Trend analysis and sector profiles ane and e e regions
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Trend Analysis and Sector Profiles ANE and E&E Regions. Total Fertility, 1990-2000. Replacement Level Fertility 2.1. Source: DHS/RHS1990-2001 and PRB 2001 Data Sheet. Maternal Mortality Ratios and Attended Births in ANE Region. *No current USAID PHN funding.

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Trend Analysis and Sector Profiles ANE and E&E Regions

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Trend analysis and sector profiles ane and e e regions

Trend Analysis and Sector ProfilesANE and E&E Regions


Total fertility 1990 2000

Total Fertility, 1990-2000

Replacement

Level Fertility

2.1

Source: DHS/RHS1990-2001 and PRB 2001 Data Sheet.


Maternal mortality ratios and attended births in ane region

Maternal Mortality Ratios and Attended Births in ANE Region

*No current USAID PHN funding

Source: UNICEF State of the World’s Children, 2002. DHS and WHO/Hill data used when UNICEF data not available.


Abortion and non abortion maternal mortality rate mm in romania 1965 1980 1999

Abortion and Non-Abortion Maternal Mortality Rate (MM) in Romania 1965, 1980-1999

Number of deaths per 100,000 women

‘65 ‘80 ‘81 ‘82 ‘83 ‘84 ‘85 ‘86 ‘87 ‘88 ‘89 ‘90 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99

Source: 1999 National Commission for Statistics/Romania; UNFPA


Stagnating decline in neonatal mortality in ane region

32% decline

28% decline

18% decline

Stagnating Decline in Neonatal Mortality in ANE Region

Note: Countries include those that have received USAID support for over 10 years

Source: The State of the World’s Children 2002, UNICEF


Trend analysis and sector profiles ane and e e regions

Under-5 mortality rateUSAID-assisted countries-progress towards benchmarksEurope/NISBars reflect change in under-5 mortality rate, 1990-1997

KEY

= reduction in rate

1990 1997

= increase in rate

1997 1990

APP 99 baseline average 51

Estimated 2007 plan average** 35

APP 99 plan average 1999 47

BUCEN average* 1997 44

Source: US BUCEN International Database

* Country (unweighted average)

** 2007 Plan from APP 2000

*** When 1990 data were unavailable, the closest available year was used.

Albania, Armenia, Azerbaijan, Belarus, Bosnia, Georgia, Kazakstan, Kyrgystan, Lithuania, Moldova, Russia,

Tajikistan, Turkmenistan, Ukraine, and Uzbekistan all experienced increases in their under-5 mortality rates.


Trend analysis and sector profiles ane and e e regions

Falling Cure Rates for Falciparum Malaria in Southeast Asia

ANE

Region

Example from Thailand

10%

Cure Rate (%)

AFR

Region

Malaria Deaths in ANE = 1.1 million

Source: SE Asia J Trop Med Public Health 1999; 30: 68

Malaria in ANE Region


Trends in tb case notification rates in e e dots countries

Trends in TB Case Notification Rates in E&E DOTS Countries

Source: WHO Global Tuberculosis Report, 2002


Trend analysis and sector profiles ane and e e regions

Low Prevalence  Low Risk in Bangladesh

9% are IDU

Rickshawpullers

(76% married)

69%

Visit

MSM

FSW

(46% married)

IDU

(40% married)

33%

34%

Visit

Visit

FSW

FSW

FSW

(9% married)

2% are IDU

1% are IDU

Source: Bangladesh BSS


Trend analysis and sector profiles ane and e e regions

HIV Trends in Eastern Europe & Central Asia and Western Europe, 1993 - 2001

Source: Report on the Global HIV/AIDS Epidemic, UNAIDS July 2002


Population pyramids 2000

Population Pyramids, 2000

Romania

Cambodia

Population in Thousands

Population in Thousands

Source: US Bureau of the Census, International Data Base


Causes of death in ane region 2000

Causes of Death in ANE Region, 2000

Source: WHO World Health Report, 2001


Causes of death in e e region 2000

Causes of Death in E&E Region, 2000

Source: WHO World Health Report, 2001


Population sector

Population Sector


Population and economic growth rates in ane region

Population and Economic Growth Rates in ANE Region

* No current USAID PHN funding

Source: (GDP) World Bank, World Development Indicators 2002, and (Pop) Bureau of Census, International Database 2002. No economic growth data available for Afghanistan.


Percentage of population living on less than 2 a day in e e region

Percentage of Population Living on Less Than $2 a Day in E&E Region

Source: 2001 World Development Report/ The World Bank


Total fertility and modern contraceptive prevalence in ane region

Total Fertility and Modern Contraceptive Prevalence in ANE Region

* No current USAID PHN funding

Source: PRB 2001 Population Data Sheet


Contraceptive prevalence modern methods in e e region

Contraceptive Prevalence Modern Methods in E&E Region

Source: DHS or RHS, most recent surveys, 1993-2001, or PRB 2001 Population Data Sheet if DHS/RHS data not available.


Total fertility rate and total induced abortion rate in e e region

Total Fertility Rate and Total Induced Abortion Rate in E&E Region

Source: DHS or RHS, data from most recent survey, 1993-2001, or PRB 2001 Population Data Sheet if DHS/RHS data not available.


Outcome of pregnancy in e e region

Outcome of Pregnancy in E&E Region

Source: CDC RHS Surveys and Relationships between Abortion and Contraception in Republics of the former Soviet Union by H.I. Goldberg and F. Serbanescu (August 2001).

Data ending five years before survey.


Unmet need for family planning services modern methods in e e region

Unmet Need for Family Planning Services (Modern Methods) in E&E Region

Source: DHS or RHS, data from most recent survey, 1993-2000, or PRB 2001 Population Data Sheet if DHS/RHS data not available.


Maternal and child health sector

Maternal and Child Health Sector


Infant mortality in ane region 1990 2002

World Summit Goal (2000)=50

Infant Mortality in ANE Region, 1990-2002

* No current USAID PHN funding

Source: US Bureau of the Census, International Database, 2002. Uttar Pradesh data from DHS 1992-93 and 1998-99.


Infant mortality in e e region 1990 2000

Infant Mortality in E&E Region, 1990-2000

Source: DHS or RHS, data from most recent survey, 1990-2001. UNICEF, State of the World’s Children 2002, 2000 data for CZ, MD, RU, and UA.


Trend analysis and sector profiles ane and e e regions

Under-5 mortality rateUSAID-assisted countries-progress towards benchmarksAsia/Near EastBars reflect change under-5 mortality rates, 1990-1997

KEY

= reduction in rate

1990 1997

= increase in rate

1997 1990

Estimated 2007 plan** 74

APP 99 plan average 1999 56

APP 99 baselineaverage 60

BUCEN average* 1997 73

Source: US BUCEN International Database

* Country (unweighted average)

** 2007 Plan from APP 2000

*** When 1990 data were unavailable, the closest available year was used.


Under 5 mortality rates and immunization coverage in ane region 2000

Under-5 Mortality Rates and Immunization Coverage in ANE Region, 2000

*No current USAID PHN funding

Source: UNICEF, State of the World’s Children, 2002


Immunization coverage in selected e e countries

Country

DPT3 Coverage – Official Figures by Child*

DPT3 Coverage-Surveys by 12 Months of Age

Azerbaijan

94.7%

72%

Armenia

87.5%

63.4%

Georgia

97.7%

61.4%

Kyrgyzstan

98.2%

98.2%

Tajikistan

94%

63.5%

Immunization Coverage in Selected E&E Countries

Source: Azzam, H. “GAVI and the Europe and Eurasia Region.” USAID, October 2000. Data for Azerbaijan, Armenia, Georgia and Kyrgyzstan from UNICEF/WHO Joint Report Form on Vaccine-Preventable Diseases.

*Official national immunization rates are per child and not by 12 months of age as is the international standard of reporting.

In Azerbaijan, the government just adopted the 72% figure of the EPI survey, the only one to do so.

Georgia data collected for immunization between the age of 0-27 months. UNICEF’s data for the same period of time indicate 80.5% coverage.

Tajikistan’s official data is for1998.


Trend analysis and sector profiles ane and e e regions

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Between 30 and 60

Between 60 and 90

More than 90

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Maternal Mortality Ratios in E&E Region, 1995

Source: Hill, Abou Zahr, and Wardlaw, 2001


Hiv aids sector

HIV/AIDS Sector


Trend analysis and sector profiles ane and e e regions

Adult HIV Prevalence in ANE Region, 2001

Maharashtra>2%

Andhra Pradesh>2%

Tamil Nadu1-2%

Karnataka1-2%

Manipur1-2%

Myanmar1.99%

India0.8%

Cambodia2.7%

Thailand 1.8%

Source: UNAIDS, July 2002 and the National AIDS Control Organization


Trend analysis and sector profiles ane and e e regions

HIV/AIDS and Drug Trafficking Routes in Central Asia

Temirtau

Almaty

Yange Yul

Osh

Source: Synergy, 2001.

Capital City

Other Major City

Country Boundary

Major Road

Narcotics Traffic


Cumulative reported hiv infections per million population in eastern european countries 1993 2001

1,800

1,500

1,200

900

600

300

0

Cumulative reported HIV infections per million population in Eastern European countries: 1993-2001

Estonia*

Russian Federation

Cases per million population

Ukraine

Latvia

Moldova, Republic of

Kazakhstan

Lithuania

1993

1994

1995

1996

1997

1998

1999

2000

2001

Projected

* actual 2001 year-end data

Source: National AIDS Programmes (2001) HIV/AIDS surveillance in Europe. Mid-year report. Data compiled by the European Centre for the Epidemiological Monitoring of AIDS


Trend analysis and sector profiles ane and e e regions

Source: Synergy, 2001.


Trend analysis and sector profiles ane and e e regions

DRAFT

Source: Synergy, 2001.


Hiv prevalence rate and adults living with hiv aids in e e region 2001

HIV Prevalence Rate and Adults Living with HIV/AIDS in E&E Region, 2001

Percent Adults Living with HIV/AIDS in Eastern and Central Asia

Total Adults Living with HIV/AIDS : 1,000,000

Source: UNAIDS, July 2002.


Infectious diseases sector

Infectious Diseases Sector


Causes of death in ane region 20001

Causes of Death in ANE Region, 2000

WHO regions

Source: WHO World Health Report, 2001


Infectious disease deaths in ane region 2000

Infectious Disease Deaths in ANE Region, 2000

Source: WHO World Health Report, 2001


Estimated new tuberculosis cases in ane region 2000

Estimated New Tuberculosis Cases in ANE Region, 2000

Source: WHO Global Tuberculosis Report, 2002


Tuberculosis incidence in ane region 2000

Tuberculosis Incidence in ANE Region, 2000

* No current USAID PHN funding

Source: WHO Global Tuberculosis Report, 2002


Trend analysis and sector profiles ane and e e regions

Malaria Cases in ANE Region, 1999/2000

Source: WHO, Roll Back Malaria Web site, Country Profiles


Emerging issues

Emerging Issues


Life expectancy in e e region 1990 2000

Life Expectancy in E&E Region, 1990-2000

Women

CEE

2.5% Increase

1.1% Decrease

NIS

CEE

2.2% Increase

Men

NIS

2.5% Decrease

Source: WHO Regional Office for Europe, European Health for All Database

Note: CEE Countries include Albania, Bulgaria, Hungary, Poland, Romania, Czech Republic, Slovakia, Bosnia and Herzegovina, Croatia, Slovenia, Macedonia, and Yugoslavia. NIS Countries include Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Lithuania, Latvia, Moldova, Russia, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan.


Distribution of chronic disease deaths in e e region 2000

Distribution of Chronic Disease Deaths in E&E Region, 2000

Source: WHO World Health Report, 2001


Trends in cigarette consumption in e e region 1990s

Trends in Cigarette Consumption in E&E Region, 1990s

Note: Turkey data is for 1998.

Source: The American Cancer Society, Inc. Tobacco Control Country Profiles, 2000.


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