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Title: Progress in Reducing Inequalities in Reproductive, Maternal, Newborn and Child Health Services in Nepal
Authors: Pandey, Achyut Raj
Ojha, Biwesh
Shrestha, Niraj
Maskey, Jasmine
Sharma, Dikshya
Godwin, Peter
Chalise, Binaya
Aryal, Krishna Kumar
Citation: PandeyA. R., OjhaB., ShresthaN., MaskeyJ., SharmaD., GodwinP., ChaliseB., & AryalK. K. (2021). Progress in Reducing Inequalities in Reproductive, Maternal, Newborn and Child Health Services in Nepal. Journal of Nepal Health Research Council, 19(1), 140-147.
Issue Date: 2021
Publisher: Nepal Health Research Council
Keywords: Health services
newborn and child health
reproductive health
Series/Report no.: Jan-March, 2021;3375
Abstract: Abstract Background: Equity has emerged as a cross-cutting theme in the health sector, and countries across the world are striving to ensure that all people have access to the health services they need without undue financial hardship and educational, social, cultural and geographical barriers. In this context, this analysis has attempted to analyse Nepal’s progress in reducing inequalities in reproductive, maternal, newborn and child health services based on economic status and place of residence. Methods: In this analysis, we have used data available from the web version of the Health Equity Assessment Toolkit, a data visualisation tool developed by the World Health Organisation. We have analysed the inequalities in terms of a composite coverage index which combines eight reproductive, maternal, newborn and child health interventions along the continuum of care. Results: Composite coverage of reproductive, maternal, newborn and child health services was 43% in 2001 which increased to 65% in 2016. The absolute difference in composite coverage of the services between the lowest and highest wealth quintiles decreased from 28-percentage points in 2001 to 8-percentage points in 2016. The difference in service coverage between the urban and rural settings reduced from 21-percentage points to six percentage points in the period. Among the eight various services, births attended by skilled birth attendants is the indicator with the highest scope for improvement. Conclusions: Inequalities based on wealth quintiles and residence places have narrowed from 2001 to 2016. Additional efforts in expanding skilled birth attendants and antenatal care service coverage among the poorest quintile and rural residents could further improve the coverage of the indicators at the national level and narrow down the inequalities. Keywords: Health services; inequality; maternal; Nepal; newborn and child health; reproductive health
Description: Original Article
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 19 No. 1 (2021): Vol. 19 No. 1 Issue 50 Jan-Mar 2021

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