madagascar accountability profile 2013

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May 2013 EQUITY 86 91 * See Annex/website for indicator definition Note: Based on 2006 WHO reference population 16 CHILD HEALTH (20032004) (20082009) 72 DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH NUTRITION (20082009) (20082009) (2011) 15 Socioeconomic inequities in coverage Total population (000) Total underfive 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) 4.6 147 21 (2011) 23 (2010) 81 (2011) 21,315 (2011) 3,379 (2011) 747 (20082009) 80 (2010) 1,800 Total maternal deaths 161 62 54 0 50 100 150 200 1990 1995 2000 2005 2010 2015 Underfive mortality rate MDG Target Source: IGME 2012 640 240 160 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 80 100 Percent Coverage along the continuum of care Source: DHS, MICS, Other NS Skilled attendant *Postnatal care breastfeeding Measles 57 47 46 51 44 0 20 40 60 80 100 1992 DHS 1997 DHS 2000 MICS 20032004 DHS 20082009 DHS Percent Skilled attendant at delivery Percent live births attended by skilled health personnel 0 5 10 15 20 2007 2008 2009 2010 2011 Percent 42 37 47 48 42 20 0 20 40 60 80 100 1992 DHS 1997 DHS 2000 MICS 20032004 DHS 20082009 DHS Percent Pneumonia treatment 70 89 89 0 20 40 60 80 100 1990 1995 2000 2005 2010 Percent Immunization Percent of children immunized against measles Percent of children immunized with 3 doses DTP Percent of children immunized with 3 doses Hib 41 30 38 37 54 55 58 53 49 0 20 40 60 80 100 19931994 Other NS 1995 MICS 1997 DHS 20032004 DHS 20082009 DHS Percent Underweight and stunting prevalence Percent children <5 years who are underweight Percent children <5 years who are stunted 38 48 41 67 51 0 20 40 60 80 100 1992 DHS 1997 DHS 2000 MICS 20032004 DHS 20082009 DHS Percent Exclusive breastfeeding Percent infants <6 months exclusively breastfed Source: UNICEF/UNAIDS/WHO Percent children <5 years with suspected pneumonia taken to appropriate health provider Percent 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 20082009 Demand for family planning satisfied Antenatal care (4+ visits) at delivery Exclusive Introduction of solid, semisolid/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 under5 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 PMTCT Uncertainty range around the estimate Total underfive 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 mothertochild transmission of HIV Developed by Countdown to report on core indicators identified by the UN Commission on Information and Accountability, in support of the Global Strategy for Women’s and Children’s Health 2011 0 10 20 30 40 50 60 70 80 90 100 Demand for family planning satisfied Antenatal care 1+ visit Antenatal care 4+ visits Skilled birth attendant Early initiation of breastfeeding ITN use among children <5 yrs DPT3 Measles Vitamin A (past 6 months) ORT & continued feeding Careseeking for pneumonia Percent

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Page 1: Madagascar Accountability Profile 2013

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