1. Nepal Multiple Indicator Cluster Survey, NMICS 2014
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Nepal Multiple Indicator Cluster Survey, NMICS 2014
Key Findings
Dissemination Program
14 January, 2015
Government of Nepal
National Planning Commission Secretariat
Central Bureau of Statistics

2. Outline of the presentation
About the MICS
Sampling design and sampling distribution
NMICS 2014: Questionnaires
Fieldwork and data processing
Key findings 2

3. MULTIPLE INDICATOR CLUSTER SURVEY (MICS)
An internationally agreed household survey: UNICEF
One of the world's largest sources of statistical information on children and women
MICS1 : MICS2: 2000
MICS3: MICS4: 2010
MICS5: 2014 (> 47 countries)
Information on > 18 MDG Indicators (Nepal) 3

4. SAMPLING DESIGN
Design : Two stage cluster sampling [PSU  Ward SSU Household]
Sampling frame
National Population and Housing Census 2011
Complete listing of household in all selected PSUs
Sample Selection
Selection of wards (based on PPS) as PSUs
Systematic selection of 25 households/PSU
Sample size: Total 520 clusters X 25 Household =13000 4

5. SAMPLING DISTRIBUTION
Development
region
Sub region/ Domain
No. of Cluster
No . of Households
Urban
Rural
Total
Eastern
Mountain 4 28 32
100
700
800
Hill 6 26
150
650
Tarai 12 40
300
1000
Central
4+32= 36 64
900
1600 10 30
250
750
Western 16
400 8 24
200
600
Mid -Western 20
500
Far-Western
126
394
520
3150
9850
13000 3

6. SAMPLING DISTRIBUTION...6

7. HOUSEHOLD QUESTIONNAIRE
Household Information Panel
List of Household Members
Education
Child Labour
Child Discipline
Household Characteristics
Water and Sanitation
Hand washing
Salt Iodization 7

8. WOMEN(15-49 age) QUESTIONNAIRE
Woman’s Information Panel
Woman’s Background
Access to Mass Media and Use of Information and Communication Technology
Fertility/Birth History
Desire for Last Birth
Maternal and Newborn Health
Post -Natal Health
Illness Symptoms
Contraception
Unmet Need
Attitudes toward Domestic Violence
Marriage/Union
HIV/AIDS
Tobacco and Alcohol Use
Life Satisfaction 8

9. CHILDREN UNDER FIVE QUESTIONNAIRE
Under Five Child Information Panel
Age
Birth Registration
Early Childhood Development
Breastfeeding and Dietary Intake
Immunization
Care of Illness
Anthropometry 9

10. WATER QUALITY TESTING QUESTIONNAIRE
Water Quality Testing Information Panel
Water Quality Testing (E-coli)
Household drinking water :1ml and 100ml
Household source water : 1ml and 100ml 10

11. FIELDWORK AND DATA PROCESSING
February-June, 2014
Total 15 teams (90 field staffs)
Team composition: 6 members
1 Supervisor , 1 Editor , 3 Female interviewers and 1 Measurer
Data processing:
End of February-June, 2014
14 data processing staffs (1 Supervisor + 2 Data editor + 11 Data entry operators)
Data entry: CSPro 5.0, double data entry & validation
Data Analysis : IBM SPSS Statistics 21 software 11

12. NMICS 2014 KEY FINDINGS 12

13. Children under 5 - mothers/caretakers
RESPONSE RATE
Households
Women age years
Children under 5 - mothers/caretakers
Water quality testing 13

14. HOUSEHOLD : DEMOGRAPHIC
4.6
Average household size
Population under age 5 years
Population under age 18 years 14

15. Household members using Improved sources of drinking water
WATER AND SANITATION
Household members using Improved sources of drinking water
Improved source of water:
piped water
public tap/standpipe
tube-well/bore-hole
protected well
protected spring
rainwater collection
bottled water(main source of drinking water) 15

16. WATER QUALITY TESTING :E-COLI
Household members with E-coli risk level in household water >=1 cfu/100ml
Household members with E-coli risk level in source water >=1 cfu/100ml
Permissible limit for E. coli in drinking water is 0 CFU/ 100 ml.
CFU = Colony Forming Unit
(Ref: National Drinking Water Quality Standards, 2062 16

17. Improved sanitation facilities:
WATER AND SANITATION...
Household members using improved sanitation facilities which are not shared
Improved sanitation facilities:
flush to piped sewer system
flush to septic tank
flush to pit(latrine)
flush to unknown place/not sure
ventilated improved pit latrine(VIP)
pit latrine with slab
composting toilet 17

18. WATER AND SANITATION...
Children age 0-2 years whose last stools were
disposed of safely
Households with designated place for hand washing
where water and soap or other cleansing agent are present
Other cleansing agent : ash/ mud/ sand 18

19. 19 SOLID FUEL USE Household members in households using solid fuels as
primary source of domestic energy for cooking
Solid fuels as primary source of domestic energy:
coal/lignite
charcoal
wood
straw/shrubs/grass
animal dung
agricultural crop residue 19

20. Household consuming iodized salt = >15 ppm
SALT IODIZATION
Household consuming iodized salt = >15 ppm
ppm: parts per million 20

21. LITERACY AND EDUCATION
Literacy rate of young women age years
Literacy: young women age years who are able to read a short simple statement about everyday life or who attended secondary or higher education 21

22. SCHOOL ATTENDANCE
Primary school net attendance ratio (adjusted)
86%
Secondary school net attendance ratio (adjusted) 22

23. 0.99 1.02 23 GENDER PARITY INDEX Gender parity index (primary school)
Gender parity index (secondary school)
0.99
1.02 23

24. CHILD DEVELOPMENT
Children age months who are attending an early childhood education programme 24

25. EXPOSURE TO MASS MEDIA
Women age years who, at least once a week, read a newspaper or magazine and listen to radio, and watch television 25

26. USE OF INFORMATION/COMMUNICATION TECHNOLOGY
Young women age years, who used a computer during the last 12 months
Young women age years, who used the internet during the last 12 months 26

27. 27 HIV/AIDS Women age 15-49 years who have heard of HIV/AIDS
Knowledge about HIV prevention of young women age years 27

28. TOBACCO AND ALCOHOL USE
Women age years who smoked cigarettes, or smoked or smokeless tobacco products at any time during the last 1 month
Women age years who had at least one alcoholic drink at any time during the last 1 month 28

29. 29 EARLY MARRIAGE First married women (15-49) before age 15
Currently married
women years 29

30. REPRODUCTIVE HEALTH
2.3
Total fertility rate for women age years (per women)
Adolescent birth rate for women age years
(per 1,000 women) 71 30

31. 31 REPRODUCTIVE HEALTH... Contraceptive prevalence rate
Women age years currently married or union who are using (or whose partner is using) a (modern or traditional) contraceptive method
Contraceptive prevalence rate
Unmet need for contraception 31

32. MATERNAL AND NEWBORN HEALTH
Antenatal care coverage(ANC)
Women age years with a live birth in the last 2 years attended during their last pregnancy that led to a live birth
ANC visit : at least once by skilled health personnel
ANC visit : at least four times by any service provider 32
Skilled health personnel: doctor, staff nurse, auxiliary nurse(ANM)

33. MATERNAL AND NEWBORN HEALTH...
Women age years with a live birth in the last 2 years
Skilled attendant at delivery
Institutional delivery
Institutional: public/private sector health facility, NGO 33
Skilled attendant: skilled birth attendant(SBA)

34. EARLY CHILDHOOD MORTALITY33
Infant mortality rate (per 1,000 live birth) 38
Under five mortality rate (per 1,000 live birth) 34
Refer to the five year period before the survey

35. Nutritional status of children under 5 age35

36. Exclusive breast feeding infants under 6 months of age
Infants receiving breast milk, and not receiving any other fluids or foods , with the exception of oral rehydration solution , vitamins , mineral supplements and medicines. 36

37. 37 VACCINATIONS Fully immunization coverage
Immunization by 12 months of age for children age months
BCG
Polio 3
DPT 3
Measles
Fully immunization coverage 37

38. Children under age 5 with diarrhea in last 2 weeks
Children under age 5 with diarrhea in last 2 weeks received oral rehydration salt (ORS) packet with Zinc tablet
Children under age 5 with diarrhea in last 2 received oral rehydration therapy(ORT) and continued feeding 38

39. ACUTE RESPIRATORY INFECTION(ARI) SYMPTOMS
Children under age 5 with ARI symptoms in the last 2 weeks
Care - seeking for children under age 5 with ARI symptoms
Received antibiotics treatment for Children under age 5 with ARI symptoms 39

40. Children age 5-17 years who are involved in child labour
CHILD PROTECTION
Birth registration of children under age 5 years
Children age 5-17 years who are involved in child labour 40

41. CHILD DISCIPLINE
Children age 1-14 years disciplined by any violent method during the last 1 month 41

42. SUBJECTIVE WELL-BEING
Subjective measures of life satisfaction, women age years:
Domain of life satisfaction include: family life , friendships, school , current job , health, living environment, treatment by other , the way they look and the current income
Life satisfaction
Perception of a better life 42

43. Thank you For further information please visit 43
Final Survey Report: plan to be released by second quarter of 2015
Thank you 43