Zambia

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 11,696 (2006) Under-five mortality rate Causes of under-five deaths Causes of maternal deaths Coverage along the continuum of care
Deaths per 1000 live births Globally more than one third of child deaths are attributable to Regional estimates for Africa, 1997-2002
Total under-five population (000) 2,012 (2006) undernutrition
Causes of neonatal
Unmet need for family planning (%) 27 (2001-2002)
Births (000) 470 (2006) HIV/AIDS Measles Obstructed labor Contraceptive
200 180 16% 1% Injuries deaths Abortion 34 Pre-pregnancy
Birth registration (%) 10 (2006) 182 1% Tetanus 3% Antenatal visits for woman (4 or more visits, %) 72 (2001-2002) Anaemia 4% 4% prevalence rate
Other Diarrhoea 3% 4% Antenatal visit
Under-five mortality rate (per 1000 live births) 182 (2006) 160 Diarrhoea Congenital 7% (1 or more) 93 Pregnancy
0% Other 7% Intermittent preventive treatment for malaria (%) 61 (2006)
18% Hypertensive
Infant mortality rate (per 1000 live births) 102 (2006) Haemorrhage Skilled attendant
120 disorders at birth 43 Birth
Preterm 25% C-section rate (total, urban, rural; %) 34%
40 (2000) 9%
Neonatal mortality rate (per 1000 live births) Neonatal (Minimum target is 5% and maximum target is 15%) 2,4,1 (2001-2002) *Postnatal care Neonatal period
Total under-five deaths (000) 86 (2006) 80 60 23%
Sepsis/Infections,
Asphyxia 25% Early initiation of breastfeeding (within 1 hr of birth, %) 51 (2001-2002) Exclusive
Malaria including AIDS 40 Infancy
Maternal mortality ratio (per 100,000 live births) 830 (2005) 40 breastfeeding
MDG Target 19% 16%
27 (2005) Postnatal visit for baby (within 2 days for home births, %) --- Measles
Lifetime risk of maternal death (1 in N) Infection 31% Other causes
84
0 Pneumonia
Total maternal deaths 3,900 (2005) 1990 1995 2000 2005 2010 2015 22% 30%
Source: Lawn JE, Cousens SN
0 20 40 60 80 100
Source: UNICEF, 2006 Source: WHO, 2006 for CHERG (Nov 2006) Source: Khan, Khalid S., et al, Lancet 2006:367:1066-74 Source: DHS, MICS, Other NS
*See Annex for indicator definition

Antenatal care Skilled attendant at delivery Neonatal tetanus protection

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN Percent women aged 15-49 years attended at least once by a Percent live births attended by skilled health personnel Percent of newborns protected against tetanus

NUTRITION skilled health provider during pregnancy

Stunting prevalence (moderate and severe, %) 55 (2004) Complementary feeding rate (6-9 months, %) 87 (2001-2002) 100 96 93 100 100
92
83 90
Wasting prevalence (moderate and severe, %) 7 (2004) Low birthweight incidence (%) 12 (2001-2002) 80 80 80

Underweight prevalence Exclusive breastfeeding Vitamin A supplementation 60 60 51 60

Percent

Percent

Percent
47 47
Percent children < 5 years underweight for age* Percent infants < 6 months exclusively breastfed Percent children 6-59 months receiving vitamin A doses 43
40 40 40
At least one dose Two doses
100 100 100 20 20 20
86 83
80
80 80 80 73
66 0 0
75 75 1992 1996 1999 2001-2002 1992 1996 1999 2001-2002 1986 1991 1996 2001 2006
71 50
60 60 60 73 66
DHS DHS MICS DHS DHS DHS MICS DHS

Percent
Percent

Percent

Source: WHO/UNICEF
40 50
40 40 40
27
20
21 20 23
18 20 10
19
20 0
WATER AND SANITATION EQUITY
0
0 0 0
1992 1996 2001-2002 2004 1992 1996 1999 2001-2002 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
DHS DHS DHS Other NS DHS DHS MICS DHS Percent population using improved drinking water sources Percent population using improved sanitation facilities
*Based on 2006 WHO reference population Rural Urban Total Rural Urban Total
100 100 100
CHILD HEALTH 86
90

80 80 80
63
Immunization Malaria prevention Prevention of mother to child 60 50
58
60 52
59 55 60

Percent

Percent

Percent
Percent of children immunised against measles
Percent of children immunised with 3 doses DPT
Percent children < 5 years sleeping under ITNs transmission of HIV 40 44
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 40 31 40
Percent of children immunised with 3 doses Hib 27
20 20 20
100 100 50
84 0 0 0
80 80 80 40 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
80 35
Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 60 30 1996 1999 2001
Percent
Percent

Percent

DHS MICS DHS

40 40 20 18 19
POLICIES SYSTEMS
23
20 20 10
7 Coverage gap (%) 32 51 33
1 International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 0 Substitutes Yes Ratio
1990 1995 2000 2005 2006 1999 2001-2002 2006 2004 2005 2006 Per capita total expenditure on health (US$) 63 (2007) poorest/wealthiest 2.3 2.5
Source: WHO/UNICEF MICS DHS Other NS Other NS Other NS Other NS
New ORS formula and zinc for management of Difference
General government expenditure on health as
diarrhoea Yes poorest-wealthiest (%) 24 26
% of total government expenditure (%) 13 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics Partial Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 32 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 2.1 (2004)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available Partial Official Development Assistance to child health
80 80 80 71
per child (US$) 27 (2005)
69 Midwives be authorised to administer a core set of
Zambia
62
60 60 58 58 60 life saving interventions Partial Official Development Assistance to maternal and
52
Percent

Percent

Percent

48 neonatal health per live birth (US$) 45 (2005)

43
40 40 40 Maternity protection in accordance with ILO
24 Convention 183 Partial National availability of Emergency Obstetric Care
20 20 20 services (% of recommended minimum) 41 (2004-2005)
14 14
Specific notification of maternal deaths No
0 0 0
1996
DHS
1999
MICS
2001-2002
DHS
1999
MICS
2001-2002
DHS
2006
Other NS
1992
DHS
1996
DHS
1999
MICS
2001-2002
DHS
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