FactsheetofHealthStatistics 2018

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1 SEYCHELLES FactsheetofHealthStatistics

2 Overview ofuhcandthesdgs Notes: CountriesassessmentsofprogresstowardsUHCandSDGsarebasedon UHCandSDGsindexaccordingtothefolowingthresholds:Ontrack (greenmap):ifuhcandsdgsindexisequalormorethan75%.making progress(yelowmap):ifuhcandsdgsindexismorethan% and lessthan75%.insuficientprogress(redmap):ifuhcandsdgsindexis lessthan%. 3.Maternalmortality Target3..Reducetheglobalmaternalmortalityratiotolessthan7perlivebirths Indicator Baseline value(5) Curent value(6) Projected() value Targetvalue Birthsatendedbyskiled healthpersonnel(%).. Comment Colour code() TheSDG targethasbeenachieved evensurpassed. 3.Newbornandchildmortality Target3..Endpreventabledeathsofnewbornsandchildrenunder5yearsofage,withalcountriesaimingtoreduce neonatalmortalitytoatleastaslowasperlivebirthsandunder-fivemortalitytoatleastaslowas5per livebirths Indicator Baseline value(5) Curent value(6) Projected() value Targetvalue Under-fivemortalityrate (perlivebirths) Neonatalmortalityrate (perlivebirths) Infantsreceivingthree dosesofhepatitisb vaccine(%) Comment Colour code() Progressinreducingneonatalmortality rateisgood.iftheannualreductionof.% ismaintained,thecountryisontrack toachievethetarget. Progressinreducingunder-fivemortality rateisgood.iftheannualreductionof 3.6% ismaintained,thecountryisontrack toachievethetarget. TheSDG targetisalmostachived. UHCandSDGsindex:76% (Progressontrack)

3 3.3Communicablediseases Target3.3:EndtheepidemicsofAIDS,tuberculosis,malariaandneglectedtropicaldiseasesandcombathepatitis, water-bornediseasesandothercommunicablediseases Indicator Baseline value(5) Curentvalue (6) Projected() value Targetvalue ARTCoverage(%) HIVIncidencerate(per population) MalariaIncidencerate (perpopulationat risk) TBIncidencerate(per population) Reportednumberof peoplerequiring interventionsagainst NTDs Comment Colour code() Nosignificantcases TheSDG targetisgoingtobe achieved Nosignificantcases 3.4Noncommunicablediseasesandmentalhealth Target3.4.By,reducebyonethirdprematuremortalityfrom noncommunicablediseasesthroughpreventionand treatmentandpromotementalhealthandwel-being Indicator Baseline value(5) Curent value(6) Projected() value Targetvalue Probabilityofdyingfrom any ofcvd,cancer,diabetes, CRDbetweenageand exactage7(%) Suicidemortalityrate(per population) Comment Colour code() Thetargetcouldlikelybeachieved. But,anannualreductionof.7% is required. Thetargetcouldlikelybeachieved. But,anannualreductionof.7% is required. 3.5Substanceabuse Target3.5:Strengthenthepreventionandtreatmentofsubstanceabuse,includingnarcoticdrugabuseandharmfuluse ofalcohol Indicator Baseline value(5) Curent value(6) Projected() value Targetvalue Totalalcoholpercapita(>= 5yearsofage) consumption(litresofpure alcohol).. Comment Colour code() Progressinreductionofalcohol consumption(percapita)isnotyet observed

4 3.7Sexualandreproductivehealth Target3.7:By,ensureuniversalaccesstosexualandreproductivehealth-careservices,includingforfamily planning,informationandeducation,andtheintegrationofreproductivehealthintonationalstrategiesandprogrammes Indicator Baseline value(5) Curent value(6) Projected() value Targetvalue Adolescentbirthrate(per womenaged5 years) Proportionofmariedor in-unionwomenof reproductiveagewhohave theirneedforfamilyplanning satisfiedwithmodern methods(%) Comment Colour code() TheSDG targetcouldlikelybe achievedwithmoreefords. Nodata 3.Universalhealthcoverage Indicator Baseline value(5) Curent value(6) Projected() value Targetvalue UHCServicecoverageindex. 6. Comment Colour code() TheSDG targetcouldlikelybe achieved.but,anannualreduction rateof.6% isrequired. 3.dNationalandglobalhealthrisks Target3.d:Strengthenthecapacityofalcountries,inparticulardevelopingcountries,forearlywarning,riskreduction andmanagementofnationalandglobalhealthrisks Indicator Baseline value(5) Curent value(6) Projected() value Targetvalue Compliancewith internationalhealth regulations Comment Colour code() Thecurentannualincreaserateof% shouldbemaintained. 3.6Roadtraficinjuries Target3.6:By,halvethenumberofglobaldeathsandinjuriesfrom roadtraficaccidents Indicator Baseline value(5) Curent value(6) Projected() value Targetvalue Roadtraficmortalityrate (perpopulation) 4..6 Comment Colour code() TheSDG targetisgoingtobe achievedifthecurentannual reductionrateof4.7% ismaintained. 3

5 3.Mortalityfrom environmentalpolution Target3.:By,substantialyreducethenumberofdeathsandilnessesfrom hazardouschemicalsandair,water andsoilpolutionandcontamination Indicator Baseline value(5) Curent value(6) Projected() Targetvalue value Comment Colour code() Mortalityrateatributedto householdandambientair polution(per population) 4.3 TheSDG targetcouldlikelybe achievedwithmoreefords. Mortalityrateatributedto exposuretounsafewash services(per population). Thepaceisenoughtomeetthe SDG target Mortalityratefrom unintentional poisoning(per population).6.6 Progressinreducingthemortality ratefrom unintentionalpoisoning (perpopulation)isnotyet oberved 6.Violence Target6.:Significantlyreducealformsofviolenceandrelateddeathrateseverywhere Indicator Baseline Curentvalue Projected() Targetvalue value(5) (6) value Comment Colour code() Estimatesofratesof homicidesper population...4 Thepaceisnotenoughtomeetthe SDG target Information,abbreviationsandacronyms Information:Datasource:UNinter-agencygroupformaternalmortality,5.WHO, 6. AARR:Averageannualrateofreduction ().ProjectedvalueisbasedontheaverageannualrateofchangeduringtheMDG era. ().Colourcodes:Red:Noorveryslowprogress,ordeclineinperformance;Yelow: Goodprogressbutthepacenotenoughtomeettarget;Green:Goodprogress;the MDG:Milennium developmentgoals paceisenoughtomeetorsurpassthesdg target. MMR:Maternalmortalityratio MethodofcalculationoftheUHCandSDGsindex: Values,andareassignedtoRed,YelowandGreencolour,respectively.Forthe NNMR:Neonatalmortalityrate indicatorsfolowed,thesum ofthepointsobtainedforeachcountryiscalculatedand thesepointsarematchedtothepercentagescaleasfolows: 44points(maximum)=% SDG:Sustainabledevelopmentgoals U5MR:Under-fivemortalityrate UHC:Universalhealthcoverage 4

6 Demographicandsocioeconomicstatistics Population(Datasource:WHO andworldbank) Population(in thousands)total Populationproportion under5(%) Populationlivingon Populationproportion Populationmedianage Ruralpopulation(% of <$(PPPint.$)aday over6(%) (years) totalpopulation) (%) Lifeexpectancy(Datasource:WHO ) 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(per,people)(Datasource:WHO ) Numberper,people Birth Death

7 Mortalityandmorbidity Probabilityofdyingbetween5and6yearsper population Adultmortalityrate(Datasource:WHO ) Female Male Age-standardizeddeathrateperpopulationbybroader causes (Datasource:WHO ) Noncommunicablediseases 63 Age-standardizeddeathrateperpopulationbycommunicable diseasesgroups (Datasource:WHO ) RespiratoryInfectious Infectiousandparasiticdiseases 6 Communicable,maternal, perinatalandnutritional conditions 6 Neonatalconditions 3 Nutritionaldeficiencies Injuries Year 6 Maternalconditions Age-standardizeddeathrateperpopulationby noncommunicablediseasesgroups(datasource:who ) Cardiovasculardiseases Malignantneoplasms Genitourinarydiseases Digestivediseases Neurologicalconditions Respiratorydiseases Diabetesmelitus Congenitalanomalies Endocrine,blood,immunedisorders Mentalandsubstanceusedisorders Otherneoplasms Skindiseases Musculoskeletaldiseases Oralconditions Senseorgandiseases Age-standardizeddeathrateperpopulationbyinjuriesin6 (Datasource:WHO ) Drowning Interpersonalviolence Self-harm Roadinjury 7 Fals 6 Other unintentional injuries 7 Fire,heatandhotsubstances 4 6

8 MaternalandReproductiveHealth Maternalmortalityratio Nodata Condomsuse Nodata Preventionofmother-to-childtransmission (PMTCT) Antenatalcare -5 Antenatalcarecoverage-atleastfour visits(%) Cervicalcancerscreening Nodata Incidencerate(per, population) CumulativeriskIncidence(per, population), Mortalityrate(per, population) 7

9 Childhealthandnutrition Immunization(Datasource:WHO,7) BCG immunizationcoverageamong-year-olds(%) Polioimmunizationcoverageamong-year-olds(%) MCVimmunizationcoverageamong-year-olds(%) Penta3immunizationcoverageamong-year-olds(%) Penta-Penta3dropoutrate Penta3 Penta Dropoutrate Childnutrition(Datasource:WHO,5) Lowbirth-weightprevalence(%) Stuntingprevalence(%) Overweightprevalence(%) -5. Wastingprevalence(%) Exclusivebreastfeeding<6months(%) -5 Prevalenceofanaemiainpregnantwomen(hb< g/dl) -5

10 NewbornandChildHealth Childmortalityrate Deathsperlivebirths Under-fivemortalityrate ProjectionsofU5MRbasedonthecurentAARR Neonatalmortalityrate ProjectionsofNNMRbasedonthecurentAARR CareSeeking Breastfeeding Diarhoea(%) Fever(%) Pneumonia(%) Earlyinitiation(%) Exclusivebreastfeeding<6 months(%) HepatitisBprevalence 5 HepatitisBsurfaceantigen(HBsAg)prevalence amongchildrenunder5years(%)

11 Communicablediseases NumberofpeoplelivingwithHIV HIVepidemic(Nodata) PrevalenceofHIVamongadultsaged 5to4(%) NumberofdeathsduetoHIV NumberofnewHIVinfections(per uninfectedpopulation) NumberofnewHIVinfections HIVresponses(Datasource:WHO ) HIVtestingandcounseling 4 Numberoftestingandcounselingfacilities 5 Numberoftestingandcounselingfacilitiesperadultpopulation 7 Numberofpeopleaged5yearsandoverwhoreceivedHIVtestingandcounseling 7,6 Estimatednumberofpeopleaged5yearsandoverwhoreceivedHIVtestingandcounselingperadult population 33 NumberofHIVpeoplereceivingantiretroviraltherapy(ART)by classofages(nodata) ofhivpeoplereceivingartbyclass ofages(nodata)

12 NumberofHIVpeople aged5andoverreceiving antiretroviraltherapybysex ofhivpeople aged5andoverreceiving antiretroviraltherapybysex Viralloadsuppression(Nodata) Prevalenceofvoluntarymedicalmalecircumcision(Nodata) Prevalenceofsexwithnon-maritalpartnerandcondom useatlastsex(nodata) Progresstowards--targets(Nodata)

13 TBincidence(Datasource:WHO ) Numberofincidenttuberculosiscases Incidenceoftuberculosis(per populationperyear) Numberofincidenttuberculosiscases (HIV-positivecases) 5 3 Incidenceoftuberculosis(per population)(hiv-positivecases) TBtreatmentcoverage(Datasource:WHO ) Tuberculosis-newandrelapsecases 7 Tuberculosistreatmentcoverage(%) Numberofcases TBnewcasenotifications(Datasource:WHO ) Newcases:extrapulmonary Newcases:Pulmonary,smear-negative/unknown/notdoneandothernew cases 3 Newcases:Pulmonary,smear-positive Neworunknowntreatmenthistorycases:Pulmonary,bacteriologicaly confirmed Neworunknowntreatmenthistorycases:Pulmonary,clinicalydiagnosed 4 4 Treatmenthistoryunknown TBmortality(Datasource:WHO ) Numberofdeathsperpopulation 6 4 DeathsduetotuberculosisamongHIV-negativepeople(per population) Numberofdeaths Numberofdeathsduetotuberculosis,excludingHIV

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

15 Malariacasesanddeaths(Nodata) Estimatedmalariadeaths Malariamortalityrateper,population Proportionofchildrenunder5yearsofagewith feverbeing treatedwithantimalarialdrugs Insecticideclassresistance(Nodata) Neglectedtropicaldiseasescasesanddeaths(Datasource:WHO ) Leprosy-numberofreportedcases Estimatednumberofindividualsinthecountryrequiring preventivechemotherapyforonchocerciasis Reportednumberofindividualstreatedforonchocerciasis Reportednumberofhumanrabiesdeaths 4

16 Neglectedtropicaldiseasesstatusofendemicity(Datasource:WHO ) 3 6 Statusofendemicityofonchocerciasis Nodata Statusofendemicityofvisceralleishmaniasis Noautochthonouscases reported Statusofendemicityofcutaneousleishmaniasis Noautochthonouscases reported Statusofbejelendemicity Noprevioushistoryofbejel Statusofeliminationoftrachomaasapublichealthproblem Non-endemic Statusofyawsendemicity Noprevioushistoryofyaws Choleracasesanddeaths(Nodata) Meningitiscasesanddeaths(Nodata) 3 4 Numberofsuspectedmeningitisdeathsreported Womenaccessingantenatalcare(ANC)serviceswhowere testedforsyphilis(%) Syphilis(Datasource:WHO ) Antenatalcareatendeeswhowerepositiveforsyphilis(%).... Antenatalcareatendeespositiveforsyphiliswhoreceived treatment(%) Congenitalsyphilisnumberofreportedcases Congenitalsyphilisrateperlivebirths Menwhohavesexwithmen(MSM)withactivesyphilis(%) 6. Sexworkerswithactivesyphilis(%) 6. 5

17 Noncommunicablediseases Adults yearswithraisedbloodpressure(%) Adults yearswithraisedbloodpressure,bysex(%) Female Male Adults yearswithraisedfastingbloodglucose(%) 7 6 Adults yearswithraisedfastingbloodglucose,bysex (%) Female Male 3 4 Adults yearswhowereoverweight(%) 7 Adults yearswhowereoverweight,bysex(%) Value 35 Female Male

18 Adults yearswhowereobese(%) 7 Adults yearswhowereobese,bysex(%) Female Male Percapitaalcoholconsumptionamongpeople 5years (%) Female Male Both sexes individuals 5yearswho usedtobacco ofadults yearswith insuficientphysicalactivity ageofadults 5yearswith raisedcholesterol

19 Healthsystemsandservices Serviceavailabilityandreadiness(Datasource:SARAsurveys3-7) Readinesstoprovidegeneralservices,3 Index Basicamenities Basicequipment Diagnostics Essentialmedicines Standardprecautionsfor infectionpreventionand control GeneralService ReadinessIndex Themeanavailabityofitemsforoferingthespecific services(%),3 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 3 Healthfinancing(Datasource:WHO ) DomesticGeneralGovernmentHealthExpenditure(cGGHE-D)per CapitainPPPInt$ offacilitiesthatreportedoferingservices,by servicestype,3 Adolescenthealthservices Antenatalcare ART Basicobstetriccare Basicsurgery Bloodtransfusion Cardiovasculardiseases CEmOC Cervicalcancerscreening Childimmunization Chronicobstructiverespiratorydisease Comprehensivesurgery Diabetes Familyplanning HIVcareandsupport HIVcounselingandtesting Malaria PMTCT Preventive&curativeservices STIs TB 4 Serviceavailabilityindex 5 CurentDomesticGeneralGovernmentHealthExpenditure (cgghe-d)as% GeneralGovernmentExpenditure(GGE) US$

20 Healthfinancing(Datasource:WHO ) BreakdownofTotalCurenteHealthExpenditurebysource(%) Out-of-pocket(OOPS)as% oftotalcurenthealthexpenditure (CHE)(Datasource:WHO ) 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(Datasource:WHO ) 7 Physiciansdensity(perpopulation) Nursingandmidwiferypersonneldensity(perpopulation) Otherhealthworkersdensity(perpopulation) Medicalproducts,infrastructuresandequipment(Datasource:WHO ) Availabilityoftechnicalspecificationsofmedicaldevicestosupportprocurementordonations Availabilityofnationallistofapprovedmedicaldevicesforprocurementorreimbursement Availabilityofnationalstandardsorrecommendedlistsofmedicaldevices Nationalguidelines,policiesorrecommendationsontheprocurementofmedicaldevices No Yes,butitisonlyarecommendation Nolistavailable No Essentialmedicines(Nodata)

21 Medicalproducts,infrastructuresandequipment(Datasource:WHO ) Equipment Totaldensitypermilionfemalesagedfrom to6 yearsold:mammographyunits Totaldensitypermilionpopulation:Computed tomographyunits Totaldensitypermilionpopulation:Gammacamera ornuclearmedicine Totaldensitypermilionpopulation:Linear Accelerator Bedsdensity Bedsformentalhealthingeneralhospitals(per,) 4 Bedsinmentalhospitals(per,) Infrastructures:Totaldensityperpopulation 6.73 Hospitalbeds(perpopulation) Totaldensitypermilionpopulation:Magnetic ResonanceImaging Hospitals District/ruralhospitals. Totaldensitypermilionpopulation:Positron Emissiontomography Provincialhospitals Totaldensitypermilionpopulation:Radiotherapy units Specializedhospitals Healthcentres Totaldensitypermilionpopulation:TelecobaltUnit Healthposts.6.47 Healthinformation,evidenceandknowledge Censuscariedout(Datasource:UNSD6) Censuscariedoutintheroundofcensuses(5-4) Censuscariedoutintheroundofcensuses(5-4) Yes Itisexpectedthatacensuswilbeheldonthedateindicated Civilregistration(Datasource:WHO,) CauseofDeathReportingatHealthFacilities(%):withMCCoD/ICDCompliance 7 Civilregistrationcoverageofbirths(%) ehealth(datasource:itu,) Celularormobilesubscribersperinhabitants ageofindividualsusingtheinternet

22 Waterandsanitation(Datasource:WHO,5) Socialdeterminantsofhealth Populationusingimproveddrinkingwatersource(%) Populationusingimproveddrinkingwatersource,by residencearea(%) Rural Urban Rural Urban Rural Urban Populationusingimprovedsanitation(%) Populationusingimprovedsanitation,byresidencearea (%) Rural Urban Rural Urban Rural Urban Accesstoelectricity(Datasource:WorldBank,5) Populationwithaccesstoelectricity(%) Populationwithaccesstoelectricity,byresidencearea(%) Rural Urban

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