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Countdown to 2015: A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report 45 Country profiles The information summarized in the profiles is intended to help policymakers and their partners assess progress, prioritize actions and ensure accountability for commitments to reduce maternal, newborn, and child mortality. The following section contains profiles for the 75 Countdown countries: Afghanistan Angola Azerbaijan Bangladesh Benin Bolivia Botswana Brazil Burkina Faso Burundi Cambodia Cameroon Central African Republic Chad China Comoros Congo Congo, Democratic Republic of the Côte d’Ivoire Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia, The Ghana Guatemala Guinea Guinea-Bissau Haiti India Indonesia Iraq Kenya Korea, Democratic People’s Republic of Kyrgyzstan Lao People’s Democratic Republic Lesotho Liberia Madagascar Malawi Mali Mauritania Mexico Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Papua New Guinea Peru Philippines Rwanda São Tomé and Príncipe Senegal Sierra Leone Solomon Islands Somalia South Africa South Sudan Sudan Swaziland Tajikistan Tanzania, United Republic of Togo Turkmenistan Uganda Uzbekistan Viet Nam Yemen Zambia Zimbabwe

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Countdown to 2015: A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report 45

Country profiles

The information summarized in the profiles is intended to help policymakers and their partners assess progress, prioritize actions and ensure accountability for commitments to reduce maternal, newborn, and child mortality.

The following section contains profiles for the 75 Countdown countries:

AfghanistanAngolaAzerbaijanBangladeshBeninBoliviaBotswanaBrazilBurkina FasoBurundiCambodiaCameroonCentral African Republic ChadChinaComorosCongoCongo, Democratic Republic of theCôte d’IvoireDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambia, TheGhanaGuatemalaGuineaGuinea-BissauHaitiIndiaIndonesia

IraqKenyaKorea, Democratic People’s Republic ofKyrgyzstanLao People’s Democratic RepublicLesothoLiberiaMadagascarMalawiMaliMauritaniaMexicoMoroccoMozambiqueMyanmarNepalNigerNigeriaPakistanPapua New GuineaPeruPhilippinesRwandaSão Tomé and PríncipeSenegalSierra LeoneSolomon IslandsSomaliaSouth AfricaSouth SudanSudanSwazilandTajikistan Tanzania, United Republic ofTogoTurkmenistanUgandaUzbekistanViet NamYemenZambiaZimbabwe

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Countdown to 2015: A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report46

The Countdown country profile: a tool for action

The Countdown country profiles present in one place the latest evidence to assess country progress in improving reproductive, maternal, newborn and child health. The two-page profiles in this report are updated every two years with new data and analyses. Countdown has also committed to annually updating the core indicators selected by the Commission on Information and Accountability for Women’s and Children’s Health.

Reviewing the information

The first step in using the country profiles is to explore the range of data presented: demographics, mortality, coverage of evidence-based interventions, nutritional status and socioeconomic equity in coverage, and information on policies, health systems and financing. Key questions in reviewing the data include:

• Are trends in mortality and nutritional status moving in the right direction? Is the country on track to achieve the health-related Millennium Development Goals?

• How high is coverage for each intervention? Are trends moving in the right direction towards universal coverage? Are there gaps in coverage for specific interventions?

• How equitable is coverage? Are certain interventions particularly inaccessible for the poorest segment of the population?

• Are key policies and systems measures and adequate funding in place to bring coverage of key interventions to scale?

Identifying areas to accelerate progress

The second step in using the country profiles is to identify opportunities to address coverage gaps and accelerate progress in improving coverage and health outcomes across the continuum of care. Questions to ask include:

• Are the coverage data consistent with the epidemiological situation? For example:

• If pneumonia deaths are high, are policies in place to support community case management of pneumonia? Are coverage levels low for careseeking and antibiotic treatment for pneumonia, and what can be done to reach universal coverage? Are the rates of deaths due to diarrhoea consistent with the coverage levels and trends of improved water sources and sanitation facilities?

• In priority countries for eliminating mother-to-child transmission of HIV, are sufficient resources being targeted to preventing mother-to-child transmission?

• Does lagging progress on reducing maternal mortality or high newborn mortality reflect low coverage of family planning, antenatal care, skilled attendant at delivery and postnatal care?

• Do any patterns in the coverage data suggest clear action steps? For example, coverage for interventions involving treatment of an acute need (such as treatment of childhood diseases and childbirth services) is often lower than coverage for interventions delivered routinely through outreach or scheduled in advance (such as vaccinations). This gap suggests that health systems need to be strengthened, for example by training and deploying skilled health workers to increase access to care.

• Do the gaps and inequities in coverage along the continuum of care suggest prioritizing specific interventions and increasing funding for reproductive, maternal, newborn and child health? For example, is universal access to labour, childbirth and immediate postnatal care being prioritized in countries with gaps in interventions delivered around the time of birth?

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Countdown to 2015: A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report 47

Sample country profile

5756

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

(R,F)

13% 2%Preterm 11%

Asphyxia* 8%

Other 2%

Congenital 2%

Sepsis** 7%

0%11%

Measles 1%Injuries 5%

Malaria 12%

HIV/AIDS 1%

Other 25%

22

52

26 General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

13 (2014)

Percent children < 5 years sleeping under ITNs

720

70 73

020406080

100

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

82

78 81 84 84 83

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

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

Causes of maternal deaths, 2013

42 4249

3326 23 23

50

020406080

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

28 (2011-2012)

23 (2011-2012)

5, 0, 0 (2014)

79 (2014)

78 (2014)

9 (2006)

93 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

59 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

11 (2013)

22 (2012)

29 (2012)

Reproductive, maternal, newborn and child health expenditure by source

Available

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

8.3

33

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

2

34

-

(2015)

(2015)

(2015)

(2008)

(2011)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

41 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 32%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

7 206

198

8

79

53

1990 2015

1836

16

3215

751

25

1990 20151 71

103

7

9576

1990 2015

518

52

60

21

20222

1990 2015

1534

58

51

18

149 1

1990 20150 5

49

67

23

25283

1990 2015

(2012)

(2006)

EQUITY

1550

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011-2012)

(2011-2012)

(2013)

559

99

Low birthweight prevalence (%)

10

38 4333

41

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.798

24

(2015)32

(2013)59

(2015)10,880(2015)1,708(2015)388

(2011-2012)80

(2013)1,300Total maternal deaths

180

100

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 60

Source: UN IGME 2015

600

340

150

0100200300400500600700

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

63

41

78

77

59

28

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

60 66

74 81 77

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

>112

26

53

0

20

40

60

80

100

2005 2008 2011 2014

Perc

ent

32 35 36 3123

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

Pneumonia treatment

6370

7070

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

26 22 20 18

39 3945

34

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2014pMICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)32

Infant mortality rate (per 1000 live births) (2015)64

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)37

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

53 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011-2012

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

BeninBenin

Impact: under-5 mortality rateand maternal mortality ratioThese charts display trends overtime, reflecting progress towardsreaching the MillenniumDevelopment Goal 4 and 5 targets.

Cause of deathThese charts provide information useful for interpreting the coverage measures and identifying programmatic priorities.

Intervention coverageThese charts show most recent coveragelevels and trends for selected reproductive,maternal, newborn and child health interventions.

Continuum of careGaps in coverage along the continuum of care frompre-pregnancy and childbirth through childhood upto age 5 should serve as a call to action for a countryto prioritize these interventions.

Health systems and financingThese indicators provideinformation on health systemstrength and available financingfor scaling up interventions.

Water and sanitationWater and sanitation fromimproved sources are essentialfor reducing transmission ofinfectious disease.

NutritionUndernutrition contributes to nearly half of all deaths among children underage 5 globally.

Equity in coverageSocioeconomic inequitiesin coverage highlight theneed for concerted effortsto improve coverageamong the poorest.

Key population characteristicsThese demographic indicators include the proportion of newborn deaths among all deaths of children under age 5, a Commission on Information and Accountability for Women’s and Children’s Health indicator.

PoliciesThese indicators show whether needed policies are in place to support the introduction and scale-up of proven interventions.

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48

NUTRITION(2011)

-

(2013)

10-

97

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

54

* See Annex/website for indicator definition

CHILD HEALTH

(2013)

-

EQUITY

-

No Data

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.790

29

(2015)36

(2013)49

(2015)32,527(2015)4,950(2015)1,081

(2010-2011)37

(2013)4,200Total maternal deaths

181

91

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 60

Source: UN IGME 2015

1200

400300

0200400600800

100012001400

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

66

23

39

15

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

1424

34 39

0

20

40

60

80

100

2003MICS

2008Other NS

2010DHS

2010-2011MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <1 1 10

2

4

6

8

10

2005 2008 2011 2014Pe

rcen

t

61

0

20

40

60

80

100

2010-2011MICS

Perc

ent

Pneumonia treatment

66

7575

40

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

45 33

25

53 59

41

0

20

40

60

80

100

1997MICS

2004Other NS

2013Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Low birthweight prevalence (%)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)38

Infant mortality rate (per 1000 live births) (2015)66

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)94

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

1 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2010-2011

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49

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

17% 2% Preterm 12%

Asphyxia* 10%

Other 3%

Congenital 2%

Sepsis** 8%

0%12%

Measles 1%Injuries 7%Malaria 0%

HIV/AIDS 0%

Other 24%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 30%

Hypertension 10%Indirect 29%

Other direct 8%

Abortion 6%

Sepsis 14%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

143

16

36

60

48

0

20

40

60

80

100

2003MICS

2008Other NS

2010DHS

2010-2011MICS

Perc

ent

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

Causes of maternal deaths, 2013

4830

53

020406080

100

2003MICS

2010-2011MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1995-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

- -

- -

4, 9, 2 (2010-2011)

- -

23 (2010)

- -

70 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

15 (2010-2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

7 (2013)

36 (2012)

84 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

6

No

Yes

Yes

No

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

0

6.8

43

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

2

-

(2015)

(2015)

(2015)

(2015)

(2009)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

No

Note: See annexes for additional information on the indicators above

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

74 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 38%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

21 32

712

38

43

3413

1995 2015

26

45

13

22

45

33

160

1995 2015

1927

68

3748

38

17

1995 2015

1 1221

4337

3941

6

1995 2015

3

31

40

47

44

2013

2

1995 20150 5

16

4236

4648

7

1995 2015

General government expenditure

External sources

Private sources

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50

NUTRITION(2007)

-

(2013)

8-

48

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

55

* See Annex/website for indicator definition

CHILD HEALTH

(2007)

(2000)

EQUITY

12Low birthweight prevalence (%)

No Data

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

6.0191

25

(2015)49

(2013)35

(2015)25,022(2015)4,718(2015)1,128(2001)36

(2013)4,400Total maternal deaths

226

157

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 75

Source: UN IGME 2015

1400

460

350

0

500

1000

1500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

85

47

32

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

23

47

0

20

40

60

80

100

1996MICS

2006-2007Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

316 14

45

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

No Data

Pneumonia treatment

8580

8061

180

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

37

16

62

29

0

20

40

60

80

100

1996MICS

2007Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)31

Infant mortality rate (per 1000 live births) (2015)96

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)169

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

45 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Angola

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51

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

15%2% Preterm 10%

Asphyxia* 9%

Other 2%

Congenital 2%

Sepsis** 6%

0%14%

Measles 0%Injuries 5%Malaria 6%

HIV/AIDS 1%

Other 26%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Improved and shared facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

77 (2011)

Percent children < 5 years sleeping under ITNs

18 26

020406080

100

2006-2007Other NS

2011Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

355

80

0

20

40

60

80

100

2006-2007Other NS

Perc

ent

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

Causes of maternal deaths, 2013

No Data

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015Unimproved facilities

treated with ORS

- -

18 (2011)

- -

- -

- -

- -

78 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

32 (1996)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

8 (2013)

12 (2012)

10 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

6

No

Yes

Yes

No

No

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

18.3

33

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

2

25

-

(2015)

(2015)

(2015)

(2009)

(2006)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

Yes

Note: See annexes for additional information on the indicators above

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

24 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 31%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

22

52

14

18

64

30

1990 2015

65

89

1

1034

1

1990 2015

822

18

24

74

54

1990 2015

515

4134

30 20

24 31

1990 2015

1932

33

43

44

21

4 4

1990 20151 2

43 26

26

21

30

51

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Angola

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52

NUTRITION(2006)

(2006)

(2013)

383

87

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

32

* See Annex/website for indicator definition

CHILD HEALTH

(2013)

(2006)

EQUITY

10Low birthweight prevalence (%)

712 12

0

20

40

60

80

100

2000MICS

2006DHS

2013Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.347

12

(2015)18

(2013)1,800

(2015)9,754(2015)930(2015)193(2006)94

(2013)43Total maternal deaths

95

32

020406080

100120

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 32

Source: UN IGME 2015

60

26

15

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015MDG Target

Maternal mortality ratio

Source: MMEIG 2014

98

12

79

97

66

77

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

97 10084

8997

0

20

40

60

80

100

1990Other NS

1998Other NS

2000MICS

2006DHS

2011DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

28 3746

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

36

0

20

40

60

80

100

2000MICS

Perc

ent

Pneumonia treatment

98949464

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

914

6 8 5

2824 18 27

18

0

20

40

60

80

100

1996Other NS

2000MICS

2001Other NS

2006DHS

2013Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)59

Infant mortality rate (per 1000 live births) (2015)28

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)7

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

46 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2006

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Azerbaijan

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53

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

(R,F)9% 3%

Preterm 22%

Asphyxia* 12%

Other 4%

Congenital 10%

Sepsis** 8%

0%6%Measles 0%

Injuries 6%

Malaria 0%

HIV/AIDS 0%

Other 20%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 11%

Haemorrhage 23%

Hypertension 15%

Indirect 22%

Other direct 17%

Abortion 5%

Sepsis 9%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

10

20406080

100

2000MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

957

98

66 7077

92

0

20

40

60

80

100

1997MoH

2000MICS

1996-2001Other NS

2006DHS

2011DHS

Perc

ent

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

Causes of maternal deaths, 2013

40 3010

2111

020406080

100

2000MICS

2006DHS

2011DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

77 (2006)

- -

20, 25, 13 (2011)

- -

79 (2011)

4 (2006)

- -

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

66 (2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Caucasus and Central Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

4 (2013)

5 (2012)

17 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

2

Yes

Yes

Yes

Yes

-

Yes

No

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

0

99.4

2-

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

2

-

(2015)

(2015)

(2015)

-

(2013)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

-

Note: See annexes for additional information on the indicators above

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

71 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 59%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

63

89

4

6335

0 0

1995 2015

75

92

78

18 00 0

1995 2015

49

871

250

110 0

1995 2015

40

66

29

2120

11112

1990 2015

65

89

20

61451 0

1990 2015

11

38

39

4029

1721

5

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Azerbaijan

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54

NUTRITION(2013)

(2012-2013)

(2013)

1442

97

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

44

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

(2006)

EQUITY

22Low birthweight prevalence (%)

46 46 42 43

6455

0

20

40

60

80

100

1993-94DHS

1999-00DHS

2004DHS

2007DHS

2011DHS

2014pDHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.183

36

(2015)23

(2013)250

(2015)160,996(2015)15,331(2015)3,134(2011)31

(2013)5,200Total maternal deaths

144

38

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 48

Source: UN IGME 2015

550

170

140

0

100

200

300

400

500

600

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

89

55

34

42

31

82

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles10 12

13 1832

42

0

20

40

60

80

100

1993-94DHS

1999-00DHS

2004DHS

2007DHS

2011DHS

2014pDHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

138

18

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

28 27 20

37 3542

0

20

40

60

80

100

1993-94DHS

1999-00DHS

2004DHS

2007DHS

2011DHS

2014pDHS

Perc

ent

Pneumonia treatment

89

9595

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

62

4243

41 37 33

6351 51

43 4136

0

20

40

60

80

100

1989-90Other NS

1999-00DHS

2004DHS

2007DHS

2011DHS

2014pDHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)62

Infant mortality rate (per 1000 live births) (2015)31

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)119

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

18 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Bangladesh

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55

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

11%4%

Preterm 19%

Asphyxia* 14%

Other 4%

Congenital 8%

Sepsis** 13%0%6%Measles 2%

Injuries 5%

Malaria 0%

HIV/AIDS 0%

Other 14%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 30%

Hypertension 10%Indirect 29%

Other direct 8%

Abortion 6%

Sepsis 14%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

95

26

33

49 52 5564

0

20

40

60

80

100

1993-94DHS

1999-00DHS

2004DHS

2007DHS

2011DHS

2014pDHS

Perc

ent

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

Causes of maternal deaths, 2013

52

68 76

5061

6777 78 77

020406080

100

1993-94DHS

1999-00DHS

2004DHS

2007DHS

2011DHS

2014pDHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

82 (2012-2013)

- -

23, 38, 18 (2014)

32 (2014)

34 (2014)

28 (2011)

96 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

31 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

8 (2013)

8 (2012)

21 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

6

No

No

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2

5.7

23

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

3

184

(2015)

(2015)

(2015)

(2015)

(2011)

(2012)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

Yes

Note: See annexes for additional information on the indicators above

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

60 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 62%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

34

61

16

2816

1034

1

1990 2015

4758

24

30

191210 0

1990 2015

31

6214

28

15

8

40

2

1990 2015

5 12

63

75

26

136 0

1990 2015

2332

5855

1713

2 0

1990 20150 1

65

86

28

137 0

1990 2015

Very limited risk

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Bangladesh

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56

(2006)

EQUITY

1550

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011-2012)

(2011-2012)

(2013)

559

99

Low birthweight prevalence (%)

10

38 4333

41

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.798

24

(2015)32

(2013)59

(2015)10,880(2015)1,708(2015)388

(2011-2012)80

(2013)1,300Total maternal deaths

180

100

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 60

Source: UN IGME 2015

600

340

150

0100200300400500600700

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

63

41

78

77

59

28

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

60 66

74 81 77

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

>112

26

53

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

32 35 36 3123

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

Pneumonia treatment

6370

7070

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

26 22 20 18

39 3945

34

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2014pMICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)32

Infant mortality rate (per 1000 live births) (2015)64

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)37

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

53 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011-2012

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Benin

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57

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

(R,F)

13% 2%Preterm 11%

Asphyxia* 8%

Other 2%

Congenital 2%

Sepsis** 7%

0%11%

Measles 1%Injuries 5%

Malaria 12%

HIV/AIDS 1%

Other 25%

22

52

26 General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

13 (2014)

Percent children < 5 years sleeping under ITNs

720

70 73

020406080

100

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

82

78 81 84 84 83

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

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

Causes of maternal deaths, 2013

42 4249

3326 23 23

50

020406080

100

1996DHS

2001DHS

2006DHS

2011-2012DHS

2014pMICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

28 (2011-2012)

23 (2011-2012)

5, 0, 0 (2014)

79 (2014)

78 (2014)

9 (2006)

93 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

59 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

11 (2013)

22 (2012)

29 (2012)

Reproductive, maternal, newborn and child health expenditure by source

Available

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

8.3

33

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

2

34

-

(2015)

(2015)

(2015)

(2008)

(2011)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

41 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 32%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

7 206

198

8

79

53

1990 2015

1836

16

3215

751

25

1990 20151 71

103

7

9576

1990 2015

518

52

60

21

20222

1990 2015

1534

58

51

18

149 1

1990 20150 5

49

67

23

25283

1990 2015

(2012)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Benin

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58

NUTRITION(2008)

(2008)

(2013)

283

40

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

64

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

(2008)

EQUITY

6Low birthweight prevalence (%)

51 4350 54 60

64

0

20

40

60

80

100

1989DHS

1994DHS

1998DHS

2003DHS

2008DHS

2012Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.989

17

(2015)20

(2013)140

(2015)10,725(2015)1,186(2015)253(2008)76

(2013)550Total maternal deaths

124

38

0

30

60

90

120

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 41

Source: UN IGME 2015

510

200

130

0

100

200

300

400

500

600

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

95

64

77

85

75

75

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

4347

59 6171

85

0

20

40

60

80

100

1989DHS

1994DHS

1998DHS

2003DHS

2008DHS

2012Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 5

45 56

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

40 43 54 52 51

62

0

20

40

60

80

100

1994DHS

1998DHS

2000MICS

2003DHS

2008DHS

2011Other NS

Perc

ent

Pneumonia treatment

9594 94

56

99

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

11 6 6 5 4

44 37 3333 27

18

0

20

40

60

80

100

1989DHS

1994DHS

1998DHS

2003DHS

2008DHS

2012Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)51

Infant mortality rate (per 1000 live births) (2015)31

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)9

(2009)

(2015)

(2005)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

56 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2008

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Bolivia

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59

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

Embolism 3%

Haemorrhage 23%

Hypertension 22%Indirect 19%

Other direct 15%

Abortion 10%

Sepsis 8%

Source: WHO 2014

Regional estimates for Latin America, 2013

11% 3% Preterm 17%

Asphyxia* 13%

Other 4%

Congenital 8%

Sepsis** 7%

0%6%Measles 0%Injuries 7%

Malaria 0%

HIV/AIDS 0%

Other 25%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

372

4553

6979 86

90

0

20

40

60

80

100

1989DHS

1994DHS

1998DHS

2003DHS

2008DHS

2012Other NS

Perc

ent

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

Causes of maternal deaths, 2013

5954

293330 25

29 35 22

020406080

100

1994DHS

1998DHS

2000MICS

2003DHS

2008DHS

2012Other NS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

75 (2008)

- -

27, 34, 13 (2012)

77 (2008)

77 (2008)

1 (2008)

87 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

75 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

10 (2013)

19 (2012)

29 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Partial

Yes

No

No

Partial

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

14.8

33

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

3

48

(2015)

(2015)

(2015)

(2015)

(2011)

(2003)

100

80

60

40

20

0

Perc

ent

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

20 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 51%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

2850

12

2114

1246

17

1990 2015

4261

19

2715

8244

1990 2015

11282

615

20

72

46

1990 2015

52

84

16

613

4196

1990 2015

8096

1118 31 0

1990 2015

17

59

23

1718

4

4220

1990 2015

(R)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Bolivia

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60

NUTRITION(2007)

-

(2013)

7-

83

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

40

* See Annex/website for indicator definition

CHILD HEALTH

(2007)

(2007)

EQUITY

13Low birthweight prevalence (%)

3420

0

20

40

60

80

100

2000MICS

2007Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.839

16

(2015)22

(2013)200

(2015)2,262(2015)266(2015)55

(2007-2008)72

(2013)83Total maternal deaths

54

44

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 18

Source: UN IGME 2015

360

170

90

0

100

200

300

400

500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

97

20

95

73

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

7887

94 95

0

20

40

60

80

100

1988DHS

1996Other NS

2000MICS

2007Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

77 76 92 91

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

14

0

20

40

60

80

100

2000MICS

Perc

ent

Pneumonia treatment

9795 96

8182

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

1511 11

3529 31

0

20

40

60

80

100

1996Other NS

2000MICS

2007Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)51

Infant mortality rate (per 1000 live births) (2015)35

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)2

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

59 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Botswana

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61

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

(R,F)

9% 3%Preterm 19%

Asphyxia* 11%

Other 3%

Congenital 7%

Sepsis** 8%0%6%

Measles 1%Injuries 6%

Malaria 0%

HIV/AIDS 5%

Other 22%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

No Data

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

851

92 97 94

0

20

40

60

80

100

1988Other NS

2000MICS

2007Other NS

Perc

ent

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

Causes of maternal deaths, 2013

7

49

020406080

100

2000MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

- -

- -

- -

- -

- -

- -

92 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

73 (2007)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

9 (2013)

5 (2012)

15 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

5

No

Yes

Yes

No

Yes

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

37.5

33

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

2

-

(2015)

(2015)

(2015)

(2015)

(2009)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

5 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 51%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

3963

6

821

1534

14

1990 2015

62

79

5

62215

11 0

1990 2015

23

436

1120

12

5134

1990 2015

22

74

70

223 2

5 2

1990 2015

40

96

60

30 10 0

1990 2015

9

45

78

47

548 4

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Botswana

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62

NUTRITION(2006)

(2006)

-

294

n/a

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

43

* See Annex/website for indicator definition

CHILD HEALTH

(2006-2007)

(2012)

EQUITY

9Low birthweight prevalence (%)

2

39

0

20

40

60

80

100

1986DHS

2006MoH

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

1.865

10

(2015)9

(2013)780

(2015)207,848(2015)15,032(2015)3,016(2011)93

(2013)2,100Total maternal deaths

61

16

010203040506070

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 20

Source: UN IGME 2015

120

69

30

020406080

100120140

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

97

39

98

89

93

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

88

97 98

0

20

40

60

80

100

1996DHS

2006MoH

2012MoH

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

46 50

0

20

40

60

80

100

1996DHS

2006MoH

Perc

ent

Pneumonia treatment

979395

9392

020406080

100

1990 1995 2000 2005 2010

Perc

ent

5 5 4 2

19 147

0

20

40

60

80

100

1989Other NS

1996DHS

2002-2003Other NS

2006MoH

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)55

Infant mortality rate (per 1000 live births) (2015)15

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)52

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 1996

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Brazil

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63

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

(R)

Embolism 3%

Haemorrhage 23%

Hypertension 22%Indirect 19%

Other direct 15%

Abortion 10%

Sepsis 8%

Source: WHO 2014

Regional estimates for Latin America, 2013

8%1% Preterm 17%

Asphyxia* 8%

Other 10%

Congenital 11%

Sepsis** 8%

0%3%Measles 0%

Injuries 6%

Malaria 0%

HIV/AIDS 0%

Other 29%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

1,452

7486

97 98 98

0

20

40

60

80

100

1986DHS

1996DHS

2003MoH

2006MoH

2009MoH

Perc

ent

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

Causes of maternal deaths, 2013

44

020406080

100

1996DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

93 (2006)

- -

56, 0, 0 (2012)

- -

- -

6 (1996)

93 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

89 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

7 (2013)

0 (2012)

1 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

5

Partial

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

94.9

3-

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

3

-

(2015)

(2015)

(2015)

-

(2013)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

30 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 55%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

6783

1115

14172

1990 2015

7988

1114

116 0

1990 2015

31

52

1

120

3448

13

1990 2015

7894

10

48 24 0

1990 2015

92

98

4

2400 0

1990 2015

38

70

30

1718

10143

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Brazil

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64

NUTRITION(2010)

(2012)

(2013)

1157

99

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

42

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

(2010)

EQUITY

14Low birthweight prevalence (%)

3 6

19

7

25

50

0

20

40

60

80

100

1993DHS

1998-99DHS

2003DHS

2006MICS

2010DHS

2014Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.4136

26

(2015)27

(2013)44

(2015)18,106(2015)3,144(2015)717(2010)77

(2013)2,800Total maternal deaths

202

89

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 67

Source: UN IGME 2015

770

400

190

0

200

400

600

800

1000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

88

50

72

66

34

32

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

4231

38

5466

0

20

40

60

80

100

1993DHS

1998-99DHS

2003DHS

2006MICS

2010DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

25

5675

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

19 22

36 39

56

0

20

40

60

80

100

1993DHS

1998-99DHS

2003DHS

2006MICS

2010DHS

Perc

ent

Pneumonia treatment

88

919191

91

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

30 34 35 3826 24

4146 43 42

35 33

0

20

40

60

80

100

1993DHS

1998-99DHS

2003DHS

2006MICS

2009Other NS

2012Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)30

Infant mortality rate (per 1000 live births) (2015)61

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)60

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

19 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2010

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Burkina Faso

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65

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

(R,F)

11% 2%Preterm 9%

Asphyxia* 8%

Other 2%

Congenital 2%

Sepsis** 7%0%8%

Measles 2%Injuries 5%

Malaria 21%

HIV/AIDS 1%

Other 21%

34

31

36 General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

28 (2014)

Percent children < 5 years sleeping under ITNs

2 10

47

75

020406080

100

2003DHS

2006MICS

2010DHS

2014Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

109

59 6173

8594

0

20

40

60

80

100

1993DHS

1998-99DHS

2003DHS

2006MICS

2010DHS

Perc

ent

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

Causes of maternal deaths, 2013

47 4233

12 15 19 17 21

020406080

100

1993DHS

1998-99DHS

2003DHS

2006MICS

2010DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

32 (2014)

60 (2014)

2, 6, 1 (2010)

26 (2010)

72 (2010)

14 (2010)

89 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

34 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

14 (2013)

24 (2012)

48 (2012)

Reproductive, maternal, newborn and child health expenditure by source

()

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Yes

No

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2

6.1

33

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

3

16

(2015)

(2015)

(2015)

(2015)

(2010)

(2011)

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

No

Note: See annexes for additional information on the indicators above

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

33 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 30%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

8 207

187

7

7855

1990 2015

4450

3236

13 511 9

1990 20152

731068

8975

1990 2015

2 8

42

74

48

158 3

1990 2015

1127

64

70

2431 0

1990 20150 0

39

76

51

1910 5

1990 2015

Pneumonia

Available (2013)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Burkina Faso

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66

(2010)

EQUITY

1374

* See Annex/website for indicator definition

CHILD HEALTH

(2010)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2010)

(2010)

(2013)

670

75

Low birthweight prevalence (%)

77

62

45

69

0

20

40

60

80

100

1987DHS

2000MICS

2005Other NS

2010DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.965

28

(2015)29

(2013)22

(2015)11,179(2015)2,062(2015)488(2010)75

(2013)3,400Total maternal deaths

172

82

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 57

Source: UN IGME 2015

1300

740

330

0

300

600

900

1200

1500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

94

69

30

60

33

40

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

19 25

34

60

0

20

40

60

80

100

1987DHS

2000MICS

2005MICS

2010DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

11 21

48

78

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

40 38

55

0

20

40

60

80

100

2000MICS

2005MICS

2010DHS

Perc

ent

Pneumonia treatment

94

9595

95

96

020406080

100

1990 1995 2000 2005 2010

Perc

ent

3439 35

29

56 63 58 58

0

20

40

60

80

100

1987DHS

2000MICS

2005Other NS

2010DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)36

Infant mortality rate (per 1000 live births) (2015)54

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)37

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

27 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2010

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Burundi

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67

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14% 2%Preterm 11%

Asphyxia* 11%

Other 2%

Congenital 3%

Sepsis** 7%

0%10%

Measles 0%Injuries 7%Malaria 6%

HIV/AIDS 1%

Other 26%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

69 (2012)

Percent children < 5 years sleeping under ITNs

1 8

4554

020406080

100

2000MICS

2005MICS

2010DHS

2012Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

62

79 78

92 99

0

20

40

60

80

100

1987DHS

2000MICS

2005MICS

2010DHS

Perc

ent

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

Causes of maternal deaths, 2013

16 2343

11

35 38

020406080

100

2000MICS

2005MICS

2010DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

40 (2010)

0 (2012)

4, 12, 3 (2010)

8 (2010)

30 (2010)

12 (2010)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

33 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

14 (2013)

16 (2012)

26 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

No

Yes

No

Partial

-

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

2.2

33

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

3

27

(2015)

(2015)

(2015)

(2015)

(2004)

(2010)

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

20 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 36%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

42 48

710

48 39

3 3

1990 2015

3144

27

38

4116

1 2

1990 2015

4249

56

50 42

3 3

1990 2015

3 7

6669

21 12

10 12

1990 2015

3249

6442

2 42 5

1990 2015

1 1

6673

23 13

10 13

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Burundi

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68

(2010)

EQUITY

1166

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2010)

(2010)

(2013)

1088

90

Low birthweight prevalence (%)

12

60 6674

65

0

20

40

60

80

100

2000DHS

2005DHS

2008Other NS

2010DHS

2014pDHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.657

18

(2015)15

(2013)180

(2015)15,578(2015)1,772(2015)371(2010)62

(2013)670Total maternal deaths

117

29

020406080

100120140

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 39

Source: UN IGME 2015

1200

170 300

0200400600800

100012001400

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

94

65

70

89

76

82

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

34 3244

71 72

89

0

20

40

60

80

100

1998MoH

2000DHS

2005DHS

2010DHS

2011Other NS

2014pDHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

28

69 65

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

37 48

64 69

0

20

40

60

80

100

2000DHS

2005DHS

2010DHS

2014pDHS

Perc

ent

Pneumonia treatment

94

9797

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

43 4028 29 24

5949 44

4132

0

20

40

60

80

100

1996Other NS

2000DHS

2005DHS

2010DHS

2014pDHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)51

Infant mortality rate (per 1000 live births) (2015)25

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)10

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

63 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2010

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Cambodia

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69

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14%3% Preterm 15%

Asphyxia* 12%

Other 4%

Congenital 8%

Sepsis** 9%

0%6%

Measles 1%

Injuries 7%

Malaria 0%

HIV/AIDS 1%

Other 20%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 12%

Haemorrhage 30%

Hypertension 15%

Indirect 17%

Other direct 14%

Abortion 7%Sepsis 6%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

40

20406080

100

2005DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

229

34 38

69

8995

0

20

40

60

80

100

1998MoH

2000DHS

2005DHS

2010DHS

2014pDHS

Perc

ent

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

Causes of maternal deaths, 2013

50 48

18 2134 35

020406080

100

2000DHS

2005DHS

2010DHS

2014pDHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

82 (2014)

- -

3, 0, 0 (2011)

- -

70 (2010)

18 (2010)

91 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

76 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South-eastern Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

8 (2013)

24 (2012)

51 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

7

No

Yes

Yes

Yes

-

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

9.6

33

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

3

33

-

(2015)

(2015)

(2015)

(2012)

(2008)

100

80

60

40

20

0

Perc

ent

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

60 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 51%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

3

42

0

8

8

3

89

47

1990 2015

19

88

3

12

13

0

65

0

1990 20150

30

0

7

6

3

94

60

1990 2015

221

21

5542

1235

12

1990 2015

15

7519

25

40

0260

1990 2015

0 722

62

42

16

3615

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Cambodia

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70

NUTRITION(2011)

(2011)

(2013)

670

99

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

40

* See Annex/website for indicator definition

CHILD HEALTH

(2011)

(2006)

EQUITY

11Low birthweight prevalence (%)

712

24 21 20

0

20

40

60

80

100

1991DHS

1998DHS

2004DHS

2006MICS

2011DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.6128

26

(2015)26

(2013)34

(2015)23,344(2015)3,738(2015)847(2011)61

(2013)4,900Total maternal deaths

138

88

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 46

Source: UN IGME 2015

720

590

180

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

80

20

37

64

62

50

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

6458

60 62 6364

0

20

40

60

80

100

1991DHS

1998DHS

2000MICS

2004DHS

2006MICS

2011DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 14

46

66

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

4434 25

4035 30

0

20

40

60

80

100

1991DHS

1998DHS

2000MICS

2004DHS

2006MICS

2011DHS

Perc

ent

Pneumonia treatment

80

878787

46

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

18 17 15 17 15

36 38 35 3633

0

20

40

60

80

100

1991DHS

1998DHS

2004DHS

2006MICS

2011DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)30

Infant mortality rate (per 1000 live births) (2015)57

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)71

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

31 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Cameroon

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71

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

13% 2%Preterm 8%

Asphyxia* 9%

Other 2%

Congenital 2%

Sepsis** 6%

0%11%

Measles 0%

Injuries 7%Malaria 10%

HIV/AIDS 4%

Other 25%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

26 (2011)

Percent children < 5 years sleeping under ITNs

1 113 21

020406080

100

2000MICS

2004DHS

2006MICS

2011DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

138

79 79 7583 82 85

0

20

40

60

80

100

1991DHS

1998DHS

2000MICS

2004DHS

2006MICS

2011DHS

Perc

ent

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

Causes of maternal deaths, 2013

3243

22

47

18 22 14 17 13 17

020406080

100

1991DHS

1998DHS

2000MICS

2004DHS

2006MICS

2011DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

50 (2011)

26 (2011)

4, 7, 2 (2011)

- -

37 (2011)

8 (2011)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

62 (2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

9 (2013)

10 (2012)

7 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Partial

Yes

Yes

No

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

5.2

33

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

3

60

(2015)

(2015)

(2015)

(2015)

(2009)

(2010)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

Yes

Note: See annexes for additional information on the indicators above

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

61 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 30%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

40 46

13 15

36 33

11 6

1990 2015

60 62

22 23

16 142 1

1990 2015

27 27

7 7

49 54

17 12

1990 2015

11 17

40

59

35

1614 8

1990 2015

25 28

53

67

2042 1

1990 20152 4

32

49

44

31

22 16

1990 2015

(R)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Cameroon

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72

(2010)

EQUITY

1444

* See Annex/website for indicator definition

CHILD HEALTH

(2010)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2010)

(2010)

(2013)

760

40

Low birthweight prevalence (%)

3

17 2334

0

20

40

60

80

100

1994-1995DHS

2000MICS

2006MICS

2010MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.2229

24

(2015)43

(2013)27

(2015)4,900(2015)708(2015)164(2010)61

(2013)1,400Total maternal deaths

177

130

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 59

Source: UN IGME 2015

1200

880

300

0200400600800

100012001400

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

49

34

54

38

36

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

46 44

53

44

54

0

20

40

60

80

100

1994-1995DHS

2000MICS

2006MICS

2009Other NS

2010MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<113

41 47

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

41 32 3230

0

20

40

60

80

100

1994-1995DHS

2000MICS

2006MICS

2010MICS

Perc

ent

Pneumonia treatment

49

4747

47

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

24 2228 24

42 4545

41

0

20

40

60

80

100

1994-1995DHS

2000MICS

2006MICS

2010MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)33

Infant mortality rate (per 1000 live births) (2015)92

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)21

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

13 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2010

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Central African Republic

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73

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14%2%

Preterm 10%

Asphyxia* 11%

Other 2%Congenital 2%

Sepsis** 6%

0%10%

Measles 1%

Injuries 4%Malaria 15%

HIV/AIDS 3%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

9 (2010)

Percent children < 5 years sleeping under ITNs

215

36

020406080

100

2000MICS

2006MICS

2010MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

24

67 62 69 68

0

20

40

60

80

100

1994-1995DHS

2000MICS

2006MICS

2010MICS

Perc

ent

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

Causes of maternal deaths, 2013

47 47 3828 17 13 16

020406080

100

1994-1995DHS

2000MICS

2006MICS

2010MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

36 (2010)

38 (2010)

5, 8, 2 (2010)

- -

- -

15 (1994-1995)

60 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

38 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

16 (2013)

12 (2012)

24 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

Partial

No

-

Yes

No

Yes

No

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2*

3.1

3-

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

2

-

(2015)

(2015)

(2015)

-

(2009)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

Yes

Note: See annexes for additional information on the indicators above

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

45 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 33%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

15 22

813

4543

32 22

1990 2015

20

4413

28

59

24

8 4

1990 2015

12 75 3

37 56

4634

1990 2015

3 2

5666

2829

13 3

1990 2015

8 4

72 86

18102 0

1990 20150 0

4654

35

41

195

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Central African Republic

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74

NUTRITION(2010)

(2010)

(2013)

1646

91

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

29

* See Annex/website for indicator definition

CHILD HEALTH

(2010)

(2010)

EQUITY

20Low birthweight prevalence (%)

2

10

2 30

20

40

60

80

100

1996-1997DHS

2000MICS

2004DHS

2010MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

6.1203

29

(2015)39

(2013)15

(2015)14,037(2015)2,632(2015)630(2010)16

(2013)5,800Total maternal deaths

215

139

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 72

Source: UN IGME 2015

1700

980

430

0

500

1000

1500

2000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

54

3

23

23

15

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

15 16 14 23

0

20

40

60

80

100

1996-1997DHS

2000MICS

2004DHS

2010MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 514

25

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

19 22 12 26

0

20

40

60

80

100

1996-1997DHS

2000MICS

2004DHS

2010MICS

Perc

ent

Pneumonia treatment

544646

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

3429

3430

4539

4539

0

20

40

60

80

100

1996-1997DHS

2000MICS

2004DHS

2010MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)29

Infant mortality rate (per 1000 live births) (2015)85

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)83

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

<1 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2010

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Chad

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75

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

21% 2% Preterm 8%

Asphyxia* 9%

Other 2%

Congenital 2%

Sepsis** 6%

0%13%

Measles 0%Injuries 5%Malaria 6%

HIV/AIDS 2%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

3 (2010)

Percent children < 5 years sleeping under ITNs

110

020406080

100

2000MICS

2010MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

74

23

42 39

53

0

20

40

60

80

100

1996-1997DHS

2000MICS

2004DHS

2010MICS

Perc

ent

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

Causes of maternal deaths, 2013

4427 2323 16 15 13

020406080

100

1996-1997DHS

2000MICS

2004DHS

2010MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

15 (2010)

22 (2010)

2, 4, 1 (2010)

- -

- -

23 (2004)

60 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

23 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

6 (2013)

10 (2012)

19 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

2

7

No

No

Yes

No

No

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

2.3

33

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

2

20

-

(2015)

(2015)

(2015)

(2006)

(2011)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

-

Note: See annexes for additional information on the indicators above

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

61 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 29%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

8 123 51019

7964

1990 2015

2131

12

18

4237

25 14

1990 20154 61 12

14

9379

1990 2015

2 6

38

45

46

46

143

1990 2015

725

42

47

48

28

3 0

1990 20150 1

3744

47

52

163

1990 2015

(F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Chad

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76

-

EQUITY

-41

* See Annex/website for indicator definition

CHILD HEALTH

(2010)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2008)

(2008)

-

260

n/a

Low birthweight prevalence (%)

28

0

20

40

60

80

100

2008Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

1.66

10

(2015)6

(2013)1,800

(2015)1,376,049(2015)83,186(2015)16,601

--

(2013)5,900Total maternal deaths

54

11

0

10

20

30

40

50

60

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 18

Source: UN IGME 2015

97

32

24

0

20

40

60

80

100

120

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

99

28

100

97

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

9489

97 98 100 100

0

20

40

60

80

100

1990MoH

1995MoH

2000MoH

2005MoH

2010MoH

2013MoH

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

No Data

Pneumonia treatment

9999

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

13 11 7 5 3

32 3118

12 9

0

20

40

60

80

100

1990Other NS

1995Other NS

2000Other NS

2005Other NS

2010Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)51

Infant mortality rate (per 1000 live births) (2015)9

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)182

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

China

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77

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

8% 4%

Preterm 17%

Asphyxia* 14%

Other 5%

Congenital 9%

Sepsis** 1%0%

3%

Measles 0%

Injuries 14%

Malaria 0%

HIV/AIDS 0%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 12%

Haemorrhage 36%

Hypertension 10%

Indirect 25%

Other direct 14%

Abortion 1% Sepsis 3%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

646

7079

89 90 94 96

0

20

40

60

80

100

1992MoH

1995MoH

2000MoH

2005MoH

2010MoH

2013MoH

Perc

ent

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

Causes of maternal deaths, 2013

No Data

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

97 (2001)

- -

36, 47, 33 (2011)

- -

- -

- -

- -

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

- -Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Eastern Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

13 (2013)

0 (2012)

1 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

6

No

-

-

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

31.5

--

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

2

-

(2015)

(2015)

-

-

(2011)

-

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

-

Note: See annexes for additional information on the indicators above

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

34 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 51%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

48

76

3

542

187 1

1990 2015

68

87

5

62473 0

1990 2015

40

642

349

31

9 2

1990 2015

28

73

39

2226

47 1

1990 2015

7887

19 112 21 0

1990 2015

11

5545

3835

59 2

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

China

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78

(2000)

EQUITY

2534

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012)

(2012)

-

1181

-

3

21 12

0

20

40

60

80

100

1996DHS

2000MICS

2012DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.471

27

(2015)34

(2013)58

(2015)788(2015)119(2015)26(2012)87

(2013)90Total maternal deaths

125

74

020406080

100120140

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 42

Source: UN IGME 2015

630

350

160

0100200300400500600700

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

80

12

49

82

49

38

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

5262

82

0

20

40

60

80

100

1996DHS

2000MICS

2012DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

53 56

38

0

20

40

60

80

100

1996DHS

2000MICS

2012DHS

Perc

ent

Pneumonia treatment

808080

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

15 2125

17

39 4047

32

0

20

40

60

80

100

1991-1992Other NS

1996DHS

2000MICS

2012DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)47

Infant mortality rate (per 1000 live births) (2015)55

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)2

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Comoros

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79

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

13%3% Preterm 18%

Asphyxia* 11%

Other 3%

Congenital 4%

Sepsis** 8%

0%7%

Measles 0%Injuries 5%

Malaria 8%

HIV/AIDS 1%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

16 (2012)

Percent children < 5 years sleeping under ITNs

9

41

020406080

100

2000MICS

2012DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

90

8574 75

92

0

20

40

60

80

100

1996DHS

2000MICS

2004Other NS

2012DHS

Perc

ent

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

Causes of maternal deaths, 2013

31

54

29 1938

020406080

100

1996DHS

2000MICS

2012DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

38 (2012)

28 (2012)

10, 12, 9 (2012)

13 (2012)

49 (2012)

3 (2012)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

49 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

8 (2013)

24 (2012)

64 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

-

Yes

Yes

Yes

-

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

8.9

22

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

3

33

-

(2015)

(2015)

(2015)

(2004)

(2005)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

45 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 47%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

1836

3

6

7857

1 1

1990 2015

3448

6

8

60 43

0 1

1990 2015

12312

5

8563

1 1

1990 2015

16

38

74

52

4 106 0

1990 2015

32

62

6431

3 71 0

1990 2015

929

79

60

4118 0

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Comoros

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80

NUTRITION(2011-2012)

(2011-2012)

-

690

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

24

* See Annex/website for indicator definition

CHILD HEALTH

(2011-2012)

(2005)

EQUITY

13

19 21

0

20

40

60

80

100

2005DHS

2011-2012DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.8147

26

(2015)18

(2013)48

(2015)4,620(2015)759(2015)167

(2011-2012)91

(2013)690Total maternal deaths

94

45

0

30

60

90

120

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 31

Source: UN IGME 2015

670

410

170

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

80

21

64

93

79

71

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

8393

0

20

40

60

80

100

2005DHS

2011-2012DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

5

1822

17

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

4852

0

20

40

60

80

100

2005DHS

2011-2012DHS

Perc

ent

Pneumonia treatment

809090

6960

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

1612 12

30 31 25

0

20

40

60

80

100

1987Other NS

2005DHS

2011-2012DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)41

Infant mortality rate (per 1000 live births) (2015)33

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)7

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

17 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011-2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Congo

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81

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

11% 2%Preterm 14%

Asphyxia* 10%

Other 2%Congenital 6%

Sepsis** 6%

0%7%

Measles 1%Injuries 6%Malaria 6%

HIV/AIDS 6%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

57 (2012)

Percent children < 5 years sleeping under ITNs

626

020406080

100

2005DHS

2011-2012DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

242

86

93

0

20

40

60

80

100

2005DHS

2011-2012DHS

Perc

ent

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

Causes of maternal deaths, 2013

39 48

18 28

020406080

100

2005DHS

2011-2012DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 2015

Source: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 2015

Unimproved facilities

treated with ORS

71 (2011-2012)

22 (2011-2012)

6, 8, 3 (2011-2012)

28 (2011-2012)

64 (2011-2012)

14 (2011-2012)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

79 (2011-2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

9 (2013)

10 (2012)

15 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

Yes

Yes

Yes

No

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2*

9.2

33

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

3

25

(2015)

(2015)

(2015)

(2015)

(2007)

(2012)

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

Yes

Note: See annexes for additional information on the indicators above

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

22 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 41%

General government expenditure

External sources

Private sources

2537

2

51

59

38

15

4

33

9 0

27

Total Urban Rural

100

80

60

40

20

0

Perc

ent

15 206

30

42

9

4736

65

8 220

Total Urban Rural

100

80

60

40

20

0

Perc

ent

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Congo

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82

(2010)

EQUITY

1052

* See Annex/website for indicator definition

CHILD HEALTH

(2013-2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2013-2014)

(2013-2014)

(2013)

879

98

24 24

36 37 48

0

20

40

60

80

100

1995MICS

2001MICS

2007DHS

2010MICS

2013-2014DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.9135

29

(2015)30

(2013)23

(2015)77,267(2015)13,876(2015)3,217(2010)28

(2013)21,000Total maternal deaths

187

98

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 62

Source: UN IGME 2015

1000

730

250

0

200

400

600

800

1000

1200

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

77

48

44

80

48

42

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

61

74 74 80

0

20

40

60

80

100

2001MICS

2007DHS

2010MICS

2013-2014DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 2 8

47

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

36 42 40 42

0

20

40

60

80

100

2001MICS

2007DHS

2010MICS

2013-2014DHS

Perc

ent

Pneumonia treatment

77

8080

61

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

31 34 28 24 23

51 4446

44 43

0

20

40

60

80

100

1995MICS

2001MICS

2007DHS

2010MICS

2013-2014DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)31

Infant mortality rate (per 1000 live births) (2015)75

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)305

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

11 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2013-2014

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Congo, Democratic Republic of the

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83

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

13% 2%Preterm 11%

Asphyxia* 9%

Other 2%

Congenital 2%

Sepsis** 5%

0%10%

Measles 3%

Injuries 5%Malaria 12%

HIV/AIDS 1%

Other 24%

5 35

60

General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

19 (2013-2014)

Percent children < 5 years sleeping under ITNs

1 6

3856

020406080

100

2001MICS

2007DHS

2010MICS

2013-2014DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

26

68

85 87 88

0

20

40

60

80

100

2001MICS

2007DHS

2010MICS

2013-2014DHS

Perc

ent

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

Causes of maternal deaths, 2013

17

42 39 40

1731

2739

020406080

100

2001MICS

2007DHS

2010MICS

2013-2014DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

42 (2013-2014)

14 (2013-2014)

5, 7, 4 (2013-2014)

8 (2013-2014)

44 (2013-2014)

14 (2013-2014)

82 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

48 (2013-2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

13 (2013)

21 (2012)

27 (2012)

Reproductive, maternal, newborn and child health expenditure by source

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

5

No

No

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

6.4

43

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

2

-

(2015)

(2015)

(2015)

(2015)

(2004)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

No

Note: See annexes for additional information on the indicators above

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

33 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 31%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

19 29

1319

5442

14 10

1990 2015

30 29

27 26

3942

4 3

1990 2015

14297

13

6042

19 16

1990 2015

15 8

29 44

31

37

2511

1990 2015

48

17

38

64

13 161 3

1990 20151 1

2430

39

52

3617

1990 2015

Available (2013)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Congo, Democratic Republic of the

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84

(2006)

EQUITY

1731

* See Annex/website for indicator definition

CHILD HEALTH

(2011-2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011-2012)

(2011-2012)

(2013)

864

99

3 410 5

4 12

0

20

40

60

80

100

1994DHS

1998-99DHS

2000MICS

2003-04Other NS

2006MICS

2011-12DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.9125

27

(2015)38

(2013)29

(2015)22,702(2015)3,667(2015)838

(2011-2012)65

(2013)5,300Total maternal deaths

153

93

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 51

Source: UN IGME 2015

740720

190

0

300

600

900

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

63

12

70

59

44

45

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

45 47

6355 57

59

0

20

40

60

80

100

1994DHS

1998-99DHS

2000MICS

2005Other NS

2006MICS

2011-12DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

40 46

80

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

39 35 38 35 38

0

20

40

60

80

100

1994DHS

1998-99DHS

2000MICS

2006MICS

2011-12DHS

Perc

ent

Pneumonia treatment

636767

20

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

20 18 1729

16

3432

40 3930

0

20

40

60

80

100

1994DHS

1998-99DHS

2006MICS

2007Other NS

2011-12DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)42

Infant mortality rate (per 1000 live births) (2015)67

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)75

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

20 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011-2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Côte d’Ivoire

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85

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

12% 3%Preterm 13%

Asphyxia* 11%

Other 2%Congenital 3%

Sepsis** 9%

0%7%

Measles 0%Injuries 4%Malaria 17%

HIV/AIDS 2%

Other 16%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

17 (2012)

Percent children < 5 years sleeping under ITNs

1 4 3

37

020406080

100

2000MICS

2003-04Other NS

2006MICS

2011-12DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

172

83 84 88 87 8591

0

20

40

60

80

100

1994DHS

1998-99DHS

2000MICS

2005Other NS

2006MICS

2011-12DHS

Perc

ent

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

Causes of maternal deaths, 2013

3445

36

11

2416 10 17

020406080

100

1994DHS

1998-99DHS

2000MICS

2006MICS

2011-12DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

45 (2011-2012)

18 (2011-2012)

3, 5, 1 (2011-2012)

34 (2011-2012)

70 (2011-2012)

6 (2011-2012)

82 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

44 (2011-2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

9 (2013)

12 (2012)

19 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

Partial

Yes

Yes

Yes

No

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

6.3

33

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

2

7

-

(2015)

(2015)

(2015)

(2008)

(2010)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

No

Note: See annexes for additional information on the indicators above

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

51 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 42%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

15 22

2030

2922

36 26

1990 2015

2833

3643

30 18

6 6

1990 2015

7 1010

15

27 24

56 51

1990 2015

2343

53

39

1415

10 3

1990 2015

5066

4027

10 60 1

1990 2015

515

6254

1726

165

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Côte d’Ivoire

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86

NUTRITION(2006)

(2006)

(2013)

2235

66

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

55

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

(2006)

EQUITY

10

112

0

20

40

60

80

100

2006MICS

2012Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.121

34

(2015)33

(2013)130

(2015)888(2015)102(2015)22(2006)92

(2013)55Total maternal deaths

119

65

020406080

100120140

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 40

Source: UN IGME 2015

400

230

100

0

100

200

300

400

500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

71

12

87

23

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

61

9387

0

20

40

60

80

100

2003MoH

2006MICS

2012Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

818

27 20

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

62 62

94

0

20

40

60

80

100

2002Other NS

2006MICS

2012Other NS

Perc

ent

Pneumonia treatment

71

7878 78

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

20 1625 30 3028 32 27

33 34

0

20

40

60

80

100

1989Other NS

1996Other NS

2002Other NS

2006MICS

2012Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)52

Infant mortality rate (per 1000 live births) (2015)54

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)1

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

20 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Djibouti

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87

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

10% 3%Preterm 18%

Asphyxia* 13%

Other 4%

Congenital 5%

Sepsis** 8%

0%8%Measles 4%

Injuries 5%

Malaria 0%

HIV/AIDS 3%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

22 (2009)

Percent children < 5 years sleeping under ITNs

120

020406080

100

2006MICS

2009Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

247

67

9288

0

20

40

60

80

100

2003MoH

2006MICS

2012Other NS

Perc

ent

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

Causes of maternal deaths, 2013

3362

94

020406080

100

2006MICS

2012Other NS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

- -

- -

11, 0, 0 (2012)

- -

- -

- -

80 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

23 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

14 (2013)

65 (2012)

233 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

Yes

Yes

No

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

10.3

32

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

3

50

-

(2015)

(2015)

(2015)

(2008)

(2004)

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

40 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 52%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

66

47

6

4

11

29

17 20

1990 2015

73 60

6

5

1231

9 4

1990 2015

44

5

5

1

7

18

44

76

1990 2015

52 53

2637

209

2 1

1990 2015

60 65

2432

1620 1

1990 2015

2610

35 55

3334

6 1

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Djibouti

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88

NUTRITION(2008)

(2008)

-

1069

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

56

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

(2008)

EQUITY

13

4556 57

3853

40

0

20

40

60

80

100

1992DHS

1995DHS

2000DHS

2005DHS

2008DHS

2014DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.356

13

(2015)13

(2013)710

(2015)91,508(2015)12,116(2015)2,488(2005)99

(2013)860Total maternal deaths

86

24

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 29

Source: UN IGME 2015

120

45

30

020406080

100120140

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

93

40

82

92

83

82

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

3546

6174 79

92

0

20

40

60

80

100

1988DHS

1995DHS

2000DHS

2005DHS

2008DHS

2014DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

62

5 8

0

5

10

15

20

25

2005 2008 2011 2014Pe

rcen

t

59 6266 63 73 68

0

20

40

60

80

100

1992DHS

1995DHS

2000DHS

2005DHS

2008DHS

2014DHS

Perc

ent

Pneumonia treatment

939494

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

8 11 5 7 7

31 35 25 2431 22

0

20

40

60

80

100

1992DHS

1995DHS

2000DHS

2005DHS

2008DHS

2014DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)54

Infant mortality rate (per 1000 live births) (2015)20

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)66

(2009)

(2015)

(2012)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

8 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2008

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Egypt

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89

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

10%3%

Preterm 21%

Asphyxia* 10%

Other 6%

Congenital 12%

Sepsis** 4%

0%5%

Measles 0%Injuries 5%Malaria 0%

HIV/AIDS 0%

Other 26%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 3%

Haemorrhage 37%

Hypertension 17%

Indirect 18%

Other direct 17%

Abortion 2%

Sepsis 6%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

539

53

3953

70 74

90

0

20

40

60

80

100

1988DHS

1995DHS

2000DHS

2005DHS

2008DHS

2014DHS

Perc

ent

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

Causes of maternal deaths, 2013

2927

19 8

29 40 34 34 28 28

020406080

100

1992DHS

1995DHS

2000DHS

2005DHS

2008DHS

2014DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

82 (2014)

- -

52, 60, 48 (2014)

14 (2014)

82 (2014)

0 (2014)

86 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

83 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Northern Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

6 (2013)

2 (2012)

3 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

2

No

Yes

Yes

No

-

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

63.5

23

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

2

-

-

(2015)

(2015)

(2015)

(2009)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

58 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 54%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

7395

4

514

09 0

1990 2015

92

97

3

340

1 0

1990 2015

59

93

4

7

21

016

0

1990 2015

63

99

30

0512 0

1990 2015

91

100

6

03

00 0

1990 2015

41

99

50

06

13 0

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Egypt

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90

(2000)

EQUITY

1321

* See Annex/website for indicator definition

CHILD HEALTH

(2011)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011)

(2011)

-

376

-

24

70

20

40

60

80

100

2000MICS

2011DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.7177

17

(2015)33

(2013)72

(2015)845(2015)128(2015)29(2011)54

(2013)79Total maternal deaths

190

94

0

60

120

180

240

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 63

Source: UN IGME 2015

1600

290400

0

500

1000

1500

2000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

44

7

68

67

27

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

65 68

0

20

40

60

80

100

2000MICS

2011DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

1319

12

74

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

54

0

20

40

60

80

100

2011DHS

Perc

ent

Pneumonia treatment

442424

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

14 1611 6

39 43 3526

0

20

40

60

80

100

1997Other NS

2000MICS

2004Other NS

2011DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)36

Infant mortality rate (per 1000 live births) (2015)68

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)3

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

42 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Equatorial Guinea

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91

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

13% 2%Preterm 12%

Asphyxia* 10%

Other 3%Congenital 3%

Sepsis** 5%

0%7%

Measles 9%

Injuries 4%Malaria 9%

HIV/AIDS 4%

Other 18%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

44 (2011)

Percent children < 5 years sleeping under ITNs

1

23

020406080

100

2000MICS

2011DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

1,170

37

8691

0

20

40

60

80

100

1994Other NS

2000MICS

2011DHS

Perc

ent

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

Causes of maternal deaths, 2013

3653

29 40

020406080

100

2000MICS

2011DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1995-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

27 (2011)

24 (2011)

7, 9, 4 (2011)

- -

- -

- -

70 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

67 (2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

7 (2013)

5 (2012)

21 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Partial

Yes

-

Yes

No

-

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

8.4

33

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

3

-

-

(2015)

(2015)

(2015)

(2004)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

19 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 36%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

8175

98

6 13

4 4

1995 2015

81 80

11 115 63 3

1995 2015

81 71

76

718

5 5

1995 2015

4 10

4338

14

39

3913

1995 2015

10 13

4760

33

2710 0

1995 2015

0 9

41 22

1

47

58

22

1995 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Equatorial Guinea

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92

NUTRITION(2010)

(2002)

(2013)

1540

37

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

93

* See Annex/website for indicator definition

CHILD HEALTH

(2010)

(2002)

EQUITY

14

5952

69

0

20

40

60

80

100

1995DHS

2002DHS

2010Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.285

21

(2015)18

(2013)52

(2015)5,228(2015)815(2015)175

--

(2013)880Total maternal deaths

151

47

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 50

Source: UN IGME 2015

1700

380430

0

500

1000

1500

2000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

96

69

34

57

22

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

2128

34

0

20

40

60

80

100

1995DHS

2002DHS

2010Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

7 824

52

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

44 45

0

20

40

60

80

100

2002DHS

2010Other NS

Perc

ent

Pneumonia treatment

969494

25

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

37 40 35 39

70

48 44 50

0

20

40

60

80

100

1993Other NS

1995DHS

2002DHS

2010Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)39

Infant mortality rate (per 1000 live births) (2015)34

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)8

(2009)

(2015)

(1999)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

52 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Eritrea

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93

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

17% 3% Preterm 9%

Asphyxia* 11%

Other 3%

Congenital 5%

Sepsis** 9%

0%9%

Measles 2%Injuries 8%Malaria 1%

HIV/AIDS 1%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Improved and shared facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

5 (2008)

Percent children < 5 years sleeping under ITNs

4

49

20

020406080

100

2002DHS

2008Other NS

2010Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

36

49

70

89

0

20

40

60

80

100

1995DHS

2002DHS

2010Other NS

Perc

ent

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

Causes of maternal deaths, 2013

54 57

3345 43

020406080

100

1995DHS

2002DHS

2010Other NS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015Unimproved facilities

treated with ORS

22 (2002)

- -

3, 6, 2 (2010)

- -

- -

38 (2002)

94 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

57 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

4 (2013)

8 (2012)

16 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

No

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

6.3

33

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

3

-

(2015)

(2015)

(2015)

(2015)

(2004)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

(R,F)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

55 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 39%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

9 161

7

9077

1990 2015

5945

519

36 36

1990 20150

70 4

100 89

1990 2015

7 9

4049

3827

15 15

1990 2015

41 39

2434

35 27

0 0

1990 20150 0

4453

3828

18 19

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Eritrea

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94

(2005)

EQUITY

2052

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011)

(2011)

(2013)

949

79

5449

52

0

20

40

60

80

100

2000DHS

2005DHS

2011DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.371

26

(2015)28

(2013)52

(2015)99,391(2015)14,602(2015)3,176(2005)7

(2013)13,000Total maternal deaths

205

59

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 68

Source: UN IGME 2015

1400

420

350

0

500

1000

1500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

70

52

12

16

32

59

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles 6 6 10

16

0

20

40

60

80

100

2000DHS

2005DHS

2011DHS

2014DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 1132

73

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

16 19 27

0

20

40

60

80

100

2000DHS

2005DHS

2011DHS

Perc

ent

Pneumonia treatment

70

777776

63

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

42 42 3529 25

6757 51

44 40

0

20

40

60

80

100

1992Other NS

2000DHS

2005DHS

2011DHS

2014DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)47

Infant mortality rate (per 1000 live births) (2015)41

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)184

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

72 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Ethiopia

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95

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

13% 4%Preterm 11%

Asphyxia* 14%

Other 2%

Congenital 5%

Sepsis** 9%

0%8%

Measles 4%Injuries 7%

Malaria 1%HIV/AIDS 1%

Other 18%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

28 (2011)

Percent children < 5 years sleeping under ITNs

2

33 30

020406080

100

2005DHS

2007Other NS

2011Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

69

27 28

34 41

0

20

40

60

80

100

2000DHS

2005DHS

2011DHS

2014DHS

Perc

ent

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

Causes of maternal deaths, 2013

1525

13 20 26

020406080

100

2000DHS

2005DHS

2011DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

59 (2014)

0 (2005)

2, 11, 1 (2014)

- -

12 (2014)

24 (2011)

80 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

32 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

16 (2013)

20 (2012)

32 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

2.8

33

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

3

11

(2015)

(2015)

(2015)

(2015)

(2009)

(2008)

100

80

60

40

20

0

Perc

ent

Yes (2015)

(R,F)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

35 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 47%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

3284

14

1

2992

29

1990 2015

2027

3040

11

2739

6

1990 20150

28

0

8

0

30

100

34

1990 2015

1 1212

4539

3048

13

1990 2015

10

56

74

37

868 1

1990 20150 1

3

4843

35

5416

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Ethiopia

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96

NUTRITION(2012)

(2012)

-

382

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

32

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

(2000)

EQUITY

14

5 60

20

40

60

80

100

2000DHS

2012DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.8115

17

(2015)23

(2013)94

(2015)1,725(2015)239(2015)51(2012)90

(2013)130Total maternal deaths

93

51

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 31

Source: UN IGME 2015

380

240

95

0

100

200

300

400

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

61

6

59

89

78

54

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

86 89

0

20

40

60

80

100

2000DHS

2012DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<115

36

69

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

48

68

0

20

40

60

80

100

2000DHS

2012DHS

Perc

ent

Pneumonia treatment

61

7070

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

9 7

2618

0

20

40

60

80

100

2000DHS

2012DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)46

Infant mortality rate (per 1000 live births) (2015)36

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)3

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

69 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Gabon

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97

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

11% 3%Preterm 16%

Asphyxia* 12%

Other 3%

Congenital 6%

Sepsis** 7%

0%6%

Measles 3%Injuries 5%

Malaria 6%

HIV/AIDS 5%

Other 18%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

34 (2012)

Percent children < 5 years sleeping under ITNs

39

020406080

100

2012DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

735

94 95

0

20

40

60

80

100

2000DHS

2012DHS

Perc

ent

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

Causes of maternal deaths, 2013

4452

25 26

020406080

100

2000DHS

2012DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1995-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

54 (2012)

3 (2012)

10, 11, 6 (2012)

25 (2012)

59 (2012)

5 (2012)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

78 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

7 (2013)

3 (2012)

11 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

5

Partial

Yes

Yes

No

Yes

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

53.1

33

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

3

123

(2015)

(2015)

(2015)

(2015)

(2004)

(2001)

100

80

60

40

20

0

Perc

ent

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

39 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 46%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

38 42

30 34

30 22

2 2

1995 2015

3943

33 36

26 20

2 1

1995 2015

35 32

21 19

4145

3 4

1995 2015

35

65

45

287

213 5

1995 2015

43

72

5125

3 23 1

1995 2015

8 15

29

5219

5

4428

1995 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Gabon

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98

NUTRITION(2010)

(2010)

-

1234

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

52

* See Annex/website for indicator definition

CHILD HEALTH

(2013)

(2010)

EQUITY

10

2641 34

47

0

20

40

60

80

100

2000MICS

2005-2006MICS

2010MICS

2013DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.788

26

(2015)30

(2013)39

(2015)1,991(2015)366(2015)83(2010)53

(2013)340Total maternal deaths

170

69

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 57

Source: UN IGME 2015

710

430

180

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

96

47

76

57

72

38

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

44

55 57 57 57

0

20

40

60

80

100

1990Other NS

2000MICS

2005-2006MICS

2010MICS

2013DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 5

61 53

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

75 69 69 68

0

20

40

60

80

100

2000MICS

2005-2006MICS

2010MICS

2013DHS

Perc

ent

Pneumonia treatment

9696969692

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

23 15 16 17 16

3624 28 23 25

0

20

40

60

80

100

1996MICS

2000MICS

2005-2006MICS

2010MICS

2013DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)45

Infant mortality rate (per 1000 live births) (2015)48

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)6

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

<1 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2013

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Gambia

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99

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

11% 3% Preterm 13%

Asphyxia* 13%

Other 3%

Congenital 4%

Sepsis** 10%

0%9%Measles 0%

Injuries 7%

Malaria 4%

HIV/AIDS 2%

Other 23%

13

67

20 General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

37 (2013)

Percent children < 5 years sleeping under ITNs

15

4933

47

020406080

100

2000MICS

2005-2006MICS

2010MICS

2013DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

99

91 98 9886

0

20

40

60

80

100

2000MICS

2005-2006MICS

2010MICS

2013DHS

Perc

ent

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

Causes of maternal deaths, 2013

38 38

67

33 39 39

59

020406080

100

2000MICS

2005-2006MICS

2010MICS

2013DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

38 (2010)

62 (2013)

3, 5, 1 (2010)

15 (2013)

76 (2013)

14 (2013)

92 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

72 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

13 (2013)

21 (2012)

25 (2012)

Reproductive, maternal, newborn and child health expenditure by source

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1

9.7

33

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

3

50

(2015)

(2015)

(2015)

(2015)

(2008)

(2012)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

21 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 45%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

60 59

22 24

12 156 2

1995 2015

5962

30 31

9 72 0

1995 2015

61 55

1614

13 27

10 4

1995 2015

1133

65

57

24100 0

1990 2015

27

52

59

42

14 60 0

1990 20151 5

69

79

3016

0 0

1990 2015

Available (2013)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Gambia

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100

NUTRITION(2011)

(2011)

(2013)

575

96

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

46

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

(2011)

EQUITY

11

4

31

5363

4652

0

20

40

60

80

100

1988DHS

1998DHS

2003DHS

2008DHS

2011MICS

2014pDHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.165

22

(2015)28

(2013)66

(2015)27,410(2015)4,056(2015)884(2011)63

(2013)3,100Total maternal deaths

127

62

020406080

100120140

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 42

Source: UN IGME 2015

760

380

190

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

92

52

78

68

87

44

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

40 4447 50

57

68

0

20

40

60

80

100

1988DHS

1998DHS

2003DHS

2006MICS

2008DHS

2011MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

43

74 81

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

4326

4451

41

53

0

20

40

60

80

100

1993DHS

1998DHS

2003DHS

2008DHS

2011MICS

2014pDHS

Perc

ent

Pneumonia treatment

92

98989898

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

2520 19 14 13 11

43

31 3629

23 19

0

20

40

60

80

100

1988DHS

1998DHS

2003DHS

2008DHS

2011MICS

2014pDHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)47

Infant mortality rate (per 1000 live births) (2015)43

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)54

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

39 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2011

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Ghana

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101

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

9% 3%

Preterm 14%

Asphyxia* 13%

Other 3%

Congenital 5%

Sepsis** 9%

0%7%

Measles 0%Injuries 5%

Malaria 11%

HIV/AIDS 1%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

78 (2014)

Percent children < 5 years sleeping under ITNs

422 28

39 47

020406080

100

2003DHS

2006MICS

2008DHS

2011MICS

2014pDHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

214

8288

92 92 9096

0

20

40

60

80

100

1988DHS

1998DHS

2003DHS

2006MICS

2008DHS

2011MICS

Perc

ent

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

Causes of maternal deaths, 2013

40 45 44

29 2939

45 3549

020406080

100

1993DHS

1998DHS

2003DHS

2008DHS

2011MICS

2014pDHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

44 (2014)

68 (2014)

11, 17, 7 (2011)

83 (2011)

78 (2014)

8 (2008)

88 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015 (provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

87 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

11 (2013)

34 (2012)

67 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Partial

-

Yes

-

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

10.2

12

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

2

37

(2015)

(2015)

(2015)

(2015)

(2010)

(2011)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

-

Note: See annexes for additional information on the indicators above

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

36 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 47%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

7 15

29

60

42

6

22 19

1990 2015

1320

46

73

310

10 7

1990 2015

4 920

45

4712

29 34

1990 2015

16 19

40

709

735

4

1990 2015

4132

43 61

878 0

1990 2015

2 3

37

8111

850

8

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Ghana

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102

(2008-2009)

EQUITY

1156

* See Annex/website for indicator definition

CHILD HEALTH

(2008-2009)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2008-2009)

-

(2013)

1-

13

46 3951 50

0

20

40

60

80

100

1995DHS

1998-99DHS

2002Other NS

2008-09Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.292

10

(2015)13

(2013)170

(2015)16,343(2015)2,089(2015)438

(2008-2009)97

(2013)660Total maternal deaths

81

29

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 27

Source: UN IGME 2015

270

140

68

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

67

50

63

72

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

2935

41 4152

63

0

20

40

60

80

100

1987DHS

1995DHS

1998-99DHS

2002Other NS

2008-09Other NS

2013Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

4

22 22 23

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

41 37

64

0

20

40

60

80

100

1995DHS

1998-99DHS

2002Other NS

Perc

ent

Pneumonia treatment

67

7373

5154

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

2822 20 18 13

66

55 53 54 48

0

20

40

60

80

100

1987DHS

1995DHS

1998-99DHS

2002Other NS

2008-09Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)46

Infant mortality rate (per 1000 live births) (2015)24

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)13

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

23 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: Other NS 2008

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Guatemala

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103

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

Embolism 3%

Haemorrhage 23%

Hypertension 22%Indirect 19%

Other direct 15%

Abortion 10%

Sepsis 8%14%

3%Preterm 12%

Asphyxia* 12%

Other 4%

Congenital 8%

Sepsis** 8%

0%7%

Measles 0%Injuries 8%Malaria 0%

HIV/AIDS 1%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

10

20406080

100

1999MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

476

3553

60

8493

0

20

40

60

80

100

1987DHS

1995DHS

1998-99DHS

2002Other NS

2008-09Other NS

Perc

ent

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

Causes of maternal deaths, 2013

2230 34 37

020406080

100

1995DHS

1998-99DHS

2002Other NS

2008-09Other NS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

72 (2008-2009)

- -

16, 26, 11 (2008-2009)

- -

- -

2 (2002)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

- -Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Latin America, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

17 (2013)

5 (2012)

23 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

5

Partial

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2

18.3

33

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

3

-

(2015)

(2015)

(2015)

(2015)

(2009)

-

100

80

60

40

20

0

Perc

ent

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

51 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 46%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

4764

10

1421

17225

1990 2015

7078

141611

45 2

1990 2015

31

49

8

1227

3034

9

1990 2015

50

85

27

812

311 4

1990 2015

69

97

21

18 22 0

1990 2015

37

71

30

1616

6177

1990 2015

General governmentexpenditure

External sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Guatemala

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104

NUTRITION(2012)

(2012)

-

1043

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

17

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

(2005)

EQUITY

12

11

23 27 21

0

20

40

60

80

100

1999DHS

2003MICS

2005DHS

2012DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.9154

24

(2015)31

(2013)30

(2015)12,609(2015)2,046(2015)460(2012)58

(2013)2,800Total maternal deaths

238

94

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 79

Source: UN IGME 2015

1100

650

280

0

200

400

600

800

1000

1200

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

52

21

37

45

57

29

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

3135

56

3846 45

0

20

40

60

80

100

1992DHS

1999DHS

2003MICS

2005DHS

2007Other NS

2012DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

39 33

42 37

0

20

40

60

80

100

1999DHS

2003MICS

2005DHS

2012DHS

Perc

ent

Pneumonia treatment

525151

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

21 21 23 21 1935 34

39 4031

0

20

40

60

80

100

1994-95Other NS

1999DHS

2005DHS

2007-08Other NS

2012DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)34

Infant mortality rate (per 1000 live births) (2015)61

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)42

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Guinea

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105

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

14% 2%Preterm 9%

Asphyxia* 10%

Other 2%

Congenital 2%Sepsis** 7%

0%8%

Measles 0%Injuries 4%Malaria 20%

HIV/AIDS 1%

Other 18%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

5 (2012)

Percent children < 5 years sleeping under ITNs

1 5

26

020406080

100

2005DHS

2007Other NS

2012DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

59

5871

84 8288 85

0

20

40

60

80

100

1992DHS

1999DHS

2003MICS

2005DHS

2007Other NS

2012DHS

Perc

ent

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

Causes of maternal deaths, 2013

44 38 4025

35 40 33 34

020406080

100

1992DHS

1999DHS

2003MICS

2005DHS

2012DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

29 (2005)

18 (2012)

2, 6, 1 (2012)

25 (2012)

37 (2012)

11 (2012)

80 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

57 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

7 (2013)

18 (2012)

31 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Partial

No

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

1.4

33

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

3

13

(2015)

(2015)

(2015)

(2015)

(2005)

(2012-13)

100

80

60

40

20

0

Perc

ent

- -

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

56 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 34%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

8 209

22

42

43

41

15

1990 2015

18

34

23

45

54

215 0

1990 2015

5 1239

37

55

55

24

1990 2015

514

47

638

1840

5

1990 2015

1937

67

56

777 0

1990 2015

0 1

39

668

2553

8

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Guinea

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106

(2010)

EQUITY

1155

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2010)

(2010)

(2013)

643

97

37

16

3853

0

20

40

60

80

100

2000MICS

2006MICS

2010MICS

2014pMICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.8137

30

(2015)40

(2013)36

(2015)1,844(2015)289(2015)68(2010)24

(2013)360Total maternal deaths

229

93

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 76

Source: UN IGME 2015

930

560

230

0

200

400

600

800

1000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

69

53

48

45

65

70

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

25

35 39 43 45

0

20

40

60

80

100

1990-1995Other NS

2000MICS

2006MICS

2010MICS

2014pMICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 422

83

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

64 5752

34

0

20

40

60

80

100

2000MICS

2006MICS

2010MICS

2014pMICS

Perc

ent

Pneumonia treatment

69

8080

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

22 17 17 18 17

3648

2832

28

0

20

40

60

80

100

2000MICS

2006MICS

2008Other NS

2010MICS

2014pMICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)44

Infant mortality rate (per 1000 live births) (2015)60

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)6

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

3 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2006

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Guinea-Bissau

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107

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14% 3%Preterm 11%

Asphyxia* 13%

Other 3%

Congenital 3%

Sepsis** 10%

0%9%

Measles 1%Injuries 5%

Malaria 4%

HIV/AIDS 4%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

47 (2014)

Percent children < 5 years sleeping under ITNs

7

39 36

81

020406080

100

2000MICS

2006MICS

2010MICS

2014pMICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

79

62

78

93 92

0

20

40

60

80

100

2000MICS

2006MICS

2010MICS

2014pMICS

Perc

ent

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

Causes of maternal deaths, 2013

23 25

53 55

3923 19

020406080

100

2000MICS

2006MICS

2010MICS

2014pMICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

70 (2010)

14 (2010)

4, 0, 0 (2014)

55 (2014)

48 (2014)

- -

80 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

65 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

8 (2013)

7 (2012)

31 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

-

No

No

Partial

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

6.6

1-

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

2

25

-

(2015)

(2015)

-

(2009)

(2002)

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

-

Note: See annexes for additional information on the indicators above

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

43 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 44%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

11 21

816

41

46

4017

1995 2015

2634

2228

48 36

4 2

1995 2015

3 82 4

37

55

58

33

1995 2015

4 6

32

73

60

194 2

1990 2015

14 11

33

88

53

00 1

1990 2015

0 0

32

60

63

37

5 3

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Guinea-Bissau

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108

(2012)

EQUITY

2347

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012)

(2012)

(2013)

587

13

3

2441 40

0

20

40

60

80

100

1994-95DHS

2000DHS

2005-06DHS

2012DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.065

15

(2015)25

(2013)80

(2015)10,711(2015)1,238(2015)263(2012)80

(2013)1,000Total maternal deaths

146

69

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 49

Source: UN IGME 2015

670

380

170

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

53

40

32

37

67

49

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

23 21 24 2637

0

20

40

60

80

100

1989Other NS

1994-95DHS

2000DHS

2005-06DHS

2012DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

9

48

8195

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

17 26 3138

0

20

40

60

80

100

1994-95DHS

2000DHS

2005-06DHS

2012DHS

Perc

ent

Pneumonia treatment

53484840

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

24 2414 19

12

40 3728 30

22

0

20

40

60

80

100

1990Other NS

1994-95DHS

2000DHS

2005-06DHS

2012DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)37

Infant mortality rate (per 1000 live births) (2015)52

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)18

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

93 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Haiti

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109

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

Embolism 3%

Haemorrhage 23%

Hypertension 22%Indirect 19%

Other direct 15%

Abortion 10%

Sepsis 8%

Source: WHO 2014

Regional estimates for Caribbean, 201320% 2% Preterm 12%

Asphyxia* 9%

Other 3%

Congenital 3%

Sepsis** 7%

0%10%

Measles 0%Injuries 7%Malaria 0%

HIV/AIDS 1%

Other 25%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

12

020406080

100

2012DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

160

71 6879 85

90

0

20

40

60

80

100

1984-89Other NS

1994-95DHS

2000DHS

2005-06DHS

2012DHS

Perc

ent

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

Causes of maternal deaths, 2013

41 4357

2635 40

53

020406080

100

1994-95DHS

2000DHS

2005-06DHS

2012DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

49 (2012)

- -

6, 10, 3 (2012)

19 (2012)

32 (2012)

9 (2012)

81 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

67 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

2 (2013)

44 (2012)

106 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

No

Yes

No

Partial

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2

3.6

2-

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

3

12

(2015)

(2015)

(2015)

-

(1998)

(2008)

100

80

60

40

20

0

Perc

ent

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

Yes

Note: See annexes for additional information on the indicators above

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

30 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 37%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

18 28

1628

18

2548

19

1990 2015

33 34

38 38

16 20

13 8

1990 2015

1119

813

18

33

63

35

1990 2015

8 10

54 48

2139

173

1990 2015

2413

67

52

435

5 0

1990 2015

1 5

4943

2846

226

1990 2015

General governmentexpenditure

External sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Haiti

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110

(2005-2006)

EQUITY

2841

* See Annex/website for indicator definition

CHILD HEALTH

(2013-2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2007-2008)

(2005-2006)

(2013)

1556

53

44 46 46

0

20

40

60

80

100

1992-1993NFHS

1998-1999NFHS

2005-2006NFHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.439

22

(2015)28

(2013)190

(2015)1,311,051(2015)123,711(2015)25,794(2011)84

(2013)50,000Total maternal deaths

126

48

020406080

100120140

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 42

Source: UN IGME 2015

560

190

140

0

100

200

300

400

500

600

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

83

46

37

52

45

73

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

34 42 43 47 52

0

20

40

60

80

100

1992-1993NFHS

1998-1999NFHS

2000MICS

2005-2006NFHS

2007-2008Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

69 67 6977

0

20

40

60

80

100

1992-1993NFHS

1998-1999NFHS

2005-2006NFHS

2013-2014Other NS

Perc

ent

Pneumonia treatment

8383

20

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

5146 44

29

58 5448

39

0

20

40

60

80

100

1992-1993NFHS

1998-1999NFHS

2005-2006NFHS

2013-2014Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)58

Infant mortality rate (per 1000 live births) (2015)38

Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)1,201

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: NFHS 2005-2006

Low birthweight prevalence (%)

Deaths per 1000 live births

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

India

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111

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

12% 3% Preterm 25%

Asphyxia* 11%

Other 3%

Congenital 6%

Sepsis** 9%

0%9%Measles 2%Injuries 3%

Malaria 1%

HIV/AIDS 0%

Other 15%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 30%

Hypertension 10%Indirect 29%

Other direct 8%

Abortion 6%

Sepsis 14%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

6 (2005-2006)

Percent children < 5 years sleeping under ITNs

No Data

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

215

62 65 6274

85

0

20

40

60

80

100

1992-1993NFHS

1998-1999NFHS

2000MICS

2005-2006NFHS

2013-2014Other NS

Perc

ent

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

Causes of maternal deaths, 2013

3318 27 26

020406080

100

1992-1993NFHS

1998-1999NFHS

2005-2006NFHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

73 (2007-2008)

- -

9, 17, 6 (2005-2006)

- -

37 (2005-2006)

40 (2005-2006)

87 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

45 (2013-2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

5 (2013)

2 (2012)

5 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

4

6

No

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1

24.5

33

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

3

36

(2015)

(2015)

(2015)

(2015)

(2011)

(2000)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

58 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 58%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

1740

5

10

3

675

44

1990 2015

4963

16

216

62910

1990 2015

628

1

5

2

6

91

61

1990 2015

1628

55

66

265

3 1

1990 2015

47 54

4243

1031 0

1990 2015

616

58

77

32

64 1

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

India

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112

(2007)

EQUITY

949

* See Annex/website for indicator definition

CHILD HEALTH

(2013)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012)

(2012)

(2013)

1491

82

4537 42 40

3242

0

20

40

60

80

100

1991DHS

1994DHS

1997DHS

2002-03DHS

2007DHS

2012DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.447

15

(2015)14

(2013)220

(2015)257,564(2015)24,864(2015)5,037(2012)67

(2013)8,800Total maternal deaths

85

27

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 28

Source: UN IGME 2015

430

190

110

0

100

200

300

400

500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

77

42

80

87

84

84

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

3243

66

79 8387

0

20

40

60

80

100

1991DHS

1997DHS

2002-03DHS

2007DHS

2012DHS

2013Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 1

710

0

5

10

15

20

25

2005 2008 2011 2014Pe

rcen

t

63 69 61 6675

0

20

40

60

80

100

1994DHS

1997DHS

2002-03DHS

2007DHS

2012DHS

Perc

ent

Pneumonia treatment

7778

21

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

3023 20 20 19 20

4842

2940 39 36

0

20

40

60

80

100

1995MICS

2001Other NS

2004Other NS

2007Other NS

2010Other NS

2013Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)50

Infant mortality rate (per 1000 live births) (2015)23

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)147

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

8 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Indonesia

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113

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14% 3%Preterm 18%

Asphyxia* 11%

Other 3%

Congenital 8%

Sepsis** 7%

0%6%

Measles 3%Injuries 6%Malaria 1%

HIV/AIDS 1%

Other 18%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 12%

Haemorrhage 30%

Hypertension 15%

Indirect 17%

Other direct 14%

Abortion 7%Sepsis 6%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

0 30

20406080

100

2000MICS

2007DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

293

7689 92 93 96 95

0

20

40

60

80

100

1991DHS

1997DHS

2002-03DHS

2007DHS

2012DHS

2013Other NS

Perc

ent

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

Causes of maternal deaths, 2013

61 56 5461

43 48 4336 35

39

020406080

100

1991DHS

1997DHS

2000MICS

2002-03DHS

2007DHS

2012DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

84 (2012)

- -

12, 17, 8 (2012)

48 (2012)

80 (2012)

- -

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

84 (2013)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South-eastern Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

7 (2013)

2 (2012)

9 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

Yes

Yes

No

-

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1

15.9

33

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

2

-

(2015)

(2015)

(2015)

(2015)

(2012)

-

100

80

60

40

20

0

Perc

ent

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

Yes

Note: See annexes for additional information on the indicators above

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

46 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 50%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

35

61

7

1118

840

20

1990 2015

6172

810125

19 13

1990 2015

24

476

1221

12

49

29

1990 2015

922

60

65

2511

6 2

1990 2015

25 33

6461

10 61 0

1990 2015

2 9

59

70

31

188 3

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Indonesia

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114

(2011)

EQUITY

1343

* See Annex/website for indicator definition

CHILD HEALTH

(2011)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011)

(2011)

-

736

n/a

1225

20

0

20

40

60

80

100

2000MICS

2006MICS

2011MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.568

9

(2015)18

(2013)340

(2015)36,423(2015)5,727(2015)1,244(2011)99

(2013)710Total maternal deaths

54

32

0

10

20

30

40

50

60

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 18

Source: UN IGME 2015

110

67

28

0

20

40

60

80

100

120

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

57

20

91

50

87

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

5472

8980

91

0

20

40

60

80

100

1989Other NS

2000MICS

2006MICS

2006-2007Other NS

2011MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

76 82 74

0

20

40

60

80

100

2000MICS

2006MICS

2011MICS

Perc

ent

Pneumonia treatment

576464

29

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

10 13 10 7 9

28 2834

28 23

0

20

40

60

80

100

1991Other NS

2000MICS

2003Other NS

2006MICS

2011MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)58

Infant mortality rate (per 1000 live births) (2015)27

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)39

(2009)

(2015)

(2006)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2011

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Iraq

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115

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

12% 3%

Preterm 20%

Asphyxia* 13%

Other 4%

Congenital 10%

Sepsis** 8%

0%5%

Measles 0%Injuries 6%Malaria 0%

HIV/AIDS 0%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 9%

Haemorrhage 31%

Hypertension 13%

Indirect 23%

Other direct 16%

Abortion 3%Sepsis 5%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

695

78 77 84 78

0

20

40

60

80

100

1996Other NS

2000MICS

2006MICS

2011MICS

Perc

ent

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

Causes of maternal deaths, 2013

54 64

262731

23

020406080

100

2000MICS

2006MICS

2011MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

87 (2011)

- -

22, 25, 16 (2011)

- -

- -

- -

72 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

50 (2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Western Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

6 (2013)

3 (2012)

8 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

3

No

Yes

Yes

No

Partial

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

0

6.1

33

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

3

-

(2015)

(2015)

(2015)

(2015)

(2010)

-

100

80

60

40

20

0

Perc

ent

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

37 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 58%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

7286

9101346 0

1995 2015

8286

11 117 30 0

1995 2015

47

845

9

29

7190

1995 2015

75 75

31271015

3

1990 2015

9583

0 113 52 1

1990 2015

29

5710

1315

2346

7

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Iraq

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116

NUTRITION(2008-2009)

(2014)

(2013)

478

19

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

58

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

(2008-2009)

EQUITY

8

2312

1213

32

61

0

20

40

60

80

100

1989DHS

1993DHS

1998DHS

2003DHS

2008-09DHS

2014pDHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.3101

22

(2015)22

(2013)53

(2015)46,050(2015)7,166(2015)1,571

(2008-2009)60

(2013)6,300Total maternal deaths

102

49

0

30

60

90

120

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 34

Source: UN IGME 2015

490

400

120

0

100

200

300

400

500

600

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

79

61

51

62

58

76

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

50 45 44 42 44

62

0

20

40

60

80

100

1989DHS

1993DHS

1998DHS

2003DHS

2008-09DHS

2014pDHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

48

7867

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

5257

4956

66

0

20

40

60

80

100

1993DHS

1998DHS

2003DHS

2008-09DHS

2014pDHS

Perc

ent

Pneumonia treatment

79

818181

19

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

20 18 18 1716 11

40 3741

36 35 26

0

20

40

60

80

100

1993DHS

1998DHS

2000MICS

2003DHS

2008-09DHS

2014pDHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)45

Infant mortality rate (per 1000 live births) (2015)36

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)74

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

50 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2008-2009

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Kenya

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117

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

11%3% Preterm 12%

Asphyxia* 14%

Other 3%

Congenital 6%

Sepsis** 7%

0%7%

Measles 0%Injuries 6%

Malaria 5%

HIV/AIDS 6%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

86 (2014)

Percent children < 5 years sleeping under ITNs

3 5

47 4254

020406080

100

2000MICS

2003DHS

2008-2009DHS

2010Other NS

2014pDHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

101

7795 92 88 92

96

0

20

40

60

80

100

1989DHS

1993DHS

1998DHS

2003DHS

2008-09DHS

2014pDHS

Perc

ent

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

Causes of maternal deaths, 2013

1533

4332 37 39 29 39

65

020406080

100

1993DHS

1998DHS

2000MICS

2003DHS

2008-09DHS

2014pDHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

76 (2014)

17 (2014)

6, 11, 5 (2008-2009)

- -

51 (2014)

12 (2008-2009)

76 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

58 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

6 (2013)

26 (2012)

30 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

Yes

-

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

10.6

4-

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

2

54

(2015)

(2015)

(2015)

-

(2013)

(2003)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

45 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 45%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

25 30

20 27

3631

19 12

1990 2015

2731

4148

29 18

3 3

1990 2015

2430

1619

38 36

2215

1990 2015

17 22

26

4116

1541

22

1990 2015

5545

3737

5 133 5

1990 2015

10 14

23

4319

15

4828

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Kenya

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118

(2009)

EQUITY

628

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012)

(2012)

(2013)

466

98

65 69

0

20

40

60

80

100

2004Other NS

2012Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.01

13

(2015)14

(2013)630

(2015)25,155(2015)1,747(2015)360(2009)100

(2013)310Total maternal deaths

43

25

0

20

40

60

80

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 14

Source: UN IGME 2015

85 87

21

020406080

100120140

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

99

69

100

94

83

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

97 97 100

0

20

40

60

80

100

2000MICS

2004Other NS

2009MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

93

80

0

20

40

60

80

100

2004Other NS

2009MICS

Perc

ent

Pneumonia treatment

999393

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

56

25 21 19 15

6451

4332 28

0

20

40

60

80

100

1998Other NS

2000MICS

2004Other NS

2009MICS

2012Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)55

Infant mortality rate (per 1000 live births) (2015)20

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)9

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Korea, Democratic People’s Republic of

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119

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

12% 3% Preterm 19%

Asphyxia* 12%

Other 4%

Congenital 10%

Sepsis** 7%

0%6%Measles 0%

Injuries 7%Malaria 0%

HIV/AIDS 0%

Other 20%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 12%

Haemorrhage 36%

Hypertension 10%

Indirect 25%

Other direct 14%

Abortion 1%Sepsis 3%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

-

97 100

0

20

40

60

80

100

2000MICS

2009MICS

Perc

ent

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

Causes of maternal deaths, 2013

6774

020406080

100

2009MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

83 (2010)

- -

13, 15, 9 (2009)

- -

- -

- -

93 (2014)

-

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

94 (2009)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Eastern Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

- -

5 (2012)

8 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

-

No

-

-

-

No

-

-

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

74.1

--

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

-

-

-

-

-

-

(2003)

-

100

80

60

40

20

0

Perc

ent

- -

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

-

Note: See annexes for additional information on the indicators above

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

- -

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 55%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

53

82

3

54413

1995 2015

57

88

4

6396

1995 2015

48

73

2

350

24

1995 2015

10089

0 11

1990 2015

100 94

0 6

1990 2015

10080

019

0 1

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Korea, Democratic People’s Republic of

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120

(2012)

EQUITY

684

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012)

(2014)

-

385

-

2432

56

41

0

20

40

60

80

100

1997DHS

2006MICS

2012DHS

2014MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.142

10

(2015)12

(2013)390

(2015)5,940(2015)780(2015)154(2012)98

(2013)110Total maternal deaths

65

21

0

15

30

45

60

75

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 22

Source: UN IGME 2015

8575

21

020406080

100120140

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

96

41

98

98

95

67

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

98 98 99 98

0

20

40

60

80

100

1997DHS

2006MICS

2012DHS

2014MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

515 19

42

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

4862 60

0

20

40

60

80

100

1997DHS

2006MICS

2014MICS

Perc

ent

Pneumonia treatment

969696

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

103 5 4 3

36

18 2318 13

0

20

40

60

80

100

1997DHS

2006MICS

2009Other NS

2012DHS

2014MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)54

Infant mortality rate (per 1000 live births) (2015)19

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)4

(2009)

(2015)

(2012)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

<1 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Kyrgyzstan

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121

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

11% 3%

Preterm 16% Asphyxia* 12%

Other 4%

Congenital 12%

Sepsis** 7%

0%5%

Measles 0%Injuries 6%Malaria 0%

HIV/AIDS 1%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 11%

Haemorrhage 23%

Hypertension 15%

Indirect 22%

Other direct 17%

Abortion 5%Sepsis 9%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

221

97 97 97 98

0

20

40

60

80

100

1997DHS

2006MICS

2012DHS

2014MICS

Perc

ent

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

Causes of maternal deaths, 2013

22

63 67

40

20

35

020406080

100

1997DHS

2006MICS

2012DHS

2014MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

67 (2012)

- -

7, 0, 0 (2014)

99 (2014)

98 (2014)

6 (2012)

- -

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

95 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Caucasus and Central Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

13 (2013)

15 (2012)

26 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

6

Partial

Yes

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

81.9

3-

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

3

-

(2015)

(2015)

(2015)

-

(2013)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

36 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 54%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

91 93

4 45 3

1990 2015

93 89

7 70 4

1990 2015

9096

336 11 0

1990 2015

4458

31

326

3197

1990 2015

80 88

169

3 21 1

1990 2015

2242

40

449

42910

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Kyrgyzstan

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122

(2011-2012)

EQUITY

1539

* See Annex/website for indicator definition

CHILD HEALTH

(2011-2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011-2012)

(2011-2012)

(2013)

652

87

23 26

40

0

20

40

60

80

100

2000MICS

2006MICS

2011-2012DHS/MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.994

14

(2015)30

(2013)130

(2015)6,802(2015)839(2015)179

(2011-2012)75

(2013)400Total maternal deaths

162

67

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 54

Source: UN IGME 2015

1100

220 280

0

200

400

600

800

1000

1200

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

87

40

40

42

37

71

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

19 15 20

42

0

20

40

60

80

100

2000MICS

2005Other NS

2006MICS

2011-2012DHS/MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 715

21

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

3632

54

0

20

40

60

80

100

2000MICS

2006MICS

2011-2012DHS/MICS

Perc

ent

Pneumonia treatment

878888

72

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

40 36 3632 27

5453 48 48 44

0

20

40

60

80

100

1993Other NS

1994Other NS

2000Other NS

2006MICS

2011-2012DHS/MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)45

Infant mortality rate (per 1000 live births) (2015)51

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)12

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

21 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2011-2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Lao People’s Democratic Republic

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123

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14% 3%Preterm 12%

Asphyxia* 13%

Other 4%

Congenital 4%

Sepsis** 8%

0%11%

Measles 0%Injuries 7%

Malaria 0%

HIV/AIDS 0%

Other 22%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 12%

Haemorrhage 30%

Hypertension 15%

Indirect 17%

Other direct 14%

Abortion 7%Sepsis 6%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

11 (2011-2012)

Percent children < 5 years sleeping under ITNs

18

41 43

020406080

100

2000MICS

2006MICS

2011-2012DHS/MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

95

27 2935

54

0

20

40

60

80

100

2000MICS

2005Other NS

2006MICS

2011-2012DHS/MICS

Perc

ent

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

Causes of maternal deaths, 2013

3749

57

32 46 42

020406080

100

2000MICS

2006MICS

2011-2012DHS/MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1995-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

71 (2012)

1 (2006)

4, 10, 2 (2011-2012)

41 (2012)

40 (2012)

- -

90 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

37 (2011-2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South-eastern Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

3 (2013)

17 (2012)

51 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

2

7

No

Yes

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

10.6

33

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

3

46

(2015)

(2015)

(2015)

(2015)

(2012)

(2011)

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

40 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 45%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

20

711

3

10

369

23

1995 2015

62

94

3

4

9

1261

1995 2015

12

56

0

2

10

578

37

1995 2015

828

32

4829

2031

4

1995 2015

33

64

37

2224

146 0

1995 20153 6

30

63

31

2436

7

1995 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Lao People’s Democratic Republic

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124

NUTRITION(2009)

(2009)

-

368

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

53

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

(2009)

EQUITY

11

16 15

36

5467

0

20

40

60

80

100

1996MICS

2000MICS

2004DHS

2009DHS

2014pDHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.194

25

(2015)33

(2013)64

(2015)2,135(2015)278(2015)61(2009)45

(2013)280Total maternal deaths

8890

0

30

60

90

120

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 29

Source: UN IGME 2015

720

490

180

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

92

67

61

78

74

77

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

61 60 55 62

78

0

20

40

60

80

100

1993MoH

2000MICS

2004DHS

2009DHS

2014pDHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

32

>95

72

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

4959

66 63

0

20

40

60

80

100

2000MICS

2004DHS

2009DHS

2014pDHS

Perc

ent

Pneumonia treatment

929696

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

19 15 17 1410

3853 45

39 33

0

20

40

60

80

100

1993Other NS

2000MICS

2004DHS

2009DHS

2014pDHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)37

Infant mortality rate (per 1000 live births) (2015)69

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)6

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

72 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2009

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Lesotho

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125

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

15% 2%Preterm 13%

Asphyxia* 11%

Other 2%

Congenital 3%

Sepsis** 6%

0%9%

Measles 0%

Injuries 5%Malaria 0%

HIV/AIDS 10%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

297

91 88 8590 92 95

0

20

40

60

80

100

1993Other NS

1995Other NS

2000MICS

2004DHS

2009DHS

2014pDHS

Perc

ent

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

Causes of maternal deaths, 2013

29

5348

5442

51 53

020406080

100

2000MICS

2004DHS

2009DHS

2014pDHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

77 (2014)

- -

7, 11, 5 (2009)

- -

61 (2014)

4 (2009)

83 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

74 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

14 (2013)

45 (2012)

74 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

4

No

Yes

Yes

Yes

No

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

6.7

33

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

2

29

(2015)

(2015)

(2015)

(2015)

(2003)

(2004)

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

-

Note: See annexes for additional information on the indicators above

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

14 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 37%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

23 30

8 12

2025

4933

1995 2015

35 37

32 34

21 25

12 4

1995 2015

2028

34

2125

5643

1995 2015

622

71

60

2118

2 0

1990 2015

26

70

67

25

7 50 0

1990 2015

2 4

7373

23 222 1

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Lesotho

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126

(2007)

EQUITY

1461

* See Annex/website for indicator definition

CHILD HEALTH

(2013)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2013)

(2013)

(2013)

646

88

12

3529

55

0

20

40

60

80

100

1986DHS

1999-2000Other NS

2007DHS

2013DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.6147

27

(2015)24

(2013)31

(2015)4,503(2015)701(2015)156(2007)4

(2013)980Total maternal deaths

255

70

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 85

Source: UN IGME 2015

1200

640

300

0

500

1000

1500

2000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

58

55

71

61

78

39

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

5851 46

61

0

20

40

60

80

100

1986DHS

1999-2000DHS

2007DHS

2013DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<116

48 52

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

6251

0

20

40

60

80

100

2007DHS

2013DHS

Perc

ent

Pneumonia treatment

58505045

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

23 20 15 15

4539 42

32

0

20

40

60

80

100

1999-2000Other NS

2007DHS

2010Other NS

2013DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)35

Infant mortality rate (per 1000 live births) (2015)53

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)11

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

52 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2013

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Liberia

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127

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14% 2%Preterm 10%

Asphyxia* 9%

Other 2%

Congenital 3%

Sepsis** 8%

0%9%

Measles 1%

Injuries 6%Malaria 13%

HIV/AIDS 1%

Other 22%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

43 (2013)

Percent children < 5 years sleeping under ITNs

2637 38

020406080

100

2009Other NS

2011Other NS

2013DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

88

83 84 79

96

0

20

40

60

80

100

1986DHS

1999-2000DHS

2007DHS

2013DHS

Perc

ent

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

Causes of maternal deaths, 2013

47 46

7

53 60

020406080

100

1986DHS

2007DHS

2013DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1995-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

39 (2013)

48 (2013)

4, 5, 3 (2013)

35 (2013)

71 (2013)

6 (2013)

89 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

78 (2013)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

13 (2013)

58 (2012)

130 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

No

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2

2.9

23

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

3

27

(2015)

(2015)

(2015)

(2015)

(2008)

(2011)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

No

Note: See annexes for additional information on the indicators above

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

26 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 35%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

13 17

19 25

23 10

45 48

1995 2015

2428

27 31

3114

1827

1995 20154 6

1119

17 7

68 68

1995 2015

4 2

5774

39 7

017

1995 2015

6 4

6985

249

1 2

1995 20151 1

49

62

505

0

32

1995 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Liberia

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128

(2008-2009)

EQUITY

1666

* See Annex/website for indicator definition

CHILD HEALTH

(2003-2004)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012-2013)

(2012-2013)

(2013)

1590

94

3848

41

6751 42

0

20

40

60

80

100

1992DHS

1997DHS

2000MICS

2003-04DHS

2008-09DHS

2012-13Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.4147

21

(2015)20

(2013)47

(2015)24,235(2015)3,770(2015)831

(2012-2013)83

(2013)3,500Total maternal deaths

161

50

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 54

Source: UN IGME 2015

740

440

190

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

64

42

46

44

51

68

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

5747 46

5144 44

0

20

40

60

80

100

1992DHS

1997DHS

2000MICS

2003-04DHS

2008-09DHS

2012-13Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <16

40

5

10

15

20

25

2005 2008 2011 2014Pe

rcen

t

37 47 48 4241

0

20

40

60

80

100

1997DHS

2000MICS

2003-04DHS

2008-09DHS

2012-13Other NS

Perc

ent

Pneumonia treatment

64

737372

50

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

3630

38 37

6155 58

53 49

0

20

40

60

80

100

1992DHS

1995MICS

1997DHS

2003-04DHS

2008-09DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)40

Infant mortality rate (per 1000 live births) (2015)36

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)40

(2009)

(2015)

(2006)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

<1 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2008-2009

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Madagascar

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129

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

15% 3%Preterm 11%

Asphyxia* 12%

Other 3%

Congenital 5%

Sepsis** 7%

0%9%

Measles 0%Injuries 8%

Malaria 4%

HIV/AIDS 1%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

11 (2013)

Percent children < 5 years sleeping under ITNs

0

46

7762

020406080

100

2000MICS

2008-09DHS

2011Other NS

2013Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

58

78 7771

8086 82

0

20

40

60

80

100

1992DHS

1997DHS

2000MICS

2003-04DHS

2008-09DHS

2012-13Other NS

Perc

ent

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

Causes of maternal deaths, 2013

47 4749

1423

10 12 17 15

020406080

100

1992DHS

1997DHS

2000MICS

2003-04DHS

2008-09DHS

2012-13Other NS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

68 (2008-2009)

18 (2013)

2, 7, 1 (2012-2013)

- -

46 (2008-2009)

28 (2008-2009)

78 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

51 (2012-2013)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

12 (2013)

13 (2012)

17 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

No

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

6.1

43

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

2

11

(2015)

(2015)

(2015)

(2015)

(2004)

(2010)

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

No

Note: See annexes for additional information on the indicators above

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

30 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 40%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

9 12

14 18

26 30

5140

1990 2015

1518

23 27

38 37

24 18

1990 2015

8 911 13

21 26

6052

1990 2015

6 7

23

4527

26

4422

1990 2015

22 16

49 66

14

1215

6

1990 2015

2 215

3330

34

5331

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Madagascar

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130

NUTRITION(2010)

(2014)

(2013)

489

90

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

95

* See Annex/website for indicator definition

CHILD HEALTH

(2013-2014)

(2010)

EQUITY

14

4453 57

71 70

0

20

40

60

80

100

2000DHS

2004DHS

2006MICS

2010DHS

2013-14MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.0143

24

(2015)22

(2013)34

(2015)17,215(2015)2,954(2015)665(2011)2

(2013)3,400Total maternal deaths

242

64

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 81

Source: UN IGME 2015

1100

510

280

0

200

400

600

800

1000

1200

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

85

70

75

87

45

75

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

55 56 5654

71

87

0

20

40

60

80

100

1992DHS

2000DHS

2004DHS

2006MICS

2010DHS

2013-14MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<117

4664

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

54

27 37

52

70 68

0

20

40

60

80

100

1992DHS

2000DHS

2004DHS

2006MICS

2010DHS

2013-14MICS

Perc

ent

Pneumonia treatment

8591918783

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

24 22 18 16 14 17

56 5553 53 48 42

0

20

40

60

80

100

1992DHS

2000DHS

2004DHS

2006MICS

2010DHS

2013-14MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)34

Infant mortality rate (per 1000 live births) (2015)43

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)40

(2009)

(2015)

(2012)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

64 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2010

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Malawi

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131

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

11% 2%Preterm 11%

Asphyxia* 9%

Other 2%

Congenital 3%

Sepsis** 7%

0%8%

Measles 1%

Injuries 6%Malaria 7%

HIV/AIDS 8%

Other 25%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

93 (2014)

Percent children < 5 years sleeping under ITNs

3 1525

3956

66

020406080

100

2000DHS

2004DHS

2006MICS

2010DHS

2012Other NS

2013-14MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

90

90 91 92 92 95 96

0

20

40

60

80

100

1992DHS

2000DHS

2004DHS

2006MICS

2010DHS

2013-14MICS

Perc

ent

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

Causes of maternal deaths, 2013

51 5427

48 4932

4861 55 69 64

020406080

100

1992DHS

2000DHS

2004DHS

2006MICS

2010DHS

2013-14MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

75 (2013-2014)

59 (2014)

5, 9, 5 (2013-2014)

81 (2013-2014)

75 (2013-2014)

7 (2010)

89 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

45 (2013-2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

16 (2013)

39 (2012)

76 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2*

3.6

43

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

3

40

(2015)

(2015)

(2015)

(2015)

(2009)

(2014)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

12 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 34%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

29 41

1724

25

3129

4

1990 2015

46 47

36 37

14 154 1

1990 2015

2740

14

2126

3433

5

1990 2015

6 8

36

8241

9171

1990 2015

37 33

54 63

6 43 0

1990 2015

2 3

34

8645

10191

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Malawi

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132

(2006)

EQUITY

1946

* See Annex/website for indicator definition

CHILD HEALTH

(2006)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2006)

(2006)

(2013)

1530

98

9 8

25

38

0

20

40

60

80

100

1987DHS

1995-1996DHS

2001DHS

2006DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

6.1178

23

(2015)38

(2013)26

(2015)17,600(2015)3,271(2015)758(2010)81

(2013)4,000Total maternal deaths

254

115

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 85

Source: UN IGME 2015

1100

550

280

0

200

400

600

800

1000

1200

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

80

38

40

49

35

28

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

3240 41

49

0

20

40

60

80

100

1987DHS

1995-1996DHS

2001DHS

2006DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<114 17

26

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

22

36 38

0

20

40

60

80

100

1995-1996DHS

2001DHS

2006DHS

Perc

ent

Pneumonia treatment

807777

84

130

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

2938

30 2836 40

4339

0

20

40

60

80

100

1987DHS

1995-1996DHS

2001DHS

2006DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)33

Infant mortality rate (per 1000 live births) (2015)75

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)83

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

26 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012-2013

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Mali

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133

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

11%2%

Preterm 10%Asphyxia* 9%

Other 2%

Congenital 2%

Sepsis** 8%

0%9%

Measles 1%

Injuries 4%Malaria 24%

HIV/AIDS 1%

Other 17%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

27

020406080

100

2006DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

122

3147

5770

0

20

40

60

80

100

1987DHS

1995-1996DHS

2001DHS

2006DHS

Perc

ent

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

Causes of maternal deaths, 2013

45 38

16 12 14

020406080

100

1995-1996DHS

2001DHS

2006DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

28 (2012-2013)

- -

2, 4, 1 (2006)

16 (2012-2013)

40 (2012-2013)

10 (2012-2013)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

35 (2006)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

12 (2013)

31 (2012)

71 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

Yes

No

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

5.1

33

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

3

-

(2015)

(2015)

(2015)

(2015)

(2010)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

No

Note: See annexes for additional information on the indicators above

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

60 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 33%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

14 25

1323

43

42

3010

1990 2015

3138

3543

29 175 2

1990 2015

9 16610

48

59

37

15

1990 2015

416

23

6165

228 1

1990 2015

1837

35

6045

32 0

1990 20150 219

62

71

34

10 2

1990 2015

(R)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Mali

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134

NUTRITION(2011)

(2011)

(2013)

1248

99

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

56

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

(2011)

EQUITY

35

2011

27

0

20

40

60

80

100

2000-01DHS

2007MICS

2011MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.571

27

(2015)36

(2013)66

(2015)4,068(2015)601(2015)134(2011)59

(2013)430Total maternal deaths

118

85

020406080

100120140

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 39

Source: UN IGME 2015

630

320

160

0100200300400500600700

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

84

27

9

65

48

27

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

40

5761 65

0

20

40

60

80

100

1990-91Other NS

2000-01DHS

2007MICS

2011MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

41 45 43

0

20

40

60

80

100

2000-01DHS

2007MICS

2011MICS

Perc

ent

Pneumonia treatment

848484

84

50

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

43

2030 23 24 20

5550 40

29 30 22

0

20

40

60

80

100

1990Other NS

1995-96MICS

2000-01DHS

2007MICS

2011MICS

2012Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)42

Infant mortality rate (per 1000 live births) (2015)65

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)11

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

11 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2011

Low birthweight prevalence (%)

<1 2 4

11

0

5

10

15

20

25

2005 2008 2011 2014Pe

rcen

t

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Mauritania

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135

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

12% 3%Preterm 17%

Asphyxia* 9%

Other 2%

Congenital 2%

Sepsis** 10%

0%10%

Measles 1%Injuries 6%

Malaria 4%

HIV/AIDS 1%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

7 (2011)

Percent children < 5 years sleeping under ITNs

219 18

020406080

100

2003-04DHS

2011MICS

2015Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

138

48

6475

84

0

20

40

60

80

100

1990-91Other NS

2000-01DHS

2007MICS

2011MICS

Perc

ent

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

Causes of maternal deaths, 2013

9

32 3423 20 19

020406080

100

2000-01DHS

2007MICS

2011MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

27 (2011)

19 (2011)

10, 18, 4 (2011)

- -

9 (2011)

9 (2000-2001)

80 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

48 (2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

5 (2013)

30 (2012)

87 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

Partial

-

No

No

No

-

-

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1

8.0

--

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

-

37

(2015)

-

-

-

(2009)

(2011)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

-

-

Note: See annexes for additional information on the indicators above

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

46 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 42%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

1640

6

1425

11

5335

1990 2015

29

5810

2037

1024 12

1990 2015

6 1435

17 12

74 69

1990 2015

6

3323

25

65

41

6 1

1990 2015

15

4020

18

64

42

1 0

1990 2015

02125

36

66

39

9 4

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Mauritania

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136

(2012)

EQUITY

939

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012)

(2012)

-

295

-

28 20 14

0

20

40

60

80

100

1987DHS

1999Other NS

2012Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.284

5

(2015)7

(2013)900

(2015)127,017(2015)11,617(2015)2,346(2009)93

(2013)1,100Total maternal deaths

47

13

0

10

20

30

40

50

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 16

Source: UN IGME 2015

88

49

22

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

97

14

96

93

88

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

84 8693 95 96

0

20

40

60

80

100

1990Other NS

1997Other NS

2006Other NS

2004-2009Other NS

2012Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

82

0

20

40

60

80

100

2014Pe

rcen

t

No Data

Pneumonia treatment

97

8787

94

85

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

10 10 6 3 3

26 26 22 16 14

0

20

40

60

80

100

1989Other NS

1996Other NS

1998-1999Other NS

2006Other NS

2012Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)53

Infant mortality rate (per 1000 live births) (2015)11

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)31

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

82 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Mexico

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137

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

Embolism 3%

Haemorrhage 23%

Hypertension 22%Indirect 19%

Other direct 15%

Abortion 10%

Sepsis 8%

Source: WHO 2014

Regional estimates for Latin America, 2013

No Data

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

1,061

78 8696 98

0

20

40

60

80

100

1987Other NS

1995Other NS

2004-2009Other NS

2012Other NS

Perc

ent

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

Causes of maternal deaths, 2013

81

52

020406080

100

1996-1997Other NS

2012Other NS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

88 (2009)

- -

46, 49, 36 (2012)

- -

- -

- -

88 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

93 (2012)Antenatal care (4 or more visits, %)

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

15 (2013)

0 (2012)

0 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

4

Partial

Yes

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

46.2

2-

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

2

-

(2015)

(2015)

(2015)

-

(2011)

-

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

-

Note: See annexes for additional information on the indicators above

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

44 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 53%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

6685

8

104

4221

1990 2015

7988

9102210 0

1990 2015

34

745

11

10

11

51

4

1990 2015

7592

7

46412

0

1990 2015

8696

5 15 34 0

1990 2015

49

79

10

13

8

833

0

1990 2015

(R,F)

Source: WHO/CHERG 2014

Globally nearly half of child deaths are attributable to undernutrition

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015

8% 3%Preterm 18%

Asphyxia* 7%

Other 4%

Congenital 13%

Sepsis** 8%

0%3%

Measles 0%Injuries 7%

Malaria 0%

HIV/AIDS 0%

Other 28%

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO/MCEE 2015

(provisional)

Pneumonia

Diarrhoea

Neonatal death: 53%

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Mexico

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138

(2003-2004)

EQUITY

1552

* See Annex/website for indicator definition

CHILD HEALTH

(2010-2011)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2003-2004)

(2003-2004)

-

286

-

3750

25 31 28

0

20

40

60

80

100

1987DHS

1992DHS

1995DHS

2003-04DHS

2010-11Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.532

24

(2013)18

(2013)300

(2015)34,378(2015)3,421(2015)699

(2010-2011)94

(2013)880Total maternal deaths

80

28

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 27

Source: UN IGME 2015

310

120

78

050

100150200250300350

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

99

28

74

55

86

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

26 3140

63

74

0

20

40

60

80

100

1987DHS

1992DHS

1995DHS

2003-04DHS

2010-11Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

5 20

3452

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

1728

38

70

0

20

40

60

80

100

1992DHS

1997Other NS

2003-04DHS

2010-11Other NS

Perc

ent

Pneumonia treatment

999999

8090

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

138 8 10 3

3530 29 23

15

0

20

40

60

80

100

1987DHS

1992DHS

1996-97Other NS

2003-04DHS

2010-11Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)64

Infant mortality rate (per 1000 live births) (2015)18

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)20

(2015)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

52 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2003-2004

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Morocco

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139

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

8% 3%Preterm 22%

Asphyxia* 14%

Other 4%

Congenital 10%

Sepsis** 11%0%4%Measles 0%

Injuries 6%

Malaria 0%HIV/AIDS 0%

Other 17%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 3%

Haemorrhage 37%

Hypertension 17%

Indirect 18%

Other direct 17%

Abortion 2%Sepsis 6%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

438

25 32

4542

6877

0

20

40

60

80

100

1987DHS

1992DHS

1995DHS

1997Other NS

2003-04DHS

2010-11Other NS

Perc

ent

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

Causes of maternal deaths, 2013

46

1428 23 22

020406080

100

1992DHS

1995DHS

2003-04DHS

2010-11Other NS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

86 (2011)

- -

16, 19, 11 (2007-2010)

- -

- -

4 (2003-2004)

88 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

55 (2010-2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Northern Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

6 (2013)

2 (2012)

7 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

6

Yes

Yes

-

-

No

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

0

15.1

31

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

3

69

(2015)

(2015)

(2015)

(2015)

(2009)

(2000)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

-

Note: See annexes for additional information on the indicators above

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

58 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 64%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

5277

8

12

2

238

9

1990 2015

8184

14 140 25 0

1990 2015

26

663

8

2

369

23

1990 2015

38

64

35

2124

133 2

1990 2015

7591

1986 10 0

1990 2015

423

49

42

4229

5 6

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Morocco

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140

NUTRITION(2011)

(2011)

(2013)

690

99

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

77

* See Annex/website for indicator definition

CHILD HEALTH

(2011)

(2011)

EQUITY

17

30 3037 43 41

0

20

40

60

80

100

1997DHS

2003DHS

2008MICS

2011DHS

2013Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.3166

28

(2015)27

(2013)41

(2015)27,978(2015)4,816(2015)1,087(2011)48

(2013)4,800Total maternal deaths

240

79

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 80

Source: UN IGME 2015

1300

480

330

0200400600800

100012001400

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

85

41

54

51

29

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

44 4855 54

0

20

40

60

80

100

1997DHS

2003DHS

2008MICS

2011DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

2950

91

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

39

5565

50

0

20

40

60

80

100

1997DHS

2003DHS

2008MICS

2011DHS

Perc

ent

Pneumonia treatment

85787873

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

24 26 23 21 18 16

6049 50 47 44 43

0

20

40

60

80

100

1995MICS

1997DHS

2000-2001Other NS

2003DHS

2008MICS

2011DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)35

Infant mortality rate (per 1000 live births) (2015)57

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)82

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

79 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Mozambique

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141

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

12% 2%Preterm 11%

Asphyxia* 9%

Other 2%

Congenital 3%

Sepsis** 8%

0%9%

Measles 0%

Injuries 6%Malaria 13%

HIV/AIDS 5%

Other 20%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

60 (2011)

Percent children < 5 years sleeping under ITNs

723

36

020406080

100

2007Other NS

2008MICS

2011DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

71

7176

85 92 91

0

20

40

60

80

100

1997DHS

2000Other NS

2003DHS

2008MICS

2011DHS

Perc

ent

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

Causes of maternal deaths, 2013

47 4756

42 49 4655

020406080

100

1997DHS

2003DHS

2008MICS

2011DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

29 (2011)

19 (2011)

4, 9, 2 (2011)

- -

- -

7 (2011)

83 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

51 (2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

9 (2013)

27 (2012)

63 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

4.5

33

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

3

29

(2015)

(2015)

(2015)

(2015)

(2012)

(2012)

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

Yes

Note: See annexes for additional information on the indicators above

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

6 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 35%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

10 212

424

36

64

39

1990 2015

3442

78

2937

3013

1990 2015

2 1002

23

36

75

52

1990 2015

6 9

29

42

40

38

2511

1990 2015

20 25

5256

2515

3 4

1990 2015

1 122

36

45

48

3215

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Mozambique

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142

NUTRITION(2009-2010)

(2009-2010)

-

876

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

76

* See Annex/website for indicator definition

CHILD HEALTH

(2009-2010)

(2009-2010)

EQUITY

9

1124

0

20

40

60

80

100

2000MICS

2009-2010MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.217

20

(2015)26

(2013)250

(2015)53,897(2015)4,565(2015)944

(2009-2010)72

(2013)1,900Total maternal deaths

110

50

0

30

60

90

120

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 37

Source: UN IGME 2015

580

200150

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

86

24

71

73

66

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

4656 57

64 71

0

20

40

60

80

100

1991Other NS

1997Other NS

2001Other NS

2007Other NS

2009-2010MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

27

48

79

0

25

50

75

100

2005 2008 2011 2014Pe

rcen

t

48

66 69

0

20

40

60

80

100

2000MICS

2003MICS

2009-2010MICS

Perc

ent

Pneumonia treatment

867575

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

3728 30 30

23

54 55

41 41 35

0

20

40

60

80

100

1991Other NS

1997Other NS

2000MICS

2003MICS

2009-2010MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)53

Infant mortality rate (per 1000 live births) (2015)40

Deaths per 1000 live births Deaths per 100,000 live births

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)46

(2009)

(2015)

(2006)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

39 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Myanmar

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143

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

No Data

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 12%

Haemorrhage 30%

Hypertension 15%

Indirect 17%

Other direct 14%

Abortion 7%

Sepsis 6%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

11

020406080

100

2009-2010Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

37

76 76 80 83

0

20

40

60

80

100

1997Other NS

2001Other NS

2007Other NS

2009-2010MICS

Perc

ent

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

Causes of maternal deaths, 2013

4865 50

4553 61

020406080

100

2000MICS

2003MICS

2009-2010MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

66 (2001)

- -

- -

- -

- -

- -

87 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

73 (2007)Antenatal care (4 or more visits, %)

Source: WHO 2014Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South-eastern Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

2 (2013)

15 (2012)

36 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

5

No

Yes

-

-

No

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2*

16.2

23

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

3

-

(2015)

(2015)

(2015)

(2015)

(2012)

-

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

No

Note: See annexes for additional information on the indicators above

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

68 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Total Urban Rural

100

80

60

40

20

0

Perc

ent

54

80

8

1223

4154

1995 2015

7684

1213

10 22 1

1995 2015

47

77

7

11

26

6206

1995 2015

5 8

53

73

15

14275

1990 2015

17 19

6374

8712 0

1990 2015

1 3

50

71

18

18318

1990 2015

13% 3%

Preterm 18%

Asphyxia* 13%

Other 4%

Congenital 6%

Sepsis** 8%

0%7%

Measles 2%Injuries 6%

Malaria 1%

HIV/AIDS 1%

Other 18%

DiarrhoeaSource:

WHO/MCEE 2015 (provisional)

Globally nearly half of child deaths are attributable to undernutrition

Neonatal death: 53%

Pneumonia

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Myanmar

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144

(2011)

EQUITY

1845

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011)

(2011)

(2013)

1166

99

7468

5370

57

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011DHS

2014MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.287

23

(2015)22

(2013)200

(2015)28,514(2015)2,807(2015)577(2011)42

(2013)1,100Total maternal deaths

141

36

0

50

100

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 47

Source: UN IGME 2015

790

190 200

0

200

400

600

800

1000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

88

57

58

56

60

64

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles 79 11

19

36

56

0

20

40

60

80

100

1991Other NS

1996DHS

2001DHS

2006DHS

2011DHS

2014MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <117

33

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

1826

43 50 50

0

20

40

60

80

100

1996DHS

2001DHS

2006DHS

2011DHS

2014MICS

Perc

ent

Pneumonia treatment

889292

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

4738

43 3929 30

6661 57

4941 37

0

20

40

60

80

100

1996DHS

1997-1998Other NS

2001DHS

2006DHS

2011DHS

2014MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)62

Infant mortality rate (per 1000 live births) (2015)29

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)20

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

15 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Nepal

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145

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

11% 4%Preterm 19%

Asphyxia* 14%

Other 4%

Congenital 8%

Sepsis** 12%0%5%Measles 1%

Injuries 6%

Malaria 0%

HIV/AIDS 0%

Other 15%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 30%

Hypertension 10%Indirect 29%

Other direct 8%

Abortion 6%

Sepsis 14%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

135

1524

28

4458

68

0

20

40

60

80

100

1991Other NS

1996DHS

2001DHS

2006DHS

2011DHS

2014MICS

Perc

ent

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

Causes of maternal deaths, 2013

3747 46

26 32 2939

020406080

100

1996DHS

2001DHS

2006DHS

2011DHS

2014MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

64 (2011)

- -

9, 19, 7 (2014)

58 (2014)

58 (2014)

20 (2011)

82 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

60 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

12 (2013)

11 (2012)

29 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

7

No

No

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

6.7

43

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

3

46

(2015)

(2015)

(2015)

(2015)

(2004)

(2007)

100

80

60

40

20

0

Perc

ent

- -

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

46 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 62%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

4

462

18

6

488

32

1990 2015

35

56

24

377

134

6

1990 2015

1

43

0

13

6

793

37

1990 2015

624

60

68

27

67 2

1990 2015

45 50

52 41

2 81 1

1990 2015

218

61

74

30

67 2

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Nepal

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146

(2006)

EQUITY

2753

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012)

-

(2013)

19-

96

3 114

4

27 23

0

20

40

60

80

100

1992DHS

2000MICS

2006DHS

2008Other NS

2010Other NS

2012DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

7.6210

23

(2015)27

(2013)20

(2015)19,899(2015)4,145(2015)983(2012)64

(2013)5,600Total maternal deaths

328

96

0

100

200

300

400

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 109

Source: UN IGME 2015

1000

630

250

0

200

400

600

800

1000

1200

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

72

23

37

29

33

47

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

15 18 16 1829

0

20

40

60

80

100

1992DHS

1998DHS

2000MICS

2006DHS

2012DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

1426 27

4753

0

20

40

60

80

100

1992DHS

1998DHS

2000MICS

2006DHS

2012DHS

Perc

ent

Pneumonia treatment

726868

1319

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

4147 44 40 38

48 5154 55

43

0

20

40

60

80

100

1992DHS

1998DHS

2000MICS

2006DHS

2012DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)29

Infant mortality rate (per 1000 live births) (2015)57

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)88

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Niger

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147

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

19% 2% Preterm 9%

Asphyxia* 8%

Other 2%

Congenital 2%

Sepsis** 6%

0%11%

Measles 0%Injuries 6%

Malaria 11%

HIV/AIDS 0%

Other 24%

26

30

44 General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

83 (2012)

Percent children < 5 years sleeping under ITNs

1 7

43

64

20

020406080

100

2000MICS

2006DHS

2009Other NS

2010Other NS

2012DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

60

3039 41 46

83

0

20

40

60

80

100

1992DHS

1998DHS

2000MICS

2006DHS

2012DHS

Perc

ent

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

Causes of maternal deaths, 2013

43 34 43

10 20 14 18

44

020406080

100

1992DHS

1998DHS

2000MICS

2006DHS

2012DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

47 (2012)

35 (2012)

1, 5, 1 (2012)

13 (2012)

37 (2012)

13 (2012)

81 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

33 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

10 (2013)

22 (2012)

30 (2012)

Reproductive, maternal, newborn and child health expenditure by source

()

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

Partial

No

Yes

Yes

-

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

1.6

33

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

3

29

(2015)

(2015)

(2015)

(2015)

(2008)

(2010)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

53 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 29%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

4 113779

8673

1990 2015

19

3814

2840

20

2714

1990 20151 51

326

9686

1990 2015

4 9

30

49

63

39

3 3

1990 2015

2241

39

5938

01 0

1990 20150 1

29

48

68

48

3 3

1990 2015

(F)

Available (2012)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Niger

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148

NUTRITION(2013)

(2013)

(2013)

867

70

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

33

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

(2011)

EQUITY

15

1

17 17 13 15 17

0

20

40

60

80

100

1990DHS

1999DHS

2003DHS

2008DHS

2011MICS

2013DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.6123

42

(2015)34

(2013)31

(2015)182,202(2015)31,109(2015)7,133(2013)30

(2013)40,000Total maternal deaths

213

109

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 71

Source: UN IGME 2015

1200

560

300

0200400600800

100012001400

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

51

17

60

38

51

43

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

31

4235 39

4938

0

20

40

60

80

100

1990DHS

1999DHS

2003DHS

2008DHS

2011MICS

2013DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<111 17

29

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

37 3345 40 35

0

20

40

60

80

100

1990DHS

2003DHS

2008DHS

2011MICS

2013DHS

Perc

ent

Pneumonia treatment

516666

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

35 35 2727 24 20

51 44 43 41 36 33

0

20

40

60

80

100

1990DHS

1993Other NS

2003DHS

2008DHS

2011MICS

2014Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)32

Infant mortality rate (per 1000 live births) (2015)69

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)750

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

12 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2013

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Nigeria

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149

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

15% 2%Preterm 10%

Asphyxia* 10%

Other 2%

Congenital 2%

Sepsis** 6%

0%10%

Measles 1%

Injuries 5%

Malaria 14%

HIV/AIDS 3%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

11 (2011)

Percent children < 5 years sleeping under ITNs

1 6

2916 17

25

020406080

100

2003DHS

2008DHS

2010Other NS

2011MICS

2013DHS

2014Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

217

79

5764

58 5861

0

20

40

60

80

100

1986DHS

1990DHS

1999DHS

2003DHS

2008DHS

2013DHS

Perc

ent

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

Causes of maternal deaths, 2013

28 2528 29

1234

18 26 2634

020406080

100

1990DHS

1999DHS

2003DHS

2008DHS

2011MICS

2013DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

43 (2011)

15 (2013)

2, 4, 1 (2013)

14 (2013)

60 (2013)

10 (2013)

55 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

51 (2013)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

18 (2013)

11 (2012)

12 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2*

20.1

43

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

3

194

(2015)

(2015)

(2015)

(2015)

(2008)

(2003)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

69 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 32%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

3829

24

24

1422

24 25

1990 2015

38 33

4338

12

14

715

1990 2015

38 25

16

11

15

30

31 34

1990 2015

12 2

28

67

23

2137

10

1990 2015

32

3

4478

1816

6 3

1990 2015

3 1

22

5625

2750

16

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Nigeria

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150

(2006-2007)

EQUITY

3218

* See Annex/website for indicator definition

CHILD HEALTH

(2012-2013)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2013)

(2013)

-

1166

-

19

37 38

0

20

40

60

80

100

1990-91DHS

2006-07DHS

2012-13DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.648

47

(2015)46

(2013)170

(2015)188,925(2015)24,664(2015)5,451

(2012-2013)34

(2013)7,900Total maternal deaths

139

81

0

50

100

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 46

Source: UN IGME 2015

400

170100

0

100

200

300

400

500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

63

38

60

52

37

64

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles19 18

23

39 43

52

0

20

40

60

80

100

1990-91DHS

1996-97Other NS

2001-02Other NS

2006-07DHS

2010-11Other NS

2012-13DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 1 4 30

5

10

15

20

25

2005 2008 2011 2014Pe

rcen

t

66 69 64

0

20

40

60

80

100

1990-91DHS

2006-07DHS

2012-13DHS

Perc

ent

Pneumonia treatment

63

7373

68

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

44 39 34 31 31 32

6355

42 4345

0

20

40

60

80

100

1985-87Other NS

1990-91DHS

1995MICS

2001Other NS

2011Other NS

2012-13DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)57

Infant mortality rate (per 1000 live births) (2015)66

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)432

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

<1 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012-2013

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Pakistan

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151

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

11%3%

Preterm 22%

Asphyxia* 12%

Other 4%

Congenital 3%

Sepsis** 12%1%8%Measles 1%

Injuries 5%

Malaria 0%

HIV/AIDS 0%

Other 17%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 30%

Hypertension 10%

Indirect 29%

Other direct 8%

Abortion 6%

Sepsis 14%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

126

26 26

4336

6173

0

20

40

60

80

100

1990-91DHS

1996-97Other NS

2001Other NS

2004-05Other NS

2006-07DHS

2012-13DHS

Perc

ent

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

Causes of maternal deaths, 2013

37 3639 41 38

020406080

100

1990-91DHS

2006-07DHS

2012-13DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

64 (2012-2013)

- -

14, 24, 10 (2012-2013)

43 (2012-2013)

60 (2012-2013)

17 (2012-2013)

75 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

37 (2012-2013)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

5 (2013)

15 (2012)

17 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

14.0

23

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

3

45

(2015)

(2015)

(2015)

(2015)

(2010)

(1999)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

Yes

Note: See annexes for additional information on the indicators above

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

55 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 57%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

24

642

9

25

1449

13

1990 2015

66

83

6

7209

8 1

1990 2015

5

51

1

10

27

1867

21

1990 2015

2239

64

52

678 2

1990 2015

5161

4533

3 61 0

1990 2015

925

73

65

7711 3

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Pakistan

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152

(2005)

EQUITY

11-

* See Annex/website for indicator definition

CHILD HEALTH

(2009-2011)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION-

-

-

14-

-

59 56

0

20

40

60

80

100

1996DHS

2006DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.765

15

(2015)25

(2013)120

(2015)7,619(2015)996(2015)215

--

(2013)460Total maternal deaths

89

57

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 30

Source: UN IGME 2015

470

220

120

0

100

200

300

400

500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

65

56

53

55

54

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

53 53

0

20

40

60

80

100

1996DHS

2006DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 4 15

47

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

75

63

0

20

40

60

80

100

1996DHS

2006DHS

Perc

ent

Pneumonia treatment

656262

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

23 1828

46 44 50

0

20

40

60

80

100

1982-1983Other NS

2005Other NS

2009-2011Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)43

Infant mortality rate (per 1000 live births) (2015)45

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)12

(2009)

(2015)

(2004)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

47 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Papua New Guinea

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153

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14% 3% Preterm 14%

Asphyxia* 12%

Other 3%

Congenital 5%

Sepsis** 7%

0%7%

Measles 1%Injuries 5%

Malaria 12%

HIV/AIDS 1%

Other 18%

Pneumonia

Diarrhoea

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 15%

Haemorrhage 30%

Hypertension 14%

Indirect 17%

Other direct 12%

Abortion 7%Sepsis 5%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

No Data

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

114

77 79

0

20

40

60

80

100

1996DHS

2006DHS

Perc

ent

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

Causes of maternal deaths, 2013

No Data

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

54 (2006)

- -

- -

- -

- -

- -

70 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

55 (2006)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Causes of under-five deaths, 2015Regional estimates for Oceania, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

13 (2013)

38 (2012)

54 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

6

Partial

Yes

Yes

Yes

Partial

Yes

No

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

6.2

33

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

2

-

-

(2015)

(2015)

(2015)

(2010)

-

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

-

Note: See annexes for additional information on the indicators above

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

11 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 43%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

20 19

4 3

60 67

16 11

1990 2015

62 56

109

2531

3 4

1990 2015

13 133 3

66 71

18 13

1990 2015

12 9

2231

2318

43 42

1990 2015

61 55

26 33

7 96 3

1990 20154 3

2030

2719

49 48

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Papua New Guinea

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154

(2011)

EQUITY

756

* See Annex/website for indicator definition

CHILD HEALTH

(2013)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2013)

(2010)

-

082

n/a

33

53

6761

70 68

0

20

40

60

80

100

1992DHS

1996DHS

2000DHS

2004DHS

2009DHS

2014DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.468

10

(2015)8

(2013)440

(2015)31,377(2015)3,020(2015)615(2012)96

(2013)530Total maternal deaths

80

17

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 27

Source: UN IGME 2015

250

89

63

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

89

68

93

90

95

89

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

53 56 5971

8390

0

20

40

60

80

100

1992DHS

1996DHS

2000DHS

2004DHS

2009DHS

2014DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<119

7086

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

3346

5867 72 60

0

20

40

60

80

100

1992DHS

1996DHS

2000DHS

2004-06DHS

2009DHS

2014DHS

Perc

ent

Pneumonia treatment

89 88888686

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

9 6 3 5 4 4

37 32 31 30 24 18

0

20

40

60

80

100

1992DHS

1996DHS

2000DHS

2004-06DHS

2009DHS

2013DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)49

Infant mortality rate (per 1000 live births) (2015)13

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)10

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

43 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Peru

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155

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

Embolism 3%

Haemorrhage 23%

Hypertension 22%Indirect 19%

Other direct 15%

Abortion 10%

Sepsis 8%8% 2%

Preterm 19%

Asphyxia* 6%

Other 5%

Congenital 12%

Sepsis** 5%

0%5%Measles 0%

Injuries 9%Malaria 0%

HIV/AIDS 0%

Other 29%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

626

64 67

8491 94 97

0

20

40

60

80

100

1992DHS

1996DHS

2000DHS

2004DHS

2009DHS

2014DHS

Perc

ent

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

Causes of maternal deaths, 2013

60 57

20 26 22 2532 28

020406080

100

1992DHS

1996DHS

2000DHS

2004-06DHS

2009DHS

2014DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

89 (2013)

- -

29, 36, 12 (2014)

- -

93 (2012)

1 (2012)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

95 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Latin America, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

15 (2013)

3 (2012)

11 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

4

Partial

-

-

Yes

Yes

-

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2

26.5

2-

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

2

45

(2015)

(2015)

(2015)

-

(2012)

(2000)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

-

Note: See annexes for additional information on the indicators above

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

35 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 49%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

5376

6

98

1033

5

1990 2015

7082

9106715 1

1990 2015

14

53

1

4

11

2374

20

1990 2015

55

78

19

91799 4

1990 2015

7386

155

11 81 1

1990 2015

13

48

31

2128

16

2815

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Peru

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156

NUTRITION(2013)

(2008)

(2013)

890

89

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

50

* See Annex/website for indicator definition

CHILD HEALTH

(2013-2014)

(2008)

EQUITY

21

2637 34 34

0

20

40

60

80

100

1993DHS

1998DHS

2003DHS

2008DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.959

16

(2015)13

(2013)250

(2015)100,699(2015)11,255(2015)2,349(2010)90

(2013)3,000Total maternal deaths

58

28

010203040506070

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 19

Source: UN IGME 2015

110 120

28

020406080

100120140

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

88

34

72

73

84

76

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

53 56 58 60 62

73

0

20

40

60

80

100

1993DHS

1998DHS

2000MICS

2003DHS

2008DHS

2013DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

5158 55

50

64

0

20

40

60

80

100

1993DHS

1998DHS

2003DHS

2008DHS

2013DHS

Perc

ent

Pneumonia treatment

8879

79

10

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

29 26 2821 21 20

45 39 3834

32 30

0

20

40

60

80

100

1987Other NS

1993Other NS

1998Other NS

2003Other NS

2008Other NS

2013-14Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)45

Infant mortality rate (per 1000 live births) (2015)22

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)66

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2013

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Philippines

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157

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

16% 2% Preterm 15%

Asphyxia* 10%

Other 3%Congenital 7%

Sepsis** 6%

0%7%Measles 0%

Injuries 8%Malaria 0%

HIV/AIDS 0%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 12%

Haemorrhage 30%

Hypertension 15%

Indirect 17%

Other direct 14%

Abortion 7%Sepsis 6%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

No Data

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

287

83 86 8688 91 95

0

20

40

60

80

100

1993DHS

1998DHS

2000MICS

2003DHS

2008DHS

2013DHS

Perc

ent

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

Causes of maternal deaths, 2013

7660 53

2743 42 47

55 49

020406080

100

1993DHS

1998DHS

2003DHS

2008DHS

2011Other NS

2013DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

76 (2013)

- -

9, 11, 8 (2013)

53 (2013)

72 (2013)

- -

87 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

84 (2013)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South-eastern Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

9 (2013)

1 (2012)

8 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

6

No

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

0

71.5

33

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

2

-

(2015)

(2015)

(2015)

(2015)

(2004)

-

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

No

Note: See annexes for additional information on the indicators above

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

57 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 45%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

5774

14

1814115 7

1990 2015

6978

1719

7 07 3

1990 2015

46

71

12

1819

12310

1990 2015

2543

59

49

1254 3

1990 2015

4359

48

35

7 62 0

1990 2015

930

68

60

1667 4

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Philippines

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158

(2010)

EQUITY

771

* See Annex/website for indicator definition

CHILD HEALTH

(2014-2015)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2010)

(2010)

(2013)

279

0

83 83 88 85 87

0

20

40

60

80

100

1992DHS

2000DHS

2005DHS

2010DHS

2014-15pDHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.841

23

(2015)19

(2013)66

(2015)11,610(2015)1,695(2015)363(2010)63

(2013)1,300Total maternal deaths

152

42

0

60

120

180

240

300

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 51

Source: UN IGME 2015

1400

320

350

0

400

800

1200

1600

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

98

87

42

91

44

71

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

26 3139

52

69

91

0

20

40

60

80

100

1992DHS

2000DHS

2005DHS

2007-08DHS

2010DHS

2014-15pDHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

48

>95 >95

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

3020

28 28

50 54

0

20

40

60

80

100

1992DHS

2000MICS

2005DHS

2007-08DHS

2010DHS

2014-15pDHS

Perc

ent

Pneumonia treatment

9899999998

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

24 23 20 1812 9

57

45 48 5244 38

0

20

40

60

80

100

1992DHS

1996Other NS

2000DHS

2005DHS

2010DHS

2014-15pDHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)44

Infant mortality rate (per 1000 live births) (2015)31

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)14

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

>95 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2010

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Rwanda

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159

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

11% 3%Preterm 12%

Asphyxia* 12%

Other 3%

Congenital 6%

Sepsis** 8%

0%7%

Measles 0%Injuries 8%Malaria 4%

HIV/AIDS 1%

Other 25%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

92 (2013)

Percent children < 5 years sleeping under ITNs

4 13

5670 74 68

020406080

100

2000DHS

2005DHS

2007-08DHS

2010DHS

2013Other NS

2014-15pDHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

162

94 92 94 96 98 99

0

20

40

60

80

100

1992DHS

2000MICS

2005DHS

2007-08DHS

2010DHS

2014-15pDHS

Perc

ent

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

Causes of maternal deaths, 2013

20 24 2128 14 12 2129 28

020406080

100

1992DHS

2000DHS

2005DHS

2007-08DHS

2010DHS

2014-15pDHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

71 (2010)

17 (2007-2008)

15, 0, 0 (2013)

5 (2010)

42 (2015)

5 (2010)

90 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

44 (2014-2015)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

22 (2013)

36 (2012)

34 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

6

No

Yes

Yes

Yes

No

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

7.5

33

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

3

35

(2015)

(2015)

(2015)

(2015)

(2010)

(2007)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

Yes

Note: See annexes for additional information on the indicators above

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

18 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 44%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

33

625

1355

23

7 2

1990 2015

61 59

25 24

11 163 1

1990 2015

32

634

856

27

8 2

1990 2015

1 9

57

67

17

1525

9

1990 2015

1928

6659

699 4

1990 2015

0 2

57

70

17

1726

11

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Rwanda

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160

NUTRITION(2008-2009)

(2008-2009)

(2013)

1174

67

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

45

* See Annex/website for indicator definition

CHILD HEALTH

(2008-2009)

(2008-2009)

EQUITY

10

56 60 51

0

20

40

60

80

100

2000MICS

2006MICS

2008-2009DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.5110

22

(2015)17

(2013)100

(2015)190(2015)30(2015)6

(2008-2009)75

(2013)14Total maternal deaths

111

47

0

20

40

60

80

100

120

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 37

Source: UN IGME 2015

410

210

100

0

100

200

300

400

500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

92

51

37

82

72

51

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

79 81 82

0

20

40

60

80

100

2000MICS

2006MICS

2008-2009DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

47

75

0

20

40

60

80

100

2000MICS

2008-2009DHS

Perc

ent

Pneumonia treatment

92

959595

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

1510 8

1432

3529 32

0

20

40

60

80

100

1986Other NS

2000MICS

2006MICS

2008-2009DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)37

Infant mortality rate (per 1000 live births) (2015)35

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)0

(2009)

(2015)

(2006)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2008-2009

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

São Tomé and Príncipe

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161

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

10%2% Preterm 11%

Asphyxia* 9%

Other 2%

Congenital 5%

Sepsis** 7%

0%8%

Measles 1%

Injuries 6%Malaria 17%

HIV/AIDS 0%

Other 21%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

43 (2008-2009)

Percent children < 5 years sleeping under ITNs

2342

56

020406080

100

2000MICS

2006MICS

2008-2009DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

203

9197 98

0

20

40

60

80

100

2000MICS

2006MICS

2008-2009DHS

Perc

ent

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

Causes of maternal deaths, 2013

50 63

31 3149

020406080

100

2000MICS

2006MICS

2008-2009DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1995-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

51 (2008-2009)

60 (2008-2009)

5, 7, 4 (2008-2009)

- -

37 (2008-2009)

5 (2008-2009)

- -

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

72 (2008-2009)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

6 (2013)

70 (2012)

113 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

5

No

Yes

No

Yes

-

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

23.6

3-

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

3

-

-

(2015)

(2015)

-

(2004)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

60 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 37%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

1835

3

6

5

5

7454

1995 2015

24

413

65

5

6848

1995 2015

13234

73

4

8066

1995 2015

2033

54

64

7

119

2

1995 2015

2939

54

60

5112

0

1995 2015

1322

52

72

9

226

4

1995 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

São Tomé and Príncipe

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162

NUTRITION(2010-2011)

(2010-2011)

(2013)

667

99

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

48

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

(2010-2011)

EQUITY

19

5 6 12

3439

33

0

20

40

60

80

100

1986DHS

1992-93DHS

1997DHS

2005DHS

2010-11DHS

2014DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.080

34

(2015)21

(2013)60

(2015)15,129(2015)2,601(2015)567

(2012-2013)73

(2013)1,700Total maternal deaths

140

47

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 47

Source: UN IGME 2015

530

320

130

0

100

200

300

400

500

600

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

80

33

67

59

48

38

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

47 47

58

52

65 59

0

20

40

60

80

100

1992-93DHS

1997DHS

2000MICS

2005DHS

2010-11DHS

2014DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

26 3653

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

31 27

4750 53 42

0

20

40

60

80

100

1992-93DHS

2000MICS

2005DHS

2010-11DHS

2012-13DHS

2014DHS

Perc

ent

Pneumonia treatment

80

898981

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

20 20 2015

1913

3429

3020

29 19

0

20

40

60

80

100

1992-93DHS

1996MICS

2000MICS

2005DHS

2010-11DHS

2014DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)45

Infant mortality rate (per 1000 live births) (2015)42

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)27

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

53 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2014

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Senegal

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163

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

12% 3% Preterm 13%

Asphyxia* 11%

Other 3%

Congenital 5%

Sepsis** 10%

0%9%Measles 1%

Injuries 7%

Malaria 4%

HIV/AIDS 1%

Other 22%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

10 (2014)

Percent children < 5 years sleeping under ITNs

27

29 3543

020406080

100

2000MICS

2005DHS

2008-09Other NS

2010-11DHS

2014DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

96

7482 79

87 93 96

0

20

40

60

80

100

1992-93DHS

1997DHS

2000MICS

2005DHS

2010-11DHS

2014DHS

Perc

ent

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

Causes of maternal deaths, 2013

34 4342

7 15 13 15 22 23

020406080

100

1992-93DHS

1997DHS

2000MICS

2005DHS

2010-11DHS

2014DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

38 (2012-2013)

40 (2014)

4, 7, 2 (2014)

45 (2013)

67 (2013)

19 (2010-2011)

91 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

48 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

8 (2013)

29 (2012)

55 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

Partial

Yes

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

4.8

33

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

3

36

(2015)

(2015)

(2015)

(2015)

(2008)

(2013)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

37 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 45%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

36 48

11

1516

23

3714

1990 2015

5865

2022

1412

8 1

1990 2015

2134

5

818

34

56

24

1990 2015

18

53

42

26

3920

1 1

1990 2015

47

80

4213

11 70 0

1990 20150

3241

35

57

32

2 1

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Senegal

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164

NUTRITION(2013)

(2013)

(2013)

963

99

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

54

* See Annex/website for indicator definition

CHILD HEALTH

(2013)

(2010)

EQUITY

11

4 811

32 32

0

20

40

60

80

100

2000MICS

2005MICS

2008DHS

2010MICS

2013DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.5131

30

(2015)35

(2013)21

(2015)6,453(2015)1,004(2015)229(2010)78

(2013)2,400Total maternal deaths

264

120

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 88

Source: UN IGME 2015

2300

1100

580

0

500

1000

1500

2000

2500

3000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

78

32

73

60

76

40

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

42 43 42

63 60

0

20

40

60

80

100

2000MICS

2005MICS

2008DHS

2010MICS

2013DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

50 48 46

74 72

0

20

40

60

80

100

2000MICS

2005MICS

2008DHS

2010MICS

2013DHS

Perc

ent

Pneumonia treatment

78

838383

53

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

25 25 2821 21 18

4138

4737

45 38

0

20

40

60

80

100

1990Other NS

2000MICS

2005MICS

2008DHS

2010MICS

2013DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)29

Infant mortality rate (per 1000 live births) (2015)87

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)26

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2013

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Sierra Leone

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165

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

12% 2%Preterm 9%

Asphyxia* 8%

Other 2%

Congenital 2%

Sepsis** 7%

0%10%

Measles 2%

Injuries 5%Malaria 20%

HIV/AIDS 0%

Other 21%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

77 (2013)

Percent children < 5 years sleeping under ITNs

2 5

2630

49

020406080

100

2000MICS

2005MICS

2008DHS

2010MICS

2013DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

228

68

81 8793 97

0

20

40

60

80

100

2000MICS

2005MICS

2008DHS

2010MICS

2013DHS

Perc

ent

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

Causes of maternal deaths, 2013

39 31

57 55 5842

54 6873 85

020406080

100

2000MICS

2005MICS

2008DHS

2010MICS

2013DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

40 (2013)

45 (61.7)

3, 5, 2 (2013)

39 (2013)

73 (2013)

8 (2013)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

76 (2013)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

11 (2013)

24 (2012)

38 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

No

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

1.9

33

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

2

24

(2015)

(2015)

(2015)

(2015)

(2010)

(2008)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

61 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 29%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

10 13

23 31

47 32

20 24

1990 2015

21 23

42 45

3624

1 8

1990 2015

5 714

21

51 38

30 34

1990 2015

6 5

31

58

23

1640

21

1990 2015

16 11

5474

239

7 6

1990 2015

1 119

4724

22

56

30

1990 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Sierra Leone

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166

NUTRITION(2007)

-

-

4-

n/a

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

75

* See Annex/website for indicator definition

CHILD HEALTH

(2007)

(2007)

EQUITY

13

74

0

20

40

60

80

100

2007DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.962

15

(2015)12

(2013)180

(2015)584(2015)82(2015)17

--

(2013)23Total maternal deaths

40

28

0

10

20

30

40

50

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 13

Source: UN IGME 2015

320

130

80

050

100150200250300350

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

93

74

86

65

76

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

84 85 86

0

20

40

60

80

100

1994Other NS

1999Other NS

2007DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

73

0

20

40

60

80

100

2007DHS

Perc

ent

Pneumonia treatment

938888

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

16 12

34 33

0

20

40

60

80

100

1989Other NS

2007DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)43

Infant mortality rate (per 1000 live births) (2015)24

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)0

(2009)

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Solomon Islands

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167

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 15%

Haemorrhage 30%

Hypertension 14%

Indirect 17%

Other direct 12%

Abortion 7%Sepsis 5%

Improved and shared facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

40

020406080

100

2007DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

106

74

0

20

40

60

80

100

2007DHS

Perc

ent

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

Causes of maternal deaths, 2013

76

38

020406080

100

2007DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 2015

Source: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 2015Unimproved facilities

treated with ORS

76 (2006-2007)

1 (2006-2007)

6, 8, 6 (2006-2007)

- -

- -

- -

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

65 (2006-2007)Antenatal care (4 or more visits, %)

Source: WHO 2014

Causes of under-five deaths, 2015Regional estimates for Oceania, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

13 (2013)

73 (2012)

147 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

-

No

No

No

No

-

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2*

22.8

23

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

3

100

(2015)

(2015)

(2015)

(2015)

(2009)

(2015)

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

3 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

16% 2% Preterm 13%

Asphyxia* 11%

Other 3%

Congenital 8%

Sepsis** 6%

0%7%

Measles 0%Injuries 8%

Malaria 1%

HIV/AIDS 0%

Other 25%

Source: WHO/MCEE 2015

(provisional)

Globally nearly half of child deaths are attributable to undernutrition

Pneumonia

Diarrhoea

Neonatal death: 43%

General government expenditure

External sources

Private sources

26

61

16

55

32

61

126

14

7 1 9

Total Urban Rural

100

80

60

40

20

0

Perc

ent

30

81

15

16

10

19

54

9

66

Total Urban Rural

100

80

60

40

20

0

Perc

ent

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Solomon Islands

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168

-

EQUITY

-26

* See Annex/website for indicator definition

CHILD HEALTH

(2009)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2006)

(2006)

-

1516

-

9 95

0

20

40

60

80

100

1999MICS

2006MICS

2009Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

6.4123

30

(2015)40

(2013)18

(2015)10,787(2015)1,971(2015)471(2006)3

(2013)3,900Total maternal deaths

180

137

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 60

Source: UN IGME 2015

1300

850

330

0

300

600

900

1200

1500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

46

5

33

6

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

33

25

33

0

20

40

60

80

100

1999MICS

2002Other NS

2006MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <1 13

0

2

4

6

8

10

2005 2008 2011 2014Pe

rcen

t

13

0

20

40

60

80

100

2006MICS

Perc

ent

Pneumonia treatment

464242

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

23

33

2329

42

26

0

20

40

60

80

100

1999MICS

2006MICS

2009Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)29

Infant mortality rate (per 1000 live births) (2015)85

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)61

(2009)

(2015)

(2005)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

3 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2006

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Somalia

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169

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

22% 3%Preterm 7%

Asphyxia* 11%

Other 2%

Congenital 2%

Sepsis** 5%

0%14%

Measles 5%Injuries 6%

Malaria 1%

HIV/AIDS 1%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

10 (2006)

Percent children < 5 years sleeping under ITNs

11

020406080

100

2006MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

-

3226

0

20

40

60

80

100

1999MICS

2006MICS

Perc

ent

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

Causes of maternal deaths, 2013

7

3013

020406080

100

1999MICS

2006MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 2010

Source: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 2010

Unimproved facilities

treated with ORS

- -

1 (2006)

- -

- -

- -

- -

64 (2014)

-

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

6 (2006)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

- -

30 (2012)

99 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

No

Yes

No

No

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

1.5

33

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

3

56

-

(2015)

(2015)

(2015)

(2006)

(2005)

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

- -

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 29%

General government expenditure

External sources

Private sources

20

53

0

11

17

9

42

26

50

27

4

41

Total Urban Rural

100

80

60

40

20

0

Perc

ent

25

52

6

15

30

6

9

15

5

53

3

83

Total Urban Rural

100

80

60

40

20

0

Perc

ent

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Somalia

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170

NUTRITION(2003)

-

(2013)

5-

42

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

61

* See Annex/website for indicator definition

CHILD HEALTH

(2008)

-

EQUITY

-

7 80

20

40

60

80

100

1998DHS

2003DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.354

20

(2015)11

(2013)300

(2015)54,490(2015)5,370(2015)1,111(2012)85

(2013)1,500Total maternal deaths

60

41

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 20

Source: UN IGME 2015

150140

38

0

50

100

150

200

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

70

8

94

87

81

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

82 84

91 94

0

20

40

60

80

100

1995Other NS

1998DHS

2003DHS

2008Other NS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <1

94 >95

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

7565

0

20

40

60

80

100

1998DHS

2003DHS

Perc

ent

Pneumonia treatment

70707065

72

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

8 1012

9

29 3033

24

0

20

40

60

80

100

1994-1995Other NS

1999Other NS

2003DHS

2008Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)27

Infant mortality rate (per 1000 live births) (2015)34

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)42

(2009)

(2015)

(2007)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

>95 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 1998

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

South Africa

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171

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

15% 2%Preterm 9%

Asphyxia* 6%

Other 4%

Congenital 2%Sepsis** 4%

0%9%

Measles 1%

Injuries 9%Malaria 0%

HIV/AIDS 8%

Other 31%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

1,121

8994 92 97

0

20

40

60

80

100

1994-1995Other NS

1998DHS

2003DHS

2008Other NS

Perc

ent

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

Causes of maternal deaths, 2013

5140

020406080

100

1998DHS

2003DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

81 (2003)

- -

21, 24, 15 (2003)

- -

- -

- -

80 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

87 (2008)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

14 (2013)

7 (2012)

11 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

7

No

Yes

Yes

Yes

Yes

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

58.9

3-

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

3

-

(2015)

(2015)

(2015)

-

(2013)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

7 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 27%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

51

66

17

2218

814 4

1990 2015

6470

2426

10 32 1

1990 2015

38

61

10

1625

15278

1990 2015

5673

27

204413 3

1990 2015

86 92

12 82 00 0

1990 2015

2438

42

438

12267

1990 2015

(R,F)

General government expenditure

External sources

Private sources

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South Africa

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172

-

EQUITY

-48

* See Annex/website for indicator definition

CHILD HEALTH

(2010)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2010)

(2010)

(2013)

2321

66

45

0

20

40

60

80

100

2010MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.9158

-

(2015)39

(2013)28

(2015)12,340(2015)1,956(2015)446(2010)35

(2013)3,000Total maternal deaths

253

93

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 84

Source: UN IGME 2015

1800

730

450

0

500

1000

1500

2000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

22

45

19

17

13

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles10

19

0

20

40

60

80

100

2006MICS

2010MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <19

18

0

10

20

30

40

50

2005 2008 2011 2014Pe

rcen

t

48

0

20

40

60

80

100

2010MICS

Perc

ent

Pneumonia treatment

2239

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

3328

3631

0

20

40

60

80

100

2006MICS

2010MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)43

Infant mortality rate (per 1000 live births) (2015)60

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)39

-

(2015)

(2008)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

7 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2010

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

South Sudan

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173

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

17% 4%Preterm 11%

Asphyxia* 15%

Other 2%

Congenital 3%

Sepsis** 7%

0%8%

Measles 1%Injuries 5%Malaria 7%

HIV/AIDS 4%

Other 16%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

8 (2010)

Percent children < 5 years sleeping under ITNs

21 25

46

020406080

100

2006MICS

2009Other NS

2013Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

52

2640

62

0

20

40

60

80

100

2006MICS

2010MICS

2013Other NS

Perc

ent

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

Causes of maternal deaths, 2013

2339

020406080

100

2010MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 2015

Source: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 2015

Unimproved facilities

treated with ORS

13 (2010)

26 (2013)

1, 1, 0 (2010)

- -

- -

- -

0 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

17 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

4 (2013)

14 (2012)

53 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

-

2

-

No

No

No

-

Yes

No

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

-

12

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

2

22

(2015)

(2015)

(2015)

(2015)

-

(2013)

No (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

No

Note: See annexes for additional information on the indicators above

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

60 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 43%

General government expenditure

External sources

Private sources

2 6 1

5761

56

1716

17

24 1726

Total Urban Rural

100

80

60

40

20

0

Perc

ent

716

44

10

2

15

24

15

74

50

79

Total Urban Rural

100

80

60

40

20

0

Perc

ent

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

South Sudan

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174

NUTRITION(2010)

(2010)

(2013)

1651

0

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

73

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

-

EQUITY

-

41

55

0

20

40

60

80

100

2010MICS

2014MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.3102

24

(2015)30

(2013)60

(2015)40,235(2015)5,952(2015)1,319(2010)59

(2013)4,600Total maternal deaths

128

70

0

30

60

90

120

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 43

Source: UN IGME 2015

720

360

180

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

86

55

27

23

51

24

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

2923

0

20

40

60

80

100

2006MICS

2010MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <1 2 50

5

10

15

20

25

2005 2008 2011 2014Pe

rcen

t

5648

0

20

40

60

80

100

2010MICS

2014MICS

Perc

ent

Pneumonia treatment

86

9494

97

86

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

2732 3338 35 38

0

20

40

60

80

100

2006MICS

2010MICS

2014MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)43

Infant mortality rate (per 1000 live births) (2015)48

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)89

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

5 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2010

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Sudan

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175

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

14% 4%Preterm 12%

Asphyxia* 12%

Other 2%

Congenital 4%

Sepsis** 9%

0%10%

Measles 2%Injuries 8%

Malaria 1%

HIV/AIDS 0%

Other 22%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

33 (2010)

Percent children < 5 years sleeping under ITNs

30

020406080

100

2006MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

221

74 74 79

0

20

40

60

80

100

2006MICS

2010MICS

2014MICS

Perc

ent

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

Causes of maternal deaths, 2013

12

59

2731

22

020406080

100

2000MICS

2006MICS

2010MICS

2014MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2010

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2010

Unimproved facilities

treated with ORS

24 (2010)

2 (2010)

9, 0, 0 (2014)

28 (2014)

27 (2014)

- -

74 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

51 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

11 (2013)

20 (2012)

49 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

4

No

Yes

Yes

No

Partial

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

11.2

33

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

3

35

(2015)

(2015)

(2015)

(2015)

(2008)

(2005)

100

80

60

40

20

0

Perc

ent

Yes (2015)

(R,F)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

76 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 43%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

2722

76

2824

3848

1990 2010

52 44

12 10

2826

820

1990 2010

18 13

5 4

2924

4859

1990 2010

3223

3532

2535

8 10

1990 2010

78

46

8

20

1231

2 3

1990 2010

16 13

45 37

29 36

10 14

1990 2010

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Sudan

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176

(2010)

EQUITY

955

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2010)

(2010)

(2013)

266

31

2432 33 44

64

0

20

40

60

80

100

2000MICS

2006-2007DHS

2008Other NS

2010MICS

2014MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.289

18

(2015)14

(2013)94

(2015)1,287(2015)173(2015)38(2010)50

(2013)120Total maternal deaths

75

61

0

30

60

90

120

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 25

Source: UN IGME 2015

550

310

140

0

100

200

300

400

500

600

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

86

64

22

82

77

83

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

5670

7469

8288

0

20

40

60

80

100

1994Other NS

2000MICS

2002Other NS

2006-07DHS

2010MICS

2014MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <1

93 >95

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

60

73

58 60

0

20

40

60

80

100

2000MICS

2006-2007DHS

2010MICS

2014MICS

Perc

ent

Pneumonia treatment

86

9898

67

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

9 6 7 6 6

3730

4031 26

0

20

40

60

80

100

2000MICS

2006-2007DHS

2008Other NS

2010MICS

2014MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)23

Infant mortality rate (per 1000 live births) (2015)45

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)2

(2009)

(2015)

(2009)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

66 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2010

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Swaziland

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177

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

15% 1%Preterm 8%

Asphyxia* 6%

Other 2%

Congenital 3%

Sepsis** 4%

0%10%

Measles 0%

Injuries 8%

Malaria 0%HIV/AIDS

12%

Other 32%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

18 (2010)

Percent children < 5 years sleeping under ITNs

0 1 20

20406080

100

2000MICS

2006-2007DHS

2010MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

564

87 90 8597 99

0

20

40

60

80

100

2000MICS

2002Other NS

2006-2007DHS

2010MICS

2014MICS

Perc

ent

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

Causes of maternal deaths, 2013

25 22

48 4666

86

57

020406080

100

2000MICS

2006-2007DHS

2010MICS

2014MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

83 (2010)

1 (2010)

12, 12, 13 (2010)

- -

22 (2006-2007)

2 (2006-2007)

88 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

77 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

18 (2013)

19 (2012)

26 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

No

No

Partial

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

17.7

33

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

3

-

-

(2015)

(2015)

(2015)

(2009)

-

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

No

Note: See annexes for additional information on the indicators above

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

11 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 23%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

49 57

1821

88

25 14

1990 2015

63 63

29 29

6 72 1

1990 2015

4456

15

1810

931

17

1990 2015

1837

21

3716

1445

12

1990 2015

67 75

1919

6 38 3

1990 2015

42721

4218

1757

14

1990 2015

(F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Swaziland

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178

(2005)

EQUITY

1050

* See Annex/website for indicator definition

CHILD HEALTH

(2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2012)

(2012)

(2013)

1049

93

1425

34

0

20

40

60

80

100

2000MICS

2005MICS

2012DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.547

12

(2015)21

(2013)530

(2015)8,482(2015)1,176(2015)256(2012)88

(2013)120Total maternal deaths

108

45

0

30

60

90

120

150

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 36

Source: UN IGME 2015

68

44

17

-10

20

50

80

110

140

1990 1995 2000 2005 2010 2015MDG Target

Maternal mortality ratio

Source: MMEIG 2014

98

34

80

87

53

55

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

9079

7183 88 87

0

20

40

60

80

100

1991Other NS

1996MoH

2000MICS

2005MICS

2010Other NS

2012DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 7

41

65

0

25

50

75

100

2005 2008 2011 2014Pe

rcen

t

5164 63

0

20

40

60

80

100

2000MICS

2005MICS

2012DHS

Perc

ent

Pneumonia treatment

989797

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

1515 13

42 4233 39

27

0

20

40

60

80

100

1999Other NS

2003Other NS

2005MICS

2007Other NS

2012DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)47

Infant mortality rate (per 1000 live births) (2015)39

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)12

(2009)

(2015)

(2010)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

20 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2012

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Tajikistan

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179

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

15%3%

Preterm 14%

Asphyxia* 12%

Other 4%

Congenital 7%

Sepsis** 7%

0%8%

Measles 0%Injuries 7%

Malaria 0%

HIV/AIDS 0%

Other 24%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 11%

Haemorrhage 23%

Hypertension 15%

Indirect 22%

Other direct 17%

Abortion 5%

Sepsis 9%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

11 (2005)

Percent children < 5 years sleeping under ITNs

10

20406080

100

2005MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

170

71 7789

79

0

20

40

60

80

100

2000MICS

2005MICS

2007Other NS

2012DHS

Perc

ent

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

Causes of maternal deaths, 2013

2922

61

35

4873

60

020406080

100

2000MICS

2005MICS

2009Other NS

2012DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1995-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1995-2015

Unimproved facilities

treated with ORS

55 (2012)

- -

4, 6, 4 (2012)

54 (2012)

80 (2012)

9 (2012)

- -

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

53 (2012)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Caucasus and Central Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

7 (2013)

12 (2012)

22 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

5

Partial

Yes

Yes

No

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1*

69.4

2-

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

2

86

(2015)

(2015)

(2015)

-

(2013)

(2005)

100

80

60

40

20

0

Perc

ent

No (2015)

(R,F)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

60 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 47%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

89 95

3 36 22 0

1995 2015

92 94

5 52 11 0

1995 2015

8895

2 28 32 0

1995 2015

3345

25

2911

531

21

1995 2015

77 83

15 104 24 5

1995 2015

1531

29

3614

642

27

1995 2015

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Tajikistan

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180

(2010)

EQUITY

849

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2010)

(2010)

(2013)

492

92

2329 32

4150 41

0

20

40

60

80

100

1991-92DHS

1996DHS

1999Other NS

2004-05DHS

2010DHS

2014Other NS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.1128

26

(2015)19

(2013)44

(2015)53,470(2015)9,398(2015)2,064(2010)16

(2013)7,900Total maternal deaths

165

49

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 55

Source: UN IGME 2015

910

410

230

0

200

400

600

800

1000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

99

41

31

49

43

58

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

44 38 3643 49

0

20

40

60

80

100

1991-92DHS

1996DHS

1999Other NS

2004-05DHS

2010DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

6570

68 5971

0

20

40

60

80

100

1991-92DHS

1996DHS

1999DHS

2004-05DHS

2010DHS

Perc

ent

Pneumonia treatment

999797

9397

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

25 27 2517 16 13

50 50 4844 43

35

0

20

40

60

80

100

1991-92DHS

1996DHS

1999DHS

2004-05DHS

2010DHS

2014Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)39

Infant mortality rate (per 1000 live births) (2015)35

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)98

(2009)

(2015)

(2007)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2010

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Tanzania, United Republic of

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181

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

12% 3%Preterm 10%

Asphyxia* 11%

Other 2%

Congenital 5%

Sepsis** 8%

0%8%

Measles 0%Injuries 8%

Malaria 5%

HIV/AIDS 3%

Other 24%

33

39

27 General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

61 (2011-2012)

Percent children < 5 years sleeping under ITNs

216

26

6472

020406080

100

1999DHS

2004-05DHS

2007-08Other NS

2010DHS

2011-12Other NS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

126

6250 49

7876

88

0

20

40

60

80

100

1991-92DHS

1996DHS

1999DHS

2004-05DHS

2007-08Other NS

2010DHS

Perc

ent

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

Causes of maternal deaths, 2013

53 5057 48 55 5444

020406080

100

1991-92DHS

1996DHS

1999DHS

2004-05DHS

2010DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

58 (2010)

32 (2011-2012)

5, 10, 3 (2010)

- -

31 (2010)

10 (2010)

88 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

43 (2010)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

11 (2013)

25 (2012)

42 (2012)

Reproductive, maternal, newborn and child health expenditure by source

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

Yes

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

4.7

33

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

3

21

(2015)

(2015)

(2015)

(2015)

(2012)

(2005)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

No

Note: See annexes for additional information on the indicators above

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

33 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 39%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

7 164

12

80 60

9 12

1990 2015

6316

31

86

36

2 2

1990 2015

7 83 4

8071

10 17

1990 2015

6 13

4843

2530

21 14

1990 2015

31 28

6149

520

3 3

1990 20150 6

4540

30 34

25 20

1990 2015

Available (2012)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Tanzania, United Republic of

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182

(2010)

EQUITY

1161

* See Annex/website for indicator definition

CHILD HEALTH

(2013-2014)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2013-2014)

(2013-2014)

(2013)

767

61

14 1018

28

62 58

0

20

40

60

80

100

1988DHS

1998DHS

2000MICS

2006MICS

2010MICS

2013-14DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.577

25

(2015)27

(2013)46

(2015)7,305(2015)1,160(2015)256(2010)78

(2013)1,100Total maternal deaths

146

78

0

50

100

150

200

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 49

Source: UN IGME 2015

660

450

170

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

82

58

71

59

57

37

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

51 49

61 62 59 59

0

20

40

60

80

100

1998DHS

2000MICS

2003Other NS

2006MICS

2010MICS

2013-14DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<117

71 87

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

2630

2332

49

0

20

40

60

80

100

1998DHS

2000MICS

2006MICS

2010MICS

2013-14DHS

Perc

ent

Pneumonia treatment

82

8787

3435

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

22 24 22 2117 16

4133 28 27 30 28

0

20

40

60

80

100

1988DHS

1998DHS

2006MICS

2008Other NS

2010MICS

2013-14DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)34

Infant mortality rate (per 1000 live births) (2015)52

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)20

(2009)

(2015)

(2011)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

22 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2013-2014

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Togo

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183

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

13% 2% Preterm 10%

Asphyxia* 10%

Other 2%

Congenital 3%

Sepsis** 7%

0%8%

Measles 0%Injuries 5%

Malaria 18%

HIV/AIDS 1%

Other 20%

35

9 56

General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

50 (2013-2014)

Percent children < 5 years sleeping under ITNs

2

38

5743

020406080

100

2000MICS

2006MICS

2010MICS

2013-14DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

119

43

8273

8472 73

0

20

40

60

80

100

1988DHS

1998DHS

2000MICS

2006MICS

2010MICS

2013-14DHS

Perc

ent

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

Causes of maternal deaths, 2013

25 22 2433

17 13 10 11 19

020406080

100

1998DHS

2000MICS

2006MICS

2010MICS

2013-14DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

37 (2013-2014)

44 (2013-2014)

7, 12, 3 (2013-2014)

35 (2013-2014)

71 (2013-2014)

6 (2013-2014)

81 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

57 (2013-2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

15 (2013)

4 (2012)

10 (2012)

Reproductive, maternal, newborn and child health expenditure by source

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

2

7

Partial

Yes

Yes

Yes

Partial

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

1

3.3

32

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

3

52

(2015)

(2015)

(2015)

(2015)

(2008)

(2013)

100

80

60

40

20

0

Perc

ent

Yes (2015)

(R,F)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

41 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 34%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

12 12

24 23

4 13

6052

1990 2015

23 25

46 48

6 9

25 18

1990 2015

7 315

6

417

74 74

1990 2015

4 5

44

58

3120

21 17

1990 2015

14 13

6578

2081 1

1990 20150 1

3543

3629

29 27

1990 2015

Available (2010)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Togo

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184

NUTRITION(2000)

-

-

7-

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

18

* See Annex/website for indicator definition

CHILD HEALTH

(2006)

(2011)

EQUITY

5

13 11

0

20

40

60

80

100

2000DHS

2006MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.321

13

(2015)23

(2013)640

(2015)5,374(2015)528(2015)112

--

(2013)68Total maternal deaths

91

51

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 30

Source: UN IGME 2015

6661

17

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

99

11

97

83

83

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

96 97 100

0

20

40

60

80

100

1996MoH

2000DHS

2006MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

51

83

0

20

40

60

80

100

2000DHS

2006MICS

Perc

ent

Pneumonia treatment

99

9897

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

11 8

2819

0

20

40

60

80

100

2000DHS

2006MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)44

Infant mortality rate (per 1000 live births) (2015)44

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)6

(2009)

(2015)

(2006)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100Percent

No Data

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Turkmenistan

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185

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

2547

40

020406080

100

2000DHS

2006MICS

Perc

ent

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 11%

Haemorrhage 23%

Hypertension 15%

Indirect 22%

Other direct 17%

Abortion 5%

Sepsis 9%

Improved and shared facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

276

98 99

0

20

40

60

80

100

2000DHS

2006MICS

Perc

ent

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

Causes of maternal deaths, 2013

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 2005

Source: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 2005Unimproved facilities

treated with ORS

83 (2000)

- -

3, 4, 2 (2000)

- -

- -

10 (2000)

- -

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

83 (2000)Antenatal care (4 or more visits, %)

Source: WHO 2014

Causes of under-five deaths, 2015Regional estimates for Caucasus and Central Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

9 (2013)

1 (2012)

5 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

3

No

-

-

No

Yes

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

132.2

2-

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

2

-

-

(2015)

(2015)

-

(2002)

-

Partial (2015)

(R,F)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

-

Note: See annexes for additional information on the indicators above

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

35 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

14%2% Preterm 15%

Asphyxia* 11%

Other 3%

Congenital 6%

Sepsis** 6%

0%8%

Measles 0%Injuries 6%Malaria 0%

HIV/AIDS 0%

Other 27%

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO/MCEE 2015

(provisional)

Pneumonia

Diarrhoea

Neonatal death: 44%

General government expenditure

External sources

Private sources

53

81

29

7

8

6

29

10

45

111

20

Total Urban Rural

100

80

60

40

20

0

Perc

ent

6377

50

3623

47

1 0 1

Total Urban Rural

100

80

60

40

20

0

Perc

ent

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Turkmenistan

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186

(2011)

EQUITY

1253

* See Annex/website for indicator definition

CHILD HEALTH

(2011-2012)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2011)

(2011)

(2013)

467

65

67 57 63 60 63

0

20

40

60

80

100

1988-1989DHS

1995DHS

2000-2001DHS

2006DHS

2011DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.7140

25

(2015)19

(2013)44

(2015)39,032(2015)7,278(2015)1,665(2011)30

(2013)5,900Total maternal deaths

187

55

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 62

Source: UN IGME 2015

780

360

200

0

200

400

600

800

1000

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

82

63

33

57

48

44

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

38 38 39 42

57

0

20

40

60

80

100

1988-1989DHS

1995DHS

2000-2001DHS

2006DHS

2011DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<125

49

92

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

61 6773 79

0

20

40

60

80

100

1995DHS

2000-2001DHS

2006DHS

2011DHS

Perc

ent

Pneumonia treatment

82787850

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

20 21 19 16 12

48 46 45 39 34

0

20

40

60

80

100

1988-1989DHS

1995DHS

2000-2001DHS

2006DHS

2011-2012Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)35

Infant mortality rate (per 1000 live births) (2015)38

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)85

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

91 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2011

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Uganda

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187

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

14% 2%Preterm 10%

Asphyxia* 10%

Other 2%

Congenital 4%

Sepsis** 7%

0%8%

Measles 0%

Injuries 7%Malaria 7%

HIV/AIDS 6%

Other 23%

24

23 53

General government expenditure

External sources

Private sources

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

69 (2011)

Percent children < 5 years sleeping under ITNs

10

3343

020406080

100

2000-2001DHS

2006DHS

2009Other NS

2011DHS

Perc

ent

0

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

146

8791 92 94 93

0

20

40

60

80

100

1988-1989DHS

1995DHS

2000-2001DHS

2006DHS

2011DHS

Perc

ent

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

Causes of maternal deaths, 2013

29 39 3648

34 40 44

020406080

100

1995DHS

2000-2001DHS

2006DHS

2011DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

44 (2014)

25 (2011)

5, 14, 4 (2011)

11 (2011)

33 (2011)

10 (2011)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

48 (2011)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

24 (2013)

21 (2012)

34 (2012)

Reproductive, maternal, newborn and child health expenditure by source

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

3

7

No

Yes

Yes

Yes

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

2

14.2

33

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

3

34

(2015)

(2015)

(2015)

(2015)

(2005)

(2003)

100

80

60

40

20

0

Perc

ent

Yes (2015)

(R,F)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

No

Note: See annexes for additional information on the indicators above

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

38 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 35%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

13 1910

14

57

60

207

1990 2015

28 29

43 44

27 25

2 2

1990 2015

11 176

9

6166

228

1990 20151 5

39

74

36

13248

1990 2015

723

71

73

1834 1

1990 20150 1

36

75

38

142610

1990 2015

Available (2012)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Uganda

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188

(2006)

EQUITY

567

* See Annex/website for indicator definition

CHILD HEALTH

(2006)

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

NUTRITION(2006)

(2006)

(2013)

547

99

316 19 26

0

20

40

60

80

100

1996DHS

2000MICS

2002DHS

2006MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.426

6

(2015)20

(2013)1,100

(2015)29,893(2015)3,195(2015)667(2006)100

(2013)220Total maternal deaths

72

39

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 24

Source: UN IGME 2015

66

36

17

0

20

40

60

80

100

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

99

26

100

79

80

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

98 96 100

0

20

40

60

80

100

1996DHS

2000MICS

2006MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

No Data

87

68

0

20

40

60

80

100

1996DHS

2006MICS

Perc

ent

Pneumonia treatment

999999

52

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

13 7 4

40

25 20

0

20

40

60

80

100

1996DHS

2002DHS

2006MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)52

Infant mortality rate (per 1000 live births) (2015)34

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)26

(2009)

(2015)

(2006)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

-

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2006

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Uzbekistan

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189

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

WATER AND SANITATION

12%3%

Preterm 18%

Asphyxia* 12%

Other 4%

Congenital 8%

Sepsis** 7%

0%6%Measles 0%

Injuries 6%Malaria 0%HIV/AIDS 0%

Other 24%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 11%

Haemorrhage 23%

Hypertension 15%

Indirect 22%

Other direct 17%

Abortion 5%

Sepsis 9%

Improved and shared facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

Very limited risk

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

330

95 97 99

0

20

40

60

80

100

1996DHS

2000MICS

2006MICS

Perc

ent

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

Causes of maternal deaths, 2013

33 2831 32 28

020406080

100

1996DHS

2000MICS

2006MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2010

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015Unimproved facilities

treated with ORS

80 (1996)

- -

3, 5, 2 (1996)

- -

- -

10 (1996)

- -

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

79 (1996)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Caucasus and Central Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

10 (2013)

3 (2012)

6 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

4

Partial

Yes

Yes

Yes

-

-

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

144.7

2-

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

2

-

-

(2015)

(2015)

-

(2013)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

-

Note: See annexes for additional information on the indicators above

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

46 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 52%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

84100

1600 0

1990 2015

95100

5 00 0

1990 2015

76

100

240

0 0

1990 2015

5747

33 40

5 105 3

1990 2010

86 85

11 131 12 1

1990 2010

3726

48 55

8 147 5

1990 2010

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Uzbekistan

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190

NUTRITION(2011)

(2014)

-

691

-

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

40

* See Annex/website for indicator definition

CHILD HEALTH

(2013)

(2011)

EQUITY

5

17 1512 17 17

24

0

20

40

60

80

100

1997DHS

2002DHS

2005Other NS

2006MICS

2011MICS

2014MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

2.036

13

(2015)11

(2013)1,100

(2015)93,448(2015)7,741(2015)1,582(2011)95

(2013)690Total maternal deaths

51

22

0

10

20

30

40

50

60

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 17

Source: UN IGME 2015

140

49

35

0

50

100

150

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

97

24

90

94

74

93

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

7770

85 8893 94

0

20

40

60

80

100

1997DHS

2000MICS

2002DHS

2006MICS

2011MICS

2014MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

125

4054

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

6960

71

8373

81

0

20

40

60

80

100

1997DHS

2000MICS

2002DHS

2006MICS

2011MICS

2014MICS

Perc

ent

Pneumonia treatment

979595

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

41 4127 24 20

12

6153

4334 31

19

0

20

40

60

80

100

1987-89Other NS

1994Other NS

2000MICS

2004Other NS

2008Other NS

2013Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)52

Infant mortality rate (per 1000 live births) (2015)17

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)34

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

37 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2010-2011

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Viet Nam

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191

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

10% 4%

Preterm 21%

Asphyxia* 7%

Other 4%

Congenital 12%

Sepsis** 4%0%7%Measles 1%

Injuries 4%Malaria 0%

HIV/AIDS 0%

Other 27%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 12%

Haemorrhage 30%

Hypertension 15%

Indirect 17%

Other direct 14%

Abortion 7%Sepsis 6%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

42 (2011)

Percent children < 5 years sleeping under ITNs

16 13 9

020406080

100

2000MICS

2005Other NS

2011MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

308

71 68

8691 94 96

0

20

40

60

80

100

1997DHS

2000MICS

2002DHS

2006MICS

2011MICS

2014MICS

Perc

ent

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

Causes of maternal deaths, 2013

24

6557

5840

11

4026

47

020406080

100

1997DHS

2000MICS

2002DHS

2006MICS

2011MICS

2014MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

93 (2014)

1 (2006)

28, 43, 21 (2014)

89 (2014)

90 (2014)

- -

91 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

74 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for South-eastern Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

9 (2013)

3 (2012)

7 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

5

6

No

No

Yes

Yes

Yes

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

-

24.3

33

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

3

-

-

(2015)

(2015)

(2015)

(2013)

-

100

80

60

40

20

0

Perc

ent

Partial (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Yes

Yes

Note: See annexes for additional information on the indicators above

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

49 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 52%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

36

782

5

23

1639

1

1990 2015

65

94

4

5

7

124

0

1990 2015

29

702

4

26

2543

1

1990 2015

927

54

71

21

1161

1990 2015

4361

47

384 16 0

1990 20150 10

56

87

26

2181

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Viet Nam

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192

NUTRITION(2006)

-

(2013)

13-

87

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

30

* See Annex/website for indicator definition

CHILD HEALTH

(2011)

(2010)

EQUITY

32

13 1812 10

0

20

40

60

80

100

1991-1992DHS

1997DHS

2003Other NS

2013DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

4.067

23

(2015)22

(2013)88

(2015)26,832(2015)3,925(2015)856(2012)17

(2013)2,100Total maternal deaths

126

42

020406080

100120140

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 42

Source: UN IGME 2015

460

270

120

0

100

200

300

400

500

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

75

10

45

14

54

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

16 2227

3645

0

20

40

60

80

100

1991-1992DHS

1997DHS

2003Other NS

2006MICS

2013DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <17 9

0

5

10

15

20

25

2005 2008 2011 2014Pe

rcen

t

28 32

47 44 34

0

20

40

60

80

100

1991-1992DHS

1997DHS

2003Other NS

2006MICS

2013DHS

Perc

ent

Pneumonia treatment

75

888888

72

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

30 34

48 4336

52 50

5958

47

0

20

40

60

80

100

1991-1992Other NS

1996MICS

1997DHS

2003Other NS

2011Other NS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)53

Infant mortality rate (per 1000 live births) (2015)34

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)34

(2009)

(2015)

(2012)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

9 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2006

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Yemen

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193

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

12%4% Preterm 17%

Asphyxia* 13%

Other 4%

Congenital 6%

Sepsis** 9%

1%7%Measles 0%

Injuries 8%

Malaria 1%

HIV/AIDS 0%

Other 19%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 9%

Haemorrhage 31%

Hypertension 13%

Indirect 23%

Other direct 16%

Abortion 3%Sepsis 5%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

-

Percent children < 5 years sleeping under ITNs

No Data

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

200

2634 41 47

60

0

20

40

60

80

100

1991-1992DHS

1997DHS

2003Other NS

2006MICS

2013DHS

Perc

ent

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

Causes of maternal deaths, 2013

48

2632 33

25

020406080

100

1991-1992DHS

1997DHS

2006MICS

2013DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2010

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2010

Unimproved facilities

treated with ORS

54 (2013)

- -

5, 10, 3 (2013)

- -

- -

25 (1997)

70 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

25 (2013)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Western Asia, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

4 (2013)

19 (2012)

31 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

1

7

No

No

Yes

No

Yes

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

0

8.7

33

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

2

14

(2015)

(2015)

(2015)

(2015)

(2010)

(2005)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

Yes

Note: See annexes for additional information on the indicators above

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

74 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 53%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

24

531

331

22

4422

1990 2010

70

93

1

223

36 2

1990 2010

12

341

333

32

54

31

1990 2010

2740

3915

28 41

6 4

1990 2010

8471

12

1

3

27

1 1

1990 2010

1226

4721

3447

7 6

1990 2010

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Yemen

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194

NUTRITION(2013-2014)

(2013-2014)

(2013)

682

93

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

66

* See Annex/website for indicator definition

CHILD HEALTH

(2013-2014)

(2007)

EQUITY

11

1019 27

40

61

73

0

20

40

60

80

100

1992DHS

1996DHS

1999MICS

2001-02DHS

2007DHS

2013-14DHS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

5.3145

26

(2015)21

(2013)59

(2015)16,212(2015)2,851(2015)645(2007)14

(2013)1,800Total maternal deaths

191

64

0

50

100

150

200

250

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 64

Source: UN IGME 2015

580

280

150

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

85

73

63

64

56

70

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

51 4747 43 47

64

0

20

40

60

80

100

1992DHS

1996DHS

1999MICS

2001-02DHS

2007DHS

2013-14DHS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1

40

>95 86

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

6271 69 68 70

0

20

40

60

80

100

1992DHS

1996DHS

2001-02DHS

2007DHS

2013-14DHS

Perc

ent

Pneumonia treatment

8586 86

7773

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

21 20 2023

15 15

4649 58 53

46 40

0

20

40

60

80

100

1992DHS

1996DHS

1999MICS

2001-02DHS

2007DHS

2013-14DHS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)34

Infant mortality rate (per 1000 live births) (2015)43

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)39

(2009)

(2015)

(2012)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

66 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: DHS 2007

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Zambia

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195

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

13% 2% Preterm 9%

Asphyxia* 10%

Other 2%

Congenital 3%

Sepsis** 6%

0%9%

Measles 0%Injuries 7%

Malaria 7%

HIV/AIDS 6%

Other 23%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

90 (2013-2014)

Percent children < 5 years sleeping under ITNs

17

29

50 5741

020406080

100

1999MICS

2001-02DHS

2007DHS

2010Other NS

2012Other NS

2013-14DHS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

192

92 9683

93 94 96

0

20

40

60

80

100

1992DHS

1996DHS

1999MICS

2001-02DHS

2007DHS

2013-14DHS

Perc

ent

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

Causes of maternal deaths, 2013

4856 5653 54 53 60 64

020406080

100

1992DHS

1996DHS

2001-2002DHS

2007DHS

2013-2014DHS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

70 (2013-2014)

73 (2013-2014)

4, 7, 3 (2013-2014)

16 (2013-2014)

63 (2013-2014)

9 (2013-2014)

85 (2014)

(2013)

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

56 (2013-2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

13 (2013)

37 (2012)

51 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

4

7

Partial

Yes

Yes

No

-

Yes

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

8.5

33

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

3

41

(2015)

(2015)

(2015)

(2015)

(2010)

(2005)

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

Partial

-

Note: See annexes for additional information on the indicators above

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

28 (2013)

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 34%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

41 44

15 15

1827

2614

1990 2015

5956

2725

11 183 1

1990 2015

2936

78

23

34

4122

1990 2015

19 16

3049

31

23

2012

1990 2015

4736

41 50

11 121 2

1990 20151 2

23

49

44

30

3219

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Zambia

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196

NUTRITION(2014)

(2014)

(2013)

387

34

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

59

* See Annex/website for indicator definition

CHILD HEALTH

(2014)

(2010-2011)

EQUITY

11

3222 26 31

41

0

20

40

60

80

100

1999DHS

2005-2006DHS

2009Other NS

2010-2011DHS

2014MICS

Perc

ent

ImmunizationPercent of children immunized:

against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccine

with 3 doses DTPwith rotavirus vaccine

Socioeconomic inequities in coverage

Total population (000)Total under-five population (000)Births (000)Birth registration (%)

Neonatal mortality rate (per 1000 live births)

Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 girls)

Stillbirth rate (per 1000 total births)

3.9120

20

(2015)24

(2013)53

(2015)15,603(2015)2,505(2015)539

(2010-2011)49

(2013)2,100Total maternal deaths

7671

0

20

40

60

80

100

120

1990 1995 2000 2005 2010 2015

Under-five mortality rate

MDG Target: 25

Source: UN IGME 2015

520470

130

0

200

400

600

800

1990 1995 2000 2005 2010 2015

MDG Target

Maternal mortality ratio

Source: MMEIG 2014

92

41

77

80

70

87

0 20 40 60 80 100Percent

Coverage along the continuum of care

Source: DHS, MICS, Other NS

Skilled attendant

*Postnatal care

breastfeeding

Measles

70 6973 69 66

80

0

20

40

60

80

100

1988DHS

1994DHS

1999DHS

2005-06DHS

2010-11DHS

2014MICS

Perc

ent

Skilled attendant at deliveryPercent live births attended by skilled health personnel

<1 <1

50

78

0

20

40

60

80

100

2005 2008 2011 2014Pe

rcen

t

25

43 4859

0

20

40

60

80

100

2005-06DHS

2009MICS

2010-11DHS

2014MICS

Perc

ent

Pneumonia treatment

92

919191

48

0

20

40

60

80

100

1990 1995 2000 2005 2010

Perc

ent

812 12 14 10

11

31 29 34 36 32 28

0

20

40

60

80

100

1988DHS

1994DHS

1999DHS

2005-06DHS

2010-11DHS

2014MICS

Perc

ent

Underweight and stunting prevalencePercent of children <5 years who are moderately or severely:

underweight stunted

Exclusive breastfeeding

Source: UNICEF/UNAIDS/WHO 2015

Percent of children <5 years with symptoms of pneumonia taken to appropriate health provider

Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.

Household wealth quintile: Poorest 20% Richest 20%

Demand for family planning satisfied

Antenatal care(4+ visits)

at delivery

Exclusive

Introduction of solid, semi-solid/soft foods (%)

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

Vitamin A two dose coverage (%)

Wasting prevalence (moderate and severe, %)

Source: WHO/UNICEF 2015

Neonatal deaths (% of under-five deaths) (2015)34

Infant mortality rate (per 1000 live births) (2015)47

Deaths per 1000 live births Deaths per 100,000 live births

Note: MDG target calculated by Countdown to 2015.

Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate

Total under-five deaths (000) (2015)38

(2009)

(2015)

(2013)

Pre-pregnancyPregnancy

Birth

Neonatal periodInfancy

Eligible HIV+ pregnant women receiving ART for their own health (%)

74 (2014)

Prevention of mother-to-childtransmission of HIV

2014

Improved drinking water coverage

Percent of infants <6 months exclusively breastfed

Demand for familyplanning satisfied

Antenatal care (1+ visit)

Antenatal care (4+ visits)

Skilled attendantat delivery

Early initiation of breastfeeding

ITN use amongchildren <5 yrs

DTP3

Measles

Vitamin A (past 6 months)

ORT & continued feeding

Careseekingfor pneumonia

0 10 20 30 40 50 60 70 80 90 100PercentSource: MICS 2014

Low birthweight prevalence (%)

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Zimbabwe

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197

CHILD HEALTH

WATER AND SANITATION

DEMOGRAPHICS

MATERNAL AND NEWBORN HEALTH

12%2% Preterm 12%

Asphyxia* 10%

Other 2%

Congenital 3%

Sepsis** 5%

0%9%

Measles 0%Injuries 7%Malaria 2%

HIV/AIDS 9%

Other 26%

Density of doctors, nurses and midwives (per 10,000 population)

POLICIES

Diarrhoeal disease treatmentPercent of children <5 years with diarrhoea:

receiving oral rehydration therapy/increased fluids with continued feeding

Embolism 2%

Haemorrhage 25%

Hypertension 16%

Indirect 29%

Other direct 9%

Abortion 10%

Sepsis 10%

Shared facilitiesImproved facilitiesOpen defecation

Percent children receiving first line treatment among those receiving any antimalarial

79 (2014)

Percent children < 5 years sleeping under ITNs

317

1027

020406080

100

2005-06DHS

2009Other NS

2010-11DHS

2014MICS

Perc

ent

Midwives authorized for specific tasks (X of 7 tasks)

Per capita total expenditure onhealth (Int$)

-

91 9393 94 90 94

0

20

40

60

80

100

1988DHS

1994DHS

1999DHS

2005-06DHS

2010-11DHS

2014MICS

Perc

ent

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

Causes of maternal deaths, 2013

47 35 4656

6

3221

43

020406080

100

2005-06DHS

2009Other NS

2010-11DHS

2014MICS

Perc

ent

Improved drinking water coverage Improved sanitation coverage

Source: WHO/UNICEF JMP 2015

UnimprovedOther improvedPiped on premises

Percent of population by type of drinking water source, 1990-2015

Total Urban RuralSource: WHO/UNICEF JMP 2015

Percent of population by type of sanitation facility, 1990-2015

Unimproved facilities

treated with ORS

87 (2014)

13 (2014)

6, 11, 4 (2014)

85 (2014)

77 (2014)

6 (2010-2011)

75 (2014)

-

Malaria prevention and treatment

Maternity protection (Convention 183)

Source: WHO/MCEE 2015

(provisional)

Women with low body mass index (<18.5 kg/m2, %)

Postnatal visit for mother (within 2 days , %)

Postnatal visit for baby (within 2 days, %)

Neonatal tetanus vaccine

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

Malaria during pregnancy - intermittent preventive treatment (%)

Demand for family planning satisfied (%)

Surface water

70 (2014)Antenatal care (4 or more visits, %)

Globally nearly half of child deaths are attributable to undernutrition

Source: WHO 2014

Pneumonia

Diarrhoea

Causes of under-five deaths, 2015Regional estimates for Sub-Saharan Africa, 2013

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

ODA to child health per child (US$)

ODA to maternal and neonatal health per live birth (US$)

- -

56 (2012)

181 (2012)

Reproductive, maternal, newborn and child health expenditure by source

No Data

Legal status of abortion (X of 5 circumstances)

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

Life Saving Commodities in Essential Medicine List:

Maternal deaths notification

International Code of Marketing ofBreastmilk Substitutes

Postnatal home visits in the first week after birth

Low osmolarity ORS and zinc for management of diarrhoea

Community treatment of pneumonia with antibiotics

SYSTEMS

FINANCING

Kangaroo Mother Care in facilities for low birthweight/preterm newborns

2

7

No

Yes

Yes

No

Yes

No

Yes

Reproductive health (X of 3)

Maternal health (X of 3)

Newborn health (X of 4)

Child health (X of 3)

3

14.2

33

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

3

-

(2015)

(2015)

(2015)

(2015)

(2011)

-

100

80

60

40

20

0

Perc

ent

Yes (2015)

Antenatal corticosteroids as part of management of preterm labour

Laws or regulations that allow adolescents to access contraceptives without parental or spousal consent

No

Yes

Note: See annexes for additional information on the indicators above

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

- -

* Intrapartum-related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis

Neonatal death: 34%

Total Urban Rural

100

80

60

40

20

0

Perc

ent

40 37

2726

0 9

33 28

1990 2015

52 49

4745

0 41 2

1990 2015

35 31

1916

0 13

46 40

1990 2015

33 28

46 49

13 178 6

1990 2015

98

74

223

0 30 0

1990 2015

7 5

64 62

17 24

12 9

1990 2015

(R,F)

General government expenditure

External sources

Private sources

A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report

Zimbabwe