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Gabon Factsheets of Health Statistics 2010

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Gabon Factsheets of Health Statistics 2010 Gabon Factsheets of Health Statistics 2010 Figure 1 : Gabon and neighboring countries Cameroon Sao Tome and Principe Equatorial Guinea Congo Gabon Figure 2 : Population size (in thousands) in Gabon and neighboring countries, 2008 Gabon 1,448 Cameroon 19,088 Congo 3,615 Equatorial Guinea 659 Sao Tome and Principe 160 1. Health Status Life expectancy Figure 3 : Life expectancyi at birth in years, in Gabon and neighboring countries, 2008 and 1990 2008 1990 60 Gabon 62 53 Cameroon 55 53 Equatorial Guinea 49 54 Congo 60 61 Sao Tome and Principe 61 53 African Region 51 Figure 4 : Life expectancy at birth in years, in Gabon and neighboring countries, by sex, 2008 Male Female 58 Gabon 62 53 Cameroon 53 53 Equatorial Guinea 54 54 Congo 55 60 Sao Tome and Principe 62 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 Gabon and neighboring countries, by sex, 2007 Male Female 50 Gabon 53 45 Cameroon 45 45 Equatorial Guinea 46 48 Congo 49 52 Sao Tome and Principe 54 45 African Region 46 Mortality Figure 6 : Adult mortality rateiii per 1,000 population in Gabon and neighboring countries, 2008 and 1990 2008 1990 327 Gabon 240 403 Cameroon 321 381 Congo 271 361 Equatorial Guinea 375 247 Sao Tome and Principe 253 392 African Region 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 Gabon and neighboring countries, by sex, 2008 Male Female 353 Gabon 301 405 Cameroon 403 389 Congo 374 366 Equatorial Guinea 356 271 Sao Tome and Principe 227 412 African Region 374 Figure 8 : Under-five mortality rateiv (per 1, 000 live births) in Gabon and neighboring countries, both sexes, 2009 and 1990 2009 1990 69 Gabon 93 154 Cameroon 148 145 Equatorial Guinea 198 128 Congo 104 78 Sao Tome and Principe 95 127 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 Gabon and neighboring countries, 2009 and 1990 2009 1990 52 Gabon 68 95 Cameroon 91 88 Equatorial Guinea 120 81 Congo 67 52 Sao Tome and Principe 62 80 African Region 109 Source: IGME 2009 Estimates Figure 10 : Distribution of causes of death among children aged <5 years (%) in Gabon, 2008 Other diseases Injuries HIV/AIDS 10 1 10 Diarrhoea Congenital 6 abnormalities 4 Meas les Neonatal sepsis 1 4 Birth asphyxia 8 Malaria 29 Prematurity 15 Pneumonia 11 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 Gabon and neighboring countries, 2008 and 1990 2008 1990 260 Gabon 260 600 Cameroon 680 580 Congo 460 280 Equatorial Guinea 1,000 … Sao Tome and Principe … 620 African Region 850 Source: IGME 2009 Estimates …: No data vi Definition: number of maternal deaths per 100 000 live births during a specified time period, usually one year. Burden of Disease Figure 12 : Distribution burden of diseases as % of total DALYsvii by broader causes in Gabon and neighboring countries, by country, 2004 Communicable diseases, maternal and perinatal conditions and nutritional deficiences Non communicable conditions Injuries Gabon 58% 32% 10% Equatorial Guinea 70% 22% 8% Cameroon 69% 24% 7% Congo 68% 24% 8% Sao Tome and Principe*#N/A African Region 71% 21% 8% *: No data 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 Gabon and neighboring countries, 2004 Communicable disease Non communicable conditions Injuries Gabon 68 21 11 Congo 79 13 8 Equatorial Guinea 78 15 7 Cameroon 78 15 7 Sao Tome and Principe 71 18 11 African Region 80 13 7 2. The Health System Health financing Figure 14 : Per capita total expenditure on health (PPP int. $) in Gabon and neighboring countries, 2007 and 2000 2007 2000 650 Gabon 529 90 Congo 60 104 Cameroon 73 183 Sao Tome and Principe … 543 Equatorial Guinea 135 137 African Region 86 …: No data 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 Gabon and neighboring countries, 2007 and 2000 2007 2000 4.6 Gabon 4.5 2.1 Equatorial Guinea 1.9 2.4 Congo 2.1 4.9 Cameroon 4.5 11.2 Sao Tome and Principe 10.2 6.2 African Region 5.9 Figure 16 : General government expenditure on health as % of total expenditure on health in Gabon and neighboring countries, 2007 and 2000 2007 2000 64.5 Gabon 67.9 25.9 Cameroon 21.5 47.1 Sao Tome and Principe 35.7 70.4 Congo 57.7 80.4 Equatorial Guinea 49.8 45.3 African Region 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 Gabon and neighboring countries, 2007 and 2000 2007 2000 14.0 Gabon 14.0 13.2 Sao Tome and Principe 9.0 8.1 Cameroon 6.4 6.9 Equatorial Guinea 7.8 5.1 Congo 4.8 9.6 African Region 8.7 Figure 18 : External resources for health as percent of total expenditure on health in Gabon and neighboring countries, 2007 and 2000 2007 2000 1.5 Gabon 1.5 21.7 Sao Tome and Principe 28.6 5.4 Congo 4.6 5.2 Cameroon 4.1 4.8 Equatorial Guinea 9.5 6.9 African Region 5.4 Figure 19 : Private expenditure on health as percent of total expenditure on health in Gabon and neighboring countries, 2007 and 2000 2007 2000 35.5 Gabon 32.1 74.1 Cameroon 78.5 52.9 Sao Tome and Principe 64.3 29.6 Congo 42.3 19.6 Equatorial Guinea 50.2 54.7 African Region 56.5 Figure 20 : Out-of-Pocket expenditurex as % of private expenditure on health in Gabon and neighboring countries, 2007 and 2000 2007 2000 100.0 Gabon 100.0 100.0 Congo 100.0 94.5 Cameroon 94.4 75.6 Equatorial Guinea 89.5 58.9 Sao Tome and Principe 55.5 60.1 African Region 53.0 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 Gabon and neighboring countries, 2007 and 2000 2007 2000 419 Gabon 359 27 Cameroon 16 63 Congo 34 86 Sao Tome and Principe … 436 Equatorial Guinea 67 63 African Region 38 …: No data Health workforce Figure 22 : The physician to population ratio (per 10,000 population) in Gabon and neighboring countries, 2000-2009 Gabon 3 Congo 1 Cameroon 2 Equatorial Guinea 3 Sao Tome and Principe 5 African Region 2 Figure 23 : The nursing and midwifery personnel to population ratio (per 10,000 population) in Gabon and neighboring countries, 2000-2009 Gabon 50 Equatorial Guinea 5 Congo 8 Cameroon 16 Sao Tome and Principe 19 African Region 11 Medical products and equipment Figure 24 : Median percent availability of selected generic medicines in a sample of health facilities in Gabon and neighboring countries in 2001-2008 Public Private … Gabon … 21.2 Congo 31.3 56.3 Sao Tome and Principe 22.2 58.3 Cameroon 52.5 … Equatorial Guinea … … 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), Gabon and neighboring countries, 2001 - 2008 Public Private … Gabon … 6.5 Congo 11.5 2.4 Sao Tome and Principe 13.8 2.2 Cameroon 13.6 … Equatorial Guinea … … African Region … …: No data Figure 26 : Hospital bedsxi per 10,000 population in Gabon and neighboring countries, 2000-2009 Gabon 13 Cameroon 15 Congo 16 Equatorial Guinea 19 Sao Tome and 32 Principe African Region 9 xi Definition: number of inpatient beds per 10 000 population Health information – Civil registration coverage Figure 27 : Percentage of civil registration coverage for birthsxii in Gabon and neighboring countries, 2000-2008 Gabon 89 Equatorial Guinea 32 Sao Tome and Principe 69 Cameroon 70 Congo 81 African Region … …: No data Figure 28 : Percentage of civil registration coverage of deathsxiii in Gabon and neighboring countries, 2000-2008 Gabon <25 Equatorial Guinea <25 Cameroon <25 Congo < 25 Sao Tome and Principe … African Region … …: No data xii Definition: percentage of estimated total births that are “counted” through civil registration system.
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