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

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

Afghanistan

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

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

Afghanistan

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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