Zimbabwe

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 13,228 (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) 1,703 (2006) undernutrition
Causes of neonatal
Unmet need for family planning (%) 13 (1999)
Births (000) 372 (2006) Obstructed labor Contraceptive
100 deaths Abortion 60 Pre-pregnancy
Birth registration (%) 42 (2006) 105 HIV/AIDS Tetanus 2% Antenatal visits for woman (4 or more visits, %) 64 (1999) Anaemia 4% 4% prevalence rate
41% Diarrhoea 2% 4% Antenatal visit
Under-five mortality rate (per 1000 live births) 105 (2006) 80 Other 7% (1 or more) 95 Pregnancy
Congenital 9% Intermittent preventive treatment for malaria (%) 6 (2005-2006)
76 Hypertensive Skilled attendant
Infant mortality rate (per 1000 live births) 68 (2006) Other disorders Haemorrhage 80 Birth
60 Infection 23% C-section rate (total, urban, rural; %) 34%
at birth
33 (2000) 0% 9%
Neonatal mortality rate (per 1000 live births) Neonatal (Minimum target is 5% and maximum target is 15%) 5,9,3 (2005-2006)
Malaria 28% *Postnatal care 30 Neonatal period
Total under-five deaths (000) 39 (2006) 40 Asphyxia 24% Sepsis/Infections,
25 0%
Injuries
Early initiation of breastfeeding (within 1 hr of birth, %) 69 (2005-2006) including AIDS Exclusive
22 Infancy
Maternal mortality ratio (per 100,000 live births) 880 (2005) 20 breastfeeding
1% 16%
43 (2005)
MDG Target
Measles Postnatal visit for baby (within 2 days for home births, %) --- Measles
Lifetime risk of maternal death (1 in N) Preterm 33% Other causes
90
0 3%
Diarrhoea Pneumonia
Total maternal deaths 3,400 (2005) 1990 1995 2000 2005 2010 2015 15% 30%
12%
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

95
Stunting prevalence (moderate and severe, %) 36 (2005-2006) Complementary feeding rate (6-9 months, %) 79 (2005-2006) 100 91 93 93 100 100
88
80 80
Wasting prevalence (moderate and severe, %) 7 (2005-2006) Low birthweight incidence (%) 11 (1999) 80 80 73 80
70 69

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 20 20 20
78 81
80 80 80 0 0
81
1988 1994 1997 1999 2005-2006 1988 1994 1999 2005-2006 1984 1989 1994 1999 2004 2006
60 60 60 DHS DHS Other NS DHS DHS DHS DHS DHS DHS
Percent

Percent

Percent
46 Source: WHO/UNICEF

40 40 32 40 20
20 12 14
20 11
22
20 WATER AND SANITATION EQUITY
8 20
0 0 0 0 0
0 0 0
1988 1999 2005-2006 1994 1999 2005-2006 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
DHS DHS DHS DHS DHS DHS
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
98
100 100 100
CHILD HEALTH 100
78 81
80 72 80 80
69 69
63
Immunization Malaria prevention Prevention of mother to child 60 60 50 53 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 42
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 40 40
Percent of children immunised with 3 doses Hib
20 20 20
100 90 100 20
17 0 0 0
80 90 80 16 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
13 Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 60 12 1994 1999 2006
Percent

Percent

Percent

8 2 2 DHS DHS DHS

40 40 8 POLICIES SYSTEMS
20 20 4
Coverage gap (%) 27 22 30
3 International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 0 Substitutes Yes Ratio
1990 1995 2000 2005 2006 2005-2006 2004 2005 2006 Per capita total expenditure on health (US$) 139 (2007) poorest/wealthiest 1.9 2.3 1.9
Source: WHO/UNICEF DHS Other NS Other NS Other NS
New ORS formula and zinc for management of Difference
General government expenditure on health as
diarrhoea Yes poorest-wealthiest (%) 16 15 19
% of total government expenditure (%) 9 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics No Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 26 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 0.9 (2004)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available Partial Official Development Assistance to child health
80
80 80 80 per child (US$) 7 (2005)
Midwives be authorised to administer a core set of
60 60 60 50
life saving interventions Yes Official Development Assistance to maternal and
Zimbabwe
Percent

Percent

Percent

42 neonatal health per live birth (US$) 18 (2005)

40 40 40 Maternity protection in accordance with ILO
Convention 183 No National availability of Emergency Obstetric Care
20 20 20 services (% of recommended minimum) ---
5 Specific notification of maternal deaths Yes
0 0 0
1994
DHS
1999
DHS
2005-2006
DHS
1999
DHS
Countdown to 2015
2008 Report