FactsheetofHealthStatistics 2018

Transkript

1 LESOTHO FactsheetofHealthStatistics 218

2 Notes: CountriesassessmentsofprogresstowardsUHCandSDGsarebasedon UHCandSDGsindexaccordingtothefolowingthresholds:Ontrack (greenmap):ifuhcandsdgsindexisequalormorethan75%.making progress(yelowmap):ifuhcandsdgsindexismorethan5% and lessthan75%.insuficientprogress(redmap):ifuhcandsdgsindexis lessthan5%. UHCandSDGsindex:4% (Insuficientprogress) Overview ofuhcandthesdgs 3.1Maternalmortality Target3.1.Reducetheglobalmaternalmortalityratiotolessthan7per1livebirths Indicator Projected(1) Baseline Curent Targetvalue value value(215) value(216) Comment Colour code(2) Maternalmortalityratio (per1livebirths) Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 13% isrequiredtoachievethe23target. Birthsatendedbyskiled healthpersonnel(%) Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 2.7% isrequiredtoachievethe23target. 3.2Newbornandchildmortality Target3.2.Endpreventabledeathsofnewbornsandchildrenunder5yearsofage,withalcountriesaimingtoreduce neonatalmortalitytoatleastaslowas12per1livebirthsandunder-fivemortalitytoatleastaslowas25per1 livebirths Indicator Baseline value(215) Curent value(216) Projected(1) Targetvalue value Comment Colour code(2) Under-fivemortalityrate (per1livebirths) Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 9.1% isrequiredtoachievethe23 target. Neonatalmortalityrate (per1livebirths) Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 7.9% isrequiredtoachievethe23 target. Infantsreceivingthree dosesofhepatitisb vaccine(%) Progressinreducingunder-fivemortality rateisgood.iftheannualreductionof5% ismaintained,thecountryisontrackto achievethe23target.

3 3.3Communicablediseases Target3.3:EndtheepidemicsofAIDS,tuberculosis,malariaandneglectedtropicaldiseasesandcombathepatitis, water-bornediseasesandothercommunicablediseases Indicator Baseline value(215) Curentvalue (216) Projected(1) value Targetvalue ARTCoverage(%) HIVIncidencerate(per 1population) TBIncidencerate(per 1population) Reportednumberof peoplerequiring interventionsagainst NTDs 52, , , , , ,88 42 Comment Colour code(2) Thetargetislikelyatainable Anannualreductionof15.3% is requiredtoachievethe23target. Anannualreductionof11% is requiredtoachievethe23target Anannualreductionof15.3% is requiredtoachievethe23target 3.4Noncommunicablediseasesandmentalhealth Target3.4.By23,reducebyonethirdprematuremortalityfrom noncommunicablediseasesthroughpreventionand treatmentandpromotementalhealthandwel-being Indicator Baseline value(215) Curent value(216) 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(215) Curent value(216) Projected(1) value Targetvalue Totalalcoholpercapita(>= 15yearsofage) consumption(litresofpure alcohol) Comment Colour code(2) Progressinreductionofalcohol consumption(percapita)isgood. 2

4 3.7Sexualandreproductivehealth Target3.7:By23,ensureuniversalaccesstosexualandreproductivehealth-careservices,includingforfamily planning,informationandeducation,andtheintegrationofreproductivehealthintonationalstrategiesandprogrammes Indicator Baseline value(215) Curent value(216) Projected(1) value Targetvalue Adolescentbirthrate(per 1womenaged15 19 years) Proportionofmariedor in-unionwomenof reproductiveagewhohave theirneedforfamilyplanning satisfiedwithmodern methods(%) Comment Colour code(2) Thepaceisnotfastenoughtomeet thesdg target. ThetrendduringMDG periodis towardsdeclineandthepaceis enoughtomeetthesdg target.an annualreductionofabout2.1% is requiredtoachievethe23target. 3.8Universalhealthcoverage Indicator Baseline value(215) Curent value(216) Projected(1) value Targetvalue UHCServicecoverageindex Comment Colour code(2) Anannualreductionofabout5.4% is requiredtoachievethe23target. 3.dNationalandglobalhealthrisks Target3.d:Strengthenthecapacityofalcountries,inparticulardevelopingcountries,forearlywarning,riskreduction andmanagementofnationalandglobalhealthrisks Indicator Baseline value(215) Curent value(216) Projected(1) value Targetvalue Compliancewith internationalhealth regulations Comment Colour code(2) Thetargetisgoingtobeachievedifthe annualreductionrateof3.1% is maintained. 3.6Roadtraficinjuries Target3.6:By22,halvethenumberofglobaldeathsandinjuriesfrom roadtraficaccidents Indicator Baseline value(215) Curent value(216) Projected(1) value Targetvalue Roadtraficmortalityrate (per1population) Comment Colour code(2) Thetargetcouldlikelybeachieved. But,anannualreductionof4.7% is required 3

5 3.9Mortalityfrom environmentalpolution Target3.9:By23,substantialyreducethenumberofdeathsandilnessesfrom hazardouschemicalsandair,water andsoilpolutionandcontamination Indicator Baseline value(215) Curent value(216) Projected(1) Targetvalue value Comment Colour code(2) Mortalityrateatributedto householdandambientair polution(per1 population) Thepaceisnotfastenoughtomeet thesdg target. Mortalityrateatributedto exposuretounsafewash services(per1 population) Thepaceisnotfastenoughtomeet thesdg target Mortalityratefrom unintentional poisoning(per1 population) Progressinreducingthemortality ratefrom unintentionalpoisoning (per1population)isquite good. 16.1Violence Target16.1:Significantlyreducealformsofviolenceandrelateddeathrateseverywhere Indicator Baseline Curentvalue Projected(1) Targetvalue value(215) (216) value Comment Colour code(2) Estimatesofratesof homicidesper1 population The23SDG targetisgoingtobe achieved. Information,abbreviationsandacronyms Information:Datasource:UNinter-agencygroupformaternalmortality,215.WHO, 216. 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 andworldbank218) Population(in thousands)total Populationproportion under15(%) Populationlivingon Populationproportion Populationmedianage Ruralpopulation(% of <$1(PPPint.$)aday over6(%) (years) totalpopulation) (%) , Lifeexpectancy(Datasource:WHO 218) 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 218) Numberper1,people Birth 28.4 Death

7 Mortalityandmorbidity Adultmortalityrate(Datasource:WHO 218) Probabilityofdyingbetween15and6yearsper1 population Female Male Age-standardizeddeathrateper1populationbybroader causes (Datasource:WHO 218) Communicable,maternal, perinatalandnutritional conditions Age-standardizeddeathrateper1populationbycommunicable diseasesgroups (Datasource:WHO 218) Infectiousandparasiticdiseases RespiratoryInfectious Noncommunicablediseases 771 Neonatalconditions Maternalconditions Injuries Year Nutritionaldeficiencies Age-standardizeddeathrateper1populationby noncommunicablediseasesgroups(datasource:who 218) Cardiovasculardiseases Diabetesmelitus Malignantneoplasms Respiratorydiseases Digestivediseases Neurologicalconditions Genitourinarydiseases Congenitalanomalies Endocrine,blood,immunedisorders Mentalandsubstanceusedisorders Otherneoplasms Skindiseases Musculoskeletaldiseases Oralconditions Senseorgandiseases Age-standardizeddeathrateper1populationbyinjuriesin216 (Datasource:WHO 218) Interpersonalviolence 35 Roadinjury 29 Self-harm 29 Otherunintentional injuries 1 Fire,heatandhot substances 7 Fals 4 Poisonings 3 6

8 MaternalandReproductiveHealth Maternalmortalityratio Deathsper1livebirths Maternalmortalityratio(per1livebirths) ProjectionsofMMRbasedonthecurentAARRof1.% ProjectionsofMMRbasedontheAARRof13% neededtoreachthetarget Condomsuse Condom useamong adolescentswith multiplepartners(%) Female 58 Male 8 PrevalenceofCondom usebyadultsaged 15-49yearsat higher-risksex(%) Female 39 Male 52 Preventionofmother-to-childtransmission (PMTCT) 1 89 Antenatalcare Antenatalcarecoverage-atleastfour visits(%) Cervicalcancerscreening Incidencerate(per1, population) CumulativeriskIncidence(per1, population), Mortalityrate(per1, population) CumulativeriskMortality(per1, population)

9 Childhealthandnutrition Immunization(Datasource:WHO,217) BCG immunizationcoverageamong1-year-olds(%) Polioimmunizationcoverageamong1-year-olds(%) MCVimmunizationcoverageamong1-year-olds(%) Penta3immunizationcoverageamong1-year-olds(%) Penta1-Penta3dropoutrate Penta3 Penta1 Dropoutrate Fulyimmunizedchildrenaged12-23months Childnutrition(Datasource:WHO,215) Lowbirth-weightprevalence(%) Stuntingprevalence(%) Overweightprevalence(%) Wastingprevalence(%) Exclusivebreastfeeding<6months(%) Prevalenceofanaemiainpregnantwomen(hb<11 g/dl)

10 NewbornandChildHealth Childmortalityrate Deathsper1livebirths Under-fivemortalityrate ProjectionsofU5MRbasedonthecurentAARR ProjectionsbasedontheAARRneededtoreachtheSDG targe Neonatalmortalityrate ProjectionsofNNMRbasedonthecurentAARR ProjectionsofNNMRbasedontheAARRneededtoreachtheSDG target CareSeeking Breastfeeding Diarhoea(%) Earlyinitiation(%) 65 Fever(%) 61 Pneumonia(%) Exclusivebreastfeeding<6 months(%) 67 HepatitisBprevalence 215 HepatitisBsurfaceantigen(HBsAg)prevalence amongchildrenunder5years(%) 2 9

11 Communicablediseases HIVepidemic(Datasource:WHO 218) NumberofpeoplelivingwithHIV PrevalenceofHIVamongadultsaged15to 49(%) 3, 2, 25, 1, 26, 27, 28, 2, 3, 31, 32, NumberofdeathsduetoHIV NumberofnewHIVinfections(per1 uninfectedpopulation) 6, 4, 2, 5,6 5, 5,2 5,5 6, 6,4 5, 4, , NumberofnewHIVinfections 5 1, 19, 18, 19, 19, 19, 19, 18, 15, HIVresponses(Datasource:WHO 218) HIVtestingandcounseling Numberoftestingandcounselingfacilities 284 Numberoftestingandcounselingfacilitiesper1adultpopulation 21 Numberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounseling 475,714 Estimatednumberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounselingper1adult population NumberofHIVpeoplereceivingantiretroviraltherapy(ART)by classofages NumberofpeopleunderART 4, 3, 2, 1, -1, 89,5 4,8-14yearsold 15yearsoldandover 93,1 5, 116, 14, 5,2 5,2 127, 5,7 146, 21, 7,5 7,6 224, 9, ofhivpeoplereceivingartbyclassofages yearsold 15yearsoldandover Alages

12 NumberofHIVpeople aged15andoverreceiving antiretroviraltherapybysex 14, 12, Female Male 133, 146, ofhivpeople aged15andoverreceiving antiretroviraltherapybysex 8 7 Female Male 75 8 Numberofpeople 1, 93,5 82,8 8, 75,3 67,1 58, 6, 57,5 4,4 52,5 4, 35,1 44, 36,8 32, 2, 78, 67, Viralloadsuppression(Datasource:MinistryofHealth217) Female Male Bothsexes HIVIncidence(%) 15-49years years HIVprevalence(%) -14years years Urbanareas Ruralareas 15-59years Viralloadsuppression(%) 15-49years years PeoplelivingwithHIV(PLHIV)aged15to64wereawareoftheirHIVstatus(%) PLHIVaged15to64whoknewtheirHIVstatusandwereonART(%) PLHIVaged15to64curentlyuseofARTandwereviralysuppressed(%) Prevalenceofvoluntarymedicalmalecircumcision(Nodata) Medicalycircumcised Non-medicalycircumcised Uncircumcised Unknown Prevalenceofsexwithnon-maritalpartnerandcondom useatlastsex(nodata) Female Male Sexwithnon-maritalpartnerin12monthsamongthosewhoreportedhavingsexinthepast12months(%) Condom atlastsexwithnon-maritalpartneramongthosewhoreportedhavingsexwithanon-marital,non-cohabiting partnerinthepast12months(%) Progresstowards--targets(Datasource:UNAIDS218) ofpeoplelivingwithhivwhoknowtheirstatus ofpeoplewhoknowtheirstatuswhoareonart ofpeopleonartwhoachieveviralsuppression

13 TBincidence(Datasource:WHO 218) Numberofincidenttuberculosiscases 23, 22, 21, 19, 18, 17, 16, Incidenceoftuberculosis(per1population peryear) Numberofincidenttuberculosiscases (HIV-positivecases) 17, 16, 15, 14, 13, 12, 12, Incidenceoftuberculosis(per1population) (HIV-positivecases) TBtreatmentcoverage(Datasource:WHO 218) 15, 11,674 Tuberculosis-newandrelapsecases 1 Tuberculosistreatmentcoverage(%) 1,776 9,555 Numberofcases 1, 5, 11,561 8,84 7,594 7, TBnewcasenotifications(Datasource:WHO 218) Newcases:extrapulmonary 2,222 2,95 1,877 1,568 1,363 1,8 768 Newcases:Pulmonary,smear-negative/unknown/notdoneandothernew cases 5,331 5,296 5,142 Newcases:Pulmonary,smear-positive 3,6 3,666 3,298 Neworunknowntreatmenthistorycases:Pulmonary,bacteriologicaly confirmed 2,649 2,619 2,74 3,164 Neworunknowntreatmenthistorycases:Pulmonary,clinicalydiagnosed 4,2 4,312 2,947 2,481 Treatmenthistoryunknown TBmortality(Datasource:WHO 218) Numberofdeathsper1population DeathsduetotuberculosisamongHIV-negativepeople(per1 population) ,5 1, 5 Numberofdeathsduetotuberculosis,excludingHIV Numberofdeaths ,2 1,2 1,2 1,2 1,2 1,2 1,

14 TBpreviouslytreatedcasenotifications(Datasource:WHO 218) Previouslytreated cases,excludingrelapse 1,464 1,224 1,195 1,183 1, Relapsecases:extrapulmonary 41 6 Relapsecases:Pulmonary,bacteriologicaly confirmed Relapsecases:Pulmonary,clinicaly diagnosed TBDrugresistance(Datasource:WHO 218) ConfirmedcasesofRR-/MDR-TB(1) CasesstartedonMDR-TBtreatment NewcasestestedforRR-/MDR-TB(%) Previouslytreatedcasestestedfor RR-/MDR-TB(%) EstimatedMDR/RR-TBcasesamongnotified pulmonarytbcases 41 (1)MDR:Multi-drugresistant;RR:Rifampicin-resistant 2 15 TBpatientswithknownHIVstatus(%) TestedTBpatientsHIV-positive(%) HIV-positiveTBpatientsonantiretroviraltherapy(%) Co-epidemicsofTBandHIV(Datasource:WHO 218) TBtreatmentsuccess(Datasource:WHO 218) 15 Tuberculosistreatmentcoverage(%) Treatmentsuccessrate:newTBcases(%) Treatmentsuccessrate:previouslytreatedTBcases(%) TreatmentsuccessrateforpatientstreatedforMDR-TB(%) Treatmentsuccessrate:HIV-positiveTBcases(%)

15 Malariacasesanddeaths(Nodata) Estimatedmalariadeaths Malariamortalityrateper1,population Proportionofchildrenunder5yearsofagewith feverbeing treatedwithantimalarialdrugs Insecticideclassresistance(Nodata) Neglectedtropicaldiseasescasesanddeaths(Datasource:WHO 218) Leprosy-numberofreportedcases Estimatednumberofindividualsinthecountryrequiring preventivechemotherapyforonchocerciasis Reportednumberofindividualstreatedforonchocerciasis 14

16 Neglectedtropicaldiseasesstatusofendemicity(Datasource:WHO 218) Statusofendemicityofonchocerciasis Nodata Statusofendemicityofvisceralleishmaniasis Noautochthonouscases reported Statusofendemicityofcutaneousleishmaniasis Noautochthonouscases reported Statusofbejelendemicity Noprevioushistoryofbejel Statusofeliminationoftrachomaasapublichealthproblem Non-endemic Statusofyawsendemicity Noprevioushistoryofyaws Choleracasesanddeaths(Nodata) Meningitiscasesanddeaths(Nodata) Numberofsuspectedmeningitisdeathsreported Syphilis(Datasource:WHO 218) Womenaccessingantenatalcare(ANC)serviceswhowere testedforsyphilis(%) Antenatalcareatendeeswhowerepositiveforsyphilis(%) Antenatalcareatendeespositiveforsyphiliswhoreceived treatment(%) Menwhohavesexwithmen(MSM)withactivesyphilis(%) Sexworkerswithactivesyphilis(%)

17 Noncommunicablediseases Adults 18yearswithraisedbloodpressure(%) Adults 18yearswithraisedbloodpressure,bysex(%) Female Male Adults 18yearswithraisedfastingbloodglucose(%) Adults 18yearswithraisedfastingbloodglucose,bysex (%) Female 6.9 Male Adults 18yearswhowereoverweight(%) Adults 18yearswhowereoverweight,bysex(%) Female Male

18 Adults 18yearswhowereobese(%) Adults 18yearswhowereobese,bysex(%) Female Male Percapitaalcoholconsumptionamongpeople 15years (%) 1 Female Male Both sexes 8 individuals 15yearswho usedtobacco ofadults 18yearswith insuficientphysicalactivity ageofadults 25yearswith 28 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 218) DomesticGeneralGovernmentHealthExpenditure(cGGHE-D)per CapitainPPPInt$ CurentDomesticGeneralGovernmentHealthExpenditure (cgghe-d)as% GeneralGovernmentExpenditure(GGE) US$

20 Healthfinancing(Datasource:WHO 218) BreakdownofTotalCurenteHealthExpenditurebysource(%) Out-of-pocket(OOPS)as% oftotalcurenthealthexpenditure (CHE)(Datasource:WHO 218) 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(Nodata) Essentialmedicines(Nodata) 19

21 Medicalproducts,infrastructuresandequipment(Datasource:WHO 218) Equipment(Nodata) Bedsdensity Bedsformentalhealthingeneralhospitals(per 1,) Bedsinmentalhospitals(per1,) Hospitalbeds(per1population) 26 Infrastructures:Totaldensityper1population (Nodata) Healthinformation,evidenceandknowledge Censuscariedout(Datasource:UNSD216) Censuscariedoutinthe21roundofcensuses(25-214) Censuscariedoutinthe22roundofcensuses( ) Yes Yes Civilregistration(Datasource:WHO,218) CauseofDeathReportingatHealthFacilities(%):withMCCoD/ICDCompliance Civilregistrationcoverageofbirths(%) 43.3 ehealth(datasource:itu,218) Celularormobilesubscribersper1inhabitants ageofindividualsusingtheinternet

22 Waterandsanitation(Datasource:WHO,215) Socialdeterminantsofhealth Populationusingimproveddrinkingwatersource(%) Populationusingimproveddrinkingwatersource,by residencearea(%) Rural Urban Populationusingimprovedsanitation(%) Populationusingimprovedsanitation,byresidencearea (%) Rural Urban Accesstoelectricity(Datasource:WorldBank,215) Populationwithaccesstoelectricity(%) 1 8 Populationwithaccesstoelectricity,byresidencearea(%) 1 Rural Urban