Mcn India Countdown to 2015 0

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    DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

    INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN

    NUTRITION

    Exclusive breastfeedingPercent infants < 6 months exclusively breastfed

    Prevention of mother to child

    transmission of HIVPercent HIV+ pregnant women receiving ARVs for PMTCT

    Diarrhoeal disease treatmentPercent children < 5 years with diarrhoea receiving oral rehydrationtherapy or increased fluids, with continued feeding

    Pneumonia treatmentPercent children < 5 years with suspected pneumonia taken toappropriate health providerPercent children < 5 years with suspected pneumonia receivingantibiotics

    Total population (000)

    Total under-five population (000)

    Births (000)

    Birth registration (%)

    Under-five mortality rate (per 1000 live births)

    Infant mortality rate (per 1000 live births)

    Neonatal mortality rate (per 1000 live births)

    Total under-five deaths (000)

    Maternal mortality ratio (per 100,000 live births)Lifetime risk of maternal death (1 in N)

    Total maternal deaths

    Stunting prevalence (moderate and severe, %)

    Wasting prevalence (moderate and severe, %)

    Complementary feeding rate (6-9 months, %)

    Low birthweight incidence (%)

    CHILD HEALTH

    Cou

    India

    22

    32

    1998-1999NFHS

    2005-2006NFHS

    Source:WHO,2006

    Underweight prevalencePercent children < 3 years underweight for age*

    48

    20

    *Based on 2006 WHOreference population

    1998-1999NFHS

    2005-2006NFHS

    3

    5

    10

    ImmunizationPercent of children immunised against measlesPercent of children immunised with 3 doses DPTPercent of children immunised with 3 doses Hib

    2004OtherNS

    2005OtherNS

    2006OtherNS

    0

    4

    8

    12

    16

    20

    1992-1993NFHS

    1998-1999NFHS

    2005-2006NFHS

    69

    33

    6967

    1,151,751

    126,843

    27,195

    41

    76

    57

    43

    2,067

    45070

    117,000

    (2006)

    (2006)

    (2006)

    (2006)

    (2006)

    (2006)

    (2000)

    (2006)

    (2005)(2005)

    (2005)

    Causes of under-five deathsGlobally more than one third of child deaths are attributable toundernutrition

    (2005-2006)

    (2005-2006)

    56

    30

    1990 1995 2000 2005 2 006

    (2005-2006)

    (1998-1999)

    Percent

    20

    0

    40

    60

    80

    100

    Percent

    20

    0

    40

    60

    80

    100

    Percent

    20

    0

    40

    60

    80

    100

    Percent

    20

    0

    40

    60

    80

    100

    Percent

    20

    0

    40

    60

    80

    100

    Percent

    1992-1993NFHS

    1998-1999NFHS

    2000MICS

    2005-2006NFHS

    44 46 46

    3744

    41

    59

    55

    Vitamin A supplementationPercent children 6-59 months receiving vitamin Adoses

    199 9 20 00 2 001 200 2 2 003 200 4 20 05

    At l eas t one dose T wo doses

    Source:UNICEF

    Percent

    20

    0

    40

    60

    80

    100

    Source:WHO/UNICEF

    Unmet need for family planning (%)

    Antenatal visits for woman (4ormorevisits,%)

    Intermittent preventive treatment for malaria (%)

    C-section rate (total,urban, rural;%)(Minimumtargetis5%andmaximumtargetis 15%)

    Early initiation of breastfeeding (within1 hrofbirth,%)

    Postnatal visit for baby (within2daysfor homebirths,%)

    13

    51

    ---

    9,17,6

    25

    ---

    (2005-2006)

    (2005-2006)

    (2005-2006)

    (2005-2006)

    Causes of maternal deathsRegional estimates for Asia, 1997-2002

    Coverage along the co

    Source:DHS,MICS,OtherNS

    *See Annex forindicator definition

    0 20 40

    4

    37

    46

    WATER AND SANITATION EQUITY

    SYSTEMSPOLICIES

    WaterPercent population using improved drinking water sources

    SanitationPercent population using improved sanitation facilities

    Financial Flows and Human Resources

    Coverage gap by weal

    1990 2004

    TotalRural Urban TotalRu ral Ur ban

    Source:WHO/UNICEF JMP,2006

    Percent

    20

    0

    40

    60

    80

    100

    Skilled attendant at deliveryPercent live births attended by skilled health personnel

    Neonatal tetanus protePercent of newborns protected agai

    55

    3442 43

    47

    1992-1993NFHS

    1998-1999NFHS

    2005-2006NFHS

    2000MICS

    Percent

    20

    0

    40

    60

    80

    100

    Source:WHO/UNICEF

    Percent

    20

    40

    60

    80

    100

    1980 1985 1990

    64

    8983

    95

    86

    70

    1990 2004Source:WHO/UNICEF JMP,2006

    Percent

    20

    0

    40

    60

    80

    100

    3

    45

    22

    59

    33

    14

    Poorest 2nd 3

    Percent

    20

    0

    40

    60

    80

    100

    International Code of Marketing of BreastmilkSubstitutes

    New ORS formula and zinc for management ofdiarrhoea

    Community treatment of pneumonia with antibiotics

    IMCI adapted to cover newborns 0-1 week of age

    Costed implementation plan(s) for maternal,newborn and child health available

    Midwives be authorised to administer a core set oflife saving interventions

    Maternity protection in accordance with ILOConvention 183

    Specific notification of maternal deaths

    Yes

    Yes

    Yes

    Yes

    Yes

    Partial

    No

    Yes

    Per capita total expenditure on health (US$)

    General government expenditure on health as% of total government expenditure (%)

    Out-of-pocket expenditure as % of totalexpenditure on health (%)

    Density of health workers (per 1000 population)

    Official Development Assistance to childhealthper child (US$)

    Official Development Assistance to maternal andneonatal health per live birth (US$)

    National availability of Emergency Obstetric Careservices (% of recommended minimum)

    91

    3

    78

    1.9

    1

    3

    ---

    (2007)

    (2007)

    (2007)

    (2004)

    (2005)

    (2005)

    Coverage gap (%)

    1993DHS

    49

    2.7

    40

    Ratiopoorest/wealthiest

    Differencepoorest-wealthiest (%)

    Diarrhoea20%

    Other9%

    Measles4%

    Injuries2%

    Malaria1% HIV/AIDS

    1%

    Neonatal45%

    Causes of neonataldeaths

    Source:Khan,Khalid S.,etal,Lancet2006:367:1066-74

    Measles

    Exclusivebreastfeeding

    Skilled attendantat birth

    Antenatal visit(1 or more)

    Contraceptiveprevalence rate

    *Postnatal care

    Other causes21%Anaemia

    13%

    Haemorrhage31%

    Abortion6%Obstructed labor

    9%

    Hypertensivedisorders

    9%

    Sepsis/Infections,including AIDS

    12%

    1 99 0 1 99 5 2 00 0 2 00 5 2 01 0 2 01 5

    30

    0

    60

    90

    120

    150

    76

    115

    38

    Source:UNICEF,2 006

    Under-five mortality rateDeaths per 1000 live births

    Antenatal carePercent women aged 15-49 years attended at least once by a

    skilled health provider during pregnancy

    Percent

    20

    0

    40

    60

    80

    100

    49

    60 62

    74

    2000MICS

    12

    Percent

    20

    0

    40

    60

    80

    100

    1992-1993NFHS

    1998-1999NFHS

    2005-2006NFHS

    2000MICS

    MDGTarget

    Pneumonia19%

    1522 25

    27

    45

    4551

    51

    64

    64

    27

    000

    No data

    No data

    Malaria preventionPercent children < 5 years sleeping under ITNs*

    Malaria treatmentPercent febrile children < 5 years using antimalarials*

    *Sub-national riskof malaria transmission

    *Sub-national riskof malaria transmission