Child health has been recognized as fundamental right of every child since long time. Child mortality is regarded as an import indicator of the health status of a community, effectiveness of the services and level of living of people. Substantial progress has been made towards achieving MDG target related to child health but still, significant numbers of children are dying every day due to preventable causes such as improper or harmful practices, infection, vaccine preventable diseases and malnutrition; mostly in developing countries and in rural setting due to unavailability and/or poor quality child health services. Due to lack of awareness and other socio-cultural factors, available health services are not also utilized properly. The objective of this paper was to review relevant literatures to describe the gaps regarding child health policy, program and services delivered in Nepal. This paper built on review of relevant literatures published in between 1990 and 2017. Very few published studies reporting child health policy, program and gaps in Nepal were found. The study included policy, program, strategy, guidelines, annual reports published by government of Nepal, National and International Organizations. The review revealed that child health has been on topmost priority in Nepal since 1990 and it has been getting priority agenda in several policy papers. Progressive improvement in child health has been observed in between 1990 and 2017.During the period, Neonatal Mortality, Infant Mortality and child Mortality have been reduced by 58, 59 and 67 percent respectively and are on the track according to MDG target but achieving the further national and international policy targets (SDG) within the specified timeframe are still challenging especially neonatal health related targets. More efforts are needed to sustain the current achievement and make further progress on child health.
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Neonatal mortality is a major challenge in reducing child mortality rates in Nepal. Despite efforts by the Government of Nepal, data from the last three demographic and health surveys show a rise in the contribution of neonatal deaths to infant and child mortality. The Government of Nepal has implemented community-based programs that were piloted and then scaled up based on lessons learned. These programs include, but are not limited to ensuring safe motherhood, birth preparedness package, community based newborn care package, and integrated management of childhood illnesses. Despite the implementation of such programs on a larger scale, their effective coverage is yet to be achieved. Health system challenges included an inadequate policy environment , funding gaps, inadequate procurement, and insufficient supplies of commodities, while human resource management has been found to be impeding service delivery. Such bottlenecks at policy, institutional and service delivery level need to be addressed incorporating health information in decision-making as well as working in partnership with communities to facilitate the utilization of available services.
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East-West Working Paper Series
The 1996 Nepal Family Health Survey (NFHS), part of the World Demographic and Health Surveys, collected information on fertility, family planning, and maternal and child health from 8,429 ever-married women aged 1549. The data were collected during the months of .
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BMC Public Health
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Journal of Tropical Pediatrics
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Safe motherhood has been recognized as a right of every woman since long ago. But still, every day significant numbers of women are dying due to preventable causes related to pregnancy and childbirth; mostly in developing countries and in rural setting due to unavailability and/or poor quality maternal health services. Available health services are not also utilized properly due to lack of awareness and other socio-cultural factors. The objective of this paper was to review relevant literatures to describe the gap regarding policy prospective and maternal health service provision in Nepal. This paper built on a review of relevant literatures published in between 1990 and 2017. The review revealed that Nepal has provided topmost priority on maternal health since 1990 and it has been getting priority agenda in several policy papers. Progressive improvement in maternal health has been observed in between 1990 and 2017, but achieving national and international policy targets within the specified time frame are still challenging. It is needed to maximize efforts to sustain the current achievement and make further progress on maternal health.
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