Congo DR

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 60,644 (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) 11,843 (2006) undernutrition
Measles Causes of neonatal
Unmet need for family planning (%) ---
Births (000) 3,026 (2006) Obstructed labor Contraceptive
200 Other 5% HIV/AIDS deaths Abortion 31 Pre-pregnancy
Birth registration (%) 34 (2006) 205 205 6% 4% Diarrhoea 3% Antenatal visits for woman (4 or more visits, %) --- Anaemia 4% 4% prevalence rate
Injuries Tetanus 5% 4% Antenatal visit
Malaria 68
Under-five mortality rate (per 1000 live births) 205 (2006) 160 17% 2%
Other 7%
Intermittent preventive treatment for malaria (%) --- (1 or more) Pregnancy
Congenital 7%
Hypertensive Skilled attendant
Infant mortality rate (per 1000 live births) 129 (2006) disorders Haemorrhage 61 Birth
120 Asphyxia 23% C-section rate (total, urban, rural; %) 34%
at birth
47 (2000) 9%
Neonatal mortality rate (per 1000 live births) Neonatal (Minimum target is 5% and maximum target is 15%) ---, ---, ---
68 26% *Postnatal care Neonatal period
Total under-five deaths (000) 620 (2006) 80 Sepsis/Infections,
Infection 27%
Early initiation of breastfeeding (within 1 hr of birth, %) --- including AIDS Exclusive
24 Infancy
Maternal mortality ratio (per 100,000 live births) 1,100 (2005) MDG Target Diarrhoea breastfeeding
40 18% 16%
13 (2005) Postnatal visit for baby (within 2 days for home births, %) --- Measles
Lifetime risk of maternal death (1 in N) Preterm 28% Other causes
73
0 Pneumonia
Total maternal deaths 32,000 (2005) 1990 1995 2000 2005 2010 2015 23% 30%
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, %) 44 (2001) Complementary feeding rate (6-9 months, %) 79 (2001) 100 100 100
Wasting prevalence (moderate and severe, %) 21 (2001) Low birthweight incidence (%) 12 (2000) 80 80 80
77
68
61
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
40 40 40
At least one dose Two doses
100 100 100 93 92 20 20 20
98 80 81
78
80 80 80 87 0 0
62
2001 2001 1984 1989 1994 1999 2004 2006
60 60 60 72 70 MICS MICS
Percent

Percent

Percent
Source: WHO/UNICEF

40 31 34 40 40
WATER AND SANITATION EQUITY
24 24
20 20 20 11
0 0 0
0 0 0
1995 2001 1995 2001 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
MICS MICS 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
100 100 100
CHILD HEALTH
90
82
80 80 80

Immunization Malaria prevention Prevention of mother to child 60 60 53 60

Percent

Percent

Percent
Percent of children immunised against measles 46
Percent of children immunised with 3 doses DPT
Percent children < 5 years sleeping under ITNs transmission of HIV 43 42
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 40 30 40
Percent of children immunised with 3 doses Hib 25 29
25
20 20 16 20
100 100 10 1
0 0 0
77
80 80 8 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 73 60 6 2001
Percent

Percent

Percent

4 MICS
40 40 4 POLICIES SYSTEMS
2
20 20 2
1 Coverage gap (%) 60
1 International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 0 Substitutes Yes Ratio
1990 1995 2000 2005 2006 2001 2004 2005 2006 Per capita total expenditure on health (US$) 15 (2007) poorest/wealthiest 1.6
Source: WHO/UNICEF MICS Other NS Other NS Other NS
New ORS formula and zinc for management of Difference
General government expenditure on health as
diarrhoea Yes poorest-wealthiest (%) 25
% of total government expenditure (%) 7 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics Yes Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 72 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 0.6 (2004)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available Yes Official Development Assistance to child health
80 80 80 per child (US$) 3 (2005)
Midwives be authorised to administer a core set of
60 60 52 60 life saving interventions Yes Official Development Assistance to maternal and
Congo DR
Percent

Percent

Percent

neonatal health per live birth (US$) 3 (2005)

40 40 40 36 Maternity protection in accordance with ILO
Convention 183 Partial National availability of Emergency Obstetric Care
20 17 20 20 services (% of recommended minimum) ---
Specific notification of maternal deaths Yes
0 0 0
2001
MICS
2001
MICS
2001
MICS
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2008 Report