Beruflich Dokumente
Kultur Dokumente
Key Findings
January, 2015
Government of Nepal
National Planning Commission Secretariat
Central Bureau of Statistics
TABLE OF CONTENTS
The global MICS programme was developed by UNICEF in the 1990s as an international household survey
programme to collect internationally comparable data on a wide range of indicators on the situation of
children and women. MICS surveys measure key indicators that allow countries to generate data for use in
policies and programmes, and to monitor progress towards the Millennium Development Goals (MDGs) and
other internationally agreed upon commitments.
The objective of this report is to facilitate the timely dissemination and use of results from the Nepal MICS
prior to the release of full tables and the final survey report that will contain detailed information on all survey
findings by various demographic, social, economic and cultural characteristics. The final survey report is
expected to be released in the second quarter of 2015.
Results presented in this report are not expected to change and are considered final. For more information on
indicators and the analysis conducted in the full final report please go to mics.unicef.org and childinfo.org.
Suggested citation:
Central Bureau of Statistics. 2014. Nepal Multiple Indicator Cluster Survey 2014, Key Findings. Kathmandu,
Nepal: Central Bureau of Statistics and UNICEF Nepal.
Nepal MICS 2014
Survey population
Average household size 4.6 Percentage of population living in
- Urban areas 17.2
Percentage of population under:
- Rural areas 82.8
- Age 5 10.1
- Age 18 40.2
Percentage of women age 15-49 years
with at least one live birth in the last 2
years 14.5
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Nepal MICS 2014
CHILD MORTALITY
Early childhood mortality
MICS
Indicator Description ValueA
Indicator
1.1 Neonatal mortality rate Probability of dying within the first month of life 23
1.2 MDG 4.2 Infant mortality rate Probability of dying between birth and the first birthday 33
1.3 Post-neonatal mortality Difference between infant and neonatal mortality rates 11
rate
1.4 Child mortality rate Probability of dying between the first and the fifth 5
birthdays
1.5 MDG 4.1 Under-five mortality rate Probability of dying between birth and the fifth birthday 38
A
Indicator values are per 1,000 live births and refer to the five-year period before the survey
F i gu re 1 : E a rl y c h i l d h o od m o r t al i t y r a te s ,
N e p al M I C S , 2 0 14
56
17
15
13
11
6 5
Neonatal mortality rate Post-neonatal mortality Infant mortality rate Child mortality rate Under-five mortality rate
rate
Note: Indicator values are per 1,000 live births
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Nepal MICS 2014
NUTRITION
Nutritional statusi
MICS
Indicator Description Value
Indicator
2.1a MDG 1.8 Underweight prevalence Percentage of children under age 5 who fall below
2.1b (a) Moderate and severe (a) minus two standard deviations (moderate and severe) 30.1
(b) Severe (b) minus three standard deviations (severe) 8.6
of the median weight for age of the WHO standard
2.2a Stunting prevalence Percentage of children under age 5 who fall below
2.2b (a) Moderate and severe (a) minus two standard deviations (moderate and severe) 37.4
(b) Severe (b) minus three standard deviations (severe) 15.8
of the median height for age of the WHO standard
2.3a Wasting prevalence Percentage of children under age 5 who fall below
2.3b (a) Moderate and severe (a) minus two standard deviations (moderate and severe) 11.3
(b) Severe (b) minus three standard deviations (severe) 3.2
of the median weight for height of the WHO standard
2.4 Overweight prevalence Percentage of children under age 5 who are above two 2.1
standard deviations of the median weight for height of the
WHO standard
F i gu re 2 : U n d e rw e i gh t, s tu n t e d , w as t e d an d o v e rw e i gh t
c h i l d re n u n d e r ag e 5 ( m od e ra t e a n d s e v e re ) ,
N e p al M I C S , 2 0 14
60
50
Stunted
40
Per cent
Underweight
30
20
Wasted
10
Overweight
0
0 12 24 36 48 60
Age in months
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Nepal MICS 2014
Salt iodization
MICS
Indicator Description Value
Indicator
2.19 Iodized salt consumption Percentage of households with salt testing 15 parts per 81.5
million or more of iodide
Low-birthweight
MICS
Indicator Description Value
Indicator
2.20 Low-birthweight infants Percentage of most recent live births in the last 2 years 24.2
weighing below 2,500 grams at birth
2.21 Infants weighed at birth Percentage of most recent live births in the last 2 years 60.0
who were weighed at birth
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Nepal MICS 2014
CHILD HEALTH
Vaccinations
MICS
Indicator Description Value
Indicator
3.1 Tuberculosis Percentage of children age 12-23 months who received 95.7
immunization coverage BCG vaccine by their first birthday
3.2 Polio immunization Percentage of children age 12-23 months who received the 91.8
coverage third dose of OPV vaccine (OPV3) by their first birthday
3.3 Diphtheria, pertussis and Percentage of children age 12-23 months who received the 88.3
tetanus (DPT) third dose of DPT vaccine (DPT3) by their first birthday
immunization coverage
3.4 MDG 4.3 Measles immunization Percentage of children age 12-23 months who received 92.6
coverage measles vaccine by their first birthday
3.5 Hepatitis B immunization Percentage of children age 12-23 months who received the 88.3
coverage third dose of Hepatitis B vaccine (HepB3) by their first
birthday
3.6 Haemophilus influenzae Percentage of children age 12-23 months who received the 88.3
type B (Hib) third dose of Hib vaccine (Hib3) by their first birthday
immunization coverage
3.8 Full immunization Percentage of children age 12-23 months who received 84.5
coverage allvii vaccinations recommended in the national
immunization schedule by their first birthday
F i gu re 3 : V ac c i n at i o n s b y a ge 1 2 m on th s , N e p al M I C S , 2 0 1 4
Children Age 12-23 months
BCG 96
Polio1 96
Polio2 95
Polio3 92
DPT1 95
DPT2 93
DPT3 88
Measles 93
HepB1 95
HepB2 93
HepB3 88
Hib1 95
Hib2 93
Hib3 88
Fully vaccinated 85
No vaccinations 3
Per cent
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Nepal MICS 2014
Tetanus toxoid
MICS
Indicator Description Value
Indicator
3.9 Neonatal tetanus Percentage of women age 15-49 years with a live birth in 77.3
protection the last 2 years who were given at least two doses of
tetanus toxoid vaccine within the appropriate interval prior
to the most recent birth
Diarrhoea
MICS
Indicator Description Value
Indicator
- Children with diarrhoea Percentage of children under age 5 with diarrhoea in the 12.0
last 2 weeks
3.10 Care-seeking for Percentage of children under age 5 with diarrhoea in the 47.2
diarrhoea last 2 weeks for whom advice or treatment was sought
from a health facility or provider
3.11 Diarrhoea treatment with Percentage of children under age 5 with diarrhoea in the 18.2
oral rehydration salts last 2 weeks who received ORS and zinc
(ORS) and zinc
3.12 Diarrhoea treatment with Percentage of children under age 5 with diarrhoea in the 45.9
oral rehydration therapy last 2 weeks who received ORT (ORS packet, pre-packaged
(ORT) and continued ORS fluid, recommended homemade fluid or increased
feeding fluids) and continued feeding during the episode of
diarrhoea
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Nepal MICS 2014
Fever
MICS
Indicator Description Value
Indicator
- Children with fever Percentage of children under age 5 with fever in the last 20.1
2 weeks
3.20 Care-seeking for fever Percentage of children under age 5 with fever in the last 46.1
2 weeks for whom advice or treatment was sought from
a health facility or provider
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Nepal MICS 2014
4.4 Safe disposal of childs Percentage of children age 0-2 years whose last stools 48.0
faeces were disposed of safely
4.5 Place for hand washing Percentage of households with a specific place for hand 72.5
washing where water and soap or other cleansing agent
are present
4.6 Availability of soap or Percentage of households with soap or other cleansing 94.9
other cleansing agent agent
4.C1 E.coli concentration in Percentage of household members with E. coli risk level in 82.2
household drinking water household water 1 cfu/100ml
4.C2 E.coli concentration in Percentage of households with E. coli risk level in source 71.1
source water water 1 cfu/100ml
F i gu re 4 : U s e of i m p ro v e d w a t e r a n d s an i t ati on i n u rb an an d
r u r al a r e as , N e p al M IC S , 2 0 1 4
Per cent
93 96 93
Total
Urban 60 63
60
Rural
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Nepal MICS 2014
REPRODUCTIVE HEALTH
Contraception and unmet need
MICS Indicator Indicator Description Value
- Total fertility rate Total fertility rateA for women age 15-49 years 2.3
5.1 MDG 5.4 Adolescent birth rate Age-specific fertility rateA for women age 15-19 years 71
5.2 Early childbearing Percentage of women age 20-24 years who had at least 16.0
one live birth before age 18
5.3 MDG 5.3 Contraceptive Percentage of women age 15-49 years currently married or 49.6
prevalence rate in union who are using (or whose partner is using) a
(modern or traditional) contraceptive method
5.4 MDG 5.6 Unmet need Percentage of women age 15-49 years who are currently 25.2
married or in union who are fecund and want to space
their births or limit the number of children they have and
who are not currently using contraception
A The age-specific fertility rate is defined as the number of live births to women in a specific age group during a specified period,
divided by the average number of women in that age group during the same period, expressed per 1,000 women. The age-specific
fertility rate for women age 15-19 years is also termed as the adolescent birth rate.
The total fertility rate (TFR) is calculated by summing the age-specific fertility rates calculated for each of the 5-year age groups of
women, from age 15 through to age 49. The TFR denotes the average number of children to which a woman will have given birth by
the end of her reproductive years (by age 50) if current fertility rates prevailed.
F i gu re 5 : U s e of c o n t r ac ep ti o n , N e p a l M I CS , 2 0 14 .
Traditional
Modern methods methods
No method
0 10 20 30 40 50 60 70 80 90 100
Per cent
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Nepal MICS 2014
F i gu re 6 : P l a c e of d e l i v e ry an d p os t- n a t al h e al th c h e c k s ,
N e p al M I C S , 2 0 14
91 91
Per cent
55
43
17 18
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Nepal MICS 2014
CHILD DEVELOPMENT
Child development
MICS
Indicator Description Value
Indicator
6.1 Attendance to early Percentage of children age 36-59 months who are 50.7
childhood education attending an early childhood education programme
6.2 Support for learning Percentage of children age 36-59 months with whom an 67.2
adult has engaged in four or more activities to promote
learning and school readiness in the last 3 days
6.3 Fathers support for Percentage of children age 36-59 months whose biological 10.1
learning father has engaged in four or more activities to promote
learning and school readiness in the last 3 days
6.4 Mothers support for Percentage of children age 36-59 months whose biological 30.4
learning mother has engaged in four or more activities to promote
learning and school readiness in the last 3 days
6.5 Availability of childrens Percentage of children under age 5 who have three or 4.8
books more childrens books
6.6 Availability of playthings Percentage of children under age 5 who play with two or 59.2
more types of playthings
6.7 Inadequate care Percentage of children under age 5 left alone or in the care 20.6
of another child younger than 10 years of age for more
than one hour at least once in the last week
6.8 Early child development Percentage of children age 36-59 months who are 64.4
index developmentally on track in at least three of the following
four domains: literacy-numeracy, physical, social-
emotional, and learning
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Nepal MICS 2014
F i gu re 7 : E d u c a t i o n i n d i c a to rs b y s e x , Ne p al M IC S, 2 0 1 4
School
readiness
75 73
Net intake Primary Transition
rate in school rate to
primary completion secondary
education rate school
59 55 105 95 97 98
Attendance
to early
Primary school attendance Secondary school attendance
childhood
education
52 49 86 85 65 67
Children reaching last grade of primary
99 99 Boys Girls
Note: All indicator values are in per cent
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Nepal MICS 2014
CHILD PROTECTION
Birth registration
MICS
Indicator Description Value
Indicator
8.1 Birth registration Percentage of children under age 5 whose births are 58.1
reported registered
Child labour
MICS
Indicator Description Value
Indicator
8.2 Child labour Percentage of children age 5-17 years who are involved in 37.4
child labourix
Child discipline
MICS
Indicator Description Value
Indicator
8.3 Violent discipline Percentage of children age 1-14 years who experienced 81.7
psychological aggression or physical punishment during the
last one month
F i gu re 7 : C h i l d d i s c i p l i n i n g m e th od s , c h i l d re n a ge 1 - 1 4 y e a rs ,
N e p al M I C S , 2 0 14
Other SEVERE
Physical punishment Per cent
39 14
Psychological aggression 78
Only non-violent
13
discipline
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Nepal MICS 2014
8.5 Marriage before age 18 Percentage of women age 20-49 years who were first
married or in union before age 18 48.5
8.6 Young people age 15-19 Percentage of women people age 15-19 years who are
years currently married or married or in union 24.5
in union
8.8a Spousal age difference Percentage of young women who are married or in union
8.8b and whose spouse is 10 or more years older,
(a) among women age 15-19 years, 6.3
(b) among women age 20-24 years 7.5
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Nepal MICS 2014
HIV/AIDS
HIV/AIDS knowledge and attitudes
MICS
Indicator Description Value
Indicator
- Have heard of AIDS Percentage of women age 15-49 years who have heard of
AIDS 78.4
9.1 MDG 6.3 Knowledge about HIV Percentage of young women age 15-24 years who correctly
prevention among young identify ways of preventing the sexual transmission of HIVx,
people and who reject major misconceptions about HIV
transmissionxi 36.4
9.2 Knowledge of mother-to- Percentage of women age 15-49 years who correctly
child transmission of HIV identify all three meansxii of mother-to-child transmission
of HIV 38.4
HIV testing
MICS
Indicator Description Value
Indicator
9.4 People who know Percentage of women age 15-49 years who state knowledge
where to be tested for of a place to be tested for HIV 57.9
HIV
9.7 HIV counselling during Percentage of women age 15-49 years who had a live birth in 14.1
antenatal care the last 2 years and received antenatal care during the
pregnancy of their most recent birth, reporting that they
received counselling on HIV during antenatal care
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Nepal MICS 2014
10.3 Use of internet Percentage of young women age 15-24 years who used the
internet during the last 12 months 19.6
SUBJECTIVE WELL-BEING
Subjective well-being
MICS
Indicator Description Value
Indicator
11.1 Life satisfaction Percentage of young women age 15-24 years who are very
or somewhat satisfied with their life, overall 80.8
11.2 Happiness Percentage of young women age 15-24 years who are very
or somewhat happy 82.3
11.3 Perception of a better life Percentage of young women age 15-24 years whose life
improved during the last one year, and who expect that
their life will be better after one year 57.0
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Nepal MICS 2014
12.2 Smoking before age 15 Percentage of women age 15-49 years who smoked a
whole cigarette before age 15 3.9
Alcohol use
MICS
Indicator Description Value
Indicator
12.3 Use of alcohol Percentage of women age 15-49 years who had at least
one alcoholic drink at any time during the last one month 9.5
12.4 Use of alcohol before age Percentage of women age 15-49 years who had at least
15 one alcoholic drink before age 15 6.8
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Nepal MICS 2014
NOTES
i Weightand height/length measurements were successfully completed for 97.6 and 96.6 per cent of children under age 5,
respectively
ii Infants receiving breast milk, and not receiving any other fluids or foods, with the exception of oral rehydration solution,
9-23 months; Non-breastfeeding children: Solid, semi-solid, or soft foods, or milk feeds, four times for children age 6-23
months
viThe indicator is based on consumption of any amount of food from at least 4 out of the 7 following food groups: 1)
grains, roots and tubers, 2) legumes and nuts, 3) dairy products (milk, yogurt, cheese), 4) flesh foods (meat, fish, poultry
and liver/organ meats), 5) eggs, 6) vitamin-A rich fruits and vegetables, and 7) other fruits and vegetables
vii Full vaccination includes the following: BCG, Polio3, Pentavalent3 (DPT3, HepB3, Hib3) and Measles before age 1 in the
thresholds, children involved in household chores at or above the age-specific thresholds, and children involved in
hazardous work
x Using condoms and limiting sex to one faithful, uninfected partner
xi The two most common misconceptions about HIV transmission are included in the indicator calculation: i) mosquito bites
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