Afghanistan

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 26,088 (2006) Under-five mortality rate Causes of under-five deaths Causes of maternal deaths Coverage along the continuum of care
Deaths per 1000 live births Globally more than one third of child deaths are attributable to Regional estimates for Asia, 1997-2002
Total under-five population (000) 4,823 (2006) undernutrition
Malaria Injuries Causes of neonatal Unmet need for family planning (%) --- Abortion
Births (000) 1,272 (2006) 260
Contraceptive
Measles 1% 1% deaths 6%
250 Antenatal visits for woman (4 or more visits, %) --- Obstructed labor prevalence rate 10 Pre-pregnancy
Birth registration (%) 6 (2006) 257
Diarrhoea
6%
HIV/AIDS Diarrhoea 5%
Other 6% 9% Antenatal visit
Under-five mortality rate (per 1000 live births) 257 (2006) 200 19% 0% (1 or more) 16 Pregnancy
Congenital 7% Intermittent preventive treatment for malaria (%) ---
Tetanus 10% Hypertensive Haemorrhage
Infant mortality rate (per 1000 live births) 165 (2006) disorders Skilled attendant
150 31% at birth 14 Birth
Preterm 17% C-section rate (total, urban, rural; %) 9%
Neonatal mortality rate (per 1000 live births) 60 (2000) Other Neonatal (Minimum target is 5% and maximum target is 15%) ---, ---, ---
22% *Postnatal care Neonatal period
Total under-five deaths (000) 327 (2006) 100 26% Asphyxia 20% Sepsis/Infections,
87
Early initiation of breastfeeding (within 1 hr of birth, %) --- including AIDS Exclusive Infancy
Maternal mortality ratio (per 100,000 live births) 1,800 (2005) MDG Target breastfeeding
50 12%
8 (2005) Postnatal visit for baby (within 2 days for home births, %) --- Other causes Measles
Lifetime risk of maternal death (1 in N) Infection 36% Anaemia 68
0 Pneumonia 21%
Total maternal deaths 26,000 (2005) 25% 13%
1990 1995 2000 2005 2010 2015 0 20 40 60 80 100
Source: Lawn JE, Cousens SN
Source: UNICEF, 2006 Source: WHO, 2006 for CHERG (Nov 2006) Source: Khan, Khalid S., et al, Lancet 2006:367:1066-74 Source: DHS, MICS, Other NS
*See Annex for indicator definition

Antenatal care Skilled attendant at delivery Neonatal tetanus protection

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

NUTRITION skilled health provider during pregnancy

Stunting prevalence (moderate and severe, %) 59 (2004) Complementary feeding rate (6-9 months, %) 29 (2003) 100 100 100
88
Wasting prevalence (moderate and severe, %) 8 (2004) Low birthweight incidence (%) --- 80 80 80

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 vitamin A doses 37
40 40 40
At least one dose Two doses
96 95 16
100 100 20 20 12 14 20
84 84 86
78 95
80 80 70 85 91 0 0
2000 2003 2000 2003 1980 1985 1990 1995 2000 2006
60 60 76
67 MICS MICS MICS MICS
Percent

Percent
Source: WHO/UNICEF
No data 58
37
40 35 40

20 20 WATER AND SANITATION EQUITY

0
0 0
2000 2004 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
MICS Other NS
Source: UNICEF
Percent population using improved drinking water sources Percent population using improved sanitation facilities
*Based on 2006 WHO reference population Rural Urban Total Rural Urban Total
100 100
CHILD HEALTH
80 80
63
Immunization Malaria prevention Prevention of mother to child 60 60
49 No data

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 39
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 31 40 34
Percent of children immunised with 3 doses Hib 29
20 10 20
4 7 3
100 3 2
0 0
80 1990 2004 1990 2004
77
Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
68
60
Percent

No data No data
40 POLICIES SYSTEMS
20
Coverage gap (%) No data
International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 Substitutes Partial Ratio
1990 1995 2000 2005 2006 Per capita total expenditure on health (US$) 19 (2007) poorest/wealthiest
Source: WHO/UNICEF
New ORS formula and zinc for management of Difference
General government expenditure on health as
diarrhoea Partial poorest-wealthiest (%)
% of total government expenditure (%) 2 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics Yes Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 81 (2007)
IMCI adapted to cover newborns 0-1 week of age No
antibiotics
Density of health workers (per 1000 population) 0.4 (2001)
100 100 Costed implementation plan(s) for maternal,
newborn and child health available Yes Official Development Assistance to child health
80 80 per child (US$) 9 (2005)
Midwives be authorised to administer a core set of
60 60 life saving interventions Yes Official Development Assistance to maternal and
Afghanistan
Percent

Percent

48 neonatal health per live birth (US$) 8 (2005)

No data
40 40 Maternity protection in accordance with ILO
28 Convention 183 No National availability of Emergency Obstetric Care
20 20 services (% of recommended minimum) ---
Specific notification of maternal deaths No
0 0
2003
MICS
2003
MICS
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