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Nepal Political Economy Analysis Briefing Note : Factors That Shape The Prioritization And Allocation Of Resources For Reproductive, Maternal And Newbron Health
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Nepal has made some dramatic and rapid progress in Reproductive Maternal Newborn and Child Health (RMNCH), despite being a low income country with high levels of poverty, difficult geography, and conflict. The Total Fertility Rate fell from 4.6 births per woman in 1996 to 2.6 in 2011. Nepal has already achieved the Millennium Development Goal (MDG) target of reducing maternal mortality by three quarters between 1990 and 2015, and the target under-5 mortality rate (U5MR) of 54 per 1,000 live births was achieved in 2011. As a result, new, more ambitious targets of 38/1000 for the U5MR, and 32/1000 for infant mortality, have been set by the Nepal government. Rates of stunting have also declined. These policy, managerial, regulatory and financial challenges. These challenges include the largely unregulated private sector, which is insufficiently accounted for in planning, priority setting, resource allocation, and quality control. Health worker promotions and placements are the subject of patronage and power in Kathmandu and need more regulation. Remittances totalled $4.9 billion in 2013, equivalent to over 25% of GDP—exceeding both foreign aid and foreign direct investment by a considerable margin.
Remittances significantly help to increase consumption including for expenditure on RMNCH and other health needs and reduce poverty. But remittances carry some economic, social and health outcome risks as well, particularly when spent on an unregulated private sector.

#POVERTY #HEALTH #HEALTHCARE #CHILDHEALTH
Publisher:
UNICEF ,   (2015 )
Type / Script:
Bulletin or Poster in English
Keywords:
MATERNAL HEALTH, CHILD HEALTH, MATERNAL HEALTH SERVICES, PRENATAL CARE, MATERNAL WELFARE, CHILD MORTALITY, CHILD NUTRITION, PRIMARY HEALTH CARE, INFANT MORTALITY, CHILD CARE, CHILD DEVELOPMENT, NON-COMMUNICABLE DISEASES
Thematic Group:
 UNICEF : Children Fund
Thesaurus:
10.02.00  -  Comprehensive Health Services
Reference Link:
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