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© 2002, CARE USA. All rights reserved. Differences in Health and Social Indicators by Dalit and Non-Dalit women Findings from the Final Evaluation of the.

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Presentation on theme: "© 2002, CARE USA. All rights reserved. Differences in Health and Social Indicators by Dalit and Non-Dalit women Findings from the Final Evaluation of the."— Presentation transcript:

1 © 2002, CARE USA. All rights reserved. Differences in Health and Social Indicators by Dalit and Non-Dalit women Findings from the Final Evaluation of the Nepal CRADLE CS Project Parini M. Shah Child Survival Intern

2 © 2005, CARE USA. All rights reserved. Outline  Background  Research Question  Methods  Results  Conclusions  Recommendations

3 © 2005, CARE USA. All rights reserved. Background: Nepal

4 © 2005, CARE USA. All rights reserved. Background: Dalits

5 © 2005, CARE USA. All rights reserved. Background: Dalits

6 © 2005, CARE USA. All rights reserved. Methods  As part of the final evaluation March 2011 documentation process for the CRADLE project:  660 recently delivered women  123 Dalit women  537 non-Dalit women  30-cluster sampling design  ward was the cluster  Cross Sectional  Conducted in the Doti and Kailai of the Far Western Region

7 © 2005, CARE USA. All rights reserved. Differences in Knowledge  A very significant difference between literacy in the Dalit and non-Dalit caste women, where 62.6% of Dalit women were illiterate, while only 34.7% were illiterate in all of the other caste groups (p= <0.001)  No significant difference in nutrition or feeding practices between Dalit and non-Dalit women  No significant difference in place of delivery, either home or health facility, between Dalits and non-Dalits

8 © 2005, CARE USA. All rights reserved. Arrangement of Delivery Services

9 © 2005, CARE USA. All rights reserved.

10 Comparison of survey results with NDHS 2006 results Variable Survey Dalits (%) DHS 2006 Dalits (%)*** DHS 2006 Lowest Wealth Quintile (%) DHS 2006 Far West Region (%) Illiterate62.66563.351.9 Currently Using Family Planning 15.441**32.951.7 Ever had an ANC 78.9-Rural: 74 At least 4 ANC visits50.4-Rural: 26 ANC Provider Doctor5.214.85.210.4 ANM/Nurse68.025.412.415.5 MCHW26.813.716.534.2 TT Vaccination (2 or more) 67.4-38.864.7 Iron/Folic Acid Tablets81.3-34.3*60.0

11 © 2005, CARE USA. All rights reserved. Conclusions  Dalit women and non-Dalit women facing similar issues.  The high levels of illiteracy in Dalits is an issue  Largely health indicators for Dalit and non Dalits maternal and child health are the same

12 © 2005, CARE USA. All rights reserved. Recommendations  Structural issues, such as, education should be addressed as gaps between Dalits and Non-Dalits start to reduce

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