Central African Republic

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 4,265 (2006) Under-five mortality rate Causes of under-five deaths Causes of maternal deaths Coverage along the continuum of care
Deaths per 1000 live births Globally more than one third of child deaths are attributable to Regional estimates for Africa, 1997-2002
Total under-five population (000) 668 (2006) undernutrition
Causes of neonatal
Unmet need for family planning (%) 16 (1994-1995)
Births (000) 157 (2006) Measles Injuries Obstructed labor Contraceptive
200 173 HIV/AIDS 7% 2% deaths Abortion 19 Pre-pregnancy
Birth registration (%) 49 (2006) 175 12% Other Diarrhoea 4% Antenatal visits for woman (4 or more visits, %) 40 (1994-1995) Anaemia 4% 4% prevalence rate
0% Other 6% 4% Antenatal visit
Under-five mortality rate (per 1000 live births) 175 (2006) 160 Congenital 6% (1 or more) 69 Pregnancy
Diarrhoea Tetanus 10% Intermittent preventive treatment for malaria (%) 9 (2006)
15% Hypertensive Skilled attendant
Infant mortality rate (per 1000 live births) 115 (2006) disorders Haemorrhage 53 Birth
120 Asphyxia 22% C-section rate (total, urban, rural; %) 34%
at birth
48 (2000) 9%
Neonatal mortality rate (per 1000 live births) Neonatal (Minimum target is 5% and maximum target is 15%) 2, 2, 2 (1994-1995)
27% *Postnatal care Neonatal period
Total under-five deaths (000) 27 (2006) 80 Sepsis/Infections,
58 Preterm 23% Early initiation of breastfeeding (within 1 hr of birth, %) 39 (2006) Exclusive
Malaria including AIDS 23 Infancy
Maternal mortality ratio (per 100,000 live births) 980 (2005) 40 MDG Target breastfeeding
19% 16%
25 (2005) Postnatal visit for baby (within 2 days for home births, %) --- Measles
Lifetime risk of maternal death (1 in N) Infection 29% Other causes
35
0
Total maternal deaths 1,500 (2005) 1990 1995 2000 2005 2010 2015 Pneumonia 30%
19% Source: Lawn JE, Cousens SN
0 20 40 60 80 100
Source: UNICEF, 2006 Source: WHO, 2006 for CHERG (Nov 2006) Source: Khan, Khalid S., et al, Lancet 2006:367:1066-74 Source: DHS, MICS, Other NS
*See Annex for indicator definition

Antenatal care Skilled attendant at delivery Neonatal tetanus protection

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

NUTRITION skilled health provider during pregnancy

Stunting prevalence (moderate and severe, %) 43 (2006) Complementary feeding rate (6-9 months, %) 55 (2006) 100 100 100
Wasting prevalence (moderate and severe, %) 12 (2006) Low birthweight incidence (%) 13 (2006) 80 80 80
67 69
62
53 52
Underweight prevalence Exclusive breastfeeding Vitamin A supplementation 60 60 60

Percent

Percent

Percent
46 44
Percent children < 5 years underweight for age* Percent infants < 6 months exclusively breastfed Percent children 6-59 months receiving vitamin A doses
40 40 40
At least one dose Two doses
100 100 100 90 20 20 20
100 100 84
79
80 80 80 90 0 0
1994-1995 2000 2006 1994-1995 2000 2006 1980 1985 1990 1995 2000 2006
60 60 60 DHS MICS MICS DHS MICS MICS
Percent

Percent

Percent
Source: WHO/UNICEF
66
40 40 40
24 23
20
22
20 17
20 WATER AND SANITATION EQUITY
3 2 3
0 0 0 0 0
0 0 0
2000 2006 1994-1995 2000 2006 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
MICS MICS DHS MICS MICS
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 93 100 100
CHILD HEALTH 74 75
80 80 80
61
Immunization Malaria prevention Prevention of mother to child 60 52 60 60

Percent

Percent

Percent
Percent of children immunised against measles 47
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 40 34 40
Percent of children immunised with 3 doses Hib 27
23
17
20 20 12 20
100 100 20 18
0 0 0
80 80 16 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
18
60 60 12 1995 2000 2006
Percent

Percent

Percent

40 DHS MICS MICS

40 40 8 7
7
POLICIES SYSTEMS
35 15
20 20 4 2 Coverage gap (%) 56 58 53
2 International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 0 Substitutes No Ratio
1990 1995 2000 20052006 2000 2006 2004 2005 2006 Per capita total expenditure on health (US$) 54 (2007) poorest/wealthiest 1.9 1.9 1.9
Source: WHO/UNICEF MICS MICS Other NS Other NS Other NS
New ORS formula and zinc for management of Difference
General government expenditure on health as
diarrhoea --- poorest-wealthiest (%) 34 33 30
% of total government expenditure (%) 11 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics No Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 60 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 0.5 (2004)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available Yes Official Development Assistance to child health
80 80 69 80 per child (US$) 7 (2005)
Midwives be authorised to administer a core set of
57
Central African Republic
60 60 60 life saving interventions Yes Official Development Assistance to maternal and
47 47
Percent

Percent

Percent

41
neonatal health per live birth (US$) 5 (2005)
39 Maternity protection in accordance with ILO
40 29 40 40 32 32
Convention 183 Partial National availability of Emergency Obstetric Care
20 20 20 services (% of recommended minimum) ---
Specific notification of maternal deaths No
0 0 0
1994-1995
DHS
2000
MICS
2006
MICS
2000
MICS
2006
MICS
1994-1995
DHS
2000
MICS
2006
MICS
Countdown to 2015
2008 Report