FactsheetofHealthStatistics 2018

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1 COMOROS FactsheetofHealthStatistics 218

2 Notes: CountriesassessmentsofprogresstowardsUHCandSDGsarebasedon UHCandSDGsindexaccordingtothefolowingthresholds:Ontrack (greenmap):ifuhcandsdgsindexisequalormorethan75%.making progress(yelowmap):ifuhcandsdgsindexismorethan5% and lessthan75%.insuficientprogress(redmap):ifuhcandsdgsindexis lessthan5%. UHCandSDGsindex:28.5% (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 1.5% isrequiredtoachievethe23 target. Birthsatendedbyskiled healthpersonnel(%) Iftheannualreductionrateof.7% is maintained,thetargetwilbeachivedeven surpassed 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 7.4% isrequiredtoachievethe23 target. Neonatalmortalityrate (per1livebirths) Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 7% isrequiredtoachievethe23target. Infantsreceivingthree dosesofhepatitisb vaccine(%) Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 1.5% isrequiredtoachievethe23 target.

3 3.3Communicablediseases Target3.3:EndtheepidemicsofAIDS,tuberculosis,malariaandneglectedtropicaldiseasesandcombathepatitis, water-bornediseasesandothercommunicablediseases Indicator Baseline value(215) Curentvalue (216) Projected(1) value Targetvalue ARTCoverage(%) HIVIncidencerate(per 1population) MalariaIncidencerate (per1populationat risk) TBIncidencerate(per 1population) Reportednumberof peoplerequiring interventionsagainst NTDs 52, , , , Comment Colour code(2) Progressinincreasingthe antiretroviralcoverageisnotyet observed. Anannualreductionof15.3% is requiredtoachievethe23target. Almost,nocasesofmalariaidentified Anannualreductionof11% is requiredtoachievethe23target. Anannualreductionof15.4% 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 curentanannualreductionin suicidemortalityrateof.7% is applied. 3.5Substanceabuse Target3.5:Strengthenthepreventionandtreatmentofsubstanceabuse,includingnarcoticdrugabuseandharmfuluse ofalcohol Indicator Baseline value(215) Curent value(216) Projected(1) value Targetvalue Totalalcoholpercapita(>= 15yearsofage) consumption(litresofpure alcohol).9.2 Comment Colour code(2) Progressinreductionofalcohol consumption(percapita)isnotyet observed 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) Thetargetcouldlikelybeachieved. But,anannualreductionof4.7% is required. ThetrendduringMDG periodis towardssubstantialdeclinebutthe paceisnotfastenoughtomeetthe SDG target.anannualreductionof about1% isrequiredtoachievethe 23target. 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) Anannualreductionofabout8.3% is requiredtoachievethe23target. 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) TheSDG targetcouldlikelybe achievedwithmoreefords. 16.1Violence Target16.1:Significantlyreducealformsofviolenceandrelateddeathrateseverywhere Indicator Baseline Curentvalue Projected(1) Targetvalue value(215) (216) value Comment Colour code(2) Estimatesofratesof homicidesper1 population Thepaceisenoughtomeetthe SDG target 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 Death

7 Mortalityandmorbidity Adultmortalityrate(Datasource:WHO 218) 5 Probabilityofdyingbetween15and6yearsper1 population Female Male Age-standardizeddeathrateper1populationbybroader causes (Datasource:WHO 218) Noncommunicablediseases 695 Age-standardizeddeathrateper1populationbycommunicable diseasesgroups (Datasource:WHO 218) Infectiousandparasiticdiseases RespiratoryInfectious Communicable,maternal, perinatalandnutritional conditions 484 Neonatalconditions Nutritionaldeficiencies Injuries Year Maternalconditions 13 1 Age-standardizeddeathrateper1populationby noncommunicablediseasesgroups(datasource:who 218) Cardiovasculardiseases Malignantneoplasms Digestivediseases Diabetesmelitus Neurologicalconditions Respiratorydiseases Genitourinarydiseases Congenitalanomalies Endocrine,blood,immunedisorders Skindiseases Otherneoplasms Mentalandsubstanceusedisorders Musculoskeletaldiseases Oralconditions Senseorgandiseases Age-standardizeddeathrateper1populationbyinjuriesin216 (Datasource:WHO 218) Roadinjury 42 Fals 19 Otherunintentional injuries 14 Self-harm 11 Interpersonalviolence Drowning 9 6 Fire,heatandhot substances 7 6

8 MaternalandReproductiveHealth Maternalmortalityratio Deathsper1livebirths Maternalmortalityratio(per1livebirths) ProjectionsofMMRbasedonthecurentAARRof2.6% ProjectionsofMMRbasedontheAARRof1.4% neededtoreachthetarget Condomsuse Condom useamong adolescentswith multiplepartners(%) Male 51 PrevalenceofCondom usebyadultsaged 15-49yearsat higher-risksex(%) Female 15 Male 37 Preventionofmother-to-childtransmission (PMTCT) Antenatalcare Antenatalcarecoverage-atleastfour visits(%) 49 Cervicalcancerscreening Nodata 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 Value Under-fivemortalityrate ProjectionsofU5MRbasedonthecurentAARR ProjectionsbasedontheAARRneededtoreachtheSDG targe Neonatalmortalityrate ProjectionsofNNMRbasedonthecurentAARR ProjectionsofNNMRbasedontheAARRneededtoreachtheSDG target CareSeeking Breastfeeding Diarhoea(%) Fever(%) Pneumonia(%) Earlyinitiation(%) Exclusivebreastfeeding<6 months(%) HepatitisBprevalence 215 HepatitisBsurfaceantigen(HBsAg)prevalence amongchildrenunder5years(%) 2 9

11 Communicablediseases HIVepidemic(Datasource:WHO 218) NumberofpeoplelivingwithHIV PrevalenceofHIVamongadultsaged15to 49(%) , 5 1 NumberofdeathsduetoHIV NumberofnewHIVinfections(per1 uninfectedpopulation) , NumberofnewHIVinfections HIVresponses(Datasource:WHO 218) HIVtestingandcounseling Numberoftestingandcounselingfacilities 42 Numberoftestingandcounselingfacilitiesper1adultpopulation 1 Numberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounseling 23,28 Estimatednumberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounselingper1adult population NumberofHIVpeoplereceivingantiretroviraltherapy(ART)by classofages ofhivpeoplereceivingartbyclassofages 5 5 NumberofpeopleunderART yearsold yearsoldandover yearsold 15yearsoldandover Alages

12 NumberofHIVpeople aged15andoverreceiving antiretroviraltherapybysex 3 25 Female Male ofhivpeople aged15andoverreceiving antiretroviraltherapybysex 5 4 Female Male Numberofpeople Viralloadsuppression(Nodata) Prevalenceofvoluntarymedicalmalecircumcision(Nodata) Prevalenceofsexwithnon-maritalpartnerandcondom useatlastsex(nodata) Progresstowards9-9-9targets(Datasource:UNAIDS218) ofpeoplelivingwithhivwhoknowtheirstatus ofpeoplewhoknowtheirstatuswhoareonart ofpeopleonartwhoachieveviralsuppression 91 11

13 TBincidence(Datasource:WHO 218) Numberofincidenttuberculosiscases Incidenceoftuberculosis(per1 populationperyear) Numberofincidenttuberculosiscases (HIV-positivecases) Incidenceoftuberculosis(per1 population)(hiv-positivecases) TBtreatmentcoverage(Datasource:WHO 218) 1, Tuberculosis-newandrelapsecases 1 Tuberculosistreatmentcoverage(%) Numberofcases TBnewcasenotifications(Datasource:WHO 218) Newcases:extrapulmonary Newcases:Pulmonary,smear-negative/unknown/notdoneandothernew cases Newcases:Pulmonary,smear-positive Neworunknowntreatmenthistorycases:Pulmonary,bacteriologicaly confirmed Neworunknowntreatmenthistorycases:Pulmonary,clinicalydiagnosed Treatmenthistoryunknown TBmortality(Datasource:WHO 218) Numberofdeathsper1population DeathsduetotuberculosisamongHIV-negativepeople(per1 population) Numberofdeaths Numberofdeathsduetotuberculosis,excludingHIV

14 TBpreviouslytreatedcasenotifications(Datasource:WHO 218) Previouslytreated cases,excludingrelapse Relapsecases:extrapulmonary Relapsecases:Pulmonary,bacteriologicaly confirmed Relapsecases:Pulmonary,clinicaly diagnosed TBDrugresistance(Datasource:WHO 218) ConfirmedcasesofRR-/MDR-TB(1) 1 CasesstartedonMDR-TBtreatment 1 NewcasestestedforRR-/MDR-TB(%) Previouslytreatedcasestestedfor RR-/MDR-TB(%).61 EstimatedMDR/RR-TBcasesamongnotified pulmonarytbcases 32 (1)MDR:Multi-drugresistant;RR:Rifampicin-resistant 2 15 TBpatientswithknownHIVstatus(%) TestedTBpatientsHIV-positive(%) HIV-positiveTBpatientsonantiretroviraltherapy(%) Co-epidemicsofTBandHIV(Datasource:WHO 218) TBtreatmentsuccess(Datasource:WHO 218) 2 15 Tuberculosistreatmentcoverage(%) Treatmentsuccessrate:newTBcases(%) Treatmentsuccessrate:previouslytreatedTBcases(%) 15 TreatmentsuccessrateforpatientstreatedforMDR-TB(%) Treatmentsuccessrate:HIV-positiveTBcases(%)

15 Malariacasesanddeaths(Datasource:WHO 217) Estimatedmalariacases 49,8 53,2 2,2 1,3 1,1 Numberofmalariacasesper1, populationatrisk 9,323 9, Estimatedmalariadeaths 1 Malariamortalityrateper1,population 2 Childrenaged<5yearssleepingunder insecticide-treatednets(%) 41 Proportionofchildrenunder5yearsofagewith feverbeing treatedwithantimalarialdrugs 27 Insecticideclassresistance(Datasource:WHO 217) Numberofinsecticideclassestowhichresistancewasreported Nottested/reported Noclass 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 Previouslyendemic(curent statusunknown) Choleracasesanddeaths(Nodata) Meningitiscasesanddeaths(Nodata) Numberofsuspectedmeningitisdeathsreported Syphilis(Datasource:WHO 218) Womenaccessingantenatalcare(ANC)serviceswhowere testedforsyphilis(%) Antenatalcareatendeeswhowerepositiveforsyphilis(%).2 Sexworkerswithactivesyphilis(%)

17 Noncommunicablediseases Adults 18yearswithraisedbloodpressure(%) 1 9 Adults 18yearswithraisedbloodpressure,bysex(%) 28.5 Female Male Adults 18yearswithraisedfastingbloodglucose(%) Adults 18yearswithraisedfastingbloodglucose,bysex (%) 8.5 Female Male Adults 18yearswhowereoverweight(%) Adults 18yearswhowereoverweight,bysex(%) 36 Female 34 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 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$ 5 4 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(Datasource:WHO 218) Availabilityoftechnicalspecificationsofmedicaldevicestosupportprocurementordonations Availabilityofnationallistofapprovedmedicaldevicesforprocurementorreimbursement Availabilityofnationalstandardsorrecommendedlistsofmedicaldevices Nationalguidelines,policiesorrecommendationsontheprocurementofmedicaldevices No No Fordiferenthealthcarefacilities No Essentialmedicines(Nodata) 19

21 Medicalproducts,infrastructuresandequipment(Datasource:WHO 218) Equipment Totaldensitypermilionfemalesagedfrom 5to69 yearsold:mammographyunits Totaldensitypermilionpopulation:Computed tomographyunits Bedsdensity Bedsformentalhealthingeneralhospitals(per 1,) Bedsinmentalhospitals(per1,) Totaldensitypermilionpopulation:Gammacamera ornuclearmedicine.. Hospitalbeds(per1population) Totaldensitypermilionpopulation:Linear Accelerator.. Infrastructures:Totaldensityper1population Totaldensitypermilionpopulation:Magnetic ResonanceImaging.. Hospitals District/ruralhospitals Totaldensitypermilionpopulation:Positron Emissiontomography.. Provincialhospitals Totaldensitypermilionpopulation:Radiotherapy units.. Specializedhospitals Healthcentres Totaldensitypermilionpopulation:TelecobaltUnit.. Healthposts Healthinformation,evidenceandknowledge Censuscariedout(Datasource:UNSD216) Censuscariedoutinthe21roundofcensuses(25-214) Censuscariedoutinthe22roundofcensuses( ) Nocensustakenorplannedintheperiodindicated Censuswasexpectedbutnotheld Civilregistration(Nodata) 217 CauseofDeathReportingatHealthFacilities(%):withMCCoD/ICDCompliance Civilregistrationcoverageofbirths(%) 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(%) Populationwithaccesstoelectricity,byresidencearea(%) Rural Urban