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Differences in Health and Social Indicators by Dalit and Non- Dalit women Findings from the Final Evaluation of the Nepal CRADLE CS Project. Parini M. Shah Child Survival Intern. Outline. Background Research Question Methods Results Conclusions Recommendations. Background: Nepal. - PowerPoint PPT Presentation
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© 2002, CARE USA. All rights reserved.
Differences in Health and Social Indicators by
Dalit and Non-Dalit women
Findings from the Final Evaluation of the Nepal CRADLE CS Project
Parini M. ShahChild Survival Intern
© 2005, CARE USA. All rights reserved.
Outline
Background Research Question Methods Results Conclusions Recommendations
© 2005, CARE USA. All rights reserved.
Background: Nepal
© 2005, CARE USA. All rights reserved.
Background: Dalits
Lowest Second Lowest
Middle Second Highest
Highest0
5
10
15
20
25
30
35 31.7
24.521.9
14.4
7.6
20.2 19.9 20 20.1 19.8
NDHS 2006 Wealth Quintiles of Nepal
Dalits AllWealth Quintiles
Perc
enta
ge (%
)
© 2005, CARE USA. All rights reserved.
Background: Dalits
National All Dalits Terai Dalits Hill Dalits0
102030405060708090
53
69
85
59
Female Illiteracy in Nepal and in Dalits as stated in NDHS 2006
Group
Perc
enta
ge (%
)
© 2005, CARE USA. All rights reserved.
Methods
As part of the final evaluation March 2011 documentation process for the CRADLE project:
660 recently delivered women 123 Dalit women 537 non-Dalit women
30-cluster sampling design ward was the cluster
Cross Sectional Conducted in the Doti and Kailai of the Far
Western Region
© 2005, CARE USA. All rights reserved.
Differences in Knowledge
A very significant difference between literacy in the Dalit and non-Dalit caste women, where 62.6% of Dalit women were illiterate, while only 34.7% were illiterate in all of the other caste groups (p= <0.001)
No significant difference in nutrition or feeding practices between Dalit and non-Dalit women
No significant difference in place of delivery, either home or health facility, between Dalits and non-Dalits
© 2005, CARE USA. All rights reserved.
Arrangement of Delivery Services
Dalits Non Dalits0
10
20
30
40
50
60
70
49.6
66.5
32.5
52
13
22.5
39
50.1
Birth Preparedness of Dalit and Non-Dalit women
Money (p: <0.001)Transportation (p: <0.001)Delivery by HW (p: 0.019)Safe Delivery Kit (p:0.027)
Caste
Perc
enta
ge (%
)
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≥ 4 ANC Visits Doctor as ANC Provider
ANM/Nurse as ANC Provider
0
20
40
60
80
50.4
5.2
6864.4
14.9
48.7
Significant ANC indicator results from the Evaluation Survey with Dalits and Non-Dalit
women
Dalits Non-Dalits Series3
ANC Indicator
Perc
enta
ge (%
)
© 2005, CARE USA. All rights reserved.
Comparison of survey results with NDHS 2006 results
VariableSurvey Dalits (%)
DHS 2006 Dalits (%)***
DHS 2006 Lowest Wealth Quintile (%)
DHS 2006 Far West Region (%)
Illiterate 62.6 65 63.3 51.9
Currently Using Family Planning 15.4 41** 32.9 51.7
Ever had an ANC 78.9 - Rural: 74
At least 4 ANC visits 50.4 - Rural: 26
ANC Provider
Doctor 5.2 14.8 5.2 10.4
ANM/Nurse 68.0 25.4 12.4 15.5
MCHW 26.8 13.7 16.5 34.2
TT Vaccination (2 or more) 67.4 - 38.8 64.7
Iron/Folic Acid Tablets 81.3 - 34.3* 60.0
© 2005, CARE USA. All rights reserved.
Conclusions
Dalit women and non-Dalit women facing similar issues.
The high levels of illiteracy in Dalits is an issue
Largely health indicators for Dalit and non Dalits maternal and child health are the same
© 2005, CARE USA. All rights reserved.
Recommendations
Structural issues, such as, education should be addressed as gaps between Dalits and Non-Dalits start to reduce
