ORS/Zinc status – Nepal

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NepalNepal

Population: 29.14m (2020)
Area: 147,516 sqkm

Diarrhoea deaths: 710 (2019)

ORS coverage: 60% (2019)

ORS + Zinc coverage: 29% (2019)

National EML download: Nepal – Final-NLEM-2016

National policy
ORS+Zinc in National Clinical Guidelines
ORS included in the National Essential Medicines List
Zinc included in the National Essential Medicines List
Co-packaged ORS & Zinc included in the National Essential Medicines List (as at Mar-2022)

Zinc availability
✅ Zinc available “over the counter” (needs verification)
✅ Any retailer can sell Zinc (needs verification)

Outlets for Zinc tablets:
✅ Pharmacies
✅ Drug stores/shops
❌ Supermarkets
❌ General retail outlets
✅ Community Health Workers
❌ Door-to-door sales people
✅ Government hospitals/clinics
❌ Private hospitals/clinics
❌ Campaigns and outreach
✅ Other – GoN Health Post, PHCC, PHC/ORC

Co-pack availability
❌ Co-packaged ORS and Zinc available
✅ Comment: Discussions underway about introducing co-packaged ORS and Zinc (CARE are undertaking advocacy work in this area in Nepal).
✅ Comment: Respondent 2: Co packaging is under discussion but not implemented yet. Currently ORS and Zinc tablet separately using to treat child hood diarrhea.
✅ Comment: Zinc is prescribed for 10 days and ORS prescribed only for 2-3 days in Nepal. Better to discuss co-packaging.

Outlets for co-packaged ORS and Zinc tablets:
❌ Pharmacies
❌ Drug stores/shops
❌ Supermarkets
❌ General retail outlets
❌ Community Health Workers
❌ Door-to-door sales people
❌ Government hospitals/clinics
❌ Private hospitals/clinics
❌ Campaigns and outreach
❌ Other

Co-packaged ORS and Zinc brands (may not be exhaustive)
None

Co-packaged ORS and Zinc manufacturers (may not be exhaustive)
None

Co-pack costs
Typical cost of a ORS/Zinc co-pack in the PUBLIC sector
N/A
Typical cost of a ORS/Zinc co-pack in the PRIVATE sector
N/A

✅ Diarrhoea programmes currently on-going

Name Organisation Funder Diarrhoea specific Target area
Integrated management of newborn and child illness Government and multiple partners. Ministry of Health and Population Family Welfare division, Technical support of WHO, UNICEF, USAID/SUAAHARA. WHO, UNICEF, USAID/SUAAHARA No. CB-IMNCI program. Nationwide

 

Additional information
Comment 29-Mar-2022:
A good initiative to integrate ORS and Zinc, it would be really helpful in terms of distribution and treatment as a single package.

Information based on 4 questionnaires and 3 comments

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