CCI Country Score: 35% 2010 Demographics
Total population (000) Birth registration 4,745 2019 61% 2010
Total under 5 population (000) Total maternal deaths 731 2019 1,400 2017
Total adolescent (10-19) Lifetime risk of maternal deaths population (000) 1,238 2019 (1 in N) 25 2017 Secondary completion rate Stillbirth rate (per 1000 total (upper, females) 6% 2018 births) 34 2015 Total births (000) Neonatal deaths, as % of all <5 167 2019 deaths 37% 2019 Total fertility rate (births per Total under 5 deaths (000) woman) 4.6 2019 18 2019 Adolescent (15-19 years) birth Adolescent (10-19) mortality rate 2009 girls boys 2016 Composite Coverage Index rate (births per 1000 girls) 229 (per 100,000), by sex 257 303
<50% 50-59% 60-69% 70-79% 80% + No data
Continuum of Care Coverage Equity
Percentage of those in need receiving coverage of key interventions across the continuum of care rich/poor gap (% points) (20% poorest) (20% richest)
100% 94% 87% Demand for family planning 41 60% satisfied 6% 47% 53% with modern 50% 49% 46% 47% 46% methods % 38 35% 29% 30% % Antenatal 22% 25 36 16% care, 4+ 26% 62% visits 0% - - -
Neonatal 31 (year 1) tetanus protection 39% 70%
full coverage of pneumonia
HIV receiving ART Immunization: DTP3 sanitation services Skilled birth attendant Immunization: Measles Population Populationusing basic using basic Antenatal care, 4+ visits Exclusive breastfeeding Immunization: Rotavirus Postnatal care for babies Continued breastfeeding Diarrhoea treatment: ORS Postnatal care for mothers Careseeking for symptoms drinking-water services 54 Pregnant womenNeonatal living tetanus with protection Vitamin A supplementation, Skilled birth Demand for family planning, 33% 87% Early initiation of breastfeeding attendant satisfied with modern methods
Pre-Pregnancy Pregnancy Birth Postnatal Infancy Childhood Environmental Postnatal care for mothers Maternal & Newborn Health
Postnatal Pregnancy and Delivery Care Adolescent Reproductive and Additional Maternal and care for babies Percent women aged 15-49 years with: Maternal Health Neonatal Health Interventions Antenatal care (4+ visits) Skilled birth attendant 15-17 yrs 18-19 yrs 20-49 yrs Pregnant women living 94% 2019 -2 100% Early initiation 100% with HIV receiving ART of breastfeeding 40% 42%
80% 80% Intermittent preventive 14% 2010 60% treatment for malaria 60% 60% Exclusive 2 52% 54% during pregnancy 3+ 46% breastfeeding 27% 29% 44% 40% 38% 38% 40% Institutional 2010 31% 33% 46%/6%/53% 25% Delivery 20% Public Private Total % 19% Continued 20% 18 -2 - breastfeeding 89% 91% 0% C-section rate 8%/2%/5% 2010 (year 1) 2006 2010 0% MICS MICS Demand for Antenatal Care, Skilled birth Urban Rural Total 2006 2010 family planning 4+ visits attendant Children satisfied, immunized 43 modern methods Source: MICS 2010 with 3 doses 18% 61% of DTP Women’s & Children’s Nutrition Children 33 immunized 42% 75% Essential Nutrition Indicators Child Nutritional Status Breastfeeding Practices against measles Percent children under 5 with moderate and Prevalence of anemia in 46% 2016 severe: Continued women aged 15-49 87% 2014 breastfeeding (year 1) Stunting (38%) SMART - 2018 Children Women of reproductive age, - Wasting (7%) SMART - 2018 immunized - Early initiation of breastfeeding short stature SMART - 2018 against rotavirus Overweight (1%) Exclusive breastfeeding Women (20+) with: BMI <18.5 12% 2016 100% kg/m2 (thinness) 100% Careseeking 36 BMI 25-30 kg/m2 (overweight) 80% for symptoms 23% 2016 20% 56% 80% of pneumonia BMI > 30 kg/m2 (obese) 2016 11% 60% 60% Iron/folic acid supplementation 53% - - during pregnancy 44% ORS treatment 17 40% 39% 40% of diarrhoea 11% 28% Low birth weight prevalence 33% 15% 2015 29% 23% 20% 20% Vitamin A supplementation, full 35% 2018 0 50 100 coverage 0% 0% Minimum dietary diversity 27% 2010 2006 2010 2014 Source: MICS 2010 2006 2008 2010 2012 2014 2016 2018 MICS MICS SMART 2006 2010-11 2014
More information about indicator sources, de nitions and other details can be found at: countdown2030.org/annexes
PDF generated 24 September 2020 pro les.countdown2030.org Central African Republic
Demographics
Maternal Mortality Ratio Causes of Maternal Death - 2014 Causes of Death Under-Five - 2017 Deaths per 100,000 live births Regional estimates for Sub-Saharan Africa Uncertainty Range Around Estimate Globally nearly half of child deaths 2k are attributable to undernutrition
1280
1k 829 0% 0% 9% 9% Diarrhoea 10% 10% Diarrhoea Abortion 11% 11% Preterm 2% 2% 7% 7% Embolism Other 29% 29% 11% 11% 0 Indirect Intrapartum related events 0 5 0 5 7 0 0 1 1 1 0 0 0 0 0 17% 17% 6% 6% 2 2 2 2 2 Malaria Sepsis 3% 3% 2% 2% Meningitis Congenital Source: UN MMEIG 2019 25% 25% Haemorrhage 3% 3% 1% 1% Measles Tetanus 2% 2% 1% 1% AIDS Meningitis Neonatal & Under- ve Mortality Rate 4% 4% 2% 2% 9% 9% Injuries Other Deaths per 1,000 live births Uncertainty Range Around Estimate Other 3% 3% 3% 3% NCDs Pneumonia 2019 direct Neonatal mortality rate (40) 2% 2% 12% 12% Under 5 mortality rate (110) 2019 Congenital Pneumonia 10% 10% 1% 1% 1% 1% 300 Sepsis 16% 16% Hypertension Intrapartum Preterm related events 200 170
100 49 Children ages 1-59 months 37% of deaths occur in the 0 Newborns ages 0-27 days neonatal period
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Source: WHO 2014 Source: WHO MCEE 2017-2018
Source: UN IGME 2020
Child Health Policies, Systems & Financing
Immunization Pneumonia Treatment Legislative Policies Percent of children immunized: Percent of children under 5 years with symptoms of EMERGENCY CONTRACEPTION CONTRACEPTIVE SERVICES Legal age limit exists for adolescents to access family pneumonia taken to appropriate health provider Married Unmarried Married Unmarried against rotavirus - (-) planning without spousal or parental consent Adolescents Adolescents Adolescents Adolescents with 3 doses of DTP (47%) 2019 against measles (49%) 2019 100% Legal status of abortion with 3 doses of Hib (47%) 2019 with 3 doses of pneumococcal (47%) 2019 to save a to preserve to preserve for social & in case of in case of in case of woman's physical mental economic on request foetal 80% rape incest 100% life health health reason impairment
80% 60% Maternity protection (Convention 183) Partial 60% 40% International Code of Marketing of 32% None Few Many Full 30% 40% Breastmilk Substitutes (provisions)
20% Legislation on food forti cation 20% Wheat Maize Rice
NO OR UNKNOWN NO OR UNKNOWN NO OR UNKNOWN 0% 0% 2006 2010 Governance MICS MICS 2005 2007 2009 2011 2013 2015 2017 2019 2006 2010 Costed national implementation plan(s) for reproductive, Plan with at least Combined Plan maternal, newborn and child health available one component Source: WHO/UNICEF estimates of national immunization coverage, 2019 revision Maternal Death Review 2014
Both national and A national policy A national policy A national A subnational subnational --- to notify all to review all maternal death maternal death maternal death maternal deaths maternal deaths review committee review committee review maternal death review Diarrhoeal Disease Treatment Malaria Prevention & Treatment committees committee meetings Percent of children under 5 years with diarrhoea: Malaria prevention in children under- ve - sleeping under ITNs Civil society involvement in review of national maternal, newborn and Treated with ORS No Data Treated with ORS + zinc 100% child health programs 100% National coordinating body that looks at RMNCH or its components No Data 80% 80% National human rights institution authorized to consider matters related No Data 60% to RMNCH 60% Financing
40% 36% Total expenditure on health, per capita 40% 16 2016
20% Government expenditure on health, per capita 20% 16% 15% 2016 13% 2
- < 1% Out of pocket expenditure as % of total expenditure on health 0% 0% 2016 2006 2010 2006 2010 43% MICS MICS MICS MICS 2006 2010 2006 2010 General government expenditure on health as % of total government 2016 expenditure 15% Malaria diagnostics in 17% 2010 children under- ve ODA to RMNCH (US$) Total: $56 M 2017 Per capita: $12 2017 Population sleeping - under ITN or sleeping in Service Delivery a house sprayed by IRS Life Saving Commodities in Essential Medicine List for RMNCH:
Environmental Reproductive Health: 1. Female Condom 2. Contraceptive Implants 3. Emergency Contraception
Maternal Health: 1. Oxytocin 2. Misoprostol 3. Magnesium sulfate
Water, Sanitation & Hygiene 1. Injectable Antibiotics 2. Antenatal Corticosteroids 3. Chlorhexidine Newborn Health: 4. Resuscitation equipment: Self-in ating bag 3% 24% 78% Child Health: 1. Amoxicillin 2. Oral Rehydration Salts 3. Zinc 29% Surface Water Open Defecation No Service Unimproved Unimproved Limited Service Limited Service Limited Service Basic Service 36% National availability of functional Emergency Obstetric Basic Service Basic Service - Care (% of recommended minimum) - 22% Density of skilled health Doctors: 2015 Nurses/Midwives: 2015 professionals (per 10,000 population) 0.6 2.0 15% 17%
Water Sanitation Hygiene Midwives authorized for speci c tasks Removal of Parenteral Manual Assisted Parenteral Parenteral retained Newborn anti- removal of vaginal Source: WHO/UNICEF Joint Monitoring Programme (2019) antibiotics oxytocin products of resuscitation convulsants placenta delivery contraception
More information about indicator sources, de nitions and other details can be found at: countdown2030.org/annexes
PDF generated 24 September 2020