INSTITUTE FOR HEALTH METRICS AND EVALUATION UNIVERSITY OF WASHINGTON Assessing Impact, Improving Health Progress in Child Health Across Regions in Uganda A REPORT OF THE MCPA PROJECT
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INSTITUTE FOR HEALTH METRICS AND EVALUATIONUNIVERSITY OF WASHINGTON
Assessing Impact, Improving HealthProgress in Child Health Across Regions in Uganda
A REPORT OF THE MCPA PROJECT
1 9
2 0
SUMMARY-
-
-
-
-
-
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
Central 1
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
Central 1
Note:
Note:
2 1
-
-
-
-
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
- -
CHILD HEALTH OUTCOMES
2 2
-
-
-
-
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
--
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
CENTRAL 1,
2 3
-
-
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
2 4
SUMMARY
-
-
--
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
Central 2
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
Central 2
Note:
Note:
2 5
-
-
-
-
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
- -
-
CHILD HEALTH OUTCOMES
2 6
-
-
--
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
2 8
SUMMARY-
-
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
East Central
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
East Central
Note:
Note:
2 9
-
-
-
for concern.
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
CHILD HEALTH OUTCOMES
3 0
-
-
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
EAST CENTRAL,
3 1
- -
-
and 2011.
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
3 2
SUMMARY-
-
-
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
Eastern
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
Eastern
Note:
Note:
3 3
-
-
-
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
early 1990s.
CHILD HEALTH OUTCOMES
3 4
-
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
EASTERN,
3 5
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
3 6
SUMMARY
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
Kampala
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
Kampala
Note:
Note:
-
-
-
-
-
-
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
CHILD HEALTH OUTCOMES
3 8
-
-
-
-
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
3 9
-
-
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
4 0
SUMMARY
-
-
-
-
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
Karamoja
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
Karamoja
Note:
Karamoja
Note:
4 1
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
-
-
CHILD HEALTH OUTCOMES
Karamoja
4 2
Karamoja
-
-
-
-
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
KARAMOJA,
4 3
-
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
4 4
SUMMARY
-
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
North
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
North
Note:
Note:
4 5
-
-
-
-
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
Indoor residual spraying
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
CHILD HEALTH OUTCOMES
4 6
-
-
-
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
NORTH,
-
-
-
-
-
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
--
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
4 8
SUMMARY-
-
-
-
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
Southwest
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
Southwest
Note:
Note:
4 9
-
-
-
-
-
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
-
-
CHILD HEALTH OUTCOMES
5 0
-
-
-
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
SOUTHWEST,
5 1
-
-
-
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
5 2
SUMMARY
-
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
West Nile
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
West Nile
Note:
Note:
5 3
-
-
-
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
--
CHILD HEALTH OUTCOMES
5 4
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
WEST NILE,
5 5
-
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
5 6
SUMMARY
-
-
-
Malaria Immunizations Maternal and child health
INTERVENTIONS
ACT for fever, under-5
IPTp(2 doses)
Exclusivebreastfeeding
Antenatal care(4 visits)
ITNownership
ITN use, under-5
BCG PentavalentMeasles Polio Skilled birthattendance
Care for suspected
pneumonia
0
20
40
60
80
100
Perc
ent (
%) Range observed
across regions
National average
Western
Dea
ths
per
1,0
00 li
ve b
irth
s
40
60
80
100
120
140
CHILD HEALTH OUTCOMES
Childhoodunderweight
Under-5mortality
Household characteristics Educational attainment
SOCIO-DEMOGRAPHIC FACTORS
Improved sanitation
Improved water
0
20
40
60
80
100
Perc
ent (
%)
0
20
40
60
80
100
Perc
ent (
%)
Women of reproductive age
0
2
4
6
8
10
Ave
rag
e ye
ars
Range observed across regions
National average
Western
Note:
Note:
-
-
for 2011.
-
-
MALARIA INTERVENTIONS
ITN ownership
0
20
40
60
80
100
1990 1995 2000 2005 2010
ITN use by children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
IPTp (2 doses)
0
20
40
60
80
100
1990 1995 2000 2005 2010
ACT received by febrile children under 5
0
20
40
60
80
100
1990 1995 2000 2005 2010
All-cause under-5 mortality
40
120
200
280
1990 1995 2000 2005 2010
Childhood underweight
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
-
CHILD HEALTH OUTCOMES
5 8
-
IMMUNIZATIONS
BCG immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Measles immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Polio immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
Pentavalent immunization
0
20
40
60
80
100
1990 1995 2000 2005 2010
-
MATERNAL AND CHILD HEALTH INTERVENTIONS
Antenatal care (4 visits)
0
20
40
60
80
100
1990 1995 2000 2005 2010
Skilled birth attendance
0
20
40
60
80
100
1990 1995 2000 2005 2010
Exclusive breastfeeding
0
20
40
60
80
100
1990 1995 2000 2005 2010
Care-seeking for suspected pneumonia
0
20
40
60
80
100
1990 1995 2000 2005 2010
WESTERN,
5 9
-
-
Maternal educational attainment
0
2
4
6
8
10
1990 1995 2000 2005 2010
Access to improved sanitation
0
20
40
60
80
100
1990 1995 2000 2005 2010
Access to improved water sources
0
20
40
60
80
100
1990 1995 2000 2005 2010
INSTITUTE FOR HEALTH METRICS AND EVALUATION
2301 Fifth Ave., Suite 600
Seattle, WA 98121
USA
TELEPHONE: +1-206-897-2800
FAX: +1-206-897-2899
EMAIL: [email protected]
www.healthdata.org
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