Excel format - WHO Western Pacific Region by jizhen1947

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									                                                     COUNTRY HEALTH INFORMATION PROFILE

CHINA                                                       WESTERN PACIFIC REGION HEALTH DATABANK, 2010 Revision


                             INDICATORS                                                                      DATA                                                    Year      Source

     Demographics                                                                  Total                         Male                           Female

1    Area (1 000 km2)                                                                       9600.00                                                                  2007        1

2    Estimated population ('000s)                                                     1 334 740.00                  686 520.00                        648 220.00     2009        2

3    Annual population growth rate (%)                                                          0.80                          …                              ….    1996-2006     3

4    Percentage of population

      - 0–4 years                                                                                …                            …                               …
                                                                                                       a
      - 5–14 years                                                                            18.50                           …                               …      2009        2

      - 65 years and above                                                                      8.50                          …                               …      2009        2

5    Urban population (%)                                                                     46.60                           …                               …      2009        2

6    Crude birth rate (per 1000 population)                                                   12.13                           …                               …      2009        2

7    Crude death rate (per 1000 population)                                                     7.08                          …                               …      2009        2

8    Rate of natural increase of population (% per annum)                                       0.51                          …                               …      2009        2

9    Life expectancy (years)

      - at birth                                                                              71.40                        69.60                           73.70     2000        3

      - Healthy Life Expectancy (HALE) at age 60                                                 …                         13.10                           14.70     2002        4

10   Total fertility rate (women aged 15–49 years)                                              1.74                                                                 2005        18

     Socioeconomic indicators

11   Adult literacy rate (%)                                                                  91.60                        95.65                           87.56     2007        6

     Per capita GDP at current market prices (US$)                                                     b
12                                                                                         22 698.00                                                                 2008        6

13   Rate of growth of per capita GDP (%)                                                        …

14   Human development index                                                                    0.77                                                                 2007        7

     Environmental indicators                                                      Total                         Urban                          Rural

15   Health care waste generation (metric tons per year)                                         …                            …                               …

     Communicable and noncommunicable diseases                                 Number of new cases                                 Number of deaths

16   Selected communicable diseases

      Hepatitis viral                                              1 425 020                     …          …              1018            …                  …      2009        8

      - Type A                                                       43 841                      …          …                21            …                  …      2009        8

      - Type B                                                     1 179 607                     …          …               792            …                  …      2009        8

      - Type C                                                      131 849                      …          …               141            …                  …      2009        8

      - Type E                                                       20 275                      …          …                24            …                  …      2009        8

      - Unspecified                                                  49 448                      …          …                40            …                  …      2009        8

      Cholera                                                            85                      …          …                 0             0                 0      2009        8

      Dengue/DHF                                                               p
                                                                        305                      …          …                 0             0                 0      2009        8

      Encephalitis                                                     3913                      …          …               172            …                  …      2009        8

      Gonorrhoea                                                    119 824                      …          …                 0             0                 0      2009        8

      Leprosy                                                          1597                    1086        511                …            …                  …      2009        9

      Malaria                                                        14 491                      …          …                12            …                  …      2009        8

      Plague                                                             12                      …          …                 3            …                  …      2009        8

      Syphilis                                                      306 381                      …          …                63            …                  …      2009        8

      Typhoid fever                                                            q
                                                                     16 938                      …          …                 9            …                  …      2009        8

     Acute respiratory infections                                                                                                  c
17                                                                       …                       …          …            213 900           …                  …     2004-05      10

     - Among children under 5 years                                      …                       …          …                 …            …                  …




                                                                                                                     COUNTRY HEALTH INFORMATION PROFILES |                       79
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                              INDICATORS                                                                     DATA                                                  Year      Source

     Communicable and noncommunicable diseases                                    Number of new cases                            Number of deaths

                                                                        Total             Male          Female       Total               Male        Female

18   Diarrhoeal diseases                                                     …                   …          …                …              …             …

     - Among children under 5 years                                          …                   …          …                …              …             …

19   Tuberculosis

      - All forms                                                      975 821                   …          …                …              …             …         2008       9

      - New pulmonary tuberculosis (smear-positive)                    462 596                   …          …                …              …             …         2008       9

20   Cancers

      All cancers (malignant neoplasms only)                                                                                     c
                                                                      2740 000                   …          …       1885 500                …             …        2004-05     10

      - Breast                                                               …                   …          …                …              …         32 668       2004-05     10

      - Colon and rectum                                                                                                         c               c
                                                                             …                   …          …         85 719            52 397        33 322       2004-05     10

      - Cervix                                                                                              …                                         16 020       2004-05     10

      - Leukaemia                                                            …                   …          …                …              …             …

      - Lip, oral cavity and pharynx                                         …                   …          …                …              …             …

      - Liver                                                                                                                    c               c             c
                                                                             …                   …          …        314 266           235 446        78 820       2004-05     10

      - Oesophagus                                                                                                               c,d             c
                                                                             …                   …          …        185 319           134 055        51 265       2004-05     10

      - Stomach                                                                                                                  c               c             c
                                                                             …                   …          …        298 020           209 588        88 432       2004-05     10

      - Trachea, bronchus, and lung                                                                                              c               c             c
                                                                             …                   …          …        373 083           266 068       107 015       2004-05     10

21   Circulatory

      All circulatory system diseases                                        …                   …          …                …              …             …

      - Acute myocardial infarction                                          …                   …          …                …              …             …

      - Cerebrovascular diseases                                                                                                 c
                                                                     13 160 000                  …          …       1 895 800               …             …        2004-05     10

      - Hypertension                                                 73 100 000                  …          …                …              …             …        2004-05     10

      - Ischaemic heart disease                                                                                                  c
                                                                     23 140 000                  …          …       1 252 000               …             …        2004-05     10

      - Rheumatic fever and rheumatic heart diseases                         …                   …          …                …              …             …

22   Diabetes mellitus                                               13 360 000                  …          …                …              …             …        2004-05     10

23   Mental disorders                                                        …                   …          …                …              …             …

24   Injuries

      All types                                                                                                                  c
                                                                             …                   …          …        857 800                …             …        2004-05     10

      - Drowning                                                             …                   …          …                …              …             …

      - Homicide and violence                                                …                   …          …                …              …             …

      - Occupational injuries                                                …                   …          …                …              …             …

      - Road traffic accidents                                               …                   …          …                …              …             …

      - Suicide                                                              …                   …          …                …              …             …

     Leading causes of mortality and morbidity                                      Number of cases                     Rate per 100 000 population

25   Leading causes of morbidity (inpatient care)                       Total             Male          Female       Total               Male        Female

            1. Disease of the circulatory system                             …                   …          …        1370.00                …             …         2008       6

            2. Diseases of the respiratory system                            …                   …          …        1020.00                …             …         2008       6

            3. Diseases of the digestive system                              …                   …          …         910.00                …             …         2008       6

            4. Pregnancy, childbirth, and postpartum complications           …                   …          …         900.00                …             …         2008       6

            5. Injury and poisoning                                          …                   …          …         620.00                …             …         2008       6

            6. Cerebrovascular diseases                                      …                   …          …         410.00                …             …         2008       6

            7. Diseases of the genito-urinary system                         …                   …          …         390.00                …             …         2008       6

            8. Hypertension                                                  …                   …          …         320.00                …             …         2008       6

            9. Malignanant cancers                                           …                   …          …         290.00                …             …         2008       6

            10. Musculo-skeletal conditions                                  …                   …          …         270.00                …             …         2008       6

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                              INDICATORS                                                                   DATA                                                         Year   Source

                                                                                Number of deaths                          Rate per 100 000 population

26   Leading causes of mortality                                   Total               Male           Female           Total             Male             Female

          1. Malignant neoplasms                                                                                                   e             e                  e
                                                                        …                     …           …             166.97          204.00             129.22       2008     3

          2. Heart diseases                                                                                                        e             e                  e
                                                                        …                     …           …             121.00          123.45             118.49       2008     3

          3. Cerebrovascular diseases                                                                                              e             e                  e
                                                                        …                     …           …             120.79          127.78             113.66       2008     3

          4. Diseases of respiratory system                                                                                        e             e                  e
                                                                        …                     …           …              73.02           83.41              62.44       2008     3

          5. Injury and poisoning                                                                                                  e             e                  e
                                                                        …                     …           …              31.26           38.46              23.92       2008     3

          6. Endocrine, nutritional and metabolic disease                                                                          e             e                  e
                                                                        …                     …           …              21.09           18.72              23.51       2008     3

          7. Diseases of the digestive system                                                                                      e             e                  e
                                                                        …                     …           …              17.60           20.19              14.96       2008     3

          8. Disease of the genitourinary system                                                                                   e             e                  e
                                                                        …                     …           …               6.97            7.26               6.68       2008     3

          9. Disease of the nervous system                                                                                         e             e                  e
                                                                        …                     …           …               6.34            6.62               6.05       2008     3

          10. Mental disorders                                                                                                     e             e                  e
                                                                        …                     …           …               3.69            3.21               4.18       2008     3

     Maternal, child and infant diseases                                       Total                           Male                              Female
27   Percentage of women in the reproductive age group using                                                                                                89.60       2006     11
     modern contraceptive methods
28    Percentage of pregnant women immunized with tetanus toxoid                                                                                               …
     (TT2)
29   Percentage of pregnant women with anaemia                                                                                                              18.45       2006     12

     Neonatal mortality rate (per 1000 live births)                                               f
30                                                                                       10.20                                 …                               …        2008     3

31 Percentage of newborn infants weighing less than 2500 g at                             2.35                                 …                               …        2008     6
   birth
32 Immunization coverage for infants (%)

      - BCG                                                                              99.50                                 …                               …        2009     9

      - DTP3                                                                             99.27                                 …                               …        2009     9

      - Hepatitis B III                                                                  99.13                                 …                               …        2009     9

      - MCV2                                                                             97.76                                 …                               …        2009     9

      - POL3                                                                             99.30                                 …                               …        2009     9

                                                                                 Number of cases                                   Number of deaths

33   Maternal causes                                               Total               Male           Female           Total             Male             Female

      - Abortion                                                                                          …                                                    …

      - Eclampsia                                                                                                                                                   g
                                                                                                          …                                                   499       2008     3

      - Haemorrhage                                                                                                                                                 g
                                                                                                          …                                                  1852       2008     3

      - Obstructed labour                                                                                                                                           g
                                                                                                          …                                                   708       2008     3

      - Sepsis                                                                                            …                                                    …

34   Selected diseases under the WHO-EPI

      - Congenital rubella syndrome                                     …                     …           …                    …            …                  …

      - Diphtheria                                                         0                  0           0                    …            …                  …        2009     9

      - Measles                                                     52 461                    …           …                    …            …                  …        2009     9

      - Mumps                                                      299 329                    …           …                    …            …                  …        2009     9

      - Neonatal tetanus                                             1412                     …           …                    …            …                  …        2009     9

      - Pertussis (whooping cough)                                   1612                     …           …                    …            …                  …        2009     9

      - Poliomyelitis                                                      0                  0           0                    …            …                  …        2009     9

      - Rubella                                                     69 860                    …           …                    …            …                  …        2009     9

      - Total Tetanus                                                   …                     …           …                    …            …                  …

     Health facilities
                                                                                                                                                                    o
35 Facilities with HIV testing and counseling services                                                                                                       7335       2009     13




                                                                                                                      COUNTRY HEALTH INFORMATION PROFILES |                      81
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                                 INDICATORS                                                                                  DATA                                                       Year    Source

     Health facilities                                                                             Number                                       Number of beds

36   Health infrastructure

      Public health facilities      - General hospitals                                                             13 364                                        2 271 102             2009      3

                                    - Specialized hospitals                                                                  h                                                      h
                                                                                                                     6444                                          802 319              2009      3

                                    - District/first-level referral hospitals                                                i                                                      i
                                                                                                                   105 410                                        2 024 572             2009      3

                                    - Primary health care centres                                                            n                                                      n
                                                                                                                   186 759                                         161 833              2009      3

      Private health facilities     - Hospitals                                                                      3887                                          163 829              2008      3

                                    - Outpatient clinics                                                           126 089                                                    135       2008      3

     Health care financing

37   Total health expenditure

      - amount (in million US$)                                                                                                                                  209 290.00             2008p     19

      - total expenditure on health as % of GDP                                                                                                                          4.83           2008p     19

      - per capita total expenditure on health (in US$)                                                                                                             157.60              2008p     19

     Government expenditure on health

      - amount (in million US$)                                                                                                                                  104 470.00             2008p     19
      - general government expenditure on health as % of total                                                                                                        49.95             2008p     19
     expenditure on health
      - general government expenditure on health as % of total general                                                                                                11.60             2008p     19
     government expenditure
     External source of government health expenditure
      - external resources for health as % of general government                                                                                                         0.35           2008p     14
     expenditure on health
     Private health expenditure

      - private expenditure on health as % of total expenditure on health                                                                                             50.05             2008p     19
      - out-of-pocket expenditure on health as % of total expenditure on                                                                                              40.42             2008p     19
     health
      Exchange rate in US$ of local currency is: 1 US$ =                                                                                                                 6.95           2008p   14, 19

38   Health insurance coverage as % of total population                                                                                                                  87.4           2008      24

                      INDICATORS                                                                                   DATA                                                                 Year    Source
39   Human resources for health
                                                                                                      Female




                                                                                                                                                                    Private
                                                                                                                                                      Public
                                                                                                                     Urban




                                                                                                                                    Rural
                                                                        Total




                                                                                        Male




                                                                                    j
     Physicians                     - Number                       2435 901                    …               …         …                  …              …                   …        2009      3
                                    - Ratio per 1000                     1.83                  …               …         …                  …              …                   …        2009      3
                                    population
                                                                                    l
     Dentists                       - Number                          50 504                   …               …         …                  …              …                   …        2005      3
                                    - Ratio per 1000                     0.04       k
                                                                                               …               …         …                  …              …                   …        2005      3
                                    population
     Pharmacists                    - Number                         456 481                   …               …         …                  …              …                   …        2009      3
                                    - Ratio per 1000                     0.34                  …               …         …                  …              …                   …        2009      3
                                    population
     Nurses                         - Number                       2457 256                    …               …         …                  …              …                   …        2008      3
                                    - Ratio per 1000                     1.84                  …               …         …                  …              …                   …        2008      3
                                    population
     Midwives                       - Number                                    …              …               …         …                  …              …                   …
                                    - Ratio per 1000                            …              …               …         …                  …              …                   …
                                    population
     Paramedical staff              - Number                                    …              …               …         …                  …              …                   …
                                    - Ratio per 1000                            …              …               …         …                  …              …                   …
                                    population
     Community health workers       - Number                                    …              …               …         …                  …              …                   …
                                    - Ratio per 1000                            …              …               …         …                  …              …                   …
                                    population
40   Annual number of               Physicians                        409167        m
                                                                                               …               …         …                  …              …                   …        2008      3
     graduates
                                    Dentists                                    …              …               …         …                  …              …                   …

                                    Pharmacists                        40863                   …               …         …                  …              …                   …        2005      16


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                           INDICATORS                                                                                       DATA                                                           Year   Source




                                                                                               Female




                                                                                                                                                                            Private
                                                                                                                                                     Public
                                                                                                                   Urban




                                                                                                                                        Rural
                                                               Total




                                                                           Male
40   Annual number of             Nurses                     130426               …                      …             …                        …         …                           …    2005     16
     graduates
                                  Midwives                             …          …                      …             …                        …         …                           …

                                  Paramedical staff                    …          …                      …             …                        …         …                           …
                                  Community health                     …          ..                      ..               ..                   ..            ..                      ..
                                  workers
41   Workforce losses/            Physicians                           …          …                      …             …                        …         …                           …
     Attrition
                                  Dentists                             …          …                      …             …                        …         …                           …

                                  Pharmacists                          …          …                      …             …                        …         …                           …

                                  Nurses                               …          …                      …             …                        …         …                           …

                                  Midwives                             …          ..                      ..               ..                   ..            ..                      ..

                                  Paramedical staff                    …          …                      …             …                        …         …                           …
                               Community health                        …          ..                      ..               ..                   ..            ..                      ..
                               workers
                           INDICATORS                                                                                       DATA                                                           Year   Source

     Health-related Millennium Development Goals (MDGs)                                Total                                    Male                               Female

42   Prevalence of underweight children under five years of age                                         6.90                                    …                                     …    2005     5

     Infant mortality rate (per 1000 live births)                                                              h
43                                                                                                14.90                                         …                                     …    2008     3

     Under-five mortality rate (per 1000 live births)                                                          h
44                                                                                                18.50                                         …                                     …    2008     3

45   Proportion of 1 year-old children immunised against measles                                  98.62                                         …                                     …    2009     9

     Maternal mortality ratio (per 100 000 live births)                                                        h
46                                                                                                34.20                                                                                    2008     3

47   Proportion of births attended by skilled health personnel                                           …
    - Percentage of deliveries at home by skilled health personnel (as %                                 …
   of total deliveries)
    - Percentage of deliveries in health facilities (as % of total                                96.30                                                                                    2009     3
   deliveries)
48 Contraceptive prevalence rate                                                                  89.74                                         …                                     …    2007     15

49   Adolescent birth rate                                                                               …

50   Antenatal care coverage      - At least one visit                                            92.20                                                                                    2009     3

                                  - At least four visits                                                 …

51   Unmet need for family planning                                                                      …                                      …                                     …

52   HIV prevalence among population aged 15-24 years                                                    …                                      …                                     …

53   Estimated HIV prevalence in adults                                                                 0.06                                0.04                                 0.02      2009     13

54 Percentage of people with advanced HIV infection receiving                                     62.40                                         …                                     …    2009     13
   ART
55 Malaria incidence rate per 100 000 population                                                        1.06                                    …                                     …    2009     8

56   Malaria death rate per 100 000 population                                                          0.00                                    …                                     …    2009     8
57 Proportion of population in malaria-risk areas using effective                                        …                                      …                                     …
   malaria prevention measures
58 Proportion of population in malaria-risk areas using effective                               100.00                                  100.00                              100.00         2009     8
   malaria treatment measures
59   Tuberculosis prevalence rate per 100 000 population                                          88.00                                         …                                     …    2008     9

60   Tuberculosis death rate per 100 000 population                                               12.00                                         …                                     …    2008     9
61   Proportion of tuberculosis cases detected under directly                                     72.00                                         …                                     …    2008     9
     observed treatment short-course (DOTS)
62    Proportion of tuberculosis cases cured under directly observed                              94.00                                         …                                     …    2007     9
     treatment short-course (DOTS)
                                                                                       Total                                    Urban                              Rural

63 Proportion of population using an improved drinking water                                      89.00                                   98.00                               82.00        2008     17
   source
64 Proportion of population using an improved sanitation facility                                 55.00                                   58.00                               52.00        2008     17
65   Proportion of population with access to affordable essential
                                                                                                         …                                      …                                     …
     drugs on a sustainable basis



                                                                                                                                    COUNTRY HEALTH INFORMATION PROFILES |                           83
CHINA

Notes:
 … Data not available
 p    Provisional
 est Estimate
NR Not relevant
 a    Figure refers to 0-14 years
 b    Current market prices 2008 in Yuan
 c    The number of death is calculated according to the rates but not reported data.
 d    Totals may not tally due to some reported cases with no gender breakdown.
 e    Data refers to certain region (data from city, not county).
 f    Figure refers to Surveillance Region (per 1000 live births)
 g    Based on cause-specific death rates per 100,000, and 16.1 million livebirths in 2008 from registry of the Ministry of Public Security, and included correction for underreporting based
      on a yearly surveillance report. Amniotic flu embolism reported as obstructed labor.
 h    Figure include TCM hospitals and and other specialized hospitals
  i   Figure include health service centre for community, urban health centre and tonwhsip health centre
  j   Licensed doctors
 k    Computed by Health System Development team of WHO China Office.
  l   Revised data for registered dentists.
 m    Source of original data: Chinese Education Statistical Yearbook
 n    Figure include outpatient department, clinic MCH centre and specialised disease prevention and treatment institute.
 o    Figure includes mainly VCT sites established in CDC system or inside hospital.
 p    Figure refers to dengue fever
 q    Figure refers to paratyphoid
Sources:
 1    Government of China. [http://www.gov.cn/]
 2    Statistical Communique of the People’s Republic of China on the 2009 National Economic and Social Development. National Bureau of Statistics of China [http://www.stats.gov.cn/english/].
 3    Chinese Health Statistical Digest 2006, 2007, 2008, 2009, and online statistics Ministry of Health,
      http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohwsbwstjxxzx/s8208/201004/46556.htm
 4    World health report 2004. Changing history. Geneva, World Health Organization, 2004.
 5    Ministry of Foreign Affairs, UN system in China. China's Progress Towards the Millennium Development Goals, 2008 Report, page 25.
 6    China Statistical Yearbook 2009 . National Bureau of Statistics of China.
 7    Human Development Report 2009: Overcoming barriers: Human mobility and development. United National Development Programme. [http://hdr.undp.org/en/reports/global/hdr2009/]
 8    Ministry of Health of the People's Republic of China [http://www.moh.gov.cn/]
 9    WHO Regional Office for the Western Pacific, data received from technical units
 10 The 3rd National Cause-of-Death Survey, Centre for Health Statistics and Information, Ministry of Health of the People's People's Republic of China.
 11 Information furnished by National Population and Family Planning Commission of China, 2000-2006.
 12 Midterm Evaluation report on the Implementation of the National Programme of Action for Child Development in China (2001-2005), NWCCW.
 13 2010 UNGASS. This figure includes mainly VCT sites established in CDC system or inside Hospital.
 14 National health accounts: country information. Geneva, World Health Organization. Available from: http://www.who.int/nha/country/en/index.html.
 15 National Health Services Survey 2008. Center for Health Statistics and Information, Ministry of Health.
 16 China Health Personnel Report 2006
 17 Progress on Sanitation and Drinking Water: 2010 Update. World Health Organization and United Nations Children's Fund Joint Monitoring Programme for Water Supply and Sanitation (JMP).
      UNICEF, New York and WHO, Geneva, 2010. [http://www.wssinfo.org/en/welcome.html]
 18 2006 National sample survey of population and family planning
 19 China total expenditure on health report 2008.




84 |     COUNTRY HEALTH INFORMATION PROFILES

								
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