Tajikistan

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					                                                                                                        Tajikistan
DEMOGRAPHICS
Total population (000)                                        6,836 (2008)     Under-five mortality rate                                                          Causes of under-five deaths, 2008
                                                                               Deaths per 1000 live births                                                        Globally more than one third of child deaths are attributable to
Total under-five population (000)                              871 (2008)                                                                                         undernutrition
Births (000)                                                   193 (2008)                                                                                                      Injuries HIV/AIDS Malaria Causes of neonatal
                                                                                     150                                                                                         3%        0%        0%      deaths
Birth registration (%)                                           88 (2005)                                                                                            Diarrhoea                                        Tetanus 1%
                                                                                                                                                                         19%                       Measles             Diarrhoea 1%
Under-five mortality rate (per 1000 live births)                 64 (2008)           120 117                                                                                                           0%              Other 5%
                                                                                                                                                                  Pneumonia                                            Congenital 9%
Infant mortality rate (per 1000 live births)                     54 (2008)                                                                                           20%                                               Infection 18%
                                                                                         90
                                                                                                                                            64
Neonatal mortality rate (per 1000 live births)                   22 (2008)
                                                                                                                                                                                                                    Neonatal            Asphyxia 26%
Total under-five deaths (000)                                    12 (2008)               60                                                              39                                                           36%

Maternal mortality ratio (per 100,000 live births)             170 (2005)                30
                                                                                                                                                  MDG Target
Lifetime risk of maternal death (1 in N)                       160 (2005)                                                                                                                                                                Preterm 41%
                                                                                          0                                                                                                Other
Total maternal deaths                                          320 (2005)                 1990        1995              2000        2005      2010      2015                               23 %
                                                                               Source: IGME 2009                                                                  Source: WHO/CHERG 2010                                       Source: WHO/CHERG 2010




INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN
NUTRITION
Stunting prevalence (moderate and severe, %)                     39 (2007)    Complementary feeding rate (6-9 months, %)                              15 (2005)
Wasting prevalence (moderate and severe, %)                        7 (2007)   Low birthweight incidence (%)                                           10 (2005)

 Underweight prevalence                                                         Exclusive breastfeeding                                                            Vitamin A supplementation
 Percent children < 5 years underweight for age*                                Percent infants < 6 months exclusively breastfed                                   Percent children 6-59 months receiving two doses of vitamin A
                                                                                                                                                                   during calender year
                                                                                                                                                                                          97
      100                                                                           100                                                                             100 98                                  92               87

           80                                                                            80                                                                                  80

           60                                                                            60                                                                                  60


                                                                                                                                                                   Percent
 Percent




                                                                               Percent




           40                                                                            40                                                                                  40
                                                                                                                                            25
           20                   14                   15                                  20                       14                                                         20

           0                                                                              0                                                                                   0
                              2005                 2007                                                        2000                        2005                               2005                  2006                   2007                 2008
                               MICS                Other NS                                                      MICS                      MICS                    Source: UNICEF

*Based on 2006 WHO reference population


CHILD HEALTH
  Immunization                                                                  Malaria prevention                                                                 Prevention of mother to child
                Percent of children immunised against measles
                Percent of children immunised with 3 doses DPT
                                                                                Percent children < 5 years sleeping under ITNs*                                    transmission of HIV
                Percent of children immunised with 3 doses Hib                                                                                                     Percent HIV+ pregnant women receiving ARVs for PMTCT


      100                                                                           100                                                                                      10
                                                                         86
           80                                                            86              80                                                                                   8

           60                                                                            60                                                                                   6
 Percent




                                                                               Percent




                                                                                                                                                                  Percent




                                                                         46
           40                                                                            40                                                                                   4

           20                                                                            20                                                                                   2
                                                                                                                                1
            0                                                                             0                                                                                   0
             1990         1994            1998   2002          2006 2008                                                       2005                                                              2005               2006             2007
 Source: WHO/UNICEF                                                                                                            MICS                               Source: UNICEF/UNAIDS/WHO
                                                                              *Sub-national risk of malaria transmission


  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
  therapy or increased fluids, with continued feeding                                                                                                                        appropriate health provider
                                                                                                                                                                             Percent children < 5 years with suspected pneumonia receiving
                                                                                                                                                                             antibiotics

      100                                                                           100                                                                                100

           80                                                                            80                                                                                  80
                                                                                                                                                                                                        64
           60                                                                            60                                                                                  60      51
 Percent




                                                                               Percent




                                                                                                                                                                  Percent




                                                                                                                                                                                                                    41
           40                   29                                                       40                                                                                  40
                                                     22
           20                                                                            20                                                                                  20
                                                                                                                                2
            0                                                                             0                                                                                   0
                              2000                 2005                                                                        2005                                                   2000                 2005
                               MICS                 MICS                                                                       MICS                                                       MICS               MICS
                                                                              *Sub-national risk of malaria transmission
 MATERNAL AND NEWBORN HEALTH
                                                                                  Causes of maternal deaths                                                      Coverage along the continuum of care
                                                                                  Regional estimates for Commonwealth of independent states, 1997-2007
Adolescent birth rate (births per 1,000 women)                        27 (2005)
                                                                                                                        Sepsis
Unmet need for family planning (%)                                    ---                                                7%                                        Contraceptive
                                                                                                                                                                                                                  38                        Pre-pregnancy
                                                                                                     Abortion                                                     prevalence rate
Antenatal visits for woman (4 or more visits, %)                      49 (2007)                       10%                                                          Antenatal visit
                                                                                                                                                                                                                                      89      Pregnancy
                                                                                                                                                                       (1 or more)
Intermittent preventive treatment for malaria (%)                 NA*                                                                    Haemorrhage             Skilled attendant
                                                                                                                                            27%                             at birth                                                 88          Birth
                                                                                                  Embolism
C-section rate (total, urban, rural; %)                                                             10%
                                                                                                                                                                   *Postnatal care                                                          Neonatal period
(Minimum target is 5% and maximum target is 15%)          ---, ---, ---
                                                                                                                                                                          Exclusive
                                                                                                  Other direct                                                        breastfeeding                         25                                  Infancy
Early initiation of breastfeeding (within 1 hr of birth, %)           61 (2005)
                                                                                                     13%                                 Indirect
                                                                                                                                           18%                                Measles                                                 86
Postnatal visit for baby (within 2 days for home births, %)           ---
                                                                                                                   Hypertension
                                                                                                                      14%                                                                    0         20        40      60        80 100
* Not applicable
                                                                                  Source: WHO 2010                                                               Source: DHS, MICS, Other NS
                                                                                                                                                                *See Annex for indicator definition


  Antenatal care                                                                  Skilled attendant at delivery                                                  Neonatal tetanus protection
  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
  skilled health provider during pregnancy

             100                                             89                         100
                                                                                                                                                    88
                                                                                                                                   83
                                              77                                                       79
                80             71                                                            80                         71

                60                                                                           60
      Percent




                                                                                   Percent




                                                                                                                                                                                                             No data
                40                                                                           40

                20                                                                           20

                 0                                                                            0
                              2000           2005          2007                                      1996              2000       2005          2007
                              MICS            MICS         Other NS                                  Other NS          MICS       MICS          Other NS




  WATER AND SANITATION                                                                                                                                           EQUITY
  Water                                                                           Sanitation                                                                     Coverage gap by wealth quintile
  Percent population using improved drinking water sources                        Percent population using improved sanitation facilities                        Average of eight key indicators
                     Rural     Urban        Total                                                 Rural         Urban    Total
        100                     91                         94                           100                     93                 94      95       94              100
                                                                                                       87             89
                                                                                                                                                                                                             Coverage gap
                80                                                70
                                                                                             80                                                                       80
                                       58            61
                60                                                                           60                                                                       60
   Percent




                                                                                   Percent




                         45
                40                                                                           40                                                                       40
                                                                                                                                                                                                             Mean coverage
                20                                                                           20                                                                       20

                 0                                                                            0                                                                         0
                               1995                       2008                                                  1995                     2008                                 Poorest                 2nd              3rd          4th     Wealthiest
  Source: WHO/UNICEF JMP, 2010                                                    Source: WHO/UNICEF JMP, 2010                                                   Source: MICS 2005                               Wealth quintile




  POLICIES                                                                        SYSTEMS
   International Code of Marketing of Breastmilk                                  Financial Flows and Human Resources
   Substitutes                                                              No
                                                                                  Per capita total expenditure on health (US$)                      93 (2007)
   New ORS formula and zinc for management of
                                                                                  General government expenditure on health as
   diarrhoea                                                                Yes
                                                                                  % of total government expenditure (%)                              4 (2007)
   Community treatment of pneumonia with antibiotics                        Yes   Out-of-pocket expenditure as % of total
                                                                                  expenditure on health (%)                                         74 (2007)
   IMCI adapted to cover newborns 0-1 week of age                           Yes
                                                                                  Density of health workers (per 10,000 population)             70.4 (2006)
   Costed implementation plan(s) for maternal,
   newborn and child health available                                  Partial    Official Development Assistance to child health
                                                                                  per child (US$)                                                    6 (2007)

                                                                                                                                                                                                                 Tajikistan
   Midwives be authorised to administer a core set of
   life saving interventions                                           Partial    Official Development Assistance to maternal and
                                                                                  neonatal health per live birth (US$)                              10 (2007)
   Maternity protection in accordance with ILO
   Convention 183                                                      Partial    National availability of Emergency Obstetric Care
                                                                                  services (% of recommended minimum)                               86 (2005)
   Specific notification of maternal deaths                                 Yes

                                                                                                                                                                                                             Countdown to 2015
                                                                                                                                                                                                                                     2010 Report

				
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