© 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 (%
)
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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 (%
)
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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
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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
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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
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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