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Table 7 Change in under-5 and neonatal mortality and health system evidence-based interventions to lower amenable under-5 mortality, in overall rate and by subpopulation, between 2001 and 2016 in Nepal.

From: Integrated Management of Childhood Illness implementation in Nepal: understanding strategies, context, and outcomes

 

Year

National

Rural

Urban

Equity gap (absolute difference)

Lowest wealth quintile

Highest wealth quintile

Equity gap (absolute difference)

U5M (per 1000 population)

2001

91

112

66

46

155

82

73

2016

39

44

34

10

74

35

39

NMR (per 1000 population)

2001

39

49

37

12

57

48

9

2016

21

26

16

10

36

19

17

U5 death from respiratory infections

2001

14,577

N/A

N/A

N/A

N/A

N/A

N/A

2016

4,644

N/A

N/A

N/A

N/A

N/A

N/A

U5 death from diarrheal disease

2001

6,408

N/A

N/A

N/A

N/A

N/A

N/A

2016

1,005

N/A

N/A

N/A

N/A

N/A

N/A

Children U5 with symptoms of ARI 2 weeks preceding survey (%)

2001

23

23

24

1

N/A

N/A

N/A

2016

2

3

2

1

3

1

2

Care-seeking for ARIs (%)*

2001

24

23

33

10

19

33

14

2016

85

81

90

9

N/A

N/A

N/A

Children U5 with diarrhea 2 weeks preceding survey (%)

2001

20

21

17

4

N/A

N/A

N/A

2016

8

7

8

1

6

7

1

Oral rehydration therapy (either ORS or increased fluids) (%)

2001

46.5

46

63

17

38

58

20

2016

53

48

58

10

55

74

19

Care-seeking for diarrhea (%)

2001

21

21

23

2

15

22

7

2016

64

70

60

10

55

59

4

Children U5 with fever 2 weeks preceding survey (%)

2001

32

32

27

5

N/A

N/A

N/A

2016

21

19

23

4

18

22

4

Care-seeking for fever (%)*

2001

24

23

33

10

19

33

14

2016

80

76

82.5

6.5

59

84

25

  1. Source: Nepal Demographic and Health Surveys 2001 and 2016, Countdown to 2030, and Institute for Health Metrics and Evaluation [6, 18, 27, 62].
  2. ARI Acute respiratory infection, NMR Neonatal mortality rate, ORS Oral rehydration solution, U5 Under 5, U5M under-5 mortality.
  3. *in the 2001 DHS, the rates for care-seeking for ARIs and fever were combined but separated in the 2016 DHS.
  4. N/A: data not disaggregated by category.