well as supply of food in these areas has been
seriously affected due to the disturbing political
situation. Almost 51% of the population feel that
their food consumption is less than adequate due
to insufficient food or income; and 63% of the
people from the mountain region suffer from lack
of access to fertile land, seeds, irrigation, etc. —
only 3% report having adequate food. The
ongoing conflict has affected production and
distribution of food in quite a few remote areas.
Under-nourishment has thus been affecting the
growth and well-being of the people, especially
children. Skewed distribution of land, absentee
land ownership, and infrastructure related
deficiencies are three key factors contributing to
food insecurity.
Health:
The average life expectancy (59 years) of Nepalese
people remains quite low and Nepal is one of the
few countries where women live shorter (58 years)
than the men. The primary health care services
are poor due to understaffing or lack of trained
health personnel. Lack of medicine and basic
equipment is an acute problem faced by health
centres. Most of the rural hospitals do not have
sufficient number of doctors and many rural
women die at the time of giving birth due to lack
of pre-natal health services and absence of trained
birth attendants. The lack of trained medical
personnel and birth attendants has contributed
to a high infant mortality rate (66 per 1,000 live
births) and maternal mortality ratio is 540 per
100,000. Likewise, diarrhoea remains to be a
major killer disease.
Access to safe drinking water and safe sanitation
facility is the most essential pre-condition to enjoy
the right to good health. Statistics show that 88
percent of the households in Nepal have access to
an improved source of water, but the quality of
drinking water supplied is highly questionable.
An overwhelming majority, 72 percent of the rural
households do not have access to improved
sanitation. The fertility rate is quite high at 4.6%.
Despite significant progress, immunisation for
DPT and Measles still remains below 75 percent.
Additionally, 20 percent of the children suffer
form severe malnutrition, 48 percent suffer from
moderate malnutrition, and child health problems
related to Vitamin A and Iodine deficiencies
remain a concern.
In recent years, HIV/AIDS cases have started
increasing. There are nearly 60,000 Nepalese
living with HIV/AIDS. Unavailability of HIV
testing facilities in all the hospitals and health
centres has exposed people to the grave risk of
HIV transmission through blood transmission.
Access to medication is very low due to the high
medication costs. Moreover, people with HIV/
AIDS face discrimination in hospitals, in the
society and within their families as well.
Shelter:
Housing is one of the basic rights of people,
but a very large number of Nepalese people are
deprived of this right. The only national housing
survey conducted in 1991 reported that about
half of the total houses are of the temporary
type, about forty percent are semi-permanent
and the rest belong to permanent category.
Absence of a culturally appropriate low-cost but
safe housing policy for rural and urban areas
has not enabled the people to exercise their right
to adequate housing. Large numbers of people
in urban areas live in rented rooms and houses
without any regulatory mechanisms to protect
their interests/well being as well as the interests
of the owners. Due to the centralisation of various
key opportunities in the urban areas, the number
of people using rented facilities is increasing and
will continue to increase in the future.
The problem of squatting is on the rise in urban
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