Your chance to sponsor the inaugural neonatal CPAP program in Nepal!
The Facts.
The Situation: Making sense of the numbers.
The Opportunity.
The Facts
All data taken from the World Health Organization (WHO) Statistics 2009 available online @ http://www.who.int/whosis/whostat/2009/en/index.html. Unless otherwise noted, all statistics are from 2007.
| Global Health Indicator | Canada | Nepal | Statistical notes |
| Mortality and burden of disease | |||
| Neonatal mortality (deaths within <=28days) | 3 | 32 | per 1 000 live births |
| Infant mortality (deaths within 1yr) | 5 | 43 | per 1 000 live births |
| Under 5-mortality | 6 | 55 | per 1 000 live births |
| Health service coverage | |||
| Antenatal care coverage: at least 1 visit | No data | 44 | % 2000-2008 |
| Antenatal care coverage: at least 4 visit | No data | 29 | % 2000-2008 |
| Births attended by skilled attendant | 98 | 9 | % 1990-1999 |
| 100 | 19 | % 2000-2008 | |
| Health workforce, infrastructure | |||
| Physicians | 19 | 2 | per 10 000 population |
| Nurses | 101 | 5 | per 10 000 population |
| Dentists | 12 | less than 1 | per 10 000 population |
| Other health service providers | no data | 2 | per 10 000 population |
| Hospital beds | 34 | 2 | per 10 000 population |
| Demographic and Socioeconomic Statistics | |||
| Living in urban areas | 77 | 9 | % in 1990 |
| 79 | 13 | % in 2000 | |
| 80 | 17 | % in 2007 | |
| population living at less than 1$/day | no data | 54.7 | 2005 |
| Cause-specific mortality and morbidity | |||
| Access to improved drinking water sources | 1 | 0.89 | |
| Access to improved sanitation | 1 | 0.27 | 45% urban Nepal and 24% in rural Nepal |
| Health Expenditure | |||
| Total expenditure on health | 10 | 5.1 | as % of GDP (2006) |
| Government expenditure on health | 17.8 | 9.2 | as % total government expenditure (2006) |
| External resource for health | 0 | 15.7 | % of total expenditure on health (2006) |
| Per capita total health expenditure | 3917 | 17 | in US dollar amount (2006) |
| Per capita government health expenditure | 2759 | 5 | in US dollar amount (2006) |
| Out of pocket expenditure | 49 | 85.2 | as % of private expenditure on health (2006) |
The Situation: Making sense of the numbers
Considering the statics above and having journeyed there to better understand the situation, it is clear that neonatal and pediatric healthcare in Nepal is severely lacking. Neonatal mortality is a key indicator of child and maternal health according to the WHO. With a neonatal mortality rate of over 10x the national Canadian average it is quite concerning.
Around the globe, neonatal death accounts for ~20% of the <5 year old deaths. Nepal’s statistics suggest that neonatal deaths account for almost 60% of the <5 year old deaths. According to the WHO Nepal mortality fact sheet 2006, prematurity accounts for 20% of neonatal deaths.
Within the last 2 decades, Nepalis have been relocating to urban centres at a rate of greater than 4% per decade. As urbanization occurs, clean water, improved sanitation and education becomes more accessible to the general public. The capacity of healthcare facilities is feeling the strains now with the increased number of patients. With only 2 hospital beds per 10 000 persons in the country, that is 17x less than what is available in Canada. There is also a need for doctors as only 2 doctors are present per 10 000 people. Within Nepal there exists only one government pediatric hospital (Kanti Bal Aspital). A second private hospital just opened last year (International Friendship Childrens’ Hospital – http://www.ifch.com.np/) effectively doubling the number of PICU/NICU beds in the country overnight.
The Opportunity
There is a unique opportunity for your organization to help out this promising hospital with necessary equipment for them to provide essential services to a population in dire need. Your equipment will be managed by Bringing About Better Understanding (BABU), a Canadian charity dedicated to improving the level of child healthcare in Nepal. Additionally, any donations made out to us will be able to go a long way given the purchasing power parity (PPP) of your donation.
Thank you for your interest in helping out. If you have any questions, comments, queries or advice. Please feel free to contact me @ Eric@ideas2implementations.org. I look forward to hearing from you soon! Peace.
Abstract: http://www.ideas2implementations.org/nCPAP.doc
General letter: http://www.ideas2implementations.org/Nepal.doc
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