"She's breathing again. She's alive now," Bohara told IRIN, recounting how a local female health care volunteer (FCHV) had helped her with some available medicine before accompanying her to the nearby hospital for more treatment.
Bohara said that her daughter would not have survived if there was no FCHV in her village, where local people mostly use traditional healers to cure their sick children as they have no other choice.
Her daughter was suffering from pneumonia, a disease that contributes significantly to the high rate of child mortality in Nepal. Pneumonia, diarrhoea, under-nutrition, measles and acute respiratory infections kill nearly 65,000 children under five every year, according to UNICEF.
However, community-based efforts such as the use of FCHVs are reducing child mortality rates, say public health experts.
More than half of Nepal's children under-five can now be treated for diarrhoea and pneumonia close to home - often by a carefully selected and trained female health worker in their own community. |
"More than half of Nepal's children under-five can now be treated for diarrhoea and pneumonia close to home - often by a carefully selected and trained female health worker in their own community," said the report, entitled State of the World's Mothers 2007. It added that parents do not have to make long, costly and often dangerous journeys to medical facilities when their children are sick.
Under-five mortality rate halved
According to the report, despite the decade-long armed conflict between 1996 and 2006, Nepal has cut its under-five mortality rate by almost half in the past 15 years.
One of the key measures in doing this has been extensive anti-measles immunisation and vitamin A national campaigns in the country - with immunisation rates increasing from 43 to 83 percent. Over 95 percent of five-month-old to five-year-old children receive at least one annual vitamin A supplement, an essential human nutrient, according to UNICEF.
Photo: Naresh Newar/IRIN |
Community health workers in Nepal play a crucial role in reducing child deaths |
"Death among children under five years old is a common occurrence and it's a tragedy that we can't still control the mortality even today," said Kalpana Swar, a community health worker in Dadeldhura.
She added that child mortality rates could soon increase during the approaching monsoon season when many children typically die of diarrhoea and pneumonia.
"We are trying our best to save children’s lives and hopefully with more government and mass support, we could do more," said Saraswati Shah, who has been a health care volunteer for the past 10 years and says she has saved the lives of hundreds of children in her village.
More on health in Nepal |
"Although there was political disruption due to the armed conflict, health among children has improved and there was not much disruption to health services [especially relating to children]," said Robin Houston, an independent international public health expert who has been working in the country since the early 1980s.
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This article was produced by IRIN News while it was part of the United Nations Office for the Coordination of Humanitarian Affairs. Please send queries on copyright or liability to the UN. For more information: https://shop.un.org/rights-permissions