You are on page 1of 31

Part I

Health-related Millennium Development Goals

Summary of status and trends
With only five years remaining to 2015, there are signs of progress in many countries in achieving the health-related Millennium Development Goals (MDGs). In other countries, progress has been limited because of conflict, poor governance, economic or humanitarian crises, and lack of resources. The effects of the global food, energy, financial and economic crises on health are still unfolding, and action is needed to protect the health spending of governments and donors alike. Undernutrition is an underlying cause in about one third of all child deaths. Over the past year, rising food prices coupled with falling incomes have increased the risk of malnutrition, especially among children. Although the percentage of children under 5 years of age who are underweight (compared to the WHO Child Growth Standards3) declined globally from 25% in 1990 to 18% in 2005, subsequent progress has been uneven. In some countries, the prevalence of undernutrition has increased, and worldwide stunted growth still affected about 186 million children under 5 years of age in 2005. Globally, child mortality continues to fall. In 2008, the total annual number of deaths in children under 5 years old fell to 8.8 million – down by 30% from the 12.4 million estimated in 1990. Mortality in children under 5 years old in 2008 was estimated at 65 per 1000 live births, which is a 27% reduction from 90 per 1000 live births in 1990 (Figure 1). Recent encouraging trends also indicate an acceleration of the rate of decline in all regions since 2000 (Table 1).

Table 1: Average annual rate of decline (%) in mortality in children under 5 years old – 1990–1999 and 2000–2008
WHO region African Region Region of the Americas South-East Asia Region European Region Eastern Mediterranean Region Western Pacific Region GLOBAL 1990–1999 0.9 4.2 2.5 3.6 1.5 2.5 1.2 2000–2008 1.8 4.6 3.8 5.6 1.7 5.7 2.3

3

WHO Child Growth Standards. Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. WHO Multicentre Growth Reference Study Group. Geneva, World Health Organization, 2006, page 312. www.who.int/childgrowth/publications/en/

12

Despite these encouraging trends, regional and national averages mask considerable inequities. The greatest reductions in child mortality have been recorded among the wealthiest households and in urban areas. Concerted efforts will be needed to achieve the MDG target of a 67% reduction from 1990 levels by the year 2015, especially in countries facing economic crises or conflicts. Low-income countries would need to increase their annual average rate of decline from 1.9% to 10.9% in order to achieve the target. Reducing child mortality increasingly depends upon tackling neonatal mortality; globally about 40% of deaths in children under 5 years old are estimated to occur in the first month of life; most in the first week.

Figure 1: Mortality rate in children under 5 years old by WHO region
200 1990 180 Probability of dying by age 5 per 1000 live births 160 140 120 100 80 60 40 20 0 AFR AMR SEAR EUR EMR WPR 2008 Global, 1990 Global, 2008

There have been increases in the coverage of relatively new child health interventions, such as the use of insecticide-treated nets to prevent malaria; efforts to prevent the mother-to-child transmission of HIV; and vaccination against hepatitis B and Haemophilus influenzae type B pneumonia. Gradual progress can also be recorded for several established interventions such as micronutrient supplementation, while the global coverage of measles immunization increased from 73% to 83% between 1990 and 2008 (Figure 2).

13

Further analysis of the estimates indicated that between 1990 and 2005. In fact. UNICEF. compared with only 27 per 100 000 in the WHO European Region.who. Target 5. the coverage of critical interventions such as oral rehydration therapy (ORT) for diarrhoea and case management with antibiotics for acute respiratory infections (ARIs) remains inadequate. World Health Organization. Maternal mortality is the health indicator that shows the widest gaps between richer and poorer. especially in low-income countries.4%. 4 5 Maternal mortality in 2005: Estimates developed by WHO. UNFPA and The World Bank.Figure 2: Measles immunization coverage among 1-year-olds by WHO region 100 90 80 70 60 50 40 30 20 10 0 AFR AMR SEAR EUR EMR WPR GLOBAL Percentage 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Despite these gains. 14 2008 . between 1990 and 2015. According to estimates made for the year 2005. where there were 900 maternal deaths per 100 000 live births. half of all maternal deaths occurred in the WHO African Region and another third in the WHO South-East Asia Region.4 half a million women – most of them in developing countries – die each year of complications during pregnancy or childbirth. www. both between and within countries.int/whosis/mme_2005.pdf MDG 5.5% annual decline in maternal mortality necessary to attain the relevant MDG target. the maternal mortality ratio. As a result. The risk of death was highest in the WHO African Region. Geneva. the WHO European Region and the WHO Western Pacific Region showed annual declines of only around 2. There appeared to be stagnation or even a possible worsening of the situation in both the WHO African Region and the WHO Eastern Mediterranean Region.A: Reduce by three quarters. no WHO region achieved the 5.5 The WHO South-East Asia Region. 2007. diarrhoea and pneumonia still kill almost 3 million children under 5 years old each year.

childbirth and the postpartum period. less than half of all pregnant women in the world receive the WHO-recommended minimum of four antenatal visits. The proportion of births attended by a skilled health worker has increased globally. For example. there remains a continuing unmet need for family planning. Levels of adolescent fertility over the period of 2000–2007 were at 47 births per 1000 women aged 15–19 years globally. United Nations. New York. and iron and folate supplementation – the latter being particularly important in low-income and middle-income countries where micronutrient deficiencies are common. and were 6 7 Defined here as: the proportion of women. the detection and management of eclampsia. This includes emergency obstetric care for the management of complications. aged 15–49 years. married or in union. 1990–1999 Global. Contraceptive prevalence6 in developing countries increased from 50% in 1990 to 62% in 2005. Despite this. However. 2009.org/millenniumgoals/pdf/MDG%20Report%202009%20ENG. with particularly pronounced improvements in the WHO Eastern Mediterranean Region (Figure 3).7 Despite this. Potential improvements include the prevention and management of HIV infection and malaria. using any method of contraception. there was no improvement at all in the WHO African Region.pdf Percentage 15 . The Millennium Development Goals report 2009. In both the WHO African Region and the WHO South-East Asia Region.un. Figure 3: Births attended by skilled health personnel by WHO region and country-income group 100 90 80 70 60 50 40 30 20 10 0 AFR AMR SEAR EUR EMR WPR Low income Lower middle income Upper middle income High income 1990–1999 2000–2008 Global. 2000–2008 Antenatal care offers multiple opportunities to improve the health of women. data available during 2000–2008 indicates that in the WHO African Region 24% of women wanting to delay or stop childbearing were not using a family-planning method. less than 50% of women received skilled care during childbirth. www.Interventions to reduce the levels of maternal mortality include ensuring that all pregnant women have access to family-planning services as well as skilled care during pregnancy.

to successful HIV-prevention efforts. Multidrug-resistant TB and HIV-associated TB pose considerable challenges. indications8 that 9 African countries and 29 countries outside Africa are on course to meet the MDG target9 for reducing the malaria burden. Target 6.11 New HIV infections have been reduced by 16% globally between 2000 and 2008. World Health Organization. World Health Organization.13 There are.html MDG 6. In 2008. mostly of children under 5 years old. www. No distinction is made between DOTS and non-DOTS programmes because by 2007 more than 99% of notified cases were reported to WHO as treated in a DOTS programme. treatment success remains low at 67% in 2007. at least in part. www.int/tb/publications/global_report Global tuberculosis control: a short update to the 2009 report. Global tuberculosis control: a short update to the 2009 report. This represents a coverage of 45% – an increase of 10% compared with 2007. striking regional variations.who. The procurement of antimalarial medicines through public health services increased. Geneva.unaids. it was estimated that 2. the rate increased from 50% in 2000 to 88% in 2007. In the WHO South-East Asia Region. UNICEF.who.7 million people were newly infected with HIV (Figure 5) and there were 2 million HIV/AIDS-related deaths. with 27 countries accounting for 85% of the total. while in the WHO European Region (where HIV prevalence among adults was much lower) 94% of pregnant women in need in low-income and middle-income countries had access to treatment. In 2008. WHO. Factors that contribute to continuing unmet need for family planning include a lack of decision-making power among women and a shortage of appropriate health services. there were an estimated 243 million cases of malaria causing 863 000 deaths. 8 9 10 11 12 13 World malaria report 2009. the estimated case-detection rate10 for new smear-positive TB cases increased from 40% in 2000 to 62% in 2008. In the WHO African Region (where HIV prevalence among adults was the highest) only 45% of pregnant women in need in low-income and middle-income countries received treatment.who. 2009. Geneva.4 million HIV-positive pregnant women.int/malaria/world_malaria_report_2009/en/index.asp Towards universal access.particularly high in the WHO African Region at 118 births for every 1000 adolescent girls – about ten times the average in the WHO Western Pacific Region. of the 1. Joint United Nations Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO). UNAIDS. there were an estimated 0. however. Data on treatment-success rates for new smear-positive TB cases indicate consistent improvements with the global rate rising from 69% in 2000 to 86% in 2007 (Figure 4). due. especially for adolescent girls.C: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases. World Health Organization. while case-detection rate for new smear-positive cases increased. Scaling up priority HIV/AIDS interventions in the health sector: Progress report 2009. The prevalence of all TB cases is falling along with mortality rates among HIV-negative TB cases. In 2008. more than 628 000 received antiretroviral therapy (ART) to prevent the transmission of HIV to their children.8 Despite increases in the supply of insecticide-treated nets. 2009. 2009. treatment and care have continued to expand. but access to treatment (especially artemisininbased combination therapy) was inadequate in all countries surveyed in 2007 and 2008. however. Globally. partly attributable to a high burden of multidrug-resistant TB.int/hiv/pub/2009progressreport/en/ 16 .5 million new cases of multidrug-resistant TB in 2007. www. Latest estimates indicate that the incidence rate of tuberculosis (TB) continued to slowly decline.org/en/KnowledgeCentre/HIVData/EpiUpdate/EpiUpdArchive/2009/default. Geneva. While there were some improvements in the WHO African Region. Geneva. There are. less than 50% of TB cases were reported in this region in 2008. their availability in that year was far below the level of need almost everywhere. 2009. reaching an estimated 140 per 100 000 population in 2008. 2009. Geneva. AIDS epidemic update: December 2009. www. Globally. In the WHO European Region.12 The availability and coverage of priority health-sector interventions for HIV prevention.

2000 Global. 2007 2000 2007 Figure 5: Adults and children newly infected with HIV in 2008 by WHO region Percentage WHO regional boundaries International boundaries Estimated new HIV infection (all ages) by WHO region (000s) EMR (61) WPR (130) EUR (140) SEAR (200) AMR (240) AFR (1900) Data not available 17 .Figure 4: Treatment-success rate among new smear-positive tuberculosis cases by WHO region 100 90 80 70 60 50 40 30 20 10 0 AFR AMR SEAR EUR EMR WPR Global.

13 Coverage was lowest in the WHO Eastern Mediterranean Region (where only one in every 10 people needing ART received it) and highest in the WHO Region of the Americas (where one out of two who needed therapy received it). More than 1000 million people are affected by neglected tropical diseases. This represents a 10-fold expansion in five years. with the greatest growth occurring in subSaharan Africa. 1990 Global. In 2008. more than 4 million people in low-income and middleincome countries were receiving ART – an increase of more than 1 million compared with the end of 2007. the proportion of people without sustainable access to safe drinking-water and basic sanitation. Percentage 18 . 2008 1990 2008 14 15 See Part II. In the WHO African Region.2 million in 1985.5 million. The situation in the WHO Eastern Mediterranean Region appears to have stalled. Nonetheless. more than 5 million of the estimated 9. 496 million people were treated for lymphatic filariasis out of the 695 million targeted. At the beginning of 2009. and an annual rate of increase of 1.C: Halve. there were a reported 213 036 cases of leprosy – down from 5. Table 5.6% is needed to Figure 6: Population using improved drinking-water sources by WHO region and country-income group 100 90 80 70 60 50 40 30 20 10 0 AFR AMR SEAR EUR EMR WPR Low income Lower middle income Upper middle income High income Global. it remained well short of the 68% needed in that year to remain on course for achieving the MDG target. The percentage of the world’s population using “improved” drinking-water sources14 increased from 77% to 87% between 1990 and 2008 (Figure 6). only 4619 cases of dracunculiasis were reported – in the mid-1980s the estimated number of cases was 3. Risk factors. In 2008. however. while the percentage increased from 50% in 1990 to 61% in 2008. As many as 190 130 cases of cholera were reported in 2008 – up from 177 963 in 2007. This rate of improvement is sufficient to achieve the relevant MDG target15 globally.It is estimated that by the end of 2008. Target 7. by 2015. MDG 7.5 million people in low-income and middle-income countries needing ART were still without access to treatment. footnotes 20 and 22 for a full explanation of this term.

Risk factors. In 2008. generic medicines cost on average 630% more 16 See Part II. hepatitis and cholera). the annual rate of increase needs to double in order to reach the target. Figure 7: Population using improved sanitation facilities by WHO region and country-income group 100 1990 90 80 70 60 50 40 30 20 10 0 AFR AMR SEAR EUR EMR WPR Low income Lower middle income Upper middle income High income 2008 Global. the availability of medicines at public-health facilities is often poor. and concerted efforts are also needed to narrow the gap in coverage between urban and rural areas. In 2008. Percentage 19 . In the WHO South-East Asia Region. 2600 million people were not using “improved” sanitation facilities. The situation was most severe in the WHO African Region. Lack of medicines in the public sector forces patients to purchase medicines privately. 2008 Although nearly all countries publish an essential medicines list.16 and of these 1100 million were defecating in the open. In low-income countries. the coverage increased from 26% to 40% – still short of the MDG target.achieve the MDG target by 2015. resulting in high levels of environmental contamination and exposure to the risks of worm infestations (such as schistosomiasis) and microbial infections (such as trachoma. 6% of the population were not using improved sanitation facilities in 2008 (Figure 7). In the private sector. In the WHO European Region. Surveys conducted in approximately 30 low-income countries indicate that the availability of selected generic medicines at health facilities was only 44% in the public sector and 66% in the private sector. and well in excess of this figure in the WHO Region of the Americas and the WHO European Region. 1990 Global. the coverage was 90% in the WHO Western Pacific Region. footnotes 21 and 22 for a full explanation of this term. where the percentage of the population using improved sanitation facilities increased very slowly: from 30% in 1990 to 34% in 2008. Table 5.

People in need cannot access the required services or continue treatment if financial barriers remain high. the quality of such reporting depends critically upon the quality of country health information and statistical systems – which in many settings are weak. Geneva. Continuing political momentum and sustained and predictable funding will be needed to strengthen human resources for health. Tackling risk factors such as tobacco use. 17 The global burden of disease: 2004 update. Countries need to increase prevention efforts and improve access to services such as early detection and trauma care. 2008. Common treatment regimens can cost a low-paid government worker in the developing world several days’ wages. Efforts are now under way to strengthen surveillance systems for noncommunicable diseases. Stronger health systems will be central to continued progress towards the achievement of the MDGs. World Health Organization. and promote the rational use of medicines. www.than their international reference price. mortality by cause. unhealthy diets. sensory and mental disorders and violence. particularly with regard to differentials between and within countries. In addition.html 20 . physical inactivity and the harmful use of alcohol (while also dealing with the socioeconomic impact of cardiovascular diseases. WHO will continue to report on the most-recent estimates of health-related statistics. ensure better infection control in clinical settings. Noncommunicable diseases and injuries caused an estimated 33 million deaths in developing countries in 200417 and will account for a growing proportion of total deaths in the future. There is therefore a need for international commitment to support country efforts to enhance the availability and quality of data on the MDGs and other indicators. cancers. However.int/healthinfo/global_burden_disease/2004_report_update/en/index. The health of individuals will also be undermined in the longer term by chronic conditions. Better information and intelligence will also be essential in monitoring progress towards the MDGs and related goals and targets. chronic respiratory diseases and diabetes) will depend not only upon effective healthcare services but also upon actions taken in a variety of policy domains. health-system indicators and coverage of key interventions. provide access to diagnosis through national laboratory networks. improve service availability and quality. the financial and economic crisis has highlighted the urgent need to increase the coverage of social health protection. including through the identification of core indicators and the use of standardized methods of data collection on risk factors and determinants. Putting in place and sufficiently resourcing stronger health surveillance systems will be critical. disease incidence. while originator brands are generally even more expensive.who.

data have been available since the baseline year of 1990. Depending on the availability of data for each indicator. countries are sorted within the relevant WHO region by the level of the indicator at the latest available year. and population using improved sanitation – the charts show data for the latest available year. contraceptive prevalence. births attended by skilled health personnel. trends since 1990 (or since the first year for which data are available). For most countries. prevalence of HIV among adults aged 15– 49 years. Countries with no data. children aged <5 years sleeping under insecticide-treated nets. For each indicator. Further details can be found in the country tables as indicated in each chart. unmet need for family planning. Chart type III For eleven indicators – maternal mortality ratio. and children aged <5 years with fever who received treatment with any antimalarial – the charts show only data for the latest available year. are included at the end of each regional list. and the overall trend required for the country to achieve the relevant MDG by 2015. antiretroviral therapy coverage among people with advanced HIV infection. and country trends since the year for which data were first available. there are three types of chart: Chart type I For three indicators – under-five mortality rate. males aged 15–24 years with comprehensive correct knowledge of HIV/AIDS. antenatal care coverage.The following charts provide country-by-country and regional summaries of progress for key MDG indicators for which data are available for most countries. measles immunization coverage among 1-year-olds. or for which a particular indicator is not relevant. 21 . malaria mortality rate. adolescent fertility rate. population using improved drinking-water sources. and tuberculosis mortality rate among HIV-negative people – the charts show data for the latest available year. females aged 15–24 years with comprehensive correct knowledge of HIV/AIDS. Chart type II For five indicators – children aged <5 years underweight.

.

6 38.2 4.8 40.8 37.9 … … … … … … … … … … … … Germany Belarus Bosnia and Herzegovina Bulgaria Serbia The former Yugoslav Republic of Macedonia 1.1 25.9 39.6 16.1.8 32.9 43.9 34.6 10.3 31.9 28.1 14.7 3.9 15.2 5.3 4.6 8.5 18.8 25.5 Monaco Netherlands Norway Poland Portugal Russian Federation San Marino Slovakia Slovenia Spain Sweden Switzerland Turkmenistan United Kingdom Key Country trend 1990 Latest available This chart shows the percentage of children under 5 years old who are underweight in each country.6 41.4 14.8 7.8 13.4 4.0 6.8 11.6 16.0 12.7 29.5 4.2 2.5 15.3 6.6 36.1 8.5 16.8 1.6 21.1 20. Within each WHO region.8 21.3 5.5 1.0 26.9 4.8 10.8 17.3 3.7 32. Regional averages are not available at this time.6 10.2 17.1 … … … … … … Czech Republic Montenegro Georgia Kyrgyzstan Republic of Moldova Romania Turkey Ukraine Armenia Uzbekistan Kazakhstan Albania Azerbaijan Tajikistan Andorra Austria Belgium Croatia Cyprus Denmark Estonia Finland France Greece Hungary Iceland Ireland Israel Italy Latvia Lithuania Luxembourg Malta Cuba Panama Bolivia (Plurinational State of) Nicaragua Trinidad and Tobago Belize Colombia Peru Uruguay El Salvador Ecuador Honduras Guyana Guatemala Haiti Antigua and Barbuda Bahamas Barbados Canada Costa Rica Dominica Grenada Paraguay Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Tuvalu Singapore Mongolia China Solomon Islands Papua New Guinea Viet Nam Philippines Cambodia Lao People's Democratic Republic Australia Brunei Darussalam Cook Islands Fiji Japan Kiribati Malaysia Marshall Islands Micronesia (Federated States of) Nauru New Zealand Niue Palau Republic of Korea Samoa Tonga Vanuatu 1.3 4.2 2.4 16.4 3.0 19.1 5.5 34.9 3.6 31.1 9.9 10.2 2.8 2.7 28.4 4.3 21.0 14.6 1.6 20.2 21.5 27.9 5.6 1.2 33.5 14.1 1.5 20. Further details can be found in Part II. Children aged <5 years underweight (%) Algeria Swaziland Gabon Equatorial Guinea Botswana Congo Sao Tome and Principe Zimbabwe Ghana Senegal Zambia Malawi Gambia Uganda Kenya Cameroon Lesotho Côte d'Ivoire Mauritania United Republic of Tanzania Guinea-Bissau Namibia Rwanda Benin Liberia Togo Guinea Mozambique Sierra Leone Central African Republic Comoros Nigeria Angola Mali Democratic Republic of the Congo 3.4 3.8 31.4 38.2 3.5 18.0 20.3 43.2 8.9 6. 23 .7 27.7 17.9 … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … Tunisia Jordan Lebanon Saudi Arabia Libyan Arab Jamahiriya Egypt Iraq Morocco Syrian Arab Republic Djibouti Pakistan Sudan Somalia Afghanistan Yemen Bahrain Iran (Islamic Republic of) Kuwait Oman Qatar United Arab Emirates 3. Table 5.7 16.9 … … … … Chile United States of America Brazil Jamaica Argentina Dominican Republic Mexico Venezuela (Bolivarian Republic of) 0.3 14.0 29.7 3.3 1.2 20.3 3.6 4.6 … … … … … … … … … … … … … … … … … Chad Eritrea Ethiopia Madagascar Burkina Faso Burundi Niger Cape Verde Mauritius Seychelles South Africa Thailand Bhutan Indonesia Democratic People's Republic of Korea Sri Lanka Maldives Myanmar Nepal Timor-Leste Bangladesh India 7.6 6.3 2. countries are sorted by the latest available data since 2000.7 6.4 20.6 3.3 2.7 18.7 11.5 3.1 6.3 5.7 16.1 2.1 4.8 16.2 20.4 6.

The bold lines indicate trends since 1990 or since the first year for which data are available. Further details can be found in Part II. Under-five mortality rate (probability of dying by age 5 per 1000 live births) Seychelles Mauritius Cape Verde Botswana Algeria Namibia Eritrea South Africa Ghana Gabon Lesotho Swaziland Zimbabwe Sao Tome and Principe Togo Malawi United Republic of Tanzania Comoros Gambia Madagascar Senegal Ethiopia Rwanda Côte d'Ivoire Mauritania Benin Congo Kenya Mozambique Cameroon Uganda Regional average Liberia Guinea Equatorial Guinea Zambia Niger Burundi Burkina Faso Central African Republic Nigeria Mali Sierra Leone Guinea-Bissau Democratic Republic of the Congo 11 16 29 31 41 42 58 67 76 77 79 83 96 97 98 100 103 105 106 106 108 109 112 114 118 121 127 128 130 131 135 144 146 147 148 167 168 169 173 186 194 194 195 199 209 220 Regional average 142 Canada Cuba United States of America Chile Dominica Barbados Costa Rica Antigua and Barbuda Bahamas Saint Vincent and the Grenadines Argentina Grenada Saint Kitts and Nevis Saint Lucia Uruguay Mexico El Salvador Venezuela (Bolivarian Republic of) 6 6 8 9 10 11 11 12 13 13 15 15 15 15 16 17 18 18 19 20 22 23 24 25 27 27 28 31 31 33 34 35 54 61 72 18 San Marino Finland Greece Iceland Luxembourg Norway Slovenia Sweden Andorra Austria Cyprus Czech Republic Denmark France Germany Italy Monaco Portugal Spain Belgium Croatia Ireland Israel Netherlands Switzerland Estonia United Kingdom Hungary Lithuania Malta Poland Slovakia Serbia Latvia Montenegro Bulgaria Russian Federation The former Yugoslav Republic of Macedonia 2 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 6 6 7 7 7 7 7 8 9 9 11 11 11 13 13 14 15 15 17 22 23 30 30 36 38 38 48 64 14 Regional average Regional average Qatar United Arab Emirates Kuwait Bahrain Oman Lebanon Syrian Arab Republic Libyan Arab Jamahiriya Jordan Saudi Arabia Tunisia Egypt Iran (Islamic Republic of) Morocco Iraq Yemen Pakistan Djibouti Sudan Somalia Afghanistan 8 8 11 12 12 13 16 17 20 21 21 23 32 36 45 69 89 95 109 200 257 78 Regional average Belize Colombia Brazil Panama Peru Ecuador Nicaragua Suriname Paraguay Honduras Jamaica Japan Singapore Australia Republic of Korea Malaysia New Zealand Brunei Darussalam Viet Nam Cook Islands Palau Fiji Tonga China Samoa Niue Philippines Vanuatu Marshall Islands Solomon Islands Tuvalu Micronesia (Federated States of) Mongolia Nauru Kiribati Lao People's Democratic Republic Papua New Guinea Cambodia 3 3 5 5 6 6 7 14 15 15 18 19 21 26 28 32 33 36 36 36 39 41 45 48 61 69 89 21 Dominican Republic Guatemala Trinidad and Tobago Bolivia (Plurinational State of) Guyana Haiti Belarus Thailand Sri Lanka Maldives Indonesia Nepal Bangladesh Democratic People's Republic of Korea India Bhutan Timor-Leste Myanmar 14 17 28 41 51 54 55 69 81 93 122 63 Regional average Romania Albania Bosnia and Herzegovina Ukraine Republic of Moldova Turkey Armenia Georgia Kazakhstan Azerbaijan Kyrgyzstan Uzbekistan Chad Angola Key 1990 Country trend Latest available MDG target 2015 Turkmenistan Tajikistan This chart shows estimated under-five mortality for 2008. Table 1.2. with countries within each WHO region sorted by level. 24 . The thin lines indicate the projected trend needed to reduce by two thirds the under-five mortality rate by 2015.

3. Table 4. Measles immunization coverage among 1-year-olds (%) Seychelles Mauritius Cape Verde Eritrea Swaziland Botswana Sao Tome and Principe Rwanda Gambia Kenya Algeria Malawi United Republic of Tanzania Ghana Lesotho Zambia Burundi Madagascar Cameroon Niger Angola Congo Mozambique 99 98 96 95 95 94 93 92 91 90 88 88 88 86 85 85 84 81 80 80 79 79 77 77 77 76 76 75 74 73 68 68 67 66 65 64 64 63 62 62 62 61 60 55 51 23 73 Antigua and Barbuda Argentina Brazil Cuba Dominica Grenada Nicaragua Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Belize Guatemala Mexico El Salvador Guyana Honduras Uruguay Regional average Canada Barbados Chile Colombia United States of America Costa Rica Trinidad and Tobago Bahamas Peru Jamaica Bolivia (Plurinational State of) Suriname Panama Venezuela (Bolivarian Republic of) 99 99 99 99 99 99 99 99 99 99 96 96 96 95 95 95 95 94 92 92 92 92 91 91 90 90 88 86 86 85 82 79 77 66 58 Regional average 93 Belarus Greece Hungary Kazakhstan Kyrgyzstan Monaco Russian Federation Slovakia Turkmenistan Albania Andorra Poland Spain The former Yugoslav Republic of Macedonia 99 99 99 99 99 99 99 99 99 98 98 98 98 98 98 97 97 97 97 97 97 97 96 96 96 96 96 96 96 96 95 95 94 94 94 94 93 93 92 91 89 89 89 87 87 87 86 86 84 84 83 78 73 66 Bahrain Kuwait Oman Iran (Islamic Republic of) Libyan Arab Jamahiriya Tunisia Saudi Arabia Morocco Jordan Egypt Qatar United Arab Emirates Regional average Pakistan 99 99 99 98 98 98 97 96 95 92 92 92 85 81 79 75 73 69 62 53 24 83 Syrian Arab Republic Sudan Afghanistan Djibouti Iraq Yemen Lebanon Somalia Uzbekistan Czech Republic Finland Latvia Lithuania Portugal Romania Turkey Bulgaria Croatia Georgia Iceland Luxembourg Netherlands Slovenia Sweden Estonia Germany Armenia Republic of Moldova Ukraine Belgium Norway Serbia Italy Senegal Togo Comoros Guinea-Bissau Burkina Faso Ethiopia Regional average Namibia Mali Uganda Democratic Republic of the Congo Nauru Niue Tonga Brunei Darussalam Japan Mongolia Palau Cook Islands Malaysia Singapore Australia China Fiji Marshall Islands Regional average Micronesia (Federated States of) Philippines Republic of Korea Viet Nam Cambodia New Zealand Kiribati Vanuatu Solomon Islands Papua New Guinea Lao People's Democratic Republic Samoa Tuvalu 99 99 99 97 97 97 97 95 95 95 94 94 94 94 93 92 92 92 92 89 86 72 65 60 54 52 45 93 Dominican Republic Paraguay Ecuador Haiti Zimbabwe Mauritania Guinea Liberia Côte d'Ivoire Central African Republic Nigeria South Africa Benin Sierra Leone Gabon Equatorial Guinea Chad Bhutan Democratic People's Republic of Korea Sri Lanka Thailand Maldives Bangladesh Indonesia Myanmar Regional average Nepal Timor-Leste India 99 98 98 98 97 89 83 82 79 73 70 75 Denmark Ireland Montenegro Cyprus France Switzerland Tajikistan United Kingdom Bosnia and Herzegovina Israel Austria Malta Key Country trend 1990 Latest available San Marino Azerbaijan This chart shows the percentage of 1-year-olds fully immunized against measles. Further details can be found in Part II. with countries within each WHO region sorted by 2008 level. 25 .

Table 2. 26 . Maternal mortality ratio (per 100 000 live births) Mauritius Algeria Cape Verde Namibia Botswana Swaziland Comoros South Africa Eritrea Madagascar Togo Gabon Mozambique Uganda Ghana Kenya Equatorial Guinea Gambia Burkina Faso Ethiopia Congo Côte d'Ivoire Mauritania Zambia Benin Regional average Zimbabwe Guinea United Republic of Tanzania Lesotho Mali Central African Republic Senegal 15 180 210 210 380 390 400 400 450 510 510 520 520 550 560 560 680 690 700 720 740 810 820 830 840 880 910 950 960 970 980 980 900 Regional average Canada United States of America Bahamas Barbados Chile Uruguay Costa Rica Cuba Trinidad and Tobago Belize Venezuela (Bolivarian Republic of) 7 11 16 16 16 20 30 45 45 52 57 60 72 77 99 Ireland Bosnia and Herzegovina Denmark Greece Italy Sweden Austria Czech Republic Germany Iceland Israel Spain Switzerland Hungary Netherlands Slovakia Slovenia Croatia Finland Norway Belgium France Malta Poland United Kingdom 1 3 3 3 3 3 4 4 4 4 4 4 5 6 6 6 6 7 7 7 8 8 8 8 8 Regional average Kuwait Qatar Saudi Arabia Bahrain United Arab Emirates Jordan Oman Libyan Arab Jamahiriya Tunisia Egypt Syrian Arab Republic Iran (Islamic Republic of) Lebanon Morocco Iraq Pakistan Yemen Sudan Djibouti 4 12 18 32 37 62 64 97 100 130 130 140 150 240 300 320 430 450 650 420 Mexico Suriname Argentina Brazil 110 Colombia 130 Panama 130 Dominican Republic 150 Paraguay 150 El Salvador 170 Jamaica 170 Nicaragua 170 Ecuador 210 Peru 240 Honduras 280 Bolivia (Plurinational State of) 290 Guatemala 290 Guyana 470 Haiti 670 Antigua and Barbuda Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines … … … … … … Somalia 1 400 Afghanistan 1 800 Cyprus 10 Latvia 10 The former Yugoslav Republic of Macedonia Australia Japan New Zealand Brunei Darussalam Republic of Korea Singapore China Mongolia Regional average Malaysia 4 6 9 13 14 14 45 46 62 82 10 Bulgaria 11 Lithuania 11 Portugal 11 Luxembourg 12 Belarus 18 Ukraine 18 Republic of Moldova 22 Romania 24 Uzbekistan 24 Estonia 25 Regional average Russian Federation 28 27 Cameroon 1 000 Burundi 1 100 Democratic Republic of the Congo 1 100 Viet Nam 150 Fiji 210 Solomon Islands 220 Philippines 230 Papua New Guinea 470 Cambodia 540 Lao People's Democratic Republic 660 Cook Islands … Kiribati … Marshall Islands … Micronesia (Federated States of) … Nauru … Niue … Palau … Samoa … Tonga … Tuvalu … Vanuatu … Guinea-Bissau 1 100 Malawi 1 100 Nigeria 1 100 Liberia 1 200 Rwanda 1 300 Angola 1 400 Chad 1 500 Niger 1 800 Sierra Leone 2 100 Sao Tome and Principe Seychelles … … Sri Lanka 58 Thailand 110 Maldives 120 Democratic People's Republic of Korea 370 Myanmar 380 Timor-Leste 380 Indonesia 420 Bhutan 440 Regional average India 450 450 Turkey 44 Georgia 66 Armenia 76 Azerbaijan 82 Albania 92 Turkmenistan 130 Kazakhstan 140 Kyrgyzstan 150 Tajikistan 170 Andorra … Monaco … Montenegro … San Marino … Serbia … Bangladesh 570 Nepal 830 This chart shows the interagency estimated maternal mortality ratio for each country for 2005. Further details can be found in Part II. with countries within each WHO region sorted by level.4.

5. Births attended by skilled health personnel (%) Mauritius Algeria Botswana South Africa Congo Gabon Namibia Sao Tome and Principe Benin Cape Verde Democratic Republic of the Congo ≥99 95 94 91 86 86 81 81 78 78 74 74 69 63 63 62 62 61 57 57 57 55 54 54 54 52 52 51 49 48 47 47 46 46 42 42 42 39 39 38 34 28 18 14 6 … 47 Antigua and Barbuda Argentina Bahamas Barbados Canada Chile Cuba Ecuador Grenada Saint Kitts and Nevis Saint Vincent and the Grenadines United States of America Uruguay Dominican Republic Saint Lucia Trinidad and Tobago Brazil Jamaica Belize Colombia Venezuela (Bolivarian Republic of) ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 98 98 98 97 97 96 96 95 94 94 94 91 90 84 83 77 74 73 67 66 41 26 Regional average 92 Albania Belarus Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Estonia Finland Germany Hungary Ireland Italy Kazakhstan Latvia Lithuania Luxembourg Malta Montenegro Netherlands Poland Portugal Republic of Moldova Romania Russian Federation Serbia Slovakia Slovenia Switzerland Turkmenistan Ukraine Uzbekistan Armenia Georgia Kyrgyzstan The former Yugoslav Republic of Macedonia ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 98 98 98 98 96 89 83 83 … … … … … … … … … … … … … … Regional average Bahrain Jordan Kuwait Libyan Arab Jamahiriya Qatar United Arab Emirates Lebanon Oman Iran (Islamic Republic of) Saudi Arabia Djibouti Syrian Arab Republic Tunisia Iraq Egypt Morocco Sudan Pakistan Yemen Somalia Afghanistan ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 98 98 97 96 93 93 90 89 79 63 59 49 39 36 33 14 Swaziland Zimbabwe Cameroon Equatorial Guinea Comoros Togo Mauritania Côte d'Ivoire Gambia Ghana Lesotho Burkina Faso Central African Republic Malawi Rwanda Senegal Madagascar Mali Mozambique Angola Zambia Regional average Liberia Costa Rica Dominica Regional average Mexico Panama Suriname El Salvador Guyana Paraguay Nicaragua Peru Honduras Bolivia (Plurinational State of) Guatemala Haiti Australia Brunei Darussalam Cook Islands Fiji Japan Malaysia Mongolia Niue Palau Republic of Korea Samoa Singapore Tonga Tuvalu China Nauru Marshall Islands New Zealand Regional average Vanuatu Kiribati Micronesia (Federated States of) Viet Nam Philippines Cambodia Solomon Islands Papua New Guinea Lao People's Democratic Republic ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 ≥99 98 97 95 94 93 92 90 88 88 62 44 43 39 20 United Republic of Tanzania Kenya Sierra Leone Uganda Guinea-Bissau Nigeria Guinea Burundi Eritrea Niger Chad Ethiopia Seychelles Azerbaijan Tajikistan Turkey Sri Lanka Thailand Democratic People’s Republic of Korea Maldives Indonesia Myanmar Regional average Bhutan India Nepal Timor-Leste Bangladesh ≥99 ≥99 97 84 73 57 51 47 19 19 18 49 Andorra Austria Belgium Denmark France Greece Iceland Israel Monaco Norway San Marino Spain Sweden United Kingdom Key Country trend 1990 Latest available This chart shows the percentage of births attended by skilled health personnel. 27 . countries are sorted by the latest available data since 2000. Within each WHO region. Further details can be found in Part II. Table 4.

7 Uzbekistan 64.7 Belize 34.1 Mauritania Guinea Mali Sierra Leone Eritrea Angola Chad Seychelles 9.6 Paraguay 79. 28 .1 Swaziland 50.3 Regional average Mexico 70.6 Sudan Bahrain Kuwait Libyan Arab Jamahiriya Oman Qatar United Arab Emirates 7.8 Albania 60.4 Niger 11.6 Yemen 27.7 Spain 65.1 70.3 Tunisia 60.2 8.7 Ghana 23.7 Kyrgyzstan 47.3 Cameroon 29.4 United Kingdom 82.0 57.7 Côte d'Ivoire 12.0 Egypt 60.2 Haiti 32.3 9. Table 4.8 Nepal 48.5 Nicaragua 72.2 Bolivia (Plurinational State of) 60.0 Bhutan 30.0 Antigua and Barbuda Bahamas Barbados Brazil Costa Rica Dominica Grenada Panama Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Venezuela (Bolivarian Republic of) Norway 88.2 Namibia 55.8 Ecuador 72.8 Mongolia 66.7 Regional average Uganda 23.0 Australia 70.7 Saudi Arabia 23.5 Regional average Viet Nam 79.2 Ireland 75.6 Guatemala 43.9 Republic of Korea 84.1 8.6 Turkey 71.2 2.3 Honduras 65.0 Kiribati 36.0 Dominican Republic 72.5 Suriname 42.2 Montenegro 39.9 Turkmenistan 61.8 Afghanistan 18.3 Lesotho 37.4 Iran (Islamic Republic of) 73.7 Central African Republic 19.6 Djibouti 17.5 Israel … Italy … Latvia … Lithuania … Luxembourg … Malta … Monaco … Poland … Russian Federation … San Marino … Slovakia … Slovenia … Sweden … Switzerland … This chart shows the percentage of women married or cohabiting who report current use of at least one method of contraception.7 13.0 Ukraine 66.8 … … … … … … … … … … … … … China 86.7 Nigeria 14.6 … … … … … … 42.3 Equatorial Guinea 10.6 Cambodia 40.4 Gabon 32.4 Tajikistan 37.0 Argentina 65.8 Somalia 14.0 Canada 74. countries are sorted by the latest available data since 2000.8 Pakistan 29.2 Guinea-Bissau 10.8 Liberia 11.3 South Africa 60.4 India 56.0 Myanmar 37.8 Kenya 39.3 Guyana 34.8 Greece 76.9 United States of America 72.1 23.5 Burkina Faso 17.1 Nauru 35.7 Sao Tome and Principe 29.4 Cape Verde 61.1 Democratic People's Republic of Korea 68.4 Comoros 25.7 Cuba 72.9 Jamaica 69.4 Congo 44.1 Kazakhstan 50.0 Belgium 74.0 Zambia 40.2 Madagascar 27.0 Japan 54.8 Republic of Moldova 67.3 Malawi 41.5 Democratic Republic of the Congo 20. Contraceptive prevalence (%) Mauritius 75.0 Maldives 39.0 Gambia 17.0 Regional average Indonesia 61.2 Chile 64.4 Colombia 78.4 Benin 17.0 Jordan 57.6 Belarus 72.8 Portugal 67.2 Syrian Arab Republic 58.6 El Salvador 72.0 6.6 Botswana 44.5 Ethiopia 14. Further details can be found in Part II.7 Timor-Leste 10.3 Trinidad and Tobago 42.2 Brunei Darussalam … Cook Islands … Fiji … Malaysia … Marshall Islands … Micronesia (Federated States of) … New Zealand … Niue … Papua New Guinea … Samoa … Singapore … Solomon Islands … Tonga … Tuvalu … Vanuatu … 82.9 Bosnia and Herzegovina 35.1 Azerbaijan 51.3 Rwanda 36.2 8.3 Philippines 50.0 France 81.7 The former Yugoslav Republic of Macedonia Burundi 19.3 Bangladesh 55.0 Togo 16.8 Lao People's Democratic Republic 32.0 Regional average Romania 70.3 Zimbabwe 60.9 Senegal 11.3 Morocco 63.1 Regional average Iraq 49.8 Algeria 61.3 Lebanon 58.6.1 Armenia 53.5 Andorra … Austria … Bulgaria … Croatia … Cyprus … Czech Republic … Denmark … Estonia … Finland … Germany … Hungary … Iceland … Thailand 81.8 Georgia 47.8 Mozambique 16.2 Uruguay 77.3 Serbia 41.3 68.6 Netherlands 67.6 Palau 32. Within each WHO region.6 Sri Lanka 68.4 Peru 71.1 United Republic of Tanzania 26.

7. 29 . Table 9. Further details can be found in Part II. Adolescent fertility rate (per 1000 girls aged 15–19 years) Algeria Burundi Mauritius Rwanda Botswana Seychelles South Africa Ghana Namibia Eritrea Mauritania Sao Tome and Principe Cape Verde Comoros Lesotho Senegal Zimbabwe Gambia Ethiopia Côte d'Ivoire Swaziland Benin Kenya Regional average Democratic Republic of the Congo Nigeria Equatorial Guinea Burkina Faso Congo Central African Republic Liberia United Republic of Tanzania Cameroon Sierra Leone Zambia Guinea Madagascar Uganda Angola Guinea-Bissau Malawi Mozambique Mali Chad Niger Gabon Togo 4 30 35 40 51 54 54 74 74 85 88 91 92 95 98 100 101 104 109 111 111 114 116 124 126 128 131 132 133 137 139 141 146 146 153 154 159 165 170 178 185 190 193 199 … … Regional average 118 Regional average Canada Trinidad and Tobago United States of America Cuba Bahamas Dominica Chile Saint Lucia Barbados Grenada Brazil Saint Vincent and the Grenadines Jamaica Peru Argentina Costa Rica Suriname Uruguay Paraguay Antigua and Barbuda El Salvador Haiti Saint Kitts and Nevis Mexico Panama Bolivia (Plurinational State of) Belize Guyana Venezuela (Bolivarian Republic of) 14 35 41 42 43 48 49 49 51 53 56 57 58 59 62 63 63 63 65 67 67 69 74 82 85 88 90 90 91 92 96 98 61 San Marino Netherlands Switzerland Slovenia Cyprus Denmark Sweden Italy France Finland Norway 1 4 4 5 6 6 6 7 8 9 9 Libyan Arab Jamahiriya Tunisia Saudi Arabia Oman Kuwait Bahrain Qatar Lebanon Morocco Pakistan United Arab Emirates Iran (Islamic Republic of) Djibouti Egypt Regional average Jordan Iraq Syrian Arab Republic Yemen Somalia Afghanistan Sudan 4 6 7 11 14 15 16 18 18 20 23 25 27 27 28 68 75 80 123 151 … 35 Belgium 10 Germany 10 Luxembourg 10 Andorra 11 Czech Republic 11 Greece 11 Austria 12 Spain 12 Albania 13 Croatia 13 Poland 13 Iceland 14 Israel 15 Bosnia and Herzegovina 16 Montenegro 16 Ireland 17 Latvia 17 Malta 17 Portugal 17 Lithuania 19 The former Yugoslav Republic of Macedonia Republic of Korea China Japan Regional average Singapore Malaysia Australia Tonga Mongolia Tuvalu Brunei Darussalam Niue 23 New Zealand Samoa Fiji Palau Viet Nam Kiribati Cook Islands Micronesia (Federated States of) Cambodia Philippines Nauru Papua New Guinea Marshall Islands 2 5 5 6 13 15 16 19 22 26 28 29 29 30 31 35 39 47 51 52 55 69 70 88 11 Guatemala Colombia Dominican Republic 19 Ecuador 100 Honduras 108 Nicaragua 109 Belarus 20 Estonia 20 Hungary 20 Turkmenistan 20 Regional average Slovakia 21 Serbia 24 Armenia 25 Maldives Sri Lanka India Bhutan Thailand Indonesia Timor-Leste 8 28 45 46 46 51 59 55 Republic of Moldova 25 United Kingdom 26 Uzbekistan 26 Kazakhstan 27 Tajikistan 27 Kyrgyzstan 28 Russian Federation 28 Ukraine 30 Romania 35 Georgia 37 Bulgaria 38 Azerbaijan 44 Turkey 51 Monaco … Nepal 106 Bangladesh 127 Democratic People's Republic of Korea … Myanmar … Lao People's Democratic Republic 110 Solomon Islands … Vanuatu … This chart shows estimated adolescent fertility expressed as the number of births among girls aged 15–19 years per 1000 girls in this age group per year. countries are sorted by the latest available data since 2000. Within each WHO region.

30 . Table 4.8. countries are sorted by the latest available data since 2000 for coverage of at least one visit. Antenatal care coverage (%): at least 1 visit and at least 4 visits Cape Verde Gambia Sao Tome and Principe Botswana Rwanda Namibia Gabon Uganda Zambia Zimbabwe Burundi Kenya Malawi South Africa Ghana Lesotho Algeria Mozambique Guinea Senegal Sierra Leone Congo Equatorial Guinea Burkina Faso 98 98 98 97 96 95 94 94 94 94 92 92 92 92 90 90 89 89 88 87 87 86 86 85 85 85 85 84 84 82 80 80 79 78 76 75 75 70 70 69 58 46 39 28 … … 73 Antigua and Barbuda 100 Barbados 100 Cuba 100 Dominica 100 Grenada 100 Saint Kitts and Nevis 100 Argentina Dominican Republic Saint Lucia Bahamas Brazil Uruguay Paraguay Trinidad and Tobago Saint Vincent and the Grenadines Belize Colombia El Salvador Mexico Venezuela (Bolivarian Republic of) Kazakhstan 100 Belarus 99 Bosnia and Herzegovina 99 Turkmenistan 99 Ukraine 99 Uzbekistan 99 Republic of Moldova 98 Serbia 98 Albania 97 Kyrgyzstan 97 Montenegro 97 Georgia 94 Romania 94 The former Yugoslav Republic of Macedonia Oman Jordan Iran (Islamic Republic of) Lebanon Tunisia Djibouti Iraq Syrian Arab Republic Egypt Morocco Regional average Sudan Pakistan Yemen Somalia Afghanistan Bahrain Kuwait Libyan Arab Jamahiriya Qatar Saudi Arabia United Arab Emirates 100 99 98 96 96 92 84 84 74 68 64 61 47 26 16 … … … … … … 65 99 99 99 98 98 97 96 96 95 94 94 94 94 94 92 91 91 90 90 90 85 84 84 81 77 … … … … 94 94 Armenia 93 Turkey 92 Tajikistan 89 Azerbaijan 77 Andorra … Austria … Belgium … Bulgaria … Croatia … Cyprus … Czech Republic … Denmark … Estonia … Finland … France … Germany … Greece … Hungary … Iceland … Ireland … Israel … Italy … Latvia … Lithuania … Luxembourg … Regional average Honduras Jamaica Peru Costa Rica Nicaragua Suriname Haiti Ecuador Guatemala Guyana Côte d'Ivoire Democratic Republic of the Congo Mongolia Tuvalu Nauru China Philippines Regional average Viet Nam Vanuatu Marshall Islands Malaysia Papua New Guinea Solomon Islands Cambodia Lao People's Democratic Republic 99 97 95 91 91 91 84 81 79 79 74 69 35 90 Swaziland Benin Togo Cameroon Angola Madagascar Liberia Guinea-Bissau United Republic of Tanzania Comoros Regional average Mauritania Eritrea Mali Central African Republic Nigeria Niger Chad Ethiopia Mauritius Seychelles Bolivia (Plurinational State of) Canada Chile Panama United States of America Australia … Brunei Darussalam … Cook Islands … Fiji … Japan … Kiribati … Micronesia (Federated States of) … New Zealand … Niue … Palau … Republic of Korea … Samoa … Singapore … Tonga … Sri Lanka Thailand Indonesia Bhutan Maldives Regional average Myanmar India Timor-Leste Bangladesh Nepal 99 98 93 88 81 76 74 61 51 44 75 Malta … Monaco … Netherlands … Norway … Poland … Portugal … Russian Federation … San Marino … Slovakia … Slovenia … Spain … Sweden … Democratic People's Republic of Korea … Key 1+ visit 4+ visits Switzerland … United Kingdom … This chart shows the percentage of women who received antenatal care from skilled health personnel at least once and at least four times during pregnancy. Within each WHO region. Further details can be found in Part II.

5 6.9 Armenia 13.7 Andorra … Austria … Belarus … Belgium … Bosnia and Herzegovina … Bulgaria … Croatia … Cyprus … Czech Republic … Denmark … Estonia … Finland … France … Germany … Greece … Hungary … Iceland … Ireland … Israel … Italy … Kazakhstan … Kyrgyzstan … Latvia … Lithuania … Luxembourg … Malta … Monaco … Montenegro … Netherlands … Norway … Regional average Regional average Morocco 10.3 Cambodia 25.1 Nepal 24.9 Mali 31.3 Jordan 11.9 Afghanistan Bahrain Djibouti Iran (Islamic Republic of) Iraq Kuwait Lebanon Libyan Arab Jamahiriya Oman Qatar Saudi Arabia Somalia Sudan Syrian Arab Republic United Arab Emirates Yemen … … … … … … … … … … … … … … … … 18.9 9.8 Congo 16.6 Bhutan … Democratic People's Republic of Korea … Maldives … 12.6 Viet Nam 4.8 Poland … Portugal … Russian Federation … San Marino … Serbia … Slovakia … Slovenia … Spain … Sweden … Switzerland … Tajikistan … The former Yugoslav Republic of Macedonia … United Kingdom … Uzbekistan … This chart shows the percentage of women who are fecund and sexually active but are not using any method of contraception.4 7. Table 4.9 Uganda 40.7 Mexico 12.9 Bolivia (Plurinational State of) 22.6 Algeria Angola Botswana Central African Republic Comoros Côte d'Ivoire Equatorial Guinea Gambia Guinea-Bissau Sao Tome and Principe Seychelles Sierra Leone South Africa Togo … … … … … … … … … … … … … … Regional average China 2.1 Pakistan 24.0 Egypt 10.3 Madagascar 23.1 Sri Lanka 18.6 Senegal 31.0 Benin 29.9 Tunisia 12.1 3. Further details can be found in Part II. and report not wanting any more children or wanting to delay the next child.7 Turkmenistan 10.3 Romania 11.6 Ethiopia 33.7 Colombia United States of America Paraguay Ecuador Nicaragua Peru El Salvador 5.3 Turkey 6.2 Mauritania 31. 31 .4 Lao People's Democratic Republic 39.3 Regional average Dominican Republic 11.6 7.7 Nigeria 16.1 Ukraine 10.9.6 Haiti 37.0 24.9 Lesotho 30.4 Albania 1.4 … … … … … … … … … … … … … … … … … … … … … Kenya 24.1 8. countries are sorted by the latest available data since 2000.8 Niger 15.0 Liberia 35.5 Eritrea 27.6 Rwanda 37.9 Mozambique 18.4 Cameroon 20.8 Indonesia 9.4 Jamaica 11.8 Philippines 17.6 Zimbabwe 12. Within each WHO region.0 Honduras 16.8 6.0 Republic of Moldova 6.0 Malawi 27.6 Regional average Swaziland 24.8 Chad 23.2 Myanmar 19.2 Cape Verde 16.0 Burkina Faso 28.5 Zambia 26.5 Antigua and Barbuda Argentina Bahamas Barbados Belize Brazil Canada Chile Costa Rica Cuba Dominica Grenada Guyana Panama Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Trinidad and Tobago Uruguay Venezuela (Bolivarian Republic of) Democratic Republic of the Congo 24.8 Burundi 29.8 Bangladesh 17.8 Ghana 34.3 Mongolia 4.1 Timor-Leste 3.5 8.5 Australia … Brunei Darussalam … Cook Islands … Fiji … Japan … Kiribati … Malaysia … Marshall Islands … Micronesia (Federated States of) … Nauru … New Zealand … Niue … Palau … Papua New Guinea … Republic of Korea … Samoa … Singapore … Solomon Islands … Tonga … Tuvalu … Vanuatu … Thailand 3.2 Guinea 21.3 6.3 Georgia 16.2 United Republic of Tanzania 21. Unmet need for family planning (%) Mauritius Namibia 3.1 India 12.3 Azerbaijan 22.7 Guatemala 27.6 Gabon 28.

4 3.1 0.6 0.7 1.1 0. The regional averages are based on updates and reflect 2008 levels.1 0.1 0.1 0.2 0.2 6. Table 2.5 0.3 0.1 0.1 0.5 0.1 0.3 11.6 0.1 0.7 0.1 0.1 … … … … … … … … … … … … … 0.5 1.7 1.1 0.10.1 0.1 0.5 Bosnia and Herzegovina Croatia Slovakia Slovenia The former Yugoslav Republic of Macedonia <0.6 0.2 Turkmenistan Armenia Finland Georgia Germany Hungary Israel Kazakhstan Kyrgyzstan Lithuania Malta Norway Poland Romania Serbia Sweden Uzbekistan Austria Azerbaijan Belarus Belgium Denmark Greece Iceland Ireland Luxembourg Netherlands United Kingdom Tajikistan France Italy Republic of Moldova Portugal Republic of Korea China Fiji Mongolia New Zealand Regional average Australia <0.2 0.2 0.1 0.1 0.0 … … … … … … … 0.2 0.1 2.6 2.4 0.5 0.9 2.1 0.1 0.1 0.1 Lao People's Democratic Republic Singapore Malaysia Viet Nam Cambodia Papua New Guinea Brunei Darussalam Cook Islands Japan Kiribati Marshall Islands Micronesia (Federated States of) Nauru Niue Palau Philippines Samoa Solomon Islands Tonga Tuvalu Vanuatu Bhutan Indonesia India Nepal Myanmar Thailand Bangladesh Democratic People's Republic of Korea Maldives Sri Lanka Timor-Leste 0.3 0.6 1.2 0.5 … … … … … … … … … … … … … … … 0.3 1.0 1.1 0.2 23.1 2.4 … … … … … 0.1 0.1 0.1 2.5 3.5 0.1 0.5 3.3 15.1 <0.5 3.6 0.4 0.2 0.3 Regional average Spain Switzerland Latvia Russian Federation Estonia Ukraine Albania Andorra Bulgaria Cyprus Czech Republic Monaco Montenegro San Marino Turkey Key Country trend 1990 Latest available This chart shows the estimated prevalence of HIV infection in adults aged 15–49 years.4 2.8 0.9 26.8 0.6 1.6 … … … … … … … … … 0.9 Regional average Cuba Bolivia (Plurinational State of) Nicaragua Chile Ecuador Mexico Canada Costa Rica Argentina Peru Brazil Colombia Paraguay United States of America Uruguay Honduras El Salvador Guatemala Panama Dominican Republic Barbados Trinidad and Tobago Jamaica Belize Haiti Suriname Guyana Bahamas Antigua and Barbuda Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Venezuela (Bolivarian Republic of) 0.5 0.1 1.2 0.9 5.9 1. Because of limited data availability for the MDG target age group (15–24 years) prevalence is reported here for the 15–49 age group.5 0.1 0.1 0.1 3.2 1.1 0.1 <0.4 0.2 0.2 0.2 0. with countries within each WHO region sorted by 2007 level.4 0.1 <0.3 0.6 0.9 6.5 1. Prevalence of HIV among adults aged 15–49 years (%) Comoros Algeria Madagascar Mauritania Niger Gambia Senegal Benin Eritrea Mali Burkina Faso Guinea Liberia Mauritius Sierra Leone Guinea-Bissau Ghana Burundi Angola Ethiopia Rwanda Nigeria Togo Equatorial Guinea Chad Congo Côte d'Ivoire Regional average Cameroon Uganda Gabon United Republic of Tanzania Central African Republic Malawi Mozambique Zambia Namibia Zimbabwe South Africa Lesotho Botswana Swaziland Cape Verde Democratic Republic of the Congo Kenya Sao Tome and Principe Seychelles <0.6 0.2 0.1 0.1 0.3 3.2 0.5 0.8 1.1 0.2 0.8 0.7 1.2 0.1 0.5 15.1 5.8 1.1 … … … … … Regional average 4.2 0.8 3.2 0.1 1.1 0.0 1.4 5.7 1.3 0.8 1.8 1.1 0.2 0.5 1.3 18.1 <0.1 23.3 1.2 0.5 Lebanon Morocco Pakistan Tunisia Iran (Islamic Republic of) Regional average Somalia Sudan Djibouti Afghanistan Bahrain Egypt Iraq Jordan Kuwait Libyan Arab Jamahiriya Oman Qatar Saudi Arabia Syrian Arab Republic United Arab Emirates Yemen 0.3 0.4 3.0 2.1 <0.2 2. 32 .2 15.2 1.9 12.4 0. Further details can be found in Part II.

countries are sorted by the latest available data since 2000. 33 . Males aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%) Namibia Rwanda Swaziland Kenya Zimbabwe United Republic of Tanzania Uganda Zambia Cape Verde Malawi Benin Congo Cameroon Ethiopia Ghana Regional average Mozambique Côte d'Ivoire Central African Republic Senegal Burkina Faso Guinea Mali Democratic Republic of the Congo 62 54 52 47 46 40 38 37 36 36 35 35 34 33 33 33 28 27 26 23 23 22 21 21 19 19 16 16 … … … … … … … … … … … … … … … … … … 30 Guyana Haiti Dominican Republic Bolivia (Plurinational State of) Antigua and Barbuda Argentina Bahamas Barbados Belize Brazil Canada Chile Colombia Costa Rica Cuba Dominica Ecuador El Salvador Grenada Guatemala Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Trinidad and Tobago United States of America Uruguay Venezuela (Bolivarian Republic of) 47 40 34 18 … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … Ukraine 43 Armenia 15 Azerbaijan 5 Afghanistan Bahrain Djibouti Egypt Iran (Islamic Republic of) Iraq Jordan Kuwait Lebanon Libyan Arab Jamahiriya Morocco Oman Pakistan Qatar Saudi Arabia Somalia Sudan Syrian Arab Republic Tunisia United Arab Emirates Yemen … … … … … … … … … … … … … … … … … … … … … Albania … Andorra … Austria … Belarus … Belgium … Bosnia and Herzegovina … Bulgaria … Croatia … Cyprus … Czech Republic … Denmark … Estonia … Finland … France … Georgia … Germany … Greece … Hungary … Iceland … Ireland … Israel … Italy … Kazakhstan … Kyrgyzstan … Latvia … Lithuania … Luxembourg … Malta … Monaco … Montenegro … Netherlands … Norway … Poland … Portugal … Republic of Moldova … Romania … Nigeria Chad Lesotho Madagascar Niger Algeria Angola Botswana Burundi Comoros Equatorial Guinea Eritrea Gabon Gambia Guinea-Bissau Liberia Mauritania Mauritius Sao Tome and Principe Seychelles Sierra Leone South Africa Togo Viet Nam Cambodia Marshall Islands Philippines 50 45 39 18 Australia … Brunei Darussalam … China … Cook Islands … Fiji … Japan … Kiribati … Lao People's Democratic Republic … Malaysia … Micronesia (Federated States of) … Mongolia … Nauru … New Zealand … Niue … Palau … Papua New Guinea … Republic of Korea … Samoa … Singapore … Solomon Islands … Tonga … Tuvalu … Vanuatu … Nepal India 44 36 Russian Federation … San Marino … Serbia … Slovakia … Slovenia … Spain … Sweden … Switzerland … Tajikistan … The former Yugoslav Republic of Macedonia Bangladesh … Bhutan … Democratic People's Republic of Korea … Indonesia … Maldives … Myanmar … Sri Lanka … Thailand … Timor-Leste … … Turkey … Turkmenistan … United Kingdom … Uzbekistan … This chart shows the percentage of males who correctly identify the two major ways of preventing the sexual transmission of HIV. Further details can be found in Part II. who reject the two most-common local misconceptions about HIV transmission and who know that a healthy-looking person can transmit HIV.11. Within each WHO region. Table 5.

Table 5. countries are sorted by the latest available data since 2000. Within each WHO region. who reject the two most-common local misconceptions about HIV transmission and who know that a healthy-looking person can transmit HIV. Further details can be found in Part II. Females aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%) Namibia Swaziland Rwanda United Republic of Tanzania Sao Tome and Principe Zimbabwe Gambia Eritrea Cape Verde Kenya Zambia Uganda Burundi Togo Cameroon Lesotho Congo Ghana Regional average Malawi Senegal Ethiopia Mozambique Madagascar Comoros Côte d'Ivoire Guinea-Bissau Mali Nigeria Central African Republic Guinea Sierra Leone Benin Burkina Faso Democratic Republic of the Congo 65 52 51 45 44 44 39 37 36 34 34 32 30 28 27 27 26 25 24 21 20 20 19 18 18 18 18 18 17 17 17 16 15 15 13 13 7 4 … … … … … … … … Regional average 23 Jamaica Guyana Dominican Republic Suriname Haiti Cuba Honduras Trinidad and Tobago Nicaragua Peru Bolivia (Plurinational State of) 60 53 41 41 34 30 30 28 22 19 15 … … … … … … … … … … … … … … … … … … … … … … … … Bosnia and Herzegovina 48 Serbia 42 Ukraine 42 Belarus 34 Uzbekistan 31 Montenegro 30 The former Yugoslav Republic of Macedonia Djibouti Morocco Syrian Arab Republic Somalia Iraq Afghanistan Bahrain Egypt 18 12 7 4 3 … … … … … … … … … … … … … … … … 27 Armenia 23 Kazakhstan 22 Kyrgyzstan 20 Albania Azerbaijan Tajikistan 6 6 3 Iran (Islamic Republic of) Jordan Kuwait Lebanon Antigua and Barbuda Argentina Bahamas Barbados Belize Brazil Canada Chile Colombia Costa Rica Dominica Ecuador El Salvador Grenada Guatemala Mexico Panama Paraguay Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines United States of America Uruguay Venezuela (Bolivarian Republic of) Libyan Arab Jamahiriya Oman Pakistan Qatar Saudi Arabia Sudan Tunisia United Arab Emirates Yemen Andorra … Austria … Belgium … Bulgaria … Croatia … Cyprus … Czech Republic … Denmark … Estonia … Finland … France … Georgia … Germany … Greece … Hungary … Iceland … Ireland … Israel … Italy … Latvia … Lithuania … Luxembourg … Malta … Monaco … Netherlands … Norway … Cambodia Viet Nam Mongolia Marshall Islands Philippines 50 42 35 27 12 Australia … Brunei Darussalam … China … Cook Islands … Fiji … Japan … Kiribati … Lao People's Democratic Republic … Malaysia … Micronesia (Federated States of) … Nauru … New Zealand … Niue … Palau … Papua New Guinea … Republic of Korea … Samoa … Singapore … Solomon Islands … Tonga … Tuvalu … Vanuatu … Algeria Niger Chad Equatorial Guinea Angola Botswana Gabon Liberia Mauritania Mauritius Seychelles South Africa Thailand Nepal India 46 28 20 16 21 Poland … Portugal … Republic of Moldova … Romania … Russian Federation … San Marino … Slovakia … Slovenia … Spain … Sweden … Switzerland … Turkey … Turkmenistan … United Kingdom … Bangladesh Bhutan … Democratic People's Republic of Korea … Indonesia … Maldives … Myanmar … Sri Lanka … Timor-Leste … This chart shows the percentage of females who correctly identify the two major ways of preventing the sexual transmission of HIV. 34 .12.

35 . Antiretroviral therapy coverage among people with advanced HIV infection (%) Namibia Botswana Rwanda Senegal Benin Regional average Zambia Gabon Swaziland Mali Kenya Burkina Faso Malawi Uganda Equatorial Guinea United Republic of Tanzania Ethiopia Côte d'Ivoire South Africa Guinea Lesotho Nigeria Angola Cameroon Democratic Republic of the Congo 88 79 71 56 49 46 42 42 41 38 35 35 33 31 31 29 28 28 27 26 26 25 25 24 24 23 23 22 21 20 20 20 19 18 17 17 17 15 13 13 10 4 … … … … Regional average Regional average 44 Costa Rica >95 Cuba >95 Chile Brazil Argentina Mexico Panama Uruguay El Salvador Belize Peru Honduras Guyana Suriname Jamaica Ecuador Haiti Colombia Dominican Republic Guatemala Nicaragua Bolivia (Plurinational State of) Paraguay Antigua and Barbuda Bahamas Barbados Canada Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States of America Venezuela (Bolivarian Republic of) Romania 73 Republic of Moldova 58 Poland 36 Uzbekistan 24 Regional average Kazakhstan 23 Hungary 22 Belarus 20 54 Lithuania 18 Serbia 17 Russian Federation 16 Latvia 15 Azerbaijan 14 Kyrgyzstan 14 Armenia 12 Ukraine Tajikistan 8 6 23 Regional average Morocco Tunisia Lebanon Djibouti Egypt Iran (Islamic Republic of) Pakistan Sudan Afghanistan Bahrain Iraq Jordan Kuwait Libyan Arab Jamahiriya Oman Qatar Saudi Arabia Somalia Syrian Arab Republic United Arab Emirates Yemen 31 29 26 16 9 5 3 1 … … … … … … … … … … … … … 11 82 80 73 57 56 56 51 49 48 47 45 45 43 42 41 38 38 37 30 22 22 … … … … … … … … … … … … Albania … Andorra … Austria … Belgium … Bosnia and Herzegovina … Bulgaria … Croatia … Cyprus … Czech Republic … Denmark … Estonia … Finland … France … Georgia … Germany … Greece … Iceland … Ireland … Israel … Italy … Luxembourg … Malta … Monaco … Mozambique Burundi Mauritania Mauritius Central African Republic Algeria Guinea-Bissau Sierra Leone Togo Gambia Congo Liberia Zimbabwe Ghana Chad Eritrea Niger Madagascar Cape Verde Comoros Sao Tome and Principe Seychelles Lao People's Democratic Republic >95 Cambodia Papua New Guinea Malaysia Regional average Philippines Viet Nam China 67 38 35 31 26 19 31 Australia … Brunei Darussalam … Cook Islands … Fiji … Japan … Kiribati … Marshall Islands … Micronesia (Federated States of) … Mongolia … Nauru … New Zealand … Niue … Palau … Republic of Korea … Samoa … Singapore … Solomon Islands … Tonga … Tuvalu … Vanuatu … Thailand Indonesia Myanmar Sri Lanka Bangladesh Nepal 61 15 15 14 7 7 0 40 Montenegro … Netherlands … Norway … Portugal … San Marino … Slovakia … Slovenia … Spain … Sweden … Switzerland … The former Yugoslav Republic of Macedonia Democratic People's Republic of Korea Bhutan … India … Maldives … Timor-Leste … … Turkey … Turkmenistan … United Kingdom … This chart shows the percentage of people with advanced HIV infection currently receiving antiretroviral therapy according to standards of the Joint United Nations Programme on HIV/AIDS for each country for 2007. with countries within each WHO region sorted by level. Table 4. Further details can be found in Part II.13. The regional averages shown are based on 2008 updated data.

1 0.1 Portugal Republic of Moldova Romania Russian Federation San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland The former Yugoslav Republic of Macedonia India Indonesia Bhutan Bangladesh Myanmar Timor-Leste Maldives Ukraine United Kingdom This chart shows the estimated number of deaths from malaria for 2006.1 … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … Regional average Regional average Egypt Iraq Morocco Oman Saudi Arabia Syrian Arab Republic Iran (Islamic Republic of) Afghanistan Pakistan Yemen Djibouti Somalia Sudan Bahrain Jordan Kuwait Lebanon Libyan Arab Jamahiriya Qatar Tunisia United Arab Emirates 0.1 <0.0 <0.0 <0.0 0.2 0.0 4.1 0.5 0.9 14 41 85 … … … … … … … … 7.1 <0.1 0.1 0.3 1.9 7.1 Malaysia Viet Nam Philippines 0.6 1. with countries within each WHO region sorted by level.0 0.1 0.1 <0.5 1.1 <0.1 13 30 45 … … … … … … … … … … … … … … … … … 0.0 0.1 <0.1 0.0 0.0 <0.0 0.2 0.3 1.14.1 0.1 4.0 <0.2 0.1 <0.1 <0.0 0. Table 2.0 0.0 China <0.3 Lao People's Democratic Republic Cambodia Vanuatu Solomon Islands Papua New Guinea Australia Brunei Darussalam Cook Islands Fiji Japan Kiribati Marshall Islands Micronesia (Federated States of) Mongolia Nauru New Zealand Niue Palau Samoa Singapore Tonga Tuvalu … Monaco Montenegro Netherlands Norway Poland Guinea Liberia Chad Burkina Faso Guinea-Bissau Mali Equatorial Guinea Niger Lesotho Mauritius Seychelles Democratic People's Republic of Korea Sri Lanka Nepal Thailand 0. Malaria mortality rate (per 100 000 population) Algeria Cape Verde Swaziland South Africa Botswana Eritrea Zimbabwe Madagascar Sao Tome and Principe Comoros Namibia Ethiopia Rwanda Kenya Senegal Mauritania Mozambique Burundi Malawi Gabon United Republic of Tanzania Central African Republic Côte d'Ivoire Regional average Gambia Ghana Togo Cameroon Zambia Congo Angola Uganda Benin Sierra Leone Nigeria Democratic Republic of the Congo 0.1 0.1 <0.1 <0.1 <0.3 1.0 0.5 Armenia Azerbaijan Turkmenistan Georgia Kyrgyzstan Tajikistan Turkey Uzbekistan Albania Andorra Austria Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Latvia Lithuania Luxembourg Malta 0.6 10 12 19 36 47 51 59 74 80 85 92 94 95 96 98 100 103 106 109 113 116 121 124 128 145 146 154 156 158 164 171 173 178 180 201 220 229 … … … Regional average 104 Argentina Belize Costa Rica El Salvador Mexico Nicaragua Panama Paraguay Guatemala Honduras Bolivia (Plurinational State of) Ecuador Venezuela (Bolivarian Republic of) 0.5 Dominican Republic Brazil Peru Regional average Colombia Suriname Haiti Guyana Antigua and Barbuda Bahamas Barbados Canada Chile Cuba Dominica Grenada Jamaica Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States of America … Uruguay Republic of Korea 0. Further details can be found in Part II.8 3. 36 .3 0.5 3.0 4.6 1.8 10 … … … … … … … … … … … … … 0.2 0.1 0.5 0.2 19 93 … 2.

countries are sorted by the latest available data since 2000.15. Further details can be found in Part II. Children aged <5 years sleeping under insecticide-treated nets (%) Madagascar Sao Tome and Principe Gambia Equatorial Guinea Zambia Guinea-Bissau Kenya Togo Ethiopia Senegal Ghana Mali Sierra Leone Malawi Rwanda Benin Regional average United Republic of Tanzania Angola 60 54 49 42 41 39 39 35 33 31 28 27 26 25 24 20 17 16 15 13 10 9 9 8 7 7 6 6 6 6 4 3 3 2 1 1 0 … … … … … … 17 Guyana Suriname Argentina Bahamas Belize Bolivia (Plurinational State of) Brazil Colombia Costa Rica Dominican Republic Ecuador El Salvador Guatemala Haiti Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru Venezuela (Bolivarian Republic of) 6 3 … … … … … … … … … … … … … … … … … … … … Azerbaijan Tajikistan 1 1 Sudan Somalia Afghanistan Regional average Djibouti Iraq Pakistan Egypt Iran (Islamic Republic of) Morocco Oman Saudi Arabia Syrian Arab Republic Yemen Non-endemic Bahrain Jordan Kuwait Lebanon Libyan Arab Jamahiriya Qatar Tunisia United Arab Emirates 28 9 6 1 0 0 … … … … … … … 5 Armenia … Georgia … Kyrgyzstan … Russian Federation … Turkey … Turkmenistan … Uzbekistan … Non-endemic Albania … Andorra … Austria … Belarus … Belgium … Bosnia and Herzegovina … Bulgaria … Croatia … Cyprus … Czech Republic … Denmark … Estonia … Finland … … … … … … … … … Central African Republic Cameroon Burkina Faso Comoros Uganda Burundi Mozambique Niger Congo Côte d'Ivoire Democratic Republic of the Congo Non-endemic Antigua and Barbuda Barbados Canada Chile Cuba Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States of America Uruguay … … … … … … … … … … … … … France … Germany … Greece … Hungary … Iceland … Ireland … Israel … Italy … Kazakhstan … Latvia … Lithuania … Luxembourg … Malta … Monaco … Montenegro … Netherlands … Lao People's Democratic Republic Viet Nam Cambodia 18 5 4 China … Malaysia … Papua New Guinea … Philippines … Republic of Korea … Solomon Islands … Vanuatu … Non-endemic Australia … Brunei Darussalam … Cook Islands … Fiji … Japan … Kiribati … Marshall Islands … Micronesia (Federated States of) … Mongolia … Nauru … New Zealand … Niue … Palau … Samoa … Singapore … Tonga … Tuvalu … Nigeria Eritrea Liberia Zimbabwe Mauritania Chad Guinea Swaziland Algeria Botswana Cape Verde Gabon Namibia South Africa Non-endemic Lesotho Mauritius Seychelles Timor-Leste Indonesia 8 3 Norway … Poland … Portugal … Republic of Moldova … Romania … San Marino … Serbia … Slovakia … Slovenia … Spain … Sweden … Switzerland … The former Yugoslav Republic of Macedonia Bangladesh … Bhutan … Democratic People's Republic of Korea … India … Myanmar … Nepal … Sri Lanka … Thailand … Non-endemic Maldives … … … … … Ukraine … United Kingdom … This chart shows the percentage of children under 5 years of age that slept under an insecticide-treated net the night prior to the survey. Within each WHO region. Table 4. 37 .

Further details can be found in Part II.16. Children aged <5 years with fever who received treatment with any antimalarial (%) Comoros Gambia Uganda Liberia Cameroon United Republic of Tanzania Central African Republic Benin Burkina Faso Congo Guinea-Bissau Guinea Zambia Togo Côte d'Ivoire Madagascar Niger Nigeria Chad Mali Burundi Democratic Republic of the Congo 63 63 61 59 58 58 57 54 48 48 46 44 43 37 36 34 33 33 32 32 30 30 30 28 26 25 24 24 24 23 22 21 16 14 10 6 5 4 … … … … … Haiti Nicaragua Guyana Honduras Argentina Bahamas Belize Bolivia (Plurinational State of) Brazil Colombia Costa Rica Dominican Republic Ecuador El Salvador Guatemala Jamaica Mexico Panama Paraguay Peru Suriname Venezuela (Bolivarian Republic of) 5 2 1 1 … … … … … … … … … … … … … … … … … … Tajikistan Azerbaijan 2 1 Sudan Djibouti Afghanistan Somalia Pakistan Iraq Egypt Iran (Islamic Republic of) Morocco Oman Saudi Arabia Syrian Arab Republic Yemen Non-endemic Bahrain Jordan Kuwait Lebanon Libyan Arab Jamahiriya Qatar Tunisia United Arab Emirates 54 10 8 8 3 1 … … … … … … … Armenia … Georgia … Kyrgyzstan … Russian Federation … Turkey … Turkmenistan … Uzbekistan … Non-endemic Albania … Andorra … Austria … Belarus … Belgium … Bosnia and Herzegovina … Bulgaria … Croatia … Cyprus … Czech Republic … Denmark … Estonia … Finland … … … … … … … … … Sierra Leone Angola Swaziland Sao Tome and Principe Ghana Kenya Malawi Mozambique Senegal Mauritania Equatorial Guinea Namibia Ethiopia Rwanda Zimbabwe Eritrea Algeria Botswana Cape Verde Gabon South Africa Non-endemic Lesotho Mauritius Seychelles Non-endemic Antigua and Barbuda Barbados Canada Chile Cuba Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States of America Uruguay … … … … … … … … … … … … … France … Germany … Greece … Hungary … Iceland … Ireland … Israel … Italy … Kazakhstan … Latvia … Lithuania … Luxembourg … Malta … Monaco … Montenegro … Netherlands … Lao People's Democratic Republic Viet Nam Cambodia 9 3 0 China … Malaysia … Papua New Guinea … Philippines … Republic of Korea … Solomon Islands … Vanuatu … Non-endemic Australia … Brunei Darussalam … Cook Islands … Fiji … Japan … Kiribati … Marshall Islands … Micronesia (Federated States of) … Mongolia … Nauru … New Zealand … Niue … Palau … Samoa … Singapore … Tonga … Tuvalu … Timor-Leste India Indonesia 47 12 1 Norway … Poland … Portugal … Republic of Moldova … Romania … San Marino … Serbia … Slovakia … Slovenia … Spain … Sweden … Switzerland … The former Yugoslav Republic of Macedonia Bangladesh … Bhutan … … … … Democratic People's Republic of Korea … Myanmar … Nepal … Sri Lanka … Thailand … Non-endemic Maldives … … Ukraine … United Kingdom … This chart shows the percentage of children under 5 years of age with fever in the two weeks prior to the survey who received any antimalarial medicine. Table 4. countries are sorted by the latest available data since 2000. 38 . Within each WHO region.

with countries within each WHO region sorted by level. 39 .8 4.1 4.6 1.3 12 13 15 15 21 24 25 27 44 6.0 10 14 19 34 39 54 81 19 Afghanistan Pakistan Somalia Djibouti Colombia Belize Paraguay Peru Honduras Dominican Republic Guatemala Ecuador Guyana Bolivia (Plurinational State of) Suriname Haiti Niue Australia New Zealand Nauru Japan Singapore Tonga Fiji Cook Islands Brunei Darussalam Samoa Republic of Korea Micronesia (Federated States of) Tuvalu Vanuatu China Marshall Islands Palau Regional average Malaysia 0.0 1.2 4.4 0.4 1. Table 4.1 5.3 5.4 0.5 0.3 0.4 4.5 0. Further details can be found in Part II.8 3.3 2.6 11 11 12 14 14 15 19 21 21 25 32 34 52 79 15 Estonia Poland Turkey Bosnia and Herzegovina Republic of Moldova Belarus Maldives Sri Lanka Bhutan Thailand Nepal India Regional average Democratic People's Republic of Korea Bangladesh Myanmar Timor-Leste Indonesia 2.7 0.0 0.8 7.5 5.5 3.8 0.4 Luxembourg Monaco San Marino Iceland Andorra Cyprus Germany Greece Switzerland Denmark France Israel Italy Netherlands Norway Sweden Austria Belgium Finland Ireland Czech Republic Slovakia United Kingdom Malta Slovenia Hungary Spain Serbia Albania Montenegro Croatia Portugal The former Yugoslav Republic of Macedonia 0.3 0.1 1.5 0.7 1.7 2.3 1.17.7 2.3 2.3 0.0 8.9 2.8 1.4 0.2 5.0 3.4 0.2 1.3 0.2 4.8 1.0 0.8 2.5 1. Tuberculosis mortality rate among HIV-negative people (per 100 000 population) Algeria Mauritius Equatorial Guinea Comoros Seychelles Eritrea United Republic of Tanzania Benin Cameroon Sao Tome and Principe Zambia Kenya Malawi Angola Guinea-Bissau Namibia Lesotho Uganda Swaziland Cape Verde Mozambique Niger Botswana South Africa Central African Republic Gabon Congo Gambia Ghana Liberia Burkina Faso Regional average Madagascar Zimbabwe Chad Guinea Nigeria Ethiopia Senegal Burundi Rwanda Côte d'Ivoire Democratic Republic of the Congo 4.8 1.4 0.4 9.7 0.7 5.8 0.0 0.3 0.0 0.2 3.3 4.4 2.7 8.1 3.7 9.6 1.3 0.0 13 15 16 18 18 19 23 25 25 26 27 27 31 33 36 37 38 39 41 41 42 44 44 46 51 52 54 60 60 63 64 64 69 71 75 77 80 81 92 140 51 Regional average Barbados Saint Kitts and Nevis Antigua and Barbuda Canada Grenada United States of America Cuba Bahamas Costa Rica Chile Jamaica Saint Lucia Dominica Trinidad and Tobago Mexico Saint Vincent and the Grenadines Uruguay El Salvador Panama Argentina Brazil Nicaragua Venezuela (Bolivarian Republic of) 0.8 4.0 4.4 0.9 1.7 0.4 1.1 4.7 10 12 12 13 15 22 29 32 3.4 0.1 0.0 8.6 0.5 0.4 1.4 0.4 8.5 United Arab Emirates Jordan Oman Saudi Arabia Lebanon Tunisia Kuwait Syrian Arab Republic Bahrain Iran (Islamic Republic of) Egypt Qatar Libyan Arab Jamahiriya Morocco Yemen Iraq Regional average Sudan 0.6 5.0 3.3 0.0 0.9 0.2 8.5 0.1 3.6 3.5 6.3 1.5 0.1 0.4 0.6 5.0 0.2 1.3 0.7 0.0 1.8 3.3 0.9 10 15 19 22 23 27 39 50 57 83 28 Regional average Latvia Bulgaria Romania Turkmenistan Lithuania Armenia Georgia Russian Federation Ukraine Azerbaijan Kazakhstan Kyrgyzstan Mauritania Mali Togo Sierra Leone Solomon Islands Mongolia Papua New Guinea Kiribati Lao People's Democratic Republic Viet Nam Philippines Cambodia Key Country trend 1990 Latest available Uzbekistan Tajikistan This chart shows the estimated number of deaths (per 100 000 population) from tuberculosis among HIV-negative cases for 2008.

18. Table 5. The bold lines indicate trends since 1990 or since the first year for which data are available. The MDG target is worded in terms of halving the proportion of people without sustainable access to safe drinking-water by 2015. Population using improved drinking-water sources (%) Mauritius Botswana Comoros Gambia Namibia South Africa Sao Tome and Principe Gabon Lesotho Cape Verde Algeria Ghana Zimbabwe Côte d'Ivoire Malawi Burkina Faso Benin Cameroon Burundi Congo Guinea Senegal Swaziland Liberia Central African Republic Uganda Rwanda Eritrea Guinea-Bissau Regional average Togo Zambia Kenya Nigeria Mali United Republic of Tanzania Angola Chad Mauritania Sierra Leone Niger Mozambique Democratic Republic of the Congo 99 95 95 92 92 91 89 87 85 84 83 82 82 80 80 76 75 74 72 71 71 69 69 68 67 67 65 61 61 60 60 59 58 56 54 50 50 49 49 61 Regional average Barbados Canada Uruguay Belize Saint Kitts and Nevis United States of America Saint Lucia Argentina Brazil Costa Rica Chile Cuba Ecuador Guatemala Guyana Jamaica Mexico Trinidad and Tobago Panama Suriname Colombia El Salvador Bolivia (Plurinational State of) Dominican Republic Honduras Paraguay Nicaragua Peru Haiti Antigua and Barbuda Bahamas Dominica Grenada Saint Vincent and the Grenadines Venezuela (Bolivarian Republic of) 100 100 100 99 99 99 98 97 97 97 96 94 94 94 94 94 94 94 93 93 92 87 86 86 86 86 85 82 63 … … … … … … 96 Andorra Austria Belarus Belgium Bulgaria Cyprus Czech Republic Denmark Finland France Germany Greece Hungary Iceland Ireland Israel Italy Luxembourg Malta Monaco Netherlands Norway Poland Slovakia Spain Sweden Switzerland The former Yugoslav Republic of Macedonia 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 99 99 99 99 99 99 99 98 98 98 98 97 96 96 95 90 90 87 80 70 … … … … 98 Regional average Lebanon Qatar United Arab Emirates Egypt Kuwait Jordan Tunisia Djibouti Pakistan Syrian Arab Republic Regional average Oman Morocco Iraq Yemen Sudan Afghanistan Somalia Bahrain Iran (Islamic Republic of) Libyan Arab Jamahiriya Saudi Arabia 100 100 100 99 99 96 94 92 90 89 88 81 79 62 57 48 30 … … … … 83 Australia Japan Malaysia New Zealand Niue Singapore Tonga Republic of Korea Tuvalu Marshall Islands Viet Nam Philippines Nauru China Vanuatu Mongolia Cambodia Lao People's Democratic Republic Papua New Guinea Brunei Darussalam Cook Islands Fiji Kiribati Micronesia (Federated States of) Palau Samoa Solomon Islands 100 100 100 100 100 100 100 98 97 94 94 91 90 89 82 76 61 57 41 … … … … … … … … 90 United Kingdom Bosnia and Herzegovina Croatia Latvia Portugal Serbia Slovenia Turkey Estonia Georgia Montenegro 48 Democratic People's Republic of Korea Thailand 47 46 41 38 … … Regional average Bhutan Maldives Sri Lanka India Nepal Bangladesh Indonesia Myanmar Timor-Leste 100 98 92 91 90 88 88 80 80 71 69 86 Regional average Ukraine Albania Armenia Madagascar Ethiopia Equatorial Guinea Seychelles Russian Federation Kazakhstan Kyrgyzstan Republic of Moldova Uzbekistan Azerbaijan Tajikistan Lithuania Romania San Marino Turkmenistan Key MDG target 1990 Country trend 2015 Latest available This chart shows the percentage of the population using an improved drinking-water source. The thin lines indicate the projected trend needed to double the proportion of people with sustainable access to safe drinking-water by 2015. 40 . with countries within each WHO region sorted by 2008 level. Further details can be found in Part II.

Further details can be found in Part II. The bold lines indicate trends since 1990 or since the first year for which data are available. The MDG target is worded in terms of halving the proportion of people without sustainable access to basic sanitation by 2015. with countries within each WHO region sorted by 2008 level. Table 5. Population using improved sanitation (%) Algeria Mauritius South Africa Gambia Botswana Angola Malawi Swaziland Cape Verde Rwanda Senegal Zambia Uganda Cameroon Burundi Zimbabwe Comoros Mali Central African Republic Regional average Gabon Namibia Nigeria Kenya Congo Lesotho Mauritania Sao Tome and Principe United Republic of Tanzania Côte d'Ivoire Democratic Republic of the Congo 95 91 77 67 60 57 56 55 54 54 51 49 48 47 46 44 36 36 34 34 33 33 32 31 30 29 26 26 24 23 23 21 19 17 17 14 13 13 12 12 12 11 11 9 9 … … Regional average Regional average Bahamas Barbados Canada United States of America Uruguay Grenada Chile Saint Kitts and Nevis Costa Rica Ecuador Trinidad and Tobago Cuba Argentina Belize El Salvador Mexico Suriname Dominican Republic Jamaica Guatemala Guyana Brazil Colombia Honduras Paraguay Panama Peru Nicaragua Bolivia (Plurinational State of) Haiti Antigua and Barbuda Dominica Saint Lucia Saint Vincent and the Grenadines Venezuela (Bolivarian Republic of) 100 100 100 100 100 97 96 96 95 92 92 91 90 90 87 87 85 84 83 83 81 81 80 74 71 70 69 68 52 25 17 … … … … … Andorra Austria Belgium Bulgaria Cyprus Denmark Finland France Germany Hungary Iceland Israel Luxembourg Malta Monaco Netherlands Norway Portugal Slovakia Slovenia Spain Sweden Switzerland United Kingdom Uzbekistan Croatia Ireland Albania Czech Republic Greece Turkmenistan Kazakhstan Bosnia and Herzegovina Estonia Georgia Ukraine Regional average Tajikistan Belarus Kyrgyzstan 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 99 99 98 98 98 98 97 95 95 95 95 94 93 93 92 92 90 90 90 89 87 79 78 72 45 … … … 94 Regional average Kuwait Qatar Jordan Libyan Arab Jamahiriya United Arab Emirates Syrian Arab Republic Egypt Tunisia Iraq Morocco Djibouti Yemen Pakistan Afghanistan Sudan Somalia Bahrain Iran (Islamic Republic of) Lebanon Oman Saudi Arabia 100 100 98 97 97 96 94 85 73 69 56 52 45 37 34 23 … … … … … 61 Australia Cook Islands Japan Niue Republic of Korea Samoa Singapore Malaysia Tonga Tuvalu Philippines Viet Nam Marshall Islands Regional average China Lao People's Democratic Republic Vanuatu Mongolia Nauru Papua New Guinea Cambodia Brunei Darussalam Fiji Kiribati Micronesia (Federated States of) New Zealand Palau Solomon Islands 100 100 100 100 100 100 100 96 96 84 76 75 72 62 55 53 51 50 50 45 29 … … … … … … … Guinea-Bissau Guinea Liberia Mozambique Eritrea Ghana Sierra Leone Benin Ethiopia Togo Burkina Faso Madagascar Chad Niger Equatorial Guinea Seychelles Maldives Thailand Sri Lanka Myanmar Bhutan Bangladesh Indonesia Timor-Leste India Nepal 98 96 91 81 65 53 52 50 31 31 … 40 Montenegro Serbia Armenia Poland Turkey The former Yugoslav Republic of Macedonia Russian Federation Republic of Moldova Latvia Romania Azerbaijan Italy Lithuania San Marino Key MDG target 1990 Country trend 2015 Latest available Democratic People's Republic of Korea This chart shows the percentage of the population using an improved sanitation facility. The thin lines indicate the projected trend needed to double the proportion of people with sustainable access to basic sanitation by 2015. 41 .19.