trends in health and health care in zambia
DESCRIPTION
Trends in health and health care in Zambia. Emmanuela Gakidou, PhD Associate Professor, Global Health April 18th, 2013. Outline. Population-level trends in burden of disease and coverage of key interventions Facility-level trends in provision of services Patient-level satisfaction. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/1.jpg)
Trends in health and health care in Zambia
Emmanuela Gakidou, PhD
Associate Professor, Global Health
April 18th, 2013
![Page 2: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/2.jpg)
2
Outline
• Population-level trends in burden of disease and coverage of key interventions
• Facility-level trends in provision of services
• Patient-level satisfaction
![Page 3: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/3.jpg)
3
Zambia overview
1990 2010
Population 7.8 m 13.1 m
GDP per capita (I$) 902 1,552
Average years of education among women aged 15-44
4.66 6.50
% women aged 15-19 currently in school
40% 63%
Life Expectancy at birth 50.6 55.8
Under- 5 mortality (per 1,000) 178 105
![Page 4: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/4.jpg)
4
www.healthmetricsandevaluation.org/gbd
![Page 5: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/5.jpg)
5
Zambia: trends in top 20 causes of child death
![Page 6: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/6.jpg)
6
Trend in under-5 mortality
1990 1995 2000 2005 2010
100
120
140
160
180
Zambia National Trend in Child Mortality 1990-2010
Year
Dea
ths
(per
1,0
00)
Health sector reform
Child Health Week
Catch up immunization with CHWs
IRS
ITN scale up
ACTs
HiB
PMTCT
HR and infrastructure investments
![Page 7: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/7.jpg)
7
Trends in coverage of select key interventions
![Page 8: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/8.jpg)
8
Under-5 mortality
![Page 9: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/9.jpg)
9
DPT3 immunization coverage
![Page 10: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/10.jpg)
10
Scale up of ITN ownership
![Page 11: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/11.jpg)
11
ITN ownership compared to ITN use
![Page 12: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/12.jpg)
12
Key MCH interventions and under-5 mortality
![Page 13: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/13.jpg)
13
Education of women of reproductive age
![Page 14: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/14.jpg)
14
Childhood malnutrition (underweight)
![Page 15: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/15.jpg)
15
Education, malnutrition and mortality
![Page 16: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/16.jpg)
16
Facility-level trends in the provision of services
![Page 17: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/17.jpg)
17
Trend in ART-related visits at health facilities
![Page 18: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/18.jpg)
18
Trend in non- ART related services
![Page 19: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/19.jpg)
19
Trends in volume of care for facilities that provide ART vs. facilities that do not
![Page 20: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/20.jpg)
20
What do the customers say?Patient satisfaction across facilities in Zambia
![Page 21: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/21.jpg)
21
Primar
y or
Les
s - U
rban
Post-P
rimar
y - U
rban
Primar
y or
Les
s - R
ural
Post-P
rimar
y - R
ural
0
10
20
30
40
50
60
70
80
Average travel time to urban and rural health facilities, by education
![Page 22: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/22.jpg)
22
Proportion of patients waiting over 1 hour, urban and rural facilities, by education
By education level
Primary or Less - Urban
Post-Primary - Urban
Primary or Less - Rural
Post-Primary - Rural
0
0.1
0.2
0.3
0.4
0.5
0.6
![Page 23: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/23.jpg)
23
Overall patient satisfaction
MOH HC Priv/NGO HC
MOH Hosp Priv/NGO Hosp
0
1
2
3
4
5
6
7
8
9
10
Urban/Peri-Urban
MOH HC Priv/NGO HC
MOH Hosp Priv/NGO Hosp
Rural
![Page 24: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/24.jpg)
Proportion of patients that would return to facility
24
MOH HC Priv/NGO HC MOH Hosp Priv/NGO Hosp
Rural
MOH HC Priv/NGO HC MOH Hosp Priv/NGO Hosp
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Urban/Peri-Urban
No Yes, somewhat Yes, definitely
![Page 25: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/25.jpg)
25
Burden of disease in Zambia, 2010
![Page 26: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/26.jpg)
26
![Page 27: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/27.jpg)
27
Extra slides
![Page 28: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/28.jpg)
28
Zambia Health Surveillance Data Sources
Sources for IHME estimates Years
Census of Population and Housing 1990, 2000, 2010*
Indoor Residual Spraying database 2005-2010*
Zambia Health Facility Census 2005-2006*
Medical Stores Limited 2008-2011*
HMIS Database 2000-2009*
Global Precipitation Climatology Centre 1986-2012
*unpublished
![Page 29: Trends in health and health care in Zambia](https://reader036.vdocuments.site/reader036/viewer/2022062301/56814516550346895db1d98f/html5/thumbnails/29.jpg)
29
Zambia Health Surveillance Data SourcesSources for IHME estimates Years
DHS 1992, 1996-1997, 2001-2002, 2007
LSMS 1996, 1998, 2002-2003, 2004-2005, 2006*, 2010*
Malaria Indicator Survey 2006*, 2008*, 2010*
Multiple Indicator Cluster Survey 1999
Sexual Behavior Survey 2005, 2009
Household Health Coverage Survey 2008
NetMark Baseline Survey on Insecticide-Treated Materials (ITMs) in Zambia
2001
ABCE survey data 2012*
*unpublished