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Nutrition

Under-nutrition has been a long standing public health problem in Nepal. Forty-nine per cent of Nepali children have been suffering from chronic forms of malnutrition, i.e., stunting and about one fourth of Nepal women has low BMI (<18.5). In Nepal, 39 per cent of children are underweight, 13 percent are wasted and 42 percent are anaemic (NDHS 2006). 

Malnutrition during pregnancy increases the risk of complications and maternal death as well as the likelihood of low birth weight. Similarly, under-nutrition among children impacts on health, education and work productivity, and is a major impediment to the economic growth and development of the country. Malnutrition is detrimental for overall physical growth and mental and cognitive development in children. Despite many progress, particularly in controlling micronutrients deficiency disorders made on nutrition over the past decade in Nepal, malnutrition still remains a serious challenge for public health program. The prevalence of malnutrition varies widely across regions and socio-economic groups. 

In view of the situation of nutrition in Nepal, a multiplicity of problems and challenges remain. Out of them, some problems and challenges are following: 

  • Inadequate of tangible support for nutrition interventions and insufficient prioritization of nutrition issues at national as well as local levels. 
  • Poor coverage of many essential nutrition interventions, including the prevention and control of anaemia among children, and management of severe acute malnutrition, addressing the issues of wasting and addressing the issues of adolescents and maternal malnutrition. Poor coverage is the result of weaknesses in the demand and provision of services. 
  • The available opportunities to integrate nutrition interventions into all possible contacts with service providers are missed, which limits coverage and impact. There are also inadequate linkages between programs and projects in different sectors, divisions that could provide synergistic services to address the issues of malnutrition. 
  • Key decisions about priorities and resource allocations for nutrition are made at the local government level, where the understanding on nutrition and how to deal with nutrition problems is limited. Very few nutrition professionals exist to provide high quality technical advice to local government authority efforts to address malnutrition. 
  • Limited financial resources are made available for nutrition interventions in Nepal. However, all like-minded actors are trying to provide specific attention on addressing nutrition issues. Still there is low understanding of the severity of the problem, and the concrete actions that can be taken to address it. 
  • In Nepal, effective nutrition architecture under health system and at different levels need to be established with well-defined terms of reference and enhanced capacity. Further, monitoring of nutrition status through the systems and the coverage of nutrition interventions at national and sub-national levels should be strengthened. 

Different studies and researches have shown that unless nutrition interventions are implemented at a large scale, and with the necessary resources and institutional structures for sustainability, they will not be able to significantly affect national rates of malnutrition. Without a major national effort to address the issues outlined above, it is highly unlikely that Nepal will meet the MDG goals for maternal and child nutrition, health or poverty reduction. In line with the MDG targets and goals set by the Government of Nepal (GoN), a National Nutrition Strategy has been developed in 2004 and edited in 2007/08 to guide actions to improve nutrition in the country. Within this strategy, responsibilities for implementing actions to improve nutrition fall under multiple sectors, but mainly within the health, education, agriculture and livestock sectors. 

In recognition of the need for concerted efforts to address under-nutrition within health sector, the Nutrition Program of Child Health Division ensures implementation of various activities on nutrition aspects in Nepal. 

Nutrition Programme Documents

SNParticularsRemarksTask
1. Accelerating Progress in Reducing Maternal and Child Undernutrition in Nepal, 2012 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
2. Identification of Gaps and Priority Interventions for Maternal Nutrition in Nepal: A Review, 2012 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
3. Multi-sector Nutrition Plan 2013 – 2017, 2012 MSNP View
4. Nepal Nutrition Assessment and Gap Analysis, 2009 MSNP View
5. National Nutrition Policy and Strategy, 2008 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
6. Health Sector Strategy for Addressing Maternal Undernutrition (2013-17), 2013 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
7. Five Year National Plan of Action to Achieve Optimal Iodine Nutrition in Nepal 2013- 2017, 2012 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
8. National Strategy For the Control of Anemia among Women and Children in Nepal, 2002 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
9. Nutrition Technical Committee, Terms of Reference, 2011 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
10. National Nutrition Policy and Strategy, 2004 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
11. Success in Delivering Interventions to Reduce Maternal Anemia in Nepal: A Case Study of the Intensification of Maternal and Neonatal Micronutrient Program, 2011 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
12. National School Health and Nutrition Strategy, Nepal, 2006 School Health Nutrition (SHN) View
13. Adolescent Girls IFA Supplementation Implementation Guidelines Adolescent IFA supplementation View
14. Nutrition Technical Committee, Terms of Reference, 2011 Nutrition Technical Committee (NuTeC)/ Plan, Policy, and Strategy View
15. MCHN Guideline 2071 Maternal, and Child Health Nutrition (MCHN) View
16. SHNP Implementation Guideline 2071 School Health Nutrition (SHN) View
17. SHNP_Joint Action Plan_2071-72 to 076-77_English School Health Nutrition (SHN) View
18. SHNP_Joint Action Plan_2071-72 to 076-77_Nepali School Health Nutrition (SHN) View
19. Anemia Control leaflet School Health Nutrition (SHN) View
20. Anemia Control leaflet Emergency Nutrition View
21. Deworming & SHN Program School Health Nutrition (SHN) View
22. Deworming booklet School Health Nutrition (SHN) View
23. Deworming Control leaflet School Health Nutrition (SHN) View
24. IDD_Control_Student School Health Nutrition (SHN) View
25. Iodine Defficiency Disorder_Control Leaflet School Health Nutrition (SHN) View
26. Joint Statement on BMS_Earthquake 2072_English Emergency Nutrition View
27. Joint Statement on BMS_Earthquake 2072_EnglishNepali Emergency Nutrition View
28. Joint statement_IYCF in Emergencies_Koshi Flood_2065 Emergency Nutrition View
29. Vit A Program Leaflet VItamin A Distribution Program View
30. National IYCF Strategy_2073 MIYCN View
31. Nepal IMAM Guideline IMAM View
32. Nepal IMAM Guideline Annexes IMAM View
33. NRH Operational Guideline-Final 2070 Nutrition Rehabilitation Program View
34. MIYCN_Manual_HWs MIYCN View
35. MIYCN_Manual_Community MIYCN View
36. MIYCN_Flipchart MIYCN View
37. MIYCN_Flex MIYCN View
38. MIYCN_Flex_blank MIYCN View
39. Growth Monitoring Guidelines Growth Monitoring Program View
40. IYCF Participants manual WHO MIYCN View
41. Breast feeding Brochure MIYCN View
42. Lactation Management_Manual_English MIYCN View
43. Lactation Management_Manual_Nepali MIYCN View
44. Nepal IMAM Guideline IMAM View
45. Nepal IMAM Guideline Annexes IMAM View
46. NRH Operational Guideline-Final 2070 Nutrition Rehabilitation Home View
47. ENA_EHA_BCC Manual of SUAAHARA Project Suaahara View
48. AFSP BCC Strategy AFSP View
49. Filled AFATVAH chart AFSP View
50. Food card AFSP View
51. leaflet for food processing, preservation and storage AFSP View
52. Training Curriculum_FCHV_ToT AFSP View