Annual

R e p o rt
Department of Health Services
2073/74 (2016/17)

Government of Nepal
Ministry of Health and Population
Department of Health Services
Kathmandu, Nepal
 CONTENTS
Message from Hon'ble State Minister
Preface from Secretaty of Health and Population
Foreword
Acknowledgement
Executive Summary i
Trend of Health Services Coverage Fact-sheet xi
Abbrreviations and Acronyms xvii
National Health Policy 2071 (2014) xxiii
Chapter 1: INTRODUCTION 
1.1 Background 1
1.2 Department of Health Services (DoHS) 3
1.3 Source of information 5
1.4 Structure of the Report 5
Chapter 2: CHILD HEALTH 6-56
2.1 Immunization 6
2.2 Nutrition 25
2.3 Integrated Management of Neonatal & Childhood Illness (IMNCI) 44
Chapter 3: FAMILY HEALTH 57-116
3.1 Family Planning 57
3.2 Safe Motherhood and Newborn Health 71
3.3 Female Community Health Volunteer (FCHV) 88
3.4 Primary Health Care Outreach (PHC/ORC) 91
3.5 Demography and Reproductive Health Research 93
3.6 Adolescent Sexual and Reproductive Health 105
Chapter 4: DISEASE CONTROL 117 - 213
4.1 Malaria 117
4.2 Kala-azar 134
4.3 Lymphatic Filariasis (LF) 139
4.4 Dengue 143
4.5 Zoonoses 145
4.6 Leprosy 149
4.7 Tuberculosis 163
4.8 HIV/AIDS and STI 175
4.9 Eye Care 193
4.10 Entomology 196
4.11 Epidemiology and Disease Outbreak Management 198
4.12 Disaster Management 201
4.13 Surveillance and Research 205
4.14 Homeopathic Services 208
4.15 Human Organ Transplant Services 210
Chapter 5: CURATIVE SERVICES (Inpatients/OPD services) 214 -235
Chapter 6: SUPPORTING PROGRAMS 236 -303
6.1 Health Training 236
6.2 Vector Borne Disease Research & Training 244
6.3 Health Education, Information and Communication 249
6.4 Logistic Management 255
6.5 Public Health Laboratory Services 262
6.6 Personnel Administration Management 268
6.7 Financial Management 272
6.8 Health Service Management 279
6.9 Primary Health Care Revitalization 290
6.10 Medico-Legal services 299
6.11 Monitoring and Evaluation 301
Chapter7: PROGRESS OF OTHER DEPARTMENTS UNDER MoHP 304 - 314
7.1 Derpartment of Drug Administration 304
7.2 Department of Ayurveda 309
Chapter 8 : HEALTH COUNCILS 315 - 332
8.1 Nepal Nursing Council 315
8.2 Nepal Ayurvedic Medical Council 318
8.3 Nepal Health Research Council 320
8.4 Nepal Medical Council 326
8.5 Nepal Health Professional Council 328
8.6 Nepal Pharmacy Council 331
Chapter 9: HEALTH CARE SOCIAL SECURITY 333 - 337
Chapter 10: DEVELOPMENT PARTNER SUPPORT 338- 354
10.1 Multilateral Non-Government Organization 339
10.2 Bilateral Organization 341
10.3 Internal Non-Government Organization 343
10.4 Non-Government Organization 351
ANNEXES
Annex 1: Activities carried out in FY 2073/74 by programs
Annex 2: Target for 2074/75 by programs
Annex 3: Health Services: Estimated Target Population, Raw & Analyzed data sheets
Annex 4: Human Resource (HR) situation by districts
 Executive Summary

Executive Summary

A. INTRODUCTION
The annual report of the Department of Health Services (DoHS) for fiscal year 2073/74 (2016/2017)
is the twenty-third consecutive report of its kind. This report focuses on the objectives, targets and
strategies adopted by Nepal’s health programmes and analyses their major achievements and
highlights trends in service coverage over three fiscal years.

This report also identifies issues, problems and constraints and suggests actions to be taken by
health institutions for further improvements. The main institutions that delivered basic health
services in 2073/74 were the 123 public hospitals including other ministries, the 1,715 non-public
health facilities, the 200 primary health care centres (PHCCs) and the 3,808 health posts. Primary
health care services were also provided by 12,180 primary health care outreach clinic (PHCORC)
sites. A total of 16,022 Expanded Programme of Immunization (EPI) clinics provided immunization
services. These services were supported by 49,001 female community health volunteers (FCHV). The
information on the achievements of the public health system, NGOs, INGOs and private health
facilities were collected by DoHS’s Health Management Information System (HMIS).

B. CHILD HEALTH
Immunization
The National Immunization Program (NIP) formerly Expanded Program on Immunization (EPI) was
started in FY 2034/35 and is a priority 1 program. It is one of the successful public health
interventions of Ministry of Health. It made a large contribution to Nepal's achievement of
Millennium Development Goal 4 and 5 by reducing morbidity and mortality among children and
mothers from vaccine preventable diseases.
Nepal's constitution 2015 ensures access to health care as a fundamental right of the people. The
Immunization Act endorsed (BS 2072 Magh 12) says that every child has the right to access quality
vaccines.
National Immunization Program has included several underused and new vaccines in program and
currently there are eleven antigens–BCG, DPT-HepB-Hib (penta), PCV, OPV (bOPV), Measles and
Rubella (MR) and Japanese Encephalitis provided through 16,000 service delivery points in health
facilities (fixed session), outreach sessions and mobile clinic (sessions). Government of Nepal
procures BCG, OPV, Td , JE, measles/rubella 1st dose and co-finances to GAVI supported vaccines
DPT-HepB-Hib (penta), PCV and measles component of MR2. Aiming to reach every child in country,
some innovative activities have also been carried out in country like Full Immunization declaration
initiative, Immunization Act, rule and immunization fund creation.
The coverage of all antigens increased in 073/74 compare to 072/073. The highest coverage was of
BCG (91%), DPT-HepB-Hib3 (86%), oral polio vaccine 3 (86%), which were all more than the previous
year. The measles rubella second dose was introduced in 2072/73 and had the lowest coverage
(57%) however it is more than previous year.

Nutrition
The national nutrition programme is priority programme of the government. It aims to achieve the
nutritional well-being of all people so as they can maintain a healthy life and contributed to the
country's socioeconomic development. There is high level commitment to improving the nutritional
status especially of women and of young children.

Nutrition is a globally recognized development agenda. Since the year 2000, several global
movements have advocated nutrition for development. The Scaling-Up-Nutrition (SUN) initiative
DoHS, Annual Report 2073/74 (2016/17) i
Executive Summary
calls for multi-sectoral action for improved nutrition during the first 1,000 days of life. The
Government of Nepal as an early member of SUN adopted the Multi-sector Nutrition Plan (MSNP) in
2012 to reduce chronic nutrition. The UN General Assembly declared the 2016–2025 period as the
Decade of Action on Nutrition. Aligning with the MSNP and current global initiatives, CHD – nutrition
section has developed strategies and plans for improving maternal infant and young child nutrition
assisted by experts from the Nutrition Technical Committee. Moreover, as recommended by the
Nepal Nutrition Assessment and Gap Analysis (NAGA) and guided by MSNP, in 2012–2013 MoH
conducted an Organization and Management Survey towards establishing a National Nutrition
Centre for implementing MSNP in the health sector. Recently, MSNP-2 has been approved for
2075/76 – 2079/80.
In 2073/74 an average of 3 growth monitoring visit was carried out by 0-23 month's children at
national level which is slightly decreased as of previous year. Sixty three percent children aged 0-23
months were registered for growth monitoring which is six percent more than 2072/73 and twenty-
five percent of 0-6 months infants registered for growth monitoring who were exclusively breastfed
for their first six months which is 6.65 percent less than 072/073.
Integrated Management of Childhood Illness
In October 2014 the childhood (CB-IMCI) and newborn (CBNCP) care programmes were merged into
the Community Based Integrated Management of Childhood Illness (CB-IMNCI) programme to give a
more integrated approach. It is an integrated package of child-survival interventions and addresses
major newborn care conditions including birth asphyxia, bacterial infection, jaundice, hypothermia,
low birth weight, and encouragement of breastfeeding. It addresses the major illnesses of 2 to 59
month old children — pneumonia, diarrhoea, malaria, measles and malnutrition, in a holistic way.

In fiscal year 2073/74, 25,742 newborns cases (aged 0-28 days) were registered and treated at
health facilities and PHC/ORCs of whom 12,295 were treated for local bacterial infections and 3,713
for possible Severe Bacterial Infections (PSBI). In the same year, 31,098 infants (29-59 day old) were
treated at health facilities and PHC/ORCs of whom 2,765 were treated for PSBI. At the national level
1.0 percent 0-59 day old (among expected number of live births) suffered from PSBI. And 58.4
percent of all PSBI cases were treated with a complete dose of gentamycin.

In 2073/74, 1,184,120 cases of Diarrhoea were reported of which 0.44 percent suffered from severe
dehydration (increased from 0.2 percent the previous year). The national incidence of diarrhoea per
1,000 under-5 year olds decreased from 422/1,000 in 2072/73 to 400/1000 in FY 2073/74. In FY
2073/74, a total of 1,810,722 ARI cases were registered, out of which 10.5% were categorized as
pneumonia cases and 0.29% were severe pneumonia cases. The incidence of pneumonia (both
pneumonia and severe pneumonia at HF and PHC/ORC) at national level was 64 per 1000 under five
children as compared to 147 per 1,000 under-five children in the previous fiscal year (FY 2072/73).

C. FAMILY HEALTH
Family planning
In order to provide the reproductive population with options to limit or space births, various modern
contraceptive methods are made available under the national health services delivery system.
Family planning services are provided through different health institutions at various levels through
static clinics as well as mobile outreach services. The Contraceptive Prevalence Rate (CPR) is one of
the main indicators for monitoring and evaluating the National Family Planning Program. The
contraceptive prevalence rate (CPR) for modern family planning method is 44% at national level in
fiscal year 2073/74. There has been a one percentage point increase in modern CPR at national level
in FY 2073/74 than in FY 2072/73. There is wide variation in CPR at the province level with lowest
35% in Province 4 and highest 49% in Province 2

ii DoHS, Annual Report 2073/74 (2016/17)

 Executive Summary
Safe motherhood
During FY 2073/74, the national level ANC 4th visit (as per protocol) as percentage of expected
pregnancy has been increased to 52%. Similarly, the institutional delivery has slightly been increases
to 57% in FY 2073/74 as compare to 55% in FY 2072/73. Percentage of mothers who received first
postnatal care at the health facility among expected live births has also slightly decreased to 51% in
FY 2073/74 from 57% of FY 2072/73. During FY 2073/74, a total of 96417 CAC service has been
provided, out of which, 44% women had received medical abortion service. While about 70%
women had received post abortion family planning services. Contribution of Long Acting FP service
out of total post abortion FP is appeared to be only about 16% (a 2% point increase in FY 2073/74
than in FY 2072/73.

Female community health volunteers

The major role of the Female Community Health Volunteers (FCHVs) is promotion of safe
motherhood, child health, family planning, and other community based health services to promote
health and healthy behavior of mothers and community people with support from health workers
and health facilities. At present there are 51,470 FCHVs (47,328 FCHVs at rural/VDC level and 4,142
at urban/municipality level) actively working all over the country. FCHVs contributed significantly in
the distribution of oral contraceptive Pills, Condoms and Oral Rehydration Solution (ORS) packets
and counseling and referring to mothers in the health facilities for the service utilization. FCHVs have
distributed a total of 9983370 packets of Condom in FY 2073/74. Service statistics also show that
more than one half of the diarrhoea and ARI cases were treated by FCHVs.

Primary health care outreach clinics

Based on the local needs PHC/ORCs are conducted every month at fixed locations of the VDC on
specific dates and time. The clinics are conducted within half an hour's walking distance for the
population residing in that area. Primary health care outreach clinics (PHC/ORC) extend basic health
care services to the community level.

Total number of clinics expected to run in a year 159,764 (13,314 PHC/ORC Clinics x 12 times).
However, only 83% clinics were conducted in FY 2073/74. On an average 19 clients were served per
clinic during the fiscal year 2073/74 and it was slightly increased compared to FY 2072/73 (16%).

Adolescent sexual and reproductive health

The National ASRH program has been gradually scaled up to 70 of the 75 districts covering 1134
health facilities till the end of current fiscal year 2073/74. Different development partners such as
UNFPA, UNICEF, WHO, Save the Children, Ipas, ADRA Nepal and MSI Nepal at national and sub-
national level supported to Family Health Division (FHD) for scaling up and strengthening ASRH
services in the health facilities in order to make those health facilities as adolescent friendly service
sites. The remaining five districts (Manang, Mustang, Dolpa, Rasuwa and Sindhupalchowk) will be
covered in the running FY 2074/75.
Demography and reproductive health research
Planning, monitoring and evaluation of reproductive health (RH) activities are the key functions of
Program, Budget and Demography Section. This section conducts periodic and ad hoc studies and
also coordinates reproductive health related research and studies carried out by other organizations
in Nepal. In addition to the development of annual program and Budget, target population setting,
and guideline/ documents, implementation of Maternal and Perinatal Death Surveillance and
Response (MPDSR) was a major activity conducted in FY 2073/74 through Demography Section.

A total of 1076 persons including health facility personnel and district stakeholders were trained in
MPDSR during FY 2073/74. Furthermore, all FCHVs of Baitadi had also received MPDSR orientation.

DoHS, Annual Report 2073/74 (2016/17) iii

Executive Summary
As per government commitment to count every maternal deaths, community-level MPDSR has been
expanded in 6 districts by the end of FY 2073/74 and Ministry of Health has planned to gradually
expand this to all 75 districts. In addition, facility-based MPDSR has already started in 42 hospitals in
FY 2073/74.

D. DISEASE CONTROL
Malaria
Nepal has surpassed the Millennium Development Goal 6 by reducing malaria morbidity and
mortality rates by more than 50% in 2010 as compared to 2000. Therefore, Government of Nepal
has set a vision of Malaria free Nepal in 2025. Current National Malaria Strategic Plan (NMSP) 2014-
2025 was developed based on the epidemiology of malaria derived from 2012 micro-stratification,
The aim of NMSP is to attain “Malaria Free Nepal by 2026”.

Total positive cases of malaria slightly increased to last fiscal year from 991 in FY 2072/73 to 1128 in
2073/74 where 492 cases are indigenous cases and 636 are imported casesdue to active
surveillance. The proportion of P. falciparum infections is decreasing trend and reached 13.1 % in
current FY2073/74 as compared to the previous year, however still the proportion is high which may
be due to high number of imported P. falciparum cases.The trend of indigenous pf malaria cases are
decreasing while imported cases of pf are in increasing trend. The trend of clinically suspected
malaria case, slide positivity rate, pf and pv malaria cases also decreasing year by year, mainly due to
increased coverage of RDT, microscopic laboratory service at peripheral level, high coverage of LLINs
in endemic districts and increased socio-economic status of community people.

Kala-azar
Kala-azar is a major public health problem in 18 districts of Nepal and to eliminate Kala azar in Nepal
set goal to improving the health status of vulnerable groups and at risk populations living in kala-azar
endemic areas of Nepal by eliminating kala-azar so that it is no longer a public health problem. The
incidence of kala-azar at national and district level has been less than 1/10,000 population since
2013. The trend of KA cases has been decreasing significantly for the last several years. In FY
2073/2074, total 225 native cases and 6 foreign cases were reported. 157 cases were reported from
programme district while other cases were from other nonprogrammer district. The case fatality
rate was 0.3 percent in 2073/2074.

Lymphatic filariasis
Lymphatic Filariasis (LF) is a public health problem in Nepal. The goal of national Lymphatic Filariasis
programme is the people of Nepal no longer suffer from lymphatic filariasis. As of 2073/74, MDA has
been stopped (phased out) in 31 districts, post-MDA surveillance initiated in 20 districts and
morbidity management partially initiated in all endemic districts. All endemic districts will complete
the recommended six rounds of MDA by 2018. The LF elimination programme has also indirectly
contributed to strengthening of health system through trainings and capacity building activities. The
transmission assessment survey in 31 districts in 2016 found that the prevalence of infection had
significantly reduced. Since 2003 more than 100 million doses of lymphatic filariasis drugs have been
administrated to at-risk population. 2172 hydrocele surgeries have been performed in year
2073/074.

Dengue
Dengue, a mosquito-borne disease emerged in Nepal in since 2005. The goal of national Dengue
control program is to reduce the morbidity and mortality due to dengue fever, dengue haemorrhagic
fever (DHF) and dengue shock syndrome (DSS).The number of reported dengue cases has decreased
significantly since 2010 but cases of dengue were increased in 2073/74 fiscal year. The majority of
iv DoHS, Annual Report 2073/74 (2016/17)
 Executive Summary
cases have been reported from Chitwan, Jhapa and Rupandehi with more than 46 percent of
2073/74 cases from Chitwan. Total 1527 cases reported from 42 districts.

Zoonoses
Nepal has dual burden of disease and zoonotic diseases of epidemic, endemic and pandemic
potentials are major public health concerns. Globally more than 300 Zoonotic diseases are identified
among which about 60 have been identified in Nepal as emerging and re-emerging diseases. No
Nepalese dies of rabies or poisonous snake bites due to the unavailability of anti-rabies vaccine
(ARV) or anti-snake venom serum or timely health care services and to prevent, control and manage
epidemic and outbreak of zoonoses is the goal of zoonoses program. Around 30,000 cases in pets
and more than 100 human rabies cases occur each year with the highest risk are in the Terai. During
the FY 2073/74, 39,744 dog and other animal bites cases has been reported including 8 deaths
throughout the Nepal and 6121 cases of Snake bite has been reported. 33 deaths due to snake bite
has been reported this year.

Leprosy
During the reporting year 2073/74, a total number of 3215 new leprosy cases were detected and put
under Multi Drug Therapy (MDT). 2626 cases were under treatment and receiving MDT at the end of
the fiscal year. Registered prevalence rate of 0.92 cases per 10,000 population at national level was
reported this year which is below the cut-off point of below 1 case per 10,000 population as per the
standard set by WHO. 87 (2.71%) new leprosy cases of Grade 2 Disability (G2D), 220 (6.84%) new
child leprosy cases and 1361 (42.33%) new female leprosy cases were recorded. The increasing trend
of registered prevalence rate after the elimination in 2009 is a serious concern for leprosy control
programme hence early and active case detection activities need to be amplified and
records/reports of local health facility level needs to be verified and validated.
Leprosy Control Division, Disability Focal Unit had recently endorsed Policy, Strategy and 10 Years
Action Plan on Disability Management (Prevention, Treatment and Rehabilitation). The unit is
coordinating with DPOs and related organization for the disability prevention and rehabilitation of
people with disability

Tuberculosis
Tuberculosis (TB) is still a major public health problem in Nepal. Directly Observed Treatment short
course (DOTS) have successfully been implemented throughout the country since April 2001 and a
total of 4344 DOTS treatment centers are providing TB treatment service throughout the country. In
Fiscal Year 2073/74, total of 31,765 cases of TB were registered. Among them, 54.63% were
pulmonary bacteriologically confirmed (PBC). Most cases were reported among the middle-aged
group with the highest among 15-24 year of age (20%). The childhood TB (new and relapse) was
5.7%. The Case Notification Rate (CNR) all forms was 111 per 100,000 population. The Midwest
Region hold highest case (CNR 128) followed by central region (CNR 123), far western region (CNR
109), western region(CNR 106) and eastern region (CNR 83). Whereas in eco-terrain, CNR was
highest in Terai zones followed by hill and mountain zones with rates of 123, 104 and 61 per 100,000
populations respectively.

The overall treatment success rates (all forms) of drug susceptible TB was 92.%. The treatment
success rates of new and re-treatment Pulmonary Bacteriological Confirmed (PBC) was 90%
compared 93 % in new Pulmonary Clinically Diagnosed (PCD) and Extra Pulmonary cases. Failure rate
in new PBC was 1.2% compared to 2.2% in retreatment cases, 0.1% in new PCD cases and 0.16% in
EP cases. National Tuberculosis program, Nepal was able to save 29,027 lives in FY 2073/74
nationally, but still 971 deaths were reported among general TB cases.

DoHS, Annual Report 2073/74 (2016/17) v

Executive Summary
HIV/AIDS and STI
Making up 3.6% of the total estimated people living with HIV (PLHIV) (32,735), there are about 1,197
children aged up to 14 years who are living with HIV in Nepal in 2016, while the adults aged 15 years
and above account for 96.4%. Almost 75% of total estimated infections (31,539) among population
aged 15-49 years. By sex, males account for two-thirds (62%) of the infections and the remaining
more than one-third (38%) of infections are in females. The prevalence of HIV among 15-49 years of
age group is 0.17% in 2016. Total 14,544 PLHIV are on ART treatment by the end of FY 073/74.

Eye care
Nepal’s eye care programme is run by Nepal Netra Jyoti Sangh and is a successful example of an
NGO-run eye care programme. The prevalence of blindness in Nepal has reduced at the current
time. In 2073/74, Nepal’s hospitals, eye care centres and outreach clinics provided 3,873,340
outpatient consultations and performed 317,901 eye surgeries.

Human Organ Transplant services

National Transplant Center's main objectives are to strengthen and expand organ transplantation
services, provide specialized services beyond transplantation along with high quality health care at a
low price/free of cost and produce high level human resources by providing structured training in
various aspects of services to expand the services across the country. During this reporting year a
total number of 22,473 OPD services, 518 minor and 1,101 major surgeries, 132 kidney
transplantation and along with two liver transplantation (which was first of its kinds in the nation)
services were provided.

Entomology
Entomology section/entomology lab is one of the integral parts of Epidemiology and Disease Control
Division. It is accountable to plan, implement, monitor & supervise all entomological activities like
surveillance, risk assessment & operational research of vectors borne diseases as well other
emerging and re-emerging diseases having potential of outbreak and prone to be epidemic in
nature. In FY 2073/74, investigations and an entomological survey was conducted in 12 different
districts of five regions of Nepal. In that survey Anopheles mosquitoes were collected. These are the
common species of anopheles mosquito which were found in that survey.

Epidemiology and outbreak management

In Nepal communicable disease outbreak are common and occur in different district. Forty-one
communicable disease outbreaks were recorded in Nepal in 2073/74, which affected 3,565 people
and resulted in 29 deaths. There were major outbreaks of acute gastroenteritis and diarrhoea,
cholera, leptospirosis, scrub typhus, influenza, food poisoning, mushroom poisoning and dog bite.
The average case fatality rate was 0.81 percent. The Scrub Typhus outbreak had the greatest
morbidity. Mushroom poisoning also had a high case fatality rate (45%). Reported water and food-
borne diseases were more prevalent this year.

Disaster management
This collaborative programme between MoH/DoHS/EDCD and WHO-EHA has been committed to
enhancing health sector emergency preparedness, disaster response and epidemiology and
outbreak management capabilities in close coordination & collaboration with key players in the
country. In the fiscal year 2073/74, no any such disaster event was recorded which affected the
health of people. District health sector contingency planning, Rapid Response training, Emergency
and disaster preparedness planning activities were carried out for disaster preparedness.

vi DoHS, Annual Report 2073/74 (2016/17)

 Executive Summary
Surveillance and research
Disease surveillance and research is an integral part of Epidemiology and Disease Control Division.
This section came into existence in August 12, 2013 (Shrawan 28, 2070 BS). The mission of the
communicable diseases Surveillance program is to protect and improve the health of Nepalese
citizens by tracking and responding to the occurrence of disease in the population across the
country. In 2073/74 an additional 4 sentinel sites were trained on EWARS (District hospital Khotang,
District hospital Panchthar, District hospital Manang and Bayalpata hospital, Achham) bringing the
number of EWARS sentinel sites to 64. Similarly Water quality surveillance Central committee
(WQSCC) meeting with stakeholder and organized water quality surveillance workshop at
Arghakhanchi, Baglung and Gorkha districts. Surveillance of reportable diseases is responsible for
collecting, analyzing, interpreting, and reporting information for infectious diseases.

E. CURATIVE SERVICES
In 2073/74, curative health services were provided to outpatients, including emergency patients,
and inpatients including free health services. Inpatient services were provided different level of
hospitals including INGOs/NGOs, Private medical college hospitals, nursing homes, and private
hospitals. In this fiscal year 2073/2074, 72% of the total population received outpatients (OPD)
services, 1,322,816 patients were admitted for hospital services and 1,765,764 patients received
emergency services from hospitals.

F. SUPPORTING PROGRAMMES
Health Training
The National Health Training Centre is the apex body for human resource development in Nepal’s
health sector. The NHTC has five regional training centres, one sub-regional centre, 34 clinical
training sites and 75 district training units. The Training Working Group ensures the efficient running
of national health training programmes, maintains the quality of training and improves the
coordination of all training provided under NHTC. In 2073/74 initiated a number of new training
programmes including on primary trauma care management, on-the-job training for gynaecologists
and obstetric fistula training.

Vector Borne Disease Research & Training

Vector Borne Disease Research & Training Center (VBDRTC) became semi autonomous with the
effect of Development Board Act from 24th January 2000. Now the center is being governed by the
Development Board. Main objective of training center is to fulfill the knowledge and management
gap between vector borne disease and program to the VBD focal persons. Mostly who were not
trained before or newly recruited also enhance the level of knowledge and skills of the participant
pertaining to prevalent and possible vector borne diseases. VBDRTC is responsible for research and
training of VBDS including Malaria, Kala-azar, Dengue, Chikungunaya, Lymphatic Filariasis, Scrub
typhus and Japanese encephalitis.

Health education, information and communication

The National Health Education, Information and Communication Center(NHEICC) is the apex body
under Ministry of Health for planning, implementing, monitoring and evaluating Nepal's health
promotion, education and communication programmes including periodic surveys and research. The
major achievements in 2073/74 at the central level were the development and implementation of
health communication policies, strategies, development and broadcasting of health message
through various methods and media. More over MERO BARSA 2074" Ma Swastha Mero, Desh
Swastha" health promotion campaign was launched and implemented, Tobacco Control
Intervention, Golden 1000 Days Communication Campaign and health information related Mobile
SMS messages were delivered.

DoHS, Annual Report 2073/74 (2016/17) vii

Executive Summary

At the district level, behavior change communication activities were conducted for preventing and
controlling epidemics, broadcasted health message through local FM Radio, developed need based
IEC materials and distributed to health facilities.

Logistics management
The main role of Logistics Management Division is to support in delivering quality health care
services providing by program divisions and centers through logistics supply of essential equipments,
vaccines, family planning commodities and free health drugs to all regional /district stores and
health facilities. The major function of LMD is to forecast, quantify, procure, store and distribute
health commodities, equipments, instruments and repairing & maintaining of the bio-medical
equipments/instruments and transportation vehicles. The quarterly LMIS and monthly Web-based
LMIS have facilitated evidence based logistics decision making and initiatives in annual logistics
planning, quarterly national pipeline review meetings, the consensus forecasting of health
commodities and the implementation of the pull system. LMD carried out Regional Procurement and
Supply Chain Workshop in all regions of the country to address the problems and issues faced by the
districts in procurement and supply chain management of health commodities in the region and
district.

LMD has form a authorized 23 members Logistics Working Group (LWG) under the chaired of LMD
Director with representation of Divisions, Centers, supporting partners and other stakeholders. LWG
address all issues and challenges on procurement and supply chain on health commodities and
materials in center, region and district level.

Health laboratory services

The National Public health laboratory (NPHL) is the Nodal Institute for capacity building and for the
development of public health laboratory sector. There are diagnostic health laboratories in 8 central
hospitals, 3 regional hospitals, 3 sub-regional hospitals, 10 zonal hospitals, 62 district hospitals, 22
other district level hospitals, 204 PHCCs and more than 1,500 private health institutions.
In 2073/74, NPHL provided various types of routine and specialized laboratory services with more
biochemistry, haematology, parasitology, immunology, virology, endocrinology, and microbiology
test carried out more than in the previous year.

Personnel administration
The Personnel Administration Section is responsible for routine and programme administrative
function. Its major functions include upgrading health institutions, the transfer of health workers,
level upgrading of health workers up to 7th level, capacity building as well as internal management
of human resources of personnel. MoH has more than 30,000 employees of whom more than
24,000 are technical personnel and 6,300 are administrative staff across the 196 sanctioned types of
technical and administrative posts.

Financial management
An effective financial support system is imperative for the efficient management of health services.
DoHS’s Finance Section is the focal point for financial management for all programmes under DoHS.
In 2073/74 out of total national budget of Rs. 10,48,92,13,54,000 a sum of Rs. 40,56,30,27,000
(3.86%) was allocated for the health sector during the reporting year. Of the total health sector

viii DoHS, Annual Report 2073/74 (2016/17)

 Executive Summary
budget, Rs. 31,45,05,36,111 (77.53%) was allocated for the execution of programs under the
Department of Health Services Network

Health service management

The Management Division is responsible for DoHS’s general management functions. The division’s
major ongoing activities were institutionalizing the use of geographic information systems for health
service planning, developing the Health Infrastructure Information System (HIIS), the construction
and maintenance of health facility buildings and other infrastructure, and health facility upgrading.
Other activities included HMIS training for newly recruited health workers, arranging the supply of
HMIS recording and reporting tools. Managed the provision of free treatment to impoverished
citizens including 5,821 Cancer, 3,291 Heart disease and 5,888 Kidney free treatment services

Primary health care revitalization

The Primary Health Care Revitalization Division is responsible for strengthening Primary Health Care
by increasing access to basic free health services especially for poor, disadvantaged and unreached
population groups. Its main achievements in 2073/74 were related to increasing access to free basic
health services, improving social health protection and strengthening urban health including non
communicable disease services.

Medico-legal services
Medico-legal services include forensic, pathology, autopsy, clinical forensic medicine and toxicology
services. Medico-legal services have been neglected in Nepal’s health system. The report presents
five recommendations for improving medico-legal services in Nepal: recognizing the specific nature
of the forensic/medico-legal service sector, training district medical officers and other health
professionals to provide medico-legal services, providing facilities, providing incentives and
remuneration and improving coordination between investigating authorities.

Monitoring and evaluation

As in previous years the Health Management Information System (HMIS) Section collected, collated
and provided information on the activities undertaken at the district level to all DoHS divisions,
centres, regional directorates, and the 75 district health and district public health offices. Annual
performance review workshops were conducted in all districts and regions / national level. Several
trainings were conducted on programme management to improve the skills of health workers.
Ninety-two percent of targeted activities were carried out in 2073/74.

G. PROGRESS OF OTHER DEPARTMENTS

The Department of Drug Administration (DoA) is responsible for regulating all functions related to
modern, veterinary and traditional medicines. Its manages the delivery of Ayurveda health services.
The department runs two Ayurveda hospitals, 14 zonal Ayurveda dispensaries, 61 district Ayurveda
health centres and 305 Ayurveda dispensaries. In 2072/73, there were 1,034,029 outpatient
consultations and a total of 1.2 million client-visits for Ayurveda treatment at DoA institutions.

H. HEALTH COUNCILS
The six professional health councils (Nepal Medical Council, Nepal Nursing Council, Nepal Ayurvedic
Medical Council, Nepal Health Professional Council, Nepal Pharmacy Council and Nepal Health
Research Council) accredit health-related schools and training centres and regulate care providers.

DoHS, Annual Report 2073/74 (2016/17) ix

Executive Summary
I. HEALTH CARE SOCIAL SECURITY
The Social Health Security Program was initiated in April 2016 in Kailali district and in June 2016 in
Baglung and Ilam districts. As such, the program was rolled out to three districts in FY 2072/73. In
the FY 2073/74, the program was expanded to additional 12 districts. By the end of this year 228,113
people have been enrolled to the program. More than 63 million annual contributions have been
collected.

J. DEVELOPMENT PARTNER SUPPORT

Development partners support the government health system through a sector-wide approach
(SWAp). The SWAp now supports the implementation of the new Nepal Health Sector Strategy
(NHSS, 2016–2021). The Joint Financing Arrangement (JFA) has been signed by various partners and
the government. The JFA describes in detail the arrangement for partners’ financing of the NHSS.
The JFA elaborates the pool funding arrangement and parallel financing mechanism as bilaterally
agreed between the government and the donor partners.

x DoHS, Annual Report 2073/74 (2016/17)

 Department of Health Services
Trend of Health Service Coverage Fact Sheet
Fiscal Years 2071/72 to 2073/74 (2014/15 to 2016/17)
Province level, FY 2073/74
National level
PROGRAMME Province No
INDICATORS 2071/72 2072/73 2073/74
(2014/15) (2015/16) (2016/17)
1 2 3 4 5 6 7
REPORTING STATUS
% of public
hospitals
92 89 93 100 85 88 92 99 93 93
reporting to
HMIS
% of primary
health care
centres 99 100 98 97 97 100 94 100 99 100
reporting to
HMIS
% of health posts
reporting to 99 99 100 99 99 100 99 100 99 100
HMIS
% of PHC-ORC
clinics reporting 81 92 89 93 82 88 92 94 85 93
to HMIS
% of EPI clinics
reporting to 92 88 100 97 100 97 98 98 97 97
HMIS
% of female
community
health
volunteers 87 82 90 88 94 88 94 91 85 92
(FCHVs)
reporting to
HMIS
% of private
health facilities
68 80 47 52 20 52 56 35 37 62
reporting to
HMIS
IMMUNIZATION
% of children
under one year
94 87 91 92 103 85 75 92 101 87
immunized with
BCG
% of children
under one year
91 82 86 87 99 76 76 87 97 85
immunized with
DPT-HepB-Hib3
% of children
under one year
90 79 86 86 98 75 76 87 96 85
immunized with
OPV 3
% of one-year-
old children
immunized 85 77 84 84 91 76 75 86 96 85
against
measles/rubella

DoHS, Annual Report 2073/74 (2016/17) xi

 Province level, FY 2073/74
National level
PROGRAMME Province No
INDICATORS 2071/72 2072/73 2073/74
1 2 3 4 5 6 7
(2014/15) (2015/16) (2016/17)
% of children 12-
23 months
immunized 53 63 67 73 65 59 71 72 64 71
against Japanese
encephalitis
Immunization
programme:
Dropout rate 3.2 5.0 4.7 3.5 10.8 0.9 1.6 3.7 4.7 2.1
DPT-Hep B-Hib 1
vs 3 coverage
NUTRITION
% of children
aged 0-12
months
97 78 85 83 75 68 84 100 127 91
registered for
growth
monitoring
Average number
of visits among
children aged 0-
24 months 3 3 3 4 2 3 4 3 3 4
registered for
growth
monitoring
% of children
aged 0- 6
months
registered for
growth 29 32 25 21 3 41 14 37 36 26
monitoring,
exclusively
breastfed for the
first six months
% of children
aged 6–8
months
registered for
growth 28 32 31 24 3 65 12 37 40 27
monitoring
received solid,
semi-solid or
soft foods
% of children
aged 6-23
months, who
received 1st
19 21 34 39 9 77 12 40 7 14
dose of Baal Vita
(MNP) in 15
programme
districts
Percentage of
78 64 69 64 63 56 69 79 110 77
children aged 0-

xii DoHS, Annual Report 2073/74 (2016/17)

 Province level, FY 2073/74
National level
PROGRAMME Province No
INDICATORS 2071/72 2072/73 2073/74
1 2 3 4 5 6 7
(2014/15) (2015/16) (2016/17)
23 months
registered for
growth
monitoring
Percentage of
pregnant women
52 49 44 41 43 32 46 58 50 52
received 180
tablets Iron
ACUTE RESPIRATORY INFECTION (ARI)
Incidence of
acute respiratory
infection (ARI)
per 1,000 765 648 612 717 472 439 597 576 927 992
children under
five years (new
visits)
Incidence of
pneumonia
among children
under five years 188 147 *66 89 53 51 52 55 117 86
(per 1,000)
Note*= HFs
reporting only
% of children
under five years
with ARI 25 22 10 12 11 11 9 9 12 8
suffering
pneumonia
Percentage of
severe
Pneumonia 0.4 0.3 0.3 0.3 0.3 0.3 0.1 0.2 1.5 0.3
among new U5
yrs cases
DIARRHOEA
Incidence of
diarrhoea per
1,000 under five 502 422 400 376 335 288 302 411 722 697
years children
(new cases)
% of children
under 5 with
diarrhoea 93 87 92 86 95 92 97 89 96 94
treated with zinc
and ORS
% of children
under five years
with diarrhoea 0.64 0.8 0.7 0.1 0.2 0.1 0.02 0.1 0.1 0.1
treated with IV
fluid
Percentage of
children U5 0.3 0.2 0.4 0.1 0.1 0.1 0.01 0.1 0.1 0.4
years with
DoHS, Annual Report 2073/74 (2016/17) xiii
 Province level, FY 2073/74
National level
PROGRAMME Province No
INDICATORS 2071/72 2072/73 2073/74
1 2 3 4 5 6 7
(2014/15) (2015/16) (2016/17)
diarrhea
suffering from
Severe
dehydration
Percentage of
children U5
years with
189 174 156 138 178 141 195 170 145 147
Pneumonia
treated with
antibiotics
SAFE MOTHERHOOD
% of pregnant
women who
52 66 64 61 81 49 57 71 64 65
received Td 2
and 2+
% of pregnant
women
96 97 102 95 103 109 102 103 110 92
attending first
ANC visit
% of pregnant
women
52 51 53 44 37 68 59 58 49 54
attending four
ANC visits
% of pregnant
women receiving
IFA tablets or
52 49 40 32 40 24 32 55 66 56
syrup during
their last
pregnancy
% of postpartum
mothers who
49 51 72 64 87 46 67 84 95 81
received vitamin
A supplements
% of institutional
52 55 55 49 44 53 46 69 60 68
deliveries
% of deliveries
conducted by a
51 54 52 48 45 52 46 65 51 60
skilled birth
attendant
% of postpartum
women received
PNC checkup 48 52 51 42 44 48 65 59 49 67
within 24 hours
of birth
% of women
who had three
20 18 19 9 23 13 14 25 20 35
PNC check-ups
as per protocol
FAMILY PLANNING
FP Methods New
acceptor among 11 11 10 9 7 9 10 14 14 14
as % of MWRA
xiv DoHS, Annual Report 2073/74 (2016/17)
 Province level, FY 2073/74
National level
PROGRAMME Province No
INDICATORS 2071/72 2072/73 2073/74
1 2 3 4 5 6 7
(2014/15) (2015/16) (2016/17)
Contraceptive
prevalence rate
43 43 43.6 47.8 49.4 41.1 35.6 43.6 37.4 40.5
(CPR-
unadjusted)
CPR method mix
3.5 3.5 3.6 2.5 2.0 2.4 3.7 5.7 4.9 6.2
– condoms
CPR method mix
3.0 3.0 3.0 3.7 1.6 2.4 2.9 4.5 2.4 3.5
- pills
CPR method mix
6.9 6.7 7.3 12.1 4.3 6.8 4.8 8.0 7.0 7.2
- Depo
CPR method mix
2.6 2.7 2.8 2.3 1.0 5.2 3.0 3.2 2.0 2.0
- IUCD
CPR method mix
2.8 4.0 4.6 4.1 1.3 6.9 3.2 6.0 5.7 5.4
- implants
CPR method mix
23.8 22.5 22.3 23 39 17 18 16 15 16
- sterilization
Sterilization (Tar
62 78 77 87 86 65 73 55 87 72
vs Achiev.)
FEMALE COMMUNITY HEALTH VOLUNTEERS (FCHV)
Total number of
FCHVs 410
51470 51416 49101`* 8578 7073 9016 5767 8718 5747
(Note =*= HMIS 2
source)
% of ARI cases
managed by
FCHVs among
57 41 59 53 55 58 52 57 49 63
ARI cases in
children under
five years
% of mothers
100 94 86 83 91 81 86 88 80 92
group meeting
% of PHC/ ORC
conducted
84 82 89 93 82 88 92 94 85 93
among planned
PHC/ORC
MALARIA AND KALA-AZAR
Malaria Blood
Slide collection(
69 78 77 38 45 38 112 125 83 140
target vs
achieve )
Malaria Slide
examination
126 112 101 100 100 107 102 101 105 100
(collection vs.
exam.)
Annual blood
slide
0.75 0.84 0.79 0.44 0.51 0.42 0.87 1.07 0.70 1.60
examination rate
(ABER) per 100
Annual parasite
incidence (API) 0.10 0.07 0.08 0.02 0.04 0.03 0.03 0.08 0.13 0.03
per 1,000

DoHS, Annual Report 2073/74 (2016/17) xv

 Province level, FY 2073/74
National level
PROGRAMME Province No
INDICATORS 2071/72 2072/73 2073/74
1 2 3 4 5 6 7
(2014/15) (2015/16) (2016/17)
population at
risk
Clinical malaria
20861 10642 3904 987 1377 421 62 723 39 295
cases
Incidence of
kala-azar per
10,000 0.25 0.12 0.11
population at
risk
TUBERCULOSIS
Case notification
rate (all forms of 123 113 111 84 109 128 81 135 98 110
TB)
Treatment
92 90 91 90 93 91 91 92 92 87
success rate
LEPROSY
New case
detection rate
(NCDR) per 11 11 11 11 20 4 5 19 7 8
100,000
population
Prevalence rate
0.9 0.9 0.9 0.8 1.5 0.3 0.5 1.6 0.6 0.7
(PR) per 10,000
HIV/AIDS AND STI
Number of HIV
264081 122888 176228 31780 14245 39043 4530 45104 682 40844
testing
Number of new
1480 2163 1781 207 273 630 108 134 9 208
positive cases
% of positivity
0.6 1.8 1.0 0.7 1.9 1.6 2.4 0.3 1.3 0.5
yield
CURATIVE SERVICES
% of population
utilizing
73 66 72 78 47 82 96 69 78 71
outpatient (OPD)
services
Average length
3 4 3 3 2 4 3 3 3 3
of stay
Source: HMIS/DoHS

xvi DoHS, Annual Report 2073/74 (2016/17)

 ABBREVIATIONS AND ACRONYMS

AA anaesthesiologist assistant
AAHW auxiliary Ayurveda health worker
ADRA Adventist Development and Relief Agency
AEFI adverse event following immunization
AES acute encephalitis syndrome
AFP acute flaccid paralysis
AFS adolescent‐friendly services
AGE acute gastroenteritis
AHA Ayurveda Health Assistant
AHW auxiliary health worker
AIDS acquired immuno‐deficiency syndrome
AMDA Association of Medical Doctors of Asia
AMR antimicrobial resistance
ANC antenatal care
ANM auxiliary nurse-midwife
API annual parasite incidence
ARI acute respiratory infection
ART antiretroviral therapy
ARV anti-rabies vaccine and antiretroviral
ASBA advanced skilled birth attendant
ASRH adolescent sexual and reproductive health
ASVS anti-snake venom serum
BAMMS Bachelor of Ayurveda and Modern Medicine and Surgery
BAMS Bachelor of Ayurveda Medicine and Surgery,
BC birthing centre
BCC behaviour change communication
BDS bachelor of dental science
BMEAT biomedical equipment assistant training
BMET biomedical equipment training
BOPV bivalent oral polio vaccine
BPKIHS BP Koirala Institute of Health Sciences
BS Bikram Sambat (Nepali era)
BTSC blood transfusion service centre
CB-IMCI Community-Based Integrated Management of Childhood Illness programme
CB-IMNCI Community Based Integrated Management of Neonatal and Childhood Illness
CB-NCP Community Based Integrated Management of Newborn Care Programme
CBO community-based organisation
CB-PMTCT Community-Based Prevention of Mother to Children Transmission
CCE comprehensive centres of excellence
CDD control of diarrheal disease
CDR Central Development region
CEONC comprehensive emergency obstetric and neonatal care
CHD Child Health Department

DoHS, Annual Report 2073/74 (2016/17) xvii

CHX chlorhexidine
cMYPoA Comprehensive Multi-Year Plan of Action
CNR case notification rate
CoFP Comprehensive family planning
CPR contraceptive prevalence rate
CRS congenital rubella syndrome
CTEVT Council for Technical Education and Vocational Training
DAMA discharged against medical advice
DDA Department of Drug Administration
DHF dengue haemorrhagic fever
DHIS District Health Information System
DHO district health office
DoA Department of Ayurveda
DoHS Department of Health Services
DOTS Directly Observed Treatment Short Course
DPHO district public health office
DPT diphtheria, pertussis, tetanus
DQSA data quality self-assessment
DSS dengue shock syndrome
DTLO district TB and leprosy officer
DUDBC Department of Urban Development and Building Construction
ECC eye care centres
EDCD Epidemiology and Disease Control Division
EDP external development partners
EDR Eastern Development Region
EHCS essential health care services
EID early infant diagnosis
EmOC emergency obstetric care
EOC essential obstetric care
EPI Expanded Programme on Immunization
EQA external quality assurance
EWARS Early Warning and Reporting System
FCHV female community health volunteer
FHD Family Health Division
FSW female sex worker
FWDR Far Western Development Region
FY fiscal year
G2D grade 2 disability
GIS geographic information system
GIZ German Society for International Cooperation (Deutsche Gesellschaft für Internationale
Zusammenarbeit)
GMP good manufacturing practice
GoN Government of Nepal
HA health assistant
HFOMC health facility operation and management committee

xviii DoHS, Annual Report 2073/74 (2016/17)

HIIS Health Infrastructure Information System
HIV human immunodeficiency virus
HMIS Health Management Information System
HURIS Human Resources Management Information System
ICD International Classification of Diseases
ICT immunochromatographic test
IDA iron deficiency anaemia
IDD iodine deficiency disorder
IEC information, education and communication
IFA supplementary iron folic acid
IMAM Integrated Management of Acute Malnutrition
IMCI integrated management of childhood illness
INGO international non-governmental organizations
Ipas International Pregnancy Advisory Services
IPV inactivated polio vaccine
IRS indoor residual spraying
ISMAC iodized salt social marketing campaign
IT information technology
IT information technology
IUCD intrauterine contraceptive device
JE Japanese encephalitis
Kfw Kreditanstalt für Wiederaufbau (German Development Bank).
LAMA left against medical advice
LAPM long acting and permanent methods
LARC Long acting reversible contraceptive
LCD Leprosy Control Division
LCD Leprosy Control Division
LLIN long lasting insecticidal (bed) nets
LMD Logistics Management Division
LMIS Logistics Management Information System
LTF lost to follow-up
M&E monitoring and supervision
MA medical abortion
MAM Management of Acute Malnutrition
MB multibacillary leprosy
MBBS Bachelor of Medicine, Bachelor of Surgery
MCH maternal and child health
mCPR modern contraceptive prevalence rate
MCV measles-containing vaccine
MD Management Division
MDA mass drug administration
MDG Millennium Development Goal
MDGP Doctor of Medicine in General Practice
MDIS Malaria Disease Information System
MDR multi-drug resistant

DoHS, Annual Report 2073/74 (2016/17) xix

MDT multi-drug therapy
MDVP multi-dose vaccine vials
MIYCN Maternal, Infant, and Young Children Nutrition programme
MNCH maternal, newborn and child health
MNH maternal and newborn health
MNP Micro-Nutrient Powder
MoE Ministry of Education
MoF Ministry of Finance
MoFALD Ministry of Federal Affair and Local Development
MoH Ministry of Health
MPDSR maternal and perinatal death surveillance and response
MR measles/rubella
MSM men who have sex with men
MSNP Multi-sector Nutrition Plan
MVA manual vacuum aspiration
MWDR Mid-Western Development Region
NAHD National Adolescent Health and Development (Strategy)
NAMC Nepal Ayurvedic Medical Council
NAMS National Academy for Medical Sciences
NCASC National Centre for AIDS and STD Control;
NCD non-communicable disease
NCDR new case detection rate
NDHS Nepal Demographic and Health Survey
NEQAS National External Quality Assurance Scheme
NGO non-governmental organizations
NHCP National Health Communication Policy
NHEICC National Health Education, Information and Communication Centre
NHIP National Health Insurance Programme and Nepal HIV Investment Plan
NHSP-IP Nepal Health Sector Programme-Implementation Plan
NHSS Nepal Health Sector Strategy (2015-20),
NHSSP Nepal health Sector Support Programme
NHTC National Health Training Centre
NIP National Immunization Programme
NMC Nepal Medical Council
NMICS Nepal Multiple Indicator Cluster Survey
NNJS Nepal Netra Jyoti Sangh
NPHL National Public Health Laboratory
NTC National Tuberculosis Centre
NTP National Tuberculosis Programme
OPD outpatient
OPV oral polio vaccine
ORS oral rehydration solution
OTTM operation theatre technique and management
PAM physical assets management
PB paucibacillary leprosy

xx DoHS, Annual Report 2073/74 (2016/17)

PBC pulmonary bacteriologically confirmed
PCD pulmonary clinically diagnosed
PCV pneumococcal conjugate vaccine
PDR perinatal death review
PEM protein energy malnutrition
PEN Package of Essential Non-communicable Diseases
Pf Plasmodiumfalciparum
PHCC primary health care centre
PHC-ORC primary health care outreach clinics
PHCRD Primary Health Care Revitalisation Division
PLHIV people living with HIV
PMTCT prevention of mother to child transmission
PNC postnatal care
POP pelvic organ prolapse
PPH postpartum haemorrhage
PSBI possible severe bacterial infection
Pv Plasmodium vivax
PWID people who inject drugs
QI quality improvement
RDT rapid diagnostic tests
RHD regional health directorate
RMS regional medical stores
RTI reproductive tract infection
RTQCC regional TB quality control centres
SAHW senior auxiliary health worker
SARC short acting reversible contraceptive
SARI severe acute respiratory infection
SBA skilled birth attendant/attendance
SHSDC Social Health Security Development Committee
SRH sexual and reproductive health
SS+ smear positive
STI sexually transmitted infections
SUN Scaling-Up-Nutrition
TABUCS Transaction Accounting and Budget Control System
Td tetanus and diphtheria
TIMS Training Information Management System
TSLC technical school leaving certificate
TT tetanus toxoid
TTI transfusion transmissible infection
TUTH Tribhuvan University Teaching Hospital
UNFPA United Nations Population Fund
UNICEF United Nations Children Fund
USG ultrasonogram
VA verbal autopsy and visual acuity
VAD vitamin A deficiency

DoHS, Annual Report 2073/74 (2016/17) xxi

VBDTRC Vector-Borne Disease Training and Research Centre
VDC village development committee
VPD vaccine-preventable disease
VSC voluntary surgical contraception
WASH water, sanitation and hygiene
WDR Western Development Region
WHO World Health Organisation
WHO/IPD WHO Immunization Preventable Diseases
WPV wild poliovirus
WRA women of reproductive age

xxii DoHS, Annual Report 2073/74 (2016/17)

 NATIONAL HEALTH POLICY, 2071 (2014)
1. Background
The relationship between health of general population and overall development of country is
intertwined. Progresses made in the health sector are considered the main indicators of
development. Despite poverty and conflict in past decades, Nepal has achieved remarkable success
in the health sector.
In the context of health as a fundamental right of the people established by Nepal’s constitution, it is
the responsibility of the nation to maintain the achievement made in controlling communicable
diseases, to reduce infant and maternal mortality rate to the desired level, to control the ever
increasing prevalence of non-communicable diseases and timely management of unpredictable
health disasters, and to provide quality health services to senior citizens, physically and mentally
impaired people, single women especially poor and marginalized and vulnerable communities.
This national health policy 2071, a complete revision of the national health policy 2048, has been
introduced to promote, preserve, improve and rehabilitate the health of the people by preserving
the earlier achievement, appropriately addressing the existing and newly emerging challenges and
by optimally mobilizing all necessary resources through a publicly accountable efficient
management.

2. Past Attempts
In Nepal, only limited people had access to ayurvedic and modern health care services at
Singhadarbar Vaidyakhana established nearly 300 years ago, and Bir Hospital established in 1947;
most ordinary people had to rely on traditional healers such as dhamijhakri, jharphuke, guvaju etc.
After the introduction of the periodic developmental plan in the country from B.S. 2013, a planned
development process began also in the health sector. In this process the first 15 year long-term
health plan and the second 20 year long-term health plan were introduced in B.S.2032 and 2054
respectively.
People actively and remarkably participated in health programs such as Smallpox Eradication,
Malaria Control, Tuberculosis Control, Polio Eradication, Filariasis Elimination, Leprosy Elimination,
as well as regular administration of vitamin ‘A’ to the children. Female Community Health Volunteer
program started from B.S. 2045 in Nepal has been a model program for the whole world.
Meanwhile, a policy for integrating vertical health programs from the perspective of cost
effectiveness and ease of implementation was adopted and the integration of malaria, leprosy,
tuberculosis, smallpox, and family planning / maternal child health programs was completed by B.S.
2047.
After the opening for private-sector investment in the health sector through the enactment of The
National Health Policy 2048, Institutes for the study of health sciences as well as private health
facilities were established in massive scale. The involvement of private sector in health has been
mainly in curative services, production of medicines and equipment, and they are concentrated in
urban areas. At the same time, Nepal Health Sector Program-1 (2060-2065) and Nepal Health Sector
Program-2 (2066-2071) have been formulated and implemented in order to enhance the
effectiveness of the investment of Government, Non-Government and Donor agencies.

DoHS, Annual Report 2073/74 (2016/17) xxiii

3. Current Situation
Due to concerted efforts of past sixty years, significant achievements have been made in the health
sector. Network of health facilities providing primary health care services have been accessible to all
people. Though concentrated in urban centers and confined to curative services only, the
participation of private sector has been increased. Human resources required for almost all levels of
health care are being produced within the county. Country is increasingly becoming capable to
producing high and medium level human resources. About four dozens of pharmaceutical companies
currently operating in the country have developed the capacity of producing 40 percent of medicine
required by the country.
Likewise, though the services are not widely available, a number of specialized care facilities relating
to eye, cancer, heart, kidney, neurology, orthopedic, and plastic surgery have been established
under Government and Non-Government sector. Diagnostic centers and lab services have been
strengthened and expanded. The major health problems of past decades that have been Malaria,
Tuberculosis, Diarrhea, respiratory diseases, Typhoid, Chickenpox, Whopping Cough, Diphtheria,
Tetanus, Filariasis, Kala Ajar, Trachoma, HIV, are in control and burden of these diseases are in
descending trend. Smallpox has been eradicated and polio is down to zero in Nepal. Leprosy is in
state of elimination. Maternal and neonatal tetanus has been eliminated and trachoma is in process
of elimination. Campaign for control of filarial disease is ongoing.
Various regulatory bodies (Medical Council, Nursing Council, Pharmacy Council, Health Council,
Ayurvedic Council, National Health Research Council) responsible for ensuring quality of production
of human resource for health, health care, drug supply and researches, several institutions have
been established and are operational.
Collaboration and partnership with health related international organizations, donor communities,
and countries have been developed. Health awareness in general public has been increased.
Considerable development in education, communication, agriculture, and food supply has
contributed to the development of health.
As the result of above efforts, remarkable progress has been made in the health sector which is
justified by the indicators in table below.

Indicator Decade of B.S. B.S. 2048 B.S. 2068 Source

2007 (A.D. (A.D. 1991) (A.D. 2011)
1950)
a) Infant mortality rate 200 107 46 Nepal Health and Demographic
(per thousand live births) Survey, 2011
b) Maternal mortality rate 1800 850 170 Millennium Development Goal
(Per 100,000 live births) Progress Report, 2011
c)Average life expectancy 32 53 68.8 (A.D. Nepal Human Development Index
(year) 2011) Report, 2014
d) Under 5 children 280 197 54 Nepal Health and Demographic
mortality (per thousand) Survey, 2011
e)Total fertility rate 7 5.8 2.6 Nepal Health and Demographic
Survey, 2011
f) Fully immunized 70 88/87 Nepal Health and Demographic
children (Percentage) Survey, 2011

xxiv DoHS, Annual Report 2073/74 (2016/17)

4. Issues and Challenges
In spite of considerable achievement in the health sector and country progressing towards positive
direction, there are still many problems and challenges that need to be addressed. Some major
problems and challenges are as follows:

Major Issues:
 Citizens of all localities, levels, classes, groups and communities do not have yet easy and
affordable access to health care as aspired by the constitution.
 Despite the continuous effort of the state, about a half of under 5 children and women of
reproductive age are undernourished whereas the problem of obesity is growing among urban
population.
 Health problems created by the situations like climate change, raising food insecurity and
natural disasters are on the rise.
 Prevalence of cancer, hypertension, diabetes, and illnesses related to heart, kidneys, liver,
lungs, along with other non communicable diseases like mental illnesses, dental problems are
on the rise. Likewise, deaths due to road and injuries are increasing day after day.
 State has not been able to provide adequate priority on primary health care programs in urban
areas, health of senior citizens, mental disorders, genetic and congenital diseases,
environmental health, occupational hazard, sexual and reproductive health of adolescents and
health promotion on school-age children, etc.
 Access to quality medicine for people, right use of medicine, production and distribution of
essential drugs and medical equipments within the country are not effective and people
oriented.


 Laboratory services and medical equipments are not yet up to the quality standard.


 The issues such as complexities seen in rational production of various skilled health
professionals that take social responsibility, brain drain of health professionals, transfer of
health and other personnel, continuous presence of health personnel in health facilities,
security of health personnel, etc., have not yet been addressed in a planned way.
 Not been able to mobilize private-sector investment in health for the benefit of the people and
divert their investment to appropriate areas.
 Not been able to effectively regulate health sector according to law and rules. There is a lack of
sufficient harmony between the organizations producing health personnel and the
organizations utilizing them.

Major Challenges:
 There is a need for appropriate implementation of a two way referral system in order to
improve the quality standard of health care services.
 There is a need for immediate management of highly infectious diseases (like Bird-flu) or
potential new diseases, controlling of epidemic, emergency preparedness for minimizing human
casualty due to earthquake and other natural disasters and retrofitting of hospitals and other
health institutions.
 In order to reduce new born, child and maternal mortality rate, there is a need for maximizing
the effectiveness of controlling Diarrhea, acute respiratory infection, Malaria, Kala Azar,

DoHS, Annual Report 2073/74 (2016/17) xxv

 Encephalitis, Filariasis, Dengue, Tuberculosis, Leprosy, HIV, and other diseases that can be
prevented through immunization.
 It has been difficult to control the spread of human and animal related diseases due to the open
border with neighboring countries.
 There is a need for creating opportunities by strengthening health institutions down to the grass
root level and establishment of a social health insurance system so that health services, health
education and information are equally available for all citizens.
 There is a need for increasing state’s investment to the health sector in proportion to
population growth.
 There is a need for urgently addressing regional disparity in health indicators.
 There is a need for implementing health-related acts, rules, policies, strategies and action plan
in a comprehensive and integrated manner. Likewise, country is committed to the international
treaties and agreements, and therefore, it should continue actively participating for their
successful implementation.
 The nation being a party to a convention on the Rights of Persons with Disabilities, it needs to
increase investment for providing all necessary health services to the people with blindness,
visual impairment, hearing impairment, mental impairment, and physical impairment.
 There is a need for empowering local government and holding them accountable for health
services along with improving people participation in rural health programs.

5. Need for new policy, guiding principles and vision

As the existing health policy 2048 is insufficient to ensure citizen’s right to quality health care
through appropriate response to the above problems and challenges, this new national health policy
had to be promulgated. While preparing this policy, a few guiding principles were formulated and
based on those guiding principles, policies, and strategies have been proposed. The National Health
Policy 2071 will be implemented based on the guiding principles presented below:

 As a fundamental right of citizens, provision for obtaining quality health care will be ensured.
 Right to information related to the health services provisioned for citizens will be ensured.
 In order to ensure the health services provisioned by the state is accessible to poor,
marginalized, and vulnerable communities; based on equality and social justice, programs will
be designed and implemented accordingly.
 People will be participated in every kind and level of health services.
 Policies and programs related to health promotion, protection, improvement, and rehabilitation
will be gradually incorporated into state’s other policies.
 Participation of private sector will be promoted ensuring citizen’s easy access to quality health
services at fair price.
 Resources obtained from internal and external agencies will be mobilized for effective
implementation of this policy and the programs formulated under this policy.
 All health services, provided by government or organized differently through a network of
government and private sector, will be regulated.
 Flow of health services will be made fully accountable.
This policy has been deemed necessary for successful implementation of the above guiding
principles.

xxvi DoHS, Annual Report 2073/74 (2016/17)

5.1 Vision
All Nepalese citizens would be able to live productive and quality life; being physically, mentally,
socially, and emotionally healthy.

5.2 Mission
Ensure the fundamental right of citizens to remain healthy through a strategic collaboration among
service provider, beneficiaries, and stakeholders and optimum utilization of available resources.

5.3 Goal
To ensure health for all citizens as a fundamental human right by increasing access to quality health
services through a provision of just and accountable health system.

5.4 Objectives
1. To make available free the basic health services that existed as citizen’s fundamental right.
2. To establish an effective and accountable health system with required medicines, equipments,
technologies and qualified health professional for easy access to acquire quality health services
by each citizen.
3. To promote people’s participation in extending health services. For this, promote ownership of
the private and cooperative sector by augmenting and managing their involvement.

6. Policies
1. To make available in an effective manner the quality health services, established as a
fundamental right, ensuring easy access within the reach of all citizens (universal health
coverage) and provision of basic health services at free of cost.
2. To plan produce, acquire, develop, and utilize necessary human resources to make health
services affordable and effective.
3. To develop the ayurvedic medicine system through the systematic management and utilization
of available herbs in the country as well as safeguarding and systematic development of other
existing complementary medicine systems.
4. To aim at becoming self-sufficient in quality medicine and medical equipment through effortless
and effective importation and utilization with emphasis on internal production.
5. To utilize in policy formulation, program planning, medical and treatment system, the proven
behaviors or practices obtained from researchers by enhancing the quality of research to
international standard.
6. To promote public health by giving high priority to education, information, and communication
programs for transforming into practice the access to information and messages about health as
a right to information.
7. To reduce prevalence of malnutrition through promotion and usage of quality healthy foods.
8. To ensure availability of quality health services through competent and accountable mechanism
and system for coordination, monitoring and regulation.
9. To ensure professional and quality service standard by making health related professional
councils capable, professional, and accountable.
10. To mainstreaming health in every policy of state by reinforcing collaboration with health-related
various stakeholders.

DoHS, Annual Report 2073/74 (2016/17) xxvii

11. To ensure the right of citizens to live in healthy environment through effective control of
environmental pollution for protection and promotion of health.
12. To maintain good governance in the health sector through necessary policy, structure and
management for delivery of quality health services.
13. To promote public and private sectors partnership for systematic and quality development of
health sector.
14. To increase the investment in the health sector by state to ensure quality and accessible health
services and to provide financial security to citizens for medical cost and as well as effectively
utilize and manage financial resources obtained from private and non government sector.

7. Strategies
1. Following strategies (related to policy 1) will be adopted to make available in an effective
manner the quality health services, established as a fundamental right, ensuring easy access
within the reach of all citizens (universal health coverage) and provision of basic health
services at free of cost.
1.1. Basic health service will be provided at free of cost by making acts relating to basic health
service.
1.2. As Nepal is the signatory of international convention on Rights of Persons with Disabilities,
all necessary health services needed for people who are blinds, visually impaired, hearing
impaired as well as mentally, cognitively and physically disabled will be included in urgent
health service category.
1.3. National health guidelines and protocols will be prepared and implemented to ensure all
citizens have received standard quality health care by reforming basic health program of
state for fulfilling basic health needs of citizens.
1.4. Impartial service will be delivered on the basis of equality by strengthening programs
delivering health services in rural areas as well as including marginalized groups in urban
areas.
1.5. Quality health treatment care of national standard will be catered by keeping priority on
preventive and promotive service and by using proper medicine and technology.
1.6. Nepal will be developed as regional hub for health tourism and medical science studies by
confirming areas delivering highly specialized and international standard services and
developing those areas.
1.7. Integrated program of health service, care and support will be formulated and
implemented according to the need of senior citizens.
1.8. Current situation of managing infectious diseases will be modified and implemented under
periodic plan on timely basis with essential additional immunization service. Respective
services are implemented effectively on the basis of policies related to prevention and
control of non communicable diseases, prevention and treatment of accidents and injury,
and mental health.
1.9. Affordable health services will be made available all over the country through telemedicine
(ehealth).
1.10. Arrangement of a doctor and a nurse along with other health technicians will be made
available in every VDC and one nurse midwife in every ward according to population.
Necessary number of health promotion and monitoring officer will be mobilized in every

xxviii DoHS, Annual Report 2073/74 (2016/17)

 constituency to monitor quality of health service and make promotive health service
available widely in local level.
1.11. Laboratory and x-ray service will be expanded respectively in VDC level health institutions.
1.12. Blood transfusion service will be made systematic in coordination with non-government
sector by regulating through government sector.
1.13. Institutions providing specialized and highly specialized service will be established and
expanded gradually for providing services accessible to the residents of all regions in
country. Intensive care facility with specialists will be expanded to district level hospitals
gradually on the basis of criteria. Effective two-way communication system will be arranged
between health institutions at community level to highly specialized service providers to
make treatment service systematic.
1.14. Arrangements will be made to provide pharmacy service owned itself by hospital and to
distribute medicines to patients through qualified pharmacy personnel.
1.15. Periodic health related programs and action plans will be implemented by stating target
based on important health and development indicators such as maternal mortality rate,
infant mortality rate, under-five child mortality rate, average age. Reports from health
institutions will be made more scientific, timely, reliable and periodic.
1.16. Primary Health care service will be decentralized gradually by making local government
authorized and accountable for health services by increasing technical capability of local
government.
1.17. Arrangement will be made to contact ambulance service using one symbol number
throughout the country. Arrangement of service with essential medicines, oxygen, and
skilled health personnel will be ensured in ambulance. Air ambulance service will be
operated by making certain criteria for providing medical care by rescuing those in crisis.
1.18. Network of health personnel capable of making first aid treatment with essential drugs and
equipment will be arranged within the distance of one hour maximum in major highways
for treating injured people quickly.
1.19. At least one-village-one-health-institution will be established in the distance of 30 minutes
maximum on the basis of geographical location and population ratio. Programs in periodic
plans will be included to establish one primary health care center in every 20 thousand
population and one 25-bed-hospital for every one hundred thousand population. Likewise
one primary health care center will be established in every industrial area.
1.20. Mental health care service from the level of community to hospitals providing specialized
service will be implemented gradually by including in periodic plan.
1.21. Family planning including sexual and reproductive health will be included as integrated
form of service. Concept of Youth and adolescent friendly health service will be
incorporated in all organizations delivering health services. Reproductive health act will be
introduced.
1.22. Integrated child health program managing diseases relating to child will be implemented
continuously through strengthening on timely basis.
1.23. Flow of health service related to oral, eye and ear care will be actively implemented
throughout the country.
1.24. Establishment of referral hospitals on various subjects of medicines including dental and
ear, nose, throat will be done.

DoHS, Annual Report 2073/74 (2016/17) xxix

 1.25. Development of international standard referral laboratory will be done by increasing
capacity of national public health laboratory and national drug laboratory.
1.26. Country being signatory to International treaty, agreements and commitments including
treaty related to controlling tobacco will be implemented actively.
2. Following strategies (related to policy 2) will be adopted to plan, produce, acquire, develop,
and utilize necessary human resources to make health services affordable and effective.
2.1 Master plan will be implemented for managing and developing human resources in
health sector along with projection of necessary workforce required within and outside
the country. Expenditure in human resources will be considered an investment.

2.2 Minimum integrated national curriculum will be implemented to produce human

resources of various kinds at various levels in health sector having appropriate skills and
knowledge capable of taking social responsibility according to national need. Educational
institutions operating under private and government investment will be supported and
regulated by creating high level mechanism with authority for monitoring educational
institutions and quality of human resources produced there.
2.3 Active and continuous presence of human resource in health sector will be ensured by
creating an environment to make them work compulsorily in assigned duty. Special
facility and opportunity will be created for health workers and their dependent families
working in remote areas.

2.4 Quality health services will be ensured by creating new positions of human resources by
having skills mixed on the basis of population.

2.5 Arrangement of one doctor along with 23 health workers will be ensured for every 10
thousand population gradually. Special arrangement will be made for remote and
mountainous areas.

2.6 Arrangements for encouragement of health workers including doctor will be done for
enhancing their capacity by creating opportunity of higher education, in-service training,
and participating them in research and study.

2.7 Regional and zonal hospitals are included in specialization course provided by
government academy.

2.8 Brain drain of human resources is discouraged by taking effective measures such as
career development and various kinds of financial and non-financial incentives to stop
currently visible brain drain and to create conducive working environment.

2.9 Skilled human resource will be produced for safe motherhood by initiating midwifery
education. Opportunity of midwifery education will be provided for enhancing capacity
of working nurses.

2.10 Transparent and scientific rotation transfer system will be developed and implemented
to systematize transfer of health workers and staffs.

2.11 Policy will be adopted for utilizing skilled private sector workers into government
service according to need. Likewise arrangement will be made for utilizing health
workers produced in private sectors into governmental entities according to need.

2.12 Study, research and training center of international standard will be set up by utilizing
outstanding achievements obtained in Nepal’s health sector.

xxx DoHS, Annual Report 2073/74 (2016/17)

 2.13 Capacity of female community health volunteers will be developed with necessary
incentives to improve their quality of services.

3 Following strategies (related to policy 3) will be adopted to develop the ayurvedic medicine
system through the systematic management and utilization of available herbs in the country
as well as safeguarding and systematic development of other existing complementary
medicine systems.

3.1 Ayurveda will be developed gradually. Development and reformation will be done by
assessing quality of service in this area from research. Long term plan will be developed and
implemented for the safeguard, development, and expansion of homeopathy, unani (Greek),
and other complimentary medicine system.
3.2 Development and expansion of appropriate structure will be done gradually for
implementation of ayurveda system effectively.
3.3 Emphasis is given for production and commercialization by ensuring quality of herbal
medicine produced by government and private ayurveda medicine manufacturer with
special plan and programs for the safeguard and proper use of locally available herbs.
3.4 Study and research of ayurveda, and development of skilled human resources related to
research will be operated as a priority program by arranging and developing appropriate
human resources for national ayurveda research and training center.
3.5 Special focus will be given to enhance the quality of ayurveda health service by regulating
inappropriate activities in the name of ayurveda and herbs.
4. Following strategies (related to policy 4) will be adopted to aim at becoming self-sufficient in
quality medicine and medical equipment through effortless and effective importation and
utilization with emphasis on internal production.

4.1 Country will be made self sufficient in production of medicine. Arrangement will be made for
production and supply of all essential medicines.
4.2 Supplied to private and government sector, manufactured either within country or
imported, system will be developed according to the criteria for ensuring quality of
medicines, medical tools, equipments, and items used in laboratory.
4.3 Special arrangement will be done for controlling misuse of freely distributed drugs and will
increase gradually the types and numbers of freely distributed essential drugs from every
health institutions.
4.4 Making estimates, purchases, and distribution of drugs more effective and making current
arrangement of purchase and supply system strong, procedural reform including
participation of skilled pharmacist will be done in this process.
5. Following strategies (related to policy 5) will be adopted to utilize in policy formulation,
program planning, medical and treatment system, the proven behaviors or practices obtained
from researchers by enhancing the quality of research to international standard.

5.1 Current organizational, institutional and procedural state of affair of Nepal health research
council will be improved timely to increase quality of health research to international
standard. Special programs will be launched to enhance the capacity of council for the
promotion and facilitation of health research.
5.2 Health research will be regulated for providing new findings and suggestions for promoting,
safeguarding, improving and rehabilitating health of citizens and arrangement will be made

DoHS, Annual Report 2073/74 (2016/17) xxxi

 for using suggestions from research more effectively in policy making, planning and
implementation.
5.3 Report and conclusion obtained from research will be made further accessible to all.

5.4 Encouragement will be done to include health in research of other sectors.

5.5 Health researcher and scientist will be encouraged to do research in various subjects of
health and environment will be created to respect their expertise.
5.6 Network of national and international organizations related to study and research will be
established.
5.7 Universities related to health and governmental and nongovernmental educational
institutions will be encouraged and facilitated to participate in research.
5.8 Special priority will be given for scientific exploration and research of herbs available in
country.
6. Following strategies (related to policy 6) will be adopted to promote public health by giving
high priority to education, information, and communication programs for transforming into
practice the access to information and messages about health as a right to information.
6.1 National health information system will be developed to provide information of works done
in health sector in simple and easy manner to the access of all citizens.
6.2 Wide use of health education information and communication will be put in high priority to
promote health by increasing awareness of individual or community, to control diseases, to
obtain health gain in time and to change behavior.
6.3 Advertisement and promotion of items having adverse effect on health of citizens such as
tobacco, substance with tobacco, alcohol, and other alcoholic beverages will be banned.
Likewise any kind of medium of communication that affects the sexual life of citizens directly
or indirectly will be banned.
6.4 Governmental and nongovernmental sectors will be mobilized to disseminate user friendly
and acceptable information in local languages that are informative, promotive and able to
raise awareness among public.
6.5 All citizens will be encouraged to obtain health information using all medium of
communication including electronic in optimum manner.
6.6 School health program that is recognized as effective and capable of providing high return
will be implemented in all schools of country in coordination with ministry of education. For
this, action plan with detail working procedure will be developed for all programs ongoing
currently in schools by unifying them and health programs will be carried out by arranging
one health worker at least in secondary school.
6.7 Arrangement will be done to provide all kinds of information of health service particularly
related to the treatment of patient for establishing a right to information to the respective
consumer.
7. Following strategies (related to policy 7) will be adopted to reduce prevalence of malnutrition
through promotion and usage of quality healthy foods.
7.1 Necessary arrangement will be made to free from the condition of malnutrition in the long
run by emphasizing promotion, production, and usage of food items available and could be
produced locally through the means of educational program in nutrition based in
community.

xxxii DoHS, Annual Report 2073/74 (2016/17)

 7.2 Current multi-sector policy and programs related to nutrition including food security will be
implemented with high priority by updating them to improve the situation of malnutrition.
7.3 Regular feedback will be given to agriculture development and other ministries to increase
the self-sufficiency in food as there is direct relationship between food security and
nutrition, under the community health program backyard garden will be promoted with the
involvement of local body, and daily consumption of green vegetable and fruits will be
increased up to 400 grams.
7.4 Necessary act, procedure, and human resources will be arranged to discourage the usage of
processed and readymade food (junk food) that damage the body, alcohol and beverages,
and to monitor the quality of food distributed and sold from hotels and restaurants.
7.5 Coordinate with respective stakeholders will be done to eliminate chemical substances and
poisons used in food and meat items which have adverse effect on human health.
7.6 Appropriate life style will be promoted to control food related diseases and overweight.
7.7 Arrangement will be made to bring within legal domain to control food adulteration that has
adverse effect on health.
8. Following strategies (related to policy 8) will be adopted to ensure availability of quality health
services through competent and accountable mechanism and system for coordination,
monitoring and regulation.
8.1 Receipt of quality health services will be ensured provided by government and private
sectors by arranging legal institution for regulating all health services.
8.2 Current legal arrangement will be amended to regulate drugs used in modern, ayurveda, and
alternative method of treatment used in human and animals to make it more effective.
Arrangement of drug inspectors in right numbers will be placed in every district by
restructuring department of drug administration.
8.3 National directives and protocols will be prepared for ensuring receipt of quality health
services. Arrangement will be made to implement protocols according to the local need of
hospitals for treating diseases.
8.4 Regular monitoring and regulation will be done to ensure delivery of high quality health
service to citizens with criteria to keep the quality of human resources providing services,
technologies used, medicines, equipments including supplies.
8.5 Laboratory/blood transfusion centers along with services provided by such
laboratory/centers will be regulated for standardization according to criteria. Arrangement
of legal provision will be made for laboratories to function only after the accreditation.
8.6 Provision of punishment and penalty will be done on regular basis by monitoring and
evaluating health services provided by government and non-government sector in any
geographical region of the country.
8.7 Necessary organizational structure will be arranged to listen grievances and complaints of
patients or health service user for providing legal remedy. Consultation will be provisioned
for using technology to the availability in the process of treatment.
8.8 Necessary strategy will be adopted to make investment of private sector to the benefit of
public by legal arrangement and to increase investment in appropriate place.
8.9 Legal arrangement will be made under the Infectious disease act 2020 to compulsorily
inform the designated entity in specified time for the diseases likely to become pandemic.
Infectious disease act, 2020 will be amended.

DoHS, Annual Report 2073/74 (2016/17) xxxiii

 8.10 Arrangement will be made for mentioning generic name of medicine by doctor to be
understandable clearly by all.
9. Following strategies (related to policy 9) will be adopted to ensure professional and quality
service standard by making health related professional councils capable, professional, and
accountable.
9.1 Work of various established councils will be made effective, transparent and accountable to
ensure the quality of varieties of education related to health and health services provided.
9.2 Current act and rules will be implemented through amendment to bring uniformity on the
services provided by health institutions and councils.
9.3 Health institutions and councils will be strengthened more through legal and physical means.
9.4 Collaboration will be promoted with professional association /organizations established in
private and non government sector to deliver health services and doing study and research.
10. Following strategies (related to policy 10) will be adopted to mainstreaming health in every
policy of state by reinforcing collaboration with health-related various stakeholders.
10.1 Current multilateral cooperation will be made stronger by accepting health as a main
agenda of development. Issues of health will be included in all associated acts.

10.2 Action plans will be implemented in coordination with multi sector as various aspects such
as safe drinking water, hygiene, energy, food security, climate, environment, education,
accommodation, road including physical development impact the receipt of health services.

10.3 Sustaining the progress made in millennium development goal set for 2015 by Nepal, goal
set thereafter will be addressed effectively.

10.4 Coordination with all the stakeholder entities will be done for making multi sectoral action
plan by utilizing national network and mechanism and opportunities for addressing negative
effect on health due to climate change for overall management.

10.5 Proper arrangement will be done for effective coordination and collaboration with
stakeholders entities for managing diseases communicated through animals and insects.

11. Following strategies (related to policy 11) will be adopted to ensure the right of citizens to live
in healthy environment through effective control of environmental pollution for protection
and promotion of health.
11.1 Collaboration for leadership will be taken for regulation by developing mechanism for
controlling adverse effect of environmental pollution and climate change for health
safeguarding and promotion.

11.2 Effective arrangement will be done for managing waste generated from the entities
providing health services in scientific manner. Current legal system for managing waste will
be implemented strictly.

11.3 Act will be implemented to manage radioactive materials used in health sector according to
national and international standards.
12. Following strategies (related to policy 12) will be adopted to maintain good governance in the
health sector through necessary policy, structure and management for delivery of quality
health services.
12.1 Changes will be made to acts and rules according to need after reviewing them to make
health services in operation more effective and trustworthy. Integrated public health service

xxxiv DoHS, Annual Report 2073/74 (2016/17)

 act will be implemented by integrating health related acts and rules according to need by
timely revising them.

12.2 System of result oriented utilization and management will be adopted for effectively
mobilizing foreign aid in health sector by integrating all partner entities.

12.3 All physical infrastructure constructed will be made friendly to disable people, children, and
will be made earthquake resistant. Infrastructures that are being used currently but at risks
will be strengthened using available technology to make earthquake resistant. To provide
service to all physical infrastructures additional necessary infrastructure like store etc will be
added and systematized.

12.4 Health institutions are constructed according to the prevailing building standard on the
basis of physical location and population.

12.5 Modern information technology will be used at maximum for health management.

12.6 Multi-sectoral action plan will prepared and implemented to address emergency health
issues instantly arising from natural disaster and other causes.

12.7 Individuals having social prestige and respect, and individuals regarding health service as
charity, professionals, and local community will be involved in forming development
committees of various hospitals and operations and management committees of health
institutions. Community involvement is encouraged in management of health service, easy
access and continuation.

12.8 Act will be implemented for management and regulation of hospital management
committee including other committees.

12.9 Good governance action plan will be prepared and implemented for ensuring qualitative
service by incorporating government, private, community and cooperative in health service
delivery. Local cooperatives having many consumers will be participated in management of
local level health institutions by developing criteria for delivering health service.

12.10 Health good-governance action plan will be prepared and implemented for making health
service delivery transparent, responsive and publicly accountable.

12.11 Action of withdrawing tissues or blood related substance, or transplanting or action of

human organ transplanting will be systematized by law.

12.12 Action of organ donation will be eased by defining brain dead in scientific and professional
manner, in relation to selecting appropriate organ recipient with the goal of providing
organs for transplanting will be systematized by law.

12.13 Arrangement will be made to have only one official professional trade union in relation to
current situation of many trade unions present in one health institution.

12.14 Infertility is systematized by the law of surrogacy.

13. Following strategies (related to policy 13) will be adopted to promote public and private
sectors partnership for systematic and quality development of health sector.
13.1 Public and private partnership will be developed complimenting each other to promote
further the concept of public and private partnership.

DoHS, Annual Report 2073/74 (2016/17) xxxv

 13.2 Arrangement of legal system will be made to encourage and manage the concept of
cooperative needed for health sector.

13.3 Grant will be providing to health institutions in nongovernmental sector by making clear
criteria.
14. Following strategies (related to policy 14) will be adopted to increase the investment in the
health sector by state to ensure quality and accessible health services and to provide financial
security to citizens for medical cost and as well as effectively utilize and manage financial
resources obtained from private and non government sector.
14.1 Arrangement will be done for allocating budget on the basis of population by determining
per capita investment in health sector by acknowledging spending made in health is not
expenditure but an investment. Per capita investment will be increased gradually.

14.2 As current personal expenditure of individual is 55 percent of gross expenditure made in

health, such percentage will be reduced gradually.

14.3 Amount appropriated for health sector will be distributed equitably by making criteria.

14.4 Nationwide insurance plan will be rolled out by making law and directives for ensuring
delivery of affordable health service by making financial management sustainable.
Arrangement will be made to provide discount for Incapable and financially poor.

14.5 Vaccine fund set up with the aim of preventing fund scarcity will be systematized through
law to conduct immunization program without interruption.
14.6 Action will be encouraged to find or help others to find new ways to manage finance of
health sector. Other funds of health sector will be made systematic and effective.

14.7 Arrangement will be made to use local level program and fund for health service and
infrastructures.

14.8 Production and sales and distribution of substance with tobacco and other substance
harmful to health will be discouraged with high taxes. Sources of fund obtained this way are
spent in health service.

15. Miscellaneous
15.1 Current sectoral policy and newly made such policies will be helpful and complementary to
implement provisions contained in this national policy.

15.2 Partnership and collaboration will be done with private, commercial groups, cooperatives,
communities and development partner organizations and not for profit service providers
with the aim of providing quality, sufficient, relevant, timely service of appropriate kind.

8. Structural arrangements
For effective implementation of this policy, departments, divisions, branches, subdivision etc of
current organizational structure from central to rural level along with additional regulating bodies,
and employee positions according to these levels will be added or reduced according to need under
the ministry of health and population by taking care of state restructuring.

9. Financial resources
Government sources, foreign loans and assistance, and investments of private sector in this sector in
totality will be the sources of implementation of this national health policy.

xxxvi DoHS, Annual Report 2073/74 (2016/17)

10. Monitoring and evaluation
1. Responsive and effective mechanism will be arranged to monitor and evaluate health programs at
every level regularly. For this, effective monitoring and evaluation system will be developed by
taking into account of the result based monitoring and evaluation model formulated and practiced
by national planning commission as well as monitoring and evaluation system implemented by the
ministry of local development.

2. Health management information system will be amended timely and will be upgraded to
complete computerized system.

11. Risks
1. In the absence of overall resource mobilization strategy in health sector, chances of difficulty in
resource mobilization will be present.

2. Health policy may need to be readjusted by segregating programs to be included in the domain of
center and federation after the country is transformed into the federal structure.

12. Revocation
National health policy 2048 has been revoked.

DoHS, Annual Report 2073/74 (2016/17) xxxvii

 Chapter 1
Introduction

INTRODUCTION

1.1 Background
This is the twenty-third annual report of the Department of Health Services (DoHS). This report
analyses the performance and achievements of DoHS in fiscal year 2073/74 (2016/2017). It focuses
on performance in 2073/74 and the following areas that provide the basis improving performance in
subsequent years:
• Programme’s policy statements, including goals, objectives, strategies, major activities and
achievements.
• Programme’s indicators.
• Problems, issues, constraints and recommendations on improving performance and achieving
targets.

This report also provides information on the contributions of the Department of Ayurveda and
Department of Drug Administration, the health councils, partners and stakeholders on
contemporary issues in the health sector as well as the progress of major programmes implemented
by DoHS and its regional health directorates (RHDs), district health offices (DHOs), district public
health offices (DPHOs) and health facilities.

The preparation of this report follows the seven province level workshop in parallel sessions on the
first two days that culminated in the National Annual Performance Review Workshop date on 20 –25
September 2017 which was held in Kathmandu..These workshops were attended by senior
personnel from the regional directorates, divisions, centres and sections, central level hospitals, and
by representatives of external development partners (EDPs) and non-governmental organizations
(NGOs and INGOs).

Workshop participants reviewed the policy statements of each programme and analysed data
generated by the Health Management Information System (HMIS and from other sources on
selected indicators. These data were interpreted during the presentations and discussions.

The objectives of National Annual Performance Review Workshop:

• Review the program implemented in fiscal year 2073/74 and draw lessons learned
• Develop action plan to be implemented in coordination with Municipalities (Palika), Province
and Federal Government in:
• FY 2074/75 (running fiscal year), and
• FY 2075/76 (next fiscal year)

• Orient district managers on policy/management issues and new programmes

The Ministry of Health delivers promotional, preventive, diagnostic, curative, and palliative health
care services and carries out related policy, planning, human resource, financial management and
monitoring and evaluation functions. MoH has five divisions: the Curative Services Division; the

DoHS, Annual Report 2073/74 (2016/17) 1

Introduction

Policy, Planning and International Cooperation Division (PPICD); the Public Health, Monitoring and
Evaluation Division; the Human Resources and Financial Management Division and the
Administration Division.

Nepal’s public health system has the following six centres that have a degree of autonomy in
personnel and financial management: National Health Education, Information and Communication
Centre (NHEICC); National Health Training Centre (NHTC); National Centre for AIDS and STD Control
(NCASC); National Tuberculosis Centre (NTC); National Public Health Laboratory (NPHL) and Vector-
Borne Disease Training and Research Centre (VBDTRC). The NHTC coordinates all training
programmes of the divisions and implements training by sharing common inputs and reducing the
travelling time of care providers. All information, education and communication (IEC) and behaviour
change communication (BCC) activities are coordinated by NHIECC. The centres support the delivery
of essential health care services (EHCS) and work in coordination with the respective divisions. In
addition, the six professional councils (Nepal Medical Council, Nepal Nursing Council, Nepal
Ayurvedic Medical Council, Nepal Health Professional Council, Nepal Pharmacy Council and Nepal
Health Research Council) accredit health-related schools and training centres and regulate care
providers.

DoHS, the Department of Ayurveda (DoA) and the Department of Drug Administration (DDA) come
under MoH. These three departments are responsible for formulating and implementing
programmes, the use of financial resources and accountability, and monitoring and evaluation. DDA
is the regulatory authority for assuring the quality and regulating the import, export, production,
sale and distribution of drugs. The Department of Ayurveda offers Ayurvedic care and implements
health promotional activities.

1.2 Department of Health Services

The DoHS is responsible for delivering preventive, promotive, diagnostic and curative health
services. The director general is the organisational head. The DoHS has seven divisions (Table 1.1 and
Figure 1.1.).

Table 1.1: The responsibilities of DoHS’s seven divisions

Division
1 Child Health Division (CHD)
2 Family Health Division (FHD)
3 Epidemiology and Disease
Control Division (EDCD)
4 Leprosy Control Division (LCD)
Areas of responsibility
The Expanded Programme on Immunization (EPI), Nutrition and
Community-Based Integrated Management of Childhood Illness
programme (CB-IMCI) and newborn care.
Reproductive health care (including safe motherhood and neonatal
health), family planning and female community health volunteers
(FCHVs)
The control of epidemics, pandemic and endemic diseases and the
treatment of animal bites.
The prevention, early detection, treatment, referral, rehabilitation,
management and follow-up through the community-based
rehabilitation of all types of disability including leprosy.

2 DoHS, Annual Report 2073/74 (2016/17)

 Introduction

Division Areas of responsibility

5 Management Division Infrastructure, budgeting and planning, monitoring and supervision
(M&E), quality of care, management information system, information
technology (IT), nursing services, oral and mental health, physical assets
management (PAM), and free medication and treatment for
impoverished citizens.
6 Logistics Management Division The procurement, supply and management of logistics, equipment and
(LMD) services required by DoHS and below levels.
7 Primary Health Care Expanding the coverage of primary health services in an equitable way
Revitalization Division (PHCRD) particularly by addressing the needs of disadvantaged and unreached
population groups.

Figure 1.1: Organogram of the Department of Health Services (DoHS)

MINISTRY OF HEALTH AND POPULATION

DEPARTMENT OF HEALTH SERVICES

DIVISION (7) CENTRE (6)

VBDRTC
NHEICC
PHCRD

NCSAC
NHTC
EDCD

NPHL
LMD
CHD

FHD

NTC
LCD
MD

CENTRAL HOSPITALS - 6

REGIONAL HEALTH DIRECTORATE - 5

MEDICAL STORE - 5
TRAINING CENTRE
SUB-REGIONAL

REGIONAL TB
HOSPITAL – 2

HOSPITAL - 3

CENTRE - 1
REGIONAL

REGIONAL

REGIONAL
-5

ZONAL HOSPITAL – 10

DISTRICT PUBLIC HEALTH DISTRICT/OTHERS DISTRICT HEALTH

OFFICE – 29 HOSPITAL – 85 OFFICE – 48

PRIMARY HEALTH CARE

CENTRE/HEALTH CENTRE –200

HEALTH POST – 3,808

FCHV 51,470 PHC/ORC CLINIC 12,180 EPI OUTREACH CLINIC 16,022

Source: HMIS, DoHS

DoHS, Annual Report 2073/74 (2016/17) 3

Introduction

DoHS’s main functions are as follows:

a) Advise the Government of Nepal (GoN) on formulating health related policies and developing
and expanding health institutions in line with these policies.
b) Determine the required human resource for health institutions and developing them by
preparing and implementing short and long term plans.
c) Manage the procurement and supply of drugs, equipment, instruments and other logistics at
regional, district and below levels.
d) Coordinate activities and mobilize resources for the implementation of approved programmes.
e) Manage the immediate solution of problems arising from natural disasters and epidemics.
f) Establish relations with foreign countries and international institutions to enhance and develop
health services and assist MoH in receiving and mobilizing foreign resources by identifying areas
of cooperation.
g) Encourage the private sector and non-government and foreign institutions to participate in
health services, maintain relations and coordination, and control the quality of health services by
regular supervision and monitoring.
h) Manage free medication and treatment for severe diseases (cancer, heart disease, Alzheimer’s,
Parkinson’s disease, head injuries, spinal injuries, renal failure and sickle-cell anaemia) for
impoverished citizens.
i) Manage information systems related to health facilities, health services, logistics, training and
finance to support the planning, monitoring, and evaluation of health programmes.
j) Maintain data, statements and information on health services and update and publish them.
k) The financial management of DoHS, RHDs, DHOs and DPHOs and the settlement of irregularities.

The five RHDs provide technical backstopping and programme monitoring to district health systems
and come directly under MoH. The regional, sub-regional and zonal hospitals have decentralised
authority through their hospital development boards. There are also training centres, laboratories,
TB centres (in some regions) and medical stores at the regional level.

Each of Nepal’s districts has either a DHO or DPHO. The DPHOs and DHOs are responsible for
implementing EHCS and monitoring activities and outputs of district hospitals, primary health care
centres (PHCCs) and health posts. The public health care service delivery outlets include health
posts, PHCCs, health centres, district and other hospitals, zonal hospitals, sub-regional hospitals,
regional hospitals, and central level hospitals.

Health posts are the first institutional contact point for basic health services. These lowest level
health facilities monitor the activities of FCHVs and the community-based activities of primary health
care outreach clinics (PHC-ORCs) and EPI clinics. In addition, they are the referral centres of FCHVs as
well as venues for community based activities such as PHC-ORC and EPI clinics. Each level above the
health post level is a referral point in a network from PHCCs on to district, zonal sub-regional and
regional hospitals, and finally to tertiary level hospitals. This hierarchy is designed to ensure that
most of the population can receive public health and minor treatment in accessible places. Inversely,
the system works as a supporting mechanism for lower levels by providing logistical, financial,
monitory supervisory and technical support from the centre to the periphery.

4 DoHS, Annual Report 2073/74 (2016/17)

 Introduction

1.3 Sources of Information

The Health Management Information System (HMIS) provided the main source of information for
this report. The report also uses information from other management information systems (MISs),
disease surveillance systems, vital registration, censuses, sentinel reporting, surveys, rapid
assessments and research. The main health sector MISs include the HMIS, the Logistics Management
Information System (LMIS), the Financial Management Information System (FMIS), the Health
Infrastructure Information System (HIIS), the Planning and Management of Assets in Health Care
System (PLAMAHS),the Human Resource Information System (HuRIS), the Training Information
Management System (TIMS), the Ayurveda Reporting System (ARS) and the Drug Information
Network (DIN).

1.4 Structure of the Report

This report has ten chapters. Chapter 1 covers the background to annual report preparation, the
structure of DoHS, and sources of information on Nepal’s health sector. Chapters 2 to 6 cover DoHS’s
different health care related programmes; Chapter 7 presents the health sector M&E, Chapter 8
presents the programmes of the DDA and DoA; Chapter 8 presents the programmes of the health
sector councils, Chapter 9 the progress on health insurance while Chapter 11 gives details of the
health sector development partners.

Annex 1 presents the achievement of targets of DoHS’s programmes, Annex 2 gives the programme
targets for the next fiscal year (2074/75), Annex 3 gives the human resource situation of all districts,
while Annex 4 presents the target populations for FY 2073/74 and 2074/75 and health services raw
and analysed data by the indicators of different programmes disaggregated by ecological,
development regions and districts.

DoHS, Annual Report 2073/74 (2016/17) 5

 Measles vaccination & coverage
Fiscal Year 2073-74 (2016/2017)
No. of infants immunized Coverage (%)

Source: HMIS
 Chapter 2
Child Health: Immunization

CHILD HEALTH

2.1 National Immunization Programme

1 BACKGROUND

National Immunization Program (NIP) formerly Expanded Program on Immunization (EPI) was
started in 2034 and is a priority 1 program. It is one of the successful public health interventions of
Ministry of Health and has achieved several milestones and contributed in reduction of morbidity,
mortality and disability associated with vaccine preventable diseases.
National Immunization Program works closely with other divisions of Department of Health Services,
centres of Ministry of Health and different partners supporting routine immunization. EPI section is
one of the sections among the three sections of Child Health Division which plans, executes and
monitors several activities of immunization. Vaccine and cold chain section of Logistics Management
Division procures, stores and distributes vaccine throughout the country as planned by EPI section of
CHD, while NHEICC develops routine and supplementary immunization's IEC and social mobilization
materials and conducts activities in close coordination with the EPI section. Capacity building of
health staffs on routine immunization in close coordination with EPI section is executed through
National Health and Regional Health Training Centres. Immunization related information is collected
through HMIS section of Management Division and is shared quarterly for review and feedback. EPI
section of Child Health Division coordinates several stakeholders of immunization to execute
activities of the annual work plan.
National Immunization Program has included several underused and new vaccines in program and
currently there are eleven antigens–BCG, DPTHepBHib (penta), PCV, OPV (bOPV), Measles and
Rubella (MR) and Japanese Encephalitis provided through 16,000 service delivery points in health
facilities (fixed session), outreach sessions and mobile clinic (sessions). Inactivated Polio Vaccine
(IPV) which was introduced in routine immunization in 2014 has stock out globally and has stopped
temporarily but is in plan to be introduced in 2018 as fractional IPV (fIPV). Government of Nepal
procures BCG, OPV, Td, JE, measles/rubella 1st dose and co-finances to GAVI supported vaccines
DPTHepBHib, PCV and measles component of MR2.
National Immunization Program has cMYP 2017-2021 aligned with global, regional and national
guidelines, policies and recommendation to guide the program for five years. All the activities
outlined in cMYP have been costed as well as have developed strategies for implementation.
National Immunization Program has a very good record to meet the eradication, elimination and
control of vaccine preventable disease targets. Small pox eradication has become the history, MNT
elimination status is sustained from 2005, polio free status is maintained since 2010, measles
elimination and rubella, congenital rubella syndrome control is targeted by 2019. Japanese
encephalitis and other vaccine preventable diseases like pertussis are in state of control however 10
cases of Diphtheria were reported from various parts of the country.
National Immunization Program produces evidences on burden of diseases which can be prevented
from vaccines like rotavirus diarrhoea, invasive bacterial disease etc. in collaboration of academia
and research institutes within the country. National Immunization Program with the support of WHO
works with various committees functions as advisory, quality monitoring of immunization program
like National committee for immunization practice, Adverse Events Following Immunization

DoHS, Annual Report 2073/74 (2016/2017) 7

Child Health: Immunization
Committee, National Verification Committee for Measles Elimination and also committees related
with polio eradication like National Certification Committee for Polio Eradication, National Task
Force for Laboratory Containment etc. It also carries feasibility study on introduction of new vaccines
e.g. Human Papilloma Virus vaccine demonstration study completed in two districts.
Aiming to reach every child in country, some innovative activities have also been carried out in
country like Full Immunization declaration initiative, Immunization law, rule and immunization fund
creation.
2. GUIDING DOCUMENTS OF NATIONAL IMMUNIZATION PROGRAM
There are several Global, Regional and National guiding documents for National Immunization
Program. The main documents which have been taken in account and are incorporated in cMYP
2017-21 are–Global Vaccine Action Plan, SEARO Vaccine Action Plan, and Nepal Health Sector
Support Program – NHSSP.
2.1 Comprehensive Multi Year Plan of Action
The Comprehensive Multi Year Plan (cMYP) 2012-16 ended in 2016 and new cMYP 2017-21 is in
place. The comprehensive multiyear plan is prepared based on the global, regional and national
policies, strategies on immunization. The previous cMYP 2012-16 has the goals and objectives as
follows:
2.1.1 GOALS: To reduce child mortality, morbidity and disability associated with vaccine
preventable diseases.
2.1.2 Objectives and strategies
Objective 1: Achieve and maintain at least 90% vaccination coverage for all antigens at national and
district level by 2016
Objective 2: Ensure access to vaccines of assured quality and with appropriate waste management
Objective 3: Achieve and maintain polio free status
Objective 4: Maintain maternal and neonatal tetanus elimination status
Objective 5: Initiate measles elimination
Objective 6: Accelerate control of vaccine-preventable diseases through introduction of new and
underused vaccines
Objective 7: Strengthen and expand VPD surveillance
Objective 8: Continue to expand immunization beyond infancy

Most of the activities in past years were identified and carried out as per goal and objectives
spelled in cMYP 2012-16 and have been either met or near to be met and that will be discussed
in subsequent chapters. However, booster dose of currently used antigen based on evidence and
protection of adult from potential VPDs have not been met.
3. TARGET POPULATION
3.1 Under 1 year children for BCG, DPT-HepB-Hib, OPV, IPV, PCV and Measles/ Rubella1 (MR1)
vaccine.
3.2 Twelve months children for JE
3.3 15 months children for MRSD
8 DoHS, Annual Report 2073/74 (2016/2017)
 Child Health: Immunization
3.4 Pregnant women for Tetanus Toxoid containing (Td) vaccine.

4. NATIONAL IMMUNIZATION SCHEDULE.

TABLE 2.1.1: National Immunization Schedule

SN Number of
Type of Vaccine Recommended Age
Doses
1 BCG 1 At birth or on first contact with health institution
2 OPV 3 6, 10, and 14 weeks of age
3 DPT-Hep B-Hib 3 6, 10, and 14 weeks of age
4 IPV 1 14 week of age
5 PCV 3 6,10 weeks and 9 month of age
6 Measles-Rubella 2 MR1 at 9 months and MR2 at 15 months of age
7 Td 2 Pregnant women (2 doses of Td)
8 JE 1 12 months of age

5. ANALYSIS OF ACHIEVEMENTS BY MAJOR ACTIVITIES

5.1 Major activities carried out in FY 2073/74

1. Hiring of 415 health workers to deliver immunization services in 75 districts
2. 3 days capacity building on immunization and vaccine management of 1600 health workers
3. 2 days microplanning workshop of district level -75 districts
4. Demonstration study of 2 doses (6 months interval) of Human Papilloma Virus vaccine in 2 districts
(Kaski and Chitwan) for 15000 female child of 6th grade
5. In-country visit for 25 health workers, through RHDS
6. Data Quality Training to 15 districts (3 from each RHDS)
7. Procurement of 6 refrigerator vans for RMS
8. Review and update on Micro planning of routine immunization in 5 RHDS
9. Training to 100 health workers of private/NGOs and Urban health clinics
10. 2 times Interaction with medias on routine immunization
11. Advocacy meeting, interaction with private, corporate house and industrialists, bankers, Red cross
and Lions club to raise immunization fund
12. 2 days workshop with LDOs and planning officers and EPI officers for resource mobilization to
sustain routine immunization
13. JE campaign coverage survey after JE supplementary immunization in 75 districts
14. Post HPV feasibility study, coverage survey in 2 districts – Kaski and Chitwan
15. Fund submission in Immunization fund
16. Piloting of revised Home Based record (Child Health card)
17. National workshop on routine immunization-2 times
18. Procurement and distribution of vaccine and cold chain equipment
19. Supervision and monitoring of routine immunization program

DoHS, Annual Report 2073/74 (2016/2017) 9

Child Health: Immunization

5.2 TARGET vs. ACHIEVEMENT, FY 2073/74

The cMYP 2012-16 has set the goal to reduce child mortality, morbidity and disability associated with
vaccine preventable diseases. The NDHS survey 2016 reveals the significant reduction in childhood
mortality. A big portion of childhood mortality is contributed by immunization against deadly vaccine
preventable diseases.

Figure 2.1.1 Trends in Childhood mortality

5.3 Achievements against objective no. 1: Achieve and maintain at least 90% vaccination coverage
for all antigens at national and district level by 2016.
The table and map presented below shows the achievement status against objective no. 1:

TABLE 2.1.2: Immunization coverage by antigens doses FY 2073/74

SN Antigens Target population Targets Achievement % Achieved
1 BCG under 1 Year 623929 569751 91.34
2 DPT-Hep B Hib 1 under 1 year 623929 566098 90.73
3 DPT-Hep B Hib 2 under 1 year 623929 552190 88.50
4 DPT-Hep B Hib 3 under 1 year 623929 539698 86.49
5 Polio1 under 1 year 623929 562452 90.14
6 Polio2 under 1 year 623929 550544 88.23
7 Polio3 under 1 year 623929 536191 85.93
8 IPV under 1 year 623929 100815 16.15
9 PCV1 under 1 year 623929 550364 88.20

10 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health: Immunization
SN Antigens Target population Targets Achievement % Achieved
10 PCV2 under 1 year 623929 534158 85.61
11 PCV3 under 1 year 623929 484993 77.73
st
12 Measles/Rubella 1 dose under 1 year 623929 524332 84.03
13 JE 12 months 623929 420494 67.39
nd
14 Measles/Rubella 2 dose 15 Months 626022 356878 57.00
3 dozes completion of
15 DPT-HepB-Hib & OPV Completed after 1 year 32081 5.14
after 1 year
16 Td 2 & Td2 + Pregnant women 756976 486466 64.26
Source: HMIS/MD and EPI/CHD, DoHS

Figure 2.1.2 : Antigens wise national coverage for FY 2071/72 to 2073/74

Source: HMIS/MD and EPI/CHD, DoHS

Above table 2.1.2 shows antigens wise coverage at national level during FY 2073/74 and figure 2.1.2
shows the three years trends of immunization coverage. Immunization coverage of all antigens
except IPV was found increased in FY 2073/74 as compared to FY 2072/73. The highest coverage was
91.34% for BCG, 90.73% and 90.14% for DPTHepBHIb1 and OPV1 respectively. Similarly, the
coverage of DPTHepBHib3 and OPV3 were 86.79% and 85.93 respectively. The children who have
completed the 3rd dose of DPT-HepB-Hib and OPV after their first birthday is accounted 5.14% of
the national coverage. If this coverage of 5.14% aggregated to DPTHepBHib3 and OPV3, the
coverage reaches to above 90% for both antigens. The coverage of 1st, 2nd and 3rd dose of
DPTHepBHib and OPV is different; since these doses are administered in same settings should be the
same. The coverage of PCV1 was 88.20% and that of PCV3 was 77.73%. The IPV coverage is only 16%
because there is shortage (globally and nationally) of IPV vaccine since October 2016. Measles

DoHS, Annual Report 2073/74 (2016/2017) 11

Child Health: Immunization
rubella1 and MR2 coverage was 84.03% and 57% respectively. Since the 3rd dose of PCV and MR1 are
given in same setting at the age of 9 months, the coverage should be the same.
The dropout rate of 1st vs 3rd dose of DPTHepBHib and OPV antigens were 4 and 5% respectively.

5.3.1 EQUITY IN IMMUNIZATION COVERAGE:

Figure 2.1.3: Districts with > 90% for all antigens (BCG, DPTHepBHib, OPV, PCV and MR1)

The above map 2.1.3 shows that only 8 districts have achieved ≥90% coverage with BCG,
DPTHepBHIb3, OPV3, PCV3 and MR1. Since PCV and MR2 were not introduced during the
development of cMYP 2012-16 and JE vaccine was only introduced in all 75 districts in 2016, if we
exclude PCV and JE from the objective 1, there will be 30 districts achieving ≥90% coverage.

Figure 2.1.4 and Figure 2.1.4a. : 3 years trend of DPTHepHib3 coverage by region and 1 year
coverage by province

Source: HMIS/MD/DoHS Source: HMIS/MD/DoHS

Figure 2.1.4 shows that DPTHepBHib3 coverage during Fy 2073/074 remained between 82% to 92%
in all development regions and highest being in MWDR (92%) whereas lowest in WDR (82%). Figure

12 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health: Immunization
2.1.4a shows the coverage of DPTHepBHib3 at provincial level in Fy 2073/74 which varied from 76%
to 99% and the highest coverage of 99% was in province no. 2 and lowest coverage of 76% was in
province no. 3 and 4.

5.3.2 ACCESS AND UTILIZATION OF IMMUNIZATION SERVICES:

National Immunization Program evaluates the status of the districts by accessibility and utilization of
immunization services. Districts are categorized by CAT 1 to 4 on the basis of DPT-HepB-Hib1
coverage and dropout rate of DPT-HepB-Hib1 VS DPT-HepB-Hib3 to know the accessibility and
utilization (whether service has reached to all and has been utilized by all) of immunization services.

Table 2.1.3: Districts categorized based on the 80% coverage of DPT-HepB-Hib1 (Access) and drop
out less than 10% of DPT-HepB-Hib1 VS DPT-HepB-Hib3 (Utilization) 2073/74

Category 1 Category 2 Category 3 Category 4

(less Problem) (Problem) (Problem) (Problem)
Low Drop-Out (<10%) High Drop-out (10%) Low Drop-out (<10%) High Drop-out (10%)
High Coverage (80%) High Coverage (80%) Low Coverage (<80%) Low Coverage (<80%)

Mugu, Kalikot, Siraha, Humla, Dhanusa, Kailali,

Bajura, Rukum, Bara, Kapilbastu, Mahottari, Jajarkot, Kanchanpur,
Parsa, Doti, Dolpa, Rukum west, Rautahat and Dhankuta,
Rolpa, Banke, Rasuwa, Dailekh, Sarlahi Gorkha, Bardiya,
Jumla, Achham, Pyuthan, Bajhang, Lamjung,
Sankhuwasabha, Makwanpur, Sindhupalchok,
Saptari, Panchthar, Jhapa, Ilam, Parbat,
Taplejung, Khotang, Morang, Dolakha,
Sunsari, Salyan, Udayapur, Bhaktapur,
Rupandehi, Surkhet, Baitadi, Dang, Tanahu, Kaski,
Bhojpur, Sindhuli, Darchaula, Lalitpur,
Nuwakot, Kavre, Nawalpur, Myagdi, Kathmandu,
Gulmi, Terhathum, Nawalparasi, Mustang,
Arghakhanchi, Chitawan, Syangja, Ramechhap and
Okhaldhunga, Baglung, Dhading, Manang
Palpa, Dadeldhura and Solukhumbu

(54 districts) (5 Districts) (18 Districts) (0 Districts)

Table 2.1.3 shows that 54 CAT1 districts have good accessibility as well as utilization of immunization
services i.e. more than 80% children have sufficient immunization service delivery points to utilize
the immunization services, thus the dropout rate is less than 10%. The 5 districts under CAT 2 have
problems of utilizing immunization services, thus have high dropout rate. The 18 districts under CAT
3 have problems of accessibility for the immunization service delivery i.e. either there are not
sufficient sessions or all sessions have not delivered their immunization services throughout the
year. There are no districts under CAT 4.

DoHS, Annual Report 2073/74 (2016/2017) 13

Child Health: Immunization
5.3.3 NUMBER OF UN-IMMUNIZED CHILDREN IN FISCAL YEAR 2073/74:

The un-immunized children are calculated against DPTHepBHib3 i.e. total targeted children of under
1 year minus children who received 3rd dose of DPTHepBHib. The number of unimmunized children
with DPTHepBHib3 was 84,231 in 2073/74 which was 122,168 in 2072/73, and 56,513 in 2071/72.
Though the number of unimmunized children in 2073/74 is less than previous year yet it remains
high. If the number of children who completed their 3rd dose of DPTHepbHib3 after their first
birthday are subtracted in this number, the unimmunized children will be 52,150.

5.3.4 MEASLES-RUBELLA FIRST DOSE COVERAGE:

Measles elimination and rubella and congenital rubella syndrome control is targeted by 2019. To
achieve this target, the coverage of MR1 and MR2 should be minimum of 95% universally.
Figure 2.1.5 shows region wise 3 years measles rubella 1st dose coverage and figure 2.1.5a shows
province wise coverage of MR1 and MR2 during 2073/74. MR1 coverage has increased by 7% at
national level compared to previous year of 77%. Similarly, the MR1 coverage has increased in EDR,
CDR, WDR, MWDR and FWDR by 5%, 12%, 1%, 9% and 3% respectively compared to the previous
year. None of the regions have reached to 95% in Fy 2073/74. The highest of 92% was in MWDR and
lowest of 80% in WDR. The MR2 coverage in Fy 2073/74 was found 57% and is far lower than
expected.
Province wise coverage of MR1 (figure 2.1.5b) shows highest coverage of 96% in province 6 and
lowest of 75% in province no. 4 during Fy 2073/74. Similarly, MR2 coverage was only 57% at national
level which was found highest of 67% in province no. 5 and lowest of 49% each in province no. 2 & 3.

Source: HMIS/MD/DoHS Source: HMIS/MD/DoHS

5.3.5 Td2+ COVERAGE:

Td vaccine is given to pregnant women. Previously unimmunized pregnant woman receives 2 doses
of Td vaccine. Those who have completed their 2 or more doses of Td vaccines during their past
pregnancies receive 1 dose Td vaccine.

14 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health: Immunization

Source: HMIS/MD/DoHS Source: HMIS/MD/DoHS

Above figures 2.1.6 and 2.1.6a show the Td2 and Td2+ coverage trend for 3 years by region and Td2
and Td2+ coverage during 2073/74 by province respectively. Td2+ includes cumulative doses of Td or
tetanus toxoid containing vaccine doses received during the present and past pregnancies. Td2 and
Td2+ coverage has decreased by 2% at national level as compared to previous year 2072/73. Highest
declining of Td2+ coverage by 6% has found in WDR and found decreased by 3% in EDR, 1% in each
MWDR and FWDR. The coverage Td2+ of CDR is 1% higher than previous year. In provinces, the
highest coverage of 81% is reported in province no. 2 and lowest of 49% in province no. 3 during FY
2073/74.

5.3.6 DROP-OUT RATES:

Figure 2.1.7 shows the dropout rate for BCG vs
MR1, DPTHepHib1 vs DPTHepBHib3 and
DPTHepBHib1 vs MR1. The dropout rate must not
increase than 10%. The dropout rate has been
found decreased. The dropout rate of BCG vs
MR1 has lowered than the previous year by 3%
whereas that for DPT-HepB-Hib1 vs 3 and DPT-
HepB-Hib1 vs MR1 has lower by 0.5% and 1%
respectively.

5.3.7 VACCINE WASTAGE RATE:

Figure 2.1.8 : Vaccine wastage rate of MDVP like
DPTHepHib and is still higher than accepted rate
of 15%. The wastage rate of DPTHepBHib, OPV
and PCV has increased by 1% than previous year.
The wastage rate of MR vaccine which was
supposed to drop drastically after the
introduction of 2nd dose still remains high which
indicates that 2nd dose is still not given in all
sessions.

DoHS, Annual Report 2073/74 (2016/2017) 15

Child Health: Immunization
6. SUPPLEMENTARY IMMUNIZATION ACTIVITIES

6.1 Polio Supplementary immunization: Nepal is polio free since 2010. Nepal falls in tier3 country
among globally targeted country for supplementary immunization activities and GPEI did not plan
for polio SIA, however NIP decided to conduct supplementary immunization in limited geographical
areas based on the immunity gap. Thus one dose of OPV was administered in selected 15 districts on
4-5 March 2017 (21-22 Falgun 2073). Total children under 5 children received OPV were 1,462,863
against 1,585,612 targeted (108%).

Figure 2.1.9: Map showing the districts of Polio SIA in FY 2073/74

Source: CHD/DoHS

6.2 FULLY IMMUNIZED DISTRICT DECLARATION:

Fully immunization VDC, district and then the country declaration is one of the new and innovative
initiatives which started with the objective to reach every child and take ownership of immunization
by local political body. The program targeted to declare the country as fully immunized by 2074/75
and until 2073/74, 23 districts were declared as fully immunized. Total 1839 VDCs and 91
municipalities were declared as fully immunized. This process is continuing and every month, some
VDCs and districts are declaring as fully immunized.
Figure2.1.10: Map showing the FID districts until Poush 2074:

16 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health: Immunization

7. In objective 2, cMYP 2012-16 has set the objective to ensure access to vaccines of assured quality
and with appropriate waste management and the NIP has strictly followed the objective as the
vaccines used in routine immunization are WHO prequalified. All vaccines received had expiry date
more than 18 months and attached with appropriate vaccine vial monitors (VVM). Vaccine
transported with appropriately conditioned icepacks both at store and sessions level. Auto Disable
(AD) syringes are used to administer each dose of vaccine and one syringe for one vial is used to
reconstitute the vaccine vial. Injection safety and multi-dose vial policy are in place. In case of
adverse events following immunization, cases are thoroughly investigated and causal association is
established by expert AEFI committee members. Surveillance of Adverse Events Following
Immunization (AEFI) is one of the functional surveillance systems.

8. In objective 3, cMYP 2012-16 has set the objective to achieve and maintain polio free status. The
standard indicators for polio eradication program have been discussed in successive chapters.
Nepal is polio free since August 2010. Officially SEAR (South East Asian Region) region was declared
polio free on 27 March 2014. Nepal has been able to sustain polio free status. The non AFP rate as
well as adequate stool collection rate has been maintained above the global surveillance standard.

8.1 ACUTE FLACCID PARALYSIS SURVEILLANCE:

Acute Flaccid Paralysis Surveillance which was initiated in 1998 in Nepal is conducted in all 75
districts. There are 735 routine weekly Zero reporting sites and 79 active surveillance sites. The AFP
cases have been calculated from July to June to align with government fiscal year. For sensitive
surveillance, there are 2 main indicators–non AFP rate which should be at least 2 per 1,00,000 from
<15 population and adequate stool collection rate which should be more than 80%.

Figure 2.1.11: Map showing reported Acute Flaccid Paralysis (AFP) in FY 2073/74

DoHS, Annual Report 2073/74 (2016/2017) 17

Child Health: Immunization
The above map (figure 2.1.11) shows total reported AFP cases for F/Y 2073/74 totalling 389 cases
from 70 districts. There are 5 districts which have not reported AFP cases during this period and
mostly these districts are sparsely populated.

Figure 2.1.12: Map showing Non-Polio AFP Rate by districts

The map (figure 2.1.12) shows non polio AFP rate by districts. National non polio AFP rate is 4.5
(more than 2/1,00,000 under 15 populations). There are 61 districts which have reported non polio
AFP rate more than 2 and 11 districts have non polio AFP rate between 1 to 1.9, and 1 district has
reported less than 1 non polio AFP rate. There are 5 districts which have not reported AFP cases and
these districts have very sparse population.

The table below shows province wise non polio AFP and adequate stool collection rate. All the
provinces have met the standard indicators of non-AFP rate more than 2 and adequate stool
collection more than 80%.
Table 2.1.4: NPAFP and Adequate Stool collection Rate by Province, FY 2073/74
Province NPAFP Cases NPAFP Rate Stool Adq

Province 1 76 5.36 100

Province 2 92 5.12 97
Province 3 56 3.06 98
Province 4 33 3.86 100
Province 5 68 5.05 99
Province 6 31 6.10 100
Province 7 31 3.68 81
Total 387 4.50 97
Source: CHD/WHO/IPD Nepal
Note: the non-polio AFP and adequate stool collection rate of Nawalparasi and Rukum have been
calculated as for previous structure

18 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health: Immunization
Figure 2.1.13 : Adequate stool collection rate

Note: the non-polio AFP and adequate stool collection rate of Nawalparasi and Rukum have been
calculated as old structure
The map (Figure 2.1.13) shows adequate stool collection rate which is 97% nationally (Adequate
stool collection rate should be more than 80%). Nationally, the adequate stool collection rate is
above the surveillance standard while in 5 districts, no AFP were reported and in most of the district
the adequate stool collection rate is more than 80%.

9. In objective no. 4, cMYP 2012-16 has set the objective to maintain maternal and neonatal tetanus
elimination status. The status is as follows:

NEONATAL TETANUS SURVEILLANCE:

Neo-natal tetanus elimination has remained sustained since 2005. The table below shows the
districts which have reported NT cases through VPD surveillance network. Neonatal cases reported
through HMIS are also verified regularly through this network.
Figure 2.1.14: Neo-natal tetanus cases 2073/74

DoHS, Annual Report 2073/74 (2016/2017) 19

Child Health: Immunization
Figure 2.1.14 shows neonatal tetanus cases distribution by the districts. Total of 3 NT cases were
reported from 2 districts in 2073/74. Nepal has sustained MNT elimination status validated in 2005
(less than 1 case per 1000 live births).

10. In objective no. 5, the cMYP 2012-16 has set the objectives to initiate measles elimination.
Measles elimination is a flagship program of SEAR. Nepal has targeted measles elimination by 2019
while SEAR has targeted elimination by 2020. There are 520 case based measles surveillance sites.
The case based measles surveillance sites are in expansion phase throughout the country. The
sensitivity of measles surveillance is evaluated against non-measles and non- rubella (NMNR) cases
and that should be more then 2 /1,00,000 populations. Currently the non-measles and non- rubella
rate is 2.9/1,00,000 i.e. meet the surveillance standard nationally.

MEASLES LIKE ILLNESS SURVEILLANCE:

Figure 2.1.15: Confirmed Measles & Rubella Cases, Nepal 2003-2017 (July)

Figure 2.1.15 shows laboratory confirmed measles, rubella cases from 2003 to 2014. There is a
drastic reduction in measles and rubella cases. There were 203 suspected measles cases reported
from 16 suspected measles outbreak. Among them, twelve were confirmed measles outbreaks and
total 100 measles cases were laboratories confirmed and EPI linked measles cases detected during
the period.

The table below shows the province wise non-measles and non-rubella cases and rate. All the
provinces have met NMNR standard of more than 2. The highest NMNR was 5.47 in province no. 6
and lowest in 0.52 in province no. 2.

20 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health: Immunization
Table 2.1.5: Reported Measles/Rubella cases by Province
Province NMNR Cases NMNR Rate Measles Cases Rubella Cases
Province 1 170 3.63 6 1
Province 2 31 0.52 30 2
Province 3 187 3.23 26 3
Province 4 123 4.35 2 4
Province 5 154 3.66 57 8
Province 6 68 5.47 6 0
Province 7 57 2.22 10 1
Total 790 2.90 137 19
Source: CHD/WHO/IPD Nepal

11. The objective no. 6 of cMYP 2012- 16 has set the objectives to accelerate control of vaccine
preventable diseases through introduction of new and underused vaccines. Japanese Encephalitis
has remained endemic in country. Periodically the disease outbreak has been recorded especially in
southern part of Nepal. To control the disease, National Immunization Program decided to introduce
JE vaccine (SA-14-14-2) in high burdened districts first, in phased manner from 2006 until 2011 and
thus it was expanded in 31 districts until 2015. In 2016, the vaccine has been introduced in all 75
districts in routine after mass campaign of JE vaccine.
ACUTE ENCEPHALITIS SYNDROME SURVEILLANCE: Acute encephalitis syndrome surveillance was
initiated in 2003/04 built on AFP network to know the burden of disease of Japanese Encephalitis
throughout the country. The status of JE disease is as follows:

Figure 2.1.16: Trend of reported AES and Lab confirmed JE cases

The diagram below shows seasonality and number of AES as well as laboratory confirmed JE cases:

Figure 2.1.16 shows the trend of reported AES and laboratory JE cases since 2004 to 2016. In
2073/74 total of 85 cases of confirmed JE detected from 33 districts.

DoHS, Annual Report 2073/74 (2016/2017) 21

Child Health: Immunization

Figure 2.1.17: Reported AES and laboratory confirmed JE cases by districts in FY 2073/2074

Figure 2.1.17 shows that 72 districts have reported AES cases and only 38 districts have 127
laboratory confirmed JE cases.

Table 2.1.6: province wise AES and JE cases:

Province AES cases JE Cases
Province 1 259 18
Province 2 296 23
Province 3 211 14
Province 4 97 5
Province 5 117 17
Province 6 52 4
Province 7 23 4
Total 1055 85
Source: CHD/WHO/IPD Nepal

Province wise data shows that highest JE cases were reported from province no. 2 followed by 1 and
5 and no provinces remained free of disease.

12. The objective 7 of cMYP 2012-16 has set the objective to strengthen and expand VPD
surveillance. National program with the technical and financial support of WHO, Surveillance on
Invasive Bacterial disease (IBD) and Rota Virus Diarrhoea is ongoing in 2 sentinel sites.
13. The objective 8 of cMYP 2012-16 has set the objective to continue to expand immunization
beyond infancy. National Immunization Program has completed feasibility study for the introduction
of Human papilloma Virus vaccine in 2 districts (Chitwan and Kaski). National Committee for
Immunization practice has recommended for the introduction of HPV in routine immunization.

22 DoHS, Annual Report 2073/74 (2016/2017)


9. PROBLEMS/CONSTRAINTS AND ACTIONS TO BE TAKEN
Regional performance review meeting in 2073/74 identified the following problems and constraints
and recommended action to be taken at different levels of immunization delivery system.
Problems/Constraints
Inadequate HRH especially in
Metro/Sub - Metropolitan,
MCH / Institutional clinics and
ill-defined JD of AHW & ANM
(for vaccinations)
Poor quality immunization
data: Under and over
reporting
Poor Inventory keeping and
distribution system
Unplanned immunization
month celebration
Low achievement of FID
according to national target
DoHS, Annual Report 2073/74 (2016/2017)
Child Health: Immunization
Action to be taken Responsibility
Provision for sufficient vaccinators for the MoH/DoHS/DHO,
Metro / Sub - Metropolitan, MCH / Local Government
Institutional Clinics
Incorporate responsibility of delivering
immunization service in Job Description of
all HA, SAHW, AHW/ANM to conduct
immunization sessions
Joint supportive supervision of Immunization HF/DHO/RHD/
as per HMIS. CHD/HMIS
Strengthen supportive supervision at all
levels
Quarterly review of performance of data at
HF/DHO level as –HMIS 9.2, 9.3 and 2.5
Provision of DQSA to the RHDS and districts
Update inventory of cold chain equipment RMS/District Cold
with their cold chain capacity and vaccine, Store
syringes, diluents etc. and use of stock
control register. Maintain maximum and
minimum stock level. Always make vaccine
requisition by deducting the stock at hand
from maximum stock level of
vaccine/syringes/diluents at all levels
Utilize immunization month as an Districts
opportunity to intensify routine
immunization activities especially to ensure
full immunization
Give more emphasis to reach the unreached
based on prioritization.
Increase the access and utilization in Cat 2
and 3 VDCs/municipalities and reduce the
dropout rate in Cat 2 VDCs
Report the immunization month’s
achievement separately to see the
additionally of immunization performance of
immunization month
Orientation, Capacity building and MoH, MoFALD,
empowerment of local government DoHS/CHD,
Accelerate of Full Immunization declaration Province, municipal
at all levels
Coordination with intersectoral stakeholders
23
Child Health: Immunization
Problems/Constraints
Poor Cold Chain and Vaccine
management
Inadequate CC Equipment
and inadequate repair,
maintenance and
replacement, lack of
technician
Inadequate Vaccine Store
Capacity specially central
level
24
Action to be taken Responsibility
Effective implementation of EVM training at LMD/CHD/NHTC/
all level DHO
Supportive supervision and onsite coaching
at all levels
Strengthen bundling
Provision of engineer and refrigerator DoHS/ LMD/CHD
technician at regional / provincial level
Supply of cold chain spare parts
Replacement of ageing equipment
regular repair of cold chain equipment
Strengthen the vaccine stores with new MoH, DoHS, LMD,
buildings in central store CHD
Establishment of new vaccine store at
Province No.6.
DoHS, Annual Report 2073/74 (2016/2017)
 Child Health
Growth Monitoring Status
Fiscal Year 2073
2073-74
74 (2016/2017)
% of Children aged 0-11
0 11 months % of Children aged 0
0-11
11 m registered % of Children aged 12-23
12 23 m registered
registered for Growth Monitoring for GM who were underweight for GM who were underweight

Source:
ource: HMIS/MD/DoHS

DoHS, Annual Report 2073/74

207 (201
(2016/2017) 25
Child Health

2.2 Nutrition
2.2.1 Background
Nutrition section under Child Health Division is responsible for national nutrition program for
improving the nutritional status of children, pregnant women and adolescents. Its goal is to
achieve nutritional well-being of all people to maintain a healthy life to contribute in the
socio-economic development of the country, through improved nutrition program implementation in
collaboration with relevant sectors. Nutrition interventions are cost effective investments for
attaining many of the Sustainable Development Goals. In alignment with international and national
declarations and national health policies, the Government of Nepal is committed to ensuring that its
citizens have adequate food, health and nutrition. The Constitution (2015) ensures the right to food,
health and nutrition to all citizens. Hunger and under-nutrition often results in the vicious cycle of
malnutrition and infections that leads to poor cognitive and intellectual development, less
productivity and compromised socioeconomic development.

Focus on nutrition — Nutrition is a globally recognized development agenda. Since the year 2000,
several global movements have advocated nutrition for development. The Scaling-Up-Nutrition (SUN)
initiative calls for multi-sectoral action for improved nutrition during the first 1,000 days of life. The
Government of Nepal as an early member of SUN adopted the Multi-sector Nutrition Plan (MSNP) in
2012 to reduce chronic nutrition. Recently, the UN General Assembly declared the 2016–2025 period
as the Decade of Action on Nutrition.

Policy initiatives — The National Nutrition Policy and Strategy was officially endorsed in 2004 to
address all forms of malnutrition including under-nutrition and over-nutrition. This policy provides
the strategic and programmatic directions in the health sector while the MSNP provides a broader
policy framework within and beyond the health sector under a Food and Nutrition Security
Secretariat of the National Planning Commission that coordinates its implementation. The National
Health Policy, 2071 highlights improved nutrition via the use and promotion of quality and nutritious
foods generated locally to fight malnutrition. The Nutrition Technical Committee was established in
CHD in 2011 to support multi-sectoral coordination for developing nutrition programmes.

Aligning with the MSNP and current global initiatives, CHD – nutrition section has developed
strategies and plans for improving maternal infant and young child nutrition assisted by experts from
the Nutrition Technical Committee. Moreover, as recommended by the Nepal Nutrition Assessment
and Gap Analysis (NAGA) and guided by MSNP, in 2012–2013 MoH conducted an Organization and
Management Survey towards establishing a National Nutrition Centre for implementing MSNP in the
health sector. Recently, MSNP -2 has been approved for 2075/76 – 2079/80.

2.2.2 Malnutrition in Nepal

Despite a steady decline in recent years, child under-nutrition is still unacceptable in Nepal. Maternal
malnutrition is also a problem with 17 per-cent of mothers suffering chronic energy deficiency
alongside the increasing trend of overweight mothers (22 per cent). Although Nepal's effort in
micronutrient supplementation such as the National Vitamin A Programme have been globally
recognized as a successful programme, nutritional anaemia remains a serious public health issue
among women, adolescents and children. Forty-one percent of women of reproductive age and 46
per cent of pregnant women are anaemic. About 68 per cent of children aged 6-23 months are
26 DoHS, Annual Report 2073/74 (2016/2017)
 Child Health
anaemic while the prevalence of that among adolescent women ( 15-19) has been increased from
38.5 per cent in 2011 to 43.6 percent in 2016 (NDHS).

2.2.3 Efforts to address under-nutrition

MoH has implemented several programmes to counter malnutrition. This began with growth
monitoring and breastfeeding promotion followed by community-based micronutrient
supplementation. Most recent national nutrition programmes have taken a food-based approach to
promote improved dietary behaviour among vulnerable groups. CHD’s Nutrition Section has
implemented the programmes in Box 2.2.1.

Box 2.2.1: Nutrition programmes implemented by CHD’s Nutrition Section (1993–2016)

Nationwide programmes: Scale-up programmes:

 Growth monitoring and counselling
 Prevention and control of iron deficiency
anaemia (IDA)
 Prevention, control and treatment of
vitamin A deficiency (VAD)
 Prevention of iodine deficiency disorders
(IDD)
 Control of parasitic infestation by
deworming
 Mandatory flour fortification in large roller
mills.
 Infant and young child feeding(IYCF)
 Maternal, Infant, and Young Children
Nutrition (MIYCN) programme
 Integrated Management of Acute
Malnutrition (IMAM)
 Micronutrient Powder (MNP) distribution
linked with infant and young child
feeding(IYCF)
 School Health and Nutrition Programme
 Vitamin A supplementation to address the
low coverage in 6–11 month olds
 Multi-sector Nutrition Plan (MSNP)

The overall objective of the national nutrition programme undertaken by nutrition section is to
enhance nutritional well-being, reduce child and maternal mortality and contribute to equitable
human development.

The specific objectives of the programme are as follows:

 To reduce protein-energy malnutrition in children under 5 years of age and women of
reproductive age
 To improve maternal nutrition
 To reduce the prevalence of anaemia among adolescent girls, women and children
 To eliminate iodine deficiency disorders and vitamin A deficiency and sustain elimination
 To reduce the infestation of intestinal worms among children and pregnant women
 To reduce the prevalence of low birth weight
 To improve household food security to ensure that all people can have adequate access,
availability and use of food needed for a healthy life
 To promote the practice of good dietary habits to improve the nutritional status of all people
 To prevent and control infectious diseases to improve nutritional status and reduce child
mortality

DoHS, Annual Report 2073/74 (2016/2017) 27

Child Health
 To control lifestyle related diseases including coronary disease, hypertension, tobacco related
diseases, cancer and diabetes
 To improve the health and nutritional status of schoolchildren
 To reduce the critical risk of malnutrition and life during very difficult circumstances
 To strengthen the system for analysing, monitoring and evaluating the nutrition situation
 Behaviour change communication and nutrition education at community levels
 To align health sector programmes on nutrition with the Multi-Sectoral Nutrition Initiative.

2.2.4 Targets

2.2.4.1 Current Global Nutrition Targets

a. Sustainable Development Goal
Goal 2 — End hunger, achieve food security and improved nutrition and promote sustainable
agriculture
 By 2030, end hunger and ensure access by all people, in particular the poor and people in
vulnerable situations, including infants, to safe, nutritious and sufficient food all year round;
 By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed
targets on stunting and wasting in children under 5 years of age, and address the nutritional
needs of adolescent girls, pregnant and lactating women and older persons;
 By 2030, double the agricultural productivity and incomes of small-scale food producers, in
particular women, indigenous peoples, family farmers, pastoralists and fishers, including
through secure and equal access to land, other productive resources and inputs, knowledge,
financial services, markets and opportunities for value addition and non-farm employment;
b. Global Nutrition Target by 2025 (World Health Assembly [WHA])
 Reduce the global number of children under five who are stunted by 40 percent
 Reduce anaemia in women of reproductive age by 50 percent
 Reduce low birth weight by 30 percent
 No increase in childhood overweight
 Increase the rate of exclusive breastfeeding in the first six months up to at least 50 percent
 Reduce and maintain childhood wasting to less than 5 percent.

2.2.4.2 National Nutritional Status and Targets

Table 2.2.1: Nepal’s progress against the MSNP 2 targets (2001–2016)

Status (%) Target (%)
Indicators NDHS NDHS NDHS NDHS MSNP WHA SDG
2001 2006 2011 2016 2022 2025 2030
Stunting among U5 children 57 49 41 36 28 24 15
Wasting among U5 children 11 13 11 10 7 <5 4
Underweight among U5
43 39 29 27 20 15 10
children
Percentage of LBW - 14 12 24 10 <1.4 <1.4

28 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health
Status (%) Target (%)
Indicators NDHS NDHS NDHS NDHS MSNP WHA SDG
2001 2006 2011 2016 2022 2025 2030
Exclusive breastfed - 53 70 66 80 85 90
Fed according to
- - 24 36 60 70 80
recommended IYCF practices
Over-weight and obesity
- - - 2.1 1.4 1 <1
among U5 children
Anaemia among U5 children - 48 46 53 28 20 <15
Anaemia among children
- 78 69 68 - 60 <50
under 6-23 months
Anaemia among women (15-
- 36 35 41 24 20 <15
49)
Anaemia among pregnant
- 42 48 46 - 35 <25
women
Anaemia in adolescent 25 (for
- 39 38.5 43.6 35 <25
women (15-19) 10-19)
Body mass index
26 24 18.2 17 12 8 <5
(<18.5kg/m2) among women
overweight or obese among
- 9 14 22 18 15 <12
women

2.2.5 Programme strategies

The main overall strategies for improving nutrition are i) the promotion of a food based-approach, ii)
food fortification, iii) the supplementation of foods and iv) the promotion of public health measures.
The specific nutrition strategies are listed in Box 2.2.2.

Box 2.2.2: Specific strategies to improve nutrition in Nepal

Control of protein energy malnutrition (PEM) Household food security

 Promote breastfeeding within one hour of birth
and avoid pre-lacteal feeding.
 Promote exclusive breastfeeding for first six
months and the timely introduction of
complementary food.
 Ensure continuation of breastfeeding for at least 2
years and the introduction of appropriate
complementary feeding after 6 months.
 Strengthen the capacity of health workers and
medical professionals for nutrition and
breastfeeding management and counselling.
 Improve skills and knowledge of health workers on
growth monitoring and nutrition counselling
 Strengthen the system of growth monitoring and
 Promote kitchen garden and agricultural
skills.
 Promote the raising of poultry, fish and
livestock for household consumption.
 Inform community people how to store and
preserve food.
 Improve technical knowledge of food
processing and preservation.
 Promote women’s group income generation
activities.
Improved dietary practices
 Conduct a study to clarify the problems of
culturally-related dietary habits
 Promote nutrition education and advocate

DoHS, Annual Report 2073/74 (2016/2017) 29

Child Health
its supervision and monitoring.
 Promote the use of appropriate locally available
complementary foods such as jaulo and Sarbottam
Pitho.
 Increase awareness on the importance of
appropriate and adequate nutrition for children
and pregnant and lactating mothers.
 Strengthen the knowledge of health personnel on
the dietary and clinical management of severely
malnourished children.
 Distribute fortified foods to pregnant and lactating
women and children aged 6 to 23 months in food
deficient areas.
 Improve maternal and adolescent nutrition and
low birth weight through improved maternal
nutrition.
 Create awareness of the importance of additional
dietary intake during pregnancy and lactation.
 Strengthen nutrition education and nutrition
counselling.
Control of iron deficiency anaemia (IDA)
 Advocate to policy makers to promote dietary
diversity.
 Iron folic acid supplementation for pregnant and
post-partum mothers.
 Iron fortification of wheat flour at roller mills.
 Intermittent iron folic acid supplementation for
adolescent girls.
 Multiple micronutrient supplementation for
children aged 6-23 months.
 Create awareness of importance of iron in
nutrition, promote consumption of iron rich foods
and promote diverse daily diets.
 Control parasitic infestation among nutritionally
vulnerable groups through deworming pregnant
women and children aged 12-23 months.
Control of iodine deficiency disorders
 The universal iodization of salt.
 Strengthen implementation of the Iodized Salt Act,
2055 to ensure that all edible salt is iodized.
 The social marketing of certified two-child logo
iodized salt.
 Ensure the systematic monitoring of iodized salt.
 Increase the accessibility and market share of
iodized packet salt with the two-child logo.
 Create awareness about the importance of using
iodized salt to control iodine deficiency disorder
30
for good diets and dietary habits.
 Develop and strengthen programmes for
behaviour change to improve dietary habits.
 Strengthen nutritional education and
advocacy activities to eliminate food taboos
that affect nutritional status.
 Promote the household food security
programme.
Infectious disease prevention and control
 Promote knowledge, attitudes and practices
that will prevent infectious diseases.
 Ensure access to appropriate health services.
 Improve nutritional status to increase
resistance against infectious disease
 Improve safe water supplies, sanitation and
housing conditions.
 Improve food hygiene.
School Health and Nutrition Programme
 Build capacity of policy and working level
stakeholders.
 The biannual distribution of deworming
tablets to grade 1 to 10 school children.
 Celebrate School Health and Nutrition (SHN)
week each June to raise awareness on
malnutrition at the community level through
school children and health workers.
 Distribute first aid kits to public schools.
 Introduce child-to-child and child-to-parent
approaches.
Integrated management of acute malnutrition
 Build capacity of health workers on managing
acute malnutrition and of other community
workers on screening and the referral of
cases.
 Establish and implement the key parts of the
IMAM programme: community mobilization,
inpatient therapeutic care, outpatient
therapeutic care and management of MAM.
 Implement the IMAM programme based on
maximum coverage & access, timeliness of
service provision, appropriate care and care
as long as it is needed.
 Integrate the management of acute
malnutrition across sectors to ensure that
treatment is linked to support for
rehabilitating cases and to wider malnutrition
DoHS, Annual Report 2073/74 (2016/2017)

(IDD) through social marketing campaign.
Control of vitamin A deficiency
 The biannual supplementation of high dose
vitamin A capsules to 6-59 month olds.
 Post-partum vitamin A supplementation for
mothers within 42 days of delivery.
 Strengthen implementation of vitamin A
treatment protocol for severe malnutrition,
persistent diarrhoea, measles and xerophthalmia.
 Nutrition education to promote dietary
diversification and consumption of vitamin A rich
foods.
 Ensuring the availability of vitamin A capsules at
health facilities.
 Increase awareness of importance of vitamin A
supplementation.
 The biannual distribution of vitamin A capsules to
6 and 59 month olds through FCHVs.
 Advocate for increased home production,
consumption and preservation of vitamin A rich
foods.
 Strengthen the use of the vitamin A Treatment
protocol.
 Promote the consumption of vitamin A rich foods
and a balanced diet through nutrition education.
 Provide vitamin A capsules (200,000 IU) to
postpartum mothers through healthcare facilities
and community volunteers.
Low birth weight
 Reduce maternal malnutrition by preventing PEM,
VAD, IDD and IDA.
 Reduce the workloads of pregnant women.
 Increase awareness of the risks of smoking and
alcohol to pregnant women.
 Increase awareness of risks of early pregnancy to
infant and maternal health.
 Promote activities for nutrition monitoring and
counselling at antenatal clinics.
DoHS, Annual Report 2073/74 (2016/2017)
Child Health
prevention programme and services.
 Support and promote IYCF, water, sanitation
and hygiene (WASH), early childhood
development, social protection and child
health and care along with the management
of acute malnutrition.
 Promote the IMAM programme as the bridge
between emergency and development
programmes.
 The supportive supervision and monitoring of
IMAM programme activities.
 Harmonize the community and facility-based
management of acute malnutrition.
 Strengthen the coordination and capacity of
nutrition rehabilitation homes.
Nutrition in emergencies
 Develop adequate capacity and predictable
leadership in the nutrition sector for
managing humanitarian responses.
 Formulate an emergency nutrition in
emergency preparedness and response
contingency plans.
 Establish and strengthen stronger
partnerships and coordination mechanisms
between government, UN and non-UN
agencies.
 Agencies to respond in emergencies through
the activated nutrition cluster.
Lifestyle related diseases
 Create awareness among adults about the
importance of maintaining good dietary
habits.
 Develop the capacity for nutritional
counselling at health facilities.
 Create awareness among adolescents and
adults about the importance of controlling
smoking and body weight.
 Create awareness to increase physical activity
and improve stress management.
31
Child Health
2.2.6 Major achievements
2.2.6.1 Growth monitoring and promotion
Monitoring the growth of children less than two years of age helps prevent and control protein-
energy malnutrition and provides the opportunity for taking preventive and curative actions. Health
workers at all public health facilities monitor the growth of children once a month using the growth
monitoring card that is based on WHO’s new growth standards.

In FY 2073/74, the percentage of newborns with low birth weight (<2.5 kg) was increased to 11% at
national level from that as 9% in FY 2072/73. It was similar across the provinces with the highest rate
in the province 1 (15.4 percent) while lowest rate at province 6 (6.9 percent) (Figure 2.2.1).
Nationally, there was an average of 3 visits per child in FY 2073/74 and it was slightly decreased from
the previous year. As far as provinces are concerned, the provinces 1, 4 and 7 had average visits
more than that of the national average whereas the province 2 had the lowest average visits across
the provinces (Figure 2.2.2).

Figure 2.2.1: Percentage of newborns with low Figure 2.2.2: Average no. of growth monitoring
birth weight (<2.5 kg) visits per child (0–23 months)
4 3.9 3.8
15.4
3.2 3.3
13.3 3 2.9 3
11.8 3
11.3 2.5 2.5
10.5
9.9
9 1.9
8.4
2
6.9
8.9

FY 2071/72 FY 2072/73 FY 2073/74

FY 2071/72 FY 2072/73 FY 2073/74
Source: HMIS/MD/DoHS
Source: HMIS/MD/DoHS

The percentage of children aged 0 to 23 months registered for growth monitoring in 2073/74 (69 per
cents) was sharply increased from the previous fiscal year, however, it was still less than that in FY
2071/72. Across the provinces, the province 7 had the highest percentage while province 3 had the
lowest percentage of children aged 0 to 23 months registered for growth monitoring in 2073/74
(Figure 2.2.3).

In 2072/73, 4.4 percent of 0-23 month olds was reported as underweight at national level among
children at their first growth monitoring while it was tremendously decreased for those at repeated
visits highlighting importance of growth monitoring. The highest proportion of underweight children
were from the provinces 6 and 7 while the least was from provinces 1 and 4 (Figure 2.2.4).

32 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health

Figure 2.2.3: Percentage of children aged 0–23 Figure 2.2.4: Percentage of registered children aged 0-23
months registered for growth with underweight (New Vs Repeat Visits)
monitoring

110 10 9.5

100 8 7.3

78.3 79.2 77.1

80 6 4.9
69.1 68.6 4.4 4.4
63.4 63.5 62.9
60
56.4 4 3.3

2 1.5 1.2
40 1.1 0.8
0.5 0.5 0.5 0.6
0.2 0.1
0
20

0
% of children aged 0–23 months registered for growth
monitoring who were underweight (New)
% of children aged 0–23 months registered for growth
FY 2071/72 FY 2072/73 FY 2073/74 monitoring who were underweight (Repeat)

Source HMIS/MD/DoHS Source HMIS/MD/DoHS

2.2.6.2 Infant and young child feeding

Appropriate feeding practices are essential to enhance the nutrition, survival, growth and
development of infants and young children. These infant and young child feeding (IYCF) practices
include exclusive breastfeeding for six months and the providing nutritionally adequate and
complementary feeding starting from six months with continued breastfeeding to two years of age or
beyond. Improving care and practices related to IYCF is a priority strategy of MoH. The IYCF
programme was scaled-up in all 75 districts from FY 2072/73.

IYCF is also linked with the distribution of micro-nutrient powder (Baal Vita) in 15 districts and with
child cash grants (CCG) in the five Karnali Zone districts. However, more effective counselling and
monitoring mechanisms are needed for these programmes.

There is a large provincial difference in the percentage of children aged 0-6 months that registered
for growth monitoring and were exclusively breastfed in their first six months. In FY 2073/74, 40.8
percent of these children were exclusively breastfed in the province 3 compared to only 3.1 percent
of such children in the province 2 (Figure2.2.5). The national average was 25.1 percent, which was
decreased by 7% from the previous year. Moreover, it is much less than the 2016 Nepal Demographic
and Health Survey (NDHS) figure - 66 percent.

The proportion of 6-8 month old children registered for growth monitoring who received
complementary foods varied in FY 2073/74 from about 3 percent of these children in the province 2
to 64.6 percent in the province 3 (Figure 2.2.6). Nationally, only 30.6 percent of these children
received complementary food which is much lower than the NDHS 2016 figure of 84 percent. The
current data suggests reflects the poor timely introduction of complementary feeding and the
consequent need to provide appropriate counselling to mothers and caregivers to improve feeding
practices.

DoHS, Annual Report 2073/74 (2016/2017) 33

Child Health

Figure 2.2.5: Percentage of 0–6

0 6 month olds Figure 2.2.6: Percentage of 6–
6–88 month olds
registered for growth monitoring who registered for growth monitoring who
were exclusively breastfed
breastfed for their had received solid, semi-solid
semi solid or soft
first six months foods

FY 2071/72 FY 2072/73 FY 2073/74 FY 2071/72 FY 2072/73 FY 2073/74

64.6
40.8
40 37.3
35.5
35 31.7
28.5 25.1

39.5
30 26.4

37.2
32.3
30.6
25 20.9

27.5

27.3
23.5
20
14.1

12.3
15
10

2.9
5 3.1

Source HMIS
HMIS/MD/DoHS Source HMIS/MD/DoHS
HMIS/MD/DoHS

2.2.6.3 Integrated management of acute malnutrition

The Integrated Management of Acute Malnutrition (IMAM) Programme (previously the Community
based Management of Acute Malnutrition [CMAM] programme) manages Severe Acute Malnutrition
(SAM) in children aged 0-59 0 59 months through inpatient and outpatient services
services at facility and
community levels. This programme was being implemented in 11 districts (Achham, Kanchanpur,
Bardiya, Jajarkot, Jumla, Mugu, Kapilbastu, Sarlahi, Dhanusha, Saptari and Okhaldhunga) until last FY
2072/073 and was scaled-up
scaled up in 10 MSNP distr
districts
icts in current FY 2073/074. The scaled-up
scaled up districts are
Kalikot, Humla, Dolpa, Dadeldhura, Bajhang, Bajura, Baitadi, Panchthar, Khotang, and Parsa, with
technical and financial support from UNICFE
UNICFE-Nepal.
Nepal. In Chitwan, the program is implemented in only
few VDCs covering the Chepang population. Along with MIYCN promotion and support, IMAM aims
to integrate nutrition support across the health, early childhood development, WASH and social
protection sectors for the continued rehabilitation of cases and to widen malnutrition prevention
programme and services. The programme also acts as a bridge between emergency and
development nutrition interventions.

In 2073/
2073/-74,
74, total 15,633 children with SAM admitted in outpatient’s therapeutic programme 21
districts. Among them, 13,378 were discharged with 10651 with complete recovery. Among all
discharged SAM cases, 80 percent were recovered, less than 1 percent died and 10 percent were
defaulter, which are within the SPHERE standards of effectiveness of IMAM Program: recovery
reco rate
>75 percent, defaulter rate <15 percent and death rate <10 percent. However, few districts, including
Sarlahi, Parsa, Chitwan, and Acham achieved substantially below average results (Table 2.2.2). In
some districts, the number of discharged child
children
ren is higher than that of admitted children, this is due
to reason that some of the children being admitted in previous years and continued treatment in
current fiscal year.

34 DoHS, Annual Report 2073/74

207 (201
(2016/2017)
 Child Health
Table 2.2.2: District wise IMAM performance, FY 2073/74
District Total Total # of Total # of Total # Total # IMAM Performance (%)
SN Name Admission Discharge Recovered of of Recovered Death Defaulter
Cases Death Defaulter
1 Okhaldhunga 249 244 193 0 25 79.1 0.0 10.2
2 Khotang 18 196 191 2 0 97.4 1.0 0.0
3 Saptari 2634 1684 1132 4 69 67.2 0.2 4.1
4 Dhanusha 216 116 98 0 4 84.5 0.0 3.4
5 Sarlahi 784 742 466 6 219 62.8 0.8 29.5
6 Parsa 163 244 123 0 96 50.4 0.0 39.3
7 Chitwan 606 463 206 0 223 44.5 0.0 48.2
8 Kapilvastu 1609 1410 1089 0 171 77.2 0.0 12.1
9 Bardiya 670 622 524 1 60 84.2 0.2 9.6
10 Jajakot 169 186 141 1 10 75.8 0.5 5.4
11 Dolpa 168 173 136 9 12 78.6 5.2 6.9
12 Jumla 243 273 190 2 19 69.6 0.7 7.0
13 Kalikot 864 732 590 3 105 80.6 0.4 14.3
14 Mugu 1026 884 792 0 48 89.6 0.0 5.4
15 Humla 893 622 562 1 39 90.4 0.2 6.3
16 Bajura 753 677 640 2 18 94.5 0.3 2.7
17 Bajhang 971 809 704 3 42 87.0 0.4 5.2
18 Achham 421 401 287 1 75 71.6 0.2 18.7
19 Kanchnapur 1215 1035 933 4 53 90.1 0.4 5.1
20 Dadeldhura 629 487 427 0 21 87.7 0.0 4.3
21 Baitadi 1332 1378 1227 0 85 89.0 0.0 6.2
Total 15633 13378 10651 39 1394 79.6 0.3 10.4
Source HMIS/MD/DoHS

2.2.6.4 Nutrition rehabilitation homes

The first Nutrition Rehabilitation Home (NRH) was established in 1998 in Kathmandu aiming to
reduction of child mortality caused by malnutrition through inpatient rehabilitation of acute
malnutrition among the children. Since then, NRH has been scaled-up in 18 districts across Nepal.
The NRH not only treat and manage acute malnutrition with inpatient service, but also provide
nutrition education and counselling to the guardians of admitted children on good nutrition and
health care of their children. In FY 2073/74, total 1261 children were provided with nutritional care
through 16 NRH; and among them 745 were fully recovered. Those not recovered were referred to
the tertiary health facilities for advance treatment. In Kathmandu, around 72 percent of the admitted
cases were found with severe acute malnutrition and almost all of them were managed successfully.
Table 2.2.3: Admission and discharge status of nutrition rehabilitation homes, 2073/74
SN NRH Admitted Discharged
Male Female Male Female
1 Kathmandu 135 (SAM-98) 147 (SAM-105) 130 (SAM-98) 139 (SAM-100)
2 Janakpur 47 34 41 31
3 Rajbiraj 65 79 61 80
4 Bharatpur 79 96 84 83
5 Dailekh 41 22 40 26
6 Baglung 50 50 45 49
7 Dang 55 55 52 50
8 Butwal 42 39 38 35
9 Nepalgunj 73 71 62 65
10 Bhadrapur 72 56 69 59
11 Biratnagar 48 34 51 23
DoHS, Annual Report 2073/74 (2016/2017) 35
Child Health
SN NRH Admitted Discharged
Male Female Male Female
12 Birgunj 110 71 98 72
13 Kanchanpur 71 63 73 64
14 Dhanagadhi 81 50 74 47
15 Pokhara 54 62 52 60
16 Surkhet 69 47 69 47
Total 538 678 171 574
Source: Annual report 2073/074, Nepal Youth Foundation

2.2.6.5 Prevention and control of iron deficiency anaemia

MoH has provided supplementary iron folic acid (IFA) to pregnant and post-partum women since
1998 to reduce maternal anaemia. The protocol is to provide 60 mg elemental ironand400
microgram folic acid to pregnant women for 225 days from their second trimester. To improve
access, in 2003, the Intensification of Maternal and Neonatal Micronutrient Programme (IMNMP)
began IFA supplementation through female community health volunteers (FCHVs). This programme
covered all 75 districts by 2014. The intensification programme improved coverage, although
compliance with taking 180 tablets during pregnancy and 45 tablets post-partum remains an issue.

Figure 2.2.7: IFA distribution by Province, FY 2073/74

120
100
100 93
85 81
74 73
80 66
Percentage

65 60 57 56 52 55
60 44 40 49
41 43 40 40
40 31 32 28
24
20
0
National Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7
PLW receiving IFA 1st time PLW Receiving 180 IFA PPW receiving 45 IFA

The coverage of first time iron distribution is high at 74 percent nationally with the highest coverage
in province 5,6, and 7 (98 percent, 100 percent, and 81 percent respectively), but the compliance of
taking 180 tablets throughout the pregnancy (44 percent) and 45 days post-partum (40 percent) is
substantially low. Province 3 has the lowest coverage amongst all for all three indicators.

Figure 2.2.8: IFA distribution as percentage of expected live births in Nepal in last three years

Source: HMIS/MD/DoHS. Note: PP = postpartum

36 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health
Nationally the trend of first time, 180 days and 45 days post-partum IFA distribution has been
declining slightly over the periods (Figure 2.2.8). Frequent shortage of IFA tablets has further
deteriorated the coverage.
2.2.6.6 Integrated Infant and Young Child Feeding and Micro-Nutrient Powder Community
Promotion Programme
The NDHS 2006 found that 78 percent of 6-23 month old children were anaemic, mostly due to poor
IYCF practices. A Plan of Action subsequently endorsed Sprinkles as the key intervention to address
anaemia in young children. In 2007, the National Nutrition Priority Workshop endorsed the piloting
of sprinkles supplementation as a preventive measure. In June 2009, MoH piloted the home
fortification of complementary food with MNPs for 6-23 months olds in six districts integrated with
the Community IYCF Programme. The successful pilot programme led to MoH expanding it to an
additional nine districts in 2012.

The promotion of MNPs is linked with improving complementary feeding. Mothers and caregivers
are counselled to introduce complementary foods at six months of age, on age-appropriate feeding
frequency, on improving dietary quality of complementary foods by making them nutrient and
calorie dense, as well as on hand washing with soap before feeding. Mothers and caregivers are
trained to prepare ‘poshilo jaulo’ (pulses, rice and green vegetables cooked in oil) and ‘lito’ (mixture
of blended and roasted cereal and legume flours). A feasibility study of the programme in 2008/09
found strong community acceptance with a very high coverage and compliance on the use of MNP.
The linking of IYCF with MNPs has contributed to significant improvement in IYCF practices. The
prevalence of anemia among children age 6-23 months has decreased to 68% (NDHS, 2016) from 78
percent. However, it still calls for continuous effort as the coverage of the program is not very
promising.

In 2073/74 58 percent of children aged 6 to 23 months had taken their first dose of multiple
micronutrient power (MNP-Baal Vita) in the 16 programme districts. Rasuwa and Gorkha has the
highest coverage at 100 percent while Makawanpur has the lowest at 49 percent. Compared to the
1st cycle of MNP intake, the 3rd cycle of intake indicating the compliance is relatively low at 42
percent. Here, it is important to mention that coverage of 1 st cycle intake is calculated based on the
target population of 6-23 months, while that of 3rd cycle is calculated among the children aged 18-23
months, who have ever taken MNP. This was done as the target population for aged 12-18 and 18-23
months is not available in HMIS estimation. Rasuwa and Gorkha seem performing well with the
higher coverage while Rukum west needs to make intensive efforts. Overall, effective nutrition
education, counselling and follow up to the mothers/caretakers is essential to improve coverage as
well as comply with the recommended doses of MNPs.

Table 2.2.4: Micronutrient powder (Baal Vita) distribution status, 2073/74

Children receiving Children receiving
S.N. District Name 1st Cycle of MNP 3rd Cycle of MNP
Target # % Target # %
1 MORANG 34241 20918 61 9889 4104 42
2 SUNSARI 28007 26738 95 14945 4315 29
3 SANKHUWASABHA 5171 2668 52 865 395 46
4 PARSA 21813 16232 74 6603 937 14
5 RASUWA 1459 1526 100 686 317 46
6 MAKWANPUR 14615 7203 49 2426 810 33

DoHS, Annual Report 2073/74 (2016/2017) 37

Child Health
Children receiving Children receiving
S.N. District Name 1st Cycle of MNP 3rd Cycle of MNP
Target # % Target # %
7 GORKHA 8506 9384 100 6431 3290 51
8 PALPA 8417 4562 54 1169 727 62
9 RUPANDEHI 32560 20552 63 9944 4057 41
10 KAPILBASTU 20641 19370 94 11151 4553 41
11 RUKUM 1737 1540 89 807 207 26
12 DANG 20107 10033 50 3739 1009 27
13 BARDIYA 15089 8084 54 5353 4724 88
14 RUKUM WEST 55922 3064 5 1747 444 25
15 ACHHAM 9091 9643 106 5163 3259 63
16 DADELDHURA 5003 3288 66 1866 1310 70
Total 282379 164805 58 82784 34458 42
Source: HMIS/MD/DoHS

2.2.6.7 Prevention and control of iodine deficiency disorder

MoH adopted a policy to fortify all edible salt in 1973 to address iodine
deficiency disorders (IDD) through universal salt iodization. The Salt
Trading Corporation is responsible for the iodine fortification of all
edible salt and its distribution, while MoH is responsible for promoting
iodized salt and its marketing to increase consumption. The
government uses the Two-Child
Two Child-Logo
Logo to certify adequately iodized salt
and DoHS has been implementing a social marketing campaign of this
salt to improve awareness of its use in households. National surveys report an increase in the
number of households using adequately iodized salt from 55 percent in 1998 to 95 percent in 2016
(Figure 2.2.
2.2.9).
). Iodine month was celebrated in February 2017 in all 75 districts to raise awareness on
the use of two
two-child
child-logo
logo salt for optimum iodine intake to combat iodine deficiency disorders.

There are, however, disparities in the use of iodized salt. The NDHS 2016 found the Province 2 to
have the highest coverage (99.3 percent), while the Province 6 had the lowest (85.1 percent) (Figure
2.2.10).
).

Figure 2.2.
2.2.9:: Percentage of households using iodized salt

110
94.9
90 80 81.5

70
55.2 57.5
50.4
50

30

10

-10 1998 NMSS 2005 NIDDS 2010 (FWDR & 2011 NDHS 2014 NMICS 2016 NDHS
MWDR)

38 DoHS, Annual Report 2073/74

207 (201
(2016/2017)
 Child Health
Figure 2.2.10: Percentage of households using adequately iodized salt
105
99.3
100 96.7 96.4
95.5
95 91.8 91.8
90
85.1
85
80
75
Provience 1 Provience 2 Provience 3 Provience 4 Provience 5 Provience 6 Provience 7

Source: CHD, Nutrition Section

2.2.6.8 Control of vitamin A deficiency disorders

The government initiated the National Vitamin A Programme in 1993 to improve the vitamin A status
of children aged 6-59 months and reduce child mortality. This programme is recognized as a global
public health success story. It initially covered 8 districts and was scaled up nationwide by 2002.
FCHVs distribute the capsules to the targeted children twice a year through a campaign-style activity.

Figure 2.2.11: Coverage of vitamin A supplementation to children aged 6-59 months by

Distribution Round

120
97 100 100
100 93
85 87 88
81 82 84
78 76 80
80 72 75
70
Percentage

60

40

20

0
National Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7
Kartik 2073 (October 2016) Baisakh 2074 (April 2017)

Source: HMIS/MD/DoHS

From this fiscal year, the progress on biannual Vitamin A supplementation is presented by 1 st Round
(Kartik) and 2nd Round (Baisakh). The overall national achievement is more than 80 percent among
the children aged 6-59 months with 85 percent in Kartik and 81 percent in Baisakh. Nonetheless, the
coverage by provinces varies with province 5 and 6 with higher proportion of children receiving
vitamin A supplementation with the province 4 and 5 with the lover proportions of children receiving
it.

DoHS, Annual Report 2073/74 (2016/2017) 39

Child Health

Figure 2.2.12: Coverage of vitamin A Figure 2.2.13: Coverage of vitamin A

supplementation by age groups for Kartik 2073 supplementation by age groups for Baisakh 2074
(October 2016) (April 2017)

119 118
120 120
97 100 98
96 97 97 97
92 93
100 88 84 90 87 87 100 87 89
84
80 82 80 77 78
74 72 75
80 69 73 80 68 71

Percentage
66
Percentage

60 60

40 40

20 20

0 0

6-11 months 12-59 months 6-11 months 12-59 months

Source: HMIS/MD/DoHS

In both round, except in province 3 and 4, the relatively higher percentage of children aged 6-11
month had received Vitamin A compared to the children aged 12-59 months. The overall national
coverage does not vary much by age-groups in Kartik and Baisakh rounds. Additionally, the provinces
3 and 4 also showed the lowest coverage amongst other provinces. The relatively higher coverage of
the children aged 6-11 months in the Mid-western and Far Western regions could be due to the
introduction of new strategy of vitamin A supplementation to the infants aged 6-11 months in
2014/15. This strategy allowed health facilities and FCHVs to provide vitamin A to children
immediately after they reached six months of age. Under this strategy, children then receive the
second dose at the regular biannual supplementation events. Majority of the districts in provinces 2,
6 and 7 are supplementing Vitamin A with this new service delivery mechanism.

2.2.6.9 Biannual Deworming Tablet Distribution to the Children aged 12-59 months
Child Health Division attempts to include report on biannual deworming tablets distribution to the
children aged 12-59 months. Aiming to reduce childhood anemia with control or parasitic infestation
through public health measures, this activity is integrated with biannual Vitamin A supplementation
to the children aged 6-59 months, which takes place nationally in every ward on first week of Baisakh
and Kartik each year. Deworming to the target children was initiated in few districts during the year
2000 integrating with biannual Vitamin A supplementation and with gradual scaling-up, the program
was successfully implemented nationwide by the year 2010.

The report is presented separately for Baisakh and Kartik round of FY 2073/074. As shown in figure
2.2.13, the national coverage of deworming tablet distribution is 84 percent in Kartik round and 71
percent in Baisakh round. For all the provinces, the coverage shown similar pattern with higher in
Karik and lower in Baisakh with exception in province 3. Province-wise, province 5 and 6 shows
highest coverage with province 2 and 3 with relatively low coverage. In province 1, the coverage for
Baisakh is substantially low (56 percent) than that in Kartik (86 percent).

40 DoHS, Annual Report 2073/74 (2016/2017)

 Child Health
Figure 2.2.13: Coverage of Deworming Tablets distribution to the Children aged 12-59 months

120
96 98
100 86 90 87
84 79 84 82
Percentage

80 71 72 73 76 68
56 58
60
40
20
0
National Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7
Kartik 2073 (October 2016) Baisakh 2074 (April 2017)
Source: HMIS/MD/DoHS

2.2.6.10 School Health and Nutrition Programme

The School Health and Nutrition Strategy (SHNS) was developed jointly in 2006 by Ministry of Health
and Ministry of Education to address the high burden of diseases in school age children. In 2008, a
five-year Joint Action Plan (JAP) was endorsed to implement School Health and Nutrition (SHN)
Program. The improved use of school-based health and nutrition services, improved access to safe
drinking water and sanitation, skill-based health education, community support and an improved
policy environment are the core elements of the School Health and Nutrition Programme.

During 2008-2012, government had implemented a pilot SHN project in primary schools based on the
Joint Action Plan in Sindhupalchowk and Syangja districts. This pilot project has some promising
results recommending to scaling up of the program in other districts. With gradual scaling-up, the
program has covered all 75 districts by FY 2073/074. The current Joint Action Plan (2071/072 to
2075/76) calls for:
 annual health screening
 biannual deworming of Grade 1–10 school children
 a first aid kit box with refilling mechanism in all primary schools
 hand washing facilities with soap in all schools
 toilets in all schools
 the use of the new attendance registers in all schools
 orient school management committees on facilitating health and nutrition activities
 child club mobilization on health and nutrition issues.

One of the major activity under SHN Program is Biannual School Deworming to all the School-aged-
children (SAC) that is conducted in first week of Jestha and Mangsir every year. District (Public)
Health Offices provide deworming tablets to the respective District Education Offices and the school-
focal-teachers distribute the tablets to the SAC in their school. Until the last FY, progress in this
regard has not been reported in the annual report due to the very poor, almost no reporting to the
system. However, though very low, there is some reporting this FY as presented in the figure 2.2.14
below. As reflected, national coverage of school deworming is as low as 29 percent with the highest
in province 6 (81 percent) and with lowest in province 2 (only 5 percent).

DoHS, Annual Report 2073/74 (2016/2017) 41

Child Health
Figure 2.2.14
2.2.14: Coverage of School
School Deworming Tablet Distribution
Distribution,, FY 2073/74

100
81
80
Percentage

60
40
40 29 30 29
26
21
20
5
0
National Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7
Source: HMIS /MD/DoHS
/DoHS

2.2.6.11
.2.6.11 Adolescent Girls Iron Folic Acid Supplementation

From FY 2072/073, the SHN Program has initiated Weekly Iron Folic Acid (IFA) supplementation to
the adolescent girls aged 10-19
10 19 years aiming to prevent and control the high burden of Iron
Deficiency Anemia among this particular group of population. This ac
activity
tivity was piloted in Kathmandu,
Dolakha, Khotang, Panchthar, Bhojpur, Saptari, Puthan and Kapilvastu in FY 2072/073. In FY
2073/074, scaling up of the program was planned in 17 more districts, namely Humla, Bajura,
Bajhnag, Doti, Bhaktapur, Rupandehi, ManManang,
ang, Surkhet, Parsa, Jumla, Mahottari, Kalikot, Sarlahi,
bara, Mugu, Dolpa, and Udaypur. Child Health Division has completed the Training to the concerned
official from all these districts. However, the program has yet not been implemented in all the
districts
icts due to the various reason.

Under this component, all the adolescent girls aged 10

10--19
19 years are supplemented with weekly Iron
Folic Acid biannually in Shrawan (Shrwan-Asoj)
(Shrwan Asoj) and Magh (Magh
(Magh-Chiatra)
Chiatra) rounds. In each round, they
are provided with one IFA tablet every week for 13 weeks. So, each adolescent girls should get a total
of 26 IFA tablets in a year.

2.2.6.12
.2.6.12 Nutrition in emergencies
In addition to the regular nutrition program intervention, Child Health Division also provide services
of Nutrition in Emergencies. When an emergency caused by any reasons such as natural disasters
(earthquake, flood, drought, etc.), conflicts or any other cause occurs affecting the overall health,
nutrition, and livelihoods of all the population either in any are of the country or nationwide,
Nutrition in Emergencies (NiE) services is provided to the affected areas. NiE interventions focus on
the pregnant and lactating women (PLWs) and children under five years of age as they are
nutritionally most vulnerable during any emergency. Under NiE interventions following Five Building
Blocks of nutrition interventions are implemented in the affected areas of the ccountry.
ountry.
 Promotion, protection and support to breast feeding of infant and young children aged 0-23
0
months.
 Promotion of proper complementary feeding to the infant and young children aged 6-23 6
months.
 Management of moderate acute malnutrition (MAM) among the children aged 6-59
6 59 months and
among PLWs through targeted supplementary feeding program (TSFP).
42 DoHS, Annual Report 2073/74
207 (201
(2016/2017)
 Child Health
 Management of severe acute malnutrition among the children aged 6-59 months through
therapeutic feeding.
 Intensification of Micronutrient supplementation for children and women including MNP and
vitamin A for children aged 6-59 months, IFA for pregnant and postnatal women.

During FY 2073/074, NiE interventions were continued in 14 districts (Kathmandu, Lalitpur,

Bhaktapur, Kavrepalanchowk, Dhading, Rasuwa, Nuwakot, Makawanpur, Sinchdupalchowk, Sindhuli,
Dolakha, Ramechhap, Gorkha, and Okhaldhunga), highly affected by the Mega Earthquake in Baisakh
of FY 2071/072 with the recovery phase interventions. The progress in this regard is given below.

Table 2.2.5: Achievement of nutrition in emergency in 14 earthquake affected districts (2015/16)

SN Intervention areas Achievement (%)

Mothers and caretakers of children aged 0-23 months counselled on

1 68
breastfeeding and risks of artificial feeding

Mothers and caretakers of children age 6-23 months counselled on

2 72
complementary feeding

Children aged 6-59 months with moderate acute malnutrition admitted to

3 51
targeted supplementary feeding centres (TSFC)
4 Supplementary feeding of pregnant and lactating women 196

5 Children aged 6-59 months received multiple micronutrient powders (Baal Vita) 85

6 Children aged 6-59 months received vitamin A capsules 79

7 Children aged 12-59 months received deworming tablets 76
8 Pregnant and Lactating Women receiving IFA Supplementation 56
Source: Nutrition Cluster report

Table 2.2.6: IMAM Performance in 14 Highly Earthquake affected Districts.

District Total Total # of Total # of Total # Total # IMAM Performance (%)
SN Name Admission Discharge Recovered of of Recovered Death Defaulter
Cases Death Defaulter
1 Okhaldhunga 249 244 193 0 25 79.1 0 10.2
2 Sindhuli 480 673 611 5 48 90.8 0.7 7.1
3 Ramechhap 244 266 219 10 17 82.3 3.8 6.4
4 Dolakha 219 166 124 1 14 74.7 0.6 8.4
5 Sindhuplachowk 316 502 396 0 72 78.9 0 14.3
6 Kavre 97 157 133 0 8 84.7 0 5.1
7 Lalitpur 555 581 512 0 16 88.1 0 2.8
8 Bhaktapur 297 235 181 0 15 77.0 0 6.4
9 Kathmandu 2591 1705 1076 4 338 63.1 0 19.8
10 Nuwakot 315 356 310 0 20 87.1 0 5.6
11 Rasuwa 74 73 44 0 18 60.3 0 24.7
12 Dhading 381 408 273 1 47 66.9 0 11.5
13 Makawanpur 583 468 375 2 47 80.1 0 10.0
14 Gorkha 91 158 76 1 73 48.1 0.6 46.2
Total 6492 5992 4523 24 758 75.5 0 12.7
Source: Nutrition Cluster report

DoHS, Annual Report 2073/74 (2016/2017) 43

Child Health
% of PSBI cases receiving full dose of Inj.
% of Diarrhoea Cases Treated with ORS and Zinc
Gentamicin
MYAGDI 111.1 JAJARKOT 109.1
SARLAHI 109.1 LALITPUR 108.1
MAHOTTARI 102.5 KATHMANDU 105.5
RAUTAHAT 101.6 PALPA 102.9
KALIKOT 95 RASUWA 100.8
SALYAN 91 DHADING 100.4
BARDIYA 87.8 RAMECHHAP 100.3
DARCHAULA 87.5 PYUTHAN 100
MORANG 85.4 PANCHTHAR 99.9
BAJHANG 82.2 SYANGJA 99.7
DAILEKH 80.4 BHAKTAPUR 99.1
HUMLA 79.5 64 KALIKOT 98.5
JUMLA 78.6 SARLAHI 98.5
ACHHAM 78.2 GORKHA 98.2
DADELDHURA 76.5 SURKHET 98.1
PARSA 73.9 DHANKUTA 98.1
RUKUM WEST 71.4 BARDIYA 97.8
PYUTHAN 70.9 TANAHU 97.8
SURKHET 70.1 DANG 97.7
DOTI 65.8 SANKHUWASABHA 97.6
PANCHTHAR 65.4 63 JUMLA 97.1
BAJURA 65.1 ACHHAM 96.9
MAKWANPUR 63.3 BANKE 96.2
KAPILBASTU 61.1 RUKUM WEST 96.1
SIRAHA 59.3 GULMI 96.1
BARA 59.1 BAJHANG 96
DANG 58.6 LAMJUNG 95.8
SAPTARI 54.5 DARCHAULA 95.3
SANKHUWASABHA 51.3 BAGLUNG 95.2
RUKUM 43.8 ROLPA 95.1
KANCHANPUR 43 RAUTAHAT 95.1
SINDHUPALCHOK 42.9 SAPTARI 95
DOLPA 40.3 RUKUM 94.9
JAJARKOT 37.7 BAITADI 94.8
ROLPA 37 MAKWANPUR 94.7
DHANUSA 35.3 MANANG 94.6
KAILALI 34.9 MAHOTTARI 94.6
MUGU 34.8 65 MUGU 94.4
BANKE 34.7 MYAGDI 94.3
BAITADI 33.3 DADELDHURA 94.1
CHITAWAN 33.3 KAILALI 94
TERHATHUM 33.3 NAWALPARASI 94
ARGHAKHANCHI 28.6 PARSA 93.6
SUNSARI 26.2 BAJURA 93.4
DHANKUTA 25 CHITAWAN 93.2
JHAPA 24.3 PARBAT 93
SINDHULI 22.6 KASKI 92.8
RASUWA 22 DOTI 91.8
KHOTANG 19 DOLAKHA 90.7
TAPLEJUNG 18.2 SINDHULI 90.7
OKHALDHUNGA 17.1 JHAPA 90.7
UDAYAPUR 16.9 KAPILBASTU 90.6
DHADING 16.7 MORANG 90.4
ILAM 16.7 DAILEKH 90.3
DOLAKHA 15.3 TERHATHUM 89.9
BAGLUNG 12.5 KANCHANPUR 89.1
NUWAKOT 12.5 BARA 89
GORKHA 12 SIRAHA 89
SYANGJA 11.1 66 HUMLA 86.6
RUPANDEHI 9.6 BHOJPUR 86.5
NAWALPARASI 7.7 TAPLEJUNG 86.1
TANAHU 6.7 UDAYAPUR 86
RAMECHHAP 6.7 DHANUSA 85.9
KATHMANDU 6.3 ILAM 85.6
SOLUKHUMBU 5.5 NUWAKOT 84.5
GULMI 5.3 SINDHUPALCHOK 83.9
NAWALPUR 5.2 OKHALDHUNGA 83.6
LALITPUR 4.8 KHOTANG 83.4
PALPA 4.3 62 DOLPA 82.8
PARBAT 0 SALYAN 81
MUSTANG 0 RUPANDEHI 80.2
MANANG 0 KAVRE 79.3
KASKI 0 MUSTANG 79.1
LAMJUNG 0 RGHAKHANCHI 78.8
BHAKTAPUR 0 SOLUKHUMBU 78
KAVRE 0 SUNSARI 75
BHOJPUR 0 NAWALPUR 39.1
NATIONAL 59 NATIONAL 92.1

0 50 100 150 0 50 100 150

44 DoHS, Annual Report 2073/74 (2016/17)

 Child Health

2.3 INTEGRATED MANAGEMENT OF NEONATAL AND

CHILDHOOD ILLNESS

2.3.1 Introduction

A chronological development: Community Based-Integrated Management of Childhood Illness (CB-

IMCI), Community Based Integrated Management of Newborn Care Program (CB-NCP) and
Community Based-Integrated Management of Neonatal and Childhood Illness (CB-IMNCI)

In Nepal, Child survival intervention began when Control of Diarrhoeal Disease (CDD) Program was
initiated in 1983. Further, Acute Respiratory Infection (ARI) Control Program was initiated in 1987.
To maximize the ARI related services at the household level, referral model and treatment model at
the community level were piloted. An evaluation of this intervention in 1997 revealed that
treatment model was more effective and popular in the community than referral model. In
1997/98, ARI intervention was combined with CDD and named as CB-AC program. One year later
two more components, nutrition and immunization, were also incorporated in the CBAC program.
IMCI program was piloted in Mahottari district and was extended to the community level as well.
Finally, the government decided to merge the CBAC into IMCI in 1999 and named it as Community-
Based Integrated Management of Childhood Illness (CB-IMCI). CB-IMCI included the major
childhood killer diseases like pneumonia, diarrhoea, malaria, measles, and malnutrition. The
strategies adopted in IMCI were improving knowledge and case management skills of health service
providers, overall health systems strengthening and improving community and household level care
practices. After piloting of low osmolar ORS and Zinc supplementation, it was incorporated in CB-
IMCI program in 2005. Nationwide implementation of CB-IMCI was completed in 2009 and revised
in 2012 incorporating important new interventions.

Up to 2005, Nepal had made a huge progress in reduction of under-five and infant mortality,
however, the reduction of neonatal mortality was observed very sluggish because the country had
no targeted interventions for newborns especially at community level. State of world report, WHO
showed that major causes of mortality were infections, asphyxia, low birth weight and
hypothermia. The Government of Nepal formulated the National Neonatal Health Strategy 2004.
Based on this 'Community-Based New Born Care Program (CB-NCP)' was designed in 2007, and
piloted in 2009. CB-NCP incorporated seven strategic interventions: behaviour change
communication, promotion of institutional delivery, postnatal care, management of neonatal
sepsis, care of low birth weight newborns, prevention and management of hypothermia and
recognition and resuscitation of birth asphyxia. Furthermore, in September 2011, Ministry of Health
and Population decided to implement the Chlorhexidine (CHX) Digluconate (7.1% w/v) aiming to
prevent umbilical infection of the newborn. The government decided to scale up CB-NCP and
simultaneously, the program was evaluated in 10 piloted districts. Upto 2014, CB-NCP was
implemented in 41 districts covering 70% population.

DoHS, Annual Report 2073/74 (2016/17) 45

Child Health
As a result of CB-IMCI program strategy, the prevalence of pneumonia and diarrhoea has reduced
significantly over the last decades. The care-seeking practices and household level practices have
been improved. CB-IMCI program has become one of the role models for a community-based
program of Nepal. Other interventions which have a high contribution to the reduction of post-
neonatal child mortality are bi-annual supplementation of Vitamin A program, expanded program
on immunization. On the other hand, essential newborn care practices were improved in CB-NCP
implemented districts.

In both of the programs (CB-IMCI and CB-NCP), FCHVs were considered as frontline health service
providers but quality and coverage of service were very low. CB-NCP and CB-IMCI have similarities
in interventions, program management, service delivery and target beneficiaries. Both programs
have duplicated interventions like management of neonatal sepsis, promotion of essential newborn
care practices, infection prevention, and management of low birth weight. Though FCHVs are doing
very good on the promotion of healthy behaviours, they are found poorly performing in service
delivery. Moreover, they are overburdened with workloads and massive resource was used in a
fragmented manner for the same purpose. Also, inequity in quality service delivery and utilization
are the major challenges in newborn and child health programs. Health governance issue is also
affecting to better functioning of the health system. Considering the management of similar kind of
two different programs, MoH decided to integrate CB-NCP and IMCI into a new package that is
named as CB-IMNCI.

2.3.1.1 Community-Based Integrated Management of Newborn and Childhood Illnesses

(CB‐IMNCI)
CB-IMNCI is an integration of CB-IMCI and CB-NCP Programs as per the decision of MoH on
2071/6/28 (October 14, 2015). This integrated package of child‐survival intervention addresses the
major problems of sick newborn such as birth asphyxia, bacterial infection, jaundice, hypothermia,
low birth-weight, counseling of breastfeeding. It also maintains its aim to address major childhood
illnesses like Pneumonia, Diarrhoea, Malaria, Measles and Malnutrition among under 5 year’s
children in a holistic way.

In CB‐IMNCI program, FCHVs are expected to carry out health promotional activities for maternal,
newborn and child health and dispensing of essential commodities like distribution of iron, zinc,
ORS, chlorhexidine which do not require assessment and diagnostic skills, and immediate referral in
case of any danger signs appeared among sick newborn and children. Health workers will counsel
and provide the health services like management of non‐breathing cases, low birth weight babies,
common childhood illnesses, and management of neonatal sepsis. Also, the program has provisioned
for the post‐natal visits by trained health workers through primary health care outreach clinic.

Development of IMNCI training site has already been started. The program has envisioned that
CHD will act as the quality assurance and monitoring entity for the CB‐IMNCI program. Clinical
training sites and RHTC will be the lead agency for training in near future. IMNCI section has been
focusing on the phase-wise implementation of the program with continuous monitoring and
supportive supervision to strengthen the program and onsite coaching to enhance the clinical skill
among health workers. CB-IMNCI program has been implemented in 75 districts.

2.3.1.2 Facility-Based Integrated Management of Childhood and Neonatal Illnesses

46 DoHS, Annual Report 2073/74 (2016/17)

 Child Health
The Facility-Based Integrated Management of Neonatal and Childhood Illnesses (FB-IMNCI) package
has been designed specially to address childhood cases referred from peripheral level health
institutions to higher institutions. The package is linked strongly with the on-going Community
Based Integrated Management of Neonatal and Childhood Illness (CB-IMNCI). The package is
expected to bridge the existing gap in the management of complicated neonatal and childhood
illnesses and conditions. With the gradual implementation of this package, further improvement in
neonatal and child health can be expected. This package addresses the major causes of childhood
illnesses including Emergency Triage And Treatment (ETAT) and thematic approach to common
childhood illnesses towards diagnosis and treatment especially newborn care, cough, diarrhoea,
fever, malnutrition and anemia. It also trains common childhood procedures needed for the
diagnosis and treatment. It aims to capacitate team of health workers at district hospital with
required knowledge and skills to manage complicated under-five and neonatal cases and to ensure
timely and effective management of referral cases. This training package will be delivered to
paramedics and nursing staffs (3 days) and doctors (6 days) district, zonal, sub-regional and regional
hospitals.

2.3.1.3 Comprehensive Newborn Care Training package

As indicated by various evidences, extra efforts are necessary for overcoming barriers to accelerate
the reduction in neonatal mortality. As a result of the step towards reducing these newborn deaths,
"Comprehensive Newborn Care Training Package (For Level II Hospital Care)" was developed in
order to provide training to paediatricians, senior medical officers and medical officers working in
the hospitals providing level II care services. This will help on building a strengthened health system
supported by fully trained and skilled health workers in all tiers of health facilities. This is a 6 days
training package focused to help the health workers to develop basic skills and knowledge
necessary for management of normal as well as sick newborn. This package covers counselling,
infection prevention, care of normal newborn, feeding, neonatal resuscitation, thermal protection,
fluid management, identification and management of sick neonates, disorder of weight and
gestation, neonatal sepsis and common neonatal procedures. The training was started from 19th
December, 2016 and has covered all development regions.
In this fiscal year, National Health Training Centre has developed Comprehensive Newborn Care
Training (Level II) package and conducted three batches training for Nurses in coordination with
Child Health Division.

2.3.1.4 Free Newborn Care Services

The Government of Nepal (GoN) has made provisions on treating sick newborn free of cost through
all tiers of its health care delivery outlets. The aim of this program is to prevent any sorts of
deprivation to health care services of the newborn due to poverty. Based on the treatment services
offered to the sick-newborn, the services are classified into 3 packages: A, B and C. The new born
corners in health posts and PHCs offer Package ‘A’, district hospitals with Special Newborn Care Unit
(SNCU) offer Package ‘B’ and zonal hospitals and other tertiary hospitals offering Neonatal Intensive
Care Unit (NICU) provide services for Package ‘C’. The government has made provisions of required
budget and issued directives to implement the free newborn care packages in Nepal. The goal of
the Free Newborn Care Service Package is to achieve the sustainable development goal through
increasing access of the newborn care services to reduce newborn mortality. The program makes
the provision of disbursing Cost of Care to respective health institutions required for providing free
care to inpatient sick newborns.
DoHS, Annual Report 2073/74 (2016/17) 47
Child Health
2.3.2 Goals, targets, objectives, strategies, interventions and activities of IMNCI program
Goal
 Improve newborn and child survival and healthy growth and development.
Targets of Nepal Health Sector Strategy (2015-2020)
 Reduction of Under-five mortality rate (per 1,000 live births) to 28 by 2020
 Reduction of Neonatal mortality rate (per 1,000 live births) to 17.5 by 2020
Objectives:
 To reduce neonatal morbidity and mortality by promoting essential newborn care services
 To reduce neonatal morbidity and mortality by managing major causes of illness
 To reduce morbidity and mortality by managing major causes of illness among under 5 years
children
Strategies
1. Quality of care through system strengthening and referral services for specialized care
2. Ensure universal access to health care services for new born and young infant
3. Capacity building of frontline health workers and volunteers
4. Increase service utilization through demand generation activities
5. Promote decentralized and evidence-based planning and programming

Major interventions

Newborn Specific Interventions

 Promotion of birth preparedness plan
 Promotion of essential newborn care practice sand postnatal care to mothers and newborns
 Identification and management of non‐breathing babies at birth
 Identification and management of preterm and low birth weight babies
 Management of sepsis among young infants (0‐59days) including diarrhoea

Child Specific Interventions

 Case management of children aged between 2‐59 months for 5 major childhood killer diseases
(Pneumonia, Diarrhoea, Malnutrition, Measles and Malaria)

Cross -Cutting Interventions

 Behaviour change communications for healthy pregnancy, safe delivery and promote personal
hygiene and sanitation
 Improved knowledge related to Immunization and Nutrition and care of sick children
 Improved interpersonal communication skills of HWs and FCHVs

48 DoHS, Annual Report 2073/74 (2016/17)

 Child Health
Vision 90 by 20
Institutional
CB-IMNCI program has a Delivery

vision to provide targeted

services to 90% of the
estimated population by
2020 as shown in the Under 5
children with
To provide Newborn
service to 90% of who had
diagram below. Pneumonia
treated with targeted group by CHX gel
applied
Antibiotics 2020

Under five
children with
Diarrhoea
treated with
ORS and Zinc

Major activities

Major activities carried out under the IMNCI programme in FY 2073/74 were as follows:
- Development and certification of Mid-western Regional Hospital as an IMNCI Clinical
Training Site as Nepal’s first IMNCI Clinical Training Site
- Expansion of IMNCI Training Site at Pokhara (Pokhara Academy of Health Science) and
Dang (Rapti Sub-regional Hospital): On-going
- Development of National Medical Standard for Care of Newborns and Children has been
started: On-going
- Development of FB-IMNCI package: On-going
- Implementation of Remote Area Guideline for CB-IMNCI program (on-going)
- Development a pool of IMNCI trainers for CB-IMNCI and Comprehensive Newborn Scale up
of Navi care Program in public as well as private sector
- Procurement of commodities and equipment related to IMNCI
- Establishment/Strengthening of SNCU
- Printing of CB-IMNCI, Comprehensive New born Care (Level II) Training Materials
(Guidelines, Handbook, Chart, Flex, etc.)
- Training of Trainers (TOT) for CBIMNCI and Comprehensive Newborn Care Training (Level II)
- Implementation of free sick newborn care program through five hospitals (Kanti Children
Hospital, Koshi Zonal Hospital, Western Regional Hospital, Lumbini Zonal Hospital and Seti
Zonal Hospital)
- Initiation of Perinatal Quality Improvement Initiative in 12 hospitals

CB-IMNCI Program Monitoring Key Indicators

Regular monitoring is important for better management of program. Therefore, CB-IMNCI program
has identified 6 major indicators to monitor the programs that are listed below:
1. % of Institutional delivery
2. % of newborn who had applied Chlorhexidine gel immediately after birth (within one hour)
3. % of infants (0-2 months) with PSBI receiving complete dose of Injection Gentamicin
4. % of under 5 children with pneumonia treated with antibiotics

DoHS, Annual Report 2073/74 (2016/17) 49

Child Health
5. % of under 5 children with diarrhoea treated with ORS and Zinc
6. Stock out of the 5 key CB-IMNCI commodities at health facility (ORS, Zinc, Gentamicin,
Amoxicillin/Cotrim, CHX)

All indicators except number six are related to HMIS. It is expected that if there is high institutional
delivery, there would be good essential newborn care and immediate management of
complications like birth asphyxia that will ultimately contribute to reduce the neonatal mortality.
The 2073/74 monitoring results of the CB-IMNCI programme were as follows (Table 2.3.1).

Table 2.3.1: CB-IMNCI programme monitoring indicators by province (FY 2073/74)

% of % of newborns % of PSBI cases % of % diarrhoeal
institutional applied received pneumonia cases treated
deliveries chlorhexidine complete dose of cases treated with ORS and
(CHX) gel inj. Gentamicin with antibiotics zinc
Province 1 49.1 42.7 46.3 179.7 86.4
Province 2 43.9 77.1 78.5 264.4 94.8
Province 3 52.8 48.1 24.2 162.6 92.2
Province 4 46.0 50.7 16.4 270.7 96.6
Province 5 69.3 80.1 64.2 244.2 88.8
Province 6 60.2 81.5 71.4 167.3 96.2
Province 7 67.8 78.0 60.4 210.3 93.9
National 54.6 63.7 58.4 208.9 92.1
Source: HMIS/MD/DoHS
National average for Institutional deliveries in 2073/74 was 54.6 percent. By province the lowest
was observed in Province 2 (43.9%) and highest (67.8%) in Province 7. Chlorhexidine was applied in
63.7 percent new-born’s umbilicus (HF+FCHV) among total expected live births. The average use of
CHX was highest (81.5%) in province 6 and lowest (42.7) in province 1.

Compliance of injection Gentamicin at national level for PSBI cases among under two months child
was 58.35 percent, which was highest in province 2 (78.5%) and lowest in province 4 (16.4%).
Percentage of Under 5 years children with pneumonia treated with antibiotics (excluding FCHV) was
208.9 percent at national level. In the previous years, the pneumonia cases reported by FCHV were
used to be included. But, from this fiscal year the indicator is in the process of revision and the
cases of pneumonia reported by FCHVs are excluded. The figure exceeded 100 percent in all
provinces because the treatment of cases by antibiotics other than pneumonia was also added like
skin infection, ear infection etc. which is actually the reporting error. As per CB-IMNCI treatment
protocol, all diarrhoeal cases should be treated with ORS and Zinc. Based on HMIS data, U5 children
suffering from diarrhoea treated with ORS and Zinc at National level was 92.1 percent, which was
highest in province 4 (96.6%) and lowest in province 1 (86.4 %).

2.3.3 Achievements

Since FY 2064/65, CB‐IMCI services data (as received from Health Facilities, VHWs/MCHWs and
FCHVs) has been incorporated into HMIS. Therefore, from FY 2064/65 onwards, service provided at

50 DoHS, Annual Report 2073/74 (2016/17)

 Child Health
community level (PHC/ORCs and FCHVs) is considered as community level data whereas total
service provided from Health Facility level in addition with community level constitutes the national
aggregated data for this program. CB-IMNCI program has been initiated from FY 2071/72 and from
FY 2071/72 Health Facility Level and Primary Health Care/Out Reach Clinics (PHC/ORC) data has
been incorporated into HMIS. Consequently, the role of FCHV at community level has been
redefined and limited to counselling service for newborn care. Obviously, the treatment protocol
has also been changed and role of FCHVs at the community level has been assigned as health
promoters/counsellors rather than health service providers. As per the new reporting and recording
system, the achievements of management of under 5 children are given in the table below.

2.3.3.1 Management of newborns (0-28 days)

Table 2.3.2: Classification and treatment of 0-28 day newborn cases by province (FY 2073/74)
National
Province 1

Province 2

Province 3

Province 4

Province 5

Province 6

Province 7
%
Indicators among
No.
total
cases

Total cases (HF+ORC) 4,573 2,370 2,989 1,888 5,694 3,967 4,261 25,742 NA
Possible severe bacterial
578 217 246 124 1035 752 761 3,713 14.4
infections (PSBI) (HF+ORC)
Local bacterial infections
2,549 1,660 1,296 904 1,887 1,745 2,255 12,296 47.8
(HF+ORC)
Jaundice (HF+ORC) 298 122 320 296 339 181 184 1,740 6.8
% of Low weight or feeding
3.98 5.23 5.16 7.40 6.06 8.55 10.55 1,605 6.8
problem (HF only)
Referred 357 183 214 88 252 131 185 1,410 5.5
Deaths 7 2 13 2 45 12 23 104 0.4
FCHVs
Sick baby 2,607 2,105 1,794 783 1,982 1,391 2,357 13,019 NA
Treated with antibiotic and
1,656 1,121 534 193 1,118 865 855 6,342 48.7
referred to a health facility
Deaths 168 70 155 52 204 145 249 1,043 8.01
Source: HMIS/MD/DoHS

In FY 2073/74, a total of 25,742 newborns cases were registered and treated at health facilities and
PHC/ORC level (HF-23,650 and PHC/ORC-2,092). Province 5 had highest number of registered cases
followed by province 1 and least case load was in Province 1. Out of total registered cases in FY
2073/74, 3,713 cases were classified as Possible Severe Bacterial Infection (PSBI) which accounts for
14.4 percent at national level and among the total registered cases the proportion of PSBI was
highest in province 6 (19%) followed by Province 5 (18%). Among the total registered cases at the
national level ( Health facilities and PHC-ORC level), 47.8 percent cases were classified as LBI, 6.8
percent as Jaundice, and 6.2 percent as Low Birth weight or Breast Feeding Problem. Among the
total registered cases the proportion of LBI was highest in province 2 (70%) followed by Province 1
DoHS, Annual Report 2073/74 (2016/17) 51
Child Health
(56%). All classified cases were treated accordingly following the national protocol and out of the
total recorded cases (25,742) in FY 2073/74, i.e. 27.5 percent were treated by Cotrim paediatric
tablet, 5.5 percent cases were referred and 0.4 percent was reported dead from health facilities and
PHC-ORC level.

Total 13,019 cases were identified by FCHVs as sick children out of which 48.7 percent were treated
with antibiotic and referred to health facilities and 8.01 percent were reported as death (as shown
in table 2.3.2) in FY 2073/74.
2..3.3.2 Management of 2-59 months children

Diarrhoea

Classification of diarrhoeal cases by province 2073/74

CB-IMNCI program has created enabling environment to health workers for better identification,
classification and treatment of diarrhoeal diseases. As per CB-IMNCI national protocol, diarrhoea
has been classified into three categories: 'No Dehydration', 'Some Dehydration', and ‘Severe
Dehydration'. The reported number and classification of total new diarrhoeal cases has been
presented in table 2.3.3 below.

Table 2.3.3: Classification of diarrhoeal cases by province (FY 2073/74)

Indicators
Province 1

Province 2

Province 3

Province 4

Province 5

Province 6

Province 7

National
Total 55,474 88,821 47,379 22,220 65,641 45,216 58,433 383,184
HF + ORC diarrhoeal cases

No 42,643 69,566 40,920 19,288 56,679 35,058 49,793 313,947

dehydration 11.13% 18.15% 10.68% 5.03% 14.79% 9.15% 12.99% 81.93%

Some 12,589 18,937 6,285 2,909 8,585 9,796 8,449 67,550

dehydration 3.29% 4.94% 1.64% 0.76% 2.24% 2.56% 2.20% 17.63%

Severe 242 318 174 23 377 362 191 1687

dehydration 0.06% 0.08% 0.05% 0.01% 0.10% 0.09% 0.05% 0.44%

FCHV 130,616 116,656 133,692 54,669 140,718 82,848 141,737 800,936

(diarrhoeal cases) 11.03% 9.85% 11.29% 4.62% 11.88% 7.00% 11.97% 67.64%
Total diarrhoeal 186,090 205,477 181,071 76,889 206,359 128,064 200,170 1,184,120
cases (HF &
Communities) 15.72% 17.35% 15.29% 6.49% 17.43% 10.82% 16.90% 100.0%
Source: HMIS/MD/DoHS

In FY 2073/74, a total of 1,184,012 diarrhoeal cases were reported out of which about one third
(32%) were reported from health facilities and ORC and rest two third (68%) by FCHVs. Among
registered cases in Health Facilities and PHC/ORC more than three fourth (82%) were classified as
having no dehydration. Severe dehydration among registered diarrhoeal cases remained below 1%
across all provinces.

52 DoHS, Annual Report 2073/74 (2016/17)

 Child Health
Table 2.3. 4: Incidence and case fatality of diarrhoea among children under 5 years of age by
province (FY 2073/74)

Province 1

Province 2

Province 3

Province 4

Province 5

Province 6

Province 7
Indicators National

Estimated <5 year

population that are 494,301 613,361 629,577 254,998 502,216 177,389 287,244 2,959,086
prone to diarrhoea

Incidence of
diarrhoea/1,000 <5 376 335 288 302 411 722 697 400
years population
Diarrhoeal deaths
7 16 4 1 1 2 2 33
(HF+ORC)
Case fatality rate
0.13 0.18 0.08 0.05 0.02 0.04 0.03 0.09
per 1000 (HF+ORC)
Source: HMIS/MD/DoHS

Incidence of diarrhoea per thousand under age 5 children was highest in province 6 (722) followed
by province 7 (697) where incidence was 1.5 times higher than the national average. Further, the
lowest incidence was in province 3 (288).Case fatality rate across all the provinces was below 1 per
thousand.

Treatment of diarrhoea

Table 2.3.5: Treatment of diarrhoea cases by province (FY 2073/74)

Province 1

Province 2

Province 3

Province 4

Province 5

Province 6

Province 7

Indicators National

Total cases
186,090 205,477 181,071 76,889 206,359 128,064 200,170 1,184,120
(HF+ORC+FCHV)
Diarrhoeal cases 160,798 194,706 166,946 74,298 183,273 123,139 187,923 1,091,083
treated with ORS
and zinc 86.41% 94.76% 92.20% 96.63% 88.81% 96.15% 93.88% 92.14%

Intravenous (IV) 1,113 2,282 1,026 285 937 975 1,117 7,735
fluid (HF) 0.09% 0.19% 0.09% 0.02% 0.08% 0.08% 0.09% 0.65%
Source: HMIS/MD/DoHs
In FY 2073/74, the proportion of diarrhoeal cases treated with ORS and Zinc as per IMNCI national
protocol at national level was 92% and was highest in Province 4 (97%) and lowest in province 5
(88%).

DoHS, Annual Report 2073/74 (2016/17) 53

Child Health
Acute Respiratory Infections

ARI management is one of the components of CB-IMNCI program. As per CB-IMNCI protocol, every
ARI cases should be correctly assessed and classified as no pneumonia, pneumonia or severe
pneumonia; and given home therapy, treated with appropriate antibiotics or referred to higher
centre as per the indications.

Table 2.3.6: Acute respiratory infection (ARI) and pneumonia cases by provinces (2073/74)

Province 1

Province 2

Province 3

Province 4

Province 5

Province 6

Province 7
Indicators National

Target pop. (<5 years that

494,301 613,361 629,577 254,998 502,216 177,389 287,244 2,959,086
are prone to ARI)

Total ARI cases 354,323 289,278 276,317 152,164 289,294 164,473 284,873 1,810,722

ARI incidence per 1,000<5

717 472 439 597 576 927 992 612
year population
Total Pneumonia cases
43913 32333 32032 13247 27707 20811 24619 194662
(HF+ORC)
Incidence of pneumonia
89 53 51 52 55 117 86 66
per 1,000 <5 children
% of pneumonia among
12.15% 10.88% 11.29% 8.59% 9.36% 12.14% 8.31% 10.47%
ARI cases
% of severe pneumonia
0.25% 0.30% 0.30% 0.11% 0.22% 0.51% 0.33% 0.29%
among ARI cases
Deaths due to ARI at HF 11 58 7 62 13 5 20 176
ARI Case fatality rate per
0.086 0.629 0.073 1.155 0.126 0.083 0.224 0.283
1000 at HF
Source: HMIS/MD/DoHS

In FY 2073/74, a total of 1,810,722 ARI cases were registered, out of which 10.5% were categorized
as pneumonia cases and 0.29% were severe pneumonia cases. The incidence of pneumonia (both
pneumonia and severe pneumonia at HF and PHC/ORC) at national level was 66 per 1000 under five
children. The incidence of pneumonia among under five children has decreased sharply because in
the past years, the reported cases of pneumonia by FCHV were included in the numerator, but from
this fiscal year the indicator is in the process of revision and the cases of pneumonia reported by
FCHV is excluded from the numerator. Likewise, highest ARI incidence was seen at Province 7
(992/1000 U5 children) followed by Province 6 (927/1000 U5 children) and least at Province 3
(439/1000 U5 children). Similarly, Provinces 1 and 6 had the highest percentage of pneumonia
cases among ARI cases (12.15% and 12.14%) and Province 7 has the lowest (8.31%).
The total ARI-related deaths at health facilities were reported to be 176 which is more compared to
previous FY 2072/73 which was 155. The ARI case fatality rate per thousand at health facility also
increased to 0.28 per 1000 in FY 2073/74 compared to last fiscal year (0.08). ARI case fatality rate
shows a wide variation in between the provinces ranging from the lowest 0.073 per 1000 in
province 3 to the highest 1.16 per 1000 in province 4.
54 DoHS, Annual Report 2073/74 (2016/17)
 Child Health
Other common childhood illnesses
CB-IMNCI Program also focuses on identifying and treating Malaria, Malnutrition, Measles, and
other common illnesses among children under five. The interventions to address malnutrition
among children are being led by Nutrition Section and interventions to address measles and other
vaccine preventable diseases are being led by EPI Section, Child Health Division and Malaria is led by
EDCD. IMNCI Section would actively collaborate with EPI, Nutrition Sections and with EDCD for the
reduction of Malnutrition and Measles and other common childhood diseases in an integrated
approach to childhood diseases.

Table 2.3.7: Classification of cases as per CB-IMNCI protocol by province (FY 2073/74)
Malaria Very severe
Severe mal-
Non- febrile Measles Ear infection Anaemia
Falciparum nutrition
falciparum disease

Province 1 13 24 0 164 14,443 324 595

Province 2 0 2 0 555 22,017 903 938
Province 3 42 27 0 632 9,497 1287 569
Province 4 24 28 0 51 5,393 109 369
Province 5 56 66 0 104 15,351 2035 762
Province 6 51 20 0 90 8,187 2190 359
Province 7 30 51 0 41 9,920 3155 770
National 216 218 0 1,637 84,808 10,692 4,965
Source: HMIS/MD/DoHS
Under the CB-IMNCI programme, health workers identified 216 falciparum malaria cases, 218 non-
falciparum malaria cases, 1,736 measles cases, 89,489 ear infection cases, 10,692 severe
malnutrition cases and 4,965 anaemia cases in children under five years of age in 2073/74. There
were no reported cases of very severe febrile disease in this fiscal year.

2.3.4 Problem, constraints and actions

Table 2.3.8: Problem, constraints and actions to be taken

Problem/Constrains
No sanctioned position for CB-IMNCI focal
persons at district and regional levels
Unclarity in roles of staffs (including CB-
IMNCI focal person) in the new federal
context
Action to be taken Responsibility
 Policy level decision needed to MoH, DoHS,
allocate sanctioned position, and CHD
make necessary arrangements so that
there is no void in implementation of
the program and in service delivery
during the transition period

Unable to implement free newborn care  Better coordination and collaboration Hospitals,
guideline since last FY as expected. between related hospitals, Palikas, Palikas,
D/PHOs and CHD. Better orientation D/PHOs and
about the program and clsrity in its
CHD
implementation modality

DoHS, Annual Report 2073/74 (2016/17) 55

Child Health
Problem/Constrains Action to be taken Responsibility
Limited IEC/BCC interventions as compared  More priority be given to the IEC/BCC NHEICC, CHD,
to the approved program implementation interventions so as to improve the D/PHO,
guideline, so as to improve the demand of demand for CH services by all Palikas, HFs
concerned stakeholders
CH services
Frequent stock outs of essential  The timely supply of commodities LMD, CHD
commodities in districts and communities
Lack of equipment to deliver newborn and  The timely procurement and supply of LMD, CHD
child health services at service delivery equipment
points
Poor service data quality  Carry out routine data quality MD, CHD
assessments
 Strengthen regular feedback
mechanisms
Poor quality of care  Strengthen quality improvement MD, CHD,
system RHDs, DHOs,
 Enhance the use of health facility DPHOs
quality improvement tools
 Onsite coaching
 Supportive supervision

Increase in percentage of severe pneumonia  Targeted interventions (BCC activities, RHDs, DHOs,
cases and for early detection, treatment DPHOs
and referral) needs to be focused

Though recent research findings have shown
more care seeking practice towards private
sectors, there has been limited engagement
of private sectors to ensure their better
involvement
Poor referral mechanism
 Ensure better involvement of private DoHS, CHD
sector to ensure quality services are
provided with proper follow up of
childhood treatment protocols.
 Strengthen the referral mechanism FHD, CHD,
DHOs, DPHOs

56 DoHS, Annual Report 2073/74 (2016/17)

 Chapter 3
Family Health

FAMILY HEALTH

3.1 Family Planning

3.1.1 Background
Family planning (FP) refers to a conscious effort by a couple to limit or space the number of children
through the use of contraceptive methods. Classically, contraceptive methods are classified as
modern or traditional. Modern methods include female sterilization (e.g. minilap), male sterilization
(e.g. no-scalpel vasectomy), intrauterine contraceptive device (IUCD), implants (e.g. Jadelle),
injectables (e.g. Depo Provera), the pill (combined oral pills), condoms (male condom), lactational
amenorrhea method (LAM) and standard days method (SDM). Methods such as rhythm including
abstinence, withdrawal, and folk methods are grouped as traditional.
The FP program of Nepal has contributed significantly in reducing total fertility, unintended
pregnancies, unsafe abortions, high-risk births, maternal and neonatal deaths and has played crucial
role in protecting the health of women and children.
The main aim of the National Family Planning Programme is to ensure that individuals and couples
can fulfil their reproductive needs by using appropriate FP methods voluntarily based on informed
choices. To achieve this, the Government of Nepal (GoN) is committed to equitable and right based
access to voluntary, quality FP services based on informed choice for all individuals and couples,
including adolescents and youth, those living in rural areas, migrants and other vulnerable or
marginalized groups ensuring no one is left behind.

GoN also commits to strengthen policies and strategies related FP within the new federal context,
mobilize resources, improve enabling environment to engage effectively with external development
partners and supporting partners, promote public-private partnerships, and involve non-health
sectors. National and international commitments will be respected and implemented (such as
NHSSIP 2015-2020, Costed Implementation Plan 2015-2020 and FP2020 etc.).

From program perspective, GoN through its subsidiary (FHD/DoHS/MoH and the new structures
under federal system) will ensure access to and utilization of quality FP services through improved
contraceptive use especially among hard to reach, marginalised, disadvantaged and vulnerable
groups and areas, broaden the access to range of modern contraceptives method mix including long
acting reversible contraceptives such as IUCD and implant from service delivery points, reduce
contraceptive discontinuation, scale up successful innovative evidence informed FP service delivery
and demand generation interventions.

In Nepal, FP information, education and services are provided through the government, social
marketing, NGOs and the private sector (including commercial sectors). In the government health
system, short acting reversible contraceptive methods (SARCs: male condoms, oral pills and
injectables) are provided through PHCCs, health posts and PHC-ORCs. FCHVs provide information
and education to community people, and distribute male condoms and resupply oral contraceptive
pills. Long acting reversible contraceptive (LARC) services such as intrauterine contraceptive devices
(IUCDs) and implants are only available in hospitals, PHCCs and health posts that have trained and
skilled providers. Access to LARC services is provided in remote areas through satellite clinics,

DoHS, Annual Report 2073/74 (2016/2017) 57

Family Health
extended visiting providers and mobile camps. Male and female sterilization services (e.g. voluntary
surgical contraception [VSC]) are provided at static sites or through scheduled seasonal and mobile
outreach services. Increasingly for the past couple of years, the delivery of comprehensive FP (e.g.
VSC plus) have been initiated in most districts through modified mobile camps. Unlike the previous
‘seasonal’ one-time approach modified comprehensive family planning mobile camps are now
providing LARCs services simultaneously at VSC camps. Most district’s FP maternal and child health
clinics provide all types of temporary FP methods while integrated family planning service centres
provide VSC services in selected districts.

Quality FP services are also provided through private and commercial outlets such as NGO run
clinic/centre, private clinics, pharmacies, drug stores, hospitals including academic hospitals. FP
services and commodities are made available by some social marketing (and limited social
franchising) agencies.
FP services are part of essential health care services and are provided free in all public sector outlets.

3.1.2 Objectives, policies and strategies

The overall objective of Nepal’s FP programme is to improve the health status of all people through
informed choice on accessing and using voluntary FP. The specific objectives are as follows:
 To increase access to and the use of quality FP services that is safe, effective and acceptable
to individuals and couples. A special focus is on increasing access in rural and remote places
and to poor, Dalit and other marginalized people with high unmet needs and to postpartum
and post-abortion women, the wives of labour migrants and adolescents.
 To increase and sustain contraceptive use, and reduce unmet need for FP, unintended
pregnancies and contraception discontinuation.
 To create an enabling environment for increasing access to quality FP services to men and
women including adolescents.
 To increase the demand for FP services by implementing strategic behaviour change
communication activities.

The five policies and strategic areas to achieve the above objectives are presented in Box 3.1.1.
Box 3.1.1: Policies and strategic areas for FP
1. Enabling environment: Strengthen the enabling environment for FP by:
 advocacy for FP;
 legal and socio-cultural barriers to access to FP services for young people and other
groups;
 integration of FP services;
 task shifting and sharing; and
 FP as the reproductive right of females and males.
2. Demand generation: Increase health care seeking behaviour among populations with high unmet
need for modern contraception by:
 integration and implementation of comprehensive sexuality education in secondary
schools and higher education;
 innovative approaches to reach adolescents with FP messages;
 designing, implementing and evaluating programmes to increase access to and the use of
FP among adolescents and young people;
 increasing knowledge about FP among individuals and couples to facilitate decision-
making on contraceptive use;

58 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
 socio-cultural barriers to accessing FP services;
 reducing the fear of side-effects and dispelling myths and misconceptions about FP;
 developing and implementing FP micro-plans for specific groups;
 developing and implementing a programme focused on the FP needs of migrants and their
spouses;
 targeting hard-to-reach people;
 information on FP to postpartum and post-abortion women; and
 male involvement in FP including by conducting male-friendly reproductive health
programmes.
3. Service delivery: Enhance FP service delivery including commodities to respond to the needs of
marginalized people, rural people, migrants, adolescents and other special groups by:
 integrated FP services provided by FCHVs in communities;
 improving services at PHC-ORC clinics, health posts and PHCCs, including birthing centres;
 improving services in district, zonal and regional hospitals;
 availability of a broad range of modern contraceptives and an improved method mix;
 delivery of FP services through government, private, NGO and social marketing;
 supporting medical college teaching hospitals to deliver FP services;
 integration of FP services with other non-health and health services like immunization,
HIV, postpartum, post-abortion and urban health;
 improving facility recording and reporting;
 quality of FP care including contraceptives;
 contraceptive security and procurement and logistics management to ensure the
availability of FP commodities.
4. Capacity building: Strengthen the capacity of service providers to expand FP service delivery by:
 training of service providers on contraceptive technology;
 task-shifting and sharing non-scalpel vasectomy (NSV) training;
 strengthening FP training capacity, preparing a pool of clinical mentors and expanding
recanalization training and post-training follow-up.
5. Research and innovation: Strengthen the evidence base for programme implementation through
research and innovation:
 Generate evidence through operational research to promote FP innovations.

3.1.3 Major activities in 2073/74

Key FP activities carried out in 2073/74 as follows:

1. Condom Box Distribution

Correct and consistent use of condom reduces the risk of unintended pregnancy and risk of acquiring
STI and HIV. Condom is the only contraceptive method that has this dual protection characteristic.
To make condoms easily accessible condom boxes were installed in strategic locations such as health
facilities, public places (bus park, petrol pump, and toilets etc.) of nine districts namely Jhapa,
Sunsari, Kathmandu, Makwanpur, Palpa, Kaski, Surkhet, Kailali and Achham districts.
2. Provision of regular comprehensive FP service
With the aim of making year round availability of FP services including voluntary surgical
contraception (e.g. minilap and no scalpel vasectomy) and LARCs, regular comprehensive FP services
initiative was conducted in district hospitals and PHCCs of five districts namely Sunsari, Bardia,
Surkhet, Lalitpur, and Kavrepalanchok.
DoHS, Annual Report 2073/74 (2016/2017) 59
Family Health
3. Provision of long acting reversible services (LARCs)
To make LARCs easily available at local level, IUCD and implant insertion/removal sets, medicines
and supplies were procured by district health offices and more than 30 public sector hospitals.
Support cost for IUCD and implant service providers were continued as in the previous years.
4. FP strengthening program through the use of DMT and MEC wheel
Shared decision making between FP counsellors/service providers and potential FP clients is
important for initiating contraceptives and maintaining their use effectively to achieve the
reproductive and FP goals. To help this endeavour FP service providers use WHO adapted decision
making tool (DMT), a flipchart, and medical eligibility criteria for contraceptive (MEC wheel) wheel, a
job aid during client-provider interaction. The quality of FP counselling and service provision is
expected to be improved through this activity. The DMT and MEC wheel also helps update
contraceptive knowledge of FP counsellors and service providers. A three day training of trainer
(TOT) orientation/training program was conducted on DMT and WHO MEC wheel to service
providers of hospitals, DHOs, PHCCs, and HPs. The TOT orientation/training at central/regional level
was followed by district level orientations at 16 new districts and a follow up orientations at 10
districts in 2073/74.
5. Expansion of family planning service at urban health clinic
Rapid urbanization, increasing rural to urban migration and population growth at urban areas has
significantly challenged the FP service delivery especially to women, men and adolescents in slums,
industries/industrial areas, and other hard to reach pockets of the city. With the aim of increasing
awareness, access to and utilization of FP information, education and services through strengthening
of urban health clinics/centres services were ensured through availability of condom boxes, FP
counselling kits, and IEC/BCC materials.
6. Micro planning for addressing unmet need of FP in low modern CPR district
Micro-planning for FP is a situation analysis that helps to identify challenges, gaps, weakness and
strengths in FP program and make context specific action and response plans. Adapted from
successful approach of microplanning for child immunization, microplanning for FP initiative aims to
improve FP service delivery by hard to reach groups leaving no one behind. This is in line with right
based FP service where FP rights of woman, man and adolescent are respected, fulfilled and
protected.
For the last couple of years FHD/DoHS/MoH is steadily expanding the implementation of this
approach in districts with low contraceptive use. Thirty two districts implemented this activity in
2073/74. Anecdotal reports from districts who have implemented micro-planning for FP reported
increased access, method choice and utilization of contraceptives by hard to reach groups or remote
areas of wards.
7. Permanent FP Methods or Voluntary Surgical Contraception (VSC)
VSC services include no scalpel vasectomy for male and minilaparotomy including postpartum tubal
ligation for female. VSC mobile outreach programmes were conducted in multiple sites of about 65
districts in 2073/74. VSC camps (VSC and comprehensive FP service camps) were preceded by
meetings with FCHVs in 57 districts to map potential VSC clients and to disseminate timing of VSC
mobile outreach services.
8. Implementation of PPP program at high population district
FP services are also provided by INGOs, private sectors and academic hospitals. To expand and
strengthen delivery of quality FP services from private and academic hospitals FHD/DoHS started
public private partnership initiatives through 5 regional health directorates.
9. Family planning onsite coaching program
60 DoHS, Annual Report 2073/74 (2016/2017)
 Family Health
Clinical onsite coaching is one of the effective approaches that enhance capacity of service
providers. This reduces service providers’ absenteeism from services delivery site as seen with most
group based training. Skilled birth attendants (SBAs) in birthing centres and other IUCD trained
service providers who are not confident to provide IUCD services were coached onsite by another
experienced IUCD provider/coach in 10 districts.
10. FP Satisfied Client Interaction Program
Customer satisfaction is of great importance, because a satisfied customer is the best multiplier for
any product or service. Satisfied clients are also the best sources of referrals and patronage.
Interaction program using clients who are satisfied with their use of FP methods to influence
positively other potential FP acceptors were conducted in 15 districts in 2073/074.
11. Development of institutionalized family planning service center as a training center
There are 24 institutionalized FP service centres (IFPSCs) in 21 districts providing FP and MCH
services. FHD/DoHS envisioned developing, in a phased manner, these sites to FP/MCH training
centres. IFPSC of Lalitpur district public health office (DPHO) was identified for this purpose. IFPSC of
Lalitpur has been successfully converted as a training centre in this fiscal year.
12. Provision of VP service to increase FP service user
The visiting provider (VP) intervention was incorporated to FHD/DoHS work plan since 2072/73
following the successful piloting in Ramechhap district in 2014/2015. VPs are motivated, competent,
female nursing (ANM or staff nurse) service providers on IUCD and implant services. The key
purpose of VP program is to expand contraceptive choice and improve IUCD and implant uptake by
women in rural areas by providing IUCD and implant services in rural health facilities where implant
and IUCD service providers are not available and enhancing the IUCD and implant skills of SBAs and
paramedics in rural health facilities through mentoring/coaching. VP program was implemented by
most of the planned 18 districts in this fiscal year.
13. Integration of FP and immunization service
By combining EPI and FP services, women in remote rural settings could be spared the
inconvenience of travelling long distances over difficult terrains on multiple occasions to access
separate services such as FP and routine child immunization. The FP/EPI program was incorporated
to FHD/DoHS work plan since 2015/2016 following the successful piloting in Kalikot district in 2012.
UNFPA also supported FP/EPI program implementation in 4 additional districts. Five districts (Parbat,
Doti, Rukum, Sindhuli and Salyan) through FHD AWPB implemented FP/EPI program in 2073/74.
14. Satellite clinic services for long acting reversible contraceptives
FP satellite clinic focuses on providing LARCs (IUCD, implant) services from health facilities that lacks
availability of these services in regular basis targeting to reach the poor and unreached groups. FP
satellite camp was conducted in 57 districts in this fiscal year.
15. FP updates orientation for Obs/Gyne doctors and other key players
The aim of FP update orientation is to inform FP key providers on the latest evidence based
information and practices so that quality FP services are ensured while unnecessary medical barriers
are minimized during contraceptive service initiation, repeat and referrals. One of the 2 districts
conducted this program this fiscal year.
16. Roving ANM (RANM) for FP in Disadvantaged Community (Mushar, Dom, Chamar, etc.)
RANM program was planned to address some of the perennial public health challenges such as high
unmet need for contraceptives, low uptake of FP method, low ANC/PNC care, high prevalence of
malnutrition among women and children, and short pregnancy intervals among hard to reach groups
(e.g. Mushar, Dom, Chamar etc.). RANMs through community and house to house visit (where

DoHS, Annual Report 2073/74 (2016/2017) 61

Family Health
possible) provides short acting reversible contraceptives (condom, oral pills, and Depo) and basic
first aid treatments. RANM promotes ANC/delivery/PNC visits from health institutions, encourages
breast feeding/nutrition/growth monitoring practices including healthy spacing messages, and
provides FP/RH related information to adolescents.
Based on the promising results from an ongoing pilot of RANM by Save the Children, FHD has
incorporated RANM program in its AWPB since 2016/2017. Five districts (Siraha, Rautahat,
Kapilvastu, Banke and Darchula) implemented RANM initiative in 2073/74.

3.1.4 Achievements
Current users
As with the previous years, female sterilization (38%) occupies the greatest part of the contraceptive
method mix for all current user, followed by Depo (17%), male sterilization (13%), implant (11%) and
lastly IUCD (6%) in 2073/74 (Figure 3.1.1).
The number of FP users at the national level was 93 percent of projected users in FY 2073/74
(2,707,553 against 2,900,000 projected).
Figure 3.1.1: Proportion of FP current user— Figure 3.1.2: Share of FP current users (%), all
method mix, 2073/74 methods, by Province, 2073/74
Male Condom 25% 23%
sterilizatio 221,311 Pills 19%
19% 17%
n 345,634 (8%) 185,545 20%
(13%) (7%)
15%
9%
Depo 10% 7%
5%
451,790 5%
(17%)
Female 0%
IUCD
Province 1

Province 2

Province 3

Province 4

Province 5

Province 6

Province 7
sterilizatio
n 175,593
1,040,078 Implant (6%)
(38%) 287,602
(11%)

Province 2 has the highest proportion (22.6%) of current users while Province 6 (5.1%) the lowest
(Table3.1.1) in 2073/74. Total number of permanent current users exceeds that of spacing method
at national level and in Province 2 and 4.

Table 3.1.1: FP current users (modern methods) by Province, 2073/74

Method Province National
Prov 1 Prov 2 Prov 3 Prov 4 Prov 5 Prov 6 total Prov 7
users
Spacing 266,042 126,579 304,099 99,497 295,681 80,613 149,331 1,321,841
methods
Permanent 239,889 486,213 223,315 103,016 176,140 57,057 100,082 1,385,712
methods
Total 505,931 612,792 527,414 202,513 471,821 137,670 249,413 2,707,553
Share of 18.7% 22.6% 19.5% 7.5% 17.4% 5.1% 9.2%
total
methods
as % of
total users

62 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
The modern contraceptive prevalence rate (mCPR) for modern FP methods is computed based on
service data reported to HMIS, although HMIS does not capture all private sector service data. The
mCPR, at national level, is 44 in 2073/74 (Figure 3.1.3). mCPR of Terai (50%) is higher than national
average (44%) while that of Mountain and Hill ecological region below the national average (figure
3.1.4).
Province 2 has the highest mCPR of 49 percent while Province 4 the lowest (35 percent). Four
Provinces (3, 4, 6 and 7) have mCPR less than national average (Figure 3.1.3).

Figure 3.1.3: mCPR by Province, 2073/74 Figure 3.1.4: mCPR by ecological zones,
60% 2073/74
48% 49%
50% 44% 41% 44% 60%
35% 37% 40% 50%
40% 50% 44%
30% 40% 36% 36%
20% 30%
10% 20%
0% 10%
0%
Nation Mountain Hill Terai

District-wise HMIS data indicates that in 2073/74 fifteen districts had mCPR greater than or equal to
50 percent, 52 districts had mCPR between 30-50 percent and 10 districts had mCPR less than 30
percent (Figure 3.1.5). Parsa had the highest mCPR (70.7 percent) while Humla had the lowest (23.4
percent).

Figure 3.1.5: Modern contraceptive prevalence rate (mCPR) by districts, 2073/74

The average mCPR is 59.6 percent for the top 10 districts and 26.1 percent for the bottom 10
districts — a difference of 33.5 percent. The number of districts with mCPR below 30 percent

DoHS, Annual Report 2073/74 (2016/2017) 63

Family Health
decreased from 17 in 2071/72 to 10 in 2073/74, indicating improved performance among the low
mCPR districts (Figure 3.1.6 and 3.1.7).

Figure 3.1.
3.1.6: S-Curve
Curve pattern of CPR growth, 2073/74 Figure 3.1.7:
3.1. : Trends in mCPR by districts,
FY 2071/72-2073/74
2071/72

100
80
16 15 15
60
40 42 47 52
20
17 13 10
0
2071/72 2072/73 2073/74

CPR <30 CPR 30-50 CPR >50

It is evident that female sterilization (minilap under local anaesthesia

anaesthesia--ML/LA)
ML/LA) is popular in
Terai which have contributed also in national average (Figure 3.1.8). Male sterilization (NSV)
on the other hand is more popular
popular in Mountain and Hiil than Terai. Contraceptive implant
compared to IUCD seems to be more popular among women of reproductive age in all
ecological region of Nepal. Depo followed by Pills and implant has the highest share among
temporary methods in all ecological
ological regions (Figure 3.1.8 and 3.1.9).
3.1.

Figure 3.1.
3.1.8: Share of long acting and permanent Figure 3.1.9:
3.1. Share of temporary methods as % of
method (LAPM) as % of total current users by total current users by ecological region 2073/74
ecological region, 2073/74
30% 28%
25%
20% 17%
15% 11%
10%
8%
6% 5% 6% 6%
5% 1% 2% 3% 3%4%3% 3%5%
0%
Mountain Hill Terai Nation

IUCD Implant NSV ML/LA

Except Province 2 all Provinces

Province have higher proportion of share of temporary method (Figure
3.1.10). Contraceptive implant is more accepted compared to IUCD in all Provinces (data not shown).
As mentioned earlier, female sterilization (ML/LA) con
contributes
tributes about 79% in contraceptive method
mix in Province 2 and 35% in total national VSC. It is also evident that female sterilization (minilap

64 DoHS, Annual Report 2073/74

207 (201
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 Family Health
under local anaesthesia--ML/LA) is popular in Terai which have contributed also in national average
(Figure 3.1.8).
Figure 3.1.10: Share of spacing and permanent methods among total current users by province
2073/74
60%
49%51%
50%
40%
30%
18%
20%
10% 9% 11% 11%
8% 7%
10% 5% 4% 4% 3% 2% 6% 4%

0%
Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7 Nation
Spacing methods Permanent methods

Contraceptive defaulters (for all temporary methods excluding condom), a proxy indicator for
contraceptive discontinuation, is high. In Nepal about 46% of contraceptive users have discontinued
using the method or switched to another contraceptive method (Figure 3.1.13). These women may
choose (switch to) less effective methods or remain method unused (discontinued while still in need)
leading to risk of unintended pregnancy and its consequences. Province 5 (36%) has the lowest
defaulter rate while Province 6 has the highest (73%). Compared to SARCs (short acting reversible
contraceptives—pills and Depo), LARCs has low defaulter rate (Figure 3.1.14) in all Provinces. LARCs
are the most effective as well as cost-effective contraceptives, can be used for longer period of time,
have very low discontinuation rates, and also has higher client satisfaction. Globally, SARCs are
promoted as first line contraceptives for all prospective clients. The high discontinuation of SARCs
and low uptake of LARCs in Nepal indicates concerns over and the need of programmatic focus on
both supply and demand aspect sustaining the past achievements and focusing more on LARCs.
Figure 3.1.11: Percentage of contraceptive Figure 3.1.12: Percentage of contraceptive method
method defaulters by Province 2073/74 defaulters by methods, 2073/74

80% 73% 150% 122%

62% 62% 98%
60% 48% 100% 82% 79% 82% 73%
41% 46%
40% 36% 55% 56%
40% 50%
9% 10% 10% 7% 8% 12% 11% 9%
20%
0%
0%

SARCs % defaulter LARCs % defaulter

New acceptors
Depo (36%) occupies the greatest part of the contraceptive method mix for temporary method new
acceptors, followed by condom (29%), male sterilization (19%), implant (12%) and lastly IUCD (4%) in
2073/74 (Figure 3.1.13).

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Family Health
Figure 3.1.14: Share of FP new acceptors (%), all
Figure 3.1.13: FP spacing method mix among new
methods, by Province, 2073/74
acceptor, 2073/74
25% 21%
20%
20% 17%
14%
Condom, 15%
Pill, 142,7 11%
221,311
26 (19%) 10% 8% 8%
(29%)
5%
0%

Implant,
95,605 Depo, 27
(12%) 9,209
(36%)
IUCD, 34,
028 (4%)

New acceptors of voluntary surgical contraception

As in the past, Province 2 recorded the highest number of VSCs (9,988) while Province 4 the lowest
(1,749) (Table 3.1.2 and Figure 3.1.15 and 3.1.16). Note that the projected numbers of new VSC
acceptors was reduced from 50,000 in 2071/72 to 40,000 in 2073/74.

Table 3.1.2: New acceptors (modern methods) by Province, 2073/74

Method Province National total
Prov 1 Prov 2 Prov 3 Prov 4 Prov 5 Prov 6 Prov 7 users
Permanent 5,989 9,988 3,955 1,749 3,617 1,880 3,055 30,233
methods
LARCs 21,744 12,945 35,812 10,838 25,595 7,386 15,313 129,633
SARCs 68,846 60,252 78,332 33,965 95,830 37,100 47,250 421,575
Condom 26,799 25373 30,200 20,820 61,662 18,088 38,370 221,312
Total new
123,378 108,558 148,299 67,372 186,704 64,454 103,988 802,753
acceptors
Share of total 15% 14% 18% 8% 23% 8% 13%
new acceptors
as % total
users

Percentage of share of VSC among total new acceptors is highest (33%) in Province 2 and female VSC
contributed 88% of VSC (Figure 3.1.15 and 3.1.16). Women and men in Province 4 and 6 accepted
least number of VSCs. Male acceptors dominated in Province 3,4 and 6 (Figure 3.1.16).

66 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health

Figure 3.1.15: Share of VSC as of total new Figure 3.1.16: Share of male and female VSC as of
accepto
acceptors
rs by Province, 2073/74 total new acceptors by Province, 2073/74

35% 33%
30%
25% 20%
20% 13%
15% 12% 10%
10% 6% 6%
5%
0%

Female VSC acceptors were highest in Terai ecological region followed by Hill (Figure 3.1.17).
3.1. As
mentioned earlier female acceptors significantly
significantly dominates the total VSC in Terai (Figure 3.1.18).
3.1.18)

Figure 3.1.1
3.1.17:: Share of VSC procedure as % of Figure 3.1.18:
3.1.1 Share of male and female VSC as of total new
total VSCs by ecological zones, 2073/74 acceptors by Ecological Regions,2073/74
Regions,2073/74

80.0% 70.6% 80% 71%

61%
60%
60.0%
40% 29%
40.0% 15%
22.9% 20% 8% 10%
2% 5%
20.0% 6.5% 0%
0.0% Nation Mountain Hill Terai
Mountain Hill Terai
Female Male

Achievement,
ievement, minilap and Vasectomy new acceptors
acceptors, against the projection for 2073/74 is 75.6%.
Province 5 achieving the lowest (64.8%) (Table 3.1.3). However, in absolute numbers (9,988), as
expected, Province 2 outperformed others.

3.1.3: VSC new acceptors

acceptors against projection by region, 2073/74

Method Province National total

Prov 1 Prov 2 Prov 3 Prov 4 Prov 5 Prov 6 Prov 7 users
Projected 6,875 11,600 6,100 2,400 6,600 2,150 4,275 40,000
Achievement 5,989 9,988 3,955 1,749 3,617 1,880 3,055 30,233
% achievement 87.1% 86.1% 64.8% 72.9% 54.8% 87.4% 71.5% 75.6%

New acceptors of spacing methods

Highest numbers of new
new acceptors for spacing (temporary) methods in 2073/74 are reported in
Province 5 (183,087) and the lowest numbers in Province 6 (62,574) (Table 3.1.4).

DoHS, Annual Re
Report
port 2073/74
207 (201
(2016/2017) 67
Family Health
Table 3.1.4: New acceptors (temporary modern methods) by Province, 2073/74
Method Province National
Prov 1 Prov 2 Prov 3 Prov 4 Prov 5 Prov 6 Prov 7 total
users
IUCD 3,998 5113 10
10,758 3,599
599 6,388
388 828 3,217 33,901
Implant 17,746 7,705 25
25,054 7,239
239 19,207
207 6,558 12,096 95,605
Depo 45,752 38,379 55
55,247 20,698 61,948
948 26,005 31,180 279,209
Pills 23,094 21,873 23
23,085 13,627 33,882
882 11,095 16,070 142,726
Condom 26,799 25,373 30
30,200 20,820 61,662
662 18,088 38,370 221,312
Total new 117,389 98,443 144,344 65,983 183,087 62,574 100,933 772,753
temporary
methods
thods acceptors
Share of total new 15.2% 12.7% 18.7% 8.5% 23.7% 8.1% 13.1%
acceptors as %
total users

Method wise Depo followed by pills topped in all Provinces. Among LARCs LARCs, implant significantly
dominated over IUCD in all provinces (Table
(Table 3.1.4 and Figure 3.1.19). Likewise, implant acceptors
are higher than IUCD in all ecological regions (Figure 3.1.20). Women in mountain accepted lower
number of contraceptive methods than other ecological regions.

There has been nominal post-partum

post partum uptake of FP method (Figure 3.1.
3.1.22).. Implant uptake within 48
hours of delivery as reported in HMIS reports needs to be verified as the National Family Planning
Protocol (NMS Vol 1, 2010) has yet to promote this practice in Nepal. This could be reporting error
or providers are already inserting implants
implants to post
post-partum
partum women before discharge from hospitals
or birthing centres.

Figure 3.1.19: Share (%) of temporary

temporary methods of new acceptors Figure 3.1.21: Share (%) of temporary methods of
by Province, 2073/74 new acceptors as of total new acceptors by
Ecological Regions, 2073/74

FP use aafter
fter abortion is encouraging.
encouraging. Contraceptive uptake among total reported abortion services is
70.7% (Figure 3.1.24)
3.1.2 ) and with the lowest uptakes in Province 2 and 6 (Figure(Figu 3.1.23).). But the
contribution of LARCs is only 16% (Figure 3.1.2
3.1.24)) indicating women after abortion are relying on less
effective methods. This trend was evident also in all ecological regions (Figure 3.1.25)
3.1.2

68 DoHS, Annual Report 2073/74

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Figure 3.1.22: Post-partum FP method Figure 3.1.23: Post abortion FP uptake by Province
acceptance as proportion against expected live among total new acceptors of post abortion FP, 2073/74
births, 2073/74
0.8% 0.7% 20% 19%
0.7% 18% 16% 15%
16%
0.6% 14%
0.5% 12% 9% 10%
10%
0.4% 0.3% 0.3% 8% 6%
4% 5% 5%
0.3% 6% 3% 3% 3%
4% 2% 1%
0.2% 0.1% 2%
0.1% 0%
0.0%

Province 1

Province 2

Province 3

Province 4

Province 5

Province 6

Province 7
SARCS LARCS
3.1.24 ; Proportion of post abortion FP method 3.1.25 ; Proportion of post abortion FP method uptake
uptake by method type, 2073/74 by Province, 2073/74
50% 39%
LARCS, 1 36%
40%
5.8% 30%
20% 11% 10%
10% 3%1%
0%
SARCS, 5 3% 48% 49%
4.9%
Mountain Hill Terai
SARCs LARCs

Only about 8 to 9 percent of under 20 years of age population (a proxy for adolescent population)
accepted modern contraceptive methods (Figure 3.1.28). More than half of the method mix is
contributed by Depo (Figure 3.1.26). Adolescents in Province 2 reported to accept lower proportion
of contraceptives compared to other Provinces (Figure 3.2.28). Condom and LARCs use is lower than
SARCs in all Provinces (Figure 3.2.27). Contraceptive use was lowest in mountain ecological region
(Figure 3.2.29). Adolescents have high unmet need while contraceptive use is low, this is indicative
of implementation challenges of comprehensive sexual and reproductive health programmatic in
general and adolescent’s family planning program in particular in Nepal.

3.1.26: Temporary method mix among under 3.1.27: Under 20 years temporary method new acceptors
20 total new acceptors, 2073/74 among adolescent target population by method, 2073/74
Implant
10%

12%
9%

9%
8%

Pills 10%
7%
6%

6%

IUCD
6%

6%

(4,060)
6%

34% 8%
5%
5%

5%
4%

4%

(14,892) 6%
3%
3%

2%
2%
2%

2%
2%
2%

2%
2%

(2,146) 4%
1%

2%
0%

Depo
52%
(22,960)
Condom SARCs LARCs

DoHS, Annual Report 2073/74 (2016/2017) 69

Family Health
3.1.28: Under 20 years temporary method new 3.1.29: Share of under 20 years temporary method new
acceptors among adolescent target population acceptors among total <20 years temporary method users,
by Province, 2073/74 2073/74
100%
14% 11% 12% 86%
12% 10%
10% 9% 9% 8% 9% 80%
8% 6%
6% 60%
43%
4% 34%
2% 40%
0% 14%
20% 9% 7%
1% 5%
0%
Mountain Hill Terai Nation
SARCs LARCs

3.1.5 Issues, constraints and recommendations

Table 3.1.5: Issues and constraints — family planning

Issues and Recommendations Responsibility
constraints
 Disparity of  Implementation of FP micro-planning in low mCPR FHD, DHOs,
access and use wards/councils councils
of FP services  Conduct targeted mobile outreach and satellite clinics
 Limited health focusing on LARCs
facilities  Mobilize VPs for LARC services
providing five  Expand comprehensive VSC service delivery (VSC+)
contraceptive  Ensure availability of LARCs commodities LMD, FHD, DHOs,
methods councils
 High unmet  Improve FP education, information and services for FHD, CHD,
need and adolescents councils
unintended  Scale up integrated FP/EPI clinics and postpartum and
pregnancies post-abortion services
 High  Strengthen FP services in urban health clinics FHD, PHCRHD,
discontinuatio councils
n  Ensure timely procurement of FP commodities FHD, LMD
 Underutilized  Preposition contraceptives and other supplies at FHD, LMD, DHOs,
LARCs strategic sites for emergency use PHCRD
 Frequent  Ensure training programmes are based on local needs FHD, NHTC,
commodity
 Strengthen and expand the capacity of FP training sites RHTC, DHOs
stock outs
 Inadequate  Strengthen FP services in private hospital FHD, MD, RHDs
trained human  Update the knowledge of FCHVs on LARC FHD, DPHOs,
resources on councils
LAPM  Run awareness raising campaign and activities to FHD, DPHOs
 Misuse of promote the rational use of abortion services
abortion  Update service providers on the use of emergency FHD, DHOs
services contraception

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 Family Health

3.2 Safe Motherhood and Newborn Health

3.2.1 Background
The goal of the National Safe Motherhood Programme is to reduce maternal and neonatal morbidity
and mortality and improve maternal and neonatal health through preventive and promotive activities
and by addressing avoidable factors that cause death during pregnancy, childbirth and the postpartum
period. Evidence suggests that three delays are important factors for maternal and newborn morbidity
and mortality in Nepal (delays in seeking care, reaching care and receiving care).

The following major strategies have been adopted to reduce risks during pregnancy and childbirth and
address factors associated with mortality and morbidity:
 Promoting birth preparedness and complication readiness including awareness raising and
improving preparedness for funds, transport and blood supplies.
 Expansion of 24 hours birthing facilities alongside Aama Suraksha Programme promotes antenatal
check-ups and institutional delivery.
 The expansion of 24-hour emergency obstetric care services (basic and comprehensive) at selected
public health facilities in all districts.

The Safe Motherhood Programme has made significant progress since it began in 1997 and with
formulation of safe motherhood policy in 1998. Service coverage has grown along with the development
of policies, programmes and protocols. The policy on skilled birth attendants (2006) highlights the
importance of skilled birth attendance (SBA) at all births and embodies the government’s commitment
to train and deploy doctors, nurses and ANMs with the required skills across the country. Introduction of
Aama programme to ensure free service and encourage women for institutional delivery has improved
access to institutional deliveries and emergency obstetric care services. The endorsement of the revised
National Blood Transfusion Policy (2006) was another significant step for ensuring the availability of safe
blood supplies for emergency cases. The main programme strategies are listed in Box 3.2.1.

The Nepal Health Sector Strategy (NHSS) identifies equity and quality of care gaps as areas of concern
for achieving the maternal health sustainable development goal (SDG) target, and gives guidance for
improving quality of care, equitable distribution of health services and utilisation and universal health
coverage with better financing mechanism to reduce financial hardship and out of pocket expenditure
for ill health.

Box 3.2.1: Main strategies of the Safe Motherhood Programme

1. Promoting inter-sectoral coordination and collaboration at central, regional, districts and community levels
to ensure commitment and action for promoting safe motherhood with a focus on poor and excluded
groups.

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Family Health
2. Strengthening and expanding delivery by skilled birth attendants and providing basic and comprehensive
obstetric care services at all levels. Interventions include:
o developing the infrastructure for delivery and emergency obstetric care;
o standardizing basic maternity care and emergency obstetric care at appropriate levels of the
health care system;
o strengthening human resource management —training and deployment of advanced skilled birth
attendant (ASBA), SBA, anaesthesia assistant and contracting short-term human resources for
expansion of services sites;
o establishing a functional referral system with airlifting for emergency referrals from remote areas,
the provision of stretchers in VDC wards and emergency referral funds in remote districts; and
3. Strengthening community-based awareness on birth preparedness and complication readiness through
FCHVs and increasing access to maternal health information and services.
4. Supporting activities that raise the status of women in society.
5. Promoting research on safe motherhood to contribute to improved planning, higher quality services and
more cost-effective interventions.

3.2.2 Major activities in 2073/74

Birth Preparedness Package and community level maternal and newborn health
FHD continued to expand and maintain MNH activities at community level including the Birth
Preparedness Package (jeevansuraksha flipchart and card) and distributed the matrisurakshachakki
(misoprostol) to prevent postpartum haemorrhage (PPH) in home deliveries.

Through FCHV, public health system promotes:

 birth preparedness and complication readiness (preparedness of money, health facilities for the
delivery, transport and blood donors);
 self-care (food, rest, no smoking and alcohol) in pregnancy and postpartum periods;
 antenatal care (ANC), institutional delivery and postnatal care (PNC) (iron, tetanus toxoid,
albendazole);
 essential newborn care; and
 identification of and timely care seeking for danger signs in the pregnancy, delivery, postpartum
and newborn periods.

In 2066/67, the government approved PPH education and the distribution of the matrisurakshachakki
(MSC) tablets through FCHVs to prevent PPH in home deliveries. For home deliveries, three misoprostol
tablets (600 mcg) are handed over to pregnant women during ANC or by FCHV to take immediately after
delivery and before the placenta is expelled. Forty-five districts were implementing the programme in
2072/73 and FHD implemented three new districts in 2073/74 (Kaski, Parbat and Syangja districts). Two
batches of TOT were conducted with 30 trainers from these three districts. These trainers in turn
conducted training of all health workers from all three districts and all FCHV in Kaski districts, FCHVs
from 23 VDCs in Parbat district and FCHVs from two VDCs in Syangja district. Recent NDHS (2016) shows
that only 13 percent of women who gave childbirth without skilled assistance took MSC tablets, this call
for the importance of strengthening this programme as women who delivered at home are likely to be
higher risk.

72 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
Rural Ultrasound Programme
The Rural Ultrasound Programme aims for the timely identification of pregnant women with risks of
obstetric complication to refer to comprehensive emergency obstetric and neonatal care (CEONC)
centres. Trained nurses (SBA) scan clients at rural PHCCs and health posts using portable ultrasound.
Women with detected abnormalities such as abnormal lies and presentation of the foetus and placenta
previaare referred to a CEONC site for the needed services. This programme is being implemented in the
12 remote districts of Dhading, Darchula, Sindhupalchowk, Solukhumbu, BajuraBajhang, Achham,
Dhankuta, Dolpa, Humla, Baitadi, and Sindhuli. Eight SBAs from Sindhuli district received three weeks
training on antenatal ultrasonography in 2073/74 with the support of partner organisation.

Reproductive health morbidity prevention and management programme

a. Management of pelvic organ prolapse: Pelvic organ prolapse (POP) is common reproductive health
morbidity in Nepal and contributes to disability adjusted life years (DALYs) and social consequences.
Multiparity, maternal malnutrition, too frequent pregnancies and heavy work after delivery are the main
risk factors. Each year the government allocates funds to manage POP including free screening,
providing silicon ring pessaries, Kegel’s exercise training and free surgical services at designated
hospitals. In 2073/74 more than 14,600 women were screened for the reproductive morbidity, 23
percent of women (3374 women) were diagnosed of having POP. Among women who were screened
8.9 percent had first degree POP, 6.6 percent second degree POP and 7.5 percent third degree POP. 52
percent of these women with POP received ring pessary treatment. More than 2,000 women received
surgical treatment.

b. Cervical cancer screening and prevention training: Cervical cancer is the most common cancer of
women in Nepal, accounting for 21.4 percent of all cancer among 34–64 year old women. The national
guidelines on cervical cancer screening and prevention (2010) call for screening at least 50 percent of
women aged 30–60 years and for reducing the mortality due to cervical cancer by 10 percent with
recommended screening among this group every five years. Cervical cancer screening is done by visual
inspection of the cervix by trained nurses or doctors using acetic acid. If any signs of a pre-cancerous
lesion are seen, women are referred for cryotherapy to cure the lesion. This approach is cost-effective as
the early detection of lesions and early management by cryotherapy will usually prevent progression to
cervical cancer, and the cost of scaling up this activity is relatively low. As of 2073/74, cervical cancer
screening has been expanded to 64 districts. In the reporting year 98 nurses and doctors were trained
on visual inspection with acetic acid and cryotherapy. Vaccination to adolescent under the human
papilloma virus (HPV) demonstration project in coordination with CHD with support from WHO.

c. Obstetric fistula management: Obstetric fistula affects many women from poorer communities and
significantly impairs their quality of life due to the social stigma attached to this condition and their
physical suffering. The government has allocated funds for the free screening of obstetric fistula
integrated with pelvic organ prolapsed screening and free surgical services at the BP Koirala Institute of
Health Sciences (BPKIHS, Dharan) and Model hospital, Kathmandu. In 2073/74, 120 women received
free surgical treatment for obstetric fistula.

DoHS, Annual Report 2073/74 (2016/2017) 73

Family Health
Human resources
A significant share of FHD’s budget goes for recruiting ANMs on short term contracts to ensure 24 hour
birthing services at PHCCs and health posts. FHD also provides funds to DHOs and DPHOs to recruit the
human resource mix needed to provide surgical management for obstetric complications at district
hospitals.

FHD has been coordinating with the National Health Training Centre (NHTC) and the National Academy
for Medical Sciences (NAMS) for the pre-service and in-service training of health workers. NHTC
provides training on SBA, ASBA, operating theatre management, family planning (including implants and
IUCD), and antenatal ultrasonography. In 2073/74, 582 SBA, 28 ASBA and 20 AA were trained by NHTC
and NAMS. By the end of 2073/74 a total of 9,000 SBAs and 168 ASBAs have been trained.The proper
placement of trained staff such as ASBAs and anaesthesiologist assistants (AAs) has been a continuous
challenge. FHD continued to monitor the deployment of doctors (MDGP, OBGYN, ASBA) and AAs,and
inform DOHS and MOH as necessary for appropriate transfer. This has resulted in improved functionality
of CEONC services.
Expansion and quality improvement of service delivery sites
FHD continued to expand 24/7 service delivery sites like birthing centres, BEONC and CEONC sites at
PHCCs, health posts and hospitals. The expansion of service sites is possible mostly due to the provision
of funds to contract short-term staff locally. By the end of 2073/74 CEONC services were established in
72 districts, only 60 districts were functional throughout the year. During the fiscal year 8-12 districts
provided interrupted C-section services.

A total of 1,811 birthing centres and 158 BEONC sites were functioning by the end of 2073/74. In line
with strategies of the Nepal Health Sector Strategy (2015–2020), in 2072/73 FHD began strengthening
strategically located birthing centres towards upgrading them to comprehensive centres of excellence
(CCEs) and in 2073/74in 98 strategically located birthing centresin 17 districts with support from UNICEF
and NHSSP.

Study in 2013 (FHD 2013) shows that the overcrowding of normal delivery services at referral hospitals
has contributed to poor quality of care. To expand and improve the quality of maternity services, FHD
has been allocating budget to overcrowded hospitals since 2069/70. IN 2073/74,five overcrowded zonal
and regional hospitals are receiving funds for recruiting staff and for quality improvement. FHD has also
allocated budgets for recruiting staff nurses and ANMs in these hospitals to cope with the overcrowding
of maternity wards and MOH is developing master plan for these hospitals to overcome this problem.
Emergency referral funds
It is estimated that 15 percent of pregnant women will develop serious complications during their
pregnancies and deliveries, and 5 to 10 percent of them will need caesarean section deliveries (WHO,
2015) to avoid deaths or long-term morbidity. In cases of difficult geographical terrain and unavailable
CEONC services, it is crucial that these women are referred to appropriate centres. To address this issue
FHD allocated emergency referral funds to Regional Directorate for air lifting of women in need of
immediate transfer to higher centres. A total of 4,000,000 Rupees was allocated to five regions and

74 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
fourteen women from nine districts received support from this fund in 2073/74. Additional 4,400,000
Rupees was allocated to 46 districts to support transport fares women who could not afford referral to
high facility. The main objective of this programme is to support emergency referral transport to women
from poor, Dalit, Janajati, geographically disadvantaged, and socially and economically disadvantaged
communities who need emergency caesarean sections or complication management during pregnancy
or child birth. In addition, the regional health directorates also have funds to airlift to women from areas
where motorised transport is not available or when immediate transfers are needed. Based on national
MNH referral guidelines, free referrals for obstetric complications from birthing centres to CEONC
centres are being implemented in Ramechhap and Dolakha districts in 2072/73 and 2073/74.Almost 300
women with obstetric complications received transport subsidy to three CEONC sites from 60 BCs in
these two districts.
Safe abortion services
Global and national evidence shows that many women face unwanted pregnancy including due to
limited access to family planning information and services. Such women who cannot access safe
abortion services in a timely way are at a high risk of developing complications due to unsafe abortions,
or in the worst case, suicide due to social pressure. In Nepal abortion rate among WRA is 42 per 1000
women of reproductive age women (15-49), highest in central region (59) and lowest in Far Western
region (21). Out of all these abortions, only 42 percent were provided legally at government approved
service sites, (CHREPA 2016). Thus, there is a need to make safe abortion services available, accessible
and affordable to all women with unwanted pregnancies. FHD has defined the four key components of
comprehensive abortion care as:
 pre and post counselling on safe abortion methods and post-abortion contraceptive methods;
 termination of pregnancies as per the national protocol;
 diagnosis and treatment of existing reproductive tract infections; and
 provide contraceptive methods as per informed choice and follow-up for post-abortion
complication management.

Comprehensive abortion care (manual vacuum aspiration [MVA]) services are available in all 75 district
hospitals and majority of PHCCs. Additionally, second trimester abortion services are available in 30
hospitals where CEONC services are also available. Medical abortion (MA) services are being expanded
in health posts through the additional training of SBAs. Medical abortion services have been expanded
to 60 districts with the support of various partners.At the end of 2073/74, total 1,020 ANMs and 466
health facilities were listed for providing MA services and 1,414 doctors and 526 nurses as MVA service
providers and 538 health facilities were listed as MVA service sites. During reporting year 182 ANMs and
132 health facilities were listed for providing MA services and 93 doctors and 64 nurses were trained as
MVA service providers and 15 health facilities were listed as MVA service sites.

Obstetric first aid orientations

In 2070/71, FHD started orienting paramedics on first aid to manage obstetric complications at health
facilities without birthing centres and to enable paramedics to support SBAs and ANMs at times of
emergency. In 2073/74, 51 trainers were trained on this subject in 17 districts.
DoHS, Annual Report 2073/74 (2016/2017) 75
Family Health
Nyano Jhola Programme
The Nyano Jhola Programme was launched in 2069/70 to protect newborns from hypothermia and
infections and to increase the use of peripheral health facilities (birthing centres). Two sets of clothes
(bhoto,daura, napkin and cap) for newborns and mothers, and one set of wrapper, mat for baby and
gown for mother are provided for women who give birth at birthing centres and district hospitals. The
programme was interrupted due to financial constraints, however MOH allocated extra budget for
2073/74 due to popular demand.

Aama and Newborn Programme

The government has introduced demand-side interventions to encourage women for institutional
delivery. The Maternity Incentive Scheme, 2005 provided transport incentives to women to deliver in
health facilities. In 2006, user fees were removed from all types of delivery care in 25 low HDI districts
and expanded to nationwide under the Aama Programme in 2009. In 2012, the separate 4ANC
incentives programme was merged with the Aama Programme. In 2073/74, the Free Newborn Care
Programme (introduced in FY 2072/73) was merged with the Aama Programme with the provisions
listed in Box 3.2.2.
Box 3.2.2: Provisions of the Aama and Newborn Programme
a. For women delivering their babies in health institutions:
 Transport incentive for institutional delivery: Cash payment to women immediately after institutional
delivery (NPR 1,500 in mountains, NPR 1,000 in hills and NPR 500 in Tarai districts).
 Incentive for 4 ANC visits: A cash payment of NPR 400 to women on completion of four ANC visits at 4, 6, 8
and 9 months of pregnancy, institutional delivery and postnatal care.
 Free institutional delivery services: A payment to health facilities for providing free delivery care. For a
normal delivery health facilities with less than 25 beds receive NPR 1,000 and health facilities with 25 or
more beds receive NPR 1,500. For complicated deliveries health facilities receive NPR 3,000 and for C-
sections (surgery) NPR 7,000. Ten types of complications (antepartum haemorrhage (APH) requiring blood
transfusion, postpartum haemorrhage (PPH) requiring blood transfusion or manual removal of placenta
(MRP) or exploration, severe pre-eclampsia, eclampsia, MRP for retained placenta, puerperal sepsis,
instrumental delivery, and management of abortion complications requiring blood transfusion) and
admission longer than 24 hours with IV antibiotics for sepsis are included as complicated deliveries. Anti-D
administration for RH negative is reimbursed NPR 5,000. Laparotomies for perforation due to abortion,
indicated or emergency C-sections, laparotomy for ectopic pregnancies and ruptured uteruses are
reimbursed NPR 7,000.
b. For newborns: A payment to health facilities for providing free sick newborn care. Facilities are reimbursed
for set packages of care: Packages 0, A, B and C costing nothing, NPR 1,000, NPR 2,000 and NPR 5,000
respectively. Health facilities can claim a maximum of NPR 8,000 (packages A+B+C), depending on medicines
and diagnostic and treatment services provided.
c. Incentives to health workers (to be arranged from health facility reimbursement amounts):
 For deliveries: A payment of NPR 300 to health workers for attending all types of deliveries.
 For sick newborn care: A payment of NPR 300 to health workers for providing all forms of packaged
services.

76 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
There has been a large increase in the number of facilities providing delivery services and of institutional
deliveries since the launch of the Aama Programme. All government health facilities/hospitals and 61
non-state health facilities are currently implementing the Aama Programme.

Figure 3.2.1: Women receiving free delivery care and transport incentive as percentage of expected
live births
49

48 48 48

47 47

FY 2071/72 FY 2072/73 FY 2073/74

Free Delivery Transport incentive

Aama Programme data shows that only 48 percent of expected deliveries received free care and 47
percent received transport incentives, one percent point decline from 2072/73. (Figure 3.2.1).

Table: Aama Programme Budget Authorized and Expenditure over years

FY 2071/72 FY 2072/73 FY 2073/74
Budget Expenditure Budget (NPR) Expenditure Budget (NPR) Expenditure
(NPR) (NPR) (NPR) (NPR)

Transport and 1,136,250,000 612,294,184 1,101,251,000 798,226,573 1,157,329,000 987,643,563

reimbursement
incentives
4ANC 90,000,000 22,502,186 44,800,000 34,158,871 82,380,400 42,266,701

Free newborn - - 48,000,000 7,045,670 48,000,000 12,149,524

care
Source: TABUCS

In 2071/72, 54 percent of Aama Programme related expenditure (transport and health facility
reimbursement) and 25 percent of 4ANC related expenditure was captured in MoH’s Transaction
Accounting and Budget Control System (TABUCS). This increased to 73 percent for Aama Programme-
related expenditure and 76 percent for 4ANC expenditure in 2072/73 (note that the increase in
expenditure for 4ANC is due to reduced budget allocation). Almost 86 percent Aama programme budget
and 51 percent 4 ANC budget has been absorbed in FY2073/74. The data indicates that there is an
increasing trend in absorption of Aama programme budget, which is mainly due to improvement in
TABUCS entry by cost centres. The free newborn care programme expenditure has improved from 15
percent in FY2072/73 to 25 percent in FY 2073/74.

DoHS, Annual Report 2073/74 (2016/2017) 77

Family Health
3.2.3 Achievements
Antenatal care
WHO recommends a minimum of four antenatal check-ups at regular intervals to all pregnant women
(at the fourth, sixth, eighth and ninth months of pregnancy). During these visits women should receive
the following services and general health check-ups:
 Blood pressure, weight and foetal heart rate monitoring.
 IEC and BCC on pregnancy, childbirth and early newborn care and family planning.
 Information on danger signs during pregnancy, childbirth and in the postpartum period, and timely
referral to appropriate health facilities.
 Early detection and management of complications during pregnancy.
 Provision of tetanus toxoid and diphtheria (Td) immunization, iron folic acid tablets and deworming
tablets to all pregnant women, and malaria prophylaxis where necessary.

Pregnant women are encouraged to receive at least four antenatal check-ups, give birth at a health
institution and receive three post natal check-ups, according to the national protocols. HMIS reported
since 2066/67 to track the timing of ANC visits as per the protocol. All antenatal indicators
perfoamncedropped in 2073/74. The national average of first ANC visits as a percentage of expected
pregnancies increased from 96 percent in 2071/72 and 97 percent in 2072/73 which has declined to
87percent in 2073/74.The proportion of pregnant women who visit antenatal first visit on-time also
declined from 76 percent 2072/73 to 59 percent in 2073/74. The proportion of pregnant women attending
at least 4 ANC visits among expected pregnancies as per the protocol has declined from 51 percent in
2072/73 to 45 percent in 2073/74 at the national level (Figure 3.2.2). As the trend of all these indicators
were increasing for the last three year, the reasons for declined in all indicators could not be identified,
except poor reporting from referral hospitals. FHD is able to get information on institutional deliveries
from these referral hospitals; however data on antenatal and post-natal care is not possible to get from
these hospitals.

Figure 3.2.2: Regional and national trends of percentage pregnant women with four ANC visits(as per protocol)
among expected pregnancies

100
90
80 68
70 58 60
60 51 55 55 52 51
50 49 49 47
50 45 43 45 44 45
39
40
30
20
10
0
EDR CDR WDR MWDR FWDR Nepal
2071/72 2072/73 2073/74

78 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health

Figure 3.2.3: Fourth ANC visit (as per protocol) as a percentage of first ANC visits (as per protocol)

100 88
83 80
79 78 78 78 76 76 76
80 71 70 70 69 73 72
64 67
60

40

20

0
EDR CDR WDR MWDR FWDR Nepal
2071/72 2072/73 2073/74

While the percentage of pregnant women who received antenatal care (at any time, first visit by 4 th
month, and 4 ANC according to protocol) declined the proportion of women who came for four visits (as
per protocol) among w
who
ho did their first visit per protocol is constant over the last two years (figure
3.2.3).

In 2073/74seventeen
2073/74seventeen districts had 4 ANC coverage per national protocol of above 70 70 percent (Figure
3.2.4) an increase from eight districts in 2072/73
2072/73.However
However,, districts with 4 ANCcoverage less than 30
percentincreased
increased from 10 districts in 2072/73 to 18 districts in 2073/74. Percentage of pregnant women
who visit ANC at least one time is more than 7700 percent in 66 districts. These results show the need to
focus on the quality of the ANC consultation process as it is expected that satisfied and well informed
pregnant women will be more likely to complete the recommended four visits.
Figure 3.2.4: ANC 4 visits by expected number of pregnant women as pe
per the protocol by district,
2073/74

DoHS, Annual Report 207

2073/74 (2016/2017)
(201 79
Family Health
Delivery care
Delivery care services include:
 skilled birth attendance at home and facility-based deliveries;
 early detection of complicated cases and management or referral (after providing obstetric first aid)
to an appropriate health facility where 24 hours emergency obstetric services are available; and
 the registration of births and maternal and neonatal deaths.

Although women are encouraged to deliver at a facility, home deliveries using emergency obstetric care
kits, and obstetric first aid at home if complications occur, are important components of delivery care in
settings where institutional delivery services are not available.

Nepal is committed to achieving 70 percent of all deliveries by SBAs and at institutions by 2020
(2076/77) to achieve the SDG target in 2030. In 2073/74, nationally and in CDR and WDR, the proportion
of deliveries attended by SBAs increased (Figure 3.2.5).

Figure 3.2.5: Trend of deliveries attended by SBAs as percentage expected live births (2071/72–2073/74)

100 2071/72 2072/73 2073/74

80
57 56 54 60 60 62 59 59 59 59
60 53 57 54 56 57 54 56
47
40
20
0
0
EDR CDR WDR MWDR FWDR Nepal

Institutional deliveries as a percentage of expected live births increased from 55 to 59 percent over
the last year, compensating the lost due to the effects of the 2015 earth quake and fuel crisis
(Figure 3.2.6). Institutional deliveries increased in all regions in 2073/74 from the previous year
except for EDR.

Figure 3.2.6: Trend of institutional deliveries as percentage of expected live births (2071/72 – 2073/74)

100 2071/72 2072/73 2073/74

80 68 68
68
57
66 66 67 57 59
56 56 58 54 56 55
60 55 51 47

40

20

0
EDR CDR WDR MWDR FWDR Nepal

80 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
The 18 districts shaded in light green in Figure 3.2.7 achieved the 2020 20 NHSS target o off 70
70 percent
institutional delivery, eight districts achieved more than 60 percent (in 2072/73, 21 districts achieved 60
percent MDG target), while 18 districts achieved less than 30 percent institutional deliveries
(improvement from 30 districts in 2072/73)) (Fig 3.2.7).. The proportion of institutional deliveries taking
place at birthing centres (i (in
n health posts) declined from 27 percent of all instituti
institutional
onal deliveries in
2072/73 to 26 percent in 2073/74
2073/74.. This is a concern considering the increasing number of birthing
centres (BCs) at health posts — from 1,755 in the previous year to 1,881 in the current ye year
ar (Table 3.2.3
and 3.2.4
3.2.4). Deliveries at higher level hospitals increased from 36% in 2071/72 to 39
39% % in 2073/74
2073/74,, calling
to strengthen these hospitals as overcrowding of maternity wards results in poor quality of care
care.

Table 3.2.2:
3.2.2: Proportions of Institutional Deliveries at Different types of Health Institutions
HP PHCC District and Referral or Private and Others2
General Specialised NGO
Hospitals Hospitals1
2072/73 27.4 8.0 25.9 35.9 1.4 1.5
2073/74 27.4 7.8 23.9 38.5 1.7 0.8

Figure: 3.2.7: Institutional delivery rate by district, 2073/74

Source: HMIS

1
Zonal, Sub-regional,
Sub regional, regional, central, specialized and teaching hospitals. Janakpur Zonal hospital did not report in 2071/72.
BPKIHS and Bharatpur data were not captured in 2073/74 HMIS report.
2
Institutional clinics, health centres, urban health clinics, CHU, aand
nd other health facility
DoHS, Annual Report 207
2073/74 (2016/2017)
(201 81
Family Health
Table 3.2.3: Status of birthing centre, BEONC and CEONC expansion
2071/72 2072/73
Region Districts
BCs BEONC CEONC* Total BCs BEONC CEONC* Total
Eastern 16 281 31 16 332 301 26 26 353
Central 19 366 41 17 431 394 40 27 461
Western 16 278 40 13 334 340 44 22 406
Mid-western 15 399 28 13 444 399 28 17 444
Far Western 9 297 26 9 334 321 21 12 354
Total 75 1,621 166 67 1,875 1,755 159 104 2,018
*Number of districts with CEONC services established in the district

Table 3.2.4: Status of birthing centre, BEONC and CEONC services in Provinces
2073/74
Province Districts Total
BCs BEONC CEONC*
(BC and BEONC)
Province 1 14 291 24 14 315
Province 2 8 129 13 8 142
Province 3 13 309 30 12 339
Province 4 11 253 26 9 279
Province 5 12 307 30 10 337
Province 6 10 248 16 10 264
Province 7 9 344 19 9 363
Total 77 1881 158 72 2039
*Number of districts with CEONC services established in the district

Postnatal care
Postnatal care services include the following:
 Three postnatal check-ups, the first within 24 hours of delivery, the second on the third day and the
third on the seventh day after delivery.
 The identification and management of complications of mothers and newborns and referrals to
appropriate health facilities.
 The promotion of exclusive breastfeeding.
 Personal hygiene and nutrition education, and postnatal vitamin A and iron supplementation for
mothers.
 The immunization of newborns.
 Postnatal family planning counselling and services.

82 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
The number of mothers who received their first postnatal care at a health facility within 24 hours of
delivery is similar to the number of institutional deliveries in almost all health facilities as most health
workers reported to have provided post-natal care to both mothers and babies on discharge. The
revised HMIS introduced the monitoring of three PNC visits according to a protocol since 2071/72. The
proportion of mothers attending three PNC visits as per the protocol is slightly declined in
2073/74(Figure 3.2.8). Cultural and geographical factors affecting the movement of postnatal mothers
could be reasons for the low coverage while the perceived low importance of care in the postpartum
period could also be significant. There is a need for culturally sensitive interventions to promote access
to and the use of postnatal services, especially in geographically challenging areas.

Figure 3.2.8: Trend of three PNC as per protocolas percentage of live births
60
2071/72 2072/73 2073/74
50
40 35 35
30 24 24 26
23
18 18 17 19 19 17 18 20 19
20 15
11 11
10
0
EDR CDR WDR MWDR FWDR Nepal

Source: HMIS

Newborn care
Newborn care includes:
 delivery by a skilled birth attendant at home and facility births with immediate newborn care
(warmth, cleanliness, immediate breast feeding, cord care, eye care and immunization) for all
newborns and the resuscitation of newborns with asphyxia;
 health education and behaviour change communication for mothers on early newborn care at
home;
 the identification of neonatal danger signs and timely referral to an appropriate health facility; and
 community based newborn care (see Section 2.3 above).

A separate report on post-natal care to new born is not reported in HMIS and it can be assumed that the
percentage of new born who received PNC as per protocol is similar to as of mothers. Among 343,577
live births reported 91 percent received application of Chlorhexidine (Nabi care) at umbilical cord at
delivery. Total low birth weight (LBW) was 11.5 percent among institutional deliveries -2.5 percent were
very low birth weight (less than 2000 gm) and another 9 percent were LBW (2000-2499 gm). Reported
still birth rate among deliveries at health institutions increased from 14 in 2072/73 to 17 per 1000 total
births in 2073/74.

DoHS, Annual Report 2073/74 (2016/2017) 83

Family Health
Emergency obstetric care
Basic emergency obstetric and newborn care (BEONC) covers the management of pregnancy
complications by assisted vaginal delivery (vacuum or forceps), the manual removal of placentas, the
removal of retained products of abortion (manual vacuum aspiration), and the administration of
parental drugs (for postpartum haemorrhage, infection and pre-eclampsia and eclampsia) and the
resuscitation of newborns and referrals. Comprehensive emergency obstetric care (CEONC) includes
surgery (caesarean section), anaesthesia and blood transfusions along with BEONC functions.

The proportion of caesarean sections among expected live births slightly increased in 2073/74 to 10.1
percent of expected live births with increases in all regions. WHO (2015) puts the acceptable C-section
rate at 5–10 percent of all live births. While the C-Section rate in EDR, CDR and WDR are higher than
10percent the rate in FWDR is 3.9 percent, below the minimum accepted level of 5 percent. The
proportion of C-sections among total expected births in mountain districts does not increase from
2072/73 at 1.7 percent (Table 3.2.3), although 2016 NDHS data show higher percentage of C-Section
rate at 2.6 percent in mountain areas.This indicates limited availability of C-Section services in mountain
areas with almost one percent of pregnant women (of expected livebirths) from these areas getting
service out of their districts.

Table 3.2.5: Trends of proportion of caesarean sections among total expected live births
2070/71 2071/72 2072/73 2073/74
Mountain districts 0.7 1.0 1.7 1.7

Hill districts 8.3 9.3 8.9 9.9

Teri districts 8.0 9.8 9.7 11.4

Nepal 7.6 8.7 8.8 10.1

The met need for emergency obstetric care (EOC) increased to 29 percent of estimated complications in
2073/74 from 23.6 percent the previous year based on Aama reporting (Table 3.2.4). The WHO standard
is that 15 percent of expected birth cases suffer major direct obstetric complications throughout
pregnancy, childbirth or the immediate postpartum period. The data indicates that less than a third are
reported to have received emergency obstetric care services from Aama programme implementing
sites.

Table 3.2.6: Met need for EOC based on Aama Programme reporting*
Total expected live 15% of expected live Number of obstetric Met need for EOC
births births (estimated complications managed services
Fiscal year
proportion needing (%)
EmOC)
*2071/72 614,666 92,200 23,611 25.6
2072/73 637,263 95,590 22,563 23.6
2073/74 641,899 96,285 28,011 29.1
*2071/72 data is based on HMIS data
84 DoHS, Annual Report 2073/74 (2016/2017)
 Family Health
Provincial level Performance

The performance of provinces of Nepal varies in maternal and newborn health care utilisation. (figure
3.2.9). The continuum of care in maternal and newborn health care services shows that there needs to
be more awareness and encouragement of pregnant women to seek timely first antenatal care, improve
quality of counselling during antenatal care, improved access to delivery care services and post-natal
care services. C-Section rate in province number 1 and 3 is higher than maximum desirable rate
10percent while that of province 2, 6 and 7 is lower than minimum acceptable rate of 5percent.

Figure 3.2.9: Maternal health care indicators in seven Provinces of Nepal

% of pregnant women who had first ANC visits as per protocol

% of pregnant women who had four ANC checkups as per protocol
Institutional deliveries
100 Deliveries attended by SBA
C-Section rate
90 % of women who had three postnatal check-ups as per protocol
78

77

75
80

72
70
69
68

68
65
70
64
63
63

60
60

60
59

59
59
58

57
57

56
55
60
51
49
46
46
45

50

45
44

44
35

40

30
30
21
17.2
16.6

19

19
17

20

10.1
11

11

9.8
9.0
8

3.9
3.5

10
2.4

0
Province 1 Province 2 Province 3 Province 4 Province 5 Province 6 Province 7 Nepal

Source: HMIS

Safe abortions
More than1,005,000 women have received safe abortion services from certified service sites since the
service began in Nepal in 2060/61. The use of safe abortions services increased from 89,214 in 2072/73
to 96,417 women in 2073/74, of which 56 percent received medical abortions. Fourteen percent of safe
abortion service users were adolescents (<20 years) slight decline from 16 percent in 2072/73. Thought
the number of women who received safe abortion services increased in 2073/74 from previous year, it is
still less than one third of the total estimated abortion occurred in Nepal in 2014 (CREHPA 2016).
Compared to fiscal year 2072/73, the proportion of women who had a safe abortion and then used
contraceptives increased from 69 percent in 2072/73 to 71 percent in 2072/73 (Figure 3.2.10). The
acceptance of post abortion contraception among medical abortion service users was high compared to
DoHS, Annual Report 2073/74 (2016/2017) 85
Family Health
among surgical abortion users (medical abortion 77% versus surgical abortion 63%). Overall, post-
abortion LARC use is higher among women who had surgical abortion (18 percent) than among medical
abortion (14 percent).

Figure 3.2.10: Trend of post abortion contraceptive use (%)

120

100
40.3 31.3 29.3
80

60 14.3 15.8
11.4
54.4 54.9
40 48.1

20

0
2071/72 2072/73 2073/74
Source: HMIS Short Term Methods Long Term Methods No Method

3.2.4 Issues, constraints and recommendations

Table 3.2.7: Issues, constraints and recommendations— safe motherhood and newborn health
Issues and constraints
High maternal mortality rate
Referral mechanism needs
to be established
Fluctuating functionality of
CEONC and birthing centre
services
Availability of quality
maternity care services at
hospitals and birthing
86
Recommendations Responsibilities
 Review of programme implementation and effectiveness
FHD, DoHS,
 Plan for road map to reduce MMR based on global and
MoH
Nepal evidences
 Review/assessment of referral strengthening at district
level
 Revise the Aama Programme to facilitate an appropriate FHD
referral mechanism and improve access to life-saving
services
 Monitoring service provision status and availability of
human resource
 Promote the production of skilled service providers (AAs,
MDGPs, MD obgyn) and ensure appropriate skill mix at
CEONC sites by deployment and appropriate transfer of
skilled human resources
 Continue allocation of fund for contracting out short – MoH , DoHS,
term service providers FHD, NHTC
 Provide locum doctors and anaesthesia assistants in
strategically located referral hospitals for each province
 Introduce a special package to provide CEONC services in
mountain districts
 Support local government for training of human
resources in necessary skills
 Introduce quality improvement process for all maternity MoH, DoHS
care services including process and on-site coaching
 Adequate budgets allocated for equipment in birthing
DoHS, Annual Report 2073/74 (2016/2017)

Issues and constraints
centres:
 24/7 availability of
services
 skills and knowledge of
staff
 enabling environment
and motivation
 overcrowding at
referral hospitals.
Plateauing of 4ANC use and
timely first ANC visits, and
very low PNC coverage
Low use of institutional
delivery and C-section
services in mountain
districts, and province
number 2 and 6
No CEONC services in some
remote districts: Rasuwa,
Manang and Mustang
The high public demand for
free delivery services at
BPKIHS
The inadequate use of some
birthing centres and
increasing the number of
birthing centres, and
increasing use of referral
hospitals
High demand for free
surgery for uterine prolapse
cases
Federal structure and
governance of health
institutions; limited
understanding of health
service delivery
DoHS, Annual Report 2073/74 (2016/2017)
Family Health
Recommendations Responsibilities
centres and CEONC sites FHD (quality of
 Regular MNH skills update programmes for nurses care)
 Introduce monitoring process indicator for quality
maternity care in health facilities
 Introduce construction standards for birthing centres FHD
 Support birthing centres at strategic locations
 Provide additional budgetary support for overcrowded FHD, DHOs,
hospitals DPHOs
 Develop quality improvement tools and minimum service FHD, DoHS
standards
 Provide on-site coaching and mentoring for MNH health
workers
 Raise the quality of ANC counselling services.
 Develop a special package to encourage timely first ANC DHOs, DPHOs,
visits. FHD
 Initiate PNC home visit in selected councils
 Produce a strategy to reach unreached sub-populations
 Rapidly assess and expand rural ultrasonography (USG)
FHD, DHOs,
 Expand services in remote and difficult locations and
DPHOs
ensure continuous availability of services (birthing
centres and CEONC services)
 Discussion with local government on the advantages of
have CEONC, and challenges in maintaining CEONC FHD
functionality in low population areas
MoH, BPKIHS,
 Implement the Aama Programme at BPKIHS
FHD, RHDs
 The strategic upgrading of health facilities into birthing
centres
 Upgrade strategically located birthing centres to provide
FHD, DHOs
comprehensive quality primary health care services and
DPHOs
aim for ‘home delivery free’ VDCs
 Run innovative programmes to encourage delivery at
birthing centres
 Increase the budget and target for regional health
directorates and hospitals in uterine prolapse (UP) FHD
surgery
 Orientation of local and provincial level government on
FHD/MOH
their roles in health services delivery and governance
87
Family Health

3.3 FCHV Programme

3.3.1 Background
The government initiated the Female Community Health Volunteer (FCHV) Programme in 2045/46
(1988/1989) in 27 districts and expanded it to all 75 districts thereafter. Initially one FCHV was
appointed per ward following which in 2050 (1993/94) a population-based approach was introduced
in 28 districts. There are 51,420 FCHVs working in Nepal. The goal and objectives of the programme
are listed in Box 3.3.1.

FCHVs are selected by health mothers' groups. FCHVs are provided with 18 days basic training
following which they receive medicine kit boxes, manuals, flipcharts, ward registers, IEC materials,
and an FCHV bag, signboard and identity card. Family planning devices (pills and condoms only), iron
tablets, vitamin A capsules, and ORS are supplied to them through health facilities.

The major role of FCHVs is to advocate healthy behaviour by mothers and community people to
promote safe motherhood, child health, and family planning and other community based health
issues and service delivery. FCHVs distribute condoms and pills, ORS packets and vitamin A capsules,
treat pneumonia cases, refer serious cases to health institution and motivate and educate local
people on healthy behaviour. They also distribute iron tablets to pregnant women.

The government is committed to increase the morale and participation of FCHVs for community
health. Policies, strategies and guidelines have been developed to strengthen the programme. The
FCHV programme strategy was revised in 2067 (2010) to promote a strengthened national
programme. In fiscal year 2064/65 MoH established FCHV funds of NPR 50,000 in each VDC mainly
to promote income generation activities. FCHVs are recognised for having played a major role in
reducing maternal and child mortality and general fertility through community-based health
programmes.

Box 3.3.1: Goal and objectives of the FCHV Programme

Goal — Improve the health of local communities by promoting public health. This includes imparting
knowledge and skills for empowering women, increasing awareness on health related issues and involving
local institutions in promoting health care.

Objectives — i) Mobilise a pool of motivated volunteers to connect health programmes with communities and
to provide community-based health services, ii) activate women to tackle common health problems by
imparting relevant knowledge and skills; iii) increase community participation in improving health, iv) develop
FCHVs as health motivators and v) increase the use of health care services.

3.3.2 Major activities in 2073/74

 Dress allowance for FCHVs increased from NPR 6,000 to NPR7,500.
 Since 2071/72 the government has allocated budget for farewells to FCHVs over 60 years of age
as recommended by health mothers’ groups.
 The training, orientation and mobilization of FCHVs for national health programmes.
 Biannual FCHV review meeting held, FCHV Day celebrated on 5th December.

88 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
3.3.3 Major achievements in 2073/74
Progress reports, which provide the basis for the following analysis, were only received from
534,626 FCHVs for 2073/74. In 2073/74 Nepal’s FCHVs distributed fewer pills, condoms. (Table 3.3.1
and Figure 3.3.1). The number of mothers participating in health mother's group meetings also
decreased.

Table 3.3.1: Trend of services provided by FCHVs

Services 2071/72 2072/73 2073/74
Pills distribution (no. cycles) 866,881 840,762 808,138

Condom distribution (pieces) 10,512,449 10,068,095 9,983,379

Iron tablet distribution 932,945 743,297 717,267

Health mother’s group meetings 702,823 488,377 506,909

Source: HMIS

Figure 3.3.1: FCHV contribution on selected health services in FY 2071/72–2073/74 (,000)

25000 933

2071/72 2072/73 2073/74

20000

10512
15000
10068
9983
10000

5000
840 488
867 808 743 717 703 507
0
pills distribution cycle condom distribution iron tab distribution health mother's group
cycle meeting

Source: HMIS

Support for home deliveries

FCHVs support home deliveries. In 2073/74 they initiated baby to mother skin-to-skin contact after
delivery in 101,997 cases, applied chlorhexidine to the umbilicus after delivery for 95,283 cases and
ensured the taking of misoprostol for preventing PPH in 38,462 cases (Table 3.3.2).

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Family Health
Table 3.3.2: Support provided by FCHVs for home deliveries, 2073/74
Initiating skin-to-skin Chlorhexidine applied on Ensured misoprostol
Region
contact after birth umbilicus tablets taken
Province 1 16,790 15,223 3,824
Province 2 40,674 38,664 17,474
Province 3 10,301 7,565 3,524
Province 4 4,731 4,458 1,590
Province 5 14,170 13,619 5,703
Province 6 8,564 8,644 3,995
Province 7 6,767 7,110 2,352
National 101,997 95,283 38,462
Source: HMIS

Fewer CB-IMCI services were provided by FCHVs in communities in 2073/74 (Table 3.3.3). FCHVs
treated 166,202 no. of children with infections treated with cotrim. Also, FCHVs assisted the
immunization against polio of children below 5 years on National Immunisation Day, the community-
based management and treatment of acute respiratory infections and control of diarrheal diseases,
community nutrition programmes and other public health activities.

Table 3.3.3: CB-IMCI service provided by FCHVs at the community level

Services 2071/72 2072/73 2073/74
Cotrim treatment (cases) 277,095 221,716 166,202

Total diarrhoea cases reported by FCHVs 1,136,165 931,376 800,936

Treated with ORS and zinc 1,088,979 853,924 713,728

Source: HMIS

3.3.4 Issues and constraints

Table 3.3.4: Issues and constraints — FCHVs

Issues and constraints Recommendations Responsibility

Low utilization of FCHV Fund
FCHV are not interested in farewell
programmes
Decreasing work performance of
FCHV
Strictly implementguidelines and audit FHD, DHOs, HFs
FCHV fund every year
Rethink the farewell package FHD, DHOs
Motivate FCHV through FCHV Review FHD, DPHOs, HFs
meeting and program related orientation

90 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
3.4 Primary Health Care Outreach
3.4.1 Background
Health facilities were extended to the village level under the National Health Policy (1991). However,
the use of services provided by these facilities, especially preventive and promotive services, was
limited due to accessibility factors. Primary health care outreach clinics (PHC-ORC) were therefore
initiated in 1994 (2051 BS) to bring health services closer to communities.

The aim of these clinics is to improve access to basic health services including family planning, child
health and safe motherhood. These clinics are service extension sites of PHCCs and health posts. The
primary responsibility for conducting them lies with maternal and child health workers (MCHWs) and
village health workers (VHWs) at sub-health posts and ANMs, AHWs and VHWs at PHCCs and health
posts. With the upgrading of MCHWs and VHWs and the upgrading of all sub-health posts the
responsibility is being shared with all ANMs and AHWs. FCHVs and local NGOs and community based
organisations (CBOs) support health workers to conduct clinics including recording and reporting.

Based on local needs, these clinics are conducted every month at fixed locations on specific dates
and times. They are conducted within half an hour's walking distance for their catchment
populations. VHWs and MCHWs or ANMs/AHWs provide the basic primary health care services listed
in Box 3.4.1.

Box 3.4.1: Services to be provided by PHC-ORCs according to PHC-ORC strategy

Safe motherhood and newborn care: Child health:

 Antenatal, postnatal, and newborn care
 Iron supplement distribution
 Referral if danger signs identified.
Family planning:
 DMPA (Depo-Provera) pills and condoms
 Monitoring of continuous use
 Education and counselling on family planning
methods and emergency contraception
 Counselling and referral for IUCDs, implants
and VSC services
 Tracing defaulters.
 Growth monitoring of under 3 years children
 Treatment of pneumonia and diarrhoea.
Health education and counselling:
 Family planning
 Maternal and newborn care
 Child health
 STI, HIV/AIDS
 Adolescent sexual and reproductive health.
First aid:
 Minor treatment and referral of complicated
cases.

3.4.2 Service coverage

In 2073/74, 2.5 million people were served at 133,147 outreach clinics (Table 3.4.1). A total of
133,147 clinic events (days) were run which represents 91 percent of the targeted number (133,147
clinics x 12 = 1,597,764 in a year). An average of 19 clients were served per day per outreach clinic, a
increase from 18 the previous year with the highest average number being in province 2. The
average number of daily clients served by PHC-ORC is higher than the number of served in Health
posts (Table 3.4.2).

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Family Health
Table 3.4.1: PHC-ORCs conducted and people served in 2073/74 by Province
Province Total no. clinics Services provided to clients (new+old)
Province 1 24,792 451,341
Province 2 23,984 483,682
Province 3 20,542 340,889
Province 4 15,464 257,018
Province 5 21,264 463,944
Province 6 11,024 212,788
Province 7 16,077 372,779
National 133,147 2,582,441
Source: HMIS

Table 3.4.2: Average number of people served per clinic per day by province in FY 2073/74
Province PHCC/day Health post/day PHC-ORC/clinic
Province 1 33 13 18
Province 2 32 12 20
Province 3 37 13 17
Province 4 33 10 17
Province 5 38 19 22
Province 6 27 13 19
Province 7 42 15 23
National 35 13 19

3.4.3 Services provision

The number of people served by PHC-ORCs increased in the past two years (Table 3.4.3). In FY
2073/74 primary treatment has been increased in comparison to last FY (Table 3.4.3).

Table 3.4.3: Trend of services provided by PHC-ORCs

Service Types 2071/72 2072/73 2073/74
Primary treatment 754,413 736,538 817,748

Depo (times) 214,370 193,030 189,686

ANC (times) 258,979 227,230 249,525

PNC (times) 56,917 45,968 43,752

Growth monitoring 931,097 852,701 385,076

Source: HMIS

3.4.4 Issues, constraints and recommendations

Table 3.4.4: Issues, constraints and recommendations— primary health care outreach
Issues / constraints Recommendation Responsibility
All the PHC-ORCs are not functional Functionalize all PHC-ORCs by resolving all FHD, DPHOs
issues at every levels

92 DoHS, Annual Report 2073/74 (2016/2017)

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3.5 Demography and Reproductive Health Research

3.5.1 Background
The planning, monitoring and evaluation of reproductive health activities are key functions of the
Programme, Budget and Demography Section. This section conducts studies and coordinates
reproductive health related research and studies carried out by other organisations in Nepal.

The major responsibilities of this section are as follows:

 Estimate annual national targets for family planning, safe motherhood and adolescent
reproductive health services including family planning acceptors and reproductive health
commodities.
 Regularly monitor reproductive health and essential obstetric care (EOC) activities.
 Provide supportive supervision to DHOs, DPHOs and all levels of health facilities on reproductive
health services.
 Conduct periodic and ad-hoc research and studies on family planning, maternal and neonatal
health, safe abortion services, adolescent sexual and reproductive health and FCHV services.
 Conduct and support the piloting of maternal and newborn health initiatives.

3.5.2 Major activities in 2073/74

Annual programme and budget
 The annual programme and budget was prepared based on programme continuation, district,
regional and national reproductive health review recommendations, sub-committee
recommendations, district and regional office demands, research and study findings and HMIS
information.
Target population setting, monitoring and research
 The target populations wererevised for reproductive health programmes led by HMIS and
supported by FHD and sent to the districts.
 Forecasting for contraception and other reproductive health commodities was done in
coordination with LMD and the HMIS Section.
 The DoHS regional and national reviews were supported by the documentation and
presentation of reproductive health programmes. A national reproductive health review
meeting was conducted. The NHSS Result Framework development process was supported by
developing Reproductive Health Program-related indicators and activities.
 The internal monitoring was carried out of various district offices and hospitals focusing on the
finance flow of the Aama Programme, uterine prolapse management, family planning services
and maternal and perinatal death surveillance responses (MPDSR). CEONC strengthening was
done through mentoring and FHD officials.
 Community-based maternal and perinatal death surveillance and response was scaled up in
Baitadi in addition to five districts (Solukhumbu, Dhading, Kaski, Banke and Kailali) where it was
started in 2072/73. Hospital-level MPDSR was strengthened in 65 hospitals with reorientation at
the hospitals on revised formats and guidelines.

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Family Health
 The Rapid Assessment of Demand Side Financing (Aama and 4ANC) round 10 was conducted in
11 districts.
 Assessment of the Integration of Family Planning and Expanded Program of Immunization (EPI)
was conducted in 4 districts
Guidelines and document development
 An MPDSR training package was developed for hospitals and communities and has been
instrumental to expand the carrying out of MPDSRs.
 A revised draft of the Safe Motherhood Policy was prepared to incorporate maternal death
notification, newborn health and contemporary safe motherhood issues.
Implementation of Maternal and Perinatal Death Surveillance and Response (MPDSR)
GoN prioritized and implemented MPDSR in FY 2073/74 MPDSR with further strengthening and
expansion. The program envisions eliminating preventable maternal and perinatal mortality by
obtaining and using information to guide public health actions and monitor their impact. This is a
continuous identification, notification, quantification and determination of causes and avoidability of
all maternal and perinatal deaths, as well as the use of this information to respond with actions that
will prevent future deaths.

MPDSR was scaled up in Baitadi in FY2073/74. As in previous 5 MPDSR implementing districts,

District level government and NGO stakeholders were orientated on their role in implementing
MPDSRs. Hospital health workers were orientated on the objectives and processes of MPDSRs, the
tools, the causes of maternal and perinatal deaths and mechanisms to improve quality of care.
Community health workers were orientated on the objectives and processes, shown how to use the
verbal autopsy tool at health posts and planned for orienting FCHVs on the identification and
notification of deaths.

Table 3.5.1: Participants in MPDSR trainings, 2072/73& FY 2073/74

District Number of participant
Stakeholder orientations Hospital health workers Community health
workers
FY2072/73
Dhading 44 46 116

Kaski 42 55 124

Kailali 39 47 93

Banke 40 54 198

Solukhumbu 41 36 101
FY2073/74
Baitadi
Totals 206 238 632
Source: MPDSR training report

Following the trainings, DHO and DPHO personnel oriented FCHVs on carrying out MPDSRs and the
notification of the deaths of local women. MPDSR committees were formed at district, hospital and
health facility levels in the five districts.
94 DoHS, Annual Report 2073/74 (2016/2017)
 Family Health
Community-based MPDSR:

The community-based MPDSR process was started in Solukhumbu, Dhading, Kaski, Banke and Kailali
districts in FY 2072/73. During this FY 2073/74 it was further expanded to Baitadi with orientations
and trainings. Forty District Stakeholders, 22 hospital staff, 183 Community Health Service Providers
and 1063 FCHVs and HFOMC were oriented and trained at Baitadi during roll out.
An international trainer was mobilized for trainers’ training on maternal death cause assignment
from verbal autopsy with 26 participants from GoN, Nepal Society of Obstetrician/Gynaecologists
(NESOG), Perinatal Society of Nepal (PESON), Nepal Medical Association (NMA), tertiary hospitals
and external development partners. This was followed by training for the 12 medical doctors at the
districts implementing Community-based MPDSR.

Figure 3.5.1 Coverage of MPDSR Program

Hospital-based MPDSR:

By the end of In this FY 2073/74, hospital-based MPDSR was expanded into 65 hospitals. Training of
trainers was conducted at Kathmandu with participants from referral hospitals of all regions. This
was followed by seven batches of trainings for staff at65 hospitals. There were 29 participants in the
trainers training including Obstetrician/Gynecologists, Pediatricians, Medical Officers, Nursing Staff
and Medical Recorders. The roll out training was conducted for at regional level with 175
participants from RHDs, PHCs, DHOs, RHDs and 65 hospitals.

Following the community and hospital trainings, six districts and 65 hospitals in 38 districts are now
implementing the program.

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Family Health
Formation of MPDSR Committees at different levels
Following the guidelines, there were formation of National MPDSR Committee chaired by the
Director General, Directorate of Health Services and MPDSR Technical Working Group (TWG) chaired
by Director, Family Health Division in 2015. At the local levels, districts implementing MPDSR have
committees at district, hospital and health facility levels with separate VA and cause of death
assignment teams.For each hospital implementing MPDSR, there is MPDSR committee formed as per
the level of the hospital.
Web-based reporting system

A web-based reporting system is developed by the Family Health Division for enhancing functional
recording and reporting of the data related to the community- and hospital-based mortality.
On-site coaching and supportive supervision

Family Health Division conducted on-site coaching for supporting the districts and hospitals for
implementing MPDSR. Standard checklists were used during the process of monitoring and on-site
coaching was provided at individual sites.The on-site coaching covered Solukhumbu, Dhading, Kaski,
Kailali and Baitadi for community based MPDSR and 40 hospitals.

The visiting team met with the MPDSR committee, reviewed available data, forms and documents to
discuss on issues. Discussions were mainly prioritized to orient the MPDSR committee on process of
MPDSR focusing on identifying avoidable factors contributing to the maternal and perinatal deaths
and developing action plans to prevent such avoidable factors which improved quality of services
and ultimately contributed in reducing maternal and perinatal mortalities.

Findings from implementation of MPDSR

With the MPDSR process initiated in the community and strengthened in the hospitals, FHD is
receiving the tools with information on the maternal and perinatal deaths from many sites. There
are still gaps in regular implementation and reporting of the information and reporting. The
information received the web-based system till FY 2073/74 has been presented below.

Community-based MPDSR:

During the period, death of 192 women of age 12-55 years have been notified by the FCHVs which
have been screened by the staff from respective health posts. Among the 192 deaths, 48 (25%) were
pregnancy-related deaths. Verbal autopsy was conducted by the respective District (Public) Health
Offices (D(P)HOs for almost all (47) pregnancy-related deaths except one. One verbal autopsy could
not be conducted as the woman, who had committed suicide, used to live with her husband in
Pokhara who was untracable after the event

96 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health

Figure 3.5.2 Death identified in MPDSR

Figure 3.5.4Cause of Direct Maternal Deaths

Figure 3.5.3 Types of deaths (N=47) (N=31)

Once the verbal autopsy was completed, doctors in the district reviewed the verbal autopsy forms
and identified delays and cause of deaths. Based on the cause of deaths assigned by the doctors,
among all pregnancy-related deaths, 66% were direct maternal deaths, 26% were indirect maternal
deaths and 8% were accidental/incidental deaths (accident and suicide). Among the direct maternal
deaths, 42% were due to obstetric hemorrhage, 22% were due to eclampsia, 13% were due to
abortion related complications, 13% due to obstetric embolism and 10% due to pregnancy-related
sepsis.

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Family Health
Delays identified from Community-based MPDSR:

First Delay:
• Sought care from traditional healer, home delivery, lack of knowledge of danger signs, did
not share problem with family, took medicine from local medical shop, did not take proper
nutrition during pregnancy, unwanted pregnancy, did not take misoprostol at home to
manage hemorrhage, no antenatal care, did not take medical advice

Second Delay:
• Delay in arranging money, delay in reaching facility due to public transport, delay in getting
referred from medical shop

Third Delay:
• No proper primary management at HP, delay in receiving care in hospital, delay in admitting
the patient at hospital, long time waiting at hospital before taking care, substandard care
received at hospital, no proper communication between facilities during referral

Action plans developed by District MPDSR Committees:

 Awareness raising:
• Mobilize local leaders to ensure institutional delivery, disseminate information on danger
signs during pregnancy among mother’s group and pregnant women through FCHVs,
community drama for awareness regarding institutional delivery, focus on Family Planning
during ANC and PNC, awareness program on unsafe abortion in VDC level, awareness on
birth preparedness packages and waiting homes, awareness program for adolescent on
harmful effects of early marriage and pregnancy

 Coordination:
• Advocate on need of road construction with local development offices for raising
accessibility to health services, advocate for Calcium tablets distribution to pregnant women,
advocate for safe roads and bridges specially during rainy season, arrangement of stretchers
for local transportation

 Quality of service:
• Referral system strengthening by co-
ordination with hospital and
Ambulance service providers,
provision of hotline number to
facilitate referral, provision of
ambulance driver's number of all
available ambulances at all health
facilities, ensure antenatal services in
all primary health care outreach
clinics, monitoring for proper
counseling as per protocol to mothers
attending ANC clinic, proper recording
of all cases in health facilities, ensure Figure 3.5.5 Cause of death

98 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
presence of health workers during service hours at health facilities for antenatal check-up,
orient health workers and FCHVs on referral mechanism with communication between
health facilities.

Hospital-based MPDSR:

The hospitals implementing MPDSR started entering the maternal death review form and perinatal
death review forms in the web-based system. The received data related to the maternal deaths
received so far was analysed and presented below. However, there are gaps in reporting from the
hospitals.

Action plans developed at hospitals:

 Revision of history taking forms, revision of ANC cards to include information on danger
signs during antenatal and postnatal period, ensure continuous availability of emergency
equipment at the ER, ensure availability of Hepatitis E test kit, functional ABG machine,
establish blood cross matching facility, change in protocols for high risk pregnancy
preparation for LSCS

Lessons learned from MPDSR:

 Increase in case notification with
identification of hidden cases
 Increased responsibility and
accountability on maternal death at
community level
 Need of multi-sectoral approach
required to implement actions

Figure 3.5.6Cause of direct maternal deaths

Challenges to MPDSR Implementation:

 Under reporting of suspected maternal deaths
 Blame culture at some places that inhibits health professionals and others from participating
fully in the MPDSR process
 Incomplete or inadequate legal frameworks
 Inadequate staff numbers, resources and budget
 Cultural norms and practices that inhibit the operation of MDSR
 Problems of geography and infrastructure that inhibit the timely operation of MDSR.
 Review and reporting of perinatal deaths in hospitals
 Implementation of action plans developed by the MPDSR committees
 Cause of death assignment process
 Delay/Incomplete notification, screening, VA, review, response &reporting in web-based
MPDSR system

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Family Health
Figure 3.5.2: Hospital and community-level MPDSR processes
Maternal Death Surveillance and Response [MDSR]
Communities
1. FCHVs identify and notify deaths of WRA
(12-55yrs) to health facility
[Notification Form within 24 hours]
2. Health facility screens pregnancy related deaths
[Screening Form]
3. Health facility notifies pregnancy related death
to DHO/DPHO
[Phone call/Form]
4. District verbal autopsy (VA) team completes
verbal autopsy with health facility
[Verbal autopsy form]
5. Medical team within district MPDSR committee
reviews VA and assigns cause of death
[Cause assignment]
6. District VA team prepares summary report for
district MPDSR committee
[Summary report]
7. District MPDSR committee reviews death
[District MPDSRctte review]
8. District MPDSR committee identifies and
prioritizes response activities
[Prioritization Form]
9. District MPDSR committee prepares action plan
and acts
[District: Action plan - Action]
10. Health Facility MPDSR committee prepares
action plan and acts
[HF: Action plan - Action]
100
Health Facilities
1. Identification and notification of suspected
maternal death to MDR Committee
2. Attending team screens the death
3. Attending team completes MDR Form and
notifies FHD and DPHO
[MDR Form within 24 hours]
4. Medical team reviews MDR form and assigns
cause of death
[Cause assignment]
5. Medical team within MPDR committee prepares
summary report for hospital MPDR committee
[SummaryReport]
6. Hospital MPDR committee reviews the death and
uploads the data
[Hospital MPDR Committee Review within 72 hours]
7. Hospital MPDR committee identifies and
prioritizes the response activities
[MDR Form]
8. Hospital MPDR committee prepares action plan
and acts
[Hospital: Action plan]
Note: [Examples of possibilities]:
Both VA and MDR: If a woman of Dhading district dies in
a hospital in Dhading district.
VA only: If a woman of Lamjung district dies in a
community in Dhading district.
If a maternal death occurs at a PHCC or health post the
Hospital MPDR team does the review.
DoHS, Annual Report 2073/74 (2016/2017)
 Family Health
Figure 3.5.3: Hospital MPDSR Process

Perinatal death surveillance and response [PDSR]

Hospitals

1. Identification and notification of perinatal death to

MDR committee
[Perinatal death notification]

2. Perinatal death review committee screens death

[Perinatal death screening]

3. Attending team completes PDR Form

[PDR Form within 72 hours]

4. Doctors review PDR form and assign cause of death

[Cause assignment]

5. PDR team prepares summary report for hospital

MPDR committee
[Summary report]

Hospital MPDR Committee reviews the death District MPDSR Committee reviews the death
[Hospital MPDRctte meeting, once a month] [District MPDSR committee meeting]

Hospital MPDR Committee identifies and prioritizes District MPDSR committee identifies and prioritizes
response activities response activities
[Prioritization of response activities] [Prioritization of response activities]

Hospital MPDR committee prepares action plan and District MPDSR committee prepares action plan and
acts acts
[Hospital: Action plan and actions] [District: Action plan and actions]

3.5.1 Major reproductive health studies carried out in FY2073/74

3.5.1.1 The Rapid Assessment of Aama and 4ANC Program round 10
AamaSurakshyaProgrammeme is a national priority one programmeme implemented by the
Department of Health Services, Family Health Division. AamaProgrammeme aims to reduce financial
barriers that prevent women from accessing quality delivery care services. The primary objective of
this X round rapid assessment is to assess compliance of Aamaprogrammeme according to
programmeme implementation guideline 2065 third edition 2073.

A cross-sectional descriptive study design using both quantitative and qualitative approaches was
applied to get valid and reliable information from both the services providers and service users.
Eleven districts were purposively selected for this RA based on the guidance provided by FHD. A total
of 69 health facilities (12 government hospitals, 15 PHCCs and 42 HPs) were sampled for this RA
from the list of all public and private facilitiesimplementing AamaProgrammeme. In-depth interviews
were carried out among 1561 recently delivered women. In addition, 72 exit client interviews were
carried out to understand women’s perception on the receipt of delivery service received.
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Family Health
Qualitative information was obtained from in-depth interviews conducted with 219 key informant
interviews which included AamaSurakshya Programme focal person, service provider, account
officer, and health facility management committee members. The key findings of this RA are:
Use of delivery care
At the national level institutional delivery has increased from 14% in 2005/06 to 55% in 2015/16 and
during the same period, the home delivery has been declined from 20% to 4%.

Management of Aama Programme

Budget for AamaSurakshya programme was adequate in the sampled districts, however issues of
delay in receiving budget was reported by PHCC and HP level mainly due to delay in receiving
authorization from center. Women were still provided with transport incentive using health facility
reimbursement made under Aamaprogrammeme deposited in the health facility management
committee account. Almost one-third of the health facilities did not send the AamaSurakshya
Programme financial report to D(P)HO on time as a result some delay in disbursement of
programme budget was reported and a few clients had to come to facility again to collect the
incentive and some did not get the incentive. The use of Aama unit cost is not different to the
conditions stipulated in the guideline.

Receipt of transportation incentive

Women giving birth in hospital (45%) were less likely to receive 4ANC incentive than women giving
birth in PHCC (57%) or HP (58%). But women giving birth in hospital (89%) were more likely to get
transportation incentive on the day of discharge than those who give birth in PHCC (65%) and HP
(64%). About 87% women giving birth at selected health facilities received deliveryservice free of
cost. This percentage was highest in Jajarkot (100%) and lowest in Pyuthan (41%). Women giving
birth in HP were most likely to receive the delivery care free of cost (95%) and women giving birth in
PHCC were least likely to receive free delivery care (75%).
Cross-verification
Overall, in an average less than 0.5% mismatch was observed between facility record and women
interview for normal delivery, 6% for complicated delivery and 4% for CSdelivery, however the
mismatch varies across districts.

Major Recommendations
DoHS/FHD to ensure availability of Aama guideline in implementing facility, timely flow of
funds to all spending units, and send letter to D(P)HO and health facilities requesting them
to use the facility management committees fund in case of delay in receiving budget. Clear
instruction on timely reporting of financial progress should be made from FHD to D(P)HO
and D(P)HO to the health facilities. All health facilities should send the Aamaprogrammeme
progress every month and also update the progress in Transaction Accounting and Budget
Control System (TABUCS). Ensure the compliance ofAama guideline in terms of providing
incentive in day of discharge, provided to women, displaying the name of Aama
beneficiaries and use of unit cost in improving the overall quality of the services.
3.5.1.2 Assessment of the Integration of Family Planning and Expanded Program of Immunization
(EPI)

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 Family Health
Reproductive Health guideline suggests to keep at least two-year interval between births as a means
to reduce the risk of adverse maternal and child health outcomes. In order for mothers to space
births at least two-year apart, they need to practice some form of birth control measure. The Family
Health Division, Ministry of Health (MoH), Government of Nepalrecommendations underscores the
importance of strengthening the provision of family planning and counselling for healthy timing and
spacing of births, particularly for mothers in the first year after child birth. The available evidence in
Nepal, however, indicates that 21% of births occur within the two-year period and 50% within less
than 36 months (NDHS, 2011)). Only 8.5% of women who had a live birth in the past 5 years were
found being counselled on family planning during postpartum check-up. Therefore, postpartum
family planning may be the biggest missed opportunity in Nepal.

As Immunization programme has the highest coverage rate in Nepal, the GoN/FHD initiated a pilot
to integrate FP into routine EPI in Kalikot in 2070/71. Because of the positive result of the FP/EPI
integration pilot, FHD expanded the programme to Bajhang in FY 2071/72 and further to Doti,
Parbat, Bajhang and Rukum in FY 2072/73.

This quick assessment of the integrated model selected one PHCC and one HP from Doti, Parbat,
Bajhang and Rukum districts. The rapid evaluation used a mix of quantitative and qualitative
methods including semi-structured questionnaires and discussion guidelines.

Findings

1. In the four districts studied the integrated model successfully increased access to family
planning.

 In the 8 health facilities of the four districts studied the number of FP clients has increased
after the intervention compared to the period before intervention.

 With the introduction of FP/EPI programme, increasing number of women is utilizing FP

services from EPI outreach and EPI static clinics than static regular clinics. The share of FP
clients of regular Health Facility static clinics is increasingly declining since the FP/EPI
intervention.

2. Method mix is more balanced after the introduction of integrated model.

 The uptake of pills, implant and IUD has also improved and thus method mix has balanced
after the integration.

3. The integrated model has allowed an opportunity for marginalized population group to
benefit from FP.

 Of the total clients who received family planning methods, a little over a quarter (27%) are
Dalits and this proportion of Dalit FP users is more than the actual proportion of Dalits
population of 22% in four districts combined.

 The total number of EPI users increased in 2073 during programme intervention period (six
months data) compared to the six months before the intervention with some fluctuations of
service in the last two months of comparison.

DoHS, Annual Report 2073/74 (2016/2017) 103

Family Health
4. All study sites were found adhering to the FP & EPI integration intervention activities.

 They had initial training, FP registers updated at least partially, and FP/EPI clinics
implemented the model as per MOH, FHD guidelines

5. Clients’ perspectives

 Mothers who attended FP/EPI integrated clinics were overall happy with the model.
 They see a lot of benefits in it as they say they can get two services from one place.
 Women who did not go for FP service to FP/MCH static clinic now are easily accessing FP
services because of close vicinity of the service delivery point (referring to EPI ORCs or EPI
static clinics)
 Most mothers accept FP service during their 2nd visit to the EPI/ORC
 Those who do not accept FP at first visit is mainly because of no resumption of
menstruation.
 Mothers who do not accept FP at 2nd visit mainly do so because of absentee husbands.
 A fair number of mothers cannot accept FP at second visit because they cannot decide on
their own after getting FP counselling; they need to ask their husbands.

3.5.3 Major issues

Research in reproductive health is crucial for the design, planning, monitoring and evaluation of
interventions. However, there is often inadequate coordination by non-government partners during
different stages of their studies (design, implementation, analysis and dissemination) against the
stipulations of the Reproductive Health Research Strategy (2000), which leads to gaps and
redundancy. Even though several reproductive health-related studies were approved by NHRC every
year, only few of them were shared with the Family Health Division. As a result, findings and
recommendations are not being incorporated in reproductive health programme planning and
implementation. DoHS should plan to enhance the monitoring and research capacity of FHD
personnel to enable it to monitor and appraise reproductive health research and studies conducted
in Nepal.

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 Family Health

3.6 Adolescent Sexual and Reproductive Health

1. Background
National Adolescent Sexual and Reproductive Health is one of the priority program of Family Health
Division (FHD), Department of Health Services. Nepal is one of the country in South Asia developed
and endorsed the first National Adolescent Health and Development (NAHD) Strategy in 2000. To
address the needs of emerging issues of adolescents in the changing context, the NAHD strategy is
revised in 2017 and is under process of endorsement.

The goal of National ASRH programme

Goal: To promote the sexual and reproductive health of adolescents.

Objectives:
 To increase the availability of and access to quality information on adolescent health and
development, and provide opportunities to build the knowledge and skills of adolescents,
service providers and educators.
 To increase the accessibility and use of adolescent health and counselling services.
 To create safe and supportive environments for adolescents to improve their legal, social
and economic status.
 To create awareness on adolescence issues through BCC campaigns and at national,
provincial and community levels through FCHVs and mother groups

Targets:
To make all health facilities as adolescent friendly as per the envision of National Health policy
(2014) and NHSS (2016-2021)
To ensure universal access to ASRH services, the Nepal Health Sector Strategy Implementation Plan
(2016-2021) aims to:
 scale up Adolescent Friendly Service (AFS) to all health facilities;
 behavioral skill focused ASRH training to 5,000 Health Service Providers and
 more than 100 health facilities to be certified with quality AFS by 2021
The programme aims to reduce the adolescent fertility rate (AFR) by improving access to family
planning services and information.

Prioritizing the integration and effective program management, FHD established Family Welfare
Section in four thematic areas: Adolescent Sexual and Reproductive Health (ASRH); Family Planning
(FP); Female Community Health Volunteers (FCHVs); and PHC-Out reach Clinic since BS FY 2073/74
(FY 2016/17).

To support district health managers to operationalize the strategy, an implementation guideline on

Adolescent Sexual and Reproductive Health (ASRH) was developed in 2007 and piloted in 26 public
health facilities of 5 districts (Bardiya, Surkhet, Dailekh, Jumla, Baitadi) with the support from GIZ.

DoHS, Annual Report 2073/74 (2016/2017) 105

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National Health Sector Program (NHSP)-IP-II (2010 to 2015) set a target of expanding 1000 public
health facilities for provision of Adolescent Friendly Service (AFS) and revised the National ASRH
Programme Implementation Guideline accordingly and is implementing from 2011.

As per recommendations of the ASRH barrier study entitled “Assessing supply side constraints
affecting the quality of adolescent friendly services (AFS) and the barriers for service utilization”
carried out in 2014 under leadership of FHD technically and financially supported by UNFPA and
UNICEF, two major interventions were implemented in BS.2072 (2015) as part of system
strengthening (capacity building, certification for quality delivery of AFS in friendly manner) and
awareness raising interventions among adolescents and key stakeholders. Over the period of time
ASRH training package was revised as per national standards; establish and strengthen ASRH clinical
training sites within RH comprehensive training sites and additional 2 training sites in Bharatpur
Hospital and Koshi Zonal Hospital were established. Different training materials, quality
improvement tools were developed and printed which were subsequently distributed in different
districts (UNFPA supported to print 3000 ASRH training manuals, 3000 Adolescent Job aids; 1000 QI
and Certification tool, 3000 Flip Charts and 20,000 eight sets of ASRH booklets) for strengthening
health system.

2. Achievements in FY 2073-74 (FY 2016-17):

Result # 1. Scale-up of Adolescent Friendly Service:

The National ASRH program has been gradually scaled up to 70 of the 75 districts covering 1134
health facilities till the end of current fiscal year 2073/74. Different development partners such as
UNFPA, UNICEF, WHO, Save the Children, Ipas, ADRA Nepal and MSI Nepal at national and
subnational level supported to Family Health Division (FHD) for scaling up and strengthening ASRH
services in the health facilities in order to make those health facilities as adolescent friendly service
sites. The remaining five districts (Manang, Mustang, Dolpa, Rasuwa and Sindhupalchowk) will be
covered in the running FY 2074/75.

Result # 2. Strengthening Health facilities for AFS:

2.1 ASRH Clinical Training site development: ASRH clinical training sites were established at Seti
Zonal Hospital, Bheri Zonal Hospital, Western Regional Hospital, Paropakar Maternity Hospital within
RH Comprehensive Training sites, and Bharatpur Hospital in FY 2072/73 (FY 2015-16) and Koshi Zonal
Hospital in FY 2073/74 (FY 2016-17).

2.2 Competency based ASRH training to the Health service providers: Total 1415 health service
providers trained on behavioural and skill focused competency based 5 days ASRH training from
2015 to Dec 2017 (BS. FY 2071/72 to 2073/74) from AFS sites to be implemented for making
Adolescent Friendly Services under leadership of National Health Training centre. Among 1415
trained HSPs, 74 trainers received Training of Trainers (TOT) and developed pool of trainers on ASRH
first time in Nepal at national and regional level. Out of total trained on ASRH, 1073 (76%) HSPs were
trained with the support of UNFPA through Redbook (NHTC) and ADRA Nepal and rest of them
trained from NHTC (Red book- UNICEF), Save the Children, and MSI.

106 DoHS, Annual Report 2073/74 (2016/2017)

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Figure 1

One of the participants of the ASRH training reflected his opinion that "I will make a separate
room for Adolescent in my hospital. I am also planning to attend school health programs to tell
adolescents that this facility is adolescent friendly. Lastly, I will make sure that confidentiality
and privacy guaranteed and secured for whatever problems they consult with"

2.3 AFS sites certification through joint monitoring: Upon request of DHO with pre-certification
pre certification of
minimum 80% of the overall WHOs WHO 9 standards’ score, a joint monitoring team, comprises of
FHD/UNFPA/DHO/ADRA/SAVE/MSI, has visited health facilities for certification of AFS using “QI and
Certification Tool for AFS 2015”. Joint monitoring team followed 4
4-step
steps processes of certification of
AFS as follows:
1. Facility Observation
2. Interview with health workers (at least 2)
3. Interview with HFOMC members (at least 2)
4. Client Exit interview with Adolescent Girls and Boys (at least 2)
The main objective of Certification is to: Certify with assurance of availability of "Quality and
Friendly" ASRH services in health facility as per WHOs 9 standards with minimum overall 80% score.

The monitoring process of HF takes about 4 to 5 hours in the HF to accomplish above mentioned 4
steps with debriefing to the same team announcing the result of certification if HF is being able to
achieve minimum 80% overall score. The criteria set for being adolescent
adolescent-friendly
friendly services (AFS)
include the availab
availability
ility of trained staff, proper information delivered to adolescent on sexual and
reproductive health, delivery of ASRH services in a confidential way, display of the AFS logo in the
health facilities and including two adolescents as an invitee in the Healt
Health
h Facility Operation and
Management Committees (HFOMC) meetings.

The summary table of the AFS certified sites shows two times increase in FY 2073/74 (FY 2016-17)
2016
(total 28 HFs in 13 districts) compared to total 14 HFs in 6 districts in FY 2072/73 (FY 2015-16).
2015 16). Total
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Family Health
51 HFs certified in between Dec 2015 to Dec 2017 in 20 districts (45 supported by UNFPA; 1 by
Government; 2 by MSI and 3 by SAVE the Children). The certified sites received “appreciation letter
of certification” for 5 years of period effective from August 2017 with signature of FHD Director and
Family Welfare Section Chief, FHD.

Table 1: Summary of certified Health facilities from Dec 2015 to Dec 2017 (BS. FY 2072/73 to FY
2073/74)
In December 2015 9 HFs- certified in 4 districts
(9 UNFPA supported sites)
January to July 2016 5 HFs- certified in 2 districts
(4 UNFPA supported sites including 1 HF by SCI)
Total in FY 2015-16 (BS FY 2072/73) 14
16 July to Dec 2016 15 HFs- certified in 6 districts
(15 UNFPA supported sites)
Jan to July 2017 13 HFs- certified in 7 districts
(9 UNFPA supported sites including 2 HF by MSI & 2
HF by SCI)
Total in FY 2016-17 (BS. FY 2073/74) 28
16 July to Dec 2017 9 HFs- certified in 4 districts
(8 UNFPA supported sites including 1 HF by GON)
Total in FY 2017-18 (BS. FY 2074/75) 9
Grand total from Dec 2015- Dec 2017 51 HFs- certified in 20 districts

The detail list of certified health facilities is in Annexe I table 1 and average score obtained in each 9
sections by 51 HF is in Figure 1 of Annexe I.

Result # 3: Demand generation interventions on ASRH Program:

Different awareness raising activities on ASRH was carried out in this FY in support of different
partners (UNFPA, UNICEF, GIZ, and USAID-Health for Life, Save the Children, UMN, ADRA Nepal,
FPAN Nepal and MSI Nepal) under leadership of National Health Education Information and
Communication Center (NHEICC) and FHD among the adolescents at community level. Different
approaches like My First Baby (MFB), Partner Defined Quality for Youth (PDQY), school health
program etc were applied to raise the awareness among adolescents and other communities. These
very many activities helped adolescents to understand the problems during adolescents, their
mitigation approach and services available at HF addressing their needs.

3.1 Establishment of AFICs in schools: A total of 212 AFICs established in UNFPA supported districts
in order to link between AFS in health facilities and AFICs in schools. Similarly, Save the Children
supported to establish 85 AFICs in its working districts. The AFICs is equipped with ASRH related
IEC/BCC materials such as 8 sets of ASRH booklet, Adolescent health and development flip chart;
comic book on ASRH, poster on finger pointing to AFS, brochure on delay marriage, danger signs
during pregnancy with orientation to the teachers, parents, school health management, and health
service providers from AFS to utilize the IEC materials by both teachers and adolescents girls and
boys as well as access to AFS services by adolescents when and as needed. A total of 2,822 teachers,
parents, students and Health Service Providers were sensitized on ASRH, AFIC, and CSE, contributing
to an open and enabling environment in the community and promote the utilization of AFS during
this fiscal year.
108 DoHS, Annual Report 2073/74 (2016/2017)
 Family Health

3.2 Menstrual Hygiene Management (MHM): Menstrual Hygiene management is implemented in 14

earthquake affected districts and 3 other districts by different partners. The training package was
developed jojointly
intly by Ministry of Health and Ministry of Education and designed to build capacity of
teachers of the AFIC in schools and health workers of the Adolescent Friendly service sites. During
this reporting year total 73 participants (8 participants from DEO, 6 from DHO, 29 nurses from HF
and 30 school teachers) of schools and health facilities trained on MHM in Sindhuli district and 42
participants from Kapilbastu, Pyuthan and Saptari trained on MHM through SC SC. The school teachers
who are trained on MHM are regularly
regularly conducting menstrual management session in schools. The
schools with AFIC are also coordinating with the trained health service providers to conduct session
on MHM for students.

3.3 Comprehensive Sexuality education (CSE) in schools

schools: Total 87 trainers of 29 Educational Training
Centres trained on CSE, who will be a trainer for teachers training at the district level. Advocated
with and support the MOE in integrating CSE in the education curricula; reviewing the curriculum
and national policies to assess the inclusion of CSE and supporting to fill the gaps in collaboration
with NCED, CDC and the Ministry of Education are ongoing interventions. As a result of our
recommendations, the School Sector Development Plan 2017 2017-2022
2022 has included the importance
import of
CSE in their strategy, where they have included the provision of teachers’ training and curriculum
revision. Moreover, UNFPA has been providing technical support to the governmental entities in
integrating CSE components into the curriculum. Furthe
Furthermore,
rmore, a high-level
high level technical working group
has been created, with the presence of national health and education partners including FHD/MOH,
to discuss the inclusion of CSE in the national strategies and plans at all levels.

3.4 Rupantaran for out of schools

schools and in school’s girls
girls:: Total 5612 out of school girls enrolled and
trained on “Rupantaran from 2016-2017
2016 2017 to empower adolescent girls and capacitate them to be
Change Agent in their communities. Total 49 Community Learning centers’ facilitators under Non- Non
Formal Education Center (NFEC), Department of Education have been trained on CSE/Social and
Financial Skill Package (SFSP or Rupantaran) to deliver CSE components to out of school
children/adolescents.

3.5 Advocacy workshops at national with parliamentari

parliamentarians
ans and journalists:
journalists: More than 200
parliamentarian members, policy level key stakeholders and Journalists sensitized on importance of

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Family Health
CSE in schools, AFS in the health facilities with ASRH issues including harmful practices through
national and regional level
level advocacy workshop from 2016 to 2017.

At the regional level, advocacy workshops conducted for Journalists from 10 UNFPA supported
districts and sensitized total 39 journalists on ASRH, AFS and CSE issues. As a result; Journalists are
conducting various media related interventions focusing on ASRH and CSE.

More than 200 Community key stakeholders; religious leaders; parents and teachers sensitized on
ASRH/FP issues as well as social norms through Intergenerational dialogue in FY 2073-74
2073 74 (2016-
(2016
2017).

Result
lt # 4 ASRH Service Utilization:
4.1 Proportion of adolescent new acceptors among total new acceptors of spacing modern
contraceptives by provinces (2073/74)

The proportion of pills users is observed highest in Province # 2 followed by province number 6,
whereas Depo users was highest in Province # 6 followed by province 1 and 3. Overall users for all
temporary commodities observed low in Province number 7 (Figure 2).
Figure 2
2:

Source: HMIS raw data

4.2 Proportion of adolescent Antenatal Check

Check-ups
ups (ANC) among total antenatal check-up
check up visits by
provinces (2073/74):

In 2073/74, the proportion of adolescents getting antenatal check check-ups

ups among total ANC check-up
check
visits, both at any time and as per the protocol, is highest in province number 6 and lowest observed
in province number 3.

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 Family Health
Table 4:: Proportion of adolescent ANC among total ANC visits by provinces (2073/74)
National and First ANC Visit
First ANC as per protocol Four ANC as per protocol
Province (any time)
National 19.2 18.9 15.4
Province 1 21.1 21.0 18.9
Province 2 22.1 20.2 16.3
Province 3 13.8 15.2 10.2
Province 4 19.3 19.6 17.7
Province 5 16.6 16.7 14.9
Province 6 32.8 32.8 27.9
Province 7 17.7 17.4 15.0
Source: HMIS

4.3 Safe abortions:: The proportion having medical abortions was highest in the province number 3
and lowest in province number 7 whereas the proportion of surgical abortion was highest in
province number 5 and lowest in province number 4. The proportion of adolescent abortion at
National level by both medical and surgical procedure w
was
as 13.8% of the total abortion done in this
reporting Fiscal Year.

Table 5:: Proportion of adolescent safe abortion service users among total safe abortion service
users by provinces (2073/74)
(
National and Provincial total abortion among
Medical abortion Surgical abortion
level adolescent
National 11.6%( 6196) 16.7% (7138) 13.8% (13334)
Province 1 9.6% (1037
1037) 10.3% (703) 9.9% (1740)
Province 2 12.4% (547
547 ) 20.8% (570) 15.6% (117)
Province 3 18.5% (2486)
2486) 16.9% (2025) 17.7% (4511)
Province 4 8.0% (643)
643) 8.5% (431) 8.2% (1074)
Province 5 10.1% (841) 29.7% (2751) 20.4% (3592)
Province 6 13.3% (279) 11.3% (163) 12.5% (442)
Province 7 5.5% (279) 9.1% (495) 7.2% (858)
Source: HMIS
Number of Abortion cases (medical and surgical among Adolescents) at province level.

Source: HMIS 2073

2073-74
74 SM raw data
DoHS, Annual Report 2073/74
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Family Health
The figure above showed that the number of cases of abortion by both Medical and surgical
procedure is highest in Province Number 3 followed by Province Number 5 which is lowest in
province
ce Number 6. There might be different reasons behind this.

4.. Lessons learnt and way forward:

5.. Issues and recommendations — Adolescent Sexual and Reproductive Health

Issues and problems raised at recent regional and national review meetings and during joint
monitoring of the certification process are summarized in Table 3.6.6.
Issues Recommendations Responsibility
High prevalence of early Intensify community awareness activities and NHEICC, FHD, MoH,
marriage and teenage effectively implement the law line ministries and
pregnancy partners
Low CPR and high unmet Run innovative activities to increase access to FHD, DoHS, MoH
need for contraception family planning services and information in hard
among vulnerable to reach areas and among vulnerable
populations including populations including adolescents
adolescents
Quality assurance of ASRH Certify health facilities using “the quality FHD and ASRH
Programme improvement and certification tool for AFS partners
2015” to promote the delivery of adolescent
friendly quality services. Total 51 certified
health facilities/ AFS sites in 20 districts from
Dec 2015-
2015 Dec 2017.
Inadequate trained human Strengthen ASRH clinical training sites and NHTC and ASRH
resources on ASRH in health develop the capacity of service providers with Partners
facilities “behavioural and skill focused competency

112 DoHS, Annual Report 2073/74

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 Family Health
Issues Recommendations Responsibility
based 5 days ASRH training” at all health
facilities and specially AFS sites
Inadequate monitoring Increase the number of joint monitoring visits FHD, MD, DHOs and
to AFS sites at different levels ASRH partners
Inadequate resources Allocate sufficient resources at central, district FHD, DHOs
allocated to the programme and local levels
Inadequate links with other Advocate for the functional integration of ASRH FHD and ASRH
programmes (family issues and services in other thematic partners
planning, safe motherhood, areas/programmes
HIV)
Inadequate IEC/BCC Ensure the supply of ASRH related IEC/BCC FHD, NHEICC, DHOs
materials materials to health facilities and ASRH partners
Lack of disaggregated ASRH Revise the monthly/annual reporting format FHD, NHTC, and
data (by age/sex) and (Annex 5: ASRH Programme Implementation ASRH partners
integration in HMIS Guidelines, 2011) and advocate to incorporate
in HMIS

6. ASRH Programme: proposed plan for FY 2074/75 (2017-18)

Proposed Programmes Agency

1 Continue supporting health facilities for strengthening AFS sites GoN, FHD
2 ASRH review
3 Health facilities certification using the QI and certification tool for AFS through
Joint monitoring
4 Print and distribute the ASRH guidelines and tools
5 Continue supporting health facilities for strengthening AFS sites UNFPA,
DFID, ADRA
6 Behavioural and skill focused competency based 5 days ASRH training to the
and Health service providers working at AFS sites/health facilities
7 Health facilities certification using the QI and certification tool for AFS through
Joint monitoring
8 Strengthen ASRH clinical training sites with provision of necessary support
(ASRH training package plus ASRH related IEC/BCC materials and training of
trainers on 5 days ASRH training for medical officers)
9 Joint monitoring and follow up of trained health service providers and trainers
10 ASRH review meeting at province level
11 Continue support to establish Adolescent friendly information corners in
schools nearby AFS sites with ensuring ASRH related IEC and BCC materials

DoHS, Annual Report 2073/74 (2016/2017) 113

Family Health

Proposed Programmes Agency

12 Support for school health programme including comprehensive sexuality
education
13 Continue support for menstrual hygiene management
14 Continue support social and financial skill package (SFSP- Rupantaran), to reach
out of school adolescents through kishwori circles under leadership of Ministry
of Women and Children
15 Support for ASRH mobile app jointly by UNFPA, GIZ and USAID-Health for Life
under leadership of NHEICC
16 Continue supporting health facilities for strengthening AFS sites UNICEF
17 Behavioural and skill focused competency based 5 days ASRH training to the
and Health service providers working at AFS sites/health facilities
18 Continue support Roll out social and financial skill package (SFSP-Rupantaran)
to reach out-of-school adolescents through kishwori circles under leaderships
of Ministry of Women, Children and Social Welfare
19 Continue supporting health facilities to strengthen adolescent friendly service Save The
centres in the Save the Children Initiative supported districts Children
20 Behavioural and skill focused competency based 5 days ASRH training to the
and Health service providers working at AFS sites/health facilities
21 Health facilities certification using the QI and certification tool for AFS through
Joint monitoring in Saptari, Kapilvastu and Pyuthan

Table 1: List of Certified AFS sites with pre- certification and certification score obtained
disaggregated by Provincial level (From Dec 2015 to Dec 2017)
Certificati Date of
S. N. District AFS sites Pre-score
on Score Certification
Province 1
1 Sunsari Sitapur HP 92.00% 91.00% 16-Apr
2 Sunsari Ithari PHCC 91.30% 93.00% 16-Apr
3 Udaypur Jogidah HP 98.70% 98.80% 17-Nov
4 Udaypur Sundurpur HP 94.70% 94.70% 17-Nov
5 Udaypur Hardeni HP 94.70% 94.70% 17-Nov
Province 2
6 Mahottari Bardibas Hospital 90.70% 93.30% 16-Nov
7 Mahottari Gaushala PHCC 89.40% 94.00% 16-Nov
8 Mahottari Bharatpur HP 93.60% 81.00% 17-Nov
9 Rautahat Kanakpur HP 93.00% 93.00% 16-Nov
10 Rautahat Patura PHCC 85.60% 91.50% 16-Nov
11 Rautahat Sarmujwa HP 90.00% 96.80% 16-Nov

114 DoHS, Annual Report 2073/74 (2016/2017)

 Family Health
Certificati Date of
S. N. District AFS sites Pre-score
on Score Certification
12 Sarlahi Bhaktipur HP 96.20% 98.40% 16-Nov
13 Sarlahi Achalgad PHCC 94.40% 96.90% 16-Nov
14 Sarlahi Pipariya HP 95.50% 98.40% 16-Nov
15 Saptari Hanumanagar HP 90.90% 96.80% 17-Nov
16 Saptari Bordhebarsain HP 91.50% 93.10% 17-Nov
17 Saptari Patthagada HP 91.50% 93.40% 17-Nov
Province 3
18 Kathmandu SPN Clinic, Putalisadak 100.00% 92.60% Aug-17
19 Sindhuli Belghari PHCC 87.20% 87.00% 15-Dec
20 Sindhuli Beseshwor HP 92.30% 96.00% 15-Dec
21 Sindhuli Shilapati HP 90.70% 97.00% 15-Dec
Province 4
22 Kaski SPN Clinic, Pokhara 95.00% 87.80% Aug-17
Province 5
23 Arghakanchi Thada PHC 96.00% 92.20% 17-Jan
24 Arghakanchi Hanspur HP 89.10% 92.20% 17-Jan
25 Dang Sashaniya HP 95.00% 94.70% 17-Jul
26 Dang Satbariya HP 95.00% 91.00% 17-Jul
27 Kapilvastu Gauri HP 83.00% 92.00% 16-Aug
28 Kapilvastu Tilaurakot HP 90.00% 98.00% 16-Aug
29 Kapilvastu Shivpur HP 98.00% 98.00% 16-Aug
30 Pyuthan Puranthanti HP 92.00% 95.00% 15-Dec
31 Pyuthan Okharkot HP 92.00% 95.00% 15-Dec
32 Pyuthan Bhingri PHC 92.80% 95.60% 17-Jul
33 Pyuthan Gothiwang HP 93.40% 89.70% 17-Jul
34 Rolpa Khumel HP 92.60% 96.20% 17-Nov
35 Rolpa Libang HP 94.70% 94.70% Dec-17
36 Rukum Sylakapha HP 94.70% 96.80% 16-Sep
37 Rukum Bafikot HP 96.00% 96.20% 16-Sep
38 Rukum Smiruti HP 96.00% 96.20% 16-Sep
Province 7
39 Achham Duni HP 91.80% 96.00% 15-Dec
40 Achham Kalika HP 85.10% 83.00% 15-Dec
41 Baitadi Bhunali HP 88.00% 97.00% 16-Dec
42 Baitadi Siddheswor HP 86.80% 90.60% 16-Dec
43 Bajhang Bhairavsthan HP 81.30% 85.00% 15-Dec
44 Bajhang Deulekh PHC 94.00% 97.20% 15-Dec
45 Bajhang Kharitadi 91.50% 98.00% 16-Dec
DoHS, Annual Report 2073/74 (2016/2017) 115
Family Health
Certificati Date of
S. N. District AFS sites Pre-score
score
on Score
ore Certification
46 Bajhang Chhana HP 83.70% 90.00% 16-Dec
Dec
47 Bajura Kaileshmandu HP 86.00% 98.30% 17-May
May
48 Bajura Jaguda HP 90.00% 95.00% 17-May
May
49 Dadeldhura Nawdurga 80.00% 93.10% 17-May
May
50 Dadeldhura Bagarkot HP 87.00% 93.10% 17-May
May
51 Dadeldhura Aalital HP 91.00% 87.80% 17-Jun
Jun

Figure 1: The National Standard wise total Score obtained by 51 certified AFS sites of 20 districts
(joint monitoring certification score)

Figure 1 illustrates that out of total nine national standards for joint monitoring and certification
process of ASRH services provided from AFS sites, average score of two indicators (number 7 & 9)
were found low in comparison to other indicators. So, major concern should be focused on life skill-
skill
based sexual and reproductive health education to adolescents and young people and improve and
sustain the quality of health services as a part of health management system strengthening.

116 DoHS, Annual Report 2073/74

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 Chapter 4
Disease Control

Disease Control

4.1 Malaria
Background
Nepal’s malaria control programme began in 1954, mainly in the Tarai belt of central Nepalwith
support from the United States. In 1958, the National Malaria Eradication Programme was initiated
and in 1978 the concept reverted to a control programme. In 1998, the Roll Back Malaria (RBM)
initiative was launched for control in hard-core forests, foothills, the inner Tarai and hill river valleys,
which accounted for more than 70 percent of malaria cases in Nepal. Malaria is a greater risk in
areas with an abundance of vector mosquitoes, amongst mobile and vulnerable populations, in
relatively inaccessible areas, and during times of certain temperatures.

In Nepal, the first malaria micro-stratification was limited to district level where a district was
identified as the basic administrative unit. The population at risk of malaria was defined as the total
population of the district. The updated micro-stratification 2013 exercise (based on the number of
malaria cases, geo-ecology, vector breeding and vulnerability due to migration and population
movements), identified 54 VDCs to be high risk, 201 VDCs moderate risk and 999 VDCs low risk for
contracting malaria (Figure 4.1.1). The exercise identified 13 million people (47.9% of the
population) as living in malaria endemic VDCs, out of which around 1 million (3.62%) live in high risk
VDCs,2.66 million (9.8%) in moderate risk VDCs, and 9.38 million(34.5%) in low risk VDCs. A total of
14.13 million (52.1%) people are estimated to live in VDCs with no malaria transmission in Nepal.
The high risk areas are the foothills with river belts, forest fringe areas in the Tarai, hill river valleys
and inner Tarai areas. Low risk VDCs lie in the cultivated outer Tarai plains, mountains and mountain
valleys.The Global Fund to Fight AIDS, Tuberculosis and Malaria(GFATM) has supported the malaria
control programme since 2004.

EDCD has finished ward level micro stratification study on 2016 which was endorsement by
director general of DoHS. The results of this study were based on summation of scores of
each determinant that the ward received. The three determinants and their weight were -
disease burden with weight of 0.3, receptivity (geo-ecology) with weight of 0.5 and
vulnerability with weight of 0.2. Based on this analysis, a ward with a score of 75% or more
was categorized as high risk, a ward with a score of 60 % or more was categorized as a
moderate risk ward, a ward with a score of more than 20 % but less than 60% was
categorized as low risk, and a ward with a score of 20 % or less was categorized as no risk.
The study revealed that a total of 29,433 out of a total 31,550 wards were found to be at some level
of risk of transmission. Out of these, 54 wards in 28 VDCs of 12 districts were at found to be at high
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risk (0.17% of total risk wards), 370 wards (1.17% of total risk wards) across 127 VDCs of 27 districts
(including the 12 high risk districts) were categorized as moderate risk and 29,009 wards (91.94% of
total risk wards) were categorized as low risk wards whereas the remaining 2117 wards (6.70% of
total risk wards) came under no risk categories. Based on the latest population census, a total of
169,747 people (0.60%) live in high risk wards, similarly 1,357,723 people (4.83%) live in moderate
risk wards and 2,39,60,215 people (85.30%) live in low risk wards and 25,99,694 (9.25%) live under
no risk wards.At a Regional level approximately 85% of the High Risk Wards were found in Far
Western Development Region and Mid-Western Development Region. Among the 54 high risk
wards, 35 wards (64.81%) were in Far Western Development Region alone with the remaining 11
wards (20.37%) in Mid-Western Development Region, 5 wards (9.26%) in Central Development
Region and 3 wards (5.56%) in Western Development Region (WDR). The Eastern Development
Region did not have any high risk wards.

Due to reliability issues in the data reported through the HMIs as well as the non-availability of line
listing of all the confirmed cases several criteria was put in place. A ward where malaria information
of 2015 and 2014 was not available for review (eg. Baitadi district, Maharudra wards no.8), however,
there was an ongoing most recent transmission (i.e in 2016) or where a focal outbreak had occurred
was straight away classified as high risk because there was an ongoing transmission with API of most
recent year suggesting a focal outbreak in the ward. Wards with indigenous cases in all 3 years,
wards with indigenous case in 2 out of 3 years, and wards with imported cases with evidence of
probable introduced cases were categorized as moderate risk.A ward with a single indigenous case
in each of the three years was classified as moderate risk although it may have been a misclassified
case; yet since only 75 % – 80 % line listings were available and people seek care outside the public
health facility; it was more prudent to be over-cautious since the goal was getting to zero indigenous
case by 2020 (recently revised goal that the earlier 2022).

Figure 4.1.1:Ward Level Risk Classification Map (MS 2016)

Source: Malaria micro stratification report 2016

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Nepal’s National Malaria Strategic Plan (NMSP, 2014–2025) has shown in Box 4.1.1.

Box 4.1.1:National Malaria Strategic Plan (2014–2025)

Current National Malaria Strategic Plan (NMSP) 2014-2025 was developed based on the epidemiology of
malaria derived from 2012 micro-stratification, 2013 Mid –Term Malaria Program Review, and the updated
WHO guidelines, particularly for elimination in low endemic country. This plan has inherent Government of
Nepal’s commitment and seeks appraisal of external development partners, including the Global Fund, for
possible external funding and technical assistance. The aim of NMSP is to attain “Malaria Free Nepal by 2026”.

The strategic plan was divided into two phases: achieve Malaria Pre - Elimination by 2018 and attain Malaria
Elimination by 2026. Malaria pre-elimination targets were set to achieve and sustain zero deaths due to malaria
by 2015, reduce the incidence of indigenous malaria cases by 90%, and reduce the number of VDCs having
indigenous malaria cases by 70% of current levels by 2018. The baseline year was taken as 2012.

Strategy
The strategy to achieve the targets was identified as follows:

i) to strengthen strategic information for decision making towards malaria elimination

ii) to further reduce malaria transmission and eliminate the foci wherever feasible
iii) to improve quality of and access to early diagnosis and effective treatment of malaria
iv) to develop and sustain support through advocacy and communication, from the political leadership and
the communities towards malaria elimination and
v) To strengthen programmatic technical and managerial capacities towards malaria elimination.

Current Achievement
By 2016, National Malaria Program had achieved 54% reduction in indigenous malaria cases compared to 2012,
death was recorded in an imported case of malaria, and no foci have been cleared of malaria transmission.

Rationale for amending the NMSP

Nepal is primarily a low malaria endemic country with around 80% of malaria cases due to P. vivax and the
remaining burden due to P falciparum with occasional case reports of P. ovale or P. malariae mostly imported
from Africa. Vivax parasites have unique biological and epidemiological characteristics that pose challenges to
control strategies that have been principally targeted against Plasmodium falciparum.Infection with P.
vivaxtypically results in a low blood-stage parasitemia with gametocytes emerging before illness manifests,
and dormant liver stages causing relapses. As a consequence of low parasitemia, high prevalence of
asymptomatic infection and difficulty in detection of the parasites, ability to infect mosquitoes before
development of clinical symptoms, and appearance of relapse within months to years of the primary infection;
P vivax pose a great challenge to malaria elimination. Radical cure with at least 2 weeks of Primaquine is
required to clear the hypnozoites but the drug can only be given after a normal G6PD test. Besides, current
point of care rapid tests may not identify heterozygotes G6PD deficient female despite a normal rapid test and
such a case may hemolyze on exposure to Primaquine. P. vivaxtolerates a wider range of environmental
conditions and is more likely to lead to geographical expansion. Conventional control methods of minimizing
human contact with mosquito vectors through insecticide-treated mosquito nets and indoor residual spraying –
may be less effective against P. vivax. This is because, in many areas where P. vivaxpredominates, vectors bite
early in the evening, obtain blood meals outdoors and rest outdoors. In addition, vector control has no impact
on the human reservoir of latent hypnozoite stage parasites residing in the liver, which are responsible for an
appreciable proportion of morbidity.

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To recollect, National Malaria Strategic Plan has to address the following issues:

1. P. vivax is the overwhelmingly predominant parasite species in Nepal and strategy should reflect the
importance of P vivax in elimination programme and it should target P vivax with novel and innovative
interventions.
2. Traditional conventional interventions are neither effective for P vivax control nor elimination.
3. Novel interventions based on strong evidence are required to clear hypnozoites in the liver and prevent
relapse, point of care tests to detect asymptomatic and sub – microscopic infections, and new community
based testing and treatment methods to increase access to quality assured and quality controlled
diagnosis and prompt effective treatment. Ensure G6PD point of care test and roll out radical cure
treatment for P vivax infection.
4. Without interrupting P vivax (reduction will not be sufficient) transmission, achieving malaria elimination
is unlikely.

Process: National Strategy Updates

With this in mind, EDCD convened in January 2017 a multi-stakeholders meeting to draw a framework for
updating the NMSP (2014 – 2025). A core team was formed to review the existing strategic plan and suggest an
action framework for guiding the country towards malaria elimination. The framework was shared in the multi-
stakeholders meeting and each identified objectives were discussed in groups at length and a draft
presentation of the suggestions were collected. The suggestions of the meeting were aligned in the draft action
elimination framework and the final draft was shared with all the stakeholders. The feedback was discussed in
the core team meeting and relevant alignment was done and the final Malaria Elimination Action Framework
was shared in a meeting with EDCD and multi- stakeholders. The suggestions of the meeting were addressed in
the final Malaria Elimination Action Framework and the framework was presented to the Technical Working
Group/ Malaria for endorsement.

Elimination Framework: Objectives & Activities

The updated National Malaria Strategic Plan identifies the following key activities to implement in order to
achieve the vision of “malaria free Nepal” by 2025.

1. Strengthen strategic information for decision making and implement surveillance as a

core intervention towards malaria elimination

Malaria Burden
Progression towards malaria-free status is a continuous process, and not a set of independent stages.
As intervention coverage is increased and malaria incidence is reduced, the heterogeneity in
incidence and transmission rates is likely to further increase whereby malaria infection and disease
are more likely to be concentrated in a small proportion of individuals, such as small groups of
households, or hotspots that are at a substantially increased risk of malaria transmission. Hotspots
maintain transmission and targeting hotspots is a highly effective and efficient way to reduce malaria
transmission.
A key approach to ensure optimal responsewill be a structured malaria programme based on risk stratification
by malaria burden and an analysis of past malaria incidence, transmission risk determinants, the environment
and an analysis of access and use of health care services. The burden of malaria and the geographical area at
risk of malaria will be defined by evidence based on the micro stratification study, 2016. This will be validated

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by Malariometric Survey, 2017 and Health Facility Survey 2017.

Malaria risk is defined up to the smallest unit of community - the wards, which are classified as high risk wards,
adjoining wards to high risk wards, moderate risks, low risk, and no risk wards. Targeted interventions based on
risk stratification are likely to be more effective, efficient, and may add more value to money.

Malaria information from private sector is mostly unreported. Despite an estimated adjustment of additional 20
% to HMIS data based on the concept of free drug for malaria treatment in only public health facilities
throughout Nepal, yet actual private sector data is lacking and estimate of adjustment may be an
understatement.

Notification
A legal framework to notify each and every case of malaria in the public as well as private sectors should be in
place by 2018. National Malaria Elimination Steering Committee (NMESC) will develop the legal framework for
notification.

Web Based Reporting and Recording

Malaria Disease Information System (MDIS) should be implemented in both the public and private sectors
throughout the country. Only targeted districts are currently reporting through MDIS with minimal engagement
of private sectors. Private sectors inclusion and scale up of MDIS throughout the country should be operational
by 2018.

Case Based Surveillance

Each reported malaria case should undergo investigation to confirm and classify the case within 72 hours of
notification. Investigation should be conducted by local health facility with support from the district. Case
finding in the households and among the neighbours around an indigenous case should be conducted within 3
days of notification. An assessment to identify and classify the characteristics of malaria transmission in the
area (focus) and respond appropriately to clear the foci within 7 – 10 days of notification should be
implemented by 2017. A malaria data bank with detail line listing of all malaria cases should be operational by
2018 in the districts and the data should be compiled and collated in to a national data bank in NMETF/EDCD.

Foci Identification
Districts should identify, classify, respond and update malaria foci in their districts with support from the region
and canter. Although foci activity has just started recently, scale up of the activity will be implemented by 2017
to gradually achieve target coverage of 15% cleared foci by 2018, 35% cleared foci by 2019, 60% of cleared foci
by 2020, 80% of cleared foci by 2021, and 100% of cleared foci by 2022; and sustain it thereafter. Foci response
will target early quality diagnosis and effective treatment in the community using community testing, malaria
mobile clinics, and detection and treatment of asymptomatic and sub-microscopic malaria; achieving universal
coverage with LLINs distribution, and focal IRS spraying toclear the area from transmission of malaria. Mapping
hot spots and hot pops within a focus may be beneficial for more effective and efficient targeted interventions.

Drug Efficacy Study

Regular first line drug efficacy study will be conducted for ACT and Chloroquine. Although, the number of cases
may be difficult to enroll in the study from one study site, the use of multiple sites as one study site should be
helpful for the study.

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Operational Research
Map active foci with qPCR to identify asymptomatic and sub microscopic malaria and define hot spots and hot
pops for more effective and efficient targeted interventions by 2018.

Implement MDA in closed and isolated setting with MPPT for P. vivax after G6PD testing by 2017- 2018 and
disseminate the results by 2019-2020.

Imported Malaria
As countries move toward malaria elimination, imported infections become increasingly significant as theyoften
represent the majority of cases, can sustain transmission, cause resurgences, and lead to mortality. The
changing epidemiology of imported malaria in Nepal is a big challenge to malaria elimination. Imported malaria
is one of the main threats to achievement and maintenance of elimination, with greatest risk for countries
neighbouring high-endemic areas such as Nepal with an open border with India. Despite consistently low
reports of malaria cases, a major epidemiological shift is taking place within the country: imported cases have
risen from 16% of the total confirmed malaria cases in the country in 2004 to 45 % in 2016. Large `numbers of
Nepalese go to work in neighbouring malaria endemic states of India such as Assam, Gujrat, West Bengal and
Maharashtra and may return with malaria infection. Besides, seasonal migration for work for couple of months
during the peak malaria season to endemic states and home coming for celebrating major festivals is way of life
in Far West and Mid-West Regions. An operational research to map migrant and mobile population will be
conducted along with social networking, developing awareness through IEC about malaria prevention and
increase in early health seeking behaviours, enhanced surveillance and increase in health-care access through
Malaria Mobile Clinics in high and moderate risk areas from March to October. Reduction in malaria receptivity
in such high risk mapped areas by LLINs distribution and focal IRS spray and personal protection by distribution
of prevention package during transit will be promoted. Screening incentives will be explored at the border
entry with enhanced health seeking behaviours and target networks and use of mobile alerts and reminders on
return. Cross border collaboration needs to move away from just being an idea to be actually implemented with
concrete mechanisms and focal points to exchange data with the Indian National Vector Borne Disease Control
Programme (NVBDCP) and agreed chain of actions in areas where cases are originating. Such mechanisms and
agreement on actions to be undertaken in the affected areas (in both India and Nepal) require formal and
regular meetings with EDCD’s counterpart in India. WHO is best placed to hold/gather such meetings at a high
level to get firm commitment from India after the past failed attempts.

Mapping the Private Sector

Engagement of private sector will ensure reliable information on malaria burden and the state of diagnosis and
treatment in the sectors. An operational research to map and estimate private sector contribution to malaria
service will be conducted in 2017. This will be the basis of starting a dialogue process with the private sectors
targeted towards compliance with malaria case notification, recording & reporting, and also ensuring
compliance with NMTP 2016. But, In order to bring the private sector facilities aboard, a “win win“ strategy and
agreement based on 1) EDCD/MoH action and support to strengthen diagnostic and treatment capability and
quality of private facilities and 2) compliance of private facilities with notification, reporting and NMTP 2016,
will be rolled out by the end of 2017 (see objective 4.)

2. To further reduce & interrupt malaria transmission and eliminate foci.

Integrated Vector Management (IVM)
Integrated Vector Management (IVM) has been adopted as the key vector control strategy and IVM guidelines

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have been endorsed by TWG/malaria. IVM guidelines will be rolled out by 2017. The guidelines highlights
evidence based information on vectors, insecticides, and effectiveness and efficacy along with intersectoral
partnerships and collaboration and community engagement and participation.

Universal Coverage: LLINs

Universal coverage with mass LLINs distribution will be promoted in high risk wards and adjoining wards and
moderate risk wards. Continuous distribution of LLINs to pregnant women will be promoted in high risk wards
and adjoining wards and in moderate risk wards through ANC visit. Mass LLINs distribution by government
agency will be explored from 2018.

The coverage, use, and durability of LLINs after 3 -6 months of distribution will be tracked as a baseline and a
longitudinal study will be conducted after 12, 24, and 30 months. Operational research related to technical and
economic feasibility of using WHOPES-approved long lasting insecticide treatment of conventional nets
(IconMaxx) will be explored.

Vector Bionomics & Behaviours

A detail vector lists with their bionomics and behaviours should be prepared based on the geo-ecological strata
of the country. Updated vectors lists and their bionomics and behaviours in each of the geographical and
ecological strata where transmission of malaria is possible should be documented by 2017. Regular five yearly
updates will be sufficient in the coming years. Entomology study conducted in 2016 – 2017 may be identified as
the baseline year and may be of particular interest in framing the document since similar exercise was
conducted way back in the 1990S. A plan for strengthening entomology capability should be finalized by 2017
and it should be rolled out by 2018.

Vector Susceptibility Monitoring

Regular yearly sentinel site monitoring for vector susceptibility to insecticides should guide the use of
insecticides. This approach will be implemented as a core activity of an Integrated Vector Management (IVM).

Entomology Capacity Building

A long term plan to strengthen entomology capability in the country should start with a roll out of a
diploma/bachelor course in entomology by 2018. In the meantime, short term plan to conduct month long field
based training should continue with facilitation by national and international entomologists.

IRS
As outlined in the IVM guidelines, IRS will be conducted as follows:

- During malaria outbreak / epidemic

- During humanitarian crisis and national disasters in malaria endemic areas
- In areas where API is more than 1/1,000.
- As responsive measure to clear malaria foci

IRS will be conducted in an integrated manner to address other vector borne diseases such as Dengue and Kala-
azar.

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Interrupt Transmission:

Foci Identification and Delimitation

Each district will identify and classify malaria transmission foci in their district with support from region and
canter by the end of 2017. Foci are classified as Active, Non-active Residual, or Cleared. An active focus is
defined as an area with ongoing malaria transmission with locally acquired case(s) detected during the current
malaria season. A non-active residual focus denotes recent interrupted transmission meaning last locally
acquired case(s) was detected in last season or up to 3 years ago (1 – 3 years ago). A cleared focus denotes an
area with previous cases but no current transmission or within the last 3 years (only imported, induced or
relapsing case) detected this year. No locally acquired case detected up to 3 years earlier.

Each district willimplement foci response and delimit foci in the district as follows: (cumulative) – 15 % foci by
2018, 35 % by 2019, 60 % by 2020, 80% by 2021, and 100% of foci responded by 2022 and sustained it
thereafter. Foci identification will be conducted by DHO/DPHO with participation of local health facilities and
with active support from the center in the first year, but during foci updates in subsequent years DHO/DPHO
will conduct the exercise.

Appropriate response to delimit and eliminate the foci consists of early diagnosis and prompt complete
treatment (in addition to 3 days ACT, single low dose Primaquine for uncomplicated falciparum malaria and for
uncomplicated vivax malaria administer G6PD test and on normal test result treat with 3 days Chloroquine and
14 days Primaquine).

Increase access to diagnosis and treatment in the area is ensured through community test treat and track by
FCHVs (or modified approach) and Malaria Mobile Clinics. Universal coverage with LLINs and /or IRS spray will
ensure further reduction in transmission in the area. Case based surveillance along with detection of
asymptomatic and sub clinical malaria by PCR done at designated centers further drains the infectious pool of
reservoirs in the community. Foci will be mapped with PCR to target hotspots & hot population and implement
MMCs in the focus to increase early diagnosis and prompt complete treatment. Updated malaria foci, malaria
hot spots and hot pops information will be maintained at METF in the center.

3. Improve quality of and increase access to early diagnosis and effective and complete
treatment of malaria.

Quality Diagnosis
Quality malaria microscopy is a critical issue in National Malaria Programme. An external review of malaria
microscopy diagnosis in Nepal recommends roll out and scale up of quality assured and quality controlled
RDTs( capable to detect Pf &Pv- Combo) in most areas with establishment of designated strengthened
microscopy centers at strategic locations for cross check and quality control.

Community diagnosis and up to PHCs and private sectors malaria diagnosis should be done by Quality Combo
RDTs throughout the country. Trained microscopists if available in PHCs and private sectors may utilize
microscopy for diagnosis but quality assured and control guidelines should be in place. All positives and 10 %
negatives RDTs, should undergo cross checking and quality control. Prepare thick and thin slide of the sample
and each week send the slide for quality control to designated district microscopy center. Feedback should be
sent within a week. Conduct basic, refresher and competency assessment in malaria microscopy foras public
and private health care facilities, designated microscopy and referral centers respectively.

Equivocal slides and random sampling of positive and negative slides should be sent to the designated referral
centers for review. Feedback should be sent within a week.

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Drain Reservoirs in the Community

The spectrum of malaria infection is wide ranging from asymptomatic, sub-microscopic, symptomatic case,
relapse case, and recrudescent case. In order to reach elimination, strategy has to address this pool of
reservoirs in the community. Malaria Mobile Clinics (MMCs) using RDTs in the community will target proactive
case detection (malaria case and asymptomatic infection) in the community in areas of malaria transmission.
MMCs will be established through contracts with private health entities which will also involve Village Health
Workers operating in the communities. In addition, to interrupt malaria transmission, sub-microscopic and
asymptomatic malaria should be detected by qPCR (blood sample collected in DBS and transported to QA/QC
designated PCR centers in the regions) and treated as per the national guidelines. Three designated PCR centers
are in operation and scale up of further two centers would cover the country.

Disseminate NMTP 2016

NMTP 2016 should be disseminated to public and private health care providers by April 2017. The orientation
should target the following:

- Physicians & Medical Officers in public and private sectors

- Health Care Providers in public – AHWs, HAs/
- Drug dispensers in private sectors.

The big challenge is to comply with complete treatment particularly in vivax malaria treatment as per NMTP
2016. There is currently three treatment regimen in operation for P vivax treatment without G6PD testing: a.
chloroquine only; b. chloroquine and 5 days Primaquine; c. chloroquine and 14 days Primaquine. Drug
adherence, monitoring, and follow up are not implemented. A point of care test (RDTs) will be pre- positioned
by Malaria Programme by 2017. Although current point of care test will not address female heterozygotes for
G6PD and on exposure to Primaquine they may hemolyze, careful counseling and provision of FST facility in
each district may minimize the risk. It is envisioned that within a year, point of care test will address the issue of
female heterozygotes. Primaquine administration for 14 days for radical cure of P vivax malaria after a normal
G6PD test is the critical element in compliance with treatment protocol.

PSM/Logistics Plan
The Procurement and Supply Management plan requires new interventions that will foster an enable
environment for decision making based on evidence for 1) a more accurate forecasting of needs ofdrugs and
diagnostics commodities, 2) a more regular control of stock data reported to avoid stock-out, 3) a stronger
quality assurance system, and 4) a more robust plan for minimizing drug expiry and guarantee adequate waste
management.

Proposed activities include (but are not limited to):

- Establish and train a central forecasting committee for malaria commodities at EDCD comprising
members from Logistic Management Division (LMD), Save the Children (STC), WHO, Department of
Drug Administration(DDA), local USAID mission health section. The Terms of Reference for such
committee should be completed by July 2017.
- Set-up and conduct monthly meeting to cross-check data reported to LMD and EDCD (LMIS versus
MDIS, as well as data reported by VCIs, DHOs or other channels). A joint LMD-EDCD team will conduct
these meeting and produce reports to the TWG and NMESC.
- Develop product specifications, prepare cost estimates for procurement and validate the specifications
during an annual workshop with national stakeholders.

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- Develop updated SOPs on drug dispatch, drug receiving, inventory management, expiry handling, and
waste management and make them available to all district drug stores.
- Develop sampling protocols for collecting quality control samples of antimalarial commodities at
different points of supply chain. Conduct regular quality control operations.
- Obtain quotation for quality control tests from WHO – pre qualified laboratories and send samples for
quality testing

Case Management
Conduct malaria case management training for physicians, medical officers, and health care providers in public
and private sectors. Case management will focus on severe malaria in order to address increasing imported
cases of severe malaria seeking health care mostly in private sectors.

Community Test, Treat, and Track

Although FCHVs have been trained to recognize malaria on the basis of travel and symptoms yet community
testing has been implemented with a modified joint approach with support from local health facility. Early
diagnosis and prompt treatment in the community is a pre-requisite for limiting onward transmission from the
case. A review of current community test approach will be evaluated by 2017 with participation of all the
stakeholders. EDCD will build a strong case for community testing by FCHVs to be implemented in hard to reach
remote high and moderate risk districts. Although in the past TWG/Malaria rejected community testing by
FCHVs, but recent decision of NPHL to allow piloting the concept in HIV is encouraging. Community testing by
FCHVs in hard to reach, remote areas will be piloted in 2017 and the results shared with the stakeholders and
TWG/Malaria. If community testing by FCHVs is not recommended by the group then scale up of current
approach will be ensured with trained FCHVs sending SMS to the focal person in the local health facility. Focal
person respond within 24 hours and visit the community and with support from FCHV conducts community
testing and treatment in the community and FCHVs keep track of the case. Trained FCHVs ensure patient
adheres and complies with treatment and keeps track of the cases. Community testing is further augmented by
roll out of MMCs in high and moderate risk wards targeting proactive case detection and treatment.

4. Develop and sustain support through advocacy and communication, from the political
leadership and the communities towards malaria elimination
National Malaria Elimination Steering Committee (NMESC)
NMESC is required for policy, advocacy, and partnerships building. Such committed would include high level
representatives of the Ministries of Health, Education, Environment, Agriculture and Finance, as well as
representatives of Economic Development Partners (EDPs) such as WHO, USAID, UNICEF, DFID, GIZ, AFD, etc.

NMESC would meet annually to review progresses accomplished by the malaria program and examine the
current challenges, bottlenecks and requests for policy changes, support or funding.

Develop Private Sector Engagement Strategy

In order to bring the private sector facilities aboard, a “win win“ strategy and agreement based on 1)
EDCD/MoH action and support to strengthen diagnostic and treatment capability and quality of private facilities
and 2) compliance of private facilities with notification, reporting and NMTP 2016, will be rolled out by the end
of 2017.

As describe under objective 1), such strategy requires first a clear mapping of private facilities by legal

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registered status, size (visits), specialty of care, and location.

Private sector will report or comply if incentives mechanism (not monetary) or formal partnerships are
established including but not limited to:

- EDCD/MoH providing for free the full range of BCC materials, guidelines, protocol materials, RDTs and
drugs for quality diagnostic and treatment.
- EDCD providing training, mentoring and monitoring to private facilities staff.
- EDCD inviting private sector representative at District and Central Levels to regular coordination meetings.
- EDCD setting up a recognition system for best reporting/performing facilities (annual awards during
annual review of private sector data/achievements for instance).
- Private facilities reporting on a monthly basis the number of clinical cases, diagnosis results and treatment
provided following national treatment and case management protocol.
- Private facilities referring cases (severe or not) to recommended public facilities when not able to provide
necessary and appropriate services to patients.
- Private facilities offering testing and treatment for free when receiving commodities and training from
government.
- Private facilities participating in regular coordination meetings with district or national level authorities.

A national level meeting should be held with government authorities (EDCD, MOH, DHOs) and representative
of the private sector organizations/associations to agree on partnership conditions and review on a regular
basis the data generated from both sectors.

BCC targeting High Risk Groups

High risk groups (soldiers, forest guards, refugees, etc.) have not been targeted and received specific BCC
interventions and materials. There is a lack of data/evidence/documentation on the assumption of the
existence of such high risk groups. Studies identifying such groups by evidence are needed. Once identified,
specific BCC approaches and packages will be developed.

Cross Border Collaboration

In order to make collaboration with India effective, EDCD will develop a formal proposal to the Government of
India and its dedicated program (NVBDCP). Such proposal will list 1) the type of information that should be
shared by both countries in order to decrease the number of imported cases by targeting identified foci on both
side of the border, 2) the data transmission mechanism and focal points, and the 3) chain of actions/responses
to be undertaken by both partiesin affected districts/communities where imported cases are originating from.

It is expected that WHO would play the role of mediator to establish such collaboration but initially hosting a
bilateral high level meeting on that matter to introduce both parties to each other, recommend the
collaboration, assist EDCD to present its proposal and drive the discussion towards a formal commitment and
agreement framing on the collaboration.

In addition EDCD can unilaterally establish and test the relevance of health/check posts at the border of high
risk districts which would provide on-site testing, communication materials and prevention commodities
packages (prophylaxis, LLINs, repellants, etc.) to targeted migrant workers/populations.

5. Strengthen programmatic technical and managerial capacities towards malaria

elimination

Malaria Elimination Task Force

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Disease Control
A Malaria Elimination Task Force will be established by 2017 and will function as a gateway for malaria data
banking and management; document success and failures monitor and evaluate the progresses made toward
malaria elimination. METF will present the updated progress, success and failures, constraints and challenges in
malaria elimination programme to TWG/Malaria for guidance, approval or support. Monthly reports will be
sent from the METF to the TWG/M members.

Because the METF staff will be dedicated to the Malaria Program to fully focus on this disease, EDCD will
develop specific Job Description for these position, describe the level term of references, responsibilities and
authority of the METF, and will internally restructure/shift its organigram to include this team while keeping the
same number of employees.

Technical Working Group

Malaria Technical Working Group (TWG/M) will guide the malaria programme towards elimination. The TWG/M
will meet upon request from the METF as needed to provide programmatic, technical or strategic guidance, to
approve new interventions or changes in the work plan, and to seek additional political, financial or technical
support as needed.

Malaria Programme Review

An internal Malaria Programme Review should be conducted in 2017, 2020 and 2022 to review and measure
progresses made toward elimination and update as needed the NMSP.

Annual Work Plan

To ensure that all interventions are planned and budgeted in a timely fashion and that activities follow a clear
roadmap, the METF will develop every year a work plan that will be reviewed and approved by the TWG/M.

Major activities in 2073/74

 413403 LLIN was distributed as mass distribution and 55919 LLIN was distributed to pregnant
women at their first ANC visits.
 Conducted the ward-level micro-stratification of malaria cases in 44 districts.
 Introduced case-based surveillance system, including web-based recording and reporting
system for districts. The MDIS is now fully operational.
 Conducted a national malaria vector survey.
 Orientated district and peripheral level health workers on case based surveillance and response.
 Carried out detailed foci investigation at more than four sites.
 Conducted G6PD deficiency prevalence study across 30 wards in 54 high risk VDCs.
 Revitalized the malaria microscopy quality assurance system with collaboration between the
Epidemiology and Disease Control Division (EDCD) and VBDRTC, with technical assistance from
WHO.
 Orientated district health workers and FCHVs on the government’s malaria elimination initiative
and their role in detecting cases and facilitating early treatment.
 Orientated mother groups and school children on malaria prevention and the need for early
diagnosis and prompt treatment.
 Conducted quarterly and annual review meetings for district and central level staff. Participants
reviewed data from peripheral facilities and revised it based on suggestions.
128 DoHS, Annual Report 2073/74 (2016/17)
 Disease Control
 Conducted operational research on malaria vector behaviour and insecticide resistance.
 Conducted regular vector control (indoor residual spraying) biannually across high and
moderate risk districts.
 Conducted detailed case based investigation and fever surveys around positive index cases.
 Conducted integrated entomological surveillance around twelve different site of thought-out
the country.
 Celebrated World Malaria Day on 25 April.

Achievements
Nepal achieved MDG 6 ahead of time by reducing malaria morbidity and mortality rates by more
than 50 percent in 2010.Despite political instability, Nepal’s malaria programme has successfully
implemented planned interventions to eliminate the remaining active malaria foci (VDCs). MoH, with
support from its EDPs, has implemented a strong malaria control programme, steadily improving the
coverage and quality of indoor residual spraying, introducing long lasting insecticide-treated nets,
and increasing access to rapid malaria diagnosis and powerful artemisinin-based combination
treatments.

Data generated by public health care facilities in the HMIS, the Early Warning and Reporting System
(EWARS) and from studies including malaria micro-stratification show a substantial decline over the
last six years in clinical and laboratory confirmed Plasmodium falciparum and P.vivax cases. The
findings of the micro-stratification exercise (2013) reduced the number of high and moderate risk
district from 31 to 25 and identified 1,254 VDCs (out of 3,972) as presenting a risk of contracting
malaria. In 2073/74 (2016), micro stratification was done to assess the risk at ward level. The result
was published.

The trends of the malaria epidemiological situation between 2071/72 and 2073/74 show a slightly
increasing trend of confirmed cases and 3 deaths (Table 4.1.1):
 Confirmed malaria casesincreased from 991 in 2072/73 to 1128 in 2073/74. The proportion of
P. falciparum infections slightly decreased and accounted for 13.1 percent of all cases in current
year although the proportion is still high, which may be due to high number of imported P.
falciparum cases.
 During 2004–2007, the annual parasite incidence (API) remained stable (0.26-0.27 per 1000
population countrywide), and thereafter gradually declined to the lowest level ever recorded (in
2073/74) of 0.08/1000 at risk population (calculated based on denominator set after micro-
stratification, 2016).
 The trend of clinically suspected malaria cases is also decreasing, mainly due to the increased
coverage of RDT, microscopic laboratory service at peripheral level and regular orientation and
onsite coaching of service providers. A total of 3904 probable/clinical suspected malaria cases
treated by chloroquine were reported in 2073/74.
 There was a sharp decrease in the number of indigenous P. falciparum cases with slowly
decreasing trend of indigenous P.vivax cases. But cases being identified in new areas, especially
in hilly terrain, suggest that P.vivaxmalaria remains a challenge for the elimination of malaria in
Nepal. This raises the need for new country specific elimination strategies.

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Disease Control
Table 4.1.1: Malaria epidemiological information (2071/72–2073/74)
Items /indicators 2071/72 2072/73 2073/74
Total population 13,455,000 13,767,000 14944174
Slide Collection Targer 150,000 150,000 150,000
Total slide examined 101,377 116,276 118165
Total positive cases 1,352 991 1128
Total indigenous cases 683 506 492
Total imported cases 669 485 636
Total P. falciparum (Pf) cases * 274 162 148
% of Pf of total cases* 20.26 16.34 13.1
Total indigenous Pf cases * 101 70 52
% indigenous Pf cases * 36.86 43.21 35
Total imported Pf cases * 173 92 96
% imported Pf cases 63.13 56.79 65
Total P. vivax(Pv)cases 1078 829 980
Total indigenous Pv cases 570 436 440
% indigenous Pv cases 42 52.6 44.9
Total imported Pvcases 508 393 540
% imported Pv cases 37.57 47.4 55.1
Annual blood examination rate 0.75 0.84 0.79
Annual parasite incidence 0.1 0.07 0.08
Annual Pf incidence 0.02 0.012 0.01
Slide positivity rate 1.33 0.85 0.95
Slide Pf positivity rate * 0.27 0.14 0.13
Probable/clinical suspected malaria
cases (not tested but treated by 20,861 10642 3904
chloroquine)

Source: EDCD

The trend of the national malariometric indicators (Table 4.1.1) indicates that Nepal has entered the
elimination phase. Despite district variance including on number of cases, the API and slide positivity
rates (SPR) and the zero indigenous cases from districts such as Kavre and Sindhupalchok over the
last three years suggests a paradigm shift. The highest number of confirmed cases were reported
from Kailali district (267), followed by Dhanush (78), Baitadi (75), Kanchanpur (75, Kap) and
Kaplbastu (72). This shows substantial progress towards elimination targets (bearing in mind that
data are only generated by public health care facilities and require continuous attention for
improvement).

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 Disease Control
Table: Province wise Malaria epidemiological information of 2073/74
Annual Blood Malaria annual Percentage of Percentage of Slide positivity
Examination parasite Plasmodium imported cases rate of malaria
rate of malaria incidence per falciparum among positive among high risk
Province in high risk 1000 cases in high cases of malaria districts
districts population at risk districts
high risk
districts
Province 1 0.44 0.02 24.5 77.6 0.39
Province 2 0.51 0.04 19.9 28.1 0.83
Province 3 0.42 0.03 28.9 37.8 0.63
Province 4 0.87 0.03 10.3 72.4 0.32
Province 5 1.07 0.08 16.19 74.5 0.77
Province 6 0.7 0.13 5.3 74.7 1.7
Province 7 1.6 0.3 8.3 50.6 1.6

Confirmed malaria is slightly increased due to active surveillance and others many factors may have
contributed to the decline of clinical and the decline of the number of endemic districts (and
probably of the number of active foci):
 Overall improvements in the social determinants of health (for example, less than 20% of
Nepalese people now live below the poverty line against more than 40% in 2000).
 Increased access to simple diagnostic tools like (combo) RDTs.
 The availability of powerful antimalarial medicine(ACTs) in all public health facilities.
 The distribution of around 5 million LLINs in endemic areas.

The large financial support from the GFATM since 2004 has played a major role by allowing the
programme and partners to scale up essential interventions and malaria control tools to the most
peripheral level. Data reported by the districts via HMIS and reports received by the programme may
differ for various reasons such as lack of orientation of staff who generate data and statistical
officers who enter the data as per the suggestion of vector control officers at district and regional
levels. The involvement of the vector control inspector (VCI), statistical officers and lab personnel
from districts and regions on data quality coupled with rigorous on-site coaching and support by the
central EDCD team (comprising government and contracted staff from Save the Children working at
the programme management unit) have paid dividends in helping decrease errors.

Crucial concerns remain to be addressed to improve the reliability and precision of data. In
particular, there is a need to increase the capacity of EDCD and district teams to analyse data
generated by public health facilities and progressively include and analyse data generated by all
private health institutions including NGOs that run community activities and support refugees and
migrants.

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Disease Control
Table 4.1.2: Recommendations from regional and national reviews in 2072/73 and actions taken
in 2073/74
Problems and
Action to be taken
constraints
Confirmation of  Malaria microscopy
suspected and trainings of all untrained
probable malaria cases lab personnel
 Availability of RDT at non
microscopic sites
 Orientation of service
providers, clinicians,
health workers and
private practitioners
 Validation of probable
malaria case through
cases investigation
Low blood slide  Train health workers on
examination rates for RDT and microscopy in
malaria elimination malaria reported districts
programme
Orientation on malaria  Run training programmes
programme to health with GFATM support
workers
Malaria case reporting  Orient district and
and case investigation peripheral staff on case
investigation and reporting
132
Action taken
 Increased number of malaria
microscopy trainings run at
VBDRTC and in other regions
including lab personnel from
across the country
 Database created that lists
untrained and trained personnel
since 2004. It aims to reduce
repetition before two years of
basic malaria microscopy training
to provide equal opportunities
 Regular periodic validation of
HMIS data by EDCD in
coordination with DPHOs
 Decentralized training centres
established in mid and far west to
train more lab personnel on
malaria microscopy
 Supplied RDT at community level
 Trained health workers from
malaria reported districts
 Ongoing basic and refresher
trainings on malaria microscopy
for lab technicians and assistants
at peripheral facilities
 Oriented RHD and DHO finance
and storepersons on malaria
programme
 Oriented FCHVs on malaria
 District and peripheral level staff
oriented on case investigation,
surveillance, foci investigation and
reporting.
DoHS, Annual Report 2073/74 (2016/17)
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Insufficient variables  EDCD to address the  Discussed with HMIS section and
in HMIS tool (for e.g. insufficient variables agreed to rectify at next revision
slide and RDT during HMIS tools revision
classification)

Malaria cases  Programme should  Programme will be added next

increasing in non- address non-endemic year to also target non-endemic
endemic district districts districts.

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Disease Control
4.2 Kala-azar

Background
Kala-azar is a vector-borne disease caused by the parasite Leishmaniadonovani, which istransmitted
by the sandflyPhlebotomusargentipes. The disease is characterized by fever for more than two
weeks with spleenomegaly, anaemia, and progressive weight loss and sometimes darkening of the
skin. In endemic areas, children and young adults are the principal victims. The disease is fatal if not
treated on time. Kala-azar and HIV/TB co-infections have emerged in recent years.

The government committed to the regional strategy to eliminate kala-azar and signed the
memorandum of understanding that was formalized at the World Health Assembly in 2005, with the
target of achieving elimination by 2015. In 2005, the EDCDformulated a National Plan for
Eliminatingkala-azar across preparatory (2005-2008), attack (2008–2015) and consolidation (2015
onwards) phases. See Box 4.2.1 for the plan’s goals, objectives and strategies. The expected outputs
of the plan are related to the components of the system that need strengthening. One is to develop
a functional network that provides diagnosis and case management with special outreach to the
poorest people.

Box 4.2.1: Goal, objectives and strategies

Goal — To improving the health status of vulnerable groups and at risk populations living in kala-
azar endemic areas of Nepal by eliminatingkala-azar so that it is no longer a public health problem.

Target — Reduce the incidence of kala-azar to less than 1 case per 10,000 populations at district
level.

Objectives:
 Reduce the incidence of kala-azar in endemic communities including poor, vulnerable and
unreached populations.
 Reduce case fatality rates from kala-azar.
 Treat post-kala-azar dermal leishmaniasis (PKDL) to reduce the parasite reservoir.
 Prevent and treatkala-azar and HIV–TB co-infections.

Strategies — Based on the regional strategy proposed by the South East Asia kala-azar technical
advisory group and the adjustments proposed by the Nepal expert group discussions, MoH has
adopted the following strategies for the elimination of kala-azar.
 Improve programme management
 Early diagnosis and complete treatment
 Integrated vector management
 Effective disease and vector surveillance
 Social mobilization and partnerships
 Clinical, implementation and operational research.

The national plan was revised in 2010 as the National Strategic Guideline on Kala-Azar Elimination in
Nepal that recommended rK39 as a rapid diagnostic test kit and miltefosine as the first line of

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treatment in kala-azar in most situations. The further revised national guidelines(2014)
recommended introducing Liposomal Amphotericin B and a combination regimen for kala-azar and
PKDL treatment in Nepal.

Over the last decade, there have been significant advances in the diagnosis and treatment of kala-
azar. Nepal’s national programme made the rK39 dipstick test kit (a rapid and easily applicable
serological test) available to PHCC level in programme districts.

Major activities in 2073/74

Case detection and treatment — Early case detection and complete and timely treatment is the
mainstay of eliminating kala-azar. Kala-azar related diagnostic and treatment services are provided
at PHCC and above levels of health facilities while awareness, health education, follow-up for
treatment compliance, identification and referral of suspected cases are also offered at health posts.

Indoor residual spraying in priority affected areas — In 2073/74 two rounds of selective indoor
residual spraying were carried out in prioritised kala-azar affected areas of endemic districts based
on the national IRS guideline. IRS is carried out only in villages where kala-azar cases were recorded
in the previous year or in areas with an outbreak in the recent past. The kala-azar programme also
benefits from IRS for the prevention of malaria.

Introduction of liposomal amphotericin-B — The WHO Expert Committee on Leishmaniasis in 2010

and the Regional Technical Advisory Group (RTAG) for the kala-azar elimination programme in 2011
recommended Liposomal Amphotericin B (L-AmB) as the first line regimen during the attack phase in
the Indian subcontinent. Taking into consideration its high efficacy, safety, ease of use and
assuredcompliance, the results of a phase 3 trial evaluating three regimens for combination therapy
showed excellent efficacy and safety across all three regimens. The combination regimens have been
recommended as second line regimens for the Indian sub-continent in the attack phase. In the long
term, combination regimens are the best way to protect individual drugs from developing resistance.
Monotherapy with miltefosine or paromomycin is a fourth choice (after Amphotericin B) in the
expert committee’s recommendations.

L-AmB was introduced in Nepal in December 2015 after training about 60 doctors and nurses from
endemic districts. The therapy should be directly observed and patients should be hospitalized for
the full duration of the therapy.L-AmB needs a cold chain (<25oCelsius) for storage; and therefore
should be made availableonly in hospitals where proper storage is ensured.

Training on revised national guidelines and treatment protocol — Medical officers, nursing staff,
laboratory staffs and other paramedics were trained on the revised national kala-azar guidelines and
treatment protocols.

Kala-azar review meeting — A review meeting was held with DHO and district hospital personnel
and the focal persons of all kala-azar endemic and non-endemic districts focusing on data
verification, line listing update and the revised treatment protocols.

Disease surveillance— Kala-azar tends to be underreported as most data is obtained through passive
case detection especially from government hospitals. During 2073/74, active case detection was
carried out in endemic VDCs. This was done through the camp approach. The VDCs were selected
based on the number of new cases reported in the previous and running fiscal year. Community-

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based house to house searches were carried out by FCHVs for suspected kala-azar and PKDL cases.
Suspected cases were then screened clinically and by rapid diagnostic kits (rK39) at health facilities
by doctors, laboratory persons and other health workers. rK39 positive cases were referred to
district or zonal hospitals for further confirmation and management.

Trend of kala-azar cases

The number of Kala-azar cases has decreasing significantly in recent years. A total of 220 cases were
reported in 2071/2072 of which 177 were native cases. Of the native cases 220 (80%) were from the
18 programme districts. EDCD extended the elimination programme to Okhaldhunga, Surkhet, Palpa,
Makawanpur, Kailali and Bhojpur districts in 2071/72 .

In 2072/2073, 267 kala-azar cases were reported, an increase from the previous year (Table 4.2.1).
The most cases were reported from Morang (50), Siraha (23) and Mahottari (18) while the
programme districts of Parsa reported no cases. Thirty two non-programme districts reported 69
cases in 2072/73 (Achham, Arghakhanchi, Baitadi, Bajhang, Bajura, Banke, Bardiya, Dailekh, Dang,
Darchula, Dhading, Dhankuta, Dolpa, Doti, Gulmi, Humla, Ilam, Jajarkot, Kalikot,Kanchanpur,
Kathmandu, Khotang, Mugu, Nawalparasi, Nuwakot, Pyuthan, Ramechhap, Rolpa, Rukum, Salyan,
Sindhupalchowk and Syangja). This epidemiological shifting indicates that the programme should
conduct a vector survey to map the presence of the vector and the indigenous transmission of the
disease.

In 2073/2074, 151kala-azar cases were reported, decreased from the previous year (Table 4.2.1).
The most cases were reported from Sarlahi (24), Morang (21) and Malpa (16) while the programme
districts of Parsa reported no cases. Twenty five non-programme districts reported 80 cases in
2073/74 (Achham, Argrakhachi, Bajura, Banke, Bardiya, Dailekh, Dang, Dhankutta, Doti, Humla,
Kalikot, Kanchanpur, Kapilbastu, Kathmandu, Kavre, Lalitpur, Mugu, Pyuthan, Ramechape, Rukum,
Rupandehi, Salyan, Sindhuli, Synajha and Tanahu)

Table 4.2.1: Trend of kala-azar cases (FY 2071/72 to 2073/74)

2071/2072 2072/2073 2073/2074
Province Districts
Native Foreign Native Foreign Native Foreign
Jhapa 6 0 11 0 6 0
Morang 48 0 50 0 21 0
1 Sunsari 18 0 14 0 6 0
Okhaldhunga 1 0 0 0 2 0
Bhojpur 6 0 2 0 6 0
Udayapur 2 0 3 0 2 0
Dhanusha 16 0 8 4 15 1
Siraha 17 0 23 0 15 1
Mahottari 18 0 18 7 11 0
2
Sarlahi 13 4 10 6 24 4
Saptari 9 1 16 0 6 0

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 Disease Control
2071/2072 2072/2073 2073/2074
Province Districts
Native Foreign Native Foreign Native Foreign
Rautahat 0 0 1 0 1 0
Bara 1 0 2 0 1 0
Parsa 0 0 0 0 1 0
3 Makwanpur 4 0 1 0 5 0
5 Palpa 3 0 9 0 16 0
6 Surkhet 9 0 10 0 11 0
7 Kailali 6 0 3 0 2 0
Total cases of programme
177 0 181 0 151 6
districts
Other districts 43 0 69 0 74 0
Total cases 220 5 250 17 225 6
Source: HMIS/EDCD

The incidence of kala-azar at national and district level has been less than 1/10,000 population since
2013. The incidence at district level in 2071/72 ranged from 0.47/10,000 in Morang to 0.01 in Kailali
district and in 2072/73 from 0.47 in Morang to 0.01 in Bara. In 2073/74, the district level incidence
per 10,000 people in areas at risk ranged from 0.72, 0.64, 0.28, 0.28 in Humla, Palpa, Sarlahi and
Surkhet respectively to 0.01 in Kathmandu, Nawalparasi and Rautahat with an average incidence of
0.16 per 10,000 in the 18 programme districts and 0.11 at the national level (excluding 6 foreign
cases) (Table 4.2.2). The case fatality rate was 3.s1 percent in 2073/2074. 18 endemic districts
reported kala-azar cases in 2073/74.

Note that kala-azar cases reported from DHOs and DPHOs via the HMIS and case reports received by
the programme sometimes vary. The HMIS usually receives raw data from districts while the
programme proactively collects data from hospitals and other health facilities, DHOs and DPHOs
through EWARS. EDCD verifies data with the help of line listing report of all cases (EDCD started to
line list all kala-azar cases in 2012). EDCD also receives case reports done at central and district levels
with the line listing of cases.

Table 4.2.2: Kala-azar cases and incidence (2071/72 to 2073/74)

Cases Incidence
Districts 2071/72 2072/73 2073/74 2071/72 2072/73 2073/74
Jhapa 6 11 6 0.07 0.12 0.07
Morang 48 50 21 0.47 0.48 0.2
Sunsari 18 14 6 0.22 0.16 0.07
Saptari 8 16 6 0.14 0.23 0.09
Udayapur 2 3 2 0.06 0.09 0.06
Siraha 17 23 15 0.26 0.34 0.22

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Disease Control
Cases Incidence
Districts 2071/72 2072/73 2073/74 2071/72 2072/73 2073/74
Dhanusha 16 8 15 0.2 0.1 0.19
Mahottari 18 18 11 0.27 0.27 0.16
Sarlahi 9 10 24 0.16 0.12 0.28
Rautahat 0 1 1 0 0.01 0.01
Bara 1 2 1 0.01 0.03 0.01
Parsa 0 0 1 0 0 0.01
Okhaldhunga 1 0 2 0.07 0 0.13
Surkhet 8 10 11 0.21 0.26 0.28
Palpa 3 9 16 0.12 0.35 0.63
Bhojpur 6 2 6 0.35 0.12 0.36
Kailali 6 3 2 0.07 0.03 0.02
Makwanpur 4 1 5 0.09 0.02 0.11
Other districts 44 69 74 0 0.07 0.03
Total 215 250 225 0.25 0.12 0.11
Source: HMIS,

Table 4.2.3 summarises the progress in 2073/74 against recommendations made at regional and
national reviews in the previous year.

Table 4.2.3: Recommendations at regional and national reviews of 2072/73 and actions in
2073/74

Issues Recommendations Responses

Early case detection and
complete treatment of kala-
azar
Early detection and case
investigation
Cases increasing in non-
endemic districts
 Orientation and training of
health workers
 Regular supply of kala-azar
test kits and drugs
 Active case detection in
endemic districts
 Case based surveillance
 Reporting with line listing of
cases
 Extend programme to other
non-endemic districts
 Health workers oriented
on new guidelines
 Reactive case detection
based on index cases in
endemic district
 Budget allocated to
districts for case based
surveillance and case
investigations
 Initiated line listing of
cases
 EDCD extended
programme to these
districts in 2071/72

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4.3 Lymphatic Filariasis
Background
Lymphatic filariasis is a public health problem in Nepal. Mapping of the disease in 2012 using ICT
(immune-chromatography test card) revealed 13 percent average prevalence of lymphatic filariasis
infection in Nepal’s districts, ranging from <1 percent to 39 percent. Based on the ICT survey,
morbidity reporting and geo-ecological comparability, 61 districts were identified as endemic for the
disease (Figure 4.3.1). The disease has been detected from 300 feet above sea level in the Terai to
5,800 feet above sea level in the Mid hills. Comparatively more cases are seen in the Terai than the
hills, but hill valleys and river basins also have high disease burdens. The disease is more prevalent in
rural areas, predominantly affecting poorer people. Wuchereriabancrofti is the only recorded
parasite in Nepal, The mosquito Culexquinquefasciatus, an efficient vector of the disease, has been
recorded in all endemic areas of the country.

Figure 4.3.1: Lymphatic filariasis endemicity, Nepal

LF MDA Status, Nepal: 2017

Total endemic districts: 61
HUMLA

DARCHULA
Average prevalence: 13%
BAJHANG
MUGU
MDA stopped districts: 31
BAITADI
BAJURA
Total at risk population: 25 million
N
DADEL- JUMLA
DHURA
DOTI ACHHAM KALIKOT DOLPA

MUSTANG
KANCHAN-
PUR DAILEKH
JAJARKOT
KAILALI

SURKHET
RUKUM MANANG E
MYAGDI
SALYAN
BARDIYA GORKHA
ROLPA KASKI
LAMJUNG
PARBAT RASUWA
BANKE PYUT-
HAN GULMI

Index
DANG
ARGHAK SYANGJA TANAHU SINDHU-
HACHI NUWAKOT PALCHOK
PALPA DOLAKHA
DHADING KATHM
KAPIL- NAWAL SULUK-
Non endemic districts (14) BASTU RUPAN-
DEHI
PARASI
CHITWAN MAKAWAN- LALIT KAVRE
HUMBU
SANKHUWA-
SABA
TAPLEJUNG

MDA stopped (31 Districts) OKHAL-

DHUNGA

Eight rounds completed (5 Districts)

PARSA
SINDHULI KHOTANG TERHA-
BHOJ- THUM
BARA RAUT- PUR
Seven rounds completed (4 Districts) AHAT SARLAHI
MAHO-
TARI
UDAYAPUR DHAN-
KUTA

Six rounds completed (10 Districts)

DHA ILAM
NUSA SIRAHA

SUNSARI MORANG

Five rounds completed (10 districts)

SAPTARI JHAA

TAS failed district (Nine rounds completed 1 district)

Government of Nepal
Ministry of Health
Department of Health Services

Progress towards elimination

The EDCD formulated a National Plan of Action for the Elimination of Lymphatic Filariasis in Nepal
(2003–2020) (Box 4.3.1) by establishing a National Task Force. The division initiated mass drug
administration (MDA) in Parsa district in 2003, which was scaled up to all endemic districts by
2069/70 (2013). As of 2073/74, MDA has been stopped (phased out) in 31 districts, post-MDA
surveillance initiated in 20 districts and morbidity management partially initiated in all endemic
districts. All endemic districts will complete the recommended six rounds of MDA by 2018. The
elimination programme has indirectly contributed to strengthening the system through trainings and
capacity building. Since 2003, surveys have been carried out including mapping, baseline, follow up,

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Disease Control
post MDA coverage and transmission assessment surveys. The transmission assessment survey in 31
districts in 2016 found that the prevalence of infection had significantly reduced. Since 2003 more
than 100 million doses of lymphatic filariasis drugs have been administrated to at-risk population.

Box 4.3.1: Goal, objectives, strategies and targets of lymphatic filariasis elimination programme

Goal — The people of Nepal no longer suffer from lymphatic filariasis

Objectives:
 To eliminate lymphatic filariasisas a public health problem by 2020
 To interrupt the transmission of lymphatic filariasis
 To reduce and prevent morbidity
 To provide deworming through albendazole to endemic communities especially to children
 To reduce mosquito vectors by the application of suitable available vector control measures (integrated
vector management).

Strategies:
 Interrupt transmission by yearly mass drug administration using two drug regimens (diethylcarbamazine
citrate and albendazole) for six years
 Morbidity management by self-care and support using intensive simple, effective and local hygienic
techniques.

Targets:
 To scale up MDA to all endemic districts by 2014
 Achieve <1% prevalence (microfilaraemia rate) in endemic districts after six years of MDA by 2018.

Major activities in 2073/74

Mass drug administration

MDA was continued in 30 districts in 2073/74. 10 districts completed five, 10 districts completed six,
4 districts completed seven, 5 districts completed eight and 1 district completed nine rounds of MDA
in this year. A total of 7,870,784 (72.7%) of the targeted 10,827,093 people in 30 districts were
treated this year and more percentage of people were treated than in previous years. The campaign
was conducted in two phases in March/April 2017 with the first phase in twenty five districts and the
second phase in 5 districts. The campaign mobilized 10,449 health workers and 54,665 trained
volunteers to reach the target populations and for monitoring campaign activities. The main MDA-
related activities are listed in Box 4.3.2.

More than 12,000 adverse events (mostly mild headaches, dizziness, stomach aches) were reported
after MDA. Health workers and volunteers mobilized for the campaign reported nearly 8,000 new
cases of morbidity due to or suspected to be due to lymphatic filariasis. More than 30,000 cases of
lymphedema of the lower and upper limbs, breast swelling and hydrocele were reported from
endemic districts during previous MDA campaigns.

The progress and coverage of the MDA campaign is shown in Table 4.3.1.

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Table 4.3.1: Scaling-up and coverage of MDA campaigns
MDA MDA At risk Treated Epidemiological
Remarks
Year districts population population coverage %
2003 1 505,000 412,923 81.77
2004 3 1,541,200 1,258,113 81.63
2005 5 3,008,131 2,509,306 83.42
2006 3 2,075,812 1,729,259 83.31
2007 21 10,906,869 8,778,196 80.48
2009 21 10,907,690 8,690,789 79.68
2010 30 14,162,850 11,508,311 81.26 MDA stopped in 1 district
2011 36 15,505,463 12,276,826 79.18 MDA stopped in 4 more districts
2012 46 20,017,508 13,546,889 67.68
2013 56 21,852,201 16,116,207 73.75
2014 41 15,874,069 10,929,305 68.90 MDA stopped in 15 more districts
2015 41 15,981,384 11,117,624 69.60
2016 35 12,470,213 8,887,666 71.3 MDA stopped in 5 more districts
2017 30 10,827,093 7,870,784 72.7 MDA stopped in 6 more districts
Source: EDCD

Box 4.3.2: MDA related major activities

National level activities — National task force committee meetings; interactions with the media,
professionals, organizations and civil society; monitoring and supervision; procurement and supply;
and advocacy and IEC/BCC activities.

Regional level activities — Regional level planning meetings in Butwal, Dhangadhi and Biratnagar;
regional coordination meetings and monitoring and supervision.

Implementation unit and district level activities — Planning meetings, training of health workers,
advocacy, social mobilization, IEC/BCC, monitoring and supervision, interactions with the media,
interactions with multi-sector stakeholders and logistics supply.

Community level activities — Volunteers orientations, advocacy, social mobilization, IEC/BCC,

implementation of MDA activities and monitoring and supervision.

Social mobilization activities — The production of revised IEC materials, checklists, reporting,
recording, and guidelines for MDA campaign; media mobilization and advertisement of MDA;
coordination and collaboration with stakeholders and school health programmes and interactions in
schools on the disease and MDA.

Monitoring — Monitoring and management of post-MDA complications and adverse events.

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Transmission Assessment Survey (TAS)— After completion of six round of MDA with pre-TAS
passed, six districts(Rukum, Rolpa, Salyan, Siraha, Saptari and Okhaldhunga) carried out TAS I and
fifteen districts ( Bara, Dhading, Dhanusha, Gorkha, Kavrepalanchok, Mahottari, Nuwakot, Palpa,
Ramechhap, Sarlahi, Sindhuli, Sindhupalchok, Syangjha, Tanahun and Rautahat ) completed TAS II
with supported of RTI/ENVISION. All the districts passed TAS.

Morbidity management and disability prevention

Morbidity management and disability prevention is the second strategy adopted by the national
elimination programme to reduce suffering in infected people living with chronic and morbid
conditions including elephantiasis, lymphedema and hydrocele. This strategy includes activities and
interventions ranging from home-based self-care by people living with lymphedema and
elephantiasis to hospital-based management and surgical corrections of hydroceles.

The following activities were carried out in 2073/74:

 2172 hydrocele surgeries have been performed in year 2073/074. This surgery is included in
the Red Book and is regularly done in hospitals in endemic districts.
 Morbidity mapping in Saptari and Okhaldhunga districts.
 All health workers and FCHVs in Saptari and OKhaldhunga were trained on patient self-care.
 BPKIHS and PAHS were recognized as referral hospitals for lymphatic filariasis morbidity
management.
Post MDA surveillance
Post MDA surveillance is ongoing in MDA stopped (phased out) districts. The monitoring of
microfilaria in human populations was done in five MDA-stopped districts(Parsa, Makawanpur,
Chitwan, Nawalparasi and Rupandehi ) by collecting night blood samples and performing smear
examination for lymphatic filariasis microfilaria. The results were encouraging showing no or low
infections.
Challenges and ways forward

The major challenges that remain that need addressing to consolidate the achievements are
ensuring quality MDA including achieving high coverage in urban areas and some specific
communities, and adverse event management, sustaining low prevalence in MDA phased out
districts, expanding morbidity management and disability prevention, and post MDA surveillance.
The biggest challenge is the persistent high prevalence in some districts despite completing the
recommended rounds of MDA.
The following are the major programme recommendations:
 Continue MDA at least for the next years to complete the recommended six rounds in all
endemic districts, and carry out transmission assessment, periodic surveillance and follow up
surveys to monitor progress towards elimination.
 Strengthen the capacity of the health system and service providers on morbidity management
and disability prevention and post-MDA surveillance.
 Carry out operational research, studies and programme reviews.
 Consolidate all documents related to the programme in a dossier for the later validation and
verification of elimination.

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4.4 Dengue

Background

Dengue is a mosquito-borne disease that occurs in Nepal as dengue fever, dengue haemorrhagic
fever (DHF) and dengue shock syndrome (DSS). The earliest cases were detected in 2005. Sporadic
cases and outbreaks occurred in 2006 and 2010. Initially most cases had travelled to the
neighbouring country (India), although lately indigenous cases are also being reported.

The affected districts are Chitwan, Kanchanpur, Kailali, Banke, Bardiya, Dang, Kapilvastu, Parsa,
Rupandehi, Rautahat, Sarlahi, Saptari and Jhapa, reflecting the spread of the disease throughout the
Tarai plains from west to east. In 2011, 79 confirmed cases were reported from 15 districts with the
highest number in Chitwan (55).

Aedesaegipti (the mosquito-vector) was identified in five peri-urban areas of the Tarai (Kailali, Dang,
Chitwan, Parsa and Jhapa) during entomological surveillance by EDCD during 2006–2010, indicating
the local transmission of dengue.

Studies carried out in collaboration with the Walter Reed/AFRIMS Research Unit (WARUN)in 2006 by
EDCD and the National Public Health Laboratory (NPHL)found that all four sub-types of the Dengue
virus (DEN-1, DEN-2, DEN-3 and DEN-4) were circulating in Nepal. Details of Nepal’s Dengue Control
Programme are given in Box 4.4.1.

Box 4.4.1: Nepal’s Dengue Control Programme

Goal — To reduce the morbidity and mortality due to dengue fever, dengue haemorrhagic fever (DHF) and
dengue shock syndrome (DSS).

Objectives:
 To develop an integrated vector management (IVM) approach for prevention and control.
 To develop capacity on diagnosis and case management of dengue fever, DHF and DSS.
 To intensify health education and IEC activities.
 To strengthen the surveillance system for prediction, early detection, preparedness and early response
to dengue outbreaks.

Strategies:
 Early case detection, diagnosis, management and reporting of dengue fever,DHF and DSS.
 Regular monitoring of dengue fever, DHF and DSS cases and surveillance through the EWARS.
 Mosquito vector surveillance in municipalities.
 The integrated vector control approach where a combination of several approaches are directed
towardscontainment and source reduction

Major activities in 2073/74

 Trained physicians, nurses, paramedics and laboratory technicians on dengue case detection,
diagnosis, management and reporting.
 Orientated municipality stakeholders in 25 programme districts.
 Supplied rapid diagnostic test kits (IgM).

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 Dengue case monitoring and vector surveillance.
 Search and destruction of dengue vector larvae (A. aegypti) in 25 programme districts.
 Developed and disseminated health education messages.

Achievements
A total of 1527 dengue cases were reported from 42 districts in 2073/74 (Table 4.4.1). The most
were from Chitwan (687) followed by Jhapa and Rupendehi. And there was one confirmed deaths
due to Dengue —in Chitwan.

The number of reported dengue cases has decreased significantly since 2010 (Figure 4.4.1) with high
percent increase in the last three years from 302 to 134 to 1527 in the current year. The majority of
cases have been reported from Chitwan, Jhapa and Rupandehi with more than 46 percent of
2073/74 cases from Chitwan.

Table 4.4.1: Dengue positive cases (2071/72–2073/74)

Total positive
SN Districts
2071/72 2072/73 2073/74
1 Bara 0 2 4
2 Bhaktapur 1 1 0
3 Bhojpur 0 2 0
4 Chitwan 119 70 687
5 Dadeldhura 1 0 0
6 Dang 0 3 8
7 Doti 1 0 0
8 Gorkha 0 2 0
9 Gulmi 0 1 0
10 Ilam 0 0 0
11 Jhapa 8 2 405
12 Kailali 9 1 14
13 Kanchanpur 15 4 2
14 Kapilbastu 0 2 3
15 Kaski 0 1 1
16 Kathmandu 1 1 5
17 Kavre 0 1 2
18 Mahottari 0 0 3
19 Makwanpur 20 2 82
20 Nawalparasi 3 12 3
21 Palpa 0 4 0
22 Parsa 114 12 7
23 Pyuthan 0 1 1
24 Rautahat 0 0 0
25 Rupandehi 10 2 164

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4.5 Zoonosis

Background
The Epidemiology and Disease Control Division (EDCD) is responsible for responding to poisonous
snake bites, and the control and prevention of rabies and other zoonosis in coordination and
collaboration with the general public and non-governmental and private partners

See Box 4.5.1 goals and objectives of the national zoonosis control programme.

Box 4.5.1: Goals and objectives of national zoonosis control programme

Goals:
 No Nepalese dies of rabies or poisonous snake bites due to the unavailability of anti-rabies vaccine (ARV)
or anti-snake venom serum or timely health care services.
 To prevent, control and manage outbreaks and epidemics of zoonosis.

Objectives:
 To strengthen the response and capacity of health care service providers for preventing and controlling
zoonoses.
 To improve coordination among and between stakeholders for preventing and controlling zoonoses.
 To enhance the judicious use of tissue culture, ARV and ASVS in health facilities.
 To reduce the burden of zoonotic diseases (especially rabies and six other priority zoonoses) through
public awareness programmes.
 To provide tissue culture ARV as a post-exposure treatment to all victims bitten by suspicious or rabid
animals.
 To reduce the mortality rate in humans by providing ASVS and ARV.
 To train medical officers and paramedics on snake bite management and the effective use of ARS.
 To reduce the number of rabid and other suspicious animal bites.
 To reduce the annual death rate due to rabies.

Rabies— almost half of Nepal’s population is at high risk and a quarter at moderate risk of
rabies.Around 30,000 cases in pets and more than 100 human rabies cases occur each year with the
highest risk are in the Tarai (Figure 4.5.1). Latent infectionshave been reported in dogs and cats and
rabies has also been reported in bats.Very few patients take rabies immune globulin (post-exposure
prophylaxis). Surveillance is passive. Recent progress has seen the Arctic Fox rabies genome type
virus isolated and laboratories strengthened for ARV production.

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Figure 4.5.1: Rabies risk zones in Nepal

Activities and achie

achievements
vements in 2073/74 in Rabies control Programm
The following activities were carried out in 2073/74 for the control of rabies cases:
 Stray dog sterilization program and awareness program were conducted for the control of
rabies
 Orientation program to Medical officers
officers, nurses and paramedics was conducted on theproper
proper
use of ARV.
 Procurement of cell culture ARV vaccine for almost 6000 people of high risk area

In 2073/74, 37226 cases animal bites were reported (Table

Table 4.5.1). The number of reported animal
bite cases has fluctuated in recent years but tthe
he number of rabies deaths has increased in line with
the decreasing
creasing administration of ARV.

Table 4.5.1: Status of reported dog bites and rabies in Nepal

No of cases of No. of cases of
No. of cases of animal No. ofARV vials
Fiscal year dog bites other animal Deaths
bites (dog+ other animal) consumed
bites
2065/66 24,005 2,571 26,576 145,978 97

2066/67 23,517 2,145 25,662 168,194 89

2067/68 24,269 2,197 26,466 167,663 83

2068/69 29,102 2,211 31,313 229,851 76

2069/70 31,937 2,996 34,933 219,651 68

2070/71 31,976 2,540 34,516 195,868 10

146 DoHS, Annual Report 2073/74

207 (201
(2016/17)
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No of cases of No. of cases of
No. of cases of animal No. ofARV vials
Fiscal year dog bites other animal Deaths
bites (dog+ other animal) consumed
bites
2071/72 17,320 3,290 20,610 273,000 13

2072/73 20,133 2,494 22,627 320,139 6

2073/74 37,226 2,518 39,744 227,639 8

Source: HMIS/EDCD

Snake bites
Poisonous snake bites — Twenty-one of the 79 species of snakes found in Nepal are poisonous (11
pit viper species, 5 krait species, 3 cobra species and 1 each coral and Russel’s viper species). Around
15,000 snake bite cases occur annually of which about 10 percent are poisonous bites. The mortality
rate is about 10 percent among poisonous bite cases. The 26 Tarai districts are highly affected. In the
last eight years between 1 and 131 deaths have been reported from poisonous snake bites each
year. The free distribution of anti-snake venom serum (ASVS) began in 1999/2000. Indian
quadrivalent ASVS is used.

The following activities were carried out in 2073/74 for the control and management of poisonous
snake bites:
 Guideline for snake bite was published
 orientation program to Medical officers, nurses and paramedics was conducted on the proper
use of Anti snake venom
 Procurement of cell culture ASV for almost 2000 people of high risk area
 Research was done for the production of anti-snake venom within the country.

In 2073/74, 6,121 snake bite cases were reported in Nepal (Table 4.5.2). A total of 912cases were
poisonous resulting in 33 deaths. Table 4.5.3 summarises progress in 2073/72 against previous years
data.

Table 4.5.2: Snake bite cases and deaths, Nepal (2065/66–2073/74)

Fiscal year Total cases Non-poisonous Poisonous Cure No. deaths % deaths
2065/66 13,017 11,883 1,134 1,006 128 11.3

2066/67 17,163 15,844 1,319 1,188 131 9.9

2067/68 18,204 17,121 1,083 965 118 10.9

2068/69 14,768 13,789 979 890 89 9.1

2069/70 14,329 13,462 867 788 79 9.1

2070/71 5,143 4,145 998 988 10 1.0

2071/72 4,128 3,461 667 666 1 0.14

2072/73 3,268 2,605 663 643 20 3.0

2073/74 6,121 5209 912 879 33 3.6

Source: HMIS/EDCD

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Table 4.5.3: Issues, recommendations from reviews and actions taken—control of zoonoses
Issues Recommendations Action taken
The under reporting of cases and Develop a regular reporting mechanism Increased supervisory
deaths from dog and snake bites visit to reporting sites

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4.6 Leprosy
Background
The establishment of the Khokana Leprosarium in the nineteenth century was the beginning of
organized leprosy services in Nepal. Key leprosy control milestones since 1960 and the goal, objectives
and strategies of the national Leprosy Control Programme are:

Evolution and milestones of leprosy control programme in Nepal

Year Landmarks
1960 Leprosy survey by Government of Nepal in collaboration with WHO
1966 Pilot project to control leprosy launched with Dapsone monotherapy
1982 Introduction of multi-drug therapy (MDT) in leprosy control programme
1987 Integration of vertical leprosy control programme into general basic health
services
1991 National leprosy elimination goal set
1995 Focal persons (TB and leprosy assistants [TLAs]) appointed for districts and regions
1996 All 75 districts were brought into MDT programme
1999/2000–2001/02 Two rounds of National Leprosy Elimination Campaign (NLEC) implemented
2008 Intensive efforts made for achieving elimination at the national level
2009 and 2010 Leprosy elimination achieved and declared at the national level
2011 National Leprosy Strategy (2011–2015)
2012-2013 Elimination sustained at national level and national guidelines, 2013 (2070)
revised
2013-2014 Mid-term evaluation of implementation of National Leprosy Strategy (2011-2015)
2014-2015 Ministry of Health designated LCD as the Disability Focal Unit
2017 Policy, Strategy and 10 Years Action Plan on Disability Management (Prevention,
Treatment and Rehabilitation) 2073-2082 developed and disseminated

Goal, objectives, strategies and targets of the leprosy control programme

Vision: Leprosy free Nepal
Goal : End the consequences of leprosy including disability and stigma
Guiding principles
 Stewardship and system strengthening
 Expedite the elimination process in high prevalence districts
 Collaboration, coordination and partnership
 Community involvement
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Disease Control
 Integration, equity and social inclusion
 Linkages with Universal Health Coverage and Sustainable Development Goals

Objectives:
1. Achieve elimination status in all districts by 2019
2. Expand services for early detection of leprosy cases at health facility, especially in high
prevalence districts through Enhancing selected diverse approaches (ISDT)
3. Strengthen cases-based reporting and surveillance by 2017
4. Initiate Post-Exposure Leprosy Prophylaxis to family members and neighbors
5. Achieve the surveillance performance indicators

Strategies

1. Expand and Enhance early case detection through selected diverse approaches (ISDT)
2. Strive to achieve the surveillance performance indicators
3. Modernize and intensify the service delivery pathways for ensuring quality services
4. Heighten the collaboration and partnership for Leprosy-Free Nepal
5. Enhance support mechanism for people infected and affected by leprosy

Activities and achievements in 2073/74

MDT service delivery — In 2073/74, 3215 new leprosy patients were detected and put under multi-drug
therapy out of whom 2,626 cases were under treatment at the end of the fiscal year. During the year,
3,400 patients completed treatment and were released from treatment. Secondary and tertiary care
services were provided to needy and leprosy-affected patients through the existing network of referral
centres with partner support. MDT drugs (that are made available by the Novartis Foundation through
WHO) and anti-reaction drugs were freely available and the supply remained uninterrupted throughout
the year.

Capacity building — The Leprosy Control Division (LCD) ran the following capacity building programmes
in 2073/74:
 The Comprehensive Leprosy Training especially for Female Health Workers of took places in two
batches July 24 – Augusts 28 and 2016 and July 31st – August 4th 2016 and witnessed 40 participants
from 20 leprosy endemic districts.
 One day leprosy orientation programmes for media persons, village health promoters, social
workers, nursing staff, lab staff and MBBS and elective medical students.
 The 5-days comprehensive leprosy training (CLT) course for health workers.
 The 6 days basic leprosy training (BLT) course for medical officers
 Comprehensive Leprosy Training to 20 Health workers (HA & AHW) of 10 districts from 17-21
October 2016

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These trainings are being conducted with support from The Leprosy Mission Nepal- Anandaban Hospital,
International Nepal Fellowship, Nepal Leprosy Trust, Lalgadh and WHO.

IEC and advocacy — In order to enhance community awareness, passive case detection, voluntary case
reporting and to reduce stigma, IEC activities were regularly undertaken using electronic and print
media. Posters highlighting the diagnosis, reactions, treatment and free leprosy services were produced
and distributed for display at health facilities in all 75 districts and for raising public awareness. Two
infomercials and one music video were produced and broadcast. Leprosy messages were also
broadcasted in coordination with Nepal TV and FM radio programmes highlighting the World Leprosy
Day. Moreover, as LCD as been designated as the Disability Focal Unit by Ministry of Health in 2071 B.S,
short promotional video related to disability was produced and broadcasted from NTV.

World Leprosy Day—World Leprosy Day which is celebrated on the last Sunday of in the month of
January internationally, similarly 64th World Leprosy Day was commemorated on 29th January 2017 in
Nepal by conducting various activities at national, regional and district levels. On the same day a media
interaction programme was arranged at DoHS in presence of the Director General, warm clothes
distribution programme was undertaken for leprosy affected people of Narayanthan on the same day.

Reviews — Regular trimester review meetings were held at district and regional levels where
aggregated data, administrative issues and accomplishments were presented and discussed and future
plans discussed. Three central trimester review workshops were held to assess the outcome and
monitoring of the programme. Regional TB-Leprosy Officers (RTLOs) presented and shared information
and issues on the leprosy programme in their regions. Regional medical store chiefs also presented the
MDT drugs situation and informed that MDT supply had been uninterrupted over the year.

Early case detection— A focal campaign for active case detection was run in the three high leprosy
endemic districts of Kapilvastu, Rupandehi and Bara districts. Forty-five health workers, 135 FCHVs and
90 leprosy affected people were oriented on performing house-to-house searches. The searches were
then carried out. Leprosy officers, supervisors and partner personnel then supported health facilities to
diagnose and manage identified cases. In addition, a week long active case detection programmes was
also run in urban slums of Mahottari in coordination with the DHOs, district TB and leprosy officer
(DTLOs), FCHVs, health workers and additional support from partner organisations.

Contact examination — Contact examination is an index case-based approach where health workers
and FCHVs visit every household around a newly detected leprosy case using the pictorial card and
search for any signs and symptoms of leprosy and refer suspected cases to the nearest health facility for
confirmation and treatment. This programme was undertaken in VDCs of Dhanusa, Saptari and Rautahat
districts with the family and neighbours of 136 index cases. Twenty six new cases were diagnosed in the
contact/neighbours examination conducted from 30 Sep. - 27 Nov. 2016 (14 Ashwin - 12 Mangsir 2073).

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Diagnosed Cases

Total cases

G2D cases
No. of

% of MB

Female

Female
No. of

cases

% of

% of
G2D
Districts Municipality/ Child
index Adult
VDC (>14 yr)
cases MB PB MB PB
Saptari 10 25 2 2 0 3 7 29 5 71% 2 29%
Dhanusha 20 75 1 7 1 3 12 17 3 25% 0 0%
Rautahat 19 36 2 3 0 2 7 29 4 57% 1 14%
Total 49 136 5 12 1 8 26 23 12 48% 3
12%

District Level Mini Leprosy Elimination Campaign (MLEC) –Despite the fact that Nepal attained an
elimination status in 2010, every year the prevalence of leprosy is still greater than 1 per 10,000
population in 18-20 Terai districts. Hence, in order to achieve the elimination status in sub-national
level, MLEC was carried out in Banke and Bardiya district in support from Sasakawa Memorial Health
Foundation. The package of MLEC included sensitization, advocacy, IEC, awareness, door to door case
search and stigma reduction activities. Altogether, 2400 people were oriented regarding leprosy, six
lakhs population were screened and 282 (145 Bardiya/137 Banke) new cases were identified and put
under MDT.

Continued medical education— A one day medical education event was run for neurologists, surgeons,
dermatologists, physicians and other medical officers in Biratnagar, Chitwan, Butwal, Nepalgunj and
Dhangadi from 22nd -26th Ashad 2073. The events highlighted the roles of clinical specialists in leprosy
control, reducing disease burden and stigma prevention and provided up-to-date information on leprosy
management.

Transport support to released-from-treatment cases — The LCD provided grants of NPT 1,000 to 3040
patients released from treatment to cover their transport costs after completing MDT treatment. The
treatment regularity rate of patients is increasing partly due to the provision of this incentive.

Recording, reporting, update and leprosy case validation— Recording and reporting update and case
validation was carried out in Dhanusa district to verify data and records of cases in health facilities, to
validate cases diagnosed by health facilities and to strengthen recording and reporting and the release
of cases from treatment. This was carried by a joint team of LCD, RHD, DHO, DPHO, WHO and TLMN.

Publications — The annual report 2073/74 (2015/16) was published and programme operational
guideline containing technical and financial information for implementing and conducting leprosy
control activities was developed and printed that were distributed to DHOs/DPHO/RMS. Besides, Policy,
Strategy and 10 Years Action Plan on Disability Management 2073-2082, Leprosy Handbook and Bulletin
were also published and disseminated.

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Accessibility programme — A one day orientation was conducted in district level to raise the awareness
of disadvantaged and unreached communities about the signs and symptoms of leprosy. The
communities were also educated on stigma reduction and encouraged to take part in leprosy control
activities. A few of the programmes led to participants identifying suspected cases and referring them to
health facilities.

Supervision and monitoring — Regular supervisory visits were undertaken by LCD staff to guide health
workers at peripheral health facilities and to DHOs, DPHOs and RHDs. Additional funds for this were
provided by WHO and Netherlands Leprosy Relief (NLR).

Involvement of people affected by leprosy— LCD has been supporting a networks of people affected by
leprosy and empowered them to widen the involvement and participation of leprosy affected people in
leprosy related awareness raising and income generation activities. This is highly appreciated by the
people affected with leprosy and the partners working in leprosy control activities in Nepal.

Review, planning and interaction programmes — Review, planning and interaction programmes were
organized in the 19 high endemic Terai district each trimester to identify and resolve technical issues
and for updating and verifying records in the presence of DHOs, DPHOs, TBLOs, statistical officers, other
health workers and leprosy affected people.

Coordination with partners — LCD organized coordination meetings among the partners working in the
leprosy control and disability prevention sector. Three meetings were held with the participation of
WHO, NLR, Leprosy Mission Nepal (LMN), Nepal Leprosy Trust (NLT), International Nepal Fellowship
(INF), BIKASH Nepal, Partnership for New Life (PNL), Nepal Leprosy Fellowship (NLF), Nepal Leprosy
Relief Association (NELRA), Sewa Kendra, Shanti Sewa Griha, Rehabilitation, Empowerment and
Development (READ) Nepal, and IDEA Nepal. The meetings were held to share regular updates on
activities, to have common approach to celebrate World Leprosy Day and to develop programme
guidelines.

Surveillance for preventing disability— The surveillance of leprosy cases was carried out in seven health
facilities (Koshi Zonal Hospital, Anandaban Hospital, Lalgadh Hospital, Seti Zonal Hospital, Butwal Clinic,
Patan Clinic and INF-Banke Clinic. Detail information was collected about 200 under treatment cases was
collected. Further strengthening of this system is needed to collect timely and quality information with a
plan to collect it every three months.

Post exposure prophylaxis —Leprosy post-exposure prophylaxis (LPEP) in which the single dose
Rifampicin is given to contacts of newly diagnosed leprosy patients to decrease their risk of developing
leprosy, is now extended to Kailali, Dhanusa, Kapilvastu and Rupandehi districts from the initial pilot
districts: Parsa, Morang and Jhapa. This programme is being implemented in government as well as
partners (The Leprosy Mission Nepal, Netherland Leprosy Relief & Nepal Leprosy Trust) support. The
updates on LPEP till Chaitra 2073 is as followed:

DoHS, Annual Report 2073/74 (2016/17) 153

Disease Control
No. of index Contact No. of No. of contact New case finding
Districts
cases Searched contact excluded Leprosy TB
Jhapa 650 490 12718 306 70 17
Morang 542 562 11044 686 39 2
Parsa 381 300 7874 295 49 1
Sub Total 1573 1352 31636 1287 158 20
Dhanusa 89 89 3533 1864 41 0
Kapilvastu 148 145 5364 373 20 2
Rupandehi 24 24 738 118 0 0
Sub Total 261 258 9635 2355 61 2
Grand Total 1834 1610 41271 3642 219 22
Note: LPEP is being implemented in Kailali recently, hence the district update is not included in the table.

Grant to leprosy affected persons— Every year a grant is provided to support leprosy affected residents
in the Khokana and Pokhara leprosy ashrams through the Nepal Leprosy Relief Association (NELRA). The
grant goes to provide fuel, blanket, food and incentives to approximately 175 leprosy affected people.
The amount of grant has increase from NRs. 1 million to 1.2 million in the current year.

Injury/Trauma Management Training, Orientation and Empowerment of Disability Stakeholders

3 days Injury –Trauma Management Training was carried out targeting 22 health professionals
(Health assistants, nurses and medical officers) of 7 provinces from Ashad 25-27, 2074 at
Sukraraj Tropical Infectious Disease Hospital.
Activities regarding Orientation and Empowerment of Disability Stakeholders were carried out in
Kathmandu, Hetuada and Surkhet for members of Disability Peoples Organization in Jestha and Ashad
2074.

Dissemination of Policy, Strategy and 10 Years Action Plan on Disability Management (2073-
2082)
After rigorous discussions and meetings with disability partners, stakeholders and disability
peoples' organizations, Policy, Strategy and 10 Years Action Plan on Disability Management
(2073-2082) was developed. The dissemination of the Action Plan took place on Jeatha 4, 2074
(18th May 2017) in presence of former Honorable Health Minister: Gagan Kumar Thapa and
Honorable State Minister of Health: Tara Man Gurung.

ACTIVITIES SUPPORTED BY PARTNERS

In 2073/74, WHO supported the supply of MDT drugs, provided technical support for the leprosy control
programme, assisted in supervision and monitoring, and supported capacity building, active case
detection and the community awareness programme

154 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control
The Netherlands Leprosy Relief, Leprosy Mission Nepal, Nepal Leprosy Trust and International Nepal
Fellowship supported the following activities in high endemic districts:
 Community awareness and participation programme
 Orientation of community members
 Provision of primary, secondary and tertiary care at referral centres
 Capacity building activities for government health workers
 Technical support through joint supervision and monitoring
 Prevention of disability in leprosy and rehabilitation service
 Formation, implementation and support of self-care and self-help groups operated by people
affected by leprosy and people living with disabilities due to leprosy
 Support for Post-Exposure Prophylaxis Programme

Prevalence
Overall prevalence
At the end of FY 2073/74 (2016/17), 2626 leprosy cases were receiving MDT in Nepal, which makes a
registered prevalence rate of 0.92 case per 10,000 population at the national level. This rate is below the
cut-off point of 1 case per 10,000 population set by WHO to indicate the elimination of leprosy as a
public health problem. This shows that Nepal’s elimination status from 2009 is being sustained. The
prevalence rate has slightly increased than the previous year. Out of 77 districts, 6 districts reported
zero prevalence, 54 districts had a prevalence rate <1 and 17 districts had a rate of more than 1.

Figure : Leprosy prevalence in Nepal, 2073/74 (2016/17)

DoHS, Annual Report 2073/74 (2016/17) 155

Disease Control
The highest number of leprosy cases under treatment was reported from Province-2 (890 cases, 34% of
total) followed by Province-5 (764 cases, 29% of total) (Table 4.6.1). The registered prevalence rate was
the highest in Province-5 (1.57 case per 10000 population) followed by Province-2 and lowest
prevalence was reported at Province-6 (0.62 case per 10,000 population).

Table : Distribution of registered cases and prevalence rate in 2073/74

Provinces No. of registered prevalence cases at the end of the year
Total cases Percentage Reg. prevalence rate / 10,000 population
Province-1 394 15% 0.82
Province-2 890 34% 1.50
Province-3 157 6% 0.26
Province-4 116 4% 0.47
Province-5 761 29% 1.56
Province-6 110 4% 0.64
Province-7 198 8% 0.71
National 2626 100% 0.92
Source: LCD

The number of districts reporting a prevalence rate of more than 1 per 10,000 population decreased to
16 from 18 in the previous year (Figure). Fifteen of the 17 districts are in the Terai belt whereas Jajarkot
falls in the hilly region. Banke reported the highest prevalence rate (4.67 per 10,000 population).

Figure: Districts with leprosy prevalence rate above 1 per 10,000 population

Banke 4.67
Bardiya 4.53
Dhanusa 2.03
Parsa 1.6
Bara 1.59
Sarlahi 1.58
Mahottari 1.45
Jhapa 1.37
Morang 1.36
Rautahat 1.32
Siraha 1.3
Jajarkot 1.28
Kailali 1.2
Nawalparasi-East 1.13
Chitwan 1.12
Kapilvastu 1.11
Nawalparasi-West 1.06

0 1 2 3 4 5

156 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control
NEW CASE DETECTION

The detection of new cases signifies ongoing transmission with the rate measured per 100, 100,000
000
population. A total of 3215 new leprosy cases were detecte
detectedd in 2073
2073/74 with the 36% of new cases in
Province (1,170 cases
Province-2 cases).. Meanwhile, Province
Province-4 and 6 have the lowest new case detection (as
as shown in
the figure).
igure). The ne
neww case detection rate (NCDR) per 100,000 populations for FY 2072073/744 was 11.23
23
nationally
nationally.

Eight districts (Dhankuta,

Dhankuta, Dolpa, Humla,
Humla Manang, Mustang, Panchthar, Rukum-
Rukum-East
East and Sindhupalchok)
Sindhupalchok)
reported no new cases this year while 221 districts had case detection
detection rates more than 10 (Figure
(Figure)) of
which Banke had the highest rate (51. (51.83
83) followed by Bardiya (51.14). District level mini leprosy
elimination campaigns were conducted in these two districts scanning the 60% of the whole district
population which resul
resulted
ted in the tremendous increase in NCDR as compared to previous year rate of
34.91 and 26.11 respectively
respectively.

Figure: Province-wise
Province wise new leprosy cases, 2073/74

209
115 501

Province
Province-1
880
Province
Province-2
Province
Province-3
Province
Province-4
1170
Province
Province-5
125 Province
Province-6
215
Province
Province-7

DoHS, Annual Report 207

2073/74 (2016/17)
(201 157
Disease Control
Figure: Districts with more than 10 new case detection rate per 100,000 population, 2073/74

Sunsari 10.42
Nawalparasi West 10.6
Nawalparasi East 10.98
Rupandehi 12.18
Saptari 13.75
Udaypur 13.77
Chitwan 13.82
Kailali 13.96
Siraha 15.62
Rautahat 16.77
Jajarkot 17.03
Kapilvastu 17.43
Parsa 17.46
Jhapa 17.8
Morang 18.01
Bara 18.88
Mahottari 20.21
Sarlahi 20.81
Dhanusa 32.53
Bardiya 51.14
Banke 51.83

0 10 20 30 40 50 60

Fifty two percent of new cases were multibacillary (MB) and the rest were paucibacillary (PB). This
proportion has remained around fifty percent for the last few years. More than one third (42.33%) of
the new cases were among females. The female proportion has remained in the range of 30-40 percent
for the last five years. 6.84 percent of new cases were detected among children. The stagnant indicator
of child cases signifies that transmission is still prevalent among children. However, the Grade-2
Disability (visible disability) has decreased to 2.71% from 3.57%.

Table: Details of new leprosy cases (2073/74)

Provinces Total New Cases NCDR

Province-1 501 10.57

Province-2 1170 19.77

Province-3 215 3.54

Province-4 125 5.05

Province-5 880 18.09

Province-6 115 6.70

Province-7 209 7.51

National 3215 11.23

Source: LCD
158 DoHS, Annual Report 2073/74 (2016/17)
 Disease Control
TREND IN PREVALENCE, CASE DETECTION AND RELAPSE CASES
There has been little change in new case detection and the number of registered cases in the last eight
years. The prevalence decreased in 2066/67 when elimination status was declared and has been under
the elimination rate since then but the prevalence has increased this year. However, the new case
detection rate has remained around 11. The number of relapse cases increased from 12 cases in the
previous year to 15 in 2073/74.

Figure: Trend in new leprosy case detection rate and prevalence rate from 2067/68-2073/74
1 0.92 20
0.89 0.89
0.85 0.84 0.83
0.79

NCDR/1,00,000 Population
0.8
PR/10,000 Population

15

0.6
12.2 11.9 11.8 10
11.2 11.01 11.23
10.67
0.4

PR/10,000 Population NCDR/1,00,000 Population 5

0.2

0 0
2067/68 2068/69 2069/70 2070/71 2071/72 2072/73 2073/74

Figure: Trend in relapse cases from 2067/68- 2073/74

30
27
25
20 20
15 15
11 12
10
8
5 5
0
2067/68 2068/69 2069/70 2070/71 2071/72 2072/73 2073/74

DISABILITY CASES
Leprosy cases that are not detected early on or in a timely and complete may results in disabilities. Early
detection and timely and complete treatment is crucial for preventing disabilities. The Proportion of
Grade 2 Disability (G2D) among new cases and the rate per 100,000 population are major monitoring
indicators of early case detection. During 2073/74, 87 cases of visible disability (G2D) were recorded
with a proportion among new cases of 2.71% nationally.

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Disease Control
CHILD CASES
A total of 220 new child cases were diagnosed in 2073/74 resulting to 6.84% of new cases. This was a
decrease from the previous year although the trend is fluctuating (Figure).

45 42.33
38.28
40 35.46 36.03
35 31.6 30.86
28.39
30
25
20
15
10 7.73 7.2 6.84
6.26 6.33
5.19 4.18
5 4.42
3.57 3.16 2.89 3.38 3.57 2.71
0
2067/68 2068/69 2069/70 2070/71 2071/72 2072/73 2073/74

G2D among new Female among new Child among new

Conclusions
The elimination status was maintained at the national level as the prevalence rate remained below 1
case/10,000 population this year although the rate was still high in 17 districts compared to 18 districts
last year. The increased proportion of female and child cases could be a result of more early and active
case detection activities. Finally, there is good coordination and partnerships with partners.

The figures for the main indicators of leprosy control for the last eight years are summarised in Table
while the main strengths, weakness and challenges of the leprosy control programme are listed.

160 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control
Table : Comparison of leprosy indicators (2066/67–2073/74)

(2009/10)

(2010/11)

(2011/12)

(2012/13)

(2013/14)

(2014/15)

(2015/16)

(2016/17)
2066/67

2067/68

2068/69

2069/70

2070/71

2071/72

2072/73

2073/74
Indicators

New patients 3,157 3,142 3,481 3,253 3,223 3,053 3,054 3215
New case detection rate 11.5 11.2 12.2 11.9 11.18 11.01 10.67 11.23
Under Treatment cases at the end 2,104 2,210 2,430 2,228 2,271 2,461 2,559 2626
PR/10,000 population 0.77 0.79 0.85 0.82 0.83 0.89 0.89 0.92
No. new child cases 212 163 218 136 204 236 220 220
Proportion child cases 6.71 5.19 6.26 4.24 6.33 7.73 7.20 6.84
New G2D cases 86 109 110 94 109 135 109 87
Proportion G2D cases 2.72 3.47 3.16 2.89 3.38 4.42 3.57 2.71
G2D rate/100,000 0.31 0.39 0.39 0.35 0.40 0.49 0.38 0.33
New female cases 1,030 892 1,100 1,004 1,143 1,100 1,169 1361
Proportion female cases 32.6 28.4 31.6 30.8 35.46 36.03 38.28 42.33
Released from treatment 3,844 2,979 3,190 3,374 3187 2,800 2,902 3040
No. Defaulters 25 31 24 43 24 38 44 57
No. relapse cases 18 20 25 14 11 8 12 15
Source: LCD

Table 4.6.5: Strengths, weakness and challenges for the leprosy control programme
Strengths
 Commitment from political level
–government's commitment to
Bangkok Declaration for Leprosy
 Accessible of leprosy service
 Free MDT, transport service for
released from treatment cases
and other services for treating
complications
 Uninterrupted supply of MDT
 Good communication and
collaboration among supporting
partners
 Improving participation of
leprosy affected people in
national programme
 Steering, coordination and
technical committees formed
Weaknesses
 Low priority for leprosy
programme at periphery
 Low motivation of health
workers
 Very few rehabilitation
activities
 Inadequate training and
orientation for newly
recruited health workers and
refresher trainings for focal
persons and managers
 Poor institutional set-up and
inadequate human resources
 Problem for reaction and
complication management at
periphery level
 Poor result-based output,
Challenges
 To sustain the elimination
achieved at national level and
elimination at district level
 To maintain access and quality of
services in low endemic mountain
and hill districts
 To strengthen surveillance,
logistic, information, and job
oriented capacity-building for
general health workers, and an
efficient referral network
 To assess the magnitude of
disability due to leprosy
 To further reduce stigma and
discrimination against affected
persons and their families
 Insufficient activities in low

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Disease Control
and conducting meeting in
regular basis
 Contact examination/
surveillance of patient, family
members and neighbours
 Introduction of Leprosy Post-
Exposure Prophylaxis in 7 of the
high
recording and reporting of
contact examination activities
 Poor coverage and monitoring
of LPEP in implementing
districts
endemic districts for reducing the
disease burden
 To maintain access and quality
service at HF level
 Strengthening of index case &
contact surveillance, recording and
reporting system

Future course of action and opportunities

 Implement the national strategy 2016-2020 within MoH and through partners.
 Use and follow national operational guideline as per the new strategy.
 Intensify IEC activities to raise community awareness on early diagnosis and treatment, the
prevention of disability, rehabilitation and social benefits.
 Strengthen early case detection by focusing on pocket areas of high endemic districts.
 Develop an intensified case search activity for the district level elimination
 Promote community participation in the National Leprosy Elimination Programme.
 Improve the access of unreached, marginalized and vulnerable groups to leprosy services.
 Strengthen the involvement of people affected by leprosy in leprosy services and programmes.
 Build the capacity of health workers for early case detection, management and community based
rehabilitation.
 Carry out operational research in high endemic districts and pockets on specific issues for quality
services.
 Expand chemoprophylaxis and immuno-prophylaxis (one, either or both) to protect contacts and
break transmission.
 Intensify vocational education and income generation activities for people affected by leprosy.
 Ensure resource mobilization, partnership and participation of local government and collaboration
with new partners, institutions and individuals for leprosy services and rehabilitation.
 Strengthen the capacity of LCD for effectively implementing national policies and strategies.
 Strengthen surveillance in low endemic districts and areas.
 Strengthen the evidence-based (laboratory confirmed) reporting of relapse cases.
 Address cross-border issues.
 Sustain the newly initiated programme and services e.g. satellite services, interactions with medical
college hospitals, joint monitoring, training and observation in partnership approach.
 Strengthen referral hospital (efficiency, quality service in handed over zonal hospitals) and proper
referral mechanism.

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 Disease Control

4.7 Tuberculosis
Background
Tuberculosis (TB) is a public health problem in Nepalthat affects thousands of people each year and
is the sixth leading cause of death in the country. WHO estimates that 44,000 people develop active
TB every year and out of them 20,500 have infectious pulmonary disease and can spread the disease
to others. The achievement of the global targets of diagnosing 70 percent of new infectious cases
and curing 85 percent of these patients will prevent 30,000 deaths in Nepal over the next five years.

In 2073/74, the National Tuberculosis Programme (NTP) registered 31,764 TB cases. Among them
16,927 (53.28%) were new and relapse pulmonary smear positive TB cases, 427 (1.34%) were smear
positive retreatment cases, 5,216 (16.42%) were sputum smear negative and 9,194 (28.94%) were
extra-pulmonary TB cases. Of all registered cases20,364 (64.1%) were male and 11,400 (35.9%)
female.

According to the latest WHO data (May 2016), tuberculosis deaths in Nepal reached 5,506, 3.5
percent of all deaths. The age adjusted death rate was 27.80 per 100,000 of population, which ranks
Nepal as the forty-third most affected country. There were 971(296 female and 675 male) reported
deaths from TB in 2073/74. Most TB cases and deaths occur among men in a ratio of 2 male cases
for every female case. TB mortality is unacceptably high given that most deaths are preventable if
proper diagnosis and treatment are provided.

The Directly Observed Treatment Short Course(DOTS)has been implemented throughout the country
since April 2001. The NTP has coordinated with the public sector, private sector, local government,
I/NGOs, social workers, educational institutions and other sectors to expand DOTS and sustain the
good progress achieved by the NTP. There are 4,344 DOTS treatment centres in Nepal and the NTP
has adopted the global End TB Strategy and the achievement of the SDGs as the country’s TB control
strategy. Box 4.7.1 lists the aims of the national programme.

Box 4.7.1: Vision, goal, strategy and target of the National TB Programme
Vision: Nepal free of tuberculosis.

Long term goal: End the tuberculosis epidemic by 2050.Short term goal: Reduce TB incidence by 20%
by 2021 compared to 2015 and increase case notifications by a cumulative total of 20,000 from July
2016 to July 2021.

Objectives:
 Increase case notification through improved health facility-based diagnosis.
 Maintain the treatment success rate at 90% of patients (for all forms of TB) through to 2021.
 Provide drug resistance diagnostic services for 50% of persons with presumptive drug resistant
TB by 2018 and 100% by 2021 and successfully treat at least 75% of diagnosed drug resistant
patients.
 Further expand case finding by engaging the private sector.
 Strengthen community systems for the management, advocacy, support and rights of TB
patients in order to create an enabling environment to detect and manage TB cases in 60% of all
districts by 2018 and 100% of districts by 2021.

DoHS, Annual Report 2073/74 (2016/17) 163

Disease Control
 Contribute to health system strengthening through TB human resource management, capacity
development, financial management, infrastructure, procurement and supply management.
 Develop a comprehensive TB surveillance, monitoring and evaluation system
 Develop a plan to continue NTP services in the aftermath of natural disastersand public health
emergencies.

SDG31 global targets:

 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and
combat hepatitis, water-borne diseases and other communicable diseases.

SDG and End TB Strategy(see Box 4.7.2)-related targets:

 Detect 100% of new sputum smear-positive TB cases and cure at least 85% of these cases.
 By 2050, eliminate TB as a public health problem (threshold of <1 case per million population).

Box 4.7.2: The End TB Strategy

The End TB Strategy was unanimously endorsed by the World Health Assembly in 2014. Its three
overarching indicators are i) the number of TB deaths per year, ii) TB incidence rate per year, and iii)
the percentage of TB-affected households that experience catastrophic costs as a result of TB. These
indicators have related targets for 2030and 2035.

The main principles for implementing the strategy are:

 government stewardship and accountability, with monitoring and evaluation;
 strong coalitions with civil society organizations and communities;
 the protection and promotion of human rights, ethics and equity; and
 the adaptation of the strategy and targets at country levels, with global collaboration.

The strategy’s components (three pillars) and related strategies are as follows:
1. Integrated, patient- entered care and prevention:
 Early diagnosis of TB including universal drug-susceptibility testing, and systematic
screening of contacts and high-risk groups.
 Treatment of all people with TB including drug-resistant TB.
 Collaborative TB/HIV activities and the management of co-morbidities.
 The preventive treatment of persons at high risk, and vaccination against TB.
2. Bold policies and supportive systems:
 Political commitment with adequate resources for TB care and prevention.
 The engagement of communities, civil society organizations, and public and private care
providers.
 Universal health coverage policy and regulatory frameworks for case notification,vital
registration, quality and rational use of medicines, and infection control.
 Social protection, poverty alleviation and actions on other determinants of TB.
3. Intensified research and innovation:
 The discovery, development and rapid uptake of new tools, interventions and strategies.

1
SDG 3: Ensure healthy lives and promote well-being for all at all ages)
164 DoHS, Annual Report 2073/74 (2016/17)
 Disease Control
 Research to optimize implementation and impact, and promote innovations.

Major activities in 2073/74

 Provided effective chemotherapy to all patients in accordance with national treatment policies.
 Promote early diagnosis of people with infectious pulmonary TB by sputum smear examination
and GeneX-pert.
 Provided continuous drugs supply to all treatment centres.
 Maintained a standard system for recording and reporting
 Monitored the result of treatment and evaluate progress of the programme
 Strengthened cooperation between NGOs, bilateral aid agencies and donors involved in the
NTP.
 Coordinate and collaborate NTP activities with and HIV /AIDS programmes.
 E-TB orientation to district staff has been completed.
 Linkage of DOTS centres to Microscopic centre through courier.
 Provided training to health personnel.
 Training to medical doctors for childhood TB diagnosis.

Progress and epidemiology of TB

Institutional coverage and estimation of TB burden

Nepal adopted the DOTS strategy in 1996 and achieved nationwide coverage in 2001. All DOTS sites
are integrated in public health services or run through NTP partner organizations in public and
private sectors. In 2073/74, 4,344 institutions were offering TB diagnosis and treatment DOTS-based
TB control services. Among them, 4,204 are government health institutions. Also, several NTP
partners provide DOTS including private nursing homes, polyclinics, I/NGO health clinics, prisons,
refugee camps, police hospitals, medical colleges and municipalities.

The burden of disease from TB can be measured in terms of incidence (defined as the number of
new and relapse cases arising in a given period), prevalence and mortality. WHO estimates the
current prevalence of all types of TB cases for Nepal at 60,000 (241/100,000) while the number of all
forms of incidence cases (newly notified cases) is estimated at 44,000 (156/100,000).
Case notification
The NTP reported 31,764 tuberculosis cases in 2073/74. TheNationalCaseNotificationRate(Allforms)
is111/100,000population.BasedontheCNR, thereare 18districtshad CNR more then 120, while
30districtshad CNR between 75-120 and remaining 22 districts had below 75 CNR.Among 18 districts,
1 2 districts are from the Terai belt and mostly concentrated in central region.
There were 97% newer cases registered (New and Relapse) among all TB cases notified. Around 71 %
of all TB cases reporting in this reporting period were pulmonary cases and out of them 77%were
bacteriologically confirmed. Among those bacteriologically confirmed, 30% were confirmed using
Xpert MTB/RIF testing.
Nearly half of all TB cases (41%) of the cases were reported only from central region, where as in
terms of eco-terrain distribution, Terai belt holds more than half of TB cases (57%) reported this
year.
DoHS, Annual Report 2073/74 (2016/17) 165
Disease Control

Figure 4.7.1: Tuberculosis case notification rate, 2073/74

Table 4.7.1: TB case notification rate by region, FY 2068/69 – 2073/74

Year EDR CDR WDR MWDR FWDR NEPAL
2068/69 95 149 105 141 119 125
2069/70 105 153 120 146 135 130
2070/71 109 155 123 146 132 136
2071/72 96 137 115 137 125 123
2072/73 92 127 107 122 105 112
2073/74 83 123 106 129 110 111

Altogether 31,764 new cases were notified during 2073/74 (Figure 4.7.2). Among them 53.28
percent were bacteriologically confirmed new and relapse pulmonary cases (PBC), 16.42 percent
were clinically diagnosed pulmonary cases (PCD), 28.94 percent were extra pulmonary cases and
1.34 percent were smear positive retreatment cases (Figure 4.7.2). Just over 28,382 of these cases
(89.35%) had a new episode of TB and 3,382(10.65%) had already been diagnosed with TB but their
treatment was changed to a retreatment regimen. Among the new cases (31,764), 71.06percent
were pulmonary cases and 28.94 percent extra pulmonary cases.

166 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control

Figure 4.7.2: TB cases registered in 2073/74 (2016/17)

TB case registered New and

Extra- relapse
pulmonary TB pulmonary
cases (9,194) smear positive
29% TB cases
Pulmonary (16,927)
Clinically 53%
diagnosed
(5216)
17%

Smear positive
retreatment
cases (427)
1%

The case notification rate of new smear positive cases (CNR/SS+) increased from 1996 until
2001when nationwide DOTS expansion was achieved. Of the 45,000–50,000 new cases (all forms)
estimated by WHO in recent years, NTP has notified 72 percent and successfully treated 91 percent
of notifiedcases. In spite of this sustained good performance, the CNR (both SS+ and all forms) has
stagnated in recent years (Figure 4.7.3). The percentage of new SS+ notification rate among new
pulmonary cases was 75percent in 2073/74, near the recommended WHO standard of 65 percent.

Figure 4.7.3: CNR new sputum positive TB cases (2068/69-2073/74)

70
67
65
60 60
55 55
53 52 53
50
45
40
2068/69 2069/70 2070/71 2071/72 2072/73 2073/74

Distribution by age and sex — Around 5.61 percent of cases registered this year were child cases. Of
the 94.39 percent adult cases there were 1.78 male to every female case. Among the childhood
cases, most (3.86% of total) were 5–14 years old. The regional age-wise distribution varied
considerably in 2073/74 from only 4 percent in the eastern region to 13 percent in the mid-western
region conversely meaning that the adult TB population was highest in the eastern region (96%) and
lowest in the mid-Western Region (89%).

Annual trends— The national CNR has been decreasing for many years Figure 4.7.4). The number of
cases registered reduced from 32,056 in the previous year to 31,764 in 2073/74. The rate of change
in CNR is 1.

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Disease Control

Figure 4.7.4: TB case notification rate (2068/69–2073/74)

160 case notification rate (PBC New)

Case notification rate (all forms)
140 130
136
123
120 125
111
112
100

80
64 67 69
60
61 60
56
40
2068/69 2069/70 2070/71 2071/72 2072/73 2073/74

Treatment outcomes
The NTP has achieved excellent treatment success rate, with a 91 percent treatment success rate
sustained since the introduction of DOTS in 1996, exceeding the global target of 85 percent.The
success rate has been 91 percent or more for new and relapse cases in the last 6 years (Figure 4.7.5).
However, the success rate has been lower for retreatment cases (loss to follow-up and retreatment)
but stable. 2073/74 saw the highest success rates for retreatment cases (88%). And the treatment
success rate among registered TB cases is almost constant in all five development regions. Out of all
TB cases registered in 2072/73, 92 percent successfully completed their treatment in 2073/74. The
western and Mid-western region achieved the highest (92%) and the far western region the lowest
success rate (87%).

Figure 4.7.5: TB treatment success trend (2068/69–2073/74)

100
95 91 92 91
90 90 90
90
88
85
85 84 83 86
80
75
72
70
65
60 New and Relapse

55 Retreated

50
2068/69 2069/70 2070/71 2071/72 2072/73 2073/74

168 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control
Table 4.7.2: Region wise TB treatment outcomes (2073/74)
Died Lost to Not
Region Registered Success Failed (%)
(%) follow-up evaluated
EDR 5233 91% 0.4% 2.9% 3.0% 2.5%
CDR 13389 91% 0.7% 2.4% 2.6% 3.0%
WDR 5587 92% 1.1% 3.7% 1.8% 1.6%
MWDR 4734 92% 1.2% 3.4% 1.9% 1.4%
FWDR 2965 87% 1.0% 4.6% 4.6% 3.0%
Nepal 31908 91% 0.8% 3.0% 2.6% 2.5%
Drug resistant tuberculosis
Drug-resistant TB has become a great challenge for the NTP and a major public health concern in
Nepal. Innovative approaches and more funding are urgently needed for the programmatic
management of drug resistance-TB nationally to detect and enrol more patients on multi-drug
resistant (MDR) TB treatment, and to improve outcomes.
Burden of MDR-TB — The Drug Resistance Survey (2011-12) found that levels of drug resistant TB
were increasing, with 9.3 percent of new patient resistant to at least one drug. RR/MDR-TB and
registered no. of RR/MDR-TB for treatment of FY 2073/74. Around 69.0% of estimated RR/MDR-TB
cases, 72.0% of Pre XDR-TB and only 43.0% of XDR-TB cases were enrolled for treatment. Case
finding among new cases is remarkably in increasing trend i.e; new RR/MDR-TB contribution in
registration category covering 14.6%, 15.3% and 18.8% for 3 consecutive years means NTP is
simultaneously diagnosing early RR/MDR-TB cases. Likewise the contribution of “category II failure
after first line treatment” in registration category is in decreasing trend i.e; 30.8%, 28.0% 24.0% for
consecutive year means again early case diagnosis is improving before cases reached category II
failure.
Total 343 RR/MDR-TB cases registered for treatment in FY 2073/74 among them 47 cases (13.7%)
from Eastern region, 138 cases (40.2%) from Central region, 87 cases (25.4%) from Western region,
36 cases (10.5%) from Mid-western region and 35 cases (10.2%) from Far-western region. Almost
half of the total RR/MDR-TB cases registered in Central region.

Box 4.7.3: Kinds of drug resistant TB

 Rifampicin resistant TB(RR-TB) is resistant to rifampicin (detected using rapid diagnostic tests),
with or without resistance to other anti-TB drugs and covers any resistance to rifampicin.
 Pre-extensively drug resistant TB (Pre XDRTB) is amulti-drug resistant strain of TB that is also
resistant to either one of the fluoroquinolones and all the second line injectable drugs.
 Extensively drug resistant TB (XDR-TB) is a severe form of MDR-TB that is multidrug-resistant
(MDR-TB) to all the fluoroquinolones and second line injectable drugs.

Case finding— The national policy defines six types of MDR-TB cases. Drug resistant TB is detected
early by the investigation of all new TB cases.Most MDR-TB cases are diagnosed as failure after
category 2 and retreatment.

DoHS, Annual Report 2073/74 (2016/17) 169

Disease Control
Figure 4.7.6: Number of MDR-TB cases notified (2071/72–2073/74)

140
124
120 108
97
100 92
80 82
80 75
69 68
62
60 52 54

40

20 10 10 9 12 12 13

0
New Relapse TAD Cat-I Failure Cat-II Failure others

2071/72 2072/73 2073/74

CDR and WDR regions have an increasing trend of notified MDR-TB case. The central region has been
identifying the most MDR-TB cases and the Far-western region the least (Figure 4.7.7).

Figure 4.7.7: MDR-TB cases notified by regions(2071/72–2073–74)

180
153 2071/72
160
138 2072/73
140
2073/74
120 109
100 87
79
80 73
57
60 50 47 50 49
38 36 35
40 28
20
0
EDR CDR WDR MWDR FWDR

Trend of treatment success rate is decreasing by 7% in FY 2071/72 compared to the result of 76% of
FY 2068/69. The fluctuation in treatment success rate is mainly affected by the proportion of failure
and lost to follow in the cohort. Another important result that was affecting success rate is deaths of
patients which was always around 9 to 11 percentage in the last couple of years. As per the cohort
report of 2071/72, 366 DR TB cases were enrolled in MDR TB however 33 MDR cases shifted to XDR
(4) and Pre-XDR (29). At the cohort analysis 10.5% (35/333) died, 9.9% (33) were lost to follow up
and few remaining were MOTT cases.
Treatment success rate of XDR-TB is extremely low ranging from 13% to 33% for consecutive year.
Most of the XDR-TB patient died within the treatment period due to disease severity, complication
and toxicity.

170 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control

Figure 4.7.8: Treatment outcomes of MDR TB cases (2068/69–2073/74

Trend of treatment outcome of

RR/MDR-TB in %
76% 2068/69 2069/70 2070/71 2071/72
71%
67% 70%

11% 12%
9% 9% 10.5% 8% 8% 11% 7% 7%
11% 9%

Rx Success Died Failure Loss to F/U & TO

NTP’s laboratory network

The diagnosis and treatment monitoring of TB patientsrelies on sputum smear microscopy because
of its low cost and ease of administration. It is also the worldwide diagnostic tool of choice
worldwide. Nepal has 596 microscopy centres that carry out sputum microscopy examinations. Most
are in government health facilities(487) with the rest in NGOs and private instructions (Table
4.7.3).There are well established networks between the microscopy centres (MCs) at PHCCs, DHOs
and DPHO, the five regional TB quality control centres (RTQCCs) and with the National TB Centre
(NTC). The microscopy centres send examined slides to their RTQCCs via DHOs according to the Lot
Quality Assurance Sampling/System (LQAS) method.

The overall agreement rate or the concordance of sputum slide examinations between microscopy
centres and RTQCCs was more than 99 percent in 2073/74 (Table 4.7.4). The agreement rate has
improved in recent years. The external quality assurance (EQA) for sputum microscopy is carried out
by the four regional health directorates and the National TB centre in Kathmandu.

Table 4.7.3: NTP laboratory network (no. of institutions)

Region EDR CDR WDR MWDR FWDR Total
GoN 118 120 90 73 86 487
Other 13 69 13 9 3 107
Total 131 189 103 82 91 596

Table 4.7.4: Number of laboratory performing agreement rates>90% (2073/74)

Region EDR CDR WDR MWDR FWDR Nepal

Agreement rate 93 107 80 72 77 429

A lot quality assurance sampling/system (LQAS) has been implemented throughout Nepal. At each
microscopy centre, examined slides for EQA are collected and selected according to the LQAS.
DoHS, Annual Report 2073/74 (2016/17) 171
Disease Control
Previously NTP used to collect all positive and 10 percent negative slides for EQA. In LQAS, slides are
collected and selected using standard procedures to give a statistically significant sample size. LQAS
is a systematic sampling technique that helps maintain good quality sputum results between
microscopy centres and quality control centres. The two means of testing for MDR-TB are given in
Box 4.7.4.

Box 4.7.4: Means of testing for MDR-TB in use in Nepal

The GeneXpert MTB/RIF is a cartridge-based technological platform that integrates sputum
processing, DNA extraction and amplification, TB and MDR-TB diagnosis. It has a similar sensitivity
to culture, targets M. tuberculosis specifically and enables the simultaneous detection of rifampicin
resistance. The Xpert MTB/RIF test is a valuable, sensitive, and specific new tool for early TB
detection and for determining rifampicin resistance. While mono-resistance to rifampicin occurs in
approximately 5% of rifampicin resistant strains, a high proportion of rifampicin resistance is
associated with concurrent resistance to isoniazid. Thus, detecting resistance to rifampicin can be
used as a marker for MDR-TB with a high level of accuracy. The use of Xpert MTB/RIF started in
Nepal in 2011/2012 and there are 42 Xpert MTB/RIF centres in Nepal.

The culture of M. tuberculosis remains the gold standard for both diagnosis and drug susceptibility
testing, and also the method of choice to monitor drug resistant TB treatment. Conventional culture
methods using Lowenstein-Jensen (LJ) has the major disadvantage of being very slow. LJ cultures
take eight weeks for negative results and four to six weeks after initial culture for drug susceptibility
testing. National TB Reference Laboratories (NRL), NTC and GENETUP, are providing culture and
drug susceptibility test (DST) servicesand the planis to establish centres in all regions in 2073/74.

Supervision and monitoring

The supervision and monitoring of TB health care services is carried out by regular visits to all levels
of the programme (Figures 4.7.9 and 4.7.10). In addition, the quarterly reporting of activities is
carried out at trimesterlyplanning, monitoring and evaluation (PME) workshops at all levels of the
programme.

The NTP regularly monitors case finding, smear conversion, treatment outcomes and programme
management reports from all levels of the programme. Data is initially analysed by DHOs and DPHOs
at district reporting and planning workshops. DTLOs report on treatment centres and districtsat
regional planning, monitoring and evaluation workshops. Finally, regional TB and leprosy officers
report by district at national PME workshops. These workshops take place every four months at the
beginning of each new trimester.

172 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control

Figure 4.7.9: TB supervision system Figure 4.7.10: TB monitoring system

Supervision System & Schedule International International Review Annual

Region, District, National Reporting &

Centre Treatment Centre National 4 monthly
Planning Workshop
Sub Centre

Four month
District, Regional Reporting &
Regional 4 monthly
Region Treatment Centre Planning Workshop
Sub Centre
District Reporting & Planning
Treatment Centre District 4 monthly
Workshop
District Sub Centre

monthly
Treatment Center Reporting
TreatmentCentre 4 monthly
& Planning Workshop

Logistics supply management

The NTP’s logistics management system supplies anti-TB drugs and other essentials every three
months to service delivery sites based on the number of new cases notified in the previous quarter
and the number of cases under treatment (Figure 4.7.11). Each programme level maintains four
months’ additional buffer stock to prevent stock outs. The buffer stocks kept at the regional level
were recently increased from four to six months of supplies to guard against shortages caused by
unforeseen natural and other disturbances.

Figure 4.7.11: NTP procurement demand and supply organisational chart

Procurement Demand Responsible authority &level Supply

▲ Global Drug facility - WHO HQ

▲ ▲ WHO SEARO ▼
▲ WHO Nepal

MoH and National Tuberculosis Center

▲ ▼

Regional medical (logistic)stores

▲
▲ ▼
DHOs, DPHOs
▲ ▼
PHCCs & health posts (treatment centres)

Physical and Financial Progress status

In 2073/74, NTC made 88.91 percent physical progress at the central level and 85 percent progress
at the district level programme. Financial progress was 50.59 percent at the central level and 81
percent at the district level programme. And NTC cleared 78.2 percent of financial irregularities
(beruju) in the year.

DoHS, Annual Report 2073/74 (2016/17) 173

Disease Control
Table 4.7.5: Physical and Financial Progress status
Central Level
Physical 41.o3%
Financial 52.30%
Irregularity (beruju) clearance - 78.25%
1.1.1 Problems and constraints
In 2073/74 the NTP faced considerable challenges and constraints that it seeks to address (see Box
4.7.5).
Box 4.7.5 Challenges and needed responses (NTP 2073/74)
Challenges:
1. Decreasing case notification.
2. Increasing trend of MDR-TB cases and
management of Pre-XDR TB and XDR.
3. Inadequate TB management training for
medical doctors.
4. Lack of effective mechanism for ensuring
active participation of local communities in
the planning, resource tapping and
allocation process of the NTP.
5. Lack of operational research on increasing
number of retreatment cases.
6. Lack of patient-friendly TB treatment service
in some places.
7. Inadequate courier system for transporting
slides.
8. Inadequate TB IEC materials.
9. Insufficient income generation programme
for drug resistance TB patients and their
families.
10. Difficultly of coordinating with regional and
zonal hospitals.
11. Lack of effective coordination among the
outpatient and inpatient departments,
laboratory and X-ray units in the hospitals
12. Difficulty in timely identification and
diagnosis of TB in children
174
District Level
Physical 85%
Financial 81%
Actions to be taken:
1. TB basic training to newly recruited health
personnel.
2. Expand drug resistance treatment service to
more health facilities.
3. Operate mobile screening camps.
4. Strengthen the public private mix approach.
5. Update supervision checklists and prepare
data based entry system for effective
feedback.
6. Expand the community-based DOTs
programme.
7. Improve sputum courier service in remote
areas.
8. Plan operational research on TB
9. Pilot patient-friendly treatment centres in
the country.
10. Develop and distribute patient-centred TB
IEC materials.
11. Strengthen the Community Support System
programme
12. Develop communication mechanism among
inpatient and outpatient department,
laboratory and x-ray unit for tracking the
suspects for diagnosis.
13. Train medical doctors for diagnosis of
childhood TB.
DoHS, Annual Report 2073/74 (2016/17)
 Disease Control

4.8 HIV/AIDS and STI

1: Background
With the first case of HIV identification in 1988, Nepal started its policy response to the epidemic of
HIV through its firstNational Policy on Acquired Immunity Deficiency Syndrome (AIDS) and Sexually
Transmitted Diseases (STDs) Control, 1995 (2052 BS). Taking the dynamic nature of the epidemic of
HIV into consideration, Nepal revisited its first national policy on 1995 and endorsed the latest
version: National Policy on Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections
(STIs), 2011. A new National HIV Strategic Plan 2016-2021 is recently launched to achieve ambitious
global goals of 90-90-90.By 2020, 90% of all people living with HIV (PLHIV) will know their HIV status
by 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral
therapy,andby 2020, 90% of all people receiving antiretroviral therapy will have viral suppression.

1.1.Overview of the Epidemic

Starting from a ‘low level epidemic’ over the period of time HIV infection in Nepal evolved itself to
become a ‘concentrated epidemic’ among key populations (KPs), notably with People who Inject
Drugs (PWID), female sex workers (FSW), Men who have Sex with Men (MSM) and Transgender
(TG) People in Nepal. A review of the latest epidemiological data, however, indicates that the
epidemic transmission of HIV has halted in Nepal. The trend of new infections is evidently taking a
descending trajectory, reaching its peak during 2001-2002.The epidemic that peaked in 2000 with
almost 8,000 new cases in a calendar year has declined to 942 in 2016 (reduced by 88%). This
declineis further accompanied bythedecreasing trend of estimated new HIV infections occurring
annually in Nepal as shown inError! Reference source not found. below.

Figure 1: : Trend of HIV Prevalence among 15+ years (1985-2020)

0.5

0.4
Number

0.3
0.21
0.2 0.17
0.1 0.13

Male Female Total

DoHS, Annual Report 2073/74 (2016/17) 175

Disease Control

This prevalence has dropped from 0.42% (highest level projected in 2004) to 0.17 in 2016 and is
expected to maintain a plateau at 0.2% through 2020 with thecurrent
current level of efforts.

Figure 2: Estimated HIV infections by age group, 2016 Male

15,000 13,777
Female
9,361
10,000
Number

5,085
5,000
1,790
611 585 759 767
-
0--14 years 15-24
24 years 25-49
49 years 50+ years

Figure 3: Annual HIV infections among adults (15+) by route of transmission : 1990
1990-2020
2020
8,000

6,000

4,000

2,000

0
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
External infections Needle sharing Male
Male-male sex Wife to husband Husband to wife Sex Work

Overall, the epidemic is largely driven by asexual

sexual transmission that accounts for more than 73% of
the total new HIV infections.Making
infections Making up 3.6% % of the total estimated PLHIV(32,735
32,735),, there are about
1,197children
children aged up to 14 years who are living with HIV in Nepal in 2016,, while the
the adults aged 15
years and above account for 96 6.4%. With an epidemic that has existed for more than two decades,
there are 6,875 infections estimated among thepopulation
population aged 50 years and above (21%).
( %). By sex,
males account for two-thirds
two (62
2%)
%) of the infe
infections
ctions and the remaining more than one-third
one third (38%)
( of
infections are in females, out of which around 81% % are in the reproductive age group of 15-49
15 49 years.
years

Heterosexual
eterosexual transmission is the major routine of transmission in the total pool of HIV infection in
Nepal.The contribution from all bands of KPs is similar in the period of projection
projecti 1995-2020,
2020, only
the level is varying
varying.

176 DoHS, Annual Report 2073/74

207 (201
(2016/17)
 Disease Control

In 2016, 96.4% of the total infection was

Figure 4: Distribution of population with HIV infection
distributed among the population having age among 15 years and above in 2016
group 15 years and above. The estimate indicates
that among total infections are distributed
among PWIDs (4%), MSWs(6%), MSM and TG
(7%), FSWs (1%) and Client of FSWs (7%). These
apart, low-risk males including MLM account for
38%,andlow-risk females account for 37% of the
remaining infections.The estimated number of
annual AIDS deaths of all ages is estimated to be
around 1,771 for 2016.

Civil societies have also played pivotal roles in

the national response. Civil societies, through
empowerment of KPs, have been playing instrumental roles in prevention, treatment, care and
support as well as bringing about changes in legal and policy environment through advocacy.

External development partners equally support the national response to HIV in Nepal by providing a
substantial amount of resources required for combating HIV.The Global Fund, bilateral agencies,
namely Global Fund for AIDS, TB and Malaria (GFATM), United States Agency for International
Development (USAID), United Nations Children’s Fund (UNICEF),AIDS Health Care Foundation (AHF)
are the external sources that are contributing to the national HIV response.

2: Policy Environment and Progress in National HIV Response

2.1 Introduction
More than two decades of the HIV epidemic has stimulatedNepal to respond with a number ofpolicy
initiatives. These policy responses have come cross cuttingly from the health sector as well as other
development sectors aiming at creating an enabling policy environment for the containment of HIV
as well as mitigation of the epidemic. Notable policy developments taken for guiding the national
response to HIV are spelt out here.

The National Health Sector Strategy Implementation Plan (NHSS-IP 2016-2021)

Nepal’s HIV and STI response, recognized as a priority 1 programme by Government of Nepal, is
guided by the ‘National HIV Strategic Plan 2016-20121’, the Sustainable Development Goals, and the
National Health Sector Strategy (2015-2020). National Health Sector Strategy Implementation Plan
(NHSS-IP) operationalizes objectives of Fast-Tracking HIV response to achieve ambitious 90-90-90
targets by 2020 and ending the AIDS epidemic as a public health threat by 2030.

National HIV Strategic Plan 2016-2021

The National HIV Strategic Plan 2016-2021, the fifth national strategywith the aim of meeting the
global goal of 90-90-90 by 2020. By 2020, 90% of all people living with HIV will know their HIV status
by 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral
therapy,andby 2020, 90% of all people receiving antiretroviral therapy will have viral
suppression.The National HIV Strategic Plan for the period 2016–2021 is a set of evidence-informed
strategies focused on building one consolidated, unified, rights-based and decentralized HIV
DoHS, Annual Report 2073/74 (2016/17) 177
Disease Control

programme with services that are integratedinto the general health services of the country. It builds
on lessons learned from implementation of the National AIDS Strategy 2011–2016, its mid-term
review and the Nepal HIV Investment Plan 2014–2016, and it applies recommendations from the
AIDS Epidemic Model exercise and other strategic information from studies, surveys and
assessments.

National Health Sector Strategy(2015-2020)

The Ministry of Health, National Centre for AIDS and STD Control is accountable for the
implementation of the National HIV Strategic Plan, through the public health service infrastructure
at national, regional, district and village level. Its implementation takes place in coordination with
other public entities and the private sector, including services that are provided by civil society and
other non-government networks and organizations. Because financing the HIV response in Nepal
relies heavily on external funding that is rapidly declining, it is imperative that relevant and mutually
beneficial public-private partnerships be established and maintained, and that wise, evidence-
informed investment choices are made.
The commitment by Nepal of both the global “UNAIDS Strategy 2016-2021,” and the “Sustainable
Development Goals” adopted by the UN General Assembly, include commitments to Fast-Tracking
the HIV response to achieve ambitious 90-90-90 targets by 2020 and ending the AIDS epidemic as a
public health threat by 2030.

2.2 Policy related activities/highlights from FY073/074

With the aim of effective implementation of the national response to achieve thenational goal of 90-
90-90, a number ofnational guidelines also have been put into operation. These include "National
HIV Testing and Treatment Guidelines, 2017", National Consolidated Guidelines on Strategic
Information of HIV Response, 2017, PMTCT Training Manual, 2017, HIV Treatment Literacy Training
Manual 2017, Pediatrics Disclosure Guidelines 2017 and National Guidelines on Community Led HIV
Testing in Nepal 2017.

National Consolidated Guidelines on Strategic Information of HIV Response in Nepal

Strategic Information is very critical for evidence-based planning and informed policy and
programme decisions. For the effective response to HIV, the country requires strategic information
systematically collected, collated, analyzed, disseminated and applied. The consolidated guideline is
essential to generate strategic information for informed policy and programme decisions. The
consolidated SI guideline consolidates M&E guideline, Surveillance guideline and National HIV
research agenda to generate indicators at various levels. The consolidated SI guideline is in the
process of development and soon will be published.

3: HIV Testing Services and STI Management

3.1Introduction
Pursuant to its goal of achieving universal access to prevention, treatment care and support, HIV
Testing Services (HTS) has been a strategic focus in the national response to HIV ever since Nepal
started its response to HIV. The first ever HTC began in 1995 with the approach of voluntary Client-

178 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control

Initiated Testing and Counseling (CITC). Moving further from its previous approach of voluntary CITC,
the national HIV testing and counselling program has been later widened to include Provider-
Initiated Testing and Counseling (PITC), as well as CITC as crucial components of the nation’s fight
against HIV. With the expansion of HTC sites across the country, there has been parallel
development. National Guidelines on HTC was formulated in 2003 and updated in 2007, 2009 and
2011 and later the separate guidelinesis merged as acomprehensive guideline on treating and
preventing HIV in 2014. The community based testing approach has also been initiated in key
population,and as suggested by National HIV Testing and Treatment Guidelines, 2017 Nepal is also
moving forward to implement community-led testing approachin order tomaximize HIV testing. For
this approach,National Guideline on Community Led HIV Testing in Nepal 2017’is also endorsed.
Human resources for HTC have been trained for public health facilities as well as NGOs-run HTS sites.
Along with HTS, detection and management of Sexually Transmitted Infections (STIs) havealso been
a strategic focus and integral part of the national response to HIV ever since Nepal started its
response to HIV. Over the years, STI clinics have been operating across the country maintaining their
linkage to KPson the basis of the National STI Case Management guideline which was developed in
1995 and also revised in 2009 and 2014.

3.2 Key strategies and activities

HIV Testing Services
The National HIV Strategic Plan 2016-2021 envisions rapid scaling up of testing services by
community-led/based testing in a non-duplicated manner in targeted locations in a cost-effective
way to ensure maximum utilization with strong referral linkage to ahigher level of treatment, care
and support. The National Strategy further foresees that the public health system will gradually take
up HIV testing services as an integral part of the government health care service by 2015.

The Government of Nepal is promoting the uptake of HIV testing among KPs through targeted
communications and linkages between community outreach and HTS. Likewise, Provider-Initiated
Testing and Counseling (PITC) havebeen taken to STI clinics, Antenatal Clinic (ANC), childbirth,
malnourished clinic, postpartum, Family Planning, and TB services. Thus in this context, the national
response, over the years, has seen an expanding coverage of HTS as an entry point to:

 Early access to effective medical care (including ARV therapy, treatment of opportunistic
infections(OIs), preventive therapy for tuberculosis and other OI and STIs;
 Reduction of HIVin all including mother-to-child transmission;
 Emotional care (individual, couple and family);
 Referral to social support and peer support;
 Improved coping and planning for the future;
 Normalization of HIV in society (reduction of stigma and discrimination);
 Family planning and contraceptive services; and
 Managing TB/HIV co-infection.

Detection and Management of STI

In the context of detection and management of STI, the standardization of quality STI diagnosis and
treatment up to health post and sub-health post level as a part of primary health care services has
been a key strategy in the national response to HIV. This strategy further foresees standardization of

DoHS, Annual Report 2073/74 (2016/17) 179

Disease Control

syndromic approach with the referral for etiological treatment when needed.

Strengthening documented linkages (referral of follow-up mechanisms) between behavioral change

communication (BCC) services and HIV testingandcounseling, including thestrengthening of linkage
between HTC and STI services has been one of thekey actions in the context of the concentrated
epidemic of Nepal.

3.3Progress and Achievement

HIV Testing Services
There are 175HIV Testing and Counseling sitesin Nepalthat include39non-government sites and 136
government sites operating in the country also maintaining their linkages with KPs as well as with
ART sites as well as PMTCT sites.The trend of programmatic data of people who were tested and
counseled over the last three yearsis showed in Table 1.

Table 1: Service Statistics HIV Testing and Counseling for the period of BS 2071/72-2073/74
Indicators 2071/72 2072/73 2073/74
Total tested for HIV 2,64,081 122,888 176,228
Total Positive reported 1,480 2,163 1,781
Cumulative HIV reported cases 26,702 28,865 30,646
Source: NCASC
The HIV testing is higher in Province 7 (40,388) and Province 3 (39,043) whereas the percentage of
positivity yield is higher in Province 2 and Province 3. The province wise detail is also shown in Table
2.

Table 2: Province wise Service Statistics HIV Testing and Counseling in 2073/74
Provinces Tested for HIV Positive reported % of positivity yield
Province 1 31,780 207 0.7%
Province 2 14,245 273 1.9%
Province 3 39,043 630 1.6%
Province 4 4,530 108 2.4%
Province 5 45,104 134 0.3%
Province 6 682 9 1.3%
Province 7 40,844 208 0.5%
176,228 1781 1.0%
Source: NCASC

3.4 Key challenges/Issues and recommendations

Issues
Huge data gap is found in HIV program
especially the report from many
sites(Hospitals,and NGOs) are yet to be covered
in the electronic HMIS system.
The community-based HIV testing service
among key population is mainly run through
NGOs,andHMIS database system does not fully
cover NGO setting. The reporting from the
Recommendations
Coordination between DPHO and service sites
should be strengthened.
Coordination between DPHO or HMIS and NGO
should be strengthened. All the working NGO must
be enlisted in the system. So that, the total testing
numbers could be incorporated.

180 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control

working NGO yet to be covered in the electronic

HMIS system.
Low HIV testing coverage among KPs has been Effective roll out of Community-led HIV Testing
and Treatment Competence (CTTC) approach with
along-standing challenge in response to HIV. The
problem of low coverage is most prominent for active monitoring should be in place.Provide
the returning labor migrants among all KPs. testing facilities at transit points as well as
destinations of migrant population.
The service gap among the key population that The service need to be revivedto increase the
was supportedunder pool fund. testing coverage among the key population.

Expansion of HIV testing sites. The establishment of testing sites in government

institutions should be scaled up to increase the
accessibility of the service including the
community based/led testing service through
NGOs.

4: Prevention of Mother to Child Transmission for eVT

4.1 Introduction
Nepal started its Prevention of Mother to Child Transmission (PMTCT) program in 2005 with setting
up three sites at: 1) B. P. Koirala Institute of Health Science (BPKIHS), Dharan; 2) Maternity Hospital,
Kathmandu and; 3) Bheri Zonal Hospital, Nepalgunj. Moving further in this direction, apart from the
free provision of maternal ART and prophylaxis for infants, the National Guidelines on PMTCT have
been developed and integrated intoNational HIV Testing and Treatment Guidelines in Nepal, 2017.
Humanresources, especially from maternal and child health care, have been trained in alignment
with PMTCT services. Along with that the preparation and updating of training manuals have taken
place. Apartof it,HIV testinghas been incorporated into maternal and child health care in the form of
PITC. Tailoring to the needs of HIV-infected infants as well as HIV exposed babies; counselling and
information on infant feeding have been adjusted accordingly.

4.2 Key strategies and activities

Taking Mother-to-Child Transmission (MTCT) is a potentially large source of HIV infections in children
in Nepal into consideration; National Strategyaims toeliminate new HIV transmission by 2021. In the
cognizance of a very low coverage of PMTCT, the current National Strategy envisages the PMTCT
programme to be integrated and delivered through Reproductive Health (RH) and Child Health
Services. The National Strategy also foresees the integration of PMTCT into RH Programme placing it
under the aegis of Family Health Division (FHD). The National Strategy has structured the PMTCT
programme around the following comprehensive and integrated four-prong approach:

i. Primary prevention of HIV transmission

ii. Prevention of unintended pregnancies among women living with HIV
iii. Prevention of HIV transmission from women living with HIV to their Children, and
iv. Provision of Treatment, Care and Support for women living with HIV and their children and
families.
Pursuant to the last two elements of the four prong approach, a package with the entailment of the
DoHS, Annual Report 2073/74 (2016/17) 181
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following services isbeing provided to pregnant women:

 HIV testing and counseling during ANC, labour and delivery and postpartum
 ARV drugs to mothers infected with HIV infection
 Safer delivery practices
 Infant feeding information, counseling and support,
 Early Infant Diagnosis (EID) of all HIV exposed children at 6 weeks and
 Referrals to comprehensive treatment, care and social support for mothers and families with
HIV infection.
With the collaboration of community-basedorganization, the government of Nepal launched
Community-Based Prevention of Mother to Children Transmission (CB-PMTCT) program in 2009
taking PMTCT services beyond hospitals and making the services accessible to pregnant women
living in remote areas. The CB-PMTCT program, drawing the leverage of community support, has
found to have increased ANC coverage as well as HTC uptake among pregnant women (UNICEF
2012). CB-PMTCT programme hasbeen expandedthroughout the country.
Apart from CB-PMTCT program, adhering to the key actions envisaged by the National Strategy, the
country is scaling up PMTCT service synchronizing with planned ART, HTC /STI, OI services for
ensuring access to acontinuum of care and ART to pregnant women with HIV. Furthermore, linkages
have been established between PMTCT sites and KAP targeted intervention, Family Planning, SRH
and counseling services.

4.3Progress and Achievement

Pursuant to its commitment toeliminate vertical transmission of HIV among children by 2021, Nepal
has scaled up it PMTCT services in recent years. As a result of this scale up of PMTCT sites,the
number of women attending ANC and labour who were tested and received results has increased
over the years. Despite this relative increase in uptake, the coverage for PMTCT is still low (63.7%).
The three-year trend of service statistics is showed in Table3.

Table 3:Service Statistics on PMTCT in Nepal for the period of BS 2071/72 -2073/74

Indicators 2071/72 2072/73 2073/74

Tested for HIV (ANC &Labour) 135,904 276,593 382,887
HIV Positive Pregnant women 108 145 128
Total Deliveries by HIV +ve mothers 88 128 126
Mothers received prophylaxis and ART 74 163 175
Babies received prophylaxis 73 119 112
Source: NCASC

The HIV testing among pregnant women is higher in Province 3 (100,340),and Province 5 (74,829)
whereas the percentage of positivity yield among pregnant women is higher in Province 1, 2, 3 and 4
than national. The province-wise detailis also shown in Table 4.

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Table 4: Province wise Service Statistics on PMTCT in Nepal 2073/74

Provinces Pregnant women Positive pregnant

Positivity Yield
tested for HIV women identified
Province 1 53,646 27 0.05%
Province 2 32,724 17 0.05%
Province 3 100,340 45 0.04%
Province 4 45,189 20 0.04%
Province 5 81,521 13 0.02%
Province 6 16,899 0 0.00%
Province 7 52,568 6 0.01%
Total 382,887 128 0.03%
Source: NCASC

Aiming at the elimination of mother to child transmission, Nepal takinga major transformative
measure this fiscal year, adheres to Option B+ and embarks for providing lifelong ART for all
identified pregnant women and breastfeeding mothers with HIV, regardless of CD4 along with
prophylaxis treatment for their infants as well. The rollout of the lifelong treatment adds the
benefits of thetriple reinforcing effectivenessof the HIV response: (a) help improve maternal health
(b) prevent vertical transmission, and (c) reduce sexual transmission of HIV to sexual partners.

Early Infant Diagnosis (EID)

Initiatives for Early Infant Diagnosis (EID) of HIV in infants and children below 18 months of age have
been takenwith the goals a) of identifying infants early in order to provide them lifesaving ART; and
b) of facilitating early access to care and treatment in order to reduce morbidity. In this context, a
Deoxyribonucleic Acid (DNA) Polymerase Chain Reaction (PCR) testing facility has been set up at
National Public Health Laboratory in Kathmandu.With this, as of end FY 2073/74, there were 25sites
where DBS sample are collected with thesupport of NPHL. Likewise,5sitesare supported by USAID-
funded SSP providing for DBS sample collection. Thiswas complemented by the development of a
training package on thepreparation of Dried Blood Sample (DBS).

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Disease Control

Figure 5: CB PMTCT districts and EID Sites

4.4
.4 Key challenges/Issues and recommendations
Issues Recommendations
Availability of HIV test kits with limited expiry date
date. Ensure timely procurement and supply of test
kits to service sites.
Tracking of HIV-positive
positive mothers and exposed baby for The robust tracking system to track the HIV-
HIV
EID positive women should be developed,
developed and
home-based
based blood sample for EID test of
exposed baby can be recommended.
recommended
Mainstream
Mainstreaming
ing the private hospital in the national District should strengthen coorrdination with
reporting system for PMTCT test private hospitals to regularize the reporting
to district.
district
Supportive monitoring visit at service delivery points Frequent monitoring visit should be
from the district and centre performed to intensify the service at
abirthing
birthingcentre
centre and beyond birthing centre.

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(2016/17)
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5: HIV Treatment, Care and Support Services

5.1Introduction
With a primary aim to reduce mortality among HIV-infected patients, the government, in 2004,
started giving free ARV drugs in a public hospital and that was followed by the development of first
ever national guidelines on ARV treatment. Since then, a wide array of activities has been carried out
with the aim of providingTreatment, Care and Support services to People Living with HIV (PLHIV).
Based on National HIV Testing and Treatment Guidelines 2017 county implemented ‘test and treat’
strategy form February 2017. Necessary diagnostic and treatment-related infrastructures such as
CD4 machines and viral load machines have been set up in different parts of the country for
supplementing ART management program. Human resources have been trained for Treatment, Care
and Support in parallel with the preparation and updating of training guidelines. People Living with
HIV have been empowered aiming at enhancing their supplementary roles in Treatment, Care and
Support.

5.2 Progress and Achievement

By the end of2016, out of
Figure 6: Treatment Cascade as of the end of 2016
13,069 of those who were on 32,735
35000
ART, there were11,318 30000
retained in the treatment for 25000
18,130
20000
12 months and among the 13,069
15000 11,318
total tested (7,042) almost 10000 7,042 6,209
90%(6,209) ofPLHIV were 5000
0
with their viral load
Estimated # of alive PLHIV Retension on Viral Load Viral Load
suppressed (Figure6). The Number of PLHIV and receiving ART ART (12 Test Suppression
PLHIV Know their Months)
total cumulative number of status
PLHIV receiving ART by the
end of fiscal year
2073/2074has reached the figure of 14,544. Over the years, there have been gradual increases in the
number of people enrolling themselves on ART as well as receiving ARVs (Table5).

Out of those who are currently on ART, 91.7% are adults and remaining 8.3% are children, while
male population makes 51.0%, female population 48.6%, and remaining 0.4% are of thethird gender.

Table 5: ART Profile of the period of FY 2070/71-FY 2073/74

Indicators 2071/72 2072/73 2073/74

People living with HIV ever enrolled on ART (cumulative) 14,745 16,499 19,388
People with advanced HIV infection receiving ARVs (cumulative) 11,089 12,446 14,544
People lost to follow up (cumulative) 1,216 1,612 2,049
People stopped treatment 30 31 25
Total deaths (cumulative) 1,834 2,410 2,770
Source: NCASC

The number of people on ART is higher in Province 3 (4,082) and Province 7 (2,824). The province
wise detailis also shown in Table 6.
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Disease Control

Table 6: Province wise people on ART FY 2073/74

Province People on ART

Province 1 1,197
Province 2 1,428
Province 3 4,082
Province 4 1,807
Province 5 2,772
Province 6 434
Province 7 2,824
Total 14,544
Source: NCASC
There are total68ART sites across 59 districts till the
Figure 7: Outcomes of ART Programme in Nepal
end of the fiscal year 2073/74and it shows that 14%
of those ever registered on ART died and 11% have 0% 11%
been lost to follow-up, while 75% are alive on 0%
treatment.
14%
The Program data (FY073/74) showed that of all the
patients registered on ART during the period, 88%
were still actively on ART after 12 months while
75%
83% were still actively on ART after 24 months of
treatment. With the aim of supplementing the ART
management program, CD4 countstesting service
are available on30 different sites. Some of the Currently on ART Death
Missing Stopped treatment
portable CD4 counting machineshave been placed Lost to follow up

in thehilly districts of western, mid-western and far

western districts of Nepal to provide timely CD4 count service to monitor ARV effectiveness that
leads to support PLHIV to sustain quality and comfortable life. To monitor ART response and
diagnosing treatment failure, viral load testing is recommended for people receiving ART. National
Public Health Laboratory (NPHL), Bir hospital and Seti Zonal Hospital offer viral load test service to
the people on ART treatment.

With the purpose of early diagnosing HIV infection among children born to HIV infected mother
earlyDeoxyribonucleic Acid (DNA) Polymerase Chain Reaction (PCR) test is done at the National
Public Health Laboratory in Kathmandu. The DNA PCR test is done at birth and 6 weeks. This test is
recommended for diagnosing HIV status of children below 18 months and for those whose test
result is inconclusive by rapid test.
As of 2073/74,total 8,669has received CHBC services from 43 covering districts (Table 7). In the same
context, 42 districts have CCCs areacross the country which have been delivering their services to
PLHIV (Table 8).

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Table 7: Service Statistics on CHBC Services in Nepal, as of the end of FY 2073/74

Indicators Numbers
Number of PLHIV received CHBC services 8,669
Number of PLHIV referred for ART management 4,210
Number of PLHIV referred for management of opportunity infections 730

Table 8:Service Statistics on CCC Services in Nepal as of the end of FY 2073/74

Indicators Numbers
Number of CCC sites in Nepal 44
Number of PLHIV received psycho-social counseling support 6,500
Number of PLHIV received nutritional support 6,410
Number of PLHIV referred for management of opportunity infections 1,932

5.3 Key challenges/Issues and recommendations

Issues
Low access to CD4 Count
and Viral Loadmachines
Client duplication in the
service
Lost or deteriorating medical
records(Recording and
Reporting)
Poorsupply of OIs medicines
as per demand
Inadequate financial support
for the clients
Poor Monitoring and
Supervision of the ART
Programs
CHBC services coverage is
declining over time due to
limited support from donors.
Recommendation
Placement of point of care CD4 machine and implementing viral load
testing by GenXpert and using DBS is recommended.
The robust, unique identifier system should be developed to track
the individual client within and across the service sites.
Start an electronic record keeping system with backup capability. In
addition, creating a client coding system would facilitate improved
record keeping and continuity when clients are transferredin or
transferredout.
Provide aconsistent supply of OIs medicines that are supposed to be
provided according to the program.
The PLHIVs face financial problems, but there is not sufficient
government support to pay for medical care and treatment. So
thegovernment should establish a mechanism to share the financial
burden facing by PLHIV.
Regular and frequent monitoring and supervision to all ART Centers
for the effectiveness and efficient running of the program(Site by
site visit)
Government should invest in such an essentialservice in
coordination with NGOs.

6: Province level HIV related Services and Indicators

In the early 1990s, a national HIV surveillance systemwas established in Nepal to monitor the HIV
epidemic and to inform evidence-based HIV prevention efforts.Since then, integrated biological and
behavioral surveillance (IBBS) survey surveys have been conducted every two/three years among

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Disease Control

key populations at higher risk of HIV (PWID, MSM and TG, FSW and migrants) in identified three
epidemic zones (figure 7) to collect information on socio-demographics and biological markers to
assess the prevalence of HIV and other sexually transmitted infections (STI), behavioural information
(condom use, number of sex partners, needle sharing behaviours).The epidemic zones are based on
different distributions of key populations at risk, mobility links and HIV risk behaviour (figure 7).

6.1 Province Number 1

Province number one lies in theeastern part of Nepal and stretches from the Terai in the south to
the Himalayas in the north. It constitutes of one metropolitan, 46 municipalities and 90 rural
municipalities in new federal context. Fourteen districts from previous administrative division
(Eastern Development region) constitute of Province one. These districts are as follows: Bhojpur;
Dhankuta; Ilam; Jhapa; Khotang; Morang; Okhaldhunga; Panchthar; Sankhuwasabha; Solukhumbu;
Sunsari;Taplejung, Terhathum; Udaypur

Female sex workers and their clients, and MSM & TG, male labour migrants are amajor key
population at risk for HIV in this province. These key populations mainly reside in highway districts
(Sunsari, Morang and Jhapa). NCASC, as per its national surveillance plan has been conducting IBBS
surveys among key populations such as FSW, MSM & TG, and PWID in adifferent cluster. HIV
prevalence among PWID in Eastern Terai is 8.3% (IBBS, 2015) and 6.3% among MSM & TG in Eastern
Terai (IBBS, 2015). Currently, 24 HTS sites are providing HIV testing and counselling services in
Province one whereas 9 ART sites are providing treatment and care support to PLHIV. Similarly, 2
OST sites are providing OST service to PWID.

OST sites in Province one

i) Koshi Zonal Hospital, Morang

ii) Mechi Zonal Hospital, Jhapa

ART Sites in Province One

I. District Hospital, Dhankuta VI. Inaruwa Hospital, Sunsari

II. District Hospital, Ilam VII. BP Koirala Institute of Health Sciences
III. Mechi Zonal Hospital, Jhapa (BPKIHS), Sunsari
IV. Koshi Zonal Hospital, Morang VIII. District Hospital, Okhaldhunga
V. District Hospital, Udaipur IX. District Hospital, Sankhuwasava
6.2 Province Number 2
Province number 2 lies in the southeastern planes of Nepal. It consists of 8 districts from Saptrai in
the east to Parsa in the west. The province compromises of following districts:Bara; Dhanusha;
Mahottari; Parsa; Rautahat; Saptari; Siraha and Sarlahi. There are one Metropolitan city, three sub-
metropolitan cities, 43 Municipalities and 80 rural municipalities in province two. emale sex workers
and their clients, PWID, and MSM & TG are main epidemic drivers for HIV in these districts. IBBS
surveys are regularly conducted among the key population (FSW, PWIDs, and MSM/TG). In this
province, HIV responses are targeted to these groups. Currently, 15 HTS sites are providing HIV
testing and counseling services in Province two whereas 8 ART sites are providing treatment and
care support to PLHIV. NarayaniSub-regional Hospital is the only site providing OST service to PWID
in this province.

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ART Sites in Province Two

I. District Hospital, Bara VI

VI. Narayani Sub regional Hospital,
II. District Hospital, Rautahat Birgunj
III. District Hospital, Sarlahi VII
VII. Sagarmatha Zonal Hospital, Saptari
IV. District
rict Hospital, Jaleshwor, Mahottari VIII.
VIII Ram Kumar Uma Shankar Charity
V. Janakpur Zonal Hospital Hospital Siraha
Hospital,

Figure 7
7:: HIV epidemic zones in Nepal

6.3. Province Number 3

Province number 3 lies in the central part of Nepal. Most of the area of this province is hilly and
mountainous
mountainous.. The national capital (Kathmandu) also lies in this province. It consists of 3
metropolitan
metropolitans, 1sub
sub-metropolitan
metropolitan city, 44 Municipalities and 74 rural muni
municipalities
cipalities as per the new
federal structure. Province number 3 consist of 13 districts as per old structure namely:Bhaktapur;
namely: Bhaktapur;
Chitwan; Dhadhing; Dolakha; Kathmandu; Kavre; Lalitpur; Makwanpur, Nuwakot; Ramechhap;
Rasuwa; Sindhuli; Sindupalchowk. As per epi
epidemic
demic zones, this province consists of highway districts
and the Kathmandu Valley, and its epidemic is mainly driven by PWID (Male and females), FSWs,
clients of sex workers and MSM/TG.
MSM/TG. Some districts in this province are categorized as low HIV
prevalence zone where no such risk groups are drivers of HIV epidemic.

IBBS surveys are conducted among FSW, PWID and MSM/TG in the Kathmandu Valley. HIV
prevalence among FSW in the Kathmandu Valley is 2% (IBBS, 2015) whereas HIV prevalence among
PWID and MSM/TG is 6.4%6.4% and 2.4% respectively. HIV prevention services are being targeted to
these groups, and are being provided by the implementation partners whereas treatment, care and
support services are provided through government and community organizations.
organizations. There are 36 HTS
sites, 14 ART sites and 6 OST sites providing HIV prevention, treatment and care services in this
province.

List of ART sites in Province 3

I. Bhaktapur Hospital, Bhaktapur II. Bharatpur Hospital, Chitwan

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 Disease Control

III. District Hospital, Dhading IX. Maternity Hospital, Kathmandu

IV. Sukraraj Tropical & Infectious Disease X. Dhulikhel Hospital, Kavre
Control Hospital, Kathmandu XI. Sparsha Nepal, Lalitpur
V. Kanti Children’s Hospital, Kathmandu XII. District Hospital, Makwanpur
VI. Maiti Nepal, Kathmandu XIII. Trishuli Hospital, Nuwakot
VII. Bir Hospital, Kathmandu XIV. District Hospital, Sindhuli
VIII. Tribhuvan University Teaching XV. District Hospital, Sindhupalchowk
Hospital (TUTH), Kathmandu
List of OST sites in Province 3

I. Tribhuvan University Teaching IV. AavashSamuha, Bhaktapur

Hospital (TUTH), Kathmandu V. SPARSHA, Lalitpur
II. Patan Hospital, Lalitpur VI. Saarathi Nepal, Kathmandu
III. Richmond Fellowship Nepal (RFN), VII. Youth Vision, Kathmandu
Kathmandu VIII. Youth Vision,Lalitpur

6.4 Province Number 4

Province number 4 lies in the western part of Nepal and mostly consists of hills and mountain region.
It constitutes of 1 metropolitan, 29 municipalities and 55 rural municipalities (85 local bodies in
total). It consists of 11 districts: Baglung; Gorkha; Kaski; Lamjung; Manang; Mustang; Myagdi;
Nawalpur; Parbat; Syangja and Tanahun.

This province consists of highway districts and the Pokhara Valley. FSW and their clients, MSM/TG,
PWIDs and migrant workers are key populations in the Pokhara Valley whereas rest of the districts
are considered as low HIV prevalence zones. IBBS surveys are conducted in the Pokhara valley in
regular intervals among key populations. HIV prevalence among FSW, PWIDs is 0.3%,
2.8%.respectively. There are 24 HTS sites, 1 OST site (Western Regional Hospital) and 9 ART centres
in this province which are providing HIV prevention, treatment and care services.

List of ART sites in Province 4

I. Dhaulagiri Zonal Hospital

II. District Hospital, Gorkha
III. Western Regional Hospital, Pokhara
IV. Lamjung Community Hospital
V. District Hospital, Myagdi
VI. District Hospital, Syangja
VII. District Hospital, Tanahun
VIII. District Hospital, Parbat
IX. Walling PHC, Syanja

6.5 Province Number 5:

Province number 5 lies in the mid-western Terai and hilly region of Nepal. It consists of 12 districts
namely:Arghakhanchi; Banke; Bardiya; Dang; Gulmi; Kapilvastu; Nawalparasi west; Palpa; Pyunthan; Rolpa;
Rukum and Rupandehi. This province consists of Terai highway districts and Hilly regions from where
people migrate to India and other countries. Female sex workers and their clients, PWIDs MSM/TG, are key
risk populations in Terai districts whereas migrants are the key risk populations in the hilly districts. NCASC

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 Disease Control: HIV/AIDS and STI
conducts IBBS surveys among key population (PWID in Western to Far-western Terai highway districts,
MSM/TG in Terai districts, and migrants in western hilly regions). There are 26 HTS sites, 3 OST sites, and
12 ART sites in this province which are providing HIV prevention, treatment and care services.

List of ART sites in province 5

I. Bheri Zonal Hospital, Banke VIII. Prithivi Chandra Hospital, Nawalparasi

II. Rapti Sub Regional Hospital, Dang IX. United Mission Hospital, Palpa
III. District Hospital, Bardiya X. Lumbini Zonal hospital, Rupandehi
IV. District Hospital, Rolpa XI. District Hospital, Rukum
V. District Hospital, Pyuthan XII. Bhim Hospital, Rupandeh
VI. District Hospital, Gulmi XIII. District Hospital, Argakhachi
VII. District Hospital, Kapilvastu

List of OST sites

I. Bheri Zonal Hospital, Banke

II. Lumbini Zonal hospital, Rupandehi
III. Youth Vision, Rupandehi

6.6 Province Number 6

Province number 6 lies in Midwestern hills and Mountain region of Nepal. It consists of 10 districts which
are categorized as low HIV prevalence zones in Nepal (Dailekh; Dolpa; Humla; Mugu; Jajarkot; Rukum
west;Salyan; Kalikot;Jumla and Surkhet).

There are only 14 HTS sites and 2 ART sites in this province. Only migrants who migrate to high-risk areas
such as in Indian cities where HIV prevalence is high can be key population in this province.

List of ART sites

I. District Hospital, Dailekh III. Kalikot District Hospital, Kalikot

II. Mid-Western Regional Hospital, IV. Salyan District Hospital, Salyan
Surkhet

6.7 Province Number 7

Province number7 lies in the far-western region of Nepal and consists of 9 districts. It is similar to previous
Far-Western Development Region which consisted of 9 far-western districts as mentioned below (Achham;
Baitadi; Bajhang; Bajura; Dadeldhura; Darchula; Doti; Kailali and Kanchanpur).

This province comprises of 2 Terai highway districts and 7 districts in hilly and mountains regions. FSW,
PWIDs and MSM/TG are key drivers of HIV in Terai region whereas male labor migrants are key
populations in the 7 hilly districts. IBBS surveys are regularly conducted among these groups in this
province. There are 21 HTC and 11 ART sites in this province that provide HIV prevention and treatment
and care services to key population.

List of ART sites in Province 7

I. District Hospital, Achham VII. Dadeldhura Sub-regional Hospital,

II. Bayalpata Hospital, Achham Dadeldhura
III. Kamalbazar PHC, Achham VIII. District Hospital, Darchula
IV. District Hospital, Bajhang IX. District Hospital, Doti
V. District Hospital, Bajura X. Seti Zonal Hospital, Kailali
VI. District Hospital, Baitadi XI. Tikapur Hospital, Kailali
XII. Mahakali Zonal Hospital, Mahakali

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6.8 List of Possible Indicators for Province One, Two, Three, Four, Five and Seven
The following indicators might be useful to track HIV response in a particular province considering the
drivers of HIV epidemic in that province and HIV services being provided. However, the province can select
indicators that are deemed necessary to track HIV response. NCASC will provide any required support to
the provinces as and when needed.

Impact level Indicators

a) HIV prevalence among key population

b) HCV and HBV prevalence among people who inject drugs

Outcome level indicators

c) Percentage of sex workers reporting condom use with most recent client
d) Percentage of people who inject drugs reporting having used a condom the last time they had a
sexual intercourse
e) Percentage of men reporting the use of condom the last time they had anal sex with a male
partner
f) Percentage of migrants aged 15-49 reporting the use of condom the last time they had sex with
non-regular sexual partner

Output level indicators

g) Needle and syringe distributed per person who inject drugs
h) Percentage of individuals receiving Opioid Substitution Therapy who received treatment for at
least six months
i) Number and percentage of key population who had an HIV test in the past 12 months and know
their results
j) Percentage of key population reached by HIV prevention programmes - (BCC intervention, condom
and lube distribution)
k) Number of key population screened for HIV by trained layperson
l) Percentage of pregnant women with known HIV status
m) Percentage of pregnant women living with HIV who received antiretroviral therapy to eliminate
vertical HIV transmission
n) Percentage of reported congenital syphilis cases (live births and stillbirths)
o) Number and percentage of people living with HIV who are receiving HIV care (Including ART)
p) Percentage and number of adults and children on antiretroviral therapy among all adults and
children living with HIV at the end of the reporting period
q) Percentage of people living with HIV who are on retained on ART after 12, 24 and 36 months after
initiation of antiretroviral therapy
r) Percentage of health facilities dispensing antiretroviral therapy that experienced a stock-out of at
least one required antiretroviral drug in the last 12 months
s) Number (and percentage) of adults and children living with HIV currently receiving care and
support services from outside facilities
t) Percentage of HIV-positive patients who were screened for TB in HIV care or treatment settings
u) Percentage of TB patients who had an HIV test result recorded in the TB register

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4.9 EYE CARE

Comparing with the past, a considerable progress has been made in the field of eye health. This
can be taken as a good model for public-private partnership (PPP). Studying from the criteria of
World Health Organisation (WHO) Nepal’s status of blindness has declined from 0.81% in 1981
to 0.35 % in 2011.1 Though the situation of blindness has decreased more than half, there has
been no significant decline in the number of the blind as the population of the country has
doubled in comparison with that of 1981.

Though considerable progress was achieved in mitigating blindness in the past decades, there is
a need to implement more effective programmes to meet the goal of Vision 2020 and WHO
Global Action Plan and a lot of effort should be made to realise the vision of sight for all. In this
period, considerable development has been achieved in the sector of infrastructure
development also. At present the services at primary eye care centres/eye hospitals are
available in all the districts of the country. The technology applied in eye care has been
regularly updated to the global standard.

A considerable progress has also been made in the field of producing human resource in the
area of eye care. In 1981 there were total seven ophthalmologists in the country. This number
has now reached 205.At present there is one ophthalmologist for an estimated population of
150,000. In 1981 there was not even one optometrist in Nepal. Now there are 160 optometrists
in the country. The number of ophthalmic assistants has also reached 425 from zero. The
number of other directly involved health workers and nurses has also reached 450 and the
number of eye care managers and equipment maintenance personnel is also increasing
gradually. The number of necessary human resource necessary for effective management of
eye care service in proportion to the pressure of the patients and the population is still a
challenge.

One of the important decisions of Nepal Government in the field of eye care is to include eye
care service in the package of basic health service in Nepal Health Sector Strategy (NHSS) III. It
may increase the government ownership in and expansion of eye care sector in the future.

Though it is positive to score significant achievement in the field of eye care services, new
problems and challenges are coming up in the field of eye care service.

1
Epidemiology of Blindness in Nepal:2012 Nepal Netra Jyoti Sangh
DoHS, Annual Report 2073/74 (2016/17) 193
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Goal and Objectives:

To reduce the overall blindness below 0.2% among the visual acuity <3/60 and <0.4% among the visual
acuity 6/60 by the year 2020.

Outputs for (2016)

With all this opportunities and challenges the service output of the of the eye care services for the fiscal
year 2016 are as given below table:

Hospital Base Hospital Base

OPD
(Screening Nepali Foreign Surgery Nepali Foreign
+ECC+Outr Patient Patient Total (Outrea Patient Patient Total
S.No. Eye Hospital Name each) OPD (OPD) (OPD) ch) Surgery Surgery Surgery
Birat Eye Hospital
5787 16912 67644 90343 442 4200 12110 16752
1 Biratnagar, Morang
Chitwan Eye
15931 10632 151 26714 0 131 6 137
2 Hospital,Bharatpur
Kakarvitta Eye Hospital,
10556 12241 15874 38671 596 957 1858 3411
3 Birtamod, Jhapa
Lions Eye Hospital ,
0 37330 23 37353 0 0 0 0
4 Kathmandu
Mechi (Distri Eye
451 22118 16945 39514 39 2166 2159 4364
5 Hospital), Jhapa
Mechi Eye Hospital ,
41830 63032 95222 200084 1923 4047 17862 23832
6 Birtamod ,Jhapa
Mechi Netralaya &
Ophthalmic Research 2183 10248 36919 49350 82 1124 2306 3512
7 Centre P. Ltd. , Kakarvitta
Nepal Eye Hospital,
Tripureshwor , 16350 100317 14426 131093 473 3145 869 4487
8 Kathmandu
Nepal Netra Jyoti Sangh-
131438 90314 2275 224027 4862 1805 61 6728
9 Bharatpur Eye Hospital
Nepal Netra Jyoti Sangh-
58885 40314 217899 317098 248 7691 53170 61109
10 Biratnagar Eye Hospital
Nepal Netra Jyoti Sangh-
31744 56005 238 87987 0 1674 20 1694
11 Butwal Lions Eye Hospital
Nepal Netra Jyoti Sangh-
Chhanda(K) Narayani Eye 0 21619 47186 68805 0 1367 7271 8638
12 Hospital
Nepal Netra Jyoti Sangh-
Dr. Binod (N) Kadel Eye 9683 31731 11053 52467 917 374 313 1604
13 Hospital
Nepal Netra Jyoti Sangh-
Dr.Ram Prasad Pokharel 8009 0 0 8009 0 134 0 134
14 Eye Hospital
Nepal Netra Jyoti Sangh-
19718 57709 44878 122305 851 4237 5902 10990
15 Fateh Bal Eye Hospital
Nepal Netra Jyoti Sangh-
22542 35869 49995 108406 306 5309 7213 12828
16 Gaur Eye Hospital
Nepal Netra Jyoti Sangh-
218563 55968 45748 320279 3098 4695 21386 29179
17 Geta Eye Hospital
Nepal Netra Jyoti Sangh-
91767 109452 0 201219 2322 5552 0 7874
18 Himalaya Eye Hospital
Nepal Netra Jyoti Sangh-
36675 80549 0 117224 2662 4158 8997 15817
19 R.M.Kedia Eye Hospital
20 Nepal Netra Jyoti Sangh- 0 31764 19 31783 0 1394 8 1402

194 DoHS, Annual Report 2073/74 (2016/17)

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Hospital Base Hospital Base

OPD
(Screening Nepali Foreign Surgery Nepali Foreign
+ECC+Outr Patient Patient Total (Outrea Patient Patient Total
S.No. Eye Hospital Name each) OPD (OPD) (OPD) ch) Surgery Surgery Surgery
Lamahi Eye Hospital
Nepal Netra Jyoti Sangh-
216170 0 0 216170 0 0 0 0
21 Lumbini Eye Institute
Nepal Netra Jyoti Sangh-
Mahendra Nagar Eye 21167 0 0 21167 0 0 0 0
22 Hospital
Nepal Netra Jyoti Sangh-
Palpa Lions Lacoul Eye 27471 18845 0 46316 0 1173 0 1173
23 Hospital
Nepal Netra Jyoti Sangh-
65494 73828 0 139322 1257 2674 0 3931
24 Rapti Eye Hospital
Nepal Netra Jyoti Sangh-
Sagarmatha Chaudhary 0 169644 168901 338545 3332 13088 38026 54446
25 Eye Hospital
Nepal Red Cross Society ,
51947 51947 0 103894 648 648 30 1326
26 Surkhet
Netradham Eye Care
6500 6500 0 13000 0 860 0 860
27 Center, Kathmandu
NRCS shree Janaki Eye
43794 73947 31536 149277 0 3575 0 3575
28 hospital Janakpur
Padma Nursing Home ,
0 2560 0 2560 0 46 0 46
29 Pokhara
Ramlal Golchha Eye
Hospital , Biratnagar, 9975 38432 29009 77416 1163 1495 3539 6197
30 Morang
Shree krishna netralya
0 4631 5485 10116 0 78 695 773
31 eye clinic , Bhairahawa
Tilganga Inst. Of
102997 351659 28170 482826 7490 22938 654 31082
32 Ophthalmology
Grand Total 1267627 1676117 929596 3873340 32711 100735 184455 317901

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4. 10 Entomology

Background
The Entomology Section and its laboratory is an integral part of the Epidemiology and Disease
Control Division. The section was established in 2012/13. The section plans, implement, monitors
and supervises entomological activities including surveillance, risk assessmentsandthe operational
research of vector and carrier borne diseases including malaria, kala-azar, filariasis, dengue,
chikungunya, zika, Japanese encephalitis, chandipura encephalitis, scrub typhus, leptospirosis,
plague, gastroenteritis and emerging and re-emerging diseases with the potential of epidemic
outbreaks. It is also responsible for assuring the quality of tests to diagnose vector borne diseases.
There is the provision for entomology sections in all regional health directorates and EDCD. The
objectives of the section are listed in Box 4.10.1.

Box 4.10.1: Objectives of the Entomology Section

 To make available an accessible, affordable, acceptable and sustainable level of vector control
methods through community participation for scientific protection from vector borne diseases.
 To enhance vector control activities for eliminating targeted vector borne diseases.
 To provide rapid test kits, chemicals, lab equipment and accessories to diagnose vector-borne
diseases.
 To develop the capacity of laboratory personnel on malaria microscopy to help achieve a malaria
free Nepal by 2025.
 To develop the capacity for laboratory quality control and assurance and research on vector
borne diseases and epidemic prone diseases.
 To investigate the source of infection during outbreak situations.

Activities in 2073/74
The following investigations were carried out in 2073/74

Investigations and an entomological survey in all five regions in 12 districts of Nepal. In that survey
Anopheles mosquitoes were collected. These are the common species of anopheles
mosquito which were found in that survey.An. Culicifacies, An. vagus, An. annularis, An.
fluviatilis, An. splendidus,An. peditaeniatus

Problems, challenges and action plan

The main problems facing the Entomology Section and the recommended actions for overcoming
them are presented in Table 4.10.1.

196 DoHS, Annual Report 2073/74 (2016/17)


Table 4.10.1: problems, challenges and action plan
Problems and challenges
 No regular sending of malaria slides by peripheral
health facilities for quality control at the centre.
 Inadequate trained personnel including public health
entomologists, administrators, scientists and
researchers.
 Inadequate laboratory activities for investigating
outbreaks.
 Vacant EDCD laboratory positions on research and
investigation.
 Lack of a research laboratory in EDCD.
 No progress report received by EDCD from VBDRTC
 Lack of coordination between the entomology lab
and Save the Children’s Global Fund-supported
malaria programme.
 No proper distribution of basic and refresher malaria
microscopy training for other districts and private
sector medical college and hospitals.
DoHS, Annual Report 2073/74 (2016/17)
Disease Control
Action plan
 Develop and appoint human resources.
 Establish well-equipped entomological
laboratories at different levels.
 Form technical working groups at central,
state and regional levels.
 Establish insectariums.
 Regular central level monitoring and
supervision of peripheral facilities on vector
borne disease issues.
 Prepare and develop a malaria slide bank for
basic and refresher training.
 Involve laboratories in water quality
surveillance.
 The regular quality control of malaria slides.
197
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4.11 Epidemiology and Outbreak Management

The objectives and strategies of the Epidemiology and Outbreak Management Section are given in
Box 4.11.1.

Box 4.11.1: Objectives and strategies of the Epidemiology and Outbreak Management Section

Objective — To reduce the burden of communicable diseases and unwanted health events through
preparedness and responses during outbreak and epidemic situations by using the existing health care
system.

Strategies:
 The development and execution of preparedness planning to respond to outbreaks, epidemics and the
control of unwanted health events.
 The formation and mobilization of rapid response teams.
 The regular monitoring of outbreaks and epidemics through surveillance activities.

Regular activities
Preparedness planning for outbreaks, epidemics and unwanted health events:
 The identification of outbreak and epidemic prone districts and communities based on the
review of previous data.
 The identification of outbreak and epidemic potential diseases and health problems by analysing
disease seasonality.
 The preparation and annual updating of preparedness plans at regional and district levels.
 The preparation of lists of drugs and health logistics for use in outbreaks and epidemics.
 The stock-pilling of drugs and health logistics at strategic locations.
 The preparation of Infectious Disease Control Guidelines and orientation on them at the regional
level.

Rapid response teams for investigating and responding to outbreaks and epidemics:
 The formation of rapid response teams at central, regional, district and community levels and
their mobilization during outbreaks and epidemics.
 Investigating outbreaks.
 Responding to outbreaks through awareness activities and IEC activities, case management,
community mobilization and the coordination of stakeholders.

 The regular monitoring of outbreaks and epidemics

 The monitoring of outbreak potential diseases (malaria, kala-azar, dengue, acute gastroenteritis,
cholera and severe acute respiratory infections)at sentinel sites.
 The active surveillance of outbreak potential diseases in outbreak situations.
 Media monitoring and countering rumours.

Major outbreaks in 2073/74

Forty-one communicable disease outbreaks were recorded in Nepal in 2073/74, which affected
3,565 people and resulted in 29 deaths (Table 4.11.1). However, not all outbreak events are
198 DoHS, Annual Report 2073/74 (2016/17)
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reported to EDCD. There were major outbreaks of acute gastroenteritis and diarrhoea, cholera,
leptospirosis, scrub typhus, influenza, food poisoning, mushroom poisoning and dog bite. The
average case fatality rate was 0.81 percent. The Scrub Tyhus outbreak had the greatest morbidity.
Mushroom poisoning also had a high case fatality rate (45%). Reported water and food-borne
diseases were more prevalent this year.

Table 4.11.1: Communicable disease outbreaks, Nepal, 2073/74

Disease No. No. Affected districts Total Deaths
Outbreaks affected cases
districts
Acute gastroenteritis 9 6 Gorkha, Saptari, 579 3
and diarrhoea Nawalparasi, Baitadi,
Siraha, Ramechhap,
Influenza 8 8 Illam, Kathmandu, Jhapa, 463 1
Pokhara, Syangja,
Butwal, Nuwakot, Dolpa,
Dailekh
Cholera 6 5 Kathmandu, lalitpur, 155 0
Bhaktapur, Dhading,
Saptari
Leptospirosis 1 1 Ramechhap 178 0
Food Poisoning 7 6 Kaski, Bhaktapur, 188 0
Sindhuli, Ramechhap,
Jhapa, Nuwakot
Dog Bite 3 3 Chitwan, Surkhet, 37 0
Dolakha
Mushroom 3 2 Kaski, Palpa 22 10
Poisoning
Scrub typhus 2 47 Chitwan-538, Kailali-194 831 14
& other districts- 99
Dengue 2 2 Jhapa, Chitwan 1094 1
Total 41 80 3,565 29

Source: EDCD

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Problem and constraints
Table 4.11.2: Issues, recommendations and actions — epidemiology and outbreak management
Issues
Outbreaks of food and
water borne disease
Inadequate human resource
at EDCD
Inadequate coverage of the
surveillance system
The inadequate
investigation of outbreaks
The threat of emerging and
re-emerging diseases.
Changing disease patterns
with more non-
communicable diseases
200
Recommendations
Improve water supplies, hygiene and
sanitation.
Initiate food-borne disease surveillance
as soon as possible
Place adequate health workers in right
places
Carry out an organization and
management survey to identify gaps in
human resources at EDCD
Review the functionality of the existing
sentinel sites for EWARS
Scale up EWARS sentinel sites to cover
more outbreak potential areas
Add other diseases to EDCD’s list of six
potential outbreak diseases
Investigate outbreak in a more scientific
way
Disseminate outbreak investigation
reports
Deploy trained field epidemiologists to
investigate outbreaks
Enhance the capacity of response teams
through regular capacity development
and logistic arrangements
Planning and budgeting for NCDs
DoHS, Annual Report 2073/74 (2016/17)
Actions
Coordination with the Department of
Water Supply and Sanitation for
effective interventions
Coordination with the Department of
Food Technology and Quality
Control(DFTQC)
Organization and management
survey for human resource gap
analysis
Fulfilling vacant posts
Assessment of the functional status
of EWARS sentinel sites
Revision of EWARS guideline
Make a roster of field
epidemiologists
The mobilization of a comprehensive
team for outbreak investigation
Orientation programme at district
level
Allocated budget to rapid response
teams (RRTs) and guideline
preparation.
 Disease Control
4.12 Disaster Management

Background
The Disaster Management Section is a programme implementation unit of EDCD. The disaster
management programme is implemented by MoH, DoHS, EDCD and WHOEmergency Risk
Management (WHO-ERM). This section works for health sector emergency preparedness and
disaster response including disaster related outbreak management in coordination and collaboration
with stakeholders across the country.

This section aims to enhance the capacities of the health sector in emergency preparedness through
disaster preparedness, disaster risk reduction and response by:
 expediting health sector contingency planning;
 training health workers on emergency preparedness and responding to disasters; and
 Strengthening multi-sectoral coordination and collaboration for health sector disaster
management.

In the fiscal year 2073/74, no any such disaster event was recorded which affected the health of
people.

The Disaster Management Section has prepared a number of guidelines to guide disaster resilience,
prevention, preparedness and response (Table 4.12.1).

Table 4.12.1: Disaster-related guidelines published by EDCD

Documents Year published
1 Emergency Preparedness and Disaster Management for Hospitals 2002
2 Emergency Preparedness and Disaster Response Plan 2003
3 Guidelines for Seismic Vulnerability Assessment of Hospitals 2004
4 Public Health Guidelines in Emergencies 2004
5 Non-structural Safety in Health Institutions 2006
6 Nepal District Level Contingency Planning Manual 2010
7 Standard Operating Procedure for Disaster Health Working Group(DHWG) (Draft) 2010
8 Guidelines and Tools for Conducting Integrated Training of Rapid Response 2011
Teams (RRT) on Emergency Preparedness and Response

Activities in 2073/74
District health sector contingency planning— In 2073/74, 11 districts viz. Bhojpur, Sankhuwasabha,
Tehrathum, Taplejung, Okhaldhunga, Khotang, Tanahun, Kaski, Myagdi, Manang and Mustang
completed health sector contingency planning for disaster preparedness. This means that all the 75
districts have now completed health sector contingency planning (Table 4.12.2). These plans are
prepared by DHOs and DPHOs with technical and financial support from EDCD and WHO-ERM.

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Table 4.12.2: Districts that have carried out health sector contingency planning for disaster
preparedness, to end 2073/74
Province Health contingency planning workshop Remarks
completed in FY 2073/74
(11 districts)
6 districts: Bhojpur, Sankhuwasabha, Completed in all districts
1 Tehrathum, Taplejung, Okhaldhunga,
Khotang

2 None Completed in all districts

3 None Completed in all districts

5 districts: Tanahun, Kaski, Myagdi,Manang, Completed in all districts

4
Mustang

5 None Completed in all districts

6 None Completed in all districts

7 None Completed in all districts

Rapid Response training — Two RRT Teams in 2 districts, namely Baitadi and Palpa were trained on
emergency preparedness and disaster response. The Integrated Training Package for Rapid Response
Team on Emergency Preparedness and Response Manual was piloted among these two districts. The
training was conducted by EDCD with support from UNFPA.

Emergency and disaster preparedness planning– All the 75 districts conducted one day orientation
on emergency and disaster preparedness themselves.

Table 4.12.3: Hospital emergency preparedness plans prepared by EDCD

Name of Hospital Date plans prepared
1 Ilam District Hospital 16-9-2064
2 MahakaliZonal Hospital, Mahendranagar 19-11-2064
3 SetiZonalHospital,Dhangadhi 19-11-2064
4 Bhaktapur Hospital 19-11-2064
5 Dhankuta District Hospital 24-11-2064
6 Gandaki Regional Hospital, Pokhara 25-11-2064
7 Bir Hospital, Kathmandu 25-11-2064
8 LumbiniZonal Hospital, Butwal 29-11-2064
9 Narayani Sub-regional Hospital, Birgunj 30-11-2064
10 Bharatpur Hospital 30-11-2064
11 Achham District Hospital 2064

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Name of Hospital Date plans prepared
12 KoshiZonal Hospital, Biratnagar 20-1-2065
13 SagarmathaZonal Hospital, Rajbiraj 21-01-2065
14 MechiZonal Hospital, Bhadrapur 21-1-2065
15 Surkhet Regional Hospital 30-1-2065
16 Dhaulagiri Zonal Hospital, Baglung 28-2-2066
17 Bardiya District Hospital 28-2-2067
18 Nuwakot District Hospital 2067
19 RaptiZonal Hospital, Tulsipur 18-3-2067
20 Gorkha District Hospital 8-3-2068
21 Sunsari District Hospital 18-3-2068
22 BheriZonal Hospital, Nepalgunj 24-5-2069
23 Udaypur District Hospital 6-6-2069
24 JanakpurZonal Hospital, Biratnagar 10-6-2069
25 RaptiSub-regional Hospital, Gorahi, Dang 12-09-2069
26 Sindhuli District Hospital 27-8-2070
27 Gulmi District Hospital 23-3-2071
28 Makwanpur District Hospital FY 2071-72
29 Parbat District Hospital FY 2071-72
30 Dhading District Hospital FY 2071-72

Stockpiling — In 2073/74 EDCD’s Disaster Management Section continued its disaster preparedness
activity of stockpiling essential drugs and supplies at the central level, including surgical and trauma
kits and rehabilitation equipment. MoH and WHO manage large scale inter-agency emergency
health kits and diarrhoeal disease kits, which are stockpiled in Kathmandu, Biratnagar and
Nepalgunj. And all regional health directorates stockpiled necessary medicine and logistics while
DHOs and DPHOs stockpiled medicines and logistics in their disaster cupboards.

Issues, recommendations and actions

Table 4.12.4: Issues, recommendations and actions in 2073/74 — disaster management
Issues
Health sector preparedness plans
for outbreaks and emergencies
The retrofitting of hospitals to
make them resilient to disasters
Need for isolation wards in
hospital
Disaster preparedness
Recommendations
Review and implement health
sector emergency preparedness
plan
Make a plan for retrofitting major
hospitals
Establish isolation wards in selected
hospitals
Stock essential medicines in districts
Actions in 2073/74
Health sector emergency
preparednessplans
operationalized
Budget allocated for retrofitting
Resources allocated
torenovateisolation wards
Hospital based preparedness

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Disease Control
Issues
(earthquakes, floods, landslides,
seasonal influenza)
Allocate funds at all levels for
emergency and disaster
management
Recommendations
for disaster and emergency
preparedness
Each hospital to produce and
update a preparedness plan for
emergencies
Ensure designated funds at all levels
for emergency and disaster
management
Actions in 2073/74
plans prepared
Reviewed and mobilized rapid
response teams and community
rapid response teams (CRRT)
Stock of medicines held in districts
for disasters and emergencies.
Budget allocated for emergency
management at district level.

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4.13 Surveillance and Research

Background
EDCD’s Disease Surveillance and Research Section was established in August 2013. It conducts the
surveillance of reportable diseases and is responsible for collecting, analysing, interpreting, and
reporting information for infectious diseases. It monitors disease trends for early detection and
prompt response to outbreaks. It also assists in developing public health policies and programme
planning and implementation related to communicable diseases.

The section’s main strategies are to:

 monitor and describe trends of infectious diseases through a sentinel surveillance network
of hospitals, followed by public health action and research;
 develop a comprehensive, computerized database of infectious diseases of public health
importance;
 expand and strengthen the Early Warning and Reporting System (EWARS) to 75 districts; and
 implement the District Health Information System (DHIS2) platform for EWARS.

EDCD is a secretariat of the Water Quality Surveillance Committee, which is led by the EDCD
director. The committee is responsible for the regular surveillance of water borne diseases, for
coordinating with stakeholders for quality surveillance and for improving surveillance by training
human resources and through meetings and other programmes. It is also responsible for facilitating
water quality testing when waterborne disease epidemics occur and for recording the drinking water
distribution system through geographical information system (GIS) data and providing feedback to
the responsible organization.

Early Warning and Reporting System

Disease surveillance is carried out through the EWARS, a hospital-based sentinel surveillance system
that complements the HMIS by the early reporting of selected vector-borne, water and food borne
diseases with outbreak potential. The system provides timely alerts when increased numbers of
cases are reported from its hospitals.

The EWARS is mainly concerned with the weekly reporting of number of cases and deaths (including
zero reports) of six priority diseases — malaria, kala-azar, dengue and acute gastroenteritis (AGE),
cholera and severe acute respiratory infection (SARI). It prioritises the immediate reporting (within
24 hours of diagnosis) of one or more confirmed cases of cholera, severe and complicated malaria
cases, one suspected/clinical case of dengue, or five or more cases of AGE and SARI, from the same
geographical locality in a one week period. Other communicable diseases should also be reported to
the EWARS, whenever the number of cases exceeds the expected level.

The system was established in 1997 in 8 sentinel sites and was expanded to 24 sites in 1998, 26 sites
in 2002, 28 sites in 2003, 40 sites in 2008. As of April 2015, there were 81 sentinel sites throughout
the country covering all 75 districts.Its main objectives are given in Box 4.13.1.

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Box 4.13.1: Main objectives of the EWARS

To strengthen the flow of information on vector borne and other outbreak prone infectious diseases from the
districts; and to facilitate prompt rapid outbreak responses by rapid response teams at central, regional and
district levels to support DHOs, DPHOs, PHCCs and health posts with case investigation and disease control.
The system also helps in programme planning, evaluation, and the formulation of research hypotheses and to
disseminate data and information on infectious diseases.

Activities in 2073/2074

Expansion, sensitization and strengthening of sentinel sites — In 2073/74 an additional 4 sentinel

sites were trained on EWARS (District hospitalKhotang, District hospital Panchthar, District
hospitalManangandBayalpata hospital, Achham) bringing the number of EWARS sentinel sites to 64.

The medical recorders, doctors, nurses, lab personnel, other hospital staff, and staff from DPHOs and
DHOshave been oriented on the system in 4 districts, which also servesto strengthen the sites’
programmes and coordination between the hospitals and DHOs and DPHOs. Eighteen of the 82 sites
are yet to be oriented. EDCD also provided on-site support to the Sentinel sites with poor reporting
status.

Figure 4.13.1: Sentinel site districts of the Early Warning and Reporting System

EWARS Regional Review workshop: IN 2073/74 EWARS review workshop was carried out at five
development regions. Medical recorders of all 82 EWARS sentinel sites were the participants for the
workshop.

Regular functioning of control room— The main activities of the control room of the Disease
Surveillance and Research Section (which came into existence from last year with support from
WHO, NHSSP and GIZ), were as follows:

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 Maintained quality, accuracy, timeliness and completeness of data received from EWARS
sentinel sites.
 Analysed data from EWARS sites, monitored disease trends and notified concerned
authorities when outbreaks suspected or predicted.
 EWARS Bulletin published every week on Sundays and shared with all medical recorders,
EWARS focal persons, rapid response team members, DHOs, DPHOs, RHDs, all DoHS
divisions and centres, Secretary, MoHchief-secretary, and stakeholders through email.
 Updated and maintained EDCD website.

Water quality monitoring and surveillance —

In 2073/74 the EDCD organized a Water quality surveillance Central committee

(WQSCC)meetingwith stakeholder chaired by the EDCD director;

 Organised water quality surveillance workshop at Arghakhanchi, Baglung and Gorkha

districts;
 allocated budget for water quality surveillance at district sentinel sites to DPHOs and DHOs;
 carried out water quality surveillance(WQS) in Gorkha and Tanahun, Arghakhanchi, Gulmi,
Baglung Parbat, Kaski and Nawalparasi district and at water safety plan (WSP) implemented
projects;
 built the capacity building of community member and health workers in water safety plan
districts; and
 shared of water quality surveillance report with district level stakeholders.

DoHS, Annual Report 2073/74 (2016/17) 207

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4.14 Homoeopathic Services

BACKGROUND

Dr. Samuel Haheneman of of Germany had discovered Homoeopathic system before two century. This is
based on fixed principals of "Similia Similibus Curantur". Medicine is provided on healthy human
symptom obtained from patients.

Pasupati Homoeopathic Hospital's is the only one hospital providing homoeopathic services to the
people of Nepal in the public sector. The homoeopathic system is economic, easy and effective having
no side effect as well. The hospital provides OPD and IPD services to the patients and six beds are
available for Indoor patients along with meal free of cost. The hospital is processing for upgrade from six
to twenty five beds.

SUMMARY OF ACHIEVEMENT

Homoeopathic system is going popular mode of treatment. Hospital record shows that, the number of
patient is increasing day by day. Many rejected cases by other system of medicine and surgical cases
have been treated successfully. A total number of 78450 patient were visits for treatment in the fiscal
year 2073/74.

Description of Patients Visited in Hospital, FY 2073/74

Particular Number of Patients

General Medicine 41200
Skin 19540
E.N.T 4250
Eye 1320
Dental 1560
Gyn/Obs. 1640
Other 8940
Total Patients 78450

Summary of Financial Allocation and Expenditure

Fiscal Year Regular Budget in Rs Development Budget Total Budget

(in thousand ) in Rs (in thousand ) in Rs (in thousand )
2073/074(2016/2017) 14377 4580 18957

CONSTRAINTS

 Due to limited budget it is hard to manage the medicine for increasing number of patients.
 Not enough human resources for the ever increasing number of patients in Hospital basically the
Doctors, Technical personal (IT) and other supporting staffs due to lack of budget.
208 DoHS, Annual Report 2073/74 (2016/17)
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 Due to unavailability of pathological Laboratory and x-ray Machine,patients have to go outside
for pathological findings.
 Human resource especially the Doctor,Technical staff and other supporting staff do not have any
opportunity to expose themselves for higher studies, attending in the training and seminars.

CONCLUSION

The Homoeopathic Hospital is providing service to outdoor patient as well as Indoor patient free of cost.
Homoeopathic system is to be developed. People all over of the Nepal are not getting service of this
Hospital who is far away from Kathmandu valley. So it should be developed to provide service to 5
development regions of Nepal gradually.

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4.15 HUMAN ORGAN TRANSPLANT SERVICES

Introduction
Sahid Dharma Bhakta National Transplant Center (SDBNTC) was established in 2012 by the Ministry
of Health to strengthen and expand organ transplantation services in the country. This center stated
its services merely with the OPD services, but within a few years of its establishment it has extended
its service
servicess beyond organ transplantation.

Objectives
bjectives
1. To strengthen and expand organ transplantation services in the country.
2. To provide and expand specialized services beyond transplantation
3. To provide high quality health care at a low price/free of cost
4. To undertake
take research related to human organ transplant to understand the state of kidney
and other organ failure in Nepal.
5. To advocate for policy interventions
6. To organize free health camps across Nepal to screen any kind of diseases.
7. To conduct educational activities
activities to raise awareness regarding organ failure, organ
transplantation and organ donation.
8. To produce high level human resources by providing structured training in various aspects of
services to expand the services across the country.

Major achievements of FY 2073/74

1. Played an important role in the amendment of old organ transplant act of Nepal opening
doors for cadaveric organ donation, transplantation and pair exchange programs.
2. Instigator of first liver transplantation in Nepal
3. Condu
Conducted
cted two kidney transplantations from a brain dead donor for the first time in the
history of Nepal
4. First to Initiate open heart surgeries in Bhaktapur district
5. Carried out 132 kidney transplants in the FY 2073/74 with 66 free kidney transplants in
between Baisakh-
Baisakh Asar, 2074.
Table: SStatus
tatus of health care services, fiscal year 2071/72 to 2073/74

The above table shows that the number of patients in all these aspects have increased remarkably in
the FY 2073/74. There were 22,473
22 473 patients served in outpatien
outpatientt department, while the rate of
admission and discharge were almost similar with 1
1,676
676 and 1,675
1 675 respectively.

There were 518 minor surgeries and 1,101

1 101 major surgeries in the FY 2073/74 which is quite higher
than the past years. Similarly, the number of kkidney
idney transplantation also escalated from 101 to 132
in FY 2073/74
073/74 along with two liver transplantation which was first of its kinds in the nation.
In FY 2073/74, the number of sessions of paid dialysis decreased from 8351 in FY 7072/73 to 3,136
3
while there has been a significant rise in the free dialysis sessions to 26,342 from 17,240
17 240 in FY
2072/73.

210 DoHS, Annual Report 2073/74

207 (201
(2016/17)
 Disease Control
Status
tatus of specialized diagnostic services of consecutive fiscal years

COMPARATIVE DATA FROM THREE CONSECUTIVE FISCAL YEARS

FY Lab USG Echo ECG Endo+Colonoscopy X-ray BCM ABG
2071/072 29462 1116 429 481 79 1820 216 2
2072/073 49529 2446 213 638 407 2733 151 51
2073/074 118238 2858 505 1176 600 4691 84 217
The number of lab tests done in FY 2073/74 was 118
118,238
238 which shows an increment by more than
two times than the FY 2072/73.

The number of ultrasound tests and X-ray

X ray in the FY 2073/74 is 2 2,858
858 and 4,691
4 691 respectively.
Similarly, the number of ECG done was 1,176
1 176 while that of the echocardiograph was 505 followed by
600 endoscopy and colonoscopy.
colonoscopy. The total number of BCM done was 84 and that of ABG was 217.
The number of people taking all these services shows an upward graph with respect to last fiscal
years.

Status of Human Resources

esources at SDBNTC

TOTAL NUMBER OF STAFFS

200
119 137 150
100 33
30 30
0
2071/72 2072/73 2073/74

Technical staffs Non teachnical staffs

The status of human resources at SDBNTC shows an upward trend in each fiscal year. In the FY
2073/74, there were a total of 183 staffs of which 150 were technical and 33 were non-technical
non technical
staffs. These both numbers are higher than that of previous years.

If we look at the precise data on technical human resources, the number of doctors in FY 2073/74 is
35 which have increased significantly in the last two years. The number of nurses though shows
more or less a constant graph since the last one year. The number of paramedics too has increased
in number in comparison to the previous fiscal years.

Status of Financial
inancial Resources, FY 2071/72 - 2073/74

40000000
Budget expenditure
277924893
221328482
20000000
165011000

0
2071/72 2072/73 2073/74

DoHS, Annual Report 2073/74

207 (201
(2016/17) 211
Disease Control
The budget expenditure at SDBNTC shows a upward graph in each fiscal year as shown in the figure
above. With the increase in the hospital services and infrastructures, the total budget expenditure in
the FY 2073/74 was 27,79,24,893 which was 22,13,28,482 and 16,50,11,000 in the FY 2072/73 and
2071/72 respectively.

Physical infrastructures at SDNTC- FY 2073/74

 Hospital owned land: 0 Ropani
 Building:
 Hospital Room: Inadequate
 Doctor quarter: Not available
 Staff quarter: Not available
 Ambulance : Functioning - 1
 Major Medical Equipment:
 X-Ray machine – 1, USG – 2
 Laboratory Equipment : Biochemistry, Hematology , dry chemistry analyzer,
automated immunoassay analyzer
 Dialysis Machine : 40
 OT/ICU Major Equipments : Ventilator – 4 , Monitor – 15 , Syringe Pump - 10 ,
Infusion Pump – 10, Defibrillator- 6, Laparoscopy – 1, Endoscopy
 256 Slice CT Scan
 Cath Lab
 Endoscopic Ultrasound,
 CUSA
 Low Temperature Analyzer
 TEG Analyzer
 Autologous Blood Salvage System
 TEE Probe
 PCA Pump

Status of House Keeping at SDBNTC, FY 2073/74

SN Activities Remarks
1 Cleanliness of the hospital Satisfactory
2 Maintenance of hospital premises Satisfactory
3 Sanitation Satisfactory
4 Health care waste management Satisfactory
5 Safe drinking water Satisfactory
6 Canteen Satisfactory
7 Triage system Satisfactory
8 Hospital parking Poor
9 Hospital garden Poor

Challenges:
 Lack of awareness
 Lack of adequate space
 Legal constraints/legal factor
 Cost factor

Aims of SDBNTC in FY 2074/75

 Conduct massive awareness programs on prevention of organ failure, organ donation
and transplantation across the nation.

212 DoHS, Annual Report 2073/74 (2016/17)

 Disease Control
 Produce competent human resources for kidney, liver, heart surgeries through
extensive training and technical support
 Conduct at least 150 kidney transplants per year
 Conduct at least 1 liver transplant and 1 heart surgery per month
 Increase the bed capacity to 300 beds
 Develop the center as a multi-specialty hub and health science institution.

DoHS, Annual Report 2073/74 (2016/17) 213

 Chapter 5
CURATIVE SERVICES

5.1 Background
The Government of Nepal is committed to improving the health status of rural and urban people by
delivering high-quality health services. The policy aims to provide prompt diagnosis and treatment, and
to refer cases from PHCCs and health posts to hospitals. Diagnostic services and referral mechanisms
have been established at different levels to support early diagnosis of health problems.

In December 2006 the government began providing essential health care services (emergency and
inpatient services) free of charge to destitute, poor, disabled, senior citizens, FCHVs, victims of gender
violence and others in up to 25-bed district hospitals and PHCCs and for all citizens at health posts in
October 2007.The Interim Constitution of Nepal, 2007said that every citizen has the right to basic health
services free of costs as provided by the law.

The overall objective of DoHS on curative services is to reduce morbidity, mortality by ensuring the early
diagnosis of diseases and providing appropriate and prompt treatment. The main strategies to achieve
this are listed in Box 5.1.

Box 5.1: Curative service strategies

 To make curative health services available in an integrated way in rural areas through health posts and
PHCCs.
 To establish hospitals on the basis of population density and patient load with at least one hospital per
district.
 To establish zonal and regional hospitals to provide specialized services related to paediatrics,
gynaecology, general surgery, general medicine, eye care, dermatology, orthopaedics and psychiatry.
 To equip central hospitals with sophisticated diagnostic and other facilities to provide specialised and
super-specialty services.
Specialist curative care services will be extended to remote areas, as and when required, through mobile
teams.
 To extend referral systems to provide rural people with access to services from modern well equipped
hospitals.
 To strengthen diagnostic services such as laboratories and X-ray services at hospitals.
 To extend service provision through more outreach clinics and by considering the relocation of existing
facilities.
 To provide basic curative services free in up to 25 bed hospitals.
 To promote private medical colleges, hospitals, nursing homes and hospitals run by INGOs, NGOs and
private practitioners to complement public health care provision.

214 DoHS, Annual Report 2073/74 (2016/17)

 Curative Services
Major Activities and Achievements in the fiscal year 2073/74
Curative health services were provided at all health facilities including outpatient, emergency and
inpatient care and free health services. Inpatient services were provided at all levels of hospitals
including INGO and NGO run hospitals, private medical college hospitals, nursing homes and private
hospitals. Medical camps were organised mainly in remote areas.

5.1.1 Hospital reporting

Five hundred and thirty three hospitals were listed in the HMIS under DoHS in 2073/74, of which 118
(22%) were public hospitals and 415 (78%) non-public hospitals (Table 5.1).
 89.1 percent of public and 38 percent of non-public hospitals submitted all 12 monthly reports
(Table 5.1);
 The HMIS received all 12 monthly progress reports from 76 percent of public hospitals and 24
percent of non-public hospitals respectively (Table 5.2);
 84 percent of all public hospitals submitted all 12 monthly reports, with regional hospitals having
the highest (100%) and Central hospitals (67%) the least achievement of complete monthly
reporting (Table 5.3);
 Less than half (11) of the 34 central level hospitals submitted all 12 monthly progress reports, with
teaching hospitals and regional hospitals having the highest achievement (50%) and specialised
hospitals the least achievement of monthly reporting (Table 5.4).

Table 5.1: Hospital reporting status, FY 2073/74

No. hospitals Submission of monthly reports
Province Non-public Public Total
Non-public Public Total
No. % No. % No. %
Province 1 70 18 88 368 43.8 213 98.6 581 55.0
Province 2 51 14 65 80 13.1 145 86.3 225 28.8
Province 3 192 29 221 865 37.5 280 80.5 1145 43.2
Province 4 40 13 53 255 53.1 130 83.3 385 60.5
Province 5 48 18 66 247 42.9 204 94.4 451 56.9
Province 6 3 12 15 11 30.6 134 93.1 145 80.6
Province 7 11 14 25 77 58.3 156 92.9 233 77.7
Total 415 118 533 1903 38.2 1262 89.1 3165 49.5
Source: HMIS, DoHS

DoHS, Annual Report 2073/74 (2016/17) 215

Curative Services
Table 5.2: Hospital submitting all 12 monthly progress reports, FY 2073/74
Hospitals reporting 12 months a year
No. hospitals
Province Non-Public Public Total
Non-
Public Total No. % No. % No. %
Public
Province 1 70 18 88 22 31.4 16 89 38 43.2
Province 2 51 14 65 2 3.9 10 71 12 18.5
Province 3 192 29 221 43 22.4 16 55 59 26.7
Province 4 40 13 53 16 40.0 9 69 25 47.2
Province 5 48 18 66 11 22.9 17 94 28 42.4
Province 6 3 12 15 0 0.0 9 75 9 60.0
Province 7 11 14 25 5 45.5 13 93 18 72.0
Total 415 118 533 99 23.9 90 76 189 35.5
Source: HMIS, DoHS

Table 5.3: Public hospitals submitting all 12 monthly reports, FY 2073/74

No. 12 months reporting No. reports

Type of hospitals hospitals No. % Expected reports Received %
Central Hospital 6 4 67 72 70 97
Regional Hospital 3 3 100 36 36 100
Sub-Regional 3 3 100 36 36 100
Zonal Hospital 10 7 70 120 109 91
District Hospital 52 46 88 624 600 96
General Hospital 27 23 85 324 298 92
Grand Total 103 87 84 1236 1169 95
Source: HMIS, DoHS

Table: 5.4: Status of different levels of hospitals submitting all 12 monthly reports, FY 2073/74
No. 12 months reporting Expected Total Report Received
Type of hospitals
hospitals N % Reports N %
General Hospital 6 0 0 72 34 47
Regional Hospital 2 1 50 24 12 50
Specialized Hospital 5 1 20 60 28 47
Teaching Hospital (Public) 4 2 50 48 39 81
Teaching Hospital (Non-Public) 17 7 41 204 144 71
Grand Total 34 11 32 408 257 63
Source: HMIS, DoHS

5.1.2 Inpatient services

Inpatient services are provided through inpatient departments at public and non-public hospitals. Note
that the following findings should be interpreted with caution because of incomplete progress reporting
(see above).

216 DoHS, Annual Report 2073/74 (2016/17)

 Curative Services
Bed Occupancy Rates, FY 2073/74
 higher-level government hospitals that submitted all 12 monthly reports ranged from 23 percent in
Bhaktapur hospital to 92.4 percent in Mid-Western Regional Hospital, Surkhet, with a mean rate of
51.8 percent (Figure 5.1);
 public district hospitals ranged from (93%) in Salyan District Hospital to 9 percent in Mustang
District Hospital with an average bed occupancy rate of 43 percent (Figure 5.2).
 other district level hospitals ranged from 73 percent at Katari hospital, Udayapur to 1.2 percent at
Mangalbare hospital, Morang with an average bed occupancy rate of 17.7 percent (Figure 5.3).

Figure 5.1: Bed occupancy rate (in %) of higher-level public hospitals, FY 2073/74

92.4
88.6
100

82.3
90

74.1
73.7
73.1
67.4
80

64.7

69
62.7
62.5
62.5
60.3
59.9
59.3

70
54.4
48.2

60
44.8
44.2
42.8
37.9

50
40
31.6
36

40
23.6
23

30
20
10
0

DoHS, Annual Report 2073/74 (2016/17) 217

Curative Services

Figure 5.2: Bed occupancy for public district hospitals, FY 2073/74

DH SALYAN 93
DH DOLPA 89.3
DH UDAYAPUR 80.1
DH PYUTHAN 73.4
DH ROLPA 67.9
DH BAJHANG 65.4
DH ERHATHUM 63.7
DH RUKUM 62.7
JIRI HOSPITAL 62
DH SIRAHA 61.5
DH MUGU 59.4
DH TAPLEJUNG 53.8
DH DAILEKH 53.4
DH SUNSARI 53.3
HEATUDA HOSPITAL 52.7
DH KALIKOT 52.5
DH RAMECHHAP 51.8
DH DOTI 51.6
DH BHOJPUR 50.9
DH ARGHAKHANCHI 50.9
DH BAJURA 50.6
DH PANCHTHAR 50.5
DH GULMI 50.2
DH MYAGDI 50.2
DH BARDIYA 48.6
DH BARA 47
DH DARCHAULA 45.5
DH TANAHU 43.8
DH KAPILBASTU 43.7
DH SINDHULI 43.5
DH SANKHUWASABHA 43
DH ACHHAM 40.4
DH KHOTANG 39.6
DH RAUTAHAT 38.9
DH SINDHUPALCHOK 38.1
DH NUWAKOT 37.3
DH PALPA 37.3
DH NAWALPARASI 36.7
DH ILAM 36.7
DH SYANGJA 34.7
DH DHADING 33.9
DH SOLUKHUMBU 33.8
DH SARLAHI 29
DH GORKHA 28.6
DH JAJARKOT 26.4
DH PARBAT 24.4
BHARATPUR HOSPITAL 24
DH DHANKUTA 22.5
DH BAITADI 20.7
DH RASUWA 12.3
DH MANANG 11.4
DH MUSTANG 9.2
DH HUMLA 0
DH OKHALDHUNGA 0
DH MAHOTTARI 0

0 10 20 30 40 50 60 70 80 90 100

218 DoHS, Annual Report 2073/74 (2016/17)

 Curative Services

Figure 5.3: Bed occupancy in other district level hospitals , FY 2073/74

KATARI HOSPITAL 73.3

APF HOSPITAL 61.4
TIKAPUR HOSPITAL 56.2
RAM UMA SMARAK HOSPITAL 44.5
GOKULESHWOR HOSPITAL 43.8
RANGELI HOSPITAL 41.9
BHIM HOSPITAL 41
JOGBUDA HOSPITAL 34.3
CENTRAL JAIL HOSPITAL 33.6
BHARADAH HOSPITAL 32.1
MEHELKUNA HOSPITAL 30.4
BANDIPUR HOSPITAL 27.3
DULLU HOSPITAL 26.5
SHIVRAJ HOSPITAL 23.1
RAMPUR HOSPITAL 19.9
BARDIBAS HOSPITAL 19.9
BAKULAHAR HOSPITAL 12.7
BAGHAUDA HOSPTIAL 11.8
MATRI SHISHU MITERI (Bataulechaur) HOSPITAL 10.8
CHANDRANIGAHAPUR HOSPTIAL 10.8
METHINKOT HOSPITAL 6.7
MALAKHETI HOSPITAL 4.8
PIPARA HOSPITAL 2.2
POKHARIYA HOSPITAL 2
LAMJUNG COMMUNITY HOSPITAL 1.6
MANGALBARE HOSPITAL 1.2

0 10 20 30 40 50 60 70 80

Average length of stay — In fiscal year 2073/74, the average length of stay by inpatients:
 at higher-level government hospitals ranged from 2 days at Dhaulagiri Zonal hospital to 17 days at
the Mental Hospital, Lalitpur (Figure 5.4);
 at public district hospitals ranged from 1 day at Sarlahi, Rautahat and Bara district hospitals to 4
days at Udayapur District hospital (Figure 5.5); and
 in other district level hospitals ranged from 1 day at Mangalbare, Pipara, Pokhariya, Bardibas and
Chandranigahapur hospitals to 14.4 days in APF hospital (Figure 5.6).

DoHS, Annual Report 2073/74 (2016/17) 219

Curative Services

Figure 5.4: Average length of stay by Figure 5.5: Average length of stay by inpatients in
inpatients in higher-level hospitals, FY 2073/74 public district hospitals, FY 2073/74

MENTAL HOSPITAL 16.9 DH UDAYAPUR 4.1

3.5
National Trauma Center 13.5 HEATUDA HOSPITAL 3.4
Human Organ Transplant… 3.4
7.9
BHARATPUR HOSPITAL 3.2
KANTI CHILDREN HOSPITAL 7.2 3.2
DH PALPA 3.2
BIR HOSPITAL_… 7 3.2
PATAN HOSPITAL 5.6 DH RAMECHHAP 2.9
2.9
KARNALI ACADEMY OF… 5.2 DH SOLUKHUMBU 2.8
KOSHI ZONAL HOSPITAL 4.4 2.8
DH DHADING 2.8
MATERNITY HOSPITAL 4.1 2.8
LUMBINI ZONAL HOSPITAL 4 DH TAPLEJUNG 2.7
2.7
BPKIHS_ DHARAN_SUNSARI 3.8 DH MANANG 2.7
2.7
MECHI ZONAL HOSPITAL 3.5 DH DOTI 2.7
DADELDHURA SUB… 3.3 2.7
DH RASUWA 2.7
BHERI ZONAL HOSPITAL 3.3 2.6
WESTERN REGIONAL… 2.9 DH DARCHULA 2.6
2.5
SETI ZONAL HOSPITAL 2.8 JIRI HOSPITAL 2.4
BHAKTAPUR HOSPITAL 2.8 2.4
DH MYAGDI 2.4
SAGARMATHA ZONAL… 2.6 2.4
RAPTI ZONAL HOSPITAL DH BAJHANG 2.4
2.6
2.4
RAPTI SUB REGIONAL… 2.4 DH GULMI 2.3
2.3
MID WESTERN REGIONAL… 2.3 DH TERHATHUM 2.3
MAHAKALI ZONAL… 2.3 2.3
DH JAGARKOT 2.3
SUKRARAJ TROPICAL… 2.2 2.3
DHAULAGIRI ZONAL… 2 DH DHANKUTA 2.3
2.2
DH SIRAHA 2.2
0 5 10 15 20
2.1
DH ARGHAKHANCHI 2.1
2
DH BHOJPUR 2
2
DH NAWALPARASI 1.9
1.9
DH SANKHUWASABHA 1.9
1.9
DH KAPILBASTU 1.8
1.5
DH SARLAHI 1.1
1.1
DH BARA 0.97
0
DH MAHOTTARI 0

0 1 2 3 4

220 DoHS, Annual Report 2073/74 (2016/17)

 Curative Services

Figure 5.6: Average length of stay by inpatients in other district level hospitals, FY 2073/74

APF HOSPITAL 14.4

BAKULAHAR HOSPITAL 4.9
MALAKHETI HOSPITAL 3.6
RANGELI HOSPITAL 3.3
BAGHAUDA HOSPTIAL 2.9
GOKULESHWOR HOSPITAL 2.7
BANDIPUR HOSPITAL 2.5
JOGBUDA HOSPITAL 2.4
BHARADAH HOSPITAL 2.2
MEHELKUNA HOSPITAL 2.1
TIKAPUR HOSPITAL 2
MATRI SHISHU MITERI (Bataulechaur) HOSPITAL 2
KATARI HOSPITAL 2
CENTRAL JAIL HOSPITAL 2
BHIM HOSPITAL 1.9
RAM UMA SMARAK HOSPITAL 1.8
METHINKOT HOSPITAL 1.7
SHIVRAJ HOSPITAL 1.5
DULLU HOSPITAL 1.5
RAMPUR HOSPITAL 1.4
POKHARIYA HOSPITAL 1
MANGALBARE Hospital 1
PIPARA HOSPITAL 1
BARDIBAS HOSPITAL 1
CHANDRANIGAHAPUR HOSPTIAL 1
LAMJUNG COMMUNITY HOSPITAL 1

0 2 4 6 8 10 12 14 16

5.1.3 Hospital use

The use of hospitals is measured in this section according to emergency room attendance and total
outpatient and inpatient admissions

Hospital emergency ward attendance at hospitals with full progress reporting in 2073/74 was as follows:
 Among higher level hospitals, BPKIHS, Dharan recorded the highest attendance at its emergency
ward (67,903) while HUMAN ORGAN TRANSPLANT CENTER recorded the lowest (Figure 5.7).
 Among public district hospitals Bharatpur Hospital had the highest attendance at its emergency unit
(35792) while Manang District Hospital had the lowest (395) (Figure 5.8).
 Among other district level hospitals Tikapur Hospital had the highest attendance at its emergency
ward (17365) while Chisapani hospital, Nawalparasi had the least (196) (Figure 5.9).

DoHS, Annual Report 2073/74 (2016/17) 221

222
0
10000
20000
30000
40000
50000
60000
70000
80000

5000

0
10000
15000
20000
25000
30000
35000
40000
Figure 5.8:
Figure 5.7:
DH MANANG 395 HUMAN ORGAN… 95
DH RUKUM 682
DH HUMLA 818 MENTAL HOSPITAL 445
DH OKHALDHUNGA 835
DH RASUWA 1070 MID-WESTERN REGIONAL… 2284
Curative Services

DH MUGU 1118
DH PALPA
KARNALI ACADEMY OF… 3090
1322
DH SOLUKHUMBU 1531 MID WESTERN REGIONAL… 4575
DH MUSTANG 1549
DH BAITADI 1664 BHERI ZONAL HOSPITAL 4779
DH BHOJPUR 1837
DH DOLPA 1848 SUKRARAJ TROPICAL… 5243
DH SALYAN 2011
DH JAJARKOT 2199 NATIONAL GANGALAL… 6546
DH KALIKOT 2398
DH ACHHAM 2460 RAPTI ZONAL HOSPITAL 6766
DH BAJURA 2560
JIRI DISTRICT HOSPITAL 2697 DADELDHURA SUB… 6939
DH RAMECHHAP 2862
DH DOTI 3045 SAGARMATHA ZONAL… 7736
DH TAPLEJUNG 3066
DH SINDHUPALCHOK 3195 DHAULAGIRI ZONAL… 8489
DH ROLPA 3381
DH DARCHAULA 3405 NATIONAL TRAUMA… 10970
DH PARBAT 3488
DH DAILEKH 3505 MECHI ZONAL HOSPITAL 14659
DH BAJHANG 3710
DH BARA 5109 JANAKPUR ZONAL HOSPITAL 17417
DH BARDIYA 5114
DH ARGHAKHANCHI 5128 BHAKTAPUR HOSPITAL 21294
DH TANAHU 5299
DH GULMI 5646 NARAYANI SUB REGIONAL… 21457
DH TERHATHUM 5741
DH PYUTHAN
MAHAKALI ZONAL… 22692
5809
DH SANKHUWASABHA 6347 Emergency ward attendance at district hospitals, FY 2073/74 MATERNITY HOSPITAL 24941
DH SIRAHA 6365
DH SUNSARI
Emergency ward attendance in higher level hospitals, FY 2073/74

6756 RAPTI SUB REGIONAL… 30177

DH RAUTAHAT 6795
DH MYAGDI 6896 KOSHI ZONAL HOSPITAL 30442
DH NAWALPARASI 7014
DH SYANGJA 7023 SETI ZONAL HOSPITAL 32166
DH KAPILBASTU 7271
DH GORKHA 7774 BIR HOSPITAL 40240
DH NUWAKOT 8064
DH DHANKUTA 9000 WESTERN REGIONAL… 41866
DH UDAYAPUR 9288
DH ILAM 9862 PATAN HOSPITAL 41987
DH SINDHULI 10559
DH KHOTANG 10722 LUMBINI ZONAL HOSPITAL 48073
DH SARLAHI 13503
DH DHADING 14190 KANTI CHILDREN HOSPITAL 53690
DH PANCHTHAR 17737
HEATUDA HOSPITAL 20943 BPKIHS 67903
BHARATPUR HOSPITAL 35792

DoHS, Annual Report 2073/74 (2016/17)

 Curative Services

Figure 5.9: Emergency ward attendances at other district level hospitals, FY 2073/74

17365
20000

12853
18000
16000
14000

8605
7838
12000

6247
10000

4865
4301
3631
8000

2426
2190
2170
2069
1882
1771
1723
6000

1520
1488
1497
1338
1284
1248
1014
988
949

4000
370
242
230
196

2000
0

Outpatient attendance in the fiscal uear 2073/74 at hospitals with full progress reporting was as follows:
 Outpatient attendance at higher level hospitals ranged from 67219 at Narayeni Sub regional
Hospital to 4926 at TU MCTC Hospital (Figure 5.10).
 Outpatient attendance at district hospitals ranged from 46,242 patients at Udayepur District
Hospital to 2958 at Dhankuta District Hospital (Figure 5.11).
 Outpatient attendance at other district level hospitals ranged from 52,218 at Lamjung Community
Hospital, Lamgunj to 882 at Ram Uma Shanker hospital,Lahan (Figure 5.12).
 New outpatient visits accounted for a varying range of the proportion of total clients across Nepal
(Figure 5.13).

Figure 5.10: Outpatient attendance at higher level hospitals, FY 2073/74

67219
35455 41924
24487 26466
4926 8388 10524
TU MCTC

MAHAKALI
HOSPITAL

NATIONAL

SUB REGIONAL

HEALTH SCIENCE

MID WESTERN

NARAYANI SUB
DADELDHURA

HOSPITAL
MENTAL

TRAUMA
CENTER

ACADEMY OF

ZONAL
REGIONAL
HOSPITAL

REGIONAL
HOSPITAL

HOSPITAL
KARNALI

DoHS, Annual Report 2073/74 (2016/17) 223

Curative Services

Figure 5.11: Outpatient attendance at district hospitals, FY 2073/74

DH UDAYAPUR 46242
DH SINDHULI 32828
DH GORKHA 31591
DH TANAHU 29761
DHMYAGDI 27522
DH PYUTHAN 27046
DH DOLPA 26664
DH RAUTAHAT 25907
DH SALYAN 25353
DH GULMI 22794
DH ILAM 21759
DH SUNSARI 20475
DH SINDHUPALCHOWK 19970
DH NAWALPARASI 19251
DH BARDIYA 18918
DH KAPILBASTU 18022
DH DAILEKH 17307
DH TAPLEJUNG 17266
DH NUWAKOT 16955
DH DARCHULA 16416
DH SYANGJA 16391
DH SANKHUWASABHA 15973
DH BAJURA 15931
DH ACHHAM 15812
DH KHOTANG 15601
DH SIRAHA 14507
DH PARBAT 14234
DH BAJHANG 13290
DH BAITADI 12723
DH ARGHAKHANCHI 12641
DH KALIKOT 12473
DH ROLPA 12461
DH SARLAHI 12056
DH TERHATHUM 11531
DH DOTI 11395
DH RAMECHHAP 11322
DH PALPA 11187
DH JAGARKOT 10692
DH DHADING 10573
DH MUGU 10164
DH MUSTANG 6846
DH OKHALDHUNGA 6365
DH SOLUKHUMBU 5123
DH HUMLA 4816
DH RASUWA 4312
DH MANANG 4033
DH BHOJPUR 3537
DH RUKUM 3014
DH DHANKUTA 2958
DH BARA 0
DH PANCHATHAR 0
DH MAHOTTARI 0

224 DoHS, Annual Report 2073/74 (2016/17)

 Curative Services

Figure 5.12: Outpatient attendance at other district level hospitals, FY 2073/74

LAMJUNG COMMUNITY HOSPITAL 52210

TIKAPUR HOSPITAL 36760
BAKULAHAR HOSPITAL 31169
KATARI HOSPITAL 28083
CHANDRANIGAHAPUR HOSPTIAL 26767
MANGALBARE HOSPITAL 23336
BHARADAH HOSPITAL 22397
BHIM HOSPITAL 21689
MEHELKUNA HOSPITAL 20832
SHIVRAJ HOSPITAL 19826
POKHARIYA HOSPITAL 19447
DH DOLAKHA 19228
RANGELI HOSPITAL 17861
CENTRAL JAIL HOSPITAL 17510
BAGHAUDA HOSPTIAL 17450
RAMPUR HOSPITAL 17306
BARDIBAS HOSPITAL 17108
MALAKHETI HOSPITAL 14795
DULLU HOSPITAL 13524
PIPARA HOSPITAL 12423
JOGBUDA HOSPITAL 11210
GOKULESHWOR HOSPITAL 9317
APF HOSPITAL 9113
METHINKOT HOSPITAL 8883
BANDIPUR HOSPITAL 7909
MATRI SHISHU MITERI (Bataulechaur) HOSPITAL, 5549
CHISAPANI HOSPITAL 3626
RAM UMA SMARAK HOSPITAL 882

DoHS, Annual Report 2073/74 (2016/17) 225

Curative Services

Figure 5.13: Percentage of new outpatient visits among total population, FY 2073/74

Inpatient attendance in 2073/74 at hospitals with full progress reporting was as follows:
 Maternity hospital had the most inpatient admissions 25470 with the Mental hospital, Lalitpur
having the fewest (697) (Figure 5.14)
 Among public district hospitals, Chitawan Hospital had the most inpatient admissions (40180),
while Manang District Hospital had the fewest (115) (Figure 5.15).
 Among other district hospitals Bhim Hospital, Rupandehi recorded the most inpatient admissions
(4,816) while Mangalbare Hospital recorded the fewest (28) (Figure 5.16).
 The percentage of the total population who received government hospital inpatient
services in 2073/74 ranged up to about 20 percent in Jhapa with most districts having a
considerably lower proportion (less than 5%) (Figure 5.17).

226 DoHS, Annual Report 2073/74 (2016/17)

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Figure 5.14: Inpatient admissions at higher level Figure 5.15: Inpatient admissions at government
hospitals, FY 2073/74 district hospitals, FY 2073/74

MATERNITY HOSPITAL
BHARATPUR HOSPITAL 40180
25470 HEATUDA HOSPITAL 7292
DH BARA 4576
PATAN HOSPITAL_LALITPUR 22069 DH PANCHTHAR 3354
DH SUNSARI 3278
NARAYANI SUB REGIONAL… 20819 DH NUWAKOT 3137
DH UDAYAPUR 3126
WESTERN REGIONAL… 18937 DH MYAGDI 3123
DH PYUTHAN 2922
SETI ZONAL HOSPITAL 18614 DH SALYAN 2860
DH ARGHAKHANCHI 2844
KOSHI ZONAL HOSPITAL 17899 DH BAJHANG 2728
DH TAPLEJUNG 2498
LUMBINI ZONAL HOSPITAL 17200
DH GULMI 2386
DH BARDIYA 2302
DH KAPILBASTU 2202
BHERI ZONAL HOSPITAL 12290 DH RAUTAHAT 2161
DH SINDHULI 2116
National Gangalal Heart… 12149 DH BHOJPUR 2096
DH NAWALPARASI 2088
BIR HOSPITAL 12067 DH ILAM 1959
DH DHADING 1898
MID WESTERN REGIONAL… 9730 DH SANKHUWASABHA 1883
DH GORKHA 1877
KANTI CHILDREN HOSPITAL 9442 DH DAILEKH 1822
DH TERHATHUM 1786
RAPTI SUB REGIONAL… 9010 DH RUKUM 1655
DH KHOTANG 1546
JANAKPUR ZONAL…
JIRI DISTRICT HOSPITAL 1512
8988 DH ACHHAM 1495
DH SARLAHI 1484
MECHI ZONAL HOSPITAL 5848 DH KALIKOT 1458
DH DARCHAULA 1439
SAGARMATHA ZONAL… 5429 DH TANAHU 1427
DH SIRAHA 1368
MAHAKALI ZONAL… 4195 DH PARBAT 1357
DH ROLPA 1322
RAPTI ZONAL HOSPITAL 3048 DH MUGU 1224
DH SYANGJA 1154
DHAULAGIRI ZONAL… 3022 DH SOLUKHUMBU 1109
DH DOTI 1108
National Trauma Center 2970
DH JAJARKOT 1099
DH BAJURA 1058
DH SINDHUPALCHOK 1032
SUKRARAJ TROPICAL… 2600 DH RAMECHHAP 1017
DH DHANKUTA 975
KARNALI ACADEMY OF… 2261 DH BAITADI 782
DH PALPA 646
BHAKTAPUR HOSPITAL 1567 DH OKHALDHUNGA 580
DH DOLPA 329
Human Organ Transplant… 1114 DH RASUWA 264
DH MUSTANG 204
MENTAL HOSPITAL 697 DH MANANG 115
DH MAHOTTARI 0
DH HUMLA 0
0 10000 20000 30000
0 20000 40000

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Curative Services

Figure 5.16: Inpatient admissions at other district level hospitals, FY 2073/74

BHIM HOSPITAL 4816

RAM UMA SMARAK HOSPITAL 4573
TIKAPUR HOSPITAL 3469
CIVIL SERVICES HOSPITAL 3118
ARMED POLISH FORCE (APF) HOSPITAL 1300
CHANDRANIGAHAPUR HOSPTIAL 1241
RAMPUR HOSPITAL 951
SHIVRAJ HOSPITAL 848
JOGBUDA HOSPITAL 830
MEHELKUNA HOSPITAL 816
RANGELI HOSPITAL 728
BARDIBAS HOSPITAL 712
BANDIPUR HOSPITAL 605
CENTRAL JAIL HOSPITAL 552
GOKULESHWOR HOSPITAL 549
KATARI HOSPITAL 541
DULLU HOSPITAL 432
MATRI SHISHU MITERI (Bataulechaur) HOSPITAL 425
MALAKHETI HOSPITAL 350
METHINKOT HOSPITAL 258
BHARADAH HOSPITAL 244
BAKULAHAR HOSPITAL 235
BAGHAUDA HOSPTIAL 159
POKHARIYA HOSPITAL 121
PIPARA HOSPITAL 104
MANGALBARE Hospital 28

0 1000 2000 3000 4000 5000 6000

Figure 5.17: Percentage district populations receiving public hospital inpatient services in 2073/74

228 DoHS, Annual Report 2073/74 (2016/17)

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5.1.4 Disease analysis
Top ten morbidities among inpatients — In fiscal year 2073/74, Pneumonia is the number one reason for
inpatient admission (15,033) followed by Diarrhoea and gastroenteritis disease (11,620) (Figure 5.18).

Figure 5.18: Top ten inpatient morbidities in FY 2073/74

J18 Pneumonia, organism unspecified 15033

A09 Diarrhoea and gastroenteritis of presumed infectious origin 11620
J44 Other chronic obstructive pulmonary disease 9588
T14 Injury of unspecified body region 8249
J22 Unspecified acute lower respiratory infection 6699
N39 Other disorders of urinary system 6302
A010 Typhoid fever 6269
I10 Essential (primary) hypertension 5704
K80 Cholelithiasis 4418
R50 Fever of unknown origin 4017

Source: HMIS

Total patients — In 2073/74 Nepal’s the HMIS recorded 905,194 patients (female 60%–male 40%) being
discharged from all types of hospitals (Table 5.5).Of this number 980703 (92%) (female 56%–male 36%)
were recorded as cured or recovered, while 14840 (1.51%) did not show clinical improvement (female
51%-male 49%). A total of 4,593 (0.4%) patients (female 43%–male 57%) died within 48 hours of
admission while , whereas 4,579(0.46%) patients (female 43%–male 57%) died more than 48 hours after
admission. Most patients were aged between 20-29 years (24%), More than a half of the inpatients were
aged 15-49 years (53.8%).

Table 5.5: Inpatient morbidity by age and sex, all hospitals, FY 2073/74
29 Days - 1

≥ 60 Years
≤ 28 Days

01 - 04

05 - 14

15 - 19

20 - 29

30 - 39

40 - 49

50 - 59
Years

Years

Years

Years

Years

Years
years
Year

Age Group Total

Recovered/ Female 19935 13108 19864 32004 54855 183127 73707 47152 41043 63694 548489

Cured Male 24305 20508 25767 36295 25394 42811 40592 39867 40982 60184 356705

Not Female 255 224 299 502 583 1537 806 874 772 1726 7578

Improved Male 346 385 392 551 475 852 744 795 867 1855 7262

Referred Female 496 410 467 773 1107 2839 1252 948 950 1830 11072

Out Male 699 596 617 864 583 1029 987 942 997 2126 9440

DOR/LAMA Female 683 493 626 863 1321 3266 1659 1261 1257 2943 14372

/DAMA Male 990 773 996 1021 754 1402 1251 1337 1368 3209 13101

Female 84 94 102 161 266 743 223 135 125 232 2165
Absconded
Male 74 104 124 182 127 167 126 122 111 210 1347

Death < 48 Female 261 67 42 49 65 172 171 197 234 718 1976

Hours Male 388 96 56 54 56 127 184 293 375 988 2617

DoHS, Annual Report 2073/74 (2016/17) 229

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29 Days - 1

≥ 60 Years
≤ 28 Days

01 - 04

05 - 14

15 - 19

20 - 29

30 - 39

40 - 49

50 - 59
Years

Years

Years

Years

Years

Years
years
Year
Age Group Total

Death ≥ 48 Female 150 67 35 56 43 147 132 166 287 884 1967

Hours Male 314 152 55 68 45 117 156 253 354 1098 2612

Female 21864 14463 21435 34408 58240 191831 77,950 50733 44668 72,027 587619

% 4 2 4 6 10 33 13 9 8 12 100
Male 27,116 22,614 28,007 39,035 27,434 46,505 44,040 43,609 45,054 69,670 393,084
Total
% 7 6 7 10 7 12 11 11 11 18 100
Total 48,980 37,077 49,442 73,443 85,674 238,336 121,990 94,342 89,722 141,697 980,703

% 5 4 5 7 9 24 12 10 9 14 100
Source: HMIS, DoHS
Note: LAMA = left against medical advice , DAMA discharged against medical advice

Outpatient consultations — The top-most reason for outpatient consultations in 2073/74 was for upper
respiratory tract infection (3.9%), followed by gastritis (3.7%) (Figure 5.19).

Figure 5.19: Top ten reasons (%) for outpatient consultations, FY 2073/74

Upper Respiratory Tract Infection (URTI) Cases 3.9

Gastritis (APD) 3.7
Headache 3.5
ARI/Lower Respiratory Tract Infection (LRTI)… 3.0
Falls/Injuries/Fractures 2.6
Presumed Non-Infectious Diarrhoea Cases 1.9
Intestinal Worms Cases 1.7
Scabies Cases 1.7
Typhoid (Enteric Fever) Cases 1.7
Fungal Infection (Lichen Planus) Cases 1.5
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5

Disease types — In terms of disease types among inpatients and outpatient services in FY 2073/74:
 the number one airborne disease was pneumonia (organism unspecified) (15,033 cases) followed
by pneumonia (unspecified) (2,813 cases) and bronchitis (1,715 cases) (Table 5.6);
 the number one airborne disease cause of death was pneumonia (unspecified organism) (115);
 the death rate among inpatients attributed to airborne diseases was 13.9 percent
 among the 698 cases of vector borne diseases 61 percent of patients had Dengue Fever no deaths
reported but among 125 cases 9 death reported from Viral Encephalitis (Table 5.7);

230 DoHS, Annual Report 2073/74 (2016/17)

 Curative Services
 diarrhoea and gastroenteritis was the leading cause of inpatient waterborne disease (49%),
followed by typhoid fever (26%) (Table 5.8);
 20.5 million communicable and non-communicable diseases were reported by outpatients in
2072/73 (communicable 27.4%, non-communicable 72.6%) (Table 5.9). The most of both types of
disease were reported in the Province 3 (19% and 26%) and the least in the Province 6 (8% and 6%).

Table 5.6: Breakdown of airborne disease cases among inpatients, FY 2073/74

Total Deaths
ICD/Diseases
Female Male Total Female Male Total
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed 115 198 313 3 5 8
A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture 60 115 175 4 8 12
A152 Tuberculosis of lung, confirmed histologically 0 2 2 0 0 0
A153 Tuberculosis of lung, confirmed by unspecified means 38 59 97 1 1 2
A156 Tuberculous pleurisy, confirmed bacteriologically and histologically 1 2 3 0 0 0
A159 Respiratory tuberculosis unspecified, confirmed bacteriologically and
13 27 40 0 0 0
histologically
A16 Respiratory tuberculosis, not confirmed bacteriologically or histologically 95 129 224 2 3 5
A160 Tuberculosis of lung, bacteriologically and histologically negative 23 57 80 1 3 4
A161 Tuberculosis of lung, bacteriological and histological examination not done 5 11 16 0 0 0
A162 Tuberculosis of lung, without mention of bacteriological or histological
39 53 92 0 2 2
confirmation
A164 Tuberculosis of larynx, trachea and bronchus, without mention of
1 0 1 0 0 0
bacteriological or histological confirmation
A165 Tuberculous pleurisy, without mention of bacteriological or histological
2 11 13 0 2 2
confirmation
A167 Primary respiratory tuberculosis without mention of bacteriological or
1 1 2 0 0 0
histological confirmation
A169 Respiratory tuberculosis unspecified, without mention of bacteriological or
245 435 680 7 20 27
histological confirmation
A170 Tuberculous meningitis 9 13 22 1 0 1
A18 Tuberculosis of other organs 173 163 336 0 0 0
A180 Tuberculosis of bones and joints 3 13 16 0 0 0
A181 Tuberculosis of genitourinary system 1 0 1 0 0 0
A182 Tuberculous peripheral lymphadenopathy 4 5 9 0 0 0
A183 Tuberculosis of intestines, peritoneum and mesenteric glands 19 33 52 0 2 2
A184 Tuberculosis of skin and subcutaneous tissue 0 1 1 0 0 0
A187 Tuberculosis of adrenal glands 0 2 2 0 0 0
A188 Tuberculosis of other specified organs 1 3 4 0 0 0
A19 Miliary tuberculosis 5 6 11 0 0 0
A190 Acute miliary tuberculosis of a single specified site 0 1 1 0 0 0
A199 Miliary tuberculosis, unspecified 5 5 10 0 0 0
G03 Meningitis due to other and unspecified causes 89 132 221 1 1 2
G039 Meningitis, unspecified 136 174 310 3 15 18
J029 Acute pharyngitis, unspecified 23 24 47 4 1 5
J18 Pneumonia, organism unspecified 10066 4967 15033 86 129 215
J181 Lobar pneumonia, unspecified 43 40 83 0 2 2
J189 Pneumonia, unspecified 1232 1581 2813 44 66 110
J40 Bronchitis, not specified as acute or chronic 789 926 1715 1 1 2
Total 13236 9189 22425 158 261 419

DoHS, Annual Report 2073/74 (2016/17) 231

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Table 5.7: Breakdown of vector borne diseases among inpatients, FY 2073/74
Cases Death
ICD Code/Diseases
Female Male Female Male
A86 Unspecified viral encephalitis 65 60 3 6
A90 Dengue fever [classical dengue] 186 240 0 0
B74.9 Filariasis, unspecified 0 1 0 0
B54 Unspecified malaria 9 22 0 0
B50.9 Plasmodium falciparum malaria, unspecified 31 9 0 0
B51.9 Plasmodium vivax malaria without complication 1 26 0 0
B55.9 Leishmaniasis, unspecified 11 37 0 0
Total 303 395 3 6

Table 5.8: Water borne diseases among inpatients, FY 2073/74

Total Deaths
ICD/Diseases
Female Male Total Female Male Total
A01 Typhoid and paratyphoid fevers 1855 1657 3512 0 0 0
A010 Typhoid fever 3284 2985 6269 63 52 115
A011 Paratyphoid fever A 9 10 19 0 0 0
A039 Shigellosis, unspecified 105 68 173 0 0 0
A06 Amoebiasis 84 73 157 0 0 0
A060 Acute amoebic dysentery 40 47 87 0 0 0
A069 Amoebiasis, unspecified 114 107 221 2 1 3
A09 Diarrhoea and gastroenteritis of presumed
6026 5594 11620 53 53 106
infectious origin
B15 Acute hepatitis A 29 27 56 0 1 1
B150 Hepatitis A with hepatic coma 0 3 3 0 1 1
B159 Hepatitis A without hepatic coma 82 117 199 2 6 8
B17 Other acute viral hepatitis 51 97 148 1 1 2
B172 Acute hepatitis E 10 14 24 1 2 3
E86 Volume depletion 171 188 359 5 7 12
K52 Other noninfective gastroenteritis and colitis 16 13 29 0 0 0
K529 Noninfective gastroenteritis and colitis,
126 122 248 0 0 0
unspecified
R17 Unspecified jaundice 311 307 618 11 8 19
Total 12313 11429 23742 138 132 270

232 DoHS, Annual Report 2073/74 (2016/17)

 Curative Services
Table 5.9: Communicable and non-communicable diseases among outpatients by province,
FY 2073/74
Communicable Non-Communicable
Province Total
Cases % Cases %
Province 1 932351 16.6 2794799 18.7 3727150
Province 2 945320 16.8 1816656 12.2 2761976
Province 3 1088706 19.4 3887455 26.1 4976161
Province 4 624958 11.1 1753391 11.8 2378349
Province 5 952454 17.0 2411759 16.2 3364213
Province 6 452348 8.1 882703 5.9 1335051
Province 7 618691 11.0 1360600 9.1 1979291
5614828 100.0 14907363 100.0 20522191
Nepal
27.4 72.6

5.1.5 Communicable and non-communicable diseases (inpatients)

Cases — In 2073/74, 346,919 cases were admitted to hospital, of which 85 percent were non-
communicable disease cases (Table 5.10). There were nearly five times as many non-communicable
disease deaths as communicable disease deaths.

Table 5.10: Communicable and non-communicable disease cases and deaths (inpatients), FY 2073/74
Diseases Cases % Deaths %
Communicable 8769 2.5 172 17
Non-communicable 338150 85 5019 83
Total 346919 100 5191 100

Cause of death — Regarding the causes of death (and morbidity) among inpatients in FY 2073/74:
 the leading cause of death among inpatients was ‘Unknown and unspecified cause of morbidity
(523) (Figure 5.22).

Figure 5.22: Top 10 causes of death among inpatients, FY 2073/74

R69 Unknown and unspecified causes of morbidity 523

J44 Other chronic obstructive pulmonary disease 240
J18 Pneumonia, organism unspecified 215
O809 Single spontaneous delivery, unspecified 118
A010 Typhoid fever 115
J189 Pneumonia, unspecified 110
A09 Diarrhoea and gastroenteritis of presumed infectious origin 106
J22 Unspecified acute lower respiratory infection 100
V89 Motor- or nonmotor-vehicle accident, type of vehicle… 93
N39 Other disorders of urinary system 85

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Curative Services
Surgeries — 125959 major surgeries were performed in the reporting period (combined inpatient and
outpatient surgeries) of which 60.40 percent were female cases (Figure 5.23). A total of 66,733 minor
surgical procedures were performed on hospital outpatients while 66,155 were performed on an
inpatient basis. Females accounted for 48 percent of all minor surgeries. More of the minor emergency
surgery cases were males than females (44.76%–55.23%).

Figure 5.23: Surgeries in hospitals, FY 2073/74

90000
80000 76084

70000 Female Male

60000
49875
50000
40000 33364 33369 31785 34370 33156
26873
30000
18343 19925
20000
10000
0
Major Surgeries Outpatient minor Inpatient minor Emergency minor Plaster
surgeries surgeries surgeries
Source: HMIS

Deliveries —237,275 deliveries were conducted in hospitals in 2073/74 of which 72 percent happened
through spontaneous labour, 25 percent through caesarean sections and 3 percent were vacuum
assisted (Figure 5.24).

Figure 5.24: Deliveries in hospitals, FY 2073/74

Total Delivery:
237275
25%

3%
72%

Normal delivery Vacuum/forceps delivery C/S Delivery

Note: Please see Annex 3 for more details.

234 DoHS, Annual Report 2073/74 (2016/17)

 Curative Services
Hospital Brought deaths and Post-mortem cases — In FI 2073/74:
 2344 brought dead to hospital cases (62% male–38% female) and 7011 hospital post-mortem cases
(65% males–35% females) were reported to the HMIS (Table 5.11).

Table 5.11: Hospital brought dead and post-mortem cases, FY 2073/74

Female % Male % Total
Brought dead 886 38 1,458 62 2,344
Post-mortem done 2,472 35 4,539 65 7,011
Total 3,358 36 5,997 64 9,355
Female % Male % Total

DoHS, Annual Report 2073/74 (2016/17) 235

 Chapter 6 SUPPORTING PROGRAMMES
PROGRAMME

6.1 Health Training

Introduction
The National Health Training Centre (NHTC)is the apex body for developing human resources for
health in Nepal. It caters for the training needs of all MoH departments, divisions and centres by
delivering pre
pre-service,
service, basic, upgrading, competency
competency-based,
based, orientation
orientation and refresher training
courses that train health service providers to deliver quality health care services (Figure 6.1.1). It
works to implement the National Health Training Strategy, 2004. In In-service
service technical and
managerial training is delivered through NHTC’s network at national, regional, district and
community levels.NHTC’s goal, objectives and strategies are listed in Box 6.1.1.

Figure 6.1.1: Types of training programmes provided by NHTC

Training: NHTC provides following areas of training programs

Pre service Training Basic Training

Competency Based
Upgraded Training
Training

Refresher Training Orientation Programs

NHTC’s network includes five regional health training centres, one sub sub-regional
regional health training
centre (Figure 6.1.2).
6.1.2 34 clinical training sites, district supervisors with general training of trainers
(GTOT
GTOT) and one training focal person in each district). The hospital-based
hospital based training sites (Figure 6.1.3
and Table 6.1.1) conduct family planning, skilled birth attendance ,mid-level level practicum ,safe
abortion services, rural USG, anaesthesia assistance, paediatric nursing, medico-legal
medico legal and other
types of training programmes.

236 DoHS, Annual Report 2073/74

207 (201
(2016/17)
 Supporting Programmes
Figure 6.1.2: Nepal’s health care training institutions

Training Network

NHTC

Training sites
34 sites

RHTC RHTC RHTC RHTC RHTC Sub RHTC

Dhankuta Pathlaiya Pokhara Surkhet Dhangadi Sapahi

Figure 6.1.3: Hospital-based

Hospital based clinical training sites (34)

Clinical Training Sites-34

Sites 34

1. NAMS,KTM
2. TUTH,KTM
3. PMWH,KTM
4. JZH,Dhanusha
5. Bharatpur Hospital 1. BPKIHS,Dharan
6. NHRS,Birgunj
2. MZH,Jhapa
7. Hetauda Hospital
8. Dhulikhel Hospital
3. SZH,Rajiraj
9. CFWC,KTM 4. KZH,Biratnagar
10. FPAN 5. Amda Hospital,
-Kathmandu
Kathmandu Damak
-Chitwan
Chitwan 6. Missionhospital,
-Dhanusha
Dhanusha Okhaldhunga
7. FPAN,Itharai

Table 6.1.1: Major training sites

Training No. Name of training sites

sites
1 SBA 21 Different accredited central, regional and zonal hospitals
2 ASBA 2 Paropakar Maternity Hospital, Kathmandu and Bharatpur
Hospital, Chitwan
Chitwan,, Seti Zonal Hospital Dhangadhi.
3 Anaesthetic 3 NAMS Bir Hospital, Dhulikhel Hospital and AMDA hospital,
assistant Damak
Damak.

DoHS, Annual Report 2073/74

207 (2016/17) 237
Supporting Programmes
Training No. Name of training sites
sites
4 Family planning 15 Accredited hospitals and Family Planning Association of
Nepal(FPAN) clinics.
5 Ultrasonogram 4 Dhulikhel Hospital, AMDA Hospital, Patan Hospital,Bheri Zonal
Hospital, Nepalgunj.
6 Medico-legal 2 TU Teaching Hospital and BPKIHS Dharan.
7 Safe abortion 7 Different accredited central, regional and zonal hospitals and
services FPAN clinic.
8 Paediatric 4 Bheri Zonal Hospital and Palpa Mission Hospital, Kanti Children
nursing Hospital, BPKIHS Dharan.
New Born Care 2 BPKIHS Dharan, PMWH Thapathali
Training
9 Intensive and 2 In process of site development
critical care units
(ICU, CCU)
10 Operating 2 TU Teaching Hospital and Bharatpur Hospital
theatre
management
11 Mid-level 11 Various hospitals
practicum

Box 6.1.1: NHTC Goal, Objectives and Strategies

Goal:
The overall goal of NHTC is to build a technical and managerial capacity of health service providers
at all levels to deliver quality health care services towards attainment of the optimum level of
health status.

Objectives:
 To enhance and standardize the training curricula, references, trainer’s capacity with the
training sites.
 To organize training activities to address the need of quality health services providers in
different level of health facilities.
 To address the training requirements reflected in current national health
policy and strategies
 To ensure quality of training programs
using different mechanisms in adherence to national standards.

238 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes
 To adopt and promote innovative training approaches
 To strengthen mechanism and capacity for post training follow up and support

Strategies:
 Assessing, standardizing and accrediting training and training sites.
 Developing and standardizing training packages.
 The institutional capacity development of all training units.
 Conducting pre-service, in-service, orientation, refresher, long-term and short-term trainings
as per national requirements.
 Integrating and institutionalizing training.
 Develop links with professional career development organizations.
 Strengthening the Training Information Management System (TIMS) and training rosters.

Activities
Types of training
Pre-service training — NHTC provides two types of pre-service trainings — the Diploma in
Biomedical Equipment Engineering (18 months) and the Anaesthesia Assistant Course (1 year).

Upgrading— In-service upgrading trainings are designed and conducted as per the needs of
programme divisions and centres. The training packages aim to develop the skills to implement new
programmes and improve job performance. The main courses are listed in Box 6.1.2.

Competency and clinical-based training courses — The 23 courses offered are listed in Box 6.1.2.

Box 6.1.2: Types of upgrading and competency and clinical-based training courses

Upgrading courses Competency and clinical-based courses:

 Senior auxiliary health  Skilled birth attendance  Mid-level practicum (MLP)

worker training (6  Advanced skilled birth attendance  Palliative care
months)
 Rural ultrasonography (USG)for  Paediatric nursing care
 Senior auxiliary nurse- senior nurses  Gender based training
midwife (6 months)
 Medico-legal  Clinical training skills (CTS)
 Auxiliary nurse-midwife-
 Non-scalpel vasectomy  Operation Theatre Technique
Padnam (P) (6 months)
 Intrauterine Contraceptive Device and Management (OTTM)
 Auxiliary health worker-P
(IUCD)  Infection prevention (IP)
(6 months)
 Postpartum intrauterine  Mental health
 Auxiliary health
contraceptive device (PPIUCD)
worker(15 months)  Comprehensive family
 Minilap planning(CoFP)counselling
 Auxiliary nurse-
midwife(18 months)  Implants  Primary Trauma Care (PTC)
 Supervisors  Safe abortion services and Emergency Trauma
Upgrading/Capacity  Comprehensive abortion care (CAC) Management (ETM)
Development Training.  Medical abortion  Adolescent and sexual

DoHS, Annual Report 2073/74 (2016/17) 239

Supporting Programmes
reproductive health (ASRH)

Refresher training — A range of refresher trainings are conducted as per the needs of divisions and
centres to develop the skills for implementing new programmes and to improve job performance.
These include refresher training courses for FCHVs and skilled birth attendants (SBAs).

Orientation programmes — NHTC supports the divisions and centres to develop orientation
packages and prepare pools of trainers for conducting orientations for health and non-health
workers including for Health Facility Operation and Management Committee (HFOMC) members
and on Appreciative Inquiry (AI).

Basic training is organised for FCHVs.

Other training includes:

 induction training for newly recruited officers (health personnel)
 training on the Transaction Accounting and Budgetary Control System (TABUCS)
 biomedical equipment assistant training (BMEAT)
 biomedical equipment training for users (cold chain, laboratory, X-ray).

Induction training —NHTC has begun providing induction training for all health service groups from
2072/73. The one month courses (24 days) is provided for all health service disciplines.
NHTC responsibilities
 NHTC is responsible for certifying non-clinical and clinical competency-based training courses.
 NHTC develops annual training programme plans and budgets that cover the sub-regional and
RHTCs and the training sites and 75 district health training programmes.
 NHTC delivers the approved annual training programme to the sub-regional and RHTCs,
training sites and districts. All centres, sites and districts implement the programme as per the
training guidelines. A quality improvement (QI) tool has been introduced to quality assure
clinical skill-based training.
 NHTC is responsible for accrediting many of the non-clinical and clinical competency based
training courses that are listed in Box 6.1.2 and training sites. Five reproductive health training
sites are accredited to conduct reproductive health trainingwhile different hospitals are
accredited to conduct mid-level practicum and TU Teaching Hospital to conduct medico-legal
training. Institutions must be accredited before providing training courses.
 NHTC develops the training curricula based on programme needs in collaboration with
divisions and centres. Various technical working groups, which involve government and
supporting partners, review and revise existing curricula and form technical working groups to
formulate new curricula. NHTC reviewedthe SBA, PNC, 5 upgrading trainings and other
curricula and packagesin 2072/73 and developed a new gender-based violence (GBV) package
and OFPOP training programmes.
 NHTC coordinates and collaborate with MoH partner institutions including external
development partners, NGOs, the private health sector and medical colleges. Various
stakeholders support NHTC to plan and execute its training programmes.
 NHTC conducts skill based training for health workers including about 9,000 medical officers
and nursing staff having been trained on safe birth attendance (SBA). NHTC conducts its on-site
Follow–up Enhancement Programme for SBA and mid-level practicum trained health workers

240 DoHS, Annual Report 2073/74 (2016/17)

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in co-ordination with the Nick Simons Institute (NSI) and other partners to update knowledge
and skills.
 The supervision, monitoring, follow-up and evaluation of training activities are carried out in
co-ordination with involved stakeholders. These efforts help NHTC to assess the quality of its
training programmes. NHTC has increased the monitoring and supervision of its training
activities to maintain the quality of its training.
Institutional Capacity Development
NHTC focuses on the following activities for the institutional development of training:

Physical facilities — NHTC develops the facilities at regional training centres, hospitals and district
level training sites and reviews and ensures the presence of adequate physical facilities and
equipment.

Training programme development — NHTC develops the training programmes as per the needs of
MoH, DoHS and other stakeholders and facilitates coordination between divisions, centres, districts
and training sites on the training programmes. NHTC plans, implements and manages the training
need of the divisions and centres and supports training improvement in coordination and
collaboration with external development partners, NGOs, private providers and medical colleges.

Capacity building— NHTC develops the capacity of health workers in different specialized areas. As
part of faculty development and strengthening staff capacity, NHTC provides opportunities to
participate in different programmes of national and international institutions.

Supporting partners— The partners listed in Box 6.1.3 support NHTC to plan and execute health
training programmes.

Box 6.1.3: NHTC supporting partners

USAID: Family planning, logistic management training, quality improvement tools in clinical
training, human resource support for family planning training and service strengthening.
Nick Simons Institute: SBA, USG, MLP, anaesthesia assistance, biomedical equipment (assistant) training
(BMET, and BMEAT), clinical training skills, OTTM, X-ray/lab users maintenance training.
UNFPA: ASRH, Gender based violence, human resource support for reproductive health training
and service strengthening.
Save the Children: SBA, ASRH, family planning training.
UNICEF: SBA training, rural ultrasound, paediatric nursing training, technical assistance.
Ipas: Safe abortion site training, long-term family planning method
PSI Nepal: Family planning training, medical abortion training, clinical training skills.

Training Working Group— A high level Training Working Group (TWG) with the membership of
government and external development partners discuss training quality improvement, curriculum
development and training accreditation.

Financial resources — The annual programme budget funds the training programmes. It is
envisioned to allocate annual grants for locally organized training based on defined training needs
and to make funding available based on decentralized planning by training institutions. A
mechanism is also being explored for training institutions to generate and mobilise local resources.

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Develop training data bank— NHTC is working to update the information in the TIMS. All the
training information taken from different training sites is being updated and made available to
participants. NHTC plans to update the TIMS at central level and link it with the regional health
training centres and other clinical training sites. NHTC is also preparing a trainers roster.

Research—Research is needed to explore ways of improving the quality of training programmes.

NHTC plans to develop the capacity of its training sites to carry out for research.

Achievements in 2073/74
In 2073/74 NHTC spent 80.62 percent of its central and regional budgets and 95.18 percent of its
district level budget (Table 6.1.2), and performed well against targets set for the year 2073/074
i.e physical progress 95.92% central and 100% district level .

Table 6.1.2: Status of budget allocation and financial progress, 2073/74

Budget Budget amount Budget spent Financial achievement
Central level (with regional NPR 188,450,000 NPR 151,928,390 80.62%
centres and training sites)
District level NPR 21,400,000 NPR 20,368,520 95.18%

Training manual development

A number of training manuals were developed or revised this year with support from external
development partners (PEN Package, OTTM, NSV self-paced and IUCD self-paced training packages
and five upgraded training packages.

New initiatives

 Blended learning approach ( NSV,IUCD, 2nd tri abortion)

 Structured OJT
 Trauma Management Trainings
 Revision of NHT strategy (amendments in according to the federal situation)
 District level Coach and Mentor Development
 Training on Non Communicable Disease [PEN Protocol]
 Web based access to training related documents (manuals and references etc)
 Development of Comprehensive Reproductive Health Training sites [Seti, Bheri,
Paropakar Maternity, West Regional Hospitals]

Internal capacity development

Staff development—The external evaluation identified the need for the institutional reform of
NHTC. Only a few activities were run this year to enhance the capacity of health trainers.

Upgrading and maintenance of facilities — A few health training buildings were renovated and
some equipment (laptops, LCDs, desktop computer, printer, photocopy machine) were supplied to
strengthen training sites. NHTC also added many books, periodicals and equipment to its libraries.

242 DoHS, Annual Report 2073/74 (2016/17)


Issues and recommendations
Major issues, problems raised at this year’s national and regional review meetings are listed in
Table 7.
Issues
 Manage a separate pool of trainers from
different disciplines
 Unplanned selection of participants:
– Training plan for programme and
service (district and respective
division)
– Training as incentives rather than
need based and carrier development
 Multi-door trainings
 Lack of strategic and uncoordinated
approach to training, e.g. staff may be
trained but lack the equipment required
or opportunities to practice their skills.
 Focus of training on transfer of
knowledge (theory) rather than
developing practical skills
 Inadequate training follow up mechanism
 Selection process and criteria of Sr. AHW,
Sr. ANM (age and level)
 System of ‘irrational and frequent’
transferring of staff
DoHS, Annual Report 2073/74 (2016/17)
Supporting Programmes
Recommendations
 Consolidate the overall training needs of
health service providers
 Consolidate all training programme run by
divisions and centers through NHTC.
 Improve the quality of training by regularly
updating trainers, by post-training follow-up,
by preparing a roster of master trainers and
by ensuring training quality as per guidelines
 Recognize competency based training for
career development
 Design and develop practical training which
encourages ‘learning by doing’ and links
directly to an individual’s job/ tasks
 Establish a national health resource unit at
NHTC
 Rapidly assess the needs of NHTC, RHTCs and
training sites including infrastructure and
human resources.
 Make transfer policies and guidelines
 Revise the selection criteria for upgrading
training
 Develop regulating bodies to ensure quality
and standard of training
243
Supporting Programmes

6.2 Vector Borne Disease Research & Training

Background
Vector Borne Disease Research & Training Center (VBDRTC) was established in 1979 as a Malaria
Research & Training Centre under the Nepal Malaria Eradication Organization (NMEO). On 12th June
1996, the center named as Vector Borne Disease Research & Training Center. VBDRTC became semi
autonomous with the effect of Development Board Act from 24 th January 2000 and now the center is
being governed by the Development Board. VBDRTC is responsible for research and training of VBDS
including malaria, kala-azar, dengue/ chikungunaya, lymphatic filariasis, scrub typhus and Japanese
encephalitis.

Mandate of VBDRTC are:

1. Identify and prioritize research needs on vector borne and emerging infectious diseases
(EIDs) in Nepal.
2. Coordinate and conduct research and trainings on VBDS and EIDs.
3. Collaboration conduct and coordination with research institutes/university both within and
outside the country through proper government channels on VBDS and EIDs.
4. Conduct and facilitate in monitoring and evaluation in collaboration with the disease
control/elimination /interventions programmes such as drug efficacy.
5. Studies, vector bionomics and control, mapping, evaluation of intervention/elimination of
VBDS and EIDS.
6. Collaborate with disease control/elimination /interventions programmes to develop and
disseminate advocacy materials for prevention and control of VBDS and EIDs.
7. Provide technical support for policy development and planning of the control/ elimination of
VBDS and EIDs to the government of Nepal.
8. Provide training for national capacity building on VBDS and EIDs and related research in
collaboration with the diseases control/elimination programmes and national Health
research council (NHRC)
9. To work as center of excellence for VBDs and EIDs in Nepal and neighboring countries.

Major activities in FY 2073/74

VBDs basic training

Objective of this training is to fulfill the knowledge and management gap between Vector Borne
Disease and Program to the VBD focal persons mostly who were not trained before or newly
recruited and also enhance the level of knowledge and skills of the participant pertaining to
prevalent and possible vector borne diseases which occur or may occur in Nepal that enable the
participants to lead district level Vector Borne diseases Management program.

Twenty-one day’s VBDs Basic Training for VCI/MI and Focal persons were conducted in VBDRTC,
Hetauda from 2074/3/17- 2074/4/6. Fifteen persons were trained on basic VBDs including medical
officers, HA, PHI, VCI and MI from 15 districts Facilitators were managed from VBDRTC, CHRD, and
some from outside from government sector.

Pre and post test of the participants was taken as a part of evaluation, data analyzed and significance
of the pre and post knowledge exhibited by applying Paired T test. Overall training and skills of
facilitators also evaluated by received feedback and suggestions from the participants. An average
mark in pre test was 45.29% and accelerated up to 78.97% in post test. Minimum marks obtained by
a participant in pre test were 18.75% which accelerated in 48.75% in post test. Maximum marks
obtained by participants in pre test was 73.75% in pre test which progressed to 100% in post
test.(see: figure 1).
244 DoHS, Annual Report 2073/74 (2016/17)
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Figure 1: Pre and post test score of Individual

120
Pre test Post test
100
100
78.97
80 73.75

60
48.75 45.29
40
18.75
20

0
Min Average Max

VBDs training for Physicians, pediatricians and medical officers

Objective of this training is to orient the physician, pediatrician and also the medical generalist
working in emergency department on strategies and treatment protocol of VBDs and facilitate early
diagnosis and prompt and correct treatment of VBDS. Orientation was conducted in Janakpur,
Dhanusha and Biratnagar, Morang. Consultant, Medical superintendants, physician and Pediatrician
and programme specialist/ focal persons was used as facilitators. A total of 60 doctors were
oriented.

VBDS training for health workers

The overall objective of this training is to update the knowledge, skills and strengthen management
capacity of health workers on VBDs. Three days VBDs training was conducted in endemic districts
including Kapilbastu, Nawalparasi and Kavre district. A total of 75 persons including MO, VCI/ VCO/
MI, HA, AHWs, ANMs and MR were trained on VBDs.
Review of vector borne diseases
The two day’s review meeting on VBDs was conducted in VBDRTC to strengthen coordination and
collaboration to improve quality assurance/ quality control in malaria microscopy to eliminate
malaria and other VBDS. Participants were VBD’s focal persons and laboratory focal persons. Review
was conducted in two groups containing 30 persons in each group. District focal person presented 3
years district case scenarios of VBDs and district wise problems, issues/challenges were discussed
and recommended ways to solve them.

Early warning and reporting system on site coaching programme

The objective of EWARS on site coaching is to improve recording /reporting system, strengthen
surveillance system of VBD’s and other epidemic potential diseases and encourage timely and
complete reporting. It facilitates coordination and early response from sentinel sites and DPHO.
Programme was conducted in 16 sentinel sites of poor reporting sites A total of 13 persons were
participated including medical superintendent, MO, MR and other programme related paramedics.

DoHS, Annual Report 2073/74 (2016/17) 245

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Entomological refresher training
The overall objective of this training is to update the knowledge on occurrence, etiological agents,
diseases transmission and enhance the skills of vector control officers/malaria inspectors in vector
identification, surveillance, help prevention, control and elimination of vector borne diseases eg.
malaria, kala-azar, dengue, Japanese encephalitis and chikungunya. The training programme mainly
focused on practical session to strengthen the capacity of participation on vector characteristics,
identification, and collection along with delivery of theoretical knowledge. Six persons were trained
on entomological refresher training including VCO /VCI and MI from different districts.
Methodologies in facilitations were used Power Point Presentation, Demonstration on
entomological techniques, Practice on entomological surveillance techniques in the field and
identification, dissection, incrimination techniques in the insectariums of VBDRTC, Pre and post
theoretical and practical examinations and Evaluations of the training course by the participants.

Pre and post test of the participants was taken, data analyzed. Overall training and skills of
facilitators also evaluated by received feedback and suggestions from the participants. An average
mark in pre test was 51.25% and accelerated up to 84.58% in post test. A minimum mark obtained
by a participant in pre test was 20% which accelerated in 67% in post test. A maximum mark
obtained by participants in pre test was 70% in pre test which progressed to 97.5% in post test.

Malaria microscopy training (basic and refresher)

Objective of this training is to fulfill the knowledge and skill gap of participants, i.e. Laboratory
assistants/technicians and make them able to organize and run a malaria microscopy laboratory; and
accurately diagnose malaria infections in patients/ communities with Giemsa microscopy and
internationally recognized standard operating procedures.

Malaria microscopy basic training was conducted by VBDRTC in FY 2073/74 in two groups. Training
for first group was started from 12/12/2073 and second group from 16/02/ 2074. A total of 25
persons were trained including laboratory technician and laboratory assistants in basic training.
Among the 25 participants, 5 person developed advanced level skills, 2 persons qualified in first
group and 1 participant developed advanced level skills and 2 participants became qualified in
second group and other participants need continued practice and refresher training to be qualified
and gain advanced level skills.

Malaria microscopy refresher training was conducted by VBDRTC in FY 2073/74 in two groups.
Training for first group was started from 2073/03/01 and second group from 2073/12/12. Thirteen
persons were participated in group first and 15 from group second. Among them, 1 participant
developed advanced level skills, 2 became qualified from first group and 4 developed advanced level
skills, 2 became qualified from group second and rest of the participants need continue practice and
refresher training to qualified and develop advanced level skills.

Following research activities/ study carried out in the fiscal year 2073/74
 Suscessptibility test of different species of Anopheline mosquitoes with Alphacypermethrin
(0.05%) and Lambdacyhalothrin (0.05%) in Dhanusha District.

 Materials and methods:

The standard World Health Organization (WHO) test procedures for insecticide resistance
monitoring in malaria vector mosquitoes was followed and the recommended diagnostic
dosage was used. The insecticide impregnated papers and silicone oil impregnated control
papers used in this susceptibility test were supplied by WHO and the papers were prepared
by Universiti Sains Malaysia, Penang, Malaysia. For the susceptibility test, collection of adult

246 DoHS, Annual Report 2073/74 (2016/17)

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female anopheline mosquitoes was carried out inside animal sheds in Dhara Tole. Mosquito
collection was done in the morning during the time period of 05:30 am to 07:00 am. Blood
feed, half gravid and gravid adult female anopheline mosquitoes resting inside the animal
sheds were collected. Mouth aspirators and flashlights used to capture the adult female
anopheline mosquitoes. All adult female anopheline mosquitoes captured were kept in
chambers and brought to the nearby field laboratory established in Lalgadh Leprosy
Hospital, where susceptibility test was performed.

Eight replicates were performed with 0.05 percent diagnostic concentration of

Alphacypermethrin exposing 15 – 25 mosquitoes in each replicate. Four replicates were
performed simultaneously for the control papers exposing 15 – 25 mosquitoes in each
replicate. Similarly, ten replicates were performed with 0.05% percent diagnostic
concentration of Lambdacyhalothrin exposing 15 – 25 mosquitoes in each replicate and five
replicates were performed simultaneously for the control papers. Mosquitoes were exposed
for 1 hour with Alphacypermethrin (0.05%) and Lambdacyhalothrin (0.05%) and with control
papers simultaneously. During 1 hour of exposure period, numbers of knock down
mosquitoes were recorded in every 10, 15, 20, 30, 40, 50 and 60 minutes interval. At the end
of 1 hour of exposure period, mosquitoes were transferred to the holding tubes for 24 hours
post-exposure observation. During 24 hours of post-exposure observation, holding tubes
were allowed to stand upright on the slide so that its mesh screen end up and a piece of
cotton wool soaked with 10% glucose solution was placed on the mesh screen. Mortality
counts were made after 24 hours of post-exposure observation period. At the end of post-
exposure 24 hours observation period, dead mosquitoes were removed by gently detaching
the slide and numbers of dead mosquitoes were counted. Dead and alive mosquitoes were
identified morphologically by using hand lens. At the end of 24 hours post-exposure holding
period, numbers of dead mosquitoes were counted in both exposure and control tubes.

 Results:
Results of susceptibility tests performed on different species of the adult female Anopheline
mosquitoes Susceptibility test of different species of Anopheline mosquitoes with
Deltamethrin (0.05%) and Permethrin (0.05%) in Dhanusha District with Alphacypermethrin
(0.05%) and Lambdacyhalothrin (0.05%) in Tulsi, Dhara Tole, ward no.1 of Mithila
Municipality of Dhanusha district indicate that tolerance have been developed in Anopheles
annularis the vector of malaria in Nepal and other Anopheles species Anopheles culicifacies,
Anopheles splendidus and Anopheles vagus with pyrethroid insecticides (Alphacypermethrin
and Lambdacyhalothrin). Since present susceptibility test was performed in wild caught
mosquitoes and representing low sample size; to supplement this study further
susceptibility tests need to be carried out in F1 generation of the Anopheles species of same
locality. Present susceptibility tests attempted to find out the susceptibility status of adult
female Anopheline mosquitoes withpyrethroid insecticides (Alphacypermethrin and
Lambdacyhalothrin)in Tulsi, Dhara Tole, ward no. 1 of Mithila municipality of Dhanusha
district and the information obtained from this study could be useful for planning of vector
control strategies.

 This susceptibility test / study were conducted second time in the same study area from
2074/02/09 to 2074/02/15 with slight variation in temperature and humidity.

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 Results
Results of susceptibility tests performed on different species of the adult female Anopheline
mosquitoes with Deltamethrin (0.05%) and Permethrin (0.05%) in Tulsi, Dhara Tole, ward
no.1 of Mithila Municipality of Dhanusha district indicate that tolerance have been
developed in Anopheles annularis the vector of malaria in Nepal and other Anopheles
species Anopheles culicifacies,Anopheles splendidus, Anopheles vagus and Anopheles
subpictus with pyrethroid insecticides (Deltamethrin and Permethrin). Since present
susceptibility test was performed in wild caught mosquitoes and representing low sample
size; to supplement this study further susceptibility tests need to be carried out in F1
generation of the Anopheles species of same locality. Present susceptibility tests attempted
to find out the susceptibility status of adult female Anopheline mosquitoes with pyrethroid
insecticides (Deltamethrin and Permethrin)in Tulsi, Dhara Tole, ward no.1 of Mithila
municipality of Dhanusha district and the information obtained from this study could be
useful for planning of vector control strategies.

 Conclusion:
Results of susceptibility tests performed on different species of the adult female Anopheline
mosquitoes with Deltamethrin (0.05%) and Permethrin (0.05%) in Tulsi, Dhara Tole, ward
no.1 of Mithila Municipality of Dhanusha district indicate that tolerance have been
developed in Anopheles annularis the vector of malaria in Nepal and other Anopheles
species Anopheles culicifacies, Anopheles splendidus, Anopheles vagus and Anopheles
subpictus with pyrethroid insecticides (Deltamethrin and Permethrin). Since present
susceptibility test was performed in wild caught mosquitoes and representing low sample
size; to supplement this study further susceptibility tests need to be carried out in F1
generation of the Anopheles species of same locality. Present susceptibility tests attempted
to find out the susceptibility status of adult female Anopheline mosquitoes with pyrethroid
insecticides (Deltamethrin and Permethrin) in Tulsi, Dhara Tole, ward no.1 of Mithila
municipality of Dhanusha district and the information obtained from this study could be
useful for planning of vector control strategies.

248 DoHS, Annual Report 2073/74 (2016/17)

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6.3 HEALTH EDUCATION, INFORMATION AND

COMMUNICATION

Background
The National Health Education, Information and Communication Centre (NHEICC) is the apex body
under theMinistry of Healthfor planning, implementing, monitoring and evaluating Nepal's health
promotion, education and communication programmes including periodic surveys and research. The
Scope of the centre is guided by the National Health Communication Policy 2012 following the
National Health Policy 2014, communication strategies and other health related plans and policies.
The centre functions to support health programmes and services to achieve national health goals
and SDGs through health communication approach. The centre is the lead for all health promotion,
education and communication programmes including multi-sectoral health initiatives. The centre
uses advocacy, social mobilization and marketing, behaviour changeand community led social
change strategies to implement its programmes.

National Health Communication Policy 2012

The government endorsed the National Health Communication Policy 2012 to give a high priority to
health promotion, education and communication programmes.

Goal : The goal of the Health Communication Policy is to promote healthy behaviour, prevention and
control of diseases and increase access to and use of health services.

Objectives :
 Mobilize and use modern and traditional communication multimedia and methods to raise
health awareness, knowledge and promote healthy behaviour among the general public.
 Strengthen, expand and implement health communication programmes at all levels.
 Generate, collect and mobilize resources to implement health communication programmes.
 Prevent the unauthorized dissemination and duplication of health related messages or
information and materials on different issues.
 Enhance capacity on health communication to develop, produce and disseminate quality,
correct, authorized, uniform and appropriate messages and information.
 Provide quality health messages and information through appropriate media and methods to the
citizens who otherwise have little access to such messages and information.

Policies:
The Main health promotion, education and communication policies are as follows:


Implement health communication programmes in a decentralized manner.

Provide continuity to planning and implementation of communication programmes of all health
services and programmes in an integrated way through a one-door system.
 Allocate at least two percent budget of MoH's annual budget for health communication
programmes.
 Promote participation, coordination and cooperation of relevant organizations and
stakeholders in health communication programmes.
 Use different appropriate types of media to disseminate health messages and information.
DoHS, Annual Report 2073/74 (2016/17) 249
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 Disseminate health messages and information based on need, approved standards and through
all communication media and methods to reach all intended audiences.
 Disseminate health messages and information in an educative, artistic and entertaining way in
local language and in culturally appropriate ways.
 Prevent the dissemination of health messages and information without taking consent from the
government for maintaining quality, correctness, uniformity and appropriateness, avoiding
duplication and making policy-based health messages and information.
 Encourage communication media, institutions, health workers and journalists to disseminate
valid and scientific health messages and information.
 Encourage and facilitate the dissemination of health messages and information through
different communication media and methods in public private partnerships.
 Regulate, control and ban the dissemination of messages and information that can adversely
affect human health or is exaggerated, misleading or unauthorized.
 Provide information on the proper use of medicines and on service charges at government,
non-government and private health facilities.
 Prioritize messages and information on lifestyle-related diseases and encourage healthy
lifestyles.
 Capacity building of health promotion and communication personnel to effectively plan and
implement health communication programmes.
 Provide quality health messages and information to people in remote areas and to the
disadvantaged, poor and marginalized people at appropriate times and through appropriate
media and methods.
 Link health messages, information and programmes with services and provide them in socially
inclusive, gender friendly and right, fact and audience-based ways.
 Use advanced modern communication technology to disseminate health messages and
information.
 Monitor and evaluate the use of messages and materials and the effectiveness of health
communication programmes.

Strategies :
Advocacy, social mobilization and behaviour change communication are the major strategies for
health promotion, education and communication. The specific strategies are as follows:
 Implementing a one-door integrated approach for all health communication programmes under
MoH.
 Ensuring adequate budget for health communication programmes.
 Coordinating with stakeholders through technical committees and other means.
 Mobilizing communication media, methods and materials for the prevention of diseases and
promotion of health.
 Standardizing health messages and information for uniformity and appropriateness.
 Using entertainment approach with an education format for disseminating health messages and
information.
 Ensuring that all stakeholders disseminate health messages and information after taking consent
from concerned MoH bodies.
 Encouraging health journalists to disseminate messages and information on health issues.
 Encouraging the dissemination of health messages and information through public-private
partnerships.
 Discouraging messages and information that is harmful to health.
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 Prioritizing lifestyle diseases prevention messages and information dissemination.

 Building the capacity of health workers to plan and implement health communication
programmes.
 Ensuring the quality of health messages and materials through technical committees.
 Introducing new communication technologies for health promotion and health communication.
 Coordinating with academia for building the capacity of health workers on health promotion and
health communication.
 Strengthening monitoring and supervision activities to determine the gaps in knowledge,
attitudes and practices among target audiences and service providers.

6.2.3 Programme components & sections and their scopes

Table 6.3.1 : Health communication programme components & sections and their scopes :

Components and
S.N. Scope and Key functions
Sections
1 Health Promotion and  Standardize, regulate and update health promotion,
Education education and communication related initiatives and
contents.
 Develop, produce and disseminate messages, materials and
tools.
 Ensure a target audience-centric approach.
 Coordinate initiatives to promote healthy lifestyles.
 Conduct periodic formative studies for evidence based
planning.
 Provide strategic guidance to partner organization to plan
the evidence-based health promotion interventions.
 Use modern communications technology for health
promotion.
2 Environmental Health,  Develop, implement and update frameworks and strategies
Hygiene and for eenvironmental health and community hygiene
Communicable Disease programmes.
Prevention  Ensure hygiene and sanitation practices in all health service
delivery outlets with the provision of appropriate facilities.
Public health emergency and response/preparedness (PHERP) :
 Develop and update a public health emergency
communication preparedness and response plan.
 Form a public health emergency communication working
group in collaboration with stakeholders.
 Allocate contingency funds for health promotion during
public health emergencies and develop, produce and
stockpile IEC materials for public health emergencies.
3 Reproductive and Child  Develop, implement and update evidence-based strategies
Health Communication and an action plan to promote maternal, newborn, and child
health, sexual and reproductive health.
 Develop, implement and update evidence-based strategies
and an action plan to promote maternal,infant, young child
and adolescent nutrition.
 Provide health promotion, education and communication
technical support to standardize, regulate and update the
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Components and
S.N. Scope and Key functions
Sections
message and contents of maternal, newborn, childhealth,
sexual and reproductive health and nutrition programmes.
4 Tobacco and Non-  Standardize, regulate and update non-communicable disease
Communicable Disease risk factors related health promotion, education, and
(NCD) Control communication initiatives.
 Develop, produce and disseminate messages, materials and
tools.
 Collaborate with state and non-state partners to maximize
and expand programme outreach.
 Implement MPOWER and health promotion interventions
including the Package of Essential Non-communicable
diseases (PEN)

Major Activities in 2073/74

Health promotion, education, and communication activities implemented at central and district
levels by NHEICC in this reporting period are listed in Box 6.3.2.

Box 6.3.2 : Activities implemented by NHEICC in 2073/74

Central level District Level
 MeroBarsa2074 : "Ma  Runningsanitation programmes for
SwasthaMeroDeshSwastha" health preventing and controlling epidemics.
promotion campaign launch and  Production of need-based IEC materials.
implementation.  Distribution of IEC materials to health
 MeroBarsa Campaign’sPolicy, strategy, facilities.
programme development and  Production and airing of health programmes
implementation and messages through local FM radio.
 Development of programme guidelines  Publication of health messages in print
and directives and supplies to RHD, media.
RHTCs, DHOs and DPHOs.  Community interaction programmes for
 Development, production and promoting health services.
broadcastingof healthmessages through  Supervision and monitoring of IEC activities.
radio, television, and newspapers (printed  Celebration of World Health day and other
and electronic). health related occasions.
 Development, production and
distribution of IEC materials to
stakeholders, regional medical stores,
DHOs and DPHOs.
 Direction to districts for celebration of
World Health Day and continuation of
Golden 1000 days communication
campaigns at different levels.
 Capacity building on health promotion,
education and communication
programmes.
 Supervision, monitoring and evaluation of
healthpromotion, education and
communication programmes.

252 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes

 Conduction of environmental health,

hygiene and sanitation activities.
 Broadcasting of healthmessages through
radio and television in packages including
Jeevanchakra, Janaswasthya radio,
JanaswasthyaBahas, Golden 1000 days
communication campaign, MeroBarsa
Campaign.
 MeroBarsaMobile app development and
dissemination of messages through the
app.
 Health related mobile SMS messages
delivery through NHEICC IT HUB.

Achievements
The physical achievement in the year 2073/74 regarding IEC programme was90 percent and the
trend in three consecutive years is shown in the following table (Table 6.2.3) where, 69.55 percent
of its budget was spent in thereporting year.

Table 6.3.3 : Trend of physical and financial achievement of NHEICC (2071/72 to 2073/74)

Programme 2071/72 2072/73 2073/74

Physical Financial Physical Financial Physical Financial
Health promotion,
education and 85.5 78.7 95.85 72.5 90.13 69.55
communication
Tobacco control
96.1 74.7 - - 63.10 52.76
programme
Urban Health
promotion, education - - - - 94.4 94.2
and communication
Source : NHEICC

Table 6.3.4 : Percentage Trend of Physical and financial achievement of District level

Programme 2071/72 2072/73 2073/74

Physical Financial Physical Financial Physical Financial
Health promotion,
education and 86.30 88.25 73.49 55.69 73.00 72.92
communication
Source : NHEICC

DoHS, Annual Report 2073/74 (2016/17) 253

Supporting Programmes

Issues, recommendation and responsibility

Table 6.3.5 : Issues and recommendations - Health education, information and communication

Issues Recommendation Responsibility

Inadequate compliance with All government organizations, MoH, DoHs, NHEICC
National Health INGOs, NGOs and other
Communication Policy (NHCP) stakeholders should follow the
policy
Resistance in policy making Proper policy making and MoH, DoHs, NHEICC
and implementation of implementation of program on
program according to changing the basis of changing
disease pattern situations
Inadequate allocation of Adequate dissemination of MoH, DoHS, NHEICC
budget on the basis of planned budget and proper program
programs planning according to the
needs and priorities
Delayed in disbursement of Timely disbursement of the MoH, DoHs
health tax fund budget
Inadequate compliance with Proper implementation of MoH, DoHs, NHEICC, other
one-door policy and NHCP with effective centres and divisions.
duplication of IEC activities coordination between NHEICC
and other centres and
divisions.
Abstinence of health Health promotion and IEC MoH, DoHs, NHEICC, HMIS
promotion and IEC program in programs should be included section.
HMIS in HMIS

254 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programs

6.4 LOGISTICS MANAGEMENT

6.4.1 Background

An efficient management of logistics is crucial for an effective and efficient delivery of health
services as well as ensuring rights of citizen of having quality of health care services. Logistics
Management Division (LMD) has established under the Department of Health Services in 2050/51
(1993), with a network of central and five regional medical stores as well as district level stores. The
major function of LMD is to forecast, quantify, procure, store and distribute health commodities for
the health facilities of government of Nepal. It also involves repair and maintenance of bio-medical
equipment, instruments and the transportation vehicles.

In order to systematize the management of logistics, the Logistics Management Information System
(LMIS) unit was established in LMD in 1994. LMIS unit just started Online Inventory Management
System in 2 Central Warehouses, 5 Regional Warehouses and 75 District Warehouses in 2073/2074.
LMIS Unit also collects and analyses quarterly (three monthly) LMIS reports from all of the health
facilities across the country; prepares report and disseminates it to:

 Forecast annual requirements of commodities for public health program including family
planning, maternal, neonatal and child health, HIV and AIDS commodities, vaccines, and
Essential Drugs;
 Help to ensure demand and supply of drugs, vaccines, contraceptives, essential medical and cold
chain supplies at all levels;
 Quarterly monitor the national pipeline and stock level of key health commodities.

Goal
Quality health commodities available at health facilities and community level round the year.

Overall Objective
To plan and carry out the logistics activities for the uninterrupted supply of essential medicines,
vaccines, contraceptives, equipment, HMIS/LMIS forms and allied commodities (including repair and
maintenance of bio-medical equipment) for the efficient delivery of healthcare services from the
health institutions of government of Nepal in the country.

Strategies
 Logistics planning for forecasting, quantification, procurement, storage and distribution of
health commodities.
 Introduce effective and efficient procurement mechanisms like e-Bidding, e Submission.
 Use of LMIS information and real time data in the decision making.
 Strengthen physical facilities at the central, regional, sub-regional and district level for the
storage and distribution of health commodities.
 Promote Online Inventory Management System and Non Expendable/Expendable Items
Inventory System in Central, Regional and Districts warehouses.
 Auctioning of non-functional cold chain equipments/furniture, vehicle etc.
 Repair and maintenance of bio-medical, cold chain equipments/instruments and transportation
vehicles.
 Capacity building of required human resources on logistics management regarding public
procurement, e-bidding, e-procurement, and online Inventory Management System at Central,
Regional and District levels.

DoHS, Annual Report 2073/74 (2016/17) 255

Supporting Programs
 Implement effective Pull System for year round availability of Essential Drugs and other health
commodities at all levels (Central, Regional, District and Health Facilities).
 Improvement in procurement and supply chain of health commodities, working on procurement
reform and restructuring of Logistics Management Division and District Stores.
 Formation of Logistics Working Group at Central and Regional levels.

6.4.2 Major Activities

 Plan for the efficient management on forecasting/quantification, procurement, storage,
distribution and transportation of health commodities to all health facilities for the delivery of
healthcare services based on LMIS.
 Develop tender documents as per public procurement rules and regulations and procure
essential medicines, vaccines, contraceptives, equipment, different forms including HMIS/LMIS
and allied commodities.
 Store, re-pack and distribute medicines, vaccines, contraceptives equipment and allied
commodities.
 Formation of 9 members Logistics Working Group (LWG) at Central level to solve logistics issues
 Manage to print and distribute HMIS/LMIS forms, stock books and different forms required for
all health institutions.
 Support on implementation and functioning of Web Based LMIS. Web based LMIS will be
modified and robust into Online Inventory Management Systemat Centre, Region and Districts
level.
 Conduct capacity building in Online Inventory Management System to all New/Old Store
Keepers, Computer Assistants for full functioning of OIMS throughout country with live
operation.
 Conduct capacity building on Public Procurement Act and Regulations with coordination of
Public Procurement Monitoring Office to Regional and Districts Managers and Store Keepers in
remaining of 2 Regions.
 Capacity building of health workers in central, regional, district and below district level and office
assistants of regional, district and below district level on Standard Operating Procedures (SOP) in
Effective Vaccine Management (EVM).
 Disposal, De-junking and auctioning of unsusableequipments, materials and other health
commodities.
 Coordination with partner INGOs and NGOs likeUNICEF, Lifeline Nepal for strengthening cold
chain capacity through support in disaster resilient cold chain equipment as well as repair and
maintenance of refrigerators and freezers.
 Manage to maintain the bio-medical equipment, machineries and transport vehicles.
 Implement and monitor Pull System for contraceptives, vaccines and essential drugs in the
districts.
 Coordinate with all development partners supporting health logistics management.
 Supervise and monitor the logistics activities of all region (RMS) and district levels (DPHO/DHO).
 Conduct RDQA for LMIS data Quality Assessment.
 Implement Telemedicine program in the hill and mountain districts.

256 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programs: Logistic Management
6.4.3 Analysis of Achievement

1. LMIS Reporting Status Figure:LMIS Reporting Status

120
The trend of total LMIS 93 93 96 94 93
100 90 89 89 85
reporting from health 84 88 87 86
81 81 85 85
facilities is consistently 80 74

above 85percent over

60
three years. However,
the reporting percentage 40
decreased to 84 % in
20
2072/73.Analysing the
regionwise reporting 0
percentage, there has
been sharp decline in
Central Region. The main
reason for this decline 2071/72 2072/73 2073/74
could be attributed to the
massive earthquake of Baisakh 12, 2072 which hit mostly in Central Region. The LMIS reporting
trend slightly increased to 88 % in 2073/74was due to recovery and reconstruction of health facilities
at the most affected districts.

Due to this most of the HFs in affected districts were completely destroyed and could not send the
reports. Besides, the political situation after the earthquake was also not favourable resulting in no
reporting from HFs especially from Tarai districts. The LMIS has helped to generate accurate and
reliable feedback reports, thereby contributing to improve logistics functions like budgeting,
quantifying, forecasting, procurement, storage, transportation and distribution of FP, MCH
commodities and essential drugs to be procured by the centre. LMIS has played a key role in
reducing stock-out rates and increasing year-round availability of key health commodities through
close monitoring. Similarly, LMD has implemented web-based LMIS and Inventory reporting system.

2. Online Inventory Management System Reporting Status

Figure:Online IMS Reporting Status
Web-based LMIS up to the
120% 100% 100% 100% 100% 100% 100%
district level is in operation 93%
100%
since 2008. In 2016 it was
upgrading into online system 80%
60% 50%
called online inventory
management system.The 40%
reporting percentage of 20%
districts in beginning year 0%
2073/74 achieved to 93%
Province 1

Province 2

Province 3

Province 4

Province 5

Province 6

Province 7
National

figure as below. LMD has set

target to achieve 100% online
IMS reporting status specially
to focused on remaining 50%
Districts of Province No 6

DoHS, Annual Report 2073/74 (2016/17) 257

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3. Availability of Key Health Commodities
Figure: Commodity stock out Status
LMD aims to make year round 40% 36%
availability of key health 35%
commodities like Condom, Depo, 30%
25%
Pills, ORS, Zinc, Vitamin A, Ferrous 20% 17% 17%
14%
Sulfate, Albendazole, Paracetamol 15% 8% 8% 10% 10%
10% 7% 5%
and Metronidazole 400mgin all
5%
health facilities and essential drugs 0%
for free health services. The figure
show the stock out of (FP/MCH
commodities and essential
drugs)Throughout country more
than 4000 health facilities have stock
out (5% to 10%) of condom, depo,
pills, ORS, Ferrous Sulfate,
Albendazole lies in between whereas Zinc, Vitamin A, Paracetamol and Metronidazolehave high rate
of stock out at facility level in 2073/74. However, there is a need to decrease the stock-out of
essential drugs in the health facilities by the effective implementation of the Pull System.

6.4.4 Major Logistics Activities to Strengthen Health Care Services

a. Procurement
LMD continued and added more commodities in the multi-year procurement. Condom, Injectable,
ORS, Iron Tablets, Essential Drugs are now being procured through multi-year mechanism. Multi-
year mechanism saves every year bidding and evaluation time for tender. LMD also completed the
LICB (limited international competitive bidding) process in coordination with World Bank in the
procurement of Implants, which results in procuring directly from the manufacturer in much lower
cost.

A district-wise breakdown list of essential drugs and quantities to be procured at the district level,
based on consensus forecast was developed by PHCRD and LMD. The list and budget was sent to all
districts by the Primary Health Care Revitalization Division (PHCRD). Similarly, on the development of
e-bidding software, the terms of reference/guidelines was finalized and sent to prospective e-
bidders for their review and feedback.

Providing of training on public procurement for the Region and District level personnel with the
financial support of UK AID/NHSSP and technical support of GoN/PPMO. Completion of the training
in FY 2071/72 in 3 Region (Eastern, Central and Far Western), rest of 2 Region (Western and Mid-
Western) was covered in FY 2072/73.

b. Forecast and Quantification Workshop, 2017

Forecast and Quantification Workshop is crucial in identifying long-term need and funding
requirement of health commodities. Every year, the working group forecasts for coming three year
period with periodic review. The group consists of representation from various divisions under
DOHS/MOH, districts, social marketing organizations and EDPs. This year the workshop convened on
March ,2017with participation from public sector, social marketing sector and EDPs. The main
purpose of the workshop is outlined below:

 To estimate the commodity needs and assess stock status of in-country supply pipeline so as to
identify and correct supply imbalance.
258 DoHS, Annual Report 2073/74 (2016/17)
 Supporting Programs: Logistic Management
 To provide data on specific commodity requirements and plan for government budget
allocations.
 To support the estimation of commodity procurement cost.
 To inform donors about funding requirements and advocate for commodity procurement.
 To ensure government’s commitment for Citizens Right in providing health care service.

The workshop developed a forecasting and quantification of Essential drugs, RH/FP commodities,
MNCH commodities, vaccines, syringes and HIV& AIDS commodities. The forecast was based on
scientific data, which included demographic data, consumption pattern, morbidity issues and some
special programmatic considerations.

The workshop was highly successful in addressing issues on forecast and quantification of health
commodities with some important recommendations from the participants. The workshop also
incorporated other factors effecting forecasting i.e. non-prescribed drugs, replacing drugs, fast
moving drugs and duplication. The success of forecast and quantification is a milestone in logistics
management, but there is always room for continuous improvement.

Similarly, National Level Consolidated Annual Procurement Plan (CAPP) organized by DOHS in
collaboration with all concerned division and centre in January 2017with technical assistance and
financial support from NHSSP. LMD’s Procurement Unit took a lead role to prepare CAPP.

c. Quarterly National Pipeline Review Meetings

Logistics Management Division (LMD) started pipeline monitoring of FP commodities since 1997/98.
It now covers FP, MNCH, EPI Vaccines, Syringes, selected Essential Drugs and HIV/AIDS commodities
as well. National pipeline reports are now used to monitor the availability of the stock at service
delivery points (SDPs) and to monitor the procurement status of key health commodities.

In each quarter, a national pipeline meeting takes place at the LMD to review, monitor, and evaluate
the procurement, shipment, distribution, transportation and stock status of family planning and
other health commodities.

LMD conducted Quarterly Pipeline Review meetings. The meeting was participated by Program
Divisions of DOHS, External Donor Partners and stakeholders like Social Marketing agency. In the
meetings shipment schedules, shipment status (planned, ordered and received), actual consumption
and months-of-stock-on-hand of 32 health commodities were discussed.

d. Strengthen Storage Capacity

Ideal storage conditions for essential drugs and commodities are required to deliver quality health
services to service delivery sites in order to ensure optimal health service utilization by consumers.
In the course of implementing the Logistics System Improvement Plan (LSIP) of Ministry of Health
and Population (MOH) jointly developed by MOH, a massive clean-up and de-junking activities were
carried out across the country during the period of 1994-97. This effort resulted in freeing storage
space and generating revenue for the government (from de-junking and auctioning), which revealed
that numerous districts seriously lacked ideal storage space for handling health and other allied
commodities including vaccines.

The MOH and LMD commissioned an assessment in 1999 to identify the current storage conditions
and space needed at district level. The assessment was carried out with support from JSI Research &
Training Institute and USAID. The study revealed that 58 of 75 districts had immediate storage needs
(none of the districts had ideal cold storage facilities) and all 75 would require new stores. Space was
inadequate and security was poor. 49 out of 75 districts had storerooms scattered in two or more
rooms with none specifically designed for storage and many were in rented buildings. Most of the

DoHS, Annual Report 2073/74 (2016/17) 259

Supporting Programs
storerooms were filled with unusable commodities and junk. Every year huge quantities of drugs and
other health commodities went missing, damaged or had to be destroyed.

As a support in freeing storage space, LMD has carried out auctioning in health institutions of 75
districts in need based approach with the support of UNICEF/Lifeline Nepal. Auctioning in 5 below-
district level health institutions, 46 district level institutions, 10 regional level institutions and one
central level health institution. The process has generated Rs. 2,156,363 revenue for government
and cleared over 21,000 sq. ft. area. The process is still going on.

Effective Vaccine Management is one of the core working areas of LMD. Effectiveness of vaccine
management widely depends on the effective and proper storage of vaccine as well as cold chain
and supply chain management. To ensure proper cold chain, LMD has mobilized Mechanical
Engineers and Refrigerator Technician for immediate repair of damaged refrigerators and freezer to
ensure effective vaccine management. LMD had repaired and maintenance of refrigerators and
freezers whenever required. By far, 107 cold chain equipment has been repaired in 50
districts.Currently one Refrigerator Technician has been mobilized in RMS Biratnagar for CCE repair
and maintenance in Eastern Development Region.

Similarly, storage capacity in 45 districts were strengthened by transportation of 96 Godrej Sure chill
refrigerators enabling the districts and their sub-stores to store vaccine in proper temperature to
provide quality immunization service. Lifeline Nepal supported in distribution, installation and
preventive maintenance of refrigeratorssupported by UNICEF Nepal.

e. Capacity Building in Logistics Management

New Intervention
Real Time Inventory Management System (IMS)
The Web-Based LMIS was introduced in 2008 replaced the quarterly paper based reporting system
to monthly, however it did not provide the real time information needed to make an effective supply
chain decision making. Realizing the need of real-time information on heath commodities, LMD took
an initiative to make real time inventory management system up to the district level with
customization of already in use IMS software. This is being online system, gives real-time
information of stock status of health commodities of central, regional and district stores. This allows
to make supply chain decision making. Training was provided to all regional medical store and
districts store keepers with the financial supported by UNFPA/ADRA Nepal and Plan is to implement
this new system from next FY.

Manual Revision and Pull System Training

LMD and National Health Training Center (NHTC) with support from H4LL,organized a facility level
pull system trainingto total fifty-nine participants of HFs of Dailekhin February 19-24, 2016and thirty-
two participants of HFs of Jumla on April 21-29, 2016 . There were many new staff who do not have
idea on health logistics and many trained staffs were transferred. The main aim of the training was
to improve knowledge, skill and attitude of the store keepers of health facilities so as to ensure the
availability of adequate supply of medicine and health commodities in health facilities via pull
system to provide effective health care service.
Conduction of basic level logistics training.
LMD conducted basic level logistics training with support from UNFPA in Kapilvastu, Sindhuli and
Rolpa. Similarly SAVE the Children also supported in Dolakha. LMD also conducted procurement
and supply chain management with support from USAID/GHSC-PSM to 75 districts.
Development of Basic Logistics Training Manual
LMD Developed Trainers’ guide and participants hand book for Basic Logistics Training.

260 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programs: Logistic Management
RDQA LMD conducted routine data quality assessment as pilot project in three districts at Kavre,
Kaski and Makwanpur. The main objective of data quality assessment is to monitor quality of LMIS
data at facility level for data accuracy.

Disposal of Unusable Health Equipment and Commodities: A Best Practice

Unusable and/or expired health commodities are a major problem for Nepal’s health system. Safe
storage conditions for essential drugs and commodities are required to deliver quality health
services to service delivery sites. In addition, “de-junking” of unusable commodities helps clear the
way for usable commodities. For example, a major de-junking drive in 1994-97 freed up more than
125,000 square feet of free space and generated 25 million Nepali Rupees (NRs.) for the
Government of Nepal’s treasury.
LMD started several actions to disposal of unused, unwanted or expired items. These activities
include the provision of technical support in auctioning of unusable commodities for the District for
saving space to store valuable lifesaving drugs.
f. Formation and action taken of Logistics Working Group(LWG)
An authentic Group was formation with 9 membership chaired by Director of LMD with
representation of Divisions, Centers and External Development Partners at centre level. The LWG
addressed major issues regarding procurement and supply chain management of health related
commodities. The LWG members will be extend on the basis of area and necessary and also plan to
extend the Regional level LWG.

6.4. 5 Issues and Action Taken

Issues raised and action taken:
Issues Action Taken Responsibility
Low stock of essential Drugs Procurement and supply of drugs DoHS/LMD
will be in time
Vehicle for Supervision Monitoring LMD proceed the procurement of MoH /DoHS/LMD
and Transportation vehicles and ambulance
Inadequate equipment for service LMD will be procure and supply of DoHS/LMD
delivery sites equipment on the basis of
demand/needs
Re distribution of drugs LMD proceed coordinate in DoHS/LMD
between region and Districts for
re distribution of drugs
Inadequate of HMIS/LMIS tools Tools will be supply in time and DoHS/MD/LMD
and late supply adequately
Clearance of not repair/not used LMD will act auctioning and DoHS/LMD/EDPs
equipments/materialsfrom district disposal according to guideline with
and health facility. the coordination of external
development partners.

DoHS, Annual Report 2073/74 (2016/17) 261

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6.5 National Public Health Laboratory

Introduction
The National Health Policy- 2071, the National Health Laboratory Policy, 2069 and the Guideline for
Health Laboratory Establishment & Operational- 2073 identify the National Public Health Laboratory
(NPHL) as the central specialised national referral public health laboratory for the country and the
regulatory body to licence public and private labs. NPHL is also a focal point for blood safety through its
National Bureau of Blood Transfusion Services (NBBTS).

There are currently diagnostic health laboratories in 8 central hospitals, 3 regional hospitals, 3 sub-
regional hospitals, 10 zonal hospitals, 62 district hospitals, 16 other district level hospitals, 204 PHCCs
and more than 1,500 private health institutions. Almost all of these laboratories need to improve their
quality assurance practices, human resources, competency, service range and physical infrastructure.
NPHL monitors these laboratories through its external quality assurance of lab services and the quality
control testing of samples. It conducts the National External Quality Assurance Scheme (NEQAS)
programme to monitor testing quality. It dispatches samples (including biochemical tests, malaria slides,
HIV testing, Transfusion Transmissible Infection (TTI) screening, and Prothrombin Time (PT) for blood
testing) to laboratories to test. NPHL provides feedback based on the results. This also helps access the
testing capability of lab personnel.
Types of Laboratories
Sub- Other Private
Province Central Regional Zonal District
regional District PHCCs Health
Hospital Hospital Hospital Hospital
Hospital Hospital Institution
1 0 1 0 2 12 2 42
2 0 0 1 0 6 3 32
3 8 1 0 0 9 2 40
4 0 1 0 1 8 3 20
5 0 0 1 2 13 3 38
6 0 1 0 0 7 2 12
7 0 1 1 2 7 1 20
Total 8 3 3 10 62 22 204 1500
Each year various outbreaks and epidemics threaten global health. NPHL is responsible for diagnosing
emerging and re-emerging infectious diseases and established the National Influenza Centre (NIC) in
April 2010 and its Bio-Safety Level-3 lab in January 2015. The National Influenza Centre functions
through the regional National Influenza Surveillance Network (NISN). NPHL is able to diagnose influenza
A (H1N3, H1N1, H5, H7), Influenza B, and other viruses including Respiratory Syncytial Virus (RSV),
Hanta, Ebola, Crimean-Congo haemorrhagic fever(CCHF), Kyasanur forest disease (KFD), dengue,
chikungunya, zika, leptospira, and scrub typhus. It can also measure HIV viral load, Hepatitis C viral load
and carry out genotyping.

The National Bureau for Blood Transfusion Services, which is based at NPHL, is the national authority for
implementing the National Blood Programme (NBP). The bureau works to ensure the safe, adequate and
262 DoHS, Annual Report 2073/74 (2016/17)
 Supporting Programmes
timely supply of blood and blood products to meet transfusion needs by producing policies, guidelines,
protocols, and standard operating procedures. NPHL is the national reference laboratory for screening
transfusion transmissible infections (TTIs) and is responsible for evaluating conformational testing kits
and for sending proficiency panels to blood transfusion service centres (BTSCs) under the National
Quality Assurance Scheme (NEQAS). It is also responsible for training BTSC staff, supervising and
monitoring BTSCs and supplying equipment to newly established BTSCs.

Objectives:
 To affirm the government’s commitment and support for the organization and management of
efficient, cost-effective and sustainable health laboratory services.
 To strengthen laboratory services for supporting the diagnosis, treatment, surveillance, prevention
and control of diseases.
 To establish national standards for laboratory quality systems.
 To ensure the quality of health laboratories through a quality system.
 To empower the establishment, implementation and monitoring of the national health laboratory
programme and the national regulatory mechanism for regulating health laboratories.
 To ensure adequate financial and human resources for health laboratory services.
 To monitor adherence to ethical values in laboratory practice, including patient confidentiality,
adherence to professional codes of conduct and ethical research practices.
 To encourage research and collaboration to inform and improve the quality of health laboratory
services.

Major routine activities:

 Routine and specialized diagnostic services.
 Public health related activities (laboratory based surveillance [AES/Japanese encephalitis,
measles/rubella, antimicrobial resistance (AMR), influenza)], HIV reference unit, National Influenza
Centre, BSL-3 laboratory and outbreak investigation)
 Training and workshops
 Logistics procurement and supply and laboratory refurbishment
 Supervision and monitoring
 National External Quality Assurance Scheme (haematology, biochemistry, gram stain, microbiology,
AMR on selected bacterial pathogens and TTIs)

DoHS, Annual Report 2073/74 (2016/17) 263

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Major achievements
4.1 Diagnostic facilities —

NPHL provided different laboratory test from its different department biochemistry, haematology,
parasitology, immunology, virology, endocrinology, and microbiology
microbiology. number of test were in increasing
trend with comparison with previous year.

Figure 1: number of Laboratory testing services

services prov
provided
ided by NPHL

174761
200000 145468
120055

100000

0
Routine Test 2071/72 2072/73 2073/74

4.2 Laboratory and AMR surveillance

surveillance—

NPHL conducts laboratory surveillance on various disease pathogens including on measles

measles-rubella,
rubella,
Japanese encephalitis, influenza and antimicrobial resistance surveillance to monitor the burden of
these diseases and to inform disease control strategies.

Figure: Trend of enteric fever (cause and AMR)

450 418 100 9290 2071/72

S.Typhi 85 84
90 7975
400 80 2072/73
350 S.Paratyphi A 70
60 2073/74
300 250 50
40 30
250 219
30
20 6 9
200
10 2 3 2 1 4 2 2 5 1
130
150 101 0
84
100
50
0
2071/72 2072/73 2073/74

Salmonella
• S.typhi is predominant than S.paratyphi A from 2005 till date however, the prevalence of S.
Paratyphi A is increasing annually indicating changing epidemiology.
• Children below 15 years are most commonly affected.
• Classical MDR (Resistance to ampicillin, chloramphenicol and cotrimoxazole) at a time among
salmonella isolates declined from 2002 onwards, and newly emerged MDR isolates (resistant to

264 DoHS, Annual Report 207

2073/7
/74 (2016/17))
 Supporting Progr
Programmes
ammes
fluoroquinolone [ciprofloxacin, ofloxacin] and nalidixic acid with add
additional
itional resistance to
ampicillin and cotrimoxazole) were identified in 2005 and thereafter.
• MDR trend is fluctuating. In 2012 8% isolates were MDR which Declined to 4% by 2015
• Chloramphenicol sensitivity has re
re-emerged
emerged (98% in 2014).

Figure: Trend of AMR in bacterial diarrhea

88 2071/72 2072/73 2071/72 2072/73 2073/74
100 84 120
73
80 100
60 40 80
40 60
12
20 0 40
0 20
0

Shigella spp
• Shifts in the prevalent serogroups have been observed
• 1999-2004
2004 : Shigella dysenteriae was prevalent but since 2005, Shigella flexneri predominates
(69% in 2016)

Vibrio spp
• Shift in serotype observed.
• 2003
2003-2004:
2004: V. cholerae O1 Ogawa
• 2005
2005-2006:
2006: V. cholerae O1 Inaba

• 2007: All serotypes V. cholerae O1 Eltor Ogawa, Inaba & Hikojima

• Since 2008
2008-2015
2015 : V. cholerae O1 Ogawa
• In 2016 outbreak 169 V. cholerae were isolated and reported. (Mostly from lalitpur district)
• All isolates were V. cholerae O1 Ogawa except two which was V.cholerae O1 Inaba
• Furazolidone susceptibility is re
re-emerging
emerging (5% resistance in 2016)

Figure: AMR in respiratory infections

80 60
70 50
60
50 40
40 30
30 20
20
10 10
0 0

2071/72 2072/73 2073/74 2071/72 2072/73 2073/74

DoHS, Annual Report 207

2073/74 (2016/17)
(201 265
Supporting Programmes
Streptococcus pneumonia
• One-third of the pneumococcal strains were isolated from children below 15 years with 21% of
all isolates from children less than five years of age.
• 9 % isolates were resistant also to third generation Cephalosporin(ceftriaxone)
• All the isolates were sensitive to chloramphenicol till 2010 however increased to 13% by 2015.
Haemophilus influenzae
• Cotrimoxazole resistance is increasing from 2% in 2005 to 50% in 2015.
• Elderly are most commonly affected (50% from patients above 60 yrs)

Figure: AMR in MRSA

120
100
80
60
40
20
0

2071/72 2072/73 2073/74

Methicillin resistant S.aureus

• Resistance to Gentamicin increased from 41% in 2013 to 68% by 2015 and then decreased to
35% by 2016
• 20% of the MRSA isolates are resistant to vancomycin in 2015, the Drug of choice to treat MRSA
• Resistance to chloramphenicol incresed from 9% in 2014 to 15% by 2016
• Similarly,resistance against Linezolid has incresed from 4% in 2014 to 21% in 2016.
Figure: AMR in ESBL producing E.coli

120
100
80
60
40
20
0

2071/72 2072/73 2073/74

266 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Progr
Programmes
ammes
ESBL E.coli
Increasing resistance against carbapenems (Imipenem,meropenem) is of major concern.

4.3 Revenue Generation

NPHL generate revenue from different laboratory testing service. There is increasing trend on revenue
generation in comparison with previous year.
Figure: Trend of revenue generation from laboratory service at NPHL (amount in NRS.)

56002983

60000000
36295506
50000000
40000000 26915520
30000000
20000000
10000000
0
2071/72 2072/73 073/74

Challenges
The major challenge for Nepal’s health laboratories is the shortage of skilled human resources. There
are no adequately skilled post
post--microbiologists/
microbiologists/virologists
virologists to diagnose infectious diseases. In spite of
recent progress there are still not enough skilled biomedical engineers to repair, maintain and calibrate
of laboratory testing equipment. There are inadequate pathologists, medical technologist and
biochemists at health facilities.

DoHS, Annual Report 207

2073/74 (2016/17)
(201 267
Supporting Programmes

6.6 Personnel Administration

Background
Human resources are the pivotal resource for health care delivery. Human resource management
involves the planning, motivation, use, training, development, promotion, transfer and training of
employees. The proper placement and use of human resources is crucial for effective quality health
care delivery. DoHS’s Personnel Administration Section (PAS) is responsible for routine and
programme administrative functions including upgrading health institutions, the transfer of health
workers, the upgrading of health workers up to the 7th level, capacity building and the internal
management of human resources. The objectives of the Personnel Administration Section are listed
in Box 6.6.1.

Box 6.6.1: Objectives of the Personnel Administration Section

The main objective of the section is to mobilize human resource to deliver quality health services. The
specific objectives are as follows:
 To transfer and manage all posts up to 7th level according to the government policy and law.
 To place health staff at sanctioned posts in public health institutions.
 To manage human resources at the different levels.
 To take disciplinary action according to the law.
 To manage and update personnel information of all levels and institutions under DoHS.
 To manage the posting and transfer of medical officers who completed their studies under
government scholarships.
 To execute organisation and management (O&M) surveys to establish and extend the structure of
health institutions and organizations under DoHS.
 To recommend to MoH for approval special leave and education leave requests by health workers.

Routine activities
MoH has more than 30,000 employees of whom more than 24,000 are technical personnel and
6,300 are administrative staff. DoHS have about 24,000 personnel including in its health facilities
across the 196 sanctioned types of technical and administrative posts (across all divisions and
sections). The number of sanctioned and fulfilled posts under DoHS is given in Table 6.5.1.

The routine responsibilities for personnel administration are as follows:

 According to the Health Service Regulations, 2055 and MoH policy, DoHS is responsible for the
transfer of the health workforce up to the 7th level.
 DoHS manage the upgrading of its employees to the 7th level twice a year.
 DoHS work to maintain the professional discipline of its employees.
 DoHS approve house leave, sick leave, delivery leave and other types of leave. It recommends
to MoH for the approval of special and education request by up to 7th level employees.
 DoHS manage the retirement of staff. The approval of resignations of staff above the 6 th level is
made through MoH.

268 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes
Table 6.6.1: Type and number of DoHS workforce, 2073/74
Types of human resources Grade/level Sanctioned Fulfilled
1 Director General (DG) 12th 1 0
th
2 Deputy Director General (DDG) 11 1 1

3 Director 11th (PHA) 5 5

4 Director 11th (PHA/HI) 1 0

5 Senior Health Administrator 9/10th 6 2

6 Senior Computer Officer Gazetted II 1 1

7 Senior Community Nursing Administrator 9/10th 2 0

8 Senior Public Health Administrator 9/10th 8 7

9 Chief and Deputy Chief Medical Officer 9/10th 1 1

10 Senior Consultant Dermatologist 9/10th 1 0

th
11 Senior Consultant Gynaecology/Obstetrics 9/10 1 1

12 Director and Deputy Director Senior Demographer Gazetted II 4 4

13 Under Secretary Gazetted II 3 3

14 Under-Secretary (Finance) Gazetted II 1 1

15 Section Officer Gazetted III 12 12

16 Account Officer Gazetted III 6 6

17 Legal Officer Gazetted III 1 1

18 Pharmacist 7/8th 2 2
th
19 Senior Public Health Officer 7/8 9 9

20 Medical Officer 8th 3 1

21 Electrical Engineer Gazetted III 2 1

22 Senior Community Nursing Officer 7/8th 1 1

23 Senior Nursing Officer 7/8th 1 0

24 Entomologist 7/8th 1 0

25 Computer Programmer Gazetted III 1 1

26 Statistics Officer Demographer Gazetted III 5 5

27 Veterinary Doctor Gazetted III 2 2

28 Computer Officer Gazetted III 6 6

29 Mechanical Engineer Gazetted III 1 1

30 Computer Operator Non gazetted I 6 4

31 Nayab Subba (Clerk) Non gazetted I 12 12

32 Accountant Non gazetted I 6 6

33 Health Assistant /Public Health Inspector 5/6th 18 18

34 Vector Control Assistant 5/6th 2 2

DoHS, Annual Report 2073/74 (2016/17) 269

Supporting Programmes
Types of human resources Grade/level Sanctioned Fulfilled
th
35 Entomologist Assistant 5/6 1 0

36 Lab Technician 5/6th 1 1

th
37 Immunization Supervisor 5/6 2 6

38 Medical Recorder Assistant 5/7th 1 1

39 TB/leprosy Assistant 5/8th 1 1

40 Storekeeper (Tech.) Non Gazetted I 1 1

41 Public Health Nurse 5/6th 1 1

42 Kharidar Non gazetted II 3 3

43 Accountant Assistant Non gazetted II 1 0

44 Cold Chain Assistant 4/5th 4 4

45 Lab Assistant 4/5th 2 2

th
46 Malaria Assistant 4/5 3 0

47 Typist As of typing speed 4 4

48 Heavy Vehicle Driver Not classified 2 2

49 Light Vehicle Driver Not classified 6 8

50 Office Assistant (Peon) Not classified 28 26

51 Sweeper Not classified 2 12

Total 196 188

Source: Personnel Administration Section, DoHS

New initiatives
The following new initiatives were taken from the fiscal year 2072/73:
 File tracking system.
 Digital attendance introduced within DoHS.
 An online calendar of operations (online action plan) of divisions and DoHS introduced.

Issues and recommendations

Table 6.6.2: Issues and Recommendations — personnel administration

Issues
Weak management of staff on long
leave
Insufficient information for strategic
placement and transfers
Lack of functional database of DoHS
personnel
Recommendations
Functionalise coordination mechanisms between agencies
concerned with producing and deploying human resources
including induction training (academia, councils, training centres,
MoH)
Develop a scientific health workforce transfer criteria and a time-
bound transfer management system from district to central level
with the decentralization of authority.
Develop a mechanism for the timely recruitment of contract-based
health workers (ANMs and SBAs) to ensure 24/7 services.

270 DoHS, Annual Report 2073/74 (2016/17)


Issues
Monitoring of doctors in PHCCs and
district hospitals
The one-door placement of medical
officers
Placement of scholarship doctors in
Taraiand mountain districts
Weak coordination between MoH,
department, regions and districts for
personnel management
Human resource placement in rural
and remote facilities
DoHS, Annual Report 2073/74 (2016/17)
Supporting Programmes
Recommendations
Initiate an e-attendance system in PHCCs and 50 bed hospitals and
then scale-up to all facilities and institutions
Develop and implement an incentive package to retain doctors at
PHCCs and in remote areas.
Authorize DoHS to place doctors at PHCCs.
MoH and MoFALD to work together to fill health worker posts in
urban health clinics
Effectively implement the time-bound transfer of personnel
starting from district to central level with the decentralization of
authority.
271
Supporting Programmes

6.7. Financial Management

Background
An effective financial support system is imperative for efficient health service management. The
preparation of annual budgets, the timely disbursement of funds, accounting, reporting, and
auditing are the main financial management functions needed to support the implementation of
health programmes. DoHS’s Finance Section is the focal point for financial management for all DoHS
programmes. All health institutions have their own Finance Section, except PHCCs and health posts.
The financial management objectives and targets are given in Box 6.7.1.

Box 6.7.1: Health financial management objectives and targets

Objectives:
 To support all programmes, divisions and centres for preparing their annual budgets
 To obtain and disburse programme budgets
 To keep books of accounts and collect financial reports from all public health institutions
 To prepare and submit financial reports
 To facilitate internal and external auditing
 To provide financial consultations.

Target —To achieve 100 percent expenditure of all budgets in accordance with programme work
plans within a specified times as per financial rules and regulations of the government and to
maintain the recording and reporting system accurately and on time.

Achievements in 2073/74

Out of total National Budget of Rs. 10,48,92,13,54,000 a sum of Rs. 40,56,30,27,000 (3.86%) was
allocated for the health sector during the fiscal year 2073/74. Of the total health sector budget, Rs.
31,45,05,36,111 (77.53%) was allocated for the execution of programs under the Department of
Health Services Network (Table 6.7.1).

Table 6.7.1: Health budget details, FY 2073/74 (NPR)

Budget Total Recurrent % Capital %
National budget 1,048,921,354,000 617,164,129,000 58.84 431,757,225,000 41.16

Health budget 40,563,027,000 35,207,587,000 86.80 5,355,440,000 13.20

Health budget under

31,450,536,111 25,262,110,060 80.32 6,188,426,051 19.68
DoHS

Table 6.7.2: Allocation of health budget by source, FY 2073/74

Budget Total GoN % Donor %
Health budget under
31,450,536,111 22,253,963,060 51.52 9,196,573,051 48.47
DoHS

272 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes
Table 6.7.3: Regular programme recurrent budget, releases and expenditure by programme
activities, FY 2073/74
Programme budget Total budget (in NPR) Release budget (in NPR) Expenditure (in NPR)
Budget
Code No Amount % Amount % Amount % (a)
Department of
490,445,180 4.43 154,275,585 1.44 154,275,585 1.44
3700123 Health
Regional Health
96,367,106 0.87 96,367,106 0.90 96,367,106 0.90
3700133 Directorates
District Health
9,270,382,607 83.71 9,270,382,607 86.33 9,270,382,607 86.33
3700143 Offices
Health Training
53,631,572 0.48 53,631,572 0.50 53,631,572 0.50
3700213 Centres programmes
3700233 Districts Hospitals 1,163,844,595 10.51 1,163,844,595 10.84 1,163,844,595 10.84
Total 11,074,671,060 100 10,738,501,465 100 10,738,501,465 100

Table 6.7.4: Central level recurrent budget allocation by source and programme activities, FY 2073/74
Programme budget Total budget allocation by sources
Budget
heading
Code No GoN % Donor % Total %
Tuberculosis Control
3701133 422,848,000.00 11.18 155,422,000.00 3.83 578,270,000 3.8
Programmes
National HIV/AIDS
3701143 79,675,000.00 2.11 779,509,000.00 19.20 859,184,000 19.2
Control Programmes
3701153 FP/MCH Programmes 310,662,000.00 8.21 61,600,000.00 1.52 372,262,000 1.5
Integrated CHD
3701163 664,407,000 17.56 1,813,194,000.00 44.65 2,477,601,000 44.7
Programme
Epidemiology
3701193 235,689,000.00 6.23 417,996,000.00 10.29 653,685,000 10.3
Programme
Leprosy Control
3701203 20,192,000.00 0.53 9,000,000.00 0.22 29,192,000 0.2
Programme
3701213 Indent Procurement 125,500,000.00 3.32 106,250,000.00 2.62 231,750,000 2.6
Hospital Construction
3701223 /Management 1,157,199,000.00 30.59 37,674,000.00 0.93 1,194,873,000 0.9
Information System
3701233 NHEICC programmes 67,288,000.00 1.78 52,957,000.00 1.30 120,245,000 1.3
Health Laboratory
3701263 147,796,000.00 3.91 0.00 0.00 147,796,000 0.0
Services
3701363 PHCRD programmes 293,199,000.00 7.75 556,000,000.00 13.69 849,199,000 13.7
Primary Health RD
3701383 165,000,000.00 4.36 0.00 0.00 165,000,000 0.0
Avain
National Health
3701243 Training Centre 94,065,000.00 2.49 71,085,000.00 1.75 165,150,000 1.8
programmes
Total 3,783,520,000 100.00 4,060,687,000 100.00 7,844,207,000 100.0

Table 6.7.5: Central level recurrent budget released by source and programme, FY 2073/74

Budget Programme budget Released Budget By Source

heading
Code No GoN % Donor % Total %
Tuberculosis Control
3701133 243401833.62 7.74 10,524,811.00 0.39 253,926,645 4.33
Programmes
National HIV/AIDS
11.4
3701143 Control 62136293.42 1.98 609,721,148.05 22.39 671,857,441
5
Programmes
FP/MCH
3701153 208,467,506.40 6.7.3 45,064,411.34 1.66 253,531,918 4.32
Programmes

DoHS, Annual Report 2073/74 (2016/17) 273

Supporting Programmes
Integrated CHD 29.4
3701163 540,108,530.25 17.18 1,186,435,663.52 43.57 1,726,544,194
Programme 3
Epidemiology
3701193 192,901,194.60 6.14 224,629,062.43 8.25 417,530,257 7.12
Programme
Leprosy Control
3701203 14,526,594.00 0.46 4,402,235.00 0.16 18,928,829 0.32
Programme
3701213 Indent Procurement 111,564,362.44 3.55 36,791,463.35 1.35 148,355,826 2.53
Hospital
Construction 19.6
3701223 1,137,167,092.00 36.17 17,040,789.00 0.63 1,154,207,881
/Management 7
Information System
NHEICC
3701233 58,893,502.70 1.87 24,741,604.45 0.91 83,635,107 1.43
programmes
Health Laboratory
3701263 147,761,596.92 4.70 0.00 0.00 147,761,597 2.52
Services
12.2
3701363 PHCRD programmes 199,462,740.37 6.34 516,787,149.15 18.98 716,249,890
1
Primary Health
3701383 143,039,231.24 4.55 0.00 0.00 143,039,231 2.44
Avain
National Health
3701243 Training Centre 84,392,249.69 2.68 46,705,256.00 1.72 131,097,506 2.23
programmes
Total 3,143,822,728 100.00 2,722,843,593 100 5,866,666,321 100

Table 6.7.6: Central level recurrent budget expenditure by source and programme, FY 2073/74
Programme budget Released budget by source
Budget
heading
Code No GoN % Donor % Total %
Tuberculosis
3701133 Control 243401833.62 7.74 10,524,811.00 0.39 253,926,645 4.33
Programmes
National HIV/AIDS
3701143 Control 62136293.42 1.98 609,721,148.05 22.39 671,857,441 11.45
Programmes
FP/MCH
3701153 208,467,506.40 6.63 45,064,411.34 1.66 253,531,918 4.32
Programmes
Integrated CHD
3701163 540,108,530.25 17.18 1,186,435,663.52 43.57 1,726,544,194 29.43
Programme
Epidemiology
3701193 192,901,194.60 6.14 224,629,062.43 8.25 417,530,257 7.12
Programme
Leprosy Control
3701203 14,526,594.00 0.46 4,402,235.00 0.16 18,928,829 0.32
Programme
3701213 Indent Procurement 111,564,362.44 3.55 36,791,463.35 1.35 148,355,826 2.53
Hospital
Construction
3701223 1,137,167,092.00 36.17 17,040,789.00 0.63 1,154,207,881 19.67
/Management
Information System
NHEICC
3701233 58,893,502.70 1.87 24,741,604.45 0.91 83,635,107 1.43
programmes
Health Laboratory
3701263 147,761,596.92 4.70 0.00 0.00 147,761,597 2.52
Services
3701363 PHCRD programmes 199,462,740.37 6.34 516,787,149.15 18.98 716,249,890 12.21
Primary Health
3701383 143,039,231.24 4.55 0.00 0.00 143,039,231 2.44
Avain
National Health
3701243 Training Centre 84,392,249.69 2.68 46,705,256.00 1.72 131,097,506 2.23
programmes
Total 3,143,822,728 100.00 2,722,843,593 100 5,866,666,321 100

274 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes
Table 6.7.7: Central level capital budget allocation by source and programme, FY 2073/74
Budget Programme budget Total budget allocation by source
Code No heading GoN % Donor % Total %
Tuberculosis Control
3701134 293,846,000 34.59 13,625,000 3.19 307,471,000 24.07
Programmes
National HIV/AIDS
3701144 5,400,000 0.64 0 0 5,400,000 0.42
Control Programmes
3701154 FP/MCH Programmes 15,970,000 1.88 3400000 0.79 19,370,000 1.52
Integrated Child Health
3701164 7,092,000 0.83 193,499,051 45.24 200,591,051 15.70
Programme
Epidemiology
3701194 4,850,000 0.57 1,750,000 0.41 6,600,000 0.52
Programme
3701214 Indent Procurement 370,887,000 43.66 163,900,000 38.32 534,787,000 41.87
Hospital Construction
3701224 /Management 9,100,000 1.07 0 0 9,100,000 0.71
Information System
National Health Training
3701244 21,800,000 2.57 1,500,000 0.35 23,300,000 1.82
Centre
Health Laboratory
3701264 119,528,000 14.07 50,000,000 11.69 169,528,000 13.27
Services
Primary Health Care
3701364 1,100,000 0.13 0 0 1,100,000 0.09
Division programmes
Total 849,573,000 100 427,674,051 100 1,277,247,051 100

Table 6.7.8: Central level capital budget released by source and programme, FY 2073/74
Budget Programmebudget Released budget by source
Code No heading GoN % Donor % Total %
Tuberculosis Control
3701134 109,166,149.00 17.29 387,281.00 0.11 109,553,430 11.03
Programmes
National HIV/AIDS
3701144 5,380,908.87 0.85 0.00 0.00 5,380,909 0.54
Control Programmes
FP/MCH
3701154 5,601,317.00 0.89 0.00 0.00 5,601,317 0.56
Programmes
Integrated Child
3701164 7,092,000.00 1.12 175,847,199.00 48.64 182,939,199 18.43
Health Programme
Epidemiology
3701194 4,371,494.00 0.69 1,392,160.00 0.39 5,763,654 0.58
Programme
3701214 Indent Procurement 370,887,000.00 58.75 133,899,997.00 37.04 504,786,997 50.85
Hospital
Construction
3701224 8,403,762.00 1.33 0.00 0.00 8,403,762 0.85
/Management
Information System
Health Laboratory
3701264 119,401,977.31 18.91 50,000,000 13.83 169,401,977 17.06
Services
Primary Health Care
3701364 Division 963,210.00 0.15 0.00 0.00 963,210 0.10
programmes
Total 631,267,818.18 100.00 361,526,637.00 100 992,794,455 100

Table 6.7.9: Central level capital budget expenditure by source and programme, FY 2073/74
Budget Programmes Budget Released Budget by Source
Code No Heading GoN % Donor % Total %
Tuberculosis Control
3701134 109,166,149.00 21.23 387,281.00 0.12 109,553,430 13.27
Programmes
National HIV/AIDS
3701144 5,380,908.87 1.05 0.00 0.00 5,380,909 0.65
Control programmes

DoHS, Annual Report 2073/74 (2016/17) 275

Supporting Programmes
Budget Programmes Budget Released Budget by Source
Code No Heading GoN % Donor % Total %
3701154 FP/MCH Programmes 5,601,317.00 1.09 0.00 0.00 5,601,317 0.68
Integrated Child Health
3701164 7,092,000.00 1.38 175,847,199.00 56.45 182,939,199 22.15
Programme
Epidemiology
3701194 4,371,494 0.85 1,392,160.00 0.45 5,763,654 0.70
Programme
3701214 Indent Procurement 370,823,330 0.27 133,899,997.50 42.98 504,723,327 61.12
Hospital Construction
3701224 /Management 8,403,762.00 1.63 0.00 0.00 8,403,762 1.02
Information System
3701234 NHEICC programmes 0.00 0.00 0 0.00
Health Laboratory
3701264 963,210.00 0.19 0.00 0.00 963,210 0.12
Services
National Health Training
3708034 2,440,076.25 0.47 0.00 0.00 2,440,076 0.30
Centre programmes
Leprosy Division Control
3701204 0.00 0.00 0 0.00
programmes
Total 514,242,247 100.00 311,526,638 100 825,768,884 100.00

Table 6.7.10: District level recurrent budget allocation by source and programme, FY 2073/74
Budget Programmebudget Total budget allocation by source
Code No heading GoN % Donor % Total %
3708063 TB Control Programmes 135,426,000 2.69 67,408,000 5.16 202,834,000 3.20
3708023 NHEICC Programmes 54,000,000 1.07 0 0 54,000,000 0.85
National Health Training
16,900,000
3708033 Centre Programmes 0.34 1,500,000 0.11 18,400,000 0.29
Integrated Health
4,830,672,000
3708043 Services Programmes 95.90 1,237,326,000 94.72 6,067,998,000 95.66
Total 5,036,998,000 100 1,306,234,000 100 6,343,232,000 100

Table 6.7.11: District level recurrent budget released by source and programme, FY 2073/74

Budget Programme budget Released budget by source

Code No heading GoN % Donor % Total %
3708063 TB Control Programmes 135,426,000 2.69 67,408,000 5.16 202,834,000 3.20
3708023 NHEICC Programmes 54,000,000 1.07 0 0 54,000,000 0.85
National Health Training
3708033 16,900,000 0.34 1,500,000 0.11 18,400,000 0.29
Centre Programmes
Integrated Health
3708043 4,830,672,000 95.90 1,237,326,000 94.72 6,067,998,000 95.66
Services Programmes
Total 5,036,998,000 100 1,306,234,000 100 6,343,232,000 100

Table 6.7.12: District level recurrent budget expenditure by source and programme, FY 2073/74
Programme budget Released budget by source
Budget
heading
Code No GoN % Donor % Total %
TB Control
3708063 119,421,310.68 2.69 48,474,504.00 7.88 167,895,815 3.32
Programmes
3708023 NHEICC Programmes 49,320,578.25 1.11 0.00 0.00 49,320,578 0.97
National Health Training
3708033 14,608,681.00 0.33 380,179.00 0.06 14,988,860 0.30
Centre Programmes
Integrated Health 566,541,961.0
3708043 4,263,483,589.82 95.88 92.06 4,830,025,551 95.41
Services Programmes 3
Total 4,446,834,159.75 100 615,396,644.03 100 5,062,230,803.78 100

276 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes
Table 6.7.13: District level capital budget allocation by source and programme, FY 2073/74
Budget Programme budget Total budget allocation by source
Code No heading GoN % Donor % Total %
Integrated Health
3708044 1,501,710,000 99.50 3,401,753,000 99.99 4,903,463,000 99.84
Services Programmes
3708064 TB Control Programmes 4,491,000 0.30 225,000 0.01 4,716,000 0.10
3708034 NHTC Programmes 3,000,000 0.20 0 0 3,000,000 0.06
Total 1,509,201,000 100 3,401,978,000 100 4,911,179,000 100

Table 6.7.14: District level capital budget released by source and programme, FY 2073/74
Budget Programme budget Released budget by source
Code No heading GoN % Donor % Total %
Integrated Health
3708044 1,501,710,000 99.50 3,401,753,000 99.99 4,903,463,000 99.84
Services Programmes
TB Control
3708064 4,491,000 0.30 225,000 0.01 4,716,000 0.10
Programmes
3708034 NHTC Programmes 3,000,000 0.20 0 0 3,000,000 0.06
Total 1,509,201,000 100 3,401,978,000 100 4,911,179,000 100

Table 6.7.15: District level capital budget expenditure by source and programme, FY 2073/74
Budget Programme budget Released budget by source
Code No heading GoN % Donor % Total %
Integrated Health
3708044 1,346,181,547.72 99.64 3,292,722,290.81 100 4,638,903,839 100
Services Programmes
3708064 TB Control Programmes 2,448,325.57 0.18 151,695.00 0.00 2,600,021 0.00
3708034 NHTC Programmes 2,440,076.25 0.18 0.00 0.00 2,440,076 0.00
Total 1,351,069,949.54 100.0 3,292,873,985.81 100.00 4,643,943,935.35 100

Table 6.7.16: Cumulative financial irregularities up to 2073/74 (NPR In,000)

Irregularity amount to be regularized Irregularity clearance Percent
4,25,95,14 1,92,02,95 45.08

Table 6.7.17: Irregularity clearance status of last three years FY 2071/72 - 2073/74 (NPR In ,000)

Fiscal Year Total irregularity amount Irregularity clearance Clearance %

2073/74 4,25,95,14 1,92,02,95 45.08
2072/73 4,58,44,31 2,29,87,76 50.14
2071/72 4,32,08,93 1,95,76,36 45.31
Source: Finance Section, DoHS

DoHS, Annual Report 2073/74 (2016/17) 277

Supporting Programmes
Issues and recommendations
Table 6.7.18: Issues and recommendations for financial management improvement:
Problems and constraints
Difficulty in financial reporting
procedures and reimbursement
from External Development
Partners (EDPs) due to lack of
trained manpower and physical
facilities
Delay in budget disbursement
due to programmes not being
approved on time
Non-release of committed donor
budgets
Difficulty in keeping books of
accounts and reporting according
to differing formats of EDPs who
support the same programmes
278
Recommendations Responsibility
 Provide appropriate internal and external MoF, MoH and DoHS
financial trainings.
 Take timely actions for the approval of DoHS (especially
development programmes. Planning Division and
concerned
programmes divisions
and centres), MoH,
National Planning
Commission (NPC)
 Plans of action and work-plan agreements MoF, MoH and
must be signed before budget allocations, External Development
and donors should release budgets as per Partners (EDPs)
their commitments.
 Thoroughly orient account staff on book- MoF, MoH and EDPs
keeping and reporting formats of different
EDPs.
 Urgently provide computers and TABUCS
computer training to district level finance
sections.
DoHS, Annual Report 2073/74 (2016/17)
 Supporting Programmes

6.8 Health service management

Background
The Management Division is responsible for DoHS’s general management functions. DoHS’s
Operating Manual (Procedures), 2068 (third edition) describes the responsibilities for information
management, planning, coordination, supervision, and the monitoring and evaluation of health
programmes. The division is also responsible for monitoring the delivery of quality health services
by all types of health institutions. It also monitors the construction and maintenance of public
health institution buildings and supports the maintenance of medical equipment. More activities
were assigned to this division under NHSP-1, including policy and planning related to mental health,
oral health, health care waste management, WASH, facility upgrading and renewal, nursing
programmes and treatment facilities for selected diseases to impoverished Nepalese citizens at
listed hospitals. The objectives and strategies of the Management Division are listed in Box 6.8.1.

Box 6.8.1: Objectives and strategies of the Management Division

Objectives — The Management Division aims to support health programmes and DoHS to deliver
health services through the following specific objectives:
 Facilitate and coordinate among concerned divisions and centres to prepare annual plans,
programmes and to make necessary arrangements to get approval from the National Planning
Commission (NPC) and MoF.
 Make arrangements for the preparation and compilation of annual budgets and programmes
of regional health directorates, DHOs and DPHOs.
 Monitor programme implementation status and carryout periodic performance reviews.
 Support quality improvements in the health sector.
 Manage the HMIS.
 Manage and coordinate the construction and maintenance of buildings and other public health
infrastructureincluding the maintenance of biomedical equipment.
 Process for approval the establishment of private and non-government health institutions.
 Process for approval new public health institutions and their upgrades.
 Make arrangements for capacity building of human resources in public health
 Support information technology related to health information, dissemination and
management.
 Provide treatment facilities for impoverished Nepalese citizens for listed diseases.

Strategies:
 Make arrangements to collect and analyse health information and use it to support the
planning, monitoring, and evaluation of health programmes
 Strengthen bottom-up planning from community to central levels via the optimum use of
available resources including health service information.
 Conduct and expand regular periodic performance reviews and use outcomes for
improvements down to community level.
 Strengthen and guide the monitoring and supervision system at all levels.

DoHS, Annual Report 2073/74 (2016/17) 279

Supporting Programmes
 Establish a central data bank linking HMIS with the Human Resources Management
Information System (HURIS), LMIS, finance, surveys, censuses and other sources of
information.
 Expand computerized information systems at all levels.
 Monitor the health services provided by state and non-state health institutions.
 Develop and implement construction, repair and maintenance plans for public health facilities
and for biomedical equipment.
 Develop the capacity of health workers and HFOMCs in collaboration with NHTC and
concerned agencies.
 Conduct human resource development programmes to improve the quality of health services.
 The routine management of health service Information.
 Orientations on quality health service delivery.
 The upgrading of health facilities in line with plans and policies.
 Initiate the processing for approval of the establishment of private and non-government health
institutions of 51 to 200 bed capacity.
 Process for approval and renew private and non-governmental health facilities operating
licenseson the basis of given service standards
 Develop and implement integrated supervision and monitoring plans.
 Establish and develop required infrastructure, human resource and guidelines to conduct other
assigned designated and non-routine works.

1.1.1 Organizational arrangements

The Management Division has six sections, three units and one treatment fund (upacharkosh) for
the overall management of functions and service delivery (Box 6.8.2). The specific functions of
sections and units are given below:

Box 6.8.2: The Management Division’s sections and units

 Health Management Information Section
 Budget and Planning Section
 Programme Monitoring and Evaluation Section
 Health Facilities and Quality Assurance Section
 Nursing Service Development Section
 Oral Health Unit
 PAM Unit
 Impoverished Citizens Service Unit
 Information Technology (IT) Section

a. The Health Management Information Section manages health service information from
community to the DoHS level. This system provides the basic information for planning, monitoring
and evaluation of the health system at all levels. The major functions of the HMIS are listed in Box
6.8.3.

Box 6.8.3: Major functions of the Health Management Information System

 Collect and manage health service delivery information from all levels of delivery outlets
including community level services by FCHVs and community health workers.
 Improve online data entry mechanisms in all districts and hospitals and gradually extend online
data entry to below districts level health facilities. Online data entry mechanism will be
established in provinces and local levels.

280 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes
 Establish a uniform and continuous reporting system from government and non-government
health service providers so that all health services provided by government and non-
government providers are reported and published.
 Verify, process and analyse collected data and operate a databank.
 Provide feedback on achievements, coverage, continuity and quality of health services to
programme divisions and centres, RHDs, hospitals, DHOs and DPHOs. Databased feedback will
be provided to provinces.
 Disseminate health information through efficient methods and technologies.
 Improve the information management system using modern information technology.
 Update HMIS tools as per the needs of programme divisions and centres.
 Update geo-information on health facilities.
 Provide HMIS and DHIS 2 tracking as per needed.

Nepal’s health sector needs accurate, comprehensive and disaggregated data to gauge its
performance, to identify inequalities between social groups and geographic areas, to plan future
interventions, and to enable the monitoring of NHSP-2 and NHSS targets to provide evidence to
inform strategic and policy level decisions.

The current HMIS software system (DHIS 2 software) almost is meet all the requirements of the
recently revised HMIS. There is still software related errors seen which are raised due to calendar
and other issue. It should be addressed as soon as possible.

b. The Programming, Budgeting, Building Construction and Maintenance Section:

 facilitates planning, programming and budgeting at central, regional and district levels;
 facilitates the approval of annual programmes and budgets of DoHS’s health programmes,
RHDs, DHOs and DPHOs from NPC and MoF;
 supports and facilitates bottom-up planning;
 supports the maintenance of biomedical equipment;
 supports the construction, repair and maintenance of public health institutions’ infrastructure;
and
 develops and implements minimum service standards and related guidelines (e.g. WASH) for
health posts, PHCCs and 50-bedded hospitals.

c. The Programme Monitoring and Evaluation Sectionis responsible for:

 the monitoring, supervision and evaluation of preventive, curative and promotive health
programmes;
 conducting integrated supervision in collaboration with divisions, centres and RHDs;
 monitoring health care service delivery focussing on essential health care services in state and
non-state sectors;
 supporting DPHOs and DHOs to strengthen HFOMCs;
 strengthening health care waste management in hospitals, PHCCs and health posts; and
 supporting government and non-government run facilities with managing health care waste.

d.The Health Facilities and Quality Assurance Section is responsible for:

DoHS, Annual Report 2073/74 (2016/17) 281

Supporting Programmes
 strengthening the national health sector quality assurance system in collaboration with
divisions, centres, RHDs and other stakeholders;
 facilitating the upgrading of government health institutions;
 supervising and monitoring quality assurance as per standard guidelines and protocols in
coordination with the Programme Monitoring and Evaluation Section;
 conducting studies and research to improve the quality of health care; and
 processing approvals for opening new hospitals under NGOs and the private sector including
nursing homes of 51 to 200 beds and their renewal.

e. The Nursing Service Development Section (approved as nursing division)supports:

 capacity development programmes and activities for nursing professionals;
 nursing leadership and motivational programmes; and
 the coordination of programmes and activities for improving nursing services.

f. The Oral Health Unit:

 builds the capacity building of oral health workers;
 prepares and distributes IEC/BCC materials for oral health care in collaboration with NHEICC;
 coordinates with stakeholders and national focal points for expanding and improving services;
 runs basic oral health training; and
 runs school health orientations on oral health.

g. The Information Technology (IT) Section:

 provides IT based solutions to disseminate health-related information;
 supports IT infrastructure, planning and development;
 supports communication networking in health-related areas;
 supports e-health and m-health programmes and activities.
 Supports IT related surveys and supporting guidelines and policies.

h. The Impoverished Citizens Service Unit provides the following funding for impoverished Nepalese
citizens to treat serious health conditions:
 up to NPR 100,000 per patient via notified hospitals for free medication and treatment of
severe diseases including cancer, heart disease, head and spinal injuries, and Alzheimer's,
Parkinson’s and sickle cell anaemia diseases;
 medication costs up to NPR 100,000 for post-renal transplant cases;
 free dialysis services as per doctors certified;
 renal transplantation costs up to NPR 400,000 per patient; and
 financial support and treatment for very important national persons, important national
persons and other national persons.

i. The PAM Unit is responsible for:

 identifying the status of and maintaining medical equipment;
 rolling out the out sourcing of MC nationwide.
 coordinating with government agencies and other stakeholders for the maintenance of health
facility and hospital medical equipment.
 Manage and mobilize biomedical engineer and other human resources.

282 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes
Following the successful maintenance of medical equipment in the FWDR and MWDR with support
from Kfw, the Management Division is expanding the maintenance programme nationwide.

Major ongoing activities

The following innovative activities were conducted on a regular or ad-hoc basis in 2073/74
alongside the above-mentioned regular functions.

a) Geographic information systems— The use of GIS data is being institutionalized in the health
system. A health facility mapping survey (HFMS) is being carried out in all 75 districts supported by
WHO.

b) Health Infrastructure Information System — The HIIS is expected to provide the basis for decision
making on building construction and maintenance as well as for resource allocation. The system is
in process of completion after which it will be regularly updated.

c) Building construction and maintenance— The Management Division oversees the construction
and maintenance of health facility buildings and other infrastructure in partnership with the
Department of Urban Development and Building Construction (DUDBC). All maintenance within
DoHS premises and construction and maintenance works in districts and regions costing less than
one million are disbursed through the Management Division. All other construction works costing
more than one million is done through DUDBC. Since 2061/62 2022 facilities have been built while
in 2073/74 NPR 3,652 billion was spent on health building construction through DUDBC (Table
6.8.1). An MoH committee monitors these works. Table 6.8.2 shows the number of health buildings
completed and handed overin the previous five years.

Table 6.8.1: Summary of building construction by DUDBC (2061/062–2073/74)

Detail Number
Total number of health facilities built 2022

No. of facilities under construction 693

Near completion facilities 177

Completed/handed over facilities 1152

Budget allocated to DUDBC (in NPR '000) in 2072/73 3,886,055,000

Expenditure (in NPR '000) in 2072/73 3,652,073,000 (93.98%)

Table 6.8.2: Building construction scenario in previous five years (completed and handed over
buildings)
Types of building 2069/70 2070/71 2071/72 2072/73 2073/74
Health posts with birthing centres 0 115 200 101 275

Doctors’quarters 0 20 - - 20

Staff quarters 0 25 - - 36

PHCCs 0 5 7 2 6

Birthing centres 0 12 20 5 8

District health stores 0 2 - - -

DoHS, Annual Report 2073/74 (2016/17) 283

Supporting Programmes
Types of building 2069/70 2070/71 2071/72 2072/73 2073/74
BEOC buildings 0 1 - - -

CEOC buildings 0 1 - - -

Public health office buildings 0 10 3 2 -

District hospital buildings 0 4 6 5 3

Regional hospital buildings 1 - -

15 bedded hospital building 3 2 -

Zonal hospital buildings 2 2 -

Sub-regional hospital buildings 2 -

Maternity units in zonal hospitals 2 -

Emergency blocks in district hospitals 1 -

Block A buildings in districts 1 -

d) Health facility upgrading— The Management Division has started the process of upgrading PHCCs
and below 15 bed district hospitals up to 15 bed hospitals. In line with the upgrading of all sub-
health posts to health posts and higher level facilities to at least 15 bed hospitals following certain
procedures, division collects demand and recommendations from concerned agencies and process
for approval. The status of health facility up-gradation is given in Table 6.8.3.

Table 6.8.3: Status of health facilities upgradation

Year Type Number Status
2065/66 SHP to health post 478 Approved and implementing
2065/66 Health facility to hospital 6 Approved and implementing
2066/67 SHP to health post 522 Approved and implementing
2071/072 SHP to health post 2205 Approved and implementing

e) Operating licenses renewed— The operating licenses of 71 private 51 to 200 bed hospitals were
renewed by the Management Division in 2073/74.

Major activities carried out in FY 2073/74

The following are the major activities conducted by the Management Division in 2073/74:
 Conducted 22th National Annual Performance Review Meeting, 2073/74.
 Continued HMIS’s web-based online reporting system.
 Prepared, printed and distributed the DoHS Annual Report, 2072/73 (2015/16).
 Conducted HMIS training for newly recruited health workers throughout the country.
 Arranged the printing and supply of HMIS recording and reporting tools.
 Constructed and maintained public Hospitals, PHCCs, health posts, birthing centres, DPHO and
DHO buildings.
 Procured electricity supply and furniture for newly constructed facilities.
 Orientated and trained health workers on health care waste management.
 Continued mental health training.
284 DoHS, Annual Report 2073/74 (2016/17)
 Supporting Programmes
 Conducted workshop of improvised citizen programme for health workers.
 Conducted kidney disease screening camp for 2 district.
 Orientation and training on health care waste management to DHO and DPHO staff.
 Managed the provision of free treatment to impoverished citizens including 5,821 Cancer,
3,291 Heart disease and 5,888 Kidney free treatment services (Table 6.8.4).

Table 6.8.4: Number of impoverished patients provided with treatment support for serious
diseases, 2073/74

Kidney Dialysis

After Kidney

Spinal Injury
Head Injury
Medication

Parkinsons
Transplant

Transplant

Alzeimers

Sicklecell
Anaemia
Cancer
Kidney

Heart

Total
Name of
SN
Hospitals/particular

National academy of
1 health sciences, Bir 48 11 0 0 592 1 0 2 0 0 654
hospital, Kathmandu
Tribhuwan university,
2 teaching hospitalm 69 27 0 0 17 0 46 2 0 0 161
Maharajgunj
Patan academy of
3 health science, patan 61 0 0 5 147 0 2 0 4 0 219
hospital
B.P. Koirala institute of
4 183 0 0 72 66 0 28 7 7 0 363
health science, Dharan
Maternity Hospital,
5 0 0 0 0 17 0 0 0 0 0 17
Thapathali
Sahid Gangalal N. Heart
6 0 0 0 2251 0 0 0 0 0 0 2251
centre, Bansbari
Civil service Hospital,
7 0 0 0 0 284 0 0 0 0 8 292
Minbhawan
Manmohan Cardio
8 0 0 0 691 0 0 0 0 0 0 691
Thoracic , Vascular &TC
B.P. Koirala Memoriyal
9 Cancer Hospital, 0 0 0 0 3577 0 0 0 0 0 3577
Bharatpur
Human Organ
10 Transplant Centre, 388 132 0 0 0 0 0 0 0 0 520
Bhaktapur
Western Regional
11 49 0 0 0 0 0 0 0 0 0 49
Hospital, Pokhara
Narayani sub regional
12 26 0 0 0 0 0 0 0 0 0 26
hospital,Birgunj
Rapti sub regional
13 10 0 0 0 0 0 0 0 0 0 10
hospital, Dang
Koshi zonal Hospital,
14 16 0 0 0 0 0 0 0 0 0 16
Morang
Janakpur Zonal
15 9 0 0 0 0 0 0 0 0 0 9
Hospital, Janakpur
Bheri Zonal Hosppital,
16 9 0 0 0 0 0 0 0 0 819 828
Banke
18 Seti zonal hospital, 20 0 0 0 0 0 0 0 0 866 886

DoHS, Annual Report 2073/74 (2016/17) 285

Supporting Programmes

Kidney Dialysis

After Kidney

Spinal Injury
Head Injury
Medication

Parkinsons
Transplant

Transplant

Alzeimers

Sicklecell
Anaemia
Cancer
Kidney

Heart

Total
Name of
SN
Hospitals/particular

kailali
Mahakali Zonal
19 Hospital, Kanchanpur 0 0 0 0 0 0 0 0 0 0 0
Mahakali
Nepal Medical College
20 101 0 0 0 0 0 0 0 0 0 101
Jorpati
Gandaki Medical
21 51 0 0 0 0 0 0 0 0 0 51
College, Pokhara
Universal Collegeof
22 Medical Sciences, 65 0 0 0 0 0 0 0 0 0 65
Bhairahawa
Chitwal Medical College
23 Teaching Hospital, 73 0 0 34 4 17 2 0 0 0 130
Chitwan
College Of Medical
24 112 0 0 0 0 0 0 0 0 0 112
Sciences, Chitwan
Nepalgunj Medical
25 124 0 0 0 0 0 0 0 0 0 124
College, Banke
Manipal Medical
26 college, Teaching 65 0 0 0 0 0 0 0 0 0 65
Hopsital pokhara
Bhaktapur Cancer
27 2646 0 0 0 0 0 0 0 0 0 2646
Hospital, Bhaktapur
National Kidnye Centre,
28 619 0 0 0 0 0 0 0 0 0 619
Banasthali
Dhulikhel Hospital ,
30 44 0 0 0 69 0 0 0 0 0 113
Kavre
Golden Hospital pvt.Ltd,
31 53 0 0 0 0 13 0 0 0 0 66
Biratnagar
32 B&B Hospital, Gwarko 13 0 0 0 0 0 0 0 0 0 13
Aarogya health
33 154 0 0 0 0 0 0 0 0 0 154
pratisthan, Pulchowk
National dyalysis
34 61 0 0 0 0 0 0 0 0 0 61
center, Bashundara
Cancer care nepal,
35 0 0 0 0 173 0 0 0 0 0 173
Jawalakhel
Alka Hospital Pvt,
36 53 0 0 0 0 0 0 0 0 0 53
Jawalakhel
Charak Memoriyal
37 Hospital Pvt, Kaski 23 0 0 0 0 0 0 0 0 0 23
pokhara
Himal Hopsital Pvt,
38 15 0 0 0 0 0 0 0 0 0 15
Gyaneswar, Ktm
National Trama Center,
39 0 0 0 0 0 15 51 0 0 0 66
Mahabauddha, Ktm
Grandi International
40 18 0 0 0 0 0 0 0 0 0 18
Hospital Pvt, Dhapasi
Vayoda Hospital Pvt,
41 18 0 0 0 0 0 0 0 0 0 18
Balkhu

286 DoHS, Annual Report 2073/74 (2016/17)

 Supporting Programmes

Kidney Dialysis

After Kidney

Spinal Injury
Head Injury
Medication

Parkinsons
Transplant

Transplant

Alzeimers

Sicklecell
Anaemia
Cancer
Kidney

Heart
Name of

Total
SN
Hospitals/particular

Gautam Buddha
Samudayek Heart
42 145 0 0 48 0 0 0 0 0 0 193
Hospital, Butwal,
Rupandehi
Siddharatha City
43 40 0 0 0 0 0 0 0 0 0 40
Hospital Pvt, Butwal
Nepal Swasthye Bikash
44 & Research Sahakari 4 0 0 0 0 0 0 0 0 0 4
Ltd, Biratnagar, Morang
Crimson Hospital ,
45 9 0 0 0 0 0 0 0 0 0 9
Manigram Rupandehi
Nepal Cancer Hospital
46 0 0 0 0 607 0 0 0 0 0 607
& rearch center
Kathmandu Cancer
47 Center, Tathali, 0 0 0 0 267 0 0 0 0 0 267
Bhaktapur
Nobel Medical College
48 Teaching 28 0 118 0 25 1 5 0 0 177
Hospital,Biratnagar
Janaki Health Care and
49 19 0 0 0 0 0 0 0 0 0 19
Research Center Pvt.Ltd
OM hospital and
50 22 0 0 0 0 0 0 0 0 0 22
Research Center
Neuro Cardio
51 Multispeciality Hospital, 0 0 0 0 0 11 0 0 0 0 11
Biratnagar
OM shahi Pathivara
52 26 0 0 0 0 0 0 0 0 0 26
Hospital, Jhapa
Purna Tung Birta city
53 29 0 0 0 0 0 0 0 0 0 29
Hospital, Jhapa
Lakecity and critical
54 12 0 0 0 0 0 0 0 0 0 12
care Hospital, pokhara
Venus \hospital pvt.ltd,
55 15 0 0 0 0 0 0 0 0 0 15
Baneshwor, Kathmandu
Kist Medical College,
56 Teaching Hospital, 20 0 0 0 0 0 0 0 0 0 20
Lalitpur
Greencity Hospital pvt.
57 Ltd, Dhapasi, 14 0 0 0 0 0 0 0 0 0 14
Kathmandu
After Kidney Transplant
58 0 0 198 0 0 0 0 0 0 0 198
Medication
Out Of Nepal Treated
59 0 14 0 0 1 0 0 0 0 0 15
cases
Total 5531 159 198 3219 5821 82 130 16 11 1693 16860

The Management Division carried out the 45 activities listed in Annex 1in 2073/74. The division
achieved 97.84 percent physical progress in terms of activities carried out and 90.97 percent
financial progress in terms of budget spent (Table 6.8.5).

DoHS, Annual Report 2073/74 (2016/17) 287

Supporting Programmes
Table 6.8.5: Progress of Management Division against annual workplan and budget in 2073/74
Physical achievement
Total activities:
Activities conducted
Activities not done:
 Budget not received from partners:
 Activities not conducted:
Physical progress:
Issues, challenges and recommendations
Table 6.8.6: Issues, challenges and recommendations — health service management
Issues and challenges
Inadequate quality human resources
Individualized planning in divisions and
centres (due partly to time constraints)and
negligible bottom-up planning
Insufficient budget for building health
facility and hospital buildings.
Health facility buildings construction
delayed and obstructed (around 10% sick
projects).
The standardization of public hospitals
The lack of WASH guidelines for health
facilities and hospitals
Insufficient and poor implementation of
waste management guidelines by health
facilities and hospitals
Information flow from lower level health
facilities and data quality issues
The monitoring of private health care
288
Financial achievement (NPR ,000)
45 Total budget allocated 1,259,617
36 Total budget received 1,243,617
Budget not received from partners: 16,000
6 Total expenditure (through Management Division): 1,145,994
3 Financial progress(received budget): 90.97%
97.84%
General recommendations
Produce and appoint skilled human resources
Ensure strategic joint central annual planning and budgeting
under the Management Division for one-door planning from
DoHS and promote bottom up planning to address district
specific issues
Provide funds and human resource support for upgraded
health facilities.
Mandatory supervision and approval by DHOs and DPHOs
before payment for building construction.
Self-dependence for health facility building construction in the
long term.
Strategic planning to bring public hospitals to design standard
as per guidelines
Develop WASH guidelines
Expand programme and budget for health care waste
management as per guidelines
Provide more budgetary support for data quality and its timely
flow from lower level health facilities to DHOs and DPHOs and
make reporting to DoHS’s information system mandatory for
all hospitals
Establish a task force or outsource the supervision of private
health facilities
DoHS, Annual Report 2073/74 (2016/17)
 Supporting Programmes
Table 6.8.7: Specific recommendations — health service management
Recommendations Responsibility
a. Health infrastructure
 Endorse proposed Central Coordination Committee and Technical Committee MoH, DoHS-
 Form joint taskforce representing MoH, DoHS-MD, RHDs and DUDBC officials to MD,PPICD,RHDs,
assess delayed and ongoing infrastructure projects and make plan to address issues DHOs, DPHOs
 Operationalise joint monitoring team for the field monitoring of construction projects
 Endorse standard building design and guidelines
 Develop a building planning cycle
 Reallocate budget for building construction (additional NPR 3 billion (3 Arab) in
2072/73 to avoid more ‘sick’ construction projects
 Establish/strengthen a health infrastructure unit with adequate capacity at central
and regional levels to be responsible for construction related planning and budgeting.
 Update and strictly implement land development criteria considering geographical
variation, urban/rural settings (guidelines have been endorsed by MoH with
ministerial decision).
 Assess regional, sub-regional, and zonal hospitals against standard guidelines and
develop standardization plan.
 Develop mechanism to standardise PHC-ORC structures in coordination with
communities.
Information management
 Initiate and continue measures to functionalise and regularize all routine information MoH, DoHS-
systems including TABUCS. MD,PPICD,RHDs,
 Roll-out routine data quality assessment mechanisms at all levels. DHOs, DPHOs
 The monthly generation of data from all data platforms; sharing and review with
concerned programmes, divisions, RHDs, DHOs, DPHOs, and hospitals.
 Provide data access through public portal, including meta-data and resources.
 Ensure interoperability among all existing management information systems.
 Develop and implement a long term survey plan.
Hospital management
 Immediately implement health care waste management measures at all hospitals, MoH, DoHS-
according to set standards. MD,PPICD,RHDs,
 Define standards for all services provided by hospitals, according to their service tier. DHOs, DPHOs
 Assess all hospitals against revised basic/minimum standards as per guidelines;
develop, implement, and monitor costed implementation plans.
 Ensure establishment of own pharmacies in all hospitals as per guidelines and budget
provided by MoH.
 Define role of academic hospitals/institutions in delivering specialty services in public
hospitals and definespecific roles to improve quality of care.
 Develop capacity of hospital professionals on hospital management
 Fill hospital development committee (HDC) and HFOMC chairperson positions.
Supervision and monitoring
 Update and implement integrated supervision checklist, supervision plan and All levels
feedback tools.
 Deploy functional feedback mechanism with provision of coaching and
mentoring services.
 Develop monthly integrated online supervision calendar and submit to higher
authority to monitor effective execution at all levels.

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6.9 PRIMARY HEALTH CARE REVITALIZATION

Background

Primary Health Care (PHC) is a strategic movement for the achievement of “Optimum health for all”.
PHC needs to be expanded throughout the country for acheiving the universal health coverage
(UHC). PHC is regarded as a cost-effective approach and its principles in social justice, equity, human
rights, universal access to health services, community involvement and priority to the most
vulnerable and underprivileged. The National Health Sector Strategy (NHSS, 2015–2020) calls for
meeting the existing and emerging health care needs of the population across all geographic
environments.

Primary Health Care Revitalization Division (PHCRD), established in 2009, functions for expanding the
coverage of primary health services in an equitable manner particularly by addressing the needs of
disadvantaged and unreached population groups. Basic health care services delivered through
primary health care providers are generally cost effective by nature and can directly contribute to
improved health status and higher life expectancy. Areas of concern that the primary health care has
to address are: growing burden of non-communicable diseases, inequitable access to healthcare
services, limited range of service availability at lower tiers of health facilities and rapid
commercialization of the basic health services.

PHCRD strives to strengthen the gate keeping functions at the lower level of public health facilities
while enhancing the capacity of District Health Offices and Municipalities to develop local health
systems that are responsive and accountable to clients’ needs. As mandated by the Constitution of
Nepal, the division is playing an instrumental role in expanding the reach of basic health services at
across the country, particularly focusing on urban areas while also introducing service packages that
are focused on prevention of NCDs. The division also continues to facilitate continuum of care across
preventive, promotive, curative and rehabilitative components of health services.The PHCRD is
envisaged to revitalize PHC services in Nepal by addressing the unaddressed and unmet issues of
PHC.

Vision: To contribute in improving the health status of Nepali population, especially of the poor and
excluded through provision of equitable and accessible health care services.

Goal: To reduce morbidity and mortality especially of poor, marginalized and vulnerable people by
securing the right of the citizens to quality basic health services.

Objectives
 Ensure the fundamental right of all Nepalese citizens to basic health care services
 Ensure year-round availability of essential drugs in both urban and rural health facilities to
increase access and utilization of quality Basic health care services.
 Reduce mortality & morbidity related to major four NCDs, mental diseases and others
diseases in Nepal.

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 Increase the utilization of health care services especially by the poor, marginalized,
vulnerable and disadvantaged groups by minimizing economical, cultural and geographical
barriers
 Promote good governance and accountability of the health workers and health facilties
towards the people through social audit
 Increase the quality of treatment services through Rational Use of Medicine (RUM) and
Standard Treatment Protocol (STP)
 Promote urban health services through Urban Health Centre (UHC) and Urban Health
Promotion Centre (UHPC)

The Division carries out the following programs components, scope and key functions:

Program Components and Key Functions

S.N. Programme components
1 National free basic health care services
2 Social health protection and GESI
3 Urban and environment health
4 Non communicable disease
(PEN Package and Mental Health)
5 Other :
 Standard Treatment Protocol
(STP)
 Road Traffic Accident
 Occupational Health
 Life style and Healthy
Behaviour
 ENT and Oral Health
Scope/Key functions
Planning and Procurement of free essential drugs
 Referral Program for target group
 Special health program for
DAG(Disadvantaged group) VDCs
 Social Audit
 GESI
 Health camp for elderly people and
support for old age home
 Health Cooperative
 Establishment of Community Health Unit
(CHU)
Expand and strengthen basic health care services
to people living in urban areas in collaboration
with local government through establishment of
UHC and UHPC
Pilot and expand PEN package for NCD focusing on
cardio vascular diseases, cancer, diabetes, chronic
obstructive pulmonary diseases and mental health

1. National free basic health care services

National free basic health care service program is implemented to ensure the availability and
utilization of quality basic health care services free of cost through the health facilities (Hospital,
PHCC, HP, UHC and CHU) as mandated by the consititution of Nepal.

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Major Activities:
 Planning and procurement of free essential drugs
 OPD registration fee - District Hospital/PHCC/HP
 Grant for printing and distribution of OPD ticket & reporting form

Major Achievement

Out of total estimated population, 71.70 percentage (2,05,22,192 new cases) utilized OPD services.

Province Number of New OPD Visit Percentage

1 3727150 77.86
2 2761976 46.66
3 4976161 81.88
4 2378349 95.70
5 3364213 82.66
6 1335051 83.56
7 1979291 71.15
Total 20522192 71.70

Utilization status of free basic health care services, FY 2073/74

Achievement
SN Indicators
(Number) (Percentage)
1 Number of person utilizing free health OPD services 20522192 71.70
among total estimated population
2 Number of person utilizing free health emergency services 44278 0.16
among total estimated population
3 Number of person utilizing free health indoor services 497339 1.74
among total estimated population
4 Referral cases (Out) among total number person utilizing 5483 0.02
free health services
Source: HMIS

Hospital free basic health care service utilization status by targeted groups, FY 2073/74

Service target group OPD Emergency Indoor Refer Out

Poor /Ultra-poor destitute 140171 21713 24858 2089
Helpless /Distitute 8657 2680 2742 406
Disable 6976 2324 2266 493
Senior citizen 71244 16115 16505 1036
FCHV 3747 452 391 12
Others 392017 6586 450314 1413
Total 619065 49870 546946 5449
Source: HMIS

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Budget allocation for procurement of free essential drugs (in Lakh)

FY 2073/74 FY 2074/75
Budget allocation for procurement of free essential
11,000 10,500
drugs at Centre
Budget allocation for procurement of free essential
3,900 4,500
drugs at Regional, District and Local Level
Total 14,900 15,000
Source: PHCRD

2. Social health protection and GESI

Social health protection program is focused on increasing the access and utilization of health care
services by the people most in need expecially the poor, marginalized and the vulnerable people in
equitable manner with the aim to achieve universal health coverage.

Major activities, achievement and target

Major Activities Key Achievements Target

( FY 2073/74)
• Integrated public health
campaign
• Referral Program for target
group
• Special health program for
DAG(Disadvantaged group)
VDCs
• Establishment of
Community health unit
• Social Audit
• Health Cooperative
• GESI
• Health camp for elderly
people and support for old
age home
( FY 2073/74)
• Public Health Campaign
• Special health camp for
Disadvantage groups
• Establishment of 110
Community Health Unit
(Total 360 CHUs)
• Development of Social
Audit Guidelines and
implementation plan
• Social audit in 70
Districts (1752 Health
facilities)
• Interaction among
health cooperatives
( FY 2074/75)
• Establishment of new 90
Community Health Unit
• Social Audit in 2138 HFs
• Interaction among Health
Co-operatives (One)
• GESI orientation to locally
elected representatives,
higher secondary school
students
• Radio program and
Interaction program on
GESI

3. Urban and environmental health

Urban Health

Rapid urbanisation and internal migration has posed a great challenge for the government to
provide health services in urban areas. Urban residents face unique health challenges. Haphazard
urban planning has drastically increased the level of pollution of all types and has also brought about
lifestyle changes resulting in poor dietary intake, increased consumption of alcohol and tobacco
products, unhealthy sexual behaviour, sedentary lifestyle, etc. These environmental and behavioural
changes have posed new health challenges such as increased burden of non-communicable diseases
DoHS, Annual Report 2073/74 (2016/17) 293
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including mental illness. This underscores the need for greater focus on basic health services and
service sites to deliver health services in urban areas.
For the last three decades, the government’s health policy was largely rural focussed with health
programmes and activities tailored to rural areas delivered through district health system. The
Government of Nepal (GoN) approved the Urban Health Policy on April 21, 2015. The policy brings
the health and development sector together to unfold, understand, internalise and implement
Urban Health Centre (UHC) for the greater cause of serving the urban population, particularly the
unreached groups. Motivated by the need for urban health services and the Constitution of Nepal,
which enshrines the right to "free basic health services" to all citizens, the National Health Policy and
the Urban Health Policy, the Ministry of Health developed a concept for Urban Health Promotion
Centre (UHPC).

The objective of Urban Health Program is to increase the access and utilization of quality health
services by indicated urban community especially- women, children, poor and marginalized group.

Major activities, achievement and target

Major Activities Key Achievements Target

( FY 2073/74) ( FY 2073/74) ( FY 2074/75)
 Establishment of UHC • Urban Health Policy and • Establishment of new 34
and UHPC Strategy- 2015 Urban Health Centre
 UHC building • Establishment of 40 • Establishment of new 29
construction and Urban Health Centre UHPCs
maintenance (Total 366 UHCs)
• Establishment of 11
UHPCs in Kathmandu
metropolitan city and 2
UHPCs in Budanilkantha
Municipality

Environmental Health

The Constitution of Nepal has enshrined the fundamental right of every Nepalses Citizen to live in a
healthy environment. This is new a program for environment health under PHCRD that will be
implemented from FY 2074/75. The main objective of this program is to monitor of the adverse
effect to the entironmental degredation on health and to work with different stakeholders to
improve and maintain a healthy environment.

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Major activities, achievement and target

Major Activities
( FY 2073/74)
 Monitoring and
surveillance of
environmental effects on
health
Key Achievements Target
( FY 2073/74) ( FY 2074/75)
• Concept development • Interaction program
and Budget planning • Monitoring and
surveillance

4. Non communicable disease (PEN Program and Mental Health )

Nepal PEN Program

Non-communicable diseases (NCDs) are emerging as the leading cause of death in Nepal due to
changes in social determinants like unhealthy lifestyles, urbanization, demographic and economic
transitions. The deaths due to NCDs (cardiovascular disease, diabetes, cancer and respiratory
disease) have increased from 51% of all deaths in 2010 to 60% in 2014 (WHO Nepal Country profile
2014). They are already killing more people than communicable diseases. Thus, Nepal has adapted
and contextulized the PEN intervention for primary care in low resource setting developed by WHO.
PEN Implementation Plan (2016 – 2020) has been developed inline with the Multisectoral Action
Plan for prevention and control of NCDs (2014-2020). Nepal PEN protocol 1, 2 and concept note was
developed and endorsed in June, 2016 and the program started in two pilot districts (Ilam and
Kailali) on October, 2016. In addition, Nepal PEN protocol 3 and 4 was endorsed and the program
was scaled up in additional 8 districts in FY 2073/74.

Major activities, achievement and target

Major Activities Key Achievements Target

( FY 2073/74)
• Implementation of Nepal
PEN Program
• Capacity development-
PEN MToT and training
• NCD Drugs and diagnostic
procurement and supply
( FY 2073/74) ( FY 2074/75)
• Development of PEN • Expansion in
implementation plan 2016-2020 additional 20
• PEN ( Package for essential non- Districts this FY
communicable diseases) Program 2074/75
Piloted in two districts (Kailali and
Ilam) and expansion in Nepal at 10
Districts ( Makwanpur, Rautahat,
Palpa, Baglung, Myagdi, Surkhet,
Accham, Bardia )
• Nepal PEN Package 1,2,3 and 4
endorsement
• PEN Package Training in 10 districts
• NCD drugs procurement
• Recording and reporting tools
development including NCD mobile
app and Dashboard

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Mental Health

Nepal has high burden of mental illness but there are limted interventions to address the epidemic
of mental diseases. PHCRD under DoHs and Curative division under MOH have been assigned as the
focal unit for implementation of mental health program in Nepal. PHCRD will implement mental
health program from FY 2074/75.

Major activities, achievement and target

Major Program Activities Key Achievements Target

( FY 2073/74) ( FY 2073/74) ( FY 2074/75)
Mental Health • Concept development • Awareness program on
and Budget planning Mental diseses
• Development of • Community based mental
Standard Treatment health program
Protocol for Mental • Basic Mental health training
Health to health workers
• Adaptation of MHGAP • Private Public Partnership for
II Mental health
• Self Help group for Mental
health
• Mental health services for
prisoners

5. Other Programs:

Other major programs of the PHCRD are:

• Standard Treatment Protocol (STP)
• Road Traffic Accident
• Occupational Health
• Life style and Healthy Behaviour
• ENT and Oral Health

Major activities, achievement and target

Major Program Activities Key Achievements Target

( FY 2073/74) ( FY 2073/74) ( FY 2074/75)
Standard Treatment Protocol • ToT and Orientation in • ToT and Orientation in
(STP) 10 districts (Total 20 additional 20 districts
 TOT and Orientation on districts) • Peer group discussion for
RUM in additional 10
STP
districts
 Rational Use of
Medicine(RUM)
Road Traffic Accident • Concept development • Interaction program
and Budget planning • Orientation and

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Major Program Activities Key Achievements Target

( FY 2073/74) ( FY 2073/74)
Occupational Health • Concept development
and Budget planning
Life style and Healthy • Concept development
Behaviour and Budget planning
( FY 2074/75)
Awareness program on
Road safety
• Interaction program
• Orientation and
awareness activities on
Occupational health and
safety
• Orientation and
awareness activites on
life style and healthy
behavior

ENT and Oral Health • Concept development • Orientation and

and Budget planning awareness activites on
ENT and Oral Health

Physical and Financial Progress

Physical Vs financial progress of PHCRD in the FY 2073/74 are given below :

Physical and Financial Progress by budget sub-title, FY 2073/74

Level Budget Sub Title Physical Progress Financial Progress
District Level (DHO/DPHO/ 370138 100 % 100%
Hospital/ PHCC 370804 95.55% 90.43%
370136 99.18 % 58.06%
Central Level
370138 99.13% 26.73 %
Source: PHCRD

Figure 1: Physical and financial progress, FY 2073/74 (Central level Budget Sub Title 370136 )

120
99.18
100
80
58.06
60
40
20
0
Physical Financial

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Source: PHCRD

Figure 2: Physical and financial progress, FY 2073/74 {District Level Budget Sub Title 370804 )

96 95.55
95
94
93
92
91 90.43
90
89
88
87
Physical Financial

Source: PHCRD

Issues / Challenges and Actions

Result area wise Issues and challenges were analysed and following actions were taken

Issues and Challenges Action taken

Free Health Services • Some budget transferred to District based on

• Stock out of Drugs request
• Limited budget for regional • Allocated budget in 2073/74 for the review
review meeting • Allocated the budget for referral on priority basis
• Poor Referral Mechanism
Urban Health • Formation of co-ordination committee under
• Ownership of the UHC and Urban health policy
UHPC • Reactivation of Municipal Health Committee
• Huge demand for
establishment of UHC
Social Audit • Revision of Social Audit guideline
• Limited Budget for Social
Audit through a third party
PEN Program • NCDs Drugs- added in the essential drug list
• All NCDs drugs are not • Planned to transfer some budget for drugs and
included in the essential drug diagnostic procurement to the districts
list
• Limited budget allocation
• Complex drug and diagnostic
procurement

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6.10 Medico-Legal Services

The infancy stage of forensic or medico-legal field in Nepal is now crawling with great difficulty. This
field has great wish to grow up in normal way to address and to provide help for Nepali people as
there is high degree suffering in society because of improper and inadequate medico-legal service to
needy population. This service sector which is supposed to be developed by state is not only ignored
but also not adequately recognized and remaining as more or less unidentified. As a result of
improper, incomplete and nonscientific application of forensic evidences the justice is suffering
directly and “Rule of law” or “Law and order” are also suffering indirectly. There are more than
enough examples of several year imprisonment for an innocent person and release as reward for a
criminal in court cases related with crime against human body.

Constitution of Nepal 2072 in it’s article 35 guarantees Right to Health for all Nepali citizen and in
articles 20, 21 and 22 Right to justice, Right of victim of crime and Right against Torture also
guaranteed. There are other articles like article 42 Right to social justice, article 44 Right of
consumer which are all related with medico-legal field for their proper implementation in real life
situation. For effective application of above constitutional rights, medico-legal sector in Nepal must
be in properly functional state.

Time has compelled to recognize medico-legal field and it is shown by other way with spontaneous
appearances of more than four dozens of Nepali doctors specialized in the field of forensic. Now it is
high time for Nepal Government to facilitate the environment to utilize those experts in medico-
legal field for providing their specialist service to Nepali people.

Few incidents have coming up with the support and advocacy by MELESON (Medico-legal Society of
Nepal), a registered professional society of practicing Nepali Forensic Medicine specialists in this
country. Some of the positive outcome can be listed as follow:

1. Ministry of Health has created few posts for consultants in this field at four hospitals of the
country.
2. A historical first National Medico-legal Workshop was held on this year at Kathmandu which
was organized by Ministry of Health.
3. Six types of medico-legal examination and reporting formats are prepared and prescribed by
Nepal Government with initiation of Ministry of Law and Justice last year.
4. National Health Training Center from Department of Health requested to MELESON to
prepare six various types of Standard Operating Procedures (SOP), Reference Manuals and
Training Manualsfor standard medico-legal examination and reporting procedures. This task
was completed by MELESON successfully. Now following SOPs are on the process of
authentication by Ministry.
a) SOP and manuals for autopsy work
b) SOP and manuals for injury examination
c) SOP and manuals for sexual offence cases examination
d) SOP and manuals for age estimation
e) SOP and manuals for examination of victims of torture
f) SOP and manuals for forensic identification of skeletal remains

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5. There are initiations from various medical colleges to have permission for routine medico-
legal services to public from their hospitals.

Though there are various problems in health care service delivery system in the country, the forensic
service sector which is in pathetic condition must be addressed to keep minimum standard. There
are suggestions provided from the first National Medico-legal Workshop 2074 for very basic and
minimum care in forensic sector. If those suggestions or recommendations are cared step by step, it
may take no longer to have minimum standard in this service field.

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6.11 MONITORING AND EVALUATION

6.11.1 Monitoring Health Sector Performance
The Nepal Health Sector Strategy (NHSS) was endorsed by the Council of Ministers to provide strategic
guidance to the health sector in Nepal in the 2016–2021 period. The activities outlined in the NHSS
Implementation Plan (NHSS-IP) and subsequent annual work plans and budgets(AWPB) will translate the
strategy into action.
The performance of the health sector is monitored through the NHSS Results Framework, a mid-term
review (MTR) of NHSS and regular performance reviews. The Results Framework has 10 goal level
indicators, 29 indicators to measure the 9 outcomes and 56 indicators to measure the 26 outputs. The
framework provides detailed information on levels of data disaggregation, periodicity, means of
verification and responsible agencies. The goal and outcome level indicators will be monitored in 2017
and 2020; while output level indicators are monitored annually.
All MoH departments, divisions and centres have developed programme-specific results frameworks to
monitor their programmes and activities in line with the NHSS Implementation Plan. Updates on the
Results Framework are published at www.mohp.gov.np.
The existing performance reviews at national and sub-national levels will help monitor sector
performance under NHSS. The Mid-Term Review of NHSS in 2018will assess the progress on achieving
the NHSS outcomes and results and will review the sector’s management approach, including health aid
effectiveness. The review will guide programmatic and system-related interventions to achieve NHSS
results in the second half of NHSS.
The NHSS foresees increased access to and use of information through use of ICT. It emphasizes
onimproved and interoperable routine information systems and prioritized surveys and researches.
Similarly, it strivesforimproved and integrated health sector reviews at various levels that feed to the
planning process. Towards achieving universal health coverage and leaving no one behind, the NHSS and
the Sustainable Development Goals (SDGs) emphasize monitoring and reducing the equity gap in the
health outcomes of different population sub-groups. In the changed context of federalism, these need
to permeate at all levels of the government so as to strengthen the local level health planning and
service delivery to achieve better health outcome of the people.

Major Achievements:

6.11.2 Integrated Information Management

 MoH developed and endorsed the National e-Health Strategy in 2017. The strategy strives for cost-
effectiveness and secure use of information and communications technologies for population,
health clients, health workers and public health managers & policy makers. MoH is in the process of
finalizing the eHealth roadmapdrafted during the e-health convergence and planning meetings held
in July 2017.
 HMIS Section, Management Division is expanding electronic reporting from health facilities. More
than 600 health facilities are now reporting electronically.
 Similarly, MoH has initiated the process of developing unified coding system of health facilities. Each
health facility gets a unique code which identifies each individual facility irrespective of its

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ownership, type and location. The unified coding systemwill be a milestone to move towards data
exchange across various information systems and making them interoperable.
 MoH has also initiated the process of developing web-based health facility registry which will
include a master inventory list of all health facilities in Nepal with unique identification code,
location, type, level, and service information that can be used by the Government and public.
Gradually this system will be upgraded to include e-registration and licensing of health facilities.
 MoH has also initiated a number of e-health initiatives like standardization of e-attendance system
and development of web-based grievance management system.
 Development of health sector monitoring and evaluation plan is currently underway. The plan will:
(a) define the M&E functions of the local, provincial and federal government based on the functional
analysis endorsed by the Cabinet in 2017; (b) map out the health sector data needs to monitor the
NHSS RF and health related SDG indicators and ensure timely availability of the data either through
routine systems or surveys or other means as appropriate; and (c) develop a survey plan with
reference to the NHSS RF and the SDGs.
 Progress on the NHSS RF indicators, key results from the national level surveys (NDHS and NHFS)
and routine data (HMIS) are shared through dashboards hosted at interactive web-portal in MoH’s
website at www.moh.gov.np. MoH will soon share the progress on SDGs and Disbursement Linked
Indicators (DLIs) in the same portal.
 MoH in close collaboration with National Planning Commission, developed the national health
sector SDGs indicators, milestones and targets in line with the global framework.
 The HMIS in DHIS2 platform has been updated to incorporate the latest federal structure. Electronic
reporting of service statistics from health facilities has expanded to more than 600 facilities across
the country.
 During the flood in 2017, DoHS/MoH effectively managed information from the flood affected 36
districts in real time. This helped in assessment of the situation and identification of needs to deliver
effective and efficient health sector response. The daily situation update reports including final
comprehensive report are available in EDCD’s website atwww.edcd.gov.np.

6.11.3 Survey, Research and Studies

 Nepal Demographic and Health Survey (NDHS) 2016 completed and findings disseminated.
 Further analysis of 2015 Nepal Health Facility Survey (NHFS) is being carried out on the following
topics:
 Integrated Management of Neonatal and Childhood Illnesses (IMNCI)
 Maternal health
 Family planning
 Quality of care
 Status of service readiness and availability by Province
 MoH developed the national health account for the year 2014. It provides detailed and updated
information regarding the health expenditure by source, financing agents, types of service providers,
functions and status of out-of-pocket expenditure in the country.
 Nepal Health Research Council (NHRC) carried out a number of researches in 2016/17. The reports
of the researches are available in NHRC’s websiteat: http://nhrc.gov.np/publication-
category/reports/
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6.11.4 Health sector reviews with functional linkage to planning process
 The national annual review of 2073/74 (2016/17) was aligned with the federal structures in line with
the changed context of transition to federalism. Service statistics and other issues were analysed
and presented by province.
 The output of the annual review will feed to the Joint Annual Review of 2016/17. The action plan
developed based on the national annual review 2016/17 and joint annual review 2016/17 will feed
into the annual work plan and budget for the fiscal year 2017/18.
 The annual report of the Department of Health Services for the year 2073/74 reflects the provincial
status.

6.11.5 Challenges
 Ensuring availability of quality data to meet the health sector data needs at local, province and
federal level.
 Evidence based decision making at all levels.
 Multi-sectoral collaboration to improve integrated information management leveraging ICT at all
levels sustaining the good practices and achievements of the health sector.
 Institutionalization and regularization of national health accounting.

6.11.6 Way forward

 Development of strategies, standard protocols and guidelines to guide and facilitate the local
governments for improved information management leveraging ICT.
 Develop health sector M&E and survey plan in federal context.
 Develop and operationalize the central standard data repository.
 Standardize, develop, strengthen and institutionalize e-health initiatives at all levels.

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 Chapter 7
7.1 DEPARTMENT OF DRUG ADMINISTRATION

1. BACKGROUND

Government of Nepal has promulgated the Drug Act 1978, to prohibit the misuse or abuse of
medicines and allied pharmaceutical materials as well as the false or misleading information relating
to efficacy and use of medicines and to regulate and control the production, marketing, distribution,
export-import, storage and utilization of those medicines which are not safe for the use of the
people, efficacious and of standard quality.
To implement and fulfill the aim of Drug Act 1978 and various regulations under it Government of
Nepal established Department of Drug Administration (DDA) in 1979.
In accordance with the objectives of the National Health Policy 1991, the National Drug Policy 1995
has been formulated and implemented. It focuses on establishing co-ordination among government,
non-government and private organizations involved in the activities related to medicine production,
import, export, storage, supply, sales, distribution, quality assessment, regulatory control, rational
use and information flow. Achieving the aims and objectives of National Drug Policy is another
important area for DDA.
Under the Drug Act 1978, the following regulations and codes have been implemented as supporting
tools for the active enforcement of Drug Act 2035.
1. Regulation on Constitution of Drug Consultative Council and Drug Advisory Committee, (2037
BS).
2. Drug Registration Regulation, (2038 BS).
3. Drug Standard Regulation (2043 BS).
4. Enquiry and Inspection Regulation (2040 BS).
5. Drug Sale and Distribution Code (2071 BS).
6. Codes on Good Manufacturing Practice (2072 BS).
Drug Donation guidelines have been implemented for the quality assurance of donated medicines
and medicine registration guideline 2073 has also been implemented for facilitates efficient medicine
registration process.

2. OBJECTIVES

The main objective of DDA is to regulate all functions relating modern, veterinary and traditional
medicines, like misuse and abuse of medicines and its raw materials, to stop false and misleading
advertisement and make available safe, efficacious and quality medicine to the general public by
controlling the production, marketing, distribution, sale, export-import, storage and use of medicines.

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 Progress of Other Departments
3. STRATEGIES

 Selection of essential medicine to promote rational use of medicines.

 Establishment of provinces offices for effective decentralization.
 Strengthening of National Medicines Laboratory (NML) as an Independent National Medicine
Control Laboratory.
 Medicine registration based on scientific facts and evidence of safety, efficacy and quality of
medicine.
 Promotion of rational use of medicines.
 Development of an efficient medicine information system to disseminate the relevant
information.
 Encouragement to promote and establish pharmaceutical industries to achieve self-reliance
in the production of essential medicines.
 Effective inspection to ensure the quality of marketed medicines.
 Prevent misuse of antibiotic to combat antimicrobial resistance.
 Strengthen national industry to comply with WHO-Good Manufacturing Practices (GMP)
4. DIVISION AND BRANCH OFFICES OF DEPARTMENT OF DRUG ADMINISTRATION AND THEIR
FUNCTIONS

Division of DDA

Registration Division
 Import and Export Section:
 To register the foreign medicine manufacturing company and products in a scientific
manner for import.
 To issue the recommendation letter for import/export of medicines
 To renew the recommendation letter for import-export.

 Industry Section;
 To issue recommendation letter for the establishment of pharmaceutical industry and
issue Product Manufacturing License and renew them.
 Check and approve the pharmaceutical manufacturing plant layout.
 Evaluate the new products and issue marketing permission for the sale & distribution.
 Issue letter of recommendation for the import of raw materials and renew them.

 Pharmacy Registration Section:

 To register and issue registration certificates for retail / wholesale pharmacy outlet and
renew them.
 Issue and renew certificates for persons authorized to sale medicines (Vyabashahi).
 Update the record of pharmacies.

Management Division
 Training and Drug Information Section:
 Conduct the refresher training to medicine sellers.
 Disseminate information about medicines particularly adverse effects, contraindication,
drug Interaction and storage condition and other necessary information regarding medicines.

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Progress of Other Departments
 Publish Drug Bulletin of Nepal (DBN) and distribute to health institutions, industries, medical
doctors, health personnel's, pharmacists and others concerned person and institution.
 Recommend for import of narcotic, psychotropic, precursors substances and liaise with
 International Narcotic Control Board (INCB).
 Conduct activities related to Pharmacovigillance and Adverse Drug Monitoring Reporting.

 Planning section
 Prepare yearly planning for activities conduct by DDA and regional office.
 Coordinate with Ministry, other department and other government and non
government organization for conducting activities and submit the report to MOH.
 Collect, prepare and forward monthly, quarterly and yearly report.

 Administration section
 Management of human resources (recruitment, posting, promotion, transfer etc)
 Perform Procurement related activities
 Monitoring and evaluation of regional offices activities.

Inspection Division
 Inspect drug industries, wholesale and retail pharmacies regularly.
 Take legal and administrative action on cases of non-compliance as per the provision of Drug
Act and its Regulations.
 Regulate sales and distribution of psychotropic and narcotic drugs.
 Co-ordinate Good Manufacturing Practice Audit within and outside the country.

Industry inspection section

 Inspection of pharmaceutical industry as per yearly plan.
 Take action for noncompliance related to Drug Act 2035.

Law section
 Prepare necessary medicine related document for registering the case on court against
pharmacy and industry or order issues regulated by DDA
 Give legal suggestion to department.

Import/export section
 Inspection for the effective implementation of Drug Act 2035 and other regulations under
Drug Act.

Audit section
WHO GMP certification and Recertification related activities.

Branch Offices:
DDA has its branch offices at Biratnagar, Birgunj and Nepalgunj. These offices carry out the
responsibility of inspection as well as Pharmacy registration and renewal

National Medicines Laboratory (NML)

National Medicines Laboratory (NML) is the principal body of Government of Nepal for testing and
analysis of drugs. It has various sections like chemical analysis, microbiology, pharmacology and
instrumental analysis. The main functions of NML are to:

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 Progress of Other Departments
 Test and analyze the quality of medicines as empowered according to the Drug Act 1978.
 Issue Lot Release Certificate for vaccines.
 Conduct training on Good Laboratory Practices.
 Audit pharmaceutical laboratories of Nepalese pharmaceutical industries.

ANALYSIS OF ACHIEVEMENTS BY MAJOR ACTIVITIES

Activities carried out in FY 2073/74 (2016-2017)

Major activities
1. Revision of National List of Essential Medicine (NLEM), 2016
2. Revision of Drug Act, 2035 and submitted for approval process
3. Preparation of Post Marketing Surveillance (PMS) software and Medicine App
4. Preparation and approval of special permission guideline
5. Method validation of nine non-pharmacopoeial products
6. Awareness on the rational use of medicines by different media.
7. Regular publication of Drug Bulletin of Nepal (DBN).
8. Audit/inspection of domestic pharmaceutical industries for WHO Good Manufacturing
Practice (GMP) compliance.
9. Inspection of retail & wholesale pharmacies for compliance of regulatory framework.
10. Risk based post marketing quality analysis of medicine available in market.
11. Inspection of Foreign Manufacturers before registration for the importation purposes
12. Conducting examination of veterinary drug sellers’ training.
13. Pre marketing medicine analysis for marketing authorization/ Approval
14. Audit of domestic manufacturer laboratory for compliance of Good Laboratory Practice (GLP)
15. Take legal and administrative action for violation of regulatory standards.
16. Recall of medicine from market those failed to quality standard.

Target Vs Achievement, FY 2073/74

S. N. Activities Unit Target Achieveme Achieve.
nt ( %)
1 Medicine information to the Number 20 38 190
public by different media
2 Publication of Drug Bulletin Issue 3 3 100
of Nepal
3 Conducting examination of veterinary Number 1 1 100
medicine sellers’ training
4 Inspection of domestic Number 100 49 49
Pharmaceutical Industries
5 Inspection to pharmacies( Retailer and Number 2900 4318 148
Whole seller)
6 Medicine sample Analysis Number 1000 916 91.6
7 Audit of Pharmaceutical Number 30 30 100
Analytical Laboratories
8 Inspection of Foreign Times 5 5 100
Pharmaceutical industries.

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Progress of Other Departments
Other activities
S. N Activities Achievement
1 Registration of new foreign pharmaceutical industry 12
2 Registration of new medicine (import) 111
3 Renew of import license 3358
4 Issue of marketing license 308
5 Issue of product license 565
6 Import license for raw material for domestic industry 456
7 Registration of new domestic pharmaceutical industry 14
8 Approval of layout of industry 96
9 Registration of new pharmacy 1080
10 Renew of pharmacy 19364
11 Renew of professional license 600
12 Deregistration of pharmacy 446
13 Recall of medicine from market due to inferior quality 34

Financial allocation and Expenditure

Budget in thousands (000)
S.N Budget heading Budget allocation Budget expenditure %
1 Capital budget 59200 (20000 return) 31717.9 80.91
2 Recurrent budget 88758 67006 77.84
Total 136957 86720.04 63.32

Revenue
Total revenue: 4,07,95,581

Challenges
 Regulatory non compliance comes under legal framework and taking legal action to them.
 Lacking mechanism (legal and organizational) for regulation of HTP.
 Information management, transparency and lacking of dynamic and Responsive Information
system
 Illegal import of medicine due to open border and, SSFFCs regulation and control.
 Lacking of resources (human, technology)
 Regional harmonization and uniformity, MRH and SRA collaboration.
 Pharmaco vigilance, post marketing surveillance
 Medicine price regulation and transparency
 Good governance and accountability
 Ethical promotion of medicinal products.
 Regulates of nutraceuticals and feed supplement for human and veterinary use.

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 Progress of Other Departments
7.2 AYURVEDA
Background
Department of Ayurveda (DoA) primarily manages the delivery of Ayurveda services and
promotes healthy lifestyles through its network facilities all across the country. The
Department of Ayurveda, one of the three departments of the Ministry of Health (MoH) and
is responsible for programming, management of information, and supervision, monitoring
and evaluation of the Ayurveda Service programmes.

Ayurveda is an ancient medical system and indigenous to Nepal with deep roots. The
sources of Ayurvedic medicine are medicinal herbs, minerals and animal products. The
system works through simple and therapeutic measures along with promotive, preventive,
curative and rehabilitative health of people. Ayurveda health services are being delivered
through two Ayurveda Hospitals, 14 Zonal Ayurveda Dispensaries, 61 District Ayurveda
Health Centers and 305 Ayurveda dispensaries across the country. The Ayurveda and
Alternative Medicine unit in the Ministry of Health (MoH) is responsible for formulating
policies and guidelines for Ayurveda and other traditional medical system.

Various national and international policies have highlighted the importance of Ayurveda
services in primary health care and for prevention of NCDs. The Constitution of Nepal has
called for the prevention and promotion of traditional Ayurveda medicines along with
naturopathy and homeopathy. The National Health Policy (2014) has called for expansion of
Ayurvedic services as have the National Ayurveda Health Policy (1995) and National Urban
Health policy (2015).

The plan approach paper (2016/17-2018/19) for fourteenth plan of government of Nepal
has guided the government to better preserve, manage and utilize the herbs available in the
country. More specifically, it says : 1) suitable structure will be developed and extended for
effective implementation of Ayurveda system; 2) Ayurvedic production will be increased
along with monitoring malpractices in the the name of Ayurveda and herbs and 3)
Ayurvedic, Homeopathy, Unani and other complementary medical systems will be
preserved, developed and preserved with long-term planning.

M in istr y o f H e alth

Si n gh D ur b ar N ep al N at io n al Na ti on al A y u rb e da a n d
D ep ar tm e B a id h y a k ah an A yu r v ed a A y u rv ed a A yu r ved a al te rn at iv e
n t of B ik a s s am i ti M e di c al R es ea rc h a nd M ed i c in e
A c a d em y
A y ur v ed a C o un c i l tta i ni n g c en tre Sec t io n

N a rd evi A yu rve d a H o s p ita l

R e gi o na l A y u rv ed a H o s p it al
D a ng

Zo n al Ay ur v e da D i sp e ns o ri e s—
14

A y u rve d D is p en s ar i es -
30 5
D i s tri c t A y u r ved a H ea lt h
C en tr es - 6 1

DoHS, Annual Report 2073/74 (2016/2017) 309

Department of Ayurveda
Organization of Department of Ayurveda :

Department of Ayurveda

Planning,
Medicine & Drug,
Monitoring Administrativ Financial
Logistic Research &
& e Section Admin.
Managemen Training
Coordination Section
t Division Division
Division

Planning, Ayurveda & Research & Medicine Plant

Monitoring Logistic & Alternative Training Drug & Quality
& Statistic Management Medicine Section Control Section
Section Section Section

Altogether 1907 posts have been sanctioned under the Department of Ayurveda. Of which 999 posts
are technical, 101 are administrative and 807 posts are supporting level (office assistance).

The ratios between population and Ayurveda institution are as follows:

 Population per Hospital: 13.3 million.
 Population
opulation per District Ayurveda Health Centers: 0.354 million; and
 Population per Ayurveda Dispensaries: 0.087 million.

Objectives
 To expand and develop functional, physical Ayurveda health infrastructure;
 To improve quality control mechanism for Ayurveda health services throughout the country;
 To develop and manage the required human resources;
 To mobilize the adequate resources for medicinal plants;
 To promote community participation in the management of the health facility & utilization
of local herbs;
 To procure, store and distribute the Ayurveda medicine & other allied materials;
 To promote health status & sustainable development of Ayurveda system using locally
available medicinal plants;
 To promote positive attitudes towards health care & awareness ooff health issues;

Strategies
 Provide preventive, promotive & curative health services in the rural areas;
 Establishment & development of Ayurveda institutions;
 Strengthen & expand the Ayurveda health services;
 Develop skilled manpower required for various health facilities;
 Strengthening of monitoring & supervision activities;
 Development of information, education & communication center in the Department;
 Develop Inter sectoral
sector co-ordination
co-ordination with Education Ministry, Forestry, local development
 sector & other
other NGO's & INGO's;
 Establishment of regional Ayurveda Hospitals & Ayurveda Dispensaries;
 Strengthening & expansion of research & training center of international level;

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207 (201
(2016/17)
 Progress of Other Departments
 National & International level training for the capacity build up of its human resources

Major Activities

Central level
 Procurement & payment of essential Ayurveda drugs & transportation to districts.
 Office building of National Ayurveda Panchakarma and Yoga Center, Budhanilkantha
partially completed.
 Master plan, Architectural master plan, Architectural details of individual Blocks of National
Ayurveda Panchakarma and Yoga Center, Budhanilkantha completed.
 Free health camps conducted on Shivaratri festival & three districts outside Kathmandu
 Annual performance review meeting.
 Management and Leadership training for Ayurveda physician
 Refresher Training of orientation to the district office chief.
 Panchakarma, yoga training to Kaviraj & Vaidhyas.
 Management of NCDs
 Supervision and monitoring of Ayurveda and alternative medicine clinic.

District level
 Construction of twenty nine Ayurveda health facilities buildings ongoing.
 Ayurveda medicine, First-aid and surgical equipment supplied to all health facilities.
 Repaired existing buildings and compound walls in district and local levels.
 Ayurveda medicine preparation were continued at rural Ayurveda Pharmacy and districts.
 District Ayurveda Health Center utilizing the locally available medicinal herbs and supplied to
Ayurveda institution in the regions.
 Promotive Panchakarma/Rasayana/Yoga programme for older population
 Awareness program on medicinal plants
 Program for lactating mother (Distribution of Satavari Powder( Galactogogue Medicine).
 Conduction of free Ayurveda health camps in 75 districts.
 Conduction of traditional healers training (district wise)
 Construction, Maintenance & repair of Ayurveda institution
 Ayurveda Health Education for School students
 Supervision and monitoring of Ayurveda institution
 Conduction of rural outreach clinic and Management of NCDs

Analysis of Achievement

Based on the treatment report of different Ayurveda institutions following diseases were classified
as top ten diseases:
 Amlapitta (Gastritis)
 Udar rog (Abdominal diseases)
 Swasan Bikar (Respiratory diseases)
 Vata Vyadhi (Osteorthritis, Rheumatoid Arthritis & other neuromuscular Diseases)
 Jwar (Pyrexia)
 Bal Roga (Pediatric diseases)
 Karna, Nasa, Mukha, Danta & Kantha rog (ENT, Oral, Dental diseases)
 Stri rog (Gynecological diseases)
 Brana (Wound, Abscess & Other Skin Diseases)
 Atisar/Grahani (Diarrheal diseases)

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Department of Ayurveda

Table shows the number of people served at various regions and zones by sex in 2073/74. The
highest number of people were served in western region where as the least number of people were
served in mid western region.

Service Statistics for fiscal year 2073/074

Hospital
S. Particular EDR CDR WDR MWDR FWDR DoA* Total
s
N
OPD service 202864 287101 300174 191123 208233 26814 1216309
1
Senior citizen
6521 8205 12543 7568 5203 235 40275
2 programme
Lactating mother
4119 5264 5157 4163 4229 212 23144
3 programme
Snehan\ Swedan 5238 5184 2764 3218 5261 6421 28086
4
Free Health Camp 6542 12385 7221 7237 6382 1275 1521 42563
5
Rural outreach
18026 11852 25769 15781 86636
6 clinic 15208
Total 243310 329991 353628 229090 244516 34957 1521 1437013
**F ree health camp conducted by DoA

7.2.4 Problems/Constraints

Problems/Constraints Actions to be taken Responsibility

Lack of experts and inadequate Production of Qualified Ayurvedic DOA
qualified manpower. manpower(BAMS, MD) MoH
MOE
Inadequate financial support for Allocate sufficient Budget MoH
district level Ayurveda institutions to MOE
conduct monitoring supervision &
publicity program.
Poor storage & dispensing Provide good furniture & dispensing DOA
Practices of medicines in curative materials MoH
aspects of Ayurveda institutions. Training on storage & Good dispensing MOE
Practice.
Lack of inter sectoral co-ordination. Co-ordination with related ministries, DOA
NGO's & INGO's MoH
Increase qualified manpower. MOE
Lack of community based program Increase manpower production.• DOA
for publicity of Ayurveda. Allocation of adequate budget. MoH
MOE
Lack of Workshop, Training & Allocate adequate budget, DOA
Seminar ,Planning on Ayurveda. Develop policy & Long term, Mid term MoH
and Short term plan on Ayurveda MOE

Lack of appropriate recording & Develop Ayurveda Information DOA

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 Progress of Other Departments
Problems/Constraints Actions to be taken Responsibility
reporting system. Management System(AIMS) MoH
Allocation of adequate budget. MOE
Training on AIMS For Ayurveda
Personnel
Inadequate Specialized Human Scholarship for higher MOGA
Resources under studies,Recruitment & Placement . PSC
Department of Ayurveda.
Lack of Evidence Generation & Goal formation. DOA
Documentation about the Allocate budget. MoH
successful treatment of certain MOE
incurable disease with Ayurveda
therapy claimed by practitioners.

Programs Proposed for 2074/75

Other Programs: Ayurved vibhagh (3701293/4)

 Procurement & Supply of essential Ayurveda drugs to districts.
 Procurement of Photocopy, Fax, Scanner, computer for Zonal Ayurveda Aushadhalaya &
District Ayurveda health centre.
 Non communicable disease Prevention and Control Program.
 Celebration of National/ International Yoga Day, Dhanvantari and Arogya Divas.
 Guidelines, Protocol, Manual development.
 Panchakarma training to Kaviraj.

 Establishment of patient recording reporting networking system software among Ayurveda

institutions.
 Procurement of office furniture for centre.
 Establishment of National Ayurveda, Panchakarma and Yoga Center in Budhanilkantha.
 Establishment of Regional Ayurveda Hospital at Dhangadi & Jhapa
 Strengthening program of Naturopathy, Yoga, Homeopathy, Unani, Aamchi etc.
 Purvakarma, Naturopathy & Yoga Health camp.
 Yoga, Physiotherapy and Disability Training to Ayurveda Physician.
 Quality monitoring of different Ayurveda Products available in Nepalese market.
 Monitoring of services provided by private Ayurveda & Alternative Medical Systems
 Procurement of books and magazine.
 Annual review meeting in each district and center.
 Revision, evaluation, monitoring and update of Ayurveda health policy and development of
Code of ethics
 Free health camps.
 Preparation of Ayurveda pharmacopeias.
 Evaluation and monitoring.

Ayurveda Sewa karyakarm (3708093/4)

 Swasthaya Jeevan program.
 Yoga and Lifestyle management program for Kaviraj and Vaidhyas.
 Connection of Internet at Zonal Ayurveda Aushadhalayas & District Ayurveda health centre.
 Powder (Churna) medicine production in ZAD & DAHC.
 Strengthening of herbal garden.
 Workshop and discussion with local traditional healers.
 Preparation IEC materials on Ayurveda.
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Department of Ayurveda
 School Ayurveda health program.
 Construction of compound wall of Ayurvedic institutions.
 Building construction of Ayurveda institutions.
 Promotive Panchakarma/Rasayana/Yoga programme for Senior Citizens
 Awareness program on medicinal plants
 Program for lactating mother (Distribution of galactogogue medicine).
 Skill development training.
 Procurement of treatment equipment
 Procurement of vehicles for Ayurveda institutions

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 Chapter 8
Health Councils

HEALTH COUNCILS

8.1 Nepal Nursing Council

Introduction:
Nepal Nursing Council is a regulatory body for maintaining the Standard and quality of nursing
education. Nepal Nursing Council established on 2053 (1996) Nursing council to mobilize nursing
service of the kingdom of Nepal in a systematic and scientific manner having made it efficient and
also provide for registration of the name of the nurses according to their qualification.

General Information
Nepal Nursing Council , Bansbari.
Phone No. 4372521
Fax No. 4377214
Post Box No. 12541
E-mail info@nnc.org.np, Website: www.nnc.org.np
Established Under Nepal Nursing council Act 2052.

Different Committees of Nepal Nursing Council

a) Feasibility Committee – Study of Different institution as per needed.
b) Accreditation Committee- According to policy of the Nepal Nursing Council.
c) Education Committee-Publications annually Journal to disseminate scientific information.
d) Monitoring Committee- Monitoring of different institution before intake of new enrolment.
e) Licensing Committee - Nepal Nursing Council Registration start since 2053 (1997),and Licensing
Examination start since 2012-01-28 exam have been conducted.
f) Registration Committee- Registration of the name of eligible nurses and A.N.M., Midwifery,
according to their qualification.

Objectives:
To Register the name of eligible nurses and A.N.M., Midwifery, in the registration book of the
Council according to their qualification to maintain quality nursing & Midwifery education &
Services throughout the country

Powers Functions and Duties of the Council in Act-2052

1. Formulate policy to require to operate the nursing professional smoothly.
2. Formulate the policy about the curriculum, terms and conditions of admission and examination
systems of the teaching institution.
3. To determine the qualifications of the Nursing professionals to issue certification to the qualified
nursing Professionals after registering his/her name in the registration book.
4. To formula nursing code of conduct to prevent nursing and midwifery professional violent.
5. Formulate necessary policy for the proper mobilization of the nursing profession.
DoHS, Annual Report 2073/74 (2016/17) 315
Health Councils

Nursing Programs in Nepal

Level Number
ANM 50
Proficiency 116
Basic B.Sc Nursing 47
Bachelor in Nursing 37
Masters in Nursing 8
Ph.D in Nursing 1

Registration status 26 th Kartik 2074

Particulars Total Number 26 th Kartik 2074

Nurse 44737
ANM 29140
Total 73877
Foreign nurse 830

Status of licensing examination

Level Appeared Passed Pass (%)
PCL Level ( Nep) 25735 18532 72.0
Basic B.Sc (Nep) 6125 5542 90.4
PCL Level ( For ) 29 14 48.2
Basic B.Sc (For ) 40 29 72.5
Total ( Overall) 31,929 4,117 75.5

Problems: Published
 Lack of coordination among the stakeholders related in various ways with the educational
institutions.
a. letter of intent
b. affiliation
c. approval
 Some of the educational institutions do not follow the minimum requirement and trying to
neglect rule and regulations.

Key Achievements
 In line with National Health Policy 2014, minimum requirement to start midwifery education in
the country was developed.
 Common guideline for the midwifery curriculum was developed keeping in view the
international standard.
 E-recording started.
 Online form submission for the 17th NLEN which is going to be held in Kartik 25, 2074 (Nov 11th
2017)

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 Health Councils

Challenges …….
 No uniformity among the educational institutions in terms of their faculty position, curriculum
others……. Etc
 Hospitals do not follow the standard guideline e.g: nurse- patient ratio, inappropriate posting,
low wage, etc.
 Quality assurance is utmost important.
 Graduates are without minimum exposure to practical during the study from neighboring
countries and these are the ones posted in special unit on volunteer basis.

Way Forward/ recommendations

 Need to work on amendment of NNC Act, and need amendment on regulation.
 Plan to have specialty registration.
 As midwifery has started in the country, need to work on registration process : licensing
examination.

Key opportunities in Federal context

 Easy Access for registration.
 Easy access for licensing examination in terms of time and money.
 Close supervision and monitoring of the educational institutions.

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Health Councils
8.2 Nepal Ayurvedic Medical Council
Introduction:

The Nepal Ayurvedic Medical Council (NAMC) is the autonomous body to regulate & control
Ayurvedic medicine in Nepal. It was establishe under the Ayurveda Medical Council Act, 2045. The
council is the regulatory & legislative body for Ayurvedic courses, human resources, institutions,
practitioners & Traditional healers in Nepal. All Ayurveda practitioner & educational institutions have
to register with the council. The council has developed a code of ethics for Ayurvedic doctors &
minimum requirements for Ayurvedic educational institutions. The main fuctions & objectives of the
council are listed below :

Function and Objectives of the Nepal Ayurvedic Medical Council

 Arrange for the smooth provision of Ayurveda Treatment

 Develop the system of use of Ayurvedic medicines
 Determine the qualification of doctors & to register them
 Advice the government on the production, sale & distribution of Ayurvedic medicines.
 Suggest to the government for making arranging research on Ayurveda.
 Recognize appropriate Ayurveda educational institutions in Nepal.
 Determine the curriculum, terms admission & examination system policies and essential
infrastructures of educational institutions.
 Recognize the educational qualifications granted on Ayurveda. modern medicine and
surgery and paramedics.
 Prepare a code of conduct for Ayurvedic doctors and to monitor its implementation.

The council's main committee consists of an Ayurvedic doctor nominated by the government as
chairperson, three doctors, the Director General of Department of Ayurveda, three doctors elected
by registered doctors and one campus chief nominated by the government. The council registers
eligible Nepali practitioners. Also, foreigners who want to practice Ayurvedic medicine in Nepal
should be limited registered with the council (for one year at a time). However, it is not possible for
foreigners to register to establish private clinics in Nepal. The number of registered members and
courses are given below :

Nepal Ayurvedic Council registered members & courses up to date.

S.No. Registration Number

1. Master of Medicine 59
2. Bachelor of Ayurvedic Medicine & Surgery (BAMS) or equivalent 598
3. Ayurveda Health Assistant (AHA) of equivalent 1404
4. Ausiliary Ayurveda Health Worker (AAHW)/Techinical School Leaving Certificate 1618
(TSLC)
5. Traditional Healers 19
6. Academic Institutions 20
7. Foreigner Practitioners 4

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Health Councils
List of Ayurveda institutions and courses

S.No. Name of College Programme

1. Tribhuvan University, IOM, Ayurveda Campus, Ktm. Master & Bachelor Level
Programme of Ayurveda
2. NSU, Shree Mithila Ayurveda College & Research Bachelor Level Programme of
Center, Janakpur, Dhanusha Ayurveda
3. TU, IOM, Nepal Ayurveda Medical College, Birgunj. Bachelor Level Programme of
Ayurveda
4. NSU, Kendriya Ayurveda Vidhyapeeth, Dang Bachelor Level Programme of
Ayurveda
5. NSU, Patanjali Ayurveda College & Research Center, Bachelor Level Programme of
Dhulikhel Ayurveda
6. NSU, Janta Vidhya Peeth, Dang Certificate Level Programme of
Ayurveda
7. CTEVT, Himalaya Ayurveda College, Kathmandu Certificate Level Programme of
Ayurveda
8. CTEVT, Dhanwantari Ayurveda College, Kathmandu Certificate Level Programme of
Ayurveda
9. CTEVT, Shailaja Acharya Politechnic, Morang TSLC (AAHW) Level Programme of
Ayurveda
10. CTEVT, Jagadamba Medical Institute, Rajbiraj TSLC (AAHW) Level Programme of
Ayurveda
11. CTEVT, Modern Institute of Health Science, TSLC (AAHW) Level Programme of
Udayapur Ayurveda
12. CTEVT, Triyuga National Instutute, Udayapur TSLC (AAHW) Level Programme of
Ayurveda
13. Ayurvedic Medical Institute, Janakpur TSLC (AAHW) Level Programme of
Ayurveda
14. Shankar Technical Training Center, Janakpur TSLC (AAHW) Level Programme of
Ayurveda
15. National Institute of Science & Technology, Chitwan TSLC (AAHW) Level Programme of
Ayurveda
16. Bardiya Medical Institute, Gulariya, Bardiya TSLC (AAHW) Level Programme of
Ayurveda
17. Rastriya Pravidhik Shikshalaya, Surkhet TSLC (AAHW) Level Programme of
Ayurveda
18. Institute of Community Service Assistant, Dhangadhi TSLC (AAHW) Level Programme of
Ayurveda
19. White Park College, Dadeldhura TSLC (AAHW) Level Programme of
Ayurveda
20. Dadeldhura Paramedical College, Dadeldhura TSLC (AAHW) Level Programme of
Ayurveda

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8.3 Nepal Health Research Council

8.1 Introduction
Nepal Health Research Council (NHRC) is the national apical body for promoting health research
across the country. NHRC was established in 1991 by an Act of Parliament and was given the
responsibility to promote and coordinate health research for improvement of the health status of
people of Nepal. The major focus of NHRC is on research regulation, evidence generation, translation
of evidence into policy and practice, and capacity building of national scientists in the areas of health
research and evidences. NHRC serves as the main national institution responsible for technical and
ethical review of proposals submitted by individual health researchers, national authorities, NGOs,
INGOs and universities. After appropriate review, Ethical Review Board (ERB) of NHRC approves
these proposals. In its role of generating evidences, NHRC carries out research on its own on national
health issues aligning with the national health priorities. The capacity building roles of NHRC
encompasses providing education, organizing trainings on various aspects of health system research
to national scientists with special emphasis on promoting the research competency of young
researchers. NHRC has been providing health research grants to the researchers in order to enhance
the research activities throughout the country. NHRC also conducts workshops and dissemination
programs to facilitate uptake of research findings by the policymakers into health system policies
and practices. Similarly, NHRC facilitates access to research finding from different research reports,
journals, books, magazines etc. through the library digital data base and the NHRC Journal.

8.2 Major Activities in the FY 2073/74

8.2.1 Research Project/Activities

Nepal Health Research Council conducted different research activities with support of Government
of Nepal and other different agencies. The research activities conducted by NHRC during the FY
2073/74 are as listed below:
 Prevalence Study of Selected Chronic Diseases (Chronic Kidney Disease, Chronic Obstructive
Pulmonary Disease, Diabetes Mellitus, Coronary Artery Disease) in Nepal
 Community Based Intervention for Prevention and Control of NCD Risk Factors (CIPCoN
Study)
 Asparagus Powder Distribution Program for Breastfeeding Promotion: Perspectives from
Mothers and Health Service Providers
 Nepal Mental Health Survey 2017-2018
 Review of Social Health Insurance Scheme in Selected Districts of Nepal
 Verification of Disbursement Linked Indicators
 Assessing Effects of Climatic Factors on Diarrheal Diseases Incidence at National and Sub-
National Levels In Nepal
 Descriptive Epidemiology of Scrub Typhus in Nepal

8.2.2 Research Trend

The figure below indicates total number of research conducted by the NHRC from 1995 to 2016.
Altogether, 238 studies are conducted with the support from the Government of Nepal, External
Development Partners and the internal revenue of NHRC.

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Figure 1: Research Conducted by the Nepal Health Research Council between 1995 and
2017

Number of Studies by NHRC

60
53
50
40
30
25
20 21
18 17
15
10 10 12 10 12
9 8
4 4 5 5 5
0 1 1 2 1

NHRC carries out research in priority areas of the Ministry of Health. Out of total research
conducted between 1995 and 2017, majority of research were related to health system, non-
communicable diseases, and the environmental health. The table below shows the research
activities of the NHRC by research areas between 1995 and 2017.

Table 1: Total Research Conducted by the NHRC between 1995 and 2017 by Research Area
Research Areas No of Research Percent
Communicable Diseases 45 18.9
Environment Health 44 18.5
Health System 42 17.6
Reproductive Health 31 13
Neonatal and Child Health 18 7.6
Non Communicable Disease 17 7.1
Traditional Medicine 11 4.6
Mental Health 10 4.2
Nutrition and Food Safety 8 3.4
Geriatric Health 6 2.5
Miscellaneous 4 1.7
Injury and Accident 2 0.8
Total 138 100.0

8.2.3 Publication
NHRC published a number of reports during the last fiscal year, apart from the peer reviewed index
journal, Journal of Nepal Health Research Council. The list below summarizes major publications of
the NHRC during the FY 2073/74. (Reports are available online: http://nhrc.gov.np/reports)

1. Karki KB, Maskey J, Giri M, Pandey AR, Makai P, Subedi R, Poudyal A, Aryal KK. Assessment of
Chronic Kidney Disease Support Program of Government of Nepal, 2016. Nepal Health
Research Council, Kathmandu, Nepal, 2017
2. Karki KB, Pandey AR, Pandey A, Dhimal M, Mahat A, Poudyal A, Subedi R, Lohani GR,
Neopane AK, Jha BK, Lacoul M, Dhakal P, Ghimire N, Maharjan KG, Thapa P, Aryal KK. Review

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of Effectiveness of the FMT deployment in Nepal Earthquake 2015. Kathmandu, Nepal.
Nepal Health Research Council, 2017.
3. Karki KB, Aryak KK, Ojha SP, Sapkota DR, Koirala S, Adhikari R, Shakya S, Thapa A, Pandit A,
Mehta R, Shrestha N, Chalise B, Bista B, Jha BK, Jha AK. Assessment of Suicide and Risk
Factors in Ilam District of Nepal, 2015/16. Kathmandu, Nepal: Nepal Health Research
Council, TPO Nepal, Karuna Foundation Nepal, 2017.
4. Aryal KK, Bista B, Khadka BB, Dhimal M, Pandey AR, Mehta R, Poudyal A, Subedi R, Jha BK,
Kann L, Riley LM, Yamakawa Y, Rani M, Agrawal N, Karki KB. Global School Based Student
Health Survey Nepal, 2015. Kathmandu, Nepal: Nepal Health Research Council, 2017
5. Aryal KK, Mehta RK, Pandey AR, Chalise B, Pandey A, Bista B, Poudyal A, Subedi R, Jha BK,
Karki KB, Upadhaya B, Jha AK. Asparagus Powder Distribution Program for Breastfeeding
Women: An Assessment of Perspectives from Mothers and Health Service Providers, 2017.
Kathmandu, Nepal. Nepal Health Research Council, 2017
6. Karki KB, Aryal KK, Dhimal M, Mehta S, Pandey AR, Bista B, Poudyal A, Subedi R, Chalise B.
Community Based Intervention for Prevention and Control of NCD Risk Factors
(CIPCON),2015. Kathmandu, Nepal. Nepal Health Research Council, 2017.
7. Karki KB, Acharya BP, Dhimal M, Aryal KK, Sharma GN, Khanal P, Ranabhat K, Dumre SP, Jha
AK. Descriptive Epidemiology of Scrub Typhus in Nepal. Kathmandu, Nepal, 2017. Nepal
Health Research Council (NHRC).
8. Karki KB, Aryal KK, Dhimal M, Pandit A, Gyawali P, Thapa RK, Maskey J, Mehta R, Poudel PC,
Giri M, Acharya T, Dhakal N, Humagain B. Quality of Drugs and Drug Use Patterns at
Different Level of Health Care Settings in Nepal, 2016. Kathmandu, Nepal. Nepal Health
Research Council, 2017
9. Proceeding Report of the Third National Summit of Health and Population Scientists in Nepal
10-12April 2017, Kathmandu, Nepal.
10. Journal of Nepal Health Research Council, 2017, volume 15, Number 1, Issue 35
11. Journal of Nepal Health Research Council, 2016, volume 14, Number3, Issue 34
12. Journal of Nepal Health Research Council, 2015, volume 14, Number 2, Issue 33

8.2.4 Training and Workshop

NHRC conducts different kind of trainings and workshops related to health research every year.
Three episodes of training workshop on health research proposal development, three episodes of
training workshop on data management and analysis and three episodes of training on scientific
writing have been conducted in this fiscal year. Similarly, NHRC also organized a training workshop
on Advance Biostatistics, which was supported by the UNICEF. These trainings/workshops were
conducted in coordination with the Government of Nepal and other national and international
stakeholders. Altogether 163 trainings were organized to train 4246 participants between 1991 and
2017.

8.2.5 Third National Summit

The primary purpose of the summit was to provide a platform to the health and population
researchers to contribute towards evidence-informed decision-making in Nepal. Both the first and
second national summits were a huge success. The overwhelming responses from participants gave
NHRC the tremendous encouragement to continue the third summit as an annual gathering. The
Third National Summit was organized from 11 to 12 April 2017 with the theme of ‘Health in
Sustainable Development Goals in Nepal: Are We on Track?’ The summit provided a platform for
the health and population scientists to uncover SDG-related evidence thus providing an insight into
whether or not Nepal has initiated effort to meet the aspiration of the SDGs. There was a pre-
conference on 10 April 2017. The pre-conference included a special session on SDGs followed by a
Policy to Evidence Workshop. The summit held a special session on Systematic Review. Around 46

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abstracts were selected for oral presentation and more than 100 abstracts for poster presentation.
More than 1000 participants attended the Summit.

8.2.6 Ethical Clearance of Research Proposals

Ethical Review Board (ERB) of NHRC received 507 health research proposals for ethical clearance in
the FY 2073/2074. For this, 31 ERB meetings were held to provide ethical approval for the submitted
proposals in the FY 2073/74. NHRC has developed Online Ethical Review System through its regular
budget. The online system is available for researchers to submit their proposal for ethical clearance
from 1 January 2017. The beta version of online system is under revision. Regular monitoring and
supervision was conducted for approved research proposals along with monitoring of Research
Centers. A documentary on historical development of research ethics was prepared and released
during the 200th Board Meeting of the Ethical Review Board. Similarly, research on trend analysis of
research proposals submitted for ethical review is undergoing. A task group has also been prepared
to revise National Ethical Guideline.

8.2.7 Ethical Clearance Trend

The figure below represents total number of research proposals received by the NHRC for ethical
clearance from 1991 to 2017. Altogether 2341 research proposals were received for ethical
clearance. NHRC receives proposals from the individual researchers and organizations for ethical
approval of research proposals. Similarly, more than 200 ERB meetings have been organized so far.

Figure2: Total Number of Research Proposal Received for Ethical Approval (1991 to 2017).

8.2.8 Institutional Review Committees (IRCs)

There are 29 IRCs established until the last fiscal year across the country to promote health research
at institutional level especially in medical colleges, health science universities and colleges. Every
year, team of NHRC inspect the Institutional Review Committees approved by NHRC. During the FY
2073/74, NHRC conducted monitoring of 9 approved research projects and inspection of 5 research
organizations.

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8.2.9 Knowledge Management
The knowledge management project of the NHRC aims to facilitate translation of research evidence
into health policy and practice. The current knowledge management activities of the NHRC are as
follows:
 NHRC with the technical support from the Health for Life project updated its webpage. The
updated webpage includes an efficient Journal Management System to publish and retrieve
health studies in the Journal of Nepal Health Research Council. Similarly, the webpage also
provides comprehensive information about ethical approval process and the Institutional
Review Committees. The web portal includes platform to upload and share raw data arising
from studies conducted by the NHRC.
 Extension of Cochrane Centre in Nepal: NHRC has extended its network of researchers to
engage them in systematic review work. The Council has lodged an application for
registration of the Associate Centre, which is under consideration at the Cochrane CEO
Office for a review.
 Cochrane Activities in Nepal: Two Cochrane Plain language summaries were translated into
the Nepali language, and were disseminated in the National Dissemination Workshop.
 Evidence to Policy Workshop: NHRC organized 'Evidence to Policy Workshop' on 10 April
2017 during the Pre-conference Session of the Third National Summit on Health and
Population Scientists in Nepal 2017. The purpose of the workshop was to sensitize
researchers and policymakers about the role of systematic review and evidence synthesis in
health decision-making within the context of resource poor setting.
 Consultation Meeting with Experts: The consultation meeting was organized on 4 June 2017
to discuss the structure and function of NHRC in Federal Nepal. Thirty experts from various
areas attended the meeting to discuss and provide their suggestions on five structured
themes as role of NHRC in evidence generation, research regulation, knowledge
management, capacity building and structure of NHRC in federal context.
 Evidence Synthesis and Briefs: NHRC produced 11 plain language summaries, which were
communicated with the Ministry of Health (MOH) to support the National Annual Planning
and Budgeting of the health sector. NHRC also developed two evidence briefs on Urban
Health Centre and Copayment, upon the request of the MOH, to acquaint the policymakers
on strategies for establishing health promotion centers in Kathmandu as well as to abolish
copayment in districts where health insurance programs have been implemented.

8.2.10 Financing Research

Figure 3: Total Research Budget of NHRC between 2006 to 2017 (NPR in Million)

60.00
GoN EDPs
50.00
40.00
30.00
20.00
10.00
0.00
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

The above figure illustrates the total research budget of NHRC between 2006 to 2017. The
Government of Nepal (GoN) covered the major source of research budget. In addition to this,
External Development Partners are other imperative sources of budget for research in NHRC.

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8.2.11 National Dissemination Workshop
NHRC organized national dissemination workshop of the published studies on 28 November 2016 at
Kathmandu. There were more than 250 participants form Ministry of Health, Government
Departments, Non-Government Organizations, Academic Institutions and individual researchers. The
purpose of the dissemination workshop was to inform policymakers, researchers and community
with the evidence obtained from the studies conducted by NHRC. Thirteen research reports and
plain language summaries were produced and distributed to the participants.

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8.4 Nepal Medical Council

Roles, Responsibilities and Rights

Nepal Medical Council (NMC) is a statutory organization established under the Act 2020 with
responsibilities to maintain high standards of medical practices in Nepal. The major functions of Nepal
Medical Council is to provide registration by taking licensing examination, to inspect, monitor and
recognize medical institutions. Medical council is also responsible for monitoring quality medical service
for patient safety.
If registered medical doctors are found to be violating NMC rules and regulations council can
recommend from minor warning to up to permanent cancellation of registration. Additionally, Nepal
Medical Council also provide temporary license for foreign doctors to practice medicine in Nepal.

Challenges and Solutions:

Nepal Medical Council functions under NMC Acts, rights, rules and regulations in order to achieve its
major objective of maintaining high standards of medical education and practices. NMC is responsible to
control the activities which would lead to violation of NMC policy. The trend of neglecting law,rules and
regulations by government and related departments itself has become challenging factor for Nepal
Medical Council.

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8.5 Nepal Health Professional Council
Health Professional Council, Nepal has been established to make more effective the health services
in Nepal, to mobilize the services of health professionals except the qualified doctors and nurses to
be registered with the Medical Council in a managed and scientific manner and make provisions on
the registration of their names according to their qualifications, according to “Nepal Health
Professional Council Act 2053” by the Government of Nepal and is enacted on 2053/11/3 by the
Parliament in the twenty fifth year of reign of His Majesty King Birendra Bir Bikram Shah Dev.

According to article 20 of the Act, “After one year of the commencement of this Act, no
person other than a registered health professional shall be entitled to carry on the health
profession, directly or indirectly”. Therefore all health professionals are requested to register in the
Council and up date it on every five years according to the rule 36 of “Nepal Health Professional
Council” regulation.

The functions, duties and powers of the Council are,

 To make necessary policies for smoothly operating the health profession related activities.
 To determine the curricula, terms of admission and policies on examination system of
educational institutions imparting teaching and learning on health profession and evaluate
and review the related matters.
 To determine the qualifications of health professionals and to provide for the registration of
the names of health professionals having required qualifications

The council registers health professionsls in their releted subjects:

According the qualification of health professionals, the NHPC will register into respective groups.
 The health professional with Master degree will be registered into “Special/Distinction”
category of the related subject.
 The health professional with Bachelor degree will be registered into “First Class” (A) category
of the related subject.
 The health professional with proficiency certificate level or equivalent will be registered into
“Second Class” (B) category of the related subject
 The health professional with only one year study or course on health education or related
field will be registered into “Third Class” (C) category of the related subject.
All persons who want to persue Bachelor or Master degree study in foreign countries
should apply for a letter of consent at the Council. In order to get a letter of consent for
Bachelor/Master study, the person should already have passed the entrance examination of
any university. All those, who have not yet any Bachelor degree need not to fulfil the
requirement of entrance examination.

The councilhasseparate subject committees(medicine, public health, radiology, laboratory

medicine, physiotherapy and rehabilitation, Ayurveda,dental, optometry science and
miscellaneous)that processes health professionals’ registrations and recommends to the
council whether or not to register applicants. The council recently introduced an
entranceexam that all applicants have to pass to be eligible for registration.

Subject committees of the Council

1. For the registration of health professional, the council has 9 different subject
committes:
2. Medicine subject committee
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3. Public Health subject committee
4. Radiology subject committee
5. Laboratory Medicine subject Committee
6. Physiotherapy and Rehabilitation subject committee,
7. Ayurveda subject committee,
8. Dental subject committee
9. Optometry Science Subject committee
10. Miscellaneous subject (Homio, Yunani, Naturopathy etc.) committee

Registration process
Each individual or institution shall fill appropriate registration form and submit the application to the
Council along with supporting documents and bank voucher. The Council will forward this
application to the respective subject committte. After evaluation of the application, the subject
committte will forward the application to the Council with its recommendation. The Council meeting
will make a decision and finally award the registration certificate. The NHPC has now started online
application system for registration and also started an entrance exam of the applicant. The Council
will now award the registration certificate only after passing of this exam. Following activities
performed by council at FY 2073/74.

Subject, Level and Number of Health Professionals Permanent Registered

S. No. Subject Specialization First Second Third

1 Public Health 143 258
2 Health Education 7 13
3 Medicine 2133 3559
4 Medical Microbiology 11 16
5 Health Lab 6 345 1121 2211
6 Radiography 4 87 265
7 Radiotherapy
8 Cytology
9 Hematology 1
10 Biochemistry 20 11
11 Virology
12 Nuclear Medicine
13 Ayurved
14 Homeopathy 6 2
15 Unani
16 Acupuncture 1
17 Physiotherapy 30 196
18 Community Base Rehabilitation
19 Prosthetic & Arthritic
20 Dental Science 162 44
21 Naturopathy 3
22 Yoga
23 Ophthalmology 103 81
24 Operation Theater and Allied Health
Sciences
25 Clinical Psychology 4
26 Speech and Hearing 1 4
27 Forensic Medicine

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28 Perfusion Technology
29 Anesthesia 3
Sub total 227 1045 3764 5815
Total 10851

Number of Institutes Registered

S.No. T SLC Level PCL Bachelor Masters & Above
1 CMA- 82 GM-44 BPH-27 Micro-3
2 TSLC MLT-75 CMLT-40 BMLT-12 MMIT-2
3 Dental Hyg.- 2 RD-14 BMIT-1 MPH-6
4 Acupun.-1 Dental Hyg-7 B.OPTOM-1
5 PCL Opth.-1 BPT-2
6 Homeo.-1 Micro.-1
7 Bio.-1
8 BSLP-1
9 Anaesthesia-1
Total 160 107 47 11

 Office building construction at Bansbari, Kathmandu up to FY 2073/074 completed.

 Registration procedure in online system 100% completed.
 Licensing examination on the process.
 Updated procedure in online on the process.
 Description collection of institutes in online on the process.

Total number of Health Professionals Permanent Registered till now.

S.No. Subject Specilization First Second Third
1 Public Health 697 3013
2 Health Education 17 73 9
3 Medicine 11695 51226
4 Medical Microbiology 111 104
5 Laboratory 17 1974 5258 12465
6 Radiography 14 404 1172 43
7 Radiotherapy 1 5 9
8 Cytrology 1 3
9 Hematology 16 9
10 Biochemistry 148 59
11 Virology 7
12 Nuclear Medicine 3
13 Ayurved 6 196 1148
14 Homeopathy 1 104 31
15 Unani 16
16 Acupuncture 1 6 67 37
17 Physiotherapy 111 889 104 62
18 Community Base Rehabilitation 1
19 Prosthetic & Arthritic 7 4
20 Dental Assistant 940 647
21 Naturopathy 33 2
22 Yoga 3 9 1
23 Ophthalmology 2 282 728
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S.No. Subject Specilization First Second Third
24 Operation Theater and Allied Health Sciences 6 41
25 Clinical Psychology 13 2
26 Speech and Hearing 5 49
27 Forensic Medicine 2 1 3
28 Perfusion Technology 2 3
29 Anaesthesia 35
30 Cardiology Tech. 1
31 TCM AMT 3
32 Occupational Therapy 2
Sub total 1181 7090 20257 65631
Total 94159

Total number of institute with student intake number till FY 2073/74.

S.No. Programme Institute no. Student intake No.
1 MPH 7 20
2 BPH 26 40
3 M.Sc. MIT 1
4 B.Sc. MLT 11 25
5 B.Sc. MIT 3 25
6 BPT 2 40
7 CPT 40
8 M.Sc. Medical Microbiology 3 15
9 B.Sc. Medical Microbiology 1 20
10 M.Sc. Medical Biochemistry 3
11 B.Sc. Medical Biochemistry 1 20
12 B.Sc. Anaesthesia 1
13 B.Optom 1
14 BSLP 1
15 PCL GM 44 40
16 CMLT 40 30
17 PCL Radiography 14 30
18 PCL Dental Science 7 30
19 PCL Opthmology 1 30
20 PCL Homeopathy 1 40
21 TSLC CMA 79 40
22 TSLC MLT 78 40
23 TSLC Dental 2 40

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8.6 Nepal Pharmacy Council

INTRODUCTION

Nepal Pharmacy Council (NPC) is an autonomous body constituted under the Nepal
Pharmacy Counpalcil Act, 2057 to make pharmacy profession more effective through
systematic and scientific operation. The functions, duties and powers of NPC are as follows:

 To prepare and implement policy, plans and programs to run pharmacy profession
scientifically and systematically,
 To grant recognition to educational institutions and certificates and degrees awarded by
such institutions which provide pharmacy education,
 To determine the standards of curricula, conditions for admission and examination
system of the educational institutions providing pharmacy education, and enquire
whether standards so determined are maintained or not and abrogate the certificate
and degree awarded by the educational institutions which do not comply with the
standards so determined after completing the procedures as prescribed,
 To determine the qualification as required to carry out the pharmacy profession and
register the name of pharmacists and pharmacy assistants as prescribed in the
Registration Book of the Council who have completed the qualification so determined,
 To remove the names of registered pharmacist and pharmacy assistant from the
registration book after the completion of the procedures as prescribed if they are found
to violate or not following the professional codes of conduct as prescribed.

Regular Activities of NPC

 Conducting licensing examination for pharmacists and pharmacy assistants (three times
a year),
 Registration of pharmacists and pharmacy assistants qualifying the licensing
examination and issuing the Registration Certificates,
 Updating of the registrations certificates every three years,
 Accreditation of the pharmacy colleges and universities conferring the pharmacy
degrees,
 Granting the permission for starting a new college(s) after the affiliation with the
relevant body,
 Monitoring and supervising the pharmacy colleges and universities conferring the
pharmacy degrees,
 Recognizing the foreign universities and colleges conferring the pharmacy degrees,

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 Issuing No Objection Certificate (NOC) for student(s) seeking to get admission in foreign
institute(s) conferring the pharmacy degrees.

Number of Pharmacy Institutions

a. Institutions conducting Bachelor of Pharmacy (B.Pharm) 19

b. Institutions conducting Diploma in Pharmacy (D. Pharm) 33

Number of Pharmacists and Pharmacy Assistants (up to the end of F.Y. 2073/074)

a. Pharmacists
b. Pharmacy Assistants

Achievements in 2073/074

 Conducted licensing examination 3 times for pharmacists and pharmacy assistants.

 47 colleges (29 diploma colleges & 18 colleges conducting B.Pharm course) were
inspected.

Success rate in licensing examination (of three years)

Pharmacists Pharmacy Assistants

FY
Attended Passed Passed % Attended Passed Passed %
2071/072 110 96 87.3 481 426 88.6
2072/073 860 439 51.0 1089 495 45.5
2073/074 1114 659 59.2 1943 1148 59.1

Challenges, issues and solutions

 Harmonization of curriculum and standards for conducting pharmacy courses.

 No own building of NPC.

332 DoHS, Annual Report 2073/74 (2016/17)

 Chapter 8 Health Care Social Security

Health Care Social Security

9. SOCIAL HEALTH (HEALTH INSURANCE) SECURITY

9.1 INTRODUCTION

Nepal is committed to access to quality health care for all its citizens. Although good progress has been
made on improving access, much remains to be done. Out-of-pocket expenditure still puts vulnerable
households at risk of catastrophic spending and prevents them from using services. Existing social health
protection schemes are fragmented and often fail to provide financial protection against catastrophic
spending and are not always based on medical needs. Thus, there was a need to develop a health care
financing pre-payment system and to pool risks to minimize financial hardships. The National Health
Insurance Program (NHIP) was funded in the government’s budget for 2011/12 (2068/2069). The
government then adopted the National Health Insurance Policy in 2014. Under this policy the
government established the semi-autonomous Social Health (Health Insurance) Security Development
Committee (SHSDC) in 2015 to implement the program to promote pre-payment and risk pooling to
mobilize financial resources for health. The SHSDC is chaired by theMinistry of health Secretary with
membership from the Ministry of Finance, MoH, DoHS and experts.

VISION, OBJECTIVES AND STRATEGIES

Vision: To improve the overall health situation of the people of Nepal.

Objectives:
 Ensure access to quality health service (equity and equality).
 Protect from financial hardship and reduce out-of pocket payments
 Extent to universal health coverage

Strategy:
To implement health insurance program gradually throughout the country by increasing enrolment
through awareness activities at the community level and special protection for poor and marginalized
people by coordinating with government and private health service providers.

The main features of the Social Health (Health Insurance) Security Program are as follows:
 It is a voluntary program based on family contributions. Families of up to five members have to
contribute NPR 2,500 per year and NPR 425 per additional member.
 It provides subsidized rates for families whose members have a poverty identity card.

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 Enrolment continues throughout the year in implemented districts.

 Insurees have to renew their membership through annual contributions.
 Benefits of up to NPR 50,000 per year are available for families of up to five members with an
additional NPR 10,000 covered for each additional member. The maximum amount available per
year is NPR 100,000.
 Insurees have to choose their first service point but can also access services from government
PHCCs and hospitals and listed private hospitals.
 Insurees can access specialized services elsewhere that are not available at the first service point
on production of a referral slip from their first contact point.
 It is cash-less system for members seeking health services. Upon
presenting their SHSP membership ID card at a health facility, members are able to receive
the health services and drugs covered by the benefit package without having to pay at any
stage
 For emergencies insurees can access services from any service point and any referral specifies
hospitals without a referral slip.
 The program is IT-based with enrolment assistants using smart phones.
 SHSDC acts as the service purchaser while government and listed private hospitals provide the
services.

Map 1. FY 2072/73, 2073/74 Programme implemented Districts and 2074/75 Programme

Proposed Districts

Map 1: Districts with roll-out of Social Health Security Program

9.2 PROGRAMME IMPLEMENTATION

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The Social Health Security Program was initiated in April 2016 in Kailali district and in June 2016 in
Baglung and Ilam districts. As such, the program was rolled out to three districts in FY 2072/73. In
the FY 2073/74, the program was expanded to additional 12 districts. By the end of this year,
228113 people have been enrolled to the program, which is less than one percent of total the
population of Nepal (Table 2). More than 63 million annual contributions have been collected (Table
3).

Table 1: Summary of district-wise enrolment in SHSP (FY 2073/74)

District Male Female Others Total
Kailali 3975 4203 5 8183
Baglung 7021 8465 9 15495
Ilam 9310 10050 2 19362
Achham 857 931 0 1788
Baitadi 1584 1556 0 3140
Palpa 18254 21444 1 39699
Myagdi 2797 3197 1 5995
Kaski 19763 21834 1 41598
Tanahaun 3910 4553 3 8466
Gorkha 3825 4416 3 8244
Chitwan 16914 18826 3 35743
Makwanpur 7972 8692 2 16666
Jumla 3592 3709 2 7303
Jajarkot 1475 1454 0 2929
Bhaktapur 6555 6947 0 13502
Total 107804 120277 32 228113

Table 2: District-wise enrolment rate

District Total Population Enrolled Enrolment
(Census, 2011) Number Percentage
Nepal 26494504 228113 0.86
Kailali 775709 8183 1.05
Baglung 268613 15495 5.77
Ilam 290254 19362 6.67
Achham 257477 1788 0.69
Baitadi 250898 3140 1.25
Palpa 261180 39699 15.20
Myagdi 113641 5995 5.28
Kaski 492098 41598 8.45
Tanahaun 323288 8466 2.62
Gorkha 271061 8244 3.04
Chitwan 579984 35743 6.16
Makwanpur 420477 16666 3.96

DoHS, Annual Report 2073/74 (2016/17) 335

Health Care Social Security

District Total Population Enrolled Enrolment

(Census, 2011) Number Percentage
Jumla 108921 7303 6.70
Jajarkot 171304 2929 1.71
Bhaktapur 304651 13502 4.43

Table: 3 District wise status of collection of annual contributions (in Rs)

District Collection on FY Collection on FY Total
2072/73 2073/74 Collection
Kailali 2090370 4381740 6472110
Baglung 0 6680510 6680510
Ilam 0 7640001 7640001
Achham 0 846450 846450
Baitadi 0 1352275 1352275
Palpa 0 14192855 14192855
Myagdi 0 2477600 2477600
Kaski 0 13169525 13169525
Tanahaun 0 1200000 1200000
Gorkha 0 0 0
Chitwan 0 6255875 6255875
Makwanpur 0 1181600 1181600
Jumla 0 0 0
Jajarkot 0 0 0
Bhaktapur 0 2012500 2012500
Total 2090370 61390931 63481301

336 DoHS, Annual Report 2073/74 (2016/17)

 Health Care Social Security

9.3 CHALLENGES AND OPPORTUNITIES

The main challenges facing the scheme are as follows:

• Targeting of destitute, poor and marginalized groups because of delays in issuing poverty
cards.

The main opportunities for the program are:

• The enactment of new Health Insurance Act, 2074.
• The government’s commitment of budget, human resources, equipment, pharmacies, etc.
• Health system strengthening (protocol based treatment, generic name prescribing drugs,
strengthen referral system with a gate keeping function.)
• Capitalizing on the purchasing function and integration of fragmented funding streams to
health facilities.

DoHS, Annual Report 2073/74 (2016/17) 337

 Chapter 10
Development Partner Support

DEVELOPMENT PARTNERS

The outcomes discussed in the previous chapters are the results of combined efforts of the Ministry
of Health and its development partners (multilateral, bilateral and international organizations and
national NGOs). The Department of Health Services acknowledges its partnership with these
organizations and their large contributions to Nepal’s health sector. This chapter lists the
programme focus of these organizations and their contact details. Partners have also provided
technical assistance in their areas of expertise.

Development partners support the government health system through a sector-wide approach
(SWAp). The SWAp now supports the implementation of the new Nepal Health Sector Strategy
(NHSS, 2016–2021). The Joint Financing Arrangement (JFA) has been signed by various partners and
the government. The JFA describes in detail the arrangement for partners’ financing of the NHSS.
The JFA elaborates the pool funding arrangement and parallel financing mechanism as bilaterally
agreed between the government and the donor partners. This time the World Bank has allocated all
its commitment through a Program-for-Results, a tool which disburses fund against a verifiable set
of results, called Disbursement Linked Results (DLRs). DFID and GAVI are also disbursing part of their
commitments against some DLRs identified and agreed with the MOH.

The matrix below provides contributions of various partners for supporting the NHSS.

338 DoHS, Annual Report 2073/74 (2016/17)

Development Partners Contributing to Health Sector in Nepal
10.1 MULTILATERAL ORGANIZATIONS
Health sector budget
Organization Major program focus Geographical coverage Contact details
for FY 2016/2017
UNFPA CP Outcome 1, Output 1: Strengthened National Programme Total allocated
capacity of health institutions and with focus on 19 budget of all Office address:
service providers to plan, implement priority districts programs activities: UNFPA Nepal
and monitor high-quality comprehensive Jhamsikhel, Sanepa, Lalitpur
sexual and reproductive health services US $ 4,208,000
Tel: +977 1 5523880
CP Outcome 1, Output 2: Increased Total expenses of all Fax: +977 1 5523985
capacity of women and youth to access programs activities:
high-quality sexual and reproductive Email:
health services US $5,065,000 nepal.office@unfpa.org
The expenditure registry-np@unfpa.org
CP Outcome 2 Output 1 Strengthened includes additional
national and sub national health system purchase of Web:
capacity within the coordinated multi commodities of http://nepal.unfpa.org/
sectoral response to sexual and gender amount US $
based violence. 1,481,000

UNICEF  Child Health UNICEF priority districts Total Allocated : UNICEF Nepal
 Maternal and Newborn Health – 15 Health: US $ UN House, Pulchowk
 HIV and AIDS Emergency (earthquake) Not available PO Box 1187

 Nutrition districts – 15 Tel: 977-1-5523200

 Emergency MSNP districts - 16 Total Expenses: Email: kathmandu@unicef.org

Not available Web: www.unicef.org

WHO Nepal Health policies and strategic plans, health National Allocation (Award): Dr Jos Vandelaer
systems strengthening, Access to medicines 5.12 m WHO Representative
and other technologies, RMNCAH,NTDs, Expenditure: 4.65 m WHO Country Office for Nepal
Vaccine preventable diseases, NCDs, Health UN House,

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 Development Partners
Health sector budget
Organization Major program focus Geographical coverage Contact details
for FY 2016/2017
and environment, information and evidence, Pulchowk, Lalitpur
Alert and response, emergency risk and crisis Email: vandelaerjo@who.int
management, TB, HIV, Malaria, Mental Phone: + 977-1-552199
health, disabilities and rehabilitation, gender Fax: + 977-1-5527756
equity and human rights, social determinants
of health, epidemic and pandemic prone
diseases
World Bank Results based operation with Nation wide Total allocated Office address:
disbursement linked indicators to be budget of all The World Bank
achieved in the areas of procurement, programs activities: The Yak and Yeti Complex
financial management, health Durbar Marg
management information system and US$ 22 million Kathmandu
the use of data, and citizen engagement.
Tel: 014236000
Fax: 014225112

Email:
infonepal@worldbank.org

Web: http://www.worldbank.org/
http://www.worldbank.org/en/country/n
epal
CHD/DoHS and 1. Targeted Supplementary Feeding 3 districts  Estimated Budget Office address:
WFP Programme under EQ PRRO during post- 1. USD 1.2 million Tel: 977-1-5260607,
earthquake Total distributed: 49 Fax: 977-1-5260201
2. Distribution of Fortified Nutritious 4 districts mt Plumpy’Sup
Food in the immediate aftermath of the 2. USD 500,000 E-mail:
devastating flood Total distributed: wfp.kathmandu@wfp.org
United Nations 186.960 mt Super george.mutwiri@wfp.org
World Food 3. Blanket Supplementary Feeding 6 districts
Programme and Targeted Cereal amrit.gurung@wfp.org
Programme 3. USD 4 million
and Ministry of Supplementary Feeding Programme
during the post-flood emergency phase Web:
Health 4 districts:- VDCs: 168 http://go.wfp.org/web/wfpgo
Mother and Child Health Nutrition  Estimated Budget:
(MCHN) USD 2,583,612.80

340
 Development Partners

10.2 BILATERAL ORGANIZATIONS

Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Department for Health system strengthening, including health Nationwide Total Allocated: Office address:
International policy and planning, health governance and £18,715,000 Ekantakuna, Lalitpur.
Development decentralization, procurement and public millionfinancial aid PO Box 106, Nepal
(DFID) financial management, health infrastructure and £3,037,532 million Tel: +977 1 5542980
and hospital retrofitting, improving evidence technical assistance Fax: +977 1 5000179
science and accountability on health including Email:nepal-
monitoring, evaluation, surveillance and Total Expenses of all enquiries@dfid.gov.u
research and social accountability in health, programme activities: k
improving access to medicines including safe £18,715,000 financial Web:https://www.go
motherhood and family planning, gender, aid and £3,037,532 v.uk/government/wo
equity and social inclusion. (Nepal Health million technical rld/organisations/dfi
Sector Programme 3 and Nepal Family Planning assistance d-nepal
Project)

Deutsche 1. Social health insurance including Achham, Banke, Total Allocated Budget of Office address:
Gesellschaft für hospitalmanagement Dhading, Dailekh, Kailali, all programs activities:
Internationale Nuwakot, Rasuwa, Support to the Health
Zusammenarbeit 2.Human resources for health Bhaktapur, Total Expenses of all Sector
(GIZ) GmbH programs activities: Programme(S2HSP)
 Mentoring and coaching on EmONC and Note:In addition to the Sanepa, Lalitpur, Nepal
facility management focus on the above €3,501,503 T +977 1 5013088
 Midwifery education programme mentioned districts, GIZ F +977 1 5013078
supports the Social E s2hsp@giz.org.np
3. Governance in health with focus on federalism Health Security I www.giz.de/nepal
and urban health Development
Committee on the
4. Health information systems nationwide roll outof
social health insurance,
5. Adolescent health and development HMIS for e-Reporting
from health facilities and
MoH in overall
governance aspects in

341
 Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
the health system with a
focus on federalism and
urban health
USAID District number: 75 Total Allocated Budget of Office address:
districtsthrough all programs activities: USAID/Nepal
1) Maternal Newborn and Child Health different projects US $ 42,150,000 c/0 U.S. Embassy
(SUAAHARA, H4L and Building, Maharajgunj
CNCP) Total Expenses of all
District number : all 75 programs activities: G.P.O Box: 295
districts through US $42,150,000
different projects Tel: 01-4234000
2) Family Planning & Reproductive Health
(GGMS, SIFPO 2,
SUAAHARA, H4L, FACT, Fax: 01-4007285
Redbook)
District number: 16 http://nepal.usaid.gov
3) HIV/AIDS and STI districts (Linkages
project)
District number: 42
districts through
different projects
(SUAAHARA, Safe
4) Water Sanitation and Hygiene program
WASH II, WASH
Recovery Activity,
Health and Hygiene
Activity)
SUAAHARA II 1 Maternal Infant and Young Child Nutrition District number: 9 Total allocated budget of Office address:P.O.
Program (MIYCN): districts all programs activities: Box: 3752, Green Block,
Ward No: 10,
2. Support to strengthen nutrition related indicators District number: HMIS US $1,347,970.00 Chakupat, Lalitpur;
and records, reporting: training 12 districts Total expenses of all
RDQA - 13 districts programs activities: Tel: 5260247; 5260837
3)IMNCI Program Scale Up and Follow up: District number for
IMNCI: 7 districts- US $1,183,210.00 (88%) Email: clandry@hki.org,
4)Planning with VDC level Nutrition and Food District number: - 2 ppandey@hki.org
Security Steering committees districts Web:www.hki.org

342
 Development Partners

10.3INTERNATIONAL NON-GOVERNMENT ORGANIZATIONS

Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Adventist 1) Family Planning District number: 8 Total Budget: Office address:
Development and 2) Adolescent Sexual and Reproductive Not available ADRA Nepal, PO Box: 4481.
Relief Agency (ADRA Health (ASRH) Kathmandu, Nepal
Nepal) 3) Reconstruction of Health Facilities Total Expenses Tel: +977(1)5555913
4) Mobile Reproductive Health Camps Not available Tel: +977(1)5554251
Email:info@adranepal.org
Web:www..adranepal.org
Ipas 1) To prevent unwanted pregnancies District number: 23 Total allocated Office address:
by integrating safe abortion with budget of all Do Cha Marg, Baluwatar, Ward No 4
Family Planning Services programs activities:
2) To ensure the availability of quality Tel: 977-1-4420787
safe abortion services as per US $18,66,035.00
national standard Fax: 977-1-425379
Total expenses of all
3) To increase awareness on the legal
programs activities: Email: ipas@ipas.org
provision of safe abortion services
Web: www.ipas.org
US $21,16,824.00

1) Tuberculosis District number: 31 Total allocated Office address:

districts budget of all
2) Reconstruction of health facilities and programs activities: Lazimpat – 2, Kathmandu, Nepal.
Disaster Risk Reduction (DRR) Tel: 977 1 4436434, 4428240
District number: 1
district US $1564478 Fax: 977 1 4439108
3)Mental Health and Psychosocial Support
BNMT Nepal Services (MHPSS) Total expenses of all Email: bnmt@bnmt.org.np
District number: 5 programs activities:
4)Water Sanitation and Hygiene (WASH) Web: www.bnmtnepal.org.np
districts
including Menstrual Hygiene Management US $ 1102415
(MHM), Construction of Gender Friendly
Toilets
District number: 5
districts

343
 Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017

CARE Nepal Capacity building of health workers District number: 43 Total allocated Office address:
(SUAAHARA II, trough competency based trainings on Districts budget of all Samata Bhawan Dhobighat,
SAMMAN III, CB-IMNCI, FP, SBA, Nutrition, Infection programs Lalitpur
Emergency Projects, prevention, etc. Taplejung, Panchthar, activities:
ACCESS Project, Sankhuwasava, Tel: +977-01-5522800
Aawasar Project) Social accountability on health service Solukhumbu, US $ 1,992,965.43
delivery through Community Health Bhojpur, Fax: +977-01-5521202
Score Board, and HFOMC Strengthening Dolakha Total expenses of
activities and Community Mobilization; Sindhupalchok all programs Email: carenepal@np.care.org
Strengthening Health Mothers Group. Kavre, Sindhuli, activities:
Rasuwa, Nuwakot, Web: WWW.carenepal.org
Promotion of health seeking behavior Dhading, US $ 1,679,236.60
among women and their families and Rupandehi,
involvement of decision makers at Nawalparasi, Gorkha,
household level (preventive measures, Lamjung, Syangja, The budget of
service utilization, giving up harmful Myagdi, Baglung, SUAAHARA II has
practices). Bardiya, Banke, Dang, already been
Kapilbastu, included in
Construction of 3 prefabricated health Arghakhachi, Palpa, SUAAHARA/HKI
post buildings with full set of Gulmi, Pyuthan, part.
equipment and furnitureand Rolpa, Salyan,
construction of 3 earthquake resilient Rukum, Surkhet,
PHC-ORC buildings with full set of Jajarkot, Dailekh,
equipment and furniture in Gorkha. Mugu, Darchula,
Bajura, Bajang Doti,
Dadeldhura, Baitadi,

344
 Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Achham,
Kanchanpur, Kailali

FHI 360 Nepal  HIV and sexually transmitted 16 districts, 119 local Total allocated Gopal Bhawan, Anamika Galli,
through USAID- infection (STI) prevention bodies (5 budget: Baluwatar, Kathmandu -4, Nepal
funded education, referral and follow-up, metropolitan cities, 8 US$ 3.85 million Tel: +977.1.4437173
LINKAGES Nepal sub-metropolitan Fax: +977.1.4417475
and condom promotion and
cities, 72 Total Expenditure: Email: bhshrestha@fhi360.org
distribution municipalities and 34 US$ 2.65 million
 HIV testing and counseling (HTC) rural municipalities) www.fhi360.org/countries/nepal
services
 STI examination and treatment
services
 Referral to and linkages with anti-
retroviral therapy (ART) services
 Care, support and counseling for
adherence and retention
 Stigma and discrimination
reduction
 Technical support to National
National level
Center for AIDS and STD Control
(NCASC)
 Support to Ministry of Health for National level
strengthening Nepal Country
Coordination Mechanism (CCM) for
the Global Fund

345
 Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Helen Keller 1)Improve nutritional status of pregnant District number: 40 Total allocated Office address:
International (HKI) and lactating women, children under 2 budget for all P.O Box : 3752
years of age, adolescent girls programs activities: Green Block, Ward #10
District number: 6 Chakupat, Patan, Lalitpur Nepal
2) Increase resilience for targeted and most US $10,975,852
vulnerable populations in Nepal. Tel: 5260247, 5260837,
District number; 1 Total expenses of all
3) Study on relationship between maternal programs activities: Email ::ddavis@hki.org
exposure to Mycotoxins on birth outcomes
and stunting District number: 1 US $10,841,375 Web:www.hki.org

4) Assessment and Research on Child

Feeding in Kathmandu valley District number: 1

5) Strengthening the collection and use of

Anemia-related data in Nepal

International  Monitoring prescribing Different districts. Allocated Budget: Office address: 304 Surya Bikram
Network for Rational practices and availability of free MOH/DoHS Gyawali
Use of Drugs drugs at PHC outlets to improve Marg,Baneswor,Kathmandu
( INRUD,Nepal) rational use of medicines/
Standard Treatment Protocol Tel: 4115636
adherence.
 Provides technical support to Fax: 4115515
DoHS/MOH to the set activities
since 2009-10. E-mail: kumudkafle@gmail.com

Web:www.inrud-nepal.org.np

World Vision 1) Maternal Child Health and Nutrition District number: 7 Total allocated Office address:
International Nepal Districts budget of all 5th floor, Karmachari Sanchayakosh
2)Water sanitation and Hygiene programs activities: Building, Lagankhel, lalitpur

346
 Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
US $ 11,55,441 ( Tel: +977 1 554887
only program cost)
Fax: +977 1 5013570
Total expenses of all
programs activities: Email: info_nepal@wvi.org
Web:www.wvi.org/nepal
US $ 11,38,786 (
Only program cost)
The Leprosy Mission Community and Home-Based Care District number: All Total Budget: Office address:
(TLM) Nepal. (CHBC) services Nepal Not available TLM Nepal Country Office
Dholahity, Lalitpur
Tel: +977-1-5572157
Total Expenses :
Not available Email: shovakhark@tlmnepal.org
Web: www.tlmnepal.org
Save the Children 1) Maternal, newborn, child health and 1) National plus 13 Total allocated Save the Children Nepal
family planning districts: Kailali, budget for all Country Office, PO Box 3394
Dang, Dailekh, program activities: Airport Gate, ShambuMarga
Jajarkot, Banke, US$: 11,249,785 Tel: +977-1-4468130
Mahottari, Fax: +977-1-4468132
2) Integrated health, nutrition, Surkhet, Bardia, Total expenses of all Email:
education and livelihood Bajura, Pyuthan, program activities: post.nepal@savethechildren.org
Rupandehi, Siraha, US$: 11,863,509 Web:
Nuwakot https://nepal.savethechildren.net
3) Humanitarian health, nutrition water 2) 11 districts:
supply and sanitation support Pyuthan, Rolpa,
Kapibastu, Saptari,
4) HIV AIDS, Tuberculosis and Malaria Dhanusha,
through GFATM Udayapur,
Makawanpur,
Sindhuli,
Ramechhap,
Okhaldhunga,
Khotang
3) 5 districts:

347
 Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Gorkhat,
Nuwakot, Rasuwa,
Sindhupalchowk,
Dolakha
4) 75 districts
United Mission to 1) Community Health Project: Major focus District number: 10 Total allocated Office address:
Nepal (UMN) on Maternal Health, Family Planning, Child district budget of all PO Box: 126
Nutrition, Health System strengthening, HIV (Morang, Sunsari, programs activities: Thapathali, Kathmandu
and AIDS and WASH. Dhading, Nawalparasi,
Rupandehi, Kapilvastu, US $580,171 Tel: 4228118, 4268900
Rukum, Mugu, Doti and
Bajhang) Total expenses of all
2) Community based Mental Health programs activities: Fax: 4225559
Project: Major focus on capacity building,
integration of basic mental health into US $533,239 Email: communications@umn.org.np
primary health care system, psycho-social District number: 5
support and group counseling to the self- districts Web: umn.org.np
help group of mental ill patients, drug (Dhading, Rupandehi,
support, community mobilization and Rukum, Doti and
stigma reduction activities. Bajhang)

3) ASRH Project: Focus on ASRH education

through Peer Education, strengthening of
AFHS services, establishment of youth
information center, Menstrual Hygiene District number: 4
Management (MHM) and Improved districts
Washable Pad (IWP) making training to (Rukum, Mugu, Doti
adolescent girls. and Bajhang)

4) HIV and AIDS Project: Major focus on

HIV prevention, care and support including
community and home base care for people District number: 2
living with HIV and AIDS (PLHIVs) district
(Sunsari and
Rupandehi)

348

Organization
JSI Research & Training
Institute, Inc.
Development Partners
Health sector budget for
Major program focus Geographical coverage Contact details
FY 2016/2017
1) Chlorhexidine Navi Care Program District number: 75 Total allocated Office address:
budget of all Baluwatar, Pabitra Bhakta Marg,
programs activities: Kathmandu, Nepal

US $ 534,489.8 Tel: 01-4422531

Total expenses of all Email: lkhanal@np.jsi.com

programs activities:
Web: www.jsi.com
US $ 534,489.8
One Heart World-Wide 1) Increase the MNCH service 9 districts Total allocated Office address:
(OHW) demand and delivery budget of all PO Box 3764, House 496, Dhara Marg,
2) Enhance the capacity of the MNCH programs activities: Maharajgunj, Kathmandu
service providers
3) Improve the quality of MNCH US $20,00,000 Tel: +977-1-4416191/4417547
services Total expenses of all Email:ohwnepal@oneheartworld-
4) Incorporate evidence based programs activities: wide.org
emerging MNCH interventions
US $ : 16,84,921 Web:www.oneheartworld-
wide.org
KOICA National Health Insurance Support Project Kailali Not available Office address: Sanepa
(NHISP) Telephone: 5541401
Improving of Maternal and Child Health Care Mugu Office address: Jwagal
Post-disaster Health Services Recovery Program Nuwakot Telephone: 5261858 / 5261860 / 5260718
Plan International 1)Safe motherhood programme District number: Total Allocated Office address:
Nepal, Country Office (construction/renovation of birthing centre, 19(Morang, Sunsari, Budget of all Maitri Marga, Bakhundole, Lalitpur
equipment & furniture support, SBA Sindhuli, Rautahat, programs activities: Sub-metropolitan City Ward no. 3,
traning, awareness through pregnant Makawanpur, Banke, Nepal
women group & Ama surakshya Bardiya, NRs. 64,299,502
programme awareness) Sangkhuwasabha, Tel: +977-1-5535580,5535560
Dhankuta, Saptari, Total Expenses of all
Siraha, Dhanusha, programs activities: Email: Sherbahadur.rana@plan-
Mahottari, Sarlahi, international.org
Bara, Parsa, NRs. 60,748,125
Nawalparasi, Web:www.plan-
2) Child health programme (Community Rupandehi & Dolpa) international.org/nepal

349
 Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
based integrated management of newborn
and childhood illness, Childhood disability District number: 11
services, emergency medical & surgical (Morang, Sunsari,
treatment to sponsored children and their Sindhuli, Rautahat,
siblings) Makawanpur, Myagdi,
Baglung, Parbat,
Banke, Bardiya, Jumla)
Population Services 1) Women’s Health Project District number: 40 Total allocated Office address:
International/ Nepal budget of all
programs activities: Krishna Galli, Pulchowk, Patan,
Lalitpur, Nepal
US $ 2,854,297
Tel: 977-1-5553190, 550620
Total expenses of all
programs activities: Email:
ganeshthapa@psi.org.np@psi.org.
US $ 2,322,831 np

Web: www.psi.org
Water Aid Nepal  Integration of Hygiene Promotion Districts Total allocated Office address:
through Routine Immunization Bardiya, budget of all
Program Jajarkot programs activities: WaterAid Nepal
Myagdi JM Road 10, Pabitra Tole, Nakhipot-
Nawalparasi NPR 26,927,357.04 (IN 14, Lalitpur, Nepal
GBP 196956.90)
& Tel: 01-5230210/864/365
 Advocacy program on WASH in Total expenses of all
Health care facilities National advocacy programs activities:
Fax: NA
NPR 26,927,357.04 (IN
GBP 196956.90) Email:wateraidnepal@wateraid.or
g

Web:www.wateraid.org/np

350
 Development Partners
Health sector budget for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
FAIRMED Total allocated Office address:
FOUNDATION NEPAL District number: 2 budget of all FAIRMED Nepal, Kalika Marg, Sanepa
1)Maternal New Born Health programs activities: 2
District number: 1 Lalitpur, P O Box 10047
2)Post disaster, (resumption of basic health US $6.16 m
care), Tel: 5012670
District number: 2
Total expenses of all
3 Disability inclusion related activities programs activities: Email:nepal@fairmed.ch
District number:2
4)Health system strengthening, and US $5.18m Web:www.fairmed.ch.
behavior change at community level

10.4 Non-Governmental Organizations

Budget for health sector for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
Nepali Technical  Maternal and child nutrition  40 districts (Suaahara- Suaahara-II Office address:
Assistance Group  Multi-sectoral training to health II)  Budget: NRS. Maitighar, Kathmandu, Nepal
(NTAG) workers, FCHVs and others  75 districts (National 124,025,462 GPO Box 7518
 Promotion and advocacy of National Vitamin A Program)  Expenditure: NRS.
Vitamin A Program  5 districts 107,793,515 Tel: 977-1-4224884/ 4220736
 Research and surveys (Humanitarian National Vitamin A Fax: 977-1-4221133
Nutrition Assistance Program
for Recovery Actions)  Budget: NRS. Email: nvatag@mail.com.np
 6 districts (Anukulan) 3,456,000 /deepakntag@mos.com.np
 6 districts (SABAL)  Expenditure: NRS. Web: http://www.ntag.org.np
 14 districts 1,948,300
(Promoting Humanitarian Nutrition
Agriculture, Health Assistance for Recovery
and Alternative Actions
Livelihoods-PAHAL)  Budget: NRS.
 28 districts 243,600,980
(Management of MTOT  Expenditure: NRS.
on MSNP & 121,662,294
Management of Building Resilience and
Orientation Sessions on Adaptation to Climate
351
 Development Partners
Budget for health sector for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
MSNP to the Newly Extremes and Disasters
Elected Representative (BRACED) Programme,
at Local Level) “Anukulan”
 Budget: NRS.
57,308,769
 Expenditure: NRS.
33,585,407
Sustainable Action for
Resilience and Food
Security - SABAL
 Budget: NRS.
71,164,300
 Expenditure: NRS.
58,553,768
Promoting Agriculture,
Health and Alternative
Livelihoods-PAHAL)
 Budget: NRS.
4,670,400
 Expenditure: NRS.
3,375,232
Management of MTOT on
Multi Sector Nutrition Plan
(MSNP)& Management of
Orientation Sessions on
MSNP to the Newly
Elected Representative at
Local Level
 Budget: NRS.
7,823,000
 Expenditure: -
Nick Simons 1) Training District number:14 Total allocated budget of Office address:
Institute (NSI) Districts all programs activities: Sanepa 2, Lalitpur
2) District Hospital Support (Rural Staff
Support Program (RSSP) & Hospital District number:RSSP at 18 US $ 2,796,405.00 Tel: 5520322, 5550318
Strengthening Management Program Districts, HMSP at 75
Districts Total expenses of all Fax: 977-1-5554250

352
 Development Partners
Budget for health sector for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
(HMSP)) programs activities:
District number:All Nepal Email:nsi@nsi.edu.np
3) Advocacy US $ 2,447,616.24
District number:15 Web:www.nsi.edu.np
4) Monitoring & Evaluation Districts

Sunaulo Parivar 1)Sexual Reproductive Health District number 32 Total allocated budget of Office address:
Nepal, an Districts 36 Center all programs activities:
implementing 2 Family Planning ( Static and Outreach GPO- 11254 Baluwatar, Kathamndu
partner of Marie Clinic) 2.8 million USD
Stopes
Tel: 4419371
International
3) Training on RH District number 3 Training Total expenses of all
Center\ programs activities: Fax: 4420416
4) Health System Strengthening District number : 11
Districts NRS. 2.7 million USD Email:
kp.upadhyay@mariestopes.org.np

Web:www.mariestopes.org.np

Sushma Koirala 1) Plastic and reconstructive Surgery, Hand District number: 45 Total allocated budget of Office address:
Memorial and micro surgery all programs activities: Shankharapur Municipality-6,
Hospital for US $. 709160.00 Sankhu, Kathmandu
Plastic and 2) Surgical and checkup camps in rural Tel: 01-4450826
areas Total expenses of all Fax: 01-4450725
Reconstructive
programs activities: Email: SKH@wlink.com.np
Surgeries. 3) Dental treatment and Physiotherapy US $. 623452.70 Web: www.nepalhospital.de

Nepal CRS 1. Social marketing of Family Planning, CRS’s products are Total Budget: Office address:
Company reproductive health and maternal and available in all 75 districts. Not available Mahadevtar, Tokha Road,
child health commodities. Kathmandu. P.O Box 842
2. Funded by USAID and KfW. Presently Total Expenses:
Not available Phone: 4362097
implementing the USAID funded GGMS
Email: mis@crs.org.np
Project.
3. CRS’ contraceptive product range Website: www.crs.org.np
includes condoms, OCPs, ICs, IUDs,
implants and ECs, clean delivery kits, STI
treatment kits, chlorine water treatment
353
 Development Partners
Budget for health sector for
Organization Major program focus Geographical coverage Contact details
FY 2016/2017
solution and ORS.
Family Planning 1) Promote SRH rights District number: 37 Total Budget: Office address:
Association of 2) Comprehensive Sexuality Education/Gender Not available Family Planning Association of Nepal
Nepal (FPAN) Equality and Empowerment District number: 37 Central Office, Pulchowk, Lalitpur
3) Increase access to SRH information, education Total Expenses: P. O. Box 486, Kathmandu, Nepal
and services to marginalized / under served District number: 37
Not available
group and quality integrated sexual and Tel: 977-1-5010240, 977-1-5010104
reproductive health service District number: 37 Fax: 977-1-5010248
4) Knowledge Management, Enhance Email:fpandg@fpan.org.np
organizational performance efficiency, Web:http://fpan.org
effectiveness, accountability and volunteerism

Nepal Red Cross  Emergency health response and  3 districts (KTM valley) Total Budget: Nepal Red Cross Society,
Society (NRCS) preparedness  15 districts Not available Health Service Departmetn
 Emergency preparedness and response  14 districts Red Cross Marga. Kalimati, Kathmandu
 Earthquake response operation  6 districts Total Expenses:
 Our Concern Our Participations  65 districts Tel: 4270650, 4272761, 4279425
Not available
 Ambulance Services  13 districts Fax: 014271915
 Eye Care services  72 services E-mail:
 Blood transfusion services  4 services nrcs@nrcs.org
 First aid services and road safety  75 services Web:
 General first aid services http://www.nrcs.org
www.nrcscehp.org
PHASE Nepal 1) Maternal Health District number: 6 Total allocated budget of Office address:
all health program Dadhikot-9, Bhaktapur
2) Child Health activities:
NRs. 38,566,507 Tel: 01-6634089
3) Family Planning
Total expenses of all Fax: 01-6634038
4) Health Awareness Raising Activities programs activities:
NRs. 3,57,09,729 Email: info@phasenepal.org

Web: www.phasenepal.org

Source: Respective EDPs, INGOs and NGOs

354
 Annex 1: Major Activities Carried out in FY 2073/74
ANNEX 1 Major activities carried out in FY 2073/74
Child Health: Immunization
SN Activities Unit Targets Achieve. %
1 Post Introduction Evaluation Survey after completion of six No. of 1 1 100
months of introduction of JE in Routine immunization times
2 District level interaction and training program on No. of 1 1 100
strengthening of Immunization program to increase the times
accessiblity and utilization of Immunization services
3 Evaluation of electronic registration of Immunization No. of 1 1 100
services in those districts in which the electronic registration times
has started and scale up in 4 districts of eastern and mid
western region
4 Financial analysis of entire investment on Immunization No. of 1 1 100
services (10 districts) times
5 GIS training to increase accessibility of Immunization (EPI No. of 1 1 100
Supervisor Officer, Statistics Officer/Assistant of 10 districts times
and 5 RHDs)
6 Immunization training programme (1 batch: new health No. of 1 1 100
workers of National/Regional Training Centre, RHD, RMS and times
DHO )
7 Immunization training programme for health workers No. of 1 1 100
working in Private and Non-Government Health Institutions times
and Urban Health Clinics (4 batch: 100 persons)
8 Media interaction of National Immunization Programme-3 No. of 1 1 100
times times
9 One day Advocacy Workshop for raising Immunization Fund- No. of 1 1 100
5 regions (private sector, industrial sector, corporate times
company, bank, other financial and cooperative company,
Rotary, Lions, Red Cross and other related institutions)
10 Two days National level workshop of EPI Supervisors on No. of 1 1 100
Immunization Act, Immunization rules, financial times
management and update of knowledge and skills on
Immunization
11 Polio campaign program on high risk Polio districts (2 steps) No. of 1 1 100
times
12 Post Introduction Evaluation and Immunization Coverage No. of 2 2 100
Survey of HPV vaccine demonstration program (Kaski and times
Chitwan district)

13 Verification survey of Full Immunization declared districts -5 No. of 1 1 100

districts times
14 Two days review workshop on Sustainability of Full No. of 1 1 100
Immunization declaration programme and local and resource times
mobilization-3 batch (LDO, D(P)HO Chief and EPI Supervisor
Officer of 75 districts)
Source: CHD

CHILD HEALTH: NUTRITION

SN Activities Unit Targets Achieve. %
1 Annual review of Integrated Management of Acute No. of 1 1 100
Malnutrition times
2 Endline survey of Iodized salt's coverage times 1 1 100
3 Landscape study on Rice Fortification (in coordination with No. of 1 1 100
Nepal Food Corporation) times
4 National Micro-nutrient Survey (2071-73) No. of 1 1 100
times

DoHS, Annual Report 2073/74 (2016/17) 355

Annex 1: Major Activities Carried out in FY 2073/74
SN Activities Unit Targets Achieve. %
5 Review of health and nutrition related in service training No. of 1 1 100
curriculums (SBA, AHW, ANM, IYCF, IMAM, MNP, MCHN, times
SHN and IMNCI) and inclusion of Health and Nutrition for
Maternal, Infant and Young Child Nutrition in it
6 Expansion of Integrated Management of Acute No. of 2 2 100
Malnutrition Programme in 8 districts times
7 ToT for district level refresher training programme on No. of 1 1 100
Maternal, Infant and Young Child Nutrition times
8 ToT programme on School Health and Nutrition and No. of 1 1 100
distribution of Iron to adolescent girls (Central level) times
9 Training programme on Nutrition in emergencies No. of 1 1 100
times
Source: Nutrition Section, CHD,

CHILD HEALTH: CB-IMNCI

SN Activities Unit Targets Achieve %
1 CHX programme implementation, supervision, monitoring, No. of 2 2 100
onsite coaching/mentoring times
2 Piloting of newborn health institution indicator based on No. of 1 1 100
Every Newborn Action Plan-3 districts times
3 Skill enhancing training for health workers for operation of No. of 1 1 100
Birthing and Newborn care centre and Newborn corner in PHC times
(5 batch) including MTOT
4 Procurement of ARI timer No. of 1 1 100
times
5 Orientation training programme on HMIS software for IMNCI No. of 2 2 100
focal person and statistics person times
6 CB IMNCI MToT training (1 batch), establishment of training No. of 1 1 100
site and follow up and supervision and reference materials- times
preparation, printing and dissemination and distribution
7 CBIMNCI programme's monitoring, supervision and planning, No. of 2 2 100
review, ToT conduction, printing of child health related times
materials, newborn and IMNCI training and review of child
health programme and workshop for planning formulation
(along with CBIMNCI programme and coaching site's quality
improvement)
8 Level II review and training programme of IMNCI package for No. of 1 1 100
doctors and nurses of special newborn care and stabilization times
unit
Source: CHD

Family Health: Family Planning

SN Activities Unit Targets Achieve %
1 Family Planning (FP) Current users Couple 2917786 2707553 92.80
2 VSC expected new acceptors Couple 40000 30233 75.60
3 IUCD expected new acceptors Couple 49300 34028 69.02
4 Implant expected new acceptors Couple 70700 95605 100.00
5 FP program strengthening through DMT, EC, District 15 15 100.00
MEC wheel
6 FP Micro planning and response actions District 32 32 100.00
implementation in low CPR districts

356 DoHS, Annual Report 2073/74 (2016/17)

 Annex 1: Major Activities Carried out in FY 2073/74
SN Activities Unit Targets Achieve %
7 Support to Satellite clinic for LARC methods Time 260 260 100.00

8 FP and EPI integration District 5 5 100.00

9 Support Institutional Family Planning Service District 21 21 100.00
Center (IFPSC)
10 Regular VSC+ comprehensive services District 5 5 100.00

Family Health: Safe motherhood program

SN Activities Unit Targets Achieve %
1 24 hour CEOC Services Place 41 41 100
2 Recruitment of ANM Number 1540 1220 76.00
3 Free Blood transfusion service for Aama Pint 4575 3614 69.00
program
4 4th ANC (Incentive) Number 208450 106309 51
5 Free Delivery and Transportation incentive Number 378000 372330 85.50

6 NaynoJhola Number - - -
7 UP Surgery Number 3500 2000 57.00
8 Fistula/UP Screening Place 250 120 48.00
9 Clinical update for Nursing Staffs District 75 75 100.00
10 Free Treatment for Neonate Number 30000 7500 25.00
11 MPDSR Program Implementation District 5 5 100.00

Family Health: FCHV /ASRH/PHC-ORC

SN Activities Unit Targets Achieve %
1 Continue support to AFS clinic Number 916 916 100.00
2 Bi-Annual FCHV Review District 75 75 100.00
Source: FHD

Epidemic disease control program

Annual
SN Activity Unit Achieve %
Target
Epidemic disease control
Construction of cold room for storage of
No. of
medicines required in emergencies and 1 1 100
building
1 maintenance of EDCD toilet
No. of
Computer support to VCO/VCI 1 1 100
2 piece
HR and travel costs for Health team of 4 No. of
including 2 doctors at Tribhuwan times 1 1 100
3 International Airport
Cost for human resource for control of ebola, No. of
H1N1 Influenza, birdflu, malaria, kala-azar times 7 7 100
4 programme including additional one

DoHS, Annual Report 2073/74 (2016/17) 357

Annex 1: Major Activities Carried out in FY 2073/74
No. of
Cost for team mobilization to regions and
times 3
districts for outbreak control and disaster 3 100
management
5
Study and research on establishment of No. of
surveillance system for New Emerging times 1 0 0
6 Diseases (NED) and reportable diseases
Planning and budgeting workshop for next FY No. of
and development and printing of program times 3
3 100
implementation guidelines and other
7 guidelines
Baseline survey to find the burden of No. of 2
Hepatitis E in Nepal as suggested by the first times 0 0
8 National Symposium on Hepatitis E
9 Form Highway RRT to rescue the casualties in No. of 1
accidents in major highways, orient the times
0 0
highway RRT and prepare Highway RRT
mobilization guidelines
10 Activities to manage sickle cell anaemia in No. of 3
3 100
affected districts times
11 1 day regional level interaction program to No. of
RHD, chiefs of Medical Colleges, chiefs of times 1
Regional/Sub-Regional/Zonal Hospitals, 1 100
NPHL, directors of various divisions of DoHS
on sikalcele animia and thalesimia
Various activities to strengthen the No. of 3
2 66
12 implementation of IHR times
Technical support from WHO on IHR, IDSS, No. of
outbreak investigation, Water safety plan and times 1 1 100
13 control
Travel cost for supervision and monitoring No. of 5
4 80
14 visits to manage the outbreaks of diseases times
Malaria control
No. of
15 Procurement of lab reagents for PCR-VPP 1 1 100
times
Procurement of necessary items for PMU No. of
16 3 3 100
units (overhead expenses) times
No. of
17 Evaluation of surveillance conducted by EDCD 2 2 100
times
Capacity Building orientation for medical
recorders of new and exsisting sentinel sites No. of
18 1 1 100
and people from EDCD to strengthning the times
reporting system
No. of
19 Conduct annual national review meetings 1 1 100
times
Technical Review of Early Warning and No. of
20 4 4 100
Reporting System person
Development, printing and distribution of
No. of
21 integrated vector management and other 2 1 50
times
strategy/guidelines
Quality control of 5000 pcs of malaria slides
at central level & monitoring of the blood No. of
22 12 0 0
slide samples examined at districts for quality times
assurance

358 DoHS, Annual Report 2073/74 (2016/17)

 Annex 1: Major Activities Carried out in FY 2073/74
No. of
23 Refresher training in microscopy 2 2 100
times
Multi-sector advocacy meetings at national
No. of
24 levels to secure support for Malaria 1 0 0
times
elimination
Strengthen Malaria technical working group No. of
25 3 3 100
(TWG) times
No. of
26 Observe World Malaria Day at central level 1 1 100
times
Celebration of World Malaria Day: WMD No. of
27 1 1 100
launching meeting at central level times
No. of
28 Procurement and supply of fogging machine 1 0 0
times
VAT and other tax for GF/SCI funded capital No. of
29 1 1 100
items and activities times
Purcurement of Insecticide for Indoor
No. of
30 residual spraying for malaria control in 1 1 100
piece
endemic districts
Procurement of LLIN for malaria endemic No. of
31 1 1 100
districts piece
Procurement of medicines and medical goods No. of
32 1 1 100
for malaria diagnosis and control times
Procurement and supply of spare parts for No. of
33 1 0 0
Hudson pump repairment times
No. of
34 Procurement of RDT & G6PD Kits 2 2 100
times
No. of
35 Procurement of LLIN 634304 634304 100
piece
Supervision and monitoring of Vector Borne No. of
36 1 1 100
Diseases times
Kala azar control
Case base surveillance and active case finding No. of
37 3 3 100
of Kala-azar in districts times
Technical support by WHO in Kala-azar
No. of
38 elimination and Dengue control programme, 3 3 100
times
Zika and other vector borne disease control
Procurement and supply of medicines and No. of
39 1 1 100
medical goods for Kala-azar control times
Procurement of Insecticide for Indoor
No. of
40 residual spraying in Kala-azar affected 1 1 100
times
districts
Natural disaster management
Orient RRT on RH promotion in emergency
No. of
41 and natural disaster for preparation of district 3 3 100
times
level contingency planning
Technical support from WHO in disaster No. of
42 2 2 100
management programme times
Procurement of medicine for buffer stock for
No. of
43 the management and control of outbreak and 2 2 100
times
disaster situation
Lymphatic filariasis elimination
Planning and review workshop for MDA, No. of
44 1 1 100
publication of annual reports times
No. of
45 Surveillance of LF 3 3 100
times

DoHS, Annual Report 2073/74 (2016/17) 359

Annex 1: Major Activities Carried out in FY 2073/74
Technical support from central level to No. of
46 12 12 100
districts regions in LF elimination programme times
Technical & financial support by WHO in No. of
47 3 3 100
filaria elimination campaign times
Technical & financial support by LSTM/DFID No. of
48 1 1 100
in LF elimination program times
Financial and technical support from No. of
49 1 1 100
RTI/USAID on LF elimination times
No. of
50 Printing of IEC material for LF program 1 1 100
times
No. of
51 Procurement of DEC Tablet for LF MDA 1 1 100
times
Zoonotic disease control
Awareness programme for Rabies control and
No. of
52 castration of stray dogs, development of 5 5 100
person
rabies vaccine and ASV guidelines
Research on control and intradorminal rabies No. of
53 1 0 0
vaccine for stray dogs person
Surveillance in districts having zoonotic No. of
54 1 1 100
disease outbreaks person
Orientation to the medical officers and
paramedics on rational use of ARV and case No. of
55 5 5 100
management of dog bites and poisonous person
snakebites
Study & research for production of inj. ASVS No. of
56 1 0 0
in Nepal times
Training and orientation to healthworkers No. of
57 1 1 100
regarding snake bites times
Technical support by WHO in zoonotic No. of
58 3 3 100
disease control times
Procurement and supply of ASVS for around No. of
59 30000 30000 100
2000 persons to districts piece
Procurement of ARV (Cell culture vaccine) for No. of
60 300000 300000 100
approx 50,000 persons. piece
Dengue control
Procurement of RDT and PCR kit for diagnosis
No. of
61 of dengue, kala-azar, malaria, Zika and 1 1 100
times
chickungunea
Orientation on Dengue and chikungunya No. of
62 1 1 100
fever times
Integrated surveillance of vectors of Malaria, No. of
63 12 6 50
Kala-azar, Dengue, LF & JE times
Source: EDCD

Tuberculosis:
SN Activities Unit Targets Achieve %
1 Procurement of digital x-ray machine pieces 1 1 100
2 PME workshop of NTP at national level times 3 3 100
3 Basic DR modular training for health workers times 13 13 100
4 LQAS training to lab staff times 10 10 100
Orientation to the health workers of newly established 16 100
5 gene-xpert centers times 16
6 Basic lab modular training times 12 8 66
7 Trimester PME workshop at regional level times 15 15 100
360 DoHS, Annual Report 2073/74 (2016/17)
 Annex 1: Major Activities Carried out in FY 2073/74
SN Activities Unit Targets Achieve %
8 Clinical management training to medical doctors times 3 3 100
9 Procurement of cartridge for gene-xpert machine pieces 12000 0 0
10 Procumbent of first line TB drugs times 1 1 100
11 Construction of Chest Hospital percent 20 5 25
12 Procurement of LED fluroscence microscope pieces 15 0 0
13 Procurement of binocular microscopes pieces 20 20 100
14 Establishment of MIGIT culter in eastern region times 1 0 0
15 Procurement of four module gene-xpert machine pieces 10 10 100
16 Upgrade 2 module xpert machines into four modules pieces 10 10 100
17 procurement of van for active TB case finding pieces 2 0 0
18 procure equipments for infection control for DR centers pieces 10 10 100
19 Procurement of weighing machine pieces 2000 2000 100
Basic clinical management training in TB to medical 6 100
20 officers times 6
21 Training for E-TB Master Register to DTLO/Statician times 5 5 100
22 Procure of laptop pieces 20 20 100
23 Onsite data verification program (OSDV). times 15 5 33
24 Conditional grant to Kalimati Chest hospital times 3 3 100
25 Microbiologist Contact persons 4 2 50
26 Procurement of motor cycle for districts pieces 1 1 100
Basic modular training for newly recruited health 79 100
27 workers persons 79
28 Commemorate World TB Day in districts times 75 75 100
Microscopic camp in mountainous, hill and terai 130 108
29 districts times 120
Microscopic camp in jail, school,and in other vulnerable 180 110
30 population times 160
31 Nutritional allowances for retreatment TB patients persons 2800 2400 86
33 Trimester PME workshop at DOTS center level times 225 225 100
34 Expansion of community based DOTS at districts districts 10 10 100
Conduct interaction program with pharmacist/private
35 practioners on PPM times 56
Basic TB Modular Training to health worker working at 25 100
36 DOTS Center times 25
37 Establishment of 24 hour TB Treatment center centers 7 7 100
Source: NTC

Leprosy
SN Activity Unit Target Achieve %
1. Purchase & distribution of supportive device for
Times 2 2 100%
Disable leprosy affected people
2. Support to the referral centre to provide special
Times 3 - 0%
treatment to leprosy affected people
3. Transportation cost for those patients who have
complication and admitted at referral centre or Times 1950 1400 66%
hospital
4. Coordination with stakeholders related to leprosy and
Times 3 3 100%
disability
5. Reconstructive surgery Times 1 - 0%
6. Technical monitoring and case validation Times 15 15 100%

DoHS, Annual Report 2073/74 (2016/17) 361

Annex 1: Major Activities Carried out in FY 2073/74
SN Activity Unit Target Achieve %
7. 4 Monthly performance review meeting central level Times 3 3 100%
8. 4 Monthly performance review meeting regional level Times 15 3 500%
9. Procurement, Management of Chemoprophylaxis
drugs and coordination from regional directorate Times 4 4 100%
office
10. Purchase drugs for Leprosy complication Times 1 1 100%
management
11. Program Supervision, monitoring & follow up central Times 60 60 100%
& regional level
12. Enhance Contact Examination activity Patients 3 3 100%
13. Printing of Leprosy Program Guideline 2073 Times 1 1 100%
14. Technical support and monitoring Times 15 15 100%
15. Leprosy campaign in high endemic areas Times 5 5 100%
16. Continue medical education to the Medical officers of Times 2 2 100%
hospital and clinics on leprosy
17. Technical support and monitoring Times 9 - 0%
18. Leprosy case detection in urban slums Times 3 - 0%
19. Active Case detection in high endemic VDCs and VDCs 25 25 100%
unreached community
20. MDT Management & supply Times 3 3 100%
21. Annual report publication Times 1 1 100%
22. World Leprosy Day Celebration (Central and reg. level) Times 6 6 100%
23. Strengthening of POID services Times 10 - 0%
24. Grant for leprosy affected of Khokana Arogya Times 3 3 100%
Ashram& other groups
25. Surveillance of disability prevention Times 2 2 100%
26. Mobilization of FCHVs & Leprosy affected for case Times 1 1 100%
findings
27. Leprosy Post exposure Prophylaxis (LPEP) Planning, Times 3 3 100%
review and Monitoring,
28. Mobilization of community group for survey, contact
tracing and raising awareness as per index case Times 3 3 100%
approach
29. BLT & CLT training for BHS staff at local level Times 5 - 0%
30. Training for medical officers and health workers Times 1 1 100%
31. Steering, Technical and coordination committee Times 6 6 100%
meeting (central and region)
32. One day orientation to NFDN/DPO/CBR organizations Times 1 1 100%
33. Publication and dissemination of National health Times
1 1 100%
related Policy and Plan of action on disability
34. Empowerment of PWDs, their groups and networks 1 1 100%
on disabilities management and rights Times
35. Training for FCHVs and health worker for assessment, Times 1 - 0%
counselling and referral mechanism of disability
36. Workshop on Disability and rehabilitation policy and Times 1 1 100%
action plan at national and regional level
37. Develop Standard Operating Procedure for Step down Times 1 - 0%
facilities
38. Training of Trainers for health personnel on Times 1 1 100%
Integrated injury trauma management
39. Production and dissemination of IEC BCC Materials Times
1 1 100%
for Disability
Source: LCD

362 DoHS, Annual Report 2073/74 (2016/17)

 Annex 1: Major Activities Carried out in FY 2073/74
HIV/AIDS and STI
SN Activities Unit Targets Achievement %
1 National Consolidated Guidelines on SI of HIV Time
1 100
Response in Nepal 1
2 Conduct9 Integrated Bio-Behavioral Components
Surveillance (IBBS) Survey among 4 Key
9 9 100
Populations [MSM and TG, FSW, PWID(Male,
Female) and male labour migrants]
3 Mapping and size estimation of key Time
1 100
population in Nepal 1
4 Expansion of ART sites Sites 5 4 80
5 Establishment of ART Dispensing Centre Centre 10 2 20
6 Clinical Management Training(CMT) Person 100 107 107
7 National HIV Strategic Plan 2016-2021 Time 1 1 100
8 Strengthening HMIS system- customization Time
1 100
of DHIS2 Tracker 1
9 One day Orientation on Recording and Event
5 5 100
Reporting to Private Hospitals
10 Regional Data Review and Verification Event
5 5 100
Workshop
11 Logistic Management Training Event 4 4 100
Source: NCASC

Health Training
SN Activities Unit Target Achievement %
1 Supervisor upgrading training Person 125 125 100.0
2 Sr.AHW training Person 330 328 99.39
3 Sr. ANM Person 120 119 99.17
4 AHW Person 80 78 97.5
5 ANM Person 80 74 92.5
6 AHW-P Person 100 93 93.0
7 ANM-P Person 100 92 92.0
8 Pediatric nursing training Person 50 50 100.0
9 Mental disease management training District 4 4 100.0
10 Basic IUCD training (Nursing staffs) Person 52 52 100.0
11 Palliative care training (Doctors and staff nurse) Person 18 18 100.0
12 Induction training for health officers (open Person 259 259 100.0
competition)
13 Medico-legal training (Doctors) Person 50 45 90.0
14 X-ray users maintenance training Person 10 10 100.0
15 CTS training Person 24 31 77.42
16 AA training (HA, staff nurse) Person 5 5 100.0
17 TOT on high altitude Person 35 35 100.0
18 Vasectomy training (MO, groupwise) 12+5 days Person 50 50 100.0
19 Minilap training (MO/staff nurse) 12+5 days Person 48 48 100.0

DoHS, Annual Report 2073/74 (2016/17) 363

Annex 1: Major Activities Carried out in FY 2073/74
SN Activities Unit Target Achievement %
20 Implant training (Nursing staff/ paramedics) Person 200 200 100.0
21 Comprehensive family planning and counseling Person 224 224 100.0
training (FP service providers)
22 Rural ultrasound training (staff nurse) Person 5 5 100.0
23 NSV Self-paced learning approach Person 10 10 100.0
24 ASBA training (Doctors) Person 10 10 100.0
25 IUCD self-paced learning approach Person 10 0 0.0
26 SBA training (Doctors, nurse and ANM) Person 250 250 100.0
27 PPIUCD training (Nursing staff) Person 10 10 100.0
28 Biomedical equipment technical assistance Person 48 48 100.0
training
29 Adolescent sexual and reproductive health (ASRH) Person 340 310 91.18
training
30 MISP training Person 5 5 100.0
31 Safe Abortion training (Doctors, staff nurse) Person 120 120 100.0
32 Transaction Accounting and Budget Control Person 80 75 93.75
System (TABUCS) training
33 Operation Theater training (Nurse) Person 20 17 85
34 N-ICU management training (MO and staff nurse)- Person 125 80 0.64
level 2 &3
35 Development of training package on prevention of Event 4 4 100.0
essential non- communicable diseases
36 Training on PEN package to health workers District 2 2 100.0
37 Gender based violence training to health workers Person 60 0 0.0
38 Screening of pre-cancer/ lesion VIA/CRAYO for HW Person 50 50 100.0
training
39 Preparation of training strategy and training Times 3 3 100.0
management guideline
40 TOT on infection prevention and control (Central 35 70 200.0
and regional level)
41 Follow up enhancement program and survey District 3 3 100.0
(districts)
42 Training materials and curriculum development Times 4 4 100.0
and revision of various trainings including OTTM
and Medicolegal
43 Supervision and monitoring (NHTC & RHTC) Times 325 325 100.0
Source: NHTC

364 DoHS, Annual Report 2073/74 (2016/17)

 Annex 1: Major Activities Carried out in FY 2073/74
HEALTH EDUCATION INFORMATION AND COMMUNICATION

SN Activities Unit Target Achieved %

1 Production and airing of reproductive and child times 256 256 100
health related messages through NTV
2 Publishing of HEICC program implementation Nos 100 100 100
guidelines
3 Publication of health related messages and notices Nos 64 36 56.25
through different newspaper
4 Publication of Flip wall chart (calendar ) Nos 75,003 75,003 100
5 Development, Printing and communication times 700,000 700,000 100
program on FP, SM and Neonatal Health
6 Development, Printing and distribution of Mount times 3954 3954 1000
board on FP, SM and Neonatal Health
7 Distribution of IEC/BCC materials through Regional Nos 3 3 100
Medical Store
8 Production and Airing of danger signs of pregnancy Nos 1,080 1,080 100
through FM radios on different languages
9 Production, printing and distribution of pamphlets Nos 56,004 56,000 99.99
on danger signs of pregnancy
10 Production, printing and distribution of colorful Nos 56,004 56,004 100
pamphlets on delay marriage
11 Production, printing and distribution of Nos 6,004 6,004 100
adolescents friendly colorful posters
12 Production and Airing of delay marriage through Nos 1,081 1,081 100
FM radios on different languages
13 Airing and broadcasting of Jeevan chakra through times 7,472 7,472 100
Radio Nepal and NTV respectively
14 Online dissemination of health messages times 100 100 100
15 Broadcasting of Public health Debate through NTV times 20 20 100
16 Communication program for occupational health times 3 3 100
17 Communication program and daily monitoring of times 3,000 3,000 100
newspaper about epidemic disease control and
prevention
18 Communication program for NCD times 200,516 200,516 100
19 Public health radio program through Radio Nepal times 52 52 100
20 Communication program for health promotion and times 200,000 169,900 84.95
Tobacco control activities
21 Communication program for Epidemic diseases times 1,900 1,900 100
22 Golden 1000 days communication campaign times 23,674 23,618 99.76
program
23 Talk show program about FP day celebration times 2 2 100
through TV
24 8 sets booklet production and printing of Nos 5,000 5000 100
Adolescents and reproductive health related
materials
25 Communication program on TB, HIV and Leprosy times 102,028 102,028 100
control program
26 Establishment and implementation of Health news times 2 2 100
desks
27 Production of CDs on different communication Nos 1 1 100
programs
28 Update NHEICC website and Social media account Nos 1 1 100
open for dissemination of messages

DoHS, Annual Report 2073/74 (2016/17) 365

Annex 1: Major Activities Carried out in FY 2073/74

SN Activities Unit Target Achieved %

29 Communication program for Control of risk factors Nos 128,340 128,340 100
of NCDs
30 Communication program for Health promotion times 215,100 215,100 100
activities on Life style, Free services, Ayurved, GBV
31 Communication program for Reproductive and times 128,261 128,261 100
child health
32 Communication program for Environmental health times 228,517 228,517 100
and sanitation
33 Broadcasting of FP, SM and Navimalam related times 750 750 100
messages through TVs
34 Communication program on Sickle cell disease times 1,248,673 1,248,673 100
35 Health Education, Information and communication times 409,783 409,783 100
program on control of communicable diseases
36 Communication program for immunization times 50,000 50,000 100
promotion
37 Communication program for IMNCI program times 85,259 85,259 100
38 Monitoring and supervision for HEICC activities times 175 160 91.43
Source: NHEICC

Logistics Management:
SN Activities Unit Target Achieve %
1. Construction of New Warehouse in Teku and Pathalaiya Building 2 2 100
2. Procurement and payment of Biomedical, Cold Chain, Times 3 3 100
Machinery Equipment
3. Procurement of Biomedical and Cold Chain Spare Parts Times 3 3 100
4. Procurement of Hospital Equipments Number 200 200 100
5. Procurement and Distribution of Pick-Up Number 16 16 100
6. Procurement and Distribution of Ambulance Number 15 15 100
7. Procurement and Distribution of Motorcycle/Scoter Number 45 45 100
8. Procurement and Distribution of Vehicle Number 7 7 100
9. Training on Online Inventory Management System Number 50 50 100
10. Training on Procurement and Supply Chain Number 150 150 100
Management
11. Preparation of Tender Documents, Bidding Times 70 70 100
Publications, Third Party Insurance etc
12. Quality Control of Drugs and Equipments Times 60 60 100
13. Maintenance of Biomedical, Cold Chain Equipments, Number 105 105 100
Machinery and Vehicles
14. Printing of LMIS Forms and Stock Book Times 1 1 100
15. Website updates, repair and maintenance of LMIS Times 1 1 100
16. Fuel for Vaccine protection to Generator operations Places 7 7 100
17. Workshop/Meeting on Pipeline, Forecasting and Times 5 5 100
Quantification
18. Routine Data Quality Assessment Times 1 1 100
19. Repacking and transportation of Essential Drugs, Times 450 450 100
Vaccines, Equipments
20. Integrated Supervision, Monitoring and Evaluation Times 50 50 100
21. Contract staffs for operation of LMIS (District Program) Number 80 80 100
22. Repacking and transportation of Essential Drugs, Number 225 225 100
Vaccines, Equipment (District Program)
Source: LMD

366 DoHS, Annual Report 2073/74 (2016/17)

 Annex 1: Major Activities Carried out in FY 2073/74
National Public Health Laboratory
SN Activities Unit Targets Achieve %
1 Procurement of water analysis Machine set 5 5 100
2 Procurement of auto immune disease testing machine set 1 1 100
Procurement of necessary equipment for service set 20 100
3 20
enhancement at PHC level laboratories
Establishment of Bacteriology service at hospitals with site 25 100
4 the support of separate room and Human resource form 25
related hospitals
Procurement of equipments for establishment of One site 1 100
5 1
Regional Laboratory
Establishment of Laboratory at Health post level with the site 25 100
6 25
support of VDCs for infrastructure and Human resource
Procurement of Blood Component separation Machine site 1 100
7 1
for Jhapa BTSC
Expansion of Blood transfusion services at remote five site 5 100
8 5
district
9 Hiring of different staff on service contact basis person 24 24 100
Application training on operation of bio-chemistry person 20 100
10 analyser, cell counter machine to regional and zonal 20
hospital laboratory staff
Bacteriology service operational training for laboratory Persons 20 100
11 20
staff working at district hospital
On the job training for newly appointed lab technician person 30 100
12 30
and lab assistant
Operational of National Bureau of Blood Transfusion time 3 100
13 3
service
Continuation of quality control programme in different time 3 100
14 3
laboratories and BTSCs throughout the country
Procurement of kits, chemical and reagents for National time 3 100
15 3
Influenza Center
Procurement of reagents, kits and chemical for time 3 100
16 3
emergency diseases diagnosis
17 Printing and publication of browsers and guidelines time 1 1 100
Procurement of kits, chemicals and reagents for regular time 3 100
18 3
and specialized laboratory test
19 Regional review meeting of laboratory services site 5 5 100
Monitoring and evaluation of government hospital 100
20 laboratories, private hospital laboratories and blood site 150 150
banks
Source: NPHL

DoHS, Annual Report 2073/74 (2016/17) 367

Annex 1: Major Activities Carried out in FY 2073/74
Primary Health Care Revitalization

SN Activities Unit Targets Achieve %

1 Procurement of Computer/Laptop etc. Pcs. 3 3 100
2 Procurement of furniture Times 3 3 100
3 Procurement of Motorcycle Pcs. 2 2 100
4 Monitoring and Supervision Times 80 80 100
5 Procurement of Free Health Drugs Times 3 3 100
6 Website Develop Times 1 1 100
7 Senior citizen and disable person's health checkup and Times 2 2 100
Materials distribution
8 Revision and Printing of guidelines Times 2 2 100
9 Co-operative Health Program Times 1 1 100
10 Study of Urban Health Times 1 1 100
11 Establishment of UHPC HF 13 11 84.62
12 Training on Social Audit Times 5 5 100

Source: PHCRD

Management
SN Activities Unit Targets Achieve %
1 Hospital strengthening program Times 82 82 100
2 Printing of HMIS R/R & monitoring tools Times 1 1 100
3 Upgrading of HMIS Software Times 1 1 100
Training/Follow-on health care waste management
4 Times 12 12 100
programme
5 Revision/update and printing of program guidelines Times 1 1 100
6 Data Management Training Times 2 2 100
7 National annual review workshop Times 1 1 100
8 Services for impoverished citizens through listed Hospital Times 3 3 100
9 Integrated supervision Times 150 150 100
Preparation and Printing of DoHS Annual Report FY
10 Times 1 1 100
2072/73
11 Oral health basic training for health workers Times 1 1 100
Source: MD/DoHS

368 DoHS, Annual Report 2073/74 (2016/17)

 Annex 2: Program Targets for FY 2074/75
Annex 2: Program Targets for FY 2074/75
Child Health: Immunization
SN Activities Unit Target
1 Two days review and planning formulation workshop on sustainability of Full No. of 1
Immunization declaration programme and local resource mobilization-2 batch times
for 100 municipality chiefs and programme focal persons
2 Annual review of hygiene promotion programme through Immunization No. of 1
times
3 Review of electronic registration system of Immunization services (Kanchanpur, No. of 1
Palpa, Kaski, Chitwan, Bhaktapur) and expansion in 1 district times
4 Financial analysis of entire investment on Immunization services-2 days No. of 1
workshop (10 districts) times
5 Introduction of FIPV vaccine programme and distribution system supervision No. of 3
times
6 Interaction and review on Immunization Act, Immunization fund and rule, No. of 3
Immunization programme (1 day), budget programme implementation and times
annual budget and programme preparation workshop 2 days for women,
children, elderly people and members of social welfare commitee and
parliament, media persons and stakeholders
7 Management of AEFI and aid in treatment expense No. of 3
times
8 EPI related recording and reporting programme for EPI focal person and No. of 2
Statistics persons times
9 ToT for training conduction on Immunization act, rule and new vaccines No. of 1
according to the new guideline of Immunization programme 4 days-2 batch times
10 4 days training on immunization for health workers working in private, non No. of 2
government health institutions and urban health clinics-4 batch, 100 persons times
11 Verification and monitoring of PCV 4 dose instead of 2 dose switch programme No. of 3
times
12 Verification and authentication survey of full immunization declared districts, No. of 1
identification and documentation of present status of full immunization times
13 Monitoring and research of AEFI and meeting of Immunization related No. of 3
committees (AEFI, NCIP, ICC and stakeholders) times
14 Advocacy workshop on sustainable financial management of Immunization No. of 2
programme for members of parliament and policy makers, industrialist, times
businessmen, bankers, civil society and stakeholders-2 times
Source: CHD

Child Health: Nutrition Program

SN Activities Unit Target
1 Multisectoral advocacy, coordination and collaboration meeting on use and No. of times 1
promotion of salt having two children's logo
2 Advocacy, communication, workshop and review on School Health and No. of times 3
Nutrition Programme and School Health and Nutrition Network
coordination and meeting
3 Establishment and operation of National Nutrition Centre No. of times 1
4 Public release of National Micro-Nutrient Survey No. of times 1
5 Revision and update of National Nutrition Policy No. of times 1
6 Media involvement and collaboration for nutrition promotion No. of times 3
7 Workshop on technical and legislative aspect related to rice fortification No. of times 1
8 Regional, provincial level orientation on HMIS nutrition indicators' No. of times 3
recording and reporting for nutrition focal persons and statistics persons to
enhance the quality of nutrition related indicators-3 regions eastern,
central and western
9 Joint meeting with MoH, MoFALD and NPC for format development of No. of times 2

DoHS, Annual Report 2073/74 (2016/2017) 369

Annex 2: Program Targets for FY 2074/75
SN Activities Unit Target
sustainability of nutrition programme
10 Review meeting of Nutrition Surveillance System being conducted in the No. of times 1
district (Central level)
11 ToT on Integrated Nutrition Programme for MSNP implemented district's No. of times 1
health workers
Source: CHD

Child health: CB-IMNCI

SN Activities Unit Targets
1 Procurement of ARI timer No. of 3
times
2 A survey on care of PSBI among sick young infants (0-2 months) in private No. of 2
sector-medical shops and clinics times
3 Electronic app development and testing (reportng of newborn and No. of 1
children related illness and death) times
4 Package formation for community mobilization (equity and access No. of 1
programme) times
5 National level seminar for IMNCI programme No. of 1
times
6 Facility based IMNCI training to health workers of district hospital No. of 2
times
7 Orientation to Private Hospital and health service providers on IMNCI No. of 1
clinical protocol times
8 Piloting of new ARI timer (ARIDA project) No. of 3
times
9 Pilot study of social franchising model for PSBI care among 0-2 months No. of 2
infants in private medical shops times
10 QI mentorship to SNCU unit No. of 20
times
11 Strengthening of statistical and reporting system of newborn related No. of 20
illness/death in district hospitals (SNCU) times
12 Newborn related Level II (SNCU) training for Medical Officers No. of 2
times
13 IMNCI programme evaluation and operation study for university students No. of 1
studying MPH and MN times
Source: CHD

Family Health: Safe motherhood program

SN Activities Unit Targets
1 24 hours CEOC Services Place 53
2 Recruitment of Staff Nurse Number 75
3 Recruitment of ANM Number 1550
4 Free blood transfusion service for Aama program Pint 7500
5 4th ANC (incentive) Number 225000
6 Free delivery and transportation incentive Number 415000
7 Onsite coaching for SBA Number 31
8 UP Surgery Number 3500
9 Fistula/ UP screening Number 300
10 Clinical update for Nursing staff Number 49
11 Free treatment for neonate Number -
12 MPDSR program implementation Districts 11
13 Free abortion service Number 80000

370 DoHS, Annual Report 2073/74 (2016/2017)

 Annex 2: Program Targets for FY 2074/75
Family Health: Family Planning
SN Activities Unit Targets
1 Family Planning (FP) current users Couple
2 VSC expected new acceptors Couple 30000
3 IUCD expected new acceptors Couple 48000
4 Implant expected new acceptors Couple 90000
5 FP program strengthening through DMT, EC, MEC wheel District 49
6 Micro-planning and response actions implementation in low CPR District 58
districts
7 Support to satellite clinic for LARC methods Time 306
8 FP with VP service District 20
9 Regular VSC comprehensive service District 5
10 Support to Institutional Clinic District 24

Family Health: FCHV /ASRH/PHC-ORC

SN Activities Unit Targets
1 Continue support o AFS clinic Person -
2 Bi-annual FCHV review District 75
3 Menstrual Hygiene program District -
Source: FHD

Epidemic disease control programs

Annual
SN Activity Unit
Target
Epidemic disease control
Construction of cold room for storage of medicines required in
1 No. of building 1
emergencies and maintenance of EDCD toilet
Epidemic disease control
HR and travel costs for Health team of 4 including 2 doctors at
2 No. of times 1
Tribhuwan International Airport
3 Hiring of staff for official work on agreement No. of times 7
Cost for RRT mobilization and intra sectoral coordination for outbreak
4 No. of times 3
control and disaster management
Supervision and monitoring for prepreparation of disaster management
5 No of times 10
activities
6 Orientation on EWARS to doctors, health staff and medical recorder No. of times 3
7 Monitoring of food quality of restaurants located in highway No. of times
8 EWARS guideline-2009 revise and modification No. of times 3
Planning meeting at regional level on vector borne disease control,
9 No of times 5
disaster and epidemic and surveillance activities.
10 Preparation of documentary of water quality surveillance activities No. of times 5
11 Regional meeting on water quality surveillance No. of times 5
12 Emergency preparedness plan meeting for hospital No. of times 3
Orientation to health workers on scrub typhus, malaria, kalaazar
13 No of times 5
including other vector borne diseases
Interaction program and health message promotion regarding cold and
14 No. of times 1
its effects in Terai areas
Interaction program with related stakeholders on effect and
15 No. of times 1
management of radio nuclear and biochemical disaster
16 Purchase of RRT deployment kits No. of times 3
purchase and deployment of medicine and necessary equipment for
17 No of times 1
epidemic and disaster management in related district
DoHS, Annual Report 2073/74 (2016/2017) 371
Annex 2: Program Targets for FY 2074/75
Annual
SN Activity Unit
Target
18 purchase of water quality test machine for water quality surveillance No of item 64
19 Purchase of diphtheria antitoxin, ARV and other vaccine No. of times 3
20 Activities to manage sickle cell anemia in affected districts No. of times 3
1 day regional level interaction program to RHD, chiefs of Medical
Colleges, chiefs of Regional/Sub-Regional/Zonal Hospitals, NPHL,
21 No. of times 1
directors of various divisions of DoHS on sickle cell anemia and
thalassemia
Baseline survey to find the burden of Hepatitis E in Nepal as suggested
22 No of times 1
by the first National Symposium on Hepatitis E
23 Various activities to strengthen the implementation of IHR No of times 3
Form Highway RRT to rescue the casualties in accidents in major
24 highways, orient the highway RRT and prepare Highway RRT No of times 20
mobilization guidelines
Malaria control
25 Evaluation of surveillance conducted by EDCD No. of times 3
26 Conduct annual national review meetings No. of times 1
Capacity Building orientation for medical recorders of new and existing
27 sentinel sites and people from EDCD to strengthening the reporting No. of times 4
system
Quality control of 5000 pcs of malaria slides at central level &
28 monitoring of the blood slide samples examined at districts for quality No of times 12
assurance
Multi-sector advocacy meetings at national levels to secure support for
29 No. of times 1
Malaria elimination
30 Strengthen Malaria technical working group (TWG) No. of times 3
31 Procurement and supply of fogging machine No. of times 1
32 VAT and other tax for GF/SCI funded capital items and activities No of times 1
Procurement of Insecticide for Indoor residual spraying for malaria
33 No. of times 1
control in endemic districts
34 Procurement of LLIN for malaria endemic districts No. of piece 300000
Procurement of medicines and medical goods for malaria diagnosis and
35 No. of times 1
control
36 Procurement and supply of spare parts for Hudson pump repairmen No of times 1
37 Procurement of microscopy for diagnosis of malaria 1
Kala azar control
38 orientation on online reporting of kala azar cases through DHIS 2 No. of person 12
39 national review meeting on kalaazar No. of times 1
Orientation to medical college,private hospitals, teaching hospitals on
40 treatment procedure and on active case detection orientation to district No. of times 4
with kalaazar case.
41 Case base surveillance and active case finding of Kala-azar in districts No of times 3
Procurement and supply of medicines and medical goods for Kala-azar
42 No of times 1
control
Procurement of Insecticide for Indoor residual spraying in Kala-azar
43 No of times 1
affected districts
Natural disaster management
Orient RRT on RH promotion in emergency and natural disaster for
44 No. of times 75
preparation of district level contingency planning
Lymphatic filariasis elimination
372 DoHS, Annual Report 2073/74 (2016/2017)
 Annex 2: Program Targets for FY 2074/75
Annual
SN Activity Unit
Target
45 Printing of IEC material for LF program No. of times 1
46 Surveillance of LF No. of times 2
Technical support from central level to districts regions in LF elimination
47 No. of times 3
programme
48 preparation of documentary on LF No of times 1
49 annual report preparation on LF No. of times 1
50 Technical & financial support by LSTM/DFID in LF elimination No. of times 1
51 Financial and technical support from RTI/USAID on LF elimination No. of times 1
52 Procurement of DEC Tablet for LF MDA No of Piece 29800000
Zoonotic Disease
53 Surveillance in districts having zoonotic disease outbreaks No. of times 5
Orientation to the medical officers and paramedics on rational use of
54 No. of times 5
ARV and case management of dog bites and poisonous snakebites
55 Training and orientation to health workers regarding snake bites No. of times 5
56 Procurement and supply of ASVS for around 2000 persons to districts No of item 30000
57 Procurement of ARV (Cell culture vaccine) for approx 50,000 persons. No of item 350000
Dengue Control
Orientation on Dengue and chikungunya fever and mosquito larva
58 No. of times 3
search and destroy campaign
59 National review meeting on dengue No. of times 1
Orientation to medical college,private hospitals, teaching hospitals on
60 No. of times 1
management of dengue case
Procurement of RDT including G6PD for diagnosis of vector borne
61 No of times 3
diseases
Source: EDCD

Tuberculosis
SN Activities Targets
1 Human resource for NTC culture/dst lab person
2 Hire a lab technician and a lab boy for regional QC centers person
3 PME workshop of NTP at national level times
basic DR modular training for helath workes of new and existing DR centers/sub
4 batch
centers
Provide suppport to hospitals, medical colleges, PHCS to establish DR centers and sub
5 place
centers
7 LQAS training to lab staff batch
8 Basic lab modular training batch
9 Trimester PME workshop at regional level time
10 Clinical management training to medical doctors batch
11 Training of c/dst ISO safety measures batch
12 scholarship for higher medical education such as MD in chest etc person
13 Procurement of digital x-ray machine piece
14 Procurement of N95 Mask and other personal protecting accessories piece
15 Procurement of cartridge for gene-xpert machine piece
16 Procurement of consumebals and reagents for sputum microscopy Times
17 Procument of first line TB drugs times
18 TB drug transportation from national level to regional medical stores. times
19 procurement of second line drug times
20 Supervision from center to regions/districts times

DoHS, Annual Report 2073/74 (2016/2017) 373

Annex 2: Program Targets for FY 2074/75
SN Activities Targets
1 Human resource for NTC culture/dst lab person
21 Conditional grant to DR home, Bandipur times
22 Extension of warranty of gene-xpert machines with CEFEID
23 Calibration of genexpert modules module
24 Procurement of LED fluroscence microscope piece
25 Procurement of binaculor microscopes piece
26 establishment of MIGIT culter in eastern region Times
27 Procurement of four module gene-xpert machine piece
28 Procure digital x-ray for RTC Pokhara piece
29 Expand LPA at those same centers as for culture and DST. (in EDR, MWR and WDR) place
30 Procurement of AC for DR Centers piece
31 Procurement of LCD Projector piece
32 Procurement of inspisetor for BPKIHS piece
33 minus 80 degree fridger for c/dst lab of BPKIHS piece
34 C/S training for lab Person times
35 Basic clinical management training in TB to medical officers batch
36 Data Analysis capacity building Program batch
37 Onsite data verification program (OSDV). times
38 Conditional grant to Kalimati Chest hospital times
39 Accreditaion Tets Of Culutural DST in Gauting Germany times
1 Human resource for NTC culture/dst lab person
Source: NTC

Leprosy
SN Activities Unit Target
1. Physiotherapy Lab Establishment Places 2
2. Procurement of Vehicle Times 1
3. Laptop and desktop computer purchase Quantity 1
4. Strengthen of data management, web based system Times 3
5. Training on Diagnosis of Autism, Down Syndrome and Cerebral Palsy for
Times 11
Physiotherapist and medical doctors
6. Cooperation with Ayurveda & other medical system for leprosy control
Times 5
programme
7. Conduct reconstructive surgery camp in coordination with supporting partners in
Times 7
the centre and province level
8. Coordination meeing of Steering, Technical and coordination committees with
Times 3
leprosy and disability related partners
9. Operational research Times 2
10. Transportation for the distribution/management of MDT Times 3
11. Celebration of World Leprosy Day Times 1
12. Surveillance for leprosy and disability prevention Times 2
13. Orientation on leprosy for parliamentarians and health workers Times 5
14. Trimester review meeting Times 3
15. Printing of annual report, programme implementation guideline and bulletins Times 1
16. Support to the students of public health and doctors for the conduction of study
Times 14
related to leprosy affected and disability
17. Preparation of guideline on leprosy and complication management Times 3
18. Early diagnosis and assessment service for Autism, Down Syndrome and Cerebral
Places 8
Palsy

374 DoHS, Annual Report 2073/74 (2016/2017)

 Annex 2: Program Targets for FY 2074/75
SN Activities Unit Target
19. Strengthening & monitoring of Prevention of Impairment and Disability (POID) Times 7
20. Monitoring and technical support for disability programmes Times 15
21. Development and distribution of disability related IEC materials Times 1
22. Preparation, printing and distribution National Guideline on disability &
Times 1
rehabilitation
23. National Workshop on Disability Management Times 1
24. Development and distribution of IEC materials on selection and prioritization of
Times 1
assistive devices
25. Technical monitoring and case validation Places 10
26. Continue medical education for doctors on leprosy programme Times 2
27. Active search for leprosy case detection in leprosy endemic community and
Places 5
pocket areas
28. Purchase of drugs for leprosy complication management Times 1
29. Programme monitoring and supervision Places 10
30. Grand for strengthening of referral centre for specialized service Places 3
31. Strengthen of laboratory and skin clinic in central hospital Places 10
32. Operations of physiotherapy and rehabilitation units (Gorkha, Sindhupalchok.
Dolakha, Rasuwa, Dhading & Nuwakot) Times 1
33. Cooperative grant for national seminar of dermatologists Times 1
34. Grant for leprosy affected of Khokana Arogya Ashram& other groups Times 3
35. Operation cost for office helpers and drivers Persons 2
36. Cooperative grant for diagnosis and treatment of Autism, Down Syndrome,
Times 1
Cerebral Palsy, Spinal Injury and Psychosocial disability
37. Strengthen of central and province level for the provision of rehabilitation
Times 8
services
38. Cooperative grant for the distribution of assistive devices Times 1
Source: LCD
HIV/AIDS and STI
SN Activities Unit Targets
1 National Consolidated Guidelines on SI of HIV Response in Nepal Time 1
2 Conduct 9 Integrated Bio-Behavioral Surveillance (IBBS) Survey among 4 Compon
Key Populations [MSM and TG, FSW, PWID(Male, Female) and male ents 9
labour migrants]
3 Mapping and size estimation of key population in Nepal Time 1
4 Expansion of ART sites Sites 5
5 Establishment of ART Dispensing Centre Centre 10
6 Clinical Management Training(CMT) Person 100
7 National HIV Strategic Plan 2016-2021 Time 1
8 Strengthening HMIS system- customization of DHIS2 Tracker Time 1
9 One day Orientation on Recording and Reporting to Private Hospitals Event 5
10 Regional Data Review and Verification Workshop Event 5
11 Logistic Management Training Event 4
Source: NCASC

DoHS, Annual Report 2073/74 (2016/2017) 375

Annex 2: Program Targets for FY 2074/75
National Public Health Laboratory
S.N. Activities Unit Target
1. Procurement of Furniture and Fixture for newly constructing building time 1
2. Procurement of motorcycle pcs 3
3. Procurement of equipment for establishment of molecular lab set 1
4. Procurement of fully biochemistry analyzer machine set 3
5. Procurement of equipment of establishment of health post level set
100
laboratory
6. Procurement equipment for the establishment of Regional Public Health set
1
Laboratory
7. Procurement of cell counter machine for district hospital set 15
8. Procurement of equipment for BTS expansion in 5 remote districts set 5
9. Procurement of equipment for bacteriology service establishment set 10
10. Hiring of different staff on service contact basis persons 35
11. Two weeks orientation Training to newly appointed Lab Assistant and Lab Persons
25
Technician
12. Continuation on quality control programme for laboratory and BTSCs time 3
13. Operational of National Bureau of Blood Transfusion service time 3
14. Application training on electrolyte, Biochemistry analyzer and cell counter persons 30
15. Procurement of kits and chemicals for laboratory testing time 3
16. Procurement of reagents, kits and chemical for emergency diseases time
3
diagnosis
17. Bacteriology service operational training for laboratory staff working at persons
20
district hospital
18. Printing and publication of browsers and guidelines time 1
19. BSL-3 Lab operational and management time 1
20. Programme management of NIC, HIV and Microbiology time 1
21. Monitoring and supervision of government and private laboratories time 600
Source: NPHL

Health Training
SN Activities Unit Target
1 Continuation on Supervisor upgrading training Person NA
2 Continuation on Sr.AHW training Person ,,
3 Continuation on Sr. ANM Person ,,
4 Continuation on AHW Person ,,
5 Continuation on ANM Person ,,,
6 Continuation on AHW-P Person ,,
7 Continuation on ANM-P Person ,,
8 Pediatric nursing training Person ,,
10 Basic IUCD training (Nursing staffs) Person ,,
11 Palliative care training (Doctors and staff nurse) Person ,,
12 Induction training for newly recruited health officers Person ,,
13 Medico-legal training (Doctors) Person ,,
14 X-ray users maintenance training Person ,,
15 CTS training Person ,,
16 AA training (HA, staff nurse) Person ,,
18 Vasectomy training (MO, groupwise) 12+5 days Person ,,
19 Minilap training (MO/staff nurse) 12+5 days Person ,,
20 Implant training (Nursing staff/ paramedics) Person ,,
21 Comprehensive family planning and counseling training (FP service Person ,,
providers)

376 DoHS, Annual Report 2073/74 (2016/2017)

 Annex 2: Program Targets for FY 2074/75
SN Activities Unit Target
22 Rural ultrasound training (staff nurse) Person ,,
23 NSV Self-paced learning approach Person ,,
24 ASBA training (Doctors) Person ,,
25 IUCD self-paced learning approach Person ,,
26 SBA training (Doctors, nurse and ANM) Person ,,
27 PPIUCD training (Nursing staff) Person ,,
28 Biomedical equipment technical assistance training Person ,,
29 Adolescent sexual and reproductive health (ASRH) training Person ,,
30 MISP training Person ,,
31 Safe Abortion training (Doctors, staff nurse) Person ,,
32 Transaction Accounting and Budget Control System (TABUCS) training Person ,,
33 Operation Theater training (Nurse) Person ,,
34 N-ICU management training (MO and staff nurse)- level 2 Person ,,
35 Development and revision of different training package Event ,,
36 Training on PEN package to health workers Person ,,
37 Gender based violence training to health workers Person ,,
38 Screening of pre-cancer/ lesion VIA/CRAYO for HW training Person ,,
39 Preparation of training strategy and training management guideline Times ,,
40 TOT on infection prevention and control (Central and regional level) ,,
41 Follow up enhancement program (FEP) District ,,
42 Training materials and curriculum development and revision of various Times ,,
trainings including OTTM and Medicolegal
43 Supervision and monitoring (NHTC & RHTC) Times ,,
Source: NHTC,

Health Education Information and Communication

SN Activities Unit Targets
1 Communication program for Control of risk factors of NCDs including times 500,000
pen package
2 Communication program for Control of risk factors of NCDs times 400,000
3 Production and dissemination of IEC material related to TB, HIV and times 200,000
Leprosy control program
4 Communication program for NCD times 400,000
5 SUAAHARA II nutrition promotion communication campaign times 2,800,228
6 MeroBarsha 2074, Ma SwathaMeroDeshSwastha, Health promotion times 9,835,189
program.
7 Communication program for IMNCI program times 50,000
8 Golden 1000 days communication campaign program times 210,553
9 Communication program and daily monitoring of newspaper about times 2,000
epidemic disease control and prevention
10 Communication program for communicable disease control times 200,000
11 Broadcasting of Jeevan chakra, health messages, public health debate times 2978
through NTV.
12 Airing of health messages and public health radio program through times 4268
Radio Nepal
13 Establishment and implementation of Health news desks times 3
14 Production of CDs on different communication programs Nos 1000
15 Health promotion and Communication program on Sickle cell disease Nos 155,734
16 Development of health promotion strategies times 1
17 Online dissemination of health news through National news committee times 140
and social media.
DoHS, Annual Report 2073/74 (2016/2017) 377
Annex 2: Program Targets for FY 2074/75
SN Activities Unit Targets
18 Publication of health related messages and notices through different times 100
newspaper
19 Update NHEICC website and activities on Facebook and Social media times 15
account, App development for dissemination of messages
20 O and M survey of Health Education Technician times 1
21 Promotion of health messages through health related seminar, sports times 10
program.
22 Conduct formative survey for health promotion and communication times 1
program.
23 Health promotion capacity development. times 5
24 Dissemination of health messages through digital electric board times 5
25 Communication program forFilariasis ( MDA ) times 3
26 Communication program for Health promotion activities on Life style, times 100,000
Free services, Ayurved, GBV
27 Publication of Flip wall chart (calendar), booklet, and program times 76080
implementation guideline.
28 Communication program on zoonotic diseases and poisonous food times 3
29 Communication program for occupational health, environmental health times 70,000
and sanitation
30 School and Community based Hand washing program Nos 300
31 SMS, Apps and IVR services through information technology center times 8,000,035
32 Development, Printing and distribution of Mount board on FP, SM and times 3,955
Neonatal Health
33 Broadcasting of FP, SM and Navimalam related messages through TVs times 750
34 Online dissemination of health messages times 30,000,049
35 Monitoring and supervision for HEICC activities times 175
36 Media interaction and communication program on SN, FP, neonatal times 306,016
health and adolescent health
37 Production, printing and distribution of FP, SM and neonatal health times 700,000
pamphlet
38 Communication program for FP, SM and neonatal health times 15
39 Talk show program about FP day celebration through TV times 2
40 Communication program for Reproductive and child health times 128261
41 Communication program for immunization promotion times 50,000
42 8 sets booklet production and printing of Adolescents and reproductive times 10,000
health related materials
43 Communication program on school and adolescent friendly service times 1290641
center, safe motherhood, delay marriage and family planning
Source: NHEICC
Logistics Management
SN Activities Unit Target
1. Re-Construction of Central Warehouse at Teku and Pathalaiya and Building 3
RMS Dhangadhi
2. Construction of Vaccine Store at Teku Building 1
3. Procurement of Furniture of Health Facilities Piece 100
4. Procurement of Ambulance Piece 20
5. Procurement of Vehicle Piece 1
6. Procurement of Pick-Up Piece 8
7. Procurement of Cold Chain Equipment and Spare Parts Time 3
8. Procurement of Laptop, Desktop, Internet Devices for Online IMS Piece 150
9. Procurement and Payment of Hospital Equipments Time 3
10. Procurement of Transformer Piece 3
Training on Telemedicine Program Person 45
11. Outsourcing training on e-bidding, e-procurement and Procurement Persons 200
378 DoHS, Annual Report 2073/74 (2016/2017)
 Annex 2: Program Targets for FY 2074/75
SN Activities Unit Target
12. Training on online Inventory Management System Person 190
13. Quality Control of Drugs and Equipments Times 70
14. Maintenance of Biomedical, Cold Chain Equipments, Machinery and Number 100
Vehicles
15. Fuels for Generators to save vaccines Place 7
16. Preparation of Tender Documents, Bidding Publications, Third Party Time 3
Insurance etc
17. Strengthening of Software Time 10
18. Data quality assessment outsourcing Time 2
Web-site updates and Online LMIS repair and maintenance Time 1
19. Preparation and printing of LMD report Time 1
20. Printing of LMIS Forms and Stock Book Time 1
21. Repacking and Transportation Essential Drugs, Vaccines, Equipment Times 450
22. Procurement of Essential Medicines for Buffer Stock Times 3
23. Supervision and Monitoring Times 50
24. Team Mobilization for Cold Chain Equipment Assessment, Inventory, Times 3
Auctioning and preparation of replacement plan
25. Payment of internet and monitoring of Telemedicine Program Times 3
26. Contract staffs for operation of Online IMS (District Program) Number 80
27. Essential Drugs, Vaccines, Equipment Repacking and transportation Number 225
(District Program)
28. Repair and maintenance of biomedical equipments and vehicles Districts 75
(District Program)
Source: LMD

Primary Health Care Revitalization

SN Activities Unit Targets
1 Revision & Printing of Guidelines Times 2
2 Procurement of free health drugs Times 3
3 Monitoring & Supervision Times 100
4 Health co-operative program Times 1
5 Training on ENT and Oral Health Times 1
6 Procurement of Furniture Times 2
7 Procurement of Motor Cycle Pcs. 1
8 Procurement of Laptop ,Desk top computer Pcs. 4
9 Study of effectiveness of free health services Times 1
10 Training on Mental Health Batch 1
11 STP program District 40
12 Procurement of NCD Diagnostic Equipments Times 2
13 NCD Program (Training and program expansion) District 20
14 HFOMC (CHU) orientation Times 1
15 Study of effectiveness of CHU Times 1
16 Regional interaction of Division programs Provence 7
17 GESI orientation Times 1
18 Senior citizen & disable person's health check up and material Times 2
distribution
19 Citizen Engagement program Provence 7
20 Procurement of Vehicle Pcs. 1
21 Environment effect on Health program Times 3
22 Healthy Behavior change Times 3
23 Road Accident program Times 3
24 Occupational Health program Times 3
25 Basic Mental Health Training for HR Batch 1

DoHS, Annual Report 2073/74 (2016/2017) 379

Annex 2: Program Targets for FY 2074/75
26 Community Mental Health Program District 6
27 PPP on Mental Health Program District 6
28 Awareness program on Mental Health District 6
29 Co-operative program on Mental Health District 6
30 Social Audit HF 381
31 Staff Hiring for Division Persons 6
32 Establishment and operational Grant for CHU CHU 450
Source: PHCRD

Management
SN Activities Unit Targets
1 Computer Assistant on contract service District 60
Health care waste management, onsite coaching and preparation of job Times 2
2
description health workers
3 HMIS Training to newly recruited HWs -75 Districts District 75
4 Hospital Equipment maintenance program expansion in 5 regions Region 5
5 Web site hosting, upgrade and firewall in DoHS Times 1
6 AI Training Times 2
7 HMIS Training Manual Update Times 1
8 Revision/update and printing of program guidelines Times 1
9 National annual review workshop Times 1
10 Printing of HMIS , R/R Tools, Monitoring Sheet Times 1
11 HMIS Training for Central and Private Hospitals Staff Times 1
12 Oral health basic training for health workers Times 24
13 Oral health school programme Times 4
14 Services for impoverished citizens in community level Times 8
15 Software update and purchase of health information piece 5
16 Printing of DoHS Annual Report 2073/74 Times 1
17 National annual review workshop Times 1
18 Integrated supervision Times 300
Source: MD,DoHS

380 DoHS, Annual Report 2073/74 (2016/2017)

 Estimated Target Population FY 2073/74 (2016/17)
Total: 15 - 44 MWRA
Total Expected 00 - 11 02 - 11 12 - 23 00 - 23 06 - 23 00 - 35 00 - 59 06 - 59 12 - 59 WRA 15 - Expected 60 & +
District Name 10 - 19 Female 15 - 49
Population Live Births Months Months Months Months Months Months Months Months Months 49 Years Pregnancy Years
Years Population Years
Nepal 28621764 641883 623929 603338 626022 1249951 939647 1841550 2959086 2648782 2335157 6300462 7488069 8201707 6216951 756976 2423241
Province 1 4787313 109392 106215 102712 104038 210253 157426 308561 494301 441474 388086 1052821 1276030 1397654 1059424 128998 405336
01 TAPLEJUNG 129758 2970 2884 2787 2817 5701 4272 8360 13392 11963 10508 28534 34663 37966 28783 3504 10986
02 PANCHTHAR 195447 4534 4403 4256 4222 8625 6436 12615 20151 17962 15748 42951 52915 57958 43933 5348 16542
03 ILAM 303859 6816 6620 6404 6645 13265 9977 19548 31408 28120 24788 66891 79541 87126 66047 8037 25722
04 JHAPA 882200 20397 19806 19149 19088 38894 29022 56933 91020 81148 71214 193899 237937 260618 197540 24051 74696
05 MORANG 1043974 23568 22888 22135 22790 45678 34271 67208 107879 96472 84991 229736 274942 301144 228271 27794 88390
06 SUNSARI 854252 19188 18630 18019 18679 37309 28023 54962 88313 79027 69683 188021 223771 245098 185779 22628 72351
07 DHANKUTA 168437 3941 3823 3697 3631 7454 5560 10886 17366 15472 13543 37001 45944 50319 38142 4652 14264
08 TERHATHUM 101365 2385 2313 2235 2181 4494 3349 6551 10441 9296 8128 22257 27798 30448 23078 2812 8581
09 SANKHUWASABHA157463 3606 3504 3390 3418 6922 5189 10152 16256 14523 12752 34634 42100 46107 34951 4251 13332
10 BHOJPUR 167056 3822 3712 3589 3629 7341 5508 10774 17254 15421 13542 36735 44572 48825 37007 4506 14148
11 SOLUKHUMBU 104051 2328 2255 2182 2281 4536 3422 6692 10764 9650 8509 22897 27138 29728 22536 2746 8803
12 OKHALDHUNGA 150483 3522 3415 3303 3245 6660 4969 9723 15513 13822 12098 33048 41042 44960 34081 4150 12741
13 KHOTANG 187579 4333 4209 4070 4060 8269 6181 12107 19357 17269 15148 41229 50556 55373 41973 5106 15888
14 UDAYAPUR 341389 7982 7753 7496 7352 15105 11247 22050 35187 31329 27434 74988 93111 101984 77303 9413 28892
Province 2 5918977 128037 124344 120243 131106 255450 193573 379351 613361 551484 489017 1305216 1493707 1636053 1240139 150994 501106
15 SAPTARI 683435 15242 14806 14313 14976 29782 22419 43938 70675 63312 55869 150490 177826 194773 147630 17973 57857
16 SIRAHA 678456 15396 14948 14461 14777 29725 22291 43696 70083 62649 55135 149266 179563 196682 149088 18157 57434
17 DHANUSA 808549 17636 17122 16554 17856 34978 26454 51858 83738 75214 66616 178220 205745 225350 170826 20801 68451
18 MAHOTTARI 677930 15063 14635 14156 14877 29512 22228 43575 70133 62849 55498 149304 175805 192555 145957 17758 57418
19 SARLAHI 845841 18105 17581 16999 18801 36382 27638 54151 87703 78959 70122 186606 211197 231321 175341 21350 71584
32 RAUTAHAT 781275 16459 15982 15454 17464 33446 25487 49943 81102 73143 65120 172495 191973 210271 159389 19412 66158
33 BARA 773307 16310 15843 15315 17279 33122 25242 49443 80276 72396 64433 170728 190284 208410 157979 19239 65454
34 PARSA 670184 13826 13427 12991 15076 28503 21814 42747 69651 62962 56224 148107 161314 176691 133929 16304 56750
Province 3 6077355 132374 129036 124768 134203 263239 199009 390055 629577 565347 500541 1339693 1544134 1691304 1282017 156110 514576
20 SINDHULI 305778 6954 6746 6524 6663 13409 10055 19702 31592 28238 24846 67263 81087 88814 67323 8197 25890
21 RAMECHHAP 206815 4850 4713 4558 4451 9164 6822 13369 21322 18980 16609 45420 56575 61967 46976 5724 17511
22 DOLAKHA 187385 4398 4269 4123 4032 8301 6187 12114 19316 17202 15047 41152 51290 56182 42582 5190 15861
23 SINDHUPALCHOK 292451 6623 6436 6221 6374 12810 9620 18839 30219 27029 23783 64352 77260 84623 64145 7811 24751
24 KAVRE 395124 8923 8665 8373 8624 17289 12990 25435 40828 36529 32163 86943 104076 113991 86405 10518 33460
25 LALITPUR 531353 11191 10964 10598 11851 22815 17353 34016 55162 49700 44198 117310 130581 143026 108414 13197 44985
26 BHAKTAPUR 343849 7238 7083 6851 7671 14754 11222 22003 35696 32164 28613 75919 84416 92462 70083 8534 29124
27 KATHMANDU 2041070 42042 41162 39805 45865 87027 66481 130354 212180 191634 171018 451112 490406 537145 407160 49583 172831
28 NUWAKOT 284156 6463 6272 6068 6182 12454 9341 18305 29346 26233 23074 62511 75369 82554 62578 7622 24069
29 RASUWA 44461 988 963 931 976 1939 1467 2859 4600 4128 3637 9789 11547 12647 9586 1166 3769
30 DHADING 347728 8076 7847 7587 7512 15359 11462 22460 35881 31984 28034 76407 94241 103223 78247 9526 29438
31 MAKWANPUR 446169 9887 9600 9285 9801 19401 14626 28667 46165 41390 36565 98273 115344 126339 95767 11659 37771
35 CHITAWAN 651016 14741 14316 13844 14201 28517 21383 41932 67270 60136 52954 143242 171942 188331 142751 17383 55116
Province 4 2475944 58702 57125 55244 53044 110169 81804 160296 254998 226633 197873 543484 685011 750283 568723 69231 209602
36 GORKHA 257323 6236 6061 5856 5472 11533 8526 16701 26463 23456 20402 56421 72749 79684 60403 7358 21768
37 LAMJUNG 170641 4079 3964 3836 3646 7610 5654 11056 17563 15607 13599 37433 47627 52164 39542 4811 14436
38 TANAHU 337846 8246 8004 7735 7152 15156 11175 21915 34702 30721 26698 74047 96257 105424 79914 9723 28614
39 SYANGJA 267443 6596 6409 6199 5644 12053 8869 17385 27466 24282 21057 58589 76955 84289 63893 7780 22637
40 KASKI 549235 12301 12043 11645 12002 24045 18045 35384 56798 50798 44755 120909 143455 157126 119101 14506 46495
41 MANANG 6423 115 112 112 149 261 213 404 673 625 561 1427 1357 1489 1127 134 550
42 MUSTANG 12322 253 248 246 278 526 409 789 1281 1164 1033 2726 2982 3266 2477 300 1041
43 MYAGDI 112325 2671 2596 2509 2408 5004 3716 7275 11566 10278 8970 24650 31162 34132 25871 3147 9510
44 PARBAT 148078 3582 3479 3364 3150 6629 4905 9604 15226 13502 11747 32466 41795 45776 34701 4225 12550
45 BAGLUNG 278243 6830 6636 6417 5882 12518 9221 18080 28586 25289 21950 60973 79722 87317 66184 8055 23557
48.1 NAWALPUR 336065 7793 7573 7325 7261 14834 11071 21703 34674 30911 27101 73843 90950 99616 75510 9192 28444
Province 5 4865799 111753 108515 104920 105540 214055 160053 313802 502216 448214 393701 1069843 1303726 1427967 1082407 131783 411959
46 GULMI 266616 6623 6437 6224 5607 12044 8845 17347 27364 24165 20927 58375 77295 84663 64180 7810 22586
47 PALPA 254181 6210 6028 5823 5387 11415 8425 16503 26124 23134 20096 55709 72441 79344 60144 7323 21516
48 NAWALPARASI 359407 8338 8094 7825 7766 15860 11834 23203 37071 33045 28977 78979 97263 106533 80749 9832 30434
49 RUPANDEHI 993734 22116 21469 20758 21804 43273 32574 63876 102790 92091 81321 218851 257964 282546 214173 26079 84115
50 KAPILBASTU 631126 13754 13359 12918 13943 27302 20647 40477 65367 58712 52008 139120 160485 175782 133242 16221 53418
51 ARGHAKHANCHI 201044 4995 4847 4685 4228 9075 6667 13075 20629 18221 15782 44017 58256 63808 48368 5890 17026
52 PYUTHAN 237195 5861 5692 5506 5001 10693 7866 15420 24353 21526 18661 51958 68367 74878 56760 6911 20085
53 ROLPA 233020 5546 5385 5207 4987 10372 7696 15088 23984 21308 18599 51141 64732 70902 53744 6540 19727
54 RUKUM 57231 1333 1296 1254 1234 2530 1893 3699 5904 5267 4608 12579 15550 17031 12910 1572 4854
56 DANG 611328 14175 13765 13312 13214 26979 20122 39465 63052 56195 49287 134339 165350 181107 137275 16716 51753
57 BANKE 561418 12316 11960 11565 12380 24340 18383 36038 58129 52172 46169 123716 143696 157388 119304 14524 47539
58 BARDIYA 459499 10486 10183 9843 9989 20172 15101 29611 47449 42378 37266 101059 122327 133985 101558 12365 38906
Province 6 1714376 38021 36928 35722 37661 74589 56300 110162 177389 159100 140461 377604 443513 485787 368234 44848 145173
54.1 RUKUM WEST 163903 3819 3707 3588 3535 7242 5406 10586 16901 15065 13194 36010 44539 48783 36979 4507 13871
55 SALYAN 260952 5977 5806 5612 5667 11473 8590 16823 26941 24058 21135 57379 69737 76386 57902 7049 22093
59 SURKHET 391778 8789 8534 8251 8571 17105 12863 25205 40500 36258 31966 86245 102544 112321 85141 10368 33170
60 DAILEKH 283782 6284 6107 5908 6236 12343 9311 18235 29377 26345 23270 62506 73278 80263 60837 7411 24026
61 JAJARKOT 187935 4062 3951 3822 4160 8111 6153 12043 19470 17512 15519 41441 47429 51949 39379 4790 15914
62 DOLPA 40153 867 836 820 892 1728 1327 2564 4156 3755 3320 8863 10093 11059 8381 1023 3409
63 JUMLA 118882 2550 2475 2398 2648 5123 3902 7620 12338 11117 9863 26224 29720 32552 24680 3008 10070
64 KALIKOT 150673 3212 3119 3013 3354 6473 4934 9641 15631 14092 12512 33247 37454 41022 31099 3791 12758
65 MUGU 60603 1278 1241 1201 1354 2595 1985 3875 6290 5680 5049 13384 14900 16317 12368 1507 5138
66 HUMLA 55715 1183 1152 1109 1244 2396 1829 3570 5785 5218 4633 12305 13819 15135 11468 1394 4724
Province 7 2782000 63604 61766 59729 60430 122196 91482 179323 287244 256530 225478 611801 741948 812659 616007 75012 235489
67 BAJURA 147515 3256 3163 3058 3243 6406 4842 9471 15262 13698 12099 32491 38034 41662 31585 3843 12478
68 BAJHANG 211628 4791 4655 4508 4607 9262 6954 13623 21860 19552 17205 46558 55907 61234 46417 5652 17899
69 ACHHAM 276182 6353 6167 5968 5987 12154 9095 17806 28495 25436 22328 60730 74096 81157 61522 7491 23385
70 DOTI 213462 5185 5033 4869 4531 9564 7063 13851 21948 19447 16915 46792 60478 66242 50208 6114 18073
71 KAILALI 880948 19730 19166 18532 19286 38452 28899 56677 91100 81547 71934 193919 230182 252122 191107 23270 74577
72 KANCHANPUR 499024 11527 11190 10820 10803 21993 16418 32204 51485 45910 40295 109694 134408 147219 111593 13594 42248
73 DADELDHURA 152221 3523 3420 3303 3292 6712 5013 9824 15705 14006 12285 33455 41099 45012 34122 4155 12876
74 BAITADI 260731 6050 5877 5679 5629 11506 8585 16828 26892 23971 21015 57296 70582 77309 58599 7133 22075
75 DARCHAULA 140289 3189 3095 2992 3052 6147 4613 9039 14497 12963 11402 30866 37162 40702 30854 3760 11878
 Estimated Target Population FY 2074/75 (2017/18)
Total: Female: MWRA
Total Exp. Live 00 - 11 02 - 11 12 - 23 00 - 23 06 - 23 00 - 35 00 - 59 06 - 59 12 - 59 WRA 15- Expected 60 & +
District 10-19 15-44 15-49
Population Births Months Months Months Months Months Months Months Months Months 49 Years Pregnancy Years
Years Years Years
Nepal 29024614 643337 623394 602822 619197 1242591 930894 1838107 2980237 2668540 2356843 6170665 7610337 8346447 6326607 758652 2475320
Province 1 4833862 109264 105738 102249 102433 208171 155302 306694 495671 442802 389933 1E+06 1292536 1417558 1074509 128849 412256
01 TAPLEJUNG 130131 2946 2851 2757 2756 5607 4182 8258 13343 11918 10492 27637 34848 38218 28969 3474 11095
02 PANCHTHAR 196038 4502 4356 4212 4130 8486 6308 12459 20080 17902 15724 41604 53252 58403 44269 5309 16719
03 ILAM 306381 6798 6578 6361 6535 13113 9824 19399 31456 28167 24878 65132 80419 88198 66854 8017 26129
04 JHAPA 895419 20496 19835 19180 18887 38722 28805 56889 91736 81819 71901 190054 242461 265913 201562 24170 76373
05 MORANG 1058985 23645 22882 22127 22541 45423 33979 67102 108682 97238 85800 225056 279707 306762 232526 27883 90315
06 SUNSARI 871667 19360 18736 18118 18589 37325 27957 55203 89491 80123 70755 185300 229015 251167 190385 22830 74338
07 DHANKUTA 169321 3921 3794 3669 3556 7350 5453 10771 17333 15436 13539 35916 46381 50867 38557 4624 14442
08 TERHATHUM 101242 2356 2280 2205 2122 4402 3262 6443 10360 9220 8080 21470 27868 30564 23168 2778 8633
09 SANKHUWASABHA157091 3558 3444 3330 3326 6770 5048 9969 16106 14384 12662 33360 42086 46157 34987 4196 13397
10 BHOJPUR 163711 3697 3577 3459 3471 7048 5260 10386 16788 15000 13211 34772 43735 47965 36357 4360 13964
11 SOLUKHUMBU 103595 2287 2213 2140 2213 4426 3320 6555 10639 9533 8426 22027 27060 29678 22496 2697 8832
12 OKHALDHUNGA 150881 3488 3376 3265 3171 6547 4859 9597 15448 13760 12072 32009 41262 45253 34302 4113 12865
13 KHOTANG 183511 4192 4057 3923 3874 7931 5903 11657 18804 16776 14747 38954 49595 54392 41229 4943 15652
14 UDAYAPUR 345889 8018 7759 7503 7262 15021 11142 22006 35405 31526 27646 73369 94847 104021 78848 9455 29502
Province 2 6017677 128646 124498 120390 130037 254535 192286 379585 619384 557135 494886 1281644 1521811 1669007 1265107 151705 513168
15 SAPTARI 691784 15268 14776 14288 14785 29561 22173 43781 71052 63664 56276 147105 180615 198084 150148 18005 58998
16 SIRAHA 686172 15432 14935 14442 14569 29504 22037 43515 70386 62919 55451 145775 182547 200204 151755 18198 58525
17 DHANUSA 818754 17668 17098 16534 17637 34735 26186 51696 84221 75672 67123 174300 209004 229220 173749 20835 69821
18 MAHOTTARI 687521 15140 14652 14168 14706 29358 22032 43501 70626 63300 55974 146216 179098 196421 148887 17854 58634
19 SARLAHI 860491 18188 17601 17022 18666 36267 27465 54216 88634 79832 71033 183367 215149 235959 178855 21447 73377
32 RAUTAHAT 799557 16612 16076 15545 17441 33517 25479 50288 82447 74409 66371 170520 196514 215522 163366 19590 68179
33 BARA 789842 16435 15905 15380 17221 33126 25174 49686 81438 73486 65533 168437 194415 213219 161620 19381 67351
34 PARSA 683556 13903 13455 13011 15012 28467 21740 42902 70580 63853 57125 145924 164469 180378 136727 16395 58283
Province 3 6182081 132925 129311 125043 133159 262470 197813 390517 636059 571402 506748 1316264 1572439 1724540 1307202 156752 527237
20 SINDHULI 307494 6912 6689 6468 6531 13220 9876 19500 31544 28200 24855 65330 81767 89676 67974 8151 26225
21 RAMECHHAP 207510 4809 4654 4500 4357 9011 6684 13202 21241 18914 16587 44016 56886 62388 47290 5671 17697
22 DOLAKHA 187406 4353 4213 4074 3933 8146 6040 11928 19181 17075 14968 39747 51496 56477 42810 5133 15985
23 SINDHUPALCHOK 293180 6564 6353 6143 6234 12587 9411 18583 30083 26907 23730 62299 77648 85159 64551 7741 25003
24 KAVRE 397518 8864 8578 8295 8467 17045 12756 25187 40802 36513 32224 84487 104858 115000 87170 10453 33901
25 LALITPUR 543576 11284 11044 10680 11828 22872 17350 34246 56055 50533 45011 115933 133486 146397 110969 13307 46347
26 BHAKTAPUR 351447 7287 7132 6897 7650 14782 11216 22139 36245 32679 29113 74961 86197 94534 71657 8593 29966
27 KATHMANDU 2098455 42654 41746 40368 45979 87725 66847 131928 216673 195795 174927 447963 504566 553377 419460 50299 178981
28 NUWAKOT 285295 6413 6206 6001 6058 12264 9161 18090 29265 26162 23059 60610 75866 83205 63069 7563 24333
29 RASUWA 44657 985 953 922 953 1906 1430 2824 4586 4110 3633 9497 11653 12780 9687 1162 3808
30 DHADING 349827 8042 7783 7526 7367 15150 11259 22236 35829 31938 28046 74234 95134 104335 79086 9483 29839
31 MAKWANPUR 451027 9879 9561 9245 9666 19227 14447 28523 46349 41569 36788 95946 116870 128175 97157 11650 38463
35 CHITAWAN 664689 14879 14399 13924 14136 28535 21336 42131 68206 61007 53807 141241 176012 193037 146322 17546 56689
Province 4 2489154 58670 56913 55035 51795 108708 80252 158492 253948 225492 197035 529476 693695 760889 576754 69186 212966
36 GORKHA 254255 6097 5900 5705 5268 11168 8218 16236 25961 23011 20061 53831 72122 79098 59956 7190 21689
37 LAMJUNG 171105 4049 3918 3789 3564 7482 5523 10911 17488 15529 13570 36255 47896 52529 39817 4775 14592
38 TANAHU 340495 8232 7967 7704 7033 15000 11017 21766 34747 30764 26780 72062 97375 106793 80949 9708 29045
39 SYANGJA 262716 6408 6201 5996 5406 11607 8507 16809 26790 23690 20589 55571 75799 83131 63013 7557 22412
40 KASKI 560259 12373 12110 11711 11935 24045 17987 35524 57540 51482 45430 119132 146365 160522 121676 14590 47781
41 MANANG 6395 113 109 105 147 256 202 397 666 612 557 1375 1336 1465 1110 133 545
42 MUSTANG 12080 247 239 231 265 504 385 759 1247 1128 1008 2578 2925 3208 2432 291 1030
43 MYAGDI 111972 2631 2546 2462 2338 4884 3611 7134 11450 10177 8904 23732 31119 34129 25870 3103 9550
44 PARBAT 148267 3547 3433 3320 3075 6508 4792 9466 15142 13426 11709 31396 41960 46019 34882 4183 12646
45 BAGLUNG 279979 6803 6583 6366 5772 12355 9064 17907 28560 25269 21977 59238 80471 88254 66897 8022 23883
48.1 NAWALPUR 341631 8170 7907 7646 6992 14899 10946 21583 34357 30404 26450 74306 96327 105741 80152 9634 29793
Province 5 4933158 111693 108091 104524 104482 212573 158528 313103 505950 451905 397859 1045100 1321857 1449882 1099011 131713 421681
46 GULMI 263612 6481 6272 6065 5409 11681 8545 16884 26867 23731 20595 55738 76667 84083 63735 7643 22490
47 PALPA 252549 6107 5910 5715 5217 11127 8172 16146 25773 22818 19863 53448 72246 79235 60060 7202 21544
48 NAWALPARASI 363667 8029 7770 7514 7867 15637 11752 23246 37889 34004 30119 75386 95304 104424 79153 9468 30370
49 RUPANDEHI 1015634 22353 21632 20917 21728 43360 32543 64257 104334 93517 82702 216002 264418 289994 219816 26358 86614
50 KAPILBASTU 642475 13842 13396 12954 13846 27242 20544 40558 66095 59397 52699 136781 163739 179578 136120 16323 54789
51 ARGHAKHANCHI 201570 4960 4800 4642 4134 8934 6534 12911 20541 18141 15741 42617 58680 64355 48781 5849 17196
52 PYUTHAN 238842 5844 5656 5469 4909 10565 7737 15288 24350 21522 18694 50512 69132 75819 57471 6892 20379
53 ROLPA 234551 5532 5354 5177 4892 10246 7569 14952 23979 21302 18625 49706 65437 71766 54399 6524 20006
54 RUKUM 57005 1258 1217 1177 1128 2345 1737 3423 5472 4864 4255 11504 15150 16881 12796 1483 6436
56 DANG 622571 14291 13830 13374 13119 26949 20034 39568 63771 56856 49941 132123 169056 185408 140539 16853 53102
57 BANKE 574936 12472 12069 11671 12362 24431 18397 36320 59119 53085 47050 122362 147536 161805 122648 14708 49030
58 BARDIYA 465746 10524 10185 9849 9871 20056 14964 29550 47760 42668 37575 98921 124492 136534 103493 12410 39725
Province 6 1743006 38238 37003 35782 37420 74423 55922 110421 179486 160985 142483 371390 452076 495531 375612 45092 147025
54.1 RUKUM WEST 166482 3908 3782 3657 3569 7351 5460 10793 17418 15527 13636 35924 45960 50131 37999 4608 12589
55 SALYAN 264485 5998 5804 5612 5599 11403 8501 16787 27114 24212 21310 56163 70955 77819 58987 7073 22558
59 SURKHET 399667 8857 8571 8290 8529 17100 12813 25304 41038 36751 32467 84971 104770 114904 87096 10445 34083
60 DAILEKH 288013 6285 6082 5881 6179 12261 9220 18204 29603 26562 23521 61279 74355 81548 61813 7412 24560
61 JAJARKOT 191134 4081 3949 3819 4131 8080 6106 12053 19674 17700 15725 40709 48278 52948 40135 4813 16296
62 DOLPA 40821 867 839 811 882 1721 1302 2571 4202 3783 3363 8695 10262 11254 8531 1022 3480
63 JUMLA 120800 2555 2473 2391 2620 5093 3857 7612 12442 11206 9969 25741 30227 33151 25128 3013 10302
64 KALIKOT 153316 3219 3115 3012 3334 6449 4892 9654 15800 14243 12685 32683 38075 41758 31653 3796 13073
65 MUGU 61637 1280 1238 1197 1345 2583 1964 3876 6356 5737 5118 13147 15137 16601 12584 1509 5255
66 HUMLA 56651 1188 1150 1112 1232 2382 1807 3567 5839 5264 4689 12078 14057 15417 11686 1401 4829
Province 7 2825676 63901 61840 59799 59871 121711 90791 179295 289739 258819 227899 600131 755923 829040 628412 75355 240987
67 BAJURA 149938 3269 3164 3060 3217 6381 4799 9476 15412 13830 12248 31902 38674 42415 32151 3855 12783
68 BAJHANG 214795 4800 4645 4492 4570 9215 6893 13611 22041 19719 17396 45647 56781 62273 47203 5660 18321
69 ACHHAM 279752 6345 6140 5937 5921 12061 8991 17756 28679 25609 22539 59406 75062 82322 62400 7482 23860
70 DOTI 213597 5159 4993 4828 4414 9407 6911 13653 21799 19303 16806 45207 61031 66933 50735 6084 18220
71 KAILALI 901177 19967 19323 18685 19235 38558 28894 57057 92536 82872 73213 191595 236199 259045 196355 23546 76852
72 KANCHANPUR 508150 11635 11259 10887 10718 21977 16348 32286 52059 46430 40800 107854 137640 150953 114422 13721 43342
73 DADELDHURA 154136 3526 3413 3300 3252 6665 4959 9793 15792 14086 12379 32716 41710 45745 34675 4158 13143
74 BAITADI 262525 6023 5828 5636 5534 11362 8448 16684 26892 23978 21064 55714 71249 78142 59232 7103 22392
75 DARCHAULA 141606 3177 3075 2974 3010 6085 4548 8979 14529 12992 11454 30090 37577 41212 31239 3746 12074
 Analysed Data : Reporting Status (%)
Public Health Facilities Total Health
NON-PUBLIC
PRIMARY URBAN OTHER Facilites Immunization
District Name COMMUNITY Total (Public Health PHCORC FCHV
Hospital HEALTH HEALTH POST HEALTH HEALTH (Public+Non- Clinics
HEALTH UNIT HFs) Facilities
CENTRE CENTRE FACILITY Public)
Nepal 92.5 98.1 99.5 85.4 76.3 47.2 96.8 47.2 83.4 89.4 99.8 90.4
Province 1 99.5 97.0 99.4 86.3 75.6 53.7 97.0 52.3 90.6 93.4 97.2 88.4
01 TAPLEJUNG 100.0 100.0 97.7 75.0 41.7 - 89.4 31.3 85.9 89.6 100 77.5
02 PANCHTHAR 100.0 100.0 100.0 100.0 72.2 - 95.3 0.0 88.6 96.7 99 90.2
03 ILAM 100.0 100.0 100.0 100.0 100.0 100.0 100.0 86.1 99.3 95.6 94.6 84.4
04 JHAPA 100.0 100.0 100.0 100.0 100.0 100.0 100.0 62.5 87.0 93.3 96.5 84.1
05 MORANG 100.0 100.0 100.0 59.5 - 0.0 92.6 68.0 84.8 95.7 92.8 87.8
06 SUNSARI 100.0 95.0 98.0 77.8 100.0 50.0 96.0 24.1 79.2 100 100 86.7
07 DHANKUTA 100.0 100.0 100.0 86.1 97.9 100.0 98.9 42.6 89.7 92.9 98.2 95.3
08 TERHATHUM 100.0 100.0 100.0 - - - 100.0 - 100.0 92.7 98.3 93.2
09 SANKHUWASABHA 100.0 66.7 99.8 100.0 94.8 - 97.1 57.1 92.4 76.7 91.3 82.7
10 BHOJPUR 100.0 100.0 100.0 100.0 100.0 100.0 100.0 20.8 95.6 92.8 100 96.2
11 SOLUKHUMBU 91.7 100.0 95.3 - 37.5 33.3 90.8 61.1 88.6 90.7 88.4 91.3
12 OKHALDHUNGA 100.0 100.0 100.0 - - - 100.0 94.4 99.7 99.3 99.5 99.1
13 KHOTANG 100.0 100.0 100.0 79.2 75.0 - 98.9 87.5 98.6 92.3 97 91.2
14 UDAYAPUR 100.0 100.0 100.0 97.9 - - 99.8 11.1 90.5 87.2 99.5 88.7
Province 2 85.3 97.4 98.9 64.2 40.0 39.6 97.0 19.9 83.9 81.9 100 93.5
15 SAPTARI 79.2 100.0 99.8 33.3 - 0.0 98.1 15.5 93.5 91.2 98 97.1
16 SIRAHA 100.0 100.0 100.0 100.0 - 83.3 99.9 8.1 68.4 93.1 97.3 97
17 DHANUSA 58.3 93.3 98.5 75.0 - 100.0 97.6 27.9 88.0 76.8 86.6 90.7
18 MAHOTTARI 50.0 97.2 98.3 72.9 61.1 16.7 92.7 4.9 82.0 86.1 94.5 96.5
19 SARLAHI 100.0 95.0 96.1 - - 0.0 95.1 12.0 88.3 63.7 100 86.7
32 RAUTAHAT 100.0 94.4 99.2 - - - 99.1 0.0 91.6 91.1 100 98.4
33 BARA 100.0 100.0 99.8 31.7 8.3 66.7 94.7 19.3 81.9 66.8 94.4 90.5
34 PARSA 95.8 100.0 99.4 83.3 - 33.3 97.8 50.0 84.6 80.3 97.8 93.2
Province 3 88.2 100.0 99.8 84.6 76.8 49.1 95.3 52.4 72.0 88.4 96.8 88.2
20 SINDHULI 91.7 100.0 100.0 70.0 88.9 100.0 97.1 46.0 84.6 76.3 92.1 93.2
21 RAMECHHAP 100.0 100.0 100.0 100.0 100.0 - 100.0 89.6 99.4 94.1 97.5 91.9
22 DOLAKHA 100.0 100.0 100.0 69.0 83.3 - 95.2 45.0 88.8 90.5 95.9 89.6
23 SINDHUPALCHOK 100.0 100.0 99.9 81.3 90.3 100.0 98.4 26.7 91.3 83.5 95.6 91.6
24 KAVRE 100.0 100.0 99.9 50.0 40.5 0.0 92.9 59.0 84.5 98.1 100 100
25 LALITPUR 100.0 100.0 100.0 83.3 0.0 100.0 96.0 73.8 80.1 90.9 100 90.3
26 BHAKTAPUR 91.7 100.0 100.0 100.0 91.7 61.1 95.1 40.3 60.9 98.5 92.6 91.5
27 KATHMANDU 73.8 100.0 100.0 91.9 - 0.0 89.6 50.8 56.5 97.5 99.9 73.7
28 NUWAKOT 100.0 100.0 100.0 100.0 100.0 100.0 100.0 72.7 96.6 73.4 96.6 78.6
29 RASUWA 100.0 100.0 100.0 - 83.3 100.0 97.2 66.7 94.9 73.1 85.2 84.7
30 DHADING 100.0 100.0 100.0 100.0 74.3 100.0 95.3 45.0 86.0 88.1 93.8 93.5
31 MAKWANPUR 100.0 100.0 97.6 95.0 - 100.0 97.6 10.1 79.0 89.4 95.4 94.6
35 CHITAWAN 100.0 100.0 99.5 84.0 40.0 0.0 89.9 44.0 65.2 94.5 99.4 89.8
Province 4 91.7 93.8 99.4 94.1 77.3 54.2 96.8 55.7 91.4 91.8 97.7 93.9
36 GORKHA 91.7 100.0 100.0 100.0 100.0 72.2 97.8 65.8 94.3 92.3 93.3 96.9
37 LAMJUNG 100.0 100.0 99.4 - 56.7 - 96.2 26.0 82.5 97 98.9 96.3
38 TANAHU 66.7 100.0 98.9 86.5 77.5 - 93.0 40.3 79.0 94.9 99.4 96.6
39 SYANGJA 100.0 100.0 98.5 100.0 90.3 - 98.8 68.8 97.4 78.2 98.5 97.2
40 KASKI 100.0 62.5 97.8 98.7 - 27.8 94.3 95.2 94.5 96.7 99.2 86.2
41 MANANG 100.0 - 99.4 - 83.3 - 97.4 0.0 86.6 100 97 90.6
42 MUSTANG 100.0 100.0 100.0 - - - 100.0 - 100.0 84.2 84.3 73.9
43 MYAGDI 100.0 100.0 100.0 - 76.0 0.0 94.2 41.7 93.1 90.6 98.2 93.4
44 PARBAT 100.0 100.0 100.0 - - 0.0 98.2 4.2 91.9 86.9 95.9 93.6
45 BAGLUNG 91.7 100.0 100.0 81.3 - 75.0 98.4 61.1 95.3 98.2 100 97.5
48.1 NAWALPUR - 100.0 100.0 - - - 100.0 100.0 100.0 97.9 98.6 98.7
Province 5 99.1 100.0 100.0 92.9 69.4 21.3 97.9 34.5 85.4 93.6 98.1 91.4
46 GULMI 100.0 100.0 99.8 - - - 99.8 0.0 94.0 99.1 99.3 97.1
47 PALPA 100.0 100.0 100.0 83.3 85.7 16.7 96.8 31.9 92.2 99.5 99.9 98.7
48 NAWALPARASI 100.0 100.0 100.0 - - - 100.0 65.5 94.7 98 100 97
49 RUPANDEHI 100.0 100.0 100.0 97.0 91.7 0.0 97.1 19.9 63.0 94.9 99.3 90.7
50 KAPILBASTU 100.0 100.0 100.0 72.2 60.4 100.0 97.2 16.7 85.2 90.1 96.4 88.1
51 ARGHAKHANCHI 100.0 100.0 100.0 - - - 100.0 100.0 100.0 91 98.8 86.1
52 PYUTHAN 100.0 100.0 100.0 - 0.0 0.0 92.5 60.0 89.7 88.7 99.7 97
53 ROLPA 100.0 100.0 100.0 - - - 100.0 80.0 98.2 90.9 94.4 88.6
54 RUKUM - 100.0 100.0 - - - 100.0 - 100.0 84.2 91.2 76.7
56 DANG 100.0 100.0 100.0 100.0 - - 100.0 51.2 88.8 89.8 97.4 85.4
57 BANKE 94.4 100.0 100.0 100.0 - 0.0 97.8 59.3 84.9 94.1 98.1 93.6
58 BARDIYA 100.0 100.0 100.0 95.8 16.7 75.0 96.9 16.7 78.9 95.6 97.7 93.5
Province 6 93.1 98.7 99.0 92.5 80.6 66.7 97.4 37.2 91.3 85 97 85.2
54.1 RUKUM WEST 50.0 100.0 100.0 - - - 98.2 45.8 94.7 92.8 97.7 78.6
55 SALYAN 100.0 100.0 100.0 - - - 100.0 - 100.0 92.5 94.3 96.4
59 SURKHET 100.0 100.0 100.0 100.0 100.0 50.0 98.6 76.3 93.9 91.7 97.7 89.8
60 DAILEKH 100.0 100.0 100.0 75.0 58.3 - 95.8 10.3 82.1 78.4 98.4 91.9
61 JAJARKOT 100.0 91.7 96.6 - - - 96.4 - 96.4 80.8 98.9 90.3
62 DOLPA 100.0 - 100.0 - - - 100.0 - 100.0 77.3 100 88.1
63 JUMLA 91.7 100.0 100.0 - - 100.0 99.7 0.0 76.0 87.8 93.9 66.4
64 KALIKOT 100.0 100.0 100.0 - - - 100.0 - 100.0 72 97.3 89.3
65 MUGU 100.0 100.0 98.3 - 66.7 - 92.4 - 92.4 68.7 75.5 62.1
66 HUMLA 75.0 - 92.6 - - - 92.0 0.0 88.7 100 100 87.9
Province 7 92.9 100.0 99.7 80.4 87.7 66.7 97.2 61.9 94.2 92.9 97.3 91.6
67 BAJURA 100.0 100.0 100.0 - - - 100.0 0.0 96.6 83.2 91.6 93.4
68 BAJHANG 100.0 100.0 100.0 100.0 100.0 0.0 98.1 100.0 98.1 86 97.3 88.9
69 ACHHAM 100.0 100.0 98.6 100.0 100.0 - 98.8 50.0 96.4 97.2 97.7 96.6
70 DOTI 50.0 100.0 100.0 95.8 86.7 - 97.1 51.7 93.6 81.5 94.3 89.3
71 KAILALI 100.0 100.0 100.0 74.2 55.6 100.0 91.4 75.6 88.3 93.9 97.7 87.5
72 KANCHANPUR 100.0 100.0 100.0 70.0 100.0 100.0 92.3 100.0 93.5 95.2 98.6 86.2
73 DADELDHURA 100.0 - 100.0 66.7 100.0 - 96.7 23.3 78.3 93.5 99.6 87.4
74 BAITADI 100.0 100.0 100.0 100.0 100.0 - 100.0 100.0 100.0 99.1 99.9 98.4
75 DARCHAULA 100.0 - 100.0 - - - 100.0 - 100.0 96.1 97.4 98.6
 Analysed Data : Reporting Status
Average People Served (Per Day) Average no. of People Served
URBAN OTHER NON-PUBLIC Immunization
District Name PRIMARY HEALTH COMMUNITY PHCORC (Per FCHV (reporting
Hospital HEALTH POST HEALTH HEALTH Health Clinics (Per
CENTRE HEALTH UNIT Clinics) Period)
CENTRE FACILITY Facilities Clinics)
NEPAL 154 35 13 13 6 24 31 19 22 24
Province 1 172 33 13 9 5 19 73 18 22 22
01 TAPLEJUNG 48 12 7 3 4 - 3 12 9 5
02 PANCHTHAR 64 25 10 6 4 - - 15 14 20
03 ILAM 62 35 10 27 10 19 15 22 19 10
04 JHAPA 147 59 25 9 11 0 55 28 48 49
05 MORANG 252 34 20 13 - - 144 29 41 53
06 SUNSARI 728 37 24 21 4 0 12 27 37 36
07 DHANKUTA 95 24 11 8 5 53 15 14 18 22
08 TERHATHUM 33 15 9 - - - - 13 11 9
09 SANKHUWASABHA 49 23 11 5 4 - 14 12 10 19
10 BHOJPUR 33 16 8 2 2 16 13 11 10 14
11 SOLUKHUMBU 66 34 10 - 4 9 9 14 13 9
12 OKHALDHUNGA 32 15 11 - - - 34 13 10 26
13 KHOTANG 61 18 8 4 4 - 4 11 11 7
14 UDAYAPUR 88 68 13 8 - - 2 19 21 20
Province 2 114 32 12 22 11 0 19 20 22 22
15 SAPTARI 47 31 12 83 - - 2 18 22 35
16 SIRAHA 58 29 12 9 - 0 8 16 24 18
17 DHANUSA 689 36 11 106 - 0 15 24 30 22
18 MAHOTTARI 54 38 13 7 11 0 2 30 32 35
19 SARLAHI 38 43 13 - - - 47 19 13 16
32 RAUTAHAT 74 24 12 - - - - 17 24 16
33 BARA 2 27 13 40 12 0 4 21 22 21
34 PARSA 223 19 13 10 - 0 26 19 22 17
Province 3 165 37 13 16 7 37 24 17 24 24
20 SINDHULI 78 23 9 7 3 8 5 16 28 25
21 RAMECHHAP 46 31 10 7 8 - 26 15 12 23
22 DOLAKHA 53 111 10 5 5 - 3 13 13 11
23 SINDHUPALCHOK 34 49 11 8 8 6 12 17 13 29
24 KAVRE 19 18 11 18 6 - 47 16 14 24
25 LALITPUR 308 48 14 35 - 6 22 10 25 27
26 BHAKTAPUR 50 37 19 78 6 41 39 17 64 40
27 KATHMANDU 253 24 15 12 - - 22 21 66 25
28 NUWAKOT 47 24 9 7 6 33 9 14 18 8
29 RASUWA 20 24 9 - 5 1 6 15 13 15
30 DHADING 89 58 17 7 5 29 10 19 19 29
31 MAKWANPUR 153 43 15 11 - 44 18 20 26 60
35 CHITAWAN 181 36 24 17 19 - 40 20 30 38
Province 4 105 33 10 9 5 26 49 17 16 18
36 GORKHA 96 26 13 5 5 4 17 18 11 35
37 LAMJUNG 145 13 9 - 5 - 9 14 9 13
38 TANAHU 71 34 10 7 6 - 12 15 13 15
39 SYANGJA 60 50 8 5 4 - 17 14 14 18
40 KASKI 225 30 11 14 - 177 104 22 31 18
41 MANANG 14 - 2 - 2 - - 15 1 2
42 MUSTANG 16 14 4 - - - - 12 4 4
43 MYAGDI 80 37 8 - 4 - 13 14 14 12
44 PARBAT 47 22 10 - - - 12 12 11 14
45 BAGLUNG 84 36 12 5 - 7 10 21 19 16
48.1 NAWALPUR - 43 15 - - - 26 19 28 33
Province 5 108 38 19 14 14 22 52 22 24 25
46 GULMI 73 29 12 - - - - 15 12 13
47 PALPA 55 21 10 8 8 194 396 19 15 19
48 NAWALPARASI 96 64 19 - - - 38 22 28 37
49 RUPANDEHI 316 33 26 13 9 - 90 23 40 21
50 KAPILBASTU 54 39 18 12 30 0 5 24 24 17
51 ARGHAKHANCHI 14 30 11 - - - 5 21 14 13
52 PYUTHAN 77 40 16 - - - 4 21 16 31
53 ROLPA 43 32 12 - - - 7 15 16 24
54 RUKUM - 8 10 - - - - 22 18 6
56 DANG 169 56 33 10 - - 6 26 36 28
57 BANKE 112 37 26 69 - - 40 29 31 38
58 BARDIYA 61 47 35 11 36 0 41 28 31 48
Province 6 60 27 13 6 5 6 11 19 19 19
54.1 RUKUM WEST 57 20 15 - - - 81 25 23 18
55 SALYAN 78 21 15 - - - - 22 17 27
59 SURKHET 112 41 19 7 5 0 8 20 29 18
60 DAILEKH 45 27 12 2 3 - 4 20 16 24
61 JAJARKOT 33 21 13 - - - - 23 19 22
62 DOLPA 66 - 5 - - - - 11 8 5
63 JUMLA 71 23 11 - - 12 - 20 18 12
64 KALIKOT 42 24 13 - - - - 20 23 25
65 MUGU 27 29 8 - 3 - - 14 13 7
66 HUMLA 20 - 9 - - - - 8 7 5
Province 7 67 42 15 13 7 29 25 23 21 38
67 BAJURA 52 85 19 - - - - 34 20 57
68 BAJHANG 35 37 11 6 8 - 14 22 21 24
69 ACHHAM 59 29 12 7 2 - 107 28 17 35
70 DOTI 33 11 11 15 3 - 12 17 15 19
71 KAILALI 111 45 32 18 14 55 29 31 39 49
72 KANCHANPUR 104 57 35 18 9 3 9 27 42 58
73 DADELDHURA 61 - 18 16 11 - 10 25 19 34
74 BAITADI 40 40 10 3 4 - 0 17 12 35
75 DARCHAULA 44 - 11 - - - - 20 14 17
 Raw Data: Reporting Status
Public Health Facilities
Hospital (Public) PRIMARY HEALTH CENTRE HEALTH POST URBAN HEALTH CENTRE
District Name Total Total Receive Total Total
No. Expected Received No. Expected Received No. Expected No. Expected Received
Service Service d Service Service
HF Reports Reports HF Reports Reports HF Reports HF Reports Reports
Provide Provide Reports Provide Provide
Nepal 123 1476 1366 6292788 200 2400 2355 1953091 3808 45696 45450 14646729 246 2952 2520 795894
Province 1 18 216 215 1106843 41 492 477 374928 648 7776 7732 2355374 34 408 352 80235
01 TAPLEJUNG 1 12 12 17249 2 24 24 6653 50 600 586 96918 1 12 9 696
02 PANCHTHAR 1 12 12 23204 2 24 24 14296 40 480 480 117465 1 12 12 1708
03 ILAM 1 12 12 22278 4 48 48 39976 44 528 528 129036 1 12 12 7877
04 JHAPA 1 12 12 53089 6 72 72 101839 44 528 528 312960 6 72 72 16233
05 MORANG 3 36 36 272628 6 72 72 58716 60 720 720 351720 7 84 50 16179
06 SUNSARI 2 24 24 523935 5 60 57 50279 47 564 553 315806 3 36 28 14299
07 DHANKUTA 1 12 12 34028 2 24 24 13830 35 420 420 114374 3 36 31 5808
08 TERHATHUM 1 12 12 11949 2 24 24 8723 29 348 348 78188 0 0
09 SANKHUWASABHA 1 12 12 17747 3 36 24 13246 36 432 431 113014 4 48 48 5290
10 BHOJPUR 1 12 12 12020 3 36 36 13682 60 720 720 138254 2 24 24 1061
11 SOLUKHUMBU 1 12 11 21720 2 24 24 19303 32 384 366 89718 0 0
12 OKHALDHUNGA 1 12 12 11545 1 12 12 4328 54 648 648 176060 0 0
13 KHOTANG 1 12 12 22049 2 24 24 10448 73 876 876 162535 2 24 19 1794
14 UDAYAPUR 2 24 24 63402 1 12 12 19609 44 528 528 159326 4 48 47 9290
Province 2 13 156 133 454936 32 384 374 284687 745 8940 8844 2617726 17 204 131 69191
15 SAPTARI 2 24 19 26946 4 48 48 36265 111 1332 1330 367855 1 12 4 7936
16 SIRAHA 2 24 24 42029 4 48 48 33323 104 1248 1248 371671 2 24 24 5123
17 DHANUSA 1 12 7 144791 5 60 56 49012 98 1176 1158 318371 1 12 9 22943
18 MAHOTTARI 2 24 12 19418 3 36 35 31502 72 864 849 266344 4 48 35 5496
19 SARLAHI 1 12 12 13647 5 60 57 59153 94 1128 1084 331249 0 0
32 RAUTAHAT 2 24 24 53119 3 36 34 19415 93 1116 1107 331716 0 0
33 BARA 1 12 12 785 5 60 60 39307 94 1128 1126 339452 5 60 19 18106
34 PARSA 2 24 23 154201 3 36 36 16710 79 948 942 291068 4 48 40 9587
Province 3 34 408 360 1784167 43 516 516 453001 640 7680 7664 2347790 90 1080 914 345637
20 SINDHULI 1 12 11 25624 4 48 48 26472 51 612 612 139155 5 60 42 7369
21 RAMECHHAP 1 12 12 16718 3 36 36 26941 52 624 624 157246 4 48 48 7584
22 DOLAKHA 1 12 12 19203 2 24 24 63793 52 624 624 146798 7 84 58 6741
23 SINDHUPALCHOK 1 12 12 12073 3 36 36 42338 75 900 899 236510 4 48 39 7739
24 KAVRE 2 24 24 13741 4 48 48 20402 89 1068 1067 277719 7 84 42 18564
25 LALITPUR 3 36 36 333159 4 48 48 54776 38 456 456 151680 7 84 70 59485
26 BHAKTAPUR 3 36 33 49801 2 24 24 21419 19 228 228 105288 3 36 36 67338
27 KATHMANDU 14 168 124 941688 8 96 96 55517 58 696 696 254134 30 360 331 93039
28 NUWAKOT 1 12 12 16773 3 36 36 20531 63 756 756 169355 4 48 48 7845
29 RASUWA 1 12 12 7055 1 12 12 6925 17 204 204 43365 0 0
30 DHADING 1 12 12 32214 2 24 24 33439 49 588 588 245053 1 12 12 1886
31 MAKWANPUR 1 12 12 54914 4 48 48 48990 41 492 480 172773 5 60 57 15425
35 CHITAWAN 4 48 48 261204 3 36 36 31458 36 432 430 248714 13 156 131 52622
Province 4 14 168 154 483614 24 288 270 210794 492 5904 5869 1438659 34 408 384 83200
36 GORKHA 1 12 11 31538 3 36 36 22895 66 792 792 250833 3 36 36 4124
37 LAMJUNG 1 12 12 52063 2 24 24 7480 58 696 692 154071 0 0
38 TANAHU 3 36 24 51055 2 24 24 19555 46 552 546 124697 8 96 83 14238
39 SYANGJA 1 12 12 21680 3 36 36 43577 65 780 768 146815 6 72 72 8235
40 KASKI 3 36 36 243156 4 48 30 21887 45 540 528 141917 13 156 154 52318
41 MANANG 1 12 12 5156 0 0 13 156 155 9019 0 0
42 MUSTANG 1 12 12 5816 1 12 12 3986 15 180 180 18352 0 0
43 MYAGDI 1 12 12 28735 1 12 12 10773 39 468 468 84345 0 0
44 PARBAT 1 12 12 16833 2 24 24 12467 52 624 624 148100 0 0
45 BAGLUNG 1 12 11 27582 3 36 36 30676 58 696 696 204347 4 48 39 4285
48.1 NAWALPUR 0 0 0 0 3 36 36 37498 35 420 420 156163 0 0 0
Province 5 18 216 214 692455 31 372 372 335179 570 6840 6838 3037803 27 324 301 98284
46 GULMI 1 12 12 26194 4 48 48 33925 76 912 910 272220 0 0
47 PALPA 2 24 24 39415 2 24 24 11969 62 744 744 180821 4 48 40 8052
48 NAWALPARASI 1 12 12 34575 2 24 24 37046 36 432 432 198011 0 0 0
49 RUPANDEHI 2 24 24 227564 5 60 60 48114 64 768 768 479311 11 132 128 40198
50 KAPILBASTU 3 36 36 58533 2 24 24 22473 73 876 876 380402 3 36 26 7469
51 ARGHAKHANCHI 1 12 12 5128 2 24 24 17348 39 468 468 123341 0 0
52 PYUTHAN 1 12 12 27730 2 24 24 22913 46 552 552 211508 0 0
53 ROLPA 1 12 12 15312 2 24 24 18160 49 588 588 175968 0 0 0
54 RUKUM 0 0 0 0 1 12 12 2288 15 180 180 44800 0 0 0
56 DANG 2 24 24 121749 3 36 36 48061 36 432 432 341144 6 72 72 16634
57 BANKE 3 36 34 114347 3 36 36 32303 44 528 528 329652 1 12 12 19766
58 BARDIYA 1 12 12 21908 3 36 36 40579 30 360 360 300625 2 24 23 6165
Province 6 12 144 134 241069 13 156 154 101358 336 4032 3991 1209609 10 120 111 15581
54.1 RUKUM WEST 1 12 6 10203 1 12 12 5667 26 312 312 112861 0 0 0
55 SALYAN 1 12 12 28049 2 24 24 12232 45 540 540 190539 0 0
59 SURKHET 2 24 24 80356 3 36 36 35286 47 564 564 259268 7 84 84 14239
60 DAILEKH 2 24 24 32735 2 24 24 15523 56 672 672 188372 3 36 27 1342
61 JAJARKOT 1 12 12 11899 2 24 22 10903 32 384 371 119878 0 0
62 DOLPA 1 12 12 23851 0 0 23 276 276 35372 0 0
63 JUMLA 1 12 11 23485 1 12 12 6583 29 348 348 88822 0 0
64 KALIKOT 1 12 12 15213 1 12 12 6863 28 336 336 104450 0 0
65 MUGU 1 12 12 9821 1 12 12 8301 24 288 283 51041 0 0
66 HUMLA 1 12 9 5457 0 0 26 312 289 59006 0 0
Province 7 14 168 156 311432 16 192 192 193144 377 4524 4512 1639768 34 408 328 103766
67 BAJURA 1 12 12 18566 1 12 12 24354 26 312 312 138648 0 0
68 BAJHANG 1 12 12 12694 2 24 24 21577 45 540 540 136696 2 24 24 3532
69 ACHHAM 1 12 12 21320 2 24 24 16863 73 876 864 247831 2 24 24 3838
70 DOTI 2 24 12 12020 2 24 24 6504 49 588 588 153958 2 24 23 8194
71 KAILALI 3 36 36 120168 4 48 48 51559 37 444 444 345280 10 120 89 37591
72 KANCHANPUR 1 12 12 37260 3 36 36 49119 18 216 216 182468 10 120 84 37033
73 DADELDHURA 2 24 24 43682 0 0 24 288 288 127441 3 36 24 9066
74 BAITADI 1 12 12 14286 2 24 24 23168 65 780 780 186260 5 60 60 4512
75 DARCHAULA 2 24 24 31436 0 0 40 480 480 121186 0 0
 Raw Data: Reporting Status
Public Health Facilities Total Health Facilites
NON-PUBLIC Health Facilities
COMMUNITY HEALTH UNIT OTHER HEALTH FACILITY Total (Public HFs) (Public+Non-Public)
District Name Total Total Total Total Total
No. Expected Received No. Expected Received No. Expected Received Expected Received Expected Received
Service Service Service No.HF Service No.HF Service
HF Reports Reports HF Reports Reports HF Reports Reports Reports Reports Reports Reports
Provide Provide Provide Provide Provide
Nepal 204 2448 1867 287625 62 744 351 200806 4642 55704 53909 24176933 1715 20580 9713 9074161 6357 76284 63622 33251094
Province 1 41 492 372 46353 9 108 58 26110 791 9492 9206 3989843 132 1584 829 1819889 923 11076 10035 5809732
01 TAPLEJUNG 9 108 45 4418 0 0 0 0 63 756 676 125934 4 48 15 1348 67 804 691 127282
02 PANCHTHAR 9 108 78 8404 0 0 0 0 53 636 606 165077 4 48 0 0 57 684 606 165077
03 ILAM 3 36 36 8775 1 12 12 5578 54 648 648 213520 3 36 31 13711 57 684 679 227231
04 JHAPA 2 24 24 6285 1 12 12 0 60 720 720 490406 32 384 240 394402 92 1104 960 884808
05 MORANG 0 0 3 36 0 0 79 948 878 699243 37 444 302 1304071 116 1392 1180 2003314
06 SUNSARI 1 12 12 1095 1 12 6 0 59 708 680 905414 18 216 52 18028 77 924 732 923442
07 DHANKUTA 4 48 47 5171 1 12 12 15195 46 552 546 188406 9 108 46 21231 55 660 592 209637
08 TERHATHUM 0 0 0 0 0 0 32 384 384 98860 0 0 0 32 384 384 98860
09 SANKHUWASABHA 8 96 91 9156 0 0 0 0 52 624 606 158453 7 84 48 19532 59 708 654 177985
10 BHOJPUR 1 12 12 630 1 12 12 4487 68 816 816 170134 4 48 10 3800 72 864 826 173934
11 SOLUKHUMBU 2 24 9 767 1 12 4 850 38 456 414 132358 3 36 22 5619 41 492 436 137977
12 OKHALDHUNGA 0 0 0 0 0 0 56 672 672 191933 3 36 34 34854 59 708 706 226787
13 KHOTANG 2 24 18 1652 0 0 0 0 80 960 949 198478 2 24 21 2784 82 984 970 201262
14 UDAYAPUR 0 0 0 0 0 0 51 612 611 251627 6 72 8 509 57 684 619 252136
Province 2 5 60 24 6350 8 96 38 0 820 9840 9544 3432890 168 2016 402 225556 988 11856 9946 3658446
15 SAPTARI 0 0 1 12 0 0 119 1428 1401 439002 7 84 13 846 126 1512 1414 439848
16 SIRAHA 0 0 1 12 10 0 113 1356 1354 452146 59 708 57 12851 172 2064 1411 464997
17 DHANUSA 0 0 1 12 12 0 106 1272 1242 535117 17 204 57 25519 123 1476 1299 560636
18 MAHOTTARI 3 36 22 5762 2 24 4 0 86 1032 957 328522 12 144 7 322 98 1176 964 328844
19 SARLAHI 0 0 1 12 0 0 101 1212 1153 404049 9 108 13 18163 110 1320 1166 422212
32 RAUTAHAT 0 0 0 0 0 0 98 1176 1165 404250 8 96 0 0 106 1272 1165 404250
33 BARA 2 24 2 588 1 12 8 0 108 1296 1227 398238 22 264 51 6264 130 1560 1278 404502
34 PARSA 0 0 1 12 4 0 89 1068 1045 471566 34 408 204 161591 123 1476 1249 633157
Province 3 61 732 562 90861 18 216 106 93886 885 10620 10122 5115342 1057 12684 6649 4741874 1942 23304 16771 9857216
20 SINDHULI 3 36 32 2190 1 12 12 2191 65 780 757 203001 21 252 116 16159 86 1032 873 219160
21 RAMECHHAP 8 96 96 19087 0 0 0 0 68 816 816 227576 4 48 43 34137 72 864 859 261713
22 DOLAKHA 7 84 70 8424 0 0 0 0 69 828 788 244959 10 120 54 5408 79 948 842 250367
23 SINDHUPALCHOK 6 72 65 12426 1 12 12 1757 90 1080 1063 312843 10 120 32 11683 100 1200 1095 324526
24 KAVRE 7 84 34 4707 1 12 0 0 109 1308 1215 335133 36 432 255 357056 145 1740 1470 692189
25 LALITPUR 1 12 0 1585 1 12 12 1799 54 648 622 602484 136 1632 1204 810568 190 2280 1826 1413052
26 BHAKTAPUR 2 24 22 3018 3 36 22 21500 32 384 365 268364 53 636 256 299374 85 1020 621 567738
27 KATHMANDU 0 0 6 72 0 18274 116 1392 1247 1362652 673 8076 4099 2686941 789 9468 5346 4049593
28 NUWAKOT 6 72 72 9591 1 12 12 9453 78 936 936 233548 11 132 96 26897 89 1068 1032 260445
29 RASUWA 4 48 40 5176 1 12 12 385 24 288 280 62906 2 24 16 2778 26 312 296 65684
30 DHADING 12 144 107 13840 1 12 12 8474 66 792 755 334906 15 180 81 23089 81 972 836 357995
31 MAKWANPUR 0 0 1 12 12 12639 52 624 609 304741 14 168 17 9020 66 792 626 313761
35 CHITAWAN 5 60 24 10817 1 12 0 17414 62 744 669 622229 72 864 380 458764 134 1608 1049 1080993
Province 4 32 384 297 33809 12 144 78 48546 607 7284 7052 2298622 93 1116 622 917341 700 8400 7674 3215963
36 GORKHA 1 12 12 1326 6 72 52 4522 80 960 939 315238 10 120 79 40571 90 1080 1018 355809
37 LAMJUNG 5 60 34 4209 0 0 0 0 66 792 762 217823 16 192 50 13182 82 984 812 231005
38 TANAHU 10 120 93 13594 0 0 0 0 69 828 770 223139 25 300 121 44048 94 1128 891 267187
39 SYANGJA 6 72 65 6825 0 0 7 0 81 972 960 227132 4 48 33 17142 85 1020 993 244274
40 KASKI 0 0 3 36 10 42429 67 804 758 501707 21 252 240 748352 88 1056 998 1250059
41 MANANG 2 24 20 755 0 0 0 0 16 192 187 14930 2 24 0 0 18 216 187 14930
42 MUSTANG 0 0 0 0 0 0 17 204 204 28154 0 0 0 17 204 204 28154
43 MYAGDI 8 96 73 7100 1 12 0 0 50 600 565 130953 1 12 5 2023 51 612 570 132976
44 PARBAT 0 0 1 12 0 0 56 672 660 177400 4 48 2 716 60 720 662 178116
45 BAGLUNG 0 0 1 12 9 1595 67 804 791 268485 6 72 44 13612 73 876 835 282097
48.1 NAWALPUR 0 0 0 0 0 0 0 38 456 456 193661 4 48 48 37695 42 504 504 231356
Province 5 15 180 125 41007 9 108 23 12395 670 8040 7873 4217123 165 1980 683 1057325 835 10020 8556 5274448
46 GULMI 0 0 0 0 0 0 81 972 970 332339 5 60 0 0 86 1032 970 332339
47 PALPA 7 84 72 13559 1 12 2 9320 78 936 906 263136 6 72 23 273076 84 1008 929 536212
48 NAWALPARASI 0 0 0 0 0 0 39 468 468 269632 7 84 55 62021 46 552 523 331653
49 RUPANDEHI 2 24 22 4916 2 24 0 0 86 1032 1002 800103 68 816 162 435877 154 1848 1164 1235980
50 KAPILBASTU 4 48 29 20797 1 12 12 0 86 1032 1003 489674 15 180 30 4348 101 1212 1033 494022
51 ARGHAKHANCHI 0 0 0 0 0 0 42 504 504 145817 3 36 36 5116 45 540 540 150933
52 PYUTHAN 1 12 0 3 36 0 0 53 636 588 262151 5 60 36 4537 58 696 624 266688
53 ROLPA 0 0 0 0 0 0 0 52 624 624 209440 5 60 48 9655 57 684 672 219095
54 RUKUM 0 0 0 0 0 0 0 16 192 192 47088 0 0 0 0 16 192 192 47088
56 DANG 0 0 0 0 0 0 47 564 564 527588 14 168 86 16171 61 732 650 543759
57 BANKE 0 0 1 12 0 3075 52 624 610 499143 26 312 185 219244 78 936 795 718387
58 BARDIYA 1 12 2 1735 1 12 9 0 38 456 442 371012 11 132 22 27280 49 588 464 398292
Province 6 21 252 203 21964 3 36 24 3327 395 4740 4617 1592908 45 540 201 69130 440 5280 4818 1662038
54.1 RUKUM WEST 0 0 0 0 0 0 0 28 336 330 128731 2 24 11 26852 30 360 341 155583
55 SALYAN 0 0 0 0 0 0 48 576 576 230820 0 0 0 48 576 576 230820
59 SURKHET 10 120 120 15773 2 24 12 0 71 852 840 404922 19 228 174 40146 90 1080 1014 445068
60 DAILEKH 5 60 35 2572 0 0 0 0 68 816 782 240544 13 156 16 2132 81 972 798 242676
61 JAJARKOT 0 0 0 0 0 0 35 420 405 142680 0 0 0 35 420 405 142680
62 DOLPA 0 0 0 0 0 0 24 288 288 59223 0 0 0 24 288 288 59223
63 JUMLA 0 0 1 12 12 3327 32 384 383 122217 10 120 0 0 42 504 383 122217
64 KALIKOT 0 0 0 0 0 0 30 360 360 126526 0 0 0 30 360 360 126526
65 MUGU 6 72 48 3619 0 0 0 0 32 384 355 72782 0 0 0 32 384 355 72782
66 HUMLA 0 0 0 0 0 0 27 324 298 64463 1 12 0 0 28 336 298 64463
Province 7 27 324 284 47281 3 36 24 16542 471 5652 5496 2311933 44 528 327 243046 515 6180 5823 2554979
67 BAJURA 0 0 0 0 0 0 28 336 336 181568 1 12 0 0 29 348 336 181568
68 BAJHANG 1 12 12 2271 1 12 0 0 52 624 612 176770 1 12 12 5023 53 636 624 181793
69 ACHHAM 2 24 24 1403 0 0 0 0 80 960 948 291255 4 48 24 76686 84 1008 972 367941
70 DOTI 5 60 52 3305 0 0 0 0 60 720 699 183981 5 60 31 11367 65 780 730 195348
71 KAILALI 6 72 40 13433 1 12 12 15723 61 732 669 583754 15 180 136 117543 76 912 805 701297
72 KANCHANPUR 6 72 72 16133 1 12 12 819 39 468 432 322832 7 84 84 23921 46 552 516 346753
73 DADELDHURA 1 12 12 3234 0 0 0 0 30 360 348 183423 10 120 28 8506 40 480 376 191929
74 BAITADI 6 72 72 7502 0 0 0 0 79 948 948 235728 1 12 12 0 80 960 960 235728
75 DARCHAULA 0 0 0 0 0 0 42 504 504 152622 0 0 0 42 504 504 152622
 Raw Data: Reporting Status
People Total FCHVs
Outreach Outreach Outreach Immunizati Immunizatio Immunizatio Immunizatio Total no.of People
Served from within
Organisation unit / Data Clinics- Clinics- Clinics-People on Clinics- n Clinics- n Sessions- n Sessions- FCHVs Report Served by
Immunizatio Catchment
Planned Conducted Served Planned Conducted Planned Conducted submitted FCHVs
n Clinic Area
Nepal 12180 133147 2582441 16022 191062 14216 167595 4152820 49001 534626 12949471
Province 1 2189 24792 451341 2787 32224 2523 28520 709371 8578 92406 2065994
01 TAPLEJUNG 176 1858 22415 179 2079 114 1594 19119 896 7615 38353
02 PANCHTHAR 147 1752 26785 217 2540 217 2511 34474 394 4249 86707
03 ILAM 185 2169 46991 187 2137 189 2157 41242 1057 10892 110064
04 JHAPA 187 2062 57599 250 2861 226 2498 138554 586 6385 314292
05 MORANG 258 2982 85324 360 3853 422 3663 158933 722 8216 432792
06 SUNSARI 149 1950 53024 255 3079 145 1919 113300 1052 11505 413002
07 DHANKUTA 105 1176 15841 138 1624 143 1658 28987 315 3556 78123
08 TERHATHUM 67 682 8530 119 1373 103 1087 15655 392 4251 36941
09 SANKHUWASABHA 98 943 11707 204 2132 152 1764 22006 314 3154 58776
10 BHOJPUR 191 2217 25078 186 2451 150 2095 24456 530 6452 86839
11 SOLUKHUMBU 76 824 11674 93 1000 73 800 12549 265 3130 29465
12 OKHALDHUNGA 168 1986 25612 167 2014 170 2254 20896 707 8349 218313
13 KHOTANG 228 2525 28434 230 2677 230 2448 30027 898 9824 64763
14 UDAYAPUR 154 1666 32327 202 2404 189 2072 49173 450 4828 97564
Province 2 2358 23984 483682 3384 44382 2652 30204 989151 7073 81244 1813383
15 SAPTARI 406 4539 80727 460 5387 451 5072 120458 1074 12334 433101
16 SIRAHA 251 2837 45875 432 5182 368 4412 122581 981 11724 212669
17 DHANUSA 322 2943 69015 486 5017 365 3525 152033 882 9605 206535
18 MAHOTTARI 273 2855 85019 359 4024 222 2325 126559 635 7521 264201
19 SARLAHI 226 2004 37247 344 9687 200 2534 124539 1015 12118 191851
32 RAUTAHAT 333 3858 66361 422 5182 235 3178 126463 841 10268 166321
33 BARA 277 2233 47700 493 5557 451 5169 122157 932 9763 207010
34 PARSA 270 2715 51738 388 4346 360 3989 94361 713 7911 131695
Province 3 1904 20542 340889 2418 27841 2578 31218 679658 9016 95939 2328491
20 SINDHULI 181 1656 25683 208 2229 192 2197 62230 494 5474 138268
21 RAMECHHAP 139 1570 22736 187 2188 186 2177 25289 752 8294 190301
22 DOLAKHA 164 1512 20172 161 1838 152 1570 22910 1238 13196 145529
23 SINDHUPALCHOK 212 2151 36236 233 2702 190 1845 33731 693 7609 222512
24 KAVRE 285 3392 55670 323 3883 353 4309 53636 956 12083 294104
25 LALITPUR 75 1224 12483 140 1505 130 2245 38298 445 5242 141040
26 BHAKTAPUR 42 597 10105 59 765 127 2093 49046 218 2968 117773
27 KATHMANDU 134 1575 33726 217 2530 366 4935 166788 1589 13453 330653
28 NUWAKOT 174 1585 21761 203 2428 198 2362 43151 1007 10217 83854
29 RASUWA 45 395 5907 57 583 57 584 7324 245 2491 36672
30 DHADING 190 2000 38680 226 2533 230 2422 47694 471 5214 148492
31 MAKWANPUR 159 1622 32956 206 2285 201 2097 59362 450 4942 298542
35 CHITAWAN 104 1263 24774 198 2372 196 2382 70199 458 4756 180751
Province 4 1358 15464 257018 1748 20530 1598 19118 331396 5767 64478 1185244
36 GORKHA 237 2605 45643 264 3027 241 2845 34532 624 7227 249748
37 LAMJUNG 171 1977 27985 194 2298 61 918 21465 654 7267 91407
38 TANAHU 145 1715 25465 210 2523 217 2575 33810 448 5018 74885
39 SYANGJA 198 2161 30270 236 2790 239 2759 37656 594 6931 124462
40 KASKI 158 1918 41407 203 2356 188 2365 73795 1037 10698 191362
41 MANANG 10 113 1712 20 226 20 213 320 118 1242 2528
42 MUSTANG 20 218 2545 26 296 20 307 1221 135 1214 4844
43 MYAGDI 78 842 12013 117 1354 118 1315 18513 370 4103 47334
44 PARBAT 105 1093 13247 161 1841 162 1857 20916 500 5616 79245
45 BAGLUNG 141 1674 35190 168 2037 175 2100 39166 922 10852 175591
48.1 NAWALPUR 95 1148 21541 149 1782 157 1864 50002 365 4310 143838
Province 5 1874 21264 463944 2668 31486 2482 30967 749356 8718 94402 2348981
46 GULMI 214 2405 36762 306 3563 269 3083 43323 959 10875 137290
47 PALPA 180 2220 43138 228 2768 226 2951 41274 553 7162 139221
48 NAWALPARASI 101 1208 26147 158 1899 183 2111 52490 435 4092 151528
49 RUPANDEHI 215 2550 58192 281 3198 292 4697 129176 1395 14653 312789
50 KAPILBASTU 279 3018 72616 362 4308 234 3242 103226 1040 10671 178901
51 ARGHAKHANCHI 84 917 19652 170 2049 175 2077 29346 845 8580 114765
52 PYUTHAN 152 1624 33345 239 2906 240 2882 47095 432 5056 154100
53 ROLPA 169 1988 29873 209 2412 176 1843 38372 445 4912 116963
54 RUKUM 44 420 9198 54 600 54 543 10530 126 1278 8185
56 DANG 131 1481 38007 195 2285 200 2508 82364 871 9148 258085
57 BANKE 150 1661 47513 271 3219 261 3128 101069 785 8798 337240
58 BARDIYA 155 1772 49501 195 2279 172 1902 71091 832 9177 439914
Province 6 1060 11024 212788 1323 14818 1020 11586 273433 4102 41977 796014
54.1 RUKUM WEST 75 838 21003 100 1168 101 1182 27120 243 2217 39589
55 SALYAN 164 1825 39867 223 2492 223 2459 43125 423 4879 131004
59 SURKHET 150 1651 33090 185 2168 199 2468 61785 987 10635 191116
60 DAILEKH 247 2212 43580 287 2896 100 1139 46340 788 8778 210759
61 JAJARKOT 97 956 22029 126 1427 68 1153 27305 258 2697 58312
62 DOLPA 52 535 5757 59 834 33 428 6264 132 1409 6794
63 JUMLA 86 1009 19916 86 1015 81 731 18111 509 4731 57487
64 KALIKOT 66 610 12303 107 1243 107 1220 28159 284 3137 79301
65 MUGU 73 657 9299 84 744 76 533 9814 290 1630 11677
66 HUMLA 50 731 5944 66 831 32 273 5410 188 1864 9975
Province 7 1437 16077 372779 1694 19781 1363 15982 420455 5747 64180 2411364
67 BAJURA 68 657 22106 119 1318 119 1332 26705 261 2954 167627
68 BAJHANG 119 1260 28244 145 1698 131 1607 34819 425 4500 107693
69 ACHHAM 235 2740 77783 239 2757 244 2972 47457 943 10910 377419
70 DOTI 217 2056 35844 251 2761 186 1932 39935 627 6760 126090
71 KAILALI 183 2157 66615 242 2885 218 2866 111558 1062 11586 572741
72 KANCHANPUR 72 876 23349 138 1696 115 1513 70659 773 8389 482413
73 DADELDHURA 74 816 20707 93 1112 101 1167 20943 456 4901 166769
74 BAITADI 315 3746 62038 330 3953 111 961 46659 831 9813 338334
75 DARCHAULA 154 1769 36093 137 1601 138 1632 21720 369 4367 72278
 Analyzed Data: Immunization (Sheet 1 of 3)
% of children 12-23
Coverage (% of children under one year Immunized)
months Immunized % of children
DPT-Hep B-Hib OPV PCV IPV MR MR <1yr Immunized
District/HF Name Japnese
1st 2nd as per NIP
1st 3rd 1st 3rd 1st 3rd Encephaliti

BCG
2nd Dose 2nd Dose 2nd Dose Dose Dose Schedule
Dose Dose Dose Dose Dose Dose s
Nepal 91.3 90.7 88.5 86.5 90.1 88.2 85.9 88.2 85.6 77.7 16.2 84 57 67.2 73.1
Province 1 92.3 90.2 87.4 87.1 89.9 87.2 86.3 88.9 86.3 81.5 28.2 83.5 60.6 72.6 79.8
01 TAPLEJUNG 96.4 93 94 91.6 92.6 93.1 91.4 90 89.6 76.5 35.7 88.6 62.4 67.3 65.1
02 PANCHTHAR 88.8 93.6 91.4 91.1 92 89.6 89.7 91.1 90.8 86.9 39.2 90 69.2 73.8 83.5
03 ILAM 76.7 76.1 73.5 74.9 76.1 72.5 74.2 74.6 73.2 67.9 23.5 70.3 52.9 63.7 69.8
04 JHAPA 96 93.3 89.7 90.9 93 89.5 90.6 92.5 89.2 87.4 34.8 87.7 66.6 79.2 79.6
05 MORANG 99.5 92.7 88.9 90.6 91.6 89 87.9 91.9 88.1 84.4 19 84.8 58.2 74.6 67
06 SUNSARI 99.5 92.1 87.4 86 92.1 87.4 86 90.8 86.8 79.9 19.5 81.1 54.2 68 74.1
07 DHANKUTA 72.8 78 77.8 78.3 78.1 77.7 79.5 77.6 76.6 73.8 71.4 76.1 55.4 69 78.9
08 TERHATHUM 77.8 84.4 84.5 78.6 85.9 83.3 77.7 83 83.2 75.2 24.4 82 58.1 75 79.6
09 SANKHUWASABHA 90.6 96.1 94.9 90.9 96.1 95 91.6 93.5 92.2 79.3 44.5 85.6 63.2 70.8 76.8
10 BHOJPUR 80.1 87.2 86.6 82.6 86.8 86.6 82.9 86.4 86.4 80.4 13 83.9 63.5 71.5 79.1
11 SOLUKHUMBU 74.4 80.4 81.4 77.3 80.5 81.3 77.5 73.8 70 69.6 59.6 81.1 54.2 55.8 73.7
12 OKHALDHUNGA 86.6 81.8 82.2 80.6 81.9 82.5 81 80.5 82.3 78.2 25.2 78.4 68.4 61.2 75
13 KHOTANG 86.1 92.8 92.1 87.8 92.9 92.1 87.8 92.7 91.4 82 22.8 89.9 70.1 81.5 92.3
14 UDAYAPUR 89.2 91 88 88.1 91.1 88 87.3 89.2 86.4 84.3 29.6 83.3 64.2 78.1 142.6
Province 2 103.2 110.7 104.2 98.7 109.1 104.3 98.1 103.7 94.3 72.3 9.2 91.2 49 64.6 65.6
15 SAPTARI 86.7 94 91.5 88.3 93.7 90.8 87.6 91.1 87.6 81.5 16.4 86.6 48 70.4 77.9
16 SIRAHA 115.1 115.3 109.2 106 114.7 109.8 103.8 110.2 104 83.9 14.9 95.7 45.1 71.8 93
17 DHANUSA 113.1 130.7 125.9 115.4 129 124.8 114.1 137.3 118.3 86.2 3.8 101.5 32.5 70.4 58.9
18 MAHOTTARI 105.1 125.3 106.9 100.7 121.7 110.2 100 107 94.2 60.6 11.4 93.1 31.4 64.4 78.8
19 SARLAHI 96.7 102.2 93 88.9 100.5 91.3 87.2 87.8 78.4 56 7 79.1 107.2 57.8 29.8
32 RAUTAHAT 108 110.9 105.5 98 109.3 107.4 99.7 99.6 87.8 64.3 4.4 90 27.5 55.1 47.9
33 BARA 96.7 102.9 100.6 97.9 101.5 99.5 98.3 97.8 91.1 67 8.8 93.9 47.6 63.9 89
34 PARSA 103.6 102.2 99.7 93.3 100.9 99.5 92.7 96.9 93 81.5 8.7 90.6 44.9 65.1 56.5
Province 3 84.8 76.7 76.6 76 76.4 76 75.1 75.3 75.9 72.5 17.7 76 49.4 58.9 62.1
20 SINDHULI 87 87 85.8 79.3 86.6 84.9 78.6 82.3 81.2 71.4 8.4 78 51.3 63.7 88.9
21 RAMECHHAP 57.4 60.7 62.1 61.3 60.4 61.2 60.8 60.6 62 53.3 29.3 60.9 47 49.3 66.4
22 DOLAKHA 62.2 72.9 71.4 70.9 73.3 71.8 71.1 69.6 67.6 62.7 27.7 72 55 56.4 67.5
23 SINDHUPALCHOK 59.4 76.3 76.7 75.1 74.7 74.8 72.3 75.5 76.5 71.6 23.5 74.4 51.7 33.1 74.9
24 KAVRE 93.3 85.5 81.2 80.7 85.5 81.3 79.8 83.2 81 73.2 27.6 75.7 57.7 65.9 67.2
25 LALITPUR 108.4 71.1 66.7 68.9 68.1 64.6 62.2 64.1 73.1 64.2 17.4 70.3 34 60.3 39.9
26 BHAKTAPUR 43.9 72.8 80.6 81.1 73.2 81 81.4 71.9 79.4 83.2 34.4 83.7 58 66 42.8
27 KATHMANDU 95.5 68.6 69.2 70.5 68.6 69.2 70.5 68.6 68.4 69.6 17.7 72.3 40.4 52.8 50.6
28 NUWAKOT 71.5 85.7 91.6 83.8 84.6 81.3 82.1 86.5 84.7 75.7 25.1 84.3 58.5 59.2 93.8
29 RASUWA 82.9 99 99.5 101.2 99.1 99 101.6 97.1 97.5 91.2 20.6 97.4 73.7 81.9 96.2
30 DHADING 62.3 81.3 79.2 77.4 81.3 79.1 77.3 79.9 77.9 72.7 12.9 77.8 59.2 68.1 77.9
31 MAKWANPUR 85.3 94.4 93.1 89.7 93.7 92.4 89.3 93.4 93 87.6 5.5 89.1 65.1 71.9 76.7
35 CHITAWAN 94.7 82.6 82.1 81.8 83.9 84.6 81.9 82.1 81.3 78.7 5.8 78.4 56.8 66.7 62.7
Province 4 75.1 77.7 77.1 76.4 77.3 77 76.3 77 77.3 74.6 20.1 75.3 64.5 70.9 69.2
36 GORKHA 69.8 77.3 78.2 80.2 77.3 78.1 80.2 76.8 77.1 78.5 25 79.8 68.8 79.6 76.8
37 LAMJUNG 71.3 76.3 77.3 75.9 74.4 75.9 75.9 74.8 76 71.7 22.5 73.8 58.2 67.8 67.9
38 TANAHU 63.5 72.8 72.6 70 72.8 72.6 70 72.5 75 70.1 15.8 68.7 58.1 65.6 64.9
39 SYANGJA 66.3 82.3 81.2 80.2 82.2 81.2 80.3 81.6 80.7 73.3 40.4 75.1 64.7 69.1 77.1
40 KASKI 93.5 71.7 71.9 71 71.4 71.8 70.7 71.4 72.1 70.5 9.2 71.2 63.2 63.2 40.8
41 MANANG 27.7 44.6 50.9 46.4 42 50.9 46.4 42.9 49.1 45.5 24.1 50 18.1 27.5 44.6
42 MUSTANG 47.2 68.5 70.2 71 69 71.8 70.2 62.5 67.3 60.1 37.1 69.4 54.3 64.7 75
43 MYAGDI 80.4 84.7 81.5 81.5 84.7 81.5 81.5 83.7 81.5 79.7 17 81.9 66.7 89.7 77.6
44 PARBAT 59.5 75.7 75.4 75.9 75.2 74.6 75.1 75.1 75.9 70.9 21.5 71.2 69 74.4 64.2
45 BAGLUNG 77 81.7 78.8 78.9 81.6 78.6 78.3 81.5 79.5 77.8 32.7 78.3 69.3 78.3 95.8
48.1 NAWALPUR 76.9 85.1 84.2 82.8 84.3 84.3 82.9 83.5 84.3 83.7 8 84 67.2 72.7 82.9
Province 5 92.4 90.7 89.3 87.3 90.4 88.9 86.9 90.1 89 84.7 8.5 86.1 67.3 72.4 72.9
46 GULMI 79.4 84.7 85.7 84.2 84.8 85.4 84.4 83.9 85.5 83 7.3 82.4 71.7 76 23.2
47 PALPA 80.1 80.6 79.7 77.5 80.6 79.7 77.5 80.6 79.8 77.1 39.7 77.3 77.8 74.9 81.3
48 NAWALPARASI 77.1 83.9 83.3 82.1 84.7 83.2 82 84 83.1 78.2 3.4 78.2 61 67.5 76.7
49 RUPANDEHI 103.4 90.5 90.7 87.8 90.7 90.7 87.7 90.7 90.5 89 11.9 89.3 67.3 72.5 69.2
50 KAPILBASTU 96.9 102.9 97.9 94.6 102.9 97.8 94.3 101.8 97 83.9 5.6 86.2 54.4 66.7 71.7
51 ARGHAKHANCHI 68.1 83.6 83.8 79.5 83.7 83.2 79.7 83.2 83.1 77.4 19.7 77.8 66.4 73.7 61.4
52 PYUTHAN 97.5 97.6 96.5 94.6 95.4 96.1 92.3 96.7 95.2 91.1 2.8 97.6 86 95.8 98.2
53 ROLPA 99.1 99.3 99.6 96.7 96.5 97.4 96 95.7 96.6 89.3 7.3 95.3 72.3 79 87.3
54 RUKUM 115.8 103.7 98.9 96.8 103.9 99.2 96.2 97.5 104.4 87.6 3 93.3 62.9 61.8 63.3
56 DANG 88.3 88.1 85.8 86.7 88.4 85.5 86.2 87.6 85.8 85.6 7.5 86.7 68.4 73.2 72.7
57 BANKE 109.9 99.1 95.4 93.5 99.1 95.4 93.5 99 95.4 91.9 0 92 66 74.7 86.9
58 BARDIYA 78.4 76.9 77.8 75.7 74.8 75.6 73.8 77 77.8 75.3 2.1 76.6 70.7 62.8 74.2
Province 6 101.4 101.5 99.9 96.6 100.5 99.8 96.1 96.2 94.1 85.7 6.4 95.8 56.2 63.9 105.3
54.1 RUKUM WEST 103.7 99.9 93.4 90.8 101.5 96.3 93.3 98.9 97.4 82.3 4.5 90.3 59.5 56.5 78.7
55 SALYAN 93.2 91.4 91 90.1 91.4 91 90.1 87.6 87.4 87.3 0 92.1 65.7 73.7 97.2
59 SURKHET 93 90.1 90.1 88 90.1 90.2 88 89.7 89.1 83.8 3.7 86 65.8 69.2 90.4
60 DAILEKH 95.3 98.7 98.1 94.9 98.7 98.1 94.9 96.2 95.2 90.4 0 97.3 60.9 61.1 115
61 JAJARKOT 108.9 111.5 106.6 98 107.8 106.7 96.8 101.1 101 86.3 6.9 97.4 41.1 44.9 94.8
62 DOLPA 104.3 100.6 98.1 94.7 100.1 96.9 93.2 97.1 93.8 86.7 51.4 89.4 53.7 65.5 107.8
63 JUMLA 103.6 98.2 104.5 103.8 96 102.3 101.3 88.3 90.1 73.5 8.6 103.4 28.1 35.8 229.9
64 KALIKOT 120.6 127.4 121.4 115.8 126.7 122.3 115.6 113 100.2 84.3 10.2 113 43.5 78.4 109.1
65 MUGU 136.4 143.4 140 135.9 138.3 136.4 131.3 136.8 126.9 115 27.6 132.8 72.5 76.6 147.1
66 HUMLA 109.2 113.5 116.1 109.6 105 107.7 98.7 89.2 82.7 73.4 25 94.4 41.7 85.6 0
Province 7 86.6 86.6 85.9 84.8 86.5 85.6 84.8 85 83.7 78.8 21.9 84.6 61.2 71.4 84.5
67 BAJURA 107.5 106.9 107.7 105.1 105.3 106.2 103.9 105.4 102.6 96.7 50.2 101.6 66.3 71.8 103.1
68 BAJHANG 98.6 96.2 91.7 94.3 95.9 91.2 94 91.6 87 85.2 24.2 94.3 53.7 74.3 86
69 ACHHAM 94.6 97.6 96.9 96.9 97.8 96.9 96.5 96.6 95.9 93.4 15.2 99.1 75.8 90.8 100.6
70 DOTI 99.9 101.1 99.4 95.2 101.1 99.4 95.2 94.7 92.3 80.9 32.4 93.5 63.4 78.3 90
71 KAILALI 77.6 79.3 78.3 76.3 79 78 76.9 79.1 77.5 74.4 13.4 76.5 54.8 64.7 68.3
72 KANCHANPUR 80.9 78 78.2 78.8 78.1 78.3 78.6 77.3 77.4 74.9 25.9 76.3 61.7 67.4 89.1
73 DADELDHURA 81.9 80.5 81 80.2 80.5 81 80.2 79.2 79.6 80.1 48.1 80.1 64.2 71.9 97.5
74 BAITADI 88.2 88.3 87.9 85.2 88.3 87.9 84.8 86 85.4 70.6 8.6 88.7 69 72.6 88.6
75 DARCHAULA 87.4 86.4 86.9 88.2 86.6 85.8 87.4 84.3 84.3 73.6 20.3 87.6 56.1 72.3 85.3
 Analyzed Data: Immunization (Sheet 1 of 3)
Dropout Rate (%) Wastage Rate (%)

District/HF Name BCG vs DPT-HepB- DPT-HepB- Measles/ BCG DPT-HepB- OPV PCV IPV Measles/ JE TD
Measles/ Hib 1 vs 3 Hib1 vs MR1 rubella 1 vs 2 Hib Rubella
Rubella1
Nepal 8 4.7 7.4 31.9 74.8 22.4 25.1 10.4 56.8 51 45.8 34.5
Province 1 9.5 3.5 7.4 28.9 75 23.1 25.9 11.2 49.6 49.6 45.3 32.6
01 TAPLEJUNG 8.1 1.6 4.8 31.2 84 34.1 37.3 20.7 60.8 62.7 55.9 47.2
02 PANCHTHAR -1.4 2.7 3.9 26.3 87.7 24.6 25.2 16.1 46 69 60.8 33.8
03 ILAM 8.4 1.6 7.7 24.4 84.9 30 31 16.5 62.8 58.4 58.6 35.8
04 JHAPA 8.7 2.5 6 26.8 59.6 11.9 14 6.6 -4.5 23.6 26.4 18.5
05 MORANG 14.7 2.2 8.5 31.7 54 6.2 8.3 3.1 30.1 22.8 21.3 14.6
06 SUNSARI 18.5 6.7 12 33 51.4 13.1 15.9 4.4 36.9 30.8 30.8 23.3
07 DHANKUTA -4.6 -0.44 2.4 30.9 84.8 31.4 34.5 15.4 59.3 57.1 50 38.6
08 TERHATHUM -5.4 7 2.9 33.2 84.6 45.5 46.7 21.5 70.3 71.8 65.8 57.7
09 SANKHUWASABHA 5.5 5.5 10.9 28 80.1 31.4 33.1 16.2 59.8 64.3 56.8 41.8
10 BHOJPUR -4.8 5.3 3.8 26.1 81.7 43.8 45 23.9 63.9 71.4 65.1 51.9
11 SOLUKHUMBU -8.9 3.8 -0.88 32.3 76.6 36.4 36.3 24.7 64.6 51.2 51.7 45.4
12 OKHALDHUNGA 9.5 1.4 4.1 17.1 87.1 51.9 54.3 26.2 82.5 73.1 74.2 60.3
13 KHOTANG -4.4 5.4 3.1 24.8 92 49.2 55.5 26.7 64 74.1 69.4 53.1
14 UDAYAPUR 6.6 3.2 8.5 26.9 80.9 25.5 30.6 13.1 59.9 52.1 48.8 35.6
Province 2 11.6 10.8 17.5 43.4 70.7 17.9 20.8 7.3 49.4 49.5 42.5 32.2
15 SAPTARI 0.16 6.1 7.9 43.9 76.1 31.5 34.5 17.6 62.4 59.7 55 48.1
16 SIRAHA 16.9 8.1 17 53.4 73.8 15 17.5 4.7 39.5 52.6 42.5 30.8
17 DHANUSA 10.3 11.7 22.4 66.7 63.7 15.7 18.2 5.1 28.8 53.3 39.7 30.8
18 MAHOTTARI 11.4 19.6 25.7 65.7 70.1 10 10.8 4.1 55.3 53.3 41 26.1
19 SARLAHI 18.2 13.1 22.7 -45 63.4 19.6 25.5 4.6 40.2 31.2 35 27.6
32 RAUTAHAT 16.7 11.7 18.9 66.7 67.3 17.5 17.4 5.6 27 48.7 39.8 29.6
33 BARA 2.9 4.8 8.7 44.8 75.7 14 15.9 5 46.1 50.5 39.5 23.3
34 PARSA 12.5 8.7 11.3 44.4 73 19.6 26.1 12.2 48.5 47.4 43.3 37.9
Province 3 10.3 0.95 0.89 32.5 72 21.7 24.3 8.6 54.5 48.1 42.2 30.5
20 SINDHULI 10.4 8.8 10.3 35 83.5 33.7 35.2 22.5 70.5 60 57 50.8
21 RAMECHHAP -6.1 -0.84 -0.28 27.2 88.1 48.3 50.2 25.8 77 66.9 60.5 53.5
22 DOLAKHA -15.9 2.8 1.2 27.9 80 37.3 37 12.9 63.6 65.3 61 48.2
23 SINDHUPALCHOK -25.1 1.5 2.5 31.1 86.5 30.7 34.1 10.3 58.8 61.2 38.2 51
24 KAVRE 18.8 5.6 11.4 24.2 77.3 27.3 29.4 5.7 62.6 63.2 55 33.7
25 LALITPUR 35.2 3.2 1.1 47.7 52.6 0.94 18.1 -1.7 37.6 41.6 21.4 16.2
26 BHAKTAPUR -90.9 -11.4 -15 24.9 77.9 7.9 7.4 0.76 17.8 34.9 30.2 10.5
27 KATHMANDU 24.3 -2.7 -5.4 37.7 48.5 9.8 11.3 5.7 35.1 25.4 25.6 11.4
28 NUWAKOT -18 2.2 1.6 31.7 85.2 30 34.4 23.2 64.4 60.5 63.1 44
29 RASUWA -17.5 -2.3 1.6 23.3 79.5 36.2 36.4 14.9 52.2 66.2 60.1 44.8
30 DHADING -24.8 4.8 4.3 27.2 85.4 34.4 35.4 14.5 71.9 58.9 55.7 44.9
31 MAKWANPUR -4.5 5 5.6 25.4 64.6 17.5 19.5 6.3 62.2 41.3 41.4 24.8
35 CHITAWAN 17.2 0.97 5.1 28.1 71.9 21.9 24.3 1.7 53 41.6 37 29.4
Province 4 -0.34 1.6 3 20.5 83.4 30.8 33.6 14.1 72.1 58.7 53 42.7
36 GORKHA -14.4 -3.6 -3.2 22.2 88.9 38.6 39.6 25.7 77.1 67.4 62.7 52.2
37 LAMJUNG -3.5 0.56 3.4 27.4 83 33.7 37.8 11.6 69.6 67.7 56.2 45.9
38 TANAHU -8.2 3.7 5.6 24.4 88 39.2 39.6 21.5 79.7 64.9 64 57.6
39 SYANGJA -13.2 2.5 8.8 24.1 88.1 32.3 35.4 13 73.2 63.5 56.3 49.3
40 KASKI 23.9 1 0.71 11.6 71.3 20.6 24.1 6.8 56.1 44.3 42.1 20.6
41 MANANG -80.6 -4 -12 51.8 94.8 80.4 80 29.4 85.8 84.3 73.5 78.9
42 MUSTANG -47 -3.5 -1.2 12.2 92 65.1 70.6 14.7 82.1 73.1 62.4 74.5
43 MYAGDI -1.9 3.8 3.3 24.4 85.5 32.8 37 14.1 64.6 63.2 48.6 47.2
44 PARBAT -19.6 -0.3 5.9 12.3 84.8 38.3 42.3 17.4 76.2 67.2 54.5 54.2
45 BAGLUNG -1.6 3.4 4.2 21.5 80.5 26.9 31.2 12.4 66.8 52.1 46.9 36
48.1 NAWALPUR -9.3 2.8 1.3 23.3 80.7 18.7 21.1 7.5 57.6 44.1 41.6 29.5
Province 5 6.9 3.7 5.1 24 73.3 18.3 21.5 8.3 58.4 49 44.5 28.9
46 GULMI -3.8 0.5 2.6 24.3 89.7 38 39.5 25.4 77.1 67.6 68.6 55.8
47 PALPA 3.5 3.9 4.2 10 77.2 28.9 38.8 9.1 66.2 63 55.3 46.6
48 NAWALPARASI -1.4 2.2 6.8 25.2 80.6 13 16.9 6.2 60.1 46.6 43.4 26.1
49 RUPANDEHI 13.7 3 1.4 23.4 45.8 10.4 12.7 4.2 37.2 28.4 29.3 18.7
50 KAPILBASTU 11 8 16.2 34.1 72.9 15.5 20.6 6.3 46.7 52.3 48.8 29.2
51 ARGHAKHANCHI -14.2 5 7 25.5 80.3 24.9 27.4 11.7 68.8 64.1 57.3 42.6
52 PYUTHAN -0.02 3.1 0.04 22.6 79.7 32 33.2 9.3 70.7 61.5 50.2 47.1
53 ROLPA 3.8 2.7 4 29.8 80.6 29.3 31.6 17.9 71.3 62.3 56.6 41
54 RUKUM 19.5 6.6 10 35.8 78.1 42.8 44.2 24.8 82.6 71.1 65.1 63.9
56 DANG 1.8 1.6 1.6 24.2 53.3 8.7 10.5 4.2 24.1 29.6 28.1 6.3
57 BANKE 16.3 5.7 7.1 25.7 74.4 11.9 14.3 5.7 40.9 35.7 19.4
58 BARDIYA 2.3 1.6 0.36 9.5 71.6 11.2 13.9 4.9 29.5 40.8 33.3 17.3
Province 6 5.5 4.7 5.5 40.2 77.6 33.6 34.5 20.2 68.8 58.3 56.3 54.1
54.1 RUKUM WEST 12.9 9.1 9.6 37.1 72.2 27.9 28 12.8 48.5 55.6 52.2 47.5
55 SALYAN 1.2 1.4 -0.85 30.4 79.6 32.6 34.3 14.7 57.6 54.7 43.2
59 SURKHET 7.4 2.4 4.5 23.2 68.9 22.1 24.5 14.2 55.8 46.4 44.4 37.5
60 DAILEKH -2.2 3.9 1.4 36.1 82.9 45.4 45.1 28.3 66.6 68.1 68.6
61 JAJARKOT 10.6 12.1 12.6 55.5 80.1 32 33.6 23.5 77.3 61.9 63.2 57.9
62 DOLPA 14.3 5.8 11.2 35.9 84.3 45.1 46.4 36.2 68.7 66.3 64.8 62.2
63 JUMLA 0.23 -5.7 -5.2 70.9 72.5 33.5 34 15 66.3 58.8 47.3 53.8
64 KALIKOT 6.3 9.1 11.3 58.6 78.4 35.7 36.1 25.4 72.8 61.7 60.8 57.6
65 MUGU 2.7 5.2 7.4 40.4 81.1 38.7 39.6 25.5 72.9 55.5 59.2 59.1
66 HUMLA 13.6 3.4 16.9 52.3 73.8 24.4 26.1 14.5 66.3 50.5 8.7 50.4
Province 7 2.2 2.1 2.3 29.3 77.3 22.7 25.4 11.8 55.2 51.5 46.2 35.4
67 BAJURA 5.5 1.7 4.9 33.1 82.7 29 30.6 20 63.7 56.4 55.1 47.7
68 BAJHANG 4.4 2 2 43.6 78.6 30.8 32.6 17.1 62.7 52.3 56.6 46.3
69 ACHHAM -4.8 0.78 -1.5 25.8 74.7 25.3 26.6 17.7 57.4 58.6 49.1 41.3
70 DOTI 6.4 5.8 7.5 39 82.1 27.2 29.6 11.9 62.8 62.6 52.9 41.3
71 KAILALI 1.5 3.8 3.5 27.9 56.1 12.1 16.6 5.1 30.7 31.5 28.7 17.4
72 KANCHANPUR 5.7 -0.99 2.2 21.9 70.1 6.5 8.4 5.6 35.5 31.5 31.9 12.2
73 DADELDHURA 2.2 0.44 0.58 22.8 79.9 22 25.6 8.8 53.9 52.1 46.6 32.1
74 BAITADI -0.62 3.5 -0.44 25.5 89.1 38.6 41.4 20.9 76.4 70 61 51.8
75 DARCHAULA -0.18 -2.2 -1.4 36.9 85.1 38.7 40.6 16.5 72.3 63.3 62 56.6
 Raw Data: Immunization (Sheet 1 of 3)

Measles/

of DPT-HepB-Hib &
3 doze completion

OPV after 1 year

DPT-Hep B-Hib Polio PCV TT Pregnant Women
District Code Rubella

Encephalitis
Japnese
BCG
District/HF Name IPV
1st 2nd 3rd 1st 2nd 3rd 1st 2nd 3rd 1st 2nd TT 2 &
TT 1 TT 2 TT 2+
Dose Dose Dose Dose Dose Dose Dose Dose Dose Dose Dose TT 2+

National Total 569751 566098 552190 539698 562452 550544 536191 550364 534158 484993 100815 524332 356878 32081 420494 324440 280800 205666 486466
EASTERN 128033 126960 122670 121389 126478 122455 120181 124378 120192 111203 34616 115828 76902 8810 96698 74913 66732 39933 106665
1 01 TAPLEJUNG 2779 2683 2710 2641 2670 2686 2637 2596 2585 2206 1029 2555 1759 703 1897 1853 1526 560 2086
2 02 PANCHTHAR 3909 4122 4025 4009 4050 3945 3951 4010 3998 3827 1728 3962 2920 328 3115 3334 2915 137 3052
3 03 ILAM 5075 5041 4864 4959 5038 4801 4914 4941 4848 4495 1557 4651 3517 453 4231 4371 3908 124 4032
4 04 JHAPA 19020 18474 17762 18011 18428 17731 17952 18319 17669 17310 6884 17360 12708 1191 15127 13305 11739 1048 12787
5 05 MORANG 22766 21218 20349 20745 20961 20367 20123 21036 20172 19308 4358 19411 13267 837 17010 7528 8889 9752 18641
6 06 SUNSARI 18536 17159 16280 16016 17159 16280 16016 16924 16172 14881 3628 15101 10115 1439 12701 9550 7824 7022 14846
7 07 DHANKUTA 2783 2981 2974 2994 2986 2969 3040 2966 2927 2823 2729 2910 2012 144 2506 2446 2304 243 2547
8 08 TERHATHUM 1799 1953 1955 1817 1986 1926 1797 1919 1924 1740 564 1897 1267 108 1636 1082 1245 615 1860
9 09 SANKHUWASABHA 3176 3369 3326 3184 3369 3330 3209 3275 3232 2780 1558 3001 2161 150 2419 1878 1686 1058 2744
10 10 BHOJPUR 2972 3238 3216 3067 3222 3214 3077 3207 3208 2983 481 3115 2303 102 2596 2120 2011 669 2680
11 11 SOLUKHUMBU 1678 1812 1836 1744 1815 1833 1747 1664 1579 1570 1344 1828 1237 148 1272 1085 1041 577 1618
12 12 OKHALDHUNGA 2959 2794 2808 2754 2796 2818 2765 2749 2811 2671 860 2679 2220 227 1987 1591 1510 756 2266
13 13 KHOTANG 3623 3907 3875 3696 3911 3875 3695 3900 3849 3452 960 3784 2845 286 3310 2989 2500 764 3264
14 14 UDAYAPUR 6913 7057 6825 6833 7060 6823 6767 6917 6696 6539 2292 6455 4719 325 5745 4974 4304 1365 5669
15 15 SAPTARI 12839 13914 13543 13069 13876 13444 12975 13487 12973 12071 2421 12819 7189 999 10539 9193 7515 5586 13101
16 16 SIRAHA 17206 17238 16322 15850 17151 16413 15516 16468 15549 12547 2223 14300 6663 1370 10607 7614 5815 9657 15472
CENTRAL 207595 205410 198580 191837 203208 197911 190320 196168 186726 158888 29640 184413 116657 12076 142516 126657 105086 65298 170384
17 17 DHANUSA 19369 22387 21563 19762 22087 21374 19534 23504 20256 14760 653 17380 5795 1301 12572 10144 8139 11627 19766
18 18 MAHOTTARI 15380 18340 15640 14740 17817 16125 14637 15658 13780 8868 1663 13622 4677 1383 9581 11258 9721 4988 14709
19 19 SARLAHI 16996 17974 16347 15625 17669 16046 15328 15444 13776 9847 1233 13900 20157 1462 10867 10625 8675 10752 19427
20 20 SINDHULI 5870 5866 5785 5350 5840 5730 5305 5553 5477 4819 565 5261 3419 618 4241 3108 2955 2050 5005
21 21 RAMECHHAP 2706 2863 2929 2887 2846 2883 2864 2856 2921 2512 1383 2871 2091 121 2195 2343 2163 315 2478
22 22 DOLAKHA 2654 3112 3050 3026 3130 3065 3035 2970 2887 2675 1183 3075 2217 550 2273 1560 1389 1312 2701
23 23 SINDHUPALCHOK 3825 4909 4935 4835 4806 4814 4656 4856 4921 4606 1515 4786 3296 373 2108 2231 2003 1460 3463
24 24 KAVRE 8084 7409 7034 6996 7405 7042 6919 7211 7022 6341 2395 6562 4973 126 5680 6358 5223 282 5505
25 25 LALITPUR 11888 7798 7311 7552 7464 7084 6818 7032 8013 7037 1903 7709 4034 212 7152 7282 6006 610 6616
26 26 BHAKTAPUR 3107 5157 5708 5744 5185 5736 5764 5091 5626 5892 2435 5931 4452 79 5061 3136 3288 216 3504
27 27 KATHMANDU 39311 28247 28482 29000 28220 28472 29003 28223 28165 28669 7305 29774 18535 1468 24224 23943 20703 420 21123
28 28 NUWAKOT 4483 5377 5748 5257 5306 5101 5151 5424 5315 4747 1573 5290 3615 112 3659 3648 2974 685 3659
29 29 RASUWA 798 953 958 975 954 953 978 935 939 878 198 938 719 0 799 860 736 11 747
30 30 DHADING 4892 6378 6214 6070 6377 6204 6066 6272 6111 5707 1009 6103 4446 1 5113 3794 3540 1883 5423
31 31 MAKWANPUR 8184 9060 8941 8608 8999 8871 8575 8967 8930 8413 531 8552 6376 56 7044 5669 4501 2261 6762
32 32 RAUTAHAT 17262 17731 16856 15657 17471 17167 15928 15911 14034 10284 708 14386 4796 1167 9619 10244 6284 9888 16172
33 33 BARA 15322 16303 15938 15513 16075 15768 15579 15500 14431 10616 1388 14880 8218 811 11046 5741 4999 8742 13741
34 34 PARSA 13907 13718 13389 12527 13548 13359 12452 13005 12485 10945 1167 12170 6772 1349 9810 5130 3957 6601 10558
35 35 CHITAWAN 13557 11828 11752 11713 12009 12117 11728 11756 11637 11272 833 11223 8069 887 9472 9583 7830 1195 9025
WESTERN 97527 98691 97727 95731 98598 97567 95597 98139 97636 93017 18848 93787 72213 4330 79374 47144 45247 47441 92688
36 36 GORKHA 4230 4688 4737 4858 4687 4736 4858 4657 4672 4757 1517 4839 3767 254 4355 2605 2502 1490 3992
37 37 LAMJUNG 2826 3026 3063 3009 2948 3008 3009 2964 3013 2843 892 2924 2123 117 2473 1517 1751 848 2599
38 38 TANAHU 5081 5823 5812 5605 5823 5812 5605 5804 6001 5608 1263 5497 4156 28 4694 2795 2340 1937 4277
39 39 SYANGJA 4249 5272 5204 5139 5266 5204 5148 5228 5169 4696 2592 4810 3653 11 3900 1753 2004 2451 4455
40 40 KASKI 11266 8635 8658 8547 8596 8650 8520 8597 8682 8489 1110 8574 7581 54 7587 5508 5715 2845 8560
41 41 MANANG 31 50 57 52 47 57 52 48 55 51 27 56 27 0 41 51 28 20 48
42 42 MUSTANG 117 170 174 176 171 178 174 155 167 149 92 172 151 19 180 103 66 66 132
43 43 MYAGDI 2087 2199 2115 2115 2199 2115 2115 2172 2116 2068 442 2127 1607 0 2159 1117 1026 1256 2282
44 44 PARBAT 2071 2632 2623 2640 2615 2596 2614 2612 2641 2468 748 2477 2172 125 2345 706 1099 1272 2371
45 45 BAGLUNG 5113 5422 5230 5238 5414 5218 5194 5409 5273 5166 2169 5195 4076 85 4603 2908 2505 2267 4772
46 46 GULMI 5112 5450 5518 5423 5461 5495 5431 5401 5505 5342 467 5307 4018 44 4264 2133 2382 2597 4979
47 47 PALPA 4827 4860 4807 4671 4860 4807 4670 4860 4808 4646 2394 4657 4192 72 4035 2066 2048 2237 4285
48 NAWALPUR 5820 6447 6377 6269 6386 6385 6280 6320 6387 6339 603 6364 4881 19 5278 3328 3082 2574 5656
48 48.1 NAWALPARASI 6243 6793 6740 6645 6854 6732 6634 6795 6727 6326 272 6332 4738 170 5244 2798 2847 3716 6563
49 49 RUPANDEHI 22207 19430 19473 18849 19465 19475 18837 19477 19431 19109 2552 19166 14674 2496 15802 10620 8624 10640 19264
50 50 KAPILBASTU 12946 13741 13076 12644 13747 13067 12595 13606 12961 11208 752 11521 7588 748 9298 5216 5416 9989 15405
51 51 ARGHAKHANCHI 3301 4053 4063 3851 4059 4032 3861 4034 4028 3752 956 3769 2809 88 3116 1920 1812 1236 3048
MID WESTERN 83129 81521 80186 78346 80737 79722 77721 79176 77885 73228 4183 78026 54123 5121 58748 48615 41329 27008 68337
52 52 PYUTHAN 5552 5555 5490 5382 5432 5469 5253 5502 5418 5186 161 5553 4299 453 4791 2566 2630 2122 4752
53 53 ROLPA 5338 5349 5363 5206 5197 5247 5170 5152 5201 4810 393 5133 3604 397 3940 2729 2366 1867 4233
54 54 RUKUM 1501 1344 1282 1255 1347 1286 1247 1264 1353 1135 39 1209 776 109 763 672 539 382 921
54.1 RUKUM WEST 3843 3703 3462 3365 3761 3569 3458 3667 3612 3052 167 3346 2105 222 1996 1786 1305 1182 2487
55 55 SALYAN 5413 5304 5283 5230 5304 5283 5230 5086 5073 5070 0 5349 3723 0 4175 3060 2842 2483 5325
56 56 DANG 12152 12128 11812 11930 12162 11769 11872 12057 11817 11789 1026 11933 9044 732 9678 10861 9728 555 10283
57 57 BANKE 13139 11849 11407 11177 11853 11407 11188 11836 11413 10987 0 11002 8173 875 9249 6673 5737 5932 11669
58 58 BARDIYA 7987 7830 7926 7706 7618 7699 7519 7841 7920 7666 215 7802 7063 286 6278 4858 4382 3287 7669
59 59 SURKHET 7933 7693 7688 7508 7685 7696 7506 7656 7607 7155 318 7343 5642 1 5935 3853 3465 2982 6447
60 60 DAILEKH 5817 6029 5992 5793 6029 5992 5793 5874 5813 5523 0 5944 3800 196 3809 3073 2527 2210 4737
61 61 JAJARKOT 4304 4404 4212 3871 4258 4214 3826 3994 3992 3409 274 3847 1711 435 1869 2564 1805 1079 2884
62 62 DOLPA 872 841 820 792 837 810 779 812 784 725 430 747 479 179 584 648 484 168 652
63 63 JUMLA 2564 2431 2586 2570 2376 2531 2508 2186 2230 1818 212 2558 744 335 948 1263 886 1159 2045
64 64 KALIKOT 3763 3974 3787 3612 3952 3816 3605 3523 3124 2630 317 3525 1459 304 2631 2411 1519 1129 2648
65 65 MUGU 1693 1779 1738 1686 1716 1693 1630 1698 1575 1427 343 1648 982 408 1037 907 640 317 957
66 66 HUMLA 1258 1308 1338 1263 1210 1241 1137 1028 953 846 288 1087 519 189 1065 691 474 154 628
FAR WESTERN 53467 53516 53027 52395 53431 52889 52372 52503 51719 48657 13528 52278 36983 1744 43158 27111 22406 25986 48392
67 67 BAJURA 3401 3381 3405 3323 3331 3359 3285 3334 3244 3060 1589 3214 2151 231 2327 1511 1234 1977 3211
68 68 BAJHANG 4588 4479 4269 4391 4462 4246 4374 4266 4049 3964 1128 4388 2475 463 3424 2418 1851 2085 3936
69 69 ACHHAM 5832 6022 5977 5975 6032 5974 5950 5959 5916 5759 938 6111 4537 10 5438 2310 1980 3928 5908
70 70 DOTI 5027 5089 5002 4793 5089 5002 4793 4764 4645 4070 1629 4705 2871 314 3548 3467 2655 1355 4010
71 71 KAILALI 14882 15197 15003 14616 15147 14955 14748 15155 14859 14260 2568 14664 10575 78 12479 8409 7203 6223 13426
72 72 KANCHANPUR 9050 8730 8747 8816 8743 8764 8794 8649 8657 8380 2897 8534 6664 215 7282 4433 3608 4274 7882
73 73 DADELDHURA 2800 2754 2769 2742 2754 2769 2742 2710 2724 2738 1646 2738 2113 98 2367 1310 975 1455 2430
74 74 BAITADI 5182 5191 5166 5008 5192 5164 4982 5057 5017 4147 505 5214 3886 191 4085 2156 1983 3204 5187
75 75 DARCHAULA 2705 2673 2689 2731 2681 2656 2704 2609 2608 2279 628 2710 1711 144 2208 1097 917 1485 2402
 Raw Data: Immunization (Sheet 2 of 3)

District Vaccine Received in Doses Vaccine Expenditure in Doses

Code DPT-
District/HF Name DPT-Hep
BCG Hep B- Polio PCV IPV Measles JE TT BCG Polio PCV IPV Measles JE TT
B-Hib
Hib
National Total 2491464 2294752 2343077 1892808 262637 1939899 872948 1341753 2256902 2135469 2200723 1751438 233173 1798599 775297 1238453
EASTERN 541380 503910 516330 417625 73479 418099 193217 289382 510869 482932 498776 400583 69593 394861 180075 278518
1 01 TAPLEJUNG 18672 12563 12852 9582 2756 12215 4697 7760 17413 12188 12757 9310 2625 11557 4303 7466
2 02 PANCHTHAR 34930 16864 16684 14823 3600 23725 9134 10198 31870 16125 15969 14104 3198 22190 7945 9643
3 03 ILAM 33914 21324 21512 17284 4212 19775 10458 13226 33704 21243 21396 17112 4184 19616 10212 13088
4 04 JHAPA 48760 64100 65090 58673 6703 44815 21541 33786 47120 61572 62938 57075 6585 39346 20549 32007
5 05 MORANG 57891 74590 73399 71111 7442 47137 25370 34828 49524 66415 67006 62440 6232 42342 21604 30639
6 06 SUNSARI 41140 58800 60150 50010 6130 38550 20030 30050 38160 56907 58790 50172 5752 36422 18367 31810
7 07 DHANKUTA 19330 13252 13980 10603 7029 11832 5486 8365 18274 13044 13732 10300 6713 11466 5014 8135
8 08 TERHATHUM 12290 11030 11146 7648 1962 12002 5260 7340 11650 10513 10708 7113 1902 11200 4789 6959
9 09 SANKHUWASABHA 17746 15456 15676 11950 4020 15951 6436 8500 15948 14405 14821 11084 3874 14449 5603 7939
10 10 BHOJPUR 16500 17362 17705 12569 1334 19080 7748 10304 16260 16931 17282 12342 1334 18915 7444 9988
11 11 SOLUKHUMBU 7210 8482 8480 6417 3824 6275 2631 4970 7180 8472 8470 6393 3795 6280 2636 4950
12 12 OKHALDHUNGA 23060 17510 18400 11201 4831 18302 7791 9665 22920 17370 18340 11148 4911 18215 7714 9725
13 13 KHOTANG 45240 22730 25800 15292 2668 25630 10805 13320 45240 22610 25800 15282 2668 25630 10805 13320
14 14 UDAYAPUR 42074 30085 32139 24692 6424 26121 12395 18690 36184 27807 29735 23187 5713 23320 11213 16516
15 15 SAPTARI 53760 59265 61606 46840 6463 49765 23473 43041 53640 59185 61526 46754 6433 49695 23418 42961
16 16 SIRAHA 68863 60497 61711 48930 4081 46924 19962 35339 65782 58145 59506 46767 3674 44218 18459 33372
CENTRAL 786639 782266 796751 625916 69673 616247 268187 456711 708520 735197 756210 585090 62669 574786 242073 423120
17 17 DHANUSA 54650 77060 78295 63061 975 50700 21384 45361 53409 75606 77046 61665 917 49605 20859 43233
18 18 MAHOTTARI 52967 55354 55553 40817 3877 40238 16794 36493 51391 54114 54449 39940 3724 39173 16243 35137
19 19 SARLAHI 47720 62226 61473 42186 2059 50408 16785 42701 46435 62109 65872 40943 2061 49512 16706 41505
20 20 SINDHULI 37682 26974 27140 21357 2030 22461 10222 17393 35582 25654 26034 20442 1918 21680 9868 16487
21 21 RAMECHHAP 23650 17110 17770 11556 6216 15490 5740 10600 22650 16800 17260 11176 6016 14990 5550 10360
22 22 DOLAKHA 14101 14906 15089 10089 3401 15898 6125 8560 13300 14663 14654 9793 3247 15231 5828 8230
23 23 SINDHUPALCHOK 34910 24530 24750 19272 4468 23828 4470 13662 28380 21180 21660 16030 3678 20855 3410 11620
24 24 KAVRE 49288 32960 33589 25814 7960 36324 16262 18767 35619 29498 30280 21828 6412 31380 12626 17889
25 25 LALITPUR 29197 23705 26490 23604 3598 21109 10512 15281 25078 22877 26078 21710 3051 20103 9094 16588
26 26 BHAKTAPUR 19700 20550 20900 19130 3810 18685 9100 9510 14040 18035 18020 16736 2964 15944 7254 7422
27 27 KATHMANDU 90740 109987 112879 101502 12895 75500 41190 60910 76380 95034 96596 90155 11261 64750 32538 50893
28 28 NUWAKOT 30369 24253 24236 20989 4636 23104 10250 13745 30191 23404 23724 20152 4424 22522 9926 13057
29 29 RASUWA 4060 4750 4740 3414 414 5070 2150 3035 3900 4525 4535 3234 414 4900 2005 2910
30 30 DHADING 35717 29531 29771 22156 3610 26375 12045 17646 33590 28440 28870 21166 3590 25655 11545 16713
31 31 MAKWANPUR 25961 34843 35418 30093 1528 27733 13557 18503 23125 32268 32859 28074 1405 25438 12024 16541
32 32 RAUTAHAT 54408 61719 62583 43631 1122 37398 16722 39406 52745 60918 61251 42599 970 37370 15991 37501
33 33 BARA 68694 60695 58121 43895 2597 49846 19188 27135 62945 55559 56388 42698 2576 46658 18262 25394
34 34 PARSA 55645 51580 56210 43376 2417 38418 18030 27390 51485 49324 53274 41496 2267 36010 17315 25275
35 35 CHITAWAN 57180 49533 51744 39974 2060 37662 17661 30613 48275 45189 47360 35253 1774 33010 15029 26365
WESTERN 554400 442976 455491 375469 73927 416357 198073 256254 467058 387748 405303 325283 59398 366278 159823 222511
36 36 GORKHA 41870 24373 24734 20171 7067 27710 12519 14519 38230 23245 23653 18958 6612 26372 11674 13800
37 37 LAMJUNG 25759 17037 17911 13016 4241 20788 9160 10001 16649 13730 14403 9975 2939 15606 5640 7602
38 38 TANAHU 42220 28370 28345 22220 6232 27520 13039 16716 42290 28342 28525 22194 6232 27520 13035 16686
39 39 SYANGJA 47140 27510 27960 20334 11900 26630 12140 15375 35580 23070 24190 17358 9670 23175 8930 12235
40 40 KASKI 59400 44270 45440 37938 4180 40190 19310 20647 39200 32540 33950 27646 2528 29015 13110 17708
41 41 MANANG 600 820 790 218 190 540 155 470 600 810 780 218 190 530 155 470
42 42 MUSTANG 2481 1912 2305 679 712 1727 723 1245 1465 1491 1777 552 515 1199 479 921
43 43 MYAGDI 15520 9970 10721 7882 1378 10541 4725 6600 14440 9572 10202 7396 1248 10155 4200 6440
44 44 PARBAT 16420 16030 16190 11690 4173 16796 7809 8064 13620 12797 13557 9347 3149 14178 5157 6712
45 45 BAGLUNG 30077 24003 25208 21201 7393 21135 10524 13768 26241 21752 23011 18091 6538 19343 8675 11997
46 46 GULMI 55940 28490 29013 23266 2281 30368 15592 17310 49780 26425 27089 21786 2043 28766 13599 16090
47 47 PALPA 28120 28140 30712 23925 11940 30900 15830 16430 21160 20180 23442 15754 7090 23930 9025 11900
48 NAWALPUR 33970 25790 26366 23179 1621 22260 10545 14775 30140 23484 24136 20593 1421 20120 9045 12745
48 48.1 NAWALPARASI 36630 25980 26660 23641 730 23255 10985 14973 32244 23191 24340 21171 681 20739 9265 12672
49 49 RUPANDEHI 46737 71295 72305 66707 4619 52077 25727 41558 40962 64466 66174 60551 4066 47232 22361 36776
50 50 KAPILBASTU 53220 51205 52545 44228 1550 43985 20495 33915 47700 46726 49616 40308 1410 40087 18170 29106
51 51 ARGHAKHANCHI 18296 17781 18286 15174 3720 19935 8795 9888 16757 15927 16458 13385 3066 18311 7303 8651
MID WESTERN 353103 343516 345274 286771 11796 293289 124526 210069 334713 323952 327754 267114 11338 278470 113112 197463
52 52 PYUTHAN 29560 26920 26650 19588 600 27790 11285 15890 27370 24158 24178 17766 550 25619 9623 13830
53 53 ROLPA 28117 22504 22802 18521 1393 23214 9089 11909 27517 22516 22821 18476 1368 23147 9074 11806
54 54 RUKUM 6840 6550 7030 4998 224 6439 2218 4450 6852 6786 6949 4987 224 6876 2188 4418
54.1 RUKUM WEST 14112 14730 15120 12039 324 12554 4417 8479 13801 14597 14987 11848 324 12286 4178 8135
55 55 SALYAN 27280 24580 25090 18578 0 22090 9660 15680 26500 23460 24070 17850 0 21380 9215 14760
56 56 DANG 27425 42290 41813 40866 1498 32514 16970 23611 26002 39289 39995 37229 1352 29790 13466 22574
57 57 BANKE 57860 43240 44740 40301 0 36363 16489 25612 51352 39094 40208 36298 0 32459 14378 22750
58 58 BARDIYA 31240 30905 30396 29517 335 27364 10945 18216 28130 26431 26525 24635 305 25103 9410 15156
59 59 SURKHET 27300 32270 32590 29526 730 26150 11930 17160 25480 29400 30310 26114 720 24240 10675 16470
60 60 DAILEKH 34030 32700 32460 24075 0 29185 11965 24880 34040 32617 32440 24006 0 29175 11950 24860
61 61 JAJARKOT 22152 18810 18941 15166 1279 14905 5295 13455 21593 18376 18517 14889 1209 14584 5082 12950
62 62 DOLPA 5697 4582 4598 3671 1452 3752 1753 3634 5553 4470 4525 3636 1373 3639 1661 3438
63 63 JUMLA 9883 11856 11815 7762 638 8612 2059 7694 9334 11403 11242 7333 629 8005 1798 7157
64 64 KALIKOT 17540 17820 17890 12449 1175 13090 6705 12050 17440 17700 17790 12429 1165 13010 6705 11940
65 65 MUGU 9210 8540 8450 6364 1285 5986 2596 4620 8942 8486 8342 6310 1265 5912 2542 4562
66 66 HUMLA 4857 5219 4889 3350 863 3281 1150 2729 4807 5169 4855 3308 854 3245 1167 2657
FAR WESTERN 255942 222084 229231 187027 33762 195907 88945 129337 235742 205640 212680 173368 30175 184204 80214 116841
67 67 BAJURA 19850 14372 14515 12105 4402 12380 5291 9144 19673 14233 14380 12054 4379 12314 5177 9025
68 68 BAJHANG 22400 19604 20086 15060 3226 14895 8148 12422 21411 18974 19412 14810 3028 14394 7891 11841
69 69 ACHHAM 23113 24709 24587 21531 2232 25728 10715 14011 23053 24063 24453 21434 2204 25698 10685 13996
70 70 DOTI 30735 21520 22122 16453 4647 21437 8197 13915 28093 20456 21140 15292 4381 20244 7538 12732
71 71 KAILALI 38370 57000 60102 51544 4169 40758 19670 31008 33878 50990 53769 46651 3708 36867 17494 26429
72 72 KANCHANPUR 35774 33546 34666 32526 5761 24911 13494 18090 30223 28123 28705 27217 4494 22188 10693 14020
73 73 DADELDHURA 15510 11923 12368 9991 4558 11260 5666 6401 13903 10591 11107 8962 3569 10117 4434 5510
74 74 BAITADI 51390 25930 26995 18580 2407 32258 11649 15982 47388 25010 26184 17969 2142 30352 10487 15222
75 75 DARCHAULA 18800 13480 13790 9237 2360 12280 6115 8364 18120 13200 13530 8979 2270 12030 5815 8066
 Raw Data: Immunization (Sheet 3 of 3)

District AEFI Cases Reported Outpatient Morbidity-Communicable/Immunizable

Code District/HF Name DPT-Hep Whooping Neonatal Tuber- Chicken Hepatitis
BCG OPV PCV IPV Measles JE TT Measles Diptheria AFP Rubella Mumps
B-Hib Cough Tetanus Tetanus culosis Pox B
National Total 41 316 341 141 40 211 98 219 740 364 4546 14 426 20851 417 301 30636 27277 2257
EASTERN 7 33 73 8 0 40 16 81 140 77 667 3 68 3255 93 91 7961 6038 114
1 01 TAPLEJUNG 0 0 0 0 0 0 0 0 2 2 30 0 0 26 0 0 398 606 0
2 02 PANCHTHAR 0 0 0 0 0 0 0 0 2 4 8 0 0 28 0 0 316 278 0
3 03 ILAM 0 0 0 0 0 0 0 0 5 26 121 2 8 268 312 0
4 04 JHAPA 0 0 1 0 0 0 0 11 0 162 0 5 831 9 4 1253 536 23
5 05 MORANG 0 0 0 0 0 0 0 0 0 0 32 0 8 1088 3 0 673 501 53
6 06 SUNSARI 0 28 26 64 2 8 262 12 8 812 622 6
7 07 DHANKUTA 0 1 0 0 0 0 0 1 10 26 4 0 0 20 1 2 274 358 1
8 08 TERHATHUM 6 22 20 5 32 5 13 392 463 8
9 09 SANKHUWASABHA 3 1 21 8 51 1 615 659 10
10 10 BHOJPUR 0 10 7 37 43 1 28 642 292 1
11 11 SOLUKHUMBU 0 0 0 0 0 0 0 0 1 0 18 0 0 19 1 1 151 116 2
12 12 OKHALDHUNGA 0 0 0 0 0 0 0 0 20 3 11 0 1 26 0 5 578 296 0
13 13 KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 305 399 0
14 14 UDAYAPUR 3 0 0 0 0 0 0 50 8 0 29 1 0 236 24 20 677 488 9
15 15 SAPTARI 0 0 0 0 0 0 0 0 17 7 44 0 20 152 11 0 213 49 0
16 16 SIRAHA 4 32 72 2 40 16 30 1 1 161 13 312 24 1 394 63 1
CENTRAL 24 231 218 74 0 139 62 137 428 93 2974 5 295 7648 167 115 10933 7464 1563
17 17 DHANUSA 0 0 0 0 0 0 0 0 6 0 3 2 10 176 0 2 106 1 0
18 18 MAHOTTARI 4 40 70 0 0 0 0 20 15 6 71 0 6 369 7 5 380 295 22
19 19 SARLAHI 0 2 0 44 0 0 198 0 0 181 85 2
20 20 SINDHULI 0 0 0 0 0 0 0 0 28 11 574 1 170 3 10 644 305
21 21 RAMECHHAP 0 0 0 0 0 0 0 0 13 0 39 3 25 115 1 16 1290 761 0
22 22 DOLAKHA 0 0 0 0 0 0 0 0 22 0 32 0 1 256 8 0 691 248 0
23 23 SINDHUPALCHOK 54 44 6 175 3 1202 363
24 24 KAVRE 0 0 0 0 32 64 1 363 5 5 736 281 4
25 25 LALITPUR 0 0 0 0 0 0 0 0 77 1 159 0 110 2058 13 4 603 592 78
26 26 BHAKTAPUR 0 41 0 0 0 1 0 7 36 0 10 0 10 130 29 1 382 414 26
27 27 KATHMANDU 0 0 0 0 0 0 0 0 0 3 751 0 106 1234 4 0 824 900 1308
28 28 NUWAKOT 0 51 0 183 0 1 87 1 5 554 273 9
29 29 RASUWA 0 0 0 0 0 0 15 87 68 0
30 30 DHADING 0 0 0 0 0 0 0 12 0 46 2 145 1 0 722 510 1
31 31 MAKWANPUR 0 0 0 0 0 0 0 0 12 22 25 0 1 268 29 1 460 223 3
32 32 RAUTAHAT 0 90 88 43 0 87 17 40 16 0 72 0 11 221 13 30 197 182 2
33 33 BARA 0 60 60 31 0 51 45 30 19 2 73 0 2 561 19 4 508 167 1
34 34 PARSA 0 0 0 0 0 0 0 0 6 0 41 0 2 363 5 1 260 186 2
35 35 CHITAWAN 20 0 0 0 0 0 0 40 27 48 743 0 0 744 29 28 1106 1610 105
WESTERN 10 46 50 56 40 30 20 1 87 22 492 3 46 4661 100 61 5963 4865 309
36 36 GORKHA 0 0 0 0 0 0 0 0 7 0 0 0 0 253 0 10 898 730 23
37 37 LAMJUNG 10 40 40 36 40 20 20 0 24 0 74 0 4 92 6 0 1087 766 3
38 38 TANAHU 0 0 0 0 0 0 0 0 1 1 1 1 10 59 1 384 363 3
39 39 SYANGJA 0 0 0 0 0 0 0 0 12 5 13 0 0 183 1 0 416 194 0
40 40 KASKI 0 2 0 20 0 0 0 0 8 0 31 0 2 362 12 1 405 333 105
41 41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0
42 42 MUSTANG 0 0 10 0 0 10 0 0 2 0 3 0 0 4 0 0 10 39 2
43 43 MYAGDI 0 1 0 0 0 0 0 0 124 59 1 0 246 399
44 44 PARBAT 0 2 25 38 158 181 2
45 45 BAGLUNG 0 3 0 0 0 0 0 1 3 73 63 4 508 405 4
46 46 GULMI 0 0 0 0 0 0 0 0 6 2 37 0 26 75 4
47 47 PALPA 0 0 0 0 0 0 0 0 7 0 11 0 22 584 4 5 137 83 74
48 NAWALPUR 2 0 0 0 401 1 3 437 513 10
48 48.1 NAWALPARASI 0 1 1 0 0 620 1 5 266 194 2
49 49 RUPANDEHI 0 0 0 0 0 0 0 0 4 0 0 2 0 1138 48 2 397 183 56
50 50 KAPILBASTU 0 0 0 0 0 0 0 0 8 7 92 0 3 666 20 28 347 192 5
51 51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 6 8 39 0 3 102 1 7 236 210 16
MID WESTERN 0 1 0 0 0 0 0 0 63 7 198 0 12 2719 28 11 3808 4157 64
52 52 PYUTHAN 0 0 0 0 0 0 0 0 4 1 396 1 319 746 3
53 53 ROLPA 0 3 1 0 163 0 449 346 2
54 54 RUKUM 0 0 0 0 0 0 0 0 19 13 65 31
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 1 1 0 1 141 0 0 520 156 0
55 55 SALYAN 138 198 277
56 56 DANG 0 0 0 0 0 0 0 0 21 0 0 0 0 630 2 3 399 639 5
57 57 BANKE 0 1 0 0 0 0 0 0 1 13 5 338 6 6 148 195 9
58 58 BARDIYA 0 0 0 0 0 0 0 0 14 0 5 359 10 0 394 533 2
59 59 SURKHET 0 0 0 0 0 0 0 0 2 0 34 0 0 291 0 0 514 584 25
60 60 DAILEKH 0 0 0 0 0 0 0 0 0 0 83 0 300 276 8
61 61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 36 0 0 91 7 0 92 63 2
62 62 DOLPA 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 5 45 0
63 63 JUMLA 0 0 0 0 0 0 0 0 8 6 24 0 0 45 2 0 41 68 7
64 64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 49 132 0
65 65 MUGU 0 0 0 0 0 0 0 0 0 0 10 0 0 1 0 0 6 36 1
66 66 HUMLA 0 0 0 0 0 0 0 0 10 0 57 0 0 25 0 2 309 30 0
FAR WESTERN 0 5 0 3 0 2 0 0 22 165 215 3 5 2568 29 23 1971 4753 207
67 67 BAJURA 0 0 0 0 0 0 0 0 0 0 8 0 0 46 8 0 154 237 1
68 68 BAJHANG 0 0 0 0 0 0 0 0 1 84 2 52 367 5
69 69 ACHHAM 0 0 0 0 0 0 0 0 4 4 2 1 248 0 13 201 568 47
70 70 DOTI 0 0 0 0 0 0 0 0 151 0 0 90 264 0
71 71 KAILALI 0 0 0 0 0 0 0 0 15 158 90 0 2 730 6 9 698 1120 142
72 72 KANCHANPUR 0 0 0 0 0 0 0 0 1 7 112 0 1 1052 10 1 225 1033 1
73 73 DADELDHURA 0 0 0 0 0 0 0 0 127 2 0 93 556 8
74 74 BAITADI 0 5 0 3 0 2 0 0 2 0 0 1 0 66 1 0 209 356 2
75 75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 1 64 0 0 249 252 1
 Raw Data: CBIMCI (Sheet 1 of 11)
Health Facility (< 2 months Children)
Classification Treatment

Follow-up
Total cases Low weight/ Cotrim Refer Death
District Name PSBI LBI Jaundice Amoxycillin Ampicilline Gentamycin Other
Feeding Prob. Paediatrics
anti-
≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 1st Compl. ≤ 28 29-59 biotic ≤ 28 29-59 ≤ 28 29-59
days days days days days days days days days days days days days days doze Doze days days days days days days
Nepal ##### ##### 3514 2535 11104 14892 1610 663 1605 1898 3418 4736 388 611 3901 3568 5015 7035 7054 1200 719 12480 90 17
Province 1 4116 5923 477 471 2302 3666 277 158 164 258 632 1484 73 120 464 454 1188 1709 1440 256 229 2713 6 0
01 TAPLEJUNG 140 401 7 24 62 145 7 4 7 11 45 97 5 3 22 7 28 179 67 1 8 236 0 0
02 PANCHTHAR 108 187 21 31 73 137 11 1 1 12 28 41 0 1 5 34 31 60 24 3 2 113 1 0
03 ILAM 73 133 12 3 38 91 16 10 7 10 8 39 0 1 5 3 2 12 20 12 6 47 0 0
04 JHAPA 1011 1358 76 52 640 855 138 60 50 96 257 391 4 10 32 33 166 214 553 91 93 596 3 0
05 MORANG 872 771 183 143 337 356 5 2 13 13 5 13 17 5 247 274 355 344 211 46 20 550 0 0
06 SUNSARI 549 1054 49 58 285 868 14 11 10 34 68 589 3 5 64 37 194 256 73 37 51 325 0 0
07 DHANKUTA 193 179 10 16 106 93 10 3 13 14 42 40 5 5 6 7 50 45 30 11 4 125 0 0
08 TERHATHUM 78 169 5 7 45 141 7 21 12 12 10 35 2 13 3 4 26 46 22 5 6 24 0 0
09 SANKHUWASABHA 136 189 16 22 73 110 9 3 3 13 33 34 0 3 9 20 12 8 69 3 2 83 0 0
10 BHOJPUR 134 163 6 9 106 86 8 5 6 5 42 39 0 2 0 0 9 10 72 3 1 80 0 0
11 SOLUKHUMBU 194 412 31 34 112 139 7 13 9 13 31 48 19 26 11 4 68 85 44 5 9 73 2 0
12 OKHALDHUNGA 148 171 13 19 99 136 8 10 7 3 23 40 1 0 4 6 13 25 62 5 4 88 0 0
13 KHOTANG 204 387 16 28 129 227 9 3 11 10 37 62 10 40 20 15 93 183 82 26 12 153 0 0
14 UDAYAPUR 276 349 32 25 197 282 28 12 15 12 3 16 7 6 36 10 141 242 111 8 11 220 0 0
Province 2 1720 4325 193 195 1161 2884 77 46 90 213 222 715 54 143 208 285 716 2079 598 145 86 2043 1 0
15 SAPTARI 197 469 5 9 140 402 1 0 8 26 27 93 0 19 11 12 83 219 100 7 9 337 0 0
16 SIRAHA 230 515 25 29 148 204 8 1 9 9 37 27 2 20 13 32 50 234 89 13 10 125 0 0
17 DHANUSA 166 254 17 15 98 202 20 8 10 20 22 35 1 3 25 12 27 124 39 4 4 132 0 0
18 MAHOTTARI 269 753 71 41 175 669 11 7 12 54 43 177 14 22 72 122 148 555 133 7 9 575 0 0
19 SARLAHI 46 344 3 8 37 337 4 2 2 5 15 219 0 20 12 12 14 78 42 2 2 157 0 0
32 RAUTAHAT 451 1396 33 54 354 659 12 18 29 60 26 59 16 17 42 57 261 558 108 41 42 473 0 0
33 BARA 180 199 26 17 110 148 6 3 18 6 21 26 20 38 20 26 60 72 22 60 3 106 1 0
34 PARSA 181 395 13 22 99 263 15 7 2 33 31 79 1 4 13 12 73 239 65 11 7 138 0 0
Province 3 2827 2889 243 249 1251 1387 305 116 146 147 361 440 20 31 158 120 276 408 885 199 124 1055 12 1
20 SINDHULI 182 153 15 20 75 86 13 5 7 9 25 32 4 11 7 21 14 15 49 13 5 74 2 1
21 RAMECHHAP 203 193 15 15 83 86 11 3 8 3 23 39 1 2 7 7 15 11 55 5 2 35 0 0
22 DOLAKHA 195 215 12 3 35 62 14 20 31 20 31 49 1 1 5 1 37 35 61 9 8 46 1 0
23 SINDHUPALCHOK 321 444 34 38 148 250 43 30 14 17 52 88 0 6 34 11 41 32 226 43 25 192 5 0
24 KAVRE 261 255 25 16 101 87 28 3 7 5 38 17 3 0 9 18 4 11 43 18 6 100 0 0
25 LALITPUR 205 196 6 7 72 58 21 8 2 15 17 12 0 0 9 0 3 8 16 14 9 32 0 0
26 BHAKTAPUR 87 92 7 14 56 48 4 0 5 4 14 11 1 0 2 1 2 20 24 6 4 43 0 0
27 KATHMANDU 151 142 10 7 66 72 21 5 9 7 2 3 0 1 0 0 6 13 39 15 9 15 0 0
28 NUWAKOT 81 108 9 7 26 50 13 9 0 4 12 11 2 1 3 1 3 5 4 3 2 28 0 0
29 RASUWA 49 36 1 5 29 23 9 2 2 0 14 19 0 0 2 1 1 0 11 6 3 39 0 0
30 DHADING 350 298 46 36 134 139 57 17 18 17 52 51 5 3 28 18 2 10 76 25 26 162 4 0
31 MAKWANPUR 219 232 14 22 140 181 32 8 11 6 19 34 3 6 12 6 19 53 127 18 8 85 0 0
35 CHITAWAN 523 525 49 59 286 245 39 6 32 40 62 74 0 0 40 35 129 195 154 24 17 204 0 0
Province 4 1798 1527 122 71 868 881 283 51 133 133 177 236 16 17 50 32 136 226 504 81 39 709 2 0
36 GORKHA 245 206 8 17 132 126 30 9 14 20 7 8 1 1 2 3 13 25 87 6 7 79 0 0
37 LAMJUNG 47 16 8 0 21 10 5 0 4 1 2 2 0 0 0 0 9 4 8 5 0 8 0 0
38 TANAHU 198 87 10 5 90 46 42 4 9 7 14 5 1 0 2 1 16 16 51 14 6 64 0 0
39 SYANGJA 176 249 6 3 68 128 11 3 10 5 11 9 9 9 5 1 25 38 29 11 7 94 0 0
40 KASKI 242 196 8 7 132 83 40 14 47 70 20 12 0 1 2 0 1 18 69 13 4 54 0 0
41 MANANG 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
42 MUSTANG 9 14 1 0 6 7 0 0 0 0 2 1 0 0 0 0 3 1 3 0 0 3 0 0
43 MYAGDI 154 118 14 4 61 94 63 0 2 1 28 63 3 1 23 20 2 0 21 3 0 52 0 0
44 PARBAT 84 90 9 4 24 40 7 0 1 4 5 17 0 0 4 0 4 2 24 3 2 20 0 0
45 BAGLUNG 337 332 17 14 222 247 48 16 13 14 59 85 2 5 8 4 58 109 96 8 5 251 2 0
48.1 NAWALPUR 304 219 41 17 111 100 37 5 33 11 29 34 0 0 4 3 5 13 115 18 8 84 0 0
Province 5 5481 4615 996 492 1796 1744 323 121 332 343 518 442 56 77 1134 968 1119 855 957 235 102 2191 36 10
46 GULMI 166 175 10 9 54 82 13 9 7 3 2 0 0 0 0 1 0 0 11 1 0 2 0 0
47 PALPA 674 550 44 26 81 107 61 14 87 69 0 13 0 0 8 3 34 54 29 23 7 128 19 8
48 NAWALPARASI 149 149 19 20 103 91 3 0 7 16 41 27 0 2 3 3 8 8 85 9 5 53 0 0
49 RUPANDEHI 211 430 24 26 144 221 6 8 33 33 38 70 8 3 12 5 21 41 68 16 13 105 0 0
50 KAPILBASTU 362 795 48 101 167 389 24 21 53 101 73 100 23 32 133 99 135 288 96 23 23 278 4 0
51 ARGHAKHANCHI 63 68 10 4 42 43 3 3 2 2 1 2 4 9 10 4 7 21 45 6 4 22 1 0
52 PYUTHAN 254 333 50 52 119 166 30 26 10 18 0 2 0 0 104 73 59 81 104 16 16 171 3 0
53 ROLPA 326 365 46 46 134 201 32 15 30 32 68 116 3 4 50 34 20 63 56 23 9 126 2 0
54 RUKUM 52 83 10 3 25 63 8 8 6 4 17 17 3 13 13 7 6 14 23 6 0 16 0 0
56 DANG 1040 731 134 50 302 155 69 13 34 17 0 1 0 0 140 109 217 95 260 67 16 250 2 2
57 BANKE 340 216 45 25 167 101 11 3 19 14 45 22 5 2 39 24 94 63 47 10 4 193 0 0
58 BARDIYA 1844 720 556 130 458 125 63 1 44 34 233 72 10 12 622 606 518 127 133 35 5 847 5 0
Province 6 3650 4483 730 602 1619 2544 162 65 312 435 433 598 99 161 1024 977 818 1126 1891 115 71 1693 12 5
54.1 RUKUM WEST 271 239 104 95 82 71 19 6 16 16 61 72 8 12 119 141 71 20 107 7 4 51 2 0
55 SALYAN 379 348 104 73 175 180 20 3 15 8 0 0 1 5 162 161 225 211 55 8 6 236 1 0
59 SURKHET 1138 1349 170 131 634 996 60 8 55 42 127 120 20 8 260 211 59 39 1277 33 21 334 0 0
60 DAILEKH 390 461 126 69 142 276 5 4 28 37 39 31 3 11 174 157 170 204 39 12 2 230 2 0
61 JAJARKOT 316 404 53 63 168 180 10 11 29 60 7 12 20 35 76 43 108 180 129 21 15 236 3 0
62 DOLPA 242 390 32 71 63 170 14 14 17 42 32 68 25 65 37 48 55 86 42 10 6 110 0 5
63 JUMLA 153 262 26 16 67 125 11 1 20 20 27 63 6 4 33 33 22 71 66 10 5 150 0 0
64 KALIKOT 273 226 79 40 99 116 3 0 42 46 81 93 5 4 108 114 22 35 28 6 4 132 2 0
65 MUGU 108 172 9 13 69 123 10 3 18 43 16 52 2 3 8 7 11 47 51 1 2 44 1 0
66 HUMLA 380 632 27 31 120 307 10 15 72 121 43 87 9 14 47 62 75 233 97 7 6 170 1 0
Province 7 4058 3119 753 455 2107 1786 183 106 428 369 1075 821 70 62 863 732 762 632 779 169 68 2076 21 1
67 BAJURA 237 239 47 52 150 167 3 4 18 34 100 95 3 2 74 68 54 69 62 7 0 219 0 0
68 BAJHANG 245 213 60 39 120 124 5 2 20 22 23 31 6 7 130 88 102 110 30 7 3 146 5 0
69 ACHHAM 934 684 234 158 460 349 12 10 125 99 388 297 34 31 335 303 167 79 135 19 9 700 6 0
70 DOTI 240 252 35 31 107 127 10 6 19 25 17 20 0 3 40 43 88 103 42 6 0 128 3 0
71 KAILALI 1407 881 219 62 714 521 98 30 108 79 364 165 7 3 144 98 209 117 269 73 36 511 2 1
72 KANCHANPUR 644 519 96 55 386 305 44 52 96 78 120 136 13 8 81 65 86 85 149 42 11 179 2 0
73 DADELDHURA 99 100 21 13 39 55 5 0 14 12 21 28 1 1 31 26 4 6 30 2 2 43 1 0
74 BAITADI 198 166 36 26 100 103 4 2 19 10 34 31 5 7 17 20 46 44 46 11 4 96 2 0
75 DARCHAULA 54 65 5 19 31 35 2 0 9 10 8 18 1 0 11 21 6 19 16 2 3 54 0 0
 Raw Data: CBIMCI (Sheet 1 of 11)
PHCORC (< 2 months Children)
Classification Treatment
Total cases Refer Death

Follow-up
PSBI LBI Jaundice Amoxycillin Ampicilinein Gentamycin Cotrim
District Name
≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59 1st Compl. ≤ 28 29-59 ≤ 28 29-59 ≤ 28 29-59
days days days days days days days days days days days days doze Doze days days days days days days

Nepal 2092 4217 199 230 1191 2752 130 83 254 616 16 100 236 212 2075 2336 210 241 1787 14 4
Province 1 457 995 101 91 247 583 21 16 63 150 8 38 82 74 1319 499 101 105 386 1 0
01 TAPLEJUNG 34 173 4 9 22 86 2 4 11 58 1 1 1 1 10 89 4 16 95 0 0
02 PANCHTHAR 4 19 0 0 4 19 0 0 0 2 0 0 0 0 4 15 0 0 6 0 0
03 ILAM 30 43 2 1 23 34 0 3 14 13 0 0 0 0 1 0 3 4 1 1 0
04 JHAPA 37 60 4 4 7 33 12 8 2 7 0 0 0 0 1112 12 31 43 10 0 0
05 MORANG 150 209 33 46 67 109 3 0 2 5 1 0 75 72 68 162 3 3 131 0 0
06 SUNSARI 77 140 24 10 43 113 1 0 8 36 0 0 0 0 45 72 33 17 80 0 0
07 DHANKUTA 5 3 1 1 2 3 0 0 0 0 0 1 1 0 2 4 1 2 2 0 0
08 TERHATHUM 11 11 3 0 4 6 0 0 0 0 0 0 2 1 5 11 5 10 4 0 0
09 SANKHUWASABHA 6 11 0 1 6 2 0 0 1 1 0 0 0 0 3 0 0 0 0 0 0
10 BHOJPUR 5 6 0 1 4 2 0 0 0 0 0 0 0 0 2 1 1 0 1 0 0
11 SOLUKHUMBU 28 58 4 4 24 35 0 0 19 20 4 17 0 0 3 9 3 0 0 0 0
12 OKHALDHUNGA 4 9 2 1 1 6 0 0 1 0 0 0 1 0 0 2 2 3 2 0 0
13 KHOTANG 44 186 23 12 18 87 3 1 5 7 2 19 1 0 44 74 14 2 18 0 0
14 UDAYAPUR 22 67 1 1 22 48 0 0 0 1 0 0 1 0 20 48 1 5 36 0 0
Province 2 650 1566 24 39 498 1218 45 44 55 195 2 19 48 69 483 1111 38 45 922 1 1
15 SAPTARI 79 170 5 3 46 151 1 0 8 41 0 4 0 0 33 102 3 6 99 0 1
16 SIRAHA 5 23 0 0 5 4 0 0 0 6 0 0 0 0 2 10 0 1 0 0 0
17 DHANUSA 21 68 2 0 17 50 0 0 3 5 0 0 0 0 7 34 0 0 25 0 0
18 MAHOTTARI 46 257 6 3 36 258 3 0 8 89 2 7 1 2 53 236 3 9 228 0 0
19 SARLAHI 5 3 0 0 4 2 1 0 1 0 0 0 0 0 2 1 0 0 1 0 0
32 RAUTAHAT 322 703 3 23 302 548 8 2 7 18 0 8 33 41 290 497 21 21 445 0 0
33 BARA 8 14 0 1 2 14 0 1 2 5 0 0 2 0 5 6 1 2 9 0 0
34 PARSA 164 328 8 9 86 191 32 41 26 31 0 0 12 26 91 225 10 6 115 1 0
Province 3 162 168 3 5 45 74 15 8 12 41 0 1 1 1 20 54 15 26 25 1 1
20 SINDHULI 5 7 0 1 3 2 1 0 0 0 0 0 0 0 3 3 2 2 2 0 1
21 RAMECHHAP 12 9 0 0 0 3 2 0 0 1 0 0 0 0 0 3 1 0 1 0 0
22 DOLAKHA 9 20 0 0 1 8 0 1 4 12 0 0 0 0 3 5 0 1 0 0 0
23 SINDHUPALCHOK 13 31 0 1 11 10 2 2 4 8 0 0 0 0 0 1 1 15 9 1 0
24 KAVRE 11 12 1 0 9 8 1 1 0 0 0 0 0 0 0 0 4 1 1 0 0
25 LALITPUR 3 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 BHAKTAPUR 1 20 0 0 1 1 0 0 1 1 0 0 0 0 0 17 0 0 2 0 0
27 KATHMANDU 71 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 2 0 0
28 NUWAKOT 7 20 1 1 1 13 3 4 0 12 0 1 0 0 2 3 2 4 0 0 0
29 RASUWA 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 DHADING 7 12 0 0 3 7 2 0 0 1 0 0 0 0 0 1 3 2 1 0 0
31 MAKWANPUR 11 17 1 2 10 17 0 0 2 5 0 0 0 0 1 6 0 0 7 0 0
35 CHITAWAN 11 10 0 0 6 4 2 0 1 1 0 0 1 1 11 15 2 1 0 0 0
Province 4 90 102 2 0 36 55 13 7 7 14 0 2 1 0 19 39 7 1 34 0 0
36 GORKHA 31 34 0 0 7 17 2 1 0 1 0 0 0 0 4 8 2 1 1 0 0
37 LAMJUNG 2 2 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0
38 TANAHU 13 7 0 0 0 2 5 1 2 0 0 0 0 0 3 2 1 0 2 0 0
39 SYANGJA 13 21 0 0 6 7 2 4 1 3 0 1 0 0 2 13 0 0 13 0 0
40 KASKI 5 0 0 0 4 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0
41 MANANG 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 2 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 1 4 0 0 0 5 0 0 0 5 0 0 1 0 0 0 0 0 2 0 0
44 PARBAT 4 3 1 0 0 2 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
45 BAGLUNG 18 27 1 0 15 18 2 1 1 4 0 1 0 0 8 16 1 0 13 0 0
48.1 NAWALPUR 1 3 0 0 1 3 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0
Province 5 213 484 39 23 91 303 16 2 18 64 2 18 40 27 68 192 17 31 99 9 0
46 GULMI 7 3 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 6 11 0 0 2 10 4 0 0 0 0 0 0 0 2 9 2 0 2 1 0
48 NAWALPARASI 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 10 50 1 1 7 35 0 0 3 11 2 0 0 0 2 7 1 4 14 0 0
50 KAPILBASTU 114 175 14 17 50 149 5 1 10 15 0 12 20 11 33 123 8 15 49 0 0
51 ARGHAKHANCHI 3 6 0 0 2 4 0 1 0 0 0 2 0 0 1 0 0 1 1 0 0
52 PYUTHAN 11 14 1 0 5 9 3 0 0 0 0 0 1 0 1 9 0 0 2 0 0
53 ROLPA 8 37 0 0 4 27 0 0 2 19 0 0 0 0 1 11 1 4 6 0 0
54 RUKUM 1 40 0 3 2 36 0 0 0 2 0 2 0 0 1 25 1 5 1 0 0
56 DANG 10 2 2 0 2 0 3 0 0 0 0 0 0 0 1 0 2 0 0 0 0
57 BANKE 6 18 2 0 2 15 0 0 0 11 0 0 1 1 3 2 1 2 5 8 0
58 BARDIYA 37 127 19 2 10 18 1 0 3 6 0 2 18 15 23 6 1 0 19 0 0
Province 6 317 614 22 52 126 317 19 5 48 111 4 18 31 27 88 293 16 16 200 0 2
54.1 RUKUM WEST 27 30 0 0 20 26 1 0 14 18 0 0 0 1 0 0 0 0 23 0 0
55 SALYAN 20 46 1 0 17 37 0 0 0 0 0 0 1 1 14 32 1 0 16 0 0
59 SURKHET 14 24 0 0 3 16 0 0 1 6 0 0 0 0 0 3 0 0 7 0 0
60 DAILEKH 30 92 7 7 9 27 0 0 4 8 0 0 12 11 12 26 3 4 26 0 0
61 JAJARKOT 58 98 2 4 13 27 0 0 3 5 0 2 3 3 27 100 5 8 17 0 0
62 DOLPA 78 121 4 17 13 46 0 2 6 13 4 15 4 2 8 21 0 0 36 0 2
63 JUMLA 15 49 0 0 9 23 7 0 4 9 0 0 0 0 2 27 0 0 15 0 0
64 KALIKOT 2 8 0 1 2 6 0 0 2 4 0 0 0 0 1 3 0 1 6 0 0
65 MUGU 38 52 1 0 25 42 10 3 9 22 0 1 1 1 7 23 1 1 10 0 0
66 HUMLA 35 94 7 23 15 67 1 0 5 26 0 0 10 8 17 58 6 2 44 0 0
Province 7 203 288 8 20 148 202 1 1 51 41 0 4 33 14 78 148 16 17 121 2 0
67 BAJURA 7 45 2 8 5 40 0 0 4 22 0 3 5 3 2 16 2 2 13 0 0
68 BAJHANG 23 73 1 7 17 41 0 0 2 3 0 0 15 0 12 41 3 11 15 0 0
69 ACHHAM 76 29 1 1 65 27 0 0 35 7 0 0 4 5 18 12 9 1 8 0 0
70 DOTI 62 126 3 4 45 76 0 0 6 5 0 1 9 5 41 71 2 2 81 2 0
71 KAILALI 13 6 0 0 8 8 0 1 3 0 0 0 0 0 3 4 0 1 1 0 0
72 KANCHANPUR 5 4 0 0 3 2 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0
73 DADELDHURA 8 3 0 0 3 3 0 0 0 3 0 0 0 0 0 0 0 0 1 0 0
74 BAITADI 9 2 1 0 2 5 1 0 0 1 0 0 0 1 2 4 0 0 1 0 0
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Raw Data: CBIMCI (Sheet 3 of 11)

Health Facility (2 - 59 months Children)

Classification
ARI Diarrhoea Malaria

Febrile disease

Ear infection

malnutrition
Very Severe

Other fever
Dehydration

Dehydration

Dehydration

Measeles
District Name

Anaemia
very severe
pneumonia

Pneumonia

Falciparum

falciparum
Prolonged

Dysentery
Sev Pneu/

Diarrhoea

Severe

Other
Total

disease

Severe
Some

Non-
No

No
Nepal 1511031 451298 166402 4473 246610 53025 1506 3219 37900 216 218 0 1637 84808 179597 10003 4362 358259
Province 1 265530 89561 36910 769 31690 9372 190 257 4548 13 24 0 164 14443 24990 324 595 57729
01 TAPLEJUNG 12896 4089 1719 31 1604 872 7 13 151 0 0 0 7 730 1617 23 74 2392
02 PANCHTHAR 17221 6015 2718 43 1360 699 4 15 115 0 0 0 2 609 1648 14 5 3919
03 ILAM 13308 4710 2744 80 1079 329 2 6 84 0 0 0 3 574 1375 5 47 2178
04 JHAPA 34354 12580 4543 62 4873 1000 28 37 782 0 0 0 10 2368 3004 21 41 5279
05 MORANG 31988 11025 3870 51 4087 754 35 13 515 0 0 0 4 1949 2153 7 95 9551
06 SUNSARI 29920 9199 4968 49 4042 1309 11 56 643 0 0 0 6 1997 2281 28 129 5865
07 DHANKUTA 14696 6295 1606 11 1490 125 1 0 163 2 0 0 1 494 1376 0 41 3605
08 TERHATHUM 10462 3352 1202 52 769 336 1 4 118 0 0 0 77 483 1358 4 8 2803
09 SANKHUWASABHA 14540 3842 2608 39 1700 237 13 10 129 0 0 0 17 582 1791 9 67 3248
10 BHOJPUR 16169 5301 1427 18 1965 532 2 9 192 6 17 0 8 852 1833 17 15 3618
11 SOLUKHUMBU 12722 5227 1893 138 1551 355 7 16 132 4 3 0 2 506 926 16 10 1954
12 OKHALDHUNGA 20754 7048 2567 36 2201 773 8 8 321 1 0 0 4 983 2029 133 6 5019
13 KHOTANG 18594 5732 2616 59 2284 1186 20 54 570 0 4 0 11 1076 1806 36 41 3677
14 UDAYAPUR 17906 5146 2429 100 2685 865 51 16 633 0 0 0 12 1240 1793 11 16 4621
Province 2 238525 67533 24094 648 47460 13293 267 1008 6985 0 2 0 555 22017 23839 903 938 47142
15 SAPTARI 30658 8765 1752 40 6311 1800 7 46 917 0 0 0 3 2402 2916 302 23 6368
16 SIRAHA 39625 12439 4243 70 6210 2185 35 300 778 0 0 0 13 2636 3762 79 66 8573
17 DHANUSA 29144 9888 3321 63 6229 1321 0 105 982 0 0 0 27 2676 1363 98 153 4475
18 MAHOTTARI 24659 7925 3403 60 4369 1580 4 119 822 0 0 0 15 2368 2014 58 176 6080
19 SARLAHI 18453 6319 2020 9 4002 1002 9 37 525 0 2 0 9 1538 1652 121 24 3117
32 RAUTAHAT 35343 8325 4288 175 7958 2543 147 198 1276 0 0 0 56 4098 3608 68 143 4807
33 BARA 31489 7350 2619 114 7344 1155 22 105 979 0 0 0 39 3157 3915 70 198 7441
34 PARSA 29154 6522 2448 117 5037 1707 43 98 706 0 0 0 393 3142 4609 107 155 6281
Province 3 225950 65907 29161 783 33930 5261 166 316 4476 42 27 0 632 9497 25049 1287 569 54402
20 SINDHULI 12395 3370 2478 42 1850 522 16 2 200 1 3 0 19 648 1688 105 11 2192
21 RAMECHHAP 17991 5819 2526 52 2278 320 7 10 252 0 0 0 15 603 2020 43 0 4457
22 DOLAKHA 15737 5829 1795 93 2815 520 17 0 440 8 0 0 18 626 2064 38 18 2618
23 SINDHUPALCHOK 22502 6856 3151 68 3235 689 26 9 549 7 1 0 31 890 2882 70 8 4516
24 KAVRE 20849 7132 2254 38 3161 488 7 7 217 0 0 0 25 652 2895 52 24 10286
25 LALITPUR 21186 6105 2359 8 2500 191 1 19 219 3 0 0 22 557 936 80 61 4421
26 BHAKTAPUR 7483 2466 823 25 1094 65 1 2 108 2 0 0 13 261 1047 22 8 1949
27 KATHMANDU 15895 4398 1809 25 2795 268 5 20 267 8 18 0 34 746 1492 103 98 3987
28 NUWAKOT 13312 3650 1641 23 2110 248 1 36 233 0 5 0 11 613 2040 125 4 2438
29 RASUWA 5748 2042 576 17 1005 160 1 2 100 0 0 0 0 255 668 16 0 913
30 DHADING 23832 6735 3936 209 4025 722 24 81 801 0 0 0 22 1143 3000 139 152 5392
31 MAKWANPUR 18514 5334 2007 93 2838 638 25 59 442 13 0 0 11 851 2024 270 32 3716
35 CHITAWAN 30506 6171 3806 90 4224 430 35 69 648 0 0 0 411 1652 2293 224 153 7517
Province 4 128130 41230 12312 137 16325 2515 21 82 1801 24 28 0 51 5393 18332 109 369 34655
36 GORKHA 23670 6297 2139 17 3238 691 5 26 407 0 0 0 11 963 3711 54 57 6099
37 LAMJUNG 12635 3215 1057 7 1408 162 4 11 122 2 2 0 11 437 2514 8 31 3197
38 TANAHU 11338 3701 1149 9 1107 317 1 4 74 7 8 0 2 469 1380 7 34 3061
39 SYANGJA 11316 4415 862 23 2055 134 2 7 80 3 5 0 3 528 1559 4 29 2209
40 KASKI 11875 4868 1061 26 1404 178 0 10 76 0 2 0 6 363 1440 3 67 2741
41 MANANG 592 227 76 0 99 14 0 1 2 0 0 0 0 15 84 0 0 98
42 MUSTANG 2415 1012 229 2 277 95 1 0 29 2 0 0 1 57 227 0 37 581
43 MYAGDI 10713 3229 831 24 1503 144 1 4 174 7 0 0 2 499 1788 5 4 2448
44 PARBAT 10494 3293 1882 7 975 114 2 0 137 0 11 0 4 275 1769 13 7 2170
45 BAGLUNG 20856 7520 2066 18 2593 531 4 11 602 0 0 0 8 1138 2370 12 7 4197
48.1 NAWALPUR 12226 3453 960 4 1666 135 1 8 98 3 0 0 3 649 1490 3 96 7854
Province 5 285888 78018 24880 583 48160 7251 372 464 8002 56 66 0 104 15351 30143 2035 762 73964
46 GULMI 19194 6555 1360 1 2397 324 0 16 293 0 0 0 10 631 1991 95 33 1881
47 PALPA 24759 5107 2276 41 2380 634 164 39 226 0 0 0 1 665 2863 25 202 5445
48 NAWALPARASI 16862 4574 944 9 3088 139 4 11 366 0 0 0 0 701 3429 37 32 5735
49 RUPANDEHI 32906 9224 2078 7 6578 686 0 58 1068 1 0 0 25 2126 2822 81 87 8389
50 KAPILBASTU 37533 8581 1708 118 9403 1578 138 146 1856 0 0 0 2 3201 4560 968 99 6516
51 ARGHAKHANCHI 10330 3376 1520 36 1377 231 7 6 163 0 1 0 2 436 1099 70 7 1831
52 PYUTHAN 24319 6016 2432 89 3797 786 12 23 760 0 0 0 3 1407 2634 42 42 7178
53 ROLPA 19521 4998 3066 65 4101 651 16 20 530 4 3 0 11 1159 2422 49 14 4318
54 RUKUM 4347 1234 754 32 971 272 5 9 145 0 0 0 0 209 392 13 11 516
56 DANG 37288 10934 3593 84 5218 566 21 99 1244 47 46 0 39 1929 2977 105 44 11260
57 BANKE 28252 6772 2649 27 5110 710 3 26 659 0 8 0 3 1798 1834 69 126 8258
58 BARDIYA 30577 10647 2500 74 3740 674 2 11 692 4 8 0 8 1089 3120 481 65 12637
Province 6 147123 42001 17598 765 28338 8067 326 750 5156 51 20 0 90 8187 17980 2190 359 27547
54.1 RUKUM WEST 13472 3791 1791 71 2377 565 9 43 496 0 0 0 16 626 2093 61 138 2929
55 SALYAN 16685 5439 2563 40 3163 682 24 7 510 7 0 0 0 957 2640 37 3 2876
59 SURKHET 32987 9316 2962 67 5165 818 25 5 947 0 0 0 2 1649 3978 57 26 8977
60 DAILEKH 21390 5887 2541 130 3810 1176 42 11 486 0 0 0 1 966 2627 32 7 4609
61 JAJARKOT 18307 5347 1666 92 3886 900 27 72 606 0 0 0 26 1152 2022 273 15 3088
62 DOLPA 4775 1414 746 96 813 483 74 110 287 7 10 0 32 331 414 46 26 168
63 JUMLA 8827 2713 1721 40 2165 814 18 34 364 0 0 0 2 524 408 119 21 991
64 KALIKOT 15927 3791 1815 95 3927 1163 24 66 596 0 3 0 0 753 2959 1085 77 2918
65 MUGU 7536 2047 956 71 1472 591 30 159 552 36 4 0 4 619 426 368 40 684
66 HUMLA 7217 2256 837 63 1560 875 53 243 312 1 3 0 7 610 413 112 6 307
Province 7 219885 67048 21447 788 40707 7266 164 342 6932 30 51 0 41 9920 39264 3155 770 62820
67 BAJURA 19891 4403 2605 85 3813 1770 38 58 810 13 0 0 0 753 3055 576 133 4209
68 BAJHANG 16484 4946 2305 133 3522 1237 27 29 626 1 2 0 13 673 1423 314 56 2134
69 ACHHAM 50382 19026 3814 125 13294 829 25 62 1683 11 2 0 10 2410 15743 787 260 22751
70 DOTI 17231 4801 1705 106 3668 746 17 34 814 3 8 0 0 1140 2951 21 2 2960
71 KAILALI 38822 11739 2261 100 4838 696 29 52 953 1 5 0 15 1814 4941 94 251 12261
72 KANCHANPUR 24873 6861 2190 48 3740 501 2 19 657 0 0 0 1 1074 3315 727 36 7010
73 DADELDHURA 13224 4027 1466 40 2252 193 1 13 385 0 0 0 2 564 2289 167 1 2563
74 BAITADI 25445 7278 3203 85 3746 880 20 64 567 1 34 0 0 926 3635 452 22 6134
75 DARCHAULA 13533 3967 1898 66 1834 414 5 11 437 0 0 0 0 566 1912 17 9 2798
 Raw Data: CBIMCI (Sheet 4 of 11)

Health Facility (2 - 59 months Children)

Treatment
Refer Death
Severe/Pneumonia cases Only

Anti-helminthes

Follow-up
ORS & Zinc

Vitamin A
Amoxycilline
District Name

Paediatrics

antibiotics

IV Fluid

Diarrhoea

Diarrhoea
Total

Cotrim

Others

Others
Other

ARI

ARI
Nepal 1511031 93345 145493 146175 301184 7735 36408 18978 1658 892 8176 130478 91 33 271
Province 1 265530 17461 28380 28530 38925 1113 6200 2078 427 206 3605 28470 11 7 52
01 TAPLEJUNG 12896 1102 587 723 2265 37 890 685 23 5 125 1816 0 0 7
02 PANCHTHAR 17221 1214 1250 1714 2046 25 95 16 18 5 45 1876 0 0 0
03 ILAM 13308 1425 1057 410 1484 37 112 31 24 12 10 2293 2 0 10
04 JHAPA 34354 3295 3660 4787 5593 179 1740 310 118 73 199 3271 0 0 1
05 MORANG 31988 252 4494 5457 4958 108 715 26 34 0 64 2692 0 0 0
06 SUNSARI 29920 2722 3924 2686 4540 340 682 170 41 32 2301 3353 0 0 0
07 DHANKUTA 14696 576 998 336 1565 27 83 2 22 6 80 1358 0 0 0
08 TERHATHUM 10462 703 1904 1247 1278 15 309 240 12 1 8 345 0 0 3
09 SANKHUWASABHA 14540 1387 720 2406 1881 46 222 10 6 18 62 1263 0 0 0
10 BHOJPUR 16169 847 1094 2265 2453 18 131 31 17 1 59 1190 1 0 1
11 SOLUKHUMBU 12722 1315 1600 1332 1998 48 193 47 28 34 57 1391 4 1 0
12 OKHALDHUNGA 20754 1861 1932 2138 2908 4 251 92 5 0 91 2504 0 0 30
13 KHOTANG 18594 693 2232 604 2872 148 327 340 38 10 456 3052 2 5 0
14 UDAYAPUR 17906 69 2928 2425 3084 81 450 78 41 9 48 2066 2 1 0
Province 2 238525 13712 44083 21229 62278 2282 9977 8577 313 262 1622 25213 23 16 5
15 SAPTARI 30658 971 2444 3909 8816 88 907 243 6 29 76 3232 0 0 0
16 SIRAHA 39625 1016 7228 4467 8194 270 889 6226 44 42 63 3859 14 0 0
17 DHANUSA 29144 1522 4360 2473 7506 115 1636 264 33 29 106 3369 0 0 3
18 MAHOTTARI 24659 1681 4914 1705 6339 234 1323 249 28 5 69 3374 0 0 0
19 SARLAHI 18453 1039 2979 1092 5429 78 522 177 56 43 112 1822 8 8 2
32 RAUTAHAT 35343 995 7998 2358 10401 627 2125 808 67 44 88 5815 0 0 0
33 BARA 31489 3958 5901 2479 8783 568 1022 257 46 18 1069 2335 1 8 0
34 PARSA 29154 2530 8259 2746 6810 302 1553 353 33 52 39 1407 0 0 0
Province 3 225950 19527 11394 19165 39647 1026 3854 1515 263 115 696 16988 7 4 55
20 SINDHULI 12395 1705 1523 1504 2454 28 322 161 12 10 30 1116 0 0 0
21 RAMECHHAP 17991 1584 329 573 2550 12 154 14 9 0 24 1020 0 0 0
22 DOLAKHA 15737 1151 356 295 3587 129 238 229 12 49 17 1066 0 0 5
23 SINDHUPALCHOK 22502 2732 610 3230 3976 242 278 85 29 8 59 2085 1 0 0
24 KAVRE 20849 1838 646 1762 3413 49 236 98 9 10 47 1431 1 1 0
25 LALITPUR 21186 1417 741 1626 2917 39 284 163 9 5 60 1455 0 0 18
26 BHAKTAPUR 7483 547 93 770 1177 10 143 64 6 1 49 817 0 0 0
27 KATHMANDU 15895 524 1428 2235 2893 180 256 71 17 2 80 1395 0 0 0
28 NUWAKOT 13312 1652 18 190 2471 22 189 99 7 3 27 1191 0 0 1
29 RASUWA 5748 579 25 266 1254 1 57 40 9 0 8 534 1 0 0
30 DHADING 23832 3070 713 2199 5119 134 313 76 91 17 160 2348 1 1 0
31 MAKWANPUR 18514 1195 1965 1762 3370 113 535 296 23 2 50 1136 0 2 12
35 CHITAWAN 30506 1533 2947 2753 4466 67 849 119 30 8 85 1394 3 0 19
Province 4 128130 7133 9331 17954 18794 285 1487 233 141 71 354 10826 12 1 33
36 GORKHA 23670 558 2087 5662 3982 28 338 54 11 12 62 1856 3 0 0
37 LAMJUNG 12635 485 1168 1093 1464 32 61 13 12 3 14 388 3 1 15
38 TANAHU 11338 617 1621 1431 1538 45 223 2 6 15 15 856 0 0 0
39 SYANGJA 11316 571 1140 1409 2237 59 142 29 40 10 63 1295 0 0 2
40 KASKI 11875 875 406 1151 1401 51 111 17 10 4 65 601 6 0 12
41 MANANG 592 31 27 103 114 0 3 1 0 0 0 58 0 0 0
42 MUSTANG 2415 270 148 515 299 28 35 3 1 6 10 141 0 0 4
43 MYAGDI 10713 858 197 1086 1729 8 56 15 2 12 33 1063 0 0 0
44 PARBAT 10494 1329 571 1632 1116 18 58 46 16 1 18 1023 0 0 0
45 BAGLUNG 20856 774 1624 1513 3112 7 202 32 29 2 40 2479 0 0 0
48.1 NAWALPUR 12226 765 342 2359 1802 9 258 21 14 6 34 1066 0 0 0
Province 5 285888 9744 26007 29635 54520 937 4792 2214 204 74 737 15504 13 1 74
46 GULMI 19194 90 915 987 488 0 3 0 1 1 0 260 0 0 0
47 PALPA 24759 112 2895 2582 2821 196 53 11 21 15 64 1090 4 0 17
48 NAWALPARASI 16862 1018 491 2587 3478 1 367 50 4 4 21 875 0 0 0
49 RUPANDEHI 32906 1660 2825 3311 7105 112 427 72 20 6 72 1195 0 0 0
50 KAPILBASTU 37533 2015 6026 4118 11038 339 1268 634 58 26 139 2952 2 0 0
51 ARGHAKHANCHI 10330 148 1000 2336 1432 41 103 36 8 2 12 959 0 0 20
52 PYUTHAN 24319 68 1431 1022 4595 0 222 65 17 6 28 1215 0 0 0
53 ROLPA 19521 1872 1340 1236 5617 58 238 72 10 3 52 1436 0 0 0
54 RUKUM 4347 483 340 180 1181 40 58 18 1 5 8 51 0 0 0
56 DANG 37288 147 5243 7706 5897 61 761 112 18 1 103 2358 0 0 1
57 BANKE 28252 1285 1679 1449 6339 61 910 840 4 4 51 654 0 1 12
58 BARDIYA 30577 846 1822 2121 4529 28 382 304 42 1 187 2459 7 0 24
Province 6 147123 9435 11941 11648 37175 975 5456 2219 101 82 592 12309 5 2 37
54.1 RUKUM WEST 13472 1648 708 1092 3103 196 479 49 16 6 106 906 4 1 29
55 SALYAN 16685 32 3683 2177 3938 6 185 35 4 0 7 1542 0 0 0
59 SURKHET 32987 2551 217 261 5850 10 705 72 7 11 85 2144 0 0 1
60 DAILEKH 21390 621 2311 2461 5236 193 313 412 6 3 108 1115 1 0 6
61 JAJARKOT 18307 156 1872 2805 6064 84 659 252 19 14 28 1478 0 0 0
62 DOLPA 4775 330 597 449 999 145 250 67 5 7 61 720 0 0 0
63 JUMLA 8827 1129 596 535 2717 11 390 172 4 10 85 1157 0 1 0
64 KALIKOT 15927 1824 59 8 5051 41 915 679 7 5 81 1773 0 0 1
65 MUGU 7536 594 789 1105 2055 170 890 233 13 11 27 620 0 0 0
66 HUMLA 7217 550 1109 755 2162 119 670 248 20 15 4 854 0 0 0
Province 7 219885 16333 14357 18014 49845 1117 4642 2142 209 82 570 21168 20 2 15
67 BAJURA 19891 1836 1566 1818 5787 221 334 207 3 2 31 3923 2 1 0
68 BAJHANG 16484 1210 2254 1191 5294 33 685 175 9 8 90 1533 0 1 1
69 ACHHAM 50382 4210 828 3282 14046 129 891 592 30 11 171 6158 1 0 2
70 DOTI 17231 728 2618 1245 4908 45 370 86 48 35 24 1032 0 0 3
71 KAILALI 38822 1755 1208 1499 5915 362 676 103 56 15 113 2097 1 0 0
72 KANCHANPUR 24873 2279 1995 2749 3999 166 876 702 40 7 78 1346 0 0 0
73 DADELDHURA 13224 1409 518 2039 2874 18 196 67 5 3 27 777 2 0 3
74 BAITADI 25445 2154 1770 2340 4746 132 526 199 14 1 24 2320 2 0 1
75 DARCHAULA 13533 752 1600 1851 2276 11 88 11 4 0 12 1982 12 0 5
 Raw Data: CBIMCI (Sheet 5 of 11)

PHC-ORC (2 - 59 months Children)

Classification
ARI Diarrhoea

Ear infection

malnutrition
Other fever
Dehydration

Dehydration

Dehydration

Measeles
District Name

Anaemia
very severe
pneumonia

Pneumonia

Prolonged

Dysentery
Sev Pneu/

Diarrhoea

Severe

Other
Total

disease

Severe
Some
No

No
Nepal 261709 104928 23097 690 67337 14525 181 465 4009 99 4681 17298 689 603 23772
Province 1 51377 21731 6130 104 10953 3217 52 36 521 10 912 2800 42 89 3656
01 TAPLEJUNG 4568 1702 510 11 714 408 8 4 45 0 143 545 7 24 388
02 PANCHTHAR 2768 1284 347 1 457 208 2 0 5 0 26 180 0 0 241
03 ILAM 3199 1471 486 6 680 135 2 0 11 2 52 233 0 0 186
04 JHAPA 9958 3791 891 16 2232 445 0 0 56 1 117 321 0 0 351
05 MORANG 6710 3207 1017 20 1847 345 13 0 44 0 45 133 0 38 368
06 SUNSARI 5170 2226 868 7 1343 576 0 0 54 1 48 200 2 1 154
07 DHANKUTA 1450 759 170 0 240 34 0 0 20 0 20 106 0 0 141
08 TERHATHUM 1007 446 76 0 165 38 0 0 10 0 14 74 0 0 132
09 SANKHUWASABHA 1016 411 89 6 316 13 0 0 8 0 15 76 2 2 129
10 BHOJPUR 2813 1269 175 11 663 92 0 2 19 0 73 165 0 0 285
11 SOLUKHUMBU 1427 759 156 18 240 62 1 0 8 1 26 62 0 7 142
12 OKHALDHUNGA 3354 1385 476 0 573 237 1 0 25 0 68 155 2 3 377
13 KHOTANG 5232 2017 516 5 901 421 5 30 139 5 177 399 25 2 455
14 UDAYAPUR 2705 1004 353 3 582 203 20 0 77 0 88 151 4 12 307
Province 2 78838 31163 7367 224 22106 5644 51 132 1073 8 1728 4175 160 182 5870
15 SAPTARI 11480 4776 342 30 3520 801 1 7 118 2 239 531 4 2 989
16 SIRAHA 9885 3600 1140 14 2302 921 4 51 92 0 133 462 7 15 866
17 DHANUSA 13030 5574 906 9 3677 584 2 22 127 1 281 428 8 20 457
18 MAHOTTARI 11724 5679 1223 28 3174 893 4 10 164 1 128 281 14 17 916
19 SARLAHI 4034 1488 233 23 1198 241 4 0 65 0 93 188 83 5 294
32 RAUTAHAT 13554 4701 1958 64 3961 1181 29 32 333 4 361 1127 11 30 1051
33 BARA 6075 2511 393 21 2072 248 4 4 60 0 125 339 7 29 548
34 PARSA 9056 2834 1172 35 2202 775 3 6 114 0 368 819 26 64 749
Province 3 27003 11611 2033 55 6990 1024 8 85 228 16 297 1860 85 21 2658
20 SINDHULI 3008 1486 404 4 623 160 1 2 11 0 35 208 2 0 184
21 RAMECHHAP 1741 789 116 3 320 60 0 2 7 0 9 152 3 0 80
22 DOLAKHA 1734 834 116 7 507 51 0 0 13 0 16 102 0 2 83
23 SINDHUPALCHOK 2874 1266 296 0 709 77 1 0 27 0 28 257 21 0 287
24 KAVRE 3327 1377 218 8 925 222 0 1 9 1 39 231 3 4 536
25 LALITPUR 1678 580 56 0 475 42 0 0 16 0 9 136 3 0 137
26 BHAKTAPUR 762 365 47 0 228 15 0 5 3 7 11 46 6 0 73
27 KATHMANDU 1397 631 42 0 543 28 1 0 10 0 0 31 2 0 146
28 NUWAKOT 2628 1166 111 16 693 107 1 0 34 2 35 168 9 7 270
29 RASUWA 615 266 28 0 158 22 0 0 11 0 7 26 2 0 67
30 DHADING 3289 1483 189 16 829 127 3 40 21 2 37 200 1 7 367
31 MAKWANPUR 2036 699 211 1 466 75 1 15 50 0 39 210 8 0 176
35 CHITAWAN 1914 669 199 0 514 38 0 20 16 4 32 93 25 1 252
Province 4 14172 5567 765 33 2963 394 2 20 233 0 204 1373 16 18 1995
36 GORKHA 3510 1186 142 7 737 146 0 0 36 0 5 410 3 13 720
37 LAMJUNG 884 331 42 0 212 10 0 0 13 0 5 101 1 2 92
38 TANAHU 920 359 46 3 177 67 0 0 3 0 1 110 2 0 114
39 SYANGJA 2091 1019 98 12 464 29 1 2 5 0 9 144 2 0 201
40 KASKI 862 327 88 6 175 24 0 0 15 0 8 60 1 1 127
41 MANANG 55 18 1 0 27 0 0 0 0 0 1 3 0 0 3
42 MUSTANG 98 53 3 0 17 7 0 0 0 0 0 5 0 0 7
43 MYAGDI 920 354 8 0 235 9 0 0 4 0 28 113 0 2 146
44 PARBAT 916 288 123 0 87 2 0 0 21 0 3 74 2 0 73
45 BAGLUNG 2808 1323 173 4 516 97 1 18 91 0 84 248 2 0 273
48.1 NAWALPUR 1108 309 41 1 316 3 0 0 45 0 60 105 3 0 239
Province 5 32128 11705 2194 50 8519 1334 5 24 523 9 420 1587 106 120 3350
46 GULMI 3038 1382 145 0 608 37 0 0 18 0 7 36 0 7 10
47 PALPA 1316 594 106 0 261 0 0 0 1 0 0 143 0 4 239
48 NAWALPARASI 2041 545 19 0 529 9 0 0 6 0 15 118 0 0 423
49 RUPANDEHI 6671 2315 236 0 2012 322 0 3 76 1 73 317 0 20 985
50 KAPILBASTU 4776 1708 273 7 1447 394 0 8 213 1 84 309 61 66 388
51 ARGHAKHANCHI 799 444 80 7 169 18 0 3 3 0 15 30 2 0 38
52 PYUTHAN 2783 906 348 2 741 153 5 0 15 0 42 131 3 0 318
53 ROLPA 3921 1334 280 8 1058 165 0 0 89 0 102 206 18 1 205
54 RUKUM 1512 594 164 7 416 52 0 5 47 0 30 95 2 0 93
56 DANG 1405 529 106 3 372 45 0 0 26 7 33 60 2 7 257
57 BANKE 2673 868 333 15 640 85 0 5 26 0 17 96 10 9 239
58 BARDIYA 1193 486 104 1 266 54 0 0 3 0 2 46 8 6 155
Province 6 24760 9442 2371 77 6720 1729 36 99 743 16 651 1669 166 54 1494
54.1 RUKUM WEST 1634 706 106 0 528 99 0 8 52 3 73 66 0 38 158
55 SALYAN 3500 1433 494 0 840 288 3 2 124 0 56 374 14 0 118
59 SURKHET 2992 1326 146 0 772 190 0 0 28 0 35 171 6 1 356
60 DAILEKH 4882 1537 459 24 1358 233 1 1 65 0 71 412 10 0 324
61 JAJARKOT 4260 1482 354 11 1190 235 14 28 208 1 175 245 43 6 238
62 DOLPA 966 393 94 11 237 45 5 2 29 11 33 21 9 2 7
63 JUMLA 2040 891 295 10 505 221 0 1 91 0 66 86 5 0 70
64 KALIKOT 1513 555 109 9 455 161 0 4 35 0 36 158 9 0 92
65 MUGU 1667 593 174 12 407 125 5 18 69 1 74 118 68 7 91
66 HUMLA 1306 526 140 0 428 132 8 35 42 0 32 18 2 0 40
Province 7 33431 13709 2237 147 9086 1183 27 69 688 40 469 3834 114 119 4749
67 BAJURA 3507 1245 385 30 692 245 19 11 93 0 62 308 14 12 356
68 BAJHANG 4344 1769 504 73 1224 311 6 8 205 6 100 269 16 14 285
69 ACHHAM 9314 4016 194 12 3002 97 0 14 163 0 206 1587 51 70 2618
70 DOTI 4771 1735 314 12 1283 205 0 3 82 0 61 484 12 2 377
71 KAILALI 2555 1256 157 5 727 59 0 0 39 0 11 164 5 6 313
72 KANCHANPUR 1476 556 74 2 403 29 0 23 3 34 0 203 3 0 130
73 DADELDHURA 1582 544 104 6 491 11 0 0 17 0 3 179 4 8 173
74 BAITADI 2981 1207 324 5 685 119 0 4 45 0 9 333 8 2 271
75 DARCHAULA 2901 1381 181 2 579 107 2 6 41 0 17 307 1 5 226
 Raw Data: CBIMCI (Sheet 6 of 11)

PHC-ORC (2 - 59 months Children)

Treatment
Severe/Pneumonia cases Refer Death

Anti-helminthes
Only

Follow-up
ORS & Zinc

Vitamin A
Amoxycilline
District Name

Paediatrics

Diarrhoea

Diarrhoea
Total

Cotrim

Others

Others
ARI

ARI
Nepal 261709 6098 15491 76171 6421 2010 1199 434 1017 14663 25 0 34
Province 1 51377 1350 3172 12770 980 252 454 101 453 3725 5 0 1
01 TAPLEJUNG 4568 263 294 1002 266 99 55 7 8 463 0 0 1
02 PANCHTHAR 2768 112 216 665 13 1 4 4 3 126 0 0 0
03 ILAM 3199 92 397 825 28 7 44 3 14 200 2 0 0
04 JHAPA 9958 147 553 2049 173 43 176 55 30 701 0 0 0
05 MORANG 6710 5 28 1968 166 11 14 0 0 470 3 0 0
06 SUNSARI 5170 181 564 1572 113 45 38 12 292 436 0 0 0
07 DHANKUTA 1450 23 119 304 12 1 24 4 0 16 0 0 0
08 TERHATHUM 1007 30 119 334 23 2 4 0 4 36 0 0 0
09 SANKHUWASABHA 1016 62 24 313 3 0 3 0 3 36 0 0 0
10 BHOJPUR 2813 44 62 1091 11 1 8 8 27 137 0 0 0
11 SOLUKHUMBU 1427 102 127 224 9 0 13 1 0 68 0 0 0
12 OKHALDHUNGA 3354 230 334 697 40 1 18 0 7 318 0 0 0
13 KHOTANG 5232 59 325 1048 80 33 29 3 58 419 0 0 0
14 UDAYAPUR 2705 0 10 678 43 8 24 4 7 299 0 0 0
Province 2 78838 695 5776 25268 2871 876 301 151 101 6291 5 0 0
15 SAPTARI 11480 129 381 4178 256 60 26 29 1 798 0 0 0
16 SIRAHA 9885 42 798 2963 256 92 30 24 5 737 3 0 0
17 DHANUSA 13030 75 361 3375 474 164 6 5 4 568 1 0 0
18 MAHOTTARI 11724 97 938 4004 348 27 39 25 10 559 0 0 0
19 SARLAHI 4034 63 255 1215 124 40 16 5 0 102 0 0 0
32 RAUTAHAT 13554 119 1376 4436 755 194 56 25 6 2216 0 0 0
33 BARA 6075 67 374 2309 243 90 113 33 22 350 1 0 0
34 PARSA 9056 103 1293 2788 415 209 15 5 53 961 0 0 0
Province 3 27003 1192 818 8106 360 154 79 15 131 846 0 0 7
20 SINDHULI 3008 233 254 823 56 7 12 3 5 135 0 0 0
21 RAMECHHAP 1741 54 44 421 8 0 13 0 40 31 0 0 0
22 DOLAKHA 1734 78 12 715 7 1 3 0 6 129 0 0 0
23 SINDHUPALCHOK 2874 187 54 802 36 9 5 6 10 96 0 0 0
24 KAVRE 3327 183 75 1158 7 2 3 3 2 137 0 0 0
25 LALITPUR 1678 33 21 452 13 2 4 0 0 26 0 0 6
26 BHAKTAPUR 762 40 0 213 21 7 0 0 5 10 0 0 0
27 KATHMANDU 1397 9 45 546 10 4 1 0 25 38 0 0 0
28 NUWAKOT 2628 100 4 803 45 16 7 3 7 88 0 0 0
29 RASUWA 615 23 5 173 0 0 5 0 6 11 0 0 0
30 DHADING 3289 155 19 882 13 6 20 0 21 91 0 0 0
31 MAKWANPUR 2036 48 166 561 73 73 2 0 2 32 0 0 0
35 CHITAWAN 1914 49 119 557 71 27 4 0 2 22 0 0 1
Province 4 14172 391 1049 3277 141 28 35 4 62 440 1 0 16
36 GORKHA 3510 51 271 811 22 1 6 1 3 154 1 0 0
37 LAMJUNG 884 4 47 200 5 1 2 0 3 12 0 0 6
38 TANAHU 920 31 79 223 6 0 2 0 0 10 0 0 0
39 SYANGJA 2091 47 365 499 16 7 12 1 4 38 0 0 0
40 KASKI 862 73 9 174 10 3 3 1 18 20 0 0 10
41 MANANG 55 6 1 27 1 0 0 0 0 1 0 0 0
42 MUSTANG 98 4 4 26 0 0 0 0 0 2 0 0 0
43 MYAGDI 920 15 14 230 0 0 2 0 12 21 0 0 0
44 PARBAT 916 67 23 97 18 2 1 0 4 42 0 0 0
45 BAGLUNG 2808 75 202 731 39 12 6 0 18 74 0 0 0
48.1 NAWALPUR 1108 18 34 259 24 2 1 1 0 66 0 0 0
Province 5 32128 560 1728 8666 558 167 51 28 92 763 4 0 0
46 GULMI 3038 0 0 21 0 0 0 0 0 4 0 0 0
47 PALPA 1316 7 145 251 5 2 1 1 2 11 0 0 0
48 NAWALPARASI 2041 11 5 540 13 1 1 0 0 5 0 0 0
49 RUPANDEHI 6671 136 189 2000 163 13 9 3 49 77 0 0 0
50 KAPILBASTU 4776 117 428 1624 178 76 24 21 13 283 0 0 0
51 ARGHAKHANCHI 799 1 11 114 8 8 0 0 0 8 0 0 0
52 PYUTHAN 2783 7 343 899 16 4 3 1 3 79 0 0 0
53 ROLPA 3921 114 166 1364 45 8 7 1 8 66 0 0 0
54 RUKUM 1512 90 154 471 24 6 2 0 1 2 0 0 0
56 DANG 1405 1 2 371 31 2 1 1 9 16 0 0 0
57 BANKE 2673 45 253 719 72 47 0 0 3 125 4 0 0
58 BARDIYA 1193 31 32 292 3 0 3 0 4 87 0 0 0
Province 6 24760 762 1035 8227 1011 394 134 48 54 1176 1 0 1
54.1 RUKUM WEST 1634 96 50 646 73 28 1 7 0 55 0 0 0
55 SALYAN 3500 0 9 1162 32 3 5 3 3 99 0 0 0
59 SURKHET 2992 63 83 895 49 0 3 0 2 97 0 0 0
60 DAILEKH 4882 39 386 1740 107 131 29 6 12 149 0 0 0
61 JAJARKOT 4260 13 108 1534 253 107 49 22 11 200 0 0 1
62 DOLPA 966 14 50 223 41 4 9 3 2 128 0 0 0
63 JUMLA 2040 211 136 582 72 49 2 0 4 242 0 0 0
64 KALIKOT 1513 113 5 614 63 11 13 4 9 47 0 0 0
65 MUGU 1667 130 40 399 201 30 4 3 5 36 1 0 0
66 HUMLA 1306 83 168 432 120 31 19 0 6 123 0 0 0
Province 7 33431 1148 1913 9857 500 139 145 87 124 1422 9 0 9
67 BAJURA 3507 130 249 853 100 67 13 8 11 546 5 0 2
68 BAJHANG 4344 518 485 1608 69 14 30 20 15 115 0 0 4
69 ACHHAM 9314 228 133 3032 125 27 22 24 53 262 1 0 0
70 DOTI 4771 23 472 1379 52 8 11 9 24 175 1 0 1
71 KAILALI 2555 63 91 687 52 9 6 4 0 37 0 0 0
72 KANCHANPUR 1476 30 44 431 37 3 31 21 7 48 0 0 0
73 DADELDHURA 1582 46 49 469 16 7 2 0 12 14 0 0 0
74 BAITADI 2981 72 211 748 20 1 17 0 0 139 0 0 0
75 DARCHAULA 2901 38 179 650 29 3 13 1 2 86 2 0 2
 Raw Data: CBIMCI (Sheet 7 of 11)

FCHV
Below 2 months 2 - 59 months Death
Treated with
District Name Sick baby No Treated Total cases Treated ORS Zinc
cotrim & refered Total cases ≤ 28 29-59 2-59
pneumonia with of with ORS expenditure expenditure
≤ 28 29-59 ≤ 28 29-59 of ARI Days Days months
cases cotrim diarrhoea & Zinc (packet) (tablet)
Days Days Days Days
Nepal 13019 29414 6342 14496 1059834 904605 166202 800936 713728 1154049 6900426 1043 60 115
Province 1 2607 5214 1656 3691 199118 159240 43814 130616 109103 192880 988945 168 11 25
01 TAPLEJUNG 123 341 105 316 4198 3677 1086 3075 2547 5450 20683 42 0 2
02 PANCHTHAR 41 67 38 56 9435 8230 1254 4518 4532 6698 43881 4 0 0
03 ILAM 35 74 18 34 13552 12070 2302 7765 6241 12652 54272 12 0 2
04 JHAPA 383 671 201 416 31661 23486 7533 19965 18244 33144 171926 16 2 0
05 MORANG 512 1009 348 706 36447 28779 9084 22642 19953 32765 196703 7 1 4
06 SUNSARI 654 907 534 698 25898 20024 6429 24336 17600 31262 141261 9 1 0
07 DHANKUTA 92 351 67 201 11252 6678 1842 4935 4823 7476 45314 0 0 0
08 TERHATHUM 217 255 19 203 7500 6299 1273 4301 3434 6435 30967 6 1
09 SANKHUWASABHA 52 195 35 96 4992 4941 953 2633 2601 4582 21889 4 0 7
10 BHOJPUR 116 152 32 78 9649 8806 1540 6108 4556 8912 35587 22 1 1
11 SOLUKHUMBU 64 110 43 125 5103 4158 1712 3809 2479 4874 16776 4 0 0
12 OKHALDHUNGA 77 333 30 81 16917 14603 2702 10028 7973 13410 77004 10 2 1
13 KHOTANG 71 380 64 332 10091 7368 3428 7443 6308 11274 58253 23 4 6
14 UDAYAPUR 170 369 122 349 12423 10121 2676 9058 7812 13946 74429 9 0 1
Province 2 2105 4902 1121 2626 158249 134154 26748 116656 107160 159328 932435 70 1 3
15 SAPTARI 128 464 61 273 20532 19444 1371 16481 14489 24352 121767 0 0 0
16 SIRAHA 210 659 74 217 27320 21967 4714 18667 15835 24942 141450 13 0 0
17 DHANUSA 108 318 48 67 23991 20820 2146 16399 13345 21647 129853 0 0 0
18 MAHOTTARI 355 939 289 601 17744 14575 3869 13096 11540 18591 99798 1 0 0
19 SARLAHI 135 327 60 196 14228 12056 1813 7984 7609 9769 64490 2 0 1
32 RAUTAHAT 784 900 373 666 17710 13954 4723 14620 15841 19716 127215 34 0 1
33 BARA 222 917 118 306 20844 18260 3032 15938 16091 22147 136613 17 1 1
34 PARSA 163 378 98 300 15880 13078 5080 13471 12410 18164 111249 3 0 0
Province 3 1794 4740 534 1400 166767 151819 15862 133692 119193 222340 1507330 155 9 25
20 SINDHULI 75 205 39 128 15637 11393 4347 9981 9243 14830 83601 17 2 5
21 RAMECHHAP 17 125 3 22 16408 15266 427 12636 10926 19757 103289 6 1 0
22 DOLAKHA 27 170 3 23 11887 11660 431 9503 8254 17970 545998 7 0 0
23 SINDHUPALCHOK 97 361 23 108 11694 11528 411 9203 7867 14719 69195 37 2 4
24 KAVRE 195 429 50 123 18572 17652 379 12327 12618 19808 98392 13 0 3
25 LALITPUR 162 315 0 14 8862 8225 285 7838 6648 12021 59182 0 0 0
26 BHAKTAPUR 64 130 13 13 4757 4475 478 6421 5177 15562 41297 3 1 0
27 KATHMANDU 311 786 22 46 23079 21959 386 17452 13291 25903 109777 0 0 0
28 NUWAKOT 104 191 31 164 8321 8055 393 6426 7087 12281 56059 1
29 RASUWA 2 2 0 2442 2253 76 2674 2555 5126 22980 4 1 2
30 DHADING 81 381 12 55 10053 9169 362 9286 9841 17006 85378 23 1 5
31 MAKWANPUR 280 951 185 396 19993 17994 3936 19065 15592 29787 137144 22 1 3
35 CHITAWAN 379 694 153 308 15062 12190 3951 10880 10094 17570 95038 22 0 3
Province 4 783 1703 193 597 92120 84222 6636 54669 52227 89685 472676 52 4 8
36 GORKHA 75 231 6 50 11370 10510 892 7262 7066 13865 63401 7 1 3
37 LAMJUNG 89 112 3 20 8201 7712 657 5021 4867 7321 45010 12 0 1
38 TANAHU 74 121 32 64 6775 5947 1238 5732 5478 9166 52106 7
39 SYANGJA 102 372 35 157 13519 12851 821 4956 4885 7816 44456 8 1 1
40 KASKI 252 482 41 66 15119 13689 338 9467 8916 15269 70538 5 0 2
41 MANANG 3 3 123 109 24 174 156 409 1560
42 MUSTANG 1 11 1 1 248 250 44 291 219 538 1873 0 0 0
43 MYAGDI 29 53 1 11 4076 3888 139 3284 2921 5235 26663 0
44 PARBAT 12 17 2 5 8732 7709 497 3996 3600 6419 33674 1
45 BAGLUNG 90 149 33 130 15468 13504 1732 8120 7444 15347 72674 12 2 1
48.1 NAWALPUR 59 152 39 90 8489 8053 254 6366 6675 8300 60721 0 0 0
Province 5 1982 3655 1118 2029 171864 143911 29875 140718 120087 191217 1122885 204 13 19
46 GULMI 8 42 29 1 13611 12522 1243 5638 3009 7327 35119 0 0 0
47 PALPA 36 105 17 29 9417 7765 1919 5806 5813 9224 55293 12 1 0
48 NAWALPARASI 70 107 10 52 5963 5763 87 8458 7471 10833 74231 1 0 0
49 RUPANDEHI 219 349 8 64 22582 19778 1054 21023 15454 30874 132327 2 0 0
50 KAPILBASTU 181 501 82 242 7015 6801 1126 9177 7392 13097 61083 30 2 0
51 ARGHAKHANCHI 22 215 7 52 10105 9627 476 5038 3846 6738 33268 9 1 3
52 PYUTHAN 36 85 70 91 16833 13283 3535 10760 10760 12905 107600 31 3 2
53 ROLPA 77 381 20 212 14757 11718 3949 13391 11453 19507 111866 28 1 4
54 RUKUM 23 116 19 123 2897 1011 362 1105 1025 1878 8623 4 0 1
56 DANG 297 495 172 269 20135 16514 5793 20084 19472 29668 186827 29 1 0
57 BANKE 330 575 249 505 25249 18965 8034 23429 21759 31905 197034 31 3 2
58 BARDIYA 683 684 435 389 23300 20164 2297 16809 12633 17261 119614 27 1 7
Province 6 1391 4443 865 2182 92219 76845 19954 82848 77737 118892 719820 145 9 8
54.1 RUKUM WEST 114 222 64 134 3525 3282 396 3440 3106 4834 30620 10 2 0
55 SALYAN 187 357 131 209 16674 12413 4320 12393 11628 17311 116955 31 5 2
59 SURKHET 186 499 45 92 17382 16556 826 19314 19034 25790 184809 27 1 1
60 DAILEKH 246 665 168 372 28310 22720 7444 23343 20072 29287 185066 15 1 2
61 JAJARKOT 269 763 201 533 6413 4810 2312 5453 5169 8935 43873 11 0 3
62 DOLPA 73 234 52 165 1126 717 496 558 611 1445 5110 2 0 0
63 JUMLA 85 371 43 222 7769 7329 2230 7118 7228 12393 53335 0 0 0
64 KALIKOT 106 388 25 151 7315 6288 857 8495 8344 13657 80956 8 0 0
65 MUGU 52 651 42 112 1719 1240 418 1277 1214 2872 9610 41 0 0
66 HUMLA 73 293 94 192 1986 1490 655 1457 1331 2368 9486 0 0 0
Province 7 2357 4757 855 1971 179497 154414 23313 141737 128221 179707 1156335 249 13 27
67 BAJURA 94 334 77 209 16990 11266 5766 9142 8040 11558 74781 16 0 1
68 BAJHANG 480 371 108 220 14949 11649 4316 11658 10363 16602 93791 53 2 2
69 ACHHAM 169 369 57 138 29092 25982 1143 19670 18710 29222 171677 25 4 9
70 DOTI 161 404 110 167 15655 13269 3209 12584 10698 15369 96163 27 1 4
71 KAILALI 718 2374 292 933 32924 29397 3797 34167 31478 32844 258616 44 3 2
72 KANCHANPUR 578 341 90 106 22463 19342 1754 24886 21918 33759 200674 18 1 1
73 DADELDHURA 92 343 35 44 11199 10495 127 10869 9657 12713 94826 15 0 2
74 BAITADI 59 214 53 117 27690 24995 2640 15232 14115 21457 133580 34 1 5
75 DARCHAULA 6 7 33 37 8535 8019 561 3529 3242 6183 32227 17 1 1
 Raw Data: CBIMCI (Sheet 8 of 11)
Classification
ARI
District Name No pneumonia Pneumonia Sev Pneu/ very severe disease
Total
HF PHCORC FCHV Total HF PHCORC FCHV Total HF PHCORC Total
Nepal 451298 104928 904605 1460831 166402 23097 155229 344728 4473 690 5163 1810722
Province 1 89561 21731 159240 270532 36910 6130 39878 82918 769 104 873 354323
01 TAPLEJUNG 4089 1702 3677 9468 1719 510 521 2750 31 11 42 12260
02 PANCHTHAR 6015 1284 8230 15529 2718 347 1205 4270 43 1 44 19843
03 ILAM 4710 1471 12070 18251 2744 486 1482 4712 80 6 86 23049
04 JHAPA 12580 3791 23486 39857 4543 891 8175 13609 62 16 78 53544
05 MORANG 11025 3207 28779 43011 3870 1017 7668 12555 51 20 71 55637
06 SUNSARI 9199 2226 20024 31449 4968 868 5874 11710 49 7 56 43215
07 DHANKUTA 6295 759 6678 13732 1606 170 4574 6350 11 0 11 20093
08 TERHATHUM 3352 446 6299 10097 1202 76 1201 2479 52 0 52 12628
09 SANKHUWASABHA 3842 411 4941 9194 2608 89 51 2748 39 6 45 11987
10 BHOJPUR 5301 1269 8806 15376 1427 175 843 2445 18 11 29 17850
11 SOLUKHUMBU 5227 759 4158 10144 1893 156 945 2994 138 18 156 13294
12 OKHALDHUNGA 7048 1385 14603 23036 2567 476 2314 5357 36 0 36 28429
13 KHOTANG 5732 2017 7368 15117 2616 516 2723 5855 59 5 64 21036
14 UDAYAPUR 5146 1004 10121 16271 2429 353 2302 5084 100 3 103 21458
Province 2 67533 31163 134154 232850 24094 7367 24095 55556 648 224 872 289278
15 SAPTARI 8765 4776 19444 32985 1752 342 1088 3182 40 30 70 36237
16 SIRAHA 12439 3600 21967 38006 4243 1140 5353 10736 70 14 84 48826
17 DHANUSA 9888 5574 20820 36282 3321 906 3171 7398 63 9 72 43752
18 MAHOTTARI 7925 5679 14575 28179 3403 1223 3169 7795 60 28 88 36062
19 SARLAHI 6319 1488 12056 19863 2020 233 2172 4425 9 23 32 24320
32 RAUTAHAT 8325 4701 13954 26980 4288 1958 3756 10002 175 64 239 37221
33 BARA 7350 2511 18260 28121 2619 393 2584 5596 114 21 135 33852
34 PARSA 6522 2834 13078 22434 2448 1172 2802 6422 117 35 152 29008
Province 3 65907 11611 151819 229337 29161 2033 14948 46142 783 55 838 276317
20 SINDHULI 3370 1486 11393 16249 2478 404 4244 7126 42 4 46 23421
21 RAMECHHAP 5819 789 15266 21874 2526 116 1142 3784 52 3 55 25713
22 DOLAKHA 5829 834 11660 18323 1795 116 227 2138 93 7 100 20561
23 SINDHUPALCHOK 6856 1266 11528 19650 3151 296 166 3613 68 0 68 23331
24 KAVRE 7132 1377 17652 26161 2254 218 920 3392 38 8 46 29599
25 LALITPUR 6105 580 8225 14910 2359 56 637 3052 8 0 8 17970
26 BHAKTAPUR 2466 365 4475 7306 823 47 282 1152 25 0 25 8483
27 KATHMANDU 4398 631 21959 26988 1809 42 1120 2971 25 0 25 29984
28 NUWAKOT 3650 1166 8055 12871 1641 111 266 2018 23 16 39 14928
29 RASUWA 2042 266 2253 4561 576 28 189 793 17 0 17 5371
30 DHADING 6735 1483 9169 17387 3936 189 884 5009 209 16 225 22621
31 MAKWANPUR 5334 699 17994 24027 2007 211 1999 4217 93 1 94 28338
35 CHITAWAN 6171 669 12190 19030 3806 199 2872 6877 90 0 90 25997
Province 4 41230 5567 84222 131019 12312 765 7898 20975 137 33 170 152164
36 GORKHA 6297 1186 10510 17993 2139 142 860 3141 17 7 24 21158
37 LAMJUNG 3215 331 7712 11258 1057 42 489 1588 7 0 7 12853
38 TANAHU 3701 359 5947 10007 1149 46 828 2023 9 3 12 12042
39 SYANGJA 4415 1019 12851 18285 862 98 668 1628 23 12 35 19948
40 KASKI 4868 327 13689 18884 1061 88 1430 2579 26 6 32 21495
41 MANANG 227 18 109 354 76 1 14 91 0 0 0 445
42 MUSTANG 1012 53 250 1315 229 3 -2 230 2 0 2 1547
43 MYAGDI 3229 354 3888 7471 831 8 188 1027 24 0 24 8522
44 PARBAT 3293 288 7709 11290 1882 123 1023 3028 7 0 7 14325
45 BAGLUNG 7520 1323 13504 22347 2066 173 1964 4203 18 4 22 26572
48.1 NAWALPUR 3453 309 8053 11815 960 41 436 1437 4 1 5 13257
Province 5 78018 11705 143911 233634 24880 2194 27953 55027 583 50 633 289294
46 GULMI 6555 1382 12522 20459 1360 145 1089 2594 1 0 1 23054
47 PALPA 5107 594 7765 13466 2276 106 1652 4034 41 0 41 17541
48 NAWALPARASI 4574 545 5763 10882 944 19 200 1163 9 0 9 12054
49 RUPANDEHI 9224 2315 19778 31317 2078 236 2804 5118 7 0 7 36442
50 KAPILBASTU 8581 1708 6801 17090 1708 273 214 2195 118 7 125 19410
51 ARGHAKHANCHI 3376 444 9627 13447 1520 80 478 2078 36 7 43 15568
52 PYUTHAN 6016 906 13283 20205 2432 348 3550 6330 89 2 91 26626
53 ROLPA 4998 1334 11718 18050 3066 280 3039 6385 65 8 73 24508
54 RUKUM 1234 594 1011 2839 754 164 1886 2804 32 7 39 5682
56 DANG 10934 529 16514 27977 3593 106 3621 7320 84 3 87 35384
57 BANKE 6772 868 18965 26605 2649 333 6284 9266 27 15 42 35913
58 BARDIYA 10647 486 20164 31297 2500 104 3136 5740 74 1 75 37112
Province 6 42001 9442 76845 128288 17598 2371 15374 35343 765 77 842 164473
54.1 RUKUM WEST 3791 706 3282 7779 1791 106 243 2140 71 0 71 9990
55 SALYAN 5439 1433 12413 19285 2563 494 4261 7318 40 0 40 26643
59 SURKHET 9316 1326 16556 27198 2962 146 826 3934 67 0 67 31199
60 DAILEKH 5887 1537 22720 30144 2541 459 5590 8590 130 24 154 38888
61 JAJARKOT 5347 1482 4810 11639 1666 354 1603 3623 92 11 103 15365
62 DOLPA 1414 393 717 2524 746 94 409 1249 96 11 107 3880
63 JUMLA 2713 891 7329 10933 1721 295 440 2456 40 10 50 13439
64 KALIKOT 3791 555 6288 10634 1815 109 1027 2951 95 9 104 13689
65 MUGU 2047 593 1240 3880 956 174 479 1609 71 12 83 5572
66 HUMLA 2256 526 1490 4272 837 140 496 1473 63 0 63 5808
Province 7 67048 13709 154414 235171 21447 2237 25083 48767 788 147 935 284873
67 BAJURA 4403 1245 11266 16914 2605 385 5724 8714 85 30 115 25743
68 BAJHANG 4946 1769 11649 18364 2305 504 3300 6109 133 73 206 24679
69 ACHHAM 19026 4016 25982 49024 3814 194 3110 7118 125 12 137 56279
70 DOTI 4801 1735 13269 19805 1705 314 2386 4405 106 12 118 24328
71 KAILALI 11739 1256 29397 42392 2261 157 3527 5945 100 5 105 48442
72 KANCHANPUR 6861 556 19342 26759 2190 74 3121 5385 48 2 50 32194
73 DADELDHURA 4027 544 10495 15066 1466 104 704 2274 40 6 46 17386
74 BAITADI 7278 1207 24995 33480 3203 324 2695 6222 85 5 90 39792
75 DARCHAULA 3967 1381 8019 13367 1898 181 516 2595 66 2 68 16030
 Raw Data: CBIMCI (Sheet 9 of 11)
Classification
Diarrhoea
Total
District Name No Dehydration Some Dehydration Severe Dehydration Prolonged Diarrhoea Dysentery diarrhoeal
cases Total
HF PHCORC Total HF PHCORC Total HF PHCORC Total HF PHCORC Total HF PHCORC Total FCHV
Nepal 246610 67337 313947 53025 14525 67550 1506 181 1687 3219 465 3684 37900 4009 41909 800936 1184120
Province 1 31690 10953 42643 9372 3217 12589 190 52 242 257 36 293 4548 521 5069 130616 186090
01 TAPLEJUNG 1604 714 2318 872 408 1280 7 8 15 13 4 17 151 45 196 3075 6688
02 PANCHTHAR 1360 457 1817 699 208 907 4 2 6 15 0 15 115 5 120 4518 7248
03 ILAM 1079 680 1759 329 135 464 2 2 4 6 0 6 84 11 95 7765 9992
04 JHAPA 4873 2232 7105 1000 445 1445 28 0 28 37 0 37 782 56 838 19965 28543
05 MORANG 4087 1847 5934 754 345 1099 35 13 48 13 0 13 515 44 559 22642 29723
06 SUNSARI 4042 1343 5385 1309 576 1885 11 0 11 56 0 56 643 54 697 24336 31617
07 DHANKUTA 1490 240 1730 125 34 159 1 0 1 0 0 0 163 20 183 4935 6825
08 TERHATHUM 769 165 934 336 38 374 1 0 1 4 0 4 118 10 128 4301 5610
09 SANKHUWASABHA 1700 316 2016 237 13 250 13 0 13 10 0 10 129 8 137 2633 4912
10 BHOJPUR 1965 663 2628 532 92 624 2 0 2 9 2 11 192 19 211 6108 9362
11 SOLUKHUMBU 1551 240 1791 355 62 417 7 1 8 16 0 16 132 8 140 3809 6025
12 OKHALDHUNGA 2201 573 2774 773 237 1010 8 1 9 8 0 8 321 25 346 10028 13821
13 KHOTANG 2284 901 3185 1186 421 1607 20 5 25 54 30 84 570 139 709 7443 12260
14 UDAYAPUR 2685 582 3267 865 203 1068 51 20 71 16 0 16 633 77 710 9058 13464
Province 2 47460 22106 69566 13293 5644 18937 267 51 318 1008 132 1140 6985 1073 8058 116656 205477
15 SAPTARI 6311 3520 9831 1800 801 2601 7 1 8 46 7 53 917 118 1035 16481 28921
16 SIRAHA 6210 2302 8512 2185 921 3106 35 4 39 300 51 351 778 92 870 18667 30324
17 DHANUSA 6229 3677 9906 1321 584 1905 0 2 2 105 22 127 982 127 1109 16399 28212
18 MAHOTTARI 4369 3174 7543 1580 893 2473 4 4 8 119 10 129 822 164 986 13096 23120
19 SARLAHI 4002 1198 5200 1002 241 1243 9 4 13 37 0 37 525 65 590 7984 14440
32 RAUTAHAT 7958 3961 11919 2543 1181 3724 147 29 176 198 32 230 1276 333 1609 14620 30439
33 BARA 7344 2072 9416 1155 248 1403 22 4 26 105 4 109 979 60 1039 15938 26783
34 PARSA 5037 2202 7239 1707 775 2482 43 3 46 98 6 104 706 114 820 13471 23238
Province 3 33930 6990 40920 5261 1024 6285 166 8 174 316 85 401 4476 228 4704 133692 181071
20 SINDHULI 1850 623 2473 522 160 682 16 1 17 2 2 4 200 11 211 9981 13153
21 RAMECHHAP 2278 320 2598 320 60 380 7 0 7 10 2 12 252 7 259 12636 15621
22 DOLAKHA 2815 507 3322 520 51 571 17 0 17 0 0 0 440 13 453 9503 13413
23 SINDHUPALCHOK 3235 709 3944 689 77 766 26 1 27 9 0 9 549 27 576 9203 13940
24 KAVRE 3161 925 4086 488 222 710 7 0 7 7 1 8 217 9 226 12327 17130
25 LALITPUR 2500 475 2975 191 42 233 1 0 1 19 0 19 219 16 235 7838 11047
26 BHAKTAPUR 1094 228 1322 65 15 80 1 0 1 2 5 7 108 3 111 6421 7824
27 KATHMANDU 2795 543 3338 268 28 296 5 1 6 20 0 20 267 10 277 17452 21092
28 NUWAKOT 2110 693 2803 248 107 355 1 1 2 36 0 36 233 34 267 6426 9586
29 RASUWA 1005 158 1163 160 22 182 1 0 1 2 0 2 100 11 111 2674 4020
30 DHADING 4025 829 4854 722 127 849 24 3 27 81 40 121 801 21 822 9286 15016
31 MAKWANPUR 2838 466 3304 638 75 713 25 1 26 59 15 74 442 50 492 19065 23108
35 CHITAWAN 4224 514 4738 430 38 468 35 0 35 69 20 89 648 16 664 10880 16121
Province 4 16325 2963 19288 2515 394 2909 21 2 23 82 20 102 1801 233 2034 54669 76889
36 GORKHA 3238 737 3975 691 146 837 5 0 5 26 0 26 407 36 443 7262 12079
37 LAMJUNG 1408 212 1620 162 10 172 4 0 4 11 0 11 122 13 135 5021 6817
38 TANAHU 1107 177 1284 317 67 384 1 0 1 4 0 4 74 3 77 5732 7401
39 SYANGJA 2055 464 2519 134 29 163 2 1 3 7 2 9 80 5 85 4956 7641
40 KASKI 1404 175 1579 178 24 202 0 0 0 10 0 10 76 15 91 9467 11248
41 MANANG 99 27 126 14 0 14 0 0 0 1 0 1 2 0 2 174 314
42 MUSTANG 277 17 294 95 7 102 1 0 1 0 0 0 29 0 29 291 688
43 MYAGDI 1503 235 1738 144 9 153 1 0 1 4 0 4 174 4 178 3284 5176
44 PARBAT 975 87 1062 114 2 116 2 0 2 0 0 0 137 21 158 3996 5176
45 BAGLUNG 2593 516 3109 531 97 628 4 1 5 11 18 29 602 91 693 8120 11862
48.1 NAWALPUR 1666 316 1982 135 3 138 1 0 1 8 0 8 98 45 143 6366 8487
Province 5 48160 8519 56679 7251 1334 8585 372 5 377 464 24 488 8002 523 8525 140718 206359
46 GULMI 2397 608 3005 324 37 361 0 0 0 16 0 16 293 18 311 5638 9004
47 PALPA 2380 261 2641 634 0 634 164 0 164 39 0 39 226 1 227 5806 9245
48 NAWALPARASI 3088 529 3617 139 9 148 4 0 4 11 0 11 366 6 372 8458 12227
49 RUPANDEHI 6578 2012 8590 686 322 1008 0 0 0 58 3 61 1068 76 1144 21023 30621
50 KAPILBASTU 9403 1447 10850 1578 394 1972 138 0 138 146 8 154 1856 213 2069 9177 22137
51 ARGHAKHANCHI 1377 169 1546 231 18 249 7 0 7 6 3 9 163 3 166 5038 6840
52 PYUTHAN 3797 741 4538 786 153 939 12 5 17 23 0 23 760 15 775 10760 16254
53 ROLPA 4101 1058 5159 651 165 816 16 0 16 20 0 20 530 89 619 13391 19382
54 RUKUM 971 416 1387 272 52 324 5 0 5 9 5 14 145 47 192 1105 2821
56 DANG 5218 372 5590 566 45 611 21 0 21 99 0 99 1244 26 1270 20084 26306
57 BANKE 5110 640 5750 710 85 795 3 0 3 26 5 31 659 26 685 23429 29977
58 BARDIYA 3740 266 4006 674 54 728 2 0 2 11 0 11 692 3 695 16809 21545
Province 6 28338 6720 35058 8067 1729 9796 326 36 362 750 99 849 5156 743 5899 82848 128064
54.1 RUKUM WEST 2377 528 2905 565 99 664 9 0 9 43 8 51 496 52 548 3440 7018
55 SALYAN 3163 840 4003 682 288 970 24 3 27 7 2 9 510 124 634 12393 17393
59 SURKHET 5165 772 5937 818 190 1008 25 0 25 5 0 5 947 28 975 19314 26284
60 DAILEKH 3810 1358 5168 1176 233 1409 42 1 43 11 1 12 486 65 551 23343 29963
61 JAJARKOT 3886 1190 5076 900 235 1135 27 14 41 72 28 100 606 208 814 5453 11705
62 DOLPA 813 237 1050 483 45 528 74 5 79 110 2 112 287 29 316 558 2215
63 JUMLA 2165 505 2670 814 221 1035 18 0 18 34 1 35 364 91 455 7118 10841
64 KALIKOT 3927 455 4382 1163 161 1324 24 0 24 66 4 70 596 35 631 8495 14225
65 MUGU 1472 407 1879 591 125 716 30 5 35 159 18 177 552 69 621 1277 3907
66 HUMLA 1560 428 1988 875 132 1007 53 8 61 243 35 278 312 42 354 1457 4513
Province 7 40707 9086 49793 7266 1183 8449 164 27 191 342 69 411 6932 688 7620 141737 200170
67 BAJURA 3813 692 4505 1770 245 2015 38 19 57 58 11 69 810 93 903 9142 15719
68 BAJHANG 3522 1224 4746 1237 311 1548 27 6 33 29 8 37 626 205 831 11658 17985
69 ACHHAM 13294 3002 16296 829 97 926 25 0 25 62 14 76 1683 163 1846 19670 36917
70 DOTI 3668 1283 4951 746 205 951 17 0 17 34 3 37 814 82 896 12584 18503
71 KAILALI 4838 727 5565 696 59 755 29 0 29 52 0 52 953 39 992 34167 40516
72 KANCHANPUR 3740 403 4143 501 29 530 2 0 2 19 23 42 657 3 660 24886 29561
73 DADELDHURA 2252 491 2743 193 11 204 1 0 1 13 0 13 385 17 402 10869 13817
74 BAITADI 3746 685 4431 880 119 999 20 0 20 64 4 68 567 45 612 15232 20682
75 DARCHAULA 1834 579 2413 414 107 521 5 2 7 11 6 17 437 41 478 3529 6470
 Raw Data: CBIMCI (Sheet 10 of 11)

Treatment
ARI (Severe/Pneumonia Cases only) Diarrhoeal Cases
Amoxycilline Cotrim Paediatrics ORS and Zinc

antibiotics HF

IV Fluid (HF)
District Name

Other
PHCORC

PHCORC

PHCORC
FCHV
Total

FCHV
Total

Total

Total

Total
HF

HF

HF
Nepal 93345 6098 99443 145493 15491 166202 327186 146175 572804 301184 76171 713728 1091083 7735 1098818
Province 1 17461 1350 18811 28380 3172 43814 75366 28530 122707 38925 12770 109103 160798 1113 161911
01 TAPLEJUNG 1102 263 1365 587 294 1086 1967 723 4055 2265 1002 2547 5814 37 5851
02 PANCHTHAR 1214 112 1326 1250 216 1254 2720 1714 5760 2046 665 4532 7243 25 7268
03 ILAM 1425 92 1517 1057 397 2302 3756 410 5683 1484 825 6241 8550 37 8587
04 JHAPA 3295 147 3442 3660 553 7533 11746 4787 19975 5593 2049 18244 25886 179 26065
05 MORANG 252 5 257 4494 28 9084 13606 5457 19320 4958 1968 19953 26879 108 26987
06 SUNSARI 2722 181 2903 3924 564 6429 10917 2686 16506 4540 1572 17600 23712 340 24052
07 DHANKUTA 576 23 599 998 119 1842 2959 336 3894 1565 304 4823 6692 27 6719
08 TERHATHUM 703 30 733 1904 119 1273 3296 1247 5276 1278 334 3434 5046 15 5061
09 SANKHUWASABHA 1387 62 1449 720 24 953 1697 2406 5552 1881 313 2601 4795 46 4841
10 BHOJPUR 847 44 891 1094 62 1540 2696 2265 5852 2453 1091 4556 8100 18 8118
11 SOLUKHUMBU 1315 102 1417 1600 127 1712 3439 1332 6188 1998 224 2479 4701 48 4749
12 OKHALDHUNGA 1861 230 2091 1932 334 2702 4968 2138 9197 2908 697 7973 11578 4 11582
13 KHOTANG 693 59 752 2232 325 3428 5985 604 7341 2872 1048 6308 10228 148 10376
14 UDAYAPUR 69 0 69 2928 10 2676 5614 2425 8108 3084 678 7812 11574 81 11655
Province 2 13712 695 14407 44083 5776 26748 76607 21229 112243 62278 25268 107160 194706 2282 196988
15 SAPTARI 971 129 1100 2444 381 1371 4196 3909 9205 8816 4178 14489 27483 88 27571
16 SIRAHA 1016 42 1058 7228 798 4714 12740 4467 18265 8194 2963 15835 26992 270 27262
17 DHANUSA 1522 75 1597 4360 361 2146 6867 2473 10937 7506 3375 13345 24226 115 24341
18 MAHOTTARI 1681 97 1778 4914 938 3869 9721 1705 13204 6339 4004 11540 21883 234 22117
19 SARLAHI 1039 63 1102 2979 255 1813 5047 1092 7241 5429 1215 7609 14253 78 14331
32 RAUTAHAT 995 119 1114 7998 1376 4723 14097 2358 17569 10401 4436 15841 30678 627 31305
33 BARA 3958 67 4025 5901 374 3032 9307 2479 15811 8783 2309 16091 27183 568 27751
34 PARSA 2530 103 2633 8259 1293 5080 14632 2746 20011 6810 2788 12410 22008 302 22310
Province 3 19527 1192 20719 11394 818 15862 28074 19165 67958 39647 8106 119193 166946 1026 167972
20 SINDHULI 1705 233 1938 1523 254 4347 6124 1504 9566 2454 823 9243 12520 28 12548
21 RAMECHHAP 1584 54 1638 329 44 427 800 573 3011 2550 421 10926 13897 12 13909
22 DOLAKHA 1151 78 1229 356 12 431 799 295 2323 3587 715 8254 12556 129 12685
23 SINDHUPALCHOK 2732 187 2919 610 54 411 1075 3230 7224 3976 802 7867 12645 242 12887
24 KAVRE 1838 183 2021 646 75 379 1100 1762 4883 3413 1158 12618 17189 49 17238
25 LALITPUR 1417 33 1450 741 21 285 1047 1626 4123 2917 452 6648 10017 39 10056
26 BHAKTAPUR 547 40 587 93 0 478 571 770 1928 1177 213 5177 6567 10 6577
27 KATHMANDU 524 9 533 1428 45 386 1859 2235 4627 2893 546 13291 16730 180 16910
28 NUWAKOT 1652 100 1752 18 4 393 415 190 2357 2471 803 7087 10361 22 10383
29 RASUWA 579 23 602 25 5 76 106 266 974 1254 173 2555 3982 1 3983
30 DHADING 3070 155 3225 713 19 362 1094 2199 6518 5119 882 9841 15842 134 15976
31 MAKWANPUR 1195 48 1243 1965 166 3936 6067 1762 9072 3370 561 15592 19523 113 19636
35 CHITAWAN 1533 49 1582 2947 119 3951 7017 2753 11352 4466 557 10094 15117 67 15184
Province 4 7133 391 7524 9331 1049 6636 17016 17954 42494 18794 3277 52227 74298 285 74583
36 GORKHA 558 51 609 2087 271 892 3250 5662 9521 3982 811 7066 11859 28 11887
37 LAMJUNG 485 4 489 1168 47 657 1872 1093 3454 1464 200 4867 6531 32 6563
38 TANAHU 617 31 648 1621 79 1238 2938 1431 5017 1538 223 5478 7239 45 7284
39 SYANGJA 571 47 618 1140 365 821 2326 1409 4353 2237 499 4885 7621 59 7680
40 KASKI 875 73 948 406 9 338 753 1151 2852 1401 174 8916 10491 51 10542
41 MANANG 31 6 37 27 1 24 52 103 192 114 27 156 297 0 297
42 MUSTANG 270 4 274 148 4 44 196 515 985 299 26 219 544 28 572
43 MYAGDI 858 15 873 197 14 139 350 1086 2309 1729 230 2921 4880 8 4888
44 PARBAT 1329 67 1396 571 23 497 1091 1632 4119 1116 97 3600 4813 18 4831
45 BAGLUNG 774 75 849 1624 202 1732 3558 1513 5920 3112 731 7444 11287 7 11294
48.1 NAWALPUR 765 18 783 342 34 254 630 2359 3772 1802 259 6675 8736 9 8745
Province 5 9744 560 10304 26007 1728 29875 57610 29635 97549 54520 8666 120087 183273 937 184210
46 GULMI 90 0 90 915 0 1243 2158 987 3235 488 21 3009 3518 0 3518
47 PALPA 112 7 119 2895 145 1919 4959 2582 7660 2821 251 5813 8885 196 9081
48 NAWALPARASI 1018 11 1029 491 5 87 583 2587 4199 3478 540 7471 11489 1 11490
49 RUPANDEHI 1660 136 1796 2825 189 1054 4068 3311 9175 7105 2000 15454 24559 112 24671
50 KAPILBASTU 2015 117 2132 6026 428 1126 7580 4118 13830 11038 1624 7392 20054 339 20393
51 ARGHAKHANCHI 148 1 149 1000 11 476 1487 2336 3972 1432 114 3846 5392 41 5433
52 PYUTHAN 68 7 75 1431 343 3535 5309 1022 6406 4595 899 10760 16254 0 16254
53 ROLPA 1872 114 1986 1340 166 3949 5455 1236 8677 5617 1364 11453 18434 58 18492
54 RUKUM 483 90 573 340 154 362 856 180 1609 1181 471 1025 2677 40 2717
56 DANG 147 1 148 5243 2 5793 11038 7706 18892 5897 371 19472 25740 61 25801
57 BANKE 1285 45 1330 1679 253 8034 9966 1449 12745 6339 719 21759 28817 61 28878
58 BARDIYA 846 31 877 1822 32 2297 4151 2121 7149 4529 292 12633 17454 28 17482
Province 6 9435 762 10197 11941 1035 19954 32930 11648 54775 37175 8227 77737 123139 975 124114
54.1 RUKUM WEST 1648 96 1744 708 50 396 1154 1092 3990 3103 646 3106 6855 196 7051
55 SALYAN 32 0 32 3683 9 4320 8012 2177 10221 3938 1162 11628 16728 6 16734
59 SURKHET 2551 63 2614 217 83 826 1126 261 4001 5850 895 19034 25779 10 25789
60 DAILEKH 621 39 660 2311 386 7444 10141 2461 13262 5236 1740 20072 27048 193 27241
61 JAJARKOT 156 13 169 1872 108 2312 4292 2805 7266 6064 1534 5169 12767 84 12851
62 DOLPA 330 14 344 597 50 496 1143 449 1936 999 223 611 1833 145 1978
63 JUMLA 1129 211 1340 596 136 2230 2962 535 4837 2717 582 7228 10527 11 10538
64 KALIKOT 1824 113 1937 59 5 857 921 8 2866 5051 614 8344 14009 41 14050
65 MUGU 594 130 724 789 40 418 1247 1105 3076 2055 399 1214 3668 170 3838
66 HUMLA 550 83 633 1109 168 655 1932 755 3320 2162 432 1331 3925 119 4044
Province 7 16333 1148 17481 14357 1913 23313 39583 18014 75078 49845 9857 128221 187923 1117 189040
67 BAJURA 1836 130 1966 1566 249 5766 7581 1818 11365 5787 853 8040 14680 221 14901
68 BAJHANG 1210 518 1728 2254 485 4316 7055 1191 9974 5294 1608 10363 17265 33 17298
69 ACHHAM 4210 228 4438 828 133 1143 2104 3282 9824 14046 3032 18710 35788 129 35917
70 DOTI 728 23 751 2618 472 3209 6299 1245 8295 4908 1379 10698 16985 45 17030
71 KAILALI 1755 63 1818 1208 91 3797 5096 1499 8413 5915 687 31478 38080 362 38442
72 KANCHANPUR 2279 30 2309 1995 44 1754 3793 2749 8851 3999 431 21918 26348 166 26514
73 DADELDHURA 1409 46 1455 518 49 127 694 2039 4188 2874 469 9657 13000 18 13018
74 BAITADI 2154 72 2226 1770 211 2640 4621 2340 9187 4746 748 14115 19609 132 19741
75 DARCHAULA 752 38 790 1600 179 561 2340 1851 4981 2276 650 3242 6168 11 6179
 Raw Data: CBIMCI (Sheet 11 of 11)

Death
≤ 28 Days 29-59 Days 2-59 months
District Name
ARI Diarrhoea Other

FCHV

Total
HF PHCORC FCHV Total HF PHCORC FCHV Total HF PHCORC HF PHCORC HF PHCORC
Nepal 90 14 1043 1147 17 4 60 81 91 25 33 0 271 34 115 569
Province 1 6 1 168 175 0 0 11 11 11 5 7 0 52 1 25 101
01 TAPLEJUNG 0 0 42 42 0 0 0 0 0 0 0 0 7 1 2 10
02 PANCHTHAR 1 0 4 5 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 1 12 13 0 0 0 0 2 2 0 0 10 0 2 16
04 JHAPA 3 0 16 19 0 0 2 2 0 0 0 0 1 0 0 1
05 MORANG 0 0 7 7 0 0 1 1 0 3 0 0 0 0 4 7
06 SUNSARI 0 0 9 9 0 0 1 1 0 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 6 6 0 0 0 0 0 0 0 0 3 0 1 4
09 SANKHUWASABHA 0 0 4 4 0 0 0 0 0 0 0 0 0 0 7 7
10 BHOJPUR 0 0 22 22 0 0 1 1 1 0 0 0 1 0 1 3
11 SOLUKHUMBU 2 0 4 6 0 0 0 0 4 0 1 0 0 0 0 5
12 OKHALDHUNGA 0 0 10 10 0 0 2 2 0 0 0 0 30 0 1 31
13 KHOTANG 0 0 23 23 0 0 4 4 2 0 5 0 0 0 6 13
14 UDAYAPUR 0 0 9 9 0 0 0 0 2 0 1 0 0 0 1 4
Province 2 1 1 70 72 0 1 1 2 23 5 16 0 5 0 3 52
15 SAPTARI 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0
16 SIRAHA 0 0 13 13 0 0 0 0 14 3 0 0 0 0 0 17
17 DHANUSA 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 4
18 MAHOTTARI 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 2 2 0 0 0 0 8 0 8 0 2 0 1 19
32 RAUTAHAT 0 0 34 34 0 0 0 0 0 0 0 0 0 0 1 1
33 BARA 1 0 17 18 0 0 1 1 1 1 8 0 0 0 1 11
34 PARSA 0 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0
Province 3 12 1 155 168 1 1 9 11 7 0 4 0 55 7 25 98
20 SINDHULI 2 0 17 19 1 1 2 4 0 0 0 0 0 0 5 5
21 RAMECHHAP 0 0 6 6 0 0 1 1 0 0 0 0 0 0 0 0
22 DOLAKHA 1 0 7 8 0 0 0 0 0 0 0 0 5 0 0 5
23 SINDHUPALCHOK 5 1 37 43 0 0 2 2 1 0 0 0 0 0 4 5
24 KAVRE 0 0 13 13 0 0 0 0 1 0 1 0 0 0 3 5
25 LALITPUR 0 0 0 0 0 0 0 0 0 0 0 0 18 6 0 24
26 BHAKTAPUR 0 0 3 3 0 0 1 1 0 0 0 0 0 0 0 0
27 KATHMANDU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 NUWAKOT 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1
29 RASUWA 0 0 4 4 0 0 1 1 1 0 0 0 0 0 2 3
30 DHADING 4 0 23 27 0 0 1 1 1 0 1 0 0 0 5 7
31 MAKWANPUR 0 0 22 22 0 0 1 1 0 0 2 0 12 0 3 17
35 CHITAWAN 0 0 22 22 0 0 0 0 3 0 0 0 19 1 3 26
Province 4 2 0 52 54 0 0 4 4 12 1 1 0 33 16 8 71
36 GORKHA 0 0 7 7 0 0 1 1 3 1 0 0 0 0 3 7
37 LAMJUNG 0 0 12 12 0 0 0 0 3 0 1 0 15 6 1 26
38 TANAHU 0 0 7 7 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 8 8 0 0 1 1 0 0 0 0 2 0 1 3
40 KASKI 0 0 5 5 0 0 0 0 6 0 0 0 12 10 2 30
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 2 0 12 14 0 0 2 2 0 0 0 0 0 0 1 1
48.1 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 36 9 204 249 10 0 13 23 13 4 1 0 74 0 19 111
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 19 1 12 32 8 0 1 9 4 0 0 0 17 0 0 21
48 NAWALPARASI 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0
50 KAPILBASTU 4 0 30 34 0 0 2 2 2 0 0 0 0 0 0 2
51 ARGHAKHANCHI 1 0 9 10 0 0 1 1 0 0 0 0 20 0 3 23
52 PYUTHAN 3 0 31 34 0 0 3 3 0 0 0 0 0 0 2 2
53 ROLPA 2 0 28 30 0 0 1 1 0 0 0 0 0 0 4 4
54 RUKUM 0 0 4 4 0 0 0 0 0 0 0 0 0 0 1 1
56 DANG 2 0 29 31 2 0 1 3 0 0 0 0 1 0 0 1
57 BANKE 0 8 31 39 0 0 3 3 0 4 1 0 12 0 2 19
58 BARDIYA 5 0 27 32 0 0 1 1 7 0 0 0 24 0 7 38
Province 6 12 0 145 157 5 2 9 16 5 1 2 0 37 1 8 54
54.1 RUKUM WEST 2 0 10 12 0 0 2 2 4 0 1 0 29 0 0 34
55 SALYAN 1 0 31 32 0 0 5 5 0 0 0 0 0 0 2 2
59 SURKHET 0 0 27 27 0 0 1 1 0 0 0 0 1 0 1 2
60 DAILEKH 2 0 15 17 0 0 1 1 1 0 0 0 6 0 2 9
61 JAJARKOT 3 0 11 14 0 0 0 0 0 0 0 0 0 1 3 4
62 DOLPA 0 0 2 2 5 2 0 7 0 0 0 0 0 0 0 0
63 JUMLA 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1
64 KALIKOT 2 0 8 10 0 0 0 0 0 0 0 0 1 0 0 1
65 MUGU 1 0 41 42 0 0 0 0 0 1 0 0 0 0 0 1
66 HUMLA 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 21 2 249 272 1 0 13 14 20 9 2 0 15 9 27 82
67 BAJURA 0 0 16 16 0 0 0 0 2 5 1 0 0 2 1 11
68 BAJHANG 5 0 53 58 0 0 2 2 0 0 1 0 1 4 2 8
69 ACHHAM 6 0 25 31 0 0 4 4 1 1 0 0 2 0 9 13
70 DOTI 3 2 27 32 0 0 1 1 0 1 0 0 3 1 4 9
71 KAILALI 2 0 44 46 1 0 3 4 1 0 0 0 0 0 2 3
72 KANCHANPUR 2 0 18 20 0 0 1 1 0 0 0 0 0 0 1 1
73 DADELDHURA 1 0 15 16 0 0 0 0 2 0 0 0 3 0 2 7
74 BAITADI 2 0 34 36 0 0 1 1 2 0 0 0 1 0 5 8
75 DARCHAULA 0 0 17 17 0 0 1 1 12 2 0 0 5 2 1 22
 Analyzed Data: Nutrition (Sheet 1 of 2)
GROWTH MONITORING
Percentage of Average Average % of children 0- % of children
Average number % of children 12- % of children aged
newborns Percentage of Percentage of Percentage of number of number of 11 months aged 0-23
of visits among 23 months 0-23 months
with low birth children aged 0- children aged children aged visits among visits among registered for months
children aged 0- registered for registered for
District Name weight 11 months 12-23 months 0-23 months children aged children aged Growth registered for
11 months Growth growth
(<2.5kg) registered for registered for registered for 12-23 months 0-23 months Monitoring Growth
registered for Monitoring who monitoring who
among total growth growth growth registered for registered for (New) who Monitoring
growth were were underweight
delivery by monitoring monitoring monitoring growth growth were (New) who were
monitoringᵃ Underweight (Repeat Visits)
HWs monitoringᵃ monitoringᵃ Underweight Underweight
Nepal 11.3 84.8 53.5 69.1 3 2.9 3 3.5 5.7 4.4 0.5
Province 1 15.4 82.6 43.9 63.5 3.2 3.5 3.3 1.2 2 1.5 0.2
01 TAPLEJUNG 3 112.9 44.2 78.9 3.4 4.7 3.8 2.1 3.1 2.4 0.1
02 PANCHTHAR 4.9 103.4 37.8 71.3 2.8 3.8 3.1 0.5 1.5 0.7 0.1
03 ILAM 2.3 81 50.8 65.9 3.6 3.2 3.5 0.2 0.3 0.2 0.1
04 JHAPA 21.4 89 36.7 63.4 2.6 4 3 0.5 0.9 0.6 0.1
05 MORANG 24.3 77.8 35.6 56.7 3.3 3.5 3.3 1.2 3.5 1.9 0.0
06 SUNSARI 7.8 59.7 37.5 48.5 2.8 2.4 2.7 1.5 2.2 1.8 0.1
07 DHANKUTA 4.8 74.7 56.3 65.7 4.3 2.8 3.7 0.8 0.5 0.7 0.1
08 TERHATHUM 6.6 83.1 36.1 60.3 3.4 3.6 3.4 1.4 2.9 1.8 0.1
09 SANKHUWASABHA 5.7 87 31.8 59.7 3.3 3.7 3.4 0.6 2.1 1 0.0
10 BHOJPUR 3.7 97 53.7 75.6 4 4 4 0.8 0.6 0.8 0.1
11 SOLUKHUMBU 3.5 76.4 116.5 96.5 5.6 4.9 5.2 5.3 1.3 2.9 0.7
12 OKHALDHUNGA 6.8 130.4 96.4 113.8 3 3.4 3.2 2.7 4.2 3.3 0.5
13 KHOTANG 2.1 88.1 68.8 78.6 3.6 3.2 3.4 1 1.3 1.1 0.1
14 UDAYAPUR 4.7 86.8 39.4 63.7 2.8 3.7 3.1 2 1.8 1.9 0.6
Province 2 10.5 75.1 51.3 62.9 1.9 2 1.9 4.3 5.7 4.9 0.5
15 SAPTARI 7.4 104.9 67.3 86 2.3 2.7 2.5 3.6 6.4 4.7 0.1
16 SIRAHA 18.9 68.6 38.4 53.6 1.7 1.9 1.8 4.4 5.1 4.7 0.6
17 DHANUSA 1.6 58 46.4 52.1 1.9 2 1.9 2 2.6 2.3 0.4
18 MAHOTTARI 5.7 98.2 70.4 84.2 2.2 2.2 2.2 3.4 3.3 3.4 0.3
19 SARLAHI 6.9 49.7 42 45.7 1.6 1.5 1.5 3.5 7.4 5.3 1.1
32 RAUTAHAT 9.5 60 51.8 55.7 1.7 1.7 1.7 6.2 5.8 6 0.7
33 BARA 3.1 79.5 48.4 63.3 2.1 2.1 2.1 6.6 7.3 6.9 1.0
34 PARSA 26.1 92.2 49 69.4 1.4 1.5 1.5 4.8 8.1 6 1.3
Province 3 9.9 68.3 45 56.4 3.2 2.6 2.9 2.9 4 3.3 0.5
20 SINDHULI 3.2 99.3 65.6 82.6 2.6 2.5 2.6 3.2 4.4 3.7 0.3
21 RAMECHHAP 5.1 77.8 48.8 63.7 3.3 2.6 3 2.2 8.2 4.4 0.8
22 DOLAKHA 8.1 85 53.1 69.5 3.8 3.2 3.5 2.7 3.2 2.9 0.5
23 SINDHUPALCHOK 7.4 91.9 51 71.5 3.3 2.8 3.1 2.5 4 3 0.5
24 KAVRE 11.7 60.2 43.2 51.7 3.6 3.7 3.6 1.9 4.3 2.9 0.2
25 LALITPUR 11.2 94.6 30.8 61.5 2.3 2.7 2.4 7.8 4.4 6.9 0.3
26 BHAKTAPUR 9.5 80.3 55.2 67.2 3 2.2 2.7 2 1.9 2 0.3
27 KATHMANDU 11.7 37 48.6 43.1 3.8 1.9 2.7 1.4 2.1 1.8 0.3
28 NUWAKOT 3.6 84.1 72.6 78.4 2.6 2.1 2.4 1.8 3.9 2.8 0.6
29 RASUWA 4.1 128.9 72.2 100.4 3.3 3.5 3.4 2.2 8.5 4.5 0.2
30 DHADING 4.6 74.7 27.9 51.8 3.9 6 4.4 3.6 7.2 4.5 0.5
31 MAKWANPUR 2.8 86.3 37.4 61.6 3.2 3.4 3.3 2 8.4 4 0.4
35 CHITAWAN 17.5 77.3 25.2 51.4 2.9 3.4 3 2.5 7.3 3.7 1.9
Province 4 11.8 84.2 51.7 68.6 4.1 3.5 3.9 1.1 1.5 1.2 0.1
36 GORKHA 5.4 96.5 75.7 86.6 3.7 3.3 3.6 1.1 1.8 1.4 0.2
37 LAMJUNG 6.6 85.2 51.4 69 3.9 4.6 4.1 0.8 1.2 1 0.1
38 TANAHU 6.8 74.7 29.4 53.3 4 4.2 4.1 1.8 1.9 1.8 0.1
39 SYANGJA 4.5 72.3 60 66.5 5.7 3.2 4.6 0.2 0.2 0.2 0.0
40 KASKI 18.5 78.1 40.7 59.4 3.5 3.1 3.4 2.6 3.1 2.8 0.4
41 MANANG 13.3 60.7 19.5 37.2 3.9 4.7 4.2 0 0 0 0.0
42 MUSTANG 8.9 116.5 42.1 77.2 3.6 5.9 4.3 2.4 1.7 2.2 0.1
43 MYAGDI 4.8 88.1 71.4 80.1 4.3 3.3 3.9 0.2 0.1 0.1 0.0
44 PARBAT 5.8 87.6 64.7 76.7 4.2 3.3 3.8 0.5 0.5 0.5 0.0
45 BAGLUNG 3.7 97.6 77.1 88 4.2 3.3 3.8 0.3 0.6 0.4 0.0
48.1 NAWALPUR 3.1 88.4 35.7 62.6 4 4.4 4.1 0.6 2.6 1.1 0.0
Province 5 13.3 99.6 58.1 79.2 3 3 3 3.6 5.8 4.4 0.6
46 GULMI 4.4 93.3 81.4 87.8 3.7 3.1 3.5 0.9 1.3 1.1 0.0
47 PALPA 11.8 120.5 72.8 98 4.2 5 4.5 1.8 0.4 1.3 0.0
48 NAWALPARASI 9.3 98.3 39.3 69.4 3.7 3.8 3.7 1.8 3 2.1 0.3
49 RUPANDEHI 18.8 113.5 71 92.1 2.6 2.3 2.5 1.2 1 1.2 0.0
50 KAPILBASTU 9.4 136.1 97.6 116.5 2.4 2.6 2.5 10.2 16 12.7 1.9
51 ARGHAKHANCHI 8.2 102.9 58.7 82.3 3.8 3 3.5 0.9 3.6 1.8 0.5
52 PYUTHAN 5.1 115.5 90.1 103.6 3.6 2.8 3.3 3 4.8 3.7 0.4
53 ROLPA 2.9 93.2 53.4 74.1 3.2 3.6 3.3 1.1 2.9 1.7 0.2
54 RUKUM 3 144.2 66.5 106.3 2.1 2.1 2.1 2.4 2.8 2.5 0.4
56 DANG 8 86.9 39.3 63.5 2 2.2 2.1 3.2 5.1 3.8 0.4
57 BANKE 17.4 60.9 32.8 46.6 2.7 3 2.8 4.2 7.1 5.3 1.3
58 BARDIYA 11.4 65 10.1 37.8 4.6 13.6 5.8 5.2 10.8 5.9 1.2
Province 6 6.9 127.4 92.9 110 2.4 2.5 2.5 7.9 11.5 9.5 1.1
54.1 RUKUM WEST 7 122.1 45.7 84.8 2.6 3.2 2.7 2.8 6.3 3.7 0.5
55 SALYAN 7.2 107.1 74.4 90.9 2.6 2.6 2.6 3.3 3.4 3.3 0.8
59 SURKHET 6.9 100.2 50.5 75.3 2.3 2.5 2.4 2.9 3.8 3.2 0.6
60 DAILEKH 6.6 99.2 40.8 69.7 2.9 4.2 3.3 4.3 4.8 4.5 0.4
61 JAJARKOT 6.5 130.1 82.3 105.6 1.9 1.8 1.9 7.4 10.7 8.7 1.7
62 DOLPA 5.9 198.2 184.8 191.3 1.7 1.8 1.7 8 11 9.5 0.4
63 JUMLA 10.9 235.1 252.5 244.1 2.6 2.7 2.6 12.8 11 11.8 1.2
64 KALIKOT 4.6 162.5 153 157.6 2.1 2.3 2.2 20.9 27.9 24.4 3.8
65 MUGU 6.8 196 199.6 197.9 3.1 3.6 3.4 13.2 13.4 13.3 0.9
66 HUMLA 3.7 137.8 215.1 178 1.2 1.2 1.2 15.6 15.8 15.8 5.5
Province 7 8.4 91.1 62.8 77.1 3.7 4 3.8 5.2 10.3 7.3 0.8
67 BAJURA 5.6 191.6 152.5 171.8 2 1.9 2 10.6 16 13 2.9
68 BAJHANG 6.5 130.7 107.1 118.9 2.9 2.6 2.8 3.6 6.9 5 0.9
69 ACHHAM 5.6 119.1 102.7 111 5.5 6.1 5.8 2.8 7.5 5 0.8
70 DOTI 4.1 93.5 72.1 83.4 3 3.5 3.2 6.5 9.5 7.7 0.9
71 KAILALI 11.4 62.6 13.8 38.1 3.9 7.5 4.5 2.5 4.1 2.8 1.0
72 KANCHANPUR 9.1 64.5 57.2 60.9 2.3 1.6 2 11.1 22.5 16.4 1.0
73 DADELDHURA 9.9 86.6 73.5 80.2 4.8 4.9 4.9 3.5 5.5 4.4 0.6
74 BAITADI 6.9 108.6 81.6 95.4 4.9 5.6 5.2 4.2 6.9 5.3 0.6
75 DARCHAULA 6 114 91.6 102.9 4.6 5 4.8 2.5 2.3 2.4 0.3
 Analyzed Data: Nutrition (Sheet 1 of 2)

INFANT AND YOUNG CHILD FEEDING MICRO-NUTRIENTS AND ANTIHELMINTHICS

District Code
% of children aged 0- 6 % of children aged 6–8
% of children aged 6- % of children aged % of children aged 6-23 % of children aged 6-23
months registered for months registered for
59 months, who 12-59 months who months, who received months who received
growth monitoring, who growth monitoring who
received Vitamin A received 1st dose of Baal Vita monthly food
were exclusively breastfed received solid, semi-solid
supplements antihelminthics (MNP) supplements
for the first six months or soft foods

Nepal 25.1 30.6 82.8 77.8 34.3 0.8

Province 1 20.9 23.5 82.5 70.9 38.7 0.9
01 TAPLEJUNG 23.5 23 96.4 92.8 0.1 0.4
02 PANCHTHAR 30.6 30 95.6 82.2 0.0 0.0
03 ILAM 17.9 15.1 91.9 58.3 0.0 0.0
04 JHAPA 0 0 80.4 79.9 0.0 0.0
05 MORANG 31.8 28.5 82.2 67.9 61.0 0.0
06 SUNSARI 7.3 7.4 60.0 45.9 95.4 0.1
07 DHANKUTA 35.5 38.4 54.0 48.0 0.0 0.0
08 TERHATHUM 0 0 88.0 69.4 0.0 0.0
09 SANKHUWASABHA 0.17 0.2 76.2 75.9 51.4 0.0
10 BHOJPUR 0.08 0.05 94.9 73.3 0.0 0.0
11 SOLUKHUMBU 0.31 0.75 97.0 90.2 2.2 38.9
12 OKHALDHUNGA 156.8 260.6 96.2 94.9 211.9 0.7
13 KHOTANG 49.8 51.8 118.5 118.3 0.0 0.0
14 UDAYAPUR 19.9 19.9 103.9 82.3 0.0 0.2
Province 2 3.1 2.9 79.1 75.8 8.5 0.0
15 SAPTARI 6 5 63.4 63.2 0.0 0.0
16 SIRAHA 0 0 82.5 84.1 0.0 0.0
17 DHANUSA 2 2.7 76.2 67.6 0.3 0.0
18 MAHOTTARI 0.1 0.12 74.5 74.6 0.0 0.0
19 SARLAHI 0.61 0.72 54.6 49.7 0.3 0.0
32 RAUTAHAT 0.34 0.53 104.5 94.3 0.0 0.0
33 BARA 0.53 0.78 81.9 81.2 0.0 0.0
34 PARSA 17.6 15.4 97.6 96.0 74.4 0.2
Province 3 40.8 64.6 73.5 74.7 77.4 0.3
20 SINDHULI 80.4 111.9 88.2 89.1 121.4 0.9
21 RAMECHHAP 20 36.9 83.7 84.4 51.0 1.5
22 DOLAKHA 55.4 58.1 88.9 89.7 128.2 1.5
23 SINDHUPALCHOK 30.6 43 78.6 79.3 122.7 0.0
24 KAVRE 66.7 146.5 74.6 76.0 73.8 0.1
25 LALITPUR 31.6 45.9 67.7 68.2 79.3 0.1
26 BHAKTAPUR 75.9 104.3 83.8 84.2 112.2 1.0
27 KATHMANDU 28.2 59.6 64.3 64.8 93.8 0.2
28 NUWAKOT 55.7 43.6 96.0 91.6 30.1 0.1
29 RASUWA 71.3 81.7 94.1 92.0 104.0 0.0
30 DHADING 95.7 149.8 87.4 92.8 71.5 0.5
31 MAKWANPUR 32.4 30.8 86.7 90.7 49.2 0.2
35 CHITAWAN 6.4 6.3 57.4 60.5 3.2 0.0
Province 4 14.1 12.3 75.0 75.7 11.5 0.0
36 GORKHA 65.3 62.9 86.3 85.5 110.1 0.1
37 LAMJUNG 8 9.3 65.2 64.2 0.0 0.0
38 TANAHU 0.44 0.54 83.7 86.9 0.0 0.0
39 SYANGJA 7.3 7.6 108.8 103.4 0.0 0.0
40 KASKI 2.6 1.9 50.1 63.1 0.0 0.0
41 MANANG 0 0 40.3 37.0 0.0 0.0
42 MUSTANG 9.3 5.6 59.5 55.7 0.0 0.1
43 MYAGDI 0.31 0.54 60.2 42.1 0.0 0.0
44 PARBAT 0 0 51.0 38.1 0.0 0.0
45 BAGLUNG 7.9 8.1 81.2 79.7 0.0 0.0
48.1 NAWALPUR 31.6 20.1 88.9 88.1 0.0 0.0
Province 5 37.3 37.2 95.3 89.3 40.1 0.0
46 GULMI 0.06 0.09 78.8 76.6 0.0 0.0
47 PALPA 36.8 36.9 95.6 98.2 54.1 0.0
48 NAWALPARASI 20.5 14.1 84.3 83.1 0.0 0.0
49 RUPANDEHI 27.6 26.2 96.4 96.9 63.1 0.0
50 KAPILBASTU 93.5 99.2 101.1 71.7 93.8 0.0
51 ARGHAKHANCHI 39.8 34.8 95.5 92.9 0.0 0.0
52 PYUTHAN 43.8 45.9 120.4 122.1 0.0 0.0
53 ROLPA 16.7 17.4 110.2 110.5 0.0 0.0
54 RUKUM 18 18.7 111.6 104.4 81.4 0.1
56 DANG 36.2 36.4 96.2 82.8 49.9 0.0
57 BANKE 22.3 21.5 96.0 95.7 0.0 0.0
58 BARDIYA 49.3 49.8 78.8 75.1 53.5 0.0
Province 6 35.5 39.5 100.6 94.2 6.5 9.0
54.1 RUKUM WEST 39.5 35.9 102.0 99.2 56.7 0.2
55 SALYAN 41.5 43.2 95.7 94.9 0.0 0.0
59 SURKHET 28.1 30.5 103.2 87.8 0.0 0.0
60 DAILEKH 4 4.9 118.3 115.5 0.0 0.0
61 JAJARKOT 33.3 30.5 73.8 65.0 0.0 0.0
62 DOLPA 52.3 50.8 111.5 108.2 41.4 15.4
63 JUMLA 70.3 109.8 81.7 77.4 0.3 27.8
64 KALIKOT 80.3 78.5 133.8 130.7 0.0 58.0
65 MUGU 45.4 81.1 97.0 90.3 1.8 45.5
66 HUMLA 3 2.8 48.9 43.8 0.0 0.1
Province 7 26.4 27.3 86.0 72.3 14.4 0.1
67 BAJURA 20.8 25.1 122.8 96.9 0.0 1.4
68 BAJHANG 13.5 13.1 105.7 98.4 0.3 0.0
69 ACHHAM 84.9 85.4 111.5 86.5 106.0 0.0
70 DOTI 6.5 9.1 124.9 100.1 0.0 0.0
71 KAILALI 2 2 46.7 44.9 0.0 0.0
72 KANCHANPUR 24.6 26 95.3 76.9 0.1 0.0
73 DADELDHURA 45.3 43.7 90.0 71.1 65.6 0.0
74 BAITADI 72.9 75.8 98.3 70.3 2.6 0.1
75 DARCHAULA 16.1 16.4 96.8 98.7 0.0 0.0
 Raw Data: Nutrition (Sheet 1 of 8)

Nutritional status of registered children (New)

District Name 0-11 M 12-23 M Total (0-23 M)
Normal Moderate Severe Total Normal Moderate Severe Total Normal Moderate Severe Total
National Total 510156 14723 3955 528834 315900 15276 3761 334937 826056 29999 7716 863771
EASTERN 111491 1692 362 113545 59582 1642 199 61423 171073 3334 561 174968
01 TAPLEJUNG 3188 58 9 3255 1206 36 3 1245 4394 94 12 4500
02 PANCHTHAR 4531 17 5 4553 1572 20 4 1596 6103 37 9 6149
03 ILAM 5351 8 1 5360 3366 11 0 3377 8717 19 1 8737
04 JHAPA 17547 51 29 17627 6948 45 21 7014 24495 96 50 24641
05 MORANG 17607 177 30 17814 7820 271 15 8106 25427 448 45 25920
06 SUNSARI 10952 152 12 11116 6841 149 7 6997 17793 301 19 18113
07 DHANKUTA 2832 19 5 2856 2035 8 2 2045 4867 27 7 4901
08 TERHATHUM 1895 16 10 1921 764 22 1 787 2659 38 11 2708
09 SANKHUWASABHA 3029 16 3 3048 1063 20 3 1086 4092 36 6 4134
10 BHOJPUR 3569 17 13 3599 1936 11 1 1948 5505 28 14 5547
11 SOLUKHUMBU 1630 17 75 1722 2622 27 8 2657 4252 44 83 4379
12 OKHALDHUNGA 4331 98 23 4452 2996 116 15 3127 7327 214 38 7579
13 KHOTANG 3669 35 3 3707 2760 30 5 2795 6429 65 8 6502
14 UDAYAPUR 6594 111 23 6728 2844 48 5 2897 9438 159 28 9625
15 SAPTARI 14967 527 39 15533 9432 585 61 10078 24399 1112 100 25611
16 SIRAHA 9799 373 82 10254 5377 243 48 5668 15176 616 130 15922
CENTRAL 150168 4473 1102 155743 106530 4474 796 111800 256698 8947 1898 267543
17 DHANUSA 9730 191 9 9930 8076 186 26 8288 17806 377 35 18218
18 MAHOTTARI 13880 443 46 14369 10126 320 27 10473 24006 763 73 24842
19 SARLAHI 8433 280 25 8738 7309 517 66 7892 15742 797 91 16630
20 SINDHULI 6486 165 49 6700 4179 181 12 4372 10665 346 61 11072
21 RAMECHHAP 3585 64 17 3666 1992 144 34 2170 5577 208 51 5836
22 DOLAKHA 3529 70 29 3628 2073 65 4 2142 5602 135 33 5770
23 SINDHUPALCHOK 5764 130 18 5912 3122 122 7 3251 8886 252 25 9163
24 KAVRE 5115 81 18 5214 3568 145 16 3729 8683 226 34 8943
25 LALITPUR 9564 625 180 10369 3494 137 25 3656 13058 762 205 14025
26 BHAKTAPUR 5575 88 27 5690 4152 71 8 4231 9727 159 35 9921
27 KATHMANDU 15014 191 28 15233 21799 435 36 22270 36813 626 64 37503
28 NUWAKOT 5179 80 14 5273 4311 153 24 4488 9490 233 38 9761
29 RASUWA 1214 24 3 1241 645 58 2 705 1859 82 5 1946
30 DHADING 5654 97 113 5864 1945 130 22 2097 7599 227 135 7961
31 MAKWANPUR 8121 130 38 8289 3355 235 71 3661 11476 365 109 11950
32 RAUTAHAT 8990 408 187 9585 8518 408 112 9038 17508 816 299 18623
33 BARA 11764 681 150 12595 7751 487 124 8362 19515 1168 274 20957
34 PARSA 11782 503 93 12378 6794 505 94 7393 18576 1008 187 19771
35 CHITAWAN 10789 222 58 11069 3321 175 86 3582 14110 397 144 14651
WESTERN 113809 2318 746 116873 67554 2306 689 70549 181363 4624 1435 187422
36 GORKHA 5784 52 12 5848 4067 57 19 4143 9851 109 31 9991
37 LAMJUNG 3349 16 11 3376 1852 20 3 1875 5201 36 14 5251
38 TANAHU 5872 99 9 5980 2064 32 7 2103 7936 131 16 8083
39 SYANGJA 4623 8 1 4632 3383 5 1 3389 8006 13 2 8021
40 KASKI 9160 72 172 9404 4735 131 19 4885 13895 203 191 14289
41 MANANG 68 0 0 68 29 0 0 29 97 0 0 97
42 MUSTANG 282 6 1 289 115 2 0 117 397 8 1 406
43 MYAGDI 2282 4 0 2286 1718 1 1 1720 4000 5 1 4006
44 PARBAT 3032 14 0 3046 2029 9 1 2039 5061 23 1 5085
45 BAGLUNG 6458 19 0 6477 4505 26 3 4534 10963 45 3 11011
46 GULMI 5951 55 2 6008 4506 59 0 4565 10457 114 2 10573
47 PALPA 7134 119 10 7263 3907 15 1 3923 11041 134 11 11186
48 NAWALPUR 6658 35 3 6696 2524 37 31 2592 9182 72 34 9288
48.1 NAWALPARASI 7809 120 24 7953 2960 83 9 3052 10769 203 33 11005
49 RUPANDEHI 24074 275 28 24377 15333 146 11 15490 39407 421 39 39867
50 KAPILBASTU 16331 1388 464 18183 11436 1600 577 13613 27767 2988 1041 31796
51 ARGHAKHANCHI 4942 36 9 4987 2391 83 6 2480 7333 119 15 7467
MID WESTERN 81334 4015 1037 86386 48204 3778 1239 53221 129538 7793 2276 139607
52 PYUTHAN 6382 128 66 6576 4289 182 34 4505 10671 310 100 11081
53 ROLPA 4965 44 9 5018 2588 75 2 2665 7553 119 11 7683
54 RUKUM 1825 40 4 1869 798 18 5 821 2623 58 9 2690
54.1 RUKUM WEST 4399 104 23 4526 1515 78 23 1616 5914 182 46 6142
55 SALYAN 6012 172 32 6216 4073 106 36 4215 10085 278 68 10431
56 DANG 11568 319 69 11956 4922 203 63 5188 16490 522 132 17144
57 BANKE 6973 215 94 7282 3767 210 79 4056 10740 425 173 11338
58 BARDIYA 6278 287 57 6622 901 82 27 1010 7179 369 84 7632
59 SURKHET 8308 178 68 8554 4163 135 31 4329 12471 313 99 12883
60 DAILEKH 5800 220 41 6061 2423 105 18 2546 8223 325 59 8607
61 JAJARKOT 4763 277 101 5141 3057 279 88 3424 7820 556 189 8565
62 DOLPA 1525 122 10 1657 1466 161 21 1648 2991 283 31 3305
63 JUMLA 5076 658 85 5819 5949 579 159 6687 11025 1237 244 12506
64 KALIKOT 4009 822 238 5069 3701 1017 414 5132 7710 1839 652 10201
65 MUGU 2111 265 56 2432 2340 286 77 2703 4451 551 133 5135
66 HUMLA 1340 164 84 1588 2252 262 162 2676 3592 426 246 4264
FAR WESTERN 53354 2225 708 56287 34030 3076 838 37944 87384 5301 1546 94231
67 BAJURA 5418 461 181 6060 4157 571 219 4947 9575 1032 400 11007
68 BAJHANG 5866 152 64 6082 4596 234 104 4934 10462 386 168 11016
69 ACHHAM 7138 151 56 7345 5687 357 106 6150 12825 508 162 13495
70 DOTI 4403 258 46 4707 2955 258 53 3266 7358 516 99 7973
71 KAILALI 11703 249 52 12004 2554 98 12 2664 14257 347 64 14668
72 KANCHANPUR 6411 596 207 7214 4785 1164 226 6175 11196 1760 433 13389
73 DADELDHURA 2857 84 20 2961 2289 114 18 2421 5146 198 38 5382
74 BAITADI 6116 193 76 6385 4275 222 94 4591 10391 415 170 10976
75 DARCHAULA 3442 81 6 3529 2732 58 6 2796 6174 139 12 6325
 Raw Data: Nutrition (Sheet 2 of 8)

Nutritional status of registered children (Repeated)

0-11 M 12-23 M Total (0-23M)
District Name
Normal Moderate Severe Total Normal Moderate Severe Total Normal Moderate Severe Total

National Total 1027675 16562 4915 1049152 614014 21696 3885 639595 1641689 38258 8800 1688747
EASTERN 216016 1445 395 217856 133451 2593 230 136274 349467 4038 625 354130
01 TAPLEJUNG 7878 58 4 7940 4501 65 11 4577 12379 123 15 12517
02 PANCHTHAR 8024 42 10 8076 4465 60 7 4532 12489 102 17 12608
03 ILAM 14099 4 17 14120 7418 21 0 7439 21517 25 17 21559
04 JHAPA 28578 57 4 28639 21267 53 33 21353 49845 110 37 49992
05 MORANG 40276 92 11 40379 19487 382 12 19881 59763 474 23 60260
06 SUNSARI 19957 62 17 20036 9981 85 10 10076 29938 147 27 30112
07 DHANKUTA 9316 28 8 9352 3732 32 0 3764 13048 60 8 13116
08 TERHATHUM 4500 11 4 4515 1969 64 1 2034 6469 75 5 6549
09 SANKHUWASABHA 6874 63 2 6939 2856 25 2 2883 9730 88 4 9822
10 BHOJPUR 10771 51 8 10830 5747 51 8 5806 16518 102 16 16636
11 SOLUKHUMBU 7754 57 115 7926 10195 128 11 10334 17949 185 126 18260
12 OKHALDHUNGA 8859 185 44 9088 7244 342 36 7622 16103 527 80 16710
13 KHOTANG 9610 92 14 9716 6043 129 7 6179 15653 221 21 15895
14 UDAYAPUR 11925 179 92 12196 7322 455 19 7796 19247 634 111 19992
15 SAPTARI 20361 285 21 20667 16181 499 23 16703 36542 784 44 37370
16 SIRAHA 7234 179 24 7437 5043 202 50 5295 12277 381 74 12732
CENTRAL 242552 3743 1461 247756 134764 4378 792 139934 377316 8121 2253 387690
17 DHANUSA 8634 123 36 8793 7929 178 32 8139 16563 301 68 16932
18 MAHOTTARI 16340 210 38 16588 12352 168 47 12567 28692 378 85 29155
19 SARLAHI 4958 116 11 5085 3407 107 85 3599 8365 223 96 8684
20 SINDHULI 10757 85 35 10877 6323 134 11 6468 17080 219 46 17345
21 RAMECHHAP 8203 68 84 8355 3338 143 8 3489 11541 211 92 11844
22 DOLAKHA 9923 74 66 10063 4506 112 9 4627 14429 186 75 14690
23 SINDHUPALCHOK 13066 222 54 13342 5537 259 36 5832 18603 481 90 19174
24 KAVRE 13259 194 48 13501 9795 338 11 10144 23054 532 59 23645
25 LALITPUR 12812 226 17 13055 5954 124 31 6109 18766 350 48 19164
26 BHAKTAPUR 11207 84 48 11339 4938 124 6 5068 16145 208 54 16407
27 KATHMANDU 42746 331 163 43240 18899 395 34 19328 61645 726 197 62568
28 NUWAKOT 8574 50 61 8685 4995 120 15 5130 13569 170 76 13815
29 RASUWA 2861 26 5 2892 1687 60 4 1751 4548 86 9 4643
30 DHADING 16527 229 52 16808 9967 480 98 10545 26494 709 150 27353
31 MAKWANPUR 17946 376 52 18374 8293 350 60 8703 26239 726 112 27077
32 RAUTAHAT 6193 241 60 6494 6412 211 30 6653 12605 452 90 13147
33 BARA 13220 404 161 13785 8898 407 67 9372 22118 811 228 23157
34 PARSA 4856 249 84 5189 3676 212 34 3922 8532 461 118 9111
35 CHITAWAN 20470 435 386 21291 7858 456 174 8488 28328 891 560 29779
WESTERN 283082 2999 704 286785 146967 3408 648 151023 430049 6407 1352 437808
36 GORKHA 15881 131 25 16037 9354 160 34 9548 25235 291 59 25585
37 LAMJUNG 9610 59 11 9680 6700 26 2 6728 16310 85 13 16408
38 TANAHU 17651 222 18 17891 6554 269 11 6834 24205 491 29 24725
39 SYANGJA 21770 17 4 21791 7387 43 2 7432 29157 60 6 29223
40 KASKI 23219 78 111 23408 10188 83 19 10290 33407 161 130 33698
41 MANANG 199 0 0 199 106 2 0 108 305 2 0 307
42 MUSTANG 748 15 0 763 569 8 1 578 1317 23 1 1341
43 MYAGDI 7457 3 2 7462 4011 4 0 4015 11468 7 2 11477
44 PARBAT 9596 17 0 9613 4617 7 2 4626 14213 24 2 14239
45 BAGLUNG 20588 209 2 20799 10199 38 5 10242 30787 247 7 31041
46 GULMI 16334 82 3 16419 9483 43 5 9531 25817 125 8 25950
47 PALPA 23435 36 5 23476 15682 37 1 15720 39117 73 6 39196
48 NAWALPUR 19713 78 1 19792 8846 60 6 8912 28559 138 7 28704
48.1 NAWALPARASI 21090 282 55 21427 8130 285 31 8446 29220 567 86 29873
49 RUPANDEHI 38900 201 20 39121 20780 103 3 20886 59680 304 23 60007
50 KAPILBASTU 23328 1410 366 25104 19522 2082 512 22116 42850 3492 878 47220
51 ARGHAKHANCHI 13563 159 81 13803 4839 158 14 5011 18402 317 95 18814
MID WESTERN 137940 4572 1105 143617 90012 5971 1187 97170 227952 10543 2292 240787
52 PYUTHAN 16551 246 51 16848 7980 248 41 8269 24531 494 92 25117
53 ROLPA 10853 125 32 11010 6754 210 12 6976 17607 335 44 17986
54 RUKUM 2059 51 7 2117 889 29 4 922 2948 80 11 3039
54.1 RUKUM WEST 7066 115 39 7220 3386 97 17 3500 10452 212 56 10720
55 SALYAN 9416 237 69 9722 6712 166 67 6945 16128 403 136 16667
56 DANG 11844 213 37 12094 6028 263 38 6329 17872 476 75 18423
57 BANKE 11742 375 145 12262 7228 593 116 7937 18970 968 261 20199
58 BARDIYA 22827 828 195 23850 11599 872 245 12716 34426 1700 440 36566
59 SURKHET 10834 192 61 11087 6146 147 38 6331 16980 339 99 17418
60 DAILEKH 11166 282 25 11473 7694 455 53 8202 18860 737 78 19675
61 JAJARKOT 4342 251 72 4665 2376 268 56 2700 6718 519 128 7365
62 DOLPA 1014 72 4 1090 1184 82 6 1272 2198 154 10 2362
63 JUMLA 8163 751 130 9044 9886 1091 116 11093 18049 1842 246 20137
64 KALIKOT 4881 611 173 5665 5232 1009 289 6530 10113 1620 462 12195
65 MUGU 4891 209 57 5157 6539 364 53 6956 11430 573 110 12113
66 HUMLA 291 14 8 313 379 77 36 492 670 91 44 805
FAR WESTERN 148085 3803 1250 153138 108820 5346 1028 115194 256905 9149 2278 268332
67 BAJURA 5431 392 179 6002 4120 325 133 4578 9551 717 312 10580
68 BAJHANG 11536 219 73 11828 7352 194 109 7655 18888 413 182 19483
69 ACHHAM 31898 898 252 33048 29585 1689 266 31540 61483 2587 518 64588
70 DOTI 8743 404 65 9212 7582 519 92 8193 16325 923 157 17405
71 KAILALI 33694 541 352 34587 16546 649 144 17339 50240 1190 496 51926
72 KANCHANPUR 9067 234 72 9373 3262 619 64 3945 12329 853 136 13318
73 DADELDHURA 10987 265 60 11312 9027 389 63 9479 20014 654 123 20791
74 BAITADI 24092 687 146 24925 20284 801 146 21231 44376 1488 292 46156
75 DARCHAULA 12637 163 51 12851 11062 161 11 11234 23699 324 62 24085
 Raw Data: Nutrition (Sheet 3 of 8)

< 5 yrs Children receiving Students received

Pregnant women receiving PP mother receiving
(Bi-annual) Deworming tablet
District Name
Iron tablets 180 iron De-worming 45 iron Vitamin A Vitamin A Deworming (Bi-annual)
at first time tablets tablets tablets cap. 6-11M 12-59M tablet Girls Boys
National Total 477718 284626 455842 257658 274975 547274 3841716 3632697 1706225 1599567
EASTERN 98720 60433 99266 48779 49156 112189 800359 713597 276419 262487
01 TAPLEJUNG 2372 1337 2217 1039 1016 3258 19798 19496 6445 6092
02 PANCHTHAR 3660 1986 3661 1896 1895 4205 30135 25877 6787 6104
03 ILAM 3887 2410 3744 1805 2015 5923 45736 28885 1443 1163
04 JHAPA 12060 7875 10892 6376 6313 14698 115714 113745 3331 2392
05 MORANG 13435 8021 14769 5203 6162 19020 139672 115430 72613 69524
06 SUNSARI 12979 8255 12567 4493 4184 11456 83384 64008 90 94
07 DHANKUTA 2572 1534 2477 1252 1214 2178 14529 13008 15957 13458
08 TERHATHUM 1728 851 2902 858 871 2107 14258 11276 10218 9650
09 SANKHUWASABHA 2616 1662 2713 1156 1176 2321 19812 19345 29535 32254
10 BHOJPUR 2425 1340 2407 2128 2076 3935 25342 19855 15105 13961
11 SOLUKHUMBU 1416 1235 1413 820 807 2789 15938 15356 27936 27371
12 OKHALDHUNGA 2368 1912 2336 2806 2401 3051 23540 22950 31391 27852
13 KHOTANG 3605 2626 3628 2179 2168 5092 35831 35834 26947 24710
14 UDAYAPUR 5992 3864 6027 2414 2383 8832 56280 45176 5764 5392
15 SAPTARI 14121 8866 13956 7095 7088 9547 70767 70604 1660 1471
16 SIRAHA 13484 6659 13557 7259 7387 13777 89623 92752 21197 20999
CENTRAL 145037 81026 132091 68467 73303 188284 1331983 1325442 313267 276975
17 DHANUSA 15686 5080 13602 6127 6549 16490 98084 90096 939 720
18 MAHOTTARI 15775 8561 13666 7013 7428 15619 78024 82841 589 610
19 SARLAHI 9441 5562 8993 5110 5216 13028 73216 69770 4522 2321
20 SINDHULI 5215 2871 5385 2764 2743 6512 43272 44274 4207 3586
21 RAMECHHAP 2817 1870 2815 2030 2000 3632 28148 28043 41929 37091
22 DOLAKHA 2934 2461 3000 2432 2387 3708 26868 26991 3335 2838
23 SINDHUPALCHOK 4329 2057 3743 1950 1954 5298 37185 37731 19656 18205
24 KAVRE 3861 2208 3946 1891 1774 5690 48791 48918 56257 51843
25 LALITPUR 9087 7846 8780 7572 7075 6086 61250 60254 8290 6434
26 BHAKTAPUR 2343 1652 2392 1857 1595 5421 48468 48165 14451 11731
27 KATHMANDU 5206 3740 4725 2795 3893 24648 221669 221576 51042 49980
28 NUWAKOT 3785 2430 3931 1623 1647 6040 44317 42278 17993 16048
29 RASUWA 852 502 849 350 350 1071 6698 6693 6660 6323
30 DHADING 5457 4332 5430 2708 2712 6414 49501 52051 43720 33247
31 MAKWANPUR 8169 5476 8090 1960 4955 9062 62687 66311 2846 2647
32 RAUTAHAT 17961 9047 14087 7609 7527 23443 129444 122781 7816 6804
33 BARA 11579 5861 11141 5747 6447 13415 105151 104611 4183 3490
34 PARSA 10195 4857 8413 5063 5139 15074 107822 107967 21406 19991
35 CHITAWAN 10345 4613 9103 1866 1912 7633 61388 64091 3426 3066
WESTERN 102495 66441 96663 59850 66831 95416 713712 680871 442196 419060
36 GORKHA 4211 3020 3970 2873 2855 4833 35635 34904 62791 60001
37 LAMJUNG 2614 2491 2527 1658 1712 2417 17930 17471 29700 29372
38 TANAHU 4320 2063 4430 1669 1640 4934 46471 46416 26092 24333
39 SYANGJA 3989 2877 4017 2332 2339 5628 47223 43558 8545 7387
40 KASKI 8353 5102 9788 2273 9892 5738 45170 56511 1338 361
41 MANANG 63 13 62 15 15 89 415 415 13 18
42 MUSTANG 209 74 162 97 62 167 1217 1151 216 253
43 MYAGDI 2518 1793 2231 1429 1422 1762 10621 7547 220 191
44 PARBAT 2219 1725 2202 1088 1069 1636 12147 8950 367 652
45 BAGLUNG 9336 3159 5867 2668 2650 5297 35765 34982 1125 616
46 GULMI 4309 2975 4172 2998 2981 4632 33431 32059 40411 37960
47 PALPA 7268 4291 7265 6487 6489 4780 39468 39467 73898 67208
48 NAWALPUR 6738 4606 6663 2830 2578 6231 48723 47760 281 251
48.1 NAWALPARASI 6895 4904 6939 2598 2478 7315 48426 48169 0 0
49 RUPANDEHI 21926 18539 19337 20268 20089 19031 158484 157594 172679 168121
50 KAPILBASTU 14587 7121 14154 7411 7345 16717 101979 74589 5185 4547
51 ARGHAKHANCHI 2940 1688 2877 1156 1215 4209 30607 29328 19335 17789
MID WESTERN 79710 43802 75440 45258 50088 95220 610573 586960 511807 485724
52 PYUTHAN 5379 2866 5340 4048 4158 6294 45531 45569 64227 60625
53 ROLPA 5217 3144 4458 2889 2724 5966 40992 41120 28780 26768
54 RUKUM 998 912 978 763 703 2054 9697 9623 8911 8761
54.1 RUKUM WEST 5222 1629 4167 1904 1776 5489 25244 26188 32151 28194
55 SALYAN 4976 2646 4934 4177 4203 6529 39538 40103 50250 45011
56 DANG 9848 6224 9752 3606 3515 13758 94310 81572 27824 24975
57 BANKE 12409 5851 12272 4268 10223 14073 86067 88410 26626 26336
58 BARDIYA 8056 5766 8063 4777 4309 7455 59370 55958 98437 96242
59 SURKHET 7871 4608 7463 7372 7301 8811 66033 56161 43972 43938
60 DAILEKH 5202 2944 5188 4208 4217 8642 53704 53767 34297 31313
61 JAJARKOT 3296 1081 3240 1547 1519 4038 21806 20164 14347 13464
62 DOLPA 850 529 672 477 477 1803 6573 7182 3848 3421
63 JUMLA 2504 1960 2373 1333 1312 2722 15454 15268 15724 15881
64 KALIKOT 3819 1654 3733 2409 2396 5140 32577 32701 56279 54832
65 MUGU 2845 1074 1889 905 787 1652 9371 9114 4607 4644
66 HUMLA 1218 914 918 575 468 794 4306 4060 1527 1319
FAR WESTERN 51756 32924 52382 35304 35597 56165 385089 325827 162536 155321
67 BAJURA 3248 1799 3509 2292 2295 4323 29317 23444 418 467
68 BAJHANG 4917 2831 4759 3620 3603 5112 36202 33857 22232 22528
69 ACHHAM 7301 4629 7313 5394 5348 7231 49498 38609 46335 42326
70 DOTI 4324 2821 4304 3056 3261 7514 41046 33880 1382 1010
71 KAILALI 12711 8256 13626 6061 6224 9176 66931 64544 3989 3608
72 KANCHANPUR 8769 5345 8338 5387 5449 10954 76522 61966 28301 26422
73 DADELDHURA 2680 1770 2680 2587 2555 3278 21920 17460 21159 21308
74 BAITADI 5155 3781 5299 4228 4186 5858 41276 29568 1834 1659
75 DARCHAULA 2651 1692 2554 2679 2676 2719 22377 22499 36886 35993
 Raw Data: Nutrition (Sheet 4 of 8)

Admission
Children at End of Last Month
New Re-admission
District Name <6 months 6-59 months Total <6 months 6-59 months Total <6 months 6-59 months Total

Female

Female

Female

Female

Female

Female

Female

Female

Female
Total

Total

Total

Total

Total

Total

Total

Total

Total
Male

Male

Male

Male

Male

Male

Male

Male

Male
Natioanal Total 42 31 73 1897 1421 3318 1939 1452 3391 292 258 550 12246 9458 21704 12538 9716 22254 50 24 74 367 210 577 417 234 651
EASTERN 0 0 0 109 75 184 109 75 184 146 116 262 1534 1217 2751 1680 1333 3013 25 8 33 38 22 60 63 30 93
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
04 JHAPA 0 0 0 3 6 9 3 6 9 5 0 5 47 60 107 52 60 112 0 0 0 1 0 1 1 0 1
05 MORANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 0 0 0 35 22 57 35 22 57 1 0 1 143 105 248 144 105 249 0 0 0 13 8 21 13 8 21
13 KHOTANG 0 0 0 0 0 0 0 0 0 17 1 18 0 0 0 17 1 18 8 1 9 0 0 0 8 1 9
14 UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SAPTARI 0 0 0 71 47 118 71 47 118 123 115 238 1344 1052 2396 1467 1167 2634 17 7 24 24 14 38 41 21 62
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CENTRAL 39 27 66 1264 961 2225 1303 988 2291 94 93 187 4417 3317 7734 4511 3410 7921 9 13 22 173 99 272 182 112 294
17 DHANUSA 0 0 0 0 0 0 0 0 0 1 1 2 110 104 214 111 105 216 0 0 0 0 0 0 0 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 0 42 35 77 42 35 77 0 0 0 411 373 784 411 373 784 0 0 0 28 35 63 28 35 63
20 SINDHULI 2 2 4 129 83 212 131 85 216 9 10 19 261 200 461 270 210 480 0 0 0 8 4 12 8 4 12
21 RAMECHHAP 1 2 3 28 28 56 29 30 59 7 4 11 119 114 233 126 118 244 0 0 0 14 5 19 14 5 19
22 DOLAKHA 0 0 0 43 24 67 43 24 67 2 1 3 163 53 216 165 54 219 0 0 0 8 9 17 8 9 17
23 SINDHUPALCHOK 7 7 14 236 241 477 243 248 491 4 10 14 176 126 302 180 136 316 0 1 1 13 4 17 13 5 18
24 KAVRE 0 0 0 50 36 86 50 36 86 2 2 4 60 33 93 62 35 97 0 0 0 7 2 9 7 2 9
25 LALITPUR 0 0 0 62 54 116 62 54 116 5 5 10 320 225 545 325 230 555 0 0 0 9 2 11 9 2 11
26 BHAKTAPUR 0 0 0 6 4 10 6 4 10 0 0 0 182 115 297 182 115 297 0 0 0 2 1 3 2 1 3
27 KATHMANDU 24 12 36 365 249 614 389 261 650 42 35 77 1387 1127 2514 1429 1162 2591 7 10 17 41 13 54 48 23 71
28 NUWAKOT 0 0 0 68 32 100 68 32 100 1 4 5 195 115 310 196 119 315 0 0 0 3 0 3 3 0 3
29 RASUWA 0 0 0 23 5 28 23 5 28 0 0 0 48 26 74 48 26 74 0 0 0 4 1 5 4 1 5
30 DHADING 5 4 9 69 42 111 74 46 120 6 8 14 234 133 367 240 141 381 0 0 0 8 5 13 8 5 13
31 MAKWANPUR 0 0 0 70 56 126 70 56 126 3 2 5 352 226 578 355 228 583 0 0 0 5 5 10 5 5 10
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 0 0 0 69 65 134 69 65 134 9 7 16 78 69 147 87 76 163 0 0 0 4 1 5 4 1 5
35 CHITAWAN 0 0 0 4 7 11 4 7 11 3 4 7 321 278 599 324 282 606 2 2 4 19 12 31 21 14 35
WESTERN 0 0 0 167 105 272 167 105 272 3 11 14 1020 804 1824 1023 815 1838 0 0 0 23 21 44 23 21 44
36 GORKHA 0 0 0 13 14 27 13 14 27 1 4 5 43 43 86 44 47 91 0 0 0 3 2 5 3 2 5
37 LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 KASKI 0 0 0 0 0 0 0 0 0 0 1 1 10 8 18 10 9 19 0 0 0 0 0 0 0 0 0
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 0 0 0 2 1 3 13 11 24 15 12 27 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 0 0 0 1 1 2 1 1 2 0 0 0 11 8 19 11 8 19 0 0 0 3 1 4 3 1 4
48 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48.1 NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 0 0 0 4 3 7 4 3 7 0 4 4 33 36 69 33 40 73 0 0 0 0 2 2 0 2 2
50 KAPILBASTU 0 0 0 149 87 236 149 87 236 0 1 1 910 698 1608 910 699 1609 0 0 0 17 16 33 17 16 33
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MID WESTERN 2 4 6 201 126 327 203 130 333 4 8 12 2280 1757 4037 2284 1765 4049 3 3 6 63 36 99 66 39 105
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 1 1 7 0 7 7 1 8 0 0 0 9 7 16 9 7 16 0 0 0 0 0 0 0 0 0
57 BANKE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 BARDIYA 0 0 0 106 74 180 106 74 180 0 0 0 359 311 670 359 311 670 0 0 0 2 1 3 2 1 3
59 SURKHET 2 3 5 2 0 2 4 3 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 JAJARKOT 0 0 0 26 11 37 26 11 37 0 2 2 105 62 167 105 64 169 0 0 0 0 1 1 0 1 1
62 DOLPA 0 0 0 0 0 0 0 0 0 2 3 5 98 65 163 100 68 168 3 3 6 1 2 3 4 5 9
63 JUMLA 0 0 0 8 5 13 8 5 13 2 3 5 130 108 238 132 111 243 0 0 0 20 4 24 20 4 24
64 KALIKOT 0 0 0 0 1 1 0 1 1 0 0 0 533 331 864 533 331 864 0 0 0 8 8 16 8 8 16
65 MUGU 0 0 0 52 35 87 52 35 87 0 0 0 573 453 1026 573 453 1026 0 0 0 6 2 8 6 2 8
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 473 420 893 473 420 893 0 0 0 26 18 44 26 18 44
FAR WESTERN 1 0 1 156 154 310 157 154 311 45 30 75 2995 2363 5358 3040 2393 5433 13 0 13 70 32 102 83 32 115
67 BAJURA 0 0 0 0 0 0 0 0 0 5 5 10 459 284 743 464 289 753 0 0 0 12 3 15 12 3 15
68 BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 536 435 971 536 435 971 0 0 0 12 8 20 12 8 20
69 ACHHAM 0 0 0 45 48 93 45 48 93 1 1 2 233 186 419 234 187 421 0 0 0 7 8 15 7 8 15
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 KAILALI 1 0 1 3 6 9 4 6 10 8 6 14 41 57 98 49 63 112 0 0 0 1 0 1 1 0 1
72 KANCHANPUR 0 0 0 108 100 208 108 100 208 16 17 33 633 549 1182 649 566 1215 0 0 0 31 7 38 31 7 38
73 DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 343 286 629 343 286 629 0 0 0 5 6 11 5 6 11
74 BAITADI 0 0 0 0 0 0 0 0 0 15 1 16 750 566 1316 765 567 1332 13 0 13 2 0 2 15 0 15
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Raw Data: Nutrition (Sheet 5 of 8)
Discharge
Transfer In
Re-covered Death De-faulter
6-59 6-59 6-59 6-59
District Name <6 months Total <6 months Total <6 months Total <6 months Total
months months months months

Female

Female

Female

Female

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male

Male

Male

Male

Male
Natioanal Total 22 7 243 192 265 199 159 144 8371 6437 8530 6581 1 191 39 25 40 216 49 17 1185 888 1234 905
EASTERN 7 0 41 31 48 31 42 43 709 610 751 653 0 191 4 3 4 194 0 0 59 45 59 45
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
04 JHAPA 0 0 7 8 7 8 1 0 33 43 34 43 0 0 0 3 0 3 0 0 4 6 4 6
05 MORANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 7 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 0 0 1 0 1 0 1 0 109 83 110 83 0 0 0 0 0 0 0 0 15 10 15 10
13 KHOTANG 0 0 0 0 0 0 1 1 0 0 1 1 0 191 0 0 0 191 0 0 0 0 0 0
14 UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SAPTARI 0 0 33 23 33 23 39 42 567 484 606 526 0 0 4 0 4 0 0 0 40 29 40 29
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CENTRAL 11 4 87 72 98 76 85 68 2895 2099 2980 2167 0 0 14 15 14 15 45 17 628 512 673 529
17 DHANUSA 0 0 5 1 5 1 0 0 52 46 52 46 0 0 0 0 0 0 0 0 2 2 2 2
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 3 3 3 3 0 0 264 202 264 202 0 0 2 4 2 4 0 0 104 115 104 115
20 SINDHULI 0 0 5 2 5 2 7 8 364 232 371 240 0 0 2 3 2 3 0 0 31 17 31 17
21 RAMECHHAP 0 0 0 0 0 0 0 0 117 102 117 102 0 0 4 6 4 6 1 0 10 6 11 6
22 DOLAKHA 1 0 23 10 24 10 4 3 79 38 83 41 0 0 1 0 1 0 0 1 8 5 8 6
23 SINDHUPALCHOK 0 1 1 5 1 6 18 11 199 168 217 179 0 0 0 0 0 0 8 10 34 20 42 30
24 KAVRE 0 0 2 3 2 3 3 1 75 54 78 55 0 0 0 0 0 0 0 0 6 2 6 2
25 LALITPUR 0 0 4 4 4 4 9 5 288 210 297 215 0 0 0 0 0 0 0 0 6 10 6 10
26 BHAKTAPUR 0 0 2 1 2 1 0 0 111 70 111 70 0 0 0 0 0 0 0 0 8 7 8 7
27 KATHMANDU 9 3 23 27 32 30 24 12 621 419 645 431 0 0 3 1 3 1 36 6 161 135 197 141
28 NUWAKOT 1 0 1 1 2 1 0 4 185 121 185 125 0 0 0 0 0 0 0 0 13 7 13 7
29 RASUWA 0 0 0 0 0 0 0 1 32 11 32 12 0 0 0 0 0 0 0 0 11 7 11 7
30 DHADING 0 0 0 0 0 0 9 8 142 114 151 122 0 0 0 1 0 1 0 0 29 18 29 18
31 MAKWANPUR 0 0 11 4 11 4 5 11 201 158 206 169 0 0 2 0 2 0 0 0 31 16 31 16
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 0 0 7 11 7 11 4 2 62 55 66 57 0 0 0 0 0 0 0 0 46 50 46 50
35 CHITAWAN 0 0 0 0 0 0 2 2 103 99 105 101 0 0 0 0 0 0 0 0 128 95 128 95
WESTERN 0 0 26 15 26 15 4 5 718 563 722 568 0 0 1 0 1 0 0 0 156 90 156 90
36 GORKHA 0 0 3 1 3 1 0 0 42 34 42 34 0 0 1 0 1 0 0 0 42 31 42 31
37 LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 KASKI 0 0 6 4 6 4 2 1 5 7 7 8 0 0 0 0 0 0 0 0 0 0 0 0
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 2 2 24 17 26 19 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 0 0 12 8 12 8 0 0 11 9 11 9 0 0 0 0 0 0 0 0 0 0 0 0
48 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48.1 NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 0 0 0 0 0 0 0 2 20 23 20 25 0 0 0 0 0 0 0 0 2 0 2 0
50 KAPILBASTU 0 0 5 2 5 2 0 0 616 473 616 473 0 0 0 0 0 0 0 0 112 59 112 59
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MID WESTERN 4 3 52 38 56 41 7 7 1663 1273 1670 1280 0 0 14 3 14 3 3 0 182 108 185 108
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 0 0 0 0 0 0 0 6 2 6 2 0 0 0 0 0 0 0 0 0 0 0 0
57 BANKE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 BARDIYA 0 0 29 24 29 24 0 0 281 243 281 243 0 0 1 0 1 0 0 0 33 27 33 27
59 SURKHET 0 0 0 0 0 0 2 3 2 0 4 3 0 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 JAJARKOT 0 0 5 4 5 4 0 2 83 56 83 58 0 0 0 1 0 1 0 0 7 3 7 3
62 DOLPA 3 3 3 0 6 3 4 0 82 50 86 50 0 0 9 0 9 0 3 0 6 3 9 3
63 JUMLA 1 0 4 1 5 1 1 2 106 81 107 83 0 0 1 1 1 1 0 0 12 7 12 7
64 KALIKOT 0 0 2 1 2 1 0 0 354 236 354 236 0 0 3 0 3 0 0 0 69 36 69 36
65 MUGU 0 0 5 4 5 4 0 0 457 335 457 335 0 0 0 0 0 0 0 0 28 20 28 20
66 HUMLA 0 0 4 4 4 4 0 0 292 270 292 270 0 0 0 1 0 1 0 0 27 12 27 12
FAR WESTERN 0 0 37 36 37 36 21 21 2386 1892 2407 1913 1 0 6 4 7 4 1 0 160 133 161 133
67 BAJURA 0 0 1 2 1 2 4 5 394 237 398 242 0 0 0 2 0 2 0 0 11 7 11 7
68 BAJHANG 0 0 20 19 20 19 0 0 386 318 386 318 0 0 3 0 3 0 0 0 24 18 24 18
69 ACHHAM 0 0 5 6 5 6 0 0 161 126 161 126 0 0 1 0 1 0 0 0 44 31 44 31
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 KAILALI 0 0 9 4 9 4 9 5 35 53 44 58 1 0 0 0 1 0 0 0 0 0 0 0
72 KANCHANPUR 0 0 0 2 0 2 8 11 478 436 486 447 0 0 2 2 2 2 0 0 30 23 30 23
73 DADELDHURA 0 0 1 3 1 3 0 0 240 187 240 187 0 0 0 0 0 0 0 0 12 9 12 9
74 BAITADI 0 0 1 0 1 0 0 0 692 535 692 535 0 0 0 0 0 0 1 0 39 45 40 45
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Raw Data: Nutrition (Sheet 6 of 8)

Discharge
Transfer Out Children at End of This Month
Not Improved Refer to Hospital
6-59 6-59 6-59
District Name <6 months Total <6 months Total <6 months Total <6 months 6-59 months Total
months months months

Female

Female

Female

Female

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male

Male

Male

Male

Male
Natioanal Total 120 114 627 474 747 588 8 3 186 162 194 165 5 4 189 162 194 166 45 30 3104 2494 3149 2524
EASTERN 100 110 128 142 228 252 3 0 18 15 21 15 1 0 6 5 7 5 0 0 734 645 734 645
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
04 JHAPA 2 0 5 7 7 7 0 0 0 0 0 0 0 0 2 4 2 4 0 0 3 6 3 6
05 MORANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 0 0 16 7 16 7 0 0 1 0 1 0 0 0 2 0 2 0 0 0 8 6 8 6
13 KHOTANG 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0
14 UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 SAPTARI 97 110 107 128 204 238 2 0 17 15 19 15 0 0 2 1 2 1 0 0 723 633 723 633
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CENTRAL 2 0 264 185 266 185 0 1 76 85 76 86 2 2 91 69 93 71 12 5 898 713 910 718
17 DHANUSA 0 0 6 6 6 6 0 0 2 0 2 0 0 0 0 0 0 0 0 0 45 45 45 45
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 18 31 18 31 0 0 1 1 1 1 0 0 0 0 0 0 0 0 100 94 100 94
20 SINDHULI 0 0 4 1 4 1 0 0 2 1 2 1 0 0 1 0 1 0 0 0 45 41 45 41
21 RAMECHHAP 0 0 8 7 8 7 0 0 1 1 1 1 0 0 1 2 1 2 0 0 30 23 30 23
22 DOLAKHA 0 0 5 5 5 5 0 0 0 13 0 13 0 0 2 2 2 2 0 0 23 10 23 10
23 SINDHUPALCHOK 0 0 8 2 8 2 0 0 6 3 6 3 0 0 11 4 11 4 0 0 43 29 43 29
24 KAVRE 0 0 3 1 3 1 0 0 0 7 0 7 0 0 5 0 5 0 2 0 26 17 28 17
25 LALITPUR 0 0 7 11 7 11 0 0 7 4 7 4 0 0 12 12 12 12 0 0 74 44 74 44
26 BHAKTAPUR 0 0 3 2 3 2 0 0 5 4 5 4 0 0 17 8 17 8 0 0 56 39 56 39
27 KATHMANDU 2 0 94 56 96 56 0 0 35 28 35 28 1 2 33 36 34 38 0 0 238 217 238 217
28 NUWAKOT 0 0 16 5 16 5 0 0 1 0 1 0 1 0 1 2 2 2 0 0 42 31 42 31
29 RASUWA 0 0 3 5 3 5 0 0 1 1 1 1 0 0 1 0 1 0 0 0 3 2 3 2
30 DHADING 0 0 52 22 52 22 0 0 9 3 9 3 0 0 0 1 0 1 2 2 32 15 34 17
31 MAKWANPUR 0 0 11 12 11 12 0 0 5 7 5 7 0 0 7 2 7 2 0 0 52 41 52 41
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 0 0 14 9 14 9 0 0 0 2 0 2 0 0 0 0 0 0 8 3 8 5 16 8
35 CHITAWAN 0 0 12 10 12 10 0 1 1 10 1 11 0 0 0 0 0 0 0 0 81 60 81 60
WESTERN 0 0 95 66 95 66 0 1 11 7 11 8 2 1 14 10 16 11 2 2 386 279 388 281
36 GORKHA 0 0 0 1 0 1 0 1 4 1 4 2 0 0 1 0 1 0 0 0 4 2 4 2
37 LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 KASKI 0 0 2 1 2 1 0 0 0 0 0 0 2 1 7 8 9 9 0 0 0 0 0 0
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 13 11 15 12
45 BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 0 0 0 0 0 0 0 0 4 0 4 0 0 0 0 0 0 0 0 0 2 0 2 0
48 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48.1 NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 0 0 12 10 12 10 0 0 0 2 0 2 0 0 0 0 0 0 0 1 1 6 1 7
50 KAPILBASTU 0 0 81 54 81 54 0 0 3 4 3 4 0 0 6 2 6 2 0 0 366 260 366 260
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MID WESTERN 5 4 78 49 83 53 3 0 45 24 48 24 0 0 34 29 34 29 4 0 493 392 497 392
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 2 3
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 1 9 5 9 6 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
57 BANKE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 BARDIYA 0 0 4 6 4 6 0 0 14 11 14 11 0 0 2 0 2 0 0 0 130 95 130 95
59 SURKHET 2 3 2 0 4 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 JAJARKOT 0 0 15 11 15 11 0 0 3 4 3 4 0 0 0 1 0 1 0 0 21 10 21 10
62 DOLPA 3 0 0 0 3 0 3 0 7 2 10 2 0 0 0 1 0 1 0 0 6 10 6 10
63 JUMLA 0 0 36 21 36 21 0 0 3 1 3 1 0 0 0 1 0 1 4 0 35 30 39 30
64 KALIKOT 0 0 4 0 4 0 0 0 16 5 16 5 0 0 5 4 5 4 0 0 89 58 89 58
65 MUGU 0 0 8 6 8 6 0 0 1 0 1 0 0 0 14 15 14 15 0 0 119 98 119 98
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 7 13 7 0 0 91 88 91 88
FAR WESTERN 13 0 62 32 75 32 2 1 36 31 38 32 0 1 44 49 44 50 27 23 593 465 620 488
67 BAJURA 0 0 9 5 9 5 1 0 0 0 1 0 0 1 1 0 1 1 0 0 79 45 79 45
68 BAJHANG 0 0 17 10 17 10 0 0 11 7 11 7 0 0 3 12 3 12 0 0 104 95 104 95
69 ACHHAM 0 0 3 6 3 6 1 0 5 5 6 5 0 0 11 7 11 7 0 0 88 77 88 77
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 KAILALI 0 0 0 2 0 2 0 1 2 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0
72 KANCHANPUR 0 0 22 6 22 6 0 0 7 7 7 7 0 0 0 3 0 3 27 23 210 160 237 183
73 DADELDHURA 0 0 0 1 0 1 0 0 4 3 4 3 0 0 14 17 14 17 0 0 79 75 79 75
74 BAITADI 13 0 11 2 24 2 0 0 7 8 7 8 0 0 15 10 15 10 0 0 33 13 33 13
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Raw Data: Nutrition (Sheet 7 of 8)

IYCF and Baal Vita Community Promotion Programme

First Time Second Time Third Time
District Name FCHV HF FCHV HF FCHV HF

6-12 12-18 18-23 6-12 12-18 18-23 12-18 18-23 12-18 18-23 18-23 18-23

Natioanal Total 122098 72754 75156 25004 16072 10774 60602 23123 11448 7509 47325 7941
EASTERN 21730 13975 11199 6634 4732 2665 10036 5998 3090 1757 7241 2397
01 TAPLEJUNG 2 0 0 4 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0
04 JHAPA 0 0 0 0 0 0 0 0 0 0 0 0
05 MORANG 9171 4874 2776 2157 1283 657 4636 1921 862 431 3259 845
06 SUNSARI 7723 5515 4734 3710 3141 1915 3808 2749 1947 1232 2921 1394
07 DHANKUTA 1 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 957 396 218 754 263 80 453 117 281 55 250 145
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0
11 SOLUKHUMBU 36 20 20 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 3840 3170 3451 9 45 13 1139 1211 0 39 811 13
13 KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0
14 UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0
15 SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0
CENTRAL 59715 42604 54001 6127 4620 3468 23845 10027 2493 2989 20231 1487
17 DHANUSA 19 25 13 16 8 9 0 0 4 2 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 18 24 28 3 4 6 0 0 2 3 0 0
20 SINDHULI 4500 3516 3866 119 86 116 2686 1469 33 49 3042 279
21 RAMECHHAP 1454 803 1115 66 19 25 579 322 6 25 933 11
22 DOLAKHA 2600 2384 2475 157 169 145 850 351 50 29 825 43
23 SINDHUPALCHOK 4251 3347 4079 78 27 25 1209 1087 4 65 1521 1
24 KAVRE 5453 2056 1938 38 77 21 4038 955 24 305 2772 24
25 LALITPUR 4843 3571 4353 223 299 478 1217 702 33 116 1325 132
26 BHAKTAPUR 4707 4031 3262 295 116 183 1195 238 125 194 2374 87
27 KATHMANDU 16988 15220 27362 1335 948 496 4045 2350 194 1002 1382 105
28 NUWAKOT 455 1212 846 11 9 275 284 83 8 13 186 2
29 RASUWA 624 406 153 220 70 53 354 115 67 48 268 49
30 DHADING 5944 652 754 312 300 233 4734 777 253 374 4305 241
31 MAKWANPUR 3051 1650 730 1017 519 236 1101 498 376 152 622 188
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 4658 3598 2934 2105 1860 1077 1532 1060 1292 595 660 277
35 CHITAWAN 150 109 93 132 109 90 21 20 22 17 16 48
WESTERN 22317 10658 7163 6983 3983 2764 13774 4719 3350 1422 10507 2120
36 GORKHA 4420 1986 1472 783 386 337 3224 1130 341 202 2972 318
37 LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0
38 TANAHU 0 0 0 0 0 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0
40 KASKI 0 0 0 0 0 0 0 0 0 0 0 0
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 2555 631 213 956 154 53 1158 149 458 27 598 129
48 NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0
48.1 NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 9273 4692 2956 1773 1176 682 5489 1900 696 349 3696 361
50 KAPILBASTU 6069 3349 2522 3471 2267 1692 3903 1540 1855 844 3241 1312
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0
MID WESTERN 11289 3525 1816 3159 2026 1502 8058 1392 1143 941 5692 797
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0
54 RUKUM 337 331 234 290 213 135 182 139 106 92 136 71
54.1 RUKUM WEST 763 577 471 545 421 287 425 326 234 219 319 125
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 3270 1937 862 1804 1210 950 1260 522 697 396 550 459
57 BANKE 0 0 0 0 0 0 0 0 0 0 0 0
58 BARDIYA 6882 631 191 308 50 22 6185 398 76 18 4683 41
59 SURKHET 0 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0
61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0
62 DOLPA 32 42 47 209 124 95 2 7 29 216 3 101
63 JUMLA 1 1 2 1 3 3 2 0 1 0 1 0
64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0
65 MUGU 4 6 9 2 5 10 2 0 0 0 0 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0
FAR WESTERN 7047 1992 977 2101 711 375 4889 987 1372 400 3654 1140
67 BAJURA 0 0 0 0 0 0 0 0 0 0 0 0
68 BAJHANG 15 0 0 7 0 0 0 0 0 0 0 0
69 ACHHAM 4820 1359 646 1853 628 337 3356 560 1209 361 2237 1022
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0
71 KAILALI 1 0 0 6 0 0 0 0 0 0 0 0
72 KANCHANPUR 0 0 0 0 8 9 0 0 3 7 0 0
73 DADELDHURA 2173 565 213 233 75 29 1458 282 160 32 1193 117
74 BAITADI 38 68 118 2 0 0 75 145 0 0 224 1
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0
 Raw Data: Nutrition (Sheet 8 of 8)

Infant & Young Child IMAM Program (FCHV)

Fortified Flour Distribution
Feeding MUAC Screening HH visit and Monitoring
Timely (Children 6-23 Yellow Red:

Antenatal

Postnatal
District Name

Oedema
Excl. Red (Severe Red: Cured Red:
introduction of months) Green (Moderate Stagnating or
breast Acute child after Absent of
Complementary (Normal) Acute decreasing
feeding Female Male Malnutrition) treatment defaulting
feeding Malnutrition) weight
National Total 156696 190754 44530 42718 25546 16999 2612698 99587 12680 348 2948 680 488
EASTERN 23091 25729 8525 8683 5586 5455 291820 13317 884 3 137 47 29
01 TAPLEJUNG 678 664 111 110 237 121 1103 79 2 0 0 0 4
02 PANCHTHAR 1347 1319 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 1188 1000 87 14
04 JHAPA 158 16
05 MORANG 7267 6515 92 76 193 30 905 16 4 0 0 0 0
06 SUNSARI 1354 1376 78 98 41 12 2046 187 11 2 8 1
07 DHANKUTA 1358 1469 7 8 83 32 953 12 0 0 0 0 0
08 TERHATHUM 17 1
09 SANKHUWASABHA 6 7 335 34 1 0 0 0 0
10 BHOJPUR 3 2 4 1 5 2 17 5 1
11 SOLUKHUMBU 7 17 7857 8125 4404 4896 0 0 0 0 0 0 0
12 OKHALDHUNGA 5355 8899 257 164 316 232 126900 3346 424 33 8 6
13 KHOTANG 2098 2182 0 0 0 0 0 0 0 0 0 0 0
14 UDAYAPUR 1543 1545 113 99 188 98 104 33 0 0 0 0 0
15 SAPTARI 887 734 0 0 24 10 159068 9531 398 1 87 30 14
16 SIRAHA 6 2 8 8 214 57 44 9 9 3
CENTRAL 55606 86178 4473 3577 4612 1864 1442644 35346 3774 40 827 203 163
17 DHANUSA 351 464 37 24 197 30 7359 502 84 0 31 3 1
18 MAHOTTARI 14 17 9 7 14 6 1600 146 48 0 0 0 0
19 SARLAHI 108 126 49 44 35 15 46991 4981 392 8 33 4 7
20 SINDHULI 5427 7552 565 492 772 237 136939 3553 292 2 49 13 15
21 RAMECHHAP 941 1737 647 558 151 102 105452 1183 95 0 12 4 10
22 DOLAKHA 2367 2480 487 592 3 2 109352 1236 69 0 9 4 3
23 SINDHUPALCHOK 1969 2767 148866 3835 304 4 68 38 16
24 KAVRE 5776 12693 51 52 187 90 144885 3308 185 3 64 13 9
25 LALITPUR 3470 5027 56 67 252 85 101208 1809 301 3 146 8 4
26 BHAKTAPUR 5379 7390 759 565 490 337 54729 866 165 1 9 14 1
27 KATHMANDU 11592 24526 654 566 800 448 292920 4241 527 2 113 12 10
28 NUWAKOT 3491 2733 49 40 88 32 48080 1140 97 27 4 4
29 RASUWA 687 787 0 0 0 12503 253 35 1 8 9 6
30 DHADING 7507 11753 548 89 179 67 98209 2697 263 3 43 12 10
31 MAKWANPUR 3114 2956 207 183 121 26 126779 4803 804 10 187 59 57
32 RAUTAHAT 55 85 7 5 43 17 915 37 8 0 0 0 0
33 BARA 84 123 28 1 509 9 9 0 0 0 0
34 PARSA 2359 2067 323 266 1191 355 3142 339 42 2 15 0 4
35 CHITAWAN 915 895 25 27 61 14 2206 408 54 1 13 6 6
WESTERN 32282 30951 101 86 272 75 202451 7555 1247 41 164 25 31
36 GORKHA 3957 3811 41 22 73 13 149206 2252 82 0 25 13 6
37 LAMJUNG 318 367 5 20 0 1 173 0 1 0 0 0 0
38 TANAHU 35 43 1 1 6 3
39 SYANGJA 466 485 1 0 1 0 79 0 0 0 0 0 0
40 KASKI 319 230 0 0 3 0 0 0 0 1 0 0 0
41 MANANG 0 0 0 0 0 0
42 MUSTANG 23 14 4 3 5 2 110 0 0 0 0 0 0
43 MYAGDI 8 14 7 56
44 PARBAT 496 20 17 24
45 BAGLUNG 521 537 9 6 83 15
46 GULMI 4 6 27
47 PALPA 2221 2226 4 4 20 2 210 11 0 0 1 0 0
48 NAWALPUR 2396 1520 5 2 21 5 28 3
48.1 NAWALPARASI 1656 1144 1 188 5 0 0 0 0 0
49 RUPANDEHI 5935 5618 18 23 24 15 17 0 0 0 0 0 0
50 KAPILBASTU 12495 13250 0 0 0 11 51861 5264 1147 40 114 12 25
51 ARGHAKHANCHI 1928 1686 5 5 36 8 0 0 0 0 0 0 0
MID WESTERN 29401 31020 30932 29901 14440 9299 199700 17255 2778 120 566 208 139
52 PYUTHAN 2491 2615 0
53 ROLPA 898 939 4 5 0 0 126 23
54 RUKUM 233 242 10 13 53 20 15 2 0 0 0 0 0
54.1 RUKUM WEST 1465 1330 65 55 98 44 645 95 1 0 0 1 0
55 SALYAN 2409 2511 8 6 9 5 10
56 DANG 4980 5006 0 1 28 3 253 2 1
57 BANKE 2665 2574 11 11 2002 290 15 1
58 BARDIYA 5022 5069 0 0 0 0 114760 4030 313 2 91 28 30
59 SURKHET 2398 2599 0 0 0 0 0 0 0 0 0 0 0
60 DAILEKH 244 301 0 0 0 985 441
61 JAJARKOT 1316 1206 0 0 0 2 21007 1809 166 8 34 15 6
62 DOLPA 437 425 1292 1167 597 304 2270 465 69 0 11 9 0
63 JUMLA 1741 2717 6784 6238 3424 2312 18668 2496 370 17 66 37 20
64 KALIKOT 2504 2448 17196 17136 7835 4625 26473 4006 545 17 216 62 56
65 MUGU 563 1006 5563 5278 2360 1944 9395 2729 972 63 49 11 21
66 HUMLA 35 32 10 2 25 29 3091 867 326 13 98 45 6
FAR WESTERN 16316 16876 499 471 636 306 476083 26114 3997 144 1254 197 126
67 BAJURA 659 793 420 415 356 236 53827 5459 1017 16 534 66 43
68 BAJHANG 627 608 12 10 77 21 26613 1790 416 1 174 31 19
69 ACHHAM 5238 5269 1 2 0 0 158934 5883 501 1 53 12 7
70 DOTI 329 459 10 10 49 15 679 41 3
71 KAILALI 377 379 0 0 0 0 2204 3 0 0 0 0 0
72 KANCHANPUR 2756 2909 12 1 0 0 94143 5151 439 0 75 17 13
73 DADELDHURA 1550 1493 0 0 0 0 32462 2417 314 4 62 19 12
74 BAITADI 4282 4457 40 31 87 16 106443 5364 1307 122 356 52 32
75 DARCHAULA 498 509 4 2 67 18 778 6 0 0 0 0 0
 Analysed Data: Safe Motherhood Programme

who had 3 PNC check-ups

who had four ANC check-

within 7 days of delivery)

6th, 8th and 9th months)
and delivered in a health

postpartum women who

postpartum women who

received a PNC check-up

received a PNC check-up

women who had at least

ups as per protocol (4th,

Maternal mortality ratio

Percentage of deliveries
supply of Iron Folic Acid

within 72 hours and 3rd

Percentage of pregnant

Percentage of pregnant

who received a 180 day

worker other than SBA

Percentage of assisted
per 100,000 live births

institutional deliveries
protocol (4th, 6th, 8th
Percentage of women

Percentage of women

Percentage of women
Percentage of normal
Birth Attendant (SBA)
women who had four

attended by a Skilled

by caesarean section
ANC checkups as per

attended by a health

within 24 hours, 2nd

(Vaccum or Forceps)
Percentage of births

Percentage of births

as per protocol (1st

within 24 hours of

within 24 hours of
one ANC checkup

during pregnancy
and 9th month)

Percentage of

Percentage of

Percentage of
deliveries
deliveries

delivery

delivery
facility)
District

Nepal 102.1 52.8 52.8 20.7 44.3 54.6 52.4 4.7 81.4 2.5 16.1 51.2 51.2 19.1
Province 1 95.3 44.1 44.1 5.5 41.1 49.1 47.9 2.9 71.3 2.7 26 42 42 8.9
01 TAPLEJUNG 87 36.3 36.3 0 45 36 34.6 8.7 89.3 2.2 8.5 38.9 38.9 15.1
02 PANCHTHAR 80.8 42.6 42.6 0 43.8 39.1 36.8 2.6 91.6 1.5 6.9 37.1 37.1 10.8
03 ILAM 64.1 36.1 36.1 0 35.4 20.5 20.3 2.2 89.1 1.7 9.3 22.1 22.1 3.2
04 JHAPA 105.4 41.8 41.8 4.9 38.6 74.8 74.8 0.28 48.6 1 50.4 64 64 5.3
05 MORANG 122.4 43.1 43.1 8.5 34 78 77.9 0.29 65.5 5.5 29 52.9 52.9 8.4
06 SUNSARI 85.2 53.7 53.7 0 43 23.1 23.1 0.73 99.4 0.4 0.18 23.6 23.6 5.6
07 DHANKUTA 79.2 37.1 37.1 0 38.9 14.4 14 1.6 95.5 3.6 0.99 18.2 18.2 4.5
08 TERHATHUM 73.6 34.3 34.3 0 35.7 28.3 27.9 1.1 84.9 6.5 8.5 24.2 24.2 1.7
09 SANKHUWASABHA 70.4 46.7 46.7 0 46.1 60.6 47.9 13.3 89.4 3.2 7.4 50.2 50.2 12.1
10 BHOJPUR 74.5 39.5 39.5 0 35.1 26.7 18.7 10.9 98.7 1.3 0 27.9 27.9 13
11 SOLUKHUMBU 104.7 39.3 39.3 85.9 53 24.1 24 5.6 96.4 0.39 3.2 25.7 25.7 21.3
12 OKHALDHUNGA 85.4 43 43 28.4 54.3 61 60.6 3.9 91.3 2.3 6.4 62.2 62.2 30.4
13 KHOTANG 107.4 56.3 56.3 0 60.6 25.5 23.3 16.4 97.3 0.06 2.7 34.8 34.8 18.6
14 UDAYAPUR 82.5 43.3 43.3 0 48.4 39.3 36.6 4.8 91.4 0.79 7.8 39 39 11.8
Province 2 102.9 37.3 37.3 14.8 42.6 43.9 45.3 7 90.4 3 6.7 43.7 43.7 22.9
15 SAPTARI 104.6 62.2 62.2 0 58.2 33.1 33.2 1.8 98.2 0.18 1.6 34.4 34.4 28.8
16 SIRAHA 110.7 40.3 40.3 6.5 43.3 45.2 45.4 0.92 92.2 1.7 6 44.1 44.1 10.3
17 DHANUSA 96 21 21 0 28.8 58.6 63.2 5.7 80.7 5.4 13.9 67.1 67.1 12.9
18 MAHOTTARI 101.2 47 47 0 56.8 16.3 15.4 17.2 98.9 0.57 0.57 30.4 30.4 18.6
19 SARLAHI 98.3 32.7 32.7 22.1 30.7 33.4 35.4 5.5 93.7 5.6 0.63 49.3 49.3 33
32 RAUTAHAT 126.5 37.8 37.8 6.1 55 41.9 47.4 14.1 98.8 0.98 0.26 53.3 53.3 32.3
33 BARA 87.8 32.2 32.2 0 35.9 30.7 31.1 3.5 97.3 1.2 1.5 15.5 15.5 10.4
34 PARSA 99.1 28.1 28.1 94 35.1 97.4 95.3 7.4 81.5 3.5 15 52.7 52.7 37.9
Province 3 109 68 68 21.2 31.8 52.8 52.1 1.1 70.5 2.1 27.4 47.6 47.6 13.4
20 SINDHULI 77.5 29 29 0 41.3 23.7 20.3 4 94.2 1.6 4.2 25.5 25.5 4.2
21 RAMECHHAP 60.3 35.9 35.9 0 38.6 32.2 31.7 3 88.6 3.4 8 33.3 33.3 8.9
22 DOLAKHA 69.4 50.6 50.6 22.7 56 42.7 42 3 90.7 1.1 8.2 43.7 43.7 17.5
23 SINDHUPALCHOK 63.6 29.2 29.2 15.1 31.1 21.7 19.6 4.1 96.6 1.6 1.8 17.4 17.4 3.7
24 KAVRE 112.8 44.9 44.9 0 24.7 65.9 64.5 1.7 76.9 2.7 20.4 63.2 63.2 16.5
25 LALITPUR 93.2 78 78 26.8 70.1 77.6 77.2 0.58 53.1 1.8 45.1 59.4 59.4 28.4
26 BHAKTAPUR 61.6 37.8 37.8 0 22.8 21.5 21.6 0.21 68.8 0.64 30.6 19.9 19.9 6.8
27 KATHMANDU 144.1 104.2 104.2 30.9 8.9 81 80.9 0.08 62.7 2.1 35.2 70.6 70.6 18.7
28 NUWAKOT 70.9 40.5 40.5 0 37.6 34.2 33.3 1 91.1 2.2 6.7 32.8 32.8 4.9
29 RASUWA 98.9 47.8 47.8 0 50.8 24.9 25.1 2.8 100 0 0 27.8 27.8 16.2
30 DHADING 75 54 54 0 53.6 41.8 40.8 1.2 98.2 0.71 1.1 41 41 11.2
31 MAKWANPUR 101 52.8 52.8 0 55.4 46.9 46.4 0.81 89.8 0.62 9.6 47 47 11.6
35 CHITAWAN 146.1 68.8 68.8 67.8 31.3 18.3 18 0.39 70.4 3.1 26.4 18.5 18.5 3.2
Province 4 102.4 59.1 59.1 15.3 45.9 46 45.7 1.3 79.9 1.9 18.2 43 43 13.7
36 GORKHA 78.5 46.2 46.2 0 48.4 35 35.4 1.5 93.8 1.4 4.8 36.6 36.6 18.8
37 LAMJUNG 92.4 54 54 24.5 61.1 42.2 41.9 1 87.9 3.4 8.7 42.7 42.7 14.1
38 TANAHU 56.3 25.6 25.6 0 25 22.9 22.8 0.56 96.6 0.99 2.4 22.4 22.4 8.3
39 SYANGJA 81.7 41.9 41.9 0 43.6 22.7 22.6 0.61 92.7 3.9 3.4 22.8 22.8 11.6
40 KASKI 192.4 109.6 109.6 56.9 41.5 102 101.1 1.1 64.9 2.1 33 85.6 85.6 21.3
41 MANANG 76.5 14.8 14.8 0 11.3 12.2 9.6 4.3 100 0 0 13 13 10.4
42 MUSTANG 78.7 23.7 23.7 0 29.2 19.8 20.2 2 100 0 0 20.6 20.6 8.3
43 MYAGDI 99.7 66.5 66.5 0 67.1 52.8 52.8 4.5 92.4 2.7 4.9 56.3 56.3 23.6
44 PARBAT 60.2 43.1 43.1 0 48.2 29.1 29.1 0.47 95.5 2.3 2.3 27.7 27.7 6.1
45 BAGLUNG 82.1 46.9 46.9 14.6 46.3 45.1 45.3 2.6 93.8 0.98 5.2 46.7 46.7 11.8
48.1 NAWALPUR 90.4 59.4 59.4 0 59.1 20.1 19.6 1.4 100 0 0 20.4 20.4 6.6
Province 5 102.7 57.9 57.9 44.7 57.5 69.3 65.2 5.1 83.1 3.2 13.7 65.2 65.2 25
46 GULMI 73.4 61.6 61.6 0 44.9 37.6 38.3 1.4 98.6 0.7 0.74 39.1 39.1 30.3
47 PALPA 117.1 69.1 69.1 48.3 69.1 89.1 89 0.84 79.8 3.4 16.8 86.1 86.1 13
48 NAWALPARASI 96.2 62 62 0 58.8 34 34.1 0.05 97.1 0.46 2.5 34 34 5.1
49 RUPANDEHI 128.1 69 69 90.4 83.8 109 106.4 2.6 73.5 4.1 22.4 105 105 42.6
50 KAPILBASTU 121.9 53.9 53.9 7.3 51.8 31.3 32 3.7 98.7 0.5 0.77 33.7 33.7 14.2
51 ARGHAKHANCHI 65.7 41 41 0 33.8 26.5 27.2 1.5 98.5 0.26 1.3 23.6 23.6 5.9
52 PYUTHAN 91 47.8 47.8 0 48.9 55 54.1 1.2 92.4 0.56 7 55.3 55.3 5.6
53 ROLPA 90.5 44.2 44.2 36.1 56.7 50 36.1 14.4 98.6 0.14 1.3 49.5 49.5 10.8
54 RUKUM 101.7 45.9 45.9 0 68.4 38 34.3 8.3 92.4 6.4 1.2 38.3 38.3 22.6
56 DANG 86.2 60.7 60.7 21.2 43.9 66.3 66 0.44 87.1 4 8.9 66.5 66.5 51.3
57 BANKE 113.5 49.5 49.5 138 47.5 126.7 100.7 26.4 76.4 4.8 18.9 97.9 97.9 13
58 BARDIYA 79.1 56 56 38.1 55 50.6 50 0.59 98.8 0.69 0.52 48 48 27.7
Province 6 109.8 49.1 49.1 15.8 50.1 60.2 50.5 11.3 93.9 1.9 4.2 59.3 59.3 20.4
54.1 RUKUM WEST 156.3 31.6 31.6 0 42.7 53.7 42.6 12.6 92.1 3.9 4 52.4 52.4 10.2
55 SALYAN 100.9 58.5 58.5 0 44.3 54 54 0.42 95.3 1.9 2.8 53.9 53.9 10.4
59 SURKHET 110.2 73.5 73.5 11.4 52.4 80.8 67.4 13.4 88.1 2.7 9.2 81.6 81.6 21.8
60 DAILEKH 84.2 47.6 47.6 31.8 46.8 70 45.1 25.8 98.7 0.67 0.58 66.8 66.8 22.1
61 JAJARKOT 80.6 25.1 25.1 24.6 26.6 31.3 28.1 7.1 98.9 1.1 0 32.5 32.5 18.8
62 DOLPA 84.7 29.9 29.9 0 61 30.6 31.4 3.5 95 4.7 0.33 31.6 31.6 22.1
63 JUMLA 110.7 34.6 34.6 0 76.9 54.1 48.4 10 93.8 0.91 5.3 56.2 56.2 29.6
64 KALIKOT 142.5 50.6 50.6 62.3 51.5 72.3 64 8.6 98.4 0.47 1.1 70.2 70.2 45.3
65 MUGU 216.7 41.6 41.6 0 84 49.3 56.3 5.7 94.5 1.6 3.9 34.8 34.8 10.5
66 HUMLA 49.6 15.2 15.2 0 77.3 18.9 15.3 4.6 98.8 0.82 0.41 17.5 17.5 11.1
Province 7 91.8 55.2 55.2 23.6 51.8 67.8 59.5 8.8 92.7 1.5 5.8 67.4 67.4 34.9
67 BAJURA 92.9 47.8 47.8 0 55.3 69.1 63.9 6.3 99.3 0.53 0.18 68.2 68.2 31.6
68 BAJHANG 113.3 61.1 61.1 20.9 59.1 75.8 73.1 3.3 97 0.77 2.2 74.8 74.8 31.5
69 ACHHAM 115.1 72.7 72.7 0 72.9 73.8 57.5 18.9 96.9 0.23 2.9 75.1 75.1 52.1
70 DOTI 104.4 52.6 52.6 19.3 54.4 71 69.6 2.5 95.6 3 1.5 70.5 70.5 31.1
71 KAILALI 84.4 51.5 51.5 30.4 41.8 76.5 63.5 13 84.1 2.6 13.3 75.2 75.2 52.7
72 KANCHANPUR 77.1 49 49 60.7 46.4 48.2 48.2 0.01 99.6 0.29 0.13 48.2 48.2 11.7
73 DADELDHURA 100.9 61.5 61.5 0 50.2 68.9 66.8 2.4 93.4 1 5.6 69.2 69.2 19.5
74 BAITADI 90.6 61.6 61.6 0 62.5 64.5 44.9 20.1 98.7 0.64 0.66 64.7 64.7 27.3
75 DARCHAULA 82.8 50.7 50.7 0 53.1 59.6 57.9 1.9 96 1.2 2.8 59.7 59.7 19.7
 Analysed Data: Safe Motherhood Programme

pregnancies terminated

pregnancies terminated

pregnancies terminated
who received Vitamin A

treated for an obstetric

terminated by induced

terminated by induced

received post abortion

who received a 45 day

Percentage of women
by induced procedure

by induced procedure

by induced procedure

ratio per 100,000 live

Percentage of clients

Percentage of clients
emergency obstetric

pregnancies <20 yrs

procedure at health

procedure at health
postpartum women
postpartum women

pregnancies >20yrs

Maternal mortality
complication who

at health facility -
supplementation

at health facility-

received a blood
at health facility

contraceptives
received LARC
Percentage of

Percentage of

Percentage of
Percentage of

Percentage of

Percentage of

Percentageof
Met need for
supply of IFA

transfusion

Medical
surgical
facility

facility

births
care
District

Nepal 40.1 72.2 11.6 1.8 11 12.7 5.7 14 7.1 15.8 70.7 21
Province 1 31.5 64.3 23.7 1.3 12.3 13.7 5.3 16.4 8.3 14 75.8 6
01 TAPLEJUNG 35 63.1 6.2 1.2 13.8 15 9.8 9.7 5.2 7.4 46.3 0
02 PANCHTHAR 41.8 66.6 6.7 2.6 29.4 32 2.9 10 29.1 23.7 87.8 0
03 ILAM 26.5 60.7 16.9 2.2 21 23.2 2.5 6.6 20.7 23.3 90 0
04 JHAPA 31.3 61.5 4.9 2.8 18.9 21.7 9.4 15.6 12.3 10.7 67.1 5
05 MORANG 22.1 68.5 93.7 0.55 8.7 9.2 3 49.2 6.2 12.5 77.7 9
06 SUNSARI 23.4 46.9 2.1 1.6 15.4 17 9.3 0.5 7.7 13.1 79.9 0
07 DHANKUTA 31.8 61.6 1 1.6 19.2 20.8 7.2 1.1 13.5 17.5 82.5 0
08 TERHATHUM 36 65.6 1.5 0.25 1.8 2 0.92 0 1.1 0 10.5 0
09 SANKHUWASABHA 32.1 53.5 4.2 2 10.5 12.4 9.6 7.8 2.9 4 70.8 0
10 BHOJPUR 55.7 113 2 0.04 0.58 0.62 0.38 1.7 0.24 17.9 107.1 0
11 SOLUKHUMBU 35.2 73.1 1.7 0.47 1.3 1.8 1.4 11.1 0.4 18.4 87.8 86
12 OKHALDHUNGA 79.7 87.6 5.5 0.02 1.3 1.3 0.36 6.8 0.94 7.4 44.4 28
13 KHOTANG 50.3 98.2 1.6 0.16 1 1.2 0.18 35 0.98 0 0 0
14 UDAYAPUR 30.2 53.9 2.4 0.01 1.6 1.6 1 2.4 0.53 2.7 60.8 0
Province 2 39.9 87.2 2.3 0.74 4 4.7 1.8 33.9 2.9 16.3 72.3 15
15 SAPTARI 46.5 81.4 1.2 0.28 4 4.3 0.06 7.7 4.3 11.4 83 0
16 SIRAHA 47.1 93.5 4.2 0.66 5.9 6.6 1.6 24.7 4.9 13.7 76.9 7
17 DHANUSA 34.7 86 0.61 1.6 5 6.6 3.6 4.2 3 17 63.2 0
18 MAHOTTARI 46.6 121.4 1 0.64 1.7 2.3 1.6 34.9 0.73 62.2 99.3 0
19 SARLAHI 28.2 52.6 0.77 0.08 1.1 1.2 0.8 1.6 0.42 14.6 101.9 22
32 RAUTAHAT 46.2 106.8 3.5 0.33 3 3.4 0.41 3.9 3 21 90.5 6
33 BARA 35.2 83.6 0.69 0.17 1.7 1.9 0.11 23 1.8 11.4 70.5 0
34 PARSA 36.6 76.9 7.7 2.4 10.7 13 7 65.9 6 9.9 57.5 94
Province 3 24 46.3 15.6 2.9 13.4 16.3 7.7 3.6 8.6 13.5 65 21
20 SINDHULI 39.7 83.3 11.8 0.13 2.5 2.6 0.18 10.4 2.4 2.4 19.3 0
21 RAMECHHAP 41.9 65.1 1.6 0.49 7 7.5 0.52 9.6 7 10.5 60 0
22 DOLAKHA 55.3 76 2.3 0.35 5.3 5.7 1.8 14.7 3.9 10.2 81.7 23
23 SINDHUPALCHOK 29.4 58.6 2 0.12 1.4 1.5 0.04 2.4 1.4 32.8 94.8 15
24 KAVRE 21.2 35.3 3.5 2 12.6 14.5 4.1 7.7 10.4 13.7 69.4 0
25 LALITPUR 67.7 77.9 30.5 1.1 16.5 17.6 7 0.89 10.6 17.4 68.4 27
26 BHAKTAPUR 25.7 42.8 2 0.32 3.3 3.6 0.4 5.2 3.2 19.7 110.4 0
27 KATHMANDU 6.6 24.5 16.8 6.3 20.1 26.3 13.8 2.8 12.5 14.5 61.8 31
28 NUWAKOT 25.1 59.1 2 0.66 6.9 7.6 5.8 6.9 1.7 34.7 84 0
29 RASUWA 35.4 72.4 0.81 0 0 0 0 0 0 0
30 DHADING 33.5 45.1 2.9 0.58 7.5 8.1 1.1 3.3 7 3.2 53.6 0
31 MAKWANPUR 19.8 74.7 2.4 1.6 12.7 14.3 8.4 7.1 5.9 10.6 47.3 0
35 CHITAWAN 12.7 29 54.7 3.8 20.1 23.9 12.2 3.3 11.8 8.3 75.5 68
Province 4 32.3 66.8 7.8 1.6 17.3 18.9 7.3 3.8 11.6 15.6 61.4 15
36 GORKHA 46.1 69 4.7 2.7 9.8 12.4 4.5 4.1 8 10.9 60.5 0
37 LAMJUNG 40.6 52.7 4 0.37 2.8 3.2 1.3 20.1 1.8 5.3 23 25
38 TANAHU 20.2 34.9 1.7 1.4 17.1 18.5 9.4 2.3 9.1 30.1 98.7 0
39 SYANGJA 35.4 76.3 2.4 0.57 7.1 7.7 1.7 4.4 5.9 5.4 38.1 0
40 KASKI 18.5 102.6 27.5 2.7 32.5 35.2 21.3 2 13.9 11.2 40.7 57
41 MANANG 13 15.7 0 0 0 0 0 0 0
42 MUSTANG 38.3 31.6 0.79 0 0 0 0 0 0 0
43 MYAGDI 53.5 70.3 3.7 2.8 37.7 40.5 3.8 8.2 36.7 18.2 87.4 0
44 PARBAT 30.4 48.2 0.48 1.5 25.4 27 8 5 19 28.4 86.1 0
45 BAGLUNG 39.1 61.6 1.1 0.58 13.1 13.7 0.79 41.8 12.9 2.8 38 15
48.1 NAWALPUR 36.3 55.4 3 0.96 9.9 10.8 0.02 0 10.8 19.4 85.2 0
Province 5 54.8 83.6 13.6 2.7 10.6 13.3 7 19.2 6.3 20.2 77 45
46 GULMI 45.3 86.2 2.5 0.29 2 2.3 0.1 3.9 2.2 15.7 70.8 0
47 PALPA 104.5 130.8 19.8 1.5 17.1 18.6 8.8 2 9.9 22.5 85.7 48
48 NAWALPARASI 31.2 45.9 3 1.3 14.9 16.3 7 12.8 9.3 23.4 87.9 0
49 RUPANDEHI 91.6 114.9 41.3 1.1 13.6 14.7 5.6 10.1 9.1 22 90.4 90
50 KAPILBASTU 53.9 96.5 3.2 2.2 14.6 16.7 7.2 0.27 9.5 26.2 88.8 7
51 ARGHAKHANCHI 23.1 54.6 6.1 0.1 1.2 1.3 1.3 0 0 0 0 0
52 PYUTHAN 69.1 98 4.2 0.98 11.3 12.3 7.8 9.7 4.5 25.7 83.4 0
53 ROLPA 52.1 82.2 2.7 0.26 1.3 1.5 0.32 6.2 1.2 3 73 36
54 RUKUM 57.2 76.9 1.8 0 0 0 0 2.8 0 0
56 DANG 25.4 32.1 9 14.4 9.6 23.9 17.7 6.4 6.3 21.5 75.9 21
57 BANKE 34.7 111.6 13.4 1.1 14.9 16 10.6 57.1 5.5 6.4 37 138
58 BARDIYA 45.6 45.5 3 0.23 4.2 4.4 1.2 35.7 3.3 10.9 52 38
Province 6 65.5 94.7 3.4 0.98 6.8 7.8 3.2 12.3 4.6 20.6 74.5 16
54.1 RUKUM WEST 49.9 66 8.5 0 0.53 0.53 0.09 16.5 0.44 4.2 100 0
55 SALYAN 69.9 95.2 2.6 0.77 3.2 4 2.5 14.3 1.5 7.1 22.1 0
59 SURKHET 83.9 93.2 1.9 2.8 20.7 23.4 10 26 13.4 22.5 75.9 11
60 DAILEKH 67 104.6 3.4 0.24 2.6 2.9 1.3 4 1.6 5.6 80.8 32
61 JAJARKOT 38.1 83.7 2.1 0.1 1.5 1.6 0.23 5.8 1.3 12 101.3 25
62 DOLPA 55 97.1 3.5 0.49 2.1 2.5 0.88 0 1.7 15.4 46.2 0
63 JUMLA 52.3 116.4 6.2 1.7 3.8 5.5 0.4 8.7 5.1 61 136.6 0
64 KALIKOT 75 106.1 3 0.42 6.1 6.5 1.3 15.9 5.2 12.6 78 62
65 MUGU 70.8 128 2.6 0.13 2.9 3.1 3.1 3.3 0 0 10.9 0
66 HUMLA 48.6 64.2 1.1 0 0 0 0 0 0 0
Province 7 55.5 80.9 6.1 1.1 14.8 16 7.2 14.3 8.8 15.5 74.4 24
67 BAJURA 70.4 108.1 3.3 0.29 1.7 2 0.49 15.7 1.5 11.5 56.4 0
68 BAJHANG 75.6 96 2.4 1.6 6.2 7.8 7.6 8.2 0.18 46.5 108.6 21
69 ACHHAM 84.9 110.1 3.3 1.4 22.1 23.5 4.1 30.1 19.4 16 98.5 0
70 DOTI 58.9 95.2 3.8 0.88 14.1 15 3.9 2.2 11 10.6 67.4 19
71 KAILALI 30.7 69.3 4.3 2 17.7 19.8 12.7 16.1 7 16.4 60.5 30
72 KANCHANPUR 46.7 53.2 17.4 0.52 12.6 13.1 3.1 11 10 9.3 82.6 61
73 DADELDHURA 73.4 85.7 5.8 0.99 31.1 32.1 12.9 28.8 19.3 20.6 76 0
74 BAITADI 69.9 81.6 1.3 0.06 11.6 11.7 3.6 2.2 8.1 7.1 64.5 0
75 DARCHAULA 84 114.8 2.8 0.37 6.4 6.8 6.6 3.5 0.13 5.5 95.3 0
 Raw Data: SAFEMOTHERHOOD (Sheet 1 of 6)
Antenatal Checkup Delivery Services

Received
First ANC Visit (any First ANC visit as per Four ANC visits as per Skilled Birth Non-SBA health

Reports
Total
District Name time) protocol protocol Attendants (SBA) workers
< 20 ≥ 20 < 20 ≥ 20 < 20 ≥ 20
Total Total Total Facility Home Total Facility Home Total Facility Home Total
Years Years Years Years Years Years
NEPAL 52176 125603 529721 655324 84705 363132 447837 52284 286863 339147 331255 4883 336138 18976 10879 29855 350231 15762 365993
Province 1 8975 21950 82309 104259 14424 54162 68586 9124 39123 48247 52124 301 52425 1612 1533 3145 53736 1834 55570
01 TAPLEJUNG 656 678 1905 2583 373 1203 1576 222 855 1077 997 31 1028 71 187 258 1068 218 1286
02 PANCHTHAR 568 842 2823 3665 708 2440 3148 387 1543 1930 1660 9 1669 112 4 116 1772 13 1785
03 ILAM 634 769 3603 4372 606 2981 3587 333 2126 2459 1341 41 1382 55 98 153 1396 139 1535
04 JHAPA 728 3913 17583 21496 2117 10394 12511 1342 7185 8527 15251 9 15260 16 42 58 15267 51 15318
05 MORANG 939 6165 22684 28849 4104 11863 15967 2284 7871 10155 18356 9 18365 35 34 69 18391 43 18434
06 SUNSARI 685 3195 13149 16344 1948 9697 11645 1866 8433 10299 4425 12 4437 14 126 140 4439 138 4577
07 DHANKUTA 577 526 2596 3122 385 1836 2221 168 1295 1463 544 7 551 23 42 65 567 49 616
08 TERHATHUM 384 442 1314 1756 327 971 1298 177 641 818 664 1 665 11 15 26 675 16 691
09 SANKHUWASABHA 509 674 1865 2539 580 1729 2309 390 1293 1683 1716 12 1728 471 9 480 2187 21 2208
10 BHOJPUR 738 693 2154 2847 506 1791 2297 292 1219 1511 699 15 714 320 97 417 1019 112 1131
11 SOLUKHUMBU 349 505 1932 2437 262 1197 1459 139 776 915 534 24 558 26 105 131 560 129 689
12 OKHALDHUNGA 682 652 2357 3009 435 1708 2143 229 1284 1513 2098 35 2133 52 87 139 2150 122 2272
13 KHOTANG 928 1111 3542 4653 747 2473 3220 439 2001 2440 930 80 1010 176 536 712 1106 616 1722
14 UDAYAPUR 598 1785 4802 6587 1326 3879 5205 856 2601 3457 2909 16 2925 230 151 381 3139 167 3306
Province 2 8838 29075 102727 131802 14957 59246 74203 7760 39983 47743 54755 3212 57967 1457 7461 8918 56212 10673 66885
15 SAPTARI 1370 2382 13560 15942 1501 10274 11775 892 8595 9487 4973 91 5064 71 199 270 5044 290 5334
16 SIRAHA 1310 4087 12953 17040 2580 7886 10466 1215 4985 6200 6926 61 6987 33 109 142 6959 170 7129
17 DHANUSA 1233 4324 12598 16922 2052 5881 7933 922 2790 3712 10311 834 11145 26 974 1000 10337 1808 12145
18 MAHOTTARI 934 3287 11958 15245 2097 8349 10446 1114 5959 7073 2044 272 2316 411 2184 2595 2455 2456 4911
19 SARLAHI 857 3967 13835 17802 2450 7404 9854 1354 4575 5929 5905 502 6407 141 862 1003 6046 1364 7410
32 RAUTAHAT 1055 6300 14527 20827 2009 7556 9565 1183 5031 6214 6749 1045 7794 147 2175 2322 6896 3220 10116
33 BARA 1186 2469 11859 14328 1344 6950 8294 641 4603 5244 4869 211 5080 133 432 565 5002 643 5645
34 PARSA 893 2259 11437 13696 924 4946 5870 439 3445 3884 12978 196 13174 495 526 1021 13473 722 14195
Province 3 9878 19890 124354 144244 15697 87597 103294 9146 80864 90010 68762 246 69008 1109 321 1430 69871 567 70438
20 SINDHULI 683 1440 3947 5387 956 2728 3684 404 1613 2017 1393 18 1411 255 25 280 1648 43 1691
21 RAMECHHAP 774 646 2278 2924 478 1904 2382 258 1482 1740 1482 56 1538 81 65 146 1563 121 1684
22 DOLAKHA 690 472 2579 3051 399 2283 2682 268 1958 2226 1809 38 1847 67 67 134 1876 105 1981
23 SINDHUPALCHOK 1026 774 3438 4212 560 2527 3087 285 1647 1932 1272 24 1296 165 105 270 1437 129 1566
24 KAVRE 1166 1805 8258 10063 1261 5171 6432 620 3383 4003 5752 5 5757 130 24 154 5882 29 5911
25 LALITPUR 466 747 9684 10431 440 1877 2317 440 8291 8731 8628 7 8635 57 8 65 8685 15 8700
26 BHAKTAPUR 362 552 3903 4455 999 3699 4698 240 2496 2736 1545 19 1564 14 1 15 1559 20 1579
27 KATHMANDU 1400 5487 55089 60576 4182 45604 49786 3338 40481 43819 34025 0 34025 34 1 35 34059 1 34060
28 NUWAKOT 931 1131 3451 4582 808 2655 3463 544 2073 2617 2144 6 2150 65 1 66 2209 7 2216
29 RASUWA 247 155 822 977 105 583 688 61 411 472 228 20 248 18 10 28 246 30 276
30 DHADING 739 1471 4587 6058 1271 4188 5459 866 3492 4358 3280 13 3293 98 2 100 3378 15 3393
31 MAKWANPUR 646 2013 7977 9990 1309 6117 7426 739 4480 5219 4567 23 4590 71 9 80 4638 32 4670
35 CHITAWAN 748 3197 18341 21538 2929 8261 11190 1083 9057 10140 2637 17 2654 54 3 57 2691 20 2711
Province 4 6853 11610 48511 60121 8685 35577 44262 6131 28533 34664 26589 260 26849 409 383 792 26998 643 27641
36 GORKHA 955 1119 3775 4894 853 2898 3751 500 2382 2882 2145 65 2210 38 57 95 2183 122 2305
37 LAMJUNG 703 795 2972 3767 691 2316 3007 426 1776 2202 1700 11 1711 21 21 42 1721 32 1753
38 TANAHU 659 1190 3450 4640 894 2669 3563 432 1677 2109 1861 16 1877 29 17 46 1890 33 1923
39 SYANGJA 819 1222 4170 5392 938 3172 4110 490 2272 2762 1472 18 1490 27 13 40 1499 31 1530
40 KASKI 931 3423 20246 23669 2416 13439 15855 2253 11224 13477 12425 6 12431 117 18 135 12542 24 12566
41 MANANG 164 7 81 88 2 50 52 0 17 17 11 0 11 3 2 5 14 2 16
42 MUSTANG 199 26 173 199 13 115 128 8 52 60 47 4 51 3 2 5 50 6 56
43 MYAGDI 528 644 2019 2663 433 1574 2007 330 1446 1776 1380 30 1410 30 89 119 1410 119 1529
44 PARBAT 672 506 1652 2158 377 1543 1920 226 1317 1543 1032 10 1042 11 6 17 1043 16 1059
45 BAGLUNG 754 1309 4298 5607 962 3038 4000 676 2529 3205 3003 88 3091 79 98 177 3082 186 3268
48.1 NAWALPUR 469 1369 5675 7044 1106 4763 5869 790 3841 4631 1513 12 1525 51 60 111 1564 72 1636
Province 5 7800 19022 95715 114737 14159 70637 84796 9665 55028 64693 72482 347 72829 4936 727 5663 77418 1074 78492
46 GULMI 744 959 3904 4863 872 3741 4613 725 3358 4083 2465 73 2538 26 67 93 2491 140 2631
47 PALPA 831 1763 5508 7271 1359 3950 5309 830 3462 4292 5508 22 5530 25 27 52 5533 49 5582
48 NAWALPARASI 494 1034 6985 8019 799 5734 6533 519 4654 5173 2836 6 2842 0 4 4 2836 10 2846
49 RUPANDEHI 1077 2965 25375 28340 1783 18263 20046 1132 14125 15257 23525 1 23526 576 6 582 24101 7 24108
50 KAPILBASTU 973 1155 15614 16769 702 9936 10638 407 7000 7407 4308 87 4395 3 504 507 4311 591 4902
51 ARGHAKHANCHI 528 725 2554 3279 595 2095 2690 316 1730 2046 1320 37 1357 4 72 76 1324 109 1433
52 PYUTHAN 595 1414 3917 5331 1019 2738 3757 686 2116 2802 3157 11 3168 68 3 71 3225 14 3239
53 ROLPA 635 1517 3504 5021 1066 2433 3499 675 1776 2451 1980 24 2004 793 4 797 2773 28 2801
54 RUKUM 176 397 958 1355 292 547 839 207 405 612 428 29 457 78 33 111 506 62 568
56 DANG 604 3336 8879 12215 2781 7343 10124 2199 6400 8599 9343 14 9357 61 1 62 9404 15 9419
57 BANKE 672 2143 11841 13984 1435 7844 9279 872 5223 6095 12364 43 12407 3240 6 3246 15604 49 15653
58 BARDIYA 471 1614 6676 8290 1456 6013 7469 1097 4779 5876 5248 0 5248 62 0 62 5310 0 5310
Province 6 4246 13697 28053 41750 8760 17940 26700 5201 13450 18651 18852 365 19217 4019 262 4281 22871 627 23498
54.1 RUKUM WEST 317 2279 3692 5971 948 1500 2448 419 787 1206 1602 23 1625 448 35 483 2050 58 2108
55 SALYAN 574 2317 3713 6030 1768 2680 4448 1315 2181 3496 3206 22 3228 24 1 25 3230 23 3253
59 SURKHET 838 3029 6660 9689 2281 4898 7179 1687 4769 6456 5927 0 5927 1175 0 1175 7102 0 7102
60 DAILEKH 785 1598 3695 5293 1355 3063 4418 820 2173 2993 2818 16 2834 1578 42 1620 4396 58 4454
61 JAJARKOT 341 1277 1999 3276 740 1209 1949 315 706 1021 1041 100 1141 230 60 290 1271 160 1431
62 DOLPA 285 188 546 734 81 235 316 50 209 259 255 17 272 10 20 30 265 37 302
63 JUMLA 351 952 1872 2824 729 1222 1951 215 667 882 1161 72 1233 219 36 255 1380 108 1488
64 KALIKOT 351 915 3661 4576 405 1986 2391 196 1430 1626 2052 4 2056 271 4 275 2323 8 2331
65 MUGU 258 982 1788 2770 358 945 1303 135 397 532 612 108 720 18 55 73 630 163 793
66 HUMLA 146 160 427 587 95 202 297 49 131 180 178 3 181 46 9 55 224 12 236
Province 7 5586 10359 48052 58411 8023 37973 45996 5257 29882 35139 37691 152 37843 5434 192 5626 43125 344 43469
67 BAJURA 334 684 2342 3026 515 1843 2358 297 1258 1555 2056 26 2082 194 10 204 2250 36 2286
68 BAJHANG 607 1152 4278 5430 809 2842 3651 500 2428 2928 3476 28 3504 155 5 160 3631 33 3664
69 ACHHAM 964 1406 5909 7315 1093 4495 5588 759 3858 4617 3637 19 3656 1049 149 1198 4686 168 4854
70 DOTI 740 1016 4399 5415 658 3156 3814 439 2287 2726 3564 43 3607 117 12 129 3681 55 3736
71 KAILALI 674 2913 13740 16653 2344 11619 13963 1547 8609 10156 12527 1 12528 2570 4 2574 15097 5 15102
72 KANCHANPUR 440 1434 7459 8893 1204 6114 7318 891 4754 5645 5551 1 5552 0 1 1 5551 2 5553
73 DADELDHURA 366 651 2904 3555 505 2070 2575 355 1810 2165 2345 7 2352 83 0 83 2428 7 2435
74 BAITADI 957 576 4908 5484 492 4147 4639 263 3466 3729 2693 23 2716 1207 9 1216 3900 32 3932
75 DARCHAULA 504 527 2113 2640 403 1687 2090 206 1412 1618 1842 4 1846 59 2 61 1901 6 1907
 Raw Data: SAFEMOTHERHOOD (Sheet 2 of 6)
Type of Delivery PNC Visit Transport
ANC Incentive
Spontaneous Vacuum/Forcep C/S Total 3 PNC Incentive

Received

Received
Shoulder

Shoulder

Shoulder

Shoulder
District Name Within visit as

Cephalic

Cephalic

Cephalic

Cephalic

Eligible

Eligible
Breech

Breech

Breech

Breech

Total
24 hour per
protocol
NEPAL 305727 1785 3488 8969 148 285 59089 862 1691 373785 2795 5464 382044 328398 122610 448175 402849 153556 123031
Province 1 39531 272 357 1354 95 71 13722 428 472 54607 795 900 56302 45977 9746 46930 38480 14575 9732
01 TAPLEJUNG 1140 3 6 24 2 2 98 2 10 1262 7 18 1287 1155 448 8462 1023 2017 416
02 PANCHTHAR 1606 2 27 26 0 0 114 0 10 1746 2 37 1785 1683 488 1748 1739 815 774
03 ILAM 1320 0 14 24 0 1 134 0 5 1478 0 20 1498 1504 221 1390 1373 639 622
04 JHAPA 7776 8 88 161 0 8 8085 1 82 16022 9 178 16209 13047 1079 10843 10781 901 873
05 MORANG 11882 235 80 883 93 55 4646 423 330 17411 751 465 18627 12478 1976 5236 8349 443 657
06 SUNSARI 4435 2 44 18 0 0 8 0 0 4461 2 44 4507 4534 1068 7640 3918 3851 1590
07 DHANKUTA 670 0 2 25 0 0 7 0 0 702 0 2 704 717 179 312 300 176 124
08 TERHATHUM 580 2 5 41 0 4 59 0 0 680 2 9 691 576 40 674 674 502 479
09 SANKHUWASABHA 1623 1 19 58 0 0 132 2 2 1813 3 21 1837 1810 436 1697 1519 1127 885
10 BHOJPUR 1091 1 13 13 0 1 0 0 0 1104 1 14 1119 1065 498 974 937 484 442
11 SOLUKHUMBU 743 0 4 3 0 0 23 0 2 769 0 6 775 598 496 2025 2022 265 247
12 OKHALDHUNGA 2022 12 18 51 0 0 114 0 30 2187 12 48 2247 2190 1070 1828 1826 496 414
13 KHOTANG 1652 3 20 1 0 0 46 0 0 1699 3 20 1722 1507 806 1066 1066 667 667
14 UDAYAPUR 2991 3 17 26 0 0 256 0 1 3273 3 18 3294 3113 941 3035 2953 2192 1542
Province 2 58219 1127 831 1872 7 92 4319 72 56 64410 1206 979 66595 55963 29273 132492 140103 27642 24111
15 SAPTARI 4934 1 80 7 2 0 81 0 0 5022 3 80 5105 5243 4392 4328 2978 2064 1461
16 SIRAHA 6292 0 40 117 1 2 386 0 27 6795 1 69 6865 6792 1580 13213 12789 681 567
17 DHANUSA 9460 5 11 637 0 0 1634 0 0 11731 5 11 11747 11831 2269 699 623 101 67
18 MAHOTTARI 4110 4 240 25 0 0 25 0 0 4160 4 240 4404 4586 2800 2500 17607 633 1111
19 SARLAHI 8690 8 143 505 0 27 59 0 0 9254 8 170 9432 8926 5974 97587 97564 22466 19946
32 RAUTAHAT 8808 40 119 78 0 11 24 0 0 8910 40 130 9080 8771 5314 4948 3124 805 402
33 BARA 4580 1043 24 20 2 47 19 60 10 4619 1105 81 5805 2526 1704 6025 3650 215 106
34 PARSA 11345 26 174 483 2 5 2091 12 19 13919 40 198 14157 7288 5240 3192 1768 677 451
Province 3 58435 47 246 1698 19 23 22334 98 372 82467 164 641 83272 62962 17748 55867 55013 14712 12601
20 SINDHULI 1838 2 11 32 0 0 82 0 0 1952 2 11 1965 1776 292 2706 1665 551 493
21 RAMECHHAP 1460 0 16 57 0 0 116 5 12 1633 5 28 1666 1614 434 1557 1556 1059 1041
22 DOLAKHA 1723 3 24 22 0 0 148 0 10 1893 3 34 1930 1924 768 3122 3181 1096 977
23 SINDHUPALCHOK 1341 2 17 23 0 0 25 0 0 1389 2 17 1408 1151 243 1024 991 510 472
24 KAVRE 4570 2 9 162 0 0 1217 0 0 5949 2 9 5960 5639 1476 4757 4548 745 630
25 LALITPUR 4658 0 24 153 0 2 3976 0 0 8787 0 26 8813 6652 3177 1041 759 1419 476
26 BHAKTAPUR 1066 2 4 10 0 0 469 5 3 1545 7 7 1559 1438 493 394 394 0 9
27 KATHMANDU 21637 1 6 709 0 0 11919 17 221 34265 18 227 34510 29683 7871 26329 26308 1148 1120
28 NUWAKOT 1994 1 12 49 0 0 124 0 23 2167 1 35 2203 2121 319 2123 2152 923 945
29 RASUWA 273 1 2 0 0 0 0 0 0 273 1 2 276 275 160 224 222 130 135
30 DHADING 3274 10 30 24 0 0 36 0 0 3334 10 30 3374 3311 902 3298 3297 2571 2562
31 MAKWANPUR 4171 2 17 23 1 5 426 10 10 4620 13 32 4665 4647 1144 4646 5301 2672 1931
35 CHITAWAN 10430 21 74 434 18 16 3796 61 93 14660 100 183 14943 2731 469 4646 4639 1888 1810
Province 4 23035 0 238 557 0 2 5035 77 175 28627 77 415 29119 25251 8014 28083 25074 9115 8366
36 GORKHA 2127 0 22 32 0 0 104 0 6 2263 0 28 2291 2281 1171 2273 2241 1467 1403
37 LAMJUNG 1500 0 10 58 0 0 132 1 16 1690 1 26 1717 1740 575 907 886 669 632
38 TANAHU 1837 0 15 19 0 0 46 0 0 1902 0 15 1917 1850 682 1831 1822 449 443
39 SYANGJA 1411 0 9 59 0 0 52 0 0 1522 0 9 1531 1504 764 1506 1506 730 730
40 KASKI 9075 0 83 293 0 0 4447 74 139 13815 74 222 14111 10535 2618 8588 8775 307 703
41 MANANG 13 0 2 0 0 0 0 0 0 13 0 2 15 15 12 10 2 9 2
42 MUSTANG 49 0 0 0 0 0 0 0 0 49 0 0 49 52 21 6045 3038 1217 811
43 MYAGDI 1384 0 56 42 0 0 74 0 3 1500 0 59 1559 1503 631 1384 1374 700 648
44 PARBAT 1004 0 5 24 0 0 24 0 0 1052 0 5 1057 991 217 999 953 674 605
45 BAGLUNG 3040 0 19 30 0 2 156 2 11 3226 2 32 3260 3191 809 2990 2966 1445 1381
48.1 NAWALPUR 1595 0 17 0 0 0 0 0 0 1595 0 17 1612 1589 514 1550 1511 1448 1008
Province 5 65679 76 964 2464 20 57 10363 144 479 78506 240 1500 80246 72825 27916 65923 65341 40738 28628
46 GULMI 2660 2 15 19 0 0 19 0 1 2698 2 16 2716 2590 2008 2487 2492 1761 1742
47 PALPA 4239 1 55 182 0 2 849 2 55 5270 3 112 5385 5348 807 3230 3193 688 555
48 NAWALPARASI 2700 5 26 13 0 0 67 0 3 2780 5 29 2814 2835 422 2898 2640 1622 1698
49 RUPANDEHI 18676 12 280 1047 0 19 5507 85 195 25230 97 494 25821 23225 9412 22833 22651 19172 9339
50 KAPILBASTU 4710 3 40 23 0 1 31 0 6 4764 3 47 4814 4635 1959 4054 3975 1128 1095
51 ARGHAKHANCHI 1477 1 17 4 0 0 19 0 0 1500 1 17 1518 1179 294 1349 1405 581 770
52 PYUTHAN 2929 1 65 18 0 0 196 1 31 3143 2 96 3241 3239 328 3233 3232 1855 1855
53 ROLPA 2668 25 36 4 0 0 25 4 7 2697 29 43 2769 2743 599 2765 2765 1617 1617
54 RUKUM 528 7 13 38 0 0 7 0 0 573 7 13 593 511 301 485 477 239 244
56 DANG 7920 12 61 324 12 32 707 20 91 8951 44 184 9179 9422 7275 9432 7511 6259 4907
57 BANKE 11985 5 268 755 8 3 2908 32 90 15648 45 361 16054 12062 1606 7795 10035 1934 1371
58 BARDIYA 5187 2 88 37 0 0 28 0 0 5252 2 88 5342 5036 2905 5362 4965 3882 3435
Province 6 21529 16 356 424 4 7 931 8 49 22884 28 412 23324 22528 7747 76285 36910 14251 11924
54.1 RUKUM WEST 1917 2 37 74 2 6 73 1 12 2064 5 55 2124 2001 390 1551 2140 877 666
55 SALYAN 3042 3 68 60 2 0 67 2 21 3169 7 89 3265 3220 620 3339 3144 1814 1709
59 SURKHET 6160 3 92 194 0 0 653 0 0 7007 3 92 7102 7172 1918 7103 7103 4655 4655
60 DAILEKH 4332 1 58 30 0 0 26 0 0 4388 1 58 4447 4200 1387 4416 4405 2154 1705
61 JAJARKOT 1276 5 22 15 0 0 0 0 0 1291 5 22 1318 1321 764 6099 1074 1719 1230
62 DOLPA 281 0 5 14 0 0 1 0 0 296 0 5 301 274 192 1671 205 79 50
63 JUMLA 1311 0 25 13 0 0 61 3 11 1385 3 36 1424 1432 755 46236 5565 1485 618
64 KALIKOT 2260 1 42 10 0 1 22 0 4 2292 1 47 2340 2256 1456 2335 2317 1172 1081
65 MUGU 712 1 5 12 0 0 27 2 1 751 3 6 760 445 134 459 387 248 163
66 HUMLA 238 0 2 2 0 0 1 0 0 241 0 2 243 207 131 3076 10570 48 47
Province 7 39299 247 496 600 3 33 2385 35 88 42284 285 617 43186 42892 22166 42595 41928 32523 27669
67 BAJURA 2201 2 39 12 0 0 4 0 0 2217 2 39 2258 2221 1029 2242 2167 1374 1328
68 BAJHANG 3463 0 69 28 0 0 67 6 7 3558 6 76 3640 3586 1511 3614 3603 2500 2337
69 ACHHAM 4408 217 43 11 0 0 104 25 10 4523 242 53 4818 4774 3308 4578 4524 3476 3374
70 DOTI 3441 12 83 102 3 5 54 0 0 3597 15 88 3700 3655 1613 3622 3622 2338 2000
71 KAILALI 12589 5 97 359 0 27 1963 2 45 14911 7 169 15087 14838 10393 14833 14421 12952 9234
72 KANCHANPUR 5340 10 69 16 0 0 7 0 0 5363 10 69 5442 5557 1345 5489 5480 4374 3975
73 DADELDHURA 2238 1 25 25 0 0 118 1 16 2381 2 41 2424 2439 687 2419 2318 1713 1629
74 BAITADI 3818 0 41 25 0 0 23 0 3 3866 0 44 3910 3917 1653 3897 3897 2776 2776
75 DARCHAULA 1801 0 30 22 0 1 45 1 7 1868 1 38 1907 1905 627 1901 1896 1020 1016
 Raw Data: SAFEMOTHERHOOD (Sheet 3 of 6)

No. of Mother No. of Live Births

Multiple Multiple
District Name Single Total
Single Total Twin ≥ Triplet
Twin ≥ Triplet
Female Male Female Male Female Male Female Male Total
NEPAL 351722 2326 226 354274 164732 175911 1386 1279 206 63 166324 177253 343577
Province 1 47282 288 3 47573 21552 21704 180 126 4 7 21736 21837 43573
01 TAPLEJUNG 1287 3 0 1290 622 663 6 8 0 0 628 671 1299
02 PANCHTHAR 1774 12 0 1786 850 897 2 4 0 0 852 901 1753
03 ILAM 1507 9 0 1516 729 765 4 4 0 0 733 769 1502
04 JHAPA 13598 63 0 13661 7330 7903 60 41 2 6 7392 7950 15342
05 MORANG 12259 143 2 12404 3883 3356 34 30 0 0 3917 3386 7303
06 SUNSARI 4514 11 0 4525 2158 2113 5 1 0 0 2163 2114 4277
07 DHANKUTA 684 2 0 686 322 302 15 3 0 0 337 305 642
08 TERHATHUM 683 2 0 685 346 339 1 0 0 0 347 339 686
09 SANKHUWASABHA 1814 7 0 1821 784 846 10 5 0 0 794 851 1645
10 BHOJPUR 1095 1 1 1097 535 543 1 1 2 1 538 545 1083
11 SOLUKHUMBU 777 6 0 783 384 356 6 5 0 0 390 361 751
12 OKHALDHUNGA 2254 21 0 2275 1143 1085 21 19 0 0 1164 1104 2268
13 KHOTANG 1712 1 0 1713 837 859 4 3 0 0 841 862 1703
14 UDAYAPUR 3324 7 0 3331 1629 1677 11 2 0 0 1640 1679 3319
Province 2 64915 316 11 65242 26673 28094 117 107 16 5 26806 28206 55012
15 SAPTARI 5281 15 0 5296 2477 2743 4 9 0 0 2481 2752 5233
16 SIRAHA 7202 37 2 7241 3358 3826 8 12 1 3 3367 3841 7208
17 DHANUSA 11967 67 0 12034 1615 1671 1 0 0 0 1616 1671 3287
18 MAHOTTARI 4515 12 0 4527 2138 2256 4 4 0 0 2142 2260 4402
19 SARLAHI 9412 36 1 9449 4632 4815 15 6 8 0 4655 4821 9476
32 RAUTAHAT 8509 65 8 8582 4906 4694 40 38 5 1 4951 4733 9684
33 BARA 4487 27 0 4514 2420 2680 24 16 2 1 2446 2697 5143
34 PARSA 13542 57 0 13599 5127 5409 21 22 0 0 5148 5431 10579
Province 3 68908 661 9 69578 36672 37784 379 358 5 33 37056 38175 75231
20 SINDHULI 1859 1 0 1860 878 999 5 2 0 0 883 1001 1884
21 RAMECHHAP 1638 5 0 1643 814 818 7 5 0 0 821 823 1644
22 DOLAKHA 1972 16 0 1988 947 1007 9 13 0 0 956 1020 1976
23 SINDHUPALCHOK 1188 3 0 1191 611 638 3 0 0 0 614 638 1252
24 KAVRE 5556 46 2 5604 1525 1779 10 22 0 0 1535 1801 3336
25 LALITPUR 8755 80 2 8837 4392 4142 61 83 3 2 4456 4227 8683
26 BHAKTAPUR 1318 171 0 1489 601 711 12 0 0 0 613 711 1324
27 KATHMANDU 28789 260 4 29053 14227 15493 219 186 0 3 14446 15682 30128
28 NUWAKOT 2185 6 0 2191 1051 1111 4 8 0 0 1055 1119 2174
29 RASUWA 276 0 0 276 124 143 0 0 0 0 124 143 267
30 DHADING 3302 8 0 3310 1536 1766 1 3 0 0 1537 1769 3306
31 MAKWANPUR 4657 10 0 4667 2290 2334 8 2 0 0 2298 2336 4634
35 CHITAWAN 7413 55 1 7469 7676 6843 40 34 2 28 7718 6905 14623
Province 4 28613 166 5 28784 13030 14838 102 88 1 10 13133 14936 28069
36 GORKHA 2294 5 0 2299 1060 1194 3 3 0 0 1063 1197 2260
37 LAMJUNG 1761 10 1 1772 767 958 4 2 0 2 771 962 1733
38 TANAHU 1917 0 0 1917 892 1008 0 0 0 0 892 1008 1900
39 SYANGJA 1521 6 1 1528 676 807 4 0 0 3 680 810 1490
40 KASKI 13600 123 1 13724 6366 7307 75 67 0 0 6441 7374 13815
41 MANANG 16 0 0 16 10 6 0 0 0 0 10 6 16
42 MUSTANG 57 0 0 57 31 29 0 0 0 0 31 29 60
43 MYAGDI 1516 9 0 1525 744 756 3 9 0 0 747 765 1512
44 PARBAT 1056 1 0 1057 467 542 0 1 0 0 467 543 1010
45 BAGLUNG 3250 10 1 3261 1260 1372 11 6 1 2 1272 1380 2652
48.1 NAWALPUR 1625 2 1 1628 757 859 2 0 0 3 759 862 1621
Province 5 77596 596 194 78386 35696 39134 351 354 179 6 36226 39494 75720
46 GULMI 2707 1 0 2708 1287 1328 1 2 0 0 1288 1330 2618
47 PALPA 5519 57 4 5580 2634 2811 37 23 0 0 2671 2834 5505
48 NAWALPARASI 2824 13 0 2837 1382 1382 1 4 0 0 1383 1386 2769
49 RUPANDEHI 25385 212 6 25603 11073 12262 103 119 3 3 11179 12384 23563
50 KAPILBASTU 4763 27 0 4790 2417 2420 12 11 0 0 2429 2431 4860
51 ARGHAKHANCHI 1498 3 0 1501 694 805 6 4 0 0 700 809 1509
52 PYUTHAN 3218 27 0 3245 1493 1666 24 19 0 0 1517 1685 3202
53 ROLPA 2749 16 0 2765 1248 1472 11 21 0 0 1259 1493 2752
54 RUKUM 537 3 0 540 319 276 4 0 0 0 323 276 599
56 DANG 9390 35 2 9427 4370 4933 23 19 0 0 4393 4952 9345
57 BANKE 13706 175 182 14063 6333 7076 116 116 176 3 6625 7195 13820
58 BARDIYA 5300 27 0 5327 2446 2703 13 16 0 0 2459 2719 5178
Province 6 23192 119 1 23312 11033 11856 107 93 1 2 11141 11951 23092
54.1 RUKUM WEST 2093 13 0 2106 979 1022 9 5 0 0 988 1027 2015
55 SALYAN 3227 11 0 3238 1533 1645 10 11 0 0 1543 1656 3199
59 SURKHET 7063 39 0 7102 3239 3714 33 42 0 0 3272 3756 7028
60 DAILEKH 4451 25 0 4476 2122 2292 21 18 0 0 2143 2310 4453
61 JAJARKOT 1402 7 0 1409 721 667 2 0 0 0 723 667 1390
62 DOLPA 270 0 0 270 125 129 0 2 0 0 125 131 256
63 JUMLA 1395 1 0 1396 705 741 7 4 0 0 712 745 1457
64 KALIKOT 2328 9 1 2338 1116 1200 4 11 1 2 1121 1213 2334
65 MUGU 755 1 0 756 367 365 7 0 0 0 374 365 739
66 HUMLA 208 13 0 221 126 81 14 0 0 0 140 81 221
Province 7 41216 180 3 41399 20076 22501 150 153 0 0 20226 22654 42880
67 BAJURA 2241 9 0 2250 1119 1118 0 10 0 0 1119 1128 2247
68 BAJHANG 3600 24 0 3624 1684 1840 17 11 0 0 1701 1851 3552
69 ACHHAM 4782 24 1 4807 2163 2487 23 21 0 0 2186 2508 4694
70 DOTI 3666 18 0 3684 1731 1891 12 15 0 0 1743 1906 3649
71 KAILALI 13212 52 2 13266 6939 8038 54 54 0 0 6993 8092 15085
72 KANCHANPUR 5508 21 0 5529 2513 2939 10 8 0 0 2523 2947 5470
73 DADELDHURA 2413 13 0 2426 1122 1265 8 10 0 0 1130 1275 2405
74 BAITADI 3898 8 0 3906 1864 1994 17 13 0 0 1881 2007 3888
75 DARCHAULA 1896 11 0 1907 941 929 9 11 0 0 950 940 1890
 Raw Data: SAFEMOTHERHOOD (Sheet 4 of 6)
Birth weight

Total No of live
CHX applied in
No of still births Blood transfusion
Normal (≥ 2.5 kg) Low (2 to < 2.5 kg) Very low (< 2 kg)

birth
cord
Macerate
Asphyxia

Asphyxia

Asphyxia
District Name

Total No

Total No

Total No
Defect

Defect

Defect

Fresh

Units
No.
d
NEPAL 309096 2922 113 30843 1351 40 8539 840 38 3156 2802 313677 343577 5927 8580
Province 1 43562.5 833 10 5828 499 4 2116 301 9 328 237 31444 43573 886 1265
01 TAPLEJUNG 1273 15 0 29 3 0 10 1 0 34 4 1271 1299 30 63
02 PANCHTHAR 1694 15 0 62 3 0 26 4 0 13 4 1793 1753 48 88
03 ILAM 1466 3 1 30 0 0 5 0 0 16 7 1390 1502 17 25
04 JHAPA 12932 537 1 2274 445 1 1246 284 8 45 47 4293 15342 238 384
05 MORANG 10324 29 0 2619 13 0 700 5 1 75 97 7657 7303 454 508
06 SUNSARI 4173 69 0 325 4 0 26 0 0 20 7 3498 4277 3 1
07 DHANKUTA 617 7 0 26 0 0 5 1 0 5 2 610 642 1 3
08 TERHATHUM 641 7 0 33 0 0 12 0 0 6 2 513 686 0 0
09 SANKHUWASABHA 1746 54 1 87 9 0 18 0 0 24 18 1889 1645 17 71
10 BHOJPUR 1051 18 1 30 1 0 10 3 0 13 6 1136 1083 2 5
11 SOLUKHUMBU 723 4 0 23 0 0 3 0 0 8 2 234 751 5 9
12 OKHALDHUNGA 2097 22 3 130 6 2 24 0 0 9 24 2178 2268 29 47
13 KHOTANG 1655 15 0 22 2 0 14 1 0 24 9 1631 1703 35 38
14 UDAYAPUR 3171 38 3 138 13 1 17 2 0 36 8 3351 3319 7 23
Province 2 58036 525 22 4856 266 2 1925 117 1 521 258 60086 55012 1246 1678
15 SAPTARI 4918 36 1 339 39 0 52 0 0 18 20 5527 5233 20 25
16 SIRAHA 5814 33 2 772 17 0 587 6 0 27 13 1565 7208 130 135
17 DHANUSA 11713 14 1 171 3 0 24 0 0 164 7 11610 3287 4 4
18 MAHOTTARI 4355 71 8 225 18 0 36 1 0 19 11 4662 4402 30 61
19 SARLAHI 9149 48 2 514 21 0 165 21 0 22 34 9703 9476 6 72
32 RAUTAHAT 8839 164 7 757 138 0 170 68 1 60 45 9402 9684 29 26
33 BARA 5310 6 0 136 1 0 35 0 0 26 33 5799 5143 17 6
34 PARSA 7938 153 1 1942 29 2 856 21 0 185 95 11818 10579 1010 1349
Province 3 56281 193 15 5378 81 5 792 111 9 1027 684 56102 75231 340 923
20 SINDHULI 1748 16 0 48 4 0 10 1 0 12 4 1890 1884 29 48
21 RAMECHHAP 1582 15 2 67 7 0 18 3 0 17 7 1661 1644 11 11
22 DOLAKHA 1823 17 3 126 6 0 35 2 1 19 7 1993 1976 14 20
23 SINDHUPALCHOK 1232 9 0 75 2 0 23 0 1 11 6 1229 1252 2 3
24 KAVRE 2616 7 1 285 0 0 60 2 1 777 24 5403 3336 25 91
25 LALITPUR 7211 1 0 755 1 0 158 0 0 22 50 915 8683 7 8
26 BHAKTAPUR 1306 2 0 106 1 0 31 0 0 3 12 1140 1324 12 27
27 KATHMANDU 26392 26 1 3266 12 2 241 64 4 67 365 22584 30128 148 531
28 NUWAKOT 2119 7 2 60 0 0 19 0 0 9 16 2190 2174 10 13
29 RASUWA 260 0 0 8 0 0 3 0 0 2 0 273 267 0 0
30 DHADING 3165 17 1 125 3 0 28 2 0 29 18 3442 3306 7 14
31 MAKWANPUR 4506 13 0 112 3 2 19 0 0 11 31 4619 4634 22 34
35 CHITAWAN 2321 63 5 345 42 1 147 37 2 48 144 8763 14623 53 123
Province 4 25398 120 5 2763 40 0 634 66 0 146 247 25282 28069 229 409
36 GORKHA 2152 26 0 99 8 0 23 4 0 17 11 2233 2260 23 29
37 LAMJUNG 1601 35 1 102 6 0 11 4 0 11 10 1750 1733 53 76
38 TANAHU 1775 6 0 109 1 0 21 1 0 3 5 1855 1900 4 5
39 SYANGJA 1448 0 1 58 2 0 10 0 0 6 10 1491 1490 9 9
40 KASKI 11752 31 0 2161 19 0 512 51 0 74 162 10956 13815 85 136
41 MANANG 13 0 0 1 0 0 1 0 0 0 0 15 16 0 0
42 MUSTANG 51 0 0 5 0 0 0 0 0 0 1 48 60 0 0
43 MYAGDI 1435 4 1 61 0 0 11 4 0 6 13 1441 1512 13 131
44 PARBAT 1020 0 0 32 0 0 31 0 0 6 7 792 1010 1 0
45 BAGLUNG 2580 9 0 90 2 0 8 2 0 18 19 3103 2652 41 16
48.1 NAWALPUR 1571 9 2 45 2 0 6 0 0 5 9 1598 1621 0 7
Province 5 64222 641 16 7872 299 8 1964 201 7 613 859 75894 75720 2720 3250
46 GULMI 2194 2 0 68 1 1 34 0 1 14 6 2528 2618 4 4
47 PALPA 4671 8 0 526 3 0 96 4 0 34 44 5562 5505 25 63
48 NAWALPARASI 2551 15 0 214 1 0 49 1 0 18 23 2735 2769 35 74
49 RUPANDEHI 20767 194 1 3853 126 3 953 55 0 227 298 22221 23563 618 1085
50 KAPILBASTU 4463 7 3 412 6 1 49 1 0 50 36 5216 4860 1 1
51 ARGHAKHANCHI 1305 7 0 105 1 0 12 0 0 7 7 1415 1509 0 0
52 PYUTHAN 3035 14 1 136 4 0 28 0 1 39 21 3197 3202 48 82
53 ROLPA 2670 31 2 62 3 0 19 4 0 28 13 2742 2752 6 16
54 RUKUM 541 8 0 15 1 0 2 0 0 2 7 525 599 1 0
56 DANG 8586 103 4 621 35 0 128 16 0 29 114 9305 9345 130 137
57 BANKE 8838 191 5 1332 95 2 531 116 5 131 250 15246 13820 1720 1668
58 BARDIYA 4601 61 0 528 23 1 63 4 0 34 40 5202 5178 132 120
Province 6 22014 267 19 1366 52 11 257 19 3 248 111 22342 23092 141 230
54.1 RUKUM WEST 1873 52 1 95 5 0 45 2 1 31 19 1773 2015 35 55
55 SALYAN 2976 28 7 193 10 1 39 5 0 20 15 3141 3199 34 15
59 SURKHET 6550 67 0 447 3 1 42 2 0 92 22 7019 7028 34 75
60 DAILEKH 4133 38 4 253 11 0 41 4 1 24 27 4183 4453 9 19
61 JAJARKOT 1619 10 0 102 5 0 11 2 0 13 3 1378 1390 5 4
62 DOLPA 238 4 2 13 0 0 2 0 0 6 4 270 256 0 0
63 JUMLA 1312 26 1 119 10 9 41 3 0 37 13 1368 1457 8 14
64 KALIKOT 2215 33 3 91 4 0 17 1 0 18 7 2311 2334 14 43
65 MUGU 862 7 0 44 3 0 19 0 1 4 1 688 739 2 5
66 HUMLA 236 2 1 9 1 0 0 0 0 3 0 211 221 0 0
Province 7 39582 343 26 2780 114 10 851 25 9 273 406 42527 42880 365 825
67 BAJURA 2121 35 1 90 5 2 37 1 1 16 12 2212 2247 20 30
68 BAJHANG 3392 36 2 188 9 0 46 2 0 12 27 3583 3552 10 24
69 ACHHAM 4534 64 9 191 8 2 78 2 4 56 31 4676 4694 59 74
70 DOTI 3525 22 1 134 4 0 15 2 0 26 19 3583 3649 6 6
71 KAILALI 13461 63 3 1209 26 2 520 3 2 69 237 14969 15085 186 455
72 KANCHANPUR 5006 41 1 440 47 3 64 7 0 23 29 5475 5470 18 30
73 DADELDHURA 2157 20 5 198 7 0 39 2 1 21 17 2284 2405 57 193
74 BAITADI 3608 41 3 242 6 0 27 2 1 34 25 3864 3888 3 5
75 DARCHAULA 1778 21 1 88 2 1 25 4 0 16 9 1881 1890 6 8
 Raw Data: SAFEMOTHERHOOD (Sheet 5 of 6)

Obstetric Complications Maternal Deaths

Abortion complication (O08)

Obstructed Labor (O64-O66)

Severe/Pre-eclampsia (O14)
Preg.-induced hypertension

Other complications (O75)

Antepartum haemorrhage

Postpartum haemorrhage
Hyperemesis grivadarum
Ectopic pregnancy (O00)

Retained placenta (O73)

Ruptured uterus (S37.6)
Prolonged labour (O63)

Pueperal sepsis (O85)

Eclampsia (O15)

Ante-partum

Intra-partum

Post-partum
(O21.0)
(O13)

(O46)

(O72)
District Name

NEPAL 1178 7632 1652 959 802 4812 953 4473 5920 105 4133 3623 650 5519 25 34 74
Province 1 92 954 184 81 112 621 121 561 340 11 697 772 97 771 0 0 6
01 TAPLEJUNG 9 42 30 8 5 158 9 10 1 0 23 1 11 2 0 0 0
02 PANCHTHAR 1 89 1 8 4 11 3 61 118 0 83 79 10 11 0 0 0
03 ILAM 3 93 3 1 0 19 4 6 2 0 13 56 6 50 0 0 0
04 JHAPA 13 439 47 18 15 248 31 135 17 0 129 129 4 300 0 0 1
05 MORANG 62 41 82 27 75 133 46 50 51 9 63 63 14 207 0 0 2
06 SUNSARI 0 76 5 4 0 4 0 84 9 0 255 133 4 26 0 0 0
07 DHANKUTA 1 7 0 0 0 20 0 8 1 0 2 46 7 3 0 0 0
08 TERHATHUM 0 2 0 0 0 0 0 1 0 0 4 15 1 1 0 0 0
09 SANKHUWASABHA 0 1 0 1 2 1 0 70 45 0 22 43 30 3 0 0 0
10 BHOJPUR 0 11 1 2 1 2 2 22 6 0 6 48 3 12 0 0 0
11 SOLUKHUMBU 0 1 0 0 1 0 0 1 6 0 18 12 0 6 0 0 2
12 OKHALDHUNGA 2 116 1 2 3 6 5 39 61 1 23 59 4 107 0 0 1
13 KHOTANG 0 3 0 0 2 0 4 7 12 1 34 26 0 11 0 0 0
14 UDAYAPUR 1 33 14 10 4 19 17 67 11 0 22 62 3 32 0 0 0
Province 2 92 213 77 194 142 252 132 686 429 13 679 468 40 257 1 2 16
15 SAPTARI 7 10 2 9 7 4 6 56 37 0 25 46 16 34 0 0 0
16 SIRAHA 7 90 9 68 27 0 16 23 20 1 133 116 1 15 0 1 0
17 DHANUSA 3 4 13 3 1 20 17 5 11 1 4 3 8 3 0 0 0
18 MAHOTTARI 0 2 3 2 0 1 5 10 1 0 28 27 0 7 0 0 0
19 SARLAHI 0 0 0 1 4 0 1 13 1 3 136 138 3 64 1 1 2
32 RAUTAHAT 28 12 28 5 10 207 46 56 9 1 207 79 1 48 0 0 1
33 BARA 17 4 0 1 8 0 0 2 0 0 12 29 0 1 0 0 0
34 PARSA 30 91 22 105 85 20 41 521 350 7 134 30 11 85 0 0 13
Province 3 468 2901 1001 238 129 1890 214 421 334 26 680 690 155 263 8 4 16
20 SINDHULI 0 61 0 3 0 16 0 31 7 0 55 92 3 10 0 0 0
21 RAMECHHAP 0 5 1 0 2 0 4 40 9 1 21 23 0 8 0 0 0
22 DOLAKHA 4 36 0 3 1 4 3 8 0 0 12 22 1 1 0 0 1
23 SINDHUPALCHOK 0 8 0 1 0 7 2 16 1 0 18 26 0 5 0 0 1
24 KAVRE 10 5 2 5 12 0 25 9 110 2 88 40 13 4 0 0 0
25 LALITPUR 89 12 262 7 4 297 30 6 6 7 39 12 9 10 2 1 0
26 BHAKTAPUR 15 39 12 4 0 86 8 1 6 1 6 25 14 16 0 0 0
27 KATHMANDU 285 2205 642 133 51 1283 87 42 30 8 228 125 21 72 4 1 8
28 NUWAKOT 0 5 0 3 0 9 1 3 2 0 23 47 2 49 0 0 0
29 RASUWA 0 2 0 0 0 0 2 0 0 0 2 3 0 1 0 0 0
30 DHADING 0 39 11 2 4 3 3 43 11 0 15 37 5 40 0 0 0
31 MAKWANPUR 2 33 0 4 4 39 2 20 1 0 45 97 22 39 0 0 0
35 CHITAWAN 63 451 71 73 51 146 47 202 151 7 128 141 65 8 2 2 6
Province 4 209 927 219 69 131 1290 110 377 282 12 413 367 130 1531 1 2 6
36 GORKHA 2 116 4 4 4 21 2 143 110 0 34 13 6 103 0 0 0
37 LAMJUNG 4 64 5 1 1 25 1 7 27 2 24 10 1 92 1 0 0
38 TANAHU 0 34 0 2 0 5 3 15 38 0 40 35 2 1 0 0 0
39 SYANGJA 0 22 1 1 1 5 5 60 1 0 14 67 0 28 0 0 0
40 KASKI 202 635 195 44 123 1210 92 81 25 9 208 162 116 1217 0 2 5
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
43 MYAGDI 0 38 0 9 0 2 2 16 58 0 6 17 0 11 0 0 0
44 PARBAT 0 4 2 0 0 1 0 1 0 0 5 5 0 2 0 0 0
45 BAGLUNG 0 2 3 5 1 4 5 21 6 0 25 12 0 14 0 0 1
48.1 NAWALPUR 0 12 9 3 0 17 0 33 17 1 56 46 5 63 0 0 0
Province 5 249 1855 116 323 235 700 273 1980 4323 35 1119 576 153 2219 12 21 17
46 GULMI 0 5 3 0 0 2 1 3 0 0 29 24 7 28 0 0 0
47 PALPA 25 162 15 26 23 26 37 109 317 3 137 67 32 247 0 1 2
48 NAWALPARASI 0 89 4 11 0 3 1 23 2 0 95 23 1 22 0 0 0
49 RUPANDEHI 97 596 26 130 106 450 120 920 2578 23 452 100 64 427 3 15 2
50 KAPILBASTU 0 11 7 13 9 109 5 30 9 0 69 27 1 78 1 0 0
51 ARGHAKHANCHI 0 2 0 0 0 0 0 6 1 0 15 12 0 6 0 0 0
52 PYUTHAN 2 3 1 2 2 0 3 35 7 1 91 72 4 274 0 0 0
53 ROLPA 3 14 0 1 2 0 2 17 17 0 12 22 1 6 1 0 1
54 RUKUM 0 0 0 0 0 0 0 10 6 0 1 18 0 1 0 0 0
56 DANG 32 436 31 8 19 50 28 351 765 0 115 100 16 91 0 1 2
57 BANKE 90 475 27 114 61 32 62 397 556 7 78 94 24 996 7 4 6
58 BARDIYA 0 62 2 18 13 28 14 79 65 1 25 17 3 43 0 0 4
Province 6 23 373 6 14 22 20 31 170 38 4 114 283 21 26 1 3 2
54.1 RUKUM WEST 1 70 0 0 5 1 4 31 16 1 23 57 0 3 0 0 0
55 SALYAN 2 122 0 0 3 0 2 23 0 1 26 55 0 3 0 0 0
59 SURKHET 0 53 2 1 3 1 3 27 3 0 13 13 7 5 1 0 0
60 DAILEKH 1 70 3 6 2 15 6 26 4 0 17 67 4 2 0 1 1
61 JAJARKOT 6 13 0 3 1 0 5 17 4 0 10 15 5 7 0 0 1
62 DOLPA 0 0 0 0 0 0 2 2 4 1 0 0 0 1 0 0 0
63 JUMLA 11 24 1 3 1 2 4 17 1 0 6 18 2 2 0 0 0
64 KALIKOT 0 10 0 1 3 0 2 13 4 1 12 38 1 3 0 2 0
65 MUGU 2 11 0 0 4 1 3 11 2 0 6 18 2 0 0 0 0
66 HUMLA 0 0 0 0 0 0 0 3 0 0 1 2 0 0 0 0 0
Province 7 45 409 49 40 31 39 72 278 174 4 431 467 54 452 2 2 11
67 BAJURA 0 33 0 0 0 0 3 6 4 0 30 43 3 5 0 0 0
68 BAJHANG 1 10 2 0 5 5 4 9 36 0 18 27 3 2 0 0 1
69 ACHHAM 2 30 1 2 4 1 10 23 34 3 30 35 11 10 0 0 0
70 DOTI 4 24 2 0 1 0 2 28 16 0 47 71 3 79 0 1 0
71 KAILALI 32 205 38 6 14 30 32 70 50 0 209 175 20 273 0 1 5
72 KANCHANPUR 0 2 3 14 3 0 3 49 5 0 33 24 4 23 2 0 5
73 DADELDHURA 4 48 3 5 1 1 9 35 10 1 31 30 8 12 0 0 0
74 BAITADI 0 23 0 3 3 0 5 16 9 0 21 45 0 11 0 0 0
75 DARCHAULA 2 34 0 10 0 2 4 42 10 0 12 17 2 37 0 0 0
 Raw Data: SAFEMOTHERHOOD (Sheet 6 of 6)

Safe Abortion Service (No of women) Post Abortion FP methods Post Abortion Care (PAC)
Medical Surgical Total Medical Surgical Total This facility
District Name
< 20 ≥ 20 < 20 ≥ 20 < 20 ≥ 20 Short Long Short Long Short Long Others
Total Total Total Total Total Total Medical Surgical
years Years years Years years Years term term term term term term
NEPAL 6196 47444 53640 7138 35639 42777 13334 83083 96417 34048 7416 41464 18877 7849 26726 52925 15265 68190 1324 1965 9268
Province 1 1037 9723 10760 703 6150 6853 1740 15873 17613 6896 1438 8334 3984 1033 5017 10880 2471 13351 196 517 972
01 TAPLEJUNG 11 172 183 30 312 342 41 484 525 47 0 47 157 39 196 204 39 243 0 31 0
02 PANCHTHAR 121 1437 1558 17 137 154 138 1574 1712 1061 344 1405 37 61 98 1098 405 1503 2 14 34
03 ILAM 154 1506 1660 21 183 204 175 1689 1864 1120 358 1478 124 76 200 1244 434 1678 3 0 100
04 JHAPA 404 2546 2950 267 1997 2264 671 4543 5214 1725 249 1974 1216 307 1523 2941 556 3497 119 142 404
05 MORANG 109 1623 1732 44 784 828 153 2407 2560 1265 176 1441 404 145 549 1669 321 1990 7 9 136
06 SUNSARI 161 1572 1733 211 1904 2115 372 3476 3848 1044 219 1263 1527 285 1812 2571 504 3075 43 281 70
07 DHANKUTA 55 575 630 20 317 337 75 892 967 432 78 510 197 91 288 629 169 798 5 22 29
08 TERHATHUM 4 27 31 3 23 26 7 50 57 0 0 0 6 0 6 6 0 6 0 0 13
09 SANKHUWASABHA 9 113 122 74 332 406 83 445 528 124 2 126 229 19 248 353 21 374 0 10 25
10 BHOJPUR 2 9 11 0 17 17 2 26 28 25 5 30 0 0 0 25 5 30 0 0 20
11 SOLUKHUMBU 0 11 11 13 25 38 13 36 49 13 3 16 21 6 27 34 9 43 0 2 11
12 OKHALDHUNGA 1 38 39 0 15 15 1 53 54 16 2 18 4 2 6 20 4 24 17 0 116
13 KHOTANG 6 44 50 2 7 9 8 51 59 0 0 0 0 0 0 0 0 0 0 2 5
14 UDAYAPUR 0 50 50 1 97 98 1 147 148 24 2 26 62 2 64 86 4 90 0 4 9
Province 2 547 3861 4408 570 2173 2743 1117 6034 7151 2897 571 3468 1106 595 1701 4003 1166 5169 79 91 681
15 SAPTARI 51 716 767 0 11 11 51 727 778 551 87 638 6 2 8 557 89 646 1 37 7
16 SIRAHA 98 798 896 21 275 296 119 1073 1192 597 66 663 157 97 254 754 163 917 5 2 86
17 DHANUSA 97 525 622 235 507 742 332 1032 1364 434 99 533 196 133 329 630 232 862 9 9 4
18 MAHOTTARI 22 108 130 92 188 280 114 296 410 43 28 71 109 227 336 152 255 407 0 0 17
19 SARLAHI 7 83 90 10 160 170 17 243 260 81 4 85 146 34 180 227 38 265 2 0 0
32 RAUTAHAT 58 515 573 6 74 80 64 589 653 415 121 536 39 16 55 454 137 591 11 0 26
33 BARA 33 315 348 0 21 21 33 336 369 218 42 260 0 0 0 218 42 260 13 8 55
34 PARSA 181 801 982 206 937 1143 387 1738 2125 558 124 682 453 86 539 1011 210 1221 38 35 486
Province 3 2486 10945 13431 2025 9987 12012 4511 20932 25443 8455 1689 10144 4645 1749 6394 13100 3438 16538 393 211 2017
20 SINDHULI 11 186 197 0 15 15 11 201 212 32 4 36 4 1 5 36 5 41 0 0 90
21 RAMECHHAP 27 371 398 1 29 30 28 400 428 211 45 256 1 0 1 212 45 257 11 4 7
22 DOLAKHA 11 192 203 7 85 92 18 277 295 150 15 165 61 15 76 211 30 241 1 15 118
23 SINDHUPALCHOK 9 104 113 0 3 3 9 107 116 72 38 110 0 0 0 72 38 110 2 1 31
24 KAVRE 151 944 1095 55 378 433 206 1322 1528 725 128 853 125 82 207 850 210 1060 2 13 14
25 LALITPUR 91 1311 1402 55 870 925 146 2181 2327 912 201 1113 276 203 479 1188 404 1592 5 4 20
26 BHAKTAPUR 24 251 275 3 31 34 27 282 309 267 47 314 13 14 27 280 61 341 24 0 22
27 KATHMANDU 1765 4457 6222 1348 5487 6835 3113 9944 13057 3804 820 4624 2369 1078 3447 6173 1898 8071 307 44 1056
28 NUWAKOT 10 121 131 40 405 445 50 526 576 77 26 103 207 174 381 284 200 484 1 0 175
29 RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 DHADING 49 616 665 6 100 106 55 716 771 379 24 403 9 1 10 388 25 413 5 116 96
31 MAKWANPUR 75 608 683 107 873 980 182 1481 1663 390 149 539 220 28 248 610 177 787 7 1 212
35 CHITAWAN 263 1784 2047 403 1711 2114 666 3495 4161 1436 192 1628 1360 153 1513 2796 345 3141 28 13 176
Province 4 643 7383 8026 431 4622 5053 1074 12005 13079 4830 1267 6097 1163 768 1931 5993 2035 8028 95 163 1014
36 GORKHA 114 473 587 83 246 329 197 719 916 310 40 350 144 60 204 454 100 554 7 1 97
37 LAMJUNG 9 80 89 9 54 63 18 134 152 27 8 35 0 0 0 27 8 35 0 0 2
38 TANAHU 68 816 884 68 845 913 136 1661 1797 731 151 882 502 390 892 1233 541 1774 0 20 65
39 SYANGJA 37 423 460 7 129 136 44 552 596 195 31 226 0 1 1 195 32 227 1 0 26
40 KASKI 156 1862 2018 234 2854 3088 390 4716 5106 1209 443 1652 293 131 424 1502 574 2076 72 133 593
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 82 1072 1154 7 113 120 89 1185 1274 826 192 1018 55 40 95 881 232 1113 0 0 93
44 PARBAT 42 760 802 23 315 338 65 1075 1140 498 180 678 160 144 304 658 324 982 2 0 31
45 BAGLUNG 47 992 1039 0 64 64 47 1056 1103 379 31 410 9 0 9 388 31 419 2 9 96
48.1 NAWALPUR 88 905 993 0 2 2 88 907 995 655 191 846 0 2 2 655 193 848 11 0 11
Province 5 841 7501 8342 2751 6500 9251 3592 14001 17593 5340 1177 6517 4643 2382 7025 9983 3559 13542 314 505 2628
46 GULMI 22 148 170 1 7 8 23 155 178 98 28 126 0 0 0 98 28 126 0 1 54
47 PALPA 63 659 722 45 596 641 108 1255 1363 490 45 535 371 262 633 861 307 1168 5 22 139
48 NAWALPARASI 66 846 912 66 622 688 132 1468 1600 656 167 823 376 207 583 1032 374 1406 6 3 169
49 RUPANDEHI 167 2196 2363 127 1345 1472 294 3541 3835 1642 482 2124 980 363 1343 2622 845 3467 216 54 580
50 KAPILBASTU 167 1375 1542 185 986 1171 352 2361 2713 1139 229 1368 558 483 1041 1697 712 2409 45 131 398
51 ARGHAKHANCHI 0 0 0 6 69 75 6 69 75 0 0 0 0 0 0 0 0 0 0 0 52
52 PYUTHAN 27 284 311 41 495 536 68 779 847 190 63 253 298 155 453 488 218 706 10 2 29
53 ROLPA 10 69 79 7 14 21 17 83 100 20 1 21 50 2 52 70 3 73 6 9 61
54 RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17
56 DANG 213 833 1046 2188 769 2957 2401 1602 4003 499 90 589 1678 772 2450 2177 862 3039 19 64 563
57 BANKE 80 714 794 83 1452 1535 163 2166 2329 448 38 486 264 112 376 712 150 862 6 210 423
58 BARDIYA 26 377 403 2 145 147 28 522 550 158 34 192 68 26 94 226 60 286 1 9 143
Province 6 279 1822 2101 163 1280 1443 442 3102 3544 1245 372 1617 659 363 1022 1904 735 2639 128 84 700
54.1 RUKUM WEST 0 20 20 0 4 4 0 24 24 20 0 20 3 1 4 23 1 24 0 16 2
55 SALYAN 21 85 106 33 142 175 54 227 281 18 8 26 24 12 36 42 20 62 0 0 127
59 SURKHET 186 1242 1428 105 935 1040 291 2177 2468 753 277 1030 560 281 841 1313 558 1871 90 27 330
60 DAILEKH 7 109 116 11 87 98 18 196 214 126 3 129 35 9 44 161 12 173 17 11 104
61 JAJARKOT 4 60 64 1 10 11 5 70 75 58 7 65 9 2 11 67 9 76 1 0 27
62 DOLPA 3 14 17 2 7 9 5 21 26 4 1 5 4 3 7 8 4 12 0 1 2
63 JUMLA 44 108 152 7 5 12 51 113 164 124 60 184 0 40 40 124 100 224 20 22 31
64 KALIKOT 14 184 198 2 46 48 16 230 246 137 16 153 24 15 39 161 31 192 0 5 30
65 MUGU 0 0 0 2 44 46 2 44 46 5 0 5 0 0 0 5 0 5 0 2 47
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 363 6209 6572 495 4927 5422 858 11136 11994 4385 902 5287 2677 959 3636 7062 1861 8923 119 394 1256
67 BAJURA 9 50 59 2 17 19 11 67 78 30 7 37 5 2 7 35 9 44 4 9 7
68 BAJHANG 5 5 10 86 345 431 91 350 441 165 41 206 109 164 273 274 205 479 0 39 101
69 ACHHAM 80 1375 1455 25 283 308 105 1658 1763 1202 251 1453 253 31 284 1455 282 1737 76 35 248
70 DOTI 47 628 675 7 234 241 54 862 916 452 78 530 68 19 87 520 97 617 3 7 129
71 KAILALI 126 1509 1635 341 2620 2961 467 4129 4596 932 291 1223 1096 463 1559 2028 754 2782 4 256 343
72 KANCHANPUR 56 1300 1356 15 407 422 71 1707 1778 974 133 1107 329 33 362 1303 166 1469 8 12 160
73 DADELDHURA 31 769 800 10 525 535 41 1294 1335 321 71 392 419 204 623 740 275 1015 14 27 151
74 BAITADI 4 573 577 0 255 255 4 828 832 259 28 287 219 31 250 478 59 537 9 4 64
75 DARCHAULA 5 0 5 9 241 250 14 241 255 50 2 52 179 12 191 229 14 243 1 5 53
 Analyzed Data: Family Planning (Sheet 1 of 2)

Temporay Method
Received New Acceptors as % of MWRA Current Users as % of MWRA
District Name CPR
Reports
Condom Pills Depo IUCD Implant Total Condom Pills Depo IUCD Implant Total

NEPAL 54041 3.6 2.3 4.5 0.5 1.5 12.4 3.6 3.0 7.3 2.8 4.6 21.3 43.6
Province 1 9215 2.5 2.2 4.3 0.4 1.7 11.1 2.5 3.7 12.1 2.3 4.4 25.1 47.8
01 TAPLEJUNG 647 4.4 3.5 7.1 0.7 3.7 19.4 4.4 2.9 16.0 4.4 4.4 32.2 38.4
02 PANCHTHAR 600 4.4 3.4 7.3 0.3 3.1 18.5 4.4 4.9 11.9 2.4 7.2 30.9 35.2
03 ILAM 649 2.6 3.8 5.3 0.4 3.2 15.3 2.6 9.2 15.1 2.8 10.3 39.9 51.5
04 JHAPA 716 1.7 2.5 3.1 0.2 1.3 8.9 1.7 4.0 7.5 2.1 4.3 19.5 53.5
05 MORANG 873 1.7 1.1 3.1 0.3 0.9 7.0 1.7 2.8 10.1 2.3 3.9 20.8 61.5
06 SUNSARI 707 1.9 1.4 2.7 0.7 1.6 8.3 1.9 2.4 20.5 2.9 2.5 30.1 54.3
07 DHANKUTA 579 3.5 2.2 4.9 0.2 1.3 12.2 3.5 7.3 12.8 2.2 4.8 30.7 39.1
08 TERHATHUM 382 5.9 1.8 4.9 0.2 1.3 14.0 5.9 2.4 6.7 1.9 3.5 20.3 27.6
09 SANKHUWASABHA 608 3.2 2.8 8.4 0.3 1.7 16.4 3.2 1.9 8.8 1.6 4.6 20.1 27.4
10 BHOJPUR 793 5.0 2.4 4.7 0.2 3.0 15.2 5.0 5.0 12.4 0.7 5.0 28.1 34.7
11 SOLUKHUMBU 408 3.7 4.2 12.5 0.3 1.7 22.4 3.7 3.9 21.1 0.7 4.2 33.7 37.7
12 OKHALDHUNGA 703 3.8 3.1 7.8 0.3 1.9 16.9 3.8 4.6 15.6 2.0 7.7 33.7 41.3
13 KHOTANG 942 4.5 3.5 6.8 0.2 0.9 15.8 4.5 3.7 9.7 1.0 2.3 21.1 27.0
14 UDAYAPUR 608 2.1 1.9 3.4 0.6 2.3 10.3 2.1 2.7 5.6 3.0 3.7 17.1 27.1
Province 2 7563 2.0 1.8 3.1 0.4 0.6 7.9 2.0 1.6 4.3 1.0 1.3 10.2 49.4
15 SAPTARI 1395 3.1 2.3 3.7 0.3 0.5 9.9 3.1 4.0 8.4 0.6 1.7 17.8 56.3
16 SIRAHA 1324 1.9 1.6 4.5 0.3 0.6 8.9 1.9 1.2 5.4 0.8 1.2 10.5 47.7
17 DHANUSA 1214 2.1 1.3 3.4 0.5 0.3 7.6 2.1 1.5 4.0 0.7 0.8 9.0 54.0
18 MAHOTTARI 989 2.1 1.5 2.7 0.6 0.4 7.4 2.1 2.0 4.4 1.2 0.7 10.5 45.1
19 SARLAHI 996 1.3 1.3 2.7 0.2 0.7 6.2 1.3 1.3 2.9 1.1 1.6 8.2 47.0
32 RAUTAHAT 263 2.0 1.1 2.0 0.1 0.6 5.9 2.0 0.9 2.4 0.2 0.5 6.0 42.3
33 BARA 726 1.9 0.8 2.3 0.1 0.4 5.5 1.9 0.9 3.2 2.2 1.2 9.4 35.5
34 PARSA 656 2.2 4.8 3.5 1.4 1.5 13.4 2.2 1.0 4.0 1.5 2.6 11.4 70.7
Province 3 12183 2.4 1.8 4.3 0.8 2.0 11.3 2.4 2.4 6.8 5.2 6.9 23.7 41.1
20 SINDHULI 1060 3.1 1.5 3.8 0.3 2.1 10.9 3.1 3.2 7.3 1.7 5.5 20.9 34.6
21 RAMECHHAP 1200 4.5 1.5 4.5 0.2 1.8 12.5 4.5 1.3 7.2 3.0 9.7 25.7 32.7
22 DOLAKHA 1030 3.0 1.9 6.9 0.3 2.2 14.3 3.0 1.6 8.8 1.2 5.7 20.3 37.0
23 SINDHUPALCHOK 726 2.2 1.5 5.9 0.2 4.8 14.7 2.2 1.5 8.3 1.3 11.0 24.4 37.7
24 KAVRE 795 2.1 2.0 4.8 1.6 3.5 13.9 2.1 2.9 9.2 6.0 15.1 35.4 55.1
25 LALITPUR 749 1.8 1.4 3.1 1.1 1.6 9.0 1.8 1.8 8.1 4.8 8.0 24.5 49.4
26 BHAKTAPUR 1069 2.0 1.0 3.7 1.3 0.7 8.6 2.0 1.4 5.0 6.4 4.0 18.9 34.6
27 KATHMANDU 1311 1.1 1.6 2.8 0.9 1.5 7.8 1.1 2.4 5.1 6.2 4.9 19.7 31.4
28 NUWAKOT 472 2.1 2.1 5.1 0.2 2.5 12.1 2.1 1.8 5.8 3.0 4.3 17.0 38.9
29 RASUWA 461 6.0 1.5 7.4 0.8 4.8 20.5 6.0 1.0 7.3 1.8 13.6 29.7 54.8
30 DHADING 1672 3.4 2.5 7.6 0.3 2.0 15.8 3.4 2.9 10.6 2.6 6.6 26.0 39.9
31 MAKWANPUR 917 2.3 3.0 7.1 1.0 2.5 16.0 2.3 4.1 10.3 1.0 5.0 22.6 52.9
35 CHITAWAN 721 4.9 2.1 4.1 1.1 0.9 13.1 4.9 3.0 4.2 12.6 8.7 33.5 59.0
Province 4 7595 3.7 2.4 3.6 0.6 1.3 11.6 3.7 2.9 4.8 3.0 3.2 17.5 35.6
36 GORKHA 981 4.5 3.4 6.5 0.2 2.0 16.6 4.5 2.9 8.4 0.9 5.0 21.7 40.3
37 LAMJUNG 741 3.6 2.0 3.9 1.0 1.3 11.9 3.6 2.3 4.3 1.6 2.2 14.1 33.5
38 TANAHU 738 2.7 2.3 2.7 0.7 1.1 9.5 2.7 2.2 3.7 3.0 2.6 14.1 29.6
39 SYANGJA 947 3.3 1.7 2.4 0.1 0.9 8.4 3.3 3.7 3.2 1.4 1.9 13.5 32.4
40 KASKI 885 3.3 2.8 3.2 0.7 1.3 11.2 3.3 3.6 6.2 5.6 3.5 22.2 41.5
41 MANANG 166 17.3 2.5 4.9 0.0 4.8 29.5 17.3 3.5 7.0 0.0 12.9 40.6 56.2
42 MUSTANG 195 9.3 4.8 11.9 0.5 6.3 32.8 9.3 3.8 12.0 8.5 13.9 47.5 69.0
43 MYAGDI 569 5.2 2.5 6.2 0.2 2.5 16.6 5.2 2.0 4.5 5.0 7.7 24.3 39.8
44 PARBAT 671 3.9 1.9 3.4 0.3 1.8 11.3 3.9 2.2 3.3 1.9 3.6 14.9 28.4
45 BAGLUNG 783 4.4 2.8 3.5 0.2 0.8 11.8 4.4 3.1 4.0 2.9 2.8 17.3 30.9
48.1 NAWALPUR 919 3.3 1.6 3.0 1.8 0.6 10.3 3.3 2.3 3.4 2.5 1.6 13.2 37.2
Province 5 7119 5.7 3.1 5.7 0.6 1.8 16.9 5.7 4.5 8.0 3.2 6.0 27.3 43.6
46 GULMI 490 12.8 2.4 3.6 0.3 0.6 19.7 12.8 3.2 3.8 0.7 1.1 21.7 35.2
47 PALPA 739 4.9 2.0 3.4 0.7 1.7 12.8 4.9 3.2 4.9 4.6 4.8 22.5 44.6
48 NAWALPARASI 489 4.0 1.4 2.7 0.2 1.6 9.9 4.0 2.1 4.1 1.6 3.0 14.8 38.8
49 RUPANDEHI 1061 6.4 6.7 11.1 0.3 1.0 25.6 6.4 7.3 12.8 1.5 4.1 32.0 47.6
50 KAPILBASTU 1026 4.6 3.1 4.6 0.8 4.0 17.2 4.6 4.7 7.2 2.4 7.5 26.4 37.7
51 ARGHAKHANCHI 521 4.0 1.5 2.5 0.1 0.7 8.8 4.0 1.5 2.7 1.1 3.2 12.5 23.7
52 PYUTHAN 609 6.7 3.9 6.2 0.1 1.5 18.4 6.7 5.5 9.8 1.4 5.0 28.4 36.9
53 ROLPA 641 9.2 2.1 7.9 0.1 1.9 21.3 9.2 2.3 8.8 1.6 9.9 31.9 38.1
54 RUKUM 177 2.7 4.0 9.3 0.3 2.5 18.8 2.7 3.2 9.0 0.5 3.8 19.3 25.7
56 DANG 466 5.1 2.0 3.7 0.7 2.0 13.4 5.1 5.8 9.7 7.7 8.0 36.3 52.6
57 BANKE 325 4.9 2.2 4.7 0.9 1.7 14.5 4.9 3.8 6.9 3.2 5.0 24.0 42.0
58 BARDIYA 575 3.6 1.4 4.4 1.4 1.7 12.4 3.6 2.6 6.2 7.2 12.3 31.8 59.6
Province 6 4761 4.9 3.0 7.1 0.2 1.8 17.0 4.9 2.4 7.0 2.0 5.7 21.9 37.4
54.1 RUKUM WEST 598 4.0 3.6 10.6 0.2 1.4 19.8 4.0 2.6 9.4 0.2 2.2 18.5 24.7
55 SALYAN 637 6.2 1.7 4.8 0.2 2.3 15.2 6.2 2.2 8.5 3.4 7.8 28.0 38.6
59 SURKHET 872 5.0 2.8 5.1 0.2 3.2 16.4 5.0 2.7 5.5 2.7 6.8 22.7 48.7
60 DAILEKH 804 5.2 3.6 7.5 0.2 1.0 17.6 5.2 2.5 5.3 3.4 8.0 24.5 35.4
61 JAJARKOT 324 2.0 2.7 8.1 0.1 1.5 14.4 2.0 2.0 7.9 0.8 6.3 19.0 30.4
62 DOLPA 285 3.3 5.2 10.6 0.5 0.6 20.3 3.3 3.9 13.1 0.0 0.6 20.9 34.9
63 JUMLA 354 5.1 2.3 5.5 0.4 0.9 14.2 5.1 1.6 4.0 0.5 3.9 15.0 44.4
64 KALIKOT 353 8.4 2.0 6.5 0.4 1.5 18.8 8.4 3.0 9.7 1.3 4.3 26.6 36.9
65 MUGU 273 2.8 5.5 11.2 0.0 0.4 19.9 2.8 1.5 6.1 0.0 0.3 10.7 26.3
66 HUMLA 261 2.1 6.9 13.6 0.2 0.0 22.8 2.1 1.6 3.1 0.0 0.0 6.8 23.4
Province 7 5605 6.2 2.6 5.1 0.5 2.0 16.4 6.2 3.5 7.2 2.0 5.4 24.2 40.5
67 BAJURA 334 5.5 2.0 5.3 0.2 2.2 15.1 5.5 2.3 6.4 0.3 3.7 18.1 33.9
68 BAJHANG 611 6.4 2.5 6.3 0.5 1.7 17.4 6.4 2.2 7.9 1.6 4.6 22.7 33.7
69 ACHHAM 977 7.8 3.8 7.2 0.1 1.4 20.4 7.8 3.8 8.1 1.0 4.0 24.7 30.6
70 DOTI 721 8.5 2.6 4.7 0.5 1.1 17.4 8.5 3.7 9.7 2.3 4.9 29.2 38.4
71 KAILALI 680 5.2 2.4 3.7 0.5 1.9 13.7 5.2 4.5 6.5 2.3 5.9 24.3 48.7
72 KANCHANPUR 445 5.5 2.1 4.7 1.0 1.5 14.8 5.5 2.8 6.1 3.4 3.7 21.4 41.8
73 DADELDHURA 378 6.7 2.6 5.6 0.2 2.5 17.7 6.7 1.6 8.0 0.8 5.0 22.1 34.2
74 BAITADI 955 7.0 3.4 5.8 0.4 2.1 18.7 7.0 4.0 7.8 1.3 8.5 28.5 37.6
75 DARCHAULA 504 7.3 2.5 6.8 0.5 6.0 23.1 7.3 2.9 7.3 1.0 9.1 27.6 37.5
 Analyzed Data: Family Planning (Sheet 2 of 2)

Permanent Method
District Name New Acceptors as Current Users as % of VSC new Cases Proportion of VSC new acceptors at Proportion of VSC provided by
% of MWRA % of MWRA
Female Male HF Camp Government NGO
NEPAL 0.5 22.3 70.9 29.1 49.4 50.6 71.3 28.7
Province 1 1 23 94 6 68.3 31.7 47.6 52.4
01 TAPLEJUNG 0 6 0 100 0.0 100.0 100.0 0.0
02 PANCHTHAR 0 4 22 78 0.0 100.0 100.0 0.0
03 ILAM 0 12
04 JHAPA 1 34 97 3 95.8 4.2 8.3 91.7
05 MORANG 1 41 92 8 66.6 33.4 50.8 49.2
06 SUNSARI 1 24 98 2 36.8 63.2 97.9 2.1
07 DHANKUTA 0 8
08 TERHATHUM 0 7 0 100 0.0 100.0 100.0 0.0
09 SANKHUWASABHA 0 7 50 50 23.9 76.1 52.2 47.8
10 BHOJPUR 0 7 26 74 26.3 73.7 84.2 15.8
11 SOLUKHUMBU 0 4
12 OKHALDHUNGA 0 8 60 40 84.6 15.4 15.4 84.6
13 KHOTANG 0 6 0 100 0.0 100.0 100.0 0.0
14 UDAYAPUR 0 10 85 15 11.4 88.6 100.0 0.0
Province 2 1 39 88 12 60.6 39.4 63.7 36.3
15 SAPTARI 1 38 100 0 89.4 10.6 100.0 0.0
16 SIRAHA 1 37 97 3 19.5 80.5 79.1 20.9
17 DHANUSA 1 45 100 0 94.5 5.5 73.2 26.8
18 MAHOTTARI 0 35 99 1 86.8 13.2 98.2 1.8
19 SARLAHI 1 39 70 30 3.4 96.6 71.6 28.4
32 RAUTAHAT 0 36 84 16 0.0 100.0 84.3 15.7
33 BARA 1 26 19 81 2.9 97.1 17.4 82.6
34 PARSA 2 59 98 2 72.0 28.0 41.2 58.8
Province 3 0 17 31 69 56.7 43.3 72.4 27.6
20 SINDHULI 0 14 92 8 0.0 100.0 100.0 0.0
21 RAMECHHAP 0 7 41 59 41.2 58.8 96.1 3.9
22 DOLAKHA 0 17 30 70 70.9 29.1 100.0 0.0
23 SINDHUPALCHOK 0 13 15 85 0.0 100.0 65.0 35.0
24 KAVRE 0 20 51 49 87.9 12.1 5.8 94.2
25 LALITPUR 1 25 5 95 93.5 6.5 19.3 80.7
26 BHAKTAPUR 0 16 49 51 21.6 78.4 36.4 63.6
27 KATHMANDU 0 12 29 71 77.8 22.2 63.8 36.2
28 NUWAKOT 0 22 42 58 9.9 90.1 100.0 0.0
29 RASUWA 1 25 76 24 0.0 100.0 5.4 94.6
30 DHADING 0 14 5 95 10.2 89.8 100.0 0.0
31 MAKWANPUR 0 30 2 98 16.1 83.9 85.5 14.5
35 CHITAWAN 1 25 37 63 63.8 36.2 95.7 4.3
Province 4 0 18 43 57 26.8 73.2 94.4 5.6
36 GORKHA 0 19 48 52 11.3 88.7 100.0 0.0
37 LAMJUNG 1 19 25 75 6.2 93.8 96.6 3.4
38 TANAHU 0 15 38 62 2.3 97.7 100.0 0.0
39 SYANGJA 0 19 70 30 0.0 100.0 100.0 0.0
40 KASKI 0 19 62 38 77.4 22.6 82.9 17.1
41 MANANG 0 16
42 MUSTANG 0 22
43 MYAGDI 1 16 23 77 0.0 100.0 100.0 0.0
44 PARBAT 0 14 29 71 21.8 78.2 100.0 0.0
45 BAGLUNG 0 14 38 62 23.6 76.4 100.0 0.0
48.1 NAWALPUR 0 24 66 34 1.9 98.1 99.1 0.9
Province 5 0 16 85 15 11.0 89.0 87.8 12.2
46 GULMI 0 14 57 43 14.3 85.7 57.1 42.9
47 PALPA 0 22 76 24 82.7 17.3 22.5 77.5
48 NAWALPARASI 1 24 100 0 1.8 98.2 99.6 0.4
49 RUPANDEHI 0 16 79 21 7.9 92.1 76.9 23.1
50 KAPILBASTU 0 11 98 2 0.0 100.0 100.0 0.0
51 ARGHAKHANCHI 0 11 79 21 14.9 85.1 99.3 0.7
52 PYUTHAN 0 9 63 37 23.3 76.7 97.7 2.3
53 ROLPA 0 6 16 84 15.6 84.4 98.9 1.1
54 RUKUM 0 6 0 100 0.0 100.0 100.0 0.0
56 DANG 0 16 77 23 0.3 99.7 79.6 20.4
57 BANKE 0 18 76 24 38.3 61.7 94.9 5.1
58 BARDIYA 1 28 96 4 0.0 100.0 100.0 0.0
Province 6 1 15 10 90 29.1 70.9 92.6 7.4
54.1 RUKUM WEST 0 6 0 100 11.1 88.9 100.0 0.0
55 SALYAN 0 11 5 95 28.7 71.3 100.0 0.0
59 SURKHET 0 26 38 62 69.6 30.4 87.5 12.5
60 DAILEKH 0 11 1 99 20.0 80.0 100.0 0.0
61 JAJARKOT 2 11 5 95 1.5 98.5 87.4 12.6
62 DOLPA 0 14 0 100 0.0 100.0 100.0 0.0
63 JUMLA 1 29 0 100 53.5 46.5 100.0 0.0
64 KALIKOT 0 10 1 99 43.3 56.7 100.0 0.0
65 MUGU 0 16
66 HUMLA 0 17
Province 7 0 16 60 40 37.6 62.4 95.4 4.6
67 BAJURA 2 16 52 48 75.4 24.6 100.0 0.0
68 BAJHANG 1 11 4 96 32.7 67.3 99.5 0.5
69 ACHHAM 0 6 63 37 9.4 90.6 91.0 9.0
70 DOTI 0 9 96 4 15.4 84.6 99.2 0.8
71 KAILALI 0 24 69 31 49.5 50.5 88.3 11.7
72 KANCHANPUR 0 20 89 11 0.0 100.0 90.6 9.4
73 DADELDHURA 0 12 71 29 46.9 53.1 100.0 0.0
74 BAITADI 0 9 77 23 1.0 99.0 100.0 0.0
75 DARCHAULA 0 10 35 65 6.5 93.5 96.7 3.3
 Raw Data: FAMILY PLANNING (Sheet 1 of 3)

New Acceptors

Received
Temporary Methods

Reports
District Name Pills Depo IUCD Implant Total
Condom (Temporary
<20 Years ≥ 20 years Total <20 Years ≥ 20 years Total <20 Years ≥ 20 years Total <20 Years ≥ 20 years Total
Methods)
NEPAL 54041 221311 15057 127669 142726 22960 256249 279209 2146 31882 34028 4060 91545 95605 772879
Province 1 9215 26799 2144 20950 23094 4386 41366 45752 312 3686 3998 891 16855 17746 117389
01 TAPLEJUNG 647 1264 165 847 1012 256 1799 2055 8 182 190 207 855 1062 5583
02 PANCHTHAR 600 1953 96 1376 1472 292 2900 3192 2 133 135 58 1297 1355 8107
03 ILAM 649 1691 182 2337 2519 240 3248 3488 5 288 293 79 2033 2112 10103
04 JHAPA 716 3358 321 4651 4972 563 5595 6158 85 387 472 149 2402 2551 17511
05 MORANG 873 3777 178 2321 2499 537 6595 7132 171 447 618 90 1933 2023 16049
06 SUNSARI 707 3491 233 2406 2639 371 4680 5051 5 1251 1256 84 2881 2965 15402
07 DHANKUTA 579 1341 73 768 841 144 1736 1880 0 72 72 19 487 506 4640
08 TERHATHUM 382 1353 58 349 407 139 990 1129 1 39 40 9 301 310 3239
09 SANKHUWASABHA 608 1119 108 854 962 354 2588 2942 3 106 109 25 577 602 5734
10 BHOJPUR 793 1847 154 723 877 264 1473 1737 2 74 76 55 1039 1094 5631
11 SOLUKHUMBU 408 828 94 851 945 363 2453 2816 2 62 64 18 366 384 5037
12 OKHALDHUNGA 703 1294 120 942 1062 297 2366 2663 1 100 101 26 629 655 5775
13 KHOTANG 942 1871 156 1300 1456 251 2611 2862 16 59 75 6 355 361 6625
14 UDAYAPUR 608 1612 206 1225 1431 315 2332 2647 11 486 497 66 1700 1766 7953
Province 2 7563 25373.27 5240 16633 21873 2098 36281 38379 127 5113 5240 229 7476 7705 98570
15 SAPTARI 1395 4596 165 3195 3360 121 5345 5466 3 450 453 12 710 722 14597
16 SIRAHA 1324 2795 138 2224 2362 289 6362 6651 4 489 493 12 911 923 13224
17 DHANUSA 1214 3514 172 2122 2294 392 5490 5882 15 840 855 89 340 429 12974
18 MAHOTTARI 989 3136 144 1992 2136 299 3694 3993 7 905 912 37 560 597 10774
19 SARLAHI 996 2261 155 2080 2235 365 4355 4720 12 339 351 13 1269 1282 10849
32 RAUTAHAT 263 3184 232 1548 1780 146 3084 3230 10 187 197 10 1013 1023 9414
33 BARA 726 2933 87 1214 1301 174 3517 3691 21 124 145 14 677 691 8761
34 PARSA 656 2953 4147 2258 6405 312 4434 4746 55 1779 1834 42 1996 2038 17976
Province 3 12183 30199.87 2368 20717 23085 5295 49952 55247 840 9918 10758 1063 23991 25054 144344
20 SINDHULI 1060 2117 84 934 1018 284 2277 2561 7 209 216 37 1393 1430 7342
21 RAMECHHAP 1200 2134 39 648 687 217 1890 2107 0 108 108 26 832 858 5894
22 DOLAKHA 1030 1262 63 757 820 239 2710 2949 2 140 142 16 906 922 6095
23 SINDHUPALCHOK 726 1398 64 917 981 372 3427 3799 9 117 126 97 3004 3101 9405
24 KAVRE 795 1815 196 1498 1694 333 3789 4122 108 1250 1358 224 2816 3040 12029
25 LALITPUR 749 1982 90 1433 1523 256 3072 3328 9 1198 1207 45 1644 1689 9729
26 BHAKTAPUR 1069 1417 13 668 681 131 2447 2578 16 863 879 18 488 506 6061
27 KATHMANDU 1311 4336 957 5377 6334 1024 10328 11352 376 3248 3624 319 5900 6219 31865
28 NUWAKOT 472 1343 136 1190 1326 333 2839 3172 1 153 154 32 1514 1546 7541
29 RASUWA 461 574 14 134 148 78 634 712 0 79 79 27 430 457 1970
30 DHADING 1672 2654 228 1691 1919 668 5253 5921 14 221 235 68 1536 1604 12333
31 MAKWANPUR 917 2179 200 2718 2918 738 6093 6831 272 732 1004 74 2342 2416 15348
35 CHITAWAN 721 6990 284 2752 3036 622 5193 5815 26 1600 1626 80 1186 1266 18733
Province 4 7595 20819.55 1211 12416 13627 2000 18698 20698 139 3460 3599 382 6857 7239 65983
36 GORKHA 981 2712 153 1914 2067 319 3582 3901 4 143 147 50 1176 1226 10053
37 LAMJUNG 741 1441 122 687 809 185 1376 1561 69 315 384 20 480 500 4695
38 TANAHU 738 2133 310 1544 1854 296 1875 2171 10 513 523 108 801 909 7590
39 SYANGJA 947 2096 83 1031 1114 84 1430 1514 5 56 61 16 580 596 5381
40 KASKI 885 3905 206 3073 3279 330 3453 3783 39 814 853 106 1407 1513 13333
41 MANANG 166 195 0 28 28 2 53 55 0 0 0 0 54 54 332
42 MUSTANG 195 229 4 115 119 14 282 296 0 12 12 5 152 157 813
43 MYAGDI 569 1342 57 593 650 150 1445 1595 1 47 48 32 625 657 4292
44 PARBAT 671 1346 51 601 652 121 1074 1195 5 102 107 24 594 618 3918
45 BAGLUNG 783 2940 118 1755 1873 189 2152 2341 4 129 133 6 540 546 7833
48.1 NAWALPUR 919 2481 107 1075 1182 310 1976 2286 2 1329 1331 15 448 463 7743
Province 5 7119 61661.81 1655 32227 33882 3989 57959 61948 535 5853 6388 859 18348 19207 183087
46 GULMI 490 8210 88 1479 1567 127 2191 2318 4 203 207 3 361 364 12666
47 PALPA 739 2920 104 1095 1199 320 1743 2063 44 396 440 175 873 1048 7670
48 NAWALPARASI 489 3200 71 1078 1149 138 2058 2196 1 184 185 48 1244 1292 8022
49 RUPANDEHI 1061 13638 98 14340 14438 106 23723 23829 6 718 724 36 2134 2170 54799
50 KAPILBASTU 1026 6192 146 4027 4173 159 6034 6193 8 1057 1065 48 5267 5315 22938
51 ARGHAKHANCHI 521 1916 40 698 738 92 1133 1225 0 28 28 17 329 346 4253
52 PYUTHAN 609 3778 199 2012 2211 387 3134 3521 1 81 82 22 836 858 10450
53 ROLPA 641 4950 172 982 1154 616 3619 4235 1 73 74 67 969 1036 11449
54 RUKUM 177 351 129 383 512 218 987 1205 1 33 34 14 311 325 2427
56 DANG 466 6970 379 2358 2737 778 4273 5051 94 924 1018 226 2452 2678 18454
57 BANKE 325 5904 133 2474 2607 333 5308 5641 90 1012 1102 102 1967 2069 17323
58 BARDIYA 575 3633 96 1301 1397 715 3756 4471 285 1144 1429 101 1605 1706 12636
Province 6 4761 18087.61 1636 9459 11095 3740 22265 26005 61 767 828 389 6169 6558 62574
54.1 RUKUM WEST 598 1471 196 1151 1347 517 3393 3910 2 64 66 7 520 527 7321
55 SALYAN 637 3606 211 800 1011 522 2233 2755 7 136 143 83 1227 1310 8825
59 SURKHET 872 4297 269 2107 2376 718 3638 4356 13 156 169 220 2504 2724 13922
60 DAILEKH 804 3189 247 1967 2214 522 4048 4570 11 118 129 24 588 612 10714
61 JAJARKOT 324 798 213 832 1045 507 2700 3207 0 35 35 25 557 582 5667
62 DOLPA 285 278 87 353 440 174 713 887 1 40 41 0 52 52 1698
63 JUMLA 354 1255 85 482 567 270 1094 1364 17 78 95 26 208 234 3515
64 KALIKOT 353 2608 38 591 629 119 1894 2013 4 125 129 4 458 462 5841
65 MUGU 273 342 118 562 680 178 1206 1384 0 0 0 0 55 55 2461
66 HUMLA 261 243 172 614 786 213 1346 1559 6 15 21 0 0 0 2609
Province 7 5605 38370.16 803 15267 16070 1452 29728 31180 132 3085 3217 247 11849 12096 100933
67 BAJURA 334 1733 26 610 636 68 1602 1670 13 42 55 6 679 685 4779
68 BAJHANG 611 2960 62 1092 1154 110 2809 2919 1 217 218 14 792 806 8057
69 ACHHAM 977 4772 106 2237 2343 174 4278 4452 1 75 76 14 870 884 12527
70 DOTI 721 4280 36 1265 1301 117 2224 2341 1 246 247 12 547 559 8728
71 KAILALI 680 9890 257 4319 4576 426 6731 7157 51 980 1031 121 3437 3558 26212
72 KANCHANPUR 445 6084 177 2220 2397 314 4893 5207 65 1065 1130 36 1629 1665 16483
73 DADELDHURA 378 2295 17 861 878 74 1842 1916 0 78 78 16 844 860 6027
74 BAITADI 955 4090 107 1912 2019 95 3322 3417 0 229 229 11 1221 1232 10987
75 DARCHAULA 504 2265 15 751 766 74 2027 2101 0 153 153 17 1830 1847 7132
 Raw Data: FAMILY PLANNING (Sheet 2 of 3)

New Acceptors Distribution

Sterilization
District Name Public Non-Public Total All
Total Condom Pills Depo IUCD Implant
Institutions Camp Institutions Camp Methods
Strerilization
Female Male Female Male Female Male Female Male
NEPAL 6087 1998 9260 4209 5850 1012 224 1593 30233 803112 33196618 1723168 1352022 39493 109533
Province 1 983 18 1605 245 3002 86 21 29 5989 123378 4019777 378098 284078 5201 20601
01 TAPLEJUNG 0 0 0 8 0 0 0 0 8 5591 189554 9158 10063 371 1554
02 PANCHTHAR 0 0 5 18 0 0 0 0 23 8130 293014 21143 19534 189 1602
03 ILAM 0 0 0 0 0 0 0 0 0 10103 253714 54620 31557 300 2100
04 JHAPA 115 1 74 0 2033 41 3 19 2286 19797 503770 74360 36184 411 2516
05 MORANG 324 10 514 125 926 16 0 0 1915 17964 566554 53133 41469 774 2109
06 SUNSARI 530 0 928 8 11 10 0 10 1497 16899 523581 55299 31551 1560 3400
07 DHANKUTA 0 0 0 0 0 0 0 0 0 4640 201093 17655 15870 197 902
08 TERHATHUM 0 0 0 23 0 0 0 0 23 3262 202886 5943 6217 36 339
09 SANKHUWASABHA 0 5 7 12 0 6 16 0 46 5780 167787 8482 12301 136 681
10 BHOJPUR 2 2 0 12 1 0 2 0 19 5650 277105 20733 17782 155 1891
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 5037 124222 7654 15398 215 450
12 OKHALDHUNGA 0 0 0 8 31 13 0 0 52 5827 194116 13882 15049 147 678
13 KHOTANG 0 0 0 15 0 0 0 0 15 6640 280591 16715 14862 65 334
14 UDAYAPUR 12 0 77 16 0 0 0 0 105 8058 241790 19321 16241 645 2045
Province 2 3543 7 2760 48 2458 43 11 1118 9988 108558 3805990 217083 192458 4222 8724
15 SAPTARI 1368 0 162 0 0 0 0 0 1530 16127 689460 61073 40929 665 976
16 SIRAHA 2 0 681 9 168 1 0 14 875 14099 419229 27139 31176 609 1038
17 DHANUSA 1109 4 89 0 438 0 0 2 1642 14616 527124 24255 25951 949 613
18 MAHOTTARI 604 0 90 0 7 3 0 3 707 11481 470441 30961 25246 735 657
19 SARLAHI 21 0 588 24 7 2 0 242 884 11733 339188 21258 16113 471 1718
32 RAUTAHAT 0 0 117 1 0 0 0 22 140 9554 477606 17765 12672 272 952
33 BARA 16 0 161 3 12 2 11 827 1032 9793 439999 16114 19655 139 725
34 PARSA 423 3 872 11 1826 35 0 8 3178 21154 442943 18518 20716 382 2045
Province 3 453 908 486 1017 151 732 135 73 3955 148299 4529981 246092 279228 14021 29028
20 SINDHULI 0 0 157 14 0 0 0 0 171 7513 317571 23521 17407 709 2490
21 RAMECHHAP 17 3 3 26 0 1 1 0 51 5945 320042 7574 12833 129 1209
22 DOLAKHA 19 42 7 18 0 0 0 0 86 6181 189365 7551 14317 155 1269
23 SINDHUPALCHOK 0 0 6 20 0 0 0 14 40 9445 209649 11674 22369 129 3870
24 KAVRE 2 1 4 5 86 93 13 3 207 12236 272249 18031 24900 1332 3220
25 LALITPUR 6 75 8 24 13 455 5 1 587 10316 297313 15397 19127 679 2045
26 BHAKTAPUR 5 9 7 11 5 0 26 25 88 6149 212487 12503 17517 1022 575
27 KATHMANDU 58 223 26 47 42 109 36 14 555 32420 650464 66917 59510 3619 6197
28 NUWAKOT 9 8 62 92 0 0 0 0 171 7712 201445 8730 13551 305 1914
29 RASUWA 0 0 2 2 0 0 54 16 74 2044 86054 1153 2620 79 424
30 DHADING 1 38 20 325 0 0 0 0 384 12717 398050 24174 30053 284 1640
31 MAKWANPUR 0 2 0 104 3 15 0 0 124 15472 326794 23915 28249 3982 3081
35 CHITAWAN 336 507 184 329 2 59 0 0 1417 20150 1048498 24952 16775 1597 1094
Province 4 269 126 436 820 24 49 15 10 1749 67732 3122933 143415 92838 3404 7819
36 GORKHA 5 3 29 34 0 0 0 0 71 10124 406866 17465 16207 153 1346
37 LAMJUNG 4 16 77 245 2 0 6 4 354 5049 216147 8888 6939 238 470
38 TANAHU 3 0 46 80 0 0 0 0 129 7719 319968 15706 10370 537 976
39 SYANGJA 0 0 45 19 0 0 0 0 64 5445 314404 20766 7821 50 658
40 KASKI 238 76 39 58 21 49 9 6 496 13829 585698 26230 22427 1027 1531
41 MANANG 0 0 0 0 0 0 0 0 0 332 29247 359 294 0 64
42 MUSTANG 0 0 0 0 0 0 0 0 0 813 34371 1113 1271 2 179
43 MYAGDI 0 0 73 243 0 0 0 0 316 4608 201259 5803 4822 98 841
44 PARBAT 3 9 13 30 0 0 0 0 55 3973 201844 8184 4417 110 651
45 BAGLUNG 16 21 44 76 0 0 0 0 157 7990 440992 18403 9064 119 633
48.1 NAWALPUR 0 1 70 35 1 0 0 0 107 7850 372137 20498 9206 1070 470
Province 5 133 49 2744 250 174 41 17 209 3617 186704 9249271 400681 266283 6909 20694
46 GULMI 1 0 3 0 0 0 0 3 7 12673 1231460 17940 9708 188 220
47 PALPA 7 3 8 25 130 18 0 0 191 7861 438000 24888 12326 433 816
48 NAWALPARASI 10 0 670 2 2 0 0 1 685 8707 480056 19064 14805 196 1520
49 RUPANDEHI 16 1 611 18 26 23 11 134 840 55639 2045741 120370 70503 981 2676
50 KAPILBASTU 0 0 240 6 0 0 0 0 246 23184 928773 37825 27058 778 5489
51 ARGHAKHANCHI 16 4 90 23 0 0 0 1 134 4387 287336 8616 4738 84 458
52 PYUTHAN 13 5 39 27 2 0 0 0 86 10536 566639 30804 18576 82 890
53 ROLPA 4 10 9 66 0 0 1 0 90 11539 742482 10875 17067 193 1610
54 RUKUM 0 0 0 1 0 0 0 0 1 2428 52691 2828 3626 28 302
56 DANG 1 0 276 16 0 0 5 70 368 18822 1045497 49624 33843 1220 2819
57 BANKE 65 26 130 39 14 0 0 0 274 17597 885598 46017 30299 1235 2064
58 BARDIYA 0 0 668 27 0 0 0 0 695 13331 544998 31830 23734 1491 1830
Province 6 114 382 52 1192 5 47 11 77 1880 64454 2713142 103495 93482 1449 8929
54.1 RUKUM WEST 0 1 0 8 0 0 0 0 9 7330 220637 8700 10434 87 1318
55 SALYAN 5 22 0 67 0 0 0 0 94 8919 540926 15776 17497 140 1287
59 SURKHET 102 103 34 75 0 45 0 0 359 14281 644496 27012 18725 169 3212
60 DAILEKH 1 38 0 156 0 0 0 0 195 10909 478409 21167 13249 539 1011
61 JAJARKOT 4 0 18 637 5 2 11 77 754 6421 119771 7427 9929 172 1139
62 DOLPA 0 0 0 31 0 0 0 0 31 1729 41685 3075 4279 50 50
63 JUMLA 0 159 0 138 0 0 0 0 297 3812 188286 3391 4817 138 374
64 KALIKOT 2 59 0 80 0 0 0 0 141 5982 391166 9326 9111 129 467
65 MUGU 0 0 0 0 0 0 0 0 0 2461 51294 2443 2604 19 71
66 HUMLA 0 0 0 0 0 0 0 0 0 2609 36472 5178 2837 6 0
Province 7 592 508 1177 637 36 14 14 77 3055 103988 5755524 234304 143655 4287 13738
67 BAJURA 301 259 85 98 0 0 0 0 743 5522 259970 8251 7199 37 856
68 BAJHANG 15 118 0 278 2 0 0 0 413 8470 444028 8509 9816 263 1138
69 ACHHAM 0 1 139 73 8 13 0 0 234 12761 715740 21846 16546 82 1159
70 DOTI 37 0 192 9 0 0 2 0 240 8968 642049 17819 11303 290 1149
71 KAILALI 198 117 253 42 26 1 1 53 691 26903 1483462 93254 38521 1267 3637
72 KANCHANPUR 0 0 295 15 0 0 8 24 342 16825 912669 45686 29627 1757 1619
73 DADELDHURA 34 12 36 16 0 0 0 0 98 6125 344307 5150 8406 103 912
74 BAITADI 2 0 153 47 0 0 0 0 202 11189 613522 24593 14802 338 1516
75 DARCHAULA 5 1 24 59 0 0 3 0 92 7224 339777 9196 7435 150 1752
 Raw Data: FAMILY PLANNING (Sheet 3 of 3)

Current Users Postpartum FP

Temporary Methods Sterilization (Within 48 Hours of

Sterilization
(Temporary
Methods)
District Name Total all

Condom

Implant

Female
Depo

Male
Total

Total
IUCD
Pills
Methods IUCD Tubectomy

NEPAL 221311 185545 451790 175593 287602 1321841 1040078 345634 1385712 2707553 1895 1856
Province 1 26798.51333 39611 128422 24642 46568 266041.5133 202406 37483 239889 505931 688 971
01 TAPLEJUNG 1264 838 4615 1279 1270 9266 16 1768 1784 11050 0 0
02 PANCHTHAR 1953 2143 5248 1069 3149 13562 340 1573 1913 15475 0 0
03 ILAM 1691 6071 9953 1847 6800 26362 6033 1610 7643 34005 1 3
04 JHAPA 3358 7823 14771 4097 8463 38512 59248 7916 67164 105676 258 627
05 MORANG 3777 6375 23169 5209 8850 47380 88179 4715 92894 140274 254 42
06 SUNSARI 3491 4453 38105 5408 4554 56011 41859 2953 44812 100823 159 294
07 DHANKUTA 1341 2801 4887 833 1846 11708 1563 1648 3211 14919 0 0
08 TERHATHUM 1353 550 1548 433 802 4686 127 1563 1690 6376 0 0
09 SANKHUWASABHA 1119 661 3077 573 1606 7036 92 2451 2543 9579 0 0
10 BHOJPUR 1847 1849 4586 274 1832 10388 126 2333 2459 12847 0 0
11 SOLUKHUMBU 828 883 4764 167 951 7593 158 743 901 8494 0 0
12 OKHALDHUNGA 1294 1576 5329 679 2611 11489 364 2235 2599 14088 7 5
13 KHOTANG 1871 1538 4075 419 951 8854 205 2285 2490 11344 0 0
14 UDAYAPUR 1612 2050 4295 2355 2883 13195 4096 3690 7786 20981 9 0
Province 2 25373.26667 19842 53066 12699 15599 126579.2667 475343 10870 486213 612792 3 32
15 SAPTARI 4596 5969 12413 832 2510 26320 56245 526 56771 83091 0 0
16 SIRAHA 2795 1774 8096 1240 1758 15663 54436 1018 55454 71117 0 3
17 DHANUSA 3514 2578 6830 1152 1346 15420 75336 1435 76771 92191 0 0
18 MAHOTTARI 3136 2937 6446 1800 997 15316 50080 408 50488 65804 0 0
19 SARLAHI 2261 2351 5012 1937 2731 14292 65835 2341 68176 82468 0 0
32 RAUTAHAT 3184 1479 3799 278 805 9545 57250 650 57900 67445 0 0
33 BARA 2933 1398 5107 3438 1926 14802 39487 1763 41250 56052 1 0
34 PARSA 2953 1356 5363 2022 3526 15220 76674 2729 79403 94623 2 29
Province 3 30199.87333 31333 86912 66955 88699 304098.8733 89343 133972 223315 527414 307 94
20 SINDHULI 2117 2135 4888 1167 3732 14039 4961 4296 9257 23296 0 1
21 RAMECHHAP 2134 606 3391 1404 4537 12072 202 3067 3269 15341 0 17
22 DOLAKHA 1262 679 3756 505 2447 8649 2936 4151 7087 15736 0 2
23 SINDHUPALCHOK 1398 979 5337 854 7058 15626 1897 6676 8573 24199 18 0
24 KAVRE 1815 2544 7991 5187 13021 30558 8874 8202 17076 47634 0 0
25 LALITPUR 1982 1917 8734 5197 8697 26527 8679 18344 27023 53550 0 1
26 BHAKTAPUR 1417 997 3520 4506 2816 13256 7613 3415 11028 24284 18 21
27 KATHMANDU 4336 9735 20849 25081 20065 80066 29545 18079 47624 127690 258 52
28 NUWAKOT 1343 1126 3602 1887 2685 10643 6784 6900 13684 24327 0 0
29 RASUWA 574 98 698 171 1302 2843 656 1757 2413 5256 1 0
30 DHADING 2654 2251 8270 1998 5151 20324 1542 9329 10871 31195 0 0
31 MAKWANPUR 2179 3947 9863 947 4748 21684 3529 25487 29016 50700 12 0
35 CHITAWAN 6990 4319 6013 18051 12440 47813 12125 24269 36394 84207 0 0
Province 4 20819.55333 16246 27089 17082 18260 99496.55333 53264 49752 103016 202513 247 233
36 GORKHA 2712 1777 5078 544 3021 13132 5560 5665 11225 24357 1 9
37 LAMJUNG 1441 914 1717 627 883 5582 2070 5601 7671 13253 71 7
38 TANAHU 2133 1721 2943 2395 2103 11295 5792 6577 12369 23664 0 0
39 SYANGJA 2096 2378 2023 907 1228 8632 8439 3661 12100 20732 16 0
40 KASKI 3905 4268 7403 6635 4173 26384 11163 11900 23063 49447 159 214
41 MANANG 195 39 79 0 145 458 15 160 175 633 0 0
42 MUSTANG 229 95 297 211 344 1176 253 281 534 1710 0 0
43 MYAGDI 1342 506 1154 1291 1981 6274 1034 2982 4016 10290 0 0
44 PARBAT 1346 754 1160 646 1253 5159 964 3744 4708 9867 0 1
45 BAGLUNG 2940 2025 2653 1935 1886 11439 3395 5628 9023 20462 0 2
48.1 NAWALPUR 2481 1769 2582 1891 1243 9966 14579 3553 18132 28098 0 0
Province 5 61661.80667 48220 86377 34861 64561 295680.8067 138311 37829 176140 471821 329 493
46 GULMI 8210 2075 2469 431 734 13919 5394 3274 8668 22587 1 0
47 PALPA 2920 1951 2972 2775 2916 13534 8273 4992 13265 26799 20 75
48 NAWALPARASI 3200 1674 3339 1282 2441 11936 15605 3804 19409 31345 0 0
49 RUPANDEHI 13638 15568 27414 3230 8768 68618 30351 2930 33281 101899 299 290
50 KAPILBASTU 6192 6270 9544 3142 9970 35118 13559 1525 15084 50202 0 4
51 ARGHAKHANCHI 1916 736 1310 521 1543 6026 2637 2791 5428 11454 0 0
52 PYUTHAN 3778 3129 5580 790 2851 16128 2197 2632 4829 20957 0 16
53 ROLPA 4950 1225 4756 884 5331 17146 116 3213 3329 20475 0 0
54 RUKUM 351 409 1167 71 494 2492 72 752 824 3316 0 0
56 DANG 6970 7970 13258 10595 11042 49835 18799 3514 22313 72148 9 80
57 BANKE 5904 4581 8265 3875 6000 28625 15779 5665 21444 50069 0 28
58 BARDIYA 3633 2632 6303 7265 12471 32304 25529 2737 28266 60570 0 0
Province 6 18087.61333 8819 25638 7215 20853 80612.61333 13556 43501 57057 137670 91 3
54.1 RUKUM WEST 1471 978 3492 60 828 6829 167 2143 2310 9139 0 0
55 SALYAN 3606 1287 4894 1954 4496 16237 806 5287 6093 22330 0 0
59 SURKHET 4297 2260 4700 2279 5803 19339 10365 11721 22086 41425 65 0
60 DAILEKH 3189 1509 3249 2057 4887 14891 228 6392 6620 21511 1 0
61 JAJARKOT 798 783 3103 333 2463 7480 374 4110 4484 11964 16 1
62 DOLPA 278 324 1101 0 50 1753 171 1000 1171 2924 0 0
63 JUMLA 1255 384 988 119 959 3705 856 6395 7251 10956 9 0
64 KALIKOT 2608 918 3005 413 1325 8269 277 2936 3213 11482 0 2
65 MUGU 342 190 750 0 42 1324 118 1810 1928 3252 0 0
66 HUMLA 243 186 356 0 0 785 194 1707 1901 2686 0 0
Province 7 38370.16 21474 44286 12139 33062 149331.16 67855 32227 100082 249413 230 30
67 BAJURA 1733 717 2017 93 1164 5724 1162 3835 4997 10721 0 0
68 BAJHANG 2960 1041 3668 735 2151 10555 359 4741 5100 15655 164 0
69 ACHHAM 4772 2310 5009 619 2488 15198 611 2997 3608 18806 2 14
70 DOTI 4280 1875 4889 1171 2467 14682 972 3603 4575 19257 5 0
71 KAILALI 9890 8633 12373 4422 11193 46511 42075 4504 46579 93090 0 11
72 KANCHANPUR 6084 3128 6781 3748 4118 23859 19132 3624 22756 46615 46 0
73 DADELDHURA 2295 557 2724 273 1701 7550 1234 2869 4103 11653 1 4
74 BAITADI 4090 2327 4584 758 4966 16725 1816 3514 5330 22055 12 1
75 DARCHAULA 2265 886 2241 320 2814 8526 494 2540 3034 11560 0 0
 Raw and Analysed Data: FCHV (Sheet 1 of 1)

Iron tab. distributed to

preg. Women (Person)
Home Delivery (Person) Analysed Data

Postpartum Vitamin A

Condoms distribution
meeting held (Times)

Visits to pregnant
Received Reports

women (Person)

Pills distribution
Mother's group

Community Health
mesoprostol taken

Number of Female
contact after birth

Distribution of
Breast feeding < 1

Low birth weight

group meetings
Visits to newborn &

applied in cord

Very low birth

Birth asphyxia

Chlorhexidine

% of mothers
management

hour of birth
Skin to skin

Volunteers
(Piece)

(Cycle)
postpartum mothers

weight
Ensure
District Name Live Still

held
birth birth

3rd day
≤ 24 hrs

of birth
7rd day
of birth

of birth
NEPAL ##### 506909 1139320 717267 38462 1E+05 1865 1879 1E+05 95283 111211 3874 1039 93723 107229 106212 188387 9983379 808138 49001 86
Province 1 8307 85845 165236 98194 3824 21440 386 587 16790 15223 18678 267 192 14900 17935 18197 35621 1192477 185029 8578 83
01 TAPLEJUNG 618 5433 4082 1312 115 839 42 16 686 736 774 23 14 681 601 593 859 33085 3342 896 51
02 PANCHTHAR 515 3780 6977 3211 364 1114 22 5 975 1047 1061 2 2 893 763 633 1124 74062 9024 394 80
03 ILAM 603 9220 8257 3535 354 1163 24 345 1061 766 1256 17 12 838 628 604 2122 72216 11493 1057 73
04 JHAPA 572 6069 25710 21646 59 2635 28 14 1947 391 2208 34 39 1594 2061 1896 6228 189096 42013 586 86
05 MORANG 797 8036 33248 21214 455 3518 40 18 2105 2410 2568 29 18 2245 3780 4150 9982 204078 31954 722 93
06 SUNSARI 617 12501 30337 21779 960 3052 38 30 2233 2230 2302 46 36 1949 3902 4553 4820 211779 34390 1052 99
07 DHANKUTA 517 3389 5654 2066 42 936 15 13 716 857 784 20 22 637 590 534 1215 34883 7067 315 90
08 TERHATHUM 381 3636 3217 480 78 759 19 15 634 639 693 5 4 573 474 429 693 39833 2004 392 77
09 SANKHUWASABHA 434 2612 4900 2089 121 540 17 14 413 445 490 4 7 364 338 294 755 35468 4208 314 69
10 BHOJPUR 755 6480 8701 4252 350 1567 49 18 1372 1285 1492 9 2 1005 936 817 2241 90896 10459 530 102
11 SOLUKHUMBU 355 2558 3425 1611 232 702 3 26 547 85 561 31 20 536 434 439 894 12222 2193 265 80
12 OKHALDHUNGA 676 8277 9347 2451 8 649 14 2 601 553 643 8 0 557 527 513 686 37652 7368 707 98
13 KHOTANG 908 8405 9257 5174 622 2030 23 37 1926 2005 2006 17 1 1612 1328 1251 2085 80077 6185 898 78
14 UDAYAPUR 559 5449 12124 7374 64 1936 52 34 1574 1774 1840 22 15 1416 1573 1491 1917 77130 13329 450 101
Province 2 8441 80155 238984 160070 17474 45521 498 667 40674 38664 42460 732 223 37172 40102 38749 58843 1732177 98018 7073 94
15 SAPTARI 1375 12075 31715 26318 277 3528 33 2 2787 2962 2929 10 8 2644 3972 4006 5312 272451 19965 1074 94
16 SIRAHA 1275 12187 34745 17974 181 3748 59 35 2774 227 3099 86 9 2529 1979 1786 7009 217865 14962 981 104
17 DHANUSA 1178 9694 30861 21006 2058 7422 69 112 6537 4983 6904 18 0 5953 5173 5270 8626 204847 11439 882 92
18 MAHOTTARI 895 8590 33488 22169 3594 7306 38 185 7511 6987 6807 108 22 6377 8069 7712 10856 216143 17989 635 113
19 SARLAHI 534 9330 17627 12803 1628 3395 64 35 3290 3450 3432 66 40 4084 4345 4188 4303 113590 9178 1015 77
32 RAUTAHAT 1074 10216 31395 22025 4201 8898 65 167 8096 8794 8764 179 68 8221 8115 7702 10056 273669 10591 841 101
33 BARA 1161 10248 34380 20633 5190 7070 74 50 6401 7516 6699 181 59 3751 4505 4268 7188 259313 7151 932 92
34 PARSA 949 7815 24773 17142 345 4154 96 81 3278 3745 3826 84 17 3613 3944 3817 5493 174299 6743 713 91
Province 3 8729 87626 150597 78657 3524 13528 262 193 10301 7565 12243 193 62 8757 8854 8705 26298 856262 106369 9016 81
20 SINDHULI 657 5240 15153 11953 337 2804 33 31 2447 629 2746 19 9 1857 2099 2226 3049 78112 10646 494 88
21 RAMECHHAP 736 7688 10440 5825 264 873 16 23 805 878 894 7 9 788 608 548 1155 87172 5514 752 85
22 DOLAKHA 683 11513 8118 4834 149 751 14 0 538 656 756 5 0 632 633 485 955 30066 3338 1238 77
23 SINDHUPALCHOK 970 7450 13431 4759 920 1794 69 15 1308 1256 1468 20 7 872 924 876 1930 31241 4646 693 90
24 KAVRE 1168 10353 15753 8744 469 965 11 17 793 816 814 15 2 706 767 809 1376 73738 7403 956 90
25 LALITPUR 383 5723 6306 900 53 348 6 22 216 106 266 4 0 127 73 104 1643 55001 5309 445 107
26 BHAKTAPUR 286 2673 5081 5761 124 325 18 2 200 151 305 2 0 184 263 307 1502 35746 6011 218 102
27 KATHMANDU 985 11477 15054 7570 114 861 2 1 571 149 557 31 0 467 576 610 6418 130533 14669 1589 60
28 NUWAKOT 858 8001 7595 4015 260 1142 13 41 1019 1093 1050 49 7 833 662 640 2173 48807 3312 1007 66
29 RASUWA 206 2383 3212 1556 0 297 8 0 257 277 287 11 3 272 281 260 365 17220 1232 245 81
30 DHADING 623 5289 13834 3925 515 642 10 11 457 467 954 4 13 501 417 413 933 88025 9510 471 94
31 MAKWANPUR 601 5112 20706 9610 27 2077 43 11 1289 714 1622 17 11 1056 914 697 2430 83129 20173 450 95
35 CHITAWAN 573 4724 15914 9205 292 649 19 19 401 373 524 9 1 462 637 730 2369 97472 14606 458 86
Province 4 6482 59333 87060 50739 1590 5595 85 66 4731 4458 5375 69 19 4850 5474 5723 12973 708076 66594 5767 86
36 GORKHA 871 7265 13351 4990 2 983 18 1 812 774 976 25 0 833 890 839 1448 70163 7705 624 97
37 LAMJUNG 707 6914 6003 3005 64 260 5 6 208 253 262 4 4 232 257 255 439 55127 4264 654 88
38 TANAHU 553 4548 8002 4540 321 602 18 28 535 583 573 5 3 431 356 402 1239 45619 6299 448 85
39 SYANGJA 851 6891 11920 8356 18 831 12 2 586 277 772 9 7 773 918 992 2691 81335 10678 594 97
40 KASKI 785 9784 10497 6653 144 373 6 2 237 203 274 15 1 168 229 413 2726 111474 8045 1037 79
41 MANANG 153 1044 87 15 0 7 0 0 1 2 2 0 0 1 2 1 3 3933 73 118 74
42 MUSTANG 199 579 326 51 2 14 1 0 5 3 8 0 0 9 5 5 18 3725 128 135 36
43 MYAGDI 507 3755 5143 3501 250 388 6 3 374 397 407 2 2 410 383 415 456 58830 3353 370 85
44 PARBAT 672 4796 6341 3400 202 200 2 0 147 84 194 3 0 181 163 165 656 53733.5 4547 500 80
45 BAGLUNG 733 9580 12925 7873 540 1458 10 16 1353 1389 1403 2 2 1318 1150 1031 1557 143463 9044 922 87
48.1 NAWALPUR 451 4177 12465 8355 47 479 7 8 473 493 504 4 0 494 1121 1205 1740 80673 12458 365 95
Province 5 7345 89709 229655 147286 5703 17374 271 140 14170 13619 15426 427 166 12918 17360 19026 27241 2259774 164771 8718 86
46 GULMI 782 9906 12099 8759 477 1589 8 16 1429 1165 1441 40 29 1413 1456 1471 2730 124621 9845 959 86
47 PALPA 780 7147 12487 6695 36 830 8 6 730 797 806 62 18 609 997 994 1635 83397 10770 553 108
48 NAWALPARASI 462 4236 20231 9149 51 623 3 0 457 539 523 10 1 394 1206 1210 1347 153468 9611 435 81
49 RUPANDEHI 905 12529 35935 14723 477 1030 9 0 603 202 755 5 0 626 570 556 5322 228772 28780 1395 75
50 KAPILBASTU 918 10432 29084 20074 2072 5647 62 43 4809 5118 5120 138 81 4192 4537 4452 5929 234152 14763 1040 84
51 ARGHAKHANCHI 521 8258 8280 7151 222 1018 18 8 800 831 884 13 4 761 1046 993 1510 127121 5104 845 81
52 PYUTHAN 584 5448 14950 9288 59 1598 30 4 1081 724 1315 6 1 905 891 836 1584 176361 12269 432 105
53 ROLPA 637 4849 10647 6155 725 1794 38 10 1652 1629 1722 69 2 1361 1065 874 1837 166247 7947 445 91
54 RUKUM 168 1156 994 895 146 264 10 17 241 232 272 15 7 233 158 129 322 7905 1342 126 76
56 DANG 555 9921 25746 26460 541 1094 22 11 881 836 1007 8 3 779 1951 1982 1039 274741 22823 871 95
57 BANKE 575 7973 33392 15925 719 1594 57 15 1272 1320 1362 55 19 1224 2196 4267 3519 359541 26431 785 85
58 BARDIYA 458 7854 25810 22012 178 293 6 10 215 226 219 6 1 421 1287 1262 467 323448 15086 832 79
Province 6 4186 39571 82603 58452 3995 9848 180 152 8564 8644 9338 415 189 8176 7843 7366 11537 799348 53562 4102 80
54.1 RUKUM WEST 295 2278 4291 2536 137 736 12 4 474 434 618 3 2 395 332 271 743 26379 4010 243 78
55 SALYAN 563 4582 13818 10806 785 1490 31 20 1277 1432 1348 22 10 1161 1862 1931 1488 138368 8635 423 90
59 SURKHET 666 10443 18050 11378 178 680 5 11 521 606 587 0 0 541 407 373 891 248291 13881 987 88
60 DAILEKH 756 9213 19682 12506 294 1648 27 44 1533 1503 1617 23 11 1494 1469 1365 2359 185566 10454 788 97
61 JAJARKOT 359 2581 5994 4688 739 1771 26 11 1607 1693 1697 8 7 1513 999 864 1882 39628 4289 258 83
62 DOLPA 282 722 1125 783 109 335 13 14 311 284 349 17 4 355 340 330 365 12316 1540 132 46
63 JUMLA 347 4275 7385 6358 1011 1345 20 17 1227 1298 1309 135 93 1241 1232 1178 1657 45300 2943 509 70
64 KALIKOT 354 3030 8607 6191 473 1024 33 18 965 886 1040 174 43 906 790 712 1011 78122 4814 284 89
65 MUGU 293 1093 2310 1931 152 525 9 5 397 278 504 20 15 306 217 159 849 13127 981 290 31
66 HUMLA 271 1354 1341 1275 117 294 4 8 252 230 269 13 4 264 195 183 292 12251 2015 188 60
Province 7 5159 64670 185185 123869 2352 8136 183 74 6767 7110 7691 1771 188 6950 9661 8446 15874 2435265 133795 5747 94
67 BAJURA 331 3288 14108 8223 373 965 31 10 917 889 951 13 8 939 931 789 1225 69245 7214 261 105
68 BAJHANG 588 4235 14770 9727 208 915 29 11 726 845 893 22 18 742 819 800 996 92891 3764 425 83
69 ACHHAM 916 10336 26809 13494 586 1363 23 4 1236 1181 1331 7 5 1270 1356 1315 1649 201221 6840 943 91
70 DOTI 688 6269 19058 11740 601 1227 24 12 963 1077 1136 41 6 1009 1083 1041 1677 140510 5087 627 83
71 KAILALI 588 13247 39730 39080 154 1208 23 12 1036 1136 1115 1625 134 983 1202 1117 7443 1067414 64260 1062 104
72 KANCHANPUR 373 8353 25207 11547 11 497 12 9 345 395 442 33 14 502 1813 1083 683 408004 26470 773 90
73 DADELDHURA 320 5260 10554 5003 44 350 18 7 224 303 314 5 3 286 441 407 464 74697 1997 456 96
74 BAITADI 851 9512 23987 16547 314 620 6 6 466 506 546 17 0 651 1400 1324 751 295075 14412 831 95
75 DARCHAULA 504 4170 10962 8508 61 991 17 3 854 778 963 8 0 568 616 570 986 86208 3751 369 94
 Raw Data: PHCORC (Sheet 1 of 2)

Growth Monitoring Timely

0-11 month 12-23 month Exclusive
Received General Antenatal Postnatal Deworming introduction of
District Name breast
Reports treatment Very Very checkup checkup Tablets Complementary
Normal Low Total Normal Low Total feeding
Low Low feeding
NEPAL 46327 817748 508198 13337 4511 526046 368212 13798 3066 385076 249525 43752 92063 193307 204203
Province 1 7997 145342 75079 638 293 76010 53550 705 127 54382 39108 6741 15054 27440 27499
01 TAPLEJUNG 609 8704 4025 39 46 4110 3321 12 19 3352 1372 503 749 1707 1817
02 PANCHTHAR 524 7193 4795 27 10 4832 2425 6 3 2434 1566 188 598 1676 1741
03 ILAM 573 15087 9283 4 1 9288 6408 5 0 6413 2785 684 892 2218 2097
04 JHAPA 530 15568 11635 89 0 11724 7894 31 2 7927 5503 1039 2218 2538 2800
05 MORANG 777 20999 16638 150 80 16868 10131 217 21 10369 8607 1471 3336 8189 7338
06 SUNSARI 569 8097 4096 54 12 4162 3300 34 22 3356 8979 728 2811 2015 1826
07 DHANKUTA 548 7729 1644 7 5 1656 1558 28 3 1589 1122 181 360 916 858
08 TERHATHUM 384 3899 906 2 5 913 758 7 0 765 679 128 227 215 229
09 SANKHUWASABHA 372 4531 2176 5 21 2202 1205 6 11 1222 757 104 293 814 731
10 BHOJPUR 693 11504 3207 17 3 3227 2476 19 10 2505 1125 242 516 989 960
11 SOLUKHUMBU 311 7618 1260 14 17 1291 900 17 3 920 410 169 620 343 369
12 OKHALDHUNGA 673 13957 3038 18 2 3058 2870 29 2 2901 973 246 368 1716 2122
13 KHOTANG 894 11682 5239 26 16 5281 4463 29 11 4503 2377 700 1097 2047 2279
14 UDAYAPUR 540 8774 7137 186 75 7398 5841 265 20 6126 2853 358 969 2057 2332
Province 2 7474 79092 75484 2632 708 78824 67898 2541 574 71013 83675 19673 36623 32014 31081
15 SAPTARI 1317 13568 13239 263 27 13529 14283 307 31 14621 11197 2393 4346 6059 5984
16 SIRAHA 1189 9805 8752 301 67 9120 6673 295 29 6997 6575 927 2945 2033 1874
17 DHANUSA 1168 9323 9288 136 42 9466 7992 151 34 8177 13879 3292 6332 4029 4218
18 MAHOTTARI 847 10490 17036 481 80 17597 12601 316 87 13004 22456 3963 6883 6371 5577
19 SARLAHI 321 5274 2923 183 23 3129 2764 99 36 2899 3080 1176 3373 1384 1298
32 RAUTAHAT 952 11927 9691 330 156 10177 10025 492 109 10626 11220 4126 5796 4616 4275
33 BARA 963 8540 8305 608 188 9101 7077 446 148 7671 7158 1605 3229 2897 3216
34 PARSA 717 10165 6250 330 125 6705 6483 435 100 7018 8110 2191 3719 4625 4639
Province 3 8187 167681 51576 1023 496 53095 32818 819 170 33807 22509 4115 8746 21359 22144
20 SINDHULI 537 11249 3475 40 17 3532 2460 34 0 2494 2327 535 1167 2100 2030
21 RAMECHHAP 751 13636 2473 6 1 2480 1944 28 1 1973 1510 224 323 666 826
22 DOLAKHA 640 12109 2186 49 24 2259 1594 43 19 1656 1388 303 628 1062 918
23 SINDHUPALCHOK 950 18586 4608 118 22 4748 3233 127 19 3379 1383 378 659 2204 2490
24 KAVRE 1102 29094 7285 57 7 7349 5568 51 3 5622 2880 440 625 2585 2824
25 LALITPUR 360 7311 1450 4 18 1472 1047 26 2 1075 389 131 172 536 561
26 BHAKTAPUR 264 5480 1013 1 2 1016 795 3 0 798 319 166 322 723 1038
27 KATHMANDU 732 16652 4972 101 19 5092 3151 14 0 3165 817 363 461 1993 2353
28 NUWAKOT 844 14195 4370 25 65 4460 2674 32 8 2714 1184 571 916 1518 1664
29 RASUWA 199 3741 908 4 3 915 724 14 2 740 406 29 143 437 409
30 DHADING 588 16957 4825 111 109 5045 3588 93 17 3698 2350 375 873 2477 2787
31 MAKWANPUR 594 10467 8418 218 122 8758 3427 120 40 3587 5206 348 1551 3189 2727
35 CHITAWAN 626 8204 5593 289 87 5969 2613 234 59 2906 2350 252 906 1869 1517
Province 4 6390 144215 40504 279 264 41047 28153 238 29 28420 16340 2194 4667 14418 15234
36 GORKHA 846 26957 5520 44 8 5572 5227 31 1 5259 2574 588 758 2895 3050
37 LAMJUNG 715 19335 2945 6 94 3045 2831 19 5 2855 1457 177 316 888 1196
38 TANAHU 542 13183 3884 34 9 3927 2133 28 8 2169 2005 150 603 1469 1219
39 SYANGJA 814 15960 4580 31 17 4628 3374 31 2 3407 1979 301 614 2353 2592
40 KASKI 795 19319 10471 63 100 10634 5073 60 8 5141 2200 204 643 2469 2434
41 MANANG 159 1384 25 3 0 28 26 0 0 26 22 6 17 10 9
42 MUSTANG 201 2009 112 0 4 116 99 2 0 101 30 4 57 7 3
43 MYAGDI 472 6603 1592 17 0 1609 1423 6 0 1429 940 74 185 619 693
44 PARBAT 672 7525 1803 10 0 1813 1463 3 1 1467 755 126 177 543 591
45 BAGLUNG 721 23951 2264 7 4 2275 2529 20 1 2550 1973 271 634 830 990
48.1 NAWALPUR 453 7989 7308 64 28 7400 3975 38 3 4016 2405 293 663 2335 2457
Province 5 7083 123462 112877 3335 1075 117287 68890 3292 923 73105 53764 5680 14989 42354 44512
46 GULMI 644 12639 5600 47 170 5817 3582 37 109 3728 2806 523 699 2028 2494
47 PALPA 757 19192 8856 40 35 8931 6371 57 29 6457 3023 162 586 1009 1087
48 NAWALPARASI 460 7570 8140 189 30 8359 4225 184 11 4420 4806 221 1091 1812 1593
49 RUPANDEHI 914 16293 13870 148 78 14096 9619 117 44 9780 8034 1001 2461 6034 6403
50 KAPILBASTU 865 11243 16144 1290 355 17789 12872 1369 391 14632 9872 2233 3860 10554 11342
51 ARGHAKHANCHI 522 13808 1460 15 1 1476 1005 18 0 1023 1555 54 443 496 538
52 PYUTHAN 563 12368 7309 142 37 7488 4049 102 29 4180 2786 208 793 2653 2994
53 ROLPA 637 10293 7786 109 6 7901 5784 83 7 5874 1992 172 660 3527 3985
54 RUKUM 141 2333 1434 20 13 1467 990 24 5 1019 456 241 347 327 347
56 DANG 546 6741 10324 243 49 10616 4829 234 61 5124 4178 147 911 4033 4058
57 BANKE 577 8143 11673 337 125 12135 6457 416 93 6966 9140 272 2323 6116 5509
58 BARDIYA 457 2839 20281 755 176 21212 9107 651 144 9902 5116 446 815 3765 4162
Province 6 4036 51309 50549 2294 747 53590 38199 2290 574 41063 13967 2549 6642 20355 25201
54.1 RUKUM WEST 299 5200 6513 161 29 6703 3808 115 11 3934 1400 185 712 1720 1651
55 SALYAN 562 9337 9647 258 121 10026 7015 262 108 7385 2480 574 805 5409 6198
59 SURKHET 681 9737 7044 163 71 7278 4186 109 54 4349 3442 183 923 3093 3245
60 DAILEKH 746 6218 14194 461 41 14696 9420 290 23 9733 1822 206 681 4378 7163
61 JAJARKOT 275 4986 3619 270 98 3987 2426 220 70 2716 1590 470 957 2201 2120
62 DOLPA 285 1427 778 89 10 877 1529 80 9 1618 294 104 345 331 368
63 JUMLA 352 4167 5608 552 130 6290 5595 648 150 6393 1435 369 668 1499 2260
64 KALIKOT 322 4467 1848 211 61 2120 2183 333 66 2582 727 137 504 912 1033
65 MUGU 260 4052 885 72 115 1072 1425 170 65 1660 549 227 743 609 988
66 HUMLA 254 1718 413 57 71 541 612 63 18 693 228 94 304 203 175
Province 7 5160 106647 102129 3136 928 106193 78704 3913 669 83286 20162 2800 5342 35367 38532
67 BAJURA 333 8918 2862 310 98 3270 2570 346 107 3023 1075 158 414 1401 1418
68 BAJHANG 587 13652 4201 176 49 4426 4236 212 27 4475 1644 488 833 2053 2405
69 ACHHAM 935 22090 19452 536 344 20332 19830 1055 167 21052 3017 803 1023 4520 3552
70 DOTI 677 8917 9617 549 95 10261 8438 663 132 9233 1448 295 559 3740 3642
71 KAILALI 575 7061 28257 623 116 28996 13800 483 65 14348 6020 294 1064 12274 16042
72 KANCHANPUR 345 9589 5059 102 14 5175 2673 105 9 2787 1428 167 312 2528 2387
73 DADELDHURA 307 9743 4672 150 35 4857 3846 212 30 4088 800 119 244 663 682
74 BAITADI 897 16652 18594 520 143 19257 13800 668 115 14583 3353 212 542 5504 5616
75 DARCHAULA 504 10025 9415 170 34 9619 9511 169 17 9697 1377 264 351 2684 2788
 Raw and Analysed Data: PHCORC (Sheet 2 of 2)
FP Method

Vitamin A for

group attend
Iron tablet distribution

postpartum

tracing (TB)

Blood slide
collection
Defaulter

Mother's
Condoms Pills Depo
District Name
New
Repeated Postpartum
pregnant Piece No Cycle No

NEPAL 102584 190188 41421 62464 2741812 104893 137217 189686 1663 1705 180748
Province 1 18142 32329 6416 6762 429182 24943 38449 49820 261 527 28771
01 TAPLEJUNG 682 929 446 469 25712 1253 2170 2454 31 7 1989
02 PANCHTHAR 591 1160 163 168 51826 1635 3667 5906 5 3 1486
03 ILAM 979 2720 529 614 36181 4212 6681 7549 33 64 3374
04 JHAPA 2292 4746 992 1317 48321 3992 5178 4372 31 44 2557
05 MORANG 6945 7973 1544 1509 72291 4921 6481 8377 72 187 3980
06 SUNSARI 2992 6169 797 981 37355 2052 3094 3360 53 174 3692
07 DHANKUTA 353 874 143 148 9982 629 1045 2509 0 12 1028
08 TERHATHUM 173 601 99 92 11360 620 704 717 8 0 554
09 SANKHUWASABHA 348 814 126 76 8531 389 724 1626 1 0 1002
10 BHOJPUR 355 1099 250 247 35760 1049 1875 2990 0 0 1973
11 SOLUKHUMBU 194 311 135 129 8411 629 1198 1777 2 0 1010
12 OKHALDHUNGA 294 747 203 125 21130 898 1576 2884 6 31 3015
13 KHOTANG 1031 1941 675 587 40129 1294 2173 1820 19 0 1944
14 UDAYAPUR 913 2245 314 300 22193 1370 1883 3479 0 5 1167
Province 2 42917 61397 19793 36681 656161 24738 27237 21326 521 706 42926
15 SAPTARI 4625 9577 2141 1863 114099 5774 6470 4715 47 110 9290
16 SIRAHA 3027 4817 930 951 66831 2101 2295 2296 69 4 5477
17 DHANUSA 6868 10295 3252 3531 76981 3636 3629 2004 27 1 4457
18 MAHOTTARI 13400 14989 4149 21536 91247 5418 6203 5380 40 31 6836
19 SARLAHI 2034 2193 1003 1330 32220 1305 1478 1531 119 4 2341
32 RAUTAHAT 5473 8633 3978 3932 140422 4188 4459 2193 132 199 5446
33 BARA 3181 5352 2049 1578 57165 784 1106 1770 57 277 4077
34 PARSA 4309 5541 2291 1960 77196 1532 1597 1437 30 80 5002
Province 3 7838 16430 3709 5104 300910 13347 22207 47621 149 74 27019
20 SINDHULI 1014 1678 568 754 29919 1129 1948 2715 12 25 1332
21 RAMECHHAP 409 1286 186 311 20565 477 874 2748 7 0 1952
22 DOLAKHA 365 979 239 336 12910 764 1128 1902 7 1 1393
23 SINDHUPALCHOK 789 1156 327 282 17041 1578 2835 6232 20 0 2900
24 KAVRE 620 2145 336 223 37428 1918 2632 7218 20 10 4407
25 LALITPUR 160 315 121 121 17046 664 1258 2308 7 1 1702
26 BHAKTAPUR 233 284 155 166 20682 665 1001 969 14 2 931
27 KATHMANDU 442 580 353 356 24123 1161 2149 3673 14 1 4094
28 NUWAKOT 684 769 550 1551 29679 1208 1670 3153 11 0 2499
29 RASUWA 126 282 18 19 5970 61 168 354 2 0 632
30 DHADING 542 1723 223 415 41780 2202 3940 6922 2 1 2510
31 MAKWANPUR 1792 3538 316 280 22730 927 1727 7546 13 18 1410
35 CHITAWAN 662 1695 317 290 21037 593 877 1881 20 15 1257
Province 4 4637 12523 2266 2258 238247 8606 10611 10329 125 65 17680
36 GORKHA 667 2046 538 362 28286 1027 1829 2897 67 4 2948
37 LAMJUNG 339 1247 197 167 12419 741 873 842 1 5 2635
38 TANAHU 664 1326 134 409 17937 558 956 1792 2 0 1201
39 SYANGJA 497 1627 323 243 27631 1984 2107 1023 23 5 3301
40 KASKI 670 1708 221 357 46186 1747 1622 1421 20 40 3429
41 MANANG 4 5 2 2 691 10 34 1 0 0 25
42 MUSTANG 7 23 2 4 1133 41 62 77 0 0 91
43 MYAGDI 235 736 54 26 16743 414 377 541 2 0 606
44 PARBAT 173 506 108 130 8892 431 428 312 0 2 571
45 BAGLUNG 546 1451 202 360 60840 979 1539 886 5 9 1936
48.1 NAWALPUR 835 1848 485 198 17489 674 784 537 5 0 937
Province 5 16444 42518 4765 5771 491823 15997 19250 25445 269 210 27025
46 GULMI 778 2256 350 1074 30952 1408 1046 1061 24 12 2882
47 PALPA 907 3911 163 78 29823 2203 1486 2288 10 106 1365
48 NAWALPARASI 1127 3750 216 113 19873 606 592 772 8 3 1453
49 RUPANDEHI 2621 5706 815 693 75993 2741 3304 2369 52 70 3898
50 KAPILBASTU 4329 6608 2063 1874 93191 2968 3311 1154 45 2 4575
51 ARGHAKHANCHI 618 1091 94 444 26781 445 696 667 6 3 1903
52 PYUTHAN 991 2139 168 129 55362 1475 2037 2612 14 8 1955
53 ROLPA 811 1947 130 453 57357 648 1491 2729 4 0 1999
54 RUKUM 266 300 185 226 6500 398 503 684 1 0 345
56 DANG 901 3489 126 231 40706 1360 2500 4955 63 0 2254
57 BANKE 2299 7908 275 369 45086 1178 1426 2565 30 4 3258
58 BARDIYA 796 3413 180 87 10199 567 858 3589 12 2 1138
Province 6 7299 10015 2197 3280 224365 6078 8515 17025 159 71 12984
54.1 RUKUM WEST 1371 956 116 93 22275 602 1063 2367 1 0 861
55 SALYAN 821 1830 409 216 43596 830 1427 4829 28 18 1663
59 SURKHET 909 2481 181 193 33804 696 1352 3010 4 26 2724
60 DAILEKH 897 1461 211 428 32855 673 657 2013 42 1 3875
61 JAJARKOT 1051 1003 441 475 22560 1275 1508 2842 13 0 930
62 DOLPA 266 222 120 114 9658 419 577 232 4 0 822
63 JUMLA 675 1015 360 910 23008 488 469 516 4 25 1303
64 KALIKOT 338 432 116 153 18857 471 367 652 2 0 423
65 MUGU 373 482 168 601 12004 390 476 285 52 1 172
66 HUMLA 598 133 75 97 5748 234 619 279 9 0 211
Province 7 5307 14976 2275 2608 401124 11184 10948 18120 179 52 24343
67 BAJURA 389 584 159 328 29882 1090 699 1384 5 0 714
68 BAJHANG 733 1182 391 328 51482 1442 910 764 35 12 2021
69 ACHHAM 1015 2686 612 858 88741 2425 2441 1996 8 6 7064
70 DOTI 466 1114 213 448 53134 943 710 1027 76 5 2053
71 KAILALI 1149 4470 341 144 40475 2052 2604 6546 29 5 2158
72 KANCHANPUR 265 958 113 35 17772 455 753 2538 0 0 460
73 DADELDHURA 278 512 98 43 16498 547 634 1009 2 5 784
74 BAITADI 608 2472 134 290 62969 1433 1404 2046 24 19 6705
75 DARCHAULA 404 998 214 134 40171 797 793 810 0 0 2384
 Analyzed Data:Malaria (Sheet 1 of 1)
MALARIA

% of confirmed cases of
District Name Malaria annual parasite
Annual blood examination Slide positivity rate (SPR) of Clinical malaria incidence % of imported cases among uncomplicated malaria treated % of confirmed cases of severe
incidence (per 1,000 % of P. Falciparum (PF) cases
rate (ABER) of malaria malaria (CMI) positive cases of malaria with antimalarials as per national malaria
population )
guidelines

National Total 0.79 0.95 0.08 0.26 13.1 56.4 100 3.0
Provience 1 0.44 0.39 0.02 0.35 24.49 77.6 100 2.0
01 TAPLEJUNG 0.13 0.00 0.00 0.00 0.00 0.0 0 0.0
02 PANCHTHAR 1.44 0.81 0.12 0.00 25.00 100.0 100 0.0
ILAM 0.93 0.15 0.01 0.00 50.00 100.0 100 0.0
JHAPA 0.50 0.57 0.03 0.00 13.64 77.3 100 4.5
MORANG 0.46 0.17 0.01 0.73 42.86 71.4 100 0.0
SUNSARI 0.19 0.98 0.02 0.60 44.44 66.7 100 0.0
DHANKUTA 0.15 7.04 0.11 0.30 0.00 80.0 100 0.0
TERHATHUM 0.25 0.00 0.00 0.28 0.00 0.0 0 0.0
SANKHUWASABHA 0.03 0.00 0.00 0.24 0.00 0.0 0 0.0
BHOJPUR 1.06 0.00 0.00 0.51 0.00 0.0 0 0.0
SOLUKHUMBU 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
OKHALDHUNGA 0.34 0.00 0.00 0.00 0.00 0.0 0 0.0
KHOTANG 4.29 0.00 0.00 0.54 0.00 0.0 0 0.0
UDAYAPUR 0.38 0.00 0.00 0.00 0.00 0.0 0 0.0
Province 2 0.51 0.83 0.04 0.40 19.86 28.1 100 19.9
SAPTARI 0.80 0.46 0.04 0.07 0.00 0.0 100 133.3
SIRAHA 0.38 0.00 0.00 1.23 0.00 0.0 0 0.0
DHANUSA 0.63 2.52 0.16 0.00 23.08 10.3 100 25.6
MAHOTTARI 1.21 0.38 0.05 0.85 21.43 71.4 100 0.0
SARLAHI 0.10 3.03 0.03 0.00 0.00 33.3 100 0.0
RAUTAHAT 0.35 0.27 0.01 0.58 0.00 60.0 100 0.0
BARA 0.59 0.65 0.04 0.10 36.84 47.4 100 5.3
PARSA 0.57 0.22 0.01 0.62 16.67 83.3 100 0.0
Province 3 0.42 0.63 0.03 0.25 28.89 37.8 100 2.2
SINDHULI 1.00 0.76 0.08 0.14 0.00 0.0 100 0.0
RAMECHHAP 0.52 0.00 0.00 0.00 0.00 0.0 0 0.0
DOLAKHA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
SINDHUPALCHOK 0.05 0.00 0.00 0.04 0.00 0.0 0 0.0
KAVRE 0.08 0.00 0.00 0.26 0.00 0.0 0 0.0
LALITPUR 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
BHAKTAPUR 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
KATHMANDU 0.00 100.00 0.00 0.00 71.43 100.0 100 14.3
NUWAKOT 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
RASUWA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
DHADING 1.78 0.00 0.00 0.05 0.00 0.0 0 0.0
MAKWANPUR 0.28 0.19 0.01 0.08 100.00 50.0 100 0.0
CHITAWAN 0.36 0.71 0.03 0.19 37.50 56.3 100 0.0
Province 4 0.87 0.32 0.03 0.06 10.34 72.4 100 0.0
GORKHA 0.57 0.00 0.00 0.00 0.00 0.0 0 0.0
LAMJUNG 0.77 0.00 0.00 0.07 0.00 0.0 0 0.0
TANAHU 1.25 0.00 0.00 0.12 0.00 0.0 0 0.0
SYANGJA 0.81 0.81 0.07 0.10 0.00 100.0 100 0.0
KASKI 0.40 0.96 0.04 0.04 11.76 76.5 100 0.0
MANANG 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
MUSTANG 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
MYAGDI 1.92 0.00 0.00 0.25 0.00 0.0 0 0.0
PARBAT 0.77 0.34 0.03 0.03 100.00 100.0 100 0.0
BAGLUNG 0.89 0.00 0.00 0.00 0.00 0.0 0 0.0
NAWALPUR 1.64 0.20 0.03 0.10 0.00 55.6 100 0.0
Province 5 1.07 0.77 0.08 0.21 16.19 74.5 100 0.0
GULMI 1.14 0.44 0.05 0.00 0.00 100.0 100 0.0
PALPA 1.73 0.33 0.06 0.46 33.33 66.7 100 0.0
NAWALPARASI 0.54 0.25 0.01 0.78 0.00 75.0 100 0.0
RUPANDEHI 1.43 0.51 0.07 0.24 25.76 51.5 100 0.0
KAPILBASTU 0.90 1.59 0.14 0.00 18.06 80.6 100 0.0
ARGHAKHANCHI 1.06 2.46 0.26 1.21 62.50 100.0 100 0.0
PYUTHAN 10.40 1.48 1.54 0.14 18.18 100.0 100 0.0
ROLPA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
RUKUM 0.00 0.00 0.00 1.57 0.00 0.0 0 0.0
DANG 0.99 0.56 0.06 0.10 2.94 91.2 100 0.0
BANKE 0.68 0.89 0.06 0.11 3.45 69.0 100 0.0
BARDIYA 1.19 0.92 0.11 0.14 10.20 77.6 100 0.0
Province 6 0.70 1.79 0.13 0.07 5.33 74.7 100 0.0
RUKUM WEST 0.04 0.00 0.00 0.07 0.00 0.0 0 0.0
SALYAN 0.00 0.00 0.00 0.34 0.00 0.0 0 0.0
SURKHET 0.92 1.87 0.17 0.00 5.97 71.6 100 0.0
DAILEKH 0.46 1.82 0.08 0.03 0.00 100.0 100 0.0
JAJARKOT 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
DOLPA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
JUMLA 0.00 0.00 0.00 0.23 0.00 0.0 0 0.0
KALIKOT 1.48 0.00 0.00 0.50 0.00 0.0 0 0.0
MUGU 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
HUMLA 0.00 0.00 0.00 0.00 0.00 0.0 0 0.0
Province 7 1.6 1.6 0.3 0.1 8.3 50.6 100.0 0.6
BAJURA 1.4 14.7 2.1 7.8 18.8 12.5 100.0 0.0
BAJHANG 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
ACHHAM 0.8 3.8 0.3 0.5 8.9 68.9 100.0 0.0
DOTI 0.3 1.1 0.0 0.0 0.0 100.0 100.0 0.0
KAILALI 1.4 2.1 0.3 0.1 9.4 57.7 100.0 0.0
KANCHANPUR 2.7 0.6 0.2 0.0 9.3 62.7 100.0 0.0
DADELDHURA 1.3 1.0 0.1 0.0 0.0 60.0 100.0 0.0
BAITADI 2.1 6.2 1.3 1.6 2.7 2.7 100.0 4.0
DARCHAULA 0.7 1.2 0.1 0.0 50.0 100.0 100.0 0.0
 Raw Data:MALARIA (Sheet 1 of 4)
Blood Slide Collection Examined Positive Treatment
District Name
ACD PCD Total Micros-copy only RDT Only Both (M+R) Micros-copy only RDT Only Both (M+R) Total Pregnant

National Total 10785 73469 84254 47940 28078 8978 357 285 227 869 9
Provience 1 1859 10652 12511 7605 3926 999 36 9 4 49 0
PANCHTHAR 20 473 493 383 109 1 3 1 0 4 0
ILAM 194 1096 1290 281 1006 43 0 2 0 2 0
JHAPA 750 3110 3860 2886 872 102 17 4 1 22 0
MORANG 131 3926 4057 2893 419 745 7 0 0 7 0
SUNSARI 206 713 919 213 622 84 4 2 3 9 0
DHANKUTA 20 51 71 45 25 1 5 0 0 5 0
TERHATHUM 92 19 111 85 12 0 0 0 0 0 0
SANKHUWASABHA 2 17 19 0 12 0 0 0 0 0 0
BHOJPUR 0 271 271 1 270 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 68 68 6 62 0 0 0 0 0 0
KHOTANG 0 80 80 80 0 0 0 0 0 0 0
UDAYAPUR 444 823 1267 727 517 23 0 0 0 0 0
Province 2 2573 14926 17499 7556 7590 2387 33 47 66 146 0
SAPTARI 214 1053 1267 368 705 219 2 2 2 6 0
SIRAHA 62 1351 1413 656 700 57 0 0 0 0 0
DHANUSA 1342 1750 3092 1461 713 918 14 13 51 78 0
MAHOTTARI 69 3609 3678 2707 768 203 4 4 6 14 0
SARLAHI 77 517 594 312 155 127 12 6 0 18 0
RAUTAHAT 252 1609 1861 1207 583 80 1 1 3 5 0
BARA 521 2384 2905 638 1484 783 0 15 4 19 0
PARSA 36 2653 2689 207 2482 0 0 6 0 6 0
Province 3 1202 5820 7022 2128 3402 1656 7 21 17 45 0
SINDHULI 190 2441 2631 945 932 754 6 11 3 20 0
RAMECHHAP 139 41 180 2 10 168 0 0 0 0 0
DOLAKHA 145 0 145 0 145 0 0 0 0 0 0
SINDHUPALCHOK 55 0 55 0 57 0 0
KAVRE 33 160 193 33 138 24 0
LALITPUR 2 49 51 137 6 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 7 7 1 5 1 1 5 1 7 0
NUWAKOT 11 79 90 83 67 8 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0
DHADING 7 358 365 48 146 171 0 0 0 0 0
MAKWANPUR 511 541 1052 520 239 293 0 1 1 2 0
CHITAWAN 109 2144 2253 359 1657 237 0 4 12 16 0
Province 4 341 5595 5936 3738 1756 537 13 10 1 24 0
GORKHA 186 314 500 73 234 183 0 0 0 0 0
LAMJUNG 4 544 548 443 95 0 0 0 0 0 0
TANAHU 0 734 734 647 79 21 0 0 0 0
SYANGJA 0 145 145 0 145 101 0 2 0 2 0
KASKI 85 1695 1780 1202 578 0 12 5 0 17 0
MANANG 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 20 44 64 63 8 5 0 0 0 0 0
PARBAT 13 293 306 80 2 215 0 0 1 1 0
BAGLUNG 33 203 236 229 5 0 0 0 0 0 0
NAWALPUR 0 1623 1623 1001 610 12 1 3 0 4 0
Province 5 341 5595 5936 3738 1756 537 13 10 1 24 0
GULMI 14 405 419 161 251 40 0 2 0 2 0
PALPA 97 693 790 831 72 0 3 0 0 3 0
NAWALPARASI 118 4459 4577 2721 1810 46 1 6 2 9 0
RUPANDEHI 410 12548 12958 5312 7317 329 14 48 4 66 0
KAPILBASTU 694 3832 4526 1813 2584 130 8 31 33 72 0
ARGHAKHANCHI 12 286 298 0 325 0 0 8 0 8 1
PYUTHAN 25 397 422 32 581 129 3 5 3 11 0
ROLPA 6 113 119 119 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0
DANG 0 6028 6028 455 5198 374 0 9 25 34 0
BANKE 153 3009 3162 464 2210 586 4 4 21 29 0
BARDIYA 490 4820 5310 3676 762 872 27 6 16 49 4
Province 6 542 3459 4001 1718 2248 225 33 20 22 75 0
RUKUM WEST 10 0 10 0 0 10 0 0 0 0 0
SALYAN 0 2 2 0 2 0 0 0 0 0 0
SURKHET 529 3033 3562 1459 2036 90 31 14 22 67 0
DAILEKH 403 403 225 210 5 2 6 0 8 0
JAJARKOT 3 2 5 7 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 19 19 27 0 120 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0
Province 7 3927 27422 31349 21457 7400 2637 222 168 116 506 9
BAJURA 79 30 109 22 81 6 2 12 2 16 0
BAJHANG 66 37 103 12 89 5 0 0 0 0 0
ACHHAM 16 1053 1069 227 910 44 18 21 6 45 0
DOTI 91 466 557 438 37 84 0 6 0 6 0
KAILALI 1935 10658 12593 7892 4356 347 137 103 27 267 6
KANCHANPUR 1246 12369 13615 11388 843 1384 43 8 24 75 1
DADELDHURA 24 1926 1950 747 832 371 8 2 10 20 0
BAITADI 108 881 989 625 194 394 14 14 47 75 2
DARCHAULA 362 2 364 106 58 2 0 2 0 2 0
 Raw Data:MALARIA (Sheet 2 of 4)
Plasmodium Vivax (PV) Plasmodium Falciparum (PF) Plasmodium Mixed (P-MIX)

Indigenous Imported Indigenous Imported Indigenous Imported

District Name
< 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years

F M F M F M F M F M F M F M F M F M F M F M F M

National Total 5 12 133 290 6 9 59 466 1 1 19 21 2 3 13 66 0 0 6 4 0 0 1 11

Provience 1 0 0 0 8 0 0 9 20 0 0 1 1 0 0 2 7 0 0 1 0 0 0 0 0
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 2 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
ILAM 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
JHAPA 0 0 0 5 0 0 1 13 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
MORANG 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
SUNSARI 0 0 0 0 0 0 3 2 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0
DHANKUTA 0 0 0 1 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 2 1 1 29 52 0 0 4 30 0 0 12 7 0 0 1 6 0 0 2 1 0 0 0 0
SAPTARI 0 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 1 0 19 34 0 0 0 6 0 0 9 5 0 0 0 2 0 0 1 1 0 0 0 0
MAHOTTARI 0 0 1 3 0 0 1 6 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
SARLAHI 0 1 1 10 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 2 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARA 0 0 2 3 0 0 1 6 0 0 3 2 0 0 1 1 0 0 0 0 0 0 0 0
PARSA 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
Province 3 0 0 2 24 0 1 0 5 0 0 2 0 0 1 2 6 0 0 0 0 0 0 0 2
SINDHULI 0 0 1 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 0 0 0 0 1 0 1 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 1
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0
CHITAWAN 0 0 1 5 0 0 0 4 0 0 1 0 0 0 0 4 0 0 0 0 0 0 0 1
Province 4 0 0 3 2 0 0 2 14 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KASKI 0 0 3 1 0 0 1 10 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 1 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 1 2 13 48 3 1 14 156 1 1 2 4 0 2 7 22 0 0 1 1 0 0 0 4
GULMI 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PALPA 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 0 4 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUPANDEHI 1 0 9 15 0 0 5 19 1 1 2 3 0 0 3 6 0 0 0 0 0 0 0 1
KAPILBASTU 0 0 0 12 0 0 0 47 0 0 0 0 0 1 2 6 0 0 1 1 0 0 0 2
ARGHAKHANCHI 0 0 0 0 0 0 1 2 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 1
PYUTHAN 0 0 0 0 0 1 0 8 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 1 2 0 0 5 25 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
BANKE 0 1 1 7 0 0 0 19 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
BARDIYA 0 1 2 8 3 0 3 27 0 0 0 0 0 0 1 4 0 0 0 0 0 0 0 0
Province 6 0 0 4 15 1 0 4 47 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 1
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 4 15 1 0 4 39 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 1
DAILEKH 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 3 9 82 141 2 7 26 194 0 0 2 9 2 0 1 20 0 0 2 2 0 0 1 3
BAJURA 0 1 3 7 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 0 3 10 2 6 2 18 0 0 0 1 2 0 0 1 0 0 0 0 0 0 0 0
DOTI 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 0 3 25 74 0 1 15 124 0 0 2 6 0 0 0 13 0 0 2 1 0 0 0 1
KANCHANPUR 1 0 11 16 0 0 6 34 0 0 0 0 0 0 1 6 0 0 0 0 0 0 0 0
DADELDHURA 0 0 4 4 0 0 3 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAITADI 2 5 36 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
DARCHAULA 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
 Raw Data:MALARIA (Sheet 3 of 4)
No of malaria cases Treatment of malaria

Suspected/ Probable Confirmed Uncomplicated Probable Severe Confirmed Severe Suspected/ Probable Confirmed Uncomplicated Probable Severe Confirmed Severe
District Name
< 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years

F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M

National Total 20 26 299 345 14 29 228 858 0 0 0 2 3 1 # 16 20 26 299 345 14 29 228 858 0 0 0 2 3 1 14 16
Provience 1 4 3 17 15 0 0 13 36 0 0 0 0 0 0 0 1 4 3 17 15 0 0 13 36 0 0 0 0 0 0 0 1
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 0 0 0 0
ILAM 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0
JHAPA 0 0 0 0 0 0 1 21 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 21 0 0 0 0 0 0 0 1
MORANG 4 3 11 9 0 0 0 7 0 0 0 0 0 0 0 0 4 3 11 9 0 0 0 7 0 0 0 0 0 0 0 0
SUNSARI 0 0 4 4 0 0 5 4 0 0 0 0 0 0 0 0 0 0 4 4 0 0 5 4 0 0 0 0 0 0 0 0
DHANKUTA 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0
TERHATHUM 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 2 16 22 185 222 1 2 47 96 0 0 0 0 3 1 # 13 16 22 185 222 1 2 47 96 0 0 0 0 3 1 12 13
SAPTARI 2 3 33 41 0 0 4 2 0 0 0 0 0 0 3 5 2 3 33 41 0 0 4 2 0 0 0 0 0 0 3 5
SIRAHA 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 7 9 38 26 1 1 28 48 0 0 0 0 3 1 9 7 7 9 38 26 1 1 28 48 0 0 0 0 3 1 9 7
MAHOTTARI 7 10 75 118 0 0 2 12 0 0 0 0 0 0 0 0 7 10 75 118 0 0 2 12 0 0 0 0 0 0 0 0
SARLAHI 0 0 0 5 0 1 1 16 0 0 0 0 0 0 0 0 0 0 0 5 0 1 1 16 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0
BARA 0 0 37 30 0 0 7 12 0 0 0 0 0 0 0 1 0 0 37 30 0 0 7 12 0 0 0 0 0 0 0 1
PARSA 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0
Province 3 0 0 11 12 0 2 6 37 0 0 0 0 0 0 0 1 0 0 11 12 0 2 6 37 0 0 0 0 0 0 0 1
SINDHULI 0 0 7 8 0 0 1 19 0 0 0 0 0 0 0 0 0 0 7 8 0 0 1 19 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 0 0 0 0 2 2 3 0 0 0 0 0 0 0 1 0 0 0 0 0 2 2 3 0 0 0 0 0 0 0 1
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0
CHITAWAN 0 0 0 0 0 0 2 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 14 0 0 0 0 0 0 0 0
Province 4 0 0 1 1 0 0 5 19 0 0 0 0 0 0 0 0 0 0 1 1 0 0 5 19 0 0 0 0 0 0 0 0
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
KASKI 0 0 1 0 0 0 4 13 0 0 0 0 0 0 0 0 0 0 1 0 0 0 4 13 0 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0
Province 5 0 0 57 63 5 7 37 235 0 0 0 0 0 0 0 0 0 0 57 63 5 7 37 235 0 0 0 0 0 0 0 0
GULMI 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0
PALPA 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 31 27 0 0 0 9 0 0 0 0 0 0 0 0 0 0 31 27 0 0 0 9 0 0 0 0 0 0 0 0
RUPANDEHI 0 0 25 28 2 1 19 44 0 0 0 0 0 0 0 0 0 0 25 28 2 1 19 44 0 0 0 0 0 0 0 0
KAPILBASTU 0 0 0 0 0 2 3 68 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 68 0 0 0 0 0 0 0
ARGHAKHANCHI 0 0 0 0 0 1 1 6 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 6 0 0 0 0 0 0 0 0
PYUTHAN 0 0 0 0 0 1 1 9 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 9 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 0 3 0 0 6 28 0 0 0 0 0 0 0 0 0 0 0 3 0 0 6 28 0 0 0 0 0 0 0 0
BANKE 0 1 3 0 1 1 27 0 0 0 0 0 0 0 0 0 0 1 3 0 1 1 27 0 0 0 0 0 0 0 0
BARDIYA 0 0 0 0 3 1 6 39 0 0 0 0 0 0 0 0 0 0 0 0 3 1 6 39 0 0 0 0 0 0 0 0
Province 6 0 0 0 5 1 0 8 66 0 0 0 0 0 0 0 0 0 0 0 5 1 0 8 66 0 0 0 0 0 0 0 0
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 0 0 1 0 8 58 0 0 0 0 0 0 0 0 0 0 0 0 1 0 8 58 0 0 0 0 0 0 0 0
DAILEKH 0 0 0 5 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 8 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 1 28 27 7 18 112 369 0 0 0 2 0 0 2 1 0 1 28 27 7 18 112 369 0 0 0 2 0 0 2 1
BAJURA 0 0 0 0 0 2 2 12 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 12 0 0 0 0 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 0 0 0 4 6 5 30 0 0 0 0 0 0 0 0 0 0 0 0 4 6 5 30 0 0 0 0 0 0 0 0
DOTI 0 0 0 3 0 0 0 6 0 0 0 1 0 0 0 0 0 0 0 3 0 0 0 6 0 0 0 1 0 0 0 0
KAILALI 0 0 0 2 0 5 43 219 0 0 0 0 0 0 0 0 0 0 0 2 0 5 43 219 0 0 0 0 0 0 0 0
KANCHANPUR 0 0 0 0 1 0 18 56 0 0 0 1 0 0 0 0 0 0 0 0 1 0 18 56 0 0 0 1 0 0 0 0
DADELDHURA 0 0 0 0 0 0 7 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 13 0 0 0 0 0 0 0 0
BAITADI 0 1 28 22 2 5 37 31 0 0 0 0 0 0 2 1 0 1 28 22 2 5 37 31 0 0 0 0 0 0 2 1
DARCHAULA 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
 Raw Data:MALARIA (Sheet 4 of 4)
Died

Probable Confirmed Malaria PV Confirmed Malaria PF

District Name
< 5 Years ≥ 5 Years < 5 Years ≥ 5 Years < 5 Years ≥ 5 Years

F M F M F M F M F M F M

National Total 0 0 0 0 0 0 0 0 0 0 0 0
Provience 1 0 0 0 0 0 0 0 0 0 0 0 0
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0
ILAM 0 0 0 0 0 0 0 0 0 0 0 0
JHAPA 0 0 0 0 0 0 0 0 0 0 0 0
MORANG 0 0 0 0 0 0 0 0 0 0 0 0
SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0
DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0
TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0
SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0
Province 2 0 0 0 0 0 0 0 0 0 0 0 0
SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0
SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 0 0 0 0 0 0 0 0 0 0 0 0
MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0
SARLAHI 0 0 0 0 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0
BARA 0 0 0 0 0 0 0 0 0 0 0 0
PARSA 0 0 0 0 0 0 0 0 0 0 0 0
Province 3 0 0 0 0 0 0 0 0 0 0 0 0
SINDHULI 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 0 0 0 0 0 0 0 0 0 0 0
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 0 0 0 0 0 0 0 0 0 0
CHITAWAN 0 0 0 0 0 0 0 0 0 0 0 0
Province 4 0 0 0 0 0 0 0 0 0 0 0 0
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0
KASKI 0 0 0 0 0 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 0 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 0 0 0 0 0 0 0 0 0 0 0 0
GULMI 0 0 0 0 0 0 0 0 0 0 0 0
PALPA 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0
RUPANDEHI 0 0 0 0 0 0 0 0 0 0 0 0
KAPILBASTU 0 0 0 0 0 0 0 0 0 0 0 0
ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0
PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 0 0 0 0 0 0 0 0 0 0
BANKE 0 0 0 0 0 0 0 0 0 0 0 0
BARDIYA 0 0 0 0 0 0 0 0 0 0 0 0
Province 6 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 0 0 0 0 0 0 0 0 0 0
DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 0 0 0 0 0 0 0 0 0 0 0
BAJURA 0 0 0 0 0 0 0 0 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 0 0 0 0 0 0 0 0 0 0 0
DOTI 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 0 0 0 0 0 0 0 0 0 0 0 0
KANCHANPUR 0 0 0 0 0 0 0 0 0 0 0 0
DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0
BAITADI 0 0 0 0 0 0 0 0 0 0 0 0
DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0
 Analyzed Data:Kala-azar (Sheet 1 of 1)
KALA-AZAR LYMPHATIC FILARIASIS

Incidence of kala‐azar % of kala-azar cases that % of kala-azar cases that

District Name
Number of kala-azar
cases in at risk districts
Kala‐azar treatment Prevalence of Kala-azar in at
(KA) per 10,000 were treated by Sodium were treated by Kala-azar case fatality Prevalence of lymphatic filariasis in at risk
failure rate (KATFR) in at risk districts per 10,000
population in at risk Astivo Gluconate (SAG) in Fungizone in at risk rate in at risk districts districts per 10,000 population
risk districts population
districts at risk districts districts

National Total 225 0.11 3.11

Provience 1 44
01 TAPLEJUNG 0 0 0
02 PANCHTHAR 0 0 0
03 ILAM 0 0 0
04 JHAPA 6 0.07 17
05 MORANG 21 0.2 0
06 SUNSARI 6 0.07 0
07 DHANKUTA 1 0.06 0
08 TERHATHUM 0 0 0
09 SANKHUWASABHA 0 0 0
10 BHOJPUR 6 0.36 0
11 SOLUKHUMBU 0 0 0
12 OKHALDHUNGA 2 0.13 0
13 KHOTANG 0 0 0
14 UDAYAPUR 2 0.06 0
Province 2 74
15 SAPTARI 6 0.09 0
16 SIRAHA 15 0.22 6.7
17 DHANUSA 15 0.19 0
18 MAHOTTARI 11 0.16 0
19 SARLAHI 24 0.28 4.2
32 RAUTAHAT 1 0.01 0
33 BARA 1 0.01 0
34 PARSA 1 0.01 0
Province 3 14
20 SINDHULI 3 0.1 0
21 RAMECHHAP 1 0.05 0
22 DOLAKHA 0 0 0
23 SINDHUPALCHOK 0 0 0
24 KAVRE 1 0.03 0
25 LALITPUR 1 0.02 0
26 BHAKTAPUR 0 0 0
27 KATHMANDU 3 0.01 0
28 NUWAKOT 0 0 0
29 RASUWA 0 0 0
30 DHADING 0 0 0
31 MAKWANPUR 5 0.11 20
35 CHITAWAN 0 0 0
Province 4 3
36 GORKHA 0 0 0
37 LAMJUNG 0 0 0
38 TANAHU 1 0.03 0
39 SYANGJA 2 0.07 0
40 KASKI 0 0 0
41 MANANG 0 0 0
42 MUSTANG 0 0 0
43 MYAGDI 0 0 0
44 PARBAT 0 0 0
45 BAGLUNG 0 0 0
48.1 NAWALPUR 0 0 0
Province 5 54
46 GULMI 0 0 0
47 PALPA 16 0.63 6.3
48 NAWALPARASI 0 0 0
49 RUPANDEHI 3 0.03 0
50 KAPILBASTU 2 0.03 0
51 ARGHAKHANCHI 3 0.15 0
52 PYUTHAN 6 0.25 0
53 ROLPA 0 0 0
54 RUKUM 1 0.17 0
56 DANG 3 0.05 0
57 BANKE 9 0.16 11.1
58 BARDIYA 11 0.28 0
Province 6 21
54.1 RUKUM WEST 0 0 0
55 SALYAN 3 0.11 0
59 SURKHET 11 0.28 0
60 DAILEKH 1 0.04 0
61 JAJARKOT 0 0 0
62 DOLPA 0 0 0
63 JUMLA 0 0 0
64 KALIKOT 1 0.07 0
65 MUGU 1 0.17 0
66 HUMLA 4 0.72 25
Province 7 15
67 BAJURA 7 0.47 0
68 BAJHANG 0 0 0
69 ACHHAM 2 0.07 0
70 DOTI 2 0.09 0
71 KAILALI 2 0.02 0
72 KANCHANPUR 2 0.04 0
73 DADELDHURA 0 0 0
74 BAITADI 0 0 0
75 DARCHAULA 0 0 0
 Raw Data:KALAAZAR (Sheet 2 of 2)
Foreigner Total

Age/Sex Age/Sex
District Name Method of Diagnosis Treated With No of Deaths Method of Diagnosis Treated With No of Deaths
< 5 Years ≥ 5 Years < 5 Years ≥ 5 Years

F M F M RK-39 BM SP Other L, A/ M* Other F M F M F M RK-39 BM SP Other L, A/ M* Other F M

National Total 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Provience 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JHAPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MORANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 2 0 0 1 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIRAHA 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SARLAHI 0 0 1 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHULI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CHITAWAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KASKI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PALPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUPANDEHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAPILBASTU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BANKE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARDIYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANCHANPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Raw Data:KALAAZAR (Sheet 1 of 2)
Indi-genous

Within District Outside District

District Name Age/Sex Age/Sex

Method of Diagnosis Treated With No of Deaths Method of Diagnosis Treated With No of Deaths
< 5 Years ≥ 5 Years < 5 Years ≥ 5 Years

F M F M RK-39 BM SP Other L, A/ M* Other F M F M F M RK-39 BM SP Other L, A/ M* Other F M

National Total 1 13 61 150 195 30 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0

Provience 1 0 0 16 28 41 3 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JHAPA 0 0 2 4 6 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
MORANG 0 0 5 16 18 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SUNSARI 0 0 2 4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANKUTA 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHOJPUR 0 0 3 3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OKHALDHUNGA 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Province 2 0 2 34 38 65 9 0 0 0 0 0 2
SAPTARI 0 0 5 1 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIRAHA 0 0 7 8 12 3 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
DHANUSA 0 0 5 10 13 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAHOTTARI 0 1 5 5 10 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SARLAHI 0 1 11 12 23 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
RAUTAHAT 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BARA 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARSA 0 0 0 1 0 1 0 0 0 0 0 0
Province 3 0 1 1 12 12 2 0 0 0 0 0 1
SINDHULI 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAVRE 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BHAKTAPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 0 1 0 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHADING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAKWANPUR 0 0 1 4 4 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
CHITAWAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 4 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANAHU 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SYANGJA 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KASKI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAGLUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 5 0 2 5 47 46 8 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PALPA 0 1 3 12 14 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUPANDEHI 0 0 0 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAPILBASTU 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ARGHAKHANCHI 0 0 0 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PYUTHAN 0 0 1 5 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RUKUM 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DANG 0 0 1 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BANKE 0 1 0 8 7 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
BARDIYA 0 0 0 11 10 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 6 1 5 2 13 16 5 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SURKHET 0 0 2 9 7 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DAILEKH 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KALIKOT 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUGU 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 4 0 0 3 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 3 2 10 12 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJURA 0 2 1 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ACHHAM 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOTI 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KANCHANPUR 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Analyzed Data: Leprosy
New Case Detection Female proportion among
District Rate/100000
Prevalence Rate/10000 MB proportion among New Child proportionamong new G II proportion among new Defaulter proportion
new

NATIONAL 11.23 0.92 51.88 6.84 2.71 0.78 42.33

PRADESH 1 10.47 0.82 58.68 5.39 1.80 0.74 42.91
BHOJPUR 1.20 0.24 100.00 - - - -
DHANKUTA - - - - - - -
ILAM 0.99 0.13 100.00 - 33.33 - 33.33
JHAPA 17.80 1.37 60.51 3.82 - 0.96 42.04
KHOTANG 2.13 0.27 75.00 - - - 50.00
MORANG 18.01 1.36 52.13 9.04 2.13 1.12 44.68
OKHALDHUNGA 2.66 0.33 100.00 - - - 50.00
PANCHTHAR - 0.15 - - - - -
S.SHAVA 1.91 0.19 - - - - 33.33
SOLUKHUMBU 0.96 - - - - - 100.00
SUNSARI 10.42 0.90 64.04 4.49 3.37 - 44.94
TAPLEJUNG 1.54 0.08 100.00 - - - -
TERHATHUM 0.99 0.10 100.00 - - - -
UDAYAPUR 13.77 0.82 61.70 - 2.13 - 38.30
PRADESH 2 19.77 1.50 49.15 10.34 3.16 0.91 40.85
BARA 18.88 1.59 59.59 3.42 0.00 0.00 27.40
DHANUSHA 32.53 2.03 39.16 18.25 6.46 2.22 45.25
MAHOTTARI 20.21 1.45 40.15 13.14 7.30 3.28 40.88
PARSA 17.46 1.76 54.70 7.69 0.85 - 33.33
RAUTAHAT 16.77 1.33 56.49 12.98 1.53 - 35.11
SAPTARI 13.75 0.98 71.28 1.06 1.06 - 45.74
SARLAHI 20.81 1.51 43.75 8.52 2.84 - 42.05
SIRAHA 15.62 1.30 45.28 7.55 0.94 - 57.55
PRADESH 3 3.54 0.26 73.02 1.40 1.40 1.05 25.12
BHAKTAPUR 1.16 0.03 100.00 - - - 100.00
CHITWAN 13.82 1.12 68.89 3.33 1.11 2.41 25.56
DHADING 0.86 0.12 100.00 - - - -
DOLKHA 1.07 0.11 100.00 - - - 50.00
KATHMANDU 3.09 0.06 69.84 - - - 25.40
KAVRE 1.01 0.03 100.00 - - - -
LALITPUR 1.69 0.19 66.67 - 11.11 - 44.44
MAKWANPUR 3.59 0.74 68.75 - - - 25.00
NUWAKOT 3.17 0.21 100.00 - - - -
RAMECHHAP 0.05 0.05 100.00 - - - -
RASUWA 2.25 0.22 100.00 - - - -
SINDHULI 4.91 0.43 80.00 - 6.67 - 26.67
SINDHUPALCHOWK - - - - - - -
PRADESH 4 5.05 0.47 83.20 3.20 1.60 1.17 42.40
BAGLUNG 2.16 0.18 83.33 - - - 33.33
GORKHA 3.50 0.19 88.89 - - - 22.22
KASKI 5.28 0.46 79.31 3.45 6.90 - 41.38
LAMJUNG 2.93 0.06 100.00 20.00 - - 80.00
MANANG - - - - - - -
MUSTANG - - - - - - -
MYAGDI 6.23 0.62 100.00 - - - 28.57
NAWALPARASI EAST 10.98 1.13 78.38 5.41 - 3.23 45.95
PARBAT 4.73 0.47 85.71 - - - 42.86
SYANGJA 5.98 0.60 87.50 - - - 56.25
TANAHUN 2.66 0.36 77.78 - - - 22.22
PRADESH 5 18.09 1.56 50.68 5.91 11.70 1.09 39.89
ARGHAKHANCHI 0.99 0.20 50.00 - 50.00 - 100.00
BANKE 51.83 4.67 46.39 8.25 4.81 1.51 49.48
BARDIYA 51.14 4.53 37.45 5.53 3.40 0.87 43.83
DANG 6.38 0.70 87.18 5.13 2.56 1.49 51.28
GULMI 3.75 0.23 90.00 - - - 50.00
KAPILBASTU 17.43 1.11 48.18 2.73 2.73 - 42.73
NAWALPARASI WEST 10.60 1.06 76.32 7.89 - 3.13 44.74
PALPA 7.08 0.59 100.00 5.56 5.56 - 33.33
PYUTHAN 2.95 0.38 85.71 28.57 - 7.69 71.43
ROLPA 3.86 0.56 100.00 - - - 22.22
RUPANDEHI 12.18 0.94 52.89 3.31 61.98 0.43 -
RUKUM EAST - - - - - - -
Pradesh 6 6.70 0.64 80.87 5.22 0.87 - 37.39
Dailekh 1.76 0.25 80.00 - - - 40.00
Rukum West 6.07 0.61 90.00 - - - 40.00
Dolpa - 0.25 - - - - -
Humla - 0.54 - - - - -
Jajarkot 17.03 1.28 90.63 6.25 3.13 - 34.38
Jumla 5.05 0.42 83.33 16.67 - - 33.33
Kalikot 6.64 0.66 100.00 - - - 40.00
Mugu 4.95 0.82 100.00 - - - 33.33
Salyan 6.13 0.54 75.00 6.25 - - 37.50
Surkhet 8.42 0.79 63.64 6.06 - - 39.39
Pradesh 7 7.51 0.71 65.55 3.35 3.35 1.67 37.32
Achham 6.52 0.80 77.78 - 16.67 7.41 11.11
Baitadi 1.92 0.15 100.00 - - - -
Bajhang 0.95 0.19 100.00 - - - -
Bajura 0.68 0.20 100.00 - - 20.00 -
Dadeldhura 2.63 0.26 100.00 - 25.00 - -
Darchula 2.14 0.21 100.00 - - - 33.33
Doti 1.87 0.23 100.00 - - - -
Kailali 13.96 1.20 56.91 4.88 2.44 0.47 46.34
Kanchanpur 9.82 0.94 69.39 2.04 - - 36.73
 Raw Data: Leprosy
MB Cases

End of Previous

Smear positive
Patients at the

Transfer Out

Smear done

DG II (New)
Transfer In
New Cases

Pts. At end
Registered

Total child
Deduction

Deduction

New Child
Defaulter
Relapse

Female
Restart

Other
District

Total

Total
Year

RFT
National 1729 1806 15 51 26 3627 1645 21 30 120 1816 1811 218 759 375 90 126 617
Bhojpur 3 2 0 0 0 5 0 0 0 1 1 4 0 2 2 0 0 0
Dhankuta 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
Ilam 2 3 0 1 0 6 2 0 0 0 2 4 3 2 1 0 1 1
Jhapa 116 95 0 2 1 214 118 0 1 5 124 90 4 11 8 4 0 40
Khotang 3 3 0 0 0 6 2 0 0 0 2 4 0 2 1 0 0 1
Morang 103 98 0 8 0 209 102 2 3 4 111 98 9 50 20 7 4 39
Okhaldhunga 4 4 0 0 0 8 3 0 0 0 3 5 0 0 0 0 0 2
Panchthar 3 0 0 0 0 3 1 0 0 0 1 2 0 0 0 0 0 0
S.Shava 2 0 0 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0
Solukhumbu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sunsari 64 57 0 0 1 122 57 0 0 4 61 61 2 36 11 2 3 21
Taplejung 2 2 0 0 0 4 3 0 0 0 3 1 0 0 0 0 0 0
Terhathum 1 1 0 0 0 2 0 1 0 0 1 1 0 0 0 0 0 0
Udayapur 16 29 0 0 0 45 24 0 0 0 24 21 1 7 2 0 1 12
Pradesh 1 320 294 0 11 2 627 313 3 4 14 334 293 19 110 45 13 9 116
BARA 85 87 0 0 6 178 82 2 0 3 87 91 3 2 0 4 21
DHANUSHA 85 103 3 4 0 195 98 1 2 6 107 88 24 80 45 14 17 33
MAHOTTARI 40 55 1 0 0 96 35 0 0 3 38 58 10 54 18 2 10 12
PARSA 66 64 0 0 0 130 62 0 0 0 62 68 5 2 1 2 1 22
RAUTAHAT 61 74 0 0 0 135 60 0 0 8 68 67 15 0 0 7 2 19
Saptari 51 67 0 1 0 119 64 0 0 0 64 55 1 3 1 1 1 29
SARLAHI 76 77 1 0 1 155 67 0 0 3 70 85 30 46 21 4 5 27
Siraha 31 48 0 0 1 80 47 0 0 0 47 33 3 45 25 4 1 20
Pradesh 2 495 575 5 5 8 1088 515 3 2 23 543 545 91 232 111 38 37 183
BHAKTAPUR 2 2 0 0 0 4 2 0 0 1 3 1 0 0 0 0 2
CHITWAN 49 62 0 3 0 114 53 0 3 1 57 57 4 5 5 2 1 18
DHADING 2 3 0 0 0 5 1 0 0 0 1 4 0 0 0 0 0 0
DOLKHA 1 2 0 0 0 3 1 0 0 0 1 2 0 0 0 0 0 1
KATHMANDU 15 44 0 0 3 62 48 3 0 3 54 8 1 18 8 0 0 12
KAVRE 2 4 0 2 0 8 7 0 0 0 7 1 0 0 0 0 0 0
LALITPUR 3 6 0 0 0 9 4 0 0 0 4 5 0 5 2 0 1 3
MAKWANPUR 28 11 0 0 0 39 10 0 0 0 10 29 0 4 4 0 0 1
NUWAKOT 5 9 0 0 0 14 8 0 0 0 8 6 0 1 1 0 0 0
RAMECHHAP 2 1 0 0 0 3 2 0 0 0 2 1 0 0 0 0 0 0
RASUWA 0 1 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0
SINDHULI 8 12 0 0 0 20 9 0 0 0 9 11 0 1 1 0 1 3
SINDHUPALCHOWK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pradesh 3 117 157 0 5 3 282 145 3 3 5 156 126 5 35 22 2 3 40
Baglung 2 5 0 0 0 7 3 0 0 0 3 4 0 0 0 0 0 1
Gorkha 5 8 0 0 0 13 9 0 0 0 9 4 0 0 0 0 0 2
Kaski 22 23 0 0 0 45 17 0 0 5 22 23 0 7 4 1 2 11
Lamjung 3 5 0 0 0 8 6 0 0 1 7 1 0 3 3 1 0 4
Manang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mustang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Myagdi 5 7 0 0 0 12 5 0 0 0 5 7 0 4 2 0 0 2
Nawalparasi East 45 29 0 0 0 74 36 0 3 2 41 33 7 14 5 2 0 11
Parbat 5 6 0 0 0 11 4 0 0 1 5 6 0 3 0 0 0 3
Syangja 10 14 0 0 0 24 8 0 0 0 8 16 1 3 0 0 0 7
Tanahun 20 7 0 0 0 27 11 0 0 6 17 10 1 4 1 0 0 2
Pradesh 4 117 104 0 0 0 221 99 0 3 15 117 104 9 38 15 4 2 43
Arghakhanchi 4 1 0 3 0 8 5 0 0 0 5 3 0 4 3 0 1 1
Banke 110 135 1 10 7 263 72 6 6 23 107 156 26 63 26 12 14 56
Bardiya 70 88 1 0 0 159 53 1 1 6 61 98 9 39 15 2 8 33
Dang 23 34 0 1 0 58 18 0 1 0 19 39 5 33 12 1 1 16
Gulmi 9 9 0 0 0 18 12 0 0 0 12 6 0 0 0 0 0 4
Kapilbastu 39 53 0 0 0 92 40 1 0 0 41 51 6 10 2 3 3 21
Nawalparasi West 45 29 0 1 0 75 36 1 2 3 42 33 8 13 6 2 0 11
Palpa 15 18 0 0 0 33 18 0 0 0 18 15 15 12 5 1 1 6
Pyuthan 6 6 0 0 0 12 3 0 1 0 4 8 4 2 2 2 0 5
Rolpa 14 9 0 1 0 24 10 0 0 1 11 13 0 6 4 0 0 2
Rupandehi 80 64 0 6 0 150 80 0 1 4 85 65 2 15 5 4 41 0
Rukum East 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pradesh 5 415 446 2 22 7 892 347 9 12 37 405 487 75 197 80 27 69 155
Dailekh 6 4 0 0 0 10 4 0 0 0 4 6 0 1 1 0 0 1
Rukum West 15 9 0 0 0 24 14 0 0 0 14 10 0 9 9 0 0 4
Dolpa 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0
Humla 5 0 0 0 0 5 2 0 0 0 2 3 0 0 0 0 0 0
Jajarkot 14 29 0 0 0 43 21 0 0 0 21 22 1 29 21 1 1 10
Jumla 5 5 0 0 0 10 5 0 0 1 6 4 1 4 2 1 0 2
Kalikot 7 10 0 0 0 17 7 0 0 0 7 10 4 4 1 0 0 4
Mugu 7 3 0 0 0 10 5 0 0 0 5 5 0 3 3 0 0 1
Salyan 17 12 0 1 0 30 16 0 0 1 17 13 5 6 5 0 0 4
Surkhet 33 21 3 2 0 59 31 1 0 3 35 24 1 15 10 1 0 10
Pradesh 6 109 93 3 3 1 209 105 1 0 5 111 98 12 71 52 3 1 36
Achham 36 14 0 0 0 50 25 0 4 0 29 21 1 14 8 0 2 2
Baitadi 8 5 1 0 0 14 9 0 0 1 10 4 0 3 2 0 0 0
Bajhang 5 2 0 0 0 7 3 0 0 0 3 4 0 0 0 0 0 0
Bajura 9 1 0 0 0 10 1 0 2 4 7 3 0 0 0 0 0 0
Dadeldhura 4 4 0 0 0 8 3 0 0 1 4 4 0 1 1 0 1 0
Darchula 0 3 0 0 0 3 0 0 0 0 0 3 0 1 1 0 0 1
Doti 3 4 0 0 1 8 2 0 0 1 3 5 0 0 0 0 0 0
Kailali 56 70 4 5 0 135 50 1 0 7 58 77 6 41 30 3 2 30
Kanchanpur 35 34 0 0 4 73 28 1 0 7 36 37 0 16 8 0 0 11
Pradesh 7 156 137 5 5 5 308 121 2 6 21 150 158 7 76 50 3 5 44
 Raw Data: Leprosy
PB Cases

Patients at the End

of Previous Year

Other Deduction
Total Registered

Total Deduction

Smear positive
Transfer Out

Smear done

DG II (New)
Transfer In

Pts. At end
New Cases

Total child

New Child
Defaulter
Relapse

Restart

Female
District

RFT
NATIONAL 843 1409 0 33 10 2295 1395 3 27 55 1480 815 197 404 13 130 36 655
BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ILAM 1 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0
JHAPA 35 62 0 2 0 99 65 0 2 1 68 31 1 5 0 2 0 26
KHOTANG 1 1 0 0 0 2 1 0 0 0 1 1 0 0 0 0 0 1
MORANG 39 90 0 19 0 148 100 0 1 3 104 44 10 50 0 10 0 45
OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PANCHTHAR 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
S.SHAVA 0 3 0 0 0 3 2 0 0 0 2 1 0 1 0 0 0 1
SOLUKHUMBU 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1
SUNSARI 15 32 0 0 0 47 31 0 0 0 31 16 2 15 0 2 0 19
TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
UDAYAPUR 0 18 0 0 0 18 11 0 0 0 11 7 0 1 0 0 0 6
PRADESH 1 92 207 0 21 0 320 211 0 3 5 219 101 13 72 0 14 0 99
BARA 40 59 0 0 2 101 67 0 0 2 69 32 1 1 0 1 19
DHANUSHA 178 160 0 7 0 345 231 1 10 27 269 76 55 72 2 34 0 86
MAHOTTARI 65 82 0 0 1 148 98 0 8 2 108 40 22 70 0 16 0 44
PARSA 51 53 0 0 0 104 54 0 0 0 54 50 5 0 0 7 0 17
RAUTAHAT 45 57 0 0 0 102 65 0 0 0 65 37 15 0 0 10 0 27
SAPTARI 28 27 0 0 0 55 43 0 0 0 43 12 0 0 0 0 0 14
SARLAHI 49 99 0 0 0 148 105 0 0 0 105 43 18 54 0 11 0 47
SIRAHA 59 58 0 0 0 117 62 0 0 0 62 55 1 25 0 4 0 41
PRADESH 2 515 595 0 7 3 1120 725 1 18 31 775 345 117 222 2 83 0 295
BHAKTAPUR 2 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0
CHITWAN 24 28 0 0 52 35 0 1 0 36 16 3 2 2 1 0 5
DHADING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DOLKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KATHMANDU 8 19 0 0 1 28 23 1 0 0 24 4 0 3 0 0 0 4
KAVRE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LALITPUR 2 3 0 0 0 5 0 0 0 0 0 5 0 1 0 0 0 1
MAKWANPUR 0 5 0 0 0 5 1 0 0 0 1 4 0 0 0 0 0 3
NUWAKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RAMECHHAP 2 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0
RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SINDHULI 3 3 0 0 0 6 4 0 0 0 4 2 0 0 0 0 0 1
SINDHUPALCHOWK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PRADESH 3 41 58 0 0 1 100 67 1 1 0 69 31 3 6 2 1 0 14
BAGLUNG 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1
GORKHA 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
KASKI 2 6 0 0 0 8 6 0 0 0 6 2 0 1 0 0 0 1
LAMJUNG 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NAWALPARASI EAST 11 8 0 0 0 19 14 0 0 0 14 5 3 2 0 0 0 6
PARBAT 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
SYANGJA 0 2 0 0 0 2 2 0 0 0 2 0 0 1 0 0 0 2
TANAHUN 0 2 0 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0
PRADESH 4 14 21 0 0 0 35 23 0 0 0 23 12 3 4 0 0 0 10
ARGHAKHANCHI 1 1 0 0 0 2 1 0 0 0 1 1 0 0 0 0 0 1
BANKE 42 156 0 2 1 201 87 1 1 6 95 106 24 53 0 12 0 88
BARDIYA 34 147 0 3 0 184 68 0 2 4 74 110 16 18 0 11 0 70
DANG 4 5 0 0 0 9 5 0 0 0 5 4 0 3 0 1 0 4
GULMI 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1
KAPILBASTU 21 57 0 0 0 78 59 0 0 0 59 19 0 0 0 0 0 26
NAWALPARASI WEST 12 9 0 0 0 21 14 0 1 1 16 5 3 2 0 1 0 6
PALPA 2 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0 0
PYUTHAN 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
ROLPA 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
RUPANDEHI 23 57 0 0 0 80 51 0 0 1 52 28 0 0 0 0 34 0
RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PRADESH 5 140 434 0 5 1 580 289 1 4 12 306 274 43 76 0 25 34 196
DAILEKH 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1
RUKUM WEST 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JAJARKOT 0 3 0 0 0 3 1 0 0 0 1 2 1 0 7 1 0 1
JUMLA 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 0
MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SALYAN 1 4 0 0 0 5 4 0 0 0 4 1 1 0 0 1 0 2
SURKHET 6 12 0 0 0 18 11 0 0 0 11 7 2 5 0 1 0 3
PRADESH 6 7 22 0 0 0 29 17 0 0 0 17 12 9 10 7 3 0 7
ACHHAM 0 4 0 0 0 4 3 0 0 0 3 1 0 2 0 0 1 0
BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BAJHANG 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
BAJURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DADELDHURA 2 0 0 0 0 2 2 0 0 0 2 0 0 0 0 0 0 0
DARCHULA 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KAILALI 24 53 0 0 2 79 43 0 1 6 50 29 9 7 2 3 1 27
KANCHANPUR 6 15 0 0 3 24 13 0 0 1 14 10 0 5 0 1 0 7
PRADESH 7 34 72 0 0 5 111 63 0 1 7 71 40 9 14 2 4 2 34
 Raw Data: Leprosy
Total Leprosy Cases (MB+PB)

Patients at the End

of Previous Year

Other Deduction
Total Registered

Total Deduction

Smear positive
Transfer Out

Smear done

DG II (New)
Transfer In

Pts. At end
New Cases

Total child

New Child
Defaulter
Relapse

Restart

Female
District

RFT
NATIONAL 2572 3215 15 84 36 5922 3040 24 57 175 3296 2626 415 1163 388 220 162 1272
BHOJPUR 3 2 0 0 0 5 0 0 0 1 1 4 0 2 2 0 0 0
DHANKUTA 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0
ILAM 3 3 0 1 0 7 2 0 0 1 3 4 3 2 1 0 1 1
JHAPA 151 157 0 4 1 313 183 0 3 6 192 121 5 16 8 6 0 66
KHOTANG 4 4 0 0 0 8 3 0 0 0 3 5 0 2 1 0 0 2
MORANG 142 188 0 27 0 357 202 2 4 7 215 142 19 100 20 17 4 84
OKHALDHUNGA 4 4 0 0 0 8 3 0 0 0 3 5 0 0 0 0 0 2
PANCHTHAR 4 0 0 0 0 4 1 0 0 0 1 3 0 0 0 0 0 0
S.SHAVA 2 3 0 0 0 5 2 0 0 0 2 3 0 1 0 0 0 1
SOLUKHUMBU 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1
SUNSARI 79 89 0 0 1 169 88 0 0 4 92 77 4 51 11 4 3 40
TAPLEJUNG 2 2 0 0 0 4 3 0 0 0 3 1 0 0 0 0 0 0
TERHATHUM 1 1 0 0 0 2 0 1 0 0 1 1 0 0 0 0 0 0
UDAYAPUR 16 47 0 0 0 63 35 0 0 0 35 28 1 8 2 0 1 18
PRADESH 1 412 501 0 32 2 947 524 3 7 19 553 394 32 182 45 27 9 215
BARA 125 146 0 0 8 279 149 2 0 5 156 123 4 3 0 5 0 40
DHANUSHA 263 263 3 11 0 540 329 2 12 33 376 164 79 152 47 48 17 119
MAHOTTARI 105 137 1 0 1 244 133 0 8 5 146 98 32 124 18 18 10 56
PARSA 117 117 0 0 0 234 116 0 0 0 116 118 10 2 1 9 1 39
RAUTAHAT 106 131 0 0 0 237 125 0 0 8 133 104 30 0 0 17 2 46
SAPTARI 79 94 0 1 0 174 107 0 0 0 107 67 1 3 1 1 1 43
SARLAHI 125 176 1 0 1 303 172 0 0 3 175 128 48 100 21 15 5 74
SIRAHA 90 106 0 0 1 197 109 0 0 0 109 88 4 70 25 8 1 61
PRADESH 2 1010 1170 5 12 11 2208 1240 4 20 54 1318 890 208 454 113 121 37 478
BHAKTAPUR 4 2 0 0 0 6 4 0 0 1 5 1 0 0 0 0 0 2
CHITWAN 73 90 0 3 0 166 88 0 4 1 93 73 7 7 7 3 1 23
DHADING 2 3 0 0 0 5 1 0 0 0 1 4 0 0 0 0 0 0
DOLKHA 1 2 0 0 0 3 1 0 0 0 1 2 0 0 0 0 0 1
KATHMANDU 23 63 0 0 4 90 71 4 0 3 78 12 1 21 8 0 0 16
KAVRE 2 4 0 2 0 8 7 0 0 0 7 1 0 0 0 0 0 0
LALITPUR 5 9 0 0 0 14 4 0 0 0 4 10 0 6 2 0 1 4
MAKWANPUR 28 16 0 0 0 44 11 0 0 0 11 33 0 4 4 0 0 4
NUWAKOT 5 9 0 0 0 14 8 0 0 0 8 6 0 1 1 0 0 0
RAMECHHAP 4 1 0 0 0 5 4 0 0 0 4 1 0 0 0 0 0 0
RASUWA 0 1 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0
SINDHULI 11 15 0 0 0 26 13 0 0 0 13 13 0 1 1 0 1 4
SINDHUPALCHOWK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PRADESH 3 158 215 0 5 4 382 212 4 4 5 225 157 8 41 24 3 3 54
BAGLUNG 2 6 0 0 0 8 3 0 0 0 3 5 0 0 0 0 0 2
GORKHA 5 9 0 0 0 14 9 0 0 0 9 5 0 0 0 0 0 2
KASKI 24 29 0 0 0 53 23 0 0 5 28 25 0 8 4 1 2 12
LAMJUNG 4 5 0 0 0 9 7 0 0 1 8 1 0 3 3 1 0 4
MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYAGDI 5 7 0 0 0 12 5 0 0 0 5 7 0 4 2 0 0 2
NAWALPARASI EAST 56 37 0 0 0 93 50 0 3 2 55 38 10 16 5 2 0 17
PARBAT 5 7 0 0 0 12 4 0 0 1 5 7 0 3 0 0 0 3
SYANGJA 10 16 0 0 0 26 10 0 0 0 10 16 1 4 0 0 0 9
TANAHUN 20 9 0 0 0 29 11 0 0 6 17 12 1 4 1 0 0 2
PRADESH 4 131 125 0 0 0 256 122 0 3 15 140 116 12 42 15 4 2 53
ARGHAKHANCHI 5 2 0 3 0 10 6 0 0 0 6 4 0 4 3 0 1 2
BANKE 152 291 1 12 8 464 159 7 7 29 202 262 50 116 26 24 14 144
BARDIYA 104 235 1 3 0 343 121 1 3 10 135 208 25 57 15 13 8 103
DANG 27 39 0 1 0 67 23 0 1 0 24 43 5 36 12 2 1 20
GULMI 9 10 0 0 0 19 13 0 0 0 13 6 0 0 0 0 0 5
KAPILBASTU 60 110 0 0 0 170 99 1 0 0 100 70 6 10 2 3 3 47
NAWALPARASI WEST 57 38 0 1 0 96 50 1 3 4 58 38 11 15 6 3 0 17
PALPA 17 18 0 0 0 35 20 0 0 0 20 15 15 12 5 1 1 6
PYUTHAN 6 7 0 0 0 13 3 0 1 0 4 9 4 2 2 2 0 5
ROLPA 15 9 0 1 0 25 11 0 0 1 12 13 0 6 4 0 0 2
RUPANDEHI 103 121 0 6 0 230 131 0 1 5 137 93 2 15 5 4 75 0
RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PRADESH 5 555 880 2 27 8 1472 636 10 16 49 711 761 118 273 80 52 103 351
DAILEKH 6 5 0 0 0 11 4 0 0 0 4 7 0 1 1 0 0 2
RUKUM WEST 15 10 0 0 0 25 15 0 0 0 15 10 0 9 9 0 0 4
DOLPA 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0
HUMLA 5 0 0 0 0 5 2 0 0 0 2 3 0 0 0 0 0 0
JAJARKOT 14 32 0 0 0 46 22 0 0 0 22 24 2 29 28 2 1 11
JUMLA 5 6 0 0 0 11 5 0 0 1 6 5 1 4 2 1 0 2
KALIKOT 7 10 0 0 0 17 7 0 0 0 7 10 9 9 1 0 0 4
MUGU 7 3 0 0 0 10 5 0 0 0 5 5 0 3 3 0 0 1
SALYAN 18 16 0 1 0 35 20 0 0 1 21 14 6 6 5 1 0 6
SURKHET 39 33 3 2 0 77 42 1 0 3 46 31 3 20 10 2 0 13
PRADESH 6 116 115 3 3 1 238 122 1 0 5 128 110 21 81 59 6 1 43
ACHHAM 36 18 0 0 0 54 28 0 4 0 32 22 1 16 8 0 3 2
BAITADI 8 5 1 0 0 14 9 0 0 1 10 4 0 3 2 0 0 0
BAJHANG 6 2 0 0 0 8 4 0 0 0 4 4 0 0 0 0 0 0
BAJURA 9 1 0 0 0 10 1 0 2 4 7 3 0 0 0 0 0 0
DADELDHURA 6 4 0 0 0 10 5 0 0 1 6 4 0 1 1 0 1 0
DARCHULA 1 3 0 0 0 4 1 0 0 0 1 3 0 1 1 0 0 1
DOTI 3 4 0 0 1 8 2 0 0 1 3 5 0 0 0 0 0 0
KAILALI 80 123 4 5 2 214 93 1 1 13 108 106 15 48 32 6 3 57
KANCHANPUR 41 49 0 0 7 97 41 1 0 8 50 47 0 21 8 1 0 18
PRADESH 7 190 209 5 5 10 419 184 2 7 28 221 198 16 90 52 7 7 78
 Tubuerculosis Case Notification Rate
CNR CNR_ New Case
SN District PBC_CNR_New PBC_CNR_Relapse CNR_PBC CNR_PCD CNR_EP
New_all All %
1 BHOJPUR 23 2 25 2 22 45 48.5 93
2 DHANKUTA 26 2 27 5 15 46 48.1 95
3 ILAM 26 3 29 8 17 50 53.3 94
4 JHAPA 60 6 67 17 33 108 117.0 92
5 KHOTANG 18 0 18 4 13 34 34.7 97
6 MORANG 51 6 59 11 34 93 103.4 90
7 OKHALDHUNGA 26 6 33 0 22 47 54.5 87
8 PANCHTHAR 19 3 23 1 16 35 39.9 88
9 SANKHUWASABHA 25 1 27 5 22 51 54.0 95
10 SOLUKHUMBU 13 1 14 6 10 29 29.8 97
11 SUNSARI 53 6 62 9 35 95 105.6 90
12 TAPLEJUNG 9 3 12 0 9 18 21.6 86
13 TERHATHUM 15 3 19 6 12 33 36.5 89
14 UDAYAPUR 42 7 50 8 21 71 79.4 89
Province 1 42 5 48 9 27 76 84 91
1 SAPTARI 42 3 45 16 15 73 75.9 96
2 SIRAHA 55 3 58 14 16 84 87.8 96
3 PARSA 61 6 68 34 34 127 136.4 93
4 MAHOTTARI 61 5 67 41 14 116 121.2 95
5 DHANUSHA 45 4 50 14 24 81 87.7 93
6 RAUTAHAT 42 5 49 30 23 93 101.5 92
7 SARLAHI 59 9 70 32 20 109 121.4 90
8 BARA 65 11 77 34 27 124 138.0 90
Province 2 54 6 60 27 22 101 109 93
1 BHAKTAPUR 66 13 80 13 69 142 162.0 87
2 CHITAWAN 63 17 82 23 38 119 142.9 84
3 DHADING 43 5 48 7 21 70 75.9 92
4 DOLAKHA 20 2 23 9 24 51 56.6 91
5 KATHMANDU 54 10 67 15 78 139 159.8 87
6 KABHREPALANCHOK 39 6 45 11 33 82 89.3 92
7 LALITPUR 49 6 57 18 61 120 135.3 89
8 MAKAWANPUR 85 12 100 26 28 136 153.8 88
9 NUWAKOT 44 11 56 8 21 72 84.8 85
10 RAMECHHAP 24 2 27 11 25 58 61.9 93
11 RASUWA 38 7 45 7 9 52 60.7 85
12 SINDHULI 51 11 64 12 17 80 93.5 86
13 SINDHUPALCHOK 38 6 45 8 18 61 70.1 87
Province 3 52 10 64 15 49 112 128 87
1 PARBAT 32 2 34 7 24 61 65.5 94
2 BAGLUNG 25 5 30 7 19 49 56.1 88
3 GORKHA 49 6 55 12 23 82 89.4 92
4 SYANGJA 41 10 53 12 29 80 94.2 85
5 TANAHU 39 11 51 10 28 75 90.0 84
6 KASKI 38 5 44 7 36 76 86.5 88
7 LAMJUNG 32 6 39 11 29 70 79.1 89
8 MANANG 16 0 31 0 0 16 31.1 50
9 MUSTANG 41 0 41 8 24 73 73.0 100
10 MYAGDI 22 5 28 0 32 53 60.5 88
Province 4 36 6 44 9 28 71 81 88
1 GULMI 48 6 54 21 36 102 111.0 92
2 KAPILBASTU 58 9 68 17 18 92 102.4 90
3 ARGHAKHANCHI 43 7 50 26 36 99 111.9 89
4 NAWALPARASI 65 11 78 21 31 113 129.6 87
5 PALPA 66 12 80 15 49 128 144.4 89
6 DANG 84 17 104 44 45 169 192.9 88
7 RUPANDEHI 57 9 68 34 32 118 133.8 88
8 ROLPA 67 10 78 14 28 106 120.2 89
9 RUKUM 42 9 51 24 22 85 96.3 88
10 BANKE 90 13 107 20 34 142 161.2 88
11 BARDIYA 78 9 89 13 28 115 130.8 88
12 PYUTHAN 55 11 68 15 38 104 120.2 87
Province 5 65 11 78 24 32 119 135 88
1 DAILEKH 32 4 37 13 36 82 86.0 95
2 DOLPA 15 0 15 0 2 17 17.4 100
3 HUMLA 29 7 38 14 22 63 73.6 85
4 JAJARKOT 28 4 32 9 23 60 63.9 93
5 JUMLA 21 1 22 17 37 74 75.7 98
6 KALIKOT 17 1 18 9 37 62 64.4 97
7 MUGU 21 2 23 38 23 82 84.1 98
8 SALYAN 38 6 44 13 26 76 83.2 92
9 SURKHET 46 9 58 47 63 151 168.0 90
Province 6 33 5 39 22 38 91 98 92
1 ACHHAM 36 6 45 4 18 55 66.3 83
2 BAITADI 37 3 42 7 13 54 61.4 88
3 BAJHANG 28 9 39 7 16 49 61.4 80
4 BAJURA 39 8 52 9 20 64 81.3 79
5 DADELDHURA 34 5 41 14 18 66 73.6 89
6 DARCHULA 38 6 43 27 11 75 81.3 92
7 DOTI 50 7 58 8 20 78 86.2 91
8 KANCHANPUR 87 14 104 32 37 151 173.1 87
9 KAILALI 70 9 81 20 34 121 135.4 89
Province 7 57 8 67 17 26 96 110 88
Nepal 52 8 61 18 32 99 111 89
 Tuberculosis: Case Notification
PBC PCD PCD
SN District
New Relapse Retreatment Total New Rel Ret Total new rel Ret Total Total

1 BHOJPUR 38 4 4 42 3 0 0 3 34 0 2 36 81
2 DHANKUTA 43 3 3 46 8 1 1 9 26 0 0 26 81
3 ILAM 78 9 9 87 23 0 0 23 52 0 0 52 162
4 JHAPA 528 56 64 592 140 4 10 152 281 2 7 288 1032
5 KHOTANG 33 0 0 33 5 2 2 7 25 0 0 25 65
6 MORANG 534 66 76 611 108 1 7 115 332 1 20 353 1079
7 OKHALDHUNGA 39 9 10 49 0 0 0 0 32 1 1 33 82
8 PANCHTHAR 38 6 7 45 2 0 0 2 29 2 2 31 78
9 SANKHUWASABHA 40 2 3 43 8 0 0 8 33 1 1 34 85
10 SOLUKHUMBU 14 1 1 15 6 0 0 6 10 0 0 10 31
11 SUNSARI 454 47 74 530 73 1 4 77 283 1 11 295 902
12 TAPLEJUNG 12 4 4 16 0 0 0 0 12 0 0 12 28
13 TERHATHUM 15 3 4 19 6 0 0 6 12 0 0 12 37
14 UDAYAPUR 142 25 29 171 28 0 0 28 71 0 0 72 271
Province 1 2008 235 288 2299 410 9 24 436 1232 8 44 1279 4014
1 SAPTARI 288 18 20 308 110 0 0 110 100 1 1 101 519
2 SIRAHA 373 18 18 391 95 2 3 98 102 3 5 107 596
3 PARSA 408 38 48 457 223 4 6 229 220 5 7 228 914
4 MAHOTTARI 416 33 37 453 276 0 0 276 93 0 0 93 822
5 DHANUSHA 364 31 37 402 108 5 7 115 185 3 6 192 709
6 RAUTAHAT 331 36 49 380 228 5 8 237 170 5 6 176 793
7 SARLAHI 500 73 88 588 262 6 9 271 161 6 7 168 1027
8 BARA 502 85 94 596 252 6 9 261 203 1 7 210 1067
Province 2 3182 332 391 3575 1554 28 42 1597 1234 24 39 1275 6447
1 BHAKTAPUR 228 45 47 276 36 9 9 45 223 12 13 236 557
2 CHITAWAN 407 110 124 531 139 8 10 149 231 13 17 250 930
3 DHADING 149 16 17 166 23 1 1 24 70 4 4 74 264
4 DOLAKHA 37 4 7 44 15 2 2 17 44 1 1 45 106
5 KATHMANDU 1109 213 261 1376 271 15 25 298 1459 63 124 1587 3261
6 KABHREPALANCHOK 156 22 23 179 41 1 1 42 126 6 6 132 353
7 LALITPUR 259 33 40 301 87 1 7 94 292 9 27 324 719
8 MAKAWANPUR 379 55 66 447 109 6 6 115 117 6 6 124 686
9 NUWAKOT 125 31 33 158 23 0 0 23 58 2 2 60 241
10 RAMECHHAP 50 5 5 55 20 1 2 22 49 0 2 51 128
11 RASUWA 17 3 3 20 3 0 0 3 3 0 1 4 27
12 SINDHULI 156 35 39 195 37 1 1 38 53 0 0 53 286
13 SINDHUPALCHOK 112 17 17 131 18 3 3 22 49 3 3 52 205
Province 3 3184 589 682 3879 822 48 67 892 2774 119 206 2992 7763
1 PARBAT 48 3 3 51 10 0 1 11 33 1 2 35 97
2 BAGLUNG 70 13 14 84 17 2 2 19 50 1 2 53 156
3 GORKHA 125 15 17 142 29 1 1 30 57 0 1 58 230
4 SYANGJA 109 28 32 141 31 1 2 33 75 3 3 78 252
5 TANAHU 132 36 41 173 34 1 1 35 88 8 8 96 304
6 KASKI 210 27 32 242 33 1 3 36 177 7 20 197 475
7 LAMJUNG 54 11 13 67 16 1 2 18 50 0 0 50 135
8 MANANG 1 0 1 2 0 0 0 0 0 0 0 0 2
9 MUSTANG 5 0 0 5 1 0 0 1 3 0 0 3 9
10 MYAGDI 25 6 7 32 0 0 0 0 35 1 1 36 68
Province 4 779 139 160 939 171 7 12 183 568 21 37 606 1728
1 GULMI 127 16 17 144 53 3 4 57 91 4 4 95 296
2 KAPILBASTU 367 54 60 427 104 3 4 108 108 2 3 111 646
3 ARGHAKHANCHI 87 14 14 101 46 5 6 52 67 5 5 72 225
4 NAWALPARASI 449 79 91 540 132 10 11 143 205 10 13 218 901
5 PALPA 167 30 36 203 38 1 1 39 120 5 5 125 367
6 DANG 511 102 122 633 257 7 11 268 268 3 9 278 1179
7 RUPANDEHI 563 94 113 678 313 12 19 334 294 7 24 318 1330
8 ROLPA 157 23 24 182 28 2 2 32 63 2 2 66 280
9 RUKUM 92 19 20 112 49 3 4 53 47 1 1 48 213
10 BANKE 504 71 97 601 109 3 5 115 183 3 4 189 905
11 BARDIYA 357 41 52 409 53 0 6 62 119 0 7 130 601
12 PYUTHAN 130 27 29 161 31 2 2 35 86 1 3 89 285
Province 5 3511 570 675 4191 1213 51 75 1298 1651 43 80 1739 7228
1 DAILEKH 92 12 12 104 38 0 0 38 102 0 0 102 244
2 DOLPA 6 0 0 6 0 0 0 0 1 0 0 1 7
3 HUMLA 16 4 5 21 8 0 0 8 11 1 1 12 41
4 JAJARKOT 52 8 8 60 17 0 0 17 43 0 0 43 120
5 JUMLA 25 1 1 26 20 0 0 20 43 0 1 44 90
6 KALIKOT 25 2 2 27 13 1 1 14 56 0 0 56 97
7 MUGU 13 1 1 14 23 0 0 23 14 0 0 14 51
8 SALYAN 100 15 15 115 32 2 2 34 67 1 1 68 217
9 SURKHET 182 37 42 226 178 6 7 186 232 7 13 246 658
Province 6 511 80 86 599 329 9 10 340 569 9 16 586 1525
1 ACHHAM 100 16 19 124 9 0 0 10 43 0 3 49 183
2 BAITADI 97 8 12 110 15 1 2 17 29 0 2 33 160
3 BAJHANG 59 18 23 83 12 1 2 14 33 0 0 33 130
4 BAJURA 58 12 18 77 10 0 2 13 27 0 2 30 120
5 DADELDHURA 52 8 11 63 22 0 0 22 26 0 1 27 112
6 DARCHULA 53 8 8 61 38 0 0 38 14 0 0 15 114
7 DOTI 107 16 17 124 18 0 0 18 42 0 0 42 184
8 KANCHANPUR 434 69 79 517 148 7 10 161 172 3 9 186 864
9 KAILALI 613 79 98 713 163 2 9 177 286 6 14 303 1193
Province 7 1573 234 285 1872 435 11 25 470 672 9 31 718 3060
Nepal 14748 2179 2567 17354 4934 163 255 5216 8700 233 453 9195 31764
 Raw Data:HIV
HIV Testing and Counseling PMTCT
District/HF Name On ART
Tested Positive Tested Positive
Nepal 176228 1781 382887 128 14544
Province 1 31780 207 53646 27 1197
01 TAPLEJUNG 0 0 217 0 0
02 PANCHTHAR 0 0 857 0 0
03 ILAM 58 0 3468 0 27
04 JHAPA 10230 46 2520 0 288
05 MORANG 6435 71 16953 0 280
06 SUNSARI 13261 84 21968 26 541
07 DHANKUTA 468 5 1156 0 6
08 TERHATHUM 25 0 49 0 0
09 SANKHUWASABHA 40 0 2064 0 25
10 BHOJPUR 60 0 43 0 0
11 SOLUKHUMBU 0 0 283 0 0
12 OKHALDHUNGA 391 0 196 0 6
13 KHOTANG 550 0 1475 0 0
14 UDAYAPUR 262 1 2397 1 24
Province 2 14245 273 32724 17 1428
15 SAPTARI 331 10 3437 0 88
16 SIRAHA 979 26 6945 3 62
17 DHANUSA 1029 63 10412 6 497
18 MAHOTTARI 2240 14 1664 1 53
19 SARLAHI 3118 17 1439 3 114
32 RAUTAHAT 1392 36 1555 0 80
33 BARA 3333 20 4625 0 11
34 PARSA 1823 87 2647 4 523
Province 3 39043 630 100340 45 4082
20 SINDHULI 120 4 3227 1 15
21 RAMECHHAP 220 0 78 0 0
22 DOLAKHA 985 0 2286 0 0
23 SINDHUPALCHOK 116 0 1362 0 37
24 KAVRE 10 0 2120 1 46
25 LALITPUR 8596 26 9519 0 290
26 BHAKTAPUR 4190 15 1653 0 28
27 KATHMANDU 18784 442 41337 38 2599
28 NUWAKOT 116 11 4728 0 109
29 RASUWA 0 0 275 0 0
30 DHADING 47 2 4972 0 63
31 MAKWANPUR 2506 17 7840 0 146
35 CHITAWAN 3353 113 20943 5 749
Province 4 4530 108 45189 20 1807
36 GORKHA 117 5 3435 1 161
37 LAMJUNG 148 0 2616 2 84
38 TANAHU 781 7 2664 0 163
39 SYANGJA 345 12 3506 1 225
40 KASKI 2373 76 25160 15 944
41 MANANG 24 0 31 0 0
42 MUSTANG 0 0 15 0 0
43 MYAGDI 139 3 1157 1 41
44 PARBAT 511 0 1298 0 51
45 BAGLUNG 92 5 5307 0 138
48.1 NAWALPUR 0 0 0 0 0
Province 5 45104 346 81521 13 2772
46 GULMI 150 18 3940 4 150
47 PALPA 1417 1 6896 1 252
48 NAWALPARASI 5397 28 6692 0 156
49 RUPANDEHI 4118 134 19341 6 1021
50 KAPILBASTU 3180 34 5281 0 344
51 ARGHAKHANCHI 6334 7 2643 0 78
52 PYUTHAN 5902 2 5288 1 62
53 ROLPA 287 1 4165 0 28
54 RUKUM 831 0 1662 0 38
56 DANG 8793 17 13930 0 180
57 BANKE 6609 101 6264 1 394
58 BARDIYA 2086 3 5419 0 69
Province 6 682 9 16899 0 434
54.1 RUKUM WEST 0 0 0 0 0
55 SALYAN 230 2 1599 0 14
59 SURKHET 98 0 7170 0 258
60 DAILEKH 354 7 4579 0 140
61 JAJARKOT 0 0 189 0 0
62 DOLPA 0 0 426 0 0
63 JUMLA 0 0 1471 0 0
64 KALIKOT 0 0 1443 0 22
65 MUGU 0 0 22 0 0
66 HUMLA 0 0 0 0 0
Province 7 40844 208 52568 6 2824
67 BAJURA 255 0 2284 0 44
68 BAJHANG 4444 10 3894 0 65
69 ACHHAM 6544 61 7354 1 529
70 DOTI 4695 30 7600 0 590
71 KAILALI 5649 57 13976 1 1154
72 KANCHANPUR 8451 32 6579 4 243
73 DADELDHURA 3247 7 4554 0 75
74 BAITADI 6725 10 3864 0 104
75 DARCHAULA 834 1 2463 0 20
 Raw Data: OPD Morbidity
A. Communicable, Immunizable B. Communicable, Vector Borne

Azar/Leshmaniasis
Acute Encephalitis
Neonatal Tetanus
Whooping Cough

Clinical Malaria
Paralysis (AFP)

like Syndrome

Dengue Fever
Acute Flaccid

(Plasmodium

(Plasmodium
Tuberculosis

Chicken Pox

Falciparum)
Hepatitis B
Diptheria

Filariasis
Measles

Tetanus

Malaria

Malaria
Mumps
Rubella

Vivax)
Organisation unit / Data

(AES)

Kala-
Nepal 740 364 4546 14 426 20851 417 301 30614 27246 2244 2064 1354 3904 571 1152 931 566
Province 1 122 69 462 3 35 2791 58 90 7354 5926 113 434 331 987 57 68 283 58
01 TAPLEJUNG 2 2 30 0 0 26 0 0 398 606 0 4 19 0 0 0 1 0
02 PANCHTHAR 2 4 8 0 0 28 0 0 316 278 0 0 0 0 0 0 0 0
03 ILAM 5 0 26 0 0 121 2 8 268 312 0 4 4 0 2 0 0 0
04 JHAPA 11 0 162 0 5 831 9 4 1253 536 23 0 20 0 3 11 230 0
05 MORANG 0 0 32 0 8 1088 3 0 673 501 53 200 213 652 48 24 21 8
06 SUNSARI 28 26 64 2 8 262 12 8 812 622 6 24 15 286 0 0 15 15
07 DHANKUTA 10 26 4 0 0 20 1 2 274 358 1 46 2 14 2 14 0 2
08 TERHATHUM 22 0 20 0 5 32 5 13 392 463 8 0 0 11 0 0 0 0
09 SANKHUWASABHA 3 1 21 0 8 51 0 1 615 659 10 48 0 9 2 19 0 22
10 BHOJPUR 10 7 37 0 0 43 1 28 642 292 1 27 5 13 0 0 16 1
11 SOLUKHUMBU 1 0 18 0 0 19 1 1 151 116 2 31 48 0 0 0 0 0
12 OKHALDHUNGA 20 3 11 0 1 26 0 5 578 296 0 0 0 0 0 0 0 0
13 KHOTANG 0 0 0 0 0 8 0 0 305 399 0 15 0 1 0 0 0 0
14 UDAYAPUR 8 0 29 1 0 236 24 20 677 488 9 35 5 1 0 0 0 10
Province 2 82 16 509 2 64 2352 79 43 2239 1028 30 361 267 1377 62 71 87 234
15 SAPTARI 17 7 44 0 20 152 11 0 213 49 0 4 4 12 0 0 0 0
16 SIRAHA 1 1 161 0 13 312 24 1 394 63 1 44 0 452 41 43 1 25
17 DHANUSA 6 0 3 2 10 176 0 2 106 1 0 0 0 0 6 1 0 0
18 MAHOTTARI 15 6 71 0 6 369 7 5 380 295 22 64 20 258 1 5 8 63
19 SARLAHI 2 0 44 0 0 198 0 0 181 85 2 0 14 0 0 8 9 18
32 RAUTAHAT 16 0 72 0 11 221 13 30 197 182 2 4 2 310 6 1 0 19
33 BARA 19 2 73 0 2 561 19 4 508 167 1 8 12 49 5 13 20 52
34 PARSA 6 0 41 0 2 363 5 1 260 186 2 237 215 296 3 0 49 57
Province 3 364 85 2670 3 264 5760 123 73 9301 6548 1534 850 362 421 220 217 513 97
20 SINDHULI 28 11 574 0 1 170 3 10 644 305 0 48 30 38 13 31 0 11
21 RAMECHHAP 13 0 39 3 25 115 1 16 1290 761 0 1 0 0 0 3 0 0
22 DOLAKHA 22 0 32 0 1 256 8 0 691 248 0 4 0 0 0 0 0 0
23 SINDHUPALCHOK 54 0 44 0 6 175 0 3 1202 363 0 17 18 5 0 0 0 0
24 KAVRE 32 0 64 0 1 363 5 5 736 281 4 10 65 63 0 1 0 0
25 LALITPUR 77 1 159 0 110 2058 13 4 603 592 78 10 11 23 17 62 34 54
26 BHAKTAPUR 36 0 10 0 10 130 29 1 382 414 26 4 14 1 0 0 0 0
27 KATHMANDU 0 3 751 0 106 1234 4 0 824 900 1308 138 109 90 143 20 33 11
28 NUWAKOT 51 0 183 0 1 87 1 5 554 273 9 8 99 47 16 6 0 18
29 RASUWA 0 0 0 0 0 15 0 0 87 68 0 0 0 0 0 0 0 0
30 DHADING 12 0 46 0 2 145 1 0 722 510 1 6 1 1 0 2 0 0
31 MAKWANPUR 12 22 25 0 1 268 29 1 460 223 3 7 15 31 11 56 0 0
35 CHITAWAN 27 48 743 0 0 744 29 28 1106 1610 105 597 0 122 20 36 446 3
Province 4 61 6 344 1 16 1514 26 14 4554 3928 152 103 83 62 35 37 0 1
36 GORKHA 7 0 0 0 0 253 0 10 898 730 23 0 0 0 0 0 0 0
37 LAMJUNG 24 0 74 0 4 92 6 0 1087 766 3 3 2 5 24 10 0 0
38 TANAHU 1 1 1 1 10 59 1 0 384 363 3 30 18 7 3 2 0 0
39 SYANGJA 12 5 13 0 0 183 1 0 416 194 0 0 0 3 0 0 0 0
40 KASKI 8 0 31 0 2 362 12 1 405 333 105 43 32 16 8 17 0 0
41 MANANG 0 0 0 0 0 0 0 0 5 5 0 1 0 0 0 0 0 0
42 MUSTANG 2 0 3 0 0 4 0 0 10 39 2 1 0 0 0 0 0 0
43 MYAGDI 0 0 124 0 0 59 1 0 246 399 0 2 0 1 0 4 0 0
44 PARBAT 2 0 25 0 0 38 0 0 158 181 2 0 0 1 0 0 0 0
45 BAGLUNG 3 0 73 0 0 63 4 0 508 405 4 0 1 0 0 0 0 0
48.1 NAWALPARASI EAST 2 0 0 0 0 401 1 3 437 513 10 23 30 29 0 4 0 1
Province 5 69 16 181 2 41 5046 93 56 3183 3427 178 100 88 723 89 281 27 75
46 GULMI 0 0 6 0 2 37 0 0 26 75 4 0 0 0 0 1 0 0
47 PALPA 7 0 11 0 22 584 4 5 137 83 74 11 15 24 2 5 8 19
48 NAWALPARASI WEST 1 1 0 0 0 620 1 5 266 194 2 3 6 234 8 44 2 13
49 RUPANDEHI 4 0 0 2 0 1138 48 2 397 183 56 10 20 221 31 47 15 35
50 KAPILBASTU 8 7 92 0 3 666 20 28 347 192 5 25 32 0 13 59 0 1
51 ARGHAKHANCHI 6 8 39 0 3 102 1 7 236 210 16 27 7 37 15 31 0 0
52 PYUTHAN 4 0 0 0 1 396 1 0 319 746 3 0 0 1 7 10 0 0
53 ROLPA 3 0 1 0 0 163 0 0 449 346 2 0 0 16 3 0 0 0
54 RUKUM EAST 0 0 19 0 0 13 0 0 65 31 0 10 0 15 1 7 0 3
56 DANG 21 0 0 0 0 630 2 3 399 639 5 1 0 59 4 30 0 0
57 BANKE 1 0 13 0 5 338 6 6 148 195 9 2 6 54 0 15 2 4
58 BARDIYA 14 0 0 0 5 359 10 0 394 533 2 11 2 62 5 32 0 0
Province 6 20 7 165 0 1 820 9 2 2012 1636 30 58 56 39 18 131 7 38
54.1 RUKUM WEST 0 1 1 0 1 141 0 0 520 156 0 2 6 2 5 0 0 14
55 SALYAN 0 0 0 0 0 138 0 0 198 277 0 5 0 19 4 74 1 8
59 SURKHET 2 0 34 0 0 291 0 0 492 553 12 0 0 0 3 24 6 1
60 DAILEKH 0 0 0 0 0 83 0 0 300 276 8 18 0 3 0 25 0 0
61 JAJARKOT 0 0 36 0 0 91 7 0 92 63 2 1 27 0 2 0 0 12
62 DOLPA 0 0 3 0 0 0 0 0 5 45 0 1 0 0 0 0 0 0
63 JUMLA 8 6 24 0 0 45 2 0 41 68 7 15 23 4 0 0 0 0
64 KALIKOT 0 0 0 0 0 5 0 0 49 132 0 0 0 5 0 0 0 0
65 MUGU 0 0 10 0 0 1 0 0 6 36 1 3 0 2 4 5 0 3
66 HUMLA 10 0 57 0 0 25 0 2 309 30 0 13 0 4 0 3 0 0
Province 7 22 165 215 3 5 2568 29 23 1971 4753 207 158 167 295 90 347 14 63
67 BAJURA 0 0 8 0 0 46 8 0 154 237 1 0 0 61 0 3 1 1
68 BAJHANG 0 0 1 0 0 84 2 0 52 367 5 0 0 1 0 1 0 0
69 ACHHAM 4 0 4 2 1 248 0 13 201 568 47 32 6 71 21 37 1 45
70 DOTI 0 0 0 0 0 151 0 0 90 264 0 0 0 0 1 1 0 0
71 KAILALI 15 158 90 0 2 730 6 9 698 1120 142 94 153 70 45 189 7 12
72 KANCHANPUR 1 7 112 0 1 1052 10 1 225 1033 1 9 8 0 14 68 1 0
73 DADELDHURA 0 0 0 0 0 127 2 0 93 556 8 0 0 0 1 1 0 0
74 BAITADI 2 0 0 1 0 66 1 0 209 356 2 23 0 91 8 47 4 5
75 DARCHAULA 0 0 0 0 1 64 0 0 249 252 1 0 0 1 0 0 0 0
 Raw Data: OPD Morbidity
C. Communicable, Water/Food Borne D. Other

Dysentery/Amoeb

Volume Depletion
Dysentery/Shigell

Intestinal Worms
Typhoid (Enteric

Presumed Non-
Enteritis (AGE)

(Dehydration)
Acute Gastro-

Hepatitis A

Hepatitis E

Meningitis
Diarrhoea
Infectious

Jaundice
Ameobic

Bacillary

Leprosy
Cholera
Fever)
Organisation unit / Data

iasis

osis
Nepal 481340 371649 361491 151240 533717 7537 497363 47277 2700 1091 41304 2255 2198
Province 1 80884 58796 47093 20497 62456 1224 82103 7604 126 100 6432 344 534
01 TAPLEJUNG 2025 2500 1479 606 2097 98 3272 249 8 0 265 0 0
02 PANCHTHAR 1660 1002 1390 357 2774 0 1836 105 0 0 292 0 0
03 ILAM 2143 2232 1609 342 1992 59 3456 199 2 0 349 3 0
04 JHAPA 13435 7719 8193 4461 6659 270 17885 1646 28 0 600 168 4
05 MORANG 28255 18677 10486 4436 9412 148 15087 2719 44 86 2460 105 504
06 SUNSARI 4999 4742 6209 3073 12276 237 14084 662 13 9 714 35 0
07 DHANKUTA 2465 4039 1555 519 2791 28 1782 374 0 0 149 7 8
08 TERHATHUM 2598 739 1220 281 1274 10 1211 147 0 0 111 1 2
09 SANKHUWASABHA 4347 2166 1195 324 3593 33 3929 548 12 2 158 1 1
10 BHOJPUR 4109 2334 2051 817 3390 2 3000 134 4 3 365 2 7
11 SOLUKHUMBU 1308 1626 1210 438 2521 20 2054 87 4 0 184 0 1
12 OKHALDHUNGA 2508 1494 2212 726 5172 54 3283 69 2 0 245 4 0
13 KHOTANG 3755 4280 3675 1471 3314 3 4623 227 0 0 296 0 0
14 UDAYAPUR 7277 5246 4609 2646 5191 262 6601 438 9 0 244 18 7
Province 2 76515 53003 83044 31399 124100 2023 206925 3523 130 65 8024 675 202
15 SAPTARI 7115 7529 10466 3622 26343 129 28114 130 0 3 1205 54 0
16 SIRAHA 14253 8221 8523 3772 16526 350 22826 700 48 1 1599 57 29
17 DHANUSA 13855 6240 10816 3887 15193 146 31574 352 29 3 561 119 2
18 MAHOTTARI 10076 5136 9495 3833 11822 260 32361 592 4 18 705 73 3
19 SARLAHI 6742 5064 7618 2904 6947 253 19062 267 1 19 465 54 0
32 RAUTAHAT 10796 5499 12121 4820 20007 272 30148 241 26 0 1623 97 0
33 BARA 7083 7901 14145 4105 15990 10 24056 486 12 0 502 138 1
34 PARSA 6595 7413 9860 4456 11272 603 18784 755 10 21 1364 83 167
Province 3 80720 107583 55305 20721 97155 1071 58265 14535 1347 733 9458 189 378
20 SINDHULI 8305 4484 3207 1518 5844 305 6693 630 1 0 524 6 0
21 RAMECHHAP 3885 2582 2361 1027 6846 46 2939 240 6 2 316 3 1
22 DOLAKHA 1661 3146 2767 1106 7133 95 3629 443 84 1 204 3 5
23 SINDHUPALCHOK 4677 5501 4161 1614 8615 13 5174 298 25 0 572 0 5
24 KAVRE 6717 3923 4912 998 11662 45 4128 1051 18 7 493 0 1
25 LALITPUR 9455 9408 6792 2288 6420 154 4426 4409 563 479 531 79 6
26 BHAKTAPUR 2895 7111 1872 726 3357 13 1662 401 75 5 112 0 0
27 KATHMANDU 18388 32832 9449 4277 16556 3 8795 3475 453 93 3871 35 280
28 NUWAKOT 6741 4395 4715 1929 4613 305 3854 526 13 0 792 1 6
29 RASUWA 416 1166 635 438 2023 4 531 12 0 0 36 0 0
30 DHADING 6924 6154 5376 1909 8640 79 3150 458 3 0 491 0 2
31 MAKWANPUR 2505 2232 2405 862 6454 9 2562 171 5 0 106 3 3
35 CHITAWAN 8151 24649 6653 2029 8992 0 10722 2421 101 146 1410 59 69
Province 4 55021 39077 27758 10573 47284 400 27854 6811 412 5 3544 161 652
36 GORKHA 4175 6373 4187 1726 4875 14 3666 577 24 1 509 5 0
37 LAMJUNG 4778 3240 3014 1044 5802 112 2067 477 5 0 214 1 8
38 TANAHU 7132 2995 2464 992 5235 50 3400 583 4 0 447 4 0
39 SYANGJA 5066 2371 2793 675 4837 7 3651 243 1 0 130 8 8
40 KASKI 15895 14984 5688 2736 9035 90 5005 3651 354 4 886 113 632
41 MANANG 102 285 223 37 327 1 658 7 0 0 8 0 0
42 MUSTANG 92 564 229 60 660 1 238 12 2 0 63 0 0
43 MYAGDI 1253 963 1518 753 3561 58 1280 197 0 0 46 3 0
44 PARBAT 3340 1461 2215 532 2518 0 1263 121 1 0 155 3 1
45 BAGLUNG 8416 2988 3542 1327 4234 66 2074 505 21 0 912 5 0
48.1 NAWALPARASI EAST 4772 2853 1885 691 6200 1 4552 438 0 0 174 19 3
Province 5 97401 56296 71010 28823 102598 994 55208 7914 415 100 6988 603 359
46 GULMI 5577 3040 3652 1007 3223 0 4142 649 0 0 119 0 0
47 PALPA 7649 4968 3495 772 5963 97 2916 544 32 3 609 42 75
48 NAWALPARASI WEST 7757 5237 2656 1029 10243 0 4184 315 0 0 482 46 5
49 RUPANDEHI 12655 11808 15721 5264 15168 238 11083 1260 218 38 608 102 237
50 KAPILBASTU 9893 10423 15359 6962 17956 306 9113 614 40 16 1498 71 4
51 ARGHAKHANCHI 4164 2205 2874 769 3236 68 2265 299 24 20 247 9 21
52 PYUTHAN 6545 2688 3686 1926 9635 0 2232 749 61 0 342 7 0
53 ROLPA 6630 1999 3098 1553 4848 0 1283 650 0 0 465 5 0
54 RUKUM EAST 1696 387 1065 432 1961 34 1454 12 0 0 26 0 0
56 DANG 16902 3957 6345 2452 11277 57 3760 1568 10 17 715 9 13
57 BANKE 9180 5242 7297 3032 12171 186 7833 382 30 6 1140 141 2
58 BARDIYA 8753 4342 5762 3625 6917 8 4943 872 0 0 737 171 2
Province 6 39888 28396 32990 18298 44061 1283 39437 2027 165 53 3183 113 13
54.1 RUKUM WEST 3848 1415 2561 1156 3435 52 2060 273 7 0 218 12 1
55 SALYAN 7092 3570 4988 2610 6035 201 3230 378 1 24 305 12 1
59 SURKHET 10427 6662 6295 3213 6392 0 5686 476 19 0 484 23 0
60 DAILEKH 10286 3203 3251 2393 12623 214 3245 222 44 0 829 4 1
61 JAJARKOT 3239 3003 2880 1624 3429 98 1940 90 1 0 262 38 10
62 DOLPA 673 933 1252 662 1868 182 7731 102 0 0 57 0 0
63 JUMLA 1387 4089 2703 1403 2835 230 4779 183 23 5 106 12 0
64 KALIKOT 815 1325 3291 1855 4565 20 3636 162 37 6 479 4 0
65 MUGU 790 1815 2939 1455 1126 208 3604 84 31 18 82 2 0
66 HUMLA 1331 2381 2830 1927 1753 78 3526 57 2 0 361 6 0
Province 7 50911 28498 44291 20929 56063 542 27571 4863 105 35 3675 170 60
67 BAJURA 4514 3990 4881 3082 4661 88 2252 171 1 0 639 2 5
68 BAJHANG 5431 2059 5815 2204 3679 133 2995 188 8 0 399 0 0
69 ACHHAM 3388 4602 7049 3588 15703 25 3794 241 19 0 328 26 19
70 DOTI 2719 2541 5460 2337 6067 0 4089 298 1 6 520 5 0
71 KAILALI 16273 6757 7091 3366 8601 198 6829 2126 39 29 818 56 35
72 KANCHANPUR 8619 2406 4162 1768 6601 76 2927 1451 34 0 149 64 0
73 DADELDHURA 3630 2938 3142 1655 4020 0 1537 195 0 0 304 9 0
74 BAITADI 3900 1805 3403 1787 3932 22 1855 148 3 0 301 6 1
75 DARCHAULA 2437 1400 3288 1142 2799 0 1293 45 0 0 217 2 0
 Raw Data: OPD Morbidity
E. HIV/STI

Urethral Discharge

Disease Syndrome

Disease Syndrome
Vaginal Discharge

Lower Abdominal
Syndrome (UDS)

Syndrome (VDS)

Syndrome (NCS)
Scrotal Swelling
Syndrome (SSS)

(GUDS)-Female

Syndrome (IBS)
Pain Syndrome

Inguinal Bubo
(GUDS)-Male
HIV Infection

Genital User

Genital User
Conjunctive
Gonococcal

Neonatal

Syphilis
(LAPS)
Organisation unit / Data

Nepal 1371 5702 2315 50534 52333 1363 2266 1217 14366 10318
Province 1 89 636 309 6442 8285 116 81 29 16 215
01 TAPLEJUNG 1 4 7 168 162 4 6 0 1 4
02 PANCHTHAR 0 3 4 77 130 3 0 2 0 4
03 ILAM 0 19 7 286 292 14 4 2 0 28
04 JHAPA 23 84 75 693 963 15 3 3 10 14
05 MORANG 25 35 101 2997 4088 4 21 3 0 15
06 SUNSARI 0 111 20 448 552 16 9 5 3 83
07 DHANKUTA 14 165 13 294 373 7 19 5 0 5
08 TERHATHUM 0 2 1 102 79 1 1 2 0 1
09 SANKHUWASABHA 23 124 24 266 235 30 10 0 0 19
10 BHOJPUR 0 6 12 123 136 2 0 0 0 10
11 SOLUKHUMBU 0 3 1 61 128 0 0 0 0 0
12 OKHALDHUNGA 0 6 5 98 217 7 0 0 1 6
13 KHOTANG 0 23 12 158 291 7 0 4 0 5
14 UDAYAPUR 3 51 27 671 639 6 8 3 1 21
Province 2 187 709 284 3470 4763 306 164 125 84 245
15 SAPTARI 68 50 15 486 375 3 2 6 3 8
16 SIRAHA 12 228 29 580 863 20 40 3 0 21
17 DHANUSA 11 111 37 303 601 25 12 5 0 17
18 MAHOTTARI 2 104 33 624 969 37 18 11 18 27
19 SARLAHI 0 2 9 353 611 8 0 0 0 7
32 RAUTAHAT 20 43 25 587 511 32 8 4 0 27
33 BARA 7 21 9 196 288 7 1 3 0 76
34 PARSA 67 150 127 341 545 174 83 93 63 62
Province 3 272 1254 549 8385 11708 193 1347 738 14012 9097
20 SINDHULI 0 230 14 649 877 5 17 0 10 21
21 RAMECHHAP 3 46 7 311 278 2 1 2 2 15
22 DOLAKHA 1 14 11 173 456 1 0 4 0 4
23 SINDHUPALCHOK 8 36 57 463 316 17 10 5 3 165
24 KAVRE 25 58 13 343 191 4 27 28 11 15
25 LALITPUR 4 32 65 893 4179 73 981 376 91 17
26 BHAKTAPUR 0 26 8 216 138 5 4 3 2 1
27 KATHMANDU 210 558 178 2129 2079 36 154 131 51 426
28 NUWAKOT 2 19 31 605 703 13 6 0 0 15
29 RASUWA 3 0 1 6 13 1 0 0 1 24
30 DHADING 4 49 22 776 669 18 5 1 1 10
31 MAKWANPUR 3 22 10 511 340 0 2 0 0 1
35 CHITAWAN 9 164 132 1310 1469 18 140 188 13840 8383
Province 4 80 813 317 4560 4887 135 220 78 43 228
36 GORKHA 18 187 44 624 745 29 1 1 0 2
37 LAMJUNG 35 97 16 482 630 1 1 4 2 12
38 TANAHU 4 27 9 573 505 6 11 15 10 7
39 SYANGJA 8 8 1 218 142 0 0 0 0 0
40 KASKI 10 370 212 1243 1659 79 201 56 27 188
41 MANANG 0 9 0 57 11 0 0 1 0 0
42 MUSTANG 2 3 3 20 22 0 4 0 0 1
43 MYAGDI 0 17 5 103 132 9 0 0 1 6
44 PARBAT 0 14 3 105 112 1 0 0 0 0
45 BAGLUNG 1 40 19 614 763 3 2 1 1 8
48.1 NAWALPARASI EAST 2 41 5 521 166 7 0 0 2 4
Province 5 427 1038 452 12785 8789 296 242 110 80 230
46 GULMI 3 0 0 36 9 0 0 0 0 0
47 PALPA 90 88 153 1116 954 81 16 7 47 3
48 NAWALPARASI WEST 22 75 5 1103 442 3 51 29 0 27
49 RUPANDEHI 130 153 22 2864 1324 115 22 21 11 6
50 KAPILBASTU 137 238 151 1484 1695 82 86 8 8 76
51 ARGHAKHANCHI 8 75 21 336 298 3 18 25 4 27
52 PYUTHAN 0 12 6 264 395 0 0 1 1 0
53 ROLPA 9 27 24 510 531 0 2 0 2 15
54 RUKUM EAST 0 3 0 29 54 0 0 0 0 0
56 DANG 3 87 25 1254 849 1 12 2 0 11
57 BANKE 4 185 7 1354 596 8 7 12 6 32
58 BARDIYA 21 95 38 2435 1642 3 28 5 1 33
Province 6 100 387 122 5569 6140 130 70 72 29 96
54.1 RUKUM WEST 14 15 23 254 476 2 1 1 1 1
55 SALYAN 9 42 13 863 1109 6 3 2 1 1
59 SURKHET 12 117 8 1628 1411 13 7 57 14 53
60 DAILEKH 65 79 15 866 473 2 10 3 3 16
61 JAJARKOT 0 12 1 582 887 69 38 4 0 1
62 DOLPA 0 6 2 204 182 7 0 0 0 1
63 JUMLA 0 21 21 338 373 3 5 1 0 11
64 KALIKOT 0 16 16 382 548 10 4 0 0 1
65 MUGU 0 76 12 222 416 7 0 0 10 10
66 HUMLA 0 3 11 230 265 11 2 4 0 1
Province 7 216 865 282 9323 7761 187 142 65 102 207
67 BAJURA 8 30 16 271 352 7 4 1 0 1
68 BAJHANG 21 154 43 611 645 15 12 3 7 21
69 ACHHAM 81 43 8 1406 1625 1 9 8 0 28
70 DOTI 53 22 6 339 358 12 1 0 2 9
71 KAILALI 29 420 140 3236 2306 85 95 44 67 115
72 KANCHANPUR 3 55 25 1829 826 25 13 7 25 29
73 DADELDHURA 8 79 13 883 806 0 2 1 1 1
74 BAITADI 11 27 7 566 395 10 5 1 0 3
75 DARCHAULA 2 35 24 182 448 32 1 0 0 0
 Raw Data: OPD Morbidity
F. Other Infected Diseases
ARI/Lower Upper Respiratory Reproductive Tract Reproductive Tract
Organisation unit / Data Severe Bronchitis (Acute Urinary Tract
Respiratory Tract Tract Infection Pneumonia Viral Influenza Infection (RTI) - Infection (RTI) -
Pneumonia & Chronic) Infection (UTI)
Infection (LRTI) (URTI) Female Male
Nepal 856497 1116725 240744 20909 206606 324563 230120 14019 5179
Province 1 153422 177085 55271 6746 35316 64925 46719 3923 1510
01 TAPLEJUNG 4691 6705 2012 155 602 1490 1167 50 10
02 PANCHTHAR 7642 7842 2785 75 623 1134 483 47 7
03 ILAM 10349 9869 2249 92 1016 3125 3475 42 6
04 JHAPA 22866 32021 8034 279 6794 13937 15737 442 164
05 MORANG 34052 34764 17495 5132 11669 21847 6018 2647 1077
06 SUNSARI 17334 20575 4459 218 4347 5706 7046 139 42
07 DHANKUTA 6286 8712 1359 92 1058 1640 2590 67 20
08 TERHATHUM 3990 5509 1368 19 834 1430 1373 22 12
09 SANKHUWASABHA 5274 6135 2563 129 719 2249 887 51 18
10 BHOJPUR 7766 8171 2152 52 1265 2218 2913 126 36
11 SOLUKHUMBU 4521 8933 1466 101 728 1475 461 39 13
12 OKHALDHUNGA 10001 9613 2500 12 1272 2222 1042 97 25
13 KHOTANG 8708 8947 3045 141 1184 2450 1011 59 28
14 UDAYAPUR 9942 9289 3784 249 3205 4002 2516 95 52
Province 2 106583 117963 28190 2441 42014 30243 17353 1300 702
15 SAPTARI 17145 13353 2247 64 5366 5660 3149 100 41
16 SIRAHA 20354 23090 4569 214 5101 5319 2112 133 15
17 DHANUSA 17231 18297 3341 75 6255 3919 2187 162 67
18 MAHOTTARI 13001 14985 4449 124 5401 3503 2363 151 81
19 SARLAHI 9078 9184 1888 106 3781 2633 1422 48 14
32 RAUTAHAT 8874 14043 4648 538 7633 3537 2058 305 187
33 BARA 11721 15108 2826 206 3949 2206 1534 120 43
34 PARSA 9179 9903 4222 1114 4528 3466 2528 281 254
Province 3 162417 226032 53168 4920 37727 72409 49486 4145 1538
20 SINDHULI 7052 7916 3163 69 1367 2387 1501 105 137
21 RAMECHHAP 10060 14204 2922 72 1392 3458 1221 126 65
22 DOLAKHA 9461 13406 2113 87 871 2802 2873 69 54
23 SINDHUPALCHOK 15550 15745 3590 161 2560 3822 6358 301 158
24 KAVRE 17140 25514 2986 62 1953 5275 2111 216 108
25 LALITPUR 11244 22511 7927 1724 5177 9931 6243 337 171
26 BHAKTAPUR 9898 19909 1532 38 2001 4677 1907 79 36
27 KATHMANDU 29815 40397 12135 1231 12797 21655 9923 2206 411
28 NUWAKOT 7338 9623 1957 146 1748 2551 2227 56 10
29 RASUWA 2289 4956 523 6 142 605 54 5 0
30 DHADING 14094 14728 4510 140 2467 4116 8318 91 31
31 MAKWANPUR 6435 10352 1891 64 1062 1851 1985 58 6
35 CHITAWAN 22041 26771 7919 1120 4190 9279 4765 496 351
Province 4 112116 157154 26868 1490 23999 42376 28816 1280 370
36 GORKHA 9402 20824 2765 48 2188 4549 8944 462 19
37 LAMJUNG 7833 10717 2392 96 1232 3304 2988 42 8
38 TANAHU 9362 13136 1970 163 1789 3598 3429 96 71
39 SYANGJA 12310 14811 1252 15 2723 3147 2174 170 20
40 KASKI 27959 36075 12116 941 10077 17758 5124 386 199
41 MANANG 514 926 24 0 67 96 237 0 0
42 MUSTANG 984 2957 122 3 68 294 64 10 0
43 MYAGDI 6539 11851 660 62 811 1967 1283 24 24
44 PARBAT 12585 13730 1662 29 1473 1553 1471 46 18
45 BAGLUNG 14639 20181 2527 58 1961 3029 1605 34 6
48.1 NAWALPARASI EAST 9989 11946 1378 75 1610 3081 1497 10 5
Province 5 151147 197531 33289 1830 38774 52062 33216 1674 547
46 GULMI 10462 12333 2197 21 2634 3427 3612 50 9
47 PALPA 13297 15426 3027 111 3998 7118 3916 298 68
48 NAWALPARASI WEST 11422 14446 1336 53 2070 3336 2774 170 44
49 RUPANDEHI 32508 34935 4729 263 7998 11616 6263 405 161
50 KAPILBASTU 12206 21908 3041 347 6504 4860 2335 290 85
51 ARGHAKHANCHI 8157 8398 2253 256 1598 2153 2516 83 17
52 PYUTHAN 8315 17376 3080 224 2615 3357 461 20 5
53 ROLPA 7535 5900 2860 81 1102 2539 183 60 32
54 RUKUM EAST 1673 1474 745 27 366 444 24 10 4
56 DANG 14796 24505 3955 150 3241 5101 4874 53 11
57 BANKE 15886 17473 3342 156 2446 2756 3210 78 26
58 BARDIYA 14890 23357 2724 141 4202 5355 3048 157 85
Province 6 66621 98249 18714 1351 13478 24330 13458 943 248
54.1 RUKUM WEST 3660 8459 1711 121 920 2375 600 103 40
55 SALYAN 8334 12167 2606 54 2276 2766 1815 44 8
59 SURKHET 17030 23159 3427 213 3744 5854 6432 123 7
60 DAILEKH 14569 15845 3129 210 1668 3097 1828 65 24
61 JAJARKOT 3591 11154 882 57 768 2495 406 93 29
62 DOLPA 1943 2175 704 130 406 1152 115 81 15
63 JUMLA 8424 9307 2244 155 967 1554 397 122 24
64 KALIKOT 3403 7368 1503 125 1099 2352 1315 175 20
65 MUGU 3022 5048 1191 102 814 1443 177 87 55
66 HUMLA 2645 3567 1317 184 816 1242 373 50 26
Province 7 104191 142711 25244 2131 15298 38218 41072 754 264
67 BAJURA 5773 8350 2680 189 1161 2792 803 30 7
68 BAJHANG 7643 9469 2522 109 1424 2870 3021 57 15
69 ACHHAM 20210 32108 4197 209 1557 6555 4230 32 13
70 DOTI 7207 14307 2146 155 1112 3175 2191 34 17
71 KAILALI 22239 27492 3707 555 3152 9557 5305 427 130
72 KANCHANPUR 13708 14378 3436 674 2834 4853 16519 90 36
73 DADELDHURA 7159 13950 2163 124 1312 3166 1920 17 19
74 BAITADI 10580 14474 2485 79 1245 2762 3525 49 24
75 DARCHAULA 9672 8183 1908 37 1501 2488 3558 18 3
 Raw Data: OPD Morbidity
G. Nutritional & Metabolic Disorder H. Skin Diseases

Anaemia/Polyneur
Diabetes Mellitus
Goitre,Cretinism

Avitaminoses &
Other Nutrient
Malnutrition

Polyneuritis

Dermatitis/
Chloasma/
Deficiency

Melasma

Urticaria

Albinism
Alopecia
Eczema
Obesity

opathy

Vitiligo
Warts
Organisation unit / Data

(DM)

Acne
Nepal 8657 161587 26455 96237 8133 75156 38048 62524 21166 28752 97727 358096 14978 18982 3209
Province 1 1935 25847 2820 14501 1520 11205 4377 7739 2263 1351 14738 58490 1002 3811 301
01 TAPLEJUNG 15 356 61 79 20 158 233 232 59 12 659 2018 13 22 3
02 PANCHTHAR 7 129 21 499 19 209 133 91 5 11 746 2801 22 324 0
03 ILAM 10 1289 16 967 24 465 137 311 111 34 772 3119 59 5 31
04 JHAPA 14 5165 220 1443 42 1885 1069 1275 463 113 2559 7464 101 122 9
05 MORANG 1780 16093 1971 5246 1251 6053 984 3544 696 825 3336 10416 427 2813 206
06 SUNSARI 6 1117 153 3241 87 757 731 579 341 138 1656 7085 39 155 4
07 DHANKUTA 3 172 55 288 4 53 170 105 40 2 452 3363 83 67 4
08 TERHATHUM 26 282 11 190 2 200 206 149 73 22 485 2656 21 43 0
09 SANKHUWASABHA 3 400 7 281 1 249 99 79 53 21 455 2005 26 6 0
10 BHOJPUR 3 71 27 622 7 226 40 100 18 24 514 2905 25 22 5
11 SOLUKHUMBU 5 176 13 308 10 217 154 194 27 21 565 2342 40 9 2
12 OKHALDHUNGA 26 71 154 398 12 229 44 123 69 5 756 3255 13 3 0
13 KHOTANG 32 109 55 420 24 286 92 299 40 41 872 4201 58 24 2
14 UDAYAPUR 5 417 56 519 17 218 285 658 268 82 911 4860 75 196 35
Province 2 573 10637 4483 27805 1196 18201 4349 4026 631 477 10532 38873 454 665 66
15 SAPTARI 1 240 860 4985 16 2417 589 470 72 29 1470 6313 17 161 0
16 SIRAHA 73 883 421 4123 498 2039 1113 522 91 37 1317 5398 64 15 0
17 DHANUSA 20 307 320 3358 82 1813 450 602 54 64 1291 5323 85 77 4
18 MAHOTTARI 33 508 385 3086 138 1766 588 349 46 134 1141 2939 35 108 36
19 SARLAHI 3 295 473 2837 41 1363 276 229 135 36 746 3091 13 44 3
32 RAUTAHAT 1 366 764 4169 60 4050 366 771 62 63 1237 4062 24 26 3
33 BARA 5 541 368 3161 68 2191 445 556 82 41 1770 5758 139 92 1
34 PARSA 437 7497 892 2086 293 2562 522 527 89 73 1560 5989 77 142 19
Province 3 3270 74781 5908 14149 2512 17820 6933 31654 12738 19527 29504 88973 9207 8717 2153
20 SINDHULI 2 210 240 616 24 359 91 623 18 119 1120 2872 66 32 5
21 RAMECHHAP 2 406 175 976 3 507 383 432 51 90 1377 4175 23 43 0
22 DOLAKHA 10 763 96 375 11 180 90 309 57 18 1969 3349 51 27 8
23 SINDHUPALCHOK 8 225 347 1098 21 760 765 154 83 39 1321 6070 97 253 0
24 KAVRE 192 5881 439 1491 40 1141 469 3819 2859 2664 2625 8475 2063 2207 5
25 LALITPUR 693 10699 1238 893 164 3985 692 3665 2882 1250 1839 6903 814 1080 669
26 BHAKTAPUR 170 2691 134 444 3 282 688 559 311 184 1381 5553 91 67 16
27 KATHMANDU 1067 35361 1389 3217 2002 6955 1766 17804 5239 14138 8716 17932 5333 4464 1427
28 NUWAKOT 78 276 395 785 43 320 218 429 70 137 1379 3631 137 31 1
29 RASUWA 2 26 37 295 1 40 43 32 7 1 225 1373 3 1 0
30 DHADING 15 572 681 1150 40 1272 612 424 121 37 1626 7937 53 108 2
31 MAKWANPUR 13 260 323 762 3 333 299 91 14 14 881 2910 77 44 4
35 CHITAWAN 1018 17411 414 2047 157 1686 817 3313 1026 836 5045 17793 399 360 16
Province 4 1004 28128 963 12380 752 5682 5180 8492 2816 4133 14036 43926 1819 1846 169
36 GORKHA 167 978 451 1053 25 451 1265 374 111 176 1105 6352 154 91 5
37 LAMJUNG 16 1486 18 1517 149 414 180 1000 679 106 1863 4445 78 21 1
38 TANAHU 18 834 21 823 204 475 555 293 54 61 1015 4531 52 254 19
39 SYANGJA 88 886 59 1823 14 375 385 304 94 24 517 3020 47 54 6
40 KASKI 706 21369 301 2792 243 2361 514 5657 1691 3650 4103 9962 1408 1277 137
41 MANANG 0 166 0 104 0 2 2 23 4 0 47 210 0 0 0
42 MUSTANG 0 43 2 113 0 31 9 33 3 3 110 659 22 4 0
43 MYAGDI 0 152 0 316 10 109 57 117 33 17 957 3004 17 29 0
44 PARBAT 1 202 17 1589 15 390 668 142 14 11 1205 2647 9 53 0
45 BAGLUNG 8 561 16 1020 88 521 1336 421 83 40 1659 5008 31 27 0
48.1 NAWALPARASI EAST 0 1451 78 1230 4 553 209 128 50 45 1455 4088 1 36 1
Province 5 1719 17236 4507 16238 1716 13132 8661 6677 1531 2463 16143 66256 1576 2646 340
46 GULMI 8 327 8 78 1 237 496 102 17 3 416 1075 3 13 0
47 PALPA 840 5834 105 1533 1209 1822 746 1261 504 845 1894 6426 441 330 258
48 NAWALPARASI WEST 4 1260 186 1931 92 1659 281 290 51 26 679 4338 13 49 0
49 RUPANDEHI 560 5008 543 2598 222 2378 1248 1549 339 1141 3525 17144 403 1805 23
50 KAPILBASTU 153 1088 1730 3856 55 2021 715 1494 144 87 2216 6363 49 75 5
51 ARGHAKHANCHI 10 360 59 669 30 341 656 310 124 58 874 2158 52 35 11
52 PYUTHAN 1 646 92 490 15 188 586 392 174 31 1066 4147 145 79 7
53 ROLPA 1 78 38 211 17 181 330 150 27 26 731 2294 43 18 2
54 RUKUM EAST 4 1 17 44 0 17 28 21 1 17 70 416 4 4 0
56 DANG 113 851 124 973 4 713 1006 238 67 214 2068 7572 73 124 23
57 BANKE 16 1091 301 1559 59 1719 1050 250 19 1 1226 7027 208 38 4
58 BARDIYA 9 692 1304 2296 12 1856 1519 620 64 14 1378 7296 142 76 7
Province 6 27 1096 2979 4117 122 2390 3649 1874 624 250 4758 21355 407 329 16
54.1 RUKUM WEST 8 228 247 759 0 387 924 279 214 53 602 1452 35 109 0
55 SALYAN 2 128 82 305 20 245 716 191 50 18 845 4066 112 62 0
59 SURKHET 11 619 144 1118 16 419 938 408 71 75 895 6615 134 35 2
60 DAILEKH 1 28 91 622 4 289 388 141 45 10 760 2940 31 16 2
61 JAJARKOT 2 11 222 192 13 358 177 171 38 14 576 1461 14 25 0
62 DOLPA 0 6 58 41 1 64 1 90 7 0 80 420 4 0 0
63 JUMLA 0 62 861 388 4 150 94 147 82 46 254 1599 41 14 0
64 KALIKOT 1 2 492 245 0 215 249 177 32 27 522 902 9 4 1
65 MUGU 1 11 523 393 50 139 154 166 58 4 98 1248 20 52 11
66 HUMLA 1 1 259 54 14 124 8 104 27 3 126 652 7 12 0
Province 7 129 3862 4795 7047 315 6726 4899 2062 563 551 8016 40223 513 968 164
67 BAJURA 6 17 353 270 17 327 92 114 5 32 574 1760 11 16 11
68 BAJHANG 1 44 626 185 48 512 513 166 36 5 532 4037 46 9 1
69 ACHHAM 11 924 873 1056 24 732 999 272 103 72 1023 4003 59 275 24
70 DOTI 8 279 31 315 20 331 350 154 19 47 773 2142 14 56 0
71 KAILALI 26 1520 315 3092 120 2188 1559 675 149 271 1548 10799 191 285 100
72 KANCHANPUR 45 776 1957 878 44 1363 487 178 35 29 1136 8917 106 243 0
73 DADELDHURA 2 209 419 652 21 585 291 225 62 24 882 2523 11 28 4
74 BAITADI 1 65 198 349 21 453 304 80 72 64 699 3348 21 3 18
75 DARCHAULA 29 28 23 250 0 235 304 198 82 7 849 2694 54 53 6
 Raw Data: OPD Morbidity
H. Skin Diseases

Fungal Infection
Herpes Simplex

(Lichen Planus)

Lymphadenitis
Erythroderma
Herpes Zoster

Furunculosis

Leukoderma
Impetigo

Psoriasis
Abscess

Scabies
Organisation unit / Data

Acute
Boils
Nepal 9540 15727 12218 191774 276234 295203 45593 423181 488866 13128 19057 22795
Province 1 953 2069 3067 32865 37595 46808 6872 72347 91900 1913 2441 5356
01 TAPLEJUNG 66 111 53 1144 1265 2636 291 2239 4723 63 34 90
02 PANCHTHAR 39 46 16 1840 1334 1451 87 2561 4882 16 35 78
03 ILAM 53 87 87 833 1484 2356 388 4128 6119 123 59 201
04 JHAPA 191 282 181 2513 5432 6771 1542 11602 13940 126 227 827
05 MORANG 99 299 2274 7766 9405 8933 916 17773 18383 708 1704 1980
06 SUNSARI 72 122 99 5644 3587 5306 1148 13319 14558 155 118 470
07 DHANKUTA 29 82 41 789 1580 1658 289 2604 2687 51 13 156
08 TERHATHUM 38 102 36 1385 659 1346 401 1887 1820 23 5 110
09 SANKHUWASABHA 34 116 89 1573 1562 1581 98 1880 2237 21 2 192
10 BHOJPUR 39 84 17 1355 2283 2632 226 1719 4440 53 11 218
11 SOLUKHUMBU 26 73 9 912 840 976 116 1240 1350 41 25 121
12 OKHALDHUNGA 11 97 61 2829 2219 2492 302 3114 3552 92 53 231
13 KHOTANG 118 128 37 1799 2045 3290 252 2534 5140 78 19 180
14 UDAYAPUR 138 440 67 2483 3900 5380 816 5747 8069 363 136 502
Province 2 642 655 844 48591 69768 81107 9673 72708 119166 2151 567 1553
15 SAPTARI 147 172 24 5958 8944 11136 1559 9128 17171 212 67 245
16 SIRAHA 68 107 98 5040 8653 11425 1184 9598 16623 184 59 115
17 DHANUSA 36 33 31 3629 7567 8674 1330 10826 13431 411 67 109
18 MAHOTTARI 169 83 120 4131 6649 7732 979 6354 10815 324 138 194
19 SARLAHI 22 23 18 3791 4564 6704 805 5370 7987 202 42 244
32 RAUTAHAT 81 97 190 6312 13434 12948 1364 8986 20310 392 58 144
33 BARA 74 76 133 7843 11397 10957 1079 11726 16651 304 123 273
34 PARSA 45 64 230 11887 8560 11531 1373 10720 16178 122 13 229
Province 3 4743 6279 4475 31304 43106 54260 9949 74799 47760 4300 10107 6055
20 SINDHULI 37 282 30 1068 2942 3502 625 3640 4688 140 64 253
21 RAMECHHAP 41 87 30 2714 2811 2779 334 4168 2642 22 51 315
22 DOLAKHA 51 121 113 1681 1306 2306 186 2534 2426 50 159 194
23 SINDHUPALCHOK 76 164 158 2064 2473 4264 382 3627 3197 65 102 197
24 KAVRE 112 1281 159 3063 7944 4899 874 6203 2823 31 1958 274
25 LALITPUR 1006 184 124 2348 2834 4050 475 3549 3144 135 999 221
26 BHAKTAPUR 106 163 19 914 2196 2268 400 3163 1328 33 16 404
27 KATHMANDU 2518 2845 3362 3801 5432 9810 3054 14441 8114 3263 5735 2988
28 NUWAKOT 79 118 134 1586 2688 3306 768 4209 3321 280 172 297
29 RASUWA 17 16 1 201 555 578 34 776 917 5 11 10
30 DHADING 105 193 75 2599 3759 6009 814 4808 5544 33 268 436
31 MAKWANPUR 7 93 65 2371 2290 2843 302 4807 2376 25 22 131
35 CHITAWAN 588 732 205 6894 5876 7646 1701 18874 7240 218 550 335
Province 4 1517 2428 964 14892 17051 24432 3602 40180 32272 1140 2096 3260
36 GORKHA 66 272 148 2220 2672 4445 966 5110 4439 89 82 424
37 LAMJUNG 70 254 12 2131 2473 3007 290 5007 3109 57 38 703
38 TANAHU 115 312 39 1463 1619 2799 271 4741 3952 72 123 51
39 SYANGJA 89 88 43 1704 1352 1970 257 3069 3179 67 11 53
40 KASKI 981 927 603 1753 1867 3439 739 10274 4600 782 1608 1382
41 MANANG 1 3 0 5 85 167 11 170 195 4 6 1
42 MUSTANG 4 7 0 79 174 174 11 339 328 2 0 8
43 MYAGDI 34 146 14 1085 992 1588 53 1231 2008 15 86 165
44 PARBAT 18 42 5 1060 1268 1945 211 2286 2504 14 85 238
45 BAGLUNG 69 214 38 1157 1594 2137 146 2885 3967 10 27 174
48.1 NAWALPARASI EAST 70 163 62 2235 2955 2761 647 5068 3991 28 30 61
Province 5 955 2110 1431 37889 59255 47645 9139 103051 104555 1697 2774 4095
46 GULMI 3 44 8 1011 491 935 194 1147 1649 173 54 127
47 PALPA 287 457 369 2546 3039 4533 484 4687 4026 213 619 573
48 NAWALPARASI WEST 43 205 110 1252 4401 3081 438 7200 7066 76 67 161
49 RUPANDEHI 185 403 149 7391 9280 7549 2879 26737 18592 536 849 1304
50 KAPILBASTU 44 83 188 4922 9080 7865 2004 13000 19335 203 425 163
51 ARGHAKHANCHI 58 146 32 1111 1423 1559 261 1923 3112 24 68 183
52 PYUTHAN 123 228 48 4468 3722 3863 276 4540 8120 129 240 345
53 ROLPA 14 50 14 1202 2697 2036 227 2339 3826 40 56 227
54 RUKUM EAST 1 5 17 77 195 601 58 523 890 5 1 0
56 DANG 93 216 111 5428 6721 5063 917 12008 7621 124 64 299
57 BANKE 39 118 262 3189 11217 5879 691 17272 17980 63 20 123
58 BARDIYA 65 155 123 5292 6989 4681 710 11675 12338 111 311 590
Province 6 245 650 861 8093 18648 18578 3220 21298 40605 1229 364 989
54.1 RUKUM WEST 10 71 46 855 1653 1508 234 1667 1539 16 101 233
55 SALYAN 12 34 50 1097 2526 2432 322 2907 4321 127 8 180
59 SURKHET 46 150 51 2109 5629 4948 1240 7677 9707 293 35 175
60 DAILEKH 21 122 164 1355 3076 3334 581 3450 7273 294 66 58
61 JAJARKOT 17 16 18 272 1309 1651 200 1594 3683 75 10 26
62 DOLPA 9 34 7 185 562 508 66 646 3934 11 0 29
63 JUMLA 4 1 374 609 785 1117 83 710 3008 20 10 20
64 KALIKOT 23 51 48 644 1075 1087 137 958 2626 166 35 38
65 MUGU 77 136 73 468 730 843 129 881 1965 148 78 125
66 HUMLA 26 35 30 499 1303 1150 228 808 2549 79 21 105
Province 7 485 1536 576 18140 30811 22373 3138 38798 52608 698 708 1487
67 BAJURA 28 114 51 1062 2373 2481 245 3271 4204 71 5 104
68 BAJHANG 27 71 9 1079 2518 2383 219 2035 4183 112 60 183
69 ACHHAM 56 129 119 1758 3231 3853 497 5073 8044 110 299 294
70 DOTI 28 109 38 1116 1857 2049 282 2477 3396 64 39 196
71 KAILALI 241 560 75 5163 8463 3832 895 12631 12774 202 77 288
72 KANCHANPUR 19 130 157 4744 4447 2548 296 5356 7619 18 13 175
73 DADELDHURA 46 201 28 888 2386 1727 327 2586 4287 24 61 90
74 BAITADI 11 90 81 1184 4082 2037 181 2995 4951 57 69 111
75 DARCHAULA 29 132 18 1146 1454 1463 196 2374 3150 40 85 46
 Raw Data: OPD Morbidity
I. Ear, Nose and Throat Infection

Acute Suppurative

Suppurative Otitis

Pharyngitis/Sore

Reflux Laryngitis
Foreign Body in

Foreign Body in

Foreign Body in

Deviated Nasal
Acute Tonsilitis

Septum (DNS)

Otitis Externa
Nasal Polyps
Otitis Media

Sinusitis
Chronic

Rhinitis
Throat

Throat
Media
Organisation unit / Data

Nose

Wax
Ear
Nepal 286141 85331 320227 398818 214093 19404 7113 8127 80147 10884 19975 185799 49550 16995
Province 1 42891 12854 209428 116708 72064 4183 1967 3150 12856 2005 1917 25965 8678 2461
01 TAPLEJUNG 1573 332 1062 7135 2329 96 32 13 341 45 61 1015 287 22
02 PANCHTHAR 1278 168 676 8569 1994 75 21 8 170 11 9 990 170 11
03 ILAM 1867 277 1280 9878 3027 156 29 46 438 50 14 1452 268 72
04 JHAPA 5889 2345 5679 11855 8440 230 35 32 2812 138 137 4669 1586 145
05 MORANG 10943 4718 191124 13496 25839 2423 1468 2886 5369 1441 1507 4802 3099 1770
06 SUNSARI 7023 1777 2421 5182 3029 295 165 11 1195 39 4 2826 968 28
07 DHANKUTA 1334 149 925 9604 3642 103 18 7 139 25 19 915 282 58
08 TERHATHUM 1072 120 541 5917 2646 107 10 2 222 46 22 807 188 48
09 SANKHUWASABHA 1453 257 679 6917 3361 219 53 75 445 32 6 347 174 120
10 BHOJPUR 1429 241 794 9970 3119 120 32 12 359 25 24 705 261 20
11 SOLUKHUMBU 1193 328 648 4116 2434 78 14 11 246 34 7 1430 171 9
12 OKHALDHUNGA 1880 522 776 7286 3553 70 17 13 250 23 55 1946 203 74
13 KHOTANG 2563 354 1230 9577 3613 110 33 22 229 30 41 1947 302 62
14 UDAYAPUR 3394 1266 1593 7206 5038 101 40 12 641 66 11 2114 719 22
Province 2 59886 14799 10766 22687 12291 2448 596 401 11228 300 437 17156 7227 203
15 SAPTARI 9319 1384 1736 3812 2339 248 38 24 950 93 44 3516 1343 14
16 SIRAHA 7571 1488 2014 3833 2353 279 92 22 786 24 113 3203 682 29
17 DHANUSA 7808 1875 1409 2819 1713 355 128 71 1531 10 10 2050 523 48
18 MAHOTTARI 6162 1709 1769 2660 1047 316 84 26 1437 13 57 2380 717 31
19 SARLAHI 4101 1109 868 2036 1190 264 63 106 1010 80 43 1089 378 2
32 RAUTAHAT 8958 3303 946 2503 1333 490 63 43 2541 13 39 1457 1560 40
33 BARA 7013 1494 1023 2526 1168 185 69 44 1077 47 51 1618 1105 35
34 PARSA 8954 2437 1001 2498 1148 311 59 65 1896 20 80 1843 919 4
Province 3 50659 19998 41047 115211 62597 5076 2333 2494 27881 4693 12052 47185 14225 9209
20 SINDHULI 2476 514 1619 5278 2096 152 13 222 742 15 63 1809 325 32
21 RAMECHHAP 2462 518 1373 8906 4074 150 43 22 596 39 5 1658 292 14
22 DOLAKHA 1761 348 1329 8358 2468 150 40 41 446 41 3 2080 347 12
23 SINDHUPALCHOK 2785 656 2146 8211 4147 159 21 9 675 168 117 4685 408 98
24 KAVRE 4282 1910 2810 12244 5691 182 91 109 2155 74 1453 4718 499 1876
25 LALITPUR 4034 1686 4107 10108 6423 2160 1141 821 4563 204 421 4969 1396 194
26 BHAKTAPUR 4743 2942 2188 6650 5578 181 54 182 5732 423 1067 2704 2884 1235
27 KATHMANDU 9188 5341 13103 21423 14966 938 523 574 7552 2983 6139 9746 3709 2925
28 NUWAKOT 2652 667 1848 6051 2579 180 90 80 540 71 89 2453 338 30
29 RASUWA 647 82 194 1592 618 40 1 3 58 14 2 1206 79 1
30 DHADING 3523 791 1853 7924 3154 153 39 27 756 51 80 2763 478 25
31 MAKWANPUR 2435 478 876 4645 2077 75 25 23 402 21 96 1987 346 2
35 CHITAWAN 9671 4065 7601 13821 8726 556 252 381 3664 589 2517 6407 3124 2765
Province 4 26795 10793 24601 60246 24731 2156 860 841 11381 1958 2901 28950 5759 2553
36 GORKHA 3546 901 2059 9210 3345 163 30 12 791 60 44 2704 765 39
37 LAMJUNG 2486 818 1705 5580 1749 111 40 15 955 35 39 3779 420 327
38 TANAHU 2183 398 2223 5089 1826 374 208 290 936 154 12 2137 329 20
39 SYANGJA 1795 501 4032 5885 2114 157 38 12 848 15 39 3467 316 17
40 KASKI 7332 6422 6292 13101 7174 861 377 412 5621 1422 2557 6854 2799 2043
41 MANANG 92 23 312 555 130 11 1 2 21 12 0 131 11 0
42 MUSTANG 225 33 285 942 491 11 3 1 40 18 7 613 38 0
43 MYAGDI 2135 267 1072 3747 1281 138 43 28 188 19 23 813 199 0
44 PARBAT 1950 351 1905 5982 2075 116 50 12 570 173 75 2656 200 61
45 BAGLUNG 2794 553 2299 6618 3103 89 35 29 756 28 62 4173 257 42
48.1 NAWALPARASI EAST 2257 526 2417 3537 1443 125 35 28 655 22 43 1623 425 4
Province 5 55944 14312 19401 43681 24564 1936 613 734 9813 1204 1885 32920 7956 1968
46 GULMI 1031 441 1259 2242 1479 25 3 34 201 7 24 302 229 4
47 PALPA 2939 1377 3549 7674 4311 194 71 85 1434 260 726 3397 1333 545
48 NAWALPARASI WEST 3290 532 838 2048 1150 125 11 2 368 2 17 2611 338 71
49 RUPANDEHI 12004 3463 3893 6963 5183 361 328 456 2871 526 684 5839 1737 770
50 KAPILBASTU 7852 2352 3103 4023 2364 260 53 32 1500 35 73 6371 1661 127
51 ARGHAKHANCHI 1731 452 1060 3125 941 163 46 40 384 57 71 1537 317 137
52 PYUTHAN 3943 954 1253 4411 2737 116 17 9 734 139 16 2702 459 49
53 ROLPA 2060 510 618 2942 1189 53 15 14 138 17 5 1808 207 7
54 RUKUM EAST 528 85 248 404 396 45 18 5 117 9 1 812 48 0
56 DANG 6906 1178 1385 3655 2151 91 16 18 685 33 1 1534 359 12
57 BANKE 8387 1356 970 2401 901 273 29 26 398 96 15 2368 582 24
58 BARDIYA 5273 1612 1225 3793 1762 230 6 13 983 23 252 3639 686 222
Province 6 20295 6147 8228 18176 8681 1141 238 169 3076 226 273 11974 2484 295
54.1 RUKUM WEST 2086 862 535 2074 1140 166 51 46 454 86 69 986 268 129
55 SALYAN 3160 885 1406 2852 2078 100 15 56 484 12 26 1887 226 2
59 SURKHET 5253 1383 2287 4963 1860 335 53 16 711 20 54 2729 898 33
60 DAILEKH 3030 447 626 2235 802 83 45 17 170 19 50 1950 299 31
61 JAJARKOT 1450 673 352 1188 393 60 9 2 162 12 6 502 186 3
62 DOLPA 444 146 412 703 118 25 4 8 151 10 4 402 59 17
63 JUMLA 1416 514 755 1293 497 108 17 4 352 21 17 862 102 14
64 KALIKOT 1474 448 599 893 780 95 2 4 212 23 13 1659 152 5
65 MUGU 1214 394 587 793 646 98 33 13 218 21 19 529 203 45
66 HUMLA 768 395 669 1182 367 71 9 3 162 2 15 468 91 16
Province 7 29671 6428 6756 22109 9165 2464 506 338 3912 498 510 21649 3221 306
67 BAJURA 2344 555 389 1177 631 169 20 54 284 3 2 1559 382 28
68 BAJHANG 1769 632 757 1452 396 220 24 14 428 13 21 808 210 8
69 ACHHAM 3816 1232 530 2490 1619 342 43 32 423 106 97 5373 531 87
70 DOTI 3087 639 440 1408 603 271 40 10 524 58 223 1634 403 23
71 KAILALI 6478 1435 1796 4682 2507 626 255 188 980 92 33 6124 854 53
72 KANCHANPUR 4621 691 1161 3286 911 330 29 5 721 53 31 2042 247 35
73 DADELDHURA 2354 509 596 1722 791 229 30 2 292 58 42 709 297 27
74 BAITADI 3137 385 561 3777 952 179 45 24 90 9 4 1659 148 34
75 DARCHAULA 2065 350 526 2115 755 98 20 9 170 106 57 1741 149 11
 Raw Data: OPD Morbidity
J. Oral Health Related Problems

Periodontal Oral Ulcer Fungal Oral Space

Organisation unit / Data Other Disorder Tooth
Dental Caries Toothache Disease (Gum (Aphthous & Hypoplasia Leukoplakia Infection Infection &
of Teeth Impaction
Disease) Herpetic) (Candidiasis) Abscess
Nepal 307187 263830 81271 45543 57380 21093 3882 4783 40719 29967
Province 1 38121 38064 9912 4565 10310 2629 759 548 8344 3224
01 TAPLEJUNG 2108 1884 389 91 362 20 1 1 217 85
02 PANCHTHAR 764 1338 316 36 424 2 19 0 315 60
03 ILAM 1946 1875 303 775 1028 43 17 0 771 176
04 JHAPA 5828 5644 1929 832 1560 631 340 337 2172 567
05 MORANG 8626 6907 1754 755 1769 366 182 28 1448 431
06 SUNSARI 4169 4730 1433 589 1561 266 105 120 922 312
07 DHANKUTA 1691 2746 775 734 639 200 12 4 410 565
08 TERHATHUM 826 584 190 48 310 31 8 8 146 150
09 SANKHUWASABHA 1418 2041 310 55 557 76 6 5 309 83
10 BHOJPUR 1799 1567 251 119 395 375 3 14 340 115
11 SOLUKHUMBU 1753 1179 227 80 268 114 1 0 142 95
12 OKHALDHUNGA 2041 1797 340 30 511 53 0 2 248 102
13 KHOTANG 1910 2241 288 56 354 365 0 11 271 115
14 UDAYAPUR 3242 3531 1407 365 572 87 65 18 633 368
Province 2 26442 41950 3739 2204 4297 458 40 111 6409 1511
15 SAPTARI 3154 5272 581 138 840 37 7 11 635 208
16 SIRAHA 3580 6099 584 313 1371 144 13 34 1127 369
17 DHANUSA 3679 6060 529 295 473 38 5 3 705 136
18 MAHOTTARI 3838 5452 406 360 196 121 0 0 495 109
19 SARLAHI 1855 3268 312 201 202 7 0 7 614 90
32 RAUTAHAT 3588 7004 530 535 290 41 9 52 1313 235
33 BARA 3175 4582 448 140 464 42 6 1 782 251
34 PARSA 3573 4213 349 222 461 28 0 3 738 113
Province 3 142498 82449 45921 24821 23684 14699 2391 2867 9922 16281
20 SINDHULI 2655 2797 1083 570 434 110 90 69 395 219
21 RAMECHHAP 4529 2181 980 266 839 64 1 7 286 385
22 DOLAKHA 3943 2297 707 161 1016 149 21 32 370 261
23 SINDHUPALCHOK 2592 2733 574 93 1179 14 2 12 670 185
24 KAVRE 26382 9932 6082 1332 2758 1422 441 650 1135 721
25 LALITPUR 18045 5760 7014 4099 3325 2325 432 481 387 3968
26 BHAKTAPUR 6944 7338 3038 1145 2072 1397 65 68 426 895
27 KATHMANDU 46879 30413 17522 9944 4718 6876 1297 1115 4006 5199
28 NUWAKOT 4111 3148 915 235 1047 324 0 10 491 623
29 RASUWA 537 543 52 21 249 10 0 18 52 79
30 DHADING 2815 2951 723 259 988 29 0 3 394 427
31 MAKWANPUR 2540 1205 296 34 1644 16 0 31 303 281
35 CHITAWAN 20526 11151 6935 6662 3415 1963 42 371 1007 3038
Province 4 33469 23005 6798 8665 5641 1561 79 620 3110 2733
36 GORKHA 4423 3597 807 107 1066 212 2 37 398 406
37 LAMJUNG 5105 2950 1417 750 686 143 0 33 272 160
38 TANAHU 3392 2755 792 165 675 53 0 47 739 666
39 SYANGJA 2789 2413 263 61 312 7 0 4 272 40
40 KASKI 6904 4158 2311 7187 1117 967 75 470 776 674
41 MANANG 189 213 33 7 23 1 0 0 74 9
42 MUSTANG 344 210 44 6 172 1 0 7 33 58
43 MYAGDI 2687 1588 251 108 306 105 0 0 112 439
44 PARBAT 3280 1520 283 124 368 27 0 9 176 79
45 BAGLUNG 3318 2588 441 96 499 24 2 9 181 146
48.1 NAWALPARASI EAST 1038 1013 156 54 417 21 0 4 77 56
Province 5 31526 34726 10017 3647 8721 1009 542 430 6518 3577
46 GULMI 488 1148 131 183 76 54 0 0 113 104
47 PALPA 4929 4060 2158 1015 765 205 113 131 535 333
48 NAWALPARASI WEST 705 1703 220 73 470 0 0 2 362 181
49 RUPANDEHI 7672 8148 3255 1515 876 190 220 202 1204 327
50 KAPILBASTU 4274 6285 1251 221 960 55 2 5 1076 569
51 ARGHAKHANCHI 1145 1319 168 27 266 32 0 27 129 133
52 PYUTHAN 1785 1740 286 22 661 7 0 16 228 261
53 ROLPA 1364 1422 160 43 305 64 0 0 275 79
54 RUKUM EAST 749 863 44 3 29 54 0 0 132 10
56 DANG 2544 2114 630 145 734 24 1 1 651 268
57 BANKE 3606 3540 766 323 2330 237 203 46 1044 668
58 BARDIYA 2265 2384 948 77 1249 87 3 0 769 644
Province 6 18154 18422 2126 662 1789 356 26 140 2957 951
54.1 RUKUM WEST 1647 1173 182 151 86 11 0 31 365 65
55 SALYAN 2800 2640 196 31 306 24 0 0 208 130
59 SURKHET 4348 2856 678 116 586 52 10 6 1199 256
60 DAILEKH 1535 2059 171 33 211 4 0 10 306 209
61 JAJARKOT 2392 1549 135 34 83 10 0 0 156 53
62 DOLPA 455 1169 106 18 33 16 0 2 116 14
63 JUMLA 2367 2036 167 74 92 79 3 19 143 63
64 KALIKOT 831 2097 105 88 218 14 0 0 185 67
65 MUGU 854 1416 243 50 74 113 11 34 200 84
66 HUMLA 925 1427 143 67 100 33 2 38 79 10
Province 7 16977 25214 2758 979 2938 381 45 67 3459 1690
67 BAJURA 1481 2040 240 158 142 54 3 18 344 194
68 BAJHANG 2221 3193 130 52 145 10 6 0 269 60
69 ACHHAM 1742 2313 562 206 377 10 8 0 381 146
70 DOTI 1718 2454 202 45 145 2 0 1 231 134
71 KAILALI 2161 3242 602 207 980 73 9 5 970 414
72 KANCHANPUR 1351 1982 425 163 568 145 16 28 415 342
73 DADELDHURA 2353 2420 242 50 67 65 0 2 222 166
74 BAITADI 1819 3930 162 57 322 13 1 10 329 169
75 DARCHAULA 2131 3640 193 41 192 9 2 3 298 65
 Raw Data: OPD Morbidity
K. Eye Problems

degeneration (Age

Nightblindness/Vi
Colour Blindness

sual disturbance
Amblyopia (Lazy

Retinoblastoma
Refractive Error

Traumatic Eye
Exophthalmos
Conjunctivitis

Hypertensive
Retinopathy

Retinopathy

pigmentosa

Pterygium
Trachoma

Glaucoma

Entropion
Chalazion

Ectropion
Blindness
Cataract

Macular
Diabetic

Retinitis
related)
Disease

Uveitis

Squint
Organisation unit / Data

eye)
Sty
Nepal 393953 22421 184411 4940 217128 15250 2771 1732 21701 10257 9371 7074 5167 3267 19005 3781 5766 5929 2812 1230 25100 6282 1186
Province 1 74621 16872 92767 1294 108300 7634 1094 641 5630 3050 3013 2242 3522 1231 5517 1858 2739 3665 1285 464 10659 1179 343
01 TAPLEJUNG 3020 49 54 0 186 0 1 7 131 25 0 0 1 2 75 0 0 0 0 0 2 3 0
02 PANCHTHAR 3217 24 33 3 5 9 1 3 133 8 13 54 0 0 160 0 16 0 0 0 16 1 0
03 ILAM 3782 20 81 3 508 11 2 3 115 21 27 5 2 0 89 9 5 24 20 4 78 0 0
04 JHAPA 20313 15409 44058 235 50600 3440 230 131 1930 1509 1697 582 183 89 2781 1040 1636 2586 994 194 7247 77 25
05 MORANG 13004 843 48063 912 56035 4129 815 462 1706 1338 1270 1514 3307 1060 1506 773 1010 1044 248 263 3213 932 318
06 SUNSARI 5974 324 80 11 3 0 1 2 273 16 0 35 0 0 53 1 0 0 0 0 8 42 0
07 DHANKUTA 3029 12 9 0 7 10 0 10 142 6 0 0 0 1 26 0 0 0 0 1 3 4 0
08 TERHATHUM 2398 32 15 0 19 5 1 3 125 6 0 1 0 0 70 0 0 0 1 0 0 6 0
09 SANKHUWASABHA 2145 0 16 6 24 2 1 2 133 7 5 4 1 0 51 0 51 1 17 0 2 2 0
10 BHOJPUR 3133 41 134 69 662 6 0 2 137 26 0 0 8 1 232 7 1 3 0 1 32 7 0
11 SOLUKHUMBU 2778 28 59 3 15 9 0 0 125 1 0 22 0 0 83 10 0 0 0 1 15 8 0
12 OKHALDHUNGA 3956 16 42 5 109 5 3 3 170 6 0 14 0 0 216 0 7 1 1 0 21 15 0
13 KHOTANG 3544 29 57 0 121 1 0 4 287 18 0 4 0 0 82 0 0 0 4 0 17 2 0
14 UDAYAPUR 4328 45 66 47 6 7 39 9 223 63 1 7 20 78 93 18 13 6 0 0 5 80 0
Province 2 52088 819 31013 850 16269 359 42 28 2197 439 43 113 33 41 517 21 26 62 23 9 1330 2043 22
15 SAPTARI 5922 25 21 32 26 3 1 4 182 11 0 1 2 0 61 1 0 0 0 0 2 145 2
16 SIRAHA 6325 160 150 95 28 25 10 11 505 29 4 0 3 0 133 11 17 1 8 0 7 170 11
17 DHANUSA 5634 88 51 92 7 0 0 1 214 1 2 3 0 0 24 0 0 0 0 0 1 69 0
18 MAHOTTARI 4794 121 52 73 21 8 1 0 251 0 13 19 7 2 98 2 4 7 8 1 0 296 0
19 SARLAHI 4373 97 379 229 16 13 4 0 141 3 0 0 0 19 26 0 3 17 0 0 0 91 0
32 RAUTAHAT 5957 112 82 130 6 0 7 2 163 37 0 3 0 0 51 2 0 0 0 1 1 398 5
33 BARA 5702 95 40 24 27 5 10 1 224 25 0 3 3 6 65 3 0 0 0 1 2 428 4
34 PARSA 13381 121 30238 175 16138 305 9 9 517 333 24 84 18 14 59 2 2 37 7 6 1317 446 0
Province 3 81359 2787 12144 1802 39745 3473 979 348 4662 2768 4541 3034 843 315 3495 527 1068 877 468 156 3652 952 453
20 SINDHULI 3869 105 73 6 17 0 1 6 219 21 1 2 3 3 122 1 3 7 1 5 10 4 0
21 RAMECHHAP 4722 23 36 0 81 4 1 1 131 11 2 7 0 3 191 5 0 0 0 0 10 33 1
22 DOLAKHA 5028 30 173 308 300 13 0 4 206 16 45 55 11 4 257 11 8 9 20 4 33 65 0
23 SINDHUPALCHOK 6399 60 145 2 176 3 9 4 270 7 0 5 2 75 362 3 50 0 0 4 10 17 0
24 KAVRE 7021 59 227 36 3461 479 5 3 336 149 200 161 23 0 440 18 58 34 33 1 183 97 69
25 LALITPUR 7883 2289 1374 144 1791 920 196 99 822 864 1211 767 605 41 142 1 13 4 1 0 791 27 0
26 BHAKTAPUR 7264 9 2483 17 10515 233 128 1 520 399 134 117 1 57 221 64 32 115 41 22 840 109 328
27 KATHMANDU 13341 97 5317 700 18382 1630 606 193 1019 951 2690 1771 181 77 1009 366 707 554 336 115 1191 268 38
28 NUWAKOT 4979 21 49 17 56 5 0 18 208 41 1 0 0 0 102 4 4 4 1 1 13 6 11
29 RASUWA 1754 6 218 2 767 6 0 0 64 9 0 4 2 0 42 3 0 4 3 0 73 7 1
30 DHADING 6244 4 234 5 247 0 10 2 249 35 3 6 3 0 195 10 4 2 13 2 76 33 0
31 MAKWANPUR 4558 20 19 35 5 2 0 7 87 9 1 5 2 0 118 6 0 1 6 0 19 7 0
35 CHITAWAN 8297 64 1796 530 3947 178 23 10 531 256 253 134 10 55 294 35 189 143 13 2 403 279 5
Province 4 42630 1083 3800 664 8705 1315 174 175 2500 1261 960 908 250 285 3102 497 1126 511 146 267 2235 878 347
36 GORKHA 5567 32 94 4 48 6 0 4 222 13 0 1 1 0 220 0 1 0 1 0 17 5 0
37 LAMJUNG 6157 70 385 7 1893 29 10 2 296 98 23 6 39 9 250 45 10 51 70 0 142 5 0
38 TANAHU 4076 153 110 6 25 4 11 5 123 8 0 2 2 0 151 1 0 0 0 0 5 11 0
39 SYANGJA 2840 46 199 1 798 1 0 0 165 80 2 8 5 8 174 23 0 2 1 0 116 2 0
40 KASKI 8834 692 2098 593 4865 1242 133 151 708 793 928 885 162 256 1085 418 890 426 60 259 1321 765 346
41 MANANG 452 2 2 0 0 0 0 2 8 0 0 0 0 0 19 0 0 0 0 0 1 0 0
42 MUSTANG 1106 1 59 1 92 4 0 0 37 32 0 0 0 0 50 0 43 0 0 0 10 1 0
43 MYAGDI 3822 20 505 4 469 13 12 8 317 199 4 0 28 10 579 7 160 5 13 7 289 10 0
44 PARBAT 2506 30 280 39 383 9 3 1 218 22 1 1 8 0 306 2 16 15 1 0 292 31 1
45 BAGLUNG 3564 21 37 0 21 7 3 0 253 8 2 5 5 2 204 1 0 1 0 1 38 7 0
48.1 NAWALPARASI EAST 3706 16 31 9 111 0 2 2 153 8 0 0 0 0 64 0 6 11 0 0 4 41 0
Province 5 84938 341 31570 156 40915 2163 430 477 4197 2457 737 716 405 1357 3697 776 649 748 545 304 6683 930 10
46 GULMI 1037 38 3 0 8 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 5608 13 1219 10 1883 185 16 112 431 212 82 70 132 125 197 112 165 46 130 10 214 4 3
48 NAWALPARASI WEST 6829 52 5709 28 8473 93 16 10 412 357 40 16 1 1 253 148 33 58 47 12 852 82 0
49 RUPANDEHI 17311 80 6795 51 13685 762 115 101 1085 647 316 183 37 1209 74 77 63 24 75 2 785 90 0
50 KAPILBASTU 11588 36 31 21 8 5 5 5 541 33 67 78 1 6 115 21 0 13 3 1 7 231 0
51 ARGHAKHANCHI 2204 6 6 11 9 6 5 4 154 12 4 8 6 5 83 3 5 2 2 2 8 18 0
52 PYUTHAN 4164 12 57 1 1 2 0 1 129 4 0 0 0 0 91 2 2 2 6 0 1 14 0
53 ROLPA 2551 15 10 1 9 0 0 1 120 13 1 3 0 0 41 1 0 0 0 0 5 0 0
54 RUKUM EAST 1096 0 0 0 0 0 0 0 6 0 0 0 1 0 25 0 1 0 0 11 0 1 0
56 DANG 6041 6 25 4 18 0 1 0 306 6 8 2 3 0 54 0 0 1 0 0 26 6 0
57 BANKE 22122 55 17629 22 16811 1110 272 243 655 1149 218 356 222 5 2663 412 380 602 282 266 4781 366 7
58 BARDIYA 4387 28 86 7 10 0 0 0 336 24 1 0 2 6 101 0 0 0 0 0 4 118 0
Province 6 25239 251 292 31 142 26 11 31 1264 87 1 8 10 11 1077 18 9 17 4 17 62 121 3
54.1 RUKUM WEST 1289 23 16 0 3 0 5 1 197 17 0 0 1 0 110 0 0 5 0 8 8 0 0
55 SALYAN 3112 17 21 0 6 0 1 5 233 13 0 0 0 0 110 0 0 0 0 0 4 13 0
59 SURKHET 5487 55 62 2 27 3 0 3 278 16 0 0 0 4 272 4 2 8 1 2 34 16 0
60 DAILEKH 3370 4 9 2 15 0 0 1 120 12 1 1 0 2 60 10 4 3 0 1 4 14 0
61 JAJARKOT 2033 21 47 4 5 5 2 4 144 12 0 0 1 1 59 0 0 1 0 0 5 12 3
62 DOLPA 2157 13 5 1 2 0 0 1 18 4 0 4 6 1 59 0 0 0 1 0 0 1 0
63 JUMLA 2169 22 7 5 4 0 1 1 27 1 0 0 2 2 54 0 1 0 2 0 1 31 0
64 KALIKOT 1771 32 18 9 26 2 0 0 84 2 0 0 0 0 127 0 0 0 0 0 3 25 0
65 MUGU 1452 28 38 7 2 13 2 4 73 2 0 3 0 0 72 1 0 0 0 6 3 6 0
66 HUMLA 2399 36 69 1 52 3 0 11 90 8 0 0 0 1 154 3 2 0 0 0 0 3 0
Province 7 33078 268 12825 143 3052 280 41 32 1251 195 76 53 104 27 1600 84 149 49 341 13 479 179 8
67 BAJURA 2800 93 29 11 7 2 1 0 115 1 0 0 0 1 44 2 61 0 0 2 2 12 0
68 BAJHANG 2775 25 149 37 119 10 0 7 96 7 2 5 7 1 186 2 4 10 8 1 34 23 0
69 ACHHAM 3568 23 38 6 102 1 4 3 140 12 1 0 16 1 160 2 0 9 2 0 32 24 0
70 DOTI 3650 39 22 12 1 2 0 0 96 4 0 0 2 0 357 0 0 0 0 0 1 46 0
71 KAILALI 9580 56 12515 51 2820 257 24 19 275 145 69 42 76 24 429 67 84 17 328 10 403 21 6
72 KANCHANPUR 2902 2 9 2 0 4 2 1 203 3 4 3 1 0 38 0 0 0 0 0 3 24 0
73 DADELDHURA 2132 15 21 18 2 2 7 1 86 7 0 3 0 0 143 11 0 11 3 0 2 12 0
74 BAITADI 2828 10 25 6 0 1 2 1 88 5 0 0 1 0 91 0 0 2 0 0 1 1 2
75 DARCHAULA 2843 5 17 0 1 1 1 0 152 11 0 0 1 0 152 0 0 0 0 0 1 16 0
 Raw Data: OPD Morbidity
L. Obstetrics Complications

Prolonged labour

Complications of
Ruptured Uterus

Puerperal Sepsis
Haemorrhage

Haemorrhage
Hypertension
Complication

Hyperemesis
Intrapartum
Antepartum

Antepartum
Grivadarum
Postpartum

Postpartum
Severe/Pre-

Obstructed
Pregnancy

Pregnancy

eclampsia

Eclampsia

Eclampsia

Eclampsia

labor and
Retained
Abortion

Placenta
Induced

delivery
Ectopic

Labour
Organisation unit / Data

Other
(PIH)
Nepal 3697 9181 6272 3493 2133 2366 2605 12434 4792 4543 4072 2605 5955 4010 28610 4591
Province 1 2255 3306 2900 2273 1897 2207 2019 3778 2200 2684 2503 2227 2376 2506 5084 1855
01 TAPLEJUNG 18 37 33 13 1 0 0 170 11 5 1 0 26 3 0 14
02 PANCHTHAR 0 15 0 0 1 0 0 7 1 37 4 0 8 37 9 2
03 ILAM 1 40 1 0 0 0 0 6 0 11 0 0 5 15 1537 4
04 JHAPA 27 465 30 2 4 0 4 423 1 106 5 0 24 24 20 12
05 MORANG 2195 2598 2780 2252 1885 2202 2015 3102 2175 2437 2457 2221 2249 2258 3415 1790
06 SUNSARI 0 68 45 0 0 0 0 15 0 8 4 4 17 38 10 3
07 DHANKUTA 8 4 4 0 3 2 0 6 0 4 0 0 2 19 1 7
08 TERHATHUM 2 2 0 0 0 0 0 0 0 0 0 0 0 6 40 1
09 SANKHUWASABHA 3 16 1 1 0 0 0 8 1 11 1 0 6 15 8 6
10 BHOJPUR 0 24 3 1 0 0 0 16 3 7 12 0 2 18 3 5
11 SOLUKHUMBU 0 10 2 1 2 0 0 1 0 1 1 0 7 7 9 1
12 OKHALDHUNGA 1 10 0 1 0 0 0 0 1 6 3 1 8 23 5 1
13 KHOTANG 0 10 1 0 0 0 0 6 0 9 3 1 14 16 3 1
14 UDAYAPUR 0 7 0 2 1 3 0 18 7 42 12 0 8 27 24 8
Province 2 97 284 248 88 73 25 54 306 132 200 93 19 386 208 96 57
15 SAPTARI 14 3 6 2 1 0 2 10 5 12 20 2 5 21 9 14
16 SIRAHA 18 135 127 21 30 9 27 55 23 28 20 7 103 31 20 18
17 DHANUSA 10 14 18 4 4 3 3 36 10 11 8 1 7 4 4 7
18 MAHOTTARI 2 23 18 3 0 0 4 11 20 28 7 1 55 37 17 2
19 SARLAHI 0 1 0 0 8 0 1 0 13 0 0 5 11 28 7 0
32 RAUTAHAT 0 64 40 42 16 1 12 146 40 74 7 2 165 67 20 13
33 BARA 40 14 19 6 2 0 0 35 8 14 4 0 16 1 0 3
34 PARSA 13 30 20 10 12 12 5 13 13 33 27 1 24 19 19 0
Province 3 904 2534 2124 938 47 71 380 5269 2014 753 519 268 1040 491 11610 2303
20 SINDHULI 45 284 212 1 0 0 2 405 2 6 0 0 30 44 492 0
21 RAMECHHAP 1 21 0 0 0 0 0 7 2 4 3 0 6 7 1 0
22 DOLAKHA 3 45 0 4 1 0 1 10 2 7 3 0 10 28 6 2
23 SINDHUPALCHOK 1 28 1 1 0 0 0 15 2 3 0 0 10 10 98 5
24 KAVRE 10 48 2 0 0 0 1 37 1 12 105 5 6 14 0 2
25 LALITPUR 68 34 222 5 0 0 4 2124 1618 1 13 11 698 76 136 2109
26 BHAKTAPUR 45 38 15 18 5 0 0 397 0 0 0 0 0 0 0 0
27 KATHMANDU 322 1299 1168 66 21 9 21 1415 153 362 297 214 126 83 3359 64
28 NUWAKOT 4 38 36 2 0 0 0 33 2 9 1 1 43 30 3 14
29 RASUWA 0 2 0 0 0 0 0 1 1 1 0 0 2 3 0 0
30 DHADING 1 62 8 2 2 0 2 15 4 53 8 0 11 39 63 9
31 MAKWANPUR 12 10 3 2 0 0 1 0 2 3 1 0 17 19 147 19
35 CHITAWAN 392 625 457 837 18 62 348 810 225 292 88 37 81 138 7305 79
Province 4 203 993 355 53 55 34 85 2126 160 183 99 41 297 139 1587 52
36 GORKHA 2 5 1 0 1 1 0 5 0 2 3 0 0 2 2 0
37 LAMJUNG 12 34 11 2 1 3 11 333 15 0 0 2 6 0 13 4
38 TANAHU 8 19 4 0 0 0 1 33 2 9 34 1 1 9 0 2
39 SYANGJA 1 37 1 1 0 2 0 7 4 49 1 4 9 46 23 1
40 KASKI 176 823 316 44 47 28 68 1685 136 83 44 34 234 35 1481 34
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
43 MYAGDI 1 14 1 0 0 0 0 12 0 3 0 0 0 4 0 1
44 PARBAT 0 9 0 0 0 0 0 0 0 0 0 0 5 5 2 0
45 BAGLUNG 2 9 1 3 2 0 0 12 3 7 1 0 6 11 7 3
48.1 NAWALPARASI EAST 1 43 20 3 4 0 5 38 0 30 16 0 36 27 59 7
Province 5 140 1218 435 111 29 17 37 765 154 520 702 29 1520 248 7195 116
46 GULMI 0 70 44 0 0 0 0 5 0 0 0 0 0 0 85 0
47 PALPA 23 175 17 21 14 3 8 37 39 106 319 2 100 34 126 23
48 NAWALPARASI WEST 5 25 25 11 0 2 0 1 5 22 0 0 28 23 34 2
49 RUPANDEHI 21 422 74 17 1 3 2 434 6 152 69 11 1209 21 6603 28
50 KAPILBASTU 4 174 224 12 5 2 11 203 10 21 3 0 38 12 5 2
51 ARGHAKHANCHI 35 41 40 22 5 5 0 31 51 61 41 5 65 33 39 25
52 PYUTHAN 4 56 1 1 1 0 0 7 6 12 3 2 38 20 78 13
53 ROLPA 4 62 0 0 0 0 1 2 1 11 6 0 5 19 61 5
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 9 8 1 1 9 0 0
56 DANG 6 65 9 4 0 0 6 19 6 4 0 6 12 41 18 6
57 BANKE 37 79 0 9 0 0 7 1 17 99 210 2 10 28 122 11
58 BARDIYA 1 49 1 14 3 2 2 25 13 23 43 0 14 8 24 1
Province 6 49 382 134 19 22 2 12 82 42 85 49 7 79 169 70 155
54.1 RUKUM WEST 19 95 70 2 1 0 0 10 4 8 4 0 4 10 5 126
55 SALYAN 1 32 10 0 0 0 0 34 2 1 0 0 3 16 3 1
59 SURKHET 8 64 5 1 1 0 2 1 12 16 4 0 16 21 5 6
60 DAILEKH 1 74 37 0 0 0 0 28 6 7 13 0 7 36 31 10
61 JAJARKOT 0 31 0 1 1 0 0 0 3 10 3 0 7 13 1 4
62 DOLPA 2 18 3 0 0 0 0 0 3 2 0 1 5 5 3 0
63 JUMLA 17 33 5 13 18 2 10 8 7 13 18 3 25 14 4 2
64 KALIKOT 1 33 3 1 1 0 0 0 5 17 7 0 8 34 16 5
65 MUGU 0 2 1 1 0 0 0 1 0 2 0 0 1 8 1 1
66 HUMLA 0 0 0 0 0 0 0 0 0 9 0 3 3 12 1 0
Province 7 49 464 76 11 10 10 18 108 90 118 107 14 257 249 2968 53
67 BAJURA 7 33 0 1 0 0 0 0 3 5 3 0 14 28 8 9
68 BAJHANG 7 37 0 0 0 1 1 3 2 6 16 0 14 21 1 4
69 ACHHAM 2 41 2 2 5 0 1 3 11 8 25 1 47 40 11 12
70 DOTI 1 63 0 0 1 0 1 9 5 9 3 0 28 45 55 4
71 KAILALI 18 206 63 3 2 9 14 91 54 38 48 10 112 54 46 15
72 KANCHANPUR 9 29 2 2 0 0 0 0 2 0 2 0 6 6 2834 2
73 DADELDHURA 5 36 3 3 2 0 0 2 11 47 9 1 27 33 5 5
74 BAITADI 0 11 6 0 0 0 1 0 1 3 1 0 7 19 7 1
75 DARCHAULA 0 8 0 0 0 0 0 0 1 2 0 2 2 3 1 1
 Raw Data: OPD Morbidity
M. Gynae Problems N. Mental Health related problems

Dipsomania, Drug)

disorder (Hysteria)

(Mental disorder)
Prolapsed Uterus

fertility/Infertility
Uterine Bleeding

Bipolar Affective
Acute psychotic

Phobic anxiety
Schizophrenia

Mental Illness
Addiction (ch.
Inflammatory

Other Anxiety
Disfunctional
Disease (PID)

Retardation
Sub-fertility

Compulsive
acoholisim,

Depression

Conversive
Obsessive-
Menstrual

Dementia

Migraine
(Female)

Neurosis
Disorder

Disorder
disorder

disorder

Epilepsy
Mental
(Male)
Organisation unit / Data

(DUB)
Pelvic

Sub-
Nepal 139526 19673 71931 41539 9270 1870 4965 16566 10205 10000 10522 37283 13569 28494 3810 8019 9122 5156 15645 30636 10003
Province 1 18834 4863 14026 8193 2454 676 1066 2195 751 1011 523 3653 1401 3425 661 1538 2141 1395 1632 3487 1112
01 TAPLEJUNG 408 68 349 163 4 3 0 80 5 19 4 80 20 54 1 58 58 7 8 63 19
02 PANCHTHAR 480 54 350 161 2 0 1 6 1 1 0 12 1 22 1 3 3 1 6 29 2
03 ILAM 798 50 546 249 14 0 7 2 11 22 10 107 12 150 1 12 28 17 71 143 6
04 JHAPA 3224 249 2034 1241 462 42 11 75 0 24 11 413 15 321 15 18 214 15 34 891 9
05 MORANG 6104 3445 5987 4331 1919 626 980 1728 647 918 474 1791 1097 2022 584 1307 1568 1311 1230 1493 1018
06 SUNSARI 754 97 591 291 1 0 0 47 7 0 0 257 3 20 0 8 88 0 68 213 2
07 DHANKUTA 644 51 256 117 2 2 2 35 2 3 5 70 4 34 2 11 15 0 3 39 12
08 TERHATHUM 378 18 167 192 5 0 1 10 0 0 0 23 11 7 0 3 12 0 3 26 2
09 SANKHUWASABHA 1453 107 1206 177 8 1 26 72 0 12 2 50 0 60 2 9 10 6 30 136 12
10 BHOJPUR 383 97 247 136 0 0 29 61 1 0 1 37 3 13 0 3 6 2 16 60 3
11 SOLUKHUMBU 467 58 565 228 4 0 2 23 19 6 10 49 18 50 10 13 18 1 63 50 3
12 OKHALDHUNGA 983 51 551 182 4 0 5 22 43 2 1 307 9 289 3 10 37 8 59 54 2
13 KHOTANG 1007 143 359 211 7 0 0 2 0 0 0 22 4 6 0 39 38 2 4 35 0
14 UDAYAPUR 1751 375 818 514 22 2 2 32 15 4 5 435 204 377 42 44 46 25 37 255 22
Province 2 5018 691 4357 1655 97 10 440 353 240 109 99 1373 142 577 97 274 307 197 310 1029 217
15 SAPTARI 435 75 449 146 1 0 23 14 8 0 0 169 0 18 0 6 8 2 1 30 0
16 SIRAHA 893 180 724 398 34 7 37 83 22 21 6 193 28 28 13 6 9 4 44 188 42
17 DHANUSA 383 53 316 171 7 0 11 2 0 3 0 125 2 48 0 0 61 17 4 68 14
18 MAHOTTARI 857 132 797 303 13 0 31 22 0 5 1 217 13 11 2 27 13 28 29 133 41
19 SARLAHI 167 12 179 58 0 0 0 0 0 0 0 37 6 23 0 3 1 7 1 7 4
32 RAUTAHAT 810 137 835 210 12 0 30 10 9 0 5 291 3 151 0 69 18 60 7 68 8
33 BARA 925 49 567 117 6 2 6 2 2 0 2 59 1 18 2 2 24 3 9 156 2
34 PARSA 548 53 490 252 24 1 302 220 199 80 85 282 89 280 80 161 173 76 215 379 106
Province 3 41266 7211 24597 12813 4869 697 2005 7822 6646 5909 6501 15977 5623 9659 1198 2707 3630 1858 7303 16160 5422
20 SINDHULI 1372 409 1172 522 227 15 11 24 7 20 2 64 19 67 4 23 8 4 183 62 141
21 RAMECHHAP 1375 249 1374 413 5 3 1 55 3 41 10 638 53 288 6 26 13 5 249 304 28
22 DOLAKHA 1411 149 391 192 4 5 4 137 0 34 2 121 16 199 15 97 50 14 198 187 96
23 SINDHUPALCHOK 1532 249 694 394 13 1 3 33 0 10 19 73 29 133 7 42 59 24 14 137 30
24 KAVRE 4343 450 2606 856 646 31 39 696 128 182 132 1828 265 1005 114 26 591 9 62 515 312
25 LALITPUR 5500 1380 2044 757 433 140 165 2974 4481 2821 2591 2411 1024 1982 189 503 458 227 479 2653 2240
26 BHAKTAPUR 3719 237 1241 733 137 22 18 141 93 70 31 433 150 230 1 267 579 2 30 928 5
27 KATHMANDU 11485 2623 9603 5215 2212 318 1472 1825 458 780 971 5423 2678 3928 362 1026 1137 675 3891 9662 1060
28 NUWAKOT 1476 187 653 301 8 0 17 44 0 7 24 109 2 70 0 24 28 5 15 244 18
29 RASUWA 319 6 123 82 2 0 0 4 2 7 1 18 1 44 0 6 0 1 8 6 7
30 DHADING 1919 262 766 645 34 11 4 34 11 33 9 263 26 181 7 77 166 7 107 174 70
31 MAKWANPUR 1087 122 471 296 0 0 1 4 3 223 0 150 3 190 0 42 5 10 615 18 21
35 CHITAWAN 5728 888 3459 2407 1148 151 270 1851 1460 1681 2709 4446 1357 1342 493 548 536 875 1452 1270 1394
Province 4 22799 2289 8972 5243 776 169 443 3308 856 1801 1852 6232 2837 4826 969 1212 887 695 2424 3746 1205
36 GORKHA 2831 193 808 387 15 1 10 173 27 80 5 1349 24 136 2 88 58 21 445 77 63
37 LAMJUNG 1823 128 728 288 5 0 10 74 0 11 1 319 28 229 1 18 5 7 199 134 17
38 TANAHU 1541 183 996 345 27 13 6 141 12 41 11 112 39 181 15 110 34 11 201 391 27
39 SYANGJA 1154 69 534 213 21 0 5 112 3 5 10 275 33 381 7 156 26 12 30 90 29
40 KASKI 9994 1367 4169 3196 653 129 376 2547 810 1657 1825 3711 2629 3320 910 564 613 621 1450 2695 1033
41 MANANG 27 0 15 5 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0
42 MUSTANG 126 1 25 22 0 0 4 1 0 0 0 2 1 7 0 9 7 2 5 2 0
43 MYAGDI 914 28 364 182 4 0 6 3 1 1 0 1 0 80 0 68 50 0 2 4 3
44 PARBAT 988 150 201 125 7 0 7 170 0 5 0 53 1 31 13 98 5 0 6 33 10
45 BAGLUNG 2190 142 779 375 44 19 19 26 1 0 0 255 75 392 0 18 61 8 28 214 16
48.1 NAWALPARASI EAST 1211 28 353 105 0 7 0 61 2 1 0 154 7 69 21 82 27 13 57 106 7
Province 5 22050 2277 11691 6049 751 152 815 2074 1557 902 1411 6498 3149 7514 742 1758 1464 892 2859 4549 1529
46 GULMI 518 57 186 68 0 0 1 20 1 0 3 68 43 39 5 0 1 0 19 65 9
47 PALPA 3138 934 1908 1162 312 20 255 507 364 338 397 3024 1490 4727 266 485 251 70 1285 1574 344
48 NAWALPARASI WEST 1178 22 1088 579 7 4 0 20 0 0 1 81 13 115 0 0 44 15 23 47 39
49 RUPANDEHI 4638 313 3166 1242 193 74 441 960 940 327 923 1624 1170 1258 332 944 894 726 710 1552 816
50 KAPILBASTU 2689 143 1921 550 81 23 31 258 0 61 2 286 33 67 5 92 50 7 18 463 113
51 ARGHAKHANCHI 1088 158 274 256 50 25 35 80 57 40 34 304 153 202 64 119 89 34 102 243 60
52 PYUTHAN 1936 104 479 325 4 1 24 24 170 102 27 235 5 147 4 11 4 1 370 128 56
53 ROLPA 1325 110 496 216 22 3 3 35 1 16 13 85 46 181 2 8 10 1 23 17 2
54 RUKUM EAST 199 28 65 28 0 0 0 0 0 0 0 9 0 28 0 1 24 0 0 3 0
56 DANG 2497 302 746 637 14 0 17 23 2 13 6 212 54 390 43 45 13 4 100 255 35
57 BANKE 1218 46 407 292 9 2 8 12 0 1 5 326 55 95 11 11 58 24 159 76 12
58 BARDIYA 1626 60 955 694 59 0 0 135 22 4 0 244 87 265 10 42 26 10 50 126 43
Province 6 14331 1154 3017 2477 131 92 86 338 48 73 56 961 179 954 65 188 402 53 362 622 238
54.1 RUKUM WEST 1520 100 404 332 57 61 1 5 1 35 0 279 49 117 23 72 48 6 148 229 60
55 SALYAN 1413 148 515 431 6 1 2 31 20 17 2 371 93 417 0 9 7 7 123 87 19
59 SURKHET 2866 185 605 527 21 2 11 34 11 3 41 98 6 167 5 53 186 11 48 112 7
60 DAILEKH 2070 227 302 492 11 5 21 44 2 6 0 53 5 102 36 17 121 13 19 19 71
61 JAJARKOT 1237 206 299 232 7 0 3 5 0 0 0 16 0 53 0 3 0 0 4 44 5
62 DOLPA 646 14 248 9 0 1 0 192 0 4 0 7 1 0 0 0 0 5 15 56 0
63 JUMLA 2471 162 254 57 7 3 20 7 5 8 13 113 20 35 1 19 12 9 5 28 12
64 KALIKOT 1146 50 275 258 7 3 22 8 0 0 0 16 0 26 0 10 27 2 0 30 54
65 MUGU 618 50 55 78 14 16 6 12 9 0 0 7 5 37 0 1 0 0 0 17 9
66 HUMLA 344 12 60 61 1 0 0 0 0 0 0 1 0 0 0 4 1 0 0 0 1
Province 7 15228 1188 5271 5109 192 74 110 476 107 195 80 2589 238 1539 78 342 291 66 755 1043 280
67 BAJURA 1062 59 330 328 4 6 16 3 0 1 0 43 2 72 0 38 41 1 1 7 7
68 BAJHANG 820 95 300 379 14 2 2 8 1 1 0 112 15 126 0 4 21 3 50 38 19
69 ACHHAM 1507 256 682 844 31 10 7 100 90 97 30 1250 35 691 5 68 41 20 285 223 12
70 DOTI 1342 173 252 328 10 4 4 5 1 7 3 161 9 77 4 47 1 11 59 58 71
71 KAILALI 4695 338 2099 1434 104 35 42 33 10 77 45 643 117 352 62 95 38 15 166 492 147
72 KANCHANPUR 2141 72 758 904 11 7 35 314 0 4 0 177 19 23 0 28 28 4 104 114 14
73 DADELDHURA 1262 38 388 270 16 10 0 13 5 8 0 154 37 103 5 60 93 12 84 69 10
74 BAITADI 1396 91 273 347 1 0 1 0 0 0 0 3 0 16 1 0 16 0 0 19 0
75 DARCHAULA 1003 66 189 275 1 0 3 0 0 0 2 46 4 79 1 2 12 0 6 23 0
 Raw Data: OPD Morbidity
O. Malignancy P. Cardiovascular & Respiratory Related Problems

Lymphoma Cancer
Pancreatic Cancer

Bronchial Asthma
Congestive Heart

Acute Rheumatic

Rheumatic Heart
Colorectal (colon

Nasopharyngeal
Stomach Cancer

Urinary bladder
Marrow Cancer
Lung/Bronchial

Thyroid Cancer

Cardiac Failure

Ischemic Heart

Cardiovascular
Breast Cancer

Cervical/Uteri

Ovary Cancer

Hypertension
Other Cancer
Head & Neck
with rectum)
Oesophagus

Liver Cancer

Gall bladder
Bone/ Bone

Oral Cancer

Disease

Disease
Cancer

Cancer

Cancer

Cancer

Cancer

Cancer

Failure
cancer
Organisation unit / Data

Other
COPD

Fever
Nepal 1863 1425 1885 290 808 301 430 262 256 447 538 392 319 607 441 142 866 2725 329593 6501 6295 210393 10104 13092 11409 22310 223123
Province 1 46 82 20 1 19 2 15 2 19 10 6 14 0 0 5 0 7 24 58495 359 367 24014 1206 1227 519 1508 25311
01 TAPLEJUNG 2 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 7 0 1915 41 0 664 51 100 21 5 776
02 PANCHTHAR 1 0 0 0 0 2 0 0 0 0 0 4 0 0 0 0 0 0 2414 2 0 363 82 5 3 3 525
03 ILAM 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4939 4 5 680 33 5 0 59 850
04 JHAPA 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 11137 27 37 5509 407 304 69 292 4377
05 MORANG 31 79 19 0 18 0 15 2 19 9 6 6 0 0 5 0 0 15 18007 202 218 7817 335 700 393 979 5324
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4639 12 0 1899 51 24 18 34 3558
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1696 3 3 503 58 10 1 2 954
08 TERHATHUM 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1327 5 2 586 2 0 1 0 647
09 SANKHUWASABHA 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1797 5 1 812 25 10 0 6 888
10 BHOJPUR 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1117 0 2 524 21 4 2 34 1108
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3030 8 1 681 57 20 2 26 861
12 OKHALDHUNGA 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3 1287 42 1 936 22 18 6 35 1789
13 KHOTANG 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1465 0 5 1259 25 4 0 8 1652
14 UDAYAPUR 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3725 8 92 1781 37 23 3 25 2002
Province 2 16 2 0 4 1 29 0 0 0 0 1 0 0 0 0 4 69 7 29356 284 258 12848 738 344 155 588 28626
15 SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2688 3 16 1943 16 0 0 21 4348
16 SIRAHA 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 17 0 5974 46 66 2197 119 56 0 91 3622
17 DHANUSA 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4511 8 2 1779 33 13 0 32 3720
18 MAHOTTARI 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3384 49 22 1232 159 30 0 39 3065
19 SARLAHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1892 0 7 885 0 6 0 23 3417
32 RAUTAHAT 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 15 0 3592 10 3 1945 111 52 37 77 4053
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 2485 8 22 977 41 50 17 80 2872
34 PARSA 13 0 0 4 1 0 0 0 0 0 1 0 0 0 0 1 0 5 4830 160 120 1890 259 137 101 225 3529
Province 3 1345 928 1177 186 547 209 255 126 190 277 398 337 231 383 218 81 673 1492 124154 3090 3261 74701 3578 6598 5929 14319 53171
20 SINDHULI 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 155 163 3502 18 4 1225 29 6 1 2 1076
21 RAMECHHAP 5 0 2 0 0 0 2 0 0 0 0 1 0 0 0 0 1 0 2955 14 34 1346 49 70 26 26 2761
22 DOLAKHA 5 1 6 1 3 2 0 1 1 0 4 3 3 3 4 0 2 0 2267 42 39 2640 23 17 16 12 2017
23 SINDHUPALCHOK 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 5 1 0 2813 18 35 3925 299 28 4 65 3983
24 KAVRE 4 12 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 9398 474 447 8425 634 1243 961 2117 5819
25 LALITPUR 721 206 447 28 168 37 116 47 38 103 143 62 81 184 72 8 151 340 17014 15 551 10809 118 1304 837 1811 7454
26 BHAKTAPUR 336 535 456 59 157 72 50 52 104 100 153 196 117 80 84 29 292 561 4884 4 10 5052 622 269 119 990 1984
27 KATHMANDU 129 76 193 51 168 35 84 25 15 47 66 8 9 42 10 4 9 264 53826 1925 1391 22483 1293 1820 2687 6419 12675
28 NUWAKOT 14 19 11 27 0 3 0 0 0 0 0 0 0 0 0 0 5 1 3247 25 33 2920 140 59 0 28 3236
29 RASUWA 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 2 0 297 0 4 2 6 451
30 DHADING 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 5445 11 46 2768 24 9 6 34 3458
31 MAKWANPUR 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 1 2002 7 4 1586 27 9 6 19 1946
35 CHITAWAN 122 78 60 20 51 59 3 1 32 27 31 67 20 73 48 35 33 161 16548 535 667 11225 320 1760 1264 2790 6311
Province 4 390 267 616 87 224 40 150 128 39 149 128 30 79 182 209 55 58 1034 57937 1571 1197 34368 1874 3336 4057 3708 30212
36 GORKHA 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 5868 141 60 5177 31 661 1 97 3251
37 LAMJUNG 1 2 0 1 5 0 0 0 0 0 1 3 0 0 0 1 0 0 2907 33 14 2277 17 11 0 22 2895
38 TANAHU 1 1 0 0 0 0 0 1 0 0 0 0 0 1 2 0 2 0 4451 9 17 3075 190 162 11 74 2408
39 SYANGJA 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6492 2 2 1947 27 1 6 74 2441
40 KASKI 377 263 615 86 219 40 145 127 38 149 126 25 78 175 103 37 53 1032 25142 1359 1070 15778 1534 2335 4034 3348 11710
41 MANANG 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 332 0 0 29 0 0 0 0 50
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 682 1 0 50 0 0 0 1 62
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 6 103 17 0 0 931 0 1 808 6 24 1 3 737
44 PARBAT 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 3126 3 2 1594 3 8 0 8 1865
45 BAGLUNG 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 4265 23 29 1793 34 7 4 11 1654
48.1 NAWALPARASI EAST 11 0 0 0 0 0 2 0 0 0 0 2 0 0 0 0 0 0 3741 0 2 1840 32 127 0 70 3139
Province 5 47 138 54 3 15 4 10 5 1 9 3 8 7 40 8 2 18 117 40000 661 698 28148 1637 885 651 1624 35669
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 922 0 2 907 1 1 0 80 163
47 PALPA 21 121 43 3 15 3 8 4 1 5 2 3 7 40 6 2 4 70 7761 54 360 4626 23 394 77 308 3603
48 NAWALPARASI WEST 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 3482 6 91 2317 617 7 7 50 2624
49 RUPANDEHI 8 8 1 0 0 0 1 0 0 1 1 1 0 0 2 0 3 19 8940 376 181 5640 241 279 350 704 7392
50 KAPILBASTU 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4162 20 9 2490 91 23 26 80 3358
51 ARGHAKHANCHI 5 9 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 1897 105 8 1595 39 30 36 84 1673
52 PYUTHAN 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2790 4 2 2466 6 24 0 0 2755
53 ROLPA 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 611 18 1 1089 97 20 0 1 1410
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 182 1 0 81 96 0 0 0 489
56 DANG 1 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 3549 39 16 2481 108 80 42 172 4878
57 BANKE 1 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 0 15 2999 37 14 1620 317 25 113 82 4088
58 BARDIYA 1 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 2 2705 1 14 2836 1 2 0 63 3236
Province 6 5 5 5 0 1 4 0 0 0 0 0 2 0 1 0 0 34 13 7912 293 180 14651 502 293 19 316 19177
54.1 RUKUM WEST 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 715 153 100 1128 97 152 0 23 1568
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1230 77 2 2237 62 9 0 6 3157
59 SURKHET 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2982 15 7 2670 9 1 0 7 4274
60 DAILEKH 3 3 5 0 1 1 0 0 0 0 0 2 0 1 0 0 0 6 1002 18 0 1721 64 56 13 39 4240
61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 419 4 0 1071 7 0 0 2 1086
62 DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 2 532 8 0 0 5 490
63 JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 774 8 7 2643 20 34 0 1 1024
64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 185 11 2 1094 39 25 5 192 1551
65 MUGU 1 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 29 0 146 3 57 712 107 16 1 28 839
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141 4 3 843 89 0 0 13 948
Province 7 14 3 13 9 1 13 0 1 7 2 2 1 2 1 1 0 7 38 11739 243 334 21663 569 409 79 247 30957
67 BAJURA 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 23 384 1 0 2108 120 29 2 29 2847
68 BAJHANG 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 351 2 0 1285 37 1 0 18 2030
69 ACHHAM 4 3 13 1 1 4 0 1 0 2 2 1 1 1 1 0 2 12 2651 122 200 3310 60 78 19 47 4404
70 DOTI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 841 13 10 1027 4 13 1 0 1786
71 KAILALI 7 0 0 8 0 9 0 0 7 0 0 0 0 0 0 0 1 1 4622 96 102 3888 124 99 57 66 5353
72 KANCHANPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1190 1 16 2473 122 174 0 77 5335
73 DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 767 5 0 3346 4 10 0 3 3433
74 BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 553 1 6 2775 97 2 0 4 3369
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 380 2 0 1451 1 3 0 3 2400
 Raw Data: OPD Morbidity
Q. Other Diseases & Injuries

Disability(Disabled
Insect/Wasp Bite

Abdominal pain

Snake Bite-Non
Burns & Scalds
Gastritis (APD)
Chronic Renal

Cirrhosis Liver

Other Rabies
Acute Renal

Toxic Effect

Animal Bite
Susceptible

Snake Bite-
Syndrome

Poisonous

Poisonous
Headache
Nephrotic
Nephritis

Dog Bite

Physical

Person)
Failure

Failure
Organisation unit / Data

PUO
Nepal 6683 7720 13078 18297 1003575 616058 1050401 31462 390874 11072 55090 2345 37226 2518 912 5209 7792
Province 1 1680 1339 2184 2797 156828 85511 157469 4014 55124 2048 7942 360 6477 426 81 600 258
01 TAPLEJUNG 38 14 180 169 6705 3002 6483 258 2318 49 570 20 292 36 13 36 7
02 PANCHTHAR 9 0 4 13 8204 4456 5875 80 1669 10 419 2 217 31 1 19 0
03 ILAM 2 1 10 38 11116 3449 10077 214 3209 23 472 11 194 27 2 5 19
04 JHAPA 133 72 206 203 19069 13444 26973 376 11172 50 979 7 330 11 0 0 7
05 MORANG 1437 1246 1572 1663 22201 9517 25788 606 11121 1491 1151 114 1045 13 2 255 166
06 SUNSARI 12 0 12 148 13698 15993 18042 1028 7279 213 988 11 1749 153 1 0 6
07 DHANKUTA 22 0 18 45 6387 3620 5644 182 1936 44 354 8 177 15 6 20 0
08 TERHATHUM 0 0 18 25 4171 3260 4360 171 991 32 226 4 166 15 0 23 22
09 SANKHUWASABHA 13 0 60 188 9567 3104 8782 188 2199 31 364 21 310 15 10 49 2
10 BHOJPUR 1 1 51 31 10808 4215 5902 113 1792 18 443 12 246 19 8 34 3
11 SOLUKHUMBU 0 0 6 21 6156 2368 7805 152 1732 11 308 11 162 16 8 19 1
12 OKHALDHUNGA 1 0 7 10 13107 6865 10438 176 2533 7 336 35 255 16 7 9 1
13 KHOTANG 0 0 4 133 12251 4226 9238 242 2594 10 560 22 402 25 19 52 2
14 UDAYAPUR 12 5 36 110 13388 7992 12062 228 4579 59 772 82 932 34 4 79 22
Province 2 250 254 431 756 116641 164280 136738 3786 61138 1169 9099 347 6906 239 351 1546 897
15 SAPTARI 23 22 39 72 14386 18532 20656 182 7190 34 906 6 59 2 0 402 31
16 SIRAHA 10 28 42 184 17717 22728 18531 391 10185 209 1131 31 911 39 77 91 493
17 DHANUSA 12 4 21 19 13175 8408 17987 650 7433 135 885 14 261 5 0 0 2
18 MAHOTTARI 41 40 61 25 14079 12572 17810 397 8691 127 1127 18 844 14 3 3 4
19 SARLAHI 15 0 27 53 10728 13900 10346 445 6472 72 591 32 1400 2 28 172 104
32 RAUTAHAT 4 3 25 213 18107 37260 19395 644 8496 177 1944 29 1177 64 218 744 0
33 BARA 9 23 35 13 14936 24437 16071 504 6522 139 1161 98 930 12 22 134 2
34 PARSA 136 134 181 177 13513 26443 15942 573 6149 276 1354 119 1324 101 3 0 261
Province 3 2907 3425 6798 8963 219117 127017 237638 8379 79494 3525 10765 454 6983 545 105 409 942
20 SINDHULI 18 2 15 29 12008 11296 9006 311 4358 157 423 22 647 59 6 40 18
21 RAMECHHAP 16 28 33 43 15355 8762 13772 315 4096 47 652 5 835 40 18 22 77
22 DOLAKHA 7 5 30 77 13163 3962 15950 237 2880 46 688 8 898 50 6 52 49
23 SINDHUPALCHOK 9 2 38 144 21043 18320 17792 391 3207 57 764 72 416 23 7 22 241
24 KAVRE 1 3 46 7 20610 11054 16666 736 4225 61 1107 22 763 14 12 32 24
25 LALITPUR 1976 2242 4278 4606 19694 7527 22015 770 10751 623 725 21 392 53 2 5 3
26 BHAKTAPUR 38 44 95 320 7925 9450 10155 822 4026 620 444 30 170 14 1 3 121
27 KATHMANDU 617 996 2020 2159 42477 24007 55787 2494 25144 1513 2637 171 1440 159 11 18 233
28 NUWAKOT 16 1 6 314 13645 4897 13641 619 3251 178 767 34 492 41 5 25 4
29 RASUWA 0 0 7 9 3009 1912 3667 20 455 1 139 0 43 2 1 2 21
30 DHADING 21 4 22 112 16919 5204 16269 358 4265 27 724 6 435 21 16 87 13
31 MAKWANPUR 26 0 0 85 9769 8749 9266 487 2477 57 458 29 92 15 11 31 36
35 CHITAWAN 162 98 208 1058 23500 11877 33652 819 10359 138 1237 34 360 54 9 70 102
Province 4 796 2005 1335 2122 120840 46357 135550 4274 44659 1544 6818 376 3036 313 99 1051 3750
36 GORKHA 18 15 81 146 19351 5925 19769 928 4568 141 1084 49 432 54 7 45 134
37 LAMJUNG 4 6 28 53 11906 9272 13659 526 3567 72 822 15 233 61 4 81 44
38 TANAHU 44 14 111 136 12583 2960 14021 392 4152 57 617 28 185 23 13 92 39
39 SYANGJA 2 1 23 24 12559 3016 12209 497 7326 24 738 2 494 19 17 209 222
40 KASKI 701 1966 1032 1641 19109 11446 34279 802 14468 1010 970 236 485 26 44 301 2995
41 MANANG 0 0 0 0 760 165 1883 14 179 0 21 0 15 0 0 0 0
42 MUSTANG 0 0 0 1 1446 382 2113 33 382 8 106 4 35 2 1 1 0
43 MYAGDI 1 1 2 32 7206 3502 6973 87 1037 25 431 6 112 3 0 30 284
44 PARBAT 0 0 4 23 10904 2230 9739 342 2287 21 510 1 255 23 5 106 2
45 BAGLUNG 16 1 13 18 14008 643 12448 233 3001 48 920 8 231 3 1 90 9
48.1 NAWALPARASI EAST 10 1 41 48 11008 6816 8457 420 3692 138 599 27 559 99 7 96 21
Province 5 700 655 1403 2406 162365 102286 167172 5457 64705 1294 8599 464 6649 595 179 1040 700
46 GULMI 2 0 14 58 2832 2443 3050 569 621 54 91 12 81 23 0 24 0
47 PALPA 28 53 95 132 13395 6043 16420 580 4948 168 772 110 427 48 22 332 126
48 NAWALPARASI WEST 2 2 13 15 12113 12047 9359 203 4973 45 507 14 1134 73 10 310 40
49 RUPANDEHI 405 483 1000 1440 30636 28482 30345 1337 14672 366 1089 32 1365 132 1 4 275
50 KAPILBASTU 151 12 110 161 25369 24503 22894 435 10600 66 1686 45 2126 201 91 235 66
51 ARGHAKHANCHI 48 84 33 32 5065 1110 7753 281 1583 78 513 41 130 47 33 35 48
52 PYUTHAN 0 0 1 21 12923 7371 13861 411 4317 65 838 1 164 3 3 5 14
53 ROLPA 9 8 14 67 10424 4151 7841 129 2680 44 573 24 243 9 5 20 65
54 RUKUM EAST 26 0 20 0 3780 937 2493 124 953 15 109 4 18 1 0 3 0
56 DANG 27 13 77 257 16169 2393 19539 495 7183 147 726 10 430 21 11 31 7
57 BANKE 0 0 21 82 16129 5878 16316 447 6622 110 868 141 49 12 0 0 1
58 BARDIYA 2 0 5 141 13530 6928 17301 446 5553 136 827 30 482 25 3 41 58
Province 6 142 16 334 707 97580 33721 103564 3119 36730 786 4978 144 2073 159 28 198 180
54.1 RUKUM WEST 7 0 15 45 8155 4721 7180 331 2667 46 425 8 190 2 8 40 22
55 SALYAN 0 2 3 55 16362 7859 17400 270 5676 103 615 13 227 2 3 2 5
59 SURKHET 13 4 156 35 12434 1382 23627 608 6496 113 1215 33 220 61 10 35 5
60 DAILEKH 27 0 27 139 17403 9188 12365 313 4548 119 646 25 376 44 1 23 52
61 JAJARKOT 5 0 4 62 8936 3202 9386 252 3876 199 289 7 316 2 3 3 1
62 DOLPA 24 0 0 11 8789 1042 6459 150 2029 32 262 24 28 0 0 1 0
63 JUMLA 25 8 31 97 6815 1115 9091 458 4018 64 404 26 104 3 1 4 73
64 KALIKOT 2 2 62 147 9623 4043 6783 230 2999 64 390 3 443 11 1 4 21
65 MUGU 4 0 32 23 3978 343 5545 270 1858 39 288 2 75 30 0 85 0
66 HUMLA 35 0 4 93 5085 826 5728 237 2563 7 444 3 94 4 1 1 1
Province 7 208 26 593 546 130204 56886 112270 2433 49024 706 6889 200 5102 241 69 365 1065
67 BAJURA 8 0 79 66 10993 6961 12550 200 5241 44 642 5 370 17 1 9 0
68 BAJHANG 2 0 43 11 13781 4379 9503 155 3606 82 437 9 602 12 5 6 1
69 ACHHAM 43 6 36 116 21974 5802 20294 257 9302 54 1315 13 514 58 14 188 82
70 DOTI 7 0 27 62 15670 8527 9385 301 3369 32 853 14 290 10 8 18 238
71 KAILALI 124 13 320 206 25590 11551 22006 925 11650 369 1368 112 732 48 33 115 32
72 KANCHANPUR 9 2 28 34 11266 5731 10618 220 5627 78 758 10 1835 30 0 0 685
73 DADELDHURA 0 0 53 43 7627 11138 9994 163 3901 23 492 7 414 51 6 27 3
74 BAITADI 12 5 2 5 13157 2250 10317 143 3868 17 564 7 186 5 1 0 24
75 DARCHAULA 3 0 5 3 10146 547 7603 69 2460 7 460 23 159 10 1 2 0
 Raw Data: OPD Morbidity
R. Orthopaedic Problems S. Surgical Problems

Fistula of Intestine
Falls/Injuries/Frac

Lumps(Adenoma)
Backache(Muskul

Mastalgia Breast
Mastitis(Ignored

Lumps(Lipoma)
Osteo Arthrosis
Arthritis-Osteo

oskeletal Pain)

Breast/Breast
Renal Stones
Rheumatoid

Anal Fissure

Anal Fistula
Acid Peptic
Disorders
Arthrosis
Arthritis

Abcess)
Breast
Organisation unit / Data

tures

RTA
Nepal 757923 84547 36100 252294 45295 411796 63541 13050 5681 1725 39441 8112 11487 4108 10722
Province 1 101657 14202 7448 33339 8088 68284 9095 1945 1385 671 4717 1345 2932 351 725
01 TAPLEJUNG 4905 286 92 477 77 1006 135 63 11 0 185 23 84 11 23
02 PANCHTHAR 5678 157 113 1127 24 984 156 8 1 0 4 16 70 3 7
03 ILAM 6573 222 36 1314 214 2355 226 18 5 0 34 12 53 22 19
04 JHAPA 9740 1751 555 3130 720 31811 3554 314 184 18 518 282 209 77 194
05 MORANG 18687 8674 5464 10847 5413 14665 3217 1432 1139 622 3375 769 1768 126 328
06 SUNSARI 6535 1359 324 4367 390 4781 633 26 5 14 180 52 86 32 13
07 DHANKUTA 7520 191 89 1133 49 1260 109 5 2 1 50 18 66 7 3
08 TERHATHUM 4318 38 81 857 104 983 30 10 4 0 0 2 43 20 25
09 SANKHUWASABHA 7338 378 135 1972 173 1788 405 18 3 0 241 40 85 8 32
10 BHOJPUR 5431 102 44 1136 47 1090 214 6 19 0 69 26 88 5 7
11 SOLUKHUMBU 4987 26 101 1671 193 1568 82 4 2 0 0 5 45 4 5
12 OKHALDHUNGA 7815 34 69 1839 101 2252 143 18 2 0 4 17 60 6 7
13 KHOTANG 6041 97 64 1243 67 1597 148 10 0 0 15 22 77 3 5
14 UDAYAPUR 6089 887 281 2226 516 2144 43 13 8 16 42 61 198 27 57
Province 2 53939 5421 2404 34920 1940 38544 3553 423 124 21 227 144 562 73 23
15 SAPTARI 12288 853 343 6811 514 3835 221 0 3 4 21 14 91 10 1
16 SIRAHA 7847 1315 293 5572 274 6846 445 38 35 7 93 29 123 16 5
17 DHANUSA 4354 278 311 3686 93 4324 193 3 11 0 6 15 24 0 2
18 MAHOTTARI 4003 436 218 4197 194 4601 744 335 31 0 22 14 82 20 0
19 SARLAHI 3374 313 196 2036 68 2776 157 4 2 0 0 5 19 2 0
32 RAUTAHAT 4320 1023 434 4757 269 4196 360 0 1 0 0 5 26 0 0
33 BARA 9697 598 235 4256 199 6896 571 11 4 1 23 18 132 6 3
34 PARSA 8056 605 374 3605 329 5070 862 32 37 9 62 44 65 19 12
Province 3 218681 34148 10780 68848 19149 115425 16794 5169 2112 471 19458 3371 3712 1655 5840
20 SINDHULI 5484 394 83 1413 132 2563 466 48 2 0 145 46 69 4 0
21 RAMECHHAP 11490 274 310 3496 578 4000 241 15 4 0 48 45 129 24 74
22 DOLAKHA 9986 311 175 1897 465 3463 545 48 15 0 111 80 98 42 51
23 SINDHUPALCHOK 20598 680 284 4376 263 7279 431 49 5 5 25 23 110 8 13
24 KAVRE 30778 2261 657 10581 1279 21607 2000 822 135 6 5181 280 513 281 594
25 LALITPUR 14999 2643 513 5051 666 8398 1087 232 104 69 3995 280 483 70 1196
26 BHAKTAPUR 10836 1791 311 3869 3093 5864 714 63 26 1 366 77 77 9 299
27 KATHMANDU 57715 13998 4308 21559 8435 29481 4422 1930 719 216 5436 939 823 459 1565
28 NUWAKOT 8170 548 222 2448 542 4830 640 17 9 7 129 51 82 32 32
29 RASUWA 3091 36 38 704 116 1786 3 2 0 0 2 5 14 1 2
30 DHADING 13896 1076 111 5033 320 7026 643 18 25 0 49 50 168 56 22
31 MAKWANPUR 8031 443 41 1585 272 3107 251 12 4 0 11 17 106 9 8
35 CHITAWAN 23607 9693 3727 6836 2988 16021 5351 1913 1064 167 3960 1478 1040 660 1984
Province 4 133966 10385 4703 32289 5115 44589 9581 2714 889 142 4753 1112 1338 786 1683
36 GORKHA 17519 134 476 5809 1340 8000 1150 103 9 0 189 111 256 75 116
37 LAMJUNG 11519 359 300 2531 56 3588 1743 90 21 9 411 10 90 3 12
38 TANAHU 10404 665 267 2782 253 3758 316 28 10 0 209 20 57 16 32
39 SYANGJA 12098 827 349 2459 156 3478 2994 7 1 0 82 8 44 4 6
40 KASKI 40764 5338 2834 8867 2556 14112 946 2369 817 133 3362 875 574 567 1444
41 MANANG 541 10 14 168 0 257 22 0 0 0 3 0 0 0 0
42 MUSTANG 1879 28 8 376 40 829 6 3 4 0 3 5 15 1 0
43 MYAGDI 7207 60 33 1770 85 1442 63 5 1 0 18 11 94 26 7
44 PARBAT 9557 189 61 1668 276 2910 622 5 0 0 7 11 20 5 27
45 BAGLUNG 12600 318 140 3404 142 3508 621 14 0 0 177 50 107 76 31
48.1 NAWALPARASI EAST 9878 2457 221 2455 211 2707 1098 90 26 0 292 11 81 13 8
Province 5 118716 11882 6087 52653 6945 82393 10760 1957 693 279 5347 1597 1602 974 1888
46 GULMI 5838 357 136 3281 455 1770 25 0 0 0 18 9 29 12 11
47 PALPA 20832 1314 2372 5992 2135 8471 3543 859 121 4 2091 394 361 515 644
48 NAWALPARASI WEST 4285 739 188 2829 63 9616 328 4 0 0 81 34 43 5 4
49 RUPANDEHI 15241 3146 1238 11780 2313 19423 2136 837 419 230 1929 894 461 298 991
50 KAPILBASTU 7203 1484 367 5062 395 13177 1490 2 12 0 85 7 73 9 0
51 ARGHAKHANCHI 6224 422 239 3934 266 1924 457 85 2 0 132 88 125 75 90
52 PYUTHAN 13574 727 135 3170 201 3775 117 16 0 3 63 28 166 8 23
53 ROLPA 7686 203 124 1946 102 2489 159 22 1 0 70 49 79 27 9
54 RUKUM EAST 1266 13 11 352 7 425 139 0 0 0 1 0 9 0 0
56 DANG 12593 1417 891 5018 420 7312 1254 103 77 40 359 51 136 16 113
57 BANKE 15435 1738 272 4748 360 7187 443 27 56 2 396 18 56 5 2
58 BARDIYA 8539 322 114 4541 228 6824 669 2 5 0 122 25 64 4 1
Province 6 43482 1018 1414 11768 1369 22025 7164 179 42 53 1208 151 523 187 280
54.1 RUKUM WEST 4613 244 308 1059 124 1549 196 24 8 41 667 57 96 36 140
55 SALYAN 5588 149 150 1634 641 5339 3208 56 2 0 79 25 76 64 109
59 SURKHET 10452 142 334 2627 165 5043 1015 17 1 0 162 24 86 16 3
60 DAILEKH 9164 79 55 2023 73 3230 1406 12 6 1 55 11 64 29 21
61 JAJARKOT 3542 51 29 264 53 2389 188 12 0 4 44 6 70 4 3
62 DOLPA 607 0 75 293 106 621 137 1 0 0 0 7 13 0 0
63 JUMLA 4124 214 79 1472 18 1067 395 13 9 1 128 9 24 6 0
64 KALIKOT 3536 107 155 764 48 1534 328 2 0 0 66 6 42 15 4
65 MUGU 1092 23 177 716 107 590 179 8 16 6 4 6 32 14 0
66 HUMLA 764 9 52 916 34 663 112 34 0 0 3 0 20 3 0
Province 7 87482 7491 3264 18477 2689 40536 6594 663 436 88 3731 392 818 82 283
67 BAJURA 5682 9 96 1420 142 4005 45 0 0 0 56 5 66 0 0
68 BAJHANG 6068 64 98 1288 42 2473 85 15 15 3 112 59 52 1 2
69 ACHHAM 17688 247 272 1323 478 6203 2454 127 41 28 1288 50 203 32 67
70 DOTI 9233 301 40 1436 120 3111 267 30 7 2 350 7 95 3 10
71 KAILALI 15270 5271 990 4907 860 11920 2425 428 323 32 1381 205 197 43 171
72 KANCHANPUR 9905 1355 1175 3065 771 4969 319 6 46 20 449 22 77 1 11
73 DADELDHURA 6404 210 563 1722 204 2856 233 6 1 0 76 12 56 0 20
74 BAITADI 11088 25 19 2059 23 2568 367 9 2 3 15 19 46 2 0
75 DARCHAULA 6144 9 11 1257 49 2431 399 42 1 0 4 13 26 0 2
 Raw Data: OPD Morbidity
S. Surgical Problems

Sebaceous Cyst
Not

Haemorrhoids/
Phimosis/ Para
Pilonidal Sinus

Cholelithiasis
Cholecystitis
Appendicitis
Total Old

Epididymitis

Prostatism-
(BEP/BPH)
Hydrocele
mentioned Total New

Phimosis

/Orchitis
Hernia
Organisation unit / Data (Repeated) Total

Piles
Above & OPD
OPD Visits
Other

Nepal 11003 3079 23378 17528 26924 20354 14377 10025 29877 5464 15686 1773953 20522191 3692579 24214770
Province 1 2168 576 5069 5035 6798 4918 2696 1953 5063 850 1797 330642 3727150 628436 4355586
01 TAPLEJUNG 41 0 78 24 90 45 36 18 175 54 218 12064 116436 34859 151295
02 PANCHTHAR 14 1 2 2 2 7 5 3 58 12 10 10215 113784 7338 121122
03 ILAM 10 0 6 4 7 33 25 4 85 9 41 22114 170645 14990 185635
04 JHAPA 486 31 439 267 1001 562 613 209 889 155 366 53697 670152 107942 778094
05 MORANG 1317 534 4379 4572 5358 3986 1786 1598 2930 446 791 88521 1185672 184135 1369807
06 SUNSARI 32 5 111 122 128 100 93 47 119 17 68 29300 338217 88199 426416
07 DHANKUTA 19 0 4 0 14 5 4 4 34 12 64 13471 127519 28679 156198
08 TERHATHUM 56 1 4 0 0 37 13 7 123 9 9 5271 81233 6760 87993
09 SANKHUWASABHA 74 0 29 21 151 58 35 28 166 25 7 21637 137824 24220 162044
10 BHOJPUR 0 0 2 13 37 12 25 4 33 3 5 9622 132349 9903 142252
11 SOLUKHUMBU 0 0 3 1 2 8 2 7 59 10 4 8773 98041 4403 102444
12 OKHALDHUNGA 15 4 2 2 1 7 12 1 136 24 48 18831 162502 46461 208963
13 KHOTANG 4 0 6 2 0 23 18 8 79 11 38 20629 166864 36017 202881
14 UDAYAPUR 100 0 4 5 7 35 29 15 177 63 128 16497 225912 34530 260442
Province 2 81 9 296 175 55 215 310 79 736 95 83 177385 2761976 407154 3169130
15 SAPTARI 1 0 11 6 0 34 55 22 117 36 29 11527 357906 37963 395869
16 SIRAHA 19 0 15 90 24 35 25 3 87 17 15 18671 385320 50613 435933
17 DHANUSA 2 2 13 4 5 26 31 12 67 8 2 16083 324294 22985 347279
18 MAHOTTARI 6 2 7 6 5 48 75 11 138 5 8 11740 299710 69442 369152
19 SARLAHI 0 0 0 0 0 17 45 0 66 2 0 5113 208155 31032 239187
32 RAUTAHAT 6 0 14 0 1 7 30 11 81 4 2 25667 397079 90372 487451
33 BARA 32 0 10 2 1 11 25 10 77 5 7 7949 328664 33744 362408
34 PARSA 15 5 226 67 19 37 24 10 103 18 20 80635 460848 71003 531851
Province 3 4969 1654 10504 7760 11797 9404 6240 4611 10505 2488 7151 425122 4976162 957146 5933308
20 SINDHULI 2 0 31 0 273 47 113 60 224 170 4 7427 180555 15382 195937
21 RAMECHHAP 139 1 12 14 37 45 9 23 242 16 73 22992 217227 17230 234457
22 DOLAKHA 30 0 28 6 8 153 32 92 347 55 139 22973 195174 36090 231264
23 SINDHUPALCHOK 17 2 68 25 6 58 27 12 114 22 143 20701 282559 51568 334127
24 KAVRE 375 84 364 515 3106 828 329 244 1074 306 866 33500 476264 46320 522584
25 LALITPUR 1217 15 1698 2153 1742 1557 1129 943 1738 601 1588 59698 560459 130786 691245
26 BHAKTAPUR 41 0 157 95 315 86 36 62 389 3 171 54177 311109 48213 359322
27 KATHMANDU 1070 276 4043 2839 3951 3750 2566 1914 3050 380 2441 102090 1335289 433500 1768789
28 NUWAKOT 36 7 37 10 31 68 90 43 89 36 72 15630 200359 27987 228346
29 RASUWA 5 0 2 1 2 4 9 2 30 9 7 2761 47915 6887 54802
30 DHADING 38 1 10 3 16 49 72 12 175 15 86 24072 275998 51321 327319
31 MAKWANPUR 3 1 15 1 3 20 4 7 53 8 37 13005 156950 27728 184678
35 CHITAWAN 1996 1267 4039 2098 2307 2739 1824 1197 2980 867 1524 46096 736304 64134 800438
Province 4 1628 281 3432 1959 4023 2018 1600 1218 5449 656 2288 227195 2378349 385163 2763512
36 GORKHA 164 3 41 15 110 80 66 66 256 48 181 20624 285354 47710 333064
37 LAMJUNG 195 1 47 6 83 66 75 43 200 39 96 22359 218017 27651 245668
38 TANAHU 27 3 36 3 63 17 27 14 142 18 21 23671 207184 20495 227679
39 SYANGJA 6 0 35 11 19 55 26 5 159 7 70 18776 200470 43274 243744
40 KASKI 1189 273 3038 1846 3587 1640 1279 1054 3922 491 1785 75110 767888 153514 921402
41 MANANG 0 0 0 0 0 1 2 1 15 0 0 862 12539 2254 14793
42 MUSTANG 0 0 3 1 0 3 0 1 64 3 3 3172 25687 6701 32388
43 MYAGDI 0 0 23 2 9 42 23 5 97 6 36 13530 116938 19438 136376
44 PARBAT 0 0 18 0 7 45 30 3 89 1 14 11478 149695 19838 169533
45 BAGLUNG 29 1 64 15 25 32 32 17 309 30 40 17435 209663 27355 237018
48.1 NAWALPARASI EAST 18 0 127 60 120 37 40 9 196 13 42 20178 184914 16933 201847
Province 5 1561 468 2846 2043 3536 2374 2171 1500 4613 732 2365 289996 3364213 747295 4111508
46 GULMI 12 0 12 1 1 7 0 0 2 8 10 28831 129741 3481 133222
47 PALPA 471 49 555 374 1158 753 540 349 1357 300 923 43205 361832 171148 532980
48 NAWALPARASI WEST 6 0 79 10 38 11 33 0 80 23 9 20625 237023 17283 254306
49 RUPANDEHI 765 361 1732 1180 1897 1153 546 815 1635 183 540 55492 702912 255473 958385
50 KAPILBASTU 0 0 25 15 37 47 178 36 309 28 9 14457 415125 68637 483762
51 ARGHAKHANCHI 83 0 129 124 78 94 41 41 158 63 137 8845 124941 24754 149695
52 PYUTHAN 15 0 38 10 20 53 15 28 142 22 84 28790 230357 24530 254887
53 ROLPA 7 0 8 8 7 16 12 5 101 20 52 13017 134432 20567 154999
54 RUKUM EAST 0 0 0 0 0 0 3 0 14 0 0 4001 36829 9584 46413
56 DANG 116 55 201 142 236 157 184 80 365 42 44 26473 314687 48294 362981
57 BANKE 85 3 40 179 56 42 170 112 157 18 193 17732 376649 60046 436695
58 BARDIYA 1 0 27 0 8 41 449 34 293 25 364 28528 299685 43498 343183
Province 6 328 2 136 71 192 153 219 188 1063 207 342 106676 1335051 290606 1625657
54.1 RUKUM WEST 151 0 93 37 104 35 55 63 237 104 140 8087 112212 21731 133943
55 SALYAN 108 1 4 1 8 30 18 32 138 6 38 7540 189450 20301 209751
59 SURKHET 7 1 3 1 20 23 32 33 162 15 13 50832 317748 48802 366550
60 DAILEKH 21 0 15 4 5 17 11 25 134 9 81 18225 213265 53216 266481
61 JAJARKOT 6 0 0 1 1 7 4 1 47 15 37 7745 107776 34580 142356
62 DOLPA 0 0 1 0 0 2 20 0 77 8 0 930 58449 18523 76972
63 JUMLA 0 0 12 10 26 23 33 10 156 5 3 4128 108064 30526 138590
64 KALIKOT 35 0 3 16 19 8 17 20 54 16 14 5710 99070 5240 104310
65 MUGU 0 0 5 1 9 7 20 4 54 27 11 1956 63632 17828 81460
66 HUMLA 0 0 0 0 0 1 9 0 4 2 5 1523 65385 39859 105244
Province 7 268 89 1095 485 523 1272 1141 476 2448 436 1660 216937 1979291 276779 2256070
67 BAJURA 0 0 8 16 7 21 13 8 55 14 116 12448 149444 10611 160055
68 BAJHANG 1 0 10 3 15 21 11 22 203 33 24 7986 145264 10794 156058
69 ACHHAM 92 6 34 34 92 74 94 149 405 84 189 45116 327299 63659 390958
70 DOTI 29 0 66 51 75 27 41 48 121 23 63 14933 166259 44951 211210
71 KAILALI 136 82 642 347 285 474 508 221 762 161 1177 59218 474874 76026 550900
72 KANCHANPUR 5 0 315 31 33 624 425 10 476 39 33 21726 254561 21802 276363
73 DADELDHURA 2 1 12 2 12 10 14 4 142 14 20 11548 152632 33169 185801
74 BAITADI 1 0 4 1 2 14 19 4 139 13 14 30311 183009 9067 192076
75 DARCHAULA 2 0 4 0 2 7 16 10 145 55 24 13651 125949 6700 132649
 Raw Data: Laboratory Services
Bacteriology
Organisation unit / Data Culture-
Body Culture- Culture- Culture- Culture- Culture- Culture- Culture- Culture- Culture- Fungus Leprosy Sputum
Body Gm stain Widal others
fluid AFB Blood CSF ENT Pus Sputum Stool Swab Urine Water KOH smear AFB
Fluid
Nepal 9700 117488 13475 6670 3419 26469 34062 23630 19797 260198 353 10160 50325 4223 162726 198086 6259
Province 1 2197 12238 3738 3602 247 4866 7531 2150 5037 30150 15 272 10181 625 27890 24749 1260
01 TAPLEJUNG 9 0 0 0 0 0 2 0 1 20 0 0 1 1 108 515 0
02 PANCHTHAR 0 0 0 0 0 0 1 0 0 0 0 0 0 0 735 982 0
03 ILAM 0 0 0 0 0 0 0 0 0 162 0 0 4 0 1204 1200 0
04 JHAPA 286 2063 247 72 79 279 4224 152 446 3018 12 32 942 6 7263 2588 142
05 MORANG 1661 10027 3460 3527 168 4511 3120 1950 4586 26336 3 182 9142 548 14242 11932 1074
06 SUNSARI 0 0 0 0 0 0 0 0 0 4 0 0 0 0 940 525 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0 0 6 11 560 527 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 359 0
09 SANKHUWASABHA 7 17 1 0 0 7 0 0 1 47 0 0 44 45 483 1559 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 7 0 0 247 1272 0
11 SOLUKHUMBU 1 17 0 0 0 0 11 38 0 40 0 0 0 8 40 49 0
12 OKHALDHUNGA 153 114 19 3 0 69 27 5 3 288 0 51 20 3 762 59 44
13 KHOTANG 10 0 11 0 0 0 0 0 0 11 0 0 22 3 447 534 0
14 UDAYAPUR 70 0 0 0 0 0 146 5 0 224 0 0 0 0 717 2648 0
Province 2 154 77 33 3 0 42 21 43 32 917 6 1418 159 380 6218 17986 0
15 SAPTARI 40 4 0 0 0 0 0 0 0 21 0 0 0 0 182 1815 0
16 SIRAHA 39 17 4 2 0 15 0 3 5 101 0 4 58 0 2760 3174 0
17 DHANUSA 7 0 0 0 0 0 2 0 0 0 0 1384 13 380 233 327 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419 1297 0
19 SARLAHI 0 0 0 0 0 0 0 0 0 15 0 25 0 0 135 1629 0
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 957 4746 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3257 0
34 PARSA 68 56 29 1 0 27 19 40 27 780 6 5 88 0 1532 1741 0
Province 3 5952 90211 7294 2539 2627 14821 20621 20140 10319 195204 240 2695 27554 1169 51933 43161 2303
20 SINDHULI 1 82 3 0 0 3 2 5 4 177 0 1 19 0 856 1627 0
21 RAMECHHAP 0 9 0 0 0 1 0 14 7 40 0 0 47 0 453 1174 2
22 DOLAKHA 7 0 2 16 0 0 0 0 0 0 0 0 175 2 225 853 0
23 SINDHUPALCHOK 0 0 0 0 2 0 53 0 0 0 0 0 0 0 555 662 0
24 KAVRE 115 2045 144 44 48 855 254 179 351 7989 2 79 763 8 1309 3909 52
25 LALITPUR 743 12650 1041 199 219 2739 2969 860 1029 30885 16 219 4242 544 6523 1983 77
26 BHAKTAPUR 275 9532 453 217 3 1446 1991 507 779 16550 21 110 1397 74 2102 2556 0
27 KATHMANDU 4412 60859 5212 1670 2309 7452 13854 11325 7907 129103 199 2209 18654 493 31028 18032 1964
28 NUWAKOT 0 0 0 0 0 0 0 0 5 0 0 0 0 0 44 1181 0
29 RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 123 0
30 DHADING 9 272 1 0 0 57 53 46 3 364 2 0 169 0 1706 2940 0
31 MAKWANPUR 0 0 0 0 0 0 31 0 0 31 0 0 0 20 2700 5133 0
35 CHITAWAN 390 4762 438 393 46 2268 1414 7204 234 10065 0 77 2088 28 4236 2988 208
Province 4 1037 7573 1326 313 115 2530 3717 716 2346 19528 84 3073 6074 327 15574 29348 481
36 GORKHA 2 116 3 3 1 10 11 0 2 297 5 154 59 1 1494 2255 0
37 LAMJUNG 0 0 0 0 0 0 11 0 0 0 0 146 0 0 565 1339 0
38 TANAHU 13 0 0 0 2 2 21 46 0 99 0 1 0 14 1930 3850 2
39 SYANGJA 0 0 0 0 0 0 1 0 0 0 0 74 0 0 756 2737 0
40 KASKI 1009 7237 1314 310 112 2413 3642 662 2327 18547 75 2698 5932 293 5699 9912 440
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 46 0
43 MYAGDI 4 65 9 0 0 72 15 0 4 296 4 0 13 16 727 1275 0
44 PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 844 0
45 BAGLUNG 2 145 0 0 0 29 6 5 13 170 0 0 28 0 954 1881 39
48.1 NAWALPARASI EAST 7 10 0 0 0 4 10 3 0 119 0 0 42 3 3141 5208 0
Province 5 147 6922 965 202 417 4056 1649 533 1966 12302 3 1960 5333 1091 37794 39756 2198
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 734 1294 0
47 PALPA 92 6524 755 142 406 3421 975 459 1727 8972 0 1217 4885 75 6927 3151 1718
48 NAWALPARASI WEST 0 0 0 0 0 0 2 0 2 361 0 0 3 37 2114 4322 0
49 RUPANDEHI 28 299 182 56 11 205 193 23 163 1447 0 40 186 93 2936 4692 17
50 KAPILBASTU 0 0 0 0 0 0 0 0 2 79 0 0 20 5 3796 3129 44
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 12 0 0 165 551 0
52 PYUTHAN 1 0 1 0 0 0 0 0 0 0 0 6 0 4 2200 1271 3
53 ROLPA 0 0 0 0 0 1 0 0 0 89 0 0 1 1 1319 1680 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 23 66 0 0 0 27 13 6 4 334 3 32 71 5 7159 5077 258
57 BANKE 2 33 27 4 0 402 423 45 68 918 0 653 167 860 7270 7964 155
58 BARDIYA 1 0 0 0 0 0 43 0 0 102 0 0 0 11 3174 6625 3
Province 6 61 37 22 1 3 78 234 1 41 175 0 501 363 201 7553 7985 3
54.1 RUKUM WEST 4 6 0 0 0 0 42 0 0 0 0 427 28 52 653 1766 0
55 SALYAN 0 0 0 0 0 0 7 0 0 0 0 0 10 25 1542 293 0
59 SURKHET 31 21 10 1 0 78 31 0 41 163 0 74 271 24 2846 3677 0
60 DAILEKH 14 10 1 0 0 0 53 1 0 12 0 0 48 47 1246 687 3
61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 7 313 468 0
62 DOLPA 0 0 0 0 0 0 31 0 0 0 0 0 0 0 159 88 0
63 JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 163 0
64 KALIKOT 12 0 5 0 2 0 33 0 0 0 0 0 0 35 503 558 0
65 MUGU 0 0 6 0 1 0 37 0 0 0 0 0 6 1 60 285 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 10 142 0 0
Province 7 152 430 97 10 10 76 289 47 56 1922 5 241 661 430 15764 35101 14
67 BAJURA 0 0 3 0 0 0 136 0 0 26 0 28 12 147 837 745 0
68 BAJHANG 68 0 0 0 0 0 11 0 0 45 0 1 73 27 1316 1809 0
69 ACHHAM 25 41 3 3 5 11 66 0 0 131 0 36 42 64 1849 890 2
70 DOTI 0 0 0 0 0 0 3 0 0 0 0 20 1 0 840 2008 0
71 KAILALI 35 113 24 0 0 53 44 25 26 1434 0 0 281 104 4603 13574 10
72 KANCHANPUR 1 271 67 7 5 12 8 4 30 277 5 134 42 42 3035 11203 0
73 DADELDHURA 2 0 0 0 0 0 0 0 0 0 0 0 168 0 0 1729 0
74 BAITADI 21 0 0 0 0 0 0 0 0 0 0 0 2 5 1380 1589 2
75 DARCHAULA 0 5 0 0 0 0 21 18 0 9 0 22 40 41 1904 1554 0
 Raw Data: Laboratory Services
Biochemistry

Organisation unit / Data Iron 24hr 24hr urine Alkaline Creatinine

ASO Albumin Amylase Bili-D Bili-T Blood urea CPK-MB CPK-NAC CR protein Calcium Creatinine
Profile protein U/A Phosphate Clearance

Nepal 21015 24190 29397 5538 334832 12120820 100555 695828 710023 1503405 31768 12493 31006 162167 49741 2635338
Province 1 2224 2677 21599 223 39150 895526 14997 72071 73803 155531 6540 2350 612 25596 5837 1336446
01 TAPLEJUNG 156 54 18 0 179 94 44 680 680 1003 2 0 0 128 0 1326
02 PANCHTHAR 0 0 0 0 0 0 0 811 811 1430 0 0 0 38 0 1593
03 ILAM 0 0 0 0 624 623 238 2089 2109 3731 0 0 2 280 0 3801
04 JHAPA 59 95 39 104 9168 14381 5073 17550 19482 32206 1266 981 351 4568 5 38822
05 MORANG 1940 2444 21529 33 27100 877469 8343 42480 42139 104022 5265 1365 15 19983 5731 1275028
06 SUNSARI 0 24 0 0 38 59 0 315 308 526 0 0 0 0 0 640
07 DHANKUTA 0 18 3 0 315 155 4 719 737 1480 4 0 0 21 8 1470
08 TERHATHUM 6 0 0 0 215 189 27 360 360 572 0 0 0 0 0 762
09 SANKHUWASABHA 55 23 9 22 529 1439 904 4140 4136 5337 0 0 0 400 43 5310
10 BHOJPUR 0 0 0 0 312 402 193 1007 1037 1528 0 0 0 116 0 1433
11 SOLUKHUMBU 8 16 0 0 199 125 3 183 183 581 3 4 0 9 50 571
12 OKHALDHUNGA 0 3 1 13 155 290 124 564 574 518 0 0 0 50 0 2767
13 KHOTANG 0 0 0 44 192 126 42 539 539 1051 0 0 213 0 0 1407
14 UDAYAPUR 0 0 0 7 124 174 2 634 708 1546 0 0 31 3 0 1516
Province 2 350 616 325 3 1542 2047 300 5729 5799 5621 35 19 32 1259 121 8098
15 SAPTARI 0 2 2 0 16 0 0 69 78 82 0 0 0 1 0 68
16 SIRAHA 0 92 18 3 154 216 48 1117 1127 1870 14 12 14 50 0 2055
17 DHANUSA 0 21 54 0 96 217 18 368 394 410 0 0 0 8 0 340
18 MAHOTTARI 0 0 0 0 0 0 0 153 153 0 0 0 0 0 0 0
19 SARLAHI 243 91 98 0 153 222 56 645 645 427 0 0 0 114 21 513
32 RAUTAHAT 0 0 0 0 27 1 0 200 200 230 0 0 0 20 0 261
33 BARA 0 0 0 0 127 237 0 476 476 446 0 0 0 80 0 592
34 PARSA 107 410 153 0 969 1154 178 2701 2726 2156 21 7 18 986 100 4269
Province 3 11062 12233 5581 3702 237605 11126037 58020 448634 463168 1029900 20326 8422 24177 101886 41607 929653.4
20 SINDHULI 3 51 46 10 183 282 110 731 736 2291 30 0 0 97 17 2392
21 RAMECHHAP 0 184 10 41 292 187 87 1488 1617 1397 32 0 389 216 140 3031
22 DOLAKHA 0 9 7 27 329 1163 194 1819 1813 2441 19 5 40 115 0 2749
23 SINDHUPALCHOK 17 11 51 49 85 372 26 879 925 1311 0 0 30 112 45 1341
24 KAVRE 801 96 2 117 7003 11470 2562 14432 15891 30625 79 0 3401 3316 45 34015
25 LALITPUR 5055 3075 991 500 29192 10828611 7368 54665 50825 123648 1718 975 2862 17730 2572 124272
26 BHAKTAPUR 708 1745 36 118 8346 11010 2124 10824 10996 44030 1237 701 2909 7699 1568 44772
27 KATHMANDU 4468 6446 4387 2607 183173 248753 38763 331779 335225 745261 13073 6337 14186 61601 37217 609934.4
28 NUWAKOT 0 0 0 0 0 524 5 976 1151 1567 0 0 0 0 0 1632
29 RASUWA 0 0 0 0 10 90 6 152 151 289 6 0 0 0 0 302
30 DHADING 2 154 0 23 123 1526 60 4221 12727 3885 5 0 49 207 0 4133
31 MAKWANPUR 0 0 0 52 373 2913 739 180 4539 2823 0 0 0 591 0 6681
35 CHITAWAN 8 462 51 158 8496 19136 5976 26488 26572 70332 4127 404 311 10202 3 94399
Province 4 4976 2489 622 657 40136 52272 15596 70383 69545 189281 4007 640 4187 15518 942 196080
36 GORKHA 0 0 0 84 782 824 568 2088 2103 3664 0 0 559 430 0 4822
37 LAMJUNG 0 139 13 26 61 729 274 1880 1880 2149 5 0 0 609 5 2603
38 TANAHU 0 199 0 84 828 905 472 3079 4344 4108 4 0 1916 554 0 4516
39 SYANGJA 0 6 0 17 14 98 1 1961 1548 2594 0 0 80 21 0 2958
40 KASKI 4976 2077 609 437 37255 45434 12633 50924 50516 160278 3873 612 1565 12764 872 164394
41 MANANG 0 0 0 0 0 8 3 24 24 70 0 0 0 0 0 45
42 MUSTANG 0 0 0 0 2 0 0 79 80 288 0 0 0 0 0 307
43 MYAGDI 0 0 0 0 80 600 63 1334 1334 2737 0 0 0 139 0 3999
44 PARBAT 0 0 0 0 0 25 2 312 312 539 0 0 0 52 0 520
45 BAGLUNG 0 66 0 3 803 1461 302 4411 3114 5359 121 28 67 611 65 5455
48.1 NAWALPARASI EAST 0 2 0 6 311 2188 1278 4291 4290 7495 4 0 0 338 0 6461
Province 5 1599 2642 488 261 11452 31032 7982 58553 57537 82429 727 1007 883 10439 676 114580
46 GULMI 0 0 0 51 0 0 0 1329 1329 1114 0 0 10 0 0 1821
47 PALPA 7 695 22 65 2722 8324 2663 11366 11004 13729 266 859 507 2833 7 30229
48 NAWALPARASI WEST 0 0 0 0 18 222 26 1107 1166 1351 0 0 52 42 0 1099
49 RUPANDEHI 54 100 0 33 6124 5777 1103 9544 8800 24244 306 148 167 3412 0 27306
50 KAPILBASTU 0 2 4 6 169 198 114 2388 2438 907 0 0 0 140 48 1023
51 ARGHAKHANCHI 0 0 0 0 0 0 0 2148 2246 834 0 0 0 0 0 1656
52 PYUTHAN 0 120 0 2 12 375 17 3560 3553 892 0 0 18 2 0 3143
53 ROLPA 64 40 9 4 116 250 32 1508 1553 924 0 0 0 154 15 880
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 1267 1471 316 91 1177 4171 1847 9274 9292 12748 0 0 120 2085 348 13085
57 BANKE 207 214 137 9 1030 11637 2152 13910 13733 25090 155 0 9 1771 257 33513
58 BARDIYA 0 0 0 0 84 78 28 2419 2423 596 0 0 0 0 1 825
Province 6 22 315 136 81 1813 2835 535 6802 6759 7922 76 43 25 4296 19 10964
54.1 RUKUM WEST 0 17 0 0 67 231 43 762 762 233 75 42 0 80 0 878
55 SALYAN 0 1 0 0 231 139 12 317 317 779 0 0 0 0 0 1182
59 SURKHET 22 98 11 77 561 1637 285 3003 2992 2464 1 1 2 4168 2 3843
60 DAILEKH 0 57 0 4 278 1 25 857 915 927 0 0 23 48 5 1278
61 JAJARKOT 0 0 0 0 2 38 0 188 208 197 0 0 0 0 0 296
62 DOLPA 0 50 45 0 0 0 0 90 90 335 0 0 0 0 0 348
63 JUMLA 0 0 0 0 188 257 102 430 430 1879 0 0 0 0 0 1919
64 KALIKOT 0 0 0 0 15 284 0 364 364 471 0 0 0 0 0 474
65 MUGU 0 92 80 0 471 248 68 788 678 637 0 0 0 0 12 746
66 HUMLA 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0
Province 7 782 3218 646 611 3134 11071 3125 33656 33412 32721 57 12 1090 3173 539 39517
67 BAJURA 0 46 1 0 134 42 11 538 538 317 0 0 0 0 0 512
68 BAJHANG 0 58 0 17 111 348 258 1450 1448 769 0 0 64 43 0 1092
69 ACHHAM 0 7 0 36 228 1718 195 2554 2554 3475 52 11 95 204 183 3721
70 DOTI 7 33 4 6 103 54 8 994 994 890 0 0 3 145 0 948
71 KAILALI 620 2843 595 535 1974 7708 2547 18911 18873 20523 5 1 806 1662 356 23878
72 KANCHANPUR 155 138 46 0 9 29 8 6247 6166 2992 0 0 0 288 0 4116
73 DADELDHURA 0 93 0 0 467 772 43 1694 1570 2134 0 0 0 804 0 2798
74 BAITADI 0 0 0 13 66 188 14 843 844 754 0 0 23 0 0 841
75 DARCHAULA 0 0 0 4 42 212 41 425 425 867 0 0 99 27 0 1611
 Raw Data: Laboratory Services
Biochemistry

Total cholesterol
Micro albumin

Potassium-K
Phosphorus
Lipid Profile

Sodium-Na
Gamma GT

Iso-Trop-I

RA factor

Sugar-PP

Uric acid
Sugar-R
Sugar-F
Protein
HBsAG

Others
Organisation unit / Data

SGOT

VDRL
SGPT
HCV

HDL

LDH

LDL
HIV

TG
Nepal 122816 77309 58136 250234 73809 35743 25595 233174 37122 7025 42290 50121 879544 300587 85003 596689 691599 1056512 1259890 790763 1558165 1104103 254974 510074 57816
Province 1 2288 2681 1447 25610 2974 4627 5172 30035 544 180 3950 5668 94064 40455 9941 48177 49771 104020 130949 104103 236513 875278 31990 66722 2502
01 TAPLEJUNG 0 7 0 38 7 3 0 37 0 0 52 0 191 144 206 82 89 200 290 289 3433 38 35 671 7
02 PANCHTHAR 0 0 0 0 1 0 0 0 0 0 0 0 62 0 379 0 0 62 86 110 3817 0 0 795 6
03 ILAM 0 52 0 325 55 41 0 323 33 0 1648 0 1746 606 498 629 693 1751 1561 1446 5912 338 387 1443 21
04 JHAPA 641 1817 1104 3692 1952 1017 269 3599 478 132 60 1107 22452 8238 1004 13455 14552 22851 35844 13103 41217 3777 3156 7774 1703
05 MORANG 1175 267 79 20533 328 3455 4903 25162 0 46 1957 4546 64705 29681 5349 30748 31122 74247 81290 80554 156939 870040 27098 47805 262
06 SUNSARI 0 0 0 33 0 0 0 0 0 0 0 0 0 42 71 36 68 0 328 365 1778 35 55 258 0
07 DHANKUTA 0 26 23 35 28 0 0 35 4 0 0 14 61 267 85 203 200 64 901 956 3325 36 131 1086 29
08 TERHATHUM 0 0 0 33 0 8 0 33 0 0 0 0 0 205 171 170 188 0 1105 370 1320 34 53 434 0
09 SANKHUWASABHA 429 117 0 445 116 0 0 445 0 0 51 0 2493 434 613 1587 1581 2493 3924 3752 7540 437 435 2357 110
10 BHOJPUR 0 0 0 271 0 27 0 202 0 0 3 0 720 260 528 452 432 721 2965 942 2035 326 317 1272 0
11 SOLUKHUMBU 43 45 0 26 34 11 0 23 6 0 22 1 178 200 63 94 144 179 358 283 692 35 32 211 19
12 OKHALDHUNGA 0 13 0 75 12 64 0 72 0 2 157 0 910 105 191 390 362 898 781 524 2542 75 184 771 12
13 KHOTANG 0 253 241 63 335 1 0 63 13 0 0 0 395 180 144 128 147 395 649 594 2707 63 53 597 235
14 UDAYAPUR 0 84 0 41 106 0 0 41 10 0 0 0 151 93 639 203 193 159 867 815 3256 44 54 1248 98
Province 2 44 271 48 1255 82 33 8 1205 16 0 373 201 3993 1392 1143 1773 3868 4249 20780 19999 37705 1239 1284 5354 224
15 SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 12 115 0 0 0 602 594 825 19 26 176 0
16 SIRAHA 10 52 48 141 50 13 0 125 0 0 0 0 531 138 322 194 392 551 4449 3819 7916 130 120 1457 4
17 DHANUSA 0 0 0 7 0 0 0 7 0 0 0 0 347 100 0 23 350 279 1142 1059 980 7 29 242 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 39 99 742 0 0 32 0
19 SARLAHI 8 0 0 163 0 0 0 145 0 0 168 88 95 117 116 248 277 100 1497 1509 6415 115 138 516 0
32 RAUTAHAT 0 0 0 1 0 0 0 1 0 0 0 0 11 21 65 2 5 11 680 731 5507 10 17 192 0
33 BARA 0 189 0 134 0 0 0 134 16 0 0 0 480 121 141 272 272 480 285 285 3682 138 118 472 185
34 PARSA 26 30 0 809 32 20 8 793 0 0 205 113 2529 883 282 1034 2572 2828 12086 11903 11638 820 836 2267 35
Province 3 104657 60107 50274 186422 56805 19989 16646 166044 31077 6490 26923 38709 584080 204047 42694 455187 525331 738622 540080 469377 805021 188417 183023 320180 43651
20 SINDHULI 0 69 16 160 68 44 9 137 1 0 2 0 628 145 34 302 393 628 3375 1523 2279 145 140 814 71
21 RAMECHHAP 0 192 36 131 166 23 0 117 14 8 0 0 836 175 324 471 492 804 1213 992 7005 626 739 2425 240
22 DOLAKHA 0 353 321 194 363 42 0 195 56 21 10 0 1797 283 850 1339 1382 1792 3053 2930 6089 788 692 1721 307
23 SINDHUPALCHOK 0 126 36 150 166 0 0 140 43 0 0 0 64 1 323 353 372 89 1835 1838 2953 243 228 994 144
24 KAVRE 4555 1556 118 3550 977 78 57 3090 766 88 241 601 32418 4756 1641 14208 14609 30263 22756 11419 44216 4078 3732 8442 750
25 LALITPUR 6963 4601 3201 30730 4348 2841 2182 21997 3615 967 3563 8109 96157 22361 5203 46970 61439 116190 82252 57902 81413 25173 16714 40163 1524
26 BHAKTAPUR 1185 1149 329 5431 1066 988 1127 5351 1690 60 396 4344 41535 7247 1038 11184 11231 41728 22738 17178 25912 5637 4852 10274 8115
27 KATHMANDU 91477 50000 45005 136081 47498 13703 11882 125340 24135 5332 22684 24441 361071 162592 29880 341211 391530 493362 317682 316817 546771 141153 145565 219155 31058
28 NUWAKOT 0 0 0 21 0 0 0 21 0 0 0 0 0 0 185 510 529 0 1881 1800 3664 79 93 1089 0
29 RASUWA 0 0 0 54 4 4 0 54 0 0 0 0 0 3 43 104 92 0 193 74 525 62 62 225 0
30 DHADING 0 100 37 191 127 0 0 146 34 0 11 10 1159 102 305 1480 1777 1159 3581 1658 6712 162 221 3040 82
31 MAKWANPUR 0 13 0 900 28 0 0 763 0 0 0 0 3343 353 1016 3596 3623 2037 2236 1212 11508 963 963 3000 590
35 CHITAWAN 477 1948 1175 8829 1994 2266 1389 8693 723 14 16 1204 45072 6029 1852 33459 37862 50570 77285 54034 65974 9308 9022 28838 770
Province 4 14428 6148 2804 29023 5129 7918 1941 28454 4268 319 4279 3512 127273 39660 10605 47961 60444 138025 391234 102836 236240 30473 29554 48049 3988
36 GORKHA 2 1193 56 162 324 5 0 151 24 0 0 0 421 803 495 885 924 501 1816 1696 9194 171 200 2256 551
37 LAMJUNG 3 21 1 183 19 3 0 298 16 5 8 0 1181 59 690 758 794 1174 2742 2574 8040 186 217 2044 38
38 TANAHU 0 796 683 565 815 9 0 456 140 0 11 428 1572 626 1102 934 1001 1578 3477 3262 9542 595 617 3276 873
39 SYANGJA 1 755 203 103 505 0 0 103 8 0 0 1 41 55 1050 135 120 53 2190 1902 6406 109 110 3231 118
40 KASKI 14409 3003 1773 26197 3034 7679 1922 25746 4045 314 4255 3015 115711 37225 5599 40211 52387 126235 367334 83561 175335 27543 26396 29158 2076
41 MANANG 0 0 0 3 0 0 0 3 0 0 0 0 0 0 12 13 13 0 99 92 321 15 15 162 0
42 MUSTANG 0 1 0 13 1 0 0 13 0 0 0 0 0 2 44 1 1 0 223 185 554 22 27 214 0
43 MYAGDI 0 22 0 151 32 25 0 152 0 0 5 0 1962 28 343 601 610 1962 598 591 4090 166 173 814 24
44 PARBAT 0 185 83 14 189 0 0 10 0 0 0 0 0 6 533 25 43 3 1369 898 787 12 15 1188 195
45 BAGLUNG 12 10 2 1047 25 190 19 1037 32 0 0 24 2585 746 547 2111 2252 2719 2568 1762 8747 1063 1115 2368 18
48.1 NAWALPARASI EAST 1 162 3 585 185 7 0 485 3 0 0 44 3800 110 190 2287 2299 3800 8818 6313 13224 591 669 3338 95
Province 5 1282 3437 1046 5278 3599 2939 1802 5093 858 21 2763 1818 59641 9881 11360 30422 35304 61068 131501 64101 154924 5498 5570 38203 4022
46 GULMI 0 250 6 0 200 0 0 0 0 0 35 0 0 0 196 0 0 0 334 309 3600 0 0 1036 214
47 PALPA 279 740 387 2018 735 2529 1471 2018 561 0 940 54 19686 3216 3024 8854 9491 19984 9505 25486 20464 2070 2110 7839 259
48 NAWALPARASI WEST 0 339 0 11 508 0 0 11 0 0 0 0 8 27 142 239 308 8 907 894 4501 16 41 1433 481
49 RUPANDEHI 128 874 191 1480 792 208 324 1398 95 11 298 1260 16645 4384 753 3755 5787 17140 101203 16924 37394 1631 1628 8233 770
50 KAPILBASTU 4 9 0 156 28 0 0 156 0 0 0 9 79 168 206 208 199 79 2234 2212 4464 181 182 1149 7
51 ARGHAKHANCHI 0 13 0 0 22 0 0 0 0 0 0 0 9 7 173 0 0 0 671 640 2883 1 3 826 13
52 PYUTHAN 0 75 0 9 80 0 0 8 0 0 0 0 53 15 295 437 455 52 968 1253 5190 8 24 1038 61
53 ROLPA 0 20 0 7 56 0 0 5 0 0 62 21 3 115 453 21 250 0 228 193 2604 5 5 880 53
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 497 328 76 262 304 24 0 153 4 10 1172 463 6732 822 1549 3724 4594 6654 7069 6799 24752 232 217 5943 307
57 BANKE 374 432 376 1335 620 178 7 1344 198 0 256 11 16426 1127 4258 13105 14138 17151 7703 8920 46217 1352 1352 9075 1670
58 BARDIYA 0 357 10 0 254 0 0 0 0 0 0 0 0 0 311 79 82 0 679 471 2855 2 8 751 187
Province 6 35 133 27 550 162 33 26 504 95 15 58 47 808 2306 2709 2949 3455 863 12083 10784 18742 516 636 8267 333
54.1 RUKUM WEST 0 0 0 44 0 10 26 44 0 0 0 1 21 45 100 240 268 21 511 356 1632 44 42 393 0
55 SALYAN 0 10 0 41 10 0 0 41 0 0 0 0 0 205 123 272 131 0 260 262 1048 42 46 210 10
59 SURKHET 15 92 21 397 81 1 0 372 91 12 58 46 148 511 1429 1679 1846 172 9232 8298 9834 372 434 5057 81
60 DAILEKH 0 31 6 22 71 22 0 14 4 0 0 0 40 208 222 152 127 40 210 213 2488 13 16 850 237
61 JAJARKOT 0 0 0 6 0 0 0 6 0 0 0 0 0 0 37 39 47 0 47 36 393 9 7 152 0
62 DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 323 308 529 0 0 150 0
63 JUMLA 0 0 0 13 0 0 0 0 0 0 0 0 532 1167 1 287 293 530 377 379 1590 8 72 671 0
64 KALIKOT 0 0 0 27 0 0 0 27 0 3 0 0 0 0 331 270 282 0 527 514 676 27 17 325 5
65 MUGU 20 0 0 0 0 0 0 0 0 0 0 0 67 170 425 10 461 100 591 413 531 1 2 454 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 5 5 21 0 0 5 0
Province 7 82 4532 2490 2096 5058 204 0 1839 264 0 3944 166 9685 2846 6551 10220 13426 9665 33263 19563 69020 2682 2917 23299 3096
67 BAJURA 6 0 0 7 20 0 0 6 0 0 1 0 2 23 61 38 42 2 168 93 522 7 8 212 26
68 BAJHANG 0 310 17 87 382 3 0 78 13 0 12 0 97 87 897 338 338 112 289 234 1881 87 104 2009 314
69 ACHHAM 1 811 729 6 760 194 0 6 32 0 1111 2 2815 1177 606 1879 1870 2812 1670 1560 14291 153 201 852 769
70 DOTI 0 32 12 1 169 0 0 1 0 0 7 3 147 92 299 85 92 154 362 312 2189 1 10 849 114
71 KAILALI 62 2920 1709 1474 3037 1 0 1273 193 0 796 67 4323 831 1981 6390 9372 4210 20259 9255 36552 1402 1531 11508 1528
72 KANCHANPUR 0 55 0 64 4 0 0 42 0 0 212 3 48 9 1253 64 96 47 7004 3864 5504 318 340 3579 37
73 DADELDHURA 0 0 0 331 0 6 0 311 0 0 0 88 1944 514 319 604 772 2019 1871 2996 4888 346 399 1814 0
74 BAITADI 0 289 15 98 571 0 0 94 26 0 1805 0 0 64 97 276 276 0 396 336 1344 113 113 759 229
75 DARCHAULA 13 115 8 28 115 0 0 28 0 0 0 3 309 49 1038 546 568 309 1244 913 1849 255 211 1717 79
 Raw Data: Laboratory Services
Cardiac Enzymes Cytology Drug Analysis
Organisation unit / Data Smear-Body Smear- Carba- Cyclosporin Valporic
HCV Others Digo-xine Others Pheny-toin Tacro-limus
fluid Sputum mazepine e acid
Nepal 14733 12720 6823 9208 2149 193 163 13394 239 1514 2082
Province 1 118 5508 2474 2182 0 0 0 40 3 7 0
01 TAPLEJUNG 0 0 0 24 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0
03 ILAM 0 0 0 4 0 0 0 0 0 0 0
04 JHAPA 117 60 22 395 0 0 0 0 0 3 0
05 MORANG 0 5414 2452 1664 0 0 0 40 3 4 0
06 SUNSARI 0 0 0 6 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 0 21 0 0 0 0 0 0 0
10 BHOJPUR 0 0 0 27 0 0 0 0 0 0 0
11 SOLUKHUMBU 1 34 0 4 0 0 0 0 0 0 0
12 OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0
13 KHOTANG 0 0 0 8 0 0 0 0 0 0 0
14 UDAYAPUR 0 0 0 29 0 0 0 0 0 0 0
Province 2 0 8 55 70 0 0 0 0 0 0 0
15 SAPTARI 0 0 0 54 0 0 0 0 0 0 0
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0
17 DHANUSA 0 0 0 0 0 0 0 0 0 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 0 0 0 0 0 0 0 0 0
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 0 8 55 16 0 0 0 0 0 0 0
Province 3 12730 3992 3306 4181 2146 193 163 3783 232 1507 2062
20 SINDHULI 0 0 0 53 0 0 0 0 0 0 0
21 RAMECHHAP 27 3 0 0 0 60 0 0 0 0 0
22 DOLAKHA 13 0 0 0 0 0 0 0 0 0 0
23 SINDHUPALCHOK 0 0 0 26 0 0 0 0 0 0 0
24 KAVRE 74 0 0 47 0 0 0 0 0 0 0
25 LALITPUR 1969 453 582 732 46 91 126 159 53 1327 83
26 BHAKTAPUR 24 172 470 132 0 0 0 0 0 0 0
27 KATHMANDU 10108 3059 2196 2975 2098 42 37 3622 173 180 1965
28 NUWAKOT 0 0 0 0 0 0 0 0 0 0 0
29 RASUWA 0 0 0 9 0 0 0 0 0 0 0
30 DHADING 0 0 1 21 0 0 0 0 0 0 0
31 MAKWANPUR 0 0 0 0 0 0 0 0 0 0 0
35 CHITAWAN 515 305 57 186 2 0 0 2 6 0 14
Province 4 1086 2720 482 989 3 0 0 6186 4 0 20
36 GORKHA 0 0 0 0 0 0 0 0 0 0 0
37 LAMJUNG 0 0 0 3 0 0 0 0 0 0 0
38 TANAHU 0 0 0 16 0 0 0 19 0 0 0
39 SYANGJA 0 0 0 1 0 0 0 0 0 0 0
40 KASKI 1086 2715 482 957 3 0 0 6134 4 0 20
41 MANANG 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 2 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 2 0 0 0 0 0 0 0
45 BAGLUNG 0 3 0 10 0 0 0 33 0 0 0
48.1 NAWALPARASI EAST 0 0 0 0 0 0 0 0 0 0 0
Province 5 26 480 483 547 0 0 0 3366 0 0 0
46 GULMI 5 0 0 0 0 0 0 0 0 0 0
47 PALPA 0 88 472 472 0 0 0 3338 0 0 0
48 NAWALPARASI WEST 0 0 0 0 0 0 0 0 0 0 0
49 RUPANDEHI 21 292 3 51 0 0 0 0 0 0 0
50 KAPILBASTU 0 0 0 6 0 0 0 0 0 0 0
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0
52 PYUTHAN 0 0 2 0 0 0 0 0 0 0 0
53 ROLPA 0 5 0 0 0 0 0 0 0 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 0 6 7 0 0 0 5 0 0 0
57 BANKE 0 95 0 11 0 0 0 23 0 0 0
58 BARDIYA 0 0 0 0 0 0 0 0 0 0 0
Province 6 0 3 0 56 0 0 0 0 0 0 0
54.1 RUKUM WEST 0 1 0 0 0 0 0 0 0 0 0
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0
59 SURKHET 0 0 0 4 0 0 0 0 0 0 0
60 DAILEKH 0 2 0 19 0 0 0 0 0 0 0
61 JAJARKOT 0 0 0 33 0 0 0 0 0 0 0
62 DOLPA 0 0 0 0 0 0 0 0 0 0 0
63 JUMLA 0 0 0 0 0 0 0 0 0 0 0
64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0
65 MUGU 0 0 0 0 0 0 0 0 0 0 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0
Province 7 773 9 23 1183 0 0 0 19 0 0 0
67 BAJURA 0 0 0 48 0 0 0 19 0 0 0
68 BAJHANG 0 0 0 14 0 0 0 0 0 0 0
69 ACHHAM 729 0 0 148 0 0 0 0 0 0 0
70 DOTI 0 0 0 15 0 0 0 0 0 0 0
71 KAILALI 44 9 3 342 0 0 0 0 0 0 0
72 KANCHANPUR 0 0 20 612 0 0 0 0 0 0 0
73 DADELDHURA 0 0 0 0 0 0 0 0 0 0 0
74 BAITADI 0 0 0 4 0 0 0 0 0 0 0
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0
 Raw Data: Laboratory Services
Haematology
Organisation unit / Data DLC- DLC- DLC- DLC- DLC-
Aldehy Blood DLC- DLC-
ALC APTT BM BT CSF CT DLC Basophi Eosinop Lymph Monoc Neutro ESR FDP Fac IX
de Group Bands Others
l hil ocytes ytes phil
Nepal 6140 37394 1841 10538 180569 707320 11016 179293 2961237 29187 109407 229809 335121 250571 412783 17768 872477 5409 17
Province 1 2635 6425 63 2166 29502 85564 5619 31618 1878008 758 6769 15445 19681 27762 18967 744 107490 512 0
01 TAPLEJUNG 0 0 0 0 182 1261 0 182 3536 0 69 69 69 69 69 0 1989 0 0
02 PANCHTHAR 0 0 0 0 129 2045 0 128 2757 0 44 125 264 116 426 0 2119 0 0
03 ILAM 11 0 0 0 1495 2285 0 1503 5997 0 64 838 1059 808 1989 0 672 0 0
04 JHAPA 158 523 48 0 6415 12436 84 5104 19219 666 4989 10942 12149 23301 12665 717 25472 44 0
05 MORANG 2464 5823 6 2053 19884 50614 5508 22746 1819792 92 434 782 790 504 790 24 60810 468 0
06 SUNSARI 0 0 0 0 0 2043 0 0 1736 0 0 0 0 0 0 0 894 0 0
07 DHANKUTA 0 10 9 7 148 1890 0 158 4173 0 0 66 55 45 63 0 1896 0 0
08 TERHATHUM 0 0 0 0 190 688 0 190 1676 0 0 0 0 0 0 0 512 0 0
09 SANKHUWASABHA 0 51 0 106 461 2612 0 1024 3836 0 370 486 486 370 486 0 3686 0 0
10 BHOJPUR 2 4 0 0 157 2126 0 153 3328 0 195 216 216 216 216 0 2048 0 0
11 SOLUKHUMBU 0 2 0 0 21 860 0 18 312 0 82 6 10 0 21 0 528 0 0
12 OKHALDHUNGA 0 12 0 0 103 2753 22 103 6782 0 3 1021 1722 1457 1649 3 2229 0 0
13 KHOTANG 0 0 0 0 134 1809 5 132 392 0 114 180 180 180 180 0 1490 0 0
14 UDAYAPUR 0 0 0 0 183 2142 0 177 4472 0 405 714 2681 696 413 0 3145 0 0
Province 2 30 756 90 214 1909 18058 85 1053 30672 0 113 600 1799 430 2620 30 23301 0 0
15 SAPTARI 0 0 0 0 6 285 0 6 334 0 0 0 0 0 0 0 931 0 0
16 SIRAHA 30 11 0 0 169 5645 2 152 9465 0 113 410 1609 240 1675 30 4420 0 0
17 DHANUSA 0 0 0 0 39 262 0 39 231 0 0 0 0 0 0 0 613 0 0
18 MAHOTTARI 0 0 0 0 0 1321 0 0 2443 0 0 0 0 0 0 0 1672 0 0
19 SARLAHI 0 0 0 0 144 1465 0 108 5534 0 0 0 0 0 0 0 4988 0 0
32 RAUTAHAT 0 0 0 173 22 3349 0 22 5533 0 0 0 0 0 0 0 4433 0 0
33 BARA 0 0 0 0 182 1865 0 182 843 0 0 0 0 0 755 0 2899 0 0
34 PARSA 0 745 90 41 1347 3866 83 544 6289 0 0 190 190 190 190 0 3345 0 0
Province 3 3376 26541 576 3240 97109 401960 3798 94721 636187 26266 77368 160505 222276 157704 279162 13991 540327 4731 17
20 SINDHULI 0 0 0 4 292 1893 0 292 6608 24 24 96 195 646 195 0 2646 0 0
21 RAMECHHAP 0 17 0 0 200 1452 0 187 3794 5 433 1251 2297 1106 2514 17 3611 0 0
22 DOLAKHA 0 56 0 0 642 2617 16 658 3814 0 1186 1186 1467 1187 1562 0 2051 0 0
23 SINDHUPALCHOK 0 2 0 0 34 1336 0 31 2518 0 0 74 483 73 523 0 1494 0 0
24 KAVRE 0 426 4 24 10817 19314 173 8370 30158 6980 8042 11174 11373 11333 11552 3 16984 0 0
25 LALITPUR 157 3746 11 1204 10259 39633 295 7202 51585 593 13084 14989 16057 14517 16117 6 60548 166 1
26 BHAKTAPUR 221 3815 0 328 4350 9390 243 4356 44279 1103 1480 3825 4133 3671 4132 0 9033 8 0
27 KATHMANDU 2952 16091 549 1590 36137 281679 2791 40976 422352 17278 50822 113845 169468 110503 225358 13962 400464 4548 15
28 NUWAKOT 0 6 0 0 1339 1912 0 1339 4533 0 0 0 59 0 90 0 1108 0 0
29 RASUWA 0 1 0 0 54 247 0 54 1057 0 0 0 45 14 51 0 445 0 0
30 DHADING 8 51 0 25 350 3026 0 348 2588 0 907 844 996 844 1159 0 4686 0 0
31 MAKWANPUR 0 0 2 23 582 5850 0 673 28155 0 16 138 120 118 179 0 4206 0 0
35 CHITAWAN 38 2330 10 42 32053 33611 280 30235 34746 283 1374 13083 15583 13692 15730 3 33051 9 1
Province 4 99 2149 208 627 19515 58210 640 18745 204322 1046 12679 34869 66645 44666 83351 1207 59656 72 0
36 GORKHA 0 0 0 6 472 3741 4 477 5603 0 317 2433 3721 3305 3721 0 3048 0 0
37 LAMJUNG 0 2 0 0 1157 3304 0 1016 6912 106 2991 4206 4660 4572 4660 0 1079 0 0
38 TANAHU 0 0 0 0 474 3334 0 475 7575 296 701 3058 3365 2997 3783 0 4857 0 0
39 SYANGJA 0 0 0 0 165 3933 0 171 4818 0 155 602 1684 694 1527 604 1644 0 0
40 KASKI 99 2030 202 567 15535 34200 636 14890 153190 598 6939 22474 51278 31365 67566 597 40917 70 0
41 MANANG 0 0 0 0 0 64 0 0 82 0 0 0 0 0 0 0 16 0 0
42 MUSTANG 0 0 0 28 4 98 0 4 590 24 33 33 33 33 33 0 267 0 0
43 MYAGDI 0 6 6 0 218 1787 0 223 6548 0 889 906 889 889 889 6 1428 0 0
44 PARBAT 0 0 0 0 44 1213 0 44 1314 0 0 15 21 13 27 0 467 0 0
45 BAGLUNG 0 73 0 26 813 2551 0 812 11016 22 333 333 397 333 468 0 2543 2 0
48.1 NAWALPARASI EAST 0 38 0 0 633 3985 0 633 6674 0 321 809 597 465 677 0 3390 0 0
Province 5 0 881 55 1715 20128 78784 717 20486 131677 953 7630 10651 12145 10274 13713 1686 77005 94 0
46 GULMI 0 0 0 0 57 1513 0 56 2882 0 686 1297 1564 1564 1564 0 849 0 0
47 PALPA 0 348 50 0 6866 22418 527 6854 10973 0 346 349 358 358 358 85 15320 94 0
48 NAWALPARASI WEST 0 0 0 0 21 2857 0 21 5388 0 0 526 566 69 609 0 3927 0 0
49 RUPANDEHI 0 87 2 74 2911 11414 141 2911 25371 0 790 863 1282 806 1611 0 15069 0 0
50 KAPILBASTU 0 0 0 0 25 2435 0 25 4584 0 294 512 540 471 1056 316 3022 0 0
51 ARGHAKHANCHI 0 0 0 0 45 1833 0 39 2596 0 19 19 45 19 19 0 875 0 0
52 PYUTHAN 0 0 0 0 48 3150 0 48 4951 0 891 1162 1221 896 2334 0 1845 0 0
53 ROLPA 0 7 0 0 83 1668 0 83 4262 0 283 283 429 310 452 0 1738 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 416 0 1565 5634 9693 0 6015 29953 793 1361 1906 2056 2164 1263 799 16889 0 0
57 BANKE 0 23 3 76 4326 17859 49 4323 37115 160 2458 2568 2583 2480 2763 0 13647 0 0
58 BARDIYA 0 0 0 0 112 3944 0 111 3602 0 502 1166 1501 1137 1684 486 3824 0 0
Province 6 0 74 42 127 1917 22369 17 1928 29113 6 1068 1366 2296 1199 3085 56 22455 0 0
54.1 RUKUM WEST 0 0 0 0 277 3037 0 277 6506 0 0 0 0 0 0 0 3133 0 0
55 SALYAN 0 0 0 19 71 3213 0 71 1057 0 53 56 56 56 84 0 547 0 0
59 SURKHET 0 8 0 65 587 7380 17 588 8103 6 868 1163 1650 996 1979 6 11955 0 0
60 DAILEKH 0 1 0 0 492 2270 0 492 609 0 147 147 476 147 521 0 702 0 0
61 JAJARKOT 0 0 0 0 7 524 0 5 816 0 0 0 0 0 0 0 590 0 0
62 DOLPA 0 0 0 0 0 487 0 0 848 0 0 0 100 0 150 50 582 0 0
63 JUMLA 0 0 0 0 0 2117 0 32 6490 0 0 0 0 0 0 0 1957 0 0
64 KALIKOT 0 0 8 0 129 1940 0 129 2298 0 0 0 14 0 351 0 1870 0 0
65 MUGU 0 65 34 43 353 1270 0 333 2239 0 0 0 0 0 0 0 1104 0 0
66 HUMLA 0 0 0 0 1 131 0 1 147 0 0 0 0 0 0 0 15 0 0
Province 7 0 568 807 2449 10489 42375 140 10742 51258 158 3780 6373 10279 8536 11885 54 42243 0 0
67 BAJURA 0 0 0 49 31 521 0 30 2217 0 320 323 414 323 475 0 1340 0 0
68 BAJHANG 0 0 0 0 183 2181 0 183 5674 10 229 520 780 720 860 0 2750 0 0
69 ACHHAM 0 20 3 70 256 4287 140 237 3328 11 37 37 2181 2181 40 0 1632 0 0
70 DOTI 0 0 0 0 154 1962 0 154 3425 0 43 395 590 252 881 0 1576 0 0
71 KAILALI 0 548 99 1860 7969 18451 0 7969 9202 0 2721 3573 4643 3605 5381 0 19656 0 0
72 KANCHANPUR 0 0 700 427 689 7158 0 585 11144 54 399 399 455 399 2959 54 7097 0 0
73 DADELDHURA 0 0 5 0 717 3776 0 1095 6263 0 0 0 0 0 0 0 3300 0 0
74 BAITADI 0 0 0 43 209 2365 0 208 6197 78 20 733 812 663 886 0 1751 0 0
75 DARCHAULA 0 0 0 0 281 1674 0 281 3808 5 11 393 404 393 403 0 3141 0 0
 Raw Data: Laboratory Services
Haematology
Hb
Organisation unit / Data Electro MF MF
Fac VIII HbA1c LE MCH MCHC MCV MP Other P-MIX PBS PCV PF PT PT-INR
phoresi Pos. total
s
Nepal 31 2415 94083 106 880053 166172 868765 476 57917 176000 41833 1284 27576 1083403 14014 34058 204408
Province 1 0 743 7214 0 115462 3952 123431 12 436 24771 3512 11 4556 102184 137 655 20281
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 602 0 0 0 0 1 0 0
03 ILAM 0 0 179 0 0 0 0 0 0 486 0 0 0 2 0 46 116
04 JHAPA 0 8 1026 0 14747 3944 21225 0 25 8889 140 0 41 15746 93 595 2942
05 MORANG 0 110 5946 0 97471 0 98797 12 407 12193 2536 11 4278 76740 15 0 16416
06 SUNSARI 0 0 0 0 12 0 12 0 0 196 0 0 0 331 24 0 0
07 DHANKUTA 0 0 8 0 310 0 312 0 3 150 0 0 15 361 0 0 25
08 TERHATHUM 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 46 0 2739 0 2737 0 1 132 0 0 8 3506 4 0 202
10 BHOJPUR 0 0 0 0 0 0 0 0 0 312 0 0 0 6 0 0 59
11 SOLUKHUMBU 0 0 8 0 65 0 201 0 0 3 0 0 5 201 0 3 12
12 OKHALDHUNGA 0 0 0 0 118 8 139 0 0 540 681 0 59 5255 0 3 509
13 KHOTANG 0 0 0 0 0 0 8 0 0 103 155 0 0 36 0 8 0
14 UDAYAPUR 0 625 1 0 0 0 0 0 0 1017 0 0 150 0 0 0 0
Province 2 0 0 240 0 6052 488 8260 0 305 6013 0 0 940 7263 2 9 837
15 SAPTARI 0 0 0 0 319 0 319 0 5 123 0 0 0 319 0 0 0
16 SIRAHA 0 0 2 0 1329 406 1329 0 270 1507 0 0 0 1329 2 9 116
17 DHANUSA 0 0 0 0 163 0 97 0 3 121 0 0 8 83 0 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0
19 SARLAHI 0 0 0 0 530 0 1150 0 10 1339 0 0 429 1119 0 0 0
32 RAUTAHAT 0 0 0 0 0 0 204 0 0 1923 0 0 503 20 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0
34 PARSA 0 0 238 0 3711 82 5161 0 17 760 0 0 0 4393 0 0 721
Province 3 24 1008 75814 47 520440 127772 503685 421 56372 91631 6543 1204 17923 531722 13392 27583 149964
20 SINDHULI 0 0 1 0 1036 567 1036 0 0 246 0 0 0 1038 2 0 0
21 RAMECHHAP 0 0 52 0 8 0 8 0 0 334 18 0 26 19 3 29 17
22 DOLAKHA 0 0 2 0 138 78 176 0 0 99 0 0 16 527 0 66 12425
23 SINDHUPALCHOK 0 0 0 0 0 0 3 0 23 115 0 0 0 0 0 0 0
24 KAVRE 0 16 645 0 31429 9500 32141 0 29 572 0 0 1330 14595 0 747 5141
25 LALITPUR 2 495 17234 3 109449 23010 77772 0 509 1492 3 15 4055 85351 93 3466 14569
26 BHAKTAPUR 0 0 1855 0 36952 3314 37377 0 0 55 0 0 765 49893 6 443 7477
27 KATHMANDU 21 483 52176 44 330808 91185 344284 419 55788 83590 6365 1181 11635 363341 13016 19372 81787
28 NUWAKOT 0 0 3 0 2 0 4 0 0 60 0 0 0 70 2 0 12
29 RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4
30 DHADING 0 0 15 0 692 0 692 0 0 975 0 8 0 138 43 24 107
31 MAKWANPUR 0 0 0 0 33 0 56 2 23 837 0 0 0 100 8 2412 13
35 CHITAWAN 1 14 3831 0 9893 118 10136 0 0 3256 157 0 96 16650 219 1024 28412
Province 4 7 116 6276 59 175253 23997 164237 17 21 4868 22 0 1745 146142 69 3933 20674
36 GORKHA 0 0 0 0 5376 2073 6022 0 0 291 0 0 11 6078 44 0 28
37 LAMJUNG 0 0 233 0 3750 1282 3750 0 2 384 0 0 0 3752 6 0 337
38 TANAHU 0 0 21 0 0 0 0 0 2 891 1 0 0 82 0 0 18
39 SYANGJA 0 0 0 0 0 0 0 0 0 211 16 0 0 2 0 0 27
40 KASKI 0 116 5818 59 152307 20344 140816 17 12 975 0 0 1677 128901 17 3933 19370
41 MANANG 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 3 0 0 0 3 0 0 0
43 MYAGDI 0 0 0 0 6165 0 6242 0 0 110 5 0 4 77 0 0 144
44 PARBAT 0 0 0 0 0 0 3 0 0 226 0 0 0 2 0 0 0
45 BAGLUNG 0 0 76 0 7575 298 7324 0 5 170 0 0 53 7000 2 0 705
48.1 NAWALPARASI EAST 7 0 128 0 80 0 80 0 0 1606 0 0 0 245 0 0 45
Province 5 0 450 4251 0 46603 7794 49739 1 57 20829 28869 5 1279 57706 160 1563 9905
46 GULMI 0 0 0 0 0 0 0 0 0 97 0 2 0 0 10 0 0
47 PALPA 0 1 3211 0 1595 220 1230 0 0 1666 17673 0 960 13478 1 1050 5390
48 NAWALPARASI WEST 0 0 0 0 0 0 0 0 0 3211 0 0 0 0 0 0 0
49 RUPANDEHI 0 123 749 0 7568 10 9847 1 1 5185 225 0 72 10372 4 118 1764
50 KAPILBASTU 0 0 1 0 0 0 0 0 0 2013 0 1 0 0 10 0 0
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 286 0 1 0 48 4 0 0
52 PYUTHAN 0 0 0 0 0 0 0 0 0 416 1 0 0 2 5 0 0
53 ROLPA 0 0 0 0 270 0 587 0 4 188 0 0 0 653 0 0 36
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 0 77 0 11131 0 12036 0 35 1651 4 0 247 13120 20 64 867
57 BANKE 0 326 213 0 26039 7564 26039 0 10 2377 10954 1 0 20033 96 331 1848
58 BARDIYA 0 0 0 0 0 0 0 0 7 3739 12 0 0 0 10 0 0
Province 6 0 6 15 0 2862 0 4132 20 506 2544 0 37 511 4755 76 3 129
54.1 RUKUM WEST 0 0 0 0 2144 0 2144 0 0 133 0 0 0 2144 0 0 0
55 SALYAN 0 0 0 0 0 0 0 0 0 27 0 0 12 1 0 0 0
59 SURKHET 0 6 15 0 357 0 357 0 462 1517 0 1 74 435 54 3 81
60 DAILEKH 0 0 0 0 0 0 0 0 0 432 0 0 0 0 0 0 25
61 JAJARKOT 0 0 0 0 0 0 0 0 0 22 0 0 118 0 0 0 0
62 DOLPA 0 0 0 0 72 0 229 0 0 5 0 0 135 229 0 0 0
63 JUMLA 0 0 0 0 0 0 1025 0 0 32 0 0 14 1358 0 0 0
64 KALIKOT 0 0 0 0 0 0 0 0 8 279 0 0 0 0 0 0 0
65 MUGU 0 0 0 0 289 0 377 20 36 97 0 36 158 588 22 0 23
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 0 92 273 0 13381 2169 15281 5 220 25344 2887 27 622 233631 178 312 2618
67 BAJURA 0 0 0 0 227 0 331 0 4 65 1 0 0 363 8 0 24
68 BAJHANG 0 0 0 0 0 0 0 0 0 110 0 0 11 0 6 0 0
69 ACHHAM 0 0 8 0 6754 2169 7458 0 0 265 2815 5 18 7495 0 24 260
70 DOTI 0 0 0 0 6 0 15 0 0 425 0 0 0 35 0 0 0
71 KAILALI 0 92 250 0 2680 0 3470 4 185 10371 0 5 0 2710 25 240 1523
72 KANCHANPUR 0 0 7 0 199 0 490 0 21 12077 0 16 354 936 136 0 121
73 DADELDHURA 0 0 8 0 3515 0 3515 0 0 949 0 0 67 221988 0 0 418
74 BAITADI 0 0 0 0 0 0 0 0 0 741 71 0 0 3 0 48 238
75 DARCHAULA 0 0 0 0 0 0 2 1 10 341 0 1 172 101 3 0 34
 Raw Data: Laboratory Services
Haematology Histopathology/Cytology
Urine
Organisation unit / Data Special Special Spleen TLC-
Parasit RH TLC- TLC- for Biopsy
PV RDW Retic Sickling Stain- Stain- aspirat TLC- Hb Platelet Pap Others
es type RBC WBC Hemosi H&E
MPO PAS e s
derin
Nepal 8959 29024 76689 513755 29393 1393 6215 2435 1237 3116537 3800685 1491861 3230582.5 1016 59127 52681 7714
Province 1 34 2794 6476 44714 6840 1 0 0 27 1000140 1953083 518131 1385694 1 5333 7852 1939
01 TAPLEJUNG 0 0 0 1212 0 0 0 0 0 4473 875 8 3564 0 0 0 0
02 PANCHTHAR 3 0 0 1503 0 0 0 0 0 5518 164 10 2793 0 0 0 0
03 ILAM 0 0 0 2096 0 0 0 0 0 9659 4967 4906 7934 0 0 0 0
04 JHAPA 11 23 217 5536 38 0 0 0 0 73782 49362 37138 65526 0 43 225 0
05 MORANG 16 2770 5954 21612 6767 0 0 0 27 863500 1877785 464301 1267600 0 5232 7627 1939
06 SUNSARI 0 0 9 2027 1 0 0 0 0 5141 214 15 3808 0 0 0 0
07 DHANKUTA 4 0 0 1556 0 0 0 0 0 5682 4692 1170 4717 0 0 0 0
08 TERHATHUM 0 0 0 488 0 0 0 0 0 2212 243 2 1696 0 0 0 0
09 SANKHUWASABHA 0 0 296 1860 0 1 0 0 0 12304 7924 7568 11128 1 58 0 0
10 BHOJPUR 0 0 0 1854 0 0 0 0 0 4802 1663 3 3793 0 0 0 0
11 SOLUKHUMBU 0 0 0 542 0 0 0 0 0 1365 517 0 533 0 0 0 0
12 OKHALDHUNGA 0 0 0 2786 16 0 0 0 0 1227 3597 68 5277 0 0 0 0
13 KHOTANG 0 1 0 541 17 0 0 0 0 2978 834 299 2562 0 0 0 0
14 UDAYAPUR 0 0 0 1101 1 0 0 0 0 7497 246 2643 4763 0 0 0 0
Province 2 20 990 643 15701 205 8 0 0 2 65072 22836 11839 46909 8 58 48 0
15 SAPTARI 0 0 0 285 189 0 0 0 0 1708 1077 689 2043 0 0 0 0
16 SIRAHA 5 12 0 5498 1 0 0 0 2 18248 6738 1795 12686 0 0 0 0
17 DHANUSA 0 0 0 164 0 0 0 0 0 1728 538 946 1155 0 0 0 0
18 MAHOTTARI 3 0 0 109 0 0 0 0 0 3345 567 1011 2443 0 0 0 0
19 SARLAHI 6 913 40 1141 0 8 0 0 0 5895 1847 1309 6018 8 0 0 0
32 RAUTAHAT 5 3 0 3522 0 0 0 0 0 9991 98 0 5975 0 0 0 0
33 BARA 1 0 0 1755 6 0 0 0 0 5361 3395 54 1170 0 0 0 0
34 PARSA 0 62 603 3227 9 0 0 0 0 18796 8576 6035 15419 0 58 48 0
Province 3 8403 17015 51392 293073 15116 542 2516 2298 273 1345112 1446420 705770 1172982.5 781 48276 37972 5033
20 SINDHULI 1 0 0 730 0 0 0 0 0 5062 3951 3682 5077 0 0 0 0
21 RAMECHHAP 0 13 0 1089 0 0 0 0 0 9199 1979 650 7177 0 0 0 0
22 DOLAKHA 0 0 0 2124 0 0 0 0 1 6945 3547 1004 5414 0 0 0 0
23 SINDHUPALCHOK 0 0 0 949 0 0 0 0 0 3893 238 51 3199 0 0 0 0
24 KAVRE 0 118 439 18981 1118 0 0 0 0 78487 55296 32294 65563 0 6 45 39
25 LALITPUR 20 2879 10097 26330 973 2 1930 1937 38 149326 121606 92416 135518.5 0 5617 4132 318
26 BHAKTAPUR 0 9 5299 7684 227 0 1 0 74 63829 507287 48654 56967 0 5475 3479 2308
27 KATHMANDU 8353 13996 34080 209424 12673 540 585 361 160 853086 619413 499828 762914 781 34034 27515 2362
28 NUWAKOT 0 0 0 1717 0 0 0 0 0 5763 822 153 5253 0 0 0 0
29 RASUWA 0 0 0 248 0 0 0 0 0 1251 63 0 1101 0 0 0 0
30 DHADING 23 0 643 2375 0 0 0 0 0 18237 13240 11930 17898 0 10 0 0
31 MAKWANPUR 0 0 0 616 0 0 0 0 0 26632 22572 35 7108 0 0 0 0
35 CHITAWAN 6 0 834 20806 125 0 0 0 0 123402 96406 15073 99793 0 3134 2801 6
Province 4 13 6639 12223 44320 2282 60 3653 89 778 277190 232539 190922 283290 129 2152 3512 412
36 GORKHA 0 0 57 3292 2 0 0 0 3 13323 8252 6099 13221 0 0 0 0
37 LAMJUNG 4 0 192 3186 0 0 0 0 0 15050 9993 4391 12404 0 1 0 0
38 TANAHU 0 0 0 3013 0 0 0 0 0 15061 1357 412 12724 0 0 0 0
39 SYANGJA 1 0 0 2526 0 0 0 0 0 6960 1062 813 7548 0 0 0 0
40 KASKI 5 6638 11596 26639 2280 60 3653 89 775 186331 188393 163314 205587 129 2125 3498 412
41 MANANG 0 0 0 8 0 0 0 0 0 108 0 0 166 0 0 0 0
42 MUSTANG 0 0 0 73 0 0 0 0 0 599 23 2 575 0 0 0 0
43 MYAGDI 0 1 0 1462 0 0 0 0 0 8470 7518 6165 6507 0 0 6 0
44 PARBAT 0 0 0 71 0 0 0 0 0 2545 481 0 235 0 0 0 0
45 BAGLUNG 2 0 350 1112 0 0 0 0 0 13486 7796 7361 11473 0 7 2 0
48.1 NAWALPARASI EAST 1 0 28 2938 0 0 0 0 0 15257 7664 2365 12850 0 19 6 0
Province 5 129 1152 3167 59793 4018 769 0 2 70 239874 84101 34275 188439 75 3219 2974 330
46 GULMI 0 0 0 1513 0 0 0 0 0 4162 101 4 4446 0 0 0 0
47 PALPA 3 920 102 14118 1828 11 0 2 66 36032 20376 1553 31767 4 3000 2663 273
48 NAWALPARASI WEST 6 0 0 2562 0 0 0 0 0 10599 1122 561 6683 0 0 0 0
49 RUPANDEHI 15 41 0 7646 121 0 0 0 0 53438 27993 16928 38739 0 192 52 0
50 KAPILBASTU 23 0 0 1465 94 0 0 0 0 9841 1948 35 9050 0 0 0 0
51 ARGHAKHANCHI 3 0 0 1358 0 0 0 0 0 3605 680 1206 3935 0 0 0 0
52 PYUTHAN 4 0 0 3068 0 0 0 0 0 9879 1570 343 7273 0 0 0 0
53 ROLPA 0 0 14 1310 0 0 0 0 0 6995 619 493 4777 0 0 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 19 146 2366 9112 1550 69 0 0 4 42826 15627 4301 34652 71 0 0 0
57 BANKE 25 45 685 15539 425 681 0 0 0 51826 13452 7650 41056 0 27 259 57
58 BARDIYA 31 0 0 2102 0 8 0 0 0 10671 613 1201 6061 0 0 0 0
Province 6 51 384 542 18256 205 0 45 45 77 45893 12324 9505 37801 0 67 0 0
54.1 RUKUM WEST 0 0 400 3035 0 0 0 0 0 7387 2683 2557 7894 0 67 0 0
55 SALYAN 0 0 0 3112 0 0 0 0 0 3812 468 342 1205 0 0 0 0
59 SURKHET 19 94 0 7072 0 0 0 0 0 18950 2787 1895 15474 0 0 0 0
60 DAILEKH 10 0 0 1904 0 0 0 0 0 4123 528 0 2473 0 0 0 0
61 JAJARKOT 0 0 0 476 0 0 0 0 0 1271 44 0 1136 0 0 0 0
62 DOLPA 0 0 0 313 50 0 0 0 10 1177 393 377 1017 0 0 0 0
63 JUMLA 0 0 0 9 100 0 0 0 0 4989 4578 3857 4483 0 0 0 0
64 KALIKOT 0 0 0 1923 0 0 0 0 0 2401 360 136 2674 0 0 0 0
65 MUGU 22 290 142 281 55 0 45 45 67 1570 480 340 1273 0 0 0 0
66 HUMLA 0 0 0 131 0 0 0 0 0 213 3 1 172 0 0 0 0
Province 7 309 50 2246 37898 727 13 1 1 10 143256 49382 21419 115467 22 22 323 0
67 BAJURA 6 0 0 533 0 0 0 0 0 3205 2027 501 2657 0 4 0 0
68 BAJHANG 1 2 0 2083 0 0 0 0 10 5506 1896 67 20570 0 0 0 0
69 ACHHAM 21 0 18 4222 4 0 0 0 0 12981 8092 8106 9965 0 16 0 0
70 DOTI 1 0 0 949 10 0 0 0 0 5696 2189 746 4363 0 0 0 0
71 KAILALI 129 2 1220 18514 27 0 0 0 0 79998 26852 6203 45393 0 2 323 0
72 KANCHANPUR 86 8 110 5103 686 13 1 1 0 20786 3922 2091 17270 22 0 0 0
73 DADELDHURA 9 10 898 3379 0 0 0 0 0 7555 3033 2541 8959 0 0 0 0
74 BAITADI 52 3 0 2264 0 0 0 0 0 3940 652 135 3071 0 0 0 0
75 DARCHAULA 4 25 0 851 0 0 0 0 0 3589 719 1029 3219 0 0 0 0
 Raw Data: Laboratory Services
Hormones/Endocrinology Immuno-Histo-Chemistry
Alpha
Organisation unit / Data Proge Testo
Feto Cortis Oestr Other Prolac β- Cytok Other Vime
FSH LH stero T3 T4 TSH stero Vit.D ER G-FAP PR s-100
Protei ol ogen s tin HCG eratin s ntin
ne ne
n
Nepal 3092 3244 7256 5046 1898 2660 1103 10525 282220 279490 546584 2476 12389 27603 1657 4351 283 4910 3241 1089 356
Province 1 37 523 1019 990 161 0 5 1143 30099 29519 38705 112 95 4230 608 397 19 200 285 0 7
01 TAPLEJUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 473 0 3 0 0 0 0 7
02 PANCHTHAR 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0
03 ILAM 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0
04 JHAPA 22 29 74 69 0 0 0 117 5215 5226 6427 2 44 2302 0 0 0 32 0 0 0
05 MORANG 15 115 945 921 161 0 5 1026 24835 24287 32272 110 51 1013 608 394 19 165 267 0 0
06 SUNSARI 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0
07 DHANKUTA 0 0 0 0 0 0 0 0 6 6 6 0 0 0 0 0 0 0 0 0 0
08 TERHATHUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09 SANKHUWASABHA 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 18 0 0
10 BHOJPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0
11 SOLUKHUMBU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0
12 OKHALDHUNGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 KHOTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 0 0 0 0 0
14 UDAYAPUR 0 379 0 0 0 0 0 0 43 0 0 0 0 102 0 0 0 0 0 0 0
Province 2 7 6 24 22 0 0 2 31 1552 1567 4327 5 10 97 0 48 0 1 221 560 0
15 SAPTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0
16 SIRAHA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 DHANUSA 0 0 0 0 0 0 0 0 2 2 8 0 0 0 0 0 0 0 0 0 0
18 MAHOTTARI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 165 0 0
32 RAUTAHAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
33 BARA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 PARSA 7 6 24 22 0 0 2 31 1550 1565 4319 5 10 9 0 40 0 0 56 560 0
Province 3 2584 2553 5942 3786 1711 237 1037 8072 210860 205122 448454 2277 10877 9553 940 3142 116 1454 1175 146 159
20 SINDHULI 0 0 0 0 0 0 0 0 70 70 70 0 0 106 0 0 0 0 4 0 0
21 RAMECHHAP 0 0 0 0 0 0 0 0 33 33 33 0 0 58 0 0 0 10 0 0 0
22 DOLAKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0
23 SINDHUPALCHOK 0 0 0 0 0 0 0 0 0 0 0 0 0 413 0 0 0 0 0 0 0
24 KAVRE 54 34 427 374 1 0 0 265 6773 8729 14118 196 115 90 0 0 0 8 0 1 0
25 LALITPUR 624 553 932 924 793 0 230 1995 38655 38452 201212 625 370 1000 909 2321 82 11 670 6 10
26 BHAKTAPUR 293 101 32 33 3 0 4 68 5845 6151 6522 6 160 579 0 364 3 16 218 2 2
27 KATHMANDU 1466 1854 4213 2122 842 237 749 5121 139962 128883 192234 1437 10210 6385 31 456 31 1409 282 137 147
28 NUWAKOT 0 0 0 0 0 0 0 0 23 23 23 0 0 113 0 0 0 0 0 0 0
29 RASUWA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 DHADING 0 0 5 5 0 0 0 0 94 94 96 0 0 0 0 0 0 0 0 0 0
31 MAKWANPUR 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0
35 CHITAWAN 147 11 333 328 72 0 54 623 19405 22687 34146 13 22 706 0 1 0 0 1 0 0
Province 4 212 101 142 132 3 268 58 985 29549 29667 37383 80 1398 3771 100 182 117 1963 243 142 108
36 GORKHA 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0
37 LAMJUNG 0 0 0 0 0 0 0 0 45 45 45 0 0 94 0 7 0 0 17 0 0
38 TANAHU 0 0 0 0 0 0 0 0 5 5 4 0 0 22 0 0 0 0 0 0 0
39 SYANGJA 0 0 0 0 0 0 0 0 0 0 0 0 0 613 0 0 0 0 0 0 0
40 KASKI 212 101 139 129 3 268 58 985 28871 28989 36612 80 1397 999 100 175 117 1957 226 142 108
41 MANANG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0
43 MYAGDI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 PARBAT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 0 0 0 0 0 0 0 248 248 311 0 1 0 0 0 0 6 0 0 0
48.1 NAWALPARASI EAST 0 0 3 3 0 0 0 0 380 380 411 0 0 2013 0 0 0 0 0 0 0
Province 5 249 45 129 116 23 2155 1 292 8931 12390 16180 2 9 4270 2 247 2 1051 871 0 0
46 GULMI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 PALPA 240 0 96 96 0 2153 0 238 2799 6256 8981 0 0 450 0 0 0 903 0 0 0
48 NAWALPARASI WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 616 0 0 0 0 0 0 0
49 RUPANDEHI 9 24 20 17 23 0 1 11 2591 2580 3851 2 8 798 0 3 0 122 2 0 0
50 KAPILBASTU 0 10 0 0 0 0 0 0 6 0 8 0 0 558 0 0 0 0 0 0 0
51 ARGHAKHANCHI 0 0 0 0 0 0 0 0 0 0 0 0 0 208 0 0 0 0 0 0 0
52 PYUTHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 1 0 0 0
53 ROLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 58 0 0 63 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 0 1 0 0 0 0 0 474 475 517 0 1 957 2 186 2 19 806 0 0
57 BANKE 0 11 12 3 0 2 0 43 3061 3079 2823 0 0 228 0 0 0 5 0 0 0
58 BARDIYA 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 1 0 0 0
Province 6 0 0 0 0 0 0 0 0 80 80 80 0 0 1483 0 23 23 5 27 106 23
54.1 RUKUM WEST 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 6 0
55 SALYAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 SURKHET 0 0 0 0 0 0 0 0 80 80 80 0 0 661 0 0 0 0 2 0 0
60 DAILEKH 0 0 0 0 0 0 0 0 0 0 0 0 0 263 0 0 0 0 0 0 0
61 JAJARKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 DOLPA 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 23 23 0 25 100 23
63 JUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 KALIKOT 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 5 0 0 0
65 MUGU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 HUMLA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 3 16 0 0 0 0 0 2 1149 1145 1455 0 0 4199 7 312 6 236 419 135 59
67 BAJURA 0 0 0 0 0 0 0 0 0 0 0 0 0 94 2 0 0 0 0 0 0
68 BAJHANG 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0
69 ACHHAM 0 0 0 0 0 0 0 0 74 74 405 0 0 2543 0 0 0 235 0 0 0
70 DOTI 0 0 0 0 0 0 0 0 25 25 21 0 0 14 0 2 0 0 11 0 0
71 KAILALI 3 1 0 0 0 0 0 2 1045 1045 950 0 0 679 0 258 0 0 115 0 0
72 KANCHANPUR 0 15 0 0 0 0 0 0 5 1 79 0 0 280 5 52 6 1 293 135 59
73 DADELDHURA 0 0 0 0 0 0 0 0 0 0 0 0 0 520 0 0 0 0 0 0 0
74 BAITADI 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0
75 DARCHAULA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Raw Data: Laboratory Services
Immunology
Organisation unit / Data MEASL
Amoeb Brucell Ca Ca 19- Cystice DNA- Dengu Echino Ferriti Leptos Manto
ANA ASO CA-125 CEA CRP JE ES-IG- Others PRP
iasis a 15.3 9 rcosis ELISA e coccus ne pira ux
G
Nepal 18913 52764 2195 3889 12374 9056 264680 2227.1 2401 1186 2749 10893 664 8112 3745 3177 9389 62708 11445 4855
Province 1 3619 11444 218 161 2205 1851 57294 0 9 493 291 2025 286 1388 501 33 3 3889 1581 115
01 TAPLEJUNG 0 162 3 7 0 0 235 0 0 7 0 0 0 8 0 0 0 7 0 0
02 PANCHTHAR 0 27 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 10 53 11
03 ILAM 0 330 0 0 0 0 586 0 0 0 0 0 0 0 0 0 0 20 0 32
04 JHAPA 407 1043 41 45 31 14 6754 0 0 19 66 565 0 178 0 7 0 686 210 67
05 MORANG 3176 8124 142 10 2174 1837 46757 0 9 376 222 1429 286 953 490 26 3 3056 1048 0
06 SUNSARI 0 0 30 99 0 0 57 0 0 91 0 31 0 249 11 0 0 0 0 0
07 DHANKUTA 0 80 2 0 0 0 88 0 0 0 0 0 0 0 0 0 0 10 0 0
08 TERHATHUM 0 61 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 2 0 0
09 SANKHUWASABHA 11 613 0 0 0 0 930 0 0 0 0 0 0 0 0 0 0 49 0 0
10 BHOJPUR 0 544 0 0 0 0 711 0 0 0 0 0 0 0 0 0 0 2 270 0
11 SOLUKHUMBU 0 17 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0
12 OKHALDHUNGA 25 25 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 15 0 5
13 KHOTANG 0 258 0 0 0 0 771 0 0 0 3 0 0 0 0 0 0 17 0 0
14 UDAYAPUR 0 160 0 0 0 0 173 0 0 0 0 0 0 0 0 0 0 15 0 0
Province 2 254 1506 60 27 22 9 2684 0 0 0 10 157 0 22 2 2 2 1726 4 28
15 SAPTARI 3 34 41 0 0 0 11 0 0 0 0 0 0 0 0 0 0 3 0 0
16 SIRAHA 5 564 0 0 0 0 702 0 0 0 0 4 0 0 2 0 0 223 0 2
17 DHANUSA 0 104 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0
18 MAHOTTARI 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0
19 SARLAHI 125 145 19 0 0 0 165 0 0 0 0 11 0 0 0 0 0 629 0 0
32 RAUTAHAT 0 6 0 0 0 0 133 0 0 0 0 136 0 0 0 0 0 65 4 0
33 BARA 82 218 0 0 0 0 245 0 0 0 0 2 0 0 0 0 0 210 0 26
34 PARSA 39 417 0 27 22 9 1152 0 0 0 10 4 0 22 0 2 2 249 0 0
Province 3 13425 22084 968 3357 9518 6547 136088 2218.1 2330 399 1934 7389 373 5663 2993 2277 9376 43699 3828 3266
20 SINDHULI 0 159 4 2 0 0 249 0 0 3 0 0 0 5 0 0 0 102 8 0
21 RAMECHHAP 117 288 0 0 0 0 2887 0 0 0 21 0 0 0 0 0 0 132 214 28
22 DOLAKHA 0 482 0 0 0 0 977 0 0 0 0 0 0 0 0 0 0 315 7 19
23 SINDHUPALCHOK 0 361 246 0 0 0 522 0 0 0 0 0 0 0 2 0 1 29 0 0
24 KAVRE 47 650 5 443 6 3 7986 0 1 0 0 5 0 18 2 20 0 110 25 7
25 LALITPUR 1875 2052 97 463 1835 1863 12973 496 517 277 549 449 32 1162 12 165 28 1361 5 280
26 BHAKTAPUR 82 809 0 17 752 638 8859 836 601 0 12 8 2 24 0 52 1 735 4 184
27 KATHMANDU 10781 13738 567 2349 5810 3398 80602 442.1 1058 118 1297 4389 328 4087 2977 1566 9346 39047 3488 2629
28 NUWAKOT 0 53 0 0 0 0 431 0 0 0 0 0 0 0 0 0 0 47 0 6
29 RASUWA 0 4 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 5 0 0
30 DHADING 0 389 0 0 0 0 4919 0 0 0 0 0 0 0 0 2 0 259 0 113
31 MAKWANPUR 0 643 8 0 0 0 1470 0 0 0 0 279 0 0 0 0 0 756 0 0
35 CHITAWAN 523 2456 41 83 1115 645 14184 444 153 1 55 2259 11 367 0 472 0 801 77 0
Province 4 537 6687 919 214 338 292 32884 9 62 257 210 160 1 917 5 50 8 2628 68 913
36 GORKHA 0 249 0 0 0 0 2919 0 0 0 0 0 0 0 0 8 0 266 0 0
37 LAMJUNG 17 168 0 0 0 0 1312 0 0 0 0 7 0 0 0 0 0 3 0 0
38 TANAHU 0 523 0 0 0 0 5038 0 0 0 0 0 0 0 0 0 4 204 2 0
39 SYANGJA 0 293 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 5 0 0
40 KASKI 486 4476 914 214 337 292 20118 9 62 257 210 136 1 916 5 40 3 2002 0 906
41 MANANG 0 3 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 0 1 0 0 0 3 0 0 0 0 1 0 0 0 0 1 0 0 0
43 MYAGDI 23 33 0 0 0 0 409 0 0 0 0 0 0 0 0 0 0 38 46 0
44 PARBAT 0 6 0 0 0 0 271 0 0 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 10 276 4 0 1 0 643 0 0 0 0 0 0 0 0 0 0 69 20 1
48.1 NAWALPARASI EAST 1 660 0 0 0 0 1882 0 0 0 0 16 0 1 0 2 0 41 0 6
Province 5 379 4233 9 129 287 351 20583 0 0 1 298 860 0 2 0 786 0 5551 4787 211
46 GULMI 0 165 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 12 0 0
47 PALPA 286 786 9 129 255 351 5601 0 0 0 1 539 0 0 0 786 0 1753 3760 0
48 NAWALPARASI WEST 0 16 0 0 0 0 448 0 0 0 0 2 0 0 0 0 0 23 0 0
49 RUPANDEHI 17 92 0 0 5 0 2285 0 0 0 20 302 0 0 0 0 0 837 86 5
50 KAPILBASTU 0 99 0 0 0 0 311 0 0 0 0 0 0 0 0 0 0 361 0 117
51 ARGHAKHANCHI 0 302 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 7
52 PYUTHAN 0 67 0 0 0 0 369 0 0 0 0 0 0 0 0 0 0 7 0 0
53 ROLPA 1 337 0 0 0 0 788 0 0 0 0 0 0 2 0 0 0 58 231 7
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 30 673 0 0 0 0 4708 0 0 0 0 0 0 0 0 0 0 901 56 43
57 BANKE 45 1682 0 0 27 0 5767 0 0 1 277 17 0 0 0 0 0 1597 654 27
58 BARDIYA 0 14 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 2 0 5
Province 6 109 1575 9 1 0 0 3608 0 0 0 0 2 0 0 0 22 0 853 544 114
54.1 RUKUM WEST 0 258 0 0 0 0 417 0 0 0 0 0 0 0 0 20 0 53 20 0
55 SALYAN 0 34 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 56 3 0
59 SURKHET 0 773 0 0 0 0 1629 0 0 0 0 0 0 0 0 0 0 568 506 20
60 DAILEKH 8 47 9 1 0 0 236 0 0 0 0 2 0 0 0 2 0 68 15 8
61 JAJARKOT 0 3 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 7 0 0
62 DOLPA 0 80 0 0 0 0 140 0 0 0 0 0 0 0 0 0 0 0 0 60
63 JUMLA 0 151 0 0 0 0 362 0 0 0 0 0 0 0 0 0 0 26 0 0
64 KALIKOT 0 98 0 0 0 0 284 0 0 0 0 0 0 0 0 0 0 75 0 26
65 MUGU 101 125 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0
66 HUMLA 0 6 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0
Province 7 590 5235 12 0 4 6 11539 0 0 36 6 300 4 120 244 7 0 4362 633 208
67 BAJURA 0 134 0 0 0 0 241 0 0 0 0 0 0 0 0 0 0 1006 196 49
68 BAJHANG 0 99 0 0 0 0 239 0 0 0 0 0 4 0 0 0 0 198 60 7
69 ACHHAM 0 169 0 0 2 0 354 0 0 0 0 12 0 0 0 0 0 121 376 7
70 DOTI 0 166 0 0 0 0 383 0 0 0 0 0 0 0 0 0 0 57 0 118
71 KAILALI 582 3357 10 0 2 6 6943 0 0 6 6 226 0 85 230 2 0 1847 1 21
72 KANCHANPUR 0 430 0 0 0 0 1522 0 0 30 0 62 0 35 11 5 0 235 0 2
73 DADELDHURA 0 463 0 0 0 0 1285 0 0 0 0 0 0 0 3 0 0 161 0 0
74 BAITADI 0 54 2 0 0 0 110 0 0 0 0 0 0 0 0 0 0 33 0 4
75 DARCHAULA 8 363 0 0 0 0 462 0 0 0 0 0 0 0 0 0 0 704 0 0
 Raw Data: Laboratory Services
Immunology Parasitology
Protei
Organisation unit / Data n RPR- RPR- Rapid Rapid Rapid TORC Thyro- μF- Bence- Bile
Pregna RUBEL Aceto Bile Occult
PSA Electr RK-39 VDRL VDRL- MP MP MP- H IG- TPHA globuli protei jones pigme Chyle Others
ncy LA-IGG ne salts blood
ophor +ve total +ve PF +ve PV total G/M n n prot nts
esis
Nepal 13749 276219 2897 6631 3246 429305 8923 147 1094 84248 1958.6 242638 1114 260 82747 1593 56061 54385 7559 107135 34660
Province 1 1525 47206 1060 1995 85 43544 0 6 265 14077 879 3813 95 21 8953 170 150 320 592 23838 1394
01 TAPLEJUNG 4 1035 0 0 0 187 0 0 0 49 0 61 1 0 0 0 0 0 0 95 0
02 PANCHTHAR 0 1351 0 0 6 1778 0 0 1 93 0 42 0 0 0 0 0 0 0 41 0
03 ILAM 0 1582 0 0 1 1541 0 0 0 172 0 34 0 0 99 0 0 0 0 18 0
04 JHAPA 177 11474 1 48 39 10444 0 0 18 5617 21 378 20 21 1108 162 7 7 2 2212 84
05 MORANG 1315 21243 1047 1873 23 22807 0 4 233 6973 858 1388 38 0 7591 8 126 253 583 20643 1256
06 SUNSARI 29 1192 12 37 0 210 0 0 0 188 0 0 36 0 0 0 0 0 0 9 0
07 DHANKUTA 0 652 0 0 5 1124 0 0 0 17 0 120 0 0 9 0 17 12 0 87 0
08 TERHATHUM 0 281 0 0 0 378 0 0 0 0 0 38 0 0 15 0 0 0 0 9 0
09 SANKHUWASABHA 0 2208 0 0 5 1433 0 0 0 39 0 351 0 0 2 0 0 0 0 275 0
10 BHOJPUR 0 937 0 0 1 678 0 2 13 342 0 9 0 0 29 0 0 0 0 97 0
11 SOLUKHUMBU 0 1052 0 0 0 150 0 0 0 0 0 20 0 0 0 0 0 0 0 20 0
12 OKHALDHUNGA 0 1109 0 26 4 404 0 0 0 84 0 1202 0 0 49 0 0 0 0 192 54
13 KHOTANG 0 1368 0 0 0 1117 0 0 0 15 0 2 0 0 45 0 0 0 7 106 0
14 UDAYAPUR 0 1722 0 11 1 1293 0 0 0 488 0 168 0 0 6 0 0 48 0 34 0
Province 2 25 10548 0 591 16 10252 7 2 6 2361 16 2347 0 0 20 0 277 221 1 857 15
15 SAPTARI 0 634 0 21 0 123 0 0 0 57 0 31 0 0 0 0 0 0 0 60 0
16 SIRAHA 0 2675 0 362 4 5596 0 2 5 1112 0 2255 0 0 13 0 270 220 0 97 15
17 DHANUSA 0 519 0 32 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0
18 MAHOTTARI 0 1061 0 0 0 497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 SARLAHI 0 893 0 159 9 728 0 0 0 135 0 36 0 0 0 0 0 0 0 126 0
32 RAUTAHAT 0 1076 0 0 0 2232 0 0 0 782 0 4 0 0 0 0 0 0 0 0 0
33 BARA 0 978 0 10 3 158 0 0 1 4 0 0 0 0 0 0 0 0 0 10 0
34 PARSA 25 2712 0 7 0 741 7 0 0 271 16 21 0 0 7 0 7 1 1 342 0
Province 3 11038 105867 1640 2892 2567 261363 8899 27 381 34092 984.6 212094 813 236 57391 1067 47729 45607 5917 65858 8465
20 SINDHULI 5 2117 2 4 2 1083 0 0 60 283 0 146 3 0 77 0 5 5 0 96 0
21 RAMECHHAP 0 1987 0 0 2 929 0 0 0 324 0 559 0 0 43 0 0 0 0 148 30
22 DOLAKHA 0 2609 0 19 3 1637 0 0 0 17 0 499 0 0 42 0 4 2 0 284 0
23 SINDHUPALCHOK 0 931 0 0 0 1055 0 0 0 128 0 0 0 0 0 0 0 0 0 53 0
24 KAVRE 6 6898 0 0 14 699 0 0 7 257 8 229 0 0 942 498 6 452 2 966 0
25 LALITPUR 1184 9069 187 314 58 16108 34 3 12 592 137 10705 97 56 5663 109 2270 2263 49 7519 107
26 BHAKTAPUR 290 4848 427 252 10 3399 0 2 0 18 45 37 57 0 754 3 2 114 7 2398 0
27 KATHMANDU 8767 58651 1021 2168 2422 213629 8865 8 299 28689 767.6 196641 645 171 48601 440 45440 42749 5855 50589 8325
28 NUWAKOT 0 992 0 0 0 815 0 2 0 28 0 40 0 0 0 0 0 0 0 79 0
29 RASUWA 0 360 0 0 3 172 0 0 0 2 0 0 0 0 12 0 0 0 0 27 0
30 DHADING 0 4466 0 0 2 894 0 11 0 356 0 33 0 0 54 0 0 0 0 394 3
31 MAKWANPUR 0 4225 0 109 13 5786 0 1 0 517 0 3 0 0 563 0 0 0 0 156 0
35 CHITAWAN 786 8714 3 26 38 15157 0 0 3 2881 27 3202 11 9 640 17 2 22 4 3149 0
Province 4 601 36906 174 0 230 31056 7 1 40 2669 19 3505 124 2 7035 164 378 393 23 7548 24704
36 GORKHA 0 2352 0 0 0 2296 0 0 2 435 0 766 0 0 219 0 0 50 7 229 0
37 LAMJUNG 0 1837 0 0 13 2296 0 0 0 67 0 20 0 0 58 64 0 0 0 143 56
38 TANAHU 0 2995 0 0 7 1991 0 0 1 519 0 42 0 0 160 0 89 105 0 168 35
39 SYANGJA 0 3560 0 0 1 2933 0 0 2 177 0 13 0 0 7 0 0 0 0 60 0
40 KASKI 596 18623 174 0 185 16326 7 0 5 592 19 1752 124 2 6438 100 289 236 16 6212 24601
41 MANANG 0 71 0 0 0 43 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0
42 MUSTANG 0 172 0 0 1 68 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0
43 MYAGDI 0 1254 0 0 5 1651 0 0 0 157 0 0 0 0 50 0 0 0 0 16 8
44 PARBAT 0 668 0 0 0 1088 0 1 1 217 0 0 0 0 0 0 0 0 0 0 0
45 BAGLUNG 0 1777 0 0 15 870 0 0 0 2 0 788 0 0 6 0 0 2 0 142 4
48.1 NAWALPARASI EAST 5 3597 0 0 3 1494 0 0 29 495 0 119 0 0 97 0 0 0 0 578 0
Province 5 546 32560 0 615 220 43440 9 26 98 20176 60 15044 63 0 3482 189 1191 1248 363 5809 56
46 GULMI 0 499 0 0 2 1025 0 0 0 2 0 551 0 0 5 0 0 0 0 10 0
47 PALPA 527 5902 0 526 7 11856 2 0 0 4009 29 1600 63 0 2868 189 1131 1133 362 3144 35
48 NAWALPARASI WEST 0 1250 0 0 11 2519 0 0 1 451 0 1142 0 0 2 0 0 0 0 22 0
49 RUPANDEHI 6 4016 0 19 3 4101 0 8 7 1684 2 1924 0 0 295 0 5 17 1 578 0
50 KAPILBASTU 0 1599 0 0 31 1892 0 4 27 953 0 394 0 0 17 0 0 0 0 32 0
51 ARGHAKHANCHI 0 780 0 0 9 973 0 4 3 192 0 0 0 0 0 0 0 0 0 0 0
52 PYUTHAN 0 1266 0 0 6 1655 0 8 17 542 0 297 0 0 28 0 0 0 0 24 1
53 ROLPA 0 1310 0 0 15 1155 0 0 0 0 0 34 0 0 29 0 0 0 0 40 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 7084 0 0 16 5310 0 0 26 5826 0 3466 0 0 238 0 38 62 0 835 20
57 BANKE 13 5625 0 70 118 11505 7 1 11 5981 29 3779 0 0 0 0 17 36 0 1123 0
58 BARDIYA 0 3229 0 0 2 1449 0 1 6 536 0 1857 0 0 0 0 0 0 0 1 0
Province 6 3 13006 0 89 38 12674 0 2 60 2184 0 1841 0 0 5517 3 6336 6555 603 957 0
54.1 RUKUM WEST 0 2284 0 38 5 1494 0 0 15 242 0 0 0 0 5390 0 6210 6210 600 98 0
55 SALYAN 0 1033 0 0 0 2551 0 0 0 60 0 2 0 0 41 0 0 0 0 41 0
59 SURKHET 3 3255 0 37 20 4938 0 1 43 1596 0 43 0 0 86 3 6 101 3 285 0
60 DAILEKH 0 1657 0 5 7 1720 0 1 2 198 0 37 0 0 0 0 0 0 0 47 0
61 JAJARKOT 0 609 0 0 1 393 0 0 0 1 0 56 0 0 0 0 0 0 0 5 0
62 DOLPA 0 332 0 7 1 187 0 0 0 0 0 0 0 0 0 0 120 244 0 112 0
63 JUMLA 0 992 0 0 0 22 0 0 0 0 0 1241 0 0 0 0 0 0 0 124 0
64 KALIKOT 0 1285 0 0 4 925 0 0 0 45 0 134 0 0 0 0 0 0 0 62 0
65 MUGU 0 1452 0 0 0 303 0 0 0 40 0 328 0 0 0 0 0 0 0 181 0
66 HUMLA 0 107 0 2 0 141 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0
Province 7 11 30126 23 449 90 26976 1 83 244 8689 0 3994 19 1 349 0 0 41 60 2268 26
67 BAJURA 0 792 0 2 2 335 0 5 16 123 0 137 0 0 0 0 0 7 0 16 0
68 BAJHANG 0 2241 0 0 0 1822 0 0 2 125 0 27 0 0 54 0 0 0 0 39 26
69 ACHHAM 0 4131 0 228 34 4142 0 2 24 969 0 9 0 0 106 0 0 0 0 330 0
70 DOTI 0 929 0 0 0 657 0 0 0 52 0 438 0 0 0 0 0 1 6 505 0
71 KAILALI 11 10073 3 129 45 11609 0 74 116 5327 0 2195 19 1 78 0 0 24 51 929 0
72 KANCHANPUR 0 5515 20 77 4 3253 1 2 75 1164 0 785 0 0 0 0 0 9 0 107 0
73 DADELDHURA 0 2617 0 13 0 2374 0 0 9 692 0 0 0 0 100 0 0 0 3 101 0
74 BAITADI 0 1593 0 0 0 1397 0 0 1 131 0 71 0 0 0 0 0 0 0 7 0
75 DARCHAULA 0 2235 0 0 5 1387 0 0 1 106 0 332 0 0 11 0 0 0 0 234 0
 Raw Data: Laboratory Services
Parasitology Virology
Organisation unit / Data Porphob Reducin Semen- Sp. Stool Urine Urobilin CD4 Viral Western
HAV HBsAg HCV HEV HIV Others
ilinogen g sugar analysis Gravity R/E R/E ogen count load blot
Nepal 54018 31619 73244 92248 478137 1899017 59144 5232 58692 752506 442512 25711 895233 5357 1008 859
Province 1 17 2559 3638 11586 96430 277462 92 656 3523 94568 34933 2096 93310 198 0 264
01 TAPLEJUNG 0 164 2 0 903 3561 0 0 3 1015 753 0 1013 0 0 0
02 PANCHTHAR 0 0 6 0 335 5290 0 0 0 404 71 0 1752 0 0 0
03 ILAM 0 0 25 0 582 10158 0 0 0 1670 44 0 1910 0 0 0
04 JHAPA 3 231 359 2136 12519 56259 9 408 548 17834 9434 138 19319 9 0 177
05 MORANG 14 1878 3133 9428 73285 155134 8 248 2605 62677 20171 1867 58527 189 0 87
06 SUNSARI 0 6 0 0 405 4500 0 0 0 856 154 0 1186 0 0 0
07 DHANKUTA 0 15 1 0 1030 4286 0 0 176 1282 322 0 1473 0 0 0
08 TERHATHUM 0 0 0 0 194 2018 0 0 0 382 83 8 464 0 0 0
09 SANKHUWASABHA 0 115 29 0 2429 9590 0 0 10 1850 321 4 1759 0 0 0
10 BHOJPUR 0 0 25 0 969 4083 0 0 76 1177 1017 0 1205 0 0 0
11 SOLUKHUMBU 0 0 4 0 96 1917 0 0 58 1011 581 79 747 0 0 0
12 OKHALDHUNGA 0 0 22 0 936 6291 75 0 13 1797 428 0 1889 0 0 0
13 KHOTANG 0 4 26 0 1161 5215 0 0 0 1113 981 0 1554 0 0 0
14 UDAYAPUR 0 146 6 22 1586 9160 0 0 34 1500 573 0 512 0 0 0
Province 2 2 868 371 19 8936 54471 77 0 215 13356 2053 4 15141 0 0 0
15 SAPTARI 0 0 3 0 815 2341 0 0 42 172 84 0 434 0 0 0
16 SIRAHA 2 276 194 18 2202 11422 76 0 8 7051 1512 0 7255 0 0 0
17 DHANUSA 0 316 0 0 1724 2457 0 0 0 85 0 0 112 0 0 0
18 MAHOTTARI 0 0 0 0 1097 8678 0 0 0 884 0 0 13 0 0 0
19 SARLAHI 0 79 9 0 957 3699 0 0 46 886 16 0 1935 0 0 0
32 RAUTAHAT 0 0 0 0 602 9867 0 0 0 2052 327 0 3050 0 0 0
33 BARA 0 0 0 0 372 5450 0 0 111 1004 0 0 45 0 0 0
34 PARSA 0 197 165 1 1167 10557 1 0 8 1222 114 4 2297 0 0 0
Province 3 47481 20122 65425 50687 274062 980749 51170 1323 46156 414836 308122 19192 568567 2633 246 447
20 SINDHULI 0 0 8 0 2088 6614 0 0 0 1006 136 0 1252 0 3 0
21 RAMECHHAP 0 0 11 0 1519 8179 0 0 0 1099 122 0 986 0 0 0
22 DOLAKHA 0 7 35 0 1781 9126 0 0 0 2361 1203 0 2336 0 0 0
23 SINDHUPALCHOK 0 127 12 0 1013 4608 0 0 62 1268 212 4 1269 0 0 0
24 KAVRE 189 1394 120 1 10627 52632 1758 0 41 8175 1555 26 5711 5 0 0
25 LALITPUR 61 478 931 4007 31381 107440 3673 7 2149 36632 22267 1720 28126 0 18 19
26 BHAKTAPUR 0 203 148 90 12367 39359 5 0 456 6368 4498 100 9264 0 0 0
27 KATHMANDU 47231 17457 63181 46582 188192 628693 45734 1227 42909 323085 264965 17160 483839 2622 218 424
28 NUWAKOT 0 47 18 0 896 4865 0 0 111 1073 13 0 1185 0 0 0
29 RASUWA 0 0 0 0 200 1016 0 0 0 188 12 0 298 0 0 0
30 DHADING 0 11 57 0 4221 14686 0 0 0 1978 162 0 2590 0 0 0
31 MAKWANPUR 0 12 12 0 6119 20103 0 0 7 5982 544 0 8095 0 0 0
35 CHITAWAN 0 386 892 7 13658 83428 0 89 421 25621 12433 182 23616 6 7 4
Province 4 79 1929 1624 29065 40537 222423 321 298 1467 98892 45360 127 70696 1498 1 2
36 GORKHA 0 0 45 0 2105 15444 0 0 10 3620 214 0 2024 0 0 0
37 LAMJUNG 0 2 22 0 1825 12585 0 0 13 2318 1536 0 2478 0 0 0
38 TANAHU 0 32 51 0 1716 12076 0 0 10 2936 2561 9 3311 0 0 0
39 SYANGJA 0 0 1 0 722 8465 0 71 0 3311 457 0 2543 0 0 0
40 KASKI 79 1884 1413 28965 28237 134055 211 25 793 78063 36078 118 49475 1484 1 2
41 MANANG 0 0 0 0 9 230 0 0 10 61 1 0 389 0 0 0
42 MUSTANG 0 0 1 0 35 550 0 0 0 84 42 0 73 0 0 0
43 MYAGDI 0 0 8 0 645 7489 0 0 0 1689 13 0 2337 0 0 0
44 PARBAT 0 0 0 0 299 3886 0 0 620 1161 1031 0 1204 0 0 0
45 BAGLUNG 0 0 44 100 1368 13118 110 202 11 2496 1671 0 3519 6 0 0
48.1 NAWALPARASI EAST 0 11 39 0 3576 14525 0 0 0 3153 1756 0 3343 8 0 0
Province 5 159 3058 876 890 29734 218230 1151 1481 6085 72654 28399 3877 82691 1028 0 0
46 GULMI 0 0 1 0 321 5926 0 0 0 1513 63 0 2009 0 0 0
47 PALPA 150 123 308 730 10105 62332 1135 683 1461 17081 11195 1569 16831 760 0 0
48 NAWALPARASI WEST 0 150 19 0 903 10964 0 0 0 2581 38 0 4278 0 0 0
49 RUPANDEHI 0 151 250 0 3725 24356 10 0 271 9462 2251 56 10151 90 0 0
50 KAPILBASTU 0 0 45 0 780 8873 0 72 25 823 449 0 4226 0 0 0
51 ARGHAKHANCHI 0 0 0 0 445 3600 0 0 9 1500 1165 0 1431 0 0 0
52 PYUTHAN 0 712 5 0 331 7929 0 0 0 2014 1397 0 2445 1 0 0
53 ROLPA 0 4 10 0 739 5157 0 0 0 1199 641 0 1594 0 0 0
54 RUKUM EAST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DANG 0 244 50 0 8090 36464 0 370 612 9060 1072 22 12685 45 0 0
57 BANKE 9 1674 186 160 3911 44356 6 331 3668 24068 9730 2230 24755 132 0 0
58 BARDIYA 0 0 2 0 384 8273 0 25 39 3353 398 0 2286 0 0 0
Province 6 6280 995 335 1 11563 48658 6315 5 290 15570 6668 2 16997 0 0 0
54.1 RUKUM WEST 6210 0 83 0 4228 11506 6210 0 155 1665 1542 0 1671 0 0 0
55 SALYAN 0 836 17 0 275 4741 0 0 0 2707 2487 0 2811 0 0 0
59 SURKHET 0 28 124 1 3316 15654 0 5 0 5071 292 0 5701 0 0 0
60 DAILEKH 0 0 36 0 629 3938 0 0 0 1846 577 0 2342 0 0 0
61 JAJARKOT 0 0 1 0 108 1955 0 0 0 427 1 0 373 0 0 0
62 DOLPA 70 131 19 0 347 877 105 0 20 270 66 0 291 0 0 0
63 JUMLA 0 0 0 0 875 4481 0 0 0 1583 970 0 1528 0 0 0
64 KALIKOT 0 0 35 0 1258 3701 0 0 91 958 594 0 1610 0 0 0
65 MUGU 0 0 20 0 477 1512 0 0 24 833 139 2 531 0 0 0
66 HUMLA 0 0 0 0 50 293 0 0 0 210 0 0 139 0 0 0
Province 7 0 2088 975 0 16875 97024 18 1469 956 42630 16977 413 47831 0 761 146
67 BAJURA 0 0 7 0 456 2548 0 0 92 367 44 0 1182 0 0 0
68 BAJHANG 0 0 53 0 1009 6548 0 0 11 2268 159 0 3943 0 0 0
69 ACHHAM 0 0 156 0 2593 12770 0 305 9 4700 3340 0 4493 0 0 140
70 DOTI 0 0 61 0 1175 5005 0 289 0 660 457 0 1881 0 0 0
71 KAILALI 0 1789 424 0 6994 40127 14 424 381 23930 9543 72 23040 0 529 4
72 KANCHANPUR 0 283 61 0 1177 12376 4 257 46 4237 79 0 5069 0 0 0
73 DADELDHURA 0 0 155 0 2192 10399 0 103 225 3001 2145 341 3679 0 232 2
74 BAITADI 0 13 19 0 325 4007 0 91 42 1788 90 0 3313 0 0 0
75 DARCHAULA 0 3 39 0 954 3244 0 0 150 1679 1120 0 1231 0 0 0
 Raw Data: HOSPITAL (Sheet 1 of 19)

Hospital Service Outpatient Services

0 - 9 Years 10 - 19 Years 20 - 59 Years ≥ 60 Years Total
Number of Beds New Clients Total Clients New Clients Total Clients New Clients Total Clients New Clients Total Clients New Clients Total Clients
Total In-
Hospital Name Total Served Served Served Served Served Served Served Served Served Served
patient
Patients

Operational
Sanctioned
Service

Female

Female

Female

Female

Female

Female

Female

Female

Female

Female
Admitted

Male

Male

Male

Male

Male

Male

Male

Male

Male

Male
Days

BPKIHS, Dharan, Sunsari 763 763 0 0 18674 28230 21201 32051 18113 18835 20145 20950 142337 72976 231007 118436 24118 24097 27237 27213 203242 144138 299590 198650

Mechi Zonal Hospital, Jhapa 50 118 5848 20203 4777 6623 4928 7037 3206 3158 3326 3298 18105 9992 17981 10484 2789 2855 2881 3154 28877 22628 29116 23973

Koshi Zonal Hospital, Morang 250 300 17899 54692 11748 15991 12959 17597 14717 17144 16772 18775 64606 43631 76442 48565 17698 15958 20493 18162 108769 92724 126666 103099

District Hospital, Taplejung 15 35 2498 6875 2471 2443 2471 2443 1639 1261 1639 1261 3919 2731 3919 2731 1421 1364 1421 1364 9450 7799 9450 7799

District Hospital, Panchthar 15 35 3354 6455 2125 2727 2413 3275 1778 1234 1924 1314 7700 3269 8614 3683 833 786 1000 981 12436 8016 13951 9253

District Hospital, Ilam 50 33 1959 4371 1683 2266 1697 2278 1387 1130 1416 1135 8095 3895 8455 3952 1747 1559 1771 1574 12912 8850 13339 8939

District Hospital, Sunsari 29 25 3278 4868 1369 2023 1684 2486 2157 2267 2685 2908 6418 4313 7747 5436 961 1109 1267 1482 10905 9712 13383 12312

District Hospital, Dhankuta 15 27 975 2224 3789 4964 3987 5238 2287 2072 2369 2175 10009 5306 10654 5585 1883 1712 2113 1907 17968 14054 19123 14905

District Hospital, Terhathum 15 17 1786 3960 1093 1104 1343 1434 1089 1036 1143 1039 2908 2227 2784 2197 906 856 1069 940 5996 5223 6339 5610

District Hospital, Sankhuwasabha 15 25 1883 3926 1416 2865 1418 2869 1205 884 1206 885 5836 3043 5843 3040 1397 1079 1401 1085 9854 7871 9868 7879

District Hospital, Bhojpur 15 22 2096 4093 980 1174 980 1174 888 670 888 670 4293 2621 4293 2621 724 670 724 670 6885 5135 6885 5135

District Hospital, Solukhumbu 15 29 1109 3279 1058 1062 1573 1721 1273 984 2236 1460 5271 2498 7410 4253 957 1040 1492 1575 8559 5584 12711 9009

Rumjatar Hospital, Okhaldhunga 15 0 580 1966 809 1109 1022 1342 1045 941 1290 1128 2803 1392 3423 1790 617 536 823 727 5274 3978 6558 4987

District Hospital, Khotang 15 26 1546 3764 1992 2391 2076 2514 1979 1253 2037 1295 8518 2694 8726 2779 1314 1137 1351 1271 13803 7475 14190 7859

District Hospital, Udayapur 50 50 3126 11898 2948 4075 3267 4808 2272 2182 2346 2293 10750 5113 10716 5351 2436 2176 2193 2282 18406 13546 18522 14734

Rangeli Hospital, Morang 15 15 728 2295 892 936 948 992 1402 1088 1506 1157 6269 4092 6831 4375 822 862 1052 990 9385 6978 10337 7514

Mangalbare Hospital, Morang 15 15 28 67 1513 1713 1599 1812 1737 1162 2007 1232 8431 3087 10544 3370 1886 2145 2119 2329 13567 8107 16269 8743

Katari Hospital, Udayapur 15 4 541 1072 4730 3376 4987 3702 3551 2803 4061 3556 5617 4576 5890 4810 1630 1162 1780 1360 15528 11917 16718 13428

Narayani Sub Regional Hospital, Parsa 200 300 20819 0 11590 17913 11590 17913 10102 15126 12140 16428 39699 33371 37432 31569 5221 6325 5221 6325 66612 72735 66383 72235

Janakpur Zonal Hospital 250 250 8988 35552 0 0 1E+06 13101 0 0 13440 16799 0 0 47733 36321 0 0 3201 4118 0 0 1E+06 70339

Sagarmatha Zonal Hospial, Saptari 50 100 5429 12846 1262 1147 412 403 2819 3033 645 615 3308 3232 488 321 1434 1292 143 155 8823 8704 1688 1494

District Hospital, Rautahat 25 25 2161 2368 1528 1411 1534 1414 2902 2659 2910 2664 8164 7039 8168 7046 797 722 804 728 13391 11831 13416 11852

District Hospital, Siraha 15 15 1368 3089 1441 1514 1600 1768 2818 2671 5797 3098 3006 3264 3431 3626 1553 1667 1692 1953 8818 9116 12520 10445

District Hospital, Jaleswor, Mahottari 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Malangawa District Hospital, Sarlahi 50 15 1484 1588 82 166 122 249 1515 2098 1670 2323 3247 4013 3676 4243 505 648 602 762 5349 6925 6070 7577

Kalaiya District Hospital, Bara 50 25 4576 4297 4470 4620 71 46 5307 6067 242 185 8925 8270 84 109 1896 2445 31 17 20598 21402 428 357

Bharadah Hospital, Saptari 15 5 244 528 1049 1107 1458 1440 1211 1146 1509 1458 7314 6522 8230 7543 876 935 1002 1124 10450 9710 12199 11565

Ram Uma Smarak Hospital, Lahan, Siraha 50 50 4573 8122 910 1001 1187 1398 1264 1437 1623 1979 4078 4240 4858 5581 654 830 920 1518 6906 7508 8588 10476

Bardibas Hospital, Mahottari 15 5 712 334 1727 1244 1920 1757 2327 1904 2573 2133 4524 3603 4878 3862 1029 892 1189 1106 9607 7643 10560 8858

Chandranigahapur Hosptial, Rautahat 15 15 1241 428 2477 2301 3097 2927 2374 2673 2932 3169 5134 5060 5750 5957 1603 1579 2022 1997 11588 11613 13801 14050

Pokhariya Hospital, Parsa 15 15 121 124 1346 1277 1526 2045 839 788 1218 1235 1966 1354 5314 2476 272 498 703 1066 4423 3917 8761 6822

Mental Hospital, Lalitpur 50 50 697 13482 73 119 145 210 400 467 1218 1355 3156 3542 9310 10030 110 125 388 441 3739 4253 11061 12036

Bhaktapur Hospital, Bhaktapur 75 75 1567 3150 0 0 1086 1659 0 0 1823 1813 0 0 14813 6836 0 0 2928 2114 0 0 20650 12422

Bir Hospital, Kathmandu 331 370 12067 79208 2052 3441 3104 5221 10321 16202 15576 22867 79831 92220 135680 139057 15414 19994 27358 36150 107618 131857 181718 203295

Kanti Children Hospital, Kathmandu 500 350 9442 85663 30637 52709 44369 76127 3163 6047 5061 8918 0 0 0 0 0 0 0 0 33800 58756 49430 85045

Maternity Hospital, Kathmandu 350 318 25470 94469 0 0 0 0 0 0 0 0 15562 0 158109 0 0 0 0 0 15562 0 158109 0

Sukraraj Tropical Hospital,Kathmandu 100 100 2600 13158 1933 4348 0 0 2762 6361 0 0 17517 28495 0 0 1518 2351 0 0 23730 41555 0 0

Human Organ Transplant Center 100 100 1114 9233 21 37 30 90 67 69 336 352 1039 1301 5640 7778 226 378 787 1685 1353 1785 6793 9905

National Gangalal Heart Center, Kathmandu 200 182 12149 29863 737 1065 2563 3563 821 1031 2600 3437 11489 11161 24838 22179 2700 3617 8053 11392 15747 16874 38054 40571

National Trauma Center, Kathmandu 200 170 2970 39005 406 864 734 1547 852 2144 1386 3602 7092 8660 11299 13866 1382 1318 2249 2070 9732 12986 15668 21085

BP Koirala Cancer Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Patan Hospital, Lalitpur 452 452 22069 106813 5192 7067 20154 27568 7461 8285 13497 15556 49759 26602 148014 53873 5443 4421 17417 13983 67855 46375 199082 110980

Teaching Hospital (Tribhuvan University), Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Sindhuli 51 36 2116 5721 917 1042 2721 3561 592 552 1988 1663 2382 1115 8943 4191 349 311 1434 1123 4240 3020 15086 10538

District Hospital, Ramechhap 15 15 1017 2839 988 921 1386 1345 1648 1396 2050 1757 2551 1921 3576 2504 1705 1311 2230 1870 6892 5549 9242 7476

Jiri District Hospital, Dolakha 15 15 1512 3400 1177 1029 1398 1191 1485 1290 1757 1478 5792 4130 6345 4519 1210 956 1404 1111 9664 7405 10904 8299

District Hospital, Sindhupalchok 15 27 1032 3561 1865 2408 1183 1449 1207 1159 715 758 5973 3067 3412 2033 2728 2638 1120 1403 11773 9272 6430 5643

District Trisuli Hospital, Nuwakot 50 50 3137 6810 1376 1305 1448 1348 1622 1285 1676 1346 4877 2888 4995 3043 1301 1337 1457 1460 9176 6815 9576 7197

District Hospital, Rasuwa 15 15 264 673 518 643 591 694 420 336 449 345 2123 1881 2349 2011 306 236 343 273 3367 3096 3732 3323

District Hospital, Dhading 15 43 1898 5326 2319 2990 2564 3298 2670 2283 2986 2558 10147 5038 10906 5421 2004 1971 2233 2248 17140 12282 18689 13525

Hetauda Hospital, Makwanpur 50 125 7292 24073 4414 3012 5681 3843 4845 5594 6227 7136 11079 9780 14085 12448 2582 1724 3293 2201 22920 20110 29286 25628

Bharatpur Hospital, Chitawan 300 600 40180 123659 10515 10662 11001 11132 15414 15948 16073 16354 45555 45349 46559 46355 11824 12362 12337 12795 83308 84321 85970 86636

Methinkot Hospital, Kavre 15 21 258 491 981 1064 1208 1227 992 772 1120 909 4113 1492 5353 1862 773 700 1057 1005 6859 4028 8738 5003

Birendra Army Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Central Jail Hospital, Kathmandu 15 15 552 1534 9 8 13 12 30 449 52 1024 940 15900 2111 29011 40 825 104 1737 1019 17182 2280 31784

Civil Services Hospital, Kathmandu 132 150 3118 0 885 925 1361 2110 1862 2430 2877 3674 17838 11762 33414 18767 2519 2463 5017 5329 23104 17580 42669 29880

Nepal Police Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

APF Hospital, Kathmandu 110 90 1300 16829 272 341 590 616 674 531 2922 1894 1991 2503 11117 17077 492 1146 2297 5587 3429 4521 16926 25174

Baghauda Hosptial, Chitawan 15 13 159 458 2328 1798 2407 1853 2484 1757 2583 1836 5698 3985 5952 4246 935 719 1043 807 11445 8259 11985 8742
 Hospital Service Outpatient Services
0 - 9 Years 10 - 19 Years 20 - 59 Years ≥ 60 Years Total
Number of Beds New Clients Total Clients New Clients Total Clients New Clients Total Clients New Clients Total Clients New Clients Total Clients
Total In-
Hospital Name Total Served Served Served Served Served Served Served Served Served Served
patient
Patients

Operational
Sanctioned
Service

Female

Female

Female

Female

Female

Female

Female

Female

Female

Female
Admitted

Male

Male

Male

Male

Male

Male

Male

Male

Male

Male
Days

Bakulahar Hospital, Chitawan 15 25 235 1160 2553 2547 3022 2851 3578 2915 3939 3345 25089 13362 28439 15773 4833 4377 5419 5083 36053 23201 40819 27052

Western Regional Hospital, Pokhara 500 351 18937 71185 7345 9576 10009 14541 8144 7825 13831 11645 48951 21484 85815 32735 17548 15596 39975 25150 81988 54481 149630 84071

Dhaulagiri Zonal Hospital, Baglung 50 38 3022 5946 182 311 2523 3417 147 129 1621 1585 938 449 8338 5740 252 205 2184 2174 1519 1094 14666 12916

District Hospital, Gorkha 50 42 1877 4391 2412 2694 2562 2820 2233 1814 2396 1939 11398 5053 11855 5756 1935 2013 2015 2195 17978 11574 18828 12710

District Hospital, Tanahu 15 26 1427 4162 1480 2037 1582 2208 3135 2287 3819 2507 15309 6323 17754 6945 3540 3300 3821 3574 23464 13947 26976 15234

District Hospital, Syangja 25 15 1154 2462 1165 1423 1489 1659 1435 1258 1975 1464 5789 2749 8368 3124 1667 1298 1930 1671 10056 6728 13762 7918

District Hospital, Manang 15 10 115 303 158 244 186 304 240 218 274 244 1193 1999 1506 2385 84 116 103 154 1675 2577 2069 3087

District Hospital, Mustang 15 15 204 418 450 487 471 534 442 514 487 581 1366 1706 1492 1876 171 159 197 178 2429 2866 2647 3169

District Hospital, Myagdi 50 40 3123 7342 1646 1906 1920 2228 2576 2042 2881 2310 9213 5992 10251 6581 1212 1026 1391 1173 14647 10966 16443 12292

District Hospital, Parbat 15 35 1357 3047 1009 1027 1174 1184 1457 1358 1665 1524 4324 3813 4755 4207 1091 994 1220 1104 7881 7192 8814 8019

Lamjung Community Hospital, Lamjung 62 62 5245 365 3023 4229 3925 5762 2581 2276 3600 2766 12406 6873 19878 8025 2581 2272 4228 3879 20591 15650 31631 20432

Chisapani Hospital, Nawalparasi 15 15 0 0 291 279 388 405 375 301 465 401 1119 712 1456 1022 317 313 461 489 2102 1605 2770 2317

Bandipur Hospital, Tanahu 15 15 605 1497 637 677 781 768 894 803 1079 943 2029 1404 2445 1755 477 387 599 475 4037 3271 4904 3941

Bataulechaur Hospital, Kaski 25 15 425 743 617 756 1233 1606 378 245 674 389 2343 672 3754 831 440 260 605 363 3778 1933 6266 3189

Rapti Sub Regional Hospital, Dang 100 100 9010 21883 5603 7833 5603 7833 6229 5546 6229 5546 31500 11947 31520 11947 3347 2686 3347 2686 46679 28012 46699 28012

Lumbini Zonal Hospital, Rupandehi 300 210 17200 56518 7630 11330 10685 15299 11800 11487 14858 14015 70569 31498 90738 37696 8793 7983 10993 9986 98792 62298 127274 76996

Rapti Zonal Hospital, Dang 50 40 3048 7634 2417 2437 4309 3562 3315 1726 4894 2332 13634 4005 20013 5485 2519 1868 3723 2720 21885 10036 32939 14099

Bheri Zonal Hospital, Banke 100 150 12290 40072 4156 6031 4928 7156 6868 6247 8938 7780 33699 18600 45408 23691 3667 3792 4989 5167 48390 34670 64263 43794

Tamghas Hospital, Gulmi 50 30 2386 5499 2210 2016 2561 2272 2720 2072 3090 2319 6629 2985 7410 3412 2435 2015 2808 2322 13994 9088 15869 10325

District Hospital, Palpa 15 15 646 2044 472 605 540 664 842 782 938 861 5631 3508 6018 3769 1800 1822 1997 2016 8745 6717 9493 7310

Prithvi Chandra Hospital, Nawalparasi 50 29 2088 3887 1318 1271 2020 1974 1918 1609 2078 1674 10355 7265 11774 7463 1099 1092 1257 1248 14690 11237 17129 12359

Prithvi Bir Hospital, Kapilbastu 15 24 2202 3833 1596 1908 1596 1908 2333 1238 2333 1238 9528 5108 9528 5108 920 1359 920 1359 14377 9613 14377 9613

District Hospital, Arghakhanchi 15 33 2844 6096 418 488 563 655 358 270 461 356 975 673 1296 861 379 360 498 438 2130 1791 2818 2310

District Hospital, Pyuthan 50 25 2922 6706 1395 2435 1748 2841 2096 1262 2556 1616 9435 3337 10929 4127 1697 1166 2240 1673 14623 8200 17473 10257

District Hospital, Rolpa 15 15 1322 3719 1224 1588 1475 1757 1351 745 1498 843 5415 2123 6268 2302 513 485 609 560 8503 4941 9850 5462

District Hospital, Bardiya 50 25 2302 4438 1937 1744 2100 1881 2329 1590 2591 1685 5726 3927 6482 4301 1399 1254 1522 1346 11391 8515 12695 9213

Rampur Hospital, Palpa 50 15 951 999 1099 1345 1429 1769 1705 1185 2188 1468 6859 2932 8810 3751 1446 1033 1772 1425 11109 6495 14199 8413

Bhim Hospital, Rupandehi 25 60 4816 8835 861 1026 958 1151 1438 1485 1598 1604 8699 6175 8344 6560 1324 1373 1520 1559 12322 10059 12420 10874

Shivraj Hospital, Bahadurganj, Kapilbastu 15 15 848 1267 2977 2591 3198 2847 2122 1871 2374 2175 3771 3002 4126 3371 1694 1413 1927 1693 10564 8877 11625 10086

Pipara Hospital, Kapilbastu 15 10 104 53 647 439 980 592 1568 964 2062 1166 3267 1964 3969 2180 659 528 818 1065 6141 3895 7829 5003

MWR Police Hospital, Banke 15 0 280 2420 58 90 83 130 187 460 196 474 1096 3555 1241 3840 100 205 116 210 1441 4310 1636 4654

Karnali Academy Of Health Science, Jumla 300 100 2261 7921 2396 2204 2767 2583 1651 1571 2034 1833 4847 4302 5833 5196 1349 1232 1693 1546 10243 9309 12327 11158

Mid Western Regional Hospital, Surkhet 50 68 9730 22117 2161 3397 2893 4771 2971 2396 3799 3092 14567 6006 20577 7422 2244 1713 3936 2835 21943 13512 31205 18120

District Hospital, Rukum 15 25 1655 2862 827 1344 827 1344 1237 724 1237 724 3541 1398 3541 1398 665 467 665 467 6270 3933 6270 3933

District Hospital, Salyan 15 20 2860 6797 1424 1463 1506 1583 2670 1026 3376 1082 10227 4349 12356 6083 908 826 1048 1015 15229 7664 18286 9763

District Hospital, Dailekh 15 25 1822 4876 2170 1666 1415 1737 1667 1020 1710 1028 7189 2574 7167 2537 1128 758 1167 815 12154 6018 11459 6117

District Hospital, Jagarkot 50 25 1099 2416 734 913 788 1003 1381 1123 1462 1193 5688 2195 3965 2558 434 375 499 431 8237 4606 6714 5185

District Hospital, Dolpa 15 15 329 1251 1723 1463 2848 2429 3489 2543 4709 3629 3982 2657 5222 3959 273 370 497 558 9467 7033 13276 10575

District Hospital, Kalikot 15 21 1458 3934 1756 1779 1796 1847 2193 2331 2276 2397 2792 2978 2883 2968 528 445 562 484 7269 7533 7517 7696

District Hospital, Mugu 15 15 1224 3253 836 1008 830 1033 1031 878 1038 898 2800 2016 2831 2046 550 568 560 585 5217 4470 5259 4562

Simikot District Hospital, Humla 15 15 0 0 875 481 432 443 1005 689 690 666 1037 1124 1371 1274 257 230 308 273 3174 2524 2801 2656

Mehelkuna Hospital, Surkhet 50 15 816 1665 3062 2286 3395 2444 3730 1485 4648 1554 9630 3825 10885 4208 2250 1095 2649 1248 18672 8691 21577 9454

Dullu Hospital, Dailekh 15 7 432 645 1517 2001 1537 2026 1720 837 1735 845 6176 1712 5908 1731 766 988 772 605 10179 5538 9952 5207

Sub Regional Hospital, Dadeldhura 100 50 1849 5771 1634 1281 2156 1753 2318 1815 3054 2399 8590 6722 11318 8885 1093 854 1438 1174 13635 10672 17966 14211

Seti Zonal Hospital, Kailali 125 225 18614 51417 2639 4734 2639 4734 3080 3249 3080 3249 19044 9635 19044 9635 3606 3125 3606 3125 28369 20743 28369 20743

Malakheti Hospital, Kailali 15 6 350 61 2193 2595 2470 2736 2393 1882 2667 1976 7789 2268 10358 2445 2174 1362 2424 1564 14549 8107 17919 8721

District Hospital, Bajura 15 15 1058 2773 1307 1949 1356 2010 2388 2499 2470 2559 4994 3832 5131 3888 505 568 535 617 9194 8848 9492 9074

District Hospital, Bajhang 15 16 2728 6509 1884 1330 884 1330 1326 1137 1326 1137 4679 2147 4679 2147 611 580 611 580 8500 5194 7500 5194

District Hospital, Achham 15 25 1495 3749 1798 2754 2958 2916 2454 1831 2513 1913 6769 2580 6987 2665 792 490 845 523 11813 7655 13303 8017

District Hospital, Doti 15 15 1108 2827 652 559 681 580 1085 854 1129 910 4538 2648 4810 2830 530 465 575 505 6805 4526 7195 4825

District Hospital, Baitadi 15 25 782 1895 1404 2205 1414 2215 1034 1067 1046 1077 4489 2571 4531 2610 733 601 754 639 7660 6444 7745 6541

District Hospital, Darchula 15 23 1439 3714 1250 1729 1437 1958 1449 1285 1676 1458 7115 3917 7504 4239 793 906 890 1013 10607 7837 11507 8668

Tikapur Hospital, Kailali 51 33 3469 6781 3497 3938 3629 3968 5481 2556 5518 2574 13890 8491 14093 8515 3493 2590 3512 2607 26361 17575 26752 17664

Mahakali Zonal Hospital, Kanchanpur 100 66 4195 9638 4092 3570 4402 4002 3698 3448 4112 3857 6331 5044 6910 5839 3800 3369 4261 3877 17921 15431 19685 17575

Jogbuda Hospital, Dadeldhura 15 15 830 1880 1037 665 1056 687 1938 1243 1967 1252 2656 1698 2693 1716 1287 830 1297 837 6918 4436 7013 4492

Gokuleshwor Hospital, Darchula 15 11 549 1572 703 1247 751 1363 992 950 995 1057 3882 1755 4274 1933 301 480 352 536 5878 4432 6372 4889

Total 8196 8142 420067 1309950 264121 338502 2E+06 436971 288170 281057 358522 342403 1E+06 813855 2E+06 1E+06 236549 227876 324926 310313 2E+06 2E+06 4E+06 2E+06
 Raw Data: HOSPITAL (Sheet 2 of 19)

Emergency Services
Hospital Name 0 - 9 Years 10 - 19 Years 20 - 59 Years ≥ 60 Years Total
Female Male Female Male Female Male Female Male Female Male
BPKIHS, Dharan, Sunsari 7509 4558 4083 3702 25887 10800 5449 5915 42928 24975
Mechi Zonal Hospital, Jhapa 3977 1528 763 904 2967 2888 753 879 8460 6199
Koshi Zonal Hospital, Morang 5050 3135 1754 2242 7728 7377 1494 1662 16026 14416
District Hospital, Taplejung 309 242 285 243 862 713 204 208 1660 1406
District Hospital, Panchthar 3775 3639 1686 1590 3560 2580 394 513 9415 8322
District Hospital, Ilam 1124 809 1028 1018 2538 2456 454 435 5144 4718
District Hospital, Sunsari 692 395 660 1117 1552 1623 345 372 3249 3507
District Hospital, Dhankuta 1649 1216 672 692 2158 1586 531 496 5010 3990
District Hospital, Terhathum 1090 950 502 521 1016 1039 312 311 2920 2821
District Hospital, Sankhuwasabha 962 826 582 626 1326 1060 507 458 3377 2970
District Hospital, Bhojpur 206 179 140 108 523 368 168 145 1037 800
District Hospital, Solukhumbu 171 108 136 119 356 480 70 91 733 798
Rumjatar Hospital, Okhaldhunga 144 108 67 86 177 140 47 66 435 400
District Hospital, Khotang 1691 1267 916 797 2911 1836 619 685 6137 4585
District Hospital, Udayapur 1670 1223 689 762 2113 1675 656 500 5128 4160
Rangeli Hospital, Morang 236 348 261 262 1165 977 185 197 1847 1784
Mangalbare Hospital, Morang 265 339 185 220 550 525 166 176 1166 1260
Katari Hospital, Udayapur 667 579 690 591 821 655 447 415 2625 2240
Narayani Sub Regional Hospital, Parsa 2292 1651 1588 1744 7947 4033 1058 1144 12885 8572
Janakpur Zonal Hospital 1539 1169 1687 2096 4680 5307 416 523 8322 9095
Sagarmatha Zonal Hospial, Saptari 4143 3593 0 0 0 0 0 0 4143 3593
District Hospital, Rautahat 390 441 541 495 2184 2005 387 352 3502 3293
District Hospital, Siraha 572 514 1042 1035 1141 1048 477 536 3232 3133
Malangawa District Hospital, Sarlahi 446 295 1990 2809 2548 3631 774 1010 5758 7745
Kalaiya District Hospital, Bara 496 538 799 950 771 909 307 339 2373 2736
Bharadah Hospital, Saptari 98 121 120 119 297 320 111 98 626 658
Ram Uma Smarak Hospital, Lahan, Siraha 392 553 610 702 2217 2503 343 518 3562 4276
Bardibas Hospital, Mahottari 382 405 443 412 1088 756 435 380 2348 1953
Chandranigahapur Hosptial, Rautahat 150 168 154 165 437 411 396 188 1137 932
Pokhariya Hospital, Parsa 476 478 48 82 142 199 39 56 705 815
Mental Hospital, Lalitpur 0 0 6 12 190 235 0 2 196 249
Bhaktapur Hospital, Bhaktapur 215 93 419 688 2362 16423 551 543 3547 17747
Bir Hospital, Kathmandu 579 187 1287 3539 8305 19103 3084 4156 13255 26985
Kanti Children Hospital, Kathmandu 31662 18184 1372 2472 0 0 0 0 33034 20656
Maternity Hospital, Kathmandu 0 0 0 0 24941 0 0 0 24941 0
Sukraraj Tropical Hospital,Kathmandu 292 141 288 540 1616 1801 240 325 2436 2807
Human Organ Transplant Center 0 0 6 0 33 42 8 6 47 48
National Gangalal Heart Center, Kathmandu 302 247 787 958 985 1459 775 1033 2849 3697
National Trauma Center, Kathmandu 963 442 412 1281 2197 4736 464 475 4036 6934
Patan Hospital, Lalitpur 4323 2807 2715 3223 12569 9800 3564 2986 23171 18816
District Hospital, Sindhuli 1458 2033 889 893 2357 2049 449 431 5153 5406
District Hospital, Ramechhap 396 317 219 229 663 539 263 236 1541 1321
Jiri District Hospital, Dolakha 271 266 294 211 769 586 165 135 1499 1198
District Hospital, Sindhupalchok 291 208 236 229 793 752 402 284 1722 1473
District Trisuli Hospital, Nuwakot 649 828 1154 967 1729 1717 447 573 3979 4085
District Hospital, Rasuwa 102 74 70 84 229 438 27 46 428 642
District Hospital, Dhading 1921 1460 1449 1520 3048 3168 834 790 7252 6938
Hetauda Hospital, Makwanpur 1466 2170 2380 2719 5366 4746 1255 841 10467 10476
Bharatpur Hospital, Chitawan 1555 1521 2385 2744 8736 9935 4376 4540 17052 18740
Methinkot Hospital, Kavre 86 140 93 110 389 351 64 105 632 706
Central Jail Hospital, Kathmandu 2 4 3 85 122 2 24 91 151
Civil Services Hospital, Kathmandu 183 293 397 383 1979 1792 679 541 3238 3009
APF Hospital, Kathmandu 25 42 63 100 483 732 128 198 699 1072
Baghauda Hosptial, Chitawan 140 127 140 108 282 258 98 95 660 588
Bakulahar Hospital, Chitawan 73 77 120 84 473 271 196 194 862 626
Western Regional Hospital, Pokhara 3927 2490 3240 2320 15636 6257 4446 3550 27249 14617
Dhaulagiri Zonal Hospital, Baglung 1454 731 573 805 1926 1945 466 589 4419 4070
 Emergency Services
Hospital Name 0 - 9 Years 10 - 19 Years 20 - 59 Years ≥ 60 Years Total
Female Male Female Male Female Male Female Male Female Male
District Hospital, Gorkha 1013 663 626 654 1831 1710 665 612 4135 3639
District Hospital, Tanahu 449 290 507 527 1732 1125 365 304 3053 2246
District Hospital, Syangja 715 461 507 575 1964 1756 574 471 3760 3263
District Hospital, Manang 39 25 9 21 88 169 19 25 155 240
District Hospital, Mustang 165 163 116 155 304 518 55 73 640 909
District Hospital, Myagdi 943 535 626 660 1659 1444 525 504 3753 3143
District Hospital, Parbat 255 213 306 302 957 853 287 315 1805 1683
Lamjung Community Hospital, Lamjung 693 787 1051 1132 1559 1630 756 997 4059 4546
Chisapani Hospital, Nawalparasi 15 12 17 18 42 68 12 12 86 110
Bandipur Hospital, Tanahu 191 279 160 196 444 395 108 109 903 979
Bataulechaur Hospital, Kaski 142 216 135 132 580 311 125 82 982 741
Rapti Sub Regional Hospital, Dang 3463 2209 3247 2465 10159 5603 1335 1696 18204 11973
Lumbini Zonal Hospital, Rupandehi 3517 1927 3622 2932 21136 9547 2619 2773 30894 17179
Rapti Zonal Hospital, Dang 372 314 614 515 1885 1903 566 597 3437 3329
Bheri Zonal Hospital, Banke 244 356 307 413 1212 1592 275 380 2038 2741
Tamghas Hospital, Gulmi 515 503 595 494 1434 1111 520 474 3064 2582
District Hospital, Palpa 88 42 65 167 223 465 106 166 482 840
Prithvi Chandra Hospital, Nawalparasi 201 164 640 779 2248 2344 292 346 3381 3633
Prithvi Bir Hospital, Kapilbastu 571 373 571 270 2475 1498 651 862 4268 3003
District Hospital, Arghakhanchi 655 563 461 356 1296 861 498 438 2910 2218
District Hospital, Pyuthan 767 754 532 405 1417 1018 509 407 3225 2584
District Hospital, Rolpa 397 323 329 226 1170 656 135 145 2031 1350
District Hospital, Bardiya 506 450 555 413 1255 1110 393 432 2709 2405
Rampur Hospital, Palpa 77 66 117 74 276 173 87 79 557 392
Bhim Hospital, Rupandehi 313 509 839 1476 2821 5882 444 569 4417 8436
Shivraj Hospital, Bahadurganj, Kapilbastu 219 253 198 206 454 493 171 196 1042 1148
Pipara Hospital, Kapilbastu 32 24 67 47 106 62 20 12 225 145
MWR Police Hospital, Banke 159 68 129 213 367 1267 43 38 698 1586
Karnali Academy Of Health Science, Jumla 349 235 265 252 839 717 217 216 1670 1420
Mid Western Regional Hospital, Surkhet 599 260 304 410 1055 1195 320 432 2278 2297
District Hospital, Rukum 112 80 67 53 195 119 26 30 400 282
District Hospital, Salyan 177 129 202 155 543 425 185 195 1107 904
District Hospital, Dailekh 408 282 295 313 894 859 226 228 1823 1682
District Hospital, Jagarkot 343 291 247 197 504 463 68 86 1162 1037
District Hospital, Dolpa 217 221 195 229 238 276 298 174 948 900
District Hospital, Kalikot 361 205 193 265 589 532 113 140 1256 1142
District Hospital, Mugu 122 101 146 160 187 191 103 108 558 560
Simikot District Hospital, Humla 227 173 102 87 68 68 43 50 440 378
Mehelkuna Hospital, Surkhet 178 294 245 161 669 332 156 135 1248 922
Dullu Hospital, Dailekh 84 131 117 75 282 186 67 72 550 464
Sub Regional Hospital, Dadeldhura 438 548 871 715 1798 1347 638 584 3745 3194
Seti Zonal Hospital, Kailali 5269 2382 2116 2757 7976 7726 1731 2209 17092 15074
Malakheti Hospital, Kailali 26 17 14 11 49 35 44 34 133 97
District Hospital, Bajura 316 227 284 335 531 480 163 224 1294 1266
District Hospital, Bajhang 438 280 426 439 1018 743 184 182 2066 1644
District Hospital, Achham 381 212 265 200 720 437 127 118 1493 967
District Hospital, Doti 257 272 379 335 742 562 268 230 1646 1399
District Hospital, Baitadi 215 123 139 146 434 422 86 99 874 790
District Hospital, Darchula 422 454 405 366 772 688 140 158 1739 1666
Tikapur Hospital, Kailali 1517 1500 2389 2436 2650 2758 2010 2105 8566 8799
Mahakali Zonal Hospital, Kanchanpur 2639 2781 2596 2604 3533 3288 2674 2577 11442 11250
Jogbuda Hospital, Dadeldhura 105 154 121 105 249 172 51 31 526 462
Gokuleshwor Hospital, Darchula 121 196 130 174 396 335 60 85 707 790
Public Hospital Total 126933 90345 74580 81234 267828 219077 62680 64982 532021 455638
Non-Public Hospital Total 19492 110963 63228 70630 190344 180639 73143 69666 346207 431898
Total 146425 201308 137808 151864 458172 399716 135823 134648 878228 887536
Public Hospital % 87 45 54 53 58 55 46 48 61 51
Non-Public Hospital % 13 55 46 47 42 45 54 52 39 49
 Raw Data: HOSPITAL (Sheet 3 of 19)

Diagnostic Services

Electro Encephalo

Tomographic (CT)

Nuclear Medicine
Electrocardiogra
Echocardiogram
Ultrasonogram

Imaging (MRI)

Colonoscopy
Gram (EEG)

Resonance

Endoscopy
Computed
Trademill

Magnetic
m (ECG)
(Echo)
(USG)
X-ray

Scan
Hospital Name

Mechi Zonal Hospital, Jhapa 7150 6333 0 2475 0 0 0 0 0 0 0

Koshi Zonal Hospital, Morang 62356 17970 8232 16509 380 0 7168 1828 3803 688 1549
District Hospital, Taplejung 3271 1905 449 912 0 0 0 0 404 44 0
District Hospital, Panchthar 39393 14593 1 112 263 0 1341 0 0 0 0
District Hospital, Ilam 7347 3781 0 832 0 0 0 0 0 0 0
District Hospital, Sunsari 2748 54324 0 696 54 0 0 0 0 0 0
District Hospital, Dhankuta 0 0 0 0 226 0 0 0 0 0 0
District Hospital, Terhathum 35808 592 37392 34818 0 0 0 0 0 0 0
District Hospital, Sankhuwasabha 42524 2288 0 1445 0 0 2960 0 0 0 0
District Hospital, Bhojpur 662376 14596 1833 9664 0 0 2942 0 1427 186 455
District Hospital, Solukhumbu 10108 2320 0 774 0 0 574 0 0 0 0
Rumjatar Hospital, Okhaldhunga 15239 11720 259 3860 0 0 647 0 171 0 0
District Hospital, Khotang 11825 8874 0 1797 0 0 0 0 0 0 0
District Hospital, Udayapur 6190 4772 218 1344 0 0 0 0 0 0 0
Rangeli Hospital, Morang 15608 8880 0 3370 0 0 0 0 0 0 0
Mangalbare Hospital, Morang 9817 1352 0 756 0 0 1412 0 27 0 0
Katari Hospital, Udayapur 43893 27524 0 9929 0 0 1604 0 651 0 0
Narayani Sub Regional Hospital, Parsa 33826 18542 0 6710 1002 0 0 0 0 0 0
Janakpur Zonal Hospital 11213 9763 0 449 0 0 0 0 0 0 0
Sagarmatha Zonal Hospial, Saptari 10312 7108 0 3700 0 0 0 0 0 0 0
District Hospital, Rautahat 10735 7958 711 1449 0 0 0 0 54 0 0
District Hospital, Siraha 222 0 0 21 16 0 0 0 0 0 0
Malangawa District Hospital, Sarlahi 35090 7697 0 4608 0 0 520 0 420 0 0
Kalaiya District Hospital, Bara 18547 9539 121 4286 0 0 0 0 153 0 0
Bharadah Hospital, Saptari 9634 5147 0 670 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 463508 344 0 508 52 0 0 0 0 0 0
Bardibas Hospital, Mahottari 21556 7908 0 4263 0 0 0 0 307 0 0
Chandranigahapur Hosptial, Rautahat 47223 36755 1732 14357 0 0 2138 7464 1359 75 0
Pokhariya Hospital, Parsa 2860 3207 0 235 0 0 0 0 0 0 0
Mental Hospital, Lalitpur 1412 97 0 0 0 0 0 0 0 0 0
Bhaktapur Hospital, Bhaktapur 785 0 0 49 0 0 0 0 0 0 0
Bir Hospital, Kathmandu 2207 1627 0 61 0 0 0 0 0 0 0
Kanti Children Hospital, Kathmandu 2127 2620 0 268 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 1950 2249 0 78 0 0 0 0 0 0 0
Sukraraj Tropical Hospital,Kathmandu 3510 4792 0 72 2 0 0 0 0 0 0
Human Organ Transplant Center 2303 1902 8 49 13 0 0 0 0 0 0
National Gangalal Heart Center, Kathmandu 2969 4229 0 219 0 0 0 0 0 0 0
National Trauma Center, Kathmandu 1971 654 0 0 0 0 0 0 0 0 0
Patan Hospital, Lalitpur 4407 2559 0 792 0 0 0 0 0 0 0
District Hospital, Sindhuli 3321 3817 0 229 0 0 0 0 0 0 0
District Hospital, Ramechhap 8554 3325 0 987 0 0 0 0 0 0 0
Jiri District Hospital, Dolakha 4869 3577 0 613 36 0 0 0 0 0 0
District Hospital, Sindhupalchok 557 547 0 63 0 0 0 0 0 0 0
District Trisuli Hospital, Nuwakot 1909 2271 0 9 0 0 0 0 0 0 0
District Hospital, Rasuwa 6068 1104 0 455 0 0 0 0 0 0 0
District Hospital, Dhading 2919 2379 0 1255 0 0 0 0 0 0 0
Hetauda Hospital, Makwanpur 1001 552 0 5 0 0 0 0 0 0 0
Bharatpur Hospital, Chitawan 2428 3080 0 464 0 0 0 0 0 0 0
Methinkot Hospital, Kavre 4021 1197 0 686 0 0 0 0 0 0 0
Central Jail Hospital, Kathmandu 120 64 1 12 1 0 0 0 0 0 0
Civil Services Hospital, Kathmandu 1162 1686 0 19 0 0 0 0 0 0 0
APF Hospital, Kathmandu 4854 1360 20 395 0 0 0 0 0 0 0
Baghauda Hosptial, Chitawan 4702 5093 0 165 0 0 0 0 0 0 0
Bakulahar Hospital, Chitawan 6237 1250 0 481 0 0 0 0 0 0 0
Western Regional Hospital, Pokhara 1232 41 0 358 0 0 0 0 0 0 0
Dhaulagiri Zonal Hospital, Baglung 3066 1811 0 44 0 0 0 0 0 0 0
 Electro Encephalo

Tomographic (CT)

Nuclear Medicine
Electrocardiogra
Echocardiogram
Ultrasonogram

Imaging (MRI)

Colonoscopy
Gram (EEG)

Resonance

Endoscopy
Computed
Trademill

Magnetic
m (ECG)
(Echo)
(USG)
X-ray

Scan
Hospital Name

District Hospital, Gorkha 1594 1017 0 23 0 0 0 0 0 0 0

District Hospital, Tanahu 1772 2984 0 399 0 0 0 0 0 0 0
District Hospital, Syangja 5073 3428 78 771 0 0 0 0 0 0 0
District Hospital, Manang 5628 1965 0 422 0 0 0 0 0 0 0
District Hospital, Mustang 1964 1128 0 152 0 0 0 0 0 0 0
District Hospital, Myagdi 1317 1290 0 150 0 0 0 0 0 0 0
District Hospital, Parbat 2202 462 0 329 0 0 0 0 0 0 0
Lamjung Community Hospital, Lamjung 3218 2432 0 374 0 0 0 0 0 0 0
Chisapani Hospital, Nawalparasi 2897 2191 0 511 0 0 0 0 0 0 0
Bandipur Hospital, Tanahu 1617 870 0 74 0 0 0 0 0 0 0
Bataulechaur Hospital, Kaski 5165 1488 0 659 0 0 0 0 0 0 0
Rapti Sub Regional Hospital, Dang 3632 4050 0 185 0 0 0 0 0 0 0
Lumbini Zonal Hospital, Rupandehi 2782 0 0 0 0 0 0 0 0 0 0
Rapti Zonal Hospital, Dang 7191 1977 0 384 0 0 0 0 0 0 0
Bheri Zonal Hospital, Banke 2526 0 0 0 0 0 0 0 0 0 0
Tamghas Hospital, Gulmi 583 533 0 100 0 0 0 0 0 0 0
District Hospital, Palpa 5413 3306 0 647 7 0 0 0 0 0 0
Prithvi Chandra Hospital, Nawalparasi 3809 2651 0 454 0 0 0 0 0 0 0
Prithvi Bir Hospital, Kapilbastu 2791 3477 0 137 0 0 0 0 0 0 0
District Hospital, Arghakhanchi 3602 3257 6 88 0 0 0 0 0 0 0
District Hospital, Pyuthan 574 266 0 44 22 0 0 0 0 0 0
District Hospital, Rolpa 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bardiya 4823 3464 0 389 0 0 0 0 0 0 0
Rampur Hospital, Palpa 9757 3662 0 2297 0 0 173 0 66 0 0
Bhim Hospital, Rupandehi 0 0 0 0 0 0 0 0 0 0 0
Shivraj Hospital, Bahadurganj, Kapilbastu 4972 2200 0 330 17 0 0 0 0 0 0
Pipara Hospital, Kapilbastu 922 313 0 302 0 0 0 0 0 0 0
MWR Police Hospital, Banke 1232 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 871 0 0 0 0 0 0 0 0 0 0
Mid Western Regional Hospital, Surkhet 48312 51128 2795 7793 157 0 0 0 1088 91 0
District Hospital, Rukum 4038 0 0 46 0 0 0 0 0 0 0
District Hospital, Salyan 1949 124 0 2 0 0 0 0 0 0 0
District Hospital, Dailekh 2017 0 0 15 0 0 0 0 0 0 0
District Hospital, Jagarkot 0 0 0 17 0 0 0 0 0 0 0
District Hospital, Dolpa 20724 13946 929 10069 70 0 1760 542 1453 168 0
District Hospital, Kalikot 1003 1625 0 31 0 0 0 0 0 0 0
District Hospital, Mugu 1724 1202 0 83 0 0 0 0 0 0 0
Simikot District Hospital, Humla 2897 1830 0 300 0 0 0 0 32 0 0
Mehelkuna Hospital, Surkhet 1106 0 0 9 18 0 0 0 0 0 0
Dullu Hospital, Dailekh 1526 1070 0 209 0 0 0 0 0 0 0
Sub Regional Hospital, Dadeldhura 10430 7354 0 589 0 0 0 0 24 0 0
Seti Zonal Hospital, Kailali 288 566 0 30 0 0 0 0 0 0 0
Malakheti Hospital, Kailali 1030 2860 0 52 8 0 0 0 0 0 0
District Hospital, Bajura 332 1043 0 157 0 0 0 0 0 0 0
District Hospital, Bajhang 2115 2107 0 199 0 0 0 0 0 0 0
District Hospital, Achham 603 0 0 0 0 0 0 0 0 0 0
District Hospital, Doti 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Baitadi 1179 0 0 0 0 0 0 0 0 0 0
District Hospital, Darchula 5786 0 0 318 0 0 0 0 0 0 0
Tikapur Hospital, Kailali 2095 816 0 91 0 0 0 0 0 0 0
Mahakali Zonal Hospital, Kanchanpur 2280 189 162 998 0 0 0 0 0 0 0
Jogbuda Hospital, Dadeldhura 0 40 0 58 0 0 0 0 0 0 0
Gokuleshwor Hospital, Darchula 7220 7253 0 244 26 0 0 0 0 0 0
Public Hospital Total 1927621 491239 54947 168908 2370 0 23239 9834 11439 1252 2004
Non-Public Hospital Total 2079322 1074476 128654 23996 545794 24502 132524 35378 90851 9657 3750
Total 4006943 1565715 183601 192904 548164 24502 155763 45212 1E+05 10909 5754
Public Hospital % 48 31 30 88 0 0 15 22 11 11 35
Non-Public Hospital % 52 69 70 12 100 100 85 78 89 89 65
 Raw Data: HOSPITAL (Sheet 4 of 19)

Free Service Received by Ultra Poor

Heart Kidney Free Dialiasis Cancer Spinal and Alzheimer/ Total

Female

Female

Female

Female

Female

Female

Female
Hospital Name

Male

Male

Male

Male

Male

Male

Male
Mechi Zonal Hospital, Jhapa 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Koshi Zonal Hospital, Morang 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Taplejung 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Panchthar 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Ilam 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Sunsari 23 25 13 23 22 20 32 22 0 2 1 0 91 92

District Hospital, Dhankuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Terhathum 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Sankhuwasabha 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Bhojpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Solukhumbu 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rumjatar Hospital, Okhaldhunga 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Khotang 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Narayani Sub Regional Hospital, Parsa 0 0 0 0 67 143 0 0 0 0 0 0 67 143

Janakpur Zonal Hospital 0 0 8 18 0 0 0 0 0 0 0 0 8 18

Sagarmatha Zonal Hospial, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Siraha 8 6 9 7 4 6 8 7 0 0 0 0 29 26

Malangawa District Hospital, Sarlahi 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kalaiya District Hospital, Bara 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ram Uma Smarak Hospital, Lahan, Siraha 0 0 1 0 0 0 0 0 0 0 0 0 1 0

Bardibas Hospital, Mahottari 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mental Hospital, Lalitpur 0 0 0 0 0 0 0 0 0 0 3 2 3 2

Bir Hospital, Kathmandu 0 0 37 53 27 67 688 674 0 0 0 0 752 794

Maternity Hospital, Kathmandu 0 0 0 0 0 0 38 0 0 0 0 0 38 0

Human Organ Transplant Center 0 0 0 0 834 1332 0 0 0 0 0 0 834 1332

National Gangalal Heart Center, Kathmandu 329 548 0 0 0 0 0 0 0 0 0 0 329 548

National Trauma Center, Kathmandu 0 0 0 0 0 0 0 0 13 34 0 0 13 34

District Hospital, Sindhuli 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Ramechhap 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Jiri District Hospital, Dolakha 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Sindhupalchok 45 50 17 23 18 14 51 53 4 1 15 18 150 159

District Trisuli Hospital, Nuwakot 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Rasuwa 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Dhading 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hetauda Hospital, Makwanpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bharatpur Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Civil Services Hospital, Kathmandu 0 0 0 0 0 0 375 465 0 0 0 0 375 465

Baghauda Hosptial, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bakulahar Hospital, Chitawan 0 0 126 160 0 0 0 0 0 0 0 0 126 160

Western Regional Hospital, Pokhara 0 0 166 280 11 33 0 0 0 0 0 0 177 313

Dhaulagiri Zonal Hospital, Baglung 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Gorkha 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Tanahu 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Syangja 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Manang 0 0 0 0 0 0 0 0 0 0 0 0 0 0

 Heart Kidney Free Dialiasis Cancer Spinal and Alzheimer/ Total

Female

Female

Female

Female

Female

Female

Female
Hospital Name

Male

Male

Male

Male

Male

Male

Male
District Hospital, Mustang 0 0 0 0 0 0 1 0 0 0 0 0 1 0

District Hospital, Myagdi 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Parbat 24 33 12 12 0 0 35 30 1 0 0 0 72 75

Lamjung Community Hospital, Lamjung 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bataulechaur Hospital, Kaski 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rapti Sub Regional Hospital, Dang 0 0 0 0 25 173 0 0 0 0 0 0 25 173

Lumbini Zonal Hospital, Rupandehi 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rapti Zonal Hospital, Dang 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bheri Zonal Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tamghas Hospital, Gulmi 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Palpa 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Prithvi Chandra Hospital, Nawalparasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Prithvi Bir Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Arghakhanchi 17 36 10 22 10 3 36 26 1 1 0 0 74 88

District Hospital, Pyuthan 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Rolpa 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Bardiya 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rampur Hospital, Palpa 1 4 0 0 0 0 0 0 1 1 0 0 2 5

Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MWR Police Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Karnali Academy Of Health Science, Jumla 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mid Western Regional Hospital, Surkhet 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Rukum 8 8 4 6 5 0 12 7 0 1 0 0 29 22

District Hospital, Salyan 0 0 0 0 0 0 4 0 0 0 0 0 4 0

District Hospital, Dailekh 7 11 1 8 8 12 5 3 0 0 0 0 21 34

District Hospital, Jagarkot 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Dolpa 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Kalikot 3 5 0 4 0 0 13 12 0 2 0 0 16 23

District Hospital, Mugu 2 3 1 0 0 0 3 2 0 0 0 0 6 5

Simikot District Hospital, Humla 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mehelkuna Hospital, Surkhet 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sub Regional Hospital, Dadeldhura 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Seti Zonal Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Bajura 0 4 0 1 0 0 1 0 0 0 0 0 1 5

District Hospital, Bajhang 0 1 0 0 0 0 1 0 0 0 0 0 1 1

District Hospital, Achham 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Doti 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Baitadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0

District Hospital, Darchula 2 5 2 3 0 0 7 6 0 0 0 0 11 14

Mahakali Zonal Hospital, Kanchanpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Jogbuda Hospital, Dadeldhura 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gokuleshwor Hospital, Darchula 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Public Hospital Total 469 739 370 567 170 404 622 633 20 42 19 20 1670 2405

Non-Public Hospital Total 1649 1757 1107 2422 3997 6341 1586 1223 64 95 253 208
8656 12046

Total 2118 2496 1477 2989 4167 6745 2208 1856 84 137 272 228 10326 14451
 Raw Data: HOSPITAL (Sheet 5 of 19)

<28 days
Dead within Dead after 48
Recovered Not Improved Referral Lama Absconded Total
Hospital Name 48 hrs hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
BPKIHS, Dharan, Sunsari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mechi Zonal Hospital, Jhapa 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
Koshi Zonal Hospital, Morang 5096 5902 8 8 29 62 93 114 1 2 10 11 20 29 5257 6128 11385
District Hospital, Taplejung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Panchthar 354 713 0 0 2 2 13 16 1 0 0 1 30 56 400 788 1188
District Hospital, Ilam 22 28 0 0 0 0 0 0 0 0 0 0 0 0 22 28 50
District Hospital, Sunsari 478 202 0 0 0 0 0 0 0 0 0 0 0 0 478 202 680
District Hospital, Dhankuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Terhathum 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
District Hospital, Sankhuwasabha 1 3 0 0 0 0 0 0 0 0 0 0 1 1 2 4 6
District Hospital, Bhojpur 179 412 0 0 13 34 22 24 5 7 15 37 1 8 235 522 757
District Hospital, Solukhumbu 4 6 0 0 0 2 0 1 0 0 0 0 0 0 4 9 13
Rumjatar Hospital, Okhaldhunga 7 9 0 0 2 3 0 0 0 0 0 0 0 0 9 12 21
District Hospital, Khotang 16 41 0 0 7 13 1 1 2 0 0 0 0 0 26 55 81
District Hospital, Udayapur 220 304 0 0 3 8 6 4 2 1 3 1 1 1 235 319 554
Rangeli Hospital, Morang 150 200 0 0 3 5 0 0 5 2 10 11 2 10 170 228 398
Mangalbare Hospital, Morang 22 24 0 0 8 10 7 17 0 0 1 1 0 0 38 52 90
Katari Hospital, Udayapur 98 160 0 0 23 26 11 10 0 0 0 3 0 0 132 199 331
Sagarmatha Zonal Hospial, Saptari 1726 1915 0 0 2 15 2 8 3 2 3 4 1 0 1737 1944 3681
District Hospital, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Siraha 157 193 0 0 59 79 6 7 4 0 1 2 0 0 227 281 508
Malangawa District Hospital, Sarlahi 10 20 0 0 0 3 2 3 1 0 0 0 0 0 13 26 39
Kalaiya District Hospital, Bara 24 40 0 0 1 4 0 0 8 13 0 0 0 0 33 57 90
Bharadah Hospital, Saptari 338 469 0 0 6 9 1 0 15 7 21 26 2 6 383 517 900
Ram Uma Smarak Hospital, Lahan, Siraha 486 675 0 0 8 10 10 18 0 0 20 28 19 39 543 770 1313
District Hospital Mahottari 64 93 0 0 7 10 0 0 0 0 0 0 0 0 71 103 174
Bardibas Hospital, Mahottari 12 5 0 0 0 1 0 0 0 0 0 0 0 0 12 6 18
Chandranigahapur Hosptial, Rautahat 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6
Pokhariya Hospital, Parsa 1 0 0 0 0 0 1 0 0 0 1 0 0 0 3 0 3
Mental Hospital, Lalitpur 5 23 0 0 2 0 0 1 0 0 1 1 0 0 8 25 33
Bhaktapur Hospital, Bhaktapur 8 14 0 0 1 6 0 1 0 0 1 0 0 0 10 21 31
Bir Hospital, Kathmandu 4 10 0 0 4 6 0 0 0 0 3 2 0 0 11 18 29
Kanti Children Hospital, Kathmandu 10 20 0 0 0 1 0 1 1 1 1 4 0 3 12 30 42
Maternity Hospital, Kathmandu 3 6 0 0 0 1 0 0 0 0 0 0 1 1 4 8 12
Human Organ Transplant Center 26 36 0 0 0 1 2 0 0 2 0 0 0 0 28 39 67
National Trauma Center, Kathmandu 2 5 0 0 4 1 0 0 0 0 4 2 0 0 10 8 18
Patan Hospital, Lalitpur 15 12 0 0 5 5 2 4 0 1 0 1 0 0 22 23 45
District Hospital, Sindhuli 8 13 0 0 0 2 0 0 0 0 0 0 0 1 8 16 24
District Hospital, Ramechhap 16 16 0 0 2 2 0 0 0 0 0 0 0 0 18 18 36
Jiri District Hospital, Dolakha 3 2 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5
District Hospital, Sindhupalchok 9 4 0 0 1 0 0 0 0 0 0 0 0 0 10 4 14
District Trisuli Hospital, Nuwakot 3 6 0 0 1 1 1 0 0 0 0 1 0 1 5 9 14
District Hospital, Rasuwa 32 43 0 0 10 5 2 2 0 0 1 0 0 0 45 50 95
District Hospital, Dhading 10 8 0 0 3 7 1 0 0 0 0 0 0 0 14 15 29
Hetauda Hospital, Makwanpur 3 12 0 0 3 1 0 0 0 0 0 0 0 0 6 13 19
Bharatpur Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Methinkot Hospital, Kavre 12 17 0 0 1 0 1 0 0 0 0 0 0 0 14 17 31
Central Jail Hospital, Kathmandu 28 36 0 0 8 8 0 0 0 0 3 0 0 0 39 44 83
APF Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Baghauda Hosptial, Chitawan 0 4 0 0 1 1 0 0 0 0 1 1 0 0 2 6 8
Bakulahar Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Western Regional Hospital, Pokhara 30 35 0 0 9 15 0 0 0 0 2 0 0 1 41 51 92
Dhaulagiri Zonal Hospital, Baglung 13 16 0 0 5 4 0 1 0 0 2 0 0 0 20 21 41
District Hospital, Gorkha 40 32 0 0 0 0 1 0 0 0 1 1 1 0 43 33 76
District Hospital, Tanahu 16 11 0 0 4 3 0 1 0 0 1 0 0 0 21 15 36
 <28 days
Dead within Dead after 48
Recovered Not Improved Referral Lama Absconded Total
Hospital Name 48 hrs hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
District Hospital, Syangja 11 8 0 0 5 2 1 0 0 0 0 0 1 1 18 11 29
District Hospital, Manang 46 44 0 0 11 6 1 2 1 1 6 5 0 0 65 58 123
District Hospital, Mustang 10 5 0 0 3 0 0 0 0 0 0 0 0 0 13 5 18
District Hospital, Myagdi 7 8 0 0 2 0 3 0 0 0 0 0 0 0 12 8 20
District Hospital, Parbat 1 5 0 0 0 0 0 0 0 0 0 0 0 0 1 5 6
Lamjung Community Hospital, Lamjung 12 11 0 0 0 3 1 0 0 0 0 1 0 0 13 15 28
Bandipur Hospital, Tanahu 9 10 0 0 1 2 1 3 0 0 0 0 0 0 11 15 26
Bataulechaur Hospital, Kaski 3 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 4
Rapti Sub Regional Hospital, Dang 8 15 0 0 1 2 0 0 0 0 0 0 0 0 9 17 26
Lumbini Zonal Hospital, Rupandehi 16 12 0 0 0 0 0 1 0 0 0 1 0 1 16 15 31
Rapti Zonal Hospital, Dang 6 14 0 0 12 11 0 1 0 0 0 0 0 0 18 26 44
Bheri Zonal Hospital, Banke 8 21 0 0 2 2 0 0 0 0 0 0 0 0 10 23 33
Tamghas Hospital, Gulmi 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1
District Hospital, Palpa 2 4 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6
Prithvi Chandra Hospital, Nawalparasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prithvi Bir Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Arghakhanchi 428 425 0 0 0 7 1 0 0 0 0 0 0 0 429 432 861
District Hospital, Pyuthan 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 2 3
District Hospital, Rolpa 1 7 0 0 2 3 0 1 1 0 2 0 1 0 7 11 18
District Hospital, Bardiya 3 9 0 0 0 0 0 0 0 0 0 0 0 0 3 9 12
Rampur Hospital, Palpa 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 2 3
Bhim Hospital, Rupandehi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Shivraj Hospital, Bahadurganj, Kapilbastu 7 9 0 0 0 7 0 0 0 0 0 0 0 0 7 16 23
Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MWR Police Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Mid Western Regional Hospital, Surkhet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Rukum 23 17 0 0 0 0 0 0 0 0 0 0 0 0 23 17 40
District Hospital, Salyan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Dailekh 418 454 0 0 19 19 18 18 15 16 5 6 2 2 477 515 992
District Hospital, Jagarkot 13 8 0 0 1 1 2 0 0 0 1 2 0 0 17 11 28
District Hospital, Dolpa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Kalikot 20 23 2 2 3 3 0 1 0 0 0 0 0 0 25 29 54
District Hospital, Mugu 2 1 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3
Simikot District Hospital, Humla 2 4 0 0 0 1 0 0 0 0 0 0 0 0 2 5 7
Mehelkuna Hospital, Surkhet 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
Dullu Hospital, Dailekh 2 2 0 0 0 2 0 0 0 0 0 0 0 0 2 4 6
Sub Regional Hospital, Dadeldhura 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Seti Zonal Hospital, Kailali 56 59 0 0 11 10 1 3 1 0 0 0 0 0 69 72 141
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajhang 14 12 0 0 0 0 0 0 0 0 0 0 0 0 14 12 26
District Hospital, Achham 8 11 0 0 3 0 0 0 0 0 0 0 0 0 11 11 22
District Hospital, Doti 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
District Hospital, Baitadi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Darchula 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tikapur Hospital, Kailali 19 23 0 0 1 1 2 2 2 2 0 0 0 0 24 28 52
Mahakali Zonal Hospital, Kanchanpur 3 0 0 0 6 0 0 0 0 0 0 0 0 0 9 0 9
Jogbuda Hospital, Dadeldhura 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Gokuleshwor Hospital, Darchula 5 3 0 0 0 0 0 1 0 0 2 0 0 0 7 4 11
Public Hospital Total 10926 13036 10 10 321 449 216 269 68 57 122 153 83 161 11746 14135 25881
Non-Public Hospital Total 8955 11222 243 330 172 249 467 721 16 17 123 235 67 153 10043 12927 22970
Total 19881 24258 253 340 493 698 683 990 84 74 245 388 150 314 21789 27062 48851
Public Hospital % 55 54 4 3 65 64 32 27 81 77 50 39 55 51 54 52 53
Non-Public Hospital % 45 46 96 97 35 36 68 73 19 23 50 61 45 49 46 48 47
 Raw Data: HOSPITAL (Sheet 6 of 19)

29 days - <1 Yrs

Recovered Not Referral Lama Absconded Dead within Dead after Total
Hospital Name All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

BPKIHS, Dharan, Sunsari 258 527 0 1 9 8 12 22 1 1 2 3 0 12 282 574 856

Mechi Zonal Hospital, Jhapa 156 205 0 0 8 11 15 6 2 0 0 0 1 0 182 222 404
Koshi Zonal Hospital, Morang 261 455 0 0 4 8 2 5 6 6 0 0 0 1 273 475 748
District Hospital, Taplejung 43 55 0 0 2 1 0 0 0 0 0 1 0 0 45 57 102
District Hospital, Panchthar 83 110 0 0 4 5 1 0 1 1 0 1 0 0 89 117 206
District Hospital, Ilam 25 21 0 0 2 3 1 2 1 1 0 0 0 0 29 27 56
District Hospital, Sunsari 44 75 0 0 2 1 2 4 1 0 0 0 0 0 49 80 129
District Hospital, Dhankuta 20 47 0 0 5 3 0 0 0 0 0 0 0 0 25 50 75
District Hospital, Terhathum 28 39 0 1 4 0 0 0 2 2 0 0 0 0 34 42 76
District Hospital, Sankhuwasabha 52 80 0 0 7 11 1 1 0 0 0 0 0 0 60 92 152
District Hospital, Bhojpur 47 64 0 0 1 5 2 5 0 0 0 0 0 0 50 74 124
District Hospital, Solukhumbu 10 33 0 0 0 4 0 1 0 1 1 0 0 1 11 40 51
Rumjatar Hospital, Okhaldhunga 17 12 0 0 0 0 0 1 0 0 0 0 0 0 17 13 30
District Hospital, Khotang 39 74 0 0 8 2 0 1 0 0 0 0 0 0 47 77 124
District Hospital, Udayapur 0 0 0 0 2 4 0 0 0 0 0 0 0 0 2 4 6
Rangeli Hospital, Morang 10 13 0 0 1 0 0 1 1 0 0 0 0 0 12 14 26
Mangalbare Hospital, Morang 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Katari Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sagarmatha Zonal Hospial, Saptari 35 79 0 0 0 2 0 0 0 5 0 0 0 0 35 86 121
District Hospital, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Siraha 34 39 0 0 4 1 2 0 0 1 0 0 0 0 40 41 81
Malangawa District Hospital, Sarlahi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalaiya District Hospital, Bara 4 10 0 0 0 0 1 0 0 1 1 0 0 0 6 11 17
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 6 12 0 0 0 0 0 3 0 0 0 0 0 0 6 15 21
District Hospital Mahottari 4 7 0 0 0 0 0 0 0 0 0 0 0 0 4 7 11
Bardibas Hospital, Mahottari 26 21 0 0 0 0 0 0 0 0 0 0 0 0 26 21 47
Chandranigahapur Hosptial, Rautahat 28 29 6 6 4 1 0 0 0 0 0 0 0 0 38 36 74
Pokhariya Hospital, Parsa 5 2 0 0 0 0 0 0 0 0 0 0 0 0 5 2 7
Mental Hospital, Lalitpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bhaktapur Hospital, Bhaktapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bir Hospital, Kathmandu 8 15 0 0 0 0 0 1 0 0 0 0 0 0 8 16 24
Kanti Children Hospital, Kathmandu 919 2016 4 10 1 5 27 32 3 3 0 1 18 48 972 2115 3087
Maternity Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Human Organ Transplant Center 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
National Trauma Center, Kathmandu 6 7 0 0 0 0 0 0 0 0 1 0 0 0 7 7 14
Patan Hospital, Lalitpur 20 35 0 0 0 0 0 0 0 0 0 0 0 0 20 35 55
District Hospital, Sindhuli 22 33 0 0 1 1 1 5 0 0 0 0 0 0 24 39 63
District Hospital, Ramechhap 14 16 0 0 3 2 0 0 0 0 0 0 0 0 17 18 35
Jiri District Hospital, Dolakha 15 32 0 0 0 0 0 0 0 0 0 0 0 0 15 32 47
District Hospital, Sindhupalchok 29 27 0 0 0 2 0 1 1 0 0 0 0 0 30 30 60
District Trisuli Hospital, Nuwakot 25 36 0 0 8 4 0 1 1 2 0 0 0 0 34 43 77
District Hospital, Rasuwa 11 9 1 0 0 2 0 0 1 0 0 0 0 0 13 11 24
District Hospital, Dhading 48 57 0 0 4 2 5 5 0 0 0 0 0 0 57 64 121
Hetauda Hospital, Makwanpur 78 107 0 0 5 5 0 2 1 4 0 0 0 0 84 118 202
Bharatpur Hospital, Chitawan 536 595 0 0 15 18 21 19 15 18 2 2 0 0 589 652 1241
Methinkot Hospital, Kavre 0 2 0 0 1 1 0 0 0 0 0 0 0 0 1 3 4
Central Jail Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
APF Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 29 days - <1 Yrs
Recovered Not Referral Lama Absconded Dead within Dead after Total
Hospital Name All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

Baghauda Hosptial, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bakulahar Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Western Regional Hospital, Pokhara 394 667 0 0 7 12 3 8 1 1 2 0 2 1 409 689 1098
Dhaulagiri Zonal Hospital, Baglung 46 68 0 0 0 9 1 0 0 0 0 1 0 0 47 78 125
District Hospital, Gorkha 24 37 0 0 4 1 3 3 0 0 0 1 0 0 31 42 73
District Hospital, Tanahu 2 6 0 0 1 1 0 1 0 0 0 0 0 0 3 8 11
District Hospital, Syangja 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
District Hospital, Manang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Mustang 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2
District Hospital, Myagdi 73 116 0 0 1 5 0 3 0 0 0 0 0 0 74 124 198
District Hospital, Parbat 24 29 1 0 2 6 0 1 0 0 0 0 0 0 27 36 63
Lamjung Community Hospital, Lamjung 61 117 0 0 9 17 4 8 0 1 0 0 0 0 74 143 217
Bandipur Hospital, Tanahu 5 10 0 0 1 1 0 0 0 0 0 0 0 0 6 11 17
Bataulechaur Hospital, Kaski 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Rapti Sub Regional Hospital, Dang 80 133 0 0 9 25 0 1 0 1 0 0 0 0 89 160 249
Lumbini Zonal Hospital, Rupandehi 121 200 4 0 0 4 0 0 3 0 0 1 0 2 128 207 335
Rapti Zonal Hospital, Dang 13 13 0 0 1 2 2 4 0 0 0 0 0 0 16 19 35
Bheri Zonal Hospital, Banke 28 54 0 0 0 2 3 9 3 3 1 2 1 1 36 71 107
Tamghas Hospital, Gulmi 57 77 0 1 1 2 2 9 0 2 0 0 0 0 60 91 151
District Hospital, Palpa 3 0 1 0 2 0 0 0 0 0 0 0 0 0 6 0 6
Prithvi Chandra Hospital, Nawalparasi 2 3 0 0 0 0 0 0 0 0 0 0 0 0 2 3 5
Prithvi Bir Hospital, Kapilbastu 16 21 0 0 2 7 1 2 0 0 0 1 0 0 19 31 50
District Hospital, Arghakhanchi 68 107 0 0 11 15 4 4 0 1 0 0 0 0 83 127 210
District Hospital, Pyuthan 27 38 0 2 5 3 1 3 1 0 0 0 0 0 34 46 80
District Hospital, Rolpa 30 57 0 0 5 6 1 1 0 1 0 0 0 0 36 65 101
District Hospital, Bardiya 38 46 0 0 0 0 1 7 1 0 0 0 0 0 40 53 93
Rampur Hospital, Palpa 11 5 0 0 4 2 0 0 0 0 0 1 0 0 15 8 23
Bhim Hospital, Rupandehi 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3
Shivraj Hospital, Bahadurganj, Kapilbastu 13 21 0 0 0 2 1 1 0 0 0 0 0 0 14 24 38
Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MWR Police Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 39 78 0 0 0 1 2 9 1 0 0 0 0 0 42 88 130
Mid Western Regional Hospital, Surkhet 99 154 0 0 0 2 0 1 0 1 0 0 0 1 99 159 258
District Hospital, Rukum 47 59 0 0 6 10 2 1 0 0 0 0 2 0 57 70 127
District Hospital, Salyan 60 72 0 0 7 7 3 3 1 1 1 2 0 0 72 85 157
District Hospital, Dailekh 29 76 0 0 3 12 6 7 0 3 0 1 0 0 38 99 137
District Hospital, Jagarkot 18 29 0 0 2 3 0 3 0 0 0 0 0 0 20 35 55
District Hospital, Dolpa 24 23 0 0 0 0 0 0 0 0 0 0 0 0 24 23 47
District Hospital, Kalikot 38 81 0 0 1 1 1 2 1 2 0 0 1 0 42 86 128
District Hospital, Mugu 22 34 0 0 3 1 2 5 1 0 0 3 3 0 31 43 74
Simikot District Hospital, Humla 7 24 0 0 1 0 0 0 0 0 0 0 0 0 8 24 32
Mehelkuna Hospital, Surkhet 18 25 0 0 0 2 2 3 0 3 0 0 0 0 20 33 53
Dullu Hospital, Dailekh 3 15 0 0 0 0 0 0 0 0 0 0 0 0 3 15 18
Sub Regional Hospital, Dadeldhura 43 155 0 0 6 14 7 16 0 1 0 0 0 0 56 186 242
Seti Zonal Hospital, Kailali 343 678 0 0 2 7 1 3 8 10 3 1 2 2 359 701 1060
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 29 33 0 0 2 2 0 0 0 0 0 0 0 0 31 35 66
District Hospital, Bajhang 34 87 0 0 1 3 1 6 4 7 1 0 1 5 42 108 150
District Hospital, Achham 48 85 1 0 1 4 3 0 2 1 0 0 0 0 55 90 145
District Hospital, Doti 16 21 0 0 1 2 4 0 0 0 1 0 0 0 22 23 45
 29 days - <1 Yrs
Recovered Not Referral Lama Absconded Dead within Dead after Total
Hospital Name All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

District Hospital, Baitadi 5 15 0 0 0 4 0 0 0 0 0 0 0 0 5 19 24

District Hospital, Darchula 19 26 0 0 0 6 0 0 1 1 0 1 1 0 21 34 55
Tikapur Hospital, Kailali 45 58 0 1 4 4 0 0 0 0 0 0 0 0 49 63 112
Mahakali Zonal Hospital, Kanchanpur 29 51 0 0 11 12 41 37 2 0 0 0 0 1 83 101 184
Jogbuda Hospital, Dadeldhura 21 39 0 0 0 1 2 3 1 0 0 0 0 0 24 43 67
Gokuleshwor Hospital, Darchula 5 9 0 0 1 2 2 0 1 2 0 0 0 0 9 13 22
Public Hospital Total 5148 8751 18 22 222 334 199 282 69 88 16 23 32 75 5704 9575 15279
Non-Public Hospital Total 7767 11581 203 361 182 259 293 491 25 16 51 73 35 77 8556 12858 21414
Total 12915 20332 221 383 404 593 492 773 94 104 67 96 67 152 14260 22433 36693
Public Hospital % 40 43 8 6 55 56 40 36 73 85 24 24 48 49 40 43 42
Non-Public Hospital % 60 57 92 94 45 44 60 64 27 15 76 76 52 51 60 57 58
 Raw Data:HOSPITAL (Sheet 7 of 19)

1 - 4 Yrs
Recovered Not Referral Lama Absconde Dead Dead after Total
Hospital Name All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

BPKIHS, Dharan, Sunsari 344 631 0 1 2 6 11 24 1 1 3 4 2 5 363 672 1035

Mechi Zonal Hospital, Jhapa 140 285 0 2 6 5 8 11 0 2 1 0 0 0 155 305 460
Koshi Zonal Hospital, Morang 228 368 0 0 2 2 1 12 7 3 1 0 2 0 241 385 626
District Hospital, Taplejung 55 65 0 0 1 4 2 0 0 0 0 1 0 0 58 70 128
District Hospital, Panchthar 116 118 0 0 3 1 0 0 2 2 0 0 0 0 121 121 242
District Hospital, Ilam 45 56 0 0 4 5 4 5 0 0 0 0 0 0 53 66 119
District Hospital, Sunsari 61 80 0 0 1 3 2 9 0 1 0 0 0 0 64 93 157
District Hospital, Dhankuta 52 51 0 0 3 1 0 1 0 0 0 0 0 0 55 53 108
District Hospital, Terhathum 57 65 1 2 3 0 0 0 3 4 0 0 0 0 64 71 135
District Hospital, Sankhuwasabha 64 58 0 0 13 19 2 3 0 1 0 0 0 0 79 81 160
District Hospital, Bhojpur 69 104 1 0 9 7 4 5 0 0 2 1 0 0 85 117 202
District Hospital, Solukhumbu 26 42 0 0 1 2 0 0 0 0 1 1 0 0 28 45 73
Rumjatar Hospital, Okhaldhunga 17 42 0 0 0 0 0 0 0 0 0 0 0 0 17 42 59
District Hospital, Khotang 63 62 0 0 4 5 0 1 0 0 0 0 0 0 67 68 135
District Hospital, Udayapur 100 136 0 0 4 13 0 1 1 1 0 0 0 0 105 151 256
Rangeli Hospital, Morang 21 23 0 0 1 0 1 4 0 1 0 0 0 0 23 28 51
Mangalbare Hospital, Morang 3 3 0 0 0 0 1 0 0 0 0 0 0 0 4 3 7
Katari Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sagarmatha Zonal Hospial, Saptari 46 83 0 0 0 0 0 0 1 2 0 0 0 0 47 85 132
District Hospital, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Siraha 35 40 0 0 2 4 1 1 0 0 0 0 0 0 38 45 83
Malangawa District Hospital, Sarlahi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalaiya District Hospital, Bara 4 10 0 0 1 2 3 1 0 0 0 0 0 0 8 13 21
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 23 33 0 0 0 2 2 3 0 2 0 0 0 0 25 40 65
District Hospital Mahottari 5 11 0 0 0 0 0 0 0 0 0 0 0 0 5 11 16
Bardibas Hospital, Mahottari 27 24 0 0 0 0 0 0 0 0 0 0 0 0 27 24 51
Chandranigahapur Hosptial, Rautahat 45 38 7 5 3 3 0 0 0 0 0 0 0 0 55 46 101
Pokhariya Hospital, Parsa 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2
Mental Hospital, Lalitpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bhaktapur Hospital, Bhaktapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bir Hospital, Kathmandu 10 22 1 0 0 0 1 0 0 0 0 0 1 0 13 22 35
Kanti Children Hospital, Kathmandu 416 827 2 3 0 1 8 15 1 1 0 1 4 6 431 854 1285
Maternity Hospital, Kathmandu 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2
Human Organ Transplant Center 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
National Trauma Center, Kathmandu 13 33 0 0 0 0 0 0 0 0 0 0 0 0 13 33 46
Patan Hospital, Lalitpur 67 78 0 4 0 0 0 0 0 0 1 1 0 0 68 83 151
District Hospital, Sindhuli 29 60 0 0 5 3 8 9 0 1 0 0 0 0 42 73 115
District Hospital, Ramechhap 34 44 0 0 2 2 1 0 1 0 0 0 0 0 38 46 84
Jiri District Hospital, Dolakha 42 78 1 0 3 2 0 1 0 0 0 0 0 0 46 81 127
District Hospital, Sindhupalchok 46 43 0 0 3 5 0 0 0 0 0 0 0 0 49 48 97
District Trisuli Hospital, Nuwakot 26 35 0 0 5 7 1 2 0 0 0 1 0 0 32 45 77
District Hospital, Rasuwa 5 8 0 0 0 1 0 0 0 0 0 0 0 0 5 9 14
District Hospital, Dhading 34 62 0 0 1 4 4 5 2 0 0 0 0 0 41 71 112
Hetauda Hospital, Makwanpur 145 209 0 0 4 7 3 2 4 2 0 0 0 0 156 220 376
Bharatpur Hospital, Chitawan 1428 1369 0 0 19 23 19 17 13 17 2 2 1 0 1482 1428 2910
Methinkot Hospital, Kavre 5 1 0 0 2 0 0 0 0 0 0 0 0 0 7 1 8
Central Jail Hospital, Kathmandu 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
APF Hospital, Kathmandu 6 2 0 0 0 0 0 0 0 0 0 0 0 0 6 2 8
 1 - 4 Yrs
Recovered Not Referral Lama Absconde Dead Dead after Total
Hospital Name All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

Baghauda Hosptial, Chitawan 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1

Bakulahar Hospital, Chitawan 1 2 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3
Western Regional Hospital, Pokhara 352 612 1 1 2 12 5 13 0 2 0 0 2 3 362 643 1005
Dhaulagiri Zonal Hospital, Baglung 88 143 0 0 3 8 0 1 0 0 0 0 0 0 91 152 243
District Hospital, Gorkha 24 27 0 0 3 3 1 3 0 0 0 0 0 0 28 33 61
District Hospital, Tanahu 9 11 0 0 3 0 0 0 0 0 0 0 0 0 12 11 23
District Hospital, Syangja 12 20 0 0 1 2 0 0 0 0 0 0 0 0 13 22 35
District Hospital, Manang 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
District Hospital, Mustang 6 7 0 0 0 0 0 0 0 0 0 0 0 0 6 7 13
District Hospital, Myagdi 67 77 0 0 4 10 2 1 0 0 0 0 0 0 73 88 161
District Hospital, Parbat 26 38 0 0 0 1 0 1 0 0 0 0 0 0 26 40 66
Lamjung Community Hospital, Lamjung 140 228 11 0 5 5 8 12 0 1 0 0 0 0 164 246 410
Bandipur Hospital, Tanahu 11 14 0 0 2 0 0 1 0 0 0 0 0 0 13 15 28
Bataulechaur Hospital, Kaski 7 9 0 0 0 0 0 0 0 0 0 0 0 0 7 9 16
Rapti Sub Regional Hospital, Dang 84 158 0 0 10 10 0 2 0 0 0 0 0 0 94 170 264
Lumbini Zonal Hospital, Rupandehi 100 130 1 1 2 3 1 0 0 0 0 1 0 0 104 135 239
Rapti Zonal Hospital, Dang 13 25 0 0 0 1 1 4 1 0 0 0 0 0 15 30 45
Bheri Zonal Hospital, Banke 87 133 0 0 6 8 3 6 5 15 3 1 1 1 105 164 269
Tamghas Hospital, Gulmi 51 113 0 1 0 3 7 5 0 0 0 0 0 0 58 122 180
District Hospital, Palpa 5 8 0 0 0 0 0 0 0 0 0 0 0 0 5 8 13
Prithvi Chandra Hospital, Nawalparasi 8 16 0 0 0 0 0 0 0 0 0 0 0 0 8 16 24
Prithvi Bir Hospital, Kapilbastu 23 50 0 0 3 2 1 2 0 1 0 0 0 0 27 55 82
District Hospital, Arghakhanchi 108 147 0 0 7 10 0 6 1 2 0 0 0 0 116 165 281
District Hospital, Pyuthan 40 46 1 1 3 3 2 2 0 2 0 0 0 0 46 54 100
District Hospital, Rolpa 62 66 0 0 6 2 5 2 2 1 0 0 0 0 75 71 146
District Hospital, Bardiya 16 42 0 0 0 0 1 2 1 0 0 0 0 0 18 44 62
Rampur Hospital, Palpa 15 18 0 0 3 6 1 0 0 0 0 0 0 0 19 24 43
Bhim Hospital, Rupandehi 12 14 0 0 1 2 3 0 0 0 0 0 0 0 16 16 32
Shivraj Hospital, Bahadurganj, Kapilbastu 11 7 0 1 0 0 0 0 0 0 0 0 0 1 11 9 20
Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MWR Police Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 84 96 0 0 1 3 4 9 0 0 0 1 1 0 90 109 199
Mid Western Regional Hospital, Surkhet 75 146 0 0 1 2 1 4 0 0 0 0 1 0 78 152 230
District Hospital, Rukum 53 35 0 0 6 9 0 1 0 0 0 0 1 0 60 45 105
District Hospital, Salyan 76 69 0 0 5 5 3 3 0 0 0 0 0 0 84 77 161
District Hospital, Dailekh 57 82 0 0 4 8 3 9 1 3 0 0 0 0 65 102 167
District Hospital, Jagarkot 35 53 0 0 2 4 0 1 0 0 0 0 0 0 37 58 95
District Hospital, Dolpa 21 19 0 0 1 1 0 1 0 0 0 0 0 0 22 21 43
District Hospital, Kalikot 57 93 3 0 1 0 1 3 2 0 0 0 0 0 64 96 160
District Hospital, Mugu 25 34 0 1 2 10 0 1 0 1 0 0 0 1 27 48 75
Simikot District Hospital, Humla 28 35 0 0 0 0 0 0 0 0 0 0 0 0 28 35 63
Mehelkuna Hospital, Surkhet 9 16 0 0 1 1 0 1 0 0 0 0 0 0 10 18 28
Dullu Hospital, Dailekh 8 4 0 0 0 0 0 0 0 0 0 0 0 0 8 4 12
Sub Regional Hospital, Dadeldhura 55 114 0 0 8 13 4 16 0 0 0 0 0 0 67 143 210
Seti Zonal Hospital, Kailali 1018 497 0 0 5 3 6 4 11 13 1 1 0 1 1041 519 1560
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 28 47 0 0 3 6 0 0 0 1 0 1 0 0 31 55 86
District Hospital, Bajhang 43 104 0 0 5 1 5 3 4 8 0 0 0 0 57 116 173
District Hospital, Achham 52 76 0 0 2 4 1 1 0 1 0 0 0 0 55 82 137
District Hospital, Doti 9 18 0 0 1 4 1 1 0 0 0 1 0 0 11 24 35
District Hospital, Baitadi 12 19 0 0 0 3 0 5 0 1 0 0 0 1 12 29 41
 1 - 4 Yrs
Recovered Not Referral Lama Absconde Dead Dead after Total
Hospital Name All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

District Hospital, Darchula 31 51 0 0 1 7 0 0 2 0 0 0 0 0 34 58 92

Tikapur Hospital, Kailali 65 91 0 0 2 4 0 0 0 0 0 0 0 0 67 95 162
Mahakali Zonal Hospital, Kanchanpur 80 77 0 0 16 20 71 131 4 3 1 0 0 0 172 231 403
Jogbuda Hospital, Dadeldhura 14 29 0 0 1 3 1 2 0 0 0 0 0 0 16 34 50
Gokuleshwor Hospital, Darchula 8 22 0 0 1 2 1 5 3 1 0 0 0 0 13 30 43
Public Hospital Total 7278 9291 30 23 240 343 230 396 73 97 16 18 16 19 7883 10187 18070
Non-Public Hospital Total 12216 16114 265 366 221 269 396 600 29 27 26 38 19 36 13172 17450 30622
Total 19494 25405 295 389 461 612 626 996 102 124 42 56 35 55 21055 27637 48692
Public Hospital % 37 37 10 6 52 56 37 40 72 78 38 32 46 35 37 37 37
Non-Public Hospital % 63 63 90 94 48 44 63 60 28 22 62 68 54 65 63 63 63
 Raw Data: HOSPITAL (Sheet 8 of 19)

5 - 14 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
BPKIHS, Dharan, Sunsari 736 1353 0 1 5 11 18 21 0 0 6 3 8 9 773 1398 2171
Mechi Zonal Hospital, Jhapa 125 255 0 0 8 4 7 9 0 1 0 0 0 0 140 269 409
Koshi Zonal Hospital, Morang 272 334 0 0 1 2 2 2 4 2 0 0 0 0 279 340 619
District Hospital, Taplejung 100 93 0 0 3 4 3 0 0 0 0 0 0 0 106 97 203
District Hospital, Panchthar 107 88 0 0 11 10 2 0 1 2 0 0 0 0 121 100 221
District Hospital, Ilam 29 46 0 0 5 3 1 2 0 1 0 0 0 0 35 52 87
District Hospital, Sunsari 56 47 0 0 5 3 4 5 1 1 0 0 0 0 66 56 122
District Hospital, Dhankuta 24 34 0 0 7 3 1 0 0 0 0 0 0 0 32 37 69
District Hospital, Terhathum 68 70 1 2 3 4 0 1 2 1 0 0 0 0 74 78 152
District Hospital, Sankhuwasabha 64 66 0 0 6 11 2 3 0 0 0 0 0 0 72 80 152
District Hospital, Bhojpur 71 77 0 0 12 4 2 3 0 1 1 1 0 0 86 86 172
District Hospital, Solukhumbu 25 38 0 0 2 6 0 1 1 0 0 0 0 0 28 45 73
Rumjatar Hospital, Okhaldhunga 38 40 0 0 1 0 0 1 0 0 0 0 0 0 39 41 80
District Hospital, Khotang 49 73 0 0 6 10 0 0 0 0 0 0 0 0 55 83 138
District Hospital, Udayapur 116 159 0 0 10 10 1 6 2 1 0 0 0 0 129 176 305
Rangeli Hospital, Morang 25 29 0 0 2 0 2 2 0 1 0 0 0 0 29 32 61
Mangalbare Hospital, Morang 4 5 0 0 0 0 2 0 0 0 0 0 0 0 6 5 11
Katari Hospital, Udayapur 7 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 7
Sagarmatha Zonal Hospial, Saptari 76 113 0 0 1 0 0 0 6 6 0 0 0 0 83 119 202
District Hospital, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Siraha 43 38 0 0 7 0 4 0 0 0 0 0 0 0 54 38 92
Malangawa District Hospital, Sarlahi 6 4 0 0 0 0 0 0 0 0 0 0 0 0 6 4 10
Kalaiya District Hospital, Bara 19 27 0 0 1 2 3 4 1 0 0 0 0 0 24 33 57
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 54 34 0 0 5 1 4 3 1 1 0 0 0 0 64 39 103
District Hospital Mahottari 25 32 0 0 0 2 0 0 0 0 0 0 0 0 25 34 59
Bardibas Hospital, Mahottari 35 24 0 0 0 0 0 0 0 0 0 0 0 0 35 24 59
Chandranigahapur Hosptial, Rautahat 58 55 6 6 2 7 0 0 0 0 0 0 0 0 66 68 134
Pokhariya Hospital, Parsa 4 3 0 0 0 0 0 0 0 0 0 0 0 0 4 3 7
Mental Hospital, Lalitpur 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
Bhaktapur Hospital, Bhaktapur 7 7 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14
Bir Hospital, Kathmandu 99 143 3 0 0 0 0 0 0 0 0 0 0 1 102 144 246
Kanti Children Hospital, Kathmandu 836 1680 0 4 3 1 16 20 3 1 0 0 7 17 865 1723 2588
Maternity Hospital, Kathmandu 283 0 0 0 0 0 10 0 0 0 0 0 0 0 293 0 293
Human Organ Transplant Center 11 10 2 2 0 0 0 0 0 0 0 0 0 0 13 12 25
National Trauma Center, Kathmandu 102 259 2 1 0 1 0 3 1 1 0 0 2 2 107 267 374
Patan Hospital, Lalitpur 195 218 2 2 0 0 0 0 0 0 1 1 0 2 198 223 421
District Hospital, Sindhuli 74 70 0 0 10 6 8 8 1 0 0 0 0 0 93 84 177
District Hospital, Ramechhap 41 43 0 0 2 2 0 0 0 1 0 0 0 0 43 46 89
Jiri District Hospital, Dolakha 56 75 0 0 2 4 0 1 1 0 0 0 0 0 59 80 139
District Hospital, Sindhupalchok 49 32 0 0 6 1 0 3 0 0 0 0 0 0 55 36 91
District Trisuli Hospital, Nuwakot 83 49 0 0 6 7 1 1 0 0 0 0 0 0 90 57 147
District Hospital, Rasuwa 7 10 0 0 2 1 0 0 0 1 0 0 0 0 9 12 21
District Hospital, Dhading 62 73 0 0 4 6 0 2 0 1 0 0 0 0 66 82 148
Hetauda Hospital, Makwanpur 221 274 0 0 11 15 4 7 3 2 0 0 0 0 239 298 537
Bharatpur Hospital, Chitawan 1393 1513 0 0 21 23 21 22 20 19 0 4 0 0 1455 1581 3036
Methinkot Hospital, Kavre 7 5 0 0 2 0 0 0 1 1 0 0 0 0 10 6 16
Central Jail Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
APF Hospital, Kathmandu 25 26 0 0 0 0 0 0 0 0 0 0 0 0 25 26 51
 5 - 14 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Baghauda Hosptial, Chitawan 8 3 0 0 0 0 0 0 0 0 0 0 0 0 8 3 11
Bakulahar Hospital, Chitawan 3 1 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4
Western Regional Hospital, Pokhara 552 875 3 1 3 14 8 11 3 0 0 0 4 0 573 901 1474
Dhaulagiri Zonal Hospital, Baglung 100 101 0 0 13 7 0 2 0 0 1 0 0 0 114 110 224
District Hospital, Gorkha 16 24 0 0 4 3 1 3 1 0 0 0 0 0 22 30 52
District Hospital, Tanahu 26 30 0 0 2 2 0 0 0 2 0 0 0 0 28 34 62
District Hospital, Syangja 26 29 0 0 3 5 2 1 0 1 0 0 0 0 31 36 67
District Hospital, Manang 3 4 0 0 0 1 0 0 0 0 0 0 0 0 3 5 8
District Hospital, Mustang 9 9 1 0 2 3 0 0 0 0 0 0 0 0 12 12 24
District Hospital, Myagdi 60 95 0 0 3 8 1 2 0 0 0 0 0 0 64 105 169
District Hospital, Parbat 47 41 0 0 1 2 1 3 0 0 0 0 0 0 49 46 95
Lamjung Community Hospital, Lamjung 173 358 0 0 13 10 6 7 0 2 0 0 0 0 192 377 569
Bandipur Hospital, Tanahu 25 35 0 0 0 1 2 0 0 0 0 0 0 0 27 36 63
Bataulechaur Hospital, Kaski 9 13 0 0 0 0 0 0 0 0 0 0 0 0 9 13 22
Rapti Sub Regional Hospital, Dang 75 139 0 0 6 21 0 3 0 2 0 0 0 0 81 165 246
Lumbini Zonal Hospital, Rupandehi 173 247 2 1 1 1 0 0 1 1 1 1 1 0 179 251 430
Rapti Zonal Hospital, Dang 13 21 0 0 4 4 3 7 0 0 0 0 0 1 20 33 53
Bheri Zonal Hospital, Banke 188 314 0 0 14 19 6 15 9 14 1 0 0 0 218 362 580
Tamghas Hospital, Gulmi 75 101 0 0 0 8 3 1 1 2 0 0 0 0 79 112 191
District Hospital, Palpa 11 19 1 0 1 4 0 0 0 0 0 0 0 0 13 23 36
Prithvi Chandra Hospital, Nawalparasi 20 17 0 0 0 1 2 0 0 0 0 0 0 0 22 18 40
Prithvi Bir Hospital, Kapilbastu 13 37 0 0 3 4 2 6 0 0 1 0 0 0 19 47 66
District Hospital, Arghakhanchi 98 126 0 0 11 20 13 4 0 1 0 0 0 0 122 151 273
District Hospital, Pyuthan 53 33 1 0 7 8 3 2 0 0 1 0 1 0 66 43 109
District Hospital, Rolpa 40 31 0 0 3 5 3 2 0 0 0 0 0 0 46 38 84
District Hospital, Bardiya 24 22 0 0 1 1 3 2 0 0 1 0 0 0 29 25 54
Rampur Hospital, Palpa 22 22 0 0 3 4 0 0 0 0 0 0 0 0 25 26 51
Bhim Hospital, Rupandehi 85 80 0 0 4 1 5 4 0 1 0 0 0 0 94 86 180
Shivraj Hospital, Bahadurganj, Kapilbastu 14 14 0 0 2 1 1 0 0 0 0 0 0 0 17 15 32
Pipara Hospital, Kapilbastu 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3
MWR Police Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 89 128 0 0 3 2 2 2 0 1 0 0 0 0 94 133 227
Mid Western Regional Hospital, Surkhet 109 167 0 0 1 0 3 1 1 0 0 0 0 0 114 168 282
District Hospital, Rukum 74 62 0 0 13 13 2 2 0 0 0 0 0 0 89 77 166
District Hospital, Salyan 76 76 1 0 7 4 1 2 0 0 0 0 0 0 85 82 167
District Hospital, Dailekh 68 62 0 0 6 9 2 8 3 0 0 0 0 0 79 79 158
District Hospital, Jagarkot 44 58 0 0 4 4 3 1 0 2 0 0 0 0 51 65 116
District Hospital, Dolpa 20 13 0 0 6 0 0 0 0 0 0 0 0 0 26 13 39
District Hospital, Kalikot 48 118 0 0 1 4 0 1 0 2 0 0 0 0 49 125 174
District Hospital, Mugu 26 36 0 0 6 11 1 0 0 0 0 0 0 0 33 47 80
Simikot District Hospital, Humla 38 20 0 0 0 0 0 0 0 0 0 0 0 0 38 20 58
Mehelkuna Hospital, Surkhet 13 27 0 0 4 3 1 1 0 0 0 0 0 0 18 31 49
Dullu Hospital, Dailekh 8 13 0 0 0 0 0 0 0 0 0 0 0 0 8 13 21
Sub Regional Hospital, Dadeldhura 84 96 0 0 19 13 11 11 1 2 0 0 0 0 115 122 237
Seti Zonal Hospital, Kailali 4950 573 1 1 36 6 19 3 38 20 5 2 1 5 5050 610 5660
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 36 47 0 0 8 11 1 0 0 0 0 0 2 0 47 58 105
District Hospital, Bajhang 94 160 0 0 8 10 7 8 11 11 1 1 0 0 121 190 311
District Hospital, Achham 44 45 0 0 3 4 1 1 0 0 0 1 0 0 48 51 99
District Hospital, Doti 16 17 0 0 4 2 0 4 0 2 0 0 0 0 20 25 45
District Hospital, Baitadi 24 29 0 0 2 0 2 3 1 1 0 0 0 0 29 33 62
 5 - 14 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
District Hospital, Darchula 26 63 0 0 6 3 0 0 0 4 0 1 0 0 32 71 103
Tikapur Hospital, Kailali 66 101 0 0 0 2 0 0 0 0 0 0 0 0 66 103 169
Mahakali Zonal Hospital, Kanchanpur 40 46 0 0 16 22 33 39 1 5 1 1 0 1 91 114 205
Jogbuda Hospital, Dadeldhura 26 29 0 0 3 0 1 0 0 0 0 0 0 0 30 29 59
Gokuleshwor Hospital, Darchula 14 20 0 0 1 1 3 6 3 2 0 0 0 0 21 29 50
Public Hospital Total 13784 12473 26 21 433 446 276 298 123 123 21 16 26 38 14689 13415 28104
Non-Public Hospital Total 17586 23272 472 524 325 395 587 723 38 59 28 38 30 29 19066 25040 44106
Total 31370 35745 498 545 758 841 863 1021 161 182 49 54 56 67 33755 38455 72210
Public Hospital % 44 35 5 4 57 53 32 29 76 68 43 30 46 57 44 35 39
Non-Public Hospital % 56 65 95 96 43 47 68 71 24 32 57 70 54 43 56 65 61
 Raw Data: HOSPITAL (Sheet 9 of 19)

15 - 19 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

BPKIHS, Dharan, Sunsari 1802 623 0 0 4 0 22 8 1 0 1 2 5 1 1835 634 2469

Mechi Zonal Hospital, Jhapa 279 97 0 1 17 6 15 9 0 0 0 0 0 0 311 113 424
Koshi Zonal Hospital, Morang 1070 132 0 0 7 4 15 2 9 1 0 1 0 0 1101 140 1241
District Hospital, Taplejung 227 79 0 0 8 2 2 1 0 0 0 0 0 0 237 82 319
District Hospital, Panchthar 308 55 0 0 23 4 0 1 2 0 1 0 0 0 334 60 394
District Hospital, Ilam 213 6 0 0 9 0 2 0 2 0 0 0 0 0 226 6 232
District Hospital, Sunsari 255 15 0 0 38 0 17 1 1 0 0 0 0 0 311 16 327
District Hospital, Dhankuta 74 3 0 0 14 1 1 0 0 0 0 0 0 0 89 4 93
District Hospital, Terhathum 163 38 5 1 3 4 1 0 3 3 0 0 0 0 175 46 221
District Hospital, Sankhuwasabha 251 28 0 0 11 4 0 1 0 0 0 0 0 0 262 33 295
District Hospital, Bhojpur 124 41 1 0 18 3 9 1 1 1 0 0 0 0 153 46 199
District Hospital, Solukhumbu 88 35 1 1 8 1 1 1 1 1 0 0 0 0 99 39 138
Rumjatar Hospital, Okhaldhunga 32 25 0 0 0 1 0 0 0 0 0 0 0 0 32 26 58
District Hospital, Khotang 118 19 0 0 12 1 1 0 0 0 0 0 0 0 131 20 151
District Hospital, Udayapur 291 53 1 0 19 4 1 3 0 1 0 0 0 0 312 61 373
Rangeli Hospital, Morang 38 11 0 0 7 3 5 1 0 0 0 0 0 0 50 15 65
Mangalbare Hospital, Morang 4 2 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6
Katari Hospital, Udayapur 187 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 187
Sagarmatha Zonal Hospial, Saptari 533 69 0 0 1 0 0 0 74 4 0 0 0 0 608 73 681
District Hospital, Rautahat 190 0 4 0 6 0 20 0 8 0 0 0 0 0 228 0 228
District Hospital, Siraha 144 40 0 0 18 6 2 2 4 0 0 0 0 0 168 48 216
Malangawa District Hospital, Sarlahi 199 7 0 0 0 0 0 0 0 0 0 0 0 0 199 7 206
Kalaiya District Hospital, Bara 713 28 0 0 6 1 7 0 2 0 0 0 0 0 728 29 757
Bharadah Hospital, Saptari 39 0 0 0 1 0 0 0 0 0 0 0 0 0 40 0 40
Ram Uma Smarak Hospital, Lahan, Siraha 675 15 0 0 27 1 39 1 20 1 0 0 0 0 761 18 779
District Hospital Mahottari 217 18 0 0 7 0 0 0 0 0 0 0 0 0 224 18 242
Bardibas Hospital, Mahottari 48 25 0 0 0 1 0 0 0 0 0 0 0 0 48 26 74
Chandranigahapur Hosptial, Rautahat 57 41 6 8 1 1 0 0 0 0 0 0 0 0 64 50 114
Pokhariya Hospital, Parsa 1 1 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3
Mental Hospital, Lalitpur 38 42 0 0 0 0 2 1 0 3 0 0 0 0 40 46 86
Bhaktapur Hospital, Bhaktapur 64 17 0 0 2 0 0 0 0 0 0 0 0 0 66 17 83
Bir Hospital, Kathmandu 249 414 1 3 0 0 2 1 0 0 1 0 1 3 254 421 675
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 3567 0 0 0 0 0 69 2 5 0 0 0 1 0 3642 2 3644
Human Organ Transplant Center 23 12 1 0 0 0 0 0 0 0 0 1 0 0 24 13 37
National Trauma Center, Kathmandu 53 198 0 1 2 1 0 2 0 0 0 0 1 3 56 205 261
Patan Hospital, Lalitpur 149 90 0 2 0 0 0 0 0 0 1 1 0 1 150 94 244
District Hospital, Sindhuli 189 36 0 0 16 1 12 2 1 0 0 0 0 0 218 39 257
District Hospital, Ramechhap 53 22 0 0 3 2 0 2 0 0 0 0 0 0 56 26 82
Jiri District Hospital, Dolakha 84 37 0 0 2 2 0 1 0 0 1 0 0 0 87 40 127
District Hospital, Sindhupalchok 41 11 0 0 5 0 1 0 1 0 0 0 0 0 48 11 59
District Trisuli Hospital, Nuwakot 477 29 0 0 15 1 6 0 0 0 0 0 0 0 498 30 528
District Hospital, Rasuwa 1 4 0 0 0 1 0 0 0 0 0 0 0 0 1 5 6
District Hospital, Dhading 184 29 0 0 4 3 0 1 0 0 0 0 0 0 188 33 221
Hetauda Hospital, Makwanpur 538 104 0 0 17 12 28 3 11 4 0 0 0 0 594 123 717
Bharatpur Hospital, Chitawan 4473 1320 0 0 33 35 16 14 21 29 0 0 0 0 4543 1398 5941
Methinkot Hospital, Kavre 23 0 0 0 7 0 0 0 0 0 0 0 0 0 30 0 30
Central Jail Hospital, Kathmandu 1 6 0 0 0 0 0 0 0 0 0 0 0 0 1 6 7
 15 - 19 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
APF Hospital, Kathmandu 33 50 0 0 0 0 0 0 0 0 0 0 0 0 33 50 83
Baghauda Hosptial, Chitawan 8 10 0 0 0 0 0 0 0 0 0 0 0 0 8 10 18
Bakulahar Hospital, Chitawan 11 6 0 0 0 0 0 0 0 0 0 0 0 0 11 6 17
Western Regional Hospital, Pokhara 1549 292 0 0 1 6 9 5 1 0 0 0 1 1 1561 304 1865
Dhaulagiri Zonal Hospital, Baglung 260 38 0 0 10 3 0 0 0 0 0 0 0 0 270 41 311
District Hospital, Gorkha 256 11 0 0 9 1 6 0 0 0 0 0 0 0 271 12 283
District Hospital, Tanahu 242 16 0 0 6 1 0 3 0 0 0 0 0 0 248 20 268
District Hospital, Syangja 135 16 1 0 13 3 7 0 0 0 0 0 0 0 156 19 175
District Hospital, Manang 2 5 0 0 1 1 0 0 0 0 0 0 0 0 3 6 9
District Hospital, Mustang 8 8 0 0 3 0 0 0 0 0 0 0 0 0 11 8 19
District Hospital, Myagdi 191 36 0 0 6 1 0 3 0 0 0 0 0 0 197 40 237
District Hospital, Parbat 111 25 2 0 6 1 1 1 1 0 0 0 0 0 121 27 148
Lamjung Community Hospital, Lamjung 388 119 0 0 6 8 9 3 0 0 0 0 0 0 403 130 533
Bandipur Hospital, Tanahu 26 21 0 0 7 0 4 0 0 0 0 0 0 0 37 21 58
Bataulechaur Hospital, Kaski 35 5 0 0 0 0 0 0 0 0 0 0 0 0 35 5 40
Rapti Sub Regional Hospital, Dang 1110 78 1 0 23 10 17 2 3 0 0 0 0 0 1154 90 1244
Lumbini Zonal Hospital, Rupandehi 938 175 2 1 6 2 0 0 0 0 1 0 0 0 947 178 1125
Rapti Zonal Hospital, Dang 491 9 0 0 11 3 45 1 1 0 0 0 0 0 548 13 561
Bheri Zonal Hospital, Banke 1049 194 0 0 32 14 19 3 8 4 4 1 2 0 1114 216 1330
Tamghas Hospital, Gulmi 203 37 0 0 3 1 10 1 2 0 0 0 0 0 218 39 257
District Hospital, Palpa 20 8 0 4 0 0 0 0 0 0 0 0 0 0 20 12 32
Prithvi Chandra Hospital, Nawalparasi 197 16 0 0 8 1 4 0 0 0 0 0 0 0 209 17 226
Prithvi Bir Hospital, Kapilbastu 87 7 0 0 9 2 4 4 2 1 0 0 0 0 102 14 116
District Hospital, Arghakhanchi 170 30 0 0 15 6 6 1 1 0 0 0 0 0 192 37 229
District Hospital, Pyuthan 425 11 1 0 12 3 5 0 1 1 0 0 0 0 444 15 459
District Hospital, Rolpa 92 7 0 0 11 2 1 0 0 0 0 0 0 0 104 9 113
District Hospital, Bardiya 194 19 0 0 2 2 4 0 1 0 0 0 0 0 201 21 222
Rampur Hospital, Palpa 63 18 0 0 7 3 2 2 0 0 0 0 0 0 72 23 95
Bhim Hospital, Rupandehi 417 101 0 0 6 4 5 5 0 1 0 0 0 0 428 111 539
Shivraj Hospital, Bahadurganj, Kapilbastu 20 8 0 0 2 0 0 0 0 0 0 0 0 0 22 8 30
Pipara Hospital, Kapilbastu 7 0 0 0 3 0 0 0 0 0 0 0 0 0 10 0 10
MWR Police Hospital, Banke 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
Karnali Academy Of Health Science, Jumla 49 55 0 0 0 6 2 1 1 0 0 0 1 1 53 63 116
Mid Western Regional Hospital, Surkhet 900 52 0 0 10 1 5 2 1 0 0 0 0 1 916 56 972
District Hospital, Rukum 155 23 0 0 29 4 3 2 0 0 0 0 0 0 187 29 216
District Hospital, Salyan 401 70 0 0 4 1 3 0 0 0 0 0 0 0 408 71 479
District Hospital, Dailekh 170 12 0 0 26 0 13 3 4 0 0 0 0 0 213 15 228
District Hospital, Jagarkot 99 23 0 0 11 2 2 1 1 0 0 0 0 0 113 26 139
District Hospital, Dolpa 33 20 1 0 0 1 1 1 0 0 0 0 0 0 35 22 57
District Hospital, Kalikot 120 51 0 0 1 1 2 0 0 3 0 0 0 0 123 55 178
District Hospital, Mugu 101 25 0 0 5 12 9 0 3 0 0 0 0 0 118 37 155
Simikot District Hospital, Humla 44 26 0 0 1 0 0 0 0 0 0 0 0 0 45 26 71
Mehelkuna Hospital, Surkhet 177 9 0 0 22 4 3 1 3 0 0 0 0 0 205 14 219
Dullu Hospital, Dailekh 73 4 0 0 2 0 0 0 0 0 0 0 0 0 75 4 79
Sub Regional Hospital, Dadeldhura 38 15 0 0 8 5 5 7 1 2 0 0 0 0 52 29 81
Seti Zonal Hospital, Kailali 603 558 0 0 4 4 3 2 4 9 2 3 1 0 617 576 1193
Malakheti Hospital, Kailali 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3
District Hospital, Bajura 43 22 0 0 5 4 2 0 0 1 0 0 0 0 50 27 77
District Hospital, Bajhang 167 56 0 0 3 6 5 4 10 2 1 0 0 0 186 68 254
District Hospital, Achham 112 24 0 0 11 0 1 0 0 0 0 0 0 0 124 24 148
 15 - 19 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
District Hospital, Doti 53 6 0 0 3 2 2 0 0 0 0 0 0 0 58 8 66
District Hospital, Baitadi 53 10 0 0 5 1 2 0 1 0 0 0 0 0 61 11 72
District Hospital, Darchula 129 17 0 0 4 2 0 0 0 1 0 0 0 0 133 20 153
Tikapur Hospital, Kailali 418 73 0 0 1 0 0 0 0 1 0 0 0 0 419 74 493
Mahakali Zonal Hospital, Kanchanpur 182 15 0 0 19 8 48 26 4 1 0 0 0 0 253 50 303
Jogbuda Hospital, Dadeldhura 76 3 0 0 6 2 4 0 1 0 0 0 0 0 87 5 92
Gokuleshwor Hospital, Darchula 51 9 0 0 1 4 2 0 3 0 0 0 0 0 57 13 70
Public Hospital Total 31536 6431 28 22 771 254 571 145 225 75 13 9 13 11 33157 6947 40104
Non-Public Hospital Total 22640 18254 550 446 328 315 750 609 41 52 52 47 30 33 24391 19756 44147
Total 54176 24685 578 468 1099 569 1321 754 266 127 65 56 43 44 57548 26703 84251
Public Hospital % 58 26 5 5 70 45 43 19 85 59 20 16 30 25 58 26 48
Non-Public Hospital % 42 74 95 95 30 55 57 81 15 41 80 84 70 75 42 74 52
 Raw Data: HOSPITAL (Sheet 10 of 19)

20 - 29 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
BPKIHS, Dharan, Sunsari 10122 1348 5 6 3 1 52 17 6 11 10 8 22 8 10220 1399 11619
Mechi Zonal Hospital, Jhapa 1236 162 1 1 57 12 42 17 2 4 3 0 0 1 1341 197 1538
Koshi Zonal Hospital, Morang 4590 204 0 0 28 4 77 6 45 5 2 0 0 0 4742 219 4961
District Hospital, Taplejung 581 105 0 0 11 6 9 1 3 0 0 0 0 0 604 112 716
District Hospital, Panchthar 905 76 0 0 54 10 3 0 1 2 0 0 0 0 963 88 1051
District Hospital, Ilam 886 18 0 0 25 3 10 2 0 0 0 0 0 0 921 23 944
District Hospital, Sunsari 1794 36 0 0 147 0 35 2 2 0 0 0 0 0 1978 38 2016
District Hospital, Dhankuta 246 7 0 0 20 2 1 1 1 0 0 0 0 0 268 10 278
District Hospital, Terhathum 288 64 6 0 7 4 4 1 4 3 0 0 0 0 309 72 381
District Hospital, Sankhuwasabha 589 34 0 0 20 10 5 1 0 0 0 0 0 0 614 45 659
District Hospital, Bhojpur 286 70 1 0 51 8 32 6 1 2 1 0 0 0 372 86 458
District Hospital, Solukhumbu 266 42 0 1 16 11 7 2 1 2 0 0 0 0 290 58 348
Rumjatar Hospital, Okhaldhunga 61 20 0 0 1 0 0 1 0 0 0 0 0 0 62 21 83
District Hospital, Khotang 401 35 0 0 19 5 0 0 0 0 0 0 0 0 420 40 460
District Hospital, Udayapur 1014 49 1 0 38 5 9 0 3 1 0 0 0 0 1065 55 1120
Rangeli Hospital, Morang 144 19 0 0 16 2 5 5 2 0 0 0 0 0 167 26 193
Mangalbare Hospital, Morang 14 4 0 0 0 0 2 0 0 0 0 0 0 0 16 4 20
Katari Hospital, Udayapur 312 0 0 0 0 0 0 0 0 0 0 0 0 0 312 0 312
Sagarmatha Zonal Hospial, Saptari 2432 52 0 0 3 2 0 0 260 3 1 0 0 0 2696 57 2753
District Hospital, Rautahat 1286 0 9 6 57 0 128 2 22 0 0 0 0 0 1502 8 1510
District Hospital, Siraha 386 34 0 0 39 3 3 1 1 0 0 0 0 0 429 38 467
Malangawa District Hospital, Sarlahi 1029 7 0 0 5 0 0 0 0 0 0 0 0 0 1034 7 1041
Kalaiya District Hospital, Bara 2474 47 0 0 25 1 27 2 17 0 0 0 0 0 2543 50 2593
Bharadah Hospital, Saptari 173 0 0 0 0 0 0 0 0 0 0 0 0 0 173 0 173
Ram Uma Smarak Hospital, Lahan, Siraha 2482 17 0 0 107 0 125 0 63 0 1 1 0 0 2778 18 2796
District Hospital Mahottari 997 46 1 0 34 1 1 0 0 0 0 0 0 0 1033 47 1080
Bardibas Hospital, Mahottari 51 33 3 2 3 2 0 0 0 0 0 0 0 0 57 37 94
Chandranigahapur Hosptial, Rautahat 142 61 6 5 2 2 0 0 0 0 0 0 0 0 150 68 218
Pokhariya Hospital, Parsa 12 7 1 0 1 0 0 0 0 0 0 0 0 0 14 7 21
Mental Hospital, Lalitpur 84 117 0 0 0 1 10 15 3 14 0 0 0 0 97 147 244
Bhaktapur Hospital, Bhaktapur 427 27 1 0 14 0 11 0 1 0 0 0 0 0 454 27 481
Bir Hospital, Kathmandu 691 906 2 5 0 0 5 8 0 0 2 11 11 3 711 933 1644
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 12619 0 0 0 2 0 145 0 8 0 2 0 2 0 12778 0 12778
Human Organ Transplant Center 74 106 4 3 1 2 3 1 0 0 0 2 2 2 84 116 200
National Trauma Center, Kathmandu 116 435 1 2 1 4 3 8 0 2 0 3 1 2 122 456 578
Patan Hospital, Lalitpur 1675 169 1 0 0 0 0 0 0 0 0 1 2 1 1678 171 1849
District Hospital, Sindhuli 662 39 0 0 46 6 59 7 2 0 0 0 0 0 769 52 821
District Hospital, Ramechhap 121 18 0 0 12 1 2 2 0 0 0 0 0 0 135 21 156
Jiri District Hospital, Dolakha 283 52 0 0 2 5 0 0 0 0 0 0 0 0 285 57 342
District Hospital, Sindhupalchok 183 14 0 0 22 2 2 0 1 0 0 0 0 0 208 16 224
District Trisuli Hospital, Nuwakot 1084 41 0 0 41 2 12 1 0 0 0 0 0 0 1137 44 1181
District Hospital, Rasuwa 15 12 0 1 5 5 0 1 0 0 0 0 0 0 20 19 39
District Hospital, Dhading 503 42 0 0 12 2 5 1 1 1 0 0 0 0 521 46 567
Hetauda Hospital, Makwanpur 2729 153 0 0 61 19 56 3 31 6 0 0 0 0 2877 181 3058
Bharatpur Hospital, Chitawan 11286 1578 0 0 43 34 24 23 19 24 2 0 0 0 11374 1659 13033
Methinkot Hospital, Kavre 103 2 0 0 18 0 0 1 0 0 0 0 0 0 121 3 124
Central Jail Hospital, Kathmandu 58 99 0 0 2 16 0 0 0 0 0 0 0 0 60 115 175
APF Hospital, Kathmandu 115 158 0 0 0 0 0 0 0 0 0 0 0 0 115 158 273
 20 - 29 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Baghauda Hosptial, Chitawan 16 7 0 0 2 1 0 0 0 0 0 0 0 0 18 8 26
Bakulahar Hospital, Chitawan 19 7 0 0 0 0 0 0 0 0 0 0 0 0 19 7 26
Western Regional Hospital, Pokhara 7582 489 719 47 8 3 23 11 1 0 2 0 3 1 8338 551 8889
Dhaulagiri Zonal Hospital, Baglung 1019 40 0 0 28 6 1 2 0 0 0 0 0 0 1048 48 1096
District Hospital, Gorkha 791 18 0 0 19 8 28 1 3 1 0 0 0 0 841 28 869
District Hospital, Tanahu 645 15 1 0 6 0 1 2 0 0 0 0 0 0 653 17 670
District Hospital, Syangja 471 36 0 0 38 0 14 0 0 0 0 0 0 0 523 36 559
District Hospital, Manang 10 10 0 0 4 3 0 0 0 0 0 0 0 0 14 13 27
District Hospital, Mustang 26 12 0 0 2 5 0 0 0 0 0 0 0 0 28 17 45
District Hospital, Myagdi 627 44 0 0 8 4 3 1 0 0 0 0 0 0 638 49 687
District Hospital, Parbat 342 44 0 1 7 0 2 1 4 1 0 0 0 0 355 47 402
Lamjung Community Hospital, Lamjung 1233 140 0 0 13 12 38 8 1 0 0 0 0 0 1285 160 1445
Bandipur Hospital, Tanahu 77 25 0 0 15 2 1 0 1 0 0 0 0 0 94 27 121
Bataulechaur Hospital, Kaski 146 9 0 0 1 0 2 0 0 0 0 0 0 0 149 9 158
Rapti Sub Regional Hospital, Dang 3581 110 1 1 42 13 43 10 15 0 1 0 0 0 3683 134 3817
Lumbini Zonal Hospital, Rupandehi 7150 298 4 1 20 4 0 0 3 1 4 1 3 0 7184 305 7489
Rapti Zonal Hospital, Dang 1424 21 2 0 18 3 123 2 7 0 0 0 0 0 1574 26 1600
Bheri Zonal Hospital, Banke 4062 369 0 0 66 19 52 28 29 4 9 3 1 1 4219 424 4643
Tamghas Hospital, Gulmi 764 50 0 0 23 4 12 3 5 0 0 0 0 0 804 57 861
District Hospital, Palpa 30 22 3 2 5 2 1 0 0 0 0 0 0 0 39 26 65
Prithvi Chandra Hospital, Nawalparasi 1163 31 0 0 41 3 20 2 0 0 1 0 0 0 1225 36 1261
Prithvi Bir Hospital, Kapilbastu 967 25 0 0 83 2 46 2 14 0 0 0 0 0 1110 29 1139
District Hospital, Arghakhanchi 698 48 0 0 67 1 8 4 2 0 0 0 0 1 775 54 829
District Hospital, Pyuthan 1234 14 3 1 23 2 15 2 5 1 0 0 0 0 1280 20 1300
District Hospital, Rolpa 325 19 0 0 32 7 7 1 2 1 1 1 0 0 367 29 396
District Hospital, Bardiya 920 82 0 0 20 2 29 1 0 0 0 0 0 0 969 85 1054
Rampur Hospital, Palpa 162 32 0 0 16 4 1 1 0 0 0 0 0 0 179 37 216
Bhim Hospital, Rupandehi 2396 148 0 0 46 7 45 16 3 0 0 0 0 0 2490 171 2661
Shivraj Hospital, Bahadurganj, Kapilbastu 424 15 0 0 40 4 2 2 0 0 0 0 0 0 466 21 487
Pipara Hospital, Kapilbastu 34 3 0 0 15 1 0 0 0 0 0 0 0 0 49 4 53
MWR Police Hospital, Banke 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4
Karnali Academy Of Health Science, Jumla 80 82 0 0 4 2 1 0 0 0 1 0 0 1 86 85 171
Mid Western Regional Hospital, Surkhet 2773 83 0 0 21 1 11 3 5 0 1 0 0 0 2811 87 2898
District Hospital, Rukum 293 35 0 0 46 16 12 3 0 0 0 0 1 1 352 55 407
District Hospital, Salyan 989 72 0 1 5 1 3 0 0 1 0 0 0 0 997 75 1072
District Hospital, Dailekh 400 27 0 0 47 3 22 2 7 1 0 0 0 1 476 34 510
District Hospital, Jagarkot 154 35 0 0 32 5 0 0 0 1 0 0 0 0 186 41 227
District Hospital, Dolpa 19 12 0 3 10 9 0 3 0 0 0 0 0 0 29 27 56
District Hospital, Kalikot 336 42 0 0 4 0 3 3 2 0 0 0 1 0 346 45 391
District Hospital, Mugu 224 37 0 0 13 14 13 1 1 0 0 0 0 0 251 52 303
Simikot District Hospital, Humla 73 30 0 0 1 2 0 0 0 0 0 0 0 0 74 32 106
Mehelkuna Hospital, Surkhet 269 9 0 0 18 1 5 0 1 1 0 0 0 0 293 11 304
Dullu Hospital, Dailekh 197 6 0 0 8 0 0 0 0 0 0 0 0 0 205 6 211
Sub Regional Hospital, Dadeldhura 92 43 0 0 24 13 15 5 1 0 0 2 0 0 132 63 195
Seti Zonal Hospital, Kailali 2808 417 0 0 22 11 10 1 29 10 2 7 7 3 2878 449 3327
Malakheti Hospital, Kailali 13 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 13
District Hospital, Bajura 116 20 0 0 9 7 2 0 1 0 0 2 0 0 128 29 157
District Hospital, Bajhang 568 62 0 0 11 4 8 8 12 5 1 0 0 0 600 79 679
District Hospital, Achham 338 26 0 0 10 3 0 0 2 0 0 0 0 0 350 29 379
District Hospital, Doti 368 13 0 0 7 2 5 4 0 0 0 0 0 1 380 20 400
 20 - 29 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
District Hospital, Baitadi 327 5 0 0 22 0 7 0 0 0 0 0 0 0 356 5 361
District Hospital, Darchula 550 30 0 0 9 2 1 0 3 0 0 0 0 0 563 32 595
Tikapur Hospital, Kailali 1353 89 0 0 22 0 1 1 0 0 0 0 0 0 1376 90 1466
Mahakali Zonal Hospital, Kanchanpur 1278 32 0 0 70 19 131 43 7 5 0 1 0 0 1486 100 1586
Jogbuda Hospital, Dadeldhura 252 17 0 0 17 5 4 1 0 1 0 0 0 0 273 24 297
Gokuleshwor Hospital, Darchula 184 7 4 1 22 3 12 3 0 0 0 0 0 0 222 14 236
Public Hospital Total 21819 2379 14 8 427 100 267 61 90 26 3 1 0 0 22620 2575 25195
Non-Public Hospital Total 61903 32121 755 759 567 544 1568 1083 77 53 125 84 89 89 65084 34733 99817
Total 83722 34500 769 767 994 644 1835 1144 167 79 128 85 89 89 87704 37308 125012
Public Hospital % 26 7 2 1 43 16 15 5 54 33 2 1 0 0 26 7 20
Non-Public Hospital % 74 93 98 99 57 84 85 95 46 67 98 99 100 100 74 93 80
 Raw Data: HOSPITAL (Sheet 11 of 19)
30 - 39 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
BPKIHS, Dharan, Sunsari 3867 1328 5 5 5 4 37 28 4 2 8 4 18 14 3944 1385 5329
Mechi Zonal Hospital, Jhapa 398 188 1 0 22 18 34 15 0 3 0 0 1 0 456 224 680
Koshi Zonal Hospital, Morang 911 223 0 0 6 5 10 4 5 1 1 0 1 2 934 235 1169
District Hospital, Taplejung 230 98 0 0 5 2 2 1 0 0 0 0 0 0 237 101 338
District Hospital, Panchthar 309 63 0 0 13 5 1 0 0 1 0 0 0 0 323 69 392
District Hospital, Ilam 204 10 0 0 9 2 3 0 0 1 0 0 0 0 216 13 229
District Hospital, Sunsari 258 20 0 0 12 2 6 5 1 1 0 0 0 0 277 28 305
District Hospital, Dhankuta 61 11 0 0 6 3 1 0 0 0 0 0 0 0 68 14 82
District Hospital, Terhathum 136 54 9 0 3 3 1 5 2 1 0 1 0 0 151 64 215
District Hospital, Sankhuwasabha 140 34 0 0 16 9 3 5 0 0 0 0 0 0 159 48 207
District Hospital, Bhojpur 113 60 0 0 17 8 8 7 1 1 1 0 1 0 141 76 217
District Hospital, Solukhumbu 91 15 0 0 8 8 4 2 0 1 0 1 0 0 103 27 130
Rumjatar Hospital, Okhaldhunga 51 22 0 0 2 0 0 0 0 0 0 0 0 0 53 22 75
District Hospital, Khotang 78 13 0 0 8 3 0 1 0 0 0 0 0 0 86 17 103
District Hospital, Udayapur 199 52 0 0 19 7 5 2 0 0 0 0 0 0 223 61 284
Rangeli Hospital, Morang 47 22 0 0 2 0 2 0 0 0 0 0 0 0 51 22 73
Mangalbare Hospital, Morang 5 2 0 0 0 0 0 0 0 0 0 0 0 0 5 2 7
Katari Hospital, Udayapur 33 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 33
Sagarmatha Zonal Hospial, Saptari 316 42 0 0 1 0 0 0 38 2 0 0 0 0 355 44 399
District Hospital, Rautahat 267 0 2 2 16 0 25 0 5 0 0 0 0 0 315 2 317
District Hospital, Siraha 116 33 0 0 16 4 3 3 0 0 0 0 0 0 135 40 175
Malangawa District Hospital, Sarlahi 174 4 0 0 0 0 0 0 0 0 0 0 0 0 174 4 178
Kalaiya District Hospital, Bara 646 36 0 0 6 0 8 2 3 0 0 0 0 0 663 38 701
Bharadah Hospital, Saptari 30 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 30
Ram Uma Smarak Hospital, Lahan, Siraha 336 16 0 0 13 0 17 2 12 0 0 0 0 0 378 18 396
District Hospital Mahottari 247 38 1 0 3 0 0 0 1 0 0 0 0 0 252 38 290
Bardibas Hospital, Mahottari 50 42 1 2 4 4 0 0 0 0 0 0 0 0 55 48 103
Chandranigahapur Hosptial, Rautahat 93 52 3 4 0 2 13 0 0 0 0 0 0 0 109 58 167
Pokhariya Hospital, Parsa 26 6 0 0 0 0 0 0 0 0 0 0 0 0 26 6 32
Mental Hospital, Lalitpur 103 99 0 0 1 0 3 6 1 4 0 0 0 0 108 109 217
Bhaktapur Hospital, Bhaktapur 142 29 0 0 3 0 3 0 0 0 0 0 0 0 148 29 177
Bir Hospital, Kathmandu 813 811 2 2 0 0 6 13 0 2 13 13 6 15 840 856 1696
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 4290 0 0 0 0 0 43 0 2 0 0 0 1 0 4336 0 4336
Human Organ Transplant Center 97 151 1 3 1 3 3 1 0 0 0 0 0 3 102 161 263
National Trauma Center, Kathmandu 130 301 1 3 1 2 2 12 0 2 1 0 4 5 139 325 464
Patan Hospital, Lalitpur 819 140 1 2 0 0 0 0 0 0 0 0 1 0 821 142 963
District Hospital, Sindhuli 124 43 0 0 19 5 9 4 2 0 0 0 0 0 154 52 206
District Hospital, Ramechhap 43 23 0 0 5 5 0 0 0 1 0 0 0 0 48 29 77
Jiri District Hospital, Dolakha 98 43 0 1 1 3 0 0 1 1 0 0 0 0 100 48 148
District Hospital, Sindhupalchok 38 20 0 0 7 0 0 0 1 0 0 0 0 0 46 20 66
District Trisuli Hospital, Nuwakot 208 48 0 0 7 5 2 0 0 0 0 0 0 0 217 53 270
District Hospital, Rasuwa 19 18 0 0 6 1 0 2 0 0 0 0 0 0 25 21 46
District Hospital, Dhading 238 28 0 1 5 3 2 0 0 0 0 0 0 0 245 32 277
Hetauda Hospital, Makwanpur 609 106 0 0 22 14 15 2 4 2 0 0 0 0 650 124 774
Bharatpur Hospital, Chitawan 1713 1369 0 0 35 25 24 16 13 15 5 2 6 7 1796 1434 3230
Methinkot Hospital, Kavre 20 2 1 0 7 0 1 0 0 0 0 0 0 0 29 2 31
Central Jail Hospital, Kathmandu 48 81 0 0 13 28 0 0 0 0 0 0 0 0 61 109 170
APF Hospital, Kathmandu 123 216 0 0 0 0 0 0 0 0 0 0 0 0 123 216 339
 30 - 39 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
Baghauda Hosptial, Chitawan 22 8 0 0 0 0 0 0 0 0 0 0 0 0 22 8 30
Bakulahar Hospital, Chitawan 12 7 0 0 0 2 0 0 0 0 0 0 0 0 12 9 21
Western Regional Hospital, Pokhara 1963 419 1 1 6 6 15 17 2 0 2 8 5 4 1994 455 2449
Dhaulagiri Zonal Hospital, Baglung 197 58 0 0 18 11 3 1 3 0 0 0 0 1 221 71 292
District Hospital, Gorkha 110 13 0 2 2 0 2 1 2 1 0 0 0 0 116 17 133
District Hospital, Tanahu 164 7 0 0 4 0 2 0 0 0 0 0 0 0 170 7 177
District Hospital, Syangja 105 14 0 0 8 2 5 2 0 0 0 0 0 0 118 18 136
District Hospital, Manang 8 11 0 0 2 4 0 0 0 0 0 1 0 0 10 16 26
District Hospital, Mustang 13 11 0 0 1 4 0 0 0 0 0 0 0 0 14 15 29
District Hospital, Myagdi 161 39 0 0 3 10 4 1 0 1 0 0 0 0 168 51 219
District Hospital, Parbat 115 29 0 1 3 2 2 1 0 0 0 0 0 0 120 33 153
Lamjung Community Hospital, Lamjung 336 128 0 0 12 9 16 7 1 0 2 0 1 0 368 144 512
Bandipur Hospital, Tanahu 42 17 0 0 3 6 1 0 0 0 0 0 0 0 46 23 69
Bataulechaur Hospital, Kaski 49 7 0 0 0 0 0 0 0 0 0 0 0 0 49 7 56
Rapti Sub Regional Hospital, Dang 719 114 1 0 21 6 20 3 1 0 2 1 2 3 766 127 893
Lumbini Zonal Hospital, Rupandehi 1472 215 4 1 16 3 0 1 3 1 6 1 0 1 1501 223 1724
Rapti Zonal Hospital, Dang 106 29 1 0 4 3 12 6 1 0 0 0 0 0 124 38 162
Bheri Zonal Hospital, Banke 1022 307 0 0 45 46 28 22 15 9 4 8 3 2 1117 394 1511
Tamghas Hospital, Gulmi 142 40 1 0 3 1 4 5 0 1 0 0 0 0 150 47 197
District Hospital, Palpa 29 23 0 2 5 3 0 1 0 0 0 0 0 0 34 29 63
Prithvi Chandra Hospital, Nawalparasi 240 20 0 0 4 1 5 1 0 0 0 0 0 0 249 22 271
Prithvi Bir Hospital, Kapilbastu 260 43 0 0 13 5 12 8 2 1 0 0 0 1 287 58 345
District Hospital, Arghakhanchi 153 41 0 0 13 10 2 7 1 0 0 0 0 0 169 58 227
District Hospital, Pyuthan 209 22 0 0 12 8 1 2 4 1 0 0 0 0 226 33 259
District Hospital, Rolpa 89 12 0 0 10 0 8 1 1 0 1 1 0 0 109 14 123
District Hospital, Bardiya 162 95 0 0 2 0 4 1 1 0 0 0 0 0 169 96 265
Rampur Hospital, Palpa 30 19 0 0 14 8 0 0 0 0 0 0 0 0 44 27 71
Bhim Hospital, Rupandehi 506 102 0 0 15 6 7 13 1 1 0 0 1 0 530 122 652
Shivraj Hospital, Bahadurganj, Kapilbastu 150 4 0 0 8 0 1 0 0 0 0 0 0 0 159 4 163
Pipara Hospital, Kapilbastu 11 4 0 0 1 0 1 0 0 0 0 0 0 0 13 4 17
MWR Police Hospital, Banke 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 8 8
Karnali Academy Of Health Science, Jumla 64 75 0 0 1 1 2 2 0 0 0 1 0 0 67 79 146
Mid Western Regional Hospital, Surkhet 540 69 0 0 10 2 2 4 2 1 0 0 0 0 554 76 630
District Hospital, Rukum 88 20 0 0 14 8 4 1 0 0 0 0 0 0 106 29 135
District Hospital, Salyan 197 82 0 0 6 5 1 1 0 0 0 0 0 0 204 88 292
District Hospital, Dailekh 81 19 0 0 12 14 10 4 2 0 0 1 0 0 105 38 143
District Hospital, Jagarkot 71 28 0 0 9 5 1 1 1 0 0 0 0 0 82 34 116
District Hospital, Dolpa 13 11 1 0 3 2 0 2 0 0 0 0 0 0 17 15 32
District Hospital, Kalikot 107 33 1 0 6 0 4 2 0 3 0 0 0 0 118 38 156
District Hospital, Mugu 75 58 0 0 18 22 7 2 0 0 0 1 0 0 100 83 183
Simikot District Hospital, Humla 93 28 0 0 4 1 0 0 0 0 0 0 0 0 97 29 126
Mehelkuna Hospital, Surkhet 36 5 0 0 7 1 0 0 0 0 0 0 0 0 43 6 49
Dullu Hospital, Dailekh 37 6 0 0 0 0 0 0 0 0 0 0 0 0 37 6 43
Sub Regional Hospital, Dadeldhura 89 38 0 0 11 7 5 5 1 0 0 0 0 0 106 50 156
Seti Zonal Hospital, Kailali 709 389 0 0 12 11 4 2 9 11 5 10 3 4 742 427 1169
Malakheti Hospital, Kailali 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
District Hospital, Bajura 73 29 0 0 8 6 0 2 1 1 0 1 0 0 82 39 121
District Hospital, Bajhang 207 55 0 0 6 2 10 4 6 1 1 0 0 0 230 62 292
District Hospital, Achham 100 21 0 1 7 1 1 0 0 2 0 0 1 0 109 25 134
District Hospital, Doti 94 13 0 0 1 4 6 0 0 0 0 0 0 0 101 17 118
District Hospital, Baitadi 53 7 0 0 10 0 2 3 2 0 0 0 0 0 67 10 77
 30 - 39 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
District Hospital, Darchula 70 22 0 0 4 5 1 0 1 0 0 0 0 0 76 27 103
Tikapur Hospital, Kailali 310 89 0 0 1 3 0 0 0 0 0 0 0 0 311 92 403
Mahakali Zonal Hospital, Kanchanpur 214 35 0 0 18 17 94 33 4 3 0 0 0 0 330 88 418
Jogbuda Hospital, Dadeldhura 73 11 0 0 5 1 3 0 0 0 0 0 0 0 81 12 93
Gokuleshwor Hospital, Darchula 42 7 0 1 3 1 7 1 2 0 0 0 0 0 54 10 64
Public Hospital Total 31141 9028 38 34 769 458 615 308 165 79 52 55 55 62 32835 10024 42859
Non-Public Hospital Total 41785 30868 761 705 458 497 1044 943 68 47 119 128 73 84 44308 33272 77580
Total 72926 39896 799 739 1227 955 1659 #### 233 126 171 183 128 146 77143 43296 120439
Public Hospital % 43 23 5 5 63 48 37 25 71 63 30 30 43 42 43 23 36
Non-Public Hospital % 57 77 95 95 37 52 63 75 29 37 70 70 57 58 57 77 64
 Raw Data: HOSPITAL (Sheet 12 of 19)

40 - 49 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
BPKIHS, Dharan, Sunsari 1598 1232 8 4 6 8 35 36 1 0 7 6 11 18 1666 1304 2970
Mechi Zonal Hospital, Jhapa 171 184 0 0 14 26 15 19 0 1 2 7 2 2 204 239 443
Koshi Zonal Hospital, Morang 379 252 1 0 2 2 4 7 1 1 1 3 0 2 388 267 655
District Hospital, Taplejung 116 75 0 0 4 5 4 2 0 0 0 0 0 0 124 82 206
District Hospital, Panchthar 126 51 0 0 18 5 1 0 0 2 0 0 0 0 145 58 203
District Hospital, Ilam 45 20 0 0 4 4 2 0 0 0 0 0 0 0 51 24 75
District Hospital, Sunsari 39 24 0 0 2 0 8 0 0 0 0 0 0 0 49 24 73
District Hospital, Dhankuta 21 7 0 0 2 2 2 0 0 0 0 0 0 0 25 9 34
District Hospital, Terhathum 66 45 14 0 4 4 1 1 2 2 0 0 0 0 87 52 139
District Hospital, Sankhuwasabha 43 42 0 0 9 8 0 5 1 0 0 0 0 0 53 55 108
District Hospital, Bhojpur 88 39 0 0 14 8 8 4 1 1 0 1 0 0 111 53 164
District Hospital, Solukhumbu 38 28 1 1 2 4 0 3 0 0 0 0 0 0 41 36 77
Rumjatar Hospital, Okhaldhunga 29 28 0 0 1 0 0 3 0 0 0 0 0 0 30 31 61
District Hospital, Khotang 41 25 0 0 4 3 0 0 0 0 0 0 0 0 45 28 73
District Hospital, Udayapur 55 45 0 1 12 4 2 3 0 0 0 0 0 0 69 53 122
Rangeli Hospital, Morang 22 21 0 0 2 1 1 1 0 1 0 0 0 0 25 24 49
Mangalbare Hospital, Morang 6 5 1 0 1 1 0 2 0 0 0 0 0 0 8 8 16
Katari Hospital, Udayapur 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2
Sagarmatha Zonal Hospial, Saptari 84 44 0 0 1 0 0 0 2 1 0 0 0 0 87 45 132
District Hospital, Rautahat 15 0 0 0 0 0 2 1 0 0 0 0 0 0 17 1 18
District Hospital, Siraha 35 25 0 0 1 2 5 1 3 1 0 0 0 0 44 29 73
Malangawa District Hospital, Sarlahi 8 4 0 0 0 0 0 0 0 0 0 0 0 0 8 4 12
Kalaiya District Hospital, Bara 79 26 0 0 1 0 1 1 1 0 0 0 0 0 82 27 109
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 43 27 0 0 4 1 2 0 3 1 0 0 0 0 52 29 81
District Hospital Mahottari 21 22 0 0 0 0 0 0 0 0 0 0 0 0 21 22 43
Bardibas Hospital, Mahottari 52 45 0 1 3 3 0 0 0 0 0 0 0 0 55 49 104
Chandranigahapur Hosptial, Rautahat 69 70 1 3 0 0 0 0 0 0 0 0 0 0 70 73 143
Pokhariya Hospital, Parsa 9 13 0 0 0 0 0 0 0 0 0 0 0 0 9 13 22
Mental Hospital, Lalitpur 65 63 0 0 2 1 3 6 0 4 0 0 0 0 70 74 144
Bhaktapur Hospital, Bhaktapur 58 28 0 0 0 0 0 0 0 0 0 0 0 0 58 28 86
Bir Hospital, Kathmandu 799 1034 3 4 0 0 9 10 0 1 4 27 9 25 824 1101 1925
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 968 0 0 0 1 0 5 0 2 0 0 0 0 0 976 0 976
Human Organ Transplant Center 168 99 3 2 3 2 1 3 0 1 1 0 1 3 177 110 287
National Trauma Center, Kathmandu 112 246 0 5 0 2 5 12 0 0 0 1 1 1 118 267 385
Patan Hospital, Lalitpur 164 146 2 1 0 0 1 0 0 0 0 2 2 0 169 149 318
District Hospital, Sindhuli 50 39 0 0 5 4 3 2 0 1 0 0 0 0 58 46 104
District Hospital, Ramechhap 30 28 0 0 3 1 1 2 1 1 0 0 0 0 35 32 67
Jiri District Hospital, Dolakha 75 51 0 0 2 5 1 1 0 0 0 0 0 0 78 57 135
District Hospital, Sindhupalchok 36 34 0 0 1 4 0 0 0 0 0 0 0 0 37 38 75
District Trisuli Hospital, Nuwakot 89 46 0 0 5 3 4 1 0 0 0 0 0 0 98 50 148
District Hospital, Rasuwa 9 8 0 0 1 3 0 0 0 0 0 0 0 0 10 11 21
District Hospital, Dhading 61 23 0 0 1 0 1 1 0 0 0 0 0 0 63 24 87
Hetauda Hospital, Makwanpur 142 106 0 0 18 11 7 6 5 2 0 0 1 0 173 125 298
Bharatpur Hospital, Chitawan 1441 1272 0 0 30 21 27 20 19 19 12 12 13 10 1542 1354 2896
Methinkot Hospital, Kavre 11 4 0 0 5 1 0 0 0 0 0 0 0 0 16 5 21
Central Jail Hospital, Kathmandu 33 72 0 0 5 17 0 0 0 0 0 0 0 0 38 89 127
 40 - 49 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
APF Hospital, Kathmandu 91 105 0 0 0 0 0 0 0 0 0 0 0 0 91 105 196
Baghauda Hosptial, Chitawan 9 7 0 0 0 0 0 0 0 0 0 0 0 0 9 7 16
Bakulahar Hospital, Chitawan 3 3 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6
Western Regional Hospital, Pokhara 611 446 1 0 7 5 9 15 3 0 2 5 3 10 636 481 1117
Dhaulagiri Zonal Hospital, Baglung 65 40 0 0 6 5 2 2 0 0 0 1 0 0 73 48 121
District Hospital, Gorkha 14 19 0 0 6 4 1 5 1 2 0 0 0 0 22 30 52
District Hospital, Tanahu 24 7 2 0 6 3 3 1 0 0 0 0 0 0 35 11 46
District Hospital, Syangja 32 19 0 0 1 2 4 2 1 0 0 0 0 0 38 23 61
District Hospital, Manang 7 7 0 0 2 0 0 0 0 0 0 0 0 0 9 7 16
District Hospital, Mustang 1 7 0 0 0 4 1 0 0 0 0 0 0 0 2 11 13
District Hospital, Myagdi 72 42 0 0 3 6 3 0 0 0 0 0 0 0 78 48 126
District Hospital, Parbat 24 18 0 0 1 3 1 2 0 0 0 0 0 0 26 23 49
Lamjung Community Hospital, Lamjung 151 124 0 0 17 13 4 11 0 0 2 2 0 0 174 150 324
Bandipur Hospital, Tanahu 39 17 1 1 3 1 1 2 0 1 0 0 0 0 44 22 66
Bataulechaur Hospital, Kaski 10 5 0 0 0 0 0 0 0 0 0 0 0 0 10 5 15
Rapti Sub Regional Hospital, Dang 222 98 1 0 16 21 9 9 2 2 0 0 1 0 251 130 381
Lumbini Zonal Hospital, Rupandehi 282 208 3 1 8 4 0 0 2 1 0 0 1 0 296 214 510
Rapti Zonal Hospital, Dang 21 30 0 0 5 8 1 7 0 0 0 0 0 0 27 45 72
Bheri Zonal Hospital, Banke 394 304 0 1 33 32 15 20 4 8 3 3 4 2 453 370 823
Tamghas Hospital, Gulmi 49 25 0 0 3 1 5 3 1 0 0 0 0 0 58 29 87
District Hospital, Palpa 26 26 1 4 2 8 0 1 0 0 0 0 0 0 29 39 68
Prithvi Chandra Hospital, Nawalparasi 44 21 0 0 0 0 1 0 0 0 0 0 0 0 45 21 66
Prithvi Bir Hospital, Kapilbastu 45 34 0 0 3 0 5 2 0 1 1 1 1 1 55 39 94
District Hospital, Arghakhanchi 97 24 0 0 11 7 1 1 1 0 0 0 0 0 110 32 142
District Hospital, Pyuthan 51 20 2 0 6 8 6 3 0 0 0 1 0 1 65 33 98
District Hospital, Rolpa 44 24 0 0 7 2 3 3 0 0 0 1 0 0 54 30 84
District Hospital, Bardiya 18 115 0 0 1 2 0 1 0 0 0 0 0 0 19 118 137
Rampur Hospital, Palpa 28 20 0 0 6 5 0 0 0 0 0 0 0 0 34 25 59
Bhim Hospital, Rupandehi 128 77 0 0 9 3 12 4 0 1 0 3 0 2 149 90 239
Shivraj Hospital, Bahadurganj, Kapilbastu 10 3 0 0 1 2 1 0 0 0 0 0 0 0 12 5 17
Pipara Hospital, Kapilbastu 6 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 6
MWR Police Hospital, Banke 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Karnali Academy Of Health Science, Jumla 57 77 0 0 0 1 3 1 0 0 0 0 3 0 63 79 142
Mid Western Regional Hospital, Surkhet 137 55 0 0 0 1 5 2 1 0 0 0 0 1 143 59 202
District Hospital, Rukum 42 15 0 0 6 11 2 0 0 0 0 0 0 1 50 27 77
District Hospital, Salyan 43 31 0 1 2 4 3 1 1 0 0 0 0 0 49 37 86
District Hospital, Dailekh 71 26 0 0 3 5 5 2 1 0 0 2 0 0 80 35 115
District Hospital, Jagarkot 47 30 0 0 1 6 2 0 0 0 0 0 0 0 50 36 86
District Hospital, Dolpa 8 6 0 0 2 10 1 0 0 0 0 0 0 0 11 16 27
District Hospital, Kalikot 37 28 1 0 2 0 2 1 0 1 0 0 0 0 42 30 72
District Hospital, Mugu 64 24 0 0 8 10 5 2 0 0 0 0 0 0 77 36 113
Simikot District Hospital, Humla 38 26 0 0 2 2 0 0 0 0 0 0 0 0 40 28 68
Mehelkuna Hospital, Surkhet 12 2 0 0 0 3 0 0 0 0 0 0 0 0 12 5 17
Dullu Hospital, Dailekh 14 9 0 0 0 0 0 0 0 0 0 0 0 0 14 9 23
Sub Regional Hospital, Dadeldhura 66 42 0 0 14 4 7 3 0 1 0 0 0 0 87 50 137
Seti Zonal Hospital, Kailali 409 551 0 0 6 6 1 3 7 9 5 4 2 0 430 573 1003
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 58 14 1 0 6 4 0 1 0 0 0 0 0 0 65 19 84
District Hospital, Bajhang 115 42 0 0 2 6 6 2 6 1 0 0 0 1 129 52 181
District Hospital, Achham 42 25 0 0 3 2 1 0 1 0 0 0 0 0 47 27 74
 40 - 49 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Improved 48 hrs 48 hrs
Hospital Name
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
District Hospital, Doti 48 18 0 0 2 0 0 1 0 0 0 0 0 0 50 19 69
District Hospital, Baitadi 12 4 0 0 2 0 0 1 0 1 0 0 0 0 14 6 20
District Hospital, Darchula 76 29 0 0 3 3 0 0 1 1 0 0 1 0 81 33 114
Tikapur Hospital, Kailali 45 69 0 1 7 8 0 0 0 0 0 0 0 0 52 78 130
Mahakali Zonal Hospital, Kanchanpur 34 36 0 0 13 24 52 63 1 0 0 0 0 1 100 124 224
Jogbuda Hospital, Dadeldhura 23 13 0 0 1 2 3 1 2 1 0 0 0 0 29 17 46
Gokuleshwor Hospital, Darchula 15 4 0 0 1 0 4 0 0 1 0 0 0 0 20 5 25
Public Hospital Total 11742 8770 47 31 442 427 351 331 78 72 40 82 56 81 12756 9794 22550
Non-Public Hospital Total 34470 30305 822 761 470 483 910 1005 57 50 157 211 109 159 36995 32974 69969
Total 46212 39075 869 792 912 910 1261 1336 135 122 197 293 165 240 49751 42768 92519
Public Hospital % 25 22 5 4 48 47 28 25 58 59 20 28 34 34 26 23 24
Non-Public Hospital % 75 78 95 96 52 53 72 75 42 41 80 72 66 66 74 77 76
 Raw Data: HOSPITAL (Sheet 13 of 19)

50 - 59 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
BPKIHS, Dharan, Sunsari 1191 1214 3 6 5 3 40 54 0 2 4 13 12 24 1255 1316 2571
Mechi Zonal Hospital, Jhapa 140 211 0 1 16 27 11 14 0 2 1 1 1 1 169 257 426
Koshi Zonal Hospital, Morang 310 290 0 0 5 6 4 6 2 1 1 4 1 3 323 310 633
District Hospital, Taplejung 116 67 0 0 3 6 2 2 1 1 0 0 0 0 122 76 198
District Hospital, Panchthar 123 64 0 0 9 13 0 0 0 0 1 0 0 0 133 77 210
District Hospital, Ilam 34 14 0 0 4 1 2 0 0 0 0 0 0 0 40 15 55
District Hospital, Sunsari 27 18 0 0 1 0 0 0 0 0 0 0 0 0 28 18 46
District Hospital, Dhankuta 16 8 2 0 6 5 3 0 0 0 0 0 0 0 27 13 40
District Hospital, Terhathum 62 40 2 1 3 3 0 0 1 1 0 0 0 0 68 45 113
District Hospital, Sankhuwasabha 46 14 0 0 4 3 3 0 0 0 0 0 0 0 53 17 70
District Hospital, Bhojpur 86 50 0 0 10 13 10 2 1 0 4 0 1 0 112 65 177
District Hospital, Solukhumbu 30 20 0 0 4 5 0 2 0 0 0 0 0 0 34 27 61
Rumjatar Hospital, Okhaldhunga 24 26 0 0 1 1 0 2 0 0 0 0 0 0 25 29 54
District Hospital, Khotang 33 15 0 0 7 1 0 0 0 0 0 0 0 0 40 16 56
District Hospital, Udayapur 44 30 0 0 10 10 0 1 0 0 0 0 0 0 54 41 95
Rangeli Hospital, Morang 30 21 0 0 4 1 0 2 0 1 0 0 0 0 34 25 59
Mangalbare Hospital, Morang 1 5 0 0 0 1 1 0 0 0 0 0 0 0 2 6 8
Katari Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sagarmatha Zonal Hospial, Saptari 61 42 0 0 2 0 0 0 3 2 0 0 0 0 66 44 110
District Hospital, Rautahat 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
District Hospital, Siraha 39 28 0 0 1 2 6 0 2 2 0 0 0 0 48 32 80
Malangawa District Hospital, Sarlahi 8 4 0 0 0 0 0 0 0 0 0 0 0 0 8 4 12
Kalaiya District Hospital, Bara 41 19 0 0 1 1 2 0 2 0 0 0 0 0 46 20 66
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 23 14 0 0 2 2 3 1 2 0 0 0 0 0 30 17 47
District Hospital Mahottari 10 22 0 0 0 0 2 0 0 0 0 0 0 0 12 22 34
Bardibas Hospital, Mahottari 43 35 2 3 5 2 0 0 0 0 0 0 0 0 50 40 90
Chandranigahapur Hosptial, Rautahat 44 42 1 5 2 2 0 0 0 0 0 0 0 0 47 49 96
Pokhariya Hospital, Parsa 6 1 0 0 0 0 0 0 0 0 0 0 0 0 6 1 7
Mental Hospital, Lalitpur 35 23 0 0 1 0 4 3 0 0 0 0 0 0 40 26 66
Bhaktapur Hospital, Bhaktapur 46 26 0 0 0 0 0 0 0 0 0 0 0 0 46 26 72
Bir Hospital, Kathmandu 643 982 7 3 0 0 7 10 0 0 7 19 15 29 679 1043 1722
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 244 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 244
Human Organ Transplant Center 77 90 5 1 1 3 3 0 0 0 0 3 1 3 87 100 187
National Trauma Center, Kathmandu 81 195 0 0 0 2 4 9 1 1 1 2 3 11 90 220 310
Patan Hospital, Lalitpur 105 107 3 0 0 0 0 1 0 0 4 0 3 3 115 111 226
District Hospital, Sindhuli 59 22 0 0 6 3 3 1 0 0 0 0 0 0 68 26 94
District Hospital, Ramechhap 20 13 0 0 0 2 1 0 0 0 0 0 0 0 21 15 36
Jiri District Hospital, Dolakha 55 30 0 0 1 2 2 1 0 1 0 0 0 0 58 34 92
District Hospital, Sindhupalchok 41 25 0 0 3 0 1 0 0 0 0 0 0 0 45 25 70
District Trisuli Hospital, Nuwakot 98 101 0 0 9 10 2 2 0 1 0 0 0 0 109 114 223
District Hospital, Rasuwa 8 8 0 0 3 2 0 0 1 0 0 0 0 0 12 10 22
District Hospital, Dhading 31 32 0 0 5 2 3 1 0 0 1 0 0 0 40 35 75
Hetauda Hospital, Makwanpur 127 96 0 0 13 10 2 1 2 3 0 0 0 0 144 110 254
Bharatpur Hospital, Chitawan 1135 1075 0 0 27 25 23 19 21 23 14 17 21 19 1241 1178 2419
Methinkot Hospital, Kavre 6 5 0 0 0 3 0 0 0 0 0 0 0 0 6 8 14
Central Jail Hospital, Kathmandu 8 62 0 0 0 12 0 0 0 0 0 0 0 0 8 74 82
APF Hospital, Kathmandu 50 61 0 0 0 0 0 0 0 0 0 0 0 0 50 61 111
 50 - 59 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
Baghauda Hosptial, Chitawan 12 9 0 0 0 0 0 0 0 0 0 0 0 0 12 9 21
Bakulahar Hospital, Chitawan 7 2 0 0 0 0 0 0 0 0 0 0 0 0 7 2 9
Western Regional Hospital, Pokhara 473 424 4 5 8 9 16 23 3 0 8 9 11 10 523 480 1003
Dhaulagiri Zonal Hospital, Baglung 63 64 0 0 10 8 2 2 0 0 0 0 0 1 75 75 150
District Hospital, Gorkha 21 20 0 0 1 4 2 1 1 0 0 0 0 0 25 25 50
District Hospital, Tanahu 30 14 0 0 4 5 0 0 0 0 0 0 0 0 34 19 53
District Hospital, Syangja 36 16 0 0 4 3 1 1 0 0 0 0 0 0 41 20 61
District Hospital, Manang 3 4 0 0 2 2 0 0 0 0 0 1 0 0 5 7 12
District Hospital, Mustang 5 6 0 0 2 2 1 0 0 0 0 0 0 0 8 8 16
District Hospital, Myagdi 63 36 0 0 5 6 4 2 0 0 0 0 0 0 72 44 116
District Hospital, Parbat 38 12 2 0 3 2 1 0 0 1 0 0 0 0 44 15 59
Lamjung Community Hospital, Lamjung 152 141 0 0 8 17 12 13 0 1 1 0 1 1 174 173 347
Bandipur Hospital, Tanahu 19 28 0 0 1 2 3 0 0 0 0 0 0 0 23 30 53
Bataulechaur Hospital, Kaski 10 4 0 0 0 0 0 0 0 0 0 0 0 0 10 4 14
Rapti Sub Regional Hospital, Dang 161 164 1 0 19 13 8 11 2 0 0 0 0 1 191 189 380
Lumbini Zonal Hospital, Rupandehi 271 369 5 2 10 10 0 0 1 2 1 1 1 4 289 388 677
Rapti Zonal Hospital, Dang 36 19 0 0 2 7 7 9 0 0 0 1 0 0 45 36 81
Bheri Zonal Hospital, Banke 287 266 0 0 31 29 16 10 7 9 3 5 2 0 346 319 665
Tamghas Hospital, Gulmi 68 20 0 0 4 2 4 1 0 1 0 0 0 0 76 24 100
District Hospital, Palpa 26 41 2 4 7 8 0 0 0 0 0 0 0 0 35 53 88
Prithvi Chandra Hospital, Nawalparasi 29 22 0 0 1 0 0 0 0 0 0 0 0 0 30 22 52
Prithvi Bir Hospital, Kapilbastu 35 24 0 0 2 1 4 3 0 0 3 0 1 1 45 29 74
District Hospital, Arghakhanchi 105 43 1 0 20 7 6 2 2 0 0 0 0 0 134 52 186
District Hospital, Pyuthan 36 45 0 0 8 7 6 2 1 0 0 0 0 0 51 54 105
District Hospital, Rolpa 35 20 0 0 4 2 4 0 1 0 1 0 0 0 45 22 67
District Hospital, Bardiya 31 101 0 0 1 1 2 3 0 1 0 1 0 0 34 107 141
Rampur Hospital, Palpa 20 19 0 0 7 5 0 0 0 0 0 0 0 0 27 24 51
Bhim Hospital, Rupandehi 75 48 0 0 5 3 9 6 0 1 0 1 0 0 89 59 148
Shivraj Hospital, Bahadurganj, Kapilbastu 2 8 0 0 1 0 0 0 0 0 0 0 0 0 3 8 11
Pipara Hospital, Kapilbastu 4 0 0 0 0 1 0 0 0 0 0 0 0 0 4 1 5
MWR Police Hospital, Banke 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Karnali Academy Of Health Science, Jumla 37 67 0 0 2 1 3 0 0 1 0 0 0 1 42 70 112
Mid Western Regional Hospital, Surkhet 85 64 0 0 0 1 1 4 0 0 0 0 1 0 87 69 156
District Hospital, Rukum 21 20 0 0 6 5 1 3 0 0 0 0 0 0 28 28 56
District Hospital, Salyan 32 30 0 1 9 10 0 2 0 0 0 0 0 0 41 43 84
District Hospital, Dailekh 34 18 0 0 1 1 6 1 0 0 1 0 0 0 42 20 62
District Hospital, Jagarkot 29 28 0 0 2 8 1 2 1 0 0 0 0 0 33 38 71
District Hospital, Dolpa 16 4 1 0 1 3 0 0 0 0 0 0 0 0 18 7 25
District Hospital, Kalikot 26 22 0 0 0 0 0 1 1 0 0 0 0 0 27 23 50
District Hospital, Mugu 50 31 0 0 4 5 4 3 0 1 0 0 0 0 58 40 98
Simikot District Hospital, Humla 26 19 0 0 0 5 0 0 0 0 0 0 0 0 26 24 50
Mehelkuna Hospital, Surkhet 11 6 0 0 1 1 1 0 0 0 0 0 0 0 13 7 20
Dullu Hospital, Dailekh 4 7 0 0 0 0 0 0 0 0 0 0 0 0 4 7 11
Sub Regional Hospital, Dadeldhura 36 44 0 0 8 7 17 3 1 0 0 2 0 0 62 56 118
Seti Zonal Hospital, Kailali 324 385 0 0 7 9 4 5 9 12 4 9 2 6 350 426 776
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 24 17 0 0 2 4 0 0 0 0 0 0 0 0 26 21 47
District Hospital, Bajhang 106 68 0 0 3 4 31 7 4 2 1 1 2 1 147 83 230
District Hospital, Achham 44 15 0 0 3 6 0 0 2 0 0 0 0 0 49 21 70
District Hospital, Doti 76 15 0 0 1 1 5 2 2 0 0 1 0 0 84 19 103
District Hospital, Baitadi 9 11 0 0 2 1 0 1 0 0 0 0 0 0 11 13 24
 50 - 59 Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Total

Male

Male

Male

Male

Male

Male

Male

Male
District Hospital, Darchula 39 17 0 0 4 4 0 0 1 1 0 0 0 0 44 22 66
Tikapur Hospital, Kailali 69 96 0 0 3 6 0 0 0 0 0 0 0 0 72 102 174
Mahakali Zonal Hospital, Kanchanpur 37 22 0 1 20 11 49 38 3 2 2 2 1 1 112 77 189
Jogbuda Hospital, Dadeldhura 13 9 0 0 1 1 1 0 1 1 0 0 0 0 16 11 27
Gokuleshwor Hospital, Darchula 3 11 0 0 3 2 2 3 0 0 0 0 0 0 8 16 24
Public Hospital Total 8762 8283 41 33 427 436 378 298 82 77 63 93 80 120 9833 9340 19173
Non-Public Hospital Total 31619 32102 713 809 510 547 878 1070 43 34 171 282 204 231 34138 35075 69213
Total 40381 40385 754 842 937 983 1256 1368 125 111 234 375 284 351 43971 44415 88386
Public Hospital % 22 21 5 4 46 44 30 22 66 69 27 25 28 34 22 21 22
Non-Public Hospital % 78 79 95 96 54 56 70 78 34 31 73 75 72 66 78 79 78
 Raw Data: HOSPITAL (Sheet 14 of 19)

60 + Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

BPKIHS, Dharan, Sunsari 2110 2538 6 6 5 9 92 107 0 1 23 31 55 58 2291 2750 5041

Mechi Zonal Hospital, Jhapa 214 355 2 12 34 39 26 39 2 0 3 2 2 4 283 451 734
Koshi Zonal Hospital, Morang 532 548 1 0 3 5 10 10 7 5 5 6 8 8 566 582 1148
District Hospital, Taplejung 136 122 0 0 11 12 3 2 0 1 0 4 0 0 150 141 291
District Hospital, Panchthar 180 119 0 0 25 19 1 0 0 0 1 0 0 0 207 138 345
District Hospital, Ilam 62 42 0 0 13 15 2 2 0 0 1 0 0 0 78 59 137
District Hospital, Sunsari 77 51 0 0 9 3 3 0 0 1 0 0 0 0 89 55 144
District Hospital, Dhankuta 74 52 0 0 29 13 1 0 0 0 1 0 0 0 105 65 170
District Hospital, Terhathum 140 97 1 2 6 6 2 4 5 1 2 0 0 0 156 110 266
District Hospital, Sankhuwasabha 119 71 0 0 13 10 6 2 0 0 0 0 0 0 138 83 221
District Hospital, Bhojpur 143 106 1 0 30 39 20 16 0 0 6 3 0 0 200 164 364
District Hospital, Solukhumbu 83 58 2 0 14 13 6 4 1 3 0 4 0 0 106 82 188
Rumjatar Hospital, Okhaldhunga 52 60 0 0 0 0 1 2 0 0 0 0 0 0 53 62 115
District Hospital, Khotang 97 60 0 0 16 11 0 0 0 0 2 1 0 0 115 72 187
District Hospital, Udayapur 158 122 0 0 23 15 5 3 3 1 0 0 0 0 189 141 330
Rangeli Hospital, Morang 46 47 0 0 4 6 4 7 0 2 0 1 0 0 54 63 117
Mangalbare Hospital, Morang 13 9 4 0 2 0 3 0 0 0 0 0 0 0 22 9 31
Katari Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sagarmatha Zonal Hospial, Saptari 146 134 0 0 2 4 0 0 4 5 0 0 0 0 152 143 295
District Hospital, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Siraha 60 55 0 0 2 3 7 7 0 1 0 0 0 0 69 66 135
Malangawa District Hospital, Sarlahi 2 3 0 0 0 0 0 0 0 0 0 0 0 0 2 3 5
Kalaiya District Hospital, Bara 65 46 0 0 3 3 2 3 0 2 1 1 0 0 71 55 126
Bharadah Hospital, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 60 53 0 0 7 5 4 3 4 2 0 0 0 0 75 63 138
District Hospital Mahottari 23 17 0 0 13 1 2 0 0 0 0 0 0 0 38 18 56
Bardibas Hospital, Mahottari 43 37 2 2 3 1 0 0 0 0 0 0 0 0 48 40 88
Chandranigahapur Hosptial, Rautahat 39 46 0 2 1 1 0 0 0 0 0 0 0 0 40 49 89
Pokhariya Hospital, Parsa 8 13 0 0 0 0 0 0 0 0 0 0 0 0 8 13 21
Mental Hospital, Lalitpur 20 16 0 0 1 0 0 0 0 0 0 0 0 0 21 16 37
Bhaktapur Hospital, Bhaktapur 115 81 0 0 0 1 0 0 0 0 0 0 0 0 115 82 197
Bir Hospital, Kathmandu 1186 1897 9 17 0 0 25 37 0 1 40 50 31 73 1291 2075 3366
Kanti Children Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Maternity Hospital, Kathmandu 132 0 0 0 0 0 0 1 1 0 0 0 0 0 133 1 134
Human Organ Transplant Center 43 103 3 4 4 4 0 4 0 0 1 2 2 3 53 120 173
National Trauma Center, Kathmandu 184 219 1 3 1 4 9 17 1 0 1 2 8 13 205 258 463
Patan Hospital, Lalitpur 310 258 9 8 0 0 2 0 0 0 6 0 12 14 339 280 619
District Hospital, Sindhuli 98 77 0 0 20 15 19 9 0 0 0 0 0 0 137 101 238
District Hospital, Ramechhap 127 106 0 1 10 11 7 7 0 2 2 1 1 2 147 130 277
Jiri District Hospital, Dolakha 126 100 0 0 11 4 0 2 0 0 1 2 0 0 138 108 246
District Hospital, Sindhupalchok 154 109 0 0 9 11 0 0 0 2 2 1 0 0 165 123 288
District Trisuli Hospital, Nuwakot 132 140 0 0 24 23 8 5 0 1 0 3 2 0 166 172 338
District Hospital, Rasuwa 16 14 1 2 8 9 0 0 0 0 0 0 0 0 25 25 50
District Hospital, Dhading 103 97 0 0 4 11 4 8 2 0 0 0 0 0 113 116 229
Hetauda Hospital, Makwanpur 342 315 0 0 51 29 3 8 12 2 0 0 0 0 408 354 762
Bharatpur Hospital, Chitawan 1056 1280 0 0 31 30 30 34 35 34 30 23 38 33 1220 1434 2654
Methinkot Hospital, Kavre 11 14 0 1 3 3 0 1 0 0 0 0 0 0 14 19 33
Central Jail Hospital, Kathmandu 6 88 0 0 1 118 0 0 0 0 0 0 0 0 7 206 213
 60 + Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

APF Hospital, Kathmandu 41 63 0 0 0 0 0 0 0 0 0 0 0 0 41 63 104

Baghauda Hosptial, Chitawan 24 8 0 0 2 1 0 0 0 0 0 0 0 0 26 9 35
Bakulahar Hospital, Chitawan 9 10 0 0 0 1 0 0 0 0 0 0 0 0 9 11 20
Western Regional Hospital, Pokhara 2118 1444 8 8 39 42 103 104 14 1 29 33 49 54 2360 1686 4046
Dhaulagiri Zonal Hospital, Baglung 171 160 0 0 24 38 3 2 0 0 0 0 0 0 198 200 398
District Hospital, Gorkha 91 51 0 0 23 19 12 8 0 0 0 0 0 0 126 78 204
District Hospital, Tanahu 49 35 0 0 10 7 1 2 0 0 0 0 0 0 60 44 104
District Hospital, Syangja 103 50 0 0 9 10 2 6 1 0 0 0 0 0 115 66 181
District Hospital, Manang 3 7 0 0 3 0 1 0 0 0 0 1 0 0 7 8 15
District Hospital, Mustang 18 9 0 0 2 8 0 2 0 0 1 0 1 1 22 20 42
District Hospital, Myagdi 108 87 0 0 10 16 7 4 0 0 0 1 0 0 125 108 233
District Hospital, Parbat 111 76 1 3 12 6 7 5 1 2 3 0 0 0 135 92 227
Lamjung Community Hospital, Lamjung 367 315 0 0 38 45 89 36 0 0 6 3 0 0 500 399 899
Bandipur Hospital, Tanahu 60 36 1 0 17 9 3 5 0 0 0 0 0 1 81 51 132
Bataulechaur Hospital, Kaski 15 7 0 0 2 0 1 0 0 0 0 0 0 0 18 7 25
Rapti Sub Regional Hospital, Dang 487 375 5 0 36 47 30 30 2 2 4 3 4 7 568 464 1032
Lumbini Zonal Hospital, Rupandehi 653 562 7 10 17 16 0 0 9 9 10 13 8 11 704 621 1325
Rapti Zonal Hospital, Dang 91 116 2 0 26 26 36 39 3 0 3 2 1 1 162 184 346
Bheri Zonal Hospital, Banke 597 746 0 0 55 62 40 28 9 18 11 15 5 3 717 872 1589
Tamghas Hospital, Gulmi 157 108 3 2 8 13 22 11 2 1 0 0 0 0 192 135 327
District Hospital, Palpa 100 112 7 8 17 25 0 1 0 0 0 2 0 0 124 148 272
Prithvi Chandra Hospital, Nawalparasi 33 49 0 0 3 3 2 2 0 0 1 0 0 0 39 54 93
Prithvi Bir Hospital, Kapilbastu 74 58 0 0 5 6 3 8 2 1 3 5 2 3 89 81 170
District Hospital, Arghakhanchi 230 148 0 0 30 32 19 11 0 0 1 4 0 0 280 195 475
District Hospital, Pyuthan 151 112 1 0 14 16 17 18 3 0 2 2 2 1 190 149 339
District Hospital, Rolpa 58 66 0 0 13 9 4 5 1 2 0 0 0 0 76 82 158
District Hospital, Bardiya 53 101 0 0 1 1 3 1 0 0 1 0 0 0 58 103 161
Rampur Hospital, Palpa 36 39 0 0 11 13 0 0 0 0 0 0 0 0 47 52 99
Bhim Hospital, Rupandehi 103 116 0 0 17 11 11 9 0 1 2 8 1 0 134 145 279
Shivraj Hospital, Bahadurganj, Kapilbastu 12 19 0 0 0 5 1 1 0 0 1 0 0 0 14 25 39
Pipara Hospital, Kapilbastu 4 5 0 0 0 1 0 0 0 0 0 0 0 0 4 6 10
MWR Police Hospital, Banke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 105 102 0 0 4 4 6 9 1 0 1 1 0 0 117 116 233
Mid Western Regional Hospital, Surkhet 186 147 0 0 2 3 5 3 0 0 0 0 0 1 193 154 347
District Hospital, Rukum 50 29 0 0 22 19 0 2 1 0 0 1 1 1 74 52 126
District Hospital, Salyan 76 98 0 0 8 6 5 1 1 0 0 0 0 0 90 105 195
District Hospital, Dailekh 110 65 0 0 12 6 9 3 0 2 0 0 0 0 131 76 207
District Hospital, Jagarkot 58 59 0 0 5 4 1 3 0 0 0 1 0 0 64 67 131
District Hospital, Dolpa 9 7 0 1 1 0 0 0 0 0 0 0 0 0 10 8 18
District Hospital, Kalikot 52 44 1 0 2 2 0 1 0 1 0 0 0 1 55 49 104
District Hospital, Mugu 71 58 0 0 6 8 3 6 0 0 1 0 0 0 81 72 153
Simikot District Hospital, Humla 20 11 0 0 2 1 0 0 0 0 0 0 0 0 22 12 34
Mehelkuna Hospital, Surkhet 31 16 0 0 0 3 0 1 0 0 0 0 0 0 31 20 51
Dullu Hospital, Dailekh 8 13 0 0 0 0 0 0 0 0 0 0 0 0 8 13 21
Sub Regional Hospital, Dadeldhura 129 136 0 0 29 31 26 18 0 3 0 4 1 0 185 192 377
Seti Zonal Hospital, Kailali 781 873 0 1 14 25 13 10 29 18 19 21 20 21 876 969 1845
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 53 48 0 0 2 5 1 0 0 0 0 0 0 0 56 53 109
District Hospital, Bajhang 147 152 0 0 10 13 18 12 9 8 2 1 1 3 187 189 376
District Hospital, Achham 105 44 0 0 5 6 1 3 1 3 0 1 0 0 112 57 169
 60 + Yrs
Not Dead within Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved 48 hrs 48 hrs All

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Total

District Hospital, Doti 86 53 0 0 8 3 6 2 0 3 0 1 1 2 101 64 165

District Hospital, Baitadi 19 21 0 0 6 3 3 7 0 0 0 0 0 0 28 31 59
District Hospital, Darchula 53 62 0 0 6 9 0 0 0 0 2 0 1 0 62 71 133
Tikapur Hospital, Kailali 80 91 0 0 4 7 0 0 0 0 0 0 0 0 84 98 182
Mahakali Zonal Hospital, Kanchanpur 96 86 1 0 26 45 121 119 3 2 4 6 2 1 253 259 512
Jogbuda Hospital, Dadeldhura 26 22 0 0 1 3 0 2 0 2 0 0 0 0 27 29 56
Gokuleshwor Hospital, Darchula 9 12 0 1 0 4 5 4 0 0 0 0 0 0 14 21 35
Public Hospital Total 17330 17114 79 94 1065 1204 947 888 169 146 235 266 259 320 20084 20032 40116
Non-Public Hospital Total 41952 42327 1634 1750 735 900 1995 2318 63 64 483 722 624 773 47486 48854 96340
Total 59282 59441 1713 1844 1800 2104 2942 3206 232 210 718 988 883 1093 67570 68886 136456
Public Hospital % 29 29 5 5 59 57 32 28 73 70 33 27 29 29 30 29 29
Non-Public Hospital % 71 71 95 95 41 43 68 72 27 30 67 73 71 71 70 71 71
 Raw Data: HOSPITAL (Sheet 15 of 19)
Total
Not Dead Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved within 48 48 hrs
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
BPKIHS, Dharan, Sunsari 22028 10794 27 30 44 50 319 317 14 18 64 74 133 149 22629 11432 34061
Mechi Zonal Hospital, Jhapa 2859 1944 4 17 182 148 173 139 6 13 10 10 7 8 3241 2279 5520
Koshi Zonal Hospital, Morang 13649 8708 10 8 87 100 218 168 87 27 21 25 32 45 14104 9081 23185
District Hospital, Taplejung 1604 759 0 0 48 42 27 9 4 2 0 6 0 0 1683 818 2501
District Hospital, Panchthar 2611 1457 0 0 162 74 22 17 8 10 3 2 30 56 2836 1616 4452
District Hospital, Ilam 1565 261 0 0 75 36 27 13 3 3 1 0 0 0 1671 313 1984
District Hospital, Sunsari 3089 568 0 0 217 12 77 26 6 4 0 0 0 0 3389 610 3999
District Hospital, Dhankuta 588 220 2 0 92 33 10 2 1 0 1 0 0 0 694 255 949
District Hospital, Terhathum 1008 513 39 9 36 28 9 12 24 18 2 1 0 0 1118 581 1699
District Hospital, Sankhuwasabha 1369 430 0 0 99 85 22 21 1 1 0 0 1 1 1492 538 2030
District Hospital, Bhojpur 1206 1023 4 0 175 129 117 73 10 13 30 43 3 8 1545 1289 2834
District Hospital, Solukhumbu 661 317 4 3 55 56 18 17 4 8 2 6 0 1 744 408 1152
Rumjatar Hospital, Okhaldhunga 328 284 0 0 8 5 1 10 0 0 0 0 0 0 337 299 636
District Hospital, Khotang 935 417 0 0 91 54 2 4 2 0 2 1 0 0 1032 476 1508
District Hospital, Udayapur 2197 950 2 1 140 80 29 23 11 6 3 1 1 1 2383 1062 3445
Rangeli Hospital, Morang 533 406 0 0 42 18 20 23 8 8 10 12 2 10 615 477 1092
Mangalbare Hospital, Morang 72 60 5 0 11 12 16 19 0 0 1 1 0 0 105 92 197
Katari Hospital, Udayapur 639 160 0 0 23 26 11 10 0 0 0 3 0 0 673 199 872
Sagarmatha Zonal Hospial, Saptari 5455 2573 0 0 13 23 2 8 391 32 4 4 1 0 5866 2640 8506
District Hospital, Rautahat 1759 0 15 8 79 0 175 3 35 0 0 0 0 0 2063 11 2074
District Hospital, Siraha 1049 525 0 0 149 104 39 22 14 5 1 2 0 0 1252 658 1910
Malangawa District Hospital, Sarlahi 1436 53 0 0 5 3 2 3 1 0 0 0 0 0 1444 59 1503
Kalaiya District Hospital, Bara 4069 289 0 0 45 14 54 13 34 16 2 1 0 0 4204 333 4537
Bharadah Hospital, Saptari 580 469 0 0 7 9 1 0 15 7 21 26 2 6 626 517 1143
Ram Uma Smarak Hospital, Lahan, Siraha 4188 896 0 0 173 22 206 34 105 7 21 29 19 39 4712 1027 5739
District Hospital Mahottari 1613 306 2 0 64 14 5 0 1 0 0 0 0 0 1685 320 2005
Bardibas Hospital, Mahottari 387 291 8 10 18 14 0 0 0 0 0 0 0 0 413 315 728
Chandranigahapur Hosptial, Rautahat 575 440 36 44 15 19 13 0 0 0 0 0 0 0 639 503 1142
Pokhariya Hospital, Parsa 73 47 1 0 2 0 1 0 0 0 1 0 0 0 78 47 125
Mental Hospital, Lalitpur 350 385 0 0 7 2 22 32 4 25 1 1 0 0 384 445 829
Bhaktapur Hospital, Bhaktapur 867 229 1 0 20 7 14 1 1 0 1 0 0 0 904 237 1141
Bir Hospital, Kathmandu 4502 6234 28 34 4 6 55 80 0 4 70 122 74 149 4733 6629 11362
Kanti Children Hospital, Kathmandu 2181 4543 6 17 4 8 51 68 8 6 1 6 29 74 2280 4722 7002
Maternity Hospital, Kathmandu 22108 6 0 0 3 1 272 3 18 0 2 0 5 1 22408 11 22419
Human Organ Transplant Center 519 609 19 15 10 15 12 9 0 3 2 8 6 14 568 673 1241
National Trauma Center, Kathmandu 799 1898 5 15 9 17 23 63 3 6 8 10 20 37 867 2046 2913
Patan Hospital, Lalitpur 3519 1253 18 19 5 5 5 5 0 1 13 7 20 21 3580 1311 4891
District Hospital, Sindhuli 1315 432 0 0 128 46 122 47 6 2 0 0 0 1 1571 528 2099
District Hospital, Ramechhap 499 329 0 1 42 30 12 13 2 5 2 1 1 2 558 381 939
Jiri District Hospital, Dolakha 837 500 1 1 24 27 3 7 2 2 2 2 0 0 869 539 1408
District Hospital, Sindhupalchok 626 319 0 0 57 25 4 4 4 2 2 1 0 0 693 351 1044
District Trisuli Hospital, Nuwakot 2225 531 0 0 121 63 37 13 1 4 0 5 2 1 2386 617 3003
District Hospital, Rasuwa 123 134 2 3 35 30 2 5 2 1 1 0 0 0 165 173 338
District Hospital, Dhading 1274 451 0 1 43 40 25 24 5 2 1 0 0 0 1348 518 1866
Hetauda Hospital, Makwanpur 4934 1482 0 0 205 123 118 34 73 27 0 0 1 0 5331 1666 6997
Bharatpur Hospital, Chitawan 24461 11371 0 0 254 234 205 184 176 198 67 62 79 69 25242 12118 37360
Methinkot Hospital, Kavre 198 52 1 1 46 8 2 2 1 1 0 0 0 0 248 64 312
Central Jail Hospital, Kathmandu 183 444 0 0 29 199 0 0 0 0 3 0 0 0 215 643 858
APF Hospital, Kathmandu 484 681 0 0 0 0 0 0 0 0 0 0 0 0 484 681 1165
 Total
Not Dead Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved within 48 48 hrs
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
Baghauda Hosptial, Chitawan 100 56 0 0 5 3 0 0 0 0 1 1 0 0 106 60 166
Bakulahar Hospital, Chitawan 65 38 0 0 0 3 0 0 0 0 0 0 0 0 65 41 106
Western Regional Hospital, Pokhara 15624 5703 737 63 90 124 191 207 28 4 47 55 80 85 16797 6241 23038
Dhaulagiri Zonal Hospital, Baglung 2022 728 0 0 117 99 12 13 3 0 3 2 0 2 2157 844 3001
District Hospital, Gorkha 1387 252 0 2 71 43 57 25 8 4 1 2 1 0 1525 328 1853
District Hospital, Tanahu 1207 152 3 0 46 22 7 10 0 2 1 0 0 0 1264 186 1450
District Hospital, Syangja 931 209 1 0 82 29 36 12 2 1 0 0 1 1 1053 252 1305
District Hospital, Manang 82 93 0 0 25 17 2 2 1 1 6 8 0 0 116 121 237
District Hospital, Mustang 98 74 1 0 15 26 2 2 0 0 1 0 1 1 118 103 221
District Hospital, Myagdi 1429 580 0 0 45 66 27 17 0 1 0 1 0 0 1501 665 2166
District Hospital, Parbat 839 317 6 5 35 23 15 15 6 4 3 0 0 0 904 364 1268
Lamjung Community Hospital, Lamjung 3013 1681 11 0 121 139 187 105 2 5 11 6 2 1 3347 1937 5284
Bandipur Hospital, Tanahu 313 213 2 1 50 24 16 11 1 1 0 0 0 1 382 251 633
Bataulechaur Hospital, Kaski 284 60 0 0 4 0 3 0 0 0 0 0 0 0 291 60 351
Rapti Sub Regional Hospital, Dang 6527 1384 10 1 183 168 127 71 25 7 7 4 7 11 6886 1646 8532
Lumbini Zonal Hospital, Rupandehi 11176 2416 32 18 80 47 1 2 22 15 23 20 14 19 11348 2537 13885
Rapti Zonal Hospital, Dang 2214 297 5 0 83 68 230 80 13 0 3 3 1 2 2549 450 2999
Bheri Zonal Hospital, Banke 7722 2708 0 1 284 233 182 141 89 84 39 38 19 10 8335 3215 11550
Tamghas Hospital, Gulmi 1566 571 4 4 45 35 69 40 11 7 0 0 0 0 1695 657 2352
District Hospital, Palpa 252 263 15 24 39 50 1 3 0 0 0 2 0 0 307 342 649
Prithvi Chandra Hospital, Nawalparasi 1736 195 0 0 57 9 34 5 0 0 2 0 0 0 1829 209 2038
Prithvi Bir Hospital, Kapilbastu 1520 299 0 0 123 29 78 37 20 5 8 7 4 6 1753 383 2136
District Hospital, Arghakhanchi 2155 1139 1 0 185 115 60 40 8 4 1 4 0 1 2410 1303 3713
District Hospital, Pyuthan 2227 342 9 4 90 59 56 34 15 5 3 3 3 2 2403 449 2852
District Hospital, Rolpa 776 309 0 0 93 38 36 16 8 5 5 3 1 0 919 371 1290
District Hospital, Bardiya 1459 632 0 0 28 9 47 18 4 1 2 1 0 0 1540 661 2201
Rampur Hospital, Palpa 388 193 0 0 71 50 4 4 0 0 0 1 0 0 463 248 711
Bhim Hospital, Rupandehi 3725 686 0 0 103 37 97 57 4 6 2 12 2 2 3933 800 4733
Shivraj Hospital, Bahadurganj, Kapilbastu 663 108 0 1 54 21 7 4 0 0 1 0 0 1 725 135 860
Pipara Hospital, Kapilbastu 69 12 0 0 19 3 1 0 0 0 0 0 0 0 89 15 104
MWR Police Hospital, Banke 1 14 0 0 0 0 0 0 0 0 0 0 0 0 1 14 15
Karnali Academy Of Health Science, Jumla 604 761 0 0 15 21 25 33 3 2 2 3 5 3 654 823 1477
Mid Western Regional Hospital, Surkhet 4904 937 0 0 45 13 33 24 10 2 1 0 2 4 4995 980 5975
District Hospital, Rukum 846 315 0 0 148 95 26 15 1 0 0 1 5 3 1026 429 1455
District Hospital, Salyan 1950 600 1 3 53 43 22 13 3 2 1 2 0 0 2030 663 2693
District Hospital, Dailekh 1438 841 0 0 133 77 94 57 33 25 6 10 2 3 1706 1013 2719
District Hospital, Jagarkot 568 351 0 0 69 42 12 12 3 3 1 3 0 0 653 411 1064
District Hospital, Dolpa 163 115 3 4 24 26 2 7 0 0 0 0 0 0 192 152 344
District Hospital, Kalikot 841 535 8 2 21 11 13 15 6 12 0 0 2 1 891 576 1467
District Hospital, Mugu 660 338 0 1 65 93 44 20 5 2 1 4 3 1 778 459 1237
Simikot District Hospital, Humla 369 223 0 0 11 12 0 0 0 0 0 0 0 0 380 235 615
Mehelkuna Hospital, Surkhet 576 118 0 0 53 19 12 7 4 4 0 0 0 0 645 148 793
Dullu Hospital, Dailekh 354 79 0 0 10 2 0 0 0 0 0 0 0 0 364 81 445
Sub Regional Hospital, Dadeldhura 632 683 0 0 127 107 97 84 5 9 0 8 1 0 862 891 1753
Seti Zonal Hospital, Kailali 12001 4980 1 2 119 92 62 36 145 112 46 58 38 42 12412 5322 17734
Malakheti Hospital, Kailali 17 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 17
District Hospital, Bajura 460 277 1 0 45 49 6 3 2 3 0 4 2 0 516 336 852
District Hospital, Bajhang 1495 798 0 0 49 49 91 54 66 45 8 3 4 10 1713 959 2672
District Hospital, Achham 893 372 1 1 48 30 9 5 8 7 0 2 1 0 960 417 1377
District Hospital, Doti 766 175 0 0 28 20 29 14 2 5 1 3 1 3 827 220 1047
 Total
Not Dead Dead after
Recovered Referral Lama Absconded Total
Hospital Name Improved within 48 48 hrs
All Total

Female

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male

Male
District Hospital, Baitadi 514 121 0 0 49 12 16 20 4 3 0 0 0 1 583 157 740
District Hospital, Darchula 993 317 0 0 37 41 2 0 9 8 2 2 3 0 1046 368 1414
Tikapur Hospital, Kailali 2470 780 0 2 45 35 3 3 2 3 0 0 0 0 2520 823 3343
Mahakali Zonal Hospital, Kanchanpur 1993 400 1 1 215 178 640 529 29 21 8 10 3 5 2889 1144 4033
Jogbuda Hospital, Dadeldhura 524 173 0 0 35 18 19 9 5 5 0 0 0 0 583 205 788
Gokuleshwor Hospital, Darchula 336 104 4 3 33 19 38 23 12 6 2 0 0 0 425 155 580
Public Hospital Total 159466 95556 331 298 5117 4451 4050 3276 1142 840 581 716 620 887 171307 106024 277331
Non-Public Hospital Total 280893 248166 6418 6811 3968 4458 8888 9563 457 419 1335 1858 1280 1664 303239 272939 576178
Total 440359 343722 6749 7109 9085 8909 12938 12839 1599 1259 1916 2574 1900 2551 474546 378963 853509
Public Hospital % 36 28 5 4 56 50 31 26 71 67 30 28 33 35 36 28 32
Non-Public Hospital % 64 72 95 96 44 50 69 74 29 33 70 72 67 65 64 72 68
 Raw Data: HOSPITAL (Sheet 16 of 19)

Gestational Weeks
22 - 27 28 - 36 37 - 41 ≥ 42 Total
Hospital Name

Grand

Grand

Grand

Grand

Grand
Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi
Primi

Primi

Primi

Primi

Primi
Mechi Zonal Hospital, Jhapa 0 0 0 29 29 2 512 471 13 11 12 0 552 512 15
Koshi Zonal Hospital, Morang 1 3 2 109 94 23 2348 1737 560 77 47 26 2535 1881 611
District Hospital, Taplejung 0 0 0 11 3 1 297 328 18 0 4 0 308 335 19
District Hospital, Panchthar 0 1 0 16 7 1 470 349 13 10 10 0 496 367 14
District Hospital, Ilam 3 2 1 24 11 0 540 292 16 35 10 0 602 315 17
District Hospital, Sunsari 3 2 0 31 34 5 553 1202 32 7 32 0 594 1270 37
District Hospital, Dhankuta 1 0 0 8 7 0 118 107 13 7 4 1 134 118 14
District Hospital, Terhathum 1 0 0 8 13 0 189 120 0 17 20 0 215 153 0
District Hospital, Sankhuwasabha 3 5 0 20 13 3 403 310 20 37 27 8 463 355 31
District Hospital, Bhojpur 1 0 0 2 1 1 105 100 7 6 5 1 114 106 9
District Hospital, Solukhumbu 0 0 0 2 0 0 29 26 0 0 0 0 31 26 0
Rumjatar Hospital, Okhaldhunga 0 0 0 0 0 0 11 22 1 0 1 0 11 23 1
District Hospital, Khotang 23 19 3 0 0 0 0 0 0 0 0 0 23 19 3
District Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rangeli Hospital, Morang 0 0 0 11 14 8 34 63 22 0 0 0 45 77 30
Katari Hospital, Udayapur 0 0 0 7 17 0 267 215 4 13 15 3 287 247 7
Janakpur Zonal Hospital 8 6 9 395 422 165 2192 2748 454 6 10 3 2601 3186 631
Sagarmatha Zonal Hospial, Saptari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Rautahat 0 0 0 20 32 12 636 873 189 11 11 9 667 916 210
District Hospital, Siraha 30 30 44 137 146 69 0 0 0 0 0 0 167 176 113
Malangawa District Hospital, Sarlahi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalaiya District Hospital, Bara 5 3 1 21 14 3 519 1029 80 2 18 25 547 1064 109
Bharadah Hospital, Saptari 0 0 0 0 1 0 60 126 38 0 0 0 60 127 38
Ram Uma Smarak Hospital, Lahan, Siraha 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Mahottari 16 0 0 112 141 70 45 340 110 19 137 292 192 618 472
Bardibas Hospital, Mahottari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chandranigahapur Hosptial, Rautahat 0 0 0 87 87 53 116 142 61 2 2 0 205 231 114
Pokhariya Hospital, Parsa 0 2 3 4 16 11 220 375 100 6 1 11 230 394 125
Maternity Hospital, Kathmandu 0 0 0 0 0 0 2965 2943 0 5768 5520 0 8733 8463 0
District Hospital, Sindhuli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Ramechhap 0 0 0 0 0 0 45 31 6 0 0 0 45 31 6
Jiri District Hospital, Dolakha 0 0 0 2 4 0 128 84 10 28 13 6 158 101 16
District Hospital, Sindhupalchok 0 0 0 0 0 0 76 78 6 0 1 0 76 79 6
District Trisuli Hospital, Nuwakot 0 1 0 12 9 1 571 889 12 13 22 6 596 921 19
District Hospital, Dhading 2 0 0 8 2 0 351 289 34 16 17 0 377 308 34
Hetauda Hospital, Makwanpur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bharatpur Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Methinkot Hospital, Kavre 1 0 0 3 2 2 49 46 6 1 0 0 54 48 8
Baghauda Hosptial, Chitawan 0 0 0 9 6 2 103 102 10 3 1 0 115 109 12
Bakulahar Hospital, Chitawan 1 0 0 6 0 0 15 14 3 0 0 0 22 14 3
Western Regional Hospital, Pokhara 17 15 2 185 147 28 4138 3781 492 114 104 13 4454 4047 535
Dhaulagiri Zonal Hospital, Baglung 0 0 0 17 18 0 332 726 34 8 23 6 357 767 40
District Hospital, Gorkha 0 5 0 20 16 2 403 405 14 27 27 1 450 453 17
 Gestational Weeks
22 - 27 28 - 36 37 - 41 ≥ 42 Total
Hospital Name

Grand

Grand

Grand

Grand

Grand
Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi
Primi

Primi

Primi

Primi

Primi
District Hospital, Tanahu 0 0 0 2 18 2 263 450 16 1 17 2 266 485 20
District Hospital, Syangja 0 0 0 29 37 0 190 170 8 2 5 1 221 212 9
District Hospital, Manang 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0
District Hospital, Mustang 0 0 0 1 0 0 6 13 2 0 0 0 7 13 2
District Hospital, Myagdi 3 0 0 23 9 1 397 400 19 11 11 1 434 420 21
District Hospital, Parbat 2 0 0 4 4 0 222 217 9 2 0 1 230 221 10
Lamjung Community Hospital, Lamjung 1 0 0 36 17 1 575 523 20 14 17 0 626 557 21
Bandipur Hospital, Tanahu 0 0 0 0 0 0 21 24 3 2 1 0 23 25 3
Bataulechaur Hospital, Kaski 4 9 1 4 1 1 75 58 2 5 10 0 88 78 4
Rapti Sub Regional Hospital, Dang 7 0 0 1061 903 10 942 778 18 100 45 0 2110 1726 28
Lumbini Zonal Hospital, Rupandehi 11 20 0 263 177 6 4064 3036 204 123 75 5 4461 3308 215
Rapti Zonal Hospital, Dang 1 4 0 30 33 4 284 330 33 10 16 1 325 383 38
Tamghas Hospital, Gulmi 1 1 0 15 11 0 382 333 22 7 4 0 405 349 22
District Hospital, Palpa 0 0 0 0 1 0 9 5 0 0 0 0 9 6 0
Prithvi Chandra Hospital, Nawalparasi 5 3 6 80 76 54 424 383 281 17 21 19 526 483 360
Prithvi Bir Hospital, Kapilbastu 0 0 0 0 0 0 21 24 11 0 0 0 21 24 11
District Hospital, Arghakhanchi 1 1 0 11 11 3 363 246 16 6 7 0 381 265 19
District Hospital, Pyuthan 6 11 2 26 27 8 736 534 31 48 59 6 816 631 47
District Hospital, Rolpa 3 6 2 17 5 1 116 94 33 5 1 2 141 106 38
District Hospital, Bardiya 2 0 0 37 61 3 416 339 33 15 11 0 470 411 36
Rampur Hospital, Palpa 0 5 1 15 0 0 50 62 0 0 0 0 65 67 1
Bhim Hospital, Rupandehi 14 4 4 140 77 71 959 645 521 58 29 42 1171 755 638
Shivraj Hospital, Bahadurganj, Kapilbastu 0 0 0 0 0 0 184 369 9 0 0 0 184 369 9
Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 2 1 0 7 13 4 182 237 56 11 23 4 202 274 64
Mid Western Regional Hospital, Surkhet 5 9 4 76 66 24 1367 1295 314 125 144 30 1573 1514 372
District Hospital, Salyan 0 1 1 30 20 1 493 501 47 33 25 4 556 547 53
District Hospital, Dailekh 0 0 0 19 11 6 171 150 31 15 19 5 205 180 42
District Hospital, Jagarkot 0 0 0 9 2 0 32 83 1 3 3 0 44 88 1
District Hospital, Dolpa 0 0 0 0 0 0 26 42 8 3 2 2 29 44 10
District Hospital, Kalikot 1 0 0 10 4 7 102 127 64 24 23 14 137 154 85
District Hospital, Mugu 1 0 0 12 4 0 81 102 16 8 16 6 102 122 22
Simikot District Hospital, Humla 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mehelkuna Hospital, Surkhet 0 1 0 18 6 1 164 154 13 7 4 1 189 165 15
Dullu Hospital, Dailekh 0 4 0 19 8 0 107 122 6 4 5 2 130 139 8
Sub Regional Hospital, Dadeldhura 0 2 1 26 25 4 472 522 59 34 28 11 532 577 75
Seti Zonal Hospital, Kailali 3 1 0 36 5 1 560 137 30 26 16 7 625 159 38
Malakheti Hospital, Kailali 32 24 1 17 46 1 28 50 4 1 1 1 78 121 7
District Hospital, Bajura 1 0 0 2 1 1 58 71 9 0 1 0 61 73 10
District Hospital, Bajhang 3 5 5 28 22 1 180 212 23 22 33 4 233 272 33
District Hospital, Achham 0 1 0 10 4 6 151 164 37 18 13 3 179 182 46
District Hospital, Doti 0 1 0 11 12 3 128 234 19 10 9 3 149 256 25
District Hospital, Baitadi 0 0 0 15 11 1 132 132 26 9 10 1 156 153 28
District Hospital, Darchula 3 2 0 10 13 1 241 245 12 28 46 3 282 306 16
Tikapur Hospital, Kailali 0 0 0 17 12 10 706 1635 73 21 21 0 744 1668 83
 Gestational Weeks
22 - 27 28 - 36 37 - 41 ≥ 42 Total
Hospital Name

Grand

Grand

Grand

Grand

Grand
Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi

Multi
Primi

Primi

Primi

Primi

Primi
Mahakali Zonal Hospital, Kanchanpur 4 3 1 16 18 5 464 656 126 14 28 6 498 705 138
Jogbuda Hospital, Dadeldhura 1 4 2 0 1 0 122 159 24 0 0 0 123 164 26
Gokuleshwor Hospital, Darchula 1 0 0 9 3 2 87 89 20 8 8 1 105 100 23
DISTRICT HOSPITAL_ JALESWOR_MAHOTTARI 16 0 0 112 141 70 45 340 110 19 137 292 192 618 472
Public Hospital Total 250 217 96 3619 3222 776 35639 36856 4797 7113 7038 891 46621 47333 6560
Non-Public Hospital Total 1167 932 377 2912 2606 793 14317 10050 2092 589 366 285 18985 13954 3547
Total 1417 1149 473 6531 5828 1569 49956 46906 6889 7702 7404 1176 65606 61287 10107
Public Hospital % 18 19 20 55 55 49 71 79 70 92 95 76 71 77 65
Non-Public Hospital % 82 81 80 45 45 51 29 21 30 8 5 24 29 23 35
 Raw Data: HOSPITAL (Sheet 17 of 19)
Maternal Age (Yrs)
Hospital Name 22 - 27 28 - 36 37 - 41 ≥ 42 Total
< 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35

Mechi Zonal Hospital, Jhapa 0 0 0 6 44 3 125 796 36 3 23 1 134 863 40

Koshi Zonal Hospital, Morang 0 6 0 49 167 10 803 3728 114 33 113 4 885 4014 128
District Hospital, Taplejung 0 0 0 6 6 2 145 464 35 0 4 0 151 474 37
District Hospital, Panchthar 1 0 0 7 15 1 193 659 33 6 8 2 207 682 36
District Hospital, Ilam 1 5 0 7 28 0 137 680 31 11 33 1 156 746 32
District Hospital, Sunsari 103 1161 148 13 22 1 73 340 7 0 8 0 189 1531 156
District Hospital, Dhankuta 1 0 0 3 8 0 44 158 5 8 37 1 56 203 6
District Hospital, Terhathum 8 14 0 7 12 0 88 203 8 4 9 5 107 238 13
District Hospital, Sankhuwasabha 1 6 0 11 23 0 180 471 22 17 41 6 209 541 28
District Hospital, Bhojpur 1 0 0 3 1 0 36 151 12 1 11 1 41 163 13
District Hospital, Solukhumbu 0 0 0 1 1 0 5 50 0 0 0 0 6 51 0
Rumjatar Hospital, Okhaldhunga 0 0 0 0 0 0 7 24 3 0 1 0 7 25 3
District Hospital, Khotang 25 144 12 0 0 0 0 0 0 0 0 0 25 144 12
District Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rangeli Hospital, Morang 0 0 0 7 24 0 11 91 1 0 0 0 18 115 1
Katari Hospital, Udayapur 4 27 1 0 1 0 183 277 8 0 0 0 187 305 9
Janakpur Zonal Hospital 9 8 7 391 423 149 2103 2893 337 4 9 6 2507 3333 499
Sagarmatha Zonal Hospial, Saptari 286 1502 26 56 265 7 0 0 0 0 0 0 342 1767 33
District Hospital, Rautahat 0 0 0 0 0 0 192 1346 114 0 1 0 192 1347 114
District Hospital, Siraha 0 0 0 6 8 1 0 0 0 0 0 0 6 8 1
Malangawa District Hospital, Sarlahi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalaiya District Hospital, Bara 50 906 18 6 10 0 69 369 123 361 1073 163 486 2358 304
Bharadah Hospital, Saptari 0 0 0 0 1 0 39 169 15 0 0 0 39 170 15
Ram Uma Smarak Hospital, Lahan, Siraha 528 2521 0 0 0 0 0 0 0 0 0 0 528 2521 0
District Hospital, Mahottari 87 445 145 31 113 57 33 132 46 25 113 46 176 803 294
Bardibas Hospital, Mahottari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chandranigahapur Hosptial, Rautahat 0 0 0 0 2 5 57 251 20 1 6 0 58 259 25
Pokhariya Hospital, Parsa 98 436 94 37 0 0 0 0 0 0 0 0 135 436 94
Maternity Hospital, Kathmandu 195 1299 4 0 0 0 584 3809 20 1452 9789 47 2231 14897 71
District Hospital, Sindhuli 0 0 0 0 0 0 110 452 1 0 0 0 110 452 1
District Hospital, Ramechhap 0 0 0 0 0 0 19 63 1 0 0 0 19 63 1
Jiri District Hospital, Dolakha 0 0 0 2 4 0 40 171 11 6 38 3 48 213 14
District Hospital, Sindhupalchok 3 13 0 0 0 0 20 122 3 0 0 0 23 135 3
District Trisuli Hospital, Nuwakot 0 1 0 15 8 1 223 1254 14 6 24 3 244 1287 18
District Hospital, Dhading 1 1 0 7 3 0 149 512 14 4 28 0 161 544 14
Hetauda Hospital, Makwanpur 386 1900 306 0 0 0 0 0 0 0 0 0 386 1900 306
Bharatpur Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Methinkot Hospital, Kavre 0 0 0 2 3 0 20 83 1 0 0 0 22 86 1
Baghauda Hosptial, Chitawan 0 0 0 3 9 1 73 142 16 1 1 0 77 152 17
Bakulahar Hospital, Chitawan 1 0 0 1 2 2 6 23 4 0 0 0 8 25 6
Western Regional Hospital, Pokhara 10 24 1 72 257 19 1056 7169 240 41 179 12 1179 7629 272
Dhaulagiri Zonal Hospital, Baglung 0 0 0 14 18 2 186 881 16 8 27 2 208 926 20
 Maternal Age (Yrs)
Hospital Name 22 - 27 28 - 36 37 - 41 ≥ 42 Total
< 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35

District Hospital, Gorkha 0 5 0 14 24 1 167 619 16 13 46 1 194 694 18

District Hospital, Tanahu 0 0 0 4 18 0 182 576 8 0 13 3 186 607 11
District Hospital, Syangja 0 0 0 5 10 1 78 332 2 2 8 0 85 350 3
District Hospital, Manang 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0
District Hospital, Mustang 0 0 0 0 1 0 3 15 3 0 0 0 3 16 3
District Hospital, Myagdi 59 176 12 6 0 0 120 483 20 0 0 3 185 659 35
District Hospital, Parbat 0 0 0 1 3 0 101 346 8 0 2 0 102 351 8
Lamjung Community Hospital, Lamjung 2 2 0 30 85 6 187 829 23 4 21 1 223 937 30
Bandipur Hospital, Tanahu 0 0 0 0 0 0 3 44 1 1 2 0 4 46 1
Bataulechaur Hospital, Kaski 4 14 2 1 2 0 24 103 5 2 9 0 31 128 7
Rapti Sub Regional Hospital, Dang 0 5 0 424 1330 204 383 1194 175 36 99 11 843 2628 390
Lumbini Zonal Hospital, Rupandehi 6 22 1 63 335 14 650 6494 209 22 145 1 741 6996 225
Rapti Zonal Hospital, Dang 3 2 0 26 37 4 197 434 16 9 16 2 235 489 22
Tamghas Hospital, Gulmi 0 2 0 7 19 0 122 593 12 5 6 0 134 620 12
District Hospital, Palpa 0 0 0 0 1 0 2 11 1 0 0 0 2 12 1
Prithvi Chandra Hospital, Nawalparasi 1 13 0 22 185 3 124 945 45 6 50 3 153 1193 51
Prithvi Bir Hospital, Kapilbastu 0 0 0 3 12 5 45 905 61 0 0 0 48 917 66
District Hospital, Arghakhanchi 1 1 0 6 17 2 91 522 14 1 13 0 99 553 16
District Hospital, Pyuthan 5 13 1 14 40 3 304 974 25 25 83 5 348 1110 34
District Hospital, Rolpa 1 9 0 11 13 1 51 192 3 0 7 0 63 221 4
District Hospital, Bardiya 0 2 0 23 71 4 94 673 18 7 20 0 124 766 22
Rampur Hospital, Palpa 0 2 0 2 1 0 20 63 0 0 0 0 22 66 0
Bhim Hospital, Rupandehi 5 17 0 38 237 13 177 1892 56 7 112 10 227 2258 79
Shivraj Hospital, Bahadurganj, Kapilbastu 0 0 0 0 0 0 17 486 59 0 0 0 17 486 59
Pipara Hospital, Kapilbastu 3 33 0 0 0 0 0 0 0 0 0 0 3 33 0
Karnali Academy Of Health Science, Jumla 1 2 0 7 16 1 122 321 21 10 25 3 140 364 25
Mid Western Regional Hospital, Surkhet 6 10 2 36 123 13 609 2289 78 70 223 6 721 2645 99
District Hospital, Salyan 0 2 0 22 29 0 321 683 15 24 38 0 367 752 15
District Hospital, Dailekh 1 5 0 12 16 2 95 255 14 10 27 1 118 303 17
District Hospital, Jagarkot 0 0 0 9 2 0 31 85 2 0 5 0 40 92 2
District Hospital, Dolpa 0 0 24 0 0 0 15 49 2 0 0 0 15 49 26
District Hospital, Kalikot 0 1 0 6 11 0 74 216 15 15 35 9 95 263 24
District Hospital, Mugu 0 1 0 10 15 0 66 134 17 6 18 4 82 168 21
Simikot District Hospital, Humla 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mehelkuna Hospital, Surkhet 0 1 0 13 7 1 131 200 2 4 9 1 148 217 4
Dullu Hospital, Dailekh 0 2 1 16 25 0 59 151 8 1 8 1 76 186 10
Sub Regional Hospital, Dadeldhura 0 2 0 11 39 2 165 799 27 8 46 7 184 886 36
Seti Zonal Hospital, Kailali 1 3 0 11 30 1 68 645 14 4 45 0 84 723 15
Malakheti Hospital, Kailali 9 72 0 28 45 0 11 45 1 0 3 0 48 165 1
District Hospital, Bajura 1 0 0 0 1 0 22 125 5 0 0 0 23 126 5
District Hospital, Bajhang 2 10 1 11 36 4 67 307 15 9 48 1 89 401 21
District Hospital, Achham 0 1 1 5 18 2 62 273 12 7 24 1 74 316 16
District Hospital, Doti 0 2 0 3 21 2 42 325 14 0 20 2 45 368 18
District Hospital, Baitadi 0 0 0 2 22 2 32 250 10 2 17 1 36 289 13
 Maternal Age (Yrs)
Hospital Name 22 - 27 28 - 36 37 - 41 ≥ 42 Total
< 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35 < 20 20 - 34 ≥ 35

District Hospital, Darchula 11 6 0 7 7 0 82 428 8 7 49 1 107 490 9

Tikapur Hospital, Kailali 27 82 6 16 12 5 295 1388 27 3 7 1 341 1489 39
Mahakali Zonal Hospital, Kanchanpur 1 7 0 9 27 2 111 1113 36 6 41 1 127 1188 39
Jogbuda Hospital, Dadeldhura 8 26 3 0 1 0 54 209 21 0 0 0 62 236 24
Gokuleshwor Hospital, Darchula 0 1 0 2 12 0 36 160 1 4 11 1 42 184 2
Public Hospital Total 1957 10973 816 1699 4434 559 12721 57110 2456 2322 12927 384 18699 85444 4215
Non-Public Hospital Total 1480 7891 747 599 3821 266 2200 13068 681 126 463 38 4405 25243 1732
Total 3437 18864 1563 2298 8255 825 14921 70178 3137 2448 13390 422 23104 110687 5947
Public Hospital % 57 58 52 74 54 68 85 81 78 95 97 91 81 77 71
Non-Public Hospital % 43 42 48 26 46 32 15 19 22 5 3 9 19 23 29
 Raw Data: HOSPITAL (Sheet 18 of 19)
Hospital Death Brought Postmortem
Early Neonatal Late Neonatal Maternal (All) Post-operative* Other Dead Done
Hospital Name

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male
Mechi Zonal Hospital, Jhapa 0 3 0 0 0 0 0 0 17 19 5 11 137 329
Koshi Zonal Hospital, Morang 9 4 0 2 0 0 1 0 21 30 0 0 105 277
District Hospital, Taplejung 2 1 1 1 1 0 0 0 5 7 1 1 17 31
District Hospital, Panchthar 4 3 0 0 0 0 0 0 4 1 4 9 21 76
District Hospital, Ilam 2 0 0 0 0 0 0 0 2 1 1 1 37 50
District Hospital, Sunsari 0 0 0 0 0 0 0 0 0 0 0 0 42 57
District Hospital, Dhankuta 0 0 0 0 0 0 0 0 6 6 7 3 36 41
District Hospital, Terhathum 0 0 0 0 0 0 0 0 0 1 0 0 0 0
District Hospital, Sankhuwasabha 2 0 0 0 0 0 0 0 0 0 0 0 35 51
District Hospital, Bhojpur 4 2 0 0 0 0 0 0 17 6 0 0 4 0
District Hospital, Solukhumbu 0 1 0 0 0 0 0 0 0 1 0 0 8 13
Rumjatar Hospital, Okhaldhunga 0 0 0 0 0 0 0 0 0 0 15 30 15 30
District Hospital, Khotang 0 0 0 0 0 0 0 0 1 0 20 33 20 33
District Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 5 3 5 17
Rangeli Hospital, Morang 0 0 0 0 0 0 0 0 0 1 0 0 24 28
Katari Hospital, Udayapur 0 0 0 0 0 0 0 0 0 0 4 1 19 36
Janakpur Zonal Hospital 0 0 0 0 0 0 0 0 0 0 0 0 75 155
Sagarmatha Zonal Hospial, Saptari 22 15 8 14 1 0 0 0 0 0 16 26 28 45
District Hospital, Rautahat 5 10 0 0 0 0 0 0 0 0 0 0 50 56
District Hospital, Siraha 0 0 0 0 0 0 0 0 0 0 10 4 43 35
Kalaiya District Hospital, Bara 0 0 0 0 0 0 0 0 2 1 0 0 35 39
Ram Uma Smarak Hospital, Lahan, Siraha 0 0 0 0 0 0 0 0 1 1 8 5 73 118
Bardibas Hospital, Mahottari 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chandranigahapur Hosptial, Rautahat 0 0 0 0 0 0 0 0 0 0 0 0 15 18
Bhaktapur Hospital, Bhaktapur 0 0 0 0 0 0 0 0 0 0 21 34 0 0
Bir Hospital, Kathmandu 0 0 0 0 0 0 0 0 27 41 0 0 0 0
Kanti Children Hospital, Kathmandu 22 42 8 16 0 0 0 0 29 72 0 0 0 0
Maternity Hospital, Kathmandu 64 72 86 141 6 0 0 0 0 0 0 0 0 0
Sukraraj Tropical Hospital,Kathmandu 0 0 0 0 0 0 0 0 9 30 0 0 0 0
Human Organ Transplant Center 0 0 0 0 0 0 0 0 4 18 0 0 0 0
National Gangalal Heart Center, Kathmandu 0 0 0 0 0 0 0 0 38 49 3 12 0 0
National Trauma Center, Kathmandu 0 0 0 0 0 0 0 0 4 16 0 0 0 0
Patan Hospital, Lalitpur 1 3 0 1 0 0 0 0 0 0 4 3 0 0
District Hospital, Sindhuli 0 0 0 0 0 0 0 0 0 0 0 0 21 39
District Hospital, Ramechhap 2 1 0 0 0 0 0 0 2 5 0 2 2 4
Jiri District Hospital, Dolakha 0 1 1 0 0 0 0 0 2 2 11 14 11 14
District Hospital, Sindhupalchok 0 0 0 0 0 0 0 0 3 1 3 2 16 17
District Trisuli Hospital, Nuwakot 0 0 0 0 0 0 0 0 4 6 0 0 22 55
District Hospital, Rasuwa 1 0 0 0 0 0 0 0 0 1 0 1 2 6
District Hospital, Dhading 0 0 0 0 0 0 0 0 0 0 2 3 1 2
Hetauda Hospital, Makwanpur 0 0 0 0 0 0 0 0 0 1 16 17 63 111
Bharatpur Hospital, Chitawan 7 8 0 0 0 0 0 0 148 140 143 170 192 250
APF Hospital, Kathmandu 0 0 0 0 0 0 0 0 0 3 2 1 0 0
Baghauda Hosptial, Chitawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bakulahar Hospital, Chitawan 0 0 0 0 0 0 0 0 0 0 0 1 0 0
Western Regional Hospital, Pokhara 33 53 2 3 2 0 2 2 85 90 42 60 133 222
 Hospital Death Brought Postmortem
Early Neonatal Late Neonatal Maternal (All) Post-operative* Other Dead Done
Hospital Name

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male
Dhaulagiri Zonal Hospital, Baglung 0 0 0 0 0 0 0 0 1 2 6 10 16 38
District Hospital, Gorkha 1 2 0 0 0 0 0 0 4 8 13 16 27 58
District Hospital, Tanahu 0 0 0 0 0 0 0 0 0 0 43 140 43 140
District Hospital, Syangja 0 0 2 6 0 0 0 0 0 0 12 17 11 19
District Hospital, Mustang 0 0 0 0 0 0 0 0 1 0 2 4 0 5
District Hospital, Myagdi 0 0 0 0 0 0 0 0 0 1 9 13 25 46
District Hospital, Parbat 0 0 0 0 0 0 0 0 0 0 7 9 6 19
Lamjung Community Hospital, Lamjung 2 2 0 1 1 0 0 0 0 1 5 5 28 27
Bandipur Hospital, Tanahu 0 0 0 0 0 0 0 0 1 1 1 1 4 1
Bataulechaur Hospital, Kaski 0 1 0 0 0 0 0 0 0 0 0 1 0 0
Rapti Sub Regional Hospital, Dang 1 2 0 0 1 0 0 0 13 15 0 0 25 40
Lumbini Zonal Hospital, Rupandehi 7 10 0 0 3 0 0 0 16 16 90 222 93 237
Rapti Zonal Hospital, Dang 0 0 0 0 1 0 0 0 9 16 5 12 56 91
Bheri Zonal Hospital, Banke 18 38 0 5 6 0 0 0 60 56 3 10 122 268
Tamghas Hospital, Gulmi 1 1 0 0 0 0 0 0 3 1 7 7 38 44
District Hospital, Palpa 0 0 0 0 0 0 0 0 0 0 2 1 53 91
Prithvi Chandra Hospital, Nawalparasi 1 0 1 0 0 0 0 0 5 1 12 17 43 101
Prithvi Bir Hospital, Kapilbastu 2 0 1 0 0 0 0 0 12 13 0 0 43 89
District Hospital, Arghakhanchi 2 1 1 0 0 0 0 0 0 0 0 0 31 66
District Hospital, Pyuthan 5 1 0 0 0 0 0 0 14 14 8 6 53 63
District Hospital, Rolpa 3 0 0 0 1 0 0 0 1 3 2 0 29 34
District Hospital, Bardiya 1 0 0 0 0 0 0 0 1 1 0 0 53 101
Rampur Hospital, Palpa 0 0 0 0 0 0 0 0 0 0 0 1 0 9
Bhim Hospital, Rupandehi 0 0 1 2 0 0 0 0 3 15 22 40 114 222
Shivraj Hospital, Bahadurganj, Kapilbastu 0 0 2 0 0 0 0 0 2 2 2 1 23 55
Pipara Hospital, Kapilbastu 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 1 3 0 0 0 0 0 0 7 7 2 2 2 2
Mid Western Regional Hospital, Surkhet 4 4 0 0 1 0 0 0 2 4 0 0 57 114
District Hospital, Rukum 1 1 0 0 0 0 0 0 6 5 0 0 13 22
District Hospital, Salyan 1 1 0 0 0 0 0 0 1 2 0 0 19 53
District Hospital, Dailekh 0 1 0 0 0 0 0 0 3 6 1 1 15 31
District Hospital, Jagarkot 0 0 0 0 0 0 0 0 1 1 14 43 14 43
District Hospital, Dolpa 1 1 1 1 0 0 0 0 0 0 1 2 1 6
District Hospital, Kalikot 4 3 1 0 0 0 1 0 2 1 1 0 18 34
District Hospital, Mugu 2 3 0 0 0 0 0 0 1 1 0 0 4 9
Simikot District Hospital, Humla 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mehelkuna Hospital, Surkhet 0 2 0 0 0 0 0 0 0 2 0 1 6 11
Dullu Hospital, Dailekh 1 1 0 0 0 0 0 0 0 0 2 1 3 4
Sub Regional Hospital, Dadeldhura 2 2 0 1 0 0 0 0 8 15 2 0 9 22
Seti Zonal Hospital, Kailali 21 31 2 1 6 0 0 0 80 100 0 0 109 224
Malakheti Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 0 0
District Hospital, Bajura 1 1 0 0 0 0 0 0 0 0 0 3 7 17
District Hospital, Bajhang 1 3 0 0 0 0 0 0 0 0 1 0 3 7
District Hospital, Achham 3 1 0 1 0 0 0 0 1 3 3 2 18 15
District Hospital, Doti 0 0 0 2 0 0 0 0 2 9 0 0 7 19
District Hospital, Baitadi 4 2 0 1 0 0 0 0 0 1 0 0 12 12
District Hospital, Darchula 2 3 0 0 0 0 0 0 0 0 0 0 7 14
 Hospital Death Brought Postmortem
Early Neonatal Late Neonatal Maternal (All) Post-operative* Other Dead Done
Hospital Name

Female

Female

Female

Female

Female

Female

Female
Male

Male

Male

Male

Male

Male

Male
Tikapur Hospital, Kailali 0 0 0 0 0 0 0 0 0 0 0 0 76 69
Mahakali Zonal Hospital, Kanchanpur 1 1 1 0 0 0 0 0 14 18 7 21 64 106
Jogbuda Hospital, Dadeldhura 0 0 0 0 0 0 0 0 0 0 0 0 6 11
Gokuleshwor Hospital, Darchula 0 0 0 0 0 0 0 0 1 2 2 3 10 20
Public Hospital Total 274 341 119 199 30 0 4 2 675 834 609 1025 2723 4984
Non-Public Hospital Total 169 267 54 91 38 0 39 65 1337 1822 372 589 2 2
Total 443 608 173 290 68 0 43 67 2012 2656 981 1614 2725 4986
Public Hospital % 62 56 69 69 44 #DIV/0! 9 3 34 31 62 64 100 100
Non-Public Hospital % 38 44 31 31 56 #DIV/0! 91 97 66 69 38 36 0 0
 Raw Data: HOSPITAL (Sheet 19 of 19)

Minor
Major Plaster
Outpatients Inpatients Emergency
Sex Sex Sex Sex Sex
Hospital Name Post Post Post Post

Female

Female

Female

Female

Female
Operative Operative Operative Operative

Male

Male

Male

Male

Male
Infection Infection Infection Infection

Mechi Zonal Hospital, Jhapa 679 400 0 331 389 0 167 237 0 3 4 0 0 0
Koshi Zonal Hospital, Morang 1555 183 1 0 0 0 342 177 1 10 20 0 0 0
District Hospital, Taplejung 108 6 1 589 637 0 191 206 0 584 698 0 222 281
District Hospital, Panchthar 131 0 1 26 41 0 52 7 0 266 507 0 131 207
District Hospital, Ilam 133 0 0 0 0 0 0 0 0 168 391 0 98 139
District Hospital, Sunsari 0 0 0 100 94 0 66 55 9 107 84 9 125 119
District Hospital, Dhankuta 0 0 0 139 136 0 18 0 0 11 11 0 27 34
District Hospital, Terhathum 68 2 0 42 62 0 3 12 0 18 24 0 158 217
District Hospital, Sankhuwasabha 16 18 0 109 210 0 27 24 0 98 119 0 63 76
District Hospital, Bhojpur 0 0 0 1 1 0 0 0 0 0 0 0 26 32
District Hospital, Solukhumbu 14 0 0 52 59 0 17 18 0 20 29 0 95 125
Rumjatar Hospital, Okhaldhunga 7 2 0 77 69 0 3 1 0 8 7 0 6 4
District Hospital, Khotang 56 2 0 163 164 0 55 59 0 88 74 0 18 25
District Hospital, Udayapur 1 9 0 4 4 0 3 4 0 0 0 0 20 33
Rangeli Hospital, Morang 0 0 0 0 0 0 5 58 10 0 0 0 41 67
Mangalbare Hospital, Morang 0 0 0 120 110 0 0 0 0 0 0 0 39 36
Katari Hospital, Udayapur 0 0 0 314 264 0 0 0 0 186 154 0 9 24
Janakpur Zonal Hospital 1172 71 0 108 79 0 4 0 0 0 0 0 0 0
Sagarmatha Zonal Hospial, Saptari 191 0 0 0 0 0 73 0 0 0 0 0 0 0
District Hospital, Rautahat 15 0 0 0 0 0 0 0 0 9 14 0 74 105
District Hospital, Siraha 0 0 0 0 0 0 0 0 0 4 6 0 7 9
Malangawa District Hospital, Sarlahi 10 0 0 0 0 0 0 0 0 0 0 0 24 35
Kalaiya District Hospital, Bara 35 12 0 0 0 0 80 0 0 14 16 0 0 0
Ram Uma Smarak Hospital, Lahan, Siraha 32 0 0 41 48 0 146 1 0 12 9 0 10 15
District Hospital, Mahottari 130 33 0 0 0 0 14 20 0 11 12 0 20 41
Bardibas Hospital, Mahottari 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chandranigahapur Hosptial, Rautahat 1 1 0 0 0 0 0 0 0 0 0 0 8 5
Bhaktapur Hospital, Bhaktapur 158 65 0 0 0 0 247 184 0 63 213 0 0 0
Kanti Children Hospital, Kathmandu 238 1036 0 0 0 0 67 34 0 0 0 0 0 0
Maternity Hospital, Kathmandu 5358 10 0 7 11 0 1571 0 0 0 0 0 0 0
Human Organ Transplant Center 176 193 0 103 169 0 201 315 0 0 0 0 0 0
National Gangalal Heart Center, Kathmandu 121 149 0 0 0 0 10 17 0 0 0 0 0 0
National Trauma Center, Kathmandu 412 868 0 143 196 0 407 888 0 0 0 0 2507 3062
District Hospital, Sindhuli 1 3 0 0 0 0 18 11 0 0 0 0 151 188
District Hospital, Ramechhap 0 0 0 234 299 0 0 0 0 156 223 0 98 138
Jiri District Hospital, Dolakha 93 20 3 355 418 0 141 158 0 411 383 0 135 205
District Hospital, Sindhupalchok 6 0 0 221 213 0 0 3 0 47 40 0 109 109
District Trisuli Hospital, Nuwakot 176 0 0 16 10 0 9 11 0 42 54 0 123 153
District Hospital, Rasuwa 0 0 0 12 11 0 0 2 0 2 1 0 3 8
District Hospital, Dhading 23 5 0 0 0 0 0 0 0 876 544 10 194 132
Hetauda Hospital, Makwanpur 450 40 0 0 0 0 93 107 0 0 0 0 95 44
Bharatpur Hospital, Chitawan 4373 1193 0 379 502 0 377 360 0 123 161 0 643 711
Methinkot Hospital, Kavre 0 11 0 34 63 0 0 0 0 12 37 0 7 10
APF Hospital, Kathmandu 137 314 0 61 96 0 104 140 0 0 3 0 63 168
Baghauda Hosptial, Chitawan 0 0 0 45 58 0 0 0 0 31 41 0 0 0
Bakulahar Hospital, Chitawan 6 11 0 13 18 0 5 5 0 11 18 0 15 21
 Minor
Major Plaster
Outpatients Inpatients Emergency
Sex Sex Sex Sex Sex
Hospital Name Post Post Post Post

Female

Female

Female

Female

Female
Operative Operative Operative Operative

Male

Male

Male

Male

Male
Infection Infection Infection Infection

Western Regional Hospital, Pokhara 3377 1341 0 394 387 0 592 564 0 27 58 0 431 653
Dhaulagiri Zonal Hospital, Baglung 9 15 0 146 175 0 17 10 0 0 0 0 143 167
District Hospital, Gorkha 78 11 0 104 135 0 71 85 0 22 47 0 253 289
District Hospital, Tanahu 46 0 0 157 313 0 0 0 0 122 235 0 74 145
District Hospital, Syangja 52 0 0 607 485 0 0 0 0 221 203 0 91 94
District Hospital, Manang 0 0 0 15 47 0 1 3 0 8 30 0 7 11
District Hospital, Mustang 0 0 0 50 114 0 0 0 0 12 42 0 2 20
District Hospital, Myagdi 124 31 0 1602 2233 0 123 137 0 613 844 0 365 400
District Hospital, Parbat 5 0 0 12 21 0 2 3 0 111 154 0 171 219
Lamjung Community Hospital, Lamjung 271 118 1 224 295 0 234 387 0 0 0 0 193 256
Bandipur Hospital, Tanahu 0 0 0 91 121 0 7 11 0 100 85 0 31 33
Bataulechaur Hospital, Kaski 4 0 0 89 100 0 3 0 0 60 97 0 9 7
Rapti Sub Regional Hospital, Dang 820 155 0 0 0 0 852 952 0 0 0 0 242 270
Lumbini Zonal Hospital, Rupandehi 3019 352 128 3485 1951 0 592 526 0 945 56 0 1534 2024
Rapti Zonal Hospital, Dang 63 20 1 739 796 0 92 60 0 4 6 0 26 36
Bheri Zonal Hospital, Banke 1290 527 0 0 0 0 79 36 0 759 0 0 0 418
Tamghas Hospital, Gulmi 13 0 0 161 174 0 78 46 0 150 121 0 286 253
District Hospital, Palpa 0 0 0 225 242 0 2 6 0 4 1 0 200 201
Prithvi Chandra Hospital, Nawalparasi 71 14 0 276 482 0 43 49 0 174 246 0 97 106
Prithvi Bir Hospital, Kapilbastu 36 38 1 0 0 0 22 24 0 214 312 0 26 54
District Hospital, Arghakhanchi 28 0 0 110 104 0 23 29 0 60 73 0 69 73
District Hospital, Pyuthan 226 16 0 454 691 0 86 79 0 348 503 0 153 190
District Hospital, Rolpa 36 0 2 169 70 0 0 0 0 0 0 0 61 69
District Hospital, Bardiya 26 15 0 16 28 0 15 15 0 36 60 0 34 42
Rampur Hospital, Palpa 0 0 0 61 66 0 12 17 0 25 35 0 71 91
Bhim Hospital, Rupandehi 224 0 0 124 137 0 48 10 0 251 289 0 85 128
Shivraj Hospital, Bahadurganj, Kapilbastu 0 0 0 270 290 0 8 5 0 142 181 0 24 37
Pipara Hospital, Kapilbastu 0 0 0 6 23 0 0 0 0 0 0 0 0 0
Karnali Academy Of Health Science, Jumla 189 197 0 70 89 0 146 146 0 537 829 8 231 355
Mid Western Regional Hospital, Surkhet 967 336 0 300 248 0 74 81 0 9 18 0 0 0
District Hospital, Rukum 7 1 0 25 13 0 0 0 0 3 4 0 1 4
District Hospital, Salyan 106 25 3 179 173 0 700 713 11 172 193 0 38 51
District Hospital, Dailekh 86 2 1 28 35 0 4 8 0 35 28 0 109 120
District Hospital, Jagarkot 0 0 0 109 138 0 3 1 0 9 6 0 54 48
District Hospital, Dolpa 2 3 0 45 28 0 34 20 0 42 38 0 297 118
District Hospital, Kalikot 30 3 0 289 340 0 144 153 0 182 200 0 150 203
District Hospital, Mugu 22 0 0 0 0 0 3 4 0 2 0 0 12 21
Simikot District Hospital, Humla 2 0 0 43 29 0 5 2 0 21 21 0 3 0
Mehelkuna Hospital, Surkhet 0 0 0 41 17 0 8 0 0 103 125 0 56 67
Dullu Hospital, Dailekh 0 0 0 216 208 0 0 0 0 4 5 0 54 52
Sub Regional Hospital, Dadeldhura 150 12 0 98 81 0 109 86 0 151 190 0 237 290
Seti Zonal Hospital, Kailali 1395 211 1 106 104 0 521 460 0 0 0 0 14 19
Malakheti Hospital, Kailali 0 0 0 5 8 0 0 0 0 14 4 0 3 1
District Hospital, Bajura 16 19 0 23 11 0 63 58 0 11 4 0 53 60
District Hospital, Bajhang 78 68 0 23 34 0 44 52 0 1 3 0 44 83
District Hospital, Achham 50 0 0 69 75 0 34 20 0 582 625 3 162 214
District Hospital, Doti 44 4 0 41 20 0 29 30 0 35 43 0 41 54
District Hospital, Baitadi 26 0 0 348 265 0 0 0 0 0 0 0 34 32
 Minor
Major Plaster
Outpatients Inpatients Emergency
Sex Sex Sex Sex Sex
Hospital Name Post Post Post Post

Female

Female

Female

Female

Female
Operative Operative Operative Operative

Male

Male

Male

Male

Male
Infection Infection Infection Infection

District Hospital, Darchula 53 3 0 309 359 0 272 246 1 914 873 0 233 209
Tikapur Hospital, Kailali 169 26 0 388 488 0 0 0 0 0 0 0 282 275
Mahakali Zonal Hospital, Kanchanpur 8 0 0 367 499 0 25 22 0 54 110 0 157 298
Jogbuda Hospital, Dadeldhura 0 0 0 263 164 0 17 14 0 42 51 0 61 68
Gokuleshwor Hospital, Darchula 0 0 0 63 59 0 3 4 0 25 32 0 39 54
Public Hospital Total 29300 8220 144 16874 17396 0 9756 8288 32 10747 10977 30 12407 15560

Non-Public Hospital Total 46755 41622 79 16484 15965 44 21904 25933 105 7558 8894 11 14457 17572

Total 76055 49842 223 33358 33361 44 31660 34221 137 18305 19871 41 26864 33132

Public Hospital % 39 16 65 51 52 0 31 24 23 59 55 73 46 47

Non-Public Hospital % 61 84 35 49 48 100 69 76 77 41 45 27 54 53

 Inpatients Morbidiry: FY 2073/74
<=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

A00 Cholera 5 7 3 5 6 8 9 24 28 7 78 36 42 14 22 7 8 4 14 17 215 129 344 3 2

A00.0 Cholera due to Vibrio
1 3 8 14 11 16 15 32 50 17 248 38 71 37 40 29 26 24 16 14 486 224 710 0 0
cholerae 01, biovar cholerae

A00.1 Cholera due to Vibrio

5 1 4 1 7 6 3 3 0 3 4 6 7 2 3 4 3 5 3 1 39 32 71 0 0
cholerae 01, biovar eltor

A00.9 Cholera, unspecified 1 1 5 12 11 16 11 14 7 9 18 8 16 11 12 5 16 6 14 9 111 91 202 0 0

A01 Typhoid and para typhoid
0 0 0 0 1 2 16 48 12 10 29 13 23 15 16 9 12 6 10 9 119 112 231 0 0
test
A01 Typhoid and paratyphoid
12 8 15 36 107 180 335 444 184 180 436 246 259 154 197 140 146 109 164 160 1855 1657 3512 0 0
fevers
A010 Typhoid fever 19 21 110 114 177 216 413 542 361 343 726 515 492 345 355 318 317 260 314 311 3284 2985 6269 63 52
A011 Paratyphoid fever A 1 0 0 0 0 0 1 3 1 0 1 3 1 3 1 0 3 1 0 0 9 10 19 0 0
A012 Paratyphoid fever B 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A013 Paratyphoid fever C 1 0 2 0 3 0 0 2 0 0 2 0 0 0 0 0 0 0 0 0 8 2 10 0 0
A014 Paratyphoid fever,
0 0 0 0 1 1 1 6 2 0 8 11 1 2 2 2 4 4 2 4 21 30 51 0 0
unspecified
A02 Other salmonella infections 0 0 0 1 4 0 2 2 0 1 1 0 0 1 0 0 0 1 1 0 8 6 14 0 0
A020 Salmonella enteritis 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0
A021 Salmonella septicaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A022 Localized salmonella
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
infections
A028 Other specified
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
salmonella infections
A029 Salmonella infection,
0 0 0 1 2 2 0 1 0 0 1 3 0 1 0 0 0 0 0 0 3 8 11 0 0
unspecified
A03 Shigellosis 0 0 3 3 3 9 7 11 2 3 7 5 10 3 6 2 5 1 7 2 50 39 89 0 0
A030 Shigellosis due to Shigella
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
dysenteriae
A031 Shigellosis due to Shigella
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
flexneri
A038 Other shigellosis 0 0 0 0 1 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0
A039 Shigellosis, unspecified 0 0 4 6 11 9 11 15 15 4 14 10 18 7 8 8 7 2 17 7 105 68 173 0 0
A04 Other bacterial intestinal
0 0 1 0 0 0 2 2 1 2 9 3 3 2 1 0 2 2 6 7 25 18 43 0 0
infections
A040 Enteropathogenic
0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
Escherichia coli infection
A041 Enterotoxigenic
0 0 0 2 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 3 2 5 0 0
Escherichia coli infection
A042 Enteroinvasive
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Escherichia coli infection
A044 Other intestinal
0 0 0 0 0 0 0 0 0 3 3 6 1 1 3 0 3 1 2 0 12 11 23 0 0
Escherichia coli infections
A047 Enterocolitis due to
0 0 0 1 0 2 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 5 6 0 0
Clostridium difficile
A048 Other specified bacterial
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 0 2
intestinal infections
A049 Bacterial intestinal
0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 2 1 3 0 0
infection, unspecified
A05 Other bacterial foodborne
0 1 1 0 1 4 2 1 12 1 60 0 12 1 1 1 1 0 1 4 91 13 104 0 0
intoxications
A051 Botulism 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 2 0 0
A052 Foodborne Clostridium
perfringens [Clostridium 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 1 4 5 0 0
welchii] intoxication
A059 Bacterial foodborne
0 0 1 0 1 0 1 0 1 0 1 3 4 1 0 2 0 0 1 0 10 6 16 0 0
intoxication, unspecified
A06 Amoebiasis 0 0 1 3 7 10 5 8 5 7 14 6 6 8 9 11 16 6 21 14 84 73 157 0 0
A060 Acute amoebic dysentery 0 0 1 1 1 0 7 5 8 4 3 5 4 7 4 5 2 6 10 14 40 47 87 0 0
A061 Chronic intestinal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
amoebiasis
A063 Amoeboma of intestine 0 0 0 0 0 0 1 0 2 3 6 3 4 3 2 6 3 3 10 5 28 23 51 0 0

A064 Amoebic liver abscess 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 3 4 0 0

A066 Amoebic brain abscess 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0

A069 Amoebiasis, unspecified 0 0 6 7 8 12 10 16 6 11 25 15 16 12 9 20 11 3 23 11 114 107 221 2 1

A07 Other protozoal intestinal
0 0 0 0 1 1 1 3 7 4 12 3 8 11 3 5 11 4 15 8 58 39 97 0 0
diseases
A070 Balantidiasis 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 0 2 0 0
A071 Giardiasis [lambliasis] 0 0 1 0 0 0 2 1 14 1 2 0 0 1 1 2 1 0 0 0 21 5 26 0 0
A072 Cryptosporidiosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

A079 Protozoal intestinal

0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 5 1 6 0 0
disease, unspecified
A08 Viral and other specified
0 0 1 1 1 1 1 1 0 3 1 1 7 1 1 2 2 1 3 2 17 13 30 0 0
intestinal infections

A081 Acute gastroenteropathy

0 0 0 0 0 0 0 0 3 0 2 2 3 1 5 3 0 1 3 0 16 7 23 0 0
due to Norwalk agent
A083 Other viral enteritis 0 0 0 1 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 3 2 5 0 0
A084 Viral intestinal infection,
0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
unspecified
A085 Other specified intestinal
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
infections
A09 Diarrhoea and
gastroenteritis of presumed 48 55 535 856 648 972 506 584 429 415 974 617 780 572 648 496 563 440 895 587 6026 5594 11620 53 53
infectious origin

A090 Other and unspecified

gastroenteritis and colitis of 0 0 0 1 0 0 2 0 0 1 1 1 0 1 1 1 1 0 2 1 7 6 13 0 0
infectious origin

A099 Gastroenteritis and colitis

0 0 0 0 0 2 3 4 0 3 6 0 2 0 2 2 2 0 1 2 16 13 29 0 0
of unspecified origin

A15 Respiratory tuberculosis,

bacteriologically and 0 1 2 0 1 0 3 5 4 11 23 29 13 15 15 30 22 30 32 77 115 198 313 3 5
histologically confirmed
A150 Tuberculosis of lung,
confirmed by sputum
0 0 0 0 0 0 3 2 10 1 6 17 5 11 10 20 5 23 21 41 60 115 175 4 8
microscopy with or without
culture
A151 Tuberculosis of lung,
0 0 0 0 0 0 0 1 0 0 1 3 0 1 0 1 0 2 1 5 2 13 15 0 0
confirmed by culture only
A152 Tuberculosis of lung,
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 2 2 0 0
confirmed histologically
A153 Tuberculosis of lung,
confirmed by unspecified 0 1 0 1 0 1 2 1 2 2 4 4 3 8 1 11 12 10 14 20 38 59 97 1 1
means
A155 Tuberculosis of larynx,
trachea and bronchus,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 2 0 0
confirmed bacteriologically and
histologically

A156 Tuberculous pleurisy,

confirmed bacteriologically and 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2 3 0 0
histologically
A157 Primary respiratory
tuberculosis, confirmed
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 2 0 0
bacteriologically and
histologically
A158 Other respiratory
tuberculosis, confirmed
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
bacteriologically and
histologically
A159 Respiratory tuberculosis
unspecified, confirmed
0 0 0 0 0 0 0 2 1 2 2 3 2 5 3 3 3 1 2 11 13 27 40 0 0
bacteriologically and
histologically

A16 Respiratory tuberculosis,

not confirmed bacteriologically 0 0 0 1 1 2 5 10 4 5 17 13 9 16 6 19 30 14 23 49 95 129 224 2 3
or histologically

A160 Tuberculosis of lung,

bacteriologically and 0 0 0 1 0 0 1 3 2 1 4 4 4 5 3 12 5 11 4 20 23 57 80 1 3
histologically negative
A161 Tuberculosis of lung,
bacteriological and histological 0 0 0 0 1 5 2 3 1 0 0 0 0 1 0 0 1 0 0 2 5 11 16 0 0
examination not done
A162 Tuberculosis of lung,
without mention of
0 0 0 0 0 1 0 2 7 1 4 7 10 7 3 5 5 7 10 23 39 53 92 0 2
bacteriological or histological
confirmation

A164 Tuberculosis of larynx,

trachea and bronchus, without
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
mention of bacteriological or
histological confirmation
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

A165 Tuberculous pleurisy,

without mention of
0 0 0 0 0 0 0 0 0 1 0 5 0 2 1 0 1 0 0 3 2 11 13 0 2
bacteriological or histological
confirmation
A167 Primary respiratory
tuberculosis without mention
0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 2 0 0
of bacteriological or histological
confirmation

A168 Other respiratory

tuberculosis, without mention
0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 1 1 1 2 5 7 0 0
of bacteriological or histological
confirmation

A169 Respiratory tuberculosis

unspecified, without mention
0 0 0 0 1 6 6 9 17 19 43 57 36 48 32 70 33 62 77 164 245 435 680 7 20
of bacteriological or histological
confirmation
A17 Tuberculosis of nervous
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 2 0 0
system
A170 Tuberculous meningitis 0 0 0 0 1 2 3 1 1 0 1 4 1 3 1 1 0 1 1 1 9 13 22 1 0

A171 Meningeal tuberculoma 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 2 2 2 4 0 0

A178 Other tuberculosis of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 4 0 4 0 0
nervous system
A18 Tuberculosis of other
0 1 1 4 16 10 28 20 7 8 33 34 22 19 27 18 9 11 30 38 173 163 336 0 0
organs
A180 Tuberculosis of bones and
0 0 0 0 0 0 0 1 0 1 2 0 0 4 0 3 1 2 0 2 3 13 16 0 0
joints
A181 Tuberculosis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
genitourinary system
A182 Tuberculous peripheral
0 0 0 0 0 0 2 1 0 0 0 2 2 1 0 0 0 0 0 1 4 5 9 0 0
lymphadenopathy
A183 Tuberculosis of intestines,
peritoneum and mesenteric 0 0 0 0 1 0 1 1 4 2 6 6 1 9 2 4 1 3 3 8 19 33 52 0 2
glands
A184 Tuberculosis of skin and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
subcutaneous tissue
A187 Tuberculosis of adrenal
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0
glands
A188 Tuberculosis of other
0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 1 0 1 3 4 0 0
specified organs
A19 Miliary tuberculosis 0 0 0 0 0 1 0 2 0 0 0 1 0 1 2 0 0 1 3 0 5 6 11 0 0
A190 Acute miliary tuberculosis
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
of a single specified site

A191 Acute miliary tuberculosis

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
of multiple sites
A199 Miliary tuberculosis,
0 0 0 0 0 0 4 3 0 0 1 0 0 0 0 0 0 0 0 2 5 5 10 0 0
unspecified
A20 Plague 0 0 0 0 0 0 0 0 1 0 3 4 2 2 3 1 0 1 6 6 15 14 29 0 0
A201 Cellulocutaneous plague 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 0 0

A239 Brucellosis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0

A27 Leptospirosis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 2 0 0
A278 Other forms of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
leptospirosis
A279 Leptospirosis, unspecified 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0

A30 Leprosy [Hansen's disease] 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 2 1 2 1 1 3 8 11 0 0

A300 Indeterminate leprosy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0

A301 Tuberculoid leprosy 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 2 3 0 0
A309 Leprosy, unspecified 0 0 0 0 0 0 0 0 0 0 1 0 3 4 1 0 0 1 1 2 6 7 13 0 0
A310 Pulmonary mycobacterial
0 1 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 4 6 0 0
infection
A319 Mycobacterial infection,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
unspecified
A32 Listeriosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
A33 Tetanus neonatorum 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 1
A34 Obstetrical tetanus 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
A35 Other tetanus 0 0 1 0 0 0 1 1 1 2 1 3 2 7 2 8 3 11 4 14 15 46 61 1 0
A36 Diphtheria 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 1
A360 Pharyngeal diphtheria 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
A362 Laryngeal diphtheria 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
A37 Whooping cough 1 1 5 7 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 12 18 0 0
A379 Whooping cough,
1 0 14 13 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 16 33 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

A38 Scarlet fever 0 0 0 0 0 4 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 0 0

A39 Meningococcal infection 0 0 0 1 0 0 0 0 0 0 1 0 0 0 3 0 0 0 0 2 4 3 7 0 0

A390 Meningococcal meningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

A391 Waterhouse-Friderichsen
0 0 0 0 0 0 1 2 0 0 0 1 1 0 0 0 1 0 1 1 4 4 8 0 0
syndrome
A394 Meningococcaemia,
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 2 0 0
unspecified
A398 Other meningococcal
0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 1
infections
A40 Streptococcal septicaemia 1 1 2 2 1 0 2 1 2 2 10 3 3 1 2 1 0 0 5 1 28 12 40 3 0
A400 Septicaemia due to
0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 2 2 3 5 0 0
streptococcus, group A
A403 Septicaemia due to
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 4 5 4 9 2 2
Streptococcus pneumoniae
A409 Streptococcal
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
septicaemia, unspecified
A41 Other septicaemia 2 5 3 11 2 1 4 3 7 1 10 2 2 2 7 2 4 4 12 12 53 43 96 5 5
A410 Septicaemia due to
0 3 5 6 6 5 5 6 0 0 1 0 0 0 1 0 0 0 0 1 18 21 39 0 1
Staphylococcus aureus
A415 Septicaemia due to other
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 2 0 0
Gram-negative organisms
A418 Other specified
0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
septicaemia
A419 Septicaemia, unspecified 16 27 13 18 7 16 23 19 8 1 16 4 7 10 12 15 6 13 20 30 128 153 281 7 12
A429 Actinomycosis,
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
A44 Bartonellosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
A46 Erysipelas 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
A480 Gas gangrene 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
A49 Bacterial infection of
0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 2 0 0
unspecified site
A490 Staphylococcal infection,
4 4 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 4 6 10 0 0
unspecified
A491 Streptococcal infection,
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0
unspecified
A492 Haemophilus influenzae
0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 1 5 6 0 0
infection, unspecified

A498 Other bacterial infections

0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
of unspecified site
A499 Bacterial infection,
6 7 1 2 0 0 0 1 0 0 0 0 0 0 0 0 2 3 2 1 11 14 25 0 0
unspecified
A509 Congenital syphilis,
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
A51 Early syphilis 1 0 0 0 1 0 2 1 1 1 1 0 0 0 0 1 1 0 0 1 7 4 11 0 0
A523 Neurosyphilis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
A527 Other symptomatic late
0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 2 0 0
syphilis
A529 Late syphilis, unspecified 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
A530 Latent syphilis,
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified as early or late
A539 Syphilis, unspecified 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
A54 Gonococcal infection 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 1 2 3 0 0

A55 Chlamydial
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
lymphogranuloma (venereum)
A568 Sexually transmitted
chlamydial infection of other 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
sites
A57 Chancroid 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
A58 Granuloma inguinale 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
A630 Anogenital (venereal)
0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
warts
A64 Unspecified sexually
0 0 0 0 0 0 0 0 11 0 57 0 5 0 1 0 0 0 0 0 74 0 74 0 0
transmitted disease
A68 Relapsing fevers 0 0 0 0 0 0 0 0 3 6 5 11 3 5 1 1 6 1 9 7 27 31 58 0 0
A689 Relapsing fever,
0 0 0 0 0 2 0 8 5 6 11 8 8 8 12 9 5 3 6 16 47 60 107 0 0
unspecified
A69 Other spirochaetal
0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 4 4 5 9 0 0
infections
A690 Necrotizing ulcerative
0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 2 0 0
stomatitis
A70 Chlamydia psittaci
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
infection
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

A71 Trachoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
A75 Typhus fever 0 0 1 0 2 1 6 3 9 4 27 8 14 3 11 2 2 7 1 3 73 31 104 1 1
A753 Typhus fever due to
0 0 0 1 1 5 7 13 1 0 2 0 2 0 2 0 1 0 0 1 16 20 36 0 1
Rickettsia tsutsugamushi
A759 Typhus fever, unspecified 0 0 0 0 0 0 0 1 2 0 0 2 3 1 1 1 2 2 0 2 8 9 17 0 0
A791 Rickettsialpox due to
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Rickettsia akari
A799 Rickettsiosis, unspecified 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
A811 Subacute sclerosing
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
panencephalitis
A82 Rabies 0 0 0 0 0 0 0 3 0 0 2 0 0 1 0 2 1 2 0 1 3 9 12 0 0
A829 Rabies, unspecified 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 3 3 0 0
A858 Other specified viral
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
encephalitis
A86 Unspecified viral
0 1 0 2 4 8 22 19 3 4 9 5 7 4 8 1 6 2 6 14 65 60 125 3 6
encephalitis
A87 Viral meningitis 0 0 0 1 0 0 2 0 0 1 1 0 0 0 1 0 1 1 0 0 5 3 8 0 0
A879 Viral meningitis,
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
unspecified
A880 Enteroviral
exanthematous fever [Boston 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
exanthem]
A90 Dengue fever [classical
0 0 0 0 3 5 13 15 27 38 46 57 23 60 45 32 15 23 14 10 186 240 426 0 0
dengue]
A91 Dengue haemorrhagic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
fever
A92 Other mosquito-borne viral
0 0 0 4 0 6 5 3 1 1 2 0 1 2 1 0 1 1 1 1 12 18 30 0 0
fevers
A920 Chikungunya virus disease 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0

A928 Other specified mosquito-

0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
borne viral fevers
A929 Mosquito-borne viral
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
fever, unspecified
A94 Unspecified arthropod-
0 0 1 0 0 0 4 2 1 1 4 0 0 1 0 1 1 0 0 0 11 5 16 0 0
borne viral fever
A96 Arenaviral haemorrhagic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
fever
A985 Haemorrhagic fever with
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
renal syndrome
A99 Unspecified viral
0 0 4 10 4 9 6 6 3 6 10 6 6 3 2 1 6 0 4 1 45 42 87 0 0
haemorrhagic fever
B00 Herpesviral [herpes
0 0 1 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 2 2 4 0 0
simplex] infections
B000 Eczema herpeticum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
B001 Herpesviral vesicular
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
dermatitis
B002 Herpesviral
gingivostomatitis and 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
pharyngotonsillitis
B005 Herpesviral ocular disease 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
B009 Herpesviral infection,
0 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 1 0 0 0 4 0 4 0 0
unspecified
B01 Varicella [chickenpox] 0 0 2 1 5 3 5 3 4 4 4 5 4 0 1 0 0 0 2 0 27 16 43 0 0
B018 Varicella with other
0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
complications
B019 Varicella without
1 0 1 1 1 2 4 5 1 3 10 9 3 0 1 2 1 1 1 0 24 23 47 0 0
complication
B02 Zoster [herpes zoster] 0 0 0 0 1 2 0 0 4 0 1 2 2 2 3 4 5 2 5 7 21 19 40 1 1

B022 Zoster with other nervous

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 2 0 0
system involvement
B029 Zoster without
0 0 0 0 0 1 0 0 0 0 3 0 0 1 1 1 2 0 1 1 7 4 11 0 0
complication
B03 Smallpox 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 2 0 0
B05 Measles 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0
B058 Measles with other
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
complications
B059 Measles without
0 0 0 0 2 2 4 1 0 0 0 0 0 0 0 0 0 0 0 0 6 3 9 0 0
complication
B069 Rubella without
0 0 0 0 2 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 5 2 7 0 0
complication
B07 Viral warts 0 0 0 1 0 0 0 2 1 0 1 1 0 0 0 2 0 0 0 0 2 6 8 0 0
B085 Enteroviral vesicular
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
pharyngitis
B09 Unspecified viral infection
characterized by skin and 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 2 0 2 0 0
mucous membrane lesions
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

B15 Acute hepatitis A 0 0 0 0 1 3 20 13 1 4 6 3 0 0 1 1 0 2 0 1 29 27 56 0 1

B150 Hepatitis A with hepatic
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 3 3 0 1
coma
B159 Hepatitis A without
0 0 0 1 6 13 30 42 12 6 12 12 7 11 2 10 8 11 5 11 82 117 199 2 6
hepatic coma
B16 Acute hepatitis B 2 0 1 2 2 12 12 22 1 1 1 1 0 2 1 1 2 0 0 2 22 43 65 1 1
B169 Acute hepatitis B without
delta-agent and without 0 0 0 1 0 1 5 0 2 4 3 4 3 5 0 5 1 1 1 1 15 22 37 0 1
hepatic coma
B17 Other acute viral hepatitis 1 0 0 1 1 1 1 6 7 7 10 9 10 24 6 20 5 16 10 13 51 97 148 1 1
B170 Acute delta-
(super)infection of hepatitis B 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 2 1 3 0 0
carrier
B171 Acute hepatitis C 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 2 0 0
B172 Acute hepatitis E 0 0 0 0 0 0 0 0 0 0 1 5 3 2 4 4 0 2 2 1 10 14 24 1 2
B178 Other specified acute viral
0 0 0 0 0 0 2 1 2 4 2 2 0 1 1 0 1 2 0 0 8 10 18 0 0
hepatitis
B18 Chronic viral hepatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
B181 Chronic viral hepatitis B
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 3 3 0 0
without delta-agent

B182 Chronic viral hepatitis C 0 0 0 0 0 0 0 0 0 0 1 0 0 2 1 1 0 1 0 0 2 4 6 0 0

B189 Chronic viral hepatitis,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
B19 Unspecified viral hepatitis 1 0 3 4 11 8 30 33 7 7 19 24 21 22 19 18 5 7 6 11 122 134 256 0 0

B190 Unspecified viral hepatitis

0 0 0 0 0 0 1 0 1 8 8 9 2 3 0 1 0 2 0 0 12 23 35 0 0
hepatic with coma

B199 Unspecified viral hepatitis

0 0 0 1 2 0 9 9 5 6 3 7 1 3 1 1 0 0 5 2 26 29 55 2 0
without hepatic coma

B20 Human immunodeficiency

virus [HIV] disease resulting in 0 0 0 0 2 2 3 4 1 3 13 6 25 32 16 25 7 8 2 4 69 84 153 2 7
infectious and parasitic diseases

B201 HIV disease resulting in

0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 2 0 0
other bacterial infections

B209 HIV disease resulting in

unspecified infectious or 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
parasitic disease

B23 Human immunodeficiency

virus [HIV] disease resulting in 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
other conditions
B24 Unspecified human
immunodeficiency virus [HIV] 0 0 0 0 0 0 3 2 3 1 12 20 30 54 24 67 13 23 3 11 88 178 266 4 12
disease
B26 Mumps 0 0 1 0 1 3 7 8 0 3 1 1 1 1 0 1 0 1 0 0 11 18 29 0 0
B260 Mumps orchitis 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
B262 Mumps encephalitis 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
B263 Mumps pancreatitis 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
B269 Mumps without
0 0 0 1 3 3 14 16 9 6 2 4 2 0 0 0 0 0 0 0 30 30 60 0 2
complication
B30 Viral conjunctivitis 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 2 3 0 0
B302 Viral
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
pharyngoconjunctivitis
B309 Viral conjunctivitis,
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
B33 Other viral diseases, NEC 0 0 0 0 0 1 4 4 1 0 8 0 1 1 0 0 1 0 1 0 16 6 22 0 0
B334 Hantavirus (cardio-
)pulmonary syndrome [HPS] 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1
[HCPS]
B34 Viral infection of
1 0 6 9 6 6 1 7 0 1 5 1 2 2 0 2 0 0 1 0 22 28 50 0 0
unspecified site
B349 Viral infection,
1 1 0 1 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 3 3 6 0 0
unspecified
B353 Tinea pedis 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
B354 Tinea corporis 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
B36 Other superficial mycoses 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 2 0 0
B37 Candidiasis 0 0 2 0 1 1 1 1 0 0 2 0 0 1 0 0 1 0 0 1 7 4 11 0 1
B370 Candidal stomatitis 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 3 4 0 1
B373 Candidiasis of vulva and
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
vagina
B378 Candidiasis of other sites 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 2 0 3 1 4 0 0

B379 Candidiasis, unspecified 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

B390 Acute pulmonary

0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
histoplasmosis capsulati
B391 Chronic pulmonary
1 11 0 11 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 8 29 37 1 1
histoplasmosis capsulati
B41 Paracoccidioidomycosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
B42 Sporotrichosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
B432 Subcutaneous
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
phaeomycotic abscess and cyst
B44 Aspergillosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 3 0 3 0 0
B449 Aspergillosis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0

B46.9 Zygomycosis, unspecified

0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 2 2 0 0
(Phycomycosis NOS)
B50 Plasmodium falciparum
0 0 0 0 0 0 0 1 0 0 1 3 0 0 0 0 0 0 0 1 1 5 6 0 0
malaria
B500 Plasmodium falciparum
malaria with cerebral 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0
complications
B508 Other severe and
complicated Plasmodium 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
falciparum malaria
B509 Plasmodium falciparum
0 0 0 0 0 0 1 0 1 0 16 2 3 4 4 1 3 2 3 0 31 9 40 0 0
malaria, unspecified

B51 Plasmodium vivax malaria 0 0 0 0 0 2 3 0 1 2 1 6 2 2 2 1 0 0 1 0 10 13 23 0 0

B518 Plasmodium vivax malaria

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
with other complications

B519 Plasmodium vivax malaria

0 0 0 0 0 0 0 0 0 8 1 11 0 2 0 3 0 2 0 0 1 26 27 0 0
without complication
B52 Plasmodium malariae
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
malaria
B529 Plasmodium malariae
0 0 0 0 1 0 0 2 0 1 0 0 2 0 0 1 0 0 0 0 3 4 7 0 0
malaria without complication

B530 Plasmodium ovale malaria 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

B531 Malaria due to simian
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
plasmodia
B54 Unspecified malaria 0 0 0 1 1 1 0 1 0 1 1 8 4 5 0 2 1 2 2 1 9 22 31 0 0
B55 Leishmaniasis 0 0 0 0 3 8 9 9 1 6 2 4 3 6 1 10 4 7 0 4 23 54 77 1 2
B550 Visceral leishmaniasis 0 0 0 0 0 0 0 3 0 2 1 3 2 1 1 4 0 3 0 0 4 16 20 0 1

B559 Leishmaniasis, unspecified 0 0 0 0 0 2 4 12 0 1 2 8 0 3 2 5 1 5 2 1 11 37 48 0 0

B569 African trypanosomiasis,

0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
B60 Other protozoal diseases,
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
NEC
B601 Acanthamoebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
B64 Unspecified protozoal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
disease
B669 Fluke infection,
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
B67 Echinococcosis 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 1 3 2 5 0 0
B673 Echinococcus granulosus
infection, other and multiple 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
sites
B678 Echinococcosis,
0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 2 0 0 0 0 1 3 4 0 0
unspecified, of liver
B679 Echinococcosis, other and
0 0 0 0 0 0 1 0 1 1 2 1 1 4 1 0 0 1 1 2 7 9 16 0 0
unspecified
B68 Taeniasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
B680 Taenia solium taeniasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 1 2 3 0 0
B69 Cysticercosis 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2 0 0
B690 Cysticercosis of central
0 0 0 1 0 0 8 7 0 3 2 8 6 5 7 2 2 7 0 3 25 36 61 0 0
nervous system
B699 Cysticercosis, unspecified 0 0 0 0 1 0 1 3 3 0 6 6 3 0 6 3 3 0 3 1 26 13 39 0 0

B71 Other cestode infections 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 1 1 4 5 0 0

B719 Cestode infection,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
unspecified
B74 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 2 3 0 0
B749 Filariasis, unspecified 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
B769 Hookworm disease,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

B77 Ascariasis 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
B779 Ascariasis, unspecified 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
B789 Strongyloidiasis,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
B82 Unspecified intestinal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
parasitism
B820 Intestinal helminthiasis,
0 0 0 0 0 2 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0
unspecified
B829 Intestinal parasitism,
1 0 0 0 0 3 7 11 6 13 6 11 1 3 1 1 0 0 0 0 22 42 64 0 0
unspecified
B839 Helminthiasis, unspecified 0 0 0 0 2 3 1 2 0 1 3 1 3 0 0 0 1 0 0 2 10 9 19 0 0
B86 Scabies 0 1 3 9 5 8 8 18 3 3 0 2 4 1 1 1 1 1 1 2 26 46 72 1 0
B870 Cutaneous myiasis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
B871 Wound myiasis 0 0 0 0 1 2 2 3 1 1 6 4 3 2 1 2 0 1 1 2 15 17 32 0 0
B879 Myiasis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
B889 Infestation, unspecified 0 0 0 0 0 0 3 6 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0

B90 Sequelae of tuberculosis 0 0 0 0 0 0 0 0 0 0 2 2 0 1 2 2 4 1 1 11 9 17 26 0 0

B908 Sequelae of tuberculosis

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
of other organs

B909 Sequelae of respiratory

0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 1 0 4 3 5 8 0 0
and unspecified tuberculosis

B942 Sequelae of viral hepatitis 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0

B953 Streptococcus
pneumoniae as the cause of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
diseases classified to other
chapters
B96 Other bacterial agents as
the cause of diseases classified 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
to other chapters

B960 Mycoplasma pneumoniae

[M. pneumoniae] as the cause
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
of diseases classified to other
chapters

B961 Klebsiella pneumoniae [K.

pneumoniae] as the cause of
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0
diseases classified to other
chapters

B962 Escherichia coli [E. coli] as

the cause of diseases classified 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 1 0 3 1 8 1 9 0 0
to other chapters

B963 Haemophilus influenzae

[H. influenzae] as the cause of
0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
diseases classified to other
chapters

B968 Other specified bacterial

agents as the cause of diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 2 0 0
classified to other chapters

B974 Respiratory syncytial virus

as the cause of diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
classified to other chapters

B99 Other and unspecified

1 0 5 11 27 20 21 30 13 17 35 14 24 13 18 9 21 11 23 13 188 138 326 0 0
infectious diseases
C00 Malignant neoplasm of lip 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 1 0 4 0 4 0 0
C009 Lip, unspecified 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
C01 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
base of tongue
C02 Malignant neoplasm of
other and unspecified parts of 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
tongue
C029 Tongue, unspecified 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 1 1 4 1 9 10 0 1
C039 Gum, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
C051 Soft palate 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
C06 Malignant neoplasm of
other and unspecified parts of 0 0 0 0 0 0 1 0 8 5 10 1 3 4 7 4 7 10 4 15 40 39 79 5 2
mouth
C061 Vestibule of mouth 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 1 2 1 8 2 10 0 0
C069 Mouth, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

C080 Submandibular gland 0 0 0 0 0 0 0 0 0 0 3 2 1 1 0 1 0 0 2 0 6 4 10 1 0

C089 Major salivary gland,
0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 2 1 3 0 0
unspecified
C09 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 1
tonsil
C090 Tonsillar fossa 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
C099 Tonsil, unspecified 0 0 0 0 1 0 2 3 1 2 2 1 3 2 3 4 4 1 1 2 17 15 32 0 0
C11 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 1 1 1 0 3 2 8 10 1 1
nasopharynx
C111 Posterior wall of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 3 1 0
nasopharynx
C119 Nasopharynx, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 5 5 0 0
C13 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
hypopharynx
C139 Hypopharynx, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

C14 Malignant neoplasm of

other and ill-defined sites in the 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
lip, oral cavity and pharynx
C140 Pharynx, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
C15 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 4 17 5 25 45 44 57 101 0 8
oesophagus
C159 Oesophagus, unspecified 0 0 0 0 0 0 0 0 0 0 1 3 0 2 3 9 6 10 5 21 15 45 60 1 0
C16 Malignant neoplasm of
0 0 0 0 0 0 2 1 0 0 0 1 19 3 24 22 25 31 30 121 100 179 279 10 14
stomach
C163 Pyloric antrum 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0
C169 Stomach, unspecified 0 0 0 0 0 0 0 0 0 0 1 0 5 5 16 11 16 12 14 49 52 77 129 4 1
C170 Duodenum 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 1 0 4 4 0 0
C179 Small intestine,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
C18 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 5 0 8 1 4 4 17 21 1 1
colon
C18.0 Caecum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
C181 Appendix 0 0 0 0 0 0 1 1 0 1 3 1 1 4 0 1 0 1 1 1 6 10 16 0 0
C186 Descending colon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 0 0
C189 Colon, unspecified 0 0 0 0 0 0 0 0 0 5 0 2 2 7 6 15 7 7 9 19 24 55 79 1 0
C19 Malignant neoplasm of
0 0 0 0 0 1 0 0 0 0 10 5 7 30 11 10 13 57 39 53 80 156 236 1 2
rectosigmoid junction
C20 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 2 3 17 3 5 7 0 7 19 28 43 48 91 0 1
rectum
C212 Cloacogenic zone 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
C22 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 1 1 2 1 8 6 19 15 18 48 48 71 119 6 16
liver and intrahepatic bile ducts
C220 Liver cell carcinoma 0 0 0 0 1 0 0 0 0 0 0 0 0 2 2 3 0 2 3 9 6 16 22 0 2
C221 Intrahepatic bile duct
0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 3 5 9 8 13 21 0 1
carcinoma
C222 Hepatoblastoma 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0
C229 Liver, unspecified 0 0 0 0 0 0 0 1 0 0 0 0 1 0 2 0 0 3 1 1 4 5 9 1 0
C23 Malignant neoplasm of
0 0 0 0 0 0 1 0 0 0 0 0 5 2 20 9 25 22 63 54 114 87 201 6 2
gallbladder
C241 Ampulla of Vater 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 2 1 3 0 0
C25 Malignant neoplasm of
0 0 0 0 0 0 0 0 2 0 1 2 2 0 9 6 17 42 14 19 45 69 114 6 10
pancreas
C250 Head of pancreas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 2 2 4 0 0
C252 Tail of pancreas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
C253 Pancreatic duct 0 0 0 0 0 0 0 0 0 0 0 1 1 3 0 0 0 0 0 0 1 4 5 0 1
C254 Endocrine pancreas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
C257 Other parts of pancreas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0

C259 Pancreas, unspecified 0 0 0 0 0 0 0 0 0 0 0 2 1 2 1 3 2 1 6 4 10 12 22 0 1

C26 Malignant neoplasm of
other and ill-defined digestive 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 0 1 2 2 6 8 0 0
organs
C30 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 2 0 0
nasal cavity and middle ear
C300 Nasal cavity 0 0 0 0 2 1 1 0 0 0 0 0 0 2 0 0 0 1 0 0 3 4 7 0 0
C310 Maxillary sinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 3 0 0
C32 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 0 0 3 0 4 3 7 0 0
larynx
C320 Glottis 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 1 2 0 3 4 5 9 0 0
C329 Larynx, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 3 1 4 5 0 0
C34 Malignant neoplasm of
0 0 0 1 0 0 3 1 1 1 8 9 11 7 18 21 52 50 226 288 319 378 697 27 35
bronchus and lung
C340 Main bronchus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 0 0
C341 Upper lobe, bronchus or
0 0 0 0 0 0 1 0 0 0 1 1 4 4 14 6 8 40 61 110 89 161 250 1 11
lung
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

C343 Lower lobe, bronchus or

0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 2 3 0 0
lung
C349 Bronchus or lung,
0 0 0 0 1 0 0 0 1 0 0 0 2 2 0 0 3 3 11 17 18 22 40 1 3
unspecified
C37 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 2 0 0
thymus
C38 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
heart, mediastinum and pleura
C380 Heart 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 2 3 0 0
C384 Pleura 0 0 1 0 2 0 0 1 0 0 0 0 2 0 0 0 0 0 0 0 5 1 6 0 0
C39 Malignant neoplasm of
other and ill-defined sites in the
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 3 0 0
respiratory system and
intrathoracic organs
C390 Upper respiratory tract,
0 0 6 9 10 9 9 13 0 0 3 0 2 0 1 0 1 1 0 1 32 33 65 0 0
part unspecified
C400 Scapula and long bones of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 3 3 0 0
upper limb
C402 Long bones of lower limb 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 2 1 3 0 0

C41 Malignant neoplasm of

bone and articular cartilage of 0 0 0 0 0 0 1 1 0 1 0 1 0 1 1 0 0 0 0 0 2 4 6 0 0
other and unspecified sites

C410 Bones of skull and face 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0

C411 Mandible 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 2 2 4 0 0
C412 Vertebral column 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 1 2 3 0 0
C414 Pelvic bones, sacrum and
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 3 0 3 0 0
coccyx
C419 Bone and articular
0 0 0 0 0 0 0 2 1 2 2 5 1 2 3 1 0 0 1 0 8 12 20 0 0
cartilage, unspecified
C43 Malignant melanoma of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 10 0 0 12 10 22 0 0
skin
C439 Malignant melanoma of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
skin, unspecified
C44 Other malignant
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
neoplasms of skin
C443 Skin of other and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
unspecified parts of face
C444 Skin of scalp and neck 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
C447 Skin of lower limb,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 0 0
including hip
C449 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 2 0 0
skin, unspecified
C47 Malignant neoplasm of
peripheral nerves and 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
autonomic nervous system
C472 Peripheral nerves of lower
0 0 0 0 0 0 0 0 0 0 0 0 6 0 2 0 3 0 6 0 17 0 17 0 0
limb, including hip
C49 Malignant neoplasm of
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 2 0 4 4 0 0
other connective and soft tissue

C490 Connective and soft tissue

0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 2 4 2 5 4 11 9 20 1 1
of head, face and neck
C495 Connective and soft tissue
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
of pelvis
C499 Connective and soft
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 0 2 1 3 1 0
tissue, unspecified
C50 Malignant neoplasm of
0 0 0 0 0 0 0 0 1 0 19 0 64 0 106 3 73 4 108 7 371 14 385 16 2
breast
C500 Nipple and areola 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 3 0 7 0 7 0 0
C501 Central portion of breast 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
C509 Breast, unspecified 0 0 0 0 1 0 5 0 15 1 121 12 43 2 58 8 44 7 47 3 334 33 367 7 0
C519 Vulva, unspecified 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 3 0 3 0 0
C53 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 7 0 22 0 46 0 71 0 84 0 230 0 230 5 0
cervix uteri
C538 Overlapping lesion of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
cervix uteri
C539 Cervix uteri, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 2 0 6 0 16 0 10 0 34 0 34 1 0
C541 Endometrium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 2 0 6 0 6 0 0
C542 Myometrium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 3 0 3 0 0
C55 Malignant neoplasm of
0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 2 0 4 0 9 0 9 2 0
uterus, part unspecified
C56 Malignant neoplasm of
0 0 0 0 0 0 1 0 1 0 4 0 10 0 46 0 39 0 68 0 169 0 169 6 0
ovary
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

C574 Uterine adnexa,

0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 0
unspecified
C58 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 3 0 3 0 0
placenta
C60 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 9 0 11 11 0 0
penis
C609 Penis, unspecified 0 0 0 0 0 0 0 2 0 0 0 2 0 3 0 3 0 1 0 3 0 14 14 0 0
C61 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 45 0 47 47 0 2
prostate
C620 Undescended testis 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
C629 Testis, unspecified 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
C63 Malignant neoplasm of
other and unspecified male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
genital organs
C630 Epididymis 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 1 0 0 0 4 4 0 0
C631 Spermatic cord 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
C632 Scrotum 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
C64 Malignant neoplasm of
0 0 1 3 5 4 0 2 0 0 0 0 1 0 1 2 1 1 4 3 13 15 28 0 2
kidney, except renal pelvis
C65 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 0 0
renal pelvis
C67 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 6 4 11 8 28 14 45 59 1 3
bladder
C675 Bladder neck 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 3 3 0 0
C679 Bladder, unspecified 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2 0 2 8 7 23 12 34 46 0 0
C68 Malignant neoplasm of
other and unspecified urinary 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 1 0 4 4 0 0
organs
C689 Urinary organ,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 3 4 0 0
unspecified
C692 Retina 0 0 0 0 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 4 7 0 0
C70 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
meninges
C701 Spinal meninges 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 0 1 2 4 6 2 4
C709 Meninges, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
C71 Malignant neoplasm of
0 0 0 0 0 1 1 1 0 2 1 2 8 11 8 14 9 10 6 12 33 53 86 27 40
brain
C710 Cerebrum, except lobes
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
and ventricles
C711 Frontal lobe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
C712 Temporal lobe 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
C714 Occipital lobe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 0
C719 Brain, unspecified 0 0 0 0 0 0 0 1 0 1 1 0 0 2 2 0 3 0 1 3 7 7 14 0 0
C72 Malignant neoplasm of
spinal cord, cranial nerves and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
other parts of central nervous
system
C721 Cauda equina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
C729 Central nervous system,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
unspecified
C73 Malignant neoplasm of
0 0 0 0 0 0 1 0 2 1 8 5 10 8 15 3 7 5 5 12 48 34 82 0 2
thyroid gland
C74 Malignant neoplasm of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 1
adrenal gland
C749 Adrenal gland,
0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
unspecified
C75 Malignant neoplasm of
other endocrine glands and 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0 0 0 0 0 3 2 5 3 2
related structures
C760 Head, face and neck 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
C762 Abdomen 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 1 0 5 0 5 0 0
C764 Upper limb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
C765 Lower limb 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 3 4 0 0
C770 Lymph nodes of head,
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 2 1 3 0 0
face and neck
C774 Inguinal and lower limb
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
lymph nodes
C780 Secondary malignant
0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 3 3 4 7 2 3
neoplasm of lung
C785 Secondary malignant
neoplasm of large intestine and 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0
rectum
C787 Secondary malignant
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 2 0 0
neoplasm of liver

C788 Secondary malignant

neoplasm of other and 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 4 2 5 7 0 1
unspecified digestive organs
C79 Secondary malignant
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
neoplasm of other sites
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

C790 Secondary malignant

neoplasm of kidney and renal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
pelvis
C793 Secondary malignant
neoplasm of brain and cerebral 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 1 2 2 4 0 0
meninges
C795 Secondary malignant
neoplasm of bone and bone 0 0 0 0 0 0 2 9 5 7 2 6 3 1 0 1 1 3 6 17 19 44 63 0 2
marrow
C80 Malignant neoplasm
0 0 0 0 0 4 3 4 39 7 14 19 18 35 30 35 53 51 105 155 262 310 572 15 6
without specification of site
C81 Hodgkin's disease 0 0 0 0 0 0 0 2 0 1 0 0 0 1 0 0 0 0 0 1 0 5 5 0 0
C819 Hodgkin's disease,
0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
unspecified
C824 Follicular lymphoma
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 0 2 0 0
grade IIIb
C827 Other types of follicular
1 0 0 0 1 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0
non-Hodgkin's lymphoma

C829 Follicular non-Hodgkin's

0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
lymphoma, unspecified
C833 Large cell (diffuse) 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
C85 Other and unspecified
types of non-Hodgkin's 0 0 0 0 0 0 0 5 3 0 0 6 1 4 6 6 9 7 23 26 42 54 96 0 4
lymphoma
C85.0 Lymphosarcoma 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 2 2 1 5 6 7 13 0 1
C857 Other specified types of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 1 3 0 1
non-Hodgkin's lymphoma

C859 Non-Hodgkin's
0 0 0 0 0 1 1 2 1 6 5 7 8 4 12 5 8 6 9 9 44 40 84 2 1
lymphoma, unspecified type
C889 Malignant
immunoproliferative disease, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
unspecified
C90 Multiple myeloma and
malignant plasma cell 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
neoplasms
C900 Multiple myeloma 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 1 4 5 1 6 9 15 0 2
C91 Lymphoid leukaemia 0 0 0 0 0 0 1 0 1 6 0 2 0 0 0 0 0 1 0 0 2 9 11 0 0
C910 Acute lymphoblastic
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2 0 0
leukaemia
C919 Lymphoid leukaemia,
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0
unspecified
C92 Myeloid leukaemia 0 0 0 0 0 0 5 1 0 2 0 1 1 3 1 0 0 0 1 0 8 7 15 0 1
C920 Acute myeloid leukaemia 0 0 0 0 0 0 1 2 0 5 5 3 2 2 3 0 2 1 2 2 15 15 30 3 2
C921 Chronic myeloid
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
leukaemia
C929 Myeloid leukaemia,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
C940 Acute erythraemia and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
erythroleukaemia
C943 Mast cell leukaemia 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
C95 Leukaemia of unspecified
0 0 2 2 8 14 5 11 0 1 3 18 2 3 0 0 1 0 1 1 22 50 72 2 1
cell type
C950 Acute leukaemia of
0 0 0 1 9 8 5 18 0 0 0 1 0 1 0 0 1 0 0 0 15 29 44 1 0
unspecified cell type
C959 Leukaemia, unspecified 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 2 1 3 4 0 1
D00 Carcinoma in situ of oral
cavity, oesophagus and 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 1 1 0 0 3 1 7 8 0 0
stomach
D001 Oesophagus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
D002 Stomach 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 3 0 9 0 1 3 13 16 0 0
D01 Carcinoma in situ of other
and unspecified digestive 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
organs
D010 Colon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 2 0 0
D011 Rectosigmoid junction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 1 0 5 0 5 0 0
D012 Rectum 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 2 0 0 3 2 5 0 0
D02 Carcinoma in situ of middle
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 2 3 0 0
ear and respiratory system
D024 Respiratory system,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0
unspecified
D039 Melanoma in situ,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
D04 Carcinoma in situ of skin 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 2 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

D043 Skin of other and

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified parts of face
D047 Skin of lower limb,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
including hip
D048 Skin of other sites 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 1 3 0 0
D049 Skin, unspecified 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1 0 4 1 5 0 0
D05 Carcinoma in situ of breast 0 0 0 0 0 0 0 1 0 0 0 4 2 0 1 0 1 0 9 0 13 5 18 0 0

D050 Lobular carcinoma in situ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0

D057 Other carcinoma in situ of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
breast
D059 Carcinoma in situ of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
breast, unspecified
D06 Carcinoma in situ of cervix
0 0 0 0 0 0 0 0 0 0 1 0 3 0 6 0 0 0 5 0 15 0 15 0 0
uteri
D061 Exocervix 0 0 0 0 0 0 0 0 0 0 3 0 1 0 1 0 0 0 1 0 6 0 6 0 0
D069 Cervix, unspecified 0 0 0 0 0 0 0 0 4 0 7 0 7 0 3 0 3 0 2 0 26 0 26 0 0
D07 Carcinoma in situ of other
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 9 0 11 11 0 0
and unspecified genital organs
D070 Endometrium 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
D071 Vulva 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 3 0 0
D072 Vagina 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
D074 Penis 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
D075 Prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 40 40 0 0
D09 Carcinoma in situ of other
0 0 0 0 0 0 0 0 0 5 4 3 1 2 7 0 0 0 0 1 12 11 23 0 0
and unspecified sites
D090 Bladder 0 0 0 0 0 0 3 4 2 5 2 3 5 7 2 3 4 0 0 4 18 26 44 0 0
D091 Other and unspecified
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 3 2 5 7 0 0
urinary organs
D093 Thyroid and other
0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 3 0 3 0 0
endocrine glands
D097 Carcinoma in situ of other
0 0 0 0 0 1 0 0 0 1 1 0 6 0 6 2 5 7 11 20 29 31 60 2 3
specified sites
D099 Carcinoma in situ,
0 0 0 0 0 0 0 0 0 0 0 1 2 1 1 0 1 3 1 4 5 9 14 0 0
unspecified
D101 Tongue 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
D103 Other and unspecified
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
parts of mouth
D104 Tonsil 1 0 1 2 1 5 2 1 0 1 1 1 1 0 0 0 0 0 0 0 7 10 17 0 0
D107 Hypopharynx 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
D109 Pharynx, unspecified 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 3 3 0 0
D11 Benign neoplasm of major
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
salivary glands
D110 Parotid gland 0 0 0 0 0 1 0 0 0 0 3 0 2 0 1 1 0 1 0 1 6 4 10 0 0
D119 Major salivary gland,
0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 0 0 0 3 1 4 0 0
unspecified
D126 Colon, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
D128 Rectum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
D129 Anus and anal canal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
D130 Oesophagus 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
D131 Stomach 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 3 3 0 0
D134 Liver 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 3 0 0
D135 Extrahepatic bile ducts 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 2 0 0
D136 Pancreas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
D14 Benign neoplasm of middle
0 0 0 0 0 0 0 0 1 0 2 1 0 1 3 1 4 1 8 8 18 12 30 0 0
ear and respiratory system

D140 Middle ear, nasal cavity

0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
and accessory sinuses
D144 Respiratory system,
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
D16 Benign neoplasm of bone
0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
and articular cartilage

D162 Long bones of lower limb 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 2 0 0

D164 Bones of skull and face 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 2 0 0

D166 Vertebral column 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
D169 Bone and articular
0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 1 2 3 0 0
cartilage, unspecified
D17 Benign lipomatous
0 0 1 0 1 1 3 3 0 2 17 10 26 9 34 12 25 9 11 7 118 53 171 0 0
neoplasm
D170 Benign lipomatous
neoplasm of skin and
0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 2 2 4 0 0
subcutaneous tissue of head,
face and neck
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

D171 Benign lipomatous

neoplasm of skin and 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
subcutaneous tissue of trunk

D172 Benign lipomatous

neoplasm of skin and 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 3 1 4 0 0
subcutaneous tissue of limbs

D173 Benign lipomatous

neoplasm of skin and
0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 1 0 0 0 1 3 3 6 0 0
subcutaneous tissue of other
and unspecified sites
D179 Benign lipomatous
0 0 0 0 0 0 1 0 0 1 2 1 3 2 1 3 2 0 5 1 14 8 22 0 0
neoplasm, unspecified
D18 Haemangioma and
0 0 1 0 0 0 0 0 2 4 3 3 1 1 1 0 1 1 2 0 11 9 20 0 0
lymphangioma, any site
D180 Haemangioma, any site 0 0 0 3 0 0 2 0 1 1 2 3 0 1 0 1 0 1 1 0 6 10 16 1 0

D181 Lymphangioma, any site 0 0 2 1 1 4 1 2 0 1 0 0 0 1 1 0 0 0 0 0 5 9 14 0 1

D210 Connective and other soft

0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
tissue of head, face and neck

D214 Connective and other soft

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
tissue of abdomen

D219 Connective and other soft

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
tissue, unspecified
D22 Melanocytic naevi 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
D229 Melanocytic naevi,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
D23 Other benign neoplasms of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
skin
D232 Skin of ear and external
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
auricular canal
D233 Skin of other and
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified parts of face
D234 Skin of scalp and neck 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0
D235 Skin of trunk 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
D237 Skin of lower limb,
0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 1 2 3 0 0
including hip
D239 Skin, unspecified 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 2 0 0 0 4 3 7 0 0
D24 Benign neoplasm of breast 0 0 0 0 0 0 0 0 3 0 6 4 4 0 5 0 1 0 0 0 19 4 23 0 0
D25 Leiomyoma of uterus 0 0 0 0 0 0 0 0 0 0 5 0 18 0 80 0 20 0 5 0 128 0 128 0 0
D250 Submucous leiomyoma of
0 0 0 0 0 0 0 0 0 0 3 0 12 0 29 0 24 0 2 0 70 0 70 0 0
uterus
D251 Intramural leiomyoma of
0 0 0 0 0 0 1 0 0 0 0 0 3 0 6 0 5 0 0 0 15 0 15 0 0
uterus
D252 Subserosal leiomyoma of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
uterus
D259 Leiomyoma of uterus,
0 0 0 0 0 0 0 0 11 0 65 0 106 0 264 0 91 0 32 0 569 0 569 0 0
unspecified
D26 Other benign neoplasms of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 2 0 0 0 6 0 6 0 0
uterus
D260 Cervix uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 3 0 3 0 0
D267 Other parts of uterus 0 0 0 0 0 0 0 0 0 0 4 0 6 0 11 0 6 0 3 0 30 0 30 0 0
D269 Uterus, unspecified 0 0 0 0 0 0 0 0 0 0 2 0 8 0 12 0 5 0 1 0 28 0 28 0 0
D27 Benign neoplasm of ovary 0 0 0 0 0 0 1 0 35 0 61 0 46 0 40 0 34 0 13 0 230 0 230 0 0
D28 Benign neoplasm of other
and unspecified female genital 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
organs
D289 Female genital organ,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
D29 Benign neoplasm of male
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 0 0
genital organs
D292 Testis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
D294 Scrotum 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
D300 Kidney 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 2 2 3 5 8 0 0
D301 Renal pelvis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 0 0
D302 Ureter 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0
D303 Bladder 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 2 3 5 0 0
D314 Ciliary body 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
D316 Orbit, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
D320 Cerebral meninges 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
D321 Spinal meninges 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
D329 Meninges, unspecified 0 0 0 0 0 0 0 0 0 0 0 3 3 0 9 1 6 1 2 3 20 8 28 1 0
D334 Spinal cord 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 1 3 2 5 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

D34 Benign neoplasm of

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 2 0 0
thyroid gland
D350 Adrenal gland 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 2 3 0 0
D352 Pituitary gland 0 0 0 0 0 0 0 0 0 0 0 0 2 2 1 0 0 0 0 0 3 2 5 0 0
D367 Other specified sites 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 2 1 3 0 0
D37 Neoplasm of uncertain or
unknown behaviour of oral 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 0 3 0 3 0 0
cavity and digestive organs
D373 Appendix 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 2 0 0
D376 Liver, gallbladder and bile
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
ducts
D377 Other digestive organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
D381 Trachea, bronchus and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
lung
D390 Uterus 0 0 0 0 0 0 0 0 0 0 0 0 3 0 15 0 12 0 0 0 30 0 30 0 0
D391 Ovary 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 0
D392 Placenta 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
D400 Prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 0 0
D401 Testis 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
D41 Neoplasm of uncertain or
unknown behaviour of urinary 0 11 5 8 7 9 9 23 0 0 0 0 1 0 0 0 0 0 1 0 23 51 74 0 0
organs
D410 Kidney 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
D414 Bladder 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 2 5 0 2 1 9 5 14 0 0
D419 Urinary organ,
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0
unspecified
D429 Meninges, unspecified 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
D434 Spinal cord 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
D44 Neoplasm of uncertain or
unknown behaviour of 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 3 2 5 3 8 0 0
endocrine glands
D440 Thyroid gland 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 1 0 0 0 5 0 5 0 0
D444 Craniopharyngeal duct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
D447 Aortic body and other
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
paraganglia
D45 Polycythaemia vera 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 2 1 3 0 0
D46 Myelodysplastic
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
syndromes
D464 Refractory anaemia,
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
D469 Myelodysplastic
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
syndrome, unspecified
D47 Other neoplasms of
uncertain or unknown
behaviour of lymphoid, 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 2 0 5 5 0 0
haematopoietic and related
tissue
D48 Neoplasm of uncertain or
unknown behaviour of other 0 0 0 0 0 0 0 0 0 0 2 2 3 1 4 1 1 0 0 0 10 4 14 0 0
and unspecified sites
D481 Connective and other soft
0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 1 2 2 4 0 0
tissue
D486 Breast 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
D489 Neoplasm of uncertain or
unknown behaviour, 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
D50 Iron deficiency anaemia 0 0 0 0 0 0 0 1 6 1 52 2 5 2 7 4 4 5 11 7 85 22 107 0 0
D500 Iron deficiency anaemia
secondary to blood loss 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 2 1 3 0 0
(chronic)
D509 Iron deficiency anaemia,
0 0 0 1 0 1 0 0 0 0 1 2 3 0 2 0 0 1 3 6 9 11 20 0 0
unspecified
D51 Vitamin B12 deficiency
0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 0 0
anaemia
D511 Vitamin B12 deficiency
anaemia due to selective
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
vitamin B12 malabsorption
with proteinuria
D513 Other dietary vitamin B12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
deficiency anaemia
D519 Vitamin B12 deficiency
0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 2 4 3 7 0 0
anaemia, unspecified

D53 Other nutritional anaemias 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 1 2 3 3 6 0 0

 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

D531 Other megaloblastic

0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 1 1 1 1 5 2 7 0 0
anaemias, NEC
D539 Nutritional anaemia,
0 0 0 0 0 0 1 1 0 0 2 0 0 0 0 0 0 0 2 0 5 1 6 0 0
unspecified
D55 Anaemia due to enzyme
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
disorders
D552 Anaemia due to disorders
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
of glycolytic enzymes

D553 Anaemia due to disorders

0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 2 0 0
of nucleotide metabolism
D56 Thalassaemia 0 0 8 7 1 13 26 27 6 4 21 3 15 4 10 5 0 0 0 0 87 63 150 1 2
D560 Alpha thalassaemia 0 0 0 0 0 2 0 1 1 1 1 0 0 0 0 0 0 0 0 0 2 4 6 0 0
D561 Beta thalassaemia 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
D569 Thalassaemia, unspecified 0 0 6 4 27 44 99 96 22 22 3 0 0 0 0 0 1 0 0 1 158 167 325 0 0
D57 Sickle-cell disorders 0 0 0 0 1 2 13 15 13 34 28 45 6 16 4 7 1 5 1 1 67 125 192 0 1
D571 Sickle-cell anaemia
0 0 0 0 0 2 5 2 0 1 2 0 0 0 0 0 0 0 0 0 7 5 12 0 0
without crisis
D58 Other hereditary
0 0 0 0 0 2 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 3 4 0 0
haemolytic anaemias
D580 Hereditary spherocytosis 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

D589 Hereditary haemolytic

0 0 1 1 0 7 2 1 3 1 3 0 0 1 0 0 0 0 0 0 9 11 20 0 0
anaemia, unspecified
D591 Other autoimmune
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0
haemolytic anaemias
D593 Haemolytic-uraemic
0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 1 0 3 1 6 7 0 0
syndrome
D595 Paroxysmal nocturnal
haemoglobinuria [Marchiafava- 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0
Micheli]
D598 Other acquired
0 0 0 0 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 1 0
haemolytic anaemias
D599 Acquired haemolytic
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
anaemia, unspecified
D60 Acquired pure red cell
0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 1
aplasia [erythroblastopenia]
D601 Transient acquired pure
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 2 0 0
red cell aplasia
D61 Other aplastic anaemias 0 0 0 0 0 1 3 7 1 2 10 16 8 8 3 1 1 3 9 6 35 44 79 0 0

D612 Aplastic anaemia due to

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
other external agents
D618 Other specified aplastic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 2 3 3 6 0 0
anaemias
D619 Aplastic anaemia,
0 1 0 2 3 4 9 9 7 2 8 4 6 6 11 4 4 2 7 23 55 57 112 1 0
unspecified
D62 Acute posthaemorrhagic
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 2 1 4 1 5 0 0
anaemia

D63 Anaemia in chronic

0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
diseases classified elsewhere

D638 Anaemia in other chronic

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 2 2 4 1 0
diseases classified elsewhere
D64 Other anaemias 5 1 16 42 43 77 103 75 102 36 148 49 123 46 97 68 94 79 186 159 917 632 1549 8 5
D640 Hereditary sideroblastic
0 0 0 0 0 0 1 1 7 6 12 8 5 7 6 8 6 3 7 12 44 45 89 1 1
anaemia
D643 Other sideroblastic
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 2 0 0
anaemias
D644 Congenital
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 2 0 0
dyserythropoietic anaemia
D648 Other specified anaemias 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0

D649 Anaemia, unspecified 0 4 2 6 6 5 22 23 53 16 93 52 96 40 93 35 48 62 95 100 508 343 851 1 2

D65 Disseminated intravascular
coagulation [defibrination 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
syndrome]
D66 Hereditary factor VIII
0 0 0 6 0 4 1 16 0 0 0 5 1 0 0 0 0 0 0 0 2 31 33 0 0
deficiency
D67 Hereditary factor IX
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
deficiency
D682 Hereditary deficiency of
0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
other clotting factors
D689 Coagulation defect,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 3 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

D69 Purpura and other

0 0 4 3 6 16 22 27 1 0 1 1 0 0 0 0 0 0 0 0 34 47 81 0 0
haemorrhagic conditions
D690 Allergic purpura 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0
D693 Idiopathic
0 0 0 0 1 4 3 6 2 1 2 3 4 1 2 1 1 0 1 2 16 18 34 0 0
thrombocytopenic purpura
D694 Other primary
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
thrombocytopenia
D696 Thrombocytopenia,
1 1 2 1 1 0 1 1 0 2 3 3 0 0 2 2 1 3 4 0 15 13 28 2 1
unspecified
D699 Haemorrhagic condition,
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 2 0 0
unspecified
D70 Agranulocytosis 0 0 0 0 0 0 0 1 1 1 0 1 0 1 2 0 0 0 2 0 5 4 9 1 0
D71 Functional disorders of
0 0 0 0 0 0 0 0 1 0 2 0 2 0 0 0 0 0 0 0 5 0 5 0 0
polymorphonuclear neutrophils
D72 Other disorders of white
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
blood cells
D721 Eosinophilia 0 0 0 1 0 1 3 4 0 0 0 0 0 1 0 0 0 0 0 0 3 7 10 0 0
D728 Other specified disorders
0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 1 2 3 0 0
of white blood cells
D731 Hypersplenism 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
D751 Secondary polycythaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 1 1 1 4 5 0 0
D758 Other specified diseases
of blood and blood-forming 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
organs
D76.0 Langerhans' cell
histiocytosis, not elsewhere 0 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
classified
D761 Haemophagocytic
0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0
lymphohistiocytosis
D77 Other disorders of blood
and blood-forming organs in 0 0 0 0 0 0 0 1 0 0 0 3 1 0 0 1 0 0 2 1 3 6 9 0 0
diseases classified elsewhere

D809 Immunodeficiency with

predominantly antibody 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
defects, unspecified

D811 Severe combined

immunodeficiency [SCID] with 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
low T- and B-cell numbers
D82 Immunodeficiency
associated with other major 0 0 0 0 0 0 0 0 0 0 0 3 1 1 0 1 0 2 0 1 1 8 9 0 0
defects
D841 Defects in the
0 0 0 0 0 0 3 1 1 0 0 0 0 0 0 0 0 0 0 0 4 1 5 0 0
complement system
D849 Immunodeficiency,
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
D86 Sarcoidosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
D89 Other disorders involving
0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 3 4 0 1
the immune mechanism, NEC
default 0 0 0 0 0 0 0 1 0 1 0 0 0 3 2 3 3 3 6 10 11 21 32 0 0
E00 Congenital iodine-
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
deficiency syndrome
E02 Subclinical iodine-
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
deficiency hypothyroidism
E03 Other hypothyroidism 0 0 0 0 0 0 0 0 0 2 4 0 8 0 1 0 5 1 8 6 26 9 35 0 0
E031 Congenital
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
hypothyroidism without goitre
E032 Hypothyroidism due to
medicaments and other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
exogenous substances
E038 Other specified
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
hypothyroidism
E039 Hypothyroidism,
0 0 0 0 0 0 2 0 0 0 12 4 22 5 19 13 36 23 79 54 170 99 269 2 1
unspecified
E04 Other nontoxic goitre 0 0 0 0 0 0 0 0 1 0 5 3 5 5 2 2 7 3 9 7 29 20 49 3 0
E040 Nontoxic diffuse goitre 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 2 0 0
E041 Nontoxic single thyroid
0 0 0 0 0 0 0 0 0 0 2 0 5 1 4 0 3 0 2 0 16 1 17 0 0
nodule
E042 Nontoxic multinodular
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 2 1 2 0 6 2 8 0 0
goitre
E049 Nontoxic goitre,
0 0 0 0 0 0 0 0 1 0 1 0 6 1 3 1 1 0 3 0 15 2 17 0 0
unspecified
E05 Thyrotoxicosis
0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 6 0 10 0 10 0 0
[hyperthyroidism]
E050 Thyrotoxicosis with
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 0 2 0 0
diffuse goitre
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

E053 Thyrotoxicosis from

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
ectopic thyroid tissue
E059 Thyrotoxicosis,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 3 1 4 0 0
unspecified
E06 Thyroiditis 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 0 0 0 0 1 3 2 5 0 0
E060 Acute thyroiditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
E061 Subacute thyroiditis 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
E063 Autoimmune thyroiditis 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

E065 Other chronic thyroiditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0

E069 Thyroiditis, unspecified 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 0 2 0 0

E07 Other disorders of thyroid 0 0 0 0 0 0 0 1 0 0 3 1 1 0 3 0 2 0 1 1 10 3 13 1 0

E079 Disorder of thyroid,
0 0 0 0 0 0 0 0 1 0 3 0 3 0 3 0 1 0 2 0 13 0 13 0 0
unspecified
E10 Insulin-dependent diabetes
0 0 0 0 0 0 2 4 8 4 48 63 46 71 81 80 50 46 92 60 327 328 655 0 1
mellitus
E101 Insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 3 2 5 0 0
ketoacidosis
E104 Insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
neurological complications
E109 Insulin-dependent
diabetes mellitus without 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
complications
E11 Non-insulin-dependent
0 0 0 0 0 0 0 1 0 0 2 5 13 13 59 76 79 106 154 201 307 402 709 1 2
diabetes mellitus
E110 Non-insulin-dependent
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 3 0 0
diabetes mellitus with coma
E111 Non-insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 1 0
ketoacidosis
E112 Non-insulin-dependent
diabetes mellitus with renal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
complications

E113 Non-insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
ophthalmic complications

E114 Non-insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 2 3 0 0
neurological complications

E116 Non-insulin-dependent
diabetes mellitus with other 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 2 1 0 1 3 3 7 10 0 0
specified complications

E118 Non-insulin-dependent
diabetes mellitus with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified complications

E119 Non-insulin-dependent
diabetes mellitus without 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 2 2 4 0 0
complications
E13 Other specified diabetes
0 0 0 0 0 0 0 1 1 0 5 3 10 17 12 24 20 42 46 35 94 122 216 1 2
mellitus
E130 Other specified diabetes
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
mellitus with coma

E131 Other specified diabetes

0 0 0 0 0 0 0 0 0 0 0 0 3 1 3 2 3 2 5 4 14 9 23 0 0
mellitus with ketoacidosis
E14 Unspecified diabetes
0 0 0 1 0 0 4 1 3 2 5 3 30 27 36 47 44 51 97 80 219 212 431 6 3
mellitus
E140 Unspecified diabetes
2 0 0 1 3 2 19 17 10 13 45 47 86 113 159 212 225 290 561 574 1110 1269 2379 25 15
mellitus with coma
E141 Unspecified diabetes
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 2 1 3 0 0
mellitus with ketoacidosis
E142 Unspecified diabetes
mellitus with renal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
complications
E143 Unspecified diabetes
mellitus with ophthalmic 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 2 3 0 0
complications
E146 Unspecified diabetes
mellitus with other specified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 4 3 6 6 12 5 4
complications
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

E148 Unspecified diabetes

mellitus with unspecified 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 0 0
complications
E149 Unspecified diabetes
0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 5 4 4 2 4 9 13 22 0 1
mellitus without complications
E15 Nondiabetic hypoglycaemic
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 3 4 0 0
coma
E16 Other disorders of
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 2 1 3 3 6 0 0
pancreatic internal secretion

E160 Drug-induced
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 0 2 0 0
hypoglycaemia without coma
E161 Other hypoglycaemia 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 3 0 7 7 0 0
E162 Hypoglycaemia,
5 4 1 0 0 2 0 1 1 1 2 0 0 1 2 5 7 4 10 20 28 38 66 2 2
unspecified
E213 Hyperparathyroidism,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
unspecified
E230 Hypopituitarism 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 2 1 3 0 0
E232 Diabetes insipidus 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 2 0 1
E236 Other disorders of
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 3 3 0 0
pituitary gland
E237 Disorder of pituitary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
gland, unspecified
E24 Cushing's syndrome 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
E242 Drug-induced Cushing's
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 2 0 0
syndrome
E244 Alcohol-induced pseudo-
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
Cushing's syndrome

E271 Primary adrenocortical

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 0 0
insufficiency
E278 Other specified disorders
0 0 0 0 0 0 1 0 0 0 7 0 4 0 1 0 0 0 1 0 14 0 14 0 0
of adrenal gland
E279 Disorder of adrenal gland,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 1 3 1 4 0 0
unspecified
E28 Ovarian dysfunction 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 3 0 3 0 0
E282 Polycystic ovarian
0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 4 0 4 0 0
syndrome
E289 Ovarian dysfunction,
0 0 0 0 0 0 1 0 0 0 3 0 5 0 1 0 2 0 1 0 13 0 13 0 0
unspecified
E29 Testicular dysfunction 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

E291 Testicular hypofunction 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0

E298 Other testicular
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
dysfunction
E311 Polyglandular
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
hyperfunction
E321 Abscess of thymus 0 0 0 2 1 1 2 7 0 1 1 0 1 2 0 1 1 0 0 0 6 14 20 0 0
E342 Ectopic hormone
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
secretion, NEC
E40 Kwashiorkor 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 4 5 1 2
E41 Nutritional marasmus 0 0 0 0 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0
E42 Marasmic kwashiorkor 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0

E43 Unspecified severe protein-

0 0 3 6 2 7 1 2 0 0 0 1 0 0 0 0 0 0 0 0 6 16 22 0 0
energy malnutrition
E44 Protein-energy
malnutrition of moderate and 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
mild degree
E441 Mild protein-energy
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
malnutrition
E46 Unspecified protein-energy
1 2 73 74 121 143 17 16 0 0 0 1 1 0 0 0 1 0 0 2 214 238 452 2 0
malnutrition
E50 Vitamin A deficiency 0 0 0 1 0 1 0 0 0 0 1 0 1 1 1 0 0 0 5 2 8 5 13 0 0
E512 Wernicke's
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
encephalopathy
E52 Niacin deficiency [pellagra] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
E53 Deficiency of other B group
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
vitamins
E538 Deficiency of other
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
specified B group vitamins
E55 Vitamin D deficiency 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 3 1 6 1 7 0 0
E550 Rickets, active 0 0 0 0 1 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0
E559 Vitamin D deficiency,
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 1 23 5 25 8 33 0 0
unspecified
E569 Vitamin deficiency,
0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 2 2 2 4 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

E58 Dietary calcium deficiency 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 2 0 0

E64 Sequelae of malnutrition
and other nutritional 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
deficiencies
E643 Sequelae of rickets 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
E66 Obesity 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 2 3 1 3 0 9 4 13 0 0
E662 Extreme obesity with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
alveolar hypoventilation
E668 Other obesity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 0 0
E725 Disorders of glycine
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
metabolism
E740 Glycogen storage disease 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 3 0 3 0 0

E752 Other sphingolipidosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0

E771 Defects in glycoprotein
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
degradation
E78 Disorders of lipoprotein
metabolism and other 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 2 0 0
lipidaemias
E781 Pure hyperglyceridaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0

E784 Other hyperlipidaemia 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 3 3 0 0

E785 Hyperlipidaemia,
0 0 0 0 0 0 0 0 0 0 0 0 4 3 4 14 7 9 24 16 39 42 81 0 0
unspecified
E79 Disorders of purine and
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
pyrimidine metabolism

E790 Hyperuricaemia without

signs of inflammatory arthritis 0 0 0 0 0 0 0 0 0 0 0 1 1 3 1 2 1 3 8 11 11 20 31 0 0
and tophaceous disease

E80 Disorders of porphyrin and

1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
bilirubin metabolism
E802 Other porphyria 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 2 0 0
E804 Gilbert's syndrome 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
E805 Crigler-Najjar syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
E807 Disorder of bilirubin
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
metabolism, unspecified
E83 Disorders of mineral
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 3 0 3 0 0
metabolism
E830 Disorders of copper
0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 0 0
metabolism
E831 Disorders of iron
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
metabolism
E833 Disorders of phosphorus
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
metabolism
E834 Disorders of magnesium
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
metabolism
E835 Disorders of calcium
1 2 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 3 3 6 0 0
metabolism
E840 Cystic fibrosis with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
pulmonary manifestations
E841 Cystic fibrosis with
0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
intestinal manifestations
E850 Non-neuropathic
0 0 0 0 2 1 1 13 0 0 0 0 0 0 0 0 0 0 0 0 3 14 17 0 0
heredofamilial amyloidosis
E86 Volume depletion 6 13 18 28 21 24 4 13 9 11 45 35 22 19 13 6 16 13 17 26 171 188 359 5 7
E87 Other disorders of fluid,
electrolyte and acid-base 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 1 4 4 5 9 0 0
balance
E870 Hyperosmolality and
0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 2 2 4 6 0 2
hypernatraemia
E871 Hypo-osmolality and
0 0 0 0 1 0 0 0 0 0 1 2 0 5 6 4 3 5 33 36 44 52 96 1 0
hyponatraemia
E872 Acidosis 0 0 0 2 1 0 2 0 1 2 0 0 1 3 1 0 0 2 5 3 11 12 23 1 2
E873 Alkalosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
E875 Hyperkalaemia 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 3 8 4 9 9 18 0 0
E876 Hypokalaemia 0 0 0 0 0 0 1 0 0 0 1 1 2 2 0 4 3 2 7 8 14 17 31 2 3
E877 Fluid overload 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 1 0 1 1 3 3 6 9 0 0
E878 Other disorders of
electrolyte and fluid balance, 0 0 0 0 0 0 0 0 0 0 2 1 0 1 1 0 0 0 1 3 4 5 9 0 0
NEC
E88 Other metabolic disorders 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
E880 Disorders of plasma-
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 2 3 0 0
protein metabolism, NEC
E882 Lipomatosis, NEC 0 0 0 0 1 0 0 1 0 0 1 0 2 0 0 0 0 1 0 1 4 3 7 0 0
E889 Metabolic disorder,
0 0 2 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 3 5 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

E90 Nutritional and metabolic

disorders in diseases classified 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 4 2 6 4 10 0 0
elsewhere
F00 Dementia in Alzheimer's
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 3 1 4 0 0
disease
F009 Dementia in Alzheimer's
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
disease, unspecified
F01 Vascular dementia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0
F010 Vascular dementia of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 2 0 0
acute onset
F02 Dementia in other diseases
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
classified elsewhere
F023 Dementia in Parkinson's
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
disease
F03 Unspecified dementia 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 5 7 7 10 17 0 0
F05 Delirium, not induced by
alcohol and other psychoactive 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 0 3 0 0
substances
F050 Delirium not
superimposed on dementia, so 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
described
F058 Other delirium 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
F059 Delirium, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 3 0 0
F072 Postconcussional
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
syndrome
F09 Unspecified organic or
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 4 0 4 0 0
symptomatic mental disorder

F10 Mental and behavioural

0 0 0 0 0 2 1 4 14 16 30 79 62 206 78 258 66 170 45 152 296 887 1183 3 12
disorders due to use of alcohol

F100 Mental and behavioural

disorders due to use of alcohol, 0 0 0 0 0 0 0 0 0 0 0 1 1 3 2 5 0 1 0 1 3 11 14 0 0
acute intoxication

F101 Mental and behavioural

disorders due to use of alcohol, 0 0 0 0 0 0 0 0 0 0 1 2 0 6 2 3 0 5 0 2 3 18 21 0 0
harmful use

F102 Mental and behavioural

disorders due to use of alcohol, 0 0 0 0 0 0 1 0 4 4 25 31 23 59 31 73 12 47 17 43 113 257 370 0 0
dependence syndrome

F103 Mental and behavioural

disorders due to use of alcohol, 0 0 0 0 0 0 0 0 0 0 0 5 6 24 1 32 4 25 3 14 14 100 114 0 2
withdrawal state

F104 Mental and behavioural

disorders due to use of alcohol, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 2 3 0 0
withdrawal state with delirium

F107 Mental and behavioural

disorders due to use of alcohol,
0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 1 0 0 0 0 0 5 5 0 0
residual and late-onset
psychotic disorder

F108 Mental and behavioural

disorders due to use of alcohol,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 3 3 0 0
other mental and behavioural
disorders

F109 Mental and behavioural

disorders due to use of alcohol,
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 2 3 0 0
unspecified mental and
behavioural disorder

F11 Mental and behavioural

0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
disorders due to use of opioids

F110 Mental and behavioural

disorders due to use of opioids, 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 2 0 0
acute intoxication

F112 Mental and behavioural

disorders due to use of opioids, 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
dependence syndrome
F12 Mental and behavioural
disorders due to use of 0 0 0 0 0 0 0 0 0 3 1 25 0 5 0 2 0 0 0 0 1 35 36 0 0
cannabinoids
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

F14 Mental and behavioural

0 0 2 0 0 0 0 0 5 1 1 1 7 0 2 0 2 1 2 2 21 5 26 2 1
disorders due to use of cocaine

F149 Mental and behavioural

disorders due to use of cocaine,
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 1 3 1 4 0 0
unspecified mental and
behavioural disorder
F18 Mental and behavioural
disorders due to use of volatile 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1
solvents
F19 Mental and behavioural
disorders due to multiple drug
0 0 0 0 0 0 0 0 0 5 1 15 1 3 1 3 0 0 0 0 3 26 29 0 0
use and use of other
psychoactive substances
F191 Mental and behavioural
disorders due to multiple drug
use and use of other 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
psychoactive substances,
harmful use
F20 Schizophrenia 0 0 0 0 0 0 0 0 2 9 27 42 22 28 12 13 17 16 22 13 102 121 223 0 0
F200 Paranoid schizophrenia 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0

F206 Simple schizophrenia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

F209 Schizophrenia,
0 0 0 0 0 0 0 1 1 1 5 6 5 1 1 4 1 1 1 0 14 14 28 0 0
unspecified
F22 Persistent delusional
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 3 3 0 0
disorders
F23 Acute and transient
0 0 0 0 0 0 0 0 11 6 17 14 16 9 6 4 4 1 2 1 56 35 91 0 0
psychotic disorders
F230 Acute polymorphic
psychotic disorder without 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
symptoms of schizophrenia

F239 Acute and transient

0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
psychotic disorder, unspecified
F28 Other nonorganic psychotic
0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 2 0 0
disorders
F29 Unspecified nonorganic
0 0 0 1 0 1 3 3 14 15 47 57 46 51 49 33 28 20 18 17 205 198 403 0 0
psychosis
F30 Manic episode 0 0 0 0 0 0 0 2 10 13 20 14 8 8 6 5 10 5 2 6 56 53 109 0 0
F300 Hypomania 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
F301 Mania without psychotic
0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 2 3 5 0 0
symptoms
F302 Mania with psychotic
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 1 2 3 0 0
symptoms
F309 Manic episode,
0 0 0 0 1 0 0 0 0 0 0 4 1 3 6 1 3 2 1 1 12 11 23 0 0
unspecified
F31 Bipolar affective disorder 0 0 0 0 0 0 3 1 13 10 29 35 35 32 28 20 6 6 5 12 119 116 235 0 0

F311 Bipolar affective disorder,

current episode manic without 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
psychotic symptoms

F313 Bipolar affective disorder,

current episode mild or 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
moderate depression
F319 Bipolar affective disorder,
0 0 0 0 0 0 0 0 0 0 3 1 2 0 2 0 0 1 1 0 8 2 10 0 0
unspecified
F32 Depressive episode 0 0 0 0 0 0 1 1 18 7 29 28 40 42 36 35 27 20 25 17 176 150 326 0 0
F320 Mild depressive episode 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
F321 Moderate depressive
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
episode
F322 Severe depressive episode
0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 1 0 0 0 4 0 4 0 0
without psychotic symptoms

F328 Other depressive episodes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0

F329 Depressive episode,
0 0 0 0 0 0 0 0 5 0 10 5 9 10 4 10 3 7 3 2 34 34 68 0 0
unspecified
F33 Recurrent depressive
0 0 0 0 0 0 0 0 0 0 2 1 1 1 0 0 1 2 1 3 5 7 12 0 0
disorder
F330 Recurrent depressive
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
disorder, current episode mild
F331 Recurrent depressive
disorder, current episode 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 1 2 3 0 0
moderate
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

F339 Recurrent depressive

0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
disorder, unspecified
F34 Persistent mood [affective]
0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 2 0 2 0 0
disorders
F388 Other specified mood
0 0 0 0 0 1 3 0 0 3 1 0 0 0 0 2 1 1 0 0 5 7 12 0 0
[affective] disorders
F39 Unspecified mood
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
[affective] disorder
F40 Phobic anxiety disorders 0 0 0 0 0 0 1 0 2 2 4 5 7 3 1 1 1 2 0 2 16 15 31 0 0
F409 Phobic anxiety disorder,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 3 3 0 0
unspecified
F41 Other anxiety disorders 0 1 0 1 0 0 6 8 15 5 34 11 24 14 23 14 4 8 9 6 115 68 183 0 0

F410 Panic disorder [episodic

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
paroxysmal anxiety]
F411 Generalized anxiety
0 0 0 0 0 0 0 0 0 1 2 0 8 1 2 5 1 1 4 1 17 9 26 0 0
disorder
F412 Mixed anxiety and
0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 2 0 0
depressive disorder
F413 Other mixed anxiety
0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 0 0 0 0 4 0 4 0 0
disorders
F418 Other specified anxiety
0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 1 1 3 3 6 0 0
disorders
F419 Anxiety disorder,
0 0 0 0 0 0 2 3 7 2 5 8 18 10 22 11 10 5 10 11 74 50 124 0 0
unspecified
F42 Obsessive-compulsive
0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 0 0 1 0 3 3 6 0 0
disorder
F431 Post-traumatic stress
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
disorder
F432 Adjustment disorders 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 1 3 4 0 0
F44 Dissociative [conversion]
0 0 0 2 0 0 12 9 45 5 59 15 28 8 18 12 8 9 8 10 178 70 248 0 0
disorders
F440 Dissociative amnesia 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
F444 Dissociative motor
0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 2 1 3 0 0
disorders
F445 Dissociative convulsions 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 2 1 3 0 0
F447 Mixed dissociative
0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 2 0 0
[conversion] disorders
F449 Dissociative [conversion]
0 0 0 0 0 0 1 0 2 1 5 1 3 0 5 2 3 0 2 0 21 4 25 0 0
disorder, unspecified

F45 Somatoform disorders 0 0 0 0 0 0 0 0 1 0 2 0 2 0 2 0 0 0 2 0 9 0 9 0 0

F450 Somatization disorder 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 0 2 0 0

F451 Undifferentiated
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
somatoform disorder
F453 Somatoform autonomic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 2 1 3 0 0
dysfunction
F454 Persistent somatoform
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
pain disorder
F459 Somatoform disorder,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
F48 Other neurotic disorders 0 0 0 0 0 0 0 2 1 0 5 1 1 0 1 0 1 1 0 0 9 4 13 0 0
F489 Neurotic disorder,
0 0 0 0 0 0 4 0 8 2 8 3 1 2 0 0 1 3 0 0 22 10 32 0 0
unspecified
F50 Eating disorders 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
F500 Anorexia nervosa 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 2 0 0
F505 Vomiting associated with
other psychological 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
disturbances
F508 Other eating disorders 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

F53 Mental and behavioural

disorders associated with the 0 0 0 0 0 0 0 0 0 0 4 0 2 0 0 0 0 0 0 0 6 0 6 0 0
puerperium, NEC
F530 Mild mental and
behavioural disorders
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
associated with the
puerperium, NEC
F531 Severe mental and
behavioural disorders
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
associated with the
puerperium, NEC
F539 Puerperal mental
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
disorder, unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

F54 Psychological and

behavioural factors associated
0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 3 3 0 0
with disorders or diseases
classified elsewhere

F59 Unspecified behavioural

syndromes associated with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
physiological disturbances and
physical factors

F65 Disorders of sexual

0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
preference
F659 Disorder of sexual
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
preference, unspecified
F69 Unspecified disorder of
0 0 0 0 0 0 0 1 0 0 1 1 3 3 3 5 2 2 1 12 10 24 34 0 0
adult personality and behaviour
F79 Unspecified mental
0 0 0 0 0 1 0 0 9 4 11 9 4 2 4 1 0 8 4 4 32 29 61 0 0
retardation
F83 Mixed specific
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
developmental disorders
F84 Pervasive developmental
0 0 0 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 2 2 4 0 1
disorders
F88 Other disorders of
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 2 2 4 0 0
psychological development

F90 Hyperkinetic disorders 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

F91 Conduct disorders 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
F920 Depressive conduct
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 0 3 3 2 5 9 14 0 0
disorder
F940 Elective mutism 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2 0 0
F982 Feeding disorder of
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
infancy and childhood
F984 Stereotyped movement
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
disorders
F99 Mental disorder, not
0 0 0 0 0 0 0 1 5 7 13 14 12 5 4 6 1 2 1 2 36 37 73 0 0
otherwise specified
G00 Bacterial meningitis, NEC 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 2 2 4 0 0

G003 Staphylococcal meningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 2 0 0

G008 Other bacterial meningitis 0 0 1 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 3 2 5 0 0

G009 Bacterial meningitis,
0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 3 3 0 1
unspecified
G01 Meningitis in bacterial
1 2 2 3 2 4 2 7 2 0 3 0 1 0 1 0 3 0 1 1 18 17 35 0 0
diseases classified elsewhere

G03 Meningitis due to other

3 6 11 28 16 23 26 37 7 10 6 9 4 4 7 2 3 2 6 11 89 132 221 1 1
and unspecified causes

G030 Nonpyogenic meningitis 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 1 2 3 0 1

G038 Meningitis due to other
0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
specified causes
G039 Meningitis, unspecified 1 4 14 10 14 8 28 40 12 14 15 13 15 25 16 18 8 16 13 26 136 174 310 3 15
G04 Encephalitis, myelitis and
0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 3 0 1 2 0 4 6 10 1 2
encephalomyelitis
G040 Acute disseminated
0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 1 0 0 0 4 0 4 0 0
encephalitis
G041 Tropical spastic
0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
paraplegia
G042 Bacterial
meningoencephalitis and 0 0 0 0 1 0 3 1 0 0 0 0 1 0 0 0 0 0 1 0 6 1 7 2 0
meningomyelitis, NEC
G048 Other encephalitis,
0 0 0 0 0 2 0 1 0 1 0 0 1 1 0 0 0 0 0 0 1 5 6 0 0
myelitis and encephalomyelitis

G049 Encephalitis, myelitis and

0 0 0 0 0 1 2 4 2 2 3 1 3 5 2 2 0 2 1 4 13 21 34 1 2
encephalomyelitis, unspecified

G050 Encephalitis, myelitis and

encephalomyelitis in bacterial 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
diseases classified elsewhere

G060 Intracranial abscess and

0 0 0 0 0 0 0 1 0 1 0 1 2 1 0 1 1 0 0 2 3 7 10 0 0
granuloma
G061 Intraspinal abscess and
0 0 0 0 1 3 0 1 0 0 1 0 0 0 0 0 0 1 0 0 2 5 7 0 0
granuloma
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

G08 Intracranial and intraspinal

0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 1 2 2 4 0 0
phlebitis and thrombophlebitis
G09 Sequelae of inflammatory
diseases of central nervous 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
system
G10 Huntington's disease 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
G11 Hereditary ataxia 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
G122 Motor neuron disease 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 1 2 3 5 0 0
G20 Parkinson's disease 0 0 1 1 0 0 0 0 2 0 2 3 6 4 2 2 3 3 8 19 24 32 56 15 17
G21 Secondary parkinsonism 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 0 0
G218 Other secondary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 3 0 0
parkinsonism
G22 Parkinsonism in diseases
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
classified elsewhere

G231 Progressive supranuclear

ophthalmoplegia [Steele- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
Richardson-Olszewski]
G238 Other specified
degenerative diseases of basal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
ganglia
G239 Degenerative disease of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
basal ganglia, unspecified

G249 Dystonia, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0

G250 Essential tremor 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 2 0 0
G253 Myoclonus 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 2 1 3 0 0
G255 Other chorea 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0
G258 Other specified
extrapyramidal and movement 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
disorders
G30 Alzheimer's disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 4 1 5 1 0
G31 Other degenerative
diseases of nervous system, 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
NEC
G310 Circumscribed brain
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
atrophy
G318 Other specified
degenerative diseases of 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 2 0 0
nervous system
G319 Degenerative disease of
0 0 2 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 1 0
nervous system, unspecified
G35 Multiple sclerosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 2 1 3 0 0
G369 Acute disseminated
0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
demyelination, unspecified
G372 Central pontine
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
myelinolysis
G373 Acute transverse myelitis
in demyelinating disease of 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 2 3 0 0
central nervous system
G40 Epilepsy 1 3 4 4 11 15 12 20 8 6 19 28 9 19 13 16 8 9 12 10 97 130 227 20 15
G400 Localization-related
(focal)(partial) idiopathic
epilepsy and epileptic 0 0 0 2 0 0 1 2 2 2 0 2 0 0 1 1 0 0 0 1 4 10 14 3 5
syndromes with seizures of
localized onset
G401 Localization-related
(focal)(partial) symptomatic
epilepsy and epileptic 0 0 0 0 0 0 1 0 2 3 1 3 3 4 1 1 0 2 2 2 10 15 25 0 1
syndromes with simple partial
seizures
G402 Localization-related
(focal)(partial) symptomatic
epilepsy and epileptic 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 0 0 0 0 0 2 4 6 0 0
syndromes with complex partial
seizures
G403 Generalized idiopathic
epilepsy and epileptic 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 2 1 3 0 0
syndromes
G404 Other generalized
epilepsy and epileptic 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 5 0 0
syndromes
G405 Special epileptic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 3 0 0
syndromes
G406 Grand mal seizures,
unspecified (with or without 0 0 0 1 0 0 0 1 0 1 1 3 0 2 1 2 1 2 2 3 5 15 20 0 4
petit mal)
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

G407 Petit mal, unspecified,

0 0 0 0 0 1 0 1 2 1 3 5 4 1 0 1 3 1 0 0 12 11 23 7 7
without grand mal seizures
G408 Other epilepsy 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 3 2 5 0 0
G409 Epilepsy, unspecified 0 0 0 0 1 0 6 5 0 2 6 8 4 6 4 6 6 0 2 10 29 37 66 0 1
G41 Status epilepticus 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 1 0 1 2 3 5 0 0
G43 Migraine 0 0 0 0 0 0 3 1 5 4 16 12 13 14 13 6 4 2 2 1 56 40 96 0 0
G430 Migraine without aura
0 0 0 0 0 0 0 0 0 0 0 0 4 0 1 0 1 1 2 0 8 1 9 0 0
[common migraine]
G431 Migraine with aura
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
[classical migraine]
G438 Other migraine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
G439 Migraine, unspecified 0 0 0 0 0 0 0 0 1 1 3 1 6 1 4 1 5 0 2 2 21 6 27 0 0
G44 Other headache
0 0 0 0 0 0 0 0 2 1 3 4 1 4 2 1 0 0 1 1 9 11 20 0 0
syndromes
G440 Cluster headache
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
syndrome
G441 Vascular headache, NEC 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 2 0 0

G442 Tension-type headache 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0

G45 Transient cerebral
ischaemic attacks and related 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 2 0 0
syndromes
G454 Transient global amnesia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0

G458 Other transient cerebral

ischaemic attacks and related 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
syndromes

G459 Transient cerebral

0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 2 4 4 8 8 16 24 1 0
ischaemic attack, unspecified
G46 Vascular syndromes of
brain in cerebrovascular 0 0 0 0 0 0 0 0 0 0 1 0 1 6 2 7 12 15 8 22 24 50 74 24 50
diseases
G461 Anterior cerebral artery
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
syndrome
G463 Brain stem stroke
0 0 0 0 0 0 0 0 0 0 0 4 5 2 2 6 7 11 22 33 36 56 92 15 29
syndrome
G464 Cerebellar stroke
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 3 1 5 6 0 0
syndrome
G467 Other lacunar syndromes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
G47 Sleep disorders 0 0 0 0 0 0 1 1 0 0 0 0 1 0 3 1 0 2 2 2 7 6 13 6 5
G473 Sleep apnoea 0 0 0 0 1 2 1 1 0 0 0 0 0 1 0 1 2 0 0 1 4 6 10 0 0
G478 Other sleep disorders 0 0 0 0 0 2 1 3 2 0 4 6 10 10 9 12 6 3 10 20 42 56 98 30 48
G500 Trigeminal neuralgia 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 5 2 6 8 0 0
G509 Disorder of trigeminal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
nerve, unspecified
G51 Facial nerve disorders 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
G510 Bell's palsy 0 0 0 0 0 1 2 0 0 0 0 0 1 0 0 1 1 0 1 0 5 2 7 0 0
G521 Disorders of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
glossopharyngeal nerve
G523 Disorders of hypoglossal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
nerve
G530 Postzoster neuralgia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 1 2 3 0 0
G54 Nerve root and plexus
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
disorders
G540 Brachial plexus disorders 0 0 0 0 0 0 0 0 0 0 0 4 0 1 0 0 0 0 0 0 0 5 5 0 0
G541 Lumbosacral plexus
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
disorders
G544 Lumbosacral root
0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 2 3 0 0
disorders, NEC
G55 Nerve root and plexus
compressions in diseases 0 0 0 0 0 0 0 0 0 1 3 8 7 10 8 11 7 13 3 7 28 50 78 27 50
classified elsewhere

G551 Nerve root and plexus

compressions in intervertebral 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0
disc disorders

G560 Carpal tunnel syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 1 0 4 0 4 0 0

G562 Lesion of ulnar nerve 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

G563 Lesion of radial nerve 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 1 2 3 0 0

 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

G571 Meralgia paraesthetica 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0

G572 Lesion of femoral nerve 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

G589 Mononeuropathy,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
G590 Diabetic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 2 2 4 0 0
mononeuropathy
G602 Neuropathy in association
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
with hereditary ataxia
G608 Other hereditary and
0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 2 2 1 4 4 7 11 4 7
idiopathic neuropathies
G610 Guillain-Barr� syndrome 0 0 0 0 0 2 4 8 2 2 3 4 3 1 0 3 1 2 1 0 14 22 36 0 0
G618 Other inflammatory
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 2 0 0
polyneuropathies
G619 Inflammatory
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
polyneuropathy, unspecified

G62 Other polyneuropathies 0 0 0 0 0 1 2 1 2 0 4 2 2 0 2 4 1 0 1 0 14 8 22 0 0

G621 Alcoholic polyneuropathy 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

G629 Polyneuropathy,
0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 2 3 0 1 5 4 9 0 1
unspecified
G63 Polyneuropathy in diseases
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
classified elsewhere

G632 Diabetic polyneuropathy 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 0 0

G700 Myasthenia gravis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 1 2 3 0 0
G710 Muscular dystrophy 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
G711 Myotonic disorders 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
G713 Mitochondrial myopathy,
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
NEC
G723 Periodic paralysis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
G729 Myopathy, unspecified 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 2 1 3 0 0

G80 Infantile cerebral palsy 0 0 0 0 2 1 1 4 0 0 0 0 0 0 0 0 0 0 0 0 3 5 8 0 1

G800 Spastic cerebral palsy 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

G803 Dyskinetic cerebral palsy 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

G809 Infantile cerebral palsy,
0 0 0 0 0 1 3 0 0 1 0 0 0 0 0 0 0 0 0 1 3 3 6 0 0
unspecified
G81 Hemiplegia 0 0 0 0 0 1 1 0 1 0 1 0 2 2 12 9 11 22 48 62 76 96 172 8 7
G819 Hemiplegia, unspecified 0 0 2 1 1 1 0 2 1 0 1 1 0 1 0 0 1 2 4 2 10 10 20 0 0

G82 Paraplegia and tetraplegia 0 0 0 0 0 1 0 0 0 1 2 3 0 0 1 0 1 3 0 1 4 9 13 0 0

G820 Flaccid paraplegia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 2 0 0
G822 Paraplegia, unspecified 0 0 0 0 0 0 0 0 0 0 0 4 1 1 1 2 0 1 3 3 5 11 16 0 0
G823 Flaccid tetraplegia 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
G825 Tetraplegia, unspecified 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 2 0 2 0 1 0 8 8 0 0

G83 Other paralytic syndromes 0 0 0 0 3 4 4 4 1 0 0 1 0 3 0 1 0 0 0 2 8 15 23 0 0

G834 Cauda equina syndrome 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 0 0 0 0 1 2 3 0 0

G839 Paralytic syndrome,
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 2 0 0
unspecified
G900 Idiopathic peripheral
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
autonomic neuropathy
G902 Horner's syndrome 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
G909 Disorder of autonomic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 2 0 0
nervous system, unspecified
G91 Hydrocephalus 3 1 5 14 3 2 4 4 3 2 4 3 3 3 1 5 0 4 4 9 30 47 77 7 5
G910 Communicating
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
hydrocephalus
G911 Obstructive
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
hydrocephalus
G912 Normal-pressure
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 0 0
hydrocephalus
G919 Hydrocephalus,
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
G93 Other disorders of brain 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 2 1 0 1 1 4 3 7 0 0
G930 Cerebral cysts 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
G931 Anoxic brain damage,
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 2 1 3 0 0
NEC
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

G932 Benign intracranial

0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 2 2 4 0 0
hypertension
G934 Encephalopathy,
0 0 1 1 2 1 2 3 0 0 1 0 0 1 0 1 0 4 6 3 12 14 26 0 0
unspecified
G936 Cerebral oedema 0 0 1 0 0 0 1 0 0 0 6 10 9 9 3 5 5 5 2 8 27 37 64 0 0
G938 Other specified disorders
0 0 0 0 0 0 1 2 0 2 0 2 0 3 0 2 0 0 2 1 3 12 15 0 2
of brain
G939 Disorder of brain,
1 0 0 0 0 0 0 1 0 0 0 2 2 2 0 1 1 4 2 2 6 12 18 0 2
unspecified
G950 Syringomyelia and
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
syringobulbia
G951 Vascular myelopathies 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 2 1 3 0 0
G959 Disease of spinal cord,
0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 1 2 2 4 6 0 0
unspecified
G961 Disorders of meninges,
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
NEC
G971 Other reaction to spinal
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
and lumbar puncture
G98 Other disorders of nervous
0 0 0 0 0 0 0 0 0 2 1 4 0 1 2 3 6 1 3 6 12 17 29 2 1
system, NEC
G99 Other disorders of nervous
system in diseases classified 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
elsewhere

G992 Myelopathy in diseases

0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 2 1 3 4 0 0
classified elsewhere

G998 Other specified disorders

of nervous system in diseases 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 2 0 0
classified elsewhere

H00 Hordeolum and chalazion 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

H000 Hordeolum and other

0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 2 1 3 0 0
deep inflammation of eyelid
H01 Other inflammation of
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 2 0 0
eyelid
H019 Inflammation of eyelid,
0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
unspecified
H02 Other disorders of eyelid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
H024 Ptosis of eyelid 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
H025 Other disorders affecting
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2 0 0
eyelid function
H045 Stenosis and insufficiency
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
of lacrimal passages
H046 Other changes in lacrimal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
passages
H05 Disorders of orbit 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2 3 0 0
H050 Acute inflammation of
0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 1 1 3 4 0 0
orbit
H053 Deformity of orbit 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
H055 Retained (old) foreign
body following penetrating 0 0 1 0 0 0 1 1 0 0 0 0 1 5 1 7 0 0 1 4 5 17 22 0 0
wound of orbit
H10 Conjunctivitis 0 0 0 2 0 3 0 1 0 1 1 2 0 2 1 1 2 0 1 0 5 12 17 0 0
H109 Conjunctivitis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
H110 Pterygium 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 4 0 4 0 0
H13 Disorders of conjunctiva in
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
diseases classified elsewhere

H131 Conjunctivitis in
infectious and parasitic diseases 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
classified elsewhere

H158 Other disorders of sclera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0

H161 Other superficial keratitis

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
without conjunctivitis
H179 Corneal scar and opacity,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
H25 Senile cataract 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
H250 Senile incipient cataract 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

H258 Other senile cataract 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 3 0 0

H26 Other cataract 2 1 0 0 0 0 2 1 2 0 0 0 0 0 2 0 3 4 25 19 36 25 61 0 0
H261 Traumatic cataract 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 4 5 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

H269 Cataract, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0

H271 Dislocation of lens 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 2 0 0
H35 Other retinal disorders 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 2 0 0

H350 Background retinopathy

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 2 0 0
and retinal vascular changes
H351 Retinopathy of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
prematurity
H360 Diabetic retinopathy 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 2 0 0
H40 Glaucoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 3 0 3 0 0
H401 Primary open-angle
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
glaucoma
H409 Glaucoma, unspecified 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

H440 Purulent endophthalmitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0

H441 Other endophthalmitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 4 2 5 3 8 2 0

H445 Degenerated conditions
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
of globe
H46 Optic neuritis 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
H476 Disorders of visual cortex 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
H493 Total (external)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
ophthalmoplegia
H506 Mechanical strabismus 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
H51 Other disorders of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
binocular movement
H520 Hypermetropia 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
H534 Visual field defects 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 2 0 0
H54 Blindness and low vision 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
H544 Blindness, one eye 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
H578 Other specified disorders
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
of eye and adnexa
H579 Disorder of eye and
0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
adnexa, unspecified
H60 Otitis externa 0 0 2 0 1 1 0 2 0 0 3 2 1 1 0 2 1 0 0 0 8 8 16 0 0
H600 Abscess of external ear 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

H601 Cellulitis of external ear 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0

H602 Malignant otitis externa 0 0 0 0 0 2 2 2 0 0 0 0 0 1 0 0 0 0 0 0 2 5 7 0 0

H605 Acute otitis externa,
0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 2 0 0
noninfective
H608 Other otitis externa 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
H609 Otitis externa,
0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0
unspecified
H61 Other disorders of external
0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
ear
H610 Perichondritis of external
0 0 0 0 0 0 0 0 1 1 0 0 2 0 1 0 0 0 0 0 4 1 5 0 0
ear
H611 Noninfective disorders of
0 0 0 0 0 0 3 2 2 4 4 4 6 1 0 0 1 0 0 0 16 11 27 0 0
pinna
H612 Impacted cerumen 0 0 1 0 0 1 1 3 0 1 2 0 1 1 1 0 0 0 0 0 6 6 12 0 0
H613 Acquired stenosis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
external ear canal
H618 Other specified disorders
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
of external ear
H619 Disorder of external ear,
0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 2 0 0
unspecified
H65 Nonsuppurative otitis
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
media
H652 Chronic serous otitis
0 0 0 0 0 0 9 20 15 15 20 14 9 4 5 7 1 3 2 3 61 66 127 0 0
media
H66 Suppurative and
0 0 0 3 1 8 10 17 13 5 29 22 12 17 10 8 3 6 5 6 83 92 175 0 0
unspecified otitis media
H660 Acute suppurative otitis
1 0 3 2 1 3 3 7 3 11 8 7 2 4 2 0 7 4 2 2 32 40 72 0 0
media
H661 Chronic tubotympanic
0 0 0 0 1 0 9 15 28 15 47 49 37 16 23 18 13 9 13 5 171 127 298 0 0
suppurative otitis media
H662 Chronic atticoantral
0 0 0 0 0 0 1 0 0 2 0 1 1 0 0 0 0 0 1 0 3 3 6 0 0
suppurative otitis media
H663 Other chronic
0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 0 0 0 0 0 3 1 4 0 0
suppurative otitis media
H669 Otitis media, unspecified 0 0 0 1 0 0 0 3 2 1 2 0 2 1 1 1 1 0 0 1 8 8 16 0 0
H70 Mastoiditis and related
0 0 0 0 0 0 0 1 0 0 0 1 4 2 5 3 1 3 0 0 10 10 20 0 0
conditions
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

H700 Acute mastoiditis 0 0 0 0 0 0 2 1 0 0 0 1 0 0 0 0 0 1 0 0 2 3 5 0 0

H709 Mastoiditis, unspecified 0 0 0 0 0 0 2 1 0 0 1 0 1 0 0 0 0 0 0 0 4 1 5 0 0
H72 Perforation of tympanic
0 0 0 0 0 0 0 0 1 2 0 1 1 0 0 0 1 1 0 0 3 4 7 0 0
membrane
H74 Other disorders of middle
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
ear and mastoid
H81 Disorders of vestibular
0 0 0 0 0 0 0 0 0 0 2 2 2 2 1 1 2 0 2 1 9 6 15 0 0
function
H810 M�ni�re's disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 2 0 0
H811 Benign paroxysmal
0 0 0 0 0 0 0 0 0 0 0 0 1 1 4 1 3 3 3 2 11 7 18 0 0
vertigo
H812 Vestibular neuronitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
H813 Other peripheral vertigo 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 2 0 2 2 5 7 0 0

H814 Vertigo of central origin 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 2 2 5 2 7 0 0

H819 Disorder of vestibular

0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 3 1 1 2 0 5 5 10 0 0
function, unspecified
H830 Labyrinthitis 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 1 1 0 0 1 4 5 0 0
H903 Sensorineural hearing
0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 3 1 4 0 0
loss, bilateral
H904 Sensorineural hearing
loss, unilateral with
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unrestricted hearing on the
contralateral side
H905 Sensorineural hearing
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
loss, unspecified
H906 Mixed conductive and
sensorineural hearing loss, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
bilateral
H911 Presbycusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
H920 Otalgia 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
H921 Otorrhoea 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2 0 0
H93 Other disorders of ear, NEC 0 0 0 0 0 0 2 0 2 3 0 1 2 1 0 0 0 3 0 0 6 8 14 0 0
H931 Tinnitus 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
H933 Disorders of acoustic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
nerve
H939 Disorder of ear,
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified

H950 Recurrent cholesteatoma

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
of postmastoidectomy cavity

I00 Rheumatic fever without

0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 1 1 0 6 2 7 7 14 1 0
mention of heart involvement
I01 Rheumatic fever with heart
0 0 0 0 0 0 1 3 2 2 1 1 0 2 0 0 0 1 1 2 5 11 16 0 0
involvement
I010 Acute rheumatic
0 0 0 0 0 0 0 0 0 0 1 2 1 0 1 0 0 0 1 0 4 2 6 0 0
pericarditis
I011 Acute rheumatic
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
endocarditis
I018 Other acute rheumatic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
heart disease
I019 Acute rheumatic heart
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
disease, unspecified
I02 Rheumatic chorea 0 0 0 0 0 0 1 1 0 3 4 0 0 1 0 1 3 1 2 1 10 8 18 0 2
I020 Rheumatic chorea with
0 0 0 0 0 1 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 7 7 0 6
heart involvement
I05 Rheumatic mitral valve
0 0 0 0 0 0 1 0 0 0 0 0 3 0 1 0 0 0 0 0 5 0 5 0 0
diseases
I050 Mitral stenosis 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 0 2 0 2 0 5 3 8 0 0
I058 Other mitral valve diseases 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
I059 Mitral valve disease,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
unspecified
I06 Rheumatic aortic valve
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
diseases
I083 Combined disorders of
mitral, aortic and tricuspid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
valves
I089 Multiple valve disease,
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
I09 Other rheumatic heart
0 0 0 0 0 0 9 6 8 3 16 4 16 3 28 17 16 9 34 27 127 69 196 5 1
diseases
I090 Rheumatic myocarditis 0 0 0 0 0 1 0 4 0 0 1 0 0 0 0 0 0 0 1 0 2 5 7 0 0
I099 Rheumatic heart disease,
0 1 1 0 0 1 2 3 8 3 11 7 9 3 17 5 14 4 16 9 78 36 114 1 2
unspecified
I10 Essential (primary)
1 1 0 0 5 3 12 15 21 21 94 121 233 260 396 539 537 619 1313 1513 2612 3092 5704 23 18
hypertension
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

I11 Hypertensive heart disease 0 0 1 0 0 0 0 0 1 0 1 2 5 8 16 16 23 25 81 88 128 139 267 0 0

I110 Hypertensive heart disease

0 0 0 0 0 0 0 0 0 0 1 0 2 1 2 2 4 2 10 10 19 15 34 0 0
with (congestive) heart failure
I119 Hypertensive heart disease
without (congestive) heart 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 1 0 2 3 5 0 0
failure
I12 Hypertensive renal disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
I13 Hypertensive heart and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
renal disease
I130 Hypertensive heart and
renal disease with (congestive) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
heart failure
I139 Hypertensive heart and
0 0 0 0 0 0 0 0 0 0 0 0 1 5 2 7 4 2 10 11 17 25 42 0 0
renal disease, unspecified

I15 Secondary hypertension 0 0 0 0 0 0 0 1 0 1 2 0 1 1 2 4 2 4 21 19 28 30 58 0 0

I151 Hypertension secondary to

0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2 1 3 4 0 0
other renal disorders

I152 Hypertension secondary to

0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 1 1 6 5 10 7 17 0 0
endocrine disorders
I158 Other secondary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 4 10 8 12 20 0 0
hypertension
I159 Secondary hypertension,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 2 1 5 6 0 0
unspecified
I20 Angina pectoris 0 0 0 0 1 0 0 0 0 0 0 0 1 2 0 0 1 3 3 6 6 11 17 0 0
I200 Unstable angina 0 0 0 0 0 0 1 0 0 0 0 0 3 2 4 5 5 6 23 30 36 43 79 0 1
I208 Other forms of angina
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
pectoris
I209 Angina pectoris,
0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 3 6 3 9 0 0
unspecified
I21 Acute myocardial infarction 0 0 0 0 0 0 0 0 0 1 1 2 7 6 8 9 4 9 14 28 34 55 89 2 3
I210 Acute transmural
myocardial infarction of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 2 2 4 3 9 12 0 2
anterior wall
I211 Acute transmural
myocardial infarction of inferior 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 4 4 4 7 11 0 1
wall
I212 Acute transmural
myocardial infarction of other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
sites
I213 Acute transmural
myocardial infarction of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 4 4 0 0
unspecified site
I214 Acute subendocardial
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 2 4 0 0
myocardial infarction
I219 Acute myocardial
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 2 6 10 10 13 18 31 3 1
infarction, unspecified
I22 Subsequent myocardial
0 0 1 1 0 4 0 3 1 0 1 1 1 0 2 1 0 2 3 4 9 16 25 0 0
infarction
I220 Subsequent myocardial
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
infarction of anterior wall

I221 Subsequent myocardial

0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 3 2 5 0 0
infarction of inferior wall
I24 Other acute ischaemic heart
0 1 1 0 0 0 0 1 1 3 2 1 4 2 6 10 18 13 122 116 154 147 301 9 5
diseases
I240 Coronary thrombosis not
resulting in myocardial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 3 2 5 0 0
infarction
I241 Dressler's syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
I249 Acute ischaemic heart
0 1 0 0 1 0 0 0 0 0 1 0 0 1 1 0 1 2 6 8 10 12 22 3 1
disease, unspecified
I25 Chronic ischaemic heart
0 0 0 1 0 0 0 0 0 1 0 1 0 1 1 2 3 3 9 8 13 17 30 0 1
disease
I250 Atherosclerotic
cardiovascular disease, so 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
described
I251 Atherosclerotic heart
0 0 0 0 0 0 0 0 0 0 0 0 2 1 6 13 12 36 20 55 40 105 145 0 1
disease
I252 Old myocardial infarction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 2 8 5 11 9 20 0 1

I254 Coronary artery aneurysm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 3 1 4 0 0

I255 Ischaemic cardiomyopathy 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 1 0 8 17 10 19 29 0 0

 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

I258 Other forms of chronic

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 2 4 6 1 1
ischaemic heart disease
I259 Chronic ischaemic heart
0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 6 7 23 16 32 24 56 0 2
disease, unspecified
I26 Pulmonary embolism 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 4 2 6 4 10 1 0
I269 Pulmonary embolism
without mention of acute cor 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 3 1 4 0 0
pulmonale
I270 Primary pulmonary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 6 1 7 2 9 0 0
hypertension
I272 Other secondary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 3 0 3 3 6 0 0
pulmonary hypertension
I278 Other specified pulmonary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 9 1 11 3 14 0 0
heart diseases
I279 Pulmonary heart disease,
0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 2 4 4 8 0 0
unspecified
I30 Acute pericarditis 0 0 0 0 4 3 3 3 3 3 2 1 3 0 2 2 2 1 5 0 24 13 37 0 0
I301 Infective pericarditis 0 0 0 0 2 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 2 3 5 0 0
I309 Acute pericarditis,
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 3 0 3 0 0
unspecified
I31 Other diseases of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
pericardium
I312 Haemopericardium, NEC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
I313 Pericardial effusion
0 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 2 1 1 1 5 5 10 1 0
(noninflammatory)
I319 Disease of pericardium,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 2 0 0
unspecified
I32 Pericarditis in diseases
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
classified elsewhere
I330 Acute and subacute
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
infective endocarditis
I34 Nonrheumatic mitral valve
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
disorders
I340 Mitral (valve) insufficiency 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 2 1 3 0 0
I342 Nonrheumatic mitral
0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 2 3 5 0 0
(valve) stenosis
I351 Aortic (valve) insufficiency 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
I358 Other aortic valve
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
disorders
I359 Aortic valve disorder,
0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 1 0 0 0 2 3 3 6 0 0
unspecified
I370 Pulmonary valve stenosis 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
I38 Endocarditis, valve
0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 2 6 2 9 5 14 0 0
unspecified
I398 Endocarditis, valve
unspecified, in diseases 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
classified elsewhere
I40 Acute myocarditis 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
I400 Infective myocarditis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 2 3 3 6 0 0
I409 Acute myocarditis,
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 1
unspecified
I41 Myocarditis in diseases
0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 0 6 3 29 17 40 20 60 1 0
classified elsewhere

I411 Myocarditis in viral

0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
diseases classified elsewhere

I412 Myocarditis in other

infectious and parasitic diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 9 6 10 6 16 0 0
classified elsewhere
I42 Cardiomyopathy 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 2 3 5 8 0 0
I420 Dilated cardiomyopathy 0 0 0 0 0 0 0 0 0 2 1 2 4 5 2 8 5 10 29 34 41 61 102 2 2

I426 Alcoholic cardiomyopathy 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 0 1 0 1 4 5 0 1

I429 Cardiomyopathy,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 5 5 6 8 14 0 0
unspecified
I43 Cardiomyopathy in diseases
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
classified elsewhere
I44 Atrioventricular and left
0 0 0 0 0 0 0 0 0 0 0 0 6 3 3 5 4 8 22 28 35 44 79 0 1
bundle-branch block
I441 Atrioventricular block,
0 0 0 0 0 0 0 0 0 0 2 0 2 3 1 0 0 0 0 1 5 4 9 0 0
second degree
I442 Atrioventricular block,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 1 4 5 0 1
complete
I447 Left bundle-branch block,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 4 3 5 4 9 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

I45 Other conduction disorders 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 2 1 5 1 6 0 0

I451 Other and unspecified
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
right bundle-branch block
I452 Bifascicular block 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
I454 Nonspecific
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
intraventricular block
I455 Other specified heart block 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 3 4 0 0

I456 Pre-excitation syndrome 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

I459 Conduction disorder,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 1 2 2 4 0 0
unspecified
I46 Cardiac arrest 0 0 1 1 0 0 2 0 0 0 0 0 0 0 0 0 1 1 2 4 6 6 12 4 5
I469 Cardiac arrest, unspecified 1 3 1 0 0 0 0 0 0 1 2 2 1 0 3 3 3 1 8 8 19 18 37 16 15

I47 Paroxysmal tachycardia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

I471 Supraventricular
0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 2 1 1 1 2 4 6 10 0 0
tachycardia
I472 Ventricular tachycardia 0 0 0 0 0 0 0 0 0 1 0 1 0 0 4 3 0 3 4 1 8 9 17 1 0
I479 Paroxysmal tachycardia,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 2 0 0
unspecified
I48 Atrial fibrillation and flutter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 3 4 53 53 60 59 119 2 1

I49 Other cardiac arrhythmias 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 1 0 0 1 3 3 5 8 0 0

I493 Ventricular premature
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 2 3 2 5 0 0
depolarization
I494 Other and unspecified
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0
premature depolarization
I495 Sick sinus syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 4 1 5 6 0 0
I498 Other specified cardiac
0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 3 0 11 3 7 4 23 27 0 0
arrhythmias
I499 Cardiac arrhythmia,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
unspecified
I50 Heart failure 0 0 2 0 2 0 1 2 0 0 1 1 9 4 7 5 10 9 84 52 116 73 189 7 2
I500 Congestive heart failure 4 6 19 50 5 11 6 5 0 3 5 12 7 8 9 18 18 9 56 54 129 176 305 8 12
I501 Left ventricular failure 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 3 2 8 4 12 9 24 33 0 0
I509 Heart failure, unspecified 0 1 2 0 0 0 2 0 2 0 0 8 17 18 25 23 43 29 95 85 186 164 350 26 14
I51 Complications and ill-
defined descriptions of heart 0 0 0 0 0 0 0 0 0 0 0 1 2 2 4 9 10 19 32 39 48 70 118 0 3
disease
I513 Intracardiac thrombosis,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
NEC
I514 Myocarditis, unspecified 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 3 1 1 1 6 2 8 0 0
I516 Cardiovascular disease,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 3 1 19 16 25 19 44 5 6
unspecified
I517 Cardiomegaly 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 1 3 3 5 8 0 0
I518 Other ill-defined heart
0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 3 5 4 9 9 19 16 35 0 0
diseases
I519 Heart disease, unspecified 0 0 1 0 0 0 3 1 0 1 2 0 3 0 8 4 5 3 15 22 37 31 68 4 0

I52 Other heart disorders in

2 3 6 10 2 9 8 9 3 4 22 15 26 26 69 63 102 109 407 467 647 715 1362 24 22
diseases classified elsewhere
I520 Other heart disorders in
bacterial diseases classified 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
elsewhere
I528 Other heart disorders in
other diseases classified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 2 0 0
elsewhere
I60 Subarachnoid haemorrhage 0 0 0 0 0 0 0 0 0 1 0 2 3 3 3 6 5 5 4 3 15 20 35 7 11
I600 Subarachnoid
haemorrhage from carotid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 0 1 3 4 0 0
siphon and bifurcation
I601 Subarachnoid
haemorrhage from middle 0 0 0 0 0 0 0 0 0 0 0 2 2 2 6 4 2 7 12 1 22 16 38 2 0
cerebral artery
I605 Subarachnoid
haemorrhage from vertebral 0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 3 1 3 2 3 7 11 18 7 11
artery
I608 Other subarachnoid
0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 3 1 3 2 3 7 11 18 7 11
haemorrhage
I609 Subarachnoid
0 0 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0 0 1 1 3 4 0 0
haemorrhage, unspecified
I61 Intracerebral haemorrhage 0 0 0 0 0 0 0 1 0 0 1 1 1 5 1 5 7 8 24 24 34 44 78 5 9
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

I610 Intracerebral haemorrhage

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 0 0
in hemisphere, subcortical

I611 Intracerebral haemorrhage

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
in hemisphere, cortical

I613 Intracerebral haemorrhage

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 3 3 0 0
in brain stem

I614 Intracerebral haemorrhage

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
in cerebellum

I615 Intracerebral
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 2 3 5 0 0
haemorrhage, intraventricular
I618 Other intracerebral
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 2 2 3 5 8 1 0
haemorrhage
I619 Intracerebral
0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 3 0 3 3 5 4 13 17 0 3
haemorrhage, unspecified
I62 Other nontraumatic
0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 7 1 1 0 1 4 9 13 0 1
intracranial haemorrhage
I620 Subdural haemorrhage
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 2 6 2 9 11 0 2
(acute)(nontraumatic)

I629 Intracranial haemorrhage

0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 2 0 3 1 4 0 0
(nontraumatic), unspecified

I63 Cerebral infarction 0 0 0 0 1 0 1 1 7 5 40 43 35 17 43 38 33 35 38 48 198 187 385 13 16

I630 Cerebral infarction due to
thrombosis of precerebral 0 0 0 0 0 0 0 0 0 1 0 1 0 2 1 2 1 6 6 2 8 14 22 1 0
arteries
I633 Cerebral infarction due to
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 0 0
thrombosis of cerebral arteries

I634 Cerebral infarction due to

0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 4 10 4 12 16 0 0
embolism of cerebral arteries
I636 Cerebral infarction due to
cerebral venous thrombosis, 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0
nonpyogenic
I638 Other cerebral infarction 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 2 1 5 6 0 0
I639 Cerebral infarction,
0 0 0 0 0 0 0 0 1 0 3 2 4 4 2 7 6 6 11 16 27 35 62 0 2
unspecified
I64 Stroke, not specified as
0 0 1 0 2 2 1 2 5 3 21 21 27 23 47 43 38 58 115 197 257 349 606 20 42
haemorrhage or infarction
I652 Occlusion and stenosis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
carotid artery
I669 Occlusion and stenosis of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
unspecified cerebral artery
I67 Other cerebrovascular
0 0 0 0 0 0 0 0 0 1 0 2 1 1 4 3 3 4 4 28 12 39 51 1 2
diseases
I671 Cerebral aneurysm,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 1 4 5 0 3
nonruptured
I674 Hypertensive
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
encephalopathy
I679 Cerebrovascular disease,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
unspecified
I69 Sequelae of cerebrovascular
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 2 3 3 6 0 0
disease
I690 Sequelae of subarachnoid
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 2 1 3 0 0
haemorrhage
I693 Sequelae of cerebral
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 2 1 3 0 1
infarction
I694 Sequelae of stroke, not
specified as haemorrhage or 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
infarction
I701 Atherosclerosis of renal
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
artery
I702 Atherosclerosis of arteries
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 3 1 4 0 0
of extremities
I710 Dissection of aorta [any
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
part]
I711 Thoracic aortic aneurysm,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
ruptured
I712 Thoracic aortic aneurysm,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
without mention of rupture
I714 Abdominal aortic
aneurysm, without mention of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 3 1 4 5 0 0
rupture
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

I72 Other aneurysm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 2 0 0

I720 Aneurysm of carotid artery 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 2 1 3 0 0
I721 Aneurysm of artery of
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 3 3 0 0
upper extremity
I722 Aneurysm of renal artery 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
I724 Aneurysm of artery of
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
lower extremity
I728 Aneurysm of other
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
specified arteries
I73 Other peripheral vascular
0 0 0 0 0 0 0 0 0 2 1 0 1 2 1 0 0 1 0 2 3 7 10 0 0
diseases
I731 Thromboangiitis obliterans
0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 1 0 0 1 6 7 0 0
[Buerger]
I738 Other specified peripheral
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
vascular diseases
I739 Peripheral vascular
0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 2 1 4 4 13 6 22 28 0 0
disease, unspecified
I74 Arterial embolism and
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
thrombosis
I743 Embolism and thrombosis
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 0 0
of arteries of lower extremities
I770 Arteriovenous fistula,
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 2 3 0 0
acquired
I776 Arteritis, unspecified 0 0 0 0 0 0 0 2 0 1 2 0 2 0 1 1 0 0 0 0 5 4 9 0 0
I788 Other diseases of
0 0 0 0 0 0 0 1 3 0 1 1 1 1 1 0 0 1 1 1 7 5 12 0 0
capillaries
I80 Phlebitis and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
thrombophlebitis
I802 Phlebitis and
thrombophlebitis of other deep 0 0 0 0 0 0 1 1 0 0 1 6 1 10 6 2 4 4 5 11 18 34 52 1 0
vessels of lower extremities
I809 Phlebitis and
thrombophlebitis of unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 1 1 0 4 2 6 0 0
site
I81 Portal vein thrombosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 1 3 4 0 0
I82 Other venous embolism and
0 0 0 0 0 0 0 0 0 3 2 1 3 2 1 5 3 2 9 8 18 21 39 0 1
thrombosis
I820 Budd-Chiari syndrome 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 0 2 0 0
I822 Embolism and thrombosis
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 2 3 5 8 0 0
of vena cava
I828 Embolism and thrombosis
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 1 0 4 4 0 1
of other specified veins

I829 Embolism and thrombosis

0 0 0 0 0 1 0 0 0 2 1 2 0 3 0 4 2 3 7 3 10 18 28 0 1
of unspecified vein
I83 Varicose veins of lower
0 0 0 0 0 0 0 1 0 1 1 3 5 8 5 8 3 4 3 2 17 27 44 15 21
extremities
I830 Varicose veins of lower
0 0 0 0 0 0 0 0 0 0 0 0 2 3 3 1 0 0 0 1 5 5 10 0 0
extremities with ulcer

I831 Varicose veins of lower

0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 1 0 0 2 0 4 3 7 0 0
extremities with inflammation
I832 Varicose veins of lower
extremities with both ulcer and 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
inflammation
I839 Varicose veins of lower
extremities without ulcer or 0 1 0 0 0 0 0 0 0 0 3 13 5 13 4 14 5 5 1 7 18 53 71 0 0
inflammation
I84 Haemorrhoids 0 0 0 0 0 16 25 20 47 39 108 114 79 115 96 138 73 95 70 98 498 635 1133 1 0
I840 Internal thrombosed
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
haemorrhoids
I844 External haemorrhoids
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 2 1 3 0 0
with other complications

I845 External haemorrhoids

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
without complication
I846 Residual haemorrhoidal
0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 3 0 3 0 0
skin tags
I847 Unspecified thrombosed
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
haemorrhoids

I848 Unspecified haemorrhoids

0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 1 0 0 2 2 4 0 0
with other complications
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

I849 Unspecified haemorrhoids

0 0 0 0 0 0 0 0 0 0 0 1 1 3 2 2 2 4 3 6 8 16 24 0 0
without complication
I85 Oesophageal varices 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 0 3 2 3 3 9 12 0 0
I850 Oesophageal varices with
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 8 0 4 4 8 4 22 26 0 2
bleeding
I859 Oesophageal varices
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 2 2 4 0 0
without bleeding
I86 Varicose veins of other sites 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 5 5 0 0
I861 Scrotal varices 0 0 0 0 0 0 0 0 0 2 0 5 0 4 0 2 0 1 0 1 0 15 15 0 0
I868 Varicose veins of other
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
specified sites
I87 Other disorders of veins 0 0 0 0 0 0 0 0 0 0 2 2 1 0 1 1 0 0 0 1 4 4 8 0 0
I871 Compression of vein 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
I879 Disorder of vein,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
unspecified
I88 Nonspecific lymphadenitis 1 0 0 0 1 2 3 8 0 0 0 1 0 0 0 0 0 0 0 2 5 13 18 0 0
I880 Nonspecific mesenteric
0 0 0 0 2 1 5 4 2 3 0 0 0 0 0 0 0 0 0 0 9 8 17 0 0
lymphadenitis
I889 Nonspecific lymphadenitis,
0 0 0 0 0 0 3 4 1 0 0 0 2 0 0 0 1 0 1 1 8 5 13 0 0
unspecified
I890 Lymphoedema, NEC 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
I891 Lymphangitis 0 0 0 0 2 1 1 3 0 0 0 1 0 0 0 0 1 0 0 0 4 5 9 0 0
I95 Hypotension 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 4 3 5 17 7 25 16 41 0 0
I950 Idiopathic hypotension 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 1 2 0 0

I951 Orthostatic hypotension 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0

I958 Other hypotension 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
I959 Hypotension, unspecified 0 0 0 0 0 0 0 0 0 0 0 1 2 0 5 1 1 1 10 4 18 7 25 1 0

I981 Cardiovascular disorders in

other infectious and parasitic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0
diseases classified elsewhere

I99 Other and unspecified

0 0 0 0 0 0 1 1 0 0 0 0 0 1 2 0 0 0 1 5 4 7 11 0 0
disorders of circulatory system

J00 Acute nasopharyngitis

0 0 2 8 4 2 6 2 0 2 3 1 6 0 2 0 0 1 0 1 23 17 40 0 0
[common cold]
J01 Acute sinusitis 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 3 2 5 0 0
J014 Acute pansinusitis 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 2 0 0
J018 Other acute sinusitis 0 0 0 0 0 0 0 1 0 2 0 0 1 1 0 0 0 2 5 3 6 9 15 1 1
J019 Acute sinusitis, unspecified 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 4 2 6 1 0
J02 Acute pharyngitis 0 0 0 2 1 7 13 9 13 9 34 29 33 12 9 9 11 3 11 5 125 85 210 1 1
J020 Streptococcal pharyngitis 0 0 0 0 1 0 0 1 1 0 7 4 0 1 2 0 6 1 6 0 23 7 30 0 0

J028 Acute pharyngitis due to

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
other specified organisms
J029 Acute pharyngitis,
0 0 0 1 3 4 6 3 1 2 6 4 3 4 2 3 1 3 1 0 23 24 47 4 1
unspecified
J03 Acute tonsillitis 1 1 11 4 29 62 101 153 118 106 232 214 150 134 77 54 37 23 32 22 788 773 1561 11 10
J030 Streptococcal tonsillitis 0 0 0 0 0 0 0 0 1 1 5 1 3 3 0 0 0 0 0 0 9 5 14 0 0

J038 Acute tonsillitis due to

0 0 0 1 2 0 1 3 1 0 0 1 0 0 1 0 0 0 0 0 5 5 10 0 0
other specified organisms
J039 Acute tonsillitis,
0 0 0 0 3 11 13 29 17 6 38 29 22 23 10 7 3 3 3 3 109 111 220 2 2
unspecified
J04 Acute laryngitis and
0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 2 1 3 0 0
tracheitis
J040 Acute laryngitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
J042 Acute laryngotracheitis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0

J05 Acute obstructive laryngitis

0 0 2 2 0 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 4 5 9 0 0
[croup] and epiglottitis
J050 Acute obstructive
0 0 1 3 2 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3 10 13 0 0
laryngitis [croup]
J051 Acute epiglottitis 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 2 4 6 0 0
J06 Acute upper respiratory
infections of multiple and 14 31 94 155 202 226 162 164 89 93 175 151 90 85 101 80 95 61 103 85 1125 1131 2256 3 8
unspecified sites

J060 Acute laryngopharyngitis 0 0 0 4 3 3 5 3 1 4 2 2 1 2 0 0 0 0 1 0 13 18 31 0 0

 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

J068 Other acute upper

respiratory infections of 0 0 0 0 2 0 3 2 0 1 3 2 4 0 0 0 0 0 2 1 14 6 20 1 1
multiple sites
J069 Acute upper respiratory
1 4 31 53 34 43 25 29 2 1 7 10 2 2 3 5 4 2 2 3 111 152 263 2 2
infection, unspecified

J09 Influenza due to identified

0 2 2 4 4 2 6 8 1 1 1 1 0 2 1 0 0 0 0 0 15 20 35 0 0
avian influenza virus
J10 Influenza due to identified
1 2 8 7 5 13 4 0 0 1 4 1 3 4 9 17 11 17 18 23 63 85 148 0 0
influenza virus
J100 Influenza with pneumonia,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 2 0 0
influenza virus identified

J101 Influenza with other

respiratory manifestations, 0 0 0 3 0 1 0 0 0 0 1 1 1 0 0 0 1 0 0 2 3 7 10 0 0
influenza virus identified
J11 Influenza, virus not
2 9 15 16 26 28 29 46 14 14 26 13 15 8 18 13 6 5 16 16 167 168 335 0 0
identified
J111 Influenza with other
respiratory manifestations, 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 2 2 4 0 0
virus not identified
J118 Influenza with other
manifestations, virus not 0 1 0 1 1 2 2 1 0 0 0 0 0 0 0 1 0 0 0 0 3 6 9 0 0
identified
J12 Viral pneumonia, NEC 2 2 7 8 17 10 3 6 0 0 0 0 0 0 0 0 0 0 0 0 29 26 55 0 0
J122 Parainfluenza virus
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
pneumonia
J128 Other viral pneumonia 1 0 4 6 6 2 0 3 0 0 0 1 0 0 2 0 0 1 0 0 13 13 26 0 1

J13 Pneumonia due to

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 2 2 2 4 0 0
Streptococcus pneumoniae
J14 Pneumonia due to
0 1 0 3 1 5 3 14 10 11 17 39 16 19 10 16 6 2 14 6 77 116 193 0 1
Haemophilus influenzae
J15 Bacterial pneumonia, NEC 31 36 102 135 84 85 13 15 2 1 2 4 6 4 5 6 11 11 28 35 284 332 616 12 15
J150 Pneumonia due to
0 0 2 4 1 5 1 1 1 0 1 0 1 3 1 0 0 0 0 0 8 13 21 0 0
Klebsiella pneumoniae
J152 Pneumonia due to
0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0
staphylococcus
J153 Pneumonia due to
0 0 0 1 0 2 0 0 0 1 0 0 1 1 0 1 1 0 4 2 6 8 14 0 0
streptococcus, group B
J158 Other bacterial
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 3 1 4 5 0 1
pneumonia
J159 Bacterial pneumonia,
0 2 6 5 4 2 1 5 1 1 0 0 0 0 0 0 0 0 0 4 12 19 31 0 2
unspecified
J16 Pneumonia due to other
10 12 75 130 24 54 10 3 0 0 1 2 2 0 1 0 1 0 2 2 126 203 329 3 0
infectious organisms, NEC

J168 Pneumonia due to other

0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 1 2 3 5 0 0
specified infectious organisms

J171 Pneumonia in viral

1 4 12 25 5 14 1 3 0 0 0 0 0 0 0 0 1 0 1 1 21 47 68 0 0
diseases classified elsewhere

J178 Pneumonia in other

0 0 3 9 2 1 0 0 0 2 2 0 0 0 1 0 2 0 1 2 11 14 25 0 0
diseases classified elsewhere
J18 Pneumonia, organism
118 189 896 1472 7146 1297 368 489 123 110 221 164 123 145 208 194 247 261 616 646 10066 4967 15033 86 129
unspecified
J180 Bronchopneumonia,
6 8 32 64 44 65 71 81 1 0 5 6 3 2 2 1 3 1 7 3 174 231 405 1 3
unspecified
J181 Lobar pneumonia,
0 0 5 2 6 7 5 5 1 0 2 2 1 3 3 7 7 4 13 10 43 40 83 0 2
unspecified
J188 Other pneumonia,
0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 1 1 1 5 3 8 0 0
organism unspecified
J189 Pneumonia, unspecified 32 57 240 396 167 276 137 183 35 35 89 86 66 70 72 79 83 92 311 307 1232 1581 2813 44 66
J20 Acute bronchitis 0 0 4 3 1 4 0 2 2 0 1 1 1 0 0 1 2 0 7 4 18 15 33 0 0
J200 Acute bronchitis due to
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 1 3 2 5 0 0
Mycoplasma pneumoniae
J209 Acute bronchitis,
0 0 1 2 0 2 1 2 0 0 0 0 1 1 2 2 2 1 2 3 9 13 22 0 1
unspecified
J21 Acute bronchiolitis 2 6 39 70 23 28 4 3 1 0 5 0 0 0 2 0 0 1 3 1 79 109 188 0 0
J210 Acute bronchiolitis due to
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
respiratory syncytial virus

J218 Acute bronchiolitis due to

0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
other specified organisms
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

J219 Acute bronchiolitis,

1 3 75 127 14 34 5 6 1 0 2 2 1 1 2 4 0 1 4 3 105 181 286 0 3
unspecified
J22 Unspecified acute lower
42 62 585 971 757 878 415 474 163 177 211 166 188 179 175 106 179 204 406 361 3121 3578 6699 48 52
respiratory infection
J30 Vasomotor and allergic
0 0 4 3 6 8 4 3 1 1 2 1 2 1 0 0 0 3 2 1 21 21 42 0 0
rhinitis
J300 Vasomotor rhinitis 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
J301 Allergic rhinitis due to
0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 1 0 0 0 2 2 4 0 0
pollen
J302 Other seasonal allergic
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
rhinitis
J303 Other allergic rhinitis 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
J304 Allergic rhinitis,
0 0 0 0 0 0 0 0 1 2 1 2 1 0 1 0 0 0 1 0 5 4 9 0 0
unspecified
J31 Chronic rhinitis,
0 0 0 1 0 1 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 5 5 0 0
nasopharyngitis and pharyngitis
J312 Chronic pharyngitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
J32 Chronic sinusitis 0 0 0 0 0 1 3 4 4 5 15 13 10 9 3 5 3 2 1 6 39 45 84 0 0
J320 Chronic maxillary sinusitis 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

J322 Chronic ethmoidal sinusitis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0

J329 Chronic sinusitis,
0 0 0 0 0 0 3 3 1 4 8 9 6 11 6 10 1 2 5 2 30 41 71 0 0
unspecified
J33 Nasal polyp 0 1 0 0 0 0 1 4 3 1 12 9 6 4 7 13 3 7 3 4 35 43 78 0 0
J330 Polyp of nasal cavity 0 0 0 0 0 0 1 3 0 0 0 1 1 1 0 0 1 1 0 1 3 7 10 0 0
J338 Other polyp of sinus 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 2 0 0
J339 Nasal polyp, unspecified 0 0 0 0 0 0 3 4 5 5 11 4 6 5 12 10 4 2 3 0 44 30 74 0 0
J34 Other disorders of nose and
0 0 0 0 0 0 1 1 2 7 6 6 4 4 7 2 2 1 2 5 24 26 50 0 0
nasal sinuses
J340 Abscess, furuncle and
0 0 0 0 0 1 0 0 0 1 1 1 0 0 1 0 0 0 1 0 3 3 6 0 0
carbuncle of nose
J341 Cyst and mucocele of nose
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 3 3 0 0
and nasal sinus
J342 Deviated nasal septum 1 0 0 0 0 2 4 12 15 30 50 84 33 44 22 27 10 15 12 11 147 225 372 0 1
J343 Hypertrophy of nasal
0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 3 0 3 0 0
turbinates
J348 Other specified disorders
0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 1 1 1 5 4 9 0 0
of nose and nasal sinuses
J35 Chronic diseases of tonsils
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
and adenoids
J350 Chronic tonsillitis 0 0 0 0 0 0 2 5 4 0 3 2 4 1 0 0 0 0 0 0 13 8 21 0 0
J351 Hypertrophy of tonsils 0 0 0 0 0 0 1 3 0 1 1 0 2 0 0 1 1 0 0 0 5 5 10 0 0

J352 Hypertrophy of adenoids 0 0 0 0 0 1 2 4 0 1 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0

J353 Hypertrophy of tonsils

0 0 0 0 1 3 6 8 0 0 0 0 0 0 0 0 0 0 0 0 7 11 18 0 0
with hypertrophy of adenoids

J358 Other chronic diseases of

0 0 0 0 0 1 0 0 2 0 6 0 4 0 6 0 0 0 4 0 22 1 23 0 0
tonsils and adenoids

J359 Chronic disease of tonsils

0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
and adenoids, unspecified
J36 Peritonsillar abscess 0 0 0 0 0 0 0 3 2 2 4 3 2 2 0 4 0 0 3 0 11 14 25 0 0
J370 Chronic laryngitis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 2 0 0
J38 Diseases of vocal cords and
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
larynx, NEC
J380 Paralysis of vocal cords
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
and larynx
J381 Polyp of vocal cord and
0 0 0 0 0 0 0 0 0 0 0 0 1 6 2 2 2 2 4 0 9 10 19 0 0
larynx
J382 Nodules of vocal cords 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 2 1 3 0 0
J383 Other diseases of vocal
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 2 0 0
cords
J384 Oedema of larynx 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 3 0 3 0 0
J386 Stenosis of larynx 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 2 1 3 0 0
J39 Other diseases of upper
0 0 3 2 5 8 3 0 2 1 4 1 2 2 1 1 5 0 1 2 26 17 43 0 0
respiratory tract
J390 Retropharyngeal and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
parapharyngeal abscess
J391 Other abscess of pharynx 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0

J392 Other diseases of pharynx 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 2 6 4 10 0 0

J393 Upper respiratory tract
hypersensitivity reaction, site 0 0 0 0 0 1 0 0 0 1 0 0 0 0 2 0 1 0 1 0 4 2 6 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

J399 Disease of upper

0 0 1 0 1 0 0 3 0 1 2 1 0 0 2 0 1 0 0 1 7 6 13 0 0
respiratory tract, unspecified

J40 Bronchitis, not specified as

9 12 214 357 126 143 56 58 16 26 28 19 26 20 73 63 91 98 150 130 789 926 1715 1 1
acute or chronic

J41 Simple and mucopurulent

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 16 9 18 11 29 0 0
chronic bronchitis

J410 Simple chronic bronchitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

J42 Unspecified chronic
0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 3 0 3 4 7 0 0
bronchitis
J43 Emphysema 0 0 0 0 1 1 0 0 0 0 2 5 0 3 0 2 1 3 2 8 6 22 28 0 0
J439 Emphysema, unspecified 0 0 0 0 4 5 6 2 0 0 1 1 0 0 0 0 1 0 1 1 13 9 22 0 0

J44 Other chronic obstructive

0 1 3 2 3 2 9 10 19 13 79 77 131 119 349 256 938 703 3726 3148 5257 4331 9588 130 110
pulmonary disease

J440 Chronic obstructive

pulmonary disease with acute 0 0 0 0 0 0 2 1 1 0 4 2 5 8 26 17 90 82 600 519 728 629 1357 19 22
lower respiratory infection

J441 Chronic obstructive

pulmonary disease with acute 1 0 0 0 0 2 1 1 2 0 2 1 13 3 29 13 93 45 594 498 735 563 1298 27 34
exacerbation, unspecified

J448 Other specified chronic

0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 2 2 13 14 18 17 35 0 0
obstructive pulmonary disease

J449 Chronic obstructive

0 1 0 1 2 1 4 1 3 1 7 2 8 7 21 5 83 59 595 478 723 556 1279 28 19
pulmonary disease, unspecified
J45 Asthma 0 0 5 21 13 55 26 43 31 15 65 39 88 73 113 80 82 70 129 96 552 492 1044 5 1
J450 Predominantly allergic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 3 1 4 0 0
asthma
J451 Nonallergic asthma 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 2 3 0 0
J458 Mixed asthma 0 0 0 0 0 0 5 3 5 0 3 1 0 0 0 0 5 2 3 1 21 7 28 0 0
J459 Asthma, unspecified 0 1 0 12 7 18 10 30 9 3 39 24 27 27 33 32 36 22 27 26 188 195 383 0 0
J46 Status asthmaticus 0 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 3 0 4 6 9 7 16 1 1
J47 Bronchiectasis 0 0 2 3 2 3 0 0 0 0 2 2 0 3 2 3 4 7 4 6 16 27 43 0 0
J628 Pneumoconiosis due to
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
other dust containing silica
J64 Unspecified
0 1 0 1 0 2 2 1 7 0 11 2 3 2 4 0 1 3 0 2 28 14 42 0 1
pneumoconiosis
J65 Pneumoconiosis associated
0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3 0 0
with tuberculosis
J66 Airway disease due to
0 0 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 0
specific organic dust
J668 Airway disease due to
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
other specific organic dusts
J678 Hypersensitivity
pneumonitis due to other 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 0 0
organic dusts
J679 Hypersensitivity
pneumonitis due to unspecified 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 2 0 0
organic dust
J68 Respiratory conditions due
to inhalation of chemicals, 0 2 19 32 16 43 3 10 0 0 0 0 0 0 0 0 0 0 0 0 38 87 125 0 0
gases, fumes and vapours
J681 Acute pulmonary oedema
due to chemicals, gases, fumes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
and vapours
J682 Upper respiratory
inflammation due to chemicals, 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
gases, fumes and vapours, NEC
J69 Pneumonitis due to solids
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
and liquids
J690 Pneumonitis due to food
1 0 0 4 1 0 3 2 1 1 7 2 0 2 4 2 4 5 9 12 30 30 60 2 3
and vomit
J698 Pneumonitis due to other
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 2 0 0
solids and liquids
J80 Adult respiratory distress
0 0 1 0 0 1 1 0 0 0 1 1 0 0 0 3 1 2 3 1 7 8 15 4 2
syndrome
J81 Pulmonary oedema 0 0 0 0 0 0 2 1 1 0 2 8 6 7 5 4 5 8 16 21 37 49 86 4 2
J82 Pulmonary eosinophilia,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
NEC
J84 Other interstitial pulmonary
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 3 3 0 0
diseases
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

J841 Other interstitial

pulmonary diseases with 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 0 0 5 1 8 9 0 0
fibrosis
J849 Interstitial pulmonary
0 0 0 0 0 0 0 0 0 0 1 0 0 2 1 0 1 5 8 8 11 15 26 1 0
disease, unspecified
J85 Abscess of lung and
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
mediastinum
J851 Abscess of lung with
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 3 3 0 1
pneumonia
J852 Abscess of lung without
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 2 0 5 5 0 0
pneumonia
J86 Pyothorax 8 7 0 4 2 0 0 0 0 0 0 1 0 0 0 2 0 0 0 1 10 15 25 4 4
J860 Pyothorax with fistula 0 0 1 0 1 2 0 3 0 0 0 0 0 0 0 0 1 0 0 0 3 5 8 0 0

J869 Pyothorax without fistula 0 0 0 1 1 0 0 1 1 1 1 2 0 0 0 1 0 1 0 1 3 8 11 0 0

J90 Pleural effusion, NEC 0 0 2 2 10 20 21 54 20 25 76 88 62 89 68 79 65 61 131 180 455 598 1053 9 5
J91 Pleural effusion in
0 0 0 0 0 1 3 2 0 0 1 0 0 1 0 0 1 1 6 4 11 9 20 0 0
conditions classified elsewhere
J92 Pleural plaque 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 3 2 5 0 0
J93 Pneumothorax 0 2 1 0 0 0 0 3 1 4 0 9 0 1 4 5 8 6 3 11 17 41 58 1 0
J930 Spontaneous tension
0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 0 4 4 0 0
pneumothorax
J931 Other spontaneous
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 4 4 0 0
pneumothorax
J938 Other pneumothorax 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 3 3 0 0
J939 Pneumothorax,
0 3 1 0 2 0 3 3 0 3 4 2 1 5 3 2 2 5 8 6 24 29 53 1 2
unspecified
J94 Other pleural conditions 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0
J942 Haemothorax 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 4 2 2 1 3 5 11 16 0 1
J948 Other specified pleural
0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 0 1 2 4 6 0 0
conditions
J949 Pleural condition,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
J950 Tracheostomy malfunction 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0

J959 Postprocedural respiratory

0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 0 2 0 2 0 6 2 8 0 0
disorder, unspecified

J96 Respiratory failure, NEC 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 1 2 3 10 9 13 15 28 3 1

J960 Acute respiratory failure 0 0 0 0 0 0 1 0 0 0 0 1 0 2 0 0 0 0 8 4 9 7 16 0 0

J961 Chronic respiratory failure 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 5 3 7 3 10 0 1

J969 Respiratory failure,
1 0 1 0 0 0 1 0 0 0 0 2 0 0 0 1 1 0 5 3 9 6 15 1 0
unspecified
J98 Other respiratory disorders 0 1 11 32 27 36 9 12 1 0 1 1 1 1 4 2 2 2 7 5 63 92 155 4 0

J980 Diseases of bronchus, NEC 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0

J981 Pulmonary collapse 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
J984 Other disorders of lung 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 1 4 1 5 0 0
J985 Diseases of mediastinum,
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 2 2 4 0 0
NEC
J986 Disorders of diaphragm 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
J988 Other specified respiratory
0 0 1 1 2 3 2 0 1 0 2 0 1 0 1 0 2 0 3 3 15 7 22 0 0
disorders
J989 Respiratory disorder,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
J99 Respiratory disorders in
0 0 0 0 0 0 0 1 1 0 1 1 3 3 3 5 2 2 1 12 11 24 35 0 0
diseases classified elsewhere
K00 Disorders of tooth
0 0 0 0 0 0 1 0 3 0 11 5 8 4 6 5 1 3 1 3 31 20 51 0 0
development and eruption
K007 Teething syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
K01 Embedded and impacted
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 2 0 0
teeth
K011 Impacted teeth 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
K02 Dental caries 0 0 0 1 1 0 3 5 1 1 7 1 1 3 3 2 3 0 2 1 21 14 35 0 0
K029 Dental caries, unspecified 0 0 0 0 0 1 0 1 0 0 23 1 2 0 4 1 1 1 4 2 34 7 41 0 0
K035 Ankylosis of teeth 0 0 0 0 0 0 0 2 0 0 1 1 0 1 0 0 0 0 0 0 1 4 5 0 0
K04 Diseases of pulp and
0 0 0 0 1 0 1 2 0 1 1 1 1 0 0 0 1 0 0 0 5 4 9 0 0
periapical tissues
K040 Pulpitis 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 2 3 5 0 0
K046 Periapical abscess with
0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 2 0 0
sinus
K047 Periapical abscess without
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 3 1 4 0 0
sinus
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

K05 Gingivitis and periodontal

0 0 0 0 2 2 0 2 0 0 1 1 1 0 0 0 0 0 0 0 4 5 9 0 0
diseases
K050 Acute gingivitis 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
K051 Chronic gingivitis 0 0 1 1 6 9 5 5 0 0 0 0 0 0 0 0 0 0 0 0 12 15 27 0 0
K052 Acute periodontitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
K056 Periodontal disease,
0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
unspecified
K069 Disorder of gingiva and
edentulous alveolar ridge, 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
K07 Dentofacial anomalies
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
[including malocclusion]
K070 Major anomalies of jaw
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
size
K071 Anomalies of jaw-cranial
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
base relationship
K08 Other disorders of teeth
0 0 0 0 0 1 1 1 0 0 1 0 1 0 1 0 1 0 0 1 5 3 8 0 0
and supporting structures
K080 Exfoliation of teeth due to
0 0 0 0 0 0 0 0 0 0 0 3 0 3 1 2 0 2 2 0 3 10 13 0 0
systemic causes
K088 Other specified disorders
of teeth and supporting 0 0 0 0 0 1 0 4 1 0 0 0 0 2 0 2 0 2 0 0 1 11 12 0 0
structures
K089 Disorder of teeth and
supporting structures, 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 4 1 5 0 0
unspecified
K09 Cysts of oral region, NEC 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
K099 Cyst of oral region,
0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 3 0 0
unspecified
K10 Other diseases of jaws 0 0 3 0 1 2 2 4 1 2 1 2 2 0 2 0 1 1 1 0 14 11 25 0 0
K102 Inflammatory conditions
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
of jaws
K11 Diseases of salivary glands 0 0 0 0 0 0 2 0 0 1 0 3 0 0 0 0 1 0 1 0 4 4 8 0 0
K112 Sialoadenitis 0 0 0 0 0 3 0 3 0 0 1 0 0 2 0 0 0 0 3 0 4 8 12 0 0
K113 Abscess of salivary gland 0 0 0 0 0 0 3 3 1 0 0 0 0 0 0 1 0 0 0 0 4 4 8 0 0
K115 Sialolithiasis 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 3 1 4 0 0
K116 Mucocele of salivary
0 0 0 0 0 1 2 2 0 0 0 1 0 0 0 0 0 0 0 0 2 4 6 0 0
gland
K118 Other diseases of salivary
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
glands
K119 Disease of salivary gland,
0 0 0 0 0 0 1 2 0 0 0 0 0 1 0 1 0 0 0 0 1 4 5 0 0
unspecified
K12 Stomatitis and related
0 0 0 0 5 1 0 2 1 1 0 2 1 2 0 0 1 1 3 2 11 11 22 0 0
lesions
K120 Recurrent oral aphthae 0 0 0 1 0 2 1 0 0 0 0 1 1 0 0 0 1 0 0 0 3 4 7 0 0

K121 Other forms of stomatitis 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 0 2 1 6 7 0 0

K122 Cellulitis and abscess of
0 1 1 0 3 6 6 3 2 2 9 8 9 7 6 6 3 4 2 4 41 41 82 3 0
mouth
K13 Other diseases of lip and
0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 1 3 0 0
oral mucosa
K137 Other and unspecified
0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 3 1 4 0 0
lesions of oral mucosa
K14 Diseases of tongue 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 3 4 0 0 0 6 4 10 0 0
K140 Glossitis 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
K143 Hypertrophy of tongue
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
papillae
K148 Other diseases of tongue 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
K149 Disease of tongue,
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
K20 Oesophagitis 1 2 0 0 0 0 0 0 0 1 2 1 0 1 3 1 1 1 5 1 12 8 20 0 1
K21 Gastro-oesophageal reflux
0 1 2 0 0 0 3 0 2 1 5 2 7 1 3 3 2 1 7 2 31 11 42 0 0
disease
K210 Gastro-oesophageal reflux
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 0 3 3 0 0
disease with oesophagitis

K219 Gastro-oesophageal reflux

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
disease without oesophagitis
K22 Other diseases of
0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
oesophagus
K220 Achalasia of cardia 0 0 1 0 0 0 0 0 0 0 2 0 0 0 0 1 1 0 0 1 4 2 6 0 0
K221 Ulcer of oesophagus 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 4 2 4 4 8 0 0
K222 Oesophageal obstruction 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

K226 Gastro-oesophageal
laceration-haemorrhage 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 2 0 0
syndrome
K228 Other specified diseases
0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 0 0
of oesophagus
K23 Disorders of oesophagus in
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 2 0 0
diseases classified elsewhere

K238 Disorders of oesophagus

in other diseases classified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
elsewhere
K25 Gastric ulcer 0 0 0 0 0 2 0 0 0 1 2 5 8 5 5 2 5 1 5 4 25 20 45 0 0
K26 Duodenal ulcer 1 0 0 2 0 0 0 1 0 2 1 3 3 6 4 9 3 6 5 7 17 36 53 1 0
K27 Peptic ulcer, site
0 0 0 0 1 5 5 15 17 8 38 22 34 12 31 15 19 17 37 33 182 127 309 0 1
unspecified
K28 Gastrojejunal ulcer 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 3 3 6 1 0
K29 Gastritis and duodenitis 6 1 3 6 27 26 111 72 179 115 403 232 352 257 293 196 230 178 314 260 1918 1343 3261 6 2
K290 Acute haemorrhagic
0 0 0 0 0 0 5 2 19 3 11 4 5 5 26 19 4 3 4 8 74 44 118 0 0
gastritis
K291 Other acute gastritis 0 0 0 0 0 2 0 6 1 1 1 0 0 3 0 1 1 0 0 2 3 15 18 0 0
K292 Alcoholic gastritis 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 1 1 2 2 5 7 0 0
K294 Chronic atrophic gastritis 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 3 1 4 0 0
K295 Chronic gastritis,
0 0 0 0 0 0 1 1 1 0 6 4 6 6 3 1 1 2 7 3 25 17 42 0 0
unspecified
K296 Other gastritis 0 0 0 0 0 0 0 0 0 0 1 1 1 2 3 1 1 1 2 3 8 8 16 0 0
K297 Gastritis, unspecified 0 1 2 7 5 6 0 3 7 5 31 20 25 21 28 15 20 26 37 19 155 123 278 0 0
K298 Duodenitis 0 0 0 0 0 0 1 1 0 0 0 1 2 1 1 1 2 0 1 4 7 8 15 0 0
K299 Gastroduodenitis,
0 0 0 0 0 0 1 1 0 0 2 0 0 1 1 2 3 1 1 1 8 6 14 1 0
unspecified
K30 Dyspepsia 0 0 0 0 0 0 0 1 2 3 11 5 8 1 1 5 0 5 9 2 31 22 53 0 0
K31 Other diseases of stomach
0 0 0 0 1 0 4 2 8 6 22 8 19 13 11 12 13 13 29 22 107 76 183 0 0
and duodenum
K310 Acute dilatation of
2 10 9 20 0 5 0 4 0 0 0 0 0 0 0 0 0 0 0 2 11 41 52 0 1
stomach
K311 Adult hypertrophic pyloric
0 2 2 8 0 2 1 0 0 0 1 0 0 0 0 0 0 0 0 1 4 13 17 0 0
stenosis
K314 Gastric diverticulum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
K315 Obstruction of duodenum 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 2 0 3 4 7 0 0
K317 Polyp of stomach and
0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 0 0 0 1 4 2 6 0 0
duodenum
K318 Other specified diseases
0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 2 0 1 1 4 5 0 0
of stomach and duodenum

K319 Disease of stomach and

1 3 1 1 0 0 1 1 2 2 5 3 2 6 3 3 3 4 3 3 21 26 47 2 1
duodenum, unspecified
K35 Acute appendicitis 0 1 1 1 7 16 118 202 162 190 351 363 217 195 145 159 94 73 88 69 1183 1269 2452 0 0
K35.1 Acute appendicitis with
0 0 0 0 0 0 4 2 0 1 1 2 1 0 0 0 0 0 0 0 6 5 11 0 0
peritoneal abscess
K35.9 Acute appendicitis,
0 0 0 0 1 1 16 18 20 26 32 30 24 33 19 23 9 9 8 8 129 148 277 0 0
unspecified
K352 Acute appendicitis with
0 0 0 0 0 0 0 1 0 2 0 0 1 0 2 0 1 1 0 0 4 4 8 0 0
generalized peritonitis
K358 Acute appendicitis, other
0 0 0 0 0 0 1 0 1 0 2 0 2 0 1 1 0 0 0 0 7 1 8 0 0
and unspecified
K36 Other appendicitis 0 0 0 0 0 0 1 7 1 4 2 2 2 2 0 4 0 1 1 0 7 20 27 0 0
K37 Unspecified appendicitis 0 0 2 2 7 42 128 251 169 148 298 296 234 187 174 122 125 99 100 51 1237 1198 2435 0 0

K38 Other diseases of appendix 0 0 0 0 0 0 2 6 3 7 5 11 1 1 0 2 3 1 0 1 14 29 43 0 0

K381 Appendicular concretions 0 0 0 0 0 0 8 3 5 7 12 13 18 7 6 2 7 11 11 6 67 49 116 0 0

K388 Other specified diseases
0 0 0 0 0 0 0 2 0 0 0 0 2 1 0 2 0 0 2 1 4 6 10 0 0
of appendix
K389 Disease of appendix,
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0 0 1 3 4 0 0
unspecified
K40 Inguinal hernia 0 4 6 57 32 135 46 135 4 38 19 93 12 98 15 115 8 151 20 280 162 1106 1268 0 0
K400 Bilateral inguinal hernia,
with obstruction, without 0 0 1 0 0 1 0 2 0 1 0 0 0 0 0 1 0 1 0 6 1 12 13 0 0
gangrene
K401 Bilateral inguinal hernia,
1 0 0 1 1 1 1 7 0 0 2 0 0 0 0 1 0 0 0 0 5 10 15 0 0
with gangrene
K402 Bilateral inguinal hernia,
without obstruction or 0 1 1 18 4 23 7 11 0 0 0 1 0 0 0 2 0 0 0 2 12 58 70 0 0
gangrene
K403 Unilateral or unspecified
inguinal hernia, with 0 0 0 1 0 6 0 0 0 2 0 1 0 2 2 4 0 2 0 13 2 31 33 0 0
obstruction, without gangrene
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

K404 Unilateral or unspecified

0 0 1 5 2 5 3 8 0 0 0 0 0 0 0 0 1 0 1 1 8 19 27 0 0
inguinal hernia, with gangrene

K409 Unilateral or unspecified

inguinal hernia, without 0 2 0 1 3 3 4 19 0 6 5 6 1 10 3 12 5 22 3 24 24 105 129 0 0
obstruction or gangrene
K41 Femoral hernia 0 0 0 0 0 0 0 2 0 0 1 1 1 0 2 1 2 0 1 1 7 5 12 1 0
K410 Bilateral femoral hernia,
with obstruction, without 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
gangrene
K413 Unilateral or unspecified
femoral hernia, with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
obstruction, without gangrene

K419 Unilateral or unspecified

femoral hernia, without 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 3 0 3 0 0
obstruction or gangrene
K42 Umbilical hernia 0 0 0 2 0 1 0 2 0 0 0 6 6 7 4 9 8 4 2 3 20 34 54 0 0
K420 Umbilical hernia with
0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 0 0 0 1 1 4 5 0 0
obstruction, without gangrene

K429 Umbilical hernia without

0 0 0 0 0 0 0 0 0 0 0 1 4 2 1 4 0 2 1 1 6 10 16 0 0
obstruction or gangrene
K43 Ventral hernia 0 0 0 0 0 0 0 0 1 1 3 4 1 27 1 18 6 11 3 9 15 70 85 0 0
K430 Ventral hernia with
0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 4 5 0 0
obstruction, without gangrene
K431 Ventral hernia with
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 2 0 0
gangrene
K439 Ventral hernia without
0 0 0 0 0 0 0 0 0 0 0 1 6 2 4 2 1 1 4 3 15 9 24 1 0
obstruction or gangrene
K44 Diaphragmatic hernia 0 0 0 3 1 0 0 0 0 0 1 1 0 0 0 0 3 0 5 3 10 7 17 0 0
K449 Diaphragmatic hernia
without obstruction or 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 3 0 3 1 0
gangrene
K45 Other abdominal hernia 0 0 0 0 0 1 0 3 0 0 0 2 3 1 2 6 1 4 1 14 7 31 38 0 0

K450 Other specified

abdominal hernia with 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 2 1 3 1 0
obstruction, without gangrene
K458 Other specified
abdominal hernia without 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 0 2 0 0
obstruction or gangrene
K46 Unspecified abdominal
1 0 2 13 7 39 14 93 30 63 60 176 51 179 75 204 61 171 48 186 349 1124 1473 0 2
hernia
K460 Unspecified abdominal
hernia with obstruction, 0 0 0 0 0 1 4 12 4 10 8 7 8 12 9 6 3 8 7 15 43 71 114 0 0
without gangrene

K461 Unspecified abdominal

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
hernia with gangrene
K469 Unspecified abdominal
hernia without obstruction or 0 0 0 0 0 0 2 7 0 3 2 6 2 5 2 2 0 3 2 8 10 34 44 0 1
gangrene
K50 Crohn's disease [regional
0 0 0 0 6 8 9 9 0 0 0 0 0 0 0 0 0 0 0 0 15 17 32 0 0
enteritis]
K500 Crohn's disease of small
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
intestine
K501 Crohn's disease of large
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 2 0 0
intestine
K509 Crohn's disease,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 2 0 0
unspecified
K51 Ulcerative colitis 0 0 0 0 0 0 1 0 0 0 1 0 0 2 3 1 0 1 1 1 6 5 11 0 0
K510 Ulcerative (chronic)
0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 2 2 4 0 0
enterocolitis
K512 Ulcerative (chronic)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
proctitis
K515 Mucosal proctocolitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

K518 Other ulcerative colitis 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 2 2 4 0 0

K519 Ulcerative colitis,
0 0 0 0 0 0 0 0 0 0 0 2 1 2 0 1 0 2 1 0 2 7 9 0 0
unspecified
K52 Other noninfective
0 0 1 1 1 1 2 2 0 2 6 2 4 1 1 2 0 1 1 1 16 13 29 0 0
gastroenteritis and colitis
K520 Gastroenteritis and colitis
0 0 0 2 1 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 3 4 7 0 0
due to radiation
K522 Allergic and dietetic
0 0 0 0 0 0 0 0 1 0 2 1 0 1 0 0 0 1 0 0 3 3 6 0 0
gastroenteritis and colitis
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

K528 Other specified

noninfective gastroenteritis and 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
colitis
K529 Noninfective
gastroenteritis and colitis, 1 7 8 10 23 21 12 20 15 18 26 12 12 10 7 3 12 12 10 9 126 122 248 0 0
unspecified
K551 Chronic vascular disorders
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 2 0 0
of intestine
K56 Paralytic ileus and
intestinal obstruction without 7 14 7 11 4 15 7 26 3 0 2 2 3 2 0 4 1 2 10 11 44 87 131 2 6
hernia
K560 Paralytic ileus 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 1 3 0 0
K561 Intussusception 1 0 12 17 3 10 4 6 0 0 1 0 0 0 0 0 0 1 0 0 21 34 55 0 2
K562 Volvulus 0 0 0 0 0 0 1 1 0 0 0 0 1 2 0 0 0 0 1 1 3 4 7 0 0
K563 Gallstone ileus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
K565 Intestinal adhesions
0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 2 2 3 5 0 0
[bands] with obstruction
K566 Other and unspecified
0 1 1 1 0 2 5 6 6 11 7 11 7 19 16 18 11 23 35 43 88 135 223 2 5
intestinal obstruction
K567 Ileus, unspecified 0 0 1 2 1 6 2 1 0 3 3 3 0 2 2 1 1 2 6 10 16 30 46 0 1
K57 Diverticular disease of
0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 1 2 0 1 1 6 7 0 0
intestine
K570 Diverticular disease of
small intestine with perforation 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
and abscess
K571 Diverticular disease of
small intestine without 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 0 2 0 0
perforation or abscess
K573 Diverticular disease of
large intestine without 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 4 0 1
perforation or abscess
K579 Diverticular disease of
intestine, part unspecified, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
without perforation or abscess

K58 Irritable bowel syndrome 0 0 0 0 0 0 0 0 0 0 0 1 2 1 1 0 3 1 1 1 7 4 11 0 0

K580 Irritable bowel syndrome
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 2 3 0 0
with diarrhoea
K589 Irritable bowel syndrome
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 2 3 0 0
without diarrhoea
K59 Other functional intestinal
0 0 0 0 0 0 1 1 1 2 6 2 1 6 1 2 3 4 1 5 14 22 36 0 0
disorders
K590 Constipation 0 0 1 0 1 2 3 2 1 0 0 1 3 0 1 0 1 1 2 4 13 10 23 0 0
K591 Functional diarrhoea 0 0 0 0 0 0 0 0 1 0 0 2 0 2 0 0 1 0 0 1 2 5 7 0 0
K592 Neurogenic bowel, NEC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
K599 Functional intestinal
0 0 0 0 0 0 2 4 4 7 34 31 30 23 29 29 22 28 21 13 142 135 277 0 0
disorder, unspecified
K60 Fissure and fistula of anal
0 0 0 0 0 2 0 1 2 0 9 7 8 20 6 10 0 6 1 2 26 48 74 0 0
and rectal regions
K600 Acute anal fissure 0 0 0 0 0 0 0 0 0 1 2 3 3 5 1 3 6 4 2 1 14 17 31 0 0
K601 Chronic anal fissure 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 0 2 0 0
K602 Anal fissure, unspecified 0 0 0 0 0 0 3 3 18 17 54 36 67 69 51 38 46 41 10 4 249 208 457 0 0
K603 Anal fistula 0 4 3 1 3 3 4 12 11 10 18 32 17 38 8 25 14 22 1 4 79 151 230 0 1
K604 Rectal fistula 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
K605 Anorectal fistula 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 4 4 0 0
K61 Abscess of anal and rectal
0 0 0 0 0 0 1 0 0 1 0 1 2 2 0 1 0 2 1 1 4 8 12 0 0
regions
K610 Anal abscess 0 0 0 0 0 1 0 0 1 1 2 3 1 7 3 4 1 1 0 1 8 18 26 0 0
K611 Rectal abscess 0 0 0 0 0 0 2 0 0 0 0 1 0 2 0 0 0 0 0 0 2 3 5 0 0
K613 Ischiorectal abscess 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 3 3 0 0
K62 Other diseases of anus and
0 0 0 0 0 0 0 0 0 0 0 1 0 1 2 0 0 0 3 0 5 2 7 0 0
rectum
K620 Anal polyp 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 1 3 0 0
K621 Rectal polyp 0 0 0 0 1 0 5 5 2 0 3 0 1 0 3 0 1 0 2 0 18 5 23 0 0
K623 Rectal prolapse 0 0 0 0 0 0 0 3 0 1 0 1 2 0 1 0 0 1 11 1 14 7 21 0 0
K625 Haemorrhage of anus and
0 0 0 0 0 0 1 0 0 3 0 4 1 3 1 6 0 6 3 7 6 29 35 0 1
rectum
K626 Ulcer of anus and rectum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

K628 Other specified diseases

0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 2 0 0
of anus and rectum
K629 Disease of anus and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
rectum, unspecified
K63 Other diseases of intestine 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
K630 Abscess of intestine 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 2 0 0
K631 Perforation of intestine
0 0 0 0 0 0 1 0 0 1 0 4 1 4 1 3 1 0 4 4 8 16 24 0 1
(nontraumatic)
K632 Fistula of intestine 0 0 0 0 0 0 0 0 0 0 3 6 8 5 4 8 2 3 0 2 17 24 41 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

K633 Ulcer of intestine 0 0 0 0 0 1 0 1 0 2 0 0 1 0 0 1 0 0 1 1 2 6 8 0 0

K635 Polyp of colon 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 2 1 3 0 0
K638 Other specified diseases
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
of intestine
K639 Disease of intestine,
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
unspecified
K65 Peritonitis 0 0 0 0 0 1 0 2 1 0 3 4 2 3 2 4 2 2 2 5 12 21 33 0 0
K650 Acute peritonitis 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 2 0 1 2 5 3 8 1 0
K658 Other peritonitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 2 0 0
K659 Peritonitis, unspecified 1 0 0 0 0 2 0 4 1 7 5 6 3 6 1 6 3 8 3 8 17 47 64 1 3
K66 Other disorders of
0 0 0 0 1 0 3 0 0 2 1 5 3 5 3 7 2 2 1 3 14 24 38 0 1
peritoneum
K660 Peritoneal adhesions 0 0 0 0 0 0 0 0 0 0 3 2 2 3 0 2 0 3 4 3 9 13 22 1 1
K661 Haemoperitoneum 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 2 0 1 1 0 3 6 9 0 0
K668 Other specified disorders
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
of peritoneum
K669 Disorder of peritoneum,
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 1 2 3 0 0
unspecified
K678 Other disorders of
peritoneum in infectious 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
diseases classified elsewhere

K70 Alcoholic liver disease 0 0 0 0 0 0 1 0 7 2 22 37 51 77 55 142 57 104 50 128 243 490 733 5 25
K700 Alcoholic fatty liver 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 4 1 1 1 4 3 11 14 0 0
K701 Alcoholic hepatitis 0 0 0 0 0 0 0 1 1 0 4 11 8 19 3 23 3 7 4 6 23 67 90 0 1
K702 Alcoholic fibrosis and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0
sclerosis of liver
K703 Alcoholic cirrhosis of liver 0 0 0 0 0 0 1 0 1 1 2 6 5 22 7 43 9 28 14 31 39 131 170 2 5

K704 Alcoholic hepatic failure 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 1

K709 Alcoholic liver disease,
0 0 0 0 0 0 0 1 0 1 7 12 17 37 23 68 15 53 23 49 85 221 306 5 17
unspecified
K71 Toxic liver disease 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
K711 Toxic liver disease with
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
hepatic necrosis
K712 Toxic liver disease with
0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 3 3 0 0
acute hepatitis
K719 Toxic liver disease,
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
K72 Hepatic failure, NEC 2 3 0 0 0 0 0 0 7 8 9 8 5 7 12 8 5 1 0 0 40 35 75 0 0
K720 Acute and subacute
0 0 0 0 0 0 1 0 0 0 2 0 0 0 2 2 0 1 1 1 6 4 10 1 0
hepatic failure
K721 Chronic hepatic failure 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
K729 Hepatic failure,
0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 3 0 4 1 1 3 11 14 1 1
unspecified
K73 Chronic hepatitis, NEC 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 1 2 0 0 2 4 6 0 0
K739 Chronic hepatitis,
0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 3 3 0 0
unspecified
K74 Fibrosis and cirrhosis of
0 0 0 0 0 0 1 1 0 0 5 8 24 48 46 100 56 122 88 119 220 398 618 27 36
liver
K740 Hepatic fibrosis 0 0 0 0 0 3 4 6 0 0 0 0 0 0 0 0 0 1 1 1 5 11 16 0 0
K742 Hepatic fibrosis with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
hepatic sclerosis
K743 Primary biliary cirrhosis 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 2 1 0
K745 Biliary cirrhosis,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
K746 Other and unspecified
0 0 0 0 0 0 0 0 0 0 2 1 5 12 11 40 5 32 13 28 36 113 149 4 11
cirrhosis of liver
K75 Other inflammatory liver
0 0 1 0 0 2 11 9 3 9 1 1 3 6 3 1 1 3 1 1 24 32 56 1 0
diseases
K750 Abscess of liver 0 0 1 1 0 0 1 3 1 1 3 10 3 8 5 7 4 3 4 5 22 38 60 1 2
K752 Nonspecific reactive
0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 2 3 0 0
hepatitis
K754 Autoimmune hepatitis 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
K759 Inflammatory liver
0 0 0 0 1 3 7 8 4 4 8 6 5 11 5 6 4 9 3 6 37 53 90 0 1
disease, unspecified
K76 Other diseases of liver 0 0 1 1 0 0 2 9 2 6 4 11 4 8 16 10 12 16 6 12 47 73 120 3 3
K760 Fatty (change of) liver,
1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 3 2 0 1 0 5 5 10 0 0
NEC
K766 Portal hypertension 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 5 1 15 2 8 4 30 34 0 0
K767 Hepatorenal syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
K768 Other specified diseases
0 0 0 0 0 0 0 0 0 0 2 0 3 1 2 1 0 1 3 1 10 4 14 0 0
of liver
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

K769 Liver disease, unspecified 0 0 0 0 1 0 2 5 1 0 9 8 31 45 44 108 31 79 34 108 153 353 506 9 34

K77 Liver disorders in diseases

0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 2 1 0
classified elsewhere

K770 Liver disorders in

infectious and parasitic diseases 0 0 0 0 0 0 0 0 0 1 2 0 2 1 1 2 0 0 0 0 5 4 9 0 0
classified elsewhere

K778 Liver disorders in other

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
diseases classified elsewhere
K80 Cholelithiasis 2 0 1 2 10 3 23 17 64 44 515 360 637 279 569 410 476 244 481 281 2778 1640 4418 1 0
K800 Calculus of gallbladder
0 0 0 0 0 1 0 0 2 1 6 2 6 4 4 2 3 5 8 5 29 20 49 0 0
with acute cholecystitis

K801 Calculus of gallbladder

0 0 0 0 0 0 0 0 0 0 3 1 3 1 1 2 2 1 6 8 15 13 28 0 0
with other cholecystitis

K802 Calculus of gallbladder

2 0 0 0 0 0 4 0 3 5 92 18 149 31 131 48 77 44 102 30 560 176 736 2 0
without cholecystitis
K803 Calculus of bile duct with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
cholangitis
K804 Calculus of bile duct with
0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 3 1 4 0 0
cholecystitis
K805 Calculus of bile duct
without cholangitis or 0 0 0 0 0 0 0 0 2 0 5 0 1 1 5 2 3 1 6 8 22 12 34 0 0
cholecystitis
K808 Other cholelithiasis 5 0 0 0 0 0 0 0 4 3 23 6 14 8 15 10 8 0 8 4 77 31 108 0 0
K81 Cholecystitis 2 3 4 6 2 23 34 40 38 46 122 109 155 112 134 98 131 75 111 53 733 565 1298 0 2
K810 Acute cholecystitis 0 0 0 0 0 1 2 0 1 1 3 1 5 8 8 3 11 8 16 10 46 32 78 0 0
K811 Chronic cholecystitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 3 1 4 3 7 0 0
K818 Other cholecystitis 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0
K819 Cholecystitis, unspecified 0 0 0 0 0 0 0 0 0 1 8 3 15 7 12 5 8 2 17 5 60 23 83 0 0
K82 Other diseases of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
gallbladder
K820 Obstruction of gallbladder 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

K821 Hydrops of gallbladder 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 0 0

K822 Perforation of gallbladder 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

K824 Cholesterolosis of
0 0 0 0 0 0 0 0 0 0 3 1 6 2 8 2 2 2 4 3 23 10 33 0 0
gallbladder
K828 Other specified diseases
0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 1 3 0 0 0 5 3 8 0 0
of gallbladder
K829 Disease of gallbladder,
0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 1 1 0 0 4 1 5 0 0
unspecified
K83 Other diseases of biliary
0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 3 2 5 0 0
tract
K830 Cholangitis 0 0 0 0 0 0 0 0 0 0 0 0 3 2 1 0 1 0 1 4 6 6 12 0 0
K831 Obstruction of bile duct 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 3 5 2 7 7 14 0 0

K832 Perforation of bile duct 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 2 2 0 0

K833 Fistula of bile duct 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 1 0 0 0 0 0 4 4 0 0
K838 Other specified diseases
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 2 0 0
of biliary tract
K839 Disease of biliary tract,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
K85 Acute pancreatitis 0 1 0 0 1 0 6 5 21 11 57 65 67 62 52 70 49 42 49 39 302 295 597 0 3
K850 Idiopathic acute
0 0 0 0 0 0 1 0 3 1 4 16 7 13 3 10 3 8 9 5 30 53 83 0 3
pancreatitis
K851 Biliary acute pancreatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 2 4 0 0
K852 Alcohol-induced acute
0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 2 3 0 0
pancreatitis
K858 Other acute pancreatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
K859 Acute pancreatitis,
0 0 0 0 0 0 0 0 2 0 1 1 3 8 0 8 3 4 1 4 10 25 35 0 0
unspecified
K86 Other diseases of pancreas 0 0 0 0 0 0 0 0 1 1 1 4 1 7 0 5 2 7 0 2 5 26 31 0 0
K860 Alcohol-induced chronic
0 0 0 0 0 0 0 0 0 0 1 3 0 8 0 2 0 1 0 1 1 15 16 0 0
pancreatitis
K861 Other chronic pancreatitis 0 0 0 0 0 0 0 0 0 0 0 3 1 1 1 2 1 1 0 2 3 9 12 0 0
K862 Cyst of pancreas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
K863 Pseudocyst of pancreas 0 0 0 0 0 0 0 0 0 0 1 0 0 5 0 1 0 0 0 0 1 6 7 0 0
K868 Other specified diseases
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 2 0 0
of pancreas
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

K90 Intestinal malabsorption 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

K900 Coeliac disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
K903 Pancreatic steatorrhoea 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
K904 Malabsorption due to
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
intolerance, NEC
K909 Intestinal malabsorption,
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
unspecified
K910 Vomiting following
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
gastrointestinal surgery
K912 Postsurgical
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 2 0 0
malabsorption, NEC
K913 Postoperative intestinal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 3 3 0 0
obstruction
K914 Colostomy and
6 31 16 23 5 15 1 10 0 0 1 0 0 0 0 0 0 0 0 0 29 79 108 3 3
enterostomy malfunction
K915 Postcholecystectomy
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
syndrome
K918 Other postprocedural
disorders of digestive system, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
NEC
K92 Other diseases of digestive
0 0 0 1 0 0 2 4 1 3 5 2 4 9 9 11 5 21 16 41 42 92 134 4 5
system
K920 Haematemesis 1 0 0 0 0 0 2 1 1 2 0 0 0 0 0 0 1 0 0 3 5 6 11 0 0
K921 Melaena 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 1 1 2 1 5 4 9 0 0
K922 Gastrointestinal
0 0 0 0 0 0 3 3 1 9 11 16 6 25 24 51 16 52 40 91 101 247 348 5 17
haemorrhage, unspecified
K929 Disease of digestive
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 3 4 0 0
system, unspecified
L00 Staphylococcal scalded skin
0 0 2 0 2 1 3 2 0 0 0 0 0 0 0 0 0 1 0 0 7 4 11 0 0
syndrome
L01 Impetigo 0 1 4 0 6 11 6 7 2 2 0 0 0 0 3 1 3 0 2 2 26 24 50 0 0
L010 Impetigo [any organism]
0 0 2 1 3 7 3 4 0 0 2 1 0 2 2 1 1 0 0 0 13 16 29 0 0
[any site]
L02 Cutaneous abscess,
3 6 14 20 53 92 92 147 59 57 110 76 65 67 43 52 45 54 53 53 537 624 1161 1 0
furuncle and carbuncle
L020 Cutaneous abscess,
3 1 3 4 14 40 37 63 31 22 77 53 28 32 30 45 26 19 30 38 279 317 596 0 0
furuncle and carbuncle of face

L021 Cutaneous abscess,

0 0 0 0 2 6 1 3 0 0 1 0 0 2 0 3 0 1 0 1 4 16 20 0 0
furuncle and carbuncle of neck

L022 Cutaneous abscess,

0 2 0 1 1 2 1 7 3 8 6 1 6 6 3 2 3 1 2 4 25 34 59 0 0
furuncle and carbuncle of trunk
L023 Cutaneous abscess,
furuncle and carbuncle of 0 0 1 0 3 1 0 0 0 1 0 2 0 1 0 0 0 0 1 0 5 5 10 1 0
buttock
L024 Cutaneous abscess,
1 0 7 2 6 6 11 23 4 8 9 3 8 17 4 14 7 5 11 6 68 84 152 1 0
furuncle and carbuncle of limb
L028 Cutaneous abscess,
furuncle and carbuncle of other 0 0 1 0 1 1 1 1 0 0 0 0 0 2 0 0 0 1 0 1 3 6 9 0 0
sites
L029 Cutaneous abscess,
furuncle and carbuncle, 0 0 1 3 5 9 13 7 9 7 15 18 10 8 7 11 8 11 11 10 79 84 163 0 0
unspecified
L03 Cellulitis 0 1 5 5 10 31 24 57 10 19 47 34 25 42 39 48 30 46 50 60 240 343 583 0 0
L030 Cellulitis of finger and toe 0 0 0 2 2 2 2 3 0 0 4 3 1 2 2 3 2 2 2 0 15 17 32 0 0
L031 Cellulitis of other parts of
0 0 0 0 0 0 8 5 3 2 7 7 4 10 2 5 6 10 9 13 39 52 91 0 0
limb
L032 Cellulitis of face 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 2 1 3 4 0 0
L033 Cellulitis of trunk 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 1 0 0 2 2 4 6 0 0
L038 Cellulitis of other sites 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 2 0 0
L039 Cellulitis, unspecified 0 2 3 8 2 10 17 18 18 12 47 34 32 33 50 27 21 23 32 47 222 214 436 1 3
L04 Acute lymphadenitis 0 0 2 2 4 4 9 20 1 3 4 1 5 3 2 4 3 2 3 3 33 42 75 0 0
L040 Acute lymphadenitis of
0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
face, head and neck
L041 Acute lymphadenitis of
0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
trunk
L042 Acute lymphadenitis of
0 0 1 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 2 2 4 0 0
upper limb
L049 Acute lymphadenitis,
0 0 0 0 0 0 0 2 0 1 1 0 1 1 0 0 0 0 0 1 2 5 7 0 0
unspecified
L05 Pilonidal cyst 0 0 0 0 0 0 0 0 1 5 3 6 3 8 1 1 0 0 0 0 8 20 28 0 0
L050 Pilonidal cyst with abscess 0 0 0 0 0 0 1 0 1 1 0 5 0 1 0 1 0 0 1 0 3 8 11 0 0
L059 Pilonidal cyst without
0 0 0 0 0 0 2 1 0 2 0 7 1 0 0 1 0 0 0 0 3 11 14 0 0
abscess
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

L08 Other local infections of

0 0 3 2 5 11 10 14 21 18 31 23 24 25 27 23 9 17 11 28 141 161 302 1 2
skin and subcutaneous tissue
L080 Pyoderma 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 3 2 5 0 0
L088 Other specified local
infections of skin and 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
subcutaneous tissue
L089 Local infection of skin and
subcutaneous tissue, 2 2 1 1 0 0 2 4 0 2 4 2 2 3 2 0 2 2 5 1 20 17 37 0 0
unspecified
L10 Pemphigus 0 0 0 0 0 0 0 0 0 0 0 0 2 0 3 1 1 2 2 2 8 5 13 0 0
L100 Pemphigus vulgaris 0 0 0 0 0 0 0 0 0 0 2 0 0 1 8 1 1 1 1 0 12 3 15 0 0
L120 Bullous pemphigoid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
L130 Dermatitis herpetiformis 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0

L14 Bullous disorders in

0 0 0 1 0 1 5 4 1 0 2 1 2 0 2 1 0 0 0 0 12 8 20 0 0
diseases classified elsewhere
L20 Atopic dermatitis 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
L208 Other atopic dermatitis 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
L219 Seborrhoeic dermatitis,
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
unspecified
L22 Diaper [napkin] dermatitis 0 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0

L23 Allergic contact dermatitis 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 1 0 1 1 0 3 3 6 0 0

L230 Allergic contact dermatitis
0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 2 0 0
due to metals
L242 Irritant contact dermatitis
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
due to solvents
L25 Unspecified contact
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
dermatitis
L26 Exfoliative dermatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
L27 Dermatitis due to
0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 2 1 3 0 0
substances taken internally

L270 Generalized skin eruption

0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 3 3 0 0
due to drugs and medicaments

L280 Lichen simplex chronicus 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

L298 Other pruritus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
L30 Other dermatitis 0 0 6 3 3 1 3 8 3 3 4 0 3 2 3 2 7 7 8 2 40 28 68 0 0
L300 Nummular dermatitis 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 2 0 0
L303 Infective dermatitis 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 4 1 0
L309 Dermatitis, unspecified 1 0 4 4 3 7 16 16 7 4 13 8 10 3 4 6 3 4 3 4 64 56 120 0 0
L40 Psoriasis 0 0 0 1 0 0 2 0 0 0 2 0 0 0 2 1 0 1 2 0 8 3 11 0 0
L402 Acrodermatitis continua 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
L403 Pustulosis palmaris et
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
plantaris
L409 Psoriasis, unspecified 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 1 1 0 1 1 6 4 10 0 0
L41 Parapsoriasis 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 10 3 13 3 16 1 0
L43 Lichen planus 0 0 0 0 0 1 5 4 6 9 9 9 4 7 0 4 1 0 0 1 25 35 60 0 0
L432 Lichenoid drug reaction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0

L439 Lichen planus, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0

L50 Urticaria 0 0 2 6 17 36 38 46 3 2 9 5 8 5 4 2 3 2 4 3 88 107 195 0 0
L500 Allergic urticaria 0 0 0 0 1 0 1 2 1 1 0 0 0 1 0 0 0 0 0 1 3 5 8 0 0
L508 Other urticaria 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 2 1 3 4 0 0
L509 Urticaria, unspecified 0 0 0 3 1 6 10 30 1 1 1 2 1 3 1 1 2 0 1 2 18 48 66 0 2
L511 Bullous erythema
0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 3 3 0 0
multiforme
L512 Toxic epidermal necrolysis
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 2 2 0 0
[Lyell]
L519 Erythema multiforme,
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
L52 Erythema nodosum 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
L538 Other specified
0 0 0 0 1 0 5 2 0 0 0 0 0 0 0 0 0 0 0 0 6 2 8 0 0
erythematous conditions
L539 Erythematous condition,
0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 2 1 1 0 6 4 10 0 0
unspecified
L55 Sunburn 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
L564 Polymorphous light
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
eruption
L568 Other specified acute skin
changes due to ultraviolet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
radiation
L57 Skin changes due to chronic
exposure to nonionizing 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
radiation
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

L579 Skin changes due to

chronic exposure to nonionizing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
radiation, unspecified
L600 Ingrowing nail 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
L659 Nonscarring hair loss,
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
L662 Folliculitis decalvans 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
L669 Cicatricial alopecia,
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
L670 Trichorrhexis nodosa 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
L680 Hirsutism 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
L70 Acne 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
L711 Rhinophyma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
L718 Other rosacea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
L72 Follicular cysts of skin and
0 0 0 0 0 0 0 1 0 1 1 1 5 6 2 1 5 1 1 0 14 11 25 0 0
subcutaneous tissue
L720 Epidermal cyst 0 0 0 1 0 0 0 0 0 1 1 1 3 2 1 0 2 0 0 1 7 6 13 0 0
L721 Trichilemmal cyst 0 0 0 0 0 0 0 1 1 4 2 3 0 2 1 0 1 1 1 0 6 11 17 0 0
L728 Other follicular cysts of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
skin and subcutaneous tissue
L729 Follicular cyst of skin and
subcutaneous tissue, 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 2 1 3 0 0
unspecified
L732 Hidradenitis suppurativa 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
L80 Vitiligo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 2 0 0
L81 Other disorders of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
pigmentation
L82 Seborrhoeic keratosis 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
L84 Corns and callosities 0 0 0 0 0 1 3 0 0 0 1 3 0 0 0 0 0 0 0 0 4 4 8 0 0
L851 Acquired keratosis
[keratoderma] palmaris et 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
plantaris
L88 Pyoderma gangrenosum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
L89 Decubitus ulcer 0 0 0 0 0 0 0 2 4 0 4 8 6 13 6 9 2 3 9 4 31 39 70 3 1
L90 Atrophic disorders of skin 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
L904 Acrodermatitis chronica
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
atrophicans
L905 Scar conditions and
0 0 0 0 0 0 1 2 4 3 5 4 3 5 0 3 0 0 0 0 13 17 30 0 0
fibrosis of skin
L91 Hypertrophic disorders of
0 0 0 0 0 0 3 1 0 0 0 0 0 1 0 0 0 0 0 0 3 2 5 0 0
skin
L910 Keloid scar 0 0 0 0 2 2 7 1 1 4 1 0 0 1 1 1 1 0 0 0 13 9 22 0 0
L918 Other hypertrophic
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 2 1 3 0 0
disorders of skin
L92 Granulomatous disorders
0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
of skin and subcutaneous tissue

L928 Other granulomatous

disorders of skin and 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
subcutaneous tissue

L929 Granulomatous disorder

of skin and subcutaneous 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 2 1 3 0 0
tissue, unspecified
L93 Lupus erythematosus 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 0 2 0 0
L930 Discoid lupus
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
erythematosus
L942 Calcinosis cutis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
L959 Vasculitis limited to skin,
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 2 0 0
unspecified
L97 Ulcer of lower limb, NEC 0 0 0 0 0 0 0 0 0 0 1 1 3 2 1 5 0 5 3 1 8 14 22 0 1

L98 Other disorders of skin and

0 1 0 0 0 0 2 2 0 2 3 2 1 0 0 4 0 2 4 1 10 14 24 0 0
subcutaneous tissue, NEC
L980 Pyogenic granuloma 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
L982 Febrile neutrophilic
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
dermatosis [Sweet]
L984 Chronic ulcer of skin, NEC 0 0 0 0 0 0 0 1 0 0 0 3 1 0 1 2 2 1 1 8 5 15 20 0 1
L985 Mucinosis of skin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
L988 Other specified disorders
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 1 3 1 4 0 0
of skin and subcutaneous tissue
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

L989 Disorder of skin and

subcutaneous tissue, 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 2 0 0
unspecified
L99 Other disorders of skin and
subcutaneous tissue in diseases 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
classified elsewhere
M00 Pyogenic arthritis 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 2 3 0 0
M000 Staphylococcal arthritis
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
and polyarthritis
M008 Arthritis and polyarthritis
due to other specified bacterial 0 0 0 0 1 0 2 1 1 0 2 1 2 0 0 0 1 0 2 0 11 2 13 0 0
agents
M009 Pyogenic arthritis,
0 0 1 0 1 3 2 8 1 5 2 5 2 1 1 4 1 4 2 3 13 33 46 0 0
unspecified
M010 Meningococcal arthritis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
M013 Arthritis in other
bacterial diseases classified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 0 0
elsewhere
M018 Arthritis in other
infectious and parasitic diseases 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
classified elsewhere

M02 Reactive arthropathies 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0

M029 Reactive arthropathy,
0 0 0 0 0 1 1 1 0 0 1 1 0 0 0 0 0 1 0 0 2 4 6 0 0
unspecified
M05 Seropositive rheumatoid
0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 2 1 6 3 10 5 15 0 0
arthritis
M051 Rheumatoid lung disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

M053 Rheumatoid arthritis

with involvement of other 0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 0 3 1 5 1 11 3 14 0 0
organs and systems

M059 Seropositive rheumatoid

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 3 1 4 0 0
arthritis, unspecified

M06 Other rheumatoid arthritis 1 1 3 5 2 8 0 4 3 1 4 0 4 8 8 2 12 5 9 10 46 44 90 0 0

M060 Seronegative rheumatoid
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 3 3 3 6 0 0
arthritis
M062 Rheumatoid bursitis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
M064 Inflammatory
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 0 0
polyarthropathy
M069 Rheumatoid arthritis,
0 0 15 22 2 10 4 7 1 0 1 1 4 2 3 1 4 0 7 3 41 46 87 0 0
unspecified
M070 Distal interphalangeal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 0 0
psoriatic arthropathy
M08 Juvenile arthritis 0 0 0 0 0 0 4 3 0 0 0 0 0 0 0 0 0 0 0 0 4 3 7 0 0
M089 Juvenile arthritis,
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 2 0 0
unspecified
M10 Gout 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 6 3 6 5 12 17 0 0
M100 Idiopathic gout 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 2 0 0
M109 Gout, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
M13 Other arthritis 0 0 1 5 5 8 19 25 3 19 18 20 31 28 29 21 24 31 42 42 172 199 371 0 0
M130 Polyarthritis, unspecified 0 0 0 0 0 0 0 0 0 2 1 0 0 0 1 0 0 0 0 0 2 2 4 0 0

M138 Other specified arthritis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0

M139 Arthritis, unspecified 1 0 0 1 4 3 6 10 7 9 45 30 45 26 33 46 25 28 28 19 194 172 366 1 0
M14 Arthropathies in other
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
diseases classified elsewhere
M15 Polyarthrosis 0 0 0 0 0 0 2 1 0 1 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0
M159 Polyarthrosis,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
unspecified
M16 Coxarthrosis [arthrosis of
0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 0 3 1 4 0 0
hip]
M160 Primary coxarthrosis,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0
bilateral
M17 Gonarthrosis [arthrosis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 16 1 17 1 18 0 0
knee]
M170 Primary gonarthrosis,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 1 7 1 8 0 0
bilateral
M171 Other primary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 3 3 3 6 0 0
gonarthrosis
M173 Other post-traumatic
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
gonarthrosis
M179 Gonarthrosis, unspecified 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

M18 Arthrosis of first

0 0 0 0 0 0 0 0 0 0 1 2 6 2 0 0 0 0 0 0 7 4 11 0 0
carpometacarpal joint
M180 Primary arthrosis of first
carpometacarpal joints, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
bilateral
M183 Other post-traumatic
arthrosis of first 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
carpometacarpal joint
M19 Other arthrosis 0 0 0 0 1 0 1 1 0 0 0 0 0 3 4 2 4 2 16 9 26 17 43 0 0
M190 Primary arthrosis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 3 1 4 2 6 0 0
other joints
M191 Post-traumatic arthrosis
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
of other joints
M199 Arthrosis, unspecified 0 0 0 0 0 0 0 0 2 0 1 0 0 1 1 4 0 1 1 3 5 9 14 0 0

M200 Deformity of finger(s) 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 3 4 0 0

M205 Other deformities of
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
toe(s) (acquired)
M206 Acquired deformity of
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
toe(s), unspecified
M21 Other acquired
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
deformities of limbs
M210 Valgus deformity, NEC 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0

M211 Varus deformity, NEC 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

M212 Flexion deformity 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
M213 Wrist or foot drop
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 2 0 0
(acquired)
M216 Other acquired
0 0 0 0 1 0 0 2 1 1 2 2 1 0 0 1 0 0 0 0 5 6 11 0 0
deformities of ankle and foot

M218 Other specified acquired

0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
deformities of limbs
M23 Internal derangement of
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
knee
M230 Cystic meniscus 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 2 4 6 0 0
M231 Discoid meniscus
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
(congenital)
M232 Derangement of
meniscus due to old tear or 0 0 0 0 0 0 0 0 0 1 0 2 0 2 2 0 0 0 0 0 2 5 7 0 0
injury
M234 Loose body in knee 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 2 0 0 1 2 3 5 0 0
M236 Other spontaneous
disruption of ligament(s) of 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 2 3 0 0
knee
M238 Other internal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
derangements of knee
M239 Internal derangement of
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
knee, unspecified
M241 Other articular cartilage
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 1 2 3 0 0
disorders
M242 Disorder of ligament 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0

M244 Recurrent dislocation

0 0 0 0 1 0 1 2 2 2 0 8 6 11 2 3 0 2 1 2 13 30 43 0 0
and subluxation of joint
M245 Contracture of joint 0 0 0 0 0 0 0 3 0 2 0 1 0 0 0 1 0 0 0 1 0 8 8 0 0
M246 Ankylosis of joint 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 2 0 0
M25 Other joint disorders, NEC 0 0 0 0 0 0 0 1 0 1 0 2 0 1 0 1 1 0 3 1 4 7 11 0 0
M250 Haemarthrosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
M254 Effusion of joint 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 0 0 1 2 1 2 6 8 0 0
M255 Pain in joint 0 0 0 0 0 0 0 2 3 2 15 3 6 6 1 4 6 8 6 3 37 28 65 0 0
M256 Stiffness of joint, NEC 0 0 0 0 0 0 0 2 0 0 1 0 1 0 0 0 0 0 0 0 2 2 4 0 0
M257 Osteophyte 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 2 0 0
M258 Other specified joint
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
disorders
M259 Joint disorder,
0 0 0 0 1 0 0 1 0 0 4 3 2 2 2 0 0 1 3 0 12 7 19 0 0
unspecified
M303 Mucocutaneous lymph
0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
node syndrome [Kawasaki]
M311 Thrombotic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 2 0 0
microangiopathy
M317 Microscopic polyangiitis 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
M32 Systemic lupus
0 0 0 0 0 0 0 0 0 0 2 0 2 0 1 0 0 0 0 0 5 0 5 0 0
erythematosus
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

M321 Systemic lupus

erythematosus with organ or 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
system involvement
M329 Systemic lupus
0 0 0 0 0 1 5 7 4 1 17 0 10 0 7 0 2 0 0 0 45 9 54 1 0
erythematosus, unspecified

M33 Dermatopolymyositis 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

M331 Other dermatomyositis 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 2 0 0

M332 Polymyositis 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
M34 Systemic sclerosis 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 3 0 0
M349 Systemic sclerosis,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
M35 Other systemic
involvement of connective 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 3 0 3 0 0
tissue
M350 Sicca syndrome
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0
[Sj�gren]
M351 Other overlap syndromes 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0

M356 Relapsing panniculitis

0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
[Weber-Christian]

M359 Systemic involvement of

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
connective tissue, unspecified

M40 Kyphosis and lordosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0

M41 Scoliosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 2 0 0
M410 Infantile idiopathic
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
scoliosis
M411 Juvenile idiopathic
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
scoliosis
M43 Other deforming
0 0 0 0 0 0 0 0 0 0 2 2 2 1 2 4 1 2 2 0 9 9 18 0 0
dorsopathies
M430 Spondylolysis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 3 1 3 4 0 0
M431 Spondylolisthesis 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 3 2 3 5 11 7 18 0 0
M432 Other fusion of spine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0

M433 Recurrent atlantoaxial

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
subluxation with myelopathy
M434 Other recurrent
0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 2 0 1 2 5 7 0 0
atlantoaxial subluxation
M435 Other recurrent vertebral
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 3 0 0 1 3 4 0 0
subluxation
M436 Torticollis 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
M439 Deforming dorsopathy,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
unspecified
M45 Ankylosing spondylitis 0 0 0 0 0 0 0 0 0 2 0 1 0 1 0 2 0 0 0 1 0 7 7 0 0
M46 Other inflammatory
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
spondylopathies
M461 Sacroiliitis, NEC 0 1 0 0 0 1 0 1 1 1 0 3 0 1 0 0 0 0 1 0 2 8 10 0 0
M462 Osteomyelitis of vertebra 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 2 0 0

M463 Infection of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
intervertebral disc (pyogenic)
M464 Discitis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 2 3 0 0
M469 Inflammatory
0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 2 3 0 0
spondylopathy, unspecified
M47 Spondylosis 0 0 0 0 0 0 0 0 0 0 0 1 1 0 6 3 1 0 3 2 11 6 17 0 0
M472 Other spondylosis with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
radiculopathy
M478 Other spondylosis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 6 4 7 5 12 0 0
M479 Spondylosis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 3 1 4 0 1

M48 Other spondylopathies 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 2 0 0

M480 Spinal stenosis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 3 4 5 5 10 0 0
M484 Fatigue fracture of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
vertebra
M488 Other specified
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
spondylopathies
M490 Tuberculosis of spine 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 0 0 3 0 0 2 6 8 0 0

M50 Cervical disc disorders 0 0 0 0 0 2 0 4 1 4 5 7 9 12 10 13 9 16 4 12 38 70 108 20 45

M500 Cervical disc disorder
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 2 0 0
with myelopathy
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

M501 Cervical disc disorder

0 0 0 0 0 0 0 0 0 0 0 0 6 9 3 6 0 0 0 2 9 17 26 7 14
with radiculopathy
M508 Other cervical disc
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
disorders
M509 Cervical disc disorder,
0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 3 1 4 0 0
unspecified
M51 Other intervertebral disc
0 0 0 0 0 0 0 1 0 2 5 3 5 10 2 4 5 3 3 5 20 28 48 0 0
disorders
M510 Lumbar and other
intervertebral disc disorders 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 1 1 4 5 0 0
with myelopathy
M511 Lumbar and other
intervertebral disc disorders 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
with radiculopathy
M512 Other specified
intervertebral disc 0 0 0 0 0 0 0 1 2 1 14 21 17 27 14 20 11 23 8 17 66 110 176 0 0
displacement
M513 Other specified
intervertebral disc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
degeneration
M518 Other specified
0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 2 1 3 0 0
intervertebral disc disorders
M519 Intervertebral disc
0 0 0 0 0 0 1 1 1 3 11 20 14 17 17 15 8 13 8 10 60 79 139 0 0
disorder, unspecified
M53 Other dorsopathies, NEC 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 1 1 2 3 5 0 0
M533 Sacrococcygeal disorders,
0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 2 3 0 0
NEC
M54 Dorsalgia 0 0 0 0 0 0 1 1 1 2 3 1 1 5 4 1 3 3 6 2 19 15 34 0 0
M540 Panniculitis affecting
0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 2 1 3 0 0
regions of neck and back
M541 Radiculopathy 0 0 0 0 0 0 0 0 0 0 1 1 1 2 2 1 2 0 2 0 8 4 12 0 0
M542 Cervicalgia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 3 0 0
M543 Sciatica 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 2 1 3 0 0
M544 Lumbago with sciatica 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 2 0 0
M545 Low back pain 0 0 0 0 0 0 2 1 12 8 53 32 41 28 25 31 21 16 28 16 182 132 314 0 0
M546 Pain in thoracic spine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0

M549 Dorsalgia, unspecified 0 0 1 1 0 1 11 11 26 19 28 18 17 18 23 15 15 24 24 22 145 129 274 1 0

M60 Myositis 0 0 0 0 0 0 0 3 4 5 2 3 1 0 4 3 1 0 2 0 14 14 28 0 0
M600 Infective myositis 0 0 0 0 1 0 0 2 0 1 0 0 0 1 0 2 0 0 0 2 1 8 9 0 1
M609 Myositis, unspecified 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
M61 Calcification and
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
ossification of muscle
M615 Other ossification of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
muscle
M620 Diastasis of muscle 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
M624 Contracture of muscle 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
M626 Muscle strain 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 2 0 0
M628 Other specified disorders
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
of muscle
M65 Synovitis and
0 0 0 0 0 0 0 3 0 1 0 1 3 0 0 1 1 0 0 3 4 9 13 0 0
tenosynovitis
M650 Abscess of tendon sheath 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
M651 Other infective
0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 2 0 0
(teno)synovitis
M652 Calcific tendinitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
M653 Trigger finger 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
M658 Other synovitis and
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
tenosynovitis
M659 Synovitis and
0 0 0 0 1 0 1 2 0 0 2 1 0 1 0 1 0 1 1 1 5 7 12 0 0
tenosynovitis, unspecified
M67 Other disorders of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
synovium and tendon
M672 Synovial hypertrophy,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
NEC
M673 Transient synovitis 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 2 1 3 0 0
M674 Ganglion 0 0 0 0 0 0 1 0 1 0 1 1 0 1 3 1 1 0 0 0 7 3 10 0 0
M70 Soft tissue disorders
related to use, overuse and 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 2 0 0
pressure
M700 Chronic crepitant
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
synovitis of hand and wrist
M702 Olecranon bursitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
M704 Prepatellar bursitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

M705 Other bursitis of knee 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0

M706 Trochanteric bursitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0

M709 Unspecified soft tissue
disorder related to use, overuse 0 0 0 0 0 0 1 0 0 2 1 0 0 0 0 0 0 0 0 1 2 3 5 0 0
and pressure
M710 Abscess of bursa 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 2 1 3 0 0
M712 Synovial cyst of popliteal
0 0 0 0 0 1 0 0 2 0 1 1 2 0 1 0 2 0 1 1 9 3 12 0 0
space [Baker]
M714 Calcium deposit in bursa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 2 0 0
M718 Other specified
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
bursopathies
M719 Bursopathy, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0

M72 Fibroblastic disorders 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

M724 Pseudosarcomatous
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 1 3 4 0 1
fibromatosis
M726 Necrotizing fasciitis 0 0 0 0 0 0 0 0 0 2 1 1 3 4 1 1 0 5 4 3 9 16 25 1 0
M729 Fibroblastic disorder,
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 2 0 0 1 4 5 0 1
unspecified
M73 Soft tissue disorders in
0 0 0 0 0 0 0 0 0 0 3 1 5 0 3 2 0 0 0 0 11 3 14 0 0
diseases classified elsewhere
M75 Shoulder lesions 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 0 2 0 0
M750 Adhesive capsulitis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 1 2 3 0 0
shoulder
M751 Rotator cuff syndrome 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 2 0 0
M753 Calcific tendinitis of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 2 0 0
shoulder
M754 Impingement syndrome
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
of shoulder
M755 Bursitis of shoulder 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 3 1 4 0 0
M759 Shoulder lesion,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
M760 Gluteal tendinitis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
M761 Psoas tendinitis 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 2 0 0
M764 Tibial collateral bursitis
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 2 0 0
[Pellegrini-Stieda]
M765 Patellar tendinitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 0
M766 Achilles tendinitis 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
M768 Other enthesopathies of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 2 0 0
lower limb, excluding foot
M771 Lateral epicondylitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
M773 Calcaneal spur 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
M79 Other soft tissue
0 0 0 0 0 0 2 8 2 6 2 5 5 8 7 6 3 3 4 9 25 45 70 2 4
disorders, NEC
M791 Myalgia 0 0 0 0 0 0 3 1 2 3 2 3 2 0 1 0 3 1 1 3 14 11 25 0 0
M792 Neuralgia and neuritis,
0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 1 0 5 1 8 9 0 0
unspecified
M793 Panniculitis, unspecified 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 3 0 3 0 0
M796 Pain in limb 0 0 0 0 1 0 1 2 1 1 4 1 4 1 4 2 2 1 0 6 17 14 31 0 0
M798 Other specified soft
0 0 0 0 0 0 1 0 0 0 1 2 0 3 0 1 1 2 3 1 6 9 15 0 0
tissue disorders
M799 Soft tissue disorder,
0 0 0 0 1 2 2 5 0 7 16 12 9 11 9 12 13 5 4 5 54 59 113 0 0
unspecified
M80 Osteoporosis with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
pathological fracture
M800 Postmenopausal
osteoporosis with pathological 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 3 0 0
fracture
M803 Postsurgical
malabsorption osteoporosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
with pathological fracture

M81 Osteoporosis without

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 3 0 0
pathological fracture
M810 Postmenopausal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
osteoporosis
M811 Postoophorectomy
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
osteoporosis
M814 Drug-induced
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
osteoporosis
M815 Idiopathic osteoporosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
M819 Osteoporosis,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 6 0 6 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

M840 Malunion of fracture 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2 0 0

M841 Nonunion of fracture
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
[pseudarthrosis]
M843 Stress fracture, NEC 0 0 0 0 0 0 0 0 0 2 0 1 1 1 0 3 0 2 0 0 1 9 10 0 0
M844 Pathological fracture,
0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 1 1 0 2 3 5 8 0 0
NEC
M85 Other disorders of bone
0 0 0 0 0 0 0 1 1 2 2 0 0 0 0 0 0 0 1 1 4 4 8 0 0
density and structure
M850 Fibrous dysplasia
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 2 0 0
(monostotic)
M855 Aneurysmal bone cyst 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
M856 Other cyst of bone 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 3 1 4 0 0
M86 Osteomyelitis 0 0 0 2 0 2 5 13 1 11 5 6 4 5 4 2 3 7 5 9 27 57 84 0 0
M860 Acute haematogenous
0 0 0 0 0 0 0 2 1 0 0 1 0 0 0 1 0 1 0 1 1 6 7 0 0
osteomyelitis
M861 Other acute
0 0 0 0 1 0 1 3 0 0 1 0 0 0 0 0 1 1 0 0 4 4 8 0 0
osteomyelitis
M863 Chronic multifocal
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
osteomyelitis
M864 Chronic osteomyelitis
0 0 0 0 0 0 1 1 0 0 1 2 0 0 0 0 0 1 0 0 2 4 6 0 0
with draining sinus
M866 Other chronic
0 0 0 0 0 0 3 4 2 1 1 4 0 3 0 0 2 1 2 2 10 15 25 0 0
osteomyelitis
M868 Other osteomyelitis 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
M869 Osteomyelitis,
0 0 0 0 1 0 4 8 3 5 3 5 3 3 1 8 0 3 1 2 16 34 50 1 0
unspecified
M87 Osteonecrosis 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1
M870 Idiopathic aseptic
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
necrosis of bone
M879 Osteonecrosis,
0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 0 0 4 4 0 0
unspecified
M89 Other disorders of bone 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0

M892 Other disorders of bone

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
development and growth
M898 Other specified disorders
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
of bone
M899 Disorder of bone,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
unspecified
M904 Osteonecrosis due to
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
haemoglobinopathy
M91 Juvenile osteochondrosis
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
of hip and pelvis

M911 Juvenile osteochondrosis

of head of femur [Legg-Calv�- 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
Perthes]
M918 Other juvenile
osteochondrosis of hip and 0 0 0 0 0 0 1 0 0 6 0 1 2 6 0 4 0 0 0 0 3 17 20 0 0
pelvis
M925 Juvenile osteochondrosis
0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 2 0 0
of tibia and fibula

M927 Juvenile osteochondrosis

0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 2 1 0
of metatarsus

M930 Slipped upper femoral

0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
epiphysis (nontraumatic)
M932 Osteochondritis
0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
dissecans
M939 Osteochondropathy,
0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 0 0 0 3 1 4 0 0
unspecified
M94 Other disorders of
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
cartilage
M95 Other acquired
deformities of musculoskeletal 0 0 0 0 0 0 3 2 7 0 5 7 6 3 3 5 6 7 3 8 33 32 65 1 0
system and connective tissue
M950 Acquired deformity of
0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 2 2 4 0 0
nose
M961 Postlaminectomy
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
syndrome, NEC
M966 Fracture of bone
following insertion of
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 2 0 0
orthopaedic implant, joint
prosthesis, or bone plate
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

M991 Subluxation complex

0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 1 7 0 1 1 12 13 0 0
(vertebral)
M995 Intervertebral disc
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
stenosis of neural canal
N00 Acute nephritic syndrome 0 0 2 1 1 4 8 22 3 3 14 0 8 0 2 3 0 2 3 1 41 36 77 1 0
N000 Acute nephritic
syndrome, minor glomerular 0 0 0 0 0 0 0 1 0 1 1 0 2 0 0 0 1 0 1 0 5 2 7 0 0
abnormality
N004 Acute nephritic
syndrome, diffuse endocapillary 0 0 0 0 0 0 1 2 1 2 0 1 4 2 1 0 0 0 2 0 9 7 16 0 0
proliferative glomerulonephritis
N005 Acute nephritic
syndrome, diffuse
0 0 0 0 0 0 0 1 1 0 1 1 0 0 2 0 1 0 0 0 5 2 7 0 0
mesangiocapillary
glomerulonephritis
N008 Acute nephritic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 1 2 3 0 0
syndrome, other
N009 Acute nephritic
0 0 0 0 0 1 1 2 0 0 0 1 0 0 0 0 0 1 0 0 1 5 6 0 0
syndrome, unspecified
N01 Rapidly progressive
0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0
nephritic syndrome
N014 Rapidly progressive
nephritic syndrome, diffuse
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
endocapillary proliferative
glomerulonephritis
N019 Rapidly progressive
nephritic syndrome, 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
N02 Recurrent and persistent
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
haematuria
N020 Recurrent and persistent
haematuria, minor glomerular 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
abnormality
N022 Recurrent and persistent
haematuria, diffuse
0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 0 1 0 0 0 5 5 0 0
membranous
glomerulonephritis

N023 Recurrent and persistent

haematuria, diffuse mesangial 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 2 1 3 0 0
proliferative glomerulonephritis

N028 Recurrent and persistent

0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 1 0 3 2 5 0 0
haematuria, other
N03 Chronic nephritic
0 0 0 0 0 0 0 0 0 0 1 1 1 2 0 4 1 3 1 2 4 12 16 0 0
syndrome
N030 Chronic nephritic
syndrome, minor glomerular 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
abnormality
N032 Chronic nephritic
syndrome, diffuse membranous 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 1 1 0 0 2 4 6 0 0
glomerulonephritis
N039 Chronic nephritic
0 0 0 0 0 1 1 0 1 0 3 1 3 1 3 1 5 0 1 3 17 7 24 0 0
syndrome, unspecified
N04 Nephrotic syndrome 0 2 1 10 43 61 83 111 9 13 25 18 23 11 13 5 5 12 7 16 209 259 468 0 7
N040 Nephrotic syndrome,
0 0 0 0 0 0 1 0 2 5 4 9 4 4 2 2 3 3 0 3 16 26 42 0 0
minor glomerular abnormality

N043 Nephrotic syndrome,

diffuse mesangial proliferative 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
glomerulonephritis
N049 Nephrotic syndrome,
0 0 0 0 0 2 4 5 1 0 4 2 4 1 1 2 0 3 1 0 15 15 30 1 0
unspecified
N05 Unspecified nephritic
2 4 16 4 69 30 119 158 55 54 46 30 89 67 85 75 56 77 115 80 652 579 1231 1 0
syndrome
N050 Unspecified nephritic
syndrome, minor glomerular 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 2 2 4 0 0
abnormality
N059 Unspecified nephritic
0 0 0 0 0 0 3 2 1 0 0 0 0 0 0 0 1 0 0 0 5 2 7 0 0
syndrome, unspecified

N073 Hereditary nephropathy,

NEC, diffuse mesangial 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
proliferative glomerulonephritis

N08 Glomerular disorders in

0 0 0 0 0 0 3 5 1 1 0 1 0 1 0 0 0 0 0 0 4 8 12 0 0
diseases classified elsewhere
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

N10 Acute tubulo-interstitial

0 0 0 0 1 0 1 6 12 0 18 2 7 6 4 4 1 0 8 4 52 22 74 0 0
nephritis
N11 Chronic tubulo-interstitial
0 0 1 0 0 2 0 1 3 0 3 0 0 1 1 2 1 0 0 2 9 8 17 0 0
nephritis
N110 Nonobstructive reflux-
associated chronic 0 0 0 0 0 2 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 4 5 0 0
pyelonephritis
N111 Chronic obstructive
0 0 0 0 0 0 0 0 0 0 4 2 0 0 1 1 4 1 0 1 9 5 14 0 0
pyelonephritis
N119 Chronic tubulo-interstitial
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 8 1 2 4 10 14 0 1
nephritis, unspecified
N12 Tubulo-interstitial
nephritis, not specified as acute 0 0 0 0 2 3 7 6 9 3 27 5 19 2 8 3 4 0 8 3 84 25 109 0 0
or chronic
N13 Obstructive and reflux
0 0 0 0 0 0 0 1 0 0 1 0 0 1 2 0 4 0 0 0 7 2 9 0 0
uropathy
N130 Hydronephrosis with
ureteropelvic junction 0 1 0 6 1 5 5 11 1 0 4 3 2 1 0 0 0 2 1 1 14 30 44 0 0
obstruction
N131 Hydronephrosis with
0 0 0 0 0 2 0 2 0 0 0 1 0 0 1 0 0 0 0 2 1 7 8 0 0
ureteral stricture, NEC
N132 Hydronephrosis with
renal and ureteral calculous 0 1 2 11 1 8 2 2 0 0 3 7 5 2 2 10 1 4 1 0 17 45 62 0 0
obstruction
N133 Other and unspecified
0 1 1 2 0 0 0 1 3 0 2 3 4 2 6 1 2 2 5 3 23 15 38 0 0
hydronephrosis
N134 Hydroureter 0 1 0 4 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 8 8 0 0
N135 Kinking and stricture of
0 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 3 0 0 0 6 1 7 0 0
ureter without hydronephrosis
N136 Pyonephrosis 0 0 0 1 0 1 2 1 1 0 3 0 1 2 3 0 2 1 1 0 13 6 19 0 0
N138 Other obstructive and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
reflux uropathy
N139 Obstructive and reflux
0 0 0 0 0 0 1 0 0 0 1 1 2 3 2 2 2 2 1 0 9 8 17 0 0
uropathy, unspecified

N14 Drug- and heavy-metal-

induced tubulo-interstitial and 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
tubular conditions

N142 Nephropathy induced by

unspecified drug, medicament 0 0 0 0 0 0 0 0 2 0 0 1 1 0 0 2 0 2 2 1 5 6 11 0 0
or biological substance
N143 Nephropathy induced by
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
heavy metals
N15 Other renal tubulo-
0 0 0 0 0 0 0 0 3 0 12 4 2 2 0 1 4 0 2 1 23 8 31 0 0
interstitial diseases
N151 Renal and perinephric
0 1 0 0 0 0 0 0 0 1 0 0 0 3 0 0 0 1 1 0 1 6 7 0 0
abscess
N159 Renal tubulo-interstitial
0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 2 3 3 3 8 11 0 0
disease, unspecified
N17 Acute renal failure 0 0 2 8 57 18 34 28 29 24 34 69 63 59 83 52 74 95 126 108 502 461 963 2 3
N170 Acute renal failure with
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 3 0 3 0 0
tubular necrosis
N171 Acute renal failure with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
acute cortical necrosis
N172 Acute renal failure with
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
medullary necrosis
N179 Acute renal failure,
0 0 0 0 0 0 0 2 0 1 6 9 8 6 5 8 3 18 20 27 42 71 113 1 7
unspecified
N18 Chronic renal failure 0 0 0 0 0 1 2 2 0 9 9 29 33 39 47 50 45 82 123 191 259 403 662 15 13
N18.0 End-stage renal disease 0 0 0 0 0 0 0 0 0 0 0 4 0 1 1 2 2 2 4 7 7 16 23 0 0
N18.8 Other chronic renal
0 0 0 0 1 0 0 0 1 2 6 6 11 5 4 8 5 11 13 26 41 58 99 1 3
failure
N189 Chronic renal failure,
0 0 0 0 0 0 0 1 4 6 10 7 8 8 14 21 10 31 28 50 74 124 198 4 7
unspecified
N19 Unspecified renal failure 0 0 0 0 0 0 1 0 2 2 5 7 4 7 7 9 6 8 8 10 33 43 76 0 0
N20 Calculus of kidney and
0 0 0 1 1 4 4 6 15 25 95 95 93 97 56 61 42 41 26 34 332 364 696 0 0
ureter
N200 Calculus of kidney 0 0 0 1 1 7 9 29 36 45 175 237 187 236 128 226 108 144 55 98 699 1023 1722 3 3
N201 Calculus of ureter 0 0 0 0 0 0 5 7 14 9 71 83 52 69 33 71 35 31 15 40 225 310 535 0 0
N202 Calculus of kidney with
0 0 0 0 1 1 0 0 0 1 1 3 1 3 1 1 0 1 1 3 5 13 18 0 0
calculus of ureter
N209 Urinary calculus,
0 0 0 0 1 1 1 0 14 7 48 30 49 23 42 37 20 21 23 19 198 138 336 0 0
unspecified
N21 Calculus of lower urinary
0 0 0 0 1 1 1 4 0 1 1 1 1 6 1 4 2 7 1 6 8 30 38 0 0
tract
N210 Calculus in bladder 0 0 0 0 0 0 0 0 1 1 2 2 1 2 1 1 0 0 0 2 5 8 13 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

N211 Calculus in urethra 0 0 0 0 0 1 0 4 0 0 2 3 1 4 3 2 1 3 0 2 7 19 26 0 0

N218 Other lower urinary tract
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
calculus
N219 Calculus of lower urinary
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
tract, unspecified
N22 Calculus of urinary tract in
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
diseases classified elsewhere

N23 Unspecified renal colic 0 0 0 0 0 0 1 6 14 9 54 51 48 49 30 33 8 14 18 16 173 178 351 0 1

N250 Renal osteodystrophy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 2 0 0

N251 Nephrogenic diabetes
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
insipidus
N258 Other disorders resulting
from impaired renal tubular 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1
function
N259 Disorder resulting from
impaired renal tubular function, 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
unspecified
N26 Unspecified contracted
0 0 0 0 0 0 0 1 0 1 2 0 0 0 1 0 1 0 0 0 4 2 6 0 0
kidney
N27 Small kidney of unknown
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
cause
N28 Other disorders of kidney
0 0 0 0 0 1 0 0 0 0 0 0 2 4 1 2 2 2 5 3 10 12 22 0 1
and ureter, NEC
N281 Cyst of kidney, acquired 0 0 0 0 0 0 1 1 0 1 3 1 0 1 2 0 2 1 1 5 9 10 19 0 2

N288 Other specified disorders

0 0 0 0 0 0 0 0 0 0 1 1 1 2 0 2 0 0 1 2 3 7 10 0 0
of kidney and ureter
N289 Disorder of kidney and
0 0 0 0 0 0 1 5 2 0 3 4 3 5 10 13 2 9 11 15 32 51 83 1 2
ureter, unspecified
N29 Other disorders of kidney
and ureter in diseases classified 0 0 0 0 1 1 1 3 10 9 15 7 5 2 5 1 4 0 8 2 49 25 74 0 0
elsewhere
N30 Cystitis 1 1 2 2 4 5 3 5 1 0 7 3 1 2 2 0 7 0 2 2 30 20 50 0 0
N300 Acute cystitis 2 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 4 3 7 0 0
N308 Other cystitis 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 1 1 3 4 0 0
N309 Cystitis, unspecified 0 2 0 0 1 2 2 2 1 0 2 1 1 1 0 5 0 0 0 5 7 18 25 0 1
N31 Neuromuscular
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
dysfunction of bladder, NEC
N319 Neuromuscular
dysfunction of bladder, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
N32 Other disorders of bladder 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

N320 Bladder-neck obstruction 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 1 2 1 6 7 0 0

N321 Vesicointestinal fistula 0 0 0 0 0 0 1 0 0 0 7 1 6 0 2 0 0 0 0 0 16 1 17 0 0

N328 Other specified disorders
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 1 0 1 3 4 1 0
of bladder
N329 Bladder disorder,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 9 0 10 10 0 0
unspecified
N33 Bladder disorders in
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 0 2 0 0
diseases classified elsewhere
N34 Urethritis and urethral
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 1 2 2 4 0 0
syndrome
N340 Urethral abscess 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 3 0 0
N341 Nonspecific urethritis 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
N342 Other urethritis 0 0 1 1 1 1 2 6 0 0 0 1 0 0 0 0 0 0 0 0 4 9 13 0 0
N343 Urethral syndrome,
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
N35 Urethral stricture 0 0 0 0 0 0 0 3 0 4 1 10 0 14 3 11 0 7 0 16 4 65 69 0 0
N350 Post-traumatic urethral
0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 1 1 0 1 4 5 0 0
stricture
N351 Postinfective urethral
0 0 0 0 0 0 0 0 1 1 1 1 5 0 0 0 0 0 2 1 9 3 12 0 0
stricture, NEC
N358 Other urethral stricture 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
N359 Urethral stricture,
0 1 0 0 0 1 0 1 1 0 4 4 1 3 1 2 1 2 4 8 12 22 34 0 1
unspecified
N36 Other disorders of urethra 0 1 0 0 0 0 0 0 0 0 2 3 0 0 1 0 0 1 0 3 3 8 11 0 0
N360 Urethral fistula 1 1 0 3 0 7 0 4 0 0 1 3 0 2 0 0 0 0 0 3 2 23 25 0 0
N362 Urethral caruncle 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 0 1 1 0 3 3 6 0 0
N363 Prolapsed urethral
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 0 3 0 0
mucosa
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

N368 Other specified disorders

0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 3 1 4 0 0
of urethra
N369 Urethral disorder,
0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 4 5 0 0
unspecified
N370 Urethritis in diseases
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
classified elsewhere
N39 Other disorders of urinary
22 12 89 100 142 159 254 234 426 158 1080 267 576 293 411 270 372 227 644 566 4016 2286 6302 53 32
system
N390 Urinary tract infection,
1 5 32 33 71 73 168 110 277 51 602 122 308 90 253 133 187 103 317 286 2216 1006 3222 23 9
site not specified
N391 Persistent proteinuria,
0 0 0 0 0 1 0 1 1 0 3 0 0 0 1 1 1 0 1 0 7 3 10 0 0
unspecified
N392 Orthostatic proteinuria,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
N393 Stress incontinence 0 0 0 0 0 0 0 0 0 0 2 0 4 0 2 0 0 0 0 0 8 0 8 0 0
N394 Other specified urinary
1 0 0 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 2 1 7 1 8 0 0
incontinence
N398 Other specified disorders
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0
of urinary system
N399 Disorder of urinary
0 0 3 6 2 3 1 2 13 0 33 3 18 3 12 1 7 1 6 6 95 25 120 0 0
system, unspecified
N40 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 1 2 0 3 1 10 0 60 12 352 14 427 441 0 3
N41 Inflammatory diseases of
0 0 0 0 0 1 1 1 2 10 6 72 4 71 8 129 7 159 14 344 42 787 829 1 1
prostate
N410 Acute prostatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 9 0 30 0 41 41 0 0
N412 Abscess of prostate 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
N419 Inflammatory disease of
0 0 0 0 0 0 0 0 0 1 0 2 0 1 0 2 0 1 0 9 0 16 16 0 0
prostate, unspecified

N42 Other disorders of prostate 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 4 4 0 0

N420 Calculus of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
N429 Disorder of prostate,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
unspecified
N43 Hydrocele and
0 2 0 8 0 118 0 124 0 63 0 126 0 183 0 167 0 160 0 148 0 1099 1099 0 0
spermatocele
N430 Encysted hydrocele 0 0 0 0 0 0 0 1 0 0 0 1 0 3 0 0 0 1 0 1 0 7 7 0 0
N431 Infected hydrocele 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 4 0 1 0 9 9 0 0
N432 Other hydrocele 0 0 0 2 0 2 0 6 0 0 0 0 0 1 0 1 0 2 0 3 0 17 17 0 0
N433 Hydrocele, unspecified 0 0 0 0 0 10 0 31 0 16 0 54 0 55 0 65 0 52 0 63 0 346 346 0 0
N44 Torsion of testis 0 0 0 0 0 2 0 5 0 4 0 5 0 0 0 0 0 0 0 0 0 16 16 0 0
N45 Orchitis and epididymitis 0 0 0 0 0 2 0 6 0 5 0 14 0 7 0 7 0 8 0 6 0 55 55 0 0

N450 Orchitis, epididymitis and

0 0 0 2 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 4 4 0 0
epididymo-orchitis with abscess
N459 Orchitis, epididymitis and
epididymo-orchitis without 0 0 0 1 0 0 0 3 0 5 0 8 0 5 0 2 0 2 0 5 0 31 31 0 0
abscess
N47 Redundant prepuce,
0 3 0 16 0 91 0 232 0 34 0 60 0 35 0 27 0 24 0 29 0 551 551 0 0
phimosis and paraphimosis

N48 Other disorders of penis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

N480 Leukoplakia of penis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

N481 Balanoposthitis 0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 4 4 0 0
N488 Other specified disorders
0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
of penis
N49 Inflammatory disorders of
0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
male genital organs, NEC

N490 Inflammatory disorders of

0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
seminal vesicle
N492 Inflammatory disorders of
0 0 0 1 0 1 0 1 0 1 0 0 0 1 0 3 0 0 0 3 0 11 11 0 0
scrotum
N498 Inflammatory disorders of
other specified male genital 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 2 0 0
organs

N499 Inflammatory disorder of

0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
unspecified male genital organ
N50 Other disorders of male
0 0 0 0 0 0 0 2 0 2 0 2 0 5 0 3 0 3 0 3 0 20 20 0 0
genital organs
N501 Vascular disorders of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
male genital organs
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

N508 Other specified disorders

0 0 0 0 0 2 0 8 0 5 0 4 0 3 0 2 0 1 0 2 0 27 27 0 0
of male genital organs

N509 Disorder of male genital

0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
organs, unspecified
N51 Disorders of male genital
organs in diseases classified 0 6 0 6 0 3 0 20 0 8 0 40 0 6 0 3 0 2 0 11 0 105 105 0 0
elsewhere
N511 Disorders of testis and
epididymis in diseases classified 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
elsewhere
N512 Balanitis in diseases
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
classified elsewhere
N600 Solitary cyst of breast 0 0 0 0 0 0 1 1 0 4 3 2 1 1 0 3 1 2 0 1 6 14 20 0 0

N601 Diffuse cystic mastopathy 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0

N602 Fibroadenosis of breast 0 0 0 0 0 0 0 0 3 0 2 0 0 0 1 0 0 0 0 0 6 0 6 0 0

N604 Mammary duct ectasia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0

N61 Inflammatory disorders of
0 0 0 0 0 1 2 1 68 2 171 2 60 1 39 0 29 0 13 0 382 7 389 4 0
breast
N62 Hypertrophy of breast 0 0 0 0 0 0 0 0 0 5 2 4 0 1 1 2 1 0 0 0 4 12 16 0 0
N63 Unspecified lump in breast 1 0 0 0 0 0 2 0 12 1 39 3 16 3 12 2 5 1 1 0 88 10 98 0 0

N64 Other disorders of breast 0 0 0 0 0 0 0 0 3 0 3 0 1 0 0 0 0 0 0 0 7 0 7 0 0

N640 Fissure and fistula of
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
nipple
N644 Mastodynia 0 0 0 0 0 0 0 0 1 0 2 0 1 0 0 0 0 0 0 0 4 0 4 0 0
N648 Other specified disorders
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
of breast
N701 Chronic salpingitis and
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
oophoritis
N709 Salpingitis and oophoritis,
0 0 0 0 0 0 0 0 2 0 2 0 4 0 2 0 0 0 1 0 11 0 11 0 0
unspecified
N71 Inflammatory disease of
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 2 0 0
uterus, except cervix
N710 Acute inflammatory
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 0
disease of uterus
N719 Inflammatory disease of
0 0 0 0 0 0 0 0 0 0 1 0 5 0 1 0 1 0 0 0 8 0 8 0 0
uterus, unspecified
N72 Inflammatory disease of
0 0 1 0 0 0 0 0 13 0 80 0 58 0 141 0 74 0 22 0 389 0 389 0 0
cervix uteri
N73 Other female pelvic
0 0 0 0 2 0 2 0 30 0 97 0 93 0 71 0 34 0 18 0 347 0 347 0 0
inflammatory diseases
N730 Acute parametritis and
0 0 0 0 0 0 0 0 0 0 1 0 2 0 1 0 0 0 0 0 4 0 4 0 0
pelvic cellulitis
N733 Female acute pelvic
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
peritonitis
N734 Female chronic pelvic
0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 0 0 0 0 4 0 4 0 0
peritonitis
N735 Female pelvic peritonitis,
0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 0 2 0 0
unspecified
N736 Female pelvic peritoneal
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
adhesions
N738 Other specified female
0 0 0 0 0 0 0 0 2 0 7 0 17 0 8 0 5 0 4 0 43 0 43 0 0
pelvic inflammatory diseases
N739 Female pelvic
inflammatory disease, 0 0 0 0 0 0 0 0 2 0 10 0 7 0 12 0 7 0 5 0 43 0 43 1 0
unspecified
N74 Female pelvic
inflammatory disorders in 0 0 0 0 1 0 0 0 4 0 9 0 3 0 1 0 2 0 1 0 21 0 21 0 0
diseases classified elsewhere
N740 Tuberculous infection of
0 0 0 0 0 0 2 0 1 0 2 0 4 0 2 0 3 0 0 0 14 0 14 0 0
cervix uteri
N75 Diseases of Bartholin's
0 0 1 0 0 0 1 0 4 0 16 0 7 0 16 0 10 0 5 0 60 0 60 0 0
gland
N750 Cyst of Bartholin's gland 0 0 0 0 0 0 0 0 2 0 6 0 6 0 3 0 1 0 1 0 19 0 19 0 0
N751 Abscess of Bartholin's
0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 3 0 3 0 0
gland
N759 Disease of Bartholin's
0 0 0 0 0 0 1 0 4 0 22 0 17 0 12 0 8 0 2 0 66 0 66 0 0
gland, unspecified
N76 Other inflammation of
0 0 0 0 0 0 0 0 2 0 26 0 24 0 29 0 9 0 12 0 102 0 102 0 0
vagina and vulva
N760 Acute vaginitis 0 0 0 0 0 0 1 0 5 0 35 0 29 0 84 0 32 0 27 0 213 0 213 0 0
N762 Acute vulvitis 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
N764 Abscess of vulva 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 3 0 3 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

N766 Ulceration of vulva 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 1 0 4 0 4 0 0

N768 Other specified
inflammation of vagina and 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
vulva
N80 Endometriosis 0 0 0 0 0 0 0 0 18 0 63 0 21 0 8 0 5 0 3 0 118 0 118 0 0
N800 Endometriosis of uterus 0 0 0 0 0 0 0 0 0 0 0 0 4 0 17 0 5 0 2 0 28 0 28 0 0

N801 Endometriosis of ovary 0 0 0 0 0 0 0 0 0 0 2 0 3 0 2 0 0 0 0 0 7 0 7 0 0

N809 Endometriosis,
0 0 0 0 0 0 0 0 0 0 1 0 3 0 1 0 0 0 0 0 5 0 5 0 0
unspecified
N81 Female genital prolapse 0 0 0 0 0 0 0 0 15 0 72 0 55 0 107 0 118 0 105 0 472 0 472 0 0
N810 Female urethrocele 2 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 1 0 6 0 6 0 0
N811 Cystocele 0 0 0 0 0 0 1 0 3 0 34 0 38 0 67 0 48 0 39 0 230 0 230 0 0
N812 Incomplete uterovaginal
0 0 0 0 0 0 0 0 0 0 1 0 2 0 6 0 7 0 6 0 22 0 22 0 0
prolapse
N813 Complete uterovaginal
0 0 0 0 0 0 0 0 0 0 0 0 7 0 8 0 14 0 33 0 62 0 62 0 0
prolapse
N814 Uterovaginal prolapse,
0 0 0 0 0 0 0 0 1 0 1 0 43 0 110 0 188 0 252 0 595 0 595 1 0
unspecified
N816 Rectocele 0 0 0 0 0 0 0 0 0 0 5 0 4 0 18 0 9 0 18 0 54 0 54 0 0
N818 Other female genital
0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 3 0 7 0 7 0 0
prolapse
N819 Female genital prolapse,
0 0 0 0 0 0 0 0 1 0 5 0 2 0 7 0 8 0 9 0 32 0 32 0 0
unspecified
N82 Fistulae involving female
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
genital tract
N822 Fistula of vagina to small
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 2 0 0
intestine
N823 Fistula of vagina to large
0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 3 0 3 0 0
intestine
N829 Female genital tract
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
fistula, unspecified
N83 Noninflammatory
disorders of ovary, fallopian 0 0 0 0 0 0 0 0 6 0 32 0 38 0 20 0 7 0 6 0 109 0 109 0 0
tube and broad ligament

N830 Follicular cyst of ovary 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 0 0 0 0 5 0 5 0 0

N831 Corpus luteum cyst 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
N832 Other and unspecified
0 0 1 0 1 0 5 0 26 0 112 0 120 0 131 0 40 0 29 0 465 0 465 0 0
ovarian cysts
N833 Acquired atrophy of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
ovary and fallopian tube
N835 Torsion of ovary, ovarian
0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 3 0 0
pedicle and fallopian tube
N837 Haematoma of broad
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 3 0 3 0 0
ligament

N838 Other noninflammatory

disorders of ovary, fallopian 0 0 0 0 0 0 0 0 0 0 2 0 2 0 1 0 0 0 0 0 5 0 5 0 0
tube and broad ligament

N839 Noninflammatory
disorder of ovary, fallopian
0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 3 0 3 0 0
tube and broad ligament,
unspecified
N84 Polyp of female genital
0 0 0 0 0 0 0 0 0 0 0 0 7 0 1 0 2 0 1 0 11 0 11 0 0
tract
N840 Polyp of corpus uteri 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 0 1 0 1 0 8 0 8 0 0
N841 Polyp of cervix uteri 0 0 0 0 0 0 0 0 1 0 13 0 28 0 75 0 34 0 7 0 158 0 158 0 0
N842 Polyp of vagina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
N85 Other noninflammatory
disorders of uterus, except 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 2 0 7 0 7 0 0
cervix
N850 Endometrial glandular
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 0
hyperplasia
N851 Endometrial
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
adenomatous hyperplasia
N852 Hypertrophy of uterus 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 3 0 0 0 6 0 6 0 0

N854 Malposition of uterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0

N857 Haematometra 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
N858 Other specified
noninflammatory disorders of 0 0 0 0 0 0 1 0 0 0 0 0 4 0 1 0 0 0 1 0 7 0 7 0 0
uterus
N859 Noninflammatory
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
disorder of uterus, unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

N86 Erosion and ectropion of

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
cervix uteri
N870 Mild cervical dysplasia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
N871 Moderate cervical
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
dysplasia
N881 Old laceration of cervix
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
uteri
N883 Incompetence of cervix
0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 0 3 0 0
uteri
N888 Other specified
noninflammatory disorders of 0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 0 0 0 1 0 5 0 5 0 0
cervix uteri
N89 Other noninflammatory
0 0 0 0 0 0 5 0 1 0 5 0 3 0 1 0 1 0 0 0 16 0 16 0 0
disorders of vagina
N897 Haematocolpos 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
N898 Other specified
noninflammatory disorders of 0 0 0 0 0 0 0 0 1 0 7 0 11 0 4 0 2 0 2 0 27 0 27 0 0
vagina
N899 Noninflammatory
0 0 0 0 0 0 0 0 7 0 13 0 4 0 1 0 0 0 0 0 25 0 25 0 0
disorder of vagina, unspecified

N90 Other noninflammatory

disorders of vulva and 0 0 0 0 0 0 0 0 0 0 3 0 0 0 2 0 0 0 0 0 5 0 5 0 0
perineum

N900 Mild vulvar dysplasia 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0

N906 Hypertrophy of vulva 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 3 0 3 0 0

N907 Vulvar cyst 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
N908 Other specified
noninflammatory disorders of 0 0 0 0 0 0 2 0 4 0 8 0 1 0 1 0 1 0 1 0 18 0 18 0 0
vulva and perineum
N909 Noninflammatory
disorder of vulva and perineum, 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
N91 Absent, scanty and rare
0 0 0 0 0 0 1 0 3 0 63 0 58 0 10 0 4 0 3 0 142 0 142 0 0
menstruation
N910 Primary amenorrhoea 0 0 0 0 0 0 0 0 2 0 35 0 30 0 2 0 3 0 0 0 72 0 72 0 0

N911 Secondary amenorrhoea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0

N912 Amenorrhoea,
0 0 0 0 0 0 2 0 45 0 293 0 210 0 88 0 42 0 32 0 712 0 712 0 0
unspecified
N915 Oligomenorrhoea,
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 0 2 0 0
unspecified
N92 Excessive, frequent and
0 0 0 0 0 0 4 0 232 0 501 0 124 0 22 0 8 0 1 0 892 0 892 2 0
irregular menstruation
N920 Excessive and frequent
0 0 0 0 0 0 1 0 4 0 13 0 9 0 13 0 2 0 0 0 42 0 42 0 0
menstruation with regular cycle
N921 Excessive and frequent
menstruation with irregular 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
cycle
N922 Excessive menstruation at
0 0 0 0 0 0 8 0 8 0 0 0 0 0 0 0 0 0 0 0 16 0 16 0 0
puberty
N923 Ovulation bleeding 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
N924 Excessive bleeding in the
0 0 0 0 0 0 1 0 2 0 1 0 1 0 7 0 3 0 0 0 15 0 15 0 0
premenopausal period
N926 Irregular menstruation,
0 0 0 0 0 0 6 0 29 0 101 0 94 0 170 0 58 0 5 0 463 0 463 0 0
unspecified
N93 Other abnormal uterine
0 0 0 0 0 0 7 0 105 0 413 0 288 0 327 0 149 0 94 0 1383 0 1383 0 0
and vaginal bleeding
N930 Postcoital and contact
0 0 0 0 0 0 0 0 0 0 5 0 2 0 1 0 0 0 1 0 9 0 9 1 0
bleeding
N938 Other specified abnormal
0 0 0 0 0 0 1 0 3 0 9 0 6 0 4 0 0 0 0 0 23 0 23 0 0
uterine and vaginal bleeding

N939 Abnormal uterine and

0 0 0 0 0 0 3 0 21 0 122 0 88 0 100 0 42 0 38 0 414 0 414 0 0
vaginal bleeding, unspecified

N94 Pain and other conditions

associated with female genital 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 4 0 4 0 0
organs and menstrual cycle
N940 Mittelschmerz 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
N942 Vaginismus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
N943 Premenstrual tension
0 0 0 0 0 0 1 0 30 0 96 0 40 0 35 0 24 0 12 0 238 0 238 0 0
syndrome
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

N944 Primary dysmenorrhoea 0 0 0 0 0 0 0 0 4 0 9 0 8 0 5 0 9 0 0 0 35 0 35 0 0

N946 Dysmenorrhoea,
0 0 0 0 0 0 2 0 9 0 25 0 21 0 24 0 7 0 9 0 97 0 97 0 0
unspecified
N948 Other specified
conditions associated with
0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 2 0 5 0 5 0 0
female genital organs and
menstrual cycle
N95 Menopausal and other
0 0 0 0 0 0 1 0 3 0 2 0 2 0 2 0 3 0 1 0 14 0 14 0 0
perimenopausal disorders

N950 Postmenopausal bleeding 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 1 0 5 0 5 1 0

N952 Postmenopausal atrophic
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
vaginitis
N959 Menopausal and
perimenopausal disorder, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 2 0 0
unspecified
N96 Habitual aborter 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
N97 Female infertility 0 0 0 0 0 0 0 0 1 0 10 0 5 0 1 0 0 0 1 0 18 0 18 0 0
N971 Female infertility of tubal
0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 7 0 7 0 0
origin
N979 Female infertility,
0 0 0 0 0 0 0 0 0 0 1 0 6 0 0 0 0 0 0 0 7 0 7 0 0
unspecified
N98 Complications associated
0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 3 0 3 0 0
with artificial fertilization

N99 Postprocedural disorders

13 1 6 1 2 0 1 4 4 1 21 2 22 0 18 3 3 0 8 2 98 14 112 0 0
of genitourinary system, NEC
N990 Postprocedural renal
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
failure
N992 Postoperative adhesions
0 0 0 0 0 0 0 0 0 0 1 0 4 0 2 0 1 0 1 0 9 0 9 0 0
of vagina
N993 Prolapse of vaginal vault
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 4 0 5 0 5 0 0
after hysterectomy
N998 Other postprocedural
disorders of genitourinary 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 2 3 0 0
system
O00 Ectopic pregnancy 0 0 0 0 0 0 0 0 11 0 107 0 78 0 18 0 5 0 2 0 221 0 221 0 0
O000 Abdominal pregnancy 0 0 0 0 0 0 0 0 6 0 48 0 22 0 1 0 0 0 0 0 77 0 77 0 0
O001 Tubal pregnancy 0 0 0 0 0 0 0 0 0 0 6 0 6 0 0 0 0 0 0 0 12 0 12 0 0
O008 Other ectopic pregnancy 0 0 0 0 0 0 0 0 3 0 26 0 7 0 2 0 1 0 0 0 39 0 39 0 0
O009 Ectopic pregnancy,
0 0 3 0 8 0 3 0 12 0 81 0 57 0 13 0 1 0 3 0 181 0 181 12 0
unspecified
O01 Hydatidiform mole 0 0 0 0 0 0 0 0 10 0 26 0 10 0 4 0 3 0 0 0 53 0 53 0 0
O011 Incomplete and partial
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
hydatidiform mole
O019 Hydatidiform mole,
0 0 0 0 0 0 0 0 22 0 112 0 31 0 15 0 16 0 0 0 196 0 196 0 0
unspecified
O02 Other abnormal products
0 0 0 0 0 0 0 0 16 0 150 0 63 0 4 0 0 0 0 0 233 0 233 10 0
of conception
O020 Blighted ovum and
0 0 0 0 0 0 0 0 21 0 73 0 25 0 5 0 0 0 0 0 124 0 124 0 0
nonhydatidiform mole
O021 Missed abortion 0 0 0 0 0 0 2 0 31 0 168 0 88 0 18 0 9 0 3 0 319 0 319 0 0
O028 Other specified abnormal
0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 1 0 0 0 4 0 4 0 0
products of conception

O029 Abnormal product of

0 0 0 0 0 0 0 0 0 0 5 0 3 0 0 0 0 0 0 0 8 0 8 0 0
conception, unspecified

O03 Spontaneous abortion 0 0 0 0 0 0 1 0 40 0 239 0 113 0 23 0 3 0 1 0 420 0 420 0 0

O030 Spontaneous abortion,
incomplete, complicated by
0 0 0 0 0 0 0 0 3 0 10 0 9 0 2 0 0 0 0 0 24 0 24 0 0
genital tract and pelvic
infection
O031 Spontaneous abortion,
incomplete, complicated by
0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 3 0 3 0 0
delayed or excessive
haemorrhage
O033 Spontaneous abortion,
incomplete, with other and 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0 0 0 0 0 0 5 0 5 0 0
unspecified complications
O034 Spontaneous abortion,
incomplete, without 0 0 0 0 0 0 0 0 10 0 42 0 29 0 5 0 0 0 0 0 86 0 86 1 0
complication
O038 Spontaneous abortion,
complete or unspecified, with
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
other and unspecified
complications
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

O039 Spontaneous abortion,

complete or unspecified, 0 0 0 0 0 0 0 0 3 0 9 0 4 0 1 0 0 0 0 0 17 0 17 1 0
without complication
O04 Medical abortion 0 0 0 0 0 0 1 0 24 0 111 0 66 0 20 0 1 0 1 0 224 0 224 0 0
O040 Medical abortion,
incomplete, complicated by
0 0 0 0 0 0 0 0 4 0 5 0 2 0 0 0 0 0 0 0 11 0 11 0 0
genital tract and pelvic
infection
O041 Medical abortion,
incomplete, complicated by
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 0 2 0 0
delayed or excessive
haemorrhage
O045 Medical abortion,
complete or unspecified,
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
complicated by genital tract
and pelvic infection
O047 Medical abortion,
complete or unspecified, 0 0 0 0 0 0 0 0 2 0 6 0 0 0 0 0 0 0 0 0 8 0 8 0 0
complicated by embolism
O048 Medical abortion,
complete or unspecified, with
0 0 0 0 0 0 0 0 0 0 3 0 4 0 1 0 0 0 0 0 8 0 8 0 0
other and unspecified
complications
O049 Medical abortion,
complete or unspecified, 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 0 2 0 0
without complication
O05 Other abortion 0 0 0 0 0 0 0 0 14 0 74 0 27 0 10 0 2 0 1 0 128 0 128 0 0
O050 Other abortion,
incomplete, complicated by
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
genital tract and pelvic
infection
O051 Other abortion,
incomplete, complicated by
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
delayed or excessive
haemorrhage
O053 Other abortion,
incomplete, with other and 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified complications
O054 Other abortion,
incomplete, without 0 0 0 0 0 0 0 0 16 0 56 0 17 0 8 0 0 0 0 0 97 0 97 0 0
complication
O056 Other abortion, complete
or unspecified, complicated by
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
delayed or excessive
haemorrhage
O058 Other abortion, complete
or unspecified, with other and 0 0 0 0 0 0 0 0 1 0 1 0 2 0 0 0 0 0 0 0 4 0 4 0 0
unspecified complications
O059 Other abortion, complete
or unspecified, without 0 0 0 0 0 0 1 0 2 0 10 0 1 0 0 0 0 0 0 0 14 0 14 0 0
complication
O06 Unspecified abortion 0 0 0 0 0 0 1 0 240 0 1228 0 444 0 58 0 3 0 0 0 1974 0 1974 0 0
O060 Unspecified abortion,
incomplete, complicated by
0 0 0 0 0 0 0 0 1 0 14 0 8 0 0 0 0 0 0 0 23 0 23 0 0
genital tract and pelvic
infection
O061 Unspecified abortion,
incomplete, complicated by
0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0
delayed or excessive
haemorrhage
O063 Unspecified abortion,
incomplete, with other and 0 0 0 0 0 0 0 0 32 0 170 0 57 0 4 0 0 0 0 0 263 0 263 0 0
unspecified complications
O064 Unspecified abortion,
incomplete, without 0 0 0 0 0 0 0 0 0 0 22 0 4 0 0 0 0 0 0 0 26 0 26 0 0
complication
O068 Unspecified abortion,
complete or unspecified, with
0 0 0 0 0 0 0 0 3 0 10 0 2 0 0 0 0 0 0 0 15 0 15 0 0
other and unspecified
complications
O069 Unspecified abortion,
complete or unspecified, 0 0 0 0 0 0 2 0 4 0 19 0 2 0 3 0 0 0 1 0 31 0 31 4 0
without complication

O07 Failed attempted abortion 0 0 0 0 0 0 0 0 34 0 155 0 101 0 8 0 0 0 0 0 298 0 298 0 0

O070 Failed medical abortion,

complicated by genital tract 0 0 0 0 0 0 0 0 1 0 2 0 1 0 1 0 0 0 0 0 5 0 5 0 0
and pelvic infection
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

O073 Failed medical abortion,

with other and unspecified 0 0 0 0 0 0 0 0 1 0 9 0 7 0 0 0 0 0 0 0 17 0 17 0 0
complications
O074 Failed medical abortion,
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
without complication

O075 Other and unspecified

failed attempted abortion,
0 0 0 0 0 0 0 0 1 0 14 0 4 0 2 0 0 0 0 0 21 0 21 1 0
complicated by genital tract
and pelvic infection

O076 Other and unspecified

failed attempted abortion,
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
complicated by delayed or
excessive haemorrhage

O078 Other and unspecified

failed attempted abortion, with
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
other and unspecified
complications

O08 Complications following

abortion and ectopic and molar 0 0 0 0 0 0 0 0 107 0 567 0 270 0 37 0 5 0 2 0 988 0 988 0 0
pregnancy
O080 Genital tract and pelvic
infection following abortion
0 0 0 0 0 0 0 0 19 0 54 0 12 0 4 0 0 0 0 0 89 0 89 0 0
and ectopic and molar
pregnancy
O081 Delayed or excessive
haemorrhage following
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
abortion and ectopic and molar
pregnancy
O082 Embolism following
abortion and ectopic and molar 0 0 0 0 0 0 0 0 1 0 5 0 4 0 0 0 0 0 0 0 10 0 10 0 0
pregnancy
O089 Complication following
abortion and ectopic and molar 0 0 0 0 0 0 1 0 2 0 18 0 11 0 1 0 0 0 0 0 33 0 33 0 0
pregnancy, unspecified

O100 Pre-existing essential

hypertension complicating
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 0 2 0 0
pregnancy, childbirth and the
puerperium

O109 Unspecified pre-existing

hypertension complicating
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
pregnancy, childbirth and the
puerperium
O12 Gestational [pregnancy-
induced] oedema and
0 0 0 0 0 0 0 0 0 0 5 0 0 0 2 0 0 0 0 0 7 0 7 0 0
proteinuria without
hypertension
O120 Gestational oedema 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 4 0 4 0 0
O121 Gestational proteinuria 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0
O122 Gestational oedema with
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
proteinuria
O13 Gestational [pregnancy-
induced] hypertension without 0 0 0 0 0 0 0 0 6 0 53 0 30 0 3 0 0 0 0 0 92 0 92 0 0
significant proteinuria

O14 Gestational [pregnancy-

induced] hypertension with 0 0 0 0 0 0 0 0 7 0 34 0 8 0 0 0 0 0 0 0 49 0 49 0 0
significant proteinuria

O140 Moderate pre-eclampsia 0 0 0 0 0 0 0 0 3 0 14 0 4 0 0 0 0 0 0 0 21 0 21 0 0

O141 Severe pre-eclampsia 0 0 0 0 0 0 0 0 3 0 7 0 1 0 1 0 0 0 0 0 12 0 12 0 0

O149 Pre-eclampsia,
0 0 0 0 0 0 0 0 3 0 24 0 5 0 1 0 0 0 0 0 33 0 33 0 0
unspecified
O15 Eclampsia 0 0 0 0 0 0 0 0 8 0 20 0 2 0 0 0 0 0 0 0 30 0 30 0 0
O150 Eclampsia in pregnancy 0 0 0 0 0 0 0 0 5 0 16 0 3 0 0 0 0 0 0 0 24 0 24 0 0
O151 Eclampsia in labour 0 0 0 0 0 0 0 0 2 0 4 0 1 0 0 0 0 0 0 0 7 0 7 1 0
O152 Eclampsia in the
0 0 0 0 0 0 0 0 5 0 14 0 4 0 0 0 0 0 0 0 23 0 23 1 0
puerperium
O159 Eclampsia, unspecified as
0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 4 0 4 0 0
to time period
O16 Unspecified maternal
0 0 0 0 0 0 0 0 0 0 8 0 6 0 1 0 0 0 0 0 15 0 15 0 0
hypertension
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

O20 Haemorrhage in early

0 0 0 0 0 0 0 0 2 0 10 0 2 0 0 0 1 0 0 0 15 0 15 0 0
pregnancy
O200 Threatened abortion 0 0 0 0 0 0 0 0 26 0 176 0 79 0 33 0 19 0 7 0 340 0 340 0 0
O208 Other haemorrhage in
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
early pregnancy
O209 Haemorrhage in early
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
pregnancy, unspecified
O21 Excessive vomiting in
0 0 0 0 1 0 1 0 48 0 239 3 61 0 15 0 7 0 3 0 375 3 378 1 0
pregnancy
O210 Mild hyperemesis
0 0 0 0 0 0 0 0 42 0 389 0 117 0 28 0 17 0 10 0 603 0 603 5 0
gravidarum
O211 Hyperemesis gravidarum
0 0 0 0 0 0 0 0 5 0 77 0 14 0 4 0 1 0 0 0 101 0 101 0 0
with metabolic disturbance
O218 Other vomiting
0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 0 3 0 0
complicating pregnancy
O219 Vomiting of pregnancy,
0 0 0 0 0 0 0 0 9 0 11 0 2 0 1 0 0 0 0 0 23 0 23 0 0
unspecified
O23 Infections of genitourinary
0 0 0 0 0 0 0 0 7 0 19 0 2 0 2 0 0 0 0 0 30 0 30 0 0
tract in pregnancy
O230 Infections of kidney in
0 0 0 0 0 0 0 0 2 0 7 0 0 0 0 0 0 0 0 0 9 0 9 0 0
pregnancy
O231 Infections of bladder in
0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 3 0 3 0 0
pregnancy
O232 Infections of urethra in
0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 3 0 3 0 0
pregnancy
O233 Infections of other parts
0 0 0 0 0 0 0 0 0 0 2 0 3 0 0 0 0 0 0 0 5 0 5 0 0
of urinary tract in pregnancy

O234 Unspecified infection of

0 0 0 0 0 0 0 0 6 0 26 0 4 0 1 0 0 0 0 0 37 0 37 0 0
urinary tract in pregnancy
O235 Infections of the genital
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 0 2 0 0
tract in pregnancy
O239 Other and unspecified
genitourinary tract infection in 0 0 0 0 0 0 0 0 0 0 4 0 1 0 0 0 0 0 0 0 5 0 5 2 0
pregnancy
O24 Diabetes mellitus in
0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 3 0 3 0 0
pregnancy
O240 Pre-existing diabetes
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
mellitus, insulin-dependent

O243 Pre-existing diabetes

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
mellitus, unspecified
O244 Diabetes mellitus arising
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
in pregnancy
O249 Diabetes mellitus in
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
pregnancy, unspecified
O25 Malnutrition in pregnancy 0 0 0 0 0 0 0 0 0 0 0 0 7 0 19 0 5 0 3 0 34 0 34 0 0
O264 Herpes gestationis 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
O265 Maternal hypotension
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
syndrome
O266 Liver disorders in
pregnancy, childbirth and the 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
puerperium
O268 Other specified
0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 3 0 3 0 0
pregnancy-related conditions
O269 Pregnancy-related
0 0 0 0 0 0 0 0 3 0 33 0 11 0 0 0 0 0 0 0 47 0 47 0 0
condition, unspecified
O289 Abnormal finding on
antenatal screening of mother, 0 0 0 0 0 0 0 0 0 0 2 0 6 0 0 0 16 0 5 0 29 0 29 0 0
unspecified
O300 Twin pregnancy 0 0 0 0 0 0 0 0 0 0 5 0 2 0 0 0 0 0 0 0 7 0 7 0 0
O301 Triplet pregnancy 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
O31 Complications specific to
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
multiple gestation

O312 Continuing pregnancy

after intrauterine death of one 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
fetus or more
O32 Maternal care for known
or suspected malpresentation 0 0 0 0 0 0 0 0 14 0 64 0 8 0 0 0 0 0 0 0 86 0 86 0 0
of fetus
O321 Maternal care for breech
0 0 0 0 0 0 0 0 5 0 17 0 1 0 0 0 0 0 0 0 23 0 23 0 0
presentation
O322 Maternal care for
0 0 0 0 0 0 0 0 0 0 4 0 2 0 0 0 0 0 0 0 6 0 6 0 0
transverse and oblique lie
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

O323 Maternal care for face,

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
brow and chin presentation
O326 Maternal care for
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
compound presentation
O329 Maternal care for
malpresentation of fetus, 0 0 0 0 0 0 0 0 0 0 4 0 1 0 0 0 0 0 0 0 5 0 5 0 0
unspecified
O339 Maternal care for
0 0 0 0 0 0 0 0 6 0 9 0 1 0 0 0 0 0 0 0 16 0 16 0 0
disproportion, unspecified
O34 Maternal care for known
or suspected abnormality of 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
pelvic organs
O341 Maternal care for tumour
0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 1 0 0 0 4 0 4 0 0
of corpus uteri
O342 Maternal care due to
uterine scar from previous 0 0 0 0 0 0 0 0 1 0 10 0 5 0 0 0 0 0 0 0 16 0 16 0 0
surgery
O344 Maternal care for other
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
abnormalities of cervix

O345 Maternal care for other

0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 0 0 2 0 7 0 7 0 0
abnormalities of gravid uterus

O348 Maternal care for other

0 0 0 0 0 0 0 0 0 0 3 0 1 0 4 0 1 0 1 0 10 0 10 0 0
abnormalities of pelvic organs
O358 Maternal care for other
(suspected) fetal abnormality 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
and damage
O36 Maternal care for other
known or suspected fetal 1 0 0 0 0 0 0 0 1 0 6 0 1 0 0 0 0 0 0 0 9 0 9 0 0
problems
O360 Maternal care for rhesus
0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 3 0 3 0 0
isoimmunization
O363 Maternal care for signs of
0 0 0 0 0 0 0 0 5 0 9 0 2 0 0 0 0 0 0 0 16 0 16 0 0
fetal hypoxia
O364 Maternal care for
1 0 0 0 0 0 0 0 14 0 74 0 33 0 1 0 0 0 0 0 123 0 123 1 0
intrauterine death
O365 Maternal care for poor
0 0 0 0 0 0 0 0 1 0 17 0 4 0 0 0 0 0 0 0 22 0 22 0 0
fetal growth
O366 Maternal care for
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
excessive fetal growth
O367 Maternal care for viable
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
fetus in abdominal pregnancy

O368 Maternal care for other

0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
specified fetal problems
O369 Maternal care for fetal
0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 4 0 4 0 0
problem, unspecified
O40 Polyhydramnios 0 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 0 0 0 0 4 0 4 0 0
O41 Other disorders of
0 0 0 0 0 0 0 0 2 0 1 0 1 0 0 0 0 0 0 0 4 0 4 0 0
amniotic fluid and membranes
O410 Oligohydramnios 0 0 0 0 0 0 0 0 1 0 18 0 5 0 2 0 0 0 0 0 26 0 26 0 0
O411 Infection of amniotic sac
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
and membranes
O419 Disorder of amniotic fluid
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
and membranes, unspecified
O42 Premature rupture of
1 0 0 0 0 0 0 0 11 0 13 0 1 0 0 0 0 0 0 0 26 0 26 0 0
membranes
O421 Premature rupture of
membranes, onset of labour 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
after 24 hours
O429 Premature rupture of
0 0 0 0 0 0 0 0 1 0 10 0 3 0 0 0 0 0 0 0 14 0 14 2 0
membranes, unspecified
O43 Placental disorders 0 0 0 0 0 0 0 0 0 0 6 0 1 0 0 0 0 0 0 0 7 0 7 0 0
O439 Placental disorder,
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
O44 Placenta praevia 0 0 0 0 3 0 1 0 2 0 8 0 2 0 0 0 1 0 10 0 27 0 27 0 0
O441 Placenta praevia with
0 0 0 0 0 0 0 0 0 0 7 0 3 0 0 0 0 0 0 0 10 0 10 0 0
haemorrhage
O45 Premature separation of
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
placenta [abruptio placentae]
O46 Antepartum haemorrhage,
1 0 1 0 0 0 0 0 11 0 46 0 7 0 14 0 2 0 1 0 83 0 83 0 0
NEC
O460 Antepartum
haemorrhage with coagulation 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
defect
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

O468 Other antepartum

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
haemorrhage
O469 Antepartum
0 0 0 0 0 0 0 0 0 0 13 0 2 0 2 0 0 0 0 0 17 0 17 0 0
haemorrhage, unspecified
O47 False labour 0 0 0 0 0 0 0 0 198 0 730 0 113 0 10 0 0 0 0 0 1051 0 1051 0 0
O470 False labour before 37
0 0 0 0 0 0 0 0 25 0 100 0 12 0 1 0 0 0 1 0 139 0 139 1 0
completed weeks of gestation

O471 False labour at or after 37

0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
completed weeks of gestation

O479 False labour, unspecified 0 0 0 0 0 0 0 0 25 0 102 0 13 0 1 0 3 0 15 0 159 0 159 0 0

O48 Prolonged pregnancy 0 0 0 0 0 0 0 0 12 0 73 0 9 0 0 0 1 0 0 0 95 0 95 0 0
O60 Preterm delivery 0 0 0 0 0 0 0 0 20 0 53 0 10 0 0 0 0 0 0 0 83 0 83 2 0
O600 Preterm labour without
0 0 0 0 0 0 0 0 7 0 12 0 0 0 0 0 0 0 0 0 19 0 19 0 0
delivery
O601 Preterm labour with
1 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 7 0 7 0 0
preterm delivery
O61 Failed induction of labour 0 0 0 0 0 0 0 0 1 0 2 0 1 0 0 0 0 0 0 0 4 0 4 0 0
O611 Failed instrumental
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
induction of labour
O619 Failed induction of
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
labour, unspecified
O620 Primary inadequate
0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 3 0 3 1 0
contractions
O622 Other uterine inertia 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 2 0 2 0 0
O624 Hypertonic, incoordinate,
and prolonged uterine 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 15 0 15 0 0
contractions

O629 Abnormality of forces of

0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
labour, unspecified
O63 Long labour 0 0 0 0 0 0 0 0 42 0 246 0 35 0 1 0 0 0 0 0 324 0 324 0 0
O630 Prolonged first stage (of
0 0 0 0 0 0 0 0 3 0 34 0 8 0 2 0 0 0 0 0 47 0 47 0 0
labour)
O631 Prolonged second stage
0 0 0 0 0 0 0 0 2 0 4 0 1 0 0 0 0 0 0 0 7 0 7 0 0
(of labour)
O632 Delayed delivery of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
second twin, triplet, etc.
O639 Long labour, unspecified 1 0 0 0 0 0 0 0 6 0 21 0 4 0 0 0 0 0 0 0 32 0 32 1 0
O64 Obstructed labour due to
malposition and 0 0 0 0 0 0 1 0 65 0 268 0 46 0 2 0 4 0 10 0 396 0 396 0 0
malpresentation of fetus
O640 Obstructed labour due to
incomplete rotation of fetal 0 0 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 5 0 5 0 0
head
O641 Obstructed labour due to
0 0 0 0 0 0 0 0 2 0 6 0 2 0 0 0 0 0 0 0 10 0 10 0 0
breech presentation

O644 Obstructed labour due to

0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 2 0 2 1 0
shoulder presentation

O649 Obstructed labour due to

malposition and 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
malpresentation, unspecified

O65 Obstructed labour due to

0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 8 0 8 0 0
maternal pelvic abnormality
O650 Obstructed labour due to
0 0 0 0 0 0 0 0 0 0 4 0 0 0 1 0 0 0 0 0 5 0 5 0 0
deformed pelvis
O654 Obstructed labour due to
fetopelvic disproportion, 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
O655 Obstructed labour due to
abnormality of maternal pelvic 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
organs
O66 Other obstructed labour 0 0 0 0 0 0 0 0 19 0 157 0 28 0 4 0 0 0 1 0 209 0 209 0 0
O660 Obstructed labour due to
0 0 0 0 0 0 0 0 1 0 16 0 2 0 0 0 0 0 0 0 19 0 19 0 0
shoulder dystocia
O661 Obstructed labour due to
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
locked twins
O664 Failed trial of labour,
0 0 0 0 0 0 0 0 3 0 4 0 1 0 0 0 0 0 0 0 8 0 8 0 0
unspecified
O665 Failed application of
vacuum extractor and forceps, 0 0 0 0 0 0 0 0 2 0 6 0 0 0 0 0 0 0 0 0 8 0 8 0 0
unspecified
O668 Other specified
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
obstructed labour
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

O669 Obstructed labour,

0 0 0 0 0 0 0 0 11 0 32 0 4 0 1 0 0 0 0 0 48 0 48 0 0
unspecified
O68 Labour and delivery
complicated by fetal stress 0 0 0 0 0 0 0 0 2 0 20 0 3 0 0 0 0 0 0 0 25 0 25 0 0
[distress]
O681 Labour and delivery
complicated by meconium in 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 4 0 4 1 0
amniotic fluid
O689 Labour and delivery
complicated by fetal stress, 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
O69 Labour and delivery
complicated by umbilical cord 0 0 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 1 0 5 0 5 0 0
complications
O690 Labour and delivery
complicated by prolapse of 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 3 0 3 0 0
cord
O692 Labour and delivery
complicated by other cord 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
entanglement
O698 Labour and delivery
complicated by other cord 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
complications
O699 Labour and delivery
complicated by cord 0 0 0 0 0 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 5 0 5 0 0
complication, unspecified
O70 Perineal laceration during
0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 0 3 0 0
delivery
O700 First degree perineal
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 2 0 0
laceration during delivery
O701 Second degree perineal
0 0 0 0 0 0 0 0 1 0 4 0 2 0 0 0 0 0 0 0 7 0 7 1 0
laceration during delivery

O702 Third degree perineal

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
laceration during delivery

O703 Fourth degree perineal

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
laceration during delivery

O709 Perineal laceration during

0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 0 3 0 0
delivery, unspecified

O71 Other obstetric trauma 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 1 0 0 0 4 0 4 0 0

O711 Rupture of uterus during
0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 0 3 0 0
labour
O713 Obstetric laceration of
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
cervix
O715 Other obstetric injury to
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
pelvic organs
O717 Obstetric haematoma of
0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 4 0 4 0 0
pelvis
O719 Obstetric trauma,
0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
unspecified
O72 Postpartum haemorrhage 0 0 0 0 0 0 0 0 41 0 191 0 56 0 8 0 1 0 1 0 298 0 298 2 0

O720 Third-stage haemorrhage 0 0 0 0 0 0 0 0 2 0 6 0 2 0 0 0 0 0 1 0 11 0 11 1 0

O721 Other immediate
0 0 0 0 0 0 0 0 5 0 19 0 5 0 0 0 1 0 0 0 30 0 30 0 0
postpartum haemorrhage
O722 Delayed and secondary
0 0 0 0 0 0 0 0 1 0 12 0 5 0 0 0 0 0 1 0 19 0 19 0 0
postpartum haemorrhage
O73 Retained placenta and
membranes, without 0 0 0 0 0 0 0 0 58 0 293 0 86 0 6 0 0 0 1 0 444 0 444 0 0
haemorrhage
O730 Retained placenta
0 0 0 0 0 0 1 0 23 0 83 0 18 0 2 0 0 0 0 0 127 0 127 15 0
without haemorrhage
O731 Retained portions of
placenta and membranes, 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 5 0 5 0 0
without haemorrhage
O740 Aspiration pneumonitis
due to anaesthesia during 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 0 2 0 0
labour and delivery
O744 Toxic reaction to local
anaesthesia during labour and 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
delivery
O746 Other complications of
spinal and epidural anaesthesia 0 0 0 0 0 0 0 0 1 0 22 0 3 0 0 0 0 0 0 0 26 0 26 0 0
during labour and delivery
O748 Other complications of
anaesthesia during labour and 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 0 3 0 0
delivery
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

O75 Other complications of

0 0 0 0 0 0 4 0 179 0 815 0 210 0 24 0 1 0 2 0 1235 0 1235 1 0
labour and delivery, NEC

O751 Shock during or following

0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
labour and delivery
O752 Pyrexia during labour,
0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 4 0 4 0 0
NEC
O755 Delayed delivery after
7 0 2 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 13 0 0
artificial rupture of membranes

O756 Delayed delivery after

spontaneous or unspecified 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
rupture of membranes

O757 Vaginal delivery following

0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 4 0 4 0 0
previous caesarean section
O758 Other specified
complications of labour and 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 3 0 3 0 0
delivery
O759 Complication of labour
0 0 0 0 0 0 0 0 20 0 108 0 22 0 2 0 0 0 0 0 152 0 152 0 0
and delivery, unspecified
O80 Single spontaneous
0 0 0 0 0 0 18 0 11033 0 50730 0 8428 0 223 0 4 0 1 0 70437 0 70437 68 0
delivery
O800 Spontaneous vertex
0 0 0 0 0 0 0 0 535 0 1893 0 280 0 18 0 0 0 0 0 2726 0 2726 0 0
delivery
O801 Spontaneous breech
0 0 0 0 0 0 0 0 10 0 28 0 5 0 2 0 0 0 1 0 46 0 46 0 0
delivery
O808 Other single spontaneous
0 0 0 0 0 0 0 0 10 0 51 0 10 0 0 0 0 0 0 0 71 0 71 0 0
delivery
O809 Single spontaneous
0 0 0 0 0 0 2 0 845 0 4066 0 585 0 12 0 0 0 0 0 5510 0 5510 118 0
delivery, unspecified
O81 Single delivery by forceps
0 0 0 0 0 0 2 0 90 0 516 0 60 0 0 0 0 0 0 0 668 0 668 6 0
and vacuum extractor
O811 Mid-cavity forceps
0 0 0 0 0 0 0 0 5 0 29 0 7 0 0 0 0 0 0 0 41 0 41 0 0
delivery
O814 Vacuum extractor
0 0 0 0 0 0 6 0 157 0 700 0 103 0 3 0 1 0 1 0 971 0 971 12 0
delivery
O815 Delivery by combination
of forceps and vacuum 0 0 0 0 0 0 0 0 1 0 8 0 1 0 0 0 0 0 0 0 10 0 10 0 0
extractor
O82 Single delivery by
0 0 0 0 0 0 0 0 334 0 2367 0 415 0 21 0 0 0 0 0 3137 0 3137 7 0
caesarean section
O820 Delivery by elective
0 0 0 0 0 0 0 0 304 0 3463 0 897 0 30 0 3 0 0 0 4697 0 4697 0 0
caesarean section
O821 Delivery by emergency
0 0 0 0 0 0 0 0 23 0 282 0 68 0 1 0 0 0 0 0 374 0 374 0 0
caesarean section
O822 Delivery by caesarean
0 0 0 0 0 0 0 0 0 0 0 0 3 0 4 0 0 0 0 0 7 0 7 0 0
hysterectomy
O829 Delivery by caesarean
0 0 0 0 0 0 0 0 309 0 1553 0 385 0 6 0 0 0 0 0 2253 0 2253 0 0
section, unspecified
O83 Other assisted single
0 0 0 0 0 0 0 0 8 0 43 0 6 0 1 0 0 0 0 0 58 0 58 0 0
delivery
O830 Breech extraction 0 0 0 0 0 0 0 0 19 0 112 0 26 0 2 0 0 0 0 0 159 0 159 0 0
O831 Other assisted breech
0 0 0 0 0 0 0 0 36 0 70 0 27 0 4 0 0 0 0 0 137 0 137 1 0
delivery
O832 Other manipulation-
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
assisted delivery
O84 Multiple delivery 0 0 0 0 0 0 0 0 9 0 85 0 18 0 1 0 0 0 0 0 113 0 113 0 0
O840 Multiple delivery, all
0 0 0 0 0 0 0 0 4 0 17 0 2 0 0 0 0 0 0 0 23 0 23 0 0
spontaneous
O841 Multiple delivery, all by
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
forceps and vacuum extractor
O842 Multiple delivery, all by
0 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 6 0 6 0 0
caesarean section
O848 Other multiple delivery 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 1 0
O849 Multiple delivery,
0 0 0 0 0 0 0 0 0 0 9 0 1 0 0 0 0 0 0 0 10 0 10 0 0
unspecified
O85 Puerperal sepsis 3 3 2 1 4 1 0 2 12 0 102 0 8 0 2 0 1 0 0 0 134 7 141 0 0
O86 Other puerperal infections 0 0 0 0 0 0 1 0 2 0 7 0 0 0 0 0 0 0 0 0 10 0 10 0 0
O860 Infection of obstetric
0 0 0 0 0 0 0 0 1 0 11 0 2 0 1 0 0 0 0 0 15 0 15 0 0
surgical wound
O861 Other infection of genital
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
tract following delivery
O862 Urinary tract infection
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
following delivery
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

O864 Pyrexia of unknown

0 0 0 0 0 0 0 0 3 0 10 0 2 0 0 0 0 0 0 0 15 0 15 0 0
origin following delivery
O871 Deep phlebothrombosis
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 2 1 3 0 0
in the puerperium
O88 Obstetric embolism 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
O881 Amniotic fluid embolism 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 3 0 3 3 0
O882 Obstetric blood-clot
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0
embolism
O89 Complications of
anaesthesia during the 0 0 0 0 0 0 0 0 9 0 77 6 31 1 2 0 0 1 1 0 120 8 128 0 0
puerperium
O90 Complications of the
0 0 0 0 0 0 0 0 1 0 5 0 0 1 1 1 0 0 1 0 8 2 10 0 0
puerperium, NEC
O900 Disruption of caesarean
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
section wound
O901 Disruption of perineal
0 0 0 0 0 0 0 0 0 0 3 1 1 0 0 0 0 0 0 0 4 1 5 0 0
obstetric wound
O902 Haematoma of obstetric
0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
wound
O903 Cardiomyopathy in the
0 0 0 0 0 0 0 0 2 0 2 0 2 0 0 0 0 0 0 0 6 0 6 1 0
puerperium
O908 Other complications of
0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 3 0 3 0 0
the puerperium, NEC
O91 Infections of breast
0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 0 0 4 0 4 0 0
associated with childbirth
O911 Abscess of breast
1 0 0 0 0 0 0 0 1 0 7 0 3 0 0 0 0 0 3 0 15 0 15 0 0
associated with childbirth
O912 Nonpurulent mastitis
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
associated with childbirth
O95 Obstetric death of
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified cause
O984 Viral hepatitis
complicating pregnancy, 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
childbirth and the puerperium

O99 Other maternal diseases

classifiable elsewhere but
0 0 0 0 0 0 0 0 96 0 417 0 56 0 1 0 0 0 0 0 570 0 570 0 0
complicating pregnancy,
childbirth and the puerperium

O990 Anaemia complicating

pregnancy, childbirth and the 0 0 0 0 0 0 1 0 2 0 13 0 5 0 1 0 0 0 1 0 23 0 23 0 0
puerperium

O996 Diseases of the digestive

system complicating pregnancy, 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
childbirth and the puerperium

O998 Other specified diseases

and conditions complicating
0 0 0 0 0 0 0 0 1 0 6 0 1 0 0 0 0 0 0 0 8 0 8 1 0
pregnancy, childbirth and the
puerperium

P00 Fetus and newborn

affected by maternal conditions
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
that may be unrelated to
present pregnancy

P002 Fetus and newborn

affected by maternal infectious 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
and parasitic diseases
P004 Fetus and newborn
affected by maternal nutritional 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
disorders
P007 Fetus and newborn
affected by other medical 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
procedures on mother, NEC
P008 Fetus and newborn
affected by other maternal 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0
conditions
P01 Fetus and newborn
affected by maternal 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
complications of pregnancy
P011 Fetus and newborn
affected by premature rupture 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
of membranes
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

P018 Fetus and newborn

affected by other maternal 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
complications of pregnancy

P02 Fetus and newborn

affected by complications of 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
placenta, cord and membranes

P03 Fetus and newborn

affected by other complications 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
of labour and delivery

P033 Fetus and newborn

affected by delivery by vacuum 3 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 4 7 2 1
extractor [ventouse]

P034 Fetus and newborn

5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 3 8 0 0
affected by caesarean delivery

P039 Fetus and newborn

affected by complication of 35 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 32 67 0 0
labour and delivery, unspecified
P044 Fetus and newborn
affected by maternal use of 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
drugs of addiction
P05 Slow fetal growth and fetal
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
malnutrition
P051 Small for gestational age 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
P059 Slow fetal growth,
7 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 4 11 1 0
unspecified
P07 Disorders related to short
gestation and low birth weight, 91 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 74 165 5 3
NEC
P070 Extremely low birth
18 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 28 46 0 2
weight
P071 Other low birth weight 48 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 59 107 2 7
P072 Extreme immaturity 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0
P073 Other preterm infants 43 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 49 92 12 14

P08 Disorders related to long

96 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 76 172 1 1
gestation and high birth weight

P080 Exceptionally large baby 1 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 9 0 0

P081 Other heavy for
5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 10 1 0
gestational age infants
P082 Post-term infant, not
0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 1
heavy for gestational age
P111 Other specified brain
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
damage due to birth injury
P120 Cephalhaematoma due to
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
birth injury
P134 Fracture of clavicle due to
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
birth injury
P141 Klumpke's paralysis due
3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0
to birth injury
P154 Birth injury to face 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
P20 Intrauterine hypoxia 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 0 0
P200 Intrauterine hypoxia first
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
noted before onset of labour
P209 Intrauterine hypoxia,
0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
unspecified
P21 Birth asphyxia 81 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 135 216 9 9
P210 Severe birth asphyxia 7 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 4 11 2 0
P219 Birth asphyxia,
54 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 76 130 9 9
unspecified
P22 Respiratory distress of
84 103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84 103 187 2 4
newborn
P220 Respiratory distress
3 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 9 0 0
syndrome of newborn
P221 Transient tachypnoea of
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 0
newborn
P228 Other respiratory distress
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
of newborn
P229 Respiratory distress of
18 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 20 38 0 0
newborn, unspecified
P23 Congenital pneumonia 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 0
P239 Congenital pneumonia,
1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

P24 Neonatal aspiration

35 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 37 72 1 0
syndromes
P240 Neonatal aspiration of
41 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 64 105 3 3
meconium
P241 Neonatal aspiration of
0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
amniotic fluid and mucus

P243 Neonatal aspiration of

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
milk and regurgitated food
P249 Neonatal aspiration
32 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 37 69 0 3
syndrome, unspecified
P284 Other apnoea of newborn 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
P29 Cardiovascular disorders
originating in the perinatal 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
period
P291 Neonatal cardiac
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
dysrhythmia
P294 Transient myocardial
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
ischaemia of newborn

P299 Cardiovascular disorder

originating in the perinatal 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
period, unspecified
P358 Other congenital viral
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
diseases
P359 Congenital viral disease,
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
P36 Bacterial sepsis of newborn 889 1329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 889 1329 2218 23 43

P360 Sepsis of newborn due to

304 327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 327 631 0 1
streptococcus, group B
P361 Sepsis of newborn due to
other and unspecified 21 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 24 45 1 1
streptococci
P363 Sepsis of newborn due to
other and unspecified 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
staphylococci
P364 Sepsis of newborn due to
2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0
Escherichia coli
P365 Sepsis of newborn due to
10 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 8 18 0 0
anaerobes
P368 Other bacterial sepsis of
4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 8 12 0 0
newborn
P369 Bacterial sepsis of
222 309 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 309 531 6 3
newborn, unspecified
P37 Other congenital infectious
36 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 44 80 0 1
and parasitic diseases

P371 Congenital toxoplasmosis 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0

P38 Omphalitis of newborn
with or without mild 5 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 2 7 0 0
haemorrhage
P39 Other infections specific to
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
the perinatal period
P390 Neonatal infective
1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 0 0
mastitis
P394 Neonatal skin infection 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0

P399 Infection specific to the

1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
perinatal period, unspecified
P50 Fetal blood loss 47 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 48 95 0 0
P528 Other intracranial
(nontraumatic) haemorrhages 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
of fetus and newborn

P53 Haemorrhagic disease of

0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
fetus and newborn

P540 Neonatal haematemesis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

P544 Neonatal adrenal
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
haemorrhage
P55 Haemolytic disease of fetus
0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
and newborn
P550 Rh isoimmunization of
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
fetus and newborn
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

P551 ABO isoimmunization of

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
fetus and newborn

P559 Haemolytic disease of

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
fetus and newborn, unspecified
P560 Hydrops fetalis due to
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
isoimmunization
P569 Hydrops fetalis due to
other and unspecified 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
haemolytic disease
P58 Neonatal jaundice due to
4 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 6 10 0 0
other excessive haemolysis
P583 Neonatal jaundice due to
0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
polycythaemia
P584 Neonatal jaundice due to
drugs or toxins transmitted
2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 5 0 0
from mother or given to
newborn
P589 Neonatal jaundice due to
excessive haemolysis, 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
P59 Neonatal jaundice from
122 185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 185 307 1 1
other and unspecified causes
P590 Neonatal jaundice
associated with preterm 2 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 8 10 0 0
delivery
P592 Neonatal jaundice from
other and unspecified 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
hepatocellular damage
P599 Neonatal jaundice,
154 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 154 189 343 0 3
unspecified
P611 Polycythaemia
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
neonatorum
P615 Transient neonatal
2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6 0 1
neutropenia
P704 Other neonatal
1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0
hypoglycaemia
P711 Other neonatal
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
hypocalcaemia
P741 Dehydration of newborn 30 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 46 76 0 0

P742 Disturbances of sodium

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
balance of newborn
P76 Other intestinal
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
obstruction of newborn
P760 Meconium plug syndrome 3 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 7 10 0 1

P762 Intestinal obstruction due

3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0
to inspissated milk

P769 Intestinal obstruction of

5 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 20 25 0 0
newborn, unspecified

P77 Necrotizing enterocolitis of

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
fetus and newborn

P782 Neonatal haematemesis

and melaena due to swallowed 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
maternal blood
P783 Noninfective neonatal
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
diarrhoea
P80 Hypothermia of newborn 2 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 13 15 0 1

P800 Cold injury syndrome 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0

P810 Environmental
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
hyperthermia of newborn
P819 Disturbance of
temperature regulation of 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 6 0 0
newborn, unspecified
P835 Congenital hydrocele 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 1
P836 Umbilical polyp of
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
newborn
P838 Other specified conditions
of integument specific to fetus 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
and newborn
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

P90 Convulsions of newborn 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 6 0 0

P91 Other disturbances of

0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
cerebral status of newborn

P916 Hypoxic ischaemic

0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
encephalopathy of newborn
P92 Feeding problems of
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
newborn
P920 Vomiting in newborn 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
P922 Slow feeding of newborn 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
P928 Other feeding problems
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
of newborn
P929 Feeding problem of
0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
newborn, unspecified
P95 Fetal death of unspecified
0 0 0 0 0 0 0 0 5 0 13 0 2 0 0 0 0 0 0 0 20 0 20 0 0
cause
P96 Other conditions
originating in the perinatal 20 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 9 29 2 0
period
P964 Termination of
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0
pregnancy, fetus and newborn
Q00 Anencephaly and similar
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 2 0 0
malformations
Q01 Encephalocele 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Q02 Microcephaly 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Q039 Congenital
0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
hydrocephalus, unspecified

Q049 Congenital malformation

0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
of brain, unspecified
Q05 Spina bifida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
Q057 Lumbar spina bifida
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 2 0 0
without hydrocephalus
Q059 Spina bifida, unspecified 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0

Q070 Arnold-Chiari syndrome 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 2 0 0

Q111 Other anophthalmos 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
Q172 Microtia 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
Q178 Other specified
congenital malformations of 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
ear
Q180 Sinus, fistula and cyst of
0 0 0 0 0 0 2 1 2 1 0 0 0 1 0 0 0 0 0 0 4 3 7 0 0
branchial cleft
Q181 Preauricular sinus and
0 0 0 0 2 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 5 1 6 0 0
cyst
Q182 Other branchial cleft
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
malformations
Q20 Congenital malformations
of cardiac chambers and 0 10 1 4 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 14 17 0 0
connections
Q211 Atrial septal defect 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 1 3 0 0
Q213 Tetralogy of Fallot 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Q245 Malformation of coronary
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 1 3 4 0 0
vessels
Q248 Other specified
congenital malformations of 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
heart
Q249 Congenital malformation
2 8 2 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 9 15 1 0
of heart, unspecified

Q250 Patent ductus arteriosus 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 2 1 3 0 0

Q251 Coarctation of aorta 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q272 Other congenital
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
malformations of renal artery

Q273 Peripheral arteriovenous

0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 2 2 4 0 0
malformation

Q279 Congenital malformation

of peripheral vascular system, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
unspecified
Q28 Other congenital
malformations of circulatory 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 2 3 1 1
system
Q302 Fissured, notched and
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 2 2 0 0
cleft nose
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

Q309 Congenital malformation

0 0 0 0 0 0 0 0 1 1 1 3 0 1 0 1 0 0 0 0 2 6 8 0 0
of nose, unspecified
Q311 Congenital subglottic
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
stenosis
Q313 Laryngocele 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
Q318 Other congenital
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
malformations of larynx
Q35 Cleft palate 3 2 3 2 5 5 2 5 2 1 1 1 1 0 1 0 0 0 0 0 18 16 34 0 0
Q353 Cleft soft palate 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
Q359 Cleft palate, unspecified 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
Q36 Cleft lip 0 3 6 4 3 7 4 3 2 1 0 1 0 0 0 0 0 0 0 0 15 19 34 0 0
Q360 Cleft lip, bilateral 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Q369 Cleft lip, unilateral 1 2 0 0 1 7 2 3 0 2 0 1 1 1 0 0 0 0 0 1 5 17 22 0 0
Q37 Cleft palate with cleft lip 0 0 9 13 22 21 38 29 4 10 6 7 0 1 0 0 0 1 0 1 79 83 162 0 0
Q372 Cleft soft palate with
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
bilateral cleft lip
Q373 Cleft soft palate with
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unilateral cleft lip
Q375 Cleft hard and soft palate
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
with unilateral cleft lip
Q378 Unspecified cleft palate
0 1 0 0 0 4 1 1 1 1 0 0 0 0 0 0 0 0 0 0 2 7 9 0 0
with bilateral cleft lip
Q379 Unspecified cleft palate
0 0 1 0 0 2 2 2 0 0 2 1 1 0 0 0 0 0 0 0 6 5 11 0 0
with unilateral cleft lip

Q380 Congenital malformations

0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
of lips, NEC
Q381 Ankyloglossia 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
Q383 Other congenital
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
malformations of tongue
Q387 Pharyngeal pouch 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q40 Other congenital
malformations of upper 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
alimentary tract
Q400 Congenital hypertrophic
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
pyloric stenosis
Q410 Congenital absence,
atresia and stenosis of 1 4 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3 5 8 1 1
duodenum
Q412 Congenital absence,
4 6 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 4 9 13 1 4
atresia and stenosis of ileum
Q423 Congenital absence,
atresia and stenosis of anus 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
without fistula
Q43 Other congenital
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
malformations of intestine

Q430 Meckel's diverticulum 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

Q431 Hirschsprung's disease 14 33 8 46 3 21 1 12 0 0 0 0 0 0 0 0 0 0 0 0 26 112 138 3 8

Q432 Other congenital

0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
functional disorders of colon

Q433 Congenital malformations

2 5 0 4 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 11 13 0 1
of intestinal fixation
Q435 Ectopic anus 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Q436 Congenital fistula of
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
rectum and anus
Q438 Other specified
congenital malformations of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
intestine
Q44 Congenital malformations
of gallbladder, bile ducts and 0 0 2 0 2 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 6 1 7 0 0
liver
Q442 Atresia of bile ducts 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q444 Choledochal cyst 0 0 0 0 0 0 4 1 0 1 1 0 0 0 0 0 1 1 2 0 8 3 11 0 0
Q446 Cystic disease of liver 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
Q505 Embryonic cyst of broad
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
ligament
Q512 Other doubling of uterus 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
Q518 Other congenital
malformations of uterus and 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
cervix
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

Q52 Other congenital

malformations of female 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 3 0 3 0 0
genitalia
Q520 Congenital absence of
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
vagina
Q528 Other specified
congenital malformations of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
female genitalia
Q53 Undescended testicle 0 1 0 11 0 26 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 52 52 0 0
Q530 Ectopic testis 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
Q531 Undescended testicle,
0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
unilateral
Q532 Undescended testicle,
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
bilateral
Q539 Undescended testicle,
0 0 0 0 0 3 0 7 0 1 0 2 0 0 0 0 0 0 0 0 0 13 13 0 0
unspecified
Q54 Hypospadias 0 0 0 12 0 44 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 87 87 0 0
Q541 Hypospadias, penile 0 0 0 1 0 4 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 9 9 0 0
Q542 Hypospadias, penoscrotal 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
Q548 Other hypospadias 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
Q55 Other congenital
malformations of male genital 0 0 0 1 0 3 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 6 6 0 0
organs
Q552 Other congenital
malformations of testis and 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
scrotum
Q554 Other congenital
malformations of vas deferens,
0 0 0 1 0 8 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 71 71 0 0
epididymis, seminal vesicles
and prostate
Q558 Other specified
congenital malformations of 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
male genital organs
Q559 Congenital malformation
of male genital organ, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
Q56 Indeterminate sex and
0 0 0 1 0 8 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0
pseudohermaphroditism
Q60 Renal agenesis and other
1 2 0 0 1 3 12 14 12 7 17 27 23 27 33 32 42 44 119 214 260 370 630 11 16
reduction defects of kidney

Q600 Renal agenesis, unilateral 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 1 2 3 5 0 0

Q61 Cystic kidney disease 0 0 1 1 0 1 2 0 0 0 0 0 1 0 0 0 1 0 0 0 5 2 7 0 0
Q610 Congenital single renal
0 0 0 0 0 0 1 0 1 0 1 0 0 0 1 0 0 0 0 0 4 0 4 0 0
cyst
Q613 Polycystic kidney,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 2 0 0
unspecified
Q618 Other cystic kidney
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
diseases
Q619 Cystic kidney disease,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
Q620 Congenital
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
hydronephrosis
Q621 Atresia and stenosis of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
ureter
Q622 Congenital megaloureter 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 2 0 0
Q631 Lobulated, fused and
0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 0 0 0 0 0 2 2 4 0 0
horseshoe kidney
Q632 Ectopic kidney 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q640 Epispadias 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 0 0
Q641 Exstrophy of urinary
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
bladder
Q642 Congenital posterior
0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
urethral valves
Q644 Malformation of urachus 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Q647 Other congenital
malformations of bladder and 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
urethra
Q658 Other congenital
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
deformities of hip
Q659 Congenital deformity of
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
hip, unspecified
Q66 Congenital deformities of
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
feet
Q660 Talipes equinovarus 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q668 Other congenital
0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0
deformities of feet
Q670 Facial asymmetry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

Q674 Other congenital

deformities of skull, face and 0 0 0 0 0 0 1 2 0 9 1 11 1 2 1 1 2 0 0 1 6 26 32 0 0
jaw
Q675 Congenital deformity of
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
spine
Q68 Other congenital
0 0 0 0 0 0 0 1 1 0 1 2 1 2 0 6 2 3 4 1 9 15 24 5 9
musculoskeletal deformities

Q688 Other specified

congenital musculoskeletal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 0 0
deformities
Q69 Polydactyly 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Q690 Accessory finger(s) 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
Q692 Accessory toe(s) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q699 Polydactyly, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
Q70 Syndactyly 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q700 Fused fingers 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
Q701 Webbed fingers 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
Q709 Syndactyly, unspecified 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q710 Congenital complete
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
absence of upper limb(s)
Q742 Other congenital
malformations of lower limb(s), 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0
including pelvic girdle
Q750 Craniosynostosis 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
Q758 Other specified
congenital malformations of 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
skull and face bones
Q763 Congenital scoliosis due
to congenital bony 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
malformation
Q784 Enchondromatosis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
Q790 Congenital diaphragmatic
0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 2 0 0
hernia
Q792 Exomphalos 2 9 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 5 11 16 0 0
Q793 Gastroschisis 7 3 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 8 6 14 5 3
Q820 Hereditary lymphoedema 0 0 0 0 0 0 0 0 0 0 2 0 5 0 0 0 0 0 0 0 7 0 7 0 0

Q821 Xeroderma pigmentosum 0 0 0 0 0 0 0 0 0 0 1 0 2 0 1 0 0 0 0 0 4 0 4 0 0

Q822 Mastocytosis 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q825 Congenital non-neoplastic
0 0 0 0 0 0 2 0 0 1 0 1 1 0 0 0 0 1 0 0 3 3 6 0 0
naevus
Q829 Congenital malformation
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
of skin, unspecified
Q831 Accessory breast 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 2 0 0
Q833 Accessory nipple 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
Q850 Neurofibromatosis
0 0 0 0 0 0 1 0 1 0 0 1 0 2 0 0 0 1 1 0 3 4 7 0 0
(nonmalignant)
Q851 Tuberous sclerosis 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q872 Congenital malformation
syndromes predominantly 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
involving limbs
Q874 Marfan's syndrome 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Q892 Congenital malformations
0 0 0 0 0 2 5 2 1 2 1 3 0 2 1 2 1 0 0 1 9 14 23 0 0
of other endocrine glands
Q90 Down's syndrome 0 0 0 5 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 4 9 13 0 0
Q902 Trisomy 21, translocation 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
Q909 Down's syndrome,
1 2 1 8 2 2 0 3 0 0 1 0 0 0 0 0 0 0 0 0 5 15 20 0 0
unspecified
Q971 Female with more than
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
three X chromosomes

Q990 Chimera 46,XX/46,XY 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0

R00 Abnormalities of heart beat 0 0 2 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 4 6 0 1

R000 Tachycardia, unspecified 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 2 0 0

R001 Bradycardia, unspecified 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 2 1 3 3 6 0 0

R002 Palpitations 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2 0 0
R010 Benign and innocent
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
cardiac murmurs
R012 Other cardiac sounds 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 3 0 3 0 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

R02 Gangrene, NEC 0 0 0 0 0 0 0 1 1 1 0 4 2 4 2 8 4 6 8 13 17 37 54 0 0

R03 Abnormal blood-pressure
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
reading, without diagnosis
R031 Nonspecific low blood-
0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 1 3 2 5 0 0
pressure reading
R04 Haemorrhage from
0 0 0 0 1 0 1 0 0 1 1 4 0 2 1 4 2 4 3 6 9 21 30 0 0
respiratory passages
R040 Epistaxis 0 0 0 0 0 2 10 6 5 6 21 26 33 23 32 37 29 24 36 38 166 162 328 0 0
R042 Haemoptysis 0 0 0 0 0 0 1 2 1 0 1 4 0 7 2 1 2 6 5 16 12 36 48 0 1
R049 Haemorrhage from
respiratory passages, 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 2 1 3 0 0
unspecified
R05 Cough 0 1 1 3 1 0 10 2 0 0 0 1 1 0 0 0 0 1 0 2 13 10 23 0 0
R06 Abnormalities of breathing 2 2 1 1 2 0 0 0 0 1 0 1 0 0 2 0 0 0 2 1 9 6 15 1 0
R060 Dyspnoea 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 2 1 4 2 6 1 0
R062 Wheezing 0 0 3 6 6 8 2 2 0 2 0 0 4 0 0 0 0 0 0 0 15 18 33 0 0
R063 Periodic breathing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
R064 Hyperventilation 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 3 4 0 0
R066 Hiccough 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 2 0 0
R068 Other and unspecified
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
abnormalities of breathing

R07 Pain in throat and chest 0 0 0 0 0 0 1 0 0 0 1 1 0 0 4 0 2 2 2 2 10 5 15 0 0

R070 Pain in throat 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 4 0 7 1 8 0 0
R071 Chest pain on breathing 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0
R072 Precordial pain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
R073 Other chest pain 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 1 1 0 2 3 4 7 0 0
R074 Chest pain, unspecified 0 0 0 1 0 1 1 0 1 0 0 2 0 4 4 3 12 9 12 6 30 26 56 0 0

R09 Other symptoms and signs

involving the circulatory and 0 1 0 1 1 0 1 0 0 0 1 1 1 0 1 0 2 0 1 0 8 3 11 0 0
respiratory systems
R090 Asphyxia 2 2 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6 8 0 0
R092 Respiratory arrest 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
R10 Abdominal and pelvic pain 2 1 4 10 33 24 141 152 146 83 316 144 196 133 137 117 104 72 102 74 1181 810 1991 9 9
R100 Acute abdomen 0 0 0 2 7 12 14 23 38 10 58 11 37 10 16 10 9 8 14 15 193 101 294 0 0
R101 Pain localized to upper
0 0 0 0 0 0 0 0 1 0 3 0 1 0 0 0 1 0 0 0 6 0 6 0 0
abdomen
R102 Pelvic and perineal pain 0 0 0 0 0 0 0 0 4 0 17 1 4 2 0 2 1 3 0 0 26 8 34 0 0

R103 Pain localized to other

0 0 0 0 0 0 0 0 1 0 9 0 0 0 2 1 0 0 1 0 13 1 14 0 0
parts of lower abdomen

R104 Other and unspecified

0 0 1 1 3 2 17 20 28 16 91 58 62 39 45 40 33 31 32 28 312 235 547 0 0
abdominal pain
R11 Nausea and vomiting 2 4 6 6 9 22 19 14 16 7 46 6 32 6 8 5 9 5 13 5 160 80 240 0 0
R12 Heartburn 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
R13 Dysphagia 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 3 2 6 3 9 12 0 0
R14 Flatulence and related
2 0 0 1 0 0 1 2 6 2 4 5 4 0 1 2 1 2 5 1 24 15 39 0 0
conditions
R15 Faecal incontinence 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2 0 1 1 3 4 0 0
R16 Hepatomegaly and
0 0 0 0 0 0 0 0 0 0 3 1 5 2 0 0 2 0 2 2 12 5 17 0 0
splenomegaly, NEC
R160 Hepatomegaly, NEC 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 1 1 0 0 2 3 5 0 0
R161 Splenomegaly, NEC 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 2 0 3 3 6 0 0
R162 Hepatomegaly with
0 0 0 2 2 3 1 1 0 0 0 2 0 0 0 1 0 0 1 0 4 9 13 1 1
splenomegaly, NEC
R17 Unspecified jaundice 52 46 13 26 31 17 49 44 24 26 40 39 27 20 34 25 19 22 22 42 311 307 618 11 8
R18 Ascites 0 1 2 0 0 0 3 3 3 3 9 7 6 11 14 16 7 12 20 28 64 81 145 3 2
R19 Other symptoms and signs
involving the digestive system 0 0 1 0 0 0 5 1 4 1 6 2 2 2 2 4 5 2 2 3 27 15 42 0 0
and abdomen

R190 Intra-abdominal and

0 0 0 0 2 1 6 4 0 1 5 3 10 2 1 4 5 3 6 5 35 23 58 0 0
pelvic swelling, mass and lump

R194 Change in bowel habit 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 2 0 0

R195 Other faecal
0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 2 0 0
abnormalities
R198 Other specified symptoms
and signs involving the 0 0 0 0 0 0 0 1 1 0 1 1 1 0 2 0 1 0 1 1 7 3 10 0 0
digestive system and abdomen
R21 Rash and other nonspecific
0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
skin eruption
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

R22 Localized swelling, mass

and lump of skin and 6 9 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 0 9 12 21 1 2
subcutaneous tissue
R220 Localized swelling, mass
0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 2 2 4 6 0 1
and lump, head
R221 Localized swelling, mass
0 0 0 0 0 2 3 1 1 0 4 3 4 3 4 7 4 2 6 5 26 23 49 0 0
and lump, neck
R222 Localized swelling, mass
0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 1 1 0 3 4 5 9 0 0
and lump, trunk
R223 Localized swelling, mass
0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 2 3 0 0
and lump, upper limb
R224 Localized swelling, mass
0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 1 0 2 2 4 0 0
and lump, lower limb
R227 Localized swelling, mass
0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 2 3 0 0
and lump, multiple sites

R229 Localized swelling, mass

0 0 0 0 0 0 0 0 0 2 1 1 0 3 0 0 0 1 0 0 1 7 8 0 0
and lump, unspecified
R230 Cyanosis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
R238 Other and unspecified
0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
skin changes
R25 Abnormal involuntary
0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
movements
R252 Cramp and spasm 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 2 1 3 0 0
R258 Other and unspecified
abnormal involuntary 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
movements
R270 Ataxia, unspecified 0 0 0 0 0 0 3 1 1 0 0 1 0 0 0 2 0 0 0 0 4 4 8 0 0
R29 Other symptoms and signs
involving the nervous and 0 0 0 0 0 0 0 0 7 0 34 4 7 2 0 0 1 0 0 0 49 6 55 0 0
musculoskeletal systems

R298 Other and unspecified

symptoms and signs involving
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
the nervous and
musculoskeletal systems

R31 Unspecified haematuria 0 0 0 0 1 0 2 2 2 0 3 1 0 2 0 8 1 4 2 11 11 28 39 0 0

R32 Unspecified urinary
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
incontinence
R33 Retention of urine 0 0 0 0 1 1 2 1 4 5 24 1 5 0 3 3 4 5 5 34 48 50 98 0 0
R34 Anuria and oliguria 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
R35 Polyuria 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0
R36 Urethral discharge 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
R39 Other symptoms and signs
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
involving the urinary system
R392 Extrarenal uraemia 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 2 0 0
R402 Coma, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 3 0 3 0 0
R41 Other symptoms and signs
involving cognitive functions 0 0 0 0 1 1 0 0 0 1 1 1 0 2 1 0 0 2 1 1 4 8 12 0 0
and awareness
R42 Dizziness and giddiness 0 1 0 0 0 0 1 4 2 1 4 3 8 1 4 4 6 4 14 14 39 32 71 0 0
R43 Disturbances of smell and
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
taste
R456 Physical violence 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 2 0 0
R46 Symptoms and signs
involving appearance and 0 0 0 0 0 0 0 0 0 1 2 1 0 0 0 2 0 4 3 2 5 10 15 0 0
behaviour
R460 Very low level of personal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
hygiene
R470 Dysphasia and aphasia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 0 0
R49 Voice disturbances 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 0 0
R50 Fever of unknown origin 35 29 116 145 175 290 322 362 204 163 373 270 282 212 184 146 153 128 241 187 2085 1932 4017 4 4
R502 Drug-induced fever 1 1 3 2 2 1 5 7 1 1 1 0 0 0 2 1 0 0 2 1 17 14 31 0 0
R508 Other specified fever 0 0 2 1 1 4 1 2 0 0 1 0 5 1 0 2 3 2 2 4 15 16 31 0 1
R509 Fever, unspecified 67 96 112 162 148 172 245 271 148 106 301 204 170 108 143 102 107 63 133 106 1574 1390 2964 20 6
R51 Headache 0 0 4 0 3 2 15 20 38 40 77 76 57 44 47 45 36 27 42 29 319 283 602 1 0
R52 Pain, NEC 0 0 0 1 0 0 11 6 6 0 39 16 22 13 23 19 24 11 15 13 140 79 219 0 0
R529 Pain, unspecified 0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 1 2 1 0 1 6 4 10 0 0
R53 Malaise and fatigue 0 0 0 0 0 0 0 1 0 0 4 0 3 1 2 3 1 3 6 6 16 14 30 0 0
R54 Senility 0 0 0 0 0 0 0 0 1 0 2 1 0 0 0 2 0 0 1 2 4 5 9 0 0
R55 Syncope and collapse 0 0 0 0 0 0 0 0 1 2 2 2 1 0 1 1 1 1 3 3 9 9 18 0 0
R56 Convulsions, NEC 3 5 20 31 45 88 34 48 11 19 34 34 24 26 21 18 10 15 9 24 211 308 519 1 2
R560 Febrile convulsions 3 4 33 47 99 137 61 71 5 3 4 5 7 5 3 3 0 2 2 6 217 283 500 1 0
R568 Other and unspecified
1 2 11 21 33 44 11 24 11 17 11 25 10 28 8 23 9 17 29 42 134 243 377 2 0
convulsions
R57 Shock, NEC 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 2 2 4 1 0
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

R570 Cardiogenic shock 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 1

R571 Hypovolaemic shock 0 0 0 0 0 0 1 0 0 2 1 1 0 0 2 0 2 0 1 3 7 6 13 0 1
R578 Other shock 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 2 0 1
R579 Shock, unspecified 0 0 0 1 0 0 0 0 2 0 1 0 1 0 4 1 1 3 2 4 11 9 20 2 3
R58 Haemorrhage, NEC 0 0 1 3 1 1 3 9 2 1 2 1 6 1 0 2 4 4 4 6 23 28 51 2 1
R59 Enlarged lymph nodes 0 0 0 0 4 2 4 8 3 0 2 0 0 0 0 0 3 1 3 1 19 12 31 0 0
R590 Localized enlarged lymph
0 0 0 0 1 0 1 6 0 0 0 1 0 1 0 0 0 0 0 0 2 8 10 0 0
nodes
R591 Generalized enlarged
0 0 2 1 1 3 1 7 0 1 2 1 3 2 0 1 0 0 0 0 9 16 25 0 0
lymph nodes
R599 Enlarged lymph nodes,
1 0 0 2 0 2 3 5 2 3 4 0 0 0 2 1 0 0 2 0 14 13 27 0 0
unspecified
R60 Oedema, NEC 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 3 1 0 3 3 6 0 0
R600 Localized oedema 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
R601 Generalized oedema 0 0 0 0 1 10 0 1 1 0 0 0 0 0 0 1 1 0 2 1 5 13 18 0 0
R609 Oedema, unspecified 0 0 0 0 0 0 1 3 1 0 0 1 1 0 0 0 1 1 0 1 4 6 10 0 0

R62 Lack of expected normal

0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
physiological development

R628 Other lack of expected

normal physiological 0 0 2 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0
development
R63 Symptoms and signs
concerning food and fluid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
intake
R630 Anorexia 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 3 4 7 0 0
R631 Polydipsia 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
R632 Polyphagia 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
R633 Feeding difficulties and
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
mismanagement
R680 Hypothermia, not
associated with low 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
environmental temperature

R688 Other specified general

1 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 1 3 4 7 0 0
symptoms and signs

R69 Unknown and unspecified

424 532 150 158 587 532 629 672 1026 652 3816 1011 1023 974 1004 774 665 512 613 734 9937 6551 16488 238 285
causes of morbidity
R72 Abnormality of white blood
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
cells, NEC
R730 Abnormal glucose
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 2 0 0
tolerance test
R739 Hyperglycaemia,
0 0 0 0 0 0 0 0 0 0 0 1 4 10 23 22 39 27 80 92 146 152 298 0 0
unspecified
R769 Abnormal immunological
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 2 0 0
finding in serum, unspecified
R778 Other specified
abnormalities of plasma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
proteins
R79 Other abnormal findings of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
blood chemistry
R80 Isolated proteinuria 0 1 1 1 8 11 14 10 1 4 4 6 8 6 3 4 1 5 3 8 43 56 99 0 0
R81 Glycosuria 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 3 1 4 0 0
R824 Acetonuria 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 3 0 3 0 0
R876 Abnormal findings in
specimens from female genital
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0
organs, abnormal cytological
findings
R89 Abnormal findings in
specimens from other organs, 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
systems and tissues
R900 Intracranial space-
0 0 0 0 0 1 2 0 0 0 0 0 0 0 2 1 0 1 1 0 5 3 8 0 0
occupying lesion
R91 Abnormal findings on
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 4 4 8 0 0
diagnostic imaging of lung
R931 Abnormal findings on
diagnostic imaging of heart and 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 1 1 1 6 3 9 12 0 0
coronary circulation
R932 Abnormal findings on
diagnostic imaging of liver and 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
biliary tract
R96 Other sudden death, cause
0 0 0 0 0 0 0 0 1 0 2 3 2 1 5 4 0 1 1 3 11 12 23 0 0
unknown
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

R99 Other ill-defined and

1 0 1 1 0 4 2 2 6 2 6 4 7 6 4 3 4 3 4 7 35 32 67 3 1
unspecified causes of mortality

S00 Superficial injury of head 0 0 0 0 0 4 1 6 0 6 11 20 5 12 3 7 4 4 2 7 26 66 92 0 0

S000 Superficial injury of scalp 0 0 0 0 0 1 0 1 0 0 0 2 2 2 1 0 0 0 1 2 4 8 12 0 0

S003 Superficial injury of nose 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

S005 Superficial injury of lip
0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 3 3 0 0
and oral cavity
S008 Superficial injury of other
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
parts of head
S009 Superficial injury of head,
0 0 0 0 0 0 0 0 0 1 0 3 1 0 0 0 0 1 1 0 2 5 7 0 0
part unspecified
S01 Open wound of head 0 0 0 1 0 2 0 1 0 2 2 2 2 1 1 5 4 1 4 2 13 17 30 1 2
S010 Open wound of scalp 0 0 0 0 0 0 1 0 0 0 0 3 0 0 0 2 0 0 0 0 1 5 6 0 0
S011 Open wound of eyelid and
0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 1 3 4 0 0
periocular area
S012 Open wound of nose 0 0 0 0 0 0 0 2 0 0 0 1 0 1 0 0 0 0 0 0 0 4 4 0 0
S013 Open wound of ear 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
S014 Open wound of cheek and
0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 1 0 1 3 4 0 0
temporomandibular area
S015 Open wound of lip and
0 0 0 1 1 0 0 1 0 1 1 0 0 0 1 0 0 0 0 0 3 3 6 0 0
oral cavity
S018 Open wound of other
0 0 0 0 0 0 0 1 0 1 0 0 1 2 0 0 0 2 0 0 1 6 7 0 0
parts of head
S02 Fracture of skull and facial
0 0 0 0 0 0 1 2 0 0 3 1 1 4 0 0 0 1 0 0 5 8 13 0 0
bones
S020 Fracture of vault of skull 0 0 0 1 2 3 1 10 1 2 0 5 0 3 2 2 0 2 0 0 6 28 34 0 1

S021 Fracture of base of skull 0 0 0 0 1 1 2 7 1 4 1 3 0 3 1 3 0 2 1 2 7 25 32 0 0

S022 Fracture of nasal bones 0 0 0 0 0 0 1 2 1 4 6 10 1 5 3 0 3 3 3 9 18 33 51 0 0

S023 Fracture of orbital floor 0 0 0 0 0 1 1 0 1 0 1 0 0 1 0 0 0 0 0 0 3 2 5 0 0

S024 Fracture of malar and
0 0 0 0 0 1 0 0 0 5 2 3 0 2 0 0 0 0 0 3 2 14 16 0 0
maxillary bones
S025 Fracture of tooth 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
S026 Fracture of mandible 0 0 0 0 0 1 2 0 0 5 3 9 1 2 4 4 2 3 0 1 12 25 37 0 0
S027 Multiple fractures
0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 0 0
involving skull and facial bones
S028 Fractures of other skull
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 2 3 0 0
and facial bones
S029 Fracture of skull and facial
0 0 0 0 0 0 0 0 0 1 0 2 1 0 1 1 0 2 0 1 2 7 9 0 0
bones, part unspecified
S03 Dislocation, sprain and
strain of joints and ligaments of 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
head
S031 Dislocation of septal
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
cartilage of nose
S045 Injury of facial nerve 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
S05 Injury of eye and orbit 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0 1 0 2 2 4 0 0
S050 Injury of conjunctiva and
corneal abrasion without 1 0 0 7 2 2 0 6 0 0 1 2 1 0 3 0 1 0 0 0 9 17 26 0 0
mention of foreign body
S051 Contusion of eyeball and
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
orbital tissues
S053 Ocular laceration without
prolapse or loss of intraocular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
tissue
S059 Injury of eye and orbit,
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
part unspecified
S06 Intracranial injury 0 0 0 0 1 0 1 1 0 1 2 2 1 2 0 2 0 2 5 0 10 10 20 0 2
S060 Concussion 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
S061 Traumatic cerebral
0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 2 3 0 0
oedema
S062 Diffuse brain injury 0 0 0 0 0 0 0 0 0 1 0 6 0 1 0 1 0 0 0 1 0 10 10 0 2
S063 Focal brain injury 0 0 0 0 0 0 0 2 0 1 0 3 0 0 1 1 1 2 0 3 2 12 14 0 0
S064 Epidural haemorrhage 0 0 0 0 1 2 2 5 0 3 1 10 0 11 1 7 0 3 2 2 7 43 50 0 3
S065 Traumatic subdural
0 0 0 0 1 0 2 4 4 2 2 9 5 11 2 13 2 12 8 37 26 88 114 4 11
haemorrhage
S066 Traumatic subarachnoid
0 0 1 0 0 0 0 0 1 3 1 4 0 1 3 4 0 2 2 4 8 18 26 1 3
haemorrhage

S068 Other intracranial injuries 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3 3 0 1

S07 Crushing injury of head 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 3 1 4 0 0

 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S070 Crushing injury of face 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

S080 Avulsion of scalp 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2 0 0
S09 Other and unspecified
0 0 0 0 1 1 4 7 0 1 5 9 3 5 2 3 2 4 4 4 21 34 55 0 1
injuries of head
S090 Injury of blood vessels of
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0
head, NEC
S091 Injury of muscle and
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
tendon of head
S092 Traumatic rupture of ear
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
drum
S097 Multiple injuries of head 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
S098 Other specified injuries of
0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 2 3 0 1
head
S099 Unspecified injury of head 0 0 2 2 8 7 4 18 4 13 7 42 9 41 12 21 12 18 11 9 69 171 240 3 7

S10 Superficial injury of neck 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 3 1 4 0 0

S101 Other and unspecified

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 2 2 0 0
superficial injuries of throat
S108 Superficial injury of other
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
parts of neck
S11 Open wound of neck 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
S118 Open wound of other
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
parts of neck
S119 Open wound of neck, part
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified
S12 Fracture of neck 0 0 0 0 0 0 1 2 1 3 10 10 15 5 10 15 10 17 16 27 63 79 142 0 2
S120 Fracture of first cervical
0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 3 3 0 0
vertebra
S121 Fracture of second
0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 2 0 2 0 0 2 5 7 0 0
cervical vertebra
S122 Fracture of other specified
0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 2 0 2 1 7 8 0 0
cervical vertebra
S127 Multiple fractures of
0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 1 2 3 0 1
cervical spine
S129 Fracture of neck, part
0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 0 0 1 1 0 4 2 6 0 0
unspecified
S131 Dislocation of cervical
0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 2 2 4 6 1 0
vertebra
S134 Sprain and strain of
0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 2 1 0
cervical spine
S136 Sprain and strain of joints
and ligaments of other and 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
unspecified parts of neck
S14 Injury of nerves and spinal
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 2 0 0
cord at neck level
S141 Other and unspecified
0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 3 0 1 0 1 2 6 8 0 0
injuries of cervical spinal cord

S143 Injury of brachial plexus 0 0 0 0 0 0 0 0 0 2 0 4 0 0 0 0 0 0 0 0 0 6 6 0 0

S145 Injury of cervical
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 2 0 0
sympathetic nerves
S146 Injury of other and
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified nerves of neck
S19 Other and unspecified
0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 2 1 3 0 0
injuries of neck
S198 Other specified injuries of
0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 1 0 3 3 0 0
neck
S199 Unspecified injury of neck 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2 3 0 0

S20 Superficial injury of thorax 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0

S203 Other superficial injuries

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 2 0 0
of front wall of thorax
S207 Multiple superficial
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
injuries of thorax
S208 Superficial injury of other
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 1 3 0 0
and unspecified parts of thorax
S21 Open wound of thorax 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 2 0 0
S212 Open wound of back wall
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
of thorax
S219 Open wound of thorax,
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
part unspecified
S22 Fracture of rib(s), sternum
0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 3 2 1 2 6 8 13 21 0 0
and thoracic spine
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S220 Fracture of thoracic

0 0 0 0 0 0 1 0 1 0 3 1 2 0 0 2 6 2 8 6 21 11 32 0 0
vertebra
S223 Fracture of rib 0 0 0 0 0 0 0 0 0 0 1 3 2 4 2 4 3 10 9 15 17 36 53 0 0
S224 Multiple fractures of ribs 0 0 0 0 0 1 0 1 0 2 0 5 1 1 1 6 2 7 6 8 10 31 41 1 4
S225 Flail chest 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
S228 Fracture of other parts of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
bony thorax
S24 Injury of nerves and spinal
0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 2 0 0
cord at thorax level
S250 Injury of thoracic aorta 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
S27 Injury of other and
unspecified intrathoracic 0 0 0 0 0 0 1 2 1 0 0 2 0 1 0 0 1 1 0 0 3 6 9 0 0
organs
S270 Traumatic pneumothorax 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 1 0 1 3 4 0 0

S271 Traumatic haemothorax 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 1 0 2 0 1 0 7 7 0 2

S272 Traumatic
0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 1 1 0 1 4 5 0 0
haemopneumothorax
S273 Other injuries of lung 0 0 0 0 0 0 0 1 0 1 0 2 0 0 0 1 0 0 0 1 0 6 6 0 1
S278 Injury of other specified
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
intrathoracic organs
S29 Other and unspecified
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
injuries of thorax
S290 Injury of muscle and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
tendon at thorax level
S299 Unspecified injury of
0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 1 0 0 0 3 1 7 8 0 0
thorax
S30 Superficial injury of
abdomen, lower back and 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 2 1 4 5 0 0
pelvis
S300 Contusion of lower back
0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 2 3 5 0 1
and pelvis
S302 Contusion of external
0 0 0 1 0 2 0 0 1 1 3 1 0 1 0 0 0 0 0 1 4 7 11 0 0
genital organs
S308 Other superficial injuries
of abdomen, lower back and 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
pelvis
S309 Superficial injury of
abdomen, lower back and 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
pelvis, part unspecified
S31 Open wound of abdomen,
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
lower back and pelvis
S310 Open wound of lower
0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
back and pelvis
S312 Open wound of penis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
S313 Open wound of scrotum
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 4 4 0 0
and testes
S314 Open wound of vagina
0 0 0 0 0 0 0 0 3 0 5 0 2 0 0 0 0 0 1 0 11 0 11 0 0
and vulva
S317 Multiple open wounds of
abdomen, lower back and 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 0 2 0 0
pelvis
S318 Open wound of other and
0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
unspecified parts of abdomen
S32 Fracture of lumbar spine
0 0 0 0 0 0 0 1 1 2 2 3 2 2 3 5 2 1 3 4 13 18 31 0 1
and pelvis
S320 Fracture of lumbar
0 0 0 0 0 0 1 0 7 7 14 19 7 14 9 17 3 15 19 17 60 89 149 0 1
vertebra
S321 Fracture of sacrum 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 2 1 3 1 0
S322 Fracture of coccyx 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 1 3 1 0
S323 Fracture of ilium 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 1 0 1 1 0 3 3 6 0 0
S324 Fracture of acetabulum 0 0 0 0 0 0 0 0 0 0 4 3 1 3 2 3 2 2 1 3 10 14 24 0 1
S325 Fracture of pubis 0 0 0 0 0 0 1 1 2 4 3 3 0 2 3 5 6 1 6 2 21 18 39 0 0
S327 Multiple fractures of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
lumbar spine and pelvis
S328 Fracture of other and
unspecified parts of lumbar 0 0 0 0 0 0 0 1 0 2 1 3 1 0 5 4 2 2 1 1 10 13 23 0 0
spine and pelvis
S334 Traumatic rupture of
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
symphysis pubis
S342 Injury of nerve root of
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
lumbar and sacral spine
S350 Injury of abdominal aorta 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
S36 Injury of intra-abdominal
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
organs
S360 Injury of spleen 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 2 4 6 0 1
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S361 Injury of liver or

0 0 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 1 3 4 0 0
gallbladder
S364 Injury of small intestine 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 2 1 0
S368 Injury of other intra-
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
abdominal organs
S37 Injury of urinary and pelvic
0 0 0 0 0 0 0 1 0 0 1 0 2 0 3 0 2 0 0 0 8 1 9 0 0
organs
S370 Injury of kidney 0 0 0 0 1 0 0 1 0 0 0 1 0 1 2 1 0 1 1 3 4 8 12 0 3
S371 Injury of ureter 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 2 0 0
S372 Injury of bladder 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 2 0 1
S373 Injury of urethra 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 3 1 6 7 0 0
S375 Injury of fallopian tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
S376 Injury of uterus 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 3 0 3 0 0
S378 Injury of other pelvic
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1
organs
S38 Crushing injury and
traumatic amputation of part of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0
abdomen, lower back and
pelvis
S380 Crushing injury of external
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
genital organs
S39 Other and unspecified
injuries of abdomen, lower 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 1 0 3 1 4 0 0
back and pelvis
S390 Injury of muscle and
tendon of abdomen, lower back 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 2 3 5 0 0
and pelvis
S398 Other specified injuries of
abdomen, lower back and 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
pelvis
S399 Unspecified injury of
abdomen, lower back and 0 0 0 1 1 0 2 3 1 3 1 5 2 4 0 2 0 2 1 1 8 21 29 0 1
pelvis
S40 Superficial injury of
0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0 1 3 4 0 0
shoulder and upper arm
S400 Contusion of shoulder and
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
upper arm
S41 Open wound of shoulder
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 2 1 3 0 0
and upper arm
S410 Open wound of shoulder 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
S411 Open wound of upper
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
arm
S418 Open wound of other and
unspecified parts of shoulder 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
girdle
S42 Fracture of shoulder and
0 0 0 0 2 2 9 7 11 5 11 30 17 19 17 23 12 9 16 6 95 101 196 0 0
upper arm
S420 Fracture of clavicle 0 0 0 0 1 0 2 6 5 17 34 53 26 42 17 46 13 36 18 14 116 214 330 0 2
S421 Fracture of scapula 0 0 0 0 0 1 2 0 0 0 2 6 4 2 1 5 0 2 1 5 10 21 31 0 1
S422 Fracture of upper end of
0 0 0 0 2 4 4 13 0 4 3 7 2 7 1 7 2 1 5 4 19 47 66 0 0
humerus
S423 Fracture of shaft of
0 0 2 1 8 12 28 72 4 19 14 16 3 10 5 8 3 6 7 10 74 154 228 0 0
humerus
S424 Fracture of lower end of
0 1 2 1 4 17 35 56 3 5 4 9 6 11 1 2 2 9 5 4 62 115 177 0 0
humerus
S427 Multiple fractures of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
clavicle, scapula and humerus

S428 Fracture of other parts of

0 0 0 0 1 1 6 26 1 0 4 11 2 2 1 1 3 1 3 2 21 44 65 0 0
shoulder and upper arm
S429 Fracture of shoulder
0 0 0 0 0 0 0 1 0 0 2 3 4 2 0 1 1 2 1 3 8 12 20 0 0
girdle, part unspecified
S43 Dislocation, sprain and
strain of joints and ligaments of 0 0 0 0 0 0 1 0 6 0 2 1 6 8 3 7 3 2 1 4 22 22 44 0 0
shoulder girdle
S430 Dislocation of shoulder
0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 2 1 0 2 1 3 7 10 0 0
joint
S431 Dislocation of
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 2 3 0 0
acromioclavicular joint
S433 Dislocation of other and
unspecified parts of shoulder 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
girdle
S434 Sprain and strain of
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
shoulder joint
S437 Sprain and strain of other
and unspecified parts of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 3 3 0 0
shoulder girdle
S444 Injury of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
musculocutaneous nerve
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S45 Injury of blood vessels at

0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
shoulder and upper arm level

S450 Injury of axillary artery 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0

S46 Injury of muscle and
tendon at shoulder and upper 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 3 1 4 0 0
arm level
S47 Crushing injury of shoulder
0 0 0 0 0 0 0 0 0 2 2 0 2 0 2 4 1 2 4 0 11 8 19 0 0
and upper arm
S49 Other and unspecified
injuries of shoulder and upper 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 2 0 0
arm
S499 Unspecified injury of
0 0 0 0 0 1 0 2 0 1 0 0 1 0 0 1 0 0 0 1 1 6 7 0 0
shoulder and upper arm
S50 Superficial injury of
0 0 0 0 0 0 0 0 2 1 4 4 3 2 2 6 0 0 1 3 12 16 28 0 0
forearm
S500 Contusion of elbow 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
S501 Contusion of other and
0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
unspecified parts of forearm
S509 Superficial injury of
0 0 0 0 0 0 1 1 0 0 1 0 3 0 0 0 0 0 0 0 5 1 6 0 0
forearm, unspecified
S51 Open wound of forearm 0 0 0 0 0 0 0 0 0 1 11 10 7 6 4 7 4 8 3 4 29 36 65 0 0

S510 Open wound of elbow 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 0 3 2 5 0 0

S518 Open wound of other
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
parts of forearm
S519 Open wound of forearm,
0 0 0 0 0 0 0 1 0 0 0 0 0 4 0 0 0 0 1 0 1 5 6 0 0
part unspecified
S52 Fracture of forearm 0 1 0 2 27 38 94 295 11 56 52 80 56 71 48 60 41 36 43 34 372 673 1045 0 0
S520 Fracture of upper end of
0 0 1 1 0 2 1 6 2 3 6 6 2 8 0 1 2 2 2 2 16 31 47 0 0
ulna
S521 Fracture of upper end of
0 0 0 0 0 0 2 3 1 0 2 2 3 2 0 0 2 2 1 0 11 9 20 0 0
radius
S522 Fracture of shaft of ulna 0 0 0 0 0 0 0 7 0 1 1 7 2 3 0 3 2 4 0 3 5 28 33 0 0

S523 Fracture of shaft of radius 0 0 0 2 2 0 0 6 1 4 3 7 5 9 2 5 2 5 7 3 22 41 63 0 0

S524 Fracture of shafts of both
0 0 0 0 0 0 4 11 0 1 0 3 1 2 2 0 0 0 1 1 8 18 26 0 0
ulna and radius
S525 Fracture of lower end of
0 0 0 0 0 2 1 4 3 3 2 5 5 7 9 6 11 11 11 4 42 42 84 0 1
radius
S526 Fracture of lower end of
0 0 0 0 0 0 2 7 0 0 0 2 2 2 0 2 1 0 3 0 8 13 21 0 0
both ulna and radius
S527 Multiple fractures of
0 0 0 0 0 0 1 6 0 5 0 2 1 0 0 1 1 0 1 1 4 15 19 0 0
forearm
S528 Fracture of other parts of
0 1 0 1 0 0 1 11 1 3 2 9 5 2 4 6 3 2 5 7 21 42 63 0 0
forearm
S529 Fracture of forearm, part
0 0 0 0 0 1 5 13 6 1 8 9 8 6 4 4 0 2 4 6 35 42 77 0 0
unspecified
S53 Dislocation, sprain and
strain of joints and ligaments of 0 0 0 0 0 0 2 1 0 1 2 4 1 4 1 3 2 0 1 1 9 14 23 0 0
elbow
S530 Dislocation of radial head 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
S531 Dislocation of elbow,
0 0 0 0 0 0 1 4 1 0 2 1 1 0 0 0 2 1 0 1 7 7 14 0 0
unspecified
S534 Sprain and strain of elbow 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0
S54 Injury of nerves at forearm
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
level
S540 Injury of ulnar nerve at
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
forearm level
S549 Injury of unspecified
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
nerve at forearm level
S558 Injury of other blood
0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 3 3 0 0
vessels at forearm level
S56 Injury of muscle and
0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 2 3 5 0 0
tendon at forearm level
S561 Injury of long flexor
muscle and tendon of other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 2 0 0
finger(s) at forearm level

S564 Injury of extensor muscle

and tendon of other finger(s) at 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
forearm level

S57 Crushing injury of forearm 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

S570 Crushing injury of elbow 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0

 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S579 Crushing injury of

0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
forearm, part unspecified
S580 Traumatic amputation at
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
elbow level
S59 Other and unspecified
0 0 0 0 0 0 0 5 0 1 3 1 2 0 1 2 2 0 0 0 8 9 17 0 0
injuries of forearm
S599 Unspecified injury of
0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 3 4 0 0
forearm
S60 Superficial injury of wrist
0 0 0 0 1 1 4 6 7 7 30 19 21 15 25 20 9 12 6 13 103 93 196 0 0
and hand
S602 Contusion of other parts
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
of wrist and hand
S607 Multiple superficial
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
injuries of wrist and hand
S608 Other superficial injuries
0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 1 2 3 0 0
of wrist and hand
S609 Superficial injury of wrist
0 0 0 0 0 0 0 0 0 3 3 2 2 2 3 4 4 3 0 2 12 16 28 0 0
and hand, unspecified
S61 Open wound of wrist and
0 0 1 0 0 0 1 0 1 2 5 3 3 4 2 4 1 0 2 2 16 15 31 0 0
hand
S610 Open wound of finger(s)
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
without damage to nail

S611 Open wound of finger(s)

0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 2 2 0 0
with damage to nail
S618 Open wound of other
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
parts of wrist and hand
S619 Open wound of wrist and
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
hand part, part unspecified
S62 Fracture at wrist and hand
0 0 0 0 1 0 1 4 0 6 3 12 7 2 5 3 2 1 6 2 25 30 55 0 0
level
S620 Fracture of navicular
0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 0 0 0 0 0 4 4 0 0
[scaphoid] bone of hand
S621 Fracture of other carpal
0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0
bone(s)
S622 Fracture of first
0 0 0 0 0 0 1 0 1 3 2 1 2 0 1 0 0 1 0 0 7 5 12 0 0
metacarpal bone
S623 Fracture of other
0 0 0 0 0 0 2 2 4 2 5 12 16 11 14 6 7 14 6 5 54 52 106 0 0
metacarpal bone
S624 Multiple fractures of
0 0 0 0 0 0 0 0 0 3 0 1 0 2 0 0 0 0 0 0 0 6 6 0 0
metacarpal bones
S625 Fracture of thumb 0 0 0 0 1 0 2 0 0 1 1 1 1 0 0 1 0 1 0 1 5 5 10 0 0
S626 Fracture of other finger 0 0 0 0 0 1 2 4 0 1 1 10 0 5 0 1 2 1 2 0 7 23 30 0 0
S627 Multiple fractures of
0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
fingers
S628 Fracture of other and
unspecified parts of wrist and 0 0 0 0 0 0 1 2 0 1 1 1 0 2 2 0 0 0 0 0 4 6 10 0 0
hand
S63 Dislocation, sprain and
strain of joints and ligaments at 0 0 0 0 0 0 0 1 0 0 1 1 0 3 2 3 0 0 0 1 3 9 12 0 0
wrist and hand level
S630 Dislocation of wrist 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 3 2 5 0 0
S631 Dislocation of finger 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 3 0 5 5 0 0
S633 Traumatic rupture of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
ligament of wrist and carpus
S634 Traumatic rupture of
ligament of finger at
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
metacarpophalangeal and
interphalangeal joint(s)
S637 Sprain and strain of other
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
and unspecified parts of hand
S64 Injury of nerves at wrist
0 0 0 0 1 0 0 0 0 2 2 3 3 0 1 3 1 0 0 1 8 9 17 0 0
and hand level
S641 Injury of median nerve at
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
wrist and hand level
S642 Injury of radial nerve at
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
wrist and hand level
S644 Injury of digital nerve of
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 2 0 0
other finger
S649 Injury of unspecified
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 2 0 0
nerve at wrist and hand level
S650 Injury of ulnar artery at
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
wrist and hand level
S651 Injury of radial artery at
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
wrist and hand level
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S655 Injury of blood vessel(s) of

0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
other finger
S659 Injury of unspecified
blood vessel at wrist and hand 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
level
S66 Injury of muscle and
0 0 0 0 0 0 1 0 0 1 0 0 0 1 3 1 0 0 1 0 5 3 8 0 0
tendon at wrist and hand level

S660 Injury of long flexor

muscle and tendon of thumb at 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
wrist and hand level

S661 Injury of flexor muscle

and tendon of other finger at 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
wrist and hand level

S663 Injury of extensor muscle

and tendon of other finger at 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 2 1 3 0 0
wrist and hand level
S669 Injury of unspecified
muscle and tendon at wrist and 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 1 2 0 0
hand level
S67 Crushing injury of wrist and
0 0 0 0 0 0 1 4 0 3 1 3 1 2 1 0 1 3 1 1 6 16 22 0 0
hand
S670 Crushing injury of thumb
0 0 0 0 0 0 1 0 0 1 0 3 0 0 0 0 1 0 0 0 2 4 6 0 0
and other finger(s)
S678 Crushing injury of other
and unspecified parts of wrist 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 1 1 2 5 7 0 0
and hand
S68 Traumatic amputation of
0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 1 2 3 0 0
wrist and hand

S680 Traumatic amputation of

0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 3 3 0 0
thumb (complete)(partial)
S681 Traumatic amputation of
other single finger 0 0 0 0 0 0 0 1 0 2 0 3 0 2 0 1 0 1 0 1 0 11 11 0 0
(complete)(partial)
S682 Traumatic amputation of
two or more fingers alone 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 2 0 0
(complete)(partial)
S683 Combined traumatic
amputation of (part of) finger(s)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
with other parts of wrist and
hand
S688 Traumatic amputation of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
other parts of wrist and hand
S689 Traumatic amputation of
wrist and hand, level 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
unspecified
S69 Other and unspecified
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 2 0 0
injuries of wrist and hand
S698 Other specified injuries of
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
wrist and hand
S699 Unspecified injury of wrist
0 0 0 0 1 1 0 8 0 1 0 11 0 6 1 3 0 0 0 2 2 32 34 0 0
and hand
S70 Superficial injury of hip and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
thigh
S701 Contusion of thigh 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 2 2 0 0
S71 Open wound of hip and
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 3 1 0 1 1 3 4 7 0 0
thigh
S710 Open wound of hip 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
S711 Open wound of thigh 0 0 0 0 0 0 0 0 0 1 0 1 2 0 0 0 0 2 2 2 4 6 10 0 1
S72 Fracture of femur 0 1 1 2 4 12 15 42 11 21 57 78 49 40 37 42 35 36 78 74 287 348 635 10 1
S720 Fracture of neck of femur 0 0 0 0 0 0 2 3 1 0 4 2 3 7 4 4 2 10 22 26 38 52 90 1 0

S721 Pertrochanteric fracture 0 0 0 0 0 0 0 0 0 0 0 2 2 3 1 7 1 2 35 24 39 38 77 1 2

S722 Subtrochanteric fracture 0 0 1 0 0 0 2 8 0 0 2 2 0 5 0 3 0 1 8 9 13 28 41 0 0

S723 Fracture of shaft of femur 0 1 0 1 2 6 7 20 5 14 5 19 3 6 3 7 1 10 8 5 34 89 123 0 0

S724 Fracture of lower end of
0 0 0 0 0 0 1 4 0 1 0 3 1 4 2 1 0 1 2 0 6 14 20 0 0
femur
S727 Multiple fractures of
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
femur
S728 Fractures of other parts of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
femur
S729 Fracture of femur, part
0 0 0 3 3 3 12 17 3 10 9 33 10 17 9 25 10 16 47 30 103 154 257 2 0
unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S73 Dislocation, sprain and

strain of joint and ligaments of 0 0 0 0 0 0 1 0 1 2 6 3 5 3 4 6 3 2 4 1 24 17 41 0 0
hip
S730 Dislocation of hip 0 0 0 0 0 0 1 2 1 1 5 5 4 5 3 7 1 4 2 5 17 29 46 0 0
S731 Sprain and strain of hip 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 3 1 4 0 0

S76 Injury of muscle and

0 0 0 0 0 0 1 0 0 0 2 3 1 0 1 0 0 0 1 1 6 4 10 0 0
tendon at hip and thigh level
S761 Injury of quadriceps
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
muscle and tendon
S764 Injury of other and
unspecified muscles and 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 2 0 0
tendons at thigh level
S77 Crushing injury of hip and
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 4 2 6 0 0
thigh
S770 Crushing injury of hip 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 2 0 1 0 6 6 0 0
S78 Traumatic amputation of
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
hip and thigh
S79 Other and specified injuries
0 0 0 0 0 0 0 1 0 0 0 2 2 1 2 2 1 0 0 1 5 7 12 0 0
of hip and thigh
S799 Unspecified injury of hip
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 2 0 0
and thigh
S80 Superficial injury of lower
0 0 0 0 0 0 0 0 0 1 8 5 4 1 1 5 1 1 1 1 15 14 29 0 0
leg
S800 Contusion of knee 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 2 1 3 0 0
S801 Contusion of other and
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 2 0 0
unspecified parts of lower leg
S807 Multiple superficial
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
injuries of lower leg
S808 Other superficial injuries
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
of lower leg
S81 Open wound of lower leg 0 0 0 0 0 0 1 3 2 2 12 15 12 7 11 13 3 6 6 9 47 55 102 0 0
S810 Open wound of knee 0 0 0 0 0 0 1 2 1 1 4 3 3 2 4 3 4 1 1 1 18 13 31 0 0
S817 Multiple open wounds of
0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
lower leg
S818 Open wound of other
0 0 0 0 0 1 0 0 0 0 1 3 1 2 0 3 0 1 0 0 2 10 12 0 0
parts of lower leg
S819 Open wound of lower leg,
0 0 0 0 0 0 0 1 0 0 2 2 1 0 1 1 0 2 0 0 4 6 10 0 0
part unspecified
S82 Fracture of lower leg,
0 0 0 1 2 6 8 26 9 22 35 50 22 39 27 25 38 25 20 24 161 218 379 0 0
including ankle
S820 Fracture of patella 1 0 0 0 0 2 1 5 1 4 9 22 11 11 7 17 3 17 21 6 54 84 138 0 0
S821 Fracture of upper end of
0 0 0 0 0 0 2 1 2 4 4 7 10 13 0 9 10 4 4 4 32 42 74 0 0
tibia
S822 Fracture of shaft of tibia 0 0 1 0 1 2 8 16 6 14 17 41 15 42 17 32 14 25 19 19 98 191 289 0 0
S823 Fracture of lower end of
0 0 0 0 0 2 1 8 1 9 5 24 7 10 9 17 6 6 4 11 33 87 120 0 0
tibia
S824 Fracture of fibula alone 0 0 0 0 0 0 0 1 1 1 2 6 6 6 1 5 4 6 1 1 15 26 41 0 0
S825 Fracture of medial
0 0 0 0 0 0 0 2 3 9 5 14 9 16 6 15 7 10 3 6 33 72 105 0 0
malleolus
S826 Fracture of lateral
0 0 0 0 0 0 0 0 0 1 4 4 5 6 3 4 3 1 2 1 17 17 34 0 0
malleolus
S827 Multiple fractures of
0 0 0 0 0 0 1 1 0 1 1 2 2 2 0 2 0 0 0 0 4 8 12 0 0
lower leg
S828 Fractures of other parts of
0 0 0 0 0 1 3 4 3 6 12 28 6 17 9 20 5 14 8 9 46 99 145 0 0
lower leg
S829 Fracture of lower leg, part
0 0 0 0 1 3 0 2 3 1 6 9 1 8 8 6 7 3 5 2 31 34 65 0 0
unspecified
S83 Dislocation, sprain and
strain of joints and ligaments of 0 0 0 0 0 0 0 0 0 0 4 5 1 1 0 2 2 2 1 1 8 11 19 0 0
knee
S830 Dislocation of patella 0 0 0 0 0 0 0 0 1 0 4 0 0 0 1 0 1 0 2 0 9 0 9 0 0
S831 Dislocation of knee 0 0 0 0 0 0 0 1 0 0 0 2 0 1 2 0 0 0 0 0 2 4 6 0 0
S832 Tear of meniscus, current 0 0 0 0 0 0 1 0 1 1 3 7 3 6 2 3 1 1 1 0 12 18 30 0 0
S833 Tear of articular cartilage
0 0 0 0 0 0 0 0 1 1 1 6 1 2 3 6 1 1 0 0 7 16 23 0 0
of knee, current
S835 Sprain and strain involving
(anterior)(posterior) cruciate 0 0 0 0 0 0 0 0 0 2 0 8 4 7 2 1 0 0 0 0 6 18 24 0 0
ligament of knee

S836 Sprain and strain of other

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
and unspecified parts of knee
S837 Injury to multiple
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
structures of knee
S84 Injury of nerves at lower
0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 1 2 3 0 0
leg level
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S848 Injury of other nerves at

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0
lower leg level
S85 Injury of blood vessels at
0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 2 0 0
lower leg level
S850 Injury of popliteal artery 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0

S852 Injury of peroneal artery 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

S86 Injury of muscle and
0 0 0 0 0 0 0 0 0 0 4 3 1 2 1 2 0 3 0 2 6 12 18 0 0
tendon at lower leg level
S860 Injury of Achilles tendon 0 0 0 0 0 0 0 1 0 2 0 1 0 1 1 3 1 0 0 1 2 9 11 0 0

S863 Injury of muscle(s) and

tendon(s) of peroneal muscle 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 2 0 0
group at lower leg level

S868 Injury of other muscles

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
and tendons at lower leg level
S869 Injury of unspecified
muscle and tendon at lower leg 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 1 2 3 0 0
level
S87 Crushing injury of lower leg 0 0 0 0 0 0 0 0 0 1 0 2 0 0 1 2 1 0 1 0 3 5 8 0 0

S870 Crushing injury of knee 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0

S878 Crushing injury of other
and unspecified parts of lower 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 2 2 0 0
leg
S880 Traumatic amputation at
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
knee level
S881 Traumatic amputation at
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
level between knee and ankle
S89 Other and unspecified
0 0 0 0 0 0 0 1 0 0 5 3 5 3 1 0 1 0 1 1 13 8 21 0 0
injuries of lower leg
S899 Unspecified injury of
0 0 0 0 0 0 0 2 0 0 0 3 2 2 2 0 1 0 0 0 5 7 12 0 0
lower leg
S90 Superficial injury of ankle
0 0 0 0 0 0 0 2 1 0 1 0 1 2 2 2 1 1 1 0 7 7 14 0 0
and foot
S900 Contusion of ankle 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 2 0 0
S908 Other superficial injuries
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 2 0 2 0 0
of ankle and foot
S909 Superficial injury of ankle
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
and foot, unspecified
S91 Open wound of ankle and
0 0 0 0 0 0 0 0 1 0 5 6 3 2 3 2 0 1 1 0 13 11 24 0 0
foot
S910 Open wound of ankle 0 0 0 0 0 0 0 0 0 1 3 0 0 0 1 1 1 0 0 0 5 2 7 0 0
S912 Open wound of toe(s)
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 2 2 0 0
with damage to nail
S913 Open wound of other
0 0 0 1 0 1 0 2 0 2 1 0 0 6 2 1 1 0 2 6 6 19 25 0 0
parts of foot
S92 Fracture of foot, except
3 0 0 0 2 1 0 12 2 5 6 12 8 8 3 11 2 5 1 5 27 59 86 0 0
ankle
S920 Fracture of calcaneus 0 0 0 0 0 0 1 2 3 1 0 3 1 5 1 6 0 3 1 2 7 22 29 0 0
S921 Fracture of talus 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 3 3 0 0
S922 Fracture of other tarsal
0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 1 0 0 1 2 3 5 0 0
bone(s)
S923 Fracture of metatarsal
0 0 0 0 1 0 2 7 4 4 17 27 9 10 6 17 4 5 6 11 49 81 130 0 0
bone
S924 Fracture of great toe 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 2 2 4 0 0
S925 Fracture of other toe 0 0 0 0 0 0 2 0 0 3 0 6 2 4 0 2 0 0 0 0 4 15 19 0 0
S929 Fracture of foot,
0 0 0 0 0 0 0 1 0 2 5 0 0 2 2 1 0 0 4 4 11 10 21 0 0
unspecified
S93 Dislocation, sprain and
strain of joints and ligaments at 0 0 0 0 0 0 0 0 0 0 1 1 1 4 2 1 1 2 1 0 6 8 14 0 0
ankle and foot level

S930 Dislocation of ankle joint 0 0 0 0 0 0 0 0 0 1 2 1 0 1 0 1 0 1 0 0 2 5 7 0 0

S931 Dislocation of toe(s) 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 2 0 0
S933 Dislocation of other and
0 0 0 0 0 0 0 0 0 0 1 3 0 3 0 2 0 0 1 0 2 8 10 0 0
unspecified parts of foot

S934 Sprain and strain of ankle 0 0 0 0 0 0 0 0 1 1 7 2 3 2 3 5 7 1 3 5 24 16 40 0 0

S936 Sprain and strain of other

0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 2 3 0 0
and unspecified parts of foot
S94 Injury of nerves at ankle
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
and foot level
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

S942 Injury of deep peroneal

0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
nerve at ankle and foot level
S959 Injury of unspecified
blood vessel at ankle and foot 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
level
S96 Injury of muscle and
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 1 2 3 0 0
tendon at ankle and foot level

S960 Injury of muscle and

tendon of long flexor muscle of 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
toe at ankle and foot level
S97 Crushing injury of ankle
0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 3 3 0 0
and foot
S970 Crushing injury of ankle 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0

S971 Crushing injury of toe(s) 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 2 0 0

S978 Crushing injury of other

0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 2 2 0 0
parts of ankle and foot
S981 Traumatic amputation of
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 1 0 0 0 4 4 0 0
one toe
S982 Traumatic amputation of
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
two or more toes
S99 Other and unspecified
0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 1 2 3 0 0
injuries of ankle and foot
S998 Other specified injuries of
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
ankle and foot
S999 Unspecified injury of ankle
0 0 0 0 0 0 0 2 1 2 1 0 0 0 0 0 0 0 0 1 2 5 7 0 0
and foot
T00 Superficial injuries
0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 2 1 3 0 0
involving multiple body regions
T000 Superficial injuries
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
involving head with neck
T003 Superficial injuries
involving multiple regions of 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
lower limb(s)
T008 Superficial injuries
involving other combinations of 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0
body regions
T019 Multiple open wounds,
0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 0
unspecified
T02 Fractures involving multiple
0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 4 4 0 0
body regions
T022 Fractures involving
multiple regions of one upper 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
limb
T029 Multiple fractures,
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
T03 Dislocations, sprains and
strains involving multiple body 0 0 0 0 0 0 0 6 3 2 2 3 8 7 4 3 1 4 3 8 21 33 54 0 0
regions
T04 Crushing injuries involving
0 0 0 0 0 3 2 7 0 3 2 2 1 4 3 1 1 5 0 3 9 28 37 0 0
multiple body regions

T044 Crushing injuries involving

multiple regions of upper 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 12 4 13 6 19 0 0
limb(s) with lower limb(s)

T06 Other injuries involving

0 0 1 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5 0 0
multiple body regions, NEC

T063 Injuries of blood vessels

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
involving multiple body regions
T07 Unspecified multiple
0 0 0 0 0 0 0 0 0 1 0 4 2 0 0 1 0 2 1 0 3 8 11 0 1
injuries
T08 Fracture of spine, level
0 0 0 0 0 0 0 0 0 1 3 4 1 2 4 5 1 6 3 6 12 24 36 0 0
unspecified
T09 Other injuries of spine and
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 3 3 0 2
trunk, level unspecified
T093 Injury of spinal cord, level
0 0 0 0 0 0 0 0 0 2 0 0 1 1 0 1 0 1 0 0 1 5 6 0 0
unspecified
T094 Injury of unspecified
nerve, spinal nerve root and 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
plexus of trunk
T099 Unspecified injury of
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
trunk, level unspecified
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

T10 Fracture of upper limb,

0 0 0 0 0 1 4 0 0 1 2 2 8 8 12 27 19 30 31 43 76 112 188 0 1
level unspecified
T111 Open wound of upper
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
limb, level unspecified
T114 Injury of unspecified
blood vessel of upper limb, 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 1 2 0 5 1 6 0 0
level unspecified
T12 Fracture of lower limb,
0 0 0 0 0 1 0 1 1 1 0 0 0 0 1 0 0 0 2 1 4 4 8 0 0
level unspecified
T13 Other injuries of lower
0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 2 1 3 0 0
limb, level unspecified
T130 Superficial injury of lower
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0
limb, level unspecified
T131 Open wound of lower
0 0 0 0 0 2 2 0 0 0 0 1 0 0 0 0 0 0 0 0 2 3 5 0 0
limb, level unspecified
T132 Dislocation, sprain and
strain of unspecified joint and
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0
ligament of lower limb, level
unspecified
T133 Injury of unspecified
nerve of lower limb, level 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
unspecified
T138 Other specified injuries of
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
lower limb, level unspecified

T139 Unspecified injury of

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0
lower limb, level unspecified
T14 Injury of unspecified body
2 16 34 63 152 230 388 921 298 506 553 961 504 735 470 558 357 481 487 533 3245 5004 8249 9 12
region
T140 Superficial injury of
0 0 1 2 6 4 13 24 8 6 18 20 12 12 10 10 17 16 17 19 102 113 215 1 0
unspecified body region
T141 Open wound of
1 0 2 0 5 7 11 16 6 10 12 10 11 16 10 22 8 6 9 16 75 103 178 0 1
unspecified body region
T142 Fracture of unspecified
0 0 2 2 5 11 21 74 8 35 30 56 23 51 12 32 19 22 26 36 146 319 465 0 1
body region
T143 Dislocation, sprain and
strain of unspecified body 0 0 0 0 0 0 0 1 0 0 1 2 1 0 1 1 0 1 0 1 3 6 9 0 0
region
T145 Injury of blood vessel(s) of
0 0 0 0 0 1 0 1 0 0 0 4 0 0 0 1 1 0 1 0 2 7 9 0 0
unspecified body region
T146 Injury of muscles and
tendons of unspecified body 0 0 0 0 0 0 3 2 0 3 1 7 1 5 3 5 0 4 0 2 8 28 36 0 0
region
T147 Crushing injury and
traumatic amputation of 0 0 0 0 0 2 1 4 1 1 2 6 1 0 0 1 0 0 0 0 5 14 19 0 0
unspecified body region
T148 Other injuries of
0 0 0 0 0 0 1 2 2 1 1 3 5 3 1 3 0 1 1 3 11 16 27 0 0
unspecified body region
T149 Injury, unspecified 0 0 0 1 3 4 8 18 10 15 37 56 40 26 7 22 11 13 8 17 124 172 296 0 0
T150 Foreign body in cornea 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0

T158 Foreign body in other and

0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0
multiple parts of external eye
T16 Foreign body in ear 0 0 1 0 1 2 4 4 1 1 1 4 4 2 0 0 1 2 1 3 14 18 32 0 0
T17 Foreign body in respiratory
0 0 0 1 0 3 0 0 0 0 0 0 2 0 1 2 1 1 1 0 5 7 12 0 0
tract
T171 Foreign body in nostril 0 0 1 1 3 3 8 0 0 0 1 1 1 0 0 1 0 1 1 3 15 10 25 0 0

T172 Foreign body in pharynx 0 0 0 0 1 0 1 2 2 0 2 3 3 0 2 2 3 2 5 9 19 18 37 0 0

T179 Foreign body in
respiratory tract, part 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
unspecified
T18 Foreign body in alimentary
0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 2 0 1 3 2 4 8 12 0 0
tract
T181 Foreign body in
0 0 0 0 0 1 1 0 0 0 2 1 0 0 0 1 2 0 1 2 6 5 11 0 0
oesophagus
T183 Foreign body in small
0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 4 1 7 8 0 1
intestine
T189 Foreign body in
alimentary tract, part 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 3 2 5 0 0
unspecified
T19 Foreign body in
0 0 0 0 0 0 2 0 0 2 0 1 1 0 1 0 0 1 0 0 4 4 8 0 0
genitourinary tract
T199 Foreign body in
genitourinary tract, part 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 2 2 0 0
unspecified
T20 Burn and corrosion of head
0 0 0 0 0 0 0 1 0 1 3 0 1 0 3 1 0 2 5 2 12 7 19 1 0
and neck
T200 Burn of unspecified
0 0 0 0 0 0 0 0 0 0 2 1 0 0 2 1 0 2 3 2 7 6 13 0 0
degree of head and neck
 <=28 Days 29 days to 1 1 to 4 Yrs 5 to 14 Yrs 15 to 19 Yrs 20 to 29 Yrs 30 to 39 Yrs 40 to 49 Yrs 50 to 59 Yrs >=60 Yrs Total Deaths
ICD/Diseases
FemaleMale Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male FemaleMale Female Male Total Male
Female

T201 Burn of first degree of

0 0 0 0 1 1 3 2 1 0 0 0 0 1 0 0 0 0 0 0 5 4 9 0 0
head and neck
T202 Burn of second degree of
0 0 0 0 0 2 1 2 1 0 1 0 0 0 0 1 0 0 0 0 3 5 8 0 0
head and neck
T203 Burn of third degree of
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
head and neck
T210 Burn of unspecified
0 0 0 0 0 0 1 2 1 0 0 0 0 0 1 0 0 0 0 0 3 2 5 0 0
degree of trunk
T211 Burn of first degree of
0 0 0 0 0 0 3 0 0 2 0 0 1 0 0 0 0 0 0 0 4 2 6 0 0
trunk
T212 Burn of second degree of
0 0 0 0 0 1 1 4 0 0 2 1 2 0 0 1 2 1 1 1 8 9 17 1 0
trunk
T216 Corrosion of second
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
degree of trunk
T22 Burn and corrosion of
shoulder and upper limb, 0 0 1 2 0 2 5 0 3 2 11 14 2 3 3 1 3 4 0 0 28 28 56 6 5
except wrist and hand
T220 Burn of unspecified
degree of shoulder and upper 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
limb, except wrist and hand
T221 Burn of first degree of
shoulder and upper limb, 0 0 0 0 0 4 0 5 1 0 3 1 2 1 1 0 0 2 3 0 10 13 23 0 0
except wrist and hand
T222 Burn of second degree of
shoulder and upper limb, 0 0 0 0 1 4 3 5 1 1 4 3 0 3 1 3 0 3 1 0 11 22 33 0 0
except wrist and hand

T225 Corrosion of first degree

of shoulder and upper limb, 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
except wrist and hand
T23 Burn and corrosion of wrist
0 0 0 0 0 0 0 3 0 0 0 0 0 0 2 0 0 0 0 0 2 3 5 0 0
and hand
T230 Burn of unspecified
0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0
degree of wrist and hand
T231 Burn of first degree of
0 0 0 0 1 1 1 0 0 0 3 0 0 0 1 0 1 0 2 0 9 1 10 0 0
wrist and hand
T232 Burn of second degree of
0 0 0 0 1 1 3 0 2 1 1 1 1 1 1 0 1 1 0 0 10 5 15 0 0
wrist and hand
T240 Burn of unspecified
degree of hip and lower limb, 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 3 0 3 0 0
except ankle and foot
T241 Burn of first degree of hip
and lower limb, except ankle 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 0 1 3 4 0 0
and foot
T242 Burn of second degree of
hip and lower limb, except 0 0 0 0 1 2 1 0 0 0 2 0 1 2 0 0 0 0 1 0 6 4 10 0 0
ankle and foot

T244 Corrosion of unspecified

degree of hip and lower limb, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0
except ankle and foot
T250 Burn of unspecified
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 2 2 0 0
degree of ankle and foot
T251 Burn of first degree of
0 0 0 0 0 0 1 1 0 0 0 0 6 1 3 0 8 0 0 0 18 2 20 0 0
ankle and foot
T252 Burn of second degree of
0 0 0 0 1 1 0 1 0 0 2 1 0 0 1 0 0 0 0 0 4 3 7 0 0
ankle and foot
T255 Corrosion of first degree
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0
of ankle and foot
T28 Burn and corrosion of
0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 3 3 0 0
other internal organs
T283 Burn of internal
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0
genitourinary organs
T29 Burns and corrosions of
0 0 0 0 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0
multiple body regions
T290 Burns of multiple regions,
0 0 0 1 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 0
unspecified degree

T292 Burns of multiple regions,

no more than second-degree 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 2 1 3 1 0
burns mentioned
T30 Burn and corrosion, body
0 6 38 52 176 242 112 110 40 34 69 48 51 47 51 27 36 35 64 30 637 631 1268 18 9
region unspecified
T300 Burn of unspecified body
0 0 2 4 10 18 15 15 10 6 12 13 3 3 12 1 1 7 8 5 73 72 145 3 1
region, unspecified degree
T301 Burn of first degree, body
0 0 1 0 2 1 1 1 0 0 0 0 0 1 0 0 0 1 2 0 6 4 10 1 0
region unspecified
 80°0'0"E 81°40'0"E 83°20'0"E 85°0'0"E 86°40'0"E 88°20'0"E

NEPAL
Administrative Division
CHINA
KATHMANDU VALLEY
INDIA
HUMLA

30°0'0"N
30°0'0"N

KATHMANDU
DARCHULA
P UR
KTA
BAJHANG BHA
MUGU
BAITADI BAJURA

DADELDHURA
JUMLA
DOTI ACHHAM KALIKOT DOLPA LALITPUR

MUSTANG
KANCHANPUR DAILEKH
JAJARKOT CHINA
KAILALI
RUKUM_W RUKUM_E
MANANG
SURKHET MYAGDI
KASKI

28°20'0"N
SALYAN GORKHA
28°20'0"N

BARDIYA
ROLPA
BAGLUNG PARBAT LAMJUNG
RASUWA
INDIA
BANKE PYUTHAN
GULMI CHINA
SYANGJA
DANG TANAHU NUWAKOT
ARGHAKHANCHI SINDHUPALCHOK DOLAKHA
PALPA DHADING SANKHUWASABHA
KAPILBASTU
NAWALPARASI_E KABHREPALANCHOK
RUPANDEHI
CHITAWAN TAPLEJUNG
Legend NAWALPARASI_W MAKAWANPUR
RAMECHHAP SOLUKHUMBU

Boundary Province OKHALDHUNGA BHOJPUR

INDIA
PARSA SINDHULI
International Province - 1 TERHATHUM
RAUTAHAT KHOTANG
PANCHTHAR
Provincial Province - 2 INDIA BARA
SARLAHI DHANUSHA DHANKUTA ILAM
District Province - 3
MAHOTTARI UDAYAPUR
Province - 4 SIRAHA

26°40'0"N
26°40'0"N

SUNSARI
Province - 5 SAPTARI JHAPA
MORANG
Karnali
0 50 100 KM
Provice - 7 INDIA

Spatial Data Source: Department of Survey, Minbhavan Map Produced by: HMIS Section, Department of Health Services, Teku,
81°40'0"E 83°20'0"E 85°0'0"E 86°40'0"E