DOCSLIB.ORG

Report on Rapid Assessment of District Health Systems 2013, Banke a Report On

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Report on Rapid Assessment of District Health Systems 2013, Banke a Report On HEALTH FOR LIFE REPORT ON RAPID ASSESSMENT OF DISTRICT HEALTH SYSTEMS 2013 ARGHAKANCHI A REPORT ON RAPID ASSESSMENT OF DISTRICT HEALTH SYSTEMS 2013 ARGHAKHANCHI MAY 2013 TEAM MEMBERS FOCAL PERSON) HEALTH FOR LIFE HALL 401, OASIS COMPLEX PATANDHOKA TABLE OF CONTENTS ABBREVIATION………………………………………………………………………………………………….ii KEY FINDINGS OF RAPID ASSESSMENT OF DISTRICT HEALTH SYSTEM..……………………….….iii 1. RAPID ASSESSMENT OF DISTRICT HEALTH SYSTEMS…………………………………………… 1 2. INTRODUCTION OF PYUTHAN DISTRICT…………………………………………………………..…3 3. DHO STRUCTURE AND SYSTEMS …………………………………………………………………..…4 4. SERVICE STATISTICS ………………………………………………………………………….…….. ……7 5. HEALTH FACILITY MANAGEMENT COMMITTEE AND LOCAL HEALTH GOVERNANCE …...9 6. SERVICE DELIVERY/QUALITY IMPROVEMENT ……………………………………………………11 7. LOGISTICS MANAGEMENT SYSTEM ………………………………………………………………….13 8. BEHAVIOR CHANGE COMMUNICATION …………………………………………………………….15 9. ADOLESCENTS AND YOUTH FRIENDLY SERVICES … ………………………………………… ….18 10. GENDER EQUALITY AND SOCIAL INCLUSION ……………………………………………………...19 Annexes Annex: 1 Contact information of DHO Program focal person…………………….21 Annex: 2 List of RHCC Members ………………………………………………………………21 Annex: 3 List of persons met during RA visit…………………………………………….22 i ABBREVIATIONS AHW Auxiliary Health Worker ANM Auxiliary Nurse Mid-wife AFHS Adolescents Friendly Health Services AFS Adolescents Friendly Services BC Birthing centre BCC Behavior Change Communication BEONC Basic Essential Obstetric and Newborn Care BNMT Britain Nepal Medical Trust CB-IMCI Community-Based Integrated Management of Childhood Illness CB-NCP Community-Based Newborn Care Package CEONC Comprehensive Essential Obstetric and Neonatal Care DAG Disadvantaged Group FCHV Female Community Health Volunteer FEFO First expiry first out HFOMC Facility Management Committee FP Family Planning FY Fiscal Year GESI Gender Equality and Social Inclusion HA Health Assistant H4L Health for Life HF Health Facility HP Health Post HFOMC Health Facility Operation and Management Committee HMIS Health Management Information System I/NGO International/Non-Governmental Organization IT Information Technology IUCD Intra Uterine Contraceptive Device LDO Local Development Office LMIS Logistics Management Information System MO Medical Officer MNCHN Maternal Neonatal Child Health and Nutrition MgSO4 Magnesium Sulphate MSC Matri Surakshya Chakki M&S Monitoring and Supervision MWDR Mid-western Development Region N Number NPC National Planning Commission PHCC Primary Health Care Center QI Quality Improvement QAWG Quality Assurance Working Group RA Rapid assessment RHCC Reproductive Health Coordination Committee RHD Regional Health Directorate SAC Social Awareness Centre SHP Sub Health Post SN Staff Nurse USAID Unites States Agency for International Development VDC Village Development Committee WCDO Women and Child Development Office WDR Western Development Region KEY FINDINGS FROM RAPID ASSESSMENT OF DISTRICT HEALTH SYSTEMS- ARGHAKHANCHI TOTAL POPULATION 197,632 NUMBER OF VDCS 42 MUNICIPALITY 0 DHO STRUCTURE AND Public Health facilities: SYSTEMS District Hospital-1, PHCCs-2, HPs -17 and SHPs-22 Private Health facilities: Private hospitals -1, Community hospital-0 Meetings: Ilaka Incharges monthly meeting- 2nd and 3rd of every month QAWG- formed but no meeting held yet. RHCC- Meets quarterly Health Workforce: Following technical positions at DHO is not filled-in- Statistical assistant, FP focal person, Malaria focal person, and Health Educator and Computer operator. Positions at HFs – 1 MO, 1 SN, 26 ANMs, 7 AHWs and 1 HA are hired on contract basis. Among total contracted (n=36), DHO hired 1 MO, 1 SN and 20 ANM whereas, each 5 ANM and AHW hired from VDC. Similarly, each 1 ANM and HA along with 2 AHW hired from NPC. Monitoring and Supervision: M&S system and plan exists at district level and district from ilaka to SHPs. Integrated supervision is not practiced yet even it is developed. IT infrastructure at D/PHO: Desktops-7, Laptops-5, Printers-6 Well established internet facility. Two HFs has computers. Supervisors skilled in using MS Word and Excel-6. Health Facility level entry in HMIS software. Rapid Response Team: Functioning well at the district and HF level SERVICE STATISTICS BCG coverage is in increasing trend from FY 2065/66 to 2066/67 and decreased in FY 2067/68 and FY 2068/69. In the FY 2068/69 measles coverage was 79.49 percent which is decreased in compare to FY 2067/68 and 2066/67. Data shows district is falls in problematic category as it is below the national average. Severe pneumonia and dehydration cases shows fluctuating trend. More children having pneumonia are being treated with antibiotics in the FY 2067/68.However it decreased to some extent in FY 2068/69. Drop out from ANC first to ANC fourth visits is highly significant and in the FY 2068/69 it was 51.59 percent and 28.97 percent respectively. SBA deliveries are in increasing trend (11.39 percent in FY 2065/66 to 23.6 percent in FY 2068/69) Contraceptive Prevalence Rate in FY 2068/69 was 22.01 percent HEALTH FACILITY HFs are not handed over to VDC. MANAGEMENT COMMITTEE Among formed all HFs’ (n=42) HFOMC, received capacity building iii AND LOCAL HEALTH trainings and refresher in the last 3 years. GOVERNANCE At community level groups such as -Forestry Users Group, Mothers’ Group, Drinking Water Users Group, Irrigation Users Group, Road Rural Users Group, Cooperatives, and Media are functioning. SERVICE CEONC trained service providers are available but not providing service DELIVERY/QUALITY due to absence of blood bank and anesthesia in the district whereas, 3 IMPROVEMENT BEONC service sites (District hospital, Thada PHCC, Balkot PHCC) are functional. Community-based service delivery-MSC program is implemented in 2012 whereas, CB-NCP implemented in 2010 through HealthRight Int’l. Satellite FP clinics-02 IUCD services - 13 HFs. Implant services - 12 HFs Birthing centers - 14 Placenta pits - 4 LOGISTICS MANAGEMENT All tracer drugs and commodities available on the day of visit. SYSTEM Drugs with most problems of stock outs in the year- Cotim-P, ORS, Iron. Drugs with most problems of over stock in the last year- Condom. Functioning refrigerators-6, sufficient for maintaining cold chain, and have regular power back up system for the cold chain room. First Expiry First Out (FEFO) -not maintained well. Web-based LMIS reporting system. Data entry person not recruited. BEHAVIOR CHANGE FM stations – 2 COMMUNICATION Several I/NGOs engaged in BCC activities In current FY 2069/070, total 130 school health program on HIV/AIDS, RH/FP, Menstruation Hygiene and Adolescent Health were organized in 130 schools (approximately 6500 students benefited). Villages that were highly populated by DAG Argha, Bangi, Rabawn, Siddhara, Maidan, Kudalpani, Pokharathok. Ethnic/Caste group derived from service utilization Gandharav, Kami, Sarki, Magar, Kumal were the deprived castes group. Villages that still practice early marriage and Early Child Bearing Julukae, Gokhunga, Siddhara. High Migrants VDCs–Thada,Jukena,Nuwakot, Siddhara ADOLESCENTS AND YOUTH AYFS- 13 sites supported by DHO FRIENDLY SERVICES NRCS conducted Peer Review training to 28 schools in the current FY. WCO has formed ‘KISHORI SAMUHA’ to share RH related information and transfer life skill training to adolescent. GENDER EQUALITY AND GESI committee is formed but no meeting has been held yet. OCMC has not SOCIAL INCLUSION been established. GESI focal person has received orientation. No GESI activities have been initiated. 1. RAPID ASSESSMENT OF DISTRICT HEALTH SYSTEMS 1.1 HEALTH FOR LIFE Health for Life (H4L) is a five-year bilateral agreement between the Ministry of Health and Population (MoHP) and the Unites States Agency for International Development (USAID) which focuses on Systems Strengthening and improving the Maternal Neonatal Child Health and Nutrition/Family Planning (MNCHN/FP) service delivery at district and sub-district levels in 14 districts. 12 of the 14 districts are in the Mid-western Development Region (MWDR) –Arghakhanchi , Bardiya, Arghakanchi, Surkhet, Salyan, Pyuthan, Dailekh, Kalikot, Jumla, Rukum, Jajarkotand Rolpa and two are in the Western development Region (WDR) of Nepal- Argakhanchi and Arghakhanchi .The project will be implemented between 2012 and 2017. 1.2 RAPID ASSESSMENT AND ITS OBJECTIVES Rapid assessment (RA) is a method of analyzing situation of a district where issues are not well defined and where there is not sufficient time or other resources for in-depth quantitative research. RA uses intensive team interaction in both the collection and analysis of data instead of prolonged field work and iterative data analysis and additional data collection to quickly develop a preliminary understanding of a situation from the insider’s perspective. The main purpose of carrying out the current Rapid Assessment is to understand the current situation of the health service delivery system and other associated systems of the Arghakhanchi district so as to help in planning activities at district level. Specifically, the objectives of the RA includes Understanding the demographic profile of the district Understanding the existing health care delivery system of the district Knowing the functionality of the Facility Management Committees Understanding the status of health indicators Analyze strengths and weakness of the DHO systems Identification of potential Local Technical Assistance Partners (LTAPs) Exploring feasibility for the implementation of specific programs
Load more

Recommended publications
  • M4NH Interim Evaluation Report
    MOVE 4 NEW HORIZONS A holistic educational programme for disadvantaged children in Nepal INTERIM EVALUATION REPORT Published in February 2010 byby:::: Swiss Academy for Development (SAD) Bözingenstrasse 71 CH-2502 Biel/Bienne Switzerland Phone +41 (0)32 344 30 50 Fax +41 (0)32 341 08 10 Web www.sad.ch www.sportanddev.org Email [email protected] Author: Valeria Kunz, Project Manager at the Swiss Academy for Development (SAD). Email: [email protected] The Swiss Academy for DevelDevelopmentopment (SAD) is a non-profit organisation located in Bienne, Switzerland. SAD makes a scientifically-grounded contribution to the creation and implementation of effective solutions and sustainable strategies in international development as well as in the area of social integration. Through applied social research, evaluations and pilot projects in Switzerland and abroad, SAD applies research evidence and practice-oriented knowledge to current topics and aims for a constructive exchange between theory and practice. Our focus areas are Intercultural Dialogue, Youth and Anomie, and Sport & Development. TABLE OF CONTENTS 1 INTRODUCTION ..............................................................................................2 2 BACKGROUND................................................................................................3 2.1 Project activities..........................................................................................................3 2.2 Situation assessment ..................................................................................................4
    [Show full text]
  • Appraisal of the Karnali Employment Programme As a Regional Social Protection Scheme
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Aston Publications Explorer Appraisal of the Karnali Employment Programme as a regional social protection scheme Kirit Vaidya in collaboration with Punya Prasad Regmi & Bhesh Ghimire for Ministry of Local Development, Government of Nepal & ILO Office in Nepal November 2010 Copyright © International Labour Organization 2010 First published 2010 Publications of the International Labour Offi ce enjoy copyright under Protocol 2 of the Universal Copyright Convention. Nevertheless, short excerpts from them may be reproduced without authoriza- tion, on condition that the source is indicated. For rights of reproduction or translation, application should be made to ILO Publications (Rights and Permissions), International Labour Offi ce, CH-1211 Geneva 22, Switzerland, or by email: [email protected]. The International Labour Offi ce welcomes such applications. Libraries, institutions and other users registered with reproduction rights organizations may make copies in accordance with the licences issued to them for this purpose. Visit www.ifrro.org to fi nd the reproduction rights organization in your country. social protection / decent work / poverty alleviation / public works / economic and social development / Nepal 978-92-2-124017-4 (print) 978-92-2-124018-1 (web pdf) ILO Cataloguing in Publication Data The responsibility for opinions expressed in signed articles, studies and other contributions rests solely with their authors, and publication does not constitute an endorsement by the International Labour Offi ce of the opinions expressed in them. Reference to names of fi rms and commercial products and processes does not imply their endorsement by the International Labour Offi ce, and any failure to mention a particular fi rm, commercial product or process is not a sign of disapproval.
    [Show full text]
  • Environmental Impact Assessment (EIA) Mathillo Sitkhola Sana Hydropower Project (905 KW), Arghakhanchi District, Province No
    Environmental Impact Assessment (EIA) Mathillo Sitkhola Sana Hydropower Project (905 KW), Arghakhanchi District, Province No. 5 Submitted to: Ministry of Forests and Environment through Department of Electricity Development and Ministry of Energy, Water Resources & Irrigation Submitted by: Prepared by: Alliance Energy Solutions Pvt. Ltd. Environmental Services Nepal (P). Ltd. GPO Box: 8957, Putalisadak, P.O. Box: 11605 Kathmandu, Nepal Central Business Park, Thapathali, Contact No: 9851097780 Kathmandu, Nepal , Tel #: 977 - 01410 1 695 Email: [email protected] July, 2020 EIA Study of Mathillo Sitkhola Sana Hydropower Project (905 KW) Table of Contents CHAPTER 1: INTRODUCTION ....................................................................................... 1-1 1.1 Background ...................................................................................................................... 1-1 1.2 Survey License ................................................................................................................. 1-2 1.3 Organization Responsible for Preparation of EIA Report ............................................... 1-2 1.4 Rationality of Conducting the EIA .................................................................................. 1-2 1.5 Scope of the Study ........................................................................................................... 1-3 1.6 Objectives of the EIA....................................................................................................... 1-3 CHAPTER
    [Show full text]
  • Food Insecurity and Undernutrition in Nepal
    SMALL AREA ESTIMATION OF FOOD INSECURITY AND UNDERNUTRITION IN NEPAL GOVERNMENT OF NEPAL National Planning Commission Secretariat Central Bureau of Statistics SMALL AREA ESTIMATION OF FOOD INSECURITY AND UNDERNUTRITION IN NEPAL GOVERNMENT OF NEPAL National Planning Commission Secretariat Central Bureau of Statistics Acknowledgements The completion of both this and the earlier feasibility report follows extensive consultation with the National Planning Commission, Central Bureau of Statistics (CBS), World Food Programme (WFP), UNICEF, World Bank, and New ERA, together with members of the Statistics and Evidence for Policy, Planning and Results (SEPPR) working group from the International Development Partners Group (IDPG) and made up of people from Asian Development Bank (ADB), Department for International Development (DFID), United Nations Development Programme (UNDP), UNICEF and United States Agency for International Development (USAID), WFP, and the World Bank. WFP, UNICEF and the World Bank commissioned this research. The statistical analysis has been undertaken by Professor Stephen Haslett, Systemetrics Research Associates and Institute of Fundamental Sciences, Massey University, New Zealand and Associate Prof Geoffrey Jones, Dr. Maris Isidro and Alison Sefton of the Institute of Fundamental Sciences - Statistics, Massey University, New Zealand. We gratefully acknowledge the considerable assistance provided at all stages by the Central Bureau of Statistics. Special thanks to Bikash Bista, Rudra Suwal, Dilli Raj Joshi, Devendra Karanjit, Bed Dhakal, Lok Khatri and Pushpa Raj Paudel. See Appendix E for the full list of people consulted. First published: December 2014 Design and processed by: Print Communication, 4241355 ISBN: 978-9937-3000-976 Suggested citation: Haslett, S., Jones, G., Isidro, M., and Sefton, A. (2014) Small Area Estimation of Food Insecurity and Undernutrition in Nepal, Central Bureau of Statistics, National Planning Commissions Secretariat, World Food Programme, UNICEF and World Bank, Kathmandu, Nepal, December 2014.
    [Show full text]
  • INDIGENOUS KNOWLEDGE on USE of LOCAL FODDER TREES in MID HILLS of WEST NEPAL Mohan P
    INDIGENOUS KNOWLEDGE ON USE OF LOCAL FODDER TREES IN MID HILLS OF WEST NEPAL Mohan P. Panthi ABSTRACT Fodder shortage (quality as well as quantity) has been found throughout mid hills of Nepal. The tree fodder is particularly important as a green, nitrogen supplement to poor quality crop residues during the dry season when feeds are scarce. The nutritional values of fodders differ according to species and season therefore farmers prefer different species for different seasons to feed their livestock. The choice or preference of fodder species by farmers reflects their traditional knowledge on nutritional values, palatability, cultivation easiness and seasonal variability of tree fodder in local environment. The paper highlights an indigenous knowledge system that relates to the quality of tree fodder used by farmers in mid hills of Nepal. In total 69 plant species have been recorded as tree fodder and out of them ten best tree fodders have been listed on the basis of preferences and priority by farmers. Information was gathered through a semi structured open questionnaire by interviewing 85 respondents of different age groups of Arghakhanchi district. Though Ficus species was the most abundant among tree fodder, Grewia optiva (locally known as 'phorso') was found the most preferable tree fodder species in the study area. Key words: Tree fodder, folk classification, indigenous knowledge, mid hills. INTRODUCTION Fodder shortage has been a serious problem for livestock holders throughout mid hills of Nepal. It becomes acute during the dry period and winter when livestock is generally under fed by one-third of the required amount (Sherchan and Pradhan, 1997).
    [Show full text]
  • NCCSP Success Story 2017.Pdf
    Government of Nepal Ministry of Population & Environment Nepal Climate Change Support Programme SUCCESS STORIES ON ADAPTATION FROM THE FIELD Vol. II • December 2016 Helping Local Communities Adapt to the Effects of Climate Change in Nepal Publisher Government of Nepal Ministry of Population and Environment Nepal Climate Change Support Programme Singhadurbar, Kathmandu, Nepal Phone : (977) 1 4211894 (977) 1 4200580 Email : [email protected] Web : www.nccsp.gov.np Copyright © 2016 Government of Nepal, Ministry of Population and Environment All right reserved. Information given in this publication may be reproduced, stored in retrieval system or transmitted in any form or by any means - electronic, mechanical or otherwise - by duly acknowledging the source. Citation MoPE/NCCSP. (2016). Success Stories on Adaptation from the field. Government of Nepal. Ministry of Population and Environment, Kathmandu, Nepal. Stories & Photographs Nepal Climate Change Support Programme Design & Printed at Golden Egg Creation Pvt. Ltd. Nayabazar, Kathmandu. [email protected] Government of Nepal Ministry of Population & Environment Nepal Climate Change Support Programme SUCCESS STORIES ON ADAPTATION FROM THE FIELD Vol. II • December 2016 Foreword Nepal Climate Change Support Programme (NCCSP) is the first significant initiative by the Government of Nepal in the sector of climate change adaptation. Ministry of Population and Environment (MoPE) is a lead agency implementing the NCCSP in close collaboration with the Ministry of Federal Affairs and Local Development (MoFALD) and the Alternative Energy Promotion Center (AEPC). The overall goal of this programme is to ensure that Nepal’s poorest and most vulnerable people are able to adapt well to the negative impacts of climate change.
    [Show full text]
  • Table of Province 05, Preliminary Results, Nepal Economic Census
    Number of Number of Persons Engaged District and Local Unit establishments Total Male Female Rukum East District 1,020 2,753 1,516 1,237 50101PUTHA UTTANGANGA RURAL MUNICIPALITY 276 825 501 324 50102SISNE RURAL MUNICIPALITY 464 1,164 620 544 50103BHOOME RURAL MUNICIPALITY 280 764 395 369 Rolpa District 5,096 15,651 8,518 7,133 50201SUNCHHAHARI RURAL MUNICIPALITY 302 2,231 1,522 709 50202THAWANG RURAL MUNICIPALITY 244 760 362 398 50203PARIWARTAN RURAL MUNICIPALITY 457 980 451 529 50204SUKIDAHA RURAL MUNICIPALITY 408 408 128 280 50205MADI RURAL MUNICIPALITY 407 881 398 483 50206TRIBENI RURAL MUNICIPALITY 372 1,186 511 675 50207ROLPA MUNICIPALITY 1,160 3,441 1,763 1,678 50208RUNTIGADHI RURAL MUNICIPALITY 560 3,254 2,268 986 50209SUBARNABATI RURAL MUNICIPALITY 882 1,882 845 1,037 50210LUNGRI RURAL MUNICIPALITY 304 628 270 358 Pyuthan District 5,632 22,336 12,168 10,168 50301GAUMUKHI RURAL MUNICIPALITY 431 1,716 890 826 50302NAUBAHINI RURAL MUNICIPALITY 621 1,940 1,059 881 50303JHIMARUK RURAL MUNICIPALITY 568 2,424 1,270 1,154 50304PYUTHAN MUNICIPALITY 1,254 4,734 2,634 2,100 50305SWORGADWARI MUNICIPALITY 818 2,674 1,546 1,128 50306MANDAVI RURAL MUNICIPALITY 427 1,538 873 665 50307MALLARANI RURAL MUNICIPALITY 449 2,213 1,166 1,047 50308AAIRAWATI RURAL MUNICIPALITY 553 3,477 1,812 1,665 50309SARUMARANI RURAL MUNICIPALITY 511 1,620 918 702 Gulmi District 9,547 36,173 17,826 18,347 50401KALI GANDAKI RURAL MUNICIPALITY 540 1,133 653 480 50402SATYAWOTI RURAL MUNICIPALITY 689 2,406 1,127 1,279 50403CHANDRAKOT RURAL MUNICIPALITY 756 3,556 1,408 2,148
    [Show full text]
  • Ltzt Ul/Alsf Uxgtf -K|Ltzt Ko"7Fg Jlh{J Fª, Ljhogu
    1 2 lhNnfx?sf] ul/aLsf] b/, ul/aLsf] ljifdtf / ul/aLsf] uxgtf @)^* lhNnf uf=lj=;=sf gfd ul/aLsf b/ ul/aLsf ljifdtf ul/aLsf uxgtf -k|ltzt_ -k|ltzt_ -k|ltzt_ Ko"7fg jlh{jfª, ljhogu/ 23.38(8.42) 5.24(2.45) 1.75(0.96) Ko"7fg h'd|Lsf+8f 40.23(11.01) 9.74(3.79) 3.38(1.63) Ko"7fg bfvfSjf8L 18.15(6.73) 3.88(1.82) 1.25(0.68) Ko"7fg j]njf; 31.69(9.22) 7.65(2.99) 2.66(1.25) Ko"7fg sf]rLjfª 44.77(11.11) 11.43(4.18) 4.11(1.88) Ko"7fg ;f/L 18.2(7.23) 3.93(1.97) 1.27(0.75) Ko"7fg :ju{4f/L 23.55(8.92) 4.94(2.45) 1.55(0.92) Ko"7fg le+u[ 23.05(8.01) 5.17(2.32) 1.72(0.91) Ko"7fg pbok'/sf]6 43.56(11.02) 11.46(4.19) 4.23(1.91) Ko"7fg uf]l7jfª 39.58(9.62) 10.19(3.54) 3.71(1.58) Ko"7fg gofFufpF 22.58(8.35) 4.71(2.28) 1.47(0.85) Ko"7fg afFu];fn, 9'+u]u9L 37.66(10.16) 9.46(3.57) 3.38(1.55) Ko"7fg dsf{jfË lt/fd 39.68(10.27) 9.77(3.49) 3.43(1.47) Ko"7fg x+;k'/, bfªjfª 39.9(9.92) 10.06(3.56) 3.6(1.56) Ko"7fg w'jfª, ksnf, a/f}nf 30.78(9.97) 7.41(3.22) 2.59(1.35) Ko"7fg /Dk'/sf]6, lah'nL 20.8(7.15) 4.7(2.02) 1.59(0.79) Ko"7fg /DbL, v}/f 21.5(7.84) 4.64(2.17) 1.49(0.83) Ko"7fg r'hf, d/G7fgf, tf]/jfª 28.85(8.8) 6.87(2.79) 2.38(1.15) Ko"7fg Ko"7fg vn+uf, w/dkfgL 14.76(5.98) 3.05(1.55) 0.96(0.57) Ko"7fg gf/Lsf]6 39.99(9.99) 10.43(3.61) 3.84(1.61) Ko"7fg jf+u]dsf]6, al8sf]6, cf]v/sf]6 26.87(8.35) 6.29(2.55) 2.16(1.03) Ko"7fg cvf{ 51.39(12.06) 13.81(4.85) 5.14(2.24) Ko"7fg /fhe/f, k'Fhf 38.77(9.94) 9.66(3.53) 3.44(1.54) Ko"7fg lnjfª, t'iff/f 35.11(9.75) 8.5(3.26) 2.97(1.37) Ko"7fg v'ª 31.43(9.47) 7.46(3.04) 2.56(1.25) Ko"7fg 8fd|L, :ofpnLjfË, ln3f 49.48(11.45) 13.39(4.57) 5.03(2.12) Ko"7fg n'ª, vjfª 33.92(9.74) 8.29(3.25) 2.92(1.37) Ko"7fg lah'jf/, wdf{jtL 17.09(5.92) 3.82(1.69) 1.27(0.66) Ko"7fg dfemsf]6 25.66(8.95) 5.53(2.5) 1.78(0.95) Ko"7fg kmf]KnL 48.5(10.48) 13.16(4.26) 4.95(1.99) gf]6 M sf]i7s -_ leq /x]sf] c+sn] ;DalGwt ;"rssf] e|dfz+ -k|ltzt_ nfO{ hgfpF5 .
    [Show full text]
  • Decentralized Rural Infrastructure and Livelihood Project- Additional Financing
    Environmental Assessment Document I nitial Environmental Examination Loan Number: 2796 and Grant Number: 0267 NEP october 2012 Nepal: Decentralized Rural Infrastructure and Livelihood Project- Additional Financing Thalaha-Batu le-Au latari Road (Section of Dhungil-Rokayagaon road) Subproject , Jajarkot Prepared by the Government of Nepal The Environmental Assessment is a document of the borrower, The views expressed herein do not necessarily represent those of ADB's Board of Directors, Management, or statf, and may be preliminary in narure. Decentralized Rural Infrastructure and Livelihood Project-Additional Financing (DRILP-AF) Initial Environmental Examination (IEE) of Thalaha-Batule-Aulatari Road (Section of Dhungil-Rokayagaon road) Subproject Submitted to: Ministry Of Federal Affairs and Local Development Government of Nepal Proponent: District Development Committee, Jajarkot Khalanga, October, 2012 1 Table of Contents Table of Contents ................................................................................................................... i List of Tables ......................................................................................................................... ii List of Figures ........................................................................................................................ ii Appendixes ........................................................................................................................... ii ABBREVIATIONS ...............................................................................................................
    [Show full text]
  • Krishna Bahadur Shahi
    CV-Krishna Krishna Bahadur Shahi Born: 29 May 1983 Address: Tilagupha Municipality-6, Kalikot, Nepal Contact No.: Mobile: 9848305151/9858320505 Email: [email protected]/[email protected] Academic Qualifications: 2014 M. A. in Sociology, Faculty of Humanities and Social Science, Birendranagar Multiple Campus Surkhet (T.U.) 2005 Bachelor in Education, Education Campus Surkhet (T.U.) 2002 Intermediate (+2) in Education, Birendranagar Multiple Campus, Surkhet (HSEB) 2000 S.L.C., Satya Devi H.S. School Jubitha, Kalikot Major Trainings Received: 2nd to 11th Sep. 2006 Professional Report Writing and Proposal Writing by SNV/Nepal 13th to 19th Oct. 2006 Social Mobilization TOT by PAF, Nepal 2008 Start and Improve Your Business SIYB-Level-1 International Labor Organization (ILO)s Two week Training of Trainers' Program by MEDEP, Nepal 21st to 23rd Feb. 2009 Institutional Development (TOT) by PAF, Nepal 25th June to 9th July 2009 Development of Trainers (DOT) by UNICEF/VDRC, Nepal 23rd Aug. to 2nd Sep. 2009 Professional Arc GIS Training by Sea Gate Company, Lalitpur 15th to 22nd Sep. 2009 Tourism Based Micro-Enterprises Development Training by MEDEP, Nepal 11th to 15th Nov. 2009 Transparency, Accountability and Good Governance by SNV/nepal 28th Nov. to 2nd Dec. 2009 Appreciate Inquiry Training by PAF, Nepal 29th Aug. to 2nd Sep. 2013 Value Chain Based GESI (TOT) by HVAP, Surkhet 25th Oct. to 1st Nov. 2013 Cooperative Development, Procurement System and Business Plan Preparation Training by PCU/WUPAP 30th May to 3rd June 2014 Participatory Monitoring,
    [Show full text]
  • Annual Health Report 2075/76
    ANNUAL HEALTH REPORT 2075/76 Government of Province Province No. 5 Ministry of Social Development Health Directorate, Butwal Phone no: 071-420490 Email: [email protected] Website: www.hd.p5.gov.np MESSAGE FROM HONOURABLE MINISTER OF SOCIAL DEVELOPMENT i MESSAGE FROM SECRETARY OF MINISTRY OF SOCIAL DEVELOPMENT ii MESSAGE FROM DIRECTOR OF HEALTH DIRECTORATE iii TABLE OF CONTENTS Message from Honourable minister of social development .................................................................................... i Message from Secretary of ministry of social development .................................................................................. ii Message from Director of Health Directorate ............................................................................................................. iii Table of Contents .................................................................................................................................................................... iv Executive Summary ............................................................................................................................................................... vi Abbreviations and Acronyms ............................................................................................................................................ xi Health Services Fact Sheet ................................................................................................................................................ xvi Chapter I: Introduction
    [Show full text]
  • Arghakhanchi
    NATIONAL POPULATION CENSUS 2011 HOUSEHOLD AND POPULATION BY SEX WARD LEVEL ARGHAKHANCHI Central Bureau of Statistics Thapathali, Kathmandu November, 2012 DISTRICT : Arghakhanchi [51] V.D.C./MUNICIPALITY : Adguri [1] POPULATION WARD HOUSEHOLD TOTAL MALE FEMALE 1 96 371 164 207 2 88 387 143 244 3 117 484 185 299 4 86 343 133 210 5 111 426 173 253 6 123 464 206 258 7 109 435 162 273 8 97 471 209 262 9 108 490 205 285 TOTAL 935 3,871 1,580 2,291 DISTRICT : Arghakhanchi [51] V.D.C./MUNICIPALITY : Argha [2] POPULATION WARD HOUSEHOLD TOTAL MALE FEMALE 1 109 510 224 286 2 115 462 195 267 3 179 657 268 389 4 203 808 353 455 5 261 1,040 442 598 6 104 506 237 269 7 177 673 274 399 8 78 305 123 182 9 92 354 155 199 TOTAL 1,318 5,315 2,271 3,044 DISTRICT : Arghakhanchi [51] V.D.C./MUNICIPALITY : Arghatos [3] POPULATION WARD HOUSEHOLD TOTAL MALE FEMALE 1 108 393 164 229 2 113 433 176 257 3 164 590 244 346 4 166 740 300 440 5 78 279 115 164 6 112 433 161 272 7 135 536 220 316 8 100 358 158 200 9 79 308 136 172 TOTAL 1,055 4,070 1,674 2,396 DISTRICT : Arghakhanchi [51] V.D.C./MUNICIPALITY : Asurkot [4] POPULATION WARD HOUSEHOLD TOTAL MALE FEMALE 1 69 330 136 194 2 49 192 86 106 3 82 353 142 211 4 91 423 189 234 5 28 133 62 71 6 29 151 69 82 7 45 214 92 122 8 59 270 118 152 9 49 197 77 120 TOTAL 501 2,263 971 1,292 DISTRICT : Arghakhanchi [51] V.D.C./MUNICIPALITY : Balkot [5] POPULATION WARD HOUSEHOLD TOTAL MALE FEMALE 1 111 459 200 259 2 109 483 197 286 3 139 616 264 352 4 144 553 220 333 5 118 536 218 318 6 70 262 111 151 7 100 385 156 229 8 92 359 137
    [Show full text]