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Transkript:

COTED'IVOIRE FactsheetofHealthStatistics 18

Notes: CountriesassessmentsofprogresstowardsUHCandSDGsarebasedon UHCandSDGsindexaccordingtothefolowingthresholds:Ontrack (greenmap):ifuhcandsdgsindexisequalormorethan75%.making progress(yelowmap):ifuhcandsdgsindexismorethan% and lessthan75%.insuficientprogress(redmap):ifuhcandsdgsindexis lessthan%. UHCandSDGsindex:29.5% (Insuficientprogress) Overview ofuhcandthesdgs 3.1Maternalmortality Target3.1.Reducetheglobalmaternalmortalityratiotolessthanperlivebirths Indicator Projected(1) Baseline Curent Targetvalue value value(15) value(16) Comment Colour code(2) Maternalmortalityratio (perlivebirths) 645. 591.4. Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 15% isrequiredtoachievethetarget. Birthsatendedbyskiled healthpersonnel(%) 57. 56. 67.5. Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 3.3% isrequiredtoachievethe target. 3.2Newbornandchildmortality Target3.2.Endpreventabledeathsofnewbornsandchildrenunder5yearsofage,withalcountriesaimingtoreduce neonatalmortalitytoatleastaslowas12perlivebirthsandunder-fivemortalitytoatleastaslowas25per livebirths Indicator Baseline value(15) Curent value(16) Projected(1) Targetvalue value Comment Colour code(2) Under-fivemortalityrate (perlivebirths) 95.1 91.8.9 25. Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 9% isrequiredtoachievethetarget. Neonatalmortalityrate (perlivebirths) 37.4 36.6 28.7 12. Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 7.6% isrequiredtoachievethe target. Infantsreceivingthree dosesofhepatitisb vaccine(%) 83. 89.5. Thepaceisnotfastenoughtomeetthe SDG target.anannualreductionofabout 1.3% isrequiredtoachievethe target.

3.3Communicablediseases Target3.3:EndtheepidemicsofAIDS,tuberculosis,malariaandneglectedtropicaldiseasesandcombathepatitis, water-bornediseasesandothercommunicablediseases Indicator Baseline value(15) Curentvalue (16) Projected(1) value Targetvalue ARTCoverage(%) HIVIncidencerate(per population) MalariaIncidencerate (perpopulationat risk) TBIncidencerate(per population) Reportednumberof peoplerequiring interventionsagainst NTDs 1,873,839 31 22 19 3,165,889 94 223 36 64 16,756,532 159 223 84 41 18,738,388 153 223 188 41 Comment Colour code(2) Progressinincreasingthe antiretroviralcoverageisnotyet observed Thetargetislikelyatainable. Anannualreductionof15.4% is requiredtoachievethetarget. Anannualreductionof11% is requiredtoachievethetarget. Thetargetislikelyatainable. 3.4Noncommunicablediseasesandmentalhealth Target3.4.By,reducebyonethirdprematuremortalityfrom noncommunicablediseasesthroughpreventionand treatmentandpromotementalhealthandwel-being Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue Probabilityofdyingfrom any ofcvd,cancer,diabetes, CRDbetweenageand exactage(%) Suicidemortalityrate(per population) 16.29 18.93.42 26.82 14. 29. 18. 28. 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) 8.4 5.2 Comment Colour code(2) Progressinreductionofalcohol consumption(percapita)isnotyet observed. 2

3.7Sexualandreproductivehealth Target3.7:By,ensureuniversalaccesstosexualandreproductivehealth-careservices,includingforfamily planning,informationandeducation,andtheintegrationofreproductivehealthintonationalstrategiesandprogrammes Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue Adolescentbirthrate(per womenaged15 19 years) Proportionofmariedor in-unionwomenof reproductiveagewhohave theirneedforfamilyplanning satisfiedwithmodern methods(%). 36.9 82.4 31.1 129. Comment Colour code(2) Thepaceisnotfastenoughtomeet thesdg target. ThetrendduringMDG periodis towardssubstantialdeclinebutthe paceisnotfastenoughtomeetthe SDG target.anannualreductionof about9% isrequiredtoachievethe target. 3.8Universalhealthcoverage Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue UHCServicecoverageindex. 44. Comment Colour code(2) Anannualreductionofabout5.5% is requiredtoachievethetarget. 3.dNationalandglobalhealthrisks Target3.d:Strengthenthecapacityofalcountries,inparticulardevelopingcountries,forearlywarning,riskreduction andmanagementofnationalandglobalhealthrisks Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue Compliancewith internationalhealth regulations.. 78. 87. Comment Colour code(2) Thetargetcouldbeachievedifthe curenttrendisreversed. 3.6Roadtraficinjuries Target3.6:By,halvethenumberofglobaldeathsandinjuriesfrom roadtraficaccidents Indicator Baseline value(15) Curent value(16) Projected(1) value Targetvalue Roadtraficmortalityrate (perpopulation) 12. 24. Comment Colour code(2) Thetargetisgoingtobeachievedwith thisanannualreductionof4.6% shouldbemaintained. 3

3.9Mortalityfrom environmentalpolution Target3.9:By,substantialyreducethenumberofdeathsandilnessesfrom hazardouschemicalsandair,water andsoilpolutionandcontamination Indicator Baseline value(15) Curent value(16) Projected(1) Targetvalue value Comment Colour code(2) Mortalityrateatributedto householdandambientair polution(per population) 89.8 269.1 Thepaceisnotfastenoughtomeet thesdg target. Mortalityrateatributedto exposuretounsafewash services(per population) 44.1 47.2 33. Thepaceisnotfastenoughtomeet thesdg target. Mortalityratefrom unintentional poisoning(per population) 4. 3.9 Progressinreducingthemortality ratefrom unintentionalpoisoning (perpopulation)isquite good. 16.1Violence Target16.1:Significantlyreducealformsofviolenceandrelateddeathrateseverywhere Indicator Baseline Curentvalue Projected(1) Targetvalue value(15) (16) value Comment Colour code(2) Estimatesofratesof homicidesper population 12.2 12.1.8 Thepaceisenoughtomeetthe SDG target 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)=% SDG:Sustainabledevelopmentgoals U5MR:Under-fivemortalityrate UHC:Universalhealthcoverage 4

Demographicandsocioeconomicstatistics Population(Datasource:WHO andworldbank18) Population(in thousands)total Populationproportion under15(%) Populationlivingon Populationproportion Populationmedianage Ruralpopulation(% of <$1(PPPint.$)aday over(%) (years) totalpopulation) (%) 7-13 35 11 12 13 14 15 19 19 49 49 48 47 47 46 16 23,696 43 3 45 17 44 Lifeexpectancy(Datasource:WHO 18) Lifeexpectancyatbirth(years) Lifeexpectancyatage(years) Healthylifeexpectancy(HALE)at birth(years) Healthylifeexpectancy(HALE)at age(years) Bothsexes Female Male Both sexes Female Male Bothsexes Female Male Both sexes Female Male 52.5 53.5 51.6 14 14.3 13.8 46.2 46.9 45.6.4.6.2 11 52.9 54 51.9 14.1 14.4 13.8 12 52.9 53.9 52 14 14.4 13.8 13 53.1 54.2 52.2 14 14.4 13.8 14 53.4 54.5 52.5 14.1 14.4 13.8 15 53.9 55 53 14.2 14.5 13.9 47.7 48.4 47.6.9.4 16 54.6 55.7 53.6 14.3 14.6 14 48.3 49 47.6.8 11.5 Crudebirthanddeathrates(per1,people)(Datasource:WHO 18) Numberper1,people 38.2 14.2 38. 37.8 13.9 13.5 37.6 13.2 37.3 Birth 37.1 Death 36.8 12.9 12.5 12.2 11 12 13 14 15 16 5

Mortalityandmorbidity Adultmortalityrate(Datasource:WHO 18) Probabilityofdyingbetween15andyearsper population 428 399 Female Male 424 391 4 434 435 399 399 398 428 389 417 376 11 12 13 14 15 16 Age-standardizeddeathrateperpopulationbybroader causes (Datasource:WHO 18) Noncommunicablediseases 934 Age-standardizeddeathrateperpopulationbycommunicable diseasesgroups (Datasource:WHO 18) Infectiousandparasiticdiseases 16 9 394 945 RespiratoryInfectious 186 184 Communicable,maternal, perinatalandnutritional conditions 828 Neonatalconditions 74 66 1 Maternalconditions 37 33 Injuries 157 157 Year 16 Nutritionaldeficiencies 23 24 Age-standardizeddeathrateperpopulationby noncommunicablediseasesgroups(datasource:who 18) Cardiovasculardiseases Digestivediseases Malignantneoplasms Respiratorydiseases Diabetesmelitus Genitourinarydiseases Neurologicalconditions Congenitalanomalies Endocrine,blood,immunedisorders Mentalandsubstanceusedisorders Skindiseases Otherneoplasms Musculoskeletaldiseases Oralconditions Senseorgandiseases 16 452 124 2 65 55 46 39 16 17 7 5 4 2 458 115 3 65 58 49 42 18 18 8 5 4 2 Age-standardizeddeathrateperpopulationbyinjuriesin16 (Datasource:WHO 18) Roadinjury 31 Otherunintentionalinjuries 28 Fals 24 Self-harm 23 Interpersonalviolence 13 Fire,heatandhot substances 12 Drowning 13 Exposureto mechanical forces 9 Poisonings 4 6

MaternalandReproductiveHealth Maternalmortalityratio Condomsuse Preventionofmother-to-childtransmission (PMTCT) 11-16 Condom useamong adolescentswith multiplepartners(%) Female Male 32 7-13 PrevalenceofCondom usebyadultsaged 15-49yearsat higher-risksex(%) Female Male 36 8 9 11 12 13 15 16 41 54 66 68 68 75 79 73-15 Antenatalcarecoverage-atleastfour visits(%) 44 12 Incidencerate(per, population) CumulativeriskIncidence(per, population), Mortalityrate(per, population) CumulativeriskMortality(per, population) 2 9 2 13 Antenatalcare Cervicalcancerscreening 7

Childhealthandnutrition Immunization(Datasource:WHO,17) BCG immunizationcoverageamong1-year-olds(%) 91 93 95 84 79 74 92 Polioimmunizationcoverageamong1-year-olds(%) 81 83 82 58 74 71 76 71 11 12 13 14 15 16 17 11 12 13 14 15 16 17 MCVimmunizationcoverageamong1-year-olds(%) Penta3immunizationcoverageamong1-year-olds(%) 74 74 78 69 69 85 82 75 73 82 84 49 59 62 11 12 13 14 15 16 17 11 12 13 14 15 16 17 Penta1-Penta3dropoutrate Penta3 Penta1 Dropoutrate Fulyimmunizedchildrenaged12-23months -15 74.1 17 84 99-15 16 82 98-16 Childnutrition(Datasource:WHO,15) 15 99-19 Lowbirth-weightprevalence(%) -15 14.9 14 73 93 - Stuntingprevalence(%) -15 29.6 13 75 89-14 Overweightprevalence(%) -15 3.2 12 82 93-11 Wastingprevalence(%) -15 7.5 11 62 75-13 Exclusivebreastfeeding<6months(%) -15 12.1 85 95 - Prevalenceofanaemiainpregnantwomen(hb<11 g/dl) -15 63.6 8

NewbornandChildHealth Childmortalityrate 1 1 1 146 Deathsperlivebirths 1 128 111 95 85 92 77 62 48 45 41 37 35 38 37 33 31 26 25 17 12 5 15 16 25 Under-fivemortalityrate ProjectionsofU5MRbasedonthecurentAARR ProjectionsbasedontheAARRneededtoreachtheSDG targe Neonatalmortalityrate ProjectionsofNNMRbasedonthecurentAARR ProjectionsofNNMRbasedontheAARRneededtoreachtheSDG target CareSeeking Breastfeeding 5-8 11-16 Diarhoea(%) 45 17 Fever(%) Pneumonia(%) 36 35 43 38 Earlyinitiation(%) Exclusivebreastfeeding<6 months(%) 11-16 31 12 HepatitisBprevalence 15 HepatitisBsurfaceantigen(HBsAg)prevalence amongchildrenunder5years(%) 3 9

Communicablediseases NumberofpeoplelivingwithHIV HIVepidemic(Nodata) PrevalenceofHIVamongadultsaged 15to49(%) NumberofdeathsduetoHIV NumberofnewHIVinfections(per uninfectedpopulation) NumberofnewHIVinfections HIVresponses(Datasource:WHO 18) HIVtestingandcounseling 12 14 Numberoftestingandcounselingfacilities 1,478 Numberoftestingandcounselingfacilitiesperadultpopulation 12 Numberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounseling 1,685,285 Estimatednumberofpeopleaged15yearsandoverwhoreceivedHIVtestingandcounselingperadult population 91 138 NumberofHIVpeoplereceivingantiretroviraltherapy(ART)by classofages 2, 216, ofhivpeoplereceivingartbyclassofages 47 NumberofpeopleunderART, 1,,, -14yearsold 181, 15yearsoldandover 134, 1, 4, 82, 3, 95, 5, 5, 7,, 4, 5, 6, 9, 11 12 13 14 15 16 17-14yearsold 46 15yearsoldandover Alages 33 38 32 23 23 21 28 27 17 22 22 23 18 17 16 12 12 9 11 12 13 14 15 16 17

NumberofHIVpeople aged15andoverreceiving antiretroviraltherapybysex 1, Female Male 1, 133, ofhivpeople aged15andoverreceiving antiretroviraltherapybysex Female Male Numberofpeople, 95, 8, 75, 74, 56, 55, 66, 47,, 38, 28, 42, 25, 29, 28, 11 12 13 14 15 16 17 41 37 25 29 29 21 29 22 25 14 14 14 12 11 12 13 14 15 16 17 Viralloadsuppression(Datasource:MinistryofHealth,17) Female Male Bothsexes HIVIncidence(%) 15-49years 15-64years HIVprevalence(%) -14years 15-49years 3.6 1.4 2.5 15-64years 4.1 1.7 2.9 Urbanareas Ruralareas Viralloadsuppression(%) 15-49years 38.4.1 33 15-64years 45.9 27.7.2 PeoplelivingwithHIV(PLHIV)aged15to64wereawareoftheirHIVstatus(%) 43.2 24.2 37.2 PLHIVaged15to64whoknewtheirHIVstatusandwereonART(%) 92.6.7 88.1 PLHIVaged15to64curentlyuseofARTandwereviralysuppressed(%) 77.9 65.2 75.9 Prevalenceofvoluntarymedicalmalecircumcision(Nodata) Medicalycircumcised Non-medicalycircumcised Uncircumcised Unknown Prevalenceofsexwithnon-maritalpartnerandcondom useatlastsex(nodata) Condom atlastsexwithnon-maritalpartneramongthosewhoreportedhavingsexwithanon-marital,non-cohabiting partnerinthepast12months(%) Female Male Sexwithnon-maritalpartnerin12monthsamongthosewhoreportedhavingsexinthepast12months(%) Progresstowards--targets(Nodata) 11

TBincidence(Datasource:WHO 18) 11 12 13 14 15 16 Numberofincidenttuberculosiscases, 39, 38, 37, 37, 37, 36, Incidenceoftuberculosis(per populationperyear) 196 186 178 1 165 159 153 Numberofincidenttuberculosiscases (HIV-positivecases),,, 9, 8, 8, 7, Incidenceoftuberculosis(per population)(hiv-positivecases) 51 48 47 42 37 33 TBtreatmentcoverage(Datasource:WHO 18) Tuberculosis-newandrelapsecases Tuberculosistreatmentcoverage(%) Numberofcases,,, 22,476 23,762 22,8 24,749 23,275 22,458 21,357 57 58 62 66 63 61 59 11 12 13 14 15 16 11 12 13 14 15 16 TBnewcasenotifications(Datasource:WHO 18) 11 12 13 14 15 16 Newcases:extrapulmonary 5,179 4,729 5,344 5,436 5,243 4,6 4,346 Newcases:Pulmonary,smear-negative/unknown/notdoneandothernew cases 2,381 2,316 2,818 Newcases:Pulmonary,smear-positive 14,131 14,416 14,6 Neworunknowntreatmenthistorycases:Pulmonary,bacteriologicaly confirmed 15,241 14,233 13,912 13,442 Neworunknowntreatmenthistorycases:Pulmonary,clinicalydiagnosed 3,119 2,1 2,689 2,9 Treatmenthistoryunknown TBmortality(Datasource:WHO 18) Numberofdeathsperpopulation DeathsduetotuberculosisamongHIV-negativepeople(per population) 29 28 24 21 22 23 6, 4, 2, 11 12 13 Numberofdeaths 14 15 16 Numberofdeathsduetotuberculosis,excludingHIV 6, 5, 5, 5, 5, 5, 4, 11 12 13 14 15 16 23 12

TBpreviouslytreatedcasenotifications(Datasource:WHO 18) 11 12 13 14 15 16 Previouslytreated cases,excludingrelapse 2 444 4 5 475 421 353 Relapsecases:extrapulmonary 123 97 Relapsecases:Pulmonary,bacteriologicaly confirmed 953 898 936 889 Relapsecases:Pulmonary,clinicaly diagnosed 92 74 TBDrugresistance(Datasource:WHO 18) 11 12 13 14 15 16 ConfirmedcasesofRR-/MDR-TB(1) 372 379 471 4 4 CasesstartedonMDR-TBtreatment 61 313 5 349 NewcasestestedforRR-/MDR-TB(%).1 2.1 5 Previouslytreatedcasestestedfor RR-/MDR-TB(%) 4.7 2 26 74 48 94 EstimatedMDR/RR-TBcasesamongnotified pulmonarytbcases 1, (1)MDR:Multi-drugresistant;RR:Rifampicin-resistant 1 Co-epidemicsofTBandHIV(Datasource:WHO 18) TBpatientswithknownHIVstatus(%) TestedTBpatientsHIV-positive(%) HIV-positiveTBpatientsonantiretroviraltherapy(%) 93 95 73 85 71 55 75 77 36 27 98 87 24 26 27 25 24 24 22 11 12 13 14 15 16 TBtreatmentsuccess(Datasource:WHO 18) 1 1 Tuberculosistreatmentcoverage(%) Treatmentsuccessrate:newTBcases(%) Treatmentsuccessrate:previouslytreatedTBcases(%) 1 1 TreatmentsuccessrateforpatientstreatedforMDR-TB(%) Treatmentsuccessrate:HIV-positiveTBcases(%) 76 79 79 75 67 66 66 65 62 57 64 63 59 61 62 58 51 11 12 13 14 15 16 85 85 71 69 11 12 13 14 15 16 13

Malariacasesanddeaths(Datasource:WHO 17) 12 13 14 15 16 7-13 Estimatedmalariacases 6,6, 5,5, 5,2, 5,1, 5,2, Numberofmalariacasesper, populationatrisk 31,1 25,3 23,3 22,329 22,325 Estimatedmalariadeaths 7, Malariamortalityrateper,population Childrenaged<5yearssleepingunder insecticide-treatednets(%) 37 Insecticideclassresistance(Datasource:WHO 17) 15 Numberofinsecticideclassestowhichresistancewasreported3classes Nottested/reported Neglectedtropicaldiseasescasesanddeaths(Datasource:WHO 18) 12 13 14 15 16 17 Leprosy-numberofreportedcases 1, 1,169 9 891 895 Numberofcasesofvisceralleishmaniasisreported Numberofpeopleoperatedfortrachomatoustrichiasis 14 Numberofpeoplewhoreceivedtreatmentwithantibioticsfor trachoma 1,334,636 1,994,884 Estimatednumberofindividualsinthecountryrequiring preventivechemotherapyforonchocerciasis 2,285,1 2,335,27 3,96,711 3,69,563 Reportednumberofindividualstreatedforonchocerciasis 1,219,178 1,1,818 1,865,273 2,7,463 2,929,2 Numberofcasesofcutaneousleishmaniasisreported NumberofnewreportedcasesofBuruliulcer 1,386 1,39 827 549 376 14

Neglectedtropicaldiseasesstatusofendemicity(Datasource:WHO 18) 13 16 18 Statusofendemicityofonchocerciasis Endemic Statusofendemicityofvisceralleishmaniasis Endemic Statusofendemicityofcutaneousleishmaniasis Endemic Statusofbejelendemicity Previouslyendemic(curent statusunknown) Statusofeliminationoftrachomaasapublichealthproblem Knowntorequireinterventions Statusofyawsendemicity Curentlyendemic Choleracasesanddeaths(Datasource:WHO 18) 11 12 13 14 15 Numberofreportedcasesofcholera 32 1,261 424 56 235 199 Numberofreporteddeathsfrom cholera 24 19 2 12 6 Choleracasefatalityrate(%) 2 4 4 5 3 Meningitiscasesanddeaths(Datasource:WHO 18) 11 12 13 14 Numberofmeningitisepidemicdistricts 1 Numberofsuspectedmeningitisdeathsreported 28 25 59 34 25 Syphilis(Datasource:WHO 18) 14 16 17 Womenaccessingantenatalcare(ANC)serviceswhowere testedforsyphilis(%) 88 Antenatalcareatendeeswhowerepositiveforsyphilis(%) 4.9 Menwhohavesexwithmen(MSM)withactivesyphilis(%).5.5 Sexworkerswithactivesyphilis(%).9.9 1.1 15

28.3 27.2 28.1 27.9 27.7 27.5 Noncommunicablediseases Adults 18yearswithraisedbloodpressure(%) Adults 18yearswithraisedbloodpressure,bysex(%) 29.5 29. 28.5 28. 27.5 27. 26.5 11 12 13 14 15 Female Male 29. 28.8 28.6 28.3 28.1 27.8 27.7 27.6 27.4 27.2 27. 26.8 11 12 13 14 15 Adults 18yearswithraisedfastingbloodglucose(%) Adults 18yearswithraisedfastingbloodglucose,bysex (%) 7.5 7. Female Male 7.2 7.3 6.5 6.8 6.9 7. 6.4 6.9 6.5 6.6 6.7 11 12 13 14 6. 5.5 6.3 6.2 6.1 6. 5.9 11 12 13 14 Adults 18yearswhowereoverweight(%) 27.6 28.2 28.9 29.6.3.9 31.6 11 12 13 14 15 16 Adults 18yearswhowereoverweight,bysex(%) 35 25 Female Male 35.2.9 35.9 36.6 37.3 21.5 22.1 22.7 38.1 38.8 23.2 39.5 23.9 24.5 11 12 13 14 15 16 16

Adults 18yearswhowereobese(%) Adults 18yearswhowereobese,bysex(%) 16 15 14 13 12 11 9 8 7 Female Male 14.7 15.2 14.2 13.7 12.7 13.2 12.2.3 7.9 8.3 8.7 9. 9.4 9.8 11 12 13 14 15 16 6 5 4 3 5.8 5.5 5.2 4.2 4.4 4.7 4.9 11 12 13 14 15 16 Percapitaalcoholconsumptionamongpeople 15years (%) Female Male Both sexes individuals 15yearswho usedtobacco 15 ofadults 18yearswith insuficientphysicalactivity 27.1 18. 22.6 4.8 4.6 4.7 4.7 4.6 4.8 11 12 13 14 15 ageofadults 25yearswith 8 raisedcholesterol 22.8 19.2 21. 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 18) DomesticGeneralGovernmentHealthExpenditure(cGGHE-D)per CapitainPPPInt$ CurentDomesticGeneralGovernmentHealthExpenditure (cgghe-d)as% GeneralGovernmentExpenditure(GGE) 16 41.4 14 33. 12 US$ 21.4 21.2 29. 28.9 8 6 4 4. 4.6 4.8 5. 4.1 5. 2 11 12 13 14 15 11 12 13 14 15 18

Healthfinancing(Datasource:WHO 18) BreakdownofTotalCurenteHealthExpenditurebysource(%) 13.2 14. 17.6 21.8 17.3 21.8 72.6 73.6 66.5 64.2 51.8 69.4 14.2 12.4 15.9 26.3 18.5 8.8 11 12 13 14 15 Out-of-pocket(OOPS)as% oftotalcurenthealthexpenditure (CHE)(Datasource:WHO 18) US$ 58.1 55 45 35 25 15 5.2 53.7 56.9 52.3 36. 11 12 13 14 15 CurenteDomesticGeneralGovernmentHealthExpenditure(GGHE-D)as% TotalCurentHealthExpenditure(CHE) DomesticPrivateHealthExpenditure(PVT-D)as% CurentHealthExpenditure(CHE) ExternalHealthExpenditure(EXT)as% ofcurenthealthexpenditure(che) 11 12 13 14 15 CurentHealthExpenditure(CHE)as% GrossDomesticProduct(GDP) 6.1 5.9 6. 5.1 5.2 5.4 DomesticGeneralGovernmentHealthExpenditure(GGHE-D)as% GrossDomesticProduct(GDP).8.8 1. 1.1.9 1.2 ExternalHealthExpenditureChanneledthroughGovernment(EXT-G)as% ofexternalhealth Expenditure(EXT) 76.8 59.5 39.1 43.3 49.6 15.8 DomesticHealthExpenditure(DOM)as% ofcurenthealthexpenditure(che) 85.8 87.6 84.1 91.2 81.5 73.7 CurentHealthExpenditure(CHE)perCapitainPPP 162. 151.9 164.7 151.2 167.3 189.6 DomesticPrivateHealthExpenditure(PVT-D)perCapitainPPPInt$ 117.7 111.8 9.5 5. 7.4 98.3 ExternalHealthExpenditure(EXT)perCapitainPPPInt$ 23. 18.8 26.2 13.3 31. 49.9 CurentHealthExpenditure(CHE)perCapitainUS$ 75. 73.4 75.3 72.2 79.1 75.5 DomesticGeneralGovernmentHealthExpenditure(GGHE-D)perCapitainUS$ 9.9.3 13.3 15.8 13.7 16.5 DomesticPrivateHealthExpenditure(PVT-D)perCapitainUS$ 54.4 54.1..1.7 39.1 ExternalHealthExpenditure(EXT)perCapitainUS$.6 9.1 12. 6.4 14.7 19.9 Healthworkforce(Datasource:WHO 18) 8 Physiciansdensity(perpopulation) Nursingandmidwiferypersonneldensity(perpopulation).14.48 Otherhealthworkersdensity(perpopulation).16 Medicalproducts,infrastructuresandequipment(Datasource:WHO 18) Availabilityoftechnicalspecificationsofmedicaldevicestosupportprocurementordonations Availabilityofnationallistofapprovedmedicaldevicesforprocurementorreimbursement Availabilityofnationalstandardsorrecommendedlistsofmedicaldevices Nationalguidelines,policiesorrecommendationsontheprocurementofmedicaldevices No Yes,butitisonlyarecommendation Fordiferenthealthcarefacilitiesandspecificprocedures Yes Essentialmedicines(Nodata) 19

Medicalproducts,infrastructuresandequipment(Datasource:WHO 18) Equipment Totaldensitypermilionfemalesagedfrom to69 yearsold:mammographyunits Totaldensitypermilionpopulation:Computed tomographyunits 13 14...71.69 Bedsdensity Bedsformentalhealthingeneralhospitals(per,) 11 14.48 Bedsinmentalhospitals(per,) 1.2 6 Totaldensitypermilionpopulation:Gammacamera ornuclearmedicine.. Hospitalbeds(perpopulation) 8 Totaldensitypermilionpopulation:Linear Accelerator.. Infrastructures:Totaldensityperpopulation 13 Totaldensitypermilionpopulation:Magnetic ResonanceImaging.15.15 Hospitals 1.71 Totaldensitypermilionpopulation:Positron Emissiontomography.. District/ruralhospitals Provincialhospitals 1.19.47 1.16.45 Totaldensitypermilionpopulation:Radiotherapy units.. Specializedhospitals.. Totaldensitypermilionpopulation:TelecobaltUnit.. Healthcentres 12.18 11.83 Healthinformation,evidenceandknowledge Censuscariedout(Datasource:UNSD16) Censuscariedoutintheroundofcensuses(5-14) Censuscariedoutintheroundofcensuses(15-24) Yes Itisexpectedthatacensuswilbeheldonthedateindicated Civilregistration(Nodata) ehealth(datasource:itu,18) 11 12 13 14 15 16 17 Celularormobilesubscribersperinhabitants 76.5 83. 84.5 88.3 98.1 9.9 115.8 1.7 ageofindividualsusingtheinternet 2.7 2.9 5. 12. 19.3 38.4 41.2 43.8

Waterandsanitation(Datasource:WHO,15) Socialdeterminantsofhealth Populationusingimproveddrinkingwatersource(%) 75.9 81.9 77.9 Populationusingimproveddrinkingwatersource,by residencearea(%).3 66.7 91.4 67.5 93.1 68.8 Rural Urban 19 15 19 15 Populationusingimprovedsanitation(%) 22.5 14.9 17.6 19 15 Populationusingimprovedsanitation,byresidencearea (%) Rural Urban 27.8 6.5 29.9 8.1 19 15 32.8.3 Accesstoelectricity(Datasource:WorldBank,15) Populationwithaccesstoelectricity(%) Populationwithaccesstoelectricity,byresidencearea(%) 64.1 64.3 61.2 59. 61.9 58. 55.8 83.3 82.9 33.5 32.5 Rural Urban 92.9 84.2 92. 84..5 38.1 35.5 36.5 29.. 11 12 13 14 15 16 11 12 13 14 15 16 21