Achieving Millennium Development Goals 4 and 5 in Nepal
1Paropakar Maternity and Women's Hospital, Thapathali, Nepal. dibyanm@healthnet.org.np
BJOG : an International Journal of Obstetrics and Gynaecology
|September 29, 2011
Summary
Nepal is significantly reducing child and maternal mortality rates, nearing targets set for 2015. Initiatives like free healthcare and safe delivery incentives are key to this progress in child survival and maternal health.
Area of Science:
- Public Health
- Global Health
- Maternal and Child Health
Background:
- Nepal faced high under-5 child mortality (158/1000 live births in 1991) and maternal mortality (539/100,000 live births in 1991).
- Millennium Development Goals 4 (child mortality) and 5 (maternal health) provided targets for improvement.
Purpose of the Study:
- To assess progress towards achieving the Millennium Development Goals for maternal and child health in Nepal.
- To highlight key strategies contributing to reduced mortality rates.
Main Methods:
- Analysis of national health statistics on under-5 and maternal mortality rates.
- Review of health policies and programs implemented between 1991 and 2015, including the 3-year interim plan (2008-2011).
- Focus on primary healthcare approach, essential obstetric care, and trained delivery personnel.
Main Results:
- Under-5 child mortality rate on track to reach the target of 54/1000 live births by 2015 (down from 158 in 1991).
- Maternal mortality rate projected to meet the target of 134/100,000 live births by 2015 (down from 539 in 1991).
- The safe delivery incentive programme and free basic healthcare initiatives showed positive impact.
Conclusions:
- Nepal's health strategies are effectively reducing maternal and child mortality.
- A primary healthcare approach, targeted policies for vulnerable populations, and improved obstetric care are crucial for achieving health targets.
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