Non Communicable Disease Risk Factors: STEPS Survey Nepal 2018 (Updated on 29 June 2018)

Survey instrument has been developed in consultation with World Health Organization, Steering Committee , Technical working group and Stakeholders and data collection is planned from early August 2018

One year

NPR 28 Million

Ministry of Health and Population and World Health Organization


World Health Organization (WHO) identified the major eight major behavioral and biological risk factors of non-communicable diseases (NCDs). These are: tobacco use, harmful alcohol consumption, unhealthy diet (low fruits and vegetables consumption), physical inactivity, overweight and obesity, raised blood pressure, raised blood glucose and abnormal blood lipids and its subset raised total cholesterol. Evidences suggest that these behavioral and biological risk factors contribute to chronic diseases like cardiovascular diseases (CVD), cancer, chronic obstructive pulmonary diseases (COPD) and diabetes mellitus. Additional risk factors like high salt consumption are also closely linked to the development of these chronic diseases.

WHO recommends that it is necessary to undertake non communicable disease risk factors survey every five years to facilitate evidence informed planning and programming. The last round of steps survey was done in 2013. However, since the country has moved to federal structure and provincial government will be planning the NCD related activities at provincial level, it’s necessary to make the provincial estimates of NCD risk factors.  In this context, NCD STEPS survey 2018 is planned to generate evidences on the status of major non communicable risk factors considering provincial structure in context of Nepal.

This study will be able to find the burden of non-communicable disease risk factors. In the base of this evidence, policy makers and planner will be better equipped to make a national action plan for the prevention and control of non-communicable diseases in Nepal.

To assess the prevalence of NCD risk factors in Nepal

National prevalence of risk factors of NCDs will be determined. This data source will be one of the important data points to be fed so as to produce National Burden of Disease (BoD) estimates for Nepal. Findings could be useful in designing NCD related policies and interventions.