 JUMLA 2471 162 254 57 7 3 20 7 5 8 13 113 20 35 1 19 12 9 5 28 12
64 KALIKOT 1146 50 275 258 7 3 22 8 0 0 0 16 0 26 0 10 27 2 0 30 54
65 MUGU 618 50 55 78 14 16 6 12 9 0 0 7 5 37 0 1 0 0 0 17 9
66 HUMLA 344 12 60 61 1 0 0 0 0 0 0 1 0 0 0 4 1 0 0 0 1
Province 7 15228 1188 5271 5109 192 74 110 476 107 195 80 2589 238 1539 78 342 291 66 755 1043 280
67 BAJURA 1062 59 330 328 4 6 16 3 0 1 0 43 2 72 0 38 41 1 1 7 7
68 BAJHANG 820 95 300 379 14 2 2 8 1 1 0 112 15 126 0 4 21 3 50 38 19
69 ACHHAM 1507 256 682 844 31 10 7 100 90 97 30 1250 35 691 5 68 41 20 285 223 12
70 DOTI 1342 173 252 328 10 4 4 5 1 7 3 161 9 77 4 47 1 11 59 58 71
71 KAILALI 4695 338 2099 1434 104 35 42 33 10 77 45 643 117 352 62 95 38 15 166 492 147
72 KANCHANPUR 2141 72 758 904 11 7 35 314 0 4 0 177 19 23 0 28 28 4 104 114 14
73 DADELDHURA 1262 38 388 270 16 10 0 13 5 8 0 154 37 103 5 60 93 12 84 69 10
74 BAITADI 1396 91 273 347 1 0 1 0 0 0 0 3 0 16 1 0 16 0 0 19 0
75 DARCHAULA 1003 66 189 275 1 0 3 0 0 0 2 46 4 79 1 2 12 0 6 23 0
Raw Data: OPD Morbidity
O. Malignancy P. Cardiovascular & Respiratory Related Problems
Lymphoma Cancer
Pancreatic Cancer
Bronchial Asthma
Congestive Heart
Acute Rheumatic
Rheumatic Heart
Colorectal (colon
Nasopharyngeal
Stomach Cancer
Urinary bladder
Marrow Cancer
Lung/Bronchial
Thyroid Cancer
Cardiac Failure
Ischemic Heart
Cardiovascular
Breast Cancer
Cervical/Uteri
Ovary Cancer
Hypertension
Other Cancer
Head & Neck
with rectum)
Oesophagus
Liver Cancer
Gall bladder
Bone/ Bone
Oral Cancer
Disease
Disease
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Failure
cancer
Organisation unit / Data
Other
COPD
Fever
Nepal 1863 1425 1885 290 808 301 430 262 256 447 538 392 319 607 441 142 866 2725 329593 6501 6295 210393 10104 13092 11409 22310 223123
Province 1 46 82 20 1 19 2 15 2 19 10 6 14 0 0 5 0 7 24 58495 359 367 24014 1206 1227 519 1508 25311
01 TAPLEJUNG 2 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 7 0 1915 41 0 664 51 100 21 5 776
02 PANCHTHAR 1 0 0 0 0 2 0 0 0 0 0 4 0 0 0 0 0 0 2414 2 0 363 82 5 3 3 525
03 ILAM 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4939 4 5 680 33 5 0 59 850
04 JHAPA 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 11137 27 37 5509 407 304 69 292 4377
05 MORANG 31 79 19 0 18 0 15 2 19 9 6 6 0 0 5 0 0 15 18007 202 218 7817 335 700 393 979 5324
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4639 12 0 1899 51 24 18 34 3558
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1696 3 3 503 58 10 1 2 954
08 TERHATHUM 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1327 5 2 586 2 0 1 0 647
09 SANKHUWASABHA 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1797 5 1 812 25 10 0 6 888
10 BHOJPUR 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1117 0 2 524 21 4 2 34 1108
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3030 8 1 681 57 20 2 26 861
12 OKHALDHUNGA 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3 1287 42 1 936 22 18 6 35 1789
13 KHOTANG 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1465 0 5 1259 25 4 0 8 1652
14 UDAYAPUR 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3725 8 92 1781 37 23 3 25 2002
Province 2 16 2 0 4 1 29 0 0 0 0 1 0 0 0 0 4 69 7 29356 284 258 12848 738 344 155 588 28626
15 SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2688 3 16 1943 16 0 0 21 4348
16 SIRAHA 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 17 0 5974 46 66 2197 119 56 0 91 3622
17 DHANUSA 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4511 8 2 1779 33 13 0 32 3720
18 MAHOTTARI 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3384 49 22 1232 159 30 0 39 3065
19 SARLAHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1892 0 7 885 0 6 0 23 3417
32 RAUTAHAT 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 15 0 3592 10 3 1945 111 52 37 77 4053
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 2485 8 22 977 41 50 17 80 2872
34 PARSA 13 0 0 4 1 0 0 0 0 0 1 0 0 0 0 1 0 5 4830 160 120 1890 259 137 101 225 3529
Province 3 1345 928 1177 186 547 209 255 126 190 277 398 337 231 383 218 81 673 1492 124154 3090 3261 74701 3578 6598 5929 14319 53171
20 SINDHULI 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 155 163 3502 18 4 1225 29 6 1 2 1076
21 RAMECHHAP 5 0 2 0 0 0 2 0 0 0 0 1 0 0 0 0 1 0 2955 14 34 1346 49 70 26 26 2761
22 DOLAKHA 5 1 6 1 3 2 0 1 1 0 4 3 3 3 4 0 2 0 2267 42 39 2640 23 17 16 12 2017
23 SINDHUPALCHOK 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 5 1 0 2813 18 35 3925 299 28 4 65 3983
24 KAVRE 4 12 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 9398 474 447 8425 634 1243 961 2117 5819
25 LALITPUR 721 206 447 28 168 37 116 47 38 103 143 62 81 184 72 8 151 340 17014 15 551 10809 118 1304 837 1811 7454
26 BHAKTAPUR 336 535 456 59 157 72 50 52 104 100 153 196 117 80 84 29 292 561 4884 4 10 5052 622 269 119 990 1984
27 KATHMANDU 129 76 193 51 168 35 84 25 15 47 66 8 9 42 10 4 9 264 53826 1925 1391 22483 1293 1820 2687 6419 12675
28 NUWAKOT 14 19 11 27 0 3 0 0 0 0 0 0 0 0 0 0 5 1 3247 25 33 2920 140 59 0 28 3236
29 RASUWA 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 2 0 297 0 4 2 6 451
30 DHADING 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 5445 11 46 2768 24 9 6 34 3458
31 MAKWANPUR 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 1 2002 7 4 1586 27 9 6 19 1946
35 CHITAWAN 122 78 60 20 51 59 3 1 32 27 31 67 20 73 48 35 33 161 16548 535 667 11225 320 1760 1264 2790 6311
Province 4 390 267 616 87 224 40 150 128 39 149 128 30 79 182 209 55 58 1034 57937 1571 1197 34368 1874 3336 4057 3708 30212
36 GORKHA 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 5868 141 60 5177 31 661 1 97 3251
37 LAMJUNG 1 2 0 1 5 0 0 0 0 0 1 3 0 0 0 1 0 0 2907 33 14 2277 17 11 0 22 2895
38 TANAHU 1 1 0 0 0 0 0 1 0 0 0 0 0 1 2 0 2 0 4451 9 17 3075 190 162 11 74 2408
39 SYANGJA 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6492 2 2 1947 27 1 6 74 2441
40 KASKI 377 263 615 86 219 40 145 127 38 149 126 25 78 175 103 37 53 1032 25142 1359 1070 15778 1534 2335 4034 3348 11710
41 MANANG 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 332 0 0 29 0 0 0 0 50
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 682 1 0 50 0 0 0 1 62
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 6 103 17 0 0 931 0 1 808 6 24 1 3 737
44 PARBAT 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 3126 3 2 1594 3 8 0 8 1865
45 BAGLUNG 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 4265 23 29 1793 34 7 4 11 1654
48.1 NAWALPARASI EAST 11 0 0 0 0 0 2 0 0 0 0 2 0 0 0 0 0 0 3741 0 2 1840 32 127 0 70 3139
Province 5 47 138 54 3 15 4 10 5 1 9 3 8 7 40 8 2 18 117 40000 661 698 28148 1637 885 651 1624 35669
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 922 0 2 907 1 1 0 80 163
47 PALPA 21 121 43 3 15 3 8 4 1 5 2 3 7 40 6 2 4 70 7761 54 360 4626 23 394 77 308 3603
48 NAWALPARASI WEST 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 3482 6 91 2317 617 7 7 50 2624
49 RUPANDEHI 8 8 1 0 0 0 1 0 0 1 1 1 0 0 2 0 3 19 8940 376 181 5640 241 279 350 704 7392
50 KAPILBASTU 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4162 20 9 2490 91 23 26 80 3358
51 ARGHAKHANCHI 5 9 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 1897 105 8 1595 39 30 36 84 1673
52 PYUTHAN 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2790 4 2 2466 6 24 0 0 2755
53 ROLPA 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 611 18 1 1089 97 20 0 1 1410
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 182 1 0 81 96 0 0 0 489
56 DANG 1 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 3549 39 16 2481 108 80 42 172 4878
57 BANKE 1 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 0 15 2999 37 14 1620 317 25 113 82 4088
58 BARDIYA 1 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 2 2705 1 14 2836 1 2 0 63 3236
Province 6 5 5 5 0 1 4 0 0 0 0 0 2 0 1 0 0 34 13 7912 293 180 14651 502 293 19 316 19177
54.1 RUKUM WEST 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 715 153 100 1128 97 152 0 23 1568
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1230 77 2 2237 62 9 0 6 3157
59 SURKHET 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2982 15 7 2670 9 1 0 7 4274
60 DAILEKH 3 3 5 0 1 1 0 0 0 0 0 2 0 1 0 0 0 6 1002 18 0 1721 64 56 13 39 4240
61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 419 4 0 1071 7 0 0 2 1086
62 DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 2 532 8 0 0 5 490
63 JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 774 8 7 2643 20 34 0 1 1024
64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 185 11 2 1094 39 25 5 192 1551
65 MUGU 1 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 29 0 146 3 57 712 107 16 1 28 839
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 4 3 843 89 0 0 13 948
Province 7 14 3 13 9 1 13 0 1 7 2 2 1 2 1 1 0 7 38 11739 243 334 21663 569 409 79 247 30957
67 BAJURA 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 23 384 1 0 2108 120 29 2 29 2847
68 BAJHANG 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 351 2 0 1285 37 1 0 18 2030
69 ACHHAM 4 3 13 1 1 4 0 1 0 2 2 1 1 1 1 0 2 12 2651 122 200 3310 60 78 19 47 4404
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 841 13 10 1027 4 13 1 0 1786
71 KAILALI 7 0 0 8 0 9 0 0 7 0 0 0 0 0 0 0 1 1 4622 96 102 3888 124 99 57 66 5353
72 KANCHANPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1190 1 16 2473 122 174 0 77 5335
73 DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 767 5 0 3346 4 10 0 3 3433
74 BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553 1 6 2775 97 2 0 4 3369
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 2 0 1451 1 3 0 3 2400
Raw Data: OPD Morbidity
Q. Other Diseases & Injuries
Disability(Disabled
Insect/Wasp Bite
Abdominal pain
Snake Bite-Non
Burns & Scalds
Gastritis (APD)
Chronic Renal
Cirrhosis Liver
Other Rabies
Acute Renal
Toxic Effect
Animal Bite
Susceptible
Snake Bite-
Syndrome
Poisonous
Poisonous
Headache
Nephrotic
Nephritis
Dog Bite
Physical
Person)
Failure
Failure
Organisation unit / Data
PUO
Nepal 6683 7720 13078 18297 1003575 616058 1050401 31462 390874 11072 55090 2345 37226 2518 912 5209 7792
Province 1 1680 1339 2184 2797 156828 85511 157469 4014 55124 2048 7942 360 6477 426 81 600 258
01 TAPLEJUNG 38 14 180 169 6705 3002 6483 258 2318 49 570 20 292 36 13 36 7
02 PANCHTHAR 9 0 4 13 8204 4456 5875 80 1669 10 419 2 217 31 1 19 0
03 ILAM 2 1 10 38 11116 3449 10077 214 3209 23 472 11 194 27 2 5 19
04 JHAPA 133 72 206 203 19069 13444 26973 376 11172 50 979 7 330 11 0 0 7
05 MORANG 1437 1246 1572 1663 22201 9517 25788 606 11121 1491 1151 114 1045 13 2 255 166
06 SUNSARI 12 0 12 148 13698 15993 18042 1028 7279 213 988 11 1749 153 1 0 6
07 DHANKUTA 22 0 18 45 6387 3620 5644 182 1936 44 354 8 177 15 6 20 0
08 TERHATHUM 0 0 18 25 4171 3260 4360 171 991 32 226 4 166 15 0 23 22
09 SANKHUWASABHA 13 0 60 188 9567 3104 8782 188 2199 31 364 21 310 15 10 49 2
10 BHOJPUR 1 1 51 31 10808 4215 5902 113 1792 18 443 12 246 19 8 34 3
11 SOLUKHUMBU 0 0 6 21 6156 2368 7805 152 1732 11 308 11 162 16 8 19 1
12 OKHALDHUNGA 1 0 7 10 13107 6865 10438 176 2533 7 336 35 255 16 7 9 1
13 KHOTANG 0 0 4 133 12251 4226 9238 242 2594 10 560 22 402 25 19 52 2
14 UDAYAPUR 12 5 36 110 13388 7992 12062 228 4579 59 772 82 932 34 4 79 22
Province 2 250 254 431 756 116641 164280 136738 3786 61138 1169 9099 347 6906 239 351 1546 897
15 SAPTARI 23 22 39 72 14386 18532 20656 182 7190 34 906 6 59 2 0 402 31
16 SIRAHA 10 28 42 184 17717 22728 18531 391 10185 209 1131 31 911 39 77 91 493
17 DHANUSA 12 4 21 19 13175 8408 17987 650 7433 135 885 14 261 5 0 0 2
18 MAHOTTARI 41 40 61 25 14079 12572 17810 397 8691 127 1127 18 844 14 3 3 4
19 SARLAHI 15 0 27 53 10728 13900 10346 445 6472 72 591 32 1400 2 28 172 104
32 RAUTAHAT 4 3 25 213 18107 37260 19395 644 8496 177 1944 29 1177 64 218 744 0
33 BARA 9 23 35 13 14936 24437 16071 504 6522 139 1161 98 930 12 22 134 2
34 PARSA 136 134 181 177 13513 26443 15942 573 6149 276 1354 119 1324 101 3 0 261
Province 3 2907 3425 6798 8963 219117 127017 237638 8379 79494 3525 10765 454 6983 545 105 409 942
20 SINDHULI 18 2 15 29 12008 11296 9006 311 4358 157 423 22 647 59 6 40 18
21 RAMECHHAP 16 28 33 43 15355 8762 13772 315 4096 47 652 5 835 40 18 22 77
22 DOLAKHA 7 5 30 77 13163 3962 15950 237 2880 46 688 8 898 50 6 52 49
23 SINDHUPALCHOK 9 2 38 144 21043 18320 17792 391 3207 57 764 72 416 23 7 22 241
24 KAVRE 1 3 46 7 20610 11054 16666 736 4225 61 1107 22 763 14 12 32 24
25 LALITPUR 1976 2242 4278 4606 19694 7527 22015 770 10751 623 725 21 392 53 2 5 3
26 BHAKTAPUR 38 44 95 320 7925 9450 10155 822 4026 620 444 30 170 14 1 3 121
27 KATHMANDU 617 996 2020 2159 42477 24007 55787 2494 25144 1513 2637 171 1440 159 11 18 233
28 NUWAKOT 16 1 6 314 13645 4897 13641 619 3251 178 767 34 492 41 5 25 4
29 RASUWA 0 0 7 9 3009 1912 3667 20 455 1 139 0 43 2 1 2 21
30 DHADING 21 4 22 112 16919 5204 16269 358 4265 27 724 6 435 21 16 87 13
31 MAKWANPUR 26 0 0 85 9769 8749 9266 487 2477 57 458 29 92 15 11 31 36
35 CHITAWAN 162 98 208 1058 23500 11877 33652 819 10359 138 1237 34 360 54 9 70 102
Province 4 796 2005 1335 2122 120840 46357 135550 4274 44659 1544 6818 376 3036 313 99 1051 3750
36 GORKHA 18 15 81 146 19351 5925 19769 928 4568 141 1084 49 432 54 7 45 134
37 LAMJUNG 4 6 28 53 11906 9272 13659 526 3567 72 822 15 233 61 4 81 44
38 TANAHU 44 14 111 136 12583 2960 14021 392 4152 57 617 28 185 23 13 92 39
39 SYANGJA 2 1 23 24 12559 3016 12209 497 7326 24 738 2 494 19 17 209 222
40 KASKI 701 1966 1032 1641 19109 11446 34279 802 14468 1010 970 236 485 26 44 301 2995
41 MANANG 0 0 0 0 760 165 1883 14 179 0 21 0 15 0 0 0 0
42 MUSTANG 0 0 0 1 1446 382 2113 33 382 8 106 4 35 2 1 1 0
43 MYAGDI 1 1 2 32 7206 3502 6973 87 1037 25 431 6 112 3 0 30 284
44 PARBAT 0 0 4 23 10904 2230 9739 342 2287 21 510 1 255 23 5 106 2
45 BAGLUNG 16 1 13 18 14008 643 12448 233 3001 48 920 8 231 3 1 90 9
48.1 NAWALPARASI EAST 10 1 41 48 11008 6816 8457 420 3692 138 599 27 559 99 7 96 21
Province 5 700 655 1403 2406 162365 102286 167172 5457 64705 1294 8599 464 6649 595 179 1040 700
46 GULMI 2 0 14 58 2832 2443 3050 569 621 54 91 12 81 23 0 24 0
47 PALPA 28 53 95 132 13395 6043 16420 580 4948 168 772 110 427 48 22 332 126
48 NAWALPARASI WEST 2 2 13 15 12113 12047 9359 203 4973 45 507 14 1134 73 10 310 40
49 RUPANDEHI 405 483 1000 1440 30636 28482 30345 1337 14672 366 1089 32 1365 132 1 4 275
50 KAPILBASTU 151 12 110 161 25369 24503 22894 435 10600 66 1686 45 2126 201 91 235 66
51 ARGHAKHANCHI 48 84 33 32 5065 1110 7753 281 1583 78 513 41 130 47 33 35 48
52 PYUTHAN 0 0 1 21 12923 7371 13861 411 4317 65 838 1 164 3 3 5 14
53 ROLPA 9 8 14 67 10424 4151 7841 129 2680 44 573 24 243 9 5 20 65
54 RUKUM EAST 26 0 20 0 3780 937 2493 124 953 15 109 4 18 1 0 3 0
56 DANG 27 13 77 257 16169 2393 19539 495 7183 147 726 10 430 21 11 31 7
57 BANKE 0 0 21 82 16129 5878 16316 447 6622 110 868 141 49 12 0 0 1
58 BARDIYA 2 0 5 141 13530 6928 17301 446 5553 136 827 30 482 25 3 41 58
Province 6 142 16 334 707 97580 33721 103564 3119 36730 786 4978 144 2073 159 28 198 180
54.1 RUKUM WEST 7 0 15 45 8155 4721 7180 331 2667 46 425 8 190 2 8 40 22
55 SALYAN 0 2 3 55 16362 7859 17400 270 5676 103 615 13 227 2 3 2 5
59 SURKHET 13 4 156 35 12434 1382 23627 608 6496 113 1215 33 220 61 10 35 5
60 DAILEKH 27 0 27 139 17403 9188 12365 313 4548 119 646 25 376 44 1 23 52
61 JAJARKOT 5 0 4 62 8936 3202 9386 252 3876 199 289 7 316 2 3 3 1
62 DOLPA 24 0 0 11 8789 1042 6459 150 2029 32 262 24 28 0 0 1 0
63 JUMLA 25 8 31 97 6815 1115 9091 458 4018 64 404 26 104 3 1 4 73
64 KALIKOT 2 2 62 147 9623 4043 6783 230 2999 64 390 3 443 11 1 4 21
65 MUGU 4 0 32 23 3978 343 5545 270 1858 39 288 2 75 30 0 85 0
66 HUMLA 35 0 4 93 5085 826 5728 237 2563 7 444 3 94 4 1 1 1
Province 7 208 26 593 546 130204 56886 112270 2433 49024 706 6889 200 5102 241 69 365 1065
67 BAJURA 8 0 79 66 10993 6961 12550 200 5241 44 642 5 370 17 1 9 0
68 BAJHANG 2 0 43 11 13781 4379 9503 155 3606 82 437 9 602 12 5 6 1
69 ACHHAM 43 6 36 116 21974 5802 20294 257 9302 54 1315 13 514 58 14 188 82
70 DOTI 7 0 27 62 15670 8527 9385 301 3369 32 853 14 290 10 8 18 238
71 KAILALI 124 13 320 206 25590 11551 22006 925 11650 369 1368 112 732 48 33 115 32
72 KANCHANPUR 9 2 28 34 11266 5731 10618 220 5627 78 758 10 1835 30 0 0 685
73 DADELDHURA 0 0 53 43 7627 11138 9994 163 3901 23 492 7 414 51 6 27 3
74 BAITADI 12 5 2 5 13157 2250 10317 143 3868 17 564 7 186 5 1 0 24
75 DARCHAULA 3 0 5 3 10146 547 7603 69 2460 7 460 23 159 10 1 2 0
Raw Data: OPD Morbidity
R. Orthopaedic Problems S. Surgical Problems
Fistula of Intestine
Falls/Injuries/Frac
Lumps(Adenoma)
Backache(Muskul
Mastalgia Breast
Mastitis(Ignored
Lumps(Lipoma)
Osteo Arthrosis
Arthritis-Osteo
oskeletal Pain)
Breast/Breast
Renal Stones
Rheumatoid
Anal Fissure
Anal Fistula
Acid Peptic
Disorders
Arthrosis
Arthritis
Abcess)
Breast
Organisation unit / Data
tures
RTA
Nepal 757923 84547 36100 252294 45295 411796 63541 13050 5681 1725 39441 8112 11487 4108 10722
Province 1 101657 14202 7448 33339 8088 68284 9095 1945 1385 671 4717 1345 2932 351 725
01 TAPLEJUNG 4905 286 92 477 77 1006 135 63 11 0 185 23 84 11 23
02 PANCHTHAR 5678 157 113 1127 24 984 156 8 1 0 4 16 70 3 7
03 ILAM 6573 222 36 1314 214 2355 226 18 5 0 34 12 53 22 19
04 JHAPA 9740 1751 555 3130 720 31811 3554 314 184 18 518 282 209 77 194
05 MORANG 18687 8674 5464 10847 5413 14665 3217 1432 1139 622 3375 769 1768 126 328
06 SUNSARI 6535 1359 324 4367 390 4781 633 26 5 14 180 52 86 32 13
07 DHANKUTA 7520 191 89 1133 49 1260 109 5 2 1 50 18 66 7 3
08 TERHATHUM 4318 38 81 857 104 983 30 10 4 0 0 2 43 20 25
09 SANKHUWASABHA 7338 378 135 1972 173 1788 405 18 3 0 241 40 85 8 32
10 BHOJPUR 5431 102 44 1136 47 1090 214 6 19 0 69 26 88 5 7
11 SOLUKHUMBU 4987 26 101 1671 193 1568 82 4 2 0 0 5 45 4 5
12 OKHALDHUNGA 7815 34 69 1839 101 2252 143 18 2 0 4 17 60 6 7
13 KHOTANG 6041 97 64 1243 67 1597 148 10 0 0 15 22 77 3 5
14 UDAYAPUR 6089 887 281 2226 516 2144 43 13 8 16 42 61 198 27 57
Province 2 53939 5421 2404 34920 1940 38544 3553 423 124 21 227 144 562 73 23
15 SAPTARI 12288 853 343 6811 514 3835 221 0 3 4 21 14 91 10 1
16 SIRAHA 7847 1315 293 5572 274 6846 445 38 35 7 93 29 123 16 5
17 DHANUSA 4354 278 311 3686 93 4324 193 3 11 0 6 15 24 0 2
18 MAHOTTARI 4003 436 218 4197 194 4601 744 335 31 0 22 14 82 20 0
19 SARLAHI 3374 313 196 2036 68 2776 157 4 2 0 0 5 19 2 0
32 RAUTAHAT 4320 1023 434 4757 269 4196 360 0 1 0 0 5 26 0 0
33 BARA 9697 598 235 4256 199 6896 571 11 4 1 23 18 132 6 3
34 PARSA 8056 605 374 3605 329 5070 862 32 37 9 62 44 65 19 12
Province 3 218681 34148 10780 68848 19149 115425 16794 5169 2112 471 19458 3371 3712 1655 5840
20 SINDHULI 5484 394 83 1413 132 2563 466 48 2 0 145 46 69 4 0
21 RAMECHHAP 11490 274 310 3496 578 4000 241 15 4 0 48 45 129 24 74
22 DOLAKHA 9986 311 175 1897 465 3463 545 48 15 0 111 80 98 42 51
23 SINDHUPALCHOK 20598 680 284 4376 263 7279 431 49 5 5 25 23 110 8 13
24 KAVRE 30778 2261 657 10581 1279 21607 2000 822 135 6 5181 280 513 281 594
25 LALITPUR 14999 2643 513 5051 666 8398 1087 232 104 69 3995 280 483 70 1196
26 BHAKTAPUR 10836 1791 311 3869 3093 5864 714 63 26 1 366 77 77 9 299
27 KATHMANDU 57715 13998 4308 21559 8435 29481 4422 1930 719 216 5436 939 823 459 1565
28 NUWAKOT 8170 548 222 2448 542 4830 640 17 9 7 129 51 82 32 32
29 RASUWA 3091 36 38 704 116 1786 3 2 0 0 2 5 14 1 2
30 DHADING 13896 1076 111 5033 320 7026 643 18 25 0 49 50 168 56 22
31 MAKWANPUR 8031 443 41 1585 272 3107 251 12 4 0 11 17 106 9 8
35 CHITAWAN 23607 9693 3727 6836 2988 16021 5351 1913 1064 167 3960 1478 1040 660 1984
Province 4 133966 10385 4703 32289 5115 44589 9581 2714 889 142 4753 1112 1338 786 1683
36 GORKHA 17519 134 476 5809 1340 8000 1150 103 9 0 189 111 256 75 116
37 LAMJUNG 11519 359 300 2531 56 3588 1743 90 21 9 411 10 90 3 12
38 TANAHU 10404 665 267 2782 253 3758 316 28 10 0 209 20 57 16 32
39 SYANGJA 12098 827 349 2459 156 3478 2994 7 1 0 82 8 44 4 6
40 KASKI 40764 5338 2834 8867 2556 14112 946 2369 817 133 3362 875 574 567 1444
41 MANANG 541 10 14 168 0 257 22 0 0 0 3 0 0 0 0
42 MUSTANG 1879 28 8 376 40 829 6 3 4 0 3 5 15 1 0
43 MYAGDI 7207 60 33 1770 85 1442 63 5 1 0 18 11 94 26 7
44 PARBAT 9557 189 61 1668 276 2910 622 5 0 0 7 11 20 5 27
45 BAGLUNG 12600 318 140 3404 142 3508 621 14 0 0 177 50 107 76 31
48.1 NAWALPARASI EAST 9878 2457 221 2455 211 2707 1098 90 26 0 292 11 81 13 8
Province 5 118716 11882 6087 52653 6945 82393 10760 1957 693 279 5347 1597 1602 974 1888
46 GULMI 5838 357 136 3281 455 1770 25 0 0 0 18 9 29 12 11
47 PALPA 20832 1314 2372 5992 2135 8471 3543 859 121 4 2091 394 361 515 644
48 NAWALPARASI WEST 4285 739 188 2829 63 9616 328 4 0 0 81 34 43 5 4
49 RUPANDEHI 15241 3146 1238 11780 2313 19423 2136 837 419 230 1929 894 461 298 991
50 KAPILBASTU 7203 1484 367 5062 395 13177 1490 2 12 0 85 7 73 9 0
51 ARGHAKHANCHI 6224 422 239 3934 266 1924 457 85 2 0 132 88 125 75 90
52 PYUTHAN 13574 727 135 3170 201 3775 117 16 0 3 63 28 166 8 23
53 ROLPA 7686 203 124 1946 102 2489 159 22 1 0 70 49 79 27 9
54 RUKUM EAST 1266 13 11 352 7 425 139 0 0 0 1 0 9 0 0
56 DANG 12593 1417 891 5018 420 7312 1254 103 77 40 359 51 136 16 113
57 BANKE 15435 1738 272 4748 360 7187 443 27 56 2 396 18 56 5 2
58 BARDIYA 8539 322 114 4541 228 6824 669 2 5 0 122 25 64 4 1
Province 6 43482 1018 1414 11768 1369 22025 7164 179 42 53 1208 151 523 187 280
54.1 RUKUM WEST 4613 244 308 1059 124 1549 196 24 8 41 667 57 96 36 140
55 SALYAN 5588 149 150 1634 641 5339 3208 56 2 0 79 25 76 64 109
59 SURKHET 10452 142 334 2627 165 5043 1015 17 1 0 162 24 86 16 3
60 DAILEKH 9164 79 55 2023 73 3230 1406 12 6 1 55 11 64 29 21
61 JAJARKOT 3542 51 29 264 53 2389 188 12 0 4 44 6 70 4 3
62 DOLPA 607 0 75 293 106 621 137 1 0 0 0 7 13 0 0
63 JUMLA 4124 214 79 1472 18 1067 395 13 9 1 128 9 24 6 0
64 KALIKOT 3536 107 155 764 48 1534 328 2 0 0 66 6 42 15 4
65 MUGU 1092 23 177 716 107 590 179 8 16 6 4 6 32 14 0
66 HUMLA 764 9 52 916 34 663 112 34 0 0 3 0 20 3 0
Province 7 87482 7491 3264 18477 2689 40536 6594 663 436 88 3731 392 818 82 283
67 BAJURA 5682 9 96 1420 142 4005 45 0 0 0 56 5 66 0 0
68 BAJHANG 6068 64 98 1288 42 2473 85 15 15 3 112 59 52 1 2
69 ACHHAM 17688 247 272 1323 478 6203 2454 127 41 28 1288 50 203 32 67
70 DOTI 9233 301 40 1436 120 3111 267 30 7 2 350 7 95 3 10
71 KAILALI 15270 5271 990 4907 860 11920 2425 428 323 32 1381 205 197 43 171
72 KANCHANPUR 9905 1355 1175 3065 771 4969 319 6 46 20 449 22 77 1 11
73 DADELDHURA 6404 210 563 1722 204 2856 233 6 1 0 76 12 56 0 20
74 BAITADI 11088 25 19 2059 23 2568 367 9 2 3 15 19 46 2 0
75 DARCHAULA 6144 9 11 1257 49 2431 399 42 1 0 4 13 26 0 2
Raw Data: OPD Morbidity
S. Surgical Problems
Sebaceous Cyst
Not
Haemorrhoids/
Phimosis/ Para
Pilonidal Sinus
Cholelithiasis
Cholecystitis
Appendicitis
Total Old
Epididymitis
Prostatism-
(BEP/BPH)
Hydrocele
mentioned Total New
Phimosis
/Orchitis
Hernia
Organisation unit / Data (Repeated) Total
Piles
Above & OPD
OPD Visits
Other
Nepal 11003 3079 23378 17528 26924 20354 14377 10025 29877 5464 15686 1773953 20522191 3692579 24214770
Province 1 2168 576 5069 5035 6798 4918 2696 1953 5063 850 1797 330642 3727150 628436 4355586
01 TAPLEJUNG 41 0 78 24 90 45 36 18 175 54 218 12064 116436 34859 151295
02 PANCHTHAR 14 1 2 2 2 7 5 3 58 12 10 10215 113784 7338 121122
03 ILAM 10 0 6 4 7 33 25 4 85 9 41 22114 170645 14990 185635
04 JHAPA 486 31 439 267 1001 562 613 209 889 155 366 53697 670152 107942 778094
05 MORANG 1317 534 4379 4572 5358 3986 1786 1598 2930 446 791 88521 1185672 184135 1369807
06 SUNSARI 32 5 111 122 128 100 93 47 119 17 68 29300 338217 88199 426416
07 DHANKUTA 19 0 4 0 14 5 4 4 34 12 64 13471 127519 28679 156198
08 TERHATHUM 56 1 4 0 0 37 13 7 123 9 9 5271 81233 6760 87993
09 SANKHUWASABHA 74 0 29 21 151 58 35 28 166 25 7 21637 137824 24220 162044
10 BHOJPUR 0 0 2 13 37 12 25 4 33 3 5 9622 132349 9903 142252
11 SOLUKHUMBU 0 0 3 1 2 8 2 7 59 10 4 8773 98041 4403 102444
12 OKHALDHUNGA 15 4 2 2 1 7 12 1 136 24 48 18831 162502 46461 208963
13 KHOTANG 4 0 6 2 0 23 18 8 79 11 38 20629 166864 36017 202881
14 UDAYAPUR 100 0 4 5 7 35 29 15 177 63 128 16497 225912 34530 260442
Province 2 81 9 296 175 55 215 310 79 736 95 83 177385 2761976 407154 3169130
15 SAPTARI 1 0 11 6 0 34 55 22 117 36 29 11527 357906 37963 395869
16 SIRAHA 19 0 15 90 24 35 25 3 87 17 15 18671 385320 50613 435933
17 DHANUSA 2 2 13 4 5 26 31 12 67 8 2 16083 324294 22985 347279
18 MAHOTTARI 6 2 7 6 5 48 75 11 138 5 8 11740 299710 69442 369152
19 SARLAHI 0 0 0 0 0 17 45 0 66 2 0 5113 208155 31032 239187
32 RAUTAHAT 6 0 14 0 1 7 30 11 81 4 2 25667 397079 90372 487451
33 BARA 32 0 10 2 1 11 25 10 77 5 7 7949 328664 33744 362408
34 PARSA 15 5 226 67 19 37 24 10 103 18 20 80635 460848 71003 531851
Province 3 4969 1654 10504 7760 11797 9404 6240 4611 10505 2488 7151 425122 4976162 957146 5933308
20 SINDHULI 2 0 31 0 273 47 113 60 224 170 4 7427 180555 15382 195937
21 RAMECHHAP 139 1 12 14 37 45 9 23 242 16 73 22992 217227 17230 234457
22 DOLAKHA 30 0 28 6 8 153 32 92 347 55 139 22973 195174 36090 231264
23 SINDHUPALCHOK 17 2 68 25 6 58 27 12 114 22 143 20701 282559 51568 334127
24 KAVRE 375 84 364 515 3106 828 329 244 1074 306 866 33500 476264 46320 522584
25 LALITPUR 1217 15 1698 2153 1742 1557 1129 943 1738 601 1588 59698 560459 130786 691245
26 BHAKTAPUR 41 0 157 95 315 86 36 62 389 3 171 54177 311109 48213 359322
27 KATHMANDU 1070 276 4043 2839 3951 3750 2566 1914 3050 380 2441 102090 1335289 433500 1768789
28 NUWAKOT 36 7 37 10 31 68 90 43 89 36 72 15630 200359 27987 228346
29 RASUWA 5 0 2 1 2 4 9 2 30 9 7 2761 47915 6887 54802
30 DHADING 38 1 10 3 16 49 72 12 175 15 86 24072 275998 51321 327319
31 MAKWANPUR 3 1 15 1 3 20 4 7 53 8 37 13005 156950 27728 184678
35 CHITAWAN 1996 1267 4039 2098 2307 2739 1824 1197 2980 867 1524 46096 736304 64134 800438
Province 4 1628 281 3432 1959 4023 2018 1600 1218 5449 656 2288 227195 2378349 385163 2763512
36 GORKHA 164 3 41 15 110 80 66 66 256 48 181 20624 285354 47710 333064
37 LAMJUNG 195 1 47 6 83 66 75 43 200 39 96 22359 218017 27651 245668
38 TANAHU 27 3 36 3 63 17 27 14 142 18 21 23671 207184 20495 227679
39 SYANGJA 6 0 35 11 19 55 26 5 159 7 70 18776 200470 43274 243744
40 KASKI 1189 273 3038 1846 3587 1640 1279 1054 3922 491 1785 75110 767888 153514 921402
41 MANANG 0 0 0 0 0 1 2 1 15 0 0 862 12539 2254 14793
42 MUSTANG 0 0 3 1 0 3 0 1 64 3 3 3172 25687 6701 32388
43 MYAGDI 0 0 23 2 9 42 23 5 97 6 36 13530 116938 19438 136376
44 PARBAT 0 0 18 0 7 45 30 3 89 1 14 11478 149695 19838 169533
45 BAGLUNG 29 1 64 15 25 32 32 17 309 30 40 17435 209663 27355 237018
48.1 NAWALPARASI EAST 18 0 127 60 120 37 40 9 196 13 42 20178 184914 16933 201847
Province 5 1561 468 2846 2043 3536 2374 2171 1500 4613 732 2365 289996 3364213 747295 4111508
46 GULMI 12 0 12 1 1 7 0 0 2 8 10 28831 129741 3481 133222
47 PALPA 471 49 555 374 1158 753 540 349 1357 300 923 43205 361832 171148 532980
48 NAWALPARASI WEST 6 0 79 10 38 11 33 0 80 23 9 20625 237023 17283 254306
49 RUPANDEHI 765 361 1732 1180 1897 1153 546 815 1635 183 540 55492 702912 255473 958385
50 KAPILBASTU 0 0 25 15 37 47 178 36 309 28 9 14457 415125 68637 483762
51 ARGHAKHANCHI 83 0 129 124 78 94 41 41 158 63 137 8845 124941 24754 149695
52 PYUTHAN 15 0 38 10 20 53 15 28 142 22 84 28790 230357 24530 254887
53 ROLPA 7 0 8 8 7 16 12 5 101 20 52 13017 134432 20567 154999
54 RUKUM EAST 0 0 0 0 0 0 3 0 14 0 0 4001 36829 9584 46413
56 DANG 116 55 201 142 236 157 184 80 365 42 44 26473 314687 48294 362981
57 BANKE 85 3 40 179 56 42 170 112 157 18 193 17732 376649 60046 436695
58 BARDIYA 1 0 27 0 8 41 449 34 293 25 364 28528 299685 43498 343183
Province 6 328 2 136 71 192 153 219 188 1063 207 342 106676 1335051 290606 1625657
54.1 RUKUM WEST 151 0 93 37 104 35 55 63 237 104 140 8087 112212 21731 133943
55 SALYAN 108 1 4 1 8 30 18 32 138 6 38 7540 189450 20301 209751
59 SURKHET 7 1 3 1 20 23 32 33 162 15 13 50832 317748 48802 366550
60 DAILEKH 21 0 15 4 5 17 11 25 134 9 81 18225 213265 53216 266481
61 JAJARKOT 6 0 0 1 1 7 4 1 47 15 37 7745 107776 34580 142356
62 DOLPA 0 0 1 0 0 2 20 0 77 8 0 930 58449 18523 76972
63 JUMLA 0 0 12 10 26 23 33 10 156 5 3 4128 108064 30526 138590
64 KALIKOT 35 0 3 16 19 8 17 20 54 16 14 5710 99070 5240 104310
65 MUGU 0 0 5 1 9 7 20 4 54 27 11 1956 63632 17828 81460
66 HUMLA 0 0 0 0 0 1 9 0 4 2 5 1523 65385 39859 105244
Province 7 268 89 1095 485 523 1272 1141 476 2448 436 1660 216937 1979291 276779 2256070
67 BAJURA 0 0 8 16 7 21 13 8 55 14 116 12448 149444 10611 160055
68 BAJHANG 1 0 10 3 15 21 11 22 203 33 24 7986 145264 10794 156058
69 ACHHAM 92 6 34 34 92 74 94 149 405 84 189 45116 327299 63659 390958
70 DOTI 29 0 66 51 75 27 41 48 121 23 63 14933 166259 44951 211210
71 KAILALI 136 82 642 347 285 474 508 221 762 161 1177 59218 474874 76026 550900
72 KANCHANPUR 5 0 315 31 33 624 425 10 476 39 33 21726 254561 21802 276363
73 DADELDHURA 2 1 12 2 12 10 14 4 142 14 20 11548 152632 33169 185801
74 BAITADI 1 0 4 1 2 14 19 4 139 13 14 30311 183009 9067 192076
75 DARCHAULA 2 0 4 0 2 7 16 10 145 55 24 13651 125949 6700 132649
Raw Data: Laboratory Services
Bacteriology
Organisation unit / Data Culture-
Body Culture- Culture- Culture- Culture- Culture- Culture- Culture- Culture- Culture- Fungus Leprosy Sputum
Body Gm stain Widal others
fluid AFB Blood CSF ENT Pus Sputum Stool Swab Urine Water KOH smear AFB
Fluid
Nepal 9700 117488 13475 6670 3419 26469 34062 23630 19797 260198 353 10160 50325 4223 162726 198086 6259
Province 1 2197 12238 3738 3602 247 4866 7531 2150 5037 30150 15 272 10181 625 27890 24749 1260
01 TAPLEJUNG 9 0 0 0 0 0 2 0 1 20 0 0 1 1 108 515 0
02 PANCHTHAR 0 0 0 0 0 0 1 0 0 0 0 0 0 0 735 982 0
03 ILAM 0 0 0 0 0 0 0 0 0 162 0 0 4 0 1204 1200 0
04 JHAPA 286 2063 247 72 79 279 4224 152 446 3018 12 32 942 6 7263 2588 142
05 MORANG 1661 10027 3460 3527 168 4511 3120 1950 4586 26336 3 182 9142 548 14242 11932 1074
06 SUNSARI 0 0 0 0 0 0 0 0 0 4 0 0 0 0 940 525 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 6 11 560 527 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 359 0
09 SANKHUWASABHA 7 17 1 0 0 7 0 0 1 47 0 0 44 45 483 1559 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 7 0 0 247 1272 0
11 SOLUKHUMBU 1 17 0 0 0 0 11 38 0 40 0 0 0 8 40 49 0
12 OKHALDHUNGA 153 114 19 3 0 69 27 5 3 288 0 51 20 3 762 59 44
13 KHOTANG 10 0 11 0 0 0 0 0 0 11 0 0 22 3 447 534 0
14 UDAYAPUR 70 0 0 0 0 0 146 5 0 224 0 0 0 0 717 2648 0
Province 2 154 77 33 3 0 42 21 43 32 917 6 1418 159 380 6218 17986 0
15 SAPTARI 40 4 0 0 0 0 0 0 0 21 0 0 0 0 182 1815 0
16 SIRAHA 39 17 4 2 0 15 0 3 5 101 0 4 58 0 2760 3174 0
17 DHANUSA 7 0 0 0 0 0 2 0 0 0 0 1384 13 380 233 327 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419 1297 0
19 SARLAHI 0 0 0 0 0 0 0 0 0 15 0 25 0 0 135 1629 0
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 957 4746 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3257 0
34 PARSA 68 56 29 1 0 27 19 40 27 780 6 5 88 0 1532 1741 0
Province 3 5952 90211 7294 2539 2627 14821 20621 20140 10319 195204 240 2695 27554 1169 51933 43161 2303
20 SINDHULI 1 82 3 0 0 3 2 5 4 177 0 1 19 0 856 1627 0
21 RAMECHHAP 0 9 0 0 0 1 0 14 7 40 0 0 47 0 453 1174 2
22 DOLAKHA 7 0 2 16 0 0 0 0 0 0 0 0 175 2 225 853 0
23 SINDHUPALCHOK 0 0 0 0 2 0 53 0 0 0 0 0 0 0 555 662 0
24 KAVRE 115 2045 144 44 48 855 254 179 351 7989 2 79 763 8 1309 3909 52
25 LALITPUR 743 12650 1041 199 219 2739 2969 860 1029 30885 16 219 4242 544 6523 1983 77
26 BHAKTAPUR 275 9532 453 217 3 1446 1991 507 779 16550 21 110 1397 74 2102 2556 0
27 KATHMANDU 4412 60859 5212 1670 2309 7452 13854 11325 7907 129103 199 2209 18654 493 31028 18032 1964
28 NUWAKOT 0 0 0 0 0 0 0 0 5 0 0 0 0 0 44 1181 0
29 RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 123 0
30 DHADING 9 272 1 0 0 57 53 46 3 364 2 0 169 0 1706 2940 0
31 MAKWANPUR 0 0 0 0 0 0 31 0 0 31 0 0 0 20 2700 5133 0
35 CHITAWAN 390 4762 438 393 46 2268 1414 7204 234 10065 0 77 2088 28 4236 2988 208
Province 4 1037 7573 1326 313 115 2530 3717 716 2346 19528 84 3073 6074 327 15574 29348 481
36 GORKHA 2 116 3 3 1 10 11 0 2 297 5 154 59 1 1494 2255 0
37 LAMJUNG 0 0 0 0 0 0 11 0 0 0 0 146 0 0 565 1339 0
38 TANAHU 13 0 0 0 2 2 21 46 0 99 0 1 0 14 1930 3850 2
39 SYANGJA 0 0 0 0 0 0 1 0 0 0 0 74 0 0 756 2737 0
40 KASKI 1009 7237 1314 310 112 2413 3642 662 2327 18547 75 2698 5932 293 5699 9912 440
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 46 0
43 MYAGDI 4 65 9 0 0 72 15 0 4 296 4 0 13 16 727 1275 0
44 PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 844 0
45 BAGLUNG 2 145 0 0 0 29 6 5 13 170 0 0 28 0 954 1881 39
48.1 NAWALPARASI EAST 7 10 0 0 0 4 10 3 0 119 0 0 42 3 3141 5208 0
Province 5 147 6922 965 202 417 4056 1649 533 1966 12302 3 1960 5333 1091 37794 39756 2198
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 734 1294 0
47 PALPA 92 6524 755 142 406 3421 975 459 1727 8972 0 1217 4885 75 6927 3151 1718
48 NAWALPARASI WEST 0 0 0 0 0 0 2 0 2 361 0 0 3 37 2114 4322 0
49 RUPANDEHI 28 299 182 56 11 205 193 23 163 1447 0 40 186 93 2936 4692 17
50 KAPILBASTU 0 0 0 0 0 0 0 0 2 79 0 0 20 5 3796 3129 44
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 12 0 0 165 551 0
52 PYUTHAN 1 0 1 0 0 0 0 0 0 0 0 6 0 4 2200 1271 3
53 ROLPA 0 0 0 0 0 1 0 0 0 89 0 0 1 1 1319 1680 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 23 66 0 0 0 27 13 6 4 334 3 32 71 5 7159 5077 258
57 BANKE 2 33 27 4 0 402 423 45 68 918 0 653 167 860 7270 7964 155
58 BARDIYA 1 0 0 0 0 0 43 0 0 102 0 0 0 11 3174 6625 3
Province 6 61 37 22 1 3 78 234 1 41 175 0 501 363 201 7553 7985 3
54.1 RUKUM WEST 4 6 0 0 0 0 42 0 0 0 0 427 28 52 653 1766 0
55 SALYAN 0 0 0 0 0 0 7 0 0 0 0 0 10 25 1542 293 0
59 SURKHET 31 21 10 1 0 78 31 0 41 163 0 74 271 24 2846 3677 0
60 DAILEKH 14 10 1 0 0 0 53 1 0 12 0 0 48 47 1246 687 3
61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 7 313 468 0
62 DOLPA 0 0 0 0 0 0 31 0 0 0 0 0 0 0 159 88 0
63 JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 163 0
64 KALIKOT 12 0 5 0 2 0 33 0 0 0 0 0 0 35 503 558 0
65 MUGU 0 0 6 0 1 0 37 0 0 0 0 0 6 1 60 285 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 10 142 0 0
Province 7 152 430 97 10 10 76 289 47 56 1922 5 241 661 430 15764 35101 14
67 BAJURA 0 0 3 0 0 0 136 0 0 26 0 28 12 147 837 745 0
68 BAJHANG 68 0 0 0 0 0 11 0 0 45 0 1 73 27 1316 1809 0
69 ACHHAM 25 41 3 3 5 11 66 0 0 131 0 36 42 64 1849 890 2
70 DOTI 0 0 0 0 0 0 3 0 0 0 0 20 1 0 840 2008 0
71 KAILALI 35 113 24 0 0 53 44 25 26 1434 0 0 281 104 4603 13574 10
72 KANCHANPUR 1 271 67 7 5 12 8 4 30 277 5 134 42 42 3035 11203 0
73 DADELDHURA 2 0 0 0 0 0 0 0 0 0 0 0 168 0 0 1729 0
74 BAITADI 21 0 0 0 0 0 0 0 0 0 0 0 2 5 1380 1589 2
75 DARCHAULA 0 5 0 0 0 0 21 18 0 9 0 22 40 41 1904 1554 0
Raw Data: Laboratory Services
Biochemistry
Nepal 21015 24190 29397 5538 334832 12120820 100555 695828 710023 1503405 31768 12493 31006 162167 49741 2635338
Province 1 2224 2677 21599 223 39150 895526 14997 72071 73803 155531 6540 2350 612 25596 5837 1336446
01 TAPLEJUNG 156 54 18 0 179 94 44 680 680 1003 2 0 0 128 0 1326
02 PANCHTHAR 0 0 0 0 0 0 0 811 811 1430 0 0 0 38 0 1593
03 ILAM 0 0 0 0 624 623 238 2089 2109 3731 0 0 2 280 0 3801
04 JHAPA 59 95 39 104 9168 14381 5073 17550 19482 32206 1266 981 351 4568 5 38822
05 MORANG 1940 2444 21529 33 27100 877469 8343 42480 42139 104022 5265 1365 15 19983 5731 1275028
06 SUNSARI 0 24 0 0 38 59 0 315 308 526 0 0 0 0 0 640
07 DHANKUTA 0 18 3 0 315 155 4 719 737 1480 4 0 0 21 8 1470
08 TERHATHUM 6 0 0 0 215 189 27 360 360 572 0 0 0 0 0 762
09 SANKHUWASABHA 55 23 9 22 529 1439 904 4140 4136 5337 0 0 0 400 43 5310
10 BHOJPUR 0 0 0 0 312 402 193 1007 1037 1528 0 0 0 116 0 1433
11 SOLUKHUMBU 8 16 0 0 199 125 3 183 183 581 3 4 0 9 50 571
12 OKHALDHUNGA 0 3 1 13 155 290 124 564 574 518 0 0 0 50 0 2767
13 KHOTANG 0 0 0 44 192 126 42 539 539 1051 0 0 213 0 0 1407
14 UDAYAPUR 0 0 0 7 124 174 2 634 708 1546 0 0 31 3 0 1516
Province 2 350 616 325 3 1542 2047 300 5729 5799 5621 35 19 32 1259 121 8098
15 SAPTARI 0 2 2 0 16 0 0 69 78 82 0 0 0 1 0 68
16 SIRAHA 0 92 18 3 154 216 48 1117 1127 1870 14 12 14 50 0 2055
17 DHANUSA 0 21 54 0 96 217 18 368 394 410 0 0 0 8 0 340
18 MAHOTTARI 0 0 0 0 0 0 0 153 153 0 0 0 0 0 0 0
19 SARLAHI 243 91 98 0 153 222 56 645 645 427 0 0 0 114 21 513
32 RAUTAHAT 0 0 0 0 27 1 0 200 200 230 0 0 0 20 0 261
33 BARA 0 0 0 0 127 237 0 476 476 446 0 0 0 80 0 592
34 PARSA 107 410 153 0 969 1154 178 2701 2726 2156 21 7 18 986 100 4269
Province 3 11062 12233 5581 3702 237605 11126037 58020 448634 463168 1029900 20326 8422 24177 101886 41607 929653.4
20 SINDHULI 3 51 46 10 183 282 110 731 736 2291 30 0 0 97 17 2392
21 RAMECHHAP 0 184 10 41 292 187 87 1488 1617 1397 32 0 389 216 140 3031
22 DOLAKHA 0 9 7 27 329 1163 194 1819 1813 2441 19 5 40 115 0 2749
23 SINDHUPALCHOK 17 11 51 49 85 372 26 879 925 1311 0 0 30 112 45 1341
24 KAVRE 801 96 2 117 7003 11470 2562 14432 15891 30625 79 0 3401 3316 45 34015
25 LALITPUR 5055 3075 991 500 29192 10828611 7368 54665 50825 123648 1718 975 2862 17730 2572 124272
26 BHAKTAPUR 708 1745 36 118 8346 11010 2124 10824 10996 44030 1237 701 2909 7699 1568 44772
27 KATHMANDU 4468 6446 4387 2607 183173 248753 38763 331779 335225 745261 13073 6337 14186 61601 37217 609934.4
28 NUWAKOT 0 0 0 0 0 524 5 976 1151 1567 0 0 0 0 0 1632
29 RASUWA 0 0 0 0 10 90 6 152 151 289 6 0 0 0 0 302
30 DHADING 2 154 0 23 123 1526 60 4221 12727 3885 5 0 49 207 0 4133
31 MAKWANPUR 0 0 0 52 373 2913 739 180 4539 2823 0 0 0 591 0 6681
35 CHITAWAN 8 462 51 158 8496 19136 5976 26488 26572 70332 4127 404 311 10202 3 94399
Province 4 4976 2489 622 657 40136 52272 15596 70383 69545 189281 4007 640 4187 15518 942 196080
36 GORKHA 0 0 0 84 782 824 568 2088 2103 3664 0 0 559 430 0 4822
37 LAMJUNG 0 139 13 26 61 729 274 1880 1880 2149 5 0 0 609 5 2603
38 TANAHU 0 199 0 84 828 905 472 3079 4344 4108 4 0 1916 554 0 4516
39 SYANGJA 0 6 0 17 14 98 1 1961 1548 2594 0 0 80 21 0 2958
40 KASKI 4976 2077 609 437 37255 45434 12633 50924 50516 160278 3873 612 1565 12764 872 164394
41 MANANG 0 0 0 0 0 8 3 24 24 70 0 0 0 0 0 45
42 MUSTANG 0 0 0 0 2 0 0 79 80 288 0 0 0 0 0 307
43 MYAGDI 0 0 0 0 80 600 63 1334 1334 2737 0 0 0 139 0 3999
44 PARBAT 0 0 0 0 0 25 2 312 312 539 0 0 0 52 0 520
45 BAGLUNG 0 66 0 3 803 1461 302 4411 3114 5359 121 28 67 611 65 5455
48.1 NAWALPARASI EAST 0 2 0 6 311 2188 1278 4291 4290 7495 4 0 0 338 0 6461
Province 5 1599 2642 488 261 11452 31032 7982 58553 57537 82429 727 1007 883 10439 676 114580
46 GULMI 0 0 0 51 0 0 0 1329 1329 1114 0 0 10 0 0 1821
47 PALPA 7 695 22 65 2722 8324 2663 11366 11004 13729 266 859 507 2833 7 30229
48 NAWALPARASI WEST 0 0 0 0 18 222 26 1107 1166 1351 0 0 52 42 0 1099
49 RUPANDEHI 54 100 0 33 6124 5777 1103 9544 8800 24244 306 148 167 3412 0 27306
50 KAPILBASTU 0 2 4 6 169 198 114 2388 2438 907 0 0 0 140 48 1023
51 ARGHAKHANCHI 0 0 0 0 0 0 0 2148 2246 834 0 0 0 0 0 1656
52 PYUTHAN 0 120 0 2 12 375 17 3560 3553 892 0 0 18 2 0 3143
53 ROLPA 64 40 9 4 116 250 32 1508 1553 924 0 0 0 154 15 880
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 1267 1471 316 91 1177 4171 1847 9274 9292 12748 0 0 120 2085 348 13085
57 BANKE 207 214 137 9 1030 11637 2152 13910 13733 25090 155 0 9 1771 257 33513
58 BARDIYA 0 0 0 0 84 78 28 2419 2423 596 0 0 0 0 1 825
Province 6 22 315 136 81 1813 2835 535 6802 6759 7922 76 43 25 4296 19 10964
54.1 RUKUM WEST 0 17 0 0 67 231 43 762 762 233 75 42 0 80 0 878
55 SALYAN 0 1 0 0 231 139 12 317 317 779 0 0 0 0 0 1182
59 SURKHET 22 98 11 77 561 1637 285 3003 2992 2464 1 1 2 4168 2 3843
60 DAILEKH 0 57 0 4 278 1 25 857 915 927 0 0 23 48 5 1278
61 JAJARKOT 0 0 0 0 2 38 0 188 208 197 0 0 0 0 0 296
62 DOLPA 0 50 45 0 0 0 0 90 90 335 0 0 0 0 0 348
63 JUMLA 0 0 0 0 188 257 102 430 430 1879 0 0 0 0 0 1919
64 KALIKOT 0 0 0 0 15 284 0 364 364 471 0 0 0 0 0 474
65 MUGU 0 92 80 0 471 248 68 788 678 637 0 0 0 0 12 746
66 HUMLA 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0
Province 7 782 3218 646 611 3134 11071 3125 33656 33412 32721 57 12 1090 3173 539 39517
67 BAJURA 0 46 1 0 134 42 11 538 538 317 0 0 0 0 0 512
68 BAJHANG 0 58 0 17 111 348 258 1450 1448 769 0 0 64 43 0 1092
69 ACHHAM 0 7 0 36 228 1718 195 2554 2554 3475 52 11 95 204 183 3721
70 DOTI 7 33 4 6 103 54 8 994 994 890 0 0 3 145 0 948
71 KAILALI 620 2843 595 535 1974 7708 2547 18911 18873 20523 5 1 806 1662 356 23878
72 KANCHANPUR 155 138 46 0 9 29 8 6247 6166 2992 0 0 0 288 0 4116
73 DADELDHURA 0 93 0 0 467 772 43 1694 1570 2134 0 0 0 804 0 2798
74 BAITADI 0 0 0 13 66 188 14 843 844 754 0 0 23 0 0 841
75 DARCHAULA 0 0 0 4 42 212 41 425 425 867 0 0 99 27 0 1611
Raw Data: Laboratory Services
Biochemistry
Total cholesterol
Micro albumin
Potassium-K
Phosphorus
Lipid Profile
Sodium-Na
Gamma GT
Iso-Trop-I
RA factor
Sugar-PP
Uric acid
Sugar-R
Sugar-F
Protein
HBsAG
Others
Organisation unit / Data
SGOT
VDRL
SGPT
HCV
HDL
LDH
LDL
HIV
TG
Nepal 122816 77309 58136 250234 73809 35743 25595 233174 37122 7025 42290 50121 879544 300587 85003 596689 691599 1056512 1259890 790763 1558165 1104103 254974 510074 57816
Province 1 2288 2681 1447 25610 2974 4627 5172 30035 544 180 3950 5668 94064 40455 9941 48177 49771 104020 130949 104103 236513 875278 31990 66722 2502
01 TAPLEJUNG 0 7 0 38 7 3 0 37 0 0 52 0 191 144 206 82 89 200 290 289 3433 38 35 671 7
02 PANCHTHAR 0 0 0 0 1 0 0 0 0 0 0 0 62 0 379 0 0 62 86 110 3817 0 0 795 6
03 ILAM 0 52 0 325 55 41 0 323 33 0 1648 0 1746 606 498 629 693 1751 1561 1446 5912 338 387 1443 21
04 JHAPA 641 1817 1104 3692 1952 1017 269 3599 478 132 60 1107 22452 8238 1004 13455 14552 22851 35844 13103 41217 3777 3156 7774 1703
05 MORANG 1175 267 79 20533 328 3455 4903 25162 0 46 1957 4546 64705 29681 5349 30748 31122 74247 81290 80554 156939 870040 27098 47805 262
06 SUNSARI 0 0 0 33 0 0 0 0 0 0 0 0 0 42 71 36 68 0 328 365 1778 35 55 258 0
07 DHANKUTA 0 26 23 35 28 0 0 35 4 0 0 14 61 267 85 203 200 64 901 956 3325 36 131 1086 29
08 TERHATHUM 0 0 0 33 0 8 0 33 0 0 0 0 0 205 171 170 188 0 1105 370 1320 34 53 434 0
09 SANKHUWASABHA 429 117 0 445 116 0 0 445 0 0 51 0 2493 434 613 1587 1581 2493 3924 3752 7540 437 435 2357 110
10 BHOJPUR 0 0 0 271 0 27 0 202 0 0 3 0 720 260 528 452 432 721 2965 942 2035 326 317 1272 0
11 SOLUKHUMBU 43 45 0 26 34 11 0 23 6 0 22 1 178 200 63 94 144 179 358 283 692 35 32 211 19
12 OKHALDHUNGA 0 13 0 75 12 64 0 72 0 2 157 0 910 105 191 390 362 898 781 524 2542 75 184 771 12
13 KHOTANG 0 253 241 63 335 1 0 63 13 0 0 0 395 180 144 128 147 395 649 594 2707 63 53 597 235
14 UDAYAPUR 0 84 0 41 106 0 0 41 10 0 0 0 151 93 639 203 193 159 867 815 3256 44 54 1248 98
Province 2 44 271 48 1255 82 33 8 1205 16 0 373 201 3993 1392 1143 1773 3868 4249 20780 19999 37705 1239 1284 5354 224
15 SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 12 115 0 0 0 602 594 825 19 26 176 0
16 SIRAHA 10 52 48 141 50 13 0 125 0 0 0 0 531 138 322 194 392 551 4449 3819 7916 130 120 1457 4
17 DHANUSA 0 0 0 7 0 0 0 7 0 0 0 0 347 100 0 23 350 279 1142 1059 980 7 29 242 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 39 99 742 0 0 32 0
19 SARLAHI 8 0 0 163 0 0 0 145 0 0 168 88 95 117 116 248 277 100 1497 1509 6415 115 138 516 0
32 RAUTAHAT 0 0 0 1 0 0 0 1 0 0 0 0 11 21 65 2 5 11 680 731 5507 10 17 192 0
33 BARA 0 189 0 134 0 0 0 134 16 0 0 0 480 121 141 272 272 480 285 285 3682 138 118 472 185
34 PARSA 26 30 0 809 32 20 8 793 0 0 205 113 2529 883 282 1034 2572 2828 12086 11903 11638 820 836 2267 35
Province 3 104657 60107 50274 186422 56805 19989 16646 166044 31077 6490 26923 38709 584080 204047 42694 455187 525331 738622 540080 469377 805021 188417 183023 320180 43651
20 SINDHULI 0 69 16 160 68 44 9 137 1 0 2 0 628 145 34 302 393 628 3375 1523 2279 145 140 814 71
21 RAMECHHAP 0 192 36 131 166 23 0 117 14 8 0 0 836 175 324 471 492 804 1213 992 7005 626 739 2425 240
22 DOLAKHA 0 353 321 194 363 42 0 195 56 21 10 0 1797 283 850 1339 1382 1792 3053 2930 6089 788 692 1721 307
23 SINDHUPALCHOK 0 126 36 150 166 0 0 140 43 0 0 0 64 1 323 353 372 89 1835 1838 2953 243 228 994 144
24 KAVRE 4555 1556 118 3550 977 78 57 3090 766 88 241 601 32418 4756 1641 14208 14609 30263 22756 11419 44216 4078 3732 8442 750
25 LALITPUR 6963 4601 3201 30730 4348 2841 2182 21997 3615 967 3563 8109 96157 22361 5203 46970 61439 116190 82252 57902 81413 25173 16714 40163 1524
26 BHAKTAPUR 1185 1149 329 5431 1066 988 1127 5351 1690 60 396 4344 41535 7247 1038 11184 11231 41728 22738 17178 25912 5637 4852 10274 8115
27 KATHMANDU 91477 50000 45005 136081 47498 13703 11882 125340 24135 5332 22684 24441 361071 162592 29880 341211 391530 493362 317682 316817 546771 141153 145565 219155 31058
28 NUWAKOT 0 0 0 21 0 0 0 21 0 0 0 0 0 0 185 510 529 0 1881 1800 3664 79 93 1089 0
29 RASUWA 0 0 0 54 4 4 0 54 0 0 0 0 0 3 43 104 92 0 193 74 525 62 62 225 0
30 DHADING 0 100 37 191 127 0 0 146 34 0 11 10 1159 102 305 1480 1777 1159 3581 1658 6712 162 221 3040 82
31 MAKWANPUR 0 13 0 900 28 0 0 763 0 0 0 0 3343 353 1016 3596 3623 2037 2236 1212 11508 963 963 3000 590
35 CHITAWAN 477 1948 1175 8829 1994 2266 1389 8693 723 14 16 1204 45072 6029 1852 33459 37862 50570 77285 54034 65974 9308 9022 28838 770
Province 4 14428 6148 2804 29023 5129 7918 1941 28454 4268 319 4279 3512 127273 39660 10605 47961 60444 138025 391234 102836 236240 30473 29554 48049 3988
36 GORKHA 2 1193 56 162 324 5 0 151 24 0 0 0 421 803 495 885 924 501 1816 1696 9194 171 200 2256 551
37 LAMJUNG 3 21 1 183 19 3 0 298 16 5 8 0 1181 59 690 758 794 1174 2742 2574 8040 186 217 2044 38
38 TANAHU 0 796 683 565 815 9 0 456 140 0 11 428 1572 626 1102 934 1001 1578 3477 3262 9542 595 617 3276 873
39 SYANGJA 1 755 203 103 505 0 0 103 8 0 0 1 41 55 1050 135 120 53 2190 1902 6406 109 110 3231 118
40 KASKI 14409 3003 1773 26197 3034 7679 1922 25746 4045 314 4255 3015 115711 37225 5599 40211 52387 126235 367334 83561 175335 27543 26396 29158 2076
41 MANANG 0 0 0 3 0 0 0 3 0 0 0 0 0 0 12 13 13 0 99 92 321 15 15 162 0
42 MUSTANG 0 1 0 13 1 0 0 13 0 0 0 0 0 2 44 1 1 0 223 185 554 22 27 214 0
43 MYAGDI 0 22 0 151 32 25 0 152 0 0 5 0 1962 28 343 601 610 1962 598 591 4090 166 173 814 24
44 PARBAT 0 185 83 14 189 0 0 10 0 0 0 0 0 6 533 25 43 3 1369 898 787 12 15 1188 195
45 BAGLUNG 12 10 2 1047 25 190 19 1037 32 0 0 24 2585 746 547 2111 2252 2719 2568 1762 8747 1063 1115 2368 18
48.1 NAWALPARASI EAST 1 162 3 585 185 7 0 485 3 0 0 44 3800 110 190 2287 2299 3800 8818 6313 13224 591 669 3338 95
Province 5 1282 3437 1046 5278 3599 2939 1802 5093 858 21 2763 1818 59641 9881 11360 30422 35304 61068 131501 64101 154924 5498 5570 38203 4022
46 GULMI 0 250 6 0 200 0 0 0 0 0 35 0 0 0 196 0 0 0 334 309 3600 0 0 1036 214
47 PALPA 279 740 387 2018 735 2529 1471 2018 561 0 940 54 19686 3216 3024 8854 9491 19984 9505 25486 20464 2070 2110 7839 259
48 NAWALPARASI WEST 0 339 0 11 508 0 0 11 0 0 0 0 8 27 142 239 308 8 907 894 4501 16 41 1433 481
49 RUPANDEHI 128 874 191 1480 792 208 324 1398 95 11 298 1260 16645 4384 753 3755 5787 17140 101203 16924 37394 1631 1628 8233 770
50 KAPILBASTU 4 9 0 156 28 0 0 156 0 0 0 9 79 168 206 208 199 79 2234 2212 4464 181 182 1149 7
51 ARGHAKHANCHI 0 13 0 0 22 0 0 0 0 0 0 0 9 7 173 0 0 0 671 640 2883 1 3 826 13
52 PYUTHAN 0 75 0 9 80 0 0 8 0 0 0 0 53 15 295 437 455 52 968 1253 5190 8 24 1038 61
53 ROLPA 0 20 0 7 56 0 0 5 0 0 62 21 3 115 453 21 250 0 228 193 2604 5 5 880 53
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 497 328 76 262 304 24 0 153 4 10 1172 463 6732 822 1549 3724 4594 6654 7069 6799 24752 232 217 5943 307
57 BANKE 374 432 376 1335 620 178 7 1344 198 0 256 11 16426 1127 4258 13105 14138 17151 7703 8920 46217 1352 1352 9075 1670
58 BARDIYA 0 357 10 0 254 0 0 0 0 0 0 0 0 0 311 79 82 0 679 471 2855 2 8 751 187
Province 6 35 133 27 550 162 33 26 504 95 15 58 47 808 2306 2709 2949 3455 863 12083 10784 18742 516 636 8267 333
54.1 RUKUM WEST 0 0 0 44 0 10 26 44 0 0 0 1 21 45 100 240 268 21 511 356 1632 44 42 393 0
55 SALYAN 0 10 0 41 10 0 0 41 0 0 0 0 0 205 123 272 131 0 260 262 1048 42 46 210 10
59 SURKHET 15 92 21 397 81 1 0 372 91 12 58 46 148 511 1429 1679 1846 172 9232 8298 9834 372 434 5057 81
60 DAILEKH 0 31 6 22 71 22 0 14 4 0 0 0 40 208 222 152 127 40 210 213 2488 13 16 850 237
61 JAJARKOT 0 0 0 6 0 0 0 6 0 0 0 0 0 0 37 39 47 0 47 36 393 9 7 152 0
62 DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 323 308 529 0 0 150 0
63 JUMLA 0 0 0 13 0 0 0 0 0 0 0 0 532 1167 1 287 293 530 377 379 1590 8 72 671 0
64 KALIKOT 0 0 0 27 0 0 0 27 0 3 0 0 0 0 331 270 282 0 527 514 676 27 17 325 5
65 MUGU 20 0 0 0 0 0 0 0 0 0 0 0 67 170 425 10 461 100 591 413 531 1 2 454 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 5 5 21 0 0 5 0
Province 7 82 4532 2490 2096 5058 204 0 1839 264 0 3944 166 9685 2846 6551 10220 13426 9665 33263 19563 69020 2682 2917 23299 3096
67 BAJURA 6 0 0 7 20 0 0 6 0 0 1 0 2 23 61 38 42 2 168 93 522 7 8 212 26
68 BAJHANG 0 310 17 87 382 3 0 78 13 0 12 0 97 87 897 338 338 112 289 234 1881 87 104 2009 314
69 ACHHAM 1 811 729 6 760 194 0 6 32 0 1111 2 2815 1177 606 1879 1870 2812 1670 1560 14291 153 201 852 769
70 DOTI 0 32 12 1 169 0 0 1 0 0 7 3 147 92 299 85 92 154 362 312 2189 1 10 849 114
71 KAILALI 62 2920 1709 1474 3037 1 0 1273 193 0 796 67 4323 831 1981 6390 9372 4210 20259 9255 36552 1402 1531 11508 1528
72 KANCHANPUR 0 55 0 64 4 0 0 42 0 0 212 3 48 9 1253 64 96 47 7004 3864 5504 318 340 3579 37
73 DADELDHURA 0 0 0 331 0 6 0 311 0 0 0 88 1944 514 319 604 772 2019 1871 2996 4888 346 399 1814 0
74 BAITADI 0 289 15 98 571 0 0 94 26 0 1805 0 0 64 97 276 276 0 396 336 1344 113 113 759 229
75 DARCHAULA 13 115 8 28 115 0 0 28 0 0 0 3 309 49 1038 546 568 309 1244 913 1849 255 211 1717 79
Raw Data: Laboratory Services
Cardiac Enzymes Cytology Drug Analysis
Organisation unit / Data Smear-Body Smear- Carba- Cyclosporin Valporic
HCV Others Digo-xine Others Pheny-toin Tacro-limus
fluid Sputum mazepine e acid
Nepal 14733 12720 6823 9208 2149 193 163 13394 239 1514 2082
Province 1 118 5508 2474 2182 0 0 0 40 3 7 0
01 TAPLEJUNG 0 0 0 24 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 4 0 0 0 0 0 0 0
04 JHAPA 117 60 22 395 0 0 0 0 0 3 0
05 MORANG 0 5414 2452 1664 0 0 0 40 3 4 0
06 SUNSARI 0 0 0 6 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 0 21 0 0 0 0 0 0 0
10 BHOJPUR 0 0 0 27 0 0 0 0 0 0 0
11 SOLUKHUMBU 1 34 0 4 0 0 0 0 0 0 0
12 OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0
13 KHOTANG 0 0 0 8 0 0 0 0 0 0 0
14 UDAYAPUR 0 0 0 29 0 0 0 0 0 0 0
Province 2 0 8 55 70 0 0 0 0 0 0 0
15 SAPTARI 0 0 0 54 0 0 0 0 0 0 0
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0
17 DHANUSA 0 0 0 0 0 0 0 0 0 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 0 0 0 0 0 0 0 0 0
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 0 8 55 16 0 0 0 0 0 0 0
Province 3 12730 3992 3306 4181 2146 193 163 3783 232 1507 2062
20 SINDHULI 0 0 0 53 0 0 0 0 0 0 0
21 RAMECHHAP 27 3 0 0 0 60 0 0 0 0 0
22 DOLAKHA 13 0 0 0 0 0 0 0 0 0 0
23 SINDHUPALCHOK 0 0 0 26 0 0 0 0 0 0 0
24 KAVRE 74 0 0 47 0 0 0 0 0 0 0
25 LALITPUR 1969 453 582 732 46 91 126 159 53 1327 83
26 BHAKTAPUR 24 172 470 132 0 0 0 0 0 0 0
27 KATHMANDU 10108 3059 2196 2975 2098 42 37 3622 173 180 1965
28 NUWAKOT 0 0 0 0 0 0 0 0 0 0 0
29 RASUWA 0 0 0 9 0 0 0 0 0 0 0
30 DHADING 0 0 1 21 0 0 0 0 0 0 0
31 MAKWANPUR 0 0 0 0 0 0 0 0 0 0 0
35 CHITAWAN 515 305 57 186 2 0 0 2 6 0 14
Province 4 1086 2720 482 989 3 0 0 6186 4 0 20
36 GORKHA 0 0 0 0 0 0 0 0 0 0 0
37 LAMJUNG 0 0 0 3 0 0 0 0 0 0 0
38 TANAHU 0 0 0 16 0 0 0 19 0 0 0
39 SYANGJA 0 0 0 1 0 0 0 0 0 0 0
40 KASKI 1086 2715 482 957 3 0 0 6134 4 0 20
41 MANANG 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 2 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 2 0 0 0 0 0 0 0
45 BAGLUNG 0 3 0 10 0 0 0 33 0 0 0
48.1 NAWALPARASI EAST 0 0 0 0 0 0 0 0 0 0 0
Province 5 26 480 483 547 0 0 0 3366 0 0 0
46 GULMI 5 0 0 0 0 0 0 0 0 0 0
47 PALPA 0 88 472 472 0 0 0 3338 0 0 0
48 NAWALPARASI WEST 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 21 292 3 51 0 0 0 0 0 0 0
50 KAPILBASTU 0 0 0 6 0 0 0 0 0 0 0
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0
52 PYUTHAN 0 0 2 0 0 0 0 0 0 0 0
53 ROLPA 0 5 0 0 0 0 0 0 0 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 0 6 7 0 0 0 5 0 0 0
57 BANKE 0 95 0 11 0 0 0 23 0 0 0
58 BARDIYA 0 0 0 0 0 0 0 0 0 0 0
Province 6 0 3 0 56 0 0 0 0 0 0 0
54.1 RUKUM WEST 0 1 0 0 0 0 0 0 0 0 0
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0
59 SURKHET 0 0 0 4 0 0 0 0 0 0 0
60 DAILEKH 0 2 0 19 0 0 0 0 0 0 0
61 JAJARKOT 0 0 0 33 0 0 0 0 0 0 0
62 DOLPA 0 0 0 0 0 0 0 0 0 0 0
63 JUMLA 0 0 0 0 0 0 0 0 0 0 0
64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0
65 MUGU 0 0 0 0 0 0 0 0 0 0 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0
Province 7 773 9 23 1183 0 0 0 19 0 0 0
67 BAJURA 0 0 0 48 0 0 0 19 0 0 0
68 BAJHANG 0 0 0 14 0 0 0 0 0 0 0
69 ACHHAM 729 0 0 148 0 0 0 0 0 0 0
70 DOTI 0 0 0 15 0 0 0 0 0 0 0
71 KAILALI 44 9 3 342 0 0 0 0 0 0 0
72 KANCHANPUR 0 0 20 612 0 0 0 0 0 0 0
73 DADELDHURA 0 0 0 0 0 0 0 0 0 0 0
74 BAITADI 0 0 0 4 0 0 0 0 0 0 0
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0
Raw Data: Laboratory Services
Haematology
Organisation unit / Data DLC- DLC- DLC- DLC- DLC-
Aldehy Blood DLC- DLC-
ALC APTT BM BT CSF CT DLC Basophi Eosinop Lymph Monoc Neutro ESR FDP Fac IX
de Group Bands Others
l hil ocytes ytes phil
Nepal 6140 37394 1841 10538 180569 707320 11016 179293 2961237 29187 109407 229809 335121 250571 412783 17768 872477 5409 17
Province 1 2635 6425 63 2166 29502 85564 5619 31618 1878008 758 6769 15445 19681 27762 18967 744 107490 512 0
01 TAPLEJUNG 0 0 0 0 182 1261 0 182 3536 0 69 69 69 69 69 0 1989 0 0
02 PANCHTHAR 0 0 0 0 129 2045 0 128 2757 0 44 125 264 116 426 0 2119 0 0
03 ILAM 11 0 0 0 1495 2285 0 1503 5997 0 64 838 1059 808 1989 0 672 0 0
04 JHAPA 158 523 48 0 6415 12436 84 5104 19219 666 4989 10942 12149 23301 12665 717 25472 44 0
05 MORANG 2464 5823 6 2053 19884 50614 5508 22746 1819792 92 434 782 790 504 790 24 60810 468 0
06 SUNSARI 0 0 0 0 0 2043 0 0 1736 0 0 0 0 0 0 0 894 0 0
07 DHANKUTA 0 10 9 7 148 1890 0 158 4173 0 0 66 55 45 63 0 1896 0 0
08 TERHATHUM 0 0 0 0 190 688 0 190 1676 0 0 0 0 0 0 0 512 0 0
09 SANKHUWASABHA 0 51 0 106 461 2612 0 1024 3836 0 370 486 486 370 486 0 3686 0 0
10 BHOJPUR 2 4 0 0 157 2126 0 153 3328 0 195 216 216 216 216 0 2048 0 0
11 SOLUKHUMBU 0 2 0 0 21 860 0 18 312 0 82 6 10 0 21 0 528 0 0
12 OKHALDHUNGA 0 12 0 0 103 2753 22 103 6782 0 3 1021 1722 1457 1649 3 2229 0 0
13 KHOTANG 0 0 0 0 134 1809 5 132 392 0 114 180 180 180 180 0 1490 0 0
14 UDAYAPUR 0 0 0 0 183 2142 0 177 4472 0 405 714 2681 696 413 0 3145 0 0
Province 2 30 756 90 214 1909 18058 85 1053 30672 0 113 600 1799 430 2620 30 23301 0 0
15 SAPTARI 0 0 0 0 6 285 0 6 334 0 0 0 0 0 0 0 931 0 0
16 SIRAHA 30 11 0 0 169 5645 2 152 9465 0 113 410 1609 240 1675 30 4420 0 0
17 DHANUSA 0 0 0 0 39 262 0 39 231 0 0 0 0 0 0 0 613 0 0
18 MAHOTTARI 0 0 0 0 0 1321 0 0 2443 0 0 0 0 0 0 0 1672 0 0
19 SARLAHI 0 0 0 0 144 1465 0 108 5534 0 0 0 0 0 0 0 4988 0 0
32 RAUTAHAT 0 0 0 173 22 3349 0 22 5533 0 0 0 0 0 0 0 4433 0 0
33 BARA 0 0 0 0 182 1865 0 182 843 0 0 0 0 0 755 0 2899 0 0
34 PARSA 0 745 90 41 1347 3866 83 544 6289 0 0 190 190 190 190 0 3345 0 0
Province 3 3376 26541 576 3240 97109 401960 3798 94721 636187 26266 77368 160505 222276 157704 279162 13991 540327 4731 17
20 SINDHULI 0 0 0 4 292 1893 0 292 6608 24 24 96 195 646 195 0 2646 0 0
21 RAMECHHAP 0 17 0 0 200 1452 0 187 3794 5 433 1251 2297 1106 2514 17 3611 0 0
22 DOLAKHA 0 56 0 0 642 2617 16 658 3814 0 1186 1186 1467 1187 1562 0 2051 0 0
23 SINDHUPALCHOK 0 2 0 0 34 1336 0 31 2518 0 0 74 483 73 523 0 1494 0 0
24 KAVRE 0 426 4 24 10817 19314 173 8370 30158 6980 8042 11174 11373 11333 11552 3 16984 0 0
25 LALITPUR 157 3746 11 1204 10259 39633 295 7202 51585 593 13084 14989 16057 14517 16117 6 60548 166 1
26 BHAKTAPUR 221 3815 0 328 4350 9390 243 4356 44279 1103 1480 3825 4133 3671 4132 0 9033 8 0
27 KATHMANDU 2952 16091 549 1590 36137 281679 2791 40976 422352 17278 50822 113845 169468 110503 225358 13962 400464 4548 15
28 NUWAKOT 0 6 0 0 1339 1912 0 1339 4533 0 0 0 59 0 90 0 1108 0 0
29 RASUWA 0 1 0 0 54 247 0 54 1057 0 0 0 45 14 51 0 445 0 0
30 DHADING 8 51 0 25 350 3026 0 348 2588 0 907 844 996 844 1159 0 4686 0 0
31 MAKWANPUR 0 0 2 23 582 5850 0 673 28155 0 16 138 120 118 179 0 4206 0 0
35 CHITAWAN 38 2330 10 42 32053 33611 280 30235 34746 283 1374 13083 15583 13692 15730 3 33051 9 1
Province 4 99 2149 208 627 19515 58210 640 18745 204322 1046 12679 34869 66645 44666 83351 1207 59656 72 0
36 GORKHA 0 0 0 6 472 3741 4 477 5603 0 317 2433 3721 3305 3721 0 3048 0 0
37 LAMJUNG 0 2 0 0 1157 3304 0 1016 6912 106 2991 4206 4660 4572 4660 0 1079 0 0
38 TANAHU 0 0 0 0 474 3334 0 475 7575 296 701 3058 3365 2997 3783 0 4857 0 0
39 SYANGJA 0 0 0 0 165 3933 0 171 4818 0 155 602 1684 694 1527 604 1644 0 0
40 KASKI 99 2030 202 567 15535 34200 636 14890 153190 598 6939 22474 51278 31365 67566 597 40917 70 0
41 MANANG 0 0 0 0 0 64 0 0 82 0 0 0 0 0 0 0 16 0 0
42 MUSTANG 0 0 0 28 4 98 0 4 590 24 33 33 33 33 33 0 267 0 0
43 MYAGDI 0 6 6 0 218 1787 0 223 6548 0 889 906 889 889 889 6 1428 0 0
44 PARBAT 0 0 0 0 44 1213 0 44 1314 0 0 15 21 13 27 0 467 0 0
45 BAGLUNG 0 73 0 26 813 2551 0 812 11016 22 333 333 397 333 468 0 2543 2 0
48.1 NAWALPARASI EAST 0 38 0 0 633 3985 0 633 6674 0 321 809 597 465 677 0 3390 0 0
Province 5 0 881 55 1715 20128 78784 717 20486 131677 953 7630 10651 12145 10274 13713 1686 77005 94 0
46 GULMI 0 0 0 0 57 1513 0 56 2882 0 686 1297 1564 1564 1564 0 849 0 0
47 PALPA 0 348 50 0 6866 22418 527 6854 10973 0 346 349 358 358 358 85 15320 94 0
48 NAWALPARASI WEST 0 0 0 0 21 2857 0 21 5388 0 0 526 566 69 609 0 3927 0 0
49 RUPANDEHI 0 87 2 74 2911 11414 141 2911 25371 0 790 863 1282 806 1611 0 15069 0 0
50 KAPILBASTU 0 0 0 0 25 2435 0 25 4584 0 294 512 540 471 1056 316 3022 0 0
51 ARGHAKHANCHI 0 0 0 0 45 1833 0 39 2596 0 19 19 45 19 19 0 875 0 0
52 PYUTHAN 0 0 0 0 48 3150 0 48 4951 0 891 1162 1221 896 2334 0 1845 0 0
53 ROLPA 0 7 0 0 83 1668 0 83 4262 0 283 283 429 310 452 0 1738 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 416 0 1565 5634 9693 0 6015 29953 793 1361 1906 2056 2164 1263 799 16889 0 0
57 BANKE 0 23 3 76 4326 17859 49 4323 37115 160 2458 2568 2583 2480 2763 0 13647 0 0
58 BARDIYA 0 0 0 0 112 3944 0 111 3602 0 502 1166 1501 1137 1684 486 3824 0 0
Province 6 0 74 42 127 1917 22369 17 1928 29113 6 1068 1366 2296 1199 3085 56 22455 0 0
54.1 RUKUM WEST 0 0 0 0 277 3037 0 277 6506 0 0 0 0 0 0 0 3133 0 0
55 SALYAN 0 0 0 19 71 3213 0 71 1057 0 53 56 56 56 84 0 547 0 0
59 SURKHET 0 8 0 65 587 7380 17 588 8103 6 868 1163 1650 996 1979 6 11955 0 0
60 DAILEKH 0 1 0 0 492 2270 0 492 609 0 147 147 476 147 521 0 702 0 0
61 JAJARKOT 0 0 0 0 7 524 0 5 816 0 0 0 0 0 0 0 590 0 0
62 DOLPA 0 0 0 0 0 487 0 0 848 0 0 0 100 0 150 50 582 0 0
63 JUMLA 0 0 0 0 0 2117 0 32 6490 0 0 0 0 0 0 0 1957 0 0
64 KALIKOT 0 0 8 0 129 1940 0 129 2298 0 0 0 14 0 351 0 1870 0 0
65 MUGU 0 65 34 43 353 1270 0 333 2239 0 0 0 0 0 0 0 1104 0 0
66 HUMLA 0 0 0 0 1 131 0 1 147 0 0 0 0 0 0 0 15 0 0
Province 7 0 568 807 2449 10489 42375 140 10742 51258 158 3780 6373 10279 8536 11885 54 42243 0 0
67 BAJURA 0 0 0 49 31 521 0 30 2217 0 320 323 414 323 475 0 1340 0 0
68 BAJHANG 0 0 0 0 183 2181 0 183 5674 10 229 520 780 720 860 0 2750 0 0
69 ACHHAM 0 20 3 70 256 4287 140 237 3328 11 37 37 2181 2181 40 0 1632 0 0
70 DOTI 0 0 0 0 154 1962 0 154 3425 0 43 395 590 252 881 0 1576 0 0
71 KAILALI 0 548 99 1860 7969 18451 0 7969 9202 0 2721 3573 4643 3605 5381 0 19656 0 0
72 KANCHANPUR 0 0 700 427 689 7158 0 585 11144 54 399 399 455 399 2959 54 7097 0 0
73 DADELDHURA 0 0 5 0 717 3776 0 1095 6263 0 0 0 0 0 0 0 3300 0 0
74 BAITADI 0 0 0 43 209 2365 0 208 6197 78 20 733 812 663 886 0 1751 0 0
75 DARCHAULA 0 0 0 0 281 1674 0 281 3808 5 11 393 404 393 403 0 3141 0 0
Raw Data: Laboratory Services
Haematology
Hb
Organisation unit / Data Electro MF MF
Fac VIII HbA1c LE MCH MCHC MCV MP Other P-MIX PBS PCV PF PT PT-INR
phoresi Pos. total
s
Nepal 31 2415 94083 106 880053 166172 868765 476 57917 176000 41833 1284 27576 1083403 14014 34058 204408
Province 1 0 743 7214 0 115462 3952 123431 12 436 24771 3512 11 4556 102184 137 655 20281
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 602 0 0 0 0 1 0 0
03 ILAM 0 0 179 0 0 0 0 0 0 486 0 0 0 2 0 46 116
04 JHAPA 0 8 1026 0 14747 3944 21225 0 25 8889 140 0 41 15746 93 595 2942
05 MORANG 0 110 5946 0 97471 0 98797 12 407 12193 2536 11 4278 76740 15 0 16416
06 SUNSARI 0 0 0 0 12 0 12 0 0 196 0 0 0 331 24 0 0
07 DHANKUTA 0 0 8 0 310 0 312 0 3 150 0 0 15 361 0 0 25
08 TERHATHUM 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 46 0 2739 0 2737 0 1 132 0 0 8 3506 4 0 202
10 BHOJPUR 0 0 0 0 0 0 0 0 0 312 0 0 0 6 0 0 59
11 SOLUKHUMBU 0 0 8 0 65 0 201 0 0 3 0 0 5 201 0 3 12
12 OKHALDHUNGA 0 0 0 0 118 8 139 0 0 540 681 0 59 5255 0 3 509
13 KHOTANG 0 0 0 0 0 0 8 0 0 103 155 0 0 36 0 8 0
14 UDAYAPUR 0 625 1 0 0 0 0 0 0 1017 0 0 150 0 0 0 0
Province 2 0 0 240 0 6052 488 8260 0 305 6013 0 0 940 7263 2 9 837
15 SAPTARI 0 0 0 0 319 0 319 0 5 123 0 0 0 319 0 0 0
16 SIRAHA 0 0 2 0 1329 406 1329 0 270 1507 0 0 0 1329 2 9 116
17 DHANUSA 0 0 0 0 163 0 97 0 3 121 0 0 8 83 0 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0
19 SARLAHI 0 0 0 0 530 0 1150 0 10 1339 0 0 429 1119 0 0 0
32 RAUTAHAT 0 0 0 0 0 0 204 0 0 1923 0 0 503 20 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0
34 PARSA 0 0 238 0 3711 82 5161 0 17 760 0 0 0 4393 0 0 721
Province 3 24 1008 75814 47 520440 127772 503685 421 56372 91631 6543 1204 17923 531722 13392 27583 149964
20 SINDHULI 0 0 1 0 1036 567 1036 0 0 246 0 0 0 1038 2 0 0
21 RAMECHHAP 0 0 52 0 8 0 8 0 0 334 18 0 26 19 3 29 17
22 DOLAKHA 0 0 2 0 138 78 176 0 0 99 0 0 16 527 0 66 12425
23 SINDHUPALCHOK 0 0 0 0 0 0 3 0 23 115 0 0 0 0 0 0 0
24 KAVRE 0 16 645 0 31429 9500 32141 0 29 572 0 0 1330 14595 0 747 5141
25 LALITPUR 2 495 17234 3 109449 23010 77772 0 509 1492 3 15 4055 85351 93 3466 14569
26 BHAKTAPUR 0 0 1855 0 36952 3314 37377 0 0 55 0 0 765 49893 6 443 7477
27 KATHMANDU 21 483 52176 44 330808 91185 344284 419 55788 83590 6365 1181 11635 363341 13016 19372 81787
28 NUWAKOT 0 0 3 0 2 0 4 0 0 60 0 0 0 70 2 0 12
29 RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4
30 DHADING 0 0 15 0 692 0 692 0 0 975 0 8 0 138 43 24 107
31 MAKWANPUR 0 0 0 0 33 0 56 2 23 837 0 0 0 100 8 2412 13
35 CHITAWAN 1 14 3831 0 9893 118 10136 0 0 3256 157 0 96 16650 219 1024 28412
Province 4 7 116 6276 59 175253 23997 164237 17 21 4868 22 0 1745 146142 69 3933 20674
36 GORKHA 0 0 0 0 5376 2073 6022 0 0 291 0 0 11 6078 44 0 28
37 LAMJUNG 0 0 233 0 3750 1282 3750 0 2 384 0 0 0 3752 6 0 337
38 TANAHU 0 0 21 0 0 0 0 0 2 891 1 0 0 82 0 0 18
39 SYANGJA 0 0 0 0 0 0 0 0 0 211 16 0 0 2 0 0 27
40 KASKI 0 116 5818 59 152307 20344 140816 17 12 975 0 0 1677 128901 17 3933 19370
41 MANANG 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 3 0 0 0 3 0 0 0
43 MYAGDI 0 0 0 0 6165 0 6242 0 0 110 5 0 4 77 0 0 144
44 PARBAT 0 0 0 0 0 0 3 0 0 226 0 0 0 2 0 0 0
45 BAGLUNG 0 0 76 0 7575 298 7324 0 5 170 0 0 53 7000 2 0 705
48.1 NAWALPARASI EAST 7 0 128 0 80 0 80 0 0 1606 0 0 0 245 0 0 45
Province 5 0 450 4251 0 46603 7794 49739 1 57 20829 28869 5 1279 57706 160 1563 9905
46 GULMI 0 0 0 0 0 0 0 0 0 97 0 2 0 0 10 0 0
47 PALPA 0 1 3211 0 1595 220 1230 0 0 1666 17673 0 960 13478 1 1050 5390
48 NAWALPARASI WEST 0 0 0 0 0 0 0 0 0 3211 0 0 0 0 0 0 0
49 RUPANDEHI 0 123 749 0 7568 10 9847 1 1 5185 225 0 72 10372 4 118 1764
50 KAPILBASTU 0 0 1 0 0 0 0 0 0 2013 0 1 0 0 10 0 0
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 286 0 1 0 48 4 0 0
52 PYUTHAN 0 0 0 0 0 0 0 0 0 416 1 0 0 2 5 0 0
53 ROLPA 0 0 0 0 270 0 587 0 4 188 0 0 0 653 0 0 36
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 0 77 0 11131 0 12036 0 35 1651 4 0 247 13120 20 64 867
57 BANKE 0 326 213 0 26039 7564 26039 0 10 2377 10954 1 0 20033 96 331 1848
58 BARDIYA 0 0 0 0 0 0 0 0 7 3739 12 0 0 0 10 0 0
Province 6 0 6 15 0 2862 0 4132 20 506 2544 0 37 511 4755 76 3 129
54.1 RUKUM WEST 0 0 0 0 2144 0 2144 0 0 133 0 0 0 2144 0 0 0
55 SALYAN 0 0 0 0 0 0 0 0 0 27 0 0 12 1 0 0 0
59 SURKHET 0 6 15 0 357 0 357 0 462 1517 0 1 74 435 54 3 81
60 DAILEKH 0 0 0 0 0 0 0 0 0 432 0 0 0 0 0 0 25
61 JAJARKOT 0 0 0 0 0 0 0 0 0 22 0 0 118 0 0 0 0
62 DOLPA 0 0 0 0 72 0 229 0 0 5 0 0 135 229 0 0 0
63 JUMLA 0 0 0 0 0 0 1025 0 0 32 0 0 14 1358 0 0 0
64 KALIKOT 0 0 0 0 0 0 0 0 8 279 0 0 0 0 0 0 0
65 MUGU 0 0 0 0 289 0 377 20 36 97 0 36 158 588 22 0 23
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 92 273 0 13381 2169 15281 5 220 25344 2887 27 622 233631 178 312 2618
67 BAJURA 0 0 0 0 227 0 331 0 4 65 1 0 0 363 8 0 24
68 BAJHANG 0 0 0 0 0 0 0 0 0 110 0 0 11 0 6 0 0
69 ACHHAM 0 0 8 0 6754 2169 7458 0 0 265 2815 5 18 7495 0 24 260
70 DOTI 0 0 0 0 6 0 15 0 0 425 0 0 0 35 0 0 0
71 KAILALI 0 92 250 0 2680 0 3470 4 185 10371 0 5 0 2710 25 240 1523
72 KANCHANPUR 0 0 7 0 199 0 490 0 21 12077 0 16 354 936 136 0 121
73 DADELDHURA 0 0 8 0 3515 0 3515 0 0 949 0 0 67 221988 0 0 418
74 BAITADI 0 0 0 0 0 0 0 0 0 741 71 0 0 3 0 48 238
75 DARCHAULA 0 0 0 0 0 0 2 1 10 341 0 1 172 101 3 0 34
Raw Data: Laboratory Services
Haematology Histopathology/Cytology
Urine
Organisation unit / Data Special Special Spleen TLC-
Parasit RH TLC- TLC- for Biopsy
PV RDW Retic Sickling Stain- Stain- aspirat TLC- Hb Platelet Pap Others
es type RBC WBC Hemosi H&E
MPO PAS e s
derin
Nepal 8959 29024 76689 513755 29393 1393 6215 2435 1237 3116537 3800685 1491861 3230582.5 1016 59127 52681 7714
Province 1 34 2794 6476 44714 6840 1 0 0 27 1000140 1953083 518131 1385694 1 5333 7852 1939
01 TAPLEJUNG 0 0 0 1212 0 0 0 0 0 4473 875 8 3564 0 0 0 0
02 PANCHTHAR 3 0 0 1503 0 0 0 0 0 5518 164 10 2793 0 0 0 0
03 ILAM 0 0 0 2096 0 0 0 0 0 9659 4967 4906 7934 0 0 0 0
04 JHAPA 11 23 217 5536 38 0 0 0 0 73782 49362 37138 65526 0 43 225 0
05 MORANG 16 2770 5954 21612 6767 0 0 0 27 863500 1877785 464301 1267600 0 5232 7627 1939
06 SUNSARI 0 0 9 2027 1 0 0 0 0 5141 214 15 3808 0 0 0 0
07 DHANKUTA 4 0 0 1556 0 0 0 0 0 5682 4692 1170 4717 0 0 0 0
08 TERHATHUM 0 0 0 488 0 0 0 0 0 2212 243 2 1696 0 0 0 0
09 SANKHUWASABHA 0 0 296 1860 0 1 0 0 0 12304 7924 7568 11128 1 58 0 0
10 BHOJPUR 0 0 0 1854 0 0 0 0 0 4802 1663 3 3793 0 0 0 0
11 SOLUKHUMBU 0 0 0 542 0 0 0 0 0 1365 517 0 533 0 0 0 0
12 OKHALDHUNGA 0 0 0 2786 16 0 0 0 0 1227 3597 68 5277 0 0 0 0
13 KHOTANG 0 1 0 541 17 0 0 0 0 2978 834 299 2562 0 0 0 0
14 UDAYAPUR 0 0 0 1101 1 0 0 0 0 7497 246 2643 4763 0 0 0 0
Province 2 20 990 643 15701 205 8 0 0 2 65072 22836 11839 46909 8 58 48 0
15 SAPTARI 0 0 0 285 189 0 0 0 0 1708 1077 689 2043 0 0 0 0
16 SIRAHA 5 12 0 5498 1 0 0 0 2 18248 6738 1795 12686 0 0 0 0
17 DHANUSA 0 0 0 164 0 0 0 0 0 1728 538 946 1155 0 0 0 0
18 MAHOTTARI 3 0 0 109 0 0 0 0 0 3345 567 1011 2443 0 0 0 0
19 SARLAHI 6 913 40 1141 0 8 0 0 0 5895 1847 1309 6018 8 0 0 0
32 RAUTAHAT 5 3 0 3522 0 0 0 0 0 9991 98 0 5975 0 0 0 0
33 BARA 1 0 0 1755 6 0 0 0 0 5361 3395 54 1170 0 0 0 0
34 PARSA 0 62 603 3227 9 0 0 0 0 18796 8576 6035 15419 0 58 48 0
Province 3 8403 17015 51392 293073 15116 542 2516 2298 273 1345112 1446420 705770 1172982.5 781 48276 37972 5033
20 SINDHULI 1 0 0 730 0 0 0 0 0 5062 3951 3682 5077 0 0 0 0
21 RAMECHHAP 0 13 0 1089 0 0 0 0 0 9199 1979 650 7177 0 0 0 0
22 DOLAKHA 0 0 0 2124 0 0 0 0 1 6945 3547 1004 5414 0 0 0 0
23 SINDHUPALCHOK 0 0 0 949 0 0 0 0 0 3893 238 51 3199 0 0 0 0
24 KAVRE 0 118 439 18981 1118 0 0 0 0 78487 55296 32294 65563 0 6 45 39
25 LALITPUR 20 2879 10097 26330 973 2 1930 1937 38 149326 121606 92416 135518.5 0 5617 4132 318
26 BHAKTAPUR 0 9 5299 7684 227 0 1 0 74 63829 507287 48654 56967 0 5475 3479 2308
27 KATHMANDU 8353 13996 34080 209424 12673 540 585 361 160 853086 619413 499828 762914 781 34034 27515 2362
28 NUWAKOT 0 0 0 1717 0 0 0 0 0 5763 822 153 5253 0 0 0 0
29 RASUWA 0 0 0 248 0 0 0 0 0 1251 63 0 1101 0 0 0 0
30 DHADING 23 0 643 2375 0 0 0 0 0 18237 13240 11930 17898 0 10 0 0
31 MAKWANPUR 0 0 0 616 0 0 0 0 0 26632 22572 35 7108 0 0 0 0
35 CHITAWAN 6 0 834 20806 125 0 0 0 0 123402 96406 15073 99793 0 3134 2801 6
Province 4 13 6639 12223 44320 2282 60 3653 89 778 277190 232539 190922 283290 129 2152 3512 412
36 GORKHA 0 0 57 3292 2 0 0 0 3 13323 8252 6099 13221 0 0 0 0
37 LAMJUNG 4 0 192 3186 0 0 0 0 0 15050 9993 4391 12404 0 1 0 0
38 TANAHU 0 0 0 3013 0 0 0 0 0 15061 1357 412 12724 0 0 0 0
39 SYANGJA 1 0 0 2526 0 0 0 0 0 6960 1062 813 7548 0 0 0 0
40 KASKI 5 6638 11596 26639 2280 60 3653 89 775 186331 188393 163314 205587 129 2125 3498 412
41 MANANG 0 0 0 8 0 0 0 0 0 108 0 0 166 0 0 0 0
42 MUSTANG 0 0 0 73 0 0 0 0 0 599 23 2 575 0 0 0 0
43 MYAGDI 0 1 0 1462 0 0 0 0 0 8470 7518 6165 6507 0 0 6 0
44 PARBAT 0 0 0 71 0 0 0 0 0 2545 481 0 235 0 0 0 0
45 BAGLUNG 2 0 350 1112 0 0 0 0 0 13486 7796 7361 11473 0 7 2 0
48.1 NAWALPARASI EAST 1 0 28 2938 0 0 0 0 0 15257 7664 2365 12850 0 19 6 0
Province 5 129 1152 3167 59793 4018 769 0 2 70 239874 84101 34275 188439 75 3219 2974 330
46 GULMI 0 0 0 1513 0 0 0 0 0 4162 101 4 4446 0 0 0 0
47 PALPA 3 920 102 14118 1828 11 0 2 66 36032 20376 1553 31767 4 3000 2663 273
48 NAWALPARASI WEST 6 0 0 2562 0 0 0 0 0 10599 1122 561 6683 0 0 0 0
49 RUPANDEHI 15 41 0 7646 121 0 0 0 0 53438 27993 16928 38739 0 192 52 0
50 KAPILBASTU 23 0 0 1465 94 0 0 0 0 9841 1948 35 9050 0 0 0 0
51 ARGHAKHANCHI 3 0 0 1358 0 0 0 0 0 3605 680 1206 3935 0 0 0 0
52 PYUTHAN 4 0 0 3068 0 0 0 0 0 9879 1570 343 7273 0 0 0 0
53 ROLPA 0 0 14 1310 0 0 0 0 0 6995 619 493 4777 0 0 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 19 146 2366 9112 1550 69 0 0 4 42826 15627 4301 34652 71 0 0 0
57 BANKE 25 45 685 15539 425 681 0 0 0 51826 13452 7650 41056 0 27 259 57
58 BARDIYA 31 0 0 2102 0 8 0 0 0 10671 613 1201 6061 0 0 0 0
Province 6 51 384 542 18256 205 0 45 45 77 45893 12324 9505 37801 0 67 0 0
54.1 RUKUM WEST 0 0 400 3035 0 0 0 0 0 7387 2683 2557 7894 0 67 0 0
55 SALYAN 0 0 0 3112 0 0 0 0 0 3812 468 342 1205 0 0 0 0
59 SURKHET 19 94 0 7072 0 0 0 0 0 18950 2787 1895 15474 0 0 0 0
60 DAILEKH 10 0 0 1904 0 0 0 0 0 4123 528 0 2473 0 0 0 0
61 JAJARKOT 0 0 0 476 0 0 0 0 0 1271 44 0 1136 0 0 0 0
62 DOLPA 0 0 0 313 50 0 0 0 10 1177 393 377 1017 0 0 0 0
63 JUMLA 0 0 0 9 100 0 0 0 0 4989 4578 3857 4483 0 0 0 0
64 KALIKOT 0 0 0 1923 0 0 0 0 0 2401 360 136 2674 0 0 0 0
65 MUGU 22 290 142 281 55 0 45 45 67 1570 480 340 1273 0 0 0 0
66 HUMLA 0 0 0 131 0 0 0 0 0 213 3 1 172 0 0 0 0
Province 7 309 50 2246 37898 727 13 1 1 10 143256 49382 21419 115467 22 22 323 0
67 BAJURA 6 0 0 533 0 0 0 0 0 3205 2027 501 2657 0 4 0 0
68 BAJHANG 1 2 0 2083 0 0 0 0 10 5506 1896 67 20570 0 0 0 0
69 ACHHAM 21 0 18 4222 4 0 0 0 0 12981 8092 8106 9965 0 16 0 0
70 DOTI 1 0 0 949 10 0 0 0 0 5696 2189 746 4363 0 0 0 0
71 KAILALI 129 2 1220 18514 27 0 0 0 0 79998 26852 6203 45393 0 2 323 0
72 KANCHANPUR 86 8 110 5103 686 13 1 1 0 20786 3922 2091 17270 22 0 0 0
73 DADELDHURA 9 10 898 3379 0 0 0 0 0 7555 3033 2541 8959 0 0 0 0
74 BAITADI 52 3 0 2264 0 0 0 0 0 3940 652 135 3071 0 0 0 0
75 DARCHAULA 4 25 0 851 0 0 0 0 0 3589 719 1029 3219 0 0 0 0
Raw Data: Laboratory Services
Hormones/Endocrinology Immuno-Histo-Chemistry
Alpha
Organisation unit / Data Proge Testo
Feto Cortis Oestr Other Prolac β- Cytok Other Vime
FSH LH stero T3 T4 TSH stero Vit.D ER G-FAP PR s-100
Protei ol ogen s tin HCG eratin s ntin
ne ne
n
Nepal 3092 3244 7256 5046 1898 2660 1103 10525 282220 279490 546584 2476 12389 27603 1657 4351 283 4910 3241 1089 356
Province 1 37 523 1019 990 161 0 5 1143 30099 29519 38705 112 95 4230 608 397 19 200 285 0 7
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 473 0 3 0 0 0 0 7
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0
04 JHAPA 22 29 74 69 0 0 0 117 5215 5226 6427 2 44 2302 0 0 0 32 0 0 0
05 MORANG 15 115 945 921 161 0 5 1026 24835 24287 32272 110 51 1013 608 394 19 165 267 0 0
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 6 6 6 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 18 0 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0
12 OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 0 0 0 0 0
14 UDAYAPUR 0 379 0 0 0 0 0 0 43 0 0 0 0 102 0 0 0 0 0 0 0
Province 2 7 6 24 22 0 0 2 31 1552 1567 4327 5 10 97 0 48 0 1 221 560 0
15 SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 DHANUSA 0 0 0 0 0 0 0 0 2 2 8 0 0 0 0 0 0 0 0 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 165 0 0
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 7 6 24 22 0 0 2 31 1550 1565 4319 5 10 9 0 40 0 0 56 560 0
Province 3 2584 2553 5942 3786 1711 237 1037 8072 210860 205122 448454 2277 10877 9553 940 3142 116 1454 1175 146 159
20 SINDHULI 0 0 0 0 0 0 0 0 70 70 70 0 0 106 0 0 0 0 4 0 0
21 RAMECHHAP 0 0 0 0 0 0 0 0 33 33 33 0 0 58 0 0 0 10 0 0 0
22 DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0
23 SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 0 0 0 0 0 0
24 KAVRE 54 34 427 374 1 0 0 265 6773 8729 14118 196 115 90 0 0 0 8 0 1 0
25 LALITPUR 624 553 932 924 793 0 230 1995 38655 38452 201212 625 370 1000 909 2321 82 11 670 6 10
26 BHAKTAPUR 293 101 32 33 3 0 4 68 5845 6151 6522 6 160 579 0 364 3 16 218 2 2
27 KATHMANDU 1466 1854 4213 2122 842 237 749 5121 139962 128883 192234 1437 10210 6385 31 456 31 1409 282 137 147
28 NUWAKOT 0 0 0 0 0 0 0 0 23 23 23 0 0 113 0 0 0 0 0 0 0
29 RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 DHADING 0 0 5 5 0 0 0 0 94 94 96 0 0 0 0 0 0 0 0 0 0
31 MAKWANPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0
35 CHITAWAN 147 11 333 328 72 0 54 623 19405 22687 34146 13 22 706 0 1 0 0 1 0 0
Province 4 212 101 142 132 3 268 58 985 29549 29667 37383 80 1398 3771 100 182 117 1963 243 142 108
36 GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0
37 LAMJUNG 0 0 0 0 0 0 0 0 45 45 45 0 0 94 0 7 0 0 17 0 0
38 TANAHU 0 0 0 0 0 0 0 0 5 5 4 0 0 22 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 613 0 0 0 0 0 0 0
40 KASKI 212 101 139 129 3 268 58 985 28871 28989 36612 80 1397 999 100 175 117 1957 226 142 108
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 0 0 0 0 0 0 0 248 248 311 0 1 0 0 0 0 6 0 0 0
48.1 NAWALPARASI EAST 0 0 3 3 0 0 0 0 380 380 411 0 0 2013 0 0 0 0 0 0 0
Province 5 249 45 129 116 23 2155 1 292 8931 12390 16180 2 9 4270 2 247 2 1051 871 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 240 0 96 96 0 2153 0 238 2799 6256 8981 0 0 450 0 0 0 903 0 0 0
48 NAWALPARASI WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 616 0 0 0 0 0 0 0
49 RUPANDEHI 9 24 20 17 23 0 1 11 2591 2580 3851 2 8 798 0 3 0 122 2 0 0
50 KAPILBASTU 0 10 0 0 0 0 0 0 6 0 8 0 0 558 0 0 0 0 0 0 0
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 1 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 58 0 0 63 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 0 1 0 0 0 0 0 474 475 517 0 1 957 2 186 2 19 806 0 0
57 BANKE 0 11 12 3 0 2 0 43 3061 3079 2823 0 0 228 0 0 0 5 0 0 0
58 BARDIYA 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 1 0 0 0
Province 6 0 0 0 0 0 0 0 0 80 80 80 0 0 1483 0 23 23 5 27 106 23
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 6 0
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 SURKHET 0 0 0 0 0 0 0 0 80 80 80 0 0 661 0 0 0 0 2 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 263 0 0 0 0 0 0 0
61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 23 23 0 25 100 23
63 JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 5 0 0 0
65 MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 3 16 0 0 0 0 0 2 1149 1145 1455 0 0 4199 7 312 6 236 419 135 59
67 BAJURA 0 0 0 0 0 0 0 0 0 0 0 0 0 94 2 0 0 0 0 0 0
68 BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0
69 ACHHAM 0 0 0 0 0 0 0 0 74 74 405 0 0 2543 0 0 0 235 0 0 0
70 DOTI 0 0 0 0 0 0 0 0 25 25 21 0 0 14 0 2 0 0 11 0 0
71 KAILALI 3 1 0 0 0 0 0 2 1045 1045 950 0 0 679 0 258 0 0 115 0 0
72 KANCHANPUR 0 15 0 0 0 0 0 0 5 1 79 0 0 280 5 52 6 1 293 135 59
73 DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 0 520 0 0 0 0 0 0 0
74 BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Raw Data: Laboratory Services
Immunology
Organisation unit / Data MEASL
Amoeb Brucell Ca Ca 19- Cystice DNA- Dengu Echino Ferriti Leptos Manto
ANA ASO CA-125 CEA CRP JE ES-IG- Others PRP
iasis a 15.3 9 rcosis ELISA e coccus ne pira ux
G
Nepal 18913 52764 2195 3889 12374 9056 264680 2227.1 2401 1186 2749 10893 664 8112 3745 3177 9389 62708 11445 4855
Province 1 3619 11444 218 161 2205 1851 57294 0 9 493 291 2025 286 1388 501 33 3 3889 1581 115
01 TAPLEJUNG 0 162 3 7 0 0 235 0 0 7 0 0 0 8 0 0 0 7 0 0
02 PANCHTHAR 0 27 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 10 53 11
03 ILAM 0 330 0 0 0 0 586 0 0 0 0 0 0 0 0 0 0 20 0 32
04 JHAPA 407 1043 41 45 31 14 6754 0 0 19 66 565 0 178 0 7 0 686 210 67
05 MORANG 3176 8124 142 10 2174 1837 46757 0 9 376 222 1429 286 953 490 26 3 3056 1048 0
06 SUNSARI 0 0 30 99 0 0 57 0 0 91 0 31 0 249 11 0 0 0 0 0
07 DHANKUTA 0 80 2 0 0 0 88 0 0 0 0 0 0 0 0 0 0 10 0 0
08 TERHATHUM 0 61 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 2 0 0
09 SANKHUWASABHA 11 613 0 0 0 0 930 0 0 0 0 0 0 0 0 0 0 49 0 0
10 BHOJPUR 0 544 0 0 0 0 711 0 0 0 0 0 0 0 0 0 0 2 270 0
11 SOLUKHUMBU 0 17 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 25 25 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 15 0 5
13 KHOTANG 0 258 0 0 0 0 771 0 0 0 3 0 0 0 0 0 0 17 0 0
14 UDAYAPUR 0 160 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 15 0 0
Province 2 254 1506 60 27 22 9 2684 0 0 0 10 157 0 22 2 2 2 1726 4 28
15 SAPTARI 3 34 41 0 0 0 11 0 0 0 0 0 0 0 0 0 0 3 0 0
16 SIRAHA 5 564 0 0 0 0 702 0 0 0 0 4 0 0 2 0 0 223 0 2
17 DHANUSA 0 104 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0
18 MAHOTTARI 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0
19 SARLAHI 125 145 19 0 0 0 165 0 0 0 0 11 0 0 0 0 0 629 0 0
32 RAUTAHAT 0 6 0 0 0 0 133 0 0 0 0 136 0 0 0 0 0 65 4 0
33 BARA 82 218 0 0 0 0 245 0 0 0 0 2 0 0 0 0 0 210 0 26
34 PARSA 39 417 0 27 22 9 1152 0 0 0 10 4 0 22 0 2 2 249 0 0
Province 3 13425 22084 968 3357 9518 6547 136088 2218.1 2330 399 1934 7389 373 5663 2993 2277 9376 43699 3828 3266
20 SINDHULI 0 159 4 2 0 0 249 0 0 3 0 0 0 5 0 0 0 102 8 0
21 RAMECHHAP 117 288 0 0 0 0 2887 0 0 0 21 0 0 0 0 0 0 132 214 28
22 DOLAKHA 0 482 0 0 0 0 977 0 0 0 0 0 0 0 0 0 0 315 7 19
23 SINDHUPALCHOK 0 361 246 0 0 0 522 0 0 0 0 0 0 0 2 0 1 29 0 0
24 KAVRE 47 650 5 443 6 3 7986 0 1 0 0 5 0 18 2 20 0 110 25 7
25 LALITPUR 1875 2052 97 463 1835 1863 12973 496 517 277 549 449 32 1162 12 165 28 1361 5 280
26 BHAKTAPUR 82 809 0 17 752 638 8859 836 601 0 12 8 2 24 0 52 1 735 4 184
27 KATHMANDU 10781 13738 567 2349 5810 3398 80602 442.1 1058 118 1297 4389 328 4087 2977 1566 9346 39047 3488 2629
28 NUWAKOT 0 53 0 0 0 0 431 0 0 0 0 0 0 0 0 0 0 47 0 6
29 RASUWA 0 4 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 5 0 0
30 DHADING 0 389 0 0 0 0 4919 0 0 0 0 0 0 0 0 2 0 259 0 113
31 MAKWANPUR 0 643 8 0 0 0 1470 0 0 0 0 279 0 0 0 0 0 756 0 0
35 CHITAWAN 523 2456 41 83 1115 645 14184 444 153 1 55 2259 11 367 0 472 0 801 77 0
Province 4 537 6687 919 214 338 292 32884 9 62 257 210 160 1 917 5 50 8 2628 68 913
36 GORKHA 0 249 0 0 0 0 2919 0 0 0 0 0 0 0 0 8 0 266 0 0
37 LAMJUNG 17 168 0 0 0 0 1312 0 0 0 0 7 0 0 0 0 0 3 0 0
38 TANAHU 0 523 0 0 0 0 5038 0 0 0 0 0 0 0 0 0 4 204 2 0
39 SYANGJA 0 293 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 5 0 0
40 KASKI 486 4476 914 214 337 292 20118 9 62 257 210 136 1 916 5 40 3 2002 0 906
41 MANANG 0 3 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 1 0 0 0 3 0 0 0 0 1 0 0 0 0 1 0 0 0
43 MYAGDI 23 33 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 38 46 0
44 PARBAT 0 6 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 10 276 4 0 1 0 643 0 0 0 0 0 0 0 0 0 0 69 20 1
48.1 NAWALPARASI EAST 1 660 0 0 0 0 1882 0 0 0 0 16 0 1 0 2 0 41 0 6
Province 5 379 4233 9 129 287 351 20583 0 0 1 298 860 0 2 0 786 0 5551 4787 211
46 GULMI 0 165 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 12 0 0
47 PALPA 286 786 9 129 255 351 5601 0 0 0 1 539 0 0 0 786 0 1753 3760 0
48 NAWALPARASI WEST 0 16 0 0 0 0 448 0 0 0 0 2 0 0 0 0 0 23 0 0
49 RUPANDEHI 17 92 0 0 5 0 2285 0 0 0 20 302 0 0 0 0 0 837 86 5
50 KAPILBASTU 0 99 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 361 0 117
51 ARGHAKHANCHI 0 302 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 7
52 PYUTHAN 0 67 0 0 0 0 369 0 0 0 0 0 0 0 0 0 0 7 0 0
53 ROLPA 1 337 0 0 0 0 788 0 0 0 0 0 0 2 0 0 0 58 231 7
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 30 673 0 0 0 0 4708 0 0 0 0 0 0 0 0 0 0 901 56 43
57 BANKE 45 1682 0 0 27 0 5767 0 0 1 277 17 0 0 0 0 0 1597 654 27
58 BARDIYA 0 14 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 2 0 5
Province 6 109 1575 9 1 0 0 3608 0 0 0 0 2 0 0 0 22 0 853 544 114
54.1 RUKUM WEST 0 258 0 0 0 0 417 0 0 0 0 0 0 0 0 20 0 53 20 0
55 SALYAN 0 34 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 56 3 0
59 SURKHET 0 773 0 0 0 0 1629 0 0 0 0 0 0 0 0 0 0 568 506 20
60 DAILEKH 8 47 9 1 0 0 236 0 0 0 0 2 0 0 0 2 0 68 15 8
61 JAJARKOT 0 3 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 7 0 0
62 DOLPA 0 80 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 60
63 JUMLA 0 151 0 0 0 0 362 0 0 0 0 0 0 0 0 0 0 26 0 0
64 KALIKOT 0 98 0 0 0 0 284 0 0 0 0 0 0 0 0 0 0 75 0 26
65 MUGU 101 125 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0
66 HUMLA 0 6 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 590 5235 12 0 4 6 11539 0 0 36 6 300 4 120 244 7 0 4362 633 208
67 BAJURA 0 134 0 0 0 0 241 0 0 0 0 0 0 0 0 0 0 1006 196 49
68 BAJHANG 0 99 0 0 0 0 239 0 0 0 0 0 4 0 0 0 0 198 60 7
69 ACHHAM 0 169 0 0 2 0 354 0 0 0 0 12 0 0 0 0 0 121 376 7
70 DOTI 0 166 0 0 0 0 383 0 0 0 0 0 0 0 0 0 0 57 0 118
71 KAILALI 582 3357 10 0 2 6 6943 0 0 6 6 226 0 85 230 2 0 1847 1 21
72 KANCHANPUR 0 430 0 0 0 0 1522 0 0 30 0 62 0 35 11 5 0 235 0 2
73 DADELDHURA 0 463 0 0 0 0 1285 0 0 0 0 0 0 0 3 0 0 161 0 0
74 BAITADI 0 54 2 0 0 0 110 0 0 0 0 0 0 0 0 0 0 33 0 4
75 DARCHAULA 8 363 0 0 0 0 462 0 0 0 0 0 0 0 0 0 0 704 0 0
Raw Data: Laboratory Services
Immunology Parasitology
Protei
Organisation unit / Data n RPR- RPR- Rapid Rapid Rapid TORC Thyro- μF- Bence- Bile
Pregna RUBEL Aceto Bile Occult
PSA Electr RK-39 VDRL VDRL- MP MP MP- H IG- TPHA globuli protei jones pigme Chyle Others
ncy LA-IGG ne salts blood
ophor +ve total +ve PF +ve PV total G/M n n prot nts
esis
Nepal 13749 276219 2897 6631 3246 429305 8923 147 1094 84248 1958.6 242638 1114 260 82747 1593 56061 54385 7559 107135 34660
Province 1 1525 47206 1060 1995 85 43544 0 6 265 14077 879 3813 95 21 8953 170 150 320 592 23838 1394
01 TAPLEJUNG 4 1035 0 0 0 187 0 0 0 49 0 61 1 0 0 0 0 0 0 95 0
02 PANCHTHAR 0 1351 0 0 6 1778 0 0 1 93 0 42 0 0 0 0 0 0 0 41 0
03 ILAM 0 1582 0 0 1 1541 0 0 0 172 0 34 0 0 99 0 0 0 0 18 0
04 JHAPA 177 11474 1 48 39 10444 0 0 18 5617 21 378 20 21 1108 162 7 7 2 2212 84
05 MORANG 1315 21243 1047 1873 23 22807 0 4 233 6973 858 1388 38 0 7591 8 126 253 583 20643 1256
06 SUNSARI 29 1192 12 37 0 210 0 0 0 188 0 0 36 0 0 0 0 0 0 9 0
07 DHANKUTA 0 652 0 0 5 1124 0 0 0 17 0 120 0 0 9 0 17 12 0 87 0
08 TERHATHUM 0 281 0 0 0 378 0 0 0 0 0 38 0 0 15 0 0 0 0 9 0
09 SANKHUWASABHA 0 2208 0 0 5 1433 0 0 0 39 0 351 0 0 2 0 0 0 0 275 0
10 BHOJPUR 0 937 0 0 1 678 0 2 13 342 0 9 0 0 29 0 0 0 0 97 0
11 SOLUKHUMBU 0 1052 0 0 0 150 0 0 0 0 0 20 0 0 0 0 0 0 0 20 0
12 OKHALDHUNGA 0 1109 0 26 4 404 0 0 0 84 0 1202 0 0 49 0 0 0 0 192 54
13 KHOTANG 0 1368 0 0 0 1117 0 0 0 15 0 2 0 0 45 0 0 0 7 106 0
14 UDAYAPUR 0 1722 0 11 1 1293 0 0 0 488 0 168 0 0 6 0 0 48 0 34 0
Province 2 25 10548 0 591 16 10252 7 2 6 2361 16 2347 0 0 20 0 277 221 1 857 15
15 SAPTARI 0 634 0 21 0 123 0 0 0 57 0 31 0 0 0 0 0 0 0 60 0
16 SIRAHA 0 2675 0 362 4 5596 0 2 5 1112 0 2255 0 0 13 0 270 220 0 97 15
17 DHANUSA 0 519 0 32 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0
18 MAHOTTARI 0 1061 0 0 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 893 0 159 9 728 0 0 0 135 0 36 0 0 0 0 0 0 0 126 0
32 RAUTAHAT 0 1076 0 0 0 2232 0 0 0 782 0 4 0 0 0 0 0 0 0 0 0
33 BARA 0 978 0 10 3 158 0 0 1 4 0 0 0 0 0 0 0 0 0 10 0
34 PARSA 25 2712 0 7 0 741 7 0 0 271 16 21 0 0 7 0 7 1 1 342 0
Province 3 11038 105867 1640 2892 2567 261363 8899 27 381 34092 984.6 212094 813 236 57391 1067 47729 45607 5917 65858 8465
20 SINDHULI 5 2117 2 4 2 1083 0 0 60 283 0 146 3 0 77 0 5 5 0 96 0
21 RAMECHHAP 0 1987 0 0 2 929 0 0 0 324 0 559 0 0 43 0 0 0 0 148 30
22 DOLAKHA 0 2609 0 19 3 1637 0 0 0 17 0 499 0 0 42 0 4 2 0 284 0
23 SINDHUPALCHOK 0 931 0 0 0 1055 0 0 0 128 0 0 0 0 0 0 0 0 0 53 0
24 KAVRE 6 6898 0 0 14 699 0 0 7 257 8 229 0 0 942 498 6 452 2 966 0
25 LALITPUR 1184 9069 187 314 58 16108 34 3 12 592 137 10705 97 56 5663 109 2270 2263 49 7519 107
26 BHAKTAPUR 290 4848 427 252 10 3399 0 2 0 18 45 37 57 0 754 3 2 114 7 2398 0
27 KATHMANDU 8767 58651 1021 2168 2422 213629 8865 8 299 28689 767.6 196641 645 171 48601 440 45440 42749 5855 50589 8325
28 NUWAKOT 0 992 0 0 0 815 0 2 0 28 0 40 0 0 0 0 0 0 0 79 0
29 RASUWA 0 360 0 0 3 172 0 0 0 2 0 0 0 0 12 0 0 0 0 27 0
30 DHADING 0 4466 0 0 2 894 0 11 0 356 0 33 0 0 54 0 0 0 0 394 3
31 MAKWANPUR 0 4225 0 109 13 5786 0 1 0 517 0 3 0 0 563 0 0 0 0 156 0
35 CHITAWAN 786 8714 3 26 38 15157 0 0 3 2881 27 3202 11 9 640 17 2 22 4 3149 0
Province 4 601 36906 174 0 230 31056 7 1 40 2669 19 3505 124 2 7035 164 378 393 23 7548 24704
36 GORKHA 0 2352 0 0 0 2296 0 0 2 435 0 766 0 0 219 0 0 50 7 229 0
37 LAMJUNG 0 1837 0 0 13 2296 0 0 0 67 0 20 0 0 58 64 0 0 0 143 56
38 TANAHU 0 2995 0 0 7 1991 0 0 1 519 0 42 0 0 160 0 89 105 0 168 35
39 SYANGJA 0 3560 0 0 1 2933 0 0 2 177 0 13 0 0 7 0 0 0 0 60 0
40 KASKI 596 18623 174 0 185 16326 7 0 5 592 19 1752 124 2 6438 100 289 236 16 6212 24601
41 MANANG 0 71 0 0 0 43 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 172 0 0 1 68 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 1254 0 0 5 1651 0 0 0 157 0 0 0 0 50 0 0 0 0 16 8
44 PARBAT 0 668 0 0 0 1088 0 1 1 217 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 1777 0 0 15 870 0 0 0 2 0 788 0 0 6 0 0 2 0 142 4
48.1 NAWALPARASI EAST 5 3597 0 0 3 1494 0 0 29 495 0 119 0 0 97 0 0 0 0 578 0
Province 5 546 32560 0 615 220 43440 9 26 98 20176 60 15044 63 0 3482 189 1191 1248 363 5809 56
46 GULMI 0 499 0 0 2 1025 0 0 0 2 0 551 0 0 5 0 0 0 0 10 0
47 PALPA 527 5902 0 526 7 11856 2 0 0 4009 29 1600 63 0 2868 189 1131 1133 362 3144 35
48 NAWALPARASI WEST 0 1250 0 0 11 2519 0 0 1 451 0 1142 0 0 2 0 0 0 0 22 0
49 RUPANDEHI 6 4016 0 19 3 4101 0 8 7 1684 2 1924 0 0 295 0 5 17 1 578 0
50 KAPILBASTU 0 1599 0 0 31 1892 0 4 27 953 0 394 0 0 17 0 0 0 0 32 0
51 ARGHAKHANCHI 0 780 0 0 9 973 0 4 3 192 0 0 0 0 0 0 0 0 0 0 0
52 PYUTHAN 0 1266 0 0 6 1655 0 8 17 542 0 297 0 0 28 0 0 0 0 24 1
53 ROLPA 0 1310 0 0 15 1155 0 0 0 0 0 34 0 0 29 0 0 0 0 40 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 7084 0 0 16 5310 0 0 26 5826 0 3466 0 0 238 0 38 62 0 835 20
57 BANKE 13 5625 0 70 118 11505 7 1 11 5981 29 3779 0 0 0 0 17 36 0 1123 0
58 BARDIYA 0 3229 0 0 2 1449 0 1 6 536 0 1857 0 0 0 0 0 0 0 1 0
Province 6 3 13006 0 89 38 12674 0 2 60 2184 0 1841 0 0 5517 3 6336 6555 603 957 0
54.1 RUKUM WEST 0 2284 0 38 5 1494 0 0 15 242 0 0 0 0 5390 0 6210 6210 600 98 0
55 SALYAN 0 1033 0 0 0 2551 0 0 0 60 0 2 0 0 41 0 0 0 0 41 0
59 SURKHET 3 3255 0 37 20 4938 0 1 43 1596 0 43 0 0 86 3 6 101 3 285 0
60 DAILEKH 0 1657 0 5 7 1720 0 1 2 198 0 37 0 0 0 0 0 0 0 47 0
61 JAJARKOT 0 609 0 0 1 393 0 0 0 1 0 56 0 0 0 0 0 0 0 5 0
62 DOLPA 0 332 0 7 1 187 0 0 0 0 0 0 0 0 0 0 120 244 0 112 0
63 JUMLA 0 992 0 0 0 22 0 0 0 0 0 1241 0 0 0 0 0 0 0 124 0
64 KALIKOT 0 1285 0 0 4 925 0 0 0 45 0 134 0 0 0 0 0 0 0 62 0
65 MUGU 0 1452 0 0 0 303 0 0 0 40 0 328 0 0 0 0 0 0 0 181 0
66 HUMLA 0 107 0 2 0 141 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0
Province 7 11 30126 23 449 90 26976 1 83 244 8689 0 3994 19 1 349 0 0 41 60 2268 26
67 BAJURA 0 792 0 2 2 335 0 5 16 123 0 137 0 0 0 0 0 7 0 16 0
68 BAJHANG 0 2241 0 0 0 1822 0 0 2 125 0 27 0 0 54 0 0 0 0 39 26
69 ACHHAM 0 4131 0 228 34 4142 0 2 24 969 0 9 0 0 106 0 0 0 0 330 0
70 DOTI 0 929 0 0 0 657 0 0 0 52 0 438 0 0 0 0 0 1 6 505 0
71 KAILALI 11 10073 3 129 45 11609 0 74 116 5327 0 2195 19 1 78 0 0 24 51 929 0
72 KANCHANPUR 0 5515 20 77 4 3253 1 2 75 1164 0 785 0 0 0 0 0 9 0 107 0
73 DADELDHURA 0 2617 0 13 0 2374 0 0 9 692 0 0 0 0 100 0 0 0 3 101 0
74 BAITADI 0 1593 0 0 0 1397 0 0 1 131 0 71 0 0 0 0 0 0 0 7 0
75 DARCHAULA 0 2235 0 0 5 1387 0 0 1 106 0 332 0 0 11 0 0 0 0 234 0
Raw Data: Laboratory Services
Parasitology Virology
Organisation unit / Data Porphob Reducin Semen- Sp. Stool Urine Urobilin CD4 Viral Western
HAV HBsAg HCV HEV HIV Others
ilinogen g sugar analysis Gravity R/E R/E ogen count load blot
Nepal 54018 31619 73244 92248 478137 1899017 59144 5232 58692 752506 442512 25711 895233 5357 1008 859
Province 1 17 2559 3638 11586 96430 277462 92 656 3523 94568 34933 2096 93310 198 0 264
01 TAPLEJUNG 0 164 2 0 903 3561 0 0 3 1015 753 0 1013 0 0 0
02 PANCHTHAR 0 0 6 0 335 5290 0 0 0 404 71 0 1752 0 0 0
03 ILAM 0 0 25 0 582 10158 0 0 0 1670 44 0 1910 0 0 0
04 JHAPA 3 231 359 2136 12519 56259 9 408 548 17834 9434 138 19319 9 0 177
05 MORANG 14 1878 3133 9428 73285 155134 8 248 2605 62677 20171 1867 58527 189 0 87
06 SUNSARI 0 6 0 0 405 4500 0 0 0 856 154 0 1186 0 0 0
07 DHANKUTA 0 15 1 0 1030 4286 0 0 176 1282 322 0 1473 0 0 0
08 TERHATHUM 0 0 0 0 194 2018 0 0 0 382 83 8 464 0 0 0
09 SANKHUWASABHA 0 115 29 0 2429 9590 0 0 10 1850 321 4 1759 0 0 0
10 BHOJPUR 0 0 25 0 969 4083 0 0 76 1177 1017 0 1205 0 0 0
11 SOLUKHUMBU 0 0 4 0 96 1917 0 0 58 1011 581 79 747 0 0 0
12 OKHALDHUNGA 0 0 22 0 936 6291 75 0 13 1797 428 0 1889 0 0 0
13 KHOTANG 0 4 26 0 1161 5215 0 0 0 1113 981 0 1554 0 0 0
14 UDAYAPUR 0 146 6 22 1586 9160 0 0 34 1500 573 0 512 0 0 0
Province 2 2 868 371 19 8936 54471 77 0 215 13356 2053 4 15141 0 0 0
15 SAPTARI 0 0 3 0 815 2341 0 0 42 172 84 0 434 0 0 0
16 SIRAHA 2 276 194 18 2202 11422 76 0 8 7051 1512 0 7255 0 0 0
17 DHANUSA 0 316 0 0 1724 2457 0 0 0 85 0 0 112 0 0 0
18 MAHOTTARI 0 0 0 0 1097 8678 0 0 0 884 0 0 13 0 0 0
19 SARLAHI 0 79 9 0 957 3699 0 0 46 886 16 0 1935 0 0 0
32 RAUTAHAT 0 0 0 0 602 9867 0 0 0 2052 327 0 3050 0 0 0
33 BARA 0 0 0 0 372 5450 0 0 111 1004 0 0 45 0 0 0
34 PARSA 0 197 165 1 1167 10557 1 0 8 1222 114 4 2297 0 0 0
Province 3 47481 20122 65425 50687 274062 980749 51170 1323 46156 414836 308122 19192 568567 2633 246 447
20 SINDHULI 0 0 8 0 2088 6614 0 0 0 1006 136 0 1252 0 3 0
21 RAMECHHAP 0 0 11 0 1519 8179 0 0 0 1099 122 0 986 0 0 0
22 DOLAKHA 0 7 35 0 1781 9126 0 0 0 2361 1203 0 2336 0 0 0
23 SINDHUPALCHOK 0 127 12 0 1013 4608 0 0 62 1268 212 4 1269 0 0 0
24 KAVRE 189 1394 120 1 10627 52632 1758 0 41 8175 1555 26 5711 5 0 0
25 LALITPUR 61 478 931 4007 31381 107440 3673 7 2149 36632 22267 1720 28126 0 18 19
26 BHAKTAPUR 0 203 148 90 12367 39359 5 0 456 6368 4498 100 9264 0 0 0
27 KATHMANDU 47231 17457 63181 46582 188192 628693 45734 1227 42909 323085 264965 17160 483839 2622 218 424
28 NUWAKOT 0 47 18 0 896 4865 0 0 111 1073 13 0 1185 0 0 0
29 RASUWA 0 0 0 0 200 1016 0 0 0 188 12 0 298 0 0 0
30 DHADING 0 11 57 0 4221 14686 0 0 0 1978 162 0 2590 0 0 0
31 MAKWANPUR 0 12 12 0 6119 20103 0 0 7 5982 544 0 8095 0 0 0
35 CHITAWAN 0 386 892 7 13658 83428 0 89 421 25621 12433 182 23616 6 7 4
Province 4 79 1929 1624 29065 40537 222423 321 298 1467 98892 45360 127 70696 1498 1 2
36 GORKHA 0 0 45 0 2105 15444 0 0 10 3620 214 0 2024 0 0 0
37 LAMJUNG 0 2 22 0 1825 12585 0 0 13 2318 1536 0 2478 0 0 0
38 TANAHU 0 32 51 0 1716 12076 0 0 10 2936 2561 9 3311 0 0 0
39 SYANGJA 0 0 1 0 722 8465 0 71 0 3311 457 0 2543 0 0 0
40 KASKI 79 1884 1413 28965 28237 134055 211 25 793 78063 36078 118 49475 1484 1 2
41 MANANG 0 0 0 0 9 230 0 0 10 61 1 0 389 0 0 0
42 MUSTANG 0 0 1 0 35 550 0 0 0 84 42 0 73 0 0 0
43 MYAGDI 0 0 8 0 645 7489 0 0 0 1689 13 0 2337 0 0 0
44 PARBAT 0 0 0 0 299 3886 0 0 620 1161 1031 0 1204 0 0 0
45 BAGLUNG 0 0 44 100 1368 13118 110 202 11 2496 1671 0 3519 6 0 0
48.1 NAWALPARASI EAST 0 11 39 0 3576 14525 0 0 0 3153 1756 0 3343 8 0 0
Province 5 159 3058 876 890 29734 218230 1151 1481 6085 72654 28399 3877 82691 1028 0 0
46 GULMI 0 0 1 0 321 5926 0 0 0 1513 63 0 2009 0 0 0
47 PALPA 150 123 308 730 10105 62332 1135 683 1461 17081 11195 1569 16831 760 0 0
48 NAWALPARASI WEST 0 150 19 0 903 10964 0 0 0 2581 38 0 4278 0 0 0
49 RUPANDEHI 0 151 250 0 3725 24356 10 0 271 9462 2251 56 10151 90 0 0
50 KAPILBASTU 0 0 45 0 780 8873 0 72 25 823 449 0 4226 0 0 0
51 ARGHAKHANCHI 0 0 0 0 445 3600 0 0 9 1500 1165 0 1431 0 0 0
52 PYUTHAN 0 712 5 0 331 7929 0 0 0 2014 1397 0 2445 1 0 0
53 ROLPA 0 4 10 0 739 5157 0 0 0 1199 641 0 1594 0 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 244 50 0 8090 36464 0 370 612 9060 1072 22 12685 45 0 0
57 BANKE 9 1674 186 160 3911 44356 6 331 3668 24068 9730 2230 24755 132 0 0
58 BARDIYA 0 0 2 0 384 8273 0 25 39 3353 398 0 2286 0 0 0
Province 6 6280 995 335 1 11563 48658 6315 5 290 15570 6668 2 16997 0 0 0
54.1 RUKUM WEST 6210 0 83 0 4228 11506 6210 0 155 1665 1542 0 1671 0 0 0
55 SALYAN 0 836 17 0 275 4741 0 0 0 2707 2487 0 2811 0 0 0
59 SURKHET 0 28 124 1 3316 15654 0 5 0 5071 292 0 5701 0 0 0
60 DAILEKH 0 0 36 0 629 3938 0 0 0 1846 577 0 2342 0 0 0
61 JAJARKOT 0 0 1 0 108 1955 0 0 0 427 1 0 373 0 0 0
62 DOLPA 70 131 19 0 347 877 105 0 20 270 66 0 291 0 0 0
63 JUMLA 0 0 0 0 875 4481 0 0 0 1583 970 0 1528 0 0 0
64 KALIKOT 0 0 35 0 1258 3701 0 0 91 958 594 0 1610 0 0 0
65 MUGU 0 0 20 0 477 1512 0 0 24 833 139 2 531 0 0 0
66 HUMLA 0 0 0 0 50 293 0 0 0 210 0 0 139 0 0 0
Province 7 0 2088 975 0 16875 97024 18 1469 956 42630 16977 413 47831 0 761 146
67 BAJURA 0 0 7 0 456 2548 0 0 92 367 44 0 1182 0 0 0
68 BAJHANG 0 0 53 0 1009 6548 0 0 11 2268 159 0 3943 0 0 0
69 ACHHAM 0 0 156 0 2593 12770 0 305 9 4700 3340 0 4493 0 0 140
70 DOTI 0 0 61 0 1175 5005 0 289 0 660 457 0 1881 0 0 0
71 KAILALI 0 1789 424 0 6994 40127 14 424 381 23930 9543 72 23040 0 529 4
72 KANCHANPUR 0 283 61 0 1177 12376 4 257 46 4237 79 0 5069 0 0 0
73 DADELDHURA 0 0 155 0 2192 10399 0 103 225 3001 2145 341 3679 0 232 2
74 BAITADI 0 13 19 0 325 4007 0 91 42 1788 90 0 3313 0 0 0
75 DARCHAULA 0 3 39 0 954 3244 0 0 150 1679 1120 0 1231 0 0 0
Raw Data: HOSPITAL (Sheet 1 of 19)
Operational
Sanctioned
Service
Female
Female
Female
Female
Female
Female
Female
Female
Female
Female
Admitted
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Days
BPKIHS, Dharan, Sunsari 763 763 0 0 18674 28230 21201 32051 18113 18835 20145 20950 142337 72976 231007 118436 24118 24097 27237 27213 203242 144138 299590 198650
Mechi Zonal Hospital, Jhapa 50 118 5848 20203 4777 6623 4928 7037 3206 3158 3326 3298 18105 9992 17981 10484 2789 2855 2881 3154 28877 22628 29116 23973
Koshi Zonal Hospital, Morang 250 300 17899 54692 11748 15991 12959 17597 14717 17144 16772 18775 64606 43631 76442 48565 17698 15958 20493 18162 108769 92724 126666 103099
District Hospital, Taplejung 15 35 2498 6875 2471 2443 2471 2443 1639 1261 1639 1261 3919 2731 3919 2731 1421 1364 1421 1364 9450 7799 9450 7799
District Hospital, Panchthar 15 35 3354 6455 2125 2727 2413 3275 1778 1234 1924 1314 7700 3269 8614 3683 833 786 1000 981 12436 8016 13951 9253
District Hospital, Ilam 50 33 1959 4371 1683 2266 1697 2278 1387 1130 1416 1135 8095 3895 8455 3952 1747 1559 1771 1574 12912 8850 13339 8939
District Hospital, Sunsari 29 25 3278 4868 1369 2023 1684 2486 2157 2267 2685 2908 6418 4313 7747 5436 961 1109 1267 1482 10905 9712 13383 12312
District Hospital, Dhankuta 15 27 975 2224 3789 4964 3987 5238 2287 2072 2369 2175 10009 5306 10654 5585 1883 1712 2113 1907 17968 14054 19123 14905
District Hospital, Terhathum 15 17 1786 3960 1093 1104 1343 1434 1089 1036 1143 1039 2908 2227 2784 2197 906 856 1069 940 5996 5223 6339 5610
District Hospital, Sankhuwasabha 15 25 1883 3926 1416 2865 1418 2869 1205 884 1206 885 5836 3043 5843 3040 1397 1079 1401 1085 9854 7871 9868 7879
District Hospital, Bhojpur 15 22 2096 4093 980 1174 980 1174 888 670 888 670 4293 2621 4293 2621 724 670 724 670 6885 5135 6885 5135
District Hospital, Solukhumbu 15 29 1109 3279 1058 1062 1573 1721 1273 984 2236 1460 5271 2498 7410 4253 957 1040 1492 1575 8559 5584 12711 9009
Rumjatar Hospital, Okhaldhunga 15 0 580 1966 809 1109 1022 1342 1045 941 1290 1128 2803 1392 3423 1790 617 536 823 727 5274 3978 6558 4987
District Hospital, Khotang 15 26 1546 3764 1992 2391 2076 2514 1979 1253 2037 1295 8518 2694 8726 2779 1314 1137 1351 1271 13803 7475 14190 7859
District Hospital, Udayapur 50 50 3126 11898 2948 4075 3267 4808 2272 2182 2346 2293 10750 5113 10716 5351 2436 2176 2193 2282 18406 13546 18522 14734
Rangeli Hospital, Morang 15 15 728 2295 892 936 948 992 1402 1088 1506 1157 6269 4092 6831 4375 822 862 1052 990 9385 6978 10337 7514
Mangalbare Hospital, Morang 15 15 28 67 1513 1713 1599 1812 1737 1162 2007 1232 8431 3087 10544 3370 1886 2145 2119 2329 13567 8107 16269 8743
Katari Hospital, Udayapur 15 4 541 1072 4730 3376 4987 3702 3551 2803 4061 3556 5617 4576 5890 4810 1630 1162 1780 1360 15528 11917 16718 13428
Narayani Sub Regional Hospital, Parsa 200 300 20819 0 11590 17913 11590 17913 10102 15126 12140 16428 39699 33371 37432 31569 5221 6325 5221 6325 66612 72735 66383 72235
Janakpur Zonal Hospital 250 250 8988 35552 0 0 1E+06 13101 0 0 13440 16799 0 0 47733 36321 0 0 3201 4118 0 0 1E+06 70339
Sagarmatha Zonal Hospial, Saptari 50 100 5429 12846 1262 1147 412 403 2819 3033 645 615 3308 3232 488 321 1434 1292 143 155 8823 8704 1688 1494
District Hospital, Rautahat 25 25 2161 2368 1528 1411 1534 1414 2902 2659 2910 2664 8164 7039 8168 7046 797 722 804 728 13391 11831 13416 11852
District Hospital, Siraha 15 15 1368 3089 1441 1514 1600 1768 2818 2671 5797 3098 3006 3264 3431 3626 1553 1667 1692 1953 8818 9116 12520 10445
Malangawa District Hospital, Sarlahi 50 15 1484 1588 82 166 122 249 1515 2098 1670 2323 3247 4013 3676 4243 505 648 602 762 5349 6925 6070 7577
Kalaiya District Hospital, Bara 50 25 4576 4297 4470 4620 71 46 5307 6067 242 185 8925 8270 84 109 1896 2445 31 17 20598 21402 428 357
Bharadah Hospital, Saptari 15 5 244 528 1049 1107 1458 1440 1211 1146 1509 1458 7314 6522 8230 7543 876 935 1002 1124 10450 9710 12199 11565
Ram Uma Smarak Hospital, Lahan, Siraha 50 50 4573 8122 910 1001 1187 1398 1264 1437 1623 1979 4078 4240 4858 5581 654 830 920 1518 6906 7508 8588 10476
Bardibas Hospital, Mahottari 15 5 712 334 1727 1244 1920 1757 2327 1904 2573 2133 4524 3603 4878 3862 1029 892 1189 1106 9607 7643 10560 8858
Chandranigahapur Hosptial, Rautahat 15 15 1241 428 2477 2301 3097 2927 2374 2673 2932 3169 5134 5060 5750 5957 1603 1579 2022 1997 11588 11613 13801 14050
Pokhariya Hospital, Parsa 15 15 121 124 1346 1277 1526 2045 839 788 1218 1235 1966 1354 5314 2476 272 498 703 1066 4423 3917 8761 6822
Mental Hospital, Lalitpur 50 50 697 13482 73 119 145 210 400 467 1218 1355 3156 3542 9310 10030 110 125 388 441 3739 4253 11061 12036
Bhaktapur Hospital, Bhaktapur 75 75 1567 3150 0 0 1086 1659 0 0 1823 1813 0 0 14813 6836 0 0 2928 2114 0 0 20650 12422
Bir Hospital, Kathmandu 331 370 12067 79208 2052 3441 3104 5221 10321 16202 15576 22867 79831 92220 135680 139057 15414 19994 27358 36150 107618 131857 181718 203295
Kanti Children Hospital, Kathmandu 500 350 9442 85663 30637 52709 44369 76127 3163 6047 5061 8918 0 0 0 0 0 0 0 0 33800 58756 49430 85045
Maternity Hospital, Kathmandu 350 318 25470 94469 0 0 0 0 0 0 0 0 15562 0 158109 0 0 0 0 0 15562 0 158109 0
Sukraraj Tropical Hospital,Kathmandu 100 100 2600 13158 1933 4348 0 0 2762 6361 0 0 17517 28495 0 0 1518 2351 0 0 23730 41555 0 0
Human Organ Transplant Center 100 100 1114 9233 21 37 30 90 67 69 336 352 1039 1301 5640 7778 226 378 787 1685 1353 1785 6793 9905
National Gangalal Heart Center, Kathmandu 200 182 12149 29863 737 1065 2563 3563 821 1031 2600 3437 11489 11161 24838 22179 2700 3617 8053 11392 15747 16874 38054 40571
National Trauma Center, Kathmandu 200 170 2970 39005 406 864 734 1547 852 2144 1386 3602 7092 8660 11299 13866 1382 1318 2249 2070 9732 12986 15668 21085
Patan Hospital, Lalitpur 452 452 22069 106813 5192 7067 20154 27568 7461 8285 13497 15556 49759 26602 148014 53873 5443 4421 17417 13983 67855 46375 199082 110980
District Hospital, Sindhuli 51 36 2116 5721 917 1042 2721 3561 592 552 1988 1663 2382 1115 8943 4191 349 311 1434 1123 4240 3020 15086 10538
District Hospital, Ramechhap 15 15 1017 2839 988 921 1386 1345 1648 1396 2050 1757 2551 1921 3576 2504 1705 1311 2230 1870 6892 5549 9242 7476
Jiri District Hospital, Dolakha 15 15 1512 3400 1177 1029 1398 1191 1485 1290 1757 1478 5792 4130 6345 4519 1210 956 1404 1111 9664 7405 10904 8299
District Hospital, Sindhupalchok 15 27 1032 3561 1865 2408 1183 1449 1207 1159 715 758 5973 3067 3412 2033 2728 2638 1120 1403 11773 9272 6430 5643
District Trisuli Hospital, Nuwakot 50 50 3137 6810 1376 1305 1448 1348 1622 1285 1676 1346 4877 2888 4995 3043 1301 1337 1457 1460 9176 6815 9576 7197
District Hospital, Rasuwa 15 15 264 673 518 643 591 694 420 336 449 345 2123 1881 2349 2011 306 236 343 273 3367 3096 3732 3323
District Hospital, Dhading 15 43 1898 5326 2319 2990 2564 3298 2670 2283 2986 2558 10147 5038 10906 5421 2004 1971 2233 2248 17140 12282 18689 13525
Hetauda Hospital, Makwanpur 50 125 7292 24073 4414 3012 5681 3843 4845 5594 6227 7136 11079 9780 14085 12448 2582 1724 3293 2201 22920 20110 29286 25628
Bharatpur Hospital, Chitawan 300 600 40180 123659 10515 10662 11001 11132 15414 15948 16073 16354 45555 45349 46559 46355 11824 12362 12337 12795 83308 84321 85970 86636
Methinkot Hospital, Kavre 15 21 258 491 981 1064 1208 1227 992 772 1120 909 4113 1492 5353 1862 773 700 1057 1005 6859 4028 8738 5003
Central Jail Hospital, Kathmandu 15 15 552 1534 9 8 13 12 30 449 52 1024 940 15900 2111 29011 40 825 104 1737 1019 17182 2280 31784
Civil Services Hospital, Kathmandu 132 150 3118 0 885 925 1361 2110 1862 2430 2877 3674 17838 11762 33414 18767 2519 2463 5017 5329 23104 17580 42669 29880
APF Hospital, Kathmandu 110 90 1300 16829 272 341 590 616 674 531 2922 1894 1991 2503 11117 17077 492 1146 2297 5587 3429 4521 16926 25174
Baghauda Hosptial, Chitawan 15 13 159 458 2328 1798 2407 1853 2484 1757 2583 1836 5698 3985 5952 4246 935 719 1043 807 11445 8259 11985 8742
Hospital Service Outpatient Services
0 - 9 Years 10 - 19 Years 20 - 59 Years ≥ 60 Years Total
Number of Beds New Clients Total Clients New Clients Total Clients New Clients Total Clients New Clients Total Clients New Clients Total Clients
Total In-
Hospital Name Total Served Served Served Served Served Served Served Served Served Served
patient
Patients
Operational
Sanctioned
Service
Female
Female
Female
Female
Female
Female
Female
Female
Female
Female
Admitted
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Days
Bakulahar Hospital, Chitawan 15 25 235 1160 2553 2547 3022 2851 3578 2915 3939 3345 25089 13362 28439 15773 4833 4377 5419 5083 36053 23201 40819 27052
Western Regional Hospital, Pokhara 500 351 18937 71185 7345 9576 10009 14541 8144 7825 13831 11645 48951 21484 85815 32735 17548 15596 39975 25150 81988 54481 149630 84071
Dhaulagiri Zonal Hospital, Baglung 50 38 3022 5946 182 311 2523 3417 147 129 1621 1585 938 449 8338 5740 252 205 2184 2174 1519 1094 14666 12916
District Hospital, Gorkha 50 42 1877 4391 2412 2694 2562 2820 2233 1814 2396 1939 11398 5053 11855 5756 1935 2013 2015 2195 17978 11574 18828 12710
District Hospital, Tanahu 15 26 1427 4162 1480 2037 1582 2208 3135 2287 3819 2507 15309 6323 17754 6945 3540 3300 3821 3574 23464 13947 26976 15234
District Hospital, Syangja 25 15 1154 2462 1165 1423 1489 1659 1435 1258 1975 1464 5789 2749 8368 3124 1667 1298 1930 1671 10056 6728 13762 7918
District Hospital, Manang 15 10 115 303 158 244 186 304 240 218 274 244 1193 1999 1506 2385 84 116 103 154 1675 2577 2069 3087
District Hospital, Mustang 15 15 204 418 450 487 471 534 442 514 487 581 1366 1706 1492 1876 171 159 197 178 2429 2866 2647 3169
District Hospital, Myagdi 50 40 3123 7342 1646 1906 1920 2228 2576 2042 2881 2310 9213 5992 10251 6581 1212 1026 1391 1173 14647 10966 16443 12292
District Hospital, Parbat 15 35 1357 3047 1009 1027 1174 1184 1457 1358 1665 1524 4324 3813 4755 4207 1091 994 1220 1104 7881 7192 8814 8019
Lamjung Community Hospital, Lamjung 62 62 5245 365 3023 4229 3925 5762 2581 2276 3600 2766 12406 6873 19878 8025 2581 2272 4228 3879 20591 15650 31631 20432
Chisapani Hospital, Nawalparasi 15 15 0 0 291 279 388 405 375 301 465 401 1119 712 1456 1022 317 313 461 489 2102 1605 2770 2317
Bandipur Hospital, Tanahu 15 15 605 1497 637 677 781 768 894 803 1079 943 2029 1404 2445 1755 477 387 599 475 4037 3271 4904 3941
Bataulechaur Hospital, Kaski 25 15 425 743 617 756 1233 1606 378 245 674 389 2343 672 3754 831 440 260 605 363 3778 1933 6266 3189
Rapti Sub Regional Hospital, Dang 100 100 9010 21883 5603 7833 5603 7833 6229 5546 6229 5546 31500 11947 31520 11947 3347 2686 3347 2686 46679 28012 46699 28012
Lumbini Zonal Hospital, Rupandehi 300 210 17200 56518 7630 11330 10685 15299 11800 11487 14858 14015 70569 31498 90738 37696 8793 7983 10993 9986 98792 62298 127274 76996
Rapti Zonal Hospital, Dang 50 40 3048 7634 2417 2437 4309 3562 3315 1726 4894 2332 13634 4005 20013 5485 2519 1868 3723 2720 21885 10036 32939 14099
Bheri Zonal Hospital, Banke 100 150 12290 40072 4156 6031 4928 7156 6868 6247 8938 7780 33699 18600 45408 23691 3667 3792 4989 5167 48390 34670 64263 43794
Tamghas Hospital, Gulmi 50 30 2386 5499 2210 2016 2561 2272 2720 2072 3090 2319 6629 2985 7410 3412 2435 2015 2808 2322 13994 9088 15869 10325
District Hospital, Palpa 15 15 646 2044 472 605 540 664 842 782 938 861 5631 3508 6018 3769 1800 1822 1997 2016 8745 6717 9493 7310
Prithvi Chandra Hospital, Nawalparasi 50 29 2088 3887 1318 1271 2020 1974 1918 1609 2078 1674 10355 7265 11774 7463 1099 1092 1257 1248 14690 11237 17129 12359
Prithvi Bir Hospital, Kapilbastu 15 24 2202 3833 1596 1908 1596 1908 2333 1238 2333 1238 9528 5108 9528 5108 920 1359 920 1359 14377 9613 14377 9613
District Hospital, Arghakhanchi 15 33 2844 6096 418 488 563 655 358 270 461 356 975 673 1296 861 379 360 498 438 2130 1791 2818 2310
District Hospital, Pyuthan 50 25 2922 6706 1395 2435 1748 2841 2096 1262 2556 1616 9435 3337 10929 4127 1697 1166 2240 1673 14623 8200 17473 10257
District Hospital, Rolpa 15 15 1322 3719 1224 1588 1475 1757 1351 745 1498 843 5415 2123 6268 2302 513 485 609 560 8503 4941 9850 5462
District Hospital, Bardiya 50 25 2302 4438 1937 1744 2100 1881 2329 1590 2591 1685 5726 3927 6482 4301 1399 1254 1522 1346 11391 8515 12695 9213
Rampur Hospital, Palpa 50 15 951 999 1099 1345 1429 1769 1705 1185 2188 1468 6859 2932 8810 3751 1446 1033 1772 1425 11109 6495 14199 8413
Bhim Hospital, Rupandehi 25 60 4816 8835 861 1026 958 1151 1438 1485 1598 1604 8699 6175 8344 6560 1324 1373 1520 1559 12322 10059 12420 10874
Shivraj Hospital, Bahadurganj, Kapilbastu 15 15 848 1267 2977 2591 3198 2847 2122 1871 2374 2175 3771 3002 4126 3371 1694 1413 1927 1693 10564 8877 11625 10086
Pipara Hospital, Kapilbastu 15 10 104 53 647 439 980 592 1568 964 2062 1166 3267 1964 3969 2180 659 528 818 1065 6141 3895 7829 5003
MWR Police Hospital, Banke 15 0 280 2420 58 90 83 130 187 460 196 474 1096 3555 1241 3840 100 205 116 210 1441 4310 1636 4654
Karnali Academy Of Health Science, Jumla 300 100 2261 7921 2396 2204 2767 2583 1651 1571 2034 1833 4847 4302 5833 5196 1349 1232 1693 1546 10243 9309 12327 11158
Mid Western Regional Hospital, Surkhet 50 68 9730 22117 2161 3397 2893 4771 2971 2396 3799 3092 14567 6006 20577 7422 2244 1713 3936 2835 21943 13512 31205 18120
District Hospital, Rukum 15 25 1655 2862 827 1344 827 1344 1237 724 1237 724 3541 1398 3541 1398 665 467 665 467 6270 3933 6270 3933
District Hospital, Salyan 15 20 2860 6797 1424 1463 1506 1583 2670 1026 3376 1082 10227 4349 12356 6083 908 826 1048 1015 15229 7664 18286 9763
District Hospital, Dailekh 15 25 1822 4876 2170 1666 1415 1737 1667 1020 1710 1028 7189 2574 7167 2537 1128 758 1167 815 12154 6018 11459 6117
District Hospital, Jagarkot 50 25 1099 2416 734 913 788 1003 1381 1123 1462 1193 5688 2195 3965 2558 434 375 499 431 8237 4606 6714 5185
District Hospital, Dolpa 15 15 329 1251 1723 1463 2848 2429 3489 2543 4709 3629 3982 2657 5222 3959 273 370 497 558 9467 7033 13276 10575
District Hospital, Kalikot 15 21 1458 3934 1756 1779 1796 1847 2193 2331 2276 2397 2792 2978 2883 2968 528 445 562 484 7269 7533 7517 7696
District Hospital, Mugu 15 15 1224 3253 836 1008 830 1033 1031 878 1038 898 2800 2016 2831 2046 550 568 560 585 5217 4470 5259 4562
Simikot District Hospital, Humla 15 15 0 0 875 481 432 443 1005 689 690 666 1037 1124 1371 1274 257 230 308 273 3174 2524 2801 2656
Mehelkuna Hospital, Surkhet 50 15 816 1665 3062 2286 3395 2444 3730 1485 4648 1554 9630 3825 10885 4208 2250 1095 2649 1248 18672 8691 21577 9454
Dullu Hospital, Dailekh 15 7 432 645 1517 2001 1537 2026 1720 837 1735 845 6176 1712 5908 1731 766 988 772 605 10179 5538 9952 5207
Sub Regional Hospital, Dadeldhura 100 50 1849 5771 1634 1281 2156 1753 2318 1815 3054 2399 8590 6722 11318 8885 1093 854 1438 1174 13635 10672 17966 14211
Seti Zonal Hospital, Kailali 125 225 18614 51417 2639 4734 2639 4734 3080 3249 3080 3249 19044 9635 19044 9635 3606 3125 3606 3125 28369 20743 28369 20743
Malakheti Hospital, Kailali 15 6 350 61 2193 2595 2470 2736 2393 1882 2667 1976 7789 2268 10358 2445 2174 1362 2424 1564 14549 8107 17919 8721
District Hospital, Bajura 15 15 1058 2773 1307 1949 1356 2010 2388 2499 2470 2559 4994 3832 5131 3888 505 568 535 617 9194 8848 9492 9074
District Hospital, Bajhang 15 16 2728 6509 1884 1330 884 1330 1326 1137 1326 1137 4679 2147 4679 2147 611 580 611 580 8500 5194 7500 5194
District Hospital, Achham 15 25 1495 3749 1798 2754 2958 2916 2454 1831 2513 1913 6769 2580 6987 2665 792 490 845 523 11813 7655 13303 8017
District Hospital, Doti 15 15 1108 2827 652 559 681 580 1085 854 1129 910 4538 2648 4810 2830 530 465 575 505 6805 4526 7195 4825
District Hospital, Baitadi 15 25 782 1895 1404 2205 1414 2215 1034 1067 1046 1077 4489 2571 4531 2610 733 601 754 639 7660 6444 7745 6541
District Hospital, Darchula 15 23 1439 3714 1250 1729 1437 1958 1449 1285 1676 1458 7115 3917 7504 4239 793 906 890 1013 10607 7837 11507 8668
Tikapur Hospital, Kailali 51 33 3469 6781 3497 3938 3629 3968 5481 2556 5518 2574 13890 8491 14093 8515 3493 2590 3512 2607 26361 17575 26752 17664
Mahakali Zonal Hospital, Kanchanpur 100 66 4195 9638 4092 3570 4402 4002 3698 3448 4112 3857 6331 5044 6910 5839 3800 3369 4261 3877 17921 15431 19685 17575
Jogbuda Hospital, Dadeldhura 15 15 830 1880 1037 665 1056 687 1938 1243 1967 1252 2656 1698 2693 1716 1287 830 1297 837 6918 4436 7013 4492
Gokuleshwor Hospital, Darchula 15 11 549 1572 703 1247 751 1363 992 950 995 1057 3882 1755 4274 1933 301 480 352 536 5878 4432 6372 4889
Total 8196 8142 420067 1309950 264121 338502 2E+06 436971 288170 281057 358522 342403 1E+06 813855 2E+06 1E+06 236549 227876 324926 310313 2E+06 2E+06 4E+06 2E+06
Raw Data: HOSPITAL (Sheet 2 of 19)
Emergency Services
Hospital Name 0 - 9 Years 10 - 19 Years 20 - 59 Years ≥ 60 Years Total
Female Male Female Male Female Male Female Male Female Male
BPKIHS, Dharan, Sunsari 7509 4558 4083 3702 25887 10800 5449 5915 42928 24975
Mechi Zonal Hospital, Jhapa 3977 1528 763 904 2967 2888 753 879 8460 6199
Koshi Zonal Hospital, Morang 5050 3135 1754 2242 7728 7377 1494 1662 16026 14416
District Hospital, Taplejung 309 242 285 243 862 713 204 208 1660 1406
District Hospital, Panchthar 3775 3639 1686 1590 3560 2580 394 513 9415 8322
District Hospital, Ilam 1124 809 1028 1018 2538 2456 454 435 5144 4718
District Hospital, Sunsari 692 395 660 1117 1552 1623 345 372 3249 3507
District Hospital, Dhankuta 1649 1216 672 692 2158 1586 531 496 5010 3990
District Hospital, Terhathum 1090 950 502 521 1016 1039 312 311 2920 2821
District Hospital, Sankhuwasabha 962 826 582 626 1326 1060 507 458 3377 2970
District Hospital, Bhojpur 206 179 140 108 523 368 168 145 1037 800
District Hospital, Solukhumbu 171 108 136 119 356 480 70 91 733 798
Rumjatar Hospital, Okhaldhunga 144 108 67 86 177 140 47 66 435 400
District Hospital, Khotang 1691 1267 916 797 2911 1836 619 685 6137 4585
District Hospital, Udayapur 1670 1223 689 762 2113 1675 656 500 5128 4160
Rangeli Hospital, Morang 236 348 261 262 1165 977 185 197 1847 1784
Mangalbare Hospital, Morang 265 339 185 220 550 525 166 176 1166 1260
Katari Hospital, Udayapur 667 579 690 591 821 655 447 415 2625 2240
Narayani Sub Regional Hospital, Parsa 2292 1651 1588 1744 7947 4033 1058 1144 12885 8572
Janakpur Zonal Hospital 1539 1169 1687 2096 4680 5307 416 523 8322 9095
Sagarmatha Zonal Hospial, Saptari 4143 3593 0 0 0 0 0 0 4143 3593
District Hospital, Rautahat 390 441 541 495 2184 2005 387 352 3502 3293
District Hospital, Siraha 572 514 1042 1035 1141 1048 477 536 3232 3133
Malangawa District Hospital, Sarlahi 446 295 1990 2809 2548 3631 774 1010 5758 7745
Kalaiya District Hospital, Bara 496 538 799 950 771 909 307 339 2373 2736
Bharadah Hospital, Saptari 98 121 120 119 297 320 111 98 626 658
Ram Uma Smarak Hospital, Lahan, Siraha 392 553 610 702 2217 2503 343 518 3562 4276
Bardibas Hospital, Mahottari 382 405 443 412 1088 756 435 380 2348 1953
Chandranigahapur Hosptial, Rautahat 150 168 154 165 437 411 396 188 1137 932
Pokhariya Hospital, Parsa 476 478 48 82 142 199 39 56 705 815
Mental Hospital, Lalitpur 0 0 6 12 190 235 0 2 196 249
Bhaktapur Hospital, Bhaktapur 215 93 419 688 2362 16423 551 543 3547 17747
Bir Hospital, Kathmandu 579 187 1287 3539 8305 19103 3084 4156 13255 26985
Kanti Children Hospital, Kathmandu 31662 18184 1372 2472 0 0 0 0 33034 20656
Maternity Hospital, Kathmandu 0 0 0 0 24941 0 0 0 24941 0
Sukraraj Tropical Hospital,Kathmandu 292 141 288 540 1616 1801 240 325 2436 2807
Human Organ Transplant Center 0 0 6 0 33 42 8 6 47 48
National Gangalal Heart Center, Kathmandu 302 247 787 958 985 1459 775 1033 2849 3697
National Trauma Center, Kathmandu 963 442 412 1281 2197 4736 464 475 4036 6934
Patan Hospital, Lalitpur 4323 2807 2715 3223 12569 9800 3564 2986 23171 18816
District Hospital, Sindhuli 1458 2033 889 893 2357 2049 449 431 5153 5406
District Hospital, Ramechhap 396 317 219 229 663 539 263 236 1541 1321
Jiri District Hospital, Dolakha 271 266 294 211 769 586 165 135 1499 1198
District Hospital, Sindhupalchok 291 208 236 229 793 752 402 284 1722 1473
District Trisuli Hospital, Nuwakot 649 828 1154 967 1729 1717 447 573 3979 4085
District Hospital, Rasuwa 102 74 70 84 229 438 27 46 428 642
District Hospital, Dhading 1921 1460 1449 1520 3048 3168 834 790 7252 6938
Hetauda Hospital, Makwanpur 1466 2170 2380 2719 5366 4746 1255 841 10467 10476
Bharatpur Hospital, Chitawan 1555 1521 2385 2744 8736 9935 4376 4540 17052 18740
Methinkot Hospital, Kavre 86 140 93 110 389 351 64 105 632 706
Central Jail Hospital, Kathmandu 2 4 3 85 122 2 24 91 151
Civil Services Hospital, Kathmandu 183 293 397 383 1979 1792 679 541 3238 3009
APF Hospital, Kathmandu 25 42 63 100 483 732 128 198 699 1072
Baghauda Hosptial, Chitawan 140 127 140 108 282 258 98 95 660 588
Bakulahar Hospital, Chitawan 73 77 120 84 473 271 196 194 862 626
Western Regional Hospital, Pokhara 3927 2490 3240 2320 15636 6257 4446 3550 27249 14617
Dhaulagiri Zonal Hospital, Baglung 1454 731 573 805 1926 1945 466 589 4419 4070
Emergency Services
Hospital Name 0 - 9 Years 10 - 19 Years 20 - 59 Years ≥ 60 Years Total
Female Male Female Male Female Male Female Male Female Male
District Hospital, Gorkha 1013 663 626 654 1831 1710 665 612 4135 3639
District Hospital, Tanahu 449 290 507 527 1732 1125 365 304 3053 2246
District Hospital, Syangja 715 461 507 575 1964 1756 574 471 3760 3263
District Hospital, Manang 39 25 9 21 88 169 19 25 155 240
District Hospital, Mustang 165 163 116 155 304 518 55 73 640 909
District Hospital, Myagdi 943 535 626 660 1659 1444 525 504 3753 3143
District Hospital, Parbat 255 213 306 302 957 853 287 315 1805 1683
Lamjung Community Hospital, Lamjung 693 787 1051 1132 1559 1630 756 997 4059 4546
Chisapani Hospital, Nawalparasi 15 12 17 18 42 68 12 12 86 110
Bandipur Hospital, Tanahu 191 279 160 196 444 395 108 109 903 979
Bataulechaur Hospital, Kaski 142 216 135 132 580 311 125 82 982 741
Rapti Sub Regional Hospital, Dang 3463 2209 3247 2465 10159 5603 1335 1696 18204 11973
Lumbini Zonal Hospital, Rupandehi 3517 1927 3622 2932 21136 9547 2619 2773 30894 17179
Rapti Zonal Hospital, Dang 372 314 614 515 1885 1903 566 597 3437 3329
Bheri Zonal Hospital, Banke 244 356 307 413 1212 1592 275 380 2038 2741
Tamghas Hospital, Gulmi 515 503 595 494 1434 1111 520 474 3064 2582
District Hospital, Palpa 88 42 65 167 223 465 106 166 482 840
Prithvi Chandra Hospital, Nawalparasi 201 164 640 779 2248 2344 292 346 3381 3633
Prithvi Bir Hospital, Kapilbastu 571 373 571 270 2475 1498 651 862 4268 3003
District Hospital, Arghakhanchi 655 563 461 356 1296 861 498 438 2910 2218
District Hospital, Pyuthan 767 754 532 405 1417 1018 509 407 3225 2584
District Hospital, Rolpa 397 323 329 226 1170 656 135 145 2031 1350
District Hospital, Bardiya 506 450 555 413 1255 1110 393 432 2709 2405
Rampur Hospital, Palpa 77 66 117 74 276 173 87 79 557 392
Bhim Hospital, Rupandehi 313 509 839 1476 2821 5882 444 569 4417 8436
Shivraj Hospital, Bahadurganj, Kapilbastu 219 253 198 206 454 493 171 196 1042 1148
Pipara Hospital, Kapilbastu 32 24 67 47 106 62 20 12 225 145
MWR Police Hospital, Banke 159 68 129 213 367 1267 43 38 698 1586
Karnali Academy Of Health Science, Jumla 349 235 265 252 839 717 217 216 1670 1420
Mid Western Regional Hospital, Surkhet 599 260 304 410 1055 1195 320 432 2278 2297
District Hospital, Rukum 112 80 67 53 195 119 26 30 400 282
District Hospital, Salyan 177 129 202 155 543 425 185 195 1107 904
District Hospital, Dailekh 408 282 295 313 894 859 226 228 1823 1682
District Hospital, Jagarkot 343 291 247 197 504 463 68 86 1162 1037
District Hospital, Dolpa 217 221 195 229 238 276 298 174 948 900
District Hospital, Kalikot 361 205 193 265 589 532 113 140 1256 1142
District Hospital, Mugu 122 101 146 160 187 191 103 108 558 560
Simikot District Hospital, Humla 227 173 102 87 68 68 43 50 440 378
Mehelkuna Hospital, Surkhet 178 294 245 161 669 332 156 135 1248 922
Dullu Hospital, Dailekh 84 131 117 75 282 186 67 72 550 464
Sub Regional Hospital, Dadeldhura 438 548 871 715 1798 1347 638 584 3745 3194
Seti Zonal Hospital, Kailali 5269 2382 2116 2757 7976 7726 1731 2209 17092 15074
Malakheti Hospital, Kailali 26 17 14 11 49 35 44 34 133 97
District Hospital, Bajura 316 227 284 335 531 480 163 224 1294 1266
District Hospital, Bajhang 438 280 426 439 1018 743 184 182 2066 1644
District Hospital, Achham 381 212 265 200 720 437 127 118 1493 967
District Hospital, Doti 257 272 379 335 742 562 268 230 1646 1399
District Hospital, Baitadi 215 123 139 146 434 422 86 99 874 790
District Hospital, Darchula 422 454 405 366 772 688 140 158 1739 1666
Tikapur Hospital, Kailali 1517 1500 2389 2436 2650 2758 2010 2105 8566 8799
Mahakali Zonal Hospital, Kanchanpur 2639 2781 2596 2604 3533 3288 2674 2577 11442 11250
Jogbuda Hospital, Dadeldhura 105 154 121 105 249 172 51 31 526 462
Gokuleshwor Hospital, Darchula 121 196 130 174 396 335 60 85 707 790
Public Hospital Total 126933 90345 74580 81234 267828 219077 62680 64982 532021 455638
Non-Public Hospital Total 19492 110963 63228 70630 190344 180639 73143 69666 346207 431898
Total 146425 201308 137808 151864 458172 399716 135823 134648 878228 887536
Public Hospital % 87 45 54 53 58 55 46 48 61 51
Non-Public Hospital % 13 55 46 47 42 45 54 52 39 49
Raw Data: HOSPITAL (Sheet 3 of 19)
Diagnostic Services
Electro Encephalo
Tomographic (CT)
Nuclear Medicine
Electrocardiogra
Echocardiogram
Ultrasonogram
Imaging (MRI)
Colonoscopy
Gram (EEG)
Resonance
Endoscopy
Computed
Trademill
Magnetic
m (ECG)
(Echo)
(USG)
X-ray
Scan
Hospital Name
Tomographic (CT)
Nuclear Medicine
Electrocardiogra
Echocardiogram
Ultrasonogram
Imaging (MRI)
Colonoscopy
Gram (EEG)
Resonance
Endoscopy
Computed
Trademill
Magnetic
m (ECG)
(Echo)
(USG)
X-ray
Scan
Hospital Name
Female
Female
Female
Female
Female
Female
Female
Hospital Name
Male
Male
Male
Male
Male
Male
Male
Mechi Zonal Hospital, Jhapa 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Female
Female
Female
Female
Female
Female
Female
Hospital Name
Male
Male
Male
Male
Male
Male
Male
District Hospital, Mustang 0 0 0 0 0 0 1 0 0 0 0 0 1 0
Public Hospital Total 469 739 370 567 170 404 622 633 20 42 19 20 1670 2405
Non-Public Hospital Total 1649 1757 1107 2422 3997 6341 1586 1223 64 95 253 208
8656 12046
Total 2118 2496 1477 2989 4167 6745 2208 1856 84 137 272 228 10326 14451
Raw Data: HOSPITAL (Sheet 5 of 19)
<28 days
Dead within Dead after 48
Recovered Not Improved Referral Lama Absconded Total
Hospital Name 48 hrs hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
BPKIHS, Dharan, Sunsari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mechi Zonal Hospital, Jhapa 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
Koshi Zonal Hospital, Morang 5096 5902 8 8 29 62 93 114 1 2 10 11 20 29 5257 6128 11385
District Hospital, Taplejung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Panchthar 354 713 0 0 2 2 13 16 1 0 0 1 30 56 400 788 1188
District Hospital, Ilam 22 28 0 0 0 0 0 0 0 0 0 0 0 0 22 28 50
District Hospital, Sunsari 478 202 0 0 0 0 0 0 0 0 0 0 0 0 478 202 680
District Hospital, Dhankuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Terhathum 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
District Hospital, Sankhuwasabha 1 3 0 0 0 0 0 0 0 0 0 0 1 1 2 4 6
District Hospital, Bhojpur 179 412 0 0 13 34 22 24 5 7 15 37 1 8 235 522 757
District Hospital, Solukhumbu 4 6 0 0 0 2 0 1 0 0 0 0 0 0 4 9 13
Rumjatar Hospital, Okhaldhunga 7 9 0 0 2 3 0 0 0 0 0 0 0 0 9 12 21
District Hospital, Khotang 16 41 0 0 7 13 1 1 2 0 0 0 0 0 26 55 81
District Hospital, Udayapur 220 304 0 0 3 8 6 4 2 1 3 1 1 1 235 319 554
Rangeli Hospital, Morang 150 200 0 0 3 5 0 0 5 2 10 11 2 10 170 228 398
Mangalbare Hospital, Morang 22 24 0 0 8 10 7 17 0 0 1 1 0 0 38 52 90
Katari Hospital, Udayapur 98 160 0 0 23 26 11 10 0 0 0 3 0 0 132 199 331
Sagarmatha Zonal Hospial, Saptari 1726 1915 0 0 2 15 2 8 3 2 3 4 1 0 1737 1944 3681
District Hospital, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Siraha 157 193 0 0 59 79 6 7 4 0 1 2 0 0 227 281 508
Malangawa District Hospital, Sarlahi 10 20 0 0 0 3 2 3 1 0 0 0 0 0 13 26 39
Kalaiya District Hospital, Bara 24 40 0 0 1 4 0 0 8 13 0 0 0 0 33 57 90
Bharadah Hospital, Saptari 338 469 0 0 6 9 1 0 15 7 21 26 2 6 383 517 900
Ram Uma Smarak Hospital, Lahan, Siraha 486 675 0 0 8 10 10 18 0 0 20 28 19 39 543 770 1313
District Hospital Mahottari 64 93 0 0 7 10 0 0 0 0 0 0 0 0 71 103 174
Bardibas Hospital, Mahottari 12 5 0 0 0 1 0 0 0 0 0 0 0 0 12 6 18
Chandranigahapur Hosptial, Rautahat 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6
Pokhariya Hospital, Parsa 1 0 0 0 0 0 1 0 0 0 1 0 0 0 3 0 3
Mental Hospital, Lalitpur 5 23 0 0 2 0 0 1 0 0 1 1 0 0 8 25 33
Bhaktapur Hospital, Bhaktapur 8 14 0 0 1 6 0 1 0 0 1 0 0 0 10 21 31
Bir Hospital, Kathmandu 4 10 0 0 4 6 0 0 0 0 3 2 0 0 11 18 29
Kanti Children Hospital, Kathmandu 10 20 0 0 0 1 0 1 1 1 1 4 0 3 12 30 42
Maternity Hospital, Kathmandu 3 6 0 0 0 1 0 0 0 0 0 0 1 1 4 8 12
Human Organ Transplant Center 26 36 0 0 0 1 2 0 0 2 0 0 0 0 28 39 67
National Trauma Center, Kathmandu 2 5 0 0 4 1 0 0 0 0 4 2 0 0 10 8 18
Patan Hospital, Lalitpur 15 12 0 0 5 5 2 4 0 1 0 1 0 0 22 23 45
District Hospital, Sindhuli 8 13 0 0 0 2 0 0 0 0 0 0 0 1 8 16 24
District Hospital, Ramechhap 16 16 0 0 2 2 0 0 0 0 0 0 0 0 18 18 36
Jiri District Hospital, Dolakha 3 2 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5
District Hospital, Sindhupalchok 9 4 0 0 1 0 0 0 0 0 0 0 0 0 10 4 14
District Trisuli Hospital, Nuwakot 3 6 0 0 1 1 1 0 0 0 0 1 0 1 5 9 14
District Hospital, Rasuwa 32 43 0 0 10 5 2 2 0 0 1 0 0 0 45 50 95
District Hospital, Dhading 10 8 0 0 3 7 1 0 0 0 0 0 0 0 14 15 29
Hetauda Hospital, Makwanpur 3 12 0 0 3 1 0 0 0 0 0 0 0 0 6 13 19
Bharatpur Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Methinkot Hospital, Kavre 12 17 0 0 1 0 1 0 0 0 0 0 0 0 14 17 31
Central Jail Hospital, Kathmandu 28 36 0 0 8 8 0 0 0 0 3 0 0 0 39 44 83
APF Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Baghauda Hosptial, Chitawan 0 4 0 0 1 1 0 0 0 0 1 1 0 0 2 6 8
Bakulahar Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Western Regional Hospital, Pokhara 30 35 0 0 9 15 0 0 0 0 2 0 0 1 41 51 92
Dhaulagiri Zonal Hospital, Baglung 13 16 0 0 5 4 0 1 0 0 2 0 0 0 20 21 41
District Hospital, Gorkha 40 32 0 0 0 0 1 0 0 0 1 1 1 0 43 33 76
District Hospital, Tanahu 16 11 0 0 4 3 0 1 0 0 1 0 0 0 21 15 36
<28 days
Dead within Dead after 48
Recovered Not Improved Referral Lama Absconded Total
Hospital Name 48 hrs hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
District Hospital, Syangja 11 8 0 0 5 2 1 0 0 0 0 0 1 1 18 11 29
District Hospital, Manang 46 44 0 0 11 6 1 2 1 1 6 5 0 0 65 58 123
District Hospital, Mustang 10 5 0 0 3 0 0 0 0 0 0 0 0 0 13 5 18
District Hospital, Myagdi 7 8 0 0 2 0 3 0 0 0 0 0 0 0 12 8 20
District Hospital, Parbat 1 5 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6
Lamjung Community Hospital, Lamjung 12 11 0 0 0 3 1 0 0 0 0 1 0 0 13 15 28
Bandipur Hospital, Tanahu 9 10 0 0 1 2 1 3 0 0 0 0 0 0 11 15 26
Bataulechaur Hospital, Kaski 3 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 4
Rapti Sub Regional Hospital, Dang 8 15 0 0 1 2 0 0 0 0 0 0 0 0 9 17 26
Lumbini Zonal Hospital, Rupandehi 16 12 0 0 0 0 0 1 0 0 0 1 0 1 16 15 31
Rapti Zonal Hospital, Dang 6 14 0 0 12 11 0 1 0 0 0 0 0 0 18 26 44
Bheri Zonal Hospital, Banke 8 21 0 0 2 2 0 0 0 0 0 0 0 0 10 23 33
Tamghas Hospital, Gulmi 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
District Hospital, Palpa 2 4 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6
Prithvi Chandra Hospital, Nawalparasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prithvi Bir Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Arghakhanchi 428 425 0 0 0 7 1 0 0 0 0 0 0 0 429 432 861
District Hospital, Pyuthan 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 2 3
District Hospital, Rolpa 1 7 0 0 2 3 0 1 1 0 2 0 1 0 7 11 18
District Hospital, Bardiya 3 9 0 0 0 0 0 0 0 0 0 0 0 0 3 9 12
Rampur Hospital, Palpa 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 2 3
Bhim Hospital, Rupandehi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Shivraj Hospital, Bahadurganj, Kapilbastu 7 9 0 0 0 7 0 0 0 0 0 0 0 0 7 16 23
Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MWR Police Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Mid Western Regional Hospital, Surkhet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Rukum 23 17 0 0 0 0 0 0 0 0 0 0 0 0 23 17 40
District Hospital, Salyan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Dailekh 418 454 0 0 19 19 18 18 15 16 5 6 2 2 477 515 992
District Hospital, Jagarkot 13 8 0 0 1 1 2 0 0 0 1 2 0 0 17 11 28
District Hospital, Dolpa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Kalikot 20 23 2 2 3 3 0 1 0 0 0 0 0 0 25 29 54
District Hospital, Mugu 2 1 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3
Simikot District Hospital, Humla 2 4 0 0 0 1 0 0 0 0 0 0 0 0 2 5 7
Mehelkuna Hospital, Surkhet 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
Dullu Hospital, Dailekh 2 2 0 0 0 2 0 0 0 0 0 0 0 0 2 4 6
Sub Regional Hospital, Dadeldhura 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Seti Zonal Hospital, Kailali 56 59 0 0 11 10 1 3 1 0 0 0 0 0 69 72 141
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajhang 14 12 0 0 0 0 0 0 0 0 0 0 0 0 14 12 26
District Hospital, Achham 8 11 0 0 3 0 0 0 0 0 0 0 0 0 11 11 22
District Hospital, Doti 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
District Hospital, Baitadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Darchula 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tikapur Hospital, Kailali 19 23 0 0 1 1 2 2 2 2 0 0 0 0 24 28 52
Mahakali Zonal Hospital, Kanchanpur 3 0 0 0 6 0 0 0 0 0 0 0 0 0 9 0 9
Jogbuda Hospital, Dadeldhura 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Gokuleshwor Hospital, Darchula 5 3 0 0 0 0 0 1 0 0 2 0 0 0 7 4 11
Public Hospital Total 10926 13036 10 10 321 449 216 269 68 57 122 153 83 161 11746 14135 25881
Non-Public Hospital Total 8955 11222 243 330 172 249 467 721 16 17 123 235 67 153 10043 12927 22970
Total 19881 24258 253 340 493 698 683 990 84 74 245 388 150 314 21789 27062 48851
Public Hospital % 55 54 4 3 65 64 32 27 81 77 50 39 55 51 54 52 53
Non-Public Hospital % 45 46 96 97 35 36 68 73 19 23 50 61 45 49 46 48 47
Raw Data: HOSPITAL (Sheet 6 of 19)
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
1 - 4 Yrs
Recovered Not Referral Lama Absconde Dead Dead after Total
Hospital Name All
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
5 - 14 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
BPKIHS, Dharan, Sunsari 736 1353 0 1 5 11 18 21 0 0 6 3 8 9 773 1398 2171
Mechi Zonal Hospital, Jhapa 125 255 0 0 8 4 7 9 0 1 0 0 0 0 140 269 409
Koshi Zonal Hospital, Morang 272 334 0 0 1 2 2 2 4 2 0 0 0 0 279 340 619
District Hospital, Taplejung 100 93 0 0 3 4 3 0 0 0 0 0 0 0 106 97 203
District Hospital, Panchthar 107 88 0 0 11 10 2 0 1 2 0 0 0 0 121 100 221
District Hospital, Ilam 29 46 0 0 5 3 1 2 0 1 0 0 0 0 35 52 87
District Hospital, Sunsari 56 47 0 0 5 3 4 5 1 1 0 0 0 0 66 56 122
District Hospital, Dhankuta 24 34 0 0 7 3 1 0 0 0 0 0 0 0 32 37 69
District Hospital, Terhathum 68 70 1 2 3 4 0 1 2 1 0 0 0 0 74 78 152
District Hospital, Sankhuwasabha 64 66 0 0 6 11 2 3 0 0 0 0 0 0 72 80 152
District Hospital, Bhojpur 71 77 0 0 12 4 2 3 0 1 1 1 0 0 86 86 172
District Hospital, Solukhumbu 25 38 0 0 2 6 0 1 1 0 0 0 0 0 28 45 73
Rumjatar Hospital, Okhaldhunga 38 40 0 0 1 0 0 1 0 0 0 0 0 0 39 41 80
District Hospital, Khotang 49 73 0 0 6 10 0 0 0 0 0 0 0 0 55 83 138
District Hospital, Udayapur 116 159 0 0 10 10 1 6 2 1 0 0 0 0 129 176 305
Rangeli Hospital, Morang 25 29 0 0 2 0 2 2 0 1 0 0 0 0 29 32 61
Mangalbare Hospital, Morang 4 5 0 0 0 0 2 0 0 0 0 0 0 0 6 5 11
Katari Hospital, Udayapur 7 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 7
Sagarmatha Zonal Hospial, Saptari 76 113 0 0 1 0 0 0 6 6 0 0 0 0 83 119 202
District Hospital, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Siraha 43 38 0 0 7 0 4 0 0 0 0 0 0 0 54 38 92
Malangawa District Hospital, Sarlahi 6 4 0 0 0 0 0 0 0 0 0 0 0 0 6 4 10
Kalaiya District Hospital, Bara 19 27 0 0 1 2 3 4 1 0 0 0 0 0 24 33 57
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 54 34 0 0 5 1 4 3 1 1 0 0 0 0 64 39 103
District Hospital Mahottari 25 32 0 0 0 2 0 0 0 0 0 0 0 0 25 34 59
Bardibas Hospital, Mahottari 35 24 0 0 0 0 0 0 0 0 0 0 0 0 35 24 59
Chandranigahapur Hosptial, Rautahat 58 55 6 6 2 7 0 0 0 0 0 0 0 0 66 68 134
Pokhariya Hospital, Parsa 4 3 0 0 0 0 0 0 0 0 0 0 0 0 4 3 7
Mental Hospital, Lalitpur 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
Bhaktapur Hospital, Bhaktapur 7 7 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14
Bir Hospital, Kathmandu 99 143 3 0 0 0 0 0 0 0 0 0 0 1 102 144 246
Kanti Children Hospital, Kathmandu 836 1680 0 4 3 1 16 20 3 1 0 0 7 17 865 1723 2588
Maternity Hospital, Kathmandu 283 0 0 0 0 0 10 0 0 0 0 0 0 0 293 0 293
Human Organ Transplant Center 11 10 2 2 0 0 0 0 0 0 0 0 0 0 13 12 25
National Trauma Center, Kathmandu 102 259 2 1 0 1 0 3 1 1 0 0 2 2 107 267 374
Patan Hospital, Lalitpur 195 218 2 2 0 0 0 0 0 0 1 1 0 2 198 223 421
District Hospital, Sindhuli 74 70 0 0 10 6 8 8 1 0 0 0 0 0 93 84 177
District Hospital, Ramechhap 41 43 0 0 2 2 0 0 0 1 0 0 0 0 43 46 89
Jiri District Hospital, Dolakha 56 75 0 0 2 4 0 1 1 0 0 0 0 0 59 80 139
District Hospital, Sindhupalchok 49 32 0 0 6 1 0 3 0 0 0 0 0 0 55 36 91
District Trisuli Hospital, Nuwakot 83 49 0 0 6 7 1 1 0 0 0 0 0 0 90 57 147
District Hospital, Rasuwa 7 10 0 0 2 1 0 0 0 1 0 0 0 0 9 12 21
District Hospital, Dhading 62 73 0 0 4 6 0 2 0 1 0 0 0 0 66 82 148
Hetauda Hospital, Makwanpur 221 274 0 0 11 15 4 7 3 2 0 0 0 0 239 298 537
Bharatpur Hospital, Chitawan 1393 1513 0 0 21 23 21 22 20 19 0 4 0 0 1455 1581 3036
Methinkot Hospital, Kavre 7 5 0 0 2 0 0 0 1 1 0 0 0 0 10 6 16
Central Jail Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
APF Hospital, Kathmandu 25 26 0 0 0 0 0 0 0 0 0 0 0 0 25 26 51
5 - 14 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Baghauda Hosptial, Chitawan 8 3 0 0 0 0 0 0 0 0 0 0 0 0 8 3 11
Bakulahar Hospital, Chitawan 3 1 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4
Western Regional Hospital, Pokhara 552 875 3 1 3 14 8 11 3 0 0 0 4 0 573 901 1474
Dhaulagiri Zonal Hospital, Baglung 100 101 0 0 13 7 0 2 0 0 1 0 0 0 114 110 224
District Hospital, Gorkha 16 24 0 0 4 3 1 3 1 0 0 0 0 0 22 30 52
District Hospital, Tanahu 26 30 0 0 2 2 0 0 0 2 0 0 0 0 28 34 62
District Hospital, Syangja 26 29 0 0 3 5 2 1 0 1 0 0 0 0 31 36 67
District Hospital, Manang 3 4 0 0 0 1 0 0 0 0 0 0 0 0 3 5 8
District Hospital, Mustang 9 9 1 0 2 3 0 0 0 0 0 0 0 0 12 12 24
District Hospital, Myagdi 60 95 0 0 3 8 1 2 0 0 0 0 0 0 64 105 169
District Hospital, Parbat 47 41 0 0 1 2 1 3 0 0 0 0 0 0 49 46 95
Lamjung Community Hospital, Lamjung 173 358 0 0 13 10 6 7 0 2 0 0 0 0 192 377 569
Bandipur Hospital, Tanahu 25 35 0 0 0 1 2 0 0 0 0 0 0 0 27 36 63
Bataulechaur Hospital, Kaski 9 13 0 0 0 0 0 0 0 0 0 0 0 0 9 13 22
Rapti Sub Regional Hospital, Dang 75 139 0 0 6 21 0 3 0 2 0 0 0 0 81 165 246
Lumbini Zonal Hospital, Rupandehi 173 247 2 1 1 1 0 0 1 1 1 1 1 0 179 251 430
Rapti Zonal Hospital, Dang 13 21 0 0 4 4 3 7 0 0 0 0 0 1 20 33 53
Bheri Zonal Hospital, Banke 188 314 0 0 14 19 6 15 9 14 1 0 0 0 218 362 580
Tamghas Hospital, Gulmi 75 101 0 0 0 8 3 1 1 2 0 0 0 0 79 112 191
District Hospital, Palpa 11 19 1 0 1 4 0 0 0 0 0 0 0 0 13 23 36
Prithvi Chandra Hospital, Nawalparasi 20 17 0 0 0 1 2 0 0 0 0 0 0 0 22 18 40
Prithvi Bir Hospital, Kapilbastu 13 37 0 0 3 4 2 6 0 0 1 0 0 0 19 47 66
District Hospital, Arghakhanchi 98 126 0 0 11 20 13 4 0 1 0 0 0 0 122 151 273
District Hospital, Pyuthan 53 33 1 0 7 8 3 2 0 0 1 0 1 0 66 43 109
District Hospital, Rolpa 40 31 0 0 3 5 3 2 0 0 0 0 0 0 46 38 84
District Hospital, Bardiya 24 22 0 0 1 1 3 2 0 0 1 0 0 0 29 25 54
Rampur Hospital, Palpa 22 22 0 0 3 4 0 0 0 0 0 0 0 0 25 26 51
Bhim Hospital, Rupandehi 85 80 0 0 4 1 5 4 0 1 0 0 0 0 94 86 180
Shivraj Hospital, Bahadurganj, Kapilbastu 14 14 0 0 2 1 1 0 0 0 0 0 0 0 17 15 32
Pipara Hospital, Kapilbastu 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3
MWR Police Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 89 128 0 0 3 2 2 2 0 1 0 0 0 0 94 133 227
Mid Western Regional Hospital, Surkhet 109 167 0 0 1 0 3 1 1 0 0 0 0 0 114 168 282
District Hospital, Rukum 74 62 0 0 13 13 2 2 0 0 0 0 0 0 89 77 166
District Hospital, Salyan 76 76 1 0 7 4 1 2 0 0 0 0 0 0 85 82 167
District Hospital, Dailekh 68 62 0 0 6 9 2 8 3 0 0 0 0 0 79 79 158
District Hospital, Jagarkot 44 58 0 0 4 4 3 1 0 2 0 0 0 0 51 65 116
District Hospital, Dolpa 20 13 0 0 6 0 0 0 0 0 0 0 0 0 26 13 39
District Hospital, Kalikot 48 118 0 0 1 4 0 1 0 2 0 0 0 0 49 125 174
District Hospital, Mugu 26 36 0 0 6 11 1 0 0 0 0 0 0 0 33 47 80
Simikot District Hospital, Humla 38 20 0 0 0 0 0 0 0 0 0 0 0 0 38 20 58
Mehelkuna Hospital, Surkhet 13 27 0 0 4 3 1 1 0 0 0 0 0 0 18 31 49
Dullu Hospital, Dailekh 8 13 0 0 0 0 0 0 0 0 0 0 0 0 8 13 21
Sub Regional Hospital, Dadeldhura 84 96 0 0 19 13 11 11 1 2 0 0 0 0 115 122 237
Seti Zonal Hospital, Kailali 4950 573 1 1 36 6 19 3 38 20 5 2 1 5 5050 610 5660
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 36 47 0 0 8 11 1 0 0 0 0 0 2 0 47 58 105
District Hospital, Bajhang 94 160 0 0 8 10 7 8 11 11 1 1 0 0 121 190 311
District Hospital, Achham 44 45 0 0 3 4 1 1 0 0 0 1 0 0 48 51 99
District Hospital, Doti 16 17 0 0 4 2 0 4 0 2 0 0 0 0 20 25 45
District Hospital, Baitadi 24 29 0 0 2 0 2 3 1 1 0 0 0 0 29 33 62
5 - 14 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
District Hospital, Darchula 26 63 0 0 6 3 0 0 0 4 0 1 0 0 32 71 103
Tikapur Hospital, Kailali 66 101 0 0 0 2 0 0 0 0 0 0 0 0 66 103 169
Mahakali Zonal Hospital, Kanchanpur 40 46 0 0 16 22 33 39 1 5 1 1 0 1 91 114 205
Jogbuda Hospital, Dadeldhura 26 29 0 0 3 0 1 0 0 0 0 0 0 0 30 29 59
Gokuleshwor Hospital, Darchula 14 20 0 0 1 1 3 6 3 2 0 0 0 0 21 29 50
Public Hospital Total 13784 12473 26 21 433 446 276 298 123 123 21 16 26 38 14689 13415 28104
Non-Public Hospital Total 17586 23272 472 524 325 395 587 723 38 59 28 38 30 29 19066 25040 44106
Total 31370 35745 498 545 758 841 863 1021 161 182 49 54 56 67 33755 38455 72210
Public Hospital % 44 35 5 4 57 53 32 29 76 68 43 30 46 57 44 35 39
Non-Public Hospital % 56 65 95 96 43 47 68 71 24 32 57 70 54 43 56 65 61
Raw Data: HOSPITAL (Sheet 9 of 19)
15 - 19 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
APF Hospital, Kathmandu 33 50 0 0 0 0 0 0 0 0 0 0 0 0 33 50 83
Baghauda Hosptial, Chitawan 8 10 0 0 0 0 0 0 0 0 0 0 0 0 8 10 18
Bakulahar Hospital, Chitawan 11 6 0 0 0 0 0 0 0 0 0 0 0 0 11 6 17
Western Regional Hospital, Pokhara 1549 292 0 0 1 6 9 5 1 0 0 0 1 1 1561 304 1865
Dhaulagiri Zonal Hospital, Baglung 260 38 0 0 10 3 0 0 0 0 0 0 0 0 270 41 311
District Hospital, Gorkha 256 11 0 0 9 1 6 0 0 0 0 0 0 0 271 12 283
District Hospital, Tanahu 242 16 0 0 6 1 0 3 0 0 0 0 0 0 248 20 268
District Hospital, Syangja 135 16 1 0 13 3 7 0 0 0 0 0 0 0 156 19 175
District Hospital, Manang 2 5 0 0 1 1 0 0 0 0 0 0 0 0 3 6 9
District Hospital, Mustang 8 8 0 0 3 0 0 0 0 0 0 0 0 0 11 8 19
District Hospital, Myagdi 191 36 0 0 6 1 0 3 0 0 0 0 0 0 197 40 237
District Hospital, Parbat 111 25 2 0 6 1 1 1 1 0 0 0 0 0 121 27 148
Lamjung Community Hospital, Lamjung 388 119 0 0 6 8 9 3 0 0 0 0 0 0 403 130 533
Bandipur Hospital, Tanahu 26 21 0 0 7 0 4 0 0 0 0 0 0 0 37 21 58
Bataulechaur Hospital, Kaski 35 5 0 0 0 0 0 0 0 0 0 0 0 0 35 5 40
Rapti Sub Regional Hospital, Dang 1110 78 1 0 23 10 17 2 3 0 0 0 0 0 1154 90 1244
Lumbini Zonal Hospital, Rupandehi 938 175 2 1 6 2 0 0 0 0 1 0 0 0 947 178 1125
Rapti Zonal Hospital, Dang 491 9 0 0 11 3 45 1 1 0 0 0 0 0 548 13 561
Bheri Zonal Hospital, Banke 1049 194 0 0 32 14 19 3 8 4 4 1 2 0 1114 216 1330
Tamghas Hospital, Gulmi 203 37 0 0 3 1 10 1 2 0 0 0 0 0 218 39 257
District Hospital, Palpa 20 8 0 4 0 0 0 0 0 0 0 0 0 0 20 12 32
Prithvi Chandra Hospital, Nawalparasi 197 16 0 0 8 1 4 0 0 0 0 0 0 0 209 17 226
Prithvi Bir Hospital, Kapilbastu 87 7 0 0 9 2 4 4 2 1 0 0 0 0 102 14 116
District Hospital, Arghakhanchi 170 30 0 0 15 6 6 1 1 0 0 0 0 0 192 37 229
District Hospital, Pyuthan 425 11 1 0 12 3 5 0 1 1 0 0 0 0 444 15 459
District Hospital, Rolpa 92 7 0 0 11 2 1 0 0 0 0 0 0 0 104 9 113
District Hospital, Bardiya 194 19 0 0 2 2 4 0 1 0 0 0 0 0 201 21 222
Rampur Hospital, Palpa 63 18 0 0 7 3 2 2 0 0 0 0 0 0 72 23 95
Bhim Hospital, Rupandehi 417 101 0 0 6 4 5 5 0 1 0 0 0 0 428 111 539
Shivraj Hospital, Bahadurganj, Kapilbastu 20 8 0 0 2 0 0 0 0 0 0 0 0 0 22 8 30
Pipara Hospital, Kapilbastu 7 0 0 0 3 0 0 0 0 0 0 0 0 0 10 0 10
MWR Police Hospital, Banke 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
Karnali Academy Of Health Science, Jumla 49 55 0 0 0 6 2 1 1 0 0 0 1 1 53 63 116
Mid Western Regional Hospital, Surkhet 900 52 0 0 10 1 5 2 1 0 0 0 0 1 916 56 972
District Hospital, Rukum 155 23 0 0 29 4 3 2 0 0 0 0 0 0 187 29 216
District Hospital, Salyan 401 70 0 0 4 1 3 0 0 0 0 0 0 0 408 71 479
District Hospital, Dailekh 170 12 0 0 26 0 13 3 4 0 0 0 0 0 213 15 228
District Hospital, Jagarkot 99 23 0 0 11 2 2 1 1 0 0 0 0 0 113 26 139
District Hospital, Dolpa 33 20 1 0 0 1 1 1 0 0 0 0 0 0 35 22 57
District Hospital, Kalikot 120 51 0 0 1 1 2 0 0 3 0 0 0 0 123 55 178
District Hospital, Mugu 101 25 0 0 5 12 9 0 3 0 0 0 0 0 118 37 155
Simikot District Hospital, Humla 44 26 0 0 1 0 0 0 0 0 0 0 0 0 45 26 71
Mehelkuna Hospital, Surkhet 177 9 0 0 22 4 3 1 3 0 0 0 0 0 205 14 219
Dullu Hospital, Dailekh 73 4 0 0 2 0 0 0 0 0 0 0 0 0 75 4 79
Sub Regional Hospital, Dadeldhura 38 15 0 0 8 5 5 7 1 2 0 0 0 0 52 29 81
Seti Zonal Hospital, Kailali 603 558 0 0 4 4 3 2 4 9 2 3 1 0 617 576 1193
Malakheti Hospital, Kailali 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3
District Hospital, Bajura 43 22 0 0 5 4 2 0 0 1 0 0 0 0 50 27 77
District Hospital, Bajhang 167 56 0 0 3 6 5 4 10 2 1 0 0 0 186 68 254
District Hospital, Achham 112 24 0 0 11 0 1 0 0 0 0 0 0 0 124 24 148
15 - 19 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
District Hospital, Doti 53 6 0 0 3 2 2 0 0 0 0 0 0 0 58 8 66
District Hospital, Baitadi 53 10 0 0 5 1 2 0 1 0 0 0 0 0 61 11 72
District Hospital, Darchula 129 17 0 0 4 2 0 0 0 1 0 0 0 0 133 20 153
Tikapur Hospital, Kailali 418 73 0 0 1 0 0 0 0 1 0 0 0 0 419 74 493
Mahakali Zonal Hospital, Kanchanpur 182 15 0 0 19 8 48 26 4 1 0 0 0 0 253 50 303
Jogbuda Hospital, Dadeldhura 76 3 0 0 6 2 4 0 1 0 0 0 0 0 87 5 92
Gokuleshwor Hospital, Darchula 51 9 0 0 1 4 2 0 3 0 0 0 0 0 57 13 70
Public Hospital Total 31536 6431 28 22 771 254 571 145 225 75 13 9 13 11 33157 6947 40104
Non-Public Hospital Total 22640 18254 550 446 328 315 750 609 41 52 52 47 30 33 24391 19756 44147
Total 54176 24685 578 468 1099 569 1321 754 266 127 65 56 43 44 57548 26703 84251
Public Hospital % 58 26 5 5 70 45 43 19 85 59 20 16 30 25 58 26 48
Non-Public Hospital % 42 74 95 95 30 55 57 81 15 41 80 84 70 75 42 74 52
Raw Data: HOSPITAL (Sheet 10 of 19)
20 - 29 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
BPKIHS, Dharan, Sunsari 10122 1348 5 6 3 1 52 17 6 11 10 8 22 8 10220 1399 11619
Mechi Zonal Hospital, Jhapa 1236 162 1 1 57 12 42 17 2 4 3 0 0 1 1341 197 1538
Koshi Zonal Hospital, Morang 4590 204 0 0 28 4 77 6 45 5 2 0 0 0 4742 219 4961
District Hospital, Taplejung 581 105 0 0 11 6 9 1 3 0 0 0 0 0 604 112 716
District Hospital, Panchthar 905 76 0 0 54 10 3 0 1 2 0 0 0 0 963 88 1051
District Hospital, Ilam 886 18 0 0 25 3 10 2 0 0 0 0 0 0 921 23 944
District Hospital, Sunsari 1794 36 0 0 147 0 35 2 2 0 0 0 0 0 1978 38 2016
District Hospital, Dhankuta 246 7 0 0 20 2 1 1 1 0 0 0 0 0 268 10 278
District Hospital, Terhathum 288 64 6 0 7 4 4 1 4 3 0 0 0 0 309 72 381
District Hospital, Sankhuwasabha 589 34 0 0 20 10 5 1 0 0 0 0 0 0 614 45 659
District Hospital, Bhojpur 286 70 1 0 51 8 32 6 1 2 1 0 0 0 372 86 458
District Hospital, Solukhumbu 266 42 0 1 16 11 7 2 1 2 0 0 0 0 290 58 348
Rumjatar Hospital, Okhaldhunga 61 20 0 0 1 0 0 1 0 0 0 0 0 0 62 21 83
District Hospital, Khotang 401 35 0 0 19 5 0 0 0 0 0 0 0 0 420 40 460
District Hospital, Udayapur 1014 49 1 0 38 5 9 0 3 1 0 0 0 0 1065 55 1120
Rangeli Hospital, Morang 144 19 0 0 16 2 5 5 2 0 0 0 0 0 167 26 193
Mangalbare Hospital, Morang 14 4 0 0 0 0 2 0 0 0 0 0 0 0 16 4 20
Katari Hospital, Udayapur 312 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 312
Sagarmatha Zonal Hospial, Saptari 2432 52 0 0 3 2 0 0 260 3 1 0 0 0 2696 57 2753
District Hospital, Rautahat 1286 0 9 6 57 0 128 2 22 0 0 0 0 0 1502 8 1510
District Hospital, Siraha 386 34 0 0 39 3 3 1 1 0 0 0 0 0 429 38 467
Malangawa District Hospital, Sarlahi 1029 7 0 0 5 0 0 0 0 0 0 0 0 0 1034 7 1041
Kalaiya District Hospital, Bara 2474 47 0 0 25 1 27 2 17 0 0 0 0 0 2543 50 2593
Bharadah Hospital, Saptari 173 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 173
Ram Uma Smarak Hospital, Lahan, Siraha 2482 17 0 0 107 0 125 0 63 0 1 1 0 0 2778 18 2796
District Hospital Mahottari 997 46 1 0 34 1 1 0 0 0 0 0 0 0 1033 47 1080
Bardibas Hospital, Mahottari 51 33 3 2 3 2 0 0 0 0 0 0 0 0 57 37 94
Chandranigahapur Hosptial, Rautahat 142 61 6 5 2 2 0 0 0 0 0 0 0 0 150 68 218
Pokhariya Hospital, Parsa 12 7 1 0 1 0 0 0 0 0 0 0 0 0 14 7 21
Mental Hospital, Lalitpur 84 117 0 0 0 1 10 15 3 14 0 0 0 0 97 147 244
Bhaktapur Hospital, Bhaktapur 427 27 1 0 14 0 11 0 1 0 0 0 0 0 454 27 481
Bir Hospital, Kathmandu 691 906 2 5 0 0 5 8 0 0 2 11 11 3 711 933 1644
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 12619 0 0 0 2 0 145 0 8 0 2 0 2 0 12778 0 12778
Human Organ Transplant Center 74 106 4 3 1 2 3 1 0 0 0 2 2 2 84 116 200
National Trauma Center, Kathmandu 116 435 1 2 1 4 3 8 0 2 0 3 1 2 122 456 578
Patan Hospital, Lalitpur 1675 169 1 0 0 0 0 0 0 0 0 1 2 1 1678 171 1849
District Hospital, Sindhuli 662 39 0 0 46 6 59 7 2 0 0 0 0 0 769 52 821
District Hospital, Ramechhap 121 18 0 0 12 1 2 2 0 0 0 0 0 0 135 21 156
Jiri District Hospital, Dolakha 283 52 0 0 2 5 0 0 0 0 0 0 0 0 285 57 342
District Hospital, Sindhupalchok 183 14 0 0 22 2 2 0 1 0 0 0 0 0 208 16 224
District Trisuli Hospital, Nuwakot 1084 41 0 0 41 2 12 1 0 0 0 0 0 0 1137 44 1181
District Hospital, Rasuwa 15 12 0 1 5 5 0 1 0 0 0 0 0 0 20 19 39
District Hospital, Dhading 503 42 0 0 12 2 5 1 1 1 0 0 0 0 521 46 567
Hetauda Hospital, Makwanpur 2729 153 0 0 61 19 56 3 31 6 0 0 0 0 2877 181 3058
Bharatpur Hospital, Chitawan 11286 1578 0 0 43 34 24 23 19 24 2 0 0 0 11374 1659 13033
Methinkot Hospital, Kavre 103 2 0 0 18 0 0 1 0 0 0 0 0 0 121 3 124
Central Jail Hospital, Kathmandu 58 99 0 0 2 16 0 0 0 0 0 0 0 0 60 115 175
APF Hospital, Kathmandu 115 158 0 0 0 0 0 0 0 0 0 0 0 0 115 158 273
20 - 29 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Baghauda Hosptial, Chitawan 16 7 0 0 2 1 0 0 0 0 0 0 0 0 18 8 26
Bakulahar Hospital, Chitawan 19 7 0 0 0 0 0 0 0 0 0 0 0 0 19 7 26
Western Regional Hospital, Pokhara 7582 489 719 47 8 3 23 11 1 0 2 0 3 1 8338 551 8889
Dhaulagiri Zonal Hospital, Baglung 1019 40 0 0 28 6 1 2 0 0 0 0 0 0 1048 48 1096
District Hospital, Gorkha 791 18 0 0 19 8 28 1 3 1 0 0 0 0 841 28 869
District Hospital, Tanahu 645 15 1 0 6 0 1 2 0 0 0 0 0 0 653 17 670
District Hospital, Syangja 471 36 0 0 38 0 14 0 0 0 0 0 0 0 523 36 559
District Hospital, Manang 10 10 0 0 4 3 0 0 0 0 0 0 0 0 14 13 27
District Hospital, Mustang 26 12 0 0 2 5 0 0 0 0 0 0 0 0 28 17 45
District Hospital, Myagdi 627 44 0 0 8 4 3 1 0 0 0 0 0 0 638 49 687
District Hospital, Parbat 342 44 0 1 7 0 2 1 4 1 0 0 0 0 355 47 402
Lamjung Community Hospital, Lamjung 1233 140 0 0 13 12 38 8 1 0 0 0 0 0 1285 160 1445
Bandipur Hospital, Tanahu 77 25 0 0 15 2 1 0 1 0 0 0 0 0 94 27 121
Bataulechaur Hospital, Kaski 146 9 0 0 1 0 2 0 0 0 0 0 0 0 149 9 158
Rapti Sub Regional Hospital, Dang 3581 110 1 1 42 13 43 10 15 0 1 0 0 0 3683 134 3817
Lumbini Zonal Hospital, Rupandehi 7150 298 4 1 20 4 0 0 3 1 4 1 3 0 7184 305 7489
Rapti Zonal Hospital, Dang 1424 21 2 0 18 3 123 2 7 0 0 0 0 0 1574 26 1600
Bheri Zonal Hospital, Banke 4062 369 0 0 66 19 52 28 29 4 9 3 1 1 4219 424 4643
Tamghas Hospital, Gulmi 764 50 0 0 23 4 12 3 5 0 0 0 0 0 804 57 861
District Hospital, Palpa 30 22 3 2 5 2 1 0 0 0 0 0 0 0 39 26 65
Prithvi Chandra Hospital, Nawalparasi 1163 31 0 0 41 3 20 2 0 0 1 0 0 0 1225 36 1261
Prithvi Bir Hospital, Kapilbastu 967 25 0 0 83 2 46 2 14 0 0 0 0 0 1110 29 1139
District Hospital, Arghakhanchi 698 48 0 0 67 1 8 4 2 0 0 0 0 1 775 54 829
District Hospital, Pyuthan 1234 14 3 1 23 2 15 2 5 1 0 0 0 0 1280 20 1300
District Hospital, Rolpa 325 19 0 0 32 7 7 1 2 1 1 1 0 0 367 29 396
District Hospital, Bardiya 920 82 0 0 20 2 29 1 0 0 0 0 0 0 969 85 1054
Rampur Hospital, Palpa 162 32 0 0 16 4 1 1 0 0 0 0 0 0 179 37 216
Bhim Hospital, Rupandehi 2396 148 0 0 46 7 45 16 3 0 0 0 0 0 2490 171 2661
Shivraj Hospital, Bahadurganj, Kapilbastu 424 15 0 0 40 4 2 2 0 0 0 0 0 0 466 21 487
Pipara Hospital, Kapilbastu 34 3 0 0 15 1 0 0 0 0 0 0 0 0 49 4 53
MWR Police Hospital, Banke 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4
Karnali Academy Of Health Science, Jumla 80 82 0 0 4 2 1 0 0 0 1 0 0 1 86 85 171
Mid Western Regional Hospital, Surkhet 2773 83 0 0 21 1 11 3 5 0 1 0 0 0 2811 87 2898
District Hospital, Rukum 293 35 0 0 46 16 12 3 0 0 0 0 1 1 352 55 407
District Hospital, Salyan 989 72 0 1 5 1 3 0 0 1 0 0 0 0 997 75 1072
District Hospital, Dailekh 400 27 0 0 47 3 22 2 7 1 0 0 0 1 476 34 510
District Hospital, Jagarkot 154 35 0 0 32 5 0 0 0 1 0 0 0 0 186 41 227
District Hospital, Dolpa 19 12 0 3 10 9 0 3 0 0 0 0 0 0 29 27 56
District Hospital, Kalikot 336 42 0 0 4 0 3 3 2 0 0 0 1 0 346 45 391
District Hospital, Mugu 224 37 0 0 13 14 13 1 1 0 0 0 0 0 251 52 303
Simikot District Hospital, Humla 73 30 0 0 1 2 0 0 0 0 0 0 0 0 74 32 106
Mehelkuna Hospital, Surkhet 269 9 0 0 18 1 5 0 1 1 0 0 0 0 293 11 304
Dullu Hospital, Dailekh 197 6 0 0 8 0 0 0 0 0 0 0 0 0 205 6 211
Sub Regional Hospital, Dadeldhura 92 43 0 0 24 13 15 5 1 0 0 2 0 0 132 63 195
Seti Zonal Hospital, Kailali 2808 417 0 0 22 11 10 1 29 10 2 7 7 3 2878 449 3327
Malakheti Hospital, Kailali 13 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 13
District Hospital, Bajura 116 20 0 0 9 7 2 0 1 0 0 2 0 0 128 29 157
District Hospital, Bajhang 568 62 0 0 11 4 8 8 12 5 1 0 0 0 600 79 679
District Hospital, Achham 338 26 0 0 10 3 0 0 2 0 0 0 0 0 350 29 379
District Hospital, Doti 368 13 0 0 7 2 5 4 0 0 0 0 0 1 380 20 400
20 - 29 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
District Hospital, Baitadi 327 5 0 0 22 0 7 0 0 0 0 0 0 0 356 5 361
District Hospital, Darchula 550 30 0 0 9 2 1 0 3 0 0 0 0 0 563 32 595
Tikapur Hospital, Kailali 1353 89 0 0 22 0 1 1 0 0 0 0 0 0 1376 90 1466
Mahakali Zonal Hospital, Kanchanpur 1278 32 0 0 70 19 131 43 7 5 0 1 0 0 1486 100 1586
Jogbuda Hospital, Dadeldhura 252 17 0 0 17 5 4 1 0 1 0 0 0 0 273 24 297
Gokuleshwor Hospital, Darchula 184 7 4 1 22 3 12 3 0 0 0 0 0 0 222 14 236
Public Hospital Total 21819 2379 14 8 427 100 267 61 90 26 3 1 0 0 22620 2575 25195
Non-Public Hospital Total 61903 32121 755 759 567 544 1568 1083 77 53 125 84 89 89 65084 34733 99817
Total 83722 34500 769 767 994 644 1835 1144 167 79 128 85 89 89 87704 37308 125012
Public Hospital % 26 7 2 1 43 16 15 5 54 33 2 1 0 0 26 7 20
Non-Public Hospital % 74 93 98 99 57 84 85 95 46 67 98 99 100 100 74 93 80
Raw Data: HOSPITAL (Sheet 11 of 19)
30 - 39 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
BPKIHS, Dharan, Sunsari 3867 1328 5 5 5 4 37 28 4 2 8 4 18 14 3944 1385 5329
Mechi Zonal Hospital, Jhapa 398 188 1 0 22 18 34 15 0 3 0 0 1 0 456 224 680
Koshi Zonal Hospital, Morang 911 223 0 0 6 5 10 4 5 1 1 0 1 2 934 235 1169
District Hospital, Taplejung 230 98 0 0 5 2 2 1 0 0 0 0 0 0 237 101 338
District Hospital, Panchthar 309 63 0 0 13 5 1 0 0 1 0 0 0 0 323 69 392
District Hospital, Ilam 204 10 0 0 9 2 3 0 0 1 0 0 0 0 216 13 229
District Hospital, Sunsari 258 20 0 0 12 2 6 5 1 1 0 0 0 0 277 28 305
District Hospital, Dhankuta 61 11 0 0 6 3 1 0 0 0 0 0 0 0 68 14 82
District Hospital, Terhathum 136 54 9 0 3 3 1 5 2 1 0 1 0 0 151 64 215
District Hospital, Sankhuwasabha 140 34 0 0 16 9 3 5 0 0 0 0 0 0 159 48 207
District Hospital, Bhojpur 113 60 0 0 17 8 8 7 1 1 1 0 1 0 141 76 217
District Hospital, Solukhumbu 91 15 0 0 8 8 4 2 0 1 0 1 0 0 103 27 130
Rumjatar Hospital, Okhaldhunga 51 22 0 0 2 0 0 0 0 0 0 0 0 0 53 22 75
District Hospital, Khotang 78 13 0 0 8 3 0 1 0 0 0 0 0 0 86 17 103
District Hospital, Udayapur 199 52 0 0 19 7 5 2 0 0 0 0 0 0 223 61 284
Rangeli Hospital, Morang 47 22 0 0 2 0 2 0 0 0 0 0 0 0 51 22 73
Mangalbare Hospital, Morang 5 2 0 0 0 0 0 0 0 0 0 0 0 0 5 2 7
Katari Hospital, Udayapur 33 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 33
Sagarmatha Zonal Hospial, Saptari 316 42 0 0 1 0 0 0 38 2 0 0 0 0 355 44 399
District Hospital, Rautahat 267 0 2 2 16 0 25 0 5 0 0 0 0 0 315 2 317
District Hospital, Siraha 116 33 0 0 16 4 3 3 0 0 0 0 0 0 135 40 175
Malangawa District Hospital, Sarlahi 174 4 0 0 0 0 0 0 0 0 0 0 0 0 174 4 178
Kalaiya District Hospital, Bara 646 36 0 0 6 0 8 2 3 0 0 0 0 0 663 38 701
Bharadah Hospital, Saptari 30 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 30
Ram Uma Smarak Hospital, Lahan, Siraha 336 16 0 0 13 0 17 2 12 0 0 0 0 0 378 18 396
District Hospital Mahottari 247 38 1 0 3 0 0 0 1 0 0 0 0 0 252 38 290
Bardibas Hospital, Mahottari 50 42 1 2 4 4 0 0 0 0 0 0 0 0 55 48 103
Chandranigahapur Hosptial, Rautahat 93 52 3 4 0 2 13 0 0 0 0 0 0 0 109 58 167
Pokhariya Hospital, Parsa 26 6 0 0 0 0 0 0 0 0 0 0 0 0 26 6 32
Mental Hospital, Lalitpur 103 99 0 0 1 0 3 6 1 4 0 0 0 0 108 109 217
Bhaktapur Hospital, Bhaktapur 142 29 0 0 3 0 3 0 0 0 0 0 0 0 148 29 177
Bir Hospital, Kathmandu 813 811 2 2 0 0 6 13 0 2 13 13 6 15 840 856 1696
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 4290 0 0 0 0 0 43 0 2 0 0 0 1 0 4336 0 4336
Human Organ Transplant Center 97 151 1 3 1 3 3 1 0 0 0 0 0 3 102 161 263
National Trauma Center, Kathmandu 130 301 1 3 1 2 2 12 0 2 1 0 4 5 139 325 464
Patan Hospital, Lalitpur 819 140 1 2 0 0 0 0 0 0 0 0 1 0 821 142 963
District Hospital, Sindhuli 124 43 0 0 19 5 9 4 2 0 0 0 0 0 154 52 206
District Hospital, Ramechhap 43 23 0 0 5 5 0 0 0 1 0 0 0 0 48 29 77
Jiri District Hospital, Dolakha 98 43 0 1 1 3 0 0 1 1 0 0 0 0 100 48 148
District Hospital, Sindhupalchok 38 20 0 0 7 0 0 0 1 0 0 0 0 0 46 20 66
District Trisuli Hospital, Nuwakot 208 48 0 0 7 5 2 0 0 0 0 0 0 0 217 53 270
District Hospital, Rasuwa 19 18 0 0 6 1 0 2 0 0 0 0 0 0 25 21 46
District Hospital, Dhading 238 28 0 1 5 3 2 0 0 0 0 0 0 0 245 32 277
Hetauda Hospital, Makwanpur 609 106 0 0 22 14 15 2 4 2 0 0 0 0 650 124 774
Bharatpur Hospital, Chitawan 1713 1369 0 0 35 25 24 16 13 15 5 2 6 7 1796 1434 3230
Methinkot Hospital, Kavre 20 2 1 0 7 0 1 0 0 0 0 0 0 0 29 2 31
Central Jail Hospital, Kathmandu 48 81 0 0 13 28 0 0 0 0 0 0 0 0 61 109 170
APF Hospital, Kathmandu 123 216 0 0 0 0 0 0 0 0 0 0 0 0 123 216 339
30 - 39 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
Baghauda Hosptial, Chitawan 22 8 0 0 0 0 0 0 0 0 0 0 0 0 22 8 30
Bakulahar Hospital, Chitawan 12 7 0 0 0 2 0 0 0 0 0 0 0 0 12 9 21
Western Regional Hospital, Pokhara 1963 419 1 1 6 6 15 17 2 0 2 8 5 4 1994 455 2449
Dhaulagiri Zonal Hospital, Baglung 197 58 0 0 18 11 3 1 3 0 0 0 0 1 221 71 292
District Hospital, Gorkha 110 13 0 2 2 0 2 1 2 1 0 0 0 0 116 17 133
District Hospital, Tanahu 164 7 0 0 4 0 2 0 0 0 0 0 0 0 170 7 177
District Hospital, Syangja 105 14 0 0 8 2 5 2 0 0 0 0 0 0 118 18 136
District Hospital, Manang 8 11 0 0 2 4 0 0 0 0 0 1 0 0 10 16 26
District Hospital, Mustang 13 11 0 0 1 4 0 0 0 0 0 0 0 0 14 15 29
District Hospital, Myagdi 161 39 0 0 3 10 4 1 0 1 0 0 0 0 168 51 219
District Hospital, Parbat 115 29 0 1 3 2 2 1 0 0 0 0 0 0 120 33 153
Lamjung Community Hospital, Lamjung 336 128 0 0 12 9 16 7 1 0 2 0 1 0 368 144 512
Bandipur Hospital, Tanahu 42 17 0 0 3 6 1 0 0 0 0 0 0 0 46 23 69
Bataulechaur Hospital, Kaski 49 7 0 0 0 0 0 0 0 0 0 0 0 0 49 7 56
Rapti Sub Regional Hospital, Dang 719 114 1 0 21 6 20 3 1 0 2 1 2 3 766 127 893
Lumbini Zonal Hospital, Rupandehi 1472 215 4 1 16 3 0 1 3 1 6 1 0 1 1501 223 1724
Rapti Zonal Hospital, Dang 106 29 1 0 4 3 12 6 1 0 0 0 0 0 124 38 162
Bheri Zonal Hospital, Banke 1022 307 0 0 45 46 28 22 15 9 4 8 3 2 1117 394 1511
Tamghas Hospital, Gulmi 142 40 1 0 3 1 4 5 0 1 0 0 0 0 150 47 197
District Hospital, Palpa 29 23 0 2 5 3 0 1 0 0 0 0 0 0 34 29 63
Prithvi Chandra Hospital, Nawalparasi 240 20 0 0 4 1 5 1 0 0 0 0 0 0 249 22 271
Prithvi Bir Hospital, Kapilbastu 260 43 0 0 13 5 12 8 2 1 0 0 0 1 287 58 345
District Hospital, Arghakhanchi 153 41 0 0 13 10 2 7 1 0 0 0 0 0 169 58 227
District Hospital, Pyuthan 209 22 0 0 12 8 1 2 4 1 0 0 0 0 226 33 259
District Hospital, Rolpa 89 12 0 0 10 0 8 1 1 0 1 1 0 0 109 14 123
District Hospital, Bardiya 162 95 0 0 2 0 4 1 1 0 0 0 0 0 169 96 265
Rampur Hospital, Palpa 30 19 0 0 14 8 0 0 0 0 0 0 0 0 44 27 71
Bhim Hospital, Rupandehi 506 102 0 0 15 6 7 13 1 1 0 0 1 0 530 122 652
Shivraj Hospital, Bahadurganj, Kapilbastu 150 4 0 0 8 0 1 0 0 0 0 0 0 0 159 4 163
Pipara Hospital, Kapilbastu 11 4 0 0 1 0 1 0 0 0 0 0 0 0 13 4 17
MWR Police Hospital, Banke 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 8 8
Karnali Academy Of Health Science, Jumla 64 75 0 0 1 1 2 2 0 0 0 1 0 0 67 79 146
Mid Western Regional Hospital, Surkhet 540 69 0 0 10 2 2 4 2 1 0 0 0 0 554 76 630
District Hospital, Rukum 88 20 0 0 14 8 4 1 0 0 0 0 0 0 106 29 135
District Hospital, Salyan 197 82 0 0 6 5 1 1 0 0 0 0 0 0 204 88 292
District Hospital, Dailekh 81 19 0 0 12 14 10 4 2 0 0 1 0 0 105 38 143
District Hospital, Jagarkot 71 28 0 0 9 5 1 1 1 0 0 0 0 0 82 34 116
District Hospital, Dolpa 13 11 1 0 3 2 0 2 0 0 0 0 0 0 17 15 32
District Hospital, Kalikot 107 33 1 0 6 0 4 2 0 3 0 0 0 0 118 38 156
District Hospital, Mugu 75 58 0 0 18 22 7 2 0 0 0 1 0 0 100 83 183
Simikot District Hospital, Humla 93 28 0 0 4 1 0 0 0 0 0 0 0 0 97 29 126
Mehelkuna Hospital, Surkhet 36 5 0 0 7 1 0 0 0 0 0 0 0 0 43 6 49
Dullu Hospital, Dailekh 37 6 0 0 0 0 0 0 0 0 0 0 0 0 37 6 43
Sub Regional Hospital, Dadeldhura 89 38 0 0 11 7 5 5 1 0 0 0 0 0 106 50 156
Seti Zonal Hospital, Kailali 709 389 0 0 12 11 4 2 9 11 5 10 3 4 742 427 1169
Malakheti Hospital, Kailali 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
District Hospital, Bajura 73 29 0 0 8 6 0 2 1 1 0 1 0 0 82 39 121
District Hospital, Bajhang 207 55 0 0 6 2 10 4 6 1 1 0 0 0 230 62 292
District Hospital, Achham 100 21 0 1 7 1 1 0 0 2 0 0 1 0 109 25 134
District Hospital, Doti 94 13 0 0 1 4 6 0 0 0 0 0 0 0 101 17 118
District Hospital, Baitadi 53 7 0 0 10 0 2 3 2 0 0 0 0 0 67 10 77
30 - 39 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
District Hospital, Darchula 70 22 0 0 4 5 1 0 1 0 0 0 0 0 76 27 103
Tikapur Hospital, Kailali 310 89 0 0 1 3 0 0 0 0 0 0 0 0 311 92 403
Mahakali Zonal Hospital, Kanchanpur 214 35 0 0 18 17 94 33 4 3 0 0 0 0 330 88 418
Jogbuda Hospital, Dadeldhura 73 11 0 0 5 1 3 0 0 0 0 0 0 0 81 12 93
Gokuleshwor Hospital, Darchula 42 7 0 1 3 1 7 1 2 0 0 0 0 0 54 10 64
Public Hospital Total 31141 9028 38 34 769 458 615 308 165 79 52 55 55 62 32835 10024 42859
Non-Public Hospital Total 41785 30868 761 705 458 497 1044 943 68 47 119 128 73 84 44308 33272 77580
Total 72926 39896 799 739 1227 955 1659 #### 233 126 171 183 128 146 77143 43296 120439
Public Hospital % 43 23 5 5 63 48 37 25 71 63 30 30 43 42 43 23 36
Non-Public Hospital % 57 77 95 95 37 52 63 75 29 37 70 70 57 58 57 77 64
Raw Data: HOSPITAL (Sheet 12 of 19)
40 - 49 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
BPKIHS, Dharan, Sunsari 1598 1232 8 4 6 8 35 36 1 0 7 6 11 18 1666 1304 2970
Mechi Zonal Hospital, Jhapa 171 184 0 0 14 26 15 19 0 1 2 7 2 2 204 239 443
Koshi Zonal Hospital, Morang 379 252 1 0 2 2 4 7 1 1 1 3 0 2 388 267 655
District Hospital, Taplejung 116 75 0 0 4 5 4 2 0 0 0 0 0 0 124 82 206
District Hospital, Panchthar 126 51 0 0 18 5 1 0 0 2 0 0 0 0 145 58 203
District Hospital, Ilam 45 20 0 0 4 4 2 0 0 0 0 0 0 0 51 24 75
District Hospital, Sunsari 39 24 0 0 2 0 8 0 0 0 0 0 0 0 49 24 73
District Hospital, Dhankuta 21 7 0 0 2 2 2 0 0 0 0 0 0 0 25 9 34
District Hospital, Terhathum 66 45 14 0 4 4 1 1 2 2 0 0 0 0 87 52 139
District Hospital, Sankhuwasabha 43 42 0 0 9 8 0 5 1 0 0 0 0 0 53 55 108
District Hospital, Bhojpur 88 39 0 0 14 8 8 4 1 1 0 1 0 0 111 53 164
District Hospital, Solukhumbu 38 28 1 1 2 4 0 3 0 0 0 0 0 0 41 36 77
Rumjatar Hospital, Okhaldhunga 29 28 0 0 1 0 0 3 0 0 0 0 0 0 30 31 61
District Hospital, Khotang 41 25 0 0 4 3 0 0 0 0 0 0 0 0 45 28 73
District Hospital, Udayapur 55 45 0 1 12 4 2 3 0 0 0 0 0 0 69 53 122
Rangeli Hospital, Morang 22 21 0 0 2 1 1 1 0 1 0 0 0 0 25 24 49
Mangalbare Hospital, Morang 6 5 1 0 1 1 0 2 0 0 0 0 0 0 8 8 16
Katari Hospital, Udayapur 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2
Sagarmatha Zonal Hospial, Saptari 84 44 0 0 1 0 0 0 2 1 0 0 0 0 87 45 132
District Hospital, Rautahat 15 0 0 0 0 0 2 1 0 0 0 0 0 0 17 1 18
District Hospital, Siraha 35 25 0 0 1 2 5 1 3 1 0 0 0 0 44 29 73
Malangawa District Hospital, Sarlahi 8 4 0 0 0 0 0 0 0 0 0 0 0 0 8 4 12
Kalaiya District Hospital, Bara 79 26 0 0 1 0 1 1 1 0 0 0 0 0 82 27 109
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 43 27 0 0 4 1 2 0 3 1 0 0 0 0 52 29 81
District Hospital Mahottari 21 22 0 0 0 0 0 0 0 0 0 0 0 0 21 22 43
Bardibas Hospital, Mahottari 52 45 0 1 3 3 0 0 0 0 0 0 0 0 55 49 104
Chandranigahapur Hosptial, Rautahat 69 70 1 3 0 0 0 0 0 0 0 0 0 0 70 73 143
Pokhariya Hospital, Parsa 9 13 0 0 0 0 0 0 0 0 0 0 0 0 9 13 22
Mental Hospital, Lalitpur 65 63 0 0 2 1 3 6 0 4 0 0 0 0 70 74 144
Bhaktapur Hospital, Bhaktapur 58 28 0 0 0 0 0 0 0 0 0 0 0 0 58 28 86
Bir Hospital, Kathmandu 799 1034 3 4 0 0 9 10 0 1 4 27 9 25 824 1101 1925
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 968 0 0 0 1 0 5 0 2 0 0 0 0 0 976 0 976
Human Organ Transplant Center 168 99 3 2 3 2 1 3 0 1 1 0 1 3 177 110 287
National Trauma Center, Kathmandu 112 246 0 5 0 2 5 12 0 0 0 1 1 1 118 267 385
Patan Hospital, Lalitpur 164 146 2 1 0 0 1 0 0 0 0 2 2 0 169 149 318
District Hospital, Sindhuli 50 39 0 0 5 4 3 2 0 1 0 0 0 0 58 46 104
District Hospital, Ramechhap 30 28 0 0 3 1 1 2 1 1 0 0 0 0 35 32 67
Jiri District Hospital, Dolakha 75 51 0 0 2 5 1 1 0 0 0 0 0 0 78 57 135
District Hospital, Sindhupalchok 36 34 0 0 1 4 0 0 0 0 0 0 0 0 37 38 75
District Trisuli Hospital, Nuwakot 89 46 0 0 5 3 4 1 0 0 0 0 0 0 98 50 148
District Hospital, Rasuwa 9 8 0 0 1 3 0 0 0 0 0 0 0 0 10 11 21
District Hospital, Dhading 61 23 0 0 1 0 1 1 0 0 0 0 0 0 63 24 87
Hetauda Hospital, Makwanpur 142 106 0 0 18 11 7 6 5 2 0 0 1 0 173 125 298
Bharatpur Hospital, Chitawan 1441 1272 0 0 30 21 27 20 19 19 12 12 13 10 1542 1354 2896
Methinkot Hospital, Kavre 11 4 0 0 5 1 0 0 0 0 0 0 0 0 16 5 21
Central Jail Hospital, Kathmandu 33 72 0 0 5 17 0 0 0 0 0 0 0 0 38 89 127
40 - 49 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
APF Hospital, Kathmandu 91 105 0 0 0 0 0 0 0 0 0 0 0 0 91 105 196
Baghauda Hosptial, Chitawan 9 7 0 0 0 0 0 0 0 0 0 0 0 0 9 7 16
Bakulahar Hospital, Chitawan 3 3 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6
Western Regional Hospital, Pokhara 611 446 1 0 7 5 9 15 3 0 2 5 3 10 636 481 1117
Dhaulagiri Zonal Hospital, Baglung 65 40 0 0 6 5 2 2 0 0 0 1 0 0 73 48 121
District Hospital, Gorkha 14 19 0 0 6 4 1 5 1 2 0 0 0 0 22 30 52
District Hospital, Tanahu 24 7 2 0 6 3 3 1 0 0 0 0 0 0 35 11 46
District Hospital, Syangja 32 19 0 0 1 2 4 2 1 0 0 0 0 0 38 23 61
District Hospital, Manang 7 7 0 0 2 0 0 0 0 0 0 0 0 0 9 7 16
District Hospital, Mustang 1 7 0 0 0 4 1 0 0 0 0 0 0 0 2 11 13
District Hospital, Myagdi 72 42 0 0 3 6 3 0 0 0 0 0 0 0 78 48 126
District Hospital, Parbat 24 18 0 0 1 3 1 2 0 0 0 0 0 0 26 23 49
Lamjung Community Hospital, Lamjung 151 124 0 0 17 13 4 11 0 0 2 2 0 0 174 150 324
Bandipur Hospital, Tanahu 39 17 1 1 3 1 1 2 0 1 0 0 0 0 44 22 66
Bataulechaur Hospital, Kaski 10 5 0 0 0 0 0 0 0 0 0 0 0 0 10 5 15
Rapti Sub Regional Hospital, Dang 222 98 1 0 16 21 9 9 2 2 0 0 1 0 251 130 381
Lumbini Zonal Hospital, Rupandehi 282 208 3 1 8 4 0 0 2 1 0 0 1 0 296 214 510
Rapti Zonal Hospital, Dang 21 30 0 0 5 8 1 7 0 0 0 0 0 0 27 45 72
Bheri Zonal Hospital, Banke 394 304 0 1 33 32 15 20 4 8 3 3 4 2 453 370 823
Tamghas Hospital, Gulmi 49 25 0 0 3 1 5 3 1 0 0 0 0 0 58 29 87
District Hospital, Palpa 26 26 1 4 2 8 0 1 0 0 0 0 0 0 29 39 68
Prithvi Chandra Hospital, Nawalparasi 44 21 0 0 0 0 1 0 0 0 0 0 0 0 45 21 66
Prithvi Bir Hospital, Kapilbastu 45 34 0 0 3 0 5 2 0 1 1 1 1 1 55 39 94
District Hospital, Arghakhanchi 97 24 0 0 11 7 1 1 1 0 0 0 0 0 110 32 142
District Hospital, Pyuthan 51 20 2 0 6 8 6 3 0 0 0 1 0 1 65 33 98
District Hospital, Rolpa 44 24 0 0 7 2 3 3 0 0 0 1 0 0 54 30 84
District Hospital, Bardiya 18 115 0 0 1 2 0 1 0 0 0 0 0 0 19 118 137
Rampur Hospital, Palpa 28 20 0 0 6 5 0 0 0 0 0 0 0 0 34 25 59
Bhim Hospital, Rupandehi 128 77 0 0 9 3 12 4 0 1 0 3 0 2 149 90 239
Shivraj Hospital, Bahadurganj, Kapilbastu 10 3 0 0 1 2 1 0 0 0 0 0 0 0 12 5 17
Pipara Hospital, Kapilbastu 6 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 6
MWR Police Hospital, Banke 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Karnali Academy Of Health Science, Jumla 57 77 0 0 0 1 3 1 0 0 0 0 3 0 63 79 142
Mid Western Regional Hospital, Surkhet 137 55 0 0 0 1 5 2 1 0 0 0 0 1 143 59 202
District Hospital, Rukum 42 15 0 0 6 11 2 0 0 0 0 0 0 1 50 27 77
District Hospital, Salyan 43 31 0 1 2 4 3 1 1 0 0 0 0 0 49 37 86
District Hospital, Dailekh 71 26 0 0 3 5 5 2 1 0 0 2 0 0 80 35 115
District Hospital, Jagarkot 47 30 0 0 1 6 2 0 0 0 0 0 0 0 50 36 86
District Hospital, Dolpa 8 6 0 0 2 10 1 0 0 0 0 0 0 0 11 16 27
District Hospital, Kalikot 37 28 1 0 2 0 2 1 0 1 0 0 0 0 42 30 72
District Hospital, Mugu 64 24 0 0 8 10 5 2 0 0 0 0 0 0 77 36 113
Simikot District Hospital, Humla 38 26 0 0 2 2 0 0 0 0 0 0 0 0 40 28 68
Mehelkuna Hospital, Surkhet 12 2 0 0 0 3 0 0 0 0 0 0 0 0 12 5 17
Dullu Hospital, Dailekh 14 9 0 0 0 0 0 0 0 0 0 0 0 0 14 9 23
Sub Regional Hospital, Dadeldhura 66 42 0 0 14 4 7 3 0 1 0 0 0 0 87 50 137
Seti Zonal Hospital, Kailali 409 551 0 0 6 6 1 3 7 9 5 4 2 0 430 573 1003
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 58 14 1 0 6 4 0 1 0 0 0 0 0 0 65 19 84
District Hospital, Bajhang 115 42 0 0 2 6 6 2 6 1 0 0 0 1 129 52 181
District Hospital, Achham 42 25 0 0 3 2 1 0 1 0 0 0 0 0 47 27 74
40 - 49 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
District Hospital, Doti 48 18 0 0 2 0 0 1 0 0 0 0 0 0 50 19 69
District Hospital, Baitadi 12 4 0 0 2 0 0 1 0 1 0 0 0 0 14 6 20
District Hospital, Darchula 76 29 0 0 3 3 0 0 1 1 0 0 1 0 81 33 114
Tikapur Hospital, Kailali 45 69 0 1 7 8 0 0 0 0 0 0 0 0 52 78 130
Mahakali Zonal Hospital, Kanchanpur 34 36 0 0 13 24 52 63 1 0 0 0 0 1 100 124 224
Jogbuda Hospital, Dadeldhura 23 13 0 0 1 2 3 1 2 1 0 0 0 0 29 17 46
Gokuleshwor Hospital, Darchula 15 4 0 0 1 0 4 0 0 1 0 0 0 0 20 5 25
Public Hospital Total 11742 8770 47 31 442 427 351 331 78 72 40 82 56 81 12756 9794 22550
Non-Public Hospital Total 34470 30305 822 761 470 483 910 1005 57 50 157 211 109 159 36995 32974 69969
Total 46212 39075 869 792 912 910 1261 1336 135 122 197 293 165 240 49751 42768 92519
Public Hospital % 25 22 5 4 48 47 28 25 58 59 20 28 34 34 26 23 24
Non-Public Hospital % 75 78 95 96 52 53 72 75 42 41 80 72 66 66 74 77 76
Raw Data: HOSPITAL (Sheet 13 of 19)
50 - 59 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
BPKIHS, Dharan, Sunsari 1191 1214 3 6 5 3 40 54 0 2 4 13 12 24 1255 1316 2571
Mechi Zonal Hospital, Jhapa 140 211 0 1 16 27 11 14 0 2 1 1 1 1 169 257 426
Koshi Zonal Hospital, Morang 310 290 0 0 5 6 4 6 2 1 1 4 1 3 323 310 633
District Hospital, Taplejung 116 67 0 0 3 6 2 2 1 1 0 0 0 0 122 76 198
District Hospital, Panchthar 123 64 0 0 9 13 0 0 0 0 1 0 0 0 133 77 210
District Hospital, Ilam 34 14 0 0 4 1 2 0 0 0 0 0 0 0 40 15 55
District Hospital, Sunsari 27 18 0 0 1 0 0 0 0 0 0 0 0 0 28 18 46
District Hospital, Dhankuta 16 8 2 0 6 5 3 0 0 0 0 0 0 0 27 13 40
District Hospital, Terhathum 62 40 2 1 3 3 0 0 1 1 0 0 0 0 68 45 113
District Hospital, Sankhuwasabha 46 14 0 0 4 3 3 0 0 0 0 0 0 0 53 17 70
District Hospital, Bhojpur 86 50 0 0 10 13 10 2 1 0 4 0 1 0 112 65 177
District Hospital, Solukhumbu 30 20 0 0 4 5 0 2 0 0 0 0 0 0 34 27 61
Rumjatar Hospital, Okhaldhunga 24 26 0 0 1 1 0 2 0 0 0 0 0 0 25 29 54
District Hospital, Khotang 33 15 0 0 7 1 0 0 0 0 0 0 0 0 40 16 56
District Hospital, Udayapur 44 30 0 0 10 10 0 1 0 0 0 0 0 0 54 41 95
Rangeli Hospital, Morang 30 21 0 0 4 1 0 2 0 1 0 0 0 0 34 25 59
Mangalbare Hospital, Morang 1 5 0 0 0 1 1 0 0 0 0 0 0 0 2 6 8
Katari Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sagarmatha Zonal Hospial, Saptari 61 42 0 0 2 0 0 0 3 2 0 0 0 0 66 44 110
District Hospital, Rautahat 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
District Hospital, Siraha 39 28 0 0 1 2 6 0 2 2 0 0 0 0 48 32 80
Malangawa District Hospital, Sarlahi 8 4 0 0 0 0 0 0 0 0 0 0 0 0 8 4 12
Kalaiya District Hospital, Bara 41 19 0 0 1 1 2 0 2 0 0 0 0 0 46 20 66
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 23 14 0 0 2 2 3 1 2 0 0 0 0 0 30 17 47
District Hospital Mahottari 10 22 0 0 0 0 2 0 0 0 0 0 0 0 12 22 34
Bardibas Hospital, Mahottari 43 35 2 3 5 2 0 0 0 0 0 0 0 0 50 40 90
Chandranigahapur Hosptial, Rautahat 44 42 1 5 2 2 0 0 0 0 0 0 0 0 47 49 96
Pokhariya Hospital, Parsa 6 1 0 0 0 0 0 0 0 0 0 0 0 0 6 1 7
Mental Hospital, Lalitpur 35 23 0 0 1 0 4 3 0 0 0 0 0 0 40 26 66
Bhaktapur Hospital, Bhaktapur 46 26 0 0 0 0 0 0 0 0 0 0 0 0 46 26 72
Bir Hospital, Kathmandu 643 982 7 3 0 0 7 10 0 0 7 19 15 29 679 1043 1722
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 244 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 244
Human Organ Transplant Center 77 90 5 1 1 3 3 0 0 0 0 3 1 3 87 100 187
National Trauma Center, Kathmandu 81 195 0 0 0 2 4 9 1 1 1 2 3 11 90 220 310
Patan Hospital, Lalitpur 105 107 3 0 0 0 0 1 0 0 4 0 3 3 115 111 226
District Hospital, Sindhuli 59 22 0 0 6 3 3 1 0 0 0 0 0 0 68 26 94
District Hospital, Ramechhap 20 13 0 0 0 2 1 0 0 0 0 0 0 0 21 15 36
Jiri District Hospital, Dolakha 55 30 0 0 1 2 2 1 0 1 0 0 0 0 58 34 92
District Hospital, Sindhupalchok 41 25 0 0 3 0 1 0 0 0 0 0 0 0 45 25 70
District Trisuli Hospital, Nuwakot 98 101 0 0 9 10 2 2 0 1 0 0 0 0 109 114 223
District Hospital, Rasuwa 8 8 0 0 3 2 0 0 1 0 0 0 0 0 12 10 22
District Hospital, Dhading 31 32 0 0 5 2 3 1 0 0 1 0 0 0 40 35 75
Hetauda Hospital, Makwanpur 127 96 0 0 13 10 2 1 2 3 0 0 0 0 144 110 254
Bharatpur Hospital, Chitawan 1135 1075 0 0 27 25 23 19 21 23 14 17 21 19 1241 1178 2419
Methinkot Hospital, Kavre 6 5 0 0 0 3 0 0 0 0 0 0 0 0 6 8 14
Central Jail Hospital, Kathmandu 8 62 0 0 0 12 0 0 0 0 0 0 0 0 8 74 82
APF Hospital, Kathmandu 50 61 0 0 0 0 0 0 0 0 0 0 0 0 50 61 111
50 - 59 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
Baghauda Hosptial, Chitawan 12 9 0 0 0 0 0 0 0 0 0 0 0 0 12 9 21
Bakulahar Hospital, Chitawan 7 2 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9
Western Regional Hospital, Pokhara 473 424 4 5 8 9 16 23 3 0 8 9 11 10 523 480 1003
Dhaulagiri Zonal Hospital, Baglung 63 64 0 0 10 8 2 2 0 0 0 0 0 1 75 75 150
District Hospital, Gorkha 21 20 0 0 1 4 2 1 1 0 0 0 0 0 25 25 50
District Hospital, Tanahu 30 14 0 0 4 5 0 0 0 0 0 0 0 0 34 19 53
District Hospital, Syangja 36 16 0 0 4 3 1 1 0 0 0 0 0 0 41 20 61
District Hospital, Manang 3 4 0 0 2 2 0 0 0 0 0 1 0 0 5 7 12
District Hospital, Mustang 5 6 0 0 2 2 1 0 0 0 0 0 0 0 8 8 16
District Hospital, Myagdi 63 36 0 0 5 6 4 2 0 0 0 0 0 0 72 44 116
District Hospital, Parbat 38 12 2 0 3 2 1 0 0 1 0 0 0 0 44 15 59
Lamjung Community Hospital, Lamjung 152 141 0 0 8 17 12 13 0 1 1 0 1 1 174 173 347
Bandipur Hospital, Tanahu 19 28 0 0 1 2 3 0 0 0 0 0 0 0 23 30 53
Bataulechaur Hospital, Kaski 10 4 0 0 0 0 0 0 0 0 0 0 0 0 10 4 14
Rapti Sub Regional Hospital, Dang 161 164 1 0 19 13 8 11 2 0 0 0 0 1 191 189 380
Lumbini Zonal Hospital, Rupandehi 271 369 5 2 10 10 0 0 1 2 1 1 1 4 289 388 677
Rapti Zonal Hospital, Dang 36 19 0 0 2 7 7 9 0 0 0 1 0 0 45 36 81
Bheri Zonal Hospital, Banke 287 266 0 0 31 29 16 10 7 9 3 5 2 0 346 319 665
Tamghas Hospital, Gulmi 68 20 0 0 4 2 4 1 0 1 0 0 0 0 76 24 100
District Hospital, Palpa 26 41 2 4 7 8 0 0 0 0 0 0 0 0 35 53 88
Prithvi Chandra Hospital, Nawalparasi 29 22 0 0 1 0 0 0 0 0 0 0 0 0 30 22 52
Prithvi Bir Hospital, Kapilbastu 35 24 0 0 2 1 4 3 0 0 3 0 1 1 45 29 74
District Hospital, Arghakhanchi 105 43 1 0 20 7 6 2 2 0 0 0 0 0 134 52 186
District Hospital, Pyuthan 36 45 0 0 8 7 6 2 1 0 0 0 0 0 51 54 105
District Hospital, Rolpa 35 20 0 0 4 2 4 0 1 0 1 0 0 0 45 22 67
District Hospital, Bardiya 31 101 0 0 1 1 2 3 0 1 0 1 0 0 34 107 141
Rampur Hospital, Palpa 20 19 0 0 7 5 0 0 0 0 0 0 0 0 27 24 51
Bhim Hospital, Rupandehi 75 48 0 0 5 3 9 6 0 1 0 1 0 0 89 59 148
Shivraj Hospital, Bahadurganj, Kapilbastu 2 8 0 0 1 0 0 0 0 0 0 0 0 0 3 8 11
Pipara Hospital, Kapilbastu 4 0 0 0 0 1 0 0 0 0 0 0 0 0 4 1 5
MWR Police Hospital, Banke 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Karnali Academy Of Health Science, Jumla 37 67 0 0 2 1 3 0 0 1 0 0 0 1 42 70 112
Mid Western Regional Hospital, Surkhet 85 64 0 0 0 1 1 4 0 0 0 0 1 0 87 69 156
District Hospital, Rukum 21 20 0 0 6 5 1 3 0 0 0 0 0 0 28 28 56
District Hospital, Salyan 32 30 0 1 9 10 0 2 0 0 0 0 0 0 41 43 84
District Hospital, Dailekh 34 18 0 0 1 1 6 1 0 0 1 0 0 0 42 20 62
District Hospital, Jagarkot 29 28 0 0 2 8 1 2 1 0 0 0 0 0 33 38 71
District Hospital, Dolpa 16 4 1 0 1 3 0 0 0 0 0 0 0 0 18 7 25
District Hospital, Kalikot 26 22 0 0 0 0 0 1 1 0 0 0 0 0 27 23 50
District Hospital, Mugu 50 31 0 0 4 5 4 3 0 1 0 0 0 0 58 40 98
Simikot District Hospital, Humla 26 19 0 0 0 5 0 0 0 0 0 0 0 0 26 24 50
Mehelkuna Hospital, Surkhet 11 6 0 0 1 1 1 0 0 0 0 0 0 0 13 7 20
Dullu Hospital, Dailekh 4 7 0 0 0 0 0 0 0 0 0 0 0 0 4 7 11
Sub Regional Hospital, Dadeldhura 36 44 0 0 8 7 17 3 1 0 0 2 0 0 62 56 118
Seti Zonal Hospital, Kailali 324 385 0 0 7 9 4 5 9 12 4 9 2 6 350 426 776
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 24 17 0 0 2 4 0 0 0 0 0 0 0 0 26 21 47
District Hospital, Bajhang 106 68 0 0 3 4 31 7 4 2 1 1 2 1 147 83 230
District Hospital, Achham 44 15 0 0 3 6 0 0 2 0 0 0 0 0 49 21 70
District Hospital, Doti 76 15 0 0 1 1 5 2 2 0 0 1 0 0 84 19 103
District Hospital, Baitadi 9 11 0 0 2 1 0 1 0 0 0 0 0 0 11 13 24
50 - 59 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Total
Male
Male
Male
Male
Male
Male
Male
Male
District Hospital, Darchula 39 17 0 0 4 4 0 0 1 1 0 0 0 0 44 22 66
Tikapur Hospital, Kailali 69 96 0 0 3 6 0 0 0 0 0 0 0 0 72 102 174
Mahakali Zonal Hospital, Kanchanpur 37 22 0 1 20 11 49 38 3 2 2 2 1 1 112 77 189
Jogbuda Hospital, Dadeldhura 13 9 0 0 1 1 1 0 1 1 0 0 0 0 16 11 27
Gokuleshwor Hospital, Darchula 3 11 0 0 3 2 2 3 0 0 0 0 0 0 8 16 24
Public Hospital Total 8762 8283 41 33 427 436 378 298 82 77 63 93 80 120 9833 9340 19173
Non-Public Hospital Total 31619 32102 713 809 510 547 878 1070 43 34 171 282 204 231 34138 35075 69213
Total 40381 40385 754 842 937 983 1256 1368 125 111 234 375 284 351 43971 44415 88386
Public Hospital % 22 21 5 4 46 44 30 22 66 69 27 25 28 34 22 21 22
Non-Public Hospital % 78 79 95 96 54 56 70 78 34 31 73 75 72 66 78 79 78
Raw Data: HOSPITAL (Sheet 14 of 19)
60 + Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
BPKIHS, Dharan, Sunsari 22028 10794 27 30 44 50 319 317 14 18 64 74 133 149 22629 11432 34061
Mechi Zonal Hospital, Jhapa 2859 1944 4 17 182 148 173 139 6 13 10 10 7 8 3241 2279 5520
Koshi Zonal Hospital, Morang 13649 8708 10 8 87 100 218 168 87 27 21 25 32 45 14104 9081 23185
District Hospital, Taplejung 1604 759 0 0 48 42 27 9 4 2 0 6 0 0 1683 818 2501
District Hospital, Panchthar 2611 1457 0 0 162 74 22 17 8 10 3 2 30 56 2836 1616 4452
District Hospital, Ilam 1565 261 0 0 75 36 27 13 3 3 1 0 0 0 1671 313 1984
District Hospital, Sunsari 3089 568 0 0 217 12 77 26 6 4 0 0 0 0 3389 610 3999
District Hospital, Dhankuta 588 220 2 0 92 33 10 2 1 0 1 0 0 0 694 255 949
District Hospital, Terhathum 1008 513 39 9 36 28 9 12 24 18 2 1 0 0 1118 581 1699
District Hospital, Sankhuwasabha 1369 430 0 0 99 85 22 21 1 1 0 0 1 1 1492 538 2030
District Hospital, Bhojpur 1206 1023 4 0 175 129 117 73 10 13 30 43 3 8 1545 1289 2834
District Hospital, Solukhumbu 661 317 4 3 55 56 18 17 4 8 2 6 0 1 744 408 1152
Rumjatar Hospital, Okhaldhunga 328 284 0 0 8 5 1 10 0 0 0 0 0 0 337 299 636
District Hospital, Khotang 935 417 0 0 91 54 2 4 2 0 2 1 0 0 1032 476 1508
District Hospital, Udayapur 2197 950 2 1 140 80 29 23 11 6 3 1 1 1 2383 1062 3445
Rangeli Hospital, Morang 533 406 0 0 42 18 20 23 8 8 10 12 2 10 615 477 1092
Mangalbare Hospital, Morang 72 60 5 0 11 12 16 19 0 0 1 1 0 0 105 92 197
Katari Hospital, Udayapur 639 160 0 0 23 26 11 10 0 0 0 3 0 0 673 199 872
Sagarmatha Zonal Hospial, Saptari 5455 2573 0 0 13 23 2 8 391 32 4 4 1 0 5866 2640 8506
District Hospital, Rautahat 1759 0 15 8 79 0 175 3 35 0 0 0 0 0 2063 11 2074
District Hospital, Siraha 1049 525 0 0 149 104 39 22 14 5 1 2 0 0 1252 658 1910
Malangawa District Hospital, Sarlahi 1436 53 0 0 5 3 2 3 1 0 0 0 0 0 1444 59 1503
Kalaiya District Hospital, Bara 4069 289 0 0 45 14 54 13 34 16 2 1 0 0 4204 333 4537
Bharadah Hospital, Saptari 580 469 0 0 7 9 1 0 15 7 21 26 2 6 626 517 1143
Ram Uma Smarak Hospital, Lahan, Siraha 4188 896 0 0 173 22 206 34 105 7 21 29 19 39 4712 1027 5739
District Hospital Mahottari 1613 306 2 0 64 14 5 0 1 0 0 0 0 0 1685 320 2005
Bardibas Hospital, Mahottari 387 291 8 10 18 14 0 0 0 0 0 0 0 0 413 315 728
Chandranigahapur Hosptial, Rautahat 575 440 36 44 15 19 13 0 0 0 0 0 0 0 639 503 1142
Pokhariya Hospital, Parsa 73 47 1 0 2 0 1 0 0 0 1 0 0 0 78 47 125
Mental Hospital, Lalitpur 350 385 0 0 7 2 22 32 4 25 1 1 0 0 384 445 829
Bhaktapur Hospital, Bhaktapur 867 229 1 0 20 7 14 1 1 0 1 0 0 0 904 237 1141
Bir Hospital, Kathmandu 4502 6234 28 34 4 6 55 80 0 4 70 122 74 149 4733 6629 11362
Kanti Children Hospital, Kathmandu 2181 4543 6 17 4 8 51 68 8 6 1 6 29 74 2280 4722 7002
Maternity Hospital, Kathmandu 22108 6 0 0 3 1 272 3 18 0 2 0 5 1 22408 11 22419
Human Organ Transplant Center 519 609 19 15 10 15 12 9 0 3 2 8 6 14 568 673 1241
National Trauma Center, Kathmandu 799 1898 5 15 9 17 23 63 3 6 8 10 20 37 867 2046 2913
Patan Hospital, Lalitpur 3519 1253 18 19 5 5 5 5 0 1 13 7 20 21 3580 1311 4891
District Hospital, Sindhuli 1315 432 0 0 128 46 122 47 6 2 0 0 0 1 1571 528 2099
District Hospital, Ramechhap 499 329 0 1 42 30 12 13 2 5 2 1 1 2 558 381 939
Jiri District Hospital, Dolakha 837 500 1 1 24 27 3 7 2 2 2 2 0 0 869 539 1408
District Hospital, Sindhupalchok 626 319 0 0 57 25 4 4 4 2 2 1 0 0 693 351 1044
District Trisuli Hospital, Nuwakot 2225 531 0 0 121 63 37 13 1 4 0 5 2 1 2386 617 3003
District Hospital, Rasuwa 123 134 2 3 35 30 2 5 2 1 1 0 0 0 165 173 338
District Hospital, Dhading 1274 451 0 1 43 40 25 24 5 2 1 0 0 0 1348 518 1866
Hetauda Hospital, Makwanpur 4934 1482 0 0 205 123 118 34 73 27 0 0 1 0 5331 1666 6997
Bharatpur Hospital, Chitawan 24461 11371 0 0 254 234 205 184 176 198 67 62 79 69 25242 12118 37360
Methinkot Hospital, Kavre 198 52 1 1 46 8 2 2 1 1 0 0 0 0 248 64 312
Central Jail Hospital, Kathmandu 183 444 0 0 29 199 0 0 0 0 3 0 0 0 215 643 858
APF Hospital, Kathmandu 484 681 0 0 0 0 0 0 0 0 0 0 0 0 484 681 1165
Total
Not Dead Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved within 48 48 hrs
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
Baghauda Hosptial, Chitawan 100 56 0 0 5 3 0 0 0 0 1 1 0 0 106 60 166
Bakulahar Hospital, Chitawan 65 38 0 0 0 3 0 0 0 0 0 0 0 0 65 41 106
Western Regional Hospital, Pokhara 15624 5703 737 63 90 124 191 207 28 4 47 55 80 85 16797 6241 23038
Dhaulagiri Zonal Hospital, Baglung 2022 728 0 0 117 99 12 13 3 0 3 2 0 2 2157 844 3001
District Hospital, Gorkha 1387 252 0 2 71 43 57 25 8 4 1 2 1 0 1525 328 1853
District Hospital, Tanahu 1207 152 3 0 46 22 7 10 0 2 1 0 0 0 1264 186 1450
District Hospital, Syangja 931 209 1 0 82 29 36 12 2 1 0 0 1 1 1053 252 1305
District Hospital, Manang 82 93 0 0 25 17 2 2 1 1 6 8 0 0 116 121 237
District Hospital, Mustang 98 74 1 0 15 26 2 2 0 0 1 0 1 1 118 103 221
District Hospital, Myagdi 1429 580 0 0 45 66 27 17 0 1 0 1 0 0 1501 665 2166
District Hospital, Parbat 839 317 6 5 35 23 15 15 6 4 3 0 0 0 904 364 1268
Lamjung Community Hospital, Lamjung 3013 1681 11 0 121 139 187 105 2 5 11 6 2 1 3347 1937 5284
Bandipur Hospital, Tanahu 313 213 2 1 50 24 16 11 1 1 0 0 0 1 382 251 633
Bataulechaur Hospital, Kaski 284 60 0 0 4 0 3 0 0 0 0 0 0 0 291 60 351
Rapti Sub Regional Hospital, Dang 6527 1384 10 1 183 168 127 71 25 7 7 4 7 11 6886 1646 8532
Lumbini Zonal Hospital, Rupandehi 11176 2416 32 18 80 47 1 2 22 15 23 20 14 19 11348 2537 13885
Rapti Zonal Hospital, Dang 2214 297 5 0 83 68 230 80 13 0 3 3 1 2 2549 450 2999
Bheri Zonal Hospital, Banke 7722 2708 0 1 284 233 182 141 89 84 39 38 19 10 8335 3215 11550
Tamghas Hospital, Gulmi 1566 571 4 4 45 35 69 40 11 7 0 0 0 0 1695 657 2352
District Hospital, Palpa 252 263 15 24 39 50 1 3 0 0 0 2 0 0 307 342 649
Prithvi Chandra Hospital, Nawalparasi 1736 195 0 0 57 9 34 5 0 0 2 0 0 0 1829 209 2038
Prithvi Bir Hospital, Kapilbastu 1520 299 0 0 123 29 78 37 20 5 8 7 4 6 1753 383 2136
District Hospital, Arghakhanchi 2155 1139 1 0 185 115 60 40 8 4 1 4 0 1 2410 1303 3713
District Hospital, Pyuthan 2227 342 9 4 90 59 56 34 15 5 3 3 3 2 2403 449 2852
District Hospital, Rolpa 776 309 0 0 93 38 36 16 8 5 5 3 1 0 919 371 1290
District Hospital, Bardiya 1459 632 0 0 28 9 47 18 4 1 2 1 0 0 1540 661 2201
Rampur Hospital, Palpa 388 193 0 0 71 50 4 4 0 0 0 1 0 0 463 248 711
Bhim Hospital, Rupandehi 3725 686 0 0 103 37 97 57 4 6 2 12 2 2 3933 800 4733
Shivraj Hospital, Bahadurganj, Kapilbastu 663 108 0 1 54 21 7 4 0 0 1 0 0 1 725 135 860
Pipara Hospital, Kapilbastu 69 12 0 0 19 3 1 0 0 0 0 0 0 0 89 15 104
MWR Police Hospital, Banke 1 14 0 0 0 0 0 0 0 0 0 0 0 0 1 14 15
Karnali Academy Of Health Science, Jumla 604 761 0 0 15 21 25 33 3 2 2 3 5 3 654 823 1477
Mid Western Regional Hospital, Surkhet 4904 937 0 0 45 13 33 24 10 2 1 0 2 4 4995 980 5975
District Hospital, Rukum 846 315 0 0 148 95 26 15 1 0 0 1 5 3 1026 429 1455
District Hospital, Salyan 1950 600 1 3 53 43 22 13 3 2 1 2 0 0 2030 663 2693
District Hospital, Dailekh 1438 841 0 0 133 77 94 57 33 25 6 10 2 3 1706 1013 2719
District Hospital, Jagarkot 568 351 0 0 69 42 12 12 3 3 1 3 0 0 653 411 1064
District Hospital, Dolpa 163 115 3 4 24 26 2 7 0 0 0 0 0 0 192 152 344
District Hospital, Kalikot 841 535 8 2 21 11 13 15 6 12 0 0 2 1 891 576 1467
District Hospital, Mugu 660 338 0 1 65 93 44 20 5 2 1 4 3 1 778 459 1237
Simikot District Hospital, Humla 369 223 0 0 11 12 0 0 0 0 0 0 0 0 380 235 615
Mehelkuna Hospital, Surkhet 576 118 0 0 53 19 12 7 4 4 0 0 0 0 645 148 793
Dullu Hospital, Dailekh 354 79 0 0 10 2 0 0 0 0 0 0 0 0 364 81 445
Sub Regional Hospital, Dadeldhura 632 683 0 0 127 107 97 84 5 9 0 8 1 0 862 891 1753
Seti Zonal Hospital, Kailali 12001 4980 1 2 119 92 62 36 145 112 46 58 38 42 12412 5322 17734
Malakheti Hospital, Kailali 17 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 17
District Hospital, Bajura 460 277 1 0 45 49 6 3 2 3 0 4 2 0 516 336 852
District Hospital, Bajhang 1495 798 0 0 49 49 91 54 66 45 8 3 4 10 1713 959 2672
District Hospital, Achham 893 372 1 1 48 30 9 5 8 7 0 2 1 0 960 417 1377
District Hospital, Doti 766 175 0 0 28 20 29 14 2 5 1 3 1 3 827 220 1047
Total
Not Dead Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved within 48 48 hrs
All Total
Female
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Male
District Hospital, Baitadi 514 121 0 0 49 12 16 20 4 3 0 0 0 1 583 157 740
District Hospital, Darchula 993 317 0 0 37 41 2 0 9 8 2 2 3 0 1046 368 1414
Tikapur Hospital, Kailali 2470 780 0 2 45 35 3 3 2 3 0 0 0 0 2520 823 3343
Mahakali Zonal Hospital, Kanchanpur 1993 400 1 1 215 178 640 529 29 21 8 10 3 5 2889 1144 4033
Jogbuda Hospital, Dadeldhura 524 173 0 0 35 18 19 9 5 5 0 0 0 0 583 205 788
Gokuleshwor Hospital, Darchula 336 104 4 3 33 19 38 23 12 6 2 0 0 0 425 155 580
Public Hospital Total 159466 95556 331 298 5117 4451 4050 3276 1142 840 581 716 620 887 171307 106024 277331
Non-Public Hospital Total 280893 248166 6418 6811 3968 4458 8888 9563 457 419 1335 1858 1280 1664 303239 272939 576178
Total 440359 343722 6749 7109 9085 8909 12938 12839 1599 1259 1916 2574 1900 2551 474546 378963 853509
Public Hospital % 36 28 5 4 56 50 31 26 71 67 30 28 33 35 36 28 32
Non-Public Hospital % 64 72 95 96 44 50 69 74 29 33 70 72 67 65 64 72 68
Raw Data: HOSPITAL (Sheet 16 of 19)
Gestational Weeks
22 - 27 28 - 36 37 - 41 ≥ 42 Total
Hospital Name
Grand
Grand
Grand
Grand
Grand
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Primi
Primi
Primi
Primi
Primi
Mechi Zonal Hospital, Jhapa 0 0 0 29 29 2 512 471 13 11 12 0 552 512 15
Koshi Zonal Hospital, Morang 1 3 2 109 94 23 2348 1737 560 77 47 26 2535 1881 611
District Hospital, Taplejung 0 0 0 11 3 1 297 328 18 0 4 0 308 335 19
District Hospital, Panchthar 0 1 0 16 7 1 470 349 13 10 10 0 496 367 14
District Hospital, Ilam 3 2 1 24 11 0 540 292 16 35 10 0 602 315 17
District Hospital, Sunsari 3 2 0 31 34 5 553 1202 32 7 32 0 594 1270 37
District Hospital, Dhankuta 1 0 0 8 7 0 118 107 13 7 4 1 134 118 14
District Hospital, Terhathum 1 0 0 8 13 0 189 120 0 17 20 0 215 153 0
District Hospital, Sankhuwasabha 3 5 0 20 13 3 403 310 20 37 27 8 463 355 31
District Hospital, Bhojpur 1 0 0 2 1 1 105 100 7 6 5 1 114 106 9
District Hospital, Solukhumbu 0 0 0 2 0 0 29 26 0 0 0 0 31 26 0
Rumjatar Hospital, Okhaldhunga 0 0 0 0 0 0 11 22 1 0 1 0 11 23 1
District Hospital, Khotang 23 19 3 0 0 0 0 0 0 0 0 0 23 19 3
District Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rangeli Hospital, Morang 0 0 0 11 14 8 34 63 22 0 0 0 45 77 30
Katari Hospital, Udayapur 0 0 0 7 17 0 267 215 4 13 15 3 287 247 7
Janakpur Zonal Hospital 8 6 9 395 422 165 2192 2748 454 6 10 3 2601 3186 631
Sagarmatha Zonal Hospial, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Rautahat 0 0 0 20 32 12 636 873 189 11 11 9 667 916 210
District Hospital, Siraha 30 30 44 137 146 69 0 0 0 0 0 0 167 176 113
Malangawa District Hospital, Sarlahi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalaiya District Hospital, Bara 5 3 1 21 14 3 519 1029 80 2 18 25 547 1064 109
Bharadah Hospital, Saptari 0 0 0 0 1 0 60 126 38 0 0 0 60 127 38
Ram Uma Smarak Hospital, Lahan, Siraha 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Mahottari 16 0 0 112 141 70 45 340 110 19 137 292 192 618 472
Bardibas Hospital, Mahottari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chandranigahapur Hosptial, Rautahat 0 0 0 87 87 53 116 142 61 2 2 0 205 231 114
Pokhariya Hospital, Parsa 0 2 3 4 16 11 220 375 100 6 1 11 230 394 125
Maternity Hospital, Kathmandu 0 0 0 0 0 0 2965 2943 0 5768 5520 0 8733 8463 0
District Hospital, Sindhuli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Ramechhap 0 0 0 0 0 0 45 31 6 0 0 0 45 31 6
Jiri District Hospital, Dolakha 0 0 0 2 4 0 128 84 10 28 13 6 158 101 16
District Hospital, Sindhupalchok 0 0 0 0 0 0 76 78 6 0 1 0 76 79 6
District Trisuli Hospital, Nuwakot 0 1 0 12 9 1 571 889 12 13 22 6 596 921 19
District Hospital, Dhading 2 0 0 8 2 0 351 289 34 16 17 0 377 308 34
Hetauda Hospital, Makwanpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bharatpur Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Methinkot Hospital, Kavre 1 0 0 3 2 2 49 46 6 1 0 0 54 48 8
Baghauda Hosptial, Chitawan 0 0 0 9 6 2 103 102 10 3 1 0 115 109 12
Bakulahar Hospital, Chitawan 1 0 0 6 0 0 15 14 3 0 0 0 22 14 3
Western Regional Hospital, Pokhara 17 15 2 185 147 28 4138 3781 492 114 104 13 4454 4047 535
Dhaulagiri Zonal Hospital, Baglung 0 0 0 17 18 0 332 726 34 8 23 6 357 767 40
District Hospital, Gorkha 0 5 0 20 16 2 403 405 14 27 27 1 450 453 17
Gestational Weeks
22 - 27 28 - 36 37 - 41 ≥ 42 Total
Hospital Name
Grand
Grand
Grand
Grand
Grand
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Primi
Primi
Primi
Primi
Primi
District Hospital, Tanahu 0 0 0 2 18 2 263 450 16 1 17 2 266 485 20
District Hospital, Syangja 0 0 0 29 37 0 190 170 8 2 5 1 221 212 9
District Hospital, Manang 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0
District Hospital, Mustang 0 0 0 1 0 0 6 13 2 0 0 0 7 13 2
District Hospital, Myagdi 3 0 0 23 9 1 397 400 19 11 11 1 434 420 21
District Hospital, Parbat 2 0 0 4 4 0 222 217 9 2 0 1 230 221 10
Lamjung Community Hospital, Lamjung 1 0 0 36 17 1 575 523 20 14 17 0 626 557 21
Bandipur Hospital, Tanahu 0 0 0 0 0 0 21 24 3 2 1 0 23 25 3
Bataulechaur Hospital, Kaski 4 9 1 4 1 1 75 58 2 5 10 0 88 78 4
Rapti Sub Regional Hospital, Dang 7 0 0 1061 903 10 942 778 18 100 45 0 2110 1726 28
Lumbini Zonal Hospital, Rupandehi 11 20 0 263 177 6 4064 3036 204 123 75 5 4461 3308 215
Rapti Zonal Hospital, Dang 1 4 0 30 33 4 284 330 33 10 16 1 325 383 38
Tamghas Hospital, Gulmi 1 1 0 15 11 0 382 333 22 7 4 0 405 349 22
District Hospital, Palpa 0 0 0 0 1 0 9 5 0 0 0 0 9 6 0
Prithvi Chandra Hospital, Nawalparasi 5 3 6 80 76 54 424 383 281 17 21 19 526 483 360
Prithvi Bir Hospital, Kapilbastu 0 0 0 0 0 0 21 24 11 0 0 0 21 24 11
District Hospital, Arghakhanchi 1 1 0 11 11 3 363 246 16 6 7 0 381 265 19
District Hospital, Pyuthan 6 11 2 26 27 8 736 534 31 48 59 6 816 631 47
District Hospital, Rolpa 3 6 2 17 5 1 116 94 33 5 1 2 141 106 38
District Hospital, Bardiya 2 0 0 37 61 3 416 339 33 15 11 0 470 411 36
Rampur Hospital, Palpa 0 5 1 15 0 0 50 62 0 0 0 0 65 67 1
Bhim Hospital, Rupandehi 14 4 4 140 77 71 959 645 521 58 29 42 1171 755 638
Shivraj Hospital, Bahadurganj, Kapilbastu 0 0 0 0 0 0 184 369 9 0 0 0 184 369 9
Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 2 1 0 7 13 4 182 237 56 11 23 4 202 274 64
Mid Western Regional Hospital, Surkhet 5 9 4 76 66 24 1367 1295 314 125 144 30 1573 1514 372
District Hospital, Salyan 0 1 1 30 20 1 493 501 47 33 25 4 556 547 53
District Hospital, Dailekh 0 0 0 19 11 6 171 150 31 15 19 5 205 180 42
District Hospital, Jagarkot 0 0 0 9 2 0 32 83 1 3 3 0 44 88 1
District Hospital, Dolpa 0 0 0 0 0 0 26 42 8 3 2 2 29 44 10
District Hospital, Kalikot 1 0 0 10 4 7 102 127 64 24 23 14 137 154 85
District Hospital, Mugu 1 0 0 12 4 0 81 102 16 8 16 6 102 122 22
Simikot District Hospital, Humla 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mehelkuna Hospital, Surkhet 0 1 0 18 6 1 164 154 13 7 4 1 189 165 15
Dullu Hospital, Dailekh 0 4 0 19 8 0 107 122 6 4 5 2 130 139 8
Sub Regional Hospital, Dadeldhura 0 2 1 26 25 4 472 522 59 34 28 11 532 577 75
Seti Zonal Hospital, Kailali 3 1 0 36 5 1 560 137 30 26 16 7 625 159 38
Malakheti Hospital, Kailali 32 24 1 17 46 1 28 50 4 1 1 1 78 121 7
District Hospital, Bajura 1 0 0 2 1 1 58 71 9 0 1 0 61 73 10
District Hospital, Bajhang 3 5 5 28 22 1 180 212 23 22 33 4 233 272 33
District Hospital, Achham 0 1 0 10 4 6 151 164 37 18 13 3 179 182 46
District Hospital, Doti 0 1 0 11 12 3 128 234 19 10 9 3 149 256 25
District Hospital, Baitadi 0 0 0 15 11 1 132 132 26 9 10 1 156 153 28
District Hospital, Darchula 3 2 0 10 13 1 241 245 12 28 46 3 282 306 16
Tikapur Hospital, Kailali 0 0 0 17 12 10 706 1635 73 21 21 0 744 1668 83
Gestational Weeks
22 - 27 28 - 36 37 - 41 ≥ 42 Total
Hospital Name
Grand
Grand
Grand
Grand
Grand
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Multi
Primi
Primi
Primi
Primi
Primi
Mahakali Zonal Hospital, Kanchanpur 4 3 1 16 18 5 464 656 126 14 28 6 498 705 138
Jogbuda Hospital, Dadeldhura 1 4 2 0 1 0 122 159 24 0 0 0 123 164 26
Gokuleshwor Hospital, Darchula 1 0 0 9 3 2 87 89 20 8 8 1 105 100 23
DISTRICT HOSPITAL_ JALESWOR_MAHOTTARI 16 0 0 112 141 70 45 340 110 19 137 292 192 618 472
Public Hospital Total 250 217 96 3619 3222 776 35639 36856 4797 7113 7038 891 46621 47333 6560
Non-Public Hospital Total 1167 932 377 2912 2606 793 14317 10050 2092 589 366 285 18985 13954 3547
Total 1417 1149 473 6531 5828 1569 49956 46906 6889 7702 7404 1176 65606 61287 10107
Public Hospital % 18 19 20 55 55 49 71 79 70 92 95 76 71 77 65
Non-Public Hospital % 82 81 80 45 45 51 29 21 30 8 5 24 29 23 35
Raw Data: HOSPITAL (Sheet 17 of 19)
Maternal Age (Yrs)
Hospital Name 22 - 27 28 - 36 37 - 41 ≥ 42 Total
< 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Mechi Zonal Hospital, Jhapa 0 3 0 0 0 0 0 0 17 19 5 11 137 329
Koshi Zonal Hospital, Morang 9 4 0 2 0 0 1 0 21 30 0 0 105 277
District Hospital, Taplejung 2 1 1 1 1 0 0 0 5 7 1 1 17 31
District Hospital, Panchthar 4 3 0 0 0 0 0 0 4 1 4 9 21 76
District Hospital, Ilam 2 0 0 0 0 0 0 0 2 1 1 1 37 50
District Hospital, Sunsari 0 0 0 0 0 0 0 0 0 0 0 0 42 57
District Hospital, Dhankuta 0 0 0 0 0 0 0 0 6 6 7 3 36 41
District Hospital, Terhathum 0 0 0 0 0 0 0 0 0 1 0 0 0 0
District Hospital, Sankhuwasabha 2 0 0 0 0 0 0 0 0 0 0 0 35 51
District Hospital, Bhojpur 4 2 0 0 0 0 0 0 17 6 0 0 4 0
District Hospital, Solukhumbu 0 1 0 0 0 0 0 0 0 1 0 0 8 13
Rumjatar Hospital, Okhaldhunga 0 0 0 0 0 0 0 0 0 0 15 30 15 30
District Hospital, Khotang 0 0 0 0 0 0 0 0 1 0 20 33 20 33
District Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 5 3 5 17
Rangeli Hospital, Morang 0 0 0 0 0 0 0 0 0 1 0 0 24 28
Katari Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 4 1 19 36
Janakpur Zonal Hospital 0 0 0 0 0 0 0 0 0 0 0 0 75 155
Sagarmatha Zonal Hospial, Saptari 22 15 8 14 1 0 0 0 0 0 16 26 28 45
District Hospital, Rautahat 5 10 0 0 0 0 0 0 0 0 0 0 50 56
District Hospital, Siraha 0 0 0 0 0 0 0 0 0 0 10 4 43 35
Kalaiya District Hospital, Bara 0 0 0 0 0 0 0 0 2 1 0 0 35 39
Ram Uma Smarak Hospital, Lahan, Siraha 0 0 0 0 0 0 0 0 1 1 8 5 73 118
Bardibas Hospital, Mahottari 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chandranigahapur Hosptial, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 15 18
Bhaktapur Hospital, Bhaktapur 0 0 0 0 0 0 0 0 0 0 21 34 0 0
Bir Hospital, Kathmandu 0 0 0 0 0 0 0 0 27 41 0 0 0 0
Kanti Children Hospital, Kathmandu 22 42 8 16 0 0 0 0 29 72 0 0 0 0
Maternity Hospital, Kathmandu 64 72 86 141 6 0 0 0 0 0 0 0 0 0
Sukraraj Tropical Hospital,Kathmandu 0 0 0 0 0 0 0 0 9 30 0 0 0 0
Human Organ Transplant Center 0 0 0 0 0 0 0 0 4 18 0 0 0 0
National Gangalal Heart Center, Kathmandu 0 0 0 0 0 0 0 0 38 49 3 12 0 0
National Trauma Center, Kathmandu 0 0 0 0 0 0 0 0 4 16 0 0 0 0
Patan Hospital, Lalitpur 1 3 0 1 0 0 0 0 0 0 4 3 0 0
District Hospital, Sindhuli 0 0 0 0 0 0 0 0 0 0 0 0 21 39
District Hospital, Ramechhap 2 1 0 0 0 0 0 0 2 5 0 2 2 4
Jiri District Hospital, Dolakha 0 1 1 0 0 0 0 0 2 2 11 14 11 14
District Hospital, Sindhupalchok 0 0 0 0 0 0 0 0 3 1 3 2 16 17
District Trisuli Hospital, Nuwakot 0 0 0 0 0 0 0 0 4 6 0 0 22 55
District Hospital, Rasuwa 1 0 0 0 0 0 0 0 0 1 0 1 2 6
District Hospital, Dhading 0 0 0 0 0 0 0 0 0 0 2 3 1 2
Hetauda Hospital, Makwanpur 0 0 0 0 0 0 0 0 0 1 16 17 63 111
Bharatpur Hospital, Chitawan 7 8 0 0 0 0 0 0 148 140 143 170 192 250
APF Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 3 2 1 0 0
Baghauda Hosptial, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bakulahar Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 1 0 0
Western Regional Hospital, Pokhara 33 53 2 3 2 0 2 2 85 90 42 60 133 222
Hospital Death Brought Postmortem
Early Neonatal Late Neonatal Maternal (All) Post-operative* Other Dead Done
Hospital Name
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Dhaulagiri Zonal Hospital, Baglung 0 0 0 0 0 0 0 0 1 2 6 10 16 38
District Hospital, Gorkha 1 2 0 0 0 0 0 0 4 8 13 16 27 58
District Hospital, Tanahu 0 0 0 0 0 0 0 0 0 0 43 140 43 140
District Hospital, Syangja 0 0 2 6 0 0 0 0 0 0 12 17 11 19
District Hospital, Mustang 0 0 0 0 0 0 0 0 1 0 2 4 0 5
District Hospital, Myagdi 0 0 0 0 0 0 0 0 0 1 9 13 25 46
District Hospital, Parbat 0 0 0 0 0 0 0 0 0 0 7 9 6 19
Lamjung Community Hospital, Lamjung 2 2 0 1 1 0 0 0 0 1 5 5 28 27
Bandipur Hospital, Tanahu 0 0 0 0 0 0 0 0 1 1 1 1 4 1
Bataulechaur Hospital, Kaski 0 1 0 0 0 0 0 0 0 0 0 1 0 0
Rapti Sub Regional Hospital, Dang 1 2 0 0 1 0 0 0 13 15 0 0 25 40
Lumbini Zonal Hospital, Rupandehi 7 10 0 0 3 0 0 0 16 16 90 222 93 237
Rapti Zonal Hospital, Dang 0 0 0 0 1 0 0 0 9 16 5 12 56 91
Bheri Zonal Hospital, Banke 18 38 0 5 6 0 0 0 60 56 3 10 122 268
Tamghas Hospital, Gulmi 1 1 0 0 0 0 0 0 3 1 7 7 38 44
District Hospital, Palpa 0 0 0 0 0 0 0 0 0 0 2 1 53 91
Prithvi Chandra Hospital, Nawalparasi 1 0 1 0 0 0 0 0 5 1 12 17 43 101
Prithvi Bir Hospital, Kapilbastu 2 0 1 0 0 0 0 0 12 13 0 0 43 89
District Hospital, Arghakhanchi 2 1 1 0 0 0 0 0 0 0 0 0 31 66
District Hospital, Pyuthan 5 1 0 0 0 0 0 0 14 14 8 6 53 63
District Hospital, Rolpa 3 0 0 0 1 0 0 0 1 3 2 0 29 34
District Hospital, Bardiya 1 0 0 0 0 0 0 0 1 1 0 0 53 101
Rampur Hospital, Palpa 0 0 0 0 0 0 0 0 0 0 0 1 0 9
Bhim Hospital, Rupandehi 0 0 1 2 0 0 0 0 3 15 22 40 114 222
Shivraj Hospital, Bahadurganj, Kapilbastu 0 0 2 0 0 0 0 0 2 2 2 1 23 55
Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 1 3 0 0 0 0 0 0 7 7 2 2 2 2
Mid Western Regional Hospital, Surkhet 4 4 0 0 1 0 0 0 2 4 0 0 57 114
District Hospital, Rukum 1 1 0 0 0 0 0 0 6 5 0 0 13 22
District Hospital, Salyan 1 1 0 0 0 0 0 0 1 2 0 0 19 53
District Hospital, Dailekh 0 1 0 0 0 0 0 0 3 6 1 1 15 31
District Hospital, Jagarkot 0 0 0 0 0 0 0 0 1 1 14 43 14 43
District Hospital, Dolpa 1 1 1 1 0 0 0 0 0 0 1 2 1 6
District Hospital, Kalikot 4 3 1 0 0 0 1 0 2 1 1 0 18 34
District Hospital, Mugu 2 3 0 0 0 0 0 0 1 1 0 0 4 9
Simikot District Hospital, Humla 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mehelkuna Hospital, Surkhet 0 2 0 0 0 0 0 0 0 2 0 1 6 11
Dullu Hospital, Dailekh 1 1 0 0 0 0 0 0 0 0 2 1 3 4
Sub Regional Hospital, Dadeldhura 2 2 0 1 0 0 0 0 8 15 2 0 9 22
Seti Zonal Hospital, Kailali 21 31 2 1 6 0 0 0 80 100 0 0 109 224
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 1 1 0 0 0 0 0 0 0 0 0 3 7 17
District Hospital, Bajhang 1 3 0 0 0 0 0 0 0 0 1 0 3 7
District Hospital, Achham 3 1 0 1 0 0 0 0 1 3 3 2 18 15
District Hospital, Doti 0 0 0 2 0 0 0 0 2 9 0 0 7 19
District Hospital, Baitadi 4 2 0 1 0 0 0 0 0 1 0 0 12 12
District Hospital, Darchula 2 3 0 0 0 0 0 0 0 0 0 0 7 14
Hospital Death Brought Postmortem
Early Neonatal Late Neonatal Maternal (All) Post-operative* Other Dead Done
Hospital Name
Female
Female
Female
Female
Female
Female
Female
Male
Male
Male
Male
Male
Male
Male
Tikapur Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 76 69
Mahakali Zonal Hospital, Kanchanpur 1 1 1 0 0 0 0 0 14 18 7 21 64 106
Jogbuda Hospital, Dadeldhura 0 0 0 0 0 0 0 0 0 0 0 0 6 11
Gokuleshwor Hospital, Darchula 0 0 0 0 0 0 0 0 1 2 2 3 10 20
Public Hospital Total 274 341 119 199 30 0 4 2 675 834 609 1025 2723 4984
Non-Public Hospital Total 169 267 54 91 38 0 39 65 1337 1822 372 589 2 2
Total 443 608 173 290 68 0 43 67 2012 2656 981 1614 2725 4986
Public Hospital % 62 56 69 69 44 #DIV/0! 9 3 34 31 62 64 100 100
Non-Public Hospital % 38 44 31 31 56 #DIV/0! 91 97 66 69 38 36 0 0
Raw Data: HOSPITAL (Sheet 19 of 19)
Minor
Major Plaster
Outpatients Inpatients Emergency
Sex Sex Sex Sex Sex
Hospital Name Post Post Post Post
Female
Female
Female
Female
Female
Operative Operative Operative Operative
Male
Male
Male
Male
Male
Infection Infection Infection Infection
Mechi Zonal Hospital, Jhapa 679 400 0 331 389 0 167 237 0 3 4 0 0 0
Koshi Zonal Hospital, Morang 1555 183 1 0 0 0 342 177 1 10 20 0 0 0
District Hospital, Taplejung 108 6 1 589 637 0 191 206 0 584 698 0 222 281
District Hospital, Panchthar 131 0 1 26 41 0 52 7 0 266 507 0 131 207
District Hospital, Ilam 133 0 0 0 0 0 0 0 0 168 391 0 98 139
District Hospital, Sunsari 0 0 0 100 94 0 66 55 9 107 84 9 125 119
District Hospital, Dhankuta 0 0 0 139 136 0 18 0 0 11 11 0 27 34
District Hospital, Terhathum 68 2 0 42 62 0 3 12 0 18 24 0 158 217
District Hospital, Sankhuwasabha 16 18 0 109 210 0 27 24 0 98 119 0 63 76
District Hospital, Bhojpur 0 0 0 1 1 0 0 0 0 0 0 0 26 32
District Hospital, Solukhumbu 14 0 0 52 59 0 17 18 0 20 29 0 95 125
Rumjatar Hospital, Okhaldhunga 7 2 0 77 69 0 3 1 0 8 7 0 6 4
District Hospital, Khotang 56 2 0 163 164 0 55 59 0 88 74 0 18 25
District Hospital, Udayapur 1 9 0 4 4 0 3 4 0 0 0 0 20 33
Rangeli Hospital, Morang 0 0 0 0 0 0 5 58 10 0 0 0 41 67
Mangalbare Hospital, Morang 0 0 0 120 110 0 0 0 0 0 0 0 39 36
Katari Hospital, Udayapur 0 0 0 314 264 0 0 0 0 186 154 0 9 24
Janakpur Zonal Hospital 1172 71 0 108 79 0 4 0 0 0 0 0 0 0
Sagarmatha Zonal Hospial, Saptari 191 0 0 0 0 0 73 0 0 0 0 0 0 0
District Hospital, Rautahat 15 0 0 0 0 0 0 0 0 9 14 0 74 105
District Hospital, Siraha 0 0 0 0 0 0 0 0 0 4 6 0 7 9
Malangawa District Hospital, Sarlahi 10 0 0 0 0 0 0 0 0 0 0 0 24 35
Kalaiya District Hospital, Bara 35 12 0 0 0 0 80 0 0 14 16 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 32 0 0 41 48 0 146 1 0 12 9 0 10 15
District Hospital, Mahottari 130 33 0 0 0 0 14 20 0 11 12 0 20 41
Bardibas Hospital, Mahottari 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chandranigahapur Hosptial, Rautahat 1 1 0 0 0 0 0 0 0 0 0 0 8 5
Bhaktapur Hospital, Bhaktapur 158 65 0 0 0 0 247 184 0 63 213 0 0 0
Kanti Children Hospital, Kathmandu 238 1036 0 0 0 0 67 34 0 0 0 0 0 0
Maternity Hospital, Kathmandu 5358 10 0 7 11 0 1571 0 0 0 0 0 0 0
Human Organ Transplant Center 176 193 0 103 169 0 201 315 0 0 0 0 0 0
National Gangalal Heart Center, Kathmandu 121 149 0 0 0 0 10 17 0 0 0 0 0 0
National Trauma Center, Kathmandu 412 868 0 143 196 0 407 888 0 0 0 0 2507 3062
District Hospital, Sindhuli 1 3 0 0 0 0 18 11 0 0 0 0 151 188
District Hospital, Ramechhap 0 0 0 234 299 0 0 0 0 156 223 0 98 138
Jiri District Hospital, Dolakha 93 20 3 355 418 0 141 158 0 411 383 0 135 205
District Hospital, Sindhupalchok 6 0 0 221 213 0 0 3 0 47 40 0 109 109
District Trisuli Hospital, Nuwakot 176 0 0 16 10 0 9 11 0 42 54 0 123 153
District Hospital, Rasuwa 0 0 0 12 11 0 0 2 0 2 1 0 3 8
District Hospital, Dhading 23 5 0 0 0 0 0 0 0 876 544 10 194 132
Hetauda Hospital, Makwanpur 450 40 0 0 0 0 93 107 0 0 0 0 95 44
Bharatpur Hospital, Chitawan 4373 1193 0 379 502 0 377 360 0 123 161 0 643 711
Methinkot Hospital, Kavre 0 11 0 34 63 0 0 0 0 12 37 0 7 10
APF Hospital, Kathmandu 137 314 0 61 96 0 104 140 0 0 3 0 63 168
Baghauda Hosptial, Chitawan 0 0 0 45 58 0 0 0 0 31 41 0 0 0
Bakulahar Hospital, Chitawan 6 11 0 13 18 0 5 5 0 11 18 0 15 21
Minor
Major Plaster
Outpatients Inpatients Emergency
Sex Sex Sex Sex Sex
Hospital Name Post Post Post Post
Female
Female
Female
Female
Female
Operative Operative Operative Operative
Male
Male
Male
Male
Male
Infection Infection Infection Infection
Western Regional Hospital, Pokhara 3377 1341 0 394 387 0 592 564 0 27 58 0 431 653
Dhaulagiri Zonal Hospital, Baglung 9 15 0 146 175 0 17 10 0 0 0 0 143 167
District Hospital, Gorkha 78 11 0 104 135 0 71 85 0 22 47 0 253 289
District Hospital, Tanahu 46 0 0 157 313 0 0 0 0 122 235 0 74 145
District Hospital, Syangja 52 0 0 607 485 0 0 0 0 221 203 0 91 94
District Hospital, Manang 0 0 0 15 47 0 1 3 0 8 30 0 7 11
District Hospital, Mustang 0 0 0 50 114 0 0 0 0 12 42 0 2 20
District Hospital, Myagdi 124 31 0 1602 2233 0 123 137 0 613 844 0 365 400
District Hospital, Parbat 5 0 0 12 21 0 2 3 0 111 154 0 171 219
Lamjung Community Hospital, Lamjung 271 118 1 224 295 0 234 387 0 0 0 0 193 256
Bandipur Hospital, Tanahu 0 0 0 91 121 0 7 11 0 100 85 0 31 33
Bataulechaur Hospital, Kaski 4 0 0 89 100 0 3 0 0 60 97 0 9 7
Rapti Sub Regional Hospital, Dang 820 155 0 0 0 0 852 952 0 0 0 0 242 270
Lumbini Zonal Hospital, Rupandehi 3019 352 128 3485 1951 0 592 526 0 945 56 0 1534 2024
Rapti Zonal Hospital, Dang 63 20 1 739 796 0 92 60 0 4 6 0 26 36
Bheri Zonal Hospital, Banke 1290 527 0 0 0 0 79 36 0 759 0 0 0 418
Tamghas Hospital, Gulmi 13 0 0 161 174 0 78 46 0 150 121 0 286 253
District Hospital, Palpa 0 0 0 225 242 0 2 6 0 4 1 0 200 201
Prithvi Chandra Hospital, Nawalparasi 71 14 0 276 482 0 43 49 0 174 246 0 97 106
Prithvi Bir Hospital, Kapilbastu 36 38 1 0 0 0 22 24 0 214 312 0 26 54
District Hospital, Arghakhanchi 28 0 0 110 104 0 23 29 0 60 73 0 69 73
District Hospital, Pyuthan 226 16 0 454 691 0 86 79 0 348 503 0 153 190
District Hospital, Rolpa 36 0 2 169 70 0 0 0 0 0 0 0 61 69
District Hospital, Bardiya 26 15 0 16 28 0 15 15 0 36 60 0 34 42
Rampur Hospital, Palpa 0 0 0 61 66 0 12 17 0 25 35 0 71 91
Bhim Hospital, Rupandehi 224 0 0 124 137 0 48 10 0 251 289 0 85 128
Shivraj Hospital, Bahadurganj, Kapilbastu 0 0 0 270 290 0 8 5 0 142 181 0 24 37
Pipara Hospital, Kapilbastu 0 0 0 6 23 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 189 197 0 70 89 0 146 146 0 537 829 8 231 355
Mid Western Regional Hospital, Surkhet 967 336 0 300 248 0 74 81 0 9 18 0 0 0
District Hospital, Rukum 7 1 0 25 13 0 0 0 0 3 4 0 1 4
District Hospital, Salyan 106 25 3 179 173 0 700 713 11 172 193 0 38 51
District Hospital, Dailekh 86 2 1 28 35 0 4 8 0 35 28 0 109 120
District Hospital, Jagarkot 0 0 0 109 138 0 3 1 0 9 6 0 54 48
District Hospital, Dolpa 2 3 0 45 28 0 34 20 0 42 38 0 297 118
District Hospital, Kalikot 30 3 0 289 340 0 144 153 0 182 200 0 150 203
District Hospital, Mugu 22 0 0 0 0 0 3 4 0 2 0 0 12 21
Simikot District Hospital, Humla 2 0 0 43 29 0 5 2 0 21 21 0 3 0
Mehelkuna Hospital, Surkhet 0 0 0 41 17 0 8 0 0 103 125 0 56 67
Dullu Hospital, Dailekh 0 0 0 216 208 0 0 0 0 4 5 0 54 52
Sub Regional Hospital, Dadeldhura 150 12 0 98 81 0 109 86 0 151 190 0 237 290
Seti Zonal Hospital, Kailali 1395 211 1 106 104 0 521 460 0 0 0 0 14 19
Malakheti Hospital, Kailali 0 0 0 5 8 0 0 0 0 14 4 0 3 1
District Hospital, Bajura 16 19 0 23 11 0 63 58 0 11 4 0 53 60
District Hospital, Bajhang 78 68 0 23 34 0 44 52 0 1 3 0 44 83
District Hospital, Achham 50 0 0 69 75 0 34 20 0 582 625 3 162 214
District Hospital, Doti 44 4 0 41 20 0 29 30 0 35 43 0 41 54
District Hospital, Baitadi 26 0 0 348 265 0 0 0 0 0 0 0 34 32
Minor
Major Plaster
Outpatients Inpatients Emergency
Sex Sex Sex Sex Sex
Hospital Name Post Post Post Post
Female
Female
Female
Female
Female
Operative Operative Operative Operative
Male
Male
Male
Male
Male
Infection Infection Infection Infection
District Hospital, Darchula 53 3 0 309 359 0 272 246 1 914 873 0 233 209
Tikapur Hospital, Kailali 169 26 0 388 488 0 0 0 0 0 0 0 282 275
Mahakali Zonal Hospital, Kanchanpur 8 0 0 367 499 0 25 22 0 54 110 0 157 298
Jogbuda Hospital, Dadeldhura 0 0 0 263 164 0 17 14 0 42 51 0 61 68
Gokuleshwor Hospital, Darchula 0 0 0 63 59 0 3 4 0 25 32 0 39 54
Public Hospital Total 29300 8220 144 16874 17396 0 9756 8288 32 10747 10977 30 12407 15560
Non-Public Hospital Total 46755 41622 79 16484 15965 44 21904 25933 105 7558 8894 11 14457 17572
Total 76055 49842 223 33358 33361 44 31660 34221 137 18305 19871 41 26864 33132
Public Hospital % 39 16 65 51 52 0 31 24 23 59 55 73 46 47
A55 Chlamydial
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
lymphogranuloma (venereum)
A568 Sexually transmitted
chlamydial infection of other 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
sites
A57 Chancroid 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
A58 Granuloma inguinale 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
A630 Anogenital (venereal)
0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
warts
A64 Unspecified sexually
0 0 0 0 0 0 0 0 11 0 57 0 5 0 1 0 0 0 0 0 74 0 74 0 0
transmitted disease
A68 Relapsing fevers 0 0 0 0 0 0 0 0 3 6 5 11 3 5 1 1 6 1 9 7 27 31 58 0 0
A689 Relapsing fever,
0 0 0 0 0 2 0 8 5 6 11 8 8 8 12 9 5 3 6 16 47 60 107 0 0
unspecified
A69 Other spirochaetal
0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 4 4 5 9 0 0
infections
A690 Necrotizing ulcerative
0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 2 0 0
stomatitis
A70 Chlamydia psittaci
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
infection
<=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female
A71 Trachoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
A75 Typhus fever 0 0 1 0 2 1 6 3 9 4 27 8 14 3 11 2 2 7 1 3 73 31 104 1 1
A753 Typhus fever due to
0 0 0 1 1 5 7 13 1 0 2 0 2 0 2 0 1 0 0 1 16 20 36 0 1
Rickettsia tsutsugamushi
A759 Typhus fever, unspecified 0 0 0 0 0 0 0 1 2 0 0 2 3 1 1 1 2 2 0 2 8 9 17 0 0
A791 Rickettsialpox due to
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Rickettsia akari
A799 Rickettsiosis, unspecified 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
A811 Subacute sclerosing
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
panencephalitis
A82 Rabies 0 0 0 0 0 0 0 3 0 0 2 0 0 1 0 2 1 2 0 1 3 9 12 0 0
A829 Rabies, unspecified 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 3 3 0 0
A858 Other specified viral
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
encephalitis
A86 Unspecified viral
0 1 0 2 4 8 22 19 3 4 9 5 7 4 8 1 6 2 6 14 65 60 125 3 6
encephalitis
A87 Viral meningitis 0 0 0 1 0 0 2 0 0 1 1 0 0 0 1 0 1 1 0 0 5 3 8 0 0
A879 Viral meningitis,
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
unspecified
A880 Enteroviral
exanthematous fever [Boston 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
exanthem]
A90 Dengue fever [classical
0 0 0 0 3 5 13 15 27 38 46 57 23 60 45 32 15 23 14 10 186 240 426 0 0
dengue]
A91 Dengue haemorrhagic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
fever
A92 Other mosquito-borne viral
0 0 0 4 0 6 5 3 1 1 2 0 1 2 1 0 1 1 1 1 12 18 30 0 0
fevers
A920 Chikungunya virus disease 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
B77 Ascariasis 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
B779 Ascariasis, unspecified 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
B789 Strongyloidiasis,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
B82 Unspecified intestinal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
parasitism
B820 Intestinal helminthiasis,
0 0 0 0 0 2 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0
unspecified
B829 Intestinal parasitism,
1 0 0 0 0 3 7 11 6 13 6 11 1 3 1 1 0 0 0 0 22 42 64 0 0
unspecified
B839 Helminthiasis, unspecified 0 0 0 0 2 3 1 2 0 1 3 1 3 0 0 0 1 0 0 2 10 9 19 0 0
B86 Scabies 0 1 3 9 5 8 8 18 3 3 0 2 4 1 1 1 1 1 1 2 26 46 72 1 0
B870 Cutaneous myiasis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
B871 Wound myiasis 0 0 0 0 1 2 2 3 1 1 6 4 3 2 1 2 0 1 1 2 15 17 32 0 0
B879 Myiasis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
B889 Infestation, unspecified 0 0 0 0 0 0 3 6 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0
C859 Non-Hodgkin's
0 0 0 0 0 1 1 2 1 6 5 7 8 4 12 5 8 6 9 9 44 40 84 2 1
lymphoma, unspecified type
C889 Malignant
immunoproliferative disease, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
unspecified
C90 Multiple myeloma and
malignant plasma cell 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
neoplasms
C900 Multiple myeloma 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 1 4 5 1 6 9 15 0 2
C91 Lymphoid leukaemia 0 0 0 0 0 0 1 0 1 6 0 2 0 0 0 0 0 1 0 0 2 9 11 0 0
C910 Acute lymphoblastic
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2 0 0
leukaemia
C919 Lymphoid leukaemia,
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0
unspecified
C92 Myeloid leukaemia 0 0 0 0 0 0 5 1 0 2 0 1 1 3 1 0 0 0 1 0 8 7 15 0 1
C920 Acute myeloid leukaemia 0 0 0 0 0 0 1 2 0 5 5 3 2 2 3 0 2 1 2 2 15 15 30 3 2
C921 Chronic myeloid
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
leukaemia
C929 Myeloid leukaemia,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
C940 Acute erythraemia and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
erythroleukaemia
C943 Mast cell leukaemia 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
C95 Leukaemia of unspecified
0 0 2 2 8 14 5 11 0 1 3 18 2 3 0 0 1 0 1 1 22 50 72 2 1
cell type
C950 Acute leukaemia of
0 0 0 1 9 8 5 18 0 0 0 1 0 1 0 0 1 0 0 0 15 29 44 1 0
unspecified cell type
C959 Leukaemia, unspecified 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 2 1 3 4 0 1
D00 Carcinoma in situ of oral
cavity, oesophagus and 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 1 1 0 0 3 1 7 8 0 0
stomach
D001 Oesophagus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
D002 Stomach 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 3 0 9 0 1 3 13 16 0 0
D01 Carcinoma in situ of other
and unspecified digestive 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
organs
D010 Colon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 2 0 0
D011 Rectosigmoid junction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 1 0 5 0 5 0 0
D012 Rectum 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 2 0 0 3 2 5 0 0
D02 Carcinoma in situ of middle
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 2 3 0 0
ear and respiratory system
D024 Respiratory system,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0
unspecified
D039 Melanoma in situ,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
D04 Carcinoma in situ of skin 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 2 0 0
<=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female
E113 Non-insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
ophthalmic complications
E114 Non-insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 2 3 0 0
neurological complications
E116 Non-insulin-dependent
diabetes mellitus with other 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 2 1 0 1 3 3 7 10 0 0
specified complications
E118 Non-insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified complications
E119 Non-insulin-dependent
diabetes mellitus without 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 2 2 4 0 0
complications
E13 Other specified diabetes
0 0 0 0 0 0 0 1 1 0 5 3 10 17 12 24 20 42 46 35 94 122 216 1 2
mellitus
E130 Other specified diabetes
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
mellitus with coma
E160 Drug-induced
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 0 2 0 0
hypoglycaemia without coma
E161 Other hypoglycaemia 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 3 0 7 7 0 0
E162 Hypoglycaemia,
5 4 1 0 0 2 0 1 1 1 2 0 0 1 2 5 7 4 10 20 28 38 66 2 2
unspecified
E213 Hyperparathyroidism,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
unspecified
E230 Hypopituitarism 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 2 1 3 0 0
E232 Diabetes insipidus 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 2 0 1
E236 Other disorders of
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 3 3 0 0
pituitary gland
E237 Disorder of pituitary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
gland, unspecified
E24 Cushing's syndrome 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
E242 Drug-induced Cushing's
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 2 0 0
syndrome
E244 Alcohol-induced pseudo-
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
Cushing's syndrome
H131 Conjunctivitis in
infectious and parasitic diseases 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
classified elsewhere
I615 Intracerebral
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 2 3 5 0 0
haemorrhage, intraventricular
I618 Other intracerebral
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 2 2 3 5 8 1 0
haemorrhage
I619 Intracerebral
0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 3 0 3 3 5 4 13 17 0 3
haemorrhage, unspecified
I62 Other nontraumatic
0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 7 1 1 0 1 4 9 13 0 1
intracranial haemorrhage
I620 Subdural haemorrhage
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 2 6 2 9 11 0 2
(acute)(nontraumatic)
K226 Gastro-oesophageal
laceration-haemorrhage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 2 0 0
syndrome
K228 Other specified diseases
0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 0 0
of oesophagus
K23 Disorders of oesophagus in
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 2 0 0
diseases classified elsewhere
K70 Alcoholic liver disease 0 0 0 0 0 0 1 0 7 2 22 37 51 77 55 142 57 104 50 128 243 490 733 5 25
K700 Alcoholic fatty liver 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 4 1 1 1 4 3 11 14 0 0
K701 Alcoholic hepatitis 0 0 0 0 0 0 0 1 1 0 4 11 8 19 3 23 3 7 4 6 23 67 90 0 1
K702 Alcoholic fibrosis and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0
sclerosis of liver
K703 Alcoholic cirrhosis of liver 0 0 0 0 0 0 1 0 1 1 2 6 5 22 7 43 9 28 14 31 39 131 170 2 5
M33 Dermatopolymyositis 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
M463 Infection of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
intervertebral disc (pyogenic)
M464 Discitis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 2 3 0 0
M469 Inflammatory
0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 2 3 0 0
spondylopathy, unspecified
M47 Spondylosis 0 0 0 0 0 0 0 0 0 0 0 1 1 0 6 3 1 0 3 2 11 6 17 0 0
M472 Other spondylosis with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
radiculopathy
M478 Other spondylosis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 6 4 7 5 12 0 0
M479 Spondylosis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 3 1 4 0 1
M724 Pseudosarcomatous
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 1 3 4 0 1
fibromatosis
M726 Necrotizing fasciitis 0 0 0 0 0 0 0 0 0 2 1 1 3 4 1 1 0 5 4 3 9 16 25 1 0
M729 Fibroblastic disorder,
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 2 0 0 1 4 5 0 1
unspecified
M73 Soft tissue disorders in
0 0 0 0 0 0 0 0 0 0 3 1 5 0 3 2 0 0 0 0 11 3 14 0 0
diseases classified elsewhere
M75 Shoulder lesions 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 0 2 0 0
M750 Adhesive capsulitis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 1 2 3 0 0
shoulder
M751 Rotator cuff syndrome 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 2 0 0
M753 Calcific tendinitis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
shoulder
M754 Impingement syndrome
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
of shoulder
M755 Bursitis of shoulder 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 3 1 4 0 0
M759 Shoulder lesion,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
M760 Gluteal tendinitis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
M761 Psoas tendinitis 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 2 0 0
M764 Tibial collateral bursitis
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 2 0 0
[Pellegrini-Stieda]
M765 Patellar tendinitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 0
M766 Achilles tendinitis 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
M768 Other enthesopathies of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 2 0 0
lower limb, excluding foot
M771 Lateral epicondylitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
M773 Calcaneal spur 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
M79 Other soft tissue
0 0 0 0 0 0 2 8 2 6 2 5 5 8 7 6 3 3 4 9 25 45 70 2 4
disorders, NEC
M791 Myalgia 0 0 0 0 0 0 3 1 2 3 2 3 2 0 1 0 3 1 1 3 14 11 25 0 0
M792 Neuralgia and neuritis,
0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 1 0 5 1 8 9 0 0
unspecified
M793 Panniculitis, unspecified 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 3 0 3 0 0
M796 Pain in limb 0 0 0 0 1 0 1 2 1 1 4 1 4 1 4 2 2 1 0 6 17 14 31 0 0
M798 Other specified soft
0 0 0 0 0 0 1 0 0 0 1 2 0 3 0 1 1 2 3 1 6 9 15 0 0
tissue disorders
M799 Soft tissue disorder,
0 0 0 0 1 2 2 5 0 7 16 12 9 11 9 12 13 5 4 5 54 59 113 0 0
unspecified
M80 Osteoporosis with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
pathological fracture
M800 Postmenopausal
osteoporosis with pathological 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 3 0 0
fracture
M803 Postsurgical
malabsorption osteoporosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
with pathological fracture
N839 Noninflammatory
disorder of ovary, fallopian
0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 3 0 3 0 0
tube and broad ligament,
unspecified
N84 Polyp of female genital
0 0 0 0 0 0 0 0 0 0 0 0 7 0 1 0 2 0 1 0 11 0 11 0 0
tract
N840 Polyp of corpus uteri 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 0 1 0 1 0 8 0 8 0 0
N841 Polyp of cervix uteri 0 0 0 0 0 0 0 0 1 0 13 0 28 0 75 0 34 0 7 0 158 0 158 0 0
N842 Polyp of vagina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
N85 Other noninflammatory
disorders of uterus, except 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 2 0 7 0 7 0 0
cervix
N850 Endometrial glandular
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 0
hyperplasia
N851 Endometrial
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
adenomatous hyperplasia
N852 Hypertrophy of uterus 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 3 0 0 0 6 0 6 0 0
NEPAL
Administrative Division
CHINA
KATHMANDU VALLEY
INDIA
HUMLA
30°0'0"N
30°0'0"N
KATHMANDU
DARCHULA
P UR
KTA
BAJHANG BHA
MUGU
BAITADI BAJURA
DADELDHURA
JUMLA
DOTI ACHHAM KALIKOT DOLPA LALITPUR
MUSTANG
KANCHANPUR DAILEKH
JAJARKOT CHINA
KAILALI
RUKUM_W RUKUM_E
MANANG
SURKHET MYAGDI
KASKI
28°20'0"N
SALYAN GORKHA
28°20'0"N
BARDIYA
ROLPA
BAGLUNG PARBAT LAMJUNG
RASUWA
INDIA
BANKE PYUTHAN
GULMI CHINA
SYANGJA
DANG TANAHU NUWAKOT
ARGHAKHANCHI SINDHUPALCHOK DOLAKHA
PALPA DHADING SANKHUWASABHA
KAPILBASTU
NAWALPARASI_E KABHREPALANCHOK
RUPANDEHI
CHITAWAN TAPLEJUNG
Legend NAWALPARASI_W MAKAWANPUR
RAMECHHAP SOLUKHUMBU
INDIA
PARSA SINDHULI
International Province - 1 TERHATHUM
RAUTAHAT KHOTANG
PANCHTHAR
Provincial Province - 2 INDIA BARA
SARLAHI DHANUSHA DHANKUTA ILAM
District Province - 3
MAHOTTARI UDAYAPUR
Province - 4 SIRAHA
26°40'0"N
26°40'0"N
SUNSARI
Province - 5 SAPTARI JHAPA
MORANG
Karnali
0 50 100 KM
Provice - 7 INDIA
Spatial Data Source: Department of Survey, Minbhavan Map Produced by: HMIS Section, Department of Health Services, Teku,
81°40'0"E 83°20'0"E 85°0'0"E 86°40'0"E