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Nepal
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