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Transkript:

LESOTHO FactsheetofHealthStatistics 218

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) 487. 417.4 7. Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 13% isrequiredtoachievethe23target. Birthsatendedbyskiled healthpersonnel(%) 62. 78. 73.4. 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) 97.9 93.5 8.9 25. Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 9.1% isrequiredtoachievethe23 target. Neonatalmortalityrate (per1livebirths) 39.1 38.5 37.4 12. Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 7.9% isrequiredtoachievethe23 target. Infantsreceivingthree dosesofhepatitisb vaccine(%) 93. 1. 1. Progressinreducingunder-fivemortality rateisgood.iftheannualreductionof5% ismaintained,thecountryisontrackto achievethe23target.

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 52,353 145 188 183,957 444 83 83 53,557 788 1,88 53 523,534 724 1,88 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) 9.36 15.73 8.78 22.29 21.2 26.6 1.4 23.6 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) 5. 5.7 Comment Colour code(2) Progressinreductionofalcohol consumption(percapita)isgood. 2

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(%) 1..3 6.1 76.1 94. 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 1. 45. 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 1. 1. 74. 63. 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) 14.1 28.2 Comment Colour code(2) Thetargetcouldlikelybeachieved. But,anannualreductionof4.7% is required 3

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) 74.5 177.6 Thepaceisnotfastenoughtomeet thesdg target. Mortalityrateatributedto exposuretounsafewash services(per1 population) 28.3 44.4 21.2 Thepaceisnotfastenoughtomeet thesdg target Mortalityratefrom unintentional poisoning(per1 population) 3.2 3.1 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 35.2 35. 32.3 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

Demographicandsocioeconomicstatistics Population(Datasource:WHO andworldbank218) Population(in thousands)total Populationproportion under15(%) Populationlivingon Populationproportion Populationmedianage Ruralpopulation(% of <$1(PPPint.$)aday over6(%) (years) totalpopulation) (%) 27-213 56 21 211 212 213 214 215 21 21 75 75 74 74 73 73 216 2,24 36 72 217 72 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 21 52.3 53.6 5.6 15.2 16 14.2 45.7 46.7 44.4 11.5 12 1.8 211 52.8 54.4 5.8 15.2 16 14.2 212 52.5 54 5.8 15.2 16 14.2 213 52.3 53.9 5.3 15.2 16 14.1 214 52.1 53.8 5.1 15.2 16 14.1 215 52.1 53.8 5.1 15.2 16 14.1 45.9 47.2 44.3 11.7 12.2 1.9 216 52.9 54.6 51 15.3 16.1 14.2 46.6 47.9 45 11.7 12.3 1.9 5 Crudebirthanddeathrates(per1,people)(Datasource:WHO 218) Numberper1,people 4 3 2 28.5 14.4 28.6 28.6 14. 13.7 28.5 13.4 Birth 28.4 Death 28.2 27.9 1 13.2 12.9 12.7 21 211 212 213 214 215 216 5

Mortalityandmorbidity Adultmortalityrate(Datasource:WHO 218) Probabilityofdyingbetween15and6yearsper1 population 6 5 4 3 2 1 52 449 Female Male 518 431 524 54 549 553 447 449 455 459 536 445 21 211 212 213 214 215 216 Age-standardizeddeathrateper1populationbybroader causes (Datasource:WHO 218) Communicable,maternal, perinatalandnutritional conditions 989 964 Age-standardizeddeathrateper1populationbycommunicable diseasesgroups (Datasource:WHO 218) Infectiousandparasiticdiseases RespiratoryInfectious 21 216 77 113 765 15 Noncommunicablediseases 771 Neonatalconditions 72 66 772 Maternalconditions 23 17 Injuries 128 127 Year 21 216 Nutritionaldeficiencies 12 11 Age-standardizeddeathrateper1populationby noncommunicablediseasesgroups(datasource:who 218) Cardiovasculardiseases Diabetesmelitus Malignantneoplasms Respiratorydiseases Digestivediseases Neurologicalconditions Genitourinarydiseases Congenitalanomalies Endocrine,blood,immunedisorders Mentalandsubstanceusedisorders Otherneoplasms Skindiseases Musculoskeletaldiseases Oralconditions Senseorgandiseases 21 216 351 92 1 95 4 32 27 12 11 4 3 3 2 348 12 95 92 39 34 27 11 11 4 3 3 2 Age-standardizeddeathrateper1populationbyinjuriesin216 (Datasource:WHO 218) Interpersonalviolence 35 Roadinjury 29 Self-harm 29 Otherunintentional injuries 1 Fire,heatandhot substances 7 Fals 4 Poisonings 3 6

MaternalandReproductiveHealth Maternalmortalityratio 746 7 649 Deathsper1livebirths 6 5 4 3 2 587 487 244 463 439 417 1 2 25 21 215 22 225 23 122 61 Maternalmortalityratio(per1livebirths) ProjectionsofMMRbasedonthecurentAARRof1.% ProjectionsofMMRbasedontheAARRof13% neededtoreachthetarget Condomsuse 211-216 27-213 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(%) 21-215 74 8 Cervicalcancerscreening 7 6 57 5 64 62 58 53 7 66 Incidencerate(per1, population) CumulativeriskIncidence(per1, population), 212 28 4 4 3 28 29 21 211 212 213 215 216 Mortalityrate(per1, population) CumulativeriskMortality(per1, population) 17 2 7

Childhealthandnutrition Immunization(Datasource:WHO,217) BCG immunizationcoverageamong1-year-olds(%) 1 93 98 98 98 98 98 87 8 7 Polioimmunizationcoverageamong1-year-olds(%) 1 93 92 95 8 7 6 5 6 5 4 4 3 3 2 2 1 1 21 211 212 213 214 215 216 217 21 211 212 213 214 215 216 217 MCVimmunizationcoverageamong1-year-olds(%) 1 92 88 91 8 7 Penta3immunizationcoverageamong1-year-olds(%) 1 93 96 95 93 93 93 93 93 8 7 6 5 6 5 4 4 3 3 2 2 1 1 21 211 212 213 214 215 216 217 21 211 212 213 214 215 216 217 Penta1-Penta3dropoutrate Penta3 Penta1 Dropoutrate Fulyimmunizedchildrenaged12-23months 21-215 68.3 217 93 98-5 216 93 98-5 Childnutrition(Datasource:WHO,215) 215 93 98-5 Lowbirth-weightprevalence(%) 2-215 1.4 214 93 98-5 Stuntingprevalence(%) 2-215 33.2 213 93 98-5 Overweightprevalence(%) 2-215 7.4 212 95 98-3 Wastingprevalence(%) 2-215 2.8 211 96 97-1 Exclusivebreastfeeding<6months(%) 2-215 66.9 21 93 97-4 Prevalenceofanaemiainpregnantwomen(hb<11 g/dl) 2-215 35.5 8

NewbornandChildHealth Childmortalityrate 12 115 11 11 1 1 98 94 94 94 95 Deathsper1livebirths 8 7 6 5 4 4 4 4 39 39 63 38 38 38 38 3 2 27 25 18 1 12 2 25 21 215 216 22 225 23 Under-fivemortalityrate ProjectionsofU5MRbasedonthecurentAARR ProjectionsbasedontheAARRneededtoreachtheSDG targe Neonatalmortalityrate ProjectionsofNNMRbasedonthecurentAARR ProjectionsofNNMRbasedontheAARRneededtoreachtheSDG target CareSeeking Breastfeeding 25-28 211-216 211-216 Diarhoea(%) 53 53 Earlyinitiation(%) 65 Fever(%) 61 Pneumonia(%) 59 63 Exclusivebreastfeeding<6 months(%) 67 HepatitisBprevalence 215 HepatitisBsurfaceantigen(HBsAg)prevalence amongchildrenunder5years(%) 2 9

Communicablediseases HIVepidemic(Datasource:WHO 218) NumberofpeoplelivingwithHIV PrevalenceofHIVamongadultsaged15to 49(%) 3, 2, 25, 1, 26, 27, 28, 2, 3, 31, 32, 2 22.2 22.5 22.9 23.2 23.5 23.8 23.9 23.8 1 21 211 212 213 214 215 216 217 21 211 212 213 214 215 216 217 NumberofdeathsduetoHIV NumberofnewHIVinfections(per1 uninfectedpopulation) 6, 4, 2, 5,6 5, 5,2 5,5 6, 6,4 5, 4, 12.36 12.49 12.15 1 12.9 12.42 11.88 11.4 21 211 212 213 214 215 216 217 9.7 2, NumberofnewHIVinfections 5 1, 19, 18, 19, 19, 19, 19, 18, 15, 21 211 212 213 214 215 216 217 21 211 212 213 214 215 216 217 HIVresponses(Datasource:WHO 218) HIVtestingandcounseling 212 214 Numberoftestingandcounselingfacilities 284 Numberoftestingandcounselingfacilitiesper1adultpopulation 21 Numberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounseling 475,714 Estimatednumberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounselingper1adult population 239 354 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, 9,4 21 211 212 213 214 215 216 217 ofhivpeoplereceivingartbyclassofages 8 7 6 5 4 3 2 38 38 41 44 37 37 28 29-14yearsold 15yearsoldandover Alages 4 43 3 3 46 51 45 34 45 51 68 67 47 74 74 6 21 211 212 213 214 215 216 217 1

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, 67,8 6 5 4 3 2 1 4 39 43 34 36 36 47 38 5 4 54 47 58 66 21 211 212 213 214 215 216 217 21 211 212 213 214 215 216 217 Viralloadsuppression(Datasource:MinistryofHealth217) Female Male Bothsexes HIVIncidence(%) 15-49years 1.81 1.33 1.55 15-59years 1.74 1.22 1.47 HIVprevalence(%) -14years 2.6 1.5 2.1 15-49years 29.7 19.1 24.3 Urbanareas Ruralareas 15-59years 3.4 2.8 25.6 Viralloadsuppression(%) 15-49years 68.9 59.2 65 15-59years 7.5 63.4 67.6 PeoplelivingwithHIV(PLHIV)aged15to64wereawareoftheirHIVstatus(%) 81.5 71 77.2 PLHIVaged15to64whoknewtheirHIVstatusandwereonART(%).6 89.4.2 PLHIVaged15to64curentlyuseofARTandwereviralysuppressed(%) 88.2 88.4 88.3 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) 215 216 217 ofpeoplelivingwithhivwhoknowtheirstatus 66 77 8 ofpeoplewhoknowtheirstatuswhoareonart 76 88 92 ofpeopleonartwhoachieveviralsuppression 57 92 11

TBincidence(Datasource:WHO 218) 21 211 212 213 214 215 216 Numberofincidenttuberculosiscases 23, 22, 21, 19, 18, 17, 16, Incidenceoftuberculosis(per1population peryear) 112 15 985 916 852 788 724 Numberofincidenttuberculosiscases (HIV-positivecases) 17, 16, 15, 14, 13, 12, 12, Incidenceoftuberculosis(per1population) (HIV-positivecases) 854 792 731 673 617 568 525 TBtreatmentcoverage(Datasource:WHO 218) 15, 11,674 Tuberculosis-newandrelapsecases 1 Tuberculosistreatmentcoverage(%) 1,776 9,555 Numberofcases 1, 5, 11,561 8,84 7,594 7,291 5 51 53 52 49 48 44 46 21 211 212 213 214 215 216 21 211 212 213 214 215 216 TBnewcasenotifications(Datasource:WHO 218) 21 211 212 213 214 215 216 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 1 8 6 4 2 DeathsduetotuberculosisamongHIV-negativepeople(per1 population) 6 57 56 57 56 56 1,5 1, 5 Numberofdeathsduetotuberculosis,excludingHIV 21 211 212 213 214 Numberofdeaths 215 216 1,2 1,2 1,2 1,2 1,2 1,2 1,1 21 211 212 213 214 215 216 49 12

TBpreviouslytreatedcasenotifications(Datasource:WHO 218) 21 211 212 213 214 215 216 Previouslytreated cases,excludingrelapse 1,464 1,224 1,195 1,183 1,16 298 222 Relapsecases:extrapulmonary 41 6 Relapsecases:Pulmonary,bacteriologicaly confirmed 436 519 4 459 Relapsecases:Pulmonary,clinicaly diagnosed 27 368 359 TBDrugresistance(Datasource:WHO 218) 21 211 212 213 214 215 216 ConfirmedcasesofRR-/MDR-TB(1) 117 82 1 145 148 332 CasesstartedonMDR-TBtreatment 117 148 189 163 152 217 238 NewcasestestedforRR-/MDR-TB(%).49 2.5 18 21 Previouslytreatedcasestestedfor RR-/MDR-TB(%) 4.7 4.9 5.1 57 EstimatedMDR/RR-TBcasesamongnotified pulmonarytbcases 41 (1)MDR:Multi-drugresistant;RR:Rifampicin-resistant 2 15 TBpatientswithknownHIVstatus(%) TestedTBpatientsHIV-positive(%) HIV-positiveTBpatientsonantiretroviraltherapy(%) Co-epidemicsofTBandHIV(Datasource:WHO 218) 1 5 84 77 97 89 93 96 91 85 76 74 79 86 75 68 74 74 73 72 72 27 21 211 212 213 214 215 216 TBtreatmentsuccess(Datasource:WHO 218) 15 Tuberculosistreatmentcoverage(%) Treatmentsuccessrate:newTBcases(%) Treatmentsuccessrate:previouslytreatedTBcases(%) TreatmentsuccessrateforpatientstreatedforMDR-TB(%) Treatmentsuccessrate:HIV-positiveTBcases(%) 1 8 5 74 69 71 7 7 65 58 58 63 64 62 59 51 53 52 49 48 44 46 7 6 68 67 67 61 69 69 66 64 63 64 77 5 21 211 212 213 214 215 216 21 211 212 213 214 215 216 13

Malariacasesanddeaths(Nodata) 216 27-213 Estimatedmalariadeaths Malariamortalityrateper1,population Proportionofchildrenunder5yearsofagewith feverbeing treatedwithantimalarialdrugs Insecticideclassresistance(Nodata) Neglectedtropicaldiseasescasesanddeaths(Datasource:WHO 218) 212 213 214 215 216 Leprosy-numberofreportedcases 2. 2. 2. Estimatednumberofindividualsinthecountryrequiring preventivechemotherapyforonchocerciasis Reportednumberofindividualstreatedforonchocerciasis 14

Neglectedtropicaldiseasesstatusofendemicity(Datasource:WHO 218) 213 216 218 Statusofendemicityofonchocerciasis Nodata Statusofendemicityofvisceralleishmaniasis Noautochthonouscases reported Statusofendemicityofcutaneousleishmaniasis Noautochthonouscases reported Statusofbejelendemicity Noprevioushistoryofbejel Statusofeliminationoftrachomaasapublichealthproblem Non-endemic Statusofyawsendemicity Noprevioushistoryofyaws Choleracasesanddeaths(Nodata) Meningitiscasesanddeaths(Nodata) 21 211 212 213 214 Numberofsuspectedmeningitisdeathsreported Syphilis(Datasource:WHO 218) 21 211 212 213 214 216 217 Womenaccessingantenatalcare(ANC)serviceswhowere testedforsyphilis(%) 66.9 7 74.1 84.3 77.5 91.2 Antenatalcareatendeeswhowerepositiveforsyphilis(%) 9.3 1.5 2.4 6 Antenatalcareatendeespositiveforsyphiliswhoreceived treatment(%) 51.9 62.2 Menwhohavesexwithmen(MSM)withactivesyphilis(%) 5.1 5.1 5.6 Sexworkerswithactivesyphilis(%) 27.2 18 27 15

Noncommunicablediseases Adults 18yearswithraisedbloodpressure(%) Adults 18yearswithraisedbloodpressure,bysex(%) 1 31.5 31. 3.5 8 3. 3.5 3.6 3.6 3.7 3.7 3.8 7 29.5 6 5 29. 28.5 28. Female Male 4 27.5 3 29. 29. 29. 29. 29. 29. 2 1 21 211 212 213 214 215 27. 26.5 26. 25.5 25. 26.4 26.4 26.3 26.2 26.2 26.1 21 211 212 213 214 215 Adults 18yearswithraisedfastingbloodglucose(%) 1 8 7 6 5 4 3 Adults 18yearswithraisedfastingbloodglucose,bysex (%) 1.5 1. 9.5 9. 8.5 8. 7.5 9.2 9.4 9.5 9.7 9.9 2 1 8.1 8.8 8.2 8.4 8.6 21 211 212 213 214 7. 6.5 6. 7.3 7.1 Female 6.9 Male 6.5 6.7 21 211 212 213 214 Adults 18yearswhowereoverweight(%) 1 8 7 Adults 18yearswhowereoverweight,bysex(%) 55 5 45 48.8 49.6 5.5 51.3 52.1 52.9 53.7 6 5 4 3 35. 2 1 35.7 36.3 36.9 37.5 38.1 38.7 21 211 212 213 214 215 216 4 35 3 25 2 15 Female Male 18. 18.5 19. 19.5 2. 2.6 21.1 21 211 212 213 214 215 216 16

Adults 18yearswhowereobese(%) 1 8 7 6 5 4 3 2 1 14.1 14.5 14.9 15.3 15.7 16.2 16.6 21 211 212 213 214 215 216 Adults 18yearswhowereobese,bysex(%) 28 26 24 22 2 18 16 14 12 1 8 6 4 2 Female Male 22.7 23.3 24. 24.7 25.3 26. 26.7 3.3 3.5 3.7 3.9 4.1 4.4 4.6 21 211 212 213 214 215 216 Percapitaalcoholconsumptionamongpeople 15years (%) 1 Female Male Both sexes 8 individuals 15yearswho usedtobacco 215.3 41.6 2.6 7 6 5 4 ofadults 18yearswith insuficientphysicalactivity 21 7. 7.5 7.2 3 2 1 2.9 2.5 2.5 2.6 2.7 2.9 21 211 212 213 214 215 ageofadults 25yearswith 28 raisedcholesterol 24.1 21.1 23. 17

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$ 15 127.3 142.7 CurentDomesticGeneralGovernmentHealthExpenditure (cgghe-d)as% GeneralGovernmentExpenditure(GGE) 16 14 US$ 1 73.7 86.1 1.2 94. 12 1 8 6.8 8.8 9.3 5 6 6. 6. 6. 4 2 21 211 212 213 214 215 21 211 212 213 214 215 18

Healthfinancing(Datasource:WHO 218) BreakdownofTotalCurenteHealthExpenditurebysource(%) 1 8 46.7 45.3 41.4 46.9 51.1 7 56.8 6 5 4 29.3 18.5 22.9 2.7 16.9 16.9 3 2 4. 31.8 32.4 1 24.1 31.9 26.3 21 211 212 213 214 215 Out-of-pocket(OOPS)as% oftotalcurenthealthexpenditure (CHE)(Datasource:WHO 218) US$ 5 45 4 35 3 25 25.9 2 15 1 5 22.2 2.7 18.5 16.9 21 211 212 213 214 215 16.9 CurenteDomesticGeneralGovernmentHealthExpenditure(GGHE-D)as% TotalCurentHealthExpenditure(CHE) DomesticPrivateHealthExpenditure(PVT-D)as% CurentHealthExpenditure(CHE) ExternalHealthExpenditure(EXT)as% ofcurenthealthexpenditure(che) 21 211 212 213 214 215 CurentHealthExpenditure(CHE)as% GrossDomesticProduct(GDP) 6.2 7.2 7.7 7.9 8.6 8.4 DomesticGeneralGovernmentHealthExpenditure(GGHE-D)as% GrossDomesticProduct(GDP) 2.9 3.3 3.6 3.3 4.4 4.8 ExternalHealthExpenditureChanneledthroughGovernment(EXT-G)as% ofexternalhealth Expenditure(EXT) 65.7 7.8 58.8 62.9 61.5 49.7 DomesticHealthExpenditure(DOM)as% ofcurenthealthexpenditure(che) 75.9 68.2 67.6 6. 68.1 73.7 CurentHealthExpenditure(CHE)perCapitainPPP 157.9 189.9 213.7 226.9 248.8 251.1 DomesticPrivateHealthExpenditure(PVT-D)perCapitainPPPInt$ 46.2 43.4 44.3 42. 42.2 42.3 ExternalHealthExpenditure(EXT)perCapitainPPPInt$ 38. 6.4 69.2.9 79.4 66.1 CurentHealthExpenditure(CHE)perCapitainUS$ 79.7 12.6 12.5 98.4 13..9 DomesticGeneralGovernmentHealthExpenditure(GGHE-D)perCapitainUS$ 37.2 46.5 48.1 4.8 52.7 51.6 DomesticPrivateHealthExpenditure(PVT-D)perCapitainUS$ 23.3 23.5 21.2 18.2 17.5 15.3 ExternalHealthExpenditure(EXT)perCapitainUS$ 19.2 32.6 33.2 39.4 32.9 23.9 Healthworkforce(Nodata) Medicalproducts,infrastructuresandequipment(Nodata) Essentialmedicines(Nodata) 19

Medicalproducts,infrastructuresandequipment(Datasource:WHO 218) Equipment(Nodata) Bedsdensity Bedsformentalhealthingeneralhospitals(per 1,) 211 214 4.577 Bedsinmentalhospitals(per1,) 2.88 7.151 26 Hospitalbeds(per1population) 26 Infrastructures:Totaldensityper1population (Nodata) Healthinformation,evidenceandknowledge Censuscariedout(Datasource:UNSD216) Censuscariedoutinthe21roundofcensuses(25-214) Censuscariedoutinthe22roundofcensuses(215-224) Yes Yes Civilregistration(Datasource:WHO,218) CauseofDeathReportingatHealthFacilities(%):withMCCoD/ICDCompliance 217 3 Civilregistrationcoverageofbirths(%) 43.3 ehealth(datasource:itu,218) Celularormobilesubscribersper1inhabitants ageofindividualsusingtheinternet 21 211 212 213 214 215 216 217 48.4 59.7 73.9 84.6 99.7 98.4 13.6 16.6 3.9 7. 1. 15. 22. 25. 27.4 2

Waterandsanitation(Datasource:WHO,215) Socialdeterminantsofhealth Populationusingimproveddrinkingwatersource(%) 1 8 77.4 81.8 79 7 6 5 4 3 Populationusingimproveddrinkingwatersource,by residencearea(%) 1 8 7 6 5 4 3 92.6 74.9 93.2 75.5 94.6 77 2 1 2 1 Rural Urban 19 2 215 19 2 215 Populationusingimprovedsanitation(%) 1 8 7 6 5 4 3 3.3 23.9 2 1 19 2 215 Populationusingimprovedsanitation,byresidencearea (%) 1 8 7 6 5 4 3 2 1 Rural Urban 35.1 21.1 19 2 215 37.3 27.6 Accesstoelectricity(Datasource:WorldBank,215) Populationwithaccesstoelectricity(%) 1 8 Populationwithaccesstoelectricity,byresidencearea(%) 1 Rural Urban 8 7 6 5 4 27.8 29.7 3 27.9 2 22.5 24.3 18.9 2.7 1 21 211 212 213 214 215 216 7 66. 61.5 6 62.7 56.2 5 53. 49.7 46.5 4 3 2 12.9 14.8 15.7 1 9.9 1.9 11.9 11.8 21 211 212 213 214 215 216 21