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Nepal Health Facility Survey 2021 Preliminary Data Tables

by Public Health Update


The 2021 Nepal Health Facility Survey (NHFS) is the second comprehensive sample survey of formal sector health facilities designed to provide information on the availability of essential health services in Nepal, the readiness of health facilities to provide those services, and the quality of client services.

The 2021 NHFS will provide data to track progress of the Nepal Health Sector Strategy (NHSS) 2016- 2022 Results Framework and provide a high-quality data on service availability, readiness, and quality of care at health facilities. The 2021 NHFS will also focus on building the survey capacity of Nepalese professionals in the government and private sector.


The 2021 NFHS is expected to assess the following:

  • Overall availability of specific client services in Nepal health facilities
  • General readiness of health facilities to provide client services, including availability of essential drugs
  • Service specific readiness of health facilities
  • Quality of services
  • Client perception, feedback, and accountability systems
  • Financial, inventory and personnel management

Sample Size

The 2021 NHFS is a sample survey of formal sector health facilities in the country. The sample for the 2021 NHFS is a stratified random sample designed to provide representative results for Nepal, for different facility types; hospitals, primary health care centres (PHCCs), health posts (HPs), community health units (CHU), standalone HIV testing and counselling sites (HTC) and urban health centres (UHC), residence (urban, and rural), managing authorities (public and private) and for each of the seven provinces of the country.

The sample size is 1,626 facilities, which includes census of public hospitals, PHCCs, standalone HTC, a sample of private hospitals (private hospitals, NGO hospitals and nursing homes), CHU, HP, and UHC.

The proposed sample size will provide provincial level estimates for the major indicators, as well as disaggregated estimates by major facility types within each Province.

The 2021 NHFS utilized four questionnaires:

  • Inventory questionnaire
  • Health provider questionnaire for individual health providers
  • Observation protocols for antenatal care, family planning, normal delivery, and curative care services for children under the age of five
  • Exit interview questionnaires for antenatal care and Family planning clients, normal vaginal delivery, and caretakers of sick children whose consultations were observed by interviewers as part of the assessment.


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