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Lumbini Province

At a Glance Lumbini Province

Lumbini Province is located in Western Nepal. It covers 22,288 square kilometers, with a total population of 4.9 million (18% of national population). Lumbini Province includes both hilly and Terai terrain and borders the Karnali and Gandaki Pradesh to the North, Sudurpashchim Pradesh to the West, and Uttar Pradesh of India to the South. Major attractions include Lumbini (birthplace of Buddha), Tilaurakot, Dhorpatan, Bardia National Park, Swargadwari Temple, Bageshwori Temple, and Rani Mahal.

  • Province Headquarter: Deukhuri, Dang
  • Districts: 12
  • Local levels:109 (73 rural municipality, 32 municipality, 4 sub-metropolitian city)
  • Wards: 983

Key Demographics

  • Total Population 1

    5,138,021.00

    2078/79

  • Under 1 Population 1

    94,363.00

    2078/79

  • Under 5 Population 1

    475,019.00

    2078/79

  • Adolescent (10-19) population 1

    946,521.00

    2078/79

  • Women of Reproductive Age (15-49) 1

    1,503,940.00

    2078/79

  • Expected Pregnancies 1

    121,935.00

    2078/79

  • Expected Live Births 1

    96,040.00

    2078/79

  • Absent population 2

    410,751.00

    2068

  • Household with mobile phone (%) 2

    93.00

    2068

  • Household with television (%) 2

    52.00

    2068

  • Sex ratio 2

    91.00

    2068

  • Population aged 14 years and below 1

    1,430,782.00

    2078/79

  • Population aged 65 years and above 2

    227,412.00

    2068

  • Total fertility Rate 13

    2.40

    2073

  • Literacy Rate 2

    66.00

    2068

  • Male Literacy Rate 2

    76.00

    2068

  • Female Literacy Rate 2

    58.00

    2068

  • Households with Toilet (%) 2

    55.00

    2068

  • Households with piped water supply (%) 2

    42.00

    2068

  • Population having any kind of disability (%) 2

    2.00

    2068

  • Human Development Index 19

    0.56

    2020

  • Multi-dimensional Poverty Rate 20

    0.08

    2021
1 Health Management Information System 2 Census 13 Nepal Demographic and Health Survey 19 Nepal Human Development Report, NPC 20 Nepal Multidimensional Poverty Index Report, NPC

Age and Sex Distribution

Census 2068

Population Distribution by Caste

Census 2068

Health Service Delivery Sites

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    Government Health Facilities

  • Hospital 32
  • PHCC 29
  • Health Post 567
  • Community Health Unit 186
  • Urban Health Center 120
  • PHC ORC 1954
  • EPI Clinic 2910
  • Basic Health Service Center 253
  • Birthing Center 430

    Private (Non-Government including NGO)

  • Hospital and Nursing Home 150
  • Polyclinic 64
  • Medical/Drug Shop 749

Other Service Centers

  • Microscopy Center 52
  • ART Center 14
  • HTC Center -
  • TB Treatment Center 712
  • Ayurveda Hospital/Center 11
  • Eye Hospital / Center -

Hospital Beds

  • Public 1045
  • Private 8782
Annual Report 2078

Health Facilities General Information

District Hospital Phcc Hp BHSC/CHU/UHC Birthing Center BEONC CEONC FCHV Number IUCD/Implant sites SBA Number Sanctioned Position Filled Position Contract Staff Building in Standard Design
ARGHAKHANCHI 1 2 39 53 24 2 1 849 30 57 297 201 158 36
RUKUM EAST 1 1 15 16 17 1 0 142 7 36 136 82 69 9
ROLPA 1 2 49 56 49 2 1 459 44 44 319 188 215 30
PYUTHAN 1 2 46 47 51 3 1 443 32 68 355 219 242 35
PALPA 2 2 62 19 47 3 3 621 19 78 452 237 195 43
NAWALPARASI WEST 2 2 36 35 16 4 1 359 24 64 390 241 138 25
KAPILBASTU 6 2 72 27 32 2 1 1108 50 93 568 479 241 21
GULMI 1 4 76 44 61 4 1 995 20 53 503 320 376 55
DANG 4 2 35 81 39 2 3 918 47 139 393 346 255 74
BARDIYA 4 2 30 45 27 3 1 836 35 75 281 257 243 46
BANKE 6 3 43 38 36 3 4 757 46 110 460 436 395 30
RUPANDEHI 2 5 64 66 28 5 5 1506 53 167 913 733 390 36
Total Numbers 8993 984 5067 3739 2917
* 3 methods are Condom, Pills, Depo and 5 methods include Implant and IUDs. Annual Report 2078

Human Resources for Health

Annual Report 2078
  • Skilled Birth Attendants984
  • CEONC sites22
  • BEONC sites34
  • LARC provider (IUCD/Implant)547
  • IMNCI trained provider-
  • Population per FCHV 571
  • Population per health worker 1374
  • Expected pregnancy per SBA 124
  • Expected pregnancy per birthing center 284
  • Population per health facility (includes hospital, PHCC and HP) 8182
  • Population per (government) hospital 160563
  • Population per (all) hospital and Nursing Home 28231

Health Infrastructure

District HEALTH FACILITIES WITH OWN BUILDING (%) HEALTH FACILITIES WITH RECOMMENDED LAND (%) HEALTH FACILITIES WITH BIRTHING CENTER ALIGNING WITH GOVERNMENT STANDARD (%) HEALTH FACILITIES WITH STAFF QUARTER (%) HEALTH FACILITIES WITH 24 HOURS ELECTRICITY (%) HEALTH FACILITIES WITH FUNCTIONAL COMPUTER AND INTERNET (%) HEALTH FACILITIES WITH FUNCTIONAL STRETCHERS (%) HEALTH FACILITIES WITH FUNCTIONAL AMBULANCE (%) HEALTH FACILITIES ACCESS TO MOTORABLE ROAD (%)
BARDIYA 59.7 36.4 32.5 16.9 100.0 81.8 55.8 24.7 100
BANKE 35.7 96.4 39.3 27.4 96.4 91.7 88.1 15.5 97.6
DANG 62.7 57.6 21.2 24.6 93.2 78.8 69.5 22.9 99.2
KAPILBASTU 20.8 27.7 19.8 27.7 97.0 61.4 56.4 33.7 100.0
RUPANDEHI 26.7 37.0 17.8 17.0 85.2 91.1 39.3 15.6 94.1
NAWALPARASI WEST 35.7 50.0 11.4 11.4 100.0 77.1 50.0 21.4 100.0
GULMI 44.4 66.9 44.4 41.1 68.5 42.7 75.0 26.6 82.3
PALPA 36.4 68.6 33.1 28.8 89.8 64.4 59.3 14.4 94.1
ARGHAKHANCHI 38.3 46.8 21.3 25.5 28.7 47.9 62.8 11.7 69.1
PYUTHAN 36.8 54.7 26.3 25.3 67.4 70.5 72.6 9.5 69.5
ROLPA 28.0 55.1 31.8 18.7 66.4 70.1 62.6 10.3 80.4
RUKUM EAST 28.1 28.1 40.6 0.0 53.1 53.1 96.9 15.6 37.5
Local Level 2078

Provincial Plan, Policies, guidelines, and strategies

Endorsed Draft
Provincial Health Sector Strategic Implementation Plan
Provincial Health Act
Endorsed Draft
Provincial Health Policy

Health Budget

Annual Report 2068
  • Health Budget (Conditonal)
  • Health Budget (Unconditional)
  • Health Budget (Other Sources)
Budget
2077/78 2078/79
Graph
Total Province Budget 36,352,500,000 42,624,772,000
Health Budget (all source) 3,681,958,000 5,116,900,000
Health Budget (Conditional) 1,357,469,000 1,910,046,000
Health Budget (Unconditional) 2,134,489,000 3,206,854,000
Health Budget (Other Sources) 190,000,000
Budget per health facilty per year (NRs) - -
Budget per person per year (NRs) - -
Budget Expenditure (%) 76 73
% of health budget among total budget 10 10
Insurance covered district - -
Total Insured Population - -
Table

Health Service Readiness

Availability of Basic Health Services

Availability of Basic Health Amenities

Nepal Health Facility Survey 2021

Minimum standard to provide quality health care service

Indicators Managing Authority
Public Private and Others Provincial Average National Average
Health facilities with soap and running water or alcohol-based hand disinfectant(%) 0 0 99 98
Health Facilities practicing safe final disposal of infectious waste (%) 0 0 58 59
Health facilities knowing correct equipment and knowledge of processing time(%) 0 0 72 69
Health facilities with trained staff (%) 0 0 94 94
Health facilities having "Swastjya sewako gunathar sudhar padhatee" QA guideline(%) 0 0 14 20
Health facilities having clinical protocol (%) 0 0 20 13
Health facilities having all four tracer amenities (%) 0 0 63 62
Health facilities having a waiting room (%) 0 0 77 75
Health facilities having tracer Medicine (%) 0 0 43 41
Health facilities with all nine items (%) 0 0 0 1
Nepal Health Facility Survey 2021

Health Service Quality

Observed Family Planning Consultations

Observed Sick ChildConsultations

Nepal Health Facility Survey 2021

Physical Examinations and Counseling for ANC clients

Nepal Health Facility Survey 2021

Health Equity

Ethnicity and wealth-wise service recipient status of Karnali Province

Caste Group NEONATAL MORTALITY RATE/1000 LB UNDER 5 MORTALITY RATE/1000 LB TOTAL FERTILITY RATE % OF CHILDREN UNDER 5 STUNTED % OF WOMEN 15-49 YEARS WITH BMI <18.5 % OF CHILDREN FULLY IMMUNIZED % OF INSTITUTIONAL DELIVERY % OF DEMAND SATISFIED FOR FAMILY PLANNING % OF DIARRHEAL DISEASES IN UNDER 5 YEARS CHILDREN % OF ANEMIA IN WOMEN 15-49 YEARS
Dalit 43 63 3 40 21 73 45 63 8 38
Janajati 24 42 2 32 12 83 58 71 7 40
Madheshi 27 51 3 42 28 64 48 72 10 56
Mushlim 25 47 4 38 31 68 52 53 11 52
Brahmin/Chettri 23 39 2 35 15 87 68 69 6 37
Newar 9 33 2 27 9 89 75 74 12 26
National Average 21 39 2 36 17 78 57 69 8 41
Province Average 30 45 2 39 19 78 59 51 8 44
Poor household 30 39 3 41 0 91 43 53 7 38
Middle income Household 33 59 2 45 0 55 65 53 11 47
Wealthy household 29 44 2 33 0 79 71 49 8 46
Nepal Demographic and Health Survey 2016/79

Utilization of major MNCH and FP health services

Indicators Household Wealth Ethnic Group
Poor Middle Wealthy Advantaged Disadvantaged Provincial Average National Average
- -

Indicator- Achievement and Target

Indicators Provincial Natinal Target 2025 Target 2030
Maternal mortality ratio - 239 70 70
Pregnancy related mortality ratio - 259 70 -
Teenage Childbearing rate 13 17 - -
Under-five children mortality rate 45 39 20 20
Infant Mortality Rate 42 32 10 10
Neonatal mortality rate 30 21 12 12
Total fertility rate 2 2 2 2
Contraceptive prevalence rate, modern methods 39 43 60 60
Institutional Delivery Rate 59 57 90 90
Rate of delivery by skilled birth attendant 57 58 90 90
Children, fully immunized rate 78 78 100 100
Children stunting rate 39 36 15 15
Children wasting rate 8 10 4 4
Life Expectancy at birth (Years) - 71 - 72
HIV Prevalence Rate - - - -
2016

Utilization of Priority MNCH FP Services

Health Management Information System 2078/79

Trend of Utilization of Priority Health Services

Indicators Lumbini Province National 2076/77  
2076/77 2077/78 2078/79  
Immunization
Graph Table
BCG Coverage 92.1 94.4 103.1 86  
DPT-HepB-Hib 3 coverage 80.6 93.5 96.6 78  
Measles/Rubella 1(9-11 m) Coverage 84.5 88 96.7 80  
JE Coverage 85.6 94.2 98.9 78  
TD2 and TD2+ Coverage 63.6 68 73.9 59  
Nutrition
Graph Table
% of newborns with low birth weight (<2.5Kg) 13.6 12.1 12.3 13  
% of children aged 0-11 months registered for new growth monitoring 83.2 89.6 109 77  
% of children (0-23m) registered for growth monitoring who were underweight 2.9 2.8 2.5 6.5  
% of women who received 180 days’ supply of Iron folic tablets 52.5 54.9 75.8 44  
% of Post-partum women who received Vitamin A 59.2 64.4 98.2 57  
CB-IMNCI
Graph Table
% of newborn applied with Chlorohexidine 78.2 87.1 94.2 79  
% of PSBI cases treated with full dose of Gentamicin 51.5 61.9 39.5 45  
Incidence of Pneumonia/1000 Under 5 years children 64.4 38.1 43.1 70  
% of severe Pneumonia among New ARI cases 0.18 0.12 0.05 0.22  
Incidence of Diarrhoea/1000 Under 5 years children 339.6 348.1 339 350  
% of Under 5 Children with Diarrhea treated with ORS and Zinc 96 96.8 98.7 95  
Number of Neonatal death 393 512 573 1779  
Safe Motherhood and FP
Graph Table
% of pregnant women who attended ANC 1st visit 99.6 97.8 120 68  
% of pregnant women who attended ANC 4th Visit as per protocol 60.5 60.7 79.5 53  
Institutional delivery rate 81.4 79.7 94.2 66  
SBA delivery rate 78.5 77 89.8 62  
% of 3rd PNC visit as per protocol 21.8 29.2 53.7 19  
Number of Maternal death 71 72 74 215  
FP Methods New acceptor among as % of MWRA 13 14.9 12.4 11  
Malaria, TB, Leprosy and HIV
Graph Table
Malaria Slide Positivity Rate 0.2 0.16 0.27 0.25  
% of imported malaria 88.7 91.7 95.5 84  
Proportion of Plasmodium Falciparum Malaria 6.4 31 38.7 9  
TB case Notification rate(all form of TB) 111.8 114.2 157.4 91  
TB Treatment Success Rate 91.3 90.4 91 90  
Leprosy Incidence Rate /10000 population 0.95 1.1 1.1 0.9  
Number of HIV +ve patients on ART 485 473 659 50767  
Curatives
Graph Table
% of OPD New Visits among total population 87 82.1 94.5 84  
Non-Communicable Diseases
Graph Table
COPD cases 48356 51300 58968 0  
Cancers cases 605 349 831 0  
Diabetes cases 53669 60097 78694 0  
Renal Failure 9437 8036 5318 0  
Ayurvedic Services
Graph Table
Total OPD cases 0 0 0 0  
Total Panchakarma Service client 0 0 0 0  
Total Male client served 0 0 0 0  
Total Female Client Served 0 0 0 0  

Top 10 Health Conditions

Health Management Information System 2078/79

Behavioral Risk Factors

Risk Factors Provincial National
Tobacco
Percentage who currently use tobacco(smoked/smokeless) 26 29
Percentage who currently smoke tobacco daily 16 24
Alcohol Consumption
Percentage who engage in heavy episodic drinking (6 or more drinks on any occasion in the past 30 da 9 7
Percentage who currently drink (drank alcohol in the past 30 days) 24 21
Percentage who are lifetime abstainers 67 72
Diet
Percentage who ate less than 5 servings of fruit and/or vegetables on average a day 99 97
Salt
Mean Intake of salt per day (in gram) 9 9
Physical Activity
Percentage with insufficient physical activity (<150 minutes of moderate intensity activity/week or 10 7
Oral Health
Percentage who reported an issue pain, swelling and discomfort with teeth/gum/mouth 16 14
Cervical Cancer Screening
Percentage who ever had a test for cervical cancer (female only) 13 8
Violence and injury
Percentage involved in road traffic crash in the past 12 months 4 4
Body Mass Index
Mean body mass index (BMI (kg/m2) 24 23
Percentage of who are overweight and obese (BMI <25 kg/m2) 35 24
Hypertension, Diabetes and Raised Cholesterol
Percentage with raised BP 30 25
Percentage with raised fasting blood glucose 3 6
Prevalence of raised total cholesterol 13 11
Percentage of people (40-69 years of age) who ever got their BP measurement from a health worker 75 61
Percentage of people (40-69 years of age) who ever got their blood sugar measurement from a health w 23 21
Nepal STEPS Survey 2019

Epidemics, diseases, and Outbreaks

District 2074/75 2075/76 2076/77 2077/78 2078/79
KAPILBASTU Cholera
RUPANDEHI Dengue

Partners in Health

Name of Partners Geographic Coverage Focus Theme
USAID's Strengthening systems for Better Health Activity Bardiya, Banke, Dang, Kapilbastu, Rupandehi, Nawalparasi West Maternal, Neonatal & Child Health and Family Planning ; Health Systems and Governance; Generation and Use of Health Information; COVID-19 Health Emergency Response and Management
World Health Organization All 12 districts of Lumbini Province Health systems and governance; Health Information System; Disease control and surveillance; International Health Regulation-2005 and Health Emergency ; Sexual and Reproductive Health and Right
United Nation's Population Fund Rukum East, Rolpa, Pyuthan, Argakhachi and Kapilvastu Sexual and Reproductive Health; Supply chain management; Public Procurement; Health Emergency
UNICEF 109 municipalities of 12 districts Health systems and governance; Health care delivery/Quality of care; Child Health; Nutrition; Health Emergency; Health Education and Communication (IEC/BCC)
UNDP Selected municipalities of 12 districts Health systems and governance
SUAAHARA 109 municipalities of 12 districts Nutrition, Child health, Sexual and Reproductive Health, Health Education and Communication (IEC/BCC); GESI; Health Emergency
NHSSP 12 districts Leadership and Governance; Health Services Delivery/ Quality and Coverage; GESI; Health Infrastructure; Data for Decision Making
Save the Children 12 districts HIV & AIDS Program; Tuberculosis Program; Malaria Program
FAIRMED Nawalparasi west, Rupandehi and Kapilvastu Health systems and governance; Disease control and surveillance; GESI; Health Information System; Health Infrastructure; Child health; Health care delivery/Quality of care; Health Emergency; Health Education and Communication (IEC/BCC)
USAID's Global Health Supply Chain-Procurement and Supply Management (GHSC-PSM) 12 districts Supply chain management/Public Procurement
ADRA Lumbini Provincial Hospital, AMDA Hospita Butwal, Bheri Hospital Nepalgunj and 40 HFs of Rupandehi and Pyuthan district Health System & governance; Sexual & Reproductive Health; Child Health
PSI Nepal Banke, Bardiya, Dang, Pyuthan, Kapilbastu, Rupandehi Sexual and Reproductive Health
IPAS Nepal Argakanchi, Rolpa and Palpa Sexual and Reproductive Health
NSI 18 hospitals of Lumbini Province ( 13 Provincial and 5 Local Level Hospitals) Curative services (hospital-based care)
Water Aid 12 districts Child health
FHI360 Nawalparasi West, Rupandehi, Palpa, Kapilbastu, Banke, Dang,Bardiya, Gulmi. Health care delivery/Quality of care Health Emergency
2077

Important Contact Information

Lumbini Province

Address : Deukhuri, Dang, Lumbini Province, Nepal

Telephone : 071-420490

Website : hd.p5.gov.np

Director

Name : Dr. Binod Kumar Giri

Contact : 9851176282

Email : -

Senior Public Health Administrator and Speaker

Name : Roshan Lal Chaudhary

Contact : 9849131851

Email : hd.prov5@gmail.com

This profile is made possible by the support of the American People through the United States Agency for International Development (USAID). The contents of this profile are the sole responsibility of Strengthening Systems for Better Heath and do not necessarily reflect the views of USAID or the United States Government.