Tajikistan

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 6,640 (2006) Under-five mortality rate Causes of under-five deaths Causes of maternal deaths Coverage along the continuum of care
Deaths per 1000 live births Globally more than one third of child deaths are attributable to Regional estimates for Asia, 1997-2002
Total under-five population (000) 858 (2006) undernutrition
Causes of neonatal
Unmet need for family planning (%) --- Abortion
Births (000) 185 (2006) Contraceptive
150 Other deaths 6% 38 Pre-pregnancy
88 (2006) Antenatal visits for woman (4 or more visits, %) --- Obstructed labor prevalence rate
Birth registration (%) 30% Diarrhoea 2%
115 HIV/AIDS Other 6% 9% Antenatal visit
Under-five mortality rate (per 1000 live births) 68 (2006) 120 0% (1 or more) 77 Pregnancy
Congenital 11% Intermittent preventive treatment for malaria (%) ---
Measles Hypertensive Haemorrhage
Infant mortality rate (per 1000 live births) 56 (2006) disorders Skilled attendant
90 0% 31% at birth 83 Birth
68
Infection 20% C-section rate (total, urban, rural; %) 9%
Neonatal mortality rate (per 1000 live births) 38 (2000) Malaria
1% Neonatal (Minimum target is 5% and maximum target is 15%) ---, ---, --- *Postnatal care Neonatal period
Total under-five deaths (000) 13 (2006) 60 38
30% Asphyxia 23% Sepsis/Infections,
Injuries
3% Early initiation of breastfeeding (within 1 hr of birth, %) 61 (2005) including AIDS Exclusive
25 Infancy
Maternal mortality ratio (per 100,000 live births) 170 (2005) 30 12% breastfeeding
MDG Target Diarrhoea Postnatal visit for baby (within 2 days for home births, %) --- Other causes
Lifetime risk of maternal death (1 in N) 160 (2005) 16% Preterm 34% Anaemia Measles 87
0 Pneumonia 21%
Total maternal deaths 320 (2005) 13%
1990 1995 2000 2005 2010 2015 20% 0 20 40 60 80 100
Source: Lawn JE, Cousens SN
Source: UNICEF, 2006 Source: WHO, 2006 for CHERG (Nov 2006) Source: Khan, Khalid S., et al, Lancet 2006:367:1066-74 Source: DHS, MICS, Other NS
*See Annex for indicator definition

Antenatal care Skilled attendant at delivery Neonatal tetanus protection

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

NUTRITION skilled health provider during pregnancy

Stunting prevalence (moderate and severe, %) 33 (2005) Complementary feeding rate (6-9 months, %) 15 (2005) 100 100
83
Wasting prevalence (moderate and severe, %) 9 (2005) Low birthweight incidence (%) 10 (2005) 77 79
80 71 80 71

Underweight prevalence Exclusive breastfeeding Vitamin A supplementation 60 60

Percent

Percent
Percent children < 5 years underweight for age* Percent infants < 6 months exclusively breastfed Percent children 6-59 months receiving vitamin A doses No data
40 40
At least one dose Two doses 98 98
100 100 100 20 20
96 98
80 80 80 0 0
2000 2005 1996 2000 2005
60 60 60 MICS MICS Other NS MICS MICS
Percent

Percent

Percent
40 40 40
25
20 14 20 14 20 WATER AND SANITATION EQUITY
0 0 0 0 0
0 0 0
2005 2000 2005 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
MICS MICS MICS
Source: UNICEF
Percent population using improved drinking water sources Percent population using improved sanitation facilities
*Based on 2006 WHO reference population Rural Urban Total Rural Urban Total
100 92 100 100
CHILD HEALTH
80 80 70 80
59
Immunization Malaria prevention Prevention of mother to child 60 60 51 60
48

Percent

Percent

Percent
Percent of children immunised against measles 45
Percent of children immunised with 3 doses DPT
Percent children < 5 years sleeping under ITNs* transmission of HIV
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 40 40
Percent of children immunised with 3 doses Hib
20 20 20
100 87
100
0 0 0
80 86 80 2004 2004 Poorest 2nd 3rd 4th Wealthiest
Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 60 2000 2005
Percent

Percent

No data MICS MICS

40 40 POLICIES SYSTEMS
20 20
Coverage gap (%) 37 31
1 International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 Substitutes No Ratio
1992 1997 2002 2006 2005 Per capita total expenditure on health (US$) 54 (2007) poorest/wealthiest 1.4 1.4
Source: WHO/UNICEF MICS
New ORS formula and zinc for management of Difference
*Sub-national risk of malaria transmission General government expenditure on health as
diarrhoea Yes poorest-wealthiest (%) 12 10
% of total government expenditure (%) 5 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials* Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics No Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 76 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 7.2 (2003)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available Yes Official Development Assistance to child health
80 80 80 per child (US$) 5 (2005)
Midwives be authorised to administer a core set of
Tajikistan
64
60 60 60 life saving interventions Yes Official Development Assistance to maternal and
51
Percent

Percent

Percent

neonatal health per live birth (US$) 5 (2005)

41
40 40 40 Maternity protection in accordance with ILO
29 Convention 183 National availability of Emergency Obstetric Care
22 Partial
20 20 20 services (% of recommended minimum) 86 (2005)
2 Specific notification of maternal deaths Yes
0 0 0
2000
MICS
2005
MICS
2005
MICS
2000
MICS
2005
MICS
Countdown to 2015
*Sub-national risk of malaria transmission 2008 Report