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Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700...

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Vitamin A supplementation Percent children 6-59 months receiving two doses of vitamin A during calender year Exclusive breastfeeding Percent infants < 6 months exclusively breastfed Underweight prevalence Percent children < 5 years underweight for age* Underweight prevalence Percent children < 5 years underweight for age* DEMOGRAPHICS INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN NUTRITION Total population (000) Total under-five population (000) Births (000) Birth registration (%) Under-five mortality rate (per 1000 live births) Infant mortality rate (per 1000 live births) Neonatal mortality rate (per 1000 live births) Total under-five deaths (000) Maternal mortality ratio (per 100,000 live births) Lifetime risk of maternal death (1 in N) Total maternal deaths Stunting prevalence (moderate and severe, %) Wasting prevalence (moderate and severe, %) Complementary feeding rate (6-9 months, %) Low birthweight incidence (%) CHILD HEALTH Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35 7 (2008-2009) (2008-2009) 83 10 (2008-2009) (2003) Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics Percent 20 0 40 60 80 100 Malaria prevention Percent children < 5 years sleeping under ITNs *Based on 2006 WHO reference population 1993 DHS 1998 DHS 2003 DHS 2008-2009 DHS Malaria treatment Percent febrile children < 5 years using antimalarials 57 49 52 22 56 40 1998 DHS 65 2000 MICS 27 2003 DHS 23 2008-2009 DHS Percent 20 0 40 60 80 100 15 2000 MICS 33 2003 DHS Percent 20 0 40 60 80 100 Percent 20 0 40 60 80 100 2000 MICS 3 2003 DHS 5 2008-2009 DHS 46 Percent 20 0 40 60 80 100 1989 DHS 23 1993 DHS 12 1998 DHS 12 2003 DHS 13 2008-2009 DHS 32 1990 1995 2000 2005 2010 2015 30 0 60 90 120 150 35 105 128 Source: IGME, 2009 MDG Target Under-five mortality rate Deaths per 1000 live births Percent 20 0 40 60 80 100 1993 DHS 23 1998 DHS 18 2000 MICS 18 2003 DHS 16 2008-2009 DHS 16 Prevention of mother to child transmission of HIV Percent HIV+ pregnant women receiving ARVs for PMTCT Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib 27 15 52 69 0 20 40 60 80 100 Percent 2004 2005 2006 2007 2008 24 21 38 51 56 Source: UNICEF/UNAIDS/WHO 1990 1994 1998 2002 2006 2008 Percent 20 0 40 60 80 100 Source: WHO/UNICEF 85 85 90 2005 2006 2007 2008 Source: UNICEF Percent 20 0 40 60 80 100 Diarrhoeal disease treatment Percent children < 5 years with diarrhoea receiving oral rehydration therapy or increased fluids, with continued feeding Diarrhoea 20% Malaria 11% HIV/AIDS 5% Other 19% Injuries 3% Measles 1% Pneumonia 15% Neonatal 27% Causes of neonatal deaths Congenital 7% Diarrhoea 2% Tetanus 1% Other 5% Asphyxia 29% Preterm 28% Infection 27% Causes of under-five deaths, 2008 Globally more than one third of child deaths are attributable to undernutrition Source: WHO/CHERG 2010 Source: WHO/CHERG 2010
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Page 1: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Kenya38,7656,5401,506

481288133

18956039

7,700

(2008)

(2008)

(2008)

(2003)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

357

(2008-2009)

(2008-2009)

8310

(2008-2009)

(2003)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Kenya

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

No

Yes

Yes

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

72

8

45

13.2

10

14

---

(2007)

(2007)

(2007)

(2002)

(2007)

(2007)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Neonatal period

Infancy

0 20 40 60 80 100

46

44

92

32

90Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Birth

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

WaterPercent population using improved drinking water sources

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100 91

4332

5259

83

SanitationPercent population using improved sanitation facilities

TotalRural Urban

1990 2008

Per

cent

20

0

40

60

80

100

32 27

Skilled attendant at deliveryPercent live births attended by skilled health personnel

*Based on 2006 WHO reference population

1993DHS

1998DHS

2003DHS

2008-2009DHS

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

50

1989DHS

44

1998DHS

45

1993DHS

42

2003DHS

44

2008-2009DHS

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

77

1989DHS

95

1993DHS

92

1998DHS

76

2000MICS

88

2003DHS

92

2008-09DHS

EQUITY

574952

22

56

40

1998DHS

65

2000MICS

27

2003DHS

23

2008-2009DHS

Per

cent

20

0

40

60

80

100

15

2000MICS

33

2003DHS

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000MICS

3

2003DHS

5

2008-2009DHS

46

Per

cent

20

0

40

60

80

100

1989DHS

23

1993DHS

12

1998DHS

12

2003DHS

13

2008-2009DHS

32

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150

35

105

128

Source: IGME, 2009

MDG Target

Under-five mortality rateDeaths per 1000 live births

Per

cent

20

0

40

60

80

100

1993DHS

23

1998DHS

18

2000MICS

18

2003DHS

16

2008-2009DHS

16

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

103

25

52

15

4, 9, 3

52

---

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

Cov

erag

e

20

0

40

60

80

100

Wealth quintile

Mean coverage

Source: DHS 2003

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

27

15

52

69

0

20

40

60

80

100

Per

cent

2004 2005 2006 2007 2008

24 21

3851

56

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8585

90

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

(2008)

(2003)

(2003)

(2008-09)

(2003)

(2003)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

78

27 24 26 31

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Diarrhoea20%

Malaria11%

HIV/AIDS5%

Other19%

Injuries3% Measles

1%Pneumonia

15%

Neonatal27%

Causes of neonataldeaths

Congenital 7%

Diarrhoea 2% Tetanus 1%

Other 5%

Asphyxia 29%

Preterm 28%

Infection 27%

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 2: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Kenya38,7656,5401,506

481288133

18956039

7,700

(2008)

(2008)

(2008)

(2003)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

357

(2008-2009)

(2008-2009)

8310

(2008-2009)

(2003)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Kenya

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

No

Yes

Yes

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

72

8

45

13.2

10

14

---

(2007)

(2007)

(2007)

(2002)

(2007)

(2007)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Neonatal period

Infancy

0 20 40 60 80 100

46

44

92

32

90Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Birth

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

WaterPercent population using improved drinking water sources

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100 91

4332

5259

83

SanitationPercent population using improved sanitation facilities

TotalRural Urban

1990 2008

Per

cent

20

0

40

60

80

100

32 27

Skilled attendant at deliveryPercent live births attended by skilled health personnel

*Based on 2006 WHO reference population

1993DHS

1998DHS

2003DHS

2008-2009DHS

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

50

1989DHS

44

1998DHS

45

1993DHS

42

2003DHS

44

2008-2009DHS

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

77

1989DHS

95

1993DHS

92

1998DHS

76

2000MICS

88

2003DHS

92

2008-09DHS

EQUITY

574952

22

56

40

1998DHS

65

2000MICS

27

2003DHS

23

2008-2009DHS

Per

cent

20

0

40

60

80

100

15

2000MICS

33

2003DHS

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000MICS

3

2003DHS

5

2008-2009DHS

46

Per

cent

20

0

40

60

80

100

1989DHS

23

1993DHS

12

1998DHS

12

2003DHS

13

2008-2009DHS

32

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150

35

105

128

Source: IGME, 2009

MDG Target

Under-five mortality rateDeaths per 1000 live births

Per

cent

20

0

40

60

80

100

1993DHS

23

1998DHS

18

2000MICS

18

2003DHS

16

2008-2009DHS

16

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

103

25

52

15

4, 9, 3

52

---

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

Cov

erag

e

20

0

40

60

80

100

Wealth quintile

Mean coverage

Source: DHS 2003

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

27

15

52

69

0

20

40

60

80

100

Per

cent

2004 2005 2006 2007 2008

24 21

3851

56

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8585

90

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

(2008)

(2003)

(2003)

(2008-09)

(2003)

(2003)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

78

27 24 26 31

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Diarrhoea20%

Malaria11%

HIV/AIDS5%

Other19%

Injuries3% Measles

1%Pneumonia

15%

Neonatal27%

Causes of neonataldeaths

Congenital 7%

Diarrhoea 2% Tetanus 1%

Other 5%

Asphyxia 29%

Preterm 28%

Infection 27%

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 3: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100100100 100 100 100 100

1995

TotalRural Urban

Per

cent

20

0

40

60

80

100

60 58 59

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

459

23,8191,575

3279955422918

370140

1,300

(2008)

(2008)

(2008)

(2000)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

317

(2004)

(2002)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human ResourcesInternational Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Yes

Yes

Partial

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

---

---

---

74.1

3

9

---

(2003)

(2007)

(2007)

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

WaterPercent population using improved drinking water sources

Per

cent

20

0

40

60

80

100

2004Other NS

65

*Based on 2006 WHO reference population

(2004)

(2004)

100

80

60

40

20

0

0

---

---

NA*

---, ---, ---

---

---

(1994)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Neonatal period

Infancy

0 20 40 60 80 100

69

97

65

98Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

1990 1995 2000 2005 2010 2015

EQUITY

*Very limited risk of malaria transmission

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

No data

2004Other NS

93

Under-five mortality rateDeaths per 1000 live births

18

5555

MDG Target

Per

cent

20

0

40

60

80

100

25

56

2118

1998Other NS

2000MICS

2002Other NS

2004Other NS

*Very limited risk of malaria transmissionNo data

Birth

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

2000MICS

97

2004Other NS

97

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

No data

SanitationPercent population using improved sanitation facilities

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

9810010098

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

9298

Coverage gap by wealth quintile

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

91

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Diarrhoea11%

Malaria0%

HIV/AIDS0%

Other18%

Injuries2%

Measles0%

Pneumonia17%

Neonatal51%

Causes of neonataldeaths

Tetanus 0%

Other 4%Congenital 11%

Infection 20%

Asphyxia 23%

Preterm 40%

Diarrhoea 1%

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Korea, Democratic People’s Republic of

Korea, Democratic People’s Republic of

Causes of maternal deathsRegional estimates for East Asia, 1997-2007

Source: WHO 2010

Other direct15%Indirect

14%

Haemorrhage33%

Sepsis2%Embolism

12%

Abortion12%

Hypertension10%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 4: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100100100 100 100 100 100

1995

TotalRural Urban

Per

cent

20

0

40

60

80

100

60 58 59

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

459

23,8191,575

3279955422918

370140

1,300

(2008)

(2008)

(2008)

(2000)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

317

(2004)

(2002)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human ResourcesInternational Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Yes

Yes

Partial

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

---

---

---

74.1

3

9

---

(2003)

(2007)

(2007)

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

WaterPercent population using improved drinking water sources

Per

cent

20

0

40

60

80

100

2004Other NS

65

*Based on 2006 WHO reference population

(2004)

(2004)

100

80

60

40

20

0

0

---

---

NA*

---, ---, ---

---

---

(1994)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Neonatal period

Infancy

0 20 40 60 80 100

69

97

65

98Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

1990 1995 2000 2005 2010 2015

EQUITY

*Very limited risk of malaria transmission

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

No data

2004Other NS

93

Under-five mortality rateDeaths per 1000 live births

18

5555

MDG Target

Per

cent

20

0

40

60

80

100

25

56

2118

1998Other NS

2000MICS

2002Other NS

2004Other NS

*Very limited risk of malaria transmissionNo data

Birth

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

2000MICS

97

2004Other NS

97

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

No data

SanitationPercent population using improved sanitation facilities

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

9810010098

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

9298

Coverage gap by wealth quintile

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

91

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Diarrhoea11%

Malaria0%

HIV/AIDS0%

Other18%

Injuries2%

Measles0%

Pneumonia17%

Neonatal51%

Causes of neonataldeaths

Tetanus 0%

Other 4%Congenital 11%

Infection 20%

Asphyxia 23%

Preterm 40%

Diarrhoea 1%

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Korea, Democratic People’s Republic of

Korea, Democratic People’s Republic of

Causes of maternal deathsRegional estimates for East Asia, 1997-2007

Source: WHO 2010

Other direct15%Indirect

14%

Haemorrhage33%

Sepsis2%Embolism

12%

Abortion12%

Hypertension10%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 5: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

487

6,2057761707261482010

66033

1,300

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

7011

(2006)

(2006)

(2006)

(2006)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Lao People’s Democratic Republic

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Partial

Partial

No

Yes

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

84

4

62

13.2

7

25

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

WaterPercent population using improved drinking water sources

Per

cent

20

0

40

60

80

100

2000MICS

23

2006MICS

26

200

160

120

80

40

0

110

40

---

1

---, ---, ---

30

---

(2005)

(2000)

(2006)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Neonatal period

Infancy

0 20 40 60 80 100

32

20

35

26

52Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1990 1995 2000 2005 2010 2015

EQUITY

Malaria preventionPercent children < 5 years sleeping under ITNs

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Birth

SanitationPercent population using improved sanitation facilities

TotalRural Urban

Per

cent

20

0

40

60

80

100

1995

10

56

18

2008

38

86

53

TotalRural Urban

Per

cent

20

0

40

60

80

100

1995

37

78

44

2008

51

72

57

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

19

2000MICS

20

2006MICS

27

2000MICS

35

2006MICS

Per

cent

20

0

40

60

80

100

2000MICS

36

2006MICS

32

52

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2000MICS

9

2006MICS

8

Per

cent

20

0

40

60

80

100

2000MICS

18

2006MICS

41

Per

cent

20

0

40

60

80

100

2000MICS

37

2006MICS

49

Per

cent

20

0

40

60

80

100

*Based on 2006 WHO reference population

1993Other NS

40

2000Other NS

36

2006MICS

31

1994Other NS

36

Under-five mortality rateDeaths per 1000 live births

5261

MDG Target

157

Source: IGME 2009

0

10

20

30

40

50

Per

cent

2004 2007 200820051990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6152

Source: UNICEF/UNAIDS/WHO

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

69

5662

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

Cov

erag

e

20

0

40

60

80

100

Wealth quintileSource: MICS 2000

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

47

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Diarrhoea7%

Malaria0%HIV/AIDS

0%

Other27%

Injuries3%

Measles3%

Pneumonia26%

Neonatal34%

Causes of neonataldeaths

Congenital 9%

Diarrhoea 1%

Tetanus 8%Other 6%

Asphyxia 31%

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Infection 19%

Preterm 25%

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Lao People’s Democratic Republic

Causes of maternal deathsRegional estimates for South East Asia, 1997-2007

Source: WHO 2010

Indirect22%

Haemorrhage32%

Other direct10%

Sepsis8%

Abortion9%

Embolism2%

Hypertension17%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 6: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

487

6,2057761707261482010

66033

1,300

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

7011

(2006)

(2006)

(2006)

(2006)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Lao People’s Democratic Republic

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Partial

Partial

No

Yes

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

84

4

62

13.2

7

25

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

WaterPercent population using improved drinking water sources

Per

cent

20

0

40

60

80

100

2000MICS

23

2006MICS

26

200

160

120

80

40

0

110

40

---

1

---, ---, ---

30

---

(2005)

(2000)

(2006)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Neonatal period

Infancy

0 20 40 60 80 100

32

20

35

26

52Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1990 1995 2000 2005 2010 2015

EQUITY

Malaria preventionPercent children < 5 years sleeping under ITNs

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Birth

SanitationPercent population using improved sanitation facilities

TotalRural Urban

Per

cent

20

0

40

60

80

100

1995

10

56

18

2008

38

86

53

TotalRural Urban

Per

cent

20

0

40

60

80

100

1995

37

78

44

2008

51

72

57

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

19

2000MICS

20

2006MICS

27

2000MICS

35

2006MICS

Per

cent

20

0

40

60

80

100

2000MICS

36

2006MICS

32

52

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2000MICS

9

2006MICS

8

Per

cent

20

0

40

60

80

100

2000MICS

18

2006MICS

41

Per

cent

20

0

40

60

80

100

2000MICS

37

2006MICS

49

Per

cent

20

0

40

60

80

100

*Based on 2006 WHO reference population

1993Other NS

40

2000Other NS

36

2006MICS

31

1994Other NS

36

Under-five mortality rateDeaths per 1000 live births

5261

MDG Target

157

Source: IGME 2009

0

10

20

30

40

50

Per

cent

2004 2007 200820051990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6152

Source: UNICEF/UNAIDS/WHO

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

69

5662

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

Cov

erag

e

20

0

40

60

80

100

Wealth quintileSource: MICS 2000

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

47

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Diarrhoea7%

Malaria0%HIV/AIDS

0%

Other27%

Injuries3%

Measles3%

Pneumonia26%

Neonatal34%

Causes of neonataldeaths

Congenital 9%

Diarrhoea 1%

Tetanus 8%Other 6%

Asphyxia 31%

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Infection 19%

Preterm 25%

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Lao People’s Democratic Republic

Causes of maternal deathsRegional estimates for South East Asia, 1997-2007

Source: WHO 2010

Indirect22%

Haemorrhage32%

Other direct10%

Sepsis8%

Abortion9%

Embolism2%

Hypertension17%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 7: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Lesotho

422

*Based on 2006 WHO reference population

2,04927259267963375

96045

480

(2008)

(2008)

(2008)

(2004)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2007)

(2007)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Lesotho

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Partial

No

Yes

Partial

Partial

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

92

8

29

6.7

10

21

29

(2007)

(2007)

(2007)

(2003)

(2007)

(2007)

(2004)

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150

101

79

34

MDG Target

Under-five mortality rateDeaths per 1000 live births

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

2008

81

97

85

1990

57

88

61

20081990

Per

cent

20

0

40

60

80

100

32 29 3240

29

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

37

90

55

23

36

85Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

6061 55

1993Other NS

1995Other NS

1993Other NS

2000MICS

2004DHS

2000MICS

2004DHS

7913

(2004)

(2004)

Per

cent

20

0

40

60

80

100

1996MICS

2000MICS

2004DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2000MICS

2004DHS

Per

cent

20

0

40

60

80

100

98

31

70

---

5, 8, 5

63

---

(2003)

(2004)

(2004)

(2004)

(2004)

1715

2004DHS

2000MICS

14

2007Other NS

16 15

36

*Very limited risk of malaria transmission

*Very limited risk of malaria transmission

12

27

57

0

20

40

60

80

100

Per

cent

2004 2005 2006 2007 2008

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

5

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000MICS

2004DHS

Per

cent

20

0

40

60

80

100

32

5949

29

53

91 88 8590

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8583

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

38

102

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2004

Coverage gap

Mean coverage

14

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

1990 20001995 2005 2008

25

83

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Other13%

Pneumonia11%

Measles0%

HIV/AIDS17%

Injuries2%Diarrhoea

9%Malaria

0%

Neonatal48%

Diarrhoea 2%Other 5%

Tetanus 0%

Congenital 8%

Preterm 33%

Infection 25%

Causes of neonataldeaths

Asphyxia 27%

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 8: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Lesotho

422

*Based on 2006 WHO reference population

2,04927259267963375

96045

480

(2008)

(2008)

(2008)

(2004)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2007)

(2007)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Lesotho

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Partial

No

Yes

Partial

Partial

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

92

8

29

6.7

10

21

29

(2007)

(2007)

(2007)

(2003)

(2007)

(2007)

(2004)

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150

101

79

34

MDG Target

Under-five mortality rateDeaths per 1000 live births

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

2008

81

97

85

1990

57

88

61

20081990

Per

cent

20

0

40

60

80

100

32 29 3240

29

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

37

90

55

23

36

85Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

6061 55

1993Other NS

1995Other NS

1993Other NS

2000MICS

2004DHS

2000MICS

2004DHS

7913

(2004)

(2004)

Per

cent

20

0

40

60

80

100

1996MICS

2000MICS

2004DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2000MICS

2004DHS

Per

cent

20

0

40

60

80

100

98

31

70

---

5, 8, 5

63

---

(2003)

(2004)

(2004)

(2004)

(2004)

1715

2004DHS

2000MICS

14

2007Other NS

16 15

36

*Very limited risk of malaria transmission

*Very limited risk of malaria transmission

12

27

57

0

20

40

60

80

100

Per

cent

2004 2005 2006 2007 2008

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

5

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000MICS

2004DHS

Per

cent

20

0

40

60

80

100

32

5949

29

53

91 88 8590

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8583

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

38

102

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2004

Coverage gap

Mean coverage

14

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

1990 20001995 2005 2008

25

83

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Other13%

Pneumonia11%

Measles0%

HIV/AIDS17%

Injuries2%Diarrhoea

9%Malaria

0%

Neonatal48%

Diarrhoea 2%Other 5%

Tetanus 0%

Congenital 8%

Preterm 33%

Infection 25%

Causes of neonataldeaths

Asphyxia 27%

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 9: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Liberia

398

*Based on 2006 WHO reference population

6 39

14

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

0

10

20

30

40

50

3,793619145

41451004420

1,20012

2,100

(2008)

(2008)

(2008)

(2007)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2007)

(2007)

6214

Per

cent

20

0

40

60

80

100

Per

cent

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Liberia

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Partial

Yes

Yes

Yes

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

39

17

39

2.8

22

67

---

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

Other16%

Pneumonia14%

Measles2%

HIV/AIDS3%

Injuries1%

Diarrhoea17%

Malaria16%

Neonatal32%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250 219

145

73

MDG Target

Under-five mortality rateDeaths per 1000 live births

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

23

1999-2000Other NS

19

2007DHS

2004

58

1986DHS

46

2007DHS

51

1999-2000DHS

2007DHS

1986DHS

83

1999-2000DHS

8479

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 6%

Preterm 32%

Asphyxia 26%

Causes of neonataldeaths

Malaria treatmentPercent febrile children < 5 years using antimalarials

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

5134

86

58

7968

2008

Per

cent

20

0

40

60

80

100

25

417

Infection 29%

(2007)

(2007)

Per

cent

20

0

40

60

80

100

35

1999-2000Other NS

12

1986DHS

29

2007DHS

Malaria preventionPercent children < 5 years sleeping under ITNs

<1

Per

cent

20

0

40

60

80

100

2009Other NS

26

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

2007DHS

62

1986DHS

2

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

11

79

46

60

29

64Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Source: IGME 2009

Per

cent

20

0

40

60

80

100

2007DHS

47

Per

cent

20

0

40

60

80

100

2007DHS

59

2009Other NS

67

2005 2006 2007 2008

177

36

66

45

4, 5, 3

67

---

(2007)

(2007)

(2007)

(2009)

(2007)

(2007)

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6464

64

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

85

3

79

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2007

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

91

1990 20001995 2005 2008

3

2111

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 10: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Liberia

398

*Based on 2006 WHO reference population

6 39

14

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

0

10

20

30

40

50

3,793619145

41451004420

1,20012

2,100

(2008)

(2008)

(2008)

(2007)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2007)

(2007)

6214

Per

cent

20

0

40

60

80

100

Per

cent

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Liberia

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Partial

Yes

Yes

Yes

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

39

17

39

2.8

22

67

---

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

Other16%

Pneumonia14%

Measles2%

HIV/AIDS3%

Injuries1%

Diarrhoea17%

Malaria16%

Neonatal32%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250 219

145

73

MDG Target

Under-five mortality rateDeaths per 1000 live births

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

23

1999-2000Other NS

19

2007DHS

2004

58

1986DHS

46

2007DHS

51

1999-2000DHS

2007DHS

1986DHS

83

1999-2000DHS

8479

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 6%

Preterm 32%

Asphyxia 26%

Causes of neonataldeaths

Malaria treatmentPercent febrile children < 5 years using antimalarials

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

5134

86

58

7968

2008

Per

cent

20

0

40

60

80

100

25

417

Infection 29%

(2007)

(2007)

Per

cent

20

0

40

60

80

100

35

1999-2000Other NS

12

1986DHS

29

2007DHS

Malaria preventionPercent children < 5 years sleeping under ITNs

<1

Per

cent

20

0

40

60

80

100

2009Other NS

26

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

2007DHS

62

1986DHS

2

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

11

79

46

60

29

64Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Source: IGME 2009

Per

cent

20

0

40

60

80

100

2007DHS

47

Per

cent

20

0

40

60

80

100

2007DHS

59

2009Other NS

67

2005 2006 2007 2008

177

36

66

45

4, 5, 3

67

---

(2007)

(2007)

(2007)

(2009)

(2007)

(2007)

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6464

64

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

85

3

79

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2007

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

91

1990 20001995 2005 2008

3

2111

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 11: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Madagascar

5315

*Based on 2006 WHO reference population

19,1113,060

68775

106683571

51038

3,600

(2008)

(2008)

(2008)

(2003-04)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003-2004)

(2003-2004)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Madagascar

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Yes

Yes

Yes

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

41

15

23

4.8

10

17

30

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

(2002-2003)

Other20%

Pneumonia19% Measles

0%

HIV/AIDS0%

Injuries2%

Diarrhoea22%

Malaria4%

Neonatal34%

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200167

106

56

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 6%

Preterm 33%

Asphyxia 26%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

2916

78

31

71

41

2008

Per

cent

20

0

40

60

80

100

614

81510 11

Infection 27%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

40

80

51

67

81Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

10078 77

7180

5747 46

51

1992DHS

1997DHS

2000MICS

2003-2004DHS

1992DHS

1997DHS

2000MICS

2003-2004DHS

3848

41

67

7817

(2003-2004)

(2003-2004)

Per

cent

20

0

40

60

80

100

1992DHS

1997DHS

2000MICS

2003-2004DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2003-2004DHS

34

2008-2009DHS

20

2000MICS

61

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

47 47

2000MICS

2003-2004DHS

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

1992DHS

42

20

1997DHS

37

2000MICS

47

2003-2004DHS

48

2008-2009DHS

42

148

24

49

6

1,2,1

62

---

(2008)

(2003-04)

(2008-09)

(2008-09)

(2003-04)

(2003-04)

EQUITY

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2000MICS

0

2008-2009DHS

46

Source: IGME 2009

1992DHS

36

1997DHS

38

2003-2004DHS

36

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

81

13

82

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

9710010097

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2003

Coverage gap

0

10

20

30

40

50

Per

cent

Source: UNICEF/UNAIDS/WHO

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

76

1990 20001995 2005 2008

2004 2007 20082005

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Mean coverage

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 12: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Madagascar

5315

*Based on 2006 WHO reference population

19,1113,060

68775

106683571

51038

3,600

(2008)

(2008)

(2008)

(2003-04)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003-2004)

(2003-2004)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Madagascar

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Yes

Yes

Yes

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

41

15

23

4.8

10

17

30

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

(2002-2003)

Other20%

Pneumonia19% Measles

0%

HIV/AIDS0%

Injuries2%

Diarrhoea22%

Malaria4%

Neonatal34%

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200167

106

56

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 6%

Preterm 33%

Asphyxia 26%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

2916

78

31

71

41

2008

Per

cent

20

0

40

60

80

100

614

81510 11

Infection 27%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

40

80

51

67

81Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

10078 77

7180

5747 46

51

1992DHS

1997DHS

2000MICS

2003-2004DHS

1992DHS

1997DHS

2000MICS

2003-2004DHS

3848

41

67

7817

(2003-2004)

(2003-2004)

Per

cent

20

0

40

60

80

100

1992DHS

1997DHS

2000MICS

2003-2004DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2003-2004DHS

34

2008-2009DHS

20

2000MICS

61

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

47 47

2000MICS

2003-2004DHS

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

1992DHS

42

20

1997DHS

37

2000MICS

47

2003-2004DHS

48

2008-2009DHS

42

148

24

49

6

1,2,1

62

---

(2008)

(2003-04)

(2008-09)

(2008-09)

(2003-04)

(2003-04)

EQUITY

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2000MICS

0

2008-2009DHS

46

Source: IGME 2009

1992DHS

36

1997DHS

38

2003-2004DHS

36

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

81

13

82

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

9710010097

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2003

Coverage gap

0

10

20

30

40

50

Per

cent

Source: UNICEF/UNAIDS/WHO

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

76

1990 20001995 2005 2008

2004 2007 20082005

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Mean coverage

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 13: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Malawi

51

27

2000DHS

2004DHS

2006MICS

534

*Based on 2006 WHO reference population

24

1992DHS

22

2000DHS

18

2004DHS

15

2006MICS

2004DHS

53

2006MICS

57

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

5

2004

9

2005

16

2006

39

2007Source: UNICEF/UNAIDS/WHO

1992DHS

2000DHS

2004DHS

2006MICS

54

24 2737

52

30

14,8462,591

599---

100652956

1,10018

6,000

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

8914

(2006)

(2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000DHS

44

178

28

57

45

3, 4, 3

58

3

(2005)

(2004)

(2004)

(2006)

(2004)

(2006)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

41

92

54

18

57

88

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

Financial Flows and Human Resources

Malawi

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Skilled attendant at deliveryPercent live births attended by skilled health personnel

55 56 61 56 54

1992DHS

2000DHS

2004DHS

2002Other NS

2006MICS

Per

cent

20

0

40

60

80

100

33

9077

95

80

40

1990 2008

Per

cent

20

0

40

60

80

100

4150

5751 56

42

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

50

12

11

3.0

19

35

37

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

(2004)

Diarrhoea 1%Tetanus 1%

Other 5%Congenital 8%

Asphyxia 26%

Infection 26%

Preterm 32%

Diarrhoea11%

Malaria17%

HIV/AIDS14%

Pneumonia11%

Neonatal31%

Causes of neonataldeaths

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250

10075

225

MDG Target

Under-five mortality rateDeaths per 1000 live births

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

2000DHS

2004DHS

2006MICS

2515

3

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

2006MICS

2004DHS

2000DHS

252827

Per

cent

20

0

40

60

80

100

90

1992DHS

91

2000DHS

92

2004DHS

94

2002Other NS

92

2006MICS

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Yes

Yes

Yes

No

Partial

Other15%

Injuries2%Measles

0%

Per

cent

20

0

40

60

80

100

Source: IGME 2009

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8891

91

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

86 89 90 95

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2006

Coverage gap

Mean coverage

54

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

87

1990 20001995 2005 2008

2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 14: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Malawi

51

27

2000DHS

2004DHS

2006MICS

534

*Based on 2006 WHO reference population

24

1992DHS

22

2000DHS

18

2004DHS

15

2006MICS

2004DHS

53

2006MICS

57

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

5

2004

9

2005

16

2006

39

2007Source: UNICEF/UNAIDS/WHO

1992DHS

2000DHS

2004DHS

2006MICS

54

24 2737

52

30

14,8462,591

599---

100652956

1,10018

6,000

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

8914

(2006)

(2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000DHS

44

178

28

57

45

3, 4, 3

58

3

(2005)

(2004)

(2004)

(2006)

(2004)

(2006)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

41

92

54

18

57

88

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

Financial Flows and Human Resources

Malawi

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Skilled attendant at deliveryPercent live births attended by skilled health personnel

55 56 61 56 54

1992DHS

2000DHS

2004DHS

2002Other NS

2006MICS

Per

cent

20

0

40

60

80

100

33

9077

95

80

40

1990 2008

Per

cent

20

0

40

60

80

100

4150

5751 56

42

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

50

12

11

3.0

19

35

37

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

(2004)

Diarrhoea 1%Tetanus 1%

Other 5%Congenital 8%

Asphyxia 26%

Infection 26%

Preterm 32%

Diarrhoea11%

Malaria17%

HIV/AIDS14%

Pneumonia11%

Neonatal31%

Causes of neonataldeaths

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250

10075

225

MDG Target

Under-five mortality rateDeaths per 1000 live births

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

2000DHS

2004DHS

2006MICS

2515

3

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

2006MICS

2004DHS

2000DHS

252827

Per

cent

20

0

40

60

80

100

90

1992DHS

91

2000DHS

92

2004DHS

94

2002Other NS

92

2006MICS

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Yes

Yes

Yes

No

Partial

Other15%

Injuries2%Measles

0%

Per

cent

20

0

40

60

80

100

Source: IGME 2009

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8891

91

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

86 89 90 95

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2006

Coverage gap

Mean coverage

54

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

87

1990 20001995 2005 2008

2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 15: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Mali

3815

*Based on 2006 WHO reference population

12,7062,207

54253

19410352

10097015

6,400

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

(2006)

(2006)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Mali

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Partial

Yes

Yes

Yes

Partial

Yes

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

67

12

48

2.7

13

23

38

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

(2003)

Other15%

Pneumonia14%

Measles0%

HIV/AIDS1%

Injuries2%

Diarrhoea19%

Malaria21%

Neonatal28%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250250

194

83

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 3%Tetanus 2%

Other 4%Congenital 6%

Preterm 29%

Asphyxia 24%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

44

22

54

29

56

2008

Per

cent

20

0

40

60

80

100

2336

4532 36

Infection 32%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

8

49

70

38

68Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1003019

Per

cent

20

0

40

60

80

100

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

29

1987DHS

1995-1996DHS

3831

2001DHS

27

2006DHS

9

1987DHS

31

1987DHS

47

1995-1996DHS

57

2001DHS

2006DHS

32

1987DHS

40

1995-1996DHS

41

2001DHS

2006DHS

190

31

35

4

2, 4, 1

46

---

(2004)

(2006)

(2006)

(2006)

(2006)

(2006)

2001DHS

25

2006DHS

38

1995-1996DHS

8

2001DHS

45

2006DHS

38

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2006 2007 200820052004

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

1987DHS

1995-1996DHS

2001DHS

22

2

36

2006DHS

38

Malaria treatmentPercent febrile children < 5 years using antimalarials

Malaria preventionPercent children < 5 years sleeping under ITNs

Source: IGME 2009

Per

cent

20

0

40

60

80

100

2006DHS

27

Per

cent

10

0

20

30

40

60

50

Per

cent

20

0

40

60

80

100

2006DHS

32

70

49

81

Source: UNICEF/UNAIDS/WHO

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

68

68 68

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

978988

66

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

92

1990 20001995 2005 2008

26

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 16: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Mali

3815

*Based on 2006 WHO reference population

12,7062,207

54253

19410352

10097015

6,400

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

(2006)

(2006)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Mali

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Partial

Yes

Yes

Yes

Partial

Yes

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

67

12

48

2.7

13

23

38

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

(2003)

Other15%

Pneumonia14%

Measles0%

HIV/AIDS1%

Injuries2%

Diarrhoea19%

Malaria21%

Neonatal28%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250250

194

83

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 3%Tetanus 2%

Other 4%Congenital 6%

Preterm 29%

Asphyxia 24%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

44

22

54

29

56

2008

Per

cent

20

0

40

60

80

100

2336

4532 36

Infection 32%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

8

49

70

38

68Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1003019

Per

cent

20

0

40

60

80

100

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

29

1987DHS

1995-1996DHS

3831

2001DHS

27

2006DHS

9

1987DHS

31

1987DHS

47

1995-1996DHS

57

2001DHS

2006DHS

32

1987DHS

40

1995-1996DHS

41

2001DHS

2006DHS

190

31

35

4

2, 4, 1

46

---

(2004)

(2006)

(2006)

(2006)

(2006)

(2006)

2001DHS

25

2006DHS

38

1995-1996DHS

8

2001DHS

45

2006DHS

38

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2006 2007 200820052004

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

1987DHS

1995-1996DHS

2001DHS

22

2

36

2006DHS

38

Malaria treatmentPercent febrile children < 5 years using antimalarials

Malaria preventionPercent children < 5 years sleeping under ITNs

Source: IGME 2009

Per

cent

20

0

40

60

80

100

2006DHS

27

Per

cent

10

0

20

30

40

60

50

Per

cent

20

0

40

60

80

100

2006DHS

32

70

49

81

Source: UNICEF/UNAIDS/WHO

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

68

68 68

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

978988

66

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

92

1990 20001995 2005 2008

26

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 17: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Mauritania

3212

*Based on 2006 WHO reference population

3,21547510856

118754512

82022

1,000

(2008)

(2008)

(2008)

(2007)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Mauritania

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

No

No

No

No

Yes

Partial

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

47

5

35

8.0

6

27

31

(2007)

(2007)

(2007)

(2009)

(2007)

(2007)

(2000)

Other15%

Pneumonia15%

Measles0%

HIV/AIDS1%

Injuries2%

Diarrhoea15%

Malaria13%

Neonatal39%

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150129

118

43

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 2%Other 4%

Tetanus 2%

Congenital 7%

Preterm 32%

Asphyxia 24%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

47

2636

30

52 49

2008

Per

cent

20

0

40

60

80

100

8

2916

50

9

26

Infection 29%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

9

75

61

16

65Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1007234

(2008)

(2007)

Per

cent

20

0

40

60

80

100

20

2000-2001DHS

11

2007MICS

16

2008Other NS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

9

2000-2001DHS

32

2007MICS

2003-2004Other NS

3321

2007MICS

43

1990Other NS

20

1996MICS

30

2000-2001DHS

25

2007MICS

24

2008Other NS

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000-2001DHS

Per

cent

20

0

40

60

80

100

41

2007MICS

45

24

88

32

16

---

3,6,1

60

---

(2002)

(2000-01)

(2000-01)

(2000-01)

(2008)P

erce

nt

20

0

40

60

80

100

2003-2004Other NS

2

64

2000-2001DHS

75

2007MICS

48

1990-1991Other NS

57

2000-2001DHS

61

2007MICS

40

1990-1991Other NS

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

Source: IGME 2009

Per

cent

10

0

20

30

40

50

2007 20082005 20061990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6574

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

878996

57

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2001

Coverage gap

Mean coverage

Source: UNICEF/UNAIDS/WHO

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

77

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 18: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Mauritania

3212

*Based on 2006 WHO reference population

3,21547510856

118754512

82022

1,000

(2008)

(2008)

(2008)

(2007)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Mauritania

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

No

No

No

No

Yes

Partial

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

47

5

35

8.0

6

27

31

(2007)

(2007)

(2007)

(2009)

(2007)

(2007)

(2000)

Other15%

Pneumonia15%

Measles0%

HIV/AIDS1%

Injuries2%

Diarrhoea15%

Malaria13%

Neonatal39%

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150129

118

43

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 2%Other 4%

Tetanus 2%

Congenital 7%

Preterm 32%

Asphyxia 24%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

47

2636

30

52 49

2008

Per

cent

20

0

40

60

80

100

8

2916

50

9

26

Infection 29%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

9

75

61

16

65Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1007234

(2008)

(2007)

Per

cent

20

0

40

60

80

100

20

2000-2001DHS

11

2007MICS

16

2008Other NS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

9

2000-2001DHS

32

2007MICS

2003-2004Other NS

3321

2007MICS

43

1990Other NS

20

1996MICS

30

2000-2001DHS

25

2007MICS

24

2008Other NS

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000-2001DHS

Per

cent

20

0

40

60

80

100

41

2007MICS

45

24

88

32

16

---

3,6,1

60

---

(2002)

(2000-01)

(2000-01)

(2000-01)

(2008)

Per

cent

20

0

40

60

80

100

2003-2004Other NS

2

64

2000-2001DHS

75

2007MICS

48

1990-1991Other NS

57

2000-2001DHS

61

2007MICS

40

1990-1991Other NS

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

Source: IGME 2009

Per

cent

10

0

20

30

40

50

2007 20082005 20061990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6574

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

878996

57

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2001

Coverage gap

Mean coverage

Source: UNICEF/UNAIDS/WHO

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

77

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 19: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Mexico

------

*Based on 2006 WHO reference population

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

108,55510,2812,049

---17157

3660

6701,300

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

368

(1987)

(2006)

Per

cent

20

0

40

60

80

100

(2008)

(2006)

90

12

---

NA*

38, ---, ---

---

---

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

71

94

93

38

96

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Mexico

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Partial

Yes

No

Yes

No

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

819

16

51

68.7

0

1

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other35%

Pneumonia11%

Measles0%

HIV/AIDS0%Injuries

9%

Diarrhoea5%

Malaria0%

Neonatal41%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

12

0

24

36

48

60

45

17 15

MDG Target

Under-five mortality rateDeaths per 1000 live births

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

10084

1990Other NS

1997Other NS

2006Other NS

86

1987Other NS

1995Other NS

7886

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Other 10%Tetanus 1%Diarrhoea 0%

Congenital 23%

Preterm 36%

Infection 17%

Asphyxia 14%

Causes of neonataldeaths

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

1990

30

80

66

3

2005Other NS

*Very limited risk of malaria transmission No data

*Very limited risk of malaria transmission

No data

No data

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

Per

cent

20

0

40

60

80

100

1987DHS

38

3 3

8

0

4

8

12

16

20

Per

cent

2006 2007 2008

2006Other NS

94 93

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

969898

1990

64

9485

2008

8796 94

2008

90

68

85

Coverage gap by wealth quintile

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

87

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Latin America / Carribean, 1997-2007

Source: WHO 2010

Indirect20%

Hypertension26%

Haemorrhage23%

Sepsis7%

Abortion10%

Embolism3%

Other direct11%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 20: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Mexico

------

*Based on 2006 WHO reference population

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

108,55510,2812,049

---17157

3660

6701,300

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

368

(1987)

(2006)

Per

cent

20

0

40

60

80

100

(2008)

(2006)

90

12

---

NA*

38, ---, ---

---

---

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

71

94

93

38

96

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Mexico

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Partial

Yes

No

Yes

No

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

819

16

51

68.7

0

1

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other35%

Pneumonia11%

Measles0%

HIV/AIDS0%Injuries

9%

Diarrhoea5%

Malaria0%

Neonatal41%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

12

0

24

36

48

60

45

17 15

MDG Target

Under-five mortality rateDeaths per 1000 live births

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

10084

1990Other NS

1997Other NS

2006Other NS

86

1987Other NS

1995Other NS

7886

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Other 10%Tetanus 1%Diarrhoea 0%

Congenital 23%

Preterm 36%

Infection 17%

Asphyxia 14%

Causes of neonataldeaths

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

1990

30

80

66

3

2005Other NS

*Very limited risk of malaria transmission No data

*Very limited risk of malaria transmission

No data

No data

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

Per

cent

20

0

40

60

80

100

1987DHS

38

3 3

8

0

4

8

12

16

20

Per

cent

2006 2007 2008

2006Other NS

94 93

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

969898

1990

64

9485

2008

8796 94

2008

90

68

85

Coverage gap by wealth quintile

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

87

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Latin America / Carribean, 1997-2007

Source: WHO 2010

Indirect20%

Hypertension26%

Haemorrhage23%

Sepsis7%

Abortion10%

Embolism3%

Other direct11%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 21: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Morocco

2310

*Based on 2006 WHO reference population

9813

1987DHS

31,6063,041

6468536322324

240150

1,700

(2008)

(2008)

(2006)

(2000)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003-2004)

(2003-2004)

(2003-2004)

(2003-2004)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Morocco

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

No

No

Yes

Partial

---

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

202

6

57

13.4

3

16

69

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

(2000)

Other12%

Pneumonia9%

HIV/AIDS0%

Injuries3%

Diarrhoea12%

Malaria0% Measles

0%

Neonatal64%

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100 88

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 1%

Other 4%Tetanus 2%

Congenital 14%

Preterm 32%

Asphyxia 23%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

6055

94

74

98

2008

Per

cent

20

0

40

60

80

100

27

81

53

83

52

69

Infection 25%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

63

63

68

31

96Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

2532

45 42

68

1987DHS

1992DHS

2003-2004DHS

1995DHS

1997Other NS

6615

Per

cent

20

0

40

60

80

100

2003-2004DHS

1992DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

18

10

31

NA*

5,9,2

52

---

(2005)

(2003-04)

(2003-04)

(2003-04)

(2003-04)

1995DHS

25

2003-2004DHS

31

1992DHS

50

1987DHS

37

2003-2004DHS

46

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1992DHS

1997Other NS

2003-2004DHS

Per

cent

20

0

40

60

80

100

28

717

38

*Very limited risk of malaria transmission

*Very limited risk of malaria transmission

3629

24 2631

40

63

1984Other NS

1987DHS

2003-2004DHS

1992DHS

1995DHS

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

Per

cent

10

0

20

30

40

50

2007 2008

81

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

9699

99

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

43

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2003

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

86

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for North Africa, 1997-2007

Source: WHO 2010

Indirect23%

Hypertension23%

Haemorrhage31%

Sepsis7%

Abortion5%

Embolism2%

Other direct9%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 22: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Morocco

2310

*Based on 2006 WHO reference population

9813

1987DHS

31,6063,041

6468536322324

240150

1,700

(2008)

(2008)

(2006)

(2000)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003-2004)

(2003-2004)

(2003-2004)

(2003-2004)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Morocco

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

No

No

Yes

Partial

---

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

202

6

57

13.4

3

16

69

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

(2000)

Other12%

Pneumonia9%

HIV/AIDS0%

Injuries3%

Diarrhoea12%

Malaria0% Measles

0%

Neonatal64%

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100 88

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 1%

Other 4%Tetanus 2%

Congenital 14%

Preterm 32%

Asphyxia 23%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

6055

94

74

98

2008

Per

cent

20

0

40

60

80

100

27

81

53

83

52

69

Infection 25%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

63

63

68

31

96Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

2532

45 42

68

1987DHS

1992DHS

2003-2004DHS

1995DHS

1997Other NS

6615

Per

cent

20

0

40

60

80

100

2003-2004DHS

1992DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

18

10

31

NA*

5,9,2

52

---

(2005)

(2003-04)

(2003-04)

(2003-04)

(2003-04)

1995DHS

25

2003-2004DHS

31

1992DHS

50

1987DHS

37

2003-2004DHS

46

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1992DHS

1997Other NS

2003-2004DHS

Per

cent

20

0

40

60

80

100

28

717

38

*Very limited risk of malaria transmission

*Very limited risk of malaria transmission

3629

24 2631

40

63

1984Other NS

1987DHS

2003-2004DHS

1992DHS

1995DHS

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

Per

cent

10

0

20

30

40

50

2007 2008

81

Source: UNICEF/UNAIDS/WHO1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

9699

99

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

43

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2003

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

86

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for North Africa, 1997-2007

Source: WHO 2010

Indirect23%

Hypertension23%

Haemorrhage31%

Sepsis7%

Abortion5%

Embolism2%

Other direct9%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 23: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Mozambique

475

*Based on 2006 WHO reference population

22,3833,820

87631

1309043

11052045

4,000

(2003)

(2003)

(2008)

(2008)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Mozambique

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Partial

Partial

Yes

Partial

Yes

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

39

13

12

3.4

14

33

38

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2007)

Pneumonia13%

HIV/AIDS14%

Injuries2%

Diarrhoea11%

Malaria13% Measles

0%

Neonatal34%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250 249

Source: IGME 2009

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 2%

Other 5%Tetanus 2%

Congenital 7%

Preterm 29%

Asphyxia 25%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

2926

73

36

77

47

2008

Per

cent

20

0

40

60

80

100

4

36

11

38

417

Infection 31%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

17

55

89

37

77Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1008415

Per

cent

20

0

40

60

80

100

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

24

1995MICS

27

1997DHS

23

2000Other NS

20

2003DHS

71

1997DHS

76

2000Other NS

89

2008MICS

85

2003DHS

185

18

53

43

2,5,1

63

---

(2001)

(2003-04)

(2003)

(2008)

(2003)

(2008)

2003DHS

30

2008MICS

37

1997DHS

30

2008MICS

47

2003DHS

47

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1997DHS

2003DHS

2008MICS

Per

cent

20

0

40

60

80

100

5565

22

39

Malaria preventionPercent children < 5 years sleeping under ITNs

130

83

44

1997DHS

55

2008MICS

48

2003DHS

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2003Other NS

15

2007Other NS

23

2008MICS

37

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

Per

cent

20

0

40

60

80

100

2008MICS

23

2007Other NS

70

20

40

60

80

100

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2004

3 8

2005Source: UNICEF/UNAIDS/WHO

2008

4242

20072006

12

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

7772

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

83

423332

Other14%

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2003

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

83

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 24: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Mozambique

475

*Based on 2006 WHO reference population

22,3833,820

87631

1309043

11052045

4,000

(2003)

(2003)

(2008)

(2008)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Mozambique

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Partial

Partial

Yes

Partial

Yes

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

39

13

12

3.4

14

33

38

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2007)

Pneumonia13%

HIV/AIDS14%

Injuries2%

Diarrhoea11%

Malaria13% Measles

0%

Neonatal34%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250 249

Source: IGME 2009

MDG Target

Under-five mortality rateDeaths per 1000 live births

Diarrhoea 2%

Other 5%Tetanus 2%

Congenital 7%

Preterm 29%

Asphyxia 25%

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

2926

73

36

77

47

2008

Per

cent

20

0

40

60

80

100

4

36

11

38

417

Infection 31%

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

17

55

89

37

77Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1008415

Per

cent

20

0

40

60

80

100

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

24

1995MICS

27

1997DHS

23

2000Other NS

20

2003DHS

71

1997DHS

76

2000Other NS

89

2008MICS

85

2003DHS

185

18

53

43

2,5,1

63

---

(2001)

(2003-04)

(2003)

(2008)

(2003)

(2008)

2003DHS

30

2008MICS

37

1997DHS

30

2008MICS

47

2003DHS

47

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1997DHS

2003DHS

2008MICS

Per

cent

20

0

40

60

80

100

5565

22

39

Malaria preventionPercent children < 5 years sleeping under ITNs

130

83

44

1997DHS

55

2008MICS

48

2003DHS

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2003Other NS

15

2007Other NS

23

2008MICS

37

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

Per

cent

20

0

40

60

80

100

2008MICS

23

2007Other NS

70

20

40

60

80

100

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2004

3 8

2005Source: UNICEF/UNAIDS/WHO

2008

4242

20072006

12

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

7772

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

83

423332

Other14%

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2003

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

83

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 25: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Myanmar

4111

*Based on 2006 WHO reference population

49,5634,6291020

6598714898

380110

3,700

(2008)

(2008)

(2008)

(2003)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003)

(2003)

(2003)

(2000)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Myanmar

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

No

No

Partial

Partial

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

21

1

84

13.4

2

4

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other12%

Pneumonia12%

HIV/AIDS1%

Injuries*22%

Diarrhoea12%

Malaria2%

Measles0%

Neonatal40%

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150120

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

69

47

87

57

75 71

2008

Per

cent

20

0

40

60

80

10086

79 81

1995

39

77

49

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

37

57

76

15

82Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

7676

1997Other NS

2001Other NS

6615

Per

cent

20

0

40

60

80

100

2003MICS

2000MICS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2000MICS

2003MICS

Per

cent

20

0

40

60

80

100

29

19

22

NA*

---, ---, ---

---

---

(1999)

(2001)

(2001)

30 30

2003MICS

15

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000MICS

2003MICS

Per

cent

20

0

40

60

80

100

28

48

17

66

Malaria treatmentPercent febrile children < 5 years using antimalarials

Malaria preventionPercent children < 5 years sleeping under ITNs

No data

No data

98

40

4656

31

57

1991Other NS

1997Other NS

2001Other NS

2004

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2005 2006 2007 2008

65

48

Diarrhoea 3%Tetanus 0%

Other 5%Congenital 5%

Asphyxia 27%

Infection 26%

Preterm 35%

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Per

cent

20

0

40

60

80

100

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8285

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

94939496

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2000

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

93

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008*Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010

*High injury deaths in 2008 due to impact of cyclone

Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for South East Asia, 1997-2007

Source: WHO 2010

Indirect22%

Haemorrhage32%

Other direct10%

Sepsis8%

Abortion9%

Embolism2%

Hypertension17%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 26: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Myanmar

4111

*Based on 2006 WHO reference population

49,5634,6291020

6598714898

380110

3,700

(2008)

(2008)

(2008)

(2003)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003)

(2003)

(2003)

(2000)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Myanmar

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

No

No

Partial

Partial

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

21

1

84

13.4

2

4

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other12%

Pneumonia12%

HIV/AIDS1%

Injuries*22%

Diarrhoea12%

Malaria2%

Measles0%

Neonatal40%

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150120

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

69

47

87

57

75 71

2008

Per

cent

20

0

40

60

80

10086

79 81

1995

39

77

49

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

37

57

76

15

82Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

7676

1997Other NS

2001Other NS

6615

Per

cent

20

0

40

60

80

100

2003MICS

2000MICS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2000MICS

2003MICS

Per

cent

20

0

40

60

80

100

29

19

22

NA*

---, ---, ---

---

---

(1999)

(2001)

(2001)

30 30

2003MICS

15

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000MICS

2003MICS

Per

cent

20

0

40

60

80

100

28

48

17

66

Malaria treatmentPercent febrile children < 5 years using antimalarials

Malaria preventionPercent children < 5 years sleeping under ITNs

No data

No data

98

40

4656

31

57

1991Other NS

1997Other NS

2001Other NS

2004

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2005 2006 2007 2008

65

48

Diarrhoea 3%Tetanus 0%

Other 5%Congenital 5%

Asphyxia 27%

Infection 26%

Preterm 35%

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Per

cent

20

0

40

60

80

100

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8285

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

94939496

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2000

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

93

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008*Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010

*High injury deaths in 2008 due to impact of cyclone

Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for South East Asia, 1997-2007

Source: WHO 2010

Indirect22%

Haemorrhage32%

Other direct10%

Sepsis8%

Abortion9%

Embolism2%

Hypertension17%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 27: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Nepal

4913

*Based on 2006 WHO reference population

28,8103,535

7323551413137

83031

6,500

(2006)

(2006)

(2006)

(2006)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Nepal

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Partial

Partial

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

53

11

55

6.7

5

16

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other11%

HIV/AIDS1%Injuries

2%

Diarrhoea14%

Malaria0%

Measles0%

Neonatal61%

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150 142

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

10087

74

95

76

93 88

2008

Per

cent

20

0

40

60

80

100

8

41

11

51

27 31

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

48

19

31

44

53

79Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

1524

27 28

44

7 9 1220 19

11

1991Other NS

1996DHS

2001DHS

2006DHS

2000Other NS

7521

Per

cent

20

0

40

60

80

100

2001DHS

2006DHS

1996DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

1990 1995 2000 2005

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF2006

Per

cent

20

0

40

60

80

100

106

25

29

NA*

3, 8, 2

35

2

(2004)

(2006)

(2006)

(2006)

(2006)

(2006)

53

74 68

79

82

2006DHS

37

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

*Sub-national risk of malaria transmission

5147

1991Other NS

1996DHS

2000Other NS

2001DHS

2006DHS

2003-2004Other NS

0

2

4

6

8

10

Per

cent

2006

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Pneumonia10%

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

38

1997-1998Other NS

43

2001DHS

39

2006DHS

2007 2008

1996DHS

18

2001DHS

26

2006DHS

43

25

EQUITY

Malaria preventionPercent children < 5 years sleeping under ITNs*

*Sub-national risk of malaria transmission

Diarrhoea 2%Tetanus 2%Other 5%Congenital 6%

Asphyxia 29%

Infection 30%

Preterm 27%

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

93959596

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Malaria treatmentProportion of children aged 0-59 months with fever receiving anti-malarial medicines

Per

cent

20

0

40

60

80

100

2006DHS

0

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

81

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Mean coverage

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for South Asia, 1997-2007

Source: WHO 2010

Indirect19%

Hypertension17%

Haemorrhage35%

Sepsis7%

Abortion10%

Embolism1%

Other direct11%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 28: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Nepal

4913

*Based on 2006 WHO reference population

28,8103,535

7323551413137

83031

6,500

(2006)

(2006)

(2006)

(2006)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Nepal

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Partial

Partial

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

53

11

55

6.7

5

16

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other11%

HIV/AIDS1%Injuries

2%

Diarrhoea14%

Malaria0%

Measles0%

Neonatal61%

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150 142

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

10087

74

95

76

93 88

2008

Per

cent

20

0

40

60

80

100

8

41

11

51

27 31

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

48

19

31

44

53

79Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

1524

27 28

44

7 9 1220 19

11

1991Other NS

1996DHS

2001DHS

2006DHS

2000Other NS

7521

Per

cent

20

0

40

60

80

100

2001DHS

2006DHS

1996DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

1990 1995 2000 2005

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF2006

Per

cent

20

0

40

60

80

100

106

25

29

NA*

3, 8, 2

35

2

(2004)

(2006)

(2006)

(2006)

(2006)

(2006)

53

74 68

79

82

2006DHS

37

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

*Sub-national risk of malaria transmission

5147

1991Other NS

1996DHS

2000Other NS

2001DHS

2006DHS

2003-2004Other NS

0

2

4

6

8

10

Per

cent

2006

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Pneumonia10%

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

38

1997-1998Other NS

43

2001DHS

39

2006DHS

2007 2008

1996DHS

18

2001DHS

26

2006DHS

43

25

EQUITY

Malaria preventionPercent children < 5 years sleeping under ITNs*

*Sub-national risk of malaria transmission

Diarrhoea 2%Tetanus 2%Other 5%Congenital 6%

Asphyxia 29%

Infection 30%

Preterm 27%

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

93959596

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Malaria treatmentProportion of children aged 0-59 months with fever receiving anti-malarial medicines

Per

cent

20

0

40

60

80

100

2006DHS

0

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

81

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Mean coverage

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for South Asia, 1997-2007

Source: WHO 2010

Indirect19%

Hypertension17%

Haemorrhage35%

Sepsis7%

Abortion10%

Embolism1%

Other direct11%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 29: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Niger

4712

*Based on 2006 WHO reference population

14,7043,121

79132

1677934

1211,800

714,000

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

(2008)

(2006)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Niger

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

Yes

Yes

Yes

Partial

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

35

12

45

1.6

10

11

68

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

(2000)

Other19%

Pneumonia19%

HIV/AIDS1%

Injuries2%

Diarrhoea20%

Malaria18%

Measles0%

Neonatal22%

1990 1995 2000 2005 2010 2015

60

0

120

180

240

300305

Source: IGME 2009

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

3931

57

3548

2008

Per

cent

20

0

40

60

80

100

2

19

5

34

4 9

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

11

33

46

4

80Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1006627

Per

cent

20

0

40

60

80

100

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

199

16

15

0

1, 5, 0

38

---

(2004)

(2006)

(2006)

(2006)

(2006)

(2008)

167

102

0

20

40

60

80

100

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

1992DHS

41

1998DHS

46

2000MICS

44

2008Other NS

36

2006DHS

39

2006DHS

34

2000MICS

43

Diarrhoea 2%

Other 5%Tetanus 7%

Congenital 5%

Preterm 31%

Asphyxia 25%

Infection 26%

15 18 1633

1992DHS

1998DHS

2000MICS

2006DHS

3039 41 46

1992DHS

1998DHS

2000MICS

2006DHS

1992DHS

3

2000MICS

1

1998DHS

1

2008Other NS

4

2007Other NS

9

2006DHS

14

Malaria preventionPercent children < 5 years sleeping under ITNs

2000MICS

2006DHS

71

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

2006DHS

2000MICS

33

48

Per

cent

20

0

40

60

80

100

2005 2006 2007 2008

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1992DHS

14 9

1998DHS

26

2000MICS

27

2006MICS

47

Per

cent

20

0

40

60

80

100

96

Source: UNICEF/UNAIDS/WHO

Per

cent

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

80

66

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

921008894

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

84

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 30: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Niger

4712

*Based on 2006 WHO reference population

14,7043,121

79132

1677934

1211,800

714,000

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

(2008)

(2006)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Niger

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

Yes

Yes

Yes

Partial

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

35

12

45

1.6

10

11

68

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

(2000)

Other19%

Pneumonia19%

HIV/AIDS1%

Injuries2%

Diarrhoea20%

Malaria18%

Measles0%

Neonatal22%

1990 1995 2000 2005 2010 2015

60

0

120

180

240

300305

Source: IGME 2009

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

3931

57

3548

2008

Per

cent

20

0

40

60

80

100

2

19

5

34

4 9

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

11

33

46

4

80Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1006627

Per

cent

20

0

40

60

80

100

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

199

16

15

0

1, 5, 0

38

---

(2004)

(2006)

(2006)

(2006)

(2006)

(2008)

167

102

0

20

40

60

80

100

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

1992DHS

41

1998DHS

46

2000MICS

44

2008Other NS

36

2006DHS

39

2006DHS

34

2000MICS

43

Diarrhoea 2%

Other 5%Tetanus 7%

Congenital 5%

Preterm 31%

Asphyxia 25%

Infection 26%

15 18 1633

1992DHS

1998DHS

2000MICS

2006DHS

3039 41 46

1992DHS

1998DHS

2000MICS

2006DHS

1992DHS

3

2000MICS

1

1998DHS

1

2008Other NS

4

2007Other NS

9

2006DHS

14

Malaria preventionPercent children < 5 years sleeping under ITNs

2000MICS

2006DHS

71

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

2006DHS

2000MICS

33

48

Per

cent

20

0

40

60

80

100

2005 2006 2007 2008

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1992DHS

14 9

1998DHS

26

2000MICS

27

2006MICS

47

Per

cent

20

0

40

60

80

100

96

Source: UNICEF/UNAIDS/WHO

Per

cent

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

80

66

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

921008894

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

84

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 31: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Nigeria

4114

*Based on 2006 WHO reference population

151,21225,0206,028

301869649

1,0771,100

1859,000

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

(2008)

(2003)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Nigeria

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Yes

Yes

Partial

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

131

7

72

20.1

4

4

---

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

Other15%

Pneumonia15%

HIV/AIDS3% Injuries

1%

Diarrhoea18%

Malaria20%

Measles0%

Neonatal28%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250 230

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

15

13

39

38

58

62Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1007514

Per

cent

20

0

40

60

80

100

2003DHS

1990DHS

1990DHS

1999DHS

2003DHS

Per

cent

20

0

40

60

80

100

3524

2008DHS

23

1

17 17

2008DHS

13

186

77

2003DHS

28

2008DHS

25

Diarrhoea 3%Other 5%

Tetanus 3%

Congenital 7%

Preterm 28%

Asphyxia 29%

Infection 26%

31

1990DHS

42

1999DHS

35

2003DHS

39

2008DHS

79

5764 58

1986DHS

1990DHS

1999DHS

2003DHS

58

2008DHS

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

34Per

cent

20

0

40

60

80

100

2003DHS

1

2008DHS

6

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

2003DHS

33

2008DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

123

20

45

5

2, 4, 1

38

---

(2006)

(2008)

(2008)

(2008)

(2008)

(2008)

10

0

4

8

12

16

20

Per

cent

2004

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

1 <1

2005 2007

6

2008

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100

79

47

3042

75

58

TotalRural Urban

2008

Per

cent

20

0

40

60

80

100

1990

36 39 3728

36 32

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6254

1990DHS

37

23

2003DHS

33

2008DHS

45

23

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2008

Coverage gap

Mean coverage

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

74

38

7073

3

2006

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

64

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: Lawn JE, Cousens SNfor WHO/CHERG 2010Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 32: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Nigeria

4114

*Based on 2006 WHO reference population

151,21225,0206,028

301869649

1,0771,100

1859,000

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

(2008)

(2003)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Nigeria

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Yes

Yes

Partial

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

131

7

72

20.1

4

4

---

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

Other15%

Pneumonia15%

HIV/AIDS3% Injuries

1%

Diarrhoea18%

Malaria20%

Measles0%

Neonatal28%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250 230

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

15

13

39

38

58

62Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1007514

Per

cent

20

0

40

60

80

100

2003DHS

1990DHS

1990DHS

1999DHS

2003DHS

Per

cent

20

0

40

60

80

100

3524

2008DHS

23

1

17 17

2008DHS

13

186

77

2003DHS

28

2008DHS

25

Diarrhoea 3%Other 5%

Tetanus 3%

Congenital 7%

Preterm 28%

Asphyxia 29%

Infection 26%

31

1990DHS

42

1999DHS

35

2003DHS

39

2008DHS

79

5764 58

1986DHS

1990DHS

1999DHS

2003DHS

58

2008DHS

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

34Per

cent

20

0

40

60

80

100

2003DHS

1

2008DHS

6

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

2003DHS

33

2008DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

123

20

45

5

2, 4, 1

38

---

(2006)

(2008)

(2008)

(2008)

(2008)

(2008)

10

0

4

8

12

16

20

Per

cent

2004

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

1 <1

2005 2007

6

2008

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100

79

47

3042

75

58

TotalRural Urban

2008

Per

cent

20

0

40

60

80

100

1990

36 39 3728

36 32

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6254

1990DHS

37

23

2003DHS

33

2008DHS

45

23

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2008

Coverage gap

Mean coverage

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

74

38

7073

3

2006

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

64

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: Lawn JE, Cousens SNfor WHO/CHERG 2010Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 33: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Pakistan

4214

*Based on 2006 WHO reference population

176,95223,7785,337

---897253

46532074

15,000

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2001-2002)

(2001-2002)

(2006-2007)

(2006-2007)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Pakistan

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

Yes

Yes

Partial

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

64

4

57

11.6

5

9

---

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

Other11%

Pneumonia11%

HIV/AIDS0%

Injuries2%

Diarrhoea14%

Malaria0%

Measles0%

Neonatal61%

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150130

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

10087

81 8695

90

2008

Per

cent

20

0

40

60

80

100

8

28

72

29

45

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

27

39

39

61

37

85Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1003632

Per

cent

20

0

40

60

80

100

2001-2002Other NS

1990-1991DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

20

25

28

NA*

7,13,5

29

---

(2005)

(2006-07)

(2006-07)

(2006-07)

(2006-07)

3931

89

43

0

1

2

3

4

5

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 3%Other 4%

Tetanus 2%

Congenital 10%

Preterm 27%

Asphyxia 24%

Infection 31%

26

1990-1991DHS

26

1996-1997Other NS

28

1999Other NS

43

2001Other NS

36

2004-2005Other NS

61

2006-2007DHS

19

1990-1991DHS

18

1996-1997Other NS

18

1998-1999 Other NS

23

2001-2002Other NS

31

2004-2005Other NS

39

2006-2007DHS

2006-2007DHS

37

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1990-1991DHS

66

16

2006-2007DHS

69

50

Per

cent

20

0

40

60

80

100

1995MICS

16

2006-2007DHS

37

Malaria preventionPercent children < 5 years sleeping under ITNs

Malaria treatmentPercent febrile children < 5 years using antimalarials

No data

2006 2007 2008

96

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Per

cent

20

0

40

60

80

100

3

2006-2007DHS

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

85

73

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

97100100100

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

80

1990 20001995 2005 2008

73

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for South Asia, 1997-2007

Source: WHO 2010

Indirect19%

Hypertension17%

Haemorrhage35%

Sepsis7%

Abortion10%

Embolism1%

Other direct11%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 34: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Pakistan

4214

*Based on 2006 WHO reference population

176,95223,7785,337

---897253

46532074

15,000

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2001-2002)

(2001-2002)

(2006-2007)

(2006-2007)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Pakistan

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

Yes

Yes

Partial

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

64

4

57

11.6

5

9

---

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

Other11%

Pneumonia11%

HIV/AIDS0%

Injuries2%

Diarrhoea14%

Malaria0%

Measles0%

Neonatal61%

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150130

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

10087

81 8695

90

2008

Per

cent

20

0

40

60

80

100

8

28

72

29

45

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

27

39

39

61

37

85Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1003632

Per

cent

20

0

40

60

80

100

2001-2002Other NS

1990-1991DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

20

25

28

NA*

7,13,5

29

---

(2005)

(2006-07)

(2006-07)

(2006-07)

(2006-07)

3931

89

43

0

1

2

3

4

5

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 3%Other 4%

Tetanus 2%

Congenital 10%

Preterm 27%

Asphyxia 24%

Infection 31%

26

1990-1991DHS

26

1996-1997Other NS

28

1999Other NS

43

2001Other NS

36

2004-2005Other NS

61

2006-2007DHS

19

1990-1991DHS

18

1996-1997Other NS

18

1998-1999 Other NS

23

2001-2002Other NS

31

2004-2005Other NS

39

2006-2007DHS

2006-2007DHS

37

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1990-1991DHS

66

16

2006-2007DHS

69

50

Per

cent

20

0

40

60

80

100

1995MICS

16

2006-2007DHS

37

Malaria preventionPercent children < 5 years sleeping under ITNs

Malaria treatmentPercent febrile children < 5 years using antimalarials

No data

2006 2007 2008

96

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Per

cent

20

0

40

60

80

100

3

2006-2007DHS

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

85

73

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

97100100100

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

80

1990 20001995 2005 2008

73

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for South Asia, 1997-2007

Source: WHO 2010

Indirect19%

Hypertension17%

Haemorrhage35%

Sepsis7%

Abortion10%

Embolism1%

Other direct11%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 35: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Papua New Guinea

435

*Based on 2006 WHO reference population

6,577950207

---69532614

47055

820

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2005)

(2005)

(2006)

(2005)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Papua New Guinea

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

No

No

Partial

Partial

Partial

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

65

7

8

5.8

11

24

---

(2007)

(2007)

(2007)

(2000)

(2007)

(2007)

Other23%

HIV/AIDS3%

Malaria7%

Diarrhoea5%

Injuries3%

Measles2%

Neonatal38%

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100 91

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

2008

Per

cent

20

0

40

60

80

100

42

78

47

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

26

53

79

56

54Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1007611

Per

cent

20

0

40

60

80

100

2005Other NS

1982-1983Other NS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2518

69

30

0

10

20

30

40

50

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1996DHS

75

2006DHS

63*

Per

cent

20

0

40

60

80

100

1996DHS

59

2006DHS

56

Malaria preventionPercent children < 5 years sleeping under ITNs

Malaria treatmentPercent febrile children < 5 years using antimalarials

No dataNo data

No data

*See Annex for indicator definition

3241

89

3340

87

Pneumonia20%

2004

3

2005

3

2006

2

2007

4

2008

13

78

1996DHS

79

2006DHS

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

41

71

45

Diarrhoea 2%Tetanus 3%Other 6%Congenital 8%

Asphyxia 30%

Infection 23%

Preterm 29%

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

2000Other NS

41

2006DHS

53

1996DHS

53

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

5452

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

70

---

55

---

---, ---, ---

---

---

(2000)

(2006)

Coverage gap by wealth quintile

No data

7 7

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

61

1990 20001995 2005 2008

*Only includes children under 3 years of age.

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Oceana, 1997-2007

Source: WHO 2010

Indirect25%

Hypertension15%

Sepsis8%

Abortion9%

Embolism1%

Other direct10%

Haemorrhage33%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 36: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Papua New Guinea

435

*Based on 2006 WHO reference population

6,577950207

---69532614

47055

820

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2005)

(2005)

(2006)

(2005)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Papua New Guinea

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

No

No

Partial

Partial

Partial

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

65

7

8

5.8

11

24

---

(2007)

(2007)

(2007)

(2000)

(2007)

(2007)

Other23%

HIV/AIDS3%

Malaria7%

Diarrhoea5%

Injuries3%

Measles2%

Neonatal38%

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100 91

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

2008

Per

cent

20

0

40

60

80

100

42

78

47

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

26

53

79

56

54Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1007611

Per

cent

20

0

40

60

80

100

2005Other NS

1982-1983Other NS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2518

69

30

0

10

20

30

40

50

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1996DHS

75

2006DHS

63*

Per

cent

20

0

40

60

80

100

1996DHS

59

2006DHS

56

Malaria preventionPercent children < 5 years sleeping under ITNs

Malaria treatmentPercent febrile children < 5 years using antimalarials

No dataNo data

No data

*See Annex for indicator definition

3241

89

3340

87

Pneumonia20%

2004

3

2005

3

2006

2

2007

4

2008

13

78

1996DHS

79

2006DHS

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

41

71

45

Diarrhoea 2%Tetanus 3%Other 6%Congenital 8%

Asphyxia 30%

Infection 23%

Preterm 29%

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

2000Other NS

41

2006DHS

53

1996DHS

53

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

5452

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

70

---

55

---

---, ---, ---

---

---

(2000)

(2006)

Coverage gap by wealth quintile

No data

7 7

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

61

1990 20001995 2005 2008

*Only includes children under 3 years of age.

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Oceana, 1997-2007

Source: WHO 2010

Indirect25%

Hypertension15%

Sepsis8%

Abortion9%

Embolism1%

Other direct10%

Haemorrhage33%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 37: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Peru

301

*Based on 2006 WHO reference population

28,8372,975

6099324221315

240140

1,500

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2004-2006)

(2004-2006) (2007)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Peru

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Partial

Yes

Yes

Partial

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

327

16

31

18.4

3

11

---

(2007)

(2007)

(2007)

(1999)

(2007)

(2007)

Other27%

Pneumonia10%

HIV/AIDS1%

Injuries5%

Malaria0%

Measles0%

Neonatal52%

1990 1995 2000 2005 2010 2015

20

0

40

60

80

10081

Source: IGME 2009

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Source: WHO/UNICEF JMP, 2010

Per

cent

20

0

40

60

80

100

61

45

75

9082

2008Source: WHO/UNICEF JMP, 2010

Per

cent

20

0

40

60

80

100

16

71

54

81

36

68

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

71

71

91

69

90Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100---8

Per

cent

20

0

40

60

80

100

2004-2006DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

59

8

87

NA*

16, 24, 6

48

---

(2004)

(2004-06)

(2004-06)

(2004-06)

(2004-06)

24 27

0

20

40

60

80

100

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Other 8%Tetanus 2%Diarrhoea 0%

Congenital 19%

Preterm 42%

Asphyxia 15%

Infection 14%

2004-2006DHS

60

5664 67

84 91

1986DHS

1991-1992DHS

1996DHS

2000DHS

2004-2006DHS

1992DHS

53

1996DHS

56

2004-2006DHS

71

2000DHS

59

2004-2006DHS

6

1992DHS

1986DHS

3328

1996DHS

53

2000DHS

67

2007Other NS

6963

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

No data

88

Diarrhoea5%

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2004-2006DHS

1992DHS

1996DHS

2000DHS

3346

6758

Per

cent

20

0

40

60

80

100

EQUITY

2004 2005 200820072006

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: UNICEF/UNAIDS/WHO

Per

cent

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

90

9999

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2004

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 d1ays for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

67

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Latin America / Carribean, 1997-2007

Source: WHO 2010

Indirect20%

Hypertension26%

Haemorrhage23%

Sepsis7%

Abortion10%

Embolism3%

Other direct11%

Page 38: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Peru

301

*Based on 2006 WHO reference population

28,8372,975

6099324221315

240140

1,500

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2004-2006)

(2004-2006) (2007)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Peru

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Partial

Yes

Yes

Partial

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

327

16

31

18.4

3

11

---

(2007)

(2007)

(2007)

(1999)

(2007)

(2007)

Other27%

Pneumonia10%

HIV/AIDS1%

Injuries5%

Malaria0%

Measles0%

Neonatal52%

1990 1995 2000 2005 2010 2015

20

0

40

60

80

10081

Source: IGME 2009

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Source: WHO/UNICEF JMP, 2010

Per

cent

20

0

40

60

80

100

61

45

75

9082

2008Source: WHO/UNICEF JMP, 2010

Per

cent

20

0

40

60

80

100

16

71

54

81

36

68

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

71

71

91

69

90Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100---8

Per

cent

20

0

40

60

80

100

2004-2006DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

59

8

87

NA*

16, 24, 6

48

---

(2004)

(2004-06)

(2004-06)

(2004-06)

(2004-06)

24 27

0

20

40

60

80

100

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Other 8%Tetanus 2%Diarrhoea 0%

Congenital 19%

Preterm 42%

Asphyxia 15%

Infection 14%

2004-2006DHS

60

5664 67

84 91

1986DHS

1991-1992DHS

1996DHS

2000DHS

2004-2006DHS

1992DHS

53

1996DHS

56

2004-2006DHS

71

2000DHS

59

2004-2006DHS

6

1992DHS

1986DHS

3328

1996DHS

53

2000DHS

67

2007Other NS

6963

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

No data

88

Diarrhoea5%

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2004-2006DHS

1992DHS

1996DHS

2000DHS

3346

6758

Per

cent

20

0

40

60

80

100

EQUITY

2004 2005 200820072006

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: UNICEF/UNAIDS/WHO

Per

cent

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

90

9999

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2004

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 d1ays for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

67

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Latin America / Carribean, 1997-2007

Source: WHO 2010

Indirect20%

Hypertension26%

Haemorrhage23%

Sepsis7%

Abortion10%

Embolism3%

Other direct11%

Page 39: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Philippines

346

*Based on 2006 WHO reference population

90,34810,7012,236

8332261573

230140

4,600

(2008)

(2008)

(2008)

(2000)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003)

(2003)

(2008)

(2003)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Philippines

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

No

No

No

No

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

130

7

55

72.7

2

5

---

(2007)

(2007)

(2007)

(2002)

(2007)

(2007)

Other25%

Pneumonia19%

HIV/AIDS0%

Injuries4% Malaria

0%Measles

0%

Neonatal45%

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100

61

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

10087

7684

91

2008

Per

cent

20

0

40

60

80

100

46

7058

8069

76

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

51

62

91

34

92Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1005820

Per

cent

20

0

40

60

80

100

1987Other NS

1989-1990Other NS

1993Other NS

1996Other NS

2001Other NS

2003Other NS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

54

17

70

NA*

7, 10, 5

54

---

(2007)

(2003)

(2003)

(2003)

(2003)

3220

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2003DHS

76

83

1993DHS

86

1998DHS

86

2000MICS

88

2003DHS

91

2008DHS

1993DHS

53

1998DHS

56

2003DHS

60

2008DHS

62

1999MICS

46

2000MICS

58

1993DHS

26

1998DHS

37

2003DHS

34

2008DHS

3429 26 25 27

2130

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

93

Diarrhoea7%

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1998DHS

58

36

1993DHS

5144

Per

cent

20

0

40

60

80

100

EQUITY

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Tetanus 2%Diarrhoea 0%

Other 14%

Congenital 14%

Asphyxia 15%

Infection 16%

Preterm 41%

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Per

cent

1

0

2

3

4

5

2008

Per

cent

20

0

40

60

80

100

93

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

9291

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

86838685

2007

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2003

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

2008DHS

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for South East Asia, 1997-2007

Source: WHO 2010

Indirect22%

Haemorrhage32%

Other direct10%

Sepsis8%

Abortion9%

Embolism2%

Hypertension17%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

2003DHS

0

50

2003DHS

55

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

58

1990 20001995 2005 2008

Page 40: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Philippines

346

*Based on 2006 WHO reference population

90,34810,7012,236

8332261573

230140

4,600

(2008)

(2008)

(2008)

(2000)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003)

(2003)

(2008)

(2003)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Philippines

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

No

No

No

No

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

130

7

55

72.7

2

5

---

(2007)

(2007)

(2007)

(2002)

(2007)

(2007)

Other25%

Pneumonia19%

HIV/AIDS0%

Injuries4% Malaria

0%Measles

0%

Neonatal45%

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100

61

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

10087

7684

91

2008

Per

cent

20

0

40

60

80

100

46

7058

8069

76

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

51

62

91

34

92Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

1005820

Per

cent

20

0

40

60

80

100

1987Other NS

1989-1990Other NS

1993Other NS

1996Other NS

2001Other NS

2003Other NS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

54

17

70

NA*

7, 10, 5

54

---

(2007)

(2003)

(2003)

(2003)

(2003)

3220

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2003DHS

76

83

1993DHS

86

1998DHS

86

2000MICS

88

2003DHS

91

2008DHS

1993DHS

53

1998DHS

56

2003DHS

60

2008DHS

62

1999MICS

46

2000MICS

58

1993DHS

26

1998DHS

37

2003DHS

34

2008DHS

3429 26 25 27

2130

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

93

Diarrhoea7%

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1998DHS

58

36

1993DHS

5144

Per

cent

20

0

40

60

80

100

EQUITY

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Tetanus 2%Diarrhoea 0%

Other 14%

Congenital 14%

Asphyxia 15%

Infection 16%

Preterm 41%

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Per

cent

1

0

2

3

4

5

2008

Per

cent

20

0

40

60

80

100

93

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

9291

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

86838685

2007

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2003

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

2008DHS

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for South East Asia, 1997-2007

Source: WHO 2010

Indirect22%

Haemorrhage32%

Other direct10%

Sepsis8%

Abortion9%

Embolism2%

Hypertension17%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

2003DHS

0

50

2003DHS

55

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

58

1990 20001995 2005 2008

Page 41: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Rwanda

515

*Based on 2006 WHO reference population

9,7211,646

40382

112723541

1,30016

4,700

(2008)

(2008)

(2008)

(2005)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2005)

(2005)

(2005)

(2005)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Rwanda

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Yes

Yes

Yes

Yes

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

90

20

25

4.7

15

15

---

(2007)

(2007)

(2007)

(2005)

(2007)

(2007)

Other18%

Pneumonia14%

HIV/AIDS1%

Injuries4%

Diarrhoea22%

Malaria6%

Measles1%

Neonatal34%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250

174

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

6266 6877

65

2008

Per

cent

20

0

40

60

80

100

2235

23

5055 54

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

36

52

96

88

92Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100696

Per

cent

20

0

40

60

80

100

1992DHS

2000DHS

2005DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2000DHS

2005DHS

Per

cent

20

0

40

60

80

100

40

38

24

17

3, 8, 2

41

---

(2006)

(2005)

(2007-08)

(2007-08)

(2005)

(2005)

24 20 18

888383

112

58

0

20

40

60

80

100

Per

cent

2006 2007 2008

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

20 24

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 7%

Preterm 26%

Asphyxia 30%

Infection 29%

94

1992DHS

92

2000MICS

96

2007-2008DHS

94

2005DHS

1992DHS

26

2000DHS

31

2007-2008DHS

52

2005DHS

39

1992DHS

2000DHS

2005DHS

96

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2005DHS

13

2007-2008DHS

56

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2000DHS

9

2007-2008DHS

6

2005DHS

12

2005

52

7263

73

2004

25

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1992DHS

2000DHS

2005DHS

30

4

2007-2008DHS

28

131628

Per

cent

20

0

40

60

80

100

EQUITY

2000DHS

4

Source: UNICEF/UNAIDS/WHO

92

9797

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

7678

99

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2005

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

85

Source: IGME 2009

1990 20001995 2005 2008

36

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 42: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Rwanda

515

*Based on 2006 WHO reference population

9,7211,646

40382

112723541

1,30016

4,700

(2008)

(2008)

(2008)

(2005)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2005)

(2005)

(2005)

(2005)

Per

cent

20

0

40

60

80

100

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Rwanda

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Yes

Yes

Yes

Yes

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

90

20

25

4.7

15

15

---

(2007)

(2007)

(2007)

(2005)

(2007)

(2007)

Other18%

Pneumonia14%

HIV/AIDS1%

Injuries4%

Diarrhoea22%

Malaria6%

Measles1%

Neonatal34%

1990 1995 2000 2005 2010 2015

50

0

100

150

200

250

174

MDG Target

Under-five mortality rateDeaths per 1000 live births

Causes of neonataldeaths

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

20081990 1990

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

6266 6877

65

2008

Per

cent

20

0

40

60

80

100

2235

23

5055 54

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

36

52

96

88

92Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

*See Annex for indicator definition

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100696

Per

cent

20

0

40

60

80

100

1992DHS

2000DHS

2005DHS

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2000DHS

2005DHS

Per

cent

20

0

40

60

80

100

40

38

24

17

3, 8, 2

41

---

(2006)

(2005)

(2007-08)

(2007-08)

(2005)

(2005)

24 20 18

888383

112

58

0

20

40

60

80

100

Per

cent

2006 2007 2008

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

20 24

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 7%

Preterm 26%

Asphyxia 30%

Infection 29%

94

1992DHS

92

2000MICS

96

2007-2008DHS

94

2005DHS

1992DHS

26

2000DHS

31

2007-2008DHS

52

2005DHS

39

1992DHS

2000DHS

2005DHS

96

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2005DHS

13

2007-2008DHS

56

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2000DHS

9

2007-2008DHS

6

2005DHS

12

2005

52

7263

73

2004

25

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1992DHS

2000DHS

2005DHS

30

4

2007-2008DHS

28

131628

Per

cent

20

0

40

60

80

100

EQUITY

2000DHS

4

Source: UNICEF/UNAIDS/WHO

92

9797

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

7678

99

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2005

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

85

Source: IGME 2009

1990 20001995 2005 2008

36

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 43: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Senegal

199

*Based on 2006 WHO reference population

12,2112,046

47055

108573449

98021

4,100

(2008)

(2008)

(2008)

(2005)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2005)

(2005)

6119

(2005)

(2005)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Senegal

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

No

Yes

Yes

Partial

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

99

12

35

4.8

8

10

38

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

(2000)

Other15%

Malaria19%

Measles3%

Diarrhoea14%

Pneumonia13%

Neonatal33%

Diarrhoea 1%

Other 4%Tetanus 2%

Congenital 8%Asphyxia 23%

Infection 30%

Preterm 31%

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

12

87

52

34

77Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

HIV/AIDS2%

*See Annex for indicator definition

Malaria treatmentPercent febrile children < 5 years using antimalarials

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2000MICS

2005DHS

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

7463

7987

82

1986DHS

1992-1993DHS

1997DHS

2000MICS

2005DHS

Per

cent

20

0

40

60

80

100

47 4741

4858 58

52

1986DHS

1993DHS

1997DHS

1999DHS

2000MICS

2002Other NS

2005DHS

EQUITYP

erce

nt

20

0

40

60

80

100

47

27

1992-1993DHS

2000MICS

2005DHS

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200Injuries

2%

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000MICS

3627

2005DHS

22

2006Other NS

9

2008-2009Other NS

3443

Under-five mortality rateDeaths per 1000 live births

50

108

149

MDG Target

142022

1992-1993DHS

2000MICS

2005DHS

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

5

1986DHS

6

1992-1993DHS

12

1997DHS

34

2005DHS

2

2000MICS

2005DHS

7

2008-2009Other NS

29

2006Other NS

16

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

20050

5

10

15

20

25

30

Per

cent

2007 2008

1831

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

96

32

40

52

3, 7, 1

23

---

(2007)

(2005)

(2005)

(2008-09)

(2005)

(2005)

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

Cov

erag

e

20

0

40

60

80

100

Wealth quintile

Mean coverage

Source: DHS 2005

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

1986 1991 1996 2001 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

778888

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 94 909686

Countdown to 20152010 Report

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

88

1990 20001995 2005 2008

Per

cent

20

0

40

60

80

100

SanitationPercent population using improved sanitation facilities

TotalRural Urban

1990 2008

22

62

38

69

5138

WaterPercent population using improved drinking water sources

TotalRural Urban

43

88

5261

92

69

Per

cent

20

0

40

60

80

100

1990 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 44: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Senegal

199

*Based on 2006 WHO reference population

12,2112,046

47055

108573449

98021

4,100

(2008)

(2008)

(2008)

(2005)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2005)

(2005)

6119

(2005)

(2005)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Senegal

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

No

Yes

Yes

Partial

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

99

12

35

4.8

8

10

38

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

(2000)

Other15%

Malaria19%

Measles3%

Diarrhoea14%

Pneumonia13%

Neonatal33%

Diarrhoea 1%

Other 4%Tetanus 2%

Congenital 8%Asphyxia 23%

Infection 30%

Preterm 31%

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

12

87

52

34

77Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

HIV/AIDS2%

*See Annex for indicator definition

Malaria treatmentPercent febrile children < 5 years using antimalarials

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2000MICS

2005DHS

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

7463

7987

82

1986DHS

1992-1993DHS

1997DHS

2000MICS

2005DHS

Per

cent

20

0

40

60

80

100

47 4741

4858 58

52

1986DHS

1993DHS

1997DHS

1999DHS

2000MICS

2002Other NS

2005DHS

EQUITY

Per

cent

20

0

40

60

80

100

47

27

1992-1993DHS

2000MICS

2005DHS

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200Injuries

2%

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000MICS

3627

2005DHS

22

2006Other NS

9

2008-2009Other NS

3443

Under-five mortality rateDeaths per 1000 live births

50

108

149

MDG Target

142022

1992-1993DHS

2000MICS

2005DHS

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

5

1986DHS

6

1992-1993DHS

12

1997DHS

34

2005DHS

2

2000MICS

2005DHS

7

2008-2009Other NS

29

2006Other NS

16

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

20050

5

10

15

20

25

30

Per

cent

2007 2008

1831

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

96

32

40

52

3, 7, 1

23

---

(2007)

(2005)

(2005)

(2008-09)

(2005)

(2005)

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

Cov

erag

e

20

0

40

60

80

100

Wealth quintile

Mean coverage

Source: DHS 2005

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

1986 1991 1996 2001 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

778888

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 94 909686

Countdown to 20152010 Report

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

88

1990 20001995 2005 2008

Per

cent

20

0

40

60

80

100

SanitationPercent population using improved sanitation facilities

TotalRural Urban

1990 2008

22

62

38

69

5138

WaterPercent population using improved drinking water sources

TotalRural Urban

43

88

5261

92

69

Per

cent

20

0

40

60

80

100

1990 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 45: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Sierra Leone

3610

*Based on 2006 WHO reference population

5,56094722351

1941234543

2,1008

5,400

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

7324

(2008)

(2005)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

143

28

56

10

2, 3, 1

51

---

(2006)

(2008)

(2008)

(2008)

(2008)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

8

87

42

58

60

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Sierra Leone

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Yes

Yes

Partial

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

32

8

40

1.9

14

35

24

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

Other18%

Malaria13%

HIV/AIDS2%

Measles5%

Injuries3%

Diarrhoea20%

Pneumonia16%

Neonatal23%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2005MICS

5

2008DHS

26

2000MICS

2

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 2%

Other 4%Tetanus 2%

Congenital 5%Asphyxia 25%

Infection 30%

Preterm 32%

Causes of neonataldeaths

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2000MICS

3931

2005MICS

57

2008DHS

2000MICS

6152

2005MICS

30

2008DHS

25

2000MICS

25

2005MICS

21

2008DHS

68

2000MICS

81

2005MICS

42

2000MICS

42

2008DHS

43

2005MICS

4

2000MICS

8

2005MICS

11

2008DHS

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000MICS

50

2005MICS

48

21

2008DHS

46

27

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2008

613

24

1995

4 1021

1990 1995 2000 2005 2010 2015

60

0

120

180

240

300 278

194

93

MDG Target

Under-five mortality rateDeaths per 1000 live births

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

EQUITY

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

(2008)11

2008DHS

87

2008

26

49

86

1995

4957

72

(2008)

60

60

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

60

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 86

12

82100

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2008

Coverage gap

Mean coverage

2006 2007 20082005

2

2004

1

Per

cent

10

0

20

30

40

60

50

11

3128

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

97

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 46: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Sierra Leone

3610

*Based on 2006 WHO reference population

5,56094722351

1941234543

2,1008

5,400

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

7324

(2008)

(2005)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

143

28

56

10

2, 3, 1

51

---

(2006)

(2008)

(2008)

(2008)

(2008)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

8

87

42

58

60

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Sierra Leone

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Yes

Yes

Partial

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

32

8

40

1.9

14

35

24

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

Other18%

Malaria13%

HIV/AIDS2%

Measles5%

Injuries3%

Diarrhoea20%

Pneumonia16%

Neonatal23%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2005MICS

5

2008DHS

26

2000MICS

2

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 2%

Other 4%Tetanus 2%

Congenital 5%Asphyxia 25%

Infection 30%

Preterm 32%

Causes of neonataldeaths

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2000MICS

3931

2005MICS

57

2008DHS

2000MICS

6152

2005MICS

30

2008DHS

25

2000MICS

25

2005MICS

21

2008DHS

68

2000MICS

81

2005MICS

42

2000MICS

42

2008DHS

43

2005MICS

4

2000MICS

8

2005MICS

11

2008DHS

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000MICS

50

2005MICS

48

21

2008DHS

46

27

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2008

613

24

1995

4 1021

1990 1995 2000 2005 2010 2015

60

0

120

180

240

300 278

194

93

MDG Target

Under-five mortality rateDeaths per 1000 live births

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

EQUITY

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

(2008)11

2008DHS

87

2008

26

49

86

1995

4957

72

(2008)

60

60

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

60

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 86

12

82100

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2008

Coverage gap

Mean coverage

2006 2007 20082005

2

2004

1

Per

cent

10

0

20

30

40

60

50

11

3128

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

97

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 47: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Somalia

4213

*Based on 2006 WHO reference population

0

1

2

3

4

5

8,9261,611

3953

2001196176

1,40012

5,200

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

15---

(2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

123

---

6

1

---, ---, ---

26

---

(2005)

(2006)

(2006)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

15

26

33

9

24

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Somalia

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Partial

No

No

No

No

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

---

---

---

1.5

10

16

56

(2006)

(2007)

(2007)

(2005)

Other17%

Malaria6%

Measles5%

HIV/AIDS0%

Injuries2%

Diarrhoea21%

Pneumonia17%

Neonatal32%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2006MICS

11

2006MICS

1997MICS

1999MICS

Skilled attendant at deliveryPercent live births attended by skilled health personnel

34

1999MICS

2006MICS

33

2002Other NS

25

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 4%Other 5%Congenital 8%Tetanus 9%

Asphyxia 27%

Infection 23%

Preterm 25%

Causes of neonataldeaths

2006 2007 2008

Per

cent

20

0

40

60

80

100

2006MICS

7

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2006MICS

8

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

322316

1999MICS

2006MICS

9 9

SanitationPercent population using improved sanitation facilities

TotalRural Urban

Per

cent

20

0

40

60

80

100

2008

6

52

23

1995

12

42

21

TotalRural Urban

Per

cent

20

0

40

60

80

100

2008

9

67

30

1995

20 22 21

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

32

1999MICS

26

2006MICS

Per

cent

20

0

40

60

80

100

200

67

200

MDG Target

Under-five mortality rateDeaths per 1000 live births

13

32

2006MICS

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

2431

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

4

100

14

Coverage gap by wealth quintile

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

49

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Page 48: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Somalia

4213

*Based on 2006 WHO reference population

0

1

2

3

4

5

8,9261,611

3953

2001196176

1,40012

5,200

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

15---

(2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

123

---

6

1

---, ---, ---

26

---

(2005)

(2006)

(2006)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

15

26

33

9

24

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Somalia

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Partial

No

No

No

No

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

---

---

---

1.5

10

16

56

(2006)

(2007)

(2007)

(2005)

Other17%

Malaria6%

Measles5%

HIV/AIDS0%

Injuries2%

Diarrhoea21%

Pneumonia17%

Neonatal32%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2006MICS

11

2006MICS

1997MICS

1999MICS

Skilled attendant at deliveryPercent live births attended by skilled health personnel

34

1999MICS

2006MICS

33

2002Other NS

25

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 4%Other 5%Congenital 8%Tetanus 9%

Asphyxia 27%

Infection 23%

Preterm 25%

Causes of neonataldeaths

2006 2007 2008

Per

cent

20

0

40

60

80

100

2006MICS

7

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2006MICS

8

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

322316

1999MICS

2006MICS

9 9

SanitationPercent population using improved sanitation facilities

TotalRural Urban

Per

cent

20

0

40

60

80

100

2008

6

52

23

1995

12

42

21

TotalRural Urban

Per

cent

20

0

40

60

80

100

2008

9

67

30

1995

20 22 21

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

32

1999MICS

26

2006MICS

Per

cent

20

0

40

60

80

100

200

67

200

MDG Target

Under-five mortality rateDeaths per 1000 live births

13

32

2006MICS

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

2431

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

4

100

14

Coverage gap by wealth quintile

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

49

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Page 49: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

South Africa

336

49,6685,2001,091

7867482073

400110

4,300

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

60

92

91

8

62

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

South Africa

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

No

Yes

Yes

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

819

11

17

48.5

4

3

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Skilled attendant at deliveryPercent live births attended by skilled health personnel

82

1995Other NS

2003DHS

91

1998DHS

84

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

Other9%

Malaria0%

Measles0%

HIV/AIDS46%

Injuries2%

Diarrhoea9%

Pneumonia6%

Neonatal29%

Diarrhoea 1%

Other 9%Congenital 8%Tetanus 1%

Asphyxia 23%

Infection 18%

Preterm 41%

Causes of neonataldeaths

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

Per

cent

20

0

40

60

80

100

7565

1998DHS

2003DHS

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2006

Per

cent

20

0

40

60

80

100

586569

7780

66

7898

99

8391

84

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

1994-1995Other NS

2003DHS

92

1998DHS

9489

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100

19

6756

MDG Target

Under-five mortality rateDeaths per 1000 live births

*Based on 2006 WHO reference population

Per

cent

20

0

40

60

80

100

1994Other NS

8

1999Other NS

10

2003DHS

9

4915

(2003)

(1998)

Per

cent

20

0

40

60

80

100

1998DHS

7

2003DHS

8

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

0

20

40

60

80

100

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

15

34

5261

73

2004 2005 2006 2007 2008

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

54

15

56

NA*

21, 24, 15

61

---

(2007)

(1998)

(2003)

(2003)

(2003)

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6267

67

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

39

1529

No data

(2003)

(2003)

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

Cov

erag

e

20

0

40

60

80

100

Wealth quintileSource: DHS 1998

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

75

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Mean coverage

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 50: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

South Africa

336

49,6685,2001,091

7867482073

400110

4,300

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

60

92

91

8

62

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

South Africa

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

No

Yes

Yes

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

819

11

17

48.5

4

3

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Skilled attendant at deliveryPercent live births attended by skilled health personnel

82

1995Other NS

2003DHS

91

1998DHS

84

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

Other9%

Malaria0%

Measles0%

HIV/AIDS46%

Injuries2%

Diarrhoea9%

Pneumonia6%

Neonatal29%

Diarrhoea 1%

Other 9%Congenital 8%Tetanus 1%

Asphyxia 23%

Infection 18%

Preterm 41%

Causes of neonataldeaths

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

Per

cent

20

0

40

60

80

100

7565

1998DHS

2003DHS

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2006

Per

cent

20

0

40

60

80

100

586569

7780

66

7898

99

8391

84

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

1994-1995Other NS

2003DHS

92

1998DHS

9489

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100

19

6756

MDG Target

Under-five mortality rateDeaths per 1000 live births

*Based on 2006 WHO reference population

Per

cent

20

0

40

60

80

100

1994Other NS

8

1999Other NS

10

2003DHS

9

4915

(2003)

(1998)

Per

cent

20

0

40

60

80

100

1998DHS

7

2003DHS

8

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

0

20

40

60

80

100

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

15

34

5261

73

2004 2005 2006 2007 2008

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

54

15

56

NA*

21, 24, 15

61

---

(2007)

(1998)

(2003)

(2003)

(2003)

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

6267

67

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

39

1529

No data

(2003)

(2003)

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

Cov

erag

e

20

0

40

60

80

100

Wealth quintileSource: DHS 1998

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

75

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Coverage gap

Mean coverage

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 51: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Sudan

4016

*Based on 2006 WHO reference population

41,3485,8361,296

331097041

13845053

5,300

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

5631

(2006)

(1999)

Per

cent

20

0

40

60

80

100

72

26

---

---

20,19,24

---

---

(1997)

(1992-93)

(1992-93)

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Sudan

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

No

Yes

No

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

71

6

63

12.0

11

14

35

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2005)

Other13%

Malaria25%

Measles0%

HIV/AIDS57%

Injuries3%

Diarrhoea10%

Pneumonia10%

Neonatal38%

Diarrhoea 2%Other 4%Congenital 8%

Tetanus 1%

Asphyxia 18%

Infection 21%

Preterm 47%

Causes of neonataldeaths

Per

cent

20

0

40

60

80

100

2000MICS

38

2006Other NS

56

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

8

64

49

34

79Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

Under-five mortality rateDeaths per 1000 live births

Malaria treatmentPercent febrile children < 5 years using antimalarials

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2008

Per

cent

20

0

40

60

80

100

23 18

34 34

635852

85

646557 55

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

2000MICS

60

2006Other NS

64

1992-1993Other NS

75

1989-1990DHS

70

124

41

109

MDG Target

HIV/AIDS2%

1989-1990DHS

13

2000MICS

16

2006Other NS

34Per

cent

20

0

40

60

80

100

2000MICS

38

2006Other NS

27

1992Other NS

31

1986Other NS

17

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000MICS

5057

2000MICS

90

2006Other NS

Per

cent

20

0

40

60

80

100

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

1988-1993Other NS

86

2000MICS

87

2006Other NS

49

2000MICS

0

2006Other NS

28

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

0

1

2

3

4

5

Per

cent

2007

<1

2006Other NS

54

0

1

2

3

4

5

Per

cent

1

868679

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 90

6767

90

Coverage gap by wealth quintile

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

70

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 52: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Sudan

4016

*Based on 2006 WHO reference population

41,3485,8361,296

331097041

13845053

5,300

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

5631

(2006)

(1999)

Per

cent

20

0

40

60

80

100

72

26

---

---

20,19,24

---

---

(1997)

(1992-93)

(1992-93)

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Sudan

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

No

Yes

No

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

71

6

63

12.0

11

14

35

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2005)

Other13%

Malaria25%

Measles0%

HIV/AIDS57%

Injuries3%

Diarrhoea10%

Pneumonia10%

Neonatal38%

Diarrhoea 2%Other 4%Congenital 8%

Tetanus 1%

Asphyxia 18%

Infection 21%

Preterm 47%

Causes of neonataldeaths

Per

cent

20

0

40

60

80

100

2000MICS

38

2006Other NS

56

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

8

64

49

34

79Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Per

cent

20

0

40

60

80

100

Under-five mortality rateDeaths per 1000 live births

Malaria treatmentPercent febrile children < 5 years using antimalarials

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2008

Per

cent

20

0

40

60

80

100

23 18

34 34

635852

85

646557 55

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

2000MICS

60

2006Other NS

64

1992-1993Other NS

75

1989-1990DHS

70

124

41

109

MDG Target

HIV/AIDS2%

1989-1990DHS

13

2000MICS

16

2006Other NS

34Per

cent

20

0

40

60

80

100

2000MICS

38

2006Other NS

27

1992Other NS

31

1986Other NS

17

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000MICS

5057

2000MICS

90

2006Other NS

Per

cent

20

0

40

60

80

100

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

1988-1993Other NS

86

2000MICS

87

2006Other NS

49

2000MICS

0

2006Other NS

28

Source: IGME 2009

Source: UNICEF/UNAIDS/WHO

0

1

2

3

4

5

Per

cent

2007

<1

2006Other NS

54

0

1

2

3

4

5

Per

cent

1

868679

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 90

6767

90

Coverage gap by wealth quintile

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

70

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 53: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Source: UNICEF/UNAIDS/WHO

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152008 Report

Swaziland

293

*Based on 2006 WHO reference population

1,16815935308359183

390120120

(2008)

(2008)

(2008)

(2006-07)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006-2007)

(2006-2007)

(2006-2007)

(2006-2007)

779

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Swaziland

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

No

Yes

No

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

287

9

16

64.6

16

17

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other11%

Malaria0%

Measles0%

Injuries1%Diarrhoea

8%Pneumonia

9%

Neonatal22%

Diarrhoea 1%

Other 7%Congenital 11%

Tetanus 1%

Asphyxia 20%

Infection 23%

Preterm 37%

Per

cent

20

0

40

60

80

100

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

51

85

69

22

32

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Under-five mortality rateDeaths per 1000 live births

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2008

53 5561

1995

45 4860

28

84

MDG Target

HIV/AIDS49%

Per

cent

20

0

40

60

80

100

2000MICS

24

2006-2007DHS

32

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000MICS

26

2006-2007DHS

1

60

2000MICS

Per

cent

20

0

40

60

80

100

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

2000MICS

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

87

2002Other NS

90

2006-2007DHS

85

Per

cent

20

0

40

60

80

100

1983Other NS

9

2000MICS

9

2006-2007DHS

5

0

20

40

60

80

100

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2005

49

6

2004 2006

8490

>95

2007 2008

*See Annex for indicator definition

2008

6169

92

1995

4353

85

Per

cent

20

0

40

60

80

100

2002Other NS

74

2006-2007DHS

69

2000MICS

70

1994Other NS

56

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

2000MICS

0

2006-2007DHS

1

Source: IGME 2009

2006-2007DHS

73

24

111

24

79

1

8, 8, 8

67

---

(2004)

(2006-07)

(2006-07)

(2006-07)

(2006-07)

(2006-07)95

9595

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

23

44

18

40

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

83

2000MICS

25

2006-2007DHS

22

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

86

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of neonataldeaths

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 54: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Source: UNICEF/UNAIDS/WHO

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152008 Report

Swaziland

293

*Based on 2006 WHO reference population

1,16815935308359183

390120120

(2008)

(2008)

(2008)

(2006-07)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006-2007)

(2006-2007)

(2006-2007)

(2006-2007)

779

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Swaziland

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

No

Yes

No

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

287

9

16

64.6

16

17

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other11%

Malaria0%

Measles0%

Injuries1%Diarrhoea

8%Pneumonia

9%

Neonatal22%

Diarrhoea 1%

Other 7%Congenital 11%

Tetanus 1%

Asphyxia 20%

Infection 23%

Preterm 37%

Per

cent

20

0

40

60

80

100

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

51

85

69

22

32

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Under-five mortality rateDeaths per 1000 live births

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2008

53 5561

1995

45 4860

28

84

MDG Target

HIV/AIDS49%

Per

cent

20

0

40

60

80

100

2000MICS

24

2006-2007DHS

32

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

2000MICS

26

2006-2007DHS

1

60

2000MICS

Per

cent

20

0

40

60

80

100

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

2000MICS

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

87

2002Other NS

90

2006-2007DHS

85

Per

cent

20

0

40

60

80

100

1983Other NS

9

2000MICS

9

2006-2007DHS

5

0

20

40

60

80

100

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

2005

49

6

2004 2006

8490

>95

2007 2008

*See Annex for indicator definition

2008

6169

92

1995

4353

85

Per

cent

20

0

40

60

80

100

2002Other NS

74

2006-2007DHS

69

2000MICS

70

1994Other NS

56

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

2000MICS

0

2006-2007DHS

1

Source: IGME 2009

2006-2007DHS

73

24

111

24

79

1

8, 8, 8

67

---

(2004)

(2006-07)

(2006-07)

(2006-07)

(2006-07)

(2006-07)95

9595

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

23

44

18

40

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

83

2000MICS

25

2006-2007DHS

22

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

86

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of neonataldeaths

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 55: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Tajikistan

397

*Based on 2006 WHO reference population

6,8368711938864542212

170160320

(2008)

(2008)

(2008)

(2005)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2007)

(2007)

1510

(2005)

(2005)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Tajikistan

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Yes

Yes

Partial

Partial

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

93

4

74

70.4

6

10

86

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2005)

Other23 %

Malaria0%

Measles0%

Injuries3%

Diarrhoea19%

Pneumonia20%

Neonatal36%

Diarrhoea 1%Tetanus 1%

Other 5%Congenital 9%

Asphyxia 26%

Infection 18%

Preterm 41%

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

38

89

88

25

86Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100 94 94

2008

9587 89

1995

93

HIV/AIDS0%

Per

cent

20

0

40

60

80

100

2005MICS

1

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

2000MICS

71

2005MICS

77

2007Other NS

89

Per

cent

20

0

40

60

80

100

2007Other NS

15

2005MICS

14

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Neonatal tetanus protectionPercent of newborns protected against tetanus

*See Annex for indicator definition

2008

6170

94

1995

45

58

91

2007Other NS

88

2005MICS

83

2000MICS

71

1996Other NS

79

Under-five mortality rateDeaths per 1000 live births

39

64

117

MDG TargetP

erce

nt

20

0

40

60

80

100

2000MICS

14

2005MICS

25

Per

cent

20

0

40

60

80

100

2229

Per

cent

20

0

40

60

80

100

2005MICS

2000MICS

2005MICS

2

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

51

2000MICS

64

2005MICS

41

EQUITY

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

No data

27

---

49

NA*

---, ---, ---

61

---

(2005)

(2007)

(2005)

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

Source: UNICEF/UNAIDS/WHO

Source: IGME 2009

0

2

4

6

8

10

Per

cent

2005 2006 2007

86

86

46

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 92 879798

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2005

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Commonwealth of independent states, 1997-2007

Source: WHO 2010

Indirect18%

Hypertension14%

Haemorrhage27%

Sepsis7%

Abortion10%

Embolism10%

Other direct13%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 56: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Tajikistan

397

*Based on 2006 WHO reference population

6,8368711938864542212

170160320

(2008)

(2008)

(2008)

(2005)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2007)

(2007)

1510

(2005)

(2005)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Tajikistan

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

No

Yes

Yes

Yes

Partial

Partial

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

93

4

74

70.4

6

10

86

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2005)

Other23 %

Malaria0%

Measles0%

Injuries3%

Diarrhoea19%

Pneumonia20%

Neonatal36%

Diarrhoea 1%Tetanus 1%

Other 5%Congenital 9%

Asphyxia 26%

Infection 18%

Preterm 41%

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

38

89

88

25

86Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100 94 94

2008

9587 89

1995

93

HIV/AIDS0%

Per

cent

20

0

40

60

80

100

2005MICS

1

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

2000MICS

71

2005MICS

77

2007Other NS

89

Per

cent

20

0

40

60

80

100

2007Other NS

15

2005MICS

14

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Neonatal tetanus protectionPercent of newborns protected against tetanus

*See Annex for indicator definition

2008

6170

94

1995

45

58

91

2007Other NS

88

2005MICS

83

2000MICS

71

1996Other NS

79

Under-five mortality rateDeaths per 1000 live births

39

64

117

MDG Target

Per

cent

20

0

40

60

80

100

2000MICS

14

2005MICS

25

Per

cent

20

0

40

60

80

100

2229

Per

cent

20

0

40

60

80

100

2005MICS

2000MICS

2005MICS

2

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

Per

cent

20

0

40

60

80

100

51

2000MICS

64

2005MICS

41

EQUITY

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

No data

27

---

49

NA*

---, ---, ---

61

---

(2005)

(2007)

(2005)

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

Source: UNICEF/UNAIDS/WHO

Source: IGME 2009

0

2

4

6

8

10

Per

cent

2005 2006 2007

86

86

46

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 92 879798

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2005

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Commonwealth of independent states, 1997-2007

Source: WHO 2010

Indirect18%

Hypertension14%

Haemorrhage27%

Sepsis7%

Abortion10%

Embolism10%

Other direct13%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 57: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Tanzania, United Republic of

44

4

*Based on 2006 WHO reference population

42,4847,5661,771

81046733

17595024

13,000

(2008)

(2008)

(2008)

(2004-05)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2004-2005)

(2004-2005)

9110

(2004-2005)

(2004-2005)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Tanzania, United Republic of

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

No

Yes

Yes

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

63

18

26

2.5

11

19

21

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2005)

Other14%

Malaria16%

Measles0%

Injuries3%

Diarrhoea11%

Pneumonia13%

Neonatal34%

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 8%

Asphyxia 29%

Infection 27%

Preterm 28%

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

26

76

43

41

88Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

HIV/AIDS9%

*See Annex for indicator definition

Under-five mortality rateDeaths per 1000 live births

52

104

157

MDG Target

Malaria treatmentPercent febrile children < 5 years using antimalarials

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

139

22

62

30

3,8,2

67

---

(2003)

(2004-05)

(2004-05)

(2007-08)

(2004-05)

(2004-05)40

0

80

120

160

200

Per

cent

20

0

40

60

80

100

1991-1992DHS

2004-2005DHS

17

1996DHS

27

1999DHS

2525 2923

4132

1991-1992DHS

1996DHS

1999Other NS

2004-2005DHS

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

1999DHS

2004-2005DHS

2007-2008Other NS

Per

cent

20

0

40

60

80

100

2

1626

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

5758

2004-2005DHS

2007-2008Other NS

53

1999DHS

Per

cent

20

0

40

60

80

100

53

2004-2005DHS

Per

cent

20

0

40

60

80

100

SanitationPercent population using improved sanitation facilities

TotalRural Urban

1990 2008

23 2721

322424

WaterPercent population using improved drinking water sources

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100

46

94

55

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

5062

78 76

49

1991-1992DHS

1996DHS

1999DHS

2004-2005DHS

2007-2008Other NS

Per

cent

20

0

40

60

80

100

3844 43

36

1991-1992DHS

1996DHS

1999Other NS

2004-2005DHS

EQUITYP

erce

nt

20

0

40

60

80

100

65

22

70 6859

1991-1992DHS

1996DHS

1999DHS

2004-2005DHS

45

80

54

Source: UNICEF/UNAIDS/WHO

0

20

40

60

80

100

Per

cent

2004

2

2005

716

2006

88

84

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 93 939495

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2004

Coverage gap

Mean coverage

Source: IGME 2009

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

2007

48

2008

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

1990 20001995 2005 2008

81

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 58: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Tanzania, United Republic of

44

4

*Based on 2006 WHO reference population

42,4847,5661,771

81046733

17595024

13,000

(2008)

(2008)

(2008)

(2004-05)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2004-2005)

(2004-2005)

9110

(2004-2005)

(2004-2005)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Tanzania, United Republic of

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

No

Yes

Yes

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

63

18

26

2.5

11

19

21

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2005)

Other14%

Malaria16%

Measles0%

Injuries3%

Diarrhoea11%

Pneumonia13%

Neonatal34%

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 8%

Asphyxia 29%

Infection 27%

Preterm 28%

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

26

76

43

41

88Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

1990 1995 2000 2005 2010 2015

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

HIV/AIDS9%

*See Annex for indicator definition

Under-five mortality rateDeaths per 1000 live births

52

104

157

MDG Target

Malaria treatmentPercent febrile children < 5 years using antimalarials

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

139

22

62

30

3,8,2

67

---

(2003)

(2004-05)

(2004-05)

(2007-08)

(2004-05)

(2004-05)40

0

80

120

160

200

Per

cent

20

0

40

60

80

100

1991-1992DHS

2004-2005DHS

17

1996DHS

27

1999DHS

2525 2923

4132

1991-1992DHS

1996DHS

1999Other NS

2004-2005DHS

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

1999DHS

2004-2005DHS

2007-2008Other NS

Per

cent

20

0

40

60

80

100

2

1626

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

5758

2004-2005DHS

2007-2008Other NS

53

1999DHS

Per

cent

20

0

40

60

80

100

53

2004-2005DHS

Per

cent

20

0

40

60

80

100

SanitationPercent population using improved sanitation facilities

TotalRural Urban

1990 2008

23 2721

322424

WaterPercent population using improved drinking water sources

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100

46

94

55

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

5062

78 76

49

1991-1992DHS

1996DHS

1999DHS

2004-2005DHS

2007-2008Other NS

Per

cent

20

0

40

60

80

100

3844 43

36

1991-1992DHS

1996DHS

1999Other NS

2004-2005DHS

EQUITY

Per

cent

20

0

40

60

80

100

65

22

70 6859

1991-1992DHS

1996DHS

1999DHS

2004-2005DHS

45

80

54

Source: UNICEF/UNAIDS/WHO

0

20

40

60

80

100

Per

cent

2004

2

2005

716

2006

88

84

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 93 939495

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2004

Coverage gap

Mean coverage

Source: IGME 2009

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

2007

48

2008

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

1990 20001995 2005 2008

81

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 59: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Togo

276

*Based on 2006 WHO reference population

0

10

20

30

40

50

6,4599472137898643320

51038

1,200

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

7012

(2008)

(2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

2000MICS

18

2006MICS

28

2008Other NS

48

1998DHS

10

1988DHS

14

89

32

46

18

2, 5, 1

53

---

(1996)

(1998)

(1998)

(2006)

(1998)

(2008)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

17

84

62

48

77

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Togo

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

No

Yes

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

68

8

63

3.2

8

11

---

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

Other11%

Malaria26%

Measles0%

HIV/AIDS6%

Injuries2%

Diarrhoea11%

Pneumonia10%

Neonatal35%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2000MICS

2

2006MICS

38

22

2006MICS

21

2008Other NS

22

1988DHS

24

1998DHS

51

1998DHS

2000MICS

49

2003Other NS

61

2006MICS

62

43

1988DHS

82

1998DHS

2000MICS

73

2003Other NS

85

2006MICS

84

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 1%

Other 5%Congenital 8%

Tetanus 2%

Asphyxia 24%

Infection 28%

Preterm 32%

Causes of neonataldeaths

2004

3

10

2005

13

2006

11

2007

18

2008

Per

cent

20

0

40

60

80

100

2000MICS

25

2006MICS

22

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2000MICS

60

2006MICS

48

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1998DHS

2000MICS

2006MICS

26 263023

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2008

Per

cent

20

0

40

60

80

100

83

13 12

25

41

7987

4960

24

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150150

98

50

MDG Target

Under-five mortality rateDeaths per 1000 live births

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Source: UNICEF/UNAIDS/WHO

Source: IGME 2009

77

24

89

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

64 64

39

92

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2006

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

81

1990 20001995 2005 2008

36

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

0

20

40

60

80

100

Page 60: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Togo

276

*Based on 2006 WHO reference population

0

10

20

30

40

50

6,4599472137898643320

51038

1,200

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2008)

(2008)

7012

(2008)

(2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

2000MICS

18

2006MICS

28

2008Other NS

48

1998DHS

10

1988DHS

14

89

32

46

18

2, 5, 1

53

---

(1996)

(1998)

(1998)

(2006)

(1998)

(2008)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

17

84

62

48

77

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Togo

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Yes

No

Yes

Yes

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

68

8

63

3.2

8

11

---

(2007)

(2007)

(2007)

(2008)

(2007)

(2007)

Other11%

Malaria26%

Measles0%

HIV/AIDS6%

Injuries2%

Diarrhoea11%

Pneumonia10%

Neonatal35%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2000MICS

2

2006MICS

38

22

2006MICS

21

2008Other NS

22

1988DHS

24

1998DHS

51

1998DHS

2000MICS

49

2003Other NS

61

2006MICS

62

43

1988DHS

82

1998DHS

2000MICS

73

2003Other NS

85

2006MICS

84

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 1%

Other 5%Congenital 8%

Tetanus 2%

Asphyxia 24%

Infection 28%

Preterm 32%

Causes of neonataldeaths

2004

3

10

2005

13

2006

11

2007

18

2008

Per

cent

20

0

40

60

80

100

2000MICS

25

2006MICS

22

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2000MICS

60

2006MICS

48

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1998DHS

2000MICS

2006MICS

26 263023

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2008

Per

cent

20

0

40

60

80

100

83

13 12

25

41

7987

4960

24

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150150

98

50

MDG Target

Under-five mortality rateDeaths per 1000 live births

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Source: UNICEF/UNAIDS/WHO

Source: IGME 2009

77

24

89

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

64 64

39

92

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2006

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

81

1990 20001995 2005 2008

36

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

0

20

40

60

80

100

Page 61: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Turkmenistan

197

*Based on 2006 WHO reference population

5,044518111964843215

130290140

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

544

(2006)

(2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

21

10

83

NA*

3, 4, 2

60

---

(2006)

(2000)

(2000)

(2000)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

62

11

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Turkmenistan

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Partial

No

Partial

Partial

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

153

10

48

69.6

3

6

---

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

Measles0%

Other21%

Injuries3%

Malaria0%

HIV/AIDS0%

Diarrhoea12%

Pneumonia20%

Neonatal44%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

2000DHS

2006MICS

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 1%Other 5%Congenital 13%

Asphyxia 23%

Infection 19%

Preterm 40%

Causes of neonataldeaths

Per

cent

20

0

40

60

80

100

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000DHS

2006MICS

51 50

83

Per

cent

20

0

40

60

80

100

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100 99

48

33

MDG Target

Under-five mortality rateDeaths per 1000 live births

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2006MICS

8

2006MICS

25

2000DHS

13 11

2006MICS

*Very limited risk of malaria transmission No data

*Very limited risk of malaria transmission

99

99

100

98 99

No data

2000DHS

97

1996Other NS

96

2006MICS

100

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

96

99

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2005

Coverage gap

Mean coverage

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Tetanus 1%

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

10097 9899

19901995

83

2008 2008

72

9797 97 9899

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Commonwealth of independent states, 1997-2007

Source: WHO 2010

Indirect18%

Hypertension14%

Haemorrhage27%

Sepsis7%

Abortion10%

Embolism10%

Other direct13%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 62: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Turkmenistan

197

*Based on 2006 WHO reference population

5,044518111964843215

130290140

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

544

(2006)

(2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

21

10

83

NA*

3, 4, 2

60

---

(2006)

(2000)

(2000)

(2000)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

62

11

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Turkmenistan

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Partial

No

Partial

Partial

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

153

10

48

69.6

3

6

---

(2007)

(2007)

(2007)

(2007)

(2007)

(2007)

Measles0%

Other21%

Injuries3%

Malaria0%

HIV/AIDS0%

Diarrhoea12%

Pneumonia20%

Neonatal44%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

2000DHS

2006MICS

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 1%Other 5%Congenital 13%

Asphyxia 23%

Infection 19%

Preterm 40%

Causes of neonataldeaths

Per

cent

20

0

40

60

80

100

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2000DHS

2006MICS

51 50

83

Per

cent

20

0

40

60

80

100

1990 1995 2000 2005 2010 2015

20

0

40

60

80

100 99

48

33

MDG Target

Under-five mortality rateDeaths per 1000 live births

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

2006MICS

8

2006MICS

25

2000DHS

13 11

2006MICS

*Very limited risk of malaria transmission No data

*Very limited risk of malaria transmission

99

99

100

98 99

No data

2000DHS

97

1996Other NS

96

2006MICS

100

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

Source: IGME 2009

96

99

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: MICS 2005

Coverage gap

Mean coverage

No data

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Tetanus 1%

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

10097 9899

19901995

83

2008 2008

72

9797 97 9899

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Commonwealth of independent states, 1997-2007

Source: WHO 2010

Indirect18%

Hypertension14%

Haemorrhage27%

Sepsis7%

Abortion10%

Embolism10%

Other direct13%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 63: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Underweight prevalencePercent children < 5 years underweight for age*

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Source: UNICEF

7178

67

Per

cent

20

0

40

60

80

100

2005 2006 2007 2008

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

Countdown to 20152010 Report

Uganda

386

*Based on 2006 WHO reference population

31,6576,1821,466

211358531

19055025

8,100

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

8014

(2006)

(2006)

Per

cent

20

0

40

60

80

100

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

24

94

42

60

23

68

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Uganda

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Yes

Yes

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

74

10

38

14.3

13

12

34

(2007)

(2007)

(2007)

(2005)

(2007)

(2007)

(2002-2003)

Other15%

Malaria22%

HIV/AIDS5%

Measles2%

Injuries4%

Diarrhoea16%

Pneumonia12%

Neonatal24%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2000-2001DHS

0

2006DHS

10

16

2006DHS

20

1988-1989DHS

19

2000-2001DHS

Diarrhoea 2%

Congenital 7%Other 5%

Tetanus 1%

Asphyxia 28%

Infection 27%

Preterm 30%

Causes of neonataldeaths

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2939

2006DHS

61

2000-2001DHS

2006DHS

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100CHILD HEALTH

87

1989DHS

1995DHS

2000-2001DHS

2006DHS

949291

38

1989DHS

1995DHS

2000-2001DHS

2006DHS

423938

EQUITY

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200

62

135

186

MDG Target

Under-five mortality rateDeaths per 1000 live births

Source: IGME 2009

Per

cent

20

0

40

60

80

100

1988-1989DHS

1995DHS

67

2000-2001DHS

57 63

2006DHS

60

25

2004

10

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1995DHS

2000-2001DHS

2006DHS

6167 73

47

Per

cent

20

0

40

60

80

100

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

159

41

47

16

3, 9, 2

42

---

(2004)

(2006)

(2006)

(2006)

(2006)

(2006)

40 3935

19901990

39

78

43

6864

68

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

0

20

40

60

80

100

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Source: UNICEF/UNAIDS/WHO2006

91

6764

2008

4938

48

2008

2008

50

2007

33

2005

16

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

85

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 64: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Underweight prevalencePercent children < 5 years underweight for age*

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Source: UNICEF

7178

67

Per

cent

20

0

40

60

80

100

2005 2006 2007 2008

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

Countdown to 20152010 Report

Uganda

386

*Based on 2006 WHO reference population

31,6576,1821,466

211358531

19055025

8,100

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2006)

(2006)

8014

(2006)

(2006)

Per

cent

20

0

40

60

80

100

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

24

94

42

60

23

68

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Uganda

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

Yes

Yes

Partial

No

Partial

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

74

10

38

14.3

13

12

34

(2007)

(2007)

(2007)

(2005)

(2007)

(2007)

(2002-2003)

Other15%

Malaria22%

HIV/AIDS5%

Measles2%

Injuries4%

Diarrhoea16%

Pneumonia12%

Neonatal24%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2000-2001DHS

0

2006DHS

10

16

2006DHS

20

1988-1989DHS

19

2000-2001DHS

Diarrhoea 2%

Congenital 7%Other 5%

Tetanus 1%

Asphyxia 28%

Infection 27%

Preterm 30%

Causes of neonataldeaths

Per

cent

20

0

40

60

80

100

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2939

2006DHS

61

2000-2001DHS

2006DHS

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100CHILD HEALTH

87

1989DHS

1995DHS

2000-2001DHS

2006DHS

949291

38

1989DHS

1995DHS

2000-2001DHS

2006DHS

423938

EQUITY

1990 1995 2000 2005 2010 2015

40

0

80

120

160

200

62

135

186

MDG Target

Under-five mortality rateDeaths per 1000 live births

Source: IGME 2009

Per

cent

20

0

40

60

80

100

1988-1989DHS

1995DHS

67

2000-2001DHS

57 63

2006DHS

60

25

2004

10

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

1995DHS

2000-2001DHS

2006DHS

6167 73

47

Per

cent

20

0

40

60

80

100

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

159

41

47

16

3, 9, 2

42

---

(2004)

(2006)

(2006)

(2006)

(2006)

(2006)

40 3935

19901990

39

78

43

6864

68

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2006

Coverage gap

Mean coverage

0

20

40

60

80

100

Per

cent

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Source: UNICEF/UNAIDS/WHO2006

91

6764

2008

4938

48

2008

2008

50

2007

33

2005

16

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

85

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 65: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Yemen

5814

*Based on 2006 WHO reference population

22,9173,733

84622695332 5743039

3,600

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003)

(2003)

7632

(2003)

(1997)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

1997DHS

18

2003Other NS

12

1991-1992DHS

13

80

39

11

NA*

1, 2, 1

30

---

(2005)

(1997)

(1997)

(1997)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

28

47

36

12

62

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Yemen

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

No

Yes

Yes

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

104

5

59

9.9

5

18

14

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

(2004-2005)

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

48

2006MICS

1997DHS

42

2003Other NS

48

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

28

1991-1992DHS

1997DHS

7

2006MICS

38

2003Other NS

47

32

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

No data

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1995 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2008

Per

cent

20

0

40

60

80

100

618

526460 57

88

726762

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150 127

69

42

MDG Target

Under-five mortality rateDeaths per 1000 live births

1997DHS

34

2003Other NS

41

2006MICS

47

1991-1992DHS

26

1997DHS

22

2003Other NS

27

2006MICS

36

1991-1992DHS

16

EQUITY

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

62

6969

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

4755

15

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 1997

Coverage gap

Mean coverage

Source: IGME 2009

HIV/AIDS0%Pneumonia

13%

Malaria1%

Injuries2%

Measles1%

Diarrhoea20%

Other16% Neonatal

48%

Diarrhoea 2%

Tetanus 5%Congenital 9%

Other 5%

Asphyxia 24%

Infection 22%

Preterm 34%

Causes of neonataldeaths

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

63

1990 20001995 2005 2008

33

94

Average of eight key indicators

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for West Asia, 1997-2007

Source: WHO 2010

Other direct12%

Indirect23%

Haemorrhage32%

Sepsis7%

Embolism3%

Abortion9%

Hypertension13%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Page 66: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Yemen

5814

*Based on 2006 WHO reference population

22,9173,733

84622695332

5743039

3,600

(2008)

(2008)

(2008)

(2006)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2003)

(2003)

7632

(2003)

(1997)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

1997DHS

18

2003Other NS

12

1991-1992DHS

13

80

39

11

NA*

1, 2, 1

30

---

(2005)

(1997)

(1997)

(1997)

(2006)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

28

47

36

12

62

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Yemen

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

Yes

No

Yes

Yes

No

No

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

104

5

59

9.9

5

18

14

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

(2004-2005)

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

48

2006MICS

1997DHS

42

2003Other NS

48

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

28

1991-1992DHS

1997DHS

7

2006MICS

38

2003Other NS

47

32

*Sub-national risk of malaria transmission

*Sub-national risk of malaria transmission

No data

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1995 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2008

Per

cent

20

0

40

60

80

100

618

526460 57

88

726762

1990 1995 2000 2005 2010 2015

30

0

60

90

120

150 127

69

42

MDG Target

Under-five mortality rateDeaths per 1000 live births

1997DHS

34

2003Other NS

41

2006MICS

47

1991-1992DHS

26

1997DHS

22

2003Other NS

27

2006MICS

36

1991-1992DHS

16

EQUITY

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

Malaria preventionPercent children < 5 years sleeping under ITNs*

Malaria treatmentPercent febrile children < 5 years using antimalarials*

62

6969

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100

4755

15

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 1997

Coverage gap

Mean coverage

Source: IGME 2009

HIV/AIDS0%Pneumonia

13%

Malaria1%

Injuries2%

Measles1%

Diarrhoea20%

Other16% Neonatal

48%

Diarrhoea 2%

Tetanus 5%Congenital 9%

Other 5%

Asphyxia 24%

Infection 22%

Preterm 34%

Causes of neonataldeaths

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

* Not applicable

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

63

1990 20001995 2005 2008

33

94

Average of eight key indicators

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for West Asia, 1997-2007

Source: WHO 2010

Other direct12%

Indirect23%

Haemorrhage32%

Sepsis7%

Embolism3%

Abortion9%

Hypertension13%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Page 67: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Zambia

455

*Based on 2006 WHO reference population

12,6202,282

54210

148923677

83027

3,900

(2008)

(2008)

(2008)

(2000)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2007)

(2007)

9311

(2007)

(2007)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Zambia

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Partial

Yes

Partial

Yes

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

79

15

29

7.7

27

28

41

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2004-2005)

Other17%

Malaria15%

Measles1%

Diarrhoea14%

Pneumonia13%

Neonatal26%

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 7%

Asphyxia 28%

Infection 29%

Preterm 29%

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

41

94

47

39

61

85Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

HIV/AIDS12%

*See Annex for indicator definition

Malaria treatmentPercent febrile children < 5 years using antimalarials

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

151

27

60

60

3,6,2

57

---

(2005)

(2007)

(2007)

(2008)

(2007)

(2007)

10

1992DHS

27

1999MICS

19

1996DHS

40

2001-2002DHS

61

2007DHS

Per

cent

20

0

40

60

80

100

21

1992DHS

20

1996DHS

18

2004Other NS

15

2007DHS

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

48

2001-2002DHS

56

2007DHS

Per

cent

20

0

40

60

80

100

SanitationPercent population using improved sanitation facilities

TotalRural Urban

1990 2008

36

62

43

594946

WaterPercent population using improved drinking water sources

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100

23

89

4649

87

60

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100 92

1992DHS

94

2007DHS

83

1999MICS

96

1996DHS

93

2002DHS

Per

cent

20

0

40

60

80

100

51

1992DHS

47

2007DHS

47

1999MICS

47

1996DHS

43

2002DHS

EQUITYP

erce

nt

20

0

40

60

80

100

1996DHS

71

2001-2002DHS

69

1992DHS

62

14

2007DHS

68

47

1990 1995 2000 2005 2010 2015

Under-five mortality rateDeaths per 1000 live births

57

148172

MDG Target40

0

80

120

160

200Injuries

3%

1

1999MICS

7

2001-2002DHS

23

2006Other NS

29

2007DHS

41

2008Other NS

Per

cent

20

0

40

60

80

100

2004

20

2005

21

52

2007

59

2008

38

2006

Per

cent

20

0

40

60

80

100

58

1999MICS

52

2001-2002DHS

58

2006Other NS

38

2007DHS

43

2008Other NS

Source: UNICEF/UNAIDS/WHO

Source: IGME 2009

Per

cent

20

0

40

60

80

10085

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8080

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 95 96

7166

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2007

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

90

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 68: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Zambia

455

*Based on 2006 WHO reference population

12,6202,282

54210

148923677

83027

3,900

(2008)

(2008)

(2008)

(2000)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

(2007)

(2007)

9311

(2007)

(2007)

WATER AND SANITATION

SYSTEMSPOLICIES

Financial Flows and Human Resources

Zambia

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Partial

Yes

Partial

Yes

Partial

Yes

Partial

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

79

15

29

7.7

27

28

41

(2007)

(2007)

(2007)

(2006)

(2007)

(2007)

(2004-2005)

Other17%

Malaria15%

Measles1%

Diarrhoea14%

Pneumonia13%

Neonatal26%

Diarrhoea 2%Other 5%

Tetanus 1%

Congenital 7%

Asphyxia 28%

Infection 29%

Preterm 29%

Causes of neonataldeaths

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

41

94

47

39

61

85Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

HIV/AIDS12%

*See Annex for indicator definition

Malaria treatmentPercent febrile children < 5 years using antimalarials

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

151

27

60

60

3,6,2

57

---

(2005)

(2007)

(2007)

(2008)

(2007)

(2007)

10

1992DHS

27

1999MICS

19

1996DHS

40

2001-2002DHS

61

2007DHS

Per

cent

20

0

40

60

80

100

21

1992DHS

20

1996DHS

18

2004Other NS

15

2007DHS

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Per

cent

20

0

40

60

80

100

48

2001-2002DHS

56

2007DHS

Per

cent

20

0

40

60

80

100

SanitationPercent population using improved sanitation facilities

TotalRural Urban

1990 2008

36

62

43

594946

WaterPercent population using improved drinking water sources

1990 2008

TotalRural Urban

Per

cent

20

0

40

60

80

100

23

89

4649

87

60

Skilled attendant at deliveryPercent live births attended by skilled health personnel

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100 92

1992DHS

94

2007DHS

83

1999MICS

96

1996DHS

93

2002DHS

Per

cent

20

0

40

60

80

100

51

1992DHS

47

2007DHS

47

1999MICS

47

1996DHS

43

2002DHS

EQUITY

Per

cent

20

0

40

60

80

100

1996DHS

71

2001-2002DHS

69

1992DHS

62

14

2007DHS

68

47

1990 1995 2000 2005 2010 2015

Under-five mortality rateDeaths per 1000 live births

57

148172

MDG Target40

0

80

120

160

200Injuries

3%

1

1999MICS

7

2001-2002DHS

23

2006Other NS

29

2007DHS

41

2008Other NS

Per

cent

20

0

40

60

80

100

2004

20

2005

21

52

2007

59

2008

38

2006

Per

cent

20

0

40

60

80

100

58

1999MICS

52

2001-2002DHS

58

2006Other NS

38

2007DHS

43

2008Other NS

Source: UNICEF/UNAIDS/WHO

Source: IGME 2009

Per

cent

20

0

40

60

80

10085

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

8080

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

100 95 96

7166

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2007

Coverage gap

Mean coverage

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

90

1990 20001995 2005 2008

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 69: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Zimbabwe

Underweight prevalencePercent children < 5 years underweight for age*

337

*Based on 2006 WHO reference population

0

20

40

60

80

100

12,4631,707

3787496622836

88043

3,400

(2008)

(2008)

(2008)

(2005-06)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

(2005-2006)

(2005-2006)

7911

(2005-2006)

(2005-2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

101

13

71

6

5,9,3

69

---

(2003)

(2005-06)

(2005-06)

(2005-06)

(2005-06)

(2005-06)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

60

94

69

22

30

66

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Zimbabwe

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

No

Yes

Yes

Partial

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

20

9

27

8.8

18

21

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other15%

Malaria3%

Measles8%

HIV/AIDS21%

Injuries2%

Diarrhoea9%

Pneumonia12%

Neonatal30%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2005-2006DHS

3

2005-2006DHS

1988DHS

1999DHS

Skilled attendant at deliveryPercent live births attended by skilled health personnel

70

1988DHS

1994DHS

69

1999DHS

73

2005-2006DHS

69

91

1988DHS

93

1994DHS

1997Other NS

88

1999DHS

93

2005-2006DHS

94

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 1%Other 5%Congenital 10%

Tetanus 1%

Asphyxia 27%

Infection 19%

Preterm 37%

Causes of neonataldeaths

7

2004

1626

36

200820072006

Per

cent

20

0

40

60

80

100

2005-2006DHS

47

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2005-2006DHS

5

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2005-2006DHS

25

8

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2008

Per

cent

20

0

40

60

80

100

37 3743 44

70

99 9978 82

56

1990 1995 2000 2005 2010 2015

20

0

40

60

80

10079

26

96

MDG Target

Under-five mortality rateDeaths per 1000 live births

12

2005

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

12128

2005-2006DHS

22

1994DHS

11

1988DHS

10

1999DHS

32

Source: UNICEF/UNAIDS/WHO

62

66

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

10083

20

6781

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2005-2006

Coverage gap

Mean coverage

Source: IGME 2009

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

76

Source: WHO/UNICEF

1990 20001995 2005 2008

72

58

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

62

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010

Page 70: Kenya - WHO · Countdown to 2015 2010 Report Kenya 38,765 6,540 1,506 48 128 81 33 189 560 39 7,700 (2008) (2008) (2008) (2003) (2008) (2008) (2008) (2008) (2005) (2005) (2005) 35

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Underweight prevalencePercent children < 5 years underweight for age*

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDRENNUTRITION

Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

Total population (000)

Total under-five population (000)

Births (000)

Birth registration (%)

Under-five mortality rate (per 1000 live births)

Infant mortality rate (per 1000 live births)

Neonatal mortality rate (per 1000 live births)

Total under-five deaths (000)

Maternal mortality ratio (per 100,000 live births)

Lifetime risk of maternal death (1 in N)

Total maternal deaths

Stunting prevalence (moderate and severe, %)

Wasting prevalence (moderate and severe, %)

Complementary feeding rate (6-9 months, %)

Low birthweight incidence (%)

CHILD HEALTH

Countdown to 20152010 Report

Zimbabwe

Underweight prevalencePercent children < 5 years underweight for age*

337

*Based on 2006 WHO reference population

0

20

40

60

80

100

12,4631,707

3787496622836

88043

3,400

(2008)

(2008)

(2008)

(2005-06)

(2008)

(2008)

(2008)

(2008)

(2005)

(2005)

(2005)

Causes of under-five deaths, 2008Globally more than one third of child deaths are attributable toundernutrition

(2005-2006)

(2005-2006)

7911

(2005-2006)

(2005-2006)

Per

cent

20

0

40

60

80

100

Per

cent

20

0

40

60

80

100

Per

cent

101

13

71

6

5,9,3

69

---

(2003)

(2005-06)

(2005-06)

(2005-06)

(2005-06)

(2005-06)

Coverage along the continuum of care

Source: DHS, MICS, Other NS

*See Annex for indicator definition

Pre-pregnancy

Pregnancy

Birth

Neonatal period

Infancy

0 20 40 60 80 100

60

94

69

22

30

66

WATER AND SANITATION EQUITY

SYSTEMSPOLICIES

Financial Flows and Human Resources

Zimbabwe

Per

cent

20

0

40

60

80

100

International Code of Marketing of Breastmilk Substitutes

New ORS formula and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

IMCI adapted to cover newborns 0-1 week of age

Costed implementation plan(s) for maternal, newborn and child health available

Midwives be authorised to administer a core set of life saving interventions

Maternity protection in accordance with ILO Convention 183

Specific notification of maternal deaths

Yes

Yes

No

Yes

Yes

Partial

No

Yes

Per capita total expenditure on health (US$)

General government expenditure on health as % of total government expenditure (%)

Out-of-pocket expenditure as % of total expenditure on health (%)

Density of health workers (per 10,000 population)

Official Development Assistance to child healthper child (US$)

Official Development Assistance to maternal and neonatal health per live birth (US$)

National availability of Emergency Obstetric Care services (% of recommended minimum)

20

9

27

8.8

18

21

---

(2007)

(2007)

(2007)

(2004)

(2007)

(2007)

Other15%

Malaria3%

Measles8%

HIV/AIDS21%

Injuries2%

Diarrhoea9%

Pneumonia12%

Neonatal30%

Measles

Exclusivebreastfeeding

Skilled attendantat birth

Antenatal visit(1 or more)

Contraceptiveprevalence rate

*Postnatal care

Antenatal carePercent women aged 15-49 years attended at least once by a skilled health provider during pregnancy

Per

cent

20

0

40

60

80

100

Malaria preventionPercent children < 5 years sleeping under ITNs

Per

cent

20

0

40

60

80

100

2005-2006DHS

3

2005-2006DHS

1988DHS

1999DHS

Skilled attendant at deliveryPercent live births attended by skilled health personnel

70

1988DHS

1994DHS

69

1999DHS

73

2005-2006DHS

69

91

1988DHS

93

1994DHS

1997Other NS

88

1999DHS

93

2005-2006DHS

94

Prevention of mother to childtransmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

Diarrhoea 1%Other 5%Congenital 10%

Tetanus 1%

Asphyxia 27%

Infection 19%

Preterm 37%

Causes of neonataldeaths

7

2004

1626

36

200820072006

Per

cent

20

0

40

60

80

100

2005-2006DHS

47

Malaria treatmentPercent febrile children < 5 years using antimalarials

Per

cent

20

0

40

60

80

100

2005-2006DHS

5

Pneumonia treatment Percent children < 5 years with suspected pneumonia taken to appropriate health provider Percent children < 5 years with suspected pneumonia receiving antibiotics

2005-2006DHS

25

8

Per

cent

20

0

40

60

80

100

WaterPercent population using improved drinking water sources

SanitationPercent population using improved sanitation facilities

1990 2008

TotalRural Urban TotalRural Urban

Per

cent

20

0

40

60

80

100

1990 2008

Per

cent

20

0

40

60

80

100

37 3743 44

70

99 9978 82

56

1990 1995 2000 2005 2010 2015

20

0

40

60

80

10079

26

96

MDG Target

Under-five mortality rateDeaths per 1000 live births

12

2005

Immunization Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses Hib

12128

2005-2006DHS

22

1994DHS

11

1988DHS

10

1999DHS

32

Source: UNICEF/UNAIDS/WHO

62

66

1990 1994 1998 2002 2006 2008

Per

cent

20

0

40

60

80

100

Source: WHO/UNICEF

Vitamin A supplementationPercent children 6-59 months receiving two doses of vitamin A during calender year

2005 2006 2007 2008Source: UNICEF

Per

cent

20

0

40

60

80

10083

20

6781

Coverage gap by wealth quintile

Poorest 2nd 3rd 4th Wealthiest

20

0

40

60

80

100

Wealth quintileSource: DHS 2005-2006

Coverage gap

Mean coverage

Source: IGME 2009

Adolescent birth rate (births per 1,000 women)

Unmet need for family planning (%)

Antenatal visits for woman (4 or more visits, %)

Intermittent preventive treatment for malaria (%)

C-section rate (total, urban, rural; %)(Minimum target is 5% and maximum target is 15%)

Early initiation of breastfeeding (within 1 hr of birth, %)

Postnatal visit for baby (within 2 days for home births, %)

Neonatal tetanus protectionPercent of newborns protected against tetanus

Per

cent

20

0

40

60

80

100

76

Source: WHO/UNICEF

1990 20001995 2005 2008

72

58

Average of eight key indicators

Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

62

Source: WHO/CHERG 2010 Source: WHO/CHERG 2010

Causes of maternal deathsRegional estimates for Sub-Saharan Africa, 1997-2007

Source: WHO 2010

Other direct11%

Indirect17%

Haemorrhage34%

Sepsis9%

Embolism1%

Abortion9%

Hypertension19%

Source: WHO/UNICEF JMP, 2010Source: WHO/UNICEF JMP, 2010


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