DHANUSHA, April 22: The National Statistics Office has published the provincial-level results of the Nepal Multidimensional Survey 2024/25 amid a programme held in Janakpur today.
The survey has shown that particularly in the Madhesh Province, the situation of child mortality, malnutrition, adolescent girls fertility rate, and out-of-school children is more worrying compared to the national average.
According to the survey report, in Madhes Province the neonatal mortality rate is 20 per thousand live births and the under-five child mortality rate is 33, which is above the national average.
Similarly, the level of malnutrition also appears serious, with 23.2 percent of children being underweight for their age and 31.1 percent being stunted.
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Challenges have also been observed in the education sector in Madhesh Province. Here, 9.2 percent of children in grades 1–5, 8.2 percent in grades 6–8, and 22.6 percent in grades 9–12 are out of school. The participation rate in early childhood education programmes is only 26.3 percent.
Also, inequality has been found in access to health services. In Madhesh Province, only 70.4 percent of women have had four prenatal check-ups as recommended, while the number of people with health insurance is very low - only 6.6 percent for women and 3.9 percent for men.
In terms of reproductive health, the total fertility rate in Madhesh is 2.4, which is higher than the national average of 1.9. The adolescent (15–19 years) fertility rate is also high, recorded at 71 per 1000.
However, some positive aspects have also been observed. In Madhesh, 98.5 percent of households have access to electricity, while 94.7 percent have telephone facilities.
Similarly, 78.9 percent of households are using devices that use the internet.
Although the percentage of people using improved drinking water sources is high (99 percent), the report shows that it is concerning that E. coli bacteria were found in 65 percent of the water.
The National Statistics Office has expressed confidence that the data obtained from this survey will make a significant contribution to policy-making, planning, and monitoring of sustainable development goals.
This survey was conducted with the support of UNICEF Nepal.
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