Nepal Demographic Health Survey (NDHS) - 2011

Nepal has improved in almost all health indicators except neo-natal mortality. The neonatal mortality rate in the past five year was 33 deaths per 1,000 live births according to Nepal Demographic Health Survey (NDHS)-2011 disseminated 26^th March 2012.

The NDHS had collected demographic and health information from a nationally representative sample of 10,826 households, which included interviews with 12,674 women between 15 to 49 years of age in all selected households and with 4,121 men aged 15 to 49 in every second household.

The survey showed that fertility in Nepal has declined over the past fifteen years. Currently, women in Nepal have an average of 2.6 children, a decrease from 3.1 in 2006. Women in urban areas have 1.6 children on average, compared with 2.8 children per woman in rural areas. Fertility is higher in the mid-western (3.2) and far western (2.8) regions than in the eastern, central or western (each 2.5) regions.

The report said that family planning use has remained essentially the same since 2006 and use of female sterilization has dropped slightly from 18 per cent in 2006 to 15 per cent in 2011, while male sterilisation has increased from six per cent to eight per cent. The NDHS revealed that 27 per cent of married women have an unmet need for family planning—ten per cent for birth spacing and 17 per cent for limiting.

The infant mortality rate for the five-year period before the survey was 46 deaths per 1,000 live births just two deaths below the infant mortality reported in 2006. Under-five mortality rate was 54 deaths per 1,000 live births, down from 61 deaths per 1,000 in 2006.

Immunization coverage of children increased slightly during this period. Currently, 87 per cent of children aged 12 to 23 months are immunized against the six major childhood diseases whereas 83 per cent of children were fully immunized in 2006.

Nepali children are better nourished than in the past. In children under five years of age, 41 per cent are chronically malnourished and 11 per cent are wasted, While still high, these statistic represent a reduction from 2006 when 49 per cent were stunted and 13 per cent were wasted. Furthermore, data showed that 29 per cent of Nepali children under five were underweight in 2011, which is a decrease from 39 per cent in 2006.

Women’s health has improved over the last five years. In 2011, 58 per cent women received antenatal care from skilled providers, compared to 44 per cent women in 2006, and more than one in three (36 per cent ) births are delivered with the assistance of a skilled birth attendant currently compared to less than one in five births (19 per cent ) five years ago. Similarly, institutional delivery has also increased from 18 per cent in 2006 to 35 per cent in 2011.

The survey was conducted by New Era under the guidance of the Ministry of Health and Population with funding from USAID.

Other NDHS findings

• About 57 per cent of households reported at least one migration in the past ten years.

• Majority of Nepalis have some education, although only eight per cent of female respondents aged 15 to 49 and 15 per cent male respondents in the same age group have studied beyond secondary education.

• Nepali households consist of an average of 4.4 people.

• More than 99 per cent of all women know at least one modern method of family planning.

• Only 38 per cent of women know that abortion is legal in Nepal.

• About 86 per cent women and 97 per cent men have heard of HIV/AIDS but knowledge of HIV prevention measure is slightly lower.

• More than two in 10 women (22 per cent) have suffered physical violence at some point since 15.

• Almost one-third of married women have suffered spousal abuse at some point in time, whether physical, emotional or sexual.

The Index of Economic Freedom 2012

Nepal is ranked 147^th on 'Index of Economic Freedom 2012' among 184 countries. Nepal’s economic freedom score is 50.2 — an improvement by 0.1 — from last year, with an improvement in investment freedom offset by deterioration in business freedom,” according to the 18th annual Index of Economic Freedom released on 12^th January 2012 by The Heritage Foundation and The Wall Street Journal.

However, the report revealed that economic freedom has declined worldwide in 2011 as many countries attempted — without success — to spend their way out of recession. “The global average economic freedom score for the 2012 Index stands at 59.5 — on a scale in which 100 represents the ideal — down two-tenths of a point from 2011.”

The Index that covers 10 freedoms — from property rights to entrepreneurship in 184 economies across the world — ranked Nepal 32^nd out of 41 countries in the Asia–Pacific region, though its score remains far below world and regional averages.

Nepal’s statist approach to the economy continues to hold development progress far below the country’s potential, it said, adding that the foundations of economic freedom are extremely weak, and corruption, a lack of transparency, and a burdensome business approval process impede much-needed expansion of private investment and production. “Property rights are poorly protected by the inefficient judicial system, which is subject to substantial political influence.”

Overall, the economy lacks the entrepreneurial dynamism for broad-based economic growth and sustainable long-term development, the report said. Its scores for investment freedom and financial freedom are among the worst in the world. State interference continues to hurt regulatory efficiency, and there has been little effort to open the economy or engage in world markets. Lingering political instability undermines the government’s ability and willingness to implement necessary economic reforms, according to the annual report that ranked Hong Kong and Singapore the first and second freest economies for the 18^th straight year. Australia and New Zealand ranked third and fourth, and Switzerland fifth followed by Canada, Chile, Mauritius, Ireland and the US under the top 10 free economies.

Afghanistan, Somalia, Iraq, Sudan and Liechtenstein are not ranked.

According to the Index, the scores of 75 countries improved while 90 countries lost economic freedom. Fourteen countries showed no change.

Of the 75 showing improvement, 73 are considered emerging or developing countries, with many situated in the Sub-Saharan Africa, the Asia-Pacific, and South and Central America/Caribbean regions.

Economic freedom is not only a crucial component of liberty but it also reveals level of poverty and economic growth as it empowers people to work, produce, consume, own, trade, and invest according to their personal choices. Economic freedom matters the most as only an economically free nation can compete in the global market.

The Democracy Index 2011

The results of the Economist Intelligence Unit’s (EIU) Democracy Index 2011 show that democracy has been under intense pressure in many parts of the world. In most regions the average democracy score for 2011 is lower than in 2010, including the developed countries of North America and Western Europe. There was a decline in the average score for Eastern Europe and small declines for both Asia and Latin America. These were offset by increase in average scores in the Middle East and North Africa (MENA) and Sub-Saharan Africa. The index released on first week of January 2012.

According to 'The Democracy Index 2011 : Democracy under stress' Nepal is ranked 108^th among 167 countries and territories. In the index other South Asian Association For Regional Cooperation (SAARC)'s members are India 39^th, Sri Lanka 57^th, Bangladesh 83^rd, Bhutan 104^th and Pakistan 105^th. Maldives is not included in the index.

The United States ranks 19th, one notch below the United Kingdom. At the bottom of the Democracy Index 2011 rankings, at 167th, is North Korea.

A total of 53 countries, including all three Baltic states, are considered flawed democracies. Hybrid regimes are found in 37 countries, while authoritarianism reigns in 52.

The report scores countries based on five measures: electoral process and pluralism; civil liberties; the functioning of government; political participation; and political culture. Based on their scores, countries are placed in one of four different regime categories: full democracies, flawed democracies, hybrid regimes and authoritarian regimes.

It said almost one-half of the world’s population lives in a democracy of some sort, although only 11 per cent reside in full democracies, adding that some 2.6 billion people, more than one-third of the world’s population, still lives under authoritarian rule with a large share being in China.

The report said flawed democracies are concentrated in Latin America and eastern Europe, and to a lesser extent in Asia.

“This has affected mainly electronic media, which is often under state control or heavy state influence ‑ although repression and infringements of the freedom of expression have also extended to the print media and, most recently, the Internet,” said the report. The ranking shows the first 10 full democracies as Norway, Iceland, Denmark, Sweden, New Zealand, Australia, Switzerland, Canada, Finland and the Netherlands.

And according to the report, the last 10 authoritarian regimes are Syria, Iran, Central African Republic, Saudi Arabia, Equatorial Guinea, Myanmar, Uzbekistan, Turkmenistan, Chad and North Korea

The report said free and fair elections and civil liberties are necessary conditions for democracy, but they are unlikely to be sufficient for a full and consolidated democracy if unaccompanied by transparent and at least minimally efficient government, sufficient political participation and a supportive democratic political culture.

However, the report said: “It is not easy to build a sturdy democracy. Even in long-established ones, democracy can corrode if not nurtured and protected.”

World Press Freedom Index 2011

Nepal ranked 106th in World Press Freedom Index 2011/2012. Nepal witnessed a modest improvement in press freedom last year improving the ranking in the Press Freedom Index by 13 positions, the Reporters Without Borders (RSF) said on 25th January 2012.

 “In Nepal, a decline in attacks by Maoist groups in the south and greater efficiency on the part of the justice system account for the modest improvement in the country’s ranking,” RSF said. “However, press freedom was marred by threats and attacks by politicians and armed groups throughout the year.” 

Nepal is ranked 106th. The country was at 119th position in Press Freedom Index 2010.

Nepal’s ranking is however one of the best ranking that the South Asian nations received. Only Bhutan (70) and Maldives (73) are ahead of Nepal while Bangladesh (129), India (131), Afghanistan (150), Pakistan (151) and Sri Lanka (163) all rank lower than Nepal.

The media freedom watchdog also added that the Nepali journalists were regularly subjected to threats from rival political groups and their supporters in 2011.

The report noted that violence and censorship on the rise in Asia as violence and impunity persist in Pakistan, Afghanistan and Philippines. It also noted more repression on press in Sri Lanka, Vietnam and China.

The Index assesses condition of freedom of expression in 179 countries, with first places occupied by Finland, Norway, Estonia, the Netherlands and Austria.

“With 10 deaths in 2011, Pakistan was the world’s deadliest country for journalists for the second year in a row,” the report said.

“This year’s index sees many changes in the rankings, changes that reflect a year that was incredibly rich in developments, especially in the Arab world,” RSF said on global review of media freedom. 

“Many media paid dearly for their coverage of democratic aspirations or opposition movements. Control of news and information continued to tempt governments and to be a question of survival for totalitarian and repressive regimes. The past year also highlighted the leading role played by netizens in producing and disseminating news.”

Syria, Bahrain, Yemen received their worst ever press freedom ranking Wednesday in Reporters Without Borders' (RSF) index for 2011, a tumultuous year that saw the downfall of several Arab dictators.

Eritrea, North Korea and Turkmenistan came right at the bottom of the 10th annual list by the press freedom group, with the same clutch of European states -- led by Finland, Norway and Estonia -- at the top.

This year's index saw many changes in the rankings that reflect a year in which many media organisations paid dearly for their coverage of popular uprisings against veteran autocratic leaders, RSF said.

"Control of news and information continued to tempt governments and to be a question of survival for totalitarian and repressive regimes," said the Paris-based group.

RSF said it was no surprise that the same trio of countries -- Eritrea, North Korea and Turkmenistan -- were bottom of the list because they were "absolute dictatorships that permit no civil liberties".

"They are immediately preceded at the bottom by Syria, Iran and China, three countries that seem to have lost contact with reality as they have been sucked into an insane spiral of terror," it said. 

Bahrain and Vietnam -- both described as "quintessential oppressive regimes" -- were also down at the bottom, while RSF said "other countries such as Uganda and Belarus have also become much more repressive".

Tunisia rose 30 places from last year's index to 134th but "has not yet fully accepted a free and independent press", according to RSF.

Bahrain, now ranked 173rd, fell 29 places because of its "relentless crackdown on pro-democracy movements, its trials of human rights defenders and its suppression of all space for freedom," the group said.

Egypt fell 39 places to 166th "because the Supreme Council of the Armed Forces, in power since February, dashed the hopes of democrats by continuing the (ousted president Hosni) Mubarak dictatorship's practices."

"Total censorship, widespread surveillance, indiscriminate violence and government manipulation made it impossible for journalists to work" in Syria last year, which fell to 176th position in the index.

Elsewhere, pro-democracy movements that tried to follow the Arab example were ruthlessly suppressed, with, for example, many arrests made in Vietnam (172nd), said RSF. 

In China, which ranks 174th, the government responded to regional and local protests and to public impatience with scandals by feverishly reinforcing its system of controlling news and information, it said.

China carried out extrajudicial arrests and stepped up internet censorship, it added. 

In Azerbaijan (162nd), there was a dramatic rise in the number of arrests, as the government jailed netizens, abducted opposition journalists and barred foreign reporters in order to impose a news blackout on unrest, it said.

Led by President Yoweri Museveni, Uganda (139th) launched "an unprecedented crackdown on opposition movements and independent media after the elections in February". 

Similarly, Chile (80th) fell 47 places because of its many freedom of information violations, committed very often by security forces during student protests. 

The United States (47th) also owed its fall of 27 places to the many arrests of journalists covering Occupy Wall Street protests. 

The index highlighted the divergence of some European countries from the rest of the continent. 

The crackdown on protests after President Alexander Lukashenko's re-election caused Belarus to fall 14 places to 168th. 

Turkey (148th) lost 10 places because it failed to carry out promised reforms and launched a wave of arrests of journalists that was without precedent since the military dictatorship, RSF said.

Within the European Union, the index reflected a continuation of the distinction between states like Finland and Netherlands that have always had a high ranking and states like Bulgaria (80th), Greece (70th) and Italy (61st).

RSF noted South Sudan among its "noteworthy changes" of 2011, pointing out that the new nation had entered the index in a respectable position (111th) for what is a breakaway from one of the worst ranked countries, Sudan (170th). 

But it said that Africa also saw the biggest falls in the index. 

All countries

1 Finland

- Norway

3 Estonia

- Netherlands

5 Austria

6 Iceland

- Luxembourg

8 Switzerland

9 Cape Verde

10 Canada

- Denmark

12 Sweden

13 New Zealand

14 Czech Republic

15 Ireland

16 Cyprus

- Jamaica

- Germany

19 Costa Rica

20 Belgium

- Namibia

22 Japan

- Surinam

24 Poland

25 Mali

- Organisation of Eastern Caribbean States (OECS)

- Slovakia

28 United Kingdom

29 Niger

30 Australia

- Lithuania

32 Uruguay

33 Portugal

34 Tanzania

35 Papua New Guinea

36 Slovenia

37 El Salvador

38 France

39 Spain

40 Hungary

41 Ghana

42 South Africa

- Botswana

44 South Korea

45 Comoros

- Taiwan

47 United States of America

- Argentina

- Romania

50 Latvia

- Trinidad and Tobago

52 Haiti

53 Moldova

54 Hong-Kong

- Mauritius

- Samoa

57 United States of America (extra-territorial)

58 Malta

- Bosnia and Herzegovina

- Guyana

61 Italy

62 Central African Republic

63 Lesotho

- Sierra Leone

- Tonga

66 Mozambique

67 Mauritania

68 Croatia

- Burkina Faso

70 Bhutan

- Greece

72 Nicaragua

73 Maldives

- Seychelles

75 Guinea-Bissau

- Senegal

77 Armenia

78 Kuwait

79 Togo

80 Serbia

- Bulgaria

- Chile

- Paraguay

84 Kenya

- Madagascar

86 Guinea

- Kosovo

- Timor-Leste

- Zambia

90 Congo

91 Benin

92 Israel (Israeli territory)

93 Lebanon

94 Macedonia

95 Dominican Republic

96 Albania

97 Cameroon

- Guatemala

99 Brazil

100 Mongolia

101 Gabon

102 Cyprus (North)

103 Chad

104 Ecuador

- Georgia

106 Nepal

107 Montenegro

108 Bolivia

- Kyrgyzstan

110 Liberia

111 South Sudan

112 United Arab Emirates

113 Panama

114 Qatar

115 Peru

116 Ukraine

117 Cambodia

- Fiji

- Oman

- Venezuela

- Zimbabwe

122 Algeria

- Tajikistan

- Malaysia

125 Brunei

126 Nigeria

127 Ethiopia

128 Jordan

129 Bangladesh

130 Burundi

131 India

132 Angola

133 Israel (extra-territorial)

134 Tunisia

135 Singapore

- Honduras

137 Thailand

138 Morocco

139 Uganda

140 Philippines

141 Gambia

142 Russia

143 Colombia

144 Swaziland

145 Democratic Republic of Congo

146 Indonesia

- Malawi

148 Turkey

149 Mexico

150 Afghanistan

151 Pakistan

152 Iraq

153 Palestinian Territories

154 Kazakhstan

- Libya

156 Rwanda

157 Uzbekistan

158 Saudi Arabia

159 Côte d’Ivoire

- Djibouti

161 Equatorial Guinea

162 Azerbaijan

163 Sri Lanka

164 Somalia

165 Laos

166 Egypt

167 Cuba

168 Belarus

169 Burma

170 Sudan

171 Yemen

172 Vietnam

173 Bahrein

174 China

175 Iran

176 Syria

177 Turkmenistan

178 North Korea

179 Eritrea