2011.WHS

WORLD HEALTH STATISTICS 2 0 11

WHO Library Cataloguing-in-Publication Data World health statistics 2011. 1.Health status indicators. 2.World health. 3.Health services - statistics. 4.Mortality. 5.Morbidity. 6.Life expectancy. 7.Demography. 8.Statistics. I.World Health Organization. ISBN 978 92 4 156419 9

(NLM classification: WA 900.1)

© World Health Organization 2011 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The boundaries and names shown and the designations used in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. Printed in France.

Acknowledgements This publication was produced by the WHO Department of Health Statistics and Informatics of the Innovation, Information, Evidence and Research Cluster in collaboration with WHO technical programmes and regional offices. WHO is grateful to UNICEF, the Department of Economic and Social Affairs Population Division, the Centers for Disease Control and Prevention of the United States of America and the World Bank for their contributions.

2

Table of Contents Abbreviations

7

Introduction

8

Part I. Health-related Millennium Development Goals

11

Summary of status and trends Regional and country charts

12

1. Children aged <5 years underweight (%) 2. Under-five mortality rate (probability of dying by age 5 per 1000 live births) 3. Measles immunization coverage among 1-year-olds (%) 4. Maternal mortality ratio (per 100 000 live births) 5. Births attended by skilled health personnel (%) 6. Contraceptive prevalence (%) 7. Adolescent fertility rate (per 1000 girls aged 15–19 years) 8. Antenatal care coverage (%): at least 1 visit and at least 4 visits 9. Unmet need for family planning (%) 10. Prevalence of HIV among adults aged 15–49 years (%) 11. Males aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%) 12. Females aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%) 13. Antiretroviral therapy coverage among people with advanced HIV infection (%) 14. Malaria mortality rate (per 100 000 population) 15. Children aged <5 years sleeping under insecticide-treated nets (%) 16. Children aged <5 years with fever who received treatment with any antimalarial (%) 17. Tuberculosis mortality rate among HIV-negative people (per 100 000 population) 18. Population using improved drinking-water sources (%) 19. Population using improved sanitation (%)

Part II. Global health indicators Table 1

23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41

43

Life expectancy and mortality

45

Life expectancy at birth (years) Stillbirth rate (per 1000 total births) Neonatal mortality rate (per 1000 live births) Infant mortality rate (probability of dying by age 1 per 1000 live births) Under-five mortality rate (probability of dying by age 5 per 1000 live births) Adult mortality rate (probability of dying between 15 and 60 years per 1000 population)

3

Table 2

Cause-specific mortality and morbidity

57

Mortality Maternal mortality ratio (per 100 000 live births) Cause-specific mortality rate (per 100 000 population) Age-standardized mortality rates by cause (per 100 000 population) Distribution of years of life lost by broader causes (%) Distribution of causes of death among children aged <5 years (%) Morbidity Prevalence of tuberculosis (per 100 000 population) Incidence of tuberculosis (per 100 000 population per year) Prevalence of HIV among adults aged 15–49 years (%)

Table 3

Selected infectious diseases

79

Cholera Diphtheria H5N1 influenza Japanese encephalitis Leprosy Malaria Measles Meningitis Mumps Pertussis Plague Poliomyelitis Congenital rubella syndrome Rubella Neonatal tetanus Total tetanus Tuberculosis Yellow fever

Table 4

Health service coverage

91

Antenatal care coverage (%) Births attended by skilled health personnel (%) Births by caesarean section (%) Neonates protected at birth against neonatal tetanus (%) Immunization coverage among 1-year-olds (%) Children aged 6–59 months who received vitamin A supplementation (%)

4

Children aged <5 years sleeping under insecticide-treated nets (%) Children aged <5 years with fever who received treatment with any antimalarial (%) Children aged <5 years with ARI symptoms taken to a health facility (%) Children aged <5 years with diarrhoea receiving ORT (ORS and/or RHF) (%) Unmet need for family planning (%) Contraceptive prevalence (%) Antiretroviral therapy coverage among HIV-infected pregnant women for PMTCT (%) Antiretroviral therapy coverage among people with advanced HIV infection (%) Case-detection rate for all forms of tuberculosis (%) Smear-positive tuberculosis treatment-success rate (%)

Table 5

Risk factors

103

Population using improved drinking-water sources (%) Population using improved sanitation (%) Population using solid fuels (%) Low-birth-weight newborns (%) Infants exclusively breastfed for the first 6 months of life (%) Children aged <5 years stunted (%) Children aged <5 years underweight (%) Children aged <5 years overweight (%) Adults aged ≥20 years who are obese (%) Alcohol consumption among adults aged ≥15 years (litres of pure alcohol per person per year) Prevalence of smoking any tobacco product among adults aged ≥15 years (%) Prevalence of current tobacco use among adolescents aged 13–15 years (%) Prevalence of condom use by adults aged 15–49 years during higher-risk sex (%) Population aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%)

Table 6

Health workforce, infrastructure and essential medicines

Health workforce Number of physicians and density (per 10 000 population) Number of nursing and midwifery personnel and density (per 10 000 population) Number of dentistry personnel and density (per 10 000 population) Number of pharmaceutical personnel and density (per 10 000 population) Number of environment and public health workers and density (per 10 000 population) Number of community health workers and density (per 10 000 population) Infrastructure Hospital beds (per 10 000 population) Radiotherapy units (per 1 000 000 population) Essential medicines Median availability of selected generic medicines in public and private sectors (%) Median consumer price ratio of selected generic medicines in public and private sectors

5

115

Table 7

Health expenditure

127

Health expenditure ratios Total expenditure on health as a percentage of gross domestic product General government expenditure on health as a percentage of total expenditure on health Private expenditure on health as a percentage of total expenditure on health General government expenditure on health as a percentage of total government expenditure External resources for health as a percentage of total expenditure on health Social security expenditure on health as a percentage of general government expenditure on health Out-of-pocket expenditure as a percentage of private expenditure on health Private prepaid plans as a percentage of private expenditure on health Per capita health expenditures Per capita total expenditure on health at average exchange rate (US$) Per capita total expenditure on health (PPP int. $) Per capita government expenditure on health at average exchange rate (US$) Per capita government expenditure on health (PPP int. $)

Table 8

Health inequities

139

Births attended by skilled health personnel (%) Measles immunization coverage among 1-year-olds (%) Under-five mortality rate (probability of dying by age 5 per 1000 live births)

Table 9

Demographic and socioeconomic statistics

151

Population – total (000s) Population – median age (years) Population – aged under 15 (%) Population – aged over 60 (%) Annual population growth rate (%) Population living in urban areas (%) Civil registration coverage (%) of births and causes of death Total fertility rate (per woman) Adolescent fertility rate (per 1000 girls aged 15–19 years) Adult literacy rate (%) Net primary school enrolment rate (%) Gross national income per capita (PPP int. $) Population living on <$1 (PPP int. $) a day (%)

Footnotes

162

6

Abbreviations AIDS

acquired immunodeficiency syndrome

AFR

WHO African Region

AMR

WHO Region of the Americas

ARI

acute respiratory infection

ART

antiretroviral therapy

DHS

Demographic and Health Survey

DTP3

3 doses of diphtheria-tetanus-pertussis vaccine

EMR

WHO Eastern Mediterranean Region

EUR

WHO European Region

GDP

gross domestic product

HepB3

3 doses of hepatitis B vaccine

Hib3

3 doses of Haemophilus influenzae type B vaccine

HIV

human immunodeficiency virus

MCV

measles-containing vaccine

MDG

Millennium Development Goal

MICS

Multiple Indicator Cluster Survey

NHA

national health account

ORS

oral rehydration salts

ORT

oral rehydration therapy

PMTCT

prevention of mother-to-child transmission

PPP

Purchasing Power Parity

RHF

recommended home fluid

SEAR

WHO South-East Asia Region

WPR

WHO Western Pacific Region

YLL

years of life lost

7

Introduction The World Health Statistics series is WHO’s annual compilation of health-related data for its 193 Member States, and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets. As with previous versions, World Health Statistics 2011 has been compiled using publications and databases produced and maintained by the technical programmes and regional offices of WHO. Indicators have been included on the basis of their relevance to global public health; the availability and quality of the data; and the reliability and comparability of the resulting estimates. Taken together, these indicators provide a comprehensive summary of the current status of national health and health systems in the following nine areas: Q

life expectancy and mortality;

Q

cause-specific mortality and morbidity;

Q

selected infectious diseases;

Q

health service coverage;

Q

risk factors;

Q

health workforce, infrastructure and essential medicines;

Q

health expenditure;

Q

health inequities; and

Q

demographic and socioeconomic statistics.

The estimates in this book are derived from multiple sources, depending on each indicator and the availability and quality of data. In many countries, statistical and health information systems are weak and the underlying empirical data may not be available or may be of poor quality. Every effort has been made to ensure the best use of country-reported data – adjusted where necessary to deal with missing values, to correct for known biases, and to maximize the comparability of the statistics across countries and over time. In addition, statistical techniques and modelling have been used to fill data gaps. Because of the weakness of the underlying empirical data in many countries, a number of the indicators are associated with significant uncertainty. It is WHO policy on statistical transparency to make available to users the methods of estimation and the margins of uncertainty for relevant indicators. However, because of space restrictions, printed versions of the World Health Statistics series include uncertainty ranges for only a few indicators. Further information on the margins of uncertainty for additional indicators will be made available at the Global Health Observatory web site.1

1.

The Global Health Observatory (GHO) is WHO’s portal providing access to data and analyses for monitoring the global health situation. See: www.who.int/gho

8

While every effort has been made to maximize the comparability of the statistics across countries and over time, users are advised that country data may differ in terms of the definitions, datacollection methods, population coverage and estimation methods used. More-detailed information on indicator metadata is available in the WHO Indicator and Measurement Registry.2 WHO presents World Health Statistics 2011 as an integral part of its ongoing efforts to provide enhanced access to high-quality data on core measures of population health and national health systems. Unless otherwise stated, all estimates have been cleared by WHO following consultation with Member States and are published here as official WHO figures. However, these best estimates have been derived using standard categories and methods to enhance their cross-national comparability. As a result they should not be regarded as the nationally endorsed statistics of Member States which may have been derived using alternative methodologies.

2.

www.who.int/gho/indicatorregistry

9

Part I Health-related Millennium Development Goals

Summary of status and trends The progress made towards the achievement of the health-related Millennium Development Goals (MDGs) continues to vary – both between countries and across the range of different goals. Undernutrition among children remains common in many parts of the world. According to recent estimates, 115 million children under 5 years of age worldwide are underweight. Although global prevalence is decreasing, progress is uneven (Figure 1). In Africa, the stagnation of prevalence coupled with population growth led to an increase in the number of underweight children – from 24 million in 1990 to 30 million in 2010. In Asia, the number of underweight children was estimated to be even larger at around 71 million in 2010. About 178 million children globally are too short for their age group (stunted) compared to the WHO child growth standards, with such stunting being a key indicator of chronic malnutrition. As growth slows down, brain development lags behind and as a result stunted children are more likely to learn poorly. Stunting rates among children are highest in Africa and Asia.

Figure 1: Children aged <5 years underweight (%)*

Children underweight (%) <20 20–29.9 30–39.9 0 Data not available Not applicable

* Created 14 January 2011 using the most up-to-date data available for different countries in the period 2000–2009.

Child mortality continues to decline worldwide. The total number of deaths of children under 5 years old fell from 12.4 million in 1990 to 8.1 million in 2009. The mortality rate in children under 5 years old has fallen correspondingly from 89 per 1000 live births in 1990 to 60 per 1000 live births in 2009, representing a reduction of about one third. At the same time, the average annual rate of decline has accelerated over the period 2000–2009 compared with the 1990s 12

(Table 1). The level of mortality, however, remained alarmingly high in certain regions of the world. In 2009, the levels of mortality in children under 5 years old in the WHO African Region (127 per 1000 live births) and in low-income countries (117 per 1000 live births) were still higher than the 1990 global level of 89 per 1000 live births (Figure 2). Much more needs to be done to achieve the target of a two-thirds reduction in the 1990 mortality levels by the year 2015. In particular, efforts to reduce neonatal mortality rates (deaths during the first 28 days of life) need to be increased as the rates of decline are slower than those observed among older children. In 2009, 40% of all deaths among children under 5 years old occurred in the neonatal period. Table 1: Average annual rate of decline (%) in mortality in children under 5 years old, 1990–1999 and 2000–2009 WHO region

1990–1999

2000–2009

African Region

1.0

2.5

Region of the Americas

4.2

4.3

South-East Asia Region

2.7

4.0

European Region

3.7

5.6

Eastern Mediterranean Region

1.8

2.1

Western Pacific Region

2.4

5.4

GLOBAL

1.3

2.7

Figure 2: Mortality in children under 5 years old in 1990 and 2009 by WHO region and country-income group 200

1990

Probability of dying by age 5 per 1000 live births

180

2009

160

Global, 1990

140

Global, 2009

120 100 80 60 40 20 0

AFR

AMR

SEAR

EUR

EMR

WPR

13

Low income

Lower middle income

Upper middle income

High income

Pneumonia and diarrhoeal diseases are the two biggest killers of children under 5 years old, accounting for 18% and 15% of all deaths respectively in 2008. These rates include deaths that occur during the neonatal period. The WHO African Region and the WHO South-East Asia Region experience the highest burden of mortality due to pneumonia and diarrhoea, and include numerous countries that are not on track to achieve the MDG 4 target of reducing child mortality by two-thirds. The coverage of crucial child health interventions against often fatal diseases remains inadequate. These interventions include oral rehydration therapy and zinc for diarrhoea, and case management with antibiotics for pneumonia. Most child deaths due to pneumonia could be avoided if effective interventions were implemented on a broad scale and reached the most vulnerable populations. By 2009, global measles immunization coverage was 82% among children aged 12–23 months. This was up from 73% in 1990 (Figure 3) with low-income countries experiencing the highest increase during that time. Coverage in the WHO African Region, however, remained low compared to other regions.

Figure 3: Measles immunization coverage (%) in 1990 and 2009 by WHO region and country-income group 100 90

1990

Global, 1990

2009

Global, 2009

80 70

Percentage

60 50 40 30 20 10 0

AFR

AMR

SEAR

EUR

EMR

WPR

14

Low income

Lower middle income

Upper middle income

High income

The most recent estimates suggest that the number of women dying as a result of complications during pregnancy and childbirth has decreased by 34% – from 546 000 in 1990 to 358 000 in 2008. Although such progress is notable, the annual rate of decline of 2.3% is less than half of the 5.5% needed to achieve the target of reducing the maternal mortality ratio by three quarters between 1990 and 2015. Almost all maternal deaths (99%) in 2008 occurred in developing countries (Figure 4). While the rate of decline in maternal mortality in the WHO South-East Asia Region was among the highest observed, the rate of decline in the WHO African Region remained stubbornly slow (Table 2) corresponding to 620 per 100 000 live births in 2008.

Figure 4: Estimated number of maternal deaths, 2008 AMR 10 000

AFR 190 000

SEAR 91 000

EUR 2 300

EMR 52 000 WPR 13 000

15

Table 2: Average annual rate of decline (%) in maternal mortality, 1990–2008 WHO region

1990–2008

African Region

1.7

Region of the Americas

2.7

South-East Asia Region

5.0

European Region

4.1

Eastern Mediterranean Region

1.5

Western Pacific Region

5.0

GLOBAL

2.3

There have been improvements in the coverage of interventions to reduce maternal mortality, including the provision of family-planning services and ensuring that all women have access to skilled care during pregnancy, childbirth and the postpartum period. Latest estimates suggest that 63% of women in developing countries aged 15–49 years who are married or in another type of union are using some form of contraception. Although 80% of pregnant women received antenatal care at least once during the period 2000–2010, only 53% received the WHOrecommended minimum of four antenatal visits. The proportion of deliveries attended by skilled health personnel rose from 58% in 1990 to 68% in 2008, but remained low in the WHO African Region and the WHO South-East Asia Region where only around 50% of deliveries were attended by skilled health personnel. A growing number of countries have recorded decreases in the number of confirmed cases of malaria and/or reported admissions and deaths since 2000. National control efforts have resulted in a reduction in the estimated number of deaths from almost 1 million in 2000 to 781 000 in 2009. The estimated number of cases of malaria rose from 233 million in 2000 to 244 million in 2005 but decreased to 225 million in 2009. A total of 11 countries and one area in the WHO African Region showed a reduction of more than 50% in either confirmed malaria cases or malaria admissions and deaths between 2000 and 2009. In other WHO regions, the number of reported cases of confirmed malaria decreased by more than 50% in 32 countries. In 2009, the WHO European Region reported for the first time no cases of Plasmodium falciparum malaria. The annual global number of new cases of tuberculosis continues to increase slightly as slow reductions in incidence rates per capita are offset by population increases. In 2009, prevalence was estimated at 12–16 million cases, with an estimated 9.4 million new cases. An estimated 1.3 million HIV-negative people died from tuberculosis in 2009 (Figure 5). Mortality due to this disease has fallen by more than a third since 1990, and if the current rate of decline is sustained at the global level, the MDG targets of halving tuberculosis prevalence and deaths by 2015 could be achieved. At the regional level, however, efforts will be needed to accelerate the rate of decline in the WHO African Region if these targets are to be met. In 2008, the treatment success rate reached 86% worldwide and 87% in countries with a high burden of disease. However, multidrug-resistant tuberculosis continues to pose problems.

16

Figure 5: Deaths due to tuberculosis among HIV-negative people (per 100 000 population per year), 2009

Estimated tuberculosis deaths per 100 000 population 0–9 10–24 25–39 40–59 0 Data not available Not applicable

The number of people living with HIV worldwide continues to grow, reaching an estimated 33.3 million people in 2009 – 23% higher than in 1999. In 2009, there were an estimated 2.6 million new infections and 1.8 million HIV/AIDS-related deaths. However, the overall growth of the global epidemic appears to have stabilized, with the annual number of estimated new HIV infections steadily declining. In 2009, the estimated number of new HIV infections was 19% lower than in 1999. The increasing number of people living with HIV reflects in part the lifeprolonging effects of antiretroviral therapy (ART). As of December 2009, ART was available to more than 5 million people in low-income and middle-income countries. An additional 700 000 people received treatment in high-income countries in 2009, bringing the global total to almost 6 million. Despite such global progress, treatment-coverage rates remain low in low-income and middle-income countries (36% overall) with significant variation at regional level (Table 3).

17

Table 3: Antiretroviral therapy (ART) in low-income and middle-income countries by WHO region, 2009 WHO region

ART coverage among people with advanced HIV infection (%)

Number of people receiving ART (000s)

African Region

37

3912

Region of the Americas

50

478

South-East Asia Region

32

577

European Region

19

115

7

13

Western Pacific Region

33

160

GLOBAL

36

5254

Eastern Mediterranean Region

Neglected tropical diseases affect more than 1000 million people, primarily in poor populations living in tropical and subtropical climates. Since 1985, the reported prevalence of leprosy has been reduced by more than 90%, and more than 15 million patients have been cured. In 2009, lymphatic filariasis was endemic in 81 countries. Of these countries, 53 were implementing mass treatment programmes – with the number of people treated increasing from 10 million in 2000 to 546 million in 2007. Between 1989 and 2009, the number of new cases of dracunculiasis fell from an estimated 892 055 in 12 disease-endemic countries to 3190 reported cases in four countries – a decrease of more than 99%. Outbreaks of dengue, however, are increasing and spreading geographically, with cases being reported in five of the six WHO regions. The percentage of the world’s population with access to improved drinking-water sources increased from 77% to 87% between 1990 and 2008. One component of Target 7.C of MDG 7 is to halve the proportion of the population without sustainable access to safe drinking-water. Given the current rate, it is likely that this component will be met. Nevertheless, in 2008 some 884 million people still relied upon unimproved water sources – 84% of whom were living in rural areas. The other component of Target 7.C is to halve the proportion of the population without sustainable access to basic sanitation. Current rates of progress towards this are insufficient. In 2008, 2600 million people were not using improved sanitation facilities, including over 1100 million people with no access to toilets or sanitation facilities of any kind. If current trends continue, this component of Target 7.C will not be met. There remains considerable variation not only between WHO regions and country-income groups in the attainment of these components but between the two components themselves (Figure 6).

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Figure 6: Percentage of population using improved drinking-water sources and sanitation facilities in 2008 by WHO region and country-income group AFR AMR EUR SEAR EMR WPR Water Sanitation

Low income Lower middle income Upper middle income High income

Global 0

10

20

30

40

50

60

70

80

90

100

Percentage

Developing countries continue to face low availability and high costs in relation to essential medicines. Surveys in more than 40 mainly low-income and middle-income countries indicate that selected generic medicines were available in only 42% of health facilities in the public sector and 64% of facilities in the private sector. Lack of medicines in the public sector forces patients to purchase medicines from the private sector, where generic medicines cost on average 630% more than their international reference price – with originator brands being generally even more expensive. The impact of noncommunicable diseases – including cardiovascular diseases, diabetes, certain types of cancers and chronic respiratory diseases – is steadily growing, affecting both developed and developing countries, and people in all age groups. In 2008, noncommunicable diseases caused an estimated 36 million deaths worldwide; up from 35 million in 2004. The causes of the main chronic disease epidemics are well established and well known, including unhealthy diet and excessive energy intake, physical inactivity, overweight and obesity, tobacco use and the harmful use of alcohol. Tackling these risk factors largely depends upon actions taken in a variety of policy domains, as well as increased prevention efforts and access to services such as those for early detection. Injuries, both intentional and unintentional, directly lead to the death of more than 5 million people worldwide annually and cause harm to millions more. Such injuries account for 9% of global mortality and create enormous demand for medical care and rehabilitation services. The

19

burden of injury disproportionately falls upon the poor, who often live, work and travel in unsafe environments; benefit less from prevention efforts; and have less access to high-quality treatment and rehabilitation services. Achieving the health-related MDGs will depend heavily upon the extent to which health programmes can be integrated, shortfalls in funding met and underlying health systems strengthened – particularly in terms of health personnel, financing and the organization of service delivery. There are major concerns with regard to raising the necessary resources needed in all these areas. The most-recent statistics from countries still indicate a ten-fold gap in the density of doctors and nurses between low-income and high-income countries. The gap in per capita total health expenditure in 2008 was even larger at 74 versus 4246 PPP int. $ (Purchasing Power Parity at international dollar rate) respectively. Well-functioning health information systems continue to be needed to monitor progress towards the attainment of the health-related MDGs, as well as the progress made towards other national health objectives and equity goals. Reviews of systems performance are also needed to inform national and international decision-making processes. Although progress is being made, reliable statistics are scarce in many countries and enormous challenges remain in the building of in-country capacity.

20

Regional and country charts The following charts provide country-by-country summaries of progress and current regional averages for key MDG indicators for which data are available. Depending on the availability of data for each indicator, there are three types of chart:

Chart type I For four indicators – under-five mortality rate; maternal mortality ratio; population using improved drinking-water sources; and population using improved sanitation – the charts show data for the latest available year; trends since 1990 (or since the first year for which data are available); and the overall trend required for the country to achieve the relevant MDG by 2015.

Chart type II For five indicators – children aged <5 years underweight; measles immunization coverage among 1-year-olds; births attended by skilled health personnel; prevalence of HIV among adults aged 15–49 years; and tuberculosis mortality rate among HIV-negative people – the charts show data for the latest available year; and country trends since the year for which data were first available. For most countries, data have been available since the baseline year of 1990.

Chart type III For ten indicators – contraceptive prevalence; adolescent fertility rate; antenatal care coverage; unmet need for family planning; males aged 15–24 years with comprehensive correct knowledge of HIV/AIDS; females aged 15–24 years with comprehensive correct knowledge of HIV/AIDS; antiretroviral therapy coverage among people with advanced HIV infection; malaria mortality rate; children aged <5 years sleeping under insecticide-treated nets; and children aged <5 years with fever who received treatment with any antimalarial – the charts show only data for the latest available year.

Further details can be found in the country tables as indicated in each chart.

21

22

1. Children aged <5 years underweight (%) AFR

AMR

EUR

EMR

Algeria

3.7

Chile

0.5

Ukraine

0.9

Kuwait

1.7

Swaziland

6.1

United States of America

1.3

Germany

1.1

Jordan

1.9

Gabon

8.8

Brazil

2.2

Belarus

1.3

Tunisia

3.3

Equatorial Guinea

10.6

Jamaica

2.2

Bosnia and Herzegovina

1.6

Lebanon

4.2

Botswana

10.7

Argentina

2.3

Bulgaria

1.6

Saudi Arabia

5.3

Congo

11.8

Cuba

3.4

Serbia

1.8

Libyan Arab Jamahiriya

5.6

Sao Tome and Principe

13.1

Dominican Republic

3.4

The former Yugoslav Republic of Macedonia

1.8

Egypt

6.8

Zimbabwe

14.0

Mexico

3.4

Czech Republic

2.1

Iraq

7.1

Ghana

14.3

Venezuela (Bolivarian Republic of)

3.7

Montenegro

2.2

Morocco

9.9

Senegal

14.5

Nicaragua

4.3

Georgia

2.3

Syrian Arab Republic

10.0

Zambia

14.9

Trinidad and Tobago

4.4

Kyrgyzstan

2.7

Djibouti

29.6

Malawi

15.5

Bolivia (Plurinational State of)

4.5

Republic of Moldova

3.2

Pakistan

31.3

Gambia

15.8

Belize

4.9

Romania

3.5

Sudan

31.7

Kenya

16.4

Colombia

5.1

Turkey

3.5

Somalia

32.8

Uganda

16.4

Peru

5.4

Armenia

4.2

Afghanistan

32.9

Cameroon

16.6

Uruguay

6.0

Uzbekistan

4.4

Yemen

43.1

Lesotho

16.6

El Salvador

6.1

Kazakhstan

4.9

Bahrain

…

Côte d'Ivoire

16.7

Ecuador

6.2

Albania

6.6

Iran (Islamic Republic of)

…

Mauritania

16.7

Suriname

7.5

Azerbaijan

8.4

Oman

…

United Republic of Tanzania

16.7

Honduras

8.6

Turkmenistan

10.5

Qatar

…

Guinea-Bissau

17.4

Guyana

10.8

Tajikistan

14.9

United Arab Emirates

…

Namibia

17.5

Guatemala

17.7

Andorra

…

Rwanda

18.0

Haiti

18.9

Austria

…

Benin

20.2

Antigua and Barbuda

…

Belgium

…

Liberia

20.4

Bahamas

…

Croatia

…

Togo

20.5

Barbados

…

Cyprus

…

Tuvalu

1.6

Guinea

20.8

Canada

…

Denmark

…

Singapore

3.3

Mozambique

21.2

Costa Rica

…

Estonia

…

China

4.5

Sierra Leone

21.3

Dominica

…

Finland

…

Mongolia

5.3

Central African Republic

21.8

Grenada

…

France

…

Solomon Islands

11.5

Comoros

25.0

Panama

…

Greece

…

Vanuatu

11.7

Nigeria

26.7

Paraguay

…

Hungary

…

Papua New Guinea

18.1

Angola

27.5

Saint Kitts and Nevis

…

Iceland

…

Viet Nam

20.2

Mali

27.9

Saint Lucia

…

Ireland

…

Philippines

20.7

Democratic Republic of the Congo

28.2

Saint Vincent and the Grenadines

…

Israel

…

Cambodia

28.8

Chad

33.9

Italy

…

Lao People's Democratic Republic

31.6

Eritrea

34.5

Latvia

…

Australia

…

Ethiopia

34.6

Lithuania

…

Brunei Darussalam

…

Burkina Faso

37.4

Luxembourg

…

Cook Islands

…

Burundi

38.9

Thailand

7.0

Malta

…

Fiji

…

Niger

39.9

Bhutan

12.0

Monaco

…

Japan

…

Cape Verde

...

Indonesia

19.6

Netherlands

…

Kiribati

…

Madagascar

...

Democratic People's Republic of Korea

20.6

Norway

…

Malaysia

…

Mauritius

...

Sri Lanka

21.6

Poland

…

Marshall Islands

…

Seychelles

...

Maldives

25.7

Portugal

…

Micronesia (Federated States of)

…

South Africa

...

Myanmar

29.6

Russian Federation

…

Nauru

…

Nepal

38.8

San Marino

…

New Zealand

…

Bangladesh

41.3

Slovakia

…

Niue

…

Timor-Leste

41.5

Slovenia

…

Palau

…

India

43.5

Spain

…

Republic of Korea

…

Sweden

…

Samoa

…

Switzerland

…

Tonga

…

United Kingdom

…

SEAR

Key Country trend 1990

Latest available

WPR

This chart shows the percentage of children under 5 years old who are underweight in each country. Within each WHO region, countries are sorted by the latest available data since 2000. Regional averages are not available at this time. Further details can be found in Part II, Table 5. 23

2. Under-five mortality rate (probability of dying by age 5 per 1000 live births) AFR

AMR

EUR

EMR

Seychelles

10

Canada

6

Luxembourg

2

United Arab Emirates

Mauritius

15

Cuba

6

San Marino

2

Qatar

9

Cape Verde

27

Chile

8

Cyprus

3

Bahrain

12

7

Algeria

32

United States of America

8

Finland

3

Lebanon

12

Namibia

47

Dominica

10

Iceland

3

Oman

12

Eritrea

55

Barbados

11

Slovenia

3

Kuwait

13

Botswana

57

Costa Rica

11

Sweden

3

Syrian Arab Republic

16

Madagascar

58

Antigua and Barbuda

12

Andorra

4

Libyan Arab Jamahiriya

19

South Africa

62

Bahamas

12

Czech Republic

4

Egypt

21

Gabon

69

Saint Vincent and the Grenadines

12

Denmark

4

Saudi Arabia

21

Ghana

69

Uruguay

13

Estonia

4

Tunisia

21

Swaziland

73

Grenada

14

France

4

Jordan

25

Sao Tome and Principe

78

Argentina

15

Germany

4

Iran (Islamic Republic of)

31

Kenya

84

Saint Kitts and Nevis

15

Greece

4

Morocco

38

Lesotho

84

El Salvador

17

Ireland

4

Iraq

44

Zimbabwe

89

Mexico

17

Italy

4

Yemen

66

Senegal

93

Venezuela (Bolivarian Republic of)

17

Monaco

4

Pakistan

87

Togo

98

Belize

18

Norway

4

Gambia

103

Colombia

19

Portugal

4

Comoros

104

Saint Lucia

Ethiopia

Regional average 18

Regional average 72

Djibouti

93

Sudan

108

20

Spain

4

Somalia

180

104

Brazil

21

Switzerland

4

Afghanistan

199

United Republic of Tanzania

108

Peru

21

Austria

5

Regional average 127

Malawi

110

Panama

23

Belgium

5

Rwanda

111

Paraguay

23

Israel

5

Liberia

112

Ecuador

24

Netherlands

5

Mauritania

117

Nicaragua

26

United Kingdom

5

Benin

118

Suriname

26

Croatia

6

Côte d'Ivoire

118

Honduras

30

Hungary

6

Congo

128

Jamaica

31

Lithuania

6

Uganda

128

Dominican Republic

32

Poland

6

Nigeria

138

Guyana

35

Malta

7

Zambia

141

Trinidad and Tobago

35

Serbia

7

Guinea

142

Guatemala

40

Slovakia

7

Mozambique

142

Bolivia (Plurinational State of)

51

Latvia

8

Equatorial Guinea

145

Haiti

87

Montenegro

8

Cameroon

154

The former Yugoslav Republic of Macedonia

10

Niger

160

Bulgaria

11

Angola

161

Belarus

12

Burkina Faso

166

Romania

12

Burundi

166

Maldives

13

Russian Federation

12

Central African Republic

171

Thailand

13

Bosnia and Herzegovina

14

Mali

191

Sri Lanka

16

Albania

15

Sierra Leone

192

Democratic People's Republic of Korea

33

Ukraine

15

Guinea-Bissau

193

Indonesia

39

Republic of Moldova

17

Democratic Republic of the Congo

199

Nepal

48

Turkey

20

Chad

209

Bangladesh

52

Armenia

22

Timor-Leste

56

Georgia

29

India

66

Kazakhstan

29

Myanmar

71

Azerbaijan

33

Bhutan

79

Uzbekistan

36

Kyrgyzstan

37

Turkmenistan

45

Tajikistan

61

SEAR

Regional average 59

Regional average 13

Key 1990

Country trend MDG target

Latest available

WPR Japan

3

Singapore

3

Australia

5

Republic of Korea

5

Malaysia

6

New Zealand

6

Brunei Darussalam

7

Cook Islands

15

Palau

15

Vanuatu

16

Niue

17

Fiji

18

China

19

Tonga

19

Viet Nam

24

Samoa

25

Mongolia

29

Philippines

33

Marshall Islands

35

Tuvalu

35

Solomon Islands

36

Micronesia (Federated States of)

39

Nauru

44

Kiribati

46

Lao People's Democratic Republic

59

Papua New Guinea

68

Cambodia

88

Regional average 21

2015

This chart shows estimated under-five mortality. The bold lines indicate trends since 1990 or since the first year for which data are available. The thin lines indicate the projected trend needed to reduce by two thirds the under-five mortality rate by 2015. Within each WHO region, countries are sorted by 2009 level. Further details can be found in Part II, Table 1. 24

3. Measles immunization coverage among 1-year-olds (%) AFR

AMR

EUR

EMR

Mauritius

99

Antigua and Barbuda

99

Belarus

99

Bahrain

99

Seychelles

97

Argentina

99

Greece

99

Iran (Islamic Republic of)

99

Cape Verde

96

Brazil

99

Hungary

99

Qatar

99

Gambia

96

Dominica

99

Kazakhstan

99

Libyan Arab Jamahiriya

98

Eritrea

95

Grenada

99

Kyrgyzstan

99

Morocco

98

Swaziland

95

Honduras

99

Monaco

99

Saudi Arabia

98

Botswana

94

Nicaragua

99

Slovakia

99

Tunisia

98

Ghana

93

Saint Kitts and Nevis

99

Turkmenistan

99

Kuwait

97

Malawi

92

Saint Lucia

99

Andorra

98

Oman

97

Rwanda

92

Saint Vincent and the Grenadines

99

Croatia

98

Egypt

95

Burundi

91

Bahamas

98

Czech Republic

98

Jordan

95

United Republic of Tanzania

91

Belize

97

Finland

98

United Arab Emirates

92

Sao Tome and Principe

90

Guyana

97

Poland

98

Sudan

82

Algeria

88

Chile

96

Russian Federation

98

Syrian Arab Republic

81

Lesotho

85

Cuba

96

Spain

98

Pakistan

80

Zambia

85

Colombia

95

Albania

97

Afghanistan

76

Togo

84

El Salvador

95

Romania

97

Djibouti

73

Comoros

79

Mexico

95

Sweden

97

Iraq

69

Senegal

79

Barbados

94

Turkey

97

Yemen

58

Angola

77

Trinidad and Tobago

94

Armenia

96

Lebanon

53

Mozambique

77

Uruguay

94

Bulgaria

96

Somalia

24

Congo

76

Canada

93

Germany

96

Democratic Republic of the Congo

76

Guatemala

92

Israel

96

Guinea-Bissau

76

United States of America

92

Latvia

96

Namibia

76

Paraguay

91

Lithuania

96

Regional average 93

WPR

Zimbabwe

76

Peru

91

Luxembourg

96

Brunei Darussalam

99

Burkina Faso

75

Jamaica

88

Netherlands

96

Nauru

99

Ethiopia

75

Suriname

88

The former Yugoslav Republic of Macedonia

96

Niue

99

Cameroon

74

Bolivia (Plurinational State of)

86

Estonia

95

Tonga

99

Kenya

74

Panama

85

Portugal

95

Viet Nam

97

Niger

73

Venezuela (Bolivarian Republic of)

83

Serbia

95

Malaysia

95

Benin

72

Costa Rica

81

Slovenia

95

Singapore

95

Mali

71

Dominican Republic

79

Uzbekistan

95

Australia

94

Sierra Leone

71

Ecuador

66

Belgium

94

China

94

Uganda

68

Haiti

59

Ukraine

94

Fiji

94

C么te d'Ivoire

67

Bosnia and Herzegovina

93

Japan

94

Liberia

64

Iceland

92

Marshall Islands

94

Madagascar

64

Norway

92

Mongolia

94

Central African Republic

62

San Marino

92

Republic of Korea

93

South Africa

62

Bhutan

98

Italy

91

Mauritania

59

Democratic People's Republic of Korea

98

France

90

Gabon

55

Maldives

98

Republic of Moldova

Equatorial Guinea

51

Thailand

98

Guinea

51

Sri Lanka

Nigeria

41

Chad

23

Regional average 69

Regional average 94

SEAR

Regional average 76

Country trend

Regional average 93

Cambodia

92

Tuvalu

90

90

New Zealand

89

Switzerland

90

Philippines

88

96

Ireland

89

Micronesia (Federated States of)

86

Bangladesh

89

Tajikistan

89

Kiribati

82

Myanmar

87

Cyprus

87

Cook Islands

78

Indonesia

82

Montenegro

86

Palau

75

Nepal

79

United Kingdom

86

Solomon Islands

60

India

71

Denmark

84

Lao People's Democratic Republic

59

Timor-Leste

70

Austria

83

Papua New Guinea

58

Georgia

83

Vanuatu

52

Malta

82

Samoa

49

Azerbaijan

67

Key 1990

Regional average 82

Latest available

This chart shows the percentage of 1-year-olds fully immunized against measles. Within each WHO region, countries are sorted by 2009 level. Further details can be found in Part II, Table 4. 25

4. Maternal mortality ratio (per 100 000 live births) AFR

AMR

EUR

EMR

Mauritius

36

Canada

12

Greece

2

Qatar

Cape Verde

94

United States of America

24

Ireland

3

Kuwait

9

Algeria

120

Chile

26

Austria

5

United Arab Emirates

10

8

Namibia

180

Uruguay

27

Belgium

5

Bahrain

19

Botswana

190

Costa Rica

44

Denmark

5

Oman

20

Gabon

260

Bahamas

49

Iceland

5

Saudi Arabia

24

Equatorial Guinea

280

Cuba

53

Italy

5

Lebanon

26

Eritrea

280

Trinidad and Tobago

55

Sweden

5

Iran (Islamic Republic of)

30

Comoros

340

Brazil

58

Poland

6

Syrian Arab Republic

46

Ghana

350

Barbados

64

Slovakia

6

Jordan

59

Togo

350

Venezuela (Bolivarian Republic of)

68

Spain

6

Tunisia

60

Gambia

400

Argentina

70

Germany

7

Libyan Arab Jamahiriya

64

Benin

410

Panama

71

Israel

7

Iraq

75

Senegal

410

Colombia

85

Norway

7

Egypt

82

South Africa

410

Mexico

85

Portugal

7

Morocco

110

Swaziland

420

Jamaica

89

Czech Republic

8

Yemen

210

Uganda

430

Belize

94

Finland

8

Pakistan

260

Madagascar

440

Paraguay

95

France

8

Djibouti

300

Côte d'Ivoire

470

Peru

98

Malta

8

Ethiopia

470

Dominican Republic

100

Serbia

8

Zambia

470

Nicaragua

100

Bosnia and Herzegovina

9

Malawi

510

Suriname

100

Netherlands

9

Regional average 66

Kenya

530

El Salvador

110

The former Yugoslav Republic of Macedonia

9

Lesotho

530

Guatemala

110

Cyprus

10

Rwanda

540

Honduras

110

Switzerland

10

Regional average 320

Sudan

750

Somalia

1200

Afghanistan

1400

WPR

Mauritania

550

Ecuador

140

Estonia

12

Japan

6

Mozambique

550

Bolivia (Plurinational State of)

180

United Kingdom

12

Australia

8

Burkina Faso

560

Guyana

270

Bulgaria

13

Singapore

9

Congo

580

Haiti

300

Hungary

13

New Zealand

14

Cameroon

600

Antigua and Barbuda

…

Lithuania

13

Republic of Korea

18

Angola

610

Dominica

…

Croatia

14

Brunei Darussalam

21

Democratic Republic of the Congo

670

Grenada

…

Belarus

15

Fiji

26

Guinea

680

Saint Kitts and Nevis

…

Montenegro

15

Malaysia

31

United Republic of Tanzania

790

Saint Lucia

…

Luxembourg

17

China

38

Zimbabwe

790

Saint Vincent and the Grenadines

…

Slovenia

18

Viet Nam

56

Niger

820

Latvia

20

Mongolia

65

Mali

830

Turkey

23

Philippines

94

Nigeria

840

Ukraine

26

Solomon Islands

100

Central African Republic

850

Romania

27

Papua New Guinea

250

Burundi

970

37

Armenia

29

Cambodia

290

Sierra Leone

970

39

Uzbekistan

30

Lao People's Democratic Republic

580

Liberia

990

Thailand

48

Albania

31

Cook Islands

…

Guinea-Bissau

1000

Bhutan

200

Republic of Moldova

32

Kiribati

…

Chad

1200

India

230

Azerbaijan

38

Marshall Islands

…

Sao Tome and Principe

…

Indonesia

240

Russian Federation

39

Micronesia (Federated States of)

…

Seychelles

…

240

Kazakhstan

45

Nauru

…

250

Georgia

48

Niue

…

Bangladesh

340

Tajikistan

64

Palau

…

Timor-Leste

370

Turkmenistan

77

Samoa

…

Nepal

380

Kyrgyzstan

81

Tonga

…

Andorra

…

Tuvalu

…

Monaco

…

Vanuatu

…

San Marino

…

Regional average 620

Regional average 21

SEAR Maldives Sri Lanka

Regional average 240

Myanmar

Democratic People's Republic of Korea

Key 1990

Country trend MDG target

Latest available

Regional average 51

2015

This chart shows the interagency estimated maternal mortality ratio. The bold lines indicate trends since 1990 or since the first year for which data are available. The thin lines indicate the projected trend needed to reduce by three quarters the maternal mortality ratio by 2015. Within each WHO region, countries are sorted by 2008 level. Further details can be found in Part II, Table 2. 26

5. Births attended by skilled health personnel (%) AFR

AMR

EUR

EMR

Mauritius

≥99

Antigua and Barbuda

≥99

Albania

≥99

Jordan

≥99

Algeria

95

Argentina

≥99

Belarus

≥99

Kuwait

≥99

Botswana

95

Bahamas

≥99

Bosnia and Herzegovina

≥99

Libyan Arab Jamahiriya

≥99

South Africa

91

Barbados

≥99

Bulgaria

≥99

Oman

≥99

Congo

86

Canada

≥99

Croatia

≥99

Qatar

≥99

Gabon

86

Chile

≥99

Cyprus

≥99

Saudi Arabia

≥99

Namibia

81

Costa Rica

≥99

Czech Republic

≥99

United Arab Emirates

≥99

Sao Tome and Principe

81

Cuba

≥99

Estonia

≥99

Lebanon

98

Benin

78

Dominica

≥99

Finland

≥99

Bahrain

97

Cape Verde

78

Ecuador

≥99

Germany

≥99

Iran (Islamic Republic of)

97

Democratic Republic of the Congo

74

Grenada

≥99

Hungary

≥99

Syrian Arab Republic

95

Swaziland

74

Saint Kitts and Nevis

≥99

Ireland

≥99

Djibouti

93

Zimbabwe

69

Saint Vincent and the Grenadines

≥99

Italy

≥99

Iraq

80

Equatorial Guinea

63

United States of America

≥99

Latvia

≥99

Egypt

79

Cameroon

62

Uruguay

≥99

Lithuania

≥99

Morocco

63

Comoros

62

Dominican Republic

98

Luxembourg

≥99

Sudan

49

Lesotho

62

Saint Lucia

98

Malta

≥99

Pakistan

39

Togo

62

Trinidad and Tobago

98

Montenegro

≥99

Somalia

33

Mauritania

61

Brazil

97

Netherlands

≥99

Yemen

20

Ghana

59

Paraguay

97

Poland

≥99

Afghanistan

14

Burkina Faso

57

Colombia

96

Portugal

≥99

Tunisia

…

Côte d'Ivoire

57

Jamaica

96

Republic of Moldova

≥99

Gambia

57

Belize

95

Romania

≥99

Malawi

56

Venezuela (Bolivarian Republic of)

95

Russian Federation

≥99

Central African Republic

54

Mexico

94

Serbia

≥99

Rwanda

52

Panama

91

Slovakia

≥99

Australia

≥99

Senegal

52

Suriname

90

Slovenia

≥99

Brunei Darussalam

≥99

United Republic of Tanzania

51

El Salvador

84

Switzerland

≥99

Cook Islands

≥99

Mali

49

Guyana

83

Turkmenistan

≥99

Fiji

≥99

Mozambique

48

Peru

83

Ukraine

≥99

Japan

≥99

Angola

47

Nicaragua

74

Uzbekistan

≥99

Malaysia

≥99

Zambia

47

Bolivia (Plurinational State of)

71

Armenia

98

Mongolia

≥99

Guinea

46

Honduras

67

Georgia

98

Niue

≥99

Liberia

46

Guatemala

51

Kyrgyzstan

98

Palau

≥99

Madagascar

44

Haiti

26

The former Yugoslav Republic of Macedonia

98

Republic of Korea

≥99

Sierra Leone

43

Azerbaijan

97

Samoa

≥99

Kenya

42

Turkey

91

Singapore

≥99

Uganda

42

Tajikistan

88

Tonga

≥99

Guinea-Bissau

39

Andorra

…

China

98

Nigeria

39

Sri Lanka

≥99

Austria

…

Tuvalu

98

Burundi

34

Thailand

≥99

Belgium

…

Nauru

97

Eritrea

28

Democratic People's Republic of Korea

97

Denmark

…

New Zealand

96

Niger

18

Maldives

95

France

…

Marshall Islands

94

Chad

14

Indonesia

73

Greece

…

Vanuatu

93

Ethiopia

6

Bhutan

72

Iceland

…

Micronesia (Federated States of)

92

Seychelles

…

India

47

Israel

…

Kiribati

90

Myanmar

37

Kazakhstan

…

Viet Nam

88

Timor-Leste

30

Monaco

…

Philippines

62

Nepal

19

Norway

…

Cambodia

44

Bangladesh

18

San Marino

…

Solomon Islands

43

Spain

…

Papua New Guinea

39

Sweden

…

Lao People's Democratic Republic

20

United Kingdom

…

SEAR

Key Country trend 1990

Latest available

WPR

This chart shows the percentage of births attended by skilled health personnel. Within each WHO region, countries are sorted by the latest available data since 2000. In order to provide the country trends shown, the lines are derived, to the extent possible, from broadly comparable data sources. Therefore, the country figures shown here may not reflect the most recent available data as reported in Part II, Table 4. 27

6. Contraceptive prevalence (%) AFR

AMR

EUR

EMR

Mauritius

75.8

Brazil

80.3

Norway

88.4

Iran (Islamic Republic of)

73.3

Algeria

61.4

Paraguay

79.4

Portugal

86.8

Morocco

63.0

Cape Verde

61.3

United States of America

78.6

United Kingdom

84.0

Egypt

60.3

Zimbabwe

60.2

Colombia

78.2

Russian Federation

79.5

Tunisia

60.2

South Africa

59.9

Uruguay

77.0

France

76.6

Jordan

59.3

Namibia

55.1

Canada

74.0

Greece

76.2

Syrian Arab Republic

58.3

Swaziland

50.6

Peru

73.2

Belgium

74.6

Lebanon

58.0

Lesotho

47.0

Dominican Republic

72.9

Turkey

73.0

Iraq

49.8

Kenya

45.5

Ecuador

72.7

Belarus

72.6

Oman

31.7

Botswana

44.4

Cuba

72.6

Romania

70.3

Yemen

27.7

Congo

44.3

El Salvador

72.5

Albania

69.3

Pakistan

27.0

Malawi

41.0

Nicaragua

72.4

Netherlands

69.0

Saudi Arabia

23.8

Zambia

40.8

Mexico

70.9

Republic of Moldova

67.8

Afghanistan

22.8

Madagascar

39.9

Jamaica

69.0

Ukraine

66.7

Djibouti

17.8

Sao Tome and Principe

38.4

Argentina

65.3

Spain

65.7

Somalia

14.6

Rwanda

36.4

Honduras

65.2

Uzbekistan

64.9

Sudan

7.6

United Republic of Tanzania

34.4

Chile

64.2

Ireland

64.8

Bahrain

...

Gabon

32.7

Bolivia (Plurinational State of)

60.5

Turkmenistan

61.8

Kuwait

...

Cameroon

29.2

Suriname

45.6

Armenia

53.1

Libyan Arab Jamahiriya

...

Comoros

25.7

Guatemala

43.3

Azerbaijan

51.1

Qatar

...

Uganda

23.7

Guyana

42.5

Kazakhstan

50.7

United Arab Emirates

...

Ghana

23.5

Trinidad and Tobago

42.5

Kyrgyzstan

47.8

Democratic Republic of the Congo

20.6

Belize

34.3

Georgia

47.3

Central African Republic

19.0

Haiti

32.0

Serbia

41.2

Gambia

17.5

Antigua and Barbuda

...

Montenegro

39.4

Burkina Faso

17.4

Bahamas

...

Tajikistan

37.1

China

84.6

Benin

17.0

Barbados

...

Bosnia and Herzegovina

35.7

Republic of Korea

80.0

Togo

16.8

Costa Rica

...

The former Yugoslav Republic of Macedonia

13.5

Viet Nam

79.5

Mozambique

16.5

Dominica

...

Andorra

...

Australia

70.8

Ethiopia

14.7

Grenada

...

Austria

...

Mongolia

66.0

Nigeria

14.6

Panama

...

Bulgaria

...

Japan

54.3

C么te d'Ivoire

12.9

Saint Kitts and Nevis

...

Croatia

...

Philippines

50.7

Senegal

11.8

Saint Lucia

...

Cyprus

...

Marshall Islands

44.6

Liberia

11.4

Saint Vincent and the Grenadines

...

Czech Republic

...

Cambodia

40.0

Niger

11.2

Venezuela (Bolivarian Republic of)

...

Denmark

...

Vanuatu

38.4

Guinea-Bissau

10.3

Estonia

...

Lao People's Democratic Republic

38.0

Equatorial Guinea

10.1

Finland

...

Kiribati

36.1

Mauritania

9.3

Germany

...

Papua New Guinea

35.7

Burundi

9.1

Hungary

...

Nauru

35.6

Guinea

9.1

81.1

Iceland

...

Solomon Islands

34.6

Mali

8.2

Democratic People's Republic of Korea

68.6

Israel

...

Palau

32.8

Sierra Leone

8.2

Sri Lanka

68.0

Italy

...

Tuvalu

30.5

Eritrea

8.0

Indonesia

61.4

Latvia

...

Samoa

28.7

Angola

6.2

India

56.3

Lithuania

...

Brunei Darussalam

...

Chad

2.8

Bangladesh

55.8

Luxembourg

...

Cook Islands

...

Seychelles

...

48.0

Malta

...

Fiji

...

41.0

Monaco

...

Malaysia

...

...

Micronesia (Federated States of)

...

Regional average 24.4

Regional average 74.5

Regional average 70.7

SEAR Thailand

Regional average 57.5

Nepal Myanmar

Regional average 42.7

WPR Regional average 80.2

Maldives

34.7

Poland

Timor-Leste

22.3

San Marino

...

New Zealand

...

Bhutan

...

Slovakia

...

Niue

...

Slovenia

...

Singapore

...

Sweden

...

Tonga

...

Switzerland

...

This chart shows the percentage of women married or cohabiting who report current use of at least one method of contraception. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4. 28

7. Adolescent fertility rate (per 1000 girls aged 15–19 years) AFR

AMR

EUR

EMR

Algeria

4

Canada

14

San Marino

1

Tunisia

Burundi

27

Trinidad and Tobago

33

Netherlands

4

Saudi Arabia

7

Mauritius

35

United States of America

41

Switzerland

4

Oman

8

6

Rwanda

44

Bahamas

44

Cyprus

5

Kuwait

13

Botswana

51

Cuba

44

Slovenia

5

Bahrain

14

South Africa

54

Dominica

47

Denmark

6

Libyan Arab Jamahiriya

14

Seychelles

59

Saint Lucia

50

Sweden

6

Qatar

16

Mauritania

61

Chile

51

Italy

7

Lebanon

18

Ghana

70

Barbados

53

Finland

9

Morocco

18

Namibia

74

Grenada

54

Norway

9

Pakistan

20

Eritrea

85

Brazil

56

Germany

10

United Arab Emirates

22

Sao Tome and Principe

91

Peru

59

Luxembourg

10

Djibouti

27

Cape Verde

92

Antigua and Barbuda

60

Austria

11

Jordan

28

Comoros

95

Jamaica

60

Belgium

11

Iran (Islamic Republic of)

35

Senegal

96

Uruguay

60

Czech Republic

11

Lesotho

98

Argentina

65

France

11

Zimbabwe

101

Paraguay

65

Greece

Kenya

103

Saint Kitts and Nevis

66

Gambia

104

Suriname

66

Regional average 117

Regional average 63

Regional average 41

Egypt

50

Iraq

68

11

Syrian Arab Republic

75

Spain

13

Yemen

80

Croatia

14

Somalia

123

Ethiopia

109

El Salvador

68

Poland

14

Afghanistan

151

Côte d'Ivoire

111

Costa Rica

69

Bosnia and Herzegovina

15

Sudan

...

Swaziland

111

Haiti

69

Iceland

15

Benin

114

Saint Vincent and the Grenadines

72

Israel

15

Nigeria

123

Panama

83

Albania

17

Democratic Republic of the Congo

127

Bolivia (Plurinational State of)

89

Ireland

17

Burkina Faso

131

Guyana

90

Malta

17

Republic of Korea

2

Congo

132

Mexico

90

Montenegro

17

China

5

Central African Republic

133

Ecuador

92

Portugal

17

Japan

5

Cameroon

136

Guatemala

92

Latvia

18

Singapore

5

United Republic of Tanzania

139

Belize

96

Hungary

19

Malaysia

12

Gabon

144

Colombia

96

Lithuania

19

Tonga

16

Chad

146

Dominican Republic

98

Slovakia

21

Australia

18

Sierra Leone

146

Venezuela (Bolivarian Republic of)

101

The former Yugoslav Republic of Macedonia

21

Mongolia

19

Madagascar

148

Honduras

108

Turkmenistan

21

Tuvalu

23

Zambia

151

Nicaragua

109

Belarus

22

Palau

29

Guinea

153

Serbia

22

Samoa

29

Uganda

159

Estonia

25

Fiji

30

Angola

165

Armenia

26

Brunei Darussalam

31

Malawi

178

Republic of Moldova

26

New Zealand

32

Mozambique

185

1

United Kingdom

26

Viet Nam

35

Mali

190

14

Uzbekistan

26

Kiribati

39

Equatorial Guinea

196

Myanmar

17

Tajikistan

27

Cook Islands

47

Niger

199

Sri Lanka

28

Kyrgyzstan

29

Micronesia (Federated States of)

51

Guinea-Bissau

...

Thailand

43

Russian Federation

29

Cambodia

52

Liberia

...

India

45

Ukraine

30

Niue

53

Togo

...

46

Kazakhstan

31

Philippines

53

52

Romania

36

Papua New Guinea

70

Timor-Leste

59

Azerbaijan

42

Nauru

84

Nepal

106

Bulgaria

42

Marshall Islands

88

Bangladesh

133

Georgia

44

Lao People's Democratic Republic

110

Regional average 24

SEAR Democratic People's Republic of Korea Maldives

Bhutan Indonesia Regional average 54

WPR

Regional average 11

Turkey

56

Solomon Islands

...

Andorra

...

Vanuatu

...

Monaco

...

This chart shows estimated adolescent fertility expressed as the number of births among girls aged 15–19 years per 1000 girls in this age group per year. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 9. 29

8. Antenatal care coverage (%): at least 1 visit and at least 4 visits AFR

AMR

EUR

EMR

Cape Verde

98

Antigua and Barbuda

100

Finland

100

Bahrain

Gambia

98

Barbados

100

France

100

Kuwait

100

Sao Tome and Principe

98

Canada

100

Germany

100

Oman

100

100

Rwanda

96

Cuba

100

Ireland

100

Qatar

100

United Republic of Tanzania

96

Dominica

100

Italy

100

United Arab Emirates

100

Namibia

95

Grenada

100

Kazakhstan

100

Iran (Islamic Republic of)

99

Botswana

94

Saint Kitts and Nevis

100

Lithuania

100

Jordan

99

Gabon

94

Saint Vincent and the Grenadines

100

Malta

100

Saudi Arabia

97

Uganda

94

Dominican Republic

99

Portugal

100

Lebanon

96

Zambia

94

Jamaica

99

Slovenia

100

Syrian Arab Republic

96

Burundi

93

Saint Lucia

99

Sweden

100

Tunisia

96

Zimbabwe

93

Bahamas

98

Belarus

99

Libyan Arab Jamahiriya

93

Kenya

92

Mexico

98

Bosnia and Herzegovina

99

Djibouti

92

Lesotho

92

Brazil

97

Cyprus

99

Iraq

84

Malawi

92

Panama

96

Turkmenistan

99

Egypt

74

Mozambique

92

Paraguay

96

Ukraine

99

Morocco

68

South Africa

92

Trinidad and Tobago

96

Uzbekistan

99

Sudan

64

Ghana

90

Uruguay

96

Republic of Moldova

98

Pakistan

61

Algeria

89

Belize

94

Serbia

98

Yemen

47

Guinea

88

Colombia

94

Albania

97

Afghanistan

36

Democratic Republic of the Congo

87

El Salvador

94

Kyrgyzstan

97

Somalia

26

Senegal

87

Peru

94

Montenegro

97

Sierra Leone

87

Venezuela (Bolivarian Republic of)

94

Slovakia

97

Congo

86

Guatemala

93

Georgia

96

Equatorial Guinea

86

Costa Rica

92

Romania

94

Regional average 95

Regional average 97

Regional average 68

WPR

Madagascar

86

Guyana

92

The former Yugoslav Republic of Macedonia

94

Cook Islands

100

Burkina Faso

85

Honduras

92

Armenia

93

Fiji

100

C么te d'Ivoire

85

Argentina

91

Latvia

92

Kiribati

100

Swaziland

85

Nicaragua

90

Turkey

92

Niue

100

Benin

84

Suriname

90

Tajikistan

89

Palau

100

Togo

84

Bolivia (Plurinational State of)

86

Azerbaijan

77

Brunei Darussalam

99

Cameroon

82

Haiti

85

Andorra

...

Mongolia

99

Liberia

79

Ecuador

84

Austria

...

Tonga

99

Guinea-Bissau

78

Chile

...

Belgium

...

Australia

98

Mauritania

75

United States of America

...

Bulgaria

...

Tuvalu

97

Comoros

74

Croatia

...

Nauru

95

Eritrea

70

Czech Republic

...

Samoa

93

Mali

70

Denmark

...

China

92

Central African Republic

69

Estonia

...

Philippines

91

Angola

68

99

Greece

...

Viet Nam

91

Nigeria

58

99

Hungary

...

84

Niger

46

Thailand

99

Iceland

...

Regional average Vanuatu 91 Marshall Islands

Chad

39

Democratic People's Republic of Korea

97

Israel

...

Micronesia (Federated States of)

80

Ethiopia

28

Indonesia

93

Luxembourg

...

Malaysia

79

Mauritius

...

Bhutan

88

Monaco

...

Papua New Guinea

79

Seychelles

...

84

Netherlands

...

Solomon Islands

74

80

Norway

...

Cambodia

69

...

Lao People's Democratic Republic

35

Regional average 74

SEAR Maldives Sri Lanka

Timor-Leste Myanmar Regional average 76

81

India

75

Poland

Bangladesh

52

Russian Federation

...

Japan

...

Nepal

44

San Marino

...

New Zealand

...

Spain

...

Republic of Korea

...

Switzerland

...

Singapore

...

United Kingdom

...

Key 1+ visit 4+ visits

This chart shows the percentage of women who received antenatal care from skilled health personnel at least once and at least four times during pregnancy. Within each WHO region, countries are sorted by the latest available data since 2000 for coverage of at least one visit. Regional averages are also for coverage of at least one visit. Further details can be found in Part II, Table 4. 30

9. Unmet need for family planning (%) AFR

AMR

EUR

EMR

Mauritius

3.5

Paraguay

4.7

France

1.7

Egypt

9.2

Zimbabwe

12.8

Colombia

5.8

Turkey

6.2

Morocco

10.0

South Africa

13.8

Brazil

6.0

Niger

15.8

United States of America

6.6

Congo

16.2

Peru

7.2

Cape Verde

16.7

Ecuador

Mozambique

18.4

Madagascar

18.9

Cameroon

20.2

Nigeria

20.2

Namibia

Republic of Moldova

6.7

Jordan

11.2

Turkmenistan

10.1

Tunisia

12.1

Ukraine

10.3

Pakistan

24.9

7.4

Romania

11.9

Afghanistan

...

Nicaragua

7.5

Albania

12.8

Bahrain

...

El Salvador

8.9

Armenia

13.3

Djibouti

...

Dominican Republic

11.4

Georgia

16.3

Iran (Islamic Republic of)

...

Jamaica

11.7

Azerbaijan

22.7

Iraq

...

20.6

Mexico

12.0

Andorra

...

Kuwait

...

Chad

20.7

Honduras

16.9

Austria

...

Lebanon

...

Guinea

21.2

Bolivia (Plurinational State of)

20.2

Belarus

...

Libyan Arab Jamahiriya

...

United Republic of Tanzania

21.8

Guatemala

27.6

Belgium

...

Oman

...

Swaziland

24.0

Haiti

37.5

Bosnia and Herzegovina

...

Qatar

...

Democratic Republic of the Congo

24.4

Antigua and Barbuda

...

Bulgaria

...

Saudi Arabia

...

Kenya

25.6

Argentina

...

Croatia

...

Somalia

...

Zambia

26.5

Bahamas

...

Cyprus

...

Sudan

...

Eritrea

27.0

Barbados

...

Czech Republic

...

Syrian Arab Republic

...

Malawi

27.6

Belize

...

Denmark

...

United Arab Emirates

...

Sierra Leone

27.6

Canada

...

Estonia

...

Yemen

...

Gabon

28.0

Chile

...

Finland

...

Burkina Faso

28.8

Costa Rica

...

Germany

...

Burundi

29.0

Cuba

...

Greece

...

Benin

29.9

Dominica

...

Hungary

...

Lesotho

31.0

Grenada

...

Iceland

...

Mali

31.2

Guyana

...

Ireland

...

Mauritania

31.6

Panama

...

Israel

...

Senegal

31.6

Saint Kitts and Nevis

...

Italy

...

Marshall Islands

8.1

Ethiopia

33.8

Saint Lucia

...

Kazakhstan

...

Solomon Islands

11.1

Regional average 24.8

Regional average 8.9

Regional average 9.7

Regional average 20.3

WPR Regional average 3.7

China

2.3

Mongolia

4.6

Viet Nam

4.8

Ghana

35.3

Saint Vincent and the Grenadines

...

Kyrgyzstan

...

Philippines

22.3

Liberia

35.6

Suriname

...

Latvia

...

Tuvalu

24.2

Sao Tome and Principe

37.2

Trinidad and Tobago

...

Lithuania

...

Cambodia

25.1

Rwanda

37.9

Uruguay

...

Luxembourg

...

Lao People's Democratic Republic

27.0

Uganda

40.6

Venezuela (Bolivarian Republic of)

...

Malta

...

Samoa

45.6

Algeria

...

Monaco

...

Australia

...

Angola

...

Montenegro

...

Brunei Darussalam

...

Botswana

...

Netherlands

...

Cook Islands

...

Central African Republic

...

Norway

...

Fiji

...

Comoros

...

3.1

Poland

...

Japan

...

C么te d'Ivoire

...

3.8

Portugal

...

Kiribati

...

Equatorial Guinea

...

Sri Lanka

7.3

Russian Federation

...

Malaysia

...

Gambia

...

Indonesia

9.1

San Marino

...

Micronesia (Federated States of)

...

Guinea-Bissau

...

India

12.8

Serbia

...

Nauru

...

Seychelles

...

Bangladesh

16.8

Slovakia

...

New Zealand

...

Togo

...

19.1

Slovenia

...

Niue

...

Spain

...

Palau

...

SEAR Thailand Timor-Leste

Regional average 12.7

Myanmar Nepal

24.6

Bhutan

...

Sweden

...

Papua New Guinea

...

Democratic People's Republic of Korea

...

Switzerland

...

Republic of Korea

...

Maldives

...

Tajikistan

...

Singapore

...

The former Yugoslav Republic of Macedonia

...

Tonga

...

United Kingdom

...

Vanuatu

...

Uzbekistan

...

This chart shows the percentage of women who are fecund and sexually active but are not using any method of contraception, and report not wanting any more children or wanting to delay the next child. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4. 31

10. Prevalence of HIV among adults aged 15–49 years (%) AFR

AMR

EUR

EMR

Algeria

0.1

Cuba

0.1

Croatia

<0.1

Egypt

<0.1

Comoros

0.1

Bolivia (Plurinational State of)

0.2

Czech Republic

<0.1

Qatar

<0.1

Madagascar

0.2

Canada

0.2

Hungary

<0.1

Tunisia

<0.1

Mauritania

0.7

Nicaragua

0.2

Slovakia

<0.1

Lebanon

0.1

Eritrea

0.8

Costa Rica

0.3

Slovenia

<0.1

Morocco

0.1

Niger

0.8

Mexico

0.3

Turkey

<0.1

Oman

0.1

Senegal

0.9

Paraguay

0.3

Armenia

0.1

Pakistan

0.1

Mali

1.0

Chile

0.4

Azerbaijan

0.1

Iran (Islamic Republic of)

0.2

Mauritius

1.0

Ecuador

0.4

Bulgaria

0.1

Benin

1.2

Peru

0.4

Finland

0.1

Burkina Faso

1.2

Argentina

0.5

Georgia

Guinea

1.3

Colombia

0.5

Liberia

1.5

Uruguay

Sierra Leone

1.6

Ghana

Regional average 0.2

Somalia

0.7

Sudan

1.1

0.1

Djibouti

2.5

Germany

0.1

Afghanistan

…

0.5

Greece

0.1

Bahrain

…

United States of America

0.6

Kazakhstan

0.1

Iraq

…

1.8

El Salvador

0.8

Lithuania

0.1

Jordan

…

Angola

2.0

Guatemala

0.8

Malta

0.1

Kuwait

…

Gambia

2.0

Honduras

0.8

Norway

0.1

Libyan Arab Jamahiriya

…

Guinea-Bissau

2.5

Dominican Republic

0.9

Poland

0.1

Saudi Arabia

…

Rwanda

2.9

Panama

0.9

Romania

0.1

Syrian Arab Republic

…

Togo

3.2

Suriname

1.0

Serbia

0.1

United Arab Emirates

…

Burundi

3.3

Guyana

1.2

Sweden

0.1

Yemen

…

Chad

3.4

Barbados

1.4

Uzbekistan

0.1

Regional average 0.5

Congo

3.4

Trinidad and Tobago

1.5

Belgium

0.2

Côte d'Ivoire

3.4

Jamaica

1.7

Denmark

0.2

Nigeria

3.6

Haiti

1.9

Ireland

0.2

Central African Republic

4.7

Belize

2.3

Israel

0.2

Japan

<0.1

Equatorial Guinea

5.0

Bahamas

3.1

Netherlands

0.2

Mongolia

<0.1

Gabon

5.2

Brazil

…

Tajikistan

0.2

Philippines

<0.1

Cameroon

5.3

Venezuela (Bolivarian Republic of)

…

United Kingdom

0.2

Republic of Korea

<0.1

United Republic of Tanzania

5.6

Antigua and Barbuda

…

Austria

0.3

Australia

0.1

Kenya

6.3

Dominica

…

Belarus

0.3

China

0.1

Uganda

6.5

Grenada

…

Iceland

0.3

Fiji

0.1

Malawi

11.0

Saint Kitts and Nevis

…

Italy

0.3

New Zealand

0.1

Mozambique

11.5

Saint Lucia

…

Kyrgyzstan

0.3

Singapore

0.1

Namibia

13.1

Saint Vincent and the Grenadines

…

Luxembourg

0.3

Lao People's Democratic Republic

0.2

Zambia

13.5

France

0.4

Viet Nam

0.4

Zimbabwe

14.3

Republic of Moldova

0.4

Cambodia

0.5

South Africa

17.8

Spain

0.4

Malaysia

0.5

Lesotho

23.6

Switzerland

0.4

Papua New Guinea

0.9

Botswana

24.8

Portugal

0.6

Brunei Darussalam

…

Swaziland

25.9

Latvia

0.7

Cook Islands

…

Democratic Republic of the Congo

…

Russian Federation

1.0

Kiribati

…

Ethiopia

…

Ukraine

1.1

Marshall Islands

…

Cape Verde

…

Estonia

1.2

Micronesia (Federated States of)

…

Sao Tome and Principe

…

Albania

…

Nauru

…

Seychelles

…

Andorra

…

Niue

…

Bosnia and Herzegovina

…

Palau

…

Cyprus

…

Samoa

…

Monaco

…

Solomon Islands

…

Montenegro

…

Tonga

…

San Marino

…

Tuvalu

…

The former Yugoslav Republic of Macedonia

…

Vanuatu

…

Turkmenistan

…

Regional average 4.7

SEAR Bangladesh

<0.1

Maldives

<0.1

Sri Lanka

<0.1

Bhutan

0.2

Indonesia India

0.2 0.3

Nepal

0.4

Myanmar

0.6

Thailand

1.3

Democratic People's Republic of Korea

…

Regional average 0.3

Timor-Leste

Regional average 0.4

…

Key Country trend 1990

Latest available

WPR

Regional average 0.1

Because of limited data availability for the MDG target age group (15–24 years), this chart shows the estimated prevalence of HIV infection in adults aged 15–49 years. Within each WHO region, countries are sorted by 2009 level. Further details can be found in Part II, Table 2. 32

11. Males aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%) AFR

AMR

EUR

EMR

Namibia

62

Guyana

47

Ukraine

43

Afghanistan

...

Rwanda

54

Haiti

40

Armenia

15

Bahrain

...

Swaziland

52

Dominican Republic

34

Azerbaijan

5

Djibouti

...

Kenya

47

Bolivia (Plurinational State of)

28

Albania

...

Egypt

...

Zimbabwe

46

Antigua and Barbuda

...

Andorra

...

Iran (Islamic Republic of)

...

Sao Tome and Principe

43

Argentina

...

Austria

...

Iraq

...

United Republic of Tanzania

42

Bahamas

...

Belarus

...

Jordan

...

Uganda

38

Barbados

...

Belgium

...

Kuwait

...

Zambia

37

Belize

...

Bosnia and Herzegovina

...

Lebanon

...

Cape Verde

36

Brazil

...

Bulgaria

...

Libyan Arab Jamahiriya

...

Malawi

36

Canada

...

Croatia

...

Morocco

...

Benin

35

Chile

...

Cyprus

...

Oman

...

Cameroon

35

Colombia

...

Czech Republic

...

Pakistan

...

Ghana

34

Costa Rica

...

Denmark

...

Qatar

...

Mozambique

34

Cuba

...

Estonia

...

Saudi Arabia

...

Ethiopia

33

Dominica

...

Finland

...

Somalia

...

Nigeria

33

Ecuador

...

France

...

Sudan

...

CĂ´te d'Ivoire

28

El Salvador

...

Georgia

...

Syrian Arab Republic

...

Sierra Leone

28

Grenada

...

Germany

...

Tunisia

...

Central African Republic

27

Guatemala

...

Greece

...

United Arab Emirates

...

Liberia

27

Honduras

...

Hungary

...

Yemen

...

Senegal

24

Jamaica

...

Iceland

...

Burkina Faso

23

Mexico

...

Ireland

...

Guinea

23

Nicaragua

...

Israel

...

Congo

22

Panama

...

Italy

...

Regional average 33

WPR

Mali

22

Paraguay

...

Kazakhstan

...

Viet Nam

50

Democratic Republic of the Congo

21

Peru

...

Kyrgyzstan

...

Cambodia

45

Chad

20

Saint Kitts and Nevis

...

Latvia

...

Marshall Islands

39

Lesotho

19

Saint Lucia

...

Lithuania

...

Philippines

18

Madagascar

16

Saint Vincent and the Grenadines

...

Luxembourg

...

Australia

...

Niger

16

Suriname

...

Malta

...

Brunei Darussalam

...

Algeria

...

Trinidad and Tobago

...

Monaco

...

China

...

Angola

...

United States of America

...

Montenegro

...

Cook Islands

...

Botswana

...

Uruguay

...

Netherlands

...

Fiji

...

Burundi

...

Venezuela (Bolivarian Republic of)

...

Norway

...

Japan

...

Comoros

...

Poland

...

Kiribati

...

Equatorial Guinea

...

Portugal

...

Lao People's Democratic Republic

...

Eritrea

...

Republic of Moldova

...

Malaysia

...

Gabon

...

Romania

...

Micronesia (Federated States of)

...

Gambia

...

44

Russian Federation

...

Mongolia

...

Guinea-Bissau

...

36

San Marino

...

Nauru

...

Mauritania

...

Bangladesh

...

Serbia

...

New Zealand

...

Mauritius

...

Bhutan

...

Slovakia

...

Niue

...

Seychelles

...

Democratic People's Republic of Korea

...

Slovenia

...

Palau

...

South Africa

...

Indonesia

...

Spain

...

Papua New Guinea

...

Togo

...

...

Sweden

...

Republic of Korea

...

...

Switzerland

...

Samoa

...

Sri Lanka

...

Tajikistan

...

Singapore

...

Thailand

...

The former Yugoslav Republic of Macedonia

...

Solomon Islands

...

Timor-Leste

...

Turkey

...

Tonga

...

Turkmenistan

...

Tuvalu

...

United Kingdom

...

Vanuatu

...

Uzbekistan

...

SEAR Nepal India

Maldives Myanmar

This chart shows the percentage of males who correctly identify the two major ways of preventing the sexual transmission of HIV, who reject the two most-common local misconceptions about HIV transmission and who know that a healthy-looking person can transmit HIV. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 5. 33

12. Females aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%) AFR

AMR

EUR

EMR

Namibia

65

Guyana

53

Ukraine

45

Morocco

12

Swaziland

52

Dominican Republic

41

Armenia

23

Afghanistan

...

Rwanda

51

Haiti

34

Azerbaijan

5

Bahrain

...

Zimbabwe

44

Honduras

30

Turkmenistan

3

Djibouti

...

Sao Tome and Principe

43

Bolivia (Plurinational State of)

25

Albania

...

Egypt

...

United Republic of Tanzania

39

Nicaragua

22

Andorra

...

Iran (Islamic Republic of)

...

Eritrea

37

Peru

19

Austria

...

Iraq

...

Cape Verde

36

Antigua and Barbuda

...

Belarus

...

Jordan

...

Mozambique

36

Argentina

...

Belgium

...

Kuwait

...

Kenya

34

Bahamas

...

Bosnia and Herzegovina

...

Lebanon

...

Zambia

34

Barbados

...

Bulgaria

...

Libyan Arab Jamahiriya

...

Uganda

32

Belize

...

Croatia

...

Oman

...

Regional average 25

Ghana

28

Brazil

...

Cyprus

...

Pakistan

...

Cameroon

27

Canada

...

Czech Republic

...

Qatar

...

Lesotho

27

Chile

...

Denmark

...

Saudi Arabia

...

Malawi

24

Colombia

...

Estonia

...

Somalia

...

Nigeria

22

Costa Rica

...

Finland

...

Sudan

...

Ethiopia

21

Cuba

...

France

...

Syrian Arab Republic

...

Liberia

21

Dominica

...

Georgia

...

Tunisia

...

Madagascar

19

Ecuador

...

Germany

...

United Arab Emirates

...

Senegal

19

El Salvador

...

Greece

...

Yemen

...

CĂ´te d'Ivoire

18

Grenada

...

Hungary

...

Mali

18

Guatemala

...

Iceland

...

Central African Republic

17

Jamaica

...

Ireland

...

Guinea

17

Mexico

...

Israel

...

Sierra Leone

17

Panama

...

Italy

...

Cambodia

50

Benin

16

Paraguay

...

Kazakhstan

...

Viet Nam

42

Burkina Faso

15

Saint Kitts and Nevis

...

Kyrgyzstan

...

Marshall Islands

27

Democratic Republic of the Congo

15

Saint Lucia

...

Latvia

...

Philippines

21

Niger

13

Saint Vincent and the Grenadines

...

Lithuania

...

Australia

...

Chad

8

Suriname

...

Luxembourg

...

Brunei Darussalam

...

Congo

8

Trinidad and Tobago

...

Malta

...

China

...

Algeria

...

United States of America

...

Monaco

...

Cook Islands

...

Angola

...

Uruguay

...

Montenegro

...

Fiji

...

Botswana

...

Venezuela (Bolivarian Republic of)

...

Netherlands

...

Japan

...

Burundi

...

Norway

...

Kiribati

...

Comoros

...

Poland

...

Lao People's Democratic Republic

...

Equatorial Guinea

...

Portugal

...

Malaysia

...

Gabon

...

Republic of Moldova

...

Micronesia (Federated States of)

...

Gambia

...

28

Romania

...

Mongolia

...

Guinea-Bissau

...

20

Russian Federation

...

Nauru

...

Mauritania

...

Bangladesh

...

San Marino

...

New Zealand

...

Mauritius

...

Bhutan

...

Serbia

...

Niue

...

Seychelles

...

Democratic People's Republic of Korea

...

Slovakia

...

Palau

...

South Africa

...

Indonesia

...

Slovenia

...

Papua New Guinea

...

Togo

...

...

Spain

...

Republic of Korea

...

...

Sweden

...

Samoa

...

Sri Lanka

...

Switzerland

...

Singapore

...

Thailand

...

Tajikistan

...

Solomon Islands

...

Timor-Leste

...

The former Yugoslav Republic of Macedonia

...

Tonga

...

Turkey

...

Tuvalu

...

United Kingdom

...

Vanuatu

...

Uzbekistan

...

SEAR Nepal India

Maldives Myanmar

WPR

This chart shows the percentage of females who correctly identify the two major ways of preventing the sexual transmission of HIV, who reject the two most-common local misconceptions about HIV transmission and who know that a healthy-looking person can transmit HIV. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 5. 34

13. Antiretroviral therapy coverage among people with advanced HIV infection (%) AFR

AMR

EUR

EMR

Rwanda

88

Cuba

>95

Romania

81

Oman

>95

Botswana

83

Guyana

>95

Croatia

80

Tunisia

53

Namibia

76

Argentina

70

Georgia

65

Morocco

27

Zambia

64

Costa Rica

68

Slovakia

62

Lebanon

18

Swaziland

59

Chile

63

Turkey

62

Djibouti

14

Benin

53

Mexico

54

Serbia

38

Egypt

11

Senegal

51

El Salvador

53

Belarus

29

Somalia

6

Mali

50

Suriname

53

Hungary

27

Sudan

5

Kenya

48

49

Kazakhstan

27

Iran (Islamic Republic of)

4

Lesotho

48

Regional average Uruguay 50 Dominican Republic

47

Lithuania

27

Pakistan

4

Gabon

47

Jamaica

46

Armenia

24

Afghanistan

…

Burkina Faso

46

Guatemala

44

Bulgaria

23

Bahrain

…

Malawi

46

Haiti

43

Poland

22

Iraq

…

Guinea

40

Belize

40

Azerbaijan

21

Jordan

…

Uganda

39

Nicaragua

40

Republic of Moldova

17

Kuwait

…

Eritrea

37

Panama

37

Kyrgyzstan

12

Libyan Arab Jamahiriya

…

South Africa

37

Paraguay

37

Latvia

12

Qatar

…

Chad

36

Peru

37

Tajikistan

11

Saudi Arabia

…

Zimbabwe

34

Honduras

33

Ukraine

10

Syrian Arab Republic

…

Guinea-Bissau

30

Ecuador

30

Albania

…

United Arab Emirates

…

Mozambique

30

Bolivia (Plurinational State of)

19

Andorra

…

Yemen

…

United Republic of Tanzania

30

Colombia

17

Austria

…

Regional average 37

Regional average 19

Togo

29

Antigua and Barbuda

…

Belgium

…

Cameroon

28

Bahamas

…

Bosnia and Herzegovina

…

Côte d'Ivoire

28

Barbados

…

Cyprus

…

Regional average 7

WPR

Algeria

25

Brazil

…

Czech Republic

…

Cambodia

94

Equatorial Guinea

25

Canada

…

Denmark

…

Lao People's Democratic Republic

67

Mauritania

25

Dominica

…

Estonia

…

Papua New Guinea

52

Angola

24

Grenada

…

Finland

…

Philippines

37

Ghana

24

Saint Kitts and Nevis

…

France

…

Viet Nam

34

Congo

23

Saint Lucia

…

Germany

…

Fiji

30

Mauritius

22

Saint Vincent and the Grenadines

…

Greece

…

Malaysia

23

Niger

22

Trinidad and Tobago

…

Iceland

…

Mongolia

8

Nigeria

21

United States of America

…

Ireland

…

Australia

…

Venezuela (Bolivarian Republic of)

…

Regional average 33

Burundi

19

Israel

…

Brunei Darussalam

…

Central African Republic

19

Italy

…

China

…

Comoros

18

Luxembourg

…

Cook Islands

…

Gambia

18

Malta

…

Japan

…

Sierra Leone

18

Monaco

…

Kiribati

…

Liberia

14

61

Montenegro

…

Marshall Islands

…

Madagascar

2

23

Netherlands

…

Micronesia (Federated States of)

…

Cape Verde

…

Indonesia

21

Norway

…

Nauru

…

Democratic Republic of the Congo

…

Sri Lanka

20

Portugal

…

New Zealand

…

Ethiopia

…

Myanmar

18

Russian Federation

…

Niue

…

Sao Tome and Principe

…

Maldives

17

San Marino

…

Palau

…

Seychelles

…

14

Slovenia

…

Republic of Korea

…

11

Spain

…

Samoa

…

Democratic People's Republic of Korea

…

Sweden

…

Singapore

…

India

…

Switzerland

…

Solomon Islands

…

Timor-Leste

…

The former Yugoslav Republic of Macedonia

…

Tonga

…

Turkmenistan

…

Tuvalu

…

United Kingdom

…

Vanuatu

…

Uzbekistan

…

SEAR Thailand Regional average 32

Bangladesh

Bhutan Nepal

This chart shows the percentage of people with advanced HIV infection currently receiving antiretroviral therapy according to the standards set out in the 2010 guidelines of the Joint United Nations Programme on HIV/AIDS. Within each WHO region, countries are sorted by 2009 level. Further details can be found in Part II, Table 4. 35

14. Malaria mortality rate (per 100 000 population) AFR

AMR

EUR

Algeria 0.0

Antigua and Barbuda

0.0

Albania

0.0

Iraq

0.0

Mauritius 0.0

Argentina

0.0

Andorra

0.0

Jordan

0.0

Seychelles 0.0

Bahamas

0.0

Armenia

0.0

Lebanon

0.0

Lesotho 0.1

Belize

0.0

Austria

0.0

Libyan Arab Jamahiriya

0.0

Cape Verde 0.2

Canada

0.0

Azerbaijan

0.0

Morocco

0.0

South Africa 0.2

Chile

0.0

Belarus

0.0

Oman

0.0

Swaziland 0.3

Costa Rica

0.0

Belgium

0.0

Qatar

0.0

Eritrea 0.7

Cuba

0.0

Bosnia and Herzegovina

0.0

Syrian Arab Republic

0.0

Botswana 1.0

Dominica

0.0

Bulgaria

0.0

Madagascar 8.5

El Salvador

0.0

Croatia

0.0

Kuwait <0.1

Sao Tome and Principe 9.2

Grenada

0.0

Cyprus

0.0

Saudi Arabia <0.1

Ethiopia 10

Mexico

0.0

Czech Republic

0.0

United Arab Emirates <0.1

Kenya 12

Saint Kitts and Nevis

0.0

Denmark

0.0

Bahrain

0.1

Rwanda 15

Saint Lucia

0.0

Estonia

0.0

Tunisia

0.1

Namibia 29

Saint Vincent and the Grenadines

0.0

Georgia

0.0

Egypt

0.2

Gabon 31

Trinidad and Tobago

0.0

Hungary

0.0

Afghanistan

0.3

Mauritania 36

Uruguay

0.0

Iceland

0.0

Pakistan

0.6

Burundi 39

Bolivia (Plurinational State of) <0.1

Ireland

0.0

Djibouti

1.2

Zimbabwe 40

Ecuador <0.1

Israel

0.0

Yemen

4.9

Ghana 48

Jamaica <0.1

Kyrgyzstan

0.0

Sudan

23

Comoros 58

Nicaragua <0.1

Latvia

0.0

Somalia

28

Togo 65

Panama <0.1

Lithuania

0.0

Senegal 76

Paraguay <0.1

Luxembourg

0.0

Malawi 87

United States of America <0.1

Malta

0.0

United Republic of Tanzania 87

Regional average 94

EMR

Barbados

0.1

Monaco

0.0

Iran (Islamic Republic of) <0.1

Regional average 2.5

WPR

Angola 89

Brazil

0.1

Montenegro

0.0

Australia

0.0

Gambia 93

Dominican Republic

0.1

Romania

0.0

Brunei Darussalam

0.0

Equatorial Guinea 98

Guatemala

0.1

San Marino

0.0

Cook Islands

0.0

Liberia 98

Honduras

0.1

Serbia

0.0

Fiji

0.0

Uganda 103

Peru

0.1

Slovakia

0.0

Mongolia

0.0

Zambia 104

Venezuela (Bolivarian Republic of)

0.1

Slovenia

0.0

Nauru

0.0

Colombia

0.3

The former Yugoslav Republic of Macedonia

0.0

New Zealand

0.0

Suriname

2.5

Turkmenistan

0.0

Niue

0.0

Cameroon 121

Guyana

5.0

Uzbekistan

0.0

Palau

0.0

Congo 121

Haiti

5.7

Finland <0.1

Tuvalu

0.0

Mali 131

France <0.1

China <0.1

Nigeria 146

Germany <0.1

Japan <0.1

Guinea 165

Greece <0.1

Republic of Korea <0.1

Italy <0.1

Singapore <0.1

Benin 105 C么te d'Ivoire 116

Mozambique 171 Niger 184 Central African Republic 192

Regional average 0.1

SEAR Democratic People's Republic of Korea 0.0 Nepal<0.1

Democratic Republic of the Congo 193

Sri Lanka<0.1

Guinea-Bissau 203

Bhutan 0.2

Burkina Faso 221

Thailand 0.4

Chad 235

Maldives 0.9

Sierra Leone 239

Bangladesh 1.8 India 1.9 Regional average 2.9

Indonesia 3.2 Myanmar 34 Timor-Leste 83

Kazakhstan <0.1

Malaysia

0.1

Netherlands <0.1

Viet Nam

0.1

Norway <0.1

Regional average 0.2

Philippines

0.2

Poland <0.1

Micronesia (Federated States of)

0.3

Portugal <0.1

Tonga

0.8

Republic of Moldova <0.1

Samoa

0.9

Russian Federation <0.1

Marshall Islands

1.1

Spain <0.1

Kiribati

2.6

Sweden <0.1

Lao People's Democratic Republic

2.9

Switzerland <0.1

Cambodia

3.7

Tajikistan <0.1

Vanuatu

8.5

Turkey <0.1

Solomon Islands

30

Ukraine <0.1

Papua New Guinea

45

United Kingdom <0.1

This chart shows the estimated number of deaths from malaria. Within each WHO region, countries are sorted by 2008 level. Further details can be found in Part II, Table 2. 36

15. Children aged <5 years sleeping under insecticide-treated nets (%) AFR

AMR

EUR

EMR

Madagascar

60

Suriname

3

Azerbaijan

1

Sudan

16

Sao Tome and Principe

54

Argentina

...

Tajikistan

1

Somalia

9

Gambia

49

Belize

...

Armenia

...

Afghanistan

6

Equatorial Guinea

42

Bolivia (Plurinational State of)

...

Georgia

...

Yemen

6

Zambia

41

Brazil

...

Kyrgyzstan

...

Djibouti

1

Guinea-Bissau

39

Colombia

...

Russian Federation

...

Iraq

0

Kenya

39

Costa Rica

...

Turkey

...

Pakistan

0

Togo

35

Dominican Republic

...

Turkmenistan

...

Egypt

...

Ethiopia

33

Ecuador

...

Uzbekistan

...

Iran (Islamic Republic of)

...

Senegal

31

El Salvador

...

Ghana

28

Guatemala

...

Albania

...

Regional average 4

Non-endemic

Morocco

...

Oman

...

Mali

27

Guyana

...

Andorra

...

Saudi Arabia

...

Sierra Leone

26

Haiti

...

Austria

...

Syrian Arab Republic

...

Malawi

25

Honduras

...

Belarus

...

Rwanda

24

Jamaica

...

Belgium

...

Bahrain

...

Benin

20

Mexico

...

Bosnia and Herzegovina

...

Jordan

...

Angola

18

Nicaragua

...

Bulgaria

...

Kuwait

...

United Republic of Tanzania

16

Panama

...

Croatia

...

Lebanon

...

Central African Republic

15

Paraguay

...

Cyprus

...

Libyan Arab Jamahiriya

...

Cameroon

13

Peru

...

Czech Republic

...

Qatar

...

Burkina Faso

10

Venezuela (Bolivarian Republic of)

...

Denmark

...

Tunisia

...

Comoros

9

Estonia

...

United Arab Emirates

...

Uganda

9

Finland

...

18

Regional average 17

Non-endemic Antigua and Barbuda

...

Burundi

8

Bahamas

...

France

...

Mozambique

7

Barbados

...

Germany

...

Non-endemic

WPR

Niger

7

Canada

...

Greece

...

Lao People's Democratic Republic

Congo

6

Chile

...

Hungary

...

Viet Nam

5

C么te d'Ivoire

6

Cuba

...

Iceland

...

Cambodia

4

Democratic Republic of the Congo

6

Dominica

...

Ireland

...

China

...

Nigeria

6

Grenada

...

Israel

...

Malaysia

...

Eritrea

4

Saint Kitts and Nevis

...

Italy

...

Papua New Guinea

...

Liberia

3

Saint Lucia

...

Kazakhstan

...

Philippines

...

Zimbabwe

3

Saint Vincent and the Grenadines

...

Latvia

...

Republic of Korea

...

Mauritania

2

Trinidad and Tobago

...

Lithuania

...

Solomon Islands

...

Chad

1

United States of America

...

Luxembourg

...

Vanuatu

...

Guinea

1

Uruguay

...

Malta

...

Non-endemic

Swaziland

0

Monaco

...

Australia

...

Algeria

...

Montenegro

...

Brunei Darussalam

...

Botswana

...

Netherlands

...

Cook Islands

...

Cape Verde

...

8

Norway

...

Fiji

...

Gabon

...

3

Poland

...

Japan

...

Mauritius

...

Bangladesh

...

Portugal

...

Kiribati

...

Namibia

...

Bhutan

...

Republic of Moldova

...

Marshall Islands

...

South Africa

...

Democratic People's Republic of Korea

...

Romania

...

Micronesia (Federated States of)

...

India

...

San Marino

...

Mongolia

...

...

Serbia

...

Nauru

...

...

Slovakia

...

New Zealand

...

Sri Lanka

...

Slovenia

...

Niue

...

Thailand

...

Spain

...

Palau

...

Sweden

...

Samoa

...

...

Switzerland

...

Singapore

...

The former Yugoslav Republic of Macedonia

...

Tonga

...

Ukraine

...

Tuvalu

...

United Kingdom

...

Non-endemic Lesotho

...

Seychelles

...

SEAR Timor-Leste Indonesia

Myanmar Nepal

Non-endemic Maldives

This chart shows the percentage of children under 5 years old that slept under an insecticide-treated net the night prior to the survey. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4. 37

16. Children aged <5 years with fever who received treatment with any antimalarial (%) AFR

AMR

EUR

EMR

Comoros

63

Haiti

5

Tajikistan

2

Sudan

54

Gambia

63

Nicaragua

2

Azerbaijan

1

Djibouti

10

Uganda

61

Honduras

1

Armenia

...

Afghanistan

8

Liberia

59

Argentina

...

Georgia

...

Somalia

8

Cameroon

58

Belize

...

Kyrgyzstan

...

Pakistan

3

United Republic of Tanzania

58

Bolivia (Plurinational State of)

...

Russian Federation

...

Iraq

1

Central African Republic

57

Brazil

...

Turkey

...

Egypt

...

Benin

54

Colombia

...

Turkmenistan

...

Iran (Islamic Republic of)

...

Burkina Faso

48

Costa Rica

...

Uzbekistan

...

Morocco

...

Congo

48

Dominican Republic

...

Oman

...

Guinea-Bissau

46

Ecuador

...

Albania

...

Saudi Arabia

...

Guinea

44

El Salvador

...

Andorra

...

Syrian Arab Republic

...

Zambia

43

Guatemala

...

Austria

...

Yemen

...

Togo

37

Guyana

...

Belarus

...

C么te d'Ivoire

36

Jamaica

...

Belgium

...

Bahrain

...

Madagascar

34

Mexico

...

Bosnia and Herzegovina

...

Jordan

...

Niger

33

Panama

...

Bulgaria

...

Kuwait

...

Nigeria

33

Paraguay

...

Croatia

...

Lebanon

...

Chad

32

Peru

...

Cyprus

...

Libyan Arab Jamahiriya

...

Mali

32

Suriname

...

Czech Republic

...

Qatar

...

Burundi

30

Venezuela (Bolivarian Republic of)

...

Denmark

...

Tunisia

...

Democratic Republic of the Congo

30

Estonia

...

United Arab Emirates

...

Sierra Leone

30

Finland

...

9

Non-endemic

Non-endemic Antigua and Barbuda

...

Non-endemic

Angola

28

Bahamas

...

France

...

Swaziland

26

Barbados

...

Germany

...

Sao Tome and Principe

25

Canada

...

Greece

...

Lao People's Democratic Republic

Ghana

24

Chile

...

Hungary

...

Viet Nam

3

Kenya

24

Cuba

...

Iceland

...

Cambodia

0

WPR

Malawi

24

Dominica

...

Ireland

...

China

...

Mozambique

23

Grenada

...

Israel

...

Malaysia

...

Senegal

22

Saint Kitts and Nevis

...

Italy

...

Papua New Guinea

...

Mauritania

21

Saint Lucia

...

Kazakhstan

...

Philippines

...

Equatorial Guinea

16

Saint Vincent and the Grenadines

...

Latvia

...

Republic of Korea

...

Namibia

14

Trinidad and Tobago

...

Lithuania

...

Solomon Islands

...

Ethiopia

10

United States of America

...

Luxembourg

...

Vanuatu

...

Rwanda

6

Uruguay

...

Malta

...

Zimbabwe

5

Monaco

...

Australia

...

Eritrea

4

Montenegro

...

Brunei Darussalam

...

Algeria

...

Netherlands

...

Cook Islands

...

Botswana

...

47

Norway

...

Fiji

...

Cape Verde

...

12

Poland

...

Japan

...

Gabon

...

Indonesia

1

Portugal

...

Kiribati

...

Mauritius

...

Bangladesh

...

Republic of Moldova

...

Marshall Islands

...

South Africa

...

Bhutan

...

Romania

...

Micronesia (Federated States of)

...

Democratic People's Republic of Korea

...

San Marino

...

Mongolia

...

...

Serbia

...

Nauru

...

...

Slovakia

...

New Zealand

...

Sri Lanka

...

Slovenia

...

Niue

...

Thailand

...

Spain

...

Palau

...

Sweden

...

Samoa

...

...

Switzerland

...

Singapore

...

The former Yugoslav Republic of Macedonia

...

Tonga

...

Ukraine

...

Tuvalu

...

United Kingdom

...

Non-endemic Lesotho

...

Seychelles

...

SEAR Timor-Leste India

Myanmar Nepal

Non-endemic Maldives

Non-endemic

This chart shows the percentage of children under 5 years old with fever in the two weeks prior to the survey who received any antimalarial medicine. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4. 38

17. Tuberculosis mortality rate among HIV-negative people (per 100 000 population) AFR

AMR

EUR

EMR

Mauritius

1.0

Barbados

0.1

Monaco

0.0

Jordan

0.2

Algeria

2.4

Canada

0.2

San Marino

0.0

United Arab Emirates

0.3

Seychelles

2.6

Cuba

0.2

Germany

0.2

Oman

0.7

Equatorial Guinea

5.0

United States of America

0.2

Israel

0.2

Saudi Arabia

0.9

Comoros

7.8

Grenada

0.3

Netherlands

0.2

Kuwait

1.0

Lesotho

9.5

Mexico

0.6

Norway

0.2

Egypt

1.1

United Republic of Tanzania

11

Saint Kitts and Nevis

0.6

Switzerland

0.2

Lebanon

1.5

Eritrea

14

Saint Lucia

0.6

Albania

0.3

Bahrain

1.8

Cameroon

15

Dominica

0.7

Cyprus

0.3

Syrian Arab Republic

1.8

Kenya

15

Jamaica

0.7

Denmark

0.3

Tunisia

1.8

Zambia

15

El Salvador

0.8

Iceland

0.3

Iran (Islamic Republic of)

2.4

Benin

17

Uruguay

1.0

Sweden

0.3

Qatar

3.0

Sao Tome and Principe

19

Saint Vincent and the Grenadines

1.2

Luxembourg

0.4

Libyan Arab Jamahiriya

4.1

Malawi

22

Bahamas

1.3

Malta

0.4

Morocco

5.8

Cape Verde

26

Costa Rica

1.3

Slovakia

0.4

Yemen

8.2

Guinea-Bissau

29

Chile

1.4

Austria

0.5

Iraq

14

Uganda

29

Argentina

1.8

Belgium

0.5

Sudan

23

Angola

30

Brazil

2.1

France

0.5

Afghanistan

38

Mozambique

31

Suriname

2.4

Greece

0.5

Pakistan

38

Namibia

31

Colombia

2.7

Ireland

0.5

Somalia

57

Swaziland

34

Trinidad and Tobago

2.7

Czech Republic

0.6

Djibouti

77

Zimbabwe

37

Nicaragua

2.9

Italy

0.6

Regional average 2.1

Botswana

39

Venezuela (Bolivarian Republic of)

3.1

United Kingdom

0.6

Central African Republic

40

Guatemala

3.6

Andorra

0.7

Congo

40

Paraguay

4.5

Slovenia

0.7

Regional average 17

WPR

Niger

41

Peru

5.2

Spain

0.7

Niue

0.0

Ghana

42

Ecuador

6.9

Finland

1.0

Australia

0.2

Gambia

48

Honduras

7.4

Serbia

1.0

New Zealand

0.2

South Africa

52

Antigua and Barbuda

8.5

Hungary

1.4

Japan

1.4

Burkina Faso

56

Panama

9.4

Montenegro

1.4

Brunei Darussalam

1.7

Madagascar

57

Dominican Republic

11

The former Yugoslav Republic of Macedonia

1.4

Fiji

2.0

Chad

60

Belize

12

Portugal

1.5

Nauru

2.0

Liberia

60

Guyana

14

Poland

1.8

Singapore

2.3

Gabon

62

Bolivia (Plurinational State of)

21

Bosnia and Herzegovina

1.9

Palau

3.0

Ethiopia

64

Haiti

30

Croatia

2.5

Samoa

4.0

Nigeria

67

Turkey

3.1

Tonga

5.2

Senegal

70

Bulgaria

3.3

Micronesia (Federated States of)

5.7

Burundi

72

Estonia

3.3

Mongolia

6.0

Guinea

73

Latvia

4.4

Cook Islands

6.7

Democratic Republic of the Congo

76

Georgia

4.8

Tuvalu

7.1

Rwanda

76

Belarus

5.3

Marshall Islands

8.3

C么te d'Ivoire

77

Romania

6.6

Republic of Korea

8.3

Mali

87

Lithuania

9.0

Malaysia

8.6

Mauritania

90

Armenia

12

Vanuatu

10

Togo

113

Azerbaijan

12

China

12

Sierra Leone

153

Russian Federation

18

Kiribati

12

Uzbekistan

19

Lao People's Democratic Republic

12

Kazakhstan

22

Solomon Islands

18

Kyrgyzstan

22

Papua New Guinea

26

Turkmenistan

22

Regional average 13

Philippines

35

Republic of Moldova

26

Viet Nam

36

Ukraine

26

Cambodia

71

Tajikistan

48

Regional average 52

SEAR Maldives

2.6

Bhutan

8.3

Sri Lanka

9.2

Thailand

18

Nepal India

21 23

Democratic People's Republic of Korea

25

Indonesia

27

Bangladesh

51

Myanmar

59

Regional average 27

Timor-Leste

Regional average 6.9

66

Key Country trend 1990

Latest available

This chart shows the estimated number of deaths (per 100 000 population) from tuberculosis among HIV-negative cases. Within each WHO region, countries are sorted by 2009 level. Further details can be found in Part II, Table 2. 39

18. Population using improved drinking-water sources (%) AFR

AMR

EUR

EMR

Mauritius

99

Barbados

100

Andorra

100

Lebanon

100

Botswana

95

Canada

100

Austria

100

Qatar

100

Comoros

95

Uruguay

100

Belarus

100

United Arab Emirates

100

Gambia

92

Belize

99

Belgium

100

Egypt

99

Namibia

92

Saint Kitts and Nevis

99

Bulgaria

100

Kuwait

99

South Africa

91

United States of America

99

Cyprus

100

Jordan

96

Sao Tome and Principe

89

Saint Lucia

98

Czech Republic

100

Tunisia

94

Gabon

87

Argentina

97

Denmark

100

Djibouti

92

Lesotho

85

Brazil

97

Finland

100

Pakistan

90

Cape Verde

84

Costa Rica

97

France

100

Syrian Arab Republic

89

Algeria

83

Chile

96

Germany

100

Oman

88

Ghana

82

Cuba

94

Greece

100

Morocco

81

Zimbabwe

82

Ecuador

94

Hungary

100

Iraq

79

Côte d'Ivoire

80

Guatemala

94

Iceland

100

Yemen

62

Malawi

80

Guyana

94

Ireland

100

Sudan

57

Burkina Faso

76

Jamaica

94

Israel

100

Afghanistan

48

Benin

75

Mexico

94

Italy

100

Somalia

30

Cameroon

74

Trinidad and Tobago

94

Luxembourg

100

Bahrain

…

Burundi

72

Panama

93

Malta

100

Iran (Islamic Republic of)

…

Congo

71

Suriname

93

Monaco

100

Libyan Arab Jamahiriya

…

Guinea

71

Colombia

92

Netherlands

100

Saudi Arabia

…

Senegal

69

El Salvador

87

Norway

100

Swaziland

69

Bolivia (Plurinational State of)

86

Poland

100

Liberia

68

Dominican Republic

86

Slovakia

100

Central African Republic

67

Honduras

86

Spain

100

Regional average 96

Regional average 83

WPR

Uganda

67

Paraguay

86

Sweden

100

Australia

100

Rwanda

65

Nicaragua

85

Switzerland

100

Japan

100

Eritrea

61

Peru

82 The former Yugoslav Republic of Macedonia

100

Malaysia

100

Guinea-Bissau

61

Haiti

63

United Kingdom

100

New Zealand

100

Togo

60

Antigua and Barbuda

…

Bosnia and Herzegovina

99

Niue

100

Zambia

60

Bahamas

…

Croatia

99

Singapore

100

Kenya

59

Dominica

…

Latvia

99

Tonga

100

Nigeria

58

Grenada

…

Portugal

99

Republic of Korea

98

Mali

56

Saint Vincent and the Grenadines

…

Serbia

99

Tuvalu

97

United Republic of Tanzania

54

Venezuela (Bolivarian Republic of)

…

Slovenia

99

Marshall Islands

94

Angola

50

Turkey

99

Viet Nam

94

Chad

50

Estonia

98

Philippines

91

Mauritania

49

Georgia

98

Nauru

90

Sierra Leone

49

Montenegro

98

China

89

Niger

48

Democratic People's Republic of Korea

100

Ukraine

98

Vanuatu

82

Mozambique

47

Thailand

98

Albania

97

Mongolia

76

Democratic Republic of the Congo

46

Bhutan

92

Armenia

96

Cambodia

61

Madagascar

41

Maldives

91

Russian Federation

96

Lao People's Democratic Republic

57

Ethiopia

38

Sri Lanka

90

Kazakhstan

95

Papua New Guinea

41

Equatorial Guinea

…

India

88

Kyrgyzstan

90

Brunei Darussalam

…

Seychelles

…

Regional average 61

SEAR

Regional average 86

Regional average 98

Nepal

88

Republic of Moldova

90

Cook Islands

…

Bangladesh

80

Uzbekistan

87

Fiji

…

Indonesia

80

Azerbaijan

80

Kiribati

…

Myanmar

71

Tajikistan

70

Micronesia (Federated States of)

…

Timor-Leste

69

Lithuania

…

Palau

…

Romania

…

Samoa

…

San Marino

…

Solomon Islands

…

Turkmenistan

…

Key 1990

MDG target Country trend

Regional average 90

2015 Latest available

This chart shows the percentage of the population using an improved drinking-water source. The bold lines indicate trends since 1990 or since the first year for which data are available. The thin lines indicate the projected trend needed to achieve the MDG target of halving the proportion of people without sustainable access to safe drinking-water by 2015. Within each WHO region, countries are sorted by 2008 level. Further details can be found in Part II, Table 5. 40

19. Population using improved sanitation (%) AFR

AMR

EUR

EMR

Algeria

95

Bahamas

100

Andorra

100

Kuwait

100

Mauritius

91

Barbados

100

Austria

100

Qatar

100

South Africa

77

Canada

100

Belgium

100

Jordan

98

Gambia

67

United States of America

100

Bulgaria

100

Libyan Arab Jamahiriya

97

Botswana

60

Uruguay

100

Cyprus

100

United Arab Emirates

97

Angola

57

Grenada

97

Denmark

100

Syrian Arab Republic

96

Malawi

56

Chile

96

Finland

100

Egypt

94

Swaziland

55

Saint Kitts and Nevis

96

France

100

Tunisia

85

Cape Verde

54

Costa Rica

95

Germany

100

Iraq

73

Rwanda

54

Ecuador

92

Hungary

100

Morocco

69

Senegal

51

Trinidad and Tobago

92

Iceland

100

Djibouti

56

Zambia

49

Cuba

91

Israel

100

Yemen

52

Uganda

48

Argentina

90

Luxembourg

100

Pakistan

45

Cameroon

47

Belize

90

Malta

100

Afghanistan

37

Burundi

46

El Salvador

87

Monaco

100

Sudan

34

Zimbabwe

44

Mexico

85

Netherlands

100

Somalia

23

Comoros

36

Suriname

84

Norway

100

Bahrain

…

Mali

36

Dominican Republic

83

Portugal

100

Iran (Islamic Republic of)

…

Central African Republic

34

Jamaica

83

Slovakia

100

Lebanon

…

Gabon

33

Guatemala

81

Slovenia

100

Oman

…

Namibia

33

Guyana

81

Spain

100

Saudi Arabia

…

Nigeria

32

Brazil

80

Sweden

100

Regional average 34

Regional average 87

Kenya

31

Colombia

74

Switzerland

100

Congo

30

Honduras

71

United Kingdom

100

Lesotho

29

Paraguay

70

Uzbekistan

100

Regional average 61

WPR

Mauritania

26

Panama

69

Croatia

99

Australia

100

Sao Tome and Principe

26

Peru

68

Ireland

99

Cook Islands

100

United Republic of Tanzania

24

Nicaragua

52

Albania

98

Japan

100

Côte d'Ivoire

23

Bolivia (Plurinational State of)

25

Czech Republic

98

Niue

100

Democratic Republic of the Congo

23

Haiti

17

Greece

98

Republic of Korea

100

Guinea-Bissau

21

Antigua and Barbuda

…

Turkmenistan

98

Samoa

100

Guinea

19

Dominica

…

Kazakhstan

97

Singapore

100

Liberia

17

Saint Lucia

…

Bosnia and Herzegovina

95

Malaysia

96

Mozambique

17

Saint Vincent and the Grenadines

…

Estonia

95

Tonga

96

Eritrea

14

Venezuela (Bolivarian Republic of)

…

Georgia

95

Tuvalu

84

Ghana

13

Ukraine

95

Philippines

76

Sierra Leone

13

Tajikistan

94

Viet Nam

75

Benin

12

Belarus

93

Marshall Islands

72

Ethiopia

12

Kyrgyzstan

93

China

55

Togo

12

Maldives

98

Montenegro

92

Lao People's Democratic Republic

53

Burkina Faso

11

Thailand

96

Serbia

92

Vanuatu

51

Madagascar

11

Sri Lanka

91

Armenia

90

Mongolia

50

Chad

9

Myanmar

81

Poland

90

Nauru

50

Niger

9

Bhutan

65

Turkey

90

Papua New Guinea

45

Equatorial Guinea

…

Bangladesh

53

The former Yugoslav Republic of Macedonia

89

Cambodia

29

Seychelles

…

Indonesia

52

Russian Federation

87

Brunei Darussalam

…

Timor-Leste

50

Republic of Moldova

79

Fiji

…

India

31

Latvia

78

Kiribati

…

Nepal

31

Romania

72

Micronesia (Federated States of)

…

Democratic People's Republic of Korea

…

Azerbaijan

45

New Zealand

…

Italy

…

Palau

…

Lithuania

…

Solomon Islands

…

San Marino

…

Regional average 94

SEAR

Regional average 40

Key 1990

MDG target Country trend

2015 Latest available

Regional average 62

This chart shows the percentage of the population using an improved sanitation facility. The bold lines indicate trends since 1990 or since the first year for which data are available. The thin lines indicate the projected trend needed to achieve the MDG target of halving the proportion of people without sustainable access to basic sanitation by 2015. Within each WHO region, countries are sorted by 2008 level. Further details can be found in Part II, Table 5. 41

Part II Global health indicators

Life expectancy and mortality This section presents indicators of life expectancy and mortality rates. Indicators include overall life expectancy at birth as well as infant and under-five mortality (the probability of dying between birth and 1 and 5 years of age, respectively), and adult mortality (the probability of dying between 15 and 60 years of age). Levels and trends for child mortality are particularly relevant in understanding public health, with almost 20% of all deaths occurring among children less than 5 years old. Neonatal mortality (death during the first 28 days of life) accounts for a large proportion of child deaths in many countries, especially in low-income settings. Monitoring levels in child mortality has largely focused on liveborn infants while stillbirths (fetal deaths) are often overlooked and underestimated. One third of stillbirths occur during delivery from complications that can be avoided with appropriate care. The estimates of mortality presented here have been derived wherever possible from death-registration data reported annually to WHO. For countries where such data are not available or are of poor quality, household surveys and censuses are used to prepare estimates of mortality rates and life expectancy. In the case of child mortality, WHO is part of the Inter-agency Group for Child Mortality Estimation (IGME) which carries out annual updates of estimates for infant and child mortality for UNICEF, WHO and other international agencies. As well as harmonizing the child mortality estimates used by its members, the IGME monitors progress towards the achievement of the relevant MDG target.3 WHO makes every effort to standardize the methods used to estimate and project indicators for all Member States using comparable data. This may lead to some differences compared with the official statistics prepared by individual Member States. It is also important to stress that these estimates are subject to considerable uncertainty, especially for countries with weak statistical and health information systems where the quality of underlying empirical data is limited.

3.

MDG 4; Target 4.A: Reduce by two thirds, between 1990 and 2015, the under-ďŹ ve mortality rate.

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Table 1

WORLD HEALTH STATISTICS 2011

1. Life expectancy and mortality Life expectancy at birth a (years)

Member State

Male

Female

Both sexes

Stillbirth rate b (per 1000 total births)

Neonatal mortality rate a (per 1000 live births)

Both sexes

Both sexes

1990

2000

2009

1990

2000

2009

1990

2000

2009

Afghanistan

42

44

47

46

48

50

44

46

48

2009

1990

2000

2009

29

60

56

53

Albania

65

68

72

71

73

75

68

70

Algeria

66

68

71

69

71

74

67

69

73

5

20

12

7

72

11

27

22

17

Andorra

74

76

79

81

83

85

77

80

82

3

3

2

1

Angola

38

44

51

45

48

53

42

46

52

25

53

48

42

Antigua and Barbuda

69

71

73

71

74

76

70

72

74

7

13

9

6

Argentina

69

71

72

76

78

79

73

75

75

5

15

11

9

Armenia

62

67

66

70

73

74

66

70

70

15

27

20

13

Australia

74

77

80

80

82

84

77

80

82

3

5

3

3

Austria

72

75

78

79

81

83

76

78

80

4

4

3

3

Azerbaijan

59

62

66

66

67

70

63

64

68

12

31