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Niger Factsheets of Health Statistics 2010

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Niger Factsheets of Health Statistics 2010 Niger Factsheets of Health Statistics 2010 Figure 1 : Niger and neighboring countries Figure 2 : Population size (in thousands) in Niger and neighboring countries, 2008 Niger 14,704 Nigeria 151,212 Algeria 34,373 Burkina Faso 15,234 Mali 12,706 Chad 10,914 Benin 8,662 Libya 6,294 1. Health Status Life expectancy Figure 3 : Life expectancyi at birth in years, in Niger and neighboring countries, 2008 and 1990 2008 1990 Niger 52 39 46 Chad 49 Nigeria 49 46 Mali 49 44 Burkina Faso 51 49 Benin 57 51 Algeria 71 66 Libya 73 69 African Region 53 51 Figure 4 : Life expectancy at birth in years, in Niger and neighboring countries, by sex, 2008 Male Female 51 Niger 53 46 Chad 47 48 Mali 50 49 Nigeria 49 51 Burkina Faso 52 57 Benin 58 70 Algeria 72 71 Libya 76 52 African Region 54 i Definition: average number of years that a newborn is expected to live if current mortality rates continue to apply Figure 5 : Healthy life expectancyii at birth in years, in Niger and neighboring countries, by sex, 2007 Male Female 44 Niger 45 40 Chad 40 41 Mali 43 42 Nigeria 42 42 Burkina Faso 43 50 Benin 50 62 Algeria 63 63 Libya 66 45 African Region 46 Mortality Figure 6: Adult mortality rateiii per 1,000 population in Niger and neighboring countries, 2008 and 1990 2008 1990 359 Niger 497 Chad 446 375 411 Nigeria 405 386 Mali 427 372 Burkina Faso 387 301 Benin 355 138 Libya 178 132 Algeria 181 African Region 392 371 ii Definition: average number of years that a person can expect to live in “full health” by taking into account years lived in less than full health due to disease and/or injury iii Definition: probability that a 15-year-old person will die before reaching his/her 60th birthday. Mortality data. Geneva, World Health Organization, 2010 (www.who.int/healthinfo/statistics/mortality/en/) Figure 7: Adult mortality rate per 1,000 population in Niger and neighboring countries, by sex, 2008 Male Female Niger 374 340 Chad 465 429 Nigeria 424 399 Mali 412 365 Burkina Faso 388 361 Benin 312 291 Libya 170 97 Algeria 144 119 African Region 412 374 Figure 8: Under-five mortality rateiv (per 1, 000 live births) in Niger and neighboring countries, both sexes, 2009 and 1990 2009 1990 160 Niger 305 209 Chad 201 191 Mali 250 166 Burkina Faso 201 138 Nigeria 212 118 Benin 184 32 Algeria 61 19 Libya 36 127 African Region 179 Source: IGME 2009 Estimates iv Definition: under-five mortality rate is the probability of a child born in a specific year or period dying before reaching the age of five, if subject to age-specific mortality rates of that period Figure 9: Infant mortality ratev per 1,000 lives births in Niger and neighboring countries, 2009 and 1990 2009 1990 Niger 76 144 Chad 124 120 101 Mali 139 Burkina Faso 91 110 86 Nigeria 126 75 Benin 111 29 Algeria 51 17 Libya 32 80 African Region 109 Source: IGME 2009 Estimates Figure 10: Distribution of causes of death among children aged <5 years (%) in Niger Injuries HIV/AIDS 2 0 Other diseases 21 Diarrhoea 20 Congenital Meas les abnormalities 0 1 Neonatal sepsis 3 Malaria 18 Birth asphyxia 6 Prematurity Pneumonia 7 22 v Infant mortality rate is the probability of a child born in a specific year or period dying before reaching the age of one, if subject to age-specific mortality rates of that period. Figure 11: Maternal mortality ratiovi per 100,000 live births in Niger and neighboring countries, 2008 and 1990 2008 1990 Niger 820 1,400 Chad 1,200 1,300 Nigeria 840 1,100 Mali 830 1,200 560 Burkina Faso 770 410 Benin 790 120 Algeria 250 Libya … 620 African Region 850 Source: IGME 2009 Estimates Burden of Disease Figure 12: Distribution burden of diseases as % of total DALYsvii by broader causes in Niger and neighboring countries, 2004 Communicable diseases, maternal and perinatal conditions and nutritional deficiencies Noncommunicable conditions Injuries Niger 79% 15% 5% Mali 76% 18% 6% Chad 74% 19% 7% Burkina Faso 73% 20% 7% Nigeria 72% 21% 7% Benin 69% 25% 7% Algeria 34% 55% 12% Libya*#N/A African Region 71% 21% 8% *: No data vi Definition: number of maternal deaths per 100 000 live births during a specified time period, usually one year. vii DALY is a health gap measure that extends the concept of potential years of life lost due to premature death (PYLL) to include equivalent years of “healthy” life lost by virtue of being in states of poor health or disability (1). DALYs for a disease or health condition are calculated as the sum of the years of life lost due to premature mortality (YLL) in the population and the years lost due to disability (YLD) for incident cases of the health condition. Figure 13: Distribution of years of life lostviii by broader causes in Niger and neighboring countries, 2004 Communicable disease Non communicable conditions Injuries Niger 86 10 4 Mali 83 11 5 Chad 82 12 6 Burkina Faso 82 12 6 Nigeria 81 13 6 Benin 78 16 6 Algeria 43 42 15 Libya 29 54 17 African Region 80 13 7 2. The Health System Health financing Figure 14: Per capita total expenditure on health (PPP int. $) in Niger and neighboring countries, 2007 and 2000 2007 2000 Niger 35 16 Mali 67 50 Benin 70 55 Chad 72 49 Burkina Faso 72 41 Nigeria 131 59 Algeria 338 188 Libya 453 385 African Region 137 86 viii Definition: YLL are calculated from the number of deaths multiplied by a standard life expectancy at the age at which death occurs. The standard life expectancy used for YLL at each age is the same for deaths in all regions of the world and is the same as that used for the calculation of disability-adjusted-life years (DALY). Additionally 3% time discounting and non- uniform age weights which give less weight to years lived at young and older ages were used as for the DALY. With non-uniform age weights and 3% discounting, a death in infancy corresponds to 33 YLL, and deaths at ages 5 to 20 to around 36 YLL. Figure 15: Total expenditure on health as percent of GDPix in Niger and neighboring countries, 2007 and 2000 2007 2000 Niger 5.3 3.5 2.7 Libya 3.7 Algeria 4.4 3.5 Benin 4.8 4.6 Chad 4.8 6.3 Mali 5.7 6.3 Burkina Faso 6.1 5.1 Nigeria 6.6 4.6 African Region 6.2 5.9 Figure 16: General government expenditure on health as % of total expenditure on health in Niger and neighboring countries, 2007 and 2000 2007 2000 Niger 52.8 54.4 Nigeria 25.3 33.5 Mali 51.4 32.9 Benin 51.8 47.6 Burkina Faso 56.1 39.6 Chad 56.3 42.5 Libya 71.8 61.7 Algeria 81.6 73.3 African Region 45.3 43.5 ix Gross domestic product (GDP) is the value of all goods and services provided in a country by residents and non-residents. This corresponds to the total sum of expenditure (consumption and investment) of the private and government agents of the economy during the reference year. Figure 17: General government expenditure on health as % of total government expenditure in Niger and neighboring countries, 2007 and 2000 2007 2000 Niger 12.4 10.3 Libya 5.4 7.2 Nigeria 6.5 4.2 Benin 10.7 11.3 Algeria 10.7 9.0 Mali 11.8 9.5 Burkina Faso 13.3 8.9 Chad 13.8 13.1 African Region 9.6 8.7 Figure 6 : External resources for health as percent of total expenditure on health in Niger and neighboring countries, 2007 and 2000 2007 2000 74.9 Niger 40.2 Burkina Faso 28.3 13.9 Benin 21.3 16.0 Mali 19.8 7.8 11.3 Chad 24.9 2.2 Nigeria 16.2 0.1 Algeria 0.1 Libya … African Region 6.9 5.4 …: No data Figure 19: Private expenditure on health as percent of total expenditure on health in Niger and neighboring countries, 2007 and 2000 2007 2000 47.2 Niger 45.6 74.7 Nigeria 66.5 48.6 Mali 67.1 48.2 Benin 52.4 43.9 Burkina Faso 60.4 43.7 Chad 57.5 28.2 Libya 38.3 18.4 Algeria 26.7 54.7 African Region 56.5 Figure 20: Out-of-Pocket expenditurex as % of private expenditure on health in Niger and neighboring countries, 2007 and 2000 2007 2000 Niger 96.4 87.6 100 Libya 100 99.5 Mali 99.1 96.2 Chad 96.2 Nigeria 95.9 92.7 Benin 94.9 99.9 Algeria 94.7 96.7 91.3 Burkina Faso 94.4 African Region 60.1 53 x Household out-of-pocket spending (OOPS): the direct outlays of households, including gratuities and in-kind payments made to health practitioners and to suppliers of pharmaceuticals, therapeutic appliances and other goods and services. This includes household direct payments to public and private providers of health care services, non-profit institutions, and non-reimbursable cost sharing, such as deductibles, copayments and fee for services Figure 21: Per capita government expenditure on health (PPP int.$) in Niger and neighboring countries, 2007 and 2000 2007 2000 Niger 18 9 Nigeria 33 20 Mali 34 16 Benin 36 26 Chad 40 21 Burkina Faso 40 16 Algeria 276 138 Libya 325 238 African Region 63 38 Health workforce Figure 22: The physician to population ratio (per 10,000 population) in Niger and neighboring countries, 2000- 2009 Niger <0,5 Nigeria <0,5 Chad <0,5 Mali 1 Benin 1 Burkina Faso 1 Algeria 12 Libya 12 African Region 2 Figure 23: The nursing and midwifery personnel to population ratio (per 10,000 population) in Niger and neighboring countries, 2000-2009 Niger 1 Mali 2 Chad 3 Burkina Faso 7 Benin 8 Nigeria 16 Algeria 19 Libya 48 African Region 11 Medical products and equipment Figure 24: Median percent availability of selected generic medicines in a sample of health facilities in Niger and neighboring countries with data in 2001-2008 Public Private Niger … Benin … Burkina Faso … Algeria … Libya … 26 Nigeria 31 Chad 31 26 Mali 81 70 African Region … …: No data Figure 25: Median consumer price ratio of selected generic medicines (ratio of median local unit price to management sciences for health international reference price), Niger and neighboring countries, 2001 - 2008 Public Private Niger … Chad
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