FactsheetofHealthStatistics 2018

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1 SAO TOMEANDPRINCIPE FactsheetofHealthStatistics 18

2 Overview ofuhcandthesdgs Notes: CountriesassessmentsofprogresstowardsUHCandSDGsarebasedon UHCandSDGsindexaccordingtothefolowingthresholds:Ontrack (greenmap):ifuhcandsdgsindexisequalormorethan75%.making progress(yelowmap):ifuhcandsdgsindexismorethan5% and lessthan75%.insuficientprogress(redmap):ifuhcandsdgsindexis lessthan5%. 3.1Maternalmortality Target3.1.Reducetheglobalmaternalmortalityratiotolessthan7per1livebirths Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue Maternalmortalityratio (per1livebirths) Birthsatendedbyskiled healthpersonnel(%) Comment Colour code(2) The3SDG targetcouldlikelybe achieved;but,anannualreductionrateof 5.4% isrequired. The3SDG targetisachievedeven surpassed;buttheannualreductionrateof.8% shouldbemaintainedtokeepthe curentstate. 3.2Newbornandchildmortality Target3.2.Endpreventabledeathsofnewbornsandchildrenunder5yearsofage,withalcountriesaimingtoreduce neonatalmortalitytoatleastaslowas12per1livebirthsandunder-fivemortalitytoatleastaslowas25per1 livebirths Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue Under-fivemortalityrate (per1livebirths) Neonatalmortalityrate (per1livebirths) Infantsreceivingthree dosesofhepatitisb vaccine(%) Comment Colour code(2) Progressinreducingunder-fivemortality rateisgood.iftheannualreductionof 2.3% ismaintained,thecountryisontrack toachievethe3target. Progressinreducingneonatalmortality rateisgood.iftheannualreductionof 1.7% ismaintained,thecountryisontrack toachievethe3target. ThepaceisenoughtomeettheSDG target.anannualreductionrateofabout.3% shouldbemaintainedtoachievethe 3target. UHCandSDGsindex:43% (Insuficientprogress)

3 3.3Communicablediseases Target3.3:EndtheepidemicsofAIDS,tuberculosis,malariaandneglectedtropicaldiseasesandcombathepatitis, water-bornediseasesandothercommunicablediseases Indicator Baseline value(15) Curentvalue (16) Projected(1) value Targetvalue ARTCoverage(%) HIVIncidencerate(per 1population) MalariaIncidencerate (per1populationat risk) TBIncidencerate(per 1population) Reportednumberof peoplerequiring interventionsagainst NTDs 19, , , , Comment Colour code(2) Nodata Nodata Anannualreductionof15.2% is requiredtoachievethe3target. Anannualreductionof11% is requiredtoachievethe3target. Anannualreductionof15.3% is requiredtoachievethe3target. 3.4Noncommunicablediseasesandmentalhealth Target3.4.By3,reducebyonethirdprematuremortalityfrom noncommunicablediseasesthroughpreventionand treatmentandpromotementalhealthandwel-being Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue Probabilityofdyingfrom any ofcvd,cancer,diabetes, CRDbetweenage3and exactage7(%) Suicidemortalityrate(per 1population) Comment Colour code(2) Thetargetcouldlikelybeachieved. But,anannualreductionof2.7% is required Thetargetcouldbeachievedifthe curenttrendisreversedandan annualreductioninsuicidemortality rateof.7% isapplied. 3.5Substanceabuse Target3.5:Strengthenthepreventionandtreatmentofsubstanceabuse,includingnarcoticdrugabuseandharmfuluse ofalcohol Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue Totalalcoholpercapita(>= 15yearsofage) consumption(litresofpure alcohol) Comment Colour code(2) Progressinreductionofalcohol consumption(percapita)isvery good. 2

4 3.6Roadtraficinjuries Target3.6:By,halvethenumberofglobaldeathsandinjuriesfrom roadtraficaccidents Indicator Projected(1) Baseline Curent Targetvalue value value(15) value(16) Comment Colour code(2) Roadtraficmortalityrate (per1population) Thepaceisnotenoughtomeetthe 3SDG target.and,anannual reductionof4.7% isrequired. 3.7Sexualandreproductivehealth Target3.7:By3,ensureuniversalaccesstosexualandreproductivehealth-careservices,includingforfamily planning,informationandeducation,andtheintegrationofreproductivehealthintonationalstrategiesandprogrammes Indicator Projected(1) Baseline Curent Targetvalue value value(15) value(16) Comment Colour code(2) Adolescentbirthrate(per 1womenaged15 19 years) Thepaceisnotfastenoughtomeet thesdg target. Proportionofmariedor in-unionwomenof reproductiveagewhohave theirneedforfamilyplanning satisfiedwithmodern methods(%) ThetrendduringMDG periodis towardssubstantialdeclinebutthe paceisnotfastenoughtomeetthe SDG target.anannualreductionof about5.3% isrequiredtoachievethe 3target 3.8Universalhealthcoverage Indicator Projected(1) Baseline Curent Targetvalue value value(15) value(16) Comment Colour code(2) UHCServicecoverageindex Thetargetcouldlikelybeachieved. But,anannualreductionof4.1% is required 3.dNationalandglobalhealthrisks Target3.d:Strengthenthecapacityofalcountries,inparticulardevelopingcountries,forearlywarning,riskreduction andmanagementofnationalandglobalhealthrisks Indicator Baseline Curent value(15) value(16) Projected(1) value Targetvalue Comment Colour code(2) Compliancewith internationalhealth regulations Thepaceisnotenoughtomeetthe 3SDG target.anannualreduction rateof11.5% isrequired. 3

5 3.9Mortalityfrom environmentalpolution Target3.9:By3,substantialyreducethenumberofdeathsandilnessesfrom hazardouschemicalsandair,water andsoilpolutionandcontamination Indicator Baseline value(15) Curent value(16) Projected(1) Targetvalue value Comment Colour code(2) Mortalityrateatributedto householdandambientair polution(per1 population) Thepaceisnotfastenoughtomeet thesdg target. Mortalityrateatributedto exposuretounsafewash services(per1 population) 11.4 Thepaceisnotfastenoughtomeet thesdg target. Mortalityratefrom unintentional poisoning(per1 population).9.9 Progressinreducingthemortality ratefrom unintentionalpoisoning (per1population)isnotyet observed 16.1Violence Target16.1:Significantlyreducealformsofviolenceandrelateddeathrateseverywhere Indicator Baseline Curentvalue Projected(1) Targetvalue value(15) (16) value Comment Colour code(2) Estimatesofratesof homicidesper1 population TheSDG targetcouldlikelybe achievedwithmoreefords. Information,abbreviationsandacronyms Information:Datasource:UNinter-agencygroupformaternalmortality,15.WHO, 16. AARR:Averageannualrateofreduction (1).ProjectedvalueisbasedontheaverageannualrateofchangeduringtheMDG era. (2).Colourcodes:Red:Noorveryslowprogress,ordeclineinperformance;Yelow: Goodprogressbutthepacenotenoughtomeettarget;Green:Goodprogress;the MDG:Milennium developmentgoals paceisenoughtomeetorsurpassthesdg target. MMR:Maternalmortalityratio MethodofcalculationoftheUHCandSDGsindex: Values,1and2areassignedtoRed,YelowandGreencolour,respectively.Forthe NNMR:Neonatalmortalityrate 22indicatorsfolowed,thesum ofthepointsobtainedforeachcountryiscalculatedand thesepointsarematchedtothepercentagescaleasfolows: 44points(maximum)=1% SDG:Sustainabledevelopmentgoals U5MR:Under-fivemortalityrate UHC:Universalhealthcoverage 4

6 Demographicandsocioeconomicstatistics Population(Datasource:WHO andworldbank18) Population(in thousands)total Populationproportion under15(%) Populationlivingon Populationproportion Populationmedianage Ruralpopulation(% of <$1(PPPint.$)aday over6(%) (years) totalpopulation) (%) Lifeexpectancy(Datasource:WHO 18) Lifeexpectancyatbirth(years) Lifeexpectancyatage6(years) Healthylifeexpectancy(HALE)at birth(years) Healthylifeexpectancy(HALE)at age6(years) Bothsexes Female Male Both sexes Female Male Bothsexes Female Male Both sexes Female Male Crudebirthanddeathrates(per1,people)(Datasource:WHO 18) Numberper1,people Birth Death

7 Mortalityandmorbidity Probabilityofdyingbetween15and6yearsper1 population Adultmortalityrate(Datasource:WHO 18) Female Male Age-standardizeddeathrateper1populationbybroader causes (Datasource:WHO 18) Noncommunicablediseases 628 Age-standardizeddeathrateper1populationbycommunicable diseasesgroups (Datasource:WHO 18) RespiratoryInfectious Infectiousandparasiticdiseases Communicable,maternal, perinatalandnutritional conditions 295 Neonatalconditions Nutritionaldeficiencies Injuries Year 1 16 Maternalconditions 6 5 Age-standardizeddeathrateper1populationby noncommunicablediseasesgroups(datasource:who 18) Cardiovasculardiseases Malignantneoplasms Digestivediseases Respiratorydiseases Genitourinarydiseases Neurologicalconditions Diabetesmelitus Congenitalanomalies Endocrine,blood,immunedisorders Skindiseases Mentalandsubstanceusedisorders Otherneoplasms Musculoskeletaldiseases Oralconditions Senseorgandiseases Age-standardizeddeathrateper1populationbyinjuriesin16 (Datasource:WHO 18) Roadinjury 46 Fals 12 Otherunintentional injuries 6 Self-harm 3 Fire, heat 6

8 MaternalandReproductiveHealth Maternalmortalityratio 222 Deathsper1livebirths Maternalmortalityratio(per1livebirths) ProjectionsofMMRbasedonthecurentAARRof2.8% ProjectionsofMMRbasedontheAARRof1.6% neededtoreachthetarget Condomsuse Condom useamong adolescentswith multiplepartners(%) Male 79 PrevalenceofCondom usebyadultsaged 15-49yearsat higher-risksex(%) Female 28 Male 33 Preventionofmother-to-childtransmission (PMTCT) 1 9 Antenatalcare Antenatalcarecoverage-atleastfour visits(%) Cervicalcancerscreening 7 6 Incidencerate(per1, population) Mortalityrate(per1, population) 7

9 Childhealthandnutrition Immunization(Datasource:WHO,17) BCG immunizationcoverageamong1-year-olds(%) Polioimmunizationcoverageamong1-year-olds(%) MCVimmunizationcoverageamong1-year-olds(%) Penta3immunizationcoverageamong1-year-olds(%) Penta1-Penta3dropoutrate Penta3 Penta1 Dropoutrate Childnutrition(Datasource:WHO,15) Lowbirth-weightprevalence(%) Stuntingprevalence(%) Overweightprevalence(%) Wastingprevalence(%) Exclusivebreastfeeding<6months(%) Prevalenceofanaemiainpregnantwomen(hb<11 g/dl)

10 NewbornandChildHealth Childmortalityrate Deathsper1livebirths Under-fivemortalityrate ProjectionsofU5MRbasedonthecurentAARR Neonatalmortalityrate ProjectionsofNNMRbasedonthecurentAARR CareSeeking Breastfeeding Diarhoea(%) Earlyinitiation(%) 38 Fever(%) Pneumonia(%) Exclusivebreastfeeding<6 months(%) 74 HepatitisBprevalence 15 HepatitisBsurfaceantigen(HBsAg)prevalence amongchildrenunder5years(%) 1 9

11 Communicablediseases NumberofpeoplelivingwithHIV HIVepidemic(Nodata) PrevalenceofHIVamongadultsaged 15to49(%) NumberofdeathsduetoHIV NumberofnewHIVinfections(per1 uninfectedpopulation) NumberofnewHIVinfections HIVresponses(Datasource:WHO 18) HIVtestingandcounseling Numberoftestingandcounselingfacilities 49 Numberoftestingandcounselingfacilitiesper1adultpopulation 42 Numberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounseling 15,251 Estimatednumberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounselingper1adult population NumberofHIVpeoplereceivingantiretroviraltherapy(ART)by classofages ofhivpeoplereceivingartbyclassof ages 1

12 NumberofHIVpeople aged15andoverreceiving antiretroviraltherapybysex ofhivpeople aged15andoverreceiving antiretroviraltherapybysex Viralloadsuppression(Nodata) Prevalenceofvoluntarymedicalmalecircumcision(Nodata) Prevalenceofsexwithnon-maritalpartnerandcondom useatlastsex(nodata) Progresstowards9-9-9targets(Nodata) 11

13 TBincidence(Datasource:WHO 18) Numberofincidenttuberculosiscases Incidenceoftuberculosis(per1 populationperyear) Numberofincidenttuberculosiscases (HIV-positivecases) Incidenceoftuberculosis(per1 population)(hiv-positivecases) TBtreatmentcoverage(Datasource:WHO 18) Numberofcases 1, 5 Tuberculosis-newandrelapsecases Tuberculosistreatmentcoverage(%) TBnewcasenotifications(Datasource:WHO 18) Newcases:extrapulmonary Newcases:Pulmonary,smear-negative/unknown/notdoneandothernew cases Newcases:Pulmonary,smear-positive Neworunknowntreatmenthistorycases:Pulmonary,bacteriologicaly confirmed Neworunknowntreatmenthistorycases:Pulmonary,clinicalydiagnosed Treatmenthistoryunknown TBmortality(Datasource:WHO 18) Numberofdeathsper1population DeathsduetotuberculosisamongHIV-negativepeople(per1 population) Numberofdeaths Numberofdeathsduetotuberculosis,excludingHIV

14 TBpreviouslytreatedcasenotifications(Datasource:WHO 18) Previouslytreated cases,excludingrelapse Relapsecases:extrapulmonary Relapsecases:Pulmonary,bacteriologicaly confirmed Relapsecases:Pulmonary,clinicaly diagnosed TBDrugresistance(Datasource:WHO 18) ConfirmedcasesofRR-/MDR-TB(1) CasesstartedonMDR-TBtreatment NewcasestestedforRR-/MDR-TB(%) Previouslytreatedcasestestedfor RR-/MDR-TB(%) EstimatedMDR/RR-TBcasesamongnotified pulmonarytbcases 16 (1)MDR:Multi-drugresistant;RR:Rifampicin-resistant 15 TBpatientswithknownHIVstatus(%) TestedTBpatientsHIV-positive(%) HIV-positiveTBpatientsonantiretroviraltherapy(%) Co-epidemicsofTBandHIV(Datasource:WHO 18) TBtreatmentsuccess(Datasource:WHO 18) Tuberculosistreatmentcoverage(%) 15 TreatmentsuccessrateforpatientstreatedforMDR-TB(%) Treatmentsuccessrate:newTBcases(%) Treatmentsuccessrate:HIV-positiveTBcases(%) 15 Treatmentsuccessrate:previouslytreatedTBcases(%)

15 Malariacasesanddeaths(Datasource:WHO 17) Estimatedmalariacases 12,55 9, 1,8 2,1 2, Numberofmalariacasesper1, populationatrisk 6,862 4, ,74 1,11 Estimatedmalariadeaths Malariamortalityrateper1,population Childrenaged<5yearssleepingunder insecticide-treatednets(%) 61 Proportionofchildrenunder5yearsofagewith feverbeing treatedwithantimalarialdrugs 8 Insecticideclassresistance(Datasource:WHO 17) 1 15 Numberofinsecticideclassestowhichresistancewasreported Nottested/reported Noclass Neglectedtropicaldiseasescasesanddeaths(Datasource:WHO 18) Leprosy-numberofreportedcases Estimatednumberofindividualsinthecountryrequiring preventivechemotherapyforonchocerciasis Reportednumberofindividualstreatedforonchocerciasis 14

16 Neglectedtropicaldiseasesstatusofendemicity(Datasource:WHO 18) Statusofendemicityofonchocerciasis Nodata Statusofendemicityofvisceralleishmaniasis Noautochthonouscases reported Statusofendemicityofcutaneousleishmaniasis Noautochthonouscases reported Statusofbejelendemicity Noprevioushistoryofbejel Statusofeliminationoftrachomaasapublichealthproblem Non-endemic Statusofyawsendemicity Noprevioushistoryofyaws Choleracasesanddeaths(Nodata) Meningitiscasesanddeaths(Nodata) Numberofsuspectedmeningitisdeathsreported Syphilis(Datasource:WHO 18) Womenaccessingantenatalcare(ANC)serviceswhowere testedforsyphilis(%) Antenatalcareatendeeswhowerepositiveforsyphilis(%) Antenatalcareatendeespositiveforsyphiliswhoreceived treatment(%) Sexworkerswithactivesyphilis(%)

17 Noncommunicablediseases Adults 18yearswithraisedbloodpressure(%) Adults 18yearswithraisedbloodpressure,bysex(%) Female 25.3 Male Adults 18yearswithraisedfastingbloodglucose(%) Adults 18yearswithraisedfastingbloodglucose,bysex (%) Female Male Adults 18yearswhowereoverweight(%) Adults 18yearswhowereoverweight,bysex(%) Value Female Male

18 Adults 18yearswhowereobese(%) Adults 18yearswhowereobese,bysex(%) Female Male Percapitaalcoholconsumptionamongpeople 15years (%) 1 Female Male Both sexes 9 8 individuals 15yearswho usedtobacco ofadults 18yearswith insuficientphysicalactivity ageofadults 25yearswith 8 raisedcholesterol

19 Serviceavailabilityandreadiness(Nodata) Readinesstoprovidegeneralservices Healthsystemsandservices Nodata Basicamenities Basicequipment Diagnostics Essentialmedicines Standardprecautionsfor infectionpreventionand control GeneralService ReadinessIndex Themeanavailabityofitemsforoferingthespecific services(%) Adolescenthealthservices Advanceddiagnosticservices Antenatalcare ART Basicobstetriccare Basicsurgery Bloodtransfusion Cardiovasculardiseases CEmOC Cervicalcancerscreening Childimmunization Chronicobstructiverespiratorydisease Comprehensivesurgery Diabetes Familyplanning High-leveldiagnosticservices HIVcareandsupport HIVcounselingandtesting Life-savingmedicine(children) Life-savingmedicines(mothers) Malaria PMTCT Preventiveandcurativeservicesforunder-fives STIs TB offacilitiesthatreportedoferingservices,by servicestype Adolescenthealthservices Antenatalcare ART Basicobstetriccare Basicsurgery Bloodtransfusion Cardiovasculardiseases CEmOC Cervicalcancerscreening Childimmunization Chronicobstructiverespiratorydisease Comprehensivesurgery Diabetes Familyplanning HIVcareandsupport HIVcounselingandtesting Malaria PMTCT Preventive&curativeservices STIs TB Serviceavailabilityindex Healthfinancing(Datasource:WHO 18) DomesticGeneralGovernmentHealthExpenditure(cGGHE-D)per CapitainPPPInt$ US$ CurentDomesticGeneralGovernmentHealthExpenditure (cgghe-d)as% GeneralGovernmentExpenditure(GGE)

20 Healthfinancing(Datasource:WHO 18) BreakdownofTotalCurenteHealthExpenditurebysource(%) Out-of-pocket(OOPS)as% oftotalcurenthealthexpenditure (CHE)(Datasource:WHO 18) US$ CurenteDomesticGeneralGovernmentHealthExpenditure(GGHE-D)as% TotalCurentHealthExpenditure(CHE) DomesticPrivateHealthExpenditure(PVT-D)as% CurentHealthExpenditure(CHE) ExternalHealthExpenditure(EXT)as% ofcurenthealthexpenditure(che) CurentHealthExpenditure(CHE)as% GrossDomesticProduct(GDP) DomesticGeneralGovernmentHealthExpenditure(GGHE-D)as% GrossDomesticProduct(GDP) ExternalHealthExpenditureChanneledthroughGovernment(EXT-G)as% ofexternalhealth Expenditure(EXT) DomesticHealthExpenditure(DOM)as% ofcurenthealthexpenditure(che) CurentHealthExpenditure(CHE)perCapitainPPP DomesticPrivateHealthExpenditure(PVT-D)perCapitainPPPInt$ ExternalHealthExpenditure(EXT)perCapitainPPPInt$ CurentHealthExpenditure(CHE)perCapitainUS$ DomesticGeneralGovernmentHealthExpenditure(GGHE-D)perCapitainUS$ DomesticPrivateHealthExpenditure(PVT-D)perCapitainUS$ ExternalHealthExpenditure(EXT)perCapitainUS$ Healthworkforce(Nodata) Medicalproducts,infrastructuresandequipment(Datasource:WHO 18) Availabilityoftechnicalspecificationsofmedicaldevicestosupportprocurementordonations Availabilityofnationallistofapprovedmedicaldevicesforprocurementorreimbursement Availabilityofnationalstandardsorrecommendedlistsofmedicaldevices Nationalguidelines,policiesorrecommendationsontheprocurementofmedicaldevices No No Nolistavailable No Essentialmedicines,7-13 Private Public *Medianpercentageavailabilityofselectedgenericmedicines inasambleofheathfacilitie Medianavailabilityofselectedgenericmedicines(%)* Medianconsumerpriceratioofselectedgenericmedicines* *Medianconsumerpriceratioofselectedgenericmedicines (ratioofmedianlocalunitpricetomanagementsciencesfor healthinternationalreferenceprice),countrieswithdata 19

21 Medicalproducts,infrastructuresandequipment(Datasource:WHO 18) Equipment(Nodata) Bedsdensity Bedsformentalhealthingeneralhospitals(per 1,) Bedsinmentalhospitals(per1,) Hospitalbeds(per1population) Infrastructures:Totaldensityper1population 1 13 District/ruralhospitals.. Healthcentres Healthposts Healthinformation,evidenceandknowledge Censuscariedout(Datasource:UNSD16) Censuscariedoutinthe1roundofcensuses(5-14) Censuscariedoutintheroundofcensuses(15-24) Yes Itisexpectedthatacensuswilbeheldonthedateindicated Civilregistration(Datasource:WHO,18) CauseofDeathReportingatHealthFacilities(%):withMCCoD/ICDCompliance 17 4 Civilregistrationcoverageofbirths(%) 95.2 ehealth(datasource:itu,18) Celularormobilesubscribersper1inhabitants ageofindividualsusingtheinternet

22 Waterandsanitation(Datasource:WHO,15) Socialdeterminantsofhealth Populationusingimproveddrinkingwatersource(%) Populationusingimproveddrinkingwatersource,by residencearea(%) Rural Urban Rural Urban Rural Urban Populationusingimprovedsanitation(%) Populationusingimprovedsanitation,byresidencearea (%) Rural Urban Rural Urban Rural Urban Accesstoelectricity(Datasource:WorldBank,15) Populationwithaccesstoelectricity(%) Populationwithaccesstoelectricity,byresidencearea(%) 1 Rural 9 Urban