Nepal Multiple Indicator Cluster Survey, NMICS 2014 g]kfn ax';"rs ;j]{If0f — @)&)÷&! Nepal Multiple Indicator Cluster Survey, NMICS 2014 Key Findings Dissemination Program 14 January, 2015 Government of Nepal National Planning Commission Secretariat Central Bureau of Statistics  

Outline of the presentation About the MICS Sampling design and sampling distribution NMICS 2014: Questionnaires Fieldwork and data processing Key findings 2

MULTIPLE INDICATOR CLUSTER SURVEY (MICS) An internationally agreed household survey: UNICEF One of the world's largest sources of statistical information on children and women MICS1 : 1995 MICS2: 2000 MICS3: 2005 MICS4: 2010 MICS5: 2014 (> 47 countries) Information on > 18 MDG Indicators (Nepal) 3

SAMPLING DESIGN Design : Two stage cluster sampling [PSU  Ward SSU Household] Sampling frame National Population and Housing Census 2011 Complete listing of household in all selected PSUs Sample Selection Selection of wards (based on PPS) as PSUs Systematic selection of 25 households/PSU Sample size: Total 520 clusters X 25 Household =13000 4

SAMPLING DISTRIBUTION Development region Sub region/ Domain No. of Cluster No . of Households Urban Rural Total Eastern Mountain 4 28 32 100 700 800 Hill 6 26 150 650 Tarai 12 40 300 1000 Central 4+32= 36 64 900 1600 10 30 250 750 Western 16 400 8 24 200 600 Mid -Western 20 500 Far-Western 126 394 520 3150 9850 13000 3

SAMPLING DISTRIBUTION... 6

HOUSEHOLD QUESTIONNAIRE Household Information Panel List of Household Members Education Child Labour Child Discipline Household Characteristics Water and Sanitation Hand washing Salt Iodization 7

WOMEN(15-49 age) QUESTIONNAIRE Woman’s Information Panel Woman’s Background Access to Mass Media and Use of Information and Communication Technology Fertility/Birth History Desire for Last Birth Maternal and Newborn Health Post -Natal Health Illness Symptoms Contraception Unmet Need Attitudes toward Domestic Violence Marriage/Union HIV/AIDS Tobacco and Alcohol Use Life Satisfaction 8

CHILDREN UNDER FIVE QUESTIONNAIRE Under Five Child Information Panel Age Birth Registration Early Childhood Development Breastfeeding and Dietary Intake Immunization Care of Illness Anthropometry 9

WATER QUALITY TESTING QUESTIONNAIRE Water Quality Testing Information Panel Water Quality Testing (E-coli) Household drinking water :1ml and 100ml Household source water : 1ml and 100ml 10

FIELDWORK AND DATA PROCESSING February-June, 2014 Total 15 teams (90 field staffs) Team composition: 6 members 1 Supervisor , 1 Editor , 3 Female interviewers and 1 Measurer Data processing: End of February-June, 2014 14 data processing staffs (1 Supervisor + 2 Data editor + 11 Data entry operators) Data entry: CSPro 5.0, double data entry & validation Data Analysis : IBM SPSS Statistics 21 software 11

NMICS 2014 KEY FINDINGS....... 12

Children under 5 - mothers/caretakers RESPONSE RATE Households Women age 15-49 years Children under 5 - mothers/caretakers Water quality testing 13

HOUSEHOLD : DEMOGRAPHIC 4.6 Average household size Population under age 5 years Population under age 18 years 14

Household members using Improved sources of drinking water WATER AND SANITATION Household members using Improved sources of drinking water Improved source of water: piped water public tap/standpipe tube-well/bore-hole protected well protected spring rainwater collection bottled water(main source of drinking water) 15

WATER QUALITY TESTING :E-COLI Household members with E-coli risk level in household water >=1 cfu/100ml Household members with E-coli risk level in source water >=1 cfu/100ml Permissible limit for E. coli in drinking water is 0 CFU/ 100 ml. CFU = Colony Forming Unit (Ref: National Drinking Water Quality Standards, 2062 16

Improved sanitation facilities: WATER AND SANITATION... Household members using improved sanitation facilities which are not shared Improved sanitation facilities: flush to piped sewer system flush to septic tank flush to pit(latrine) flush to unknown place/not sure ventilated improved pit latrine(VIP) pit latrine with slab composting toilet 17

WATER AND SANITATION... Children age 0-2 years whose last stools were disposed of safely Households with designated place for hand washing where water and soap or other cleansing agent are present Other cleansing agent : ash/ mud/ sand 18

19 SOLID FUEL USE Household members in households using solid fuels as primary source of domestic energy for cooking Solid fuels as primary source of domestic energy: coal/lignite charcoal wood straw/shrubs/grass animal dung agricultural crop residue 19

Household consuming iodized salt = >15 ppm SALT IODIZATION Household consuming iodized salt = >15 ppm ppm: parts per million 20

LITERACY AND EDUCATION Literacy rate of young women age 15-24 years Literacy: young women age 15-24 years who are able to read a short simple statement about everyday life or who attended secondary or higher education 21

SCHOOL ATTENDANCE Primary school net attendance ratio (adjusted) 86% Secondary school net attendance ratio (adjusted) 22

0.99 1.02 23 GENDER PARITY INDEX Gender parity index (primary school) Gender parity index (secondary school) 0.99 1.02 23

CHILD DEVELOPMENT Children age 36-59 months who are attending an early childhood education programme 24

EXPOSURE TO MASS MEDIA Women age 15-49 years who, at least once a week, read a newspaper or magazine and listen to radio, and watch television 25

USE OF INFORMATION/COMMUNICATION TECHNOLOGY Young women age 15-24 years, who used a computer during the last 12 months Young women age 15-24 years, who used the internet during the last 12 months 26

27 HIV/AIDS Women age 15-49 years who have heard of HIV/AIDS Knowledge about HIV prevention of young women age 15-24 years 27

TOBACCO AND ALCOHOL USE Women age 15-49 years who smoked cigarettes, or smoked or smokeless tobacco products at any time during the last 1 month Women age 15-49 years who had at least one alcoholic drink at any time during the last 1 month 28

29 EARLY MARRIAGE First married women (15-49) before age 15 Currently married women 15-19 years 29

REPRODUCTIVE HEALTH 2.3 Total fertility rate for women age 15-49 years (per women) Adolescent birth rate for women age 15-19 years (per 1,000 women) 71 30

31 REPRODUCTIVE HEALTH... Contraceptive prevalence rate Women age 15-49 years currently married or union who are using (or whose partner is using) a (modern or traditional) contraceptive method Contraceptive prevalence rate Unmet need for contraception 31

MATERNAL AND NEWBORN HEALTH Antenatal care coverage(ANC) Women age 15-49 years with a live birth in the last 2 years attended during their last pregnancy that led to a live birth ANC visit : at least once by skilled health personnel ANC visit : at least four times by any service provider 32 Skilled health personnel: doctor, staff nurse, auxiliary nurse(ANM)

MATERNAL AND NEWBORN HEALTH... Women age 15-49 years with a live birth in the last 2 years Skilled attendant at delivery Institutional delivery Institutional: public/private sector health facility, NGO 33 Skilled attendant: skilled birth attendant(SBA)

EARLY CHILDHOOD MORTALITY 33 Infant mortality rate (per 1,000 live birth) 38 Under five mortality rate (per 1,000 live birth) 34 Refer to the five year period before the survey

Nutritional status of children under 5 age 35

Exclusive breast feeding infants under 6 months of age Infants receiving breast milk, and not receiving any other fluids or foods , with the exception of oral rehydration solution , vitamins , mineral supplements and medicines. 36

37 VACCINATIONS Fully immunization coverage Immunization by 12 months of age for children age 12-23 months BCG Polio 3 DPT 3 Measles Fully immunization coverage 37

Children under age 5 with diarrhea in last 2 weeks Children under age 5 with diarrhea in last 2 weeks received oral rehydration salt (ORS) packet with Zinc tablet Children under age 5 with diarrhea in last 2 received oral rehydration therapy(ORT) and continued feeding 38

ACUTE RESPIRATORY INFECTION(ARI) SYMPTOMS Children under age 5 with ARI symptoms in the last 2 weeks Care - seeking for children under age 5 with ARI symptoms Received antibiotics treatment for Children under age 5 with ARI symptoms 39

Children age 5-17 years who are involved in child labour CHILD PROTECTION Birth registration of children under age 5 years Children age 5-17 years who are involved in child labour 40

CHILD DISCIPLINE Children age 1-14 years disciplined by any violent method during the last 1 month 41

SUBJECTIVE WELL-BEING Subjective measures of life satisfaction, women age 15-24 years: Domain of life satisfaction include: family life , friendships, school , current job , health, living environment, treatment by other , the way they look and the current income Life satisfaction Perception of a better life 42

Thank you For further information please visit 43 http://www.cbs.gov.np http://www.unicef.org Final Survey Report: plan to be released by second quarter of 2015 Thank you 43