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					                                                                                                          Morocco
DEMOGRAPHICS                                                                                                                                                                                                                                    MATERNAL AND NEWBORN HEALTH
Total population (000)                                        31,606 (2008)       Under-five mortality rate                                                  Causes of under-five deaths, 2008                                                                                                                                     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 North Africa, 1997-2007
Total under-five population (000)                              3,041 (2008)                                                                                  undernutrition                                                                    Adolescent birth rate (births per 1,000 women)                  18         (2005)
Births (000)                                                     646 (2006)                                                                                          HIV/AIDS Malaria                   Causes of neonatal                                                                                                                                        Abortion Embolism
                                                                                                                                                                         0%      0% Measles             deaths                                 Unmet need for family planning (%)                              10     (2003-04)                                     5%       2%                                      Contraceptive
                                                                                       100 88                                                                   Injuries                                          Diarrhoea 1%                                                                                                                           Sepsis                                                     prevalence rate                                          63              Pre-pregnancy
Birth registration (%)                                               85 (2000)                                                                                    3%                    0%                        Tetanus 2%                                                                                                                              7%                                                         Antenatal visit
                                                                     36 (2008)             80                                                                 Pneumonia                                           Other 4%                     Antenatal visits for woman (4 or more visits, %)                31     (2003-04)                                                                                                                                                   68           Pregnancy
Under-five mortality rate (per 1000 live births)                                                                                                                                                                  Congenital 14%                                                                                                                                                           Haemorrhage
                                                                                                                                                                                                                                                                                                                                                                                                                         (1 or more)
                                                                                                                                                                   9%                                                                                                                                                                             Other direct
Infant mortality rate (per 1000 live births)                         32 (2008)                                                                                                                                                                 Intermittent preventive treatment for malaria (%)            NA*                                                                               31%                  Skilled attendant
                                                                                           60                                                                                                                                                                                                                                                         9%                                                                      at birth                                       63                   Birth
                                                                                                                                                                                                                               Asphyxia 23%
Neonatal mortality rate (per 1000 live births)                       23 (2008)                                                       36                      Diarrhoea                                                                         C-section rate (total, urban, rural; %)
                                                                                                                                                               12%                                         Neonatal                                                                                                                                                                                                    *Postnatal care                                                       Neonatal period
Total under-five deaths (000)                                        24 (2008)             40                                                          29                                                    64%                               (Minimum target is 5% and maximum target is 15%)           5,9,2       (2003-04)
                                                                                                                                                                                                                               Infection 25%                                                                                                                                                                                     Exclusive
                                                                                                                                                                                                                                                                                                                                                                                                                             breastfeeding                    31                                 Infancy
Maternal mortality ratio (per 100,000 live births)               240 (2005)                20                                                MDG Target                                                                                        Early initiation of breastfeeding (within 1 hr of birth, %) 52         (2003-04)                   Hypertension
                                                                                                                                                                            Other                                                                                                                                                                    23%
Lifetime risk of maternal death (1 in N)                         150 (2005)                                                                                                 12%                                                Preterm 32%                                                                                                                                            Indirect                                    Measles                                              96
                                                                                            0                                                                                                                                                  Postnatal visit for baby (within 2 days for home births, %) ---                                                                          23%
Total maternal deaths                                          1,700 (2005)                 1990      1995       2000       2005          2010        2015                                                                                                                                                                                                                                                                                     0         20    40       60         80 100
                                                                                                                                                                                                                                               * Not applicable
                                                                                 Source: IGME 2009                                                           Source: WHO/CHERG 2010                                   Source: WHO/CHERG 2010                                                                                       Source: WHO 2010                                                                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, %) 23 (2003-2004)                      Complementary feeding rate (6-9 months, %) 66 (2003-2004)                                                                                                                 100                                                                          100                                                                             100
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           86
Wasting prevalence (moderate and severe, %) 10 (2003-2004)                       Low birthweight incidence (%)                             15 (2003-2004)                                                                                                    80                                                                              80                                                                              80
                                                                                                                                                                                                                                                                                                                    68
                                                                                                                                                                                                                                                                                                                                                                                                      63
 Underweight prevalence                                                           Exclusive breastfeeding                                                    Vitamin A supplementation                                                                       60                                                                              60                                                                              60




                                                                                                                                                                                                                                                   Percent




                                                                                                                                                                                                                                                                                                                                   Percent




                                                                                                                                                                                                                                                                                                                                                                                                                   Percent
 Percent children < 5 years underweight for age*                                  Percent infants < 6 months exclusively breastfed                           Percent children 6-59 months receiving two doses of vitamin A                                                                45         42                                                                                 40
                                                                                                                                                             during calender year                                                                            40                  32                                                          40                                 31                                           40
                                                                                                                                                                                                                                                                     25                                                                               24            26
      100                                                                             100                                                                         100                                                                                        20                                                                              20                                                                              20

           80                                                                              80                                                                          80                                                                                     0                                                                               0                                                                              0
                                                                                                                                                                                                                                                                   1987         1992     1995     1997         2003-2004                            1984         1987          1992    1995        2003-2004                 1990                  1995                2000                  2005     2008
           60                                                                              60                                                                          60                                                                                           DHS         DHS       DHS    Other NS           DHS                            Other NS         DHS         DHS     DHS           DHS
                                                                                                                  50


                                                                                                                                                             Percent
 Percent




                                                                                 Percent




                                                                                                                                                                                                                                                                                                                                                                                                                   Source: WHO/UNICEF
                                                                                                                                                                                              43
           40                                                                              40        37                                                                40
                                                                                                                                                31
                                                                                                                               25
           20           13                                       9
                                                                                           20                                                                          20                                                                        WATER AND SANITATION                                                                                                                                              EQUITY
                                              8
           0                                                                                0                                                                           0
                      1987                  1992             2003-2004                             1987         1992          1995        2003-2004                     2005                  2006              2007                   2008      Water                                                                             Sanitation                                                                      Coverage gap by wealth quintile
                       DHS                   DHS                DHS                                  DHS         DHS           DHS              DHS          Source: UNICEF                                                                      Percent population using improved drinking water sources                          Percent population using improved sanitation facilities                         Average of eight key indicators
*Based on 2006 WHO reference population                                                                                                                                                                                                                           Rural     Urban      Total                                                       Rural       Urban          Total
                                                                                                                                                                                                                                                      100                                                 98                            100                                                                             100
                                                                                                                                                                                                                                                                           94
CHILD HEALTH                                                                                                                                                                                                                                                                                                     81                                            81                             83                                                              Coverage gap
                                                                                                                                                                                                                                                             80                   74                                                         80                                                                              80
                                                                                                                                                                                                                                                                                                                                                                                                     69
                                                                                                                                                                                                                                                                                                60
  Immunization                                                                    Malaria prevention                                                         Prevention of mother to child                                                                   60     55                                                                       60                          53           52                                     60




                                                                                                                                                                                                                                                 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
                                                                                                                                                             Percent HIV+ pregnant women receiving ARVs for PMTCT
                                                                                                                                                                                                                                                             40                                                                              40                                                                              40
                Percent of children immunised with 3 doses Hib                                                                                                                                                                                                                                                                                         27
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Mean coverage
                                                                                                                                                                                                                                                             20                                                                              20                                                                              20
                                                                          99
      100                                                                   99                                                                                         50
                                                                           96                                                                                                                                                                                 0                                                                               0                                                                               0
           80                                                                                                                                                          40                                                                                                 1990                        2008                                                    1990                          2008                                  Poorest               2nd         3rd                4th   Wealthiest
                                                                                                                                                                                                                                                 Source: WHO/UNICEF JMP, 2010                                                      Source: WHO/UNICEF JMP, 2010                                                    Source: DHS 2003                             Wealth quintile
           60                                                                                                                                                          30
                                                                                                                                                             Percent
 Percent




                                                                                                   *Very limited risk of malaria transmission
           40                                                                                                                                                          20                                                                        POLICIES                                                                          SYSTEMS
           20                                                                                                                                                          10
                                                                                                                                                                                                                                                  International Code of Marketing of Breastmilk                                    Financial Flows and Human Resources
            0                                                                                                                                                           0
                                                                                                                                                                                                                                                  Substitutes                                                             No
             1990            1994         1998        2002      2006 2008                                                                                                                     2007                    2008                                                                                                         Per capita total expenditure on health (US$)                     202 (2007)
 Source: WHO/UNICEF                                                                                                                                          Source: UNICEF/UNAIDS/WHO
                                                                                                                                                                                                                                                  New ORS formula and zinc for management of
                                                                                                                                                                                                                                                                                                                                   General government expenditure on health as
                                                                                                                                                                                                                                                  diarrhoea                                                               No
                                                                                                                                                                                                                                                                                                                                   % of total government expenditure (%)                               6 (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                       No       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 (%)                                         57 (2007)
                                                                                                                                                                                                                                                  IMCI adapted to cover newborns 0-1 week of age                          Yes
                                                                                                                                                                       antibiotics
                                                                                                                                                                                                                                                                                                                                   Density of health workers (per 10,000 population)                13.4 (2007)
      100                                                                                                                                                         100                                                                             Costed implementation plan(s) for maternal,
                                                                                                                                                                                                                                                  newborn and child health available                                 Partial       Official Development Assistance to child health
           80                                                                                                                                                          80                                                                                                                                                          per child (US$)                                                     3 (2007)
                                                                                                                                                                                                                                                  Midwives be authorised to administer a core set of
           60                                                                                                                                                          60                                                                         life saving interventions                                                ---     Official Development Assistance to maternal and
                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Morocco
 Percent




                                                                                                                                                             Percent




                                             46                                                                                                                                                                                                                                                                                    neonatal health per live birth (US$)                              16 (2007)
                                                                                                   *Very limited risk of malaria transmission                                                                  38                                 Maternity protection in accordance with ILO
           40                                                                                                                                                          40                      28                                                 Convention 183                                                          No       National availability of Emergency Obstetric Care
                                                                                                                                                                              17                                                                                                                                                   services (% of recommended minimum)                               69 (2000)
           20                                                                                                                                                          20
                                                                                                                                                                                          7                                                       Specific notification of maternal deaths                                Yes
            0                                                                                                                                                           0
                                          2003-2004
                                             DHS
                                                                                                                                                                                1992
                                                                                                                                                                                    DHS
                                                                                                                                                                                                1997
                                                                                                                                                                                                Other NS
                                                                                                                                                                                                             2003-2004
                                                                                                                                                                                                                    DHS
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Countdown to 2015
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        2010 Report

				
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