madagascar accountability profile 2013
TRANSCRIPT
May 2013
EQUITY
8691
* See Annex/website for indicator definition
Note: Based on 2006 WHO reference population
16
CHILD HEALTH
(2003‐2004)
(2008‐2009)
72
DEMOGRAPHICS
MATERNAL AND NEWBORN HEALTH
NUTRITION(2008‐2009)
(2008‐2009)
(2011)
15
Socioeconomic inequities in coverage
Total population (000)Total under‐five population (000)Births (000)Birth registration (%)
Neonatal mortality rate (per 1000 live births)
Lifetime risk of maternal death (1 in N)Total fertility rate (per woman)Adolescent birth rate (per 1000 women)
Stillbirth rate (per 1000 total births)
4.6147
21
(2011)23
(2010)81
(2011)21,315(2011)3,379(2011)747
(2008‐2009)80
(2010)1,800Total maternal deaths
161
62 54
0
50
100
150
200
1990 1995 2000 2005 2010 2015
Under‐five mortality rate
MDG Target
Source: IGME 2012
640
240160
0
150
300
450
600
750
1990 1995 2000 2005 2010 2015
MDG Target
Maternal mortality ratio
Source: MMEIG 2012
70
51
46
44
49
68
0 20 40 60 80 100Percent
Coverage along the continuum of care
Source: DHS, MICS, Other NS
Skilled attendant
*Postnatal care
breastfeeding
Measles
5747 46 51
44
0
20
40
60
80
100
1992DHS
1997DHS
2000MICS
2003‐2004DHS
2008‐2009DHS
Percen
t
Skilled attendant at deliveryPercent live births attended by skilled health personnel
0
5
10
15
20
2007 2008 2009 2010 2011Pe
rcen
t
42 37 47 48 42
20
020406080
100
1992DHS
1997DHS
2000MICS
2003‐2004DHS
2008‐2009DHS
Percen
t
Pneumonia treatment
70
8989
0
20
40
60
80
100
1990 1995 2000 2005 2010
Percen
t
ImmunizationPercent of children immunized against measlesPercent of children immunized with 3 doses DTPPercent of children immunized with 3 doses Hib
4130
38 37
54 55 58 5349
0
20
40
60
80
100
1993‐1994Other NS
1995MICS
1997DHS
2003‐2004DHS
2008‐2009DHS
Percen
t
Underweight and stunting prevalencePercent children <5 years who are underweightPercent children <5 years who are stunted
3848
41
67
51
0
20
40
60
80
100
1992DHS
1997DHS
2000MICS
2003‐2004DHS
2008‐2009DHS
Percen
t
Exclusive breastfeedingPercent infants <6 months exclusively breastfed
Source: UNICEF/UNAIDS/WHO
Percent children <5 years with suspected pneumonia taken to appropriate health providerPercent children <5 years with suspected pneumonia receiving antibiotics
Coverage levels are shown for the poorest 20% (red circles) and the richest 20% (orange circles). The longer the line between the two groups, the greater the inequality. These estimates may differ from other charts due to differences in data sources.
Madagascar
Household wealth quintile: Poorest 20% Richest 20%
DHS 2008‐2009
Demand for family planning satisfied
Antenatal care(4+ visits)
at delivery
Exclusive
Introduction of solid, semi‐solid/soft foods (%)
Early initiation of breastfeeding (within 1 hr of birth, %)
Vitamin A two dose coverage (%)
Wasting prevalence (moderate and severe, %)
Low birthweight incidence (moderate and severe, %)
Source: WHO/UNICEF
Neonatal deaths: % of all under‐5 deaths (2011)38
Infant mortality rate (per 1000 live births) (2011)43
Deaths per 1000 live births Deaths per 100,000 live births
Note:MDG target calculated by Countdown to 2015.
Percent HIV+ pregnant women receiving ARVs for PMTCTUncertainty range around the estimate
Total under‐five deaths (000) (2011)45
(2009)
(2011)
(2006)
Pre-pregnancy
Pregnancy
Birth
Neonatal period
Infancy
Eligible HIV+ pregnant women receiving ART for their own health (%, of total ARVs) ‐
Prevention of mother‐to‐childtransmission of HIV
Developed by Countdown to report on core indicatorsidentified by the UN Commission on Information andAccountability, in support of the Global Strategy forWomen’s and Children’s Health
2011
0 10 20 30 40 50 60 70 80 90 100
Demand for family planning satisfied
Antenatal care1+ visit
Antenatal care4+ visitsSkilled birthattendant
Early initiation ofbreastfeedingITN use amongchildren <5 yrs
DPT3
Measles
Vitamin A(past 6 months)
ORT & continuedfeeding
Careseeking for pneumonia
Percent