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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. Its headquarter is Deukhuri.

Key Demographics

  • Total Population 1

    5,138,021

    2078/79

  • Under 1 Population 1

    94,363

    2078/79

  • Under 5 Population 1

    475,019

    2078/79

  • Adolescent (10-19) population 1

    946,521

    2078/79

  • Women of Reproductive Age (15-49) 1

    1,503,940

    2078/79

  • Expected Pregnancies 1

    121,935

    2078/79

  • Expected Live Births 1

    96,040

    2078/79

  • Absent population 2

    410,751

    2068

  • Household with mobile phone (%) 2

    93

    2068

  • Household with television (%) 2

    52

    2068

  • Sex ratio 2

    91

    2068

  • Population aged 14 years and below 1

    1,430,782

    2078/79

  • Population aged 65 years and above 2

    227,412

    2068

  • Total fertility Rate 13

    2

    2073

  • Literacy Rate 2

    66

    2068

  • Male Literacy Rate 2

    76

    2068

  • Female Literacy Rate 2

    58

    2068

  • Households with Toilet (%) 2

    55

    2068

  • Households with piped water supply (%) 2

    42

    2068

  • Population having any kind of disability (%) 2

    2

    2068

  • Human Development Index 19

    1

    2020
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

View Large

    Government Health Facilities

  • Hospital 20
  • PHCC 30
  • Health Post 570
  • Community Health Unit 98
  • Urban Health Center 101
  • PHC ORC 1898
  • EPI Clinic 2841
  • Basic Health Service Center 118
  • Birthing Center 406

    Private (Non-Government including NGO)

  • Hospital and Nursing Home 150
  • Polyclinic -
  • Medical/Drug Shop -

Other Service Centers

  • Microscopy Center -
  • ART Center 14
  • HTC Center -
  • TB Treatment Center 691
  • 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 12 22 2 1 845 - 84 323 219 101 -
RUKUM EAST 1 1 15 2 15 1 1 144 - 30 154 83 92 -
ROLPA 1 2 49 26 52 3 1 459 - 54 392 220 203 -
PYUTHAN 1 2 46 24 51 2 1 441 - 78 371 225 226 -
PALPA 2 2 62 19 45 3 3 615 - 82 502 334 247 -
NAWALPARASI WEST 2 2 36 24 13 2 1 346 - 53 399 254 178 -
KAPILBASTU 3 2 73 15 31 3 1 1106 - 81 616 379 245 -
GULMI 1 4 76 29 56 4 1 995 - 0 488 377 253 -
DANG 3 2 36 63 36 1 3 902 - 98 450 432 343 -
BARDIYA 1 3 30 42 23 3 1 841 - 79 294 262 329 -
BANKE 2 3 44 30 32 3 4 789 - 0 370 362 201 -
RUPANDEHI 2 5 64 31 30 5 2 1511 - 0 891 692 244 -
Total Numbers 8994 639 5250 3839 2662
* 3 methods are Condom, Pills, Depo and 5 methods include Implant and IUDs. Annual Report 2078

Human Resources for Health

Annual Report 2077
  • Skilled Birth Attendants-
  • CEONC sites20
  • BEONC sites32
  • LARC provider (IUCD/Implant)-
  • IMNCI trained provider-
  • Population per FCHV 571
  • Population per health worker 1338
  • Expected pregnancy per SBA 191
  • Expected pregnancy per birthing center 300
  • Population per health facility (includes hospital, PHCC and HP) 8287
  • Population per (government) hospital 256901
  • Population per (all) hospital and Nursing Home 30224

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 (%)
- -

Provincial Plan, Policies, guidelines, and strategies

Endorsed Draft
Provincial Health Act
Endorsed Draft
Provincial Health Policy

Health Budget

Annual Report 2077
  • Health Budget (Conditonal)
  • Health Budget (Unconditional)
  • Health Budget (Other Sources)
Budget
2075/76 2076/77
Graph
Total Province Budget - 19,800,109,000
Health Budget (all source) 1,480,061,000 1,509,724,000
Health Budget (Conditional) 668,727,000 765,659,000
Health Budget (Unconditional) 811,334,000 744,065,000
Health Budget (Other Sources) - -
Budget per health facilty per year (NRs) - -
Budget per person per year (NRs) - -
Budget Expenditure (%) 75 -
% of health budget among total budget - -
Insurance covered district - -
Total Insured Population - -
Table

Health Service Readiness

Availability of Basic Health Services

Availability of Basic Health Amenities

Nepal Demographic and Health Survey 2016

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(%) 45 67 46 55
Health Facilities practicing safe final disposal of infectious waste (%) 85 67 85 81
Health facilities knowing correct equipment and knowledge of processing time(%) 52 78 53 64
Health facilities with trained staff (%) 88 89 88 92
Health facilities having "Swastjya sewako gunathar sudhar padhatee" QA guideline(%) 10 0 9 6
Health facilities having clinical protocol (%) 41 11 40 28
Health facilities having all four tracer amenities (%) 27 78 28 30
Health facilities having a waiting room (%) 77 89 78 79
Health facilities having tracer Medicine (%) 28 56 29 33
Health facilities with all nine items (%) 0 0 0 0
Nepal Demographic and Health Survey 2016

Health Service Quality

Observed Family Planning Consultations

Observed Sick ChildConsultations

Nepal Health Facility Survey 2015

Physical Examinations and Counseling for ANC clients

Nepal Health Facility Survey 2015

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 2016/78

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 0 239 70 -
Pregnancy related mortality ratio 0 259 70 -
Teenage Childbearing rate 13 17 0 -
Under-five children mortality rate 45 39 20 -
Infant Mortality Rate 42 32 10 -
Neonatal mortality rate 30 21 12 -
Total fertility rate 2 2 2 -
Contraceptive prevalence rate, modern methods 39 43 60 -
Institutional Delivery Rate 59 57 90 -
Rate of delivery by skilled birth attendant 57 58 90 -
Children, fully immunized rate 78 78 100 -
Children stunting rate 39 36 15 -
Children wasting rate 8 10 4 -
Life Expectancy at birth (Years) 0 71 0 -
HIV Prevalence Rate 0 0 0 -
-

Utilization of Priority MNCH FP Services

Health Management Information System 2077/78

Trend of Utilization of Priority Health Services

Indicators Lumbini Province National 2076/77  
2075/76 2076/77 2077/78  
Immunization
Graph Table
BCG Coverage 98 92 94 86  
DPT-HepB-Hib 3 coverage 90 81 101 78  
Measles/Rubella 1(9-11 m) Coverage 88 85 88 80  
JE Coverage 89 86 94 78  
TD2 and TD2+ Coverage 73 64 68 59  
Nutrition
Graph Table
% of newborns with low birth weight (<2.5Kg) 9 11 12 13  
% of children aged 0-11 months registered for new growth monitoring 100 83 90 77  
% of children (0-23m) registered for growth monitoring who were underweight 3.9 2.9 2.8 6.5  
% of women who received 180 days’ supply of Iron folic tablets 61 53 55 44  
% of Post-partum women who received Vitamin A 65 59 64 57  
CB-IMNCI
Graph Table
% of newborn applied with Chlorohexidine 85 78 87 79  
% of PSBI cases treated with full dose of Gentamicin 51 55 62 45  
Incidence of Pneumonia/1000 Under 5 years children 76 43 38 70  
% of severe Pneumonia among New ARI cases 0.19 0.17 0.12 0.22  
Incidence of Diarrhoea/1000 Under 5 years children 421 350 356 350  
% of Under 5 Children with Diarrhea treated with ORS and Zinc 94 101 97 95  
Number of Neonatal death 395 379 512 1779  
Safe Motherhood and FP
Graph Table
% of pregnant women who attended ANC 1st visit 80 74 75 68  
% of pregnant women who attended ANC 4th Visit as per protocol 65 61 61 53  
Institutional delivery rate 79 81 78 66  
SBA delivery rate 73 79 77 62  
% of 3rd PNC visit as per protocol 19 21 29 19  
Number of Maternal death 54 71 72 215  
FP Methods New acceptor among as % of MWRA 18 13 15 11  
Malaria, TB, Leprosy and HIV
Graph Table
Malaria Slide Positivity Rate 0.39 0.16 0.16 0.25  
% of imported malaria 80 89 92 84  
Proportion of Plasmodium Falciparum Malaria 5 6.4 31 9  
TB case Notification rate(all form of TB) 120 112 113 91  
TB Treatment Success Rate 78 93 90 90  
Leprosy Incidence Rate /10000 population 1.4 0.9 0 0.9  
Number of HIV +ve patients on ART 5562 4045 0 50767  
Curatives
Graph Table
% of OPD New Visits among total population 81 87 82 84  
Non-Communicable Diseases
Graph Table
COPD cases 38705 48356 51300 0  
Cancers cases 0 0 0 0  
Diabetes cases 38922 53669 60096 0  
Renal Failure 1542 9437 8036 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 2077/78

Behavioral Risk Factors

Risk Factors Provincial National
Tobacco
Alcohol Consumption
Diet
Salt
Physical Activity
Oral Health
Cervical Cancer Screening
Violence and injury
Body Mass Index
Hypertension, Diabetes and Raised Cholesterol
- -

Epidemics, diseases, and Outbreaks

District 2072/73 2073/74 2074/75 2075/76 2076/77

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 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 : Rupandehi, Lumbini Province, Nepal

Telephone : 071-420490

Website : hd.p5.gov.np

Speaker

Name : Roshan Lal Chaudhary

Contact : 9849131851

Email : hd.prov5@gmail.com

Information Officer

Name : Tuk Prasad Pokhrel

Contact : 9857061538

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.