DEMOGRAPHICS - PDF document

130 NUTRITION (2010)(2010)(2012) 4 8660 DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH 95 * See Annex/website for indicator definition CHILD HEALTH (2010)(2010) EQUITY 14 57711002000DHS2004DHS2006MICS2010DHSPercent Immunization Percent of children immunized:against measles with 3 doses Hib with 3 doses pneumococcal conjugate vaccinewith3 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) 5.5 157 (2012) 24 (2013) 34 (2012) 15,906 (2012) 2,859 (2012) - (2013) 3,400 Total maternal deaths 75150225300199019952000200520102015 Under - five mortality rate MDG Target Source: IGME 2013 3006009001200199019952000200520102015 MDG Target Maternal mortality ratio Source: MMEIG 2014 90204060100Percent Coverage along the continuum of care Source: DHS, MICS, Other NS Skilled attendant *Postnatal care breastfeeding Measles 7120801001992DHS2000DHS2004DHS2006MICS2010DHSPercent Skilled attendant at delivery Percentlive births attended by skilled health personnel 264960 0 20 40 60 201020112012Percent 601001992DHS2000DHS2004DHS2006MICS2010DHSPercent Pneumonia treatment 204010019901995200020052010Percent 221655 100 1992DHS1997-1998Other NS2000DHS2004DHS2006MICS2010DHSPercent Underweight and stunting prevalence Percent of children years who are moderately or severely:underweight stunted Exclusive breastfeeding Source: UNICEF/UNAIDS/WHO 2013 Percent of children 5 years with symptoms of pneumonia: receiving antibiotics 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 incidence (moderate and severe, %) Source: WHO/UNICEF 2013 Neonatal deaths: % of all under - 5 deaths (2012) 34 Infant mortality rate (per 1000 live births) (2012) 46 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 PMTCT Uncertainty range around the estimate Total under - five deaths (000) (2012) 43 (2009)(2012)(2008) Pre pregnancy Pregnancy Birth Neonatal period Infancy Eligible HIV+ pregnant women receiving ART for their own health (%, of total ARVs) 86 (2012) Prevention of mother - to - child transmission of HIV 2012 taken to appropriate health provider Improved drinking water coverage Percent of infants 6 months exclusively breastfed Demand for family planning satisfied Antenatal care (1+ visit) Antenatal care (4+ visits) Skilled attendant at delivery Early initiation of breastfeeding ITN use among children 5 yrs DTP3MeaslesVitamin A (past 6 months) ORT & continued feeding Careseeking for pneumonia 102030405060708090100PercentSource: DHS 2010 Malawi Fulfilling the Health Agenda forWomen and ChildrenThe 2014 Report 131 CHILD HEALTH WATER AND SANITATION DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH 19902012 19902012 19902012 Preterm 10%Asphyxia* 10%Other 2%Congenital 3%Sepsis** 7%Measles 1%Injuries 5%Malaria 15%HIV/AIDS 12%Other 15% External sources General government expenditure Out-of-pocket expenditure Other Density of doctors, nurses and midwives (per 10,000 population) POLICIES Diarrhoeal disease treatment Percent of children 5 years with diarrhoea: receiving oral rehydration therapy/increased fluids with continued feeding Embolism 2%Haemorrhage 25%Hypertension Indirect 29%Other direct Abortion 10%Sepsis 10% Shared facilities Improved facilities Open defecation Percent children receiving first line treatment among those receiving any antimalarial 91 (2012) Percent children 5 years sleeping under ITNs 1002000DHS2004DHS2006MICS2010DHS2012Other NSPercent Midwives authorized for specific tasks (X of 7 tasks) Per capita total expenditure on health (Int$) 83 1001992DHS2000DHS2004DHS2006MICS2010DHSPercent Antenatal care Percent women aged 1549 years attended at least once by askilled health provider during pregnancy Causes of maternal deaths, 2013 1001992DHS200020042006MICS2010Percent Improved drinking water coverage Improved sanitation coverage Source:WHO/UNICEF JMP 2014 Unimproved Other improved Piped on premises Percent of population by type of drinking water source, 1990 - 2012 Total Urban Rural Source: WHO/UNICEF JMP 2014 Percent of population by type of sanitation facility, 1990 - 2012 Unimproved facilities Total Urban Rural treated with ORS 64 (2010) 53 (2012) 5, 8, 4 (2010) - - 43 (2010) - - 89 (2012) (2012) Malaria prevention and treatment Maternity protection (Convention 183) Source: WHO/CHERG 2014 Women with low body mass index (18.5 kg/m2, %) Postnatal visit for mother (within 2 days for home births, %) Postnatal visit for baby (within 2 days for home births, %) Neonatal tetanus vaccine C - section rate (total, urban, rural; %) (Minimum target is 5% and maximum target is 15%) Malaria during pregnancy - intermittent preventive treatment (%) Demand for family planning satisfied (%) Surface water 46 (2010) Antenatal care (4 or more visits, %) Globally nearly half of child deaths are attributable to undernutritionSource: WHO 2014 Pneumonia Diarrhoea Causes of under - five deaths, 2012 Regional estimates for SubSaharan Africa, 2013 General government expenditure on health as % of total government expenditure (%) ODA to child health per child (US$) ODA to maternal and neonatal health per live birth (US$) 18 (2012) 37 (2011) 52 (2011) 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 of Breastmilk Substitutes Postnatal home visits in the first week after birth Low osmolarity ORS and zinc for management of diarrhoea Community treatment of pneumonia with antibiotics SYSTEMS FINANCING Kangaroo Mother Care in facilities for low birthweight/preterm newborns 1 7 No Yes Yes Yes Yes Yes Yes Reproductive health (X of 3)Maternal health (X of 3) Newborn health (X of 4) Child health (X of 3) 2 3.6 3 3 National availability of Emergency Obstetric Care services (% of recommended minimum) 3 32 (2013) (2013) (2013) (2013) (2009) (2010) 100 80 60 40 20 0 100 80 60 40 20 0 Percent Percent Yes (2013) 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 13 (2012) * Intrapartum - related events ** Sepsis/ Tetanus/ Meningitis/ Encephalitis Neonatal death: 34% 19902012 19902012 19902012 Malawi Fulfilling the Health Agenda forWomen and ChildrenThe 2014 Report