The total population of Nepal was estimated at approximately 31.25 million people in 2024. Following a continuous upward trend, the total population has risen by around 15.62 million people since 1980. Between 2024 and 2030, the total population will rise by around 2.20 million people, continuing its consistent upward trajectory.This indicator describes the total population in the country at hand. This total population of the country consists of all persons falling within the scope of the census.

Population, total in Nepal was reported at 29651054 in 2024, according to the World Bank collection of development indicators, compiled from officially recognized sources. Nepal - Population, total - actual values, historical data, forecasts and projections were sourced from the World Bank on September of 2025.

The total population in Nepal was estimated at 29.7 million people in 2024, according to the latest census figures and projections from Trading Economics. This dataset provides - Nepal Population - actual values, historical data, forecast, chart, statistics, economic calendar and news.

Abstract

The 2021 NPHC is tthe first census conducted under the federal structure of Nepal. The main census enumeration was originally scheduled to take place over 15 days- from June 8 to 22, 2021, but due to the COVID-19 pandemic, the enumeration was postponed for five months. Once the impact of the pandemic subsided, the enumeration was carried out according to a new work plan for a 15 dya period from November 11 to 25, 2021.

This report contains statistical tables at the national, provincial, district and municipal levels, derived from the topics covered in the census questionaires. The work of the analyzing the data in detail is still in progress. The report provides insights into the different aspects of the census operation, including its procedure, concepts, methodology, quality control, logistics, communication, data processing, challenges faced, and other management aspects.

This census slightly differs from the previous censuses mainly due to the following activities: i. three modes of data collection (CAPI, PAPI and e-census); ii. a full count of all questions instead of sampling for certain questions, as was done in the previous two censuses, iii. collaboration with Ministry of Health and Population to ascertain the likely maternal mortality cases reported in the census by skilled health personnel; iv. data processing within its premises; v. recuitment of fresh youths as supervisor and enumerators; and vi. using school teachers as master trainers, especially for the local level training of enumerators.

The objectives of the 2021 Population Census were:

a) to develop a set of benchmark data for different purposes. b) to provide distribution of population by demographic, social and economic characteristics. c) to provide data for small administrative areas of the country on population and housing characteristics. d) to provide reliable frames for different types of sample surveys. e) to provide many demographic indicators like birth rates, death rates and migration rates. f) to project population for the coming years.

The total population of Nepal, as of the census day (25 November 2021) is 29,164,578, of which the number of males is 14,253,551 (48.87 %) and the number of females is 14,911,027 (51.13 %). Accordingly, the sex ratio is 95.59 males per 100 females. Annual average population growth rate is 0.92 percent in 2021.

Geographic coverage

National Level, Ecological belt, Urban and Rural, Province, District, Municipality, Ward Level

Analysis unit

The census results provide information up to the ward level (the lowest administrative level of Nepal), household and indivisual.

Universe

The census covered all modified de jure household members (usual residents)

Kind of data

Census/enumeration data [cen]

Mode of data collection

Face-to-face [f2f] and online

Research instrument

In this census three main questionnaires were developed for data collection. The first was the Listing Form deveoped mainly for capturing the basic household informatioin in each Enumeration area of the whole country. The second questionnaire was the main questionnaire with eight major Sections as mentioned hereunder.

Listing Questionaire Section 1. Introduction Section 2. House information Section 3. Household information Section 4. Agriculture and livestock information Section 5. Other information

Main Questionaire Section 1. Introduction Section 2. Household Information Section 3. Individual Information Section 4. Educational Information Section 5. Migration Section 6. Fertility Section 7.Disability Section 8. Economic Activity

For the first time, the NPHC, 2021 brougt a Community Questionnaire aiming at capturing the socio-economic and demographic characteristics of the Wards (the lowest administrative division under Rural/Urban Municipalities). The Community Questionnaire contains 6 Chapters. The information derived from community questionnaire is expected to validate (cross checks) certain information collected from main questionnaire.

Community questionaire Section 1. Introduction Section 2. Basic information of wards Section 3. Caste and mother tongue information Section 4. Current status of service within wards Section 5. Access of urban services and facilities within wards Section 6. Status of Disaster Risk

It is noteworty that the digital version of questionnare was applied in collecting data within the selected municipalities of Kathmandu Valley. Enumerators mobilized in Kathmandu Valley were well trained to use tablets. Besides, online mode of data collection was adpoted for all the Nepalese Diplomatic Agencies located abroad.

Cleaning operations

For the concistency of data required logics were set in the data entry programme. For the processing and analysis of data SPSS and STATA programme were employed.

Population density per pixel at 100 metre resolution. WorldPop provides estimates of numbers of people residing in each 100x100m grid cell for every low and middle income country. Through ingegrating cencus, survey, satellite and GIS datasets in a flexible machine-learning framework, high resolution maps of population counts and densities for 2000-2020 are produced, along with accompanying metadata. DATASET: Alpha version 2010 and 2015 estimates of numbers of people per grid square, with national totals adjusted to match UN population division estimates (http://esa.un.org/wpp/) and remaining unadjusted. REGION: Africa SPATIAL RESOLUTION: 0.000833333 decimal degrees (approx 100m at the equator) PROJECTION: Geographic, WGS84 UNITS: Estimated persons per grid square MAPPING APPROACH: Land cover based, as described in: Linard, C., Gilbert, M., Snow, R.W., Noor, A.M. and Tatem, A.J., 2012, Population distribution, settlement patterns and accessibility across Africa in 2010, PLoS ONE, 7(2): e31743. FORMAT: Geotiff (zipped using 7-zip (open access tool): www.7-zip.org) FILENAMES: Example - AGO10adjv4.tif = Angola (AGO) population count map for 2010 (10) adjusted to match UN national estimates (adj), version 4 (v4). Population maps are updated to new versions when improved census or other input data become available. Nepal data available from WorldPop here.

Nepal Population Census data was reported at 29,164,578.000 Person in 2021. This records an increase from the previous number of 26,494,504.000 Person for 2011. Nepal Population Census data is updated yearly, averaging 10,484,489.500 Person from Dec 1911 (Median) to 2021, with 12 observations. The data reached an all-time high of 29,164,578.000 Person in 2021 and a record low of 5,532,574.000 Person in 1930. Nepal Population Census data remains active status in CEIC and is reported by Central Bureau of Statistics. The data is categorized under Global Database’s Nepal – Table NP.G001: Population Census.

In 2023, the annual population growth in Nepal amounted to -0.07 percent. Between 1961 and 2023, the figure dropped by 1.98 percentage points, though the decline followed an uneven course rather than a steady trajectory.

Population ages 15-64, total in Nepal was reported at 19293162 Persons in 2024, according to the World Bank collection of development indicators, compiled from officially recognized sources. Nepal - Population ages 15-64, total - actual values, historical data, forecasts and projections were sourced from the World Bank on September of 2025.

The statistic depicts the median age of the Nepalese population from 1950 to 2100. The median age of a population is an index that divides the population into two equal groups: half of the population is older than the median age and the other half younger. In 2020, the median age of Nepal's population was 23.5 years.

Population density (people per sq. km of land area) in Nepal was reported at 207 sq. Km in 2022, according to the World Bank collection of development indicators, compiled from officially recognized sources. Nepal - Population density (people per sq. km) - actual values, historical data, forecasts and projections were sourced from the World Bank on September of 2025.

Graph and download economic data for Population, Total for Nepal (POPTOTNPA647NWDB) from 1960 to 2024 about Nepal and population.

Abstract

The 2011 Nepal Demographic and Health Survey is the fourth nationally representative comprehensive survey conducted as part of the worldwide Demographic and Health Surveys (DHS) project in the country. The survey was implemented by New ERA under the aegis of the Population Division, Ministry of Health and Population. Technical support for this survey was provided by ICF International with financial support from the United States Agency for International Development (USAID) through its mission in Nepal.

The primary objective of the 2011 NDHS is to provide up-to-date and reliable data on different issues related to population and health, which provides guidance in planning, implementing, monitoring, and evaluating health programs in Nepal. The long term objective of the survey is to strengthen the technical capacity of the local institutions to plan, conduct, process and analyze data from complex national population and health surveys. The survey includes topics on fertility levels and determinants, family planning, fertility preferences, childhood mortality, children and women’s nutritional status, the utilization of maternal and child health services, knowledge of HIV/AIDS and STIs, women’s empowerment and for the first time, information on women facing different types of domestic violence. The survey also reports on the anemia status of women age 15-49 and children age 6-59 months.

In addition to providing national estimates, the survey report also provides disaggregated data at the level of various domains such as ecological region, development regions and for urban and rural areas. This being the fourth survey of its kind, there is considerable trend information on reproductive and health care over the past 15 years. Moreover, the 2011 NDHS is comparable to similar surveys conducted in other countries and therefore, affords an international comparison. The 2011 NDHS also adds to the vast and growing international database on demographic and health-related variables.

The 2011 NDHS collected demographic and health information from a nationally representative sample of 10,826 households, which yielded completed interviews with 12,674 women age 15-49 in all selected households and with 4, 121 men age 15-49 in every second household.

This survey is the concerted effort of various individuals and institutions.

Geographic coverage

The primary focus of the 2011 NDHS was to provide estimates of key population and health indicators, including fertility and mortality rates, for the country as a whole and for urban and rural areas separately. In addition, the sample was designed to provide estimates of most key variables for the 13 eco-development regions.

Analysis unit

Household, adult woman, adult man

Kind of data

Sample survey data

Sampling procedure

The primary focus of the 2011 NDHS was to provide estimates of key population and health indicators, including fertility and mortality rates, for the country as a whole and for urban and rural areas separately. In addition, the sample was designed to provide estimates of most key variables for the 13 eco-development regions.

Sampling Frame

Nepal is divided into 75 districts, which are further divided into smaller VDCs and municipalities. The VDCs and municipalities, in turn, are further divided into wards. The larger wards in the urban areas are divided into subwards. An enumeration area (EA) is defined as a ward in rural areas and a subward in urban areas. Each EA is classified as urban or rural. As the upcoming population census was scheduled for June 2011, the 2011 NDHS used the list of EAs with population and household information developed by the Central Bureau of Statistics for the 2001 Population Census. The long gap between the 2001 census and the fielding of the 2011 NDHS necessitated an updating of the 2001 sampling frame to take into account not only population growth but also mass internal and external migration due to the 10-year political conflict in the country. To obtain an updated list, a partial updating of the 2001 census frame was carried out by conducting a quick count of dwelling units in EAs five times more than the sample required for each of the 13 domains. The results of the quick count survey served as the actual frame for the 2011 NDHS sample design.

Domains

The country is broadly divided into three horizontal ecological zones, namely mountain, hill, and terai. Vertically, the country is divided into five development regions. The cross section of these zones and regions results in 15 eco-development regions, which are referred to in the 2011 NDHS as subregions or domains. Due to the small population size in the mountain regions, the Western, Mid-western, and Far-western mountain regions are combined into one domain, yielding a total of 13 domains. In order to provide an adequate sample to calculate most of the key indicators at an acceptable level of precision, each domain had a minimum of about 600 households.

Stratification was achieved by separating each of the 13 domains into urban and rural areas. The 2011 NDHS used the same urban-rural stratification as in the 2001 census frame. In total, 25 sampling strata were created. There are no urban areas in the Western, Mid-western, and Far-western mountain regions. The numbers of wards and subwards in each of the 13 domains are not allocated proportional to their population due to the need to provide estimates with acceptable levels of statistical precision for each domain and for urban and rural domains of the country as a whole. The vast majority of the population in Nepal resides in the rural areas. In order to provide national urban estimates, urban areas of the country were oversampled.

Sample Selection

Samples were selected independently in each stratum through a two-stage selection process. In the first stage, EAs were selected using a probability-proportional-to-size strategy. In order to achieve the target sample size in each domain, the ratio of urban EAs to rural EAs in each domain was roughly 1 to 2, resulting in 95 urban and 194 rural EAs (a total of 289 EAs).

Complete household listing and mapping was carried out in all selected EAs (clusters). In the second stage, 35 households in each urban EA and 40 households in each rural EA were randomly selected. Due to the nonproportional allocation of the sample to the different domains and to oversampling of urban areas in each domain, sampling weights are required for any analysis using the 2011 NDHS data to ensure the actual representativeness of the sample at the national level as well as at the domain levels. Since the 2011 NDHS sample is a two-stage stratified cluster sample, sampling weights were calculated based on sampling probabilities separately for each sampling stage, taking into account nonproportionality in the allocation process for domains and urban-rural strata.

Mode of data collection

Face-to-face

Research instrument

Three questionnaires were administered in the 2011 NDHS: the Household Questionnaire, the Woman’s Questionnaire, and the Man’s Questionnaire. These questionnaires were adapted from the standard DHS6 core questionnaires to reflect the population and health issues relevant to Nepal at a series of meetings with various stakeholders from government ministries and agencies, nongovernmental organizations, EDPs, and international donors. The final draft of each questionnaire was discussed at a questionnaire design workshop organized by the MOHP, Population Division on 22 April 2010 in Kathmandu. These questionnaires were then translated from English into the three main local languages—Nepali, Maithali, and Bhojpuri—and back translated into English. Questionnaires were finalized after the pretest, which was held from 30 September to 4 November 2010, with a one-week break in October for the Dasain holiday.

The Household Questionnaire was used to list all of the usual members and visitors in the selected households. Some basic information was collected on the characteristics of each person listed, including age, sex, education, and relationship to the head of the household. For children under age 18, the survival status of the parents was determined. The Household Questionnaire was used to identify women and men who were eligible for the individual interview and women who were eligible for the interview focusing on domestic violence. The Household Questionnaire also collected information on characteristics of the household’s dwelling unit, such as source of water, type of toilet facilities, materials used for the floor of the house, ownership of various durable goods, ownership of mosquito nets, and household food security. The results of salt testing for iodine content, height and weight measurements, and anemia testing were also recorded in the Household Questionnaire.

The Woman’s Questionnaire was used to collect information from women age 15-49. Women were asked questions on the following topics: - background characteristics (education, residential history, media exposure, etc.) - pregnancy history and childhood mortality - knowledge and use of family planning methods - fertility preferences - antenatal, delivery, and postnatal care - breastfeeding and infant feeding practices - vaccinations and childhood illnesses - marriage and sexual activity - work characteristics and husband’s background characteristics - awareness and behavior regarding AIDS and other sexually transmitted infections - domestic violence

The Man’s Questionnaire was administered to all men age 15-49 living in every second household in the 2011 NDHS. The Man’s Questionnaire collected much of the same information as the Woman’s Questionnaire but was shorter

Abstract

The 2022 Nepal Demographic and Health Survey (NDHS) is the sixth survey of its kind implemented in the country as part of the worldwide Demographic and Health Surveys (DHS) Program. It was implemented by New ERA under the aegis of the Ministry of Health and Population (MoHP) of the Government of Nepal with the objective of providing reliable, accurate, and up-to-date data for the country.

The primary objective of the 2022 NDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the 2022 NDHS collected information on fertility, marriage, family planning, breastfeeding practices, nutrition, food insecurity, maternal and child health, childhood mortality, awareness and behavior regarding HIV/AIDS and other sexually transmitted infections (STIs), women’s empowerment, domestic violence, fistula, mental health, accident and injury, disability, and other healthrelated issues such as smoking, knowledge of tuberculosis, and prevalence of hypertension.

The information collected through the 2022 NDHS is intended to assist policymakers and program managers in evaluating and designing programs and strategies for improving the health of Nepal’s population. The survey also provides indicators relevant to the Sustainable Development Goals (SDGs) for Nepal.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15-49

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, men ageed 15-49, and all children aged 0-4 resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

The sampling frame used for the 2022 NDHS is an updated version of the frame from the 2011 Nepal Population and Housing Census (NPHC) provided by the National Statistical Office. The 2022 NDHS considered wards from the 2011 census as sub-wards, the smallest administrative unit for the survey. The census frame includes a complete list of Nepal’s 36,020 sub-wards. Each sub-ward has a residence type (urban or rural), and the measure of size is the number of households.

In September 2015, Nepal’s Constituent Assembly declared changes in the administrative units and reclassified urban and rural areas in the country. Nepal is divided into seven provinces: Koshi Province, Madhesh Province, Bagmati Province, Gandaki Province, Lumbini Province, Karnali Province, and Sudurpashchim Province. Provinces are divided into districts, districts into municipalities, and municipalities into wards. Nepal has 77 districts comprising a total of 753 (local-level) municipalities. Of the municipalities, 293 are urban and 460 are rural.

Originally, the 2011 NPHC included 58 urban municipalities. This number increased to 217 as of 2015. On March 10, 2017, structural changes were made in the classification system for urban (Nagarpalika) and rural (Gaonpalika) locations. Nepal currently has 293 Nagarpalika, with 65% of the population living in these urban areas. The 2022 NDHS used this updated urban-rural classification system. The survey sample is a stratified sample selected in two stages. Stratification was achieved by dividing each of the seven provinces into urban and rural areas that together formed the sampling stratum for that province. A total of 14 sampling strata were created in this way. Implicit stratification with proportional allocation was achieved at each of the lower administrative levels by sorting the sampling frame within each sampling stratum before sample selection, according to administrative units at the different levels, and by using a probability-proportional-to-size selection at the first stage of sampling. In the first stage of sampling, 476 primary sampling units (PSUs) were selected with probability proportional to PSU size and with independent selection in each sampling stratum within the sample allocation. Among the 476 PSUs, 248 were from urban areas and 228 from rural areas. A household listing operation was carried out in all of the selected PSUs before the main survey. The resulting list of households served as the sampling frame for the selection of sample households in the second stage. Thirty households were selected from each cluster, for a total sample size of 14,280 households. Of these households, 7,440 were in urban areas and 6,840 were in rural areas. Some of the selected sub-wards were found to be overly large during the household listing operation. Selected sub-wards with an estimated number of households greater than 300 were segmented. Only one segment was selected for the survey with probability proportional to segment size.

For further details on sample design, see APPENDIX A of the final report.

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

Four questionnaires were used in the 2022 NDHS: the Household Questionnaire, the Woman’s Questionnaire, the Man’s Questionnaire, and the Biomarker Questionnaire. The questionnaires, based on The DHS Program’s model questionnaires, were adapted to reflect the population and health issues relevant to Nepal. In addition, a self-administered Fieldworker Questionnaire collected information about the survey’s fieldworkers.

Input was solicited from various stakeholders representing government ministries and agencies, nongovernmental organizations, and international donors. After all questionnaires were finalized in English, they were translated into Nepali, Maithili, and Bhojpuri. The Household, Woman’s, and Man’s Questionnaires were programmed into tablet computers to facilitate computer-assisted personal interviewing (CAPI) for data collection purposes, with the capability to choose any of the three languages for each questionnaire. The Biomarker Questionnaire was completed on paper during data collection and then entered in the CAPI system.

Cleaning operations

Data capture for the 2022 NDHS was carried out with Microsoft Surface Go 2 tablets running Windows 10.1. Software was prepared for the survey using CSPro. The processing of the 2022 NDHS data began shortly after the fieldwork started. When data collection was completed in each cluster, the electronic data files were transferred via the Internet File Streaming System (IFSS) to the New ERA central office in Kathmandu. The data files were registered and checked for inconsistencies, incompleteness, and outliers. Errors and inconsistencies were immediately communicated to the field teams for review so that problems would be mitigated going forward. Secondary editing, carried out in the central office at New ERA, involved resolving inconsistencies and coding the open-ended questions. The New ERA senior data processor coordinated the exercise at the central office. The NDHS core team members assisted with the secondary editing. The paper Biomarker Questionnaires were compared with the electronic data file to check for any inconsistencies in data entry. The pictures of vaccination cards that were captured during data collection were verified with the data entered. Data processing and editing were carried out using the CSPro software package. The concurrent data collection and processing offered a distinct advantage because it maximized the likelihood of the data being error-free and accurate. Timely generation of field check tables allowed for effective monitoring. The secondary editing of the data was completed by July 2022, and the final cleaning of the data set was completed by the end of August.

Response rate

A total of 14,243 households were selected for the sample, of which 13,833 were found to be occupied. Of the occupied households, 13,786 were successfully interviewed, yielding a response rate of more than 99%. In the interviewed households, 15,238 women age 15-49 were identified as eligible for individual interviews. Interviews were completed with 14,845 women, yielding a response rate of 97%. In the subsample of households selected for the men’s survey, 5,185 men age 15-49 were identified as eligible for individual interviews and 4,913 were successfully interviewed, yielding a response rate of 95%.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: nonsampling errors and sampling errors. Nonsampling errors result from mistakes made in implementing data collection and in data processing, such as failing to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and entering the data incorrectly. Although numerous efforts were made during the implementation of the 2022 Nepal Demographic and Health Survey (2022 NDHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2022 NDHS is only one of many samples that could have been selected from the same population, using the same design and expected sample size. Each of these samples would yield results that differ somewhat from the results of the selected sample. Sampling errors are a measure of the variability among all possible samples. Although the exact degree of variability is unknown, it can be estimated from the survey results.

Sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, and so on), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the

Graph and download economic data for Population Growth for Nepal (SPPOPGROWNPL) from 1961 to 2024 about Nepal, population, and rate.

In 2023, approximately 28.5 percent of the population in Nepal was aged up to 14 years old. This represented a decrease from 2014, when 34 percent of the population in Nepal was aged up to 14 years old.

This statistic depicts the age distribution of Nepal's population from 2013 to 2023. In 2023, about 28.71 percent of the Nepalese population fell into the 0-14 year category, about 64.93 percent into the 15-64 age group and about 6.36 percent were over 65 years of age.

Nepal NP: Population Projection: Mid Year data was reported at 33,265,760.000 Person in 2050. This records a decrease from the previous number of 33,330,745.000 Person for 2049. Nepal NP: Population Projection: Mid Year data is updated yearly, averaging 23,486,982.000 Person from Jun 1950 (Median) to 2050, with 101 observations. The data reached an all-time high of 33,508,901.000 Person in 2043 and a record low of 8,989,915.000 Person in 1950. Nepal NP: Population Projection: Mid Year data remains active status in CEIC and is reported by US Census Bureau. The data is categorized under Global Database’s Nepal – Table NP.US Census Bureau: Demographic Projection.

Population density per pixel at 100 metre resolution. WorldPop provides estimates of numbers of people residing in each 100x100m grid cell for every low and middle income country. Through ingegrating cencus, survey, satellite and GIS datasets in a flexible machine-learning framework, high resolution maps of population counts and densities for 2000-2020 are produced, along with accompanying metadata. DATASET: Alpha version 2010 and 2015 estimates of numbers of people per grid square, with national totals adjusted to match UN population division estimates (http://esa.un.org/wpp/) and remaining unadjusted. REGION: Africa SPATIAL RESOLUTION: 0.000833333 decimal degrees (approx 100m at the equator) PROJECTION: Geographic, WGS84 UNITS: Estimated persons per grid square MAPPING APPROACH: Land cover based, as described in: Linard, C., Gilbert, M., Snow, R.W., Noor, A.M. and Tatem, A.J., 2012, Population distribution, settlement patterns and accessibility across Africa in 2010, PLoS ONE, 7(2): e31743. FORMAT: Geotiff (zipped using 7-zip (open access tool): www.7-zip.org) FILENAMES: Example - AGO10adjv4.tif = Angola (AGO) population count map for 2010 (10) adjusted to match UN national estimates (adj), version 4 (v4). Population maps are updated to new versions when improved census or other input data become available. Nepal data available from WorldPop here.

Population, male (% of total population) in Nepal was reported at 47.89 % in 2024, according to the World Bank collection of development indicators, compiled from officially recognized sources. Nepal - Population, male (% of total) - actual values, historical data, forecasts and projections were sourced from the World Bank on September of 2025.

Abstract

The 2001 Nepal Demographic and Health Survey (NDHS) is a nationally representative survey of 8,726 women age 15-49 and 2,261 men age 15-59. This Survey is the sixth in a series of national-level population and health surveys conducted in Nepal. It is the second nationally representative comprehensive survey conducted as part of the global Demographic and Health Survey (DHS) program, the first being the 1996 Nepal Family Health Survey (NFHS). The 2001 NDHS is the first in the history of demographic and health surveys conducted in Nepal that included a male sample. The 2001 NDHS was carried out under the aegis of the Family Health Division of the Department of Health Services, Ministry of Health, and was implemented by New ERA, a local research organization, which also conducted the 1996 NFHS. ORC Macro provided technical support through its MEASURE DHS+ project. The survey was funded by the United States Agency for International Development (USAID) through its mission in Nepal.

The principal objective of the 2001 NDHS is to provide current and reliable data on fertility and family planning, infant and child mortality, children's and women's nutritional status, the utilization of maternal and child health services, and knowledge of HIV/AIDS. This information is essential for informed policy decisions, planning, monitoring, and evaluation of programs on health in general and reproductive health in particular at both the national and regional levels.

A long-term objective of the survey is to strengthen the technical capacity of the Family Health Division of the Ministry of Health to plan, conduct, process, and analyze data from complex national population and health surveys. The 2001 NDHS data is comparable to data collected in the 1996 NFHS and similar to survey data conducted in other developing countries. This allows for temporal and spatial comparisons of demographic health information. The 2001 NDHS also adds to the vast and growing international database on demographic and health variables. The inclusion of data on men adds to the richness of this data.

Geographic coverage

The 2001 NDHS collected demographic and health information from a nationally representative sample of ever-married women and men in the reproductive age groups of 15-49 and 15-59, respectively. The primary focus of the 2001 NDHS was to provide estimates of key population and health indicators, including fertility and mortality rates, for the country as a whole and for urban and rural areas separately.

Analysis unit

• Household
• Women age 15-49
• Men age 15-59

Universe

The population covered by the 2008 DHS is defined as the universe of all women ever-married women and men in the reproductive age groups of 15-49 and 15-59

Kind of data

Sample survey data

Sampling procedure

The survey was designed to obtain completed interviews of 8,400 ever-married women age 15-49. In addition, all ever-married males age 15-59 in every third household were interviewed. To take nonresponse into account, a total of 8,700 households nationwide were selected. The sample size was allocated to each district by urban and rural areas and the numbers of PSUs were calculated based on an average sample "take" (the number of ultimate sampled units in a cluster) of 34 completed interviews per PSU.

SAMPLE DESIGN

The 2001 NDHS collected demographic and health information from a nationally representative sample of ever-married women and men in the reproductive age groups of 15-49 and 15-59, respectively. The primary focus of the 2001 NDHS was to provide estimates of key population and health indicators, including fertility and mortality rates, for the country as a whole and for urban and rural areas separately. In addition, the sample was designed to provide estimates of most key variables for the 13 domains obtained by cross-classifying the three ecological zones (mountains, hills, and terai) with the five development regions (Eastern, Central, Western, Mid-western, and Far-western). Due to their small size, the mountain areas of the Western, Mid-western, and Far-western regions were combined.

SAMPLING FRAME

The 2001 NDHS used the sampling frame provided by the list of census enumeration areas (EAs) with population and household information from the 1991 Population Census. Administratively, Nepal is divided into 75 districts. Each district is subdivided into village development committees (VDCs), and each VDC is divided into wards. The primary sampling unit (PSU) for the 2001 NDHS is a ward or group of wards in rural areas and subwards in urban areas. In rural areas, the ward is small enough for a complete household listing, but in urban areas, the ward size is large. It was therefore necessary to subdivide each urban ward into subwards. Information on the subdivision of the urban wards was obtained from the Living Standards Measurement Survey, a project funded by the World Bank.

SAMPLE SELECTION

The sample for the survey is based on a two-stage, stratified, nationally representative sample of households. At the first stage of sampling, 257 PSUs - 42 in urban areas and 215 in rural areas were selected using systematic sampling with probability proportional to size. During fieldwork, six PSUs in the Mid-western region were dropped from the sample due to security issues, reducing the total number of PSUs covered to 251 and reducing the number of rural PSUs to 209. This also reduced the expected number of completed interviews to 8,170 from 8,400.

A complete household listing operation was then carried out in all the selected EAs to provide a sampling frame for the second-stage selection of households. Sketch maps were constructed to identify the relative position of housing units in an EA to help interviewers locate selected households during fieldwork. Table A.1 shows the sample distribution of PSUs.

Global positioning system (GPS) units were used to calculate latitude and longitude coordinates for each selected ward (or subward) during the household listing stage. One latitude/longitude coordinate was taken for the center of each settlement or community within the ward. The altitude reading was also taken with the GPS units. The positional accuracy of the GPS readings is approximately 5 to 10 meters for latitude/longitude and approximately 30 meters for altitude. This geographic information allows the 2001 NDHS data to be integrated into a geographic information system (GIS) along with other spatial data collected in the same localities and adds to the depth of information available from the 2001 NDHS.

At the second stage of sampling, systematic samples of 34 households per PSU on average were selected in all the regions in order to provide statistically reliable estimates of key demographic and health variables. However, since Nepal is predominantly rural, in order to obtain statistically reliable estimates for urban areas, it was necessary to oversample the urban areas. As such, the total sample is weighted and a final weighting procedure was applied to provide estimates for the different domains and for the urban and rural areas of the country as a whole.

Mode of data collection

Face-to-face

Research instrument

The 2001 NDHS used three questionnaires: the Household Questionnaire, the Women's Questionnaire, and the Men's Questionnaire. The content and design of the questionnaires were based on the MEASURE DHS+ Model 'B' Questionnaire. The questionnaires were specifically geared toward obtaining the kind of information needed by health and family planning program managers and policymakers. The model questionnaires were then adapted to local conditions and a number of additional questions specific to ongoing health and family planning programs in Nepal were added. These questionnaires were developed in English and translated into the three principal languages in use in the country: Nepali (the national language), Bhojpuri, and Maithili. They were then independently translated back to English and appropriate changes were made in the translation of questions in which the back-translated version did not compare well with the original English version. A pretest of all three questionnaires was conducted in the three local languages in September 2000.

a) All usual members in a selected household and visitors who stayed there the previous night were enumerated using the Household Questionnaire. Specifically, the Household Questionnaire obtained information on the relationship to the head of the household, residence, sex, age, marital status, and education of each usual resident or visitor. This information was used to identify eligible women and men for the individual interview. Ever-married women age 15-49 in all selected households and ever-married men age 15-59 in every third selected household, whether usual residents or visitors, were deemed eligible and were interviewed. The Household Questionnaire also obtained information on some basic socioeconomic indicators such as the source of drinking water, the type of toilet facilities, the ownership of a variety of consumer durable items, and the flooring material. All eligible women and all children born since Baisakh 2052 in the Nepali calendar (which roughly corresponds to April 1995 in the Gregorian calendar) were weighed and measured.

b) The Women's Questionnaire collected information on female respondent's background characteristics; reproductive history; contraceptive knowledge and use; antenatal, delivery, and postnatal care; infant feeding practices; child immunization and health; marriage; fertility preferences; attitudes about family planning;